fffdmanamSfBROS JItv/T hacpilfim.tVARAI ' fectOn,iis c ent t net . \ W THE Fworkes 1 ' of that famous C hiruroion Ambrofe Pa rev CT" f /iff ra tulated eu t cp dttt iican<fconi-!2aiva ■ Z ( (^Tf the french. A Tho: John fori. Where unto are added threeTraetatcS , Adrianas Spigelian Arteries, TjrNerves , a / with large P\<£U.rQ$ . ' i a Table of the Ctooltes ani Chapters. London . Printed ly C ot_CS > and Willi.- Du-gfar cl, (mi are to lejotihy .Clarke , entrina TO THE RIGHT HONOVR.AB LE E D W A R D LOROHubbit of Cherbury andCaftle Ifland} and one of his Majefties moft Honorable Counfell of War. My Lord, T is not the far-fetcht pedegree of noble Ance* ftors, nor thofe Honours your Lordfhip de- fervcdly poffcfles, that make mee crave your Patronage to this my Labour; but it is that Heroickmind, enriched with the choice en- dowments of Nature and Art, and that earneft affe&ion wherewith your Honour entertains all Sciences, Arts,and Artifts,with thatexquifite ludgment which fees into the inner man, which embolden and incite me to file for your Honors affiftancejn proteSfmg the fame of him, who by your many favours is made yours.I know the feeming and lelf-pleafing Witdomof our times, confifts much in cavilling and unjuftly carping at all things that fee light, and that there are many who earneft ly hunt after the publike fame of Learning and Judgment, by this cafily trod, and defpicable path, which notwithstanding they tread with as much confidence as folly; forthat oft-times which they vainly and un juftly brand with opprobrie, outlives their Fate, and flouriflies when it is forgot that ever any fuch as they had being. I know your Lordfhips difpofition to be far diffenting from thefe men,and that you rather endeavour to build up the fame of your Learning and Judgement uponaftrong laid foundation of your own,than Heroftratws like, by pulling down any howfoever fair built fabrick of another. I heartily wifh that your Honour A could The Epiflle Dedicatory. could propagate this good, and that all Detra&ors might be turned into A&ors,and then 1L know it would much mitigate their rigour in ccnluring others, when as they themfelves were alio expofed unto the fame Hazzard* I think it impertinent to acquaint your Honour with the Na- ture of the Work,my Pains in tranflating,or the Benefit that may enlae thereon,for that I know your Honour ignorant of nothing in this kind j neither doubt I of your fa- vourable acceptance of the good will of him, that thinks himfelf much honoured by being '•Yours, Thomas Johnson, TO To the Reader. Have here for the publike good taken pains to fubjeft my felf to' common cenfure, the which I doubt not but to find as various as the faces of the Ccnfurers; but I expert no thanks,nor hunt after o« ther praife,than that I have laboured for my Countries good,If that deferve any. I fear not Calumniation (though fure to hear of it) and therefore I will not Apologize,but inform thee of fome things concerning the Author his work,and the reafon that induced me to the tranflation thereof, with fome few things befides. For the Au- thor, who was principall Surgeon to two or three Kings of Franct, he was a man well verfed in the writings of the Antient and modern Phyfitiaris, and Sur- geons, as you may evidently find by fundry places alledged in his works. For his ex- perience, or praftift (the chief help to attain the higheft perfeftion in this Art) it was wonderfull great,as you may colleft by his voyages recorded in the laft part of this work; as alfo by that which James GuiUemau, Surgeon to the French King, a man both learned and judicious in his profelfion, avers, (peaking of his own education and progrefle in the Arc of Surgery. I fo laid (* faith he) the firft foundation of this Art iii the Ho- ipitall of Para-, being as it were, an ample Theater of wounds and difeafes of allkmdcS, that for two whole years, during which time I was there nothing was con- fulted of, nothing performed, the Phy fitians,and Surgeons being prefent, whereof I was, not an Auditor or A&or. There flourifhed at thefe times, and yet doth, dmhrofe t PareJ9i principal! Surgeon to the moft Ghriftian King, the Author of this great work, moft re- nowned for the moft gracious favour of Kings, Princes a,nd Nobles towards him, for his Authority amongft his equals, for his Chirurgicall operations ;ajnongft all men. Tfier,e4 fore I earneftly endeavoured to be received into his family, as unto another < Machaen, or PodahriM: once admitted, I fo by all dutifulnefle and due re/peft acquired his that Ke, unlefle f were prefent and alfifting, did nothing (fuch is his natural! gentleneflc and cilrtefie to all fiich as are ftudious of the Ar t) at home or abfoad, in the field, in the tents, orlaftly in this famous City, of Parity about the bodies of Dakes, NoWemen, ok Citizens, in whole cure, he by the ardent defire of them all, had ftill theprijne place. Now for this work,hear what this fame man iif the fame place affirmeth further; I not content with thefe means, which may feem fufficient,and too much, as defirous to fatisfic my long thirft, determined to try whether I could draw, or borrow any thing from ftran- gers, which our men wanted, to the fuller knowledge of Surgery. To this parpofe I travailed over and then for four years fpace I followed the Spani(b Army in the Low-countries; whereas I did not only carefully cure the wounded Souldier, but alfo heedfully and curioufly oblcrve what way of curing the renowned Spa- nifb Surgeons obferved, who together with me were imployed in the Hofpitall, for the healing of the wounded and lick. I obferved them all to take no other courfe than that which is here delivered by Pare). Such as did not underftand French, got fome pieces ol this work for large rewards, turned into Latin, or filch Languages as they underftoodj which they kept charily,and made great ftore of; and they efteemed,and admired,and em- braced this work alone, above all other works of Surgery,&c. Our Author alfo himfelf, not out of a vain-glorious often tation, but a mind confcious of the truth of his aflertion, affirms thus much of this his work. I have f faith he) fo certainly toucht the mark whereat J aimed, that Antiquity may feem to have nothing wherein it may exceed us, befides the glory of invcntion,norpofierity any thing left, but a certain (mail hope to add fome things, as it is eafie to add to former inventions. Thus much concerning our Author, and the excellency of his work. Now come I to my tranflation, the which, as defiring more a publike good, than per vate praife,! have performed plainly and honeftly, labouring to fit it to the capacity of th< meaneft Artift ; for theft are they to whom I chiefly commend this work, and from whon I expe&acceptation. I being by the earneft perfwafions of fome of this profelfion, chiefly and almoft wholly perfwaded and incited to take this pains, who knowing the difabilitj of underftanding this Au thor in Latin or French, in many of the weaker members o the large body of their profelfion, difperfed over this Kingdomeand the reft of hi: Majefties Dominions, whofe good, and encreafe in knowledge may be wi{ht,that-fo they may be the better inabled to do good to fuch as fha.ll implore their aid in their profeflion * In his Epift ic prefixed before rhe Latin edi- rion of this j Author. To the Reader. There are fome (I know) will blame me for Englifhing this work, as laying open the myfteries of a worthy Art, to the unworthy view of the vulgar. To Inch I could anfwer as * Arifletledld to Alexander: but for the prelent I will give them thefc, which I think may fatisfieany but the purpofely malicious: the firft is drawn from the goodneile of the thing, as intended for thole that want fuch guides to direft them in their Art; foF'lc is com- monly granted, that, Bonutn quo communius eo melius. Secondly, it hath been the cuftome of moft Writers in all Ages and Countries thus to do : Hippocrates, Galen, and the other Greeks, writ in their mother tongue the myfteries of their Art; thus did Celfaf, Serenus, and others in Latin : Mefue, Avicen, Serapio, and others, in Arabick ; as alfo, to go no further, our Author writ this work in his native French, and learned men have done the like in this, and all other Arts. And it is a great hinderance to us in thefc dayes, that we muft be forced to learn to underftand two or three tongues, before we can learn any fei- ence,whereas the Ancients learned and taught theirs in their mother tongue: fo that they fpent a great deal lefle time about words, and more upon the ftudy of that Art or Science they intended to learn and follow. Thirdly, I muft tell you? that, Ex librit nemo evafit Artiffx, No man becomes a workman by book; fo that unleflc they have had fome infight in the Art, and be in fome fort acquainted both with the tearms of Art; as allo with the knowledge andufeoftheinftruments thereto belonging, if by reading this, or any other book of the like naaurc they becomes Surgeons, I muft needs liken them (asGalen doth a- nother fort of men *) to Pilots by book only; to whofe care,I think none of us would commit his fafety at Sea, nor any if wife, will commit themfelves to thefe at land, or Sea either,unlefle wholly deftitute of other. The other things whereof I muft alfo give you notice, are thefe. The figures in the A- natomy are not the fame ufed by my Author (whofe were according to thofe of VefaliuF) but according to thofe of Bauline, which were ufed in the work of Dr. Creokj and thefc indeed arc the better and more compleat. Alfo pag. 5 »8. I thought it better to give the true figure of the Helmet floured Aconite, mentioned out of P/znj,than to referve the faig- nedpiftureof Matthiolus, which in our Author was encreafed with the further fiftion of a Helmet. I have in fome few places in the margent, which you fhall find marked with a ftar, put (hort annotations, for the beftft illuftration of that which is obfeure, &c. I have alfo in the Text to the dime purpofe, here and there put two or three words, con- tained in thefe limits [ ], which I find here and there turned into a plain Parenthefis,cfpe- rially toward the latter end of the book, but the matter is not great. Further I muft ac- quaint you that the Apdlogie and Voiages, being the laft part of this work, and not in the Latin,but Frewfe editions,were tranflated into Englifh oat of French by George Bakgr, a Surgeon of this City,fince that time, as I hear, dead beyond the Seas. This is all, Courteous Reader, that I have thought neceflary to acquaint thee withall concerning this, which I would defire thee to take with the fame mind that it is prefented to thee,by him that wifticth thee all happpinefle. Vide Aul. Gel. I.1OC.4. Gd.defiinp.1.6. Kvfiifvnntf. Thomas Jqhhsom; THE AUTHORS epistle d edicatorie ToHenry the third,the moftChriftian King of France and Poland. Ven as (moft Chriftian King) wefee the members of mans body by a friendly conf ent are always s bufied, and ftand read) to perform tbofe functions for which they are appointed by nature, for the prefa* vat ion of the whole ,ofwhich they are parts; fo it is convenient that we, which are, as it Were, Citi* Kens of this earthly Common-weal fbould be dili* gent in the following of that calling which (by Gods appointment) we have once taken upon us : and content with our pref ent eft ate,not carried away with rafbneffe and envy,defire different and divers things whereof we have no fyowledg.He which doth otherwife,perverts & defiles with bated confujianthe order and beauty, on which this Univers confifts. Wherefore when I confidered with my felf, that I was a member of this great Mundane body,andt hat no ' altogether unprofitable',! endeavoured earneftly, that all men fbould he acquainted with my duty, and that it might be known bow much I could profit every man. VFor God is my witneffe, and all good men known that I have now laboured fifty years with ad care and pains in the illuflration and amplification ef Chirurgery ; and that 1 have fo certainly touched the mark whereat I aimed,that Antiquity may fam to have nothing wherein it may exceed ut,be fide the glory of invent ion,nor pofterity any thing left but a certain fmall hope to add fome things, as it is eafieto add to former inventions. In performance whereof, I have been fo prodigall of my felf, my watch* ings, faculties and means, that I fpared neither time,labour, nor coft, whereby 1 might fat ufie and accomplifb my own defires, this my great work,add the defires of the ftudiouf Neither may Tire doubt but theirftu- dies would at length wax cold,if they only fur mfbed with the Tbeorick and Precepts in Schools and that with much labour, fbould fee no mamt- all operation, nor manifeft way of performing the Art* For which caufe I faking thepraife and profit ofthe French Nation, even with the A J binder* The Authors Epiftle Dedicatory. hinderance of my particular efiate, ha}>e endeavoured to illufirate and increafe Ch irurgery,hitherto obfcuie either by the infelicity of the for- mer ages, or the envy of thereof effors, and not only with precepts and rules,but being a lover of carved worfis 1 beautified it with 300. forms, or graven figures,and apt delineations, in which whofoever (ball at- tentively loofiflallfind five hundred anatomic all or organicall figures be- longing to the Art,(ifthey be reckoned particularly) . fo every oftbefe I have given their names and Jbewed tl eir ufe , lefi they fhould feem to have been put in vainly for oflentation or delight. But although there be few men of this profeffion which can bring fo much authority to their writings either with reafon, or experience as I can; notwithflanding I have not been fo arrogant,but intending to pMifb my Ifirfi com- municated it with men the mofi excellent in the Art of who ga<ve me greater incouragement toper fed and publifb it, that it might be in common ufe: profefling they wijbed nothing more,thantbat it might be turned into Latin, (o by which means it fbould bee knoTon to forain Nations, that there is no kind of Learning which is not delivered with great dexterity of wit in this Kingdom over which you rule. And thus, much I dare boldly affirm,that there is fcarfe any,be he never fo fiately or fuperciliousy but that he may here find fome thing which may delight him,and by which he may better his knowlrdg. Therefore I doubted not to conf ecrate this unto your Majefly both as a P attern and treafury of my labours, afweU in refpetl of my duty, who am yours by nature and education, as that I might manifefl: to all, your Highneffe exceeding bounty towards me,in placing me,(having heretofore injoyed the office of pr incipall Chirurgeon under three Kings your Majefiies Predecefforsjin the fame dignity,and that of your own accord. And moreover I did con- jecture that it would fall out,as now it doth, that this my worker arried through the world by the fame of your Majefiies name, fbould neither fear theface nor view ofany,(upperted by the favour and Majefly of a mofi invincible Monarch and mofi excellent and renowned Prince* NeL ther did King Charles the ninth of happy memory,incited by the relati- on of tie mofi gracious Queen his Mother, refufe to read it, being be un- der flood it proceeded from him,who having happily paffed alibis time in private and publike imployments, and converfed with all men of all forts,was judged mofi worthy to obtain this favour, as to have the front of this work, adorned and beautified with the fplendor of his prefixed name» 1 encouraged by this hope, defired that my requeft ffould paffe as by a cert ain continuation and fucceffionfrom a mofi power-full, to a mofi Invincible King-,and do wholly confecrate thefe my labours taken for my Countries good unto your facred Majefly. God grant that your Majefly may have happy fucceffeof all your enterprifes aboundantly added to Neftors years. Patis,8.Feb;Anno D01H.157P, Your moftCbriflian Majeflits faithfull Servant Ambrofe Party. The Preface. Oft men derive theOriginall of Phyfickfrom heavenffor thofe who held the beft opinion of the Creation of the world, affirm, the Elements being created and feparated each from other, man being not as yet made , incontinently by the divine decree,all herbes and plants with in- finite variety of flowers, endued with various fents,taftes,colours,and forms,grew and fprung forth of the bowels of the Earth,enriched with fo many and great vertues, that it may be thought a great offence to attribute to any other than the deity, the benefit of fo great a bleffing fo neceflary for fo many ufes. Neither could Mans Capacity ever have attained to the knowledg of thofe things without the guidance of the Divine power. For God the great Creator and fafhioner of the World, when firfl; he infpired Adam by the breath of his mouth into a living and breath- ing man,he taught him the nature,the proper operations, faculties and vertues ofall things contained in the circuit of this Univerfe. So that if there be any who would afcribe the glory of this inven- tion to man,he is condemned of ingratitude even by the judgment of Tliny. But this knowledg was not buryed in oblivion with A- damhxit by the fame gift of God was given to thofe whom he had chofenand ordained for Phyfick,to put their helping hands to o- thers that ftood in need thereof. Whi ch opinion was not only re- ceived in the common manner and by the tacite confent of all Na- tion s,but confirmed by Mofes in the Scripture. Which thing Jefua the fon of Sirach the wifeft amongft the Jews, hath confirmed fay* ing fHonor the Fbyfitian with the honor due unto him,for the mofl High hath created him becaufe of neceffity :■ and of tie Lord cometh the gift of healing. The Lord bath created Medicins ofthe Earth, and he that is wife will not abhor them»G Replace and honour to the tian,for God hath created him Jet him not go from thee for thou haft need of him.The Grecians who firft fecm more fully and with greater fame to have profeffed the Art of Phy fick, do in a manner confent With this o- pinion,in acknowledging dpollo to have been the inventer thereof, neither did they it without a reafonable caufe. For whether by Apollo they may underftand the Sun who by its gentle and vital 1 heat doth bring forth,temper and cberifh all things 5 or elfe fortie Meros* Genef.r Ecclef.tfL.is The Preface. Hew,who incited by an excellent and almoft divine underftand- ing firft taught and put in pra&iie the M edicinall vertues of Herbs; in which fenfe Ovid brings him in fpeaking thus: Herbes are of mine through all The worldJt bey methefirjl F byjit ian call. The originall of Phyfickarifing from thofe beginnings (ball al- way es be celebrated.as celeftiall,and wasincreafed principally af- ter this manner. After Apollo his fon inftru&ed by his father reduced this Art being as yet rude and vulgar into a little better and more exquifite form, for which caufe he was reputed worthy to be accounted as one of the Gods. At the fame time flouriffied Chiron the QentaurejNho for that he excelled inknow- ledg of Plants,and taught /Ejculapiui ("as many report) their facul- ties,is thought by Fliny and fome others to have been the inventor of Phyfick.had two fons, Todalirius and Machaon* who following their fathers ftepsand profeffing Phy fick,did prin- cipally beautifieand pra&ife that part thereof which is called Chir- urgcry, and for that caufe were accounted the Inventers thereof. After thofe Afclepiades left this Art much inlarged as hereditary to his pofterity; by whofe ftudy and diligence, that part of the Art was invented and annexed, which by a more curious skill fearch- cth and cure th thofe difeafes which lye hid within the body. Hip- pocrates the Goan the fon of Heraclidas* born of the noble race of AfclepiadesjFnnee of the Phyfitians that were before him,perfe&ed Phyfick and reduced it into an Art and wrote divers Books thereof in Greek.Gd/e» fuccceded him fix hundred years after, who was a man moft famous not only for his kno wledg in Phy fick,but alfo in all other fciences,who faithfully interpreting every thing that was obfeureand difficult in the writings of Hippocrates* enlarged the fcience with many volumes. Thus therefore was thebeginning, thus the increafe and perfe&ing the Art of much as can be hoped for from mans induftry.Although indeed we cannot de- ny but that Experience hath much profited this Art, as it hath and doth many other.For as men perceived that fome things were profitable, fome unprofitable for this or that difeafe, they fet it down,and fo by diligent obfervationand marking of Angularities, they eftabliffied univerfall and certain precepts and fo brought it into an Art.For fo we find it recorded in ancient Hiftories, before the invention of Phy fick, that the Babylonians and Afjyrians had a cuftom amongft them to lay their fick and di leafed perfons in the porches and entries of their houfes, or to carry them into the ftreets and market places, that luch aspaffed by and law them, might give them counfei to take thofe things to cure their difeafes, which they had formerly found profitable in themfelves or any o- ther inthe like affefts,neither might any pafie by a fick man in fu lence, PIifl.I.7»C.2. 7 be Preface. lenee* Alfo Strabo writes that it was a cuftom in Greece that thofe which were fick fhould refort to his Temple in Epi* dawum* that there as they flept,by their dreams they might be ad- moniflied by the God what means they fhould Hie to be cured when they were freed from their difeafes,they writ the manner of their infirmities and the means by which they were cured in tables and fattened them to the pillars of the Temple, not only for the glory of the God,but alfo for the profit of fuch, as fhould after- wards be affe&ed with the like maladies. All which tables(as fame reports} Hippocrates tranfccibcd, and fo from thofe drew the Arc of Phyfick.Beafts alfo have added much to this Art. For one man was not only inftru&ed by another, but learned alfo much from brute beafts,for they by the only inftinS: of nature have found out divers herbs, and remedies, by which they freed and preserved themfelves from infirmities, which might prefently be transferred tomansufe. Wherefore confidering that fuch and fo many have concurred to bring this Art to perfeftion, who hereafter dare cadi in queftion the excellency thereof? chiefly if he refpe& the fiib- jeft thereof,Mans body, a thing more noble than all ocher Mun- dane things, and for which the reft were created. Which thing mo- ved Herephilus in times paft to call Phyficians The hands of the Gods* For as we by putting forth our hand, do help any man out of the water or mud into which he is fallen: even fo we do fuftain thofe that are thrown down from the top of health to the gates of death by violence of difeafes, with happy medicins,and asic were byfome fpecialland divine gift deliver them out of the jaws of death. Homer the Prince of Greek Poets affirms that one Phyfitiaa is far more worthy than many other men. All Antiquity gave Phy- fitiansfuch honour, that they worshipped them with great vene- ration as Gods,or the fons of their Gods.For who is it which is not much delighted with the divine force of healthful which (we fee by dayly experience) Phyfitians, as armed with Mercuries rod, do bring back thofe languifhing fouls which are c- ven eritring the gates of death Hence it cometh to paffe that the divine Poets of ancient times,as Mnfreus* and Hefiod , and themoft renowned Philofophers, Pythagoras, Plato* Arifiotle9 TheophraJius*Chryfippus*Cato Cenforiw*and Varro,efteemed nothing more excellent than to excell in the knowledg of Medicins,and to teftifie the lame by written monuments to Pofterity.For what can be more noble and worthy of a generous difpofition than to attain to that by the benefit of Phyfick,that adorned with theornaments of dignity thou may eft have power over other men, and favoured of Princes, Kings,and Emperours, mayeft appoint and prefcribe to them thofe things which are profitable to preferve health, and cure their difeafes? But if you look for benefit by fei- The Preface. ences;then know that the profeffors hereof have befidefufficien t gain,acquired much honour and many friends.Hippocrates coming to Abdera to cure Democritus of hismadneis, not only the men of the City,but alfo the women,children, and people of every age, fexe and rank, went forth to meet him, giving him with a com- mon confent and loud voice the title of a Tutelary Deity and fa- ther of their Country. But the Athenians, for freeing their coun- try from the plague,with triumphant pompe celebrated playes to his honour, and bountifully fet upon his head as if he had been a King, a Crown of gold weighing a 1000. pieces of their golden coin5and ere&ed his ftatue,f a perpetuall monument of his piety and the Nephew of Arifiotleby his daughter, received, freely given him by Ttolomy King of Egypt .for the cure of his fon,i oo.Talents of Gold. The Empcroar Angufius honoured An'oniws Mufa with a golden ftatue. Quintus Stertinius yearly re- ceived out ofthe Emperours Treafury 12000.500. pieces of gold- In the time of our Grandfathers fetrus Aponenfis called Conciliator vjis fo famous through all Italy for his knowledg in Phyfick, that he could fcarfe be intreated to come to any man of fafliion that was fick,unlefs he gave him 50. crowns, for every day he was abfent from home: but when hce went to cure Honorius the Bifhop of Rome, he received 400. crowns for every day he was abfent. Our French Chronicles relate in what credit &eftimation James Cotte- rim the Phyfitian was with Lewis the 11 .King of Frances for they report he gave him monethly out of his Treafury 10000. crowns. Phyfick in times paft hath been in fiich efteem with many famous and noble perfonages,that divers Kings and Princes delighted with the Rudy thereof,and defirous to attain glory and credit thereby, called fundry herbs after their own names. For lb Gentian took its name of Gentius King of the herb Lyfimachia of Lyfimachns, the King of Macedon,the or Scordium, of Mithri- dates the King of Tonins & Bithinia, Achilla of Achy lies ,C enteric of Chiron the Centanre \ Art ent if!a of Artemifia the Queen of Caria. Attains King of Btrgamus,Sal onion of Judea, Evax of Arabia, and luba the King Mauritania,were not only inflamed with a defire of the knowledg of Plants •, but either they have written books of it, or for the great commodity of pofterity,in vented by their skil ma- ny choife antidotes compounded of divers fimplesjneitherthc de- fire of learning this noble fcience is yet altogether extinS:. As may appear by that Indian plant Tobaco,called by fome the noble herb, Catherine herb and Medices herb,but commonly the Queens herb, becaufe Catherine Medices the mother of our Kings,bv her fingular Rudy and induftry made manifeft the excellent virtue it hath in curing malign ulcers and wounds, which before was unknown to the French. For thefc worthy men underftood that their glory, thus In what efteem Phy fitians have formerly been. Names given to Plants. 7 be Preface. thus faftenedxind ingrafted into the deep, and as it were ever li- ving roots of plants,would never decay flwuld be propagated toallpofterity in many fucceeding ages, growing up with theii fprouting and budding fhouts,ftalks? flowers and fruits.Neither did thefe famous men whil'ft they adorned this part of Phy fick fuffer the other,which treats of the difl'e&ion of mans body,be buried in oblivion, and without their knowledge as inftru&ed with the pre- cepts and learning of the wifeft men,ho w artificial! and unimita- ble by mortall hand this fabrick of our body is. Neither is it proba • ble that and Ptolemy Kings of Alexander the greatyMithridateS)4ttabto, feeing they dedicated themfelves wholly to the contemplation of naturall negle&ed the ufe of Anatomy,and being men moftdefirous to know thcmfelves,to have been ignorant of the ftru&ure of their own bodies being the habitations of their fouls immortal and made to the Image of God: feeing they obferved with certain judgment the different lights of the Sun,Moon and over fo many lands, fo many feas,fo many regions, fo far remote one from another,by wayes fo terrible by reafon of cold, uncouthnefs,darknefs, by rocks,by fire and fword,with great labour,charge and danger of life, only that they might fatisfie their minds thurfting after the knowledg of things*,and to have left untoucheda thing truly noble, admirable, and nioft worthy of knowledg, eafie to be attained by any and to be acquired without any danger of life, or fortunes. Seeing there be three parts of that Phy tick which at this time1 we which by the ufe of the hand, Diet which i with a convenient manner of feeding and ordering the body,and Pharmacy that by medicins attempt to expell difeafes,and preferve health j The prime Phyficians do not without reafon contend wch of thefe may be accounted thechieECertainly Her op hilus had Pharmacy in fuch efteem,that he thought medicins were firft mix- ed and adminiftred to the fick by Apollo Antiquity thought a great Deity .J And Pliny had fo good an opinion of Diet, that he exclaims;The true remedies and Antidotes againft difeafes are put into the pot and eaten every day by the poor people. Verily all learned men confefle that the manner of curing which is per- formed by diet,is much more facile & profperous, than that which is done by medicins;as thofe things which fought with much labor and coft are taken with much loathing,and taken are fcarce retain- ed,but retained they oft work with much labourand pain: Which things long ago moved Afclepiades to exclude the ufe of medicins, as hurtfull to the ftomach. Yet if we will beleeve neither of thefe parts merit the preheminence,but both of them give place to Chirurgery.For feeing that fortune is very powerfull in difeafesy and the fame Meats and Medicins are often good and often vain, truly Phyfi ck is divi- ded into three pans. The Preface. :ruly it is hard to fay,whether the health is recovered by the bene- it of Diet and by the ftrength of the body .Moreover n thofe cafes,in which we moft prevail with medicins, although the profit be more manifeft, yet it is evident that health is often fought in vain eVen by thefe things,and often recovered without them. As it may be perceived by fome troubled with fore eyes, and others with Quartain feavers,who having been long troubled by Phy fitians are fometimes healed without them. But the effect of Chirurgery as it is very neceflary,fo it is the moft evident amongft all the parts of phyfick. For who without Chirurgery can hope to cure broken,or luxated parts,who woundsand ulcers,who the fal- ling of the matrix,the ftonein the bladder,a member infefted with a Gangrene or Sphacele? Befides,this partalfo is the moft ancient \ for Podalirius and Macbaon following their Generali Agamemnon to the Trojane wars, yeelded no fmall comfort to their fellow Souldicrs. Whom notwithftanding Homer affirms not to have gi- ven any help in the Peftilence,nor in divers other difeafes,but on- ly were accuftomed to heal wounds by inftruments and medicins. And if the difficulty of learning it argue the excellency of the Art, who can doubt but Chirurgery muft be the moft excellent, feeing that none ought to be accounted a Chirurgeon or which can perform his duty, without the knowledg of Diet and Phar- macy) But both the other can perform their parts without Chir- urgery if we may beleeve Galen. But if we confider the matter moreneerly according to truth; we fliall underftand thofe three parts have a certain common bond and are very near of kindred, fo that the one implores the aid of the other; neither can the Phy- fitian do any thing praife-worthy without the confpiracy and joint confent of thefe three; therefore in ancient times there was but one performer and ufer of all the three parts. But the multi- tude of men daily increafing, and on the contrary mans life de- crcafing,fo that it did not feemable to fuffice for to learn and ex- ercife all the three,the workmen divided themfelvcs. Wherefore that which happens to any man either by lot,or counfell, that let him follow,maintain and only ufe, as mindfull how (hort his life island how long the Arc. The excellency of Chirurgery. THE A Table of the Books and Chapters- , ■ • • . ;Har Chirurgery is, I [ II. Ofchiruigp all operations, ib. , III. Ofthings natural!, 3 IV Of elements, 71&. V. Of temperaments, 4 Vf. Of humors, 8 VII. Of the prafltceof the aforefaid rules of tempera- ments, I 3 VIII. Ofthe facultie', IS IX. Of the affions 17 X Ofthe fpirirs, J 8 XI. Of rhe adjunffs of things natural!, 20 XII. Of things not 21 XIK. Ofthe air, XIV. Of meat and drink, 2? XV. Of morion and reft, XVI. Sleep and watching, 26 XVII. Repletion,inanition oremptireiTe, 28 XVHI. Of rhe perturbations or paftions of the mind,29 XiX Of things againft nature, and Mil of thccaufcof a dtfeafe, 30 XX Oiadifeafe, > XXL Ofalymptome, y*1 XXII. Of indication ■=, 32 XXIII. Of certain wonderful! anti extravagant wdyes of coring difeafes, 3 7 XXIV. Of certain juggling and dcceitfull wayes of | curing, -- •>'/>. Jbe fecond Of living c recitures and tf the gx cellency of man, from to pig, 59. H:e 7 rearing of the Anatomy of mans body, 60 I. The divifion or partition of mans body, 63 IL Of the containing parts of the Epigaftrium and the preparation to anaromicalladmimftration, 66 III. Of the outmoft skin or cuticle, 67 >V. Of the true skin, jfr. V. Of the Hefhy pan icle, 68 VI 01 the Far, 69 VII. Cf he common coat of rhe niufcl-s,: 7o VIII. What a mufje is, and how many differences there be thereof, ' fa IX. Ofthe parts of a mufde, 73 X. Annie particular inquifmon into each parr of a muf- ' ib. XI. Ofthr mafcles of the Epigafiriwn,ot lower belly,74 XTL Of the white-line, and Peritoneum, or ritn of rhe belly, 7y XIII. Ofthe Epiplt>M9 Omentum, or Zirb&, that is. the __ ka,l> 78 XfV. Of > he ventricle or ftomaebi 70 XV. Of rhe guts, g* XVI. Of rhe mefenrery, XVIL Ofthe glandules in general','and ofthe or fweci-brcad, XVIII. Of the liver, g4 XIX. Ofthe bladder ofthe gtll, gq XX Ofthe fpleen or rmlt, 86 XXI. Ohhe Porta,and gate-vein,and thediftribu- tion thereof, XXII. Ofthe originall ofthearrery, and rhe divifionof ' rhe branch.dtfcending ro the naturall parts, 87 XXIII.Of the diftribution ofthe nerves to the naturall - ,partS 89 XXW. The manner of/aking our rhe gins, XXV. The originalland diftribution of the defeendent Chap. Chap. fag.' hollow-vein, . ■ 2b. XXVI. Ofthe kidneys or rein*, pt XXVII. Ofthe fpermatick vHTcls, p2 XXylll. Of rl'e reft ides or hones, >! ib. XXIX. Of rhe various bodies or paraftat's, and of rhe' c jacularorie vefft ls,and rhe glandulous or ptoftates,o3 XXX. Of the ureters, XXXI Of the bladder, ib. XXXil. O1 the yard, py XXXIH. Of the fpermatick veflels and tefticlesin wc- men, ib„ XXXIV. Of the womb, pp XXXV. Of the coats containing the infant in the wombjand ofthenavill jca XXXVI. Ofrhenavill, The fourth Ti eating of thebtud parts contained in the Cheft. I. What the Thoraxot the cheft is,into what parts it may be di vrded,and the nature of thcfe parts, I o$ II. Of the containing a«d contained parrs of the cheft,I q6 III- Of the brcafts or dugs, 107 I Vi Ofthe clavicles,orcollar-bones and ribs, > lb. V The anatomicalladminiftrarion of the fternon, joSl VI. Ofthe P/fMr<t,or coat inverting of the ribs, 1 Op VII. Of rhe Mediaftinump v, , VIII. Of theDiafbragma,or midrifFe, uq IX Of the lungs, • . Of the Pericardium or purfe ©f the heart, 111- X. Of the hear, m XI. Of the or ihces and valves cf the heart, - J14 XII. Of,he diftribution of rhe Pena Arteriofa, and the Arteriapenofa, jb. XIII. Ofthediftiiburion of the hollow-vein, lif XIV. rhedifl ribuhon ofthe nerves or finews of the fixih conjugation, jjp XV. 1 ha di vifion of the arteries, z£. XVI. I2I XVII Ofthe Afpera artery or weazon* 122 XVIII. Ofihegullet, i2j The fifth Of the animal! parts contained in the bead. I A generaildefcription ofthehead, 1*4 II. Ofthe mufculous skin of the head, (commonly called the hairy fcalp ) and of rhe Pericranium, 12$ III. Of the futures, * ib. IV. Of theCranium, or skull, 126 V. Ofrhe Meninges, that is, rhe two membranes called Dura Mater and Pia Mater, 12& VI. Ofthe brain, ib. VII. Of the ventricles and mamillary ptocefles of the brain, , 130 VIII. Of the feven conjugations of theperves of the brain, fo called ,becaufc they al waves (hew the nerve conjugated and doubled, that is,on each fide one,i 33 IX. Of the Ktte Mirabile, or wonderfull net, and ofthe wedg bone, 155 X Of rhe holes of the inner bafts of rhe skull, 1 36 XLOfthe perforations ofthe externall bafts of the brain, XII. Ofthe fpinall marrow, or pith ofthe back, 137 . 4 Theftxthboo\, treating ofthe mufclet and bones, and the ether ex tre»m parts ofthe body, I. Of the bones of the face, . •, * xi. of A Table of the and Chapters. Page II. Of the teeth, 139 HI Of the broad mu fde, 140 IV. Ol the eye-lidsandeye.brows, 142 V. Of the eyes, VI. O r the mufcks, humors of the eye, 144 Vlt. Of the nofe, Vlll Or the mufcles of the face, 146 IX. Ol the mufcles of the lower jaw, ib. X. Of the Cars and Parot ides, or kernels of rhe eats, 148 XI. Of the bone Hyoides 3ax\i the mufcles thereof. 140 XU. Of the tongue, XIII. Olthe mouth, XIV. Of the Gargareon,ot Vvula, fa Xv. Of rhe Zazzwx.or throrle, XVI, Of the neck and parts thereof, if 3 XVII. Oi rhemufcles oftheneck, XVIII, O the rii Ides ofrhechefl and loins, 161 XIX Ofthe mufcles of rhe ff.ouldtfr blade, I 63 X X. The defcriprion ofthe hand taken in generall. 164 Xxl. I he dertriburion of the fubefavian vein,andfirft of the Cephalira,or Humerarift, 165 XXfl. The defcriprion oft! e Axillary vein, ib XX1II. The dirtribution of the axillary artery, 166 XXIV. Of the nerves of rhe neck,back,and arm, ib, XXV. The defcriptfon of the bone of the atm, and the . mufcles which move ir, 168 XXVI. A ddcnpiion of rhe bohes of the cubit, and the mufcles moving them, 170 XXVII, A defcriprion of the bones of rhe wrifl, after- wrirt and fingers, 171 XXVIII. Of rhe mufcles which feared in thccubit move the wand,and with it the hand, 173 XXIX. Of the mufcles ofthe infide of the hand, 174 XXX. A defcriprion ofrhe legtaken in general), 1/5 XXXI A de criprion cf rhe crurall vein, j;6 XxXII A defcriprion ofthe crurallartery, 177 XXXIJI. OI thenerves of rhe loins, holy-bone, and thigh, jfa XXXIV - Of rhe proper parts ofrhe thigh, 178 XXXV. Ofthemufclesmoving thethigty ibo XXXVI, Ofthe bones ofthe leg or fhank, l81 XXX VII, of rhe mufcles ofthe legs, 182 XXXVIII. Of the bones of the foot, 183 XXXIX. Ol rhemufcles moving'he 185 XL. Of rhe mufcles moving he toes of the feer, i%6 XLI» Anepirome or brief recital! of the bones in mans . 187 XLH- An epitome ofthe names and kinds of compofme ofthe bones, jp0 Thefeventh Book. t Of tumors tgainft nt ture in general/. I. What a tumor againfl nature, vulgarly called an Impo- ftume,is,and what be the differences thereof, i$5 II. Of the generall caufes of rumors, 195 III. The figns ol importumes or rumors in generall, ib. IV. Of the Prognoflicks in impoflusoes, 197 V. Of (he generall cure of rumors againfl nature, 178 VI« Ofthe four principal! and generall tumors, andofo- rher rmpoflumes which may be reduced to them, 199 VII. Ofa Phlegmon, ib. VIII. Ofihecaufesandfignsofaphlegmon, 203 IX. Ofthe cure of a true Phlegmon, tb. X Ofthe cure of ansi cerated phlegmon, 202 XI. Of fe avers, and the cure ofthe leavers which accom- pany a P hlegmon, 204 XII. Of an £ry/7pr/rfr,or inflamma'ion, 20$ XIH, Of the cure of an Eiyfipelm, ib. XIV. Ofthe Herpes,thit is,tcatcts,or ringworms,or fuch like, 208 XV. happen upon cry fepelous tumors XVI. Of an Oedema or cold phlegmatick tumor, 209 XVII. Ofthe cure of flatulent and warerifh tumors,2n XV III. Ofthe cure of a flatulent and warerifh tumor ,tb, XIX Of an Stea tomn,and Melicerit, * 12 XX« Ofthe cure oflupi/, that is, wens, or ganglions 2Ij XXL Of a Ganglion more particularly fo called, 214 XxII. Ofthea5'/wn<e or Scrofhttla, that is, thje Kings e villa 21 f Chap. Pag XXHt Ofthe fea ver which happens upon an «dem<v« tons tumor, 216 XXIV. Of Scirrhm or an hard tumor proceeding of melancholy, 2 17 XXV. Of the care of a Sctrrkw, 218 XXVI. Ofa cancer aheady generated, //?. XXVII. Of the caufes,kinds,and prognoflicks of a can- I ctr, . 2 Ip XXVIII. Of the cure of a cancer beginning and not yer ulcerated, 22Q XxlX. Of the cure of an ulcerated cancer, XXx. Ofthctopick medicins to beapplyedan to ul- cerated,and not ulcerated cancer, 221 XXXI. Ol the feaver which happeneth in Scirrbow tu- mors, 22 j XXXH.Ofa* -dNmrT/zMjthat is,the dilatation or fpriug- ing of an artery vein or fmew, 324 The Eighth bocf> Of the particular tumors againft'Natufe, I. Of an Hydrocephalos, or watery tumor which com- monly affefls the heads of infants, q'6 II Of a Poly pifi being an eating difeafe in the nofe, 22 7 III. Of rhe Parotides9 that is, certain fw tilings about the ears, 22* IV. Of the Epulis, or overgrowing of rhe flefhof the Gums, 21 jf V. Of the Kavula, ibt VI. Of the fwclling of the glandules, or almonds of the throat, 2 30 VII. Of the inflammation and relaxation in the Vvulaoic Columella, ib. VHf. Of the Angina or fquinzy, 222 IX. Of the Bronchocele, or rupture of the throar, 233 X. OfthcPiurifie, 234 XL Of the Dr op fie, jb» XII. Ofthe cu'e ofthedropfie, 23$ XI i I. Of the the tumor and iclaxation of the navell, 2$& XIV- Of the tumors ofthe groins and cods called Zfezi'ne, that hjRuptures, ib, XV. Of rhe cure of ruptures, 239 XVI. the golden ligature or the Vunfius Aureus they call it, 342 XVH.Ofthecureof other kinds of ruptures, 244 XVIII. Of the falling down oi t he fundament, 246 XIX. Of fa XX- Of the fwclling of the knees, 247 Xxl. Ofthe Drone#/*#, ib, Tbe ninth Beck.', Of wo units in&eneiaH. Z. What a wounds is, what the kinds and differences thereof are,and from whence they may be drawn,or de- rived, 2,4 II. Of the caufes of wounds, s52 III. Of rhe figns of wounds, ib. IV. Of Prognoflicks to be made in wounds, 25$ V. Of the cure of wounds in general!, zl. VI. Of futures, 257 VII. Of rhe Flux of blood, which ufually happens m wounds, 2 56 VIII. Of the pain which happens upon wounds, 277 IX. Ofconvulfion by teafon ofa wound, ib. X. The cure ofa convullion, 258 XI. Of the cure of a convullion, by fympathy and pain, XII. OfdiePalfie, ib. XII I. Of the cure of the palfie, 260 XIV. Offwouning, 261 XV .Of Delirium (j.) raiing,talking idly,or doting, th. The tenth Book., Of the green and bloudy wounds of each part. I. Of the kinds and differences ofa broken skull, 262 II. Of the caufes and figns of a broken skull, III. Of rhe figns of a broken skull, which are manifefl to ourfenfe, 26? TV. Of A Table of the Booty and Chapters. Chap. Fa& 1 IV. Ofa fifliire being the firft kind ofa broken skull, ib. I V. Ofacontufion, which is the fecond part of a fra* fliare. . VL Of an effrafture, depreflion of the bone, being the third kind of a fraflure. 269 VII. Ofa fear,being the fourth kind of a broken skull. 271 VI1L Ofa Zefonitw, orcounterfiflure, being the fifth kind of fratlure, . tb' 1X» o f the moving or co ncuflion of the bram, a?2 X. Of prognoftieks to be made in fraflures of the skull 274 XI. Why when'the brain is hurt by a wound of the head, there may follow a convulfion of the oppofite part,27$ XII. A convulfion of the deadly figns in the wounds of the head, 275 X 111. Of falurary figns in wounds of the heads, 277 XIV. Of the generall cure ofa broken skull, and of the fymptomes ufually happening thereupon, ib. XV. Of the particular cure of wounds of the head, and ofthemufculous skin, 279 XVL Of the particular cure of a fraflure or broken skull ■ 1 281 XV Why we ufe trepaning, in the fratlures of the skull, 2*J2 XVIII. A dcfcription©firepans, 3 XIX, Of the places of the skull,whereto you may notap. ply a trepan, XX. Of the corruption and Car/w, or rottennefle of the bones of the head, 2£5 XXL Of the difcommodities which happen to the by fraflures ofthe skull, 287 XXII. Of the cure of the brain being fhaken or moved, 289 XXIII. Of the wounds of the face, 290 XXIV. Ofthe wounds of the eyes, 291 XXV. Of the wounds of the cheeks, 293 XXVI. Ofthewounds ofthenofe, 294 X XVII. Ofthe wounds of the tongue, ib. XXVIII. Of the wounds of the ears, 295 X XIX. Ofthe wounds of the neck and throat, ib. XXX. Of the wounds of the chert, 296 XXXI. Of the cure of the wounds of the chert, 297 XXXII. Ofthe differences,caufes,figns, and cure of an 299 XXX HL Ofthe wounds of the Epigaftriuntjind ofthe whole lower belly, 301 X X XIV. Of rhe cure of wounds of the lower belly, 302 XXXV. Ofthewounds ofthe groins, yard and tefti- des, 303 XXXVI. Ofthe wounds of the thighs and legs. ib. XXXVII* Ofthewounds ofthe nerves, and nervous parts, ib. XXXVIII. Of the cure of the wounds of the nervous parts, 304 XXXIX. Ofthewounds ofthe joints, 305 XL Ofthe wonndsofthe Ligaments, 306 Ofwounds made by Gunfhot, other fiefyEngints, and ofall fort j of weapons; the eleventh book: The Preface. The firft difcourfe wherein wounds made by gunfhor,are freed from being burnt,or cauterized according to Pigoes method. 309 Another difcourfe of thefe things, which King Charles the ninth,returning from the Expedition* and taking of inquired of me concerning wounds made by gunfhor, ' ' 311 I. Adivflionof wounds drawn from the variety of the wounded parrs and the bullets which wound, 319 II. Ofthe figns of wounds made by gunfhot, ib, III. How thefe wounds mu ft be ordered at the firfl dref- fing, ib. IV. A defcriprion of fit inftrumenti to draw forth bullets, and other ftrange bodies; 316 V. WhardrefTing muft firft be ufed, after the ftrange bodies are plackt or drawn our of the wound, 318 VI. How you fhall order tr at the fecond drefling. 319 VII. By what means ftrange bodies, left iftat thefitft drcfling, may be drawn forth, 3 20 VIII. Of indications to be obferved in this kind of wctinds, " ' jb, Chap. Pag. IX. What remains for the Chirurgcon to do in this kind of wounds, 32I X. Of bullets which remain in rhe body, fora long time after the wound is healed up, 322 XL How to correfl the conftiwioas of rhe air, fo that the noble parts may bs ftrengthened, and the whole bodybefide, XII. Certain memorable hiftories, /£. XUI. An apology concerning wounds made by gun- fhot, XIV. Another apology, againftthofe who have labour- ed with new reafons, to prove that wounds made by gunfhor are poy foned, 3 26 XV* How wounds made by arrows differ from thofe made by gunfhor, 327 XVf. Ofthediverfity of arrows and darts, ib. XVII. Of the difference of the wounded parts 328 XVIII. Of drawing forth arrows, ib. XIX. How arrows broken in a wound maybe drawn forth, 329 XX. What to be done, when an arrow is left faflened or flickingin a bone, ib: XXI. Ofpuyfonoiis wounds, ib. Of Cantufiens anil Gangrenes, the twelfth book; I. Ofaconrufion, II. Ofthegencrali cure of great and enormous contufi- ons, fa III. How we mull handle con.tufions when they are joined with a wound, 3 ; e IV. Of thofeconrufions whichare withouta wound, ib. V. By what means the contufed part may be freed from the fear, and imminent danger «f a gangrene, ib. VI. Of that firangekindof fymptome which happens upon contulions of rhe ribs, '*'* 332 VII- Adifeourfeof Mwnmia, or mummy, fa VIII. Ofcombuflionsandtheirdifferences, 333 IX« Of hot and attraOive medians to be applyed ta burns, 334 X. Ofa gangrene and mortification, 3? ? XI. generalland particularcaufes of a gangrene,#. XII ♦ OI the antecedent caufes of a gangrene, ib; XHI. Of the figns of a gangrene, 33$ XIV. Of the prognofticks in gangrenes, 337 XV. Of the gcnerall cure of a gangrene, #. XVI. Of rhe particular cure ofa gangrene, XVIIThe figns of a perfefl mortification, JJ 8 XVIII* Where amputation mnft be made, ib; XIX. How the fedion or amputation muft be per- formed, ;.j 339 XX. How to Ranch the bleeding when the member is taken off, jbj XXI. How after the bloudis Ranched, you muft drefle the wounded member, 340 XXII. How you muft flop the bleeding , if any of the bound up veffels chance to ger loofe, ib; XXIII. How to perform thcrefiducofthecure of the amputated member, ib; XXIV. What juft occafion moved the Author to devife this new form of remedy, to Ranch the blond after the amputation of a member,and to forfakc the common way ufed almoft by all Chirurgeons; which is by ap- plication of affuall cauteries, 341 XXV* The praflice of the former precepts is declared,to- gether with a memorable hiftory of a certain fouidier, whofe arm was taken off at the elbow, the thirteenth bookj I. Of the nature,caufes and differences of ulcers, j 4 3 II. Of rhe figns of ulcers, 344 III. Of the Prognofticks of ulcers, ib. IV. Ofthe general! cute of ulcers, 34C V. Of adifteiaperedulcer, 346 VI. Of an ulcer with pain. 347 VII. Of ulcers, with overgrowing or proudheffe of flefh, ib. VIII. Of an ulcer putrid and breeding worms, ib; IX. Ofa fordid 348 X. Of a virulent and malign ulcer,which is termed ctcte*\ 1 ' lhft9 and efaChirotiianUker, , ib» *a XI. Anr A Table ofthe Booty and Chaffers. Chap. pAg* XL An advertifementto the young Chirurgeon touch- ing the diftancc of times wherein malign ulcers are tobedreffed, 349 XII. How to bind up ulcers. ib. XIII. Of the cure of particular ulcers, and firft of thofe of the eyes3 3 5 o XIV. Of the and ulcers of the nofe, ib. XV. Of the ulcers of the mouth, ib. XVI. Of the ulcers of the ears, 3 51 XVII. Of the ulcers of the windpipe,weazon,ftomach, and guts, ib. XVIII. Of the ulcers of the kidnies and bladder, 352 XIX. Of the ulcers of the womb, 353 XX. Of the varices,' and their cure by cutting, ib. XXI. Of fiftula's, 314 XXII. Of the cure of fiftula's, 3 55 XXIII. Of the fiftula's in the fundament, tb. XXIV. Ofhxmorrhoides, 3 Of Bandages or Ligatures, the fourteenth Book: I. Of the differences of bandages, 3 $7 IL Sheweth the indications and gencrall precepts of fit- ting of bandages and ligatures, ib. III. Of the three kinds of bandages neceffary in fra- ctures, 358 I-V. Of the binding up of fraftures affociated with a wound, 3 $9 V. Certain common precepts of the binding up of fra- ctures and luxations, ib. VI. Of the uies for which ligatures ferve, 360 VII. Of bolfters or compreffes, ib. VIII. Oftheufe of fplints, junks, and cafes, 361 . «ri;, ■ Of Fraftures, the fifteenth Book: I. What a Feature is, and what the differences there- of are, 361 II. Of tfie figns of a fraCture, 36 z Hit Prognofticks to be made in fraftures, ifr, IV. The gcnerall cure of broken and diflocated bones, 363 V. By what mean? you may perform the third intenti- on in curing fractures and diflocations, which is, the hindering and correction of accidents and fym- ptoms, 3 64 VI. Of the fracture of the nofe, 365 VII. Of the fraCiure of the lower jaw, jb, VIII. Of the fraCture of the clavicle, or collar bone, 366 JX. Of the fr aft ure of the Ihoulder blade, ib. X. Of the fracture and depreffion of the Sternon, or breaftbone, 367 XI. Of the fradture ©f the ribs, ib. XII. Of certain preternaturall affcfts which enfue up- on broken ribs, 3 68 XIII. Of the fracture of the vertebra, or rack bones of the back, and their proceffes, 3 6a XIV. Of the frafture of the holy bone, ib. XV. Of the fraCture of the rump, ib. XVI. Of the fraCture of the hip, or os ilium, ib. XVII. Of a fraCture of the ihoulder, or arm bone, ib. XVIII. Of the fraCture of the cubit, .or ell and • wand, 570 XIX. Of the fraCture of a hand, ib. XX. Of the fraCturc of a thigh, ib. XXI. Of the fraCture of thethigh nigh to the joint, or the upper or lower head of the bone, ib. XXII. Of the fraCture of the Patella, or whirle bone of the knee, ib. ■ XXIII. Of a broken leg, ib. ' XXIV. Of fomething to be obfcrved inligation, when - a fraCture is affociated with a wound, 37 $ XXV. What was ufed to the Authors leg after the firft - drefling, ib. XXVI. What may be the caufe of the convulfion twitch- 1 ings of broken members, 376 J X X VILCertain documents concerning the parts where- on the Patient muft neceffarily reft, whilft he lyes in 2 his bed, ib. UXXVIJL By what we may know the CaVus is a 2 breeding, ; XXIX. Of thofe things that may hinder the generation > of a Callus, and how to correct the fault thereof, if it . be ill formed, ,7£ f XXX. Of fomentations which beufed in Broken bones ' 379 . XXXI. Of the fraftures of the bones in the feet. ib. Of Difl ocas tens er Luxations, thefixteenth Beefa * I. Of the kinds and manners of diflocations, ,79 ' II. Of the differences of diflocations. ' III. Of the caufes of diflocations, IV. The figns of diflocations, ' V. Of prognofticks to be made upon luxations, 381 I VI. Of the general! cure of diflocations, j8z VII. The defcription of certaine engins, ferving for ■ the reftoring of diflocations, , VIII. Of the diflocation of the jaw bone, 383 IX. How to fa the jaw diflocated forwards on both "des, 3g4 X. Of reftoring the jaw diflocated forwards but on one • "de, ii. XI. Of the luxation of the collar bone, ib. vttt -Uxation °f the fpine, or back bone, 385 AJII, Of the diflocation of the head, jb. XIY* rhe diflocation of the vertebra or rack bones of the neck, XV. Of the diflocated vertebra of the back. 386 vwJttH°W to rcftore thc fPine outwardly diflocated, z>. A A mQi e Particular inquiry of the diflocation of theproceeding from an internall cayfe, 387 Xylll, Prognofticks ot the diflocated vertebra of the backj XIX. Of the diflocation of the rump, 388 XX. Ofthe luxation of the ribs, Xxl. Of a diflocated Ihpulder, XxTI. Of the firft manner of fating a flioulder, which is with ones fift. Q XXIII. Qf the fecond manner of reftoring a Ihoulder, that is, with the heel ; when as the Patient by reafon of pain can neither fit, nor ftand. (390} XXIV. Of the third manner of reftoring a fhoafder, zi. X?V\ the f°urth manner of reftoring a diflocated moulder, (jpi) XXVI. Of the fifth manner of putting the Ihouldcr in- to joint, which is performed by a Ladder, if, XxVII. The fixth manner of reftoring a flioulder, luxated into the arm-pit, (39O XXVIII. How to reftorc a flioulder diflocated for- wards, £394) XXIX. Of the fhoulder luxated outwardly, (?90 XXx. Of the fhoulder diflocated upwards. ib. XXXl. Of the diflocation of the elbow, ib. XXXII. How to reftore the elbow, diflotated out- wardly, (396) XXXHL Of the diflocation of the elbow to the infide, and of a compleat and uncompleat luxation, (397) XXXIV. Of the diflocation of the StyUformis or bod- kin-like proceffe of the cubit or ell, ib. XXXV. Of the diflocation ofthewrift, XXXVI. Of the diflocated bones of the wrift, tb. XxXVII. Of the diflocated bones of the after-wrift, 389 XXXVIII. Of the diflocated finger, ib. XXXIX. Of a diflocated thigh, or hip, ib. XL. Prognofticks belonging to a diflocated hip, 390 XLI. Of the figns of the hip diflocated outwardly, or inwardly, ib. XLII. Of the thigh bone diflocated forwards, 391 XLHI. Of the thigh bene diflocated backwards , ib. XLI V. Of reftoring the thigh bone diflocated inwards, 39* XLV. Of reftoring the thigh diflocated outwardly, 393 XLVI. Of reftoring the thigh diflocated forwards, 394. XLVU. Of reftoring the thigh diflocated backwards, ib. XLVIIL Of the diflocation of the whirl bone of the knee, ib. XLIX, Of the diflocated kaee, 395 L.Qf A 7 able ofthe Boofy and Ch apt err. Ciaf» Pag. L. Of a knee diflocated forwards, 39$. LI.Of*the reparation of the greater andjefier focile, ib. LU. Of the leg bone or greater focile diflocated, and divided from the paflerbone, it. LUI. Of the diflocation of the heel, LIV. Of the fymptomes which follow upon the contu- fion of the heel, ib. LV. Of the diflocated paflern, or ancle bone, 397 LVI. Of the diflocation of the Inftep and back of the foot, ib. LVil. Of the diflocation of the toes, ib. LVIII* Of the fymptomes, and accidents which may befall a broken or diflocated member, 398 Of drvers other preternatural! affeits wtefe curt is commonly performed by Surgery, The feventeemh I. Ofan Alepecfaor the falling away of the hairs of the head, 399 II- Of the vena or fcald head, it. HI. Of rhe vertigo or giddinefle, 40£ IV. Gf the he mi crania or megrim, ib, kV. Of certain affefls of the eyes,and fitft of flaying up the upper eye. lid when it is too lax, 402 VI. Of lagepthalmui, or the hare-eye, 403 VU. Of the Chalazion, or hail ftone,and the ffordetlam, or barly corn ofthe eye-lids, ib. VlII. Of the /dydaw,ot fatnefle of the eye-lids, ib. IX- Of the eye-1 ids fattened or gltwed together, 404 X. Ofthe itching of the eye-lids, ib. XI. Of lippitudo,or blear-eyes, 405 XII. Of the Opthalmiator inflammation ofthe eyes, ib. XIII. Of the proptofa, that is, rhe falling or the flatting forth of the eye, and of the phtbifis and camofis of rhe fame, 406 XIV. Of the ungufaor web. ib. XV- Ofthe ttgilop/rftfail* lac ry mt fa or weeping fiftula of the eye, 407 XVI. Of the ftapbyloma or grape- like fwelling, 408 XVII. Of the hypopyon, that is, thefuppurate or putrid eye, . XVIII, Ofthe mydriafis, or dilation of the pupil of the eye, ib. XIX Ofacararaft ib. XX. Of the Phyficall cure of a beginning eatarafl, 410 XXI-By what figns ripe and curable cacarafl$}may be dif- covered from unripe and uncurable ones, 4I1 XXII. Of the couching a cat arafl, ib. XXIII. Ofthe flopping of the paflage of the ears, and of rhe falling of th mgs thereinto, 412 XXIV. Of getting little bones, and fuch like things out of the jaws and throat,; 412 XXV. Of the tooth ach, ib, \ XXVI- Of other affefls ofthe teeth, 414 XXVII. Of drawing of teeth, 4tf XXVIII. Of denting the teeth, 417 ■ XXIX. Of the impediment and contraflisn of the tongue, ib, < XXX. 01 fuperfluous fingers, and fuch as flick toge- ' ther, ib. XXXI. Of rhe too fhort a prepuce, and of fuch as have 1 been circumcifed, 418 XXXII. Ofphimojfaandparaphimofis, thatisto great a « conflriflionoftheprepuceabout the the glans or nut that it cannot be bared or uncovered ar pleafure, ib, 1 XXXIII. Ofthofe whofe glans isnor rightly perfora, 1 ted,and of t he too fhort or too (Wait ligament bridle, or coard ofrheyard. 419 XXXIV. Ofthe caufes of the ftone, ib. X XXXV. Ofthe figns of the ftonc in the kidneys and bladder, 420 X XXXVI. Prognoflicksinthe flone, 421 XXXVII. VVhat cure istobe tjfcd whenwefear the I ftORC, 422 XXXVIII. What is to be done when the flone fallcth out of the kidney into the ureter , 443 X XXxIX. What mnft be done the ftone being fallen X: into the neck of the bladder, 4x4 X XL. What courfc mutt betaken , if the ftoneflicking ia the ureter, ot urinary paflage, «annot be gotten our I by the art, 4 2 5 1$. XLl.What manner offeflion is ro be made, when aiftonc >s in a boyes bladder, nd XLII. How ro cur men,for the taking out of the ftone i» rhe bladder, 6 XLHI. What cure muft be ufed co the Wound wh ' it- ftonc is taken forth, XI,IV. How to lay rhe patient after the ftenc . - - > >7 . away, * XLV. How to cure the wound made by the incifia-i; '• XLVR Whar cure is ro be ufed to ulcers, when is the d* urine flows through them,tong after theft one is drawn lI out» 433 * XLVII. How to take Hones out of womens blad- ders, 4J? ly XLVIII. Of rhe fuppreflion of the urine by internail caufes, 4j4 |e XLlx. A digreflion concerning the purgingoffuchas p are unprofitable in the whole body by the urine, f k L.By what external! caufes the urine is fuppreft,and prog* t noflicks concerning the fuppreflion thereof, z'0» fc, LI. Of bloudy urine, ie Lil. Of the figns of the ulcerated Kidneys, z&' 2 Ofthe figns ofthe ulcerated bladder, 437 j LIV. Prognoftiks of the ulcerated reins and bladder,r#,' J Whar cure muft be ufed in the fuppreflion of the .' urine« 437 . LVI. Of the diabete,or inability to hold rhe urine, 4 z g . LVII. Qfrhe flrangury, /J. LVIU, Of the colick, * LlX. Of phlebotomy orb loud-letting, 441 , LX. How to open a vein or draw blood from , thence, 443 ' LXI. Ofcupping-glaflesorventofec, 445 j LxIL Of leeches and their ufe, 44 J 1 . - Ofthe Gmt; the eighteenth I I I. Ofthe defcriprion of the gout. 446 IT. Of rhe occult caufes of rhe gour, tb. III. Of the manifeft caufes of rhe gour, 44$ IV* Out of what part the matter of rhe gout may flow down upon the joints, ib» i V♦ The figns of the Arthritick humor flowing from rhe brain, , 449 VI. The figns of a gouty humor, proceeding from the liver, ■ VIL By what figns we may underftand this or that hu- mor, ro accompany rhe gout in malignity, ibt VII J. Prognofticks in the gout, 47© IX. The generail method of preventing and curing the gour, 4j£ X. Ofvomiring, 45* XI. The other general! remedies for rhe gout, ib. XII. What diet is convenient for fuch as have the gour, 453 XIII. How t» flrengthen the joints, 454' XIV. Ofthe palliativecure ofthe gour, and rhe materi- al! caufes thereof, 455 XV. Of locall medicins that may be ufed ro a cold gour, 45<5 XVI. Oflocall medicins to be appfyedtoahororfan- guinegeur, 458 XVII. Oflocall medians for a cholerick gout, ib. XVIII. What remedies muft be ufed in pains of rhe joints proceeding of a diftemper only, without mat- ter, 46a XIX. What is to be done after the fit of the gout is o- ver, ib, XX. Ofthe ttfhi, or knots which grow at the joints of fuch as are troubled with the gout, 461 XXL Ofthe flatulencies conraincdin the joints, and counterfeiting true gouts, and of the remedies ro be ufed thereto, XXII. Of the IfchiM, hip gout,or SctAti ca, ib. XXIII. The cute of the fciatica, 463 XXIV. Ofthe flatulent convulfion,orconvalfive con- traction, which is commonly called by the French Gout Stamped by the Englifb rhe cramp, 4*4 A Table of the Booty and Chapters. Chap. f>ag; ferve our bodies in fear of the plague, and cure thofe already infcfted therewith, VIII. Of locall medicins to be applyed outwardly, 542, IX. Of other things to be obfcrved for prevention, in fear of the plague, X. Of the office of Magift rates in time of the XL What caution muft be ufed in choofing Phylitians, Apothecaries, and Surgeons, who may have care of fuch as are taken with the plague, 5 4 XII. How fuch as undertake the cure of the plague ought to arm themfelves, ib. XIIL Of the figns of fuch as are infefted with the plague, , 546 XIV. What figns in the plague are mortall, 547 XV. Signs o f the plague coming by contagion of the air without any fault of the humours, 54S XVI. Signs of the plague drawn into the body by the fault and putrefaftion of humours, XVII. Of the prognoftication that is to be inftitutcj in the plague, 549 XVIII.How apeftilcnt fever comes to be bred inus,$ XIX. Into what place the Patient ought to betake him- felfe fo foone as he finds himfelfe infefted, 5 $ E XX. What diet ought to be obferved, and firft of the choice of meat, * XXI. What drink the Patient infefted ought to ufes XXII. Of antidotes to be ufed in the plague, 5 y j XXIII. Of Epithems to be ufed for the ftrengthening of the principal parts, $56 XXIV. Whether purging and blood-lettingb e necefla- ry in the beginning of peftilent difeafes, 5 57 XXV. Of purging medicins in a peftilent difeafe, 5 58 XXVI. Of many fymptomes which happen together with the plague, and firft of the pain of the head, 56a XXVII. Of the heat of the kidnies, j6e XXVIII. Ofthe eruptions and fpots, which commonly are called by the name of purples, and tokens, ib. XXIX. Of the cure of eruptions and fpots, $62. XXX. Of a peftilent Bubo or plague fore, 56 j XXXI. Of the cure of Buboes or plague fores, ib. XXXII. Ofthe nature, caufes, and fignes of a pefti- lent carbuncle, 566 XXXIII. What prognofticks may be made in peftilent buboes and carbuncles ib. XXXIV. Of the cure of a peftilent carbuncle, 568 XXXV. Of the itching and inflammation happening in peftilent ulcers, and how to cicatrize them, $69 XXXVI. Of fundry kinds of evacuations, and firft of fweating and vomiting, ib. XXXVH. Of fpitting, ialivation, fneezing, belching, . hicketting, and making water, 570 XXXVIII. Of the menitruall and hxmorrhoidall pur- gation, 571 XXXIX. Of procuring evacuation by ftool, or a flux of the befly, $7* XL. Of flopping the flux of the belly, ibd XLI. Of evacuation by infenfible tranfpiration, 574 XLII. How to cure infants and children taken with the plague, ib. The three and twentieth Book, of the meaner and manner to repair or [up pl) the defers of mans Bod). I. How the lofle ofthe naturall or true eye may be co- vered, hidden, or lhadowed, 576 IL Bywhatmeancs apart of the nofe that is cut oft, may be reftored 5 or how in ftead of the nofe that is cut off, another counterfeit nofe may be faftned, or placed in the ftead, $77 III. Ofthe placing of teeth artificially made in ftead of thofe that are loft or wanting, 5 7 8 IV. Of filling the hollownefl'e of the palat, ib. V. How to help fuch as cannot fpeak by reafon of the lofle of fome part of the tongue, 580 V I. Of covering and repairing certaine defeats or de- faults in the face, ib* VII. Of the defefts of the ears, $81 VIII. Of amending the deformity of fuch as are crook-back't, ib. IX. How The nineteenth Book,. Chap. I. Of the lues venerea, and thofe fymptomes which hap- pen by the means thereof, 11J Of the caufes of the Ims venerea, 46$ In what humor the malignity of the Inez venerea rclides, IV. Of the fign s of the lues venerea, V. Of prognofticks, ib. VI* How many and by what means there are to oppugn this difeafe, VII. How to make choice of the wood Guaicum, tb. VIII. Of the preparation of the decoftion of Gudz'cum, 469, IX. Ofthe fecond manner of "curing the lues venerea which is performed by friftion or unftion, 47 o X. Of the choice preparation and mixing of Hydrargy- rum, ibi XI. How to ufe the unftion, "* 471 XII. What cautions to be ufed in rubbing, or anointing the Patient, 47 v XIII- Ofthe third manner of cure, which is performed by cerates and emplaifters, as fubftitutes of unftions, 473 XIV. Ofthe fourth manner of curing the lues venerea, 475 XV. Of the cure of the fymptomes, or fymptomatique affefts of the lues venerea, and firft of the ulcers of the yard, ib. XVI. How a gowr/jaeadiffereth from a virulent ftran- gury, e 476 XVII. Of the caufes and difference of the fcalding, or ffiarpneffeof the urine, ib. XVIII. Prognofticks in a virulent ftrangury, 477 XIX. The chiefe heads of curing a Conor r hoea, 478 XX. The generail cure both of the fcalding of the wa- ter, and the virulent ftrangury, ib. XXL Of the proper cure efa virulent ftrangury, ib. XXII. Of caruncles,or fleffiy excrefcences which fome- ' times happen to grow in the urethea by the heat or fcalding of the urin. 479 XXIII. What other remedies (hall be ufed to caruncles occafioned by the lues venerea, 481 XXIV. Ofvcnereall Buboes, or fwellings in the groins, 482 XXV. Of the exoftofts, bunches, or knots growing upon the bones, by reafon of the lues venerea, 48 3 XXVI. Why the bones become rotten, and by what means it may be perceived, ib. XXVII. Of aftuall and potentiall 488 XXVIII. Of the vulnerary potion, ib. XXIX. Of tetters, ring-worms, orchops, occafioned by the lues venerea, 489 XXX. Of curing the Ines venerea in infants and little children, I 1 " ■ The twentieth Book, Ofthefmallpox and measles} asalfi of Wormsand the leprofie, from 491.to 503. 491 The one and twentieth'Book, Of poyfons , and of the biting, and fringing of a mad dog, and the bitings and ftingings of other venemous creatures, frompag.504. topag.534. $04 The two and twentieth Book, Of the Plague. I. The defcription of the plague, 535 II. Of the divine caufes of an extraordinary plague, ib. III. Of the naturall caufes of the plague, j 3 6 IV. Of the preparation to humors to putrefaftion, and admiffion of peftiferous impreffions, 537 V. What fignes in the air and earth prognofticate a plague,' VI. By ufing what cautions in air and diet, one may prevent the plague, 539 y H. Of the cordiall remedies by which we may pre- A Table of tbe Boofy and Chapters. Chap. Pag. IX. How to' relieve fuch as have their urine flow from • them againft their wils, and fuch as want their yards, 582 X. By what means the petiffied funftion or action r,f a thumb or finger may be corrected and amended, 3 XI. Of the helping thofe that are vari or valgif crook legged, or crook footed,inwards,or outwards, 584 XII. By what means arms,legs,and hands may be made by art, and placed in the fteadof natural! arms, legs, or hands, that are cut oft, and loft, $85 XIII. Of amending or helping lamenefs or halting, 589 Of tl:e Generation of Man, the four and twentieth Book» I. Why the generative parts are endued with great plea- fure, 59° II. Of what qnalitie the feed is, whereof the male, and whereof the female is engendred, 592 III. What is the caufe why females of all brute bcafts, being great with young, do neither defl re nor admit the males, untill they have brought forth their young, 591 IV. What things are to be obferved, as neceflary unto generation in the time of copulation, $ 9 3 V. By what flgns it may be known, whether the woman httve conceived or not, ib> VI. That the womb fo foon as it hath received the feed, is prefently contracted or drawn together, 594 VII. Of the generation (»of the navell, tb. VIII. Of the umbilical! veflels, or thc'.veffels belonging to the navell, 595 IX. Of the ebullition or fwelling of the feed in the womb, and of the concretion of the bubbles or blad- ders, or the three principall cntrals, ib. X. Of the third bubble or bladder , wherein the head and the brain is formed, 596 XI. Of the life or foul, 597 XU. Of the naturall excrements in generail, and elpc- ciallyof thofe that the child or infant being in .the womb excludeth, 599 XIII. With what travel! the child is brought into the world, and of the caufe of this travell, 601 XIV. Of the fituation of the infant in the womb, ib. XV. Which is the legitimate artel naturall, and which the illegitimate or unnatural! time of childbirth, 602 XVI. Signs of the birth at hand, 603 XVII. What is to be done prefently after the child is born, 604 XVIII. How to pull away the fecundine or after-birth, 606 " XIX. What things muft be given to the infant by the mouth, before he be permitted to fuck the teat or dug, ib. XX. That mothers ought to give fuck to their owne children, 607 XXI. Of the choife of nurfes, XXII. What diet the nurfe ought to ufe, and in what fituation ihc ought to place the infam in the cradle, 609 XXII f. How to make pap 'for children, 610 XXIV. Of the weaning of children, 611 XXV. By what fignes it may be known whether the child in the womb be dead or alive, 612 XXVI. Of the chirmgicall extractions of the child from the womb, cither dead or alive, ib. XXVII. What muft be done urtto the woman in tra- vell, prefently after her deliverance, 615 XXVIII. What care muft be ufed to the dugs 'and teats of thole that are brought to bed, 616 Xxlx. What the caufes of difficult and painfull travell in childbirth are, 617 XXX. The caufe of abortion or untimely birth, 618 Xxxl. How to preferve the infant in the womb when the mother is dead, 619 XXxH. Of fuperfetation, • 620 XxXIII. Of the tumor called mola, ora mole grow- ing in the womb of women, ib. XXXIV. How to difeerne a true conception from a falfe conception or mola, 621 XXXV. What cure muft be ufed to the mola, 623 Ckap. pag. XXXVI. Of tumors or fwellings happening to the pancreas or fweet-bread,and the whole mefenterie,624 XXX VII. Of the caufe of barrennefle in women, 62$ XxXVIII. Of the barrennefle or unfruit fulncffe of women, ;) 626 XXIX, The figns of a diftempered womb, 617 XL. Of the falling down, or -perverfion, or turning of the womb, . 628 XLI. The cure of the falling down of the womb, tb< XLII. Of the tuniclc or membrane called hymen, 630 XL HI. A memorable hiftory of the membrane called hymen, 631 XLIV. Of the ftrangulation of the womb, : p 632 XLV. The fignes of imminent ftrangulation of the wpmb, < A . .. .* ■. 633 XLVL. How to know whether the woman be dead in the ftrangulation of the womb, or not, > ib. XLVII. How to know whether the ftrangulation of the womb eomes of the fuppreflion of the Bowers, or the corruption of the feed, 634 XLVIII. Of the cure of the ftrangulation of the womb, ib. XLIX. Of womens monthly flux or courfes, 636 L. The caufes of the monthly flux or courfes, 637 LI. The caufes of the fuppreflion of the courfes or menftruall flux,. 638 LIT. What accidents follow the fuppreflion or flopping of the monthly flux or flowers, zi. Lili. Of provoking the flowers or courfes, 639 LIV. Of the flame's of the approaching of the menftra- ail flux, LV. Accidents follow immoderate fluxes of thq flow* ers or courfes, 64® LVI. Of flopping the immoderate flowing of the flow- ers and courfes, 641 LVIl. Of locall medicines to be ufed againft the im- moderate flowing of the courfes, ib. LVIII. Of women fluxes or the whites, il. LIx. Of the caufes of the whites, 642 LX. The cure of the whites, ib. LXI. Of the hamoni.oides and warts of the neck of the womb, 64? LxII. Of the cure of the warts that are in the neck of the womb, 644 LXIIL Of chaps, and thofe wrinckled and hard exerc- fcences, which the gieeks call condylomata, 645 Lxl V. Of the itching of the womb, tb. LxV, Of the relaxation of the great gut, or intcftinc, which happeneth to women, 646 LX VI. Of the relaxation of the navell in children, tl>. LxVII. Of the pain that children have in breeding of teeth, tb. . . - . .. Of Monfiers and prod'giei, the five and twentieth frompag. 648.topag. 695. 648 Of the faculties offimple medicines as alfe if their coni- pofinen andufe, the fix and twentieth boo I. What a medicine is, and how it differeth from n6u- rilhment, 696 II. The differences of mcdicins in their matter and fubftance, ib. III. The difference of fimples in their qualities and ■ effects, 697 IV. Of the fecond faculties of medicines, 698 V. Of the third faculties of medicines, 699 VI. Of the fourth facultie of medicines, ib. * VII. Oftaftes, 7°o VIII. Of the preparation of medicines, 701 IX. Of repellin g,or rcpercuflive medicines, 702 X. Of attractive medicines, 703 XI. Of refolving •medicines, 7° 4 X'l. Of fuppiiratives, 7° 5 XIII. Of mollifying things, XIV. Of deterfives, or mundificatives, 70S XV. Of farcoticks, 7°7 XVI. Of epuloticks, or skinning medicines., tb. XVII. Of agglurinatives, . 7°&. xvni. Of A Table of the Booths and Chapters. Chap-. pag. XVIII. Ofpyroticks,or cauftick medicinsj 708 XIX. Ot anodynes, or fuch as mitigate or affwage paine, " 709 XX. Of the compofition and ufe of medicines, 710 XXL Or the weight and meafures,and the notes of both of them, 71* XXII. Of Clyfters, ib. XXIII. Of fiippolicoties, nodules, and peffaries, 71? XXIV. Of oils, 714 XXV. Of liniments, 71 5 XXVI. Of ointments, ib. XXVII. Of ceiats and empl afters, 717 XXVIU. Ofcataplafms and pultiles, 720 XXIX. Of fomentations, ib XXX Ofembrocations, 721 XXXI. Of epithems, ib. XXXII. Of potcntiall cauteries, 7 21 X XXII I. Of vcficatories, 7*3 XXXIV. Otcolferia, 7*4 X Of errhines, and fternutatorics, th. XXXVI. Of apophlegmatifms, or matticatories, 725 XXXVII. Ofgargarifms, ib. XXXV11I. Of dentifrices, 7*6 XXXIX. Of baggi,or quilts, 727 XL. Of fumigations, ib. XLI. Of a particular, orhalfebath, 728 XLIL Of baths, ib. XL1IL Of ftoves, or hot-houfes, 731 XLIV. Of fnci, that is, walhes, and fuch things for the fmoothing and beautifying of the skin, ib. XV. Of the grata rofacea, or a fiery face, 735 XLVI. 7 o black or colour the hair, 734 XLVIL Of FJifothra,or depilatories, and alfoof Iwcct waters, ib. Of DiJi illation , the feven and twentieth Bctf. I. What dift illation is, and how many kindes thereof Clap. pag. there be, 73$ JI. Of the matter and form of fornaces, it>. III. Of rebels lit for diftiliation, 736 IV. things are to be coniidered in diftiliation, th. V. Of what faihion the veflels for the diftilling of wa- ters, ought to be, (737 VI. How the materials muft be prepared before diftilia- tion, 738 VII. Of the art of diftilling of waters, 739 VIII. How to diftill aqua vine,or the fpirits of wine,740 IX Of the manner of rectifying,that is,how to increafe the ftrength of waters, that have beenonce diftilled, 741 X. Of diftiliation by flitting XI. What and how many wayes there are to make oils, 742 X I Of extracting of oils of vegetables by XIII. Another manner how to draw the efl'ence and fpi- rits of herbs, flowers, feeds, and fpices, as alfo of ru- barb, agarick, turbith, hermodaftyls, and other pur- gers; , 744 XIV. How to extrafi oil out of gums, condenfed jui- ces, and rolins, as alfo out of fome woods, ifa XV. Of extracting of oils out of the harder forts of gums, as myrrh,maftick,frankincenfc,and the like, i£. XVI. The making of oil of vitriol 1, 746 XVII. A table or catalogue of medicines and inftru- ments ferving for the cure of dileales, 747 //iw to make reports, and to embalm the dead, the eight and twentieth The nine and twentieth Book,, ATreatifi containing divers voyages,. A Table of the Chapters ofthe three Tracts. Chap. „ pag. I. DEckons up the branches or propagations of the vena pon<£ , or the gate-vein, and explaines an aphorifm of Hippocrates, that makes very much'to the purpofe, i II. Treats of the fuperior, or afcendent trunk of the ve- na cava, or hollow vein, and the branches which it fcat- ters through the head, 5 III. Shews how the axillary vein is diftributed through the arm, 9 IV. Explaines the lower, or defcendent trunk of the hollow vein, x x V. Reckons up the propagations, and branches of the outer Iliacall branch dilieminated through the crus, or great foot, that reaches from the lower part of the buttock to the end of the toes, 1 4 An explanation of the Table of the Veins, 17 The fee end Treatife concerning the Arteries. I. Shewes the upper or afcendent trunk of the great Ar- tery,with its propagations that are distributed through the head, x Zj II. Declares the hiftory of the axillary artery being di- ftributed through the arm, 2,3 III. Shewes the jnfcriouror defcendent trunk of the Chap. pag. great Artery, and the propagation thereof through the middle and loweft bellies, tb. IV. The propagations of the outer Tliacall branches which are diftributed through the crtu, or great foot, containing rhe thigh, leg, and foot, 3 o An explanation of the Table of the Arteries, 31 The third Treatife concerning the Nerves. I. Ofthe nerves of the brain, II. Concerning the nerves of the fpinall marrow pro- perly fo called, and firft ofthofe of the rack bones of the neck, 40 HI. Concerning the nerves of the marrow of the rack bones of the cheft, 42 IV. Concerning the marrow of the rack bones of the loines, 4-3 V. Concerning the nerves of the marrow of Os foerwn or the great bone, 44 VI. Concerning the nerves which are diftributed through the arms, 4$ VII. Of the nerves that are diftributed through the crura, or thighs, legs, and feet, 47 An explanation of the two Tables of the Nerves, * 4P & 50 an Chap. t>2. 1 A N INTRODVCTION OR COMP ENDIOV S\'WAT T 0 CHIRURGERY. CHAP. 1. What Chirurgery it. -1IRVRGERX is an Art, which teacheth the way by reafon, how by the operation of the hand we may cure;, prevent, and mitigate difeafes, which accidentally happen unto us. Others have thought good to defcribe it otherwife 5 as that, It is that part of Phyfick which undertaketh the cure of Difeafes by the foie induftry of the Hand: as, by cutting, burning, fawing off, uniting fraftures, refto- ring diflocations, and performing other works, of which we fhall hereafter treat. Chirurgery alfo is thus defined by the Author of the Medicinal! Definitions ; The quick motion of an intrepid hand joyned with experience • or, an artificial! aftion by the hand ufed in Phyfick, for fbme convenient intent. Yet none muft think to attain to any great perfeftion in this Art, without the help of the other two parts of Phyfick; 1 fay, of Diet and Pharmacie, and the divers applications of proper Medicines, refpefting the condition of the Caufes, Difeafes, Symptomes, and the like circumftances, which comprehended under the names of things natural!, not natural!, and befides nature, (as they commonly call them) we intend to de- fcribe in their proper place. But if any reply, that there be many which do the works of Chirurgery, without any knowledgof filch like things, who notwithftanding have cured defperate Difeafes with happy fuccefs: Let them take this for an anfwer, That filch things happen rather by chance, than by the induftry of the Art; and that they are not provident that commit themfelves to fiich. Becaufe that for fome one happy chance, a thoufand dan- gerous errors happen afterwards, as Galen (in divers places of his Method) fpeaks againft the Empericks. Wherefore feeing we have fet down Chirurgery to be a diligent opera- tion of the hands, ftrengthened by the affiftance of Diet and Pharmacy, we will now fheW what, and of what nature the operations of it are. The definiridri Of Chirurgery. Whar neceflar/ foraChifuff- geori. CHAP. IL Of Chirurgicall Operatiomi things are proper to the duty of a Chirurgeon; To take away that which is W foperfluous; to reftore to their places fuch things as are difplaced; to feparate thofe things which are joyned together ; to joyn thofe which are feparated;and *3t*®*w to fupply the defeats of nature. Thou (halt far more eafily and happily attain to the knowledg of thefe things by long ufe and much exercife, than by much reading of Books, or daily hearing of Teachers. For fpeech, how perfpicuous and elegant foever it be, cannot fo vively exprefs any thing 5 as that which is fob jetted to the faithfol 1 eyes and hands. B We The nature oli Chirurgeon# Experience more neceffarj for a einrur- geon, An Introduction, or 2 Examples of raking away that which is fuptrfluous. We have examples of taking away that which abounds in the Amputation or cutting off a finger, if any have fix on one hand, or any other monftrous member that may grow out: in the lopping off a putrefied part inwardly corrupted; in the extraftion of a dead child, the fecondine, mole, or filch like bodies out of a womans womb : In taking down of all Tumors, as Wens, Warts, Polypus, Cancers, and fie/hy excrefcences of the like na- ture j in the pulling forth of bullets, of pieces of maile, of darts, arrows, fhells, fplinters, and of all kind of weapons in what part of the body foever they be. And he taketh away that which redounds, which plucks away the hairs of the ey-lids which trouble the ey by their turning in towards it: who cuts away the web, poflefling all the * and part of the * Cornea : who letteth forth fuppurated matter: who taketh out ftones in what part foeVer of the body they grow ; who puls out a rotten or otherwife hurtfull tooth; or cuts a nail that runs into the flefh : who cuts away part of the Vvula, or hairs that grow on the ey-lids: who taketh off a Cataraft 5 who cuts the navill or foreskin of a childe newly born ; or the skinny caruncles of womens privities. Examples of placing thofe things which are out of their naturall fite, are manifeft in reftoring diflocated bones ; in re-placing of the guts and kali fallen into the cods, or out of the navill or belly by a wound ; or of the falling down of the womb, fundament, or great gut, or the eye hanging out of its circle, or proper place. But we may take examples of disjoyning thofe things which are continued 5 from the fingers growing together, either by fome chance, as burning ; or by theimbecillity of the forming faculty : by the disjunction of the membrane called H)mens or any other trou- ling the neck of the womb ; by difleftion of the ligament of the tongue, which hinders children from fucking and /peaking, and of that which hinders the Glans from being unco- vered of the foreskin ; by the divifion of a varicous vein, or of a halfcut nerve or tendon, caufing convulfion 5 by the divifion of the membrane flopping the auditory paflage, the nofe, mouth, or fundament, or the ftubborn flicking together of the hairs of the ey-lids. Refer to this place all the works done by Caufticks, the Saw, Trepan, Lancet,Cupping- glafles,Incifion-knife, Leeches, either for evacuation, derivation, orrevulfionfake. The Chirurgeon draws together things feparated, which healeth wounds byftitching them, by bolftering, binding, giving reft to, and fit placing the part: which repairs fra- ctures ; reftoring luxated parts: who by binding the veflel, ftayeth the violent eflufion of blood: who cicatriceth cloven lips, called Hare-lips : who reduceth to equa- lity the cavities of Ulcers and Fiftula's. But he repairs thofe things which are defective either from the infancy , or afterwards by accident, as much as Art and Nature will fuffer 5 who fits on an ear, an ey, a nofe, one or more teeth; who fils the hollownefs of the palat eaten by the Pox, with a thin plate of gold or filver, or fiich like ; who fiipplies the defect of the tongue in part cut by fome new addition ; who faftens to a hand, an arm, or leg with fit ligaments, work- manlike: who fits a doublet bumbafted, or made with iron plates to make the body ftreight; who fils a fhoo too big with cork, or faftens a flocking or lock to a lame mans girdle to help his gate. We will treat more fully of all thefe in our following Work. But in performing thofe things with the hands, we cannot but caufe pain : ( for who can without pain cutoff an arm, or leg, divide and tear afunder the necKof the bladder, re- flore bones put out of their places, open Ulcers, bind up wounds, and apply cauteries, and do fiich like? ) notwithflanding the matter often comes to that pate, that unlefs we ufe a judicious hand, we muft either die, or lead the remnant of our lives in perpetuall mifery. Who therefore can juftly abhor a Chirurgeon for this, or accufe him of cruelty ? or defire they may be ferved, as in ancient times the Romans ferved who at the firft made him free of the City; but prefently after, becaufe he did fomewhattoo cruelly burn, cut, and perform the other works of a good Chirurgeon, they drew him from his houfe into the Campus and there ftoned him to death, as we read it recorded by Sextus Cbero- Plutarch's nephew by his Daughter. Truly it was an inhumane kind of ingratitude,fb cruelly to murder a man intent to the works of fo neceflary an Art. But the Senate could not approve the aft, wherefore to expiate the crime as Well as then they could, they made his Statue in Gold,placed it in ALfculatius his Temple, and dedicated it to his perpetuall memory. For my part, I very well like that faying of Celfus: A Chirurgeon muft have a ftrong, ftable, and intrepid hand, and a mind refblute and mercilefs; fo that to heal him he taketh in hand, he be not moved to make more hafte than the thing requires; or to cut left than is needfull; but which doth all things as if he were nothing affefted with their cries; not giving heed to the judgment of the vain common people, who fpeak ill of Chi- rurgeons becaufe of their ignorance. *Two funicles of theeys. Examples of te placing* Example of fe parating things joined together. Examples of uniting things disjoined. Examples'of defers. Archtgmu the Chirurgeon. In The properties of a good Chirurgeon. CHAP. Chap.3,4- Compendious way to Cbirurgery. 3 CHAP. III. of things Naturall. Hat the Chirurgeonmay rightly,and according to Art perform the forelaid works, he muft fet before his eys certain Indications of working: Otherwife he is like to become an Emperick, whom no Art, no certain reafon, but only a blind temerity of fortune moves to boldnefs and a&ion. Thefe Indications of iftions are drawn from things (as they call them) naturall, not naturall, and befides na- ture, and their adjuncts, as it is Angularly delivered of the Ancients, beingmen of an ex- cellent underftanding. Wherefore we will profecute according to that order,all the (pe- culation of this Art of ours. Firft therefore things Naturall are fo termed, becaufe they conftitute and contain the nature of mans body, which wholly depends of the mixture and temperament of the four firft bodies, as it is ftiewed by Hipocrates in his book de Natura humana: wherefore the confideration thereof belongs to that part of Phyfick, which is named Phyftologia as the examination of things not naturall to or Diet, becaufe by theufe of fuch things itendevours to retain and keep health : but 1'heraputice, or the part which cures the Difeafes, and all the afte&s befides nature, challenges the contempla- tion of thofe things which are not agreeable to nature. But the things which are called Naturall,may be reduced to feven heads: befides which there comes into their fellowlhip, Tirkiz-Vi tXTP tprm innPVfrl From whence U'e niuft draw Indications. What things are called na- turall. To what part of phyfick things not na- rurall pertain. Towhat things befides nature. Elements Temperaments Humors Parts or members Faculties Actions * Spirits. Age ■ * Sex Colour Composure Time or feafon Region Vocation of life. The ieven principal 1 heads of things* Naturall; are To thefe are an- nexcd,and fom- what near; Air'*- • CHAP. mi. of Elements. Element (by the definition which is commonly received amongft I)hyfitians)is the leaft and moft fimple portion of that thing which it compoleth: or that my Ipeech may be the more plain : the four firft and fimple bodies are called Ele- ments; Fire, Air, Water, and Earth ; which accommodate and fiibjeft themfelves as matter to the promilcuous generation of all things which the Heavens engirt, whether you underftand things perfectly, or unperfeftly mixed. Such Elements are only to be con- ceived in your mind, being it is not granted to any externall fenfe to handle them in their pure and ablblute nature. Which was the caule that Hipocrates exprefled them not by the names of lubftances, but of proper qualities, faying. Hot, Cold, Moift, Dry ; becaufe feme one of thefe qualities is inherent in every Element, as his proper and eflentiall form, not only according to the excels of latitude, but allb of the attive faculty; to which is adjoined another fimple quality, and by that reafon principall, but which notwithstanding attains not to the higheft degree of his kind, as you may underftand by Galen in his firft book of Elements. So, for example lake, in the Air we oblerve two qualities, Heat and Moifture, both principall, and not remitted by the commixture of any contrary quality, for other- wife they were not fimple. Therefore thou maift fay. What hinders that the principall effefts of heat lhew not themfelves as well in the Air, as in the Fire > becaule, as we laid before, although the Air have as great a heat according to his nature, extent, and degree, no otherwife than Fire hath, yet it is not lb great in its a&ive quality. The reafon is, be- caufe that the calfaftory force in the Air is hindered, and dulled by fociety of his compa- nion and adjoyned quality, that is, Humidity which abateth the force of heat, as on the contrary, drinefs quickneth it. The Elements therefore are endewed with thefe qualities. What an Ele- ment is. Elements are underftood by reafon, not by fenfe. Why Hzpp.ex- preffed the Ele- ments bythefe names of qualities. Two principal qualities are in each Element. Why the Air hears not fo vehemently, as the Fire. Fire Air < Water Earth Hot and dry tyjoift and hot jCold and moift Cold and dry. Names of the litbftances. Names of the qualities.. Thefe four Elements in the compofition of naturall bodies, retain the qualities they formerly had, but that by their mixture and meeting together of contraries, they are fome- what tempered and abated. But the Elements are fo mutually mixed one with another,and all with all, that no Ample part may be found 5 no more than in a mafs of the Emplaifter Diacalcitheos you can fhew any Axungia oiE, or Litharge by it telf; all things are fo confuted B 2 and How the Ele- ments may be underftood. ta be mixed in compound bodies* 4 An Introductionor and united by the power of heat, mixing the fmalleft particulars with the fmallcft,and the whole with the whole, in all parts. You may know and perceive this concretion of the four Elementary fubftances in one compound body, by the power of mixture, in their diflblution by burning a pile or heap of green wood: For the flame exprefles the Firejthe (moke,the Air 5 the moillure that fweats out at the ends,the Water 5 and the allies,the Earth: You may ealily perceive by this example fo familiar and obvious to the fenfes, what difio- lution is, which is fiiccecded by the decay of the compound body 5 on the contrary, you may know |hat the coagmentation,or uniting and joyning into one of the firft mixed bo- dies is fuch, that there is no part fincere or without mixture. For if the heat which is pre- dominant in the fire, Ihould remain in the mixture in its perfect vigor, it would conftime the reft by its pernicious neighborhood 5 the like may be faid of Coldnefs, Moifture, and Drinefs 5 although of theft qualities, two hay? the title of Aftive, that is, Heat and Cold- nefs, becaufe they are the mo re powerlull; the other two Palfive, becaufe they may feem more dull and flow, being compared to the former. The temperaments of all fiiblunary bodies arifefrom the commixture of thefe fubftances and elementary qualities, which hath been the pr incipall caufe that moved me to treat of the Elements. But I leave the force and eftefts of the Elementary qualities to fome higher contemplation, content to have noted this, that of thefe firft qualities, ( fo called, becaufe they are primarily and naturally in the four firft bodies) others arife and proceed, which are therefore called the fecond quali- ties : as of many, thefe, Heavinefs, Lightnefs, varioufly diftributedby the four Elements, as the Heat or Coldnefs, Moiftnefs or Drinefs have more power over them. For of the Elements, two are called light, becaufe they naturally aneft to move upwards: the other two heavie, by reafon they are carryed downward by their own weight. So we think the fire the lighteft, becaufe it holds the higheft place of this lower world 5 the Air, which is next to it in fite, we account light 5 for the water which lies next to the Air, we iudg heavie 5 and the earth the center of the reft we judg to be the heavieft of them all. Here- upon it is, that light bodies, and the light parts in bodies, havemoft of the lighter Ele- ments 5 as on the contrary heavie bodies have more of the heavier. This is a brief defcri- ption of the Elements of this frail world,which are only to be difterned by the underftan- ding, to which I think good to adjoin another defcription of other Elements, as it were arifing or flowing from the commixture of the firft: For befides thefe, there are faid to be Elements of generation, and Elements of mans body. Which as they are more corporall,fo alfo are they more manifeft to the fenfe. By which reafon Hippocrates being moved, in his Book de Natura humana, after he haddefcribed the nature of Hot, Cold, Moift, and Dry, he comes to take notice of theft by the order of compofition. Wherefore the Elements of our generation, as alfo of all creatures which have blood, are feed and menftruous blood. But the Elements of our bodies, are the folid and fimilar parts arifing from thoft Elements of generation. Of this kind are bones, membranes,ligaments, veins,arteries, and many others manifeft to the eys, which we will defcribe at large in our TreatiftofAnatomie. Why of the firft qualities, two are aflive, and two paf- fi ve. Why the firft qwaliries are fo called.- What the fe- cond qualities are. What Ele- ments light, what heavy, What the Ele- ments of gene- ration are. What the Ele- ments of mixt bodies. CHAP. V. of Temperaments. Temperament is defined, a proportionable mixture of hot, cold, moift, and dry ; otj it is a concord of the firft dilagreeing faculties. That harmony fprings from the mixture of the four firft bodies of the world. This whether Temperament or Concord is given to Plants and brute Beafts for the beginning of their life, and fo confequently for their life and form. But as Plants are inferior in order and dignity to beafts, fo their * life is more bafe and infirm, for they have only a growing faculty, by which they may draw an Alimentary juice from the earth, as from their mothers breafts, to preferve them and their life, by which they may grow to a certain bignefs; and Jaftly, by which they may bring forth their like for the perpetuall continuance of their kind. But the* life of beafts, have to the three former, the gift of fenfeannexed: by benefit whereof as by a certain inward knowledg they fliun thole things that are hurtfull,and follow thofe which profit them; and by the power of their will, they move themfelves whither they pleafc.. But the foul of man far more perfeft and noble than the reft, arifeth not from that earthly mixture and temper of the Elements, but acknowledged! and hath a far more di- vine off-fpring; as we mall teach hereafter. They divide a Temperament at the firft divifion, into two kinds; as one a temperate, another an untempef ate. The untemperate is of two forts: The one wholly vicious, which hath altogether exceeded the bounds of mediocrity: The other, which hath fomewhat ftrayed from the mediocrity of temper, but notwithftanding is yet contained within the limits of health : as that which brings no fucn evident harm to the actions, but that, it fomewhat hinders them,fo that they cannot fo well and perfectly perform their duties. But. the vicious Temperament doth three manner of wayes corrupt the fijnft ons, cither by weak- What a Tem- perament is,' ♦ Anima, Vhar the life performs in Plants. * Anitna. What in beafts. Mans foule comes from a- bove. The manifold divifionof a Tempera- ment. A Tempera- mext}adFon> tfw. Chap. V. Compendious way to Cbirurgery, 5 weakning, depraving, or abolifhing them. For fo ftupor, or aftonifhniene, diminiffieth and floweth the quicknefs of motion; convulfion depraves it; the Pal lie abolifheth it, and taketh it away. The temperate Temperament is alfo divided into two kinds ; which is cither to equality of weight or juftice. It is called a Temperature to weight which ari- feth from the equall force of exaftly concurring qualities, and as placed in a perfeft bal- lance, draws down neither to this hor that part. They think the example of this Tempe- rament tc appear in the inner skin of the fingers ends of a man tempered to Juftice. For feeing the moft exquifite touch refides there, they ought to be free from all excels of con- trariety ; for otherwife being corrupted by too much heat or cold, moifture or drinefs, they could give no certain judgment of the tangible qualities. For which thing nature hath excellently provided in the fabrick and coagmentation of the parts, of which the skin confifts. For it is compoted of hot and moift flefh, and therefore foft, and of a tendon and nerve cold and dry, and therefore hard; which are not only equally fitted and conjoyned, but wholly confuted and mixed together, by which it comes, that removed from all ex- tremes of oppofition, it is placed in the midft, as a rule to judg of all the excefles that happen to the touch. So it was fit the eye, which was to be the inftrument of fight, fhould be tinftured with no certain colqBr, that it might bt the lefs deceived in the judgment of colours. So it was convenient the hearing fhould not be troubled with any diftinft found, whereby it might more certainly judg of equall and unequall founds, notdiftinguifhed by a ratable proportion; neither was it fit the tongue fhould have any certain tafte, left the accefs of that tafte fhould deceive it in knowing and judging of fo many different taftes. The Temperature tempered to juftice, is that, which although it is a little abfent from the exaft and tevere parility of mixed qualities,yet hath that equa- lity which doth fully and abundantly fuffice for to perform all the fiinftions fitly and per- feftly, which nature doth require, wherefore we can judg no otherwite of it than by the integrity of the Aftions. For hence it took its name; for as diftributive Juftice equally gives to every one rewards, or punifhment according to their detects ; fo Nature, having regard to all the parts of the body, gives them all that temper which may fuffice to perform thote duties, for which they are ordained. Let us for an example confider a Bone; no man doubts,but that, like as the other fimilar parts of the body,proceeds from the mix- ture of the four Elements : but neverthelefs nature weighing the ute of it, and ordaining it to fupport the reft of the body, would have more of the terrene and dry Element infii- fed into it, that it might be the ftronger and firmer to fuftain weight. But a Ligament,tee- ing it was made for other ufes, hath lefs of that earthly drinefs than the bone, but more than the flefh,altogether fitted to its nature. So it hath teemed good to nature to endue all the parts of the body, not only with an equall portion,but alfo proportion of Elements and qualities ; we call that a Temperament to juftice:and we fay,that it is in Plants,brute Beafts, and all naturall bodies, which enjoy that temper and mediocrity, which may be agreeable to their nature. Hereupon by comparifon arite eight kinds of intemperate tern" pers: As Ad pondus, vel adjuftitiam. A Tcmpera« ment ad juft i- tiam. The tempera- ment ota bone, 'Hot \Cold \Moift .Dry temperate in temperate in Drinefte and Moiflure. The klndes of unremperate tempers* Four temple 'Heat and , Cold. Hot and Moi fl Hot Thy \Cold and Moi ft Cold and Dry. Four compounds But thefe Temperaments are either of the whole Body, or of fome part thereof; the Train Ithe Heart )the Liner the Stones. Or Principal, as* And that either Of the reft of the parts competed of other which have no prin- . cipality in the body. Again, fuch Temperaments are either healthfull, which fuffice perfeftly to perform their aftions •, or unhealthfull, which manifeftly hurt them, the fignes whereof may be read de- ferred by Galen. And you muft obferve that when we fay the body,or any part of it is hot, we underhand more hot than is fit for one of that kinde which is tempered to juftice ; as when we fay a man hath a hot liver, we mean his liver is hotter,than a manjuftly tempered fhould have ; for all other tempers,whether of the whole body, or any of the parts thereof, are to be referred to this; and in the cure of difeafes we muft look upon it, as the mark, and labour to preterve it by the ute of convenient things, as much as lies in our power. Wherefore, becaufe it is very neceflary to know the diftin&ion of Temperaments, 1 have B thought Lib.s.deTem? per- fyin ' medic'd. 6 An Introduction, or thought good in this place, briefly to handle the Temperaments of the parts of the body, ages, feafons of the year, humors, and medicines. Therefore the temperaments of the parts ofourbodyareof this nature, not only by the judgment of the touch of a mans hand, which is juftly tempered, (who is often deceived by flowing heat, which fpread from the heart into all the body, imparts a certain kind of heat to all the parts) but alfo by the rule of their reafon, compofure and fubftance, as '* A Bone is the moft dry and cold. A Grille lefs than it. A Ligament lefs than a Grille. A Tendon is lb much dryer and colder than the membrane, by how much it in the fame temper exceeds a Vein and Artery. Then follow the harder Veins, for the fofterare in a middle temper of drynefs andmoifture, like as the skin ; although all, both foft and hard, are of a cold temper. Wherefore all thefe parts of their own nature are cold and without blood: although the Veins and Arteries wax hot, by reafon of the heat of the blood they contain, which notwithftanding alfo borroweth that heat from the heart, as apart moft hot, andfofter than the skin ; the liver next followeth the heart, in the order of the hotter parts, which is far fofter than the skin it lelf: for if, according to Galens opinion, the heart is fbmewhat lefs hard than the skin,and that is far harder than the liver, as appears by touching them, it muft neceflarily follow that the liver much exceeds the skin in foftnefs; I underftand the skin limple, and feparated from the flelh lying under it, to which it firmly cleaves. The flefli is more moift and hot than the skin, by reafon of the blood difperfed in it. The fpinall marrow is colder and moifter than the skin ; but the brain fb much exceeds it in moifture, as it is exceeded by the fat. The lungs are not fo moift as the fat; and the fpleen, and kidneys are of the like nature, and neverthelefs they are all moifter than the skin. According to the diverfities of ages, the temperaments both of the whole body, and all its parts, undergo great mutations; for the bones are far harder in old men than in chil- dren, becaufe our life is, as it were, a certain progrefs to drynefs ; which when it comes to the height, confequently caufeth death. Wherefore in this place we muft (peak of the Temperaments of ages, when firft we fhall have defined what an age is. Therefore an age is defined, A fpace of life in which the conftitution of the body of its felf and own accord, undergoeth manifeft changes. The whole courfe of life hath four fitch Ages. The firft is Childhood, which extends from the birth to the eighteenth year of age, and hath a hot and moift temper, becaufe it is next to the hot and moift beginnings of life,feed,and blood. Youth followeth this, which is prolonged from the eighteenth to the twenty fifth year, and is temperate, and in the midft of allexcefles. Mans eftate fucceedeth youth, which they deny to extend beyond the thirty fifth year of age, in its proper temper it is hot and dry; whereby it. cometh to pafs that then the heat is felt more acride and biting, which in childhood feemed milde; becaufe the progrefs of the life to drynefs, hath much wafted the native humidity. Then fucceeds Old-age, ever divided into two parts; the firft whereof extends from the thirty fifth, to the forty ninth year; thofe of this age are called Old-men, but we commonly call them middle-ag'd men.The latter is, as it were, divided by Galen into three degrees ; the firft whereof are thofe, who having their ftrength found and firm, undergo civil affairs and bufinefles: which things thofe which are in the fecond degree of Old-age cannot do, be- caufe of the debility of their now decaying ftrength : but thofe which are in the laft de- gree, are afflicted with moft extreme weaknefs and mifery, and are as much deprived of their fenfes and underftanding,as of the ftrength of their bodies; whereof arofe this Proverb, Old inenjwice children.Thofe Old men of the firft rank are pleafant and curteous;and thofe we fay, are beginning to grow Old, or in their green Old-age; thofe of the fecond fort delight in nothing but the boord and bed ; but old decrepit men of the laft order, think of nothing elfe, than their graves and monuments. Their firm and folid parts are of a cold and dry temperature, by reafon of the decay of the radicall moifture,which the inbred heat caufeth in the continuance of fo many years. Which thing may happen in a fhort fpace, by the vehement flame of the fame naturall heat, turned by fevers into a fiery heat. But if any to prove Old men moift, willobjeft, That they cough up, and fpit much, I will anfwer him, as an old Do&or once faid; That a pitcher filled with water, may pour forth much moi- fture ; yet no man will deny but that fuch a veflel of its own terrene nature and matter is moft dry; fo old men may plainly be affirmed to bemoift, by reafon of their defeft of heat,and abundance of excrements. But this defcription of ages is not to be taken fb ftriftly as alwayes to be meafuredby the fpacesand diftances of years,for there are many which by their own mifdemeanor feem elder at forty, than others do at. fifty. Laftly, the famous Philofopher Pythagoras divided mans life into four ages, and by a cer- ; tain proportion compared the whole courfe thereof to the four feafons of the year; as ■ Childhood to the Spring, in which all things grow and fprout out, by reafon of plenty and abundance of moifture. And Youth to the Summer, becaufe of the vigor and ftrengtn which men enjoy at that age. And mans eftate, or conftant age, to for that then after What the tem- peraments of, mans body are. Adfinem, lib, de temper* The tempera- ments of ages. What an age is. Old-age divi- ded into two parts. * Three de- grees of rhe Second part of Old-age. Old men have their folid parts dry. A comparison of rhe four ages to rhe four fea- fons of rhe year Compendious way to hirurgery. 7 after all the dangers of the fore-pafled life, the gifts of difcretion and wit acquire a feafo- nablenefs or ripenefs,like as the fruits of the earth enjoy at that feafon. And laftly,he com- pares Old-age to the fterile and fruitlefs Winter, which can cafe and confblate its tediouf- nefsby noothermeans, than theme of fruits gathered and ftored up before, which then are of a cold and troublefome condition. But for extreme Old-age, which extends to eighty or a hundred years, it is fo cold and dry, that thole which arrive at that decrepit age are troublefome, harlh, touchy, froward, crabby,and often complaining, untill at the length deprived of all their lenles, tongue, feet, and underftanding, they doting, return again to childifhnefs, as from the ftaff to the ftart. And thus much of the Temperaments of ages. But now in like manner we will explain the Temperatures of the feafons of the year, which are four; the Spring, Summer,Autumn,Winter. The Spring continues almoft from the twelfth or thirteenth day of March to the midft of May ; Hippocrates feemeth to make it hot and moift; which opinion leemeth not to have Iprung from the thing it felf, but from an inveterate error of the ancient Philofophers, who would fit the Temperaments of the four feafons of the year, as anfwering in proportion to the temperatures of the four ages. For if the matter come to a juft tryall, all men will fay, the Spring is temperate, as that which is in the midft of the excefs of heat, cold, moifture and drinefs; not. only by comparifon, becaufe it is hotter than Summer, and colder than Winter ; but bccaufe it hath that quality of its own proper nature. Wherefore it is faid of Spring is moft holelbme,and leaft deadly ; if fo bethat it keep its native temper, from which if it decline, or fiicceed a former untemperate feafon,as Autumn or Winter,it will giveoccalion to many difeafes defcribed by Hippocrates 5 not that it breeds them, but becaufe it brings them to fight, which before lay hid in the body. Summer is comprehended in the fpace of almoft four months; it is of a hot and dry temper, a breeder of fuch difeafes as proceed fromcholer, becaufe that humor at this time is heaped up in many bodies by aduftion of blood bred in the Spring; but all fuch difeafes do fpeedily run their courfe. The begin- ning of Autumn,is from the time the Sun enters into Libra, and endures the like Ipace of time as the Spring. But when it is dry, it hath great inequality of heat and cold, tor the mornings and evenings being very cold, the noondays on the contrary are exceeding hot. Wherefore many difeafes are in Autumn, and then long and deadly, efpecially if they in- cline towards Winter; becaufe all daily and fodain changes to heat and cold are dangerous. The Winter poffefles the remnant of the year, and is cold and moift, it increafes naturall heat, ftirs up the appetite, and augments Phlegme. It encreafes heat by Antiperiftajis, or contrariety of the encompaffing air, which being then cold, prohibits the breathing out of heat: whereby it happens that the heat being driven in and hindered from diflipation, is ftrengthenedby couniting its forces. But it augments Phlegme, for that men are more greedy,the Appetite being encreafed by the ftrengthened heat: from whence proceeds much crudity, and a large ftore of difeafes, efpecially Chronick or Long, which fpread anden- creafe rather in this winter-feafon than in any other part of the year. To this difeourfe of the temper of the feafons of the years, is to be revoked the variety of tempers which happens every day, which certainly is not to be neglefted, that there may be place of ele- ftion, efpecially if nothing urge. For hither belongs that faying of Hippocrates; When in the fame day it is one while hot>another cold,Autumnall difeafes are to be expefted.There- fore an Indication taken from hence is of great confequence to the judgment of difeafes; for if it agree with the difeafe, thedifeafeis made more contumacious, and difficult to cure. Whereupon the Patient and Phyfitian- will have much trouble 5 but if on the contrary it reclaim and diflent, the health of the Patient is fooner to be expefted. Neither is it a thing of lefs confequence to know the cuftoms and habits of the places and Countreys in which we live; as alfo the inclination of the Heavens, and temperature of the Air; but let us leave thefe things to be confidered by Naturall Philofophers, that we may deliver our judgment of the temperaments of Humors. Blood, as that which anfwers to the Air in proportion, is of a hot and moift nature, or rather temperate,as Galen teftifies; for,faith he, it is certain and fure, that the Blood is neither hot nor moift, but temperate, as in its firft compofiire none of the four firft Qualities exceeds other by any manifeft excefs,as he repeats it upon the 3 9th Sentence. Phlegm, as that which is of a waterifh nature,is cold and moift; no otherwife than Choler being of a fiery temper, is hot and dry. But Melancholy aflimi- lated to earth, is cold and dry. This which we have fpoken in generail of Phlegm and Me- lancholy, is not always true in every kind of the faid Humors. For fait Phlegm is of a hot and dry temperature; as alfo all kinds of Melancholy which have arofe or fprung by ad- uftion from the native and alimentary, as we will teach in the following Chapter. Now the temperaments of Medicines have not the fame form of judgment, as thofe things which we have before fpoken of; as, not from the Elementary quality, which conquering in the contention and mixture, obtains the dominion ; but plainly from the effefts, which taken orapplyed,they imprint in a temperate body. For fo we pronounce thofe things, hot, cold, moift, or dry, which produce the effefts of Heat,Colanefs,Moifture, or Drynefs. But we will defer the larger explication of thefe things to that place, where we have peculiarly appointed The tempers pf the fcafons of the year, How the fpring is temperate. Aphor. io» Autumn uh* equal!. How Winter enrteafes the native heat. Aphor.4fetl.& The tempera- ments of Hu» mors. Lib. de natura bumana,nd fent. $6, Seft. 1. The tempera** ture of the Blood. From whence we judg oi rhe temperature of Medicines, 8 An or appointed to treat of Medicines 5 where we will not fimply enquire whether they be hot or cold, but what degree of heat and cold, or the like other quality : in which fame place W'e will touch the temperature and all the nature of taftes, becaufe the certaineft judgment of Medicines is drawn from their taftes. Hitherto of Temperaments y now we muft fpeak of Humors, whole ufe in Phyffcall {peculation is no lefs than that of Temperaments. CHAP. VI. of Humors. O know the nature of Humors, is a thing not only neceflary for Phyfitians, but alfo for Chirurgeons, becaufe there is no difeafe with matter which arifeth not from fome one,or the mixture of more Humors. Wh ich t hing Hipocrates underftan- ding,writ, every Creature to be either fick or well according to the condition of the Humors in the body. And certainly all putrid leavers proceed from the putrefadion of Humors. Neither do any acknowledg any other originall or diftinftion of the differences of Abfcefles or Tumors : neither do ulcerated., broken, or otherwife wounded members hope for the reftauration of continuity, from other than from the fweet falling down of Humors to the wounded part. Which is the caufe that often in the cure ofthefe affeds,the Phyfitians are neceflarily bulled in tempering the Blood, that is, bringing to a mediocrity the four Humors composing the mafs of blood, if they at any time offend in quantity, or quality. For whether if any thing abound or digrefs from the wonted temper in any ex- cefs of heat, cold, vifeofity, grofnefs, thinnefs, or any fuch like quality,none of the accu- ffomed fundions will be well performed. For which caule thofe chief helps to preferve and reftore health have been divinely invented: blood-letting,which amends the quantity of too much blood 5 and Purging, which correfts and draws away the vicious quality. But now let us begin to fpeak of the Humors, taking our beginning from the defi- nition. An Humor(is called by Phyfitians)what thing fb ever is liquid and flowing in the body of living Creatures endued with Blood, and that is either natural!, or againft nature. The naturall is fb called becaufe it is fit to defend, preferve and fiiftain the life of a Creature. Quite different is the nature and reafon of that which is againft nature. Again,the former is . either Alimentary or Excrementitious: The Alimentary which is fit to nouriffi the body, is that Humor which is contained in the veins and arteries of a man which is temperate and perfectly well 5 and which is underftood by the general! name of Blood, which is let out at the opening of a vein. For Blood otherwife taken, is an Humor of a certain kind, diftinguifhed by heat and warmnefs from the other Humors comprehended together with it,in the whole mafs of the blood. Which thing,that it may the better be underftood,! have thought good in this place to declare the generation of Blood by the efficient and materiall caufes. All things which we eat or drink, are the materials of Blood 5 which things drawn, into the bottom of the Ventricle by its attractive force, and there detained, are turned by the force of concodion implanted in it, into a fubftance like to Almond-butter. Which thing, although it appear one and like it felf, yet itconfifts of parts of a different nature, which not only the variety of meats, but one and the fame meats yeelds of it felf. We term .this (when it is perfectly conceded in theftomach.) But the * Gate-vein receives it driven from thence into the finall Guts, and fucked in by the Meferaick-veins,and now ha- ving gotten a little rudiment of change in the way, carries it to the Liver, where by the Blood-making faculty, which is proper and naturall to this part, it acquires the abfolute and perfed form of Blood. But with that Blood, at one and the fame time and adion all the Humors are made, whether alimentary or excrementitious. Therefore the Blood, that it may perform its office, that is, the faculty of nutrition, muft neceflarily be purged and cleanfed from the two excrementitious Humors : of which the bladder of Gall draws one, which we call yellow Choler; and the Spleen the other,which we term Melancholy. Thefe two Humors are naturall, but not alimentary or nourifliing, but of another ufe in the body, as afterwards we will fhew more at large. The Blood freed frdm thefe two kinds of Excrements, is lent by the veins and arteries into all parts of the body for their nourifh- ment. Which although then it feem to be of one Ample nature, yet notwithftanding it is truly fuch, that four different and unlike fubftances may be obferved in it, as. Blood, pro- perly fo named, Phlegm, Choler, and Melancholy, not only diftind in colour, but alfo in tafte, effeds, and qualities. For, as Galen notes in his book deNatura humana, Melancholy is acide or four,Choler bitter,Blood fweet,Phlegm unfavory. But you may knowr the variety of their effeds, both by the different temper of the nourilhed parts, as alfo by the various condition ofthedifeafes fpringing from thence. For therefore fuch fubftances ought to be tempered and mixed amongft themfelves in a certain proportion, which remaining, health remains ; but violated,difeafes follow. For all acknowledg, that an Oedema is caufed by Phlegmatick 5 a ScinhM&y Melancholick 5 an Eryfipel^s,by Cholcrick j and a Ehlegmone,by .. . * pure The knowledg of the Humor is neceflary. Lib. De natura Humana, The helps of Health. What an Humor is* The manifold divifion of Humors. The material! and efficient caufcs of Blood Whar the Chyhn is. * Vena porta* Where the Blood is per- fected. The receptacles ofCholer and Melancholy. Four unlike Humors in the Blood. Compendious n>ay toQhirurgery 9 pure and laudable blood. Galen teaches by a familiar example of new wine prefently taken from the Prefs, that thefe 4 fubftances are contained in that one mafs,and mixture of theblood.In which every one obferves 4diftinft Eflences;for the flower of the wine work- ing up, Iwims at the top, the dregs fall down to the bottom, but the crude and watery moifture,mixed together with the iweet and vinous liquor,is every where diftiifed through the body of the wine: the flower of the wine, reprefents Choler, which bubbling up on the fuperficies of blood, as it concretes and grows cold,fhineth with a golden colour; the dregs,Melancholy, which by reafon of its heavinefs ever iinketh downward, as it were, the mud of the blood ;the crude and watery portion, Phlegm ; for as that crude humor, except it be rebellious in quantity, or ftubborn by its quality, there is hope it may be changed into wine,by the naturall heat of the wine ; fo Phlegm,which is blood half con- coctcd, may by the force of native heat be changed into good and laudable blood. Which is the caufe that nature decreed or ordained no peculiar place as to the other 2 Humors, whereby it might be fevered from the blood: But the true and perfeft liquor of the wine reprefents the pure blood, which is the more laudable and perfeft portion of both the hu- mors of the confufed mafs. It may eafily appear by the following fcheme, of what kind they all are,and alfo what the diftinftion of thefe four Humors may be. A comparifon of blood anri new wine. Phlegm is Blood half concofted. ' Why irharh ho properre» cepracle. 1 NATURE. CONSISTENCE. |COLOUR. I TASTE.! USE. Blood is Of Nature aery, hot, and moift, or rather tem- perate. Of indifferent con- fiftence°9 neither too nor too thin. Of Colour red9 rofie, or crim- * fon. 7afte fweet. Of fuch ufe, that it chiefly Jerwes for the nounfbment of the flefijy parts} and carryedby the veffels firn- parts heat to the whole body. Phkgni is Of Nature wa- tery, cold and moifl. Of Confiftence, liquid. Of Colours white. Of fiafies jweet, or rather un fawory,for we com- mend that water which it unfovary. Fit to nourifb the brain, and all the other cold and moifi partSs to temper the heat of the blood5 and by its flipperineffe to help the motion of thejoynts. Choler is Of Nature fiery, hot and dry. Of Confiftence, thin. Of Colour yel- lows or pale. ■OfT'aftes bitter. It provoke the expulfiv. faculty of the guts, atte- nuates the Phlegm clea- ving to them, but the alimentary is fit to nou- rifb the parts of like tem- per with it. Melan- choly is Of Nature earthly5 cold, and dry. Of Confidences groffe and muddy. Of Colours blackifb. Of Taftes acidesfour or biting. Stirs up the appetite, nou- rishes the Spleen, and all the parts of likg temper to it, as the bones. Blood hath its neareft matter from the better portion of the Chylus: and being begun to be laboured in the veins, at length gets form and perfeftion in the Liver; but it hath its remote matter from meats of good digeftion and quality, feafonably eaten after moderate exercife; but for that, one age is better than another, and one time of the year more con- venient than another. For blood is made more copioufly in the Spring,becaufe that feafon of the year comes neareft to the temper of the blood, by reafon of which the blood is ra- ther to be thought temperate, than hot and moift5 for that Galen makes the Spring tempe- rate 5 and befides, at that time blood-letting is performed with the beft (uccefs: Youth is an age very fit for the generation of bloodjor by Galens opinion, rather that part, of life that continues from the 25, to the 35 year of our age. Thole in whom this Humor hath the dominion,are beautified with a frefh and rofie colour, gentle, and wel-natured, pleafant, merry, and facetious. The generation of Phlegm, is not by the imbecillity of heat, as fome of the Ancients thought; who were periwaded that Choler was caufed by a raging,Blood by a moderate, and Phlegm and Melancholy by a remifs heat. But that opinion is full of manifeft error: for if it be true that the Chylus is laboured and made into blood in the fame part, and by the fame fire, that is,the Liver ; from whence in the lame moment of time fhould proceed that ftrong and weak heat, feeing the whole mafs of the blood diffe- rent in its four eflentiall parts, is perfe&ed and made at the fame time, and by the fame cquall temper of the fame pait,aftion,and blood-making faculty 5 therefore from whence have Lil\I, de tempi One arid the fame hear is the efficient caufeof all humors at rhe fame lime. An Introduction, or 10 have we this variety of Humors > From hcnce,for that thole meats by which we are nouri- ffied, enjoy the like condition that our bodies do,from the four Elements,and the four firft Qualities : for it is certain, and we may often obferve, in what kind focver they be united or joined together, they retain a certain hot portion imitating the fire; another cold, the water ; another dry, the earth 5 and laftly, another moift like to the air. Neither can you name any kind of nourifhment, how cold foever it be, not Lettuce it fell, in which there is not ibme fiery force of heat. Therefore it is no marvail, if one and t'..■ \. .; < heat working upon the fame matter of Chjlw3 varying with fo great diflimilitude c, ; 1C . ices, do by its power produce fo unlike humors,as from the hot,Choler;from the cold, Phlegm; and of the others, fuch as their affinity of temper will permit. There is no caufe that any one fhould think that variety of humors to be caufed in us, rather by the diverfity of the aftive heat, than wax and a Hint placed at the fame time, and in the fame flotation of climat and foil,this to melt by the heat of the Sun, and that fcarce to wax warm. Therefore that diverfity of effe&s is not to be attributed to the force of the efficient caufe, that is of heat, which is one, and of one kinde in all of us; but rather to the materiall caufe, feeing it is compofed ofthe conflux, or meeting togetherofvarious fitbftances, gives the heat leave to work , as it were out of its ftore, which may make and produce from the hotter part therof Choler,and ofthe colder and more rebellious Phlegm. Yet I will not deny, but that more Phlegm, or Choler may be bred in one and the fame body,according to the quicker,or flower provocation of the heat;yet neverthelefs it is not confequcnt, that the originall of Choler fhould be from a more acide, and of Phlegm from a more dull heat in the fame man. Every one of us naturally have a flmple heat, and of one kind, which is the worker of divers operations, not of it fel£ feeing it is always the fame, and like it felfj but by the different fitnefs, pliablenefs, or refiftance of the matter on which it works. Wherefore Phlegm is generated in the fame moment of time, • in the fire of the fame part, by the efficiency of the fame heat, with the reft of the blood, of the more cold, liquid, crude, and watery portion of the Chylw. Whereby it comes to pafs, thatitfliews an exprefs figure of a certain rude or unperteft blood,for which occaflon nature hath made it no peculiar receptacle, but would have it to run friendly with the blood in the fame paflages of the veins,that any neceffity hapning by famin,'or indigency,and in defeft of bet- ter nourifhment, it may by a perfeder elaboration quickly aflume the form of blood. Cold and rude nourifhment make this humor to abound principally in winter, & in thofe which incline to old-age,by reafon ofthe ilmilitude which Phlegm hath with that feafon and age. It makes a man drowfie,dul,fat,and fwollen up,and haftneth gray-hairs.Choler is as itwere, a certain heat and fury of humors, which generated in the Liver , together with the blood is carried by the veins and arteries through the whole body. That of it which abounds, is fent, partly into the guts, and partly into the bladder of the gall, or is confitmed by tran- fpiration,or fweats ; It is fomewhat probable that the Arteriall blood is made more thin, hot,quick, and pallid, than the blood of the Veins, by the commixture of this Alimentary Choler. This Humor is chiefly bred and expel'd in youth, and acrid and bitter meats give matter to it: but great labours of body and mind give the occaflon. It maketh a man nimble, quick, ready for all performance, lean, and quick to anger, and alfo to concoft meats. The mclancholick humor, or Melancholy, being the grofler portion of the blood, is partly lent from the Liver to the Spleen to nouriffi it, and partly carried by the vellels into the reft of the body,and {pent in the nourifhment of the parts endued with an earthly drinefs ; it is made of meats of grofs juice, and by the perturbations of the mind,turncd to fear and fadnefs. It is augmented in Autumn, and in the firft and crude Old-age; it makes men fad, harfh, conftant, froward, envious and fearfull. All men ought to think,that fuch Humors are wont to move at fet hours of the day, as by a certain peculiar motion-or tide. Therefore the blood flows from the ninth hour of the night,to the third hour of the day; then Choler to the ninth of the day 5 then Melancholy to the third of the night; the reft of the night that remains, is under the dominion of Phlegm. Mariifeft examples hereof appears in the French-Pox. From the elaborat and abfblutc mafs of the blood, (as we faid before) two kinds of Humors, as excrements of the fecond concocfion,are commonly and naturally feparated,- the one more grofs, the other more thin. This is called either abfo- lutely Choler,or with an adjunci,yellow Choler. That is called Melancholy,which drawn by the Spleen in a thinner portion, and elaborate by the heat of the Arteries,which in that part are both many and large, becomes nourifhment to the part; the remnant thereof is carried by the veiny Veflel into the orifice of the ventricle, whereby it may not caufe but whet the appetite, and by its aftriftion ftrengthen the aftions thereof. But yellow Choler drawn into the bladder of the gall, remains there fb long, till being troublefbme, either in quantity or quality, it is excluded into the guts, whereby it may caft forth the excre- ments refiding in them ; the expuliive faculty being provoked by its acrimony,and by its bitternefs kils the worms that are bred there. This fame Humor is accuftomed to die the urine of a yellow colour. There is another ferous Humor;which truly is not fit to nouriffi but profitable for many other things, which is not an excrement of the fecond, but of the hrft concoftion. Therefore nature would that mixed with the Chylm, it fhould come to The heat of the Sun alone doth melt wax and harden clay. The divers condition of the matter a» lone* is rhe caufe of va- riety. The effefl of Phlegm. Theeffefls of Ciioler. Theeflfefls of Melancholy. What motions are inearh quarter of the body. The Melan* choly Humor doth nor caufe, bur whet the appetite. A ferous or wheyifh humor Chap. 6. Compendious top ay to Cbirurgery. 11 the Liver, and not be voided with the excrements, whereby it might allay the grofnefs of the blood, and ferve it for a vehicle ; for otherwife the blood could fcarce pals through the capillary veins of the Liver, and palling the fimous and gibbous parts thereof, come to the hollow vein. Part of this ferous humor feparated together with the blood which ferves for the nourilhment of the Reins, and ftraight carried into rhe bladder, is turned into that urine which we daily make 5 the other part therefore carryed through all the body toge- ther with the blood, performing the like duty of tranlportation, is excluded by Iweats into which it degenerates. Befides the forenamed, the Arabians have mentioned four other humors, which they term Alimentary and fecondary, as being the next matter of nourilh- ment, as thofe four the blood contains, the remote. They have given no name to the firfl kind, but imagin it to be that humor, which hangs ready to fall like to little drops in the utmoft orifices of the veins. They call the fecond kind, * Dew 3 being that humor, which entred already into the fubftance of the part, doth moiften it. The third they call by a barbarous name. Cambium, which already put to the part to be nouriflied, is there faftned. The fourth named Gluten, or Glew, is only the proper and fubftance-making humidity of the fimilar parts,not their fubftance. The diftinftion of the degrees of nutrition recited by Galen in his books of Naturall faculties, anfwer in proportion to this diftinction of hu- mors. The firft is, that the blood flow to the part that requires nourilhment then that being there arrived, it may be agglutinated; then laftly,that having loft its former form of nourilhment, it may be aflimilated. Thofe humors are againft nature, which being corrupted, infeft the body and the parts in which they are contained by the contagion of their corruption, retaining the names and titles of the humors, from whole perfection and nature they have revolted, they all grow hot by putrefadion, although they were formerly by their own nature cold. And they are corruptcd,either in the veins only,or within and without the veins: In the veins Blood and Melancholy 5 but both without and within the veins, Choler and Phlegm. When Blood is corrupted in its thinner portion, it turns into Choler, when in its thicker, into Melancholy 5 for the Blood becomes faulty two manner of ways,either by the corru- ption of its proper fubftance by putrefa&ion, or by admixtion of another fubftance by in- feftion. TheMelan.aoly humor which is corrupted in the veins, is of three forts: The firft is of a Melancholy juice putrefying, and by the force of a ftrange heat, turned, as it were,into alhes,by which it becomes aduft, acrid and biting. The other arifeth from that Choler which refembles the yolks of eggs, which by aduftion becomes leek-coloured, then aeruginous, or of a blewilh green, then red, and laftly black, which is the very worft kind of Melancholy, hot, malign, eating, and exulcerating, and which is never feen or voided with fafety. The third comes from Phlegm putrefying in the veins, which firft degenerates into fait Phlegm, but ftraight by the ftrength of extraneous heat degenerates into Melan- choly. Secundary Humors. * Humors <t" gain ft nature. Into what Hu- mors rhe blood when it cor- rupts, doth degenerate. The Melan- choly Humor corrupted, is of three kinds. Acide and very crude,as which hath had none or very |little impreffion of heat, but that which it fird had in .the domach. ' Salt,which is bred by the fweet, putrefying and adufl, or mixture of adud ana fait particles. In the Veins, and is either Watenlh, as is that thin moilture which diltils from the brain by the nodrils. Mucous, as when that waterifh is thickned into filth by the help of feme accidental! or fmall heat. Glaffie, or * Albuminous,refembling molten glafs,or rather the white of an egg, and is mod cold. fas or Plaider-like, which is concrete into the hardnefs and form of chalk,as you may fee in the joints of the fingers in a knotty gout, or in inveterate didilla- tions upon the Lunes. Phlegm not natural/, is bred} either Or without the Veins & is of four • forts j either * Jlhuminea. In the Veins, as the * vitelline (like in confidence to the yolk of a raw egg) which the acrimony of drange heat breeds of yellow Choler, which fame in difeafes altogether deadly,degenerates into green, aeru- ginous,& ladly into a blue,or colourlike that which is dried by woad. * Piteflina. Choler not natural! is bred3 either 4 i he hrir is called or leek-coloured, refeni- bling the juice of a leek in greennefs. Tne fecond 3 or seruginous, like in colour to verdig reafe. The third blewifh,or woad-coloured, like the colour died by woad. The fourth red, differing in this from blood, whole colour it imitates, that it never cometh into knots, or clods like blood. The fifth very red, generated by the excefs of the for- which caufeth burning feavers. The Or in the ca- pacity of the upper belly, as the ven-< tricle, and this is of five kinds: 12 An Introduction, or The kinds of fuch Choler, are often caft forth by vomit in difeafes, the ftrength of the difeafe being paft; being troublefbme to the parts through which they are evacuated, by their bitternefs, acrimony, and biting. The ftgnes of a Sanguine perfon. 1 Think it manifeft,becaufe the matter and generation of flefh is principally from blood, that a man of a flefhy, denfe, and folid habit of body, and full ot a fweet and vaporous juice, is of a Sanguine complexion. And the fame party hath a flourifhing and rofie colour in his face, tempered as with an equal mixture of white and red ■, of white, by reafon of the skin lying utmoft; of red,becaufe of the blood fpread underneath the skin: for always fuch as the humor is, fuch is the colour in the face. In manners, he is curteous, gentle,eaiie to be fpoken to, not altogether eftranged from the love of women,of a lovely countenance and fmooth forehead, feldom angry, but taking all things in good part ; for as the incli- nation of humors is, to alfo is the difpofition of manners. But blood is thought the mild- eft of all humors ; but the ftrong heat of the inward parts maketh him to eat and drink freely. Their dreams are pleafant, they are troubled with difeafes arifing from blood, as frequent Phlegmons, and many (anguine puftles breaking through the skin,much bleeding, ana menftruous fluxes. Wherefore they can well endure blood-letting, and delight in the moderate ufe of cold and dry things ; and laftly, are offended by hot and moift things. They have a great and ftrong Pulfe, and much urine in quantity, but milde of quality, of an indifferent colour add fubftance. The ftgnes of a perfon. CHolerick men are of a pale or yellowifh colour, of a lean,flender and rough habit of body, with fair veins and large Arteries, and a ftrong and quick pulfe : their skin being touched, feelshot, dry, hard, rough andharfh, with a pricking and acrid ex- halation which breathes forth of their whole body. They caft forth much choler by ftool, vomit and urine. They are of a quick and nimble wit, ftout, hardy and fharp vindi- cators of received injuries,liberall even to prodigality, and fbmwhat b''o defirous of glory. Their fleep is light, and from which they are quickly waked; their dreams are fiery, burn- ing, quick, and full of fury; they are delighted with meats and drinks which are fome- what more cold and moift, and are fubjeft to Tertian and burning feavers, thePhrenfie, Jaundife, Inflammations, and other Cholerick puftles, the Lask, Bloody flux, and bitter- nefs of the mouth. The ftgnes of a THofe in whorti Phlegm hath the dominion, are of a whitifh coloured face, and fome- times livid and fwollen, with their body fat, foft, and cold to touch. They are molefted with Phlegmatick difeafes, as Oedematous tumors, the Dropfie,Quo- tidian reavers, falling away of the hairs, and catarrhes falling down upon the Lungs,and the Aftera Arteria-pr Weafon : they are of a flow capacity,dull, flothfiill,drowfie ; they do dream of rains, fn-ows, floods, fwimming,and fuch like, that they often imagin themfelves overwhelmed with waters; they vomit up much watery and Phlegmatick matter , or otherwife fpit and evacuate it, and have a foft and moift tongue. And they are troubled with a dog-like hunger, if at any time it fhould happen that their infipid Phlegm become acide; and they are flow of digeftion, by reafon of which they have great ftore of cold and Phlegmatick humors; which if they be carried down into the windings of the Colick-gut, they caufe murmuring and noife, and fometimes the Colick. For much wind is eafily caufed of fiich like Phlegmatick excrements wrought upon by a fmall and weak heat, filch as Phlegmatick perlons have, which by its naturall lightnefs is diverfly carried through the turnings of the guts, and diftends and fwels them up, and whiles it ftrives for paflage out, it caufeth murmurings and noifes in the belly, like wind breaking through narrow paflages. Signes of a perfon. THe face of Melancholy perlons is fwart, their countenance cloudy and often cruell, their afpeft is fad and froward ; frequent Scirrhous, or hard fwellings, tumors of the Spleen, Haemorroids, Tarices (or fwollen Veins) Quartain feavers, whether continuall or intermitting; Quintain, Sextain, and Septimane feavers : and to conclude, all fuch wandering feavers or agues let upon them. But when it happens the Melancholy humor isfharpned, either by aduftion, or commixture of Choler, then Tetters, the black Mor- phew, the Cancer fimple and ulcerated, the Leprous and filthy fcab, fending forth cer- tain fcaly and branlike excrefcences, (being vulgarly called Saint Manis his evil;) and the Leprofie it felf invades therh : They have fmall veins and arteries, becaufe coldnefs hath dominion over them ; whole property is to ftraiten, as the quality of heat is to di- late. But if at any time their Veins leem big, that largenefs is not by reafon of the laudable Such as the humor is,fuch is the colour. The manners and difeafcs of Sanguine per- fons. Cholerick are not commonly far. The manners and difeafcs of Cholerick perfons. The manners and difeafcs of phlegmarick pcrfons. From whence noife or rum- bling in the belly proceeds. Difeafesfami- jiar to Melan- choly perfons* Chap. 7. Compendious way to Cbirurgery. 13 laudable blood contained in them, but from much windinefs; by occafion whereof it is fomewhat difficult to let them blood ; not only, becaufe that when the Vein is opened, the blood flows (lowly forth, by reafon o>f the cold (lownefs of the humors; but much the rather, for that the vein doth not receive the impreffion of the Lancet, Aiding this way and that way, by reafon ofthe windinefs contained in it,and becaufe that the harffi drinefs of the upper skin, refills the edg of the inftrument. Their bodies feem cold and hard to the touch, and they are troubled with terrible dreams , for they are obferved to feem to fee in the night Devils, Serpents, dark dens and caves, fepulchers, dead corpfes, and many other fuch things full of horror, by reafon of a black vapor, diverfly moving and dis- turbing the brain, which alfo we lee happens to thofe, who * fear the water, by rea- fon of the biting of a mad dog. You (hall finde them froward, fraudulent, parfi- monious, and covetous even to bafenefs, flow (peakers, fearfull, (ad, complainers, carefull, ingenious, lovers of (blitarinefs, man-haters, obftinate maintainers of opinions once conceived, flow to anger, but angred not to be pacified. But when Melancholy hath ex- ceeded natures and its own bounds, then by reafon of putrefaftion and inflammation all things appear full of extreme fury and madnefs,fo that they often caft themfelves headlong down from fome high place, or are otherwife guilty of their own death, with fear of which notwithftauding they are terrified. But we muft note that changes of the native temperament, do often happen in the courfe of a mans life, fo that he which a while agone was Sanguine, may now be Cholerick, Me- lancholick, Qr Phlegmatick ; not truly by the changing of the blood into fuch Humors, but by the mutation of Diet, and the courfe or vocation of life. For none of a Sanguine complexion but will prove Cholerick if he eat hot and dry meats, ( as all like things are cheriffiedandprefervea bytheufe of their like, and contraries are deftroyed by their contraries) and weary his body by violent exercifes, and continuall labors ; and if there be a luppreffion of Cholerick excrements , which before did freely flow, either by na- ture or art. But whofbever feeds upon Meats generating grofs blood, as Beef, Venifon, Hare, old Cheefe, and all (alt meats, he without all doubt Aiding from his nature, will fall into a Melancholy temper; efpecially if to that manner of diet, he (hall have a voca- tion full of cares, turmoils, miferies,ftrong and much ftudy, carefull thoughts and fears; and alfo if he fit much, wanting exercife, for (b the inward heat, as it were, defrauded of itsnouriffiment, faints, and grows dull, whereupon grofs and droflie humors abound in the body. To this alfo the cold and dry condition of the place in which we live, doth conduce, and the fuppreflion of the Melancholy humor accuftomed to be evacuated by the Haemorrhoids, courfes, and (tools. But he acquires a Phlegmatick temper, whofoever ufeth cold and moil! nourifhment, much feeding, who before the former meat is gone out of the belly, (hall ftuff his paunch with more, who prefently aftermeat runs into violent exercifes, who inhabit cold and moift places, who lead their life at eafe in all idlenefs; and laftly, who fuffer a (uppreffion of the Phlegmatick humor accuftomly evacuated by vomit, cough, or blowing the nofe,or any other way, either by nature or art. Certainly it is very convenient to know thefe things, that we may difeern if any at the prefent be Phlegmatick, Melancholick, or of any other temper, whether he be fuch by nature, or neceffity. Having declared thofe things which concern the nature of Temperaments, and deferred thedefcription of the parts of the body to our Anatomy, we will begin to fpeak of the Faculties governing this our life, when firft we (hall have (hewn by a prafticall demonftration of examples, the ufe and cer- tainty of theaforefaid rules of Temperaments. From, or by whar their Veins are fwollcn* Their dt earns. * Hjdrophobi. Their manners. From whence the change of the native temper. How one may become Cho- lerick. How Melan- cholick. How Phlegms- tick. CHAP. VII. Of the Praff ice of the aforefaid rules of Temperaments. {at we may draw the Theorick of the Temperaments into practice, it hath feemed good for avoyding of confufion which might make this our Introdu- ction feem obfcure.if we would profecute the differences of the Tempers of all men of all Nations, to take thofe limits which Nature hath placed in the world; as South, North, Eaft, and Weft, and, as it were, the Center of thofe bounds,thatthe defcribed variety of Tempers,in colour,habit,manners,ftudies, actions, and form ot life of men that inhabit thofe Regions fituated lb far diftant one from another,may be as a fure rule, by which we may certainly judg of every mans temperature in particular, as he fhall appear to be nearer or further off from this or that Region. Thofe which inhabit the South, as the Africans, Ethiopians, Arabians, and Egyptians, are for the nioft part deformed, lean, duskie coloured, and pale. With black eys and great lips, curled hair, and a fmall and fhrill voice. Thofe which inhabit the Northern parts, as the Scythians, Mu [covites, Polomans, and Germanes;) have their faces of colour white,mixed with a convenient quantity of blood, their skin foft and delicate, their hair long, hanging C down Four bounds or Regions of the woild. The forces of temperatures in particulars. The tempera- ture of the Southfern . people. Of the Nor- thern. An Introduction, or Cha p.7. 14 down and fpreading abroad, and of a yellowifb,or reddiffi colour; of ftature they are com- monly tall, and of a well proportioned,fat and compact habit ofbody,their eyes gray,their voice ftrong, loud and big/ But thofe who are fituated between thefe two former, as the Italians and Frewh,have their faces fomewhat fwart,are well favoured,nimble, ftrong,hairy, {lender,well in flefh,with their eyesrefcmbling the colour of Goats-eyes, and often hollow eyed,having a cleer,thrill and pleating voyce. The Southern people are exceeded fo much by the Northern in ftrength and ability of body,as they furpafs them in wit and faculties of the mind. Hence is it you may read in Hiftories,that the Scythians3Goths and Vandals vexed and Spain with infinite incurli- ons, andmoft large and famous Empires have been founded from the North to South ; but few or none from the South to the North. Therefore the Northern people thinking all right and law to confift in Arms, did by Duell only determine all caules and controver- lies arifing amongft the Inhabitants, as we may gather by the ancient laws, and cuftomcs of the Lumbards, Englfrb, Eurgonians, Danes and Germans ; and we may lee in Saxo the Grammarian that liich a law was once made by Fronto King of The which cuftome at this day is every where in force amongft the Muscovites. But the Sou- thern people have alwayes much abhorred that, fafliion, and have thought it more agreeable to Beafts than IVJcn. Wherefore we never heard of any fuch thing tiled by the Adrians, ./Egyptians, Perjians or Jews. But moved by the goodnefs of their wit, they erefred Kingdomes and Empires by the onely help of Learning and hid- den fciences. For feeing by nature they are Melancholik, by reafon of the drynefs of their temperature , they willingly addift thcmfelves to folitarinefs) and contempla- tion, being endued with a lingular lharpnefs of wit. Wherefore the Africans, and Indians,have invented manyfeurious fciences, revealed the Myfteries and fecrets of Nature,digefted the Mathematiques into order, obfer- ved the motions of the heavens,and firft brought in the worftiip and religious facrifices of the gods: Even fo far that the Arabians who. live only by ftealth,aud have only a Waggon for their houfe, do boaft that they have many things diligently and accurately obferved in Aftrology by their Anceftors, which every day made more accurate and copious, they, as by an hereditary right, commend to pofterity, as it is recorded by Leo the African. But • the Northern people, as the Germans, by reafon of the aboundance of humors and blood, by which the mind is as it were oppreft, apply themfelves to works obvi- ous to the fenfes, and which may be done by the hand. For their minds oppreft with the earhtly mafs of their bodies, are eafily drawn from heaven and the contemplation of Celeftiall things, to thefe inferior things, as to find out Mines by digging, to buy and caft metalls, to draw and hammer out works of Iron, fteel andbrafs. In which things they have proved fo excellent, that the glory of the Invention of Guns and Printing belongs to them. The people who inhabit the middle regions between thefe, are neither naturally fit for the more abftrufe fciences, as the Southern people are, nor for Mechanick works, as the Northern, but intermeddle with civil affairs, commerce and Merchandizing. But are endued with fiich ftrength ofbody as may luffice to avoid and delude the crafts and arts of the Southern Inhabitants;and with liich wildom as may be fufficient to reftrain the fury and violence of the Northern. How true this is, any one may underftand by the example of the Carthaginians and Africans, who when they had held Italy for fome years by their fiib- tile counfels,crafty Heights and devices ; yet could not elcape, but at the length their Arts being deluded,and they fpoiled of all their fortunes, were brought in fubjeftion to the Fo- mans. The Gothes,Hunnes and other Northern people have fpoiled and overrun the Romane . Empire by many incurfions and inroads, but deftituteof counfell and .providence, they j could not keep thofe things which they had gotten by Armes and valour. Therefore the opinion of all Hiftorians is agreeing in this,that good Iaws,the form of governing a Com- mon-wealth,all politick ordinances, the Arts ofdifputing and fpeaking,have had their be- ginnings from the Greeks, Romans and French. And from hence in times paft and at this day a greater number of Writers, Lawyers andCounfellors of State have Sprung up, than in all the whole world belides. Therefore that we may attribute their gifts to each Region , we affirm that, The Southern people are born and fit for the Studies of learning, the Nor- thern forwarres, and thofe which be between them both for Empire and rule. The Italian is naturally wife, the Spaniard grave and conftant; the French quick and di- ligent , for you would fay hee runs when he goes, being compared to the flow and womaniffi pace of the Spaniard, which is the caufe that Spaniards are delighted with French fervants for their quick agility in difpatching bufinefs. The Eaftern people are ipecially indued with a good,firm and well tempered wit, not keeping their counfels fecret and hid. For the hafte is of the nature of the Sun, and that part of the day which isjnext to the rifing of the Sun is counted the right fide and ftronger; and verily in all things living the right fide is alwayes the more ftrong and vigorous. But the Weftern people are more tender and effeminate, and more clofe in their carriage and mind, not The Southern people prevail in wit,rhe Northern in fticngth. The Southern people learned and religious* The Northern famous War- riours, and Ar- tificers. The endow- ments of fuel as inhabit be- tween them* The Northern know how to overcome, but not how to ufe the viftory. Theaboun- dance of coun- fcllors-and Lawyers from France and Italy. The manners of the Eaftern people. Chap. 8. Compendious way to Cbiriirgery. 15 not eafily making any one partaker of their fecrets. For the Weft is as it were fubjeft to the Moon, becaufcat the change it alwayes inclines to the Weft,whereby it happens,that it is reputed as no&urnall,finifter andoppofite to the Eaft; and the Weft is lefs temperate and wholfome. Therefore of the winds none is more wholfome than the Eaftwind which blows from the Weft with a moftfreffi and healthfall gale,yet it feldome blows, and but only at Sun-let. The Northern people are good eaters,but much better drinkers, witty when they are a little moiftened with wine,and talkers ofthings both to be fpoken and concealed,not very conftantin their promifes and agreements,but principal keepers and prefervers of ffiamefaft- nefs and chaftity, far different from the inhabitants of the South, who are wonderfull fpa- ring,fober, fecret and fubtle, and much addi&ed to all forts of wicked Luft. AriMe in his Problemes faith that thofe nations are barbarous and cruell, both which are burnt with immoderate heat, and which are oppreft with exceffive cold, becaufe a foft temper of the Heavens, foftens the mannersand the mind. Wherefore both, as well the Northern, as Scythians and Germans; and the Southern, as Africans,are cruell ; butthefe have this of a certain naturall ftoutnefs, and fouldierlike boldnefs, and rather of anger then a wilfull defire of revenge; becauiethey cannot reftrain by the power of reafbn the firft violent mouions or their angei by reaion of the heat of their blood. But thofe of a certain in- bred and inhumane pravity of manners, wilfully and willingly premeditating they per- form the works of cruelty, becaule they are of a fad and melancholy nature. You may have an example of the Northern cruelty from the Tranfilvanians againft their feditious Captain George, whom they gave to be torne in pieces alive and devoured by his Souldi- ers,(being kept falling for three dayes before for that purpofe)who was then unboWelled and rolled, and fo by them eaten up. The cruelty of Hannibal the Captain of the Cartha- ginians may fuffice for an inftance of the Southern cruelty. He left the Roman Captives wearied with burdens and the length of the way,with the foies of their feet cut off; But thofe he brought into his tents,ioyning brethren and kinfmen together he caufed to fight neither was latisfied with blood before he brought all the viftors to one man. Alfo we may fee the cruell nature ofthe Southern Americans, who dip their children in the blood ot their flain enemies, then fuck their blood, and banquet with their broken and fqueafed And as the Inhabitants of the South are free from divers Plethorick difeafes, which are caufed by aboundance of blood,to which the Northern people are fubjeft, as Feavers, De- flexions, Tumors, Madnefs with laughter which caufeth thofe which have it to leap and dance, (the people commonly tearm it S.vitturiis evilf) which admits of ho remedy but Mulick : fo they are often molefted with the Frenfie invading with madnefs and fury; by the heat whereof they are often fo ravilhed and carried befide themfelves that they foretell things to come; they are terrified with horrible dreams, and in their fits they fpeak in Itrange and foram tongues, but they are fo fubjed to the feurfe and all kind of fcabs and to the Leprpfie as their homebred difeafe, that no houfes are fo frequently met withall by of Leajw^11 thfOU§h eitherof the Mauritania's, as Hofpitalls provided for the Lodging - Jh°i eLwho i.nha^it ,roilSh and Mountainous places, are more brutiffi,tough and able to induce labour: bu t fuch as dwell in Plains,efpecially if they bemoorifkor fennifh,areof a tender body,and fweat much with a little labour; the truth of which is confirmed by the Hollanders and Frizlanders. But if the Plain be fuch as is feorched by the heat of the Sun, and blown upon by much contrariety of winds, it breeds men who are turbulent, not to be tamed,deftrous of fedition and novelty,ftubborn,impatient of fervittide, as may be per- ctIved by the foie example of the Inhabitants of Narbon a province of France. Thole who dwell in poor and barren places are commonly more witty and diligent and moft patient of labours; the truth of which the famous wits of the and the plain country ofthe Laotians in Greece, of the Campanians in Italy .and ofthe reft of the Inhabiters adjoining to the Ligurian Sea, approves. TheEaft wind healthful!. The Northern people great eaters and drinkers. Who are to be counted Bar- barous. The Northern and S'ourhcrn have each their Crudues. Pater. Max. lib; 9*cap,i. The difeafes of the Southern people. CHAP. VIII. of the Faculties. Facuity is a certain powerful efficient caufe,proceeding from the temperament or the part, and the performer of fome aftions of the body. There are three principal! Faculties governing mans body as long as it enjoyes its integrity5 the Animall,Vital and Natural.The Animall is felted in the proper tempera-* . , , ment of the Brain,fiom whence it is diftributed by the Nerves into all parts of t e o y Wch have fenfe& motion.This is of three kinds,fbr one is Moving, another feifi- rVefSe thlr" PrLinciPall-The fenfitive confifts in the five external fenfes,fight,heariilg,tafte, imei sc touch.Themoving principally remains in the MufcleS & nerves as the fit inftniments C 2 ©I What a faculty is. 3. Faculties. An Introduction, or C H A P.8. 16 of voluntary motion. ThePrincipall comprehends the Reasoning faculty,the Memory and Fantalie. Galen would have the common or inward fenicto be comprehended within the compals of the Fantalie, although Arifiotle diftingmlh between them. The Vitali abides in the Heart, from whence heat and life is diftributed by the Arteries to the whole body : this is principally hindered in thedileafes of the Brtft; as the Princi- pal! is, when any difeale aflails the Brain ; the prime action of the vital! faculty is Pulia- tion,and that continued agitation of the Heart and Arteries, which is of threefold ule to .the body: for by the dilatation of the Heart and Artcrks the vitall Ipirit is cherilhedby the benefit of the Air which is drawn in ; by the contraction thereof the vapours of it are pur- ged and fent forth,and the native heat of the whole body is tempered by them both. The laft is the Naturallfaculty which hath chofen its principal 1 feat in the Liver, it fpreads or carries the nourilhment over the whole body ; but it is diftinguilhed into 3. o- tner faculties ; The Generative,which ferves for the generation and forming of the I Hue in the wombe ; the Growing or increafing faculty,which flourilheth from the time the lilue is formed, untill the perfeft growth of the folid parts into their full dimenfions of length, height and bredth. The nourilhing faculty,which as ftrvant to both the other repairs and repays the continuall efflux,and wafte of the threefold fubflance; for Nutrition is nothing elie but a replenifhing,or repairing whatfoever is wafted or emptied. This nourilhing fa- culty endures from that time the Infant is formed in the wombe untill the end of lite. It is a matter of great confequence in Phyfick to know the pother faculties,which as lervants attend upon the nourilhing faculty; which are the Attractive,Retentive,Digcftive,and Ex- pulfive faculty. The Attraftivedraws that juyce which is fit to nourilh the body,that I fay which by application may be aflimilated to the part. This is that faculty which in fuch as arc hungry draws down the meat fcarce chewed,and the drink fcarfe tailed, into the gnaw- ing and empty ftomack. The Retentive faculty is that which retains the nourilhment once attrafted untill it be fully laboured and perfectly conceded ; And by that means it yeelds no fmall afliftance to the Digeftive faculty. For the naturall heat cannot perform the office of concoCtion, unlefs the meat be embraced by the part,and make fome ftay therein. For o- therwife the meat carry ed into the ftomach never acquires the form of Chy Ins, unlefs it ftay detained in the wrinkles thereof,as in a rough paflage,untill the time of Chylification. The Digeftive facultie aflimilates the nourilhment, being attrafted and detained, into the fub- ftance of that part whofe faculty it is, by the force of the inbred heat and proper difpofiti- on or temper of the part. So the ftomach plainly changes all things which are eat and drunk into the Liver turns the Chylns into blood. But the Bones and Nerves convert the red and liquid blood which is brought down unto them by the capillary or imall veins, into a white and folid liibftance. Such concoCtion is far more laborious in a Bone and Nerve,than in the Mufculous flelh. For the blood being not. much different from its nature,by a light change and concretion turns into fielh. But this ConcoCtion will ne- ver fatisfie the defire of Nature and the parts,unlefs the nourilhment purged from its excre- ments,put away the filth and drofs,which mull never enter into the of the part. Wherefore there do not only two forts of excrements remain of the firft and fecondCon- r co&ion, the one thick,the other thin,as we have laid before; but alfo from the third Con- coCtion which is performed in every part. The one of which we conceive only by reafon, being that which vanilheth into Air by inlenfible tranfpiration. The other is known fometimes by fweats,fometimes by a thick fatty fubftance ftaining the fhirt; fometimes by the generation of hairs and nails, whofe matter is from fuliginous and earthly excrements of the third ConcoCtion. Wherefore the fourth faculty was neceflary which might yeeld no fmall help to nourilhment; it is called the Expulfive,appointed to expell thofe luper- fiuotis excrements which by no aCiion of heat, can obtain the form of the part. Such facul- ties lerving for nutrition are in fome parts two-fold;as fome common,the benefit of which redounds to the whole body, as in the ventricle, liver and veins 5 Others only attending the lervice of thofe parrs in which they remain,and in fome parts all thele 4. aiwell com- mon as proper,are abiding and refidingas in thole parts we now mentioned : fome with the 4. proper have only two common, as the Gall, Spleen,Kidnies and Bladder. Others are content only with the proper,as the fimilar and Mufculous parts, who if they want any of theft 4. faculties,their health is decayed either by want of nourilhment,and ulcer, or o- therwile. The like unnaturall affefts happen by the deficiency of juft aud laudable nouriffi- ' ment. But ifit happen thole faculties do rightly perform their duty , the nourilhment is changed into the proper part, and is truly aflimiiated as by thele degrees. Firft it mull flow to the part,then be joyned to it,then agglutjnated,and laftly as we have fald,affi- niilatcd. Now we muft (peak of the Actions which arife-from the faculties. The triple ufe of rhe Pulfe. The faculty isthtcc- fold. What Nutriti- on is* Four other fa- culties attend upon the nou* rifhmg faculty. The neceflity of the retentive faculty. Two excre- ments of every concoflion. The work of rhe expulfive faculty. By what de- grees the nou- rifhment is aflimilatcd. CHAP. Chap. 9. Compendious way to Cbirurgery. 17 CHAP. IX. of the Actions. N Aftion or Funftion is an aftive motion proceeding from a faculty ; for as the faculty depends on the Temperamentjib the Aftion on the faculty, and the Aft or work depends upon the Aftion by a certain order of confequence. But al- though that the words Aftion and Aft or work are often confounded, yet there is this difference between them, as that the Aftion lignifies the motion ufed in the perfor- mance of any thing ; but the Aft or work, the thing already done and performed : for ex- ample, Nutrition and the Generating of flefli are naturall Aftions; but the parts nourilh- ed, and a hallotv ulcer filled with flefh are the works of that motion,or aftion. Wherefore the Aft arifeth from the Aftion,as the Aftion arifeth from the faculty,the integrity or per- feftion of the inftruments concurring in both. For as, if the faculty be either defeftive, or hurt,no Aftion will be well performed: fo unlefs the Inftruments keep their native and due conformity (which is their perfeft health,the operator of the Aftion proper to the in- ftrument) none of thole things, which ought tobe,will be well performed. Therefore for the performance of blamclefs and perfeft aftions,it is fit a due conformity of the inftrument concur with the faculty. But Aftions are two fold 5 for they are either Naturall, or Vo- luntary. They are tearmed Naturall,becaufe they are performed not by our will, but by their own accord and againft our will : As are, that continuall motion of the Heart, the beating of the Arteries, the expullion of the Excrements, and fuch other like which are done in us by the Law of Nature whether we will,or no. Thefe Aftions Haw either from the Liver and veins,or from the Heart and Arteries. Wherefore we may conlprchend them under the names of Naturall and Vitali Aftions. For we muft attribute his Aftion to each faculty, left we may feem to conftitute an idle faculty, and no way profitable for ule. The unvoluntary vital! aftions,are the dilatation and contraftion of the Heart and Arteries,the which we comprehend under the foie name of the Pulle: by that they draw in,and by this they expel!, or drive forth. The unvoluntary vital! aftions be. What ara Afti- on is. An aft ion and and Aft are different. Naturall aflt- ons. Generation Growth and Nutrition which proceed from the1 Generative Growing,and Nouri {hinc facultie. Generation is nothing elfe then a certain producing or acquiring of matter, and an in- troducing of a fubftantiall form into that matter;this is performed by the affiftance of two faculties of the Altering,which doth diverfly prepare and difpofe the feed and menftru- qus blood to put on the form of a Bone, nerve, lpleen,flefh and filch like: of the Forming faculty,which adorns with figure, fite,and compofition, the matter ordered by fo various a preparation. Growth is an inlarging of the folid parts into all the dimehfions,the priftineand anci- ent form remaining fare and found in figure and folidity.For theperfeftion of every growth is judged only by the folid parts ; for if the body fwell into a mafs offlefh, or fat, it fhall not therefore be laid to be grown : but then only when the folid parts do in like manner increafe,efpecially the bones,bccaufe the growth of the whole body follows their increase, even although at the fame time it wax lean and pine away. Nutrition is a perfect affimilation of that nouriftiment which is digefted,into the nature of the part which digefts. It is performed by the affiftance of 4. fubfidiary or helping acti- ons, Attraftive,Retentive, Digeftive,and Expullive. 1 he voluntary aftions which we willingly perform,are fb called, becadfe We can at our pleaiure hinder,ftirup,flow or quicken them. They are three in general],the fenfitive,mo- ving, and principal! Aftion. The fenfitive * Soul comprehends all things in five fenfes, in Sight, Hearing, Smell, Tafte and Touch. Three things muft neceflarily concur to the performance of them, the Organ, the Medium or mean, and rhe Objeft. The principal! Or- gan, or Inftrument, is the Animal! fpirit difliifed by the nerves into each feveral part of the body, by which fiich aftions are performed. Wherefore for the prefint we will ufethe Parts themfelves for their Organs. The Mean is a Body , which canyes the Objeft to the Inftrument. The Objeft is a certain externall quality, which hath power by a fit Medium or Mean to ftir up and alter the Organ. This will be more manifeft by relating the particular funftions of the fenfes by the neceflary concurring of thefe three. Sight, is an aftion of the feeing faculty, which is done by the Eye, fitly compofed of its coats and humors, and fo confequently the Organicall body of this Aftion. The Ob- ject is a vifible quality brought to the Eye. But fuch an Objeft is twofold; for either it is abfolutely vifible of its felf, and by its own Nature, as the Sun, the fire, the Moon and Stars: or defires as it were the help of another that it may be aftual- ly fuch, for fo by the coming of the light colours, which were vifible in power onely, being brought to the Eye, they do feem and appear fiich as they actually are; C 3 But What Growth is. What Nutriti- on is. Aftion volun* tary. * fen-' tienf. How fight is performed. 18 An Introduction, or But fuch Objefls cannot arrive at the Eye, but through a clear and illuminate Medium 3 as the Air,Water, Glaffe and all forts of Cryftall. The Hearing hath for its Organ the Ear and Auditory paflage, which goes to the ftonybone furnilhed with a Membrane inverting it, an Auditory Nerve, and a certain in- ward fpirit there contained. The Object is every found ariling from the (mitten or broken Air, and the Collifion of two bodies meeting together. The Medium is the en- compaffing Air which carries the found to the Ear. Smelling (according to Galem opinion) is performed in the Mamillary procefles pro- duced from the proper fubftance of the brain, and feated in the upper part of the nofe : although others had rather fmelling fhould be made in the very foremoft ventricles of the brain. This ARion is weak in man in comparifbnof other Creatures: the Object thereof is every fmell, or fumid exhalation breathingout of bodies. The Medium by which the Objeft is carried to the nofes of Men, Beafts and Birds, is the Air, but to Fifties the Water it felf. The Aftion of tafte is performed by the tongue being tempered well and according to nature, and furnilhed with a nerve fpred over its upper part from the third and fourth conjugation of the brain. TheObjeft is* Tafte,of whofe nature and kinds w7e will treat more at large in our Antidotary. The Medium by the which the Objeft is fo carried to the Organ, that it may affeft it, is either externall or internall : The ex- ternal! is that fpattle which doth as it were anoint and fupple the tongue ; the internall is the fpongy flefh of the tongue it fel£> which affefted with the quality of the Objeft doth prefently fo poflefs the nerve that is implanted in it, that the kind and quality there- of by the force of the fpirit may be carryed into the common fenfe. All parts endued with a nerve enjoy the fenfe of touching, which is chiefly done, when a traftable quality doth penetrate even to the true and nervous skin, which lyeth under the Cuticle, or fcarf-skin; we have formerly noted, that it is moft exquifite in the skin which invefts the ends of the fingers. The Objeft is every traftable quality, whether it be of the firft rank of qualities, as Heat, Cold, Moifture, Drynefs, or of the fecond, as Roughnefs, Smoothnefs, Heavinefs, Lightnefs, Hardnefs, Softnefs, Rarity, Denfity,Friability, unftuofity, Grofnefs,Thinnefs. The Medium by whofe procurement the inftrument is affe&ed, is either the skin or the flefh interwoven with many Nerves. The next Action, is that Motion, which by a peculiar name we call voluntary; this is performed and accompliftied by a Mufcle, being the proper Inftrument of voluntary Mo- tion. Furthermore every motion of a member poflelfing a Mufcle is made either by bend- ing and contradion, or by extention. Although generally there be fo many differences of voluntary motion, as there are kinds of lite in place; therefore Motion is faid to be made upward, downward, to the right hand, to the left, forward and backward; Hither are referred the many kinds of motions, which the infinite variety of Mufcles produce in the body. Into this rank of Voluntary Aftions, comes Refpiration, or breathing, becaufe it is done by the help of the Mufcles j although it be chiefly to temper the heat of the Heart. For we can make it more quick, or flow as we pleafe, which are the conditions of a vo- luntary Motion. Laftly, that we may have fomewhat in which we may fafely reft and defend our felves a- gainft the many queftions which are commonly moved concerning this thing, wee muft hold, that Refpiration is undergone and performed by the Animal! faculty,but chiefly in- ftituted for the vitall. The principall Aftion and prime amongft the Voluntary is abfolutely divided in three, Imagination,Reafoning and Memory. Imagination is a certain expreffing, and apprehenfion which difeerns and diftinguifheth between the forms and fhapes of things fenfible, or which are known by the fenfes. Reafoning is a certain judicial! eftimation of conceived or apprehended forms or figures, by a mutual! collating or comparing them together. Memory is the lure ftorer of all things,and as it were the Treafury which the mind of- ten unfolds and opens, the other faculties of the mind being idle and not imployed. But becaufe all the forementioned Aftions whether they be Natural!, or Animal! and volunta- ry, are done and performed by the help and afliftance of the Spirits ; therefore now we muft f'peak of the Spirits. How hearing. How fuelling, How the tafle. * Super. How touching. Of motion. How refpirati- on may be a voluntary mo- tion. The thir4 prin- cipal! Aflion. C H A P. X. of the Spirits. What a fyirit is* He Spirit is a fubtile and aery fubftance, raifed from the purer blood that it might be a vehicle for the faculties ( by whofe power the whole body is governed ) to all the parts 3 and the prime inftrument for the perfor- mance of their office. For they being deftitute of its fweet approach doe pre- fently ceafe from aftion3 and as dead do reft from their accuflomed labours. From hence it is Chap.io. Compendious way to Chirurgery. 19 is that making a variety or Spirits according to the numberof the faculties,they have divi- ded them into three; as one Animall5another Vitali, another Natural!. The Animal 1 hath taken his feat in the brain ; for there it is prepared and made, that from thence conveyed by the Nerves, it may impart the power of fenfe and motion to all the reft of the members. An argument hereof is, that in the great cold of Winter, whether by the intercepting them in their way,or by the concretion, or,as it were,freezing of thofe fpirits the joynts grow ftiff, the hands numb, and all the other parts are dull, deftitute of their accuftomed agility of motion, and quicknefs of fenfe. It is called Anima!!, not be- caufe it is the * Life, but the chief and prime inftrument thereof: wherefore it hath a moft fubtil and aery fubftance; and enjoys divers names, according to the various condition of the Senfories or feats of the fenfes into which it enters; for that which caufeth the light, is named the Vifive: you may fee this by night, rubbing your eys , as fparkling like hre' That which is conveyed to the Auditory paflage, is called the Auditive or Hearing: That which is carried to the inftruments of Touching, is termed the Taftive; and fo of the reft. This Animal! fpirit is made and laboured in the windings and foldings of the Veins and Arteries of the brain, of an exquifit fubtil portion of the vitall brought thither by the Carotid# Arter i#, or fleepy Arteries ; and fometimes alfo of the pure air, or fweet vapour drawn in by the Nofe in breathing. Hence it is, that with Ligatures we flop the paflage of this fpirit, from the parts we intend to cut off. An Humor which obftrufts or flops its paflage, doth the like in Apoplexies and Palfies, whereby it happens that the members lituate under that place do languilh and feemdead, fometimes deftitute of motion, fome- times wanting both fenfe and motion. The Vitall fpirit is next to it in dignity and excellency, which hath its chief manfion in the left ventricle of the Heart, from whence, through the Channels of the Arteries, it flows into the whole body, to nourifh the heat which refides fixed in the fubftance of each part,which would perilh in fhortftime, unlefs it fhould be refreffied by heat flowing thither together with the fpirit. And becaufe it is the moft fubtil next to the Animall, Nature (left it fliouid vanifh away) would have it contained in the Nervous coat of an Artery, which is five times more thick than the coat of the Veins, as out of hath recorded. r It is furnifhed with matter from the fubtil exhalation of the blood, and that air which we diaw in breathing. Wherefore it doth eafily and quickly perilh by immoderate diflipa- tions of the fpirituous fubftance, and great evacuations; fb it is eafily corrupted by the putrefaftion of humors, or breathing in of peftilent air and filthy vapours; which thing is the caufe of the fo fuddain death of thofe which are infefted with the Plague. This fpirit is often hindred from entring into fome part, by reafon of obftruftion, fulnefs, or great inflammations; whereby it follows,that in a fliort (pace,by reafon of the decay of the fixed and inbred heat, the parts do ealily fall into a Gangrene,and become mortified. The Natural! fpirit (if fiich there beany) hath its ftation in the liver and Veins. It is moi e grofs and dull than the other, and inferior to them in the dignity of the Aftion, and the excellency of the ufe. The ufe thereof is to help the concoction both of the whole body, as alfo of each feverall part, and to carry blood and heat to them. Belides thofe already mentioned, there are other Spirits fixed and implanted in the fimilar and prime parts of the body,which alfo are natural 1, and Natives of the fame place in which they are feated and placed. And becaufe they are alfo of an aery and fiery nature, they are fo joined or rather united to the Native heat, that they can no more be feparated from it than flame from heat; wherefore they with thefe that flow to them, are the principal! inftruments of the Aftions which are performed in each feverall part; And thefe fixed Spirits have their nourifhment and maintenance from the radicall and firft-bredmoi- fture, which is of an aery and oily fubftance, and is, as it Were, the foundation of thefe bpints, and the inbred heat. Therefore without this moifture, no man can live a moment. But alio the chief Inftruments of life are thefe Spirits, together with the Native heat. Wherefore this radicall Moifture being diffipated and wafted, (whichis the feat,fod- der, and nouriflmicnt of the Spirits and heat) how can they any longer lubfift and re- h1**!1/' k a her€l°re the confiimption of the natural! heat, followeth the decay of this fweet and iubftance-making moifture, and confequently death, which happens by the diifipating and refolving of natural! heat. rr j r a But fince then thefe kind of Spirits with the natural! heat, is contained in the fubftance oteachhmilarpartof our body, (for otherwife it could not perfift) it muft neceffarily follow, that there be as many kinds of fixed Spirits, as of fimilar parts. For becaufe each part hath its proper temper and encreafe, it hath alfo its proper Spirit, and alfo its w^nLr-°pCriho and lmPlantcd heat, which here hath its abode, as well as its Originall. Wherefore the Spirit and heat which is feated in the bone, is different from that which is impaft into the fubftance of a Nerve, Vein, or fuch other fimilar part; becaufe the temper of thefe parts is different, as alfo themixture of the Elements from which they firft arofe and fprung up. Neither is this contemplation of Spirits of fmall account, for in thefe conf.ft all the force and efficacy of our Nature. Thefe Spirits three- fold. The Anirnalf fpuir. Why fo called* * Anima. How it is made# The Vitali fpirit. What the mat- ter of it is. There is fome doubt of rht Naturall fpirit* Fixed Spirits. The radical! Moiflijre. Natural death. 20 An Introduction, or Chap. ii. 7 he ufe and neceBity of the Spirits. Thefe being by any chance diflipated or wafted, we languish > neither is any health to be hoped for, the flour of life withering and decaying by little and little. Which thing ought to make us more diligent, to defend them again# the continuall efflux of the threefold fubftance. For if they be decayed, there is left no proper indication of curing the difeafe; fo that we are often conftrained, all other care laid alide, to betake our (elves to the re ftoring and repairing the decayed powers. Which is done by meats of good juice, eafie to be concofted and diftributed; good Wines, and fragrant fmels. But (bmetimes thefe Spirits are not diflipated, but driven in and returned to their foun- tains, and fo both opprefs and are oppreft 5 whereupon it happens we are often forced to dilate and fpread them abroad by binding and rubbing the parts. Hitherto we have (poke of thefe things which are called Naturall, becaufe we naturally confift of them ; it remains that we now fay (omewhat of their Adjuncts and Affociates by familiarity of Condition. What the re- medy for the diflipation of the Spirits. What the re- medy for op- preOion of the Spirits is. Age: of which, byreafonof the fimilitude of the Argu- ment, we were conftrained to fpeak,whcn we handled the Temperatures. Sex. Colour : of which we have already fpoken. The conformation of the Inftrumentall parts. Lime: whofe force we have alfo confidered. Region. Order of Diet, and condition of Life. The Adjuncts and Aflbciates to things Naturall: are, CHAP. XL of the A&funfts of things Xaturrtll, What fex is. X is no other thing than the diftinftion of Male and Female; in which this is moft obfervable, that for the parts of the body, and the lite of thefe parts, there is little difference between them;but the Female is colder than the Male. Where- fore their fpermaticall parts are more cold, foft, and moift ;-and all their naturall aftions lefs vigorous and more depraved. The Nature of Eunuchs is to be referred to that of women, as who may leem to have degenerated into a womanilh nature, by deficiency of heat; their fmooth body, and foft and thrill voice do very much aflimilate women. Notwithftanding you muft confider, that there be lome Manly women, which their manly voice,and chin covered with a little hairi- nefs, do argue: and on the contrary,there are fome womanizing, or womanilh men, which therefore we term dainty and effeminate. The Hermaphrodite is of a doubtfull nature, and in the middle of both fexes feems to participate of both Male and Female. The Colour which is predominant in the habit and fiiperficies of the body, and lyes next under the skin, fhews the Temperament of what kind foever it be ; for as Galen notes in Comment. adjtybor. 2. fett. 1. Such a colour appears in us, as the contained Humor hath. Wherefore if a rofie hew colour the cheeks, it is a fign the body abounds with blood, and that it is carried abroad by the plenty of Spirits. But if the skin be dyed with a yellow colour, it argues Choler is predominant; ifwith a whitifh and pallid hue,Phlegm 5 with a fable and duskie, Melancholy. So the colour of the Excrements which are according to Nature, is not of the leaft confideration. For thus, if an Ulcer being broken fend forth white matter, it argues the foundnefs of the part from whence it Rows ; but if fanious or bloody, green, blackifh, or of divers colours, it fhews the weaknefs of the folid part,which could not aflimilate by concoftion the colour of the excrementitious humor. The like rea- fon is of unnaturall T umors: F or, as the colour, fo the dominion of the Humor caufing or accompanying the fwelling commonly is. The conformity and integrity of the Organicall parts is confidered by their figure, greatnefs, number, fituation, and mutuall connexion. We confider the figure, when we fay, almofl: all the externall parts of the body are naturally round, not only for flhew, but for neceflity, that being fmooth and no way cornered, they fhould be lefs obnoxious to externall injuries; we fpeak of Greatnefs, when we fay, fbme are large and thick, fome lank and lean. But we confider their Number, when we obferve fome parts to abound, fome to want, or nothing to be defective or wanting. We infinuate Site and Con- nexion, when we fearch, whether every thing be in its proper place, and whether they be decently fitted, and well joined together. We have handled the varieties of the four feafbns of the Year, when we treated of Tem- peraments. But the confideration of Region (becaufe it hath the fame judgment that the Air) (hall be referred to that difquifition or enquiry which we intend to make of the Air, amongft the things not naturall. The The nature of women. Of Eunuchs. Of Herma- phrodites. Colour the be- wrayer of the Temperament. The perfeftion of the organ i- call parts, con- fiftsin four things. Compendious way to Cbirurgery. Chap.12. 21 The manner of life., and order of Diet are to be diligently oblerved by us., becaule they have great power either to alter, or preferve the Temperament. But becaule they are of ai- moft infinite variety, therefore they fcarcefeempoflible to fall into Art, which may pro- fecute all the differences of Diet and Vocations of life. Wherefore if the Calling of Life be laborious, as that of Husbandmen, Mariners, and other fuch trades, it {Lengthens and dries the parts of the body. Although thole which labour much about Waters, are moll commonly troubled with cold and moift difeafcs, although they almofi kill themlelves with labour. Again, thofe which deal with Metals, as all forts of Smiths, and thole which caft and work brafs, are more troubled with hot difeafcs, as heavers. 8at if their Calling be Inch, as they fit much, and work all the day long fitting at home, as (hoomaktrs ; it makes the body tender, the flefli effeminate, and caufeth great quantity of excrements. A life as well idle and negligent in body, as quiet in mind, in all riotoulnefs and exceflesof Diet, doth the fame. For from hence the body is made lubjeft to the Stone,Gravel, and Gout. That calling of life which is performed with moderate labour, clothing, and diet,feems very fit and convenient to preferve the naturall temper of the body. The ingenious Chi- rurgeon may frame more of himfelf that may more particularly conduce to the examina- tion of thefe things. Therefore the things naturall,and thole which are near or neighbou- ring to them being thus briefly declared; the Order feems to require,that we make enquiry of things not Naturall. Diet* The commo- dities of an indifferent Diet. CHAP. XII. Of things not Naturall. >He things which wemuft now treat of, have by the later Phyfitians been termed Not-naturall , becaufe they are not of the number of thole which enter into the conftitution orcompofureofmans body ■, as the Elements, Humors, and all fuch things which we formerly comprehended under the name of Natural: although they be fuch as are neceflary to preferve and defend the body al- ready made and compofed. Wherefore they were called by Galen Preferversi becaufe by the due ufe of them the body is preferved in health. Alfo, they may be called Doubtfull, and Neuters, forthat rightly and fitly ufed,they keep the body healthfull, but inconfideratly, they caufe difeafes. Whereby it comes to pafs, that they may be thought to pertain to that part of Phyfick which is of prefetvlng health j not becaufe fome of thefe things fhould be abfolutely and of their own nature who 1 Com, and others unwholfom; but only by this, that they are, or prove fb by their convenient, or prepofterous ufe. Therefore we confider the ufe of fiich like things from four conditions. Quantity, Quality, Occafion, and Manner of ufing : If thou fhalt obferve thefe, thou fhalt attain and effe& this, That thofe things which are of are, as it were, doubtfull, fhall bring certain and undoubted health. For thefe four Circumftances do fo far extend, that in them,as in the perfe&ion of Art, the Rules which may be prefcribed to preferve health are contained. But Galen in another place, hath in four words comprehended thefe things not Natural 15 as, things Taken, Applyed, Expelled, and to be Done. Things Taken, are thofe which are put into the body, either by the mouth,or any other Way 5 as the air, meat and drink. Things Applyed, are thofe which muft touch the body, as the Air now mentioned, affe- cting the body with a diverfe touch of its qualities of heat, cold, moifture, or drinefs. Expelled, are what things foever being unprofitable are generated in the body,and require to oe expelled. To be Done, are labour, reft, fleep, watching, and the like. We may more diftin&ly, and by expreftion of proper Names, revoke all thefe things to fix: Why they are called things not natural!* Galen 1. ad Glauconem* Lib> de [Mint, tuenda. Air. Meat and Labor and Kef?. Sleep and JTatching. Repletion and Inanition 5 or things to be expelled, or retained and kept. .Perturbations of theMinde. Which are CHAP, An Introduction, or Chap.15. 22 CHAP. XIII. of the Air. I R is fo neceflary to life, that we cannot live a moment without it 5 if fo be that breathing,and much more tranlplration5be riot to be leparatcd h orn life.Where- fore it much conduceth to know, what Air is wholfom, what unwholfom, and which by contrariety of qualities fights for the Patient againft the difeaic ; or on the contrary by a fimilitude of qualities (hall nourilh the difeafe, that if it may fcem to burden the Patient by increasing or adding to the dileale, we may correct it by Art. So in curing the wounds of the head, Specially in winter, we labour by all the means we may to make the air warm. For cold is hurtfull to the Brain, Bones, and the wounds of theie parts; and heat is comfortable and friendly. But alfo the Air being drawn into the body by breathing when it is hotter than ordinary, doth with a new warmth over-heat the heart, lungs, and foirits, and weaken the ftrength by the diffipation of the Spirits too much attenuated; fo being too cold, in like manner the ftrength of the faculties faints and grows dull, either by liippreffion of the vapors, or by the infpiflation or thickning of the Spirits. Therefore to conclude, that Air is to be efteemed healthfull, which is clear, fubtil, and pure,free and open on every fide,and which is far remote from all carion-like finds of dead carkafles, or the flench of any putrefying thing whatfoever : the which is far diftant from ftanding pools,and fens, and caves,lending forth ftrong and ill vapors; neither too cloudy nor moift by the nearnefs of fome river. Such an Air, 1 fay, if it have a vernall temper, is good againft all diieafes. That Air which is contrary to this, is altogether unhealthfull; as that which is putrid, fhut up,and preft by the ftraitnefs of neighbouring Mountains, infefted with fome noifom vapor. And becaufe I cannot profecute all the conditions of Airs, fit for the expelling of all diieafes, as which are almoft infinite; it fhall fuffice here to have let down, what we muft under- ftand by this word Air- Phyfitians commonly ufe to underftand three things by the name of Air ; The prelent ftateofthe Air; the Region in which we live; andthefeafon of the Year. We fpoke of this laft, when we treated of Temperaments. Wherefore we will now fpeak of the two former. The preleilt ftate of the Air, one while for fome (mail time, is like the Spring, that is, temperate; otherwhiles like the Summer, that is, hot and dry; otherwhiles like the Winter, that is, cold and moift; and fometimes like the Autumn, which is unequall; and this laft conftitution of the Air is the caule of many diieafes. When upon the fame day, it is one while hot, another cold, we muft expeft Autumnall difeafes. Thele tempers and varieties of conftitutions of the Air, are chiefly and principally ftirred up by the winds; as which being diffufed over all the Air, fhcw no finall force by their fodain change. Wherefore we will briefly touch their natures : That which blows from the Fall, is called the Eaft-wind, and is of a hot and dry nature, and therefore healthfull. But the Weftcrn-wind is cold and moift, and therefore iickly. The South-wind is hot and moift, the Author of putrefaftion and putrid difeafes. The North-wind is cold and dry, therefore healthy : wherefore it is thought, if it happen to blow in the Dog-days, that it makes the whole year healthfull, and purges and takes away the feeds of putrefaftion, if any chance to be in the Air. But this deicription of the four Winds, is then only thought to be true, if we confider the Winds in their own proper nature, which they borrow from thefe Regions from which they firfl proceed. For otherwife they affeft the Air quite con- trary, according to the dilpofition of the places over which they came; as Snowie places, Seas,Lakes, Rivers, Woods, or landy Plains, ' from whence they may borrow new qualities, with which they may afterwards poflefs the Air, and fo confequently our bodies. Hence it is we have noted the Weftern-wind unwholfom, and breeding difeafes, by reafon of the proper condition of the Region from whence it came; and fuch, that is cold and moift; the Gafcoins find it truly to their fo great harm, that it feldom blows with them, but it brings fome manifeft and great harm, either to their bodies, or fruits of the earth. And yet the Greeks and Latins are wont to commend it for healthfulnefs, more than the reft. But alfo the rifing and letting of fome more eminent ftars, do often caule fuch cold winds, that the whole Air is cooled, or infefted with fome other malign quality. For vapors and exhalations are often railed by the force of the Stars, from whence winds, clouds, ftorms, whirlwinds, lightnings, thunders, hail, fnow, rain, earthquakes, inunda- tions, and violent raging of the lea , have their originall. The exaft contemplation oJ which things,although it be proper to Aftronomers,Colmographers,and Geographers, yei Hippocrates could not omit it, but that he muft fpeak fomething in his book De Aere Aquis ; where he touches by the way, the defcription of the neighbouring Regions, anc luch as he knew. From this force of the Air, eit'her hurtfull, or helping in diieafes, came that famou obferva How neceflary for life the Air is. What Air is hurtfull. Three things are underftood by the name of rhe Air. Apbor.4- fefl.2. The force of the Winds, How the winds acquire other faculties, than they naturally have. The Weftwind of it felf un- wholfom. What force ftars have upon the Air. Chap.14. Compendious way to Cbirurgery. 23 obfervation of Guido of Cauhoi , That wounds of the head are more difficult to cure at Fam, than at Avignion, and the plain contrary of wounds of the legs; for the air of Par if compared to that of is cold and moift, wherefore hurttull andoffenfive to the wounds of the head. On the contrary., the fame air, becauie it obfcures the fpirits, in- craflates the blood, condenfates the humors, and makes them lefs fit for defluxions, makes the wounds of the legs more ealle to be healed,by reafon it hinders the courfe of the humors, by whofe defluxion the cure is hindred. But it is manifeft, that hot and dry places make a greater diflipation of the naturall hear, from whence the weaknefs of the powers ; by which fame reafon, the Inhabitants of fuch places do not fo well endure blood-letting; but more eafily fuffer purgations, though vehement, by reafon of the conttimacie of the humor, cauled by drinefs. To conclude, the Air changes the conftitutions of our bodies, either by its qualities, as if it be hotter, colder, moifter, or drier ; or by its matter, as be grofler, or more fubtil than is fit, or corrupted by exhalations from rhe earth, or by a iddain and unaccuftomed alteration, which any man may prove, who makes a fcdaiii change out4of a quiet air into a ftormy and troubled with many winds. But becaufe, next to the Air, nothing is fo neceflary to nouriffi mans body, as Meat and Drink, I will now begin to ipeak of them both. How the air of Purii comes to be ill for , wounds of the head, and good forthofe of the leggs. By what mean s the air changes ottr bodies. CHAP. XIIIL of Meat and Drink. Hat this our Treatife of meat and drink may be more brief and plain, I have thought good to part it into thefe heads, as to confider the goodnefs and ilnefs of both of them, their quantity, quality, cuftom, delight, order, time, and to accommodate them all to the ages and feafons of the year. We judge of the goodnefs and pravity of meats and drinks, from the condition of the good or vicious hu- mours, or juice which they beget in us. For evill juice caufeth many difeafes. As on the contrary, good juice drives away all difeafes from the body, except the fault happen from fome other occafion, as from quantity, or too much excels. Wherefore it is principally neceffary, that thofe who will preferve their prefent health, and hinder the accefs of difea- fes, feed upon things of good nourifhment and digeftion, as are good wine, the yolks of egs, good milk, wheaten bread well baked, the flefh of Capons, Partridge,Thrufhes,Larks, Veal, Mutton, Kid, and fiich like other, which you may find mentioned in the Books which Galen writ, De Alimentorumfacultatibits; where alfo he examins thole which are of evill juice by their manifeft qualities, as acrimony, bitternefs, faltnefs, acidity, harfhnefs, and fuch like. But unlefs we ufe a convenient quantity andmeafure in our meats, howfbever laudable they be, we fhall never reap thefe fruits of health we hoped for. For they yeeld matter of difeafes, by the only excels of their quantity ; but we may by this know the force of quan- tity on both parts, becaufe often the poifonous quality of meats of ill nourifhment doth not hurt, by reafon they were not taken into the body into a great quantity. That mea- fure of quantity is chiefly to be regarded in difeafes: for as Hippe crates faith, If any give meat to one fick of a Feaver, he gives ftrength to the well, and increafes the difeafe to the fick,efpecially if he do not ufe a mean. Wherefore it is a thing of no final! confequence, to know what difeafes require a flender, and what a large diet; of which thing there is large relation made in the i Sett. of the Aphorifms of Hippocrates ; where he teacheth, the fick muft feed more largely in the beginnings of long difeafes, whereby they may be ena- bled to endure the length of the difeafe, and laft to the ftate thereof. But in fharp and vio- lent difeafes, which prefently come to their height, we muft ufe a flender diet; butmoft (lender, when the difeafe is in the height; and befides, all our confultations in this kinde, muft be referred to the ftrength of the Patients. But thofe who enjoy their perfect health, muft ufe a quantity of meat, agreeable to their evacuation and tranfpiration; for men, by reafon of the ftrength of their heat, and the more copious diffipation of the triple fubftance, have greater appetite than women ; altogether by the fame reafon, that young people, and fuch as grow, need more frequent and plentiful! nourifhment, than old men ; and alfo amongft young men of the like age, fome do rightly require more copious nourifhment than otherfome, that is, according to the quantity of their evacuations and cuftom. Cer- tainly for gluttony, it is fiich as may be extended to all; but we all fhould take fo much meat and drink, that our powers may be refrefhed and not opprefled; for by the decree of Hippocrates, thefe be the two compendiary ways of preferving health ; not to be over-filled with meat, and to be quick to work ; and thus much of the quantity of meats. Neither muft thefe who are either found, or fick, have lefs regard to the qualities of their Meats; and thofe are either thefirft, as heating, cooling, moiftening, drying ; or the fecond, atte- nuating, incraflating, obftrufting, opening, or fome other-like, working according to the condition of their nature. The manner of our diet is not only to be framed according to The goodriete of nourish- ments. Their quantity The quantic- of meats muG be efteemcd according to the nature of the difeafe,and fhength of the Patient. The qualities of meat. 24 An or Chap. 14. to thefe, but alfo to be varied; for the prefent hate of fuch as be in health, requires to be preferved by the me of like things. As hot and moift nourifhment is to be prefcribed to children, as to thofe which are hot and moift: and cold and dry to old men, as to thofe who are cold and dry ; if fo be that vulgar faying betrue, that. Health delights in the ufe of like things. Yet becaufe Old-age how green and new-begun howldever it be, is of it felf, as it were, a difeafe, it feems to be more convenient, both to truth, and for health, that old people ihould eat meats contrary to their nature, that is, hot and moift, that fo we may defer as much as we can, the caules of death, cold and drinefs, which haften the dcftru&ion of that age. For we muft refift difeafes by the ufe of their contraries, as thofe things which arc contrary to nature. For otherwife, as much meat as you give to the lick, you add fo much ftrength to the difeafe. And the fame is the caufe why Hippocrates faid, that a moift diet is convenient for all fuch as are lick of Feavers,becaufe a Feaver is a dry diftemperature. Therefore we muft diligently pry into the nature of the difeafe, that knowing it, we may endevour to abate its fury by the ufe of contraries. But if Cuftom (as they fay) be another nature, the Phyfitian muft have a great care of it, both in found and lick. For this fometimes by little and little, and infenlibly, changes our naturall temperament, and in ftead thereof gives us a borrowed temper. Wherefore if any would prefently or fodainly change a Cuftom which is fometimes ill, into a better, truly he will bring more harm than good; becaufe all fodain changes (according to the opinion of Hippocrates) are dangerous. Wherefore if necefftty require that we fhould with- draw any thing from our Cuftom, we muft do it by little and little, that fo nature may by degrees be accuftomed to contraries without violence, or the difturbance of its ufuallgo- vernment.For that meat and drink which is fomwhat worfe,but more pleafant and familiar by cuftom,is to bepreferred(in Hippocrates opinion)before better,but lefs pleafant and accu- ftomed. Hence is it,that Country-men do very well digeft Beef and Bacon,which commonly they ufe; but will turn into nidorulent vapors, Partridg, Capons,and other meat of good nourifhment, fooner than change them into good and laudable Chy Ins. The caufe of which thing is not only to be attributed unto the property of their ftronger, & as it u ere,burning heat, but much more to Cuftom; which by a certain kind of familiarity, caufeth that meats of hard digeftion, are eafi ly turned into laudable blood. For the force of Cuftom is fo great, that accuftomed Meats are more acceptable; whereby it comes to pafs, that while the ftomach delights in them, it more ftraitly embraces them, and happily digefts them, without any trouble of loathing, vomiting, or heavinefs. All the contrary meet and happen in the ufe of Meats which are uhpleafant to the tafte and ftomach. For the ven- tricle abhorring thofe things,makes manifeft how it is troubled by its acide and nidorulent belchings, loathing, naufeoufnefs, vomit, heavinefs, pain of the head, and trouble of the whole body. Wherefore we muft diligently enquire, what Meats the Patient chiefly delighted in,that by offering them, his appetite languifhing by reafon of fome great evacuation, vomit, or the like, may be ftirred up. For it will be better and more readily reftored by things acce- ptable, though they be fomewhat worfe, as we noted a little before out of Hippocrates. By which words he plainly taught, that it is the part of a good and prudent Phyfitian to fub- fcribe to, and plcafe the palat of his Patient. But feeing that order is moft bcautifull in all things , it is truly very neceflary in eating our Meat: for how laudable foever the Meats be in their quantity and quality, howfbever familiar by ufe, and gratefull by cuftom, yet unlefs they be eaten in due order, they will either trouble or moleft the ftomach, or be ill, or flowly and difficultly concofted; wherefore we muft diligently obferve, what Meats muft be eaten at the firft, and what at the fecond courfe; for thofe Meats which be hard to concoft, are not to be eaten before thofe which are eafie of digeftion; neither dry and aftringent things, before moifte- ning andloofing. But on the contrary, all flippery,fat, and liquid things,and which are quickly changed, ought to go before, that fo the belly may be moiftned ; and then aftringent things muft follow, that the ftomach, by their help, being fhutand drawn together, may more ftraitly comprehend the Meat on every fide, and better perform the Chylification by its proper heat united and joined together. For this caufe Hippocrates, Lib.devitfu inacutis, commands thofe things to be always eaten in the morning,which are fit to loofen the belly, and in the evenings fuch as nourifh the body. Yet notwithftanding drink ought not to precede or go before meat, but on the contrary meat muft precede drink, by the order prefcribed by him. Whether ought we in our eating to have lefs care of the time, than we have of the order; for the time of eating of fitch as are healthfull, ought to be certain and fixt; for at the accuftomed hour, and when hunger prefles, any found man, and which is at his own dif- pofure may eat, but exercife and accuftomed labors ought to go before; for it is fit, ac- cording to the precept of Hippocrates, that labor precede meat, whereby the excrements of the third concoftion may De evacuated; the native heat increafed, and thefblid parts confirmed and ftrengthened, which are three commodities of exercife very neceflary to the Old-age is a difeafe. Aphor. 16. [eft. 1* The force of Cuftoirb Jphor.p' • fed. 2. Aphor. 38. feft. 2> Accuftomed meats arc more grate full, and fo by that means more nourifliing. The order of eating our meats. We muft begin our meals with moiftor liquid meat. The time of earing. The profit of labour before nieau Chap.15. Compendious way to Chirurgery. 25 the convenient taking of' meat. But in lick perfons we can fcarce attend and give heed to thefe circumftances of time, and accuftomcd hour of feeding ; for that Indication of giving meat to the fick, is the bell of all, which is drawn from the motion of the difeafe, and the declining of the fit: for if you give meat in leavers, fpecially the fit then taking the Patient, you nourifh not him, but the difeafe. For the meat then eaten, is corru- pted in the ftomach, and yeelds fit matter for the difeafe: For meat(as we noted before out of Hippocrates J is ftrength to the found, and a difeafe to the lick, unlefs it be eaten at convenient time, and diligent care be had of the ftrength of the Patient, and greatnefs of the difeafe. But neither is it convenient that the meat fhould be fimple, and of one kind, but of many forts, and of divers difhes dreffed after different forms, left nature by the continuall and hatefull feeding upon the fame meat, may at the length loath it, and fo neither ftraitly contain it, nor well digeft itj or the ftomach accuftomedto one meat, taking any loath- ing thereat, may abhor all other; and as there is no delire of that we do not know, lb the dcjefted appetite cannot be delighted and ftirred up with the pleafure of any meat which can be offered. For we muft not credit thofe fuperftitious or too nice Phyiitians, whQ think the digeftion is hindred by the much variety of meats. The matter is far otherwife, for by the pleafure of what things fbever the ftomach allu- red doth require, it embraces them more ftraitly, and concofts them more perfectly. And our nature is defirous of variety. Moreover, feeing our body is compofed of a folid, moift, and airy fubftance, and it may happen, that by fo many labors, which we are compelled to undergo and fuftain in this life, one of thefe may liiffer a greater dilfipation and lofs than another; therefore the ftomach is neceflarily compelled to feek more variety, left any thing ihould be wanting to repair that which is tvafted. Butalfo theageandfeafon of the year, yeeld Indications of feeding, for fome things are convenient for a young man, fome for an old 5 fome in fum- mer, fome in winter. Wherefore we ought to know what befits each age and feafon. Children need hot, moift, and much nourifhment, which may not only fuffice to nourilh, but increafe the body. Wherefore they worft endure falling, and of them, efpecially thofe who are the moft lively and Ipiritfull. With old men it is otherwife, for becaufe their heat is final!, they need little nourifhment, and are extinguifhed by much. Wherefore old men eafily endure to fall5 they ought to be nourifhed with hot and moift meats, by which their folid parts now growing cold and dry , may be heated and moiftned, as by the fweet nourilhment of fuch like meats. Middle-ag'd men delight in the moderate ufe of con- traries, to temper the excefs of their too acrid heat. Young people as temperate, are to be preserved by the ufe of like things. The manner of Diet in Winter muft be hot, and inclining to drinels. Wherefore then we may more plentifully ufe roft-meats, ftrong wines and fpices 5 becaufe in the Winter-feafon we are troubled with the cold and moift air, and at the fame time, have much heat inwardly 5 for the inner parts, according to are naturally moft hot in the Winter and the Spring, but feaverifh in Summer 5 fo the heat of Summer is to be tempered by the ufe of cold and moift things, and much drink. In the temperate Spring all things muft be moderate 5 but in Autumn, by little and little, we muftpafs from our Summer to our Winter diet. We muftnot: give meat in a hr of aFeaver. Variety of meats. Why variety of meats is good. Indications of feeding, takes® from the age, Indication from rhe time of the year. CHAP. XV. Of Motion and Ref, Ere Phyfitians admonifh us, that by the name of Motion, we muft underftand all forts of exercifes, as walking, leaping, running, riding, playing at tennis,carry- ing a burden, and the like. Friftion or rubbing is of this kind, which in times paft was in great ufe and efteem, neither at this day is it altogether neglefted by Phyfitians. They mention many kinds of it, but they may be all reduced to three ; as, one gentle, another hard, a third indifferent 5 and that of the whole body, or only of fome part thereof. The Friftion is called hard, which is made by the rough, or ftrong prefliire of the hands, fpunges, or a courfe and new linnen cloth: it draws together, condenfates, binds and hardens the flefh, yet if it be often and long ufed, at length it ratifies, diflblves, attenuates, and diminifhes the flefh, and any other fubftance of the body 5 and alfo it cau- feth revulfion, and draws the defluxion of humors from one part to another. The gentle Friftion, which is performed by the light rubbing of the hand, and filch like, doth the contrary 5 as, foftens, relaxes, and makes the skin fmooth and unwrinkled; yet unlefs it be long continued, it doth none of thefe worthy to be fpoken of. The indifferent kinds, confifting in the mean betwixt the other two, increafeth the flefh, fwels or puffs up the habit of the body, becaufe it retains the blood and fpirits which it draws, and fuffers them not to be diffipated, D The What motion fignifies* Three kinds of Friflions. Hard» Gentles Indifferent 26 Anlntroduftion, or Cha p.i6. The ufe of cxercifts. The benefit of exercife is great, for it increafcs naturall heat, whereby better digellion follows, and by that means nourifhment, and the expulfion of the excrements; and laftly, a quicker motion of the fpirits, to perform their offices in the body, all the ways and paflages being cleanfed. Befides, it ftrengthens the refpiration, and the other aPiions of the body, confirms the habit, and all the limbs of the body, by themutuall attrition of the one with the other 5 whereby it comes to pafs they are not fo quickly wearied with labor. Hence we fee that Country people are not to be tired with labor. If any will reap thefe benefits by exercife, it is neceflary that he take opportunity to be- gin his exercife, and that he feafonably defift from it, not exerciling himfelf violently and without diferetion ; but at certain times according to reafon. Wherefore the bell time for exercife will be before meat (that the appetite may be increa- fed by augmenting the naturall heat) all the excrements being evacuated, left nature being hungry and empty, do draw and infufe the ill humors contained in the guts and other parts of the body, into the whole habit, the liver, and other noble parts. Neither is it fit prefently, after meat, to run into exercife, left the crude humors and meats not well con- ceited, be carried into the veins. The meafure and bounds of exercife muft be, when the body appears more full, the face looks red, fweat begins to break forth, we breath more ftrongly and quick, and begin to grow weary ; if any continue exercife longer, ftiffnefs and wearinefs affails his joints, and the body flowing with fweat fuffers a lofs of the fpiri- tuous and humid fubftance, which is not cafily repaired ; by which it becomes more cold, and lean even to deformity. The quality ofexercife which we require, is in the midft of exercife, fo that the exercife muft be neither too flow and idle , neither too ftrong nor too weak, neither too hafty nor remifs, but which may move all the the members alike. Such exercife is very fit for found bodies. But if they be diftempered, that fort of exercife is to be made choice of, which by the quality of its excefs, may correPt the diftemper of the body, and reduce it to a certain mediocrity. Wherefore fuch men as are fluffed with cold, grots, and vifeous humors, ffiall hold that kind of exercife moftfit for them,which is more laborious,vehement,ftrong,and longer continued. Yet fo, that they do not enter into it before the firft and fecond con- ception, which they may know by the yellownefs of their urine. But let fuch as abound with thin and cholerick humors, chute gentle exercifes, and fuch as are free from conten- tion, not expecting the finiffiing of the fecond conception, for the more acride heat of the folid parts delights in fuch halfconcoPted juices, which otherwife it would fo bum up, all the glutinous fubftance thereof being wafted, that they could not be adjoynedor fattened to the parts. For the repeating or renewing of exercife, the body fhould be fo often exer- cifed, as there is a defire to eat. For exercife ftirs up and revives the heat which lies buried and hid in the body: for digeftion cannot be well performed by a fluggiffi heatjneither have we any benefit by the meat we eat, unlefs we ufe exercife before. The laft part of exercife begun and performed according to reafon, is named, * The orde- ring of the body., which is performed by an indifferent rubbing and drying of the members; that fb the fweat breaking forth, the filth of the body,and fuch excrements lying under the skin, may be allured and drawn out 5 and alfb that the members may be freed from ftiffnefs and wearinefs. At this time it is commonly tiled by filch as play at Tennis. ' But, as many and great commodities arife from exercife conveniently begun andper- • formed, fo great harm proceeds of idlenefs 5 for grofs and vicious juices heaped up in the body commonly produce crudities, obftruftions, ftones both in the reins and bladder, the Gout, Apoplexie, and a thoufand other difeafes. What rhe fit- ter fl rime for cxercife. The quality of extreife. For whom fltong exer- cifes are con- venient. What difcom- moduies pro-, ceed from idle- ncfs. CHAP. XVI. Of Sleep and Watching. 4at this our fpeech of Sleep and Watching, which we now intend, may be more plain, we will briefly declare, what commodity or diftommodity they bring; what time and what hour is convenient for both; what the manner of lying rauft be,and the choice thereof; what the dreams in fleeping,and what pains or heavi- nefs and chearfiilnefs after deep may portend. 1 Sleep is nothing elfe than the reft of the whole body, and the ceflation of the Animall faculty from ienie and motion. Sleep is caufed,when the iubftance of the brain is poflefled, and after fome fort overcome and dulled by a certain vaporous, fweet and delightfome humidity; or when thefpirits almoft exhauft by performance of fome labor, cannot any longer iuftain the weight of the body, but cauie reft by a neceflary coniequence, by which means nature may produce other from the meat by concoftion turned into blood. Sleep fitly taken much helps the digeftion of the parts, becauie in the time of reft, the heat being the worker of all conco&ion, is carried back to them, together with the fpirits What fleep to The ufe of fleep. Chap. 16. Compendious n>ay to Cbirurgery. 27 fpirits. Neither doth deep only give eafe to the wearied members, but alfo leflens our cares, and makes us to forget our labors. The night is a fit time to fleep and to take our reft in, as inviting deep by its moifture, filence and darknefs. For the heat and Spirits in the thick obfcurity of night, are driven in and retained in the center of the body 5 as on the contrary by the daily, and as it were, friendly and familiar light of the Sun, they are allured and drawn forth into the fuper- ficies, and outward part of the body 5 from whence they leave deeping, and begin to wake. Befidcs alfo, which makes not a little to that opportunity and benefit which we look for from deep., the night feafon fuffices for .the work of juft and perfect conco&ion. Which is one reafon amongft many that deep on the day time may be hurtfull. For we are wakened from our deep by the heat and ipirits, called forth to the skin either by the light, or noife on the day time, before that the conco&ion which was begun be finiffied; But that deep cannot but be light which comes without neceflity of deeping. Wherefore the concoftion being attempted, but not perfe&ed, the ftomach is filled with diftended with acide or four belchings, and the brain troubled with grofs vapors and ex- crementitious humidities. From whence proceeds pain and heavinefs of the head, and ftore of cold difeafes. But although deep on the night time be wholfome, yet it is fit,that it be reftrained within the limits of an indifferent time. For that which exceeds, hinders the evacuation of excrements both upwards and downwards: but in the mean time the heat which is never idle, draws from them fome portion or vapor into the veins,prin- cipall parts and habit of the body, to become matter for fome difeafe. We muft meafure this time, not by the fpace of hours, but by the finiffiing the work of conco&ion , which Is performed in fome fooner than in other fome. Yet that which is longeft is perfected and done in feven or eight hours. The ventricle fiibfiding and falling into its felf and its pro- per coats, and the urine tin&ured yellow, gives perfect judgment thereof. For on the con- trary the extenfion of the ftomach, acide belching, pain of the head, and heavinefs of the whole body, ffiew that the concoftion is unperfeft In deeping we muft have fpeciall care of our lying down 5 for firft we muft lye on oiir right fide, that fo the meat may fall into the bottom of our ftomach, which being fleffiy, and lefs membranous, is the hotter, and more powerfull to aflimilate. Then a little after we muft turn upon our left fide, that fo the Liver with its Lobes, as with hands may on every fide embrace the ventricle, and as fire put under a kettle, haften the concoftion. Laftly, towards morning it will not be unprofitable to turn again upon our right fide, that by this fituation the mouth of the ftomach being opened, the vapors which arife from the elixation of the Chylut may have freer paflage. Lying Upon the back is wholly to be avoided 5 for from hence the Reins are inflamed, the Stone is bred, Palfies, Corivulfion, and all difeafes which have their originall from the defluxion into the fpinall marrow, and to the Nerves taking beginning from thence. To lye upon the belly is not unprofi- table for fuch as have ufed to lye fo, if they be not troubled with defluxions into the ey Sj for fo the humor will more eafily flow into the part affefted. But thus the work of con- co&ion is not a little furthered, becaufe by that form of lying,not only the inward heat is contained and gathered together about the ventricle,but the encompaffing warmnefs of the foft feathers of the bed aids and affifts it. Neither are the Dreams which we have in our fleep to be neglefted, for by the diligent confederation of thefe, the affeftions and fuperfluous Humors which have cnief power in the body are marvailoufly known.For thofe who have raging choler running up and down their bodies while they fleep, all things to them appear bright, fhining, fiery, burning, full of noife and contention. Thofe who abound with Phlegm, dream of floods, fhows, fhowers,and inundations and falling from high places. Thofe who are Melancholy dream of gapings and gulfs in the earth, thick and obfeure darknefs, fmokes, caves, and all black and difmall things. But thofe whofe bodies abound in blood, dream of marriages,dances, embracings of women, feaftsjefts, laughter, of orchards and gardens 5 and to conclude, of all things pleafant and fplendent. Alfo we muft obferve how the Patient doth after fleep, whether more lively and chear- full, or moreheavie: for by the opinion of Hipocrates, Cum labor a [omno eft, Irthalem collide tnorbum: Sin profit [omnus, nihil hinc Lethale timendum eft. Pain fleep enfuing, an ill difeafe doth ffiow : But if fleep profit bring, no harm from thence will flow. And as fleep,fo watching, if it exceed meafure, is hurtfull 5 for it hurts the temperature of the brain, weakens the fenfes, waftes the ipirits, breeds crudities, heavinefs of the head, falling away of the flefh, and leannefs over all the body 5 and to conclude, it makes ulcers more dry, and fo confequently rebellious, difficult to heal and malign. There are many other things may be fpoxen of fleep and watching, but theiemay fuffice a Chirurgeon. D 2 CHAP. Fir time for fleep and rhe nature of the night. Sleep oh the day-time. There ought to be a mode- ration of our nights fleep. How to Be known. What the form and fire of our body ought to be while we fleep. The harm of lying on our backs. Upon our bellies. The confide* ration of dreams* Aphor.i.feti-%. 28 An Introduction, or Cha p.17. CHAP. XVII. Of Refiction, and Inanition,, or Emftinefs. Here are, to be fhort,two forts of Repletion., or of all excefs; one is of a Ample quality, without any defluxion, or fociety of any humor., as appears in dis- tempers without matter : the other is of quantity and mafs, the body being diftended with too much meat, or too great quantity of humors; from whence proceed an infinite number of difeafes. They call the Repletion of meats, fatiety or ftilnefs ; and it is of two kinds: The one which is called * Repletion or Fulnefs to the veffels ; the other * Repletion to the ftrength. We judg of fatiety to the veflels, by the diftention and Swelling of the veins and en-> trails, as the ftomach. We call fatiety to the ftrength, when the body is loaded with more meats than it can well bear. But alfo there is a double Repletion of humors. For either it is of fbme one humor, or of all the humors •, they call this by a peculiar name, Plethora. For Galen defines Plethora an equal excefs of all the humors. For it at any time he define a Plethora to be an excefs of blood only; then verily by the name of blood,he underftands an equal comprehenfion of the four humors ; as it is taught in Phyfick Schools. The Repletion which is caufed by Some one humor, is termed by Galen in the place be- fore mentioned, Cacochynia* (that is, An evil juice) whether the Repletion proceed of a Cholerick, Melancholick, Phlegmatick, or ferous Humor. Now Inanition,or evacuation is no other thing than the expulsion or eflufion of humors which are troublefome,either in quantity or quality. Of Evacuations,Some are univerfall, which expell foperfluous humors from the whole body ; fuch are purging, vomiting , tranfpiration,fweats,Phlebotomy. Some particular,which are performed only to evacuate fome'part,as the brain by the nofe,palat,eys,ears; the lungs by the weazon ; the ftomach by vomit and ftool 5 the guts by ftool; the liver and the Spleen by urine and ordure. Thefe evacuations are Sometimes performed by nature, freeing it Self of that which is trouble- fome to it; otherwhiles by the Art of the Phyfitian in imitation of nature. And again, one of thefe is good and requifite, when only the humor which is hurtfull either in quantity or quality, is evacuated; The other not requifite, or immoderate,when the profitable Humors,together with the unprofitable, are expelled. But what evacuations foever thefe be, they are performed and done, either by the Scratching and rubbing of the skin, as when a Cholerick, fait, or Serous Humor, or Some windinefs lying between the skin and the flefh, caufe itching. For by Scratching tire skin, it gets paflage out, which is manifeft by the efflux of a ferous matter burning, or caufing Scabs and ulcers, 4f the humor be fomewhat grofs, but infenfible and not fo manifeft, if it be windinefs, the skin by that rubbing being ratified, and the grofs flatulency attenuated. Wherefore they do ill who hinder their Patients from fcratching, unlefs they Scratch fo cruelly and hard, that there may be danger (by reafon of the great heat and pain thereby caufed) of Some defluxion or falling down of fiuftiors into the part. Or thefe evacuations are performed by much matter evacuated from an opened Bile, or running Ulcer,a Fiftula,or foch like fores. Or by Sweats which are very good and health- full, efpecially in fharp difeafes, if they proceed from the whole body, and happen on the criticall days. By vomit, which often violently draws thefe humors from the whole body, even from the utmoft joints, which purging medicins could not evacuate,as we may lee in the Palfie, and Sciatica, or Hip-gout. By Spitting, as in all who are Suppurated either in the fides or lungs. By Salivation, or a Phlegmatick flux by the mouth, as in thofe who are troubled with the French-pox. By Sneezing and blowing the noSe; for by thefe, the brain oppreft with moifture, disburdeneth its Self,whether it be done without, or with the help of fternutatories and errhines ; wherefore children, and Such as have fomewhat moift brains, purge themfelves often this way. By hicket and belching ; for by thefe the windi- nefs contained in the ftomach, is often expelled. By urine, for by this not only Seavers', but which is more to be admired, the French-pox hath often been terminated and cured. For there have been fbme troubled with the Pox, in whom a flux of the vicious and venenate humor could not by Unftions of quickfilver be procured,either from the mouth or belly; yet have been wonderfully freed t by abundance of urine, both from danger of death and their difeafe. By bleeding; for nature hath often found a way for grievous difeafes, efpecially in young bodies, by bleeding at the note, and by their courfes in V:o- men. By a flux,orlask, purgation, fweats; infenfible evacuation andtranfpiration ; for fo tumors, the matter being brought to Suppuration, do Sometimes vanifti away and are diflblved, both of their own accord, as alfo by diflblving or difcufflng medicins. We do the fame by exercife, diet, hot-houfes, long fleep, waking, and fhedding of tears. By fucking, as with cupping-glafles, and horf-leeches, in wounds made by venemous bitings. In The kinds of Repletions, or rather of Ex- cetfcs. * Re Sad vafa pletio£ ad vires Gil. Meth. 13. cap. 6. What Caco- ctymia* The kinds of evacuation. The commo- dities of mode- rate fcratching. The force of vomits. Salivation. The whole body is alfo purged by urine. Chap. 18. Compendious way to Cbirurgery. 29 In all fuch kinds of evacuations, we muft confider three things, the quantity, quality, and manner of evacuation. As for an example,when an Empyema is opened,the matter which runs out, ought to be anfwerable in proportion to the purulent matter, which was con- tained in the capacity of thebreafts; otherwife, unlefs all the matter be emptied, there may happen a relapfc; the matter fhould be white, fbft, equal, and nothing {linking : Laftly5you mull let it forth not all together,and at one time,but by little and little, and at feverall times, otherwife not a little quantity of the Spirits and heat doth flow out toge- ther, with the unprofitable matter,and fo confequently a diflblution of all the powers. We muft ob« ferve three things in every evacuation* CHAP. XVIII. of the or Pafions ofthe minde. He Perturbations are commonly called the Accidents of the minde , becaufe aS bodily accidents from the body, fo may thefe be prefent and abfoit from the mind, without the corruption of the fubjeft. The knowledg of thefe muft not be lightly pafled over by the Chirurgeon; for they flir up great troubles in the bodies, and yeeld occafion of many and great difeafes ; of which things, joy, hope, and love, may give an apparent teftimony. For by thefe motions the heat and fpirits are fome- times gently, fometimes violently diffufed over all the body, for the enjoying of the pre- fent, or hoped for good. For then the heart is dilated, as to embrace the thing beloved, and the face is died with a rofie and lively colour. For it is likely, that the faculty it felf is ftirred by the objeft, by whofe power the heart it felf is moved. Foritisfirftneceflary, before we be moved by any Paflions, that the fenfes in their proper feats, in which they are feldom deceived, apprehend the objefts, and ftraight, as meflengers carry them to the common fenfe, which fends their conceived forms to all the faculties. And then, that each faculty, as a Judge may afrefh examin the whole matter, how it is, and conceive in the prefen ted objects fome fliew of good, or ill, to be defired, or fhunned. For what man that was well in his wits, did ever fall into a laughter, unlefs he formerly knew, or faw fomewhat faid or done, which might yeeld occafion of laugh ter? Therefore Joy proceeds from the heart, for the thing cauflng mirth or joy, being concei- ved, the faculty moves the heart, which fhaken and moved by the faculty which hath do- minion over it, is dilated and opened, as ready to embrace the exhilarating object. But in the mean time by the force of that dilatation, it fends forth much heat, and fpirits to- gether with the bloud into all the body. A great part of which comming to the face, di- lates it, the forehead is fmooth and plain, the eies look bright, the cheeks become red, as died with Vermilion, the lips and mouth are drawn together, and made plain and fmooth; fome have their cheeks dented with two little pits(which from the effects are called laugh- ing cheeks) becaufe of the contraction or curling, which the mufcles fuffer by reafbn of their fulnefs of bloud and fpirits, all which to be brief is nothing but to laugh. Joy recreates and quickens all the faculties, flics up the fpirits, helps concoCtion, makes the body to be better liking, and fattens it, the heat, bloud, and fpirits flowing thither, and the nourifhing dew or moifture, watering and refrefhing all the members ; from whence it is, that of all the paflions of the mind, this only is profitable, fo that it exceed notmeafiire; for immoderate and unaccudomed joy carries fb violently the bloud and fpirits from the heart, into the habit of the body, that fbdain and unlookt for death en- lues, by a fpeedy decay of the flrength, the lafting fountain of the vitall humour being ex- haufted. Which thing principally happens tothofe whoarelefs hearty, as women and old men. Anger caufeth the fame effufion of heat in us, but far fpeedier than joy; therefore the fpirits and humors are fo enflamed by it, that it often caufes putrid feavers, efpecially if the body abound with any ill humour. Sorrow, or grief dries the body by a way? quite that of anger, becaufe by this the-heart is fo ftraitned , the heat being almoft extinft, that the accuftomed generati- on of fpirits cannot be performed; and if any be generated, they cannot freely pafs into the members with the bloud; wherefore the vitall faculty is weakned, the lively colour of the face withers and decays, and the body wafteS away with a lingering confumption. ./ Fear in like fort draws in and calls back the fpirits, and not by little and little as in \<6rrow, but fodainly and violently ; hereupon the face growes fodainly pale,the extreme parts cold, all the body trembles or fhakes, the belly in fome is loofed, the voice as it were flays in the jawes, the heart beats with a violent pulfation, becaufe it is almoft oppreft by the heat, ftrangledby the plenty of bloud, and fpirits aboundantly rufhing thither; The hair alfb ftands upright, becaufe the heat and bloud are retired to the inner parts, and the utmoft parts are more cold and drie than ftone; by reafon whereof the utmoft skin and the pores, in which the roots of the hairs are faftned, are drawn together. D 3 Shame Why the Paf- fions ofthe minefe are cal- led Accidents* Their force. From whence they have their force. The reafon of Joy, The effefls of Joy* Anger, Sonow Feaft. Hippr>cr, lib. 4. de ' 30 An Introduction, or Cha p.19. Shame. Shame is a certain affeftion mixed, as it were, of Anger and Fear 5 therefore if, in that conflift of, as it were, contending paflions, Fear prevail over Anger, the face waxeth pale, (the blood flying back to the heart 5 ) and thefe or thefe Symptoms rife, according to the vchemency of the contrafted and abated heat. But if on the contrary, Anger get the domi- nion over Fear,the blood runs violently to the face,the eyes look red, and fometimes they even tome at the mouth. There is another kind of fhame,which the Latins call Verecundia (we Shamefaftnefs ) in which there is a certain flux, and reflux of the heat, and blood, firft recoiling to the heart, then presently rebounding from thence again. But that motion is lb gentle, that the heart thereby fuffers no oppreflion, nor defeft of fpirits 5 wherefore*no accidents worthy to be fpoken of,arile from hence : this affeft is familiar to young maids and boyes, who if they bluffi for a fault committed unawares, or through carelefncfs, it is thought an argu- ment of a vertuous and good difpofition. But an agony,which is a mixt paflion of a ftrong fear, and vehement anger, involves the heart in the danger of both motionsjwherefore by this paflion,the vitall facultie is brought into very great danger. To thefe fix Paflions of the mind, all other may be revoked,as Ha- tred and Difcord,to Anger : Mirth and Boafting, to Joy 5 Terrors, Frights and Swound- ings,to Fear; Envy, Defpair and Mourning, to Sorrow. By thefe it is evident, how much the paflions of the mind can prevail, to alter and over- throw the Rate of the body 5 and that by no other means, than that by the compreflion and dilatation of the heart, they diffufe and contraft the fpirits blood, and heat 5 from whence happens the diflipation,or oppreflion of the fpirits. The fignes ofthefe Symptomes quickly (hew themfelves in the face 5 the heart,by reafon of the thinnefs of the skin in that part, as it were painting forth the notes of its affeftions. And certainly the face is a part fo fit to difclqfe all the affeftions of the inward parts, that by it you may nianifeftly know an old man from a young,a woman from a man, a tempe- rate perfon from an untemperate, an Ethiopian from an a Frenchman from a Spaniard; a fad man from a merry, a found from a ficK, a living from a dead. Wherefore many affirm that the manners,and thofe things which we keep fecret and hid in our hearts, may be un- derftood by the face and countenance. Now we have declared what commodity and difeommodity may redound to the man from thefe forementioned paflions,and have fhewed that anger is profitable to none, unlefs by chance to fome dull by reafon ofidlenefs,oroppreft with fomecold, clammy andphlcg- matick humor 5 and fear convenient for none, unlefs peradventure for fuch as are brought into man iftft and ext ream danger of their life by fome extraordinary fweat, immoderate bleedingjor the like unbridled evacuation:Wherefore it behoves a wife Chirurgeon to have a care, left he inconfiderately put any Patient committed to his charge into any of thefe paflions, unlefs there be fome neceflity thereof, by reafon of any of the forementioned oc- cafions. Shamefaftnefs. An agony. Why the fir ft fignsofpafti' ons of the mind appear in the face* The life of paf- fionsofthe mind. C H A P. XIX. of things again ft of the Caufe ofa difeafe. Aving intreated of things naturall, and not naturall, now it remains we fpeak of things (which are called) againft nature, becaufe that they are fuch as are apt to weaken & corrupt the ftate of our body .And they be three in number;The caufe of a difeafe, a Difeafe, and a Symptome.The caufe of a difeafe is an affeft againft na- ture,which caufes the difeafe. Which is divided into Internall and Externall. The Exter- nal,originall or primitive comes from feme other place,and outwardly into the bodyjfuch be meats of ill nouriffiment,and fuch weapons as hoftilely wound the body. The Internall have their eflence and feat in the body,andare fubdivided into antecedent and con junft. That is called an antecedent caufe, which as yet doth not aftually make a difeafe, but goes near to caufe one ; fohumors copioufly flowing, or ready to flow into any part, are the antecedent caufes of difeafes; The conjunct is that which actually caufes the difeafe,and is fo immediately joyned in affinity to the difeafe,that the difeafe being pre- fen t, it is prefent,and being abfent, it is abfent. Again,of all fetch caufes,fome are born together with us,as the over-great quantity and malign quality of both the feeds,and the menftruous blood from difeafed Parents are caufes of many difeafes,and fpecially of thofe which are called Hereditary. Other happen to us after we be born,by our diet and manner of life,a ftroke,fall or fuch other like. Thofe which be bred with us,cannot be wholly avoided or amended, but fome of the other may be avoided,as a ftroke and fall; fbme not,as thole which neceflarily enter into ourbody,as Air,Meat,Drink, and the like. But if any will reckon upamongft the internal,inherent,and inevitable caufes,the dayly, nay hourely diffipation of the radicall moifture,which the naturall heat continually preys upon; What things againft nature are. What,and how many the catr fes of difeafes be. The primitive caufe. Internal! ante- ccdcnt- Internal! con- jund» The congenit, ©r inevitable caufc of death. Compendious way to Chirurgery. Chap.20,21. 31 upon ; I do not gainfay it, no more than that divifion of Caufes celebrated and received of Philofophers, divided into Materiall, Formall, Efficient, and Finall; for fuch a curious contemplation belongs not to a Chirurgeon, whom I only intend plainly to inftruft. Wherefore that we have written may fuffice him. CHAP. XX. of a Difeafe. Difeafe is an afte&againft Nature, principally, and by it felf, hurting and depra- ving the aftion of the part in which it refides. The diviAon of a Difeafe is threefold; Diftemperature, ill Conformation, and the Solution of Conti- nuity. Diftemperature is a Difeafe of the limilar parts diflenting, and changed from their pro- per and native temper. That digreffion from the native temper, happens two ways; either by a Ample diftemperature from the excefs of one quality; and this is fourfold. Hot, Cold, Moift, and Dry ; or by a compound diftemperature, by the excefs of two qualities, which alfo is fourfold. Hot and Moift, Hot and Dry; Cold and Moift, Cold and Dry. Again, every diftemper is the fault of one Ample and Angle quality, as an inflammation; or hath fome vicious humors joined with it,as a Phlegmon.Again,a Diftemperature is either equal, as in a Sphacele y or unequal, as in a Phlegmon} beginning or increaflng. Ill Conformity is a fault of the organicall parts, whole compofure is thereby depraved. This hath four kinds; theflrftis, when the flgure of the part is faulty, either by nature or accident, or lome cavitie abolilhed; as if a part which nature would have hollow for fome certain ufe,do grow or dole up : Or laftly, if they be rough, /or Anooth otherwife than they fhould, as if that part which Ihould be rough, be fmooth, or the contrary. Ano- ther is in the magnitude of the part increafed, or diminilhed contrary to nature. The third is in the number of the parts increafed or diminilhed; as if a hand have but four or elfe Ax fingers. The fourth is m the Ate and mutuall connexion of the parts; as if the parts which Ihould be naturally united and continued be pluckt afunder, as happens in Luxations; or the contrary. The third generail kind of difeafe, is the folution of continuity, a Difeafe common,both to the Amilar and organicall parts,acquiring diverfity ©f names, according to the variety of the parts in which it refides. What a difeafc is, and how various. A Diftempc* rature. Ill Conforma- tion. Solation off Continuity,, CHAP. XXL of a Spnptome. E do not in this place take the word Symptome in the moft generall acceptation, for every change or accident which happens to man befides his own natures but more refervedly and fpecially, only for that change which the difeafe brings,'and which follows the difeafe, as a fhadow doth the body. There be three kindes of a Symptome properly taken. The firft is, when the a&ion is hurts I fay hurt, becaufe it is either abolifhed,weakned, or depraved s fo blindnefs is a deprivation or abolifhing of theaftionof feeing 5 dulnefs of fight, is a diminution or weakning thereof s and a fuffufion, fuch as happens at the beginning of a Cataraft, when they think flies, hares, and fuch like bodies fly to and fro before their eys,is a depravation of the fight. The fecond is a fimple affeft of the body, and a Rill fault of the habit thereof being changed, happening by the mutation of fome qualities: fuch is the changing of the native colour into a red by a Phlegmon, and into a livid and black by a Gangrene 5 fuch is the filthy ftench the nofe affefted with a Polypus fends forth 5 the bitter tafte, in fuch as have the Jaundife s and the rough and rugged skin in them which are Leprous. The third is the fault of the overmuch retention of excrements which fhould be expel- led,and expulfion of fitch as fhould be retained 5 for the evacuation of an humor profitable both in quantity and quality, is againft nature, as bleeding in a body not full of ill Hu- mors, nor Plethorick 5 and alfo the retention of things hurtfull in fubftance, quantity and quality, as theCourfes in women, the urine, and the ftone in the bladder. What a Sym Je- rome is. Three kinds thereof. CHAP, An Introduction, or ChAP.22. 32 CHAP. XXII. of Indications. Heknowledg andexercifeof Indications befits that Chirurgeon, whom no blind raftmefs of fortune, but reafon 5 no chance, but counfcll direfts in the under- taking and performing the works of his Art. For an Indication is a certain fate and Ihort way, which leads the Phyfitian,as by the hand, to the attainment of his purpofedend, of preferving the found,or curing the fick. For Galen doth define an Indication to be a certain infinuation of what is to be done, or a quick and judicious apprehenfion of that which may profit or hurt. And as Faulconers, Mariners, Plowmen, Souldiers, and all manner of Artizens, have their peculiar terms and words5which are neither known,nor ufed by the vulgar; fo this word Indication is proper and peculiar to Phylitians and Chirurgeons, as a Term of Art nou vulgarjby coniideration of which, as by fome lign,or fecret token,they are admonilhed what is to to be done to re- ftore health, or rcpell an imminent danger. There are three prime and principall kinds of Indications,every of which is fubdivided into many other. The firft is from things naturall.The (econd from thofe things which are termed not natural!. The third from thofe things which are contrary to nature. Things naturall Ihew they muft be preferved by their like,and in the compafs of thefeare contained all the Indications which are drawn from the nature of the Patient, that is, from his ftrength, temper, age, fex, habit, cuftome, diet. Things not naturall may be doubted as uncertain, for one while they indicate the fame things with things naturall,that is, they coindicate with the ftrength, temper and the reft; otherwhiles they confent with things againft nature, that is, they coindicate with the dif- eafe. Wherefore Galen when he faith, that Indications are drawn from three things 5 The difeafe, the nature of the Patient, and the encompaft ng air; by propofing the familiar example of the air, he would have us to underftand the other things not natu- rall j becaufe we may fhun or imbrace them more or lefs as we will our felves, but we muft, whether we will or no, endure the prefent ftate of the air. Therefore the air indicates fomething to us, or rather coindicates ; for if it nourifh the difeafe, as confpiring with it,it will indicate the fame that the difeafe,that is, that it muft be preferved in the fame ftate. Things contrary to nature indicate they muft be taken away by their contraries; there- fore that we may more accurately and frilly handle all the Indications drawn from things naturalljWe muft note, that fome of thefeare concerning the ftrength of the Patient,by care topreferve which, we are often compelled for a time toforfake the cure of the proper difeafe : for fo a great (baking happening at the beginning of an ague or feaver, we are of- ten forced to give fuftenance to the Patient, to (Lengthen the powers fhaken by the vehe- mency of the (baking, which thing notwithftanding lengthens both the generall and parti- cular fits of the ague. Other pertain to the temper, other refpeft the habit, if the Patient be (lender, if fat, if well fle(bt,if of a rare, or denle conftitution of body. Other refpeft the condition of the part affefted in fubftance, confidence, fbftnefs, hardnefs , quick or dull fenfe, form, figure, magnitude, fite, connexion, principality, fervice, funftion and uie. From all thefe, as from notes,the skilfull Chirurgeon will draw Indications according to the time and part affe&ed: for the fame things are not fit for fore eyes, which were con- venient for the ears, neither doth the phlegmon in the jaws and throat admit the .fame form of cure, as it doth in other parts of the body. For none can there outwardly apply repercuffives, without prefent danger of (uffocation. So there is no u(e of repercuffives in defluxions of thofe parts which in fite are neer the principall. Neither muft thou cure a wounded Nerve and Mufcle, after one manner. The temperature of a part, as iMoifture,al- wayes indicates its prefervation, although the difeafe be moift,and give Indication of dry- ing, as an ulcer. The principality of a part alwayes infinuates an Indication of aftringent things, although the dileafe require diflblving , as an Obftru&ion of the Liver; foro- therwife unlefsyou mix aftringent things with d(fiolving,you will fo diflblvethe ftrength of thepart,that hereafter it cannot fuffice for fanguification.If the texture of a part be rare, it (hews it is lefs apt,or prone to obftruftion ; if den(e,it is more obnoxious to that difeafe, hence it is that the Liver is oftener obftrufted than the Spleen. If the part be fituate more deep,or remotest indicates the medicines muft be more vigorous and liquid,that they may (end their force fo far. The lenfiblenefs, or quick-fenfe of the part, gives Indication of milder medicines, than peradventure the figns, or notes of a great difeafe require. F or the Phyfitian which applies things equally (harp to the Horny tunicle of the eye being ulcerated,and to the Leg,muft need be counted either cruell, or ignorant.Each fex and Age hath its Indications, for fome difeafes are curable in youth, which we muft not hope to cure in old age; for hoarfnefs'and great diftillations in very old men, admit no digefti- ' on,as Hipocrates faith. What Indica tion is. See Method, Cap. 7. Lib, de opt «fefla,Cap, II. The kinds of Indications. Lib, 9.Method, cap.g. Indications drawn from things natural!. What the con ditions of the parts affeficd do indicate, Indications from the ages. liii Chap.22. Compendious way to Chirurgery. 33 decrepitus Branchujn coquit., atque Coryzam. The feeble Sire, for age that, hardly goes, Ne're well digefts the hurtfull Rheume or pole. Moreover according to his decree the difeafes of the Heins, and whatfoever pains moleffi the bladder, are difficultly healed in old men ; and alfo reafon perfwades that a Quaata.in admits no cure in Winter,and fcarce a Quotidian; and ulcers in like manner are more hard} to heal in Win ter; that hence we may underftand certain Indications to be drawn from time;, and to increafe the credit of the variety and certainty of Indications, fome certaine time, and feafons in thofe times command us to. make choife of medicines; for as Hippocrates teftifics; ■Aphcr 6fell *6- f$+ Canis ardorem facilis purgatio non eft. In Dogdayes heat it is not good, By purging for to cleauic the blood. Neither {halt thou fo we] 1 preferibe a {lender diet in Winter,as in the Spring, for the air hath its Indications. For experience teaches us, that wounds of the head are far more diffi-. cultly and hardly cured, at Rome9Napks9 and Rachel/ in Xantoigne. But the times of difeafes yeeld the principall Indications, for fome Medicines are only to be ufed at the beginning and end of difeafes,others at the increafe and vigour of the difeafe. Wee muft not contemn thole Indications which are drawn from the vocation of life,and manner of Diet; for ypu muft otherwife deal with the painfull Husbandman (when he is your Patient) which leads his life fparingly and hardly,than with the Citizen who lives daintily and idlely. To this manner of life and Diet may be referred a certain fecret and occult property,by which many are not only ready to vomit at eating of fome meats, but tremble over all their bodies when they hear them but fpoken of. 1 knew a prime Nobleman of theFreaffi Nobility, who was fo perplext at the ferving in of an Eel to the Table, at the midft of dinner and amongft his friends, that he fell into a fwound, all his powers failing him. Galen in his book de Cotfuetudine tells that Ar ins the died fodainly, becaufe compelled by the advice of thofe Phyfitians he ufed, he drank a great draught of cold water in the intolerable heat of a Feaver. For no reafon, faith than that, becaufe he know- ing he had naturally a cold ftomachfrom his childhood, perpetually abftained from cold water. For as much as belongs to Indications taken from things againft nature; the length and depth of a wound or ulcer indicates one way;the figure cornered,round,equall and finooth, unequall and rough, with a hollownefs ftreight or winding, indicate otherwife ; the fitc right, left, upper, lower in another manner, and otherwife the force and violence of ante- cedent and conjunct caufes. For oftentimes the condition ofthecaufe indicates contrary to the difeafe, as when abundance of cold and grofs humors caufe and nouriffi a Feaver. So alfo a Symptome often indicates contrary to the difeafe, in which contradiftion, that In- dication muft be moft efteemed, which doth moft urge; as for example fake, if fwound- ing happen in a Feaver, the feaverilh burning fliall not hinder us from giving wine to the Patient. Wherefore thefe Indications are the principalleft and moft noble which lead us,as by the hand, to doe thefe things which pertain to the cure, prevention and mitigating of difeafes. But if any objeft, that fo curious a fearch of fo many Indications is to no purpofe, becaufe there are many Chirurgeons,which fetting only one before their eyes,which is drawn from the Eflence of the difeafe, have the report and fame of skilfull Chirurgeons, in the opini- on of the vulgar 5 But let him know that it doth not therefore follow, that this indicati- on is iufficient for the cure of all difeafes ; for we do not alwayes 'follow that which the Eflence of the difeafe doth indicate to be done. But chiefly then, where none of the forer recited Indications doth refift or gainiay ; you may underftand this by the example of a P/ethorrfjWhich by the Indication drawn from the Eflence of the thing requires Phlebotomy; yet who is it,that will draw blood from a child of three months old?Befides,filch an Indica- tion is not artificial! but common to the Chirurgeon with the common people, For who is it that is ignorant, that contraries are the remedies of contraries ? and that broken bones muft be united by joyning them together ? but how it muft be performed and done, this is of Art and peculiar to a Chirurgeon, and not known to the vulgar. Which the Indicati- ons drawn from thofe fountains we pointed at before, aboundantly teaches, which, as by certain limits of circumftanccs,encompafs the Indication which is taken from the Eflence of the difeafe, left any ffiould think, we muft truft to that only. For there is fome great and principall matter in it, but not all. For fo the meaneft of the common people is not igno- rant, that the folution of continuity is to be cured by repairing that which is loft. But in ■what parts we may hope for reftitution of the loft fiibftance,and in which not,is the part of a skilfull Chirurgeon to know and pronounce. Wherefore he will not vainly beftow hi$ labour From our diet; Hatred artfing from fecret properties. Indications ta- ken from things a gain ft nature. We do not ai» wayes follow the Indication! which is from the difeafe. In what parti we cannot hope for re- ftoringoffo- hinon of conti- nuity An Introduction, or Caap.oo. 34 labor to cure the nervous part of the T>iaphra^may or Midriffe being wounded,or the Heart., fmall Guts, Lungs,Liver, Stomach,Brain or Bladder ; and that I may fpeak in a word,Em- pericks are not much more skilfu.il than the common people, although they do fo much extoll themfelves above others by the name of experience. For although experience be ano- ther inftrument to find out things with reafon, yet without reafon, it will never teach, What the fubftance of the part in which the difeafe lies, may be 5 or what the aftion, ufe, lite, connexion,from whence fpeciall and proper Indications are drawn ; With which the Chirurgeon being provided and inftrufted fhall not only know by what means to find out a remedy,but alio , left he may fecm to mock any with vain promiles, he fhall difcern what difeafes are uncurable,and therefore not to be medled withall. But implicit or intricate difeafes require each to be cured in their feverall order, except fome one of them be defperate,or lb urge & prefs that the Phyfitian think it neceflary after prepofterous order,to begin with it,although often he be forced to make fbme one of thefe difeafes incurable, or give occafion of caufing fome new one:into which ftraits we are necef- farily compelled to fall, when, (for example) we determine to pull, or take away fbme ex- traneous body 5 for the performance whereof we are compelled to inlarge the wound. So we are forced by neceffity to open the neck of the bladder, (that fo we may draw forth the ftone therein contained) with a wound which often degenerates into an uncurable Fiftula. Forthat difeafe which threatens danger of prefent death is of fuch moment, that to fhun that it may be counted a fmall matter, and commodious for the fick to bring in other difeafes, though uncurable. For if a convulfion happen by pricking a Nerve, which we cannot heal by any remedies, then by cutting the Nerve afunder we end the convulfion,but deprive the part into which that Nerve did goe, of the ufe of fbme voluntary motion. So if in any great joynt there happen a Luxation with a wound,becaufe there is danger of con- vulfion by trying to reftore and fet right the luxated part, we are forc'd for fhunning there- of, to attend the wound only, and in the mean time to let alone the Luxation. Other- wife in implicit difeafes if there be nothing which may urge, or call us from the ordinary cure, we muftobferve this order, that beginning With that affeft, which hinders the cure of the principal! difeafe, we profecute the reft in the fame and their proper order, untill all the difeafes being overcome we fhall reftore the part affe&ed to its integrity. Therefore let us take for an example, an ulcer in the Leg,a F4r/x(or big fwollen vein)and a Phlegmonous tumor round about it ; and laftly, a body wholly plethorick and filled with ill humors ; order and reafon require this, that ufing the advifeoffome learned Phyfitian we prefcribe a convenient diet, and by what means we may,bring him to an equality by purging and blood-letting, and then we will fcarifie in divers places the part where it is moft fwollen , then prefently apply Leeches,that fo we may free it from the burden of the con junft matter; then ufe Cauteries to help the corruption of the bone, and in the mean time change the cir- cular figure of the ulcer into an ovall, or triangular; then at the length we will under- take the cutting of the and cure the ulcer which remains according to Art*, and fo at the length cicatrize it. In all this whole time the Patient fhall neither walk,nor ftand, nor fit,but ly quietly,having his Leg orderly and decently rowled up.But if(as it often happens) the temper of the hurt part, be different from the temper of the whole body,the manner of curing muft be fo tempered,that we increafe the dofis of hot or cold medicines,according to the ratable proportion of the indications requiring this or that, therefore imagine the part ulcerated to be fuch,as that it is two degrees dryer than the juft temper;but the whole body to exceed the fame temper in one degree of humidity: reafon and Art will require, that the medicin applyed to the ulcer be dryer by one degree than that which the part would other- wife require if it were temperate; but on the contrary let us fiippofe thus : the whole body to be one degree more moift then the temper requires, and the ulcerated part to be one de- gree dryer: truly in this cafe the medicine that is applyed to the ulcer by reafon of the part it felf,fhall not be increafed in drynefs, but wholly compofed and tempered to the Indicati- on of the ulcer,becaufe the force of the moifture exceeding in the like degree, doth counter- poife the fuperfluous degree of drynefs. But it is more eafie by an conjecture to determine of all fuch things,than by any rules or precepts. To thele fo many and various Indications,! think good to add two other; the one from fimilitudejthe other of a certain crafty devife, & as the latter Phyfitians term it,of a certain fiibtile ftratagem. We draw Indication from fimilitude, in difeafes which newly fpring up and arife, as which cannot be cured by Indications drawn from their contraries, as long as their Eflence is unknown and hid; wherefore they think if neceflary to cure them by a way and Art like thofe difeafes, with which they leem to have an agreeing fimilitude of Sym- ptomes and Accidents; Our Anceftors did the fame in curing the French Pocks, at thefirft beginning thereof, as long as they affimilated the cure to that of the Leprofie, by reafon of that affinity, which both the difeafes feem to have. But we follow crafty devices and Tub- tile counfels, when the Eflence of the difeafe we meet, with is wholly fecret and hid,either becaufe it is altogether of a hidden and fecret nature,and which cannot be unfolded by ma- nifeft qualities, or elferefides in a fubjeft which is not fiifficiently known to us, nor of a phyficall contemplation, as the Mind, For then we being deftitute ofH indications taken from Experience without reafon is like a blind man without a guide. Indications in implicit dif- eafes. An example of Indications in implicit difeafcs. What we muft do when rhe temper of the part is different from the tem- per of rhe Whole body. An artificial! conjecture is of much force in Indications* Indication from Similitude. Indicationofa fubtile device. ChAP.22. Compendious waytoCbirurgery. 35 from the nature of the thing,are compelled to turn our cogitations to impoftures and crafty counfels; and they fay this Art and Craft is of chief ufe in Melancholy affefts and fi&ions, which are often more monftrous and deformed than the Chimera fo much mentioned in the fables of the Ancients; to which purpole, I will net think much to recite two Exam- ples. A certain man troubled with a Melancholick difeafe, I know not by what errourof o- pinion,had ftrongly pcrfwaded himfelf that he was without a head; the Phyfitians omitted no thing., by which they might hope to take this mad opinion out of his mind. But when they had in vain tryed all medicines,at length they devifed this crafty, but profitable device, they fattened and put upon his head a moft heavy helmet,that fo by the pain and trouble of his head nodding and drawn down by that weight, he might be admonilhed of his error. It is reported, another moleftcd by the obfeurity and darknefs of the fame difeafe, did verily beleeve, that he had horns upon his head;neither could he be drawn or diverted from that abfurd and monftrous opinion, untill that binding up his eyes, they miferably bruited and feratched his forehead with the bony roughnefs of the lower parts of an oxes horns,that io he begun to believe by the painfull drawing of the blood that ran down his face, that thofe bloody horns were forcibly plucked from him. Ingenious Chirurgeons in imitation of thefe examples may in like cafes do the like. For that cafe requires a man of a quick ap- prehenfion and advice, who may give manifeft proof of his diligence and skill by medicinall ftratagems,as who forthwith can politickly devife ftratagems of divers forts. But, now coming to the end of this our traft of Indications, we muft chiefly and princi- pally obferve; That of Indications feme are Indicative; which abfblutely and of them- felves command this to be done; other conidicative, which indicate the fame with the In- dicative, and joyntly fhew it to be done,but in fome fort fecondarily and not primitively; fome are repugnant, which of themfelves and their own nature perfwade quite contrary to that the indicative primitively did perfwade us ; other correpugnant, which give their voice after the fame form and manner with the repugnant againft the indicative, as the coindicative confent to and maintain them. Let this ferve for an example of them all. A Plethora, or plenitude of humors of its own nature, requires and indicates blood- letting,the Spring time perfwades and coindicates the fame,but to this counfell is quite op- posite and repugnant, a weak faculty, and childhood is correpugnant. Wherefore thefe four muft be diligently weighed and confidered when we deliberate what is to be done, and we muft rather follow that which the indicative, or repugnant -fhew and declare, as what the difeafes and ftrength of the Patient require, than that which the coin- dicative,orcorrepugnantfhallperfwade, becaufe they have a weaker and but fecundary power ofindicating,andnot eflentiall &primitive.But becaufe the kinds of Indications are fo many and diver s,therefore that the knowledg of them may bemoreperfpicuous and left confuted, I have thought good to defcribe and diftinguifh them by this following fcheme. Examples. A Ph) fiiian fhould be of a quick apprc- hcnfion. Indications in- dicative. Coindicative. Repugnant* Correpugfiant. A 36 Cha p.22. A. Table of Indications. For whofeprefervation,oftentimes the proper cure of thedifeafe muft be neglefted; for whet e the fee fail,it is impofftble the Chirurgeon (bould pet form what he de= 'From the ftrength ( and faculties of the patient. ' From the tempe ' r ament»as if the, Patient fa a ll be From the habit of the body, as the pa-' tientfaall be ; s From the native condition of tie hurt or affc&ed part,in which we conjider,either From the Age, for each age 'yeelds his peculiar Indications, may ebferve tnojl difeafes to be incurable in old men, which areeafly cured in young, others which in youth admit ofno cure, unlefs by the change of age and the erfuing temperament. From Sex, for medicines workupon women far more eaftly than upon , men. . From the time of the year,for fame meats and medicines are fit inWinter,fame in Summer. . From the Region, for at there are diverfities of fituations and habits of places, fo alfo there are motions ef humors,and manners of difeafes: hence it is that wounds 09 the head at Paris, and fore fains at Avignion are ; more difficult to be cured. From the times ofdifeafas9for fame things in the beginning 9 others in the increafe,fiate and declining ofthe dtfeafe, are more convenient. From the manner of diet,for this, as the proper temper, mujt be preferved. Wherefore fuchmuft be fed otherwife who live daintily, thanthofe who lead their lives fparingly and hardly. Hereunto add certain peculiar natures, which by a certain hidden property are offended at this, or that kind of meat. For there are fame which not onely cannot concofi Pts fan, Apples, Soles,Partridge, Water andfueh like,but can fear ce behold them without iMufeoulhefi. 'Sanguine, ' Idelancholtck. [Of prefervation of which the Chirur- fleon mufl have care, 'and if they fwarvefrom equality,to reduce them to that which formerly they natu- I ralh were. 'Dainty and delfcate, >Slender and weak. ) Low of feature. .Rare, orelfedenfe andcompaff. rThefirft is drawn from things naturall which in- dicate their prefervation by their like, of this kind are many other which are drawn, either i i Thefecond is drawn from things\ not natural!, which one while in- dicate their frefervation by their' like, another while their change by their contraries-, farfo j I The third from things contras rary to nature, which fliew, they muftbe taken away by the ufe of their contra- ries, as The fid) fiance thereof,at for as much as it u ]imuar,we confider whether it be het, cold, moi fl,dry, or as it it orgariicall, and then whether it be a principal and noble parlor a fubordinate and ignoble park. Or the fenje, whether quicks or dull, by reafon whereof rhe eye cannot endure fuch jharpe and acrid medicines,as fimpleflefh can. Or the form,figure, magnitude, number,fits,connexi* zim jiff inn u (p An Indication ft a certain plain and compendious way which leads the Chit- urge on to a. tain,determinate and prop ofed end fir the cure of the prefent aif- tafer, of which j there are three J kinds. confpiredwitb thedifeafeby acertainfimi- litude of qualities to the deflruCtion of the Patient, it mufl be cor- rected by its contraries, according to Jrt. . n. But if by the disagreement of qualities it repfl the dijeafe, it mujt be kept in the fame temper. From that « which it tneft urgent From the caufe and From that, without which the difeafe can- not be taken .away: Bitternefs ofpain, a defluxion intea part,a Varix, or big fwol- len vein* a diftem ■ per a ture, if they be joyned with a difeafe. "In impli- cit, or . mixed di* feafawe may draw l Indicati- ons from \jhefe three beadf.i The great- nefs The compli- cation or commix- tion with .other-, fi fucb are the difetfe, the Indi ca- tion being drawn fem thefe, »« i Caufe of the difeafe Spn?. tome. which two often indicate and require medicines contrary to the difeafe. Chap. 25. IF,ay to Cbirurgery 37 CHAP. XXIII. Of certain wonder full and extravagant ways ef curing Difeafes. S monfters fometimes happen in nature, fo alfo in difeafes, and in the events and cures of difeafes. I underftand by monfters certain marvailous fuccefles in dif- eafes, or certain ways of curing them, which fwerve from Art, and happen be- fides reafon, nature, and common ufe. Alexander ab Alexandra, and Peter Gilius tell, that in Apulia a part of Italy they have a certain kind of Spider very frequent; the natives call it Tarantula., Petrus Rhodius cals it Phalangium$ The Inhabitants find thefe Spiders inthefirft heat of Summer fo venehate and deadly, that whomfoever they touch with their virulent biting, he prefently, without he have fpeedy remedy, deprived of all fenle and motion fals down, or certainly if he efcapexhe danger of death, he leads the remnant of his life in madnefs. Experience hath found a remedy by Mufick for this fo fpeedy and deadly a difeafe: Wherefore as foon as they can they fetch Fidlers and Pipers of divers kinds, who by playing and piping may make mufick; at the hearing whereof, he which was fallen down by reafon of the venemousbite, rifes cheerfully, and dances fo long to their meafures and tunes, untill by the painfull and continued fhaking and agitation of the whole body, all the malignity iS dilfipated by tranfpiration and fweats. Alexander adds, that it happened once in his fight, that the Muficians their wind and hands failing them ceafed playing, and then the Dancer prefently fell down as if he had been dead; but by and by the Mufick beginning anew, he rife up again and continued his dancing till theperfeft diflipation of the venome. And that it hath happened befides, that one not fo perfeftly healed, certain reliques of the difeafe yet remaining, when a long time after he heard by chance a noife of Muficians,he prefently fell a leaping and dancing, neither could he be made to leave before he was perfeftly cured. Some affirm according to the opinion of Ajclepiades, that fuch aS are frantick aremuch helped with a fweet and muficall harmony. Theophraftus and Aldus Gellius fay, that the pain of the Gout and Sciatica are taken away by Mufick. And the facred Scripture ttftifies, that David was wont by the fweet found of the Harp to refrefh and eafo king Saul when he was miferably tormented by his evil fpirit. Herodotus in Clio tels, that Crcefus the king of Lydia had a Son, which of a long time could not fpeak, and when he came to mans eftate was accounted dumb: butwhen an enemy with his drawn fWord invaded his fa- ther (overcome in a great fight, and the City being taken in which he was) not knowing that he was the King, the young man opened his mouth endevouring to cry out,and with that ftriving and forcing of the Spirit, he broke the bonds and hinderances of his tongue, and (poke plainly and articulately, crying out to the enemy that he fhould not kill King Crcrfus. So both the enemy with-held his fword, and the king had his life, and his fon had his fpeech always after.Plutarch in his book,Of the benefit to be received from our enemies, tels, That a Theffalian called Proteus, had a certain inveterate and incurable Ulcer in a cer- tain part of his body, which could not be healed, before he received a wound in a conflict in the fame place, and by that means the cure being begun afrefh,the wound and ulcer were both healed. Quintus Fabius Maximus, as Livie writes, was long and very fick of a quartain Ague, neither could have wifhed fuccefs from medicins adminiftred according to Art, untill skir- mifhing with the AUobroges, he fhaked off his old feaverifh heat, by a new heat and ardent defire of fighting. It was credibly reported to me of late by a Gentleman of the Lord of Lanfackes Chamber, that, there was a French Gentleman in Polonia, who was grievoufly tormented with a quartain Feaver, who on a time walking upon the bank of the river Wixell, to takeaway the irkfomnefs of his fit, was thruft in jeft into the River by a friend of his that met him by chance, by which (although he could fwim, as he alfo knew that thruft him in) he conceived fo great, fear, that the Quartain never troubled him after. King Henry the fecond commanded me to go from theCamp at Amiens to the City Dorian, that I might cure thofe that were hurt in the conflift with the Spaniards, the Cap- tain £. Arbin, although at that time he had a fit of a Quartain ague, yet would he be prefent at the fight, in which being ihot through the fide of his neck with a Bul- let, he was ftrucken with fiich a terror of death, that the heat of theFeaverwasaflwa- ged by the cold fear, and he afterwards lived freed fromh is Ague. Francifcus Valeriola the famous Phyfitian of Arles, tels, That John Ferlam his fellow Citizen troubled with a Palfey of one fide of his body for many years, his houfe taking fire, and the flame coming near the bed in which he lay, he ftrucken with a great fear, foddenly railed himlelf with all the force he had, and prefently recovering the ftrength of his body, leaps out at the window from the top of the houfe, and was prefently E cured MonftroUs difeafes* The rVonder- full force Of the hire of a cer- tain Spider. Mnfick rhe remedy thereof. Mufick gives cafe co pain> A firbng per* riirbatiuF) of the mind by moving rhe fpirirs. Chance fome. limes exceeds Arc; Otyi'/v.l.lib.i., 38 An Introdu$ions&c. Chap 24. cured of his difeafe, fenfe and motion being reftored to the part, fo that afterward he went upright without any fenfe of pain, who lay unmovaole for many yeers before. He tells the like in the lame place of his coufen John Sobiratiw, hee was a longtime lame at Avignion, by reafon that the Nerves of his hams were Ihrunk and drawn up, fo that he could not go 5 being moved with a vehement and fodain palfion of anger againft one of his fervants whom hee endevoured to beat, he fo ftirred his body that forthwith the Nerves of his hams being diftended and his knees made pliant he began to go and ftand upright without any fenfe of pain, when he had been crooked about the fpace of fix years before, and all his life after he remained found. Galen tels he was once fetched toftanch the bleeding , for one who had an Artery cut neer his Anckle,and that by his means he was cured without any danger of ij a relaxation of a veinous veflell 5 and befides by that accidental! wound he was freed from moft grievous pain of his hip,with which he was tormented four yeers before:but although this eafing of the pain of the Sciatica happened according to reafon by the evacuation of the conjunct matter, by the artery of the anckle of the lame fide being opened; yet bc- caufe it was not cut for this purpofe,but happened only by chance,! judged it was not much diflenting from this argument. Pliny writes that there was one named Phalerew,which calling up blood at his mouth,and at the length medicines nothing availing, being weary of his life, went unarmed in the front of the battell againft the enemy, and there receiving a wound in his breaft,(hed a great quantity of blood, which gave an end to his fpitting of blood,the wound being healed,and uievein which could not contain the blood being condenfate. At Paris.) Anno 1572. in Z»Zy, a certain Gentleman being of a modeft and curteous cariage fell into a continual! Feaver, and by that means became Fran tick, moved with the violence of which he caft himfelf headlong out of a window two ftories high, and fell firft upon the fhoulder of Vaterra the Duke of Alenzons Phyfitian, and then upon the pavement; with which fall he cruelly bruifed his ribs and hip, but was reftored to his former judgment and reafon. There were prefent with the'Patient befides Valterra, witnefles of this accident thefe Phyfitians, Alex if, Magnus, Duretus, and Martins. The fame happened in the like difeafe, and by the like chance to a certain Gafcoyn lying at the houfe of Agrippa in the Pa- ved ftreet. Othomamw Doctor of Phyfick of Mompelier and the Kings Profeflbr, told me that a cer- tain Carpenter at Broquer a village in Switzerland, being frantick caft himfelf headlong out of an high window into a river, and being taken out of the water was prefently reftored to jiis underftanding. But if we may convert cafualties into counfel and Art,! would not caft the Patient head- long out of a window. But would rather caft them fodainly and thinking of no fiich thing into a great ciftern filled with cold water, with their heads foremoft, neither would I take them out untill they had drunk a good quantity of water, that by that fodain fall and ftrong fear, the matter caufing the Frenzy might be carryedfrom above downwards, from the noble parts to the ignoble 5 the poflibility of which is manifeft by the forecited exam- ples,as alfo by the example of fuch as bit by a mad Dog,fearing the water are often ducked into it to cure them. Capult.lib.de cur.rat per fan- guinit mifs. Galen by a dream cures rhe Sciatica. Thecaufcof the laft recited cures. CHAP. XXIV. *of certain juggling and deceitfully ayes of Curing. Ere I determine to treat of thofe Impoftors,who raking upon them the perlon of a Chirurgeon, do by any means either right or wrong, put themlelves upon the works of the Art; but they principally boaft themfelves amongft the ignorant common fort, of letting bones which are out of joint and broken,affirming as fallly as impudently,that they have the knowledg of thole things from their Anceftors; as by a certain hereditary right 5 which is a mo ft ridiculous fiftion; for our minds when we are born,is as a Imooth table5upon which nothing is painted. Otherwile what need we take fuch labour and pains to acquire and exercile fciences > God hath endued all brute beafts with an inbred knowledg of certain things neceflary for to preferve their life, more than man. But on the contrary he hath enriched him with a wit furniffied with incredible celerity and judgment, by whole diligent and laborious /agitation he fubjeds all things to his knowledg. For it is no more likely, that any man ffiould have skill in Chirurgery becaufe his father was a Chirurgeon, than that one who never endured Iweat, duft nor Sun in the field, ffiould know how to ride and govern a great horle, and know how to carry Sciences are n©t hereditary* Way to Cbirwrgery. Chap. 24. 39 carry away the credit in tilting, only becaufe he was begot by a Gentleman and one fa- mous in the Art of War. There is another fort of Impoftors far more pernicious and lefs fufferable, boldly and infolently promifing to rcftore to their proper unity and feat,bones which are broken and out of joint, by the only murmuring of fome conceited charms, id that they may but have the Patients name and his girdle. In which thing I cannot fiifficiently admire the idle- nefs of our Country-men fo eafily crediting fo great and pernicious an error; not obler- ving the inviolable law of the ancient Phyfitians, and principally of Divine Hzftwnrtw, by which it is determined, that three things are neceflary to the fetting of bones diflocated and out of joy nt; to draw the bones afunder; to hold the bone receiving, firmly im- moveable with a ftrong and fteddy hand; to put the bone to be received into the ca- vity of the receiving. For which purpole the diligence of the Ancients hath invented fd many engines, Gloflbcomies and Bands,left that the hand ffiould not be fiifficieiit for that laborious work. What therefore is the madnefs of filch Impoftcrs to undertake to do that by words,which can fcarce be done by the ftrong hands of fo many Servants, and by many artificial! engines? Of late years another kind of Impofture hath Iprung up in Germany, they beat into fine powder a ftone which in their mother tongue they call Bembruch,d.nd give it in drink to any who have a bone broken,or diflocated,and affirm that it is fufficient to cure them.Through the fame Germany there wander other Impoftors who bid to bring to them the Weapons with which any is hurt; they lay up in a fecret place and free from noile,and put and ap- ply medicines to it, as if they had the patient to drels,and in the mean time they fiiffer him to go about his bufinefs,and impudently affirm that the wound heals by little and little by reafon of the medicine applyed to the weapon. But it is not likely that a thing inanimate which is deftittiteofall manner of fenfe, Ihould feel the efleft of any medicine ; and lefs pr obable by much,that the wounded party Ihould receive any benefit from thence. Neither if any ffiould let me fee the truth of fuch juggling by the events themlelves and my own eyes, would I therefore beleevethat it w'ere d jne naturally and by reafon,but rather by charms and Magick. In the laft aflault of the Caftle of Hifdin the Lord of Martigues the elder was (hot through the breaft with a Musket bullet. 1 had him in cure together with the Phyfitians,and Chir- m-geons of the Emperour Charles the fift and Emanuel Philibert the Duke of Savoy, who be- caufe he entirely loved the wounded prifoner, caufed an aflembly of Phyfitians and Chir- urgeons to confult of the beft means for his cure. They all were of one opinion, that the wound was deadly and incurable, becaufe it palled through the midft of his lungs, and befides had call forth a great quantity of knotted blood into the hollownefs of his breft. There was found at that time a certain Spaniard, a notable Knave, and one of thole Im- poftors, who would paw n his life, that he would make him found; wherefore this Hono- rable Perfonage being in this defperate cafe was committed unto his care. Firft of all hee bid they Ihould give him the Patients ffiirt, which he tore into Ihreds and peeces, which prelently framing into a Crofs, he laid upon the wounds whifpering fome conceived or coined words,with a low murmure. For all other things he wiffied the Patient to reft con- tent,and to ufe what diet he pleafed,for he would do that for him,which truly he did. For he eat nothing but a few prunes, and drunk nothing but fmall beer, yet for all this the wounded Prince died within two days; the Spaniard flipt away, and fo leaped hanging.And while ft I opened the body in the fight of the Phyfitians and Chirurgeons to embalm him, the figns and accidents of the wound did evidently and plainly appear to be as we had pro- nounced before. And there be alfo other Jugling companions of this tribe, who promile to cure all wounds with lint, or.Tents, either dry, or macerated in oyl or water,and bound to the wound, having murmured over fome charm or other,who have had fometimes good fuc- cefs,as I can witnefs-But the wounds upon which try all was made were fimple ones,which only i equired union,or doling for to perfeft the cure. So verily the bones of beafts when they be broke,grow together by the only benefit of nature.But when the affeft filial be com- pound by diverfity ofSymptomcs, as a wound with an ulcer, inflammation, contufion and trafture of a bone, you muft hope for no other from Tents or Lints, nor charms than death. Therefore the common fort who commit themlelves to thele Impoftors to be cured do not only injure themfelves, but alfo hurt the Common-wealth, and the com- mon profit of the Citizens; for whole good and juftice lake a prudent Magiftrate ought to deprive Impoftors of all freedome in a free and Chriftian common- weal. Witches, Conjurers, Diviners, Soothfayers, Magicians, and filch like, boaft of curing many difeales; but if they do or perform any thing in this kind, they do it all by Heights,fiibtilties and forbidden Arts, as Charms, Con jurations, Witcheries, Charafters, Knots, Magicall Ligatures,Rings,Images, Poyfons, laces tyed acrofs, and other damna- nable tricks, with which they pollute, pervert and defame the prime and facred Art of E 2 Phyfick A mortimpu* dent fort of Importers. Three things neceffary for rhe cure of a Luxation. What wounds may be cured only by lim, oit by rears and Water, An Introduciionz&c. Chap.24. 40 Phyfick, and that with the danger of mtns lives. Who certainly are to be banifhed by the laws of our Countrey,efpecially feeing it is decreed in Mofes law. Let none be found amongyou that ufeth witchcraft, or a regarder of times, or a marker of the dying of Fowls, or a Sorcerer, or a Charmer, or that counfelleth with Spirits, ora Soothfayer, or that asketh counfell at the dead ; for all that do fuch things, are abomination to the Lord, and becaufe of thefe abominations the Lord thy God doth call them out before thee. But the Miracles of our Lord Jefus Chrift the Son of God, and of his Saints and Apoftles in curing difeafes beyond nature and all Art, are of another kind, which we ought to beleeve fo firmly and conftantly, that it fhould be counted an impiety for a Chriftian to doubt of them. All holy Writings are full of thefe =, as to give fight to the blinde, hearing to the deafj power to go to thole fick of the Palfie, to drive forth Devils, to cure the Leprofie, to give fruit- fulnefs to women, to raife the Dead, and perform by the holy Ghoft other Miracles which exceed the condition and law of Nature 5 whom here we earneftly intreat to free and proteft us from unclean Devils, and the fpirits of diabolicall deceit, and to give us the mind that we may will and be able always to afpire to Heaven, and fatten the hope, fafety, and anchor of all our fortunes in God alone. Amen. Deur4 18» The End of the firfi Boo\.. Lib. 2. 41 The lecond Book, O F LIVING CREATVRES, And of the Excellency of MAN. Efore I come to Ipeak of the Anatomy of Mans body, I have thought fit to fay a little of the nature of brute Beafts. There is between Beafts a great deal of difference by nature; for of thefe, fome are hardy and bold., others fearfull; fome wilde and la- vage, others tame; fomewalking in herds, others wandring alone 5 < fome covered and defended with fliels and fcales, as the Crocodile, the Tortois, and many kinds of fim; others have flings and prickles. The Horfehath his hard and ftrong hoofs,his creft (as being a . generous beaft) befet with a thick and harfli mane. The defence of the magnanimous Lion, are his teeth, his crooked paws and tail. Buis are formidable by their horns. The Boar by his tusks ftanding out, as it were naturall hunting fpears. The Hare being a timerous creature, is naked and unarmed 5 but in recompence thereof Nature hath made her nimble and Iwift of foot. For what the more noble and courageous beafts have in arms, is fupplyed in the fearfull by nimblenefs and celerity. Infinite are the other endowments of brute beafts, and fiich as can hardly he imagined or defcribed. For if we diligently fearch into their nature, we (hall obferve the impreflions and fhadows of many vertues, as of magnanimity, prudence, fortitude, clemency, and docility : for they entirely love one another, follow thofe things that are good, fhun thofe that are hurtfull, and gather and lay up in ftore thofe things that are neceflary for life and food. Laftly, they give undoubted prefages of the weather and air. They have taught men many things, and are ofamoft exquifit and quick fenfe; of rare art in vocall mufick, prudent and carefull for their young, and faithfull lovers of their native foil. They arc religioufly obfervant of the rights of friendfhip and chaftity. They have their weapons whereby they are pre- pared, both to invade, and to defend themfelves being invaded. They fubmit themfelves to the difcipline of man, praftife and imitate his fpeech, and mutually prattle and chant one to another. They have a kind of weal-publick amongft themfelves, and know how to preferve their prefent welfare, and to depell the contrary, being in this their own counfellors, and not tutored by man. Yea, man is beholden to them for the knowledg of many wholfome things. The confideration of which bred fo great a doubt amongft the ancient Philofophers, that it was a queftion amongft them, whether beafts had ufe of rea- fon, or no ? Therefore alfo the wife Salmon fends us for examples of parfimony and dili- gence unto the Ant or Pifmire 5 and EfaiM in exprobration of the people of Ifrael for their ingratitude and rebellion againft God, fends them to the Ox and Afsj for they do not only know, but reverence their mafters. But from whence is the knowledg of thefe Medicins, wherewith the Art of Phyfick is fo richly adorned, but from brute beafts, as Pliny affirmeth? The infallible vertue of the herb DiftamtM, in drawing darts out of the flefh, was taught us by the Hart, who wounded with the Huntfmans darts or arrows, by means hereof draws out the weapons which remain flicking in her. Which is likewife pra&ifed by the Goats of Candle, as Ariftotle writeth. The wonderfull effeft which Celandine hath upon the fight, was learnt by thepraftife of Swallows, who have been obferved with it to have befmeared, and fo ftrengthened the eys of their young. Serpents rub their ey-lids with fennell, and are thought by that means to quicken and reflore the decaying fight of their eys. The Tor- tois doth defend and ftrengthen her felf againft the biting of Vipers, by eating offavorie. Bears by eating of Pifmircs, expell that poifon that they have contrafted by their ufe of E 3 Mandrakes. The difference of brute beafts. Somefhadow of venue in beafts* Lib.i *• 42 Of living Creatures, and L I B. 2. Mandrakes. And for correction of that drouzinefs and doth which growes upon them by their long fleep in their dens, they eat the hearb of Cuckopint. But the Art they ufe in the enticing and catching ofPifmires is very pretty, they go foftly to the holes or hils of the Pilmires, and there lay themfelves all their length upon the ground,as if they were dead, hanging out their tongue wet with their foam,which they draw not again intp their mouth, before they feel them full of Pifniires,which are enticed by the fweetnefs of the foam : And having taken this as a purging medicine, they expell by the guts, thole ill hu- mors wherewith they were offended. We fee that Dogs give themfelves a vomit,b'y eating a kind ofgrafs3which is from thence called Dog-grafs.Swine, when they find themfelves tick, will hunt after fmalt,or river lobfters. Stockdoves, Blackbirds,and Partridges,purge them- felves by Bay leaves. Pigeons,Turtles, and all fort of Pullen, disburden themfelves of grofs humors, by taking of Pellitory of the wall. The bird Ibis (being not much unlike the Stork) taught us the ufe of Clyfters. For when he finds himfelt opprefled with a burden of hurtfull humors, he fills his bill with faitwater, and fo purgeth himfelf by that part, by which the belly isbcft difcharged. The invention of the way of removing the Cat a raft of the eye, we muft yeeld unto the Goat,who by (hiking by chance againft the thorny bufhcs, pulls off the Cataraft which hinders the fight, and covers the ball of the eye, and fo reco- vers his fight. The benefit of Phlebotomie, we owe unto the Hippotamus or River-horfe, being a kind of horfe, and the Inhabitant of the River NUm; who being a great dev outer, when he finds himfelf fiircharged with a great deal of blood,doth by rubbing his thigh a- gainft the fharp lands on the bankfide, open a vein, whereby the iuperfluous blood is dif- charged, which he ffoppeth likewife when it is fit, by rowling himfelf in the thick mud. The Tortois having chanced to eat any of the flefh of a Serpent, doth make origanum and marjoram her Antidote. The Ancients found help from brute beafts,even againft the dread- full and non-fparing force of lightning 5 for they were of opinion that the wings of an Eagle were never ftruck with lightning, and therefore they put about their heads little wreaths of thefe feathers. They were perfwaded the fame thing of the Seal, or Sea-calfjand therefore were wont to encompafs their bodies with his skin, as a moft certain fafeguard againft lightening. It were a thing too long, and laborious, to fpeak of all thofe other muniments of life and health ( obferved here and there by Aiiftotk and which we have learnt of brute beafts. I will therefore end this Chapter, after that I have firft added this ; That we are beholding to beafts not only for the skill of curing difeafes, and of prefervation of health, but for our food, our rayment, and the ornament and beautify- ing the bodies. Of the Faculty of brute Beafls in prefacing. 1* He firft knowledg and skill of Prognoftication, and obfervation of weather by the Air, was fit ft delivered unto us from beafts of the land and water, and from fowl. For we fee in dayly obfervation, that it is a fign of change of weather, when Lambs and Rams do butt at one another with their horns,aud playing wantonly do kick,and keep up their heels. The fame is thought to be prefaged when the Oxe licks himfelfagainft the hair,and on the fodain fils the Air with his lowing, and finels to the ground, and when he feeds more greedily than he ufed to do. But if the Pifmires in great multitudes fetch their prey fo haftily,that they run and tumble one upon another in their narrow paths, it is thought a fign of rain ; As is alfo the bufie working ofMoals, and the Cats rubbing and ftroaking of her head and neck,and above her ears, with the bottome of her feet. Allo when Fifties play and leap a little above the water,it is taken for a fign of rain. But if the Dolphins do the fame jn the fea,and in great companies,it is thought to prefage a fodain ftorm and tem- peft. Whereby the Mariners forewarned,ufe all care poflible for the fafety of themfelves and their fliips,and if they can caft Anchor. And it is fufliciently known what the louder croak- ing of Frogs than ordinary portends. But the facultie of birds in this kind of prefaging is wonderfull. If Cranes flie through the air without noife,it is a fign of fair weather,and of the contrary, if they make a great noifeand flie ftragglingly . As alfo if Sea fowl Hie far from the Sca-and light on the land. The cry or fcrieching of Owls portends a change of the prefent weather,whether foul or fair. Plutarch faith, that the loud cawing of the Crow betokens winds and (bow- ers, as alfo when he flaps his fide with his wings. Geefe and Ducks, when they dive much, and order, and prune, and pick their feathers with their beaks, and cry to one another, foretell rain; and in like manner Swallow's, when they flie fo low about the water, that they wet themfelves, and their Wings. And the Wren, when he is ob- ferved to fing more fweetly than ufiiall, and to hop up and down. And the Cock when he chants, or rather crows prefent ly after the letting of the Sun. And Gnats, and fleas,when they bite more than ordinary .If the.Hern foar aloft into the air,it betoken- e eth fair weather, if on the contrary he flie clofe by the watter, rain. If Pigeons come late home to the Dove-houfe, it is a fign of rain. If Bats flie in the evening, they fore- fhew wet weather. And laftly the Crocodile layes her egs in that place, which muft » be the bounds of the overflowing of the River JSlilus-, And therefore he that firft meets with The crafdnefs of Bears. The bird Ibis the hi ft inven- tcr,or lhewcr of Clyftcrs* The invention of removing a Catataft. The invention of Phelcboto- niy. A prefervative againft thun- der. What the but- ting of Rams Signifies, Prefages of rain. The fign at fea of aft oi mat hand. TheCrocodih by laying her egs,fhews the hounds of rh< jujcreale of th< River tfilw. of the Excellency of tSMBan; Lib. 2. 43 V, 1th thefe eggs, tels the reft of the Countrey people, and (hews them how high the flood tv ill t ife, and what inundation it will make upon their grounds : A thing moft worthy ofadmiration, that in this monfter there Ihould be that ftrong faculty of prefaging. Of the induflry of Fifbes. MAny fea-Fifhes, when they feel a tempeft coming, do gravell or balaft themfelves, to the end they may not be tolled up and down at the pleafure of the waves. Others when the fury of the fea is at the height, hide themfelves in the holes of rocks. But in that they fwim againft the ft ream, they do it for this caufe and reafon, that the force of the ftream and the flood may not take from them, and ftdke off their Icales, and that their gills may not fill with water which would hinder their fwimming, and intercept their relpiration. As by the fame advice Cranes fly againft the wind;whereas if they fhould fly down the wind, their feathers would be difplaced and broken, and they would not be able to fly. Of the induflry of Birds in the building of their Neffs. THe induflry of Birds in the building of their nefts is fuch,thar it doth far exceed the art and skill of all Mafons and Architefts. From whence it is become a Proverb,? W men fyonyind can do all things but makf Birds-nefts. They are built within with wooll and feathers, and iuch kind of lb ft things, which are as a kind of a pallet for the young ones. Swal- lows build their nefts in a round form, that they may be the more firm, and lefsfubjeft to be hurt by any thing that fhall ftrike againft them, and likewife more capacious. They choofe their matter out of dirt and chart, (interlacing it with many ftraws) as it were their plafter or lime. Thofethat build in trees, do make choice of the foundeft boughs,, as if they meant to have them as a Pure foundation for the building which they fhould creft thereon. The Cock and the Hen do by turns fit over their eggs, and likewife fetch their meat, interchanging each others labor; neither do they ever forfake their young, before they are able to get their own living. I had at my houfe a great number of Spar- rows nefts in earthen pots ; and when the young ones begun to wax pretty big, ana to be covered with feathers, I made the whole neft be taken down and let upon the ground, that I and my friends might delight our felves in beholding the care of the old ones in the feeding of their young 5 for they feed them every one in order, skipping none, nei- ther will they (to the wrong of the reft) give one two parts, although he gape, and be importunate for it; dividing moft juftly to every one his own fhare, according to tha exaft rule of diftribution. And oftentimes for experiment, I would make triall with a ft range Sparrow of the fame age, laid near, or put among the reft of the young ones, whether the old ones would feed the ftranger, as if it were legitimate. But this as a ftranger and a baftard they would fufler to ftarve, skipping it when it gaped after the meat. And in like manner Lambs and young Kidds do in the fields, in the midft of a great flock, run every one to his own dam 5 who being moft certainly able todi- ftinguifh between the legitimate and a baftard, will not fufler her felf to be fuckt but by her own young. Of the induflry of Spiders. THe Spider fpins her web with wonderfull artifice, hanging and fattening it to every tack or ftay that is nigh, drawing of his thread, and running upwards and down- wards,and every way. And although the diligence of the chamber-maid beats down and mars this pendulous and new-begun work, yet her feat and her hold,the Spider keeps ftill, neither is fhe, or will fhe defift from the work fhe hath begun, but in a very fhort time weaves a great deal more unto the ruins of her former work, than can be unweaved again with much labor. So that from hence all cloth and linnen Weavers, all Embroiderers and workers with the needle(you will eafily think)have learnt their Arts,if either you obferve the exaftnefs of the weaving, the finenefs of the thred, or the continuation and iridiflb- luble knitting together of the whole web; for being abrupt, and troubled with no ends ofthreds at all,it refembles a thin membrane, anointed with a kind of glew, wherewith, when the prey is entangled, the Spider runs prefently in, and,as it were,draws her nets,and infolds, and takes the captive after the manner of huntfmen. If this were not daily feeh with our eys, it would be thought fabulous. Of Bees. 1 Cannot pafs in filence the great induflry of Bees: For having eftablifhed a kind of Weal-pubiick, they make eleftion of a King, who is fuch a one, as in procerity of body, and excellency of feature exceedeth all the reft. He is remarkable by his fhort wings, his ftreight legs, his grave gate ; and in ftead of a Diadem or rcgall Crown, either he hath no fting, or elfe doth not ufe it,which is the Artillery of the reft. He never goeth unatten- ded out of the hive, but always invironed with a Princely retinue, the reft qfhis train following after neither goes he at any time abroad , but upon urgent affairs which concerns How Fifhes provide for their fafefy agamft a ftonn. How they fwim again It the ftieain. Of what things birds build their nefts. In what fhape. With what care Sparrows feed their young. How the Spi- ders weave. Row they catch prey. Bees choofe themfelves a King. 44 Of living Creatures, and L1B, 2. concerns the whole ftate. His progrefs is forewarned by the voice and found of trumpets, and as it were with finging, and they all draw nigh. Every one gets as near to his perfon as he can, and when he is weary with flying, they all bear him up with their own bodies. On what place foever he alighteth, there they forthwith pitch their tents. If he chance to die, they go not abroad to feed, but (land all mourning round about the corpfe $ then carry him out of the hive, and (as it were) follow his hearfe and bury him : and laftly, having with folemnity performed all the feverall rites and obfequies, they choofe thcm- felves another King, for without a King they cannot live. He then taketh care of all things, having his ey every where, whilft that the reft intend the performance of the work. And fupervifing all, giveth them encouragement, and chaftifeth negligence. For their time of going forth for food, they choofe a clear and fair day j for they have a naturall faculty of prefaging of the weather. They are fuch obfervers of juftice and equity, that never, either with their fting, or by any other way, do they moleft any creature, neither do they exercife and prepare their (pears againft any, but tor the fafegard of themfelves and their hives. Of the care of Bees. THey manage and order their affairs in this manner 5 in the day-time they appoint before their gates aftation of watchmen and guarders. In the night they reft from their labors, fo long, till that one (who is appointed to this charge) by one or two humms, as by a found of a Trumpet, rowfeth all the reft. Then come they together to obferve what is the ftate of the weather, which if they forefee will be fair, then abroad go they into the fields and paftures. Some therefore bring into the hive little fafcicles of flowers on their thighs 5 others water in their mouth, and others a dewie moifture ga- thered on their bodies. Thefe are met by others, who receive their burdens, which they difpoie in their due and proper places. Thofe that are fent out into the fields for food, are the youngeft and the finalleft; And therefore if the wind chance to rife any thing high, they expeft untill it ceafe, and that the force and violence thereof be over. But if it con- tinue violent, then do they ballaft themfelves with a little ftone flying clofeby the ground, to prevent their being driven to and fro by the force of the wind. They are exceeding diligent in all their bufinefs, and do punifti the floth of the lazie oftentimes with death. Some of them are the builders, others polifh the building, and the reft bring in their materials. The building in their arched hives is with wonderfull artifice, being made with two doors, one to come in, and the other to go out at. They have all things alike, left that the inequality, either of their food or labor, fhould give occafi on of diflention. Their care is, that their houfes may fhew both ftate and handfbmnefs. Idle drones, born for no- thing but to eat, and confume the fruits of their labors, they chafe from their hives. Thole that chance to lofe their ftings, are utterly difabled, and in a fhort time their guts come out that way, and they die. They bring to their owners wonderfull increafe of wax and honey. Ariftomachus the Philofbpher doth boaft, that for fifty eight years together, he had with great care been a nourifher of Bees, only that he might the better attain to the knowledg of their ftate and condition. Of Pifmires and Ants. N Either truly is the induftry, diligence, and experience of the Pifmire lefs worthy of admiration, than that of the Bees. Infomuch as that Solomon bids the fluggard to take an example of diligence from the Pifmire. Truly, if experience did not witnefs it, it would feem incredible, that fo fmall a creature fhould be able to ftore up liich abun- dance of corn, to difpoie and manage her affairs in that good order that we fee flie doth. Pliny faith, that they have among them the form'of a wel-govern'd and wel-order'd Common-weal. For how pretty a fight is it to fee them, when they feife upon a grain they have a mind to carry away, how they fet to it, and lift it with head and fhoulders. And how left the corn which they carry to their fhould put forth' and grow, they bite it at one end. If it be fo bigg that they cannot carry it into their little hole, they divide it in the middle. If it be dampifh, they lay it out to dry in the Sun and open air. When the Moon is at the full, they follow their work in the night 5 when fhe doth not fhine, they take their reft, whereby they fhew themfelves to have fome know- ledg of heavenly things. Pliny affirmeth that they have their fet Fairs and Markets,whither they come in great companies, and where they ufe to eftablifh leagues of amity and friend- fhip one with another. And when one marks them well, would he not think that they were in conference one with another, and that they did difeourfe among themfelves of their bufinefs > Dowenotfee that the often trampling of their little feet doth wear a path even upon hard flint ftones ? From whence we may note, what in all kind of things is the effeft of afliduity. They fay alfo that they perform the rites of buriall one unto another, after the manner of men. What Their pitching their tents. Their obfe- quies for their dead King. Their juftice. Their watch. Their divers employments. They punifh floth with banifhment. Ariftomachw' a diligent obfer- verofBees. Lib.iU&lo. Wonderfull care. There is no> thing but may be attained by diligence. Lib. 2. of the Excellency of Mau. 45 What words (hall I ufe (faith Plutarch') to exprels fufficiently the diligence and induftiy of the Pifmires > There is not among all the great things in nature, a light of greater won- der than thele: For in the Pifmires are feen the marks of all venue. Their great meetings argue that they maintain a kinde of friendlhip. Their alacrity in the undergoing of their labors, feemsto fhew their fortitude and magnanimity j and laftly, they are eminent examples of temperance, providence, and ju- ftice. Their niutuall charity appeareth in this, that if one of them that is not loaden meets another, (in one of their narrow paths) that is, he will give him the way, that he may the better go on in his intended journey. They lay that the firft entrance into their hole, is not freight, but full of many diverticlcs and crooked paths, which all end, which will bring you to three little cels j in one of which they have their conventicles ; in the other, they lay up their provilions; and in the third they bury the carkafles of their dead. This doth Plutarch fpeak concerning Pifmires. f Of Silk-Worms. XA7T th the induftry of thele creatures, I lhall not unfitly joyn that of the Silk-worms, ' V of whole pains and care, both in the making of their nefls, and the (pinning of their thred and bottoms (w7herewrith Kings are fo magnificently adorned) Philofophers have written very ft range things. And who can chulebut wonder at thole great endowments of skill and knowdedg, and that exceeding induftry, (the mother of lb much wealth) in the little bedy of fo Imall a creature? The providence therefore ofGod, doth not only appear in this, that he hath adorned each creature with a peculiar and proper endowment,but in this efpecially,that on theleaft creatures of all, he hath bellowed the greater portion of skill,induftry, and inge- nuity to fupply their deleft of bodily ftrength. Of the love of Eeafls one towards another, and to their young. pLutarch writeth. That all kind of creatures bear a lingular love, and have a kind of * care of thofe that are generated of them, and the induftry of the Partridges this way is much commended; tor during the time that their young ones are weak and unable to fly, they teach them to lye upon their backs, and to hide themlelves among the clods on the ground, that fo being almoft of the fame colour, they may not be dilcerned by the Faulkoner. But if notwithftanding, they fee any body coming, and that he is near them, they do with a hundred dodges and ftoopings of themfelves , as if they were weary with flying, entice him away from their young to follow after them, and when they have their purpofe,they then, as if they had recovered fome frelh ftrength,fly quite awayjwho can but wonder at this both affeftion and fubtilty > In Florida part of the Weft-Indies, they have a beaft, which for the variety and de- formity of it I cannot pafs over in filence ; the natives call it the Canibals, S'w, The forms of all venues cx- p re Rin Pif- mircs. Diligence the mother of wealth. Theinduflry ofParrridg in preferving their young. It keeps for the moft part about the rivers, and the fea-fhore, and lives by prey. When he perceiveth that he is purfued by ths Huntlman, he gets his young ones upon his back, and with his tail, which is very long and broad, he covereth them, and fo flying, provideth both 46 Of living Creatures, and L I B.-2. both for his own and their fafety ; neither can he be taken by any other way but by pits, which thote lavage men ule to dig in the places near which he is to run, into which at unawares he tumbles headlong. This pi&urc of him here, I drew out of 7 hcvets Cofmo- graphie. Neither are thole things lefs wonderfull that are reported of Hares, for when they would go to their feat, they fever their young, and commit them to the truftof divers places, it may be two acres afunder one from another, led peradventure a Huntfman , a dog, or any man fhould chance to come that way, and they might be in danger to be loft at once. And then after they have traced up and down, hither and thither, and every way that the dogs may not trace them, nor the huntfman prick them, they take a leap or two, and leap into their forms. Nor inferior to this is the craft of the Hcdghog, for when the Fox purfucth him, and is now at his heels, herowls himlelf up in his prickles like a chefnut in the outward lhell, fo that every part being rounded and encompafled with thele (harp and dangerous pricks, he cannot be hurt: and fo faves himlelf by this trick. For his young he provides in this manner: In the time of Vintage he goes to the vines, and there with his feet he ftrikes off the boughs and the grapes, and then rowling his body makes them flick upon his prickles,and fo doth (as it were) take his burthen upon his back, and then retufns to his hole you would think that the grapes did move of themfelves 5 the prey he divides between himfelf and his young. . the affetfion of Birds, and of Dogs towards their Mafters. T He young Stork provides for the old, which is difabled by age; and if any one of their equals come to any milchance, that he is not able to fly, they will give him their afliflance, and bear him on their backs and wings. And therefore this affeftion and piety towards the old ones, and (as it were) brotherly love towards their equals, is commended in the Stork. The Hen in any kind of danger gathers her chickens under her wings, and (as it were) With that guard, defends them as well as lhe can. For their fake lhe expoteth her ft If to the cruelty of the fierceft beaft£; and will fly in the eys of a Dog, a Wolf, or a Bear, that by chance offers to meddle with her chickens. But who is there that doth not admire the fidelity and love of dogs towards their Mafters, whereby they recompence them for their keeping ? A Dog will never forlake his Mafter, no, if he be never fo hardly ufed. For there is no man can find a ftick hard enough to drive that Dog clean away from him which hath once taken a love to him. There is no kind of creature that doth more certainly and readily remember his mafter; he will know the voice of all the houfliold, and of thofe which frequent the houte. There cannot be a truftier keeper, (as Cicero himfelf faith) than a Dog is 5 I fpeak not of their faculty of flnelling, whereby they follow their Mafters by the foot, and find them,neither do I fpeak of thofe infinit examples of the fidelity of Dogs, which were too long to rehearfe. Pigeons , as well the cock as the hen, although they are all very venercous, yet they know no adultery; yea, and the Hen will bear with the froWardnefs of the cock, neither will flie ever leave him, but reconciling him unto her by her officious diligence, bring him to his wonted dalliance and kifles, neither is the love of either of them lefs towards their young. There is the like mutuall bond of love between Turtles; for if one of them die,thefur- viver never folicits Hymen more, neither will he ever chute other feat thana dry withered bough. Of the ftrengthspiety, docility, clemency, chaftity, and gratitude of Elephants. A Mong the beafts of the field, there is none more vaft, more ftrong, or more to be fea- red than the Elephant. His flrength is fufficiently ffiown by thole towred Caftles of armed men which he carries, and fiercely rulheth with into the battail. The Roman fouldiers, being otherwite of undaunted fpirits, yet in that battail which they fought againft Pyrrhus, being terrified with the vaftnefs and humanity of thefe bodies, which they had never before teen, pretently turned their backs and fled; which notwithftan- ding, it is a wonderfull thing what Stories naturall Philofophers tell of the vertues of the Elephant. Plinie writeth, that an Elephant cometh very near to the underftanding that men have, and that he hath a rude kind of knowledgsof language; that his facility and obtequiouf- nefs is wonderfull, that his memory in the performance of his wonted duties, is no lefs wonderfull. And for Religion ("Plutarch faith) that they pray unto the gods, and fprinkle and purge themfelves with fait water, and that with great reverence they worlhip the Sun at his riling, lifting their trunks up towards heaven for want of hands. Plinie addeth, that they do with the like reverence worlhip the Moon and the Stars. For it it related in. the Tom i.lib.z}* tap. I. How Hares provide for rhemfelves and theiryoung, for fear of hunters. The care of the Hedghog to provide for her young. The piety of Storks* The fidelity of Dogs. Doves free from adultery. Turtles never couple twice. Lib,8. cap,I, The religion of the Elephant, of the Excellency of Man Lib. 2. 47 the Hiftories of the Arabians., that at a new Moon the Elephants go by troops down unto the rivers, and there walh themlelves with Water i and being thus purged, kneel down and worfhip the Moon, and then return to the woods, the eldeft going firft, and the other fol- lowing after according to their age. Plutarch reporteth, that it hapned once3that among the Elephants which were taught at Rome 48 Of living Creatures, and L1 b.-j. Rome againft the Pancgyrick (hews, there was one that was fomething dull, and not fo docile as the reft, which made him be defpifed by his fellows, and often beaten by his mafter. But that this Elephant, that he might fopply by diligence what he wanted in wit, was oftentimes obferved in the night, by the light of the Moon, to be praftifing and conning what he had learnt of his mafter in the day-time.For they were wont to be taught to make letters, and alfo to prefent garlands to the fpeftators, and other f'uch like tricks. But they can never be brought to go aboard a fhip, to be carried over the fea into any ftrange land, unlefs their mafter give them his word to allure them that they ftiall return again to their own native foil. They never hurt any one that doth not firft provoke them. They never gender but in private out of fight, an argument of their modefty. Of the Lamprey. LEft that the heat of afle&ion may leem to lie quenched under the waters, let us by one example, (Jit were an infinit thing to fpeak of all) fee in what kind of mutuall love the creatures of the water come Ihort of thole of the land. The Lamprey of all the creatures of this kind doth worthily bear the praife for its piety towards thole of whom it was generated, its affeftion towards thole that are generated of her ; for firft the breeds eggs within her, which in a Ihort time after arefpawned. But fhe doth not as loon as her young ones are formed and procreated, bring them ftraight-way forth into the light after the manner of other fifties, that bring forth their young alive, but nourilheth two within her, as if Ihe brought forth twice, and had a fecond brood. Thefe flie doth not put forth before they are of fome bignefs, then Ihe teacheth them to fwim and to play in the water, but luffers them not to go far from her ; and anon gapes and receives them by her mouth into her bowels again, iuffering them to inhabit there, and to feed in her belly fo fong as fhe thinks fit. 7he favagv < brute beafts may be made tame. THevet reporteth, that the Emperor of the Turks hath at Caire (it was once called Memphis') and at Conftantinople, many favage beafts kept for his delight, as Lions, Ti- gers, Leopards, Antilopes, Camels, Elephants, Porcupines, and many other of this kind. Thefe they ufe to lead about the City to ftiew. The mafters of them are girt with a girdle hung about with little bels, that by noife of thefe bels the people may be forewarned to keep themfelves from being hurt by thefe beafts. But in hope of reward and of gifts, they Ihew them to Ambafladors of ftrange nations, before whom they make thefe beafts do a thoufand very delightfiill tricks, and in the interim they play their countrey tunes and mufick upon their pipes and other inftruments, and make many (ports in hope of gain. That Fifbes alfo may be tamed. BUt it is far more wonderfull, that the creatures of the water Ihould be made tame,and be taught by the art of man. Among which, the ch iefeft are held to be the Eel. The lame things alfo are reported of the Lamprey. For we have it recorded, that Marcus Craffus had a Lamprey in his Filh-pool, that was fo tame, and fo well taught, that he could com- mand her at his pleafure. Therefore as a domefticall and tame beaft he gave heraname,by which when he called her, fhe would come. And when this Lamprey died, he mourned for her in black, as if fhe had been his daughter. Which when his colleague Cneus Vomitius objefted to him by way of reproach, he replying, told him. That he had buried three wives, and had mourned for none of all them three. Of the Lion, the Ichneumon., and thofe other beafts which are not eafily terrified. THe Lion when he goes,hath his claws always clutched, and(as itwere)put up in their, (heaths, not only becaufe he would leave no mark of his feet, .whereby he may be tra- ced and fo taken, but becaufe by continuall walking he Ihould wear off, and blunt the points of his claws. Buis when they fight charge one another with their horns, and like valiant fouldiers, provoke and animate one another to the battail. The Ichneumon feems to imitate the moft valiant fouldier in his preparation and accefs to battail; for he bedawbs himfelf with mud, and doth (as it were) buckle and make tite his armor, efpecially when he is to encounter with the Crocodile; who although he bee a vaft beaft, is put to flight by this little creature. And this truly hath been obferved to be by the Angular providence of Nature, that the moft vaft creatures are*terrified by the leaft things, and fuch from whence there can arife no danger 5 fo they fay the Elephant doth ftartle at the grunting of an Hog; and the Lion, at the crowing of a Cock ; although it be reported of the Lion, that no fear can make him turn his face. Thefe kind of fears,terrors, and aflrightments,arifing upon light and moft ridiculous occafions, we find as well in the ancient as modern Hiftories of our times,to have difperfed and put to flight mighty legions of fouldiers, and moft potent armies. That men were taught by Beafts to polifb and to whet their weapons, and to lye in ambufr. S Ouldiers are carefull to keep their weapons from ruft, and therefore they carry them to the Armorers to be polifhed. But in this care, many beafts are nothing inferior un- to F/z'n, Zzi.8. Cofinogrtipl. Tom. 2. lib. ip» cap. 7. The provi- dence of the Lion in his going. The greateft are terrified by the leaft» of the Excellency of tZMan Li B.-2. 49 to thenr j for Boars whet their tusks againft they fight. And the Elephant knowing that one of his teeth is doubled with digging at the roots of trees to get nieatjkeepeth the other fharpp and touches nothing with it, preferving it for his combat with the Rhixocerot his F weniy 5 Of UvingCreaturer, and Lib. 2. 50 enemy ; but the craft of the Rhinocerot is very remarkable, that being in continuall en- mity with the Elephant, at the time when he prepares for the battail, he whets his horn againft a rock, as if it were with a whetftone ; nor (if he can chufe) will he ftrike any other part of the Elephant but the belly, becaufe he knows that part of the Elephant is lb tender, that it may be eafily pierced. This beaft is in length equall to the Elephant, but in height he is inferior unto him,by reafon of the ftiortnefs of his feet j he is of a palilh yel- low colour, and full of many fpots. Of Cockj. COcks are kingly Birds, and therefore Nature hath adorned them with a comb, as with a princely Diadem; and wherefocver they come, their magnanimity and courage makes them kings. They fight with their beaks and their (purs, and with their martiall voice they fright the Lion, who is otherwife the king of beafts. Of Conies. GOnies have taught us the art of Undermining the earth, whereby the moft lofty Cities and ftruftures reaching the very skies, are by taking away their foundation levelled with the ground. Marcus Varro writes, that in Spain there was a town, and that no mean one, which han- ding on a fandie ground, was fo undermined by a company of Conies, that all the houfes tumbling and falling down to the ground, the inhabitants were fain to depart aud feck new dwellings. Of Wolves. '■ MEn have learnt the arts of waging War from the Wolves, for they come oufcby troops, and lye in ambulh near the towns which they have appointed, and then one of them runs unto the town and provokes the dogs. And making as if he run away, in- cites the Dogs to follow him, untill he hath gotten them unto the place where their am- bufh lyeth, which on a fodain appeareth, and ruflieth out upon them. And fo they kill and cat all,or as many of the dogs as they are able to catch. Of the Fox. IN fubtilty and craft the Fox exceedeth all other beafts: when in the chafe the Dogs are at his heels, he berays andbepifles his tail, and fwings it in the face and eys of the Dogs that follow him, and fo blinding them, in the mean time gets ground of them. To fetch tire Hens down from their pearch, he hath this devUe, he (hakes and fwings his tail up- wards and down wards, as if he meant to throw it at them; which they fearing tumble down, and he takes up one of them for his prey. His warineft when he pafleth over a River that is frozen, is wonderfull; for he goes foftly to the bank, and lays his ear to liften, if he can hear the noift of the water running under the ice. For if he can, back he goes, and will not venture to pafs over. The knowledg of which thing he could never meerly by his fiibtilty and craft attain unto, but that of neceffity he muft have fbme faculty of reafoning joined with it; which by difeourfe, and by proving one thing by another, arrives at this Conclufion : whatfoever is liquid and maketha npife,is in motion; what- foever liquid is in motion, is not concrete and frozen; that which is not concrete and frozen, is liquid; whatfoever is liquid, will not bear a heavier body; whatfoever will not bear a heavier body, cannot with fafety be adventured on; and therefore back again muft I go, and not pafs over this River. Of Swine. S Wine, if in the woods, they hear any one of the fame herd with them crying out, they ftraightmake aftand; and marfhalling their forces,hafte all, as if they had been warned by the found of a martiall trumpet, to the alfiftance of their fellows. Of the fifbes Scarus «w</Anthia. pLutarch reports of the Scari, that when one of them chances to fwallow a hook, and be taken, the reft of the fame kind come to his refeue, and (hearing the Line with their teeth, fet him at liberty. But the readings of the Anthia to the mutuall affiftance of one another, is yet more manifeft; for by calling the Line upon which the hook hangeth on their back, with the lharpnefe of their fins they cut it afunder, andfo fet free themfelves and their captived fellows. Of the Pilot-jfp. THere is great kindnefs between the Pilot-filh and the Whale; For although in bulk of body the Whale fo far exceed him, yet he leads the Whale, and goes always before him The craft of s the Rhinocerot about to fight with the Elephant. Cocks are kingly and mar rial I Birds. Conies have taught us un- dermining. The deceits and ambuflies of Wolves. The craft of the Fox. The Fox feems to reafon with himfelf. His Scriiei. The lore of Fifties one to another. L I B.-2. of the Excellency of <S\Aan. 51 him as his Pilot, to keep him from running himfelf into any ftraight or muddy place, whence he might not eafily get out. And therefore the Whale always follows him,and very willingly luflers himfelf to be led by him, it being for his own good. And in like manner he gets into the Whales mouth, and there lodging himfelf, fleeps when he fleeps, and leaves him not either by day or night. Of Cranes. CRaneswhen they are to take a long journey into fome Countrey crofs the leas, put their company in fo good order, that no Captain can put his fouldiers in better. For before they ftir out of any place, they have (as it were) their trumpets to call them toge- ther, and encourage them to fly. They come together, and then fly up on high, that they may fee afar off, choofing a Captain whom they are to follow. They have their Serjeants to take care of their ranks, and keep their nightly watches by turns. Plutarch tels us that the Crane, which is appointed to Hand Sentinell for all the reft, holds a ftorte in her foot, to the end, that if (he chance to give way to nature and deep, fhe may be waked by the noife of the falling ftone. The leader lifting up his head, and ftretching out his long re.k, looks about him far and wide, and gives warning to the reft, of any danger that may befall them. The ftrongeft lead the way, that they may the better with the flapping of their wings break the force of the air, and this they do by turns. And that they may the eafilyer prevail againft the force and oppofition of the winds, they difpofe their com- pany into a wedg in the form of the Greek letter a ora triangle; and being skilfull in the ftars, they forefee when tempefts are coming,and fly down to the ground to keep themfelves from the injury of the approaching ftonn. Of Gcefe, T He Gcefe of57cz7ze do with great warinefs take care, that by tlieir keeking and their noife, they do notexpofe themfelves to the rapacity of Birds of prey : for Plutarch faith, that when they are to fly over the hill Taurus, for fear of the Eagles that are there, they hold ftones in their mouths to keep themfelves from gagling, untill that they come unto a place where they may be fecure. Of Eragons. N Either are the Dragons lefs crafty ; for thus do they overcome thofe vaftand other- wife invincible beafts the Elephants. They lye in ambufh, and Todainly fet upon the Elephants where they fear no fitch matter, and involve their legs with the twines of their tail, in fuch fort, that they are not able to go forward; and ftop their noftrils with tlieir heads, fo that they cannot fetch their breath,they pull out their eys, and wherefoever they find the skin moft tender, there they bite and fuck the blood untill they make them fall down dead. Pliny faith, that there are Dragons found in of ten Cubits long, but that in India there are Dragons of an hundred foot long, that fly fo high, that they fetch Birds, and take their prey even from the midftof the clouds. Of the Fife called the Fifherman. T'His fifh is called the Fifherman, becaufe he hunts and takes other Fifhes,which he doth almoft by the fame cunning which the Cuttell ufes; for he hath hanging at his throat a certain bag, like the Wattels of aTurky-cock. This when he lifteth he cafteth out, and layeth before the little Fifhes for a bait, and then by little and little draws it up again,un- till he catch for food the little Fifhes feifing upon it as a prey. Of the Cuttell Fifh. \ Onderfiill *s t^ie Cuttell-fifhes, for they carry a bladder at their neck V * full of a black juice or ink,which they pour forth as foon as they feel themfelves taken; that fb they may blind the eys of the Fifhermen, as Plutarch faith, and as Ariflotle witnefleth, they with their long fangs do not only hunt and take little Fifhes, but often- times alfo Mullets. Of the arms or weapons of brute Beafts. BPkUte beafts are naturally fo furnifhed with arms,that they have no need to get,make or borrow in any other place. And fome of them neverthelefs are fo furnifhed with fuch arms, that they captivate thofe which hold them prifoners; an example of this is the Torpedo, which doth not only hurt by touch, but alfo by the net being between, he breaths fuch a quality from him, as ftupifies the hands of t|je Fifhermen, fo that they are forced to let go their nets, and fo let him go ; moreover if it touch a fhip it makes it ftay. 'Ihevet writes, that the Perfian bay towards Arabia, nourifhes a fifh equal in length and thicknefs to a Carp, on everv F 2 fide The Whales pilot or guide. Cranes order rhemfelves in ranks. The fenrinell Crane. The care of the Geefc that their gagling do them no harm. The craft of Dragons fighr<» ing againftjhe Elephant* Lib 8. cap. ii, & 12o The craft of the Fifherman-fifh hi taking her prey. The craft of rhe Cutrch to fave herfelf. Lib. 9. de Hift» animal, cap.yp Cefmogr.tbin. i. fib,io.)cap.ib, Of IrvingCreatwes, and Lib. 2. 52 fide encompaflcd with (harp and ftrong pricks, like our Porcupine, with which he fights againft all kinds of filh. It a man chance but to be lightly hurt either with thefe or his teeth, he will die within 24 hours. Of the fifb 'Vtelif. HE faith moreover, That as he was carryedby force of tempeft through the Atlantick Ocean, he faw this fifh, having(as it were) a Saw in his forehead of three foot long, and four fingers broad, armed on each fide with fharp fpikes ; they call it Vtelif in their Gountrey fpeech. Of the fifh Caftilly. THere is another filh to be feen in the Arabian-gult, which the Arabians call Cafpilly, it's two foot long, and as many broad, it hatha skin not much unlike a Dogfilh, but armed with fpikes, one whereof he carries in his forehead a foot and half broad, in fharp- nefs and force of cutting not much Ihort of a grader or chiflell: with this weapon, when flie is oppreft with hunger,the aflails the firft filh lhe meets, neither doth lhe give over, before lhe carry her as a prey whither lhe pleafe, as 7hevet faith he hath feen. Of Crabs. CRabs and Lobfters, though in the quantity of their body they be but finall, yet they ufe their forked claws before,not only in feeding but alfo in defending themfelves and aflailing others. Of the docility of Beaftsy and firft of the Dog. BEafts are apt to learn thofe things which men defire, whereby they fhew themfelves not wholly Void of reafon, For Dogs, and Horfes learn to creep through the Juglers hoops, and rife on their hinder feet, as though they would dance. Plutarch tels, that a Jugler had a Dog which would reprefent many things uponr the ftage befit- ting theoccafion and argument of the Play; amongft the reft, he exceeded all admiration in that, that taking a fopotifick medicin, he excellently feigned himfelf dead; for firft,as taken with a giddinefs in his head he begun to tremble, then prefently fell down, and lying on the ground, as it were contrafted his dying members, and laftly, as if truly dfead he wax'd ftiff; and moreover fuffered himfelf diverfly to be fitted according to di- vers parts of the Theater, the fable fo requiring. But when he, by thofe things that were faid and done, knew it was time to rife, he firft begun to move his legs by little and little, as if he had been wakened from a found deep; then prefently with his head a little lifted up, he looked this way and that way, to the great admiration of all the behol- ders ; and finally rife up and went familiarly and chearfully to him he fhould; the which fight the Emperor Veftafian (who was then prefent in Marcellus his Theater) never faw any which more delighted him. Of the Af>e. AN Ape is a ridiculous Creature, and which makes men much fport in imitating their aft ions. There hath been feen an Ape which would pipe and fing, and befides dance and write, and endevour to perform many other things proper to men. I remember I faw in the Duke of Somes houfe a great and curft Ape, who becaufe he much troubled many, had his hands cut off, who flittering himfelf to be cured, when the wound was cicatrized, he grew more milde and docile. Wherefore cloathed in a green coat, and girt over his loins with a girdle, he carried hanging thereat a cafe of fpeftacles, a pair of knives, and a childs handkerchief. He was committed to the charge of the Mafter-cook to teach, becaufe he had taken up his lodging in the Chimney-corner, he was taught many tricks and feats. If at any time he fwerved from his doftrine and precepts, in a trice the whip was upon his back and loins, and much was abated of his daily allowance; for as Perfius faith, The belly is the Matter of Arts, and lharpener of wit. By thefe means he profited fb in a Ihort time,that he much exceeded all the Apes of his time in the glory of his wit; and there was none counted more skilful 1 in leaping and dancing to the pipe, running up a pole,and nimbly leaping through his Matters legs. To conclude,he performed all the aftions of a ftrong Ape, and very reverently carried up ditties with the waiters and ferving-men, and made clean the ditties and platters by licking,and did much other drudgery, fo that he was commonly called, Matter johnDo-afi. At dinner and fupper fitting in a chair, he faid grace, and caft his eys up towards heaven, and rouled them this way and that way, and fmote his breaft with the flumps of his hands with much lamentation, and imitated prayer by the gnafhing or beating together of his teeth. He would turn up his tail to any that offended him, (for his coat fcarce covered half his buttocks left he fhould have filed it)he made much other paftirne, always going upright by reafon of the cutting away of his hands, unlefs at any time through wearinefs he were forced to fit on his buttocks. Of Tom.I. lib.f. cap. 2. The wonder- full docility of Dogs. A fpeflack fall of admiration and truth. Gal. lib. i, de u/h partiwn. Of living ani Li B.2. 53 Of the Camels. THe Cornell is a very domefticall and gentle beaft, and which is eafily tamed and taught all kind of obedience and fervice; although fome ot them are cruel3wilde and trouble- F3 54 Of living Creatures, and Lib. 2. troublefome by biting and ftriking fuch as they meet, no lefs than untamed horfts. There is no need to houfe them in the night, for they may be left in the plain fields in the open and free air, feeding upon the grafs and trees and cropping the tops of the thirties, nei- ther in the morning do they any whit the worfe undergoe or carry their burdens. They are not put to carry burdens before they be four year old. The Arabians geld them young, that they may enjoy their labour the longer, neither being gelt do they rage for love or defire of Venery. At the putting in of the Spring they endure hunger and thirft for eight dayes j they are fo dutiful!, that at the beck of the Turkifli Haves, or but touched on the neck with a twig, they prefently kneel on the ground to take up their burden, neither do they lift themfelves up before that they find they have afufficient load laid upon them. Thofe that have but one bunch upon their back are of Africkj but fuch as have two bun- ches are of A fra , or Scjthia. Thofe kind of Camels that are the bigger are ufed to carry packs, but the lefler are ufed to ride upon, as our horfes are. They love nothing fo well as beans, and yet they live content with four handfuls of beans fora day. The greateft wealth of the Arabians confifts in Camels, and fo they eftimate their riches , not by the quantity of lilver,or gold, but by the number of Camels. The Turkjfb Emperour (7hmt being the reporter)made a Captain over the heards of his Camels,giving him a great troop of African and Chriftian Haves, that they might be the better looked unto. I have heard it reported(faith7hewt)by certain Arabian, African and Jewifb Merchants who were prefent, at that time when Sultan Selim the firft of that name, befieged Caire in jEgjp, (which in former times was called there thenwas in that Emperors army iixty thoufand Camels, befides a mighty company of Mules. Of ravenous Birds. BUt let us take a view of Falconers teaching ravenous Birds, how With (wift wings carried aloft into the air, they may feife upon other Birds, and caft them down dead to the ground; in performance whereof, they often too freely (bare up to the clouds, fo that they carry themfelves out of the Falconers fight, with a defire to fun themfelves, negle&ing in the mean time their defigned prey. " The Hern when flic fees her felf kept under and below the Falcon carried up by his ftrong wings with a marvailous (wiftnefs, with her beak, which is long and (harp, hid under her wings, and turned upwards, (he receives the Falcon blinded with the heat of fight and defire of prey, carelefly flying down and ruflung upon him j fo that he often ftrikes him through the gorge, fo that oft times they both fall down dead to the ground. But if the Falcon without harm efcape the deceits by art, and the happy turning of his body, and the Hern be not caft down, the Faulconer calling her back with never fo loud a voice, yet by letting up her Feathers ftie dares her to the pretended fight. That Birds have taught us muftcall tunes. THe Nightingales are Iweet and excellent fingers, tuning their notes with infinite quaverings, and diverfities of founds, fo prettily and fweetly, that humane induftry can (caret equal the Iweetnefs thereof by (b many muficall inftruments ; fo that we (ay, he fings like a Nightingale,who varies his voice with much variety. In which thing Birds much excell men, becaufe they have that admirable fweetnefs of finging from nature it felf without any labor of men can fcarce attain to in any fchool of mufick, by having their ears a thoufand times pluckt by the hand of a curft mafter. That Beafts know one anothers voice. BEafts know one another by their voice, fo that they may leem to talk and to laugh together, whilft flattering with their ears, they pluck in their nofes with a pleafant alpeft of their eys •, and as fpeech is given to men, fo Birds have their naturall voice, which is of the fame ufeto them, as fpeech is to us. For all Birds of the fame fpecies, as men of the fame countrey, chant and chirp to one another, when men underftand not the fpeech of other men, unlefs of the fame Nation. Wherefore the Scythian tongue is no more profitable to one living in Egypt, than if he were dumb 5 nor the Egyptians underftand it no more than it they were deaf. Wherefore an Egyptian is dumb ana deaf to> a Scythian. This thofe which travail well underftand how many dangers, how many troubles they undergo, becaufe they canriot exprefs their minds, and require things ne- ceflary for life. Wherefore to the afliftance of this unprofitable tongue, we are compelled to call the reft of the members, and to abulc the geftures of the head, eys, hands, and feet. Truly the condition of brute beafts is not fo miferable, feeing that all of the fame kind wherefoever they be,may anlwer each other with a known voice. Truly if any (hould hear a German, Briton, Spaniard, Englishman, Polonian, and Greek, fpeaking amongft themfelves in their native tongues, not underftanding any of them, he could fcarce difeern, and certainly judg, whether he heard the voice of men or of beafts. * Tha Camels both tame and wilde. The eafie and not chargeable keeping of Camels, Camels know when they have a fuffia cienc load. Camels both to carry bur- dens, and to ride upon. ,4 mighty troop of Camels, The diligence of Falconers in training up their Hawks. The fight of the Hern and Falcon. To fing like a Nightingale. The voice to hearts is of the fame ufe, as fpeech is to men. We are as ill as deaf, when we hear an unknown lan* guage. Lib. 2. of tbe Excellency of Man 55 That Birds may counterfeit Mans voice. iInets3Larks,Pies, Rooks., Daws,Crows, Stares3 and other fuch like Birds, fpeak, fihg, - whittle, and imitate the voices of men3and other creatures. In this Pai rats cxcell all o- ther,being wondrous skilfull imitaters of mens voiccs3and very merry,but fpecially when they have drunk a little wine. Plutarch reports that there was a Barber at Rome,who kept a Pie in his lhop3 which fpoke exceeding well, and that of her own accord, none teaching her, when (he firft heard men talking together;(hee imitated the voice or cry of all beafts (hee heard, as alfo the found of Drums,and the found of Pipes,and Trunipets;to conclude,there was nothing which (he did not indevour to imitate. There have been Crows that have (poken and articulately lung longs and Pfalmes, and that oflome length. To which purpole the Hiftory of Macrobius is notable,for he tels that there was one amongft thole, who went forth for luck fake to meet with Auguftut Gefar, returning from the war againft Antonin, who carried a Crow, which he had taught plainly to pronounce this falutation, Salve Itnperator Auguttiijime, that is, God \ave thee, 0 moft jacred Emperor Catjar. Ctfar taken with the novelty of this fpefta- cle, bought this obtequious bird with a thoufand peeces of filver. Pliny and FWerw.have reckoned up amongft prodigies,Oxen and Afles that havefpoken.l omit infinit other things recorded by the ancients,P/4to,^rz/?ot/e,P/zMj? Plutarch, and other Philofophers of great cre- dit., of the docility of beafts, and their admirable felicity of underftanding. Which things,' if untrue, thefe learned men would never have recorded in writing, leftfo they might brand with vanity3(then which nothing is more bale) the reft of their writings to pofterity in all enfuing ages. Of the Sympathy and Antipathy of Living Creatures amongft thdnfelves. HAving briefly deteribed the underftanding of brute beafts, it teems not impertinent to fet down lome things more worthy of knowledg, happening unto them by reafon of Sympathy and Antipathy ; that is, mutuall agreement and dilagreement, which hap- pens not only to them living, but alfo dead, by a certain hidden property, through oc- cafion whereof fome defire, other fhun, and others protecute one another even to death. In teftimony whereof; The Lyon the King of Beafts excelling all other in courage and magnanimity,fears the Cock,for he is not only terrified by his pretence, but alfo by his crowing being abfent. So an Elephant fears a Hog,but he is fo afraid of Mice and Rats,that he will not touch the meat that is given him,ifhe fmell that it hath been defiled with fuch creatures. There is deadly hatred between the Elephant and Rhinocerot; yet when the Elephant is furious and angry, he becomes quiet and calm at the fight of a Ram. A Horfe is fo afraid of a Camel, that he cannot indure his fight. The Dog hates the Wolf,the Hart flies the Dog. The Snake flies from and fears a naked man,and followes him being clothed. There is deadly hatred between the Afpis and Ichneumon, for he when he hath rowled himtelfin the clay, dries himtelf in the Sun, and fo being covered over ( by doing thus divers times) as it were with (hells, or armour, he enters into combat, ftretching out his tail,and pretenting his back, untill he get opportunity to choak his adverfary, by leaping and fattening on her jaWs, by which ftratagem he alfo kils the Crocodile. The green Li- zard is a capitall enemy to the Serpent, but moft friendly to man, as Erafrnn witnefleth by many Hiftories concerning that matter, in his Dialogue of Sympathy and Antipathy. There is a great deal of hatred between a Man and a Wolf, which is moft manifeft Jjby this, • that if the Wolves firft fee a man, his voice is taken away, and his intended cry hindered. If the Weatell intend to fet upon the Alpis that moft venemous Serpent, fhee arms her telf by eating Rue, as a moft certain Antidote. The Ape fears the Torpedo, as Erafmus manifefts by apleafant hiftory in the forementioned Dialogue; where alfo he prettily (hews the deadly hatred between the ferpent called A reus and the toad.The like hate is between the Owl and ' Crows, fo that the Owl dares not go out3fly abroad, or feek her food unlefs by night.The 1 Water or River fowl are afraid of the if they but hear her bells,they had rather be killed with ftaves and ftonesr, than take wing to flie into the air. So the Lark yeelds hertelf to be taken by a man, left (heefall into the talons of the Hobby. The Caftrill, or Merlin is naturally a terror to Hauks, fo that they both fhun his voice and pretence. The Kites are all at perpetual enmity with the Crows,wherefore the Crow alwayes gets i away the Kites providen. All kind ot Pullen fear the Fox. The Chicken fears neither a b Horte, or an Elephant, but tearce hatched, itpretently runs away at the voice or fight of * a Kite, and hides it telf under the hens wings. The Lambe and Kid flie from the Wolf when they firft tee him, neither doth death give an end to that hatred, but it fupervives their funeral 1. An Experiment whereof (they fay) is, that if one Drum be headed with L Wolves skins and another with Sheeps, and beaten up together, you (hall tearce hear the VS found of the Drum covered with iheeps skins. And befides, if you firing one Harp with d< fixings made of (heeps guts, and another with firings of Wolves guts, you cannot bring ■ ' it Parrrars arf wonderM'i imirarers'of mans voice. A talking Pie. Lib z. Saturn. cap.4. The Lion fears a cock. A horfe fears S Camel!. Whit foul feai the Falcon, The enemy between the Kites and Crows* fhe d if co rd •erwem rhe amb and V'olfjs notch- ed by death 56 of the Excellency of L I B.2. it to pafs, by any art, to make them acree and go in one tune. It is reported from the experiments of many men, that if a Wolves head be hanged up on high in the place where Sheep are, that they will not touch the grafs how.good and freffi locver it be, nor reft quiet in any place, but tumultuoufly run up and down, untill all fuch kind of terror be taken away. The hate betwixt Mice and Wcafels appears by this, that if you mix never fo little of the brains of a Weafell in the rennet, with which you crudle you Cheefe, the Mice will never gnaw or touch that cheefe. The Linnet doth fo hate the bird Florw} that both their bloods put into one veffel cannot be mixed together. A Wolves head hung up in a dove-houfe, drives away Poll-Cats and Weafels. The Panther and Hyaena burn with fo great hatred, that if both their skins be laid one againft the other, the Panthers will ffied the hair, the hairs of the Hyaena remaining entire and not moved; which thing,they fay, happens to the feathers of other birds if any one chance to tye them up in a bundle with the Eagles. Let theft fuffice for fome few examples of many, of the Antipathy amongftbeafts. But of the Sympathy and conftnt of beafts amongft themfelves, I think needlefs to write any thing, being itisfufficicntly known to all, that one Jay aflbciates another, and the cruel Bears agree amongft themfelves; and beafts of the fame fpccies do wonderfully confent one with another. 7 hat Man excells all beasts. INow think it fit to affay to write of that excellency of man over beafts, which I have fo long intended. Neither would I that Epicures and other too much naturall and mate- riate Philofophers, fb take thoft things 1 have written of the endowments of beafts, as though we ffiould think, there were no difference between man and beaft. I had no fuch meaning, no fuch intention ; but only that man ffiould not become too ftately,or too in- grate in lefs acknowledging God to be the Author of fb many benefits with which he abounds. For whatfoever we have largely fpoken of beafts, yet there is no comparifon be- tween beafts and man, for there is too great a difference between them. For mans mind is adorned with religion, juftice, prudence, magnanimity, faith, piety, modefty, clemency, fortitude,and other verities as lights,which fhine much more bright in man than in beafts. For they' are fometimes all in fome one man,each whereof are thought great in beafts. For feeing that man is made to the Image of God,it cannot be,how much loever he defile him- ftlfwith the pollution of vices, that he can fo obfeure that inbred light,but that alwaies fbme beam of the divine wifdome will be inherent & ffiine in him. But although by collati- on to fome beafts,he may feema defeftive and weak yet no fortitude nor ftrength of beafts can befo great as to equallthe fortitude of man. For God hath ingraven in man the character of his divine vertue, by the affiftance whereof, he might have all beafts under and obedient to him. And though by that we have formerly faid, beafts may feem to have a certain ffiadow of reafon, yet that fmall light is not fit for many and divers ufts, but there is only given them fo much providence,as ffiould be fufficient for them and the preftrvation of their bodies. But men have reafon given them to crop or gather the fruits of eternall life, (as LafiantiM faith) whereby it comes to pafs, that man only, amongft fo many creatures, hath ftnfe and underftanding of divine things. Which Cicero thought to be known by that,becaufe man only had a certain knowledg of God in his mind.Whereforc he was inriched by God with reafon, fpeech and hands as helps for the performance of all his aftions; moreover by his lingular and almoft divine withe eafily excels all brute beafts. Forfirft, reafon being his guide, he invented things neceffary for lift , fitly im- pofed names on the things invented befitting their natures, framed letters and Charafters, invented all liberall Arts and handy-crafts,and found means to meafure the Land and Sea. He hath obferved and drawn into an Art the fpaces of the Celeftiall Globe, the diftinftions of the Stars, the changes and orders of dayes and nights, of times and feafbns, the ri- ling and fetting of Stars, and their power and effefts over theft lower bodies. Laftly , he records in writing to perpetuall memory that which concerns his own nature, or the na- ture of other things, the precepts and ordinances of life and manners: by which lingular gift,we can now confer with Socrates3 Plato-, Ariflotle} and other Philofophers of ancient times, as if they were living. What benefit man hath by reafon of his native nakednefs and ignorance, BUt as Mans body is by nature naked and unarmed, fo is his mind like a fmooth table in which nothing is painted, nothing graven 5 but for help of his nakednefs he hath hands, and for fupply of his ignorance, reafon and fpeech. And by theft three being as it were the minifters of infinite variety of things, he clothes and defends his body with all things needfull: and inriches his mind with the knowledg of Arts and Sciences. Now if he had certain weapons born with him, he ffiould ufe them only j if he ffiould be born skil- fullinany Art, he would meddle with none elft. Therefore becauft it was more expe- dient to ufe all forts of weapons with the hand, and be skilfull in all Arts ; therefore he muft be born wanting and ignorant of all. very wittily called the hand the inftru- ment of inftruments:in imitation ofwhich fpeech,one may rightly affirm, that reafon is the Art Howto majce cht cfe that Mice will not gnaw. Mans bears Gods image. Man hath gi- ven names to things. Gal. up.lib» I.de fa parti-* utn. u4s the hand is rhe ihftrument of inft rument s fo reafon is the art of arts. * Lib. 2. of the Excellency of Man. 57 Art of Arts:for as the hand in worth exceeds the other inftruments,becaufe it can make,han- dle and fit them for ufe; fo reaion and fpeech, though names of no Art,yet comprehend and cifereafe all Arts. Therefore man leeing he hath his mind intruded by Art, that is, by rea- fon ; it is tit he fhould have his body defended with a ■weapon, or inftiument, that is, tire hand, which in agility and excellency fhould excell all other inftruments. For fo Man hath of his hands in ftead of all weapons, which he may ufe in war and peace as the inftru- ments of all Arts ; he wants not the Buis horns, the Boars tuskes, the horfes hoofs, nor to conclude, any arms of any other Beaft. For by the benefit of his hands he can handle o~ ther arms far more profitable and fafe; as a Lance, Sword,Spear,halberd ; but man allo can ufe at fome diftance the bow, fling and handgun, when the diorn and the hoof cannot be ufed but neer at hand. But fome may fay ; A Lyon exceeds a man in (wiftnefs of foot; what then ? is man therefore inferiour to him > no,for by the means of his hands and the guidance of his reaion he bridling and riding upon a horie, out runs the Lyon, and being viftor follows him to and again as he himfelf pleafes, or vanquished flies away, and from the horfes back as from a tower wounds the Lyon with what weapons he pleafes. To conclude, man is aboundantly provided with means, to defend himfelf from the violence of all other beafts. For this purpofe he doth not only harnefs himfelf as with brafen wals, but alfo makes ditches and Bulwarkes, he makes by the miniftery of his hands all kind of weapons, weaves himfelf garments, calls into the water and draws forth nets to catch fife 5 and to conclude, he performs all things to his own contentment, and having that priviledge granted him by God, he rules over all the earth; all things which lye hid in ( the bowels of the earth, which go, or creep upon the earth, which fwim in the Sea,and flie through the air, or are any where (hut up in thecompafsof the skic, are in mans domi- nion. 4 How wonderfull God hath fbewed himfelf inmalfngman. GOds Deity and providence hath principally fhewed it felf in the creation of man; neither his fo admired light hath lb ihone in the produftion of other creatures, feeing that God would have them to live and have their being,only for mans fake,that they might < ferve him. Therefore man is, if we diligently confider all his endowments, a certain pat- tern and rule of the divine majefty and (if I may lb lay) Artifice. For being made to Gods image, he is as it were his coin, exceeding the capacity of all humane underftanding. Which feemed a juft reafon to the ancient Philofophers, that he (hould be called IMicrocojmos.) ora , little wTorld, becaufe the particles of all things contained in the compafs of heaven and 1 earth, are contained in his mind and body, that in the mean time I may in filence pafs over his foul more great and noble than the whole world. Why Nature hath not given Man the faculty of prefaging. THis feems the reafon, that men by theinftinft of nature do not forefee the future fea- fons & dilpofitions ofthe heaven & air;becaufe,feeing they have received certain (parks of prudence from God,by whofe care and guidance they are led to the knowledg of things by no deceitfull but certain judgment,being not obnoxious to the conditions and changes of times and feafons, as beafts are. Wherefore knowing all thefe airy changes to be placed under them, that is to fay,their minds, according as occafion ferves, and their minds defire, they give themfelves to mirth when the air is wet>ftormy and dark,and on the contrary, in a clear and fair feafon,to a fincere and grave meditation of things fublime and ful of doubt. But beafts accommodating themfelves to that difpofition of the air which is prefent and at hand, are lively, or fad,not from any judgment according to the temper and complexion of their bodies following the inclinations ofthe air, and ofthe humors one while diffufed, another while contra&ed. Neither ought we to blame man, becaufe he can imitate the voice of beafts, but rather much commend him, that he can infinitely wreft and vary one thing, that is,his voice; for men can barke like Fb.xes and dogs; grunt like hogs; whet and grind their teeth like boars ; roare like Lyons ; bellow like bulls ; neigh like horfes; knack their teeth like Apes; houl like Wolves; bray likeAfles; bleat like Goats and Sheep; mourn like Bears, Pigeons, and Turtles ; Keeke and gaggle like geefe ; hifs like Serpents; cry like Storks; caw like a Crow, and crow like Cock; clock like hens; chatter as Swallows and Pies; fing like Nightingales ; croak like Frogs; imitate the fing- ing of Wafpes, and Humming of Bees ; mew like The firiging of Birds fcarce feems to merit the name of MuficalL, compared to the harmony of men fitted and tuned with infinit variety of voiccs.For with this tfiey pdflefs the ears of Kings and Princes; pro- voke and temper their wrath, and carry mens minds beyond themfelves, and tranfforme them into what habits they pleafe. But if thofecruell beafts have any humanity, they owe it all toman. For he tames Lyons, Elephants, Bears, Tigers, Leopards, Panthers, and fuch other like- Of Man under God is the king and Emperour of the world. Mao is the end of ail mundane things, Wan a little vorld,yea al- noft a great vorld. Man is nor obnoxious to the air and fiats. One man w ill' sounrerfeit the voices ofinfi- lite varieties of icafls. The power of Mufick. 58 Of living Creatures, and L I B.2, Of the Crocodile. PLutarch reports of the Crocodile ( whofe figure is delineated) that being tamed, and taught by man, he doth not only hear mans voice, and anfwers to his call, but fuffers himfelf to be handled, and opening his throat, lets his teeth be fcratched and wiped with a towell. How fmall a part of Phyfick is that, which beafts are taught, by nature > Cer- tainly nothing in comparifon of man , who by the ftudy and praftileof a few years can learn at his fingers ends all the parts of Phyfick : andpraftife them not only for his own, but alfo for the common good of all men. But why cannot beafts attain unto the know- A tame Croc o- dilc» ledg ofPhyfick lb well as men > I think, becaufe fo great an Art as Phyfick is, cannot be attained unto by the dull capacities of Beafts. Bnc Lib. 2. of tbe Excellency of Man. 59 But for that I have written of the Religion of Elephants, if 1 muft fpeak according to the truth of the matter, we cannot fay they worfhip God, or have any fenfe of the divine Majefty. For how can they have any knowledge of fublime things or of God, feeing they wholly following their food, know not how to meditate on celeftiall things ? Now for that they behold and turn themfelves to the Moon by night,and to the Sun in the mor- ning, they do not that as worfhipping5or for that they conceive any excellency or divinity in the Sun ; but becaufe nature lb requiring and leading them, they feel their bodies to rejoyce in that light,and their entrails and humors to move and ftir them to it. Therefore when we attributed religion to Elephants,we faid it rather popularly,than truly,and more that we might exhort men to the worihip of God, than that we thought Elephants had any knowledg of divine worlhip implanted in their minds. man may attain unto the tyowledg of all voices and tongues. •T'He docility ofmans wit is fo great, and facility of the body obeying that divine gift of wit fuch, that he is not only able to learn to underhand and fpeak the tongues of di- vers nations differing in fo many peculiar languages ; and not only to imitate and coun- terfeit the voices of all beafts though fo much different from man, which many flattering and jugling companions, followers of other mens tables, will do ; but alfo may be able to know and underftand both what they pretend and fignifie.In confirmation of which thing they cite the Philofopher Apollonius moft famous in this kind offtudy aud knowledg. He walking on a time amongft a company of his friends through the field, and feeing a Spar- row come flying and chirping much to divers other Sparrows fitting upon a tree, is repor- ted to have faid to thofe which were with him: That bird which came flying hither,told the other in her language, that an Afs laded with com was fallen down at the City gate, and had fhed the wheat upon the ground. Wherefore Apollonius and all his friends which minds were with him went thither to fee whether it were fo, and found that it was fo, as he had told them, andobferved that the Sparrows moved thereto by the coming of the o- ther,were eating up the grains of Corn fhed on the ground. But for Crows and Pies artificially taught to counterfeit mens voyces, it is too fmall a thing, that for that caufe they fhould contend with men. For they have quickly babied all they have learnt with longer coft and labour, tedioufly finging ftill the fame fong,and whatfoever they prate they do it without fenfe,underftanding or any reafbnfor what they fay. But man alwayes contemplating fomewhat more high, ftill thinks of greater things than thefe prefent, and never rcfts.But burning with an infinite and endlefs defire of know- ledg, he doth not only covet to know thefe things which appertain to food and cloa- thing, but by calling up his eyes towards heaven, and by the light of his mind,he learns and underftands things divine. Which is fo certain an argument of the celeftiall originall of our foul,that he which confiders thofe things can no wayes doubt,but that we have our minds feafoned, by the univeriall divine underftanding. But now it is time for us to let thait upon the defcription of the body,the habitation and fit inftrument of al the funitionf of divnemind. in whatfenfe we faid Ele- phants had religion. Man not only the irairarer, but the prerer oft he voices of beafts and birds, The Urtqftefi. chable define of learning in man. Tbe End of tbeficond Beefy Lib.3. 60 The third Book, TR.E ATING Of tbe Anatomy of tWZ ANS BO DT. Following the cuftom and the manner of fuch as before me have written of Anatomy ,will firft,(that I may make the minds of the Readers more; attentive and defirous of thefe ftudies) declare how it is, and alfohow profitable,and then ihew the order to be oblerved in it, before I come to the particular defCription of mans body. Furthermore how Anatomy may be defincd,and the manner of the de- finition of the parts. Fur the firft, the knowledg of Anatomy feems in my judgment very necefiary to thofe that defire to excell, or attain to. perfection of Phyfick j that is, whereby they may be able to preferve the prefent health of the body,and the parts thereof, and drive away difeafes. For how can either Phylitian of Chi rurgeon-preferve health by the ufe of the like things, which confifls in the tempera- ment,conformation,andnaturall union of the partsjor expell the difeafe which hurts thofe three,by the like ufe of their contraries,unlefs he fhall know the nature and compofure of the body,and underhand as by the rule of this knowledg, how much it fwerves 'from the nature thereof ? Wherefore it is excellently faid of Hippocrates 5 that the Phylitian called to cure the fick Patient,ought diligently to coniider,whether thofe things that are in him, or appear to be in him, be like or unlike, that is, whether the Patient be like himfelf and his own nature in all his parts and functions,temperature, compofure and union j that he may preferve thofe which are yet contained in the bounds of nature, and reftore thofe that are gone aftray.Which thing Galen hath alfo confirmed,fpecially where he faith,he mufl wel know the nature and ftrufture or compofure of the bones, who takes upon him to reftore them broken or diflocated to themfelves and their proper feats or places. Moreover feeing that healing doth not only confift in the knowledg of the difeafe,but as well in prefcribing fit medicines and like application of them to the body and the parts thereof, all which by their natural! diflimilitude, do require unlike medicines, according to Galens opinion : 1 prethe tell mee,who can perform this, which is ignorant of the defcription of the whole and the parts thereof,taught by Anatomy > We may fay the like of the Apothecary, who ignorant of the fituation of the parts in the body cannot apply Emplaifters, Ointments, Cataplafms,Fomentations, Epithemcs, bags to the fit places, as to the futures of the skull, to the Heart,Liver,Stomach,Spleen, Reins, Wombe or Bladder. For example,let us imagine the Liver to be troubled with a hot diftemperature, but on xhe contrary,the ftomach with a cold(which commonly happens,feeing the Liver hotter than it ought to be,fends up many vapours to the head,from whencecold humors fall into the ftomach)ifhot things to be ap- plied to the ftomach by the Phylitiaris prefcription,be by the Apothecary making no diffe- rence, applied both to the ftomach and neighboring Liver (which may chance if he be ig- norant that the ftomach bends fomewhat to the left fide under the breaft-blade ; but the li- ver fo takes up the right fide of the body that with a great part thereof, it covers almoft all the ftomach) will not he much offend by increafing the hot diftemper of the liver, and not thereby giving eafe, or help to the difeafe ? Shall not by this his ignorance, the Patient be' fruftrated of his defire,the Phylitian of his intent,and the medicine of its effect:? By thefe examples I think it moft manifeft,that the Anatomicall knowledg of the parrs of the body is exceeding necefiary to all Phyfitians, Chirurgeons, and Apothecaries, who will praClife Phyfick with any praifeto the glory of God, and the benefit and good of man, for whole lake we have writ thefe thing$,and illuftrated them by figures,fubjeCting the parts to the eye,and fitly putthem in their proper places. But Anatomy is commodious four manner of wayes ;the firft is,becaufe thus we are led to the knowledg of God the Creator,as by the effect to thecaufejfor as we read in St.Prfw/,The invifible things ofGod are made manifeft by the vifible.The fecond is, that by means here- of we know the nature of mans body,and the parts thereof,w' hereby we may more eafily and certainly judg and determine of ficknefs and health- The third is, thatby the knowdedg of the body and its parts,and together therewith its aifeftions and difeafes,we may prognofti- cate what is to come,and foretel I the events of difeafes.La ftly, the fourth is,that confidering the nature of the dileafed part, we may fitly prefcribe medicines, and apply them in their due places. Now we muft declare in what order Anatomy may be fitly delivered; but firft we muft obferve there is a threefold Method j The firft is called of Compofition , being very commodious for the teaching of Arts, which hath ufed in his Works of Logick, and natitrall Philofophy, the order and beginning taken from the leaft and moft fimple to the more.compound. The lecond of Divifion,fit for the inventing or finding out of fciences.Galen hathTollowed this order in his Books of Anatomical! Adminiftrations, and The neceftiry of iheknow- Jedg oFAnato my. Initio lib. de Ojfic.medicit Lii.de.cJJibiit. Metb: Why v. hen the liver is hot the ftomach is commonly cold. The Know- ledgof Anato- my, is commo- dious four manner of waves. There is a threefold me- thod. Lib. 3. of Mans Rady. 61 and of the ufe of the parts. The third of Definition, which ffiewcth the nature and eflence of things, as appears by Galen in his Book De Arte Pana. And becaufe this order doth al- fo profccute the divifion s, therefore it is commonly accuftomed to be comprehended in the compafs of the lecond. Therefore I will follow this in my Anatomicall Treatife, di- : viding mans body into its parts, which I will not only fubjeft to the eye in the way of i knowing them, but alfo to the mind in the faithfull underftanding them. For I will ad- joyn thole things that are delivered of them by Galen in his Book of Anatom, Admini- ftrations,with thofe which he hath taught in his Books of the ufe of the parts.For there he fitly laies the parts of mans body before our eyes,to thefenfe. But here he teaches to know them, not to lee them 5 for he lhews why, and for what ufe they are made. Having briefly handled thefe things, we muft declare what Anatomy is ; that as Cicero faith out of Plato's it may be underftood of what we difpute. And becaufe We attain that by definition ( which is a fliort and plain fpeech, confifting of the Genus and difference of the things de- fined, being the eflentiall parts, by which the nature and eflence of the thing, is briefly and plainly explained) firft we define Anatomy, then prefently explain the particular parts of the definition. /' Wherefore Anatomy,(if you have regard to the name) is a perfeft aud abfolute divifion, or artificial! refolution of mans body into its parts,as well generall as particular , as well n compound as fimple. Neither may this definition feem illegitimate,fpecially amongft Phy- fitians and Chirurgeons. For feeing they are Artizans humiliated to the fenfe,they may nfe the proper and common qualities of things for their eflentiall differences and forms. As t on the contrary,Philofophers may refufe all definitions as Ipurious, which confift not of the next Genus and themoft proper,and eflentiall differences. But feeing that, through the Jj imbecillity of our underftanding,fuch differences are unknown to us,in their places we are compelled in defining things,to draw into one many common and proper accidents, to fi- nifh that definition which we intend, which for that caufe we may more truly call a de- fcription, becaufe for the matter and eflentiall form of the thing, it prefents us only the matter adorned with errtain accidents. This appears by the former definition, in wich Dz- wijion and Resolution ftand for the Gefl«j,becaufe they may be parted into divers others, as it were into [pecies. That which is added over and befides,ftands in place of the difference, be- caule they feparate and make different the thing it felf from all other rafh and unartificiall difle&ions. We muft know an artificiall divifion,is no other than a feparation of one part from another,without the hurt of the other, obferying the proper circumfcription of each of them; which if they perifh or be defaced by the divifion,it cannot be laid to be artificiall; and thus much may fuffice for the parts of the definition in generall. For as much as belongs to the explication of each wordjwe faid of Mans body, becaufe as much as lies in us, we take care of, preferve the health, and depell the difeafes thereof, by • which it may appear that mans body is the fobjeft of Phyfick,notas it is mans,or confifts of matter and form,but as it is partaker of health and ficknefs. We underftand nothing elfe by a part, according to Galen, than fome certain body, j which is not wholly disjoined,nor wholly united with other bodies of their kinds; but 1 fo that,according to his opinion,the whole being compofed therewith,with which in fbme fort it is united,and in fome kind feparated from the fame,by their proper circumfcription. Furthermore by the parts in generally underftand the head, breaft, belly, and their adjunfts. . By the particular parts ofthofe,! underftand,the fimple parts,as the fimilar, which are nine in numberas a griftle,bone,ligament,membrame,tendon,nerve,vein5arterie, mufculotis flefti; fome add fibers,fat,marrow,the nails and hairs; other omit them as excrements; but we muft note that fuch parts are called fimple,rather in the judgment of the fenfe,than of reafon.For ifany will more diligently confider the nature,they fhall none abfolutely fimple, becaule they are nourilfied, have life and fenfe, either manifeft oroblcure, which happens not without a nerve, vein,and artery. But if any fhall objeft, that no nerve is communicated to any bone, except the teeth ; I will anfwer,that neverthelefs the bones have lenfe by the nervous fibers, which are commu- nicated to them by the PeriofieMn, as by whofe mediation the Periofteum is connext to the bones,as we fee it happens to thele membranes,which involve the bowels. And the bones, by this benefit of the animall lenle expell the noxious and excrementitious humors from themlelves into the (paces between them and the Periofteum, wkich as indued with a more quick lenfe,admonilheth us,according to its office and duty, of that danger which is ready to feis upon the bones,unlefs it be prevented. Wherefore we will conclude according to the truth of the thing,that there is no part in our body fimple, but only fome are fo named and thought, according to the fenle ; although alfo otherwise fome may be truly named fimple,as according to the peculiar and proper fleffi of each oftheir kinds. Thole parts are called compound which arc made or compofed by the mediation, or immediately of thefe fimple, which they term otherwife organical l,or inftrumentall: as an arm, leg, hand, foot, ana others of this kind. And here weemuft oblerve, that the parts are called fimple and fimilar, becaufe they cannot be divided into any particles but ofthe fame kind; but the compound nre called G diftimilav The Aiiihors intent. What An?.ro« my is. How a defin 1- ri on differs from a defcrip* [ion. The fnbjcftof Phyfick. 1.& p*rt di&. The fimilaf parts are nine0 How the bones comer#' feet The coin* pound,or orga* nicall parts« 62 Of the Anatomy Lib. 3. diflimilar from the quite contrary reafon.They are called inftrumentall and organically be- caufe they can perform fuch aftions of themielves, as ferve for the prefervation of them- felves and the whole ; as the eye of it felf, without the afliftance of any other part,feeth, and by this faculty defends the whole body,as alfo it felf. Wherefore it is called an inftrument or organe, but not any part of it, as the coats , which cannot of it felf perform that aft. Whereby we muft underftand, that in each inftrumentall part we muft diligently obferve four proper parts. One by which the aftion is properly performed, as the Cryftalline hu- mor in the eyejanother without which the aftion cannot be performed,as the nerve and the other humors of the eye. The third, whereby the aftion is better and more conveniently dohe,as the tunicles and mufcles.The fourth,by which the aftion is preferved,as the eye-lids and circle of the eye.The fame may be faid of the hand, which is the proper inftrument of holdingjfor it performs this aftion, firft,by the mufole,as the principall part; Secondly,by the ligament, as a part without which fuch aftion cannot be performed 5 Thirdly, by the bones and nails,becaufe by the benefit of thefe parts,the aftion is more happily performed; Fourthly ,by the veins,arteries and skin,for that by their benefit and ufe,the reft,and fo con- fequently the aftion it felf is preferred. But we muft cbnfidcr,that the inftrumentall parts have a fourfold order.They are laid to be of the firft order, which are firft and immediately compofed of the Ample , as only the authors of fome one aftion,of which kinds are the mufcles and veflels. They are of a fecond which confift of thefe firft fimple, and others befides,as the fingers. They are counted of the third rank, which are compofed of parts of the fecond order and fome befides, as the hand taken in generall. The fourth order is the moft compofed,as the whole body,the organ and inftrument of the foul. But you muft obferve,that when we fay the mufcles and veflels are fimple parts,we refer you to the fenfe and fight,and to the underftanding, comparatively to the parts which are more compoundfout if any confider their eflence and conftitution,he fhal underftandthey are truly compound,as we faid before.Now it remains,that we underftand, that in each part,whether fimple or compound,nine things are to be confidered,as fubftance, quantity or magnitude,figure,compofition,number, connexion, (by which name, we alfo underftand the originall and infertion)temperature,aftion, and ufe 5 that by the confidera- tion of thefe things, every one may exercift the art of Phyfick, in preferving health, curing difeafes,or forefeeing their events and ends. But alfo we muft note,that of the organicall parts,there be three,by whole power the bo- dy is governed 5 which for that caufe they call regent and principall, becaufe they govern, all the reft 5 they are the liver,heart,and brain. But they are called principall,not only, be- caufe they are neceflary for life,(for the ftomach, wind-pipe,lungs, reins, bladder, and fuch like parts perhaps are equally as neceflary for life)but becaufe from each of thefe three,fome force,power,and faculty,or alfo matter neceflary for the whole body,flow over all the body, when no fuch thing proceeds from the reft of the parts. For from the liver a matter fit for nourifhmentjis diftributed by the veins through all the bodyjfrom the heart the vitall force difliifed by the arteries, imparts life to the whole body ; from the brain by the nerves a power or faculty is carried through all the parts of the body, which gives them fenfe and motion. Galen would have the Tefticles to be of this kind, not for the neceflity of the indiv iduall, or peculiar body , but for the prefervation of the Species or kind. And moreover in his book de Semine comparing the Ttfticles with the Heart, hee makes them the more noble by this reafon,that by how much it is better to live wel and happily,than Amply and abfolute- ly to live, by fo much the tefticles are more excellent than the heart, becaufe with them we may live well & pleafantly,but with this Amply live,as we fee by the example of Eunuches, and fuch as aregelt,by which the Tefticles feem rightly to be accounted amongft the princi- pal partsjfor nature feeing it defired,that this its work fhould be immortal,for the attaining of that immortality which it intends,frames thofe parts,like as prudent founders of a City, who do not only procure to furnifh their City with many Inhabitants, fo long as they are in building it, but alfo that it may remain in the fame ftate and condition for ever, or at leaft for many ages. And yet notwithftanding of fo many cities built in the firft memory of man, there remains none, whofe fame and ftate,together with the builders name, is not de- cayed and perifhed. But this humane work of nature,ftands yet fecure for this many thou- fand of y ears,and fhal endure hereafter,becaufe it hath found a way,by which every one may fubftitute another in his place before he depart. Hence it is that all creatures have members fit for generation,and pleafures inferred in thofe members, by which they might be inticed to mutuall embraces and copulations. But the mind, which hath dominion over thofe members hath an incredible defire of propagating the iflue, by which alfo brute beafts in- cited, defire to propagate their kinds forever. For feeing that nature underftands all thefe her works confidered particularly by themfelves , are frail and mortall, it hath done what it could to recompence that fatall neceflity of dying, by a perpetuall fucceflion of individualls. Hitherto we may feem to have aboundantly fhewed what neceflity of knowledg in Anatomy belongs to all Artizans in Phyfick, and alfo what order is to be obferved in the x ~ fame. Four particles robe obferved' in each orga- nicall part. Four forts of inftrumentall pans. Nine thing? to beconfidered in each part. Why the thre pr incipall parts are fo called. Lib.de Arte me- died. Theufe and funflion of rhe pans fer- ving for gene- ration. Lib. 3. of Mans "Body. 63 fame. And laftly, how it is defined, and the reafon of the parts of the definition. Where- fore it remains that we profecute what we have taken in hand: which is, that we fhew and declare how to know all and every the parts of mans body, how many, and what they be, and to underftand wherefore they be. For although the trueknowledg of Anatomy may be perfefted by the fight of the ey, and touching and handling each part with the hand, yet neverthelefs the labor of defcribing Anatomy is not unprofitable. For by reading,fuch as have often exercifed themfelves in the difle&ing of mens bodies, may refreffi and help their memories, and fuch as have not, may make plain and eafie the way to the underftan- ding of diffc&ions. CHAP. I. The divifion or partition of mans Body. y reafon the partition of Mans body can hardly be underftood, if the diftin&iori of the proper faculties of the foul be not underftood, for whole caufe the body enjoys that form (which we lee) and divifion into divers inftruments ; There- fore I thought good in few words to touch that diftinftion of the faculties of theToub, for the better underftanding of the partition of the body which we intend. Wherefore the foul, the perfeftion of the body, and beginning of all its functi- ons, is commonly diftinguilhed, and that in the firft and general! divifion,into three facul- ties, which are the Animall, Vitali, and Naturall. But the Animall is divided into the principall, fenfitive, and motive; Again the Principall is diftinguilhed into the imagina- tive, reafonable, and memorative: And the Senfitive into feeing,hearing,fmelling,tafting, and touching : But the Motive into progreflive and apprehenfive. And the Vital is divided into the dilative and contra&ive faculty of the heart and arteries, which we know or un- derftand by the pulfiflck faculty. But the Naturall is parted into the nutritive,auftive,and generative facultiesjwhich three perform their parts by the help and miniftery of five other1 faculties,which are, the attraftive, retentive, concoftive, afiimilative, and expullive. After the felf-lame manner, the organ or inftrument of the foul, to wit*. Mans body, at the firft divifion is diftinguilhed into three parts,which from their office they call Animall, Vitali, and Naturall. Thele again, according to the fubdivifion of the fubalternall facul- ties, are divided particularly into other parts 5 fo that any one may know the organ of each faculty, by the property of the funftion. For while other Anatomifts divide mans body into four univerfall and chief parts, they diftinguilh from the three firft, thole which they call the Extremities; neither do they teach to what rank of the three prime parts each extremity Ihould be reduced. From whence many difficulties happen in reading the wri- tings of Anatomifts; for Ihunning whereof, we will profecute, as we have laid,that diftin- ftion of mans body,which we have touched before. Wherefore, as we faid before, mans body is divided into three principall and general! parts, Animall, Vitali,and Naturall. By the Animall parts, we underftand not only the parts pertaining to the head, which are bounded with the crown of the head, the collee- bones, and the firft "Vertebra of the breaft, but alfo the extremities, becaule they are organs and inftruments of the motive faculty; Hippocrates feems to have confirmed the fame,where he writes; Thofe who have a thick and great head, have allo great bones, nerves, and limbs. And in another place he faith, thole who have great heads, and when theyftoop lhew a long neck, fuch have all their parts large, but chiefly the Animall. Not farthat Hippocrates would therefore have the headthebeginning and caule of the magnitude and greatnefs of the bones and the reft of the members 5 but that he might lhew the equality and private care or government of nature, being mo ft juft and exaft in the fabrick of mans body, as if ffiehath well framed the head, it Ihould not be unlike that lhe idly orcarelelly neglefted the other parts which are lefs leen. I thought good to dilate this paflage,left any might abtile that authority of Hippocrates find gather from thence, that not only the bones-, membranes, ligaments, grilles, ana all the other animall parts, but alfo the veins and arte- ries depend on the head as theoriginall.But if any obferve this our diftinftion of the parts of the body, he will underftand we have a far other meaning. By the Vitali parts, we underftand only the heart, arteries, lungs, winde-pipe,and other particles annexed to thele. But by the Naturall,we would have all tholeparts underftood which are contained in the whole compafs of the Peritoneum or Rim of the body, and the procefles of the Er)throides3 the fecond coat of theTefticles. For as much as belongs to all the other parts, which we call containing; they muft be reckoned in the number of the Animall, which notwithftanding, we muft thus divide into principall, lenfitive, and motive ; and again, each of thele in the manner following. For firft,the principall is divided into the imaginative, which is the firft and upper part of the brain, with its two ventricles and other annexed particles ; into the reafoning, which is a part of the brain, lying under the former, and (as it were) the top thereof with its third ventricle 5 into the memorative, which is the cerebellum or afterbrain, with a ventricle hollowed in its fub- ftance. Secondly, the Senfitive is parted into the vifive,which is in the eys; the auditive,in G 2 uhe What the fotrf iSj and wirh how many faculties it it endued- All the parts of mans body are diftinguifhed \ into three. What parts are here called Animal!# Lib. 6 Ep'dem. What parts are called Vitali. The divifion of the animal! parts. 64 Oftbe Anatomy L IB.5. the ears; the fuelling,in the nofe;the tailing,in the tongue andpalatejthe taftive5or touch- ing which is in the body, but moftexquifite in the skin which invtfts the palms of the hands.Thirdly,the motive is divided into the progrefiive/which intimates the.legs, and the comprehenfive,which intimates the hands.Laftly,into limply motive?which are three parts, called bellies,for the greatcft part terminating and containing 5 for the vitall, the inftru- ment of the faculty of the heart, and dilatation of the arteries, are the direft or (freight, fi- bers,bur of the conftriftive the tranfverfe; but the three kinds of fibers together,of the pul- fi fick j or if you pleafe you may divide them into parts ferving for refpiration, as arc the lungs,and weazon,and parts ferving for vitall motion,as are the heart and arteries,furnilh- ed with thefe fibers,which we formerly mentioned. Thedivifion of the naturall parts re- mains,which is into the nourifhing,auftiveand generative,which again are diftributed into attraftive,univerfall,and particular;retentive, concoftive, diftributive, aflimilative, and ex- pulfive.The attraftive,as the gullet and upper orifice of the ventricle ; the retentive, as the Pylorus or lower paflage of the llomach; the concoftive,as the body of the ventricle, or its inner coat;the diftributive,as the three (mall guts;- the expulfive, as the three great guts; we may fay the fame of the liver,for that draws by the mefaraick and gate veins, retains by the narrow orifices ofthe veins dilperled through the fubftance thereof; it concofts by its proper flefh;diftributes by the hollow vein,expels by the fpleen, bladder of the gall and kidnies. We alfo fee the parts in the tefticles divided into as many funftions ; for they draw by the preparing velfels ; retain by the various crooked paflages 5 in the fame veflels they concoft the feed by the power of their proper fubftance and faculty ; they diftribute by the ejacula- tory ,at the glandules called Proftafa, and the horns of the wombc, fupplying the place of proftates; Laftly,they expel 1 or call forth by the proftates, horns, and adjoining parts. For as much as belongs to the particular attraftion,retention,concoftion,diftribirtion,a(li- milation of each part,that depends of the particular temper,and as they term it,occult pro- perty of each fimilar and fimple part. Neither do thefe particular aftions differ from the univerfall, but that the general! are performed by the affiftance of the three forts of fibers, but the fpecial by the feverall occult property of their flefti, arifing from their temperature, which we may cal a fpecifick property .Now in the compofition of mans body,nature princi- pally aims at three things.The firft is,to create parts neceflary for lite,as are the heart,brain, and liver. The fecond,to bring forth other for the better & more commodious living,as the eyes, nofe, ears,arms and hands. The third is,for the propagation and renewing the fpucies or kind, as the privie parts,tefticles, and wombe. And this is my opinion, of the true di- ftinftion of mans body,furnilhed with lb many parts , for the performance of fomany fa- culties ; which you, if you pleafe, may approve of and follow. If not, you may follow the common and vulgar, which is, into three bellies,or capacities,the upper,middle, lower, (that is, the head, breft and lower belly) and the limbs or joints. In which by the head we do not underftand all the Animall parts,but only thofe which are from the crown of the head to the firft vertebra of the neck, or to the firft of the back, if according to the opi- nion of Gdkn0 Lib. de oijibus, where hemakes mention of Enarthrojis and Arthrodia, we reckon the neck amongft the parts of the head. By the breft, whatfoever is contained from the col- ter bones to the ends of the true and baftard,or fhort ribs,and the midriffe. By the lower belly,the reft of the trunck of the body,from the ends ofthe ribs to the fhare-bones ; by the limbs,we underftand the arms and legs. We will follow this divifion in this our Anatomi- call difeourfe, becaufe we cannot follow the former in diflefting the parts of mans body,by reafon the Animall parts are mutually mixed with the vitall and naturall, and firft ofthe lower belly. Nature would not have this lower belly bony,becaufe the ventricle might be moreeafily dilated by meat and drink,children might grow the better, and the body be more flexible, it is convenient we begin our Anatomical adminiftration from this,becaufe it is morefub- jeft to putrefaftion than the reft,both by reafon of its cold and moift temperature,' as alfo by reafon of the feculent excrements therein contained. Yet before we go any further,if the Anatomicall adminiftration muft be performed in publick, thebody being firft handfomely placed,and all the inftruments neceflary for difleftion made ready,the belly muft be divided into its partSjofwhich fome contain, and other fome are contained. They are called containing,which make all that capacity which is terminated by the Pe- ritoneum or Rim of the belly. The upper part whereof is bounded by Galen within the com- pafs of the direft mufclessand by a generall name is called or the upper part of the lower belly. That again is divided into three parts, that is, into that which is above the navil,and which carries the name of the whole,into that which is about the navil,and is called the umbilicall or middle part 5 and laftly, into that which is below the navill,called the Hypogaftriuniyor the lower part of the lower belly. In every of which three parts there be two laterall, or fide parts to be confidered, as in the the right and left Hypochondria, which are bounded above and below, in the compafs of the midriffe,and the ftiort ribs.In the umbilicall the two I uir.baresQfome call them Latera fides ) which on both fides from the loweft parts of the breft, are drawn to the flanks or hanch-bones; in the Hypogafti ium, the two Ilia9 or flanks, bounded with The divifion of rhe vitall parts. The divifi ;n of the nartirall parts. The vulgar di* vifionofmans body* Why the belly is not bony. The divifion of the lower be!-. iy. The fyfockiii" dria. Lib. 3. of <£Mans Body. 65 with the hanch and (hare-bones.Neither am I ignorant,the Ilia,or flanks,which the Greeks call Aa>6ej fignifie all the empty parts, from the ends of the ribs, even to the hanch-bones, whereupon they alfo call them Kt as ifyou (houldfay empty (paces,becaufe they are not encompafled with any bone. Yet I thought good that this doftrine of dividing [the belly (hould be more diftinft,to call the parts which are on each fide the navell Lumbares, and thofe on the lower part of the lower belly Ilia, flanks. But we muft obftrve that the Ancients have been fo diligent in deciphering the containing parts,that as exactly as might be, they defigned the bowells contained in the belly, which being divers lie in fundry pla- ces ; for the greater portion of the liver lies under the right Hytosr.ondriutn ; under the left almoft all the ventricle and fplcen. Undenthe tyigaftrium the lower orifice of the ventricle, and the fmaller portion of the liver; In the Lumbares,or fides, in the right and upper part the right kidney,in the lower part towards the flanck,the blind gut;in the middle part thereof the colick and empty guts. In the upper part of the left fide lies the left Kidney, in the middle part, the reft of the empty and colick guts. Under "the region of the navell, lies the girdle or upper part of the kali, the collick gut thrufting it (elf alfo through that way. Under the Ilia,or flanks,the right and left,lie the greater part of the gnt lleon, the horns of the women big with child,and the fpermaaick veflels in men and women.Under theHjpoga- ftrium in the lower part, lies the right,er ftralt gut,the bladder,won.b,and the reft of the kal. If we know,and well underftand theft things,we (hall more eaiily diftern the parts affeft by the place of the pain,and cure it by fit application of remedies, without the hurting of any part.The diftinftion of fuch places,aud the parts in thofe places, as fteming moft pro- fitable,! have thought good to illuftrate by the placing theft two following figures, in which thou haft deciphered,not only the forefaid parts,containing, and contained, of thehvhole body,and many other things which may ftem to conduce to the knowldge of the mentioned parts.The Figures are theft. The Figure jhewing the foreparts of the body. A moil cer« tain note of the part af- fefled by the place where the pain is* A The hairy Scalp, cald umbiiiealis,or rhe middle part of b rhe forehead eald Front rhe lower belly. c rhe temples cald tempo'atx.gfrti<pQl A. The navill The root From bro d The compafs of the of the belly face, BB. The fide e The greater or inward corner of in our Anchor Lunbi feu Lwnba- the e; cs,cald Cantl.w intern**, rii regia, f Thelefferor externall angle of C. Hypogafiriumythe warer.coUrfe, the eye,cald Citnthw externus. Aqualicnlw , the lower part of * The lower eybrow which is iiH- the lower belly,nlgey, movable, Palpebra. 1 he flanks called Hja, and g The cheek-bal cald tna!a,pdi\n, Mfid'vtf. b The cheek-pufcald bucca, The Groin called pubes oh 8©. peffen,K,']eif ntftnftn. i Ihe ridg of rhe nofe cald Nafiss FF. The Leskecald inguen where extern*,fit. thofe tumors are cald Butenes. The northrils cald nares, /xux'h- O. The yard w th the fore-skin/ gif, penis cum praputie. I The outward eur,auris externa. H. The hones of teflicles, with the m The mouth made of the two tod or fcroturn, lips,Or. II. ThefhoulderSjtM/TzerZjfcjrtBjuf- n The chin called mentum, fvetW' Af. o The n.ck, coliume dw/fv and KK. I hearm* E. The bowt of the aim, called From o.to e the pillar of the neck, Gibber,d.M>v> truncm and oKpJ&, M.Thc outfide ofthe lower part of pp The hollew ofthe neck, called the arm called cubitw fttf. N. The wrift called Brachiate, qq 1 he patel bones,c/dvejjKABsfitf. Wf7R>r. r The chert, O- The after wri fl pcftbracbiale, f The right breft. f The left breflj to this Region we P. ThePalm called Palmd or void apply cordiall Eptthemations mania,Qwag. moiftanddty. ® The back of the hand, Dorfen tt The nipples ofthe bxe^,papilla, manw,o'rn(fdt.vap. &MXoy. Q9c The fore and middle part of u The trench of the heart which the thigh, where we apply cup « the Ancient called The pingglaffestb bring down wo- Larines fcr obi cull* Cordis. This pait is anointed for the mouth of RR. The knee,genu. -fsv, the tiomach. SS. The \eg,ttba, From u. to e.the lower TT. The calf ofthe leg, fur a., x The Epigaftriwn or upper part of rhe lower belly* VV. The inflep,tarp4<» yy The Hypochondria or Pracffrdia. XX, The top of the foot,Dor/jtfflt * The outward Liver-remedies are pedis,croJlof. applied to this place. YY. t he inner Anckles,fftpugf., z I he region of the navill, called ZZ. The outward anckles, a« the toes of the feet ft the place under rhe inward anckle,wherc the vein called Saphena is opened. G 3 he 66 Of the Anatomy Lib. fgwe °f back-parts of a Man. A. The forepart of the hexd,fynciput9 fyeyjuJ. B the top or crown of the head, vertex, uovtpn C. the hinder-part of the head, occiput, jcon'f ksu \vtiv. , From D. to D. the hce, facies, ♦E. the eybrows, fpercilia, F. the upper eylid, CKtpagyv. G. thetipof the nofe, called globulus nafi. H. the back-part of rhe neck,called cervix,dvyfv, and the nuke or nape of the neck. There is a hollownefs at the top of this cervix, where we apply Seatons. I. the back pair of the fhouldertop, called axilla, KK.the fhoulder blades,fcapuldt, apo7r\ct7t». 1,2,?. On this place we fee Cupping=glafles, the back, dorfwn, Vunp. 9, the ridg, fpinadorfi. idyis, L- the armhole, ala* v * The 0bow, gibber brachii, MMMM. the Tides, latera, N N. the loins, Iwnbifir the region of the kidneys, aerpygf. O O. rhe place of the hips, coxendices, where we apply remedies for the Sciatica. P. the place of rhe Holy bone, or Os facrutn,'where we apply remedies in thedifeafes of the right gut. Q. the place of the rump or Coccyx, RR. rhe buttocks,nates, KkutKs. SS. rhe back parrs of the thigh,femen, TT. rhe ham, pop les, lyyis, VV. the calf of rhe leg, Jura, X X. the foor, or parvus pes, nods. Y Y. the utter ank.le9 malleolus exteinus, Z Z. the heel, calx, or calcaneus, a a, the foie of the foot, plant* pedu, b. the in fide of the lower part of the arm, called ulna, ciKivn- c. the ou fide of the fame, cubitus, d d. the wrift, carpus, e e. the back-part of rfe hand, dorfum inanus, £.the forefinger,index. h. rhe rhumb,pollcx, i, the middle finger, medius, pl k» rhe ring finger, annularis, medicus, /aT&xfc- I, the little finger, awicularis, minimus,arms. CHAP. II. of the containing parts of the Epigafrium, and the preparation to Anatomic all adminiftration. The contai- ning parts of rhe lower belly. de containing parts of the are the Epidermis, or thin outward skin; the true skin; the flelhy or fatty Pannicle; the eight mufcles of the Epigaftrium, with their common coat; the Rim of the belly; the five vertebra's of the loins; all the holy-bone; the hanch-bone; fhare-bone; the white line and midriff. Of thefe parts, feme are common to the whole body, as the three firft; the other proper to the parts contained in the Epigaftrium taken in generall. Which that you may fee in their order, firft you muft cut round about the navell, to the upper fuperficies of the mufcles, that fo we may keep it, till fuch time, as occafion fhall offer it felf, to (hew the umbilicall veflels lying in that place,which are one vein,two arteries, and the Vrachus (if it be there.) Which being done, you muft draw a ftreight line from the cheft, over the breft-blade, even to the fhare-bone, which may divide the common-containing parts, even to the white line. Then prefently it will be convenient to draw two other lines acrofs or overthwart, of the like depth on each hand, from the circumference of the navell, even to the fides, that fo on each part we may draw the skin more commodioufly from the parts lying under it; the fight of which otherwife it would hinder. Thefe things being done, the skin muft be Lib. 5. of Mans Hody. 67 be divided from t.'ne parts lying under it from the defigned circumference left about the navell. We muft each how the skin is twofold., the true and tidle, and render a reafon of the name, which v e will every where do, as far as the thing will luffer, and it (hall lye in our power. And i n doing or examining thefe things, it will be convenient diligently to enquire into the r ine things mentioned in the Preface. We will begin with the Skin, be- caufe that part it h rll obvious to our lenles. CHAP. III. Of the utmoft Skin or Cuticle, He skin b< ng the firft part., and fpred over all the body, is twofold, that is, the true and b ftard skin : The true is called by the which may almoft every where be.pulled from the parts lying under it, which it invefts; except in the face,ears, the palms of the hands, loles of the feet, fingers, and privi its, w ere it flicks fo clofe that it cannot be Ieparated. The baflard (which fir? of all we will declare, becaufe it firfl prefents it felf to our fight) is by the Greeks called Epidermis, becaufe it covers the true skin, they term it commonly the Cuticle. The fubftance of it is excrementitious, and (as it were) a certain dry flouring, or produftion of the true skin. That it draws not its fubftance from the feed is apparent by this, that as it is eafily loft, fo it is eafily repaired, which happens not in parts truly fpermaticall. This utmoft thin skin, or Cuticle, may two manner of ways be made apparent by it felf, and ieparated from the other, as by burning with fire, or ardent heat of the Sun, (in fome delicate bodies, and fuch as are not accuftomed to be converfant in Sunihine.) The quantity in thicknefs is very final!, but the extent is moft large, becaufe it covers all the skin ; the figure of it is round, and long, like thofe parts which it invefts. Thecompofure of it is obfcure; yet becaufe this Cuticle is the excre- ment of the true skin ; we fay it hath its matter from the excrementitious fuperfluity of the nerves, veins, arteries, and fubftance of the true skin. It is in number one, like as the true skin which it outwardly covers, that it might be a medium between theobjeft and fixed faculty of touching, diffufed over all the true skin, which every where lies under it. For the temperature, by the common confent of Phy- fitians, it is in the midft of all excefs ; for that feeing it is the medium between the object and faculty, if it fhould be hotter, colder, moiAe* or drier, it would deceive the faculty by exhibiting all obje&s, not as they are of then elves, but as it fhould be ; no otherwife than as to fuch as look through red or green fpeAaclcs, all things appear red or green. Wherefore for this reafon it was convenient the Cut' 'e fhould be void of all fenfe. It hath no aftion in the body; but it hath ufe, for it prek es and beautifies the true skin; for it feems to be given by the Angular indulgence of nature, to be a muniment and orna- ment to the true skin. This providence of Nature, the induftry of fome Artizans (or ra- ther Curtizans) doth imitate; who for to feem more beautiful!, do finooth and polifh it. By this you may underftand, that not all the parts of the body have aftion, yet have they their ufe, becaufe, according to Ariftotles opinion,Nature hath made nothing in vain. Alfo you muft note that this thin skin or Cuticle being loft, may every where be regene- rated, unlefs in the place which is covered with a fear. For here the true skin being defi- cient, both the matter and former faculty of the Cuticle is wanting. The skin two- fold From what parts rhe skin cannot be fe. parated. The matter of the Cuticle. The quantity. The figure. The compo- fare. Tire number. The tempera- ture. The life. Why the C«- ricie cannot be reftored in fears. CHAP. IIII. Of the true Skin, -le true skin called by the Greeks is of a fpermatick fubftance, where- fore being once loft, it cannot be reftored as formerly it was. For in place thereof comes a (car, which is nothing elfe but flelh dried beyond meafure. It is of fufficient thicknefs, as appears by the feparating from the flefh. But for the extent thereof, it encompafles the whole body, if you except the eys, ears, nofe, privities, fundament, mouth, the ends of the fingers where the nails grow, that is, all the parts by which any excrements are evacuated. The figure of it is like the Cuticle, round and long, with its produflions, with which it covers the extremities of the parts. It is compofed of nerves, veins, arteries, and of a proper flelh and fubftance of its kind, which we have faid to be fpcrmaticall, which arifeth from the procefs of the fecundine, which lead the fpermatick veflels even to the navell; in which place each of them into the parts appointed by nature, fend forth fuch veflels as are fpred abroad and diftufed from the generation of the skin. Which alfo the fimilitude of them both, that is, the skin and The fubilancte Magnitude* Figure. Compofure, 68 Of the Anatomy Lib.?. and membrane Chorion do argue. For as the Chorion is double, without fe nfe, encompafling the whole infant, lightly fattened to the fit ft coat, which is called Amnios':, io the skin is double, and of itfelf infeniible, (for otherwife the nerves were added i n vain from the parts lying under it) ingirting the whole body, lightly cleaving to t'he flefhy Pannicle. But if any objeft, That the Cuticle is no part of the true skin, feting p is tvholly diffe- rent from it, and ealily to be feparated from it, and wholly void of ftnfy: I will anfwer, tfiefe arguments do not prevail. For that the true skin is more crafs, th ck,fenfible, vivid, and flefhy, is not of it ftlf, being rather by the afliftance and admixture of the parts,which derived from the three principall it receives into its proper fubftancej which hap- pens not in the Cuticle. Neither if it Ihould happen, would it be better for it, but verily exceeding ill for us, becaufefo our lifeftiould lye ft and open t > receive athoufand externall injuries, which encompafsus on every fide, as the violent aud contrary accefs of the four firft qualities. There is only one skin, as that which Ihould cover but one body, the which it every where doth,except in thofe places I formerly mentioned. It hath coi nexion with the parts, lying under it by the nerves, veins, and arteries, with thofe lubjaccnt parts put forth into the skin invefting them, that there maybe a certain communion of all the parts of the body amongft themfelvcs. It is cold and dry in its proper temper, in refpeft of its prop r flefh and fubftance, for it is afpermaticall part. Yet if any confider the fineWs, veins, arteries, and flefhy threds which are mixed in its body, it will feem temperate, and placed (as it were) in the midft of contrary qualities, as which hath grown up from the like portion of hot, cold, moift, and dry bodies. The ufe of the skin is to keep fafe and found > he continuity of the whole body,and all the parts thereof,from the violent aflault of all externall dangers ; for which caufe it is every where indued with fenfe, in fome parts more exaft, in others more dull, according to the dignity and neceflity of the parts which it ingirts, that they might all be admonifhedof their fafety and prefervation. Laftly, it is penetrated with many pores, as breathing-places, as we may fee by the flowing out of Iweat, that fo the arteries in their diaftole might draw the encompaffing air into th body, for the tempering and nou- rifhing of the fixed inbred heat, and in the (yftole pell the fuliginous excrement, which in Winter fuppreft by the cold air encompafling uc makes the skin black and rough. We *have an argument and example of breathing tmough thefe, by drawing the air in by tranfpiration, in women troubled with the mother, who without refpiration live only for Ibme pretty (pace by tranfpiratiom The skin of it fe!f is void of fenfc. I he number* Connexion. Temperature* life. The 'reafon why the skn is blacker and rougher in Winter. CHAP. V. Or the flefhy Pannicle. Fter the true skin, follows the membrane, which Anatomifts call the flefhy Pan- nicle, whole nature that we may more eafily profecute and declare, we muft firft (hew what a Membrane is,and how many ways the word is taken. Then where- fore it hath the name of the flefliy pannicle. A membrane therefore is a fimple part, broad and thin, yet ftrong and denie, white and nervous, and the which may eafily without any great danger be extended and contraded. Sometimes it is called a coat,which is, when it covers and defends fome part. This is called the flefhy Pannicle; becaufe in fome parts it degenerates into flefh, and becomes mufculous, as in a man from the coller- bones, to the hair of the head, in which part it is therefore called the broad mufcle, whereas in other places it is a fimple membrane, here and there intangled with the fat lying under it, from whence it may feem to take or borrow the name of the fatty Pan- nicle. But in beafts (whence it took that name, becaufe in thofe a flefhy fubftance maketh a great part of this Pannicle) it appears manifcftly flefhy and mufculous over all the body, as you may fee in Horfes and Oxen ; that by that means being moveable, they may drive and fhake off their flies, and other troublefome things, by their fhaking and contra&ing their backs. Thefe things confidered, we fay the flefliy Pannicle in its proper body, is of a nervous or membranous fubftance, as that which hath its originall from the coat Anmios> (which is next to the infant) dilated near to the navell, and ftretched forth for the genera- tion of this Pannicle; in which thing I think good to note, that as the membranes Chorion and Amnios mutually interwoven with fmall nervous fibers, encompafs and inveft the child as long as it is contained in the womb 5 fo the skin and flefhy Pannicle, knit together by fuch like bands, engirt the whole body. Thereforethe flefhy Pannicle is equal in magnitude and like in figure to the true skin, but that it lyes under it, and is contained in it, in fome places mixt with the fat, in others increafcd by the flefh interwoven with it, and in other fome is only a fimple mem- brane. The composition of it is fuch, as the fight of it prefents to our ey, that is, of veins, arte- What a mem- brane is. Why it is foni- rimcs called a coat, fomtimes theflefhy and fatty Pannide. Why beads have this Pan* nicle wholly ftefhy or mufculon*. The fubftance. The magnitude arid figure. Number* Compofure, L I B. 5. of ansBo'ly. 69 arteries,nerves,and the proper Hem, fonie whites mixed and interlaced with fat, and lome- times with mufculous flefh. It is but one, by rcafon of the ute we lhall prelently lhew; it is lituated between the skin and fat, or common coat of the nmfcles, annexed to thele and the other parts lying under it, by the veins, nerves and arteries amending from thele in ward parts, and implanting themfelves into the fubftance thereof, and then into the-true skin. The temperature thereof is diverfe, according to the variety of the parts interwoven with it. The ufe of it is, to lead, direft, and strengthen in their pallage, the veflels which are difleminated into the true skin, and the whole luperficies of the body. But in beafts it hath another commodity, that is, it gives a lhaking or trembling motion to their skin and back, for that caufe we formerly touched. The tempera- ture. The ufe. CHAP. VI. of the Fat, de Fat coming near the condition of an excrement, rather than of a part (as we faid, when we treated of the limilar parts) is of an oily fubftance, bred of the aery and vaporous portion of thebiood, which fweatjng through the pores of the coats, or mouths of the veflels, becomes concrete about the mem- branes, and nerves, and cold bodies, and turns into fat by the coJdnefs of the place. Whereby we may know, that cold, or a more remifs heat, is the efficient caufe of fat, which is manifeft by contemplation not only of creatures of divers kinds, but alfo by thole of the lame Ipecies and lex, if fo be that the one be colder than the other. By which we may underftand that the fat is the more oriels in quantity, according to the different temper of the whole body, and of its particular parts; for its cpmpoiition, it conllfts of that portion of the blood which we formerly mentioned, with certain membranes, nervous fibers, veins and arteries. The greateft part of it lyes between the fleffiy Pannicle, and the common coat of the Mulcks. * Qtherwile it js diffufed over all che body, in lome places more, in fome left, yet it is always about the nervous bodies, to which it delights to cleave. Moll Aiaatomifts enquire whether the fat lye above or beneath the fleffiy Pannicle. But me thinks this queftion is both impertinent and idle 5 being we often fee the fat to be on both lides. a It is of a middle temper, between heat and cold,being it arifeth of the more aery portion of the blood; although It may feem cold in refpeft of the efficient caufe, that is, of cold by which it concretes. For the reft, moifture is pre- dominant In the fat. b Theufe thereof is, to moiften the parts which may become dry by Long falling, vehement exercife,or immoderate heat; and befides to give heat, or keep the parts warm. Although it do this laft rather by accident, than of its own nature, as heated by exercife, or by fume fiich other chance •, it heats the adjacent parts, or may therefore be thought to heat them, becaufe it hinders the diffipation of the native and internail heat; like as cold heats in winter,whereby the bellies are at that time the hotter. I knotv fome learned Phylitians of our time ftiffly maintained, that the fat was hot, neither did they acknowledg any other efficient caufe thereof,than temperate heat and not cold. But I think itbeft to leave the more fubtil agitation of thefe queftions to naturall Philofophers. But we mull note, c that at the joints which are more ulually moved, there is another fort of Fat, far morefolid and hard, than that which we formerly mentioned, often found mixed with a vifeid and tough humor like the whites of Eggs, that fo it might be fuffi- cient for a longer time to moiften thefe parts, fubjeft to be hurt by dryneft, and make them llippery, and fo fitter for motion, in imitation whereof they ulually greafe hard bo- dies, which muft be in frequent motion, as Coach-wheels and axletrees. And there is ano- ther kind of fat, which is called Sevum9 learn, in one thing differing from the ordinary fat,that is much dryer ; the moifter and fofter portion of the fat being diffipated by the ragingheat of the place. For it is found principally about the midriff, where there are many windings of arteries and veins; and it is alfo about, the reins, loins, and balls of the heart. The Fat is wafted by long falling 5 is dryed and hardened by vehement exercife and immoderate heat. Hence it is that it is much more compact in the palms of the hands, and foies of the feet, about the eys and heart,fo that it refembles the fleffi in denllty and hard- nefs 5 becaufe by the continuall motion and ftrong heat of thefe parts, the thinner portion being diffipated and diffufed,the more grols and tcrreftriall remain. The Fat is rather an excrement than a p?rr. The fub The efficient caufaof Far. The quantity. The compo'* hire. The fire. Iwaspre'ent at the opening of a body,Feb. 1030. in which the fat in the lower part of the lower belly was in thicknefs ab»ve 8 inches, upon the breaft be- tween 4 and y inches'; which I thought good to remember in this place both for the rarity of the*thing,as alfo because it was encreafed byr£» port, and the place miftaken, fome faying the Omtntum or Call was fo thick, which was falfe, for it did not much exceed the quantity of "that part, in other fat men. * The temper. 4 The ufe. cThe folider fat* orfeame. In what pares ;t and for what caufethe fat is more denies CHAP- Of the Anatomy Lib. 9. 70 CHAP. VII. Of the common coat of the Mufcles. I he fubftance. Ext under the Fat, appears a certain coat, fpred overall theMufcles, and called the common coat of theMufcles, it is of a nervous fubftance,as all other mem- branes are. The quantity and breadth thereof is bounded by the quantity of the Mufcles which it involves, and fits it felf to, as that which encompaflcs the Mufcles of the Epigaftrium, is of equal largenefs with the fame Mufcles. The figure of it is round: it is compofed of veins, nerves, arteries, and its peculiar flelhconfifting of three forts of fibers 5 thebeginning of it is from the Perio/iium, in that part where the bones give ligaments to the Mufcles ; or according to the opinion of others, of thener- vous and ligamentous fibers of theMufcles, which rifing up and diffufed over the flelhy fuperficies thereof, are united for the generation of this coat. But this membrane arifing from the Perioftium (as every membrane which is below the head takes it originall from the ' Perioftium either primarily, by the interpofition of no Medium,or fecondarily) is ftretched over the Mufcles by their tendons. But if any objeft, That this membrane pluck'd front the belly of the Mulcle, may feem to end in a ligament. I will anlwer, that it is the condition of every nervous part, fo to binde or fallen it felf to another part of his own kinde as to a ftay, fo that it can Icarce be pluck'd from thence. We fee the proof hereof, in the Peritoneum or Rim in the Epiga/irium or lower part of the lower belly. That which covers the Mufcles of the Epigafirturn is but one, unlefs you had rather part it in two, the right and the left diftinguilhed by the interpofition of the Linea Alba, or white Line. It is lituate betwixt the Fat and Mufcles; for it is fattened above and below to thefe parts with fibers, which in fmalnefs and fitnefs exceed the Spiders web. But by its veflels, it par- ticipates with the three principall parts, and is of a cold and dry temper. The ufe of it is, to contain theMufcles in their naturall union,and to keep them as much as in it lyes,from putrefadion, which may happen to them frompw or matter, which is often caft forth of the fimilar parts into the empty {paces and diftances of the Mufcles. Wherfore going about to feparate the Fat of the Epigaftrium (where thou mutt begin the difleftion of mans body) you mutt have a care that you hurt it not with your knife, but that, before you touch the Mufcles,fee you artificially take it away,that you may the more eafily feparate the Mufcles lying under it,diftinguilhed by a manifeftfpace at the white Line, which is made by the meeting together of the proper coats of all thofe Mufcles. The quantity. The compo- rt! re. The Originall, The number. The ftte. Theufe. What the white line is. CHAP: VIII. What a Mufcle and how many differences there he thereof. What a Muf- cle is. Mufcle is the inftrument of voluntary motion ; and fimple voluntary motion is performed fix manner of ways, upwards, downwards, forwards, backwards,to the right hand and to the left; but the compound one way,which is circularly, the which is performed by the continuall fucceffion of the motion of the Mus- cles ingirting the part. Such a motion Falconers ufe when they ftretch forth their hand and lure their Hawk. We have fbmc parts, which have motion without a Mufcle, but that motion is not voluntary; fuch parts be the heart, ftomach, guts, both the bladders, '(that is, that of the gall and that of the urine) and divers other which have the motions of attraftion, expulfion and retention, by the means of the three forts of fibers; for they draw by the right, expell by the tranfverfe,and retain by the oblique. The differences of Mufcles which are many and diverfe,are taken from their fubftance,originall, infertion into the part which they move, form or figure, holes or openings, magnitude, colour,fite, kindeof fibers, their conjugation or connexion, heads, bellies, tendons, oppofition in aftion and office. Some in fubftance are nervous, venous, arterious, becaufe they have ma- nifeft nerves, veins, and arteries, as the the Intercoftall or Epigaftrick Mufcles, and many more,and that for their difference from other Mufcles, into which neither nerve,nor vein, or arteries are manifeftly inferted,although fecretly they admit them all for fenfe and motion,life and nourifhment; fuch are the Mufcles of the wrift, the wormy Mufcles of the hands and feet; for if there be any nerves obferved in them, they are very fmall. Some had rather make the difference of Mufcles thus, that fome of them are flefhy, fome nervous, others membranous. From their Originall, fome arifefrom the bones,as thefe which move the hands, arms, and legs; others from grilles, as the Mufcles of the throat; others from membranes which inveft the tendons, as the wormy Mufcles of the hands and feet; others from ligaments, as the Extenders of the fingers; others from other Mufcles, as the two lower Mufcles of the yard which proceed from the Sphin&er Mufcle of the fundament. Others have no originall,as the membrane which we call the flefhy Pannicle aflumes flefh in How the circu- lar motion is performed. From whence the differences of Mufcles are drawn. Differences of Mufcles from their fubftance Differences of Mufcles from their original!* Lib. 5. of tLMansBody. 71 in certain places,and degenerates into a Mufcle 5 fuch are the Crcmafier or hanging Mufcle' of the tefticles, the large Mufcles of the face, and if you pleafe the Midriff, as that which is compofed of two coats, the one encompaffing the ribs and the Peritoneum, hath flefh in the midft between the two membranes. And moreover fome Mufcles have their originall from one only bone, as thefe which bend and extend the Cubit 5 others arifcqf many bones,as the oblique defeending, the Doriall and many Mufcles of the neck , which arile together from many ipondyls and lides of fpondyls. There be others, according to the opinion of fome men, both from the bones and grilles of? the Pubir at the right or direct Mufcles of the Epigaftrium, yet by their favor I think otherwife. Becaufe by the Anato- micall and received axiome,A muicle is there thought to take his beginning, from whence he receives a nerve 5 but thefe Mufcles take a nerve from the intercoftall mufcles, wherefore their originall ought to be referred to the fides of the breft-blades, as fhall be fhewed in due place. From their infertion arife thefe differences, fome are inferted into a bone, as thole which move the head, arms and legs 5 others into a grifle, as thofe oftheThrotle ey-lids, nofe, and the oblique afeendent mufcles of the Epigaftrium ■> lome inter a bone and grifle both, as the right mufcles of the Epigaftrium and the Midriff; fome into the skin, as the mufcles of the lips; others into the Coats,as the mufcles of the eys ; others into Li- gaments,as the mufcles of the yard. But thefe differences following may be drawn, both from their infertion and originall. For fome mufcles arifing from many parts,are inferted into fome one part, as divers of thefe which move :the arm and the fhoulder,which arifing from many fpondyls, are inferted into the bone of the fhoulder, and the fhoulder-blade Others arife from one part, and infect themfelves into more, as thofe which arife from the bottom of the fhouldcr-blades,are extended and inferted into fome eight, or nine of the up- per ribs,to help refpiration; and the benders and extenders of the fingers and toes : Others arifing from many bones, are inferted into as many, as fome of thofe which ferve for refpi- ration,to wit thofe which we call the hinder Saw-mufcles and the Semi]}inatM,which fends a tendon into all the ribs. Others have their originall from many bones,and end in grilles of the feven ribs, as thofe two which lye under the Sternon. Moreover alfo thefe differences of mufcles may be drawn from the originall and infertion, that fome proceed from bones, and are inferted into the next bone, to help and ftrengthen the motion thereof,as the three mufcles of the Hip : Others arife from an upper bone and are not inferted into the next, but into fome other, as the long mufcles. Some are named from the part they move,as the temporal! mufcles, becaufe they move the temples 5 others from their office, as the grinding mufcles, becaufe they move the skin as a mill,to grinde afundcr the meal. From their form or figure, becaufe fome are like Mice, other like Lizards which have their legs ciit off, for that they imitate in their belly, body or tendon, the belly or tail of fuch creatures, and from whence the names of Mujculw and La cert us are derived. Such are thofc which bend the wrift, and which are faftned to the bone of the Leg, and which extend the foot; others are triangular, as that which lifts up the arm, called Epomir or Deltoides, and that which draws the arm to the breft,called the Peftorall mufcle. Others quadrangular, as the Rhomboides, or Lozenge-mufcle of the fhoulder-blade,and the two hindefom-mufcles ferving for refpi- ration, and two of the wrifts which turn down the hand; others confift of more than four angles, as the oblique defeending, and that mufcle which joins it felf to it from the fhoul- der-blade ; others are round and broad, as the Midriff ; others circular, as the Sphinfter- mufcle of the fundament and bladder ; others are of a pyramidicall figure, as the feventh mufcle of the ey, which compares the optick nerve in beafts but not in men. Others have a femicircular form, as that which ffiuts up the ey, fcated at the lefler corner thereofjothers refemble a Monks cowl, or hood, as the trapezius of the ffioulder-blade. Befides others at their firft originall are narrow, but broad at their infertion, as the Saw-mufcle of the fhoulder, and the tranfverfe of the Epigaftrium ; others are quite contrary, as the three mufcles of the Hip; others keep an equal breadth or bignefs in all places,as the intercoftall mufcles and thefe of the wrift ; others are long and (lender,as the long mufcle of the thigh; others are long and broad, as the oblique defeending mufcles of the Epigaftrium others are direftly contrary, as the Intercoftall, which are very narrow. From their perforations,for fome are perforated, as the Midriff which hath three holes, as alfo the oblique and tranf- verfc of the Epigaftrium.> that fo they may give paflage forth to the preparing fpermatick veflels, and to the ejaculatory veflels, the Coat Erythroides affociating and ftrengthening them; others are not perforated. From their magnitude, for fome are moil large, as the two mufcles of the Hip ; others very fmall, as the eight fmall mufcles of the neck, and the proper mufcles of the Throtle, and the wormy mufcles. Others are of an indifferent mag- nitude. From their colour, for fome are white and red, as the Temporall mufcles, which have tendons coming from the midft of their belly; others are livid, as the three greater mufcles of the calf of the leg, which colour they have by the admixtion of the white, or tendinous nervie coat with the red flelh, for this coat by its thicknefs darkning the colour of the fleffi, fo that it cannot (hew its rednefs and frefh colour, makes it feem of that livid colour. From their fituation, for fome are fuperficiary, as thofe which appear under the skin and fat j pothers deep in and hid, as the fmooth and four twin mufcles; fome are ftsetched Where a Mufcle hath its originall. Differences of mufcles from their inferciori; Differences of Mufcles taken from their figure. Differences from their perforations. From their magnitude. From their colour. From their fire. Of the Anatomy 72 Lib. 5, ftretched out, and (as it were') fpred over in a ftreight and plain paffage, as the mufcles of the thigh which move the leg, except the Ham-mufcle; others oblique, asthofe of the Epigaftrium ; otherfome tranfverfe, as the tranfverfe of the Epigaftriunt', where you mull obferve, that although all the fibers of the mufcles are di reft, yet we call them oblique and tranfverfe, by comparing them to the right mufcles, as which by the concourfe of the fibers make a ftreight or acute angle. From the forts of fibers ; for fome have one kinde of fiber; yet the greateft part enjoy two forts running fo up and down,that they either are croffed like the letter X,as happens in the pe&orall and grinding mufcles ; or elfe do not concur, as in the Trapezii. Others have three forts of fibers, as the broad mufcle of the face. From their coherence and connexion, or their texture of nervous fibers ; far fome have fibers fomewhat more diftant and remote immediatelyat their original!,than in other places, as you may fee in the mufcles of the buttocks t Others in their midft and belly, which by reafon thereof in fuch mufcles is more big or tumid, their head and tail being (lender, as happens in moft of the mufcles of the arm and leg, in which the denfe mafs of flelh interwoven with fibers, disjoins the fibers in fo great a diftance; in otherfome the fibers are more diftant in the tail, as in the greater Saw-mufcle arifing from the bottom of the flioulder-blade; in others they are equally diftant through the whole mufcle, as in the mufcles of the wrift and between the ribs. * From their head; for in fome it is flclhy, interwoven with few fibers, as in the mufcles of the buttocks; in others it is wholly nervous, as in the moft-broad-mufcle common to the arm and flioulder-blade, and in the three mufcles of the thigh,proceeding from the tuberofityof the hucle-bone; in fome it is nervous and flefhy, as in the internail and externall mufcle of the arm. Befides, fome have one head, others two, as the bender of the elbow, and the externall of the leg; others three, as the Threeheaded mufcle of the thigh. But we muft note that the word Nerve or Sinew is here taken in a large lignification, for a ligament, nerve and tendon, as Galen faith, (Lib. de Ojsibus)a.nd moreover we muft obferve, that the head of a mufcle is one while above, another while below, otherwhiles in the midft, as in the Midriff, as you may know by the infertion of the Nerve, becaufe it enters the mufcle by its head. From their belly alfo, there be fome differences of mufcles taken; for fome have their belly immediately at their beginning, as the mufcles of the buttocks ; others at their infertion, as the Midriff 5 others juft at their head, as thofe which put forth the Calf of the leg ; in others it is fomewhat further off, as in thofe which draw back the arm, and which bend the leg; in others,the belly extends even from the head to the tail, as in the intercoftall mufcles,and thefe of the wrift; in others it is produced even to their infertion, as in thofe of the palms of the hands and foies of the feet; fome have a double belly diftin- guifhed by a nervous fubftance; as thofe which open the mouth, and thofe which arife from the root of the lower procefs of the flioulder-blade. Moreover the differences of mufcles are drawn alfo from the Tendons, for fome have none, at leaft which are manifeft, as the mufcles of the lips and the fphinfter-mufcles , the intercoftall and thofe of the wrift; others have them in part, and want them in part, as the Midriff; for the Midriff wants a Tendon at the ends of the (hotter ribs, but hath two at the firft Vertebra of the Loins in which it is terminated : Others have a Tendon indeed. But fome of thefe move with the bone, fome not, as the mufcles of theeys; and befides, fome of thefe have broad and membranous tendons, as the mufcles of the eys and Epiga- ftrium, except the right mufcles: In others they are thick and round, as in the benders of the fingers; in others they are lefs round, but more broad than thick, fuch is the Tendon arifing from the twin mulcles and Soleus of the leg; others have fliort Tendons, as the mufcles which turn down the hand; otherfome long, as thofe of the palms of the hands, and foies of the feet; befides others produce Tendons from the end of their belly, which Tendons are manifeft; others from the midft,as the Temporall mufcles. Befides alfo, others diflufemany Tendons from their belly, as in the hands the benders of the fingers, and the extenders of the feet. Otherfome put forth but one, which fome- times is divided into many, as thofe which bend the third articulation of the foot; other- while many mulcles by their meeting together make one Tendon, as the three mulcles of the Calf of the leg, and thofe which bend the cubit and leg. All Tendons have their or i- ginall, when the nerves and ligaments difperfed through the flefliy fubftance of a mufcle, are by little and little drawn and meet together, untill at laft carried to the joint, they are there faftned for the fit bending andextenfion thereof. From the contrariety of their Acti- ons, for fome parts have contrary mufcles, benders and extenders; other parts have none, for the Cods and fundament have only lifters up. From their funftion, for fome are made for direft motions, as thofe which extend the fingers and toes; others for oblique, as the Supinators of the hand, and the Pronators; others perform both, as the peftorall mufcle, which moves the Arm obliquely upward and downward, as the upper and lower fibers are contrafted ; and alfo outright, if all the fibers be contrafted together, which alfo happens to the Deltoides-and Trapezius. I have thought it good to handle particu- larly From their Fibers. From their connex ion. From their head. From their belly. From their Tendons* From their aftion. From their funftion. L I B. 5. of ans Body. 73 larly thefe differences of mufcles,becaufe that by uriderftanding them the prognoftick will be more certain; and alfo the application'of remedies to each part; and if any occafion be either to make incifion,or future, we may be more certain whether the part affe&ed be more or lefs nervous. CHAP. IX. Of the parts of a Mufcle. Aving declared the nature and differences of a Muffle., we muff note that fome of the parts thereof are compound or univerfall, others fimple or particular. The compound are the head, belly, and tail. The iimple are ligaments,a nerve, flefh, a vein, artery and coat. For the compound parts, by the head,we under- Hand the beginning and originall of a muffle, which is one while ligamentous and ner- vous, other whiles alfo flefliy. By the belly, that portion which is abfblutely fleihy ; But by the tail we underftand a Tendon confifting partly of a nerve, partly of a ligament pro- miffuoufly comming forth from the belly of the muffle. Forasmuch as belongs to the iimple, which are fix in number, three are called proper, and three common. The proper are a Ligament from a bone, a nerve proceeding from the Brain or fpinall marrow, and fleffi co'mpaft by the concretion of blood. The common are, a vein from the Liver or trunk from thence; an artery proceeding from the Heart, a Coat produced by the nervous and ligamentous fibers fpreading over the fuperficies of the muffle. But for the fimple ufe of all fuch parts, the nerve is (as it were) the principall part of a Muffle,which it ffnff and motion, the ligament gives ftrength, the flefh contains the nervous and ligamentous fibers of the Muffle, and ftrengthens it, filling up all the void {paces, and alfo it preffrves the native humidity of thefe parts, and cherifheth the heat implanted in them; and to conclude, defends it from all externall injuries; for like a fan it oppofeth it felt againft the heat of the Sun; and is as a garment againft the cold; and is as a cufhion in all fals and bruiffs ; and as a buckler or defence againft wounding weapons. The vein nourifhes the muffle, the artery gives it life, the coat preffrves the harmony of all the parts thereof, left they fhould be any ways disjoined or corrupted by purulent abffefles breaking into the empty or void fpaces of the Muffles, as we fee it hapneth in a Gangrene, where the corruption hath invaded this membrane, by the breathing out of the more acrid matter or filth. The com- pound and fimple pans of a mufcle. What ule each fimple particle hath in a rnufcle.' CHAP. X. A more particular inquifition into each part of a. mufcle. gone thus far, it remains, that we more particularly inquire into each part of a mufcle, that (if it be poflible) nothing may be wanting to this dif* courfe. Wherefore a Ligament properly fo called,is a Ample part of mans bo- dy, next of a bone and grifle,the moft terreftriall, dry,hard, cold,white,taking itsoriginall immediatly, or by the interpofition of fome Medium from the Bones or Grilles (from whence alfo the Mufcles have their beginning)whereby it comes to pafsjthat a ligament is void of fenfe, unlefs it receive a nerve from fome other place; (for fo the ligaments which compofe and ftrengthen the tongue and yard,are partakers of fenfe, and it inlerts it felf into the bone and grille,that fo it may bind them together,and ftreng- then and beautifie the whole joint or connexion; (for thefe three be the principall ufes of a ligament)then diffufing it felf into the membranes and mufcles to ftrengthen thofe parts. A Nerve, to fpeak properly, is allb a Ample part of our body,bred and nourilhed by a grols and phlegmatick humor, luch as the brain,the originall of all the nerves,and alfo the Spi- nall marrow endued with the faculty of feeling,and oftentimes alfo of moving.For there be divers parts of the body which have nerves, yet are deftitute of all voluntary motion., having the fenfe only of feeling,as the membranes, veins, arteries, guts, and all the entrails. A nerve is covered with a double cover from the two membranes of the brain, and beAdes alfo with a third proceeding from the ligaments which fallen the hinder part of the head to the Vertebra s}orel(e from the Pericranium. We underftand no other things by the fibers of a Nerve, or of a Ligament, than long and (lender threds, white,folid, cold, ftrong, more or lefs, according to the quantity of the lubftance, which is partly nervous and fenfible, partly ligamentous and infallible. You mull imagine the fame of the flelhy fibers in their Kinde; but of thefe threds fome are ftreight for attraction; others oblique,tor retention of that xvhich is convenient for the creature; and laftly,fome traniverle, for expulfion of that which is unprofitable.But when thefe tranfverfe threds are extended in length,they are lef- ned in bredth;but when they aredireftly contrafted,they are Ihortned in length.But when they are extended all together as it were withan unanimous confent,the whole member H is The nature at a Ligament. The threefold life of a Liga- ment. What a nertc is. What we mean by the nervous and ligamen- tous hbcr«0 74 Of the Anatomy Lib. 3. is wrinkled as contra&ed into it felf, as on the contrary it is extended tvhen they are re- laxed. Some of thefe are beftowed upon the animal! parts, to perform voluntary motions} others upon the vitall to perform the agitation of the heart and arteries ; others upon the naturall for attraction, retention, and expullion. Yet we mutt obferve, that the attraction ofno fimilar part is performed by the help of the forefaid fibers or threds, but rather by the heat implanted in them,or by the ftiunning of emptinefs, or the familiarity of the fub- ftance. The flelh alfo is a fimpleand foft part, compoied of the purer portion of the blood infinuating it felf into the fpaces between the fibers, fo to inveft them for the ufes for- merly mentioned. This is (as it were) a certain wall and bulwark againft the injuries of heat and cold, againft all falls and bruifes, as it were a certain foft pillow or culhion yeel- ding to any violent impreflion. There be three forts of flefli; one more ruddy, as the mu- fculous flelh of perfect creatures, and Inch as have blood; for the flelh of all tender and young things having blood, as Calves, and alfo of all forts of filh, is whitilh, by reafon of the too much humidity of the blood. The fecond kinde is more pallid, even in perfeft creatureshaving blood, fuch is the flelh of the heart, ftomach, weafond, guts, bladder, womb. The third is belonging to the entrails, or the proper fubftance of each entrail, as that which remains of the Liver (the veins, arteries and coat being taken away) of the bladder of the gall,brain,kidneys,milt: Some add a fourth fort of flelh which is fpongy, and that they fay is proper to the tongue alone. A Vein is the veflel,pipe,or channel of the blood,or bloody matter; it hath a fpermatick fubftance,confifts ofone coat compofedof 3 forts of fibers. An Artery is alfo the receptacle of blood, but that fpirituous and yellowilh, conlifting in like manner of a fpermatick fubftance; But it hath two coats with three forts of fibers, the utmoft whereof is moft thin, confifting of right fibers, and fome oblique : But the inner is five times more thick and denfe than the utmoft, interwoven with tranfverfe fibers; and it doth not only contain blood and fpirit, but alfo a ferous humor,which we may be- leeve becaufe there be two emulgent Arteries as well as veins. But the inner coat of an Artery is therefore more thick, becaufe it may contain blood which is more hot, fubtil, and fpirituous; for the fpirit, feeing it is naturally more thin and light, and in perpetual! motion, would quickly fly away, unlefs it Were held in a ftronger hold. There is other reafon for a Vein,as that which contains blood grofs, pon- derous, and flow of motion. Wherefore if it had acquired a denfe and grofs coat, it could fcarce be diftributed to the neighbouring parts : God the maker of the Univerfe,forefeeing this, made the coats of the veflels contrary to the confiftence of the bodies contained in them. The Anaftomafis of the Veins and Arteries, that is to fay, the application of the mouths of the one to the other, is very remarkable, by benefit of which they mutually com- municate and draw the matters contained in them, and fo alfo transfiife them byinfen- lible paflages, although that anaftomofts is apparent in the Vein and Artery that meet toge- ther at the joint and bending of the arm, which I have fometimes lhewedin thePhyfick fchools,at fuch time as I there diflefted Anatomies. But the aftion or funftion of a Mufcle is either to move or confirm the part according to our will, into which it is implanted; which it doth when it draws it felf towards its originall,that is to fay,its head. But we define the head by the infertion of the nerve,which we underftand by the manner of the working of the Mufcle. By what power the fimilar parrs, princi • pally draw or tcrafl. What and of how many forts the flefh is. What a vein is. What an arte- ry is, Why an artery is more thick and denfethan a vein. The mutual! Anaftomofis of the veins and arteries. Where it is manifeft. From whence amufcle hath its beginning or head. CHAP. XL of the mufcles of the Epigaftrium, or loxver Belly Ow feeing that we have taught what a Mufcle is,and what the differences thereof are, and what Ample and compound parts it hath, and what the ufe, aftion, and manner of aftion in each part is ; it remains that we come to the particular ex- plication of each Mufcle,beginning with thofe of the lower belly,as thofe which we firft meet withall in difle&ion. Thefe are 8 in number, four oblique,two on each fide,two right or direft, one on the right,another on the left in like manner two tranfverfe.All thefe arealike in force, magnitude and adion,fo mutually compofed,that the oblique defendant of one fide, is conjoined with the other oblique defendant on the other fide, and fo of the reft. We may add to this number the two little Supplying or Aififting mufcles, which are of a Pyramidal/ and arife from the Share-bone, above the iniertion of the right mufcles ; Of the oblique Mufcles of each fide the one afends, the other defends, whereupon it comes to pais, that they are called the Oblique defendant and afendant Mufcles. Thofe oblique which we firft meet with, are the defendant, whofe fubftance is partly fan- guine, partly fpermatick ; for they are fleihy, nervous, ligamentous, veinous, arterious, and membranous. Yet the fleihy portion is predominant in them,out of which refpeft Hip- pocrates is wont to exprefs the mufcles by the name of flelhes 5 their greatnefs is indifferent be- Eight mnfcles of theEpiga- ftrium* The oblique dtfeendant- Their fub- ftaace. Their greatnes aad figure. Li B.q. of tCMansBody. 75 between the large and the fmall mufcles ; their figure is three fquare. They are competed of the forementioned parts, they are two in number ; their lite is oblique, taking their beginning from the touching of the great faw-mufcle, and from the fixt and feventh true ribs, or rather from the (paces between the fix lower ribs, and rather on the forepart of the mufcles, than of the ribs themfelves, from whence (hunning the Vertebra's of the Loins, the flefliy parts of them are terminated in the externall and upper eminency of the Haiinch- bone, and the membranous end in the lower eminency of the Share-bone and the White- line. Yet Columbus diflenting from this common defcription of the oblique Muteles, thinks that they are only terminated in the White-line, and not in the Share-bone. For (faith he) wherefore fhould they be inferred into the Share-bone which is not moved? But becaufe it would be an infinit labor and trouble to let down at large thefeverall opinions of all Authors of Anatomy; I have thought it fufficient for me to touch them lightly by the way. Their connexion is with the oblique afcendant lying under them, and with the direft or right. Their temperament is twofold,the one hot and moift, by reafon of the belly and the flefhy portion of them;the other cold and dry,in refpeft of their ligamentous and tendinous portion. Their aftion is to draw the parts into which they are infected to- wards their originall, or elfe to unite them firmly. Yet each of thefe privately and pro- perly draws the hip in an oblique manner towards the Cartilage Scutiformif or Then follow the oblique afcendant, who have the fame iubfiance, quantity, figure, compo- iure,number and temper the defeendant have. They are fituate between the descendant and tranfverfe with whom they have connexion, efpecially by the vefiels which art brought from the parts beneath. All the flefhy parts ariiefrom the rackbones of the Haunch to the ends of the baftard ribs,which they teem to admit above and below,being flefhy even to the fourth, and then becoming membranous, they take their way to the White-line, with a double aponeurojis, which pafies through the right Muteles above and below, as we may plainly tee from the navell downwards. In their flefhy part they draw their original from the (pine of the Haunch-bones a little lower than the deteendent end in their flefhy part* But tor their membranous parts, they arife before from the (harebone, but behinde from the fpondyls of the Holy-bone, and Vertebra's of the Loins obliquelyateending upwards tofrhe White-line,into which they are terminated by an aponeurojis or membranous tcndon(whicli teems to penetrate the right Mutele upwards and downwards, efpecially under the navell) but by their flefhy part at the ends of all the baftard ribs, which they teem to receive above and below. And becaute thete mufcles are terminated in the White-line, they have alfo another ute, yet fuch as is common to all the muteles of the Epigaftrium, that is, to prefs down the Guts. Their aftion isfif they perform it together) to draw down thecheft, and dilate the breft; but if their aftions be teparate, they draw the cheft to the hip with an ob- lique motion. After thefe follow the right mufcles, fo called becaufe they defeend according to the length of the body, and becaufe they have right or (freight fibers. We will lay nothing ( to fhun prolixity, which in all other places we will avoid) of their fubftance and other conditions, which they have common with the fore-mentioned Mufcles. They are fituate in the eminenteft or extuberating region of the belly, bounding the Epigaftrium taken in generail, (or the fuperficiary belly) they are divided by the mani- feft intercourfe of the White-line, even to the Navell, in which place they teem to be unir ted even to the place of their intertion. They draw their originall riot from the Share- bone, as fome would have it, but according to the infection of their nerVes from the (ides of the Cartilago [cutiformis, and the ends of the fixth, teventh and eighth ribs; but they end in the Share-bone,where they make a common Tendon fufficiently ftrong and fhort. Syl- viMjVefaliw, and Columbus think they arife-from the Share-bone, becaute they cannot be inferted into that bone,becaufe it is unmovable. You may perceive in thete Mufcles certain nervous and tranfverfe interfeftions, oftentimes three in number for the ftrength of thete Mufcles,(of which Galen makes no mention,although they may be teen in Apes.) And alfo in the inner fide of thete mufcles you may tee four veins, and as many arteries, of which fome creep upwards, others run downwards. The Upper, called the Mamillary, deteend from the Axillary by the fide and lower parts of the (tenderer portions thereof being diftributed by the way to the Mediafiinum, arid about the fourth and fift rib to the Dugs, from whence they take their name. That which remains breaking out by the fides of the Breft-blade,interts it telfiflto thote mufcles, creeping along, even almoft to the navell; in which place they are manifeftly uni- ' ted (that is,the veins with the veins, and arteries with the arteries) with the Epigaftrick, , which afeend from the upper part of the Iliacks on each'fide under the faid muteles, untill ; they meet with thete four mamillary vefiels. That yoti may finde this concourte of the veins and arteries about the navell, you muft follow both the upper and the lower (bme- what deep into the flefh, prefling the blood on both fides from above downwards, and from below upWard, untill you (hall finde the eXoteulation of thete vefiels,which will ap- pear by this, That the bloocl will flow from this into that, and from that into thisjother- wite you can tearce perceive it, by reafon of the finalilefs of fuch vefiels which want blood* H i Bus Their com po- inte and fire. Their con- nexion. Their tempe- rament. Their afliort. Tfaeobiiqiie afeendant. Their fiteand connexion. "Their afliori# The right tnufcles of the fyigaftrinm> Their fire. OrigiiaalL The meeting together of tlie Epigaftrickafid mamillatyveihs and atteriesj Of the Anatomy Lib. 3. 76 But that by the benefit of fiich concourfc of the veflels, the matters may be communicated and tranfported both from the womb to the dugs, and again from the dugs to the womb, appears in Nurfes whoi want their courfes, when the milk comes into their dugs; and on the contrary lofe their milk when their courles flow plentifully. Otherwife to what pur- pofc fhould there be fuch concourfe between the veflels of the paps and womb ? for there are veins and arteries diffufed to the (ides of the womb from the root of the Epigaftricks; for indeed the Epigaftricks which in their afcent meet with the mamillary, go not to the womb,though they be next to them, and arife from the fame trunk with the Hypogaftrick vein of the womb. The aftion of thefe Mufcles is,to move or draw near together the parts of the Hypogaftrium to the p record/a or Hypochondries. Their u Ccfin Columbus opinion,is, to draw the breft downwards fo to dilate the ends of thefe,nature hath produced two other final I .Mufcles from the upper part of the Share-bone, of a triangular figure, for the fafety of the thick and common tendon of the right Mufcles; whereupon they are called Succenturiati, or alfifters. 7 he firft figure of the Lower belly. A ABCD. The upper, lower andlacera.il parrs of rhe Teri- ton<fum. EE. The whire Line from rhe grille of the Breaft-bone, called the Bread-blade, ro the commiffure or meeting of the Sharebones. F» The Grille of the Bread « bone, Curtilage enfiformis, or the Bread- blade. G. The Navel!, which all the Mufcles being taken away, muft be kept for rhe ceman- ftration of the Umbilical! Veflels. H H. The produflions of the Peritoneum, which contain the fcminary Veflels on cither fide. ** The hole which givcth way to rhe fcminary Veflels of men, II. A vein and an artery from rhe Epigaftricks which being carried upward under the right Mufcles, dd here hang down, ard are diftributed into the lower part of the Abdomen. K K. A Vein and an artery, from the internal! Mammary proceeding from under the Bone of the Bread, are carried downward through the right mufcles,&are difleminated into the upper part of the Abdomen. 1,2 rhe place wherin the right mufcles arife,which being here cut off, do hang down, thrt their Veflels may the better be feen, 3,4.The Anaflomafis or inoculation of the forefaid Veflels, making the confenrof the Abdomen and the Note,and of rhe Womb with the Brefts, as fome think. LL< Branches of Veins running into the fides of rhe Peritoneum, N. The place of the Haunch- bone bared, to which the Oblique and the Tranfverfe mufcles do grow. Some (moved with I know not what reafon) would have thefe two fmall Mufcles to help the ereftion of the yard. Columbus thinks they fhould not be feparated from the right, and that they only are the flelhy beginnings of the right. But on the contrary, Fallopius manifeftly proves them different andfeparate from the right, and (hews their ufe. The Tranfverfe remain to be fpoken of, fo called by reafon of their fibers, which make right angles with the fibers of the right Mufcles. They have a quadrangular figure lituate up- on the greateft part of the Peritoneum., to which they ftick fo clofe that they fcarce can be feparated. They take their originall from the produftion of the loins,the cminency of the Haunch-bone, the tranfverfe produ&ions of the vertebra's of the loins, and the ends of the baftard-ribs; contrary to the opinion of many,whom the infection of the nerve convinces, but they end in the White-line, as all the reft do. Their aftion is to prefs the guts, efpecially for the expulfion of excrements. But all the eight recited Mufcles, befides their proper ufe, have another common, that is, they ftand for a defence or bulwark for all the parts lying under them, and ferve for the expulfion both of the excrements, infant, and vapors, and alfo for the ftrengthening of Their aflion. Their ufe. FIG. I fig. n. The Pyramidal or aflifting Mufcles. The rranfverfe mufcles of the Epigajlriunu Their figure and fite. Their afkon. The common ufe and aflion (/ft he eight WHifcJesofthe tyjgaftriutth L1 b. 3. of Body. 77 of the voice, as experience thews in thole who found Trumpets and Cornets. Therefore thefe mulcles do equally on every fide prefs the Belly ; but the Midriff, the intercoftall mulcles aflifting it, doth drive from above downwards, from which confpiring contention follows the excretion of the excrements by the fundament; but unlefs the Mid- riff fhould aflift, thefe mufcles would prefs the excrements no more downwards, than up- ward to the mouth. Although to this excretion of the excrements, it is not fufficient that the Epigaftrick, Midriff, and intercoftall mufcles prefs the belly, but the mufcles of the throtlemuft be alfo fhut. For the mouth being open, the excrements never go well forth ; becaufe the vapors that pafs out of the mouth, which being reftrained and driven to the Midriff,by ftretching it powerfully thrufts down the excrement. Wherefore Apothecaries when they give gly- fters, bid the Patient to open his mouth, that the glyfter may eafilyer go up, which other- wile would fcarccly go up, the mouth being Ihut, becaufe fo we fhould have no place empty in us,into which the glyfter might be admitted. Gf the White-line, and Peritoneum or Pirn of the belly. 1' He White-line is nothing elfe, than the bound and extremities of the mufcles of the Fvigaftrium, diftinguilhing the belly in the midft into two parts,the right and left.lt is called white,both of its own colour,and alfo for that no flefhy part lyes under it,or is pla- ced above it. It is broader above the navell, but narrower below, becaufe the right mulcles do there grow into one. Now we muft treat of the Coat or membrane, Peritoneum or Rim of the belly ; it is fo called, becaufe it is ftretched over all the lower belly, and particu- larly over all the parts contained in the ventricle, to which alfb it freely lends a common coat. It hath a fpermatick fubftance, as .all other membranes have; the quantity of it in thicknefs is very final 1, (for it is almoft as thin as a Spiders web) yet differing in divers places in men and women ; for men have it more thick and ftrong above the navell,that fo it may contain the extenfion of the ftomack, often ftretched beyond meafure with meat and drink. On the contrary women have it fo thick and ftrong below their navell, that it feems double, that fo they may more eafily endure the diftention of their womb, caufed by the childe contained in it. But above the navel], men and women have the Peritoneum of an equal ftrength, for the felf-fame reafon. The longitude and latitude of it is known by the circumfcription of the belly. The figure is round and fomewhat long;. it puts forth fome produ&ions, like finger- ftalls, both for the leading and ftrengthening the fpermatick veflels, and the Cremafter mufcles of the Tefticles, and befides it the ejaculatory veflels, as alfo to impart a coat to the Tefticles and all the naturall parts. It is compofed of (lender, membranous and nervous fibers, certain (mall branches of veins and arteries concurring with them, which it receives for life and nouriihment from the adherent parts. This membrane is one in number, and befides every where one and equal, although Galen would have it perforated in that place where the fpermatick veffels defeend to the Tefticles; But in truth we muft not think hole, but rather a produftion, as we faid before,. The later Anatomifts have obferved,the Coat Peritoneum is doubled below the Navel,and that by the fpaces of thefe reduplications the umbilicall arteries afeend to the Navell. It is fituate near the naturall parts, and compafles them about, and joined by the coat, which it gives them, as alfo on the fides, it is joined to the vertebra's of the loins, from whofe {ligaments (or rather Periofteum) it takes the originall: On the lower part, it cleaves to the (hare-bone, and on the upper to the Midriff, whofe lower part it wholly invefts; on the fore or outer part it fticks fo clofe to the tranfverfe mufcles, that it cannot be pluckt from them but by force, by reafon of the complication and adhaefiori of the fibers thereof with the fibers of the proper membrane of thefe mufcles, which mem- brane in Galens opinion proceeds from this Peritoneum, that fo it is no marvail that we may more eafily break than feparate thefe two coats. It is of temperature cold and dry, as all other membranes are. It hath many ufes, the firft whereof is, to inveft and cover all the parts of the lower belly,' fpecially the Kall, left it (hould be fqueezed by great compreflures and violent at- tempts into the empty fpaces of the mufcles, as it fometimes happens in the wounds of the Ejigaftrium, unlefs the lips of the ulcer be very well united; for then appears a tumor about the wound by the Guts and Kall thrufting without the Peritoneum into thofe fpaces of the mufcles; from whence proceeds cruel pain. Another ufe is to further the cafting forth of the excrements by prefling the ventricle and guts on the forefide, as the Midriff doth above, as one fhould do it by both their hands joined together. The third ufe is, it prohibits the repletion of the parts with flatulency after the expul- fion of the excrements, by ftraitning and prefling them down. The fourth and laft is, that it contains all the parts in their feat, and binds them to the back-bone, principally that they fhould not fly out of their places by violent motions, as leaping and falling from on high. H 3 Laftly, Why when rhe mouth is open the excrements go more flowly forth. What the White 9 me is. What the Pe- ritoneum is. Thefubflance, and quantity. The figure * The compo- firion. The number. Lib, de fem. The fire and connexion. Lib. 6. Metfy life. 78 Of the Anatomy Lib. 3. Laftly,we muft know,that the Rim is of that nature, that it will eafily dilate it felf, as we fee in Dropfies, in women with childe, and in tumors againft nature. CHAP. VIII. of the JEpifloon, or Zirhus, that the Kail. The fubftance, magnitude, figure* Ftcr the containing parts, follow the contained, the firft of which is the Epiploon, (or Kall) fo called, btcaule it (as it were) fwinis upon all the guts. The fub- ftance of it is fatty and fpermatick, the quantity of it for thicknefs is diverle, in divers men according to their temperament. The latitude of it is defcribed by the quantity of the guts. It is in figure like a purfe, becaufe it is double. It is compo- fedof veins, arteries, fat and a membrane, which Aiding down from the gibbous part of the ventricle,and the flat part of the gut Duodenum and fpleen over the Guts, is turned back from the lower belly to the top of the Colon. It is one as we faid covering the Guts. It hath its chief connexion with the firft Vertebra's of the lLoins,from which place in beafts it feems to take a coat,as in men from the hollow part of the Spleen, and gibbous of the ven- ' tricle, and deprefled part of the Duodenum, from whence doubled it is terminated in the fore and higher part of the Colick-gut. Which moved Galen to write, that the upper part of the membrane of the Kall was annexed to the ventricle; but the lower, to the laxer part of the Colick-gut. From the veflels of which parts it borrows his,as alfo the nerves, if it have any. The temper of it in lean bodies is cold and dry,becaufe their Kall is with- out fat; but in fat bodies it is cold and moift by reafon of the fat. The ufe of it is two- fold : The firft is to heat and moiften the Guts, and help their concoftion, although it do it by accident, as that which through the denfity of the fat hinders the cold air from piercing in, and alfo forbids the diflipation of the internail heat. Another ufe is, that in want of nourifhment in times of great famin, for fometimes it cherifhes, and (as it were) by its dew preferves the innate heat, both of the ventricle and neighbouring parts, as it is Written by Galen. Moreover we muft obferve, that in a rupture or relaxation of the Perz- the Kall fals down into the jcrotum, from whence comes that rupture we call Epz- plotele. But in women that are fomewhat more fat, it thrufts it felf between the bladder and the neck of the womb, and by its compreflion hinders, that the feed comes not with full force into the womb,and fo frufttates the conception. Befides, when by a wound or fome other chance, any part of it be defective, then that part of the belly which anfwers to it will afterwards remain cold and raw, by reafon of the forementioned caufes. The Jicond figure of ibe lower belly. A A9Bb. The inner parr ofthe Peri to* nanm car inro four parrs, and fo turned backward. B. The upper B fheweth rhe implantation of the Umbilical! vein into rhe Liver. C. The Navel feparared from rhe Perito- From D to the upper B the Umbi> licalf veins. £, S. The forepart of the ftomach blown up, neither covered by the Liver nor Kall. F, A part of the Gibbow fide of the Liver. G. Veflels difleminated through the Peri' tontum, * The Breft blade. The bottom of rhe Bladder of urine. I. The connexion of the Peritoneum to the bottom of rhe Bladder. K,K,K,K. The Kall covering the Guts. M, N. Veflels and finews embracing the bottom ofthe ftomach. 0 The meeting of the Vettels of both fides ; fo that M, Nt and 0, fhew the feam which Arifietle mentions, 3 Hi ft. & 4 part.Anim. where he faith, That rhe Kall arifes and proceeds from the midft of the belly. Branches of Vettels running alongft the bottom ofthe ftomach. Certain branches ofthe Vettels diftnbured to rhe upper membrane©! the Omentum, an! compared with fat a, a The t*o Umbilical! arteries going down by the fides of the bladder to a branch of the great artery. b The Ligament of the Bladder which is fhewed for the Uracbui. CHAP. The cotnpo- fure. The con- nexion* Lib. Anatom, adminijh The temper. The nfe two- fold. Lib. 4. de ufu partiu/n, A caufe of friiftraring conception.. jJWf ffiGhn Lib. 3. of Mans Body. 79 C H A P. X 1111. Of the Ventricle or Stomach. Jw we muft (peak of the Stomach, the receptacle of the food neceflary for the whole body,the feat of appetite,by reafon of the Nerves difperfed into its upper orifice,and fo into its whole fubftance. The fubftance thereof is rather fpermatick than fanguine,becaufe that for one flefhy membrane, it hath two nervous; The quantity or magnitude of the ventricle is divers,accordingto the various magnitude of bo- dies,and gluttony of men. The figure of it is round and fomewhat long, like a Bagpipe. The ftomach is compofedof two proper coats,and one common from the Peritoneum, toge- ther with veins, finews,and arteries; the innermoft of its proper coats is membranous Wo- ven with right fibers, for the attraction of meats, it is extended and propagated even to the mouth thereof, whereby it comes to pafs that the affections of one part may eafily be communicated to the other by fympathy, or confent. This coat hath its originall from the membranes of the brain which accompany the nerves defeending from the third and fourth conjugation to the mouth thereof. And in like fort from other productions defeending by the paflages of the head, from whence alfo another reafon maybe drawn from that, which they commonly bring from the nerves of the fixt conjugation; why in wounds of the head,the ftomach doth fo foon fuffer by confent with the brain. The exterior or outer is more flefhy and thick,woven with oblique fibers, to retain and expell. It draws it ori- ginall from the Pericranium, which as foon as it comes to the gullet, takes unto it certain flefhy fibers. There be nerves fent into the ftomach from the fixt conjugation of the brain, as it fhall be fhewed in its proper place. Veins and arteries are fpread into it from the Ga- firica, the Gajhepiploides, the Coronaria and fplenick, from thefecond, third, and fourth diftribution of the Vena porta, or gate-vein ; and the third of the defeendent artery to the naturall parts, as foon as it pafles forth of the midriffe. It is one in number. The greater part of it is fituated on the left fide between the ipleen, the hollownefs of the liver, and the guts, that affifted by the heat of fuch neighbouring parts, it may more cheerfully perform the concoftion of the meat. Neither am I ignorant that Galen hath written,that a great part of the ftomach lies on the left fide. But infpefti- on it felf, and reafon makes me derogate from Galens authority, for becaufe there is more empty fpace on the left fide,by reafon the ipleen is lefs than the liver, it was fit it fhould lie more on the left fide. The more proper connexion of it is with the gullet and guts, by its two orifices; with the brain by its nerves; with the liver and fplecn by its veins; with the heart by its arteries; and with all the naturall parts by its common membrane. The temper of the ventricle in men of good*habit,is temperate, becaufe it is almoft com- pofed of the equall commixture of fanguine and fpermaticK parts; or according to Galens opinion, it is cold of its felf, and by the parts compofingit; and hot by the vicinity of the bowels. But in fome it is hotter, in others colder, according to the divers temper and complexion of divers bodies. That ftomach is to be thought well tempered, that powerful- ly draws down the meat and drink, and embraces and retains them fo drawn,untill by con- coction and elixation, they fhall be turned into a juice like cream (which the Greeks call Cfylos; ) and laftly, which doth ftrongly fend from it, and repell the excrements of this firft concoftion. The ftomach is known to be hotter by this, that it better conco&s and digefts courfe and hard meats, as beef, hard egs, and the like, than fbft meats eafie of digeftion, which it corrupts and turns into belchings. For fo a. young chickin, is fboner burnt than well ro- fted at a great fire. The ftomach which is colder, defires much meat,but is flow in concoCt* ing them, Specially if they be cold and hard of digeftion, which for that caufe quickly turn fowre. The aftion of a well conditioned ftomach is twofold, one common, another proper. The common is to attenuate,mixe and digeft the meats taken in at the mouth, for the nutrition of it felf and the whole body ,after the liver hath performed its duty , which before it be done,the ventricle only enjoyes the fweet pleafure of the Chylus, and comforts its felf againft the impurity of the adjacent parts, thereof it is called the work-houfe oi concoftion. Its firft aftion is to attraft, retain, andaffimilate to it felf that which is con- venient ; but to expell whatfoever fhall be contrary, either in quantity, or quality, or in the whole fubftance. It hath two orifices,one above,which they commonly call the ftomach and heart, the o- ther lower,which is called the Pylorus, or lower mouth of the ftomach. The upper bends to the left fide neer the back bone; it is far more large and capacious than the lower, thdtfo it may more commodioufly receive meats halfchewed, hard and grofs, which Gluttons caft down with great greedinefs ; it hath an exquifite fenfe of feeling, becaufe it is! the feat of the appetite, by reafop of the nerves incompafling this orifice, with their mutuall imbra- cings ; whereby it happens that the ventricle in that part is endued with a quick fenfe, that perceiving the want and emptinefs of meat,it may ftir up the creature to feek food.For albeit nature What the ven- tricle is Thefubftancc* The magni- tude. The figure. The comp o- (ure. ThecaufeOf the content of rhe month and ftomach. The nurtibe t. partiwn* The connexi- on. The temper. { 9. Metbi Notes of a hot ftomach. The adiorc twofold# The two orifices of the ftomach. 80 Of the Anatomy Lib.3. nature hath beftowed four faculties on other parts,yet they are not fenfib le of their wants, but are only nourifhed by the continuall fucking of the veins, as plants by juice drawn from the earth. This orifice is featedat the fifth Vertebra of the cheft, upon which they lay it almoft refts. Yet 1 had rather fay that it lies upon the twelfth Vertebra of the cheft, and the firft of the' loins; for in this place the gullet perforates the midrifle,and makes this upper orifice. The lower orifice bends rather to the right fide of the body, under the cavity of the liver. It is far ftraiter than the upper, left any thing fhouldpafs away before it be well attenuated and conco&ed ; and it doth that by the help or afliftance of, as it were,a certain ring,like to the fphin&er mufcle of the fundament, which fome have thought a glandule made by the tranf- pofition of the inner and flefhy membrane of the ventricle into that which is the outer of the guts. I know Columbia laughs at this glandulous ring, but any one that looks more attentively fhall perceive that the Pylorut is glandulous. The ftomach in its lower and inner fide, hath many folds and wrinclcs, which ferve to hold and contain the meats, untill they be perfeftly concofted. In the ventricle we obferve parts gibbous and hollow 5 the hol- low is next to the liver and midriffe 5 the gibbous is towards the guts. Now we muft note, that the ventricle when it is much refolved or loofed , may Aide down even to the navilT near the bladder, the which we have oblerved in fome bodies difle&ed after their death. The fire. The glandu- lotis ring of the ?ytorui> The falling down of the ftomach. The firft figure (hews thefore-fideof the ftomach and gul- let. A. lheweth the orifice of the gullet cut from the throat. B. the ftraight and di- reft courfe of the gullet from A.to B. C. how the gullet a- bove the firfl: rack bone of thecheft , from B. to C. in- clineth to the right hand. D. his inclination to the left hand, from C. to D. EE. the two glan- dules called the Al- monds, fetclofeto the gullet in the end of the throaty called allb and Salwiares glandule. FF. Another glandulous body in. the midft of the gullet,about the fifth rack bone,from which place the gullet gives place to the great arterie, fomewhat declining to the right fide : Va[aliusy Lib. 5. Cap. 3. and Colum- bus Cap. ult. lib.9.write, that thofe Glandules are filled with a certain moifture, with which the gullet ismoiftened, that the meats may Aide down moreeafily into the ftomach, as through a flippery paflage. No otherwife than the GlanduLe filled with a kind- of grofs and oily moifture, fmooth the paflage of the urine, that fo it may flow through it, with a more tree and lefs troubled courfe. G. theconnexion of the gullet with the fto- mach , where rhe upper orifice of the ftomach is fafhioned. H. the lower orifice of the fto- mach called Pylorus. I. K. the upper part of the ftomach at I. the lower at K. LL. the fore- fide of the ftomach. P. the gut called 'Duodenum. T. V. the right and left nerves of the fixth pair encompafling about the gullet and the uppermoft left orifice of the ftomach. The third and fourth figure. WO* FIG. Thefecond Figure fbeweth the parts of the Ventricle and Gullet, A. EE. FF. G. H. P. TV. fhew the like parts as in the former. From C. to D. the incli- nation of the ftomach to the left hand. M. N. O. the backfide of the ftomach. M. fheweth the prominence of the left fide. N. of the right. O. fheweth the dock or impreffion, where it refteth upon the rack bones. paflage of the bladder of the gall into the Duode- num at R. S, a glandulous body growing under the Dwodenwm,bearing up the veflels X. Y. a nerve on the left fide creeping up to the top of the ftomach, andfo running out to th* liver. CHAR Lib. 3. of Mans 'Body. 81 CHAP. XV. of the Guts. He Guts the inftruments of diftribution and expulfion, are of the fame fubftance and compofure with the ftomach, but that the lite of the coats of the ftomach is contrary to thofe of the guts. For that which is theinnermoftcoat of the fto- mach is the outermoft oftheguts, and fo on the contrary. The figure of the guts is round,hollow and capacious, fome more,fome lefs,according to the divers bignefs. But for the quantity of the guts, fome are final 1, fome great, more or lefs, according to the variety of bodies. But they are fix in number: tor there be three finall; the Pwodt- «M»i,the empty gut,and the Ikon. Three great, the Blind, the Colick, and the Right gut. All which have had their names for the following reafons ; the firft, becaufe it is extended the length of twelve fingers , like another ftomach, without any turning, or winding 5 of which greatnefs it is found in great bodied men, fuch as were more frequent- ly to be met withall in Gakns time,than in this time of ours,in which this gut is found no longer than feven,eight, or nine fingers at the moll. The caule of this length is, that there may be a free paflage to the Gate-vein, coming out of the liver , as alfo to the artery and nerve which run into it.For feeing that this gut may fometimes rife to the top of the liver, it would poflefs the fpace under the bladder of the gall ( with which it is often tinftured) if it had any revolutions that way,which is the paflage for fuch like veflels. Others give a- nother rcaion ofthis figure,which is,that there fhould be nothing to hinder the ealie and fit diftribution of the perteftly concofted Ctylufi to the liver. The fecond is called Jejunumpr the empty gut,not becaufe it is abfolutely fo,but becaufe it contains little in comparifon of the other. There is a triple caufe of this emptinefs,the firft the multitude of the meferaick veins and arteries which are about it, whereupon there is a greater and quicker diftribution of the Chylus. The fecond is the vicinity or neighbor- hood of the liver ftrongly drawing the Chylus contained in it 5 the third is the flowing down of the chollerick humor from the bladder of the Gall into it, which ever and anon by its acrimony cleanfes away the filth, and by continual! flowing folicits ittoexpulfi- on. The third is called Ikon becaufe it lies between the Ilia or flanks; it differs nothing from the reft in fubftance and magnitude, but in this one thing, that there is more matter contained in it than in the reft, by reafon of the paucity of the veflels terminated in it,that it is no marvell that there can be no exaft demonftration made of them. The fourth is cal- led Cecum or the blind, becaufe it hath but one paflage to fend out and receive in the mat- ter. This gut hath along andftrait produftion, which according to the opinion of fome (though altogether erroneous) often falls down into the Scrotum in the rupture, or rela- xation of the Rim of the Belly; for that produftion in the lower belly ftrongly fticks to the Peritoneum or Rim, which hinders fuch falling down. But Galen feems by filch a blind gut to have meant this long and narrow produftion, and certainly fo thinks the common fort of Anatomifts, but here Vejaliuf juftly rreprehended Galen. Wherefore Sylvius that he might free Galen of this fault, would have us by the blind gut to underftand the beginning of the colick gut. The fifth is called Colon (or colick gut ) becaufe it is greater and more capacious than the reft. The fixt and laft, the Right gut, by reafon of the rightnefs or ftreightnefs of the paflage. This,in beafts efpecially, hath a certain fatnefs in it to make the paflage flippery,and left the gut fhould be exillccrated in the paflage,by the fharpnefs of hard and acrid excrements. The fite of thefe guts is thus:The Duodenum upon the backbone bends to the right hand; the Jejunum poflefles a great part of the upper umbilical! region, diffufes it felf into both fides with windings, like to thefe of the gut Ileum, even to the flanks.The gut Ikon is fituate at the lower partoftheumbilicall region,going with many turnings and windings,even to the hollo wnefles of the holy-bone above the Bladder and fide parts of the Hypogaflrium, they call the flanks. The Blind bends to the right hand,a little below the kidney , above the firft and fourth Vertebra of the loins. The Colon or Colick gut is crooked and bent, in the form of a Scy- thian bow.filling all the fpace from the blind gut, below the right kidney even to the hol- lownefsof the fiver,and then it goes by the gibbous part of the ftomach above the fmall guts,even to the hollownefs of the Spleen; from whence Aiding under the left kidney,with fome turnings,it is terminated upon the Vertebra's of the loins. By ail which turnings and windings of the colick gut,it is eafie to diftinguifh the pain of the ftoneof the kidneys,which remain fixt in one certain place, from the colick wandring through thefe crooked paflages we mentioned. The right gut tends with an oblique fite towards the left hand,upon the holy bone even to the very fundament. They have all one and a common connexion ; for they are all mutually joined together by their coats, be- caufe there is but one way from the gullet even to the fundament, but they are joined to the principall parts by their nerves,veins,and arteries. But a more proper connexion is that,where the Duodenum on the upper part of it, is join- ed The ir fub« fiance. Figure. Their numbef The Duode • num* The frjwwn. lie on. C<£twri. Colon. Reliuin» Their fire* The difiinfti-* on between rhe colick and the fionc in the kidneys. Their connexi-1 on. Of the Anatomy Lib.3. 82 ed with the Pylorutbut on the lower part to the Jejunum, and the parts lying under it, by the coat of the Peritoneum. The Jejunum, or empty gut,is joyned to the Duodenum and Ucon. The Ileum with the empty and blind guts. The blind with the Ikon and Colon, and with the right fide of the backbone where it is tied more ftraitly. The Colon with the blind and right guts,and in his middle part,with thekidntys and gibbous part of the ftomach; where- by it comes to pafs,that being diftended with wind in the colick, it overturns and prefles the ftomach,and fo caules vomiting. Laftly, the right gut is annexed with the colick gut and fundament. At the end whereof there is a mufcle fattened,of figure round and circular, called the Sphinfler, arifing from the lower Vertebra's of the holy bone and rump,by the benefit of which as of a dore or gate, the excrements are reftrained at ourwil,left man born for all honeft aftions,without all frame, in every time and place, fhould be forced every where to eafe his belly. For fuch as have loft the benefit of this mufcle by the palfy,have their excrements go from them againft their wills. There is a body lituate at the end of the right gut, of a middle fubftance between the skin and flefti, as it were arifing from the mixture of them both, like the extremities ofthe lips, of th? fame ufe with the Sphinficr , but that it is not altogether lb powerfull. But there are alfo certain veins lituate about it called the Hemorrhoidal 1,of which we will (peak in their place. Befides there are two other mufcles that defeend to the end of this gut, being broad and membranous on each fide, one arifing from the fide and inner parts of the lhare and hip- bones, which inferted above the Sphinfier pull up the fundament falling down, wherefore they are called Lev at ores Ani,or the lifters up of the fundament. Wherefore when as either they are too weak, or refolved, or the fundament opprefled wifh the weight of flegmatick, falt,cholerick and lharp humors,the gut is fcarce reftored into its place,that there is need of the help of the fingers for that purpole. The guts follow the temper of the ftomach. Their a&ion is the diftributing the Chyluf by the meleraick veins(which of duty belongs to the three finall guts)and the receiving the excrements of the retention of them,till a fit time of expulfion, which belongs to the third quarter. Befides,thele finall guts finilh up tire work of concoftion, begun in the, ftomach,al though they be not altogether made for that ufe. But nature is often accuftomed to abufe the parts of the«body for fome better ufe. The fifth figure of the lower belly. Why vomiting happens in the colick. The Sphinfler mufcles of rhe fundament. Gal lib. de ufu partium. cap. 14. Laiatorei Ani, The art ion of the guts* A. The breft blade, Cart il ago} Enfi- formif. BB. The Rim, with the midriffe and broken ribs bent outwards. CC. the gibbous part of the liver. D. ligament tying the liver to the midriffe. E. part of the umbilicall vein. FF. the ftomach fild full of meat. G. a part of the fpleen. H. blind gut of the late writers, for the Ancients took the top of the colon for it. I. the beginning of the great or thick guts. I. and fo to K. fheweth the pallages of the colick gut from the right kidney to the liver. And fo the colick and the ftone on this fide are in one place, and therefore hardly diftinguilhed. K. to L. the lame colick gut lyeth under the tvhole bottome of the ftomach,which is the reafen that thole which are troubled with the colick calf fo much. L. to M. The pallage of the Colon from the fpleen to the lhare bone, by the left kidney,a way, which maketh the pain of the ftone and . . ..n. the Colick on the left fide very hard to diftinguilh.N.TheCo/onending in the right gut. O. The beginning of the right gut unto the bladder. funken or fallen fide of the Colon at P.and his Chambers or Cels' at Q. R.S.T.The leffer guts especially lying under the NaveU.a.The two umbilicallarte- ries Jj.The bottome of the bladder. * The connexion of the bladder and the Peritoiwan. But of Mans 'Body. Lib. 3. 83 But we muft note,that for the compofure of the guts, they have only tranfverfe fibers,for cxpulfions fake , unlefs that at the beginning of rhe Co/o«,and the end of the right gut,you may fee certain right fibers added to the tranfverfe to ftrengthen them,left thefe guts ihould chance to be broken and torn by the paflage of hard excrements, and the laborious endea- vour of expullion (fpecially in brute beafts.) But if any aske, how they have retention,being they want oblique fibers ; he may know that the feces are retained in the right gut,by the force of the Sfeinftcr mufcle, but oft times in the blind,by their hardnefs and abundance, whereby they flick in the paflage; but in the reft,by reafon of their conformation into many windings and turnings. The length of the guts,is feven times more than the length of the whole body ; to this length they have windings, left the nourishment Ihould quickly Hide away, and left men Ihould be with- drawn by gluttony from action and contemplation. For io we lee it comes to pafs in moft beafts,which have one Gut, ftretched fireight out from the ftomach to the fundament5 as in the Lynx and fuch other beafts of inlatiable gluttony, alwayes, like plants, regarding their food. T heir fibers. How the guts become fit to retain. Their length. CHAP. XVI. Of the Mefentery. Fter the Guts followes the Mefentery3being partly of a fatty and partly of a fper- matick fubftance. The greatnefs of it is apparent enough, although in fome it be bigger, and in fonie lefler according to the greatnefs of the body. It is of a ground figure and not very thick. It is compofed of a double coat arifing from thebeginning and root of the peritoneum. In the nridft thereof it admits nerves from the Coftall of the fixt conjugation, veins from the Vena Porta or Gate vein ; Arteries from the defeendent artery, over and belides a great quantity of fat and many glandulous bodies, to prop up the divilion of the veflels fpred over it, as alfo to moiften their fubftance. It is in number one, fituate in the middle of the guts, from whence it took its name. Yet fome divide it into two parts, to wit, into the Mejerow, that is, the portion interwoven with the frnall guts,and into the Me\ocolon which is joyned with the Great. It hath connexion by its veflels, with the principallparts,by its whole fubftance with the guts,and in fome fort with the kidney s,from whofe region it feems to take its coats. It is of a cold and moift temper,if you have refpeft to his fatty fubftance ; but if to the reft of the parts, cold and dry. The aftion and ufe of it is,to bind and hold together the guts,each in his place, left they fhould rafhly be folded together, and by theMeferaick veins (which they term the hands of the Liver)carry the Ctylus to the liver. In which you muft note, that all the Meferaick Veins come from the liver, as weun- derftand by the difle&ion of bodies; although fome have affirmed, that there be fome veins ferving for the nourifliment of the guts,no wayes appertaining to the Liver,but which end in certain Glandulous bodies,difperfed through the Mefentery, of whofe ufe we will treat hereafter. The Magnitude. Figure. Compoftire. Number. The connexi- on. The temper«, The aflioti aind ufe. All rhe mtferai- ick veins come from the liver* CHA P. XV IL of the Glandules in generally and of the fiveet-breade Glandule is a Ample part of the body, fometimes of a fpungy and foft iub- ftance,fometimes of a denfe and hard. Of the foft Glandules are the PonftlLe, or Almonds,like in fubftance to blanched Almonds; theThjmns., Pancreas, Tefticles, Pro ft at*. But the denfe and hard are the Parotides and other like.The Glandules differ amongft theemflvesdn quantity and figure,for feme are greater than o- ther fome,and fome are round and others plain,as the 'Ibyinus and Pancreas- Others are compounded of veins,nerves, arteries, and their proper flefli, as the Almonds of the ears,the milky glandules in the breafts and the tefticles. Others want nerves, at leafl which may be feen,as the Parotides,the axillary ,or thofe under the armholes and others.The number of glandules is uncertain, by reafon of the infinite multitude and variety of (port- ing nature. You (hall find them alwayes in theft places,where the great divifions of veflels are in the middle ventricle of the brain,in the upptr part of the Chcft,in the Mefen- tery and other like places. 4 Although otherfome be feated in fuch places,as nature thinks needfull to generate and caft forth of them a profitable humor to the creature; as the almonds at the root of the tongue,the kernels in the dugs,thefpermatick veflels in the fcrotum and at the fides of the wombe; or where nature hath decided to make emun&ories for the principall parts, as Sub fiance ofi the glandules. Quantity and figuie. Compoficioff. Number; 84 Of the Anatomy Lib.3. as behind the ears,under the armholes, and in the groins. The connexion fof glandules is not only with the veflels of the parts concurring to their composition, but alfo with thole,, whole divilion they keep and preferve. They are of a cold temper, wherefore Pllyfitians fay the blood retri/cere (ZJ to become raw again in the dugs, when it takes upon it the form of milk. But of theie fome have aftion,as the almonds,which pour our fpatle ulefull for the whole mouth,the dugs milk,the Tefticles feed; others, ufe only,as thofe which are madeto preferve, underprop aud fill up the divifions of the veflels.Befides this we have Spo- ken of glandules in general!, we mull know that the Pancreas is a glandulous and flelh-like body, as that which hath every where the lhape and refemblance of flelh. It is fituate at the flat end of the liver,under the Duodenum with which it hath great connexion, and under the gate-vein,to ferve as a bulwarke,both to it and the divifions thereof, whilft it fils up the empty Spaces between the veflels themSeIves,and So hinders,that they be not pluckt aSunder, nor hurt by any violent motion,as a fall or the like. Connexion. Temper. Afiion and ute. The fubftance of the Pancrcot* The Gte. CHAP. XVIII. Of the Liver, \ving gone thus far, order of difleftion now requires,that we fbould treat of the diftribution of the gate-vein 5 but becaufe it cannot well be underftood unlefs all the nature of the liver from whence it well known, therefore putting it off to a more fit place, we will now fpeak of the Liver. Wherefore the Liver (ac- cording to Galens opinion, lib. deform, foetus) is the firft of all the parts of the body, which is finifhed in conformation, it is the fhop and Author of the blood,and the originall of the veins 5 the fubftance of it, is like the concrete mud of the blood,the quantity of it is divers, not only in bodies of different, but alfo of the fame fpecies 5 as in men amongft themfelves, of whom one will be gluttonous and fearfull,another bold,and temperate,or fober 5 for he fhall have a greater liver than this, becaufe it muft conceive and concoft a greater quantity of Chylus: yet the liver is great in all men , becaufe they have need of a great quantity of blood for the repairing of Id many fpirits and the fubftantifick moifture,which are refolved and diffipated in every moment by aftion and contemplation. But there may be a twofold reafbn given,why fuch as are fearfull have a larger liver. The firft is, becaufe in thofe the vitall faculty (in which the heat of courage and anger refides)which is in the heart,is weak) and therefore the defeft of it muft be fupplyed by the ftrength of the naturall faculty. For thus nature is accuftomed to recompence that which is wanting in one part,by the increafe and acceffion of another. The other reafon is, becaufe cold men have a great appetite, for by Galens opinion In arte parua, coldnefs increafes the appetite 5 by which it conies to pafs that they have a greater quantity of Chylus, by which plenty the liver is nourifhed and grows larger. Some beafts, as Dogs, and fwine,have the liver divided into five or more Lobes, but a man hath but one Lobe, or two, or three at the moft ; and thefe not fo much diftinguifhed, as which cherifli the upper and hollow region of the ventricle, with embracing to help forward the work of concoftion. Therefore the liver is almoft con- tent with one Lobe, although it is alwayes rent with a fmall divifion, that the umbilicall vein piercing into the roots and fubftance of it, may have a free paffage 5 but alfo often- times there is as it were a certain fmall lobe of the liver, laid under that umbilicall vein, as a culhion. The figure of the liver is gibbous ; rifing up and finooth towards the Midriffe; towards the ftomach is the fimous or hollow fide of it fomewhat unequall,and rough by reafon of the diftance of the Lobes,the original of the hollow vein,and the fite of the bladder of the Gall. The compofition of the liver is of veins, nerves, arteries, the coat and proper fubftance thereof which we call the grofs and concrete blood,or Parenchima. Veins and arteeies come to it from the navill 5 but nerves immediately from thefe which are diffiifed over the fto- mach according to Hippocrates yet they penetrate not very deep into its fubftance, for it feems not to ftand in need of fuch exaft fenfe, but they are diftributed upon the coat and iiirface thereof, becaufe this part made for diftribution over the whole body , keeps to it felf no acrid or malign humorjfor the perception of which it fhould need a nerve,although the coat invefting it, fends many nervous fibers into its fubftance, as is apparent by the ta- king away of the coat from a boiled liver 5 we muft think the fame of the other entrails. The coat of the liver is from the Peritoneum,wanting fmall from the umbilicall vein, when it divides it felf for the generation of the gate and hollow veins, as is obferved by Galen, Lib. de format. Fetus. The liver is only one, fituate in the greater part on the right fide, but with the lefler part on the left, quite contrary to the ftomach. Its chief connexion is with the ftomach and guts,by the veins and membranes of the Peritoneum-,by the hollow vein and artery, with the heart; by the nerve with the brain,and by the fame ligatures with all the parts of the whole body. It is of a hot and moift temper,and foch as have it more hot, have large veins and hot blodd 5 but,fuchas have it cold, have fmall veins, and a difcoloured hew. What the liver is. Itsfubftancc and quantity. Why cowards have great li- vers, The figure. The compo- fure. T he vefiels. The number and fite.g The connexi- on* The temper. of Mans Body. 85 Lib. 3. fhew. The attion of the Liver is the converlion ot Chy Lm into the blood, theworkofthe 1 e - cond concoftion.For although the Chy Im entring into the meferaick veins, receive fonie re- femblance of blood,yet it acquires not the form and pcrfe&ion of blood,before it be elabo - rate, and fully concoft in the liver. It is bound and tyed with three ftrong ligaments, two on the fides in the midft of the baftard ribs, to bear up its fides, and the third more high ' and ftrong,defcending from the breaft-blade , to fuftain its proper part, which with its weight would prefs the lower orifice of the ftomach, and fo caufe a falling ordrawing down of the fternon and coller bone. And thus much may fuffice for its proper ligaments, for we before mentioned its common; the veins, arteries,nerves, and coat of the Perztozte- by which it is knit to the loins and other natural 1 parts. But we muft note, that befides thefe three proper ligaments,the liver is alfo bound with others to the baftard ribs; as Syl-i awobferves in his Anatomicall obfervations, and Holler: us in his Praftife,C<zp Jep/zzrztzJe. l he adion* Theligamcn'tji CHAP. XIX. Of the bladder of the Gall. Ow we mtiftcometo the bladder ofthe Gall, which is of a nervous fiibftance, and of the bignefs of a fmall pear; it is of figure round, with the bottom more large, but the fides and mouth more narrow and ftrait. It is compofed of a dou- ble coat, one proper, confifting of three forts of fibers, the other from the perito- neum. It hath a vein from the Porta or gate-vein, and an artery from that which is diffu- sed into the liver, and a nerve from the fixt conjugation. It is but one and that hid on the right fide under the greater lobe of the liver, it is knit with the touching of its own body, and of the paflages and channels made for the performance of its aftions with the liver,and in like manner with theDuodenum, and not feldome with the ftomach alfo, by another to conclude to all the parts by its veins, nerves, arteries, and common coat.lt is of a cold temper, as every nervous part is.The a&ion ofit is to feparatefrom the liver the cholerick humor,and that cxcrementitious, but yet naturall by the help of the right fibers, for the purifying of the blood, and by the oblique fibers,fo long to keep it be- ing drawn, untill it begin to become troublefome in quantity,or quality,or its whole fub- ftance, and then by the tranfverfe fibers, to put it down into the Duodenum to provoke the cxpulfive faculty ofthe guts. I know Fallopius denies the texture of fo many fibers, to be the minifter of fuch aftion to the gall. But Vtfalius feems fufficiently to have anfwered him. The bladder of the gall hath divers channells, for coming with a narrow neck, even to the beginning of the Gate-vein, it is divided into two paflages, the one whereof fuffer- ing nodivifion is carry ed into the Duodenum, unlefs that in fome it fend another branch into the bottome of the ftomach,as is obferved by Galen-, which men have a miferable and wretched life, being fubjeft to cholerick vomitings, efpecially when their ftomachs are empty, with great pains of their ftomach and head, as is alfo obferved by Galen, Cap. 74. Aft is Med. The other coming out ofthe body ofthe liver divides it felf into two oc three paflages, again entring the fubftance of the liver,is divided with infinite branches,ac- companying fo many branches of the Gate-vein through the fubftance of the liver, that fb the blood unlefs it be moft elaborate and pure,may not rife into the hollow vein,all which things Difle&ion doth manifeftly teach. The fubftariee,,' greatnefs, and figure thereof. The compofi- tion,. Number and connexion, Temper* The of the gall. Lib. 2. cfe te/nfer» The yixth Figure of the bladder ofthe Cal/, M. Pylorus joyncd to the Duodenum. N. Duodenum joynedto the Pylorus. P. (hews the bottom of the bladder of the gall. Q_Qx,thc holes of the bladder of gall diipcried through the liver, betwixt the roots of the hollow and Gate- veins. R. the root ofthe Gate vein in theliver.S.the root ofthe hollow • vein in the liver, d.the concourfe or meeting of the pailages of choler in- to one branch, b. the nedk of the . r , . rr r i 11. , , bidder into which the pailage is inferted c.the palTage of the Gall into the Duodenum.d.the Duodenum opened, to manifeft i e Mn J the bilPri: e-in a!'t'r5f g°ingto the hollow pare ofthe liver,and the bladder oi the gall. f. a fmall nerve belonging to the liver and the bladder of gall, from the rib branch of the lixth pair, gg. the ciftick twins from the gate-veins. ' CHAP. FIG.II 86 Ofthe Anatomie Lib. 3.' CHAP. XX. Of the Spleen or Milt. lit becaufe we cannot well fhew the diftribution of the gate-vein, unlefe the Spleen befirft taken away,and removed from its feat:therefore before wego any further, I have thought good to treat of the Spleen.Therefore the Spleen is of a foft, rare, and fpongious fubftance(whereby it might more eafily receive and drink up the dregs of the blood from the liver) and of a flefh more black than the liver.For it refembles the colour of its muddy blood,from which it is generated. It is of an indifferent greatnefsjbut bigger in fome,than in otherfome, according to the diverfe temper and com- plexion of men.lt hath as it were a triangular figure,gibbous on that part, it fticks to the ribs and midriffe, but hollow on that part next the ftomach.lt is compofed of a coat , the proper flefh; a vein, artery, and neive.The membrane comes from the Peritoneum, the proper flefh from the feces or dregs of bloud,or rather of the naturall melancholy humour , with which it is nourifhed. The fourth branch of the vena porta, or gate vein, lends it a vein ; the firft branch of the great defcend ent artery prefently, after the firft entrance without the Midriff,lends it an artery. But it receives a nerve,from the left coftall/rom the fixe conjugate on on the inner part, by the roots of the ribs; and we may manifeftly fee this nerve, not only difperfingit fclfihrough the coat oftheliver,but alto penetrating with itsveffels the proper flefh thereof,after the felf fame manner,as yve fee it is in the heart and lungs. It is one in num- ber,fituate on the left fide,bet ween the ftomach and the baftard ribs , or rather the midriffs which defcends to their roots.For it oft times cleaves to the midriffe, on its gibbous part,by a coat from the alfo on the hollow part to the ftomach, both by certain veins which lends it into the ventricle,as alfo by the kail.It hath connexion,either primarily, orfe* cundarily,with all the parts of the body,by thefe its veflels. It is of a cold and drie tempers the aftion and ufe of it is to feparate the melancholick hu- mor, which being feculent and droflie,may be attenuated by the force of many arteries difper- fed through its fubftance.For by their continuall motion,and native heat, which they carry in full force with them from the heart,that grofe blood puts offitsgrofnefe, which the Spleen fends away by paflages fit for that purpofe, retaining the fubtler portion for its nourifh- ment. The paflages by which it purges it felf from the grofnefle of the melancholy bloud, are a vein afcending from it into the ftomach to ftirup the appetite by its fourneffe, and ftren- then the fubftance thereof by its aftriftion;and alfo another vein, which fometimes from the Spleen branch, fometimes from the Gate-vein,plainly under its orifice,defeends to the funda- ment, there to make the Hsemorrhoidall veins. Thefubftance, Magnitude, Figure, Compofition, Number and Site. Connexion. Temper and ufe. CHAP. XXI. of they cm Porta, and Gat e-vein, and the dijlribution thereof. The fub fiance and figure* He gate-vein, as alfo all the other veins, is of a fpermatick fubftance, of a manifeft largenett,of a round and hollow figure,like to a pipe or quill.lt is compottd of its proper coat, and one common from the Pmtentum.lx. is only one,and that fituata in the fimous or hollow part of the liver,from whence it breaks forth ( or rather out of the umbilicall vein) into the midft of all the guts,with which it hath con- nexion,as alfo with the ftomach, of the fundament and Peritentumjoy the coat which it receives from thence. It is of a cold and dry temper.The A&ion of it is, tofock the Cbylw out of the ventricle and guts}and fo to take and carry it to the Liver,untill it may car- ry back the fame turned into blood for the nutriment of the ftomach,fpleen and guts. This gate-vein coming out of the fimous part of the Liver, is divided into fix branches,that is3 four fimple, and two compound,again divided into many other branches. Thefirftofthe fimple attends from the forepart of the trunk to the bladder of the Gall by the p adage of the Cho- ler(and are marked withg. g. ) with a like artery for life and nouriihment, and this diftribution is knowne by the name of Cyftic£ gemelLe or Cyftick twins. The fecond is called the Gjftrica or ftomach vein, arifing in like manner from the forepart of the trunk , is carried to the Pylorus and the fimous or back part of the ftomach next to it. The third is called Gaftreptylois, the ftomach and kali vein,which coming from the right fide of the gate-vein goes to the gibbous part of the ftomach next to the Pyltrus and the right fide of the kail. The fourth going forth from behind and on the right hand of the gatc-vein3attends above the root of the Mettraick branch even to the beginning of the gut along the gutDWe«Hw, from whence it is called or the gut vein. And thefe ' are Compofition. Number and Site. Temper and /Iflion, Dzvifion there- of into 6 bran. ches, of which. 4 Ample. I CjJlicagemell# z Gaftrica. 3 Gaflrepiploist 4 [Hteftintiis, Lib. 3. rfManrBedy. 87 are the foure fimple branches. Now we will fpeak of the compound. The firft is the fplenick, which is divided after the following manner. For in its firft be- ginning and upper part, it fends forth the Coronalx-pr crowne vein of the ftomach, which by the back part of the ftomach afcends into the upper and hollow part thereof; to which place, as foon as it arrives, it is divided again into two branches, the one whereof climbs up even to its higher orifice,the other defcends downe to the lower, fending forth by the way other branches to the fore and back parts of the ftomach. Thefe engirt and on every fide incompafs the body of the ventricle,for which caufe they are named the crown veins. I have fom etime obferved this comming forth of the trunk, a little above the orifice of the fplenick branch .But this fame fplenick branch on its lower pftrt, produces the branch of the Haemorrhoidall veins,which descending to the fundament above the left fide of the loines, diffufes a good portion thereof into the leaft part of the colick gut, and the right gut,atrthe end whereof it is often *feen to be divided into five Haemorrhoidall veins, fome- times more,fometimes lefs. SilviM writes that the Haemorrhoidall branch defcends fromthe mefenterick, and truly we have fometimes obferved it to have been fo. Yet it is more futable to reafon, that it fliould defcend from the fplenick,not only for that we have feen with our eyes that it is fo, but alfo becaufe it is appointed by nature for the evacuation of the excrementitious melancholick humor.But this fame fplenick branch out of the middle almoft of its upper part produces the third branch going to the gibbous part of the ftomach,and the kalfithey terme it the greater,middle and left Gaftrepiplo#. But on the lower part towards the fpleen it produces the fimple Epp/ofi-,or kali-vein,which it diffufes through the left fide of the kail. Moreover from its upper part,which touches the liver, it fends forth a fhort branch called •vm venojum 3to the upper orifice of the ventricle for ftirring up the appetite. We have oftentimes and almoft alwayes obferved, that this venie veflell, which Galen cals was breve-pomes from the very body of the fpleen, and isjterminated in the midft of the fto- maeh on the left fide,but never pierces both the coats thereof. Wherefore it is fomewhat dif- ficult to find,how the melancholy juyce can that way be powrcd,or fent into the capacitie of the ftomach.Now the fplenick branch,when it hath produced out of it thofe five fore- mentioned branches, is wafted and difperfed into the fubftance and body of the fpleen. Then followes another compound branch of the vena the mefenterick, which is divided into three firft and leaft whereof goes to the blind gut and to the right and middle part of the colick-gut, divided into an infinite multitude of other branches. The fecondand middle is wafted in the Ikon-,as the third and greater in the Jejunum or emp- ty gut. It is called Mefenterick becaufe it is diffufed overall the Mefentery; as the fplenick is in the fpleen. And thus much we have to fay of the divifion of the gate vein, the which if at any time thou (halt find to be otherwife,than I have fet downe, you muft not wonder at itjfor you fhall fcarce find it the fame in two bodies, by reafon of the infinite varietie of particular bodies,which (as the Philofbphers fay) have each their owne, or peculiar gifts. Our judgment is the fame of other divifions of the veflels. Yet we have fet down that which' we have moft frequently obferved. To I Ramm fpleni-. cus fending forth. I Cc-re nuliit t 2 Jfamerrhoida* lit. int?rna» 3» Gaflrepiplois majtr finijtrai 4- Epi pl sis Jimp-j lex. 5- > Vai brn>efe» •uenefiun. Lib»4<deufit partium* 2 Ramm mefin- < tericwdevidedi into three CHAP. XXII. Of the original! of the and the divifion of the branch, depending to the naturall parts. Hofe things being thus finished and confidered, the guts fhould be pulled away, but feeing that if we fhould do fo, we fhould difturb and lofe the divifion of the artery defending to the naturall partsjtherefore I have thought it better to handle the diviiion thereof before the guts be pluckt away. Therefore we muft fiippofe,according to Galens opinion., that as all the veins come from the liver, 16 all arteries proceed from the heart.This prefently at the beginning is divided into two branches,the greater whereof defends downwards to the naturall parts upon the fpine of the back,taking its beginning at the fifth vertebra thereof,from whence it goes into the fol- lowing arteries.The firft called the intercoftall,runs amongft the intercoftall mufcles, and xhediftances of the ribs,and fpinall marrow,through the perforations of the nerves on the right and left hand from the fifth true,even to the laft of the baftard ribs. This in going this progrefs makes7.little branchings,diftributed after the forementioned manner,and going forth of the trunk of the defendent over again# each of the intercoftall Mufcles. The fecond being parted into two goes on each fide to the Midriffe, whence it may be called,or exprefled by the name of theT>iafhragmatica or the midriffe artery.The third being of a large proportion,arifing from the upper part of the arterie prcfently after it hath palled the midriffe,is divided into two notable branches,whereof on goes to the fto- xnach,fpleeiiykall,to the hollow part of the liver and the gall 5 the other is fent forth to the I 2 The original! ofarteries. The divifion of the great dependent ar? tery,is fa to thefe. ■Arttria intefic coflalis. z Phreniau C&liaca. 88 Of the Anatomic LIB.3; mefentery and gats after the fame manner, as we faid of the meteraick veins, wherefore it is called the Cceliaca3 or ftomach artery. But we muft note,all their mouths penetrate even to the innermoft coat of the guts,that by that means they may the better and more eafily at- trad the Chjluf contained in them. The fourth is carryed to the reins, where it is named the Reinall or Emulgent, becaufe it fucks fit matter from the whole mafs of blood. The fifth is fent to the tefticles with the preparing Spermatick veins, whence alfo it is named the Spermatick Artery /which arifes on the right fide,from the very trunk of the de- fcendcnt Artery; that it may aflbciate the fpermatick vein of the fame fide, they run one a- bove another,beneath the hollow vein, wherefore we muft have a great care whilft we la- bour to lay it open,that we do not hurt and break it. 4' Umulgent. 5- S'permauca. *lhe fevchlh figure ef the lower Belly. A, A, The midriffe turned back with the ribs and the peritoneum. BB, The cave or hollow part of the li- ver, for the liver is lifted up that the hollow part, of it may be better feen. C, Theleaft ligament of the liver. D, The Umbilicall vein. |E, The hollowncfs in the liver, which giveth way to the ftomach. F, The left orifice of the ftomach. G G, Certain knubs,or knots, and jm- preflions in the hollow part of the liver. The bladder of gall. I, The Gate-vein, cut off, and branches' which go to the bladder of gall. K, A nerve of the liver coming from the ftomachicall nerve. L, An Artery common to the liver and bladder of gall. M, Nerve common alio to them both, coming from the right coftal! Nerve of the ribs. N, the paflage of the Gall to the Guts cut off. O O, The hollow of the fore parts of the Spleen. P, The line where the veflels of the Spleen are implanted. Q. The trunk of the hollow vein. R, The trunk of the great Artery. S, The C celiac al! Ar- tery cut off. T, V, The Kidneys yet wrapped in their membrane. X?Y,The fatty veins called vena adipofe.a9b9 The Emulgent veins with the Arteries under them, c c3d d, The Ureter from either kidney to the blad- der. e,f, The fpermaticall veins to the tefticles,the right from the hollow vein, the left from the Emulgent. g,g. Veins coming from the fpermaticall to the peritoneum. h3i} the fpermaticall Arteries. The lower mefentericall Artery. /, The afcending of the great Artery above the hollow vein,and the divilion of it, and the hollow vein into two trunks, w, the Arteries of the loins called lumbarir. n, The holy Artery called Sacra.o, A part of the right gut. p,The bladder of Urine. * The connexion of the bladder with the peritoneum. q, A part of the veflels which lead the feed from the Tefticles, is here re- flected. r,/,the jcrotumsor cod,that is,the skin that invefts the yard and tefticles. t, The flefhy pannicle or membrane which is under the cod.w,The coat which is proper to the tefticles with his veflels.pc,A part of the yard excoriated or flayed,and hanging dowrn. The fixth going from the fore and upper part of this dependent arterie, defends ;with the Haemorrhoidall veins to the fundament 5 preiently from his beginning, fending forth certain branches alongft the colick gut, which by Anaftomafis are united with other bran- ches of the Caliacall Arteries; for whofoever (ball look more attentively, he (hall often ob- ferve that veins are fo united amongft themfelves,and alfo Arteries, and fometimes alfo the veins with the Arteries. For an anaftomajis is a communion and communicating of the veflels amongft themfelves3by the application of their mouths, that fo by mutuall fupplies they may cafe each others defers.But they call thi| the lower meferaick Artery. The feventh proceeding from the trunk with fo many branches as there be ycrreWt in ffamorrboidalit feu inefentericu inferior. 7* Lwrilfarisi LIB.3. ofMitnsbody. 89 in the loines,gots to the loines and the parts belonging to them, that is, the Ipinall mar- row of that. part,and other parts encompafling there Vertebra's, whereupon it is ftiled the Lumbar is or Loine Artery. The eight maketh the Iliack arteries, untill liich time as it departs from the Peritoneum where the Crurall Arteries take their originall. This Iliack Artery lends many divaricati- ons towards the Holy bone where it takes its beginning,and to the places lying neer the Holy bone,which bccaiife they run the fame couife as the Iliak veins, for br evities fake, we will let pal's further mention of them,till wc come to treat of the Iliack veins; > llzacdt-. CHAP. XXIII; Of the diftribution of the Nerves to the natural! farts. T remains,that before the bowels be taken away, we (hew the nerves fent to the entrails and natural parts,that as wife and provident men we may'feem to have omitted nothing.Firft we muft know that thefe nerves are of the fixt conjugati- on,which defcend as well to the ftomach all alongft the Gullet and the rides thereo£>as thofe at the roots of the ribs on both iidcs within. But when they are palled through the Midriffe,thofe which are diftributed amongft the naturall parts fol- low the turnings of the veins and arteries, but fpecially of the arteries. Wherefore if you have a mind to follow this diftribution of the nerves, you muft chiefly look for it in thofe places, in which the artery is diftributed amongft the Guts above the loins. Thefe nerves are butfmall, bccaufe the parts ierving for nutrition, needed Hone but lit- tle nerves,for the performance of the third duty of the nerves,which is in the difeerning & knowing of what is troublefome to them. For unleffe they had this fenfe, there is nothing would hinder, but thefe bowels neceffary for lite,being polfefied with fome hurtfull thing, the creature Ihould prefently fall down dead; but we have this benefit by this fenfe, that as foon as any thing troubles and vellicates the bowels, we being adnionilhed thereof may- look for help in time. And betides if they were deftitute of this fenfe,they might be gnawn, ulcerated and pu- trefied by the raging acrimony of the excrements tailing into and flaying in themjbut now1 (by means hereof)as foon as they find themfelvcs pricked, or pluckt,preicntly by the ex- pulfive faculty they endeavour to expell that which is troublefome, and io free themfelvcs of prefent and future dangers. The original! of the nerves which are atr- ryed ro the nz, rural! parrs. Their magni* tudc and ufe* CHAP. XXIIII. 7 he manner of taking out the Giltsi FJenthe Guts are to betaken begin with the right Gut. mdft divide it,being firft ftraitly tyed in two different places, at a juft diftance a- boiitfour fingers from the end, with a (hjirp knife between the two ligatures. Then you muft [hew its proper coats,and fibers,and that common one which it hath from the Peritoneum. This being done, you muft in like manner bind the trunk of the gateveirte as Heer the originall as you canjthat fo all his branches being in like manner ty- ed there may be no feare of effiifion of blood .-you muft doe the like with the Cocliack Ar- tery at the left Kidney,and in the lower ?/Ielenteriek, which defends to the right Gue With the Hacmorrhoidall veins.ThiS being done, ptill away the guts even to the Duodenum, which being in like manner tyed in two places, which ought to be below the infertion of the or paflage of the you may [hew the oblique infertion thereof into that gut,for the obliquity of its infertion is worth obfervation, as that which is the caufe that the Gall cannot flow back into its bladder, by the compreflion of this Gut'from below upwards.Then all thefe windings of the Guts may be taken away from the body, CHAP. XXV. 7 he Original! and diftribution of the defcendent Hollow veine. scatlfe the reft of the natural! parts, do almoft all depend upon the defcendent Hollow vein,therefore before we goe any further,we will (hew its originall and diftribution.We faid before that all veins proceeded from the Liver, but yet in divers places.For the gate vein goes out of the hollow part, and the hollow vein out of the Gibbous part of the liver, which going forth like the body ofa tree,is divided into two great branches,the lefler of which goes to the vital & animal parts, I 3 and T&? Original? f >. holIovA veins* It is di vidcd into two Hunks. 90 Oftbe Anatomy Lib.2. and the extremeties at thefe parts, as we (hall (hew in their place. The greater defeending from the bafk part of the Liver above the Vertebra's of the loins to the parts beneath, goes in the manner following.The firft divifion thereof is to the membranes of the reins, which come from the Wherefore there it produces the Vene adipo]*, or fatty veins,fo cal- led, bccaufe they bring forth a great quantity of fat in thofe places; Of thefe fatty veins, there is a diverfe originall,for the right doth oftentimes arife from the right emulgent, be- caufe it is higher; out the lefs comes from the very trunck of the hollow vein be- caule the Emulgent on that fide is lower, and you (hall fcarfe fee it happen other- wife. The fecond being the Kidney or Emulgent veins, go to the Reins, which at their en- trance, or a little before, is divided into two branches, like as the Artery is,the one higher, the other lower, and thefe again into many other through the fubftance of the Kidneys,as you may learn better by ocular infpeftion, than by book. They are thick and broad,that the fei ous humor may without impediment have freer paffage. Their originall is different, for the right Emulgent oftentimes comes forth of the hollow vein fomewhat higher than the left; that feeing their office and duty is to purge the mafs of blood from the cho- ] erick and ferous humor, that if any part thereof Hide by the one, it may not fo fcape, but fall as it were into the other. Which certainly would not have happened if they had been placed the one juft oppofite to the other. For the ferous or wheyiffi humor would have flayed equally/ ballanccd or poifed, by reafon of the contrariety of the acti- on and traftion, or drawing thereof. But we muft remember that in diflefting of bodies, 1 have oft-times found in iuch as have been troubled with the ftone,feven Emulgent veins and fo many arteries; four from the left fide coming from divers places, of which the laft came from the I Hack ; three from the right hand iikewife in divers places. The third divifion is called the Spermatick or feed vein, it goes to the Tefticles; the ori- ginall thereof is thus,that the right arifes on the forepart of the trunck of the hollow vein; but the left moft commonly from the Emulgent. Befides you (hall fometim(| find that thefe have companioriswith them,to the right Emulgcntjbut to the left,another from the hollow vcin,in fome but on one fide,in others on both. But alfo I have fometimes obferved the left emulgent to proceed from the fpermatick or feed vein. The fourth becaufe it goes to the loins is called Lumbar ir, which in his originall and in- fection is wholly like the Artery of the loins. But there are 4 Lumbares or Loin-vJnson each fide,that is, one in each ofthe 4 (paces of the 5 Vertebra's of the loins. The fift divifion makes the Iliace3 untill paffing through the Peritoneum, they take the names of Crural! veins; Thefe are firft divided into the mufculous, fo called, becaufe they goe to the oblique afeendentand tranfverfe mufcles, and to the Peritoneum. Sometimes they have their originall from the end of the Trunk. And then the fame Hiace3 are divi- ded into the Sacre3 or Holy; which goe to the (pinall marrow of the Holy-bone, through thofe holes, by which the nerves generated of this marrow,have their paflage. Thirdly, the Iliac*divided into the Hypogaftricefo called, becaufe tfiey were diftribu- ted' to all the parts of the Hypogaftrium, or lower part of the lower belly,as to the right Gut, the muffles thereof, the mufculous skin,(in which place they often make the externall Hve- morrhoidall, ordained for the purging of fuch blood as offends in quantity, as thofe o- ther, [that is, the inward Hemorrhoidal!] which defeends to the right Gut from the Gate-vein by the fplcenick branch, ferves for cleanfing of that which offends in quality,)to the bladder and the neck thereof, even to the end of the yard, to the womb and even to the neck of the Wumbe and utmoft parts of the privities, from whence it is likely the courfes break forth in woemen with child and Virgins. But this fame vein alfo fends a portion alfo without theEpigaftrium by that perforation which is common to the (hare and haunch bones, which ftrengthened by meeting of the other internail Crurall vein defeends even to the Ham, but in the mean time by the way it is communicated to the muffles of the thigh called Obturatores and other parts within. Fourthly, the Iliac* duce the Epigaftric* which on both fides from below afeend according to the length of the right mufcles, fpreading alfo by the way fome branches to the oblique and tranfverfe mu- ffles and alfo to the Peritoneum. Fiftly, thefe produce Iliac* the Pudend* or veins of the pri- vities, becaufe they go in women to their privities,and into men to the Cods, where they enter that fleffiy coat filled with veins,and go to the skin of the yard, they take their beginning under the Hypogaftric*. Thedlvifion of the greater branch of the holloa vein* I. Adipoja, 2. E'liulgent. Spirmatica. iMnvwif* 5- . lliacae which •redivided into* I. Mufculofae, 2. Baers. 3- jtypogaftriu, 1 whieh produce the'Hsemor- xhoidalcs ex» <ernae. ftyigiijfrit* puzfadd, CHAP. Lib. 3. ofMansRody. 91 CHAP. XXV I. Of the Kidneys or Reins.' Ow follow the Kidney s,which that they may be more eafily feen, (after that you have diligently obierved their fituation) you (hall difpoil of their fat,if they have any about themes alfo of the membrane they have from the Pento%e«m.Firft, you fhall lhew all their conditions;, beginning at their fubftance. The fubftance of the Kidneys is flefliy, denfcand fol id, left they fhould be hurt by the fharpnefs of the urine. Their magnitude is large enough, as you may fee. Their figure is fomewhat long and round almoft refembling a femicirclc, and they arc lightly -flatted a- bove and below. They are partly hollow and partly gibbous ; the hollow lies next the hollow vein, andon this fide they receive the Emulgent veins and Arteries, and fend forth the Ureters, their gibbous part lies towards the loins. They are compofed of a coat coming thorn the Peritoneum, their own peculiar flelh, with the effufion of blood about the proper vellels, fas happens alfo in other entrails) generates a final 1 nerve, which fpringing from the Coftall of the fixt conjugation is diffufed to each Kidney on his fide into the coat of the kidney it felf, although others think it alwayes accompanies the vein and artery. Their fufe» fiance* Magnitude; Figure. Compofition, 7 be ninth and tenth figure ofthe veflels of feed and urine. Thefirft figure fheweth the forefide,the fecond the hinder-fide. a. i.The forepart of the right kidney. b. b. b. 2. The back part of the left kidney. e. i. the outfide. cl. d. 19 2. The inner-fide. e. 13 2. The two cavities whercinto the emulgcnt veflels are inferred. f. f. i, 2. The trunk of the hollow vein. £•£• i a 2. The trunk of the great artery. b.i.1,2. The emulgent vein and artery. KA-b2- The right fatty vein. /. i. The left fatty vein. *. i. The Coeliacall artery'. m.n, ij 2. The ureters. o.p. <?. ij 2. The right (per- matick veine which ari- feth neerp.theleft neer q. r. i. The place where the Arteries of the feed arife. *. f. ij2. Small branches di- ftributed from the fper- - 3BL3 .1 niaticall veins to the Peri* tontrnn. t. i,2. The fpiry varicous body, called Paricofum Vat fjrimiddle. »u. 1, 2.The farafatte, or. Epididymis. x. 1. The tefticle yet covered with its coat. J. 1,2. The place where the leading veflell called uas deferens 3 doth arife.« 1,2. The defiant of the fame leading yeflell. /?, 1, 2. The revolution of the fame leading veflell. paflage of the fame veflell,reflefted like a recurrent nefve. * 2. The meeting'of the lame leading veflels. *>152. The bladder ofurine, the firft fignrc fheweth it Open,th« fecond fheweth the back parts. 1. The imall bladder of the feed opened. 2. The Glandules called Glandule Proftate. 9,i. The Sphinfter mufcle of the bladder.nji52.The two bodies which make the fubftance of the yard. 1. The veflels which go unto the yard and neck of the bladder, a, i.The paflage which is common to the urine and feed, cut open'. % 2. The implantation of the ureters into the bladder. But 'Fallopius that moft diligent Author of Anatomy hath obferved, that this nerve is not only oftentimes divaricated into the coat of the kidneys, but alfo pierces into th$ir fub- J» 1 G XX. FI C. Of tbc Anatomie Lib. 3; 92 Munaber. ftance. They are two in number., that if the one of them Ihould by chance be hurt,the other might lupply thole neccflities of nature,forwhich the Kidneys arc made. They lye upon the loy ns at the 1 ides of the great veflels3on which depend by their proper veins and arte- they flick to them, as it were by a certain fecond coat, left that they might be fha- ken by any violent motions.Wherefore we may fay that the Kidneys have two coats, one proper adhering to their lubftance, the other as it were coming from the Peritoneum on that part they flick to it. The right Kidney is almoftalwayes the highcr3for thole reafons I gave3fpeakingofthe original! of the Emulgent veflels. Columbus feems to thinke the con- trary, but fuch likecontroverfies may be quickly decided by the Eye.They have connexion with the Principall veflels by the veins3nerves and arteries, by the coats with the loins & the other parts of the lower belly,but efpecally with the bladder by the ureters. They are of a hot and moift temper ,as all flelhy parts are. Their a&ion is to cleanfe the Mafle of the blood from the greater part of the ferous and cholcrick humor. 1 faid the greater part, be- caufe it is needfull that Ibmc portion thereof Ihould go with the alimentary blood to the folid parts,to ferve in flead of a vehicle, left otherwile it Ihould be too thick. Belides you mu ft note that in each Kidney there is a cavity bounded by a certain me*t- brane,incompafltd by the divilion of the Emulgent veins and arteries, through which the urine is ftrained partly by the expulfive faculty of the Kidneys, partly by the attra&ive of the ureters,which run through the fubftance of the Kidneys on the hollow fide, no other- wile than the Poruf choLtgpgus through the body of the Liver. Site. Connexion. Temper. Their ftraincr. the CHAP. XXVII. Osv wefhouldhave fpokcn ofthe ureters, becaufeas we faid before, they are paf- fages derived from the Kidneys to carry the urine to the bladder.But becatife they cannot be diftinguifhed and fhewed unlefle by the corrupting and vitiating the fite ofthe ipermatickveflels ; therefore I have thought it better to pafs to the explication of all the fpermatick parts. And firft of all you muft gently feparate them, (that fo the declaration of them may be more eafie and manifeft) and that from./he coat which comes from the peritoneum, and the fat which invefts them even to the fhare-bone,having diligently confidered their fite before you feparate them.Then you (hall teach that the fubftance of thefe veffels, is like to that of the veinsand arteries. Their quantity is fmall in thicknes,but of an indifferent length by reafon of thediftance of their originall from the Tefticles. They are longer in men than in women,bccaufe thefe have their Tefticles hanging without their belly, but women have them lying hid within their belly. Their figure and compofureis wholly like the figure and composition ofthe veines and arteries, except in this one thing, that from that place where they goc forth of the great capacity of the Peritoneum, they are turned into many in- tricate windings, like crooked fwoln veins, even to the Tefticles. That the fpermatick matter in that one tract,which yet is no other than blood,may be prepared to concoftion, or rather be turned into feed in thefe veflels,by the irradiation of the faculty of the Tefti- cles.Thefe veflels, are fix in number, foure preparing,and two ejaculatory,of w hich we wTill fpeak hereafter.Therefore on each fide there be two preparing veflels,that is, a vein and an artery,arifing as we told you when we (poke ol the diftribution of the hallow vein. They are inferred into the Tefticles through that coate which fome call Epidid)mif,others Dar- ton.Their fite is oblique above the loins & flanks,whileft they run downe between the ends of the (bare and haunch bone,they are knit to the parts lying under them, both by certaine fibers which they Tend from them, as alfo by the membrane they have from the Peritoneum, They have like temperature as the veines and Arteries have. Their aftion is to carry blood to the Tefticles,for generating of iced. Their fub- ftance. Quantity. Figure and compofurc* Number* iir< CHAP. XXVIII. Of the JefticldSi or Stones. He Ttflicles are fof a.Glandulous, white, foft and looie fubftance, that fo they may the more e.afily receive the fpermatick matter:their magnitude and figure equall,and refemble a fmall pullets Egge fomewhat flatted 5 their compofure is ot veinSjarterieSjeoats and their proper flclh. Their veins and arteries proceed from the Ipermatick veflels,their nerves from the fixt conjugation,by the roots of the ribs and out ofthe holy bone. They are wrapped in foure coats, two whereof are common,and two proper. The common are the Scrotum or skin of the Cods, proceeding from the true skin;and the flefliy coat,which confifts of the flefliy Pannicle in that place re- ceiving a great numberjof veflels,through which occafion it is fo called. The proper coats are firfl the Erythrorif arifing from the prbeefs of the PeritoMim, going into the 5 crotwn to- - -■ .m '■ gether Their fub. fiatice. Magnitude and figure. Compofition,' The coat Lib.9. of Mans body. 93 gether with the fpermatick veflels which it involves and covers; this appears red both by reafon of the veflels as alfo of the Cremafter mufcles of the Tefticles ; Then the Epididymis or Vartos which takes its original! of the membrane of the fpermatick preparing vdfels.The flefli of the Tefticles is as it were acertaine eflufion of matter about the veflels, as we faid of other entrails. But you muft obfervc that the Erythrois encompafles the whole ftone, except its head3in which place it Hicks to the Epididymis,which is continued through the whole fub- fiance of the Tefticle. This Epididymis or Darios was therefore put about the ftones, becaule the Tefticles of themfelves, are loofe, fpongious, cavernous and loft, fo that they cannot fafe- ly be joined to the fpermatick veflels,which are hard and ftrong. Wherefore Nature that it might join extreams by a fit Medium or mean, formed this coat Epididymis.This is fcarce ap- parent in women by reafon of its fmalneffe. The two forementioned common coats, adhere or ftick together by their velfels not only amongft themfelves,but alfo with the Erytbrois. You muft befides obfervc the Cremafter mufcles are of the faid fubftance with other mufcles, final! and thin,of an oblique and broad figure,arifing from the membrane of the Peritoneum,which fas we faid before ) afliimes fiefh from the flanks. Their compofition is like that of other mufdes.They are two,on each fide one.They are fituate from the ends oftheflanks,even to the fiones. They have connexion with the proccfsof the Peritoneum andTefticles.Their temper is like that of other mufcles. Their action is to hang and draw up the Tefticles towards the bel- ly ?whence they are called hanging mufcles.The Tefticles are moft commonly two in number, on each fide onejfometimes there be three,fometimes one alone, as it happens alfo in the Kid- rfies-for fome have but one Kidney.They lie hid in the Scrotum at the very roots of thefhare- boncjconncxed to the principal! parts of their veflels,with the neck ofthe bladderand yard; but by theif coats they adhere to the parts from whence they have them.They are of a cold and moift temper,becaule they are glandulousjakhough they may be hot by accident, by rea- fon of the multitude ofthe veflels flowing thither.Thofewhole tefticles are more hot arc prompt to venery,and have their privities and the adjacent parts very hairy, and befides their tefticles are very large and compaft. Thofe on the contrary that have them cold are flow to venery, neither do they beget many children, and thofe they get are rather female than male, their privities have little hair upon them,and their tefticles are lmall,foft and flat. The aftion of the tefticles is to generate feed, to corroborate all the parts of the body, and by a certain manly irradiation to breed or encreafc a true mafeuline courage. This you may know by Eunuchs or fuch as are Gelt$ who are of a womanilh nature, and are oftentimes more tender and weak than women. As Hippocrates teaches, example of the&yrtam/, lib.de Aerejocit & The Effidid)- tniffOr Dartoa TheCremafle? mufclcs. Temper d Afiiorts CHAP.XXIX. Of the varicous bodief or Paraftat's, and of the ejaculatory vejfels9 and the glandulcm or Proitatef, He varicous Paraftete are nervous and white bodies, like as the nerves wound and dole woven amongft themfelves, they are ftretched even from the top to the bot- tom of the tefticles,from whence prefently by their departure they produce the Vafa ejacMlatoria, or leading vefiels. But unlefs we doe very well diftinguifh their names, they (hall fcarce (bun contufion.For that which I call Pdraft ate',that is, as it were the head of the tefticle, being as it were like another ftone, is called Epididjmii by Galen.lib.i. de femine. But I by the example and authority of many Anatomies, underhand by the Epididymis the proper coat of the tefticles,of which thing 1 thought good by the way to admonilh you of. Their Aftion is by their crooked paffages to hinder the feed from departing out of the pre- paring into the leading veilcis before it (hall bee moft perfectly laboured and concofted in thefr veflels by the power and force of the tefticles. For in the firft win- dings, the blood lookes in the laft it is not fo red,but fomewhat whitifh For Nature commonly doth thus delay the matter in its padage cither by ftraitnefs, or obliquity,which it defires to make more perfeft and elaborate by any new concoftion;this we may learn by the foldings of the Rete mirabils the windings of the Guts, the wrinkles in the bottome of the ftomach, the liraitnefie of the Py/erw, the capillary veinsditperled through she body of the Livetj certainly nature hath intended fome fuch thing in the making of the fpermatick vef- fels. Their quantity is vifible, and figure round, tending fomewhat to (harpnefle. They are compofed of veins, nerves, and arteries , which they enjoy from the veffels of the tefticles, from the Epididymis, or the coat, from the Peritoneum and their proper fub- ftance. Their temper is cold and dry. They bee two in number, one to each tefticle, But thefe varicous bodies are called Paraft ate 5 Aflifters, becaufe they fuperficially affift, and arc knit to the tefticles according to their length, or long wayes. Ont of the Par aft ate proceed the Va\a ejdculatoria, or leading vefiels, being of the fame (ubftanee as their Progenitors; that is,folid, white and as it were nervous. Their Quantity is indifferent, their figure round, and hollow,that the feed may have a free paffage through them, yet they feem not to bee perforated by any manifeft paflage , unlefs Their fub° fiance. Here the au- thor fpeaka otherwife then Galen. Aflion. Their quantify figure, and compofure» Their temper and number. Vtfa ejaculate* *M,the cjacak. tory or leading ▼eflelfo Of the Anatomy Lib.3. 94 unlefs by chance in fuch as have had a long Gonorrhoea. They have like temper as the Para- krtw,between which and the Profiates they are feared,immediately knit with them both; as both in the coat and the other veflels with the parts from whence they take them. But we muft note,that fuch like veflels coming out of the parafiates afeend from the bot- tom of the ftones even to the top, in which place meeting with the preparing veflels, they rife into the belly by the fame paflages, and bind themfelves together by nervous fibers,even to the inner capacity of the belly; from whence turning back, they forfakc the preparing,thatfo they may run to the bottom of the Ihare'bone, into the midft of two glandulous bodies which they call profiates lituate at the neck of the bladder, that there meeting together they may grow into one paflage. 7he tenth figure, wherein thofe things /hewed in the former figure, are more exactly fet forth; J aa, A part of the Midriffe and of the Peritoneum with the ribs broken. bb, The Convex or gib- bous part of the Liver marked with bb. the hollow or concavous part with cc. d e, The right and left li- gaments of the Liven f. The trunk of the gate vein. g, The trunk of the hol- low vein. h, I, The fatty veins both left and right. i. The afccnt of the great artery ofaboie the hol- low vein3and the divifi- on thereof. The CtliacaU artery. w, n, The emulgent vef- fels. ooj pp;> The fat tunicles or coats torn from both the kidneys. qq, The ureters that go unto the bladder. t, u, The right fpermati- call vein which arifeth near to u, x, y, The double original! of the left fpermaticall vein. x. from the emulgent.j, from the hol- low vein. The original! of the fpermaticall arteries, 13, Certain branches from the fpermatick arteries which run unto the Peritoneum. 7, Thepaflage of the fpermaticall veflels through the productions of the Peritoneum., which mufl be obferved by »fuch as tile to cut for the Rupture. <At Thcfpiry bodden bodies entrance into the it is ca\\cd Corpus varicojumpyramidale.&Th.eParaftat<e, GTheftone or tefticle covered with his inmoft coat. J(,The defcent of the leading veflell called Kw deferent y}The Bladder. * The right gut. £, The glandules called proftate into which the leading veflels are in- fected. p, The mulcle of the bladder, stv, Two bodies of the yard,?, and r, and to his vef- The coat of the Tefticle. The mufcle of the Tefticle 4>hit veflels ®. For thus of three paflages, that is, of the 2 leading veflels, and 1 paflage of the bladder, there is one common,one in men for the calling forth of feed and urine. A Caruncle riling like a creft at the beginning of the neck of the bladder argues this uniting of the paflages, which receiving this lame pallage which is fufficiently large, is oft-times taken by fiich as are ignorant in Anatomy for an unnaturall Caruncle, then elpecially when it is iwoln through any occalion. Theft leading veflels are two in number,on each fideone.Their afti- on is to convey the fted made by the tefticles to the Proftats,& fo to the neck of the bladder, lb to be caft forth at the common paflage.But if any ask whether that common paflage made by the two leading veflels between the two glandulous bodies be obvious to fenft or no: We anfwer,it is not manifeft,though reafon compell us to confefsthat that way is per- forated by reafon of the Ipermatick, grofs and vifcous matter carryed that way .But perad- venture the reafon why that paflage cannot be ften is,becauft in a dead carcafs all final! palfagcs are dofcd and heat and Spirits being gone9 and the great appear much left, by Their number jiifehflicn. ofMansbody, L1 B.3. 95 by reaafon all the perforations fide, and fall into themfelves. Yet certainly thefe paflages nmft needs be very ftrait,even in a living man,feeing that in a dead they will not admit the moint of a needle. Wherefore we need not fear,left in fearching, whilft we thruft the Cathe- ter into the bladder,it penetrate into the common paflage of the leading veflels which runs within the Caruncle, unleis peradventure byfome chance,as a orfome great fhleemonjt be much dilated befidts naturc.For I have fometimes fecn fuch paflages fo open, that they would receive the head of a Spathern ; which thing Ihould admonilhus, that in iearching we take great care,that we do not ralhly hurt this Caruncle,for being fomewhat ralhly handled with a Catheter it calls forth blood, efpccially if it be inflamed. Butalfo the concourfe of the fpirits flowing with great violence together with the feed,much helps for- ward fuch ejaculation thereof performed through thele ftrait pallages by the power of the imaginative faculty in the Aft of generation. After the leading veflels follow the Fro/to,being glandulotis bodies of the fame fubftance and temper that other Glandules are. Their quantity is large enough,their figure round,& fomewhat long,fending forth on each fide a loft produ&ion of an indifferent length-They are compofed of veins,nerves, arteries, a coat f which they have from the neighbouring parts)and laftly their proper flelh, which they have from their firft conformation. They are two in number, lituate at the root of the neck of the bladder, fomewhat ftraitly bound or tyed to the fame,to the leading veflels,and the parts annexed to them.But alwayes obferve, that every part which enjoyes nourilhment,life and fenfe,either firft or 1 aft hath connexion with the principall parts of the body, by the intercourfe of the veflels which they receive from thence. .... , , , „ , The ufe of the Proftates is, to receive in their proper body the feed laboured in the tefti- cles,and to contain it there,untill it be troublefome either in quantity or quality,or both. Befides they contain a certain oily and vifeid humor in their glandulous body, that conti- nually diftill ing into the paflage of the urine, ifrnay preferve it from the acrimony & fharp- nefs thereof.But we haveobferved alfo on each fide other Glandules, which Rondeletiw calls appendices dependences to arife from thefeproftatcs,in which alfo there is teed referved. This Carun- cle muft be obi fcrvedand djr ftinguifhed froma type r. fur cofi4 or flefhy ex<cre* fence. The Their quantity and figure. Number and fire. 4/n anatom?- call axiome# Their ufet. R olid in me, thed,medtnd morbof. CHAP. XXX. Of the Prefers. Ow it feems fit tofpeak of the Vreters&ladder and parts belonging'to the bladder. Therefore the Ureters are of a fpermatick, white, denfe and (olid lubftance ofaii indifferent bignes in length and thicknes.Their figure is round and hollot/.They are compofed of two coats, one proper, confiding of right and tranfverfe fibers which comes from the emulgent veins and arteries; the other common, from the Periton*- arn;befides they have veins,nerves and arteries from the neighbouring parts. They be two in number,on each fide one; they are fituate between the Kidneys (out of whofe hollow part they proceed) and the bladder. But the manner how the Ureters in- fert or enter themfelves into the bladder,and the into the Duodenum^exceeds admiration;for the ureters are notdire&ly but obliquely implanted neer the orifice of the t>ladder,and penetrate into the inner fpace thereof; for within they doe as it were divide the membrane or membranous coat of the body of the bladder,and infinuate themfelves in- to that, as though it were double. But this is opened at the entrance of the urine, but (hue at other times,the cover as it were falling upon it,fo that the humor which is fain into the capacity rof the bladder cannot be forced or driven back, no not fo much as the aire blown into it can come this way out,as we fee in fwines bladders blown up and filled with aire. For we fee it is the Aire contained in thefe which fills them thus,neither can it be prefled forth but with extraordinary force. For as this skin orcoat turned in by the force of the humor gives way,fo it being pref- fed out by the body contained within,thrufls its whole body into the paflage as a ftopple; like to this is the infection of the Form Cholagogut into the Guts. * ' The ureters have connexion with the above mentioned parts, with the mufclcsof the loins;upon which they run from the Kidneys to the bladder. Wherefore nothing hinders,but that the ftone Aiding through the ureters into the blad- der,may ftupefie the thigh as much as it did when it was in the "Kidney. They are of a cold and dry temper. Their ufeis,to ferve as paflagcs,or channels for carrying the urine into the bladder. The fubfta'ncej1 magnitude, figure and compofure of rhe Ureters. Number and Cite. Connexion* Temper and ufe. CHAP. XXXI. Of the Bladder* He bladder is of the fame fubftance that the ureters, that is,nervous,that fo i t may be the more eafily dilated. It is of a large proportion, in fome bigger, in fome left, according to the dif ference of age, and habit, of body. It is of around figure and'as it were Pyramidal L " The fiibilanctf. Figure* Lib. 96 Oftbe Anatomy Compelirion It is compofcd of the two coats,one proper, which is very thick and ftrong, compofed of the three forts of fibers,that is,in the inner fide of the direftj without of the tranfverfe;and in the midft of the oblique. The other common Coat coming from the Peritoneum hath veins and arterites on each fide one, from the Hypogafirickjteffeis above the holy-hope, alfo it hath nerves on each fide from the fixt conjugation mixt with the nerves of the holy-bone. For thefe nerves defcend from the brain even to the end of the holy-bone. It is but one and that fituate in men in the lower belly upon the right gut and below the lhare-bone,but in women between the womb and that bone, to which it cleaves with its membranous ligaments,as it doth to the yard by its neck,and to the right gut by its com- mon coat and proper veflels. It is of a cold and dry temper. The ufe and aftion thereof is by the fibers continually to draw the urine, and contain it as long as need requires,and then to expell it by the neck,partly by comprelfion either of it felf, or rather to the mufcles of the Epigafirium and midrifte,becaufe this motion, feeing it is voluntary cannot be performed unlefs by a mufcle which the bladder wants 5 partly by the dilatation and relaxation of the Sphinfter mufcle compofed of tranfverfe fibers, like the fphinfterof the fundament, after the fame manner to fhut up the orifice of the bladder,that the urine flow not out againft our will. But the bladder as it fils is dilated, but as it is emptyed,it is contracted like a purfe. You may eafily obferve this Mufcle in a Sows bladder, it is ftretched from the orifice of the bladder and beginning of the urinary paflage even to the privities even in womenjbut in man it is terminated in the Peritoneum as foon as it hath left the right Gut. Befides,this mufcle is thus far ftretched forth, that the urine by its compreflion fhould be wholly prefled out of the bladder, which by too long flay would by its acrimony do fome harm.This is the common opinion of Anatomifts con- cerning the Sphinfter of the bladder,which neverthelefs Fallopius allows not of. For (faith, he) if this mufcle fhould be fituate beneath the glandulous bodies, the feed in copulation could never be caft forth without fome fmall quantity of urine. Wherefore he thinks that this mufcle is fituate above the Profiats, and that it is nothing elfe but the beginning of the neck of the bladder , which becomes more flelhy whilft it is woven with tranfverfe fibers. Yhe eleventh figure of the Bladder and Yard. AB, 1 >2,3,4,5,7,9,the t wo bodies which make the yard. CC, 2, 3, the place where thefe two bodies do firft avife. b253,4,5,799, the nut of the yard called glans penis. EE, 4,5, the fungous and red fubftance of the bo- dies of the yard. F, 5, the mutuall con- nexion of the bodies of the yard,and the nervous outward fubftance of the fame, compaffing round about the former fun- gous fubftance. G, the paf- fage of the Urine, or common .pipe running under the yard all along his length. H, the firft pair of Mufcles of the yard, which in the firft figure do yet grow to it, but in the fecond they hang from their originall. K,L,i,2,the fecond pair of Mufcles of the yard,in the firft figure growing,in the fecond hanging from their infec- tion. M,i, 2,the Sphin&er of the right gut.N,3,7,8,9,the round fphinfter Mufcle of the bladder. OO, a Membrane which is over the holes of the fhare-bone.P,2,a round Liga- ment from the meeting of the fhare-bones un the head of the thigh. Q,3,7,3.xhe body of the bladder. RR,3,7, the Profiate, which into feed when it is perfe&ly laboured, is led. SS,3,8,Portions of the ureters.TT*3, Portions of the veflels,which lead down the feed. VV,7,S,the umbilicall arteries. X,7,8, the ligament of the bladder cald Urachus. Y,y,8 the navil or umbilicus-?,7,8,the umbilicall vein.aa, 7,the vein and artery of the the artery diftributed through the body of the yard. por Temper,ufc'or aftion. Their Sphin- bladder* Lib. 3. of Mans 'Body. 97 For the neck of the bladder it differs nothing in lublh'nce,compofure,number, and tem- per from the bladder,but only in quantity,which is neither ib large, nor round in figure, butfomewhat long together with the yard reprelenting thcfliape of the letter S. It is pla- ced in men at the end of the right Gut and Perineum fifing upwards even to the roots of the yard,and with it bending it felf downwards 5 in women it is lhort,b road,arid (freight, en- ding at the orifice of the neck of the womb between the nervous bodies of the Nympho. In men it hath connexion with the bladder, the ejaculatory vefiels, the right gut and yard,but in women only with the neck ofthe wombe and privities. The life of it is in men to call forth feed and urine, in women only urine. But we muft note that the (hare bones muft be divided and pulled afunder,in that part where they are joyned,that fo you may the more exaft ly obferve the fituation of thefe parts. Befides you mull note that by the Peri- njtim we underftand nothing elfe, in men and women, then that fpace which is from the fundament to the privities,in which the feam is called 'Iturup The neck of rhe bladder. The connexi- on and ufe thereof. CHAP. XXXII. of the Xardt Ow follows the declaration of the Privy parts of men and women3and firft we will treat of mens.The yard is of a ligamentous fubftance3becaufe it hath its originall from bones3 it is of an indifferent magnitude in all dimenfions,yet in fomebig- ger, in feme lefs; the figure of it is round,but yet fomewhat flatted above and be- neath. It is competed of a double coat3 nerves, veins3 arteries, two ligaments,the palfage of the urine,and four muteles.lt hath its coats both from the true skin,as alfo from the flelhy pan- nicle3 but the veins and Arteries from thete of the lower part of the lower belly which run on the lower part of the Holy-bone into the yard, as theteminary veflels run on the up- perpart. The ligaments of the yard proceed on both fides from the fides and lower commiflure of the fliare-bones; wherefore the yard is immediately at his root furnifhed with a double ligament, but thete two pretently run into one fpungy one. The paflage of the urine litu- ate in the lower part of the yard comes from the neck of the bladder between the two li- gaments. For the four mufcles3 the two fide ones compofing or making a great part of the yard, proceed from the inward extuberancy of the Hip-bone3 and pretently they are dilated from their originall; and then grow lefs again. The two other lower aritefrom the mufcles of the fundament and accompany the urinary paflage [the length of the perbkeum untill they enter the yard ; but thete two muteles cleave fo clofe together3that they may teem one ha- ving a triangular form. The aftion of thete four mufcles in the aft of generation is, they open and dilate this common paflage of urine and teed, that the teed may be forcibly or violently caft into the field of nature j and befides they then keep the yard fo ftiffe, that it cannot bend to either fide. The yard is in number one, and fituate upon the lower parts of the lhare-boue, that it might be more ftiffe in ereftion. It hath connexion with the (hare-bone and neighbouring parts; by the particles of which it is compoted. It is of a cold and dry temper. The aftion of it is to caft the feed into the womb, for pretervation of mankind. The head of it begins where the tendons end, this head from the figure thereof is cal led Clans and Bal anusj that is, the Nut, and the skin which covers that head is called that is, the foreskin. The flelh of this Glandule is of a middle nature between the glandulous flclh and true skin. But you muft note that the Ligaments of the yard are fpongy contrary to the condition of others, and filled with grofs and black b lood. But all thete ftirred up by the delight of defired pleafiire, and provoked with a venereall fire, fwellup and ereft the yard. The fubftancr, quantity and figure of the yard. Composure,1 The ligaments.' The mufcles,' i - Their AffioriJ The Nut The Prtputl- umfit foreo skin. CHAP. XXXIII. of the (permatick vefels and tefticles in women. JO W we fhould treat of the Privy parts in women,but becaufe they depend up- on the neck and proper body of the womb,we will firft fpeak of the womb, having firft declared what difference there is between the 'fpermatick veflels and tefticles of men and women. Wherefore we muft know that the ipernia- tick veflels in women do nothing differ from thofe in men in fubftance, fi- gure, compofure, number, connexion, temper, originall and ufe 5 but only in magnitude and diftribution,for women have them more large and fhort. K Tte in 'what the fpermarick veffels in wou men differ from thofe iirt men» 98 Of the Anatomy L IB.£. 'the twelfth of the fFbmb. A. The bottome of the womb laid open with- out any membrane. BB. the neck of the womb turned upward. CD. a part of the bottom of the womb like the nut of the yard, (wel- ling intothe upper part of the neck of the womb, in the middle whereof the orifice ap- peareth. EE. a membrane knitting the womb to the Perito- neum, & holding toge- ther the veflels thereof. F. the left tefticle. G. the (permaticall vein and artery. H. part of the fpermati- call veflels reaching unto the bqttom of the womb. I. one part of the veflels coming to the tefticles *a veflell leading the feed unto the womb. K- the coat of the tefticle with the implication of the veflels. L. the cavity of the bladder opened. M. the infecti- on of the Ureters into the bladder.N.the Ure- terrcut from the kidnies.O.the infection oi the neck of the bladder into the lap or privity. The fecond Figure. aa.The (permaticall vein and artery, bb. branches diftributed to the Peritoneum from the (permaticalveflels.c.the bottom of the womb J.the neck of the womb, e, certain veflels run- ning through the infide of the womb,and the neck thereof, ff.veffels reaching to the bottom of the womb produced from the (permaticall vcflel. gg. the leading veflell of rhe feed called Tuba3the T rumpet.hh.a branch of the (permaticall veflel comparing the Trumpet.*?.the tefti- lower ligaments of the womb,which (bme cal the Cremafters or hanging mufcles of the womb. Z. the lap or privity into which the Cremafters do end. w. a portion of the neck of the bladder. The third Figure. aa.The (permaticall veflels. bb. a branch fromthefe (permaticall veflels to the bottom of the womb. cc. the body Or bottom of the womb. d. the neck of the fame. e. the neck of the bladder ending into the neck of the womb. ff. the tefticles. gg. the leading veflels,common- ly though not fo well called the ejaculatory veflels. hh. thedivifion of theft veflels, one of them determining into the horns at double ty. ii. the other branch ending in the neck, by which women with child avoid their feed. the horns of the womb. The fourth Figure. AB.The bofome of the bottom of the womb,at whofe (ides are the horns. CD.a line like a future or feam, a little diftinguilhing that bofome. EE.the fubftance of the bottom of the womb,or the thicknefs of his inner coat. F. a protuberation or (welling of the womb in the middle of the bofom. G. the orifice of the bottom of the womb. HH. the coat or fecond cover of the bottom of the womb,coming from the Peritoneum. IIII. a portion of the mem-, branes which tie the womb. KK. the beginning of the neck of the womb.L. the neck of the bladder infertedinto the neck of the womb.w.the Clitoris' in the top of the privity .n. the in- equality of the privity where the hymen is placed.o. the hole or paflage of the privity in the cleft, p. the skinny caruncle of the privity. It was fit they (hould be more large, becaufe they Ihonld not only convey the matter fit for generation of young and nourifhment of the tefticles, but alfo fufficient for the nou- rilhment of the womb and child; but fliorter, becaufe they end at the tefticles and womb within the belly in women, Where you muft note that the preparing fpermatick vef* fels, FI G. 1, Why womans fpermatick vcf- fcls they arc Jargcr>buc fhorterahen Lib. 3. of Mans 99 fels, little before they come to the Tefticles are divided into two unequall branches, of which the teller bended, after the fame manner as we faid in men,goes into the head of the tefticle,through which it fends a (lender branch into the coats of the tefticles for life and nourilhment,and not only into the coats but alfo into leading veflels.But the bigger branch deteends on each fide by the upper part of the wombe between the proper coat and the com- mon,from the Peritoneum where it is divided into divers branches. By this difference of the fpermatick veflels you may eafily underftand why women caft forth lefs feed than men. For their Tefticles,they differ little from mens but in quantity; For they are teller and in figure more hollow and flat,by reafori of their defective heat which could not elevate or lift them up to their juft magnitude.Their compofure is more fimptejfor they want the fcro- tutn or cod, theflelhy coat,and alfo according to the opinion of fome the Erjthroides., but in place thereof they have another from the Peritonaeum which covers the proper coat, that is, the Dartos, Silvius writes that womens Tefticles wants the Erytbroidesi yet it is certain that befides their peculiar coat have another from the pentone,which is the Erythroides}or as Fallopius cals it the is as much as the vaginalis or (heath. But I think that this hath fp rung from the mif-underftanding th at place in Galen where he writes,that womens tefticles want the Epididymis. For we mull not underftand that to be fpoken of the coat,but of the varicous paraftats (as I formerly faid). They differ nothing in number,but in lite; for in men they hang without the belly at the (hare bone above the Per itoneum ;women have them lying hid in their belly, neer the bottome at the fides of the wombe,but yet fo as they touch not the body of the wombe. But thefe tefticles are tyed to the womb both by a coat from the alfo by the leading veflels defcending to the horns of the wombe, but to the reft of the body by the veflels and the nerves arifing from the holy bone and Coftall nerves. They are of a colder Temper than mans. The ejaculatory, or leading veflels in women differ thus from mens, they are large at the beginning, and of a veiny confiftence,or fiibftance, fo that you can fcarce diteern them from the coat Peritoneum then prefently they become nervous, and waxe fo (lender, that they may teem broken or torn, though it be not fo > but when they come nearer to the horns of the wombe, they are again dilated; in their other con- ditions, they agree with mens, but that they are altogether more flender and fhort. They have a round figure, but more intricate windings than mens; I beleeve, that thefe windings might fupply the defeft of the varicous Paraftats. They are feated between the tefticles and wombe, for they proceed out of the head of the tefticle, then prefent- ly armed with a coat from the Peritoneum3they are implanted into the wombe by its horns. In what their tefticies differ from mtns. LU. p*rr. Site. Connexion. Temper. Their ejacuM* tory vcffel s. Why they have more in* tricate win- dings. Their fir?. CHAP. XXXIIII. of the Wombe» de Wombe is a part proper only to Women,given by nature in ftead of the 5cro- tww,as the neck thereof,and the annexed parts in head of the yard; fo that if a- ny more exaftly conAderthe parts of generation in women and men, he fhall find that they differ not much in number, but only in fituation and ufe. For that which man hath apparent without,that women have hid within, both by the fingular providence of nature,as alfo by the deleft of heat in women, which could not driveand thruft forth thofe parts,as in mcn.The womb is of a nervous and membranous fub- fiance,that it may be more eafily dilated and contracted,as need fhall require. The magnitude thereof is divers, according to the diversity of age, the ufe of venery,the flowing of their courfes, and the time of conception. The wombe is but fmall in one of unripe age,having not ufed venery,nor which is menftrous; therefore the quantity cannot be rightly defined. The figure of the wombe is abfolutely like that of the bladder, if you confider it with- out the produftions, which Hcrophilus called horns,by reafon of the Amilitude they have with the horns of Oxen at their firft coming forth. It confifts of Ample and compound parts. The Ample are the veins,arteries, nerves,and coats.The veins and arteries are four in number,two from the preparing fpermatick veflels,the two other afcend thither from the after this manner. Firft, thefe veflels before they afcend on each Ade to the wombe, divide themfelves into two branches, from which otherfome go to the lower part of the wombe,otherfome to the neck thereof,by which the menftruous blood, if it abound from the conception, maybe purged. z Nerves come on both Ades to the wombe,both from the Axt conjugation,defending by the length of the back bone, as alfo from the holy bone,which prefently united and joyri- ed together,afcend and are diftributed through the wombe,like the veins and arteries. The utmoft or common coat of the wombe, proceeds from the PeritonaHm9 on that K 2 part Wherein thfi privy parts in women differ from thofe in men. The fubflance and magnitude of rhewembe, Figure. The horns of the worn be. Corrtpofure. The veins and Arteries. Nerved Thetis, 100 Of the Anatomy Lib. partit touches the holy bone; but the proper it hath from the firft conformation,which is compoled of the three forts of fibers, of the right on the infide of the attradion of both leeds;the tranfverfe without totxpelhifoccafion be;the oblique in the midfl for the due re- tention thereof. The wombe admits no divifion, unlefs into the right and left fide, by an obfcure line or (earn, luch as we fee in the Jcroti/m,but fcarce fo manifeft ; neither muft we after the manner of the ancients, imagine any other cels in the wombe. For by the law of nature,a woman at one birth can have no more than two. An argument hereof is, they have no more than two dugs. If any chance to bring forth more, it is befides nature,and fomewhat monftrous, becaufe nature hath made no provifion of nourifhment for them. Nature hath placed the wombe at the bottome of the belly, becaufe that place teems moft fit to receive feed,to carry and bring forth the young. It is placed between the bladder and right gut, and is bound to thefe parts much more ftraitly by the neck, than by the body thereof; but alfo befides it is tyed with two moft ftrong ligaments on the tides, and upper parts of the fliarebone,on which it feems to hang; but by its common coat from the Perito- neum, chiefly thick in that place,it is tied to the hollow bone, and the bones of the hanch and loins. By reafon of this ftrait connexion,! woman with child feeling the painfull drawings back, and as it were convulfions of thole ligaments, knows her felf with child. It is of a cold and moift temper,rather by accident, than of it felf. The adion thereof is to contain both the feeds,and to cherifh, preferve, and nourifli it,fo contained,untill the time appointed by na- ture ; and alfo befides,to receive,and evacuate the menftruous blood. The compound parts of the wombe are,the proper body and neck thereof. That body is extended in women big With child,even to the navell,in fome higher,in fome lower. In the inner fide the Cotyledones come into our confideration,which are nothing elfe than the orifices and mouths of the veins, ending in that place. They fcarce appear in women, unlefs prefently after child-bearing,or their menftruall purgation; but they are apparent in lheep, Goats,and Kine,at all times like wheat corns, unlefs when they are with young, for then they are of the bignels of hafell nuts : but then alfo they (well up in women, and ;are likearudepeeceof fleihofa finger and a half thick; which begirt all the naturall parts of the infant fhut up in the wombe; out of which refped this (hapeles flefh, according to the opinion offome,is reckoned amongft the number ofcoats invefting the infant, and called Chorion, becaufe,as in beafts,the Chorion is interwoven with veins, and arteries, whence the umbilicall veflels proceed; fo in women this flefhy lump is woven with veins, and arteries, whence fuch veflels have their originall. -Which thing, how true agreeable to reafon it is,let other men judg. There is one thing whereof I would admonifh thee,that as the growth of the Cotyledones inbeafts are not called by the name of Chorion, but are only faid to be the dependents there- of,fo in women fuch fwollen Cotyledones merit not the name of Chorion, but rather of the de- pendences thereof. • This body ends in a certain ftraitnefs which is met withall, in following it towards the privities,in women which have borne no children, or have remained barren fome certain time; for in fuch as are lately delivered,you can lee nothing but a cavity and no ftraitnefs at all. This ftraitnefs we call the proper orifice of the wombe, which is moft exadly fhut af- ter conception, elpecially untill the membrane, or coats incompafling the child be firnilh- ed,and ftrong enough to contain the feed,that it flow not forth, nor be corrupted by enr trance of the air; for it is opened to lend forth the leed,and'in fome the courlcs and ferous humorsjwhich are heaped up in the wombe in the time of their being with child. From this orifice the neck of the wombe taking its originall,is extended even to the pri- vities. It is of a mulculous fubftance,compoled of loft flefh,becaule it might be extended and contraded,wrinckled,and ftretched forth,and unfolded,andwrefted,and lhaken at the com- ing forth of the child,and after be reftoredto its former Ibundnefs and integrity .In procels of age it grows harder,both by ufe of venery,and alfo by reafon of age,by which the whole body in all parts thereof becomes dry and hard. But in growing,and in. young women,it is more tradable and flexible for the neceflity of nature. The magnitude is fufficiently large in all dimenfions, though divers, by reafon of the infinite variety of bodies. The figure is long, round, and hollow. The compofition is the fame with the wombe, but it receives not fo many veflels as the wombe; for it hath none butthole which arefentfrom the veins, by the branches afeending to the wombe. This neck on the infide is wrinckled with many crefts, like the upper part of a dogs mouth, fo in copulation to caufe greater pleafure by that iriequality,and allo to fhor- ten the ad. It is only one, and that lituate between the neck of the bladder and the right gut, to which it clofely fticketh,as to the wombe by the proper orifice thereof, arid to the privities by its own orifice; but by the veflels to all the parts from whence they are fent. ' • It is of a cold and dry temper, and the way to admit the feed into the wombe, to ex- clude the infant out of the wombe,as allb the menftruall evacuation. But it is worth obftr- vation. No cels in the wombe. The fire. The temper and attion. TheCotyZe* dows. CtlumLw jnft* ly reproved, The orifice of the wombe. The proper a- rifice of the wombe is not afwayes exafl* !y fhut m wo- men with child. The neck of the wonabe* Its magnitude. Compofition. Number and fire. Temper* of am Body. Lib.3. 101 vationjthat in all this paflage there is no fuch membrane found?as that they called Hymen.* which they feigned to be broken at the firft coition. Yet notwithftanding Falfo- many other learned men of our time think otherwile3and fay, that in Vir- gins a little above the paflage of the urine3may be found and feen fuch a nervous membrane, placed overtwhart as it were in the middle way of this neck, and perforated for the paflages of-the courfcs.But you may find this falfe by is likely the ancients fell into this error through this that in fome a good quantity of blood breaks forth of thefe places at the firft copulation. But it is more probable ,that this happens by the violent attrition bfcertainveflelslying in the inward fuperficies of the neck of the wombe,not being able to endure without break- ing fo great extention as that nervous neck undergoes at the firft coition. For a maid which is manageable, and hath her genitall parts proportionable in quantity and bignefs to a mans;(hall find no fuch eflufion of blood, as we fliall lhew more at large in our Book of Generation. No Hymen, From whence the blood pro* ceedsthat breaks forth infome virgins ar the firft coi-, tion. The thirteenth Figure, /hewing the parts of women different from thefe in men. A.B.C.D .The Peritoneum refleftedor turned backward, above and be- low. E.F. the gibbous part of the liver the cave or hollow part F. ©.thetrunk of the gate-vein. H. th,e hollow vein. I. the great artery. K. the roots ot the Call call artery which the gate- vein. ; v t L. fatty vein going to the coat of the kidneys. N. O. the fore-part of both the kid- neys. T. V. the emulgent veins -and arte- ries. i at. the right ureter at the loWeft a? cut from a part which neer to fticketh yet to the bladder, becaufe the bottome of the bladder is drawn to the left fide. c. the left ureter inferred into the bladder neer to r. dd. the fpermatick vein which goeth to the left tefticle marked with i. ee. the fpermatick vein which goeth to the left tefticlc with z?alfo. f. the trunk of the great artery from whence the ipermatical arteriesjdo proceed.gh.the fpermatical arteries. ii. the two tefticles. a branch which from the fpermatick veflels reacheth unto the bottome of the wombe. mm. the leading veflel of the feed which 'Faltyius calleth the tuba or trumpet, becaufe it is crooked*and reflefted. n. a branch th6 fpermatick veflel,compafling the lead- ing veflel. oo. a veflell like a worm which pafleth to the wombe, fome call it Crem after, f .the bottome of the wombe called fundus uteri.q.a. part of the right gut. r. f. the bottome* of the bladder whereto is inferred the left ureter, and a vein led from the neck of the wombe neer unto r. t. the neck of the bladder.M.the fame inferted into the privity or lap.x. apart of the neck of the wombe above the privity, yy. certain skinny Caruncles of the privities, in the midft of which is the flit,and on both fides appear little hillocks. The Figures belonging to the Vugs and Breajis. «« The veins of the Dugs which come from thofe, which defcending from the top of the fboulder, are offered to the skin. & the veins of the dugs derived from thofe which through the arm-hole are led into the hand ?• the body of the Dug or Breaft. the kernels and fat between them. «• the veflels of the dugs defcending from thelowcr part of the neck cal- led jugulum, under the breaft bone. ' K 5 . This 102 Of the Anatomy Lib. 3. This neck ends at the privities,where its proper orifice is, which privy parts we muft treat of, as being the productions and appendices ofthis neck. This Pudendum,or privity, is of a middle liibftance,between the flelh and a nerve ; the magnitude is fufficiently large, the figure,round,hollow, long.lt is compoled of veins,arteries,nerves, defending to the neck of the wombe,and a double coat proceeding from the true skin and flelhy pannicle; both theie coats are firmly united by the flelh coming between them ; whereupon it is faid, that this part confifts of a mufculous coat. It is one in number,fituate above the Peritoneum. It hath connexion with the fundament, the neck of the wombe and bladder by both their peculiar orifices. It hath a middle temper,between hot,and cold, moiftand dry. It hath the fame ule as a mans Preputium or fore-skin,that is,that together with the tymphe it may hinder the en- trance of the air, by which the wombe may be in danger to take cold. The lips of the pri- vities called by the Greeks by the Latines contain all that region which is invefted with hairs; and becaufe we have fain into mention of theie Njmphe,you muft know that they are as it were produ&ions of the mufculous skin, which defend on both fidcs, from the upper part of the lhare-bone downwards ; even to the orifice of the neck of the bladder, oft times growing to fo great a bignefs, that they will ftand out like a mans yard. Wherefore in fome they muft be cut off in their young years, yet with a great deal of caution, left if they be cut too ralhly, fo great an effufion of blood may follow,that it may caufe, either death to the woman, or barrenefs of the wombe by reafon of the refrigeration by the too great effufion of blood. The latter Anatomifts, as Columbus and Fallopius, befides thefe parts, have made mention of another particle, which ftands forth in the upper part of the 'privities, and allo of thp urinary pallage , which joyns together thofe wings we formerly mentioned. Columbus cals it Tentigo, Fallopius, Cleitorx, whence proceeds that in- famous word Cleitorizein,<jMch lignifies impudently to handle that part.) But becaule it is an obfcene part, let thofe which delire to know more of it, read the Authors which I cited. AU- vrlifVyipsf.vti Cleitoritjen* CHAP. XXXV. Of the Coats containing the Infant in the wombe, and of the Navelf He membranes or coats containing the Infant in the wombe of the mother, are of a fpermatick and nervous fubftance,having their matter from the feed of the mo- ther. But they are nervous that fo they may be the more eafily extended, as it fhal be neceflary for thechild.They are of good length and bredth,Specially near the time of deliverance, they are round in figure like the wombe. Their compofition is of veins,arteries,and their proper fubftance.The veins,and arteries, are diftributed to them (whether obfeurely or manifeftly,more or fewer) from the wombe by the Cotj/edowej,which have the fame office,as long as the child is contained in the wombe, as the nipples or paps of the nurfes after it is born. For thus the wombe brings the Cotyle- doneSyOr veins,degenerating into them through the coats like certain paps to the infant fhut up in them. Thefe coats are three in number according to Galen; one called the Chorion, Secundine,or afterbirth; the other Allantoides-, the third Amnios. I find this number of coats in beafts,but not in women, unlefs peradventure any will reckon up in the number of the coats the Cotyledones fwollen up,and grown into a flefhy mafs, which many skilfull in Anatomy do write,which opinion notwithftanding we cannot receive as true. I could never in any place find the Allantoides in women with child, neither in the infant born in the fixth, feventh, eight, or in the full time, being the ninth month, although I have fought it with all poffi- ble diligence, the Midwives being fet apart, which might have violated fome of the coats. But thus I went about this bufinefs,! divided the dead body of the mother crofwife upon the region of the wombe,and taking away all impediments which might either hinder,or obfeure our diligence, with as much dexterity as was poflible, we did not only draw away that receptacle or den of the Infant, from the inward furface of the wombe , to which it ftuck by the Cotyledones, but we alfo took away the firft membrane which we called Chorion, from that which lies nextunder it,called any rending or tearingjfor thus we powred forth no moifture, whereby it might be laid,that any coat made for the containing of that humor, was rent or torn. And then we diligently looked,having many witnefles ana ipe&ators prefent,if in any place there did appear any diftinftion of thefe two membranes, the Allantoides and Amnios,for the feparating the contained humors,and for other ufes which they mention. But when we could perceive no fuch thing, we took the Amnios filled with moifture on the upper fide, and having opened it, two fervants fo holding the apertion, that no moifture might flow out of it into the circumference of the Chorion or wombe,then prefently with Their fub- (lance, magni- tude,figure, and compo- sure. The number. Lib. 3. of Mans cBody. 103 with fpunges we drew out by little and little all the humidity contained in it, the infant yet contained in it, which was fit to come forth,that fo the coat Amnios being freed of this nioifture, we might fee whether there were any other humor Contained in any other coat belides. But having done this with lingular diligence and fidelity, we could lee no other humor,nor no other reparation of the membranes belides. So that, from that time I have confidently held this opinion, that the infant in the womb, is only wrapped in two coats,the Chorion and Amnios. But yet not Satisfied by this experience, that I might yet be more certain concerning this Allantoides, having palled through the two former coats,I came to the infant, and I Jput a quil into its bladder, and blew it up as forcibly as I could, fo to try, if by that blowing I might force the air into that coat which we queftioned, as fome have written. But neither thus could I drive any air from hence, through the navell into the controverted coat, but rather, I found it to fly out of the bladder by the privities. Wherefore I am certainly perfwaded that there is no Allantoides. Moreover I could never finde nor fee in the navell that paflage called the Ura- chus, which they affirm to be the beginning and originall of the coat Allantoides. But if it be granted,that there is no filch coat as the Allantoides difeommodity wil arile hereof? fpecially feeing the fweat and urine of the infant may ealily, and without any difeommo- dity be received, colle&ed, and contained in the fame coat,by reafon of the fmall difference which is between them. But if any object, That the urine by its lharpnels and touching will hurt the infant: I will anfwer, there can be no fo great ffiarpnefs in the urine of fd fmall an infant; and that, if that there be any,it is tempered by the admixture of the gentle vapor of fweat. . Belides, if you conlider,or have regard to the ufe of fuch an humor (which is to hold up the child, left by its weight it break the ties, by which it is bound to the womb;) we ffiall finde no humor more fit for this purpole than this lerous, as which by its thicknefs is much more fit to bear up a weight, than the thin and too liquid Iweat. For lb we lee the fea or falt-water carries greater weights without danger ol drowning than freffi rivers do. Wherefore I conclude that there is no need, that the urine ffiould be kept and contai- ned in one coat, and the fweat in another. The Ancients who have writ otherwife, have written from obfervations made in beafts. Wherefore we make but only two coats, the Chorion and Amnios; the one of which,feeing it contains the other,they both fo encompals the child, that they veil it on every fide. Fallopius in fome fort feems to be of this opinion; for he only makes two coats, the Chorion and Amnios; but he thinks the infant makes the water into a certain part of the Chor/on, as you may perceive by reading of his Obfervations. Both theie coats are tyed between themfelves by the intercourfe of moll flender nervous fibers, and fmall veflels penetrating from the outer Chorion to the inner Amnios. Wherefore unlefs you warily handle theie coats, you may eafily tear the Amnios in feparating it. They are of the fame temper with other membranes. Their ufe is different, for the Chorion is made both for the prelervation of the veflels, which it receives from the womb tor the generating of the umbilicall veins and arteries, as alfo to keep whole and fafe the parts which it invefts. But the Amnios is to receive and contain the cxcrementitious and ferous humors, which the childe ffiut up in the womb is accuftomed to evacuate. But this coat is very thin and loft, but ftrong and finooth, left by its touch it might hurt the infant, whereupon it is called the Lambskin-coat. He fhews by thrte fcverai! reafonsthat there is no Allantoides, Their temper and ufe. CHAP. XXXVI. of the Naw ell* He Navell follows the(e Coats; It is a white tody, (bmewhat refembling the wreathen cord, or girdle of the Francifcan-triers, but that it hath not the knots (landing fo far out, but only fwelling in certain places, refembling a knot, only lifted up on one fide; it arifes and takes its originall from a flefhy mafs, which we exprefled by the name of (welling Cotyledones, and goes into the midft of the lower belly of the infant, yea verily into the midft of the whole body, whofe root it is therefore faid to be. For even as a tree by the root lucks nourifhment from the earth, fo the infant in the womb draws its nourifliment by the navell. The greatnefs of it in breadth and thicknefs,equals thebignefs of the little finger. But it is a foot and a half long,fo that children are brought forth with it, encompafling their middle, neck, arms, or legs. The figure of it is round. It is compofed of two arteries, one vein, and two coats. It hath thefe veflels from that great multitude of capillary veins and arte- ries, which are feen difperfed over the Chorion. Wherefore the vein entring in at the Na- vell, penetrates from thence into the hollow part of the Liver, where divided into two, according to Galens opinion,, it makes the gate and hollow veins. But the arteries, carried by What the Navel! is* TheNatell is the eent?' < the body. The figure anJ compefare. Lit. dtftnnati film in Httrt, Of the Anatomy LI 104 by themfelves the length of the Navell, caft themfelves into the ZZz^,which they make, as alfo all other, that from thence the vitall fpirit may be carried by them overall the infant. It hath its two coats from the Chorion. But feeing they are mutually woven and conjoined without anywez/zwm, and are of a fufficient ftrength and thicknefs over all the Navell, they may feem to make the infants ex- ternal! skin and flefliy Pannicle. I know very many reckon two Umbilicall veins, as alfo arteries, and the by, or through which the urine flows in to the coat Allantoides. But becaufe this is not to be found in women, but only in hearts, I willingly omit it, be- caufe I do not intend to mention any parts, but fuch as belong to humane bodies. Yet if there beany, which can teach me, that thefe parts,which I think proper to brute beafts, are to be found in women,I willingly confefs,and that to his credit,from whom I have reaped fuch benefit. The other things that may be required concerning the Navell, as of its number, fite, connexion,temper and ufe, may eafily appear by that we have fpoken before. For we have apparently let down the ufe, when we faid, the Navell was made for that purpofe, that the infant may be nouriflied by it,as the tree by the root, by reafbn of the continuation of the veflels thereof, with the preparing fpermatick veflels made by God for that purpofe, to whom be honor and glory for ever and ever. Amen. There is only one Vein in a childsNavellj bur no Ura- chns, The End of the third L1 b.4* 105 The Fourth Book, 'Treating of the Vitali parts contained in the CHEST- The PREFACE. \ving finilhed the firft Book of our Anatomy, in explanation of the natural! parts contained in the lower belly , now order that we treat of the Breft ; that Co the parts in fbme fort already explained (I mean the veins and arteries) may be difpatched after the fame order and manner, without interpofition of any other matter. And befides alfo that we may the more exactly and chearfully lhew the reft of the parts which remain, as the head and limbs, knowing already the originall of thole veflels which are difperfed through them. To this purpofe, we will define what, the Cheft is, and then we wil divide it into its parts. Thirdly, in thefe we will conlider which parts contain, and which are contained, that fb we may more happily finifh our intended difcourfe. CHAP. I. WhattheThorax or the Cheft is* into what parts it way he divided9 and the nature of thefe parts. He Thorax, or Cheft, is the middle belly, terminated or bounded above with the coller-bones, below with the Midriff before with the Sternum orbreft, behinde, with the twelve Vertebra's of the back on both fides, with the true and baftard ribs, and with the intercoftall and intercartilagineous mulcles. Nature hath given it this ftrufture and compofition, left that being a defence for the vitall parts againft externall injuries, it fliould hinder refpiration; which is no lefs needfull for the prefervation of the native heat diffufed by the vital fpirits,and Ihut up in the heart, as in the fountain thereof, againft internall injuries, than the other fore- mentioned parts againft externall. ForiftheCheft fliould have been all bony, verily it had been the ftronger, but it would have hindred our refpiration or breathing, which is performed by the dilating and contrafting thereof. Wherefore left one of thefe fliould hinder the other, Nature hath framed it, partly bony and grifly, and partly flefliy. Some render another reafon hereof,which is,that Nature hath framed the cheft,that it might here alfo obferve the order ufed by it in the fabrick of things, which is, that it might conjoin the parts much disagreeing in their compofure, as the lower belly, altogether flefliy, and the head all bony, by a medium partaker both of the bony and flefliy fubftance; which courft we fee it hath oblerved in the connexion of the fire and water,by the interpofitioil of the air ; of the earth and air,by the water placed between them. The Cheft is divided into three parts, the upper, lower, and middle; the coller-bones contain the upper; the Midriff the lower;and the St er non the middle. The Sternon in Galens opinion is compofed of feven bones, I belceveby reafon of the great ftature of the people that lived then. Now in our times,you ftiall oft find it compaft of three,four,or five bones, although we wil not deny, but that we have often obferved it(efpecially in young bodies) to confift of {even or eight bones. Wherefore thole who have fewer bones in number in their them larger,that they might be fufficient to receive the ribs. This is the common opinion of the Sternon, Yet Fdliopiuf hath defcribed it far otherwife; wherefore let thofe who defire to know more hereof, look in his obfervations. At the lower part of the Sternon, there is a grille, called commonly Furcula, and Malum the Pomgranate, becaule it relembles that fruit 5 others call it Cartilagp fcuti- formthat is, the breft-b lade. It The contai- ning parts of the Cheft. Why nature hath made the Cheft partly bony s partly grifly. The number of the bones of theSternoOi Cartilago fcutk' formis, rhe breft-blad?a 106 Of the Vitali parts Lib. 4. It is placed there, to be (as it were) a bulwark or defence to the mouth of the ftomac h, endued with moft exquifit fenfe; and alfo that it Ihoulddo the like to that part of the Midriff which the Liver bears up in that place, fituate above the orifice of the ventricle by the ligament coming between,defcending from the lower part of the fame grille into the upper part of the Liver. The common people think that this grille fometimes fals down. But it fo adheres, and is united to the bones of the Sternon3 that the falling thereof may feem to be without any danger, although oft-times it may be fo moiftened with watery and lerous humidities, with which the orifice of the ftomach abounds, that (as it were) foaked and drunk with thelc, it maybe fo relaxed, that it may feem to be out of its place; in which cafe it may be prelied and forced by the hand into the former place and feat, as alfo by applying out- wardly, and taking inwardly aftringent and drying medicines to exhauft the fuperfluous humidity. This Grille at its beginning is narrow,but more broad and obtufe at its end,fomewhat refembling the round or blunt point of a fword, whereupon it is alfo called Cartilage Enfi- formis,or the (word-like grille. In fome it hath a double,in others a fingle point. In old people, it degenerates into a bone. Now becaufe we make mention of this grille, we will lhew both what a Grille is, and how many differences thereof there be, that henceforward as often as we lhall have occalion to Ipeak of a grille, you may underftand What it is. A Grille is a limilar part of our bodies, next to a bone moft terreftriall, cold, dry, hard, Weighty, and without fenfe, differing from a bone in drinefs only, the which is more in a bone. Wherefore a Grille being loft, cannot be regenerated, like as a bone, without the interpofition of a Callus, The differences ofthefe are almoft the fame with bones, that is, from their confiftence, lubftance, greatnefs,number, lite, figure,connexion, aftion,and ufe. Omitting the other for brevity fake,I will only handle thofe differences which arife from fite,ufeand connexion. Therefore grilles, either adhere to the bones, or of, and by themfelves make fome part, as the grilles of the ey-lids called Ear ft? of the Epiglottis and throtle. And others which ad- here to bones, either adhere by the interpofition of no medium, as thofe which come be- tween the bones of the Sternon, thecoller-bones, the fhare and haunch-bones, and others; or by a ligament coming between, as thole which are at the ends of the baftard-ribs to the Sternon by the means of a ligament, that by thofe ligaments being fofter than a gride, the motions of theCheft may be more quickly and fafely performed. The grilles which depend on bones, do not only yeeld ftrength to the bones, but to themfelves, and the parts contained in them, againft fuch things as may break and bruifethem. The grides of the Sternon3and at the ends of the baftard-ribs are of this fort. By this we inay gather, that the grides have a double ule, one to polilh and levigate the parts to which that dippery fmoothnefs was neceflary for performance of their duty; and tor this ule lerve the grides which are at the joints, to make their motions the more nimble. The other ufe is to defend tholejparts upon which they areplaced,from externall injuries, by breaking violent aflaults, by fomewhat yeelding to their impreflion,no other- wile than loft things oppofed againft cannon-fliot. We wil prolecute the other differences of grides in their place, as occafion lhall be offered and required. What a Grille Is. The differences thereof. Their twofold ufe. CHAP. II. Of the containing and contained parts of the Cheft. The divifion of the Chert into its parts. He containing parts of the Cheft are both the skins, the flefliy Pannicle, the fat, the brefts, the common coat of the Mufcles, the mufcles of that place, the fore- mentioned bones, the fcoat inverting the ribs, and the Eiaphragma or Midriff. The parts contained are the the pericardium or purfe of the heart, the heartjthe lungs and their veflels. Ofthe containing parts, tome are common to all the body, or the moft part thereof, as both the skins, the flefliy pannicle and fat. Of which being we have fpoken in our firft Book, there is no need now further to infift upon: Others are proper to the Cheft,as its mufcles, of which we will fpeak in their place, the brefts, the forementioned bones, the membrane inverting the ribs, and the Diaphragma or Midriff. We will treat of all thefe in order, after we have firft fhewed you the way, how you may feparate the skin from the reft of the Cheft. Putting your knife down even to the perfect divifion of the skin, you muft draw a ftreight line from the upper part of the lower belly, even to the chin ; then draw another ftreignt line, overthwart at the coller-bones even to the flioulder-blades 5 and in the places beneath the coller-bones : (if you defire to fliun prolixity) you may at once feparate both the skins, the flefliy Pannicle, the fat, and com- mon coat of the mufcles > becaufe thefe parts were fhewed and fpoken of in the diflcftion ©f the lower belly, Yet L1 B.4. Contained in the Chejl, 107 Yet you muft reterve the brefts in diflc&ing of the bodies of women 5 wherefore from the upper parts of the brefts, as artificially as you can, feparate only the skin from the parts lying under it, that fo you may Ihew the Pannicle which there becopieth flelhy and mufculous, and is fo fpred over the neck and parts of the face, even to the roots of the hairs. C H A P. 111. Of the Brefts or Dugs, He Brefts, as we faid, when we (poke of the nature of Glandules, are of a glari- dulous fubftance, white, rare, or fpongious; in maids and women that do not give fuck, they are more folid and not fo large. Wherefore thebignefs of the Dugs is different, although of a fufficient mag- nitude in all. Their figure is round, fomewhat long, and in fome fort Pyra- midall. Their compofure is of the skin, the flefliy pannicle, glandules, fat, nerves, veins, and arteries, defcending to them from the Axil/aris under the betwixt the fourth and fifth, and fometimes the fixth of the true ribs. And there they are divided into infinite rivelets by the interpofition of the glandules and fat, by which fit matter may be brought, to be changed into milk by the faculty of the dugs. We will fpeak no more of the nature of glandules or kernels, as having treated of them before; only we will add this, that fome of the glandules have nerves, as thofe of the Brefts,which they receive from the parts lying under them, that is, from the intercoftall,by which it comes to pafs,that they have moft exquifit fenfe. Others want a nerve, as thole which ferve only for divifion of the veflels, and which have no action,but only ufe. They be two in number, on each fide one, feated at the fides of the Sternon upon the fourth,fifth and fixth true ribs. Wherefore they have connexion with the mentioned parts with their body, but by their veflels with all other parts,but efpecially with the womb by the reliques of the veins and arteries, which defcend down at the fides of the breft-blade; in which place thefe veins infinuating themfelves through the fubftance of the mufeles, are a little above the navell conjoined with the originall is in fome fort oppofite to the Hypogaftricks.) which fend forth branches to the womb. By the meeting of thefe it is more likely that this commerce (hould arife, than from other and thofe almoft capillary bran- ches,which are fometimes feen to defcend to the womb from the Epigafirick. They are of a cold and moift temper, wherefore they fay that the blood by being con- verted into milk * becomes raw, flegmatick and white by the force of the proper flefli of the dugs. Their aftion is to prepare nourifhment for the new-born babe,to warm the heart from whence they have received heat, and to adorn the breft. By this yoiu may know that, fome Glandules have aftion, others ufe,and fome both. At the top of the dugs there are certain hillocks, oreminencies called teats or nipples, by fucking of which the childe is nouriflied through certain finall and crooked paflages, which though they appear manifeft to the fight, whilft you prefs out the milk by prefling; the dug, yet when the milk is prefled out, they do not appear, nor fo much as admit the point of a needle,by reafon of the crooked ways made by nature in thofe paflages, for this ufe, that the milk being perfe&ly made, (hould not flow out of its own accord againft the nurfes will. For fo the feed is retained and kept for a certain time in the Proftats. Their fuB- fiance* Magnitude Figure. Compofure. Which Glan- dules have nerves, and which have none. Their con* nexion. How the brefltf and womb communicate each with other* Their temper* * faCftuhfitTC* Their aflion and ufe. The Nippies. CHAP. 11II. of the Clavicles3 or Coller-bones and Riis, F we fhould handle thefe parts after the common order, we fhould how treat of the Mufcles of the Cheft which move the arm, and ftrve for refpiration, and which firft offer themfelves to our fight. But for that, they cannot be fitly fhewed, unlefs we hurt the mufcles of the fhoulder-lade and neck, therefore I think it better to defer the explanation of theft Mufcles, untill fuch time as I have fhewed the reft of the contained and containing parts, not only of the Cheft, but alfo of the Head, that having finifhed theft, we may come to a full demonftration of all the reft of the muftles, beginning with thofe of the head, which we firft meet with, and fb proftcuting the reft even to the muftles of the feet, as they (hall ftem to offer themfelves more fitly to difleftion,that fb,as much as lyes in us, we may fliun confufion. Wherefore to return to our propoftd taskj after the forefaid muftles come the Coller- bones, the Sternon, and Ribs. But 108 Of the Vitali parts Lib. 4. But that thefe parts may be the more eafily underftood, we muft firft know what a bone is, afid whence the differences thereof are drawn. Therefore a Bone is a part of our body moft terreftriall,cold,dry,hard, wanting all ma- nifeft fenfe, if the teeth be excepted. I laid manifeft fenfe, that you may underftand that the parts have a double fenfe of touching, the one manifeft, fuch as refides in the fleffi, skin, membranes, nerves, teeth, and certain other parts; the other obfeure, yet which may fuffice to difeern the helping and hurting taftile qualities, fuch fenfe the bowels and bones have ; for very fmall fibers of the nerves are difleminated to theie parts by mediation of their coat, or membrane, I fay, fo fmall, that they can fcarce be difeerned by the ey s, unlefs (as Galen faith) by plucking fuch coats away from the parts. But it is no marvail if Nature would have thefe parts in like manner to have fuch fmall veins, contrary to the lungs and moft part of the mufcles, only to yeeld fo much nouriffi- ment to the part,as (liould be needfull ; for feeing the fubftance of the bones is cold,hard, denfe and folid, it waftes the lefs. Wherefore they need not fo much blood for their nouriffiment,as the hot and foft parts; and befides the lefler bones have neither veins nor arteries, but draw fit nourifhment, only by the force of the attractive faculty implanted in them. The differences of bones are taken from many things, as from their dpoptyfes, grilles, necks,heads,folidity,cavity,eminencics,marrow,confiftcnce,bignefs, number,figure, lite. We will profecute all thefe as they ffiall offer themfelves in the demonftration of the bones; to which do&rine we will give a beginning at the Clavicles or coller-bones. The Clavicles are two very hard and folid bones, without any great or notable cavity, lituate on each fide betwixt the fide and upper part of the Sternon and top of the ffioulder- blade, for theftrength and liability of thefe parts, whence they take the name of Clavicul# Clavicles, (from the Greek ***'*, which lignifies, a Key or any other Bar or faftning of a door.) They carry the lhape of a Surgeons Levatory. But you muft note that the Clavicles feem to be faftned to the Sternon by the mediation of a grilly bone.lVIoreover the fpace and cavity contained within the coller-bones is called by the Latins jugulum, by the French the upper furcula., becaufe the jugular veins pafs that way; it flicks to the upper procefs of the fhoulder by a Grille which Galen cals the fmall grille bone, although it be nothing elfebut a production of the Osjuguli. For the Sternon, which we faid is framed of divers bones, asfometimes 3, fometimes 4, 5,6,7, and fometimes S, you muft note they are very fpongy and full of pores, and of a far fofter confiftence than the coller-bones,wherefore more fubjeft to corruption; befides they are mutually joined by interpofition of mufcles. Their ufe is to be as a fhield to de- fend the vitall parts. The Ribs are 24 in number, on each fide 12. feven of theie are called true or perfect ribs, becaule they make a circle, at the one end joined to the Sternon, on the other to the ■vertebra's-, the other are called baftard or Ihort ribs,becaufe they fall ffiort. in their way and come not to the Sternon-, but they are faftned on the fore-fide to the Sternon by grilles and ligaments, but on the back-part to the tranfverfe vertebra's of the back-bone, and to the fides of the faid vertebra's. But the ffiort ribs are only knit to the vertebra's,wherefore that part of the vertebra's is called the root of the ribs. The exteriour or fore-part of the baftard or ffiort ribs is grilly, that they ffiould not be broken, and that they might be the eafier lifted up in the diftenfions of the ftomach filled with meat. They are of a confiftence fufficiently hard, yet more towards their root, than at the Sternon, where they come nearer together, and are more hardly broken; they are fmooth both within and. without, but in the midft they have fome fign of being double ; or hollow to receive the veins and arteries, which nouriffi their bony fubftance; they are faffiiioned like a bow; their ule is the fame with the Sternon,and befides to carry and ftreng- tben the mufcles ferving for refpiration. What a Bone is. A double fenfe Lib. I. de Licit afftdif. Why the bones have fnchfma! veins. Whence rhe difference of b®nes may be taken. The Clavicles or colier bone. Lib. ufii fMl. Clip. II. The Ribs. Their con- fidence* CHAP. V. 'I'heAnatomicall adminiftration of the Sternon He coat invefting the ribs, which the common Anatomifts call Pleura, is the lafi of the containing parts of the Cheft, which becaufe it lyes hid in the inner part thereof, it cannot be fhown unlefs by pulling afunder of the Sternon j wherefore We muft now fhew the manner of opening the Sternon, that hereby we may not violate the originall or infertion of any of the mufcles. Wherefore firft you muft under- ftand that he which will fhew in their proper place their oiyginall and infertion of the peftorall mufcles, of the Maftoides, of the two mufcles of the bone Hyoif, of the mufcles ought firft of all to feparate all the pe&orall mufcles from the Lib.4. Contained intheCbeft. 109 the Sternon and the grilles from the true ribs; then to cut the ligaments, next the bones themfelves, even from the fixth true rib to the clavicles. And then (hewing the Mediaftinum ftretched under the Sternon all the length thereof he muft feparate the Sternon with his knife, and bend it up to the clavicles,, and there cut it ' referving together with it the four mufcles,that is,the two Maftoides, and the two moving the bone Hyois, becaufe they either wholly or for the moft part arife from the fternon. " Laftly,the Clavicles being fomewhat thruft upwards,the grilles muft on each fide be tur- ned outwards towards the arm; that fo the containing parts of the Cheft may not only lye open to view, and be eafily (hewed, but alfo the mufcles may be contained in their place, untill they come to be (hewed in their order. And becaufe the coller-bones muft be lifted up very high, that the recurrent nerves may be more eafily feen,and the diftribution of the veins and arteries, the two final! fubclavian mufcles, one on each fide muft be (hown by the way, who have their original! from the inner and fore-part of the Clavicles, and an oblique defeent to the Sternon towards the gride of the firft rib. For the Clavicles cannot be thus feparated,but that thefe mufcles muft be violated and fpoiled. Alfo you may divide the Sternon in the midft,that you may lhew the inward pecto- ral mufcles whole,having feparated the mufcles which arife from the upper, part.All which things being performed as they ought,we muft come to the coat invefting the ribs,and then to the Mediaftinum, as arifing from it. CHAP. VI. Of the Pleura, or coat invefling the Ribs. He'tunica coat invefting the Ribs,being the laftof the containing parts of the Cheft,is a large and a broad membrane anfwerablc in proportion of tile and a&ion to the Peritoneum of the lower belly. For as the Peritoneum generally and particularly covers all the naturall parts, binding and holding them in their places,fo this coat invefts all the vitall parts in generail,becaufe it is ftretched over all the infide of the Cheft,but in particular whilft it gives each a coat from it ielf. It hath its original from the periofleum'(or as others Will have it,from the pericranium tjiri- veiling the vertebra's of the Cheft at the roots of the ribs.Wherefore it flicks very fail to the ribs,fcarce to be feparated,as alfo to all the parts bounding the Cheft, and contained in it. VefaliM reprehends he faid, that this was double on both fides; yet Columbus defends and verily it is feen to be double in the inner part of the Cheft,under the ribs and the mufcles of the ribs,that in that (pace there may be way for the veins, arteries, and nerves* Some have made it twofold, and divided it into the internal and extern al; as thole Wnich have made two forts of Plurifies, the true and baftard; placing the external above the RibS and intercoftal the internal under the ribs,mufcles, Viaphragma arid Sternon. But we,to fhun ambiguity,intend only to profecute thofe thirigs which are manifeft to the eys; wherefore we fay?, that the ribs are lined on the infide with a double coat; on which immediatly and firmly flicks to them on every fide called the perioflium, which is common to them and other bones. The other which lyes upon that periofleum, and on the infide invefts all the Ribs, whence it is called the jubcoflalis tunica. The fubftance,temper and compofure are the fame,as* in other membranes. The magnitude in length,as alfb the figure,is the fame with the com- pafs of the inner part of the Ch«ft, the thicknefs of it is very little. This coat is commonly called the Pleura,from the name of the part which it covers or lines, (for the Greeks call the ribs **■**(«•* ) and in like manner which happens betwixt the periofleum and this pleura* is called either a true or baftard Plurifie. What the 7 membrane in-; veiling the ribs is. * ' ' Its Whether, as th ere is a two • fold Plurifie, foalfot-fe ,,, double Plctsr<%' k tudc and figure CHAP. Vl I. Of the Mediaftinum. Ow we muft (peak of the parts contained in the Cheft, feeing we have already handled the containing,beginning with the Mediafiinum as being a part which in diffe&ion firft prefents it felf to our fight. The Mediaftinumisot the fame fub- fiance,thicknes,compofure3number.,temper.)as the Pleura,For the fiibftance'of th£ Mediaftinum is membranous5afid though it be ftretched al the length of the Cheft,yet it is of a final thickncs5receiving veins,nerves and arteries from al the parts to which it is knit,like as the pleura doth •, but efpecially from the mamillary veflels, defeending under the. fternon. It is in number one, but it is made of two membranes produced from theliibcoftall, for this afeending on each fide by the hollownefs of the Cheft to the/iernon, and then at right angles it is reflefted to the bodies of the vertebra's;, whence the pleura hath its original!. L Iia The fubftatlce aid magnitude 110 Of the 'Vitall partr Lib. 4. In that refle&ion there is fo much diftance between each membrane, as may be fufficient to receive two fingers.For otherWife,feeing that they cannot penetrate through the heart,it was fit each fide of the Pleura fhould turn to the Pericardium:, that fo they might arrive at the appointed place without offence. Neither yet is that fpace void and empty ,bufwoven with many fmall nervous fibers. Columbus adds, that that place is often filled with a certain humor befides nature,which you may draw out or evacuate by opening thefternon. Yet I would gladly learn whatfigns we may know that fuch an humor is contained there. For the figure,the Mediafiinum with the Pleura on each fide, reprefen ts the figure of a leather bottle, whofe flat fide is the other fide the Pleura-, th£ bottom that part of the Pleura which is next the Midriff; the mouth the upper part of the Pleura at the firft ribs. We fhewed the fite and connexion of the Mediaftinum, when we declared its originall. The ufe thereof is to feparate the vitall partsfas it were) into two cels,the right and left, that if peradventure it happen that the one be hurt,the creature may live by the benefit of the other. And it hath another ufe,which is to prop and hold up the that it fall not upon the heart with its weight,but toned with the motions of the heart and Cheft, it may move to this or that fide. The figure, The life. CHAP. VI II. Of the Diaphragma or Midriff, What the Midriff is. Lthough the Midriff may feem to be accounted rather a part containg than contained, yet for commodities fake we have deferred the demonftration thereof till now. Therefore it is a mufcle round and long, terminating the lower part of the Chert, It is of the fame fubftance,compofition and temper,as the muffles of the Epz- gaftriumy it is made of two coats,the lower whereof is from the Peritoneum, and the upper from the Pleura, Which getting to them flefh, but not there,but in their circumference, by the benefit of the blood brought thither by the veins and arteries diftr ibuted through it, turn into a mufcle, whole middle is nervous and membranous, but the extremities by which it is inferted, one while flefhy,as in that part next to the baftard ribs;another while tendonous,as where it touches the firft and fecond 'vertebra's of the loins,for it ends in them by two Tendons manifeft enough. It is one in number, interpofed with an oblique fite betwixt the naturalland vitall parts. It hath connexion with the lower part of the Ster- non and fhort ribs, and the two firft vertebra's of the loins,but by its coats and veffels with the parts from whence it received them. The extent thereof is equal to the compafs of the lower part of the Chert. The length of it is from the breft-blade, even to the firft and fecond vertebra of the loins. The thicknefs is diverfe,for it is far thicker in its flefhy extremity,than in its nervous original!. The Aftion thereof is to help the expulfion of the Excrements by the mutuall afliftance of the Epg<*yh7c/'mufcles,but the chief uff is for refpiration,of which it is one of the prime inftruments. This partition the Ancients called Phrenes, becaufe the inflammation thereof caufed like fymptomes as the inflammation of the brain,by reafon of the large nerves on each fide one,which come to it direftly and primarily from the third,fourth, and fifth ver- tebra of the neck.This mufcle differs from other mufcles,fpecially in figure. It is perforated in three places,to give way or paflage to the affendent Hollow-vein, to the artery Aorta9 and the Gullet. Its fubftance, compofition, &c« Quantity.] Aflion. Why the Dhphragma was called Irenes. CHAP. IX. Of the Lungs, Their fub- ftance. He Lungs are of a foft fubftance and flefh, rare and like a fponge, of a various colour pamered 5 their quantity is fufficiently large;for moft commonly they are divided into four lobes disjoined with a manifeft and vifible divifion, on each fide two,whereby they may be the more eafily opened and contracted ? and the air may the better enter. Befides alfo in large bodies,who have a very great Cheft, there is found a fifth lobe, ari- fing from the fccond lobe of the right fide,as a cufhionor bolfter to bear up the Hollow- vein afcending from the Midriff to the heart. In little men who have a fhorter Cheft, becaufe the heart is fo near as to touch'the Dia- fhragma, this lobe is not feen,yet it is always found in Dogs. The Lungs reprefcnt the figure or fhape of an Oxes foot or hoof, for like it they are thicker Quantity, The Lobes thereof. Figure. L i B.4. Contained in the Cbejl 111 thicker in their bafis,but flenderer in their circumference, as you may fee in blowing them up5by the weazon,with your mouth or a pair of bellows. They are compounded of a coat coming from the Pleura} which on each fide receives fufficient number of rierves from the lixth conjugation;and alfo of the Vena arteriofa coming from the right ventricle of the heart, and the Arteria venofa from the left, as (hall be (hewed in the Anatomy of the heart; befidcs the After a arteria or weazon coming from the throat;and laftly its own flefh,which is nothing elfe than the concretion of cholerick blood poured out like foam about the divifions of the forefaid veflels,as we have faid of other parts. The body of the Lungs is one in number, unlefs you will divide it into two, by reafon of the variety of its fite,becaufe the Lobes of the Lungs ftretched forth into the right and left fide do almoft involve all the heart, that fo they may defend it againft the hardnefs of the bones which areabout it, they are tyed to the heart,chiefly at its bafis,biit to the roots of the ribs, and their vertebra's by the coat it hath from thence; but by the veflels to thefts parts from whence they proceed. But oft times prefently from the firft and naturall con- formation they are bound to the circumference of the ribs by certain thin membranous produftions which defcend from thence to the Lungs,otherway s they are tyed to the ribs by the Pleura. , The nourifhment of the Lungs is unlike to the nourifhment of other parts of the body; for you cannot finde a part equally rare, light, and full of rare, which may be nourifhed with blood equally thin and vaporous. In temper they incline more to heat than to cold whether you have regard to their compofiire of cholerick blood, or their life, which is to prepare and alter the air, that it hurt not the heart by its coldnefs.The Lungs is the inftru- ment of voice and breathing by the weazon or wind-pipe. For the Lobes are the inftru- ments of voice, and the ligaments,of refpiration. But the Larinx or Throtle is the chief inftrument of the voice;for the Weazon firft prepares the voice for the Throtle,in which it being in fome meafiire formed,is perfected in thepalat of the mouth,as in the upper part of aLute,or fuch like inftrument,by the help of the Gargareon or uvula as a certain quil to play withall. But as long as one holds his breath, lie cannot fpeak; for then the mufcles of the ribs, the Diaphragmajand the are prefled down, whence proceeds a fiip- preflion of the vocall matter,which muft be tent forth, in making or uttering a voice. Nature would have the Lungs light for many reafons ; the firft is, That feeing they are of themfelves immovable,they might be more obfequious and ready to follow the motion of the Cheft; for when it is ftraitned, the Lungs are ftraitned and fubfide with it;and when it is dilated,they alfo are dilated, and fwell fo big that they almoft fill up all the upper capacity thereof. ' Another caufe is,That by this their rarity they might more eafily admit the entring air, at fuch times as they have much or fodain neceflity, as in running a race. And laftly, that in Plurifies and other purulent abfcefles of the Cheft, the Pm or matter poured forth into the capacity of the Cheft,may be fiickt in by the rare fiibftance of the Lungs,and by that means the looner lent forth and expeftorated. The ufe of refpiration is to cool and temper the raging heat of theheart.For it is cooled in drawing in the breath by the cool air,and in fending out thereof by avoyding the hot fuliginous vapor.Therefore the Cheft performs two contrary motions,for whilft it is dila- ted it draws in the encompafling air,and when it is deprefledjit expels the fuliginous vapor of the heart; which any one may eafily perceive by the example of a pair of Smiths bellows, Comp®fitiona' The flicking of the lungs co the ribs. Th a it noiarilfe ' merit. Why the iurig§ are light. re{ fpifatpn or breathing. CHAP. X. Of the Pericardium or Purfe «f the Pieart. He Pericardium is (as it were) the houfe of the Heart, which arifing at the bafis thereof (either the ligaments of the vertebra's fituate there,or elfe the veflels of the heart yeeldlng it matter)is of a nervou$,thick and denfelubftance without any fibers. It retains the figure of the Heartland leaves an empty fpace for the heart to perform its proper motions. Wherefore the bignels of the Pericardiuni exceeds that of the heart. It confifts of a double coat, one proper, of Which we have fpoken; another common, coming from the Pleura*, andalfo of veins, arteries, ahd nerves; the veflels partly Coming from the mamillary, partly from the chiefly there where it touches it; the nerves come on each fide from the fixt conjugation. It is only one, placed about the heart,and annexed to it at the bafis thereof By its mem- branes,to the originall of the LungS,and the vertebra's lying under them, and by the veflels to the parts from whence it received them. It is of a cold and dry temper, a» every mem- brane is. Theufe thereof is to cover the heartland prelerveit in its native humidity, by a certain 1 2 natural! Whence it hath its mattefi Number and connexion. ftfe, 112 Of the Vitall part? Lib. 4. natural! moifture contained in it, unlcfs you had rather fay that the moifture we fee con- tained in the Pericardium, is generated in it after death by the condenfation and concretion of the ipirits. Although this feems not very likely, becaufe it grows and is heaped up in id great quantity in living bodies, that it hinders the motion of the heart, and caufes inch palpitation or violent beating thereof, that it often fiiffocates a man. For this Palpitation happens alfo to hearty and ftout men, whole hearts are hot, but blood thin and waterifh, by reafon of fome infirmity of the ftomach or liver; and this hu- mor may be generated of vapors which on every fide exhale into the Pericardium from the blood boiling in the ventricles of the heart,where kept in by thedenfity thereof,they turn into yellowilh moifture,as we fee it happens in an Alembeck. Nature would have the Pericardium of a denfe and hard confidence, that by the force thereof the heart might be kept in better ftate;for if the Pericardium had bin bony,it would have made the heart like iron by the continuall attrition ; on the contrary, if it had been foft and fungous,it would have made it fpongy and foft like the lungs. From whence, the matter of the watery humor contain- ed in the 'PtitcArdiwn. The Confi* ftenee. CHAP. XXX. He Heart, the chief manfion of the Soul,the organ of the vital! faculty ,the begin- ning of life,the fountain of the vitall fpirits, and fo ccnfequently the continuall nourilher of the vitall heat, the firft living and laft dying; which becaufc it muft have a naturall motion of it felf, was made of a denfe, folid, and more compaft fubftance than any other part; of the body. The flelh thereof is woven with three forts of fibers, for it hath the right in the inner part defending from the bafis into the point, that they might dilate it, and fo draw the /blood from the Hollow vein into the receptacles thereof, and the breath or air from the lungs by the Arter id venofa; it hath the tranfverfe without, which pafs through the right at right angles, to contraft the Heart,and fo drive the vitall fpirits into the great Artery Aorta, and the cholerick blood to the Lungs by the Vena arterioja for their nourilhment; It hath the oblique in the midft to contain the air and blood drawn thither by the foremen- tidned velfels, untill they be fufficiently elaborate by the heart. All thefe fibers do their parts by contrafting themfelves towards their original!, a? the right from the point of the heart towards the bails, whereby it comes to pafs that by this contraftion of the fibers theheart dilated becomes fhorter,but broader,no otherwise than it is made more long and narrow by the contraftion ofithe tranfverfe,but by the drawing of the oblique, it islelfcnedin that part which looks towards-the^ernZ>r«\,which chiefly ap- pears in the point thereof. i : It is of an indifferent bignefs,but yet in feme bigger,in fome lefs,according to the diverle temper of cold or hot men, as we noted in the liver. The figure thereof is pyramidal!, that is, it is broader in the bafis,and narrower at his round point. It is competed of the moft dente flelh of all the body,by the affufion of blood at the divi- fions and foldings of the vefle!s,and there concrete,as it happens alfo to the other entrails. For the blood being there a little moredryed, than that which is concrete for the making of the Livcr,turns into a flefhy fubftance more denfe than the common flelh,even as in hol- low ulcers,when they come to a cicatrize. It hath the Coronall veins and arteries,which it receives either on the right fidejfrom the Hollow vein,or on the left from the bafis at the entrance of the artery Aorta. You can- not by yourey difccrn that theheart hath any other nerves than thole which come to it With the Pleura. Yet I have plainly enough obferved others in certain beafts which have great hearts, as fwine 5 they appeared feated under the fat which covers the veflels and bafis of the heart, left the humid fubftance of thete parts Ihould be diflblved and diffipated by the burning heat of the heart. Whereby you may perceive that the heat of theheart is different fronv the Elementary heat, as that which fufters fat to grow about this .entrail, where otherwUe it doth not concrete unlefs by cold or a remils heat, which thing is chiefly worth admi- ration. The Heart is one alone, fituate moft commonly upon the fourth vertebra of the Cheft, which is in the inidft of the Cheft. Yet fbme think that it inclines fomewhat to the left fide, becaufe we there feel the motion or beating thereof; but that happens by reafon of its leftventricle,which being it is filled with many fpirits, and the beginning or the arteries, it beats far more vehemently,than the right. It required that feat by the decree of Nature; becaufe that region is the moft fafe and armed,and befides it is here on every fide covered (as it were)with the hands of the Lungs. It hath connexion with the fore-mentioned Vertebra's, but by the parts compofing it, with thofe parts from whence it hath them; with the Lungs by the Vena arteriofa, and Of the Heart, What the heart is* andoi what fubftancc The three forts of fibers of the heart. Themagni* rude* Figure. Compofition. The proper veflels. The Nerves* Number and fire. Connexion. Lib. 4. contained in the Cbeft. 113 and th e Arteria venofa; and laftly, with all the parts of the body by the Arteries,which it fends to them all. It is of a hot and moift temper, as every flefliy part is. The aCtion thereof is, firft to pre- pare the blood in its right ventricle, for the fit no urifliment of the Lungs, for from hence it is that Galen faith, This right ventricle was made for the neceflity of the Lungs. Se- condly,to generate the vitall fpirits in its left ventricle for the ufe of the whole body. But this fpirit is nothing elfe than a certain middle fubftance between air and blood, fit to preferve and cany the native heat,wherefore it is named the Vitall,as being the adthor and preferveroflife. In the inner parts of the heart there prefent themfelves to our con fide - ration the ventricles and the parts contained in the ventricles and between them; fuch are the or valves, the veflels and their mouths, their diftribution into the Lungs, the wall or partition, and the two productions or Ears of the heart; which becaufe they are doubtfull,whether they may be reckoned amongft the externall or internal! parts of the heart, I will here handle in the firft place. Therefore thefe Auricula or Ears are of a foft and nervous fubftance, compact of three forts of fibers, thatfo by their foftnefs they might the moreeafily follow the motions of the heart, and fo break the violence of the matter eptring the heart with great force when it is dilated. For otherwife by their violent and abundant entrance they might hurt the heart, and(as it were) overwhelm and fuffocate it; but they have that capacity which We lee given by nature, that fb they might (as it were) keep in ftore the blood and air, and then by little and little draw it forth for the ufe or neceflity of the heart. But if any en- quire, if fuch matters may be drawn into the heart by the only force of the ad (h- $am vacuifor avoyding of emprinefs; I will anfwer, That that drawing in or attraftion as caufed by the heat of the heart,which continually draws thefe matters to it, no other- wife than a fire draws the adjacent air,and the'flame of a candle the tallow which is about the weik for nourifhments fake. Whilft the heart is dilated it draws the air, whilft it is drawn together or contracted it expels it. This mption of the heart is abfolutely naturall, as the motion of the lungs is animall. Some add a third caufeof the attraction of the heart, to wit, the fimilitude of the whole fubftance. But in my judgment,this rather takes place in that attraction which is of blood by the vena corona.es for the proper nourifhment of the heart, than in that which is perfumed for attraction of matters for the benefit of the whole body. Thefe Ears differ in quantity,for the is far more capacious than the left,becaufe it was made to receive a greater abundance of matter. They are two in number, on each fide one,fituate at the balls of greater at the entrance of the hollow vein into the heart, the lefs at the entrancejnnous and of the great Artery,with which parts they both have connexion. declared what ufe they have,that is, to break the violence of the matters, and to be ftays or props to the Arteria venofa and great Ar- tery, which could not. fuftain fo rapid and violent a motion as that of the Heart,by reafon of their tendernefs of fubftance. Temper and aflioni What rhlT vitall (pirit ii. The AuricuU Cordii ,or ears of rhe heart* Theirmaghi' rude and number. Their ufe. Of the ventricles of the Heart. THe Ventricles are in number two, on each fide one, diftinguilhed with a flefliy parti- tion ftrong enough, having many holes in thet fuperficies, yet no where piercing through. * The right of thefe Ventricles is the bigger, and encompafled with the fofter and rarer flefh; the left is the lefler, but is engirt with a threefold more denfe and compaCt flefh ; for the right Ventricle was made for a place to receive the blood brought by the hollow vein, and for diftributing of it, partly by the Pena arteriofa into the Lungs for their nourishment, partly into the left Ventricle,by (wearing through the wall or partition, to yeeld matter for the generation of the vitall fpirits. f Therefore becaufe it was fhould be fo great a quantity of this blood,it was likewife fit that there fhould be a place proportionable to receive that matter. And becaufe the blood which wafrtb be received in the right ventricle was more thick, it was not lb aieedfull,thaw$fe fleih to contain it fhould be fo compaftjbut on the contrary,the arterious blood and vital fpirit have need of a mon; receptacle,for fear of wafting,and left they fhould vanifh into air; and alfo lefs roonijthatfo the heat being united,might become thd ftronger,and more powerfully fet upon the elaboration of the blood and fpirits. Therefore the right Ventricle of the heart is made for the preparation of the blood ap- pointed for then ourifhment of the Lungs, and the generation of the vitall fpirits, as the Lungs are made for the mitification or qualifying of the Air. Which works were neceflary if the Phyficall Axiome be true, That like is nourifhed by as the rare and ipongious Lungs with morefubtil blood; the fubftance of the heart grofsand denfe,with the veinous blood as it flows from the Liver, that is grofs. And it hath its Coronall veins from the Hollow vein,that it might thence draw as much as fhould be fufficient. But the left Ventricle is for the perfecting of the vitall fpirit, and the prefervarioh of , the native heat, L 5 ' Of The partin' or between the ventricles of rhe heart. Why the right ventricle is more capacious & lefscompaft. Why the right ventricle is more capacious Srlefs compel The aftion'of rhe right ven- tricle. Theaftion ol rhe left ven. rriclc. 114 Of the Vitali farts LIB.4. Of the Orifices and Valves of the Heart, The ufesofthe four orifices of the Heart, THere be four Orifices of the heart, two in the right, and as many in the left ventricle; the greater of the two former givespaflage to the vein, or the blood carried by the hollow vein to the heart; the lefler opens a paflage to the vena arteriofa, or the cholerick blood carried in it for the nourifhment of the lungs. The larger of the two other makes a way for the diftribution of the Artery Aorta., and the vitall fpirit through all the body; but the lefler gives egrefs and rcgrefs to the Arteria venofa-fOr to the air and fuliginous vapors. And becaufe it was convenient that the matters fhould be admitted into their proper ventricles by thefe orifices,by the to wit,into the right ventricle by the greater orifice, and into the left by the lefler; and becaufe on the contrary it was fit that the matters fhould be expelled by the Syjiole from their ventricles, by the fore-mentioned orifices; Therefore nature to all thefe orifices hath put clcaven valves, that is to fay, fix in the right ventricle, that there might be three to each orifice; five in the left, that the greater orifice might have three,and the lefler two,for the reafbn we will prefently give. Thefe valves differ many ways: Firft, in aftion; for fome of them carry in matter to the heart, others hinder that which is gone out, that it come not back again. Secondly, they differ in fite, for thofe which bring in, have membranes without, looking in; thole which carry out,have them within looking out. Thirdly,in figure,for thofe which carry in,have a pyramidall figure, but thofe which hinder the coming back again, are made in the fhape of the Roman letter C. Fourthly, in fiibftance, for the former for the moft part are flefhy, or woven with flefhy fibers into certain flefhy knots ending towards the point of the heart; The latter are wholly membranous. Fiftly, they differ in number, for there be only five which bring in, three in the right ventricle at the greater orifice, and two in the left at the lefler orifice ; thofe which pro- hibit the coming back, are fix in each ventricle, three at each orifice. Laffly, they differ in motion; for the flefhy ones are opened in the diaftolefor the bringing in of blood and fpi- rit, and contrariwife are fhut in the that they may contain all or the greater part of that they brought in. The membranous on the contrary are opened in the fyfiole to give paflage forth to the blood and fpirits over all the body, but fhut in the that that which is excluded might not flow back into the Heart. But you fhall obferve that nature hath placed only two valves at the orifice of the Arteria venofa becaufe it was needfull that this Orifice fhould be always open, either wholly or certainly a third part thereof; that the air might continually be drawn into the heart by this orifice in infpiration, and lent forth by exfpiration in the contraction of the heart. Whereby we may gather this, that there is but one third part of that air we draw into the heart in breathing,fent forth again in the form of vapor in exfpiration, becaufenature would have but one third part of the orifice to lye open for its paflage out. Therefore the exfpiration or breathing out, and the fyftole of the heart and arteries,i,s fhorter than the infpiration, fo that we may truly fay,that the infpiration,or drawing the breath in, is equally fo long as the exfpiration is together with the reftjWhich is in the midft between the two motions. The Valves, How they differ. Aflion. Site. Figure.' SubRance. Number? Motion? Why there be only two Valves that Artfrit venefa CHAP. XII. Of the diftri but ion of the VenA Arteriofa > And the Arteria wenofa. Aving hitherto (hewed the originall of each of the veflels of the Heart, we muft now fpeak of their diftribution. The Vena arteriofa3or the ArterioUs vein; and the Art er i a venofa3or the Veinous artery, each proceeding out of his proper ven- tricle, that is, the right and left, are divided into two large branches; one of which goes to the right and the other to the left hand, the one lying crofs-ways over the other, the vein always riding over the artery, as you may underftana better by the fight of your eys,than by reading of books. Theft branches at their entrance of the lungs are di- vided into two other large branches,and each of them go to his peculiar Lobe of the lungs; and theft again run almoft into infinit other branches, difperfed in three places over the Lungs. Thefe veflels have acquired their names by reafcn of that tranfmutation of confiftence, whereby the compofure of a vein degenerates into an artery, and that of an artery into a vein, for the commodity of life. For this is a miracle of prudent Nature to change the coats of the veflels of the lungs; producing a vein which in its body fliould imitate an artery,and an artery which fliould repreftnt a veimfor if thd vena arteriofa fliould have retai- ned its proper confiftence, the arteriotis blood which is carried by it from the heart to nourifli the lungs,might by realbn of its (ubtilty penetrate through, and flow away by rea- son of the rarity of the veinous texture: and fo nature fliould never have attained her con- '• * ceived The artety always lyes under the vein* A twofold rcafon why rhe Vein was made arterious •r like an ar- tery. L1 B.4. Contained intbeCbefl 115 ceived end,that is,to nouriffi the Lungs, by reafon of the continual! motion of their contra- ction and dilatation. For nouriffiment cannot be aflimilated to the part, unlefs it be put and cleave to it. Wherefore it was fit, that nature ffiould make the body of this vein lolid, that it might be immoveable,unffiaken and ftubborn (in refpeft of a vein which by its foftnefs would have been too obfequious and yeilding to the agitation of the Lungs)that fo it might have nou- riffiment,which might be diflufed into all parts thereof, and which might neither be drawn by its diaftole, nor driven back into the heart by its fyftole. But the artery hath the confi- dence of a vein, that by that veinous foftnefs according to the neceffity of nature it might, be the more readily con traded and dilated, to bring the air in and carry the vapours forth of the heart. Here we meet with a difficulty, which is,by what way the blood is carryed out of the right into the left ventricle of the heart. Galen thinks that there be certain holes in the partition made for that purpofe; and veri- ly there are fuch,but they are not perforated. Wherefore Columbus hath found out a new way, which is,that the blood is carryed to the lungs by the vena arteriofa, and there attenuated and carried from thence together with the air by the Arteria venoja to the left ventricle of the heart; this he writes truly very probablely. Eot alius in his treatife de Catarrho hath found out a third way,to wit, a vein,which he cals Arter i arum wwtripc,that is, The nurfe of the arteries, which creeps a little above the Coronal! to the right ear of the Heart,and then goes into the left ear thereof. But yet I am very much afraid,that this vein obferved by Bo- talliM') is that veflel obferved by Fallopius whereby the Fam arterialis is joyned to the Aorta., and by which all the vitall blood is carried for the forming and nourifhment of the lungs whilft the infant is yet in the womb. Of which alfo G?/ew'makes mention,but it had lain hid from his time to this day,but that Fallopius railed up the memory of it again. Why rhe Ar- tery was made like a Vein. By what way blood may pafsourof the right into the left ventricle. The vein cal- led the nurfe of the arteries. FaUop. initio tt» Gal de ufo CHAP. XIII. The distribution of the afcendent Hollow vein. He Hollow vein riling out of the gibbous part of the Liver,and refembling (ac- cording to Galen) the body of a tree,is divided into two notable branches,but not of a like bignefs. For the greater, by the hind part of the Liver upon the back bone & by the way,receives certain other branches from the fubftance.of the Liver which ent red not into the great trunck with the reft. You may often fee this defcendent branch even to the back bone upon which it lies in this its defcent, co- vered with the fubftance of the liver,fo that it may teem that branch proceeds not from that common trunck together with the afcendent, although indeed it alwayes doth. But the lefler branch ateends to the upper parts, and is diftributed after this manner following.For firft arifing into the midriffe it beftows two finall veins upon it, on each fide one, which from that part are called Phrenic*. But from thence when it arrives at the right Ear of the Heart, it makes the the Coronall or Crown veins,which compafs the bafts of the heart in manner of a Crown. Thirdly,entring fbmewhat more deeply into its right Ear,in its greater part it produces thew arterio/a. Fourthly, lifted up abovethe heart, on the right fide it produces the vein Azygos or fine pari (that is,without a fellow) which defending to the fourth rib , (reckoning from above nourilheth the in- tercoftall mufcles and alfo the membranes of the eight lower ribs,on both fides, fending a branch into each of the mufcles at the lower part of the rib, which may be fufficient for their nourilhment. Befides alfo oftentimes,efpecially in little men, this vein Azygos nou- nlhes all the fpaces between all the ribs by the like branches, which it fends in the fame manner to the four upper ribs. Moreover alfo this Azygos fometimes,though but teldome, is found double, that is, on each fide one. Here you muft chiefly obferve, that this vein after it hath nourilhed the fpaces between the lower ribs, in its remainder defcends under the Diaphragma and is joyned on the left fide to the Emulgent vein; by which it is manifeft how an Abfcefs may be critically evacuated by the urine, in a plurifie. But this fame Azy- gos is more deprefled on the right fide,and meets with the Ven* lumbares 3hut efpecially with one of them,which goes down to the thigh , whereby Fallopius gathers that it is very con- venient in the beginnings of Plurifies to open the vena the vein of the Ham. Fifthly above the Azygos (when it is wanting there) it tends forth the branch called Intercoftalis to the other fpaces between the upper ribs ; although this is fometimes teen to come from the AxillaresjMch Sylvius cals the fabclavi*. Sixtly,it brings forth the Mammarte-fo called, be- caufe in their greater part they run to the dugs between the fourth and fifth ribs , for the utes formerly mentioned; men and women have on each fide one of thete coming from the Subclavi*. They are fometimes found to proceed by a certain common orifice from the hollow vein,before it be divided into the Subclavian branches, <but it is rather in beafts than in men ; thete veins defeending by the fides of the fternon yeild nourilhment to the two inner mufcles of the cheft,to the feven intercoftall mufcles of the true ribs/o the fternon it telf and to Gal.lib deform-, foetWi The greater dependent branch of the hollow vein. The upper branch of rhe hollow vein is the lefs. Vena phrenic a, Corenalesi Vena Arter zofa. Vena .fine pari» This fometimcs two. How rhe mat- ter of a plurifie may be evacua - ted by urin. Interccjlalis. MdmirArifa 116 Of the Vitali parts Lib. 4. to its ligaments and griftles,as alfo to the Mediaftinum & the upper part of the right mufcles, and the adjacent parts. Seaventhly,it produces the Cervicalis, which on both tides through the holes of theproduftions of the Vertebra's of the neck, afcends to the head,fending many fmall branches into the Ipinall marrow through the holes by w.hich the nerves pafs,and al- fo into the membranes, ligaments, griftles, bones, and neighbouring mufclts. Eightly, the Mufculofa of mufculous, which alfo arifing out of the Subclavie is divided into two other branches,the one whereof goeth upon the breftto the paps nourithing theforemoft mufcles; wherefore in abaftard plurifie cupping-glafles may be fitly applied in this place. The other branch defcends to the upper mufcles of the cheft,but fpecially to that which is called Latifimus. The tenth is the Axillaris. The eleventh the which we will treat in their place. The twelfth and laft is the lugularlf properly fo called, which is two- fold,the internail and externall. The intemall being the leflcr doth prefently on both fides from this very beginning afcends by the fides of the After a Arter ia or weazon even to the mouth and skull, yeilding nourilhment to the parts by which it pafles,as to the next mem- branes and nerves. But when it comes to the bafts of the Cranium it is divided into two branches, the greater whereof going back along the bafts of the Cranium to the hind part thereof, fending a branch to the long mufcle lituate upon the cefyhagufftt enters the Cranium with the (mail Carotides through the hole of the nerves of the fixt conjugation, where they become one common veflell. The leflcr lending a flip to the organ of hearing by the hole called Caecum (or the blind) alfo enters the Cranium and is fpent in the thicker meninx neer to the hole of the third and fourth conjugation of nerves .The externall Jugular vein being greater and fairer,moft commonly fimple,yet fometimes double,either prefently at his be- ginning,or a little after,afcends luperficially on both fides of the neck, between the broad mufcle,or flefhy pannicle,being there eafie to be difcerned,and other mufcles fituateat the fides of the neck,into which as alfo into the skin it fends certain branches for nourilhment. The Figure of the hollow vein whole and freed from the reft of the body. Ctrvicdie Jdufiubfi. In what place cupping glaffes may be fitly applyed in a baftard pluriGe. Axillaris. Humertlif* ingulctrif inter* na,externib Into what part* the Ingn/arir interna goes, 'into what parts the ingularis externa goq. A, The trunk ot the hol- low vein. The lower this place of the Liver, is feated the left part of the vein, anddi- ftributeth branches to the left fide. B, Sheweth how the trunk of the hollow vein in the cheft (to give way to the heart) is curved or bowed to the right hand. Betwixt A.and B. that part of the hollow vein which is betwixt the gibbous fide of the Liver and the Midriffe. C, The left midriffe vein called Pbenica /iniftra , from which furcles do run in a man unto the purfs of the heart, for the midriffe and it do grow together. P. The orifice of the hol- low vein which groweth unto the heart. E. the crown-vein called coronatia 9 which like a crown compaffeth the bafis of the heart, and fprinkleth his furcles on the outfide thereof as far as to the cone or point. FF. The trunk of the vein Azygos or non parity defending along the right fide of the rack- bones unto the loins. GG.the lower intcrcoftal veins,to the branches of the vcinJ^gw3whichgo unto the diftan- ces Lib. 4. contained in the Cbefl. 117 ces betwixt the ribs,and afford farcies unto the mufcles which lie upon rhe ribs and the rack-bones, and the membranes of the cheft. H. the divifion of the hollow vein into two fabclavian trunks near the lugulum under the breft-bone. II. the fabclaviari branch tending on either fide unto the arm; called by fame Axillarw. K. the upper intercoftall vein which commonly fendeth three flips unto the diftances of the upper ribs, unto which the firft intercoftall vein lent no branches. LL. the defeending mammary vein: this defeend- eth under thebreft-bone unto the right mufcles of the Abdomen, andaffordeth farcies to the diftances of the griftlesof the true ribs, to the Mediaftinum, the mufcles that lye upon the breft and the skin of the Abdomen. M.the conjunftion of the mammary with the Epigaftrick vein afeending about thenavill under the right mufcles. N. the vein of the neck called Cer- •uicalit, afeending towards the skull,which alloweth furcles to thole mufcles that lie upon the neck. 0. the vein called Mufcula, which is propagated with many furcles into the mu- fcles that occupie the lower parts of the neck and the upper parts of the theft. P. 'Ikoracica faperior, the upper cheft vein which goeth to the mufcles lying upon the cheft, to the skin of that place and to the dugs. double Scapulars diftributed into the hollow part of the flioulderblade and the neighbour mufcles: fa alfa betwixt P. and R. fometimes fmall veins do reach unto the glandules that are in the arm-holes. R. 'Ihoradcd inferior running downward along the fides of the cheft, and efpecially diftributed into the mufcle of the arm called LatifJiniM. S, the inner Jugular vein which entreth into the Scull after it hath be- flowed fame furcles upon the rough artery X the externall Jugular vein. F. the divifion of this vein under the root of the ear X. a branch of the externall Jugular which gbeth into the infide of the mouth, and is diverfly divided into the parts therein contained. T. the ex- terior branch diftributed near the Fauces into the mufcles of the chops and the hole skin of the head. Z. a portion of the branch, y. reaching unto the vein of the fore-head. 4. a portion of it creeping through the temples. * a propagation that goeth unto the skin of the Nowl or Occiput.a.a.the vein called or the externall vein of the arm which others call Hunter aria.b3 Mufcula fuperior, a propagation of the Cephalica vein which goeth unto the backward mufcles of the neck. Betwixt b. and rf. on the backfide ifliieth a branch from the Cephalica which pafleth unto the outfide of the blade,and a portion thereof runneth betwixt the flelh and the skin. J. d. a vein from the Cephalica which attaineth unto the top of the fhoulder,and is confumed into the mufcle that elevatethor lifteth up the arm„ and into his skin. e.e. a fmall vein from the Cephalica difperfed through the skin and the mufcles of the aim. f. the divifion of the Cephalica into three parts, g. the firft branch rtm- neth deep unto the mufcles which arife out of the externall protuberation of the arm./?. the fecond branch which goeth to make the median vein. i. i. the third branch tunning oblique- ly above the wand and the outfide of the from thisbranch certain circles are divided into the skin, the chief whereof is marked with k. I. the third branch at the wrift Which is joyned at /. with the branch of the Bafilica marked with x.m. the Bajilica which on die right hand is called Hepatica, on the left hand Lienarif. n. o. a branch of the Bajilica going to the heads of the mufcles of the cubit at n. and to the mufcles themfelves at o.p. a notable branch of the Bajilica running obliquely, and beftowing furcles upon the mufcles that ifliie from the externall protuberation.This branch defeendeth together with the fourth nerve.q. divi- fion of the Bajilica into two branches and that is noted with <y.is ever accompanied with an artery, f. a branch of this vein beftowed upon the skin of the arm. t. a branch of the Bajilica which together with the branch of the Cephalica marked withfc. makes the mediana dle vein marked with a.u. a branch of the Bajilica going to the inner head of the armj xx. a branch ifliiing out of the former that creepeth along unto the Wrift1 and toward the little finger conjoyning it felf with a branch or the Cepbd/icrf.y. A vein running out tintx> the skin at the outfide of the cubit. Upper «. a propagation ifliiing Out of a branch of the Bajilica marked with t. lowers, a branch of the Bajilica. x3 going to the infide of the Arm- the Median or common vein. the partition of the Median vein above the wrift: This divifion Ihould have been made above ?>>»the Externall branch of the parrition which goeth to the outfide of the head. & from which ifliieth a fmall branch to the infide. <» the internall branch under which toward the middle and the ring Specially difi pofed. i the vein of the thumb difperfed into themountenet er which is con- joyned with the branch noted with the trunk of the hollow vein from which iflue branches unto the parts feated under the liver. •* the fatty vdn called Adipofa Jtnijlra , ' which goeth unto the fat of the kidneys. the two Emulgen3 which lead wheyey blood unto the kidneys. the two fpermaticall veins' leading tle matter of the feed lintdthe tefticks. the beginning of the bodden veflell called lb the veins of the loins called Lumbares3 which are fent in the knots or Wecs to the rackbones, to the mar- row of the back, to the mufcles that lie upon the lok'S? and to the Per Bornum.0, the bifur- cation of the hollow vein into the Iliack brancK'S,which bifurcation is not uiilike. Mufcula juperior3 a tranfverfe branch going to me mufcles of the and fa' the Peritoneum. the divifion of the left Iliack veir3 into an inner branch at?, and an utter at*>'r' Mujcula media the utter propagation of-fte branch b diftributed through the mu- fries of the coxa and the skin of the bur-ocks,an inner propagation of the fame branch, 118 Of the Kit ail parts Lib.4. branch f» which goeth unto the holes of the holy bone. the vein called Sacra, which goeth to the upper holes of the holy bone. x 4, the vein Hypogaftrica diftributed to the blad- der, to the muffles of the fundament, and the neck of the womb."* a vein arifing from the utter branch marked with o-, which is joy ned with fome branches of the internail vein, near the holes or perforations of the fliare-bone. 3 i. a vein which when it hath palled the lhare-bone diftributeth one branch into the cup of the coxendix and to the mufcles of that place, x, another fmall branch which runneth under the skin at the infide of the thigh. the congrefs or meeting of the forefaid vein, with a branch marked with char. 2. and di- ftributed into the leg. 1, a propagation of the utter branch perfo- rating the Peritoneum, whereto as alfo the mufcles of the Abdomen, and the skin it ofleretli branches, the chief branch of this vein is joyned with the defcending mammary above the navill at M. Pudenda an inner propagation of the branch. running overthwart unto the privities. Saphena or the ancle vein or the inner branch of the crurall trunk, which creepeth through the infide of the leg under the skin unto the tops of the toes. A> the firft interior propagation of the Saphena offered to the groin, s, the utter propagation there- of divided to the forefide or outfide of the thigh, n, the fecond propagation of the Sa~ phena going to the firft muffle of the leg. the third propagation of the Saphena going to the skin of the whirle-bone, and unto the ham. v the fourth propagation of the Saphena dilperfing his muffles forward and backward. branches from this unto the forefide of the inward ankle, to the upper part of the foot,and to all the toes. Sii Ifchiar minor , called allb Mufcula interior the utter branch of the crurall trunk divided into the muffles of the coxendix,and to the skin of that place. 1,2,and this alfo may be called mufcula. i, the exterior and leller which pafleth into lome muffles of the leg. 2,the interior greater and deeper unto the muffles of the thigh. 3,4, the vein called Poplitea, made of two crurall veins divided under the knee.5, From this a furcle is reached upward unto the skin of the thigh.6,but the greater part runs by the bent of the knee under the skin as far as the heel. 7, alfo to the skin of the outward ankle. 8, the vein called Sural# or calf vein,becauff it runneth unto the muffles that make the calf of the leg. 9,Thedivifion of the Surallvein into an exterior trunk 9, and an interior 14. 10,11 , the divifion of the exterior trunk under the knee into an externall branch, which along the brace attaineth unto the muffles of the foot. 11, and an internail. 12,13,12,13 .which defcending along the out- fide of the leg to the upper part of the foot is cloven into divers branches, and in the back of the foot mixeth it felf with Poplitea, or the ham vein. 20.14. t^ie interior branch of the Surall vein which runneth into the backfide of the leg, 15, a branch hereof defcending to the infide of the heel and the great toe,and is divided into divers fiircles. 17, Ifchias major ifluing outoftheinternall trunk at 14, and running through the mufcles of the calf. i8,a propagation hereof derived unto the upper part of the foot,and affording two fiircles to every toe. 19, the remainder of the inner trunK. 14. behind the inner ankle, approach- ed! to the bottom of the foot and is confiimed into all the toes, 20, the commixion of the vein Poplitea with the fmall or calf-branch at 13. But when it arrives to the bafis of the lower part of the head, it is divided into more branches,one whereof is carried to the mufcles of the bone Hyois,the Larinx,the tongue and the lower part of the tongue (in which place it is commonly opened in the fquinances,and other inflammations of the mouth) and to the coat of the nofe. Another is carried to the Dura mater, parting on both fides through a hole lituate under the bone maftoides, and be- fides, aff ending to the bone of the back part of the fcull, it comes obliquely to the upper part of the future lambdoides, where thefe branches meeting together, pafs into the re- duplication of the Vuta mater,dividing the fore-part of the brain,that fo joined and united, they may make the torcular5 the third affendent is diftributed upon the back-part and bafis of the lower jaw, to the lips, the fides of the noff, and the mufcles thereof 5 and ■ in like manner t<» the greater corner of the eyes,to the fore-head and other parts of the face, and at length by meeting together of many branches,it makes in the forehead the vein which is called •vena Or fronts, that is,the forehead vein. The fourth affending by the glandules behind the ears, after it hath fent forth'many branches to them, is divided into two others, one parting before, and the other behind the ear, are at length 1 fpent in the skin of the head. The fifth and laft wandring over all the lower part of the head, going to the back pjrt thereof, makes the vena pup#,which extended the length of the head by the fagitall future, at\.ngtft gOeth fo far, that it meets with the vena frontis, which meeting is the caufe, that a vein opened in the forehead, is good in griefs of the hinder part of the head, and fo on the contrary. gut we muft obffrve that in the Cranium of fome, the vena pupis by one or more manifeft pd&.&es lends fome portion thereof to the inner part of head, fo that the vena pupis being opened majjc pcvulfion o»f the matter which caufeth the internall pains of the head, i CHAP. Whe re the external! jwgu* Jar vein may be fitly opened in inflammations' of the parts of the mouth* ] Vena pUpisi Lib. 4. contained in the Cbeft. 119 CHAP. XHII. The dift rihution of the Nerves, of the fixth conjugation. foaufe the diftribution of the arteries cannot be well fhewed, unlefs we violate thofe nerves which are carryed over the Cheft,therefore before we fhew the di- ftribution of the arteries,we will as briefly as we can,profecute the diftribution of theft nerves. Now the fixth conjugation brings forth three pair of nerves; for palling out of the skul, as it comes down to' the Cheft, it by the way fends forth fome branches to certain mufcles of the neck,and to the three afeendent mufcles of the Larinx on each fide of the Sternon and upon the clavicles. Then the remainder defeending into the Cheft, is divided on each fide into thefe three pair. The firft pair makes the Rams coftalis. The fecond,theK<wn# recurrent. The third pair, the Ramus ftrniachicus. The Ramus coftalis,or coftall branch is fo called, be- caufe defeending by the roots of the ribs, even to the holy bone, and joining themfelves to thefe which proceed from each of the Vertebra's of the Ipine, they are carryed to all the naturall parts. The Recurrent.) or recurrent is alfo ealled, becauft as it were ftarting up from the cheft,it runs upward again,but thefe two Recurrent nerves do not run back from the fame place; but the right from below the artery, called by fome the axillary, by others Subclavian,and the left from beneath the great artery,defcending to the naturall parts.But each of them on each fide afeending along by the weazon,even to the and then they infinuate them- felves by the wings of Cartilago feutifarmland Thyroides into the proper mufcles,which open and flint the Larinx. By how much the nerves are nearer the originall,to wit, the brain, or fpinall marrow, they are by fo much the fofter. On the contrary,by how much they are further abfent from their originall, they are fo much the harder and ftronger, which is the reafon that Nature would have thefe recurrent nerves to run back again upwards, that fo they might be the ftronger to perform the motions of the mufcles of the Larinx. But the Stomachics or fto- mach-branch is fo called, bccaufe it defeends to the ftomach or ventricle. For this branch defeending on both fides by the fides of the gullet, ftnds many branches from it ■ into the inner fubftance of the lungs, into the coat thereof, into the Pericardium and heart; and then coming into the upper orifice of the ftomach, it is fpent in many branches, which fol- ded after divers manners and wayes, chiefly makes that mouth or ftomach, which is the feat of the Animall appetite(as they term itand hunger, and the judger of things conveni- ent or hurtfull for the ftomach. But from thence they are diverfly diueminated over all the body of the ventricle. • 1 Moreover the fame branch fends forth fome finall branches to the liver and bladder of the gall, giving each part by the way, fo much ftpft as fhould be fufficiently neceflary for it; Here you muft note, the ftomach branch defeends on each fide one, knit to the gullet, and by the way they divide themfelves into two branches, each of which goes to theoppofite fide,that it may there join it ftlf to the nerve of that fide. To which purpofe the right is carried above the gullet,the left below it, fp that theft two ftomatick become four, and a- gain thefe four preftntly become two. Three pair ©f nerves ofrhe fixe conjugati- on. Ramm Coftalis Recurrent An anatom icai Axioms* Why nature would have the vocall nerves recurrent. Rama ftomK chicusi CHAP. XV, The Divifion of the Arteries -Jc Artery arifing forth of the left ventricle of the heart, is prefently (the two Coronall Arteries being firft fpred over the fubftance of the heart)divided into two unequall branches. The greater whereofdefcends to the lower parts,be- ing diftributed,as we formerly mentioned in the third book, and 22. Chapter. The lefferafcendingto the upper parts,is again divided into two other une- qual branches,the leffer of which afcending towards the left fide,fends forth no artery from it, untill it arrive at the rib of the Cheft, where it produces the fubclavian artery, which is diftributed after the manner following. Firft, it produces the intercoftall, and by it imparts life to the three intercoftall mufcles of the four upper ribs,and to the neighbouring places. Secondly, it brings forth the Mammillary branch, which is diftributed as the Mammil- lary vein is. Thirdly, the which afcends along the neck by the tranfverfe productions to theDura ■maters being diftributed as the Vena Cervical# is. Fourthly, patting out of the Cheft/rom the back part of the Cheft,it fends forth the mu- fc«lop,whereby it gives life to the hind mufcles of the neck,even to the back part: of the head. Fiftly, The left Branch ofcheafcendent artery is lefs then the righty The diftributi- on of the left fubclavian ar- tery into they I In ter coft alii. 2 Mammiria. 3 Ceri>icalis, 4 Mufculofa, 120 Of theFitallparts Lib.4. Fiftly,having wholly left the Cheft, it fends forth the two or fhoulder arte- ries,the one whereof goes to the mufcles of the hollow part of the fhoulder blade,the other to the joy nt of the arm and the mufcles fituate there, and the gibbous part of the (houlder blade. Sixthly and laftly, it produces the Dhoracica,which alfo is twofold, for the one goes to the fore mufcles of the Cheft, the other to the we laid of the vein, the remnant of it makes the Axillaris of that fide. The other greater branch likewife afcending by the right fide,even to the firfl rib of the Cheft,makes allo the fubclavian of that fide, which befides thofe divifions it makes on this fide, like thofe of the left fide, hath alfo another which makes the right and left Carotides or fleepy arteries; which afcending undivided with a nerve of the fixth conjugation and the internall jugular vein, by the fides of the Afar a Arter ia or windpipe, when they come to the Pharinxfaiey are divided on each fide into two branches,the one internall, the other externall. The internall and greater is fent to the tongue; then entring into the head by the long hole and the back part of the upper jaw, it fends many branches to the nofe,eyes,the infide of thetemporal mufcles and to the Crafa mater :the remainder of this branch going by the fide holes of the fame, that it might there make the Plexus admirabilis as we fee.And then it is fpent upon thebafis'of the brain abundantly diffu- fed over the tenuis meninx or Pia mater,8c then the membrane or Plexus Choroides.The external or lefler branch of the fleepy arteries goes to the cheeks,the temples, & behind the earsjlaft- ly,it fends a branch into the long mufcle of the neck,with which the internal Jugular vein infinuates it felf into the Dura mater 3 entring by the hole of the nerves of the fixth con- jugation. Hume}aria du' plex. 6 Thoracica du- plex. The diftributi* on of rhe right fubclavian artery. The Carotides, or fleepy arte- ries. Their divifion. Thediftributi- onofthe inter- nal! branch of the fleepy arteries. To what parts the external! branch of the fleepy artery arrives. The Figure of the Arteries. A. The orifice of the great Ar- tery 5 or the beginning there- of, where it ilfueth out of the heart. B. Coronaria, id called, becaule like a crown it compafleth the bafis of the heart. C. divifion of the great 'arte- ry into two trunks, V. i. D. The left fubclavian climbing obliquely upward unto the ribs. E. the upper in tercoftall artery, or a branch which beftoweth four propagations unto the diftances of the lower rib. F. The neck artery which through the tranlverle procef- fes of the rackbones of thf neck, attaineth to the Icull, bellowing farcies unto the marrow and his neighbour mulcles. G. The left Mammary artery running under the breft-bone, and to the navill. It diftributeth farcies to the Me- diaftinum, the mufcles of the breft, and of the Abdomen. H. Mufcula, or a branch attaining to the backward mufcles of the neck. I. The Scapular arteries which go unto the hollownefs of the blade, and of the mufcles that lie thereon. K. Hutner aria which climbeth o- ver the top of the Ihoulder L. Thoracic a Superior 3 Iprinkled unto the forward mulcles of the Cheft.M.Tborrfczca inferior $ which palling along the fides of the Cheft, attaineth to the broad mufcles of the arm. N. the axillarie artery running out into the arm and affording branches unto the mufcles thereof. O, A branch reaching to L1 B.4. Contained in tbe Cheft 121 to the outfide of the cubit lying deep.PP.Branches to the joint of the cubit with the arm. Qjhc upper branch of the artery running along the Radin and offering farcies to the thumb, the fore-finger,and the middle A furcle creeping unto the outfide of the hand,and led betwixt the firft bone cf the thumb and that of the after-wrift, lupportctfi the fore-finger where we ufe to feel the pulfe. S. the lower branch of the artery running along the Vina and communicating farcies to the little finger,the ring finger,and the mid- dle finger. * A little branch unto the mufcles about the little finger.T. thediftribution of the upper and lower branches into the hand and the fingers. V. the trunk of the great ar- tery afeending to the Jugulum, and the divifion thereof in that place into X,T,Z. X-the left Carotis or fleepy artery. T. Subclavian dextra is divided into branches,as the right is divided. Z. Carotid dextro,called alfo Apqlefiica andLithargira. a. the divifion of the left Qtrotis in the chops, b. the exteriour branch of that divifion going into the face, the temples, and behind the ears. c. the inner branch going to the throttle, the chops, and the tongue, d. the divifion hereof at thebafis of the skull,into two branches which enter the Jinn of the 'Dura mater, e.a propagation of the branch b. unto the mufcles of the face. f. the diftri- bution of the branch b. under the root of the ear. g. the fore-branch hereof creeping up the temples, h. the back branch running on the backfide of the ear under the skin. z. the trunk of the great artery ,dcfcending unto the fpondells of the back, ffD the lower Inter- cojlall arteries which go unto the diftances of the eight lower ribs, from whiefi are offe- red furcles to the marrow, and to the mufcles that grow to the back and to the Cheft. I. the artery pf the midriffe called Phxonica or Diaphragmatica. ( , Mefenterica Su- perior but you mujft note that above £, the trunk of the Cadi a call artery is taken away,left the multitude ofletters in fo fmall a Table fhould breed obfeurity. «,9,the right and left emulgents running from the Aorta or great arterie unto the kidnies. kk ,the fper- maticall arteries on either fide going to the tefticles. a, the lower Meientericall artery on the left below p, running efpecially into the Colick gut on that fide. w, the arteries cal- led Lund ares,which run overthwart and like knees, affording furcles to the mufcles that grovy to the loins, and to the Peritoneum. v. the lower; Mulcula fuperior running into the fides of the Abdomen and the mufcles. vv. the bifurcation of the great artery into two trunks, and at the fides, but fomewhat inward are branches which make thofe that are cal- led Sucre. T. the divifion of the left trunk into an inner branch at $ and an utter at 9. %. the inner branch, 0, Mufcula inferzor,the utter propagation of the inner branch going unto the mufcles which cover the branch bone and the Coxendix. it. Hypogaftrica,the inner propagation of the inner branch going to the bladder,the yard and the neck of the womb, f. the umbilical 1 artery. *. the remainder of the branch £, afluming an addition from the utter branch neer ?, and fo falling through the hole of the fhare-bone into the leg. t. Epigaftrica, it afeendeth upward unto the right mufcle of the Abdomen, and about the navellisjoyned with the mammary artery, v. Pudenda, it creepeth overthwart the fhare-bone. p. the Crurall trunk without the Peritoneum. X. Mufcula cruralit exterior, going into the fore mufcles of the thigh. 4- Mufcula cruralis interior,going unto the muffles of the ipfide of the thigh. w.Thc conjun&ion of this artery with the branches, T.Poplitea,going to the muffles on the backfide of the thigh.A which communicateth fmall branches to the joint of the knee, and the mufcles that make the calfe of the leg. 6. the divifion of the Crurall artery under the ham into three branches. A. 'fibiea exterior, it accompa- nied! the brace-bone, and is confumed into the mufcles. 5. the chief part of the cru- ral! artery. 3. the upper and backer cTibi£a. n$. the lower and backer T'ibiea running unto the upper fide of the foot at T. a propagation of the crurall artery going to the inner and upper fide of the foot, and fprinkling a branch unto the ankle, ft. a propagation unto the lower part of the foot which affordeth furcles to each toe. But we muft note that there be more veins"in a mans body#than arteries,and befides that the veins are far thicker. For there is no need for preferving the native heat in the parts themfelves, either of fo many, or fo large inftruments of that kind. Therefore you may of- ten find veins without arteries, but never arteries without veins. But we underftand that an artery is a companion to a vein,not only when it; touches it, or adheres to it by common membranes,as ufually it happens; but alfo when it is appoint ted together with the vein for the ufe of the fame part. CHAP. XVI. of Thymus. He Thjmw is a glandule,of a foft, rare, and fpongious fubftance, of large bignefle, lituate in the furtheft and higheft part of the Cheft, amongft the divilions cliche fubclavian or Jugular veins and arteries, as yet contained in the Cheft , for this ule; that it might ferve thele veflcls for a defence againft the bony hardnefle of the Cheft, and befides,that as it were by this prop or ftay, the diftributions of thele M vefleh What the Thymm is. The ufe. 122 Of the Vitali part r LIB.4. veflels might become the ftronger; for fo we fee that nature hath provided for others, e- fpecially fuch as are the more noble and worthy. This glandule appears very large in beafts and young men,but in fuch as have attained to full growth it is much lefs,and fcarce to be leen. The magni- tude. CHAP. XVII. Of the Afpera Arteria, the rough Artery or Weazon. The Figure of the Afpera Arteria or Weazon. &. The orifice of the great artery ent from the heart. aa. thecoronall arteries of the heart. B. C. D. the divifion of the great artery in two trunks, the defending C.the amen- ding D. E. the left axillarie, or fiib- clavian artery. F. the right axillarie or fub- clavian artery. G. the right Carol is or fleepy artery. H. the left Carolis. l. the trunk of the rough artery or weazon. K.L. The divifion of the rough artery into two branches, of which the right goes into the right, and left into the left fide ofthelungs; which bran- ches are again fubdivided into many other. M. the head of the Rough Artery called the Larinx or Throttle. N. Certain Glandules or Kernells at the root of it. OO. the right and lift nerves of the fixth and feaventh conjugation. P. A revolu- tion of finall branches of the right nerve to the right Axillary Artery. QQ. The right Recurrent Nerve. R. A revolution of finall branches ofthe left Nerve unto the defending trunk ofthe great Artery. SS.The left recurrent Nerve. ria i. The fabftance* He After a Arteria or Weazon feeing it is the inftrument of voice and refpiration , is of a griftly,ligamentous,and wholly various fubftance. For if it had been one rough, and continued body with the Larinx or throttle,it could not be neither dilated,nor comprefled ; opened,nor flint,neither could it order the voice accor- ding to our defire. It is compofed of veins from the internail Jugular,of arteries arifing from the Carotides3 and of nerves proceeding from the Recurrent branch,of a double membrane, of which the externall comes from the Peritoneum ; the internail, which is the ftronger and woven with right fibers, from the inner coat of the mouth,the which is common with the inner coat of the cefophdguj or gullet. Andalfoitconfiftsofroundgriftles, yet not drawn into a perfect circle,compofed in manner of a channel!,and mutually joyned together in ofder,by the li- gaments that proceed from their fides and ends. Thefe fame ligaments perfeft the remnant of the circle of this Aft era Arter ia, on that part next the gullet; which is thought to be done to this end 5 that that foftnefs of a liga- ment, might then give place, when we fwallow harder and greater gobbets of meat. Of the two forts of ligaments which are annexed to the grimes of the weazon, fome tie and faftcn together the rings or circles, which give means both to it, and thefe circles Compofure. Why the back part of the Weazon is]i« gStnaentous, L1 B.4. Contained in the Chefl. 123 to be drawn in length; otherfome bring thefe griftles into a perfeft circle,which alio yceld them means of dilatation. Thefe ligaments cover the inner fuperficics, but the griftles are placed without, to relift the incurfion of externall injuries. But we niuft note, th.it by this communion cf the inner coats of the weazon and gullet; we reap this benefit in the commodioufnefs of the aftion,that one of thefe parts being depreflcd,the other is lifted up, like a rope running in a wheel or pully. For thus whilft the gullet is depreft to fwallow any thing , the weazon is lifted up; and on the contrary when theftomach riles up in vo- miting,the weazon is depreft. It is only one, and that felted between the Larinx ( from which it takes its beginning) and the lungs in which it ends; firft dividing it felfinto two large branches, the right and the left,and belides each of thele entring into the fubftance of the lungs, is again divided into two others; to each of the Lobes onejand to conclude,thefe be fubdivided into infinite others,through the fubftance of the Lobes. All thefe branches are griftlely even to the ends.They arc lituate between the ends of the jfrtera venoja , and the Vena arteriofa, that the entrance of the air into the heart by the ar- teria venoja might be fpeedier, as alfo the paflage out of the vapour, by the vena arter/oja. Thus it hath connexion with thefe in the ends,or utmoft parts thereof, but by the other parts compafling it, with the members from whence it takes them. The temperament thereof is cold and dry. The aftion is to carry the air to, and vapours from the lungs;that by dilating, but this by prefling the griftles together* Whv the fore* parris griftle* The number and fi e. The divifion of the weazoh through the Lobes of ihc Lungs. Thetemprf and afliori. CHAP. XVI IL Of the Gullet, He Gullet, which is the paflage of the meat arid drink,is of a mid- dle fubftance between theflefh and finews, becaufe it confifts of one nervous membrane and another flefhy. The nervous is placed the rnnermoft, arid is continued to the inner coat of the mouth even to the Lips, (whereby it comes to pafs,) that the Lips tremble in difoafes which are ready to be judged by a criticall vomiting,and to the inner part of the Appera Arteria it confifts of right Fibers for the attraftion of the meat, which we foe is fometimesfo quick and forcible in hungry peo- ple, that they have fcarcetime to chaw it, before they find it,to be pluckt down, as it were with a hand. The flefliy Coat placed without is woven with tranfverfo fibers,to haften the going of the meat into the ftomach,and for expulfion in vomiting and breaking of wind. Thefe two coats are continued with the two coats of the ftomach , and have the like fite; Befides, the Gullet hath thefe parts compofing it,as a vein from the Gate and Hollow afoen- dent vein; a nerve from the lixt conjugation, an Artery from that which creeps alongft the bottome of the ftomach with or elfo from the Arteries afcending the hollow part thereof; but alfo befides all thefo veflels it may have a third coat from the membrane inverting the Ribs,or Pleura. The magnitude of the Gullet is large enough, yet Lome be bigger,fome lefs,according to the variety of bodies. The figure of it is round,that To it might be more large to fwallow meat,and lefs fubjeft to offence. Ijt is placed between the back bone and weazon from the roots of the tongue even to the ftomach. But as it defcends alongft the back bone, when it comes to the fourth Vertebra of theCheft, it turns to the right fide, to give way to the great Artery Aorta and the defcendent Artery, then, it turns to the left fide to the ftomach, or mouth of the ventricle. Nature hath fattened it to the Diaphragma with ftrong membranous ties, left that if it had lain upon the Artery it fliould have hindred the paflage of the vitall fpirit to the lower parts. It is only one and that tyed to the forementioned parts, both by its veflels and membranes. It is of temper rather cold than hot,as all thofe parts,which are more nervous than flefhy, are.The Aftion thereof is to draw and carry down the meat,and to caft forth filch things by vomit as trou- ble the ftomach. Here you muft note, that whilft we fwallow down, the Gullet is drawn downwards, and the weazon upwards, which is the caufe that fup and blow, fwallow and breath together at the fame inftant; which we muft think to happen by Gods Angular providence 5 to whofe name be glory for everlafting, Amen, THefabflancb; Attractive for£e thereof* The compd* fdrei The maighit rude. The Figure Sire* Temper and aflion. nor fap and blow at one time. The End of the fourth Bwfy M 2 124 Lib. 5. The Fifth Book, Of the Animall farts contained, in the HEAD- A Generali description of the Head. C H A P. I. Wing hitherto declared two generail parts of mans body,that is, the Naturall and Vital,it is now fit to betake our felves to the laft,that is,the Animall,beginning with the Head. Wherefore we will firft define the head,then divide it into its parts; thirdly,defcribe each of thefe parts; fourthly, demonftrate them af* ter the order they offer themfelves to our fight in difieftion. The head therefore is the feat of the fenfes, the Palace and habi- tation ofreafbn and wifdome,from whence as from a fountain infi- nite actions and commodities arife. It is leated above the reft of the body,that the Animall fpirit fromthence,as from a tower, may govern and moderate the whole body,and perform all aftions according to the praefcript of nature. By the head we underftand all that which is contained from the Crown of the head to the firft vertebra of the neck. Thebeft figure of the head is round, lightly flatted on each fomething to the fore and hind part thereof. For from hence is taken an argument of the goodncfs of the fenfes; on the contrary, thofe which are exactly round, or acuminate, and fliarp to- wards the top, are not thought good. The head is divided into the face,forehcadjtemplcs, the forepart, the crown and hindpart. By the face we underftand,whatfoever is contained between the Eye-brows and the low- er part of the chin. By the £brehead,allthe fpace from the eye-brows even to the Coronall Suture. By the temples,whatfoever is hollowed from the Idler comer of the eye,even to the ears. By the forepart of the runs in Length from the top of the foreheadftox the Coronall Suture,even to the Suture Lambdoides,and on each fide, to theOfla petroja, the ftony bones, or fcaly Sutures. By the Crown we figuific a certain point exquisitely in the midft of the Sagittal! Suture,which is fuffidently known.By the Occiput or hind part, of the head,that which is terminated) by the Suture ltrnibdoides,andi the firft vertebra of the neck. Of all thefe parts there be fomefimple, fome compound, befides feme are containing,, fome contained. Ofthecontaining fome are common to all the parts of the head,, as the skin,the flelhy pannicle and pericranium-, others are proper to certain-parts,a? the flcfby.pan- nicle to the neck, face, forehead; and skin covering thp the common coat of the mufcles to the fat and face; the skull andibotfi the-Mew/agftf. to the brain. The parts contained are the fubftance of the brain, the four ventricfrs, and the bodies contained in thetji,the nerves,the mamillary procefles; thePiexwChorwdes or Rett ddmira- bile,the Glandula Ba/rLjrfr,and others of which we willfpeak hereafter. We muft now fpeak of the containing parts beginning, withthe skin; for the order of teaching requires that we take our Exordium from the more Ample, but firft we will lay fomething of the hair. The hair is nothing elfe than an excrement generated and formed of the more grofs and terrene portion of the fuperfluities of the third concoftion, which could not be wafted by infenfible tranfpiration. The benefit of it is, that confuming the grofs and fuliginous or footy excrements of the brain it becomes a cover and ornament for the head. This hair of the head and eye-browes haye their oxiginalllfoam die firft conformation of the infant in the womb, the reft of the hairs of the body arife and grow forth as the body grows and becomes more dry, of which fort are the hairs which cover the chin, armholes, groins, and other parts of our b2dics. What the head is. Why feated in thehigheft place. The figure. The divifion thereof* Thecontaining parts of the head. The parts contained* Whattfr hair is. The lift there- of. CHAP. Lib.5. Contained in the Pie ad. 125 CHAP. It. Of the wufculous skin of the (commonly called the hairy fcalpe) and of the Pericranium. He skin which covers the skiill, and is covered with the hair, is far more flefhy, thick, hard and dry than any other part of the body, Specially which wants hair. The skin hath almoft the like condition of quality as thofe parts have, which it doth limply cover,but is as it were loft in them,or grown into one with them,as in the lips and forehead with the flelhy pannicle, wherefore it is there called mu- fculous; in other places it adheres to the grilles, aS on the fides of the noftrills and cor- ners of the EyeSjWhereupon it is there called griflely. It hath connexion with the Pericranium, becaufe joyned to it,it receives nerves from the firft and fecond Vertebra of the neck,and from the third conjugation of the brain which are difleminated through all its fubftance, whereby it comes to pafs,that the wounds, contuli- ons,and impofthumes,that happen in or upon this skin, are not to be neglefted. The * Pericranium, (but I fuppofe it Ihould be the Periofteum) is a moft thin which next and immediately covers all the bones of the body, and this on the head is cal- led by a peculiar name the Pericranium by reafon of the excellency of the Cranium or skull, in other bones it is tearmed the Perioftium: And as the Pericranium takes its Originall from the Craffa meninx propagating it felt by certain firings or threds lent forth by the futures and holes of the skull,fo all other membranes of the body have their originall either from this Pericranium, or Craffa meninx, fending forth their produftions, as well by the holes or paflages of the head, as by thefe of the fpinall marrow or back bone it felf,even to the Ho- ly bone. Of which this is an argument, for in what part foever of the body a membrane is hurt; prefently the hurt or fenfe thereof comes to the Craffa meninx. For fo thofe who have but their little Toe hurt when they fneefe, or cough, perceive an increafe of their pain,by the paflage thereof to the brain. The ufe of this Pericranium is to cover the skull; and to give notice of things hurtfull, by the power of the quick fenfe which it is endued withall,and the Pereoflium doth the like in other bones. Befides itfuftaines and faftens by the futures the Craffa meninx to the skul; left it fhould fall by reafon of its weight upon the Pia mater, and fo hurt it,and hinder the pul- fation of the brain and arteries that are plenteoufly fpread through both the Menin&s. Wherefore the Pericranium hath moft ftrait connexion with the Craffa meninx,becaufe it takes the originall from thence. We muft think the fame of the other membranes of the body,which thing is very nota- ble in the fblution of the continuity of the membranes. • - - .... . . ■■■■ .. : - - i - '' -■ - - k _ What the hairy fcalp is. Its connexion * Our Author, with Fallopim and Ldurentius confounds the pericranium ; and periofteutrf bur Vefaliuc Bauhinw and BartheeHnnt diftinguifh them making the pericrani- um thin and fofr, and the periefieiim'mofi thin and ner- vous,and of moft exquifire fenfe* Why the wounds there-j'. of mu ft not be neglefled.* The Pericrani- um and perio- fteum of the fame nature. Whence all the membranes proceed* Why when any membra noys part is . hurt many parr of the body,the head is aflfcfled be content* The nfeofthe; Pericranium. C H A P. 11L of the Sutures: He Sutures do lew or fatten together the bones or the skull; thefe be five in number. Three are true and legitimate, two falfe and fpurious. The Coronall, the firft of the true Sutures,is feated in the forepart of the head, delcending downwards overthwart the forepart of the head to the midft of the temples; it is fo called,becaufe Coro/Ze,that is,wreaths,drowns,or garlands,'are let upon that place. The fecond is called the Sagittal is .fir right future, as'that which running through the crown divides the head into two equall parts,as with a ftraight line,running the length of it from the Coronall to the Lambdoides or hind Suture. But this third Suture fo called becaufe it reprefents this Capital! greet let- ter Lambda You muft underftand this defcription of the Sutures, not as alwayes but as for the greater part to be thus. For there be feme skulls that want the foremoft Suture, o- therfome the hind, and fometimes fuch as have none of the true Sutures,but only the falfe and fpurious.But alfo you fhall fometimes find the Sagittal to run to the nofe. And oft times there be three or four Sntures in the back part of the head, fo that indeed the number of the Sutures is not certain. -Which alfo we find obferved by 'Cornelius where he writes,that Hippocrates was deceived by the Sutures by chance, for that he cortje- ftured that the bones of the back part of the head,Were brokerijbecaufe his Probe thruft to the roughnes of the fecond future Lambdoides ,ftaied as at a Cleft made in the bone by a ftroak. The other two are called the falfe,ftony and fcaly Sutures,by reafon they are made by a fcaly conjun&ion of the bones,but not by a toothed faw or comb-like connexion. But if any ask, why the head confifts not of one bone,that fo if might be the ftronger: I anfwer 3 it i ■ ■ - Their ufe ana Some skulls want Sattfr*sor' 4®. 126 Of the Anima!! parts Lib. 5. Why confifts of di- vers bones. it is, that fo it might be the fafer both from internal! and external! injuries. For the skull being as it were the tunnel of the chimney of this humane fabrick, to which all the fmoky vapours of the whole body afeend, if it had been compofed of one bone, thefe vapours fhould have had no paflage forth. Wherefore the grofler vapours pafs away by the Sutures, but the more fubtile by the pores of the skull; fome have their Sutures very open, but others on the contrary very clofe. Therefore nature hath otherwife compendioufly provided for fuch as want Sutures;For it hath made one or two holes, fome two lingers bredth from the Lambdordes, through which the Venapufis enters into the skul,and they are of that largenefs that you may put a points tag into them, that fo the vapours may have free paflage forth, otherwife there would be danger ofdeath; thus nature hath been carefull to provide for man againft in- ternal! injuries; and in like manner againft external!, for it hath made the head to confift of divers bones, that when one bone is broken the other may be fafe, the violence of the ftroak being ftayed in the divifion of the bones. Whereby you may know,that if the skull chance to be broken in the oppofite fide to that which received the blow,that it happens either by reafon of the deleft of futures,or elfe be- caufc they are unperfeft,8c too firmly clofed;otherwife it is unpoflible fuch fraftures fhould happen by reafon of the feparation of the bones, which breaks the violence of the blow that it can go no further. And certainly, as it is rare to find a skull without Sutures,fo it is rare to find fuch kind of fraftures. Therefore Chirurgeons muft diligently obferve the Sutures andfite of them, left they be deceived and take them for fraftures, or unawares apply a Trepan to tliemj whence by breaking the veins, arteries and nervous fibers by which the internail parts communicate with the external!, there may enfue increafe of pain, a violent defluxion of blood upon the Craflameninx , and the falling thereof upon the brain , (the fibers being broken by which it ftuck to the Pericranium) and fo confequently a deadly interception of the pulfion of the Brain. In what bodies and by what means the vend pupis fome- times enters into the parts Within the fcHlI. In what men one part of the being head ftricken,the oppofite is broken. Why we muft not apply a Trepan to rhe Sutures. CHAP. Illi. Of the Cranium, or Skull. What the Cnt- nium or skul is. tie Cranium, or Skull covering the brain like an Helmet, is compofed and confifts of feaven bones, of which feme are more denfe,thick and hard than other fome. The firft is the Os occipitis, orNowlbone featedin the back part of the head, more hard and thick than the reft,becaufe we want hands and eyes behind,where- by we may keep or fave our felves from falling. This bone is circiimfcribed,or bounded by the future Lambdoides?and the * Os b a filar e.The eminencies and as it were heads of this bone are received into the firft Vertebra; tor upon this the head is turned forwards and backwards, by the force of fourteen mufcles and ftrong liganientSjWhich firmly tye theft heads of the Nowl bone in the cavities of this firft 'vertebra. The fecondbone of the skull is in the forepart, and is called the Os coronate or Os fronts the forehead bone, it hath the fecond place in ftrength and thicknefs. It is bounded by the Coronall future, and the ends of the wedgbone: in this forehead bone there is often found a great cavity under the upper part of the eyebrows, filled with a glutinous, grofs, vifeid and white matter or fubftance, which is thought to help to elaborate the air for the fenfe of fmelling. Chirurgeons muft takefpecial notice of this cavity,becauft when the head chances to be broken in that place,it may happen,that the frafture exceeds not the firft table; wherefore being ignorant of this cavity, and moved with a falft perfwafion that they fee the brain, they may think the bone wholly broken, and to prefs the Meninges, whereupon they will dilate the womb,and apply a Trepan and other inftruments to lift up the fecond table of the bone,without any need at all,and with the manifeft danger of the life of the patient. The third and fourth bonps of the skull are the Offaparietalia, or Bregmatic the third place of denfity and thicknefs; although this denfity and thicknefs be different in divers places of them. For on the upper part of the head, or crown, (where that fubftance turns not to a bone in children untill they have all their teeth,fo that it feels foft in touch- ing, & through it you may feel the beating of the brain)thefe bones are very tender,fo that oft timesjthey are no thicker than ones nail,that fb the moift and vaporous excrements of the brain, fhut up where the greater portion of the brain refides, may have a freer paf- fage by the Brains diaftole and pft ole. Thefe two fquare bones are bounded above with the Sagittall future,below with the fcaly,on the forepart with the coronall, andon the hind part with the Lambdoides. The fifth and fixth bone of the skull are the two Off a petrofa ftony or fcaly bones, which arc Why the nowl bone is harder than the reft. * My Author means by the Oj Bafilare in this place the wedg bone:but fbine Anato- mies make it a Synonyma. of this Os occipi» lit. The forehead bone,next to the now! bone is harder than the reft. A Cavity to be obfervedinthe forehead bone. Cffiipdrietalia 5c Bregmatis, Oflapetrify tor the fcaly bones. Lib. 5. contained intbeHead. 127 are next to the former in ftrength. They are bounded with the falfe or baftard Suture,and with part of the Lambdoides, and wedgbone. The feventh is the Os fphenoides, bafilare, or Cuneiform?, that is,the wedgbone. It is called Bafilare, becaufe it is (as it were)the bails of the head. To this the reft of the bones of the head are fitly faftned in their places. This bone is bounded on each fide with the bones of the forehead., the ftony bones, and bones ot the Nowl and Talat. The figure reprefents a Bat, rand its procefles her wings. There is befides thefe another bone at the bails of the forehead bone, into which the mamillary procefles end, the Greeks call it « -^e'^'fJthe Latins Cribrofum and Spongiojum, the fpongy bone,becaufe it hath many holes in it not perforated in a direft paflage,as in a five, but winding and anfraftuous, that the air Ihouldnot by the force of attraftion, preiently leap or afeend into the brain, and afleft it with its qualities, before it be elaborated- by its lingring in the way. There are befides alfo, fix other little bones lying hid in the ftony bones at the hole or auditory paflage; on each fide three, that is to fay,the Incus or Anvill, the Malleolus or Hammer,and or ftirrop,becaufe in their figure they reprefent thefe three things; the ufe of thefe we will declare hereafter. But alfo in fome skuls there are found fome divifions of bones,as it were collefted frag- ments, to the bignefs almoft of ones thumb, furnifliedand diftinguiffied by their proper commiflures, or futures, which thing is very fit to be known to a Chirurgeon in the ufe df a Trepan. . Verily he may give a conjefture hercof,whilfl he leparates the pericranium from the skul, for the pericranium is with greater difficulty pluckt away from the futures,becaufe the Craffa rneninx hath ftraiter connexion therewith by his nervous fibers fent forth in fiich places. The skuls in women are fofter and thinner than in men, and in children more than in wo- men,and in young men more then in men of a middle age. Alfo the ./Ethiopians or Black- moors, as alfo all the people inhabiting to the South,have their skuls more hard and com- pofed with fewer futures. Therefore as it is written by Hippocrates, fiich as have their Skuls the fofter, the fymp- tomes in fraftures are more dangerous and to be feared in them. But the Skull by how much the fofter it is, by fo much it more eafily and readily yeelds to the perforating Tre- pan. Moreover in fome skuls, there be bunches ftanding out befides nature, made either round or cornered,which the Chirurgeon muft obferve for two caufes ; the firft is for the better confideration of a blow or frafture. For in thefebunches or knots, thefolution of the continuity cannot be, if it feem to be ftretched in length, but that the wound muft pe- netrate to the inner parts. For in a round body there can be no long wound, but it muft be deep,by the weapon forced the deeper, becau ft as a round body touches a plain but on- ly in p undo in a prick or point: fo whatfoever fals only lightly or fuperficially upon it,on- ly touches a point thereof. But on the contrary ,a long wound muft be upon a plain furface, which may be but only fiiperficiall. Another cauft is, becauft fiich bunches change the figure and fite of the Sutures. And the Chirurgeon muft note that the skull hath two tables,in the midft whereof the Diploe is; which is a fpongy fiibftance into which many veins and arteries,and a certain flelhinefs are inferred, that the skull ffiould not be fo heavie,and that it might have within it ftlfprovi- fion for the lite thereof j and laftly that there might be freer paflage out for the fuliginous vapors of the brain. The upper table is thicker, denfer, ftrongerandfinoother than the lower. For this as it is the flenderer, fo it is the more unequal, that it may give place to the inter- nall veins and arteries, (which make a manifeft impreflion into the ftcond table on the infide thereof ) from which branches enter into the skull by the holes which contain the eys. Which thing fattens the Crajja meninx to the skull, and is therefore very worthy to be obftrved. For in great contufions when no frafture or fifliire appears in the skull by reafon of the great concuffion or fhaking of the brain, thefe veflels are often broken, whence happens a flux of blood between the skull and membranes, and laftly death. But it is fit the Chirurgeon take good heed to the tender and foft fiibftance of the'Diploe, that when he comes to it,having pafled the firft table,he may carefully ufe his Trepan, left by leaning too hard, it run in too violently, and hurt the membranes lying underneath it, whence convulfion and death would follow. To which danger I have found a remedy,by the.happy invention of a Trepan, as I wil hereafter more at large declare in;handling the wounds of the head. Os fphenoides, or the wedg- bone. Or Ethmoidet, or cribrofwn. The three , bones of rhe auditory paflage. By what means a Chirurgeon may conjecture that there are extraordinary Sutures in certain places of the skulp The skills of . fuchas inhabit the Southern counrreys, ate more hard and denfe. We muft obfervc the extuberancieS bolides natu.rea! which,are in fome skills. The fire ant!* fubftance of the Diflte. There may be a deadly rup- ture of the vefifclsof the brain without any fraClurc of the skull. Caution to be had in the ufe Char 128 Of the Animallpartf L I B. • CHAP. V. Of the Meninges, that is, the two membranes called Dura Mater and Pia Mater. Why thebon< Eterno ides is peiforated. He Craffa meninx is one of the firft and principal! membranes of the body; it 1 goes forth by the futures and the holes of the nerves that proceed out of the skull; and it pafles forth by the bone Ethmoides perforated for that purpote, , to carry finds *to the brain, and purge it of excrementitious humors. This fame Craffa meninx invefts the inner coat of the Note; alfo it pafles forth of the great hole through which the fpinall marrow pafles, veiled with this Craffa meninx,with all the nerves and membranes. For which caute if any membrane in the whole body be hurt, by reafon of that continuation which it hath with the Meninges,it ftraight communi- cates the hurt to the head by content. The Craffa meninx is thicker and harder than all other membranes in the body ; where- upon it hath got the name of the Dura mater, befides alfo it begirts, produces, and defends the other membranes. The ute of it is to involve all the brain, and to keep it when it is dilated, that it be not hurt by the hardnefs of the skull. For the courfe of nature is fuch, that it always places fome third thing of a middle nature,betwixt two contraries. Alfo the Craffa meninx yeelds another commodity, which is, that it carries the veins and arteries entring the skull for a long (pace. For they infinuatethemtelvesdnto that part, where the duplicated or folded Meninges teparate the brain from the Cerebellum, and fo from thence they are led by the fides of the Cerebellum, untill they come (as it were) to the top thereof; where being united, they infinuate themtelves into that other part of the Craffa meninx, where in like manner being duplicated and doubled, it parts the brain at the top into the right and left. Thefe united veins run in a direft paflage even to the forehead, after the manner of the Sagittall future; They have called this paflage of the mutually infolded veins,the Torcular or Prefs, becaute the blood which nourifhes the brain is prefled and drops from thence by the infi- nite mouths of thete finall veins. Therefore alfo here is another ute of the Craffa meninx, to diftinguifli the brain by its duplication,being itthrufts it telfdeep into its body, into two parts,the fore and hind,and preftntly to teparate the fame into the right and left; that onepart being hurt,the other may remain fate and found, performing it sduty to 'the crea- ture,as we tee in fome that have the Palfey. Columbus obferved that this Meninx was double, and verily I have found it true by my own fight. The other Meninx or membrane of the brain, called Pm mater, is moft ffefitler intercha- ted with divers veins and arteries, for its own and the brain s nourilhment and life. This doth not only involve the b ain,as the Craffa meninx doth, but alfo more deeply penetrates into the anfraftuous paflages thereof,that it may every where joyn and bind it to it telfpiot eafily to be drawn from thence, by many finall fibers whereby it defcends even to the cavities of the ventricles thereof Wherefore you muft tee it absolutely inthe fite as we have mentioned,and not pluck it away unlefs with the fiibftance of the Brain. Thete membranes when they are hurt or afilifted,caufe grievous and moft bitter torment and pain;wherefore I dare fay,that thete membranes are rather the authors of fente,than the brain it telf, becaute in diteates of the Brain, as in the Lethargy, the party affefted is trou- bled with little or no tenfe of pain. Theconfi- ftenceofthe Craffa meninx. The ufe* What the Torcnldr is. One part'of the brain being hurt the other keeps the creatiire alive, The confix ftence of the Via mater ♦ Thefenfeof/ the CHAP. VI. Of the Brain. What the brain is* Ow folloWeth the Brain, the beginning of the nerves and voluntary motion, the inftrument of the firft and principal! faculty of the Soul,that is, the Ani- malland Rational!. Man hath this part in greater plenty then any other Creature,for it almoft fils the whole skull. But if it fliould have filled it all, the Brain could not be moved,that is,dilatedand contracted. in the skull. It is of a cold and moift Temperature. The laudable temper of the Brain is known by the integrity and perfection of the intemall and externallfenfes,the indifferency of and waking, the maturity or ripenefs of judgment,and conftancy of opinions, from which,un- leis it meet with better and more probable, it is not eafie to be moved. Tie Tne quantity. Tetnpen Lib. 5. contained in the Head. 129 The firft figure ofthe Head, ar it appears when the skull if away. T. he fecond figure (hewing the Brain,the styll and Dura mater being taken off. A/ljBB. The'Durameninx or thick membrane. CCG. T he third Sinw of this membrane. DZ>. The courfe of the veins' as they run through the membrane or the fecond vein of the brain. EE. The firft vein of the brain. IFF, Certain final 1 veins which perforate the skull and reach to the pericranium or skull- skin* GGG. Fibers of the Dura men/rtx patting through the Coronall Suture , which fibers make the Pericranium, HH.fibers palling through the fagittali Suture. II- Othei% palling through the Lambdall Suture. K. A knub which ufeth to grow to the Sinw of the Skull. E. A cavity in the fore- head bone. Af. The skulk The Fexicranium- or skull-skin. £ AAA. A part of the Crafle ftieninx dividing the brain. BB. the thirds nus of the- feme Clatfe membrane opened. CC. the beginning of the Veiled out of tne thiftl Sinn* Motet, POT.the propagation or brancfies ofthefe veflers.EEE.the'Pfefnaltr or thin ately compafling the brain.FFF.Certain veflcls-Ttmning' through the convolutions or ches of the brain. GGG. Certain branches of veins running throughthefldes <S$ifo$dur'am& ninx. HHH. The thick membrane reflected downward. You (hall know the brain is more hot, by the ofthe fcnfes and motions of the body3by fhortnefkof fleep3the fiiddain conceiving of opinions and change of them, by the flippery and failing memory, and laftly, by eafily receiving hurt from hot things, as the Sun. and Fire. Such as have a cold brain,are flow to learning, and to conceive other things, but they do not eafily put away their once conceived- opinions. They have fldw motion to aftion,and are fleepy. Thofe who have a dbyBrain,are alfo flow to learn; for you (hall not eafily imprint any thing in dry bodies,, but they are moft coriftant retainers of thofe things they have once ltarned;alfo the their bodies are quick and nimble.Thofe who have a moift brain do eafily learn,bnt haveandlmemory3for with like facility as they admit the ipeices of things and imprint them iil their minds, do they fuffer them to Aide and* flip out of it again. So clay doth eafily admit what Charafter orimprefiion foever you will, but the parts of this clay which eafily gave way to this imprefiion, going together a- gain, mixes,obliterates and confounds the fame. Therefore the fenfes proceeding from a cold Brain are drill, the motions flow, the fleep profound. The aftion ofthe brain is to elaborate the Animall Spirit and neceflary fenfe ferving The Adiorf. the whole body, and to lubjeft'irfelfas an inftrumetft to the principal! faculties , as~to rcafon. The brain is twofold, the fore and hind. The hind by reafon ofits fimlkiels is' Nambe#, call Of the Animall parti LIB.5. 130 called the Cerebellum; (the little or After-brain). But the fore by reafon of its magnitude hath retained the abfolute name of the brain. Again this fore-brain is twofold, the right and left,parted by that deprcffion, which we formerly mentioned, of the Meninges into the body of the brain. But this divifion is not to be here fo abfolutely taken, as though the Brain were exaftly divided and feparated into fo many parts , but in the fenfe as we fay the Liver and Lungs are divided a pretty way, whereas at their Bafis they have one continued body. The outward furface of the Brain is foft,but the inward hard,callous & very finoothj when on the contrary, the outward appears indented and unequal! with many windings, and crefted as it were with many wormlike foldings. CHAP. VII. of the Ventricles and Mamillary proceffes of the Brain, The fubftanee of the brain is porous and fweats forth blood. Or the eafie demonftaation of the ventricles of the brain, it is convenient you cut away a large portion thereof, and in your cutting oblerve the blood Iweating out of the pores of it. But befides, it is fit you confider the Ipongy fubftance by which the excrements of the brain are heaped up, to be prefently ftrainedout, and fent away by the hollow paflage. In the fubftance of the brain you muft obferve four ventricles,mutually conjoyned by certain paflages, by which the Ipirits endued with the [pedes of things fenfible may go from one into another. The firft and two greater , one on each fide are placed in ithe upper brain. The third is under them in the middle part of the brain. The fourth and laft at the fore fide of the Cerebellum, towards the beginning of the fpinall marrow. The two formoft are extended the length way of the brain in the form of a iemicircle, whole horns look or bend outwards. They are fpacious and large, becaule it was meet the Spirits contained there together with their excrements, fhould be there purified and denied 5 but in other ventricles, the pure and al- ready elaborate Ipirits are only received. Thefe ventricles are white and fmooth dn their inner luperficies; but that on each fide they have an extuberancy at the midft of the femicir- cle, lituate at the balls of the Pillar of the middle ventricle towards the nole under the Septum lucidum or cleer partition,levering or parting in funder thele two ventricles. This Septum cleer or thin partition,is nothing elfe than a portion of the brain indifferently lolid, but very clear,that lb through this partition the animall Ipirits con- tained in thele two ventricles may mutually pafs and be communicaccd, and yet no other grofler fubftance may pierce the thin denfity thereof. Wherefore it is nottobefeared,thatt.he water contained in one of the ventricles may palsto the other through this partition,as I have oft times oblerved to the great admiration of the fpeftators in the dead bodies of fuch as dyed of the Palfy, in which I have found the ventricle of that fide which was taken with the Pally much dilated,according to the quan- tity of the water contained therein,the other being either wholly empty and without any; or certainly no fuller than in any other, dead through any other occafion. For lome af- firm that there is a certain kind of waterilhmoifture alwayes to be found in the ventricles, which may be made by the condenlation of the Animall Ipirits by the force of the deadly cold. But thele two firft ventricles of the brain go into one common paflage, as both the bellows of a fomace,whereby the Ipirit inftrufted with the fpecies of things goes into the under, or middle ventricle from the former. In thele fame firft ventricles the Plexut Choroides is to beconfidered,andin like manner the paflage by which the grofler excrements are dri- ven or lent into the pituitary Glandule. The four ven • trides thereof The magnitude ofrhe upper ventricles of the brain. The Septum Lucidum, Why the Palfy of one fide is not prefently communicated co the other. Tfo third Figure represents the Cerebellum with the wormy pratejfes Separated from it. z45.The right and left part of the After-brain. CD.The anterior and pojie- rior regions of the middle part or the After-brain. E. The anterior wormy procefle. F. The pefterior wormy procefs. GG. In this place the Af- ter-brain did grow to the Ipinall marrow. H. The cavity in the Ipi- nall marrow makeththe r i i . nan morrow maKCUi tne roruth ventricle. IK. The anterior mdpofflerior proccfles of the brain, called vermi-formes or thcwonnyproceiles, * J ■' 1 F<* Lib.5. Contained in the Head. 131 ThisPto# Choroides is nothing elfe, but a produftion of the Pia mater diverfly toldec with the mutuall implication of veins and arteries woven in the form of a net.Thefe veflel: are of magnitude and capacity fufficient, both to yeild life and nourishment to that parti- cle to which they are fattened, as alfo for the generation of the Animal! fpirits, as which take fit matter from the veins ftretched forth into the fame the hind artery and vein Torculttr and alfo from the air entring into the brain by the mamillary proceflcs. But the mamillary precedes are certain common wayes for conveyance of the air and fmells into the brain,and carrying of excrements from the brain. For thus in them who have the Catarrhe and Coriza or pofe, neither the air, nor fmels can penetrate into the brain; whence frequent fneelings enfue, the brain ftrongly moving it felf to the expulfion of that which is troublefome to it.But of the excrements of the brain,whether bred there,or proceeding from fome other part, fome are of a fumid and va- porous nature, which breath infcnfibly through the Sutures of the skull; Others are grofs and vifeid, of which a great part is expelled by both thefe produ&ions, or through each of them. For thGs in the Pofe you may fee fome who have one of their noftrils ftopt, the other running, and fome who have both obftru&ed. The moft proper benefit of the two firft ventricles of the brain is to entertain the Phantafie as in a convenient feat and habita- tion,feeing the mind there eftimates and difpofes in order the fpecies of things brought in from the external! fenfes,that fo it may receive a true judgment of them from reafon which rsfides in the middle ventricle. The third ventricle is dated between the hindermoft extremities of the former ventricles, and the laft ventricle of the Cerebellum. In this fix parts prefent themfelves to our confidera- tion, that is, the Pfalloides or Arch, the Conarium3or pine Glandule, the Buttocks,wormlike produftions,the Bafon and paflage which is from this middle into the laft & hindmoft ven- tricle.The Pfalloides or Arch is nothing elfe,but the covef of the middle ventricle,refembling a roof borne up with three ftayes or pillars, the one whereof is extended to the note under the Septum the two other on each fide one, look towards the back part of the brain. This is the reafon of this figure which is outwardly convexe and inward- ly concave, to wit, that there might be freefpace for that motion which the Animall fpirit inwardly produces, and beiides that it might more eafily fuftain the burden of the brain lying upon it. For an is the moil: convenient of all other to fu- ftain a weight. The Conarium or Pine glandule, is a fmall Glandule of the fame fubftance with the brain, round and fomewhat long, like a Pine Apple, from whence it hath the name; this Glandule is feated over againft a fmall hole which defeends to the loweft ventricle. It hath this ufe, to ftrengthen the divifion of the veflels led thither with the produ&ion of the Pia mater for the generation of the Animall fpirits, and the life and nourishment of th? brain. The Nates or Buttocks are fubje&ed or placed under this Glandule, that is, bodies ofafblid and white fubftance drawn out in length like a childs buttocks, efpecially in beafts, and chiefly in a fheep. Thefe buttocks have fiich ;a folid fubftance, that fo they may keep open and free the paflage, or channell that runs down from the mid- dle to the lower ventricle, by means of which the Brain participates with the Cere- bellum. I . The worm is a produftion of the Cerebellum or After-brain, to wit, a portion of the fame being in the top of'beginning and as it were in the entrance thereof, being like many little circles or wheels mutually knit together by flender membranes; and it is fo called becaufe it refembles thofe thick white worms which are found in rotten wood. It doth as it were perform the office ofa porter to the formerly mentioned paflage, that it may give way and entrance into the a neceflary quantity of fpirits,when need requires; left that, if they fhould ruffi with a fodain violence into the Cerebellum;, they might con- found the imprinted notions of things to be remembred. The Pelvis or Baton is a paflage appointed for the carrying away of the grofs excrements by the palate, and is fo called becaufe it hath the fimilitude and ufe of a Bafon or Tunnell: it defeends from the third ventricle into the Glandule which is feated between the pro- cefles of the wedg-bone called the faddle thereof, as you may perceive by putting in a fpa- them. Now there remains the laft of the fix parts propofed to our confideration in the third ventricle, that is, the Channell or paflage running from this third ventricle into the fourth,for the ufe formerly mentioned. This Channell defeending in its original! from the Bafon, goes from thence under the buttocks into the laft ventricle, the Meninges being perforated; which that you may fhew, it is fit you put the end of a foathern through it. The benefit of a third ventricle is, that it may be as a Tribunal! or Judgment-featjto the Reafoning faculty, when the mind will draw conclufions from things feen. 1 he Plexw Cb oroides. The Frccejfd MamiUarti. The ufe of rhe upper clesof the Brain. The fear of the third ventricle of the brain. The parts ro be confijered in it.' What the For- nzxorArch is, and rhe ufc thereof. What the Co- nariwnor pine Glandule is. What the Nates or But- tocks are. What the worm fSo Hex the Fetid or Baton is confounded with the Turf- ueBT The Chaftnel! from rhe third into the fourth1 ventricle, 132 Of the Lib. 5. The fourth and Fifth figure of the Brain. Figure 5. KRK. The lower fiperficies of the cal- lous body refle&ed. STy. The triangular furface of the Fornix or Arch. AXThe lower part of the partition of the ventricles continuated with the Arch. TT. The upper part of the partition continued with the callous body. Figure 6. AAA.The lower furface of the Arch. FC. Two corners of the Arch, by which it is continuated with the ventricles. PE.The right and left ventricles. FG. Arteries climbing up from the fleepy arteries through the lower fide of the ventricles for the for- ming of that complication of vef- lels which is called Plexus choroides. H. A veflell iffuing out of the fourth Sinus tinder the Arch, and palling into the third ventricle. Z/CL.The divifion of this veflell,a pare whereofgoeth to the right ventricle at K. and another to the left at L. The Plexus choroides made of the artery EG*, and the veflel H. 00. Small veins palling through th? ventricles of the brain , produced from the veflels K. and L. P. Other veins arifing from the fame, difper- fed without the ventricles into the Pia mater. Q. A paflage from the third ventricle unto the Bafon or Tunnell. KS.Canales qv Sinus graven or furrowed in thefiibftance of the ventricles 5 in which the phlegm is led along to the orifice of the fore- laid paflage marked with FIG.V. Sixth figure of the Brain. XI. X, Figure io. 'A A. Parts of rhe fpinal marrow cut from theBrain. BC.The places where this marrow did grow unto the brain. Z)£.TheTefticles.F(J. The but- tocks. Zf. the Pine Glandule. From I to K. a part of the third ventricle going to the fourth,un» der the Tefticles. KLMN. A part of the fourth ven- tricle which is engraven in the ttiarrow.O.The top of rhe fourth ventricle. F. The place where the fpinall marrow goeth out of the skull. Figure 11. AB. Parts of the optick nerves. CZ>. The fleepy arteries. E. The Bafon or Tunnell hanging down. F. A hole or perforation of the dura menimx,through which the Tun- nel reacheth unto the Glandule, GO .Parts of the fecond conjugati- on of finews'. Figure I z. A.The Glandnle.B. The Bafon or Tunnell called Pelvis or InfiwdiMum. CDEF. The foxholes through which the phlcgmatick excrement ifliieth. The XII. Lib. 5. contained in tbe Head. 133 The fourth ventricle is fcated in the place we formerly mentioned; it is lets than the reft, but more folid; lefs as that which was not to receive the fpirit before it was purified, and clenfedfrom all impurities; but more folid, that it might contain it the fafer. Theufe thereof is,to be as a treafury and ftore-hoiife of the opinion, and judgments which rcafon fhall decree,that when need requires, we may fetch and draw them from thence as laid up' inftore. I know Galen and the Greek Phylitians have not fo diftinguirhed in places the three fore-mentioned facultiesjbut have written that they all are all over confufed through the whole fobftance of the brain, which opinion alfo Ferneliw in his Fathologia hath renew- ed. Yet I had rather follow this opinion, as commonly received and celebrated by the A- The Mamillary procefies are the inftrumentsandpaflages offmelling being of the fame fobftance with the brain,and like nerves,which run out from the hind horns of the upper or foremoft ventricles of the brain to the EtbwoiJer and fpongy bones of the nofe, that hence they may receive the divers kinds of foiells,and carry them into the Brain. But although they be like nerves, yet they are not accounted nerves becaufe they go not out of the skul. The fourth ventricle of rhe brain* The ufe of the Mamillary pfd- celfes; CHAP. VIII. the {even conjugations o{ the Nerves of the Brain9 fo ca!/ed}becaufe they lalwayes fbew the Nerves conjugated and doubledjhat on each fide one. 4e nerves arc the wayes and inftraments of the Animall fpirit and faculty, as of which thofe fpirits are vehicles, as long as they are contained in the brain ; they confift ot the only and limple marrowey fubftance of the brain,or fpinall marrow. But palling forth of the brain, they have another membranous fub- ftance which involves them joy ned with them from the two membranes of the brain; and according to the opinion of fome Anatomifts, they have alfo a third from the ligaments drawn as well from divers others, as from thefe by which they are tyed to the Vertebra's-, Yet this opinion feems abfurd to me,feeing filch a membrane,as that which is in- fenbfile,wholly repugnes the condition of a nerve, which is to give fenfe to the parts to which it is inferted. The magnitude of the nerves is different, according to the divers neceflity of fenfe inci- dent to the parts into which they are inferted.Their figure is round,and long,like to a con- duit pipe to carry water in ; the membranes of the brain,with which the nerves are covered, being dilated and ftretched over them, after the fame manner that the procefles of the Pe- ritonawn involves the fpermatick veflels, with which they go down to the Tefticles,and take life and nourilhment by the capillary veins and arteries, which defcend to them with the membranes.They are made for this ufe,that they may impart lenfe to the fenfitive parts,and motion to thefe that are fit to be moved. All the nerves defeend from the brain either medi- ately or immediately;their Number is feven and thirty pair,or conjugations,whereof fever! have their originall immediately from the brain, the other thirty from the Ipinall mar- row. The firft conjugation of the nerves of the brain is thicker than all the reft, and goes to the eyes,to carry the vilive fpirit to them. Thefe arifing from divers parts of the brain, in the middle way before they go out of the skull meet together crofwife like the Iron of a Mill (which is fattened in the upper ftone) going into one common paflage with their ca- vities notvifible to the eyes thatfo the fpirits brought by thofe two nerves may be com- municated, and they are mutually joyned and meet together fo, that being driven back from one eye they may flie back into the other. An argument whereof may be drawn from fuch as aim at any thing, who (hutting one of their eyes fee more accurately ; becaufe the force of the neighbouring fpirits united into one eye, is more ftrong than wfiehitis dif- perfed into both. This conjugation when it comes into the glaflie humor, is (pent in the ftrufture of the net-like coat which contains this humor on the back part. The fecond conjugation goes into many parts, at its palfing forth of the skull; and in the bottom of the circle of the eye it is diftributed into the feven mufeles naoving the eyes. The third is twofold, in the paflage out of the skull it is likewife divided into many branches, of which fome are carryed to the temporall mulcles,into the or grind- ing mufcles into the skin of the face, forehead andnofe; Otherfonx are fent into the upper part of the cheek, and the parts belonging to it, as into the teeth, gums and the mufcles of the upper lipjand thofe which are the round incompafs the mouth on the infide; the laft are wafted in the c>aL °' the tongue, to ieftow upon it the fenfe of tatting. ; i; ■ * Z The fourth conjugation is muc^111^'^^ is almoft wholly wafted upon the coat of the Palat of the mouth,to end'*.11 a"° the fenfe of tafting. The fift at its originall a*- * not a? yet palled forth of the skul,is divided into two, N , and What .1 Nerve or Sipevv is. Its fubfiance; Whether rhe nerve have a third mem- brane from the Ligaments of the Vertebra Si Their magni- tude. Their figured Their ufe* Their number• The fir fl coh- • jwgation ol nerves. The fecohdf conjugation., The third cori°' jugationr.' Thefeuftfr conjugation* The hit conju- gation. Of the Animal! parts Lib. 5. 134 and fends, the greater portion! thereof to the hole of the ear, or paflage of hearing, that it may fupport the auditory faculty;and it fendsforth the other lefler portion thereof to the temporal! mufcles by the paflage next to it 5 by which the fecond conjugation pafles forth. The fixt being the greateft next to the firft,pafling entire forth of the skull,imparts fome fmall branches to certain mufcles of the neck and throttle, and then defcending into the cheftjit makes the recurrent nerves,and difperfed over all the parts of the two lower bellies, it pafles even to the bladder and tefticles,as we (hewed in the former book. The (eventh is inferred and fpent upon the mufcles of the bone the tongue, and fome of the throttle,to give them motion 5 it pafles forth of the skull by the hole of the nowl bone at the extuberancies thereof. T he fixt con* j ugation* The fevtnrh conjugation. 7 he feventh figure [hewing the eighth conjugation of the Nerves of the Brain, The brain. i5 2. the After-brain. CCfi,2. the fmelling of the brain, which fome calKthe mamillary procefles. D 1,the beginning of the fpinall mar- row out of the Bahs of the brain. F i, 2. a part of the fpinall marrow when it is ready to iffue out of the skull. FF 1,2. the mamillary proceffes which ferve for the fcnfe of fmelling. GG i,2.the optick nerves. H i .the coition or union of the optick nerves. /lij 2. the coat of the eye whereinto the optick nerves are extended. KK i,2. thefecond pair of the finews ordained for the motion of the eyes. LL 1,2.the third pair of finews, or ac- cording to the moft Anatomifts, the lefler root of the third pair. MM 1,2. the fourth pair of finews for the greater root of the third pair. N 2. a branch of the third conjugation derived to themufculous skin of the forehead. O 2. a branch of the fame to the upper jaw. PP2. another into the coat of the no- flrils. 2. another into the temporal! mufcles. R 2, a branch of the fourth conjugation crumpled like the ten- drill of a vein. <9 2. a branch of the fame reaching unto the upper teeth, and the gums. T 2. another of the fame to the lower jaw. V 2. a Surcle of the branch 7, to the lower lip. VX 2. another furcle from the branch T, to the roots of the power teeth. fT 2. the afliimption of the nerves of the fourth conjugation unto the coat of the tongue. Z i,2.the fourth pair are vulgarly fo called WF.ich are ipent into the coats of the palat. a i,2. the fifth pair of finews which be- long to the hearing P, the Auditory nerve fpred abroad into the cavity of the flony bone.*, a hard part of the fift conjugation above, the * which may be counted for a diftinft nerve. i,2. a fmall branch derived from this harder part of the firfl pair. c. i, 2. a lower branch from the fame ordinal!. Ji,2.this nerve is commonly afcribed to the lift pair,but indeed is a diftinft conjugation which we will cal the Eighth,becaufe we would not interrupt the or- der ofother mens accounts.? 1,2.the fixr pair of finews.f 2.a branch from them derived to the neck and the mufcles coached thereupon, g *-another branch to the mufcles of the Larinx or throttle.hi-,2.the feventtipair of finews.i i.tht_,?ionoftbe ffevcntbpair with the / 2. a propagation of the feventh pair to thole arj£ from tbe Appendix cal- led St>dW.m.Surcles from the feventh conjugation to ti. mufcles of the ton„ue the boile iffiieth out of the third ventricle ofthebrain to the Tunnell,and the pallagc arteries to the ventris Z ** of the Brain, CHAP. FIG.I. FIG. IL Lib. 5. contained in the Head. 135 CHAP. IX. Of the Rete Mirabile, or wonderful! Net3 and of the Jfedg-bone. He Animall fpirit is made of the vitall, lent from the heart by the internal! fleepy Arteries to the brain. For it was requilite that it Ihould be the more elaborate, becaufe the aftion ofthe Animall is more excellent than that of the vitalljriature hath framed a texture of Arteries in many places running crofs one another., in the form of a Net divers times doubled; ( whereupon it had the name of the wonderfull Net) that fo the fpirit by longer delay in thefe Labyrinthian or maze-like turnings., might be perfectly concofted and elaborate;, and attain to a greater fitnefs to perform the Animall functions. This wonderfull Net lituate at the fades of the clinoides or produ&ions of the wedg-bone,is twofold ; that is,divided by the pituitary Glandule which is lituate between the laid Clinoides,having the wedgbone lying under them 3 next to the Craffa Me- being perforated on the right and left lide,next to which lye bones as rare as a iponge even to the Palat, by which the Phlegme is < purged by the mouth and nofe ; and there- hence, I think, that fpattle flows,which fuch as have a moift brain,continually fpit out of their mouth. The exigence ' of the Animal! fpirir. What the Ketf •Mirabile{s> The fire and number, The brain, the Cerebellum or after-bram. procefs of the brain , bur not that which is called Mamillarift DI). The marrow of the back as it is yet within the skull. £j the Mamillai) procefs bi inftru» merit offmelling. F, optick het ve. G, the coat of the eye into which the optick nerve isfpread. //, the nerve that moveth the eye or the fecond pair. 2,the third conjugation,or the har- der and leflcr branch of the nerves of the third conjugation brought forward. K, the fourth conjugation of the greater and thicker nerve of the third pair bending downward. L, a branch of the nerve marked with I, which goeth to the fore® head, M, another branch of the nerve I, reaching to the upper jaw, NN, a nerve proceeding from the branch I, inrexed or woven with the coat of the note. 09 the nerve of the temporal! mufcle iffuing from the branch I. P,a nerve contorted of the nerves K and a nerve proceeding from the branch to the fockets of the upper teeth, jt,a nerve creeping from rhe nerve K to the lower jaw.S,a furcle of the branch R,offered to the flow- er lip, TTjOther farcies from the branch R,attaining to rhe lower teeth, rr, a branch of the nerve Kjdiffufed into the coat of rhe tongue. XX, the fourth pair of fmews which go into rhe coatof the palau 7, rhe fifth pair of fmews which are the nerves of hearing, a, the membrane of the ear, unto which that fifth nerve goeth. be, two fmall the fifth conjugation uniting themfelves wit h the nerve £♦ d, the eight conjugation or a netve o t e P a " raining unto the face. ee,thefixt pair of nerves. fa a branch from the nerve e, teaching to the mu c es L ♦ fmall branches derived unto rhe throttle or lannx» h, the bifurcation of rhe nerve into two ranc * inner branch hanging to the rackbones,and ftrengthningthc intern)flail nerves,and is therefore ca e • J * kk, Surcles of the urrer branch going to thi heads of thcmufcles, to the breaft bone and to tie • 'ncwsin- Im,branches of the right nerve /, making the right Recurrent nerve, mn, the infection o rhe reeurne to themufeks of the litirx. op, branches of the left nerve making rhe left recurrent fi new p. qq. ran. • fixt conjugation going to rhe coat of the lungs. r,fmall nerves of the heart and of the purfe thereo c* , cardiwn,as alfo fome approaching to the coats of the lungs. J, nerves on either fide fent to r e o < , » right ftomach nervegoingto rhe left orifice of the Romach. Uu, (he left rtomach nerve going to rhe r.ghorifice oj the ftomach.x,a nerve fromthe branch w,palling into the hollownefs of the fiver, y , the nerve e and right fide of the kell.r,the nerve belonging to the colick gut. a nerve creeping te the gut ca-w. . N 2 jria h Fhe Eight Figure of the brain. 136 Of the Animall parts Lib. 5; the beginning of the jejunum or empty gut* 0, a nerve implanted in the right fide of rhe bottom of the ftomach. 7,a nerve belonging to the liver & bladder of gall.a nerve reaching unto the right kidney «e.a branch reaching the jifefenterium and the guts. & a branch fprinkled to the righr parr of the bladder.«,a branch going through the left parr of the kel. Qt,farcies derived ro rhe colick gar and the kel» x, fmall branches inferred into the fpleen xx, a nerve approaching to the left fide of the bottom of the ftomach. branch belonging to the left fide of rhe Me- fentery and rhe guts. y,a br anc h which attained) to the left kidney. fmall nerves creeping through the left fide' of the bladder, o, the feven pair of finews.«r, a branch derived from the fixt conjugation rothemufcles which a* tife from the procefs called Styloides. f> a branch offthe feventh conjugation which goethto themufclesof the tongue, of the bone byois, and of rhe throttle or larinx. aconjunftionor coifionofthe6. and;, pair into one Nerve, Theft Apophy/es clinoides are certain productions of the Os bafilare or wedg-bone, (called the Saddle thereof,) between which, as I faid, the pituitary glandule lies with part of the wonderfull net. There is a great controverlie amongft anatomifts concerning this part; for denies that it is in man, Columbus admits it, yet he feems to confound it with the Plexus Choroides. Truly I have obferved it alwayes after the manner, as Sylvius al- ledges againft Vefalius. It remains, that we recite the perforations of the skull, becauft the knowledg ofthefe much conduces to the underftanding of the infections of the veins, arte- ries and nerves. What the J>oph)\es Clh noides are. Whether the Rete mirtbil differ from the Tlextu Cho. rdides. C H A P. X. Of the holes of the inner Bafts of the N the firftplace are reckoned the holes of the bone Ethmoides-, then thofeof the optick nerves.Thirdly, of the nerves moving the eyes. Fourthly,of that portion, or the nerves of the fourth conjugation which go to the temporall mufcles. Fiftly are reckoned,thefe holes fcarcc vifible, fituate under the pituitary glan- dule, by which the fpettle is evacuated. Sixthly,that hole which is in the wedg-bone made for the entrance of the internall fleepy Arteries, compofing the wonderfull Net, and then palling into the brain by a great flit. That perforation which we reckon in the feventh place is commonly double, made for the entrance of one of the branches of the internall jugular vein. The eight hole is fomewhat long, of an ovall figure, by which, part of the third conjugation and all the fourth conjugation pafles forth. The ninth are the auditory paflages. The tenth are very fmall holes, and give way to the vein and artery going to the auditory paflage,above the foramen caecum. In the eleventh place are reckoned the perforati- ons which yeeld paflage forth to the fixth pair of nerves, to part of the fleepy Arteries, and of the internall Jugular. In the twelfth thole which yeeld a way out to the feventh con- jugation. The great hole of the Nowl-bone through which the ipinall marrow pafles, is reckoned the thirteenth.The fourteenth is that,which moft commonly is behind that great hole,by which the Cervical! veins and arteries enter in. CHAP. XI. Of the perforations of the externall Bafts of the Brain. is a hole on each fide at the Eye-brows, by which pafles a fmall nerve from conjugation coming out of the cavity of theOrb of the eye,and go- by t^ie foiehead bone to the eye-brows, that it may give motion to the two mufcles of the upper eye-brow and forehead. Yet oftentimes the hole is but to be ften on one fide, oft times there is a cleft in ftead thereof, othcrwhiles it is not perforated nor cleft at all. The fecond, is the perforation of the greater corner of the ey,by which a portion of the nerves of the third conjugation defcends to the coat of the nofe 5 in this hole the Glandula Lachrymals is feated. The third is feated under the eye, that it may give way to the other portion of the nerves of the third conjugation going to the parttofthe face, and the teeth of the upper jaw. The fourth is at the beginning of the palat,amongft the cutting or {hearing teeth, through which a vein, an artery and the coat of the palat pafles out.In the fifth order are reckoned the perforations of the palat,by which the nerves deftend from the fourth conjugation,to give, or caufe thetafte.In thefixt order are ranked the holes of the palat ftrving for the respiration, and the flcgm falling from the brain by the noftrils. And there is a cleft under the yoak bone attending into the Orb of the eye,by which there is a way,as wel for the nerves pf the third conjugation to the tem- porall mufcles, as alft> for certain veins and arteries.But alfo there is noted another hole at the mamillary procefs, which is not perforated in the judgment of the ftnft. Befides there is thought to be another at the hind root of the fame procefs, by which a certain fmall vein pafles from the Jugular to the "Icrcular. But I have only noted theft three paflages by the way, becaufe there is fo much variety in them, that nothing can be certainly faid of them. CHAP. L I • Contained in the Head. 137 CHAP. XII. of the Spiral! Marrow, or Pith of the Back. He fpinall Marrow is like a River running from the fountain of the brain. This fends nerves for fenfe and motion to all the neighbouring parts under the head., fpreading its branches as from the body of a tree. Thefe branches, as we fhall hereafter lhew, are on each fide thirty .This fame fpinall marrow is cove- red with the two membranes invefting the brain, diftinguifiied by no diftance of placets in the brain. But alfo it hath another membrane added to thefe, being very hard anddenfe, which keeps it from being broken and violated by the violent bending of the body forwards and about. The difeafes of this marrow do almoft caufe the like Symp- tomes,as the difeafes of the brain; For they hurt the fenfe and motion of all the parts ly- ing beneath them: as for example; If any of the vertebras of the back bone5be moved out of their place,there follows a diftortion or wrefting afideof the Marrow ; butthen efpeeially if it happen that one of the vertebra's be ftrained, fo (harp and bitter a compreffion urges the marrow by reafon of the bony body of the vertebra, that it will either rend it,or certainly hinder the paflage of the fpirit by it.But by thefe fame holes of the vertebra's the veins and arteries go to the fpinall marrow for to give life and nourilhment to it, as the nerves by them pafs f orth into all the lower parts orthe body. Figure i.fbeweththe form of the fpinall marrow properly fo called, with its membranes, and the nerves proceeding from it. Figure 2. the fpinall marrow nailed and bare, together with its nerves, as moft partof Anatomifts have defcribed it. The tenth Figure of the fpinall marrow. What the Spi- nal! marrow is* Thecoars of the fpinall mar- row. The difeafes from the hur* ring of rhe fpi= nail marrow* FI G. I. A. Thebeginning of the fpinall mar- row where it fals out of the skull. B. thicknefs thereof in the fpondek or rack bones of the loins. C. divifion thereof into firings, or hairy threds. D. (even nerves of the neck. From D. to E» or from 7. to 19. (hew the nerves of the back. From E.toF. the nerves of the loins. From F. to G. the nerves of the Os crum or holy bone. H. The end of the marrow. IKL. Do (hew how the nerves do iflue from the marrow in firings. MM. The knots of the finewsmadeof the conjunftion of thole firings. NO. The membrane# that inveft the marrow. Figure 2. * A. The beginning of the fpinall mar- row in the skull. Charafters fliewf;accor- ding to Vefaliuf opinion) how the conjugations of the nervesof the brain do take their originall from the mar- row remaining yet within the skull, B. The egrefs of the fpinall marrow out of the skull. C. The cords or firings whereinto it is divided. D 7.The marrow of the neck and feven pair of finews. E 1 p.Twelve pair or conjugations of nerves proceeding from the marrow of the Cheft. F 24. The marrow of the loins and 5.pair of finews.G 30. the marrow of the holy bone and 6. pair of finews-i H. The extremity or end of the fpinall marrow. N 3 THE The End of the Fifth Bwfy 138 Lie.6. The Sixth Book, Treating of the sZMufcles and Bone*, and the other Extreme parts of the BOD T. Fhe Preface. Eradventure feme may wonder that I have ended my fifth book of Anatomy, before I have fully defcribed all the parts of the head, the which feemed as it were only appointed for that purpofe. The re- fore I muft yeeld a reafbn of this my in tention.1 have a defire in one Treatife and as it were at one breath, to profecute the Anatomy of the Mufcles. Wherefore becaufe the parts of the head not yet defcri- bed, principally confift of the Mufcles, therefore ! defired to com- prehend them together with this fame defcription of the extreme parts of the body; beginnings the upper part of the face; to wit, the eyes:but having firft defcribed the bones of the face, without the knowledg Of which it is impoflible to fhew the originall and infertion of the iMufcles. We have formerly no- ted, that by the face is meant whatfoever lyes from the Eye-browes even to the Chin. In which there is fuch admirable induftry of nature, that of the infinite multi- tude of men you cannot find two fo like, but that they may be diftinguifhed by fbme un- likenefle in their faces; alfo it hath adorned this part with fuch exquifite beauty, that many have dyed by longing to enjoy the beauty defired by them. This fame face albeit it littleexceedshalfeafoot, yet it indicates and plainly intimates by the fodain changes thereof,what affe&ions and paflions of hope, fear, forrow and delight poflefle our minds; and what ftateour bodies are in, found, fick, or neither .Wherefore feeing the face is of fo much moment, let us return to the Anatomicall defcription thereof, which that wee may eafily and plainly perform we will begin with the bones thereof,whereby, as we formerly faid,the originall and infertion of the Mufcles may be more certain and manifefl to us. The defcripti- on of the bones being un- known,it muft neceffarily fol- low that the originall and infertion of the mufcles muft be fo alfo. The endow- ments of the face. The counte* nance is the beymyer of the will • CHAP. I. of the hones of the Face. fe bones of the face are i6, or 17. in number. And firft, there be reckoned 6. about the orbs of the eyes, that is 5. to each orb, of which one is the big- ger, another lefler, and the third between both; each of thefe touch the fore- head bone in their upper part. Befides,the greater is joyned with a future to the procefle of the ftony bone, and fo makes the Zygoma, that is,the Os Jugale or yoak bone, framed by nature for prefervation of the temporall mufcle. The lefler is feated at the greater corner of the eye, in which there is a hole perforated to the nofe,and in this is the glandule in which the /Egylops doth breed. The middle is in the bottom , or inner part of the orb , very (lender and as it were of a membranous thinnefle : then follow the two bones of the note which are joined to the forehead bone by a future, but on the forefide between themfelves by harmony. But on the back or hind part with two other bones, on each fide one, which defcending from the bone of the forehead ( to which alfo they are joined by a future) receive all the teeth. Thefe two in Gakns opinion are feldome found feparated. But thefe are the thickeft of all the bones of the face hitherto mentioned, knit by a future with the greateft bone of the orb , on the back part with the wedg-bone, on the inner fide with the two little inner bones of the palat, which on theinfide make the extremity thereof, whereby it comes to pafle, that we may call thefe bones the hinder, or inner bones of the palat. They reckon one of thefe bones the ele- venth and the other the twelfth bone of the head jthefe two little bones on their fides next to the winged productions of the wedge-bone,receive on each fide one of the nerves of the fourth Bones in each orb of the Eye. What the 2>- gotna is, and whatufe it hath. The The two bones of the note* The two inner bones of the palac. Lib. 6. Of the Mufcles and Bones, &-c. 139 fourth conjugation,which in the former book, we laid were {pent upon the membrane of the palat. And in Galens opinion there be other two in the lower Jaw,joined at the middle of the chin;although fome think it but one bone,becaufe by the judgement of fenfe there appears no divifion or feparation therein. But you may fee in children how true this their fup- pofition is, for in men of perfect growth it appears but one bone; thefe two are reckoned tor the thirteenth and fourteenth bones. Now thele two bones making the lower Jaw , have in in their back parton each fide two produ&ions,as they lye to the upper Jaw, the one of which reprefents the point ofa (word, and is called theCoroKej the other is obtufe and round j which is infer ted into the cavity feated at the root of the proccfle of the fto- ny bone, neer to the paflage of the ear. This may be (trained to the forepart by violent gaping, by retraftion of the mufcles ariling from the wing4ike procelfcs, and ending at the lower angles of the broader part of the fame Jaw. This Jaw is hollow as alfo the upper, efpecially in the back-part, being filled with a white and glutinous humour, conducing to the growth of the teeth. This humour hath its matter from the blood brought thither by the vefiels, veins, arteries and nerves from the third conjugation entring in here by a paffage large enough. Whereby it comes to pafle,that this part is not only nouriflied and lives , but alfo the teeth receive feiife by the benefit of the nerves entring thither with the vein and artery,by final holes to be feen at the lower roots of the teeth \ and thence it is that a beating pain may be perceived in the tooth-ach, becaufe the defluxion may be by the arteriesj or rather becaufe the humour flowing to the roots of the teeth, may prefle the artery in that places befide alfo you may lee fome appearance of a nervous fubftance in the root of a tooth newly pluckt out. But alfo yon muftconfider, that this Jaw from its inner capacity produces at the fides of the chin two nerves ofa fufficient magnitude,over againft the lower dog-teeth, and the firftofthe (mailer grinding teeth, as I have noted in the defeription of the nerves of the third conjugation. 1 have thought good to put thee in mind of thefe, that when thoti (halt have occafion to make incifion in thefe places,thou maift warily and difereetly han- dle the matter,that thefe parts receive no harme. There remains another bone feated above the palat, from which the griftly partition of the note arifes, being omitted of all the Anatomies, for as much as I know. Now there- fore that you may the better remember the number of the bones of the face,l will here make a repetition of them. There are fix of the orbs of the eyes,at each threc.The feventh and eight wee may call the Nafall, or nofe bones. The ninth and tenth the Jaw-bones. The eleventh and twelfth are called the innee bones of thepalat. The thirteenth and fourteenth the bones of the lower Jaw. The partition of the nofe may be reckoned the fifteenth. Nowit remains having fpoken of thefe bones, that wee treat of the teeth, the Eye- browes,the skin, the flefhy pannicle, the Mufcles, and laftly, the other parts of the face. The two bcries of the law. Two produfii- orison each fide of the lowet law. The Luxatiori of the lower law. The lower law filled with a marrowy hu. mOr. How the teeth feel. Why the teeth have a beating paiii. The nerves the lower law muff be obict- vcd. The bone of the nofe above rhe palate, or the partititJ#.. of the note. CHAP. II. of the Teeth. He teeth are of the number of the bones , and thofe which have the moft have thirty two,that is, fixteen above,and fo many below;of which in the fore- part of the mouth there are four above and as many beneath,which are called Inci for ii cutting or (hearing teeth,to cut in funder the meat,and they have but one root. To thefe are joyned two in each Jaw, that is, on each (ide of the other one, which are called Canini dentes, Dog-teeth, becaufe they are (harp and ftrong like dogs-teeth;thefe alfo have but one root,but that is far longer then the other have. Then follow the Molares or Grinders,on each fide five, that is, ten above, and as many below,that they may grind, chaw, and break the meat,that fo it may be the fooncr cori- coflted in the ftomach; for fo they vulgarly think, that meat well chawed is halfe con- cofted; thole grinders which are fattened in the upper Jaw, have moft commonly three roots, and oft-times four. But thefe which are fattened in the lower,have only two roots, and fometimes three,becaufe this lower jaw is harder than the upper fo that it cannot be fo eafily hollowed, or elfe becaufe thefe teeth being fixed and firmly feated, needed not fo many ftayes as the upper, which as it were hang out of their feats. The {hearing teeth cut the meat becaufe they are broad and fharp; the dog-teeth break it, becaufe they are flnarp pointed and firm 5 but the grinders being hard, broad and (harp, chaw and grind it afimder. But if the grinders had been fmooth, they could not fitly have performed their duty, for all things are chawed and broken afimder more eafily by that which js rough andunequall. % . . Wherefore they fharpen their Milftones whep they are fmoother than tjjey fhould be, by The teeth art bones. The (hearing reerh. The Dogteeth The' Grinding teeth. Why rhe up- per grinding teeth have more roots. The ufe of rhe' leerk. 140 Of the Mufcles and Bones L1 b.6. by picking them with a (harp Iron.The teeth are fattened in thejawesby Gontpbojis, that is, as a ftake or nail, fo are they fixed into the holes of their jaws ; for they adhere fo firmly thereto in fome, that when they are pluckt out,part thereof followes together with the tooth; which I have often obferved to have been alfo with great effufion of blood. This adhefion of the teeth fattened in their jaws, isbefides ftrengthned with a ligament, which applies it felfe to their roots together with the nerve and veflels. The teeth differ from the other bones,becaufc they havea&ion whilft they chaw the meat; becaufe being loft they may be regenerated, and for that they grow as long as the party lives , for otherwife by the continuall tile of chawing they would be worn and wafted away by one another. You may perceive this by any that have loft one of their teeth,for that which is oppofite to it becomes longer than the reft,becaufe it is not worn by its oppofite. Befides alfo they arc more hard and folid than the reft of the bones, and indued with a quick fenfe by rea- fon of the nerves of the third conjugation which infert themfelves into their roots; for if you rub, or grind a tooth newly pluckt out,you may fee the remains of the nerve; they have filch quick fenfe, that with the tongue they might )udg of taftes. But how feel thej teeth, feeing they may be filed without pain? Fal/opius anfwers, that the teeth feel not in their upper or exterior part, but only by a membrane which they have within. And the teeth have another ufe,efpecially the fore-teeth, which is,they ferve for diftinft and articu- late pronuntiation;for thofe that want them faulter in fpeaking, as alfo filch as have them too fhort, or too long, or ill ranked.Befides, children fpeak not diftinftly before they have their fore-teeth. And you muft note that the infant as yet fhut up in its mothers womb hath felid and bony teethjwhich you may perceive by diflefting it prefently after it is bora. But even as there are two large cavities in the forehead bone at the eye-browes, filled with a vifeous humor, ferving for the fmelling; and in likermanner,the air fhut up in the mamillary procefles is forbearing; fo in the jaws there be two cavities furnifhed with a vifeid humour for the nourifhment of the teeth. The teeth are fattened in the laws by Gom- The fattening of Hie teeth in- t6 the laws is to be obferved* Wherein the teeth differ from the other bones* For what ufe the teeth have fenfe. The fore-teeth help for the ar. ticu!ation of thc voice* CHAP. HI. Of the Brud Mufcle. Ow We fhould profecute the containing parts of the face; to wit , the skin, i the flefhy pannicle and fat;but becaufe they have been fpoken ot fufficiently ! before, I will only defcribe the flefhy pannicle,before I come to the di flexi- on of the eye, that wee may the more eafily underftand all the motions per- formed by it,whether in the face or forehead, t irltjthat you may more eafily fee it, you muft curioufly feparate the skin in fome part of the face.For unlefleyou take good heed,you will pluck away the flefhy pannicle toge- ther with the skin,as alfb this broad mufcle to which it immediately adheres,and in fome places fo clofely and firmly,as in the lips,eye-lids and the whole forehead, that it cannot be feparated from it,Nature hath given motion, or a moving force [to this broad mufcle, that whilft it extends,or contracts it might ferve to fhut and open the eye.lt will bo convenient to feparate the mufcle thus freed from the skin,beginning from the forepart of the clavicles even to the chin, afcending in a right line, and then turning back as far as you can; for thus you fhall fhew how it mixes it felf with the skin and the mufcles of the lips. When thou fhalt come to the eyes, thou fhalt teach how the eye is fhut and opened by this one mufcle,becaufe it is compofed of the three forts of fibers;al though by the opinion of all who have hitherto written of Anatomy,thofe aftions are laid to be performed by the power of two mufcles appointed forthat purpofe;one of which is at the greater corner on the upper part, the other refembling a femicircle at the lefler corner, from whence exten- ding it felf to the middle of the griftle it meets with the former ending there, but they are in part extended over all the eye-lid, whereby it commeth tb pafle that italfo in fome fort becomnieth movable. But although in publike difle&ions thefe two mufcles are commonly wont to be folemnly fhewed, after the manner I have related; yet I think, that thofe which fhew them know no more of them than I do. I have grounded my opinion from this , 'that there appears no other mulculous flefh in thefe places, to thofe which feparate the flefhy pannicle, or broad mufcle, than that which is of the pannicle it felf, whether you draw your incifion knife from the forehead downwards, or from the cheek upwards. Befides,when there is occafion to make incifion on the eye-browes, we are forbidden to doe it tranfverfe, left this broad mufcle falling upon the eye, make the upper eye-lid un- moveable : but it fuch a cut be received accidentally,we are commanded prefcntly to flitch it up; which is a great argument that the motion of the upper eye-lid is not performed by its proper mufcles, but wholly depends and is performed by the broad mufcle. Now if thefe fame proper mufcles which we have defcribed ftiould be in the upper eye-lid, it ftiould be There are no particular mufcles ap- pointed to o« pen and fhur the eye9for that is the work of the broad mufcle only. Divers reafons to that purpoft. Why yon mail take heed of making a tranfverfe in- cifionu pon the eycbrowes. Lib.6. and other extreme parts of the Tody. 141 be meet, ( becaufe when one of the mufcles is in aftion,the other which is its oppofite or Antagonlft, refts or keeps holydayj) that when that which is faid to open the eye is im- ployed, the oppofite thereof refting, the upper eye-lid fhould be drawn towards its origi- nal!, as we fee it happens in convulfions: becaufe the operation of a mufcle is the collecti- on of the part which it moves towards its originall. Therefore feeing fuch a motion or colle&ion appears not any where in the eye-lid , I think it therefore manifeft that all the motion of this upper eye-lid depends upon this broad mufcle, and that it alone is the author of the motion thereof. The originall of this broad mufcle is from the upper part of the the clavicles, the (boulder blades, and all the fpines of the vertebras of the neck : but it is inferred into all thele parts of the head which want hair, and the whole face, having divers fibers from fo various an originality benefit of which it performs fuch manifold motions in the face (Tor it fo fp reads it felf over the face,thatit coversit like a vizard)by realbn of the variety of the original and the produftion of the divers fibers of this mufcle.But I have not in the defcription of this mufcle profecuted thofe nine conditions,which in the firft book of my Anatomy I required in every part,becaufe I may feem to have fufficiently declared them in the defcription of the mufcles of the Epigaftrium. Wherefore hence forward you muft ex- pert nothing from me in the defcription of mufcles befides their original,infertion,adion3 compofition,and the defignation of their veflels* Theaflionof a mufde. The original! of rhe broad mufcle. The inferrion and reafon why we expreffe fo many i motions with the face, CHAP. IV. of the Eye-lids and Eye-brow es. Ecaufe we have fain into mention of the eye-lids, and eye-browcs, and becaufe the order of difle&ion alfo requires it, we muft tell you what they are, of what they confift,and how and for what ufe they were framed by nature. Therefore the eye-browes are nothing elfe,than a rank of hairs fet in a femi- circular form upon the upper part of the orb of the eye, from the greater to the lefler cor- ner thereof, to ferv e for an ornament of the body, and a defence of the eyes againft the acrimony of the fweat falling from the forehead. But the ey-lids on each fide two,one above and another below, are nothing elfe than as it were certain (huttings appointed and made to clofe and open the eyes when need re- quires, and to contain them in their orbs. Their compofure is of a mufculous skin, a griftle and haires fet like a pale at the fidesof them to preferve the eyes when they are open, chiefly againft the injuries of (mail bodies,as motes, duft and fitch like. Thefe hairs are alwaies of equall and like bignefle,implanted at the edges of the griftly part,that they might alwaies ftand ftreight and ftiffe out. They are not thick,for fo they fhould darken the eye. The griftle in which they are faftned is encompafled with the pericranium ftretched fo far before it produce the Corijunftiva. It was placed there, that when any part thereof, fliould be drawn upwards or downwards by the force of the broad mufcle or of the two proper mufcles, it might follow entirely and wholly by reafon of its hardnefle.They call this fame griftle, efpecially the upper, Tar fa. The upper and lower eye-lid differ in no- thing, but that the upper hath a more manifeft motion,and the lower a more obfcure:for otherwife nature fhould have in vain encompafled it with a mufculous fubftance. What the 'ey«- browes are. Their ufe. What the eye* lids are. Their compO" fare and MKfe< What the 7<tf /wis.„ . CHAP. V. Of the Eyes. He Eyes are the inftruments of the faculty of feeing,brought thither by the vifive ipirit of the optick nerves, as in an aqua-duft. They are of a foft fubftance, of a large quantity, being bigger or lefler according to the bignefle of the body. They are feated in the head,that they might overlook the reft of the body, to perceive and ihun fuch things as might endanger,or endamage the body; for theaftion of the eyes is moft quick, as that which is performed in a monent,which is granted to none of the other fenfes. Wherefore this is the moft excellent fenfe of them all. For by this we behold the fabrick and beauty of the heavens and earth, diftinguifh the infinite varieties of colours, we perceive and know the magnitude, figure, number, proportion, fite, motion and reft of all bodies. The eyes have a pyramidall figure whole bafis is Without, but the Cone or point within at the optick nerves. Nature would have them contained in a hol- low circle, that i'o by the profundity and folidity of the place they might be free from the incurfions of bruifing and hurtfull things. They are compofed of fix mufcles, five coats, three humours, and a moft bright Ipirit, (of which there is a perpetual afflux from the brain)two nerves,a double vein,and one ar- tery? What the eyes are. Their fite. The and exeellen«y of their adjoin F igtir£» Compofirfo#/ 142 Of the Mufcles and Bones Lib. 6. tery, befides much fat, and laftly, a Glandule feated at the greater angle thereof, upon that large hole which on both fides goes to the nofe, and that, left that the humors falling from the brain fhoiild flow by the note into the eyes,as we fee it fares with thofe whole eyes perpetually weep, or water, by reafon of the eating away of this glandule , whence that affeft is called, the Fifiula lachrymals, or weeping Fiftula. But there is much fat put between the mufcles of the eye, partly that the motion of the eyes might be more quick, iu that flipperinefleof the fat,as alfo that the temper and com- pletion of the eyes, and chiefly of their nervous parts, might be more conftant and lad- ing, which otherwife by their continuall and perpetuall motion would be fubjeft to ex- cefftve drynefle. For nature, for the fame reafon hath placed Glandules flowing with a certain moifture, neer thofe parts which haveperpetuall agitation. Glc.ndu.la La.- chrymalit. Fifiula La- vbrymalis. Why fat is pla- ced about rhe eyes. CHAP. VI. Of the Mufcles.) Coats and humors of the Eye. The number, fire and action ©fche mufcles. Here are fix mufcles in the eye, of which four perform* the four direft motions of the eyerthey arife from the bottOQi of the orb, and end in the midft of the eye encompafling the optick nerve. When they are all amoved with one en- devour, they draw the eye inwards. But if the upper only ufe its aftion, it draws the eye upwards; if the lower, downwards; if the right, to the right fide; if the left, to the left fide. The two other mufcles turn the eye about; thefirft ofwhich being the longer and flen- derer, arifcs almoft from the fame place, from which that mufcle arifes, which -draws the eye to the right fide to the greater corner. But when it. comes to the utmoft part of the inner angle,where the Glandula lachrymals is feated, it ends in a (lender Tendon, their pier- cing through the middle membrane which is there, as through a ring;from whence it pre- fiaptly going back is fpent in aright angle towards the; upper part of the eye, betwixt the infections of thofe two mufcles, of the which one draws the eye upwards, the other di- reftly to the outward corner, as it is obferved by Fallop iiis-pr rather, which I remember I have aMaies obferved, they turn between the mufcles which move the eye upwards,and to the inner corner. \ This fifth mufcle when it is drawn in towards its beginning, fo draws the eye with its. circular tendon, that it carries it to the greater corner. The fixt mufcle is contrary to that; for it hath its originall from the lower part of the orb at a fmall hole, by which a nerve of the third conjugation pafles forth; and being that it is moft (lender,whilft it afcends tranfverfly to the outward corner, it involves the eyefoalfo, that it is inferted in it by a fmall Tendon, fo that the Tendons of them both are oftentimes taken but for one. That thou mayft truly and accurately obferve this anatomicall defcription of the eye;the eye muft not be pluckt out of its orb,but rather the orb it felf muft be broken and fcparated. For thus thou [halt certainly and plainly fee the forementinoed original of the mufcles. For the five coats, the firft which is firft met with in difleftion, comes from the and is extended over all the white of the eye, even to the IrS or Rain-bow. The duty of it is to ftrengthen,bind and contain the eye in its orb,wherefore it had the name Conjuntfiva, others called it or Epipephycos. Thefecond is called the Corneay becaufe it refembles a horn in colour and confidence; this coat differs and varies from it felf,for in the forepart,as far as the IrS goes, it is clear and perfpicu0us,but thick and obfcure in the hind part,by reafon of the diverfe polifhing. On the fore-part it is denfe,that it may preferve and contain the Cryftalline and waterifh humor,,btit withall tranfparent,fo to give the objeft a freer paflage to the Cryftalline. It hath its originall from the Craft a forth from the inner holes of the orb of the eye, for it compafles the eye on every fide. The third is called the Vvea or Grapy coat, becaufe in the exterior part it reprefcnts the colour of a black grape; it arifes from the Pia en compafles all the eye,except the pupilia or apple of the eye,for here being perforated , it adheres to the horny coat by the veins and arteries which it communicates to it for life and nourifhment. But when it arrives at the Ira,then forfaking the Cornea defeends deep into the eye,and in feme fort is turned about the Cryftalline humour, to which alfb it moft firmly adheres,fo bounding the waterifh humour, and alfo prohibiting that the Albugineous humor do not over- whelm the tCryftalline. This grapy coat is as it were dyed on the infide with divers colours, as black, brown, blew, or green like a rain-bow, and that for thefe enfuing benefits. The firft is, if that it had been tinftured withone colour, all objefts would have appea- red of the fame coloiir,as it comes to pafle when we look through green or red glafle. But it muft be colouredjthat fo it may collet the fpirits diffipated by the Sun and feeing. Table, 5. The $ coats of the eye. i Conjunctiva, or Adnata. 2 Cornea, or the Horny coat. :3 the grapy coat. Why thegra- py coat re- fembles divers colour«s Lib.6. and other extreme parts of the Eody. 143 Table 3. figure i.fheweth the Membranes and humors of the eye by lines drawn after the manner of a true eye. Figure 2. fbeweth the horny coat with a portion of the Nerve. Fig. 3 • (beweth the fame divided by a tranfverje fetfion. Fig. 4. fbeweth the tlvea or Grapy coat with a portion of the OptickfNerve. Fig. 5. The Grapy coat of a mans eye. Fig. 6. The Horny, Grapy and the Choroides. Fig. 7. The interiour juperficies of the Grapy coat. Fig. 8. The pofteriour part of the horny coat together with the faid Net coat feparated from the Eye. Fig. 9. The coat of the vitreous orglaffy humor called Hyaloides. Fig. 10. Three humours joine d together. Fig. 11. The forward pari of the Cryfialline. Fig. 12. The Cryflatline humour covered yet with his coat. Fig. 14. The Cryfialline of a mans eye. Fig. T5« His Coat. Fig. 16. The watery humor difpofed upon the Cryfialline round about. Fig. '.1?. The hairy proceffes beamingly fprinlfied through theforefide of the coat of the glaffy humort Fig. 18. The forefide of the glaffy humor. Fig. ip. The place of the watery humor. Fig. 20. The glaffy humor containing or comprehending the Cryfialline. *The explcation of the firft Fi- gure by it felfe. rf, The Cryftalline humor. Glaflie humor, c. The watery humor. d3 The utmoft coat called adnata. e,The dark part of the horny Tunicle which is nottranfparent. f3The Grapy coat called Fvea. g, The, Net-like coat cal- led Retiformis* b3 The' coat of the glafly humor cald Hyaloides. l z, The coat of the Gry- I ftalline. AR? The hairy procefles cald Proceffut ciliares. l3 The impreflion of the Grapy coat where it de- parteth from the thick coat. m3 The horny coat, a part of the thick coat. »»,The fat betwixt the Mufcles. o. The optick Nerve. p3 The Dura meninx. q3 The Pia mater or thin Meninx. rr, The Mufcles. 'The explication of the other 19. figures together. a 2,4,8.The Optick nerve* b 2, 4, The thin Meninx cloathing the Nerve, c 2,3* The thick Meninx cloa- thing the nerve, d 8. the pofterior part of the hor- ny coat, e 8. The coat called Retina gathered together on an heap.f 2, 3. The rain-bow of the eye. g 2, 3. The lefler circle of the eye or the pupilla. h 2, 3. Veflels difperfed through the Dura meninx. i 3, 6. The grapy coat, but i3 in the 3. Fig. fheweth how the veflels doe join the hard membrane with the grapy coat.R. 6. The horny or hard membrane turned over. // 3, 4. Certain fibers and firings of veflels, whereby the grapy coat is tyed to The figure of the Ere. JPIG.I. 144 Of the Mtfcles and Bones Lib. 6. to the horny. mm 5. The impreflion of the grapy coat where it recedeth or departeth from the horny coat. nn^^)6i']. The pupilla or apple of the eye. 00 7. The Ciliar or hairy procefles. p 7. The beginning of the grapy coat made of a thin membrane dilated., but p in the 17. figure lheweth the Ciliar procefles fprinkled through the fore part of the glaflie humor, r 9. The bofome ordeprerfion of the glaflie humor receiving theCryftal- iine. J 11,15. The bredth of the coat of the Cryftalline. t 12,13, 14, 16. The pofterior part of the Cryftalline humor, which is fphericall or round, u 1I, I4, 20. The tore part of the fame Cryftalline deprefled, x 10, 20. The amplitude of the glaflie humor, j 10, 16, 19. The amplitude of the watry humor, z 19.The place where the glaflie humour is diftin- gtiifhed from the watry by the interposition of the Hjaloides orcoat of the glafly humor. « 10, 16. The place where the grapy coat fwimmeth in the watry humor. $ 18. The ca- vity or depreflion of the glaflie humor which remameth when the Cryftalline is exempted or taken from it. /■ 19. the cavity or depreflion of the watry humor made by the Same means. Thirdly, it was convenient it Should be painted with infinite variety of colours for the preservation of the Sight. For as the extream colours corrupt and weaken the fight, Sb the middle refreSh and preServe it, more or lefle as they are neerer, or further remote from the extremes.lt was fit it Should be foft, that fo it might not hurt the Cryftalline humor upon whole circumference it ends j and perforated in the part objefted to it,left by its obfeurity it Should hinder the paflage of the objefts to the Cryftalline, but rather that it might col- left by its blackneSfe as a contrary, the great and as it were diffufed variety of colours, no otherwife than we fee the heat is ftrengthned, by the opposition of coldjfome call this coat ChoroiJe;,bccaufe it is woven with many veins and arteries, like the coat Chorion which in- volves the infant in the womb. Nowfollowes the fourth coat called Anqhibleflroides or Net-like coat, be- cauSe proceeding from the optick nerve dilated into a coat, it is woven like a net wkh veins and arteries which it receives from the grapy coat,both for the life and nourishment both of it felf, as alfo of the glaflie humor which itencompafles on the back part. The principall commodity of this coat is, to perceive when the Cryftalline humor Shall be changed by objefts, and to lead the vifive fpirit inftrufted or furnished with the faculty of feeing, by the mediation of the glaflie humour, even to the Cryftalline being the princi- pall inftrument of feeing. It is Softer than any other coat,left the touch of it Should offend that humor. Wherein thou wilt admire the Angular order of nature, which as mother things it pafles not from one extreme to another unlefle by a Medium, fo here it hath not fitted the hard horny coat to the foft humors, but by interposition of divers media of a middle confiftence.For thus after the harder coats .Adnata and Cornea it hath placed the grapy coat,by fo much fofter then theSe two,as the Net-like coat is fofter then it,that thus it might paSTe from extreme, to extreme as it were by thefe degrees of hardnes and foftnes. The fitch and laft coat is called Arachnoides, becauSe it is of the confiftence ofa Spiders web. And we may well refemble this coat, to that skin of an union which exceeds the o- ther in clearnefs,whiteneSs,and thinnefs.This Araneofa or Cobweb-like coat cncompafles the Cryftalline humor on the fore fide, peradventure that fo it might defend it,as the chief ( inftrument of feeing, if the other humors Should at any time be hurt. It hath its originall from theexcrementitious humidity of the Cryftalline humor, hardned into that coat by the coldnes of the adjacent partjabfolutely like the thin skin which encompafles the white of an Egg. The firft humor of the eye is called the Aqueus or wateriSh,from the Similitude of waterj itns feated between the transparent part of the horny coat, the portion of the Cryftalline humor lying towards the apple of the eye, and that refleftion of the grapy coat which comes from the Iris to the circumference of the Cryftalline humor, that filling the empty {pace it may diftend the Cornea, and fo hinder the falling thereof upon the Cryftalline which would fpoil the fight;as alfo that by its moifture it might hinder the drying of the Cryftalline humor. Peradventure it is made of thewhayifli humor fweating out of the veflels of the coats,having their orifices for the moft part in that place,where this waterilh humor refides.Thefecond humor and middlemoft in Situation is called the Cryftalline, becaufe it imitates Cryftall in thebrightnes and colourjif fo be that we may attribute any colour to it.For indeed it was fit that none of the three humors Should be tinftured with any colour, as thoSe which would be the instruments of fight,left they might beguile us in feeing,as red and green Ipeftaclesdojfor that is true which we have red written by the Phi- lofopher; That the fubjeft or matter appointed for the reception of any form Should want all impreflion thereof. Hence nature hath created a formlefs matter, the humors of the eyes without colours, wax without any figure, the mind without any particular knowledg of any thing, that fo they might be able to receive all manner of forms. The figure of the Cryftalline humor is round,yet fomewhat flatted on the forefide,but yet more flatted behind,that fo the objefts might be the better retained in that, as it were, plane figure, and that they might not fly back as from a Globe, or round body, in which they could make but Short ftayj left it might be eafily moved from its place by the force of any thing det or Retifor- nvs, Net.Iike coat. An Anatomi- cal! Axiomc. r Arncbnoidet, jive Araneofd, the Cobweb* coat. The 5 humors •f the eye. i 'AqutWf or watery* 2 CryftiHinief, CfyfiaHine* A Philofophi- call Axiomc. Lib.6. and other extreme part? of the Body. 145 thing falling or hitting againft it,becau(e that body which is exaftly round touches not a plane body but only in a point or prick.Half this humor fwims in the glaffie humor,tk3t fo it may be nourilhed from it by tranfpofition of matter; or rather ( feeing it is encb m- pafled on every fide with the fift coat, that the matter cannot eafily be lent from the oile into the other ) by thebenefit of the veflcls produced even Unto it- as well by the Nct-like coat as by the Grapy, but it is filled with a bright fpirit on the forepart, which lyes next to the waterifh humor ,and the fpace of the Apple of the eye. Of which thing this is an argument, that as long as a man Remains alive, we fee the eye every way full, and fwoln, but lank and wrinkled when he is dead; befides alfo oile of tile eyes being flint, the Pupilia of the other is dilated by the fpirit compelled to fly thither. And alfo for the fame caufe the horny coat is Wrinkled in very old men,and the Pupil/a is ftraitned by the wrinkles fiibfiding into themfelves, width is the caufe that they fee little, or not at all;for by age and fuccefs of time the humor is confumed by little and little, the implanted fpirit vanifhes away, and fmaller quantity of fpirits flow from the brain, as from a fountain which is alfo cxhaufted.The horny coat at his original,that is,in the parts next the Im, feemeth to be very nigh the Cryftalline humor, becaufe all the coats in that place mutually cohere as touching one another, but as it runs further out to the Pupilla, fo it is further diftant from the Cryftalline. Which you may eaiily perceive by Anatomical! difle£tion,and the operation of touching or taking away a Catarrhaft: for whereas a Ca- tarrhaft is feated between the horny coat, and Cryftalline humor, the needle thru ft in, is carried about upwards, downwards, and on every fide through a large and free fpace, neither touching the horny coat nor Cryftalline humour, by reafon thefe bodies are fevered by a good diftance filled with fpirit and a thin humour. The ufe of it is, that it may be like a looking-glafle to the faculty of feeing carried thither with the vifive fpirit. The third and laft humor is the Vitrew the glaffie,or rather Albugineous humor, called fo, becaufe it is like molten glafle, or the white of an Egg.lt is feated in the hind part of the Cryftalline humor,that fo it may in fome fort break the violence of the fpirit flowing from the brain into the Cryftalline humour, no otherwife than the watry humor is placed on the forefide of the Cryftalline to hinder the violence of the light and colours entring that way. This glaffie humor is nourilhed by the Net-like coat. We have formerly fpoken fufficiently of the nerves of the eye: Wherefore it remains that we fpeak of the veins. Some of thefe are internail, carried thither with the coats of the veflels of the brain; other fome externall,ft retched over the external I parts of the eye, as the Mufcles,and coat Adnata-, and by thefe veins inflammations and rednefs often happen in the external! parts of the eye: for which the Vena pupis mutt be opened, and cupping glafles and horns muft be applyed to the nape of the neck and Ihoulders: as in the internal! inflammations of the eye, the cephalik vein muft be opened to avert and evacuate the mor- bifick humor. Gal.Cap 5. lib ibtdS*Ju In uhat place Catan hail or fuffufion breeds 3 Vi t reus feu lugineus, that is Glaflie ©r like rhe white of arj E?g- The veins of the eye. What veins may be opened! in whatinflarn- mations of the eycs» CHAP. VIL Of the Nofa He Note is called in Greek Rjf, becaufe the excrements of the Brain flow forth by this paflage,thou maift underhand it hath a divers fubftance by compofiti- on.The quantity,figure and fite are fiifficiently known to all.But it is compe- ted of the skin and mufcles,bones,griftles,a membrane or coat nerves, veins and ai'teries. The skin and bones both contained and containing, have for- merly been explained, as alfo the nerves, veins and arteries. The griftles of the Nofe are fix in number; the firft is double, feparating both the noftrills in the top of the note extended even to the bone Ethmoides. The tecond lyes Under the former. The third and fourth are continued to the two outward bones of the nofe. The fifth and fixth being very, (lender and defeending on both fides of the nofe,make the wings or moveable parts thereof.There- fore the ufe of thefe griftles is, that the nofe moveable about the end thereof,(hould be lefle obnoxious to external! injuries, as fractures and bruifes,and befides more fit for drawing the air in and expelling it forth in breathing.For nature for this purpofe hath beftowed four mufcles upon thenofe,on each fide two, one within,and another without. The External taketh its original from the cheek,and defeending obliquely from thence, and after fome fort annexed to that which opens the upper lip, is terminated into the wing of the nofe, which it dilates. The internall going on the inner fide from the jaw-borie, ends at the beginning of tht griftles that make the wings, that fo it may contraft them. The coat which inwardly invefts the noftrils and their paflageS, it produced by the five-like bones from the Crafa meninx9 as the inner coat of the palat,throttte, weazon, gullet and inner that it is no mervail, if the affefts of fiich partS be quickly communicated with the brain. This fame coat on each fide receives a portion of a nerve from the third O '■ conjtv The Grimes the note. The mufcfes thereof. 146 Of the Mufcles and Bones Lib.6. The temper, aftionand life. conjugation., through the hole which defcends to the nofe by the great corner of the eye. The nofe in al the parts thereof is of a cold and dry temper.The Aftion and profit there- of is to carry the air and oft-times fmells to the mamillary procefles, and from thence to the four ventricles of the brain,for the reafons formerly (hewed. Butbecaufe the mamil- lary precedes being the paflages of the air and finels are double,and for that one of theft /nay be obftru&ed without the other, therefore nature hath alfo diftinguiflied the paflage of the nofe with a griftly partition put between, that when the one is obftrufted, the air by the other may enter into the brain for the generation and prefervation of the animall fpirit. The two holes of the nofe firft afeend upwards, and then downwards into the mouth, by a crooked paflage, left the cold air, or duft (hould be carried into the lungs. But the nofe was parted into two paflages as we fee, not only for the forementiohed caufe,- but allo for helping the refpiration and vindicating the fmell from external! injuries jand laftly, for the ornament of the face. 7 . ' Why the nofe was parted in two, CHAP. VIII. (?f fee Mufcles of the Face, Ow we muft defcribe themufcles of the face pertaining as Well to the lips as to the lower jaw. Thefe are 18. in number, on each fide nine, that is, four of the lips, two of the upper, and as many of the lower. But there belong five to the lower jaw. The firft of the upper lip being the longer, and narrower,ari- fing from the yoak-bone defcends by the corner of the mouth to the lower lip, that fo it may bring it to the upper lip, and by that means Ihut the mouth. The other being (hotter and broader, palling forth of the hollownefs of the cheek, or upper jaw ( by which a por- tion of the nerves of the third conjugation defcends to thefe two mulcles, and other parts of the face ) ends in the upper part of the fame upper lip,which it compoles together with the fielhy pannicle and skin,and it opens it by turning up the exterior fibers towards the nofe, and (huts it by drawing the internall inwards towards the teeth. The firft of the lower lip being the longer and (tenderer, entring out of that region which is between the externall perforation of the upper jawfthrough which on the inner part of the fame, a nerve palfeth forth to the fame mufcles ) and the mufcle Maffeier, ( of which hereafter ) then attending upwards by the corner of the the mouth, it ends in the upper lip, that fo it may draw it to the /lower. The other broader and (horter begins at the lower part of the chin, and the hollow- nefs thereof, and ends at the lower lip which it makes, opening it within and without by its internalland externall fibers, as we alfo faidof itsoppofite. And that I may fpeak in a word, nature hath framed three forts of mufcles lor the motion of the mouth, of which fome open the mouth, others (hut it, and otherfome wreft it and draw it awry; but you muft note that when the mufcles of one kind jointly perform their funftions(as the two upper which we dettribed in the firft place, on each fide one, which draw the lower lip to the upper, and the mulcles oppofite to them ) they make a right, or (freight motion; but when either of them moves feverally, it moves obliquely, as when we draw our mouth afide. But thefe mufcles arefo faftned and fixed to the skin, that they cannot be feparated; fo that it is no great matter whether you call ft a mufculous skin, or a skinny mufcle:( Which alfo takes place in the palms of the hands and foies of the feet ) but thefe mufcles move the lips the upper jaw being not moved at all. Their nutnber. CHAP. IX. Of the Mufcles of the lower Tdw. Their number' E have faid thefe mufcles are five in number, that is, four Which fhut it, and! one which opens it, and thefe are alike on both fides. The firft and greater of thefe four mufcles which fhut the Jaw is called Crotophita or Temporall mufcle; it arifes from the fides of the forehead and Bregma bones, and adhering to the fame and the ftony bone, it defcends under the yoak-bone, from whence it infcrts it felf to the procefle of the lower jaw which the Greeks call Cordne3 that it may draw it directly to the upper,fo to fhut the mouth. But you muft note, that this mufcle is tendinous even to his belly, and that it fils and makes both the temples. It is more fiibjeft to deadly wounds than the reft by reafon of the multitude of nerves difperfcd over the fubftance thereof, which becaufe they are neer their original!, that is,the brain,they infer danger of fodain death by a convulfion which ufually follows the affcfts of this mufcle, bnt alfo in like manner it caufes a Fcaver, the Phrenfyand Coma, "the The Tempo- tall mufcle. Why the wounds of the temporall Mufcle are deadly* Lib.6. and other extreme parts of the Body 147 The figure of the chief mufiles of the Face. A. The mufile of the forehead and the right fibers thereof. B. Temp or all mufile. A. (s.y. his fimicircular original!. D. 7 be mufile of the upper lip. G. 7hejoafi-bone under which the tem- for all mufiles paffe. 1. The Maffeters or Grinding mufile; K. The upper griftle of the nofi. M. A mufile forming the cheeks. N. 7 he mufile of the lower lip. O. A part of the fifth mufile of the lower law called Digaftricus, that is> double bellied. Qz_R. The fir ft mufile of the bone Hyoidesgrowing unto the rough Ar- tery. S. The ficond mufile of the bone Hyoides under the Chin. T. The third mufile of the bone Hyoides ftretched to the Jaw: T. K. Thefeventh mufile ofthehead and bis infirtionat T. 1 V. V. The two venters of the fourth mufile of the bone Hyoides. i>. The place where the veffels paffe which go to the headland the nerves which are fint to the Arm. Therefore that it fhould be lefle fubjeft or obvious to externall injuries, Nature hath, as it were, made it a retiring place in the bone,and fortified it with a wall of bone rai- fed fomewhat higher about it. The other Mufcle almoft equall to the former in bignefs, being called the Md/eter,or grinding mufcle, makes the defeends from tile loweft part of the great eft bone of the orb ( which bends it felf as it were back, that it may make part of the yoak-bone) and inferts it felf into the lower Jaw, from the corner thereof to the end of the root of the procefle Cotw, that fo it may draw this Jaw forward and back- ward, and move it like a hand-mill. Wherefore nature hath compofed it of two forts of fibers, of the which fome from the neck( the cheek in that place under the eyes ftanding fomewhat out like an apple arifing from the concourfe of the greater bones of the orb and upper jaw ) defoend obliquely to the corner and hinder part of the lower jaw, that it may move it forwards.Otherfome arife from the lower part of the fame yoak-bone, and defeending obliquely interfe ft the former fibers after the fimilitude of the letter X, and infert themfelves into the fame lower jaw at the roots of the procefle Cor one, that fo they may draw it back:Truely by reafon of thefo contrary motions it is likely this mufcle was called the Maffeter or grinder. The third, which is the round mufcle, arifes from all the Gums of the upper jaw , and is inferted into all the gums of the lower, invefting the fides of all the mouth with the coat, with which it is covered on the infide, being otherwife covered on the outfide with more fat than any other mufcle. The aftion thereof is, not only to draw the lower Jaw to the upper, but alfo as with a fhovell to bring the meatdifperfed over all the mouth un- der the teeth, no otherwife then the tongue draws it in. The fourth being (hotter and lefle than the reft arifing from all the hollownefs of the winged procefle of the Wedge-bone, is inferted within into the broadeft part of the lower Jaw, that fo in like manner it may draw the fame to the upper. This is the mufcle through whole occafion, we laid this lower Jaw is fometimes di (located. FIG.II The fitafleier er grinding tnufcfe* The routidl mufcfc* The lefTer mufcle of th © lower law. The figure of the Mufcle s of the lower Jaw. FIG,III. A. A hole in the forehead bone in the brim of the feat of the eye, fending a final/ nerve of the third pair to the mu files of the forehead and the upper eye-brow. B. The Temporal/ mufcle. The fi t and laft mufcle of the lower jaw from the procefle ftyloides of the ftony bone. The fifr aia$ attends to the forepart of the Chin, neer to the connexion of the two bones ®f this jaw, kft inufdc* O 2 tO 148 Of the Mufcles and Bones Lib.6 to draw this Jaw downwards from the upper in opening the mouth .This mufcle is (lender and tendinous in the midft,that fo it might be the ftronger, but it is flefliy at the ends. All thefe mufcles were made by the Angular providence of nature, and engratfed Into this part for the performance of many ufes and aftions, as biting afunder, chawing, grinding and fevering the meat intofmall particles,which the tongue by a various and harmlefs motion puts under the teeth. Thus much I thought good to fay ot the parts of the face, as well containing as contained. The ufe of thefe menrio- nedmufdes. C H A P. X. Of the Ears and Parotides or kernels of the Ears. The nature andcompofiri- on of rhe ears. What rhe Fib)a and pinna are. The figure and the reafon thereof. He Ears are the Organs of the fenfe of hearing. They are compofed of the skin, a little flefh,a griftle, veins, arteries and nerves.They may be bended or folded in without harm, becaufe being griftly,they eafily yeeld and give way 5 but they would not do fo, if they fliould be bony, but would rather break. That lap at which they hang pendants and Jewels, is by the ancients called Fibra, but the upper part pinna. They have been framed by the providence of nature into two twining paflages like a Snails fhell, which as they come neerer to the foramen tytum or blind hole,are the more ftraitned , that fo they might the better gather the air into them, and conceive the differences of founds and voices, and by little and little lead them to the membrane. The Figure of the ears and bones of the auditory pajfage. FI <1.1, 'fab. io. fbeweth the ears and the divers internal/ parts thereof. Fig. I. fbeweth the whole external/ eary with a part of the 'temple bone. Fig. 2. fbeweth the left bone of the Temple divided in the midft by the inftrument of hearing $ where- about on either fide there are certain paffages here particularly defcribed. Fig. 2. and 4. fheweth the three little Bones. Fig. 5. fbeweth a portion of the bone of the temples which is jeen neer the hole of Hearing divided through the midft 9 whereby the Nerves , Bones and Membranes may appearyas Vefalius of them conceiveth. Fig. 6. fbeweth the Veffels 5 Mem- branes , Bones and holes of the Or- gan of hearings as Platerus hath defcribed them. Fig. 7s and 8. fbeweth the little bones of the hearing of a man and of a Calfe9 both joined and fepa- rated. Fig. 9. fbeweth the Mufcle found out by dquapendens. For the particular declaration fee T>. Crooks Anatomy, pag. 577' This membrane Which is indifferently hard hath grown up from the nerves of the fifth Lib.6. and other extreme parts of the Body, 149 fifth conjugation,which they call the auditory. But they were made thus into crooked tvindings, left the founds ruffling in too violently Ihould hurt the fenfe of hearing. Yet for all this we oft find it troubled and hurt by the noife of thunder, Guns and Bels. Otherwife alfo left that the air too fodainly entring in Ihould by its qualities,as cold,caufe lome harm : and alfo that little creeping things and other extraneous bodies, as fleas and the like, ihould be flayed in thefe windings and turnings of the waits,the glutinous thick- nefs of the cholerick excrement or ear-wax hereunto alfo conducing, which the brain purges and fends forth into this part, that is, the auditory paflage framed into thefe intri- cate Mseanders. But that we may underftand how the hearing is made, we muft know the ftrufture of the organ or inftrument hereof. The membrane which we formerly mentioned to confift of the auditory nerve, is ftretched in the infide over the auditory paflage like as the head of a Drum. For it is ftretched and extended with the air, or auditory ipirit implanted there, and (hut up in the cavity of the mamillary procefle and fora- men (town, that (mitten upon by the touch of the externall air entring in, it may re- ceive the objeft, that is, the found, which is nothing elft then a certain quality a- rifing from the air beaten or moved by the collifion and conflift of one or more bodies. Such a collifion is fpred over the air,as the water which by the gliding touch of a ftone produces many circles and rings one as it were riling from another. So in rivelets running in a narrow channel, the water ftruckcn,and as it were, beaten back in its courfe againft broken, craggy and fteep rocks, wheels about into many turnings : this collifion of the beaten air flying back divers waies from arched and hollow roofed places, as Dens, Ci- tterns, Wells, thick Woods and the like, yeelds and produces a double found, and this re*- duplication is called an Echo .Wherefore the hearing is thus made by the air,as a medium, but this air is twofold, that is, externall and internail. The exteriour is that which encompafles us, but the interiour is that which is (hut up in the cavity of the mamillary procefle and foramen csicum, which truly is not pure and foie air, but tempered and mixed with the auditory fpirit. Thence proceeds the noife or bea- ting of the ears, when vapors are there mixed with the air inftead of fpirits,whereby their motion is perturbed and confuted. But neither do thefe fit dice for hearing,for nature for the more exaft diftinftion of founds hath alfo made the little bones, of which one is called the Incus oranvill, another the Malleolus or hammer, the third the Stapes or ftirrop,becaufe the fhape thereof refembles a German ftirrop. Alfo it may be called Deltoides, becaufe it is made in the fhapeof the Greek letter a. They are placed behind the membrane; wherefore the anvill and hammer moved by the force of the entrance of the externall air,and beating thereof againft that membrane, they more diftinftly exprefle the difference of fbunds,as firings ftretched within under the head of a Drum; as for example, thefe bones being more gently moved reprefent a low found to the common fenfe and faculty of hearing, but being moved more vehemently and vi- olently, they prefent a quick and great fpund; to conclude,according to their divers agi- tation, they produce divers and different founds. The Glandules fhould follow the Ears in the order of Anatomy, as well thofe which are called the emunftories of the brain, that is, the Parotides, ( which ate placed as it were at the lower part of the ears ) as thefe which lye under the lower Jaw, the mufcles of the bone Hyoides and the tongue, in which the ScrophuU and other fuchcoldabfcefles breed. It fhall here fuffice to let down the ufe of all fuch like Glandules. Therefore the Parotides are framed in that place by nature, to receive the viru- lent and malign matter fent forth by the ftrength of the brain, by the veins and arteries fpred over that place. The reft ferve to ftrengthen the divifion of the veflels, to moiften the ligaments and membranes of the Jaw, left they fhould be dryed by their con- tinuall motion. Their other conditions and ufes are formerly handled in our firft book of Anatomy. For wh.tr ufe the ear-wax fervcs. Tor what ufe the membrane ftrerched under <he auditory paffagc fctves. What foundjs.* T he caufe ot an echo. The 3 hones of rhe auditory paffage. Their ufe. Whence'the difference of founds, CHAP. XI. of the hone Hyoides, and the Mi fetes thereof. He fubftance of the bone Hyoides is the fame with that of other bones. TEe figure thereof imitates thegreek letter u from whence it took the name, ( as alio the namev'4Mcw«Ak; and from the letter Ait is in like fort called by fome it is ftiled os Gutturis and os Lingua, that is, the Throat- bone and Tongue bone. The compofition thereof confifts of many bones joined into one by the interpolation of griftles. This bone is bigger in beafts and competed of more bones,arid that not only by the in- tercourfe of griftlesjbut alfo ofligaments.lt is teated with its balls ( being gibbous on the O 3 forepart The reafon oif the name, The Compa'- firion. Th. lite., 150 Of the Mufcles and hones Lib.6 forepart for conftancy, and arched on the infide that it might receive and contain the root of the tongue ) upon the upper part of that griftle of the throtle which is called feirtiformis or Shield-like, ( for this feems to prop it up by the ftrength of two proceffes ri- ling at the balls thereof) and the root of the tongue. From this bails it fends forth two horns to the Udes of the tongue on each fide one,which in men are tyed to the Appendix flyloides by ligaments fent from it felf. Contrary then it is in beafts, who have it of many bones united as we faid,by the intercoule of ligaments even to the root of the flyloides . Wherefore this bone hath connexion with the forementioned parts,and other hereafter to be mentioned. It hath the fame temper ac other bones have. The ufe of it is, to minifter ligaments to certain mufcles of the tongue,and infection as well to the twoforemoft and upper mufcles of the throtle,as to its own,of which we will now treat. The mufcles of the bone H) oi Jer,according to the opinion of fome are eight, on each fide four 5 of which there be two,one of which Galen refers to the common mufcles of the larinx or throtle;and the other to thofe which move the Ihoulder-blade upwards. Howfoe- ver it be, the firft of the four before mentioned arifes from the Appendix Styloidts, and paf- fing over the nervous fubftance of the mufcle opening the lower jaw, is infected into the horns of the bone Hyoides. This mufcle is very thin, yet fomewhat broad, the which in that refpeft may eafily be cut,unlefle you have a care in feparating the mufcle which opens the lower Chap. The fecond afeends obliquely from the upper part of the Ihoulder-blade ne'er the production thereof called Cor aco ides, tp the beginnings of the horns of the faid bone Hyoides. This is round and nervous in the midft that fo it might be the ftronger, as that is which we formerly laid opens the lower jaw; and it is refer'd by Galen amongft thole which move the Ihoulder-blade upwards.The third ariles from the upper part of the flerwcw,and is infected at the root and bafis of the bone Hyoides-, yet Galen refers it to the common mufcles of the Larinx-, whofe opinion takes place rather in beafts, than in man, feeing in man this mufcle cannot be found either to proceed,or be inferted into the thro- tle, as it is in beafts. The fourth and laft defeends within from the chin to the root of the bone Hyoides. The firft of thefe mufcles with its companion or partner moves the bone Hyoides upwards, the fecond downwards;the third backwards ; and the fourth forwards. I would declare whence thefe mufcles have their veflels , had I not abundantly fatisfied that thing, when I treated of the diftribution of the nerves, veins and arteries. The temper and ufe. The mufcles of the bone Z/yoz- der. The aftion of thefe mufclcs. CHAP. XII. Of the What kind of flefh the tongue hath. HE tongue is of a flelhy, rare, looff and loft fubftance; it enjoyes flelh of a different kind from the reft of the flelh, as chiefly appears when you cut it from the firft originall of the muffles thereofiwhich thing hath moved fome, that they have made a fourth kind of flelh proper to the tongue and different from the reft,z/z\z. the fibrous, muffulous, and that ofthe bowells.The quan- tity thereof is ffich that it may be contained in the mouth , and eafily moved to each part thereof. The figure of it is triangular, which it rather exprefles in the balls, which is at the root ofthe bone Hyoides, than in its point, or forepart, wherefrom a triangle it be- comes more dilated. It is compofed of a membrane ( which it hath from that which lines all the infide of the mouth ) muffles 4. nerves two on each fide, the one whereof is fent from the third conjugation, into the coat thereof; the other from the feventh is fent into the muffulous lubftance even to the end thereof for motions fake; fo that thoff ff nfifick nerves from the third conjugation only give to judg of taftes, compofe the coat, and touch or enter not the flelh. Befides it is compofed of veins and arteries on each fide one, which it receives from the externall Jugular and Carotides, running manifeftly to the end thereof on the lower fide, that fo they might be eafily opened in the diffaffs of the mouth and throtle; they commonly term thefe the Vena nigra or black veins. The muffles of the tongue, are abfolutely ten, on each fide five. The firft narrow at the beginning and broader at the end, deffciids into the upper fide of the tongue from the Appendix Styloides, and together with its copartner draws it upwards. The fecond hath its originall within from the lower jaw, about the region of the grinding-teeth , and is inffrted into the lower fide of the tongue, the which with its partner draws it down- ward. The third proceeds from the inner part ofthe chin, and goes to the root ofthe tongne, that when need requires it may put it forth of the mouth. The fourth the greateft and broadeft of them all, compofed of all forts of fibers, pafles forth from the balls of the bone Hyoides, and ends at the lower part of the tongue, which with its companion plucks it back into the mouth. The fife and laft molt ufu- ally ariffs from the upper part of the horns of the bone Hyoides, and goes to the roots of the tongue between the two firft a that it may move it to the fides of the mouth. The quantity# The figure. Compofure. The nerves, The mufcles of the tongue. and other extreme parts of the 'Body. L1 b,6. 151 mouth. The temper thereof, as of all other flelh, is hot andmoift. 1 he firft action and commodity thereof is,to be the organ of the fenfe of tailing, wherefore it was made fungous and fpongy,that by reafon of the rarity of it, it might more cafily admit the tails conjoyn- ed with the fpettie,as a vehicle. Another to be an inftrument to dillinguilh the voice by ar- ticulate fpeeech.for which it was made movable into each part of the mouth. The third is to be a help to chaw and fwallow the meat. For which caufeit islikeafcoop or difh with which we throw back the corn into the mill, which hath fcaped grinding. And becaufe, when the tongue is dry, it is lefs nimble and quick to perform its motions, as appears by thofe which can fcarce (peak by reafon of thirft or a burning Feavcr: therefore nature hath placed very fpongy glandules at the roots thereof, on each fide one, which like Iponges fuck and receive,both from the brain and other places,a waterifh and fpettlely humor,with which they humeft and make more glib,not only the tongue, but allb the other parts of the mouth,as the throat and jawesjthefe glandules are called the or Almonds of the throat. The temper, aflion, and ma ■ nifoldufe of the tongue. The tife of the glandules pla- ced at the roots of the tongue. CHAP. III. Of the Mouth. 4e mouth is that capacity which bounded with the cheeks and lips contains within its precinft s the teeth,tongue,and the beginnings of the throtle and gul- let.Therefore the ufe of the mouth is to contain the tongue,and ferve it in the fit- ter performance of its aftions; and although many parts hereof have been former- ly handled,as the lips,teeth, jawes,tongue,almonds,and paflages of the palat. coming from the note,yet it remains,that we declare what the palat,the Vvulva,the Pharinx, and fauces or Chops are. The Palat (or as it is commonly called,the Roof of the mouth) is nothing elfe but the upper part of the mouth bounded with the teeth gums and upper Jaw. In which place the coat common to the 'whole mouth,is made rough with divers wrincles, that the meats put up and down between the tongue and the Palat might be broken and chawed more eafily by that inequality and roughnefs. If any would find the nerves, which defeend into the palat from the fourth conjugation, let him feparate that coat and caft it from the fore to the hind part of the mouth; for fo he (hall find them at the (ides and hind parts of the bones of the Palat,which incompafs the Palat,and at the beginning of the inner holes of the mouth, which defcend from the nofe, and region of the productions of the wedgbone called the Saddle. Thefe holes or patfages are open, that we may breath the better when we fleep , and that when the note is not well, the excrements which feck their paflage by it, may beeafilier drawn away by the mouth. This fame coat is woven with nervous fibers, that like the tongue it might judg of tafts ; thefe fibers compofe a coat that hath a middle confiftence betwixt foft and hard. For if it fhould have been any harder,like a bone or griftle, it would have been without fenfe,but iffofcer,hard, acrid and (harp meats would have hurt it. What it is. Theufe, What the palat is. T he nervrs she re of. Why the holes of the palat are open. What kind of coat the palat hath> CHAP. XII II. Of the Gargareon, or Vuula. Y the CdYgareon we underftand a flelhy and Ipongy body, in fliape like a pine apple,hanging directly down at the further end of the palat and bafis of the bone Ethmoides^where the two holes of the palat come from the nofe,above the entrance of the throtle. This littlebody is lituate in this place to break the violence of the air drawn in by breathing,and that by delay it might in fome fort temper and mitigate it by the warmnefs of the mouth. Belides, that it might be as it were the Plefirum, or quil of the voice, io to diffufe the fuliginous vapour fent forth in breathing,that it may be difperfed over all the mouth, that refounding from thence it may be articulate, and by the motion of the tongue diftinguifhed and formed into a certain voice. Which uie is not (mall,when we fee by experience that fuch as have this particle cut away,or eaten,or corrupted by any accident, have not only their voyce vitiated and de- praved, but (peak ill-favouredly,and as they fay, through the nofe ; and belides in procefs of time they fall into a conliimption by realbn of the cold air palling down before it be qualified. This fame particle, is alfo a means to hinder the duft from flying down through the weazon into theLungs.By the Pharinx and fauces is meant the inner and back part of the mouth,fet or placed before the entrance of the 1 hrotle and Gullet 5 being fo called,becaufe that place is narrow and ftrait, that as it were by thefe ftraits, the air drawn in by the mouth might be forced down by the Throtle, and the meat into the Gullet. What the Gar- gareon, or Vvula is,* The fire and manifold nfe thereof. The difcom- modifies that enfuethelofs ofche Vvula* What the Fharinx and fauces mg. CHAR 152 Of tbe Mufcles and Bones Lib. 6. CHAP. XV. Of the Larinx, or 'throttle. lift we muft fhew what is meant by the Larinx and Throttle,then proficutc the Ci- ther conditions of it after our accuftomed manner. Therefore by the Larinx we un- derftand nothing el(e in this place,! han the head & extremity of the rough artery, or weazon,which comes neerei to griftly fiibftance,thaH to any other. The quan- tity thereof is fufficiently large, yet divers according to the diverfity of bodies. It re- fembles in ffiape the head of a Germane pipe. The compofure of it conlifts of 18. mufcles,on each fide nine,which as they are like in quantity, fo alfo in ftrength and action ; of three griftles, veins,arteries and nerves, as we (hewed, when we (poke of the diftribution of the veflels; as alfo of a double coat, the one externall,the other internal], as we (hewed when wefpokeof theweazon. Thefe three griftles are joyned together by certain Ligaments and mufclesjthe foremoft griftle,which alfo is the greater,is called by the Greeks in Latin commonly is (hield-like,becaufe it refembles a fhield. The fecond be- ing the hinder and middle in magnitude,wants a name,wherefore it is called the innominata or namelefs griftle. The laft and leaft, which notwithftanding may be parted into two, fo lyes upon the edges of the other,that it refembles the mouth of an oyl pot, or a pitcher, whereupon the Greeks call it Arytenoides.Thefe griftles thus fitted amongft themfelves utter a diftinft voice, by the benefit of the Epiglottis, or After-tongue ; and alfo of the mufcles opening and (hutting,dilating and comprefling them, whence proceed infinite varieties of voices. For thus when they are opened and dilated,they yeeld a heavy,or dull found;whcn, they are (hut or drawn together,a quick,or (harp foundjand to conclude, they make it infi- nite wayes different according to the infinite variety of the dilatation , or conftri&ion. thereof. Therefore becaufe it was fit thefe griftles (hould be moveable, efpecially the Aryte- no ides, and Thyroides, nature hath put to them on each fide 9 mufcles, of which three are common,and fix proper.The firft of the common lying hid under the third mufcle of them that move the bone Hyoides, arifes from the root of the fame bone,and by an oblique d'e- feent inferts it felf at the bafis of the fhield-like griftle , to dilate it upwards and down- wards. The fecond afeends obliquely from the inner part of the fternon according to the length of the weazon (whence it is called Bronchia) to the bottom and fides of the fan;e fhield-like griftle,that it may open and dilate it with its wings.This mufcle is feen from the firft original thereof,even a great part of the way ftraitlty to cohere with the third mufcle of the bone Hjozdejjtherefore under each of the mufcles,there is a glandulous body fpred about the fore and upper part of the weazon, on that place where it applies it felf to the throttle; this body although it refemble a fleffiy fubftancc, yet it is a glandule,which being phickt away by a certain Emperick taking upon him to cure the kings evill, caufed a deleft of voice on one fide, becaufe he pulled away the recurrent nerve lying upon the glandule as it goes to the throttle, as Galen reports, Lib. de locis affect is. The third and laft arifes from the parts of the Vertebra's of the neck lying tranfverfly upon the fides of the gullet,and ends at the wings and fides of the fhield-like griftle, that it may tye it more ftraitly to the fecond griftle. But thefe three are called common mufcles, becaufe they take their original! from lome other place than the throttle,that fo they may be inferted into fome part thereof; for they are called the proper mufcles which arife from the Throttle it felf,which we have laid to be fix on each fidezthe firft of which arifing from the fore part of the fecond griftle,makes a circle under the bafis of the (hieldlike griftle; whilft afeending obliquely to the bafis there- of, it is afterwards inferted in a part of it,fo to ftrengthen and dilate it. The fecond in like manner arifing from the fecond griftle, from that place where it adheres to the firft, it runs obliquely crofting the firft to the inner and forepart of the griftle 7 hyroides ncer to the bafis thereofjthat it may joyn it to the fecond.The third from rhe hind bafis of the fecond griftle afeends direftly to the bafis of the third griftle Arytenoides , that with the fecond mufcle it may open and (hut it. The fourth afeends from the fides of the (econd griftle,neer the ori- ginal! of the (econd mufcle, to the fides of the Arytenoides, that with the fecond mufcle it may open and (hut it.The fift arifes from the inner middle of the fhield-griftle, and ends in the fore-part of the Arytenoides at the infection of the fourth mufcle, that, fo it may prefs down the faid griftle. The fixt and laft afeends by the hind bafis of the Arytenoides to the fore bafis of the fame, to prefs it down. But you muft note,that all fuch mufcles as arife from below upw ai ds,re- ceive branches from the recurrent, butefpecially thofe who open and (lint the griftle Ary- tenoides. But thefite,temper,connexion,and ufe of the throttle may .eafily be known by that we have faidbefore : Although it be a thing very full of difficulty to fearch Pout and de- monftrate all the conditions of the organicall parts, by reafon of the diverfity of their com- pofition. Wherefore hence-forward concerning the fubftancc, temper, and other circum- ftances of fuch parts as we (hall omit, you may have recourfe to thofe things which we have written in the Demonftration of the fimple and fimilar parts, of which thefe orga- nicall Whar is meant by the Larinx. Themagni* rude,figure, and compoz fur. The defcripti* on of the 3 griftlesofthe Larinx. Whence the infinite variety of voices pro- ceed. The mufcles of the Larinx. Their A notable hiftory. Whence the mufcles of the Throttle have their nerves. Li b.6. and other extreme parts of the Tdody 153 nicall are compofed 5 as if any (hould ask of what temper the Laritix is,you (hall anfwer,of a cold,dry, and hot,and moift,becaufe it confifts both of a grillly and flefhly fubftance. He which reckons up all the parts of the mouth , mud not omit that griftly and membra- nous body which arifes from the roots of the tongue,which that it might be more quick for motion,that is, whereby if might be more eafily eretted and deprefled (for thofe things which are more foft do continually Aide away, but thofe which are too hard cannot be bended J it was convenient it fliould be neither too hard nor too foft, that it might bee- retted whilefl: we breath, but deprefled when we (wallow. It is a principal! inftrument of the voice,for it cannot be well articulated unlefs the way were (trait. Therefore it ftrai- tens that way,and the paflage of the griftles of the throttle, but fpecially the Arytenoides5 it is alwayes moift by a certain native, and inbred humidity 5 wherefore if it happen to be dried by a leaver,or any other like accident,the fpeech is taken away. It is bound on both hides by the common membrane of the mouth to the hides of the Arjtenoides even to the back part thereof, that fo like a cover it may open and (hut the orifice of the throttle, that none of the meat and drink in fwallowing may fall into the weazon, in fuch aboun- dance as may hinder the egrefs and regrefs of the air. For we moft not think that this bo- dy doth fo clofely (hut the orifice of the throttle, but that fome fmall quantity of moi- flure alwaies runs down by the inner 1 ides, as the walls thereof, to moiften the lungs; o- therwife Eckgma's (hould be of no u(e in the difeafes of the Cheft. And becaufe that this little body is partaker of voluntary motion, therefore according to the opinion of fbme there are four mufcles bellowed upon it, two which may open it and two that (hut it, on each fide one. The opening mufcles defeend from the root of the bone Hjatdes, and in their infertion growing into one they are terminated in the root of this body, that is, the tyiglottn in the back part thereof. The (hutting mufcles (in thofe creatures where they are found) arileonthe infide between the coat and griftle thereof. Truly I could never ob- ferve and find thefe four mufcles in a man, though I have diligently and earnellly fought ; for them,but I have alwayes obferved them in beaft?. Therefore fome have boldly affirmed that this little body in fwallowing lies not upon the orifice of the Throttle, unlefs when it is prefled down by the heavinefs of fuch things as are to be fwallowed; but that'at all o- ther times by reafon of the continuall breathing it Hands upright, the Throttle being o- pen. There remain as yet to be confidered, two fmall bo(bmes,or cavities,or rather fiflures, which nature hath hollowed in the very throttle under the Efzg/otta,on each fide-one,that if by chance any of the meat or drink (hould fall,or flip afide in the Larinx}it might be there flayed and retained. Befide that, the Air too violently entring, (hould be in fome fort bro- ken by thefe clifts,or chinks,no otherwifethen the blood and fpirit entring into the heart through the Auricula or Ears thereof. The Epiglottis} or After- tongue. Of potable things feme- what alwayes falls upon the Lungs. The mufcles ol the Epiglottis. The ufe of the cavities or fif- furesofthe Throttle* CHAP. XVI. Of the Neckband the parts thereof. Irft we will define what the Neck is, then proftcute the parts thereof as well pro- per,as common,especially thofe of which we have not as yet treated.For it were fuperfluous to fpeak any more of the skin,the flefhy pannicle,the veins, arteries, nerves, gullet, weazon and mufcles amending and defending to the parts into which they are inftrted alongft the neck; wherefore you muft not expeft that we fhould fay any thing of the neck,mo re than to defcribe the Vertebra or rack bones,being the proper parts thereof, and the ligaments as well thofe proper to the neck, as thofe which it hath in common with the headland laftly the mufcles as well thofe it hath in com- mon with the head and cheft,as thofe of its own. Therefore the neck is nothing elfe,then a part of the head, which is contained between the nowl bone and the firft vertebra of the back. Firft in the neck the Vertebra's muft be considered, and we muft Shew what they have proper and peculiar,and what common amongft themfelves, that we may the more eafily Shew the originall and infection of the mufcles growing out of them and ending in them. The neck confifts of feven Vertebra or Rack-bones, in which you muft confider their pro- per body; and then the holes by which the fpinall marrow paffes 5 thirdly the dpophyjes or procefles of the Vertebra', fourthly the holes through which the nerves are difleminated in- to other parts from the fpinall marrow, and belides the perforations of the tranfverft produftions by which the veins, and arteries, which we call Cervicales, afeend alongft the neck, and laftly the connexion of thefe fame vertebra or Rack-bones. For the firft, by the body of the vertebra, we underftand the forepart thereof upon which the gullet lies. For the hole,that is not alwayes the largeft in thofe vertebr which are nigheft the head;but it is alwayes encompafled with the body of the vertebra, and befides with three forts of procef- fes, except in the firft Rack-bone,that is right,tranfverfe and oblique. By right we under- ftand theft extuberancies in the rack-bones of the neck wrhich are hollowed, direftly in the upper part of them,and rift up crefted on each fide tofuftain and receive the bafis of the Rack-bone which isfetuponit. By the oblique procefles we underftand the bunchings out Whattheneck i's. j What to be confidered in rhe vertebra of •he neck. Which be the right prrocefs of the vertebra Wh.ch the oblique, Lib. 6. 154 Of the Mufcles and Bones Which the tranfverfe. out by which thefe Rack-bones are mutually knit together by Cinglytnos ; thefe are feated between the right and tranfverfe procefles. By the tranfverfe we underftand the pro- tuberations next the body, which divide the vertebra or Rack-bone in a ftraight line. Thefe procefles are perforated that they may give way to the before defcribcd veins and ar- teries, which entring the Spinall marrow by the holes of the nerves noufifli rhe Rack-boncs and parts belonging to them. Befides you muft note that the perforations of the Rack- bones of the neck, by which the nerves proceed from the fpinall marrow to the outward parts,are under the tranfverfe procefs,that is growing or made by the upper and lower ver- contrary to all the other which are in the reft of the Rack-bones. For the c>mnexiori of the Rack-bones, you muft know that all the vertebra of the fpine have fix connexions, two in their own bodies,& four in their oblique procefles.By the two firft connexions they are fo mutually articulated in their own bodies that each arc joyned with other both above and below.But by the four other by their oblique afeendent & defcendent procefles on tach fide twojthey are fo mutually inarticulate, that as the fourth Rack-bone of the neck by its oblique afeendent procefles,is received of the defcendent procefles of the third rack-bone;fo it receives the oblique afeendent procefles of the firft, by its oblique defcendents,for alwayes the oblique afeendents are received, and the dependents receive . Yet we muft except the firft Rack-bone of the neck which is contained with four connexions by his lower oblique procefles, andby its upper by which it receives the oblique procefles both of the nowl- bone, and of the fecond Rack-bone. The fecond vertebra or Rack-bone muft alfo be excep- ted which is holden by five connexions, that is to fay, four by its oblique procefles, and the fift by its own body,by which it is knit to the body of the third vertebra. But we muft note, that whereas nature hath not given a Spine to the firft Rack-bone,yet it hath given it a certain bunch or extuberancy in fte ad thereofjin like manner,feeing it makes no compion paflage with the fecond Vertebra for the palling forth of the nerve, it is perforated at the fides of its body, and it is made very thin on the forefide, as if it were without body, that it might receive the fore procefs railed in the upper body of the fecond Rack-hone, w hich Hippocrates calls the tooth,to which the principall Ligament of the head is fattened, which defeends within from the hind part ofthe head under the 4pophyfes clinoides or procefles of the wedg-bone. Table 20.figure i .Sheweth all the Backbones ofthe together. t figure 2. Sheweth the fore and upper face of the V. Crook,pag.3 98. The connexi- ons of the ver* tthr* of the neck. The ptocefs called the tooth. xlg.jt From J,to B,thefe ven verttbret of the neck. FromC7,toZ>, thetwelvew/e- ofthe cheft. From E,to F,the five rack-bones i oftheLoines. From G, to 2f, the 0 s faerwn, or Holy-bone confining, com- monly of 6 vertebra* From Z, to K, the bone Coccyx or the rump-bone according to the late writers, LL srhe bodies of the vertebra* JW,the tranfverfe procefles of the vertebra* A',the defcendent procefles. 00,the afeendent procefles. FF, the backward procefles, holes that are in the fides of the vertebra through which the nerves are tranfmitted. ZLRj A griftly Ligament betwixt the vertebra. 3,4, the hole whereout the marrow of the back iflueth. B, 2>3> The cavity which admit, tech the root of rhe fecond rack-bone. C, a cavity or Sinus in the fame place crufted over with a griftle. D, a prominence in the out- ward region of this Sinus. f EF,2,3, the Sinus or cavity of the firftrack-bone which ad« mitre th rhe 2» heads of the no wl -bone. fhe tranfverfe procefs of the r. Vertebra. H, i, the hole of this tranfverfe procefs. A3 L1b.6. and other extreme parts of the 'Body. 155 I, j; the Sinus which together with the cavity of the nowl-Jaope marked with £, maketh a common paffage pre. pared for the nerves. #,3,4, aroughpiace where the fpineofthe firftrack iswancing. LL, 4, two cavities of the firii rack receiving rhe 2. bunches of the fecond rack marked with MAT. « A7,5,6, the 2. bunches of the fccond rack which fah into the cavities of the hrh. 9,7, the appendix oi tooth of rhe fecond rack# P,5, aknubof this appendix qiufted over with a griftle. the backfide of the tooth. R,6, the Sinus or cavity of the fame, about which a Ligament is rowled containing the Laid tooth in the cavity of the firft rack. ST. 6, Certain cavities at thelidesof the tooth whence the roots iffue of the fore- branchof the fecond pair of finews. K, $■ > the point ofthe the tooth. X, §,anafperity orroughnefs whereisi hole but not thrilled through. 7,6, a cavity ofthe fecond rack which together with rhe cavity marked keth a hole through which rhe nerves do iffue, Z, 4, rhe Sinus ofthedjrft rgpk. a, lhe double fpipp o£ rhe fecond rack, b, 1,6,7, the trail fverfe procefs ofthe fecond rack. rhe hole ofthe faid tranfverfe d, 6j7, the defeendi ng procefs of rhe fecond rack whofe cavity is marked wirhd, in the6. figure, e, 6,7, rhe- place where the body of the fecond rack defeendeth downward, f,gg, 8, rhe lower fide of rhe body of the third rack at f, the two eminent parts of the fame a £z>3, rhe afeending proceffcs. I in, 8, the two defending proceffes. nopq,8, rhe rranfverfe proceffes. r,8, 9, the fpine or backward procefs. ft, 8, the two tops of thd fpine. «,<?, the defeending procefs ofthe third rack, x, 9, fhc afeending procefs. y, the tranfverfe procefs of the third rack. £1,8,9, the hole of this tranfverfe procefs, 9, the upper hollowed part of the body ofthe third rack. <P,9, rhe Sinus or cavity which maketh the lower parr of a hole through which the conjugations of the nerves are led, 6,7, the upper part ofthe fame hole. And by this articulation the head is bended forwards andbackwards, as it is moved to the fides by the articulation ofthe firft Rack-bone with the fecond. That procefs is bound -by two Ligaments, the firft of which being greater and broader is externally comprehend- ing in the compafs thereof all the upper articulation, afeending from the rack-bones to the head,or rather defending from the head to them,as any otherLigament going from one bone to another 5 The other is the ftronger and alio incompafles the articulation mixing its felf with the griftle, which by its interpofition binds together all the Rack-bones, the firft excepted,as you may fee in pulling afimder the Rack-bones of a Swine; and the whole Spine or Back-bone is tyed together and competed throughout with fuch Ligaments. The Holy bone is competed of 4. Vertebras (or rather of five, or fix,as in the figure fol- lowing) befides the Rump-bone, it receives,and holds faft the Offa Hiunt* or Hanch-bones, and is as aBafis to all the Rack-bones placed above it, whereby it comes to pafs that the Rack-bones from the Head to the Holy-bone grow ftill thicker, becaute that which fup- ports ought to bigger than that which is fupported. There is a certain moifture,tough and fatty,put between the Rack-bones,as alfo in other joynts, to make them glib and flippery, that fo they may the better move. Whilft this motion is made, the Rack-bones part one from another. The commodities or utes of the Spine are faid to be four.The firft is, that it is,as it were, the teat and foundation of the compofiire and conftruftion of the whole body, as the Car- Lafs is in a fhip.The tecond,that it is a way or pallage for the marrow. The third is,becaufe 3t contains and preferves the fame. The fourth is, that it ferves fora wall or bulwark to the entrails, which lye and reft upon it on the infide. And becaute we have fallen into men- tion of Ligaments, it will not be amifs to infect in this place, that which ought to be known of them. Firft,therefore,we will declare what a Ligament is,then explain the divers acceptions thereof, and laftly protecute their differences. Therefore a Ligament is nothing elfe than a fimplepart of mans body,next to a bone and Griftle the moft terreftriall, and which moft ufually arifes from the one or other of them either mediately or immediately, and in the like manner ends in one of them or in a Mufcle,or in fome other part;whereby it comes to pafs that a Ligament is without blood, dry, hard,cold, and without tente, like the parts from whence it arifes,although it retemble a Nerve in whitenefs and confidence,but that it is fomewhat harder. A Ligament is taken either generally or more particularly ; in generail, for every part of the body, which tyes one part to another, in which tente the skin may be called a Liga- inent,becaute it contains all the inner parts in one union. So the .comprehending all the naturall parts, and binding them to the back-bone: fo the membrane ihvefting the Ribs, (that is,the Pleura) containing all the vitall parts; thus the membranes ofthe brain, the nerves, veins, arteries,mufcles, membranes, and laftly all fuch parts of the body, which bind together and contain other, may be called Ligaments, becaufc they bind onepart another;as the nerves annex the whole body to the brain,the Arteries faften it to the heart and the veins to the liver.But to conclude,the name of a Ligament more particularly taken* lignifies the part of the body,which we have deteribed a little before. The differences of Ligaments are many,for fome are membranous and thjn;others broad, otherfome thick and round, fome hard, fomefoft, fome great, fome little, fome wholly , griftly, others of a middle confidence beeween a bone and a griftle, according to the na- « ture ofthe motion of the parts, which they bind together in quicknefs, vehemency and ( . Wc wili &€W the other differences of Ligaments, as they fhall pretent themtelves in difleRion. * CMAP« By what arti dilation the head is bended backwards and forwards. J of the Holy bone. The manifold ufes of rhe Backbone* What a Liga» ment is. Why it is without fenfej What parts may be called Ligaments in a generall figni* fication* The differed* ces ments properly fo called, 156 Of the Mufcles and Bones Lib. 6. CHAP. XVII. Cfthe Mufcles of the Neck. Their number. He Mufcles of the neck as well proper as common, are in number twenty, or elfc twenty two, that is, ten, or eleven on each fide 5 of which, feven only move the head, or the firft vertebra with the head ; the other three or four,the neck it felf. Of the feven which move the head, and with the head the firft Vertebra, fomeex- tend and ereft it, others bend and decline it,others move it obliquely, but all of them together in a fucceflive motion move it circularly, and the like judgment may be of the Mufcles of the Neck. The fourth Figure of the Mufcles. This Figure [beweth the cavities of the middle and lower belliesjhe bowels being takgn out, but moft part of the bones and mufcles remaining. AB. The firft mufcle bending the neck called Longue. CC. The fecond bender of the neck called Scalenus. DJXDD. The outwardftzterco- ftall mufcles. E E E E, The inner inter coJiaH mufcles. FFF} The fecond mufcle of the cheft called [erratus maior* G9 The firft mufcle of the fhoulder-blade called ferra- tus minor, ftparated from his original 1. Hs The firft mufcle of the arm called Pe&oralR, fe- parated from his original!. Z. The fecond mufcle of the arm called Deltoides. K. The bone of the arm without flefh. L5 The firft mufcle of the cubit callad Biceps. M. The fecond mufcle of the cubit called Bracbi<eus. IFF. The clavicle or coller- bone bent backward. O. The firft mufcle of the cheft called fubclavius. P3 The upper procefs of die fhoulder-blade. The firft mufcle of the head called ebliquiw inferior. R. The fe- cond mufcle of the head tailed Complexes. S. The fourth mufcle of the fhoul-> der blade called Levator. L V. The two bellies of the fourth mufcle of the bone Hyois. XX. a a. The fift mufcle of the back whofe original! is at aa. TT. bb.ee. The fixt mufcle of the thigh called original! is ate c. and tendon at b b. ZZ. The feventh mufcle of the thigh, d. the holy bone, o o o. The holes of the holy bone3out of which the nerves do iffiie. e. A portion of the fifth mufcle of the thigh arifing from the fhare-bone. f the fhare-bone bared. The ninth mufcle of the thigh or the firft circumaftor. But before I can come to the defcription of their original 1 and infcrtion,! muft admonifh thee, that the 2 Mufcles of the (houder-blade muft firft be taken away by difle&ion; that is, the Trapezius, or Table-mufcle, and the Rhomboides, or (quare-mufcle5 tvhofc original! and infertion that we may the better demonftrate,(or rather the adion'by which we fcek that originall and infection.,) they muft be pulled up, beginning at their infertion, which is at the fhoulder-blade (as (hall be (hewed in the proper place ) turning them up towards their originall, that is, to the Spine. Befides the lefs Rhomboides, the hinder, and upper (called alfo the Dent atm or toothed-mufcle) muft be raifed from its originall, which is at the three lower Rack-bones of the Neck and the firft of the back, and turned up to its infertion, which is at three fpaces of the lower ribs nigh Lib.6. and other extreme party of the Body. 157 nigh to the hind, and upper angle of the Shoulder-blade,as (hall be fhewed in fit place here- after. Thefe mufcles thus raifed up, the 4 mufcles which ereft and extend the head muft betaken away,and then thofe two which move it obliquely, and laftly one which bends, or declines,for thus anatomicall order requires.Yet if you think good,you may, not hurting the other, firft of all cut away that which is called the Maftoides, which d ecl ines or bends the head.For thefe 4,which lift up and extend the head,the firft from the figure of the fpleen is called the Sfleniw,it afcends from the 5, upper fpines of the back and the 4, lower of the neck,and is obliquely inferred at the back part of the head and the mamillary procefs, whence you may raife it towards its originall. The fecond by reafon of its compo fure is called Comylexus 5 this palling from the third, fourth and fifth tranfverf e procefs of the back and often from the firft of the neck,afcends direftly to the back part of the head, incompaf- fing the lower and fide part of the neck,you may eafily take it up ; if you begin at and fo go forwards to the tranfverfe procefles and mamillary proceifes of the nowl-bone. This Complexus may be divided into two or three mufcles, but that with fome difficulty,by The Splenic; The Cwiflti* M, The fifth Figure of the mufcles in which fome mufcles of the* Head, Cheft,Arm, and /boulder-blade are dejeribed. Z. The procefs of the fhoulder-blade, called the top of the fhoulder. 0. The fourth mufcle of the arm or the greater round mufde, to which Fallopius his right; mufcle is adjoined, which fome call the lefler round mufcle. The fixt mufcle of the arm or the up- per bade-rider. X. The fecond mufcle of the fhoulder-blade or the Levator or heaver. Z. The fecond mufcle of the cheft or the greater Saw-mufde. T, The fift mufcle of the cheft or mufcle called Sacrolumbus. ag. His place wherein he cleaveth faft to the longeft mufcle of the back. yy The tendons of . the mufcle obliquely infected into the ribs. A a. The firft pair of the mufcles of the head or the Splinters. Ch. 8. 9. Their length whofe beginning at 8 and infertion at 9. 10.11. The fides of this mufcle. 12. That diftance where they depart one from the other. 13. The two mufcles called Comflexi, near their infertion. The fecond mufcle of the back or the Longeft mufcle.\ 7 The fourth mufcle of the back or the Semz-foinatus. The fhoulder-blade bare. p. A part of the tranfverfe mufcle of Abdomen. feafonofits folded texture. The third and fourth,which be two of the eight little mufcles* being four on each fide, do afcend fomewhat obliquely} the firft truly from the whole fide of the fecond Vertebra.The fecond from the whole fide of the procefs of the firft Vertebra, Which it hath in ftead of a fpine 5 they afcend to the back part of the head juft againft the (pine; thefe two mtifclesby the confent of allAnatomifts are called right, or direft mufcles, only moving the head: thefe truly muft not be pluckt from the places of their originall, nor infertion , but only bound by a firing put under them, that fb they may be the more eafily fhewed. On each fide follow two obliqtie mufcles, one where- of only moves the head 5 the other primarily the firft Vertebra, but fecondarjly, and by P ~ accident; The Refit, i right ijiuv- dC6» 158 Of the Mufcles and Bones Lib. 6. accident the head it felf. For the firft, contrary to the opinion of fome, itarifes from the tranfverfe procefs of the firft rack-bone, and then is inferted, above the infertion of the firft right mufcle: the which in like manner you muft lift up, by fomething put under- neath it, but not ieparate it. The other entring forth of the fpine of the fecond is inferted at the procefs of the firft, contrary to the originall of the precedent, although fome think otherwife. It will be convenient in the like manner only, to lift up this with a firing, and not pluck him from his place, that fo you may fee how all thefe make a perfect triangle. The aftion of this mufcle is contrary to the a&ion of the precedent, as the con- trariety of its originall and infertion (hew. The ftxth Figure of the mufales, fbewing fame of the mufcles of the Chefa Shoulder-blade and Arm. A D. the fecond pair of the mufcles of the header the two part is at A 2). EC. thefecondparrEF, the third part riling up under G and inferred at F. G. the fourth part of this mufcle or the right mufcle of the head according to Fullofiw, w hich yefaliw made t he 4 part of the 2. G'G. (Betwixt the ribs) the external! Inter co ft all mufcles. L. rheoriginall of the a. mufcle of the back. JU. His tendons at the rack-bone of the neck. The upper 0 the fourth mufcle of the arm or rhe greater round mufcle. 00» the lower, the 6 mufcle of the cheft,«r the Sacrolumbw hanging from hi s or i ginall. the fixt mufcle of the arm or the up-' per BUderider inverted. V. the third ligament of the joynt of the arm. X. the fourth mufcle of the fhoulder* blade or rhe heaver. Z. the fecond mufcle of the Cheft, or the greater Saw mufcle. Z. the three mufcles of the neck called Trdnfverfalii, FI. the 4,mufcle of the neck called Spi- natw. £♦ rhe firft mufcle of the back , or the Square mufcle. i>. the 2. mufcle of the back or the Lon* geft9 whofe original! is at L and his tendons at the.Vertebra at CMM. Q, the fourth mufcle of the back called Spinouts. A the back of the iltoulder- blade flayed; Which tmy he truly called the propet mufcleofthe neck. Wherefore 'when the firft oblique moves the head obliquely forwards, the iecond puls it back by the firft this with his aflbeiate of the other fide, may be truly termed the proper mufcles of the neck,becaufe they belong to no other part; whereas it is contrary in other mufcles.But we muft note, that the head (according to Galens opinion)hath two mo- tions,one direftly forwards and backwards,as appears in beckning it forwards,and cafting it backwards j the other circular. The firft in Galens opinion is performed by the firft Vertebra moved upon the iecondthe fecond by the head moved upon the firft Vertebra; for which he is reproved by the latter Anatomifts, who teach that the head cannot be turned round or circularly upon the firft Vertebra without putting it out of joy nt. For the laft which bends the head, it afeends frpm the upper and fide part of the Sternon9 and the next part of the clavicle, obliquely to the 'jfofhyfa Maftoides or mamillary procefs of the hind part of the head, whence it is called the Maftoideus. You may divide this by reafon of its manifold originall rather into two, than into three mufcles. But it had been better that the head might h<ive moved every way, equally ... /■•<■■■■ baek* The two mo- tions Qf [he HtcMaJloidfttfi Lib.6. and other extreme parts of the Tdody. 159 backwards and to the right and left fides; but thus it would often have been ftrained to our great damage and danger of life; neither could there have been fiich facility ofmo- tion without a loofnefs of the joint. Therefore nature had rather beftow upon the head an harmlefs faculty of fewer motions, than one furnifhed with more variety, but with a great deal more uncertainty and danger. Wherefore it hath made this junfture not laxe or loofe, but ftiffe and ftrong. 7 he/event h Figure of the mufcles; fbewing fome mufcles of the head and Cheft, the Trapezius or 7 able-mufcle being taken away ; as aljo of the blade and arm. A. The prominent part of the fourth mufcleofthe cheft called Serratus po- fticw fuperior. A' the firft mufcle of the head called E E. the infection of the fe- cond mufcle of the head called I. the collerbone bared. M. the back part of the fe« cond mufcle of th£ arm called Deltois. £ H- his backward originall, ®. his implantation into the arm. the fourth mufcleofthe arm called Latilfimus. Sf*> his originall from the fpines of the rack-bones and from the holy-bone. v. the connexion of this mufcle with the hanch- bone, which is led in the «•, a. the place where it lyeth . upon the lower angle of the Bafis of the fhoulder- blade. O. the four mufcles of the arm called Rotundw major. e. fome mufcles of the back do here offer themfelves. P. the fift mufcle of the arm called fuperfcapular# Inferi- or. fixt mufcle of the arm called Superfcapu- laris Swper ior.S.the beginning of the third mufcle of the arm called Latifsimut. V. the third mufcle of the blade called RLoniboides. X. his originall from thefpines of the rackbones, his infection into the bafis of the fhoulder-blade. the fourth mufcle of the blade called Levator. * a part of the oblique defeendent mufcle of the Abdomen. After the (hewing of thefe mufcles, we muft come to three or four of the neck, of which number two ( which fome reduce to one ) extend, another bends, and the laft moves fide wayes, and all of them with a motion fucceeding each other turn it about as we faid of the mufcles of the head. The firft of thefe which extend, taking its originall from the fix tranfvcrfe precedes of the (lx upper rack-bones of the back, or rather .from the root of the oblique, afeends direftly to the fpine of the fecond vertebra of the neck, and the oblique procefs thereof; fome call it the T.ran]verfariii9; that is, the-tranfverie-mufcle. This, if you defire to take it away, it is beft firft to feparate it from the fpine, then to turn it upwards to the tranfverfe precedes ; unlefs you had rather draw it a little from its part- ner and companion in that place where their originals are diftinft, feeing it is the laft and next to the bones. Marvell not, if you find not this diftin&ion of their originall, fo plain and man i ft ft, for it is commonly obfeure. For the mufclejpzndrwj, as it moft commonly comes co pafs, arifing from the roots of the feven upper fpines of the back, and the laft of the neck,is in- fected into other fpines of the neck, fo that it might eafily be confounded with the former P 2 by The Traftfoer* fir ins. The SpinatWi Lib. 6. 160 Of the Mufcles and Bones by Galen. The third bends the neck, and arifing within from the body of the five upper Vertebra of the back (though with a very obfcure original], fpecially in lean bodies) it a- fcends urider the gullet alongft the neck, even to the nowl-bone, into whofe inner part it is obfcurely inferred. Wherefore it is likely that it helps not only to bend the neck, but alfo the head. This mufcle is made of oblique fibers proceeding from the body of the all the way it pafles to the tranlverfe precedes of the other Vertebra. But it feems with its copartner which is oppofite to it, to make a certain hollow path upon the bodies of the to the gullet, and it is called the long mufcle. The fourth and laft, which we faid moves the neck to one fide, is called Scalenus from the figure thereof; it afeends from the hinder and upper part of the firft rib of the Cheft, inferring its felf into all the tranfverfe procefles or the neck by its fibers, which as it were for the Tame purpofe, it hath fufficiently long,that it may faften it felf from the furtheft and loweft procefs of the neck into the firft or higheft thereof. The paflage of the nerves through this to the arm makes this mufcle feem double or divided into two. For the veins and arteries pertaining to the neck, they have been declared in the proper Chapters of the diftributions of the veflels ; it remains that you note, all thefe mufcles receive nerves from the Vertebra whence they arife. The LongW. The Sulenw. The eight Figure of the mufcles , effecially thofe of the Cheft, Head, and Shoulder blade f the Trapezius, Latiffimus, and Rhomboidcs, being way. A. The fourth mufcle of the cheft, or the upper and hinder Saw-mufcle. B. the 5 mufcles of the cheft, or the lower and hinder Saw- mufcle. b. a membranous beginning of the mufcle of the de- fending obliquely down from the (pine of the back. C. the firft mufcle extending the Cubit at c3his originall is from the neck of the arm, and from the lower bails of the blade at d. E. the originall of the fourth mufcle of the bone tyois from the blade. GG> the outward intercoftall mufcles. I. the Clavicle or coller-bonc bared. N- the upper,the fecond mufcle of the arm called Deltoid char. 4,5. the beginning of this mufcle. N. the third mufcle of the arm or the broad mufcle feparated. the fourth mufcle of che arm or the lower Super-Scapular# or, blade-rider. 1,2,3. Char. His originall at the balls of the fhoulaer-blade at 12. and hisinfertion into the joyntof the arm at 3. g.the fixt mufcle of the arm or the upper Super-Scapularir. X- the fourth mufcle of the blade cal- led Levator or the heaver. Z.the fecond mufcle of the Cheftor the greater Saw-mufcle. 7*7* Char. the ribs, r. the fixt mufcleofthecheft, or the mufcle called Sacrolumbuf. A. the firft mufcle of the header the fplinter. E E. the fecond mufcle of the head or the infection of the mufcles called complexi. the fecond mufcle of the back or the longeft mufcle. ft* the fourth mufcle of the back called Semi/pinotM, Tne Lib.6. and other extreme parts of the Body. 161 The ninth Figure of the nw[cles9(bewing the mufcles of the Head and Necki AB. the third pair of the Mufcles of the head called Betti Majores. C. the Mamillary procefs. P. the tranfverfe procefs of the firft rackbone. Ejthe procefs of the fecond rackbone of the neck. F Gs the fourth pair of mufcles of the head called Betti Minores. HI3 the fift pair of mufcles of the head called obliqui Supepeirior. K the fixt pair of mufcles of the head called obliqui inferiores. X, the fourth pair of mufcles of the fhoulder blade. A, the fecond mufcle of the neck called Scalenus, whwhFalopiw makeththe eight mufcle of the cheft. n,the fourth mufcleof the neck called fpinatus. s, the firft mufcle of the back called guddratus. <» the fecond mufcle of the back called Longiflimus. the ftnus or bofom of this mufcle, whereby it giyeth way unto die third mufcle of the back,called Sacer, b9 his Original!. 4, the third mufcle of called Sacer. h his Originall. his end. ' O' the fourth mufcle of the back called Semifoinatus. e> his upper end under the fourth mufcleof the neck* Of the Mafcles of the Cheft and Loy nr. CHAP. XVIII. E muft now fpeak of the Muftlcs both of the Cheft which ferve for refplration, as alfo of the Loins. But firft we muft know that the hind part of the Cheft called the Metafhrenum9 or back, confifts of twelve Vertebrate loins of five,all which differ not from the Vertebra of the neck, but that they are thicker in their bodies han theft of the neck j neither are they leflerin holes,neither have they their traniverft pro- files perforated or parted in two as the rackbones of the neck have. Befides each of theft •ack bones alone by it ftlf, on each fide in the lower part thereof makes a hole, through which a nerve hath paflage from the fpinall marrow to the adjacent parts , when on the :ontrary in the Vertebra of the neck,fuch holes or paflages are not made,but b y meeting to- gether of two of them. Concerning the procefles of the Rackbones of the Cheft, whether tranfverfe,right or ob- lique,they diner nothing from theft of the neck (I mean even to the tenth) but that the :ranfverft fteing they are not perforated, as we laid before, do as it were fiiftain the ribs3 being ftraitly bound to them with ftrong ligaments both proper and common ; but after the tenth Vertebra of the back,the two other of the back,and all thoft of the loins are differ* mt, not only from thofe of the neck, but alfo from the ten firft of the back, byreafbnof their oblique procefles,becaufe from the eleventh (which is received,as well by that Which is above it, as by that under it, for the ftrength of the whole back, and the eafier bending thereof without fear of frafture or diflocation)the above mentioned procefles of the lower tack bones which were wont to receive,are received; as on the contrary they receive which Were wont to be received. They differ befides from all the forementioned, by reafbn of their fpines, becaufe from the eleventh they begin by little and little to look up wards,con- trary to the former. But if any ask, how the tenth vertebra of the back may be termed the midft of the P 3 fpme Irt what the neck aadloinf agree anddif* agree. 162 Of the Mufcles and Bones Lib.6. How the tenth vertebra of the back,may be faid to be the middle of the fpihe. fpine,being the whole fpine confifts of twenty four vertebra ? He may know that this may be true., as thus; if the fix bones of the holy bone,and the fourth of the Rump (being more griftly than bony) be numbred amongft the bones of the Spine; for then from the fetting on of the head to the eleventh rack bone of the back are feventeen in number,and fo many from thence downwards. But let us return to the mufcles of the Cheft fcrving for refpiration. Firft, you muft know that thefe Mufcles are fourfcore and nine, that is, on each fide forty four, a- like in ftrength, thicknefs, fits, and action ; and one befides in the midft which they call the Diaphragma or midriffe. Ofthefe forty four, there are twenty two which dilate the cheft in drawing in the breathy that is, the Subclaviu*, theI)entatu*,orSerratu*majorin. the opinion of fome, both the Rhomboides or Serrati poftici; the oblique afcendent of the lower belly, the eleven Intercoftales, and the dxe Intercartilaginei externi. On the contrary, as many contraft the breaft in expirations to wit, the Sacrolumbos, the oblique defcen- dent, the Right and tranverfe of the lower belly, the inner Trangular, the fix Intercarti- laginei, and the eleven inner Intercoftales. Of thefe twenty two dilating the Cheft, the firft from the fite is called the Subclavian for it defcends obliquely from the inner and forepart of the Clavicula or Caller bone, into the griftle of the firft rib, even to the Sternon, and di- lates it. The fecond is the Serrato* major, the greater Saw mufcle arifing according to the opinion of fome from the whole bafts of the fhoulder blade on the infide, and it is tranfi* verily inferted into the nine upper ribs , ■ producing certain toothed or faw-like procefles running further to the bones of the rib, than to the fpaces between them, or Intercoftall mufcles, whereupon it hath the name of the Saw mufcles yet fome have referred this mufcle to them of the fhoulder blade. The third defeends from the three lower fpines of the neck, and the firft of the back,by means of a membranous and moft thin ligament, into the three or four upper ribs, running further into their fpaces or Intercoftall mufcles,than into the ribs themfelves, whereupon it is called Serratos pofterior & fuperior, that is, the hinder and lipper Saw mufcle. The fourth in like manner afeends by means of a membranous and thin ligament from the three upper fpines of the loins, and the two laft of the cheft, or back,into three or four of the lower, or laft of the baftard ribs, fent forth further into them or their bones,than into the Intercoftall mufcles poflefling the fpaces between them, wherefore it is called Serratos pofterior & inferior, the hinder and lower Saw mufcle. Moreover thefe two laft mufcles have been called by a common name from their figure the Rhomboides, that is, the fquare mufcles. The fift which we faid was the afcendent of the Epigraftrium, hath already been fufficiently defcribed in his place. The eleven Intercoftales externi, or exter- nal! Intercoftall mufcles defeend obliquely from the back part of the lower fide of the upper rib, into the forepart of the upper fide of the rib lying next under it, after a quite contrary manner to the fix Intercartilaginei, who having like originall and infertion amongft the griftles, as the Intercoftall 'amongft the ribs, defeend obliquely from the forepart backwards. And thus much of the mufcles dilating the Cheft in infpi- ration. But the firft , of the other mufcles, being as many in number, which contraft tffe Cheft in expiration, arifing from the holy-bone, and the oblique procefles of the loines, afeends (firmly and confufedly adhering with the Mufculu* facer, or holy mufcle, which we fhall defcribe hereafter) to the roots of the twelve ribs, imparting in the afeent a final! tendon to each of them, by which it draws thefe ribs towards the tranfverfe procefles 5 and by reafbn of its Originall it is called Sacrolumbu*, that is, the Holy loia- mufcle. The fecond, third,and fourth, which we laid were the oblique dependent, right, and tranfverfe of the Epigaftrium,have been formerly defcribed in their place. But by the way you muft note that thefe three mufcles of the Epigaftriumhelp expiration,' rather by accident, than of themfelves, to wit, by driving back the midriff towards the lungs by the entrails, which alfo they force upwards, by drawing the parts into which they are inferred towards their Originall. 'J'he fift which we called the Triangula*, or Tri- angular, may be called the compreffor of the griftles, which proceeding from the inner fides of the Sternon, goes to all the griftles of the true ribs; this is more apparent under the Sternon in beafts, than in men, though it be not very obfeure in them neither. For the in- ternal! Intercoftall mufcles,in my judgment,they arife from the lower fides of the upper rib, Sc defeending obliquely from the forepart backwards, are inferred into the upper fiae of the rib next under it; fo that they may follow the produftion of the fibers of the externall In- tercartilaginei', as the fix internall Intercartilaginei follow the fite of the externall Intercoftall proceeding from behind forwards; wherefore as well the Intercoftall, as the Intcrcartilagi~ nei, every where interfeft each other, after the fimilitude of the letter X. I know fome have written that the internall mufcles (whether intercoftall or Intercartilaginei) aicend from the upper fide of the lower rib forwards,and backwards. But if this were true, it would follow that thefe mufcles admitted their nerves in their tail, and not in their head, feeing the nerve alwaycs goes under the rib,an$ not a- bove it. The The number of the muffles of the Chert, The muffles dilating the Cheft, The muffles contrafling the Cheft. The Subcldvuu is thefirftofthe muffles dila * ting the cheft. Serratut major < Serra tut pefte* rior and fupe- rior. The oblique afeendent of the lower bel. iy. The eleven Intercejldles externi. 6. Intercirtild- ginei.. The Sficrolum- 6w»rhefirftof thofe which contrafl the chert. The oblique defcendentjthe right and tranf- verfe of the Epigdftrium. Trinnguhfi mufculw. Intercofiales interni. Inter cdrtdligi- tieii;iterni» Muffles a!- wa.yes receive their nerves in heir heads* Lib.6. and other extreme parts of the Rody. 163 The laft mufcle of the cheft, that is, the Diaphragma or Midriffe,is fufficiently defcribed before ; wherefore it remains we defcribe the mufcles of the Loins. Thefe arc fix in num- ber, on each fide three, cquall in thicknefs, ftrength and fituation;one of thefe bends, and the other two extend the Loins 5 it is called by reafon of the figure the Triangulator Triangular which bends the Loins,it afeends from a great part of the hind fide of the Hanch-bone into the tranfverfe procefles of the Loins, and the laft of the Chefton the infide, for which caufe it is made of fibers fliort, long, and indifferent, anfwering to the nearnefs or diftance of the laid procefles. The firft of the extenders is tailed the Semifpinatut becauft even to the middle of its. body it takes the originall from the {pines of the Holy bones and Loins; this with its oblique fibers afeends from all the faid {pines to the tranfverfe procefles, as well of the Loins as Ckeft.The other is called Sacer3 theHoly-mufcle, becaufe it takes its originall from the Holy-bone, or the fides thereofiit afeends with its oblique fibers to the fpines of the tLoins, and of the eleaven lower Rack-bones of the Cheft. Themidriffe. , The mufcles of the loins. They are three Pair. iriangufas. Sac er, CHAP. XIX. Of the Mufcles of the Shoulder-blade, Owwe muft defcribe the mufcles of the extreme parts, and firft of the Arm 5 i taking our beginning from thefe of the flioulder-blade. But firft, that we ' may the better understand their defcription,we muft obferve the nature and condition of the flioulder-blade. Therefore the blade-bone on that part, ■which lies next unto the ribs, is fbmewhat hollowed; wherefore on the o- ther fide it fomewhat buncles out. It hath two ribs,one above, another below:by the up- per is meant nothing elfethan a border or right line,which looking towards the temples is extended from the exterior angle thereof under the collar-bone,even to theProcefle Co- racoides which this rib produces in the end thereof: By the lower, theunderfide which lies towards the lower belly and the fliort ribs. Befides, in this flioulder-blade we obferve the bafis, head and ipine. By the bafts we un- derftand the broader part of the flioulder-blade, which looks towards the back-bone. By the head we underftand thenarrower part thereof, in which it receives the head of the Arm in a cavity, indifferently hollow, which it produces both by it felf, as alfo by certain griftles, which there faftned encompafle that cavity. This kind of cavity is called Glene. This receives and contains the bone of the arm,by a certain ftrong ligament encompafl* ling aud ftrengthning the Joint, which kind of ligament is common to all other joints; this ligament arifes from the bottom of the cavity of the flioulder-blade, and circularly encompafles the whole joint, taftning it felf to the head of the arm; there are alfo other ligaments befides this,which incompafle and ftrengthen this articulation. By the ipine is meant a procefle, which rifing by little and little upon the gibbous part of the blade, from the bafis thereof where it was low and depreft, becomes higher untill it ends in the Acromion, or upper part thereof. Nature hath made two productions in this bone ( that is to fay,the Acromion from the fpine, and the Coracoides from the upper fide ) for the ftrengthning of the articulation of the arm and flioulder-blade, that is, left the arme fliould be eafily ftrained upward or forwards; befides, it is faftned to the clavicle, by the procefle Acromion, The niufcles which move the flioulder-blade are fix in number, of which four are pro per, and two common. The firft of the four proper feated in the forepart, afcends from the bones of five or fix of the upper ribs, to the Coracoides, which it drawes forwards, and is called Serratos minor, that is, the lefler faw-mufcle;which that you may plainly fliew, it is fit you pull the peCtorall mufcle from the collar-bone, almoft to the middle of the Ster- non. The other firft oppofite againft it, is placed on the fore fide, and drawsits original! from the three lower fpines of the neck, and the three upper of the Cheft, from whence it extends it felf, and ends into all the griftly bafis of the flioulder-blade , drawing it back- wards; it is called the Rhomboides. The third from its aftion, is called the Levator, or the heaver, or lifter up,fcated in the upper part, it defcends from the tranfverfc procefles of the four firft Vertebra of the neck into the upper angle and fpine of the blade.The fourth called Trapezius, or the Table-mufcle, is feated in the back-part and is membranous at the originall, but prefently becomes flefliy : it arifes from almoft all the back-part of the head, from all the fpines of the neck, and the eight upper Vertebra of the cheft, andthen is infcrtedby his nervous part, almoft into the whole bafis of the blade, extending it felf above the mufcles thereof,even to the midft of its ipine,where being flefliy it is inferted even to the Acromion, the upper part of the clavicle,and in fome fort to the upper rib. This mufcle hath a threefold aftion, by reafon of its triple originall. The firft is to draw the flioulder-blade towards its originall, that is, to the nowle, and ipine of the peckjthe other is to draw it towards the back, becaufe of the contraction of the middle or tranP The defcriptfc on of rhe ' blade-bone, of fhoulder-bla<fc*9' Thebafis of the blades. . The head of the fhoulder? blache.4 The fpine of rhe blade. The procefles I Acromion and Coracoidet. The mufcles of the ihoulder- , blade» ■Serratw minot] Rhomboidtf, Levator. Of the Mufcles and Bones Lib. 6. 164 tranfverfe fibers which lead it dire&Iy thitherjand the other is to draw it downwards by reafon of the originall it hath from the fifths fixth, feventh and eight (pine of the Vertebra oftheCheft. But we muft note,that thefe divers aftions are not performed by this mufcle , by the afliftance of one only nerve, but by more, which come into it by the fpinall marrow, by the holes of the well of the neck as the cheft, from whence it takes the original. For the two other which are the common mufcles of the blade, and arm, or fhoulder, wc will defcribe them with the mufcles of the fhoulder orarm:for one of thefe which is called the LatiflinWt)that is,the broadeft, afcends from the holy-bone to the fhoulder-blade and arm. The other the'named Pefloralis comes from the Sternon and collar-bone to the fhoulder* blade and arm. fefhralti CHAP. XX. The defcription of the Hand taken in generail. Dw it befits us to defcribe in order the mufcles of the arm; but firft we muft know, what it is that we call the arm. But feeing-that cannot fitly be under- flood, unlefle we know what the hand is, feeing that the arm is a part of the handjtherefore firft we muft define what a hand is, and then divide it into its parts. Therefore the hand is taken two manner of waies,that is,generally and fpecially. The hand generally taken, lignifies all that which is contained from the joyning of the arm to the fhoulder-blade, even to the ends of the fingers.But in particular it lignifies on- ly that which is comprehended from the furtheft bones of the cubit, or the beginning of the wrift, to the very fingers ends. Therefore the hand ingenerall is an inftrument of inftruments,made for to take up and hold any thing. It is compofed of three great parts, that is, of the Arm, Cubit, and Hand, vulgarly ,;and properly fo called} but the hand taken thus in particular is again divided in three other parts, the Carpus or Brachiate* the wrift, the Metacarpium or Pofibrachiale, the after-wrift, and the fingers all theft parts ( feeing each of them are not only organicall parts, but alfo parts of organicall parts) are compofed of all, or certainly of the moft of the fimilar parts; that is, of both the skins , the flelhy pannicle, the fat veins, arteries, nerves, mufcles or flefh,coat« both common and proper, bones,griftles,and ligaments, all which we will defcribe in their order. But firft 1 think good to admonilh you of the differences of the hand taken from the fite thereof,and theft differences are fix in number,the fore,the hind,the internal, the external, the upper and lower fide or part thereof. By the fore we mean that part which looks direftly from the thumb to the Ihoulder: by the hind,we underftand the part oppofite to it, which from the little finger looks towards the bails of the fhoulder-blade. By the infide we fignifie that part which lies next to the iides of the body, when the hand retains its naturall fite;by the outfide, the part oppofite to it. The upper and lower fide you may know by the very naming thereof. The hand properly fo called is divided into five fingers, that fo it may hold and take up bodies of all figures,as round,triangular,fquare and the like,and gather up the leaft bodies, with the fingers ends, as needles,pins, and fiich like. Nature hath beftowed two hands upon us, that fo they may help each other, each mo- ving to each fide. Bnt for the taking up and holding of fmall bodies it was fit, that the fins j;ers of theft own nature foft, fhouldbe armed with nails, - that confifting of foft flefh and an hard nail, they might ferve for all aft ions; for the nail is a flay to the foft flefh, which otherwift would turn away in meeting with an hard body; the ufe of the nails is to fcratch,fhave,and pull off the skin, to rend, pinch, and pluck afimder fmall bodies.They have not bony hardnefle, that fb they might not break but bend. Yet other creatures have hard nails to ferve them in ftead of weapons. Their figure is round, becaufe fiich a figure is lefle obnoxious to externall injuries; and by reafon they are fubjeft to wearing, they grow continually. Nature hath placed flefh on the inner and fide part of the fingers,fo to prefle more ftrait- ly, the things they once take hold of,fb that by holding them clofe together we can hold water that it may not run out. The length of the fingers is unequall, that when they arc opened and ftretched. forth, they make as it Were a circular figure;for fo it comes to pafle, that the hand can hold all bodies, but efpecially round. It remains that we profecutethe diftribution of the veins,arteries,and finews, which run over al the parts of the hand taken in generall and particular,whereby we may more com- modioufly hereafter handle all the proper parts thereof. CHAP. What is meant by the hand in general!. The differences of the hand from the fire thereof* Why the hand is divided into fo many fingers Why the nails are added to the (oft flefii of jhc finger*. Why the nails grow continue ally* Lib.6, and other extreme farts of the Body. 165 CHAP. XXL 'Ike distribution of the Subclavian and fir Ji of the Cephalica, or Humcraria. .Wo large veins defcend from the Subclavian, the one from the lower fide, the | other from the higher. Yet fometimes, andmoft ufually, both thefe pro- ► ceed from the fame common orifice,as in men of a low ftature in thearm.The one of thefe is called the Axillarifjhe other the or CepMd'jthere- fore this Cephalick palling forth of the Subclavian runs luperficially along the forefide,between the mufcle Deltqides., and the Tendon of the pc&orall mufcle , and defcends in the midft between the common coat of the mufcles,and the flelhy pannicle,even to the bending of the cubit, where in lean bodies it is plainly to be feen, whereas in fat bodies it is hardly to be perceived,being as it were buried in abundance of fat. This vein having in its defcent,fent forth fonie fmall branches, both to the skin, as alfo to certain mufcles over which it runs, is divided into two, a little above the outward protuberation of the arm. One of the branches into which it is divided defeending obliquely to the fore part of the cubit, a little below the bending of the cubit, it meets, and is united with the like branch in the fame place, as fhall belhown hereafter. That which ariles from this, concourfe, is called the median vein,becaufe it arifes from two branches, and is feated between them. They ufually open this median vein in the difeafes of the head and liver, which require Phlebotomyjbut if it lhall not be fufficiently nianifeft, when you judg it muft be opened, for a generail evacuation of the whole body; you may cut one of thefe branches, by whofe concourfe it is made, which you fhall think the fitter; and becaufe each branch draws from the next parts, according to the ftraight- nefle of the fibers, rather then from the oppofite fide;if you would evacuate the head, and liver equally,by opening either ofthefe branches,it is convenient that opening that branch ( for example ) which comes from the Cephalick, you prefently lay your thumb upon it, untill you fuppofe you have drawn a juft quantity of blood from the liver,by the Bajilicay or litfer-vein; which done,you may take off your thumb,and differ the blood to follow freely,by the open branch of the Cephalick, un till you have drawn as much blood as you fhall judge requifite; otherwife you will draw it but from one part, to wit, the head. So you fhall evacuate it only from the liver, if you open the branch which comes from the £a(ilica9 and concurs to the generation of the median. Moreover, when there is need to open the it fhall be no where confpicuous3' the Cephalick or median being eafie to be difeerned at the fame time, you may in ftead thereof open the median, or if it be not to be found, the Cephalick,prefling but the trunk thereof with your thumb,as we laid before,left the head fhould be evacuated in ftead of the liver. You may doe the fame in the if when there fhall be neceflity to open the Ce- phalick,it fhall not appear. Moft of thofe which at this day open a vein,in ftead of the me- dian, open that branch of the Bafilica which afeends together with the Cephalick to make the median. But you muft underftand that the median defcends between the two bones of the cubit, even to the end thereof and then divided into many branches, it is at length (pent on the back of the hand hehind the thumb, the fore and middle fingers,or the after- wrift. Sometimes it runs back into the following branch, and then at the wrift it departs from it, to be beftowed upon the forementioned paits.The other branch of the Cephalick, Which we may call the fore and outward Cephalick,defeending dire&ly down to the midft of the wand, thence wanders overthwart into the hind part of the arm, where encreafed with a branch from the Bafilica, it is diftributed over all the back of the hand, which with the median it nourifheth. But the branches of thefe veins do fo run through the forenamed parts, that by the way they yeeld them neceflary provifion. The Cephi- lick v eld. The median vein. How by ope- ning rhe medi. an vein,you may draw more or leffe blood fro mi the head or liver, CHAP. XXH. 7he Description of the Axillary vein. He Axillary arifing at the infertion of the pe&orall niufcle, of a little higher, after it hath produced the two Thoracic* it is divided under the tendon of that mufcle into two fair branches, that is to fay,into the inner deep Axillary,and the skin or outward Axillary. The deep or inner having ftill for his compa- nion in his defcent, the axillary artery, and the nerves of the third conjuga- tion, after it hath produced the fmall externall mufculous of the arm , it goes into the bending of the elbow,where running fbmewhat deep with the artery, and nerve into the mufcles of the cubit,it is divided into three other branches,of which brie defending with the wand, Aides under the ring, into the inner fide of the hand, and hath bellowed two' fmall branches on the thumb, two others on the fore, and one upon the middle-finger, that all of them afceud by the fidcs of thefe fingers, the other defending with the artery. The axillary if divided into ihi deep axil- lary, and out- ward axillary,' 166 Of the Mufcles and Bones L ib.6 as the former alongft the cubit, fends branches to the reft of the fingers, like as the former. The third goes on the forefide between the two bones even to the wrift, and the fquare mufcle. But you muft note that the veins of which we now treat,do not only make thefe divifi- ons mentioned by us,but infinite others befides, as well in the parts which they goe to, as alfo in the inner mufcles of the hand which they nourilh. And thus much of theinternall and deep axillary vein. For theexternall or skin Axil- lary ( which firft appears under the skin,efpecially in lean bodies, a little above the inward produftion of the arm ) it is divided in that place into two branches, the one whereof delcending to the bending of the arm meets, and is united with the Cephalick branch,foo- ner or later, that fo it may produce the median,as we formerly mentioned. The other branch having lent forth many fhoots of a different length and thicknefle, as Well into the skin,as into the other neighbouring parts, defcending alongft the lower fide of the bone of the cubit, properly fo called, is at length fpent upon the fore and outward Cephalick branch, which we faid defcendended alongft the wand; and thus united , they run over all the hand, where in the right hand, between the middle and fore finger, they make the Salvatella-, but in the left, in the fame place,they produce the Splenitica. ' But alwaies remember, (if in difle&ion you find any thing otherwife than we have deli- vered it )that the diftribution of the vellels is fo various,efpecially in the hands)that there can no certain rule be delivered thereof. The SulvateB* and Sf CHAP. XXIII. The Di flrib ution of the Axillary Artery. rle Axillary artery from the firft originally which is preftntly after the two 'Ihora- the mufcle called Bicepj,or the two headed mufcle, and the Brach mm, with the deep Axillary vein, dift ributes a large branch amongft the outward mufcles of the arm, which extend the cubit,and is (pent in the ex- ternal! muftles of the fame, which arife without, from the productions of the arm. And this is called the Ramus or Mufculous branch,as alfo the vein that accom- panies this arterie. Then this artery when it comes to the bending of the cubit, thrufting it felf into the mufcles bending the fingers, communicates certain branches to die parts pertaining to the dearticulation of the cubit with the (houlder,and other parts there litu- ate, as it did in the upper parts, by which it defcended hither. Verily it may be a geuerall rulej that every veflell lends or bellows certain portions thereof by the way to all the parts by which it pafles. But if you fhould ask,why I have not proftcuted thefe producti- ons; 1 would anfwer; I never intended to handle other than large and fair branches of veflels, by rafh incifion of which, there may happen danger of death or a difeaft. For it would be both an infinit and needlefs bufines to handle all the (mall devarications of the veins, arteries, and nerves. Therefore this artery funk into theft mufcles, when it comes almoft to the midft of the cubit,preftntly or a little after it is divided into two large bran- the, the one of which alongft the wand, and the other alongft the cubit is carryed into the hand on the infide under the Ring. For both thefe branches are diftributed and (pent up- on the hand after the fame manner as the branches of the interall Axillary vein, that is, having fent by the way fome little ftioots into the parts by which they pafie, at the length the branch which defeends by the Wand of the remainder thereof,beftows two (prigs upon the thumb, on each fide one, and two in like manner on the fore finger, and one on the middle; the other which runs alongft the Ell, performs the like office to the little and the middle or ring finger,as you may fte by difle&ion. An Anatomi- call Axiome, CHAP. XXIV. Of the Nerves of the and Arm. The 7 pair of nervei of the neck. Ow we fliould handle the finewes of the Arm,but becaule thefe proceed from the nerves of the neck and back;I think it fit therefore to fpeak fomething of them in the firft place. Therefore from the neck there proceeds (even pair of nerves, the firft of which proceeds from the nowl bone, and the firft Vertebra of the neck; as alfo the firft pair of the Back from the laft Vertebra of the neck, and the firft of the Cheft. But all thefe nerves are divided into two or more branches of the firft pair( that is to fay, on each fide)go,the one to the fmall right mufcle,afcending from the firft rack-bone of the neck to the nowl bone, the other to the long mufcle on the forefide of the neck. The branches of the fecond pair are diftributed, feme with a portion which they receive from The firft pair. The fecond pair. Lib.6. and other extreme parts of the Body. 167 from the third pair over all the skin of the head; the two others go as wel to the mufcles, tdlich are from the fecond Vertebra to the backpart of the head., and from the fame to the firft as alfo to the long mufcle before mentioned. One of the third pair of finewes is communicated to the head., as we /aid before;, but o- thers to the Mufcles which extend, or ereft the head and the neck; there is alfo one of thefe diftributed into the neighbouring fide mufcle and part ofthe long. The nerves of the fourth pair go, one to the mufcles as well of the neck as the headland to tfie broad niuTcle;the other after it hath fent fome portion thereof into the long mufcle and the fide mufcles of the neck, it defcends with a portion of the fift and fixt pair to the Midriffe.One of the branches of the fift pair is beftowed oh the hind mufcles of the neck and head,the other upon the long mufcle and midriffe; the third is communicated to the 'ZLeWorw, or Heaving mufcles of the arm and flioulder. One of the nerves of the fixt pair goes to the hind mufcles of the neck and head, another to the Midriffe, the third with a portion of the feventh pair of the neck,and of the firft and iecond ofthecheft goto the arms and heaving mufcles ofthe fhoulder-blade. One of the branches of the feventh pair runs to the broad mufcle and to the neighbou- ring mufcles both of the neck and head; another encreafed with a portion of the fift and fixt pair of the neck,and a third joyned to the Iecond and third pair of the cheft defcending into the arm go to the hand. But youmuft note that the mufcles which take their original from many Vertebra whe- ther from above downwards, or from below upwards,admit nerves not only from the Ver- tebra from whence they take their originall, but alfo from them which they come neer in their defeent, or afcent. There pafle twelve conjugations of nerves from the rack-bones of the cheft. The firft entring forth from between the laft rack-bone of the neck and the firft of the cheft, is divided (that is,on each fide,each nerve from his fide)into two or more portions, as alio all the reft.Therefore the branches of this firft conjugation go fome of them to the arms,as we laid before, others to the mufcles, as well thefe of the cheft, as others arifing there, or running that way. . The branches of the iecond conjugation are diftributed to the fame parts, that theie of thefirftwere. .< But the branches of all the otheg conjugations even to the twelfth, are communicated, fome to the intercoftall mufcles running within under the true ribs even to the Sternon&nd Under the baftard ribs even to the right and long mufcles-, and the coftall nerves of the fixe conjugation are augmented by meeting thefe intercoftall branches by the way as they de- feend by the roots of the ribs. Other particles ofthe faid nerves are communicated to the mufcles as well of the cheft,as (pine,as the feme mufcles pafle forth, or ran alongft by the Verte whence thefe nerves have either their originall,or paflage forth. Having thus therefore fhewed the originall of the finews of the arm, it remains that We (hew their number and diftribution. Their number is five or from the fifth, fixth,and feventh Vertebra of the neck, and the firft and fecond of the cheft. The firft ofiwhich not mixed with any other* from the fifth Vertebra of the neck, goes to the mufcle Deltoides and the skin which co- vers it. A , T' *v j : x. k .»•. < • - The other 4 or 5 when they have mutually embraced each other, not only from their firft originall but even to the Ihoulder, where they free themfelves from this convolution, are diftributed after the following manner. . The firft and fecond defeending to the mufcle mentioned a little before , and thence fometimes even to the hand,,is by the way communicated to the mufcle Bz'qu, and then under the feid mufcle it meets and is joined with the third nerve, Thirdly,it is communi-- cated with the longeft mufcle of the cubit, in the bending whereof it is divided into two branches defeending alongft the two bones of the cubit,untill at laft born up by the flefhy pannicle it is fpent upon the skin and inner fide of the hand. The third lower than this, is firft united with the fecond, under the mufcle Biceps then ftraightway feparated from it, it fends a portion thereof to the arm which lies under it, and to, the skin thereof laftly, at the bending, of the cubit on the forefidc, it is mingled with the fift pair. < . * . . . The fourth the largeft of all thereft,comming down below the thirdbranch under the B/cepj,with the internail axillary vein and artery,is turned towards theoutwatd and back- part ofthe arm , there to communicate it felf to the mufcles extending the cubit, and alfo to the inner skin ofthe arm, and the exterior of the cubit; the remainder of this branch when in its defeent it hath arrived at the joint ofthe cubit, below the bending thereof ft is divided into two branches, the one whereof defeending alongft the cubit is fpent on the outfide of the wrift; the other aflbeiating the wand is on the outfide in like manner in two branches beftowed upon the thumb, and in as many upon the fore finger,and by a fift upon the middle finger though more obfeurely. The fift branch being alfo lower than the reft, Aiding between the mufcles bending and exten- The third pakc The fourth pair. The fife pair.' The fixrpair,,' The feventhi pair. The 12. pair of nerves ef rhe chert. Thefeconci pair. The otheS pairs* The nerves which arecarrf* cd co rhe anps, Lib. 6. 168 Of the Mufcles and Bones extending the cubit,when it comes behind the inner protuberation of the cubit(in which place we faid before the third Branch meets with this ) it is communicated to the internall mufcles ofthefame,and then divided into three portions,one of which on the outfide a- longft the middle of the cubit goes in two fprigs to the little finger, and fo many to the middle finger,and one to the ring finger; the other two,the one without & the other with- in the ring, goe to the hand,where after each of them hath beftowed what was requifiteon. the mufcles of the hand,they are wafted into other five final portions,of which thefe which are from that portion which defeends without the ring, fend two fprigs to the little, two to the fore,& one to the middle finger;but thefe which come from that which pafles under the ring, by fuch a diftribution communicates it felf to other fingers,as two fprigs to the thumb, two to the fore and one to the middle finger.The fixth the loweft and laft runs be- tween the skin and flefhy pannicle,by the inner pro tuberation of the arm,and then is fpeiM; upon the skin of the Cubit. CHAP. XXV. The defcription of the hone of the and the Mufcles which move it. Ecaufe we cannot perfe&ly demonftrate the originallof the mufcles of the arm, ( efpecially of the two arm mufcles) not knowing the defcription of this bone; firft therefore we will defcribe it, then return to the originall of the mufcles arifing from thence. The bone of the arm is the greateft of all the bones in the body, except the Thigh-bone; it is round, hollow and fil- led with marrow, with a great Appendix or head on the top thereof,having an indifferent neck, to which it is knit by for appendices are no otherwife uni- ted to their bones.In the lower part thereof it hath two proeefles, or protuberations,one omthe fore fide, another on the hind,betwecn which fwellings there is a cavity like to half the compafle of a wheel, about which the cubit is moved. The extremities of this cavity ends in two holes,of which one is the more externall, the other more internail: thefe ca* vities receive the heads ofthe cubit, that is, the fore, or-internall receives the fore procefle When the arm is bended inwards,but the externall or hinder the exterior as it is extended. For the head of the arm it hath a double connexion,the one with its own neck by fhy/iss that is, a naturall union of the bones without any motion ; the other with the lightly ingraven cavity of the fhoulder-blade,which we call Glene3 by that kind of [dear- ticulation which is called Arthrodia-, this connexion is made firm and liable by the mufcles defcending into the arm from the fhoulder-blade, as alfo by the proper ligaments defen- ding from the circle and brow of the cavity ofthe Acromion and Coracoides to this head of the arm;this fame head of the arm is, as it were,more cleft and open on the i nher fide,than on the fore fide, that fo it may give way to one of the ligaments coming from the fhoul- der-blade to the mufcle Biceps. Forafmuch as belongs to the lower end of the bone of the arm ( which we laid hath two proeefles ) we may fay that it is faflned to thebones of the cubit by two forts of articulation; that is, by Ginglymos with the Ell or proper bone of the cubit, and by Arthrodia with the Radius or wand, which in a lightly engraven cavity re- ceives the fore procefle of the arm, and is turned about it for the motion of the hand. The hinder procefle is chiefly added for the fafety and prefervation of the veins, arteries and nerves, • Thefe things thus fliown,it is worth our labour to know the figure of the arm it fcl£> as it lies between the forementioned appendices and procefles;that in the cafe of a frafture, We may know how conveniently to reftore it; therefore firft we muft underftand, that this bone is fomewhat bended and hollowed on the infide under the cleft of the head thereof 3 but bunching out on the out and fore fide. Wherefore feeing it muft be moveable forwards and backwards, upwards and down- wards , nature for the performance of fo many motions hath furnifhed it with eight mufcles, which are fix proper and two common with the fhoulder-blade. Of which num- ber two move it forwards, two back wards, two upwards and downwards. Which muft not be underftood fb, as that thefe two mufcles fhould move it direftly forwards iuclining neither upwards, nor downwards;and the other two fhould move it fb upwards, as it fhould incline neither forward nor backwards;but thus, that it cannnot be moved neither to this nor that part unlefle by the help and proper aftion of this, or that mufcle. Thus therefore if the peftorall with his aflbeiate perform their duty or aftion,the arm is alwaies moved.for wards,as it is lifted up by the aftion of the Veltoides and his companion 3 and fb ofthe reft. r ' The greatnefle Urtd figure. The Appendix of the Arm. Tfac proeefles of the arm* The figure of the arm* The 8 mufcles thereof. Table 24, JL/ I and other extreme parts of the Body. 169 Table the brain together with the jfter-brain? the fpina'l in arrow and the nerves of the whole body. Ay That pare ofrhe brain that is next the noftrilg Bt That part which is at the tide of the ventricles, C, The back part ofthe brain. D, The Cerebellum or After- brain. The mamillary procetfe in rhe right fide. T, The original! ofrhe oprjck nerve. G, Their conjunflions. Hy The coat into which the oprick nervp is ex ten ded* 7, The fecond pair of the finews of the brain* Kt Thefeffer root ofthethird conjugation. L, 1 he thick root of rhe fame conjugation accor • i ding to thecomtnon opinion. ■ My Thefourth conjugation of the finews. Ny The feller root of the fife pair. Oy The bigger root of the fame pair. f'jThe final! membrane of the ear which they rail the Tjimpiiqiy lower branch of the bigger root of rhe lift conjugation* Sy The fixt pair of finews. T, Thefevemh pair. P's The beginning of the fpinall marrow out of rhcmiddleof the bafis of the brain. XT he right finew of the nudriffe cut off. T, A branch from the fift pair creeping to the top oftheftoulder. X The firft nerve of the armi whence there goethabranchro theskin. A,Thefecond nerve ofrhe arm,and a branch there- from into the firA mufcle of the cubic. £, The third nerve of the arm and a branch going rd the skirt on rhe outfide. Cy A branch from rhe third nerve to the fecond mufcle of the Cubit. P, The congrejfe or meeting of the fecond nerve with the third. E, A final! branch from the third nerve to the fe- cond mufcle of the Radiwf, Ey The diftriburion of the fecond nerve into two branches. * The letter branch of this di vifion lengthned out to the skin as far as the thumb. tfjThe place ofthe fpinall marrow where it iffueth out of the brain r,t,3. &c.Thirry pair of nerves arifing from the fpinall marrow' are here noted by their Char.rhar is ro fay, 7. of rhe neck, 12*of the Cheft, 5. ofthe loins,and 6.of the holy-bone. by The thicker branch of rhe 2 nerve divided into c ; . • ') MlUU 2 Paits» r, Branches of the 3 nerve fprinkled here and there, d, Nerves from the third pair to- the thumb, the fore finger and the middle finger. ee, ne4 nerveof rhearm fy The pattage hereof through rhe infide ofthe fhoulder. A rnpartit ion of this branch where it toucheth the cubit. A branch diftributed from the 4 nerve to rhe oatwa'^sklnof,be cubit, z, the upper branch ofthe divifion of the 4 nerve. A branch of z, reaching to » the outfide ofthe hand. //, the lower branch of the dtvifion of the 4 nerve patting through the backfide of e cubit, w, the fifth nerve ofthe arm* n, branches of this nerve difperfed here and there. 90, A branch of the y fCr \c rCj ngrorhe infide of the hand and the fingers, p. A furcle ofthe branch 9, derived ro the outfide of the and and rhe fingers. the 6 nerve ofrhe arm and the courfe thereof under the skin. 77, the intercoftall nerves there cur off where they are together with the ribs reflefted forward.ff. branches on each fide running backward. tty nerves attainingunto the cheft. w;<, the commixrion ofthe with thedefeending branch ofthe 6, con- jugation ofthe brain, acx, nerves from the loins ledunto this pUce.y.A branch goiugto the refticle here cut off. J, A nerve reaching ro rhe I mufcle of the thigh. c, the 1 nerves of the leg.cd,A furcle ofthe former nerve derived to rhe skin arct, and inferred into rhe mufcles ar £ y, the2 nerveof rhcIef.PJ\J'9Anervefromthefor- mer,allowed untorheskinaslowasrothefoor,and patting along the infide of the leg 6, a branch ofthe 2 nerve running unto rhe tBufcles.£, the 3. nerve of rhe leg. 17, a furcle thereof unto the skin.9, another furcle unto the niufcles,/z,the4 nerveof the leg.km,rhe anterior propagations ofthe nerves proceeding from the holy-bone. A, the end of rhe fpinall marrow, pt, a branch from the 4 nerve inferred into the mufcles arifing from the Ccxendix orbip bone. 7, another branch going to rhe skin of the thigh on the backfi de, a propagation derived to the 4. niu fcle of the leg and to the skin of the knee, 00, nerves attaining ro the heads of the mufcles of the foot. <wpf the divifion ofthe 4 crurall nerve into two trunks a branch from the trunk m ,difperfed into the outward skin ofthe leg. r,a furcle of rhe trunk w,derived to themufclcs.v, another furcle to the skin of the leg on rhe forefide. 9)tt branch ofthe trunk p, to the akin ofthe infide ofrhe leg and of the foot. a furcle of the trunk p, to rhe hind, moft skin of the leg. J,, a branch of the whole trunk g, led along to the forward part of the leg andthc foot. 0, the defeenr ofrhe trunk into the foot. But to come to theoriginall and infertion of chtfe mu(cles;the one of theft two which move the arm forwards called by reafon of his originall, the Peftorall. arifing from more QL 11 The original! and inferrion of rhe pcSora! mafcfe. 170 Of the Mufcles and Bones Lib. 6. than h'S.lf of the Collar bone,and almoft al the the 6,7,and 8. rib, goes up and fattens it felfe to the a membrane ora membranous tendon fufficicntly ftrong (tor which caufe it is faid to be common to the (hotilder and arm ) and it goes into the arm between the mufcles Pcltoides and Biceps with a ftrong tendon competed of fibers crop jfing each other,of which fome defeend from the Collar-bone and the upper part of the others afeend from the lower originall hereof; that is,from the 6,y,and 8 ribs:and although the action of this mufcle be diverfe,by reafbn of the diver (ity ofits fibers arifing from divers places, yet alwaies it drawes the arm forwards, whether it be moved upwards, downwards, or to the Breft; the other which is his companion defeends from the whole lip or brow of the fimous or hollow part of the blade,which it fills in the forepart of the arm neer the head thereof. For the two Levatores-pr the lifters up pf the arm, the firft na- med Deltoides defeends from almoft halfe the clavicle, the procefs Acromion and all the fpine of the fhoulder-blade into the' forefide of the arm the bredth of four fingers below the joint. It hath divers aftions according to the diverfity of the fibers, as alfo every mufcle hath; yet howfoever it is contra&ed, whether by the fibers from the clavicle alone, or by the fpinall alone, or by both at once, it alwaies lifts and heaves the arm upwards. The other which is his affociate defeends from the gibbous part of the fhoulder-blade, contai- ned between the upper rib thereof, and the fpine between the procefles Acromion and Cora- ioidesy to the neck of the arm;and this we wit call the Epomis or Scapular fabat is,the fhoul- der mufcle. But the firft and larger of the two mufcles,which draw the arm backwards, a- rifes from the greateft part of the utter lip of the gibbous part of the fhoulder-blade, which is under the fpine thereof, and lying upon the blade it felf, it goes into the hind part of the arm above the neck thereof.The other which is contiguous to it and his pare ner in working, but lefler,pafles from the upper and exterior part of the lower rib of the fhoulder-blade,and thence as it were in fome fort extending it felf upon the gibbous par- ihereof neer unto that rib,it goes into the arm. This mufcle feems to be the lame with the former, being flefhy without even above the top of the fhoulder.One and the lefler ofthefe two which draw downwards, enters out from the ftreight line of the lower rib of the blade, and goes into the loWer part of the arm about the neck thereof The other called the Latifftmus or broadeft,afcends from the fpines of the holy-bone, of the loins, and often alfo from the. nine lower of the cheft,by the lower corner of the fhoulder-blade into which, is inferted by a membranous tendon,as alfo it is into the inner part of the arm neer unto neck by another ftrong tendon; whereupon this mufcle is called a common mufcle of the fhoulder and arm. But when this mufcle happens to be wounded,the arm cannot eafily be ftrctched forth, or lifted up. The Deltoidef. theEpomif or Scapular if. CHAP.XXVI. 7'he defer iption of the bones of the Cubit and the mufcles moving them. Fter thele mufcles,follow thofe which bend and extend the cubic., but becaule their infertion cannot be fitly demonftrated, unlefle the bones of the cubit be firft def cribed;therefore firft of all we will delineate the bones themlelves. But verily left this doubtful word cubit fhould caufe oblcurity;firft we muft note,that 5t hath a threefold fignification,for ofttimes it is ufed for all that part of the hand which lies between the arm and wrift,oft-times for the lowrer bone of this part,fometimes for the upper part of this bone which is turned within the orb or cavity of the arm (no otherwile than a cord in the wheel of a Pulley ) and this is called the Olecranon. Here truly we ule this word Cubit in the firft lignification. Wherefore we fay the cubit is compofcd of two bones, the one of which we cal the Radius or wand,or the lefler Focile of the armjthe other f we properly cal the Cubit or El.Thete two bones ftick together at their ends being firmly bound together by ftrong ligamentsjbut the middle parts of them are a prety way diftant from each other,and chiefly towards their lower ends, for the better lituation and paf- fage of the mufcles and veflels from the inner fide to the exterior , as (hall be (hewed in fit place.The wand hath two Epiphyfes or Appendices,the one at the upper end , the other at the lower.The upper is round and hollowed on the furface like a bafon,it receives the fore procefle of the bone of the arm,bouud to the fame by ftrong ligaments, defcending as well from that procefle of the arm, as the Olecranon into the circumjacent parts of this appen- dix of the wand.This connexion is made for this ufe,that we may turn our hand upwards and downwards by the cubit turned and twined about, this procefs.But the lower appendix ofthiswandis hollowed on the infide that fo it might more commodioufly receive the bones of the wrift,but gibbous without,that it might be faferjnowthis wand is fofter and thicker at the lowTer end,but teller and harder above,where on the infide it hath a (welling out,whereby to receive the mufcle befides on the outfide of the middle thereof it is ibmewhat gibbous and round,fo to become more fafe from the injuries of external bodies; but it is hollowed,or bended on the infide for the better taking and holding any thing in the hand. But that fide which lies next to the Ell is flatted for the fitter originall and feat of the mufctes;laftly,it is feated upon fihe bone of the Cubit, or Ell,juft againft the thumb. But; What is meant by the Cubit. What the Olecranum is. The 2 bones of the Cubit, The two Ap- pendices of the wand. The figure and fire of the wapd. Lib.6. and other extreme parts of the Body 171 But the £ll,or bone of the cubit properly aud particularly fo called, hath in like manner two appendices,the one above,the other beneath.The upper which alfo is the greater,is fit- ted to the orb of the arm in which it goes to and again for the extenfion and bending of the arm, no otherwife than a rope runs in a pulley but that it turns not abfolutely and perfectly round, which is caufedby the two procefles of unequallbigneS , the which are therefore flayed in the holes or cavities of the bone of the arm, the greater procefle tvhich we called Olecranon is letted by the exterior hole that fo theextenfion of the arm can be no further, but the lefler procefle by the inner hole, makes the bending thereof the lefle per- feft.The compohire of thefe bones is by it is flrengthned not only by com- mon ligaments comming from the mufcles,which move the bones themfelves, but allb by proper ligaments defending from the procefles of the arm and the lips of the holes and cavities flanging about the appendix of the cubit. The other lower and lefler appendix is in feme fort hollow on the infide for the fitter receiving the bones of the wrift, but the cutfide is rdtind and ends in a point, whence it is called by the Greeks Styloides. But now this Ell ( contrary in this to the wand ) is thicker towards the arm,but (tenderer towards the wrift. And befides in the thicker part thereof it is hollowed or bended towards the infide,and in the fame place is gibbous or bunching forth on the outfide ; but it is round and ftreight,unlefle on that fide which lies next the wand,for the reft,it is hollow and full of marrow like the wand. The fite of the Radius or wand is oblique,but that of the cubit or Ell is right,that the arm might be the better and more eafily moved;becaufe the motion by which the arm is extended and bended is according to a right line, but that by which the infide of the hand is turned upwards and downwards, is performed obliquely and cir- cularly .Wherefore it was expedient that the wand ftiould be oblique,and the cubit ftreightj for the cubit-bone is appointed for to extend and bend the arm,but the wand to perform the wheeling and turning about thereof ; and this is the caufe that it was fitting there /liquid be a different connexion of thefe bones with the arm. Thefe things were fitting to be'fpoken concerning the nature of thefe bones,that in the cure of fractures we may work the more fafely and happily, taking indication from that which to nature : wherefore now it remains that we come to the defeription of the mufeles which are feated in the arm, the cubit-bone,or Ell.Thefe are four in number, two extending it, and two bending it. The firft of the benders is called Biceps, by reafon of its two heads, the one whereof defeends from the Coracoides, that other from the lip of the cavity of the ffioulder- bladeby the fifliire or clift of the head of the bone of the arm. Thefe two heads under the neck of this arm becoming flefhy,are firmly united at the belly and midft of the arm, and thus united are at the length implanted by a flrong tendon to the inner protuberation of the wand. The other is called the by reafon of the ftrait coherence thereof with the bone of the arm; this faftned under the Biceps defeends obliquely on the back and upper part of the bone of the arm into the top of the wand and the inner fide of the Ell. But the firft of the extenders is called the longus or long mufcle, this defeends from the lower rib of the flio older,and cleaving to the bone of the arm goes thither ( faftned and as it were alwaies moft ftraitly joined with his fellow mufcle,fpecially neer the cubit) where you (hall prefently hear. The other termed the Brevis or fhort Mufcle,being the compani- on of the long, defeends on the hind part of the neck of the bone of the arm, as it were growingJtOjand lying under the former long mufcle, fo that making one common broad tendon outwardly flefhy, inwardly nervous,they are inferred into the Olecranumfo by mu- tuall affiftance to extend the cubit. The Appendi- ces of rhe bone ofche cubjtj The figure of rhe cubit bone or Ell, 'z The mufcled moving the cubit. The Biceps t Qi two-headed mufcle. The Bracbititfi The Longuti The Breuty CHAP. XXVII. Ihe Description of the Bones of the Wrift) afterwrift and Fingers, £ faid before that the Hand taken more particularly and properly,is divided into the Wrift, Afterwrift, and Fingers , and that the hand in this lignification is bounded by the ends of the bones of the cubit and All the parts of the wrift, which it hath common with the afterwrift,have been already allb plenti- ful ly explained,this only remains to be noted, that the skin as well of the hands as of the feetjis of a middle nature between pure flelh and pure skin, no otherwife than that which covers the forehead, but that this which covers the palms of the hands and foies of the feet is unmoveablejbut it is moft thick, efpecially on the feet, left it Ihould be eafily offended by continuall going. Beedes the common parts, the wrift is compofed of eight final bones mutually knit together in acertain order, and by Viarthrojis with the two bones of the Cubit, but mutually and amongft themfelves by by interpofition of griftles and ligaments as well common, that is, coming from the mufcles, as proper, defending ahvaies from the upper to the lowrer. But thele fame bones are lome lefie than otherfome; befides, they are hard and without marrow, gibbous on the out- fide for the fccurity and comlinefle of the hand, but hollow on the infide for to give Way to the tendons going into the fingers. Thele bones are dilpofed in two ranks. W CL 2 The Whathhe Hand properly fo called is, 172 Of the Mufcles and Bones Lib.6. The firft rank contains only three,but the ftcond five.The three of the firft rank are thus ar- rayed,or placed,that one of them may receive the Appendix Stylordes 3ot the cub it; the other the Ell and the wand together,aud the third may be received by the wand.But three of the five bones of the fecond order fuftain the four bones of the afterwrift and are knit to the fame by Synar thro fishier which manner of connexion they are joined to the bones of the firft rankjthe fourth fuftains the firft bone of the thumb,to which alfo it is coarticulate by Synarthrojis ; the fift and laft is feated on the infide again!! the Ell, chiefly above that bone of the firft order, which receives the Appendix Styloidcs of the cubit, this is the leaft and weakeft of them all by reafon of its griftly fubftance, which makes the ring with certain ligaments running from one of the inner fidcs of the wrift to the other. This ring is placed there,as well for the prefervation of the finews, veins, and arteries palfing under it ( left when we lean upon our hand or wrift, thefe parts Ihould be hurt by compreflion ) as alfo for the commodity of the aftion of the mufcles bending the finger, which in the performance of their aftion and the contracting themftlves might deform the hand by their pafling forth of the cavity of the wrift. For what attraction foever is made by ftrings,if it be free and nothindred,is according to a ftreight line. Now follow the bones of the fecond part of the hand, or of the afterwrift. Theft are four in number, gibbous without, but arched within, or hollow in the middle; for hence is the palm of the hand, or certainly the greater part thereof; their ends next the fingers are fomewhat remote from each other, that in theft clifts the mufcles Interoffes might find a place and ftat. But thefe ends have each an Appendix, as you may perceive in the Scele- ton of a child.But you muft note that by the firft bone of the wrift or afterwrift,wee mean that which is in the forefide of the hand, that is to fay, that in the wrift which lies under the thumb,and that in the afterwrift, which is ftated under the fore finger, as theft which keep in order the fingers which exceed the reft in necelfity and dignity. What the An- ring is. The bones of the Afterwrift* The Figure of the bones of the Hand. 'The i. [bewsthe infide of the right hand, and the 2. fbews the backjtde of the fante. The Charaft. 1, 253,4,5, <5, 7, 8.(hew the eight bones of the wrift. A, 2. The firft bone of the Afterwrift lying un- der the thumb. I. IL III. IIIL The 4 other bones of the Afterwrift annexed to the fingers. B, The two bones of the thumb. P,E,F.i,2. The 3 bones of the forefinger which are the fame in the other .fin* gers. Fl, i,2.A little bone fome- times faftned outwardly at the joint of the eight bone of the wrift. N, 1 • A procefle of the eight bone of the wrift,fwelling out into the ball of the hand. O, 1. A procefle of the fift boneof the wrift, from which a ligament proceeds. P, 2. An appendix of the bones of the wrift,by which they are articulated to the afterwrift® 2.Another Appendix which with its headentreth into the cavity of the finger. R, 1, 2. Thefpace between the bones of the afterwrift. i, 2. Two little feed-bones fet. on the infide and outfide of the firft joint. 7, i. Two feed-bones in the firft of the four fingers. 1. One feed-bone in the fecond and third joint of the fingers. After thefe follow the fifteen bones of the fingersjthat is,three in each,which are hollow andfiftulous,fullofathin and liquid marrow,and not ofgrofle and thick, as in the arm and thigh. They are outwardly gibbous,but inwardly hollow and flat for the fitter feat of the tendons aftending alongft the fingers on the infide even to the tipper joint. The which that nature might the better ftrengthen and preferve,it hath produced from the lips of the inner cavities of theft bones a membranous and ftrong ligament, which running over- thwart from one fide to the other doth fo ftraitly clofe the tendons to their bones, that they cannot goe forth of their places, or incline to either fide. They are connexed on the outfide, that they might be more fit to hold any thing. But for the firft bones of the 4 fin- gers and thumb, four are joined together with fo many bones of the afterwrift by Sjnar- throfis, for the bones of the afterwrift are moved by no manifeft motion; the fift is knit to the fecond rank of the bones of the wrift,therefore that bon e cannot be attributed to the JTlGr. It OTGX& The bones of she fingers* Lib.6. and other extreme parts of the Body. 173 afterwrift, as fonie have written, feeing it hath manifeft motion and is knit by Diarthrofa] but the bones of the afterwrift are only faftned by Synarthrojis. For the fecond and third rank of bones of the fingers,they are knit the fecond to the firft,and the third to the fecond by Diarthrofts and befides the manifeft motion they have, they receive each other by a iuperficiary cavity, as thole of the firft rank, the bones of the afterwrift, and thofe of the fecond rank, them of the firftjthofe of the third them of the fecond* And al the bones of the fingers are larger and thicker at their bafis,but fmaller towards the ends, and they are bound by ligaments efpecially proper, which(as we faid formerly J delcend from the firft to the fecond; fo that the laft bones feeing they have not to whom to communicate their nerve, make and produce nails thereof:Wheretore the nails are generated by the fibers of the ligaments,and the excrement of the tendons which are terminated at the bottom of the nails. Now remain the Offa Sefamoidea, or leed-bones : thefe are j 9 innumber in the inner joints of each of the hands, and as many in each foot, fix.two in the firft joint of the four fingers and in the fecond of the thumb, and one in each of the reft. For the inner fide : of thejoints,you may for the moft part obferve one in each of t.hem;yet in the fecond joint 1 ofthe thumb there be two, above the two tendons, which are fomewhat griftly. They are made for this ufe, that they firm andftrengthen the joints, fo that the bones of the fingers may not be turned awry,or thru ft forth of their places by ftrong and violent motions,as it fometimes happens in the whirlebone of the knee. They are called Sefamoidea from the refemblance they have to the feed of Sefamum which is fomewhat long and flat. Wherice the nails are gene, rated. TheOji Sefifo mbidea, or feed- bones. Their ufs» CHAP.XXVIII. Of the mufcles which feated in the cubit move the Wand and with it the Handi Ow muft we defcribe the mufcles of the formerly deferibed parts; that is, thole which are featcd in the cubit,which are carry ed to the infide of the hand, and thofe which are called the Interoffes. Now the mufcles of the cubit are 14, feven externall and feven internall;two of the (even external! doe primarily twine or turn up the Wand, and fecondarily or by accident turn the palm of the hand upwards, whereupon they have called them fupinatores or turners up of the hand; two extend the wrift, whereupon they are named Carpitenfores or the wrift-extenders;two the fingers,whence they are filled Digitfimtenfores or fingerftretchers;to conclude,the feventh and laft is termed dbdutior or Obliquator externut.'The firft of the two fupinatores is called the Long,or Longeft,becaufe itdefcends from the outfide of the arm above the procefles there- of, and is inlerted by a round and ftrong tendon into the lower Appendix. The other de- fends obliquely from the outward and upper procefle of the arm,and is inferted at the third part of the wand by a membranous and flelhy tendon before and on the infide there- of. The upper of the two extenders of the wrift,delcending above the wand from the exter- nal and upper procefle of the arm,is inferted by two tendons into the firft and fecond bone of the afterwrift, which fuftain the fore and middle fingers. The other and lower, defcending from the fame place as the former, above the cubit is inferted into the fourth bone of the afterwrift which bears up the little finger. Thefe mufcles whileft they move alone, that is, each with his Antagonift,to wit,the wrift-ben- ders,they move obliquely upwards or downwards, the whole hand properly fo called. The firft and greater of the extenders of the fingers,or finger-ftretchers arifing from the Ole- cranum,or bone of the cubit,defcends fuperficiarily between the two bones of the cubit even to the wrift, in which place it is divided into fpur tendons, which paffing under the ring feated there end ( each diftinguilhed by a common ligament above the bone of the after- wrift ) in the laft joints of the four fingers, adhering neverthele lie firmly to the bones, which are above thefe joints. The other which is the lefler,arifing almoft in the middle of the wand, goes obliquely to the thumb into which it is inferted by two tendons;the one thicker which is inferted into the root thereofiand draws it from the other fingers; the other flenderer continued even to the u pper joint thereof, and by its adion extending the thumb. The feventh which is the Abdufior or is feated at the hind part of the hand; that is, towards the little finger; we have often found this divided iu two,yea verily we have found it trifide, or divided into 3. this year in three or four dead bodies,one porti- on thereof went to the lower fide of the ring-finger with two Tendons, the other in like manner to the middle and forefingers, and the third to the thumb. And for all that it is thus divided,yet fome have taken and accounted it for one mitfcle, becaufe it hath one originall and aftion, which is to draw the fingers backwards, fome have added to this the extender of the thumb by rcafon of their common originall; and thus of four mufcles they have made one divided into feven tendons, diftributed, as is formerly (hewed. But when the Obliquator of the ring-finger is wanting, as it often hap- pens, the extender of the finger fupplics tMt defeft by certain productions of tendinous firings. But fome alfo have written, that this mufcle which we faid hath feven tendons, The mitfcles of the cubit. The SupinatQi ret. The Carpi ten- > fires. The Digitum* ten fores. The ObliqMW, externw. Thefirftof the Supinatores. Thefecond, The upper of (he Carpitenfi* res. The lower. The greater of rhe Dtgitwn- tenfores. The leffer i The Obliquatoft or AbduQor ex* ternwt 174 Of the Mufcles and Bones Lib.6. is only a produftion of the deep fore mufcle, which fhould be fent through the fpace be- tween the bones of the cubit ;yet I had rather make it a mufcle of it felf, by reafbn of its ftrait adhefion with the bones of the arm and wand. And let thus much fuffice for the ex- ternal mufcles of the cubit,which you may comprehend in the number of we have done; or in fix, if you take away one of the 4. or in nine, if you had rather refol ve it into 4. with Galen-, or in eight, if you divide this mufcle only into three. For in very deed the .AbduCtor or Obliquator of the ring-finger is not often found in men. Now muft we come to the inner mufcles of the cubit, the firft o.f which compares the skin of thepalme of the hand, whence it is called the Palmarit.The fecond and third joined by the communion of their a&ion turn down orprone the wand, and confequently the hand,fo that the palme looks towards the feet, whereupon they are called Pronatores. The 4. and 5. joined alfb in affinity of a&ion bend the wrift, wherefore they are named Carpiflexores9 wrift-benders. Thefixtand feventh are appointed to bend the firft, fecond, and third joints of the fingers, wherefore they are termed T)igitamflexores, Fingerbenders. For their originally, the leaft and uppermoft of them all, defeends fleffiy from the hind proceffe of the inner arm,and a little after ending in a long and {lender tendon, it is fpent in the skin of the palm of the hand even to the roots of the fingers. For it was ne- ceflary that this skin fhould ftraitly cohere with the fubjacent parts,not only for the fitter taking or comprehension of any thing,left that skin in holding fhould be wrinckled and drawn away from the palme and fingers, and fo be an impediment; but befides that the hand might havea more exaft fenfe to diftinguiffi of hot, cold, moift, dry, fmooth,equall, rough, foft, hard, great, little, and fuch other qualities. Then follow the two Pronatores, of which one called the round, comes obliquely from the inner fide of the hind procefle of the armalmoft to the middle of the wand,to whith it adheres by a membranous and flefhly tendon, even to the place appointed for infection. The other fquare three or four fingers broad, yetfomewhat {lender, feated within under all the mufcles which defeend on the infide to the wrift or fingers, upon the ends of the bones of the cubit,afcends tranfverfe from below the Ell, unto the top of the wand,where it ends in a membranous tendon. Both the Carpiflexores., or wrift-benders,arife from the hind, but inner procefle, and defeend obliquely/ the one more, or lefle than the other ) the one alongft the Ell,but the other a- longft the wand; and that which defeends alongft the Ell,is infected into the eight bone of the wrift, which we faid made part of the ring;the other which followes the wand is infec- ted with his greater part into the bone of the wrift, and with the reft into the firft bone of the after-wrift which fuftains the fore finger. Now remain the Digitumflexores , or Fingerbenders, which becaufe they lye upon one another, the upper is called the Sublimit Jbnt the lower the Pr of undus.The Sub limit or upper, arifing from the inner part of the hind procefs of the arm,and from the upper parts of the Ell and wand,defeends between thefe two bones of the cubit even to the wrift and ring; divided into 4 tendons it is inferted into the fecond dearticulation of the four fingers, which it bends by the force of this his proper infertion ; as alfo the firft, as well by the power of the common ligament,as by certain fibers coming from it, which it {ends thi- ther by the way in its paflage. But thefe 4 tendons neer unto this their infertion are divi- ded into two,fo to give paflage and add ftrength to the tendons of the deep mufcles de- fending into the third and laft joint of the fingers. But this fame Profundus or deep mufcle arifing from the upper and inner parts of the Ell and wand, defeends between thefe two bones under the undivided even to the wrift,where it is divided into 5 Tendons which it brings forth under the common liga- ment, and the divifions of the tendons of the Sublimit even to the laft joint of the fingers, which they bend, by this their proper infertion, as alfo the bones of the firft and fecond joints of the fingers by the means of the common ligament and fibrous producti- ons which they beftow upon them by the way. Befides thefe forementioned th'ere is feen alfo a certain membranous ligament which engirts the tendons in the compafleof the fin- gers. The mufcles of the inner parr of the cu- bit. The Palmar is- The Pronator res* The Car pi- flexores* 'TheDigitwn- flexores- The Sub li mis Dsgi turn flexors The profundus Digitumfiexor* CHAP. XXIX. Of the Mufcles of the infide of the hand. K*"''''''''He mufcles of the infide of the hand are 7 in number; the firft is called becaufe it makes the greater part of the Palme; the fecond from the lite is called the Hypothenar, the third the externall Abduffor of the thumb .The four other are called by reafon of their figure the Lumbrici or wormy mufcles, or the Abdu£lores9 or Drawers ofthe four fingers to the thumb. Now the firft cal- led Thenar, thicker than the reft,arifes from all the bones of the afterwrift, taking its be- ginning from that bone which bears up the ring finger, whence afcending alongft the Vi- tali line even to the end thereof at the firft bone of the afterwrift fnftaining the fore finger, and it is at length inferted into the laft joint of the thumb by the longeft fibers,but by the middle The number of rhe mufcles ©f rhe infide of the hand. The Thenar» L i b.6. and other extreme parts of the Tdody. 175 middle and fhorteft fibers almoft into all the inner part of the firft bones of two joints and by reafon of this, the thumb is drawn to the other fingers 3 and from them again by his lower original!. Some divide this mufcle into three, by reafon of his divers aftions, making the firft to arife from the root of the bone ot the afterwrift which bears up the ring finger; but the other from that middle bone of the afterwrift which fuftains the middle fihger;but of the third, from the upper end of that bone which underprops the fore finger, and that the infertion ofthemall,is,as we formerly mentioned.But the former opinion likes me better, both for fhunning confufion, and abbreviating the doftrin of the number ofmufcles. The Hjpothenar arifes from the fourth bone of the afterwrift,and that bone of the wrift which fuftains it, and then with its longeft fibers, it is inferred into the fecond joint of the ring finger, and by the fhorteft into the firft, through which occafion,as alfo in refpeft of its twofold aftion, fome have divided it into twro, that the one of them might lead it from the reft, aud the other might draw it to the thumb. The externall Abductor of the thumb, defeends from the firft bone of the after- wrift,into thefirft and fecond joint ofthethumb,whereforefome havedividedit into two. The or four externall Abdufiores of the fore fingers arife from a membrane, in- vefting and binding together the tendons of the T)igitumflexores3 or fingerbenders, and at length on tlie fides towards the thumb even by a fmall tendon , running even to the fe- cond joint pf the four fingers. * * * . ' , Now the Interojjes of the afterwrift, remain to be fpoken ofithefe are fix, two in each of the fpaces between the fingers, one internalf, the dther externall, of which the internall defeending with oblique fibers from the fide of the firft bone of the afterwrift,goes alfo in- to the fides of the fingers,that fo it may the more clofely-bkid together the bones of the af* terwrift,whole aftion is manifefted when we thru,ft our fingers into a ftrait glove,or when we bend our hand.Some think that it helps alfo the drawing of the fingers towards the thumb. The externall afeends alfo by oblique fibers from the fides of the fecond bone of the afterwrift, to the firft joints of the fingers, interfering the internall which we now defcribed after the manner of theletter X,fbr to extend the palm of the hand,and help the drawing away of the fingers from the thumb. Here concluding the dcfcription of the mufcles of the whole hand taken in generall,you (hall note that they are 39. in number, that is, eight appointed to move the arm; four fet to move the cubit in generail; feven feated on theoutfide of the cubit, and as many on the infide in the fame cubit, moving the wand,and with it the hand; feven on the infide of the hand : and laftly,the fix Interoffe.J.Some encreafe this number, faying, there are nine on the externall part of the cubit, and eleven on the infide of the hand. The typotl'e* nar. The external! ■Abdullo r of the thumb. T he The Inter cjfcd, The numb'ef of the mufdw of the whole taken ira gene-' rail; CHAP. XXX. A Defcription of the Leg taken in generail. Fter the hand followes the defcription of the Leg. Wherefore to take away all doubtfulnefle,we will firft define the legjthen divide it into the parts more and Idle compound; thirdly 9 we will proiecute all things common to all thele parts ; fourthly, thole which are peculiar to each; and then, God Willing, we will give an end to our Anatomy. Now this word or leg,is ufed two manner of wayes, that is, either generally or {penally, and fpecially again after two forts, that is, either ablblutely and limply fo, or with an adjunft. It is limply taken for all that which is between the knee and the foot. But with an adjunft for the greater bone thereof. But the leg taken in general!, is the iu- ftrument of going, containing all whatfoever is from the hips,to the very ends of the toea. It is divided into three great parts,that is to fay, the ahigh, the leg, or thank, and the foot. By the thigh we mean that which lies between the hip and the knee. By the leg, properly fo called, or (hank, that which is contained between the knee and the foot.By the foot all from thence to the ends of the toes. Again,they divide the foot into three parts; that is, the 'tdrf'w or inftep, the Pedion or top of the foot, and the PzgitipeJww, or toes. We underftand by the inftep, that which is contained in the firft feven bones, which anfwensin proportion to the wrift of the hand. By the top of the foot, that which is comprehended in the five following bones, which is anfwerable to the afterwrift. That which remains, we call the toes. But becaufe all thefe parts have other common and proper parts,we will only follow the diftribution of the veins, arteries., and nerves; feeing we have fuffickntly explained the reft, when we defcri- bed the containing parts of the body in generail. The divert acception ol j the leg. fnt thigh? The leg or fhank*, The foot. Thodivifonof the foot. The in Hep, The top of ttrtj foot* /he toes? CHAP4 176 Of the Mufcles and Bones Lib. 6.1 CHAP. XXXI. APefcription of the Crurall vein. The beginning of the Crural! vein. He crurall vein begins then, when the hollow vein palling forth of the m>and ftretched to the hanch bone,and the fides of the Pubis in the groin,is firft divided into two large branches,the one of which defcends on the infide, alongft the bones of the whole leg, together with the artery and nerve; the other runs down outwardly and fuperficially alongft the leg, between the fat lying under the skin, and the mufcles even to the foot, and is fpent in the skin thereof. This becaufc ft is alwaies apparent and manifeft, is called properly by the Greeks Sapheia but commonly Saphena. This vein by the way prefcntly at its originall is divided into two branches, the one iiiternall, the other externall;of which the internail is fpentupon the Bubones, and other glandules of that place and the skin, and by this branch come the defluxions called Bubo- nesj the other branch is wafted in the fore and utter skin of the upper part of the thigh; then a little lower, that is, about the bredth of three or four fingers,it is gathered again into one branch made of many little ones, which is (pent in the fore and hifrid skin of this thigh. Thirdly, a little below the middle of the thigh it is again divided into two other branches, of which the one goes into the skin on the forefide, and the other on the hindfide. Fourthly, it is diftributed by two other finall fprigs into the skin, on the fore and hind part of the knee jwhith oftentimes are not found, efpecially when the Poplitea or ham vein, is fomecvhat larger than ordinary. Fiftly, a little below the knee , it produces two other branches, lying upon each other in their paflage out into the fore and hind skin of that place.You muft note, that branch which runs into the skin of the hind part, is carried by a certain other (prig, which it produces, into a branch of the Poplitea pafling forth of the two twin mufcles.Sixtly,in the bigger part of the calf of the leg, it is divided into two other branches, which in like manner are diftributed into the skinAas well in the forefide as the backfide of the leg. At length after many other divifions, which for brevitie fake I omit, when it arrives ac the fore and inner fide of the ankle ( where it is commonly opened in the difcafes of the parts below the midriffe which require blood-letting ) it is parted into two other bran- ches, the lefler of which defcends to the heel; the other in many fprigs is fpent upon the skin of all the upper and lower part of the foot and toes. The fccond branch of this crural vein,which we faid defcends within together with the artery and nerve,even into the foot,is divided;firft,piercing fomewhat deep in, it produces four divarications;one internal defcending below the original of the into [aphia the mufcle , called Obturator and into certain other external mufcles.The three other run out- wardly, the firft towards the huckle-bone,by which the Ifchias is made,the two other into the fore mufcles of the thigh,neither are thefe fprigs far remote from one another. Secondly, - al that branch is divided into two other branches,the one above,the other below,an artery alwaies accompanying it; the lower of which is fpent upon many of the hinder mufcles of the thigh ending nigh the ham. The upper, befides, that it beftows many branches upon the fore and inner mufcles of the thigh; defending to the ham, it produces the Poplitea or ham vein,made fometimes of two branches, the one proceeding from above,and the other from below. This Poplitea defending by the bending of the ham,is (pent one while upon the skin of the calf of the leg, another while upon the knee,otherwhiles encreafed with branches of the Sapheiajt goes on the outfide of the ankle to the skin, on the upper fide of the foot, and fometimes on the lower. Thirdly,a little below the original of the ham vein,and under the bending of the knee, it brings forth the Suralis, which is beftowedupon the mufcle of the Sura, or calf of the leg, and upon the skin of the inner fide thereof,and of the foot continued fometimes even to the inner part of the great toe. Fourthly, under the head of the hinder appendix of the bones of the leg, it produces between thefe two bones, another vein,which nourilhing the fore mufcle of the leg,is con- fumed upon the foot. Fiftly and laftly,it brings forth the Ifchiadica major or greater which is divided in- to two branches ofan unequall bigneffc;the larger whereof from his originall defcending alongft the inner part of the leg bone,infin uates it felf under the mufcles of the calf, be- tween this and the heel, into the idle of the foot, upon which it is wafted,divided into ten imall fprigs,two for each toe;the other being the lefler defcending alongft the Perone, or ihin-bone3is con filmed between it and the heel,yet fometimes it is produced, not only even to the mufcle the Abdufior of the toes, but alfo by five furclcs,even to the fourth toe,and the fidcs of the middle toe. The two Bran- ches thereof. By what veins, the matter cau- sing rhofe tu* mors called Unbones flow down. Whete and in what difeafes» the Sapbeia muft be opc* Vied. To what pla- ces,and byjhow manifold divi- sions the inter- nal! branch of the crural! vein goes. jjebiMtcavena, tyufcula vena. foflitwucM. Swalisven». Tfchiaclicd mt- jor> CHAP} Li b.6. and other extreme parts of the Rody 177 CHAP. XXXII. The Ttifiribution of the Crurall Artery. He crurall artery arifing from the fame place whence the crurall vein proceeded,, and defending with the internal! crurall vein, is diflributed as followeth. Firft, into the mufcle of the thigh, tvhich fpreading it felf through the mufcles thereof meets with theutmoft defending with the vein through the common hole of the hackle and (hare bone, and is joined with it. Secondly, when it arrives at the ham,between the Condj'los or procelfes of the leg,it, lends two branches into the knee. Thirdly,a little after it produces another branch,which it fends to the exterior mufcleS of the leg,and when it arrives at the middle of the leg, it is divided into two branches, be- tween the twin and Soktw, the one internail, the other externally the internal!, fome furcles communicated by the way to the parts by which it pafles, but fpecially to the joint of the ankle, ftretches it felf over the foie of the foot, between the lower extremity thereof and heel, whither when it arrives, it is divaricated into five furcles,of which it he- llo wes two on the great toe, two on the next, and one on the middle toe. The external! defending in like manner to the foie of the foot, between the fibula and the heel, belidcs other iprigs, which it may fpread by the way, it produces one without on the joint of the ankle, another in the mufcle, the Abdutfor of the toes, to the wrifl: and back of the foot. But the remainder is divided into five portions, of which two arefent to the fourth , and two to the little one to the middle. Arteria ittufa CHldt CHAP. XXXIII. Of the Nerves of the LoinS)Holy-bone and Thigh. Here arife five conjugations of nerves from the loins., divided into externall and internal branches;the external are difleminated into the Rathite or chin mufcles, the mufcles Semifyinatus and Sacer and the skin lying over them. The internail are fent into the oblique afeendent and tranfverfe mufcle of the lower belly,in- to the Peritoneum) into the loin and cheft mufcles arifirig there,but after a different manner; for fome are abfolutely carried thither,as the nerves of the firft conjugation of the loins, and oftentimes alfo of the fecond, but that fometimes they fend a fmall fprig to the tefti- cles, when the Coftall have fent none thithefjbiit fqme lower are partly diftributed there, and partly fent fome other way; for the greater portions firft united amongft theriilelves , then prefently with the portions of thefe of the holy-bone, goe into the thigh,as we fhall lhew in the diftribution of the nerves of the holy-bone. Now from the holy-bone, proceed fix conjugations of nerves, reckoning that for the firft which proceeds from the laft Vertebra of the loins,and firft of the holy-bone, and that the fixt which proceeds from the loweft part of the holy-bone, and the firft of the rump ; thefe conjugations of nerves are divided into externall and internail branches. The lefler externall palling forth by the externall and hinder holes of the holy-bone, are diftributed into the parts properly belonging thereto, to wit, the mufcles and skin thereof;for every nerve by the law of nature firft and alwaies ycelds to the neighbouring pans, that which is needfull, then prefently to others as much as it can. Wherefore if thou wouldil know whence each part hath his veflels at the next hand, that is, the veins,arteries,nnd nerves, thou muft remember the fite of each part, and the courfe of the veflels,and to confider this, that the veins and arteries as fpeedily and conve- niently as they can, infinuate themfelves into the parts, fometimes at the head or begin- ning, fomewhiles by the middle or extremes thereof, as there is occafion. But a nerve principally enters a mufcle at the head thereof, or at leaft not far from thence, but never by the tail, whereby it may eafily be underftood by what branch of each vein, artery, and nervs, each part may have nourilhment, life, and fenfe. The other internail branches of the forefaid conjugations goe, efpccially the four uppermoft united from their originall with the three lowermoft of the loins,into all the leg, as you fliall prefently hear. But the two lower are confumed upon the mufcles called Levatores the Sfhin&er mufcle of the fame place;befides,upon the mufcles of the yard,and neck of the bladder in men,but in women upon the neck ofthe womb and bladder. For thefe parts admit another in their bottom from the coftall nerve, being of the fixth conjugation of the brain; thefe thus confidered, let us come to the nerves of the thigh , which ( as wefaid ) from their firft originall, as it were compared and compofed of the greater portion of the three inner and lower branches of the loins, and the four upper of the holybone,are divided in the thigh into four branches,of which the firft and higher de- feending from above the to the little Trochanter) is wafted upon the inward and fuperficiary mufcles of the thigh,and the skin which covers them a little above the thigh. The The fivecon gationsof ths nerves of (he loins. Where the tefticles have their nerves. The conjugate on of the nerves procee- ding through (he hotybonia' call axioftfc 178 Of the Mufcles and Bones Lib. 6. The fecond, defeending with the crurall vein and artery by the groin, is divided into two branches like as the vein,the one internail, the other externall, of which the internal! defeending with the vein andarterie is fent into the inner and deep mufcles of the thigh, ending above the knee.But the externall defeending fuperficially with the Saphtia, even into the foot,gives branches by the way to the skin which covers it. The third feated under thefe former, pafling by the hole common to the fhare and hanch-bone,fends certain branches to the groins,to the mufcles called Obturatores, to the Tricipites,and fometimes to the mufcles of the yard,and it ends at the midft of the thigh. The fourth,which is the thickeft,folideftand hardeft of al the nerves in the body,defcen- ding wholly from the produftions of the holy-bone,and defeending outwardly, between the lower part of the lame bone,and the Os Ilium, or Hanch-bone to the thigh,beftows cer- tain (prigs to the hind mufcles thereof proceeding from the protuberation of the Ifchium Or huckle-bone,and in like fort it gives otherfome to the skin of the buttocks,and alfo to the skin covering the forementioned mufcles. A little after, it is parted into two branches defeending undivided even to the bending of the knee,they both are communicated by divers furcles of the mufcles of the leg;yet fo as the lefler produces another branch from the reft of the portion thereof defeending on the fore part of the leg,alongft the (hin-bone unto the top of the foot,where it is divided into ten furcles fcarce apparent to the fight, two running to each of the toes. The other greater defeending in like manner in the remainder of its portion by the hind part of the leg into the foie of the foot, cafts it (elfwith the veins and arteries between the heel and leg bone, were firft divided into two branches, each of which prefently parted into five, fend two (prigs to the fides of the toes. And thefe are the moft notable andneceflary diftri- butions of the veflels and nerves;we purpofely omit others which are infinitejand of which dthe knowledge is impertinent. CHAP. XXXIV. Of the proper parts of the Thigh, Aving explained the common parts of the leg in general!; now we muft come to the proper, beginning at the Thigh.Thc proper parts of the Thigh, are mufcles, bones,and ligaments. Blit becau'fe the demonftration of the mufcles is fomewhat difficult, if we be ignorant of the defcription of the bones from whence they arife, and into which they are inferred; therefore we judg ic worth our labour, firft to ffiew the bones, and the dearticulation of thete of the Thigh; beginning with thefe bones which are knit with the upper part of the holy-bone. And they are two in number,on each fide one,commonly called the Offa Ilium;each of thefe is competed of three bones,of which one is the upper,another the lower and anterior,and the third the middle,and after a manner the pofterior. The upper by a particular name is called the Os Iliimi, the hanch-bone, and it is the large# and biggeft, having a griftly Ap- pendix in the compafle thereof, even to the connexion it hath with the other neighbou- ring bones, whofe upper part we term the right line thereofjbut the bafts, which is adjoi- ned to it by Symphyfis, we call the lip or brow thereof, becaufe it ftands both fomewhat out and in,after the manner ofthe brow.But that which lies between the bafts and ftreight line we name the Rib;this fame upper bone hath two hollow fuperficies,the one internal!, the other external!. The connexion thereof by Symphyfts, is twofold, the one with the up- per part of the holy-bone; the other with that bone we called the middle, and after fome fort the pofterior; which taking its beginning from the narrower part of the Os Ilium, makes that cavity in which the head of the thigh is received; this cavity the Greeks call Coty Ie, the Latins Acetabulum, and it is ended by the fide of the hole common to it,and the fhare-bone; this middle, and in fome fort pofterior bone is called properly and particu- larly the Os Ifchii, or hucklc-bone,and contains nothing elte but the forementioned cavi- ty, but that on the hind and lower part thereof, it brings forth a procefle, which adjoins it telfto the fhare-bone at the lower part of the common hole, in which place it appears very rough and unequal!, and it is called the tuberofitie of the huckle-bone, at whofe ex- tremity alfo it brings forth a little head fomewhat refembling the procefle of the lower jaw called Corone. The third bone named Ospubifor the fhare-bone,ftretches it telf even to the higheft part of the peften, where meeting with the like bone of the other fide, it is uni- ted to it by Sjmphyf softer which manner alfo, all thefe three bones are united;# is repor- ted, that this bone opens in women in their travel, yet hitherto I can find no certainty thereof. You may perceive a manifeft feparation of thefe three bones in the Sceleton-of a child; for in thofe who are of more years,the griftles which run between thefe connexions turn into bones. Now followes the thigh-bone,the biggeft of al the bones of the body;# is round,and fo bended that it is gibbous od the exterior and forepart thereof,that fo it might be the fafer from Of how many bones the Ojja. Ilium con lift- What the Or lliurn ftriOly taken is. What the line, lip,brow and rib of the Os Ilium are. The Or Ifcbium, or huckle-bone The Os pubis, et (hare-bone, The defcripti- ©n of the thigh-bone. Lib.6. and other extreme parts of the Body. 179 from externall injuries; but on the hind and inner part5it is hollow or fimousjlike to the back of an Afle, whereby the mufcles might have a more commodious originall and infec- tion. Tfee figure of the Thigh-bone. A r,2.The head of the thigh going into the cup of the hip-bone. 5, 2. A finus in the head of the thigh,into which is in- fected a round ligament. Ci, 2. The conjunction, of the appendix of the thigh with the bone it felf. P 1,2,3. The neck of the thigh. E F The two lower heads of the thigh. G 1, 2. The conjunftion of the lower appendix. H i, 12. A finus betwixt the two heads of the thigh. K 2. A part of the lower head of the thigh, from whence the firft mufcle of the foot doth proceed. L 2. Another part from whence the feebnd and firft mufcles arife. M 2. Another part to which the Tendon of the fife mufcleof the thigh is in- fixed. A' 1, 2 A finus of the out- ward fide of the head for the fourth mufcle of the leg. 0 2. A finus of the infide through which the tendons doe pafle. P2. A protuberation at which the laid tendons are reflefted. , Q2. The upper jprocefle of the thigh,and betwixt gand P is the finus. R i, 2. The union of the procefle with the thigh. 5 5 2. A rough line from the impreflion of the externall procefles. T 1. The an- terior impreflion of the internall procefles, betwixt T and Fan other impreflion higher than the former. F. 1,2. The fourth impreflion in the top of the procefle. X 3. Four X-> fhew the four appendices of the thigh. T 3. Three T, (hew the three heads of the thigh. ZZ3 .Two procefles of the thigh, a 1. The interior procefle of the thigh, b 1. The cenjunftion of the procefle with the thigh,c c 2. A line defeending obliquely from the in- ner procefle J d 2. A line running through the length of the thigh.e 2.The largenefle of the thigh in this part, f 1 .A roughnefle from which the eighth mufcle iflueth. g,b 5.A knub of the Whirle-bone going into the finus marked with 7,which is betwixt the heads of the thigh, i 5. A finus fitted for the inner head of the thigh. 5. A finus agreeing with the externall head of the thigh. /. 5. the loxver afperity or roughnefle. m 4. The forefide ofthepattell or whirle-bone rough and unequal I. FIG. I That fimous part a little below the midft thereof, is divided irito tWo lines, the* one whereof goes to the internail tuberofity,the other to the externall of the lower appendix of the fame thigh. Thefe are chiefly to be obferved, becaufe the oblique fibers of the vaft mufcles thence take their originall. Befides, this bone hath two appendices in the ends thereof,as eafily in a childs thigh; the upper appendix makes the round head of the thigh it (elf, which(as every other appendix ) feated upon a long neck, is received in the cavity of the hanch-bolie by E- nartbrofisyt is flayed and faftned there by two forts of ligaments,of which the one is com- mon, proceeding from the mufcles,which defeend from above,about the neck thereof; the other is proper, which is twofold, that is, one membranous and broad, proceeding from the The two ap- pendices of the thigh- bone. 180 Of the Mufcles and Bones L1 b.6- the whole cavity of the orb, or cup/lefcending about all the head of the thigh, above the neck thereof;the other thick and round, defcending from the lecond cavity of theCotj/e it fell,which is extended, even to the common hole at the top of the head thereof. Befi des,under this head, that bone hath two procelles, the one great and thick, the o- ther little and Ihort. The greater leated in the hind part,is called the great Trochanter-, the leflcr lituate in the inner part, is named the little Trochanter. But you muft note, that the greater Trochanter, on the higher and hind part thereof, which looks towards the head of this bone, makes a certain Imall finus or bofome, into Which the twin mufcles and others,whereof we fhal hereafter fpeak,are implanted;we muft alfo conlider the multitude of holes encompafting this neck,between the head and the two Trochanters, which yeeld a pallage to the veliels, that is,the veins, arteries, and nerves, into the marrow of the pone it ftlf, whence the marrow it felf becomes partaker offenfe,efpeci- ally on that part Which is Covered with a coat,and the bone lives and is nourifhed. The other Appendix of the thigh, that is, the lower,is the greateft and thickeft, riling as it were with two heads,which are divided by two cavities, the one liiperficiary and on. theforelide, whereby it receives the whirl-bone of the knee; the other deep, and on the back part, by which itreceives the griftly and as it were bony ligaments, proceeding from the eminencie whgdi is feen between the two cavities of the upper appendix of the bone of the leg,which .Hipocrates, lib. de frafluris,calls in his tongue Diapyfts. The two pro. teffes of rhe th'gh-bone make the two Trecbanterr. Whence the marrow be. comes parra- ker of fcnfc. CHAP. XXXV. Of the Mufcles moving the thigh. Their number. de mufcles of the thigh are juftfourteen in number,that is,two bend it, where- upon they arc called the Flexores-pr benders; three extend it,whereupon they are called Tezz/wj,extenders; three move it inwards,driving the knee outwards, and drawing the heel inwards, as when we erode our legs; yet fome make thefe three one, and call it the Trzcepj, or threeheaded mufcle. Six fpread it abroad,and dilate it,as happens in the aft of venery. Four of thefe arc called Gemini or Twins,by reafon of the fimilitude of their thick nefle, Originall infertion and aftion;the two other are called Obturatores, becaufe they flop the hole which is common to the fhare and back-bones. Now one of the two Flexores, being round, defeends on the infide with fibers of an un- equall length from all the tranfverfeprocefles of the loins, above the hind commiflure of the hanch and fhare-bones,and is inferted into the little Trochanter-, the other broader and larger from the origiuall pafles forth of the whole lip,and inner brow of the hanch-bone, and filling the inner cavity thereof,is inferted above the forepart of the head of the thigh,into the littleTrochanter by a thick tendon, which it with the fellow mufcle lately deferibed, produces even from the flefhy part thereof, wherefore you need to take no great pains in drawing or plucking them away. The three Tenures or extenders,make the buttocks,of which the firft being the thicker,' larger,and externall,arifing from the rump,the holy-bone,and more than half of the exte- riotir and hinder lip of the hanch-bone, is inferted by oblique fibers, fome four fingers bredth from the great Trochanter at the right line,which we faid,refembled an Afles back. The fecond, which is the middle in bignefle and fite, defeends from the reft of the lip, and from the fore and outward rib of the hanch-bone,and above the midft of the bone, is inferted into the upper part of the great Trochanter, by a triangular infertion above the upper and exterior part thereof. The third being lefler, fhorter,and thinner,lying hid under thefe fbrmer,proceeds from the middle of the externall furface of the hanch-bone; and then is inferted into the grea- ter part of the right line of the great Trochanter. Thefe three mufcles have a great and large original!, but a narrow infertion, as it were by oblique fibers. Then follow thofe three mufcles which move the thighs inwards, ftraiten and crofle them,fo that the knee ftands forwards or outwards,but the heel is drawn inwards, as you may underftand by their infertion,although fome think otherwife.But thefe three mufcles by their originall,partly flefhy, and partly membranotis,arife from the upper and forepart of the circumference of the fhare-bone,and thence are inferted into the hind line of the huckle-bone, fome higher than otherfome; for the lefler and fhorter ftayes at the roots of the little Trochanter,the middle defeends a little deeper, the third with the longeft of his fibers,defeends eVen to the midft of the line. This if it be fo, that is, thefe mufcles proceeding from the fore and upper part, to be inferred into the hinder line of the huckle-bone,whilft they alone perform their aftion, and draw the thighs together, they will turn them outwards, juft fo as when we put them acrofle, The two flexo- fes. The three tenfores. Three Intromo- Rentes, L i b.6. and other extreme parts of the Tody 181 acrofle, but they Will not draw one heel to another,and put the heel outwards, for inch like motion is performed by the inner vaft mufcle of the thigh, moving the leg. Now fol- low the fix which move the buttocks. The firft, and higher of the Or the four twin mufcles, paflcs forth of the commifliire of the holy-bone,with the bone of the rump,or rather from the loweft extreatfi of the holy-bone,and thence it is inlerted into the cavity ofthc great Trochanter by a ten- don of a fufficient largenefle. The lecond proceeding from the hollow part or filliire, which is between the extremity of the huckle-bone,and the tuberofity or (welling out of the fame, is inlertcd in like man- ner into the cavity of the great Trochanter. The third afcends from the inner part of the fwelling our of the huckle-bone, a little above, between the two Trochanters, into the cavity of the greater of them. The fourth and laft, the loweft and broadeft of them all,proceeds from all the exteriour protuberancie of the huckle-bone,and thence is inferted into the'great Trochanter, and thefe four mufcles lie hid under the thick and more eminent part of the buttocks-,wherefore that you may the better fhew them, they muft be turned up towards their originall. The two Obturatores remain to be fpoken ofjthat is, the intemall and external!, both which arife from the circuit and circumference of the hole which they ftop, which as we laid is common to the (hare andhuckle bone,but the intemall afcends to the exterior root of the great Trochanter by the middle fifliire between the upper part of the protuberancy of the huckle bone, and the fpine which ftands up in the hinder bafis of the hanch bone. But the externall proceeds from the exteriour cavity,and the middle fpace between the tuberofity of the huckle bone and cavity thereof,and is inferted into the lower part into the cavity of the great Trochanter, together with the GJuadrageinini. If you would plainly fee the exteriour Obturator, you muft either cut off the beginning of the three-headed mufcle, or handfomely pluck it away, aud then extend it, and turn it up; the intemall is eafily difeerned when the bladder is taken away. The inoveri of ihc burtQck$t The two Ofyv rttortt. CHAP. XXXVI. Of the bones of the or Shank. Hoff which would defcribe the muffles of the legge, ought firfl to defcribe the bones thereof,beginning at the Rotida, or whirle bone of the knee. This bone is griftly on the outflde,and round in compafle, but on the inner and middle part after fome fort gibbous,but fomewhat flatted at the tides,that fo it may be fitlier applied to the joint of the knee,and fitted within the an- teriour cavity of the two appendices of the thigh,and the upper and forcmofl of the leg. The uft thereof is to ftrengthen the joint of the knee, and to hold the leg at his due ex- tent,fo that it may not be bended fo far forwards,ac it is backwards. The bones of the leg are two,the one thicker, called by the particular and proper name, the Ot 'libit or leg bonejthe other which is letter,is termed Perone, orF/to,but commonly the leflcr focz/e,(and in Englifh it may be termed the (hin-bone.) The thicker being hollow and marrowie, is feated in the inner part of the leg,having two precedes, the one bigger, the other lefle. . The bigger (rated on the upper part of the bone,and conjoined to it by Symphyfis3makes two fuperficiall and fide cavities disjoined by an indifferent rifingjwherefore this bone is connext to the bone of the thigh by Ginglymos. For in the cavities thereof it receives the lower and hinder protuberances of the Appendix of the thigh bone, but the middle eminencie thereof, is received by it between the two protuberances thereof* This joint is ftrengthncd,not only by the force of the tendons, or muffles ending there, but alfo of three ftrong ligaments, of which one proceeds from all the externall, another from all the internal parts of thar connexionjthe third which we,out of Hippocrates.,called Piaphy/ij,from the diftance or fpace between tham. The other precede of the leg bone, which we called the lefle, ftated in the lower part thereof, makes as it were a double cavity, Whereby it receives the A fir again or pattern bonejbut on the intide it makes the ankle, as the Perone makes it without: between theft ankles the A fir again is received on the tides,and turned as the nut in a Crofle-bow,as often as there is need to bend or extend the Foot. Beiides, this fame leg-bone, being triangular,hath three eminencies made in the (hape of an Afles back;the (harper defeends alongft the fore part, called by the Greeks Antionemiony the ftcond refides on the inner part,and the third on the outerjall theft mutt be diligently observed, and chiefly, that on the forepar tjbecaufe it is as a guide and rule to a Chirur- geon in the well (etting of a broken leg. The Perowe, or fhin bone, is ftated, as it were, on the outfide, and as behind the leg-bone; it hath alfo two appendices hollow on the in- tide, but gibbous on the out .This bone by the upper of theft is faflned and inftrted under the inner,and in fome fort the hinder appendix of the leg bone,fo that it is in no fort ar- ticulated with the thigh,but ftrves only in (lead ofa leaning flock.But by the lower, this fame bone is not only received in the loweft part of the leg,or ankle, or pattern Kone, but H aifo What the *?Jr. teBa,or whirlc hone of the knee is. The life thereof Whar,andhow many banes •he leg hath* The legobonej is* The Fercne jl- Wo, or filin' bone. 182 Of the Mufcles and Bones Lib. 6. alfo receives part thereof,which is.joined on the fame fide with the heel, efpecially then when we bend our foot outwards. This bone is faftned to the forementioned bones by Synarthrofrs,but bound by ftrong li- gaments proceeding from the fame bones,and mutually lent from one to another,or if you had rather, from the upper into the lower,as we faid in the arm.Butthis fame fibula or fhip bone is alfo triangular, having three lines, of which cneftands outwards, another on the forefide,and the third behind. CHAP; XXXVII. Of the Mufcles of the Legs, Their number. LL the motions of the leg, are performed by eleven mufcles, of which there be fix on the forefide,and five on the hind. But of thefe,fbme move the leg only , as thofe which take their originall from the bone ot the thighjothers truly move the leg, but with the thigh,as thofe which arife above the thigh, that is, from the hanch, hackle, and (hare bones. The firft of thele on the forefide called the Long,but commonly the Sutoriw (or Tailor mufcle, by reafon of its aftion ) it arifes from the lower and fore extremity of the fpine or appendix of the hanch bone, and defcending obliquely above the other mufcles,is inferred by a large and membranous tendon,in the fore and inner part of the leg under the knee ; the action thereof is to crofie the legs, but being firft bended by the mufcles prefently to be treated ofy it helps alfo the three headed mufcle in the performance of the formentioned aftion. \ , Thefecond of thefe four mufcles is termed the membranous., or membran ous,becaufe it is wholly fuch,unlefie at the originall where it defcends flefhy from the root and bafis of the above mentioned fpine of the hanch bone,and that obliquely with its membranous and broad tendon ( mixed with the common coat of the mufcles)into the outward part of the leg,which it moves outwards,as alfo the thigh with the four twin mufcles;for as we have in another place obferved, of two oblique motions concurring in one,is made a right mo- tionsand befides,almoft all the motions of the body,arethus performed;the mufcles which perform inch motions are placed and oppofed in an oblique fite, as may be perceived by the motions and fite of the mufcles of the hand taken in generail. The third, called the Keft«*,or right ( becaufe it defcends above the CfHrewsalongft the right fore line of the thigh, between the two vaft mufcles ) comes forth between the ex- tremity of the appendix of the hanch bone and cavity thereof, with a very ftrqng liga- ment,and then is inferted into the forepart of the leg, paffing over the midft of the whirle- bone of the knee; it extends the leg,with the three following, but by accident it may help the bending of the thigh. The fourth and fifth are called yaftij/aft or huge mufcles, by reafon of their largenefle, the one of thefe is internall, the other externall: they both arife with right fibers, from their originall, but with oblique at their infection, by reafon whereof they both feem to have a compound aftion from a right and oblique motion; the right helping for the extenfion ofthe leg,but the oblique to draw one knee to another, or to disjoin both the kneesjthe internall comes by its right fibers from the root of the little Trochanter,but by its oblique from the inner defeendent line of the thigh. The externall paffes forth by its right fibers from the root of the great but by the oblique from the externall delcendent line of the fame bone. But all thefe fibers are in certain places lb mixed with the Crurevs that they cannot be feparated unlefle you violate the one ofthem; they go in- to the leg ( each on his fide ) above the whirlbone of the knee alongft the fides of the right mufcle ,with which it makes an unfeparable tendon,as you (ball prefently hear. The fixt and laft of thefe fore mufcles called the Crureus-pr thigh mufcle (by reafon of the ftrait and firm adhefion,which it hath with the thigh bone,wThich is by fome called Crus ) from the fpace between the two Trochanters defcends under the right mufcle and two vaft mufcles into the forepart of the thigh, even to the whirlbone of the knee. But wemuft note that thefe four laft mufcles make a common thick and broad tendon, with which they cover the or whirl bone, and all tlje fore dearticulation of the knee, that they cannot be feparated without tearing; wherefore we muft think that this tendon ferves the knee for a ligament; now all thefe mufcles performing their action together, extend the leg. The five hind mufcles follow to be fpoken of; of which three arife from the tu- berofitie of the huckle bone, going into the inner part; the fourth from the middle of the Pubif} called Bicepj, that is, the two-headed mufcle into the outfide of the leg. Ofthe internall,one paffing from the forementioned tuberofity,defcends ligamentous even into the midft ofthe thigh, and then becoming flefhy,is inferted by its tendon , after the manner we formerly mentioned. The other being {lender, palling forth alfo from the fame place, with its tendon, is. in- ferted with the tendon of the long mufcle,and ends in the inner part of the leg , which with its companion, it draws inwardly,and brings to the other,which fame thing it per- forms in the thigh,by the help ofthe three-headed mufcle. The The LongUi The Membra* The Reblw. The two yafti, The Grwew, The three Internal!. Lib.6. and other extreme parts of the Body. 183 The third being the inner, or hinder, defcends from the middle part of the lhare-bone, with a broad and (lender ligament,and is inferted with a round tendon,into the inner part of the leg after the manner of the foremeritioned. The fourth called Biceps takes one of the two heads,of which it confifts, from the laft mentioned tuberolitie, the other from the outer line of the thigh, but is inferted into the externall part of the leg, as we formerly faid. The fifth and laft called thePopliteus defcends obliquely flefhy from the externall con- dyle or knot of the thigh, into the inner and hinder part of the leg,at the joining thereof to the (hin-bonej the aftion thereof is, to draw the leg, after a manner inwards. The Biceps or two-headed mufcle. The Fopliteut or ham mufe/e. CHAP. XXXVIH. Of the Bones of the Foot. He Order of Anatomy requires, that we now profecute the mufeles moving the foot;but becaule we ftiould in vain deliver their intertion, the difpofition and condition of the bones of the foot, not being firft known,wherefore it firft be- hoves us, to fet forth their dcfcription. Therefore the bones of the foot are fix and twenty in number,diftinguiflied into three ranksjthat is, the bones of the Tar jus or In- ftep,are feven; thofe of the Pedium, theafterwrift,or Back of the foot, five; and thofe of the toes,fourteen. O f the fcven bones of the inftep,there are 4 named,and 3 unnamed.The firft of the named immediately following the bones of the leg,is called Aftragaluf3the pattern or ankle-bone. This hath three connexions,one,as we laid before,in the upper and broader part,with the bones of the leg,of which it is received;the other in the lower and hind part, by which it receives the upper and inner procefle of the bone of the heel; the third on the forefide by which it is received in the cavity of the Os Naviadare or Scathoides, that is, the boat- like bone.By the firft connexion the toot is extended and bendedjoy the fecond it is moved with the heel to the fides: the two firft connexions are by Diarthrojis, the laft by Synarthrofts.But it is ftrengthned by ftrong and broad ligaments,defending and amending from one bone into another;alfothey are ftrengthned by membranes, mufoles and tendons, defeending to the foot,above and under thefo joints.But this bone hath three proceflcs, aS three feet fattened to the bone of the heel; of which the firft and leaft is under the outer an- kle; the bigger ( which Galen faith, makes a round head,faftned on a long neck ) looks to- wards the forepart of the fooK, over againft the great toe, and the next toe to it; the mid- dlemoft is at the heel, behind the leg-bone. I pafle over in filence many other thingsjas the fmoothnefs and afperity or roughnefi of the bone,which I had rather you ihould learn by ocular infpeftion, than by book. The fecond bone lying under this is called the Calcaneum, or heel-bone,being the biggeft of all the bones of the foot, upon which all the body relies when we go. It hath two upper pro- cefles, the one great,the other little. The great is received ih the hind and outer procefle of the A fir again*-., the lefler is received on the infide in the third procefle of the lame bone, which we faid had a round head faftned to a long neck.Befides,it is round on the hind part, and much disjoined from the leg-bone,but on the fore and longer part,it is knit by Synar- throjts to the Die-bone, whole lower and inner part, it feemsto receive; the foperficies thereof is wholly unequall, and riling up with many fwellings.On the inner fide it makes as it were a channell,lo to give way,as well to the veflels as tendons going to the foie of the foot and toes. Laftly, we muft confider the holes by which the veflels pafle into that bone to give it nourifhment;by reafon of which veflels thefra&ureof this heelbone,is very dangcrouSjbecaufe of the prefling and contufion of the veflels; as Hippocrates thews. For the ligaments of this heel,or heel-bone,they are foch, as thele of the Aftragalu*3 to wit,tendons, membranes and ligaments properly fo called, cosniig from one bone to another.The third bone of the foot is named Scaphoides or boat-like, from the refemblatice it hath to a boat, for on that part which fooks towards the paftern bone, it is hollow ; but on that part which is next the three Innominata3or namelefs bones ( which itluftains,and of which it is received, as it in the cavity thereof receives the head of the Aftragalus) it is gibbous like the bottome of a boat. The connexions thereof are by Synarthrojis3a.nd they are ftrength- ned by the forementioned ligaments;this fame bone is arched on the upper part,but fome- what hollowed or flatted below;the inner part ends in a point,like the prow of a lhip,but the outer obtufe like theftern ofafhip. The fourth boneofthefe which have names, is called the Cuboid? j, from the refemblance of a Die; although that fimilitude be very ob- feure. On the forepart it foftains the toes, which by a certain proportion to the fingers of the hand/nay be called the ring and little toes;but it is fuftained on the hind part, with the back part of the heel;on the inner fide it is joined with the boat-like bone, and that namelefs bone which fuftains the middle toe; on the outfide, it produces a riling like the back of an Afle,which on the lower part is extended tranlverfely all the khgth thereofiat the two fides of this eminency or rinng,therearc two final cavities, in form of a channel, ft 2 The Their number. The bones of the Inftep. The Aftragalui its three con- nexions and their ufe. Its three pre. ccfles. The defcripti* on of the Caleaiwn tit, Calx, Why a fraflufe of the heel is fo dangerous. Hippocrates Sett. 3, Hb, de . fra&ur'x. The 0/Sca- phoids, or boat-like- bode. ' The Of Cuba- idee or Die. bone* 184 Of the Mufcles and Bones L ib.6. r ■-- Fhe Figure of the bones of the Foot properly ]o called. Figure i, and 2. (hew the bones of the right foot faftned together their upper face and their neather face. Fig-3} 4, 6./hew the upper., lower., inner and outer fides of the 'lalus or paftern. Fig. 7, 8, 9.fbeweth the fame fides of the Hoel. Fig. io, and H.fbewcth the forward and backyard fide of the boat-bone. Fig. 12, 13. fbewthe fore and back part of the wrift made of four bones. b 3,5,6-The protu- beration of the Falu* joined to the appendix of the leg-bone, and of this protuberation four fides. EE 3. A finus infculped in the protuberation of the Falus. FF 3, two bunching parts of the Falus. G 3, the inner fide of the protuberation of the Fa- lus crufted over with a griftle, joined to the inner ankle. H 6, the outward finus of the potuberation of the Falus covered over with a griftle, and receiving the inner ankle. I 5. A rough finus of the Falus, receiving a griftly ligament from the inner ankle. K 6,a finus of the Fains re- ceiving a griftly liga- ment from the outward ankle. L M 5,6, two finus in the hinder part of the Falus. N 3, 4, 5, 6. the neck of the lalus or paftern bone- O 3,4,5,6.the head of the lalus going under the /zwofthe boat-bone. P 7, 8, 9. the head of the heel crufted over with a griftle, and going under the finus oi the Falus or the paftern bone. Q_4- a large finus of the Falus receiving the head of the heel. Pt 7, 8,9. a finus of the heel ■wherto the lower part of the head of the Falus is j0ined.S4.the lower power of the head of the Falus going into the finus of the heel.TT 4-a (harp finus of the heel receiving a griftly li- gament from the paftern bone.X Y Z 2.the place of the heel.YZs.Y 8.Z 9.aprocefleof the heel made for the production of mufcles. a b 8,9.frorn a to b the diftance of the upper part ofthc heel.c 8,9. the hinder part of the heel, d 2, 3. the inner fide of the heel, e 8. the place where the tendons that run to the bottom of the foot are reflected. f 7, 8. the utter fide of the heel, g t, 7, 9-here the tendons of the 7 and 8 mufcles of the foot are ftretched out-h 7. the forepart of the heel which is joined to the paftern boned 7-that part of the heel which is joined to the Cube bone. 11.the finus of the boat bone receiving th e head of the Falus. I m n 10. three fiirfaces of the boat bone lightly prominent,which are articu- lated to the bones of the wrift. op 11 .the upper part of the boiat bone regarding the top of the foot. r 1 o.and q 11 .his lower part.</ io,i 1. A finus through which the fixt mufcle of the foot is led. /1« 13. the plain furfaces of the three inner bones of the wrift whereby they are articulated to the boat bone.* 13.a (hallow finus of the Cubebone whereby it is articu- la ted to the heel.a& 12.the place of the Cube bone to which that bone of the Afterwtift is joined which fupporteth the laft toe fave one.?' 12, 13. the place of the Cube bone where the third bone of the wrift is at ticulated.th 12,13. that part of the Cube bone which re- fpefteth theoutfideof the foot.* 12, 15. the furrace of the Cube bone in the upper part of the foot. £ 2, 13. that part of the Cube bone which regardeth the earth." 2,a finus of the Cube TIG I Lib.6. and other extreme part s of the Body. 185 Cubebone at which the tendon of the feventh muftle of the foot is reflected. B 13. aprocefle of the third bone of the wrift whereinto the lift muftle of the foot is inferred. <12. the place of the inner bone of the wrift to which that bone of the Afterwrift which fuftaineth the great toe is coupled, ic 12. the place of the fccond bone of the wrift whereto the bone oftfie Afterwrift that fupporteth the fore Toe is articulated. a 12. the place of the third bone of the wrift whereto that bone of the Afterwrift which fupporteth rhe middle Toe is larticulated./x 1, 2. a fmall bone whereby that bone of the Afterwrift which fuftaineth the little toe is joined unto the Cubebone.yy 1,2 the diftances betwixt the bones of the Afterwrift. 1, 2. the heads of the bones of the Afterwrift, which enter into the bofomes of the toes.'T 2, a proceile of the bone of the afterwrift wherein the tendon of the feventh muftle of the foot is implanted, f 2,a proceile of the bone of the Afterwrift,which fuftaineth the little toc,which proceile receiveth the tendon of the eight muftle of the foot* ?, 1,2 .the three bones of the forctoe. 4,2, two fted bones placed under that bone of the afterwrift which fuftaineth the great toe. * 2 under A. a Iced bone fet to the ftcond joint of .the great Toe.r,i, 2. the Trf/w or pattern, a, i, 2. the Heel.©, i, 2, the Boat-bone. A,~, i, 2. the bones of the toes. X, i, 2. two bones of the great toe, I,11, IIL, IV3V, 1. the five bones of the afterwrift. The firft and the greater of the Ofla innominate or nameles bones, fuftains the great toe; the letter and fecond,the next toe thereto; the third and middle in bignette,the middle toe. Thefe three bones are arched on their upper part,but fomewhat hollowed below.They are knit to the three forementioned bones of which they are received , but on the hind part with the boat-like bone which they receive.Now we muft come to the bones of the ftcond rank, that is, of the Pedium-, or back of the footjtheft are five in number, bea- ring up the five bones of the toes. They are iomewhat gibbous on the upper part,but hol- low below;each of them hath two procefles at the end thereof, by the lower and firft of which they receive the three namelefs and Die-bone,but by the upper made into a round head,they are received of the firft bones of the toes. Their connexions, whether with the toes, or bones of the inftep,are by Synarthrofts. The ligaments as well proper as common are fuch,as we faid of the former.The bones of the third order now remain to be fpoken of which we faid, make the toes, and they arc fourteen,two of the great toe, but three of each of the other toes.The firft is fomewhat longiih, but the reft are very (hort, except that of the great toe, all of them on the upper fide are round and convex, but on the lower fome- tvhat hollow, and plain long-wife, that the tendons which bend them , may patte more ftraitly and fafely without inclining to either fide,even to their furtheft joints; although fuch paflages are much helped by the membranous & common ligament,which riling from the fides of theft bones, involves theft tendons,as we mentioned in the fingers.To con- clude,each of theft bones,the laft excepred,have a double connexion by Dftrtbro/n3they are all unequall in their bignelft, that is, thick at their beginning ( where they receive the heads of the precedent bones,upon which they move as & dore upon the hinges)and fo they grow Imaller towards the ends,but by their ends,they are received of the following bones: at their ends they rift into two eminencies on their fides,diftinguilhed by a cavity between them, through which occafion they are far thicker at their ends,than in their middle. The Ligaments by which their connexions are faftned,are fuch aS the former.The Offa fejamoidea or feed bones of the feet are like in number and lite to theft of the hands. But this is to be noted, that thoft fted-bones which are in the firft articulation are fomewhat bigger than the reft,and they are round and longiih on the outfide, but fmooth and hollow on the in- fide,ftated between two cavities, encompafled by three tilings, of which two are on the fides,and the third in the midft of the extremity of the firft bone of the Pcdium, which chiefly bears up the great toe. To conclude,before we come to fpeak of the muftles , we muft obftrve that the foot was made for two commodities. The firft is to ftay and bear the tv hole body,when we ftand, for which caufe nature ftt not the great toe contrary to the other, as it placed the thumb on the hand. The other is for apprehenfion, or taking hold of,wherefore nature framed and made the foot, and theft moveable and jointed in the toes, as in the fingers of the hand.Befides alfo for that we muft goe upon our feet, Nature hath made them in fome places hollow on the lower fide,and in otherfom plain in a triangular figure,that fo our feet may carry us over every foil3plain,mountainous,equaland through all parts of the world. The Ofa ifinf - minata er namelefs bones. Tire bortes of the foot or 'Pedinn. The bones of rhe roes* The feed bones of rhfc foot. The twofold life of the feet* CHAP. XXXIX. Of the Mufcles moving the foot. He mufcles of the Leg moving the foot are abfohitely nine, three in the forepart and iix in the hind. Two of the three fore mufcles bend the foot, when they jointly perform their aftion,but when leverally,each draws it to his fide 5 the third chiefly extends the Toes , for other whiles it feems by its flendererand longer tendon(which exceeds not that bone of the Pedium which fuftains the little toe) to help alfo to bend the foot. R. 5 The Their 186 Of the Mufcles and Bones L i b.6- Mufculns Fero nxw. The firft is called Peron£us,becaufe it defcends alongft the bone Perone-, the other the Tibi- antic us,tor that it defcends along the Os Tibia:, or bone of the leg. The third from its a&ion is called the Pigztmen/or,orToe-ftretcher. For their originall the Peromeus which feeins to have two heads,defcends from the upper appendix of the Perone or fiiin-bone by its firft head, but by the other from the middle of the fame bone from the fore fide into the hind,as the fupcrficies (hews which pafies between the fore and outward line of thefaid bones but after it arrives at the lower and hinder appendix of the fame bone, behind the outer ankle it produces two tendons, which by the guidance of the Ligaments as well proper, as common, goe, the thicker under the foie of the foot , ending in the Die-boqe and that bone of the Pedium which fuftains the great toe; the lefler goes on the outfide to the Die-bone, and the laft and leaft bone of the Pedium which bears up the little toe, fometimes a (lender portion thereof is produced even to the fide of the little Toe,extending it and drawing it from the reft. The Tibiaeus anticiu or fore leg mufcle proceeding from the upper and outer appendix of the Leg-bone defcends above the fiirface of the fame bone,which is between the fore and outer line to which it adheres, as alfo to that furface even to the midft, from which place it produces one tendon, which dcfcending on the fore and loweft part,ends on the outfide into two of the namelels bones,that is, into the firft which is the thicker, and into the middlemoft, but befides by a Tender portion thereof it is extended into the firft and greater bone of the pedium, fo to extend the great toe,drawing it inwards to the other foot. And this mufcle with the prece- dent bends the foot,if they both perform their parts at once;but if fcveral!y,each draws thci foot towards his fide. The third which is the Digitumtenjor, or Toe-ftretcher, is twofold; the one takes its original! from the top of the leg, and running alongft the fhin-bone,and palling under the ringjcarries it ielf into the footjin which it ends by five tendons going to all the joints of the Toes, and by a fixth at that bone of the Pedium which fuftains the little toe,w hereby ( as we formerly laid) it helps the bending of the foot. The other de- fcends into the midft of the (hiii-bone,and fomewhat faftncd thereto, by one tendon paf- (ing under the ring it goes to the great Toe. But you muft note that all thefe Tendons have nervous, ligamentous and flefhy fibers fo fcparated from each other,that they can e- qually alone perform their funftion, as if they were more diftinft mufcles. And we muft think the fame of the reft which have diftinft tendons prefcntly from their flefhy part. The fix hind mufcles folloWjof which the two firft are called the Gemelli or twins by reafon of the fimilitude of their thicknefle,originall, infection and aftion. The third is called the Plantarir,becaufe it is fpent upon the foie of the foot, as the Palmaris upon the palm of the hand.The fourth is termed the Soleus or foie mufcle by reafon of the refcm- blance it hath to the fifh of that name. T he fift the Tibi&ut poflicus or hind leg mufcle which defcends alongft the back part of the leg-bone. The fixth and laft the Digitumflexor or Toe-bender, equivalent to the deep mufcle of the hand;(bme make but one mufcle of this and the Tibiaeus pofticus,which produces three tendons ; others had rather make three, as thus, that onef (hould be the Pibijeus,the other the bender of four Toes,the third the bender of the great Toe. Now for the two Gemelli ortwins, the one is internal!,the other externalljthe internal! pafies forth from the root of the inner Condyle of the thigh; but the external! from the externa 1 Condyle;and from this their original prefcntly becoming flefhyiefpecially on the outfide, they meet together a little after in their flefhy parts,and with the ]o!ew they make the thick and great tendon at the midft of the leg, which from thence is infected into the back part ofthe heel;in this very tendon breed painfull kibes. The aftion thereof is,to help our going by putting forth the foot,whilft it draws the heel towards its original!. The Plant ar is the leaft and fiendereft of them all, pafies forth flefhy from the outward head ofthe leg-bone,and from thence the fpace of iomefour fingers bredth it ends in a ftrong and (lender tendon,which it fends between the twin and foie mufcles to the foie of the foot,there to produce a membrane which covers the foie of the foot,and a mufcle equi- valent to the upper bender of the Hand. The Sole us,or foie mufcle, the thickeft of them all, and feated under the twin mufcles, defcends from the commiflure of the leg and (hin-bones,and about the midft ofthe leg, af- ter it hath mixed his tendon with that of the twin mufcles,it runs into the forefaid place that it may extend the foot for the forefaid ufe. The Hbpeuspofticus defcends from the hinder appendix of the leg and (bin-bones, and adhering to them almoft as far as they goe,by a ftrong tendon, being as it were bony at the end thereof,it is infcrted into the Boat-like bone,and the two firft namelefs bones,fo to help the oblique extenfion ofthe foot. The laft being the Digitumflexor or Toe-bender is twofold, for one arifes from the leg- bone,in that place where the Poplitxus ends,and infcrted into that fame bone it goes evan to the backfide of the inner ankle & from thence into the joints of four of the toes.The other draws his original from almoft the middle of the (hin-bone,and fomewhat infcrted into it, it goes by the heel and paftern bone to the great toe, mixed with the precedent; their acti- on is to bend the firft joint of the foes, ratlier by the force of the common ligament,than by the fmall portion of the tendon which ends there. Bnt it is their action to bend the laft dear ticuiation of the Loes by their proper infcrtion, CHAP. Tibiaw anticw. The Toe- ftretcher is twofold. The 6 hind mufcles. The two Ge- tnelli or twin mufcles. In what place the kibes breed T he Plant ar is. The Soleus. The Tibi am pofticw. The Digitum- flexor twofold. L1b.6. an d other extreme parts of the Body. 187 CHAP. XL. Of the mufcles moving the Toes of the feet. Dw follow the mufcles moving the Toes; thefe are eight in number, one on the upper,and feven on the lower fide. The firft proceeds from the Paftern, heel and Die bones below the external ankle,or the ligament of thefe bones with the leg- bone,and obliquely ftretched to the top of the foot is parted into five fmall ten- dons to the fides of the five toes,fo to draw them outwards towards its originall , where- upon it is called the Abduftor of the Toes,and ilfo Pediofa becaufe it is ftretched over the Pedium or back of the foot. The firft of the /even of the lower fide called the flexor fuperior or upper bender , arifes from the heel and ftretched alongft the foot under the ftrong membrane, ( which from the heel is ftraitly faftned to the extremity of the bones of the Pedium to ftrengthen the parts contained under it)is»inferted by four tendons,at the fecond joints of the four toes which it bends.Here you muft note,that neer the infection thereof,this mufcle divides it felf, like that mufcle of the hand which is called fo it may give way to the deep,which (as we (aid J defcends alongft the fingers, to which a certain common membranous liga- ment adjoins it felfe,which involves and faftens it to the bone all alongft the lower part of the fingers, even to the laft dearticulation. The fecond equivalent to that mufcle of the hand which is called Thenar3 feated on the inner fide of the foot,arifes from the inner and hollow part of the heel and paftern bones, and ends in the fide,and inner part of the great toe,which it draws from the reft, inwards. This may be divided into two or three mufcles,as the Thenar of the hand,to draw the great toe to the reft,as much as need requires, juft as we faid of the Hand. The third anfwerable to that of the hand which is named the Hypothenar pafles from the outer part of the heel, and afcending by the fides of the foot it is in like manner inferred into the fide of the little Toe,fo to draw it from the reft;to which fame aftion a certain flefh contained under the foie of the feet may ferve, which is ftretched even to thefe Toes, that alfo it may ferve to hollow the foot. The four Lumbrici or wormy mufcles follow next , which from the membrane of the deep Toe-bender are infected into theinnec and fide part of the four toes, lb to draw them inwards, by a motion contrary to that which is performed by the Pedio- fas. The Interofles or bone-bound mufcles of the Peditmt or back of the foot, remain to be Ipoken of: Thefe are eight in number, four above,and as many below,different in their o- riginall, infertion and adion;for the upper, becaufe they draw the foot outwards with the from the fore and inner part of that bone of the Pediumjwhich bears up the little Toefand fo alfo the reft each in its order)and are inferred into the outward and fore part of the following bone. The lower on the contrary pafle from the fore and outer part of that bone of the Pedium, which bears up the Great Toe ( and fo each of die reft in its or- der,) but are inferred into the inner and upper part of the following bone , fo with the wormy mufcles to draw it inwards, or to hollow the foot as the outwards, or to flat the foot,as we faid of the Interofles of the hand. Their number. The Abdu&or of the roes,or Pediofw. The Flexor fir, perior. The mufcle equivalent t<3 the Thenar. The I rich The defer! pt i« on of the up- per and lowfiff CHAP. XLI. An Epitome or brief rec it all of the bones in a mans body. He whole head which hath the leaft confifts of 6 o bones; but that which hatli moft of 6 5. that is, j 4 of t he Cranium or skull, 14 or 17 of the face, aud 3 2 teeth;Of the bones of the fail there be 8 containing,and 6contained;the con- taining are, the Os fronts, or Forehead bone, the Nowle-bone, the two bones of the Sincipucthe two ftony bones,the Wedgbone,and the Sivc-like or fpon- gy bone. But the contained are fix (hut up in the cavity of the Ears, the Anvil, Hammer and Sitrrop. For the nones of the face, there are fix within or about the orb of the Eye, that is, on each fide three,two bones of the Noft,two lefler Jaw bones,and two bigger,which are al- ■waies in beafts fecn diftinguifhed by a manifeft differcnce,but it is fo rare in men,that I have not found it as yet; therefore theft only are diftinguifhed by manifeft difference,tXvo which contain all the upper teeth,the two inner of the palate, the two of the lower Jaw in chil- dren; Andlaftof all the Os whence the middlegriftle or partition of the Noft arift. ' \ The two and thirty teeth are equally diftributed in the upper and lower Jaws; and of theft there be eight (hearers, four fang s, or Dog teeth, and twenty Grinders. And The b ones of the Scull 14. The bones of the face if. The teeth 32? 188 Of the Mufcles and Bones Lib. 6. The bone ffyoides. And there is another bone at the root of the tongue called Os Hyoides, alwaies compo- fed of three bones,fometimes of four. Now follow the bones of the Spine, or Back-bone, which are juft four and thirty, that is, feven of the neck, twelve ofthe cheft,five ofthe loins,fix of the holy-bone; and four of the rump.Befides there are two bones of the throat, or Col lar bones. The ribs are twenty four, that is, fourteen true and ten baftard ribs.The bones of the Sternon or Breaft-bone moft frequently three,otherwhiles feven, as fometimes in young bodies. Hence coming to the Arms there are reckoned 6 2,beginning with the Ihoulder-blade; as there are two Ihoulder-b lades, two Arm bones;four bones of the cubit; that is, two Ell bones and two Wands;fixteen of the Wrift,eight ofthe Afterwrift,and thirty of the fingers; Into this number alfo come the Sefamoidea or feed bones,of which fome are internall, and thefe alwaies twelve at the leaft, although fometimes there may be more found,a great part of which rather merit the name of griftles, than bones;there are others externall if we be- leeve Sylvius, 'the firft fbeweth the forepart ofthe Sceleton of a man3 &c. The bones of the fpine 344 i Collar- bone ?♦ The ribs 24, The bones of The bones of the whole arm 62. The Declaration of thefe three figures put into one., \ A 3. The Coronall Suture called in Greek , B 2 3.The future like the let- ter x,called C 2. The fagittall future called D 2 3. The fcale-like Con- junction called * 2 3. Syncipitis.) the bone of the Sync iput gal- led Os 1 3. The forehead bone, that ? 2 3.The bone of the nowl Or ivix. js 2 3. The bones ofthe tem- ples or , 3. An appendix in the tem- ple bone like a Bodkin, C 1 2 3. A procefle in the temple bone like the teat of a dug, called therefore Mami Haris and E 2 3. The wedge bone, *3. The ftony part of the fcul. 43. A procefle of the wedg bone much like the wing of a Bat,and therefore called The bones of the whole leg Now remain the bones of the leg, which (if we reckon the Offa Ilium on each fide three, as in young bodies, it is fit they Ihould ) they are fixty fix, befides the fecd-bones,that is to fay,two Haunch bones,two ftiare bones, two Buckle bones, two thigh bones, two Whirlbones of the knees,four of the leg, that is, two leg bones, and two Ihin bones. Fourteen of the Inftep, as two heel, two paftern, two boat-like, two Die, and fix name- lefle bones. Ten of the Pedium or back ofthe foot, that is, five in each twen- ty eight of the Toes : and as many feed bones in the feet, as the hands enjoy. But I have thought good to add thefc figures for the better underftanding of what hath been ipoken hereof. _ The L1 b.6. and other extreme parts of the Idody. 189 7/je 2 and 3 Figure [beweth the backjtde of the Sceleton, and the lateral! part oftbe Seeleton, F i5253. the yoak bone CoW.G i, 3. the lower jaw. I, K,L, M, N. the back or the I to K, the K to L,the Rack bones of the Cheft. From L to M, the rack bones of the Loins. From M to N, the holy bone rump 1, 3. th? breft 1, 3. thefword-like griftle of the breft , Chai. 1 ,3*<ts far as to 12. in all three fables,(hew the twelve ribs ofthe Cheft,^8 Q 1. the clavicles or collar 1, 2,3. the (houlder-blade, j 2j 3. The upper procefle of the (boulder blade,or the top ofthe fhoulder, called the lower procefle of the fhoulder blade, called . S 1, 2. the bone ofthe arm called V 1,2,3. the cubit 1,2, 3. the wand or the upper bone of the Cubit, calledY 1,2,3. the ell or lower bone ofthe Cub it,called ' 3 .the procefle of the cubit, ? 13. the procefle like a bodkin or probe, called ZZ. 1,2 3. the wrift i, 3. the Afterwriftz"Wf'»».aAA.i. the fingers 0 1,2,3.the bones joined to the fides ofthe holy bone, on each fide diftinguithed as it Were into three parts. «i, 2, 3.the firft part called the Hanch bone Os Ilium., 1, 2, 3. the fecond part the bone of the Coxendix iCxfa. P 1,2, 3. the third part the (hare bone, Os pubis1,2,3. a griftle going between the conjunftion of the (hare bones,, a i, 2, 3 -the thi^h,^^^3! J2 3. the greater outward procefle of the thigh called Rot at or v&e.u i5 2, 3.his lefler and inner procefle. a 1,2, 3. the whirlbone of the knee, Pate fa n S 1, 2 . the i, 2, 3. the inner and greater bone ofthe leg, I;> 2s 3. the'utter andfmaller bone of the leg, called the Brace bone, Fibula.,™#™. <p 2? 3.the procefle ofthe'* leg or the inner ankle called Malleolus inter nus. X, i, 2. the procefle of the brace of the out- ward ankle,both of them are called in Greek i, 2,3. the bone called the cockall, Tct'.Mj 190 Of the Mufclet and Boner Lib. 6. 'I'alM, balifia, Os the Heel Cc/x, 3. the bone called Os Navi ch lore, 1, 2, 3.the wrift of the foot called Tarfe, con lifting of four bones,***®'»• 4> e> f- 1,2,3. three inner bones of the Wrift of the foot,called by feme i3 2> 3- the utter bone of the wrift of the foot like a Die, hh 1,2,3. the Afterwrift of the foot called Pedium, by feme/"'**">««.», 1, 2,3.the toes of the foot. J; 1, 2,3. the feed bones ofthe foot, called offlcula fefamina Ihif figure jbeweth the Sceleton of the bones and grilles of a woman, that it may appear all her bones are in proportion lefferthan the bones of a man. But in this figure only thofe parts are marked with letters wherein a woman differeth from a man in her bones and grifiles. J\9 The fagittall future defending into the note, and dividing the fore-head bone, which is feme- times found in women,very rare- ly in men, but alwaies in infants. BB, The Cheft fomcwhat deprefled before, becauie of the Paps. CC, the collar tbones not fo much crooked as in men, nor intorted fo much upward. D, the breft bone perforated feme- times with a hole much like the form of a heart, through which veins do run outward, from the mammary veins unto the paps. E, the grilles of the ribs, which in women are fomewhat bony , be- caufe of the weight of the Dugs. F, a part of the back reflefted >. or bent backward above the loins. GG,the compafs of the hanch bones • running more outward, for the womb to reft upon, when a wo-& man is with child. HH, the lower procefles of the ihare bones,bearing outward,that the cavity marked with K, might be the larger. I, the anterior commiflure or con- jun&ion of the fhare-bones filled up with a thick griftle, that in the birth they might better yeeld fomewhat for natures nrceflity. K, a great and large cavity circum- feribed by the bones of the coxen- dixandthe Holy-bone. L, The rump or coccyx, curved backward to give way in die time of the birth. M, the thigh bones by reafon of the largenefle of the forefaid cavity ,havc a greater diftance betwixt them above,whence alfo it Is that womens thighs are thicker than mens. CHAP. XLII. An Epitome of the names and kfnds of compofure ofthe bones. Ecaufe it is as neceflary for a Chirurgcon to know the manner of Getting and re- pairing broken bones, as to put them in their places when they are diflocated, ol out of joy nt; but feeing neither of them can be underftood when the naturall connexion ofthe bones is not knowne, I have thought it a workc worth my la- bour, briefly to fet down, by what and how many means the bones are mutually knit and faflned together. The univerfall compofure and ftrufture of all the bones in a mans body is called by the Greeks £celetopButall thefe bones are compofed after two forts, that is,by 4r$rw*,an Articulat on or joint,and by tympfy/fs a naturall uniting or joining together. The What the See- kiu is. Lib.6. and other extreme parts' of the Body. 191 There are many other kinds both of thefe forts. For there are two kinds of Articulation, that is, Diarthrojls, or Dearticulation, and Syftarthrofts, or Coarticulation 5 which differ as thus. Dearticulation is a compofition of the bones vffth a manifeft and vilible motion; Coarticulation hath a motion of the bones, yet not fo maniftft, but more obfeure. But thefe two do again admit a fubdivifion into other kinds. FdrDiarthrofs contains under it Enarthrofts, Arthrodia, and Ginpdymos. Now Enrathrofis or Inarticulation is a kind of De- articulation, in which a deep Cavity receives a thick and long head, inch a compofition hath the Thigh-bone with the Huckle-bone. • , Arthrodia is when a lightly engraven cavity admits a fmdll and Ihort headjfiich a con- nexion is that of the arm-bone with the fhoulder-blade-of the firft vertebra with the fecond. The Greeks have diftinguifhed by proper names thefe two kinds of Cavities and heads 5 For they call the thick and long head Cephate, that is,a Head absolutely 5 but the lefter they term Corone, or Coronon which the Latines call Capitulum,a Little-head. But they call a deep Cavity Cot) le, and a fuperficiary one Glene. The third fort called Ginglymos, is when the bones mutually receive and are received one of another; as when there is a cavity in one bone, which receives the head of the oppofite bone, and alfo the fame bone hath ahead wThich may be received in the Cavity of the oppofite bone;fuch a compofiire is in the Cubit knee, that is in the connexion of the Thigh-bone. And thus much of Dearticulation and the three kinds thereof, tynarthrofis or Coarticu- lation , another kind of jun^ure, hath alfo three kinds thereof (Gal. lib. de Oijibns) to wit, Sutura, Gomphofts and Har.mor.ia. Suture is a compofition of the bones after the manner of fowing things together, exam- ple whereof appears in the bones of the SkulLCpiMpho/rr is when one bone is fattened in ano- ther as a pin is fattened in a hole, after which manner the teeth are fattened in their fockets in both the Jaws. H armony is when the bones are compofed by the interpolition of a fimple line, after which manner many bones of the hole and face are joined together. Hitherto we have fpoken of the firft conftruftion of the bones by articulation and the kinds thereof; now it follows we treat of Symphyfis, or giowing together,as we formerly laid,is nothing elfe, than naturall union of the bones; liich union is made two manner of wayes,that is,either by interpolition of no other thing;after which fort in fuccefs of time the bones of the lower Jaw grow together, which formerly in children were manifeftly diftinguifhed; .or by the mediation of fome Medium ; but that happens three manner of wayes, by interpolition of three feverall Media, as firft of a Griftleywhich kind of union the Greeks cal Synch^ndrofishier which manner the Share-bones grow together and alfo fome Appendices in youngbodies; fecondly, of a Liga- ment, and it is named by the Grecians Syneurofis, the Name of a Nerve being taken in the largeft lente,for fometimes it is ufed for a tendon, otherwhiles for a Ligament, otherwhiles fora Nerve properly fo called and which is the author of fente and motion. But this Sym- phyjis or union hath place by Syneurojrt, or interpolition of a Nerve,in certain bones o f the Sternon and Haunch. Thirdly, the bones grow into one by interpolition of flelh, called in Greek Synfarcojis; thus the flelh of the Gums fatten the teeth and makes them pnipovcable. But if fome be lefs pleated with this'di villon, by realbn of the obfeurities, in which it feems to be involved, this following expreflion comes into my mind, which I was firft admonilhed of by German Cort in Doftor of Phyfick, which if you well obferve it, is both blamelefs/and more ealie for your underftanding. An Epitome or brief recital! of all the Mufcles of mans body. As I have formerly reckoned up the bones, fo here, I have decreed to recite the muffles of mans body. Wherefore in the face we firft meet with the broad or skin muffle arifing from the flelhy pannicle, and covering the whole neck and almoft all the face. Then follow 4,pertaining to the upper eye-lids.In the Orbs of the eyes lye 14, that is 7,in each Orb, of which 4 are called right, two oblique, and one pyrarnidall.Then fucceed 4 of the nofe, two externall on each lideone,and two internall, thefe draw it together and the other open it. After thefe come the ten muffles of the lower Jaw, of which two arc called the Crotaphit.e or Temporall; two Malfeteres or Grinders; two round (which teem to mee rather to pertain to the lips,than to this Jaw;) two little ones hid in the mouth, ariling from the winged procefs of the wedg-bone;two openers of the mouth being nervous or tendinous in their midft. Then follow the 8 muffles of the lips, that is, 4 of the upper,and as many of the* lower,(hutting and opening the mouth.The tongue with his ten mufflesis hid as it wu'e in the den of the mouth. Wherefore the muffles of the whole face are 51. In the fore part of neck are found the muffles of the bone Hyoides and throttle ; now 8 muffles hold the bone Hyoides as equally ballanced ; of which there are 2 upper arifing from the Chin ; 2 on the iides from the proceffe Styloides, perforated in their midft, through which the 2 openers of the mouth in that part nervous do pafs;2 arife from the Sternon,and. laftly 2 from the upper rib of the (houlder-blade to the Coracoides, which alfo in their midft are nervous, in which place the two Maftoidei lye upon them. The 2 Sorts of Ar* ficnprion. Wha; Diar* threfis anp Sy - narthrefis are. 3 Softs of (irthwfis,, What Enar- thro ft s is4 WhaulrrZw* di a. What Cephak is. . W h'tCorene u • IS What Cotyk is «1 What Glene fe* What Gingly- trios, % kinds of Synarthro/ir* What a Suture is» What Gem- is. What Harmt- nia is. What Symptyi Jis is. Synchondrofif], Syneurefi s. The things lignified by the word Nerve* Synf<ircofa& Lib.6. 192 Of the Mttfcler and Bone j - United mutually by tymptyfu or union; Dy which uicy aic 10 cuujuihcu Vu««. j.uv> v „ no diflimilar, nor heterogenous body,at leaft which maybe difcerned,interpofed between them Such union appears in the two bones of the lowerjaw at the Chin, in the bones ot the Stermnjte Hanch with the Huckle-bone$,and the Share-bones between this union there arc no more kinds, fdr by this it cometh to pafs, tnat the bones which were more and diftinft meet together by interposition of one to wit, a Griftle, which now indeed is no Griftle.but is turned into a Bone. or Conjoined by that which they call Ar- throdi*, or Ar- ticulation, as when they fo concur & are bound toge- ther,that fome Heterogene- ous fubftancc may be noted betwixt them, but the bones thus composed are knit two manner of L<wayci, that is, cither more loofly as by Diarfhrofu, that is a kind of Articulation not very ftrait, as by which it might have opportunity to perform diverfc motions: of this compofnre or Ar- ticulation of bones there arc three kinds, as or more ftraitjy, as by fynarthrofa, when the bones arc more ftraitly knit fo that they can perform no motions in the bo- dy. Of this Articu- lation there are alfo kinds, that is, Enartkrofo, when the head of a bone is wholly received in the cavity of another, and hid there* in,as the Thigh-bone is joyned with the Huckle- bone. Arthrodia, when in a lightly engraven and not much deprefled cavity the head of a- nother bpne is not wholly hid, but only received in part thereof; fo that unlefs na- ture had otherwife provided a fufficient recep- tacle for the head of this bone ( as by the liga- ments ofthe neighbouring Mufcles) it would o- therwife have been in perpetuall danger of diflo- cation. Thus the Arm-bone is fattened to the (boulder-blade. Cingl)fnos9 when the bones mutually receive each other, fuch like competition hath the Cubit and Arm-bone. The bonce>, which as pillars fu- ftain the fa- brick of th< whole bo- dycare ei- ther Gomphyjh , ai when one bone (o receives a- nother as a Pin is faftened in the hole made by a piercer , thus the teeth are faftened in the Jaws. Sutuxa9 like a Saw, or teeth of a combe; as the bones of the skull are mutually knit together, or as fcales, or tiles are laid, after which manner the ftony bones are faftened to thefc of the Sjw/fwr. Harmonia, which is by interposition of a Ample line, which parts bones abutting one L upon another, as the bones of the Note. The sMOfcc Xar/ww. The Throttle compoftd of three griftles hath eighteen or twenty mufcles, of which fix or eight are common, and twelve proper; Of the common there arc two above,two below, and two at the fides of the firft griftle, to which we may add thefe two which ferve for the opening of the Epiglottis which are alwayei found in great four-footed beafts for to prefa down the Epiglottis, The proper are twelv,ewhich almoft all of them come from the fecond griftle , fo to be inferred into the firft and third, of which fbme are before, others behind the Zhjrc idef, Be- tides thefe {there are the Maftoidei Which bend the head. But in the back part of the Neck there arc twelve mufcles alfo appointed for to move the head, fo that in all there arc fourteen mufcles ferving for the motion of the head, the two fore Maftoidei, and the twelve hind mufcles, that is to fay, the two Splenii, two Com* plexi, four Right, and fo many oblique,which arc very fliort, fo that they pafs not beyond the firft and lecond vertebra. The Neck hath eight Mufcles, of which two are called the long, lying before upon the bodies of the Vertebra; the two Scaleni9 which are at the fides j the two Spitiati, which run alongft the Spine; the two tranfverfe,which go to the tranfvcrfeprocefs of the Cheft, The Chcft hath 81 Mufcles, of which fome are on the fore part, fome on the hind,others on the fides;thcy are all combined and coupled together except the Midriffe. Now of thefe there are the two SMavii-, the two great Saw-mufcles which proceed from the bafis of the fhoulder-blade; the four little Rhomboides or fquare mufcles, that is, two above, and two below; the two Sacrolumbiy the two binders of the Griftles within the Cheft. Befides there are twenty and two cxternall and as many internalL Intercoftall mufclca, twenty four Intercartilaginei9 twelve cxternall and as many intcrnall; fo that the Intercoftall, and Intercartilaginei are 68, which with the twelve before mentioned make the number of 80 Mufcles. Add to thefe the Midrifie being Without an aflbeiate, and you fhall have the number formerly mentioned, to wit, 81. But alfo if you will add to thefe the Muffles of the lower belly, I will not much gainfay it, becaufe by accident they help infpiration and exfpiration. Wherefore of the eight mufcles of the Epigaftrium9 there are four oblique, of which two arc defeendeht and fo many afeendent; two right, to which you may add the two Afiifting or The head i*' moved by 141 Nefclea* The 8. mufclce of the neck. ThcMufdcd of the chert 81 The S.mnftier of the lower belly. and other extremeparts of the Body. Lib.6. 193 or Pyramidall mufcles which come from theihare-boue, it it pleaie you to ieparate them from the head of the right mufcles. There are fix or eight mufcles of the Loins., of which two bend the loins,which are the triangular;the two Semijpinatiitwo Sacrr, two are in the midft of the back, which for that caufe we may call the Rackit.e or chin-mufcles. Now., that hereafter we may feverally and diftinftly fet down the mufcles of the exereme parts,we wrill come to the privities. Where for the ufe of the tefticles there are two mufcles called the Cremafteres, or Hang- ing mufcles .At the root of the yard,or fcrzna'ww,there are four others, partly for the com- modi ous palling of the urin and feed,and partly for ere&ing the yard. The Spbinfier mufcle is feated at the neck of the Bladder. At the end of the right gut are three mufcles,two Levato're/ Ani,ov lifters up of the fun- dament, and one Sphincter or (hutting mufcle.Now let us prdfecute the mufcles of the ex- tremities,or limbs.But it will be fufficient to mention only the mufcles of one fide,becaufe feeing thefe parts of the body are double,thofe things which are faid of the one may be applyed to the other. Wherefore the mufcles of the Arm,beginning with thefe of the fhoulder-blade, at the leaft,are 42. for there are four of the fhoulder-blade: of the Arm properly or particularly fo called, feven or eight; and there are three, four or five proper mufcles of the Cubit; that is, appointedfor the performance of the motions thereof; in the inner part of the Cubit are feven, and as many in the outer;but thofe of the hand are reckoned thirteen at the leaft. The fourth ofthe fhoulder-blade are the Tnrt'esz/zf refembling a Monks Cowl, wThich moves it upwards and downwards,and draws it backwards; the fecond is the LeWor, or lifter-up;the third the great Rkomboides lying under the Trapezius.The fourth,the lefler faw mufcle which is inferted into the Cor acoides.The arm is moved forwards, backwards, up- wards, downwatds and circularly. ThePeftorall mufclearifing from the .Clavicle, Breft-bone and neighbouring ribs, draws it forwards; the Humilis or low mufcle coming from the lower rib of the (lionlder- blade draws it backwards; the Deltoides upwavds;and the LatiJJimus downwards, and fome- what backwards.But the three feated about the fhoulder-blade move it about, orcircu-- larty. The Epomir or Scapular if upwards;the Superfcapularis, which may feem two', backwards and downwards;the Subfcapularis which is in the Cavitie of the fhoulderblade,forwards,fo that by a certain viciflitude and fucceflion of aftion they move it circularly. Two mufcles bend the Cubit, the one named Biceps or twoheaded, and the other Brachidus or the Arm mufcle;but oue,two or three mufcles extend it;for if you have reipeft to the original,this mufcle hath two or three heads,but one only infection. In theinfide ofthe cubit are (even mufcles, one Palmar if, two wrift bendcrs;two pronato- res, one fquare,another in fomefort round;two finger benders,and one Abdutior or Drawer afide. Thefe fourtceen internall and externall mufcles ofthe Cubit, do not indeed move the Cubit, but only feated there move the wand and with it the hand.Thefe are the thir- teen mufcles of the hand; the Thenar which may not only be divided into two, but into fix, not only by the diverfe aftions it performs,but alfo by the branches divided by a ma- nifeft fpace between them;the fecond is called the Hypothenar , which lies under the little finger,as theThenar doth under the thumb;the third is the Abduttor of the thumb;then fol- low the four Lumbnci and fix Inter ojfes,al though eight may beobferved. The whole leg hath at the leaft 5 o mufcles,for we reckon there are fourteen mufcles in the thigh;there are eleven made for the ufe ofthe Leg;there are nine feated in the Leg,three before, and fix behind,which fervefor the ufe ofthe foot and toes; in the foot are feated fixteen .Therefore of the fourteen mufcles ferving the thigh two bend it, one called the Lumbar if, the other arifingfrom the cavity of the Hanch bone;but the three which make the Buttocks and the Triceps or Three-headed mufcle,(which if you pleafeeyou may divide into it.Befidcs thefe the four twin mufcles, and two Obturators, of which the one is internal,and the other external turn the thigh about.The leg hath eleven;that is,the Long,the membranous,the four Poftici or hind mufcles(three of which come from the Huc- klebone,but the other from the commiffure ofthe Share bone) the right,the two vaft,the Crureus or Leg mufcle,and the ham mufcle.Thefe feated in the leg for the ufe of the foot and toes are three fore,and fix hind mufcles:two of the fore bend the foot,one of which is called the TibixM antic nt,the other Per onxus,which you may divide into two.Thc third the bender of thetocs,although it alfb partly bend the foot,to which allo the bender of the thumb may be revoked.One ofthe hind is the Toe-bend er,ot hers extend the foot; and are in this order; two Twins, one Plantarif, cue Soleus, one Tibixus potticus and thd great bender of the toes, to which may be revoked the bender of the thumb. Of the fixteen feated in the foot, one is above,feated on the back of the foot, which wee call the Abduftor of theToes; another in the foie of the foot; to wit, the little bender of the Toes, which goes to the fecond joint of the Toes alongft the infide of the foot; the other lends his help to the great Toe,which you may call the Abductor of the thumb; ano- S ' the? The or 8. of the loins. The two Cre- mate is of the Tcfticlcs. The three of the fundament. The mufcles of rhe Arm in ge- nerall $21 The mufcles of the leg in rail So. L iB.6. 194 Of tbe Mufcles andBones,&c. thef is feated on the outfide for the nfe of the little toe. To thefe are added the four Lwm- irfc/,befides the eight Inter offer, or if you had rather,ten. And thus much may fuffice for the enumeration of the mufcles. 7 he Figure of the muffles when the shin with its veins 3 thefat3 and all the fie (by inem branes are taken away, that pmt of the flefhy membrane excepted3 which takes upon it the nature of a muffle, as being conjoined with the muffles, 4,the mufeie of the fore- head. b, the temporall mufcle. c, the mufcle (hutting the eyelid. d , the mufcle opening the wings of the nofe. e9 the fore part of the y oak-bone; f, the mufcle of the up- per lip tending to the nofe. g, the beginning of the mafleter or grinding mufcle. b, the broad mufcle cori- fifting of a flefhy mem- brane. the beginning therof which rifes immcdiatly from the coller-bone and the top of the fhoulder. jjthat part thereof which bends forwards to L Hi, the mufcle which lifts up the arm. thepeftorall mufcle. o?the membranous pare of this mufcle which is joined to the nervous part of the firft mufcle of theAbdomen3or belly* q9 q3 the flefhy portion thereof from the 6 and 7 ribs,and the infertion thereof, r the mufcle drawing down the arm.£ the oblique defending mufcle of the lower belly. t,t, t3 the infertion of the greater law mufcle. u u. the linea alba or white line, at which the two oblique defeendent mufcles meet, covering the Whole belly .x,the yard, the skin being taken away. y3 the veflels of feed.«the tefticles wrapped in the flefhy membrane* $3 the fore mufcle bending the cubit.?,?, the hind mufcle bending the cubit.the mufcle extending the cubit.*, the two-headed mufcle extending the wrift. *, the mufcle producing the broad tendon on the back of the hand. £, his tendon. », the mufcle turning up the Wand.fl, the upper mufcle flatting the Wand. t3 the fecond of the arm-benders, whole be- ginning is y., and tendon a**,a portion of the mufcle,whereof one part yeelds tendons to the wrift, the other to the thumb.*,the flefhlefle articulation of the thumb, p, a mufcle in- ferred into the wrift, lying neer to the following mufcle.r, a mufcle divided into two ten- dons, the one whereof is inferted into the firft joint of the thumb,the other into the fol- lowing. %the firft mufcle of the thigh, wh'ofe head is at „,and tendon at ?,and infertion at x- 4, the end of the fecond mufcle of the thig|i.®,the end of the third mufcle of the thigh, i, the fixt mufcle of the beginning at i.almoft wholly membranous at 3. 4, the ninth mufcle of the leg.5, the eight of the leg. 6, a portion of the fixth and feventh of the thigh. 7, the Glandules of the groins. 8, the eight of the thigh. 9, the fecond of the leg. 11, the inneimoft of the ankle. 12,the fixth mufcle of the foot,his originall 13 .end 14.15, the feventh of the foot. 16,the tendon of the mufcle lifting up the great toe. 17,the mufcles extending the four other toes. 18,the abduftor of the great toe. 19, a tranfverfe ligament, ao, a tendon of the ninth mufcle of the foot. 21, the firft mufcle.22,the fourth mufcle of the foot. 23.the tendon of the third mufcle. a mufcle bending the third bone of the four leflertoee. The L1 B.7. 195 THE SEVENTH BOOK Of Tumors againft Nature in general!. CHAP. I. IFhat a Fumour againft Nature, 'vulgarly called an Impoflume, it, and what be the differences thereof. N lmpoltume,coimmonly lo called, is an attect agamit nature, compo- fed and made of three kinds of dileafts, Diftempeiature, ill Confor- mation,and Solution of Continuity,concurring to the hindering or hurting of the Aftion. An humor,or any other matter,anfwering in proportion to a humor, aboliffiing, weakning,or depraving of the office or fiinftion of that part or body in which it re tides, caufeth it. The differences of Impoflumes are commonly drawn from five thingsjquantity, matter, accidents,the nature of thepart,which they ittett or pollefs; and laftly, their efficient caufes.I have thought good for the better under** landing of them, to defcribe them in this following Scheme. A 'Table of the differences of Tumors, What an poftume vul- fo called is* The material! caufcs of Impa- rl uir.es, or un- natural tumorsJ p rrom their I quantity, I by reafon whereof Impoftumes are called k Froitn their * accidents,as' ! From the matter, of which they are caufed , and made, [ which is either I i i From the condition and nature of the parts which they poflefs, from whence the Ophthalmia, is a Phlegmon of the eyes. a tumor neer the ears. Fa- rony hia or a whitlow at the roots of the nailsjandfo of the reft. From the efficient caules, or rather the manner of 'doing. For Ibme impo- (iraes are laid to be made by defluxions,others by congeftion, thofe are com- monly hot,and the other commonly co Id,as itjhal more manifeftly appear by .the following chapter* ' Great,which are comprehended under the generall name of Phlegmons,which happen intheflefliy parts, by tu- rn or. contra natural & lib. 2. ad Glauconem. Indifferent,or of the middle fort,as Fellons. Small, as thofe which Avicen calls Bothoress i. Pufhes and Puftules, all kind of Scabs and Leprofies $ and laftly , all fmall breakings out. C olour, from whence Impoftumes are named white, red, pale, i yellow, blew orblack, and Id of any other colour. iPain,hardnefs, foftnefs, and fuch like, from whence they are faid to be painfull, not painfull, hard, foft,and fo of the reft. The diffe- rences of Impoflames are drawn principally from five things, that is. Natural 'Hot,and that, I either ( Cold 3& than either, ( Sanguin,from whence a tmePhlegmon. Gholerick ,fr6 whence a trueErj/ipe/zw. Phlegmatick,fr° whence a true Melacholickjfro whece aperfectS'czrrJwo or Not natural!, which hath exceeded the limits of its natural!, goodnefle, from whence illegitimate tumors, therefore 'Ui aianguine humour, of acholerick humour , of aphlegma- tick humor, of a melancho- lick humor. ■Carbuncles, Gangrenes, eating ulcers, JJphace's ate caufed* Of the grofler, the eating Her- per,ofthe fubtikr the/fcr/>ei [ milidrk is made. Watery and flatulent Impo- ftamesjthe Kings evil, knots and al phlegmanck fwellings and excrefcences* Theexquifir or perfefl Scir. r/w,hardnefles and all forts . of cancerous Tumors. Sa CHAP, 196 Oft umorsagainfi Nature in generall. Lib. 7.' CHAP. II. Of the general! caufes of Tumors. Here are two generall caufes of Impoftumes,Fluxion,and Congeftion.Defluxi- ons are occafioned,either by the part lending, or receivings the part fending difcharges it felf of the humors, becaufe the expulfive faculty refident in that part is provoked to expell them, moved thereto,either by the troublefomnefs of their quantity or quality .The part receiving draws,and receives occalion of heat, pain, weaknefle ( whether naturall, or accidental!) openneflc of the paflages , and lower fituation. The caufes of heat,in what part fbever it be,are commonly three,as all immoderate mo- tion ( under which friftions arealfo contained, ) external! heat , either from fire or fun, andthe ufe of acrid meats and medicines. The caufes of pain are four, the firft is a fodain and violent invafion of fome untempe- rate thing, by means of the four firft qualities; the fecond is folution of continuity, by a wound, luxation,fracture, contufion, or diftention;the third, is the exquifit fenfe of the part,for you feel no pain in cutting a bone, or expofing it to cold or heat; the fourth is , the attention,as it were,of the animall faculty; for the mind diverted from the aftuall caufe of pain, is lefle troubled, or fenfible of it. A part is weak, either by its nature, or by fome accident; by its nature,as the Glandules and the Emun&ories of the principal! parts; by accident,as if fome diftemper,bitter pain,or great defluxion have feized upon it, and wearied it,for lb the ftrength is weakned, and the paflages dilated. And the lownefle of fite yeelds opportunity for the falling down of humors. The caufes of congeftion are two principally, as the weaknefle of the conco&ive facul- tie, which refides in the part, ( by which the affimilation into the fiibftance of the part of the nourifliment flowing to it. is fruftrated ) and the weaknefle of the expulfivefaculty;for whilft the part cannot expell fuperfluities, their quantity continually encreafes. And thus oftentimes cold Impoftumes, have their originall from a grofle and tough hu- tnor,and fo are more difficult to cure. Laftly,all the caufes of Impoftumes may be reduced to three; that is, the primitive , or externall; the antecedent, or internail; and the conjunct, or containing,as we will hereaf- ter treat more at large. After what planner ttf* 'mours againft nature are chiefly made. Three caufes of heat. Four caufes of . pain. Two caufes of weaknefle. Two caufes of eongeflion. CHAP. I II. The principal! Cgns of ru- mors are drawn from the eflence of jhe part. Efore we undertake the cure of Tumors, it is expedient to know their kinds and differences,which knowledg mull be drawn from their proper figns,the lame way,as in other difeafes.But becaufe the proper and principall figns of tumors are drawn from the eflence of the part they poflefle , we mull firll know the parts,and then confider what their eflence and compofition are. We are taught both by skill in Anatomy,and the obfervation of the deprived funftion, efpecially when the affe&ed part is one of thole which lie hid in the body; for we know whether or no, the externall parts are affefted with a tumor againft nature, by comparing that with his natural 1 which is contrary. For comparing the found part with the difealcd, we (hall eafily judge whether it be fwollen, or no. Butbecaufe.it is notfufficientfor aChirurgeon only to know thefe generail fignsfwhich are known even to the vulgar ) he mull attentively obferve fuch as are more proper and neer. And thele are drawn from the difference of the matter and humors,of which the tu- mors confift. For this Galen teaches,that all differences of tumors arife from the nature aud condition of the matter which flows down and generates the tumor; alfo they are known by filch accidents as happen to them,as colour,heat,hardnefs,foftnefs, pain, tenfion, refiflance. Wherefore pain, heat, rednefle, and tenfion indicate a fanguine humour;coldnefs, foft- neffe, and no great pain, phlegm;tenfion, hardnefs, the livid colour of the part, and a pricking pain by fits, melancholy; and yellowifh and pale colour, biting pain without hardnef s of the part, choler. Andbefides, Impdftumes have their periods and exacerbations following the nature and motion of the humors of which they are generated. Wherefore by the motion and fits it will be no difficult matter to know the kind of the humor;for as in the fpring, fo in the morning the blood is in motion;as in the fiimmer,fo in the midll of the day,choler; as in Autumn, fo in the evening,melancholy;as in Winter,fo in the night the *xacei bation of phlegm are mofl predominant. For Hipocrates and Galen teach,that the year hath circuits ofdifeafes,fo that the fame proportion of the excefs and motion of fiumci S, which is in the four feafons of the year, is alfo in the four quarters of each day. Im- The ftgnes of Jmpoflumes or Tumors in general/. Lib. I. ad Glauc,& 13. wethsd. The proper fignsofafan- guin tumor, of a phlegma- tick, of a wielancholick, ©facholerick. The knowledg of rumors by their motion and ex ace r ba, tion. Lib.t, Epidem LIB.7. Of 7 umors againfl Nature in Generali. 197 Impoftumes which are curable have four times, their beginning,encreafe,ftate, and de- clination, and we muft alter our medicines, according to the variety of thefe times. We know the beginning by the firft fwelling of the part; The encreafe,when the fwelling, pain, and other accidents do manifeftly encreafe,and enlarge rhemlelves ; the ftate, when the forefaid iymptomes increase no more,but each ofthem,becauie at their height, remain in their ftate immoveable, unlefle the very matter of the tumor degenerate; and change it felf into another kind of humor;The declination,when the fwelling, pain, feaver, reftlef- nefle areleflened.And from hence the Chirurgeon may prefage what the end of the tumor may be;for tumors are commonly terminated four manner ot wayes, if fo be that the mo- tion of the humors caufing them be not intercepted, or they without fome manifeft caufe, do flow back into the body. Therefore firft they are terminated by infallible tranfpiration, or refolution; fecondly, by fuppuration when the matter is digefted and ripened; thirdly,by induration, when it degenerates into aScirrhus, the thinner part of the humor being diflblved; the fourth, Which is the worft of all,by a corruption and Gangrene of the part,which is,whcn over- come with violence, or the abundance or quality of the hunior,or both, it comes to that diftempcr,that it loies its proper aftion. It is beft to terminate a tumor by refolution;and the worft by corruption;fuppuration and induration are between both,although that is far better than this.Thefigns by which the Chirurgeons may prefage that an Impoftume may be terminated by refolving, are the remilfion or flacking of the fwelling, pain, puliation, tenfion, heat, and all other acci- dents, and the unaccuftomed liveliness and itching of the part; and hot Impoftumes are commonly thus terminated, becaule the hot humor is ealily refolved, by reafon of its fobtilty. Signs of fuppuration are the intension or encreafe of pain, heat, fwelling, pulfation,and the feaver; for according to Hipocrates3pain and the feaver are greater when the matter is fuppurating, than when it is fuppurated. TheChirurgeon muft be very attentive to know andobfave when fuppuration is made; for the purulent matter oft-times lies hid ( as Hipocrates faith ) by reafon of the thicknefs ot the part lying above, or over it. The figns of an Impoftume degenerating into a Scirrhous hardnefle, are the diminuti- on of the tumor, and hardnefs remaining in the paft.The caules of the hardnefs not going away with the fwelling,are the weaknefs of nature, the grofnefs and toughnefs of the hu- mor, and unskilfulnefs of the Chirurgeon , who by too long tiling refolving things hath occafioned, that the more fubtil part of the humor being diflolved, the reft of the grofler nature like earthy dregs remains concrete in the part. For fo Potters veflels dried in the Sun grow hard. But the unskilfull Chirurgeon may occafion a Scirrhous hardnefs by another means;as by condenfating the skin,and incraflating the humors, by too much tile of repercuflives. But you may perceive an Impoftume to degenerate into a Gangrene thus, if the accidents ofheat,rednefs,pulfation and tenfion fhalbemore intenfe, than they are wont to be in fuppuration; if the pain prefently ceale without any manifeft caufe; if the part wax livid or black; and laftly, if it ftink. But we (hall treat of this more at large when we come totreat of the Gangrene and Sphacelus. A fodain diminution of the tumor, and that Without manifeft caufe, is a fign of the matter fallen black, and turned into the body again,which may be occafioned by the immoderate ufe of refrigerating things. And fometimes much flatulencie mixed with the matter,although there be no fault in thofe things which were applied. Feavers and many other malign Symptomes, as fwoundings and convulfion, by tranflation of the matter to the noble parts,follow this flowing back of the humor into the body. ' Thebeginning of an impo- ftume. 1 he encreafei 1 Ijo "flate. The figns of a tumor to be terminated by refutation* The figns of fuppuration. The figns and canfes of a tu* mor terminated in a Scirrhus,. r . . The figns of a Gangrene at hand. Of difappea- ranceof aru- iMO.'jand the figns thereof,' CHAP. IV. Of the Prognoftiques in Impoftumes. Ltmorsarifingfromamelancholy,phlegmatick,grofTe,touah,or vifcous humor, Cold tumors aske a longer time for their cure,than thofe which are of blond or chokr. And "<J"'|J'ea - they are more difficultly cured which are of humors not naturall, than thofe 8 ' which are of humors yet contained in thebounds of nature. For thofe humors which are rebellious,offcnd rather in quality, than in quantity, and Tumors made undergoe the divers forms of things diflenting from nature, which are joined by no firni- of matter nor litude or affinity with things naturall, as fuet, poultis, hony, the dregs of oil, and wine ; "aturaI1» ar5. yea, and offolid bodies, as ftone,fand, coal, ftrawsj and fometimes of living things, as curcdJ c X Wortnes, Serpents, and the like monfters. The tumors which pofleflethe inner parts,and noble entrails, are more dangerous and deadly, as alfo thofe which are in the joints, or neer to them. And thefe tumors which feife upon great veffels.as veins, arteries, and nerves, for fear of great effufion of blood, S 5 wafting Of T umors againft Nature in general/ 198 L1 B.7. wafting of the fpirits and convulfion. So Impoftumes of a monftrous bignefs are often deadly by reafon of the great refolution of the fpirits canted by their opening. Thofe which degenerate into a Scirrhw are of long continuance and hard to cure, as alfo thote which are in hydropick, leprous,fcabby and corrupt bodies,for they often turn into ma- lign and ill conditioned ulcers. ffippo. Aph,%. CHAP. V. Of the general/ cure of Tumors againft Nature, Htere be three things to be obferved in cure of Impoflumes.The firft is the eflence thereof;the fecond,the quality ofthe humor caufing the Impoftume;the third, the temper of the part afteCted.The firft indication drawn from the eflence,that is, from the greatnefle or fmalnefle of the tumor,varies the manner of curing, for the medicines muft be increafed or diminifhed according to the greatnefs of the tu- mor. The fecond, taken from the nature ofthe humor alio changes our counfell, for a Phlegmon muft be otherwife cured than an Eryfyelw,and an Oidema than a Scirrhut, and a fimple tumor, otherwife than a compound.And alfo you muft cure after another manner a tumor coming of an humor not natural,than that which is of a natural humor,and other- wife that which is made by congeftion,than that which is made by defluxion. The third Indication is taken from the part in which the tumor refides; by the nature of the part we underftand its temperature, conformation, fite, faculty, and funftion. The temperature indicates that fome medicines are convenient for the flefhy parts'', as thofe which are more moift;others for the nervous,as more drie;for you muft apply fome things to the eye,and others to the throat; one fort of things to thefe parts which by rea- fon oftheir rarity are eafily fubjeft to defluxion, another to thofe parts which by their denfity are not obnoxious to it. But we muft have good regard to the fite of the part,as if it have any connexion with the great velfels, and if it be fit to powre forth the matter and humor when it is fuppura- ted. Galen by the name of Faculty underftands the ufe and fenfe of the part. This hath a ma- nifold indication in curing, for fome parts are principall, as the Brain, Heart, and Liver; for their vertue is communicated to the whole body, by the nerves,arteries,and veins. Others truly are not principall, but yetfo neceflary that none can live without them, as the ftomach.Someare endued with a moft quick fenfe, as the eye, the membranes, nerves, and tendons;wherefore they cannot indure acrid and biting medicines. Having called to mind thefe indications,the indication will be perfected by thefe three following intenti- ons,as if weconfider the humor flowing down,or which is ready to flow;the conjunct mat- ter, that is, the humor impaft in the part; the correction of accidents; yet fo that we al- waies have care of that which is moft urgent and of the caufe. Therefore firft repercuf- fives muft be applied for the antecedent matter, ftrong or weak, having regard to the tu- mor as it is then, only excepting fix conditions of tumors;the firft is, if the matter of the tumor be venenate: the fecond, if it be a criticall abfcefs :the third, if the defluxion be neer the noble parts : the fourth,if the matter be grofle, tough, and vifcid : the fifth, when the matter lies far in, that is, flows by the veins which lies more deep: thefixth, when it lies in the Glandules. But if the whole body be plethorick, a convenentdiet, purging and Phlebotomie muft be appointed, friCtions and bathes muft be ufed.Ill humors are amended by diet and purging. If the weaknefs of the part receiving draw on a defluxion, it muft be ftrengthned. If the part be inferior in its fite,let the patient be fo feated, or layed,that the part recei- ving,as much as may be,may be the higher. If pain be the caufe of defluxion, we muft aflwage it by things mitigating it.Iffthe thinnefs, or lightnefs of the humor caufe defluxion,it muft be infpiflate by meats and medicines. But for the matter contained in the part,becaufe it is againft nature, it requires to be evacuate by relblving things, as cataplafmes,ointments, fomentations,cupping-glafles;or by evacuation,as by fcarifying,or by fiippurating things, as by ripening and opening the Impoftume.Laftly, for the conjunft accidents, as the lea- ver,painand fuch like,they muft be mitigated by aflwaging,mollifying and malaxing me- dicines,as I fhall fhewmore at large hereafter* CHAR What muft be confidered in undertaking the cure of tu- mors. What we muft undwftand by j the nature of the parh Whar we muft underfland by the faculty of theparr. What we muft con fide r in performing the cure. What things diflwade us from ufingrc' pctcuflives. Lib.7. Of Tumors againft Nature in generail. 199 CHAP. XXXV. Of the four principall and generail Tumors, and of other Impoflumes which may be reduced to them. He principall and chief Tumors which the abundance of humors generate., are four,a Phlegmon,Eryftpelas, Oedema and Scirrhjtt;• innumerable others may- be reduced to thefe, diftinguiffied by divers names according to the various condition of the efficient caufe and parts receiving. Wherefore a Phygethlum, Carbuncle, inflammation of the eyes, Squincy,Z>w£o, and laftly, all forts of hot and moift tumors may be reduced to a Phlegmon. The Herpes miliarir, the eating Herpes, Ringwormes and Tetters and all impoftumes brought forth by choler, are contained under an Eryftpelas. Atheromata, Steatomata,Melicerides, the Teftudo, or Talpa, Gan- glion, Knots, Kings-Evill, Wens, watery Ruptures, the and Lmoph/egwdt/d may be reduced to an Oedema, as alio all flatulent tumors, which the abundance of corrupt Plegm produces. In the kindred of the Scirrhus are reckoned a Cancer, Eeprolie, Warts, Corns, a Thymus, a Varix, Morphew, black and white, and other Impoftumes arifing from a Melancholy humor. Now we will treat of thefe Tumors in particular, beginning with a Phlegmon. What may be redu- ced to a Phleg- mon. Which to an Erifipelau Which to aw Oedema. Which to i ScirrhUil CHAP. VII. Of a Phlegmon. Phlegmon is a generail name for all Impoftumes, which the abundance of inflamed blond produces. That is called a true Phlegmon, which is made of laudable bloud, offending only in quantity. But a baftard Phlegmon, or a Phlegmonous Impoftume hath fomc other, and proper name ; as a Carbuncle, Fellon, Gangrene, Sphacel, and the like malign Puftules. So when there is a conflux of divers humors into one tumor,divers kinds of Phlegmonous Impoftumes called by divers names, according to the more abundant humor, arife 5 as if a fmall portion of Phlegm (hall be mixed with a greater quantity of bloud, it (hall be called an Ocdematow Phlegmon; but if on the contrary, the quantity of phlegm be the greater, it fhall be named a phlegmonous Oedema, and fo of the reft ; alwayes naming the tumor, from that which is predominant in it. Therefore we muft obferve that all differences of fuch tumors arife from that, either be- caufe the bloud caufing it offends only in quantity; which if it do,it caufes that tumor which is properly called a Phlegmon; if in quality,it makes a phlegmonous tumor,becau(e the matter thereof is much departed from the goodnefs of bloud. But bloud is faid to offend in quantity, either by admixture of fbme other matter, as Phlegm, Choler, or Melancholy, from whence proceeds Oedematow3EryJipeloMand Scirrhori Phlegmons ; or by corruption of its proper fubftance, from whence Carbuncles, and all kinds ofGangrens;or by concretion,and when nature is difappointed ofits attempted and hoped for fuppuration, either by default of the air,or patient, or by the error oFthe Phy- fitian 5 and hence oft times happen Atheroma's, Stcatomas, and Melicerides. Although thefe things be fet down by the Ancients, of the Ample and fimilar matter of the true Phlegmon; yet you muft know, that in truth there is no impoftume, whole matter exquifitely (hews the nature of one, and that Ample humor without all admixture of any other matter ; for all humors are mixed together with the bloud, yet from the plenty of bloud predomina- ting,they are called Sanguine,as if they were of bloud alone. Wherefore if any tumors refemble the nature of one Ample humor, truly they are not of any naturall humor,but from fome humor which is corrupt,vitiated and offending in qua- lity; for fo bloud by aduftion degenerates into choler and melancholy. Therefore a true Phlegmon is defined by Galen-,a. tumor againft nature,of laudable blood, flowing into any part in too great a quantity. This tumor though moft commonly it be in the flelh, yet fometimes it happens in the bones, as Hippocrates and Galen witnefs. A Phlegmon is made and generated thus: when bloud flows into any part, in too great a quantity; firft the greater veins and arteries of the affefted part are filled,then the middle, and laftly, the fmalleft and capillary ; fo from thofe thus diftended, the blood fweats out of the pores and fmall paflages like dew ; and with this the void (paces which are between, the fimilar parts are firft filled, & then with the fame bloud all the ad jacent parts are filled, but efpecially the fle(h,as that which is moft fit to receive defluxions,by reafon of the fpon- gious rarity ofits fubftance ; but then the nerves,tendons, membranes, and ligaments, are likewife fluffed full; whereupon a Tumor muft neceflarily follow,by reafon of the reple- tion which exceeds the bounds of nature; and from hence alfo are tenfion and refiftance;and pain What a trite Phlegmon isi A Phlegmon one thing,and aPhlegmo. nous tumor another Gal.lib.de tu~ moribw, ad Glauc. Hippoc.lib. de vubn.capi&at. lib.de tumor, prater natuwf! 200 Of!umorsagainflNature in Generali. Lib. 7; pain alfo happens at the fame time,bo th by reafon of the tenfion and preternatural! heat. And there is a manifeft pulfation in the part Specially whilft it fuppuratcs, becaufe the veins, arteries, and nerves, are much, being they are not only heated within by the influx of the fervid humor, butpreffed without by the adjacent parts. Therefore feeing the pain comes to all the forefaid parts becaufe they are two immoderately heated and prelfcd, the arteries, which are in the perpetual! motion of their jyftolc & diaftole, whilft they are dila- ted, ftrike upon the other inflamed parts, whereupon proceeds that beating pain. Hereunto* add, the Arteries then filled with more copious and hotbloud, have greater need to feek refrigeration by drawing in the encompaffing Air j wherefore they muft as of neceffity,have a conflift with the neighbouring parts which are fwollen and paincd.There- fore from hence is that pulfation in a Phlegmon which is defined by Galen, an agitation of the arteries, painfull and fenfible to the Patient himfelf 5 for otherwife as long as we are in health, we do not perceive the pulfation of the arteries. Wherefore thefe two caufcs of pulfation, ora pulfifick pain in a phlegmon, are worthy to be obfcrvedjthat is5the heat and abundance of blond, contained in the veflels and arte- ries(which more frequently than their wont incite the arteries to motion, that is, to their (yftole and diaftole~) and the compreflion and ftraitning of the laid arteries, by reafon of the repletion and diftention of the adjacent parts,by whofe occafion the parts afflifted and bea- ten by the trembling and frequent pulfation of arteries are in pain. Hence they commonly fay,that in the part affefted with a Phlegmon,they feel as it were the fenfe or ftroke of a xMallet or Hammer fmiting upon it. But alio befides this pulfation. of the arteries, there is,as it were,another puliation withitching from the humors whilft they putrefie, and fuppurate, by the permixtion, motion,and agitation of vapours, there- upon arifing. The caule of heat in a Phlegmon is bloud, which whilft it flows more plentifully into the part, is as it were troden or thruft down,and caufes obftruftion, from whence neceffa- rily follows a prohibition of tranfpiration,and a putrefaftion of the bloud, by reafon of thepreternaturall heat. But the Phlegmon looks red by reafon of the bloud contained in it, becaufe the humor predominant in the part fhines through the skin. Thecaufeof a , beating pain in a Phlegmon. Coinin.nd A ph. Another kind of Pulfation in a Phlegmon. Of the caufes and ftgnes of a Phlegmon. CHAP. XXII I. The primitive caufes of a Phlegmon. ■{e caufes of a Phlegmon are of three kinds for fome are primitive, fome antece- dent, and fome conjunct. Primitive are falls,contufions,ftrains,immoderatela- bour,fri&ions, application of acrid ointments,burnings,long flaying or labour- ing in the hot Sun,a diet unconfiderate,and which breeds much bloud.The ante- cedent caufes are, the great abundance of bloud, too plentifully flowing in the veins. The con jun<ft,the colledion or gathering together of bloud impact in any part. The figns of a Phlegmon are fwelling,tenfion, refiftance,feaveri/h heat, pain, pulfation, ( efpccially while it hippurates) rednefs, and others, by which the abundance of bloud is lignified. And a little Phlegmon is often terminated by refolutionjbut a great one by fuppuration; and fometimes it ends in a Scirrhus,or a Tumor like a Scirrhusj but otherwhiles in a Gan- gren, that is, when the faculty, and native flrength of the part affefted, is overwhelmed by the greatnefs of the defluxion,as it is reported by Galen. The Chirurgeon ought to confi- der all thefe things, that he may apply and vary fuch medicines as are convenient for the nature of the Patient,and for the time and condition of the part affefted. The Antece- dent and con- junfl. Theiignsof 3 Phlegmon, G<?Z. l>de Tv.in, CHAP. IX. Of the cure of a true Phlegmon. He Chirurgeon in the cure of a true Phlegmon miift propofe to himfelf four intentions. The firft of Diet; This, becaufe the Phlegmon is a hot affeft and caufcs a feaver,muft be ordained of refrigerative and liumefting things-, with the convenient ufe of the fix things not natural!, that is, air, meat and drink, motion and reft, deep and waking, repletion and inanitions and laftly, the paflions of the mind. Therefore let him make choife of that air which is pure and cleer,not too moift,for fear of defluxion,but fomewhat cool; let him commandmeats which are mo- derately cool and moift, Ihunning filch as generate bloud too plentifully, fuch willbe broths not too fat, feafoned with a little Borage, Lettuce, Sorrell, and Succory: let him be forbidden the ufes of all fpices, and alfo of Garlick, and Onions, and all things which heat the bloud,as are all fatty and fweet things,as thofe which eafily take fire. Le t the Pa- tient drink final! wine,and much allaied with water: or if the feaver be vehement,the water of the deco&ion of Licoris,Barly, fweet Almonds,or water and Sugai'j alwayes having re- gard to the ftrength,age,and cuftome of the Patient. For What kind of diet muil be prefcribedin a Phlegmon. LIB.7. Of Tumors againft Nature in general}. ' 201 For if he be of that age,or have fo led his life,that he cannot 'want the ufe of wine, let himuic it,but altogether moderately. Reft muft be commanded 5 for all bodies wax hot by motion,but let him chiefly have a care that he do not exercife the part poflefled by the phlegmon for fear of a new defluxion. Let his Heep be moderate, neither, if he have a full body,let him fleep by day, fpecially prefently after meat. Let him have his belly foluble, if not by nature, then by art, as by the frequent ufe of glyfters and fuppofitories. Let him avoid all vehement perturbations of mind,as hate,anger,brawling; let him wholly abftain from venery. This manner ofdiet thus prefcribed,we muft come to the fecond fcope,that is,the diver- flon of the defluxion, which is performed by taking away its caufe,that is, the fulnefs and ilnefs of the humors. Both which we may amend by purging and bloud-lettihg, if the ftrength and age of the patient permit. But if the part receiving be weak, it muft be ftrengthned with thole things which by their aftriftion amend the opennefs of the paflages,the violence of the humor being drawn away by cupping-glafles, friftions, ligatures. But if pain trouble the part, which is of- ten the occalion of defluxion, it muft be mitigated by medicines affwaging pain. The third (cope is to overcome the conjunct caufe. That we may attain to this, we muft enter into the confideration of the tumor, according to its times, that is,the beginning,in- creafe, ftate, and declination. For from hence the indications of variety of medicines muft be drawn.For in the beginning we ufe repercuftives to drive away the matter of the Phleg- mon flowing down, as the white of an Egge, Oxycrate, the juices or waters ofHoufleek, Plantain, Rofes; Cataplafms ofHenbane,Pomgranate, Pils,Balaufties, Bole arm enick,Terre oil of Rofes, Quinces, Mirtils, Poppies. Of thefe fimples variety of compound medicines arifes. This may be the form of aCata- pjafm.R,pr.foori/ez f ij.Jucci femper vivi, plantag.an.% iij. pul-malicorii,balauftiorum & ij. ol.mirtill. & rofar. i. fiat Cataplafma. Another, R, Plantag:folani,hyo[cyam. an. m. ij. caud# e- quin.tapfi barb, centinodi#. an. m. i. coquantur perfe fie inoxycrato, piftcntur,trajiciantur, addenda pul- weris mirtill. nuc. cuprelfi. & roj. rub. an. iij. prz'zz. fab. $ ij. olei rofar. & cydon. anf% i (5, mixe them and make a cataplafm to the form of a liquid pultis. And you may ufe this liniment, by dipping linnen clothes in it, and applying to the part 5 R, ol. nymph.& rofar. anfij iij. aq. rof.filani & plantag. ah.% ij,aceti § iij,albumin. ovorum n.iij.flat linimentum. Alfo ung. rofatum 6" ung. Album, camphor. Rafis are good to apply to it, as in like manner, Emp. Diacalcitheos dif- folved in vinegar, and oil of Rofes, and alfo Populeon may be tiled. In the increafe you muft have care of the humor flowing down, and of that which already impacted in the part,did formerly fall down. Therefore repercuftives muft be tempered and mixed with difeufling medicines, but fo that they may carry the chief fway, as R, fol. malv#, abfinth. plantag. an. tn. iij. coquantur in oxycrato, contundantur, trajefiis addfarina:fabarum & hordei an.% i. pul. rofar. rub. & Abfinth. an. 3 i, ol. rofar. & cham#m. an. 5 i,fiat cataplafma adformam pultisfails liquid#. A- notherffk, far in#hord.' % iij, farin# fem. lini & f#nugr#ci, an. i, coquantur in aqua communi, ad- denda fub finem pul. miitrllorum, rofarum & cham#meli an. J fi, axungi# anferis & olei rofarum an.% i, tnifce,fiat cataplafma. But in the ftate the repercuflives,anddifcuflives ought to be alike with fome anodyne, or mitigating medicines,if it be painfuLasR,rrf£/.2//tfcele | iiij,malt>#,parietar.ana m.ij,coquantur fub cineribus, addenda far in. fabarum & lent ium an. 5 ij,-pulver is ch am#m.& melilot i an.%fi,olei cham#m. &rofar. an. i. axungi# gal.% ij. fiat cataplafma. Another, R, mic#panis triticei aqua cdlida mace- trati ftp, pulver is rofar. rub.&.abfinth. ana%vi,olei aneth. & mellis com. an. | ij, mifee omnia ft- wul &fiat cataplafma ad formam pultis fat is liquid# which is of chief ufe when there is pain. But when the violence of pain and other fymptomes are aflwaged, it is likely that the plegmon is come to determination. Wherefore then we muft ufe more powerfuil and ftrong difcuflives,and only then beginning with the more gentle,left the fb.btiler part of the humor being diffolved, the grofler, remaining in the part, fhouId grow hard, bifmal. an. m. iij. coquantur, addenda far in# hordei ij, mellis com. i> ol. cham#. & melilot. an. P, fiat ca- taplafma. Or R, radi cum Brian. & Cucumer. agreft. an. ij, florum cham#m. & melilot. ana m. coquantur in by dr omelite addenda farin#,fem. lini&f#nugr#c. an. | ij. ol. aneth. axungi# anfer. & a- nat. an. | i. fiat Cataplafma. And th is plaifter following may here find place* R, Diachyl.mag. 5 ij, Empl. de melilot. aneth.& cham#mel. an. | p, diflblve them all to- gether and make a medicine for your ufe. Or R, Empl.de mucag.& oxycr.an. 5 ij. EmpldDiachyl, Ireat. i, oleiiiliorum & cham#mel. quantum fat is make thereof a fb ft emplaifter. The fourth fcope of curing a Phlegmon confifts in correftion of the accidents which ac- company it j of which pain is the principal!. Whereft>;e the Chirurgeon muft be diligent to aflwage itjfor befides, that it Weakens the ftrength, and debilitates and depraves the funftion,it alfo caufes defliixions by drawing the bloud and fpirits to the part affe&ed. According to the variety of pain there muft be variety of medicines, as R, micypanis dlbi in latfe tepilo macerati ft p, vitell. ovorum iij, ol. rofar. ij, croci 9P3 fiat cataplafma. Or R, florum melil.an.p. iij,farin#fem. lini. & f#nugr#c. an. § i,fiat cataplafmapultis fatis liquid#. Or fk,mucaginrad. alike# &f#nugr#ci an. 5 iij, ol.rofar. & aneth. i, far in. jem.lini. quantum fatis, ut inde fornetur cataplafma fails mode. But How to divert rhe deftuxidn of humors. The pain mtift be aflwaged. When we muiX ufe repercuf- fives. What iocjdl medicines we mu ft ufe in ths encreafe. ftatc* What in rhd dediharW The cdrrcfii-. on of rheacci- dents. The difcorr- modifies of pain. Medicines aflwaging pain. / Of Tumors againft Nature in general}. 202 Lib. 7.' Narcotick me- dicines. But if the pain remain,and yeeld not to thcfe remedies, we muft flie to ftronger, making of narco ticks, or ftupefaftives, but with care leftwebenum, or dead the part; as Be, fol. tyofyani-drpapaver. fib. cineribiwcofiorum an.% iij, ddipzsfiill# &ol. rof. an. % i, croci 9 ij, fiat cataplafma : or R*, fol. cicut# & filanifuriofi. an. $ iiij, coquantur fib pifientur3 & traji- ciantur ' addenda unguent. popul. & ol. rojar. an. i, fatin. fdinugTdec. quantum fatis erit ut inde forme- tur cataplafina adformampultis liquid#. CHAP. X. 7 he cure of an ulcerated Phlegm on. The Ggnsofa Fhlcgmon turning to an Abfcefs. Lit it often happens that the humor is fo impact in the part,that it cannot be re- prefled, and Id grofs,that it cannot be difcufled 5 which we may know by the greatnefs of the heat and fwelling,by the bitternefs of the pricking pain, the teaver,and pulfation,and heavinefs. Wherefore laying afide all hope of difcufling, we muft come to the fiippu- ratives. For which purpofe Galen foments the fwollen part with water,or oil being warm, qr with both of them 5 and then applies this following cataplafm. R, farina trie, vel miegpanis § iiij, ol. com. § iij. aqua com. quantum cataplafina 5 Or* rad. lilior. alb.& althea, an. parietar. & fenecionis ana m. i. coquantur in hy- dromelite, pifcntur trajeflis adde far in. fem. Uni § ij3 axuniga fuU/a, ol. liliorum an.% P, fiat cata- plafma: Or R, malva9 bifmalv. wiolar. an. m. i. caricarum ping. n. x. pafful. J i'h coquantur in aq. com. tufa9 & trajeflU9 adde mellis com. % ij, ung. bafilicon. & butyri recent, ana | i, fiat You may profitably ufe for the fame purpofc'Empl.Viachylonmagnum 9 or Bafilicon. Or R, Empl. Diachyl. Mag. J iij, ung. bafilicon. ? i. ol. liliorum J p. Of thefe mixed together make a medicine for the forefaid ufe. When the heat,pain,feaver, and other accidents (hall remit, when the tumor hath a fharpehead, when by the prefling of your finger you, find the humor to flow as it were to and fro, then you may know that it is ripe. Wherefore without any further delay the tumor muft be opened,left the matter too long fhut up, corrode the adjacent parts, and the ulcer become finuous and fiftulous. For this ufually happens, efpecially then, when the matter is venenate or malign, or when the fwelling is near a joint,or at the fundamennt,or fuch like hot and moift places. For by the decree of Hippocrates we (hould anticipate the maturation of fuch tumors by opening. They may be opened with an incifion knife or cauftick,and that either a&uall or poten- tial!. For if the Patient (hall be heartlefs and lefs confident, fo that he either cannot, or will not indure any inftrument,you muft make way for the matter by* a potential! cautery. You may alfo do the bufinefs by another flight, as thus. Thruft the point of a fharpe knife or lancet, through a brafs counter that it may Hand faft in the midft thereof 5 then cover it diligently with fbme Emplaifter or Cataplafm, that neither the Patient nor ftanders by perceive the deceit; then laying on the plaifter as that you would make a paflage for the matter by that means,but when you have fitted the point to the part,where it is fit to open the tumor, fo guide the Counter with your fingers, that you may prefently make an impreflion into the Tumor, fufficient for excluding the matter. I have here exprefled three delineations of fuch Inftruments that you may ufe thefe, either bigger, lefler or indifferent,as occafion fhall ferve. Lib. 2 ad Gian- Cap.7. Suppurative medicines. The Cgns of pw or matter. 'Mp.lib-deFii Counters with the points of Knives or Launces put through them. A. fliews the Counter or peece of Silver. B. (hews the point of the Lancet. But there are feven things which muft be diligently considered in opening a l forts of Impoftumes. The firftis, that you put your knife to that part of the Abfce> which is thefofter, and yeelds to the imp reflion of your fingers, and where it rifes into a head,. or point. L1B.7. Of Tumors againji Nature irigenerall, 203 point. The ftcond is, that you make choile of that place for difleftion which is the loweft, that fo the contained impuritie may the more readily flow out, and not flay iy the paflage. The third is, that it be made according to the wrincles of the skin, and the right libers of the Mufcles lying next under the skin. The fourth is, that you turn your knife from the larger veflels and Nerves worth (peaking of. The fifth is, that the matter con- tained in them be not evacuated too abundantly at once in great Abiceflcs, left thereby the ftrength be dejefted, the fpirits being much wafted together with the unprofitable humor. The lixth is,that the affe&ed part be handled as gently as you can. The feventh is,that af- ter the opening when the matter is evacuated, the Abfcefsbecleanfed, filled with flefh, and laftly, confolidatcd and Cicatrized.But feeing that commonly after fuch feftions fome part ofthe Tumor remains, all the contained humor being not wholly fuppurated, theChir- urgeon may perceive that this is an implicite affeft, that is, a Tumor and Ulcer. But the Cure thereof muft be fo, that you take away the Ttimor before the Ulcer; for the Ulcer cannot be healed before the part be reftored to its nature. Therefore the (iippuratives for- merly prefcribed muft be uled, and the Ulcer muft be drefled for two or three dayes with this tollowing Medicine. R yitelium uniusovi, terebinth.Venete>& ol. Rojar. an. § fi3fiat medicamentum. Then you muft feck to cleanfe it by this following Medicine. R Meilis nfar. J i, Syrupi rojar. & tereb. Venet. an. | i 0, far. hordei J ij3 fiat medicamentum ad *fum. For this very purpofe there is a Angular Deterfiye made of Appium or Smallage of which this is the delcription. R Sued appii3plantag. beton. an.% i3 Meilis commun. J v, terebint. Venet. | iiij, farm. Hordei & Orobi3 i]3pulveris Aloes3rad.Ireos florent. 3 i3coquatur mel.cum Juccij quibw conjump- tis addantur farina 3 & mifeeantur omnia ad formant unguenti. But if you would cleanfe it more powerfully, you may ufeVnguentum Apofloloium, or Vnguentum Aureum and JEyptia- cum mixed according to the fcope you conceive in your mindsjwhen the Ulcer (hall feem fufticiently clenfed, it fhall be filled with flefh and cicatrized after the manner we (ball de- clare in the proper treatife of the cure of Ulcers. What the cure muft be after the opening of the abfcefa Dcrerfiv® Ffyuenimndi Cther Instruments for opening AbfcefeS, Rings in which little knives lye fit for to open Abfiefes. The Delineation of a Trunke or hollow Inftrnment going with a [pring. A. Shews the thicker pipe. EL Shews another which enters and is fattened in the other by a fcrue. C. The point of the Inftrument looking out. D. The fpring which forces the In* flrument. CHAP. OfTumors againfl Nature in general. 204 Lib.7. CHAP. XL Of fevers 9 and the cures of thefefeavers which accompany Phlegmons TheFeaver of a Phlegmon. Mongft the Symptoms which moft ufually accompany Phlegmons,and afflift all the body of the patient,Feavers are the chief; that is,hot, and dry diftempers kindled in the heart, and thence by the Artery is fent over all the body ; yet thefe which ufually follow this kind of Tumors are Epkwer<e,that is,Diary,unputrid Synochij Of whole nature and order of cure I will here briefly relate what I have learnt from my Mafters, that is, Doftors bf Phyfick, as I have been convcrfant with them in the praftife of my Art. The Ephemera, or Diary [that is, of one is a hot and dry diftemperature kindled in the vitall fpirits. It hath that name,becaufe by its own nature it tarries not above the fpace of one day or twenty four houres,by reafon it is kindled in a fubtile eafily diflipable matter. The efficient caufes of this Feaver are wearines,hunger,and drunkennefs,anger,fury,for- row,watching,great 8c piercing cold, Aduftion,Bathe*,and manner of living inclining more to heat then ordinary,apply ing,ufing or drinking of acrid medicines, as Poyfons,or of hot meats, or drinks; to conclude,all the efficient caufes common to all Feavers, putrefadion. only excepted whch properly appertains to putrid feavers. For a Bubo alfo,which is a Phlegmon of the Glandules,caufes a Diary,as Hippocrates ffiews. All feavers proceeding from the Tumors of the Glandules are evill, the Diary excepted. Which Jphorifm muft be underftood warily and with that diftinftion which Galen gives in his commentary,where he faith; It is only to be underftood of Tumors riling in the Glan- dules without occafion, that is, without any evident and manifeft caufe; for otherwife Feavers that thence take their originall,though not Diary,yet are not all evill,as we learn by Buboes in Children, and thevenereous Buboes,which happen without inflammation,or corruption of the liver;forfuch commonly have no malign Feaver accompanying them, which thing is worthy a Chirurgeons observation. The common figns of a Diary are, a moderate and vaporous heat feeling gentle to the hand, a pulfe fwift and frequent,fometimes great and ftrong, as when the Diary is caufed by anger; fometimes little, if the Feaver proceed from forrow,hunger,cold,crudity; for o- ther refpefts equall and ordinary. The moft certain figns are, if the Feaver come upon one not by little and little but fb- dainly and that from fome externall and evident caufe,no loathing of meat, no cauflefs wearinefs, no deep fleep,yawning,great pain,reftlefnefs, (hakingnor cold going before,and laflly, no other troublefome fymptome preceding. We here make no mention of the urine, becaufe moft frequently they refcmble the urines of found bodies; for in fo fhort a time as Diaries endure, there cannot fo great a perturbation be raifed in the bloud that there may be fignes thereof found in the urine. A Diary is ended in one fit, which by the proper nature of this Feaver lafts but one day,although fometimes, otherwife it is extended to three, or four dayes fpace; and then it eafily degenerates into a Putrid, Specially any error of the Patient, Phyfitian, or thofe whicn attend him concurring therewith, or if the externall things be not rightly fitted. This Feaver is terminated either by infenfible tranfpiration, or by the moifture of the skin, or by a fweat naturall, gentle, and not ill fhielling; to this Diary we may refer the unputrid Synochus generated of bloud not putrid, but only heated beyond meafure. For ufually there arifes a great heat over all the body, by means of the bloud immoderately heated; whence the veins become more tumid , the face appears fiery, the Eyes red and burning, the breath hot, and to conculde, the whole habit of the body more full,by reafon of that ebullition of the bloud, andthediffufion of the vapours thence arifing over all the body : Whence it is, that this kind of Sy nochus may be called, a vaporous Feaver. To this Children are incident as alfo all fanguine bodies, which have no ill humors. The cure of this and the Ephemera or Diary is the fame; becaufe it may fcarfe teem different from the Ephemera in any other thing,than that it may be prolonged for three or four dayes. Where- fore whatfoever we (hall fay for the cure of the Ephemera, may be applyed to the Synochus, bloud-letting except e d,which in an unputrid Synochus is very neceflary. Now the cure ora Diary Feaver confifts in the decent ufe of things not natural,contrary to the caufe of thedifeafe; wherefore bathes of warm and naturall water are very pro- fitable ; fo that the Patient be not Plethorick, nor fluft with excrements,nor obnoxious to catarrhes and defluxions, becaufe a catarrh is eafily caufcd and augmented by the hu- mors diffufed and diflblvedby the heat ofa bath ; therefore in this cafe we muft efchew friftions,and anointing with warm oil, which things notwithftanding are thought very ufefull in thefe kinds of Feavers,efpecially when they have their originall from extreme la- bour, by aftri&ion of the skin or a Bubo. Let this be a generall rule, that to every caufe, whence this Feaver proceeded,you oppofe the contrary for a remedy ; as to labour, reft; to watching, fleep; to anger and forrow, gratefull fociety of friends, and all things re- plenifhed What aFeaver is. What an Ele- ment,or Diary is. Thecaufes thereof. W4' The Ggns of a Diary. Why in a Dia- ry the urines iiketothefe in health. The unputrid Syntchwt, The cure of a Diary Fea ver. Lib.7. Of Tumors againfi Nature ingenertill. 205 plcnilhed with pleaiant goodwill ; and to a the proper cure thereof. Wine moderately tempered with water according to the cuftome of the lick patient, is good and profitable in all caufes of this Feaver, except he be pained in his hcad,or that the Feaver drew its originall from anger, or a Bubo; for in this laft cafe efptcially, the patient muft abftain wholly from wine, untill the inflammation come to the fate, and begins to decline. This kind of Feaver often troubles infants; and then you muft piefcribe inch me- dicines to their Nurfes, as if they were lick, that fo by this means their milk may become in dicinable. Alfo it will be good to put the Infant himielf into a bath of naturail and warm watcr,and prefeitfly after the bath to anoint the ridge of the back and breft with oyl of Violets. But if a Phlegmon poflefs any inward part, or otherwise by its nature be great, or feated near any principall Boweljfo that it may continually lend from it either a putrid matter or exhalation to the heart, and not only aifett it by a quality or pfeterriaturall heat by the continuity of the parts,thence wil arife the putrid if the blood by contagi- on putrefying in the greater veflels,confifts of one equall mixture of the four humors.This Fewer is thus chiefly known, it hath no exacerbations, or remillions, but niuch lefs *inter- miftions; it is extended beyond the fpace of twenty four houreSjUeither doth it then end in Vomit,fweat,moifture,or by little and little by inienfible tranfpiration;afcer the manner of intermitting Feavers, or Agues but remains conftant, untill it leaves the patient for alto- gether; it commonly happens not unlefs to thefe of a good temper and complexion, which abound With much bloud,and that tempered by an equall mixture of the four humors. It commonly indures not long,becaufe the blood by fome peculiar putrefattion degenerating into choler or Melancholy,will prelently bring forth another kind of Feaver, towit$ a Tertian or continued Quartain. The cure of this Feaver (as 1 have heard of moft learned Phyfitians) chiefly confifts in bloodletting. For by letting of blood the fulneis is diminished,and therefore the obftrutti* on is taken away, and laftly, the putrefattion. And feeing that in this kind of Feaver there is not only a fault of the matter,by the putrefaction of the blood, but alfo of the Temper by excefs of heat; certainly Phlebotomy helps not only, as we laid, the putrefaction,but alio the hot diftemper. For the blood in which all the heat of the creature is contained, whilft it is taken away, the acrid and fuliginous excrements exhale and vanifh away with it,which kept in,encrea(ed the Feaverifh heat. Moreover,tlie veins,to fhuri emptinefs, which nature abhors, are filled with much cold airinftead of the hot blood which was drawn aWay, which follows a cooling of the habit of the whole body ; yea arid many by means of Phlebotomy have their bellies looted, arid (weat, both which are much to be de- fired in this kind of Feaver. This moved the ancient Phyfitians, to write, that we muft draw blood in this difeafe, even to the fainting of the Patient. Yetbecaufe thus,not a few have poured out their lives together with their blood, it will be better andfafcr to divide the evacuations, and draw fo much blood at feve- rall times, as thegreatriefs of the difeafe (hall require, and the ftrength of the Patietft may bear. When you have drawn blood, forthwith injett an emollient and refrigerative clyftef ; left that the veins emptied by Phlebotomy may draw into them the impurity of the Guts; blit thefe clyfters which cool too much, rather bind the belly, than loofe it. The following day the Morbifick matter muft be partly evacuated by a gentle purge, as a bole of Caflia., or Catholicon-, then muft you appoint Syrups which have riot only a refrigerative quality, but alfo to refift putrefattion , fuch as the Syrup of Lemmons, Berberries, of the Juice of Citrons, of Pomgrahats, Sorrell and Vineger; let his diet be abfoliitely cooling ahd hrimettirig,ahd alfo (lender; for the native heat much debilitated by drawing of a great quantity of blood cannot equall a full diet. Therefore it (hall iuf- fice to feed the Patient with chicken and veal broths made with cooling herbs, aS Sor- rell, Lettuce, and Purflain. Let his drink be Barly water. Syrup of Violets mixed with fome pretty quantity of boiled water,Julepum Alexandrinum}efyecia\ly if he be trou- bled xvith fcouring, or laske.But the Phylitian muft chiefly have regard to the fourth day, for if then there appear any figns of concottion in the excrements r, the Crifts muft be ex- petted on the eventn day,and that cither by a loofnefs of the belly, or an aboundance of urine, by vomits, fweats, or bleeding. Therefore We nitift then do nothing but commit tfie whole bufihefs to nature. But for drinking cold water, which is (b much commended by Galen in this kind of Feaver, it is not to be fuffered before there appear figns [of concottion ; moreover in the declining of the difeafe the ufeof wine will not be unprofitable to help forwards fweats« t tHAP; The ufc of wine in a Dis* How a putrid fynobfn n caufed. Phlebotomy nrccfljry in a - putrid Sinocbwl What benefit we may reap by drawing blood even to fainungo* Why wemuft give a.dyGer preiently alter blood letting* WhatSynlps profitable in this cafe. . , W hy a flendef Diet mu ft be ufed after let - J ting muck blood. When drrn- king of waref is to be permit" ted in a putrid-1 Synocfrte. 206 Of I ttmors againjl Nature in generail. Lib. 7. CHAP. XII. Of an Eryfipelas, or Inflammation. declared the cure ofa Phlegmon,caufed by laudable bloody we muft now treat of thefe tumors which acknowledg choler the materiall caufe of their generation, by reafon of that affinity which intercedes between Cho- ler and Blood. Therefore the tumors caufed by natural! Choler, are called or Inflammations; thefe contain a great heat in them, which chiefly poflefles the skin,as alfo oftentimes feme portion of thefleffi lying under it. For they are made by moft thin and fubtle blood (which upon any occafion of inflammation eaflly becomes cholerick)or by blood and choler,hotter than is requifit, and fometimes of choler mixed with an acrid ferous humor. That which is made by fincere and pure choler, is called true and perfeft Ery- fipelas. But there arife three differences of Eryfipelaes by the admixture of choler with the three other kinds of humors. For if it being predominant be mixed with blood, it (hall be termed Eryfipelas Phlegtnonodes ; if with Phlegm, Eryfipelas ariematodes; if with Melancholy, Eryfipelas Scirrhodes. Sb that the former and fubftantive word (hews the humor bearing do- minion, but the latter or adje&ive that which is inferior in mixture. But if they concur in equal! quantity,there will be thereupon made Eryfipelas Phlegmone-, Eryfipelas Eryfife las jcirrhus. Galen acknowledges two kinds of Eryfipelaes,one Ample and without an ulcer, the other ulcerated. For choler drawn & fevered from the warmnes of the blood,running by its fub- tlety and acrimony unto the skiri,ulcerates it;but reftrained by the gentle heat of the blood, as a bridle, it is hindered from piercing to the top of the skin,and makes a tumor without an ulcer. But of unnaturall choler are caufed many other kinds of cholerick tumors, as the Herpes exedens ,and Miliar #,and laftly,all forts of tumors which come between the Herpes and Cancer. You may know Eryftpelaes chiefly by three figns,as by their colour, which is a yellowiffi red;by their quick Aiding back into the body at the lead compreffion of the skin (the caufe of which is the (ubtlety of the humor and the outward lite of it under the skip, whereupon by fome an Eryfipelas is called a Difeafe of the skin; J taftly, by the number of the Symptoms,as heat,pulfation,pain. The heat of an Eryfipelas is far greater than that of a Phlegmon,but the puliation is much les;for as the heat, of the blood is not fo great,as that of choler,fo it far exceeds choler in quantity and thicknefs, which may caufe compreffion and obflruftion of the adjacent muffle. For Choler eaflly diftpableby reafon of its fubtlety quickly vaniffies, neither doth it fuffer it fclf to be long contained in the empty fpaces between the muffles; neither doth an Eryfipelas agree with a Phlegmon in the propriety of the jpain. F or that of an Eryfipelas is pricking and biting without tenlion, or heavinefs, yet the primitive, antecedent and con- jun&cauffs are alike of both the tumors. Although an Eryfipelas may be incident to all parts, yet principally it aflkils the face,by reafon of the rarity of the skin of that place,and the lightnefs of the cholerick humor flying upwards. It is ill when an Eryfipelas comes up- on a wound,or ulcer,and although it may come to fuppuration, yet it is not good ; for it (hews that there is obftruftion by the admixture of a grofs humor, whence there is fome danger oferofion in the parts next under the skin. Pt is good when an Eryfipelas comes from within outwards ; but ill when from with- out it ret ires inward. But if an Eryfipelas poflefs the womb it is deadly, and in like man- ner if it fpread too far over the face, by reafon of the (ympathy of the membranes of the brain. The definition of inEryfipe- Ids. G(il.Cap.2.lib* 14. Meth.med. ($- 2t<id GIah. Two kinds of Eryftpeldt. GAl,ljb,1, ad Glow. Hip. A pho. 79. SeS.y. Aph.i'y. $etl»i6. Aphi 43- Self. 3. CHAP. XIII. Of the cure of an Eryfipelas. Or the cure of an Eryfyelas wemuft procure two things,to wit,evacuation and refrigeration. But becaufe there is more need of cooling, than in a Phleg- mon,the chief fcopemuft be for refrigeration. Which being done, the con' tained matter muft be taken away and evacuated with moderately refolving medicines. We muft do four things to attain unto thefe forementioned ends. Firft of all we muft appoint a convenient manner of Diet, in the ufe of the fix things not naturall; that is, we muft incraflate, refrigerate and moiften as much as the nature of the difeafe and patient will fuffer, much more than in a Phlegmon ; then we will evacuate the Antecedent matter,by opening a vein,andby medicines purging choler.And that by cutting theCephalickvein,iftherebeaportionof the blood mixed with Chcjer, if the Eryfyelx poflefs the face,and if it be fpread much over it. But if it (hall invade another part?although it (hall proceed of pure choler,Phlebotomy will GaI. 14* Method. '4 Things to be performed in cutting an Eryfipekts. In what Eryfipeldt it is tonvenient to let blood, in what net, LIB.7. Of Tfimors againfi Nature in generally 207 xvill nor. be 10 neceliary,becauie the blond which is as a bridle to the choler being taken away3there may be danger3left it become more fierce 5 yet if the body be plethoricftit Will be expedient to let blond,becaufe this, as Galen teacheth, is oft times the caufe of an Erj- >U.It wil be expedient to give a clyfter of refrigerating and humefting things before you open a vein ; but it belongs to a learned and prudent Phyfitian to prelcribe medicines., purging choler. The third care muft be taken for Topick, or locall medicines, which in the beginning and encreafe muft be cold and moift,without any cither drynefs or aftri&ion, becauie the more acrid matter by life of aftringent things being driven in, would ulcerate and fret the adjacent particle* Galen and Aviccn much commend this kind of remedy; T ake fair water the Iharp- eft Vinegar i, make an Oxycrate3in which you may wet linnen clothes and apply to the affefted part and the circumjacent places,and renew them often. Or R, Sued (olani3 plantag. &fempervivi9 an. % ij, aceti f ft Mucaginis fem. Pfylii 5 ft fucci hyofeyami | i, Mifce. But if the Eryfipelas be upon the face, you muft ufe the medicine following. R, Vnguent. Rof % iiij, fled plantagin. & fempervivi, an. 5 i, trochifc. de Camphora £ fi, aceti parum , let them be mixed together and make a liniment. But if the heat and pain be into- lerable., we muft come to narcotick medicines. AsR3 fucci hyofey ami, folani,cicut*9 an. Ji, album, ovorum n. ii, zrcetz J ft opzz & Camphor, an. gra. 9 ft Mucaginis fem. pfyll. & fenigt. extrafi* in aq. rof. & plantag. an.$ fol.de papav. 5 i j. fiat liniment urn ung. refrigerant is Gal. camphor, q. jot is fit. Yet we mult not uleluch like medicines too long,left they caule an ex- tinction of the native heat and mortification of the part. Wherefore fuch Narcotick medicines muft be tiled with regard of place3 time and fuch other circumftances. Therefore we may three manner of wayes underftand when to defift from ufing Narcotick or ftupefa&ive medicines. The firft is when the Patient in the af- fected part feels nbt fo much heat, pricking and pain3 as before , The fecond is when the part feels more gentle to the touch than before The third when the fiery and pallid co- lour begins by little and little to waxe livid and black;for then muft we abltain from Nar- cotick.) and ufe refolving and ftrengthening things, whereby the part may be revived and ftrengthened by recalling the Native heat j As R, Far in.* horde i & Orobf an. J ij, faring fem. Uni 5 i ft coquantur in Hydromelite addenda pulv. rofarum & chamgmel. an J ft ol. ane~ thi & chamgm. an. 5 i, fiat cataplafma. Or you may ufe this following fomentation, 1ft Rad. Altheg 5 ft fob malv*., bifmal. pariet. abfinthif falvigy an. m. i, flor, chamgm. mehlotf rojar. rub. an.m. ij, coquantur in gquis partibus vini & aqug, &fiat fotus cum fpongia. After the fomentation you may apply an Emplaifter of Diachylon Ireatum, or Diapalma diflblved in oil of chamo- mile and Melilote, and fuch other like. The fourth Intention which is of the correction of accidents 3 we will perform by thefe means which we mentioned in curing a Phleg- mon, by varying the medicaments, according to the judgment of him which undertakes the cure. What to pick medicines are fit ro be ufed in rhe beginning <rfanEry/ipeli$t What cautioft muft be had iri theufeof nar* cotick medi. cines. Refolving and ftrengthening medicines, CHAP. XIII I. Of the Herpes; that is3 Teaters, or Ringwormes3orfuch like. Erpes is a tiimor catifed by pure choler leparated from the reft of the humors, that vis carryed by its natUrall lightnefs and tenuity even to the outer or fcarfe skin, and is diffufed over the furface hereof. Galen makes three forts ofthis tumor. For ifperfcft choler of an indifferent fubftance, that is, not very thick, caufe this tumor, then the Ample Herpes is generated, obtaining the name of the Genus ; but if the humor be not fo thin, but compounded with fome ftnall mixture of Phlegm , it will raife little blifters over the skin like to the feeds of Millet, whence it was that the Ancients called this Tumor the Herpes Miliaris. But if it have any admixture of Melancholy, it will be an Herpes exedens} terrible by reafon of theeroiion or eating into the skin and mufcles lying under it. Thefe are abfolutely three intentions of curing ; The firft is to appoint a Diet juft Uke that we mentioned in the cure of an Eryftpelas , The fecond is to evacuate the antecedent caufe, by medicines purging the peccant humor, for which purpofe oft-times clyfters will fuffice, efpecially if the patient be fomewhat eafie by nature, and if the urine flow accor- ding to your defire; for by this a great part of the humor may be carryed into the bladder; The third ffiall be to take away the conjunft caufe by locall medicines ordained for the fwellingand ulcer : Therefore the Chirurgeon ffiall have regard to two things, that is,the refblving of the tumor, aqd the drying up of the ulcer; for every ulcer requires drying, which can never be attained unto, Unlefs the fuelling be taken away. Therefore becaufe the chiefeft care muft be to take away the Tumor,which unlefs it be performed there can be no hope to heal the ulcer,he ffiall lay this kind of medicine to diflblve and dry,as R Cerufe & tuthij prrfar. an. % i, ol. rof. & adipis capon, an. ij, corticif pini & /ocz,| cer<a quan- tum jat is, fiat unguentHm. OrR, Farin. hordei & lent. an. | ij, coquantur in decofio corticif T 2 mail Whataflrr/w is, what be the kinds thereof. Gal. 2, ad G/auconem, What the Herpet miliarii is. What the exedens» Three intend" ons in curing A rule for healing ulcdrj conjoined with tumor*. 208 Of Tumors'againfl Nature in generall. L1 B.7 mali % P, olei Myrtillor. & mel/it com. an.3 viyfiat unguentum-yrt art it e/hBut for an Herpe; Miliaris thele muft chiefly be tiled, R,pwfe. gal!arum3malicurii, balauft.boli armeni an. 5 i, roj. $ iij, aceti actrri'mi % i, axunge an\er. & olei Myrtillor. an. % i 5 hfirtnnguentum ad uyum. I have often lound moft certain help in wwgwentwwi enulatuin cum it kills the puftules,and partly wafts the humor contained in them. Yet if the ulcer, not yet neither yeelds, but every day diffiifcs it felf further arid further, you (ball touch the edges and lips thereof with lome acrid medicine, as Aqua fortisPoyl of Vitriole,or fuch like, for by this kind of remedy,! have oft times heal- ed fretting ulcers, which feemed altogether incurable. The force of Pnguentum cnulatum cum Mercurio. Medicines fit for reftraining eating and fpreading ulcers. CHAP.XV. Of Feavers, which happen upon Erpfipelous Fumors A vulgar de- fcriprion of an intermitting Tertian feaver. S Fe avers fometimes happen upon and Eryfipelaes, which fa- vour of the humor whereof they proceed,that is,Choler. Therefore feeing it is peculiar to Choler3to move every third day, it is no marvail if great Inflam- mations bring with them Tertian Feavers,or Agues, which have their fit eve- ry third day;for it is called an Intermitting Tertian which conies every other day. The Primitive caufeslin general! are ftrong exercifcs, efpecially in the hot Sun,the ufeof heating,and drying either meats or medicines, great abftinence joyned with great labour, care,forrow; the antecedent caufes are the plenty of cooler in the body,an -hot and dry dif- temperature either of the whole body,or of the liver only: theconjunft caufe is the putre- faction of the cholerick humor lying in fome plenty without the greater veflels, in the ha- bit of the body. The figns,a fhaking or fhivering like as when We have made water in a cold winter mor- nings great pricking,ftretching,or ftiffhefs,as if there were pins thruft into us over all our bodies,by reafon of the acrimony of the cholerick humor driven uncertainly and violently over all the body, and the fenfible membranous and nervous particles at the beginning of the fit; then prefently the heat becomes acrid, the Feaver kindled,like a fire in dry ftrawjthe pulfe is great, quick and equal;the tongue dry;the urine yellowifb,red andthin.The Symp- tomes are watchings, thirft, talking idlely, anger, difquictnefs and toffing the body at the leaft noife or whifpering. Thefe Feavers are terminated by great fweats. They are incident to cholerick young men,filch as are lean,and in Summer;after the fit oft times follow cho- lerick vomiting andyellowifh ftools. After the fit there follows an absolute intermiflion re- taining no reliques of the Feaver, untill the approach of the following fit, becaufe all the cholerick matter by the force of that fit and nature is cafily caft out of the body, by reafon of its natural! levity and facility ; whereas in Quotidians there is no fiich thing, as which after the fit al wayes leave in the body a fenfe and feel ing of a certain inequality by reafon of the ftubborncfs of thePhlegmatick humor,and dulncs to motion.The fit commonly ufes to endure 4,5, or 6 hourcs,although at fome time it may be extended to 8 or 1 c. This Feaver is ended at 7 fits,and ufually is not dangerous,un lei's there be fome error committed by the Phyfitian,Patient,or fuch as attend him.Tertians in fummer are fhorter,in winter longer. Wherefore the beginning of the fit is accompanied With ftifnefs,or ftretching, the Hate with fweat,whereupon if the note,lips or mouth break forth into pimples or fcabs, it is a flgn of the end of the Feaver,and of the power of nature which is able to drive the con- junct caufe of the difeafefrom the center to the habit of the body ; yet thefe pimples ap- pear not in the declining of all Tertians,but. only then,when the cholerick humor caufing the Feaver fhall refide in the ftomach,or is driven thither from fome other part of the firft region of the Liver. For hefite the fubtler portion thereof carryed by the continuation of the inner coat to the month and nofe,by its acrimony cafily caufes pimples in thefe places. The cure is performed by E>iet,and Pharmacy. Therefore let. the Diet be fo ordered for the "fix things not natural!, that it may incline to refrigeration and humeftio.n,as much as the digeftive faculty will permit,as Lettuce,Sor- rel, Gourds,Cowcumbers,Mallows,Barly Creams,Wine much allaid with water,thinjfmall, and that fparingly and not before figns ofconcoition fhall appear in the urine ; for at the beginning he may not ufe wine,nor in the declining,bnt with thefe conditions, which we have prcfcribed. But for the time of feeding the patient,on that day the fit is expe£ted,he muft eat nothing for three hourcs before the fit,left the aguifli heat lighting on fiich meats as yet crude, may corrupt and putrefie them ; whence the matter of the Feaver may be incrcafed, ( bccaufe it is as proper to that heat to corrupt all things, as to the native to preferve and vindicate from putrefaftion)the fit lengthened,and nature called away from the concoftion and ex- cretion of the Morbifick humor; yet We may temper the feverity of this Jaw by having re- gard to the ftrength of the patient; for it Will be convenient to feed a weak patient not only before the fit,but alfo in the fit it fcl£,but that only fparingly,lcft the ftrength fhould be too much imp aired. N oW Thecaufes of Tertian fea - vers. Thefignsofan intermitting Tertian. TheSymp- tomes Why Tertians have anabfo- Juteceffation ofthefeaver at rhe end of each fit. The diet of fuch as have a Tertian. When fn.ch as have a tertian may ufc wine. The time of feeding the patient. Of Twnors agdinjl Nature in general!. L1B.7. 209 Now tor Pharmacy It mail be considered, whether the ftrength of the Patient be ihtfici- ent, if the humors abound 5 for then you may prefcriBe fimplex,Cajsia newly ex- tracted, the deco&ion of Violets, of Citrin Myrobalanes •, Syrups of Violets, Puotes, of Pomegranats and Vineger. But if the powers of the Patient languifh , he muft not only not be purgedt but allb mu it not draw blood too plenteoufly, becaule Cholerick men foon faint, by rcafonof the facile and ealie diffipation of the fiibtle humors andfpirits; befides fuch as are fubjeft to tertian Feavers do not commonly abound with blood, unlefs it be with Cholerick blond., which muft rather be renued, or amended by cooling and humefting things, than evacuated. Yea verily, when it is both commodious and necefiary to evacuate the body , it may bee attempted with far more fafety by fuch things as work by inlenfible tranfpiration , which provoke fweats, vomit or urine by reafon of thefubtlety of the Cholerick humor,than by any other. Allb the frequent ule of emollient glyfters made With a decoftion of Prunes, Jujubes, Violets, Bran and Barley, will profit much. If the Patient fall into or talk idlely by rea- fon of the heat anddrynefsof the head, with a particular exccfs of the cholerick hu- mor, the Head muft be cooled by applying to the Temples and Forehead and putting into the Nofe oyl of Violets, Roles, or womans milk. Let the feet and legs be bathed in fair and warm water, and the foies of the feet be anointed with oyl of Violets and fuch like. In the declining, a Bath made of the branches of Vines, the leaves of Willowes, Lettuce and other refrigerating things boiled in fair water, may be profitably tiled three houres after meat eaten iparingly. But I would have you lb to underftand the Declination or declining not of one parti- cular fit, but of the dileafe in general!, that the humors already conco&ed, allured to the skin by the warmnels of the bath, may more eafily and readily breath forth : he which o* therwile ordains a bath at the beginning of the difeafe,will caule a conftipation in the skin and habit of the body, by drawing thither the humors peradventure tough and grofs,no e- vacuation going before; Alfo it will be good after general! purgations to caufe fweat by drinking White wine thin and well tempered with waterjbut urine by a decoftion of Smallage and DilfCertain- ly fweat is very laudable in every putrid Feaver, becaufe it evacuates the conjunct matter ofthe difeafe,but chiefly in a Tertian, by reafon that choler by its inbred levity eafily takes that way,andby its fubtilty is eafily refolved into fweat.But that the fweat may be lauda- ble it is fit it be upon a criticall day,and be forelheWed by figns of concoftion agreeable tc> the time and manner of the difeafe. Sweats when as they flow more llowly are forwarded by things taken inwardly and applied outwardly 5 by things taken inwardly, as with white wine, with a decoftion of Figs, Raifins ftoned, graffe roots and the like opening things 5 but by things outwardly applied, and fpunges dipped in a decoftion of hot herbs (as Rofmary, Time, Lavander, Marjerom and the like) applied to the Groins, Armholes, and ridge of the back. You may for the fame purpofe, fill two Swines bladders with the fame deception, or elfe ftone bottles, and put them to the feet, fides, and between the thighes. Then let this be the bound of fweating, when the Patient begins to waxe cold,that is, when the fweat feels no more hot, but cold. But by the confent of all,bloud muft not be letten after the third fit, but prefently at the beginning ofthe Feaver,according to the opinion and prefcription of Galen, for feeing this Feaver for the moft part is terminated at feven fits, if you ftay untill the third fit bee paft, the Feaverwill now be come to its ftate 5 but Htypocratef forbids us to move any thing in the ftate, left nature then bufied in concoftingthediieale, be called from its begun en- terprife. VV hen to purge the paticiit. When the time is fir to ufea Barh» Whit kinds cvacua ions are moil hr in a Tertiary. When bloorf mull be let. Apber.ip. Sett,*. CHAP. XVI. Of an Oedema or cold Phiegmatick Tumor, Itherto we have treated of hot Tumors, now we muft fpeak of cold; Cold Tu- mors are only two., an Oedema and a Scirrhu 5 And tor all that Hippocrates and the Ancients ufed the word Oedema for all forts oi Tumor, in generally yer. by Galen and thefe Phyfitians, which fucceeded him, it hath been drawn from that large and general lignification, to a more firait and fpeciall,oniy to defigri a certain fpecies3or kind of Tumor. Wherefore an Oedema is afoft,laxe and painlefle Tumor,caufed by colleftion of a Phleg- matick humor. , • • * The Ancients made eight differences of Tumors proceeding of Phlegm: The firftthey termed a true, and lawfull Oedema proceeding from naturall Phlegm; from unnaturall phlegm by admixtion of another humor they w ould have three forts of Tumors to arife, as T 3 that Gal.lib~de turnip prater nature What an Dedemate, The difFerert-' ce$ of Oedenrf 210 Of Tumors againfl Nature ingenerall. LiB.y. that by mixture of blood, Ihould be made an Oedema Phlegmanode j, and fo of the reft. Betides,when they perceived unnaturall Phlegm either puffed up by flatulency ,or to flow With a watcrilh moifture, they called fbme Oedemaes flatulent, others waterifh; but alfo when they law this lame Phlegm often to turn into a certain Plaifter-like fiibftance, they thought that hence proceeded another kind of Oedema, which they exprefled one while by the name of Atheroma, anotherwhile by 5te<rtow<?,and fometimes by Melicerides, as laftly,they called that kind of Oedema which is caufed by putrid and corrupt flegm,S'croph«/e. For we muft obferve that Phlegm fometimes is natural!, and offends only in quantity,whence the' true Oedema proceeds 5 otherwhiles it is not naturall 5 and it becomes not naturall, either by admixtion of a ftrange fubftance,as bloud,Choler or Melancholy,whence arife the three kinds of Oedema's noted formerly by the way; or by the putridnels and corruptions of its proper fubftance,whence the Strum* and Scrophul* proceed-,or by concretion,whence kernels and all kinds of Wens, Ganglia and knots 5 or by refolution, whence all flatulent and wa- terilhTumors,as the Hydrocele,Pneumatocele and all kinds of Dropfies. The caufes of all Oedema's are the defluxion of a Phlcgmatick or flatulent humor into a- ny part,or the congeftion of the fame made by little and little in any part,by reafon of the imbecillity thereof in concerting the nourifhment,and expelling the excrement. The figns are a colour whitifh and like unto the skin,a foftTumor,rare and laxeby rea- fon of the plentifull moifture with which it abounds, and without pain, by reafon this humor infers no ienfe of heat nor manifeft cold; when you prefs it with your finger the print thereof remains, becaufe of the grofnefs of the humor and flownefs to motion. Oe- dema's breed rather in winter than in fummer, becaufe winter is fitter to heap up Phlegm 5 they chiefly poflefs the Nervous and Glandulous parts, becaufe they are bloudlefs, and fo cold and more fit by reafon of their loofnefs to receive a defluxion 5 for the fame caufe bodies full of ill humors, ancient, and not exercifed, are chiefly troubled with this kind of Tumor. An Oedema is terminated fometimes by refolution, but oftner by concrction,feldomer by ' fuppuration,by reafon of the fmall quantity of heat in that humor. A Symptomatical 1 Oedema,as that which follows upon a Droplie or Confumption,' ad- mits no cure uniefs the difeafe be firft taken away. The generail cure is placed in two things, that is, in evacuation of the cpnjunrt matter prohibiting the generation of the antecedent. We attaine to both chiefly by four means. The firft truly by ordaining a fit manner of living and prefcribing moderation in the ufe of the fix things not naturall. Wherefore we muft make choife of fuch air as is hot, dry andfubtilej we muft prefcribe wine of a middle nature for his drink; let the bread be well baked 5 let meats be appointed which may generate good bloud, and thefe rather rofted than boy led. Let all fruits be forbidden, as alfo broths and milk-meats 5 let him cat fuch fifh asare taken in ftony rivers ; the Patient fhall obferve mediocrity in feeding , but prin- cipally fobriety in drinking, for fear of crudities5 after meat det him ufe digeftive pow- ders,or common drige powder if his belly be not naturally loofe,let it be made fo by art. Let the Patient ufe exercife before meat, fo by little and little to fpend this humor, and reftore the native he it. Let him fleep little, becaufe much fleep breedeth cold humors 5 let him avoid grief and fadnefs. And if he be ofa weak body, let him abftain from venery, left by another weakning by the ufe of venery added to his prefent infirmity, he fall into an uncurable coldnefs,from whence a greater meafiire of crudity will arife. Otherwile, if the body be ftrong and lufty,by fuch cxercifes and the moderate ufe of venery it will be the more dryed and heated. For fo that fentence of Hippocrates is to beunderftood; That venery is a cure for Phleg- matick difeafes,as Galen in his commentaries tels us. The Phyfitian may perform the fecond intention by turning his counfcll to that part,from whence the fpring of this Phlegmatick humor flows. For if the infirmity arife from the ftomach, or from any other part,the part from whence it comes muft be ftrengthened 5 if from the whole habit of the body, let atte- nuating,penetrating and opening medicines be prefcribed. We perform the third intention by evacuating the humor impaft in the part with locall medicines varied according to the four times of the Tumor. > For Galen in the beginning and encrealc prefcribeth a fomentation of Oxycratum tiled With a fpunge. But if lb be tliat the Oedema be upon the Arm or Leg, a repelling rowler is very good, that is, fiich an one as is brought from below upwards. So thele medicines following are very fit for the fame purpofe, R, Lixinii ex cineribus jarmentorum, & an. §iiija Tartari & Aluminit an.% fi, mixe all together and make a deco&ion, wherein wet fponges and foment the place. Alfo you may ufe the following Cataplafin, R, farin*hordei iiii, coquantur inLixivio communi, addenda pulweris nucis cuprejsi,corticum gra- natorum, balaufli. an. | i, Myrrh*, Aloes, alum. an. f f$, olei Myrtill. ij, fiat Cataplajma. In the ftate and declination you muft ufe drying and refolving mediciijes, as Be, Nucxm cuprefsi, granat. fumach. balaufli, an. i,Sali/i*, origan, calament. Hyffopi, mehfi* an. m. i, abfinthii, plan- tag. eaud *equ. tapfi. barb, centinod. an. m. fl. alum, tartar. & falls com. an. 3 i, coquantur cum lixi- foment it with a fpunge, then prefcntly apply this following Cataplafm. R> Rad. Brioni* By how many waies Phlegm becomes not natural!. The Caufcs. Thcfigns. Theprogno- sticks ♦ How Oedema's arc terminated. The intentions of curing Ode* w«'a The diet; fixercife, What to be obferved in the ufe of vcnery. 6»Epid.fe&,$t fen. Lib. 2 ad G lane. W-3- A rowlcr. L1B.7. Of Tumors againjl Nature in generad. 211 Erioni# J ij, ab/inth. plantag. certin. chanwn. meliloti) peleg. an. m.f. coquantur in pi- fierturjtrajiciartur, addenda pulver is rof. rub. chamem. melil. an% fiat Cataplalma. Laftly, you may here with good fuccefs ufe refolving emplaifters and ointments, firft, heating or chafing the part by fri&ion or fomentations, aswellmoiftas dry; otherwile emplaifters will fcarlly do their duty, by reafonof the great coldnefs of the part,being not fufticient of it felf to affimilate the nourifhment, or to expell the fuperfluous and unprofi- table humor.Let a fomentation be made with white Wine,in which Sage,Rofemary, Time, Lavander, Chamomile and Alelilote flowers, red Rofes, Orris roots, and fuchlike have been boyled, with a little Vinegar added thereunto. Quench hot bricks in the fame decoftion, and apply them wrapped in linnen clothes to the affe&ed part, for fo a vapour will breath forth which hath an attenuating, piercing,refolving and ftrengthening faculty. But you may in ftead of the bricks fitly apply Hogs or Oxc bladders, filled half full with the foreiaid decoftion,and that hot. The fri&ions muft be made of hot linnen clothes, for fo the native heat together with the bloud and fpirits is recalled to the part, and fuligi- nous humors contained under the skin are refolved, whereby the ftrength of the part is in fbme part recovered. What cautidflf to be had in application of Emplajflers# C HAP.XVI I. Of the cure of flatulent and jvaterijh Tumors t Formerly declared that not only flatulent and wateriffi Tumors were compre- hended under this word Oedema, but alfo luch as are bred of congealed Phlegm, as Atheromata,Steatomata and Melicerides. Flatulent or windy Tumors are earned by vapour and wind kept in or contained fometimes under the skin,fomewhiles un- der the membranes, as the Periofteum and Pericranium, whereupoia infues cruell torment by reafon of the diftention of thele parts which are endued with moft exquifite fenfe. Some- times the Entrails, as the ftomach and Guts are fwolien and ftreoched out with wind,as in a Tympany. ' ; ">>>• They in this differ from a true and ligitimate (7eJewrf,that when you lay your finger up- on them and take it off again,there remains no fign of the prefiure thereof,becaufe they are diftent by vapour and not by humor, for the vapour being prefled returns ipeedily again,as you may perceive by balls or bladders filled with wind. The caufe of fuch Tumors is the weaknefs of the native heat, not being able eafily to re- fol ve and wafle the Phlegm by which the windy Tumors are raifed,for fo the morning Sun (which in fbme fort refembles our native heat)cannot refolve the mills difperled in the air; which at noon it eafily refolves into pure air. Allb after the fame manner our weaker heat ftirs up vapours from that Phlegm it could not diflblve, which vapours are the matter of inflamations, orlwellings. But oft times although the native heat be fufficiently power- fulLyet becaufe the humor lyeth deep,or is kept by the thicknefs of fbme membrane, ten- don or Ligament,the ftirred up vapour cannot exhale, whereby it comes to pals, that en- creaied by little and little it caules a Tumor. The figns of fuch a Tumor are a certain renitency or refiftance perceived by prefling it With your finger, and fometimes a noife as if you finite upon a drum, efpecially if much, wind be contained therein, fuch as are often gathered together in the hollownefsof the belly,and in the fpaces between the larger mufcles. The Tumor is neither red nor hot, but rather cold and white as in an Oedema.lt often poflefleth the joints,and efpecially the knees, and it is very difficult to be refolvcd. If fuch flatulency be gathered together in the Guts, it caufeth the wind Colick, in which fometimes the diftention is fo great that death eH* fues by reafon of the renting or tearing the coats of the Guts. In what pia<$ flatulencies may be gathe* red. Tuwhat flats- lent tumors differ from a true Oedemt* \ The caufes of flatulent Ta- morsf The figris of fuch Tumor CHAP. XVII I. of the cure ofaflatulent and tvaterijh Tumoi/1, I (hall chiefly and principally cure flatulent and waterifh tumors by three means- Firft,by the fame diet which we preicribed in an then by ftrcngthening the parts appointed for concoction, as the ftomach and Liver, chiefly by the tem- perate u(e of Aromatick things,as 'Diacuminum,Diacalamcntha9AromatKum latum, Aromaticum the like, to be prefcribed according to good liking of the Phyfitian which overfees the cure 5 laftly, by taking away of the conjunft matter by hot, drying and attenuating medicines which they call Carminative, that fo the part being ra- rified the humor and flatulency therein contained may be difcufled and diflipated. But re- medies of this nature muft be varied according to the variety of the parts 5 for fome things are fit to be applyed to the ftomach, others to the Guts,others to the joints, and others to the flefhy parts 5 for the Colick you muft injeCt carminative glyfters, let revolving Sacculi or Bags be applied, and cupping-glaflcs faftened to the Navel 5 if an outward part be af- fcCtcd Diet/ Things ftrengthnirif the parts. Medic nes eva- cuating the conjunfl ter. 212 OfTmors againfi Nature in generall. LIB.7. aftefted,we ufe fomentations,liniments,chiefly if pain torment; as alfo Cataplafmes and Emplaifters,as R Florum chamam.melil. rofar. rub, an. p.j.abftnthii ji. hyfopi.,an.m. let them be boiled in Lye,adding a little vineger for a fomentation to be ufed with fpunges. Galen foments the part with Rofe-vinegar and a little fait put thereto., and would have a fpunge dipped therein to lye fomewhat long upon the part. R Olei chamam. aneth. rut. & liliorum9 an. ceraalba | vj. aq. vita let them all be mixed together and make a lini- ment,with which anoint the part after the fomentation. R Farina fabar. orobi} an. Jiij, co- quanutur in de cotto pulegii) origani3 calamenth. addita pulverum chamam. &melilot.an. tn. ft, furfur, farina fab. & orobi3 an. %ij:> c&quantur cum lixivio communiaddenda terebinth. Hij, oleor. aneth. & rut. an. *ij.make an emplaifter for the forefaid ufe. The emplaifter of Vigo with Mercury,and without,is very good for the fame purpofe. But you muft note, that fuch medicines muft be applied to the part a&ually hot, and the fame heat muft be contained and renewed by putting about it linnen clothes, bricks, bot- tles and fuch like hot things. The Humor and flatulency which were kept (hut up in the part being refolved, the part muft be ftrengthnedjcft now and then it receive or generate the like matter. That may be done by the following fomentation and cataplafme.R Nucum cuprefft, corticum granat. fumach. berbery balauft. an. equin.arnoglofs.tupfi barb. abftnth.falvia, rorifm.lavendul. an. m.ff.flor. chamam. melil.rolar. an.p. j. alum, falls com. an. bulliant omnia in aquis partibus aqua fa- brorum & vini bags for a fomentation, or ufe the decoftion for the fame pur- pofe with a fpunge.R Farina fab. hordei & lupin, com. Jiiij. pulver.radicis tnafiic. an. me 11 is com. |ijfl> of the forefaid deception as much as fhall fuffice,fo to make a cataplafme to the form of a poultis liquid enough, let it be applied hot to theaffe&ed part having ufed the fomentation before. The figns of a waterifh tumor are the fame as of a flatulentjbut over and befides it flaines, and at the preffing with your fingers, there is heard a noife or murmur as of a bladder half filled with water. Therfore the waterifh tumor if it fhal not yeeld to the forementioned refolving medicines, the way muft be opened with an incifion knife, after the fame manner, as we mentioned in a Phlegmon. For oftentimes this kind of remedy muft be neceflarily ufed,not only by rea- fon of the contumacieof the humor which gives no place to the refolving medicines, but alfo becaufe it is fhut up in its proper cift or bag, the thicknefle of which fruftrates the force of the refolving medicines, neither fuffers it to penetrate into the humor. As I fome years agoe found by experience in a maid of 7 years oldjwhich troubled with a Hj/drocele or waterifh rupture,to whom when I had rafhly applyed to diflblve it refolving medicines of all forts,at length I was forc't to open it with my knifejnot only to evacuate the con- tained matter,but alfo that I might pluck out the bag, which unlefle it were cut up by the root, would be a mean to caufe a relapfe. John Altine Doftor of Phyfick called me td this bufinefle. James Guilemeau the Kings Chirurgeon overfaw the cure. Galens foment ration. Corroborating medicines. Thefignsof a waterifh tu- mor. Why a ware- iift tumor muft be opened with an inftru* went. AHiftory. CH AP. XIX. Of an Atheroma, Steatoma, and Meliceris. Lthough thefe tumors may be thought comprehended under one genus with other Oedematow tumors, yet they differ as thusjthat is, their matter is fhut up in its bladder or bag, as it were in a peculiar cell. But their difference amongft them- felves is thus; the matter of the the name fignifieth, is like unto Tal- low [ for in Greek fignifieth Tallow,or feamj yet it oft-times is found fluffed with other divers hard bodies,ftony, bony or callous like unto the claws of an hen.For Philoxe- W reports that he fometimes faw flyes in a Steatoma at the opening thereof,and inch other like things wholly diffenting from the common matter of Tumors. The matter contained in Anotheroma is like to pap,with which they feed little Children.A Meliccris contains mat- ter refembling honey in colour and confiftence; thefe tumors appear and rife without any inflamation going before them.Thusyou fhal know thefe tumorsja Steatoma is harder than the other two, neither ycelds it to the prefiiire of your finger,but when it once yeelds, it doth not fpeedily and callly return to its former figure,becaufe the matter is more grofs; it is of the fame colour as the skin, without pain,and of a longifh figure.The Melicerx yeelds to the touch, as being a loofe and foft body, and as it is eafily difpofed and diffufcd,fo it quickly returns to its former place and tumor. It differs from the Atheroma in figure and fqbftance. For it is more globous and of a fubtiler and more fhining matter, belides alfo it takes up a large fpace, and is more obfequious to the touch, and for the reft, without pain As for the manuall operation of the Chirurgeon in their cure, it feems to be of no ereat confequence of what fort the matter is,whether refcmbling tallow, honey, or pap, lor there is one fimple manner of operation, which is, that you pluck away the contained humor as alfo the receptacle in which it is contained. Yet you mufl note fuch tumors, fometimes as it were hanging in the furface of the skin, are eafily to be moved this way, * and In what an Atheroma, Mehcerii dif- fer* OiChirurgcry lo be ufed to jhcfe tumors. L1B.7. Of Twnors againfl Nature in general!. 213 and that way; but otherfome again deeper faftned firmly cohere with the adjacent bodies., and thefe require an exquifit hand and alfo induftry for fear of a great flux of blood And convulfion by cutting a vein.There are many other kinds of tumors,as the Tefludo or Mole, the Nat a, the Glandula, Nodus, Bot iwn, Lwpz<z,which as in matter ( for they are all of a thick, clammy and vifeous Phlegmatick humor) fo alfo in kind they agree with an totna, and Meli'cexisd&it alfo in thefe for the moft part, when they are opened, you may lee bodies of all forts far different from the common matter of tumors, as ftones, chalk, fand, coals ,fnails,ftraws;or awnefs of corn, hey, horn, hairs, flefh both hard and fpongeous, griftles,bones, whole creatures as well living as dead. The generation of which things(by the corruption and alteration ofhumors)fhall not make us much toi admire it, if we conlider,that as nature of all the feeds and elements of the whole great world,hath made man the Microcofme or little world,that he might be, as it were, the lively Image of that greater world; fo in him, it being never idle in us, would have all the kinds of all motions and actions to ffieW thcmfelves, as long as matter for generation is not wanting.But becaufe there is little, or rather no mention of thefe tu- mors amongft the ancients, we will briefly (hew the opinions of the later writers concer- ning them. Now they fay, theTeftudo is a tumor contrary to nature, foft,diffufed, or vaulted,or ar- ched like a Tortois,fometimes it arifes in the head in form of a Mole,and then it is a Mole. The Nat a is a great and fleffiy tumor, not in fhape unlike a Melon,or rather the flefli of a mans buttocks,whence it may feem to have had the name, unlefs we had father fay it had it, becaufe it more ufually breeds upon the buttocks,than upon any Other part of the body. ' .• The Glandula takes its denomination from an Acorn,called Glans in Latine, the which it fomewhat refembles in the compafle and forni of the tumor; or elfe becaufe it moft com- monly breeds in the Glandules, oi'Emunftories of mans body. The Nodus or knot, is a found tumor,hard and immoveable,named froni a, rope tied on a knot. ' ' J Guido Cauliacen/ts affirms knots commonly to grow in riervotiS bodies; but at this tinic they more ufually arlfe on the bones of fuch as have the French difeafe. Wharthe caufe may be,that we fometimesfind infella in thefe T amors* What the Te~ ftadoy or Talpa' ria is. What the Nat a is. What a Gandn» la. What Noduti CHAP. XX. Of the cure ofv Lupiw, that IVens, ot Ganglions. Wen or Ganglion is a tumor fometimes hard,fbmetime$ foft, yet alwaies ro'fifid ufing to breed in dry, hard,and nervous parts. Ahd feeing that foffie of the tu- mots mentioned before in the former Chapter,ftick immoveable to the parttc which they groW,becdu{e they are contained In rfocift, or bagjotherfome are moved tip and down by the touch ofyour fingers, betaufe they are contained in a bag or bladder,it commonly comes to pafle that Wens have their bladder wherein to contain them,and therefore we think fit,the rather more freely 3 dud particularly to treat of their cure,becallfe. they af-e ihofe difficultly cured, efpccia'lfy where they- die inveterate and of longftahding. . ' ; <Jj h taL.:r F, 1 The primitive caitfes of thefe are dull bloWs,fallings from hfgh placesjftrains', and Other fuch like occafions. But the antecedent and cortjunft caufes-ffe the fame with tliofe 6f an Meroma, Melicerij and Steatotfia. The defcription formerly fet doWn, will fernlffiybtt With byWM$i ybh may- know when they are prefent;certainly from very fmall beginnings'tfttygfbw'By Iftffednd little to a great bignefs,in the fpace of fix or feven yeers,fome of them yeeld much to the touch,and almoft all of them are without paim You may hinder fuch as are beginning and firft growing, from encreafe by fomewhat a ftrong and frequent rubbing with your fingers. For fo their bag or bladder, together with the skin wax theconpqfped humor, grows hot,is attenuated and refolved. fo you nothing prevail, y Ou,muft lie upon, them-with your whole hand, dr a flatted peeci: ofwood as heavy as you can,untill fiich.time as the cifl: or bag be broken by your inibref- fion;Then apply andrftrongly bind unto it a.plate of lead,rubbed ,over with for 1 have many times found by experience,tfiaf it hath a wonderfull and waft the ftibjeft humor.Btft if the Wen be in fuch a place in which you can mafic no ftrong- impreflion,as in the.face,cheft,belly,& tbroat,let there be applied an emplaiier whicli hath, a refolvingforce,fuchas this following hath; R gumni in aceto., & trajicianiur per JetacexM}addendo okililiorwn & laufi, aqu. viix par urn 3 pubveriji arnmon.\ulphur .vivi, witrioli romani3 an. let them be all incorporated together and make an Eniplaifter according to Art.But if the tumor cannot fye thus refolved,it muft be opened with a knife or after the Efchar is rempved?and tfie bag wafted by Mercury,and the like,the ulcer muft be cleanfed,replenifhed With flelh, and cicatrized, . gemc. What a GUri* glioii is, TlWcaufeQ Signes, Their cure at lhe beginning* Plates of Iea$ ■ rubbed with Q}ick Giver. A refolving plaifter. Things to waft Or consume rhe bag. 214 Of 7 wnors againft Nature in generall. Lib.7, Sometimes Wens grow to fo great a mafle, that they cannot be cured by the defcribed remedies,wherefore they muft be taken away by the root,by your hand and inftrument, if fo be that there be no danger by reafon of their greatnefs,and fo that they adhere not too cloiely to the adjacent parts,and if they be not too nigh to the greater veins and arteries; for it will be better in fuch acaufe to let them alone.This (hall be your way to cut them off,or take them away.A fmall incifion muft be made,even to the bladder,or bag,by which thruft in a probe of a fingers thicknefs,hollowed in the midft,round at the end,and as long as need fbal require;then draw it many times about between the skin & the bag,even to the root of the Wen,that fo the skin may be divided long waies, then it will be requifite to make another incifion overthwart, fo that they may interfeft each other like a crofs; then prefently draw the skin from the bladder,from the corners of the Wen,to wards the root, and that, with your finger covered with a fine linnen cloth, or elfe with a Razor if need require. But you muft obferve that in a Wen there are alwaies certain veflels, which are (mail in thebeginning, but much encrealed in procefle of time, according to the encreafe of the Wen, whereof they are as it were the roots;wherefore if any Hemorrhagic or flux of bloud happen,let it be flopped by binding the veflels at their heads and roots,or make a ftrait li- gature at the roots of the Wen,with a peece ofwhipcord,or with a many times doubled thred, and let the ends hang forth until it fall away of its own accord. Neither will it bee fufficient to have cut away all this tumor,but alfo it will be fit to cut away a portion of the skin,wherewith the tumor was covered,and only to leave fo much as (hall fuffice to co- ver the part,then with a needle and thred draw together the lips of the incifion,but in the interim let tents be put into the bottome of the ulcer untill it be perfectly cleanfed,and the reft of the cure be workmanlike performed,even to the cicatrizing thereof. The Chirurgeon Collo and I ufingthis method,in the prefence of Mafter Dr-ViolaniM the Kings Phyfitian,took away a Wen from Martiall Colard,the Major of Burbon, it hanged at his neck,as big as a mans head,and it weighed eight poundsjwhich made it fo troubiefome and burdenfome to him, that he was forced to carry it bound up in atowell, as in a fcrip. Verily if thefe kind of tumors have a flender root and broad top, they muft be ftraitly tied and fo cut off. But it is very difficult and full of dangerous chance to take away fuch Wens as are i'eated in the neck,neer unto the Jugular veins,thefe under the Arm-holes, in the groins, and fuch as are under the ham;by reafon of the deadly force of fuch fymp- tomes, as may thence arife. We can only conjecture, not certainly fay, what kind of mat- ter may be contained in them. We can only know of what fort it is, when by incifion it isprefented to our fight. Yet in fuch as are very hard and do muchrefift the touch, there are often found matters, which in confidence may be refembled to little ftones or pibles. 1 being on a time called to open the body of a great Lady, found in one of her brefts a body which might equal the bignefs of an Hens egg,hard, and compact like a rough pible; it was held,whilft the lived,both by the Phyfitians and Chirurgeons,to be a Owcer,becaufe this hardnefs was very painfull to her, when it was but gently prefled down. But alfo fome few yeers agon, J being called to the cure of a very honeft woman, which was troubled with the famedifeafe, ftrongly withftood the Phyfitians andChirurgeons affirming it to be a Cancer, for the tumor had taken no deep root,the habit of the part was not changed from the native colour,the veins about it were not fwollen,neither was there any other convincing fign of a Cancer. For this fame woman had her courfes at their due and ufuall time, and was well liking,and had a good colour in her face and body, was free from all fort of pain, unlefle when you prefled down the part affected. Befides thence for- ward the tumor grew not at all;no other evill accident befel her,yea verily ffie lives merri- ly,and well both in body and mind. The manner to take away Went* A Hiftory. What Wens to be cured by ligature* Which dange. tousrocijrc. A Hiftory. The matter of a Wen isfonie- times taken for a Cancer. Another Hiftory. How you may know a Wen from a Cancer. CHAP. XXL Of a Ganglion more particularly fa called. Here are alfo certain fmall tumors of the kind of Liqia or Wens, which grow on divers parts of the body,but chiefly on thewrifts of the hands,and ankles of the feet,being called by a more particular name $#zg7/4;they appear on the top of the skin, neither do they ever lie deep.The caufe of them is either the imbecillity of a nerve or tendon got by wrefting, extenfion, a blow, labour, or other fuch like caufe. Through which occafion the alimentary juice which flowed to thefe parts , feeing it can neither be conceded,nor aflimilated into the proper fubftance, is converted into an hu- mor of the like nature cold,and grofs, which in continuance of time heaping it felf up by little and little about the fibers,and the very fubftance of the concretes into a tu- mor. It is not fit to life any iron inftrument to thefe Gvnglia which poflefs the tendons and joints, but only apply Ammoniacuin and Galbanum diflblve'd in Vinegar and Aqua vita: as Be WhataGdn- glien properly fo called is. The caufesi What GangliA may not be enred with iron Inftruments* L1B.7. Of Tumors againft Nature in generail. 215 ennmi ammon.& fagapeni in aqua vit£ an. *j. coquantur [uper cineres calidor ad formant tmpla-krij'ub finem adde vivi fubtiliter pulver if at i empl. ad «>«. Alfo the Emplai- fter of Vigo with double Mercury would be good for the fame purpole. The tumor foftned by thefe remedies,muft be wrought,rubbed, or preffed,fo long,untill the bladder or bag be broken under your fingers,which 1 have divers times done; then it will be expedient prefently to apply and bind hard thereunto a plate of lead rubbed with Qaick-filver, which may waft and confume the remaindei of the tumor. Sometimes there are Ganglia ieen hanging by a final! root,as it were a ftting; wherefore they muft be tied with a firing at the root,and cveiy day twitched harder and narder , till fuch time as they fall off. The reft of the cure may be eafily performed by the common rules of Art. CHAP. XXII. He Scrophufe are ocdematous tumors arifingin the glandulous parts, as the brefts,armholes, groins, but chiefly in the glandules of the neck. They appear either one or many,according to the quantity of that matter from whence they proceedjcommonly contained in their proper rift,or bag, as Atheromaes, and Melicerides are. \ . They are made ofagrofle,cold,vifcid,and phlcgmatick matter with fome admixture of melancholy .They differ from other glandulous tijmorsffirft in number, for moft ufually there appear many of them united together,fpringing from fomewhat a deeper root than glandulous tumors doe;fome of them are moveable,otherlbme Woven with the neighbou- ring nerves,remaining unremovable. Ganglia appear fewer in number,and are without pain; but Scrophule ofttenti mesare when they wax hot by putrefaction;fo that fometimes they degenerate into cancerous ulcers, not to be touched by inftrunicnts nor acrid medicines. Phlegmatick,melancholick, and gluttonous perfons,and fuch as arcaccuftomed to feed on cold and moift nouriffiments, as fiih and cold water, and lead a fedentarie and idle life, are fubjeft to the ScrofhuU.They are cured by a moft (lender diet, for fo the native heat by want of nourifhment turned upon the material cauie of fuch like tumors,wafts it. And they are cured by purging of thefuperfluous humors , and alfo by application of emollient refolving,and fuppurating topick medicines,after this following manner.R Mm- caginis alth.fanugr.& ficuurn ping. an.%i]3olei & cham^m.an.^]3pinguedinis aniern & axun- gidiforci 50, 'terebinth. Ven. ammoniaci,&galbani in aceto diffolutorum nov<e quan- tum [atidyfiat cerotum [ecundum artem ad modum diachyli magni. The ointment for the French difea(e,and the Emplaifter of Vigo with Mercury, are excel- lent for this purpofe,efpccially if we continue fo long untill the Patient come to Salivati- on,for fo nature will disburden it felf of the humor, generating the ScrophuLe, which I have fometimes tried with happy fuccefle.R Emplafiri diachyl. alb. & mag.ceroti afopi dejcnpti- onuf Philagriij an. dart ?j. olei liliorum parum, fiat emplaftrum fatit molie. But if the ScrophuU cannot by this means be refolved,but as it oft-times happens, tend to iuppurati- on, you muft ufe fuppuratives,as R rad. alth. & in aqua pi- flentur, trajetfa adde capitum alliorum jub cineribu* co dor urn liliorumy&piiig.anfcrit & anat. an. fyfyarino! feminir hni quantum [atif3formetur cataplafma. Here we muft admoniffi the Chirurgeon, that he open not the Scrophufe before that all the contained humor be fully andperfeftly turned intopz# or matter;otherwife the refidue of the humor willjremain crude, and will fcarfe in a long time be brought to maturation; ivhich precept muft be principally obfervcd in the Scrophul.? and alfo fometimes in other abfceflcs,which come to fuppuration. For we muft not as foon as any portion of the con- tained humors appears converted into and haften the apertion. For that por- on of thefuppUratcd humor,caufes the reft fooner to turn into pus, which you may oblcrve in inanimate bodies.For fruits which begin to perifti and rot,unlefs we prefently cut away the putrefying part,the refidue quickly becomes rotten;there is alfo another reafon ; The native heat is the efficient caufe of fuppuration; it therefore (the fore being opened ) di- miniffied and weakned by reafon of the diffipation of the fpfrits, evacuated together with the humor,will caufe the remaining portion of the humor not to (uppurate , or that very hardly, and with much difficulty. Yet if the tumified part be fubjeft,by its own nature,to corruption and putrefaftion, as the fundament;if the contained matter be malign,or criti- cally will be far better to haften the apertion. T here is alfo another way of curing the Scrophult .yMch is performed by the hand. Fqr fuch as are in the neck;and have no deep roots,by making incifion through the skin, are pulled and cut away from thefe parts with which they were intangled. But in the perfor- mance of this work, we take fpeciall care,that we doe not violate or hurt with our inftru- ment,the jugular veins, the fleepy arteries,or recurrent nerves. If at anytime there be dan- ger Of the Strumae er Scrophiibjthst/yjthe Kings-evil/. What ths ScTopnula ok Kings-evil is. Their material! caiife. How they di£. fcr from other glandulous cumot5» Their cute by diet. Emollient and refolving me- dicines* A note co be obferved in Opening Scio- phuicus Natural! heat thecaufeof fuppuiation'4 The ChirurgP call manner of curing, $ era- phul*. 216 Of Tumors againft Nature in general!. Lib.7*. ger of any great efflux of bloud,after they are plucked from the skin, they muft be tied at their roots, by thrufting through a needle and thred,and then binding the thred ftrait on both fides, that fo bound they fall off by themfelves by little and little without any dan- ger. The remainder of the cure may be performed according to the common rules of Art. CHAP. XXIII. Of the Feaver which happens upon an cedematous Tumor. tdow an inter- inirr ng Quoti- dian happens upon oedema- tons tumors* Thecaufeofa Quotidian fearer. Lving (hewed all the differences of oedematons tumors,it remains that we brief- ly treat of the Symptomatical feaver,which is fometimes feen to happen upon them.This therefore retaining the motion of the humor by which it is made, is commonly of their kind,which they name Intermitting Quotidians. Now the fit of a Quotidian comes every day, and in that repetition continues the fpace of eighteen hours;the refidue of the day it hath manifeft intermiflion. The primitive caufeS of this feaver are,the coldnefle and humidity of the air encOmpaf- fing us, the long ufe of cold meats and drinks,and of all fuch things as are eafily corrup- Summer fruits,crude fi(hes,and laftly,the omiflion of our accuftomed exercife. The antecedent caufes are a great repletion of tumors,and thefe efpecially phlegmatick. The conjunct caufe, is phlegm putrefying in the habit of the body, and firft region thereof without the greater veins. The figns of this feaver are drawn from three thingsjas firft natufall ;for this Feaver or Ague chiefly feizes upon thefe which are of a cold and moift temper,as Old-men, Women, Children, Eunuches,becaufe they have abundance of phlegm; and it invades Old-men by its own nature,becaufe their native heat being weak, they cannot convert their meats,then taken in a fmall quantity,into laudable blood,and the fubftance of the parts.But it takes children by accident,not of its felf,and the own nature,for children are hot and moift;buc by rcafon of their voracity,or greedinefs,and their violent,inordinatc,and continual! mo- tion after their plentifull feeding,they heap up a great quantity of crude humors fit mat- ter for this feaver;whereby it comes to pafle, that fat children are chiefly troubled with this kind of feaver, becaufe they have the paflages of their bodies ftrait and flopped, or becaufe they are fubjeft to Worms, they are troubled with pain, by corruption of their meat; whence arifeth a hot diftemper by putrefaftion,and the elevation of putrid vapors, by which the heart being molefted,is eafily taken by this kind of feaver. From things not natural!,the figns of this feaver are thus drawn.lt chiefly takes one in Winter, and the Spring,in a cold and moift Region,in a fedentary and idle life, by the ufe ofmeats,not only cold and moift,but alfo hot and dry,if they be devoured in fuch plenty, that they overwhelm the native heat. For thus wine,although it be by faculty and nature,hot, and dry, yet taken too immo- derately,it accumulates phlegmatick humors, and caufes cold difeafes.Therefore drunken- nefsjgluttony,crudity,bathes and exercifes prefently after meat,bcing they draw the meats as yet crude into the body and veins;and to conclude, all things earning much phlegm in us, may beget a Quotidian feaver. But by things contrary to nature, becaufe this feaver ufually follows cold difeafes,the Center, Circumference,and Habit ofthe body being re- frigerated. Thefymptoms of this feaver are, the pain of the mouth of the ftomack, becaufe that phlegm is commonly heaped up in this place,whencc follows a vomiting, or calling up of phlegm;the face looks pale,and the mouth is moift, without any thirft, ofttentimes in the fit it felf;becaufethe ftomack flowing with phlegm,the watery and thinner portion there- of continually flows up into the mouth and tongue,by the continuity of the inner coat of the ventricle common to the gullet and mouth. It takes one with coldnefs of the extreme parts,a fmall and deep pulfe,which notwith- ftanding in the vigour of the fit,becomes more ftrong,great, full,and quick. Juft after the fame manner,as the heat of this feaver at the firft touch appears mild, gentle,moift and va- porous;but at the length it is felt more acrid, nootherwife than fire kindled in green wood,which is fmall, weak,and finoakie at the firft; but at the length when the moifture being overcome,doth no more hinder its aftion, it burns and flames freely. The Patients are freed froth th.ir fits with fmallfweats,which at the firft fits break forth very fparingly,but more plentifully when the Crifis is at hand;the urin at the firft is pale and thick,and fometimes thin,that is, when there is obftruftion. But when the matter is concoft,as in the ftate,it is reckif at the beginning of the fit they caft up any quantity of phlegm by vomit,and that fit be terminated in a plentifull fwcat, it (hews the feaver will not long laft;for it argues the ftrength of nature, the yeeldirrg and tenuitie of the matter flying up,and the excretion ofthe conjunct caufe of the feaver. A Quotidian feaver is commonly long,becaufe the phlegmatick humor being cold, and moift by nature,is heavy and unapt for motiomneither is it without fear of a greater dif- cafe,becaufe oft-times it changes into a burning, or quartain feaver,efpecially if it be bred • • The Sighs* How children come to be fubjefl to Quotidian fearers. How phlegtna8 tick humors happen to be generated by hot and dry meats* The fymptoms of Quotidians* •Tne manner of rhe pulfe and heat in a Quo- tidian* Critical fweats* The uiin* Why Quotidi- ans are ofttimes long. Into what dif- cafes a Quar- rain ufually changes. Of Tumors again fl Nature in general. L1B.7. 217 litialc Phlegme-tor laicneis hath aihnity with bitterntis,wherefore by aduftion it ealily de- generates into it,fo that,it need not feem very ftrange,if fait phlegm by aduftion tdrn info choler ,or melancholy .Thofe who recover of a Quotidian feaver,fiave their digeftive facul- ty very weak; wherefore they muft not be riohrithed with ftore of meats, nor with inch as are hard to digeft. Jn a Quotidian the whole body is filled with crude htimors, where- by it comes to pafle that this Feaver oft-times lafts fixty daies. But have a care, you be not deceived,and take a double tertian for a Quotidian, becaufe it takes the Patient every day as a Quotidian doth. Verily it will be very eafietd diftingtiifti thefc Feavers by the kind of the humor, and the propriety of the fymptomes and accidents-, befide. Quotidians commonly take one in the evening, or the midft of the night,as then when our bodies are refrigerated by the coldnefs of the air caufed by the abfence of the Sun. Wherefore then the cold humors are moved in us, which were bridled a little before by the prefence and heat of the Sun. But on the contrary, double tertians take one about noon. The fhortnefs and gentlenefs of the fit, the plentifiill fweat breaking forth,the matter being conco&ed, cau- fes us to think the Quotidian Ihort. and falutary. The cure is performed by two means; to wit, Diet, and Pharmacy.Let the Pict be flen- der and attenuating,let the patient breath in a cleer air moderately hot and dry; let his meats be bread well baked,cock or chicken broths in which have been boiled the roots of Parfly, Sorrell and the like. , . Neither at fometimes will the ufe of hot meats ,as thofe which are fpiced and faltcd, be unprofitable,efpecially to fuch as have their ftomach and liver much cooled. Let him eat Chickens, Mutton, Partridge and fmall birds , river fifties and fuch as live in ftony waters fryed or boiled, rear egs and fuch like. Thefe fruits are alfo good for him, Raifons, ftewed Prunes,Almonds and Dttis* Let his drink be fmall white wine mixed with boiled,water. Moderateexercifes will be good, as alfo friftions of the whole body : deep taken at a fitting time, and proportioned to waking, fo that the time of deep fall not upon the time of the fit; for then it hurts very much; for calling the heat to the inner parts, it doubles the raging of the feaverifh heat inwardly in the bowels. . , , ; ' Forthepaflions of the mind, the patient muft be merry, and comforted with a hope fhortly to recover his health. Itfeems not amide to iome, at the coming of the fit to put the feet and kgs into hot water, in which Chamomill, Dill,Melilot,Marjefom, Sage, and Rofemary have been boiled. The medicines fhall be fuchfyrups as are called digeftive and aperitive, as fyrup of Wormwood, Mints, of the five opening roots , Oxytnel with a decoction of Chamomill, Calamint, Melilot, Dill, and the like,or with common decoctions, The Purgatives fhall be Diaphenicon, Elefiuariutn Diacarthami* tyera pier a., Agarick, Turbith, of which you fhall make potions with the water of Mints,Balm, Hyflbp, Sage, Fennell, Endive or the like, fillultaure* are alfo good.Thefe purgatives fhall fometimes be given in form of a bole with fugar,as the Phy fitian being prefent fhall think moft fit and agreeable to the nature of the Patient. . ■ About the ftate of the difeafe, you muft have a care of the ftomach and principally of the mouth thereof, as being the chief feat of phlegm; wherefore it will be good to anoint it every other day with oil of Chamomill mixed with a little white wine, as alfo to unlade it by taking a vomit of the juice of Radifti, and much Oxymel, or With the decoftion of the feeds and roots of Alarum and Chamomill; and fyrup of vinegar will be very good, efpecially at the beginning of the fit, when nature and the humors begin to move; for an inveterate Quotidian,though you can cure it by no other remedy, nothing is thought to conduce fo much as one dram of old Treacle taken with fugar in form of a bole , or to drink it diflblved in Aqua vita. How to diftia- guiflj a quoti- dian trona a double teruari. Diet. When the aft of fpiced and faked meats ati fir. When deep is hurtfall* Medicine*',1' Care muft be' had of rhe ftomach* Vomits. The lift of Treacle ina$ inveterate quoudiW CHAP. XXIV. Of a ScirrhilS, of an hard tumor proceeding of Melancholy* Aving (hewed the nature of tumors caufedby blood, choler and phlegm, ic remains we fpeak of theft,which are bred of a melancholick humor; of theft there are faid to]be four differences. The firft is of a true and legitimate Scirrhut;, that is,of an hard tumor endued with little ftnft, and i'o commonly without pain,generated of a naturall melancholick humor.The fecond is, of an illegitimate Scirrhw9 that is of an hard tumor inftnfible, and without pain, of 1 a Melancholick humor concrete by too much refolving and refrigerating. The [third i3 of a cancrous Scirrhut bred by the corruption and aduftion of the Melancholick humor. The fourth of a phlegmonous, Ery/tyelow or Oedemata™ Scirrbw, caufed by Melancholy mixed with fome other humor. The cauft of all thefe kinds of Tumors is a groflc, tough and tenacious humor concrete in any part. But the generation of fuch an hu~ morin the body happens either of an ill and irregular diet,or of the unnatural! affe&s IF What a true and legitimate tfcirrkw What an i'leg'* mate ScirrhK is* 218 Of 7 umors againji Nature in generail. L i B.7. of the liver or fpleen,as obftruftion ; or by fuppreflion of the Hemorrhoids or Courfes. The figns are hardnefs,rcnitency, a blackifh colour, and a dilation of the veins of the afle&ed part with blackifhnefs, by reafon of the abundance of the grofs humor. The ille- gitimate or baftard Scirrhus which is wholly without pain and fenle,and alfo the cancerous admit no cure,and the true legitimate fcarce yeeld to any. Thofe which are brought to fuppuration,eafily turn into Cancers and fiftulaes j thefe tumors though in the beginning they appear little,yet in procefs oftime they grow to a great bignefi. The Signs. Prognoftick» CHAP. XXV. Of the cure of a Scirrhus. He Cure of a Scirrhw chiefly confifts of three heads. Firft, The Phyfitian fliall prefcribe a convenient diet, that is fober and moderate in feeding, tending to humidity, and indifferent heat ; for his manner of life, let it be quiet and free from all perturbation of anger, grief and fadnefs, as alfo abhorring the ufe of venery. The ftcond is placed in the evacuation of the antecedent matter,as by Phle- botomy? if need require, and by purging, by procuring the Hemorrhoids in men, and the courfes in women; let purgations be prefcribed ofDiacatholicon, Hiera, Epythymum according to the mind of the learned Phyfitian. The third conhfts in the convenient ufe of Topick medicines, that is, emollient at thebeginning, and then pre- fently refolving, or rather fuch as are mixed both of refolving and emollient faculties, as Galen teaches ; for by the ufe of only emollient things there is danger of putrefaftion and a Cancer, and only of refolving there is fear of concretion, the fiibtiler part being re- folved,and the grofler fubfiding. The emollient fhallbe thus: R Rad. alth. lib. f. rad. liliorum §iij. coquantur in aqua com. pifientur3trajiciantur per fetaceum, addenda olei cham*m. & lilior. an. *ij. oefipi humid* emplafiri diacbyl. alb. cnmoleo liliorum difioluti alb* quantum fit fatis, fiat cerotum. Or R gummi ammoniac i,galb. bdelliiyfiyracjs liquid* in aceto di achy I. mag. olei liliorum, & axungi*anfirif,an. ceroticefip. defcriptione Philagr. |ij. liquefcant omnia fimul3cer* quantum fit [at it, ut indefiat cerotum [at if mol/e. When you have Sufficiently ufed emollient things, fume the tumor with ftrong Vinegar and *lqua wit* poured upon a piece of a Milftone,flint or brick heated very hot;for the fo mollified humor will be ratified, attenuated and refol- vcd; then fome while after renew your emollients, aijeFthen again apply your refolvers to waft that which remains, which could not be performed together and at once ; for thus Galen healed a fcirrhus in Cercilii# his fon. Goats dung is very good to difcuffe Scirrhous tumors; but the Emplaifter of Figo with a double quantity of Mercury is effeftuall above the reft, as that which mollifies, refolves and wafts all tumors of this kind. Diet. lib. 2»dd Glauconem* Emollients. Lib.2 id Oh** The efficacy of theEmpl* of Vigo with Mercury. CHAP. XXVI. Of a Cancer already generated. Cancer is an hard tumor rough and unequal,round,immoveable,of an afh or li- vid colour, horrid by reafon of the veins on every fide, iwollen with black blood,and fpred abroad to the fimilitudeof the ftretched out legs and claws of a Crab. It is a tumor hard to be known at the firft, as that which fcarce equalls the bignefs of a Chick, or Czcer, after a little time it. will come to thegreatneffeofaHafell nut, unlefs peradventure provoked by fomewhat too acrid medicins it fodainly encreafe being grown bigger,according to the meafure of the encreafe it torments the patient with pricking pain,with acrid heat, the grofle blood refiding in the veins growing hot, and inferring a fenfe like the pricking of needles, from which notwithftanding the Patient hath oft-times fbme reft.But becaufe this kind of tumor by the veins extended and fpred about it like elaws and feet,being of a livid and afh colour, aflbciated with a roughnefs of the skin and tenacity of the humor, represents, as i t were, the toothed claws of the Crab, therefore I thought it not amifle here to infert therB igure of the Crab, that fo the reafon both of the name and thing might be more perfpicuous. The What a Cancer is. The nature of the pain. The rcafon of the name. LIB.7. Of Twnors againft Nature in general! 219 The figure of the Crab, called Cancer in Latin. CHAP. XXVII. Cf the caufes, kinds, and prognoflicks of a Cancer* £re we ackno wledge two caufes of a Cancer, the antecedent., and conjunct. The antecedent caufe depends upon the default of irregular diet, generating and heaping up grofle and feculent blood;by the morbifick affeftion of the Liver dilpofed to the generation of that blood;by the infirmity or weaknefs of the fpleen in attrafting and purging the blood; by the fuppreflion of the Courfcs or Hamor* i holds, or any fuch accuftomed evacuation. The conjunct caufe is that grofs and nielan- cholick humor flicking and fhut in the affefted part as in a ftrait. That mclah- cholick blood which is more mild, and lefs malign, only increafed by a degree of more fervid heat, breeds a not ulcerated Cancer, but the more malign and acrid caufes, an ulcera- ted. For fo the humor which generated Carbuncles, when it hath acquired great heat, acrimony, and malignity, corrodes, and ulcerates the part upon which it alights.A Cancer is made more fierce and raging by meats inflaming the blood, by perturbations of the mind, anger,heat,and medicines too acrid,oily, and emplaftick,unfitly applied, both for time and place. Amongft the forts or kinds of Cancers,there be two chiefly eminent, that is,the ulcera- ted or manifeft Cancer, and the not ulcerated or occult. But of Cancers fome poflefs the internail parts, as the Guts, Womb, Fundament; others the externall,as the Brefts; alfo there is a recent,or late bred Cancer,and alfo an inveterate one.There is one fmall,another great,one raging and malign,another more mild. Every Cancer is held almoft incurable, or very difficult to be cured, for it is a difeafe altogethermalign, to wit, a particular Le- profie. Therefore faith Aetius,a Cancer is not eafily ftaied untill it hath eaten even to the innermoft of the part which it poflefles.lt invades women more frequently than men, and thofc parts which are lax, rare, fungous,and glandulous,and therefore opportune to re- ceive a defluxion of a grofs humor, fuch arc the brefts and all the cmunftories of the no- ble parts.When it poflefles the brefts, it often caufes inflammation to the armholes, and fends the (welling ever to the glandules thereof; whereupon the Patients do complain that a pricking pain, even pierces to their hearts. But this fame pain alfo runs to the clavicles, and even to the inner fide of the fhoulder-blades and fhoulders. When it is Increafed, and covers the noble parts, it admits no cure but by the hand; but in decay* ed bodies, whofe ftrengthfail, efpeciallyif the Cancers be inveterate, we muft not at- tempt the cure,neither with inftrument, nor with fire,neither by too acrid medicines, as potentiall cauteries:but we muft only feek to keep them from growing more violent, and from fpreading further,by gentle medicines,and a palliative cure.For thus many troubled with a Cancer,have attained even to old age. Therefore Hippocrates admonifhes us, that it is better not to cure occult,or hidden Cancers', for the Patients cured(faith he) do quickly die,but fuch as are not cured live longer. U 2 CHAP, The raufeiot a Cancen The catifcs of 1 a not ulcerated Cancel, The forts mJ differences of Concern Aetiia lib* The parts ihofl fubjefltci can • cert» What Canteri one muff not undertake trudy to Of 7 nmors againfl Nature in generail. L1B.7. 220 CHAP. XXVIII. Of the Cure of a Cancer be&nnin&and not yet ulcerated. Cancer beginning is oft hindred from encreaflng,before it fallen its roots,but when it hath once encreafed,it admits no cure but by iron,as that which contemns,by reafon of the malignity & contumacy,the force of all medicines. Galen affirms,he cured a Cancer not ulcerated. Now that cure is performed by medicines5purging melancholy, by Phlebotomy, when the ftrength and age of the Patient may well endure it, by ffiunning all things which may breed il and faeculent blood. The diftemper of the Liver muft firftbe correfted, the Spleen ned,as alfo the part affe&ed; in men the Haemorrhoides, in women their Courfes muft be procured. Therefore thick and muddy wines, vinegar,btown bread,cold herbs,old cheefe,old and faltcd flefh, beef, venifon, goat, hare,garlick, ohions and muftardjand laftly all acrid, acid and other fait things, which may by any means incraflate the blood, and inflame the hu- mors,muft be efchewed.A cooling and hume&ing diet muft be prefcribed; falling efchewed, as alfo watch in gSjimmoderdfce labours,forrow, cares,and mournings; let him ufe ptifans, and in his broths boil Mallows, Spinace, Lettuce, Sorrell,Pur£lain, Succory, Hops,Vio- lets, Borrage and the four cold feeds. But let him feed on Mutton, Veal, Kid, Capon, Pul- let, young Hares, Partridges,Fifties of ftony rivers,rear Egs;and ufe white wine but mode- rately for his drink. The part affected with the Cancer muft be gently handled, and not overburdened by over hard or heavy things, or by too folid or fat Emplaifters;on the contrary gentle and mitigating medicines muft be ufcd; applying allb at certain times fuch things as refill venome or poyfon, as Treacle and Mithridate. Afles milk is exceeding fit to af- fwage the acrimony of the cancerons humor . Therefore it muft not only be taken in- wardly , but alfo applyed outwardly to the cancerous ulcer, making thereof a fomen- tation. fyb.2, addltu. Dier. Wow ro handle the cancerous part. Antidotes,! Affes milk. CHAP.XXIX. Of the cure of an ulcerated Cancer. The Signs. M Ulcerated Cancer hath many figns common with that which is not ulcera- ted, as the roundnefle of the tumor,the inequality, roughnefs, and pain; to the judgment of theeye, the tumor items foit, but it is hard to the touch; the LUcer is filthy,with lips,thick,fwoln,hard,knotty,turned out, and Han- ding up3haviug a horrid alpeft,and calling forth ichorous, filthy, and carion- like filth,fonietimes black,fometimes mixed with rotten filth, and otherwhiles with much bloud. This kind of ulcer is malign, rebellious, and untraftable, as that which contemns mild remedies, and becomes more fierce, by acrid and ftrong; the pain, feaver, and all the iymptoms being increafed/rom whence the powers are dejefted,the wafting and confump- tion of the body follows and laftly death. Yet if it be fmall,and in a part which may fiiffer amputation,the body being firft purged, and blood drawn,the ftrength of the Patient not diflwading, it will be convenient to ufe the hand, and to take hold of, and cutaway whatfoever is corrupt,even to the quick,that no fear of contagion may remain, or be left behind. The amputation finiflied, the bloud muft not be prefently flopped, but permitted to flow out in fome meafure, yea verily prefled forth all about it,that fo the veins fwoln with black and melancholy bloud may be disburdened. When you have taken a Efficient quantity of blood, the place muft be feared with an a&uall cautery. For that will ftrengthen the part affefted, draw forth the venenate quality, and alfo ftay the defluxion. Then muft you apply mitigating medicines, and procure the falling away oftheEfchar. To conclude, that which remains, muft be performed according to the cure of other ulcers. Now we know and underftand that all the Cancer is cut away , and all the malignity thereof extinft, when the ulcer cafts forth laudable matter, wheq that goodflefh begins to grow by little and little, like to the grains of a Pomegranat, the pricking pain, and all the fymptoms being aflwaged. Yet the cure of an ulcerated Cancer which fhall poflefs the lips may be more happily and mildly performed,no cau- ftick medicine being applyed after feftion, fo alfo that fcarce any deformity will be left, when it is cicatrized. Which new and never formerly tried, or written ofway, as far as I know, I found and performed in a man of fifty years old. Do&or jfohn Altine, a moft learned Phyfitian being called to Counfell, James Guillemeau, and Mafter Euftachii# the Kings Chirur,geons, and John Le leune the Dukc of Guije his moft worthy Chirurgeon being prefent. The way is this; The Cancer muft be thruft through the lips on both fides, above and below How& where a Cancer may be cut away* What to be obferved in cutting away a Cancer, The benefit of applying a cautery after amputation of the Cancer. Signs that a Cancer is well taken away. LIB.7. Of T:umors againfl Nature in generail. 221 below with a needle and thred,that lo you may rule and govern the Cancer with your left hand, by the benefit of the thred ( left any portion thereof fliould fcape the inftrument in cutti ng)and then with your Sizers in the right hand,you may cut it off all at once;yet it inuft be fo done,that fome fubftance of the inner part of the lip, which is next to the teeth may remain,(if fo be that the tow be not grown quite through ) which may fcrve as it were for a foundation to generate flefh to fill up the hollownels again.Theh when it hath bled fufficiently, the fides and brinks of the wound muft be fcarified oh the right and left jidcs,within,and without,with fomewhat a deep fcarification , that fo ( when we would draw together the tides and lips of the wound,by that manner of Hitching, which is ufed in an hare lip)we may have the flefli more pliant aud tra&able to the needle and thred. The refidueof the cure muft be performed juft after the fame manner as we ufe in hare lips; of which we (hall treat hereafter. A new andob* fervable way of taking away a Cane?? from the lip* CH A P. XXX. Of the Topi eke medicines to be applied to an ulcerated, and not ulcerated Cancer. i at the beginning ufe repercuflive medicines , fuch as arethe juices of Night- fhadc,Pl antain,Henbane, Lettuce,Sorrell, Houfeleek, Water Lentil! or Ducks meat, Knotgralle, Pbmegranates,and the like. Alfo oleum fofarum omphacinum,the powders of Sumach,Berberies, IJthargc,Cerulc, Burnt-lead,7wtzrf,Qnickfilver, and the like. Of which you may compole Forfientations, Liniments, Oint- ments, Diacalcitheos diffolved with juice of and oil of Roles is very fit for not ulcerated Cancers. Pompholix,or 7 utia, walhed in juice of NightlhadcjOr Plantain,is very good for ulcerated Cwfen.Beiides this following medicine is very commendable. R Lytharg. & cerufi an. , terantur in mart ar io plumb, cum oleo rofar. donee reducantur ad con- fiflentiam linimenti vel unguenti-, and there may be ufe of a refol ving and repercuflive oint- ment, as R plumbi ufli 31$, abfinth. olei rofarum *iij, cer# 5 vj, fucci .dani, quantum fufficit ad unguenti crafitudinetn. They very much oommend Rheodorickes Emplaiftcr to affwage the pain of ulcerated Cancers. .7* R olei rof. cere alb. an. jucci granat. &[olani, an. cerufe lota bi ufli, loti, & tuthiaprapar. an. thuris, maftich. an. 5ij, fiat empl. mo'Je. This following ointment I have often uted with good fucceffe, R "Jheriac. Veter. & fucci cancrorum fucci l$uc<e & olei rofar. an. ?ip, wild, oiorunt fub finer ib.cotf. ij, camphor, %fi.piftcntur omnia in mortar io plumb. &fiat unguentum. R Spurn, argent, axungia porci recentx, ctra alb. an. ft(3, olei boni |viij, z/ztef. ovorutn aflat. iiij, fiat unguent, fervetur ufui. And when you will ufe it, mix it with a little ointment of Rofes. I have alio mitigated great pain by applying Leaches to an unulcerated Cancer fin that part where the torment was moll vehement,by disburdening the part of fome portion of the malign humorjwhich lame thing I have done by application ofyong Whelps,or Kitlihgs, or Pidgeons,or Chickens cut long waies,and prefently applied to the ulcer, and now and then changed as foon as their heat Items diflblved;and others applied for the natural! heat in an anodyne or mitigating medicine. John Baptifla 'Iheodofius in his Epiflles,writes,that a cataplafme of the herb Eryfimum or Cadlock,being beaten, is very good to be applied to a Cancer not u!cerated;but if the Cancer be ulcerated,he boils this fame herb in Hydromel, and fo by injeftions and lotions clenfes the ulcer,and mitigates the pain. If the Cancer affeft the womb, the patient feels the pricking of the pain in the groins above the pecten, and in the Kidneyes, and is often troubled with a difficulty of miking water ; but when it is ulcerated it poures forth filth or matter exceeding (linking and carion-like, and that in great plenty; the filthy vapour of which carryed up to the heart and brain caufes ofteri fwounding. Now to mitigate the pains of fuch like places,the following medicines are of good ule. RMwozg. femin. liniifeenugr. extract. in aqua rofar. &plantaginis quod fatis efl-, pf this being warm make a fomentation. R Rad. ft {3. coquatur in hydromchte, pifleiur & trajiciatur, dddendo olei rofar. parum, fiat Cataplajma. Alfo you (hall make divers peflarics according to the different kinds of pain; alfo make injections of the juice of Plantain, Knbtgrafle,Lcttute,Pdrflaiii mixed together, and agitated or laboured in a leaden mortar with a little oil of Rofes;for this kind of me- dicine is commended by Galen in every kind of ulcerated Cancers. Alfo this following wa- ter is very profitable,and often approved by me.R Stercoris bubuh ftiiij.herb<e Roberti.plantag, fempervivi, hyfcyami,portulac. laciuc. endiv. an. m.j. cancros fluviatiles, num. xij. let them be all beaten together and diftilled in a leaden Alembick, keep the liquor for ufe and with it make often injection into the part; or if the fit.e of the part will permit, let the cancerous ulcers be wafhed therewith,and pledgets of lint fleeped therein, be applyed and renewed U 3 ever RepdlihgfflW dicines. Theodorftki Em plainer LeachtSs The applies th' on ofWhfipss Chickens, &c> Epift. 214 The eftare of Eryfimnm. The figasof the Cancer lhe wombs Lib.g. Simffa 222 Of Tumors againfi Nature in generail. L i B.7. estop- med. fecundnm ever and anon;for fo the acrimony and force of the inflammation is rettlnded,and the pain aflwaged.Grf/en beats into powder river Crabs burnt;the powder mixed with ointment of Rotes is moft profitably applied upon lint to cancerous ulcers. It will be very convenient to put into the neck of the womb the following inftrumenc made of Gold or 9ilver,whereby the cancerous filth may have free and fafe paflage forth, and the filthy and putredinous vapors may more eafily breath forth. Therefore let it be hollow quite through, fome five or fix fingers long,and about the bignefs of ones thumb, at the upper end,perforated with many holes whereby the filth may have paflage forth. Let the outer or lower end be fome two fingers thick in the circumference, make it with a neat fpring,that may hold that end open more,or lefs,according to the Phyfitians mindset there be two firings or laces put unto it, by which being tyed before and behind to the rowler,with which the woman fhall girt her loins,the Device may be kept from falllng,a$ you may fee in the following figure. A Vent made like a Peffary for the womb affetfed with a cancerous ulcer. A. tbe upper end perforated with five or fix holes. B. Ihe lower end. C. That part of the end which is opened by the fpring9 which is marked with the Letter D. EE. The firings or laces. Lib. 6.[imp. Neither is that remedy for not ulcerated Cancers to be contemned, which confifls of a plate of lead befineared with Quick-filver; for Galen himfelf teftifies that lead is a good medicine for. malign and inveterate ulcers. But Guido Cauliacenfis is awitncfs of ancient credit and learning, that filch plates of lead rubbed over with Quick-filver, to fuch malign ulcers as contemn the force of other medicines , are as it were Anti- to waft and overcometheir malignity and evill nature. This kind of remedy, when it was prefcribed by that moft excellent Phyfitian Hol/erius 3 who commanded me to apply it to the Lady of Montigni Maid of Honour to the Queen mother, troubled with a Cancer in her left breft, which equalled thebignefs o£ a Wallnut, did not truely throughly heal it, yet notwithftanding kept it from further growth. Wherefore at the length growing weary of it, when fhe had committed herfelf to a cer- tain Phyfitian boldly promifing her quick help,lhe tryed with lofle of her life, how dan- gerous,and difadvantagious the cure ofa Cancer was, which is undertaken according to the manner of healing other ulcers; for this Phyfitian, when he had caft away this our medicine,and had begun the cure with mollifying,heating and attraftive things, the pain, inflammation and al the other fymptomcs encreafing the tumor grew to that bignefle,that being the humor drawn thither could not be contained in the part it felf, it ftretched the breft forth fo much,that it broke it in the middle, juft as a Pomgranat cleaves when it comes to its full maturity; whereupon an immoderate flux of blood following, for flaying whereof hr was forc't to ftrew cauftick powders thereon;but by this means the inflamma- tion and pain beco tiling more raging, and Iwoundings coming upon her, (he poor Soul in ftead of her promifed health, yeelded up her ghoft in the Phyfitians bofonae. Plates of Lead. A Hifiory, CHAP. L1B.7. Of Tumors againf Nature in general}. 223 CHAP. XXXI. Of the Fewer tvhich in Scirrhows Famors. Uch a Feaver is a Quarrain,or certainly coming near unto the nature of a Quar- tain,by reafon of the nature of the Melancholick humor of which it is bred.For this fhut up in a certain feat in which it makes the tumor, by communication of putrid vapours heats-the heart above meafnre, & en flames the humors contained therein,whence ariies a Fearer. Now therefore a quartain is a Feaver coming every fourth day,and having twodayes intermiffion. The primitive caufes thereof arethefe things which encreafe Melancholick humors in the body,Inch as the long eating of ptllfe, of courle and burnt bread, of fait flelh and fife, of grofs meats,as Beef,Goat, Veni (bn,old Hares, old Cheeic,Cabbage, thick and muddy wines and other inch things of the fame kind. The antecedent cattles are a heaped up plenty of Melancholick humors abounding over all the body. But the con junft caufes are Melancholick humors putrefying without the greater veflels, in the (mall veins and habit of the body. We may gather the fignsof a Quartain leaver from things which they call naturall,not naturall,and againft nature; from things naturall,for a cold and dry temper, old age, cold and fat men,having their veins fmall,and lying hid,their fpleen fwollen and weak,are ufu- ally troubled with quartain Feavers. Of things not naturall; this Feaver, or Ague is frequent in Autiimne,not only becaufe, for that it is cold and dry, it is fit to heap tip Melancholick humors ; but chiefly by rea- fonthat the humors by the heat of the preceding Summer are cafily i converted into a* < duft Melancholy, whence far worfer and more dangerous quartains arife, than of the Am- ple Melancholick humor, to conclude,th rough any cold or dry feafon in a region cold and dry,men that have the like Temper eafily fall into quartains ; if to thefe a painfull kind of life full of danger and forrow doth accrew. Of things contrary to nature; becauft the fits take one with painfull (haking,inferring as it were the ftnft of breaking or fhaking the bones ; further it taketh one every fourth day with an itching over the whole body, and oft-times with a thin skurfe and puftules,efpeci- ally on the legs; the pulfe at the beginning is little, flow, and deep, and the urine alfo is then white and wateri(h,inclining to fomewhat a dark colour. In the declination when the matter is conco&ed the urine becomes black,not occafioned by any malign Symptome or preternaturall excefs of heat,(for fo it fhould be deadly) but by excretion of the conjunft matter. The fit of the Quartain continues 24 houres, but the intermiffion is 48 houres. It often takes its originall from an obftruftion,pain,and Scirrhus of the Spleen,and of the ftippreffion of the courfes and Haemorrlioides. Quartains taken in the Summer are for themoft part ffiort, but in the Autumn long, e- 1 fpecially iuchas continue till Winter.Thoft which come by fiicceffion of any diieafeof the Liver, Spleen, or any other precedent difeafe are worfe than fuch as are bred of themftlves, and commonly end in a Dropfie.But thofe which happen without the fault of any bowels, and to fuch a patient, as will be governed by the Phy fitian in his Diet, infer no greater harm,but free him from more grievous and long difeafts, as Melancholy, the Falling fick- nefsjConvulfions, Madnefs, becaufe the Melancholy humor, the author of fitch difeafts is expelled every fourth day by the force of the fit of the Quartain. A Quartain Fea ver, if there be no error committed, commonly exceeds not a year, for otherwife fome Quartains have been found to laft to the twelfth year according to the 6- pinion of Avicen: the Quartain beginning in Autumn is oft-times ended In the following ipring; the Quartain which is caufed by aduft blood,or choler, or Salt flegm, is more eafi- ly and fooner cured, than that which proceeds from an aduft Melancholy humor;becatift the Melancholy humor, terreftriall of its own harder to be difeufled than any o- ther humor, is again made by aduftion (the fubtiller parts being diflblved and the grofler fubfiding) more ftubborn,grofs, malign, and acrid. The cure is wholly abfolved by two means, that is, by Diet and medicines. The diet ought to be prefcribed contrary to the caufe of the Feaver in the ufe of the fix things not naturall, as much as lyes in our power. Wherefore the Patient fhall efchew Swines flefh, flatulent, vifeid and glutinous meats, fen- ny fowls, fait meats and Venifon, and all things of hard digeftion. The uft of White wine indifferent hot and thin, is convenient to attenuate and incide the grofs humor, and to move urine and fweat; yea veri ly at the beginning of the fit a draught of fuch wine will caufe vomiting, which is a thing of (b great moment, that by this one remedy many have been cured. Yet if we may take occafion and opportunity to provoke vomit there is no time thought fitter for that purpofe then prefently after meat; forthen it is the fooner provoked, the fibers of the ftomach being humefted and relaxed,and the ftomach is fooner turned to vomiting,whereupon follows a more plentiful,happy & eafie evacuation of the Phlegmatique andCholcricK humor, and kfs troublefome to nature: and of all the cru- dities Why aquarJ tain happens upon feirr lions rumors. The Why they ar£ frequent in Aurumne, Proghofticfcg From wha* difeaftjs a quatrain one* Dleft How much vo«' miring pre*, vails to cure a quatrain. Of Tumor sagainfl Nature in generall. Lib. 7. 224 dities with which the mouth of the ventricle abounds in a Quartane, byreafon of the more copious afflux of the Melancholick humor, which by his qualities cold and dry, di- flurbes all the a&ions and natural 1 faculties. Moreover exercifes and friftions are good be- fore meat; iuch pafflons of the mind as are contrary to the caufe from which this Fcaver takes his original!, are fit to be cherifhed by the patient; as Laughter, Jefting,Mufick,and all filch like things full of pleafure and mirth. At the beginning the patient muft be gently- handled and dealt withall , and we mull abllain from all very ftrong medicines untill fuchtime, as the difeaft hath been of fome continuance. For this humor, contumacious at the beginning when as yet nature hath attempted nothing,is again made more flubborn, terrcftriallanddry, by the almoft fiery heat of acrid medicines. If the body abound with blood, fome part thereof mull be taken away by opening the Median or Baiilik vein of the left arm,with this eaution,that if it appear more grofs and black, we fuffer it to flow more plentifully 3 if more thin,and tin&ured with a laudable red colour that we presently flay it. The matter of this leaver mult be ripened,conco&ed and diminilhed with the Syrups of Epz- of 5co.o/e^rzww,of May den hair,Agrimony,withthe waters of Hops,Bug] ofs,Borage and the liked lincerely protcft,next unto God,I have cured very many quartains by giving a portion of a littleTreakle diflblved in about fome two ounces of Aqua vita, alfo femetimes by two or three grains of Musk diflblved in Muskadine, given at the beginning of a parti- cular fit towards the generall declination of the difeafe,after generall purgations the hu- mor and body being prepared,and the powers ftrong; And certainly an inveterate Quar- tain can fcarce ever bee difeuifed unlefs the body be much heated with meats and medi- cines. F herefore it is not altogether to be ditproved which many fay,that they have dri- ven away a quartain by taking a draught of wine every day as foon as they came forth of their bed, in which fome leaves of Sage had been infufed all the night. Alfo it is good alit- tle before the fit to anoint all the fpine of the back with oyls heating all the nervous parts, fuchas are the oyl of Rue, Walnuts, of the Peppers, mixing therewith a little Aqua but for this purpofethe oyl of Caftoreutn which hath been boyled in an apple of Colo- quintida , the Kernels taken out, upon hot coles to the confumption of the half part, mixing therewith fome little quantity of the powders of Pepper, Pelitory of Spain and Eupborbiutn, is excellent. Certainly fuch like Inunftions are good not only to mitigate the vchemency of the terrible (baking, but alfo to provoke fweats ; for becaufe by their humid heat they difeufs this humor being dull and rebellious to the expulfive faculty,for the Melancholy is as it were thedrofs and mud of the blood. Therefore if on the contrary the Quartain Feaver (hall be caufed by adult choler wee muft hope for and expeft a cure by refrigerating and humeftive medicines, fuc h as Sorrell, Let- tuce, Purflane, broths of the decoftion of Cowcumbers,Gourds, Mellons and Pompions. For in this calc if any ufe hot medicines, he (hall make this humor mod obflinate by the re- viving of the iubtiler parts.Thus Traffianwboa&s that he hath cured thefe kinds of Quar- tane Feaver by the only ule of refrigerating Epithemaes being often repeated a little before the beginning of the fit. And this is the fumof the Cure of true and legitimate intermit- ting Feavers. That is, of thofe which are caufed by one (imple humor, whereby the Cure of thoie which they callbaftard intermitting Feavers, may be cafily gathered and under- flood ; as which are bred by a humor impure and not of one kind, but mixt or compofed by admixture of fome other matter ; for examp le,according to the mixture of divers hu- mors Phlegmatick and chokrick,the medicines muft alfo be mixt, as if it were a confufed kind of Feaver of a Quotidian and muft be cured by a medicine compofed of things evacuating flegm and choler. Medicines. What quar* tains mu fl be cured wjrh | refrigerating things. What baftard Agues arc, and how they mull be cured. CHAP. XXXI I. Of an Aneurifma, that the or [fringing ef an Artery Sinew. What it is. N Anewfi[ma is a fbft tumor yeelding to the touch,made by the blood and Ipirit powred forth under the flelh and Mufcles,.by the dilatation or relaxation of an Artery. Yet the Author of the definitions feems to call any dilatation of any venous veflell by the name of an Aneurifria. Galen calls an an opening made of the Anaflomafisy of an Artery. Alfo an Aneurifria is made when an Artery that is wounded cloleth too flowly, the fubftance which is above it being in the mean time ag- glutinated, filled with flelh and cicatrized, which doth not feldome happen in opening of Arteries unskilfully performed and negligently cured; therefore AHeurijfnaes are abfolute- ly made by the .fpringing,brciking,Ero/zQ;z3and wounding of the Arteries. Thele happen in all parts of the body, but more frequently in the throat, efpecially in women after a painfull travail. For when as they more ftrongly ftrive to hola their breath, for the more powerfull expullion of the birth, it happens that the Artery is dilated and bro- ken, whence follows an effulion of blood and fpirits under the skin. Thefignsare, a fwelling one while great, another Imall, with a pulfation and a colour not varying from the native conftitutioh of the skin. It is a foft tumor, and fo yeelding to the impreflion of what parts they chiefly L1B.7. Of Tumors againft Nature ingenerall. 225 of the fingers that if it peradventure be final!, it wholly vanilheth,thc Arterious blood and fpirits flying back into the body of the Artery, but prefently aflbon as you take your fin- gers away, they return again with like celerity. Some Anewifmaes do not only when they are prefled, but alfo of thenifelves make a fenlible hilling, if you lay your ear near to them, by reafon of the motion of the vitall fpirit ruffling with great violence through the ftraitnefs of the paflage* Wherefore in Aneurifmaes in which there is a great rupture of the Artery, fuch a noife is not heard, becaufe the fpirit is carryed through a larger paflage. Great Aneurifrnaes under the Arm pits, in the Groins and other partt wherein there are large veflels,admit no cure, becaufe fo great an eruption of blood and fpirit often follows upon Rich an incifion, that death prevents both Art and Cure. Which I obferved a few years ago in a certain Prieft of Saint Andrews of the Arches,Mr. dwelling with-a chief Prefident Chri/tyherde Thou. Who having an Aneuriftna at the fetting on of the fljoulder about the bignefs of a Wall-nut, I charged him, he Ihould not let it be opened, for if he did it would bring him into manifeft danger of his life, and that it would be more fafe for him to break the vio- lence thereof with double clothes fleeped in the juyce of Night-fliade & Houflcek,with new and wheyey cheefe mixt therewith : Or with Vnguentum de Balo or Emplaftrum contra rupturam and fuch other refrigerating and aftringent medicines, if he would lay upon it a thin plate of Lead,and would ufe Ihorter breeches that his doublet might ferve to hold it too, to which he might fallen his breeches in Head of a fwath, & in the mean time he Ihould efchew allthings which attenuate and inflame the blood, but efpecially he Ihould keep hinflelf from all great Graining of his voice. Although he had ufed his diet for ayeer, yet he could not fo handle the matter but that the tumor increafed,which he obferving goes to a Barber, who fuppofing the tumor to be of the kind of vulgar impoftumes,applies to it in the Evening aCauftick caufing an Et'char foto open it. In the Morning fuch an abundance of blood flowed forth from the tumor being opened,that he therewith aflonifhed,implores all poffibleayd, and bids that I Ihould be called to ftay this his great bleeding, and he re- pented that he had not followed my directions. Wherefore I am called, but when I was fcarceover the threfliold, he gave up his ghoft with his blood.Wherefore I diligently ad- monilh the youngChirurgeon that he do not raflily open Aneurifmaes unlefs they be final in 1 an ignoble part, and not indued with large veflels, but rather let him perform the cure af- 1 ter this manner. Cut the skin which lyes over it untill the Artery appear, and 'then fepa- rate it with your knife from the particles about it,then thruft a blunt and crooked needle with a thicd in it under it, bind it,then cut it off and fo expeft the falling off of the thred of it lelf whiles nature covers the orifices of the cut Artery with new flefli, then the refidue of the core may be performed after the manner of Ample wounds. The Aneurifmaes which ' happen in the internail parts are incurable. Such as frequently happen to thofe who have i often had the unftion and fweat for the cure of the French difeafe, becaufe the blood being » fo attenuated and heated therewith that it cannot be contained in the receptacles of the Artery,it diftends it to that largnefsas to hold a mans Fill; Which I have obferved in the * dead body of a certain Taylor,who by an Aneurifma of the Arterious vein fuddenly whilft he was playing at Tennis fell down dead,the veflel being broken: his body being opened J 1 found a great quantity of blood powred forth into the capacity of theCheft, but the body of the Artery was dilated to that largnefs I formerly mentioned, and the inner coat thereof was bony. For which caufe within a while after I fhewed it to the great admira- tion of the beholders in the Phyfitians School whilft I publiquely diflc&ed a body there ; the whilft he lived (aid he felt a beating and a great heat over all his body by the force of the puliation of all the Arteries, by occafion whereof he often fwounded. Doftor Syluim the Kings profeflbr of Phyfick at that time forbad him the ufe of Wine,and wifhed him to ufe boy led water for his drink, and Curdsand newCheefes for his meat, and to apply them in form of Cataplafms upon the grieved and fwoln part. At night he ufed a ptifan of Early meal and Poppy-feeds, and was purged now and then with a Clyfter of refrigerating and emollient things, or with Caflia alone, by which medicines he laid he foundhimfelf much better. The caufe of fuch a bony conftitution of the Arteries by Anetirijmaes is, for4 that the hot and fervid blood firfl dilates the Coats ofan Artery, then breaks them; which when it happens, it then borrows from the neighbouring bodies a fit matter to reftoreiihe loofed continuity thereof. This matter whilft by little and little it is dryedand hardened, it degenerates into a griftly or clfe a bony fubftance, juft by the force of the lame material! and efficient caufes, by which ftones are generated in the reins andbladder.For the more terreftriallportion csf the blood is dryed andcondenfed by the power of the unnaturall heat contained in the part affefted with an^Aneurifma; whereby it comes to pafs that the fubftance added to the dilated and broken Artery is turned into a body of a bony confidence. In which the lin- gular providence of nature, the handmaid of God is fhewed, as that Which, as It were by making and oppofing a new wall or bank , would hinder and break the violence of the raging blood iwelling with the abundance of the vitall fpirits; unlefs any had rather to re- fer the caufe of that hardnefs to the continuall application of refrigerating and aftringent medicines Prognofticfe* A Hiflory,' muft nor raflW ly be opened* HoW they muft be cured. The fe of the inward parr# incurable. A Hiftory.' 226 Of Tumorsagainft Nature in generall. Lib.?. £,ib.4.Cipt ult» de prrf enpul- fa . - medicines. Which have power to condenfate and harden,as may not obfeurely be gather- ed by the writings of Galen. But beware you be not deceived by the forementioned figns 5 for fometimes in large Aneurijmaes you can perceive no pulfation, neither can you force the blood into the Artery by the prefliire of your fingers, either becaufe the quantity of filch blood is greater than which can be contained in the ancient receptacles of the Artery, or becaufe it is condenfate and concrete into clods, whereupon wanting the benefit of ven- tilation from the heart, it prefently putrefies 5 Thence enfue great pain, a Gangren, and mortification of the part,and laftly the death of the Creature. A Caution is the knowing of JjwifiNM* The End of the Seventh Roo\. PARTICULAR TV MO RS AGAINST NATVR.E- The Eight Book. The Preface. Ecaufe the Cure of difcafcs muft be varied according to the variety of the temper, not only of the body in general], but alfo of each part thereof; the ftrength, figure, form, fite, and fenfe thereof being taken into confideration: I think it worth my pains, having al- ready (pokenof Tumors in general!, if I (hall treat of them in particular which affeft each part of the body, beginning with thofe which aflail the head. Therefore the Tumor either affe&s the whole head, or elfe only fome particle thereof as the Eyes, Ears, IN ole, Gums and the like. Let the Hydroctfbalos, and Phyfocepbafos be examples of thofe tumors which poflefs the whole head. C HAP. I. Of an Hydrocephalos or watry tumor which commonly affefls the heads of Infants. He Greeks call this difeafe Hydrocephalos, as it were a Dropficof the Head, by a waterifh humor; being a diieafe flmoft peculiar to In- fants newly born. It hath for an external! caufe the violent com- preflion of the head by the hand of the Midwife or otherwife at the birth, or by a fall, contufion and the like. For hence comes a breaking of a vein, or Artery,and an effufion of the blood under the skin.Which by corruption becoming whayifh,laftly degenerateth in- to a certain waterhh humor.lt hath alfo an inward caufe,which is the aboundance offerous and acrid blood,which by its tenuity and heat fweats through the pores of the veflels, fometimes between the Mufculous skin of the head and the Pericranium, ibmetimes f between the Pericranium and the skull, and fometimes be- tween the skull and the membrane called Dura mater, and otherwhiles in the ventricles of the brain. The What it it. The caufes* Differences by teafon of place. L1b.8. Of particular Tumors againft Nature. 227 The figns ofit, contained in the fpace between the Mufculous skin and the Pericranium, are a manifeft tumor w ithout pain,fott,and much yeelding to the preflure of the fingers.The Signs when it remaineth between the Pericranium and the skull,are for the moft part like the forenamedjunlefs it be that the Tumor is a little harder, and not fo yeelding to the finger, by reafon of the parts between it and the finger; And alfo there is fomewhat more ienie of pain. But when it is in the fpace between the skull and Dura mater, or in the ventri- cles of the Brain or the whole fubftance thereof, there is a dulnefs of the fenfes as of the fight and hearing; the tumor doth not yeeld to the touch, unlefs you ufe ftrong impref- fion,for then it linketh fomewhat down, efpecially in infants newly born; who have their skulls almoft as foft as waxe, and the junftures of their Sutures laxe, both by nature, as al- fo by accident, by reafon of the humor contained therein moiftening and relaxing all the adjacent parts; the humor contained here lifts up the skull fomewhat more high, cfpecial- ly at the meetings of the Sutures, which you may thus know, becaufe the Tumor being prefled, the humor flies back into the fecret paflage of the Brain. To conclude,the pain is more vehement, the whole head more fwollen, the forehead flands fomewhat further out, the eye is fixt and immoveable, and alfo weeps by reafon of the ferous humor fweating out of the brain. Fejaliuf writes that he law a girl of two yeers old, whofe head was thicker than any mans head by this kind of Tumor,and the skull not bony,but membranous, as it uleth to be in abortive births,and that there was nine pound of water ran out of it. Abner afts tels that he faw a child whofe head grew every day bigger by reafon of the watery moifture contained therein, till at length the tumor became fo great,that his neck could not bear it neither {landing nor fitting, fo that he died in a fbort time. I have ob- ferved and had in cure four children troubled with this difeafe, one of which beingdifleft- ed after it died,had a brain no bigger than a Tennis Ball. But of a Tumor and humor contained within under the Cranium,or Skull, 1 have feen none recover, but they are eafily healed of an externall Tumor. Therefore whether the humor lye under the Pericranium, or under the mufculous skin of the head, it muft firft be aflayled with refolving medicines, but if it cannot bexhus o- vercome, you muft make an incifion, taking heed of the Temporall Mufcle,and thence prefs out all the humor,whether it refemble the wafhingofflefti newly killed,or blackifh blood, or congealed or knotted blood,as when the tumor hath been caufed by contufion;then the wound muft be filled with dry lint,and covered with double boulfters, and laftly , bound with a fitting ligature. Signs* A Hiflor Of a Polypus being an eating difeafe in the Nofe. CHAP. II. He Polypus is a Tumor of the Note againft nature, commonly arifing from the 0s Ethmoides or fpongy bone. It is fo called,becauie it refemblcs the teet of a Sea Polypus in figure,and the flefh thereof in confiftences This T umor flops the Nofe* intercepting and hindering the liberty of fpeaking and blowing the Nofe.Cel- jus faith the Polypus is a caruncle of excrefcence one while white,another while reddifh, which adheres to the bone of tht Nofe, and fometimes fills the Noftrils hanging towards the lips , fometimes it descends back through that hole, by which the fpirit deftends from the Nofe to the throttle; it grows fb that it may bee ften behind the Pvulva.) and often ftranglcs a man by flopping his breath. There are five kinds thereof, the firft is, a foft membrane, long and thin like the relaxed and deprefled Evulva, hanging from the middle griflle of the nofe,being filled with a Phlegmatick and vifeid humor.This in exfpiration hangs out of the nofe,but is drawn in and hid by inipiration ; it makes one fnaffle in their fpeech and fnort in their fleep. The fecond hath hard flefh, bred of Melan- choly blood without adtrftion*, which obftru'fting the noftrils intercepts the refpiration made by that part. The third, is flefh hanging from the Griftle,round, and foft, being the off-fpring of Phlegmatick blood. The fourth is an hard Tumor, like flefh, which when it is touched yeelds a found like a ftonc; it is•• generated of Melancholy blood dryed, being fomewhat of the nature of aScirrbus confirmed and without pain. The fifth is as it were compofed of many canorous ulcers fpred over the tranfverfe furface of the griflle. Of all theft forts of Polypi fome are not ulcerated, others ulcerated, which fend forth a ftinking and ftrong fmelling fifth. Such of them as are painful l,hard, refifting, and which have alivid,or leaden color, muft not be touched with the hand,becauft they favour of the Nature of a into which they oft degenerate ; yet by reafon of the pain which op- prefles more violently,you may ufe the Anodyne medicines formerly defcribed in a Cancer* iiich as this following. Be Olei de witell. ovorum % ii9 Lytharg. & T'uthij prtf.an. % Ljucci plat, [olani an.$ i p,Lc- pid.lwnatit. & an. f$. Let them be wrought a long time in a leaden mortar, and fo make a medicine to be put into the noftrills. Thofe which are foft, loofe and with- out Thereafon of the name. Lib.6.Cap JI The differences hereof Which of rhe# admit no ma* nnall operati> on. An 228 Of particular Tumors againfl Nature Lib. 8. out pain, are fometimes curable, being plucked away with an inftrumentmade for that purpofe, or elle wafted by aftuall cauteries put in through a pipe,fo that they touch not the found part; or by potentiall cauteries, as Egy'ptiacum compofcd of equall parts of all thefimples with vitrio 11 which hath a faculty to wafte fuch like flelb. Aqua fortis and oyl of vitrioll have the fame faculty, for thefe take away a Polypus by the root§ j for if any part thereof remain it will breed again. But Cauteries and acrid medicines muft be put into the noftrills with this Caution, that in the mean time cold repelling and aftringent medicines be apply cd to the hofe and parts about it to allwage the pain,and hinder the in- flammation. Such as are Vnguentum de bolo&nd of Eggs beat with Role leaves,and many other things of the like nature. Why it muft be taken clear away. CHAP. III. Of the Parotides, that if9 Certain fuellings about the Ears. Whit it is. We Parot if is a Tumor againft nature, affefting the Glandules and thofe parts feated behind and about the Ears, which are called the Emunftories of the brain ; for theft becaufe they are looft and fpongy, are fit to receive the ex- crements thereof. Of theft fome are critical!, the matter of the diftaft fome- what digeftcd being ftnt thither by the force of nature Others Symptoma- ticall, the excrements of the brain increaftd in quantity or quality ruffiing thither of ' their own accord. Such abfeefles often have great inflammation joyned with them, be- cauft the biting humor which flows thither is more vitiated in quality than in quan- tity. Befides alfo they often cauft great pain, by reafon of the diftention of the parts indued with moft exquifite ftnft, as alfo by reafon of a Nerve of the fifth Conjugation fpred over theft parts ; as alfo of the neighbouring membranes of the brain, by ■which means the patient is troubled with the Head-ach and all his face becomes fwoln. Yet many times this kind of Tumor ufeth to be railed by a tough, vifeous, and grofs humor. This difeaft doth more grievoufly afflift young men than old; it commonly brings a Feaver and watching. It is difficult to be cured, specially when it is cauftd by a grofs, tough, and vifeid humor, lent thither by the Crifis. The cure muft be performed by diet, which muft be contrary to the quality of the hu- mor in the temper and conliftence of the meats. If the inflammation and rednefs be great, which indicate aboundance of blood, Phlebotomy will be'profitable, yea very neceflary. But here we muft not uft the like judgment in application of locall medicines as we do in other tumors, as Galen admoniffieth us ; that is, we muft not uft repcrcuflives at the begin- ning, efpecially if the abftefs be criticall 5 for fo we ffiould infringe or foreflow the indca- vors of nature forcibly freeing it ftlf from the morbifique matter. But we muft much lefs re- pell or drive it back if thematter which hath flowed thither be venenate, for fo the reflow thereof to the noble parts would prove mortall. Wherefore the Chirurgeon fhall rather aflift nature in attracting and drawing forth that humor. Yet if the defluxion fhall be fo violent, if the pain fo fierce that thence there may be fear of watchings and a Feaver, which may dejeft the powers, Galen thinks it will be expedient with many refolving medicines to mix fome repelling. Wherefore at the beginning let fuch a Cataplafm be applyed. R. Far. hord. & few. Un. ana J ij, coquantur cum mulfo aut decoflo cham. addenda but. recen. & 0- lei chaw, ana J i3fiatcataplafrna. And the following oyntment will alfo be good. R. But. recen. | ij, olei chaw. & lilior.an. i, unguen.de Althea facer jparum : make an oynt- ment to be applyed with moift and greafie wooll,to mitigate the paimalfb fomewhat more ftrong difeuffing and refolving medicines will be profitable, as: R. Rad. dlthee &bryon. fol.rute, puleg. orig. an.m.j, flo. cham<em. melil. an. p. coquantur in hydromelite, addenda farin. fanugrtc. orobi. an. § i, pul. Ireos, chant, melilot. an. 5 ij, olei aneth. rutac. an. i9 fiat cataplajma. But ifyou determine to refolve it any more, you may uft Emplaftrum Oxycroceum & Melilot-Pldifter. If the humor doth there concrete and grow hard,you muft betake you to the medicines which were prefcribed in the Chapter of the Scirrhuf 5 but if it tend to fuppuration, you fhall apply the fol- lowing medicine. R. Rad. hliorum & ceparumfub cineribuf cofl. an. % iij, Vitell. ovor. num. ij. axung. fuilld & un» guent. % i, fari. Jem.Uni | i ft, fiat Cataplafina. But ifthe matter do fo require, let the tumor be opened as wc have formerly prefcribed. The differen- ces. Their Ggns and Symptomes. Prognoftkk, The cure. Z.zZ>. ?< de comp, med. fee. Loces» Hip.nph. 21. lib, i. Gentle refol- ving medicines* Stronger re* folvets. A Ripening jnedtcmc* CHAP, Lib.8. Of particular Tumors againft Nature i 229 C HAP. Ill L Of the Epulis, or overgrowing of the Jlefb of the Gums, He Efulij is'a fleffiy excrefcence of the Gums between the teeth,which is by little and little oft-times encreafedto th c bigriefs of an Egge, fo that it both hin- ders the fpeech and eating; it calls forth falvioiis and linking filth, and not ieldome degenerates into a C<wcer,which you may underftand by the propriety of the colour, pain and other accidents; for then you mtift by no means touch it with your hand. But that which doth not torment the Patient Witli pain,may be pluckt away; and let this be the manner thereof. Let it be tyed with a double thred,which mutt be ftraiter twitched untill fuch time as it fall off; when it ffiall fall away,the place muft be burnt with a cautery put through a trunk or pipe,or with Aqua fortis, or oyl of Vitriol/, but with great care that the found parts ad- joyning thereto be not hurt,for if fo be that it be not burnt,it ufually returns. I have often by this means taken away fuch large tumors of this kind, that they htfrig out of the mouth in no fmall bignefs,to the great disfiguring of the face,which when as nd Chirurgeon durft touch,becaufe the flelh looked livid,I ventured upon becaufe they were free from pain; and by taking them away and cauterizing the place, I perfectly healed them; not truly fodainly,and at once; for although I burnt the place after difleftion ; yet neverthelefs they fprung up again, becaufe a certain portion of the bone and focketS in which the Teeth ftand faftened,were become rotten.I have often oblerved inch like fleth by continuance of time to have turned into a griftly and bony fubftance. Wherefore the cure mull be begun as fpeedily as may be; for being but little, and having faftened no deep roots,it is more ealily taken away, being then only filled with a vifeid humor, which in fuccefs of time is hardered,and makes the taking, a way thereof more difficult. What it is* The Sy rep, tomes* The Chirurge-' cal! cure* Why the cure' mull not bf deferred. CHAP. V. Of the Ranula. Here is oft-times a tumor under the torfgue,which takes away the liberty of pro- nuntiation or fpeech; wherefore the Greeks call it Latins Kann- fuch as have this dileafe of the tongue, feem to exprefs their minds by croaking rather than by fpeaking. It is caufed by the falling down of a cold,moift,grofs,tough,vifcid and phlegmatick mat- ter,from the brain upon the tongue,which matter in colour and confiftence reiembles the white of an egge,yet fometimes it looks of a citrin or yellowifh colour. That you may fafely perform the cure, you muft open the Tumor rather with a cautery of hot Iron,than with a Knife,for otherwile it wil return again.The manner of opening of it muft be thus. You fhall get a bended hollow and perforated iron plate with a hole in the midft, and making the Patient to hold open his mouth, you (hall lb fit it, that the hole may be upon the part which muft be opened. Then there you muft open it with an hot Iron, for fo you fhall hurt no part of the mouth which is whole; but when you are ready to burn it, by thrufting your thumb under the Patients Chin, you may fomewhat elevate the Tumor whereby you may open it with more certainty; when it is opened you muft thruft out the matter contained therein, and then wafh the Patients mouth with fome barly water,hony,and Sugar of Roles; for fo the ulcer will be fafely and quickly healed. The Reafora why iris fa called. The Caufc, The Cure/ The delineation of the Iron plate and crooked actual! Cautery, X CHAR 230 Of particular Tumors againjl Nature. L1 b.8. CHAP. V I. Of the fvelhni, of the GhmJulet, or ef the threat. Why the Glan- dules are called Almonds. Ature at the jaws near the roots of the Tongue,hath placed two Glandules op« pofite to one another; in figure and magnitude like to Almonds, whence alio they have their name; their office is to receive the ipittle falling down from the brain, both left that the too violent falling down of the humor lliould hinder the tongue in (peaking,aS alfo that the tongue might alwaycs havemoifture, as it were laid up in ftorc, left by continuall (peaking, it ffiould grow dry and fail.For thus this fpittle being confumed by feaveriffi heats, the Patients are fcarfe able to fpeak, unlefs they firft moiften their tongue by much walking of their mouth. Thefe Glandules becaufe they are feated in a hot and moift place, are very fubjeft to in- flammations; for there flows into thefe oft-times together with the blood,a great quantity of crude,phlegmatick and vifcous humors, whence arifes a tumor ; which is not feldomc occafioned by drinking much and that vaporous wine, by too much Gluttony,and ftaying abroad in the open air. j Swallowing is painfull and troublefome to the Patient,and commonly he hath a Feaver. Oft-times the neig hbouring Mufcles of the throttle and neck are fo fwoln together with thefe Glandules/ that as it ufually happens in the Squinzy'yxhx pajfage of the breath and air is ftopped,and the Patient ftrangled. We refift this imminent danger by purging and blood-letting,by applying Cupping- Glafles to the Neck and ffioulders, by friftions and ligatures of the extreme parts, and by waffiing and gargling the mouth and throat with aftringent Gargarifms. But if they come to fuppuration,you muft with your incifion Knife make way for the evacuation of the Pm, or Matter; but if on the contrary, thefe things performed according to art, defluxion be increafed, and there is prefent danger of death by flopping and intercepting the breath,for the ffiunning fo great and imminent danger, the top or upper part of the Afyera arteria, or Weazon muft be opened, in that place where it ufes to ftand moftout; and it may be done fo much the fafer, becaufe the jugular veins, and arteries are furtheft diftant from this place, and for that this place hath commonly little fleffi upon it. And that the incifion may bethe.fitiier made, the Patient muft be wiffied to bend his head back,that fo the Artery bethemoreeafilycome to by theinftrument; then you (hall make an incifion overthwart, way with a crooked knife between two rings (not hurting nor touching the griftly fub- fiance J that is to fay, the membrane which tyes together the griftly rings being only cut; you fhall then judg that you have made the incifion large enough,when you ffiall perceive the breath to break out by the wound;the wound muft be kept open fo long,untill the dan- ger of fuffocation bepaft; and then it muft be fowed up not [touching thegriftle: But if the lips of the wound ffiall be hard and callous; they muft be lightly fcarified,that fo they may become bloody for their eafier agglutination and union,as we ffiall ffiew more at large in the cure of Hare lips. I have had many in cure, who have recovered,that have had their Weazon together with the griftly rings thereof cut with a great wound, as we ffiall note when we ffiall come to treat of the cure of the wounds of that part. Their ufej The Caufe of their tumor. Symptomcs, Cure, Exfrtme dir- cafes muft have extreme remedies. How you muft open the Weazon, CHAP. VII. Of the inf annuation and relaxation in the Vvula or Columella. What the fVm- Atis/mdwhat;' the ufe theie- of. / He Vvula is a little body, fpongy and fomewhat (happened to the form of a Pine apple5lianging even down from the upper and inner part of the palat,fb to break the force of the Air drawn in,in breathing,and carryed to the Lungs, and to be as a quill to form and tune the voyce. It often grows above meafurehy receiving moifture falling down from the brain, becoming (harpe Lw litth and little from a broa- der and more fwdln Ba/is. Which'thing caufes'many'Symptomes; for by'the continual! irritation of the diflilling humor the Cough is* caufM,Whidi alfo hinders the Heep and in- tercepts the liberty of fpeech; but alfo by hindering rcfpiration the Patients cannot deep unleis With open mouth: they are exerciied with a vain indcavouring to fwallow (having as it were a mo ffell flicking in their jaws) and are in danger of being flrangled. This difcafe rtiuft be refilled and allailed by purging, bleeding. Cupping, taking of cly- fters, tiling aiftringent Gargles,aad a convenient diet; but if it cannot thus be overcome, the cure muft be tryed by a catrftic'k of Aqua fortis, which I have divers times done with good fucces.fcut if it cannot be fo donfc,it wil be better to put tdyOur hand,than through idlenes to differ the patient to remain in ihiminent and deadly danger of flrangling;yet in this there muft very great caution be ufed 5 for the Chirurgeon (hall not judg the Vwula fit to be touched with an inflrument or cauftick,which is fwoln with much inflamed3or black blood after the manner of a Cancer5 but he (hall boldly put to his hand if it be longilh, grow fmall TheCawftfof the f we Hing thereof* Symptomes/ The The cure by Chirurgery. Lib.8. Of particular Tumors againjl Nature. 231 fmall by little and little into a iharpe,looie and lore point; it it be neither exceeding red, neither fwolne with too much blood, but whitifh and without pain. Therefore that you may moreeafily and fafely cut away, that which redounds and is liiperfluo us,delire, the Pa- tient to lit in a light place,and hold his mouth open ; then take hold of the top of the Vvula with your fizers, & cut away as much thereof as fha 1 be thought unprofitable.Other- wife you fhall bind it with the inftrument here-under defcribed ; the invention or this in- ftrument is to be afcribed to Honor atm Taflel/anus that diligent and learned man, the Kings Phyfitian ordinary, and the chief Phy fltan of the Queen mother 5 Whic h alfo may be ufe in binding of Polyp and warts in the neck of the womb. The Delineation of conftri&ory rings fit to twitchy or bind the Columella, with a tw fled thredi A. Shews the ring whofe upper part is fomewhat hollow. B. A double waxed thred, which is couched in the hollownefs of the ring,and hath a runniiagj or loolekootupon it. An iron rod, into the eye whereof the fore- mentioned double thred is put, and it is to twitch the Columella when as much thereof is taken hold of, as is unprofitable, and fo to take it away without any flux of blood.When you would ftraiten the thred, draw it again through this iron rod,and fo ftrain it as much as you fha.ll thigk good, letting the end of the thred, hang out of the mouth. But everyday it muft be twitched harder than o- ther, untill it fall away by means thereof, and fo the partand patient be reftored to health. I have delineated three of thefe inftruments,that you may ufe which you wills as lhall be offered. A Figure of the Speculum oris, by which the mouth if held and kept open tohilft the Ch ir urge on ij bufied in the cutting away er binding the Vvula. But if an eating ulcer (hall aflbciate this relaxation of the Vvula, together with a flux of blood, then it muft be burnt and feared with an hot iron,fo thruft into a Trunk,or Pipe with an holcinit,that fo no found part of the mouth may be oflended therewith. X 2 Of particular Tumorsagainfl Nature. 232 Lib.8. A hollow Trunfwith a hole in the with the hot iron inferted., or put therein. CHAP. VIII. Of tbe Angina, or Squinzy. What it is. Squinancy,or Squincy,is a (welling of the jaws, which hinders the entring of the ambient air into the weazon, and the vapours and the (pirit from pai- jjghs (age forth, and the meat alfo from being fwallowed. There are three ditfer- ences thereof. The firft torments the patient with great pain, no fwelling be- jng outwardly apparent, by reafon the Morbifick humor lyes hid behind the almonds or Glandules at the Vertebra of the neck,fo that it cannot be perceived,ualefs you hold down the tongue with a (patula or the Speculum for fo you may lee the rednefs and tumor there lying hid. The Patient cannot draw his breath,nor fwailow down meat, nor drink; his tongue, (like a Gray-hounds after a courfe ) hangs out of his mouth, and he holds his mouth open that fo he may the more eafily draw his breath; to conclude, his voyce is as it were drownd in his jaws and note; he cannot lye upon his back, but lying is forced to fit, fo to breath more freely : and becaufe the paflage is ftopt, the drink flies out at his nofe ; the eyes are fiery and (wollen, and Handing out of their orb. Thofe which are thus affeRed are often fodainlyfuffocated, a foam riling about their difference is faid to be that,in which the tumor appears inwardly, but little or (carle any thing at all outwardly, the tongue, Glandules, and jaws appearing fomewhat fwollen. The third being leaft dangerous of them all,caufes a great fwelling outwardly,but littla inwardly. The Caufes are either internall, or externall. The external! are a ftroak, fplinter or the like thing flicking in the Throat, or the excels of extreme cold,or heat. The internall caufes are a more plentifull defluxion of the humors either from the whole body of the brain, which participate of the nature either of blood, choler or flegm, but feldome of Melancholy. The figns by which the kind and commixture may be known, have been declared in the generall treatife of tumors. The Squincy it more dangerous, by how much the humor is lefs apparent within and without. Thatislefs dangerous which (hews it felf outwardly,becaufe fuch an one Ihuts not up the wayes of themeat, nor breath.Some dye of a Squincy in twelve houres, other in two, four or feven dayes. Thofe (faith Hippocrates) which fcape the Squincy, the difeafe pafles to the lungs, and they dye within feven dayes ; but if they fcape thefe dayes, they are fuppurated; but alfo often- times this kind of difeafe is terminated by difappearing, that is,by an obfeure reflux of the humor into fome noble part,as into the Lungs (whence the Empyema proceeds)aud into o- ther principall parts,whofe violating brings inevitable death; fometimesby refolution,o- therwife by fuppuration. The way of refolution is the more to be defired; it happens when the matter is final!, and that fubtle, efpecially if the Phyfitian fhall draw blood by opening a vein,and the Pa- tient ufe fitting Gargarifms. A Criticall Squincy divers times proves deadly by reafon of the great falling down of the humor upon the throttle,by which the paflage of the breath is fodainly ihut up. Broths muft be ufed made with Capons, and Veal feafoned with Let- tuce, Purllain,S@rrell,and the cold feeds. Jfthe Patient (hall be fomewhat weak, let him have potehed Egges, and Early Creams, the Barly being fomewhat boy led with Raifons in water and Sugar,and other meats of this kind. Let him be forbidden wine, in (lead whereof he may ufe Hydromelita9 and Hydrofachara that is,drinks made of water and Hony, or water and Sugar as alfo the Syrups of dryed Rofes, of Violets, Sorrell and Lemmons, and others of this kind. Let him avoid too much deep. But in the mean time the Phyfitian muft be careful! of all, becaufe this difeafe The differen- The fir ft kind. The Symp- toms. The fecund kind. The third. The Caufes. Hip.fefa prog. A' phet.io Jeff.f Diet; Lib.8. Of particular Tumors againft Nature. 233 diieaie is of their kind, which brook no delayes. Wherefore kt the Kaftlica be prelently opened, on that fide the tumor is the greater ; then within a fhort time after the lame day, for evacuation of the conjunct matter, let the vein undtr the tongue be opened ; let cnpping-Glafles be applyed, fometimes with fcarification, fometimes without, to the neck and fhoulders,and let friftions and painfull ligatures be ufed to the extreme parts.But let the humor impaft in the part be drawn away by clyfters and (harp fuppofitories. Whilft the matter is in defluxion, let the mouth without delay be wafhed with aftringent garga- rifmes to hinder the de fluxion of the humor, left by its fodain falling down it kill the Patient, as it often happens, all the Phyfitians care and diligence notwithftanding. Therefore let the mouth be frequently wafhed with Oxycrate, or fuch a gargarifrn: R. Pomorum jilveft. nu. iiij, fumach} Pofar. rub. an. m. jf. berber. 3 ij, let them be all boy led with fufficient quantity of water to rhe confumption of the half, adding thereunto of the wine of foure Pomgranats, J iiij, of Diamoron ij, let it be a little more boy led and make a gargle according to Art. And there may be other Gargarifms made of the waters; of Plantain, Night-fhade, Verjuice, Julep of Rofes and the like. But if the matter of the defluxion fhall be Phlegmatick, Alum, Pomgranat pill, Cyprefs nuts, and a little Vine- ger may be fafely added. But on the contrary,repcrcuflives muft not be outwardly applyed, but rather Lenities, whereby the external! parts may be relaxed and ratified, and fo the way be open either for the diffufing or revolving the portion of the humor. You fhall know the humor to begin to be refolved, if the Feaver leave the Patient, if he fwalloW, fpeakand breath more freely, if he fleep quietly, and the pain begin to be much aflwaged. Therefore then natures endeavour muft be helped by applying refolved medicines, or elfe by ufing fuppuratives inwardly and outwardly, if the matter feem to turn into Pm. There- fore let gargarifrn s be made of the roots of March-Mai lows,Figs, Jujubes, damask Prunes, Dates, perfectly boyled in water.The like benefit may be had by Gargarifms of Cows milk with Sugar, by oyl of fweet Almonds,or Violets warm,for fuch things help forward flip- puration and aflwage pain; let fuppurating cataplafms be applyed outwardly to the neck and throat,and the parts be wrapped with wooll moiftened with oyl of Lillies. When the Phyfitian fhall perceive that the humor is perfectly turned into pw, let the patients mouth be opened with the Speculum oris} and the abfeefs opened with a crooked and long incifion knife; then let the mouth be now and then wafhed with cleanfing gargles; as fy.Aqua hor- de i lib. jf. me His ro;.& far. rofar. ftc.au.| gargarifma.Mfo theufe of <mwie/,that is,wine and Hony,willbefitfor thispurpofe. The ulcer being denied by thefe means, let it be cica- trized with a little roch-Alum added to the former gargarifins. Cure. Repelling Gargat.fms. Ripening Gargarifajs, Detergent Gargarifig'j.' 1 The F igure of an inci fan tyife opene d out of the ch femes for a {berth thereto x CHAP. IX. Of the Bronchocele, or Rupture of the throats which the French call that the Greeks call Eronchocele, the Latins Gut- turif Hernia., that is,the Rupture of the throat. For it is a round tumor of 'the throatjthe matter whereof coming from within outwards, is contained between the skin and weazon; it proceeds in women from the fame caufe as an Aneurtfma. But this generall name oiBronchocele undergoes many differences;forfbmetimes it retains the nature ofMelicerides, other whiles of or fome there isfoundaflefhy fubftance having fbme (mail pain; fbme of thefe arefmall, others «fo great that they feem almoft to cover all the throat; fome have a Cift} or bag, others have no fuch thing; all how many fo ever they be, and what end they (hall have,may be known by their proper figns; thefe which fhall be curable, may be opened With an a&uall or poten- tial! cautery, or with an incifion knife. Hence if it be poflible, let the matter be prefently evacuated,but if it cannot be done at once, let it be performed at divers tijnesaand difcufled by fit remedies3and laftlyjet the ulcer be qonfolidated and cicatrized. Thereafonoi the name., Ths differed CCS. The Cur# p 2 CHAP. Of particular 7 umors againft Nature. Lib.8. 234 CHAP. X. Of the Pleurifie. He Pleurifie is an inflammation of the membrane, inverting the ribs, canted by fubtile and cholerick blood, fpringing upwards with great violence from the hollow vein into the and thence into the intercoftall veins, and is at length fpowred forth into the emptiefpaces of the intercoftall mufcles, and the mentioned membrane. Being contained thereof it tend to fuppuration,it commonly infers a pricking pain,a Feaver and difficulty ofbreathing. This fuppurated blood is purged and evacuated one while by the mouths the Lungs fucking it,and fo carting it into the Weazon, and fo into the mouth,otherwhiles by urine,and fometimes by ftool. But* if nature being too weak, cannot expe&orate the purulent blood poured forth in- to the capacity of the cheft,ithe difeate is turned into an wherefore the Chirurge- on muft then be called,who beginning to reckon from below upwards, may make a vent between the third and fourth true and legitimate ribs; and that muft be done either with an aft u al or potentiall cautery,or with a fharpe knife drawn upwards, towards the back, but not downwards,left the veflels ffiould be violated which are difleminated under the rib.This apertion may be fafely and ealily performed by this aftuall cautery ; it is perforated with four holes, through one whereof there is a pin put higher or lower according to the depth and manner of your incifion.then thepoint thereof is thruft through a plate of Iron perfo- rated alfo in the midft,into the part defigned by the Phyfitian,left the wavering hand might peradventure touch,and fo hurt the other parts not to be medled withall. This fame plate muft be fomewhat hollowed, that fo it might be more eafily fitted to the gibbous fide, and bound by the corners on the contrary fide with four ftrings.Wherefore I have thought good here to exprefs the figures thereof. What it is. Of a Plemifie coming tofup* puration. Of the change thereof into an Empyema. Of iheapenti- on of the fide in an Empyema. Tire Figure of An atfual! cautery with its plate fit to be ufed in a Pleurifie. But if the patient fhall have a large body, Cheft and ribs, you may divide and perforate the ribs themfelves with a Trepan; howfoever the apertion oe made, the pus or matter muft be evacuated by little and little at feverall times; and the capacity of the Cheft cleanfed from the purulent matter by a detergent injection ofvj ounces of Barley water,and 5 ij.ho- ny of Rofes,and other the like things mentioned at large in our cure of wounds. CHAP. X I. Of the Dropfie. What the Dropfie is* He Dropfie is a Tumor againft nature by the aboundanceof waterilh humor, of flatulencies,or Phlegm,gathered one while in all the habit of the body, other- whiles in fome part,and that efpecially in the capacity of the belly between the Peritoneum and entrails. From this diftin&ion of places and matters there arife divers kinds of Dropiies. Firft, that Droplie which fils that fpacc of the belly, is either moift or dry.The moift is called the Jfotej,by reafon of the fimilitude it hath with a leather bottle,or Borachio3becaule the waterilh humor is contained in that capacity, as it were in Rich a veflell. The dry is called the or Tympany, by reafon the belly fwollen with wind founds like a that isaa Drum.But when the whole habit of the body is diftended with The differen- ces thereof. Of particular Twnors againft Nature L1 b.8. 235 with a phlegmatick humor,it is called Anasarca or Leucofhlegmatia. In this laft kind of Droplie the lower parts firft (well, as which by reafon of their lite are more fubjeft to re- ceive defluxions, and ijiore remote from the fountain of the native heat; wherefore if you prefle them down the print of your finger will remain fometime after;the patients face wil become pale anti puffed up, whereby it may be diftinguiffied from the two other kinds of Droplie. For in them firft the belly, then by a certain confequence the thighs and feet do Iwell. There are befides alfo particular Dropfies,contained in the ftrait bounds of certain places. Inch are the Hydrocephalos in the head; the Bronchocele in the throat; the cele in the Cheft; the Hydrocele in the Scrotum., or Cod; and fo of the reft. Yet they all arife from the famecaufe; that is, the weaknefs or deleft of the altering or concofting faculties, cfpecially of the liver, which hath been caufcd by a Scirrhw, or any kind of great diftem- per, chiefly cold, whether it happen primarily, or fccondarily by reafon of fome hot difl- ftemper diflipating the native and inbred heat, inch a Droplie is uncurablejor elfe it comes by confent of fome other higher or lower partjfor if in the Lungs, Mid rift, or Reins there be any diftemper,or difeafe bred,it is eafily communicated to the gibbous part of the Li- ver, by the branches of the hollow vein, which run thither. But if the milchief proceed from the Spleen, Stomach,Mefentery Guts,efpecially the jejunum and Ileum., it creeps into the hollow fide of the liver by the meferaick veins,and other branches of the Vena porta or Gate vein. For thus fuch as are troubled with the Spleen,Jaundife,and al- fo the Phrenlie,fall into a Droplie. Laftly,all fuch as have the menftrtiall or hsemorrhoidall blood fupprefled or too im- moderately flowing contrary to their cuftome, either overwhelms, diminilheth or extin- guiflieth the native heat; no otherwife than fire, which is fuflbeated by too great a quan- tity of wood ; or dieth and is extinguilhed for want thereof. We muft look for the fame from the excrements of the belly or bladder, caft forth either too Iparingly or too immo- derately : Or by too large quantity of meats too cold and ralhly devoured without any order; To conclude,by every default of externall caufes, through which occafion,error may happen in diet or exercife. The Ajcitet is diftinguilhed from the two other kinds of Dropfies, both by the magni- tude of the efficient caufe,as alfo by the violence of the Symptoms,as the dejefted appetite, thirft,and fweling of the' Abdomen .And alfo when the body is moved or turned upon either iide,you may hear a found as of the jogging of water in a veflell half full. Laftly, the hu- mor is diverlly driven upwards or downwards, according to the turning of the body and compreffion of the Abdomen:, It alfo caufeth various Symptoms by preflure of the parts to which it floweth. For it caufeth difficulty of breathing and the cough by prefling the Midriffe; by fweating through into the capacity of the Cheft it caufeth like Symptoms as the Empyema. Belides alfo the patients often feem, as it were, by the ebbing and flowing jofthewateriffi humor, one while to be carried to the skies, and another whiles to be drowned in the water, which I have learnt not by reading of any author, but by the re- port of the patients themfelves. But if thefe waterilh humors be fallen down to the lower parts, they fupprefs the excrements of the guts and bladder by prefling and ftraitning the paflages. When the patient lies on his back the tumor feems lefle, becaufe it is fpread on both fides;On the contrary when he ftands or fits, it feems greater,for that all the humor is forced or driven into the lower belly,whence he feels a heaviness in the Petfen or ffiare. The upper parts of the body fall away by defeft of the blood fit for nourilhment in quality and confidence, but the lower parts fwel by the flowing down of the ferous and waterilh humor to them.Thepulfe is little,quick,and hard with tention. This difeale is of the kind of Chronicall or long difeafes;wherefore it is fcarce,or never cured, cfpecially in thofe who have it from their mothers womb, who have the Aftion of their ftomach depraved,and thofe who are cacheftick, old; and laftly, all fuch as have the naturall faculty languilhing and faulty. On the contrary, young and ftrong m«n,efpecially if they have no feaver,and finally all who can endure labour, and thofe exercifes which are fit for curing this difeafe, eafily re- cover,principally if they ufe a Phyfitian before the water which is gathered together do putrefie and infeft the bowels by its contagion. The Symp- romeso The Caufe& How divers diieafcs turn into Droplies* The figris cf an Afcitet. The Symp- toms. CHAP. XII. Of the cure of the Dropfte. He beginning of the cure muft be with gentle and mild medicines; neither miift we come to a Paracentefis unlefs we have formely ufed and tried thefe. There- fore it ihal be the part of the Phyfitian to prefcribe a drying diet,and inch me- dicines as carry away water, both by ftool and urine.Hipptcrates ordains this powder for Hydropick perfons. R Canthar. ablate capitib. & alis Combu- rentur in fiatpulvir, of which adminifter two grains in white wine, for nature hel- ped by this, and the like remedies hath not feldome been feen to have cured the Dropfie. Hip. lib< 4 (fc acut. (<r lib.de interth Of particular 7 umors againft Nature Lib. 8. 236 But that we may haften the cure, it will be available to ftir up the native heat of the part by appplication of thofc medicines which have a difcuiling forceps bags,baths,ointmcnts, and Emplaifters. Let bags be made of dry and harlh Bran, Oats,Salt,Sulphur, being made hot, or for want of them,of Sander, or Allies often heated. The more effeftuall baths are fait, nitrous, and fulphurous waters, whether by nature or art, that is, prepared by the diflolution of fait, niter, and Sulphur; to which if Rue, Mar jorom, the leaves of Fennell, and tops of Dill, ot Sta'chas, and the like be added, the bufinefs will goe better forwards. Let the ointments be made of theoyl of Rue, Dill, Baies, and Squills, in which fome EMpfaor/>z«w,Pellitory Pepper have been boiled. Let plaifters be made of Frankincenfe, Myrrh, Turpentine, Bayberries, Englilh galengall, hony,the dung of Oxen,Pigeons, Goats, Horfes, and the like, which allb may be applied by themfelves. If the difeale continue,we mull come to Sinapijmes and Pho'mgwejjthat is, to rubrifying and veficatory medicines. When the blifters are railed,they muft be anointed again,that fo the water may by little and little flow fo long untill all the humor be exhaufted, and the patient reftored to health. Galen writes,the Husbandmen in 4/rrf,when they carried wheat out of the Country into the city in Cars,when they wil Real away and not be taken,hide fome ftone jugs till'd with water in the midft of the wheat; for that will draw the moifture through the jugs into it felf, and encreafe both the quantity and weight. When certain pragmaticall Phyfitians had read this,they thought that wheat had force to draw out the water, fo that if any fick of the Droplie Ihould be buried in a heap of wheat,it would draw out all the water. But if the Phylitian lhall profit nothing by thefe means, he muft come to the exquifitly chief remedy,that is, to Paracentefis. Of which becaufe the opinions of the ancient Phy fiti- , ans have been divers, we will produce and explain them. Thofe therefore which difallow Paracentejis, conclude it dangerous for three realbns. The firft is becaufe by pouring out the contained water, together with it,you diffipate and refolve the fpirits, and confequently thenaturall, vitall, an d animall faculties. Another opinion is,becaufe the Liver wanting the water by which formerly it was born up;thencc forward hanging down by its weight,deprefleth and draweth downwards the midriffe and the whole Cheft, whence a dry cough, and a difficulty of breathing proceed. The third is,becaufe the fubftance of the Peritoneum, as that which is nervous, cannot be pricked or cut without danger, neither can that which is pricked or cut be cafily aggluti- nated and united, by reafon of the Ipermatick and bloudlefle nature thereof. ErafiftratM moved by thefe realbns condemned Paracentefis as deadly : alfo he perfwaded that it was unprofitable for thefe following realbns, viz. becaufe the water powred forth, doth not take away with it the caufe of the Dropfie,and the diftemper and hardnefs of the Liver,and of the other bowels, whereby it conies to pafs that by breeding new waters they may eafily again fall into the Dropfie. And then the feaver, thirft,the hot and drie diftemper of the bowels, all which were mitigated by the touch of the included water,are aggravated by the abfence thereof,being powred forth.-which thing leemeth to have moved Awicen and Gordoniw that he fa id none; the other faid very few lived after the Paracentefis:but the refu- tation of all fuch realbns is very eafie. • For, for the firft Galen infers, that harmfull diffipation of fpirits, and refolving the fa- culties happens,when the Paracentejis is not diligently, and artificially performed. As in which the water is prefently powred forth; truly if that reafon have any validity,Phlebo- my muft Item to be removed far from the number of wholfome remedies, as whereby the blood is poured forth, which hath far more pure and fubtil fpirits,than thole which are faid to be diffuled and mixed with the Droplie waters. But that danger which the fecond reafon threatens lhall eafily be avoided ; the patient being defired to lie upon his back in his bed, for fo the Liver will not hang down. But for the third reafo n, the fear of pricking the Peritoneumfis childiflufor thofe evils which follow upon wounds of the nervous parts,happen-by reafon of the exquifit fenfe of the part,which in the Peritoneum ill affefted & altered by the contained water,is either none or very fmal.But reafon and expe- rience teach many nervous parts, alfo the very membranes themfelves being far removed from a fleffiy fubftance,being wounded admit cure;certainly much more the as that which adheres fo ftraitly to the mufclcs of the tMdifle&or cannot fepa- rate it from the flelh,but with much labor.But the realbn which leems to argue the unpro- fitablenefs of the Paracentefis is refelled by the authority of Celfus.lsfaith he, am not igno- rant that Eraftftratus did not like Paraccntejistfor he thought the Dropfie to be a difeale of the Liver, and fo that it muft be cured,and that the water was in vain let forth,which the Liver being vitiated,might grow again. But firft this is not the fault bf this bowel alone, and then although the water had his originall from the Liver,yet unlefs the water which ftayeth there contrary to nature being evacuated,it hurteth both the Liver,and the reft of the inner parts,whilft it either encreafeth their hardnefs,or at the leaft keepeth it hard,and yet notwithftanding it is fit the body be cured. And although the once letting forth of the humor profit nothing,yet it makes way for medicines, which while it wan there con- tained, it hindered, But this ferpus,fait,and corrupt humor is lb far from being able to mitigate Bags. Bathes- Liniments. Emplai fters. Veficarories* Gal. lib t de fa- cnl.natnrti» Divers opini* onsof Parti' cen tefts,or ope- ning df the belly. Reafons'a- gainfl it. ErafififMfi his Keatons againft itf Reatons for it, Libi Of particular Tumors againft. Nature Lib.8. 237 mitigate a leaver and thirft, that cn the contrary it mcreaieth them. And alio it augmen- ted! the cold diftemper, whilft by its abundance it overwhelms and extinguish the na- tive heat. But the authority of Celiw Aurelianw that moft noble Phyfitian, though a Me- thodick, may fatisfie Avicen and Gort/ortiw.TheyJfaith he, which dare avouch that all inch as have the water let out by opening their belly have died,do lie;for we have icen many recover by this kind of remedy: but if any died,it happened either by the default of the flow or negligent adminiftration of t he Paracentefis. I will add this one thing which may take all error of controversies : we unwifely doubt of the remedy when the patient is brought to that neceflity,that we can only help him by that means. Now mull we lhew how the belly ought to be opened. If the Dropfie happen by fault of the Liver, the feftion muft be made on the left if of the Spleen,in the right: for if the patient fhould lie upon the fide which is opened, the pain of the wound would continually trouble him, and the water running into that part where the feftion is, would continually drop, whence would follow a diflblution of the faculties. The Seftion muft be made three fingers bredth below the Navell, to wit, at the fide of the right mufcle,but not upon that which they call the Line a Alba-,neither upon the nervous parts of the reft of the mufcles of the Efigaftriimr, that fo we may prevent pain and difficulty of healing. Therefore we muft have a care that the patient lie upon his right fide, if the incifion be made in the left, or on the left, if on the right. Then the Chirurgeon both with his own hand, as alfo with the hand of his fervant affifting him,muft take up the skin of the belly,with the fleffiy pan- nicle lying under it,and feparate them from thereftjthen let him dividethem fo feparated xvith a Seftion even to the fleffi lying under them,which being done,let him force as much as hee can the divided skin upwards towards the ftomach, that when the wound, which muft prefently fie made in the fleffi lying there-under,ftall be confolidated,the skin by its falling therein,may ferve for that purpole: then therefore let him divide the mulculous fleffi and Peritoneum with a fmall wound,not hurting the Call or Guts. Then put into the wound a trunk, or golden, or filver crooked pipe, of the thicknefe ofa Goofes-quill,and ofthe length offome halfa finger. Let that part of it which goes into the capacity of the belly have fomething a broad head,and that perforated with two fmall holes,by which a firing being faftened,it may be bound fo about the body , that ic cannot be moved,unlefs at the Chirurgec ns plcafure. Let a fpunge be put into the pipe, which may receive the dropping humor: and let it be taken out when you would evacu- ate the water: but let it not be poured out all together,but by little and little for fear of diflipation of the fpirits,and refolution of the faculties, which I once faw happen to one fick of the Dropfie. He being impatient ofthe dilealc and cure thereof, thruft a Bodkin into his belly,and did much rejoice at the pouring forth ofthe water , as if he had been freed from the humor and the difeafe, but died within a few houres, becaule the force of the water running forth, could by no means be ftaied, for the incifion was not artificially made. But it will not be fiifficient to have made way for the humor by the means afore- mentioned,but alfo the external orifice of the pipe muft be flopped & ftrengthned by dou- ble cloaths, and a ftrong ligature,left any of the water flow forth againft our wils. But we muft note that the pipe is not to be drawn out of the wound, before as much water ffiall be iflued forth as we defire,and the tumor requirethjfor once drawn forth, it cannot eafily be put in again,and without force and pain be fitted to the lips of the wound,becaufe the skin and fleffiy pannicle cover it by their falling into the wound of the fleffi or mufcle. But whilft the water is in evacuation, we muft have a diligent care of feeding the patient, aS alfo of his ftrength, for if that fail,and he feem to be debilitated, the effiifion of the water muft be ftaied for fome daies, which at the length performed acccording to our defire, the wound muft be fo confolidated that the Chirurgeon beware it degenerate not into a FP flu la. Lib. de Ch cap. de Hydrops The'places of the apcrtion mu ft be divers, according to the parts chiefly affcflcd. The manner of making apetr/- on» AHiftor/, A caution for« taking out the pipe. The figure of a Pipe in form of a Quill3 to evacuate the water in Dropftes Others performe this bufinefs after another man- ner j for making an incifion, they thruft through the lips of the wound with a needle and thred: but they take up much of the flelhie fubftance with the left that which is taken up fhould be rent and torn by the forcible di awing of the lips together.Thcn the thred it felt is wrapped up and down over both ends of the needle5fo thruft is ufually done in a hare-lipjthat fo the lips of the wound may fo clofely cohere., that not a drop of water may get out againft theChirurgeons wil.Sometimes fuch as are cured and healed of the Dropfie/all into the Jaundife, whom I Another nerof evacua* ting the water | after the tion. ufually cure after this maner. R fterc. anfer. jijjdiflolve it in |iij3 vini alb. coletur: make a Potion., and let it be given two hourcs before meat. A medicine fot ihfjwsdi&t CHAP, 238 Of particular Tumors againft Nature. Lib.8. CHAP. XIII. Of the tumor and relaxation of the Navell, The divers caufes thereof, He Exomphalos orfwelling of the Navel,is caufed by the relaxed or brokenrfor by this occafion oft-times the guts,and oft-times the kal,fal in- to the feat of the Navel!, and fometimes fuperfluous flefh is there generated; ( otherwife this tumor is as an Aneurifma by too great a quantity of blond pou- red forth in that place: otherwife by a flatulent matter , and fometimes by a waterifh humor. If thefiumorbe occafioned by the kail, the part it felfwill retain his proper colour, that is, the colour of the skin; the tumor will be foft and almoft without pain, and which will refide without noife, either by the preflurc of your fingirs, or of it lelf when the Patient lieth on his back;but tumor caufed by the guts, is more unequal!, and when it is forced in by the prefliire of your fingers,there is fuch a noife heard,as in the Entero ce/e;but if the tumor proceed of fuperfluous flefh it will be harder and more ftubborn, not cafily retiring into the body, although |;he patient lie upon his back,and you prefleit with your fingers. f \ The tumor is fofter which proceeds of wind,but which wil not retire into the body,& founds under your nail like a tabcr. If the fwelling be caufed by a waterifh humor,it hath all things common with the flatuous tumor , except that it is not fo vifible, and without noife. If it be from effufion of blood, it is ofa livid colour,but if the effufed blood fhall be arteriall,then there are the figns of an AneurifmaJNheieforc when the tumor is caufed by the guts, kali, wind or a waterifh humor, it is cured by Chirurgery: but not if it proceed from a flefhy excrcfccnce or fuffufion of blood. The tumor of the navell proceeding from the kail and guts, the Patient muft lie upon his back to be cured, and then the kali, and guts,muft with your fingers be forced into their due placerthen the skin with which the tumor is circumfcribed muft be taken up with your fingers, and thruft through with a needle,drawing after it a double twined and ftrong thred,then it muft be fcarified about the fides,that fo it may be the eafier agglutinated. Then muft it be thruft through with a needle three or four times, according to the manner and condition of the diftenti- on and tumor.And fo twitch it ftrongly with a thred,that the skin which is fo bound may at length fall ofttogether with the ligatures. But alfo you rpay cut off the skin fo diften- ded even to the ligature,and then cicatrize it, as fhall be fit. A flatulent tumor of the na- vell fhall be cured with the fame remedies, as we fhall hereafter mention in the cure of a windy rupture, but the watery may be poured forth by making a fmall incifion.And the Wound fhall be kept open, fo long, until! all the water be drained forth. Signs hereof bccafioned by the kail* By the guts. By flefh. By wind- By a ware rifb humor. By bruited blood. Which may be cured by Chi- xurgery, which nor. The cure by Chirurgery. CHAP. X11II. Thefe are only 3 .forts of Ruptuiefj Of the Juniors of the Groins and Cods called th at Ruptures. •ie ancient Phyficians have made many kinds of Ruptures, yet indeed there arc only three to be called by that name,that is,the Inteftinaljj,or that of the guts, the Zirbdlif, or that of the kali,and that which is mixed of them both. The other kinds of Ruptures have come into this order,rather by limilitude, than any truth of the thing : for in them the gut or kail doe not forfake their places. The Greeks have given to all thefe feverall names, both from the {cat of the tumor, as alfo from their matter.For thus they have called an unperfeft rupture which defcends not beyond the Groins,nor falls down into the cods, Bubonocele: but the compleat which pe- netrates into the cod, if it be by falling down of the gut. Enter ocele: if from the kali. Epi- plocele : if from them both together,they name it Enteroepiplocele : but if the tumor proceed from a waterilh humor, they term it Hydrocele : if from wind, Phyjocele;, if from both, Hy- drophydocele$if a flefhy excrefcence (hall grow about the tefticle, or in the fubftance thereof it is named Sarcocele. If the veins interwoven,and divaricated divers wayes (hall be fwoln in the cod and tefticles,the tumor obtains the name of a Cirfocele. But if the humors {hall be {hut up or fent thither, the name is impofed upon the tumor, from the predominant humor,as we have notedin the beginning of our Traftate of Tumors. The caufes are many, as all too violent motions, a ftroak,a fall from a high place,vomiting, a cough,lea- ping, riding upon a trotting horfe, the founding of trumpets,or fackbuts, the carrying, or lifting up of a heavy burden,racking,alfo the too immoderate ufe of vifcid and flatulent meats; for all fuch things may either relax or break the Peritoneum, as that which is a thin and extended membrane. The figns of a Bubonocele are a round tumor in the groin, which prefled, is eafily fo c cd in. The figns of an Enterocele are a hard tumor in the cod , which forced,returncth back and departeth with a certain murmUr and pain; but the tumor proceeding of the kail,is lax ahd feels foft like wool,and which is more difficultly forced in, Bubonocele, Enterocele And Eprplocele, Hydrocele, 7>hyfocele„ Sirtocete. Cv\ocele, The Caufcs. The Signs. Lib.8. Of particular Twnors againft Nature. 239 in,than that which proceeds from the guts, but yet without murmuring and pain: for the fubftance of the guts,feeing it is one, and continued to it felf they doe not only mutually fucceedeach other,but by a certain confequencedoe,as in a dance draw tach other, fo to avoid diftention,which in their membranous body cannot be without pain, by reafon of their change of place from that which is natural 1, into that againft nature : none of all which can befall the kail,feeing it is a ftupid body,and alnloft without fenfe, heavy, dull, and immoveable.The figns that the Peritoneum is broken, are the hidden increaie of the tu- mor, and a (harp and cutting pain ; for when the is only relaxed, the tumor groweth by little and little,and fo confequently with fmall pain j vet fuch pain returns fo often, as the tumor is renewed by the falling down of the gut, or kail, which happens not the Peritoneum being broken : for the way being once open,and palfablc to the falling body, the tumor it renewed w Ithout any diftention, and fa without any pain to fpeak oh The reft of the figns fhall be handled in their places. Sometimes it happens that the guts, and kalljdo firmly adhere to the procefle of the Peritoneum3that they cannot be driven back into their proper feat. This ftubborn adhefion happens by the intervention of the vifeid matter, or by means of fome excoriation caufed by the rude hand of a Chirurgeon,in too violently forcing of the gut, or kail,into their place. But alfo , too long (lay of the gut in the cod,and the neglcft of wearing a Trufle, may give occafion to fuch adhefion. A per- fect and inveterate rupture by the breaking of the proccfs of the Peritoneum in men of full growth,never, or very feldome admits of cure. But you muft note, that by great ruptures of the Peritoneum, the guts may fall into the cod,to the bignefs of a mans head, without much pain and danger of lifc,becaufe the excrements,as they may eafily enter,by reafon of thelargnefs of the place and rupture,fo alfo they may eafily return. What rupture is uneatable* CHAP. XV. Of the cure of Ruptures. Ecauie children are very fubjeft to RuptureSjbut thole truly not flefhy or vari- cous,but watry, windy, andefpecially of theguts, by reafon of continual! and painfull crying and coughing : Therefore in chefirft place we will treat of their cure. Wherefore the Chirurgeon,called to irftorc the gut which is fain down,(ball place the childjcither on a table, or in a bed,fo that his head (hall be low, but his buttocks and th [Ml he force-with his hands by little and little, and gently,the gut into his proper place;and (hall foment the groin with the aftringent fomentation9defcribed in the falling down of the womb. Then kt him apply this remedy. R Prefer/pt. decoftionis quantum fafficit, fawne hordei & fabarum,an.^.pulver. Aloer* Mdftiches, Myrtyll. & Sarcoco. an. Boli Armeni |ij. Let thenibe incorporated and made a cataplafme according to Art. For the fame purpofe liemay apply Emplaftrwi contra Ruptu- nwirbut the chiefof the cure confifts in folded clothes,and t ruffes,and ligatures artificially made,that the reftored gut may be contained in its place,for which purpofe he fhall keep the child feated in his cradle for 30 or 40 dayes, as we mentioned before; and keep him from crying,(houting,and coughing. Acting bids ftceppapcr 3 dayes in water, and apply it made into a ball to the groin,the gut being firft put updor that remedy by 5 days adhefton will keep it from falling down. But it will be, as I effeftuall,if the paper be fteeped not in common, but in the aftringent water , defcribed in the falling down of the tvomb. Truly I have healed many by the help of fuch remedies, and have delivered them from the hands of Gelders, which are greedy of childrens tefticles,by reafon of the great gain they receive from thence. They by-a crafty cozenage, perfwade the Parents, that the falling down of the gut into the cod, is uncurable: which thing notwithftanding experi- ence convinceth to be falfe, if fo be the cure be performed according to the forementioned manner, when the Veritonxum is only relaxed, and not broken : for the procefs thereof by which the gut doth fall as in a fteep way, in progress of time and age is ftraitned and knit together,whil ft alfo in the mean time the thicker. A certain Chirurgeon who deferveth credit,hath told me that he hath cured many chil- dren as thusrHe beats a loadftone into fine powder,and gives it in pap,and then he anoints with hony the groin,by which the gut came out,and then ftrewed it over with fine filings of iron. He adminiftred this kind of remedy for tenor twelve dayes : The part, for other things being bound up with a ligature and crude as was fitting.The efficacy of this remedy feemeth to confift in this;that the loadftone by a natural defire of drawing the iron which is ftrewed upon the groin, joins to it the tleffiy and fatty particles interpofed between them, by a certain violent impetuofity, which on every fide prefling and bending the loof- nefs of the yea verily adjoining themielves to it, in procefs of time by a firm adhefion intercept the paflage and falling down of the gut or kali 5 which may feem no more abhorring from reafon, than that we behold the loadftone it (elf through the thick- nefs of a table,to draw iron after it any way. The fame Chirurgeon affirmed, that he fre- quently and happily tiled the following medicine.He burnt into affies in an oven red fnails, ffiut up in an earthen pot, and gave die powder of them to little children in pap, but to thofe which were bigger,in broth. But Tosvhat rup- tures children are fubjefi. An afiringeftt caraplafrne. The craft and covetoufnefs ofGelders* Another way to cure tup. cures* The rc-afon eT this cure. Another raecii4 cine. 240 Of particular Tumors againft Nature Lib.8, A notable Hiftory. But we muft defpair of nothing in this difeafe, for the cure may happily proceed in men of full growth,as of fortie year old, who have filled the three dimensions of the body, as this following relation teftifies. There was a certain Prieft in the Pariffi of St. Andrews John Moret 3 whole office it was to iing an Epiftle with a loud voice as often as the Solemnity o f the day,and the thing required. Wherefore feeing he was troubled with the Enterocele} he came to me, requiring help, faying, he was troubled with a grievous pain,efpecially then, when he Stretched his voice in the Epiftle. When I had feen the bignefs of the Erterocele, I perfwaded him to get another to ferve in his placejfo having gotten leave ofM.Cwrzo Clerk,and Deacon of Divinity, he committed himfelf unto me: I handled him according unto Art, and commanded him he Should never go without a TruSlejand he followed my direftions.When I met him fome five or fix years after,I asked him how hedid,he anfwered very wel,for he was wholly freed from the difeas with which he was formerly I could not perfwade my fe If of, before that I had found that he had told me the truth ,by the diligent obfervation of his genitals. But fome fix moneths after,he dying of a Pleurifie. I came to Curio's houle where he died, and defired leave to open his body, that I might obferve whether nature had done any thing at all i n the paflage through which the gut fell down: I call God to witnefs, that I found a certain fatty fubftance about the procefle of the Peritoneum about the bignefs of a little eg, and it did ftick fo hard to that place, that 1 could fcarce pull it away without the rending of the neighbouring parts. And this was the fpeedy cauSe of his cure. But it is moft wor- thy of obServation,and admiration, that Nature but a little helped by Art,healeth difeafes which are thought incurable.The chief of the cureconfifts in this,that wee firmly ftay the gut in its place,after the fame manner as thefe two figures Shew. Wfcmuft never defpair in dif- eafes if Co be nature be aiTo- chted by art. The figure of a man broken on one fide, wearing a Truffe, whofe bolfter muft have three Tuberoftties, two on the upper., and one on the lower part; and there muft be a hollowneft be- tween them in tbe midft , that they may not too ftraitly prefs the fhare- lone,andfo caufe pain.The manner of fuch a Truffe, I found out not Ung it feemed better and fafer than the reft for to hinder the falling down of the gut and fall. A. Shews the ftboulderband which if tied before and behind to the girdle of the Irujft. B. C. lhe Cavity left in the midft of the 'luberoftties. In the mean time we muft not omit diet AVe muft forbid the ufe of all things, which may either relax, dilate, or break the procefs of the Peritoneum, of which I have already treated fufficicntly. Sometimes,but efpecially in old men , the guts cannot be reftored into their place,by reafon of the quantity of the excrements hardned in them : In this cafe they muft not be too violently forced, but the patient, muft be kept in his bed,and lying with this head low,and his knees higher up Jet the following Cataplafmes be applied. Another Lib. 8. Of particular Tumors againft Nature. 241 Another Figure of a man having a Rupture on both fades, fbewing by what means, what kind of Truffe, and what (boulder-band he muft be bound on each groin* A. Sbeweth the fboulder-band divided in the midft far the putting through of the head. B. two bolftersftetween which is a hole for putting through the yard. 7he farm of both bolfters ought to be the fame with the farmeri R rad. alth. & lil. ana *i).feminx Uni &fanu£r. an. $fi3fol. malv£9M.& fariet.anjti.p. let them be boiled in fair water,afterwards beaten,and drawn through a fearfe,adding thereto of new butter without lalt,and oil of Lillies,as much as fhall fuffice. Make a cataplafine in the form of a liquid pultis.Let it be applied hot to the cod,and bottome of the belly ; by the help of this remedy when it had been applied all night, the guts have not feldome been leen of themfelves,without the hand of a Chirurgeon, to have returned into their proper place. The windinefs being refolved, which hindered the going back of the excre- ments into another gut, whereby they might be evacuated and expelled. But if the excrements will not goe back thus , the flatulencies, yet refilling and undifcufled, an emollient and carminative clyfter is to be admitted , with a little Chymicall oyl of Turpentine., Dill, Juniper or Fennill. Clyftersof Mulcadine, oyl of Wallnuts,and Aqua vita j and a final! quantity of any the aforefaid oyls, are good for the fame purpole. It often happens that the guts cannot yet be reftored,becaufe the procefs of the Peritone- um is not wide enough. For when the excrements are fallen down with the gut into the cod; they grow hard by little and little, and encreale by the accefs of flatulencies caufed by refolutlon,which caule fuch a tumor as cannot be put up through that hole, by which a little before it fell down.'whereby it happens that by putrefaftion of the matter there con- tained,come inflammations,and a new accefs of pain;and laftly, a vomiting and evacuation of the excrements by the mouth being hindered from the other paflage of the fundament. They vulgarly call this affeft Mifcrere mei* That you may help this fymptome, you muft rather allay extreme remedies, than fiiffer the patient to die by fo filthy and loath fo me a death.And we muft cure it by Chirurgery after this manner following.We wil bind the pa- tient lying on his back,u»pon a table or bench;then prefently make an incifion in the upper part of the cod, not touching the fubftance of the guts; then we muft have a filver Cane or Pipe, of thet hickncfs of a Goofe quill, round,and gibbous in one part thereof,but fomc* what hollowed in the other, as is lhewed by this following Figure. Y T>.e A Ca<aplafm& to (often the Chymicall oyl# 242 Of particular Tumorr againft Nature. L1 b.8. "Ihe Figure of the Pipe or Cane. We muft put it into the place of the incifion3 and put it under the produftion of the Peritoneum being cut together with the cod3all the length of the prodnftionjthat fo with a (harp knife we may divide the procefs of the to that cavity feparated from the guts there contained,by the benefit of the Cane in aright line not hurting the guts. When you have made an indifferent incilion, the guts muft gently be put up into the belly with your fingers,and then fo much of the cut Peritoneum muft be fowed up, as ffiall feem fufficient5that by that paflage made more ftrait, nothing may fall into the cod after it is cicatrized. But if there be fiich abundance of excrements hardned?either by the flay or heat of in- flammation,that that incilion is not fufficient to force the excrements into their place,the incilion muft be made Cane being thruft up towards the belly : fo that if may be fufficient for the free regrefs of the guts into the belly. Then fow it up as is fit5and the way will be flint up againft the falling down of the gut or kall;the procefs of the Peritone- um being made more ftrait , by reafon of the future; for the reft5thc wound lhall be cured according to Art.But before you undertake this work, conlider diligently whether the ftrength of the Patient be fufficientjneither attempt any thing before you have foretold , and declared the danger to the Patients friends. CHAP. XVI. Of the golden the Pandas Aureus., as they call it. The Chirurgi* call cure by the golden Tie. F the Rupture will not be cured by all thefe means,by reafon of the great rotati- on of the continuity of the relax'd or broken Per it on# unhand the patient by the confent of his friends there prefent,is ready to undergoe the danger in hope of recovcryjthe cure (hall be attempted by that which they call the Puntus Aurew, or Golden tie. For which purpofe a Chirurgeon which hath a skilftil and fure hand,is to be imployed. He lhall make an incilion about the lhare bone, into which he fha.ll thruft a Probe like to the Cane,a little before delcribedjand thruft it long wayes under the procefs of the Perito- by lifting it up, feparate it from the adjoining fibrous,and nervous bodies , to which it adheresjthen prelently draw afide the fpermatick veffcls, with the Cremafter , or hanging mufcle of the tefticle; which being done, he (hall draw alide the procefle it felf, alone by it felf : And he fhall take as much thereof, as is too lax, with fmall and gentle>mulkts,perforated in the midft,and lhal with a needle,having five or fix threds, thruft it through as neer as he can to the fpermatick veflels, and Cremafter muffles. But the needle alfo muft bee drawn again in to the midft of the remnantof the procefs, taking up with it the lips of the woundjthen the thred muft be tied on a ftrait knot,and fo much thereof muft be left after the feftion,as may be fufficient to hang out of the wound. This thred will of it felf be diflblved by little aud little by putrefaftion : neither muft it be drawn out before that nature fhall regenerate and reftore flefh into the place of the liga- ture,otherwiff all our labour lhal 1 be fpent in vain. And laftly, let the wound be clenled,filled with flefh, and cicatrized, whofe callous hardnefs may withftand the falling of the gut or kail. There are fome Chirurgeons who would perform this golden ligature after another manner.They cut the skin above the lhare bone where the falling down commonly is,even to the procels of the they wrap once or twice about it, being uncovered, a fmall golden wire,and only ftraiten the paflage as much as may fuffice to amend the loof- nefs of this procefs,leaving the fpermatick veflels at liberty;then they twift the ends of the wire twice or thrice with finall mullets,and cut off the remnant thereof j that which re- mains after the cutting,they turn in, left with the lharpnefs it ffiould prick the flefh grow- ing upon it. Then leaving the golden wire there, they cure the wound like to other Am- ple wounds, and they keep the patient fome fifteen or twenty daies in his bed, with his knees fomething higher, and his head fomething lower. Many are healed by this meansjothers have fallen again into the difeafe by reafon of the ill twifting of the wire. There Anther man- ner thereof. Lib. 8. Of particular Tumors againft Nature. 243 There is alio another manner of this golden tie,which I judg more quick and fafe even for that the re is no externall body left in that part after the cure. Wherefore they wrap a leaden wire in ftead of the golden,which comes but once about the procefs of the Peritoneum' then they twine it as much as need requiresjthat is,not too loolly, left it Ihould leave way for the falling down of the body,neither too ftraitly, left a Gangrene thouid come by hin- dring the paflage of the fpirits and nourifhment.The ends thereof are fuffered to hang out; when in procefs of time,this contiaftion of the Peritoneum feems callous, then the wire is untwiftedand gently drawn out. And the reft of the cure performed according to Art. But let not the Chirurgeon thruft himlelf upon his work ralhly,without the advice of the Phy ft tian, for it diverfe times comes to pafs, that the tefticles arc not as yet fallen down into the cod by the too great fluggilhnels of nature, in fome of a pretty growth, but re- mains long in the groins, caufing a tumor with pain, which thing may make a good Chirurgeon beleeve that it is an Enterocele. Therefore whilft he labors by repelling medi- cines and trufles to force back this tumor, he encreafeth the pain, and hinders the falling dow n of the tefticles into the cod. I obferved this not long agoe in a Boy, which an un- skilful Chirurgeon had long,and grievoufly troubled,as if he had had a ruptureifor when I had obferved that there was but one ftone in the cod,and knew the boy was never gelt I bid them caft away the plaifters and trufles,and wilht his parents that they fhould fuffer him to run and leap,that fo the idling ftone might be drawn into the cod, which thing by little and little,and without pain, had the cvent,as I foretold. ' he third manner there- of. A thing to be noted. A Hiftory, A. Shewes a crooked needle, having dn eye not far from the point, through which y ou may put the golden wirei B. B. The golden wire put through the eye of the needle. C. 7he mullets or Pincers, to cut away the waft or Superfluous ends of the wire. D. The fpring of the mullets. E. 7 he mullets to twifl the ends of the wire together. That the feafon of this affeft may be underftood, we mull know a man differs from a xvoman,only in efficacy of heat;but it is the nature of ftrong heat to drive forth,as of cold, to keepi in. Hence it is that the ftones in men hang forth in the cod , but in women they lie hid in the lower belly. Therefore it happens that in fome males more cold by nature* the tefticles are fhut up fome certain time,untill at length they areforc't down into the cod by youthfull heat. But that we may return to ourformer treatife of the cod,although that way of curing ruptures wants not pain and danger,yet it is fafer than that which is performed by gelding,which by the cruelty thereof expofes the patient to manifcft danger of death. For the gelders whilft they fear left when the cure is finifhed, the relaxation may lemam, pull with violence the procefs of the from the parts to which u Y 2 adheres* Of particular T.umors againf Nature. L ib.8. 244 adheres, and together with it a nerve of the fixth conjugation which runs to the ftones; they offer the fame violence to the fpermatick veffels; by which things enfue great pain , convulfion, efflux of blood, inflammation, putrefaftion, and laftly, death,as 1 have obfer- ved in many whom I have differed,having died a few daies after their gelding. Although fome efcape thefe dangers,yet they are deprived of the faculty of generation for all their life after,tor performance whereof,nature hath beftowcd the tefticles, as parts principally neceffary for the conlervation of mankind. Through which occafion Galen hath not fea- red to prefer them before the heart; becaufe the heart is the beginning of life,but the tefti- cles of a better life; for it is far more noble to live well, than limply and abfolutely to live;therefore Eunuches degenerate into a womanilh nature, for they remain without beards,their voice is weak,their courage fails them,and they turn cowards;and feeing they are unfit for all humane a&ions, their life cannot but be miferable. Wherefore I wil never fubferibe to the cutting out of the ftones,unlefs a Sarcocele or Gangrene invade them. But that the way of performing the Pun&us aureus may be better known, I have thought good here to fet the inftruments,by which this operation is performed,before your view. Lib. de arte tnedica. lib.de feint Another more eafte and fafe way to re florc the gut and kail. Lib,^cap.^jt Guido have invented another way of performing this operation. They put back into their places the gut and kail being fallen down, the patient being fo placed, that his thighs are high and his head is foniewhat low; then they draw afide the lower portion of the produftionof the alfo the fpermatick veflels,and cre- mafter mufcle to the Jjchium-,then by applying a cauftick fitted to the age and difeafe, they burn the other part of the procefs,direftly perpendicular to the (hare bone, where the gut did fall down.Then they pull off the efchar thus made with a knife even to the quick,then they apply another cauftick in the fame place,which may go even to the bone, then pro- cure the falling of this efchar made on the forefaid procefs. And afterwards they heal the ulcer which remains,which prelently contra&ing fomewhat a thick CaIIm, fo keeps up the guts and kall,that it binds them from falling down into the cod. This way of reftoring the gut and kail,though it be fafer and more facile; yet the Chirurgeon muft not attempt it,ifthe guts or kail flick fo faft,agglutinated to the procefs of the Peritoneum, that they cannot be fevered, nor put back into their places ( for from the guts fo burnt and viola- ted,greater mifchief would enfue ) if by the broken and too much dilated procefs,the bo- dies thereby reftrained,make an exceeding great tumor by their fa Hing down;if the tefticle yet lying in the groin as in a kind of Enterocele, being not yet defcended into the Scrotum or cod; if the patients be not come to fuch age as they can keep themfelves from ftirring, or hold their excrements whiles the operation is performed. CHAP. XVIII. Of the cure of other kfnds of Ruptures, Piplocele is the falling down of the kail into the groin, or cod, it hath the fame caufes as an Enterocele. The figns have been explained. It is not fo dangerous,nor infers a confequence of lb many evill lymptomes,as the Eate- rocele doth, yet the cure is the fame with the other. Hydrocele is a waterilh tumor in the cod; which is gathered by little and little Detween tne membranes encompafllng the tefticles, specially the Dartes & Erythroides-, it may be called a particular dropiie,for it proceeds from the fame caufes, but chiefly from the de- feft of native heat.The figns are a tumor encreafing flowly without much pain, heavy,and almoft of a glaflie clearnefs,which you may perceive by holding a candle on the other fide, by preffing the cod above,the water flows down, and by prefling it below,it rifes upwards, unlefs peradventure in too great a quantity it fills up the whole capacity of the cod,yet it can never be forced or put up into the belly as the kail or guts may ,for oft-times it is con- tained in a cift or bag; it is diftinguiflied from a Sarcocele, by the fmoothnefs and equality thereof. The cure muft firft be tried with refolving,drying and difcufling medicines,repea- ted often before,and in the Chapter of the dropfiejthis which fol lowes I have often tried and with good fiiccefs. R Vng. coniitijfa & deficcat.rub. an. |ij. malaxentur Jhnul, and make a medicine for your cafe. The water by this kind of remedy is digefted and refolved,or rather dried up, efpeci- ally if it be notin too great quantity .But if the fwelling, by reafon of the great quantity of wat er,will not yeeld to thofe remedies, there is need of Chirurgery 5 the cod and membranes wherein the water is contained,muft be thruft through With a Seton , that is, with a large three-fquare pointed needle, thred with a skean of filk; you muft thruft your needle prefently through the holes of the mullets made for that purpole, not touching the fubftaive of the Tefticles. The skean of thred muft be left there, or removed twice or What a Hydro- <telt is. The figns. TheCurei A medicine to draw forth the contained mat- ter. Lib. 8. Of particular Tumorr againft Nature. 245 or thrice a day,that the humor may drop down,and be evacuated by little and little. But if thepain be more vehement by reafon of the Seton, and inflammation come upon it,it muft be taken away, and neglefting the proper cure of thedifeafe, we muft refift the fymp- Some Pra&itioners ule not a Seton,but with a Razor, or incifion knife, they open the lower part of the cod,making an incilion fome half fingers bredth Ibiig,penetrating even to the contained waterjalwaies leaving untouched the fubftance of the tefticles and veflels, and they keep the wound open , untill all the water feems evacuated; truly by this only way the cure of a watery rupture whofe matter is contained in a cift, is late, and to be ex- peftedjas we have faid in our Treatile of Tumors in generall. The Pneumatocele ,is a flatulent tumor in the cod,generated by the imbecillity of heat re- ading in the part. It is known by the roundnefs,lenity, renitency and Ihining. It is cured by prefcribing a convenient diet,by the application of medicines which refolve and difcufle flatulencies, as the feeds of Annis, Fennell, Faenugreek, Agnus Origanum,ocher things fet down by Avicen in his Treatife of Ruptures.l have often ufed with good fuccels for this purpofe, Jjjnplaftrum Vigonis cum Mercurio-, and Emplaftrum Z>zrfC4/c/rko;,diflblved in fome good wine,as Mufcadine,with oyl ofBayes. A Sarcocele is a tumor again ft nature, which is generated about the ftones by afcir- rhous flefh. Grofle and vifcid humors breed fuch kind of flelh,which the part could not o- vercomeand aflimilate to itfelf; whence this over-abundance of flelh proceeds like as Warts do. Varices, or fwoln veins often aflbciate this tumor;and it increafts with pain.It. is known by the hardnefs,afperity, inequality, and roughnefs. It cannot be cured but by amputation or cutting it away;but you muft diligently obferve,that the flelh be not growrt too high,and have already fcized upon the groin,for fo nothing can be attempted without the danger of life. But if any may think, that he in fuch a cafe may fomewli at eale the patient by the cut- ting away of fome portion of this lame foft flelh,hc is deceived. For a Fungus will grow,i£ the leaft portion thereof be but left,being an evil! fure worfe than the former • but if the tumor be either fmall or indifferent, the Chirurgeon taking the whole tumor,that is, thfc tefticle tumified through the whole fubftance,with the procefs incompalling it, and adhe- ring thereto on every fide,andmake an incifion in the cod, even to the tumor; then leparate all the tumid body, that is, the tefticle from the cod ; then let him thruft a needle with a ftrong thred in it, through the midft of the procefs,above the region of the fwoln tefticle ; and then prefently let him thruft it the fecond time through the fame part of. the pro- cefs ; then lhall both the ends of the thred be tied on a knot,the other middle portion of thePeritoneum being comprehended in the fame knot. This being done, he muft cut away, the whole procefs with the tefticle comprehended therein.But the ends of the thred, with which the upper part oft he procefs was bound, muft be fuffered to hang fome length out of the wound,or incifion of the cod. Then a repercullive medicine lhall be applied to the wound,and the neighbouring parts with a convenient ligature. And the cure muft be per- formed as we have formerly mentioned. The Cirfocele is a tumor of veins dilated, and woven with a various and mutuall impli- cation about the tefticle and cod,and levelling with a grofle and melancholy bloud. The caufes are the fame as thofe of the Varices the figns arc manifeft. To heal this tumor, you muft make an incifion in the cod,the bredth of two fingers to the Varix.Then you muft put under the varicous vein, a needle having a double thred in it, as high as you can,that you may bind the roots thereof: then let the rteedle be again put after the fame manner about the lower part of the fame vein, leaving the fpace of two fingers between the ligatures .But before you bind the thred of this loweft ligature,the Va- rix muft be opened in the midft ,almoft after the fame manner as you open a vein in the arm to let bloud: That fo this grofle blood caufing a tumor in the cod,may be evacuated as is ufually done in the cure of the war ices.The wound that remains lhall be by the rules of Art after the manner of other wounds: Leaving the threds in it, which prefently fall away of themfelves. To conclude then,it being grown callous, efpecially in the upper part thereof, where the vein was bound,it muft be cicatrized,for fo afterwards the bloud cannot be ftrained or run that way. Hernia Humoralis is a. tumor generated by the confufed mixture of many humors in the cod, or between the tunicles which involve the tefticles, often alfo in the pro- per fubftance of the tefticles. It hath like caufes, figns and cure as other tumors.While the cure is in hand/eft, trufles, and fit rowlers to fuftain and bear up the tefticles, are to be ufed. WhataFwjt tnaiocele is* The Cure. What a Sarto- cele is- The Signs* Prognofticks,' 7 The Ctir&i What a Cirfc° cele is* The Care* Hernia rain. * J CHAP. 246 Of particular T.umors againf Nature. Lib.8. CHAP. XVIII. Of the falling down of the Fundament. The caiifes. ESpJ53gHen the mufcle called the Sphinfier which ingirts the Fundament is relaxed,then it comes to pafle that it cannot fullain the right gut. This dileafe is very fre- quent to Children by reafon of the too much humidity of the belly ; which falling down upon that mufcle mollifieth and relaxeth it or prefleth it down by an unaccullomed weight,fo that the mufcles called Levatores Ani, or the lifters up of the Fundament, are not fufficient to bear up any longer. A great bloudy flux gives occafion to this effeft. A ftrong endevour to expell hard excrements,the Hemorrhoids, which fuppref- fed do over-load the right gut, but flowing relax it: Cold,as in thofe which go without breeches in winter,or fit a long time upon a cold ftone,a ftroak or fal upon the holy-bone, a palfie of nerves which go from the Holy-bone to the mufcles the lifters up of the funda- ment : the weight of the ftone being in the bladder. That this difeafe may be healed,we muft forbid the Patient too much drinking,too often eating of bro th,and from feeding on cold fruits.For locall medicines the part muft be fo- mented with an aftringent decoftion made of the rinds of Pomegranats, galls, myrtles, knotgrafle, fhepherds purfe, cyprefs nuts, alum, and common fait boiled in fmiths water or red wine. After the fomentation,let the gut be anointed with oyl of Rofes or myrtles and then let it be gently put by little and little into its place,charging the child if he can underftand your meaning, to hold his breath.When the gut fhall be reftored;the part muft be diligently wiped left the gut fall down again by reafon of the flipperinefif of the unfti- 011. Then let the powder prefcribed for the falling down of the womb be put into the fundament as far as you can: Then you muft ftraitly bind the loins with a fwath, to the midft whereof behind let another be faftned which may be tied at the Pubes coming along the Perineum , fo to hold up the fundament;the better to contain it in its place, a fpunge dipt in the aftringent decoftion .The patient if he be of fufficient age to have care of himfelf, fhall be wiffied when he goes to ftool that he fit upon two pieces ofwood being fet fome inch a funder, left by his ftraining he thruft forth the gut together with the excrement; but if he can do it ftanding,he fhall never by ftrayning thruft forth the gut. But if the gut cannot by the prefcribed means be reftored to its place, Hippocrates bids that the Patient hanging by the heels be ffiaken,for fo the gut by that lhaking will return to his place: but the fame Hippocrates wiffieth to anoint the fundament, becaufe that reme- dy having a drying faculty,hath alfo power to refolve the flatulent humors without any acrimony, by reafon of which the gut was the lefs able to be contained in his place. the cure. Hipptcratts his cure* CHAP. XIX. Of the Paronychia. What the Pa* rtfyehia ii. He Paronychia or Panaris is a tumor in the ends of the fingers,with great inflam- mation,coming of 4 malign and vencmous humor, which from the bones by the Periofteum is communicated to the tendons and nerves of that part which it affefteth, whereof cruell fymptonis do fol low,as pulfifique pain , a feaver, rcftlcfnefs, fo that the aflefted through impatiency of the pain are varioufly agitated like thofe tormented with Carbuncles: for which caufe Guido and Johanna de Vi- go judge this difeafe to be mortalljwherefore youmuft provide a skilfull Phyfitian for the cure of this difeafe,which may appoint convenient diet, purging and blood-letting. In the mean time the Chirurgeon fhal make way for the virulent and venenate matter,by ma- king inci fion in the inner part of the finger,even to the bone alongft the firft joint thereof for Vigo faith there is not a prefenter remedy,if fo be that it be quickly done and before the maturation of the mattery for it vindicates the finger from the corruption of the bone and nerves, and aflwages pain, which I have often and happily tried immediately at the begin- ning,before the perleft impreflion of the virulencie.. But the wound being made you muftfuffer it to bleed well, then prefently let him dip his finger in ftrong and warm vinegar, in which fome treakle being diflblved may draw forth the virulencie. But to appeafe the pain, the fame remedies muft be applyed to the aflefted part as are ufed in Carbuncles, as the leaves of Sorrell, Henbane, Hemlock, Man- drake roafted under the Embers and beaten in a Morter with new Vnguentum Popu- or oyl of Roles or new butter without fait?: for fuch like medicines alfo helpe forward fuppuration : whilft by their coldnefs, they reprefs the extraneous heart afle- ftingthe part; and fo ftrengthen the native heat being the author of fuppuration: which reafon moved the ancient Phyfitians to life fuch medicines in a Carbuncle : but if by reafon of the feaifulnefs of the patient, or upskilfulncfle of the Chirurgeon, n© Lib. cap, 4/ trail. L1 b.8. Of particular Tumors againft Nature 247 no incifion being made,a Gangren and Sphacel lhall poflefs the part, it remains that you cut off with your cutting mullets as much ofthe part as lhall be corrupt, and perform the reft of the cure according to Art. Yet it doth not feldome happen that there may be no need to cut off fuch a finger, becaufe it being corrupted together with the bone by little and lit- tle diflblve into a purulent or rather fanious or much ftinking filth. But in this affeft there is often caufed an Efchar by the aduftion ofputredinous heat, and fuperfluous fleffi indued with moft exquifite lenle groweth underneath it,which muft in like manner be cut offwith the Mullets that the part may receive comfort,the pain being aflwaged by the copious effufion of blood. CHAP. XX. Of the fuelling of the Knees. Fter long and dangerous difeafes there oftentimes arile Tumors iti the knees, and t alfo in Plethorick bodies and fuch as have evill juyce after labours and cxercife. This kind of dileafe is frequent becaule the humor eafily falls into the part which hath been heated by labour. But if fuch tumors follow long difeafes,-they are dangerous and difficult to cure,and therefore not to be neglefted,for bitter pain accom- panieth them,becaule the humor falling thither diftends the Membranes,which being many involve the part; befides that this humor participateth of a certain virulent aud malign quality whether it be cold or hot,when it hath fetled into thofe parts,being filch as we find in the pains of the joynts,and in the bitings of venemous creatures. For the cure if the tumor be cauled by blood,let a (lender and a refrigerating diet be ap- pointed,and phlebotomy for the revulfion of the antecedent caufe ; divers locall medicines ffiall be ufed according to the variety of the four times.But for to aflwage the pain,^wo<fjwe> or mitigating medicines ffiall be appointed ;of all which we have fiifficiently treated in the Chapter of the cure of a Phlegmon. And becaule thefe parts are of exaft fenfe,if there be neceflity to open the tumor,yet muft we not do it raffily or unconfiderately,for fear of pain and evill accidents. This kind of tumor is oft-times railed by wind contained there; in which cafe the Chir- urgeon muft be very provident, that he be not deceived with the lhew of flowing of the humor, which he feems to perceive by the preflure of his fingers, as if there were matter and humor contained therein,and fo be brought to open the tumor. For the wind break- ing forth in head of the humor, caufeth evill fymptomes by reafon of the feftion raffily made in a part fo fenfible. But if wateriffi humors fliall tumefie the part,the body ffiall firft be purged with medicines purging flegm : And then inciding, attenuating, ratifying, difcuffing and very drying' lo- cal! medicines ffiall be ufed. 6 Of which we have abundan tly fpoken in the Chapter of the Oedema. Yet this humor divers times lyes deep between the whirl bone and the joint, which caufeth it that it can- be dilcufled and refol ved by reafon of the weaknefs of the part anddefeft of heat, fo that the adventitious humor often moves and excludes the bones from their feat. As I have obferved it to have happened to many. In which caufe Irrigations of red wine falling fomething high,whereby the force of the medicine may enter and more eafily penetrate,are much commended. Gal, tem idfftiH l [er, 4. lib' 6. Ep id. Gal, Com.ad fent.6fi The Curw C HAP. XXI. Of the Dracunculus. Cannot chufe, but explain in this place thofe things which may be fpoken of that kind of tumor againft nature, which by the ancients is called The matter & reafon of thefe hath been varioufly handled by divers fo that hitherto we have nothing written of them to which we may by right and with good reafon adhere as a firm foundation of their eflence. For firft, for Galens opinion, Lib. 6. de Loc. affeft. cap. 3. The generation,faith he, of thofe hairs which are evacuated by the urine is worthy no lefs admiration than the Dracunculi, which as they fay,in a certain place of Arabia breed in the legs of men being of a nervous nature and like worms in colour and thickncfs. Therefore feeing I have heard many who have faid they have feen them, but I my felf never faw them, I cannot conje&ure any thing exa&ly neither of their originall nor efc fence. Paulut writes that the Dracunculi are bred in India, and the higher parts of dEg)pft like worms in the mufculous par ts of mans body,that is,the arms, thighs,and legs, and al* fo creep by the intercoftall mufcles in children with a manifeft motion. But whether they be creatures indeed,or only have the fhapeof creatures, they muft be cured with a hot fomentation, by which the Dracunculur railed to a juft tumor, may put forth it felf,and be pluckt away peecc-meal with the fingers; alfo fuppurating Cataplafms may hit not ds yeti fafficiently known what DwuncHli ate Lib 4', caftulii Theatre out 248 Of particular f umors againft Nature Lib.8. Cap H.tib.4* may be applyed,compofed of water, hony,wheat and barly meal. Avicen. being various,having no certainty whereon to reft, inclineth one while to this, and another while to that opinion : for now he fpeaketh of the Dracunculi as of creatures, then prefently of a matter and humor (hut up in a certain places for the reft he rightly de- livers the cure and eflence of this difeafe,as we fliall afterwards fhew. Aetius faith, the Dracunculi are like worms, and that they are found fometimes great, fometimes fmall,and that their generation is not unlike to that of flat worms, which are bred in the guts,for they move under the skin,without any trouble,but in procefs of time, the place becomes fuppurate about the end of the Dracunculus. The skin openeth, and the head thereof is thruft forth. . But if the Dracunculus be pulled it cauletn great grief ; eipecially if it be broken by too violent pulling. For that which is leftcaufeth moft vehement pain. Wherefore that the creature may not run back,the arm muft be bound with a ftrong thred, and this muft be done every day, that theDracunculus going forward by little and little,may be intercepted by this binding,but not broken off. The place muft be bathed with Aqua Mulfa and oyl in which wormwood or fouthern- wood hath been boy led,or fome other of thofe medicines which are prefcribed for the worms of the belly. But if the Dracunculus going forward of its one accord, maybeeafily drawn forth, we muft do nothing elfe : but if it be turned to fuppuration we muft not leave off the Cata- plafms, the Aqua Mulj'a and anointing with oyl: It was ufuall with him after the taking away of the Cataplafms,to apply Emplaftrum e Baccis Lauri: but when it is come to fuppu- ration the skin muft be opened long wayes,and the Dracunculi fo laid open muft be taken away, but the skin muft be filled with lint, and the reft of the fuppurative cure ufed, fo that the creature being fuppurated and drawn forth, the wound may be incarnated and ci- catrized. Rhajis writeth,that when the part is lifted up into a blifter,and the vein haftneth its e- grefs,it is good for the Patient to drink the firft day half a dram of Aloes, the next day a whole dram,the third day two drams 5 and in like manner the place affefted muft be fo- mented with Aloes, for lb that which lies hid will break forth: that which (hall come forth muft be rolled in a pipe of lead,which may equal the weight of a dram fo that it may hang down,for the vein drawn by the weight will come more forth; and when that which fliall come forth is grown much and long, it muft be cut off, but not by the root, but fo that 1a portion thereof may remain and hang forth,to which the leaden pipe may be faften- edjfor otherwife it would withdraw it felf into it skin and its lurking hole, and Co caufe a putrid and malign ulcer. Therefore we muft gently meet with this difeafe, and the vein muft be drawn by little and little out of the body untill it be all come forth that no worfe thing happen: but if by chance it fliall happen that as much of the vein as fhal 1 be come forth fliall be cut off by the roots, then the Ulcer muft be opened long wayes* with an incifion knife, and that fo that whatfbever remains thereof may be wholly taken away. Then for fome dayes the part muft be anointed with butter untill whatfoever offuch a fubftance adheres,being confumed with putrefa&ion fliall flow away .Then the Ulcer muft be cured with farcotick things. Therefore Rhajis thus in the fame text exprefleth the fame thing by divers names, and armed with Iron and Lead,he comes to the cure thereof, as if he meant to encounter with fome fierce beaft. Soranus the Phyfitian,who lived in the times of Galen,was of a quite contrary opinion,as Raulus JEgineta in the place being before cited,relates of him;as who denies the Dracunculus to be a living creature,but only a condenfation of a certain fmall nerve,which feems both to the Phyfitians and Patients to have fome motion under the skin. Wherefore Soranus feems to have come neerer the truth than the reft, but yet not fo, as throughly to underftand,and know the cflence of this difeafe, as we fliall demonftrate here- after. Manardus writes, that the Dracunculi are generated of evill and unlaudable blood, grofs, hot,and melancholick,or of aduft phlegm very much dryed. Gorraus a moft learned Phyfitian of our time, Rib. de Definitionib. medic, denyes any of our Phyfitians to be able to fay any thing of the Dracunculi,becaufe it is a difeafe fo unfrequent in thefeour regions, that it is fcarfe ever met withall in pra&ice. The Author of the Introduftion,andMedicinall definitioos,defines the Dracunculus to be a difeafe very like the Varices 5 then caufing great pain,when increafing by little,and little, it begins to be moved : Therefore to be cured after the fame manner, and by the fame me- thod of Sedion and incifion,as the Varices are. Which thing chiefly feems to have moved Guido to refer this kind of difeafe to the Varices in his Traftate of Impoftumes, becaufe it bath the fame caufe,and is healed with the fame remedy as the Varices. But feeing that divers names have been impofed upon this difeafeby feverall writers,yet they have all exprefled it by the name of a vein, for it is called by Avicen and Guido, Vena Me^»5becaufe it is a difeafe frequent in the City Medina: by Albucrajisjuena civile. Haliabas hath The Cure out bfAetiw, Tr aft at.7. cap.34» The cure out ol Rbafih His opinion of them. Soranm his o« pinion* Ipift.t, lib»7> Lib.8. Of particular T\umors againf Nature. 249 hath called it wenafamofa; others have called it Vena Cruris or the leg vein. Truly the con- trariety of fo many opinions repugnant not only among# themlelves 3 but alfo with themfelves, eafily argueth how little certainty they had of the eflence of this difeafe, who have written of it unto us : To which alfo this may be added; that none of the latter Phy- htians have written any things thereof. For althoughJacobus Dalechampius a man moft con- verfant in every part of Phylick, hath written much of this matter in his book of the French Surgery which he fet forth fome years ago : Yet he hath left us no amplier tefti- mony of his induftry,than that he was very diligent in collefting the writings of the An- cients concerning this thing,interpofing no judgment of his own, the better to afliire us of a thing fo controverted. But my modefty cannot fo contain me,but that I fhallchufe rather to undergoe the cen- fure of being thought too daring, than (as much as in me lyeth J to fuffer this queflion of the Dracunculi to remain longer ambiguous and undecided. Therefore for the prefent, I will thus order it,that refuting the opinions of the Ancients I may ftrengthenby certain reafons,my opinion of the eflence and cure of this difeafe. For firft,that Dracunculi are no living things,nor like unto worms, nor of like generati- on as the flat worms of the belly,which was the opinion of is eafie to difprove both by his writings,as alfo by rcafon it felf. For he writes that the broad worm which he cals 7<tvfa,is as it were a certain Meiamorphofts or tranfmutation of the inner tunicle of the fmal guts into a quick living and movable body. But no manever faid,neither will he confefsthat the Dracunculi hath the material caufes of their beginning from the Tunicle of the vein,in which they ate clofed,or from the fibers of a nervous body,to which often they are adjoined 5 but mnch lefs from the skin under which they lye,may they draw their materiall caufcs of their original!. Moreover,neither can there beany generation of any other living creatures whatfoever, who have their original! from putrefa&ion,unlcfs by the Corruption of fome matter,of whofe better and more benign part,nature by the force of the vital 1 heat ,produ- ceth fome animate body,as Arifiotle teacheth. Wherefore to produce this effifa, it is fit the matter fhould have fuch a difpofition to putrefa&ion as is required for the generation of filch a creature as they would make the Dracunculus to be : It is fit the helping caufes fhould coucur as afliftants to the principals in thea&ion.And it is meet the place fhould be oppor- tune or fit. there may be many caufes found which may give life to the for by the common confent of all thofe who have written of them, their generation proceeds from an humor melancholick,terreftriall and grofs, which by its qualities both by the fir# cold- nefs and drynefs, as alfo by the fecond, that is Acidity, is not only thought moft unfit of all others for putrefa&ion, but alfo is judged to refift putrefa&ion, as that which is caufed by heat and fuperfluous heat humidity. Befides if the materiall caufe of this difeafe fhould be from an humor putrefying and turning by putrefaction into fome living creature,it was fit there fhould be flench alfo, as being an unfeparable accident of putrefa&ion,for thus the excrements in the guts of which the worms are generated,do finell or ftink. Therefore that which exhales from their bodies which are troubled with the fhould be ftinking, as it happens to thofe lick of the Pthiriafts or Lvwfie-evill. But none of thofe who have delivered the accidents or fymptomes of the Dracunculi are found to have made mention hereof. But for the efficient caufe whereby fo great heat may be raifedin the places next under the skin, by the efficacy whereof fuch a creature may be formed of a mat- ter melancholick and moft unapt to putrefie,as they make the Dracunculus to be who fain our bodies to be fruitfull monfters 5 efpecially feeing the furface of the body is continually- ventilated by the fmall Arteries fpread under the skin , as alio by the benefit of infallible tranfpiration, and breathed with the coolnefs of the air incompaffing us. But now the materiall and efficient caufes being defeftive,or certainly very weak, for the generation of fo laborious an effect; what coadjutory caufe can yeeld afliflance ? Can the humidity of meats? for thofe bodies which are fed with warm and moift meats, as milk,Cheefe,Summer fruits,ufually breed worms,as we are taught by experience in children. But on the contrary Auicen in the place before cited writeth,that meats of a hot and dry temper chiefly breed this kind of difeafe,and that it is not fo frequent to moift bodies and fuch as are accuftomed to the Bath, moift meats and wine moderately taken. But whether may the condition of rhe air of thofe regions in which it is as it were,an Endemiall difeafe, confer any thing to the generation of fuch creatures ? Certainly for this purpole a cloudy, warm and thick air ,fuch as ufah to be at the beginning of the Spring when all the places refound with frogs,toadsand the like creatures breed of putrefaftion. But on the contrary Jacobus Dalechampius by the opinion of all the Phyfitians that have written of rhe Dracunculiy'wntes that this difeafe breeds in the dry and Sun burnt regions of India and Arabia ■, but if at the leaft that part of our body which is next under the skin fliould have any opportunity to ingender and nouriffi futh creatures,they may be judged to have written that the Dracunculus is a living creature with fome probability .But if there be no opportunity for generation in that place,nor capacity for thenourifhment of fuch like cita* Aetiiii oprnJofl confuted. Trail, z.ferinoi I atp.40. 4. Me tear 0 log; Natural! Me- lancho'ik hu*. mors is mo ft unapt to pa • trefie. Stink an unfe; parable com- panion to purrefafUon, J What things ufually breed! worms* Cap. 83; Chir, Qallic. 250 Of particular 1 umors againfi Nature Lib.8. creatures as in the guts,if that region of the body be breathed upon with no warmnefs and Imothering heat, if it be defiled with none of thofe grofs excrements, as the guts ufually are, but only by the fubtiller exhalation,which have an eaiie and infenfible tranfpiration by the pores of the skin,which may feem to be a juft caute of fo monftrous and prodigious an effeft : but we (hall little profit with thefe-engines of reafon unlefswccaft down at once all the Bulwarkes,with which this old opinion of the Dracunculi may ftand and be de- fended. For firft they lay, why have the ancients eXprefled this kind of difeafe by the name of a living thing,that is, of a. Dracunculus or little Serpent ? 1 anfwer,becaufe in Phyfick names are often impofed upon diteates rather by fimilitude than from the truth of the thing ; for the confirmation whereof,the examples of three difeafes may fuffice,that of the Cancer, Poly- pus,and Eleph as. For thefe have thofe names not becaute any Crab,Polypus, or living Ele- phant may breed in the Body by fuch like difeafes, but becaufe this by its propagation in- to theadjacents parts reprefents the feet and claws of a Crab5 the other reprefents the flefh of the Sea-Polypus in its fubftance; and the third becaufe jjfiich as have the iLeprofic have their skimwrinckled, rough, and horrid with fcales and knots, as the skin of a living E- lephant. So truly this diteate of which we now enquire feems by good right to have de- ferved the name DracunculusJjecaufe in its whole conformation, colour, quality and pro- duction into length and thicknefs it exprefleth the image of a Serpent. But whence, will they fay,(if it be without life)is that manifeft motion in the matter? We reply that the hu- mor the caufe of this difeafe is fubtill and hot, and fo runs with violence into the part whence it may teem to move. But when the Dracunculi are feparated,why do they put their heads as it were out of their holes ? We anfwer,in this the zkneients have been very much deceived, becaufe after the fuppuration the ulcer being opened,fome nervous body be- ing laid bare, thruft forth and fubjefted it telf to the fight, which by the convulfive and fhaking motion might exprefle the crooked creeping ofa Serpent. But they will fay,pain happens not unlefs to things indued with tenfe & life,but this Dracunculus when he is drawn too violently, efpeeially if he be broken, thereby will caufe extream pain : We doanfwer, that the conclufion doth not follow & is of no contequence,for thefe pains happen not un- iefle when the unprovident Surgeon draws or puls in ftead of the Dx avunculus feme nervous or membranous body fwoln and repleat with an aduft humor,whence there cannot but be great pain that part being puld which is the author of fenfe.But it is childifh to fay that the Dracunculus feels, for that it caufeth fharp pains to the living body in which it is.Therefore that at laft we may determin fomething of the nature, eflence and generation of thefe Dracunculi,! dare boldly affirm it is nothing elfe but a tumor and abteefs bred from the heat of the blood in a venenate kind. Such blood driven by the expulfive faculty through the veins to theExternall parts, efpeeially the limits,that is,the Arms and Legs, cauteth a tu- mor round and long often ftretched from the joynt of the fhoulder even to the wrift, or from the groin even to one of the Ankles with tenfion, heat, renitency,pricking pain, and afeaver. But this tumor is fome while ftretched forth ftreight, otherwhiles into oblique and crooked tumors, which hath been the caute that many taken with this kind of diteate, and having their limbs fo infolded as with the twinings of a Serpent,would fay they had a Serpent* I have thus much to fay of the Z)r4c«»nffi,efpecially of thofe of our own country. For the cure, it is not unlike to the cure ofa Phlegmon arifing from a defluxion, for here alfo in like manner the remedies muft be varied according to the four times of the diteafe,and the fame rule of diet,phlebotomy and purging muft be obterved,which is before prefcribed in the cure of a Phlegmon. The mention of the Dracunculi cals to my memory another kind of Abfcefle, altogether as rare.This our French men name Cridones, I think a Cxinibus. i. from hayrs: it chiefly trou- bles children and pricks their backs like thorns. They tofs up and down being not able to take any reft. This difeafe arifeth from finall hairs which are fcarfe of a pins length, but thofe thick & ftrong. It is cured with a fomentation of water more than warm,after which you muft pretently apply an oyntment made of hony and wheaten flower; for fo thefe hairs lying under the skin are allured and drawn forth; and being thus drawn, they muft be plucked out with fmall mullets. I imagine this kind ofdifeafe was not known to the ancient Phyfitians. Why they are called Drawn- culi. The Cure. So the Malum pi I are in Ari- flotlecip.il. libsjJaifl. ani- mal.) The End of the Eighth E>ool\. Lib.9. 251 OF WOUNDS iNGENERALL. The Ninth Book. CHAP. T What a wound what the kinds and differences thereof are, and from whence the} ma) be dr awn,or derived. Wound is a folution of Continuity, caufed by a flroak, fall, or bite, newly done, bloody and with putrefaftion and filth. They alfo call it a new limple ulcer; for the iblution of continuity happens to all parts of the body; but according to the diverfity of parts, it hath di- vers names amongft the Greeks. For in the flefh it is called the bone in the nerve in the ligament in the veflels the Mufcles Kegnwiand that folution ofcontinui- ty, which happens in the veffels,their mouths being open, is termed that which happens by erofion, Aneurofts ; that which is generated by fweating out and tranfcolation, Diqedcfts. That thefe may be the more eafily underftood, I have thought good to defcribe them in the following table. vVh-va Woundprq. perly is. Divers J appcl- Jationsof wounds accor* ping to the vax rietics of the parts. A Table of the differences of Wounds. - Glandules s \Flefh, Fati [Marrow, Either foft, as the Or hardy as 1 Eitherfi- milar,and thefe9 Or Organi- call,and the fed- 'ther' 'From the nature of the parts in which they are made or happen, But thebe parts are A B'one., • A G rifle. Membranes Ligaments, Nerves ,EeinSy Arteries. Or of a mid- dle confi- dence , as the The differences of wounds are drawn or taken Principally as the Orftrving the princi- palfas Or neither 'Brainfilearty Liver,to which fame add the Womb and Te- (tides. Lungs gullet.) StomachyGutSy The Ears, FeetfiandSyand other of the fame kind, frtKi 252 Of Wwnds in generall. Lib,2' From their proper ef• whence they are called) From their quantity t according to which they are called, i i From their figure * according t* which* 'they are named) { Simple wounds Or When there is no complication of any other difeafe or fympteme betides. • When there Z> a complication of fome one or more dif'afesjvhich unleffe they betaken wee < muft not hope for to cure the Iwound. Long, Broad, Deev. Great, 'indifferent, ]Little, Narrow, [Superficiary, Str eight, oblique, Cornered, CHAP.II. Of the caufes of Wounds. Divers deno- minations from their caufcs, }LL things which may outwardly aflail the body with force and violence/may [ be counted the caufes of wounds; which are called green,and properly bloody. > Thefe things are either animate,or inanimate. The animate, as the bitings, and prickings of beads. The Inanimate, as the ftroak of an arrow, fword,club, gun»> (lone,a dagger,and all fuch like things. From the variety of fuch like caufes, they have divers names: for thofe which are made by (harp and pricking things are called pun&ures:thofe caufed by cutting things,are called Wounds or gafhes: and thofe which are made by heavy and obtufe things are named Con- $ufions,or wounds with contufions. CHAP.III. Of the figns of Wounds. A caution for m>k<ng re* ports of Wounds* Ounds are firft known by fight, and by the figns drawn from thence. The Chir- urgeon ought firft and chiefly,to confider, what wounds are curable, and what not; what wounds will fcarle admit of cure, and what may be eafily cured; for it is not the part of a prudent Chirurgeon, to promife cure in a deadly or dangerous and difficult wound; left he may leem to have killed him, whom not the un- fiifficiency of the Art, but thegreatnefle of the wound hath (lain. But when the wound is dangerous, but yet without defpair of recovery, it belongs to him to admoniffi the Patients friends which are by, of the prelent danger, and doubtfull ftate of the wound, that if Art lhall be overcome by the greatnefle thereof, he (hall not be thought ignorant of the Art, neither to have deceived them. But as this is the part and duty of a good and prudent Chirurgeon, fo it is the trick of a cheating and jugling knave, to enlarge (mail wounds,that fo he may feem to have done a great cure, when it is nothing fo. But it is agreeable to reafon, that the Chirurgeon profelfing the difeafe eafie to be cured,will think himfelf in credit bound by ftich promiles and his duty, and therefore leek all means for the quick recovery of thePatient;left that which was of its own nature final, may by his negligence become great. Therefore it is expedient, he Ihould know what Wounds are to be accounted great. This (as Galen faith) is three wayes to be known ; The firft is by the magnitude and principality of the part affe&edjfor thus the wounds of the Bra in. Heart,and of the greater veflels,thoughfmallofthemfelves,yetarethoughtgreat. Then from the greatnefs of the folution of continuity ; for which caufe wounds may be judged great, in which much of the fubftance of the part is loft in every dimenfion,though the part be one of thefe which are accounted fervile. Then from the malignity 5 through which occafion the wounds of the joints are accounted great, becaufe for the moft part,they are ill conditioned. A Jugling cheating Chi- rurgeon* Xr'A. 4, Meth. Wounds are called great out ot three rcfpcftle CHAP. L1B.9. Of Wounds in generall 253 Of Prognoftickj to be made in Wounds, CHAP. IIII. Hble Wounds are thought dangerous, wherein any large nerve, vein, or Artery are hurt. From the firft there is fear of convulfion,but from the other large ef- fufion of the veinous, or arterious blood, whence the powers are debilitated; alfo thefe are judged evill,which art upon the arm pits,groins,lesks,joynts and between the fingers 5 and likewifc thofe which hurt the head or tail of a Mufcle. They are left dangerous of all other which wound only the fleffiy fubftance. But they are deadly which are inflided upon the Bladder, Brain, Heart,Liver,Lungs, Stomach andfinall guts. But if any Bone,Griftle,Nerve or portion of the cheek or prepuce,ffiall be cut away,they cannot be reftored. Contufed wounds are more difficult to cure, than thole which are only from a Ample folution of continuity 5 for before you muft think to heal them up, you muft fuppurate and clenle them; which cannot be done in a ffiort time. Wounds which are round and circular arefo much the worle ; fbr there can be no unity unlefle by an angle, that is, a meeting together of two lines. Which can have no place in round wounds,becaufe a circular figure conlifts of one oblique line. Belides, wounds are by fo much thought the greater, by how much their extreams and lips are the further dif- joyned, which happens to round Wounds.Contrary to thefe are cornered wounds or lucli as are made alongft the fibers, as fuch as may be eafily healed. Wounds may be more eafily healed in young men, than in old, becaufe in them nature is ni£>re vigorous, and there is a greater plenty of fruitfull, or good blood, by which the lofle of the flelh may be the better and more readily reftored, which is flowlier done in an old body, by reafon their blood is fmallcr in quantity and more dry, and the ftrength of nature more languid. Wounds received in the Spring, are not altogether fo difficult to heal as thofe taken in Winter or Summer. For all excefle of heat and cold is hurtfull to them, it is ill for a con- vulfion to happen upon a Wound, for it is a fign that fome Nervous body is hurt; the braine fuffering together therewith, as that which is the originall of the Nerves. A Tumor comming upon great Wounds is good 5 for it (hews the force of nature is able to expelf that which is harmfull,and to eafe the wounded part. The organicall parts wholly cut off cannot again be united:becaufe a vitall part once fevered and plucked from the trunk of the body cannot any more receive influence from the heart as from a root Without which there can be no life. The loofed continuity of the Nerves,Veins, Arteriesyand alfo the bones, is: fometimes reftored,not truly, and as they lay,according to the firft intention,but by the fecondjthat is,by repofition of the like, but not of the fame fubftance. The firft intention takes place in the fleffiy parts by converting the Alimentary bloud into the proper fub- ftance of the wounded part. But the fecond,in the fpermatique parts in which the loft fub- ftance may be repaired by interpolation of lome heterogeneous body, which nature,diligent for its ownprefervation,fubftitutes in place of that which is loftdbr thus the body, which reftores and agglutinates,is no bone but a Callup whole originall matter is from an humor fomewhat grofler than that,from whence the bones have their originall and beginning, This humor,when.it ffiall come to the place of the frafture, agglutinateth the ends of the bones together, which otherwife could never be fo knit by reafon of their hardnels. The bones of children are more eafily and fpeedily united by reafon of the pliantnefs of their foft and tender fubftance.Laftly we muft here admoniffi the Chirurgeon, that finall Wounds and fuch as no Artifan will judg deadly, do divers times kill by reafon of a cer- tain occult and ill dilpofition of the wounded, and incompafling bodies 5 for which caule we read it oblerved by Hippocrates,that it is not lufficient for the Phyfitian to performe his duty, but alfo external! things muft be rightly prepared,and fitted. What wounds are dangerous; What leaft dangcjous. What deadly* Hip.apbor, jd< Lib.6, Why round Wounds attf difficult td heal* Hip dib, de ul- cer.Hip.apht 6 5 dib . j. What a Cattus is and whence it proceeds* Small and con-' remprible Wounds often prove mortal!* Apbor.i ,fe$. CHAP. V. Of the Cure of Wounds in generail. He Chirurgeon ought for the right cure of wounds to propofe.unto himfelf the common and generall indication: that is,the uniting of thedivided parts, which indication in fuch a cafe is thought upon and known even by the vulgar: for that which is dif-joyned defires to be united,becaute union is contrary to divifi- on. But by what means fuch union may be procured, is only known to the skilfull Arti- fan. Therefore we attain unto this chief ana principall Indication by the benefit of nature as it were the chief Agent,and the work of the Chirurgeon as the tervant of nature. And unlefs nature (hall be ftrong,the Chirurgeon (hall never attain to his conceived,and wiflied for end : therefore that he may attain hereto, he muft perform five things the firft is, that if there be any ftrange bodies,as peeccs of Wood,Iron,Bones,bruifed fle[hatongealed blood, or the like, whether they have come from without, or from within the body, and (ball be by accident fattened or ftuck in the wound, he muft take them raway, for otherwite there is no union to be expefted. , Z Ano* Th6 general! Indication1 of Wounds* Five things necefary fot uniting wounds.- Of Wwnds in generail. LIB.9. 254 Another is,that he join together the lips of the Wound;for they cannot otherwife be ag- glutinated and united.The third is,that he keep clofc together the joined lips. The fourth, that he preferve the temper of the wounded part/or the diftemper remaining,it is impoffible to reftore it to its unity .The fifth is,that he correft the accidents,if any fhall happen,becaufe thefe urgingjthe Phyfitian is often forced to change the order of the cure. All ftrange and externall bodies muft be taken away,as fpeedily as is polfible,becaufe they hinder the aftion of nature intending unity, efpecially if they prefs or prick any Nervous body,or Tendon,whence pain or an Abfcefs may breed in any principal! part,or other fer- ving the principal 1. Yet if by the quick and too hafty taking forth of filch like bodies there be fear of cruell pain or great eflufion of blood, it will be far better to commit the whole work to nature than to exafperate the Wound by too violent haftening. For nature by little and little will excluders contrary to it, or elfe together with the Pm,what ftrange body foever fhall be contained in the wounded part. But if there fhall be danger in delay,it will be fit the Chirurgeon fall to work quickly,fafely, and as mildly as the thing will fuffer: for effufion ofblood,fwooning,convulfion and other horrid fymp- tomes,follow upon the too rough and boyftrous handling of Wounds, whereby the Pa- tient fhall be brought into greater danger than by the Wound itfelf. Therefore he may pull out the ftrange bodies,either with his fingers,or with inftruments fit for that purpole: but they are fometimes more eafily and fometimes more hardly pulled forth,according as the body infixed is either hard or eafie to be found or pulled out.Which thing happens according to the variety of the figure of fuch like bodies, according to the condition of the part it felf,foft,hard,or deep,in which thefe bodies are fattened more ftrait- ly or more loofly : and then for fear of inferring any worfe harm,as the breaking of fome Veflell: but how we may perform this firft intention, and alfo the expreffion of the inftru- ments neceflary for this purpofe, fhall be fhown in the particular treaties of Wounds made by Gun-lhot,Arrows and the like. But the Surgeon ftial attain to the fecond and third fcope of curingWounds by two and the fame means,that is,by ligatures & futurcs:which notwithftanding before he ufe he muft well obferve whether there be any great flux of blood prefent,for he fhall ftop it if it be too violent; but provoke it,if too flow,(unlefs by chance it fhall be powred out into any ca- pacity or belly)that fo the part freed from the fuperfluous quantity of blood may be lefs lubjeft to inflammation.Therefore the lips of the Wound fhall beputtogether,and fhall be keptfo joined by future and ligatures: Not truly of all, but only ofthofe which both by their nature,and alfo by the condition of the parts in which they are, are Worthy and capable of both the remedies. For a fimple and fmall folution of continuity, Hands only in need of the Ligature which we cal incarnative,efpecially,if it be in the Arms or Legs,but that which divides the Muffles tranverfly,ftands in need of both Suture and Ligature; that fo the lips which are fomewhat far diftantfrom each other, and as it were drawn towards their beginning, and ends may be conjoyned. If any portion of a flelhy fubftance by reafon of fome great cut fhall hang down, it muft neceflarily be adjoyned and kept in the place by Suture. The more notable and large Wounds of all the parts, ftand in need of Suture, which do not eafily iadmit a Ligature, by reafon of the figure and fite of the part in which they are, as the Ears/N ofc, Hairy-icalp Eye-lids,lips,Belly and Throat. * There are three forts of Ligatures,by the joint confent of all the Ancients. They com- monly call the firft,aGlutinative, or Incarnative; the fecond Expul five, the third Reten- tive. The Glutinative or Incarnative is fit for fimple,green and yet bloody Wounds. This confifts of two ends, and muft fo be drawn, that beginning on the contrary part of the Wound, we may fo go upwards,partly crofting it, and going downwards again, we may clofely joyn together the lips of the Wound. But let the Ligature be neither too ftralt, left it may caufe inflammation or pain; nor too loofe, left it be of no ufe, and may not well contain it. The Expulfive Ligature is fit for fanious and fiftulous Ulcers,to prefs out the filth con- tained in them. This is performed with one Rowler, having one fimple head ; the begin- ning of binding muft be taken from the botome of the Sinuty or bofome thereof; and there it muft be bound more ftraihgtly, and fo by little and little going higher, you muft remit fome thing of that rigour, even to the mouth of the Ulcer, that fo (as wTehave faid) the fanious matter may be prefled forth. The Retentive Ligature is fit for fuch parts as cannot fuffer ftrait binding , fuch are the Throat,BelIy,as alfo all parts opprefled with pain; For the part vexed with pain, ab- horreth binding.The ufe thereof, is to hold to locall Medicines. It is performed with a Rowler,which confifts fomeu hiles of one, fome whiles of more heads. All thefe Ro wlers Ought to be of linnen,and fuch as is neither too new,nor too old, neither too courfc, not too fine.Their breadth muft be proportionable to the parts to wh ich they fhal be applyed; the indication of their largenef's, being taken from their magnitude, figure and fite. As we fhall (hew more at large in our Tractates of Erasures and Dislocations. The Ligatures and Sutures for to conjoynand hold together the lips of wounds. Three forts of Ligatures. Wharan incar- narivc Ligature is. What ai ex- pulsive. What the re- tentive. What rhe row- lersmuftbc made of. L1B.9. Of Wounds in generaU 255 The Chirurgeon lhall perform the firftfcope of curing Wounds, which is of preferving the temper of the Wounded partly appointing a good order of diet by the Prefcript of a Phyfitian,byufing univerfall andlocall Medicines. A llender,cold and nioift Diet miift be- oblerved,untill that time be palled, wherein the Patient may be late and free from accidents which are ufually feared. Therefore let him be fed fparingly,efpecially if he be plefhorick; he (hall abftain from fait and fpiced flelh,and alfo from Wine; It he lhall be of a cholerick or fanguine nature: In Head of Wine he lhall ufe the deco&ion of Barly or Liquorice,or Wa- ter and Sugar. He lhall keep himfelf quiet; for reft is fin Celfus opinion)the very beft Medi- cine. He lhall avoid Venery, Contentions, Brawls, Anger, and other perturbations of the mind .When he lhall feem to be paft danger,it will be time to fall by little and little to his accuftomed manner and diet of life. Univerfall remedies are Phlebotomies and purging, which have force to divert and hinder the defluxion,whereby the temper of the part might be in danger of change. * ' ; . For Phlebotomy it is not alwayes neceflary,as in fmall Wounds and bodies, which are neither troubled with ill humors, or Plethoritk: But it is only required in great Wounds, where there is fear of defluxion, pain, Dehriwni,Ravingandunquietnefs;and laftly in a bo- dy that is Plethorick,and when the joynts,tendons,or nerves are wounded. Gentle purga- tions muft be appointed, becaufe the humors are moved and inraged by ftronger ; whence there is danger of defluxion and inflammatiomwherefore nothing is to be attempted in this cafe,without the advice of a Phylitian. * » The Topick and particular Medicines are Agglutinative, which ought to be indued with a drying and aftriftive qnality, whereby they may hold together the lips of the Wound,and drive away defluxion,having alwayes regard to the nature of the part and the greatnefs of thedifeafe. The Simple Medicines are Olibanum, Aloes, Sarcocolla, 7err a figillata, Sanguis Draconis, Common and Venice, Turpentine, Gum, Elcmni, Plantane, Horle-tail, the greater Comfery, Parina Volatilis and many other things of this kind, which we lhall ipeak of hereafter in our Antidotary. The fifth fcope of healing Wounds, is the correction of thole Symptomes or Accidents which are accuftomed to follow Wounds, which thing verily makes theChirurgeon have much to do;For he is often forced to omit the proper cure of the difeafe,fo to refill the ac- cidents and fymptomes,as bleeeding,pain,inflammation,a feaver,convulfion,palfie, talking idly,or diftraClion,and the like. Of which we lhall treat briefly and particularly, after we have firft fpoken of Sutures as much as we lhall think fitting for this place. Why and how the temper of the wounded Part mud be prefetved. In what wounds blood' letting is noc necefiaryf What medio cine sate to be judged aggluti- native. CHAP.VL Of Sutures, ten Wounds are made alorigft the thighes, legs, and armso they may eafily want Sutures,becaufe the folution of continuity is eafily reftored by Ligatures, but when they are made overthwart,they require a Suture, becaufe the flefli and all fuch like parts,being cut are drawn towards the (bund parts; whereby it comes to pafs that they part the further each from other; wherefore that they may be joyned and fo kept, they muft be fowed, and if the Wound be deep, you muft take up much flelh with your needle; for if you only take hold of the upper part, the Wound is only fiiper- ficially healed:but the matter fhut up,and gathered together in the bottome of the Wound, will caufc abfcefles and hollow Ulcers: Wherefore now we muft treat of making of Sutures. . The firft,called Iwterpwn$w*,leaves the diftance of a fingers breadth, and therefore is fit for the green Wounds of the flelhy parts,which cannot be cured with a Ligature, and in which no heterogeneous or ftrange body remainSjlt is performed after this manner.You muft have a fmooth needle with a thred in it,having a three fquare point,that fo it may the better en- ter the skin,with the head of it fomewhat hollowed,that the thred may lie therein; for fo the needle will the better go through.You muft alfo have a little pipe with a hole or win- dow in the end,which you muft hold and thruftagainft the lip of the Wound,that it be not moved to the one fideor other, whilft you thruft through the needle: And that we may fee through that *Window when the needle is thruft through, and alfo draw it together with the thred,and withall hold the lip of the Wound in more firmly, that it follow not at the drawing forth of the needle and thred. Having thus pierced the lips of the Wound, tie a knot, neer to which cut off the thred; left that if any of it be left below the knot, it may fo flick to the Emplafters that it cannot be plucked and feparated from therh with- out pain,when they are taken off. But you muft note the firft ftitch muft be thruft through the midft of the Wound, and then the fecond muft be in that fpace which is be- tween the midft and one of the ends; but when you have made yourftirches, the lips of the Wound muft not bee too clolely Joined, but a little fpacemuft be left open between, them, that the matter may have tree paflage forth, and inflammation and pain may be avoided: otherwife if they fliall be clofely Joined together without any diftance be* tween, a tumor after arifing when the matter (hall come to fiippu ration, the lips will Z 2 to What wouhds Hand in no need of a cite; The firft mart » ner of future. The form of your needle. Thefdim of I the, pipe with a window in it? 256 Of Wounds in general!. Lib.9, be fo much diftended that they may eafily be broken by the ftifnefs of the thred. But you muft neither take hold of too much nor too little flefli with your needle, for too little Will not hold, and too much caufeth pain and inflammation. And befides leaves an ill favoured fear .Yet in deep wounds, fuch as are thofe which are made in the thicker mufcles, the needle muft be thruft home,that fo it may comprehend more of the flefliy fubftance 5 left the thred drawn away by the weight ofthe flefli not taken hold of, may be broken. But oft-times wounds are feen made in fuch places as it would be needfull, the Chirurgeon fhould have a crooked needle and pipe, otherwife the Suture will not fucceed according to hisdefire. Wherefore I have thought good to fet forth both their figures, that you may ule either as occafion flialll ferve. •fhe Figure of Pipes with feneftels in Needles fit for Sutures. The 2. means ofSuturc* The lecond Suture is made juft after the fame manner as the Skinner fows their fels or furs. And the guts muft be fowed with this kind of Suture, (if they /hall be at any time Wounded) that the excrements come not forth by the wound. The third Suture is made by one or more needles having thred in them, thruft through the wound, the thred being wrapped to and again at the head and the point of the needle , as boyes ufe to faften their needle, for fear of lofing it, in their caps, or clothes. This kind of Suture is fit in the curing and healing of Hare-lips, as we fliall fliew you hereafter ex- prefled by a Figure. The fourth kind of Sutu re is termed invented for the reftoring and uniting the great Mufcles of the Epigaflrium9or lower belly,cut with a great wound together with the Peritongum lying under them. The manner whereof we fhall fliew in due place. The fifth kind is called the dry Suture, which weule only in the wounds of the face, which alfo we will defcribe in its proper place. Tfic third manner of Suture. The 4. kind of Suture termed Gajtroraphit, The 5.kind called the,Dry Suture. CHAP. VII. Of the flux of bloody vphich ufually happens in Wounds. The figris of blood flowing from an artery. Et-timcs great bleeding follows upon wounds,by reafon of fome veflel cut,bro- ken, or torn,which there is need to heal and help diligently,becaufe the blood is the treafure of nature,without which life cannot confift. The blood which floweth from an Artery,is thus known. It is mdrelubtile, it runs forth as it were leaping,by reafon of the vitall fpirit contained together with it in the Arteries. On the contrary that which floweth from a Vein is more grofs, black, and flow. Now there are many wayes of ftanching blood. The firft and moft ufuall is that, by which the lips of the Wound are clofed, and unlefs it be fomewhat deep, are contained by Medicines which have an aflringent, cooling, dry- ing,and glutinous faculty 5 As terrg figill. Bolt Armenian a J ana 3 ij, Faring volat. molend. | j, Fiatpulvis qui albumine ovi excipiatur. Or R. 7buris & Aloes ana partes gquales. Let them be mixt with the white of an Egge, and the down of a hare,and let the pledgets be dipped in thefe Medicines,as well thofe which are put unto the Wound Thefirft way of flaying bleeding. as thofe which are applycd about it. Then let the Wound be bound up with a double clop and fit Ligature, and the part be fo feated as may feem the leaft tronblefome and mofl free from pain. But if the blood cannot be flayed by this means,when you have taken offall that cover- eth it,you (hall prefs the Wound and the orifice of the Veflell with your thumb, fo long until! the blood (ball be concrete about it,into fo thick a clot as may flop the paflage. But if it cannot be thus ftaycd,then the Suture (if any be)muft be opened, and the mouth of the Veflell towards the original! or root,muft be taken hold of, and bound with your needle and thred, with as great a portion of theflefhas the condition of the part will permit. For thus I have flaid great bleedings, even in the amputation of members, as I Ml (hew in fit place. To perform this work, we are often forced to divide the skin The 2. manner offtanching it. The 3 .way by binding of the veflels. which Lib.9. Of Wounds in generall 257 which covereth the wounded veflell. For if the Jugular vein,or Artery be cut, it will con- traft and with draw it felf up wards and downwards.Then the skin it felf muft be laido- pen under which it lyeth,and thrufting a needle and thred under it, it muft be bound as I Ifsve often done. But before you loole the knotjit is fit the flefh fhould be grown up., that it may ftopt the mouth of the veflell,ltft it fhould then bleed. But if the condition of the part (hall be fuch as may forbid this comprehenfion; and binding of the veflell, we muft come to fuch as are the powder of burnt Vitriol, the powder of Mercury, with a fmall quantity of burnt Allum ; and Caufticks which caufe an Efcar. The falling away of which muft be left to nature, and not procured by art, left it fhould fall away before that the orifice of the veflell fhall be ftopt with the flefh* or clotted blood. . ■ . f But fometimes it happens that the Chirurgcon is forced wholly to cut ofl7the veflell if felf, that thus the ends of the cut veflell withdrawing themfelves,and fhrincking upwards and downwards, being hidden by the quantity of the adjacent and iricompaffing parts, the flux of the blood, which was before not to be ftaid, may be flopped with lefle labour. Yet this is an extream remedy and not to beufed, unlefle you have in vain attempted the former. An admonition The 4 way by Efchatoricks. The $,wiy by cutting off the veffcls* CHAP. VIII. Of the which happen/ upon wounds. Pain weakens the body,and caufcs de- lusions. He pains which follow upon wounds ought to be quickly aflwaged, becaufe nothing fb quickly deje&s the powers, anditalwayes caufes a defluxion, of how good foever a habit and temper the body be oflfor Nature ready to yeeld affiftance to the wounded part,alwayes fends more humors to it, than'are need- full for the nourifhrnent thereof,whereby it conies to pafle that the defluxion is eafily increafed,either by the quantity,or quality,or by both. Therefore to take away this pain, the author of defluxion,let fitch medicines be applyed to the part as have a repelling and mitigating as ft.Olei ij, Cert alb. $ i, Farin.fhordei35 /?, Eoli armeni3&terr£ fyillat. ana % vj, Melt the Wax in the oyls, then incorporate all the reft, and according to Art, make a medicine to be applyed about the part: or R. Emplaft. Diacalcith. § iv, Ole. Rofar. &aceti3 ana J [3, liquifiant jimul, and let a medicine be made for the fore mentioned ufe. Irrigations of oyl of Rofes and Myrtiles, •with the white of an Egge, or a whole Egge added thereto,may lerve for lenitives, if there be no great inflammation; Rowlers and double cloaths moyftened in Oxy crate, will beal- fo convenient for the fame purpofe. But the force of fuch medicines muft be often renewed, for when they are dryed,they augment the pain.But if the pain yeeld not to thefe, we muft come to narcotick Medicines,fuch as are the Oyl of Poppy, of Mandrake, a cataplafm of Henbane and Sorrell,adding thereto Mallows and Marfh-mallows,of which we fpoke for- merly in treating of a Phlegmon. Laftly, we muft give heed to thecaufe of the pain, to the kind and nature of the humor that flows down,and to the way which nature affefts: for according to the variety ofthefe things,the Medicines muft be varied,as ifheat caufc pain,it will be affwaged by application of cooling thingsj and the like reafon oBferved in the contrary; if Nature intend fuppura- tion,you muft help forwards its indeavours with fuppurating medicines. Divers ano i dynes or medic tins toaftwage paiR* CHAP. IX. Convulsion is an unvoluntary contra&ian of the Mufcles (as of parts movable at our pleafure)towards their originall, that is, the Brain and Spinall Marrow, for by this theconvulfed member or the whole body (if the convulfion be Uni- verfalljcannot be moved at our pleafure.Yet motion is not loft in a Convulfion aS it is in aPalfie, but ,it is only depraved: and becaufe fometimes the Convulfion poflefleth the whole body,otherwhiles fome part thereof,you muft note that there are three kinds of Convulfions in generail. The firft is called by the Greeks ZXanos, when as the whole body grows ftiffe like a ftake that it cannot be moved any way. The fecond is called Opifthotonos, which is when the whole body is drawn backwards.1 The third is termed Ewiprofthotonos which is when the whole body is bended or crooked forwards. A particular Convulfion is, when as the Mufcle of the Eye,Tongue,and the like parts Which is furniftied with a Nerve, is taken with a Convulfion. Repletion or Inanition, Sympathy or confent of pain caufe a Convulfion. Aboundahce ot humors caufe Repletion, dulling the body by immoderate eating and drink onuflion of ex- ercifi ; or any accufl'<med evacuation, as fuppreflion of theHemorrhoides, and coUrfetf: for hence are fuch like excrementitious humors drawn into the Nerves , with which they being replete and filled, are dilated more than is fit, whence nceeflarily becoming Z 5 more Of Convulfion by reafon of a Wound; WMta Cod* vulfiori is* Three kinds o? an univerfall COnYulfion. three o( a Convulfi©n, Caufesoffts. • fiction. 258 Of Wounds in geiieraU. Lib.9. morefiiort, they fuffer Convulfion. Examples whereof appear in Leather and Lute or Viol-ftrings,which fwoln with moifture in a wet fcafon are broken by repletion. Immoderate vomitings,fluxes,bleedings,caufe Inanition or Emptinefs,wherefore a Con- vulfion caufed by a wound, is deadly: as alfo by burning feavers-For by thefe and the like caules,the inbred& primogeneous humidity of the Nerves is wafted,fo that they are fled like leather which is ftirunk up,by being held too neer the fire,or as fidle fir ings which dryed with Summers heat,are broken with violence,fuch a convulfion is incurable.For it is better a Feaver follow a Convulfion,than a Convulfion a Feaver;as we are taught by Hi- pocrates that fuch a Feaver be proportionall to the firength of the convulfifique caufe,and the Convulfion proceed from Repletion ; for the abundant and grofs humor caufing the Convulfion isdigefied and wafted by the feaverilh heat. Thecaufes of a convulfion by reafon of pain,are either the pun&ure of a Nerve,whether it be by a thing animal,as by the biting of a venemous beaftjor by a thing inanimate,as by the prick of a needle,thorn or pen-knife; or great & piercing cold,which is hurtfull to the wounds,principally of the nervous parts; whereby it comes to pafs,that by caufing great and bitter pain in the nerves they are contra&ed towards their originall,that is,the Brain, as if they would crave fuccour from their parents in their diftrefled eftate. Befides alfo, an ill vapour carried to the brain from fotne putrefaction fo vellicateth it,that con tracing it felfjit alfo contrafteth together with it al the Nerves and Mufcles,as we ice it happeneth in thofe which have the falling ficknefs. By which it appears that not only the brain it felf luftereth together with the Nerves,but alfo the Nerves with the Brain.The figns of a Con- vulfion are difficult,painfull and depraved motions,either of fome part or of the whole bo- dy,turning afide of the Eyes and whole Face,a contra&ion of the Lips, a drawing in of the Cheeks,as if one laughed,and an univerfall fweat. Cantes of Inanition, '«#&♦ fee-2. Cautesof con- tusion by content of Pain. Signs of a eonvulfioH. CHAP. X. The cure of a Convulfion. The caufeof a Convulfionby Repletion. The cure of a He cure of a Convuliion,is to be varied according to the variety of the convul- live caufe, for that which proceeds from Repletion muft be otherwilc cured, than that which is cauled by an Inanition ; and that which proceeds of pain, otherwife than either of them. For that which is caufed by repletion is cured by dilcufllng and evacuating medicines; as by diet conveniently appoirited,by purging,bleeding,digeftive locall Medicines, exercife, friPtions, lulphurious baths and o- ther things (appointed by the prefcription of fome learned Phylitian which lhall overfee the cure,which may confiime the luperfluous and excrementitious humors that poflefs the fubftance ofthe NerVes,and habit of the body .The locall remedies are Oyls, Unguents and Liniments,with which the Neck,back-bone and all the contrafted parts lhall be anointed. The Oyls are,the oyl of Foxes, Bayes, Cammomill,Worms, Turpentine, of Cofiut, of Caftore- urn: The Oyntments'areFwgwewtww Agrippa, de Althea, Marti at urn. This may be the form of a Liniment; R. Olei chanwn. & Laurin, ana | ij, Olei J i, Vnguenti de Althea Marti, an.$ J \,Aqux vittg i P, Cer<e quantum fufficit. . Make a Liniment for your ufe,or Rc.OleiLumbric.de Spica & de Cafioreo,.an.J iij, Ax ung.hum* i,Sulphuric viwi, J. Cerx quantum fufficit.Make a Liniment, or R. Vnguenti Marti at i/r Agrip. an. | iij. Olei de Tere- binth* i fi,Olei Salvte, % P, Aqua vite 5 i, Cer* § i fi,fiat linimentum. But this difeafe is cured by (lender diet,and fweating with the Deceptions of Guiacumfioecaute by thele remedies the grofs,tough,and vifeid excrements,which are in fault,aredigefted. A Convulfion proceeding of Inanition is to be cured by the ufe of thole things,which do wholefomly and moderately nourifli.And therefore you muft prefcribe a diet conlifting of meats full of a good nourilhment,as broaths and cullices of Capons,Pigeons, Veal, & Mut- ton,boyling therein Violet and Mallow leaves. Conferves muft be ordained, which may ftrengthen the debilitated powers,and humePt the habit of the body, fuch as are, the Con- ferves of Buglofs,Violets,Borage and water Lillies. The following broath will be profita- ble,R.LattucxfiBuglof. & portul.an M i, quatuor feminum frigid. major, an. § $,feminis Barber it 3 i. Let them all be boyled with a chicken,and let him take the broath every morning. If thirft opprefs him,the following Julep will begood.Rc.Aquxrofar.% w}Aqu<£ violAL fi,Saccari albif- fimi j vi.fiat Iulep,utatur in fiti.lf the Patient be bound in his body,emollient and humePting Clyfters lhall be appointed, made of the deception of a lheeps head and feet. Mallows, Marlh Mallows,Pellitory ofthe wall,Violet leaves,and other things ofthe like faculty; or that the remedy may be more ready and quickly made: let the Clyfters be of Oyl and Milk.Topick remedies (hall be Liniments and Baths.Let this be the example of a Liniment. R. Olei Viol. & Amygdal. dulc. an. % ij, Olei Lilibr. & Lumbric. an. i, AxungLe porci recentit, 5 iij, Cer<e nov£ quantum fufficit, fiat Linimentnm, with which let the whole fpine and part affePted be anointed: This lhall be the form of an emollient and humefting bath. R. Fol. M'alvx, Bit Mahne, Fariet. ana M vi, Seminit Lini & fxnug. ana tb fi, Caquantur in aqua communi, addenda Olei Lilior. ft viij. Make a Bath : into which let the Patient enter when it is Wann. When he lhall come forth of the Bath, let him be dried with The cure of a Conrulfion eautedby ina* nition. An Emollient Liniment for any ConvulGon An Emollient a^dhamefling Lib. 9. Of Wonnds in generaU. 259 with warm clothes,or reft in his bed avoiding fweat. But if the patient be able to under- go the charge, it will be good to ordain a bath of milk, or oyl alone, or of them equally mixt together. CHAP. XI. Of the cure of a Convuljtons by Sympathy and pain. Convulfion which is caufed both by confent of pain and Communication of the affect, is cured by remedies which are contrary to the dolorifick caufe. For thus if it proceed from a puncture or venemous bite, the wound mutt be dilated and inlarged by cutting the skin., that id the venen.ate matter may flow forth more freely, for which purpole alio medicines which are of a thin and liquid confiftence,but of a drying anddigeftive faculty lhall be powred in, to call forth and diflblve the virulency, as Treacle and Mithridate,diflblved in. Aqua zhte,with a little of fome mercuriall powder: for this is a noble antidote. Alfo cupping glalfcs and fcarifications will be good. Laftly, the condition of all dolorifick caufcs, lhall be oppug- ned by ths oppofition of contrary remedies,as if pain by reafon of a pricked nerve or ten- don,lhall caule a Convulfion,it muft prelently be refilled by proper remedies, as oyl of Turpentine, of Euphorbium}mixt with alfo with other remedies appropriated to punctures of the nerves. If the pain proceed from excefs of cold, becaufe cold is hurt- full to the brain, the fpinall marrow, andnerves ; the patient lhall be placedin a hot air, inch as that of a hot-houle,or ftoave,all the fpine of his back and convulfed parts, mull be anointed with the hot liniments above mentioned : for that is much better, than fud- denly to expofe him from the conceived convulfifick caule to a moft hot fire or warm Bath. In the mean time the Chirurgeon muft take diligent heed,that as foon as the ligns of the Convulfion to come, oralready prefent,or at hand,do (hew themfelves, that he put a ftick between the patients teeth, left they be faft locked by the pertinacious contraction of the Jaws: for many in fitch a calc have bit off their tongues,for which purpole he lhall be pro- vided of an inftrument called Speculum which may be dilated and contra&ed accor- ding to your mind by the means of a fcrew,as the figures underneath demonftrate, the on« prefenting it open and fomewhat twined up, and the other as it is Ihut. The Cure of a Convulfion by a punfl ure,or bire. A worthy A- h stifharmucUrri or Jhtidore, You mu ft hin- der rhe locking of rhe ceerh. 'The Figure of a Speculum Oris, to ope ft the teeth when they are locked or held faltogether. C H A P. X1 L Of the Palfte. He Palfie is the refolving or mollification of the nerves, With privation of fenfe and motion, not truly of the whole body,but of the one part thereof,as of the right or left fide. And filch is properly named the Palfie : for otherwife and lets properly the refohition of fome one member is alfo called the Palfie : for when the whole body is refolved,it is an Apoplexy. Therefore the Palfie fometimes takes half the body,otherwhiles the upper parts which are between the navel! and the head, o- therwhilesf What a Palfie is. The differen- ces thereof. 260 Of Wounds in generall. L I therwhiles the lower which are from the navell to the feet; fometimes the tongue, gullet, bladder, yard,eyes; and laftly,any of the particles of the body. It differs from a Corivulfion in its Whole nature. For in a convulfion,there is a conten- tion and coptraftion of the part,but in this a refolving and relaxation thereofibefides, it commonly happeneth that the fcnfe is either abolifhed or very dull,which ufually remains perfeft in a Convullion. There are fomc which have a pricking,and as it were great pain in the part. The caufes are internail or externall, the internall are humors obftrufting one of the ventricles of the brain,or one fide of the fpinall marrow,fo that the animal! faculty, the worker of fenfe and motion,can not by the nerves come to the part to perform its aftioru ' The externall caufes area fall, blow,and the like injuries,by which oft-times the joints are diflocated,the fpinall marrow wrefted afide,and conftriftions and compreflions of the Vertebra arife, which are caufes that the animall fpirit cannot come to the Organs in its Whole fubftance. But it is eafy by skill in Anatomy perfeftly to underftand by the refol- ved part the feat of the morbifick caufe,for when there is a Palfie properly fo called,that is when the right or left fide is wholly feized upon, then you may know that the obftrufti- on is in the brain,or fpinall marrow;but if the parts of the head being untoucht,either of the fides being wholly refolved,the fault remains in the originall of the fpinall marrow; if the armes be taken with this difeafe, we may certainly think that the matter of thcdifeafe lies hid in the fifth, fixth,and feventh Vertebra of the neck. But if the lower members lan- guid),we muft judge the Paralytick caufe to be contained in the Vertebra of the loins and holy bone.Which thing the Chirurgeon muft diligently obferve that he may alwaies have recourfe to the originall ofthe difeafe.The Palfie which proceeds from a nerve cut or exceedingly bruifed,is incurable,becaufe the way to the part by that means is flint againft the animall fpirit.Qld men fcarce or never recover of the Palfie,becaufe their native heat is languid, and they are opprefled with abundance of cxcrementitious humors; nei- ther doth an inveterate Palfie which hath lo ng pofleft the part, neither that which fuc- ceeds an Apoplexy,yeeld us any better hope of cure. It is good for a feaver to come upon a Palfie,for it makes the dilfipation of the refolving and relaxing humor, to be hoped for. When the member affefted with the palfie,is much wafted,and the oppofiteon the contrary' much encreafed in quantity, heat and colour,it is ill : for this is a figne of theextreani weaknefs of the afflifted part, which fuflers it felf to be defrauded of its nouriftiment , all the provifion flowing to the found or oppofite fide. How it differs from a Con • vulfion. The caafes. Iris good fora feavcrro hap- pen upon a palfie. CHAP. XIII. Of the cure of the Palfie* N the cure of the Palfie we muft not attempt any thing,unlefs we have firft ufed generail remedies,diet and purging ; all which care lyeth upon the learned and prudent Phy fitian. The Decoftion of Guaiacum is very fit for this pur- pofe/or it procures fweat and attenuates,digefts aud drieth up all the humi- dity which relaxeth the nerves: but when fweat doth not flow it (hall not be unprofitable to put about the refolved members, bricks heated red hot in the fire and quenched in a decoftion of Wine, Vinegar, and refolving herbs, or alfo ftone bottles, or Ox and Swine bladders,half filled with the fame decoftionj for fuch heat which is aftuall refufeitateth and ftrengthneth the heat of the part,which in this difeafe is commonly very languid: Then the patient fliall go into a bathing-tub, which is vailed or covered over Juft as we have described in our Treatife of Baths, that fo he may receive the vapour of the following decoftion. R fo/. Salvi*,Lavend. Lauri. major. Ab faith. Thym. Angelic*, But*,ana M.ft.Florum Cham*m. Melil. Aneth i, Antbof. ana P ij. Baccar. Laur. & Juniper. ConquatTatar <ma * ty.Aqu* fatten* & Vini albi,ana ftiv.Let them be all put in the veffel men- tioned in rhe Treatife lately defcribed for ufe. The patient fliall keep himfelfe in that Ba- thing-tub,as long u his ftrength will give him leave, then let him be put into his bed wel covered,where he fliall fweat again, be dried and reft. Then let him be prefently anointed with the following ointment, which Ltonellus F avertin much commends, R OleiLaurini & de Terebinth.ana | iij.OleiNardini&petrolei, ana \ j.Vini malvatici, * iv.Aqua vit* §ii. Pyre- thriy Fiperif,Sinap.Granor.Junip.Gummi heder*,anacard.Ladani wmia cum Oleis & Vino-.bulJiant invafe duplici ufquc ad Vini unfumptionem,fafla fati expreljione.adde urft,Anatis,Ciconi*3 an ointment in form or a liniment,adding a little wax if need fliall require.Or you fliall ufe the following remedy approved by many Phyfitians.R Myrrh* & nardi,Sanguinis opoponacis, Fdellu, CaTpobaljami3 gummi arabici, ftyrac. liquid*, ladani cajtorei, anally Aqua vit*, * j. Terebinthin* venet*, adpondus omnium, pulver abuntur pulverijanda & gummi elrquabuntur cum aqua vit* & aceti tantflo. And let them all be put in fit veflels, that may be dift i lied in Balneo Mari*, and let the fpine of the back, and paraly tick limbs be anointed with the liquor which comes from thence. I have often tried the force of this following Medicine,R rad. Angel, Jreos.flerM'gertiM.cyperi, ana ar emat. Ci- nam. The decoftion of Guaiacum i« good for a palfie. Things a flu al • ly hot good for to be applied to paralytick members. Let>n»F<viMU> his ointment. An approved ointment for the palfie. Lib. 9. Of Wwnds in general! 261 jiam.Caryophil,nucjf Mojch. macis, ana Mj.Salvia major.Iu# leg. calamcnt.mentaftri.) ana M fi.florum melil. byperit. anthos/ftxcbad. ana P j. Concha om- nia contunduntur. & in Aquavit.& Vini malvat. an. ibij.infandantur. And let them be diftilled in balnea the former let the affefted parts be moiftned with the diftilled liquor, of which alfo you may give the patient a Ipoon full to drink in the morning with iome Sugar. For thus the ftomach will be heated, and much phlegm contained therein as the fuel of this difeafe,will be confumed. You mu ft alfo appoint exercifes of the afftfted parts , and frequent and hard frictions, with hot linnen clothes,that the native heat may be recalled and the excrements contained 5n the parts digefted : you may alfo ufe the Chymicall oyls of Rolemary, Tyme,Lavander, Cloves, Niitmegs;and laftly, of all fpices,the manner of extrafting whereof we fhall here- after declare in a peculiar Treatife. A diftillcd vva" tet good to walh them outwardly, & tofdrink in- wardly. Exercifes and friflions. Chemical oy It, CHAP. XIV. Owning is a fodain and pertinacious defect of all the powers,but efpecially the vitall;in this the patients lie without motion and fenfe, fo that the Ancients thought that it differed from death only in continuance of time. The caule of fowning,which happens to thofe that arc wounded is bleeding, which cau- feth adiflipation of the fpirits: or fear,which caufeth adbdain and joint re- tirement of the fpirits to the heart. Whence follows an intermiffion of the proper duty, as alfo of the reft of the faculties,whilft they being thus troubled,are at a (land-Alfo Sowning happens by a putridand vencnate vapour,carried to the heart by the arteries, and to the brain by the nerves;by which you may gather, that .all fowning happens by three caufes. The firft is,by diflipation of the fpirits and native heat,as in great bleeding. And then by the oppreflion of thefe fpirits by obftru&ion, or compreflion , as in fear, or tumult; for thus the fpirits fly back haftily from the furface and habit of the body, unto the heart and center. Laftly, by corruption, as in bodies filled with hiimours, and in poyfonous wounds. The figns of fowning arepalenefs, a dewy and fodairt fweat ariling,the failing of the pulfe, a fodain falling of the body upon the ground with- out fenfe and motion,acoldnefs poffefling the whole body, fo that the patient may fcem rather dead,than alive. For many of thefe who fall into a fown die unlefs they have pre- fent help. ... Therefore you (hall help them,if when they are ready to fall, you fprinkle much cold Vater in their face,if that the fowning happen by diflipation of the fpirits,or if they Ihal be fet with their faces upwards,upon a bed or on the ground, as gently as may be; and if you give them bread dipt in wine toehold and chew in their mouths. But if it be caufed by a putrid vapour and poyfonous air, you (hall givethem a little Mithridate or Treacle in Aqua vitg with a (poon,as I ufiially do to thofe which have the plague,or any part affefted with a Gangrene,or fpacell. But if the patients cannot be raifed out of their fownes, by reafon of the pei tinacious oppreflion and compreflion of the fpirits about the heart, you. muft give them all fuch things as have power to diffiife,cal forth and refufcitate the fpirits, fuch as are,ftrong wines to drink, fweet perfumes to fmell: You muft call them by their own name lowd in their eare,and you muft pluck them fbmewhat hard by the hairs of the 1 emples,and neck. Alfo rub the temples, noftrils, wrifts and palms of the hands with Aqua wit*,wherein Cloves, Nutmegs,and Ginger have been fteeped. Of S owning. What fawning is. Three caufes of fawning,' The cure of fawning caufed by diflination offpirits. The cute of fawning caufed by a venenate air. The cure of fawning caufcd by opprcfliari & obftrufticn, CHAP. XV. Of Delirium ( i. ) Raving# Talking idly or Doting. What a fyriip' romaticall Delirium is. The cau(c» thereof. □ting or talking idly,here is ufed for a fymptome which commonly happeneth in leavers cauled by a wound,and inflammation; and it is a perturbation of the phantalie,and funftion of the mind,not long inducing. Wherefore fiich a do- ting happens upon wounds,by reafon of vehement pain, and a feaver, when as the nervous parts as the joints,ftomach,and naidriffejfflall be violated. 01 the Ancients did therefore call the Middriffe Phrena3becaufe when this is hurt as if the mind it felf were hurt,a certain phrenfie enfuesjthat is, a perturbation of the animal! taculty, which is imployed in ratiocinationjby reafon of the community which the Dia- fhragma hath witn the brain, by the nerves,fent from the fixth conjugation,which are ear- ned to the ftomach. Therefore doting happens by too much much bleeding, which cau- feth a diflipation of the fpirits, whereby it happens that the motions and thoughts of the mind erre,as we fee it happens to thofe who have bled much id the amputation of a mem- ber. And it happens by the pun&ure of a venenious beaft,or from feed retained or corrupt ted m the womb, or from a Gangrene or Sphacel,from a venenate and putrid air carried up to the brain,or from a fodaip tumult & fear.Laftly,what things foever with any diftem- per efpecially hot, do hurt and debilitate the mind. Thefe may caufe doting by the afflux Qf Why the brain fufters with thi midriffe. The Cuze» 262 Of Wowidsingenerall. L ib. 9. of humoi'Sjfpecially cholerick,by diflipation,oppreflion or corruption of the fpirits.Thcre- fore if it (hall proceed from the inflammation of the brain, and Meninges or membranes thereofjafter purging and blood-letting by the prefcription of a Phyfitian, the fhaved or cut off, the head (hallbe fomented with role vinegar,and then an Emplaifter of ! diffolved in oyl and vinegar of Roles,Ilia 11 be laid thereupon. Sleep fhall be procured with Barly creams,wherein the feeds of white Poppy have been boiled, with broths made of the deco&ion of the cold feeds of Lettuce, Purllain, Sorrell,and fuch like. ' Cold things fhall be applyed to his noftrills, as the feeds ok Poppy gently beaten with Rofe water and a little vineganLet him have merry and pleafant companions that may divert his mind from all cogitation of forrowful things,and may eafe and free him oR cares,and with their fweet intreaties may bring him to himfelf again. But if it happen by default of the fpirits, you muft feek remedy from thefe things which have been fee down in the Chapter of SoWning. 1be End of the Ninth OF THE GREENE AND BLOODY VVOVNDS OF EACH PART. The T b k th Book, CHAP. I. Of the tyids or differences of a broken sfyl/. Xthat we have briefly treated of wounds in generail, that is, of their differences,figns, caufes prognofticks and cure, and alfolhewed the realon of the accidents and iymptoms which ufually follow and accom- pany them,it remains that we treat of them as they are incident to each part,oecauie the cure of wounds muff be diverfly performed according- \° k Parts NOW we will begin with the wounds of the head.Therefore the head hath the hairy fcalp lightly bruifed with- , j r . °Ut.an.y Yol!nd 5 otherwhiles it is wounded without a Contufi- on, and fometimes it is both contufed and wounded : but a frafture made in the skull,is fometimes fuperficiary,fometimes itdefcends even to the Diploe, fometimes it fdr • Th1K t^r°-Ug 1rthe 2 TableMnd the Meninges into the very fubftance of the brain • be- fldes,the brain is oft-times moved and fhaken with breaking of the internail veins and Pt°niS Ml ™hen TRIe aPPears no wound at all in the head: of all and eve- ry of which we will fpeak in order, and add their cure,efpecially according to thXnini- on ofthe divine m his Book of the wounds of the head, feems to have made f n°n 5 of fra«ur?s ofthe skull. The firft is called a filfureorfra£hire,the 2 a comu- S TXT lfion°the 5 18 turned 4 is named &tfw,or a featjthe 5 (if you pleafc to add ft) you may call a Counterfilfure,or as the interpreter of cals U As when the bone is cleft on the contrary fide,to that which received the ftroak THp * many differences of thefe 5 kindsofa broken run out to a greater length or brtdth; others are'more con- a t° ,n y ,t le fuPerficics5 others defeend to the Ditloe or elfe nierre through both the Tables of the skulljfome run in a right line others in an J circular;fome are complicated among!} themfelves,as a filfure is neceflarily andalwafcs nc- companied with a Colhfion or Contufion;and others are aflociated w fdivers Sms as pain3heat,fwelling, bleeding and the like.Sometimes the skull is fo broken rta the membrane lying under it is prelfed with (hirers of the bone, as wkh pricSne need es A.oK£: The differen- ces of a • broken head* The kinds of a broken Skull •ax oS Hipps- crmtej. Differe nccs from their quantiy. Differences from their figure* From their complication* Lib. io. W\wnds of each part. 263 A Table of the frachires of the Skull. Either ma-1 nifefl, and apparent, that is | 1 r Or obfeure and not ma- nifefi,when as not the part which received the blow is wounded, but the con- trary there- to-,and that happens either *' To your fight, )To your feeling. \or inflrumenti ' On the fide-, as for ex ample.* when th I right fide of the bone of the fore- head is firacken , _ the left is cleft. Or from above to below, as when not the fir fl Table which receivedtht blow is cleft, but that which is under 'In the fame that two manner of | wayes, as Keep their natural I figure and I fite tou- ching each I other, whence pro-, ceeds that fraclure of the skull which is called a fif- fure, which is i i i i | Or life their fite, and that ..either *Contufion, I that is, a collifion of a thing bruifing, hard,heavy and obtufe, ' which /ball fall or bee fmitten a- gainft the , head, or ' againfi which the head fba.ll be knocked, fo that the broken bones are divided, or I 1 Or by inci- fi on of a fiArp, or cutting thing, but that incifi- onis made, \fitherby In divers bones ,to wit in fitch men as want fu- tures, or have them very clofe, or \difpofed otherwaies then is ft, and this opposition Sts either From the right fide to the left,and fo on the contrary, as when the right Bregma is flruck, And the left cleft* From before to be- hind 3 And the con- trary, as when the forehead is fruit - ten, the nowle is -cleft. A ft allure) or folution of continui- ty in the skull is cau- fed either iy Or between both,that is,the obfeure and mani- feft,as that which is termed a Capillary fffure, and ismanifeftedby fmearing it over with writing ink. Wholly,fti that the particles of the broken bone removed from their feat,and fall: ng down , prefs the membrane,whence proceeds that kind °f effrattttre which retains a kind-of attrition, when as tht bone (truck upon is broken as it were into many fragments,(hi vers and ficales, either apparent ,or hid in the found bone, p that it is prefled down. Or in fwe fort-,as when the broken bone is in fame part feparated, but in others adheres to the whole bone, whence another kind of ef- fractuYe y ou may call it Arched, when as the bone fo fiwels up,that it leaves an empty dt>ace below. the bone is fo cut, that in feme part it yet adheres to the found bone. RefciHioiij when the fragment falls down wholly broken off. Or Seat, when the marg of the weapon remains imprinted in the wound that the wound is of no more length nor bredth than the weapon W Wn- Atmhejf Of Green and Ploedy. 264 L ib.iO Another Table of the differences of a fra&ured Skull. as when they are found[olitary and by themfelves. Compound and that either • Their nature, ac- cording to which fractures are caldy Their Quantity,whence they are great5 indifferent and fmall, according to the trifle dimension of length, breadth and fr of un- ditie • Their figure, from whence they are called • Theirfte, whence they are termed on the fore or back, or the right or left,or the upper or lower part-or fuperficiary and profound. The part,whence it is called a Fracture of the Forehead, Nowl, Breg- ma3 and Stony bones • and hence it is judged, what may be deadly or h op efull ofrecovery, eafie or difficult to cure. . •Mutually with them]elves , as a contufion, orcolliCion with fiffure with an effraclure. Or with other[mptomes, as [welling., and the like. The differences of fractures common to thefe of all o- ther parts are draw neither from Right, Oblique, Tranfverfa Round\ Triangular* CHAP. I I. He caufes of a broken Skull are ex.ternall,as a fall,a blow or ftroak with any kind of weapon, (harp, obtufe,heavy,hard,the bitings of Beads and many other things of the like kind. But the figns by which we come to know that the Skull is bro- ken, are of two kinds ; for fome of them are found out by the reafoning and dif- courfe of the mind, other by the ftnft,as thole which lay open the wound to the ey & hand. The Rationall figns (hew by thefe things which have happened upon the thing it felfj whether it be,and of what fort it is. For you may know the skull is broken, if the Patient fhall fall down with the ftroak,or if he (hal fal headlong from a high place upon fome hard thing.If for fometime after the ftroak,he (hall lie without (peaking,fight and hearing, if he fliall have felt and feel much pain,fo that he is often forced to put his hand to the Wound. But alfo the weapon is to be confidered,that is,whether if it be heavy, obtufc, pricking or (harp. Alfo we muft confider with what and how great ftrength the ftroak was given, and With how great anger and from what diftance the weapon tell. Alfo he muft confider whe- ther the Patient received the blow5with his head unarmed and naked; whether he fell into a fown prefently after the blow; whether when he came tohimfelf,he was in his right ftnfes; whether his eys were blinded, whether he were troubled with a giddinefs or dizines, and whether he bled at the nofe,mouth,ears,or eyes,and laftly whether he vomited. For Hipo- crates wriees,that thofe who have their brain cut, muft neceflarily have a feaver and vomi- ting ofcholer to enfue thereupon,which Galen confirming in his Commentary faith, that the fame happens alfo when the Wound comes to the Membranes of the brain. Alfo a dull found as from a broken veflell coming from the skull, (the hairy fcalp and Pericranium being taken off) and it being lightly (mitten upon with an Iron probe,is faid to be a fign of a frafture thereof,as it is recorded by Paulus JEgineta. T ruly all theft figns make a great conjefture or rather aflurednefs that the skul is wounded,and the brain hurt, as which cannot happen unlefs the bone be broken, as Celjw hath written. Yet many have had their skulls broken,who had no fuch fign immediately after the blow,;but this is ve- ry feldome.But I do not think fit amongft fo many figns, here to omit that which is fet down by Guido, lfany(faith he)will know in what place the skull is broke,let the Patient hold faft between his fore teeth, one end of a lute firing or thread, and the Chirurgeon hold the other in his hand 5 then let him lightly touch or play upon the ftring with his fingers 5 for in'the very inftant of the found or ftroke, the Patient will be certainly admo- ®ilhed,or perfectly perceive the part of the skull that is broken, and as orecome and forc'd by Of the caufes aUd figns of a broken Skull. Theextetnall caufcs. Rational! can* fcs« 'dphar. $o» jec.6» Lib.io. Wounds of each part. 265 by this fenfe of pain,will by lifting up his hand make demonftration thereof. As yet I have not been able to find the truth hereof by experience, although I have made tryall of it in many .Wherefore I cannot fay any thing certainly of this iign, as neither of that which is mentioned by Hippocrates in Coax Pr<ej. In fuch as you doubt,whether the bones of the skull bebijokenjor not,you muft judg by giving them the ftalk of the Alphodill,to chaw on both hdes of their jaws,but fo that you bid them withall obferve, whether they perceive any bone to crackle, or make a noife in their heads, for thele which are broken teem to make a noife. But paffing over thefe things,now let us come to thefe figns, which may be obvious to ourfenfes. Hippccratce and Outdoes conjeflurall ligns of a bro£ ken skull. Of the ftgns of a broken skulls -which are tnamfeft to ourjenfe. CHAP. 11 I. Icfc figns are here faid to be manifeft to fenfe, which when the bone is bared, ma- nifeft the wound to our eyes, fingers and probe. But if the hairs ftand upon one end in the wound,you may know the bone is broke, becaule the hair which yeelds to the violence of the blow, cannot be fo cut, the bone which refills the ftroak being not violated, as it is obferved by Hippocrates wherefore we may by the fight of this one thing, before any infpeftion of the wound it felf/ufpeft by a probable con- je£ure,that the skull is broken,and perfwade thebeholders or ftanders by fo much. Moreover we may,before we have cut the skin acrofs,or laid bare the bone, give a guefs by our feeling,■whether the skull be broken, or no, if we by prefling down our fingers neer thexvound flhall perceive the bone either to Hand up, or be prefled down otherwife than it Ihould naturally be. The skin being cut crofwife and the bone laid bare,if the fracture be not obvious to the eye, you muft try with your probe, which muft neither be too thin nor too (harp, left by falling into fomenaturall cranics, it may caufe us to fufpeft without any caule that the bone is broken; neither let it be too thick, left the little clifts may deceive you. If when your probe comes to the bone,it meets with nothing but that which is finooth and flippe- ry,it is a fign that it is whole. But on the contrary if you find it any thing rough, fpecially where there is no future, it (hews the bone is broken.But let the Chirurgeon confider, that the fra£turc«s are not feldom upon the futures; and that the futures have not ahvayes cue and their naturall fite;as allb it often comes to pafs that the broken cleft, or cut bone can neither be perceived by your fight,nor inftru nient;wherefore if you think there is any fuch thing,by the rationail figns above mentionedjanoint the place with writing Ink, andoyl, and fo you fhall find the crack or clift, by the means we fhall fhew you hereafter. When you are certain of the fracture,then you muft diligently confider the greatnefs of the difeafe,and apply medicines fpeedily. Verily when a trafture chances to light upon any future,the difeafe is hard to be known,unlefs the fracture be very great, bccaufe the futures by their clifts and roughnefs refemble fractures; wherefore Hippocrates faith that he was de- ceived by them.Now having briefly delivered the differences and figns of a broken skull, it is time to come to the feverall kinds thereof,with a Fiflure. Senfible ngn* of a broken skull before the dividing oi the skin. Lib. de vulner. cap. What a probe muft be uied ict fearchiqgfcr at fraftute. Lib.f Epid.in Autonomy of Omilwn Hipps crates was de. ceived by the futui es. CHAP. Illi. Of a Fifiure}being the firfl kind of a brokeniSkull, F the Chirurgeon by the forementioned figns (hall know that the skull is bro- ken,or crackt, and if the wound made in the mufculous skin /hall not be thought fufficient for ordering the fiffure, then muft he lhave off the hair, and cut with a razour, or incilion knife, the mufculous skin with the Pericranium lying under it,in a triangular or quadrangular figure to a proportionable big- nefs,alwayes fbunning as much as in him lyes,the futures and temples; neither muft he fear any harm to enfue hereof; for it is far better to bare the bone by cutting the skin, then to fuffer the kind & nature of the frafture to remain unknown,by a too religious prelervation of the skin ; for the skin is cured without any great ado,though pluckt off to no purpole. For it is much more expedient (in Hipocrates opinion)to cure difeafes fafely and lecure- ly,though not fpeedily, than to do it in a Ihorter time with fear of relapfe and greater in- conveniences. Let this diflcftion be made with a razour,or lharp knife,and if there beany wound made in the skin by the weapon, let one of your incilions be made agreeable thereto. A Razour3 or Incifton Knife. Upon what occafion rhe hairy fcalpd Celfia; HipptcnteH A a 266 Oftbe Greene and Bloody Lib.10, Now therefore the Mufeulous skin together with the Pericranium muft be divided and cut with a fharpe razour prefled and guided with a ftrong and fteddy hand;then it muft: be fo pluckt from tnebone,or skull lying under it,that none thereof remain upon the bone; for if it fliould be rent or torn with the Trepan,it would caufe vehement pain with inflamma- tions. You muft begin to pull it back at the corners of the lines crofting each other with right angles,with this Chiflell whofe figure you fee here exprefled. The manner how to pall the hairy fcaip from the bro- ken skull. A Chijfell or Inftrument to full b ac\pr or [epar ate the Pericranium from the skull* Then you muft fill all the wound with boulfters of fine loft lint, that fo the lips ■'maybe kept further a funder. But you fhall apply upon it medicines fit to Ranch blood. But if it come fo to pafs that the blood flows forth Id violently,that it can be ftayed by no means the veflell it felf muft be bound, after this manner. * Firft thruft through the mufculous skin on the outfide with a needle and third then thruft the needle back again ; then tye the thrcd on a knot on the outfide, but firft put fome lint rolled up to thebigncfs of a Gooie quill between the third and the hairy fcalp on both fides thereof, leaft the ftrait twitching of of the thr ed which may ferve to flay the bleeding, may ctit and tear the skin, or caufcpain : then muftyou raifehis head fomewhat higher. I have lately tried,and performed this upon a certain Coach-man,who thrown from the Coach upon his head on a pavement of free ftone,exceedingly bruifed the hind part of the Jfregma, lor which caufe it was fit to open the mufculous skin, with a crofs incifion, both that the congealed blood might be prelfed out, as alfo that the frafture f if there were any) might be obferved. But an Artery being cut in performance hereof, when as the Chirnr- geon who was there prefent could not flay the blood leaping out with violence; and the Coachman already had loft fo great a quantity thereof, that his ftrength was fo much de- cayed,that he could not ftir himfelf in his bed, or fcarfe fpeak: I being called,(hewed them by experience, that whereas aftringent medicines were ufed before to no purppfe,it was bet- ter to ftay the bleeding by binding the veflell,than to let the Patient dye forja childifh fear of pricking him. JBut that we may return to our former matter,the Chirurgeon (ball the next day confider with what kind of frafture the bone is hurt; and if no figns of hurt appear to the eyes,nor be perceived with your fingers and probe, yet fome of the rationail figns may caufe one to have a conjecture that there is a fra&ure: Then you muft anoint as we told you before,the bared done with writing Ink, and a little oyl of Rofes; that the cleft or crack may be dyed or coloured therewith, if that there be any there. Then the next dreffing you muft dry the bone with a linnen cloth,and fcrape off the Ink, and oyl, with feraping Inftruments made for the purpole, if any part thereof fhall be funk into the bone; for if there be any crack, it will be black ; Wherefore you muft continue feraping untill nofign of the fiflure re- main, or elfe untill you come even to the Dura Mater. But that he may be more certain whether the fiflure pierce through both the Tables of the $kull,he muft bid the Patient,that flopping his nofe and mouth,he ftrive to breath with a great indeavour. For then bloody matter or Janies will fweat through the fiflure: For the breath driven forth of the cheft,and prohibited paflage forth, fwells and lifts up the fubftance of the brain,and the Meninges, whereupon that frothy humidity and Sanies Iwcats forth. Therefore then the bone muft be cut even to thePwrd Mater,with Radula and other fcraping Inftruments,fit for thatpurpofe, yet fo as you hurt not the membrane; but if the fiflure fhall be fomewhat long, it will not be convenient to follow it all the extent thereof: for nature will repair and reftore the remnant of the fiflure by generating a Callus; befides alfo the Chirurgeon according to Celjus opinion muft take away as little of the bone as he can, becaufe there is nothing fo fit to cover the brain, as the skull. Therefore it fhall fuffice to make a paflage, whereby the blood and Sanies may pafs and be drawn forth, left that matter being fupprefled may corrupt the bone, and caufe an inflammation in the brain. But the broken bone muft be taken, forth within three dayes if it be poffible, efpecially in Summer, for fear of inflammation. Yet I have often taken forth with a Trepan and with Scrapers the bones of the skull, after the feventeenth day, both in Winter and Summer; and that with happy fuccefs. Which 1 have the rather noted, left any fliould at any time, fuffer the wounded to be left deftituteof remedy: for it is better to try a doubt- full remedy than none; Yet theBy-ftanders ffiallbe admonifhed and told of the danger, for many more dye who have not the broken bones of the skull taken out, thanthofe <&athaveT gut The manner to bind a vef- feil in cafe of too much blee ding. AHhlory, Away to find a frafttire in <the skull, when irpre* fenrs not it felf to the view at the firH, Afign that both rhe Ta» ties arc bro- ken. Ton may ufe the Trepan after the tenth Lib. io. IVoundr of each part. 267 Ut lhp h,1buments,wirh which the wounded orcleft bones may be tut out arc miJhr ™ J Ve caufod forts to be here decyphered, that every une - ght take his choice,accordmgro his mind,and as frail be beft for his purpofe.BuE?all of -cm may be fcruedmto one handle,the figure whereof I have exhibited. Radulas or Scalpri,A) Shavers or Scrapers. Radula of another form, for the better cutting of the greater boner. tirecon M',U?L<'n.,he.skJ1111 be wounded or broken with a fimple fifliire,tlie Chi.-, the bo ™ d hek donef?®ciertt to Patient, and in his Art,if he (hall divide th bone and dilate the fiffitre or cleft with the defcribed Inflruments, though he have ufed the! ft Tab!thOUg 1 n nfiffilre P''rcethrou8h botl1 Tables. But ifitdoth not exceed tC • • Vn°l\mUL aXXou,1' lcraPcrs as foon as you come to the fccond. according to betafll'rJn ? buc 'ttl'c bone fhal be broken & ftivered into many peects,they (hall be taken forth wnh ht Inftruments,uling alfo aTrepan if need Hull requiro,after K e manner as we (hall (hew you hereafter. 1 " h is fufficient •« a I nr pie EC. fore to dilate it with your Sctlpri only and nor to Trepan it. CHAP. V. Of a Contufion, which thefecond fort of fracture. Fcchjwo//j,that is5etfiifion of blood, presently concreting under the mufculous •f I k Ut any 'vo','"d>',s ot' .ca,ulcd. b.y a violent contufion. This Contufion it it (hall be gi eat,io that the skin be divided from the skull,it is expedient,that - ... .70u J?1, a.1,1 lncihon, whereby the Mood may be evacuated and emptied.For in this you niuft wholly deiift from fuppurative medicinesfwhich otherwife would be ftaffbe ihown LrcXr^ hU1 tfuI110 the bones,as !ikj Co"Tf'"'1S n.-°,re frc<lllently hlPPtn id children,being eafiiy perceived by the fi-ttnefs,and inundation of the contufcd part: forth ofwhich oft-times when I have open- ed them with my incihon knife,ferous,clotted and blackilh blood hath iffiied. The refidue over rheYk.!? *7 C?-u by m°der3tS, compreffion of the part,and drying medicines. More- h> th n l«07bChlrld?nT beprdKd duw";by agreat contulion,even as we fee it happens ; fodented m ford ' ' the prelfttre of your finger, thejare • Lain '/ P"nt t,h?reof.renlaInsi fometimes they fly back ofth?mfelves,and ag i acquire their former platnnefs and equability, which alfo happens in the bones of bark GI °n" and uch " are ioft>huniid,& phlegmatick.But if the bones do not fpring the Par-. n?1±eS'yAmUft1apply «»PPing-glafs with'a great flame; withall comLaJ the Patient,to force hts breath up as powerfully as he can, keeping his mouth and nofe A a 2 ' clofc What an £c- f/jw/ris. How a contu - fion of the skal mull be cured. Different cores of a depretied skull. 268 Of Green and Bloody Lib. io? clofefhutj for thus there will be hope, to reftore the deprefled bone to its place, by the fpi- rits forc'd upwards to the brain and skull,by the powerfull at- traftion of the cupping-glafs. But if fo be that the bone can- not by this means be reftored, then you muft make an incifion in the skin, and fallen fuch a Trepan, as you fee here delineated, into the dep reft, or fetled part of the bone,and fo pull it direftly upwards, juft as we fee Coopers raife the ftaves of their cask, when they are funk too much in. But if the bone fhall be too ftrong, thick,and denfe, fb that this Inftrument will not ferve to pluck it forth; then you muft perforate the skull, in the very center of the depreflion, and with this threefold Inftrument, or Levatory put into the hole, lift up and reftore the bone to its naturall fitefor this fame Inftrument is of ftrength fufticient for that purpofe. It is made with three feet, that fo it may be apply ed to any part of the head which is round; but divers heads may be fitted to the end thereof according as the bufinefs fhall requite, as the figure here placed doth fhew. A three footed Levator}. But if at any time it comes to pafs3that the bone is not totally broken or dcpreffbut on- ly on one fide -,it will be fit3fo to lift it up3as alfo to make a vent for the ifiiiing out of the filthj to divide the skul with little faws like thefe3which yee fee here for thus fo much of the bone5as (hall be thought needfiill3may be cut off without compreflion3 neither will there be any danger of hurting the brain or membrane with the broken bone. Lhe figures of Saws fit to divide the shu'd. But Lib. io. W\onnds of each part 269 But if by fuch figns as are prefent,and fball appear,we perceive or judg that the contufi- on goes but to the fecond Table,or icarfe fo far; the baring or taking away ofthe bone muft go no further than the contufion reachesjfor that will be fufticient to efchew and di- vert inflammations and divers other fymptomes. And this (hall be done with a fcaling or Defquamatory Trepan,(as they term it)with which you may eafily takeup as much of the bone,as you fhall think expedient: And I have here gitfen you the figure thereof, jlDefquamrtory or Scaling Trepan. A delineation of other Lcvatories. A A. Shews the point or tongue of the Levatory, which muft be iomewhat dul/fthat jo it may be the more gently and ea- fily put betwe.n the Dura Mater and the skull, and th is part thereof may be lifted up jo much by the head or handle taken in your hand, as the necejfityoftheprejent operation fball require. " x, B. Intimates the body of the Levatory, which muft be four fquare, left the point or tongue put thereon fl.yuld not ft and faft, but the end of this Body muft reft upon theftound bone, as on afure foundation. Lhe uje thereof is, thus-, put the point or tongue under the broken or deprefted bone,then lift the handle up with your hand, thatfo the deprefted bone may be elevated. - G. Shews the firft Arm of the other Lebatory, whofe crooked end muft be gently put under the deprefted bone. D. Shews the other Arm, which (nuftreft on the found bone, that by the firm ftanding thereof, it may lift fa deprefted bone. ' > CHAP. VI. Of an Fffr abjure, depreffion of the bone, being the third kind of Fraciure. I Efore 1 come to ipeak or an EftraCture, 1 think it not amils to crave p<ruau o: I the curteous and underftanding Reader, for th is reafon. efpecially, that ai in the former Chapter, when 1 had determined and appointed to (peak of a | Contufion,! infected many things of a Deprcflionsfo allo in this chapter of an Effrachire, I intend to intcrmixe fomething of a Contufion j we do nQt this through any ignorance of the thing it lelf; for wee kfiow that it is called a Con- tufion, when the bone is depreft and crufht, but falls not down. But an Eftra&ure is tvhen the bone falls down and is broken by a moft violent blow. But it can (carle come to pafs, but that the things themfelves muft be confounded and mixt, both as they are done ; andalfo tvhen they arefpoken of: fo that you lhall fcarfe fee a ContufiAn without an Effrafture, or this without that. the bonies are often broken off and driven down with great and forcible blows,with clubs whether round or Equate, or by falling from a high place directly down, more or lefle according to the force of the blow,kind of weapon, and condition of the part receiving the fariie : Wherefore you muft be provided with diverfity of remedies and inftruments to encounter fherewith.Wherefore admit the bone is prefled down,and fliivered into many pieces,now for that tfiefe fplinters need not be taken out with a Trepan, you may do the btifinefs with Levatories made and neatly fafluoned for that purpofe; fitch as thefe, which are here expreft. A a 3 A What a cor;tu* fion is. WhatanEfr fraflurc is. The caufc of Effrafturcs. The cure# 270 Of Green and 'Bloody Lib. io A Levatorie. But we muft have fpeciall care, left that in pulling and taking out of thefe fcales and fplinters,we hurt the membranes. 1 hefe fcales are fometimes very rough and prickly, fo that they cannot touch the Meninges without fomewhiles the bufinefs is Id in- tricate, that they cannot be taken out unlefs by enlarging the frafture. Wherefore in this cafe,ifthere be a ipace fo large, as that the ends of thefe mullets may enter, you may eafily fhear off fo much of the bone as fhal be neceflary and requifite for the taking away ofithefe fcales, without any afliftance of the Trepan,which I have done very often and with good fuccefsjfor the operation performed by thefe mullets is far more fpeedy and fafe, than that with the Trepanjand in the performance of every operation, the chief commendation is pi ven to fafenefs and celeritv. Cutting Mullets. commonly called Roftra Pfittaci, or Parrots beaks. Moreover I have thought good here tergive you the figures of chiflels,fcrapers, pincers, together with a leaden mallct,becaufe fuch inftruments are not only very neceflary to take forth the leaks of bones which are broken, but alfo to plain and fmooth thole which re- main whole. The Figures of Scrapers, Pincers,a leaden mallet, &c< But here you muft note,that a Trepan,nor Levato- rie,muft never be applyed to a bone quite broken, left the membranes lying under it be hurt by the com- preffion thereof. Therefore you muft apply them to a found bone,but as neer as you can to the fr afture, fo that you take away as little of the skull as is poflible, 1 left the brain defpoiled of its bony cover, take fomc | harm thereby. Neither effra&ures, noryetfilfures, if they be of fome length , muft be followed to their ends, but think your felf well,if you have made a paf- fage for the ilfuing forth of the Sanies or filth,& have drawn forth that bone,which pricked the membranes. For nature is accuftomed by generating a Callus to foulder, or unite the bones of the skid,as it alfo doth thefcof the other parts:as we have read it written by Hippocrates and Galen-, for which purpole it hath by lingular providence replenifted both the tables of the skull,with a.certain alimentary and bloody matter, that with this as with marrow it might repair the lofs and defeat of the bone, Uip.lib.devuln* atp.GalJibG- twtb.cap, nit. L I B.IO. IVomdsof each part. 271 The truth hereof was lately manifefted in the fervant of Mafter Grolo, who had an Effra- fture on thecoronall bone,by a grievous blow,given him with the foot of a iMule ; which when I underftood,! divided the mufculous skin with a three cornered fedion in that place, with an intent to apply a Trepan there; wherefore the day following, the bone being bo- red,and when I thought to draw it forth, yea verily endeavoured to pluck it forth, being already divided with the Trepan, I perceived afearefull production of an Effra&ure; by the moveablenefs of the bone ihaking under my hand; for it reached from the midft of the forehead,to the lelfer corner o f the eye. Wherefore omitting both my determination and endeavour to pull it forth,! thought I ihould do fufficiently for the patient,if I fhould on- ly raife up the bone which was depreft;for fo it did not trouble the Craffa meninx by pref- fing it,and the matter,and filth,were let forth by a paffage made with a faw\So that in con- clufion,he recovered perfe&ly,but that he loft one of his eyes which was adjoyning to the frafture. A Hiliory, CHAP. VII. Tppocrates calls a Seat that kind of Fra ft lire of the fcull,when tha weapon fo falls upon the fcull,that thefrafture retaining the print thereofjs neither ftretched forth any further, nor contrafted to any lefle (pace. And feeing there be many forms hereol,they all whether they fhall be fiiper- ficiary,or fhall pierce even to the Diploe,or elfe pafs through both the Tables, whether it be with any lofs of the bony fubftance,whether it run long waycs,or elfe be but fhort; or otherwife are dilated to fome breadth,or elfe be but narrow ; whether they fhall be done with a cut,or with a prick with a dagger, ftylctto, lance or other kind of weapon, whether they fhall have this or that accident joined with them,I fay all of them, how ma- ny and various foever they be, ought and muft be cured by fome of the formerly defcribed Inftruments and means.Yet this muft be noted, which as yet we have not remembred, that if it ha'ppen by a violent ftroak,& great wound,that a portion of the bone is wholly fo cut off, that it is clean fevered from the reft of the fcull, and hang only by the Pericranium and mufculous skinjyetyou muft not pluck it from the Pericranium, and caft it away as unpro- fitable, but reftore it to its proper feat and place, fb by the force of nature,to be glewed by hath obferved. I have tryed the truth of this experiment,in captain Hydron, not very long agoe.He had the middle part of the Os Coronate, of the bredth, and length of three fingers, fo cut with a fharp fword,that it ftuck not to the reft of the fcarfe adhering to the Pericranium and mufculous skinjbut lay turned down over his face, fo that the Dura Mater was plainly fee ns wherefore I prepared to pluck it from the skin, and caft it away,but that I remembred Hippocrates precept,where he bids,that the Brain fhould not be robbed of its cover and left bare. Wherefore firft of all I wiped away the blood which was fallen upon the Dura Mater, whole motion you might plainly fee, then I reftored the portion of the bone to its place, and faftned it on the upper fide with a future confifting of three flitches; and that the refi- due of the matter might havepaflage forth, I filled the places between each flitch with lint, by this means,he by the mercie of God recovered,though at the fame time he received many other large wounds in his body; which is a certain experiment, that we muft caft away no part of the fcull,nor of the Peri cranium,no not of the mufculous skin, unlefs neceflity urges therefore much lefs to leave the brain naked and defpoiled of its coverings. Of a Scat,being the fourth find of a broken Scull. What aSeat The cure. Lib, 8. cap, 4, A Hiftoty, Of a RefonituSjOr Counter-fiffure, being the fifth find of Frabiure. CHAP. VIII. Ometimes the fra&ure is made in the part oppofite to that which received the blowjas if the right fide be ftruck, the left is cloven j this kind of fra&ure is very dangerouSjbecaufe we cannot find it out by any certain fign, as it is written by Hippocrates Lib.de vuln.Capitis. Wherefore if at any time the patient dye of fuch a frafture,the Chirnrgeon muft be pardoned. And although Paulus jEpjneta laugh at this kind of frafture and thinks that it cannot happen to a mans head,asthat which is hard and full,as it happens in empty glafs bottles, yet I have fometimes feen and obferved it. Neitheris their reafon of any validity ,who th Mik nature therefore to haveframed the head of many bones knit together by futures,left the fra&ure of the one fide,Ihould be'ftretch- cd to the other. For peradventure this may take place,in fuch as have exprefs futures,feated and framed according to nature. But it takes no place in fuch as either want them, or have them not feated according to nature, or have them very clofeand fo defaced that it may Item one bone growne together of manyjThis (hall be made manifeft by recitall of the fol- lowing Hiftorie. Afervantof AMm the Pofbmafter had a grievous blow with a ftone, upon the right Brenna, What a Rcr/c* nina is*4 Lib.6,cap In wlipmthis traduce may rake place in divers bones ofihefcull* A Hiflory., 272 Of the Greene and Bloody Lib.10. which made but a fmall wound,yet a great contufion and Tumor. Wherefore that it might more plainly appear,whether the bone had received any harme, and alio that the (Congealed blood might be pre (fed for th,the wound was dilated, the skin being opened by y heodore Herein the Chirurgeon,who as he was a skilfull workman and an honeft manumit- ted nothing which Art might do for his cure. When he had divided the skin, the bone was found whole,although it was much to be feared,that it was broken, bccaufe he fell prefent- ly to the ground with the blow, vomited and (hewed other fignes of a faftured fcull ; fo it happened that he dyed on the one and twentieth day of his ficknes. But I being called to learn and fearch how he came by his death,dividing the foul with a faw,found in the part bppofite to the blow,a great quantity of Sanies or bloody matter, andanAbfcefs in the CraffameninXt, and alfo in the fubftance of the very brain, but no futures, but the t wo fcaly ones. Therefore that is certain which is now confirmed by the authority of Hippocrates i as alfo by rcafon and experience,that a blow may be received on the one fide, atad the bone may be fraftured on the oppofite,e(pecially in inch as have either no futures,or elfe fo firm- ly united and clofed,that they are fcarfe apparent. Neither is it abfurd,that the part,oppofite to that which received the ftroak ,of the fame bone and not of divers bones may be cloven,and in thofe men who have their fouls well made,and naturally diftinguifliedand compofed with futures 5 and this both was, and is, the true meaning of Hippocrates. That this may be the better underffood,we muft note that the oppofite part of the fame bone may be underftood two manner of wayes. Firft, when the frafture is in the fame furface of the fmitten bone,as if that part of one of the bones of the Bregma which is next to the Lambdall future be fmitten, and the other part next to the Coronall future be cloven.Secondly, when as not the fame fuperficies and table which re- ceives the biow,but that which lyes under it is cleft, which kind of fra&ure I obferved, -in a certain Gentleman a Horfinan of Captain Stempans troop He in defending the breach of the wall of the Caftle of Hifdin wasftruck with a Musket bullet upon the Bregmajbut had his helmet on his head ; the bullet dented in the helmet but did not break it, no nor the mufculous skin,nor fcull,for as much as could be difcerned,yet notwithftanding he died a- pople&ick upon the fixt day after. But 1 being verydefirous to know,what might be the true caufe of his death,dividing his fculljobfervcd that the fecond table was broken, and caft off foalesand fplinters, where- with as with needles theTubftance of the brain was continually pricked, the firft and upper table being whole, for all this:I afterwards (hewed the like example to Cap ell anus and Ca- ftelhnus the King and Queens chief Phy fitians in the expedition of Roane. But Hippocrates prefcribes no method of curing this fifth kind of frafture, by reafon he thinks it cannot be found out by any circumftance, whence it happens that it is for the moft part deadly : Yet muft we endeavour to have fome knowledg and conje&ure of fuch a frafture,ifit (hall at any rime happen. Wherefore having firft diligently (haven away the haire,we muft apply an Emplaifter of Pitch, Tar, Wax, Turpentine, the powder ofIrf ,or flower deluce roots,and maftiehjnow if any place of the head (hall appeare more moift,foft and iwoln, it is fomewhat likely that the bone is cleft in that place, fo that the Patient, though thinking of no fuch thing,is now and then fored to put his hand to that part of the fcull.Confirmed with thefe and other figns formerly mentioned, let him call a counfell of learned Phyfitiansjand foretell the danger to the Patients friends which are there prefent, that there may no occafion of calumnie remain,then let him boldly perforate the (cull 5 for that is far better,than forfake the Patient ready to yeeld to the greatnefs of the hidden dif- eafe, and fo confequently to dye within a (hort while after.There are fourt forts, or condi- tions of fractures,by which the Chirurgeon may be fo deceived,that when the foul! is bro- ken indeed,yet he may think there is no fra&ure. The firft is when the bone isfo deprefled, that it prefontly rifes up into its true place, and native equability. The fecond is when the fifltire is only capillary. The third is when the bone is (haken on the infide, the utter fur- face neverthclefs remaining whole, forafmnch as can be difccrned. The fourth is, when the bone is ftricken on the one fide and cleft on the other. The RefonitUi niay be in the fame bone of the fculL A Hiftory» WhyHfypocra* tes fetdowne no way to cure a Refold w. The manner to know when the fcull is fra* flured by a Refonitw, CHAP. IX. Of the Brain. Gahlii.i.de comp, medic ■ cap,6» &Com» adAph.18. fefl.7. Elides the mentioned kinds of frafturcs by which the brain alfo fuffers; there is another kind of affeft belides natureywhich alfo aflailcs it by the violent incur- lion of a caufe5inlike manner,exteniall; they call it the Commotion or lhaking of the brain,whence Symptomes like thofeof a broken fcull enltie. Falling from aloft upon a folid and hard body,dull and heavy blows,as with ftones,clubs, Haves,the re- port of a pcece of Ordnance, or crack of Thundetjand alfo a blow with ones hand. ThusasHzp/'ocrdtwtellSjthatbeautifull damofell the daughter of Neriuf, when die was twenty yeeres old,was fmitten by a woman,a friend of hers3playing with herewith her flat hand upon the fore part of the head,and then lhe was taken with a giddines, and lay with- out breathing,andwhen lhe came home, lhe fell prefently into a great Feavcr,her head aked, Epidem, Lib.io. Wounds'of each part. 273 aked, and her face grew red.Thc feventh day after there came forth fome two or three Ounces of flanking and bloody matter about her right eare, and ffie leemed fbmewhat betttr and to be at fomewhat moreeafe. The feaver encreafed again,and fbe fell into a hea- vy fleepinefs,and loft her fpeech,and the right fide of her face was drawn up,and (he breath- ed with difficulty,ffie hadalfo a convulfion and trembling;both her tongue failed her,and her eyes grew dull,on the ninth day lhe died.But you muft note, that though the head be armed with a helmet,yet by the violence of a blow,the Veines,and Arteries may be broken, not only thefe which pafs through the futures, but alfo thofe which'arc diiperfed be- tween the two tables in the Diploe, both that they might bind the Crafla meninx to the skull, that fo the brain might move more freely, as alfo that they might carry the alimen- tary juyce to the brain wanting marrow,that is, blood to nourifh it, as we have formerly fhewed in our Anatomic, But from hence proceeds the efflux of blood runnin g between the skull, and membranes, or elfe between the-membranes and brain ; the blood congealing there, caufeth vehement pain,and the eyes become blind,vomiting is caufed,the mouth of the ftomach fuflering to- gether with the brain, by reafon of the Nerves of the lixt conjugation, which run from the brain thither,and from thence are fpread over all the capacity of the ventricle; whence be- coming a partaker of the offence it contracts it felf,and is prefently as it were overturned; whence firft, thefe things that are contained therein are expelled-, and then fiich as may floWjOr come thither from the neighbouring and common parts, as the Liver and Gall; from all which choler, by reafon of its naturall levity and velocity, is firft expelled and that in greateft plenty ; and this is the true reafon of that vomiting, which is caufed and ufually followes upon fra&ures of the skull and concufflons of the brain. Within a fhort while after inflammation ieizes upon the membranes and brain it felf, which is caufed by corrupt and putrid blood proceeding from the vettels broken by the violence of the blow, and fo fpread over the lubftance of th e brain. Such inflammation communicated to the heart, and whole body by the continuation of the parts, caufes a feaver. But a feaver, by altering the brain caufes Doting; to which if ftupidity fuc- ceed, the Patient is in very ill cafe,according to that of Hippocrates'; Stupidity,and doting, are ill in a wound, or blow upon the head. But if to thefe evills, a fphacell, and corrupti- on of the brain enfue, together with a great difficulty of breathing, byreafonofthedi- fturbance of the Animall faculty,which from the braid imparts the power of moving to the mufcles of the Cheft, the inftruments of refpiration, then death muft neceflarily follow. A great part of thefe accidents appeared in King Henry of happy memory,a little before he dyed. He having fet in order the affaires of France, and entred into amitie with the neighbouring Princes, defirous to honour the marriages of his daughter,and fitter,with the famous and noble exercife of Tilting, and he himfelf runningdn the Tilt-yard, with a blunt lance received fo great a ftroak upon his brcft, that avith the violence of the blow, the vifour of his helmet flew up,and the trunchion of the broken Lance hit him above the left eye-brow,and the mufculous skin of the forehead was torn even to the letter corner of the left eye, many fplinters of the fame? trunchion being ftruck into the fiibftance of the fore mentioned eye,the bones being not touched or broken ; but the brain was fo moved and fliaken,that he dyed the eleaventh day after the hurt. His skull being opened after his death,there was a great deal of blood found between the Pwr<?,and Pia Mater, poured forth in the part oppofite to the blow,at the middle ofthe future of the hind part of the head; & there appeared figns by the native colour turned yellow, that the fubftancc of the brain was corrupted,as much as one might cover with ones thumb. Which things caufed the death of the moft Chriftian King, and not only the wounding of the eye, as many have falfly thought.For we have feen many others, who have not dyed of farre more grievous wounds in the eye. The hiftory oft he Lord Saint Johns is of late memory -.he in the Tilt-yard, made for that time before the Duke of Guifes houfe, was wounded with a fplinter of a broken Lance, of a fingers length and thicknefle, through the vifour of his Helmet,it entring into the Orbe under the eye,and piercing fome three fingers bredth deep into the head ; by my help and Gods favour he recovered,ValeranM and Kings Phyfitians and James the Kings Chirurgeon affifting me. What ffiall I fay of that great and very memorable wound of Francis of Loraine the Duke otGuife > He in tire fight ofthe City of Bologne had his head fo thruft through with a Lance, that the point entring under his right eye by his nofe,came out at his neck between his ear and the head or Iron being broken and left in by the violence ofthe ftroak, which ftuck there fo firmly,that it could not be drawn or plucked forth, without a pair of fmiths pincers.But although the ftrength and violence of the blow was fo great, that it could not be without a fra&urc of the bones,a tearing and breaking of the Nerves,Veines, Arteries and other parts;yet the generous Prince by the favour of God recovered. By which you may learn,that many dye of final 1 wounds; and other recover of great, yea,very large anddefperate ones. The caufe of which events is chiefly and primarily to be attributed to God, the author and preferver of mankind ;• but fecondarily to the variety The ♦effete of the brain bro- ken by rhe commotion thereof. Signes, Celfes. Thecaufcof -J vomiting when rhe head! is wounded, Apbt A Hiftoty* What was the neceffary caufe of the death of King Henry thefccondof France. A Hiiioryi Whyfofne die of final! wounds arid o« (hers recover g'catv 274 Oftbe Greene and Bloody Lib.io. variety and condition of temperaments. And thus much of the commotion or concuffion of the brain;whereby it happens that although all the bone remains perfectly whole, yet fomc veins broken within by the ftroak,may cafe forth fome blood upon the membranes of the brain,which being there concrete may caufe great pain,by reafon whereof it blinds the eys; if fo be that the place can be found againft which the pain is,and when the skin is opened, the bone look pale,it muft prefently be cut out,as Cel\us hath written. Now it remains,that We tell you how to make your prognofticks,in all the forementioned frafturcs of the skul. Of to be made, in fraflures of the sku1J. CHAP. X. E muft not negleft any wounds in the head, no not thefe which cut or bruife but only the hairly fcalp; but certainly much lefs,thefe which are accompanied by a frafture in the skill l;ior oft-times all horrid fymp tomes follow upon them, and confequently death it felf,efpecially in bodies ful of ill humors,or of an ill habit, fiich as are thefe which are affcftcd with the Lae; wnered,leprofie,dropfie, Pthifick,confum- ption,for in thefe,fimplewounds are hardly or never cured;for union is the cure of wounds, but this is not performed,unlefs by the ftrength of nature, and fufficient (lore of laudable blood : but thofe which are lick of luftick leavers and confumptions, want (lore of blood, and thofe bodies which are replcat with ill humors, and of an ill habit,have no afflux or plenty of laudable blood: but all of them want the ftrength of nature;the reafon is almoft rhe fame in thofe alfo which are lately i ecovered of fomc difeafe. Thofe wounds which are bruifed are more difficult to cure, than thofe which are cut. When the skull is broken, then the continuity of the flefh lying over it muft neceflarily be I hurt and broken,unlefs it be in a Refonitus. The bones of children are more loft, thin, and replenifhed with a fanguine humidity,than thofe of old men, and therefore piorc fubjed to putrefa&ion ; Wherefore the wounds which happen to the bones of children, though of themfelves,and their own nature they may be more ealily healed,(bccaufe they are more foft, whereby it comes to pals, that they may be more eafily agglutinated, neither is there fit matter wanting for their agglutination by reafon of the plenty of blood laudable both in confidence and quality) than in old men,whofe bones are dryer and harder, and (b refift union,which comes by mixture,and their blood is ferous, and confequently a more unfit bond of unity and agglutination; yet oft-times through occafion of thefymptomes which follow upon them,that is,putrefaftion and corruption, which fooner arife in a hot and moift body, and are more fpeedily cncreafed in a foft and tender, they ufually are more fufpeftedand difficult to heal. The Patient lives longer of a deadly frafture in the skull,in Winter than in Summer,for that the native heat is more vigorous in that time than in this; befides,alfo the humors pu- trefie fooner in Summer,because unnaturall heat is then eafily inflamed and more predomi- nant,as many have obferved out of Hippocrates, The wounds of the brain and of the Meninges or membranes thereof are moft commonly deadly, because the action of the mufcles of the cheft,and others ierving for refpiration, is divers times difturbed and intercepted, whence death infucs. If a (welling happening upon a wound of the head prefently vanifh away,it is an ill fign,unlefs there be fomc good reafon therefore,as blood-letting,purging, or the ufe ofrefolvjng locall medicines, as may be ga- thered by Hippocrates in his Aphorifms. If a feaver infue prefently after the beginning of a wound of the head, that is, upon the fourth or feventh day, which ufually happens, you muft judg it to be occaiioned by the generating of Pus or Matter, as it is recited by Hippo- crates. Neither is fuch a feaver fo much to be fcared,as that which happens after the feventh day,in which time it ought to beterminated;but if it happen upon the tenth or fourteenth day with cold or (baking,it is dangerous,becaufe it makes us conjecture that there is putre- faftion in the brain,the Menings ,or skill,through which occafioniit may arife,chiefly if other figns (hall alfo concur, which may (hew any putrefaftion,as if the wound (hall be pallid and of a faint yellowiffi colour, as flefh looks after it is waffied. For,as it is in Hippocrates dphorif.2. fe&.y. It is an ill fign if the flefh look livid,when the bone is affeCtcd ; fortJ that colour portends the extinftion of the heat, through which oc- cafion,the lively,or indifferently red colour of the part,faints and dyes,and the flefh there- about is diflblved into a vifeid Pus or filth. Commonly another worfc affeft follows hereon,wherein the wound becoming wither- ed and dry,looks like faked flefh, fends forth no matter,is livid and black,whence you may con jedure, that the bone is corruptcd,efpecially if it become rough,whereas it was former- ly fmoothand plain; for it is made rough when Caries or corruption invades it; but as the Caries increafes,it becomes livid and black,fanious matter with all fweating out of the Di- p/oe,as I have obferved in many: all which are figns that the native heat is .decayed, and therefore death at hand; but if fuch a feaver be occafioned from an Eryftpelas which is either prefent or at hand,it is ufually lefs terrible. But you fhal 1 know by thefe figns,that the fea- ver is caufed by an Ery/ipelas and conflux of cholerick matter; if it keep the form of a Ter- tian Hip.dc iml,cdpt Whether the wounds of children,or old people are bef* icr co heal. Apb.15.jea. i. A^hQrt6<, Wounds which aredry/ough, livid and black arc cvlll. TheGgnsof a afeaver c*uf<d by an EryfipdM. Lib. io. VP)nnds of each part. 275 tian/if the fit take them with coldnefs and end in a fweat; if it be not terminated before the cholerick matter is either converted into Pus or elfe refolved;if the lips of the wound be fomcwhat fowln,as alfo all the face; if the eyes be red and fiery; if the neck and chaps be fo ftiffe,that he can fcarfe bend the one,or open the other;if there be great excefs of biting and pricking pain,and heat, and that far greater than in a Phlegmon. For fuch an Eryfaelous dif- pofition generated of thin and hot blood,chiefly aflails the face,and that for two caufes. The firft is,by rcafon of the naturall levity of the cholerick humor; the other becaule of the rarity of the skin of thefe parts. The cure of fuch an affect muft be performed by two means,that is,evacuation,and cool- ing with hume&ation. If choler alone, caufe this tumor,we muft ealily be induced to let bloodjbut we muft purge him with medicines evacuating choler. If it be an Eryfacias phlegm muft draw blood from the Cephalick vein of that fide, which is moft a fie ft c d, alwayesufing advifeofa Phyfitian.Having ufedthefegenerallmeans,youmuft apply refri- gerating and humefting things, fuch as are the juyce of Night-fisade, Houfleek, Purflane, Lettuce, Navell wort, Water Lentill, or Ducks-meat, Gourds; a liniment made of two handfuls of Sorrell boyled in fair water,then beaten or drawn through a f»arfe,with oynt- ment of Rofes,or fome unguent. Populeon added thereto,will be very commodious. Such and the like remedies muft be often and fo long renewed until 1 the Unnaturall heat be extin- guilhed.But we muft be carefull to abftain from all unftuous and oyly things, becaufe they may eafily be inflamed,and fo increafe the difeafe. Next we muft come to rcfblving medi- cines;but it is good when any thing comes from within, to without; but on the contrary it is ill,when it returns from without inwards, as experience and the Authority of Hippo- crates teftific:If when the bone fhall become purulent,puftules fhall break out on the tongue, by the dropping down of the acrid filth or matter by the boles of the palat upon the tongue,which lyes under. Now when this lymptom appears, few efcape. Alfo it is dead- ly when one becomes dumb and ftupid, that is,Apopleftick by a ftroak or wound on the head; for it is a fign that not only the bone,but alfo the brain it felf is hurt. But oft-times the hurt of the Brain proceeds fo far,that from corruption it turns to a Sphacell, in which cafe,they all have not only puftules on their tongues,but fome of them dye ftupid and mute, otherfome with a convuliion of the oppofite part;neither as yet have I obferved any which have dyed with either of thefe fymptomes,by reafon of a wound in the head,who have not hadthefubftance of their brain tainted with a Sphacell, as it hath appeared when their skulls have been opened after their death. Why an felas chiefly alfails the face# The cure of ara EryfipeliK on the face* Why oyly thing* muft not be ufed is an Eryfiptiat of ths face, A Aph'Zj'fell, Deadly Ggtw h£ wounds of the hea</. CHAP. XI. the brain is hurt b) a wound of the headjhere may follow a Convulfan of the oppofae fart. Any have to this day enquired, but as yet as far as I know it hath not been liiffici- ently explained,why a ccnvuliion in wounds of the head feizes on the part oppo- site to the blow. Therefore I have thought good to end that controverlie in this place. My reafon is this, that kind of Symptom happens in the found part by reafon ofemptinefs and drynefs; but there is a twofold caufe,and that wholly in the woun- ded part,of this emptinefs and drynefs of the found or oppolite part ;to wit, pain and the concourteof the fpirits and humors thither by the occaiion of the wound,and by reafon of the pains drawing and natures violently fending help to the afflicted part. The found part exhaufted by this means both of the fpirits and humors,ealily falls into' a Convulsion. For thus Galen writes; God the Creator of nature,hath fo knit together,the triple Ipiri- tuous fiibftance of our bodies, with that tye, and league of concord,by the productions of the paflages;to wit of Nerves,Veins,and Arteries,that if one of thefe forfake any part, the reft prefently negleft it,whereby it languilheth; and by little and little dyes, through de- feat of nourifhment. But if any objeCt that nature hath made the body double,for this pur- pofe,that when one part is hurt,the other remaining fafe and found,might fuffice for life andneceffity : but I lay,this axiom hath no truth in theveflels and paflages of the body. For it hath not every where doubled the veflels,for there is but one only vein, appointed for the nourifhment of the brain,and the membranes thereof, which is that they call the tforcular sby which when the left part is wounded , it may exhauft thenouriffiment of the right and found part,and though that occaiion caufe it to have a convullion,by too much drynefs; Verily it is true,that when in the oppolite parts,the mulcles of one kind are equal! in magnitude,ftrcngth,and number,the refolution of one part,makes the convulllqn of the other by accident;but it is not fo in the brain. For the two parts of the brain,the right and left, each by its felf performs that which belongs thereto,without the content, confpiration or commerce of the oppolite part; for otherwife it ffiould follow, that the Pallie properly fo called, that is of half the body, which happens by refolution,caufed either by mollification or obftruftion refiding irt either part of the brain,Ihould infer together with it a Convullion of the oppolite part. Which notwithftanding dayly experience convinces as falfc. Wherefore we muft certainly Accnvulfionis canted by dty- nefs. A twofold caufe of con- vtiltifick dry- RCf». ufit partium. 276 Of Green and Bloody L IB. IO.' think, that in wounds of the head wherein the brain is hurt, that inanition and want of nourilhment are the caufes,that the found and oppofite part buffers a convulfion. Franck Falechampiw in his French Chirurgery renders another reafon of this queftion ; That,(faith he) the truth of this proportion may ftand firm and ratified,we muft fuppole, that the convulfion of the oppofite part, mentioned by Hippocrates, doth then only happen, when by reafon of the greatnefs ofthe inflammation in the hurt part of the brain, which hath already inferred corruption , and a Gangrene to the brain and membranes thereof, and within a fhort time is ready to caufe a fphacell in the skull,fo that the difeafe muft be terminated by death ; for in this defined ftate of the difeafe,and thefe conditions, the fenfe and motion muft neceflarily perifh in theaffefted part,as we fee it happens in other Gan- grens, through the extinction of the native heat. Befides,the paffages of the animall fpirit muft neceflarily be fo obftruded by the greatnefs of finch an inflammation or phlegmon, that it cannot flow from thence to the parts of the fame fide lying there under,and to the neighbouring parts of the brain 5 and if it fhouldflow thither 'r will be unprofitable to carry the ftrength and faculty of fenfe and motion,'as that w Jch is i n u ymd changed by admixture of putrid and Gangrenous vapours. Whereby r cometh to prfis, that the wounded part deftitute offenfe,is not ftirred upto expell that which would be ti-ouble- fometo it,if it had fen fie; wherefore neither are the Nerves then arifing fcilgd upon,or contrafted by a Convulfion. It furthermore comes to pafs,that becaufe thefe fame nerves aue deprived of the prefence and comfort of the animall fpirit,and in like manner the parts of the fame f ide, drawing from thence their fenfe and motion arepoffefled with a palfie ; for a palfie is caufed cither by the cutting or obftruCtion of a Nerve, or themadefaCtion,or mollification thereof by a thin and watry humor, or fo affected by fome vehement diftemper, that it cannot receive the Animall fpirit. But for the oppofite part and the convulfion thereof, it is known and granted by all, that a convulfion is caufed either by repletion which Ihortens the Nerves by diftending them into bredth,or by inanition,when as the native and primitive heat ofthe Nerves be- ing wafted, their proper fubftance becoming dry is wrinckled up and contracted 5 or elfe it proceeds from the vdlication,and acrimonie of fome vapour, or fanious and biting hu-; luor,or from vchemency of pain.So we have known the falling ficknefs caufcd by a yenc- nate exhalation carried from the foot to the brain. Alfo we know that a convulfion, is caufed in the punfture of the Nerves, when as any acrid and fanious humor is fhut up there- an,the orifice thereof being elofed ; but in wounds of the Nerves when any Nerve is half cutjthere happens a convulfion by the bitternefs of the pain. But verily in the oppofite part,there are manifeftly two of thefe caufes of a convulfion 5 that is to fay,a putrid and carionlike vapour,exhaling from the hurt,and Gangrenate part ofthe brain;and alfo a virulent, acrid and biting Sanies,or filth, fwcatinginto the oppo- fite found part, from the affefted and Gangrenous; the malignity of which Sanies, Hipo- crates defirous to decipher, in reckoning up the deadly fignsofa wounded head, hatlntx- prefled it by the word Icbor-and in his book of fra&ures he hath called this humor Pacry- cdes etnon Pyow.fthat is,weeping and notd igeftedd] Therefore it is no marvail if the oppofite and found part endued With exquifite and perteft fenfe, and offended by the flowing thereto of both the vaporous and fanious matter,ufing its owne force,contcnd and labour as much as it can for the expul fion of that which is troublefome thereto. This labouring or con- cuffion is followed (as we fee in the falling ficknefs)by a convulfion,as that which is Un- dertaken in vain, death being now at hand; and nature over-ruled by the difeafe. Thus (faith muft we in my judgement determine of that propofition of Hippofra- tes and Ai'icen. . • ■ ' " 1 • But he addes further,in wounds of the head, which are not deadly, praftitioners obferve that fometimes the hurt part is taken with the palfie,and the found with a convulfion ; o- therwhiles on the contrary,the wounded part is ftifed by a Convulfion and the found by a Palfie;otherwhiles both of them by a convulfion or Palfie, and fomewhiles the one of them by a convulfion or Palfie, the other being free from both affe&s ; the caufes of all which belong not to this place to explain. Thus much Mechampiiis. Opin ion of tyaletktHTipiifi CHAP. XII. A Conclujion of the deadly figns in the Wounds of the head. The fignes of a deadly wosnd from the depraved facq kies of the minde. Otv that we may returne to our former di (courfe ; you may certainly foretell the patient will dye;when his reafon and judgement being perverted, be lhall'talke idly;when his memory fails him ; when he cannot governs his tongue; when his fight growes dark and dim, his ears deaf, when he would caft himlelf headlong from his bed,or elfe lyes therein without any motion; when he hath a continuall leaver with a debris; when the tongue breaks out in puftles,when it is chopt,and become black, by reafon of too much dry nels;when : the wound grows dry, and caffs forth little or no mattcrrwhen as the colour of the wound which was formerly fnfb, it now become like b ' ■ ialtcd Froth habire, «f the body, ' L I B.IOt Woods' of each part. 277 faked fleffi yellow and pale;when the llrine,and other excrements fuppreft;when the palfie3convulli- on, apoplexie; and laftly3often (owning,with a fmall and Unequallpulfe,invade him. All inch figns fometimes appear prefently after the wound, otherwhiks lome few dayes after; therefore when as the brain is hurt and wounded by the violence of the incilion,or f]fliire,of the contiifion, compref- fion,punfture,cGncuflion,or any other frafture,the forenlentioned figns appear prefently in thefirft. dayes;but when they do not appear til many dayes after the blow,you may know that they rife and appear,by reafon of an inflammation and phlegmon in the brain , occafioned by the putrefaftion of the blond poured forth upon it. But we muft obfcrvethis by the way,which alfo belongs to the prognofticks3that flefh is eafily re- generated,and reftored in all parts of the head,except in that part of the forehead,which is a little a- bove that which lies between the eye-brows,fo that it will be ulcerated ever after,and muft be cover- ed with a Plaifter.l bekevethatin that place there is an internail cavity in the bone,lull of air,which goes to the live-like bones of the nofe,by which the growth of flefh may be hindered;or clfe that the bone is very denfe or compaft in that place,fo that there can fcarfe (Efficient juice fweat forth,which may fuffice for the regeneration of flefh; add hereunto a great conflux of excrements flowing to this ulcer,which ft >uld otherwife be evacuated by the eyes and note,which hinder by that means thedry- nefs of the ulcer,and confequently the healing thereof. Hence certainly it comes topafs,that it you defire the Patient thus affefted to breath,(hutting his mouth and nofe,the air or breath will come forth of the uleerwith fuch force,as it willeaiily blow forth a lighted candle of an indifferent bigrefs held thereto. Which thing I proteft, I obferved in a certain man,whom I was forced to trepan in that plav... by reafon rhe bone of the forehead was broken and deprefled. Frinh® time rhar fuc 1 figns appear. Celfint lib.fi, cap. CHAP. XIII. lit on the contrary thefe arefalutary figns,when the Patient hath no feaver,is in his right mind,is well at the application or taking of any thing,fleeps well,hath his belly foluble, the wound looks with a frelh and lively colour, calls forth digelled and laudable matter, the Cralja Meninx hath its motion free and no way hindred. let we mull note, which alfo is bbferved by the Ancients and confirmed by experience, that we mult think none pall danger,and free from all chance, untill the hundreth day be pall.Wherefore 1 the Phyfitian ought fo long to have a care of his Patient, that is, to confider how he behaves and ' governs himlelf in meat, drink, Heep, venery and other things. * But let the Patient diligently avoid and Ihun cold,for many when they have been cured of wounds of the head,by careleis taking cold have been brought into danger of their lives. Alfo you mull know that the Callus whereby the bones of the skull are knit together,requires almoll the Ipace of forty or fifty dayes to its perfeft coagmentation and concretion.Though in very deed one cannot fet down a certain number of dayes,by reafon of the variety of bodies, or tempers : For it is fooner fin ished in young men,and more llowly in old; And thus much may ferve for prognofticks.Now will we treat as briefly and perfbicuoufly as we can of the cure both in generail and particular;wherefore beginning with the generail we will firll prelcribc a convenient diet by the moderate ufe of the fix things not naturall. Of jalutary figns in wounds of the head. When the Patients aie out of ('an- ger. The Patieht muft beware of cold, Of the genet all cure of a broken skull,and of the Symptomes ufualfy happening thereupon. . CHAP. X 1111. He firftcure muft be,to keep the Patient in a temperate air;and if fo be,that it be not fuch of it felf and its own proper nature,it muft be cor reft cd by Art. As in winter he muft have a clear fire rpade in his chamber, left the fmoak caufc fneefing and other accidents; and the windows and doors muft be kept fhut to hinder the approach of the cold air and wind. Allthetime the wound is kept open to be dreft, fome body {landing by {hall hold achafendifh fill of coals or a heated Iron bar over the wound,at fuch a diftance,that a mo- derate heat may pafs thence to the wound;and the frigidity of the encompafting air may be corrected by the breathing of the diffufed heat.For cold according to the opinion of hzppocratesy is an enemy to the Brain,Bones,Nerves,and fpinall marrow; it is alfo hurtfull to ulcers, by filpprefling their ex- crements, which {lipprcft do not only hinder fuppuration,but alfo by corrofion makes them finuous. Therefore Galen rightly admoniflieth us,to keep cold from thebrain,not only in the time oftrepan- ingjbut alfo aftcrwards.For there can be no greater,nor more certain harm befall the fractured skill* than by admitting the air,by fuch as areunskilfiill.For if the air fliould be hotter than the brain,then it could not thence be rcfrigeratedjbut if the brain fhould be laid open to the air,in the midft mer,when it is at the hotteft,yet would it be rcfrigerated;and'unle{s it w;ere relieved with hot things, take harm: this is the opinion of Galen, whereby you may underftand that many who have their skulls broken,dye more through default of skill in the curing,than by the greatnefs of the fra&ure. But (when the wound is bound up with the pledgets,cloths,and rowlers,as is fit) if the air chance to be more hot,than the Patient can well indure, let it be amended by {prinkling, and ftrawihg the chamber with cold water,oxycrate,thc branches of Willows and Vine.Ncither isit fufficient to (bun the too cold air,unlefs alfo you take heed of the over light,chiefly untill fuch time as the moft fear- ed and malign fymptomes are paft. For a too great light diftipates the fpirits, increases pain, ftrengthens the feaver and Hipocrates tvholly forbids wine,therefore the Patient inftead thereof muft drink Barly water, fair water boyled and tempered with Julep of Rofes, fyrnp of Violets,vinegar and the like:water wfiere- B b in Hew the air ought ro- be. dphor.i#. !:-li 5. I. ib. 2 . de Hfapart. cap, 2. The Air though in fu miner is colder thata the brain. The dif- commodi- ties of too oratch light* Of Green and 'Bloody Lib.io. 278 What his drink mu ft be. in bread crams have been fteepcd,water and liigar with a little juyce of Lemons/n pomcciti on ad- ded thereto,and fuch like as the ability and tafte of the Patient fhall require. Let him continue fuch drinks untill he be free from malign lymptoms, which ulually happen within fourteen dayes. His meat fhall be pap, ptifan,fhunning Almond milks;(tor Almonds are Laid to hl the head with . vapours and caufe pain)ftued damask Prunes,Raiions and currants,feafoned with lugar, and a little cinnamonfwhich hath a wondcrfull power to comfort the ftomach, and revive and exhilarate the (pints') Chickens,Pidgcons,Veal,Kid,Leverets,birds of the fields,Pheafons,black-birds,Turtles,Par- tridges,Thrufhes,Larks and fuch like meats of gooddigeftion, boiled with lettuce,purflam,Correll, borfge,buglofs,fuccory,endive and the like,are thought very convenient in this cale.If he defire at any time to feed on theie meats rolled, he may only dipping them in ver juice, m the acid juices of Oranges Citrons Lemons, or Poniegranats, fometimes in one, and fometimes in another, according to his tall and ability.If any have adefire to eat fifh, he muft mak choyce of Trouts,Gudgeons,Pikes and the like which live in running and clear waters,and not in muddy; he fhall elchew all cold Pal- lets and pulfe becaufe they fly up and trouble the head:it will be convenient after meat to life com- mon drid? powder,or Anifeed,Fennellfeed or Coriander comfits, alfo conferve ofRofcs,orMarmi- late of Quinces to (hut up the orifice of the Ventricle, left the head Ihould be offended with -vapours arifinf from thence. Children muft eat often,but fparingly;for children cannot faft fo long as thofe which are elder, , becanfe their naturall heat is more ftrong,wherefore they ftand in need of more nouriflimentjfoalfo in winter all forts of people require more plentifull nourifliment, for that then their ftomachs are more hot than in Summer. When the foureteenth day is paft,if neither a feaver, nor any thing elfeforbid,he may drink wine moderately,& by little and little,encreafe his diet,but that relpeftively to each ones nature,ftrength and cuftome.He fhall fhun,as much as in him lyes,fleep on the day time,unlefs it happen that a Pb/cg- , mon ftife upon the brain or MewzKgej.For in this cafe it will be expedient to fleep on the day time, e- fpecially from morning till noon,for in this feafon of the day, as alfo in the fpring blood is predo- 5 minant in the body, according to the opinion of Hippocrates. For it is fo vulgarly known, that it need not be fpoken,that the blood when we arc awake is carried into the habit and furface of the body; but on the contrary by fleep it is called into the noble parts,the Heart and Liver.Wherefore if that the blood by the force of the Sun cafting his beams upon the earth at his riling iscarryed into - the habit of the body, fhould again be more and more diffufed by the ftrength & motion of watch- ing,the inflammation in the brain anti Meninges would be much encreafed.Wherefore it will be bet- ter, efpecially then to ftayby fleep the violence of the blood running into the habit of the body , when it (hall feem to rage and more violently to affeft that way. Watching muft in like manner be moderate; for too much depraves the temper of the brain and of the habit of the whole bodyjit cau- le fes crudities,pains and heavinefs of the head,and makes the wounds dry and maligne. But if the Patient cannot fleep by reafon of the vehemency of the inflammation of the brain and Meninges, Galen wifhes,to wafh, befmear and anoint the head, nofe, temples and ears with refrigera- ting and humefting things,for thefe ftupefie,and make drowlie the Brain and membranes thereof,be- ing more hot than they ought to be. Wherefore for thispurpofe let the temples be anointed with Vnguentumpopuleon,ovVnguentum Rojatum with a little rofe vinegar, or oxycratejlet a fpungc moiftened in the decoftion of white or black poppie feed,of the rinds of the roots of Mandrages, of the feeds of Henbane,lettuce,purflane,plantain, night-fhade and the like. He may alfo have a broath or, barly cream, into which you may put an emulfion made of the feeds of white Poppy, or let him have a potion made with | i,or 5 i p,of the fyrup of poppy,with J ij,of Lettuce waterjLet the Patient ufc thefe things q.houres after meat,to procure fleep. For fleep doth much help concoftion,1 it repdirs the efflux of the triple fubftancc caufed by watching a flwageth pain, refreffleth the weary, mitigates anger and forrow, reftores the depraved reafon, fo t hat for thefe it is abfolutely neceflary that the Patient take his naturall reft. If the Patient fhall be plethorick, let the plenitude be leflened by blood-letting, purging and a flender diet, according to the difertion of the Phyfitian who fhall overfee the cure. But we muft take heed of ftrong purgations,in thefe kinds of wounds,efpecially at the beginning, left the feaver, inflammation,pain,and other fuch like fymptoms be increafed by ftirring up the humors. Phlebotomy,according to Galens opinion, muft not only be made relpeftively to the plenty of bloodjbut alfo agreeable to the greatnefs of the prefent difeafe, or that which is to come,to divert, and draw back that humor which flows down, by a way contrary to that which is impaft in the part; and which muft be there evacuated,or drawn to the next. Wherefore for example,if the right fide of the head be wounded,the Cephalick vein of the right arm fhall be opened,unlefs a great Ple- thora or plenitude caufe us to open the Ra/iiica,or Median,yet if neither of them can be fitly opened, the Rafilica may be opened,although the body is not plethorick. The like courfe muft be obferved in wounds of the left fide ©f the headjfor that is far better by reafon of the ftraitnefs of the fibers, than to draw blood on the oppofite fidejin performance whereof you muft have diligent care of the ftrength of the Patient,ftill feeling his pulfe, unicfs a Phyfitian be prefent,to whole judgment you muft then commit all that bufinels. For the pulfe is, in Galens opinion, the certaineft fhewer of the ftrength. Wherefore we muft confider the changes and inequalities thereofjfor as foon as we find it to become lefler and more flow,when the forehead begins to a little, when he feels a pain at his heart,when he is taken with a defire to vomit,or go to ftool,or with yawning,and when he fhall change his colour and his lips look pale,then you muft flop the blood as fpeedily as you canjother- wife there will be danger left hepoure forth his life together with his blood. Then he muft be re- frefhed with bread fteeped in wine?andput into his mouth,and by rubbing his temples and noftrils with Almonds in create th< pain ofthe head- What fifli he may ear* Aphor. i 3. Cjr l4./eS» i. Apbor. i J. fell. 2. Why fleep upon the day time is good for the brain being in- flamed. Lib.z» Epi- dem. The dif- commodi- tics infiling immoderate Watching. Get I. Me th. iS. Medicinej procuring fleep. The com* modities of flecp- Liiht.meth. lib. de cur ferjangHinii <nifr. W<oundf of each part. Lib.io* 279 with ftrong vinegar, and by lying upon his back. But the part (hall be eafed and freed from fome portion of the impaft and conjunct humor by gently fcarifying the lips of the wound, or applying of Leeches. But it (hall be diverted,by opening thefe veins which are nigheft to the wounded part, as the Fenapupfaorthatin the midft of the forehead,or of the temples, or thefe which are under the tongue; befides alfo cupping-glafles (hall alfo be applyed to the (houlder fometimes, with fca- rification,fometimes without;neither muft ftrong,and long friftions,with courfe clothes, of all the whole body,the head excepted,be omitted during the whole time of the cure,for thefe will be avail- able though but for this;that is,to draw back and diftipate by infallible tranfpiration the vapours which otherwife would afcend into the head, which matters certainly in a body that lyes ftilland wants both the ufe and benefit of accuftomed exercife,are much incrcafed. But it (hall be made manifcft by this following and notable example, how powerfull blood-let- ting is to leflen and mitigate the inflammation of the Brain,or the membranes thereof in wounds of thehead.Iwaslately called into the fuburbs of Saint German, there to vifit a young man twenty- eight yeercs old, who lodged there in the houfe of lohn Martiall, at the fign of $aint Michael/. This young man,was one of the houfhold fervants of Mafter Doucador,the fteward of the Lady Admiral/ £rion.Hefell down headlong upon the left Bregma, upon a marble pavement, whence hereceived a contufed wound,without any frafture of the skull, and being he was of a fanguin temperature, by occaiion of this wound,a leaver tooke him on the (eaventh day with a continuall delirium and in- carnation of phlegmonous tumor of the wounded Bericranium.This fame tumor pofleffing his whole head and neck by continuation and (ymgathy of the parts,was grown to fuch a bignefs,that his vi- fage was fo much altered,that his friends knew him not 5 neither could he fpeak, heare, or (wallow any thing but what was very liquid. Which I obferving, although I knew,that the day pad, which was the eight day of his difeafe,he had fourefaucers of blood taken from him by Germaine Agace Barber-furgeon of the fame fuburbs ; yet confldering the integrity and conftancy of the ftrength of the Patient,! thought good to bleed him again ;wherefo re I drew from him fourteen faucers at that one time; when 1 came to him the day after,& faw that neither the feaver,nor any of the fore menti- oned (ymptomes were any whit remitted,or aflwaged,! forthwith took from him foure faucers more,' which in all made two and twenty;the day following when I had obferved, that the fymptomes tvere no whit leffened,! durft not prefume by my own only advice,to let him the fourth time blood as I delired.Wherefore I brought unto him,that nioft famous Phyfitian Do&or Violenegwho asfoon as he felt his pulfe, knowing by the vehemency thereof, the ftrength of the Patient, and moreover confldering the greatnefs of the inflammation & tumor which offered it felf to his fight,he bid me prefently take out my Lancet and open a vein. But I lingred on fct purpofe, and told him, that he had already twenty two faucers of blood taken from him.Then faidhe. Grant it befo, and though more have been drawn, yet muft we not therefore delift from our enterprife, efpecially feeing the two chieie Indications of blood-letting yet remain,that is,the greatnefs of the difeafe, and the con- ftant ftrength of the Patient. I being glad of this,tooke three faucers more of blood, he (landing by, and was ready to take more but that he wifhed me to defer it untill the after noon;Wherefore retur- ning after dinner I filled two faucers more,fo that in all, this young man to his great benefit, loft twenty (cavcn faucers of blood at five times,within the (pace of foure dayes. Now thcenluing night was very pleafing to him,the feaver left him about noon, the tumor grew much lefle, the heat of the inflammation was aflwaged in al parts,except in his eyelids,and the laps of his ears,which being ul- cerated caft forth a great quantity of Pw or matter. I have recited this hiftory purpofay, to take a- way the childifli feare which many have to draw blood in theconftant ftrength or the Patient, and that it might appear how fpecdy and certain a remedy it is in inflammations of the head and brain. Now to return from whence we digrefled, you muft note that nothing is fo hurtfull in fra&ures and wounds of the head,as venery ;not only at that time the difeafe is prelent, but alfo long after the cure thereof. For great plenty offpirits are contained in afmall quantity of feed, and the grea- teft part thereof flowes from the brain; hence therefore all the faculties, but chiefly the Animall,are refolvcd, whence I have divers times oblerved death to enfue in fmall wounds of the head, yea when they have been agglutinated and united,All paffions of the mind muft in like fort be avoided,becaufe they by contraction and diflipation of the fpirits caufe great trouble in the body and mind. Let a place be choftn for the Patient as far from noiie as can be,as from the ringing of bells, beatings and knockings of Smiths, Coopers, and Carpenters, and from high-wayes through which they u(e to drive Coaches;for noife encreafes pain,caufes a feaver,and brings many other fymptomes. 1 remember when I was at Htfdin at the time that it was befieged by the forces of Charlei the fifth, that when the wall was beaten with the Cannon,the noife of the Ordnance caufed grievous torment to all thofe which were fick,but efpecially thofethat were wounded on their heads, fo that they would fay;that they thought at the difeharging of every Cannon that they were cruelly ftrucken with ftaves on that part which was wounded,and verily their wounds were fo angred herewith,' that they bled much,and by their pain and feavers encreafed, were forced with much (ighifig to breath their laft. Thus much may ferve to be fpoken of the cure in generail, now We will out of the monuments of the ancients,treat of the particular. The life of Fraftures* A Hiflory, The two chief Indi- cation s in blood-let- ting. Thedif-, commo ds- tie of vene- ■7 in wounds 01 the head. How ha-rt* full noyfe is to the fractures of the skull. A Hi Rory o' CHAP. XV. Of the particular cure of wounds of the headland of the mufculow skfn. Et us begin with a Ample wound,for whofe cure the Chirurgeon muft propofe one only Qf a fcope9to wit,Union;for unleffe the wound pierce to the skull, it is cured like other P|C woun£j wounds of the flefhy parts of our bodies. But if it be compound, as many wayes as it is of rhe fleftj I complicate,lo many indications fliew themlelves.In thefe the chieieft care muft be had of thc the more urgent order and caule, i Eb n Therefore Of Green and Lib.10. 280 Therefore if the wound fliall be tiniple and fuperficiary,then the haire muft firft be lhaven away, then a plaifter applyed made of the white of an egge, bole Armenick and Aloes.The following day you muft apply Emplaflrum de lanua or elfe de gratia Pez, untill the wound be perfeftly healed. But if it be deeper and penetrate even to the Chirurgeon (hall not do amifs, if at. the fecond dreffing he apply a digeftive medicine (as they call it) which may be made of Venice! urpentine, the yolks of eggeSjOyl of Rofes, and a little Saffron , and that f hall be ufed fo long,untill the wound co me to maturation;for then you muft add honey of Rofes and Barly floure to the digeftive. Hence muft we pafs to thefe medicines,into whole competition no oy ly or unftuous bodic enters, fuch as this; EkT.erebinth.veneta£i]Jyrupi rofar.% (S.Let them all be incorpora- ted and made into an unguent, which fliall be perfeftly regenerated, then it muft be cicatrized with this following powder. granatorum combuft. \an % j, Mifceantur Jimul & fiat pulvis : but if the wound be fo large that it require a future,it fliall have fo many flitches,with a needle, as need fliall feem to require. ■ I Whilft I was at Hz/Jz»,a certain fouldier,by falling of the earth whilft he undermined, had the Hairy fcalp fo prefled down even to the fo wholly feparated from the beginning of the hind part of his head,even to his forehead,that it hung over his face. I went about the cure in this manner; I firft waflit all the wound with wine, a little warmed, that fo I might walh away the congealed blood mixed with the earth; then I dryed it with a foft linnen cloth, and laid upon it Venice-Turpcntine mixed with a little Aqua-vita wherein I had diffolved fome Sanguis DraconisJAa- ftick aad Aloes;then I reftored the hanging skin to its former place, and there ftaied it with fome flitches,being neither too ftrait,nor too clofe together, for fear of pain and inflammation, (which two chiefly happen whilft the wound comes to fuppuration) but only as much as fliould lerve to flay it on every tide,and to keep forth the air,which by its entrance doth much harm to wounds:the lower tides of the wound,! filled with fomewhat long and broad tents,that the matter might have paflage forth.Then I applyed this following cataplafm to all the head, ft, farina hard. & fabarum an. | vi. olei rofatis aceti quantum ad formanpultis-, thi&hath a faculty to dry,cool, repell,-mitigate pain and inflammation and ftay bleeding. I did not let him blood,becaufe he had bled much,efpecially at certain arteries which were bro- t ken neer his temples; he being drefled after this manner grew well in a fliort time. But if the wound be made by the biting of a wild beaft,itmuft be handled after another manner, as fliall appear by this following hiftory. As many people on a time flood looking upon the Kings Lyons,who were kept in the Tilt-yard at Par is, for the delight of King Henry the fecond,and at his charges: it hap- ' pened that one of the fierceft of them broke the things wherein he was tyed, and leaping amongft the company,he with his paws threw to the ground a Girl of fome twelve yeers old,and taking her head in his mouth, with his teeth wounded the mufculous skin in many places , yet hurt not the skul. She fcarfe at length delivered by the Mafter of the Lyons from the jaws of Death and the Lyon, Was committed to the cure of Row I and Claret Chirurgeon ; who was there prefent by chance at the fame time; fome few dayes after,! was called to vitit her;flie was in a feaver,her head,flioulders,brefl, and all the places where the Lyon had fet his tecth,or nails,were fwoln,all the edges of the wound were livid,and did flow with a waterifh,acrid,virulent, cadaverous,dark green and {linking matter, fo that I could fcarfe indure the fmell thereof;flie was alfo oppreft with pricking, biting and very ■5 great pain; which I obfernng,that old faying came into my mind , which is : That all wounds d made by the bitings of beafts,or of men alfo,do fomewhat participate of poyfon. Wherefore there muft principally great care be had of the venenate impreflion left in the wounds by the nails & teeth, - and therefore fuch things muft be applyed,as have power to overcome poyfon. Wherefore I icarified the lips of the wounds in divers places,and applyed Leeches to fuck out the venenate blood, and eafe the inflammation of the parts,then I made a Lotion of JEgyptiacum Treacle and Mithridate after the following manner. RcMithrid. Rtheriac. | ij, agyytio£. 5 diffolvantur omnia cum &Cardui ben. Let the . wounds be fomented and wafhed with it warm; betides alfo Treacle and Mithridate were put in all the medicines which were either applyed or put into the wound>and alfo of the fame with the con- ferees of Rofes and Buglofs diflblved in the water of Sorrell and. Carduus benediflits., potions Were made to {Lengthen the heart and vindicate it from malign vapors. For which purpofe alfo this following Epithema was applyed to the region of her heart.re- far.& nenuphar fcillitici alborum rub.pulver is sfpodii. foMithridatiijheriaca an. cordial, pulverijatorum p. zj, diflolve them all together, make an Epitheme and apply it to the heart with a fcarlet cloth or fpunge, and let it be often renu- cd. Verily flie dreft after this manner,and the former remedies but once ufed,pain,inflammation and all the malign fymptomes were much leflened; to conclude,fliee recovered,but lingred and was lean fome two years after,yet at length flie was perfeftly reftored to her health and former nature, By which you may underftand,that Ample wounds muft be handled after another manner, than thefe Which have any touch of poifon. >f But now that we may profecute the other affefts of the hairy fcalp ; fay that it is contufed with a blow without a wound,that which muft be firft and alwayes done, (that fo theaffcR may better " appear,and the remedies which are applyed may take more effeft)the hair muft be {haven away, and at the firft dreffing a repelling medicine applyed,fuch as this following Oxyrh odinum. R. ol.rof iij, album ovorum nu. nucum cypreffabalauft.alumin. j. Let them, be all incorpo- B rated,and make a medicine for the former ufe,or in ftead thereof you may apply the cataplafm pre- fcribed before confifting o£ F ar in a h or de i .fab arum., aceto & oleo rofdceo.But Rich medicines muft be often jxnued. When the pain and defluxion are appealed,we muft ufe difeufling medicines for diffipation of that A digeftive medicine. A fatcotick medicine. An Epulo- tick. A Hiftory. What things we nvtft ob- ferve in fewing* When we mu ft not let blood in wounds* A Hifiory* The bitings of man and beads are vcnenate. Therincall Me- dicines. A CsrdictU Epithetritt* The cure of the Hairy fcalp when it is coutu- fed. A repelling medicine. Wounds op each part. L1 B.io. 281 that humor which remains impafted in the partjRr Emplaftri de mucilagin.3ij.oxicrocei3& emp.de melilo- to3 chanum.& anethi3an.$fi.malaxentur ftmul etfiat emplaftrum ad ujum dictum. Such a fomentation willalfo be good.R wnz rub.hbAhj.lixivii.com.lib.ifnuces cuprefsi contufnu.x.pul.myrtillorum %j.rofar.rub< chamjem.mclil.an.M.faaluminis cyper arpmatici aH.jft.bulliant omnia make adecoftion to foment the grieved part. After fomewhat a long fomenting it5whereby it may the better difcufle,dry and exhauft the concrete humor , the headmuft be dryed and more difculling things applycd3 inch as the Cerate delci ibed by Vigo called de minio ; which hath an emollient and digeftive facultie in this form.R Olti pinguedinis vervecis boni tyathum unum3 bulliant omnia fimul baculo agi- tando3primum quidem lento igne.mox verb Incident iore3donec tota ma fa colorem nigrum veljubnigrum emtrahaf, adde in fine coSur# lerebinth.hbfpulver is maftich. %i].gum.elevii cerx' quantum jufficit3bulhant rurfus una ibuditione &fiat empl. molle. But if the humor be not thus difcufledAbut onely grow loft, then the tu- mor muft be quickly opened/or when the flefh is inflamed and putrefied through occafion of the contained humor,the bone under it putrefies alio by the contagion of the inflamation and the acri- mony of the matter falling upon the bone. When you have opened it, wafli away the filth of the ul- ' cerwith this following deterlive medicine.ft.fyrMpi ro[.& $.pul:ireos3aloes3 ma- * fiichis, an.Zfi. In Head hereof if there be great putrefa&iopj, oEgyptia either by it ' ielfe5or mixt with an equall quantity of Vnguentum apofiolorum may be put into the ulcer. When the ulcer is denied it will be time to ufe fcaYcotick and cicatrizing medicines. Adifeuf, fing Fo- njcnEqciolh:' Cer£tun& de Minie, Deterfive or clean- fi ng mcdk dae». CHAP. XVI. Of the particular cure of d fr allure or broken ftyll. Why the Pen'cntitf- um hath fuch ex. quit! re fenfc. F the fkull bebroken,fo that it be needfull to trepan it,or to elevate and lift itup,or fcrape it away, the mufculous skin being cut as we formerly noted, the Pericranium (hall be pluck- ed from the skull, as We faid before ; which becaufe it can hardly be done without great pain,by reafon of its exquifite ienfe and connexion with the membranes of the braine,wce muft labour to mitigate the paine for feare of inflammation and other accidents. Therefore the fir ft drcfiing ended & the corners of the wound drawn each from other ;at the fecond drafting put to the wound,a digeftive (as they terme it) made of the yolk of an egge,and oyle of Rofes, but you muft apply no humid thing to the bone,becaufe we defire to keep it found and whole.For Galens opini- on is, that bared bones muft not be touched with unftuous things 5 but rather on the contrary all dry things muft be applycd to them, which may confume the fuperfluous humidity. Therefore we muft lay fome lint and the cephalick powders which we fhall hereafter defcribe, upon the bone we intend to preferve,and muft have diligent care that it be not offended either by the ayre,or touch of humid medicines.You muft in Trepaning have a fpeciall care of the Crajfa meninx. For I have often cbferved a great quantity of blood to have flowed from fome broken veflell, which adhered to the focond Tablemeither muft weprefently and forthwith flay fuch bleeding, but foffer it to flow ac- cording to the plenitude and ftrength of the patient; for thus the feaver, and together therewith the reft of the fymptomes are diminifhed. For the opinion ofHippocratesfm every green wound it is good to caufe often bleeding, except in the thus the vehemency ofpain,inflamation and other accidents will be lefs troublefome; alfo it is not arnifle too for old ulcers to bleed much, for fo they are freed from the burden of the impact humors. When you think it hath bled fufficiently, it may be flanched with this following medicine defcribed by Galen* R f ulveris Aloes maftiches3 an.3jfi.albumina ovorum nu.ij. agitentur ftmul cum pills leporinis mi- nutim inc ifts.fi at me die amentum. When the bleeding is ftayed,you fhall for the aflwaging of pain, drop upon the Meninx fome Pigeons blood,yet warmc by opening a Vein under the wing,then it fhall be ftrewed over With this following powder,R draconlf an.lbj.Mifiejfiatpulyis fubtilis. Alfo you may make an irrigation with Rofe Vinegar, or fome repelling medicine; fuch as is a cataplafine exfarinis3& oleo ropceo.Which may be applyed untill the fourth day to affwage and mitigate pain. Vigoes Cerate will be of good ufe in this cafe,as that which in my opinion is moil fit for fraftures of the skull,becaufe it draws powerfully,refolves and dryes moderately, and by reafon of the fmell refrefhes theanimall fpirits,and ftrengthens the brain and membranes thereof,as you may edtfily per- ceive by things which enter into the compofition thereof. R Olei rof. Omph.reftme pini3gummi Elemi*, %ifi.pinguedinls vewecis caftrati fi.foliorum beton.caprifol.antbss an.Mj.dmmeniaci 3fi.gra- xorum tinttorum 3zdiquatapinguedineterenda terantur3 & ammoniacum fitnul cum aceto eliquetur, deinde bulliant omnia ftmul in lib. ij. vini boni3 lento igne ujque ad confumptionem vini, deinde- exprimantur; cum expretfione addantur terebinth. Ven. cer<e alba quantum fufficit3 fiat eerotuni mol- le ad uufrn pr<editfum.Alfo let the neck, and all the fpine of the back be anointed with a liniment, which hath force of mollifing the they fhould fufler convtilfionjfuch is this. R Rut^marrubii3rorifinar.ebulor [alvi<e3berb.paralyf.an. M.fi rad.Ireos3cyperi3 baccarum laurfan. |j. florum (bama.melil.typericfan.Mj.pifientur &macerentur omnia in vino alboper nobiem3deinde coquantur invafi duplici cum oleo lumbricorum3Uliorum3de terebinthina3axungije3anfiris ad conjunptionem wini3pofte<t colentur &incolatura aqu# vita cer# quantum fifiicitifidt linimentum fecundutn artem. But when the pain is aflwaged,we muft abftain from all foch un&uous things, left they make the wound become fordid and malign, and putrefie the adjacent and confequently the Crafia meninx and the integrity of all parts may be preserved by their like, arid fuch are dry things in a fraftureofthe skull. Wherefore all humid and oyly things muft be flmnned in the cure there- of,unlefs peradventure there fhal be fome need to mitigate pain & bring the humor to fuppuration. For according to Galenic are ofc forc'd for a time to omit the proper cure of the difeafe, fo to» B b 3 refift Gal.GjMth The bones are offen- ded wirhrhfi application of humid things, Lib,de nicety Gal.6, meth£ Vigoes Ceri- te good for a broken fkuli; A linimCfiC good a- gainll cun- 'Gdl.4meibi 282 Of Green and 'Bloody Lib.io. refift the fymptonies'; furthermore Hipocrates would have us riot to foment the skull,no not with wine,but if we do,to let it be but with very little.Fzd/w interprets that little to be,when there is fear of inflamation jfor wine if it be red,tart and aftringent,hath a reprelfing,refrigerating and dry- ing faculty:for otherwife all wine although it heats and dryes by its faculty,yet it a&ually humefts and cools,both which are very hurtfull in wounds of the head,or a fra&urcd skull, efpecially when the bone is barejfor from too much cooling of the brain there is fear of a convulfion, or fome other cvill fymptome. Wherefore let this be ratified,that is, We muft not ufe humid and un&uous medi- cines in wounds of the head, except for curing of an inflamation, or the mitigation of pain caufed thereby .Therefore let the bared skull be ftrewed with catagmatick and cephalick powders,(being fo called by the Ancients, forthat they are convenient and good in fraftures of the skull and the reft of the bones) for by their drynefs they confume the fuperfluous humidity, and by that means help nature in the feparating of the broken bones, and the regenerating of flefh. Such powders ufually conlift of fuch things as thefe enfuing.Th ussr ad ix Irides florent.farina Erwirfulvisdloes fanuw Gentianr.and generally all fuch fimples as have a dry- ing and an abftergent faculty without you muft not ufe thefe things before the pain,in- flamation and apoftumation be paftjthat is then,when the membranes muft be clenfed, the bones fca- led and the flelh generated.For the skul by how much it is the dryer,by fo much it requires and more e eafily endures more powerfull and dryer medicines than the Dura Mater or that which in quicknefs of fenfe comes far fhort of thefe two.Whercfore when you would apply the forementi- y oned cephalick powders to the'Men/Mger,they muft be aflbeiated and mixed with hony,iyrup of rofes o or of wormwood and fuch other like,that fo their too violently drying faculty may be allayed and tempered. CHAP. XVII. IFby we ufe Trepaning, in the Fractures of the Skull. How farre humid things are good for a fraflurcd skull* Why Ce- phalick or Caragma- tick pow- ders are good. . When to be ufed. How to be mixed when they are to be apply ed to tne Me- Kinoes. Here are four caufes of this remedy; The firft is, to raife up the depreft bones,and take forth their fragments,which prefs upon the Menin^er, or alfo upon the fubftanceof the brain. Thefecondis,that the&www or matter may be evacuated,denied, wafted,and dryed up, which by the breaking of any veffell is poured forth upon the Membranes, whereby they are, and not they only,but the brain alfo is in great danger of co eruption.The third is,for the fitter application of medicines,convenient for the wound and frafture.The fourth is,that fo we may have fomething whereby we may fupply the defeft of a Repelling Ligature, & fiich an one as may hinder defluxions 5 for fuch a Ligature cannot take > place here as it may in the other parts of the body,by reafon of the Sphaericall or Round figure of the head,which doth not eafily admit binding 5 & then the denfity and hardnefs of the interpofed skull is a means that the veflels ly i ng Jun de r it(by which ufually the defluxion comes)cannot eafily be bound with arowler fufficiently to repell the running blood. And the cxternall veflels, (to whom the force of the Ligature >may come) cannot be bound without great pain, and danger of inflamation. For by fuch a compreffion the pulfation of the Arteries would be intercepted, and the efflux of the fuliginous excrements which ufeth to pafs through the futures of the skull, would be foppreft,by reafon of the conftrifton of thefe futures. Thefhapeofthislnftrumcntis not much different from a Gimblct,but that the point is three- fquare, and not twined like a fcrew ; as you may perceive, by this following figure. A Gimblet or piercer to perforate the before the fitting »oftbeTrepan. Why a re- pelling Li> gature cannot be ufed in fra- flures of the skull#. Befides alfb,the blood would thus be forced from the wounded part without, to within into the Mem- branes and Brain; when pain,inflammation, a Fea- ver,Abfcels, Convulfion, Palfie, Apoplexie,and laft- ly, death it felf would infue. And thefe are the chief caufes, tha£ Trepaning is ncceflary in fra&ures of the skull, and not fo in the fraftures of other bones. But before you apply or put to your Trepan, the Patient muft be fitly placed or ieated, and a double cloth muft be many times wrapped about his head, and then his head muft be fo laid, or prefled upon a Cuftiion or pillow,that when you come to your o- peration, it may not fink down any further,but re- main firm and ftedy. Then you muft ftop the Pati- ents ears with Cot ten-wool I, that fo he may not hear the noife made by the Trepan or any other In- ftrument. But before you put to your Trepan,the bone muft be pierced with an Inftrument,having a three fquare point, that fo it may be the more fpeedily and cer- tainly perforated. The point thereof muft be no bigger then the pin of a Trepan, that fo the Tre- pan which is forthwith to be applyed may ftand the more firmer, and not play to and again in too wide a hole. How the patient muft be placed when you Trepan liiffl. What to be done before the applica- tion of the Trepan. Skews the bandlf* B. The points which befaewed and fitted inn tie handle, CHAP. Lib.io. oundt of each part. 283 C H A P. X V 111. A Defcription of Trepans. Repans are round faws, which cut the bone circularly, more or Ids according rcrthej. 83 greatncfs jthey muft have a pin ftanding in the middle a little further out than their tcetl* gg jgH 10 to a? hold taft die Trepan that it ftir neither to this fide nor that,until it be cn tred and you have cut through the firft table at the teaft: then you muft take forth the pin left going quite through the bone,it may prick or hurt the Craffa Meninxi Wherefore when yot have*taken forth the pin, you may fafely turn it about untill you have cut through both the tables j Your Trepans muftalfo have a cap,or fomewhat to ingirt or incompafs them, left no way hindred they cut more of the bone than we would,and in conclufion run into the Atawc.They muft alfobe anointed with oyl,that fo they may cut the more readily andgently;for thus Carpenters ufe to greafe their faws. But you muft,during the time of the operation3often dip them in cold water left the bone by attrition become too hot: for all hard folid bodies by quick and often turning a- bout,become hot jbut the bone made more hot and dry,is altered and changeth its nature,fo that af- ter it is cut,morc of it fcales and falls away. Now you muft know that the bone,which is touched with the Trepan,or the Air,alwayes cafts off fcales,for the fpeedier helping forwards whereof, you muft ftrew upon it powders made of Rocket,Briony,wild Couctimber & Ariftolochia roots.When the bone is fufficiently fcalcd,let this following powder be put upon it,which hath a faculty to cover : the bone with flefh,and and to harden it with dry nefs convenient to its kind. & Pulver. Ireos Ifyrica Aloesy an. j. Flefh being by this means generated, let it be cicatrized by ftrewingupon it the rinds of Pomegranatsand Alum burnt. Neither fliall the Chirurgeon forcibly takeaway theft fcales,but commit that whole Work to na- ture, which uftth not to caft them off before that it hath generated flefh under them. For o- therwift if he do any thing rafhly,he brings new corruption to the bone5 as wc fhall more at large declare,when we come to treat of Caries or rottennefs of bones. 6 He which uftth the Trepan,muft confider this,that the head is of a round figure,and alfo the Tre- pan cuts circularly,and therefore it is unpoflible to cut the bone fo equally on every fide,as if it were ■ performed upon a plain body. Furthermore the thicknefs of the skull is not alike in all places wherefore you muft look, and mark whether the Trepan go not more deep on one fide than on the other,which you may do by meafuring it now and then With a pin or needle, and if yee find that it is cut deeper on one fide,than on the other,you muft prefs down the Trepan more powerfully upon the oppofite part. But feeing there are many forts of Trepans invented and exprefled by many men,yet if you weigh and rightly confider them all,you fhall find none more fafc,than that I invented and have here deli- neated.For it cannot pierce one jot further into the skull,than he pleafti that ufts it, and therefore it cannot hurt either the Meninges or the Brain. An Iron head or cover ftayes it as a bar,that it can penetrate no further than you fhall think it requifite. This head or cover is to be drawn up and down,and ftt higher and lower,as he which ufts it fhall think good, and fo k will flay the Trepan that it fhall not goe a hairs bredth beyond your intended depth. So that henceforwards there fhall be no Chirurgeon,howfoever ignorant in the performance of his Art, which by the benefit of fuch a Trepan may not perform this operation without any danger or fear of danger of couching the P««* ra Mater9thc hurting whereof puts the life in jeopardy. Theharoj rhe bone receives by being bea- red with (he T repani Wha-r things hallen the fading of rhe bone* Thebone muft not be forcibly fcaled* A caution in Trepaning. Afafcand convenient Trepan, The figure °f°"r Trepan opened and The figure of the fame Trepan fitted and put together, taipn in pieces. A.Shews the whole handle or Brace of tfe Trepan. 'B. The Cover or Cap of the Trepan, C. The ferule. D. The [crew pins which hold and ftty the ferule and Trepan. fc.The Trepan without his pin, F. The Trepanfurnifbed with its pin, A.Shews the Brace and Trepan fitted in every paint. 1 B. The place into which the Trepan is put and fitted. C. upper end of the trepan which, is to befitted and put into the Brain, D. The Trepan with its ewer or cap up* on it. E. The ferule, F. A [crew pin by the twining whereof the Trepan is fafiened in the Brace. G. Another [crew pin which faftenj the ferule clofer to the Trepan, three [quare point, 284 Of Green Lib. 10. In Head of the other Trepan fet forth by the Author,! have thought fit to give you the figure of that Trepan that is heremoft in ufe,and the fitteft therefore,as it is fet forth by Mr.-Dottor Crook. r TerebeHum c; Gimbletcctip/lmg op three brar.chei, A cutting Scraper. All thefe particulars of the Trepan taken in funder, you may fee united and fitted together in the other figure.But when you cannot bring out the bone which you have cut off with yourTre- pan,then you may take it forth with the Cerebellum or Gimblct here expreft, that is, (crewing the point thereof into the hole made by the threefquare pin ; the handle of this Inftrument may alto ferve in head of a Levatory. When with the Gimblct you have drawn or taken forth that part of the skull which was cut away by the Trepan; if there fhall be any fharp fplinters in the ffcond table., which may hurt and prick the Meninx3 when it is heaved up by the motion of the brain, they muft be fhaved away and planed with this Lentill falhioned ffraper, being to called, becauff it hath the head thereof falhioned and fmooth like a Lentill,left being lharpe it fhoUld hurt and prick the mem- brane in the finoothing thereof. But if by reafon of the thicknefs,the skull cannot be cut with this Lentill-like ffraper, you may ufe the cutting ferapers and a Mallet.The mallet muft be of lead, that fo it may (hake the brain as little as may be.But you muft diligently with your mullets take forth the fharp fplinters, and pee- ces of the bone.But if the fradtured part of the skuI be fuch,that it will not admit that feftion which is requifitefor the bared bone,as when the feature is upon the temporall muffle,or at the futures; then in the ftead of one Trepan,two or three muft be applycd,ifthe neceflity of the preffnt caff fo require,and that within a very fmall compafs; but they muft not be applyed to the fraftureed part, but nigh thereto,as we fhall fhew more at large in the following chapter. But the Trepans fhall be applyed fb neer to each other,that the ring of the fecond may be joyned with the ring of the firft and third.But if a frafture fhall happen to light upon a future,then you muft not apply a Trepan to it,but ufe two thereto on each fide;he that fhall do otherwifc,fhall tear in hinder the nervous and membranous fibers,andalfo the veins and arteries by which the Dura Mater is faftened to the skull, and yeclds matter to the Pericranium.lte which fhall apply one Trepan,that is,but upon one fide of the future,he fhall not be able to get forth all the fanies which is fallen down on both fides by rea- fon of the partition of the Craffa Meninx, which lies bctween,and rifes up by the future of the skull. To conclude,when for what caufe foever we cannot make ufe of a Trepan,we may imploy this in- ftrument, if fo be as much of the bone be bared as is needfull.lt is made in form ofa pair of Com- pafles, and by means ofa fcrew may be opened more or lefs as you pleafe. You as need fhall require may change the points,and put other into their places,for they may be fitted to one fide of thecom- pafs with a fcrew. The ufe of a Leaden Mallet. Why a Trepan nwft not be applyed to the futures. Why two Trepans are to be ufed to a fraflurcd future* Apair of cutting Compaffes to cut forth the skull. A. Shews the one leg of the cutting compares , which as you carry it a- lout cnts the skull. B. The fcrew which fa- fiens the point to the leg of the compares. C. different paints which may be fcrewed to the leg of the compajjes* as need- fball require. D. A great fcrew which fafiens upon an Iron firing3alongft which the one of the legs of the com- pafs runningynay be wi- dened & firaitned as you pleafe. More- 285 Lib.IO. IFounds of each part A crooked Iron Plate fit to (ufiainand hold fteddj one leg of the comp afs upon the head. Moreover it is fit that the one leg of luch cut- ting compafles Ihould ftand firm and fteddy3whilft the other is drawn circularly to cut .Wherefore it is fit you have an Iron plate made full of little holes, wherein you may firmly flay that leg of the compafs, left it waver again ft your will; it is requifite that this plate be crooked, (becaule the head is round) that fa it may be fitted to any part there® of. 'Another pair of Ceirpafies of the like nature and ufe,whicb may bs widened andfiraitnedty afcrew. CHAP. XIX. Of the flaces of thefkull whereto y on may not aply a Trefan. Irft of all,you (hall not apply a Trepan, to a bone that is fo broken that it is wholly,or in ' the greater part thereof divided from the skull by the violence of the ftroak, left by your weight & prefling of the trepan,you force it down upon the membrane.Secondly,you muft e< not apply one to the fra&ured Sutures, for the reafons mentioned in the former chapter. sJ Thirdly ,nor to that part of the forehead which is a little above the eye-browes, for thefe reafons ni ■we gave you before in the twelfth chapter.For there is in that place under the firft table of the skull p it felfe,a large cavity replenilhed with a certain white and tough humor, as alfo with a certain fpi- rituous and ayrie fubftance,placed thereby nature,to prepare the aire which afcends to the brain by the Noftrifis : unleflethe Chirurgeon obferve and be mindfull hereof, he may be deceived, fuppo- tj fing this cavity to be an Etfrafture of the bone and a depreflion thereof. Fourthly,neither in the h loweft parts of the skull,left the marrowy fubftance of the Brain,by reafon of its weight,fhould Aide through the hole made by the Trepan. Fifthly,neithcr to ,the Bregma bones of Children, as thole which as yet have not acquired juft folidity,to endure the impreflion of a Trepan.Sixtly,nor to the 1 temples by reafon of theTemporall mufcle,the cutting whereof in the opinion of Hipocrates caufes convulfion of the oppofite part.For being cut athwart it lofts its proper aftion,that is,to move and lift up the lower Jaw ; but then the oppofite Temporall mufcle being whole and perfeft,ufing its ftrength,( his antagonift differing it,and not refilling or labouring any thing at al to the contrary J it draws the fame law to it,whereupon the mouth and all the parts of the face are drawn awry,and iuffer a Convulfion towards the',found part, the other being refolved according to Hippocrates his y rule. For as often as themufcles of one kind are eq113.ll in number,magnitude and ftrength on each c fide,the refolution of the one part,caufts the Convulfion of the other. Neither doth this danger alone arife from the cutting of the Temporall mufcle,but alfo another,' which is,that this mufcle when we eat and fpeak,is in perpetuall motion,whereby it comes to pals, c that being once cut it. is fcarft ever united again,befides alfo the commifliire or joyning together of £ the ftony bones lye under it. But by the fecond caution we are forbid to trepan upon the futures 5 tl moreover alfo many vein$,arteries and nerves are fpred over the fubftance thereof, fo that by jcut- r; ting is danger of many and malign fymptomes,as pain, inflamation,a feaver,a convul- fion not only of the part it felf,but allb of the whole body,whcnce laftly death infues. Wherefore let no Chirurgeon be fo fool hardy,as to attempt the cutting of <this mufcle lb to trepan the bone which lies under let him apply his Trepan above it,or on the fide thereof,or as neer to the affected part as he can,as I did in a Gentleman called Monjteur dela Bretefcbe.He in the triumphant en- trance of King Henry the fecond,into the City of Par if 2 was fo hurt with a ftone,that the Os Petrojum or fcaly bone,was broken with the violence of the blow, and the temporall mufcle was vehemently contufed,yet without any wound.I being called the next dayfviewing the manner of the hurt,&the condition of the wounded part) thought good to bring fome Phyfitians,and Chirargeons with me to conlult hereof,of whom when fome thought it expedient prefently to divide the temporal mufcle that baring the bone we might apply a Trepan,and lb take forth the broken bones : I on the con- trary ,begun earneftly to withftand that opinion,citing that faying ofHzppocrates>ex libro de vulnevi-* ri/w Opz'bf, wherein Chirurgeon s are forbidden to cut fuch mufcles, for fear of the forementioned fymptomesj alfo I cited experience,how that I had often obferved all thofc which had this mufcle cut A bone a£ moft fever- ed from the skull mu ft not be tre- parjed* A notable cavity in the fore- : head bone» L'ib. de VW* Arule out ofHippo- crates. What dif- commodi'. -tiesatife from cutting the tempo- ral! mufclc®. A Riftor/, 286 Of Green and Floody Lib. 10. cut,dyed with a convuliionjbut that it ihould be far better, that neer above the fradure the bone fhouldbetrepaned, not touching the Temporall mufcle at all if he could. When all of them at the laft had inclined to my opinion, I prefently divided the mufculous skin which was over the upper part of the frafturc with a three cornered feftion : the day following which was the third of his difeafe,! trepaned him, and after I haddone,fbme few dayes after,I took out lome foui fplinters of the broken bonejand I put in a plain leaden pipe,by which(I wifhing the Patient ever when I dreft him to hold down his head,to Hop his mouth and his nofe,and then drive as much as in him lay to put. forth his breath)much famous matter came forth,which was gathered between the skull and filth which ftuck more faft, I wafhed out with a detergent deco&ion, injeded with fuch a fyringe as is here expreftj And I didfo much, God blefhng my indeavours,that at length he recovered. A little fyringefit to make injections vmhall. A plaine leaden pipe for to carry forth tbe banies gathered under the skull. A hiftory. The like chance and fortune befell Mon/zewr de Pienne at the liege of Mets. For he as he fought at the bieach of the wall,had the bone of his Temples broken with a ftone ftruck out of the adjacent wall,by a pecce of Ordinance (hot from the Emperours campe,he prefent ly fel down with the blow and caft blood out of his mouth,noleand ears, with much vomiting,and remained dumb and as it were fenflefs almoft fourteen dayes, fo that he knew none of the by-ftanders. He had often palpita- tions ; and convulfive twitchings,and his face was fwoln. His forehead bone was trepaned at the fide of the temporall mulcle by the hand of Peter Aubert the Kings Chirurgeon : and although on the 25 .day,foft flelh endued with exquifite fenfe grew out of the hole made with the Trepan, whofe growth could not be hindered by Oathasretick ponders,yet at the leng th he recovered. The Anci- ents called this kind of growing flelh a Fungus p.a Mulhrome] forthat it is foft, and grows with a (mall root and broad top like a mulhrome:butit increafes and decreales,according to the plenty of the flowing matter, and induftry of the Chirurgeon hindering by art the growth thereof. This flelh ftinks exceedingly,they commonly call itFicwfantti Fiacrii fz.the fig of S. Fztfcrye.jThis difeafe commonly hath its original after this manner.Even as in the bodies of trees from the excrements of nourilhment,a certain half putrid,grofs and vifeous humor fweats through the bark, and gathered together by little and little grows into a Mu(brom,fo blood melancholy both in temper and con- fluence,fprings from the broken veflells of the skull and Cra/a alfo is fent fometimes by nature for the neceflary repairing of the flelh in thefe parts, whereupon a certain fungus breeds, which in Grfew opinion,favors or partakes of the nature & conditionof the parts to which it grows though in generail it be of the nature of malign warts, or excrefcences. But for to take away fuch F«flgz,you muft apply medicines which have a fpecifick faculty to waft fuperfluous flelh} fuch are thefo which ftrongly dryland gently waft and eat,fuch as this which follows.R Sabina 3 jenturfonul.) ajpergatur caro excrejcens. Or elle R Hermodactylorum combuftorum make a ponder for the rUtr this fungous flelh come to fuch growth,(as it often happens}as to equall the bignefs of an egg, it muft be tied and ftrait twitched, clofe to the root with a filken thredjand when it fhall fall away by reafon of this binding,the place muft be ftrewed with the forementioned pouders, for fo it will be more certainly cured,than with more acrid cathsreticks. The gene, ration of a Fungws. C H P. X X. Of the corruption and Caries, or rottenness of the bones of the Head. -{ere fometimes follows a corruption and Sphacell of the fra&ured bones of the skull upon wounds of the head; which happens either becaufe they are touched by the air,which they are not fenfible of; or for that the Sanies putrefying and detained under them,hath infeft- ed them with like putrefaftion;or by the cure unskilfully handled,they by the rafh appli- cation of liippurating and oyly medicines becoming more moift,and Id undergoing an unnaturall change of their proper complexion and native temperas we (hall fhew more at large, when we fhall treat of the reafon of the Caries in the Lues venerea.We fhall know this unnaturall change and cor- ruption,partly by fight,that is, when from white they become to be yellowifh,livid and black;part- lyalfo by putting down a Probe,when as it meets with nothing fmooth and flippery, but feels rough in manyplaces,and befides alfo when it enters and eafily penetrates with a fmall thrufting down into their fubftance,as if it were fungous. Yet this laft fign may often deceive you,for I have come fo ha.d'ltPff°"en bon"',wh'ch being bare had long fu ffcred the injury of the air, to be- come lo haid that a Trepan would fcarfe pierce them; for it is putrid humidity which makesthe ones foft and fungousjbut the air by drying them exbaufts this humidity, and laftly dryes it whence follows luch contumacious harndefs.This fign will befarmorecermin ifthefleft whichh grown upon the bone be more foft than is fit,loofe and have little or no fenfe of feeling You may thepowdm ™AUes'Gentian t71'f fb°ne Wkh aS WeI1 aftualtas potendall,or with nepowcieis of Aloes, Gentian,^rz/ioZocbzd,centaury, cortex pini3 as R, radic.Ireos Flor, arifto'ochH an rapted fXKdh But if it be much cor- c probe, Why when the skull is broken the bones fome- times be- come foul or rotten. The figns of foulnefs of the bone. Corrupt bones are fometimcs hard. Lib.10, Wounds of each parti 287 probe.that fo they may more eafily fcaleand with lefs trouble to nature.But note by the way, that the dealing of the bone which hath invironed the Trepan,is commonly performed in the (pace of foity or fifty daycs.So long alfo will that caufed by the unufuall appulfe or touch of the air,or ap- plication of a cautery,or the afperfion of the Cephalick ponders ; bclides alfo in the fame number of dayesbroken bones may be united and joyned together by a Callup which is to them as -a fear, yet fometimes fooner,fbmewhilee later, according to the variety of the ages,tempers and habits of di- vers men. But if the GmTr or can neither by thefe fore-mentioned remedies be orccomc and amended,neither the loofed continuity agglutinated nor united, you mull give the Patient a vulnerary potion,for hence I have found happy fuccefs in many. But fometimes not only a certain portion of the bone,is taken with a Or/etjbut alfo the whole feifed upon with fphacell,and f all fal s out. For in Hippocrates opinion, Lib.de pulneribus capita the bone of the skull being broken r falls from the found more or leis,according to the violence of the alfo is confirmed by t experience. For which purpofe I think good in this place to recite a Hiftory, whereof I was an eye-witnefs,whilft I ferved as Chirurgeon in Piemont under the Marlhall de Montej an ( who was the Kings Lieftenant there.) It happened that a Lackey of Monfieur de Goulaines came to me to be cured 5 he had the Bregma bone of the left fide broken with a fv/ord,neither yet did the frafture come to the fecond Table; a few dayes aftebhis recovery the bone being agglutinated and united,it came to paft that a company of Gajcoine fouldiers his countrymen came to 7 whom one morning he eat plentifully Tripe fryed with Onions and (pices,and drunk a great quantity of ftrong Wine.Where- upon he prefently fell into a continual! Feavcr, and loft his (pcech and underftanding ; his head lwelled,his eyes looked red and fiery and as though they would have flatted out of his head.Which things being confidered,! let him blood,having firft (by the Phyfitians advice)given him a Gly fter, and applyed to his head fuch things as were allo I laboured with Frictions and Ligatures of the extream parts to draw the humors downwards; yet for all this the part of the head which was formerly affected begun to impoftumate;which being opened, there came forth a great quantity of matter,and at the length the mufculous skin and Pericrafiium linking down,both the Tables of the skull became putrefied and rotten,as you might know by their blacknefs and ftench. Now to take away this corruption,! applyed at certain times aftuall cauteries,both to amend the corruption and feparatethat which was altered: but mark,after fome months (pace,a great number of worms came forth by the holes of the rotten bones from underneath the putrefied skull ; which moved me to ha- ften the (eparation and falling away of the putrid bones. Which being done,upon the very Craffa Me- n/nx,which is more ftrange,in that place,which nature had covered with flcfli,! obferved three cavi- ties of the largenefs of ones thumb filled with w:orms about the bignefs of a points tag, with black " heads, diverfly wrapped amongft themlelves. The bone which nature feparated was of the bignefs b of the palm of ones hand,fo that it was ftrange that lb large a portion of the skull Ihould be caft off by nature,and yet the Patient not dye thereof 5 for he recovered yet beyond all mens expectation, ? but after the agglutination of the wound the (car remained very hollow according to the decree of Hippocrates. For flefh doth not eafily grow upon a CW/fff,bccaufeit is a thing ftrailge and fuppo- fititiousby nature;befides,as a (car is a thing more denle than the skin,(b is a. Callus than the bone,fo that through the more compaft fubftance thereof,the blood can neither freely nor plentifully (weat through for matter to regenerate flefh.Hence it is,that wherefbever any portion of the-skull is wan- ting,you may there by putting to of your hand perceive and feel the beating of the brain, where- fore the skull muft needs be much weaker in that place. Now to help infirmity, I wifhed this Lucky to were a Cap made of thick leather,fo more eafily to tvithftand externall injuriesrand verily thereby he grew much better. Now I think good in this place to lay open the deceit and craft of fome Impoftors Falfly filling themfelves Chir.urgeons, who when they are called to cure wounds of' the headjwherein any part of the skull is loft, perfwade the Patient and his friends, that they muft put a plate of gold in the place of the skull which is wanting. Wherefore they hammer it, in the prefence of the Patient,&turne it divers wayes & apply it to the part,the better to fit it;but prefent - ly after they (lily convey it into their purfes, andfo leave the patient thus coufened. Others brag that they are able to put the dryed rind of a gourd into. the place of the loft bone, and fallen it on to defend the partjand thus they groflely abufe thofe which are ignorant in the Art. For this is fo far from being done that nature will not (uffer nor endure io much as an haire, or any other final! body to be fhut up in a wound when it is cicatrized 5 neither is the reafon alike of a leaden bullet which (hot into the body lies there for many years without any harm to the patient;for al- though lead have a certain familiarity with mans body,yet is it at length(unlefs the denfity of the oppoied flefh,ligamcntjtendon,or fome other fuch like fubftance hinder) thruft forth by nature im- patient of all ftrange bodies. And thus much of the rottennefs and corruption of fraftured bones; now muft we fpcak of the difeommodities which befall the Meninges by wounds whereby the skull is broken. The bene- fit of a vul- nerary po- tion. A HiHory. A great fat- lingaway o? a corrupt; bone* Apb.rf. Sett.6* The cove, reous craft of'rmpo fters. C H A P. XXL Of the difeommodities which happen to th e Crafla Meninx by features of the styll. Any difcommodities chiefly happen to the Crafla mcninx by a fra&ure of the skull and rafh trepaning thereof; for it fometimes chances to be cut and torn. Agglutination is a remedy for this dileafe, which Hippocrates wifhes to be procured with the juice ot tie}eta f that is5of that calamint9which fmells like Penny-royall ] mixed with barly floure. In itead whereof this following powder having the like faculty may take place. R croci, [arcocollt mi fee &fiat pulvis . [ubtilis.'But to purge the blood and matter which is gathered and lyes between the Craffa nieninx and , skulhyou (hall put in a Tent made of a rag twined up fome foure or five fteeped in fy- ryp Reificdres for the Jar cer ated Mcninm 288 Of Green nnDEloody Lib. jo. nip of Pvofcs or wormwood and a little Aqua vittfav thus you fhal prefs down both the Crafla Me- lifted up by the accuftomed and native pulfation of the brain,it fhould be hurt by the edges of the skull, yet rough by reafon of the fharp fplinters of the bone lately trepaned, and give freer paflagc forth for the matter there contained. But as oft as you fhall drefs the Patient, you fhall ve- nue the forementioned Tent,untill all the matter be purged forth. And fo often alfo you fhall prefs down with the following inftrument the Dura Mater 3 and bid the Patient to ftrive to put forth his breath,flopping his mouth and nofe, that fo the matter may more eafily be evacuated. This Inftru- ment wherewith you fhall hold down the Dura Mater5mufk have the end round, polifht and fmooth as it is here exp reft. A fit Infir ament to prefs and hold down the Dura Mater,fo to make way for the Paffate forth $f the Sanies or Matter. And let there be laid upon the Dura Mater ftrawed over with the former- ly mentioned powder, a fptinge moi- ftened and wi ting forth of a drying decoftion made of aromatick and ce- phalick things, fuch as this which followes. R Fol. fal,vi<e;)maflran.betonic£srojrar.rub.abflnth.Myrtil.florum cham#m. tnehL fla'chad.utriujque an. aroinat.ireoSy caryopbyllat#9anodic#, omnia fleundum artem cum aqua fabrorum & zino rubro,flat decotiio ad ujum difium. And in ftead hereof you may ufe claret with a little aqua t'zfx*,that fo the contained matter may be evacuated and dry td up. A fpunge is fitter for this purpofe to draw than a linnen rag or any other thing,both bccaufe it is good of it fell to draw forth the humidity,as alfo for that by its foftnes it yeelds to the pulfation of the Brain.Then apply to the wound & all the adjoining parts,an emplafter of diffolved with vinegar,or wine, or oyl of Rofes,that fo the plafter may be the more cold and foft. For in Hipfocrates opinion, no- thing which is any thing heavy or hard muff be applyed to wounds of the head, neither muft it be bound with too ftrait,or hard al igature,for fear of pain and inflammation. For Galen tells (as he had it from Mantis) that a certain man had loft his eyes by inflammation and inipoftumation arifing, for that an Apothecary had ufed too ftraita ligature to his head and facejfor this ftrait ligature fo prefled the futures, that the fuliginous vapours, which ufed to pafs through them and the pores of the skull,were flopped from palling that way ;befides, the beating of the Arteries was intercepted and hinderedjby which means the pain and inflammation fo encrcafed, that his eyes were rent and broke in funder and fell forth of their orb. Wherefore Hippocrates right- ly commends an indifferent ligature: alfo he fitly wifheth us to let the emplafters be foft which are applyed to the head,as alfb the cloaths wherewith it is bound up, to be of foft and thin linnen, or of Cotton,or wooll.When the patient is in drafting,if there come much matter out of the wound, you fhall with him if he can, to lye upon the wound, and now and then by fits to ftrive to breath, flopping his mouth and nofe, that fo the brain lifted and fwoln upwards, the matter may be the more readily caft forthjotherwife fuffer him to lye fo in his bed,as he fhall beft like of,& fhall be leaft troublefome to him. You may with good fuccefs put upon the Craffla Meninx oyl of Turpentine with a fmall quantity of aqua wit# and a little Aloes and Saffron finely powdred, to clenfe or draw forth the Sanies,or matter. Or elfe, R Meilis hord.pulver.aloesimafiich.& Ireos florent.an. 3^.aqua vit# parumdet them be incorporated together 8c make aldeterfive medicine for the forefaid ufe. Sometimes alfo the Crafla Meninx is inflamed after Trepaning,and fwoln by a Jhlegtnon, that im- patient of its place,it riles out of the hole made by the Trepan, and lifts it felf much higher then the skull,whence grievous fymptoms follow. Wherefore to prevent death,of 'which then wre ought to be afraid,we muft inlarge the former hole with our cutting mullets,that the matter contained un- der the skull,by reafon of whofe quantity the membrane fwells,may the more freely breath and pafs forth; and then we muft goe about by the prefcript of the Phyfitian to let him bleed again,to purge and diet him.The inflammation fhall be refilled by the application of contrary remedies,as this fol- lowing fomentation. R Scni.lini:>ahh#fla,n.pfl,Ai}roflrub.an.^j.fllaniip>lantag.an. M-flbulliantin aquate- pida communi,ex qua flat fotw. Anodyne and repelling medicines fhall be dropped into his eares, when it is exceedingly fwoln, that the tumor may fubfide,you fhall caft upon it the meal or floure oflen- tills,or vine leaves beaten with Goofc greafe.With all which remedies if the tumor doe not vanifh, and withall you conjecture that there is Pus or matter contained therein, then you muft open the Dura Mater with your incifion knife,holding the point upwards & outwards, for fo the matter will be poured forth and the fub fiance of the brain not hurt nor touched.Many other Chirurgeons, and I my felf have done this in many patients with various fuccefs. For it is better in defperate caufes to try a doubrfull remedy then none at all; alfo it oft-times happens,whether by the violence of the contufion and blow,or concretion or clotting of the blood which is filed, or the appulfe of the cold ayre,or the rafli applicatiomof medicines agreeing neither in temper nor complexion with the Crafla alf o by the putrefafiion of the proper fubftance,that the Dura Mater it felf becomes black. Of which lymptome the Chirurgeon muft have a great and fpeciallcare. Therefore that thou may ft take away the blacknefs, caufed by the vehcmency ofthe contufion, you fhall put upon it oyl of egges with a little Aqua wit#, and a fmall quantity of Saffron and Or- ris roots in fine fhall alfo make a fomentation of difcufiing and aromatick things boy- led in water and Figoes Cerat formerly defcribcd fhall be applyed. But if the harm come from congealed blood,you fhall withftand it with this following remedie. R Aqua uit# i>. granor. tindorum intenuempulverem Meilis Leviter & flmul bulliant omnia3& de colatura nigrities fuerit obliter ata. If this afleft come by the touch ofthe ayre,it fhall be helped with this following remedy. R Meilis rof. Jij. Fitellum ovi «• Afpunge fit to foment withalh Lib.de vuln. cap. Lib.de fafciis. The dif- commodi- tizsof too ftrait bind- ing of the head. What cloathes we muft ufe. How rhe patient muft lye in his bed. "PauIm lib. 6.cap, 90. Remedies for the in- flammati- on of the Craffa Me" ninx. How we muft open the Crajja Menznx ■when it is impofta- mate. The caufes and reme- dies of rhe blacknefs of the Dwa Mater* Remedies for contir- fion. For con. gealcd blood. L I B.IO. Wounds of each part 289 num farin.hordei $j.farcocol. 3ij.aq.vite Incorf orentur Jimul3& bullianr faululum, This remedy Hull beufed untill the blacknefs be taken away,and the membrane recover its priftine colour. But if this affeCt proceeds from the rafli ule of medicines, it muft be helped by application of things contrary. For thus the offence caufed by the too long ufe of moift and oyly medicines, may be amended by ufing catagmatick and cephalick powders; but the heat and biting of acrid medi- cineSgfhall be mitigated by the contrary ufe of gentle things 5 for both humid and acrid things fomewhat long tiled make the part look black, that truly by generating and heaping up filth, but this by the burning and hardening heat.But when fuch blacknefs proceeds from putrefaction, Ighit de Vigo commends the following remedy. R aqua But if the affeCt be grown fo contumacious that it will not yeeld to this gentle remedy,then this following will be conveni- ' ent. R Aq.vitjt Mercur. Jij. unica ebulhtione bulliantfimul ad ujum ditfum. Or R aqua & mellid unguenti <egyftiaci 3jp. Sj.vini albi boni & odor ant lev iter omnia fimuljolentur ad uium diSum .But if the force ofthe putrefaction be fo ftiibborn,that it will not yeeld to thefe remedies, it will be helped with JEgyftiacum ( made with plantain water in Bead of Vinegar) ufed alone by it felfj or with the powder of Mercury a- loneby it felf,or mixt with the powder of Alome. Neither muft we be afraid to life fuch remedies efpecially in this extream difeale of the Dura Mater ; for in Galens opinion the Crafla Meninx after the skull is trepancd delights in medicines that are acrid,that is, ftrong and very drying, efpecially if it have no Phlegmon ; and this for two reafons ; the firft is, for that hard and dry bodies, fuch as ' membranous bodies are,be not eafily affeCted unlefs by ftrong medicines 5 the other is, which muft ' be the chiefe and prime care of the Phylitian,to preferve and reftore the native temper of the part < by things of like temper to it. But if the auditory paflagenot onely reaching to the hard mem-1 branes of the Brain,but alfo touching the Nerve which defcends into it from the brain, fuffer moft vehement medicins,though it be placed foneer 5 certainly the Crajja Meninx will endure them far more eafily and without harm. But if by thele means the putrefaction be not reftrained, and the tumor be encrealed fo much, that the Dura Mater riling tar above the skull, remains unfnoveable, black and dry,and the patients eyes look fiery, ftand forth of his head and rowl up and down with > unquietnefs and a phrenfie,and thele fo many ill accidents be not fugitive,but conftant; then know < that death is at hand,both by reafon ofthe corruption of the gangnenqf a noble part, as alfo by 1 extinction of the native heat. For the hurt recei- ved by the ay re. What me' d joins make the Crajfa Meninx black. Medians -1 again ft that on of the Men'inx* Why the CraflAMe* ninx eafily rndures a- :rid medi- ans. ♦ Signs of death at hand- CHAP. XXII. Of the cure of the Brain being (bahen3 or moved. £ have formerly declared the caufes,fignes and fymptomes of the concuflion, or (baking of theBrain,without any wound of the mufculous skin, or frafture of the bone; wherefore for the prefent 1 will treat of the cure. Therefore in this cafe, for that there is fear that fome veflell is broken under the skull,it is fit prefently to open the cephalick vein. And let blood be plentifully taken according to the drength of the Patient,as alfo refpeftively to the dif- cafe both which is prefent,and like to enfue, taking the advice of a Phyfitian. Then when you have (haven away the haire,y ou (hall apply to the whole head and often renue the forementioned cataplafme,Ex other like cold and moid repelling medicins. But you muft efchew dry,and too aflringent medicins mufl be lhunned3fuch as are Vnguentum de bolo and th? likejfor they obflTuft too vehemently 3and hinder the paifage forth of the vapours both by the fu- tures and the hidden pores of the skull. Whereforethey doe not only not hinder the inflammation, but fetch it when it is abfent,or encrcafe it,when prefent. The belly fhall be loofed with a clyder, and the acrid vapours drawnc from the head ; for which purpofe alfo it will be good, to make friftions from above downwards, to make draight ligatures on the extream parts, to faften large cupping-glafles with much flame to the (houlders and the originall of the fpinall marrow,that fp the revullion of the blood running violently upwards to the brain,aud ready to caufe a phlegmon, may be thegreater.The following day it will be convenient to open the Vena Pupf>#9which is feated upon the Lambdall future,by reafon of the community it hath with the veins of the brain, & (hut- ting the mouth and nofe to drive powerfully to breath.For thus the membranes (well up, and the blood gathered between them and the skull is thruft forth; but not that which which is (hut up in the brain and membranes,ot which if there be any great quantity ,the cafe is almofl defperate,unlefs nature aflided with dronger force, cad it forth turned into Pm. But alfo after a few dayes the vend front# or forehead vein may be opened,as alfo the Temporall Arteries and Veins under the tongue, that the conjunct matter may be drawn forth by fo many open paflages. In the mean (pace the Pati- ent mud keep a (pare diet,and abdain from wine,efpecially untill the fourteenth day/or that until! that time the fearfull fymptomes commonly reign. But repelling medicins mud be tiled untill the fourteenth day be pad,then we mud come to difcuflmg medicins, beginning with the more milde, fuchas is this following deception.R rad.^lth.^vj.ire0Sscyf>eri}ca!ami M.fi-fal# omniaJimulfecundum artem cum vino rub.& aquafabrorUmrfat decotfzo.Let the head be«wa(hed therewith twice a day with afpunge. But yet when' you do this,fee that the head be not too much heated by fuch a fomentation,or any fuch likething, for fear of pain and inflammation. Then you (hall apply the cerate of Vigo which hath power to difeufle indifferently,to dry, and draw forth the humors which are under the skull, and by its a- romatick force and power to confirme and drengthen the brain ; it is thus defcribed. R Furfur# be- ne tr itur at far indent iwn rof. nryrtillor. foliorum&gr anorum ejMs an. calam. mel.melil.M.p.nuces num.v]. ole z rofaceii& cham#m.an.$iij.cer<e alb# ithur#:>mafiich#ian.'3ii).myr- rh<t Jij. Infulverem qu# redigi debent ole# cum mifeeanturfimuh&fiat mix'* inter formam emflafiri & ceroti. Gc Vigo the concuhiari of the brain is® The open- ing of the Vena. Pwp- A difcufting fomentatir on. A caution' in fomen- ting the head. A delcripri- onof/tjw/ Cerate. Of Green and Lib.io. 290 vno faith,that one of the Duke of Wto Gentlemen found the urine hereof to his great good.Hefel from his horfe with his head downwards upon hard Marble, he lay as if he had been dead,the blood £ulbt out of his nofe,mouth and ears,and all his face was fwollen and of a livid colour;he remained dumb twenty dayes,taking no meat but diffolved gellies, and.Chicken and Capon broths with fu. gar;yet he recovered.but loft his memory,and faultercd m hisfpeech all his life aftenTo which pur- pofe is that Aphorifm in Hippocratw ; Thofe which have their Brain ftaken by what caufe foever, muft of neceffity become dumb;yea alfo,as Galen obferves in his Commentary lote both their fenfe and motion.That Cent is not of fmall efficacy,but of marvellous and admirable force,which could hinder the generating of an abfeefs,which was incident to the bram by reafon of the fall. Yet there be many m?n fo far from yeelding to reafon, that they ftifty deny,that any impoftuniation can be in rhe brain and augmenting this errour with another,they deny that any who have a portion > of the brain cut off can recover, or rife again; but theauthority of ancient writers and experience do a- bundantlv refell the vanity of the reafons whereon they rely. Now for the firft,in the opinion of HzWnrtw; If thofe which have great pain in their heads have either water or blood flowing trom their Nofe,mouth or ears, it helps their difeafe. k • j-t j - riru u Kbafoand Avicen affirm that Sanies generated in the brain disburdens it felf by the nofe mouth or ears • and I my felf have obferved many who had the like happen to them. I was told by Froths Coulen, Ghirurgeon to Menjieur de Langey,that he faw a certain young man in the town of Mans, who often ufed to ring a great bell; he once hanging in fport upon the rope; * was fnatcht up therewith and fell with his head full upon the pavement,; he lay mute,was deprived r* of his fenfes and underftanding, & was befides hardbound in his belly .Wherefore prefentlya feaver and delirium with other horrid fymptomes allay led him, for he was not trepaned becaufe there ap- peared no lign of frafiure in the skull: on the feaventh day he fell into a great fwcqt with often fneefingjby violence whereof a great quantity of matter and Pus flowed forth of his ears, mouth and nofe,then he was eafed of all his fymptomes,and recovered his health. Now for the fecond,Galen affirms that he faw a boy in Smyrna of Ionia that recovered of a great wound of the brain,but fuch an one as did not penetrate to any of the ventricles. But Guido of Cauliac faith,he faw one which lived and recovered after a great portion of the brain fell out by reafon ofa wound received on the hind part of his head. Intheyearof our Lord 1538. while I was Chirurgeon to theMarffiall of Monttj an at Turin, I had one of his Pages incure,who playing at quoits received a wound with a ftone upon the right Bregma with a frafture, and fo great an Effra- fture of the bone,that the quantity of half a hafell Nut of the brain came forth thereat. Which I ob- ferving, prefently pronounced the wound to be deadly 5 a Phy fitian which was prefent contradift- ed my opinion, affirming that fubftance was no portion of the brain, but a certain fatty body. But I with reafon and experience in prefence ofa great company of Gentlemen, convinced the perti- nacy of the Man,with reafon;for that fat cannot be generated under the skull,for although the parts there contained be cold, yet becaufe they are heated by the abundance of the moft hot and fubtle animall fpirits,and the heat of vapours riling thither from all the body, they do not fuffer fat to ccncreat about them. But with experience,for that in the diflefting of dead bodies,there was never any fat obferved there; befides alfo fat will fwim on the top of water 5 but this fubftance as mar- rowy,caft into the water prefently funk to the bottome. Laftly,fat put to the fire becomes liquid and meltsjbut this fubftance being laid upon a hot iron, became dry, ffirunkup and contrafted it felf like a peece ofleatherjbut diflblved not at all. Where- fore all thofe which were prefent cryed out,that my judgment was right of that fubftance that came forth of the skull. Yet though it was cut away,the Page recovered perfectly, but that he continued deaf all his life after. A Hiftory. Apktf.fett That there may be an abfcefs in the brain, Aph.io. feefl.6. Gal.lib.de inaqUal.in- temp.fibaf. eap.q. conti nent./it'iten cap. de exit cap.2,0. A Hiftory- Lib.%.deufa part.St cbm. ad aph.1%. f'M Why fat cannot be generated under the skull. Signs of a fatty fub- ftance. C H A P. X X111. Of the -wounds of the face. Aving treated of the wounds of the head by their caufes,figns and cure, it follows that we now fpeak of the wounds of the face, if but for this, that when they are carelefly hand- led,they leave deformed fears in the moft fpecious and beautifull part of the body. The caufes are the fame which are incident to the skull,that is,external!. But this may be ad- ded to the kinds and differences of the wounds, that the life may be out of danger though any one whole part of the face,(as the ear,eye,nofe,lip)may be cut away by a wound,but not fo in the head or skull. Wherefore beginning at the wounds of the eye-brows, we will profecute in order the wounds of the other parts of the face. This is chiefly to be obferved in wounds of the eye-brows,that they are oft-times cut fo over- thwart,that themufcles,and flefhy pannicle which move and lift them up,are wholly rent and tonv In which cafe the eye-lids cannot be opened,and the eyes remain covered, and as it were fhutiup in the cafes of their that even after the agglutination of the wound, if the Patient would look upon any thing,he is forc'd to hold up the eye-lids with his hand j with which infirmity I have feen many troubled,yet oft-times not fo much by the violence of the wound,as by the unskilfulnefs of the Chirurgeon who cured them; that is,by the negligent application of the boulfters, an unfit ligature and more unfit future. In this cafe the skilfull Chirurgeon which is called to the Patient fhall cut off as much of the skin and flefhy pannicle as fhall ferve the eye-lids, that fo they may by their own ftrength hold and keep open,without the help of the hand: then he fhall fow the wound as is fit,with fuch a flitch as the Furriers,and Glovers ufe; and then he fhall pour thereon fome of the balfome of my defcription,and fhall lay fuch a medicine to the neighbouring parts. R Olei rc- far. Why we treat in par. titular of wounds of the face. A thing co be obferved in wounds of the eye- brows. L I B.IO. VFwnds of each part. 291 far. | fi}album.ovor.nu.ij.bo!i armenis[anguinit Dracon.Maftich.dn.% j. agitentur ftmul}fiat medicameHtum.Then let the part be bound with a fitting Ligature. Afterwards you fliall ufe Emplaft. de gratia DeiJLmpl. de or fome other like,untill the wound be cicatrized. But fuch like and all other wounds of the face may be ealily healed, unlefs they either be alfociated with fome malign fymp- tomes,or the Patients body be repleat with ill humors. There fometimes happens a quite contrary accident in wounds of the eye-brows, that is, when the eye-lids ftand fo up that the Patient is forc'd to deep with eyes open,wherefore thofe which are fo affefted are called by the Greeks Lagtfhthalmi.The caufe of this affeft is often internal!, as a .car- buncle or other kind of abfcefs,as a blow or ftroak. It fhall be cured by a crooked or femicircular in* cifion made above the eye-lids,but fo that the extreanis of the femicircle bend downwards,that they may be preffeddown and joyned as much as is needfull to amend the ftifnefs of the eye-lid. But you niuft not violate the griftle with your Inftrument,for fo they could no more be lifted up; the refidue of the cure muft be performed as is fit. mi a is a quite con- trary to the falling down of the eye-lids. CHAP. X X 1111. Of the wounds of the eyes. ■Ounds ofthe eyes are made by the violence of things pricking, cutting, bruifiiig, or o- therwife loofing the continuity. But the cure muff al wayes be varied according to the variety of the caufes and differences. The firft head of the cure is,that if any ftrange and heterogeneous body fhall be fallen into the eyes, let it be taken forth as foon as you can,lifting and turning up the eyelid with the cndofafpatula. But if you cannot dif- cern this moat or little body,then put three or four feeds of Clary} or Oculus Chrifii into the pained eye.For thefe feeds are thought to have a faculty to cleanfe the eyes and take out the moats, which are not faftened deep in, nor do too ftubbornly adhere to the membranes. For in this cafe, you fhall ufe this following inftrument, for herewith we open the eye-lids the further, putting it be- tween them and the eye,and alfo keeping the eye fteddy by gently prefling it,that fo with our mul- lets we may pull out? the extraneous body 5 this is the figure of fuch an Inftrument. Fbe delineation of a Speculum oculist to dilate and hold afwtder f. e eye-lids }and keep the eyefieddy}it is fo madtjthat it may be dilated and contralled according to thegreatnefs of the eyes. Allftrange bodies ta- ken out, let this medicine be put into the eye. Take the ftrains of a dozen cgs, I let them be beaten in a ■A repercuf- fivc to be put into the eye. leaden a lit- tle Role water 5 and fo put into the eye 5 but let this repercuflive be laid upon the eye and the Divers re-, percuflives ro beap- plyed to the eye* neighbouring parts. R. albumin.ovor.nu.inj.puher.aluminis rocha combufii £ ij.janguinis Draconis %].aqu& ro[ar.& plantag.an.% ij.agitentur fimuLynake a repercuflive,which you may frequently ufe.Orelfe apply checfe curds well wrung,mixed with rofewater,the white of an cgge,andas much acacia as (hall fuf- fice.This which followeth doth more powerfully flay the flowing humor. R gum arab. & tragdc. an. 5 ij.pfilii.cydon.fi:min.portul.plant.[umach.an.%ij.fiat mucag. cum aqua plantag.folan.& rofar. concinnetUr coUy- rium,of which you may drop fome both within and about the eye. But note,that all fuch remedies muft be applyed warm,both that they may the better penetrateby their moderate heat, as alfo forthat all aftuall cold things are hurtfull to the eyes and fight, be- caufe they dull the fight by incruftating the vifivefpirits.For I have known many who have become dull of fight by the frequent ufing of medicines aftually cold to the eyes. I have on the contrary feen not a few,who have recovered with the fit ufe of fuch like medicines, who have had any part of their eye (fo it were not the pupiUa or apple of the eye) fo pricked with a needle or that much of the waterilh humor ran forth thereat. The milk of a woman which fuckles a girl (forthat is reputed the cooler) mitigates pain and clenfes,if it be milked out of the Dug into the ey; to which purpofe alfo the blood of Turtles,Pige- ons or Chickens much conducesjbeing dropt into the eye by opening a vein under their wings. Al- fo this following cataplafin aflwageth pain and inflammation,and hinders defluxion,being applyed to the eye and the adjacent parts.R. Carnis pomorumfub cinere calido decoftorum | v. vitellos ovorum num. uj.casjiefifiuld recenter extraffe mucaginis pfilii, althe* & j. farin.hordeiparumfincorporentur omniafimul,fiat cataplafrna. Alfo fheeps lungs boyled in milk and applyed warm, and changed as they grow cold,are good to afiwage pain.But if the too violent heat and pain, fhall not yeeld to fuch medicineSjbut require more vehement,then Foliorum Byo[cyami,tn.j.[ub-. cineribus coquatur, atquein wort ar io cum mucagine jeminis aquisfolani &plantag.piftetur .-then let this medicine be wrapped in a linnen cloth and applyed to the eyes and temples. The mucilages of Pfillum}Ot Flea- wort,and Quince feeds extracted in a decoftion of Poppy heads and mixed with a little Opium and Rofe water,are ufed for the fame purpofe. But when there is need of detergent and farcotick medi- cines, then R, [yrup.rofitr.ficcar.% ].aqfienic.& rut*an.% ij.aloes lot*, olibani mix them for th'6 forefaid ufe.The galls of Scates, Hares, and Partridges diflblved in Eye-bright, and Fennill water, are fit for clenfing fuch wounds; as alfo this following CoUyrium. PtAqua hordei IJj.fi meUis defpumati, 3 iij.aloes ter lota in aqua plantaginis & facchari cand. an 5 j, fiat coUyiium. Alfo this infuing medicine is very farcotick. R. mucagin.gwnmi olibani, arabici, tragacanth. & farcocol. in aq. hordei extraft, an. 3 iij. C c 2 1 aloes Things adually cold are hurtfull to rhe eyes. Anodyne medicines for the eyesj1 Narco-* ticks. Detergent medicines. 1 medicine fc/ the eyes. 292 Of Green and Ploody LlB.IO. aloes ter lottinaq. rojarum. %j. cerufi ufit& an. % fi. fiat collyrium. But here you muft note,that the coat Adnata often fwells fb much by reafon of a wound or fome other injury,and Hands fo forth by the falling down of humors, accefs and mixture of flatulencies, that it hides the whole Pupilia, and hangs forth of the eye-lids, like as if it were an unnaturall flcfhy excrefcence, and it loofes the native colour,and looks very red,fo that the eye can neither be fhut nor opened. Wherewith a young Chirurgeon being deceived,determined to cut away this protuberancy of the Adnata,though it had been fome fuperfluous flefh, and then to waft it with cathaeretick pow- ders,had I not forbidden him,telling him ofthe certain danger of blindnefs which would thereup- on befall the Patient. Wherefore I prefcribed a fomentation of chamomile, melilote, Rofe leaves, worm wood,rue,fennill,and anifeeds boy led in milk with the roots of Orris and Marigolds.Then I prefently added this following fomentation,being more powerfull and drying. R cuprefsi, hiPpurir, flo. chanwn.rof. rub.an. Mfl. bulliaritfimul cum aqua fabrorum,& fiat decofium: pro fotu cum fpongi a.Betides alfo you may apply a cataplafm made ofbarly and bean flowre, the powders of Maftick,Myrrhe,and Aloes, and fome of the laft defcribed decoftion. The tumor be- ginning to decline, I dropt the flowing liquor into the eye, which hath a very aftringent, drying and ftrengthening faculty. Roaft a new laid egge in Embers untill it be hard,then pill off the fhel, take forth the yolk,and in place thereof put a fcruple of Roman Vitrioll in fine powder, then put it in a linnen cloth and wring it hard forth into fome clean thing, and drop thereof for fome dayes into the eye,with a little Smiths water wherein Sumach and Rofe leaves have been boy led. I have experience force of this remedy ; but if notwithftanding there be a true e flefhy excrefcence upon the coat Adnata,it may be taken away by this following powder. R Offls fe- pi£,& tcfi.e ovorum calcinate an £5 Vitriol, burnt Alum and the like may be com- ■ modioufly ufed to this purpofe. Yet you muft warily make uie of all fuch things, and alwayes lay repercuffives about the eye,that no harm infue thereof. For divers times acrid humors fall down * into the eye with fiich violence,that they break the Horny coat, whereupon the humors of the eye are poured out. Remember alfo, that in difeafes of the eyes, the Patient lye with his head fome- what high, and that he keep fhut not only the pained,but alfo the found eye, becaufe reft is alwayes neceflary for the grieved part.But one eye cannot be moved without fome motion of the other by reafon ofthe connexion they have by their optick and moving nerves, both the Meninges and the Pericranium,Veins and arteries;which is the caufe that when the one fuffers, the other in fome fort partakes therewith. But if we cannot prevail by all thefe formerly prefcribed medicines fit to ftay the defluxion,then * it remains,that we apply a Seton to the neckjfor it is a Angular remedy againft inveterate defluxions into the eyes.For we Know by dayly experience,that many who have had their fight dulled by a long and great defluxion,fo that they were almoft blind, have by little and little recovered their former fplendourand fharpnefs of fight,when matter once begun to be evacuated by the Seton. The truth hereof appeared in Paul the Italian Goldfmith,who dwelt neer the Auftine Friers.For he having ufed many medicines of divers Phyfitians, and Chirurgeons in vain, when he was almoft blind,he applying a Seton, by mine advice,began by little and little to fee better according to the quantity of the matter which was evacuated,untill at length he perfeftly recovered his fight.But at laft growing weary of the Seton which he had worn for a year (although matter came dayly forth thereof ) yet he would have it taken forth,and healed up;but this way of evacuation being ;fhut up, and the humor again beginning to flow into his eyes,fo that he was in danger to become blind, he called me and made me again to apply the Seton in his neck.Whereby recovering his former found - nefs and perfeftion of fight,he yet wears the Seton. I alfo once freed by this kind of remedy,by the appointment of the moft learned Phyfitian HoUe- riuf, a certain young man of twenty years old, from the falling ficknefs, who before had many fits thereof; the Ichorous humors,the feeders of this difeafe, being by this means,as it is moft probable, drawn away and evacuated; A drying fomentati- on. A medicine to confumc aflefhy ex- crefcence without bi- ting. A Seton,a good retnfi' dy againft inveterate deflaxions into the eyes. A Hiflory. A Seton good a- gainftthe falling fick- nefs. The man* ner of ma- king a Se- ton, A figure of the 1* inter squall Cautery and Needle ufed in making a Seton. Wherefore feeing a Seton is of this life, I have thought good in this place to let down in writing and by figure, the manner of making thereof, for the behoof of 'young praftitioners: ' wifh the Patient to fit on a low ftool,and to bend down his head, that fo the skin and flclhy pannicle may be relaxed; then muft t^ie trorn mufcles,and take hold of as much hereof as you cairwitl/your SSlJhen,"'.C'eS.°f forfa'- °f *convulfion and othe/fymptome /you tall then twitch the skin which is held in the pincers,mofl hai d,when you Ml thruflthe hot Iron through L I B.IO. Wwndf of each part. 293 through the holes made in the midft of them; that allb the nerves being lb twitched, the dolori- fick fenfe may the lefs come to the part. The wound muft be made or burnt in long wayes, and nos twharting,that fo the matters may be the better evacuated by the ftrait libers. But the cautery or hot Iron muft have a three or elfe a four-fquare point & that fl]arp,that fo it may the more ealily and Ipeedily enter. Then keeping the pincers immoveable, let him draw through the paftage made by the cautery a needle thred with a three or four doubled thred of Cotton [or rather a skean of lilk] moiftened in the white of an egge and oyl of Roles; then after you have applyed pledgets dip- ped in the fame mcdicine,bind up the part with a convenient ligature. The day lollowiug the neck muft be anointed with oyl of Roles, and the pledgets dipped in the former medicine applyed for fome dayes after. But it will be convenient to moiften the Seton with a digeftive made of the yolk of an Egge and oyl of Roles , untill the ulcer call forth much matter; then you lhall anoint the Cotton thred with this following remedy. R terebinthin# ven. 5 iiij.fjrupi rojat. & ab- finthii an. 5 fi.pulvexis Ireos sdiacr)diia trochzjcat/s&' omnia fitnul & fiat medi- camentum. Which you lhall ufe fo long, as you intend to keep opeii the ulcer. For it hath a faculty to draw the humors from the face,and clenle without biting. I have found not long lince by experience,that the apertion made with a long thick Triangular needle of a good length like to a large pack-needle, is lefs painfull than that which is performed with the aftuall cautery ,which I formerly mentioned.Wherefore I would advice the young Chirur- geon,that he no more ufe the forefaid aftuall cautery.I have here given you the figure of the needle. The Figure of aHriangular Neeiile. CHAP. XXV. Of Wounds of the Cheek. Eeing a wound of the cheek feems to require a future,it muft have a dry futiirefas they tern it) left that the fear fhould become deformed. Forthat deformity is very grievous to ma- \ny,asto women who are highly pleafed with their beauties. Therefore you (hall fpread two peeces ofnew cloath of an indifferent finenefs,and proportionable bignefs with this infiling medicine. R. fulverit Draconif9thurif9farin£ volatil^3tragagcmthacontulie^/i: ficifjarcocol!# ij.pic/f nigr& $ i oworum qu£[ufliciantrfat medicamentum. Applythe peeces of cloth fpread with this on each fide of the wound one,feme fingers breadth afunder,and let ita- lone till it be hard dryed to the skin. Then you fliall fo draw them together with your needle and thred3that the flefh by their fticking may alfo follow,and be mutually adjoined., as you may fee it here expreft. The wound dial I be agglutinated by this means, together with the ufe of fit medi- cincs,pie* 'gets,ligatures.But all the liga- tured and ftayes which (hall be ufedfoi that purpofe muft be fattened to the Pa- tients night-lap. But when the wound is great and deep, and the lips thereof are much di- ftant the one from the other, there can be no ufe offuch a dry future. Wherefore you muft ufe athree or four fqiiare needb £that fo it may the more readily and eafily enter into the flefh ) being thred with a waxed thred ; and with this you muft thruft through the lips of the wound, and leave the needle fticking in the wound,&then wrap the thred to and again over the ends thereof eight or ters times,juft after that manner which wo- men ufo to faften a needle with thred in it,upon their fleeves,or Tailors to their hats or caps, that they may not lote them. The needle thus faftened , fhall be there untill the perfect agglutina- tion of the wound; this kind of future is u fed in the wounds of the lips, as alfo in hare-lips, forfbwe commonly call lips which are cleft from the firft conformation in the wombe by the error of the forming faculty . But fuch a future will help nothing to agglutination,if there lye or remain any skin between the lips of the Gc 3 wound The life of a dry fu- ture. How to make a dry future. A Suture fit for hare- lips. The man- her thereof What hire lips are© 294 Of Green and 'Bloody Lib.io. woundjWherefore you fhall cut away whatfoever thereof fhall be there, otherwife you muft ex- peft no union.Other kind of futures are of no great ufe in wounds of thefe parts, for out of the ne- ceffity of eating and fpeaking,they are in perpetuall motion; wherefore a third would cut the flefh; for which reafon you fhall take up much flefh with fuch Needles mentioned in this laft defcribed kind of Suture as this following figure fhewes. Thefigure of the future fit for cloven or hare lipr,atalfothe dilineationof theNeedle about whofe endt the thred u wrapped over and under, to and again. To this purpofe I will recite a hiftory3 to the end,that if a- ny Rich thing happen to come to your hands,you may do the like.A certain Gaicoin in the battell at Saint Lmewehad his upper jaw cut overthwart even to his mouth,tothe great dis- figuring of his face. The wound had many wormes in it and flank exceedingly3becaufe he could get no Chirurgeon untill three dayes after he was hurt. Wherefore I wafhed it with ade- coftion ofwormwood, Aloes,and a little JF^ptiacum,both to kill the wormes3and to letch away all the putrid matter;! dif- cufled the tumor With a diffolvingTomentation and cataplafm, I joyned together the lips of the wound with the laft defcri- bed future.But I applyed this following medicine to the whole part. Br Terebinth. bolt arme- drac. aloes9an. incorporentur ftmuljiat medicamentum.The wound was agglutinated within a few dayes, but that there remained a certain little iole at thejoyning ofthe lower jaw with the upper, wherein you could fcarfe put the head of the pin;out whereof neverthelefle much ferous and thin moyfture flowed, efpecially when lie either eat or fpake;which I have alfo obferved in many others. But for flaying of this wa- terifh humidity I dropped Aquafortis into the bottome of the ulcer, and divers times put therein a little of the powder of burnt vitriol. Thus by Gods grace he recovered and becane whole. A Hiftory. Adeeoflion good to wafh away putrefafli- on. A final! hole remaining after the cureof great wounds* C H A p. XXVI. Of the wounds of the Noje. How many wayes the nofemay be hurt- He Nofemany wayes fuffers folution of continuityjas by a wound5frafture and contufion, and it is fometimes battered & broken on the upper part;which w hen it happens,you fhall reftore the depreft bones to their native feat and figure., with the end of a fratula or fit. ftick wrapped about with towe?cotton or a linnen rag.Then with pledgets dipped in an aftrin- gentmedicine compoled ex albunune (rvi9maftich.bolo armeno3 janguin.drac. & Alumine ufto3 and applyed to the fide of the nofe?he fhall labour to ftrengthen the reftored bones3and then bind them with a con- venient ligaturejWhidi may not prefle them too much5left the nofe Ihould become flatus it happens to many through the unskilfulnefs of Chirurgeons. The cure of a bro" ken note. The ufeol pipes in broken n ofes. 1 he Figure of pipes to be put into theNofir ils. Then muft you put little pipes into the no- ftrills, and thefe not exaftly round,but fomewhat flat anddeprcft,tyed to the night-cap on each fide with a thred, left they fhould fall out.By the help of theft pipes the bones of the nofe will be kept in their place, aiid there will be paflage forth for the matter, and for infpiration and exfpiration. But if all the nofe, orfome portion thereof fhall be wholly cut off,we muft not hope to reftore it. But if the Nofe be fo cut, that as yet it adheres to much of the adjacent flefh, from whence it may re- ceive life and nouri(hmenr,then fow it up. For the lower part of the nofe it may be lhaken,deprelt and wrefted afide, feeing it is griftly; but it cannot be broken as the other which is of a bony nature. CHAP. XXVII. Of the Wounds of the longue. How many wayes the contin wiry of the tongue may be loofed. He tongue may be fo wounded, that either it may be wholly cut on ana aepnvca of lorn portion of the fubftance,or only flit longwayes or atwhart.The Ioffe of the fubftance can not be repaired,becaufe every part feparated andpluckt from the living body,from wheno it had life,fpirit and blood,prefently dyes.For as the Philofophers fay, Aprivations ad ha' bitum non eft regreflits,But when it is cut or flit longwayes or fidewayes,it is eafily reftored by future if fo be that the cloven part yet adhere to the living body from whence it may draw both mattei and form of life. Therefore a carefull fervant (hall ftraitly hold with a foft and clean linnen clot! the body of the tongue,left it fhould flip away by reafon of its flipperinefs, whilft the Chirurgeor flitch it above and belowjwhen he thinks he hath fufficiently fowed it, let him cut off the thred a; neer to the knot as he can, left beingdeft too long it might be tangled with the teeth as he eats,anc fo caufe a hurtfull laceration or reading of the fowed parts. In the mean time let the patient eai barly creams,almond milks, Gellyes, culliffes and broths, and the yolks of let him ofter hold in his mouth Sugar of Rofes and fyrup of Quinces; for fuch things'befides their nourilhim faculty ,perfo rm the part of an agglutinating and detergent medicine. I have learned thefe thing; I have here fetdown, neither from my mafters whom I have heard with attention, nor by reading The cure of a cloven tongue. Lib.io, Wounds of each part 295 of books,but they have been fuch as I have tryed with happy fuccefs in many; as in the fon ofMon- heur de Marigny Prefident of the Inquifition,in John Piet a Carpenter dwelling in the fuburbs of Saint German. But moft apparently in a child of three years old,the fon of the great Lawyer Monfieur Covet, who fell with his chin upon a ftohe,and fo cut off a large peece of the end ofhis tongue, which chanced to be between his teeth,it hung but at a very fmall fiber of Hefti,fb that I had very little or no hope to agglutinate and unite it,which thing almoft made me to pluck it quite away; yet I changed that' determination by conftdering the lofs of the moft noble aftion of fpeaking, which would thereup- on enfue,and weighing the providence of nature often working wonders and inch things as exceed the expectation of the Phyfitian in curing difeafes. 1 alfo thought thus with my felt, the flefli of the tongue is foft,loofe,fungous and fpungy,neither is it altogether obvious to the external! inju- ries of the ayr ; wherefore after that I had once or twice thruft through the needle and th red up- wards and downwards,and for the reft ordered the child to be tiled and dieted after the manner I lately mentioned,he grew well within a Ihort time,and yet remains fo,fpeaking well and diftinftly. AHillory. Nature oft doth firangei things in thejeure; of djfeafes. CHAP. XXVIII. Of the /Ebunds of the Eares. -Ie eares are fometimes wholly cut off, fometimes but in part, otherwhiles they are only flit,fo that the rent portion as yet adhering to the reft, is joyncd with it in communi- on of life,In this laft cafe it is fit to life a future; but yet fo that you touch not the griftle with your needleffor thence there would be in danger of a gangrene which happens to many by foolilh curing ; therefore you fhall takeup and comprehend with your needle only the skin,and that little fleih which encompaffes the griftle. You (hall perform the reft of the cure with pledgets and ligatures artificially fitted,and (hall refift inflammation and other fymptomes with fit medicins. But you muft take fpeciall care that no fuperfluous fleih grow in the auditory pailage, which may hinder the hearing ; wherefore you (hall keep that paflage free by flopping it with a peece of fpunge. But you (hall procure agglutination and confolidation ofthegriftly part( and therefore next to a bone moft dry) with dry medicins. But thofe who have their ears quite cut off, can do nothing but hide the deformity of their mif-hap with a cap,ftufted with cotton on that fide. How many wayes the" unity of ears may be violated. How to fow a wounded Eate. CHAP. XXIX. Of the EEounds of the neckband throat. He Wounds of the neck and throat are fomewhiles fimple, as thofe which only ufe the continuity of the muffles;otherwhiles compound, fuch as thole which have conjoyned with them a fra&ure of the bones, as of the Vertebra-pr hurt of the internall and exter- nal! jugular Veins,or fleepy Arteries;fometimes the Trachea Arteria3 or Weazon, and the afyhagus or gullet are wounded;fometimes wholly cut off,whence preffnt death enfiies. Wherefore let not the Chirurgeon meddle with fuch wounds, unlefs he firft foretell the danger of death, or the lofsoffome motion to thofe that are prefent. For it often happens that fomc notable nerve or tendon is violated by a wound in the neck,whence a palfie enfues, and that abfolutely incurable, if the wound fhall penetrate to the fpinall marrow, alfo hurt therewith. Wounds of the gullet and Weazon are difficultly cured becaufe they are in perpetuall motion; and chiefly of the latter by rea- fon it is griflly and without blood.The wounds of the gullet are known, by fpitting of blood,by the breaking forth of meat St drink by the woundjbut if the gullet be quite cut afunder,the patient cannot fwallow at all. For the cut parts are both contracted in themlclves, the one upwards, and the other downwards. But we know the weazon is hurt, by calling up blood at the mouth with a continual! cough, and by the coming forth of the breath or winde by the Wound. The Wounds of the jugular Veins and fleepy Arteries,if they be great, are ufually deadly, becaufe they cannot be ftraitly bound upffor you cannot bind the throat hard without danger of choaking or ftrangling the patient.But for defect of a ftrait ligature in this cafe the flux of blood proves deadly. If the re- current Nerve ofeither fide be cut,it makes the voice hoarfe;if cut on both fides,it takes away the ufe of fpeech,by hurting thefe inftruments which impart motion to the muffles of the Larinx. For the cure if the wound be final!, and not affociated with the hurt of any notable veffel, nor of the Weazon and gullet,it is fpeedily and eafily cured ; and if there fhall be need you fhall ufe a future, then you fhall put therein a fufficient quantity of Venice Turpentine mixed, with bole-Armenick; or elff fome of my Balfam of which this is the receipt. R Terebinth, veneta lb fl. gum. elemi Jiiij. olei armenis& fang.draconis an. |j. aqua vita ant fitnul omnia lento fiat Bal- jamum utartis gulverif ireos florent. done wonders with this Balfame in the agglutination of Ample wounds,wherein no flrange body hath been. Now when you have put it in,lay upon it a plaifter of Diacalcitheos diffolved in oyl of Rofes & vinegar,as that which hath power to reprefs the flowing down of humors, and hinder inflammation, or in Read thereof you may apply Emg.de Gratia Dei, or Emg.de lanua. But if the jugular veins and fleepy Arteries be cut,let the bleeding be flayed,as we have ffiewed in a chapter,treating thereof. When the Weazon or Gullet are wounded,the Chirurgeon fhall fow them up as neatly as he carijand the Patient fhall not endeavour to fwallow any hard thing,but be content to be fed with gcllyes and broths. When a gargarifine is needfull,this following is very good. R hordei M.j.flcrum rojar- g.j. gaflul.mund. jujuba- rum omnia flmul3addendo mellisrofi& Julep.roflanflflYj.fiat gargarijina, ut artitefl. With which being warm the Patient fhall moyften his mouth,and throat,for it will mitigate the harfhnefs of the part,aflwage pain,cleanie and agglutinate, and make him breath more freely. But that the Chirurgeon may not defpaire of, or leave any thing unattempted in fuch like wounds, I have thought good to demonflrate by fome examples how wonderfull the works of . nature are, if they be affifled by Art. A The diffe- rences of wounds of the neck & I rhroat* The palfie fo Howes upon wounds of the neck. Signes that the gullet is woun- ded* The wounds of the jugular veinsand fleepy Ar- teries are deadly by accident. Byhurting the recur- rent Nerve the voice is hurt. The de. fcription of the Au. i thorsBal- fam. .The faculty of 'DzdfdZ- citheot. The cure of the wounded Wcazon and gulletd A garga- rifm. The mart*' fold ufe thcrcofi 296 Of Green and'Bloody LI B. i o. A Hiflory, ■ A certain fervant of Monfieur de Chatnyaignc3 a gentleman ofx4faj<w, was wounded in the throat with a fword,whereby one of the jugular veins was cut together with his Weazon. He bled much and could not lpeak,and thefe fymptomes remained, untill Inch time as the wound was (owed up, and covered with medicines. But if the medicins at any time were more liquid, he as it were fucked them by the wound and fpaces between the ftitches,and prcfently put forth at his mouth that which he had fucked or drawn in. Wherefore more exactly confidering with my fell, the greatnefs of the Woundjthe fpermatick, and therefore dry and bloodlefs nature unapt to agglutination, of the af- fected part,but chiefly of the Weazon and jugular veinjas alfo for that the rough Artcry is obnoxi- ous to thefe motions which the gullet performs in fwallowing, by reafon of the inner coat, which is continued to the coat of the gullet,by which means theie parts mutually ferve each other with a reciprocal! motion,even as the ropes which run to the wheel of a pulley j furthermore weighing that the Artery wasneceflary for the breathing, and tempering the heat of the heart,as the jugular veins ferved for the nourifhment of the upper parts 5 and laftly weighing with my fell the great quantity of blood he had loft, which is as it were the treafiire of nature, I told thole which were prefent,that death was neer and certainly at hand. And yet beyond cxpe&ation, rather by divine favour then our Art,he recovered his health. Equally admirable is this hiftory folio wing,Two Englilhmen walked out of the City of Pa- ris for their recreation to the wood of Ffiwnwe 5 but one of them lying in wait to rob the other of his money and a maflie chain of gold which he wore fit upon him at unawares, cut his throat and robbed him,and fo left him amongft the Vines which were in the way, fuppofing he had kill'd him,having with his dagger cut the Weazon and gullet. This murderer came back to the cityjthe other half dead,crawled with much adoe to a certain Peafants houfe,and being drefled with filch medicines as were prefent and at hand,he was brought to the City, and by his acquaintance com- mitted to my cure to be cured. I at the firft,as diligently as I could, fowed up the Weazon which was cut quite afunder, and put the lips of the wound as dole together as I could 51 could not get hold of the gullet becaufe it was fallendown into the ftomach, then I bound up the wound with medicins,pledgets and fit ligatures. After he was thus dreft he begun to fpeak, and tell the name of the villain the author of this faft,fo that he was taken and faftened to the wheel, and having his limbs broken loft his wretched life,for the life of the innocent wounded man who dyed the fourth day after he was hurt. The like hurt befell a certain Germane,who lay at the houfe of one Perots in the ftreet of being frantickjin the night cut his throat with a fword:I being called in the morning by his friends who went to fee him,dreft him juft after the fame manner as I drefled the Englifliman.Wherefore he prefently recovered his fpeech,which before could not utter one fyliable, freed from fufpition of the crime and prifon the fervant, who lying in the fame chamber with him, was upon fufpition committed to prifon,and confcfling the thing as it was done, lived foure dayes after the wound be- ing nourilhed with broths put into his fundament like clyfters, and with the gratefull vapour of comfortable things,as bread newly drawn out of the Oven and foaked in ftrong wine. Having thus by Art of Chirurgery made the dumb fpeak for the fpace of foure dayes. A flrange Hiftory. Another Hiflory. CHAP. XXX. f'f the of the Chefl. The diffe- rences of wounds of the Cheft. Ome wounds of the Cheft are on the fore fide,lbmc behind, fome penetrate more deep,o- thers enter not into the capacity thereof other fome pierce even to the parts contained therein,as the hollow vein, and afeendent artery ; O- ther fome palfe quite through the body;whereby it happens that fome are deadly, fome not. You fhall thus know that the wound penetrates into the capacity of the Cheft, if that when the patients mouth and nofe be fhut,the breath, or wind breaks through the wound with noile, fo that it may diffipate, or blow out a lighted candle being held neer it. If the patient can fcarfe either draw,or put forth his breath, which alfo is a figne that there is fome blood fallen down upon the By thefc fignes you may know that the heart is wounded : If a great quantity of blood gulh out, if a trembling poflefle all the members of the body • if the pulfe be little and faint,if the colour be- come pale,if a cold fweat and frequent fowning aflail him, and the extream parts become cold, then death's at hand. Yet when I was at Turin I faw a certain Gentleman who fighting a duell with another, received a wound under his left breft which pierced into the fubftance of his heart, yet for all that he ftruck fome blowes afterwards,and followed his flying enemy fome two hundred paces untill befell down dead upon the groundshaving opened his body, I found a wound in the fubftance of the heart, fo large as would contain ones finger; there was only much blood poured forth upon the midriffe. Thele are the fignes that the Lungs are wounded, for the blood comes foamy or frothy out of the wounds,the Patient is troubled with a cough,he is alfo troubled with a great difficulty of brea- thing and a pain in his fide, which he formerly had notjie lyes moft at eafe when he lyes upon the wound,and fometimes it comes fo to pafs, that lying fo he (peaks more freely and eafily,but turn- ed on the contrary fide,he prefently cannot ipeak. When the Diaphragma} or midriffe is wounded,the party affededis troubled with a weight or heavinefs in that place,he is taken with a Delirium., or raving by reafon of the fympathy of the Nerves of thefixth conjugation which are fpread over the midriffe; difficulty of breathing,a cough & ffiarp paintroubles the patient,the Guts are drawn upwrards;fo that it fometimes happens by the vehe- Thefignes. Signes that the heart i$ wounded. A Hiflory. Signes that the Lungs are woun- ded. Signes that thctaidriffe is woun- ded. Lib.10. W\oundr of each part. 297 vefiemencyofbreathing,that the ftomach and guts are drawn through the wound into the capacity of the CheGfwhich thing I obferved in two. The one of thefe was a Mafon,who was thrtift through the mid ft of the midriffe,where it is nervous., L and dyed the third day following. I opening his lower belly, and not finding his ftomach, thought it a nionftrous thing j but at length fearching diligently, I found it was drawn into the Chcft, through the wound which was fcarfean inch broad.But the ftomach was full of wind,but little humidity in it. The other was called captain Franck d'Alon& Native of before Rochell was (hot with a Musket Bullet,entring by the breaft-bone neer to the fword-like Griftle, and palling through the? flelhy part of the midriffe,went out at the fpace between the fifth and fix th baftardribs. The wound1 was healed up on the out fide,yet for all that there remained a wcaknefs of the ftomach, whereupon a pain of the guts like to the colick took him, efpccially in the Evening, and on the night 5 for which caufe he durft not fup but very fparingly. But on the eighth month after,the pain raging more vio- lently in his belly then it was accuftomed,he for the mitigating of the vehemency there- of Simon Mahnedy and Anthony du Vai both learned Phy fitians omitted no kind of remedy. The body of the difeafed was opened by the skilfull Chirurgeon JWj GuiUe<meauy who found a great portion of the colick gut fwelled with much wind gotten into the Cheft, through the wound of the for all it was fo fmall that you could fcarfc put your little finger in thereat .But now let us return from whence we digrefled. We underftand that there is blood poured forth into the capacity of the Cheft by the difficulty of' breathing,the vehemency of the increafing feaver,the ftinking ofthe breath, the calling up of blood at ] the mouth,and other fymptomes which ufually happen to thefe who have putrefied and clotted blood poured out ofthe velfels into the belly,infefting with the filthy vapour of the corrupt fubftance, the ' parts to which it (hall come. But allo, unlefs the Patient cannot lye upon his back, he is troubled1 with a defire to vomit,and covets now and then to rife,whence he often falls into a lwound,the vitall * faculty which fuftains the body being broken and debilitated both by reafon of the wound, andcon- creat or clotted bloodjfor fo putting on the quality of poyfon, it greatly diftipates and dillblves the ftrength ofthe heart. It is a fign the fpinall marrow is hurt, when a Convulfion or Palfie, that is, a fodain lols of fcnfe1 and motion in the parts thereunder,an unvoluntary excretion of the Urine and other excrements Or a total 1 fuppreffion of them,leifes upon the Patient.When the hollow vein and great Artery are WQUn- ded,the Patient will dye in a ftiort time, by reafon of the fodain and aboundant effufionof thebjoo4 and fpirits, which intercepts the motion of the Lungs and heart,whence the party dyes faffocated. A 'Inothet rliftory. Signstbat rhere is blood poured into the capaci; ty of the Chcft. Signs that thcfpiricis wounded. C H A P. X X X. Of the cure of the Wounds of the Cheft. have read in lohn de Vigo, that it is difputed amongft Chirutgeons concerning the confoF" lation of wounds oi the Cheft.For fome think that ftich wounds muft be clofed up, and c1" :atrized with-all poffiblefoeed, left the cold air come to the heart, and the vitall fpirits fly away andbe diflipated.Others on the contrary think that fuch wounds ought to be long kept operand alfo if they be not fufficiently large of themtelves, that then they muft be inlarged by Chirurgery,that fo the blood poured forth into the capacity of the Cheft may have paflage forth, which otherwife by delay would putrefie,whence would enfue an increafe of the feaver,a fiftulous ul- cered other pernicious accidents. The firft opinion is grounded upon reafon and truth, if fo be that there is little or no blood poured forth into the capacity of the Cheft ; But the latter takes place where there is much more blood contained in the empty fpaces of the Cheft. Which < left I may feemrafhly to determin, I think it notamifsto ratifie each opinion with a hiftory thereto agreeable. Whilft I was at Tarin,Chirurgeon to the Marlhall of Montejan, the King of France his Generali, I had in cure a Souldier of Prf/T,whote name was ferved under captain Renovart.He had three wounds,but one more grievous than the reft,went under the right brcft,fomewhat deep into the capaci- ty of the Cheft,whence much blood was poured forth upon the midrifle, which caufed fuch difficulty o: breathing,that it even took away the liberty of his fpeech; befides through this occafion he had a ve- hement feaver,coughed up biood,and a (harp pain on the wounded fide. ' The Chirurgebh which firfl dreft him,had fo bound up the wound with a ftrait and thick flit ure,that nothing could flow out there- at.But I being called the day after,and weighing the prelent lymptomes which threatned fpeedy death, judged that the lowing of the wound muft ftraight be looted; which being done there inftantly ap- peared a clot of blood at the orifice thereof,which made me to caufe the Patient to lye half out of his bedjWith his head downwards, andtoftayhis hands on a fettle which was lower than the bed, and keeping himtelf in this pofture,to (hut his mouth and note that fo his Lungs Ihould fwell,the midriffi be ftretched forth,and the intercofta.il muteles and thote of the Abdomen Ihould be comprefled, that th< blood poured into the Cheft might be evacuated by the wound; but'alfo that this excretion mighi fuccced more happily,! thruft my finger fomewhat deep into the wound,that fo I might open the ori- fice thereof being flopped up with the congealed bloocfiand certainly I drew out fome feven or eight ounces of putrefied & ftinking blood by this means. When he was laid in his bed,I cauted frequent in- jettions to be made into the wound of a deco&ion of Barly with Honey of Rotes and red Sugar,which being injetted I wifhthim to turn firft on the one,andthen on the other fide,and then,again to lye out of his bed as before:for thus he evacuated fmal,but very many clots of blood,together with she liquoj lately in jetted; which being done,the fymptomes were mitigated,8c left him by little and 1 it tle.Tht next day I made another more detergent injettion,adding thereto wormwood,centaury,and Aloesjbut fuch a bitternes did rife up to his mouth together with a defire to call,that he could not longer induce it.Then it came into my mind that formerly I had obterved the like eftett of the like remedy in the Ho- fpital Figo tra&» de i/uln.tho" lq, A Why tbktcr things muft nor be caft into the Chcft, 298 Of Green and'Eloody Lib. 10. fpitall of Par if, in one who had a fiftulous ulcer in his Chcft.Therefore when 1 had confidered with my felf that fuch bitter things may cafily pafs into the LungS5and fo may from thence rife into the Wea- pon and mouth,! determined that thence for wards I would never ufe Inch bitter things to my Patients, for the ufe of them is much more troublefbme than any way good and advantageous.But at the length this Patient by this and the like means recovered his health beyond my expeftation. But on the contrary, I was called on a time to a certain Germain gentleman who was run with a fword into the capacity of his Cheft, the neighbouring Chirurgeon had put a great tent into the n wound at the firft drafting,which I made to be taken fortfi,for that I certainly underftood there was no '• blood powrcd forth into the capacity of the Cheft becaufc the Patient had no leaver, no weight upon • the fpitted forth any blood.Wherefore I cured him in few dayes by only dropping in fome of my balfame and laying a plaifter of TJiacalcitbeos upon the wound. The like cure I have hap- pily performed in many others. To conclude, this I dare boldly affirm, that wounds of the Cheft by 11 the too long ufe of tents degenerate into Fiftula's. Wherefore it you at any time ffiall undertake . the cure of wounds which penetrate into the capacity of the Cheft, you ffiall not prefently (hut them e up at the firft drafting,but keep them open for two or three dayesjbut when you ffiall find that the Pa- tient is troubled with none or very little pain, and that the midriffe is prefled down with no weight, and that he breaths freely,then let the tent be taken forth,and the wound healed up as fpcedily as you can by covering it only with lint dipped in fome balfame which hath a glutinative faculty, and laid fomewhat broader than the woundsnever apply linime nts to wounds of this kind,left the Patient by breathing draw them into the capacity of the Cheft.Whcrefore alfo you muft have a care that the tent put into thofe kinds of wounds may be faftened to the pledgets, and alfo have fomewhat a large head left they ffiould be drawn as we faid into the capacity of the Cheft, for if they fall in, they will caufe putrefaftion and death. Let Emplaft. Dccalcitheos or fome fuch like be apply ed to the wound.But if on the contrary,you know by proper, and certain figns,that there is much blood fallen into the fpaces of the Cheft,then let the orifice ofthe wound be kept open with larger tents, untill all the Sanies or bloody matteijwherein the blood hath degenerated,ffiall be exhauftcd.But if it happen at any time, as afluredly it fometimes doth,that notwithstanding the Art and care of die Phyfitian, the wound dege- nerates into a Fi/?w/<«,then the former evill is become much worfe. For Fiftula's of the Cheft,are (carte cured at any time,and that, for divers caufes.The firft is,for that the mufcles of the Cheft are in perpetu- al! motion ; Another is,becaufe they on the contrary infide.are covered only with the membrane in- vefting the ribs, which is without blood. The third is,for that the wound hath no ftay, by means whereof it may be comprefled,fowed,and bound,whereby the lips being joyned together, the wound may at length be replcniffied with fleffi and cicatrized. But the reafon why wounds of the Cheft do every day heap up and pour forth fo great a quantity of matter,(eems to be their vicinity to the heart, which being the fountain of blood, there is a perpe- tual! efflux thereof from thence to the part affefted. For this is natures care in prelerving the affefted parts,that continually and aboundantly without meaffire or mean it fends all its fupplyes, that is, blood and Ipirits to the aid. Add hereto,that theaffefted parts by pain,heat,and continual! motion of the Lungs and midriffe, draw and allure much blood to themfelves. Such like blood defiled by the malignity and filth of the wound,is (peedily corrupted; whence it is that from the perpetual! afflux of blood, there is a continuall efflux of matter or filth ,which at the laft brings a man to a confiimp- tion j becaufe the ulcerated part like a ravenous wolf coqfumes more blood by the pain,heat and mo- tion than can beminiftred thereto by tlieheart.Yet if there be any hope to cure and heal the Fiftula, it ffiall be performed, (after the ufe of diet,phlebotomy,and according to the preffiript of the Phyfitian) by a vulnerary potion, which you (hall fifid defcribed when we treat of the Caries or rottennefs of the bones.Wherefore you ffiall make frequejit injeftions therewith into the Fiftubi, adding and mixing with it lyruputfde rofts ftccx and mel do I,if the putrefa&ion be great, fear to mix there- with FEgyptiacum. But you muft have a care to remember & obffirve the quantity of the injefted liquor* that you may know whether it all come forth again after it hath performed its detergent office. For if any thereof remain behind in the corners and crooked paffages,it hurts the part, as corrupted with the contagion thereof, Read the Hirtory of Marylliu in Gtilen.lib.7. de Anatom, admimfira. What ham enfuesthe too long uft of tents. No lini- ments mnft be nfed in wounds of i he t heft. Wounds of the C heft eafily dege- nerate into a Fifiula. VVhy there flows fuch plenty of matterout of wounds of the Chert i The cure of a Fiftula in the Chert. VVhenzE- gyptiacum muftbeput into the in- jeftions. 'Ibe form of a Syringe fit to injeflion.jwhen a great quantity or liquor m to be injected into any part. /liter the inje&cd li- quor is come forth, a pipe of gold,filvcr or lead, fhall be put into the fiftulous ulcer; and it muft have many holes in it,that fo the filth may pais forth at them ; it mufl be faft tyed with firings,that it may not fall into the capacity of the Cheft. A great fpunge fteeped in and wrung forth again,fhall be laid hot to the end or orifice thereof, both to hinder the entrance of the air into the Fiftulous ulcer,as alfo to draw forth the filth there by its gentle heat,the which thing the Patient fhall much further if often times both day and night he hold his breath, flopping his mouth and nofe,and lying upon the difeafed fide,that fb the Sanies may be the more forcibly evacuated; neither muft we leave the putting in the pipe,before that this fiftulous ulcer fhall be almoft dry,that is, whole,as when it yeelds little, or no matter at alljthen it muft be cicatrized. But if the orifice of this fiftulous ulcer being in the upper part hinder the healing thereof, then by a chirurgicall Se&ion, a paflage fhall be made in the bo" ome,as we faid before in an Ewipjeaw. 7k ■ -p ■ > . ■ . ' ' ' . ■ < *'-£'1 Wounds of each part. 299 LlB.lO< T.e delineation of the pipes with their firings andfpunges The Reader mu ft note th at the pipes which are fit for th & ujejieed not have jo many holes as thefe here expreft 5 but only two or three in their ends: for the fiefs growing and getting into the reftynakg them that they cannot be plucked forth with- out much pain. A wound made in the Lungs admits cure, unlefs it be very largest'it be without inflammation 5 if it be on the skirts of the Lungs, and not on their upper parts ; if the Patient contain himfelf from coughing muehjand contentious fpeaking,and great breathing: for the wound is inlarged by coughing, and thence alfo arifes inflammationthe Pits and Sanies whereof, whilft the lungs again indeavour to expell by cough- ing,by which means they are only able to expell that which is hurtfull and troiibleibme to them, the ulcer What wounds of rhe Lungs, are curable. The harm that infues upon coughing in wounds of the Lungs, How Ecl(?~ mu'I inu-ft be fwallowed. is dilated,the inflammation augmented,the Patient waftes away,and the difeafe becomes incurable. t There have bin many defcribed by Phyfitians for to clenfethe ulcer jwhich when the Patient1 ufeth.he fhall lye on his back, to keep them long in his mouth,fo to relax the mufcles of the Larinx ' for thus the medicine will fall by little and little alongft the coats of the weazon, for if it fliould fall down in geeat quantity,it would be in danger to caufe cough ing.Cows,Afles, or Goats milk with a little honydeft they fhould corrupt in the ftomach,are very fit remedies for this purpofe 5 but womans milk exceeds the reft. . But Sugar ofRofes is to be preferred before all other medicines,in the opinion of yfz'ften, for that it hath a detergent,and alfo an aftri&ive and ftrengthening faculty, than which nothing is more to be defired in curing of ulcers. When you fhall think it time to agglutinate the clenfed ulcer, you muft command the Patient to ufe emplaftick,auftere,and aftringent medicines, fuch as are Terra]%illata9 bolus rfrnjen^,h}p9#^5pIantain,knot-grafs,yti?n(?rb,4Crfcz<? and the like, which the Patient fhall ufe in his broaths and Edii'w/j,mixing therewith honey of rofes, which ferving for a vehicle to the reft, may carry away the impaled filth which hinders agglutination. But feeing an heftive feaver eafily follows upon thefe kinds of wounds,andalfo upon the affe&s of the Cheft and lungs, it will not be amifs to let down fomewhat concerning the cure thereof,that fo the Chirurgeon may know to adminifter fome help to his Patient,whilft a Phyfitian is ferit for, to overcome this difeafe with more powerfull and certain remedies. . . The utility. 'of Sugar of ' rofes in iff* ■ cerated or ' wounded ; Lungs. He&ive feaver is fo called,either for that it is ftubborn and hard to cure and loofe,as things which havecontra&ed a habit; for Hexis in Greek lignifies a habit; or elfe for that it feiles upon the folid parts of our bodies called by the Greeks Hexeir, both which the Latin word Habitm doth fignifie. v .« J There are three kinds,or rather degrees of this feaver. The firft is when the he&ick heatconfumcs the humidity of the folid parts.The lecond is,when it feeds upon theflefliy fubftance. The third and uncurable is, when it deftroyes the folid parts them! elves. For thus the flame of a lamp firft waftes the oyljthen the proper moifture of the Weik. Which being done there is no hope of lighting it again what ftore of oyl foever you poure upon it.This feaver very feldome breeds of it felf, but commonly follows after fome other. Wherefore the caufes of a heftive feaver are,fharp and burning feavers not well cured, efpecially if their heat, were not reprefled with cooling cpithemes applyed to the heart and Hypochondria. If cold water was not fitly drunk.lt may alfo fucceed a Diary leaver which hath been caufed and begun by fome long,great and vehement grief or anger,or fome too violent labour,which any of a (lender and dry body hath performed in the hot fun. It is alfo oft-times caufed by an ulcer,or inflammation of the Lungs,an empyema of the Cheft,by any great and long continuing Phlegmoh of the Liver, ftomach, mefentery,wombe, kidney s,B! adder, of the guts Jejunum and Colon, and alfo of the other Guts, if the Phlegmon fucceed fome or bloody flux, whence a confumption of the whole bo- dy ?and at laft a heftick feaver,the heat becoming more acrid,the moifture of the body being conliimed. This kind of feaver as it is mo ft eafily to be known, fo is itmoft difficult to cure; thepulfe in this feaver is hard,by reafon of thedrynefsofthe Artery which is a folid part; and it is weak by reafon of the debility of the vitall faculty,the fubftance of the heart being aflaulted. But it is little and frequent becaufe of the diftemper and heat of the heart,which for that it cannot by reafon of its weaknefs caufc a great pulfe to cool it felf, it labours by the oftenncfs to fupply that defeft. But for the pulfe,it is a proper fign of this feaver,that one or two houres after meat the pulfe feels Wronger than ufiiall; and then alfo there is a more acrid heat over all the Patients body. The heat of this flame lafts untill the nouriffiment be diftributed overall the Patients body ; in which time the drynefs of the heart in fome fort tempered and recreated by the appulfe of moift nourifhmcnt,the heat increafes no otherwife than lime which a little before feemed cold to the touch, but fprinklcd and mo jftened with water grows fo hot,as it finoaks and boyls up.At other times there is a perpetuall e- quality of heat & pulfe in fmalnefs, faintnefs,obfcurity,frequency,and hardnefs,without any exacerba- tion,fo that the Patient cannot think himfclf to have a feaver,yca he cannot complain of any thing,hc feels no pain,which is another proper fign of an heftick feaver. The caufe that the heat doth not (hew CHAP. XXXI I. Of the differences, caufes,figm of an Heflive feaver. The reafofi of rhe name. The differ- ences there* of. The Signe, Why in he* flicks rhe hear is mote acrid after wear. 300 Of Green andBloody Lib. 10 The figne: of a he- flick joy, ned wiih a putrid fea- ver, ,s ffiew its felf is,it doth not poflefle the furface of the body, that is, the fpirits and humors,but lyes as buried in the earthy grofsnefle of the folid parts.Yet if you hold your hand fomewhat long, you ffial at laft perceive the heat more acrid and biting,the way being opened therctb by the skin rarifyed by the gentle touch of the warm and temperate hand. Wherefore if at any time in thefe kind of feavers the Patient feel any pain,and perceive himfelf troubled with an inequality and excefle of heat, it is a 1 ign that the heftick leaver is not limple,but conjoined with a putrid feaver, w hich cauftth fuch inequali- ty ,as the heat doth more or lefle feife upon matter fubjeft to putrefaftiori ; for a hectick feaver of it felf is void of all equality,unlefle it proceed from fome externall caufe, as from meat ; Certainly if an Hippocratique face may be found in any difeafe, it may inthis,by icafon of the colliquation, or wa- fting away the triple fubftance,In the cure of this difeafe,you muft diligently obferve with what afFcfts it is entangled,and whence it was caufed.Wherefore firft you muft know whether this feaver be a dif- - cafe; or elfe a fymptome.For if it be fymptomaticall. it cannot be cured, as long as the difeafe the caufe . thereof,remains uncuredjas if an ulcer ofthegutsoccafioned by a bloody flix lhall have caufed it,or elfe a fiftulous ulcer in the Cheft caufed by fome wound received on that part, it will never admit of cure,unlefle firft the fiftulous or dyfenterick ulcer lhall be cured; becaufe the difeafe feeds the fymp- • tomes,as the caufe the cffie&.But if it be a Ample and eflentiall heftick feaver, for that it hath its eflence confifting in an hot and dry diftemper,which is not fixed in the humors,but in the folid parts, all the counfell of the Phyfitian muft be to renue the body,but not to purge it ; for only the humors require purging, and not the defaults of the folid parts.Therefore the f olid parts muft be refrigerated and hu- niefted; which we may doe by medicins taken inwardly and applyed outwardly. The things wThich may with goodfuccefs be taken inwardly into the body for this purpofe, are medicinall nourifhments.For hence we fhall find more certain and manifeft g ood, than from altering medicins,that is,wholly refrigerating and humefting without any manner of nouriftiment. t For by reafon of that portion fit for nutriment which is therewith mixed they are drawn and cari- cd'more powerfully to the parts, and alfo converted into their fiibftance : whereby it comes to pafle that they do not humeft and coole them lightly and fuperficially, like the medicins which have only power to alter and change the body, but they carry their qualities more thfoughly even into the in- nermoft fubftance. Of thefe things fome are herbs,as violets, purflain,buglofs,endive,duckf-meat, or water fentill,mallowes, efpecially when the belly fhall be bound. Some are fruits,as gourds,cowcum- ber.s,apples,prunes,raifons,fweet almonds,andfrefh or new pine-apple kernells; in the number of feeds are the foure greater and lefler cold feeds,and thefe new,for their native humidity, the feeds of pop- pyesjberberies,quinces. The'flowers of buglofs, violets, water lillies, are alfo convenient;of all thefe things let broth be made with a chicken,to be taken in the morning for eight or nine dayes, after the firft>conco&ion. For meats jin the beginning of the difeafe,when the faculties are not too much debilitated, he fhall ufe filch as nourifh much and long,thomjh of hard digeftion ; fuch as the extream parts of beafts,as the feet of Calves, Hogs feet not faked, theflelh of a Tortois, which hath lived fo long in a garden, as may feiffice to digeft the excrementitious humidity;the flefh of white Snails, and fetch as have been ga- thered in a vineyard,of frogs,river Crabs, Eels taken in clear waters, and well cooked,hard egs eaten with the juyce of Sorrell Whitings and ftockfifh. For all fuch things becaufe they have a tough and glutinous juice, arc eanly put and glutinated to the parts of our body, neither are they fo ealily diffipated by the feaverifh heat. But when the patient languifheth of a long heftick, he muft feed upon meats of eafie digeftion,and thefe boyled rather than roaftedj for boyled meats humeft more,& roafted more eafily turn into choler.Wherefore he may ufe to eat Veal,Kid,Capon,Pullet,boi- led with refrigerating andhume&ing hearbs; he may alfo ufe Barly creams, Almond milks, as alfo bread crummed and moiftened with rofe water and boyled in a decoftion of the foure cold feeds with fugar of rofes; for fuch a Panada cools the liver,and the habit of the whole body,& nourifheth with- all. The Tefticles, wings, and livers of young cocks, as alfo figsand raifons. But if the Patient at length begin to loath and grow weary of boyled meats,then let him ufe roaft,but fo that he cut away the burnt & dryedpart thereof,and feed only on the inner part thereof,& that moiftned in rofe water, the juice of Citrons,Oranges or Pomegranats. Let him abftain from fait and dry fifties, and chufe fuch fifties as live in ftony waters, for the exercife they are forc'd to undergoein ftiunningthe rocks bea- ten upon by the waves.Afles milk newly milked and fcafoned with a little fait, fugar,honey, or fen- nelljthat it may not corrupt,nor grow fowre in the ftomach;or womans milk fucked from the dug by the Patient,to the quantity of halfe a pint,is much commended;verily womans milk is the more whol- fome,as that which is more fweet and familiar to our fubftance, if fo be that the nurfe be of a good temper and habit of body.For fo it is very good againft the gnawings of the ftomach, and ulcers of the Lungs,from whence a Confeimption often proceeds. Let your milch Afle be fed with barly,oats, oakleaves; but if the Patient chance to be troubled with the flux of the belly, you fhall make the milk fomewhat aftringent by gently boiling it,and quenching therein pebble ftones heated red hot. But forthat all natures cannot away with Afles milk,fetch lhall abftain from it, as it makes to have acrid belchings,difficulty of breathing,a hear and rumbling in the Hypochondrias of the head.Let the Patient temper his wine with a little of the waters of Lettuce,purflain and water-lillies,but with much buglofs water,both for that it moyftens very much,as alfo for that it hath a fpecifick power to recreate the heart,whofe folid fubftance in this kind of difeafe is grievoufly afflicted. And thus much of things to be taken inwardly. Thefe things which are to be outwardly applyed, are inunftuous, baths, epithemes, clyfters. !n- un&ions are divcrs,according to the various indication of the parts whereto they are applyed.For Ca- fes anoints all the Ipine with cooling and moderate aftringent things,as which may fuffice to ftreng- then The cure. A fympto matkall he flick. Aneflenti all heflick Thingsto be taken inwardly. The benefi of medici- nall non- rifhmenrs. The choice of meats. How milk mnft be ufed in a heflick. Womans milk more wholfome than Affes. Things to be out - wardly a». plyed. Lib.10. Wounds of each part 301 then the parts,and hinder their wafting,& not let thetranipiration;for ifitfficmld be Jetted., the heat would become more acrid,by fupprcffing the vapours.Oyl of roles, water lillies, Quinces, the muci- lages of Gum tragacanth and arabick extracted into water of nightlhade, with fomelmall quantity of camphire,and a little wax if need require;but on the contrary, the parts of the breaft muft be annoin- ted with refrigerating and relaxing things;by refrigerating I mean things which moderately cool,for cold is hurtfuil to the breaft. But aftringent things would hinder the motion of the mufcles of the cheft,and caufe a difficulty of breathing. Such inunctions may be made of oyl of Violets, willowes, of the feeds of lettuce,poppies,water-lillies, mixing with them the oyl of fwcet almonds to temper the aftriftion which they may have by their coldnefs. But you muft have great care that the Apothecary A for covetoufnefs in ftcad of thele oylsmewly made give you not old, rancid and falted oyls, for fo in ftead of refrigerating,you fhall heat the part;for wine,honey and oyl acquire more heat by age; in de- o fed of convenient oyls,we may ufe butter well walked in violet and nightlhade water.The ule of ftich inunftionsjis to cool,htimeft and comfort the parts whereto they are ufcd; they muft be ufed evening and morning,chiefly after a bath. Now for Baths,we prelcrlbe them either only to moiften, and then plain warm Water wherein the t flowers of Violets and water lillies, willow leaves and barly have beed boyled, will be fufficient; or re elle not only to moiften5but alfo to acquire them a fairer and fuller habit, and then you may adde to s your bath the deco&ion of a (keeps head and Gather,with ibme butter. But the Patient fhall not enter into the bath failing, but after the firft concoftion of the ftomach, that fo the nourilhmcnt. may be drawn, by the warmnefs j of the bath into the whole habit of the body, for otherwife he which is fick t of a confumption and fhall enter the bath with his ftomach empty, fhall fuffer a greater diflipation of n the triple fubftance,by the heat of the bath, then his ftrength is well able to endure. Wherefore it is fitc thus to prepare the body, before you put it into the bath.The day before in the morning let him take *: an emollient clyfter, to evacuate the excrements baked in the guts by the he&ick drynefs; then let him { eat to his dinner fome folid meats about nine of the clock; and let him about foure of the clock eatj fome w hat fparingly,meats of eafie digeftion to his (upper. A little after midnight let him fup off fome i chicken broth or barly cream,or elfe two rear egs tempered with fome rofe water and fiigar of roles in t Head of falt.Some 4 or 5 houres after,let him enter into the bath,thefe things which I have fet down/ being obferved.When becomes out of the bath, let him be dryed and gently rubbed, with foft linneiv cloaths,and anointed as I formerly prefcribed, then le t him fleep if he can for two or three houres im his bedrwhen he wakes let him take fome Ptifan,or fome fiich like thing, and then repeat, his bath af-t ter the forefaid manner.He fhall ufe this bath thrice in ten day es;But if the Patient be fubjeft to crudi- ■ ties of the ftomach,fo that he cannot'fit in the bath without fear of fowning and fuch ftomach muft be ftrengthned with oyl of Quinces,Wormwood and maftich,or elfe with a cruft of breadk tofted,and fteeped in muskadine,and ftrewed over with the powders of Rofes, Sanders, and fo laid to the ftomaehjor behind neer to the thirteenth vertebra of the back,under which place,Anatomy teaches, 1 that the mouth of the ftomach lyes. Epithemes fhall be applyed tex the liver and heart, to temper the1 too acrid heat of thefe parts,and correct the immoderate drynefs by their moderate humidity. Now they fhall be made of refrigerating and hume&ing things,but chiefly humeRing; for too great coldnefs would hinder the penetration ofthe humidity into the part lying within. The waters ofbuglofs,and Violets,of each a quartern with a little white wine is convenient for this purpofe.But that which is made of French barly,the feeds ofgourds, pompions, or Cowcumbers of each three drams in the de- cp£Hon,and mixed with much tempering with oyl of Violets, or of fwcet alraonds,is moft excellent of all other .Let cloaths be dipped and fteeped in fitch epithemes, and laid, upon the part, andrenued as oft as they become hot by the heat of the part. And becaufe in heftick bodies,by reafon of the weak- nefs ofthedigeftive faculty,many excrements are u(bally heaped up, and dryed in the guts, it will be convenient,all the time of the difeafe to ufe frequently clyfters made of the decoftion of cooling and humefting herbs,flowers,and feeds wherein you (ball diffolye CaJJia with fugar and oyl of Violets, or water-lillies.But becaufe there often happen very dangerous fluxes in a confirmed heftick feaver* which ffiew the decay of alii the faculties of the body, and wafting of the corporeall fiibftance, you (hall refift them with refrigerating and aflifting medicins ; and meats of grqfler nouriffimcnt, as Rice, and Cicers;and application of aftringent and ftrengthening remedies; and tiling the decoftion of Oats or parched barly for drink.Let the Patient be kept quiet and flecping as much as may be,efpecially if he be a child. For this leaver frequently invades children by anger, great and long fear, or the two hot milk of the nurie,overheating in the Sun,the ufe ofwint andlother fiich like cSufes; they fhall be kept in a hot and moift ayre,have another Nurfe,and be anointed with oyl ofviolets;to conclude,you fhall apply medicins which are contrary to the morbifick caufe. A caution in the choice of Oyles. The diflfe. rcnces of Why the patients mu ft not enter the Bath fa- cing. ,How to prepare rhe body for the Bath. Things rfticngthen«; hpgthe ventricle* Epitheme * What a f flux hap- pening in s , heflick fea- , verindi- , cares. How chil- dren be cured. QH A P. XXXIII. Of the wounds of the Epigaftrium and of the whole lower belly. He wounds of the lower belly are fometimes before, fometimes behind, Tome only touch furface thereof,others enter in;fomepaffe quite through the body,fo that they often leave the weapon thereinjfbme happen without hurting the contained parts; others grievoufly offend thefe parts, the liver, fpleen, ftomach, guts,kidneys,womb, bladder, ureters, and great vef- felis,fo that oft-times a great portion of the Kall, falls forth. We know the Liver is wounded, when a gieat quantity of blood comes forth ofthe wound, when a pricking pain reaches even to the fword- like griftle,to which the Liver adheres.Oft-times more choler is caff up by vomit, and the Patient lyes on his belly with more eaft and content. W hen the ftomach or any of the fmall guts are wounded,the meat & >drink break out at the wound, the Ilia ox flanks xwell and become hard,the hicket troubles the Patient,and oft-times he cafts up more D d choler, Their dif- ferences. , Signsofa wounded liver. Signs that the flo- mach and fmallerguts are woun- ded. 302 Of Green and Bloody LlB.lO Signs to knowwhen rhe greater guts are wounded. Signs that the K id- neyesare hurt. Signs that the'Bladder is woun- ded. Signs that the wombe is woun- ded. Progno- fticks. Lib.6< mp.39. choler,aud grievous pain wrings his belly, and he is taken with cold fweats, and his extream parts i wax colci If any of the greater guts (hall be hurt,thc excrements come forth at the wound: When the Spleen is wounded,there flows out thick and black blood,the Patient is opprcfled with thirft, and there are al- fo the other .figns, which we faid u(e to accompany the wounded Liver. A difficulty of making water troubles the Patient whole reins are wounded., blood is pifled forth with the LIrint, and he hath a pain ftretched to his groins and the regions of the Bladder and Tefticles. The Bladder or Ureters being wounded,the flanks are pained, and there is a Tenfion of or (hare, blood is made in Head of urine, or elfe the urine is very bloody, which alfo divers times comes forth at the wound.Whcn the wombe is wounded, the blood breaks forth by the privities, and the ISymptomes are like thofe of the Bladder. The wounds of the liver arc deadly,for this part is the work-houfe of the blood, wherefore necefla- ry for life;befides by wounds of the liver the branches of the Gate or Hollow veins are cut, whence en- tiles a great flux of blood not only inwardly, but alfo outwardly, and confequently a diffipation of thefpirits and ftrength. But the blood which is ffied inwardly amongft the [bowels'putrefies and corrupts, whence followes pain,a feaver,inflammation,and laftly death. YetP<wd«j dEgineta writes, that the lobe of the Liver may be cut away without neceflary confequence of death. Alfo the wounds of the Ventricle and of the (mall Guts,but chiefly of the Jejunum are deadly;for many veflclls run to the Jejunum or empty Gut,and it is of a very nervous and (lender fubftance,and befides it receives the cholerick humor from the bladder of the Gall.Soalfo the wounds ofthe Spleen,Kidneys, Ureters, Bladder,Womb and Gall,are common- ly deadly,but alwayes ill,for that the anions of fuch parts are neceflary for life; befides, divers of thefe are without blood and nervous others of them receive the moift excrements ofthe whole' body,and lye in the innermoftpart of the body,(b that they do not eafily admit of medicins.Further- jnore,all woundslwhich penetrate into the capacity of the belly, are judged very dangerous, though they do not touch the contained bowels; for the encompaffing and new ayr entring in amongft the bowels,greatly hurts them, as never ufed to the feeling thereof;adde hereto the diffipation of thefpi- rits which much weakens the ftrength. Neither can the filth of (uch wounds bewailed away accor- ding to the mind ofthe Chirurgeon,whereby it happens, they divers times turn into fiftula's, as we faid of wounds'of the Cheft,and fo at length by colleftion of matter caufe death. Yeti have drefled many who by Gods affiftance & favour have recovered of wounds paffing quite through their bodies. I can bring as a witnefs £the fte ward/ofthe Portingall Embafladour, whom I cured atMe/wz,ofa wound made with a (word (b running through hii body, that a great quantity of excrements came forth of the wounded Guts,as he was a drcffing,yet he recovered. Not long agoe Giles le Maiftre a Gentleman of Paris was run quite through the body withaRapi- er,(b that he voided much blood at his mouth and fundament divers dayes together, whereby you know theGuts were wounded; and yet he was healed in twenty dayes. In like fort the wounds ofthe greater veflels are mortall,by reafon of the great effufion of blood and fpirits which enfues thereupon. •A HiAory. Another Hiftory. CHAP. XXXIIII. 7 he cure of wounds ofthe lower belly. rle firft cogitation in curing of thefe wounds ought to be whether they pierce into the capaci- ty of the Belly ;for thole which pafle no further than the Peritoneum (hall be cured like fim- ple wounds which only require union. But thofe which enter into the capacity muft be cu- red after another manner. For oft times the Kall or Guts, or both fall forth at them. A gut which is wounded muft be fowed up with fuch a feam as Furriers or Glovers ufe, as we for- merly told youjand then you muft put upon it a powder made of Maftich, Myrrh, Aloes and Bole.Be- ing fowed up,it. muft not be put up boyfteroufly together and at once into its place, but by little and little,the Patient lying on the fide oppofiteto the wound. As for example, the right fide of the Guts being wounded and falling out by the wound,the Patient fhall lye on his left <fide, for the more eafy reftoring of the fain down Gut,and fo on the contrary. If the lower part of the Guts being wounded Hide through the wound,then the Patient fhall lye with his head low down, & his buttocks railed up by putting a pillow under them; If the upper part be hurt, thfcn muft he lye quite contrary, that the Guts falling downwards by fuch a fite,may give way to thefe which are tain out through the wound. But often in this cafe,the Gutshaving taken cold by the encompafling ayre, fwell up and are diftended with wind,the which you muft dilcufs befor£ you put them into their place, with a fomentation of thedecoftion of camomill,melilot, anifeeds and fennell applyed with a fpunge, or contained in a fc>ladder;or(]elfc with chickens,or whelps cut alive in the midft and laid upon the fwelling;for thus they do not only difeufs the flatulency,but alfo comfort the afflifted part. But if the inflation cannot thus be difcufled,the wound flial be dilated,th at fo the Guts may return the more freely to their place. If the Kall fhall fall out, it muft be fpeedily reftored to its place, for it is very fubjeft to putrefie; for the fat,whereof for the moft part it confifts,being expoled to the ayre, eafily loles its native heat, which is Imall and weak,whence a mortification cnlues.Hence is that of Plippocratesjlf the Kall fall out, it neceflarily putrefies. The Chirurgeon fhall know whether it putrefie, 01 not,by the blacknefle and the coldnefs you may perceive by touching it;neither muft you when it putrefies prefently reftore it to its place,for fo the contagion of the putrefaftion would fpread to the reft of the parts: but whatfoe- verithereof is putrefied fhall be twitched and bound hard with a firing and fo cut off,and the reft re- ftored to his proper placeibut it's good after cutting of it away to leave the firing Hill hanging there- at,that fo you may pluck and draw forth whatfoever thereof may by being too ftrait bound fall away into the capacity of the belly. Some think it to be better to let the Kall thus bound to hang forth un- The care of a wounded Gut. Thecate when the Kall falls our. Hip. Aph. Lib.10, Wrmnds of each pari 303 till that portion thereof which is putrefied fall aWay of it felf,and not to cut it off.But they are much deceivcdjfor it hanging thus would not cover the guts, which is the proper place. The Guts and Kall being put up, if the wound be great and worth fpeaking of,it muft be fowed with that future which is termed Gaftrorabhia ; but this kind of future is thus made. The needle at the firft putting in muft only take hold of the PeritoiMUtn&nd then on the oppofite fide only'of the flefh, letting the Per it o- ruum alone,& fo go along putting the needle from without inwards,and from withiii outwards,but fd that you only take the mufculous flefh & skin over it,& then only the Perzt^ww,Until you have fowed up all the wound.He which doth otherwife fhall undergo this danger,that whereas the coat Peritoneum is of it felf without blood,it being divided,or wounded cannot of it i'elf be united to it fell, therefore it requires an intercourfe of flefh : otherwife unlefs it be thus united by the benefit of the flefh inter- mixed therewith,there would remain an uncurable tumor after the wound is cicatrized on the outfide; But that which wefaid before according to Galens mind,that all the wounds muft be fowed,it is not fo to be taken as if that the wound muft be lowed up to the very end-for in the lower part of the wound 1 there muft be left a certain fmall vent by which the quitture may pafs forth, Which being wholly cleanfed and exhaufted,the wound muft be quite healed up.But the wounds which fhall penetrate into the fubftance of the liver, fpleen, ventricles,and other bowells,the Chirurgeon fhall not fuffer them to be without medicines as if they were defperate, but here fhall fpare neither labour nor care to drefs them diligently. For doubtfull hope is better then certain defpair.The bladder,womb,& right gut be* ing Wounded,detergent and agglutinative injeftions fhal be put up by their proper pafiages.I have read nothing as yet in any Author of the wounds of the fat,for al of them refer the cure therof to the wounds of the Mufcles,Yet I wil fay this by the way,that wounds of the fat how deep foever they be,if they be only fimple,may be dreffed wihout putting in ofany Tent, but only dropping in fbme of my balfam, and then laying upon it a plaifter of Gratia fome fuch like, for fo they will heal in a fhort time. LiM.JMgffa cap.4> The cure of the wound- ed fat, CHAP. XXXV. Of the wounds of the Tard and Teflicles. den the Groins and neighbouring parts are wounded, we muft firft con (id er whether they pierce to within : and if they do penetrate, to what inward parts they come, whether to the bladder, the womb, or right gut: for thefe parts are fuch neer neighbours that oft" times they are all wounded with one blow.But for the wounds of theTefticles, and genitall parts,becaufe they are neceflary inftruments for the preferving the freezes by generation, or a fucceflion of individualls,and to keep all things quiet at home, therefore the Chirurgeon ought to be very dili * gent and carefull for their prefervation. Wherefore if they fhould chance at any time to be they fhall be drefled as We have formerly delivered, the medicines being varied according to the ftate oj the wound, and the appearing and happening fymptomsjfor it would be a thing ofimmenfe la- hour to handle all things in particular. CHAP. XXXVI. Of the Wounds of the Thighes and Legs. Ounds which have been received on the infide of the Thighes, have often caufed fodain 1 death, if they have come to the vein the great Artery, or the Nerves, the aflbei- ates of theie veflels.But when they are Ample,there is noting which may alter the ufuall manner of cure. Yet the Patient muft be carefull to lye in his bed; for the vulgar Italian so | proverb is true : La mano al la gamba al letto} [that is, the hand on the breaft, and the leg on the bed.] But when they penetrate more deeply into the fubflance of the part,they bring horrid and feariull fymptomes,as an inflammation,an abicefs, from whence oft-times fiich aboundance of matter iflues forth,that the Patient falls into an Atrophia and confumption. Wherefore ,fuch wounds and ulcers require a carcfull & induftrious Chirurgeon,who may fitly make incifions neceflary for the corrupt parts,& callofity of the fiftulous ulcer.Some Chirurgeons have been fo bold as to lbw together the end of the Tendons of the Ham, and of other joints, when they have been quite cut aftmder. But I durft never attempt it for fear of pain, convulfions and the like horrid Symptoms.For the wounds of that large tendon which is competed in the calf of the Leg by the concourle of three mutcles,and goes to the heel, I have oblerved that when it hath been cut with the fword, that the wounds have been long and hard to cure; and betides when at the laft they have been healed,as foon as the Patient hath got out of his bed,and indeavoured to go, they have grown ill and broke open again. Wherefore in inch like wounds let the Patient have a care that he begin not to go or too boldly to ute his hurt leg before it be perfeftly cicatrized and the fear grown hard. Therefore that the Patient may be in more fafety,! judg it altogether neceflary,that he ufe to go with Crutches,for a good while after the wound' is perfectly healed up. Why wounds of the infide ofthe.rhigh are oft- times dead" »y- The large Tendon of the heel hard to confolidyte ; CHAP. XXXVII. Of the Wounds of the Herves and nervous parts. He continuity of the nervous parts is divers wayes looted by the violent incurfion of exter- nal thingsjasby things which contute,batter and grind in iunder3as by the blow of a ftone, cudgell3hammer3lance3bullet out of agun,or crofsbow;by the biting of greater teethjor the pricking of fome fliarpe thing3as a needle3bodkin,periknife3arrrdw,fplinter;or thepunftUre ofiome venenious thing,as of a Sea Dragon;or the edg ofiome cutting fhing,as a iword or rapier; or of ftretching things which violently tear afundcr the nervous bodies.Hence therefore it is,that of fuch wounds fome are iimple,others compound,and the compound,fbme more compound than other. For of thete fome are fuperficiary and ihort3others deep and long, fome run alongft the nervous body, o- thers run broadwayes;ibmecut the part quite atemder,others only a portion thereof. The iymptomes which follow upon fuch wounds are,vehement pain,and defluxion,inflammation,abfcef$,feaver3cfe/;n- D d 2 Hi Diffe'chces drawn frotn things wounded, Their fymptomes, 304 Of Green and'Hloody L ib.iO urn3 (owning, convulfion, gangrene, fphacell; whence often death infuesby reafon of that lympatby, which all the nervous parts have with the brain.Amongft all the wounds of the nervous parts,there is none more to be feared then a puncture,or prick, nor any which caufeth more cruel! and dangerous lymptomes.For by reafon of the ftraitnefs of the wound, medicines can neither be put in,nor the fani- ous matter pafs fort h; now the famous matter by long flay acquires virulency, whereby the nervous parts are tainted and fwoln,fuffer pain,inflammation, convulfions, and infinite other fymptomes; of thele the wounds are moft dangerous,by which the nervous and membranous bodies are but half cut a- funder.For the portion thereof which remains whole,by its drawing & contracting it felf towardsthe originall,caufeth great pain and convullion by fympathy. The truth hereof is evident in wounds of the head,as when the is half cut,or when it is cut to apply a trepan.For the cutting thereof infers far greater pain,than when it is cut quite afunder.Wherefore it is fafcr to have the nervous body quite cut off,for lb it hath no community,nor confent with the upper parts,neither doth it labour,or ftrive to refill the contraction of its felf; now this contrariety, and as it were fight, is the caufe of pain,yet there arifes another mifery from fuch a wound,for the part wherein to the nerve which is thus cut infunder pafles,thence forwards lofeth its action. Why a punhtue oi a nerve is deadly. CHAP. XXXVIII. Of the cure of Wounds of the Nervous parts. A wound of of the ner- vous parts indicates contrary to the general cure of wounds, A Hiftory. T is the ancient doftrine of the antient Phyfitians, that the wounds of the nervous parts ffiould not prefently be agglutinated(which notwithftanding the generail and firft indica- tion ufually taken from the folution of continuity requires) but rather, chiefly if they be too the punftures fhoialfl be dilated, by cutting the *parts which are above them, and let them be kept long open that the filth may pafs freely forth,and the medicine enter well in.Yec I in many cures have not followed this counfel,but rather that which the common indication requires. That cure is in freffi memory which I performed upon Monfieur le Cocq, a Proftor of the fpirituall court,who dwelt in our Ladies ftreet;he gathering and binding up Lome loofe papers, run a penknife which was hid amongft them, through his hand. Alfb one of his neighbours who went to fpit a piece of beefjthruft the fpit through themidft ofhis hand; But I prefently agglutinated both their wounds, without any danger,d topping prefently in at the firft drefling a little of my balfam warm,and putting about it a repelling and aftringent medicine,aqd by this means they were both of them healed in a fhort timeyno fymptome thereupon happening.Yet I would not have the young Chirurgeon to run this ha- zard, for firft he muft be well praftifedand accuftomed to know the tempers and habits of mcnjfofthis manner of curing would not do well in a.plethorick body,or in a body replete with ill humors, or indued with exquilite fenfe.Therefore in inch a cafe it will be fafer to follow the courfe here let down. For wounds of the nerves do not only differ from other wounds, but alfb among themfelves in man- ner of curing. For although all medicines which draw from far,and wafte fanious humors,may be re- puted good for the wounds of the nerves ; yet thofe which muft be applyed to pun&ures and to thofe nerves which are not wholly laid open,ought to be farlnore powerful,ffiarp & drying,yet fo that they be not without biting,that) fo penetrating more deep they may draw forth the matter,or elfe confume and difeufs that which either lies about the nerves,or moiftens their fubftance.On the contrary, when the finewB are bared from flefh and adjoyning particles,they ftand in need but of medicines,which may only dry. Here you may furnifh your felves with fufficient ftoil of medicines good for the nerves how- foever pricked.As ft. terebinth.ven.& olei veteris an.% j.aqua vitaparum. Or ft. olei aqua vita 3 j- eupfror.% fi.Or Be radices exficcattis,& inpulverem redaSias, mifee cum dtcotfo centaur ii3aut oleo, aut exungia veteri; drop hereof warm into the wound as much as fhall fuf- fice.Or elfe put fome Hogs,Goofe,Capons,or Bears greafe, old oil, oil of Lillies or the like, to Galba- ?zwm,pure Bozin,opQpanax diffolved in aqua vita and ftrong vinegar.Or ft. olei hypericonis ftimbutiy&de eu- phorbia j.fulphuric vivi ftibtiliter pulvertfati * amrnoni.bdti/ii an.% ij. aceti boni | ij.vermium terreft, omnia ftmul ad conjumptionem aceti. Let as much hereof as fhall fuffice be dropped in- to the wound;then apply this following cerate,which draws very powerfully, ft. olei [uprajeripti $ j. terebinth.venet.% fadiachylo'nis albi cum gummi£ ye.ammmiac.bdellii in aceto diftoluiorum, an.% ij.rejin. pini, gum. elemiypicif navalis an.% v. cera quod jufficitftiat ceratum ufe iome whiles one, fome whiles another of thefe medicines in punftures of the Nerves with choife and judgment, according to their conditions,manner,depth,and the temperaments and habit of the wounded bodies. But if the pain yeeld not to fuch remedies,but rather increafe,with the inflammation of the affefted part, a fwelling of the lips of the wound,and fweating forth of a ferous,thin and virulent matter or filth, then you fhall poure into it fcalding oil, and fhall touch three or four times not only the furface of the wound but the bottom thereof with a rag dipped therein and tyed to the end of a ftatula.Yor this will take a- way the fenfe from the Nerve,Tendon,or Membrane,likeas if they were burnt with a cautery, and fo the pain will becafed.So in the moft grievous pains of rotten teeth,the thrufting of an hot iron into their roots,or flopping them with cotten dipped in oyl of Vitrioll, or aqua vita, gives moft certain eafe; for by burning the nerve which is inferred into their roots,the fenfe and fb consequently the pain is taken away.So alfo in malignant,gnawing,eating, and fpreading ulcers,which are alwaies aflbeia- ted with much pain,the pain ceafes by applying an Efcharotick,as the powder of Alum,or iMercury,or agyptiacum made fornewhat more ftrong than ufuall. That the young Chirurgeon may be more ready for this praftife and the ufe of the former medicines, 1 have thought good to infert the following Hi- flory both for the latenefs of the thing and the pleafing memory of the moft laudable Prince. Charfts French IFmg, beingffickbfaFeaver5M?z/zmChapelJaii and CaftellanPns Phyfiti- ans thought it fit he fliould be let blood; for the performance whereof,there was called a Chirurgeon wondrous famous for that bufinGfsjbut when-as he by chance had pricked a nerve in ftead of a vein, the King Medicins fit for wounds of the nerves. What wounds of the Nerve? mu ft be burnt. A certain Anodyne in pain of the teeth. Why E- fcharoticks mtift be ufed to fpreading ulcers. A famous hiftory. Lib.io< PFounds of each part 305 King crycd out,that he felt a mighty pain in that place. Then I bid, that the ligature fhould ftraight-* waits beloofcd,otherwife the arm would prefently be much fwelled.But he going ilowly aboudit,behold the arm began to fwel with fuch contraftion,that he could not bend it,nor put it forth,and cruel pain molcftcd not only the pricked particle, but all the whole member befides. I forthwith laid upon the wound a plainer of hinder the agglutination thereof,& then I wrapped al the arm in a double linnen cloth dipped in oxycrate, putting upon it an expulfive ligature,which beginning at. the wrift and ending at the top of the fhoulder, might keep the blood and fpirits from fear of defluxion and in- flammation.This being thus performed,we went afide to confult what was neceflary to be done, both to aflwage the pain,as alfo to divert the other fymptoms, which ufually happen upon pun&ures of the nerves. I being defined, thus delivered my opinion,that in my mind, there were nothing better, then prefently to drop into the wound fome oyl ofTurpentine warmed and mixed with a little aqua wit#.And then all the arm fhould be covered with a plaifter of Diacalcitheos diflblved in vinegar and oyl of Ro les,bound over and befides with theexpulfive ligature, which we formerly mentioned.For the oyl and aqua vite have a faculty to penetrate into the bottome of the wound, and to exhauft and dry- up the ferous and virulent humor, which fweats from the fubftance of the pricked nerve; and alfo to mitigate the pain by its aftuall heat .Furthermore the emplaifter Diacalcitheos hath a faculty to dilfolve the humor which hath already fallen down into the armyand to hinder the entrance and defluxion of any new matter. And the ligature is fuch as by its moderate aftri&ion would ferve to ftrengthen the mufcles,and to prefs out and repell the humors which were fallen down into the upper part, and to prohibit that which is ready to fall down.Mine advice being approved of the Phyfitians both in word and deed,the pain was mitigated. But the humor flayed in the part, for the diflblving and [drying whereof, this following remedy was ufed. Be. far. hordes & orobi an. butyr, recentis fine [ale § i fi.lixivii barbitonforis quod fiifficitrfat cataplajmaadformampultij. By thefe remedies a the King at the laft after 3. months fpace was perfeftly healed,fo that there remained no fign of the dj- < praved action in the part.But ifat any time there lhall be fo great contumacy,that it will not yeeld to thefe means,but that there is imminent danger ofaconvulfion 5 it will be better to cut it in funder whether Nerve,Tendon or Membrane,than to expole the Patient to the danger of a deadly co nvulfion; for thus indeed the peculiar action of that part will be loft, but the whole body preferved thereby 5 for fo we had determined by common confent, that if the pain which afflifted the King -would .not yeeld to the prefcribed remedies,either to poure in fcalding oyl,or elle to cut the finew quite afunder. For the late and fid memory of Miftris Courtin dwelling in the ftreet of the holy-Crofs was in our ' minds,who of a vein nop well opened in her arm fell into a Gangrene and totall mortification of that whole part,of which fhe dyed,becaufe lhe was not drefled with the formerly mentioned medicins.Yet we muft abflain from thefe too powerfull remedies,when the pricked nerve fhall lye bare, for elfe the pain would be increafcd,& more grievous fymptoms follow.Wherefore as I formerly wilhed}morc mild me- dicins muft be applyed,which may dry up the ferous humor without biting or acrimony, as R. tere- binth.venet.in ij. boli armeni [ubtiliter pulveri[ati3% ij. incorporentur fimul.Owc Balfamalfo is ex- cellent in this calc,and this of Vigoes whech follows.R olei rojar.omphacini $ j fi.olei de iij. fucci - plant p. [emin. hyper iconic aliquantulum contriti3m.fi.tuti<eprapar.3 iij. calcis decies lotjcum aqua plantagin. cc 3 ij. antimonii 3 j. Jez>i witulini3an.%v.'vermium terreftrium cum Dina lotorum bulliant omnia fimul j dempta tutia in cyatho deco ft ionis horde i3ad confumptionem aqu& & Dini3co!entur3rurjumq-,igni admoveantur, addenda tutiam3 & fat hnimentum cum cera\alba3&% fi.croci.Thls liniment aflwages pains, & covers the bared nerves with flefh.This cure of punftured nerves,may with choifeand judgment and obferving the proportion ofthe parts be transferred to the pricked Tendons and membranes.But take this as a generail & com- mon rule,that all nervous bodies howfoever hurt, are to be comforted by anointing them withhot\ oy Is,fuch as the oyl s of Bayes,Lillics,of Worms,Sage,or fome other fuchlike remedy being applyed r to their originalls and more notable paflagesjas to the originall of the fpinall marrow, the armpits ' and groins. Neither do I think it fit in this place to omit an affeft which fometimes happens to the large Tendon of the heel,of which we formerly made mention. For it oft-times is rent or torn by a 1 fmalloccafion without any fign of injury or folution of continuity apparent on the outfide as by a little jump,the flipping afidc of the foot,the too nimble getting on horfeback, or the flipping oRthe foot out of the ftirrop in mounting into the laddie. When this chance happens it will give a crack like a Coachmans whip; above the heel,where the tendon is broken,the deprefled cavity may be felt with your finger, there is great pain in the part,and the party is not able to go. This milchance may be a- mended by long lying and refting in bed, and repelling medicins applyed to the part affe&ed in the be- ginning of the difeafe,for fear of more grievous fymptomes, and then applying the Black plaifter, or Diacalcitheos or fome other fiich,as need fhall require;neither muft we hereupon promife to our rfelves or the Patient certain or abfolute health.But on the contrary at the beginning of thedifeale we muft foretell that it will never be fo cured but that Ibmereliques may remain, as thedeprelfion of the part affefted and depravation ofthe aftion and going 5 for the ends of this broken or relaxed Tendoa by reafoil of its thicknefs and contumacy cannot ealily be adjoined,nor being adjoined,united. CHAP. XXXIX. Of the wounds of the ioynts. A difcufling and drying caraplafra. A Hiflory, ■An ano- < dyne and Sarcotick Bal fam. A general! rule for all wounds of all Nervous parts. Ecaufe the wounds of the joynts have fomething proper and peculiar to themfelves, belides the common nature of wounds of the Nerves,therefore I intend to treat of them in parti- cular.Indeed they are alwayes very dangerous3and for the moft part deadly by reafon of the nervous productions and membranous Tendons wherewith they are bound and ingirt and into which the Nerves are inferred: whereby it? comes to pafs, that the exquifite fenfe of fuchlike parts will eafily bring malign fymptomes3efpecially if the wound poflefs an internal!, or as they term it,a domeftique part of themjas for example,the armpits,the bending of the arm9 the inner part of the. D d 3 wrife Why . ' wounds of the joynts arernalig- nant. 306 Of Green and'Bloody LlB.jo wrift,and ham,by reafon of the notable Veins, Arteries,and Nerves of thete parts,the looted continui- ty of all which brings a great flux of blood,(harpe pain and other malignant fymptomes; all which we muft refift according to their nature and condition,as a flux of blond with things flaying, blecd- ingjpain with anodynes.If the wound be large and wide,the fevered parts (hall be joined with a fu- ture,leaving an orifice in the lower part,by which the quitture may pafs forth.This following pow- der of Pigoes deteription mull be flrewed upon the future. R. thuris fang.draconk9boli armen.terr*figrll.an. $ ij. pulvis fubtilis. And then the joynt muft be wrapped about with a repercuf- five medicine competed of the whites of Egs,a little oil of Rotes,Bole,Maftich,and barly flowre. If it be needfull to ufe a Tent,let it be fhort,and according to the wound thick,left it caute pain: and more- over let if be anointed with the yolk of an eg,oil of Rotes, waffled turpentine and a little faffron. But ifthe wound be more fflort 8c narrow,it fhal be dilated,if there be occafion,that fo the humor may pafs away more freely .You muft reft the part,a nd beware of ufing cold,relaxing,mollifying,humefting, and unftuous medicines,unlefs peradventure the fharpnefs of the pain muft be mitigated. For on the con- trary,aftringent and deficcant medicins are good,as this following cataplafm. R. furfur. hordei}& fabarum. iiiy.florum cham£.& melil.an.m.fi.terebinth.% uj.melLs ij.ol.myrtin. 5 j. oxy- melitif9 veloxycrat.wel lixivii com.quantum cataplafma ad formant yotimay compote one of the lees of wine. Wheat bran,the powder of Oaken bark,cyprefs nuts,galls and Turpentine, and fuch like,that have an aftringent,ftrengthening and drying quality ,and thereby affwaging pain, and hin- dering the defluxion of humors. This following medicine is aftringent and agglutinative.R terebinth. uenet.% ij.aq.vit£ ij.And alfo our balfam wil be goodwill this cafe,if fo be that you add hereto fo much powder which dryes without acrimony,as occafion fhal ferve.I admonifhed you before to take heed of cold, and now again 5 for it is hurtfull to all wounds and ulcers,but efpecially to thefe of the nervous partsjhence it is that many dye of final wounds in the might recover of the fame wounds though greater in the Summer.For cold according to Hippocrates is nipping to ulcers,hardens the skin, and hinders them from fuppu ration, extinguifheth naturall heat,caufes blacknefs,cold aguifli fits,convulfions,and diftentions.Now divers excrements are caft forth of wounds of the joynts,but chiefly albugineous,that is,retembling the white of an eg, and mucous,and fometimes a very thin water,all which favour of the nature of that humor which nourifli- eth thete parts.For to every part there is appropriate for his nourifhment and confervation, a peculiar balfam,which by the wound flows out of the fame part,as out of the branches of the vine,when they are pruned,their radicall moifture or juyce flowsj whence alio a GfiZw proceeds in broken bones. Now this fame mucous,8c albugineous humor,flow &as it were frozen flowing from the wounded joynts,(hews the cold diftemper of the parts,which caute pain,not to be orecome by medicins only potentially hot. Wherefore to correft that,we muft apply things actually hot,as beafts and {wines bladder half full of a difeufling decoftion,or hot bricks quenched in wines.Such aftuallheat helps nature to concoft and e difeufs the iuperfluous humor impaft in the joynts,and ftrengthens themjboth which are very necefla- ry,becaute the naturall heat of the joynts is fo infirm that it can fcare a&uate the medicin unlefs it be helped with medicins actually hot. Neither muft the Chirurgeon have the leaft care of the figure and „ pofture of the part, for a vicious pofture increafes ill fymptomes,utes to bring to the very part though j the wound be cured,diftortion,numnefs, incurable contra&ionjwhich fault left he (hould run into,let him obterve what I (hall now layjlf the forepart of the fhoulder be wounded, a great boulfter muft be under the armpit,and you muft carry your arm in a fcarf, fo that it may bear up the lower part of the arm,that fo the top ofthe fhouldcr may be elevated fomewhat higher, and that fo it may be thereby more fpeedily and happily agglutinated and confolidated. If the lower part be wounded, when flefh begins to be generated and the lips of the wound to meet,you muft bid the Patient to move and ftir his arms divers wayese ver & anon,for if that be omitted or negligently done,when it is cicatrized,then it will be more ftifte and lefs pliable to every motion ; and yet there isa further danger left the arm fhould totally lofe its motien.If the wound be upon the joynt of the elbow,the arm fhal be placed and. iwathed in a middle pofture,that is,which neither too ftraitly bows it,nor holds it too ftiffly out j for otherwite when it is cicatrized,there will be an impediment either in the contra&ion or extention. When the wound is in the wrift, or joints ofthe fingers either externally or internal ly,the hand, mu ft be kept half (hut,continually moving a ball therein.For if the fingers be held ftraight ftretched forth,af- ter it is cicatrized,they will be unapt to take up or hold any thing,which is their proper faculty.But if after it is healed, it remain half (hut, no great inconveniency will follow thereonjfor fo he may ufe his hand divers wayes to his fword, pike, bridle and in any thing elte. If the joints of the Hip be wounded,you muft fo place the Patient that the thigh bone may be kept in the cavity of 'the huckle- bone,and may not part a hairs breadth there from,which (hall be done with linnen boulfters and liga- tures applyed as is fitting,and lying full upon his back.When the wound fhall begin to cicatrize, the Patient (hall ufe to move his thigh every way, left the head of the thigh-bone flick in the cavity of the huckle-bone without motion.In a wound of theknee,the leg muft be placed ftraight out,if the Pa- tient defire not to be lame.When the joints of the feet and toes are wounded,thefe parts (hall neither be bended in nor out,for otherwite he will not be able to got. To conclude,the fite ofthe foot and leg, is quite contrary to that of the arm and hand.a CHAP. XL. Of the wounds of the Ligaments. The cure. An aftrin- gcntgnd drying ca- plafm. \Apbor.2d)t fell, ft What matter ufn- ally flows from wounds of the joynts. Why things aflu* ally hot Bttift be ap- plycd to the wounded joynts. Of the fite and poflure of wounded pints. Ligaments more dry than Nerve ssand without fenfe. He wounds ot the Ligaments,Detiacs tne common manner or tuniig macui mvnujw, have nothing peculiar,but that they require more powerfull medicins, for their agglutina- tion,deficcation and confblidatingjboth becaufethe Ligamentall parts are harder,and dry- er, andalfo for that they are void of fenfe. Therefore the forefaid cure of Nerves,and joints may be ufed for thefe wounds:for the Medicins in both are of the fame kind,but here they ought to be Wronger Lib.10. WQuads of each Part. 307 ftrongerand more powerfully drying.The Theory and cure of all the fymptomes whidi (hall happen thereupon have been exprefled in the Chapter of curing the wounds of the nervous parts, fo that here wefhall need to fpeak nothing of them, for there you may find as much as you will. Wherefore here let us make an end ofwounds, and give thankes to God the author and giver of all good for the hap- py procefle of our labours,and let us pray that that which rcmaines may be brought to a happy end, and fecure for the health and fafety of good people. L he end of the tenth Of (Founds made by Gunjbot, other fiery Enginest and all forts of Weapons. THE ELEVENTH BOOK. Lhe Preface. Have thought good here to premifc my opinion of the originall,encrea(e,and hurt of fiery Engines, for that 1 hope it will be an ornament and grace to this my whole treatift:as alfo to intice my Reader, as it were with thefe junckets, to our following Banquet fo much favouring of Gunpowder. For thus it (hall be known to all whence Guns had their originall and how many habits and fhapes they have acquired from poore and obfcure beginnings ; & laftly how hurttull to mankind the ufe of them is. Polydore Virgill writes that a Germane of rob (cure birth and condition was the in- ventor of this new engin which we term a Gun,being induced thereto by this occafion. He kept in a mortar covered with a tyle,or flate,for feme other certain ufes a powder(which lince that time for its chief and new known faculty,is named Gunpowder.)Now it chanced as he flruck fire with a fteel and flint, a (park thereof,by accident fell into the mortar, whereupon the powder fuddainly catching fire, cafts the flone or tyle which covered the mortar,up on high ; he flood amazed at the novelty &»ftrange effedofthething,and withall obferved the formerly unknown faculty of the powder $ fo that he thought good to make experiment thereof in a finall Iron trunk framed for that purpofe according to the indention of his mind. When all things were correfpondent to his expectation, he firfl (hewed the ufe of his engine to the Venetians, when they warred with the Genovefes about Foffa Clodia, in the year of our Lord i38o.Yet in the opinion of Peter Meftas, their invention muft have been of greater antiquity ;for it is read in the Chronicles of Alphonfw the eleaventh King of Caftile, who fubdued the Ides drgezires, that when he befieged the chiefeTownin the year of our Lord 1343. Thebefitged Moores fliotas it were thunder againft the aflailants, out of Iron mortars. But we have read in the Chronicles written by Peter Bifhop of Leons of that Atyhonfa who conquered Toledo, that in a certain fca fight fought by the King of Tunu,againft the Moorifh King of Sivill, whole part King Alfhonfnt fa- voured,the Punetanscaft lightning out ofcertain hollow Engins or Trunks with much noift. Which •ould be no other,than our Guns,though not attained to that perfedion of art and execution which they now have. I think the devifer of this deadly Engin hath this for his recompence, that his name (hould be hid- den by the dttrknefsofperpetuall ignorance,as not meriting for this his mofl pernicious invention,a- ny mention from pofterity.Yet Andrew PFe-vet in his Cofmography published fome few years agone, when he comes to treat of the Suevi, the inhabitants of Germany, brings upon the authority and cre- dit of a certain old Manu(cript,that the Germane the inventer of this warlike Engine was by profefi- fion a Monk and Philofopher or Alchimift,born at Friburg, and named Conftantine Anclzen. Howfoe- verk was,this kind of Engine was called Bombarda (i) a Gun, from that noifeit makes, which the Greeks and Latines according to the found call Bombuijthen in the following ages, time,art and mans malicioufnefs added much to this rude andunpolifht invention. Forfirfttorthe matter, Brafle and Copper, metallsfarre more tradable, fufible and lefle fubjed to ruft, came as fiipplies to Iron. Then for the form,that rude and undigefted barrell,or mortar-like made, hath undergone many formes and fafliions,even fo far as it is gotten upon wheels,that fo it might run not only from the higher ground, but alfo with more rapid violence to the ruin of mankindjwhen as the firft and rude mortars feemed not to be fo nimbly traverfed,nor diffidently cruell for our deftrudion by the only calling forth of Iron and fire. Henceiprung theft horrible monfters of Canons,double Canons,Baftards,Mufquits,FiGld peecesjhence theft cruell and furious beads,Culverins, Serpentines,Bafilifques,Sackers,Falcons,Falco- nets,and divers other names not only drawn from their figure and making,but alfo from the effeds of their cruelty. Wherefore certainly I cannot fufficiently admire the wifdomeof our Anceftors, who have fo rightly accommodated them with names agreeable to their thofe who have not on- ly taken them from the fwifteft bi;ds of prey,as alfo from things mofl harmfiill and hate- full to mankind,(uch as Serpents,Snakes,and Bafilifques. That fo we might clearly difcern, that theft engines were made for no other purpofc,nor with other intent,but only to be imployed for the fpee- dy and cruell (laughter of memand that by only hearing them named we might deteft and abhor them, an pernicious enemies of our lives. I let pafle other engines of this ofspring, being for their quantity finalljbut fo much the more pernicious &harme(ull, for that they necreraffail our lives, may traite- roufly and forthwith ftife upon us not thinking nor fearing any fuch thing; fp that we can fcarft havs Lib.2.de in- vent, rerun. par.var. left. Who the inventor of Guns. The reafon ofthcnam®. 308 Of Wounds made by Lib.11 The dan ger of Piftols. h?vc any means of efcape;fuch arcPiftolsand other Imall hand-guns, which for fhortnefs you may cany *n your pocket,andlb privily and luddainly taking them forth opprefs the carclefs and fecure. Fowling peeces which men ufually carry upon their fhoulders,are of the middle rank of thefe engines, as alfo Mnskets'and Calcevers,which you cannot wcl difeharge unlefs lying upon a Reft,which there- fore may be called Breaft-guns for that they are not laid to the cheek, but againft the Breaft by reafon of their weight and ffortnefs; All which have been invented for the commodity of footmen, and light horfemen. This middle fort of engine we call in Latine by a general 1 name*$' clip us., in imitation of the found,and the Italians who term it 5c/opttere;the French call it Etaic.uebuje3a. word likewife borrowed from the Italians,by reafon of the the touch-hole by which you give fire to the peecc,for the Italians call a hole Euzio. It is tearmed Arcus (i) a Bow,for that at this prefent it holds the fame place in mar- tial 1 affaires,as the Bow did of old ; and as the Archers formerly, fo at this day the Mufquetiers are placed in front. From the fame wretched fhop and magazine of cruelty, are all forts of Mines, Coun- termines, pots of fire,trains,fiery Arrowc6,Lances, Croflcbowcs,barrels, balls of fire, burning faggots, Granats,and all fuch fiery engines and Inventions, which clofely fluffed with fucll and matter for fire, and call by the defendants upon the bodies and Tents of the aflailants, eafily take fire by the violence of their motion. Certainly amoft mifer&bleand pernicious kind of invention, whereby we often fee a thoufand of hcedlefle men blown up with amine by the force of Gunpowder ; otherwhiks in the very heat of the conflift you may fee the ftouteft fouldiei s feifed upon with fome of thefe fiery Engines, to burn in their harneffe,no waters being fufficicntly powerfull to reftrain and quench the raging and wafting violence of fuch fire cruelly fpreading over the body and bowells. So it was not fiifhcient to have armeSjIron and fire to mans deftruftion,unlefle alfo that the ftroak might be more fpecdy, we had fornilhed them,as it were with wings, fo to fly more haftily to our own perdition, fumifhing fithe- bearing death with wings fo more ipeedily to opprefs man,for whofe prefervation,all things contai- ned in the wTorld were created by God. Verily when I confider with my felf all the forts of warlike Engines,which the ancients uted,whether in the field in fet battlls,as Bowes,Darts,Crofsbowes,Slings ; or in the aflault of Cities,& Ihaking or overturning their walls,as Rams,Horfes,woodden to wres,flings and fuch like ; they feem to me certain childilh Iports & games made only in imitation of the former. For thefemodern inventions are fuch as eafily exceed all the beft appointed and cruell Engines which can be mentioned or thought tipon,in the fhape, cruelty and appearance of their operations. For what in the world is thought more horrid or fearfull than thunder and lightning?and yet the hurtfulncfs of thunder is almoft nothing to the cruelty of thefe infernall Engines; which may eafily appear by comparing together both their effefts. Man alone of all creatures is not alwayes killed by being tou- ched with thunder 5 but it immcdiatly killcth all other things which are fubjeft to be toucht there- with. Nature beftowing this honour upon him,feeing fo many creatures exceed him in ftrength: For all things ly contrary to man;andman,unlefs he be overthrown with it, doth not dye thereof. But thefe fire-fpitting Engines do no more fpare man, then they do other creatures, and kill without dif- ference from whence foever they come, whither foever they are carryed, and howfoever they touch. There are many,but more are faid to be the remedies againft thunder ; for befide the charms whereby the ancient Romans did fuppofe they might be driven away, they never penetrate deeper into the ground than five foot,therefore fuch as was fearfull thought the deeper caves moft fafe.Of thole things which grow out of the earth,they do not touch the Bay tree,and that was the caufe that it was coun- ted a fign of Viftory both in ancient and moderne times. Wherefore 'liberiw Ctfar otherwife a con- temner of God and religion, as he who indued with the Mathematical! fciences thought all things governed by Fate,yet becaufe he exceedingly feared thunder, he alwayes carried a Lawrell wreath a- bout his neck when the aire was troubled,for that this kind of leafe is reported not to be touched by thunder. Some report that he made him tents of Seales skinnes, becaufe it toucheth not this kinde of creature of all thefe things that live in the Sea, as neither the Eagle amongft birds, which for that is fained to be loves fquire. But on the contrary,charmes,the viftoriotis Bay, the Seale or Sea-calfe, the Eagle or any fuch thing profits nothing againft the violence of thefe fiery engines : no not a wall of ten foot thick will advantage. Laftly, this argues the immenfe violence of brafen Cannons above thinider,for that thunder may be difperfed and driven away with the noife and ringing of Bells, the founding of Trumpets,the tinkling of brafen kettles,yea alfo by the fhooting of fitch great Ordnance; to wit,the clouds,by whofe collifion and fight the Thunder is caufed, being difperfed by this violent agatation of the air,or elfe driven further to more remote parts of the skies. But their fury once pro- voked5is ftayed by no oppofition, appeafed by no remedy. As there are certain feafons of the year, fo alfo there are certain Regions of the earth„wherein Thunder is feldomeor never heard. Thunders are rare in Winter and Summer,and that for contrary caufes 5 for that in Winter the denfe air is thickned with a thicker coat of clouds,and the frofty and cold exhalation of the earth extinguifbeth what fiery vapours fo ever it receives;which thing keeps Scjthia and the cold countries about it free from Thun- der.And on the contrary ,too fotich heat preferves Egypt. For hot and dry exhalations of the earth are condenfed into very thin,fubtile and weak clouds. But as the invention, fo alfo the harm and tempeft of great Ordnance, like a contagious peftilence is fpread and rages over all the earth, and the skies at all times found again with their reports. The Thunder and Lightning commonly gives but one blow,or ftroke,and that commonly ftrikes but one man of a multitude; But one great Cannon at one {hot may fpoil and kill a hundred men. Thunder,as a thing natural!,falls by chance,one while upon a high oak,another while upon the top of a mountain,and fomewhiles on fome lofty towre,but feldom upon man.But this hellifh Engine tempered by the malice and guidance of man, aflailcs man only,and takes him for his only mark,and direfts his bullets againft him. The Thunder by its noife as a mef- fenger fent the (form at hand 5 but, which is the chief mifehief, this infernall Engine roars A compa- rifonofthe antienr weapons with rhe modern. VUni. Lib. 2. Cap-$9. Plin.Lib.2. Cap.M. Suetcn.in liberie. The won- drous force of great Ordnance. P hn.Lil.2. Lib.ii. and other fiery Enginsyind allforts of Weapons. 309 jliyce therein:then he drained it through a towell without much preHing ; and added the Turpentine roars as it. ftrikes, and ftrikes as it roars, fending at one and the fame time the deadly bullet into the broadband the horrible noife into the ear .Wherefore we all of us rightfully curfc the author of fo pet' nicious an the contrary praife thole to the skies, who endeavour by words and pious ex- hortations to dehort Kings from their ufe,or elfe labour by writing and operation to apply fit medi- cins to wounds made by thefe Engins. Which hath moved me, that I have written hereof aimed with the firft of the French .But before I lhall do this, it feemeth not amide, fo to facilitate the way to the treatife I intend to write of wounds made by Gun(hot,to premilc two Dilcourfes,by which I may con- fute and take away certain erroneous opinions which havepolleflcd the mindes of diversfior that un- lefs thefe be taken away,the ellence and nature of the whole difeafe cannot be underflood,not a fitting remedy applyed by him which is ignorant of the difeafe. The firft Di fcourle which is dedicated to the Reader,refells and condemnes by realons and examples ■ the method of curing prefcribed by John de whereby he cauterizeth the wounds made by Gunlbot, t fuppofing them venenate;and on the contrary proves that order of curing which is performed by fup- t purativcs,to be fo falutary and gentle, as that prefcribed by Fzgo is full of errour and cruelty. The fecond dedicated to the King,teaches that the fame wounds are of themfelves void of all poifon, and l< therefore that all their malignity depends upon the fault of the air,and ill humors predominant in the bodies of the patients. The argu- rnents of the follow- ing difcour-» i'es. Tbe firfl difcottrfe wherein Wwndsmade by Gunfljot, are freed from being burnt .or cauterized according to Vi goes Method. N the year of our Lord 152 6 .Franc is the French King/or his afts in war and peace filled the Great, fent a puiflant Army beyond the Alpcs, under the government and leading of Annas ot Mommorancy high Conftable of France,both that he might relieve 7urin with Viftualls,fouldiers,and all things needfull, as alfo to recover the Cities of that Province taken by the Marquis of Guaft Generali of the Emperours forces. I was in the Kings Ar- my the Chirurgeonof xMonfieur of Montejan Generali ofthe foot. The Imperial's had taken the firaits of Swathe Cable of and all the other paflagesjfo that the Kings army was not. able to drive them from their fortifications but by fight. In this conflift there were many wounded on both fides with all forts of weapons,but chiefly with bullets. I will tell the truth, I was not very expert at that time in matters of Chirurgeryjneither was 1 ufed to drefs wounds made by Gunlhot. Now I had read in John de Figo that wounds made by Gunlhot were venenate or poifoned,and that by rcafon of the Gunpowder;Wherefore for their cure,it. was expedient to burn or cauterize them with oil of Elders fcalding hotywith a little Treacle mixed therewith. But for that I gave no great credit neither to the author,nor remedy,becaufe I knew that caufticks could not be powred into wounds, without cx- ceflivepain; I, before I would run a hazard, determined to lee whether the Chirurgeons, who went with me in the army,ufed any other manner of drefling to thefe wounds. I oblerved and faw that, all of them ufed that Method of drefling which Figo prefcribes; and that they filled as full as they could, the wounds made by Gunlhot with Tents and pledgets dipped in this fcalding Oil,at the firft dreflings; which encouraged me to do the like to thofe,who came to be drefled of me. It chanced on a time, that by rcafon ofthe multitude that were hurt, I wanted this Oil. Now becaufe there wereTome few left to be drefled,! was forced,that 1 might leem to want nothing,and that I might not leave them undreft, to apply a digeftive made ofthe yolk of an egge, oil of Rofes, and Turpentine. I could not fleep all that night,for I was troubled in mind,and the drefling of the precedent day, ( which I judged unfit) troubled my thoughtsjand I feared that the next day I fhould find them dead,or at the point of death by the poilon of the wound,whom I had not drefled with the fcalding oil. Therefore I rofe early in the morning,! viiited my Patients, and beyond expeftation, 1 found fuch as I had drefled with a di- geftive only,free from vehemency of pain to have had good reft, and that their wounds Were not in- flamed nor tumifyedjbut on the contrary the others that were burnt with the fcalding oil were leave- rifhjtormcnted with much pain,and the parts about their wounds were fwolne. When I had many times tryed this in divers others,! thought thus much, that neither I nor any other fhould ever caute- rize any wounded with Gun/hot. tVhen we firft came to there was there aChirurgeon far more lamous than all the reft fit artificially and happily curing wounds made by Gunlhot; wherefore I la- boured with all diligence for two yeers time to gain his favour and love, that fo at the length,! might learn of him,what kind of Medicine that was, which he honoured with the glorious Title of Balfamy which was fo highly eficemcd by him, and fo happy and fiiccesfull to his patients;yet could I not ob- tain it.lt fell out a final! while after that the Marlhall of Montejan the Kings Lieftenant,Generali there in Picmont dyed, wherefore I went unto my Chirurgeon,and told him that I could take no pleafiire in living there,the favourer and Mxcenas of my ftudies being taken away ; and that I intended forthwith to return to that it would neither hinder, nor diferedit him to teach hi$ remedy to me, who 1 fhould be fo far remote from him. When he heard this,he made no delay, but prefently wifhed me to f provide two Whelpes,i pound of earthwormes, 2 pounds of oil of Lillies, fix ounces of Venice Tur- c pcntine,and one ounce of aqua vita.In my prefence he boy led the Whelpes put alive into that oil, un- till the flefli came from the bones,then prefently he putin the Wormcs, which he had firft killed in white wine, that they might fo be cleanfed from the earthy drofle wherewith they are ufually re- plcat,and then he boiled them in the fame oil fo long, till they became dry, and had fpent all their x juice Lib.i. de tul- What chance miy do in find* ingout of remedies, rhe dfe» criprion of J'il of Whefyes, OfPFounds1 made by Gun(hot, 310 Lib.h to it,and laftly the aqua vita.Calling God to witnefs,that he had no other Balfam, wherewith to cure wounds made with Gunffiot,and bring them to fuppuration.Thus he fent me away as rewarded with a moft precious gift,requefting me to keep it as a great fecret5and not to reveal it to any. When I came to Parisi went to vifit Silwius the Kings profeflor of Phy fick,wel known by name to all fcholars for his great learningffie kept me long that id 1 might dine with him,and diligently enquires of me,if I had obferved any new Method of curing wounds made by Gunffiot,and com bullions occasioned by Gun- pouder. Then I affirmed to him that Gunpouder did not participate any thing of poyibn, for that none of thefe things whereof it is compounded are poyfonous;which reaibn ought to tree the wh ole compofition from fufpition of poyfon. And that experience confirmed this reafon,for I had feen ma- ny fouldiers, who would drink a great quantity of this pouder with Wine, becauie they were perfwa- ded,that this drink would free them from malign lymptomes when they were woundedyet I give no credit to this perfwafionjand laftly,for thatmany without any harm,ftrew this pouder upon rebelli- ous ulcers.For the Bullets,! affirm, that they cannot conceive 1'uch heat,as to become cauftick. For if you ffioot them out of a Gun againft a hard ftone, yet you may prefently take them up without any harm in your hands,though by ftriking upon the ftone,they ffiould become more hot.For the combu- ftions caufed by Gunpouder, I obferved no fpeciall nor peculiar remedy,which might make their cure different from other combuftions. To which purpofe I related this infuing hiftory. One of the Marffiall of Montejan his Kitchin boyes,fell by chance into a Caldron of Oil being even almoftboyling hot;I being called to drels him,went to the next Apothecaries to fetch refrigerating medicines commonly ufed in this cafe.-there was prefent by chance a certain old countrey woman, who hearing that I defired medicins for a burn,perfwaded me at the firft dreffing,that I ffiould lay two e raw Onions beaten with a little fait, for fo I ffiould hinder the breaking out of blifters or puftules, as fte had found by certain and frequent experience. Wherefore I thought good to try the force of her Medicine upon this greafie fcullion.I the next day found thofe places of his body whereto the Onions lay,to be free from blifters,but the other parts which they had not touched,to be all bliftered. It fell out a while after,that a German of Montejan his guard had his flafqtie full of Gunpouder let on fire,whereby his hands and face were grievoufly burnt: I being called,laid the Onions beaten as I for- merly told you,to the middle of his face, and to the reft I laid medicins ufoally applyed to burns. At the fecond dreffing I obferved the part dreffed with the Onions quite free from blifters & excoriation, the other being troubled with bo th;wherby I gave credit to the Medicin .Befides alfo,I laftly told him this,that I had oblerved,that that was the readieft to draw forth Bullets ffiot into the body,which fets the Patient in the fame pofture and fite,as he was when he received his hurt. Which things when I had told him,together with many other handled at large in this work,the good old man requefted me to publiffi in print my opinions concerning thefe things,that fo the erroneous and hurtful! opinion of Vigo might be taken out of mens minds. To whofe earned intreaty when I had aflented, I firft of all caufed to be drawn and carved many Inftruments fit to draw forth Bullets and other ftrange bodies; then a ffiort while after I firft publiffied this work in the year of our Lord 1545. which when I found to be well liked and approved by many,! thought good to fet it forth the fecond time fomewhat a- mendedin the year 1552. And the third time augmented in many particulars in the year 1564. Fori having many Wars, (and detained as Chirurgeon in befieged Cities, as Met s and Heflin, had obferved many things under five Kings, whom I ferved with diligence and content. I had learnt many things from moft expert Chirurgeons, but more from all learned Phyfitians, whofe familiarity and favour for that purpofe I alwayes laboured to acquire with all diligence and honeft Arts; that fo I might become more learned and skilfull by their familiarity, and difeourfe, if there was any thing efpecially in this matter and kind of wounds, which was hid from me,or whereof I was not well affured.Of which number I have known very few, who any thing feen in this kind of operation either by ftudy,or experience in Wars,who have not thought that Wounds made by Gunffiot ought to be drefled at the firft with fuppurative medicins,and not with fcalding and Cauftick oil. For this I affirm,which then alfb I teftified to this goodman,that I have found very ma- ny Wounds made in the fleffiy parts by Gunffiot,as eafily cured as other Wounds, which be made by contufing things.But in the parts of the body where the bullet meets with bones and nervous parti- cles,both becaufe it tears and rends into fmall peeces thofe things which refill,not only where it tou- ches,but further allb,through the violence of the blow,therefore it cauleth many andgrievous lymp- tomes,which are ftubborn and difficult,and oft-times impoffible to cure,efpecially in bodies replete with ill humors,in an ill conftitution of the heaven and air,luch as is hot,mo ill and foggy weather, which therefore is fubjeft to putrefaftion; & in like manner a freezing and cold feafon,which ufes to mortifie' the wounded parts not only of thofe that are hurt with Bullets,ibut in like fort with any other wea- pon;nqt only ip bony and nervous particles,but alfo in mufculous.Whereby<!you may underftand,that the difficulty of curing proceeds not from the venenate quality of the Wounds ; nor the combuftion made by the Gunpouder,but the foulnels of the Patients bodies,and the unleafonablenefs of the air. For proof whereof,I will let down,that which I not long agone, obferved in a Scottiffi Nobleman the Earl of Gor don, Lord of Achindon, whom I cured at the appointment of the Queen-Mother. He was ffiot through both his thighes with a Piftoll,the bone being not hurt nor touchedjand yet the 2 2 day after the Wound he was perfectly healed, fo that he had neither feaver nor any other fymptom which came upon the Wound. Whereof there are worthy witneffes,the Archbiffiop of Glaflo, the Scottiffi Em- baliadour,Trocar lohn Altine Doftors of Phyfick,as alfo lames Guillemeau the Kings Chirur- geon,and Giles a Scottiffi Chirurgeon,who all of them wondred that this Gentleman was fo foon healed, no acrid medicin being applyed. This I have thought good to recite and fet down, that the Headers may underftand,that I for 30.years ago had found the way to cure Wounds made by Gunffiot, with-* Gunponder not poyfon • ous. Bullets (hot ' out of a Gun do not j burn. r A Hiftory. A medicint hindering bliftrfng in burnsjor fcalds. A Hiftory. Wounds made by Gunfhor nauft be drcffed with fiippura- rives. The caufes of difficul. ty in this cure. A Hiftory, Lib.11. and other fiery Engins3and allforts of Weapons. 311 without fcalding oil or any other, more acrid medicin j unlefs by accident the ilnefs ofthe Patients bodies and of the air caufed any malign fymptomes, which might requirefuch remedies befides the regular and ordinary way of curing, which (hall be more amply treated of in the following difcourfe. What makes Chit* ur geons fometime.s ufc cauftickfi in caring wounds made by Gunfhot. Another Difcourfe oftbefe things, which King Charles the Ninth, returning from the expedition and taking fl/Rovenjizz quired of me concerning Hounds made by Gnnfbot. Or that it pleafed your Majefty one day, together with the Queen Mother, the Prince of the Rockjtfon Toland many other Noble men,and Gentlemen,to inquire of me, what was the caufe that the far greater part of the Gentlemen and common Souldiers which were wounded with Guns, and other warlike Engines, all remedies ufed in vain, either dy- ed, or fcarfe and that with much difficulty recovered of their hurts, though in appea- rance they were not very great,and though the Chirurgeons diligently performed all things requifite in their Art.: I have made bold to premife this Difcourfe to that Traftate which I determin to pub- liffi concerning wounds made by Gunfhot; both to fatisfie the defires of the Princes and of many Gen- tlemen,as alfo the expeftation they have of me,as being the Kings chief Chirurgeon, (which place be- ing given me by Henry the Second,Charles the Ninth,a Son moft worthy of fuch a Father,had confirm- ed)neither make I any queftion,but that many who,too much infift upon their own judgment,andnot throughly confider the things themfelves,will marvail,and think it far from reafbn; that I departing from the fteps of my anceftors, and diflenting wholly from the formerly received opinions, am far from their Tenents,who lay the caufe of the malignity of wounds made by Gunffiot,upon the poyfon brought into the body by the Gunpouder, or mixed with the bullets whilft they are tempered or caft. Yet for all this,if they will curteoufly and patiently weigh my reafons,they fhall cither think as I do, or atleaftfhall judgthis my indeavour and pains taken for the publike good, not to be condemned nor contemned. For I fhall make it evident by moft ftrong reafons drawn out of the writings of the Ancients both Philosophers and Phyfitians, and alfo by certain experiments of my own, and other Chirurgeons,that the malignity and contumacy which we frequently meet withall in curing wounds made by Gunfhot,is not to be attributed either to the poyfon carryed into the body by the Gunpouder or Bullet,nor to burning imprinted in thewoundedpartby the Gunpouder. Wherefore to come to our purpofe,that opinion muft firft be confuted,which accufeth wounds made by Gunfhot of poyfon; and we muft teach,that there is neither any venenate fubftance,nor quality in Gunpouder, neither if there fhould be any,could it impoyfon the bodies of fuch as are wounded.Which that we may the more ea- fily perform,wc muft examin the compofition of fuch pouder,and make a particular inquiry of each of the fimples, whereof this compofition confifts, what eflence they have, what ftrength and faculties, and laftly, what effeffs- they may produce. For thus by knowing the fimples,the whole nature of the compofition confifting of them,will be apparently manifeft. The fimples which enter the compofition of Gunpouder are only three, Charcoals of Sallow or Willow,or of Hemp ftalks,Brimftone,and Salt-peter,andfometimes a little aquavits. You fhall find each of thefe,if conlidered in particular,void of all poyfon and venenate quality. For firft in the Char- coal you fhall obferve nothing but drynefs, & a certain fubtlety of fubftance,by means whereof it fires fb fodainly,even as Tinder. Sulphur or Brimftone is hot and dry,but not in the higheft degree,it is ofan oily & vifcid fubftance,yet fo that it doth not fo fpeedily catch fire as the coal,though it retain it lon- ger being once kindled,neither may it be fo fpeedily extinguiffied.Salt-peter is fuch, that many ufe it for fait,whereby it is evidently apparent that the nature of fuch fimples is abolutely free from allpoy- fpn, but chiefly the Brimftone,(which notwithftanding is more flifpefted than the reft.)For Diofcorides gives Brimftone to be drunk, or flipped out of a rear Egg to fuch as are Afthmatick,troubled with the cough, ip it up purulent matter, and are troubled with the yellow Jaundife.JBut Galen applyes it out- wardly to fuch as are bitten by venemous Beafts,to fcabs,teaters,8c leprofies.For the aqua vfajt is of fo tenuous a fubftance that it prefently vanifheth into air,and alfo very many drink it,and it is without any harm ufed in frictions of the exteriour parts of the body .Whence you may gather, that this pon- der is free from all manner of poyfbn,feeing thefe things whereof it confifts and is compofed,want all fufpition thereof. Therefore the Germane horfemen,when they are wounded with ffiot, fear not to drink off cheerfully half an ounce of Gunpouder diffolved in Wine; hence perfwading themfelves freed from fuch malign fymptomes as uflially happen upon fuch wounds;wherein whether they do right or Wrong Ido not here determin;the fame thing many French fbuldiers forced by no neceflity,but only to ffiew themfelves more courageous,alfo do without any harm; but divers with good fliccefs ufe to ftrew it upon ulcers,fo to dry them. Now to come to thefe,who think that the venenate quality of wounds made by Gunfhot,(brings not from the pouder,but from the bullet wherewith fome poyfon hath been commixt or joyncd,or which hath been tempered or fteeped in fome poyfonous liquor. This may fufficiently ferve for a reply; that the fire is abundantly powerfull to diftipate all the ftrength of the poyfon,if any fhould be poured upon or added to the Bullet. This much confirms my opinion which every one knows;The Bullets which the Kings Souldiers ufed to (hoot againft the Townfcmen in the fiegc of Roz/efl,were free from all poyfon;and yet for all that they of the Town thought that; thay were ail poyfoncd,when they found the Wounds made by thcm,to be uncurablc and d?ftdJyFNpW Theocca- (ion of wri« ting tins difcourfii The argu- ment of this dif* courfe. Ganpeude? is not Po?2 fonods. • Ofifrhat is is made, j 73* Lib» fimPl,Cqk 36, Bullets can«- not be poy» foncd. Of Wounds made by 312 Lib.11 on the other fide the Townfmen were falfly fufpeded guilty of the fame crime by the Kings Army, when as they perceived all the Chirucgrons labour in curing Wounds made by the Bullets (hot from be fruftrated by their contumacy and malign fide judging of the magnitude and malignity of the caufe from the unhappy fuccefs of the effeft in curing.Even as amongft Phyfitians ac- cording to dileafcs are termed pcftilent,wrhich arifing from whatfoever common caule, kill many peoplejfo alfo Wounds made by Gunffiot, may in fomc refpeft be called peftilent, for that they are more refra£tory,and difficult to cure than others, and not becaufe they partake of any poy- fonous quality,but by default of fome common caule, as the ill complexions of the Patients, the in- fections of the air,& the corruption ofmeats and drinks.For by thefe caufeswounds acquire an evil na- ture,and become lefs ycelding to medicins.Now we have by thefe reafons convinced of error that opi- nion which held Wounds made by Gunffiot for poyfbnous; let us now come to overthrow that which is heldconcerning their combuftion. Firft, it can fcarfe be underftood how bullets which are commonly made of Lead,can attain to fucli heat,but that they muft be melted?and yet they are fo far from melting,that being (hot out of a Mus- ket they wil pierce through an armour and the whole body befides,yet remain whole,or but a little di- miniffit.Befides alfo,if you ffioot them againft a ftone wall,you mayprcfently take them up in your hand without any harm,and alfo without any manifeft fenfe of hcatjthough their heat by the finking upon the ftone ffiould be rather increafed if they had any. Furthermore,a Bullet ffiot into a barrel! of Gunpouder,would prefently fet it all on fire,if the bullet ffiould acquire fuch heat by the (hooting but it is not fo.For if at any time the pouder be fired by fuch an accident, wemuft not imagine that it is done by the bullet bringing fire with it,but by the ftriking and collifion thereof againft fome Iron, or ftone that oppofes or meets therewith, whence fparks of fire proceeding as from a flint the ponder is fired in a moment. The like opinion we have of thatched houfes,fbr they are not fired by'the bullet which is ffiot, but rather by fome other thing,as linnen rags, brown paper and the like which rogues and wicked perfons fatten to their bullets. There is another thing which more confirms me in this opinion,which isjtake a bullet of Waxe, and keep it from the fire, forotherwife it would melt,and ffioot it againft an inch board,and it will go through it; whereby you may underftand that /Bullets cannot become fo hot by ffiooting,to burn like a cautery. But the Orifices (may fome fay') of fuch Wounds are alwayes black.This indeed is true,but it is not from the effeft of heat brought thi- ther by the bullet,but the force of the contufion. Now the contufion is exceeding great both be- caufe the bullet is round,and enters the body with incredible violence. Of which thofe that are woun- * Ci k gIVC y°U fufficlcnt teftimony,for there is none of them, which thinks not prefently upon the blow,that as it were fome poll,or thing of the like weight,falls upon the affected member,whence great pam and ftupidity poflefs the part,whereby the native heat and fpirits are fo much diffipated, that a Gangrene may follow. But for the Efchar which they affirm is made by the blow, and falls away af- terwards,they are much miftaken.F or certain particles of the membranes and fleffi eontufed and torn by the violence of the bullet beguiles them;which prefently putrefying are fevered from the found parts by the power of nature and the feparating heat,which thing ufually happens in all great Con- tulions. But for all that thefe fo many and weighty reafons may free the Pouder from all fufpition of Poilon,and the bullet from all thought of burning ; yet there arc many who infilling upon Philofo- H jUmenj Tr?Xfe ncW ftirs'F°rflay they )the difeharging apeice of Ordinance is abfolutely like Ihunder and Lightning, which.the rent and torn clouds caft from the middle region upon the earth) wherefore tne Iron bullet which is ffiot out of the Cannon muft needs have a venenate and burn- ing faculty. I am not ignorant that Lightning generated of a grofs and vifeous exhalation, breaking the cloud wherewith it is meompafled,never fals upon the earth,but brings fire with it,one while more lubtile,another while more grofs,according to the various condition of the matter whence the exhala- tion hath anfen.For Senecawrius that there arc three feverall kinds of Lightning differing in burning T-1 1 • of them penetrates or rather perforates by the tenuity of the matter of the ? l whlcy" lt<touc^es-The other with a violent impctuofity breaks in funder and diffipates the ob- jeas,by reafon it hatha moredenfe,compaft & forcible matter,like as Whirlwinds havc.The third, for SVnrn- te\reft«all matter, burns what it touches,leaving behind it the impreffion of , ? 1 know that Lightning is ofa pcftilent & (linking nature,occasioned by the grofnefs and vifcidity of the matter whereof it isjwhich matter taking fire fends forth fo lothfome 8c odious a fmel,that the yeiy wild beads cannot mdure it,but leave their Dens,if they chance to be touched with fiich a lightnmg.Befides a fo we have read in the Northern hiftoryof Olaw in fome places ?a "nd ? whole Plain fpread over with Brimftone,which Brimftoncnotwith- n 1 th 8 r cxtlngu.11};ed\llnP^ohtable3and of no efficacy. But grant thefe things be thus.vct muft we 1 d rC^OntludC? th,c of the great Ordnance carry poyfon and fire wid" them inlo the wounds.For though there be many things like in Lightning and difeharging great Ordnance yet they have no fimilitude either in matter or fubftance,but only in effects,whcixby they ffiake breal/in fundei and difperfe the bodies which withftand them; For lightning and thunder do it by'means of b^theBun1"Xiedbv the th?n'wllich.is1th^f°re rearmed,a thunderbolt; bitt Ordnance n n V InnU k d by the/?rce of the air,more violently driving and forcing it forwards. Neither if y ld b7 moie powerful arguments force me to yeeld that the matter of the lightning and ffioot- Irr r°f It yCt 1 nOt thcrcfore be forced confefs that Wound! made by Gunffiot arc combuft.F or according to PZniy,there arc fome lightnings which confiding ofa mod dry matter do ffiattter in funder all that withftands them, but do not burn at all; others thich are of fomeXt a r?Unnr nature>burn no more than theformer,but only black fuch things as they touch-Laftlv o- divffiHfbut foTthiS C te"uous.P? nature(as faith)wemuft not doubt to be ? f this icafon3that they will melt gold & filver,not harming thepu rfe;a fword,not hurt- ing As Galen notes ad fent»2o& 21. Je$. S Wounds ma de by Gunfhot are not burnt. The rea- fan why wounds made by Gunfhot look black. The rea- fons of our adverfaries rtfelled. lib.2.C(q. 49- The fiink* ing fmell of Lightning. Lib.z.cap. 5<- 1 he won- derfull na* true of fome light- ning. L I B.II. and other fiery Engins}and allfiorts of Weapons. 313 ing the purfe;a fword,not hurting thefcabbard;the head of a Lance, not burning the wood, and died wine not breaking the veflell. According to which decree I can grant, that thefe Lightnings which break in funder,melt and dilfipate,and performe other effefts fo full of admiration,are like in fubftance to the [hot of great Ordnance ; but not thefe which carry with them fire and flame. In proofe whereof there comes into my mind the hiftory ofa certain Souldier, out of whole thigh I remember I drew forth a Bullet wrapped in the taflety of his breeches,which had not any fign of tea- ring or burning.Befides,! have feeu many who not wounded, nor fo much as touched, yet notwith- ftanding have with the very report and wind ofa Cannon bullet,fliding clofe by their ears,fain down for dead,fo that their members becomming livid and black, they have dyed by a Gangrene enfuing thereupon.Thefe and fuch effefts are like the effects of Lightnings which we lately/mentioncd, and yet they bear no fign nor mark of poifon. From whence I dare now boldly conclude, that Wounds made by.Gunlhotare neither poifoned,nor burnt. But feeing the danger of inch Wounds in thefe hft civill wars hath been fo great, univerfall and deadly to fo many worthy perfonages and valiant men, what then may have been the caufe thereof, if it were neither combuftion, nor the venenate quality of the Wound ? This mull we therefore now infill upon and fomewhat hardily explain. Thofe who have fpent all their time in the learning and fearching out the myftericsof Natural 1 Philofophy, would have all men think and belecve,that the foure Elements have fuch mutuall fympathy,that they may be changed each into other;fo that they not only undergoe the alterations of the firft qualities which are heat,coldnefle,drynefle and moifture,but alfo the mutation of their proper fubftances by rarefa&ion and condensation. For thus the fire is frequently changed into air, the air into water, the water into air,and the water into earth;and on the contrary,the earth into water,the water into air, the air into fire;bccaufe thefe 4. firft bodies have in their common matter enjoyed the contrary and fighting, yet firft and principal! qualities of all. Whereof we have an example in the * BalLbellowes brought out of Germany, which are made of brafle,hollow and round;and have a very finall hole in them, whereby the water is put in, and lb put to the firejthe water by the action thereof is ratified into air,and fo they fend forth wind with a great noife,and blow llrongly as foon as they grow throughly hot. You may try the fame with Chefnuts, which caft whole and undivided into the fire,prefently fly afiinder with a great crack;becaufe the wa- try and innate humidity turned into wind by the force of the fire, forcibly breaks his palfage forth. For the air or wind railed from the water by rarifaftion,requires a larger place, neither can it now be contained in the narrow filmes, or skins of the Chefnut, wherein it. was formerly kept. luft after the fame manner Gunpouder being fiered, turnes into a far greater proportion of air, according to the truth of that Philofophicall prop ofition, which faith, Of one part of earth, there arc made ten ofwa- terjofone ofwater,ten of airland of one of air are made ten of fire.Now this fire not poffible to be pent in the narrow fpace of the peice,wherein the pouder was formerly contained, endeavours to force its paflage with violence,and fo calls forth the Bullet lying in the way, yet fo that it prefently vanilhes into air,and doth not accompany the Bullet to the mark,or objeft,which it batters,[poiles and breaks afundcr. Yet the Bullet may drive the obvious air with filch violence, that men are often Iboner tou- ched therewith than with the bullet,and dye by having their bones (battered and broken without any hurt on theflelh which covers them ; which as we formerly noted, it hath common with Lightning. We find the like in Mincs,when the pouder is once fiercd,it removes & (hakeseven mountains of earth. 1 In the year of our Lord 1562. a quantity of this pouder which was not very great taking fire by 1 accident in the Arcenall of Paris, caufed fuch a tempeft, that the whole City (hooke therewith, but it 1 quire overturned divers of the neighbouring houfes,and (book off tlfe tyles and broke the windowes of thofe which were further ofF;& to conclude, likea ftorme of Lightning it laid many here and there ' for dead,fbme loft their fight, others their hearing, and otherfome had their limbs torn afunder as if 1 they had been- rent with wild horfes:,and all this was done by the only agitation of the air into which I the fired Gunpouder was turned;luft after the fame manner as windes pent up in hollow places of the f earth which want vents.F or in leeking paflage forth, they vehemently (hake the fidcs of the Earth,and raging with a great noilc about the cavities, they make all the furface thereof to tremble; fo that by ] the various agitation one while up, another down, it overturnes or carries it to another place. For t thus we have read that Megara a.nd anciently mod famous Cities of Greece were fwallowed up and quite overturned by an earthquake;! omit the great blufterings of the windes ftriving in the cavi- r ties ofthe earth, which reprelent to fuch as heare them at fome diftance, the fierce aflailing of Cities, • the bellowing of Bullets,the horrid roarings of Lions, neither are they much unlike to the roaring 1 reports of Cannons.Thefe things being thus premifed let us come to the thing we have in hand. A- ' mongft things neceflary for life,there is none caufes greater changes in us than the air; which is conti- : nually drawn into the Bowells appointed by nature, and whether we fleep, wake, orwhatelfe foever ' we do,we continuall draw in,and breath it out. Through which occafion Hippocrates calls it Divine, r for that breathing through this mundane Orbe, itembraces, nourifhes, defends and keeps in quiet c peace all things contained therein,friendly confpiring with the ftars from whom a divine vertue is in- fufed therein. For the air diverfly changed and afteftedby the ftars, doth in like manner produce va- J rious changes in thefe lower mundane bodies. And hence it is that Philofophers and Phy fitiairs do fo ferioufly wi(h us to behold and confider the culture and habit of places, and conftitution ofthe air, I when they treat of preferving of health,or curing difeafes. For in thefe the great power and dominion ofthe air is very apparent,as you may gather by the foure feafons of the year; f or in fummer the air being hot and dry,heats and dryes our bodies ; but in winter irproduceth in us the effects of winters c qualities,that is,of cold and moifture;yet by fuch order and providence of nature, that although ac- I cording to the varieties of feafons our bodies may be varioufly altered, yet [hall they receive no de- <5 E e triment A Hiftory. Why the wounds made by Gunihor fome few .. years agone were fo deadly. I The caufe of the , tranfmura- ' tionofthe Elements. * Thefe > bellowes. here men- tioned by ' the Au* . thor,are Bals made of Braffe in form ofa pear,with a very final hole in their letter ends:when you would fill them w ith water you muft ; heat them very hot, and fo the air which is contained in them wil be excee- dingly rarL fied,which by puring them pre- sently into water will be cond(?n* late as . much,and fo wil draw in the wafer to fup ply the place, nede- tur vacuum. Then pur them into the fire, & it again ra- tifying the water into airwill make them yeeld a firong'con- tinued and forcible blaft.The caufe of the report and blow of a Cannon. A Hiftory. The caufe of an Earth- quake, 314 Of Wounds' made by Gunfjot, Lib.11 triment thereby,if fo be that the feafons retain their feafonablenefsftrom whence if they happen to di- raife and ftir up great perturbations both in our bodies and minds j whole malice we cart fcarfe Ihun, becaufe they encompafs us on every hand,and by the law of nature enter together with the air into the fecret cabinets of our bodies both by occult and manifeft paflagcs.For who is he,that doth not by experience find both for the commodity and difeommodity of his health,the various effects of winds, (wherewith the air is commixt)according as they blow from this or that Region, or quarter of the world.Wherefore feeing that the South wind is hot and moiffithe North wind cold and dry; the Eaft wind clear and frclh; the Weft wind cloudyjit is no doubt but that the air which we draw in by infpiration carries together therewith into the bqwells the qualities of that wind which is then prevalent.When we read in Hippocrates,that changes of times,whether they happen by different winds, or viciflitude of feafons3chiefly bring northerly winds do condenle,and ftrengthen our bo- dies,and make them aRivc,well coloured and daring,by refufeitating and vigorating the native heat. But fouthern winds refolve and moiften our bodies3make us heavy headed, dull the hearing,caufegid- dinefs3and make the eyes and body lefs agilejas the Inhabitants of Narbon find to their great harme, who are otherwife ranked among the moft aftive people of France. But if we would make a compari- fon ofthe feafons and conftitutions of a year, by H/ppocrates decree, Droughts are more who lefome and lefs deadly than RainsJ judg for that too much humidity is the mother of putrefaftion, as you learn by thefe countries which are blown upon by a wind from Sea. For in thefe flefh which is kept for food3putrefies in the fpace of an hourejand fuch ulcers as in other places are eafily and quickly healed,do there by the conflux and collection of matter become inveterate & contumacious.Therefore as when the feafons of the year fucceffively fall out agreeable to their when each feafon is fea- fonable3then either we are not fick at all3 oraffuredly with lefs danger. So on the contrary the per- fect conftitution and health of our bodies becomes worfe and decaies,when the feafons ofthe year arc depraved and perverted in time and temper. Now feeing that thefe many years the four feafons ofthe year have wanted their feafonablenefs, thefummer wanting his ufuall heat, and the winter its cold, and all things by moifture and the dominion of the fouthern winds have been humid and languid, I think there is none fo ignorant in naturall Philofophy and aftrology, who will not think that the caufes of the malignitie and contumacy of thole difeafes which have fo long affli&ed all France., are not to be attributed to the air and Heavens.For otherwife, whence have fo many peftilent and conta- gious difeafes tyrannized over fo many people of every age,fex and condition ? whence have fo many catarrhcs-jcoughs and heavineffes ofthe head3fo many plurifies,tumors,fmall poxes,meazells,and itches not admitting ofdigeftion and remedies prefcribcd by Art ? Whence have we had fo many venemous creatures,as Toads,Gralhoppers,Caterpillars,Spiders,Wafpes,Hornets, Beet! es,Snailes,Vipers, Snakes, Lizards3Scorpions and Efts or Nutes,unlefs from excelfive putrefaftion which the humidity ofthe air, our native heat being liquid and dull3hath caufed intis,and the whole kingdome of France?Hence alfo proceeds the infirmity of our native heat, and the corruption ofthe blood and humors whereof we confift,which the rainy Southwind hath caufed with its fultryheat. Wherefore in thefe laft years I have drawn little blood3which hath not prefently (hewed the corruption of its lubftance by the black or greenilh colouraas I have diligently obferved in all fuch as I have bled by the direction ofPhyfiti- ans,either for prevention of future, or cure of prelent difeafes. (Whence it conies to paffe that the flelhy fubftance of our bodies could not but be faulty both in temper and confiftence ; feeing that the blood whence it is generated had drawn the feeds of corruption from the defiled air.Whence it fell out, that the Wounds which happend with lofle of fubftance could be fcarfe healed or united,,becaufe ofthe de- praved nature ofthe blood. For fo the Wounds and ulcers of thefe which are troubled with the Drop- lie, who fc blood is more cold or wholly waterilh; fo of Leprous perfons,whole blood is corrupt, and laftly of all fuch as have their bodies replete with ill juice, or elfe are Cacheftick, will not eafily ad- mit of cure. Yea afliiredly if but the very part which is hurt fwerve from its native temper the Wound will not eafily be cured. Therefore feeing all thefe things,both the putrefaction of the Air, and depraved humors ofthe body,and alfo the diftemper of the affc&ed parts confpired together to the deftruCtion ofthe wounded, what marvail was it,if in thefe late civill warres, the Wounds which were for their quantitie final!,for the condition ofthe wounded parts but little, have caufed fo many and grievous accidents and laftly death it lelf > Efpecially3leeing that the Air which encompafleth us, tainted with putrefaftion corrupts and defiles the Wounds by infpiration and expiration, the body and humors being already difpofcd,or inclined to putrefaftion. Now there came fuch a ftink,which is a moft allured lign ofputrefaftion,from thefe Wounds, when they were dreffed,that fuch as flood by could fcarfe endure it,neither could this ftink be attributed to the want of dreffmg,or fault ofthe Chi- rur§c°n'^or t^lc Wounds ofthe Princesand Nobility flunk as ill as thefe of the common Souldiers. . And the corruption was fuch,that if any chanced to be undreft for one day, which fometimes happen- ed amongft fuch a multitude of wounded perlons, the next day the Wound would be full of wormes. . belides allo, which furthermore argues a great putrefaRion of humors,many had abfeeffes in parts op- pofiteto their Wounds,as m the left knee,when as the right Ihoulder was wounded ; in the left arm, whenasthc right leg was hurt. Which I remember befell the King of Navarre, the Duke of Nevers, the Lord divers others. For all men had nature fo overcharged with abundance of vicious hu- ifit expelled not part thereof by impoftumes to the habit of the body, it certainly other- wifedifpoied of it amongft the inner parts ofthe bodyjfor in differing dead bodies, we obferved that he other Bowells were purulent3and hence it was that the patients by reafon ofvapuuis lent from them to the heart Were troubled with continuall feavers. But the Liver all pollut£d3& the generation of the laudable blood hindred,they languilhed for wa t of fitting nounlhnient. But when the Brain by vapours was drawn in tofympathize with the reft, How the air becomes hurtfull. 'Jpher.ly, Flefli quickly pu- trefies in mant ime places* In what bodies ul- cers and wounds are not eafily cured* An argu- ment of great putre- faflionof the humors. Lib.ii. a nd other fiery Engins}and allforts of Weapons. 315 reft,they were molefted with Ravenings and Conviilfions. Wherefore if any thing fuccceded nnprolper- oufly in fo great malignancy of wounds,the Chirurgeon was not to be blamed,for that it were a crime to fight againft God and the Air, wherein the hidden fcourges of the divine juftice lye hid. Therefore if according to the mind of the great Hippocrates? who commands to bring all contufed Wounds to fuppuration,that fo they may be healed,we indeavoured to cure with fuch medicins Wounds made with Gunlhot,and therefore contufed;who can rightly be angry with us, if we performed it not fo well,by reafon ofthefe putrefaftions,gangrenes,and mortifications which proceeded from the corrupt < Air,for all that we tiled not only fuppurativeSjbut were oft-times forced to ule other mediciris ; lb ' long turning afide from the cure of the dileafe,untill we had orecome the lymptomes which much in- ' danger the Patient,and cuftomarily happen upon fuch Wounds, asalfo upon thole which arc made' with a fword or any other kind of weapon; as ihall plainly appear in the following treatife,to which it now leems high time that we betake otir fclves. All contufcd wounds mufi be brought to fiippuratioti CHAP. I. A divifton of wounds drawn from the variety of the wounded parts? and the Bullets which wound. LI Wounds which are made in mans body by Gunfhot,whether fmple or compound, are ac- companied withcOntuiion,dilaceration,diftemper and (welling. I iay,all theie polfefs either the noble parts, or ignoble, theflelhy, nervous or bony, feme whiles with rending and tearing afunder the larger' vcflclls,fbmctimes without harming them.Now theie Wounds are only fuperficiary,or elfe pierce deep and pafs quite through the body.But there is alfo another divifion of thefe Wounds taken from the variety of the Bullets wherewith they are made. For Lome Bullets are bigger,fome lefSjfome between both,they are ufually made of lead,yet fometimes of ileel,iron,brafs,tin, fcarie any of Silver,much lefs of Gold.There arifes no difference from their figureffor almoft all kinds of Wounds of this nature are rotind.From thefe differences, the Chirurgeon muft take his Indications what to do,and what medicins to apply.The firft care muft be,that he think not thefe horrid and ma- lign fymptoms,which ufually happen upon thefe kinds of Wounds,to arifefrom combuftion,or poy- fbn carried with the Bullet into the wounded part,and that for theie reafons we have formerly hand- j led at large.But rather let him judg they proceed from the vchemency of the contuiion, dilaceration and frafture,cauied by the Bullets too violent entry into the nervous and bony bodies. For if at any time the Bullet fhall only light upon the flefhy parts, the Wounds will be as eaiily cured,as any other Wound ufually is,which is made with a contufing and round kind of weapon, as I have often found by frequent experience,whilft I have followed the wars, and performed the part of a Chirurgeon to many Noblemen and common Souldiers,according tothecounfell offuch Phyfttians as were there o- verfeers of the cure. A divifion of wounds from the variety of rhe woun- ded parts. From the difference ofBulletSi Wounds made by Gunfhot are ufually round. C H A P. II. Of the /igns of Wounds made by Gunfbot. Dunds made by Gunfhot are known by their figure,which is ufually round; by their colour, as when the native colour of the part decayes,and in ftead thereof a livid,greenifh, violet or other colour fucceeds;by the feeling or fenfe of the ftroke,when in the very inftant of the re- ceiving thercof,he feels a heavy fenfe as if tome great ftone,or piece oftimber,or fome fuch o- ther weighty thing had fain upon it; by the (mall quantity of bloud which ifliies out thereat,for when the parts are contufed,within fome fmall while after the ftroak they fwell up, fo that they will fcarfe admit a Tent,whence it is that the blood is flopped,which otherwife would flow forth of the orifice of the Wound;by heat,which happens either by the violentnefs ofthe motion,or the vehement impul- sion of the air8or the attrition of the contufed parts,as the flefli and nerves. Alfo you may conjefture that the Wounds have been made by Gunfhot,if the bones fhall be broken,and the iplinters thereof by pricking the neighbouring bodies caufe defluxion and inflammation. But the caufe that the Bullet makes fo great a contuiion is,for that it enters the body not with any points or corners,but with its round and fphericall body,which cannot penetrate but with mighty foTce;whence it cometh to pafs that the wound looks black,& the adjacent parts livid:hence alfo proceed fo many grievously mpto ms, as pain,Defluxi6n,lnflammation,Apoftumation,Convulfion,Phrenfie,Palfie, Gangrene and mortifica- tion, whence laftly death enfues. Now the Wounds do often call forth virulent and very much ftinck- ing filth,by reafon of the great contufion,and the rending and tearing of the neighbouring particles. A great abundance of humors flow from the whole body,and fall down upon the affe&ed parts,which the native heat thereof being dimin ifhcd,forfakcs, and prefently an unnaturall heat feifes upon it. Hi- ther alfo tend an univerfall or particular repletion of ill humors, chiefly if the Wounds poflefs the nervous parts as the joints.Verily neither a Stag with his horn, nor a flint out of a fling can give fo great a blow,or make fo large a Wound,as a Leaden or Iron Bullet (hot out of a Gun, as that which going with mighty violence, pierces the body like a Thunderbolt. Signs of wounds from their figure. From their colour. From the feeling the blow. From the bleeding. From the. heat of the woi nd. Whence rhefe. wounds ate fo much conrqfed. CHAP. III. How thefe founds niufi be ordered at the fir ft drelfing. He Wound niuft forthwith be inlarged, unlefs the condition of the part reiut, that Io there may be free paflage forth both for the SrfWi,or matter, as alfo for inch things as are farced, or otherwife contained therein; fuch as are pieces of their cloaths, bombaft, linnen, papei, pieces of Mail or Armour,Bullets,Hail-fliot,fplinters of bones,bruifed flefh and the like, all which muff be plucked forth with as much celerity and gentlenefs as may be. For prefently after the receiving of the Wound the pain and inflammation are not fo great, as they will be within a. more time after.This is the principall thing in performance of this work,that you place the Patient juft in filch a pofture as he was in at the receiving of the Wound;for otherwife the various motion and turn- E e a lnS Strange bo- dies mu ft firfi be pit- ted forth. The manner how to draw them forth* 316 Of Woundf made by Gunfhot, LlB.lt* ing of the Mufcles will either hinder or ftraiten the paflage forth of the contained bodies.You fhall if it be poflible,fearch for thefe bodies with your finger,that fo you may the more certainly and exa&ly perceive thcm.Yet if the bullet be entred fomewhat deep in,then you fhall fearch for it with a round and blunt probe,left you put the Patient to pain; yet oftentimes you fhall fcarce by this means find the Bullet.As it happened to the Marshall of Briffac in the fiege of Parpignan,who was wounded in his right fhoulder with a Bullet,which the Chirurgeons thought to hare entered into the capacity of his body. But I, wifhing the Patient to ftand juft in the fame manner as he did when he received the Wound, found at length the place where the Bullet lay, by gently prefling with my fingers, the parts near the Wound,and the reft which I fufpe&ed;as alfo by the fwelling, hardnefs,pain and blacknefs of the part, which was in the lower part of the fhoulder near unto the eight or ninth fpondill of the back. Where- fore the Bullet being taken forth by making incifion in the place,the Wound was quickly healed,' and the Gentleman recovered.You fhall obferve this,and rather beleeve the judgment of your fingers, than of your Probe. C H A P. 1111. A description of fit Inftruments to draw forth Bullets and other firange bodies. o th the magnitude and figure of Inftruments fit for drawing forth of Bullets and other ftrange bodies5are various according to the diverfity of the incident occafions. For fome are fmooth,others of another figure and bignefs 5 of all which forts the Chirurgeon mull have divers in a readinefs, that he may fit them to the bodies and Wound,and not the Wounds and bodies to his Inftruments. Jhe Delineation of fuclrtikg Inftruments. The creokgd Cranes-bill,with teeth like a Saw. The firaight Cranes-bill being alfotoothedpt for drawing forth hail-pot, pieces of ar- mour, fplinters of bones, and fuch things as lye deep within. The ThirDucks-bill hath a large round and too- thed cavity in the end, for fo it more eafily taketh hold of the Bullet when it lies amongft much Flefh. A toothed Crowes-Bill. .Another Inftrument fit for drawing forth of Bullets, which may be tearmed a Catch-Bullet. Shews the B. Shews the rod9 er firing which opens and puts the joint. C. The joint- Another LlB.II. and other fiery Engins}and all forts of Weapons. 317 Another Catcb-Bullet called a Li- zards-nofe, made for drawing out of bullets which are fomewhat flattedjy fir iking upon a bone. Jhe Parrots-beakjs made for draw- ing forth pieces of mail thruji into or bones-, and this is the figure thereof. Phe Swans bill opens with a fcrcw,)ou may with this dilate the JPounds,and fo put in a jfraight Cranes-bill9aspincers to pluckjorth flrange bo- dies. The figure of both are here expreft. Shews the fcrewpin.B. the ho!/ow- cd part which receive sjhe round fart noted with. C. Which if opened and and fhut by the fcrew.D'D.Fal/f, or flayes, which govern the running branch. But if thefe Grange c- fpecially.jbullets and hail-fhou be not too deep in the Wound, they may be taken forth with your Levatory, or elfe by the help of thefe Gimblets. Thel'e Gimblets are fcrewed into their pipes,or canes, and enter with their fcrewed points into the Bullets,if that they be of Lead or Tin,and of no harder metallj arid fo being fattened in them,bring them out with them. 'The figure of the Gimblet with hi/pipe or cane. Befides the Swans-bill which we lately mentioned, there are alfo othq; inftruments fit to dilate and open the Wounds, called Dilaters,by whofehelp the Wound may be held open,that fo the hidden bodies may be feen; for when yon prefs together the two ends of this Inftrument, the other two open and dilate them- felves. You may alfo ule them in dilating divers other parts of the body,as the Noftrils, Fundament, and fucli like. j)iiaters. The Inftruments which follow are called Setoff needlesjor Probes; whole life draw through aflamu- la,fo to keep the Wound open; that you may the better take forth any ftrange body.Befides alfo we life the fame needles to fearch, or as it were to found the deepnefs of the Wounds}and to find out the Bullcts.For they cannot put one t0 much pain becaufe they have fmooth and round ends. So alfo all Probes wherewith we E e 3 fearch 318 Of Wounds made by Gun (loot, Lib.11. fearch for Bullets, muft have fome- what large, finooth and round ends.For feeing that the verges of the Wound meet together prefcnt- ly after the hurt, if the Probes be too Imai or Pender,they wil flick in the inequality of the flcfh, neither will they be able to come to the Bullet.But if they be (harp & poin- ted,they will caufc and renew the pain by pricking the flefh they meet withall,& fo hinder your intention of finding the Bullet s Now you muft be furnifhed with thefe inftru- , ments of a different length, accor- ding to the various thicknefle of the parts jfor you cannot put any through the thigh but fuch as are of good length. Probes for to put flamulaes through a Wound withall. What probes fit to fearch thefc wounds. . TV ■■ ■' V 1 ._ ! ■ 2 CHAP. IX. ujed, after the firange bodies or drawn out of the Wound tai the ftrange bodies are drawn or pluckt out of the Wound, by thefe means we have for- merly recited,the chief of the cure muft be to heal the contufion, and amend the diftemper of the air if it be hot and moift,that is, fubjeft to putrefa£tion. This fhall be done by medicins taken inwardlydapplied outwardly,and put into the Wound. Things to be inwardly ufed in diet and Pharmacy I leave to the judgment of learned Phylitians; for the particular and topick medi- 11 cins,(unlefs from the prefent conftitution of the air,the condition of the wounded part,or from fome other caufe there be danger of a Gangrene) you muft ufe fuppuratives, as you ufually do in contufi- ons;fuch as are oil of Whelpes and that which we call a digeftive • you muft chiefly forbear fuppura- tives,when as the wounded part is of a nervous nature. For all nervous parts require dryer medicins than flefliy,as we have formerly delivered fpeaking ofWounds of the joints; wherefore in Wounds of the joints and nervous parts you fhall ufe more venice Turpentine than oil. Laurentiw lobertus the Kings Phyfitian & Chancellour of the LIniverfity of Mompelier,in a treatife which he writ of Wounds , made with Gunlhot,forbids the ufe of Efcharoticks both a&uall and potential!, in thefe Wounds, if Ample; for that, they induce pain, inflammation, a feaver. Gangrene and other deadly fymptomes. Be- edes alfo an efchar will hinder fuppuration, which is to be defired in this kind ofWounds, that fo thecontufed flefh may be fevered from the found, left it be drawn to putrefaftion by contagion. Which eafily happens when an Efchar is drawn, as a bar over it,for then the excrcmentitious humor remains longer in the part,and the putredinous vapours hundred from palling forth, are encreafed, and carryed from the lefler veflels to the bigger, and fo over all the body. Wherefore, when you fufpeft putrefa&ion,letting alone fuppuratives,ufe in the firft place fuch things as refift putrefa&ion, as this following ointment.R <erif.vitrioli romam3mellis rofat. an. %ij. deeti boni quantum fufficit3bulliant omnia fimul fecundum artem3& fiat medicamentum ad formam mellis. This by reafon of the heat and fubtlety ofthefubftance,hath a faculty to induce and attenuate the humors, as alfo to call forth the native heat drawn in & difllpated by the violent and forcible entrance of the Bullet into the body; furthermorealfo it corrects the venembus contagion of the virulent humor. Now this medicine fhall be in Venegar or aqua vitt3and be put into the Wour$ witjjtqits, or pledgets. The tents which fhall be ufed at the firft dreffing muft be fomewhat long an^ihW? J&atby dilating the Wound, they may make way for application of other remedies; otherwife yt>U jhiay make inje&ion with a fy- rmge,that fo it may penetrate the more powerfully.But this dtfcriM JEgyptiacum fhal be tempered ac- cording to the condition of the affe&ed parts,for the nervous parts Wi|l be offended with it as being too acrid; but it may be qualified by admixture of oil of Turpentine ft Saint lohn-wort. Alfo we may well be without this jdfpyptiacum when there is no fuch peftilent conftitution of the air, as was leen in the late Civil! wars.After the ufe of you fhall with emollient & lenitive medians procure the falling away of the Efchar, & fuch a medicine is this following o)l, being fomewhat more than warm. ft Olei violate lib.iiij.in quibus coquantur catelli duonuper nati3u[quead diflblutionemoIJium3addendo verme- urn terreftnum, ut decetprsparatorum.ib.j. coquanturfimul lento ipne3 dcinde fiat exprefio ad ufim.addende terebinth. TJenet sj.This oil hath a wonderfull force to affwagepain,to bring the Wound to fuppu- ration,&caufe the falling away of theEfchar.This enfuingoil is made more eafily.R olei fem inis lim3& li- fimul & fiat medicamentum ; put.of this a fufficient quantity into i C W?und5J°}'t"is being apply ed indifferent hot, hath power to afljyage Pain, to foften and humea 1 C4 t K ''J5)lln^3 forwards fuppuration,which is the true manner of curing thefe kind of Wounds,according to the rule of Hiff aerates., which wifhes every con tided wound to beprefently r^llghe to fuppuration,for fo it will be lefle fubjeft to a Phlegmon;and befides,all the rent & bruifed ueln mult putrehejdiflolve and turn to quitture, that new and good flefh may be generatedin ftead thereof. Laurentius laubertus much commends this following medicine,ofwhofe cfficacy,as yet,I have made no tnall. Bcful'ver.mercur.bis porci recent butyri recently ?viij.Camphor £ inaqua w f!jJolutie^l)MfiC€^mniaftmul3a^en^0 tantil/um olei liliorum3 autlini. Experience taught him, and reafon allo fhewesjthat this kind of remedy is very commendable ; for the powder of Mercury, if mixed with a A Cant io; in the life offuppu- rarives. Why Ef- charoticks mull be el- chewed in thcfckinds, if they be fimple. Howan Ef- char may caufe pu- trefaction. The di- fcription of an SEgypti. acum. How and when to temper this cum. Theoil of VVhelpes a digcftive> anodyne, and fit me- cine to pro- cure rhe falling a- way of an Efchar. Lib.de ul- cer. 7 he facul- ties of the powder of Mercury. Lib.ii. and other fiery Engine?,and all fort? ofW\eapon?. 319 a grofle and hume&ing matter,doth in a fhort {pace turn the bruited fleffl into fw, without caiiling a- ny great pain. For the Camphire,whether it be hot or cold,in temper, it much conduces to that pur- pole,by reafon of thefubtlety of the parts,whereof it confifts. For by means of this quality the medi- ' cines enter with more facility into the affected bodies,and perform their parts; befides alfo Camphire c refills putrefaction.Some drop into the Wound aqua wit*, wherein they have diflolved feme calcined vitrioll.Which kind of remedy is not ftippurative, but yet much refills putrefaction, fo that we may v ufe it with good fuccefs,when the weather is hot,moift,andfoggie. But when the Wound is made ve- n ry neer at hand3it cannot but be burnt by the flame of the powder; in which remedies ufed for burns,( will be ufefull,not omiting fuch as are fit for contufions.But for thefe parts which lye next the Wound,r you lhall not,unlefs at the firft drefling,apply refrigerating and aftringent things,but rather emollient< and fuppurative.For thole things which have a refrigerating faculty,weakcn the part,and fup- puration. For aftringents conftipate the skin, which is the'caufe,that the putrid vapours fhut up and , hindred from tranfpiration and paflage forth, a gangrene and mortification eafily feile upon the part. j But if the contufion be great and diffufe it fell more largely over the flefh, the part mull be much fca- rified;thatfo the contufed and concreat blood,and therefore fubjeCt to putrefadian,may be evacuated. But for thefe parts,which fomewhat further diftant from the Wound cncompalfe the contufed ttefh,- they require refrigerating and ftrengthening medicins,fo to hinder the falling down and fetling of the j humor in that part which is this entiling medicine.]&*ful.boli.armcn. janguin. 'Dracon. Myrrh*, an. ijj. fwcci ( folan.fempervivi,Portulac.a?i.^j^.album myovorum.oxj/rhodin.quantum fufficit fiat linimentum,ut decet. You may ufe this,& the like untill the fufpefted fymptomc be paftfear. Neither muft'you have lefs care,of bind- ; ing up and rolling the part,than of your medicins;fer it doth not a little conduce to the cure,to bind 1 itfo fitly up as it may be without pain. The Wound at th? beginning of the cure, mull be drefled 1 but once in 24-houres,that is,untill the Wound come to fuppuration;but when the quitturebegins to ' flow from it,and confequently the pain and leaver are encreafed, it lhall be dreft twice a day, that is,, every twelve houres. And when the quitture flowes more abundantly than uliiall,ifo that the collecti- on thereof is very troublefome to the Patient, it will be requifite to drefle it every 8 houres; that is, thrice a day. Now when as this abundant efflux is fomewhat flaked, and begins to decreafe, it will fuf- fice to drefle it twice a day. But when the ulcer is filled with flefh, and confequently calls forth but lit- tle matter,it will ferve to drefle it once a day,as you did at the firft. The force; of calcined vitriol. How wounds mads by Gunfhot may be combuft. Scarificati- on. An Jftrin- genc repel- ling medi- cine. The bind- ing up. How oft rhe wound muftbe dreft in a day. r the fecond and following dreflings, unlefs you fufpeft putrefa&ioh, and a Gangrene, you fhall only put into the Wound fome of the oils formerly defcribed,adding to them the yolks of fome egs and a little faffron; and ufe this medicin,untill the Wound come to perfeft fup- puration. Herd you muft note this,that thefe kinds of Wounds are longer before they come to fuppuration,than other Wounds made by any other fort of weapons both for that the bullet,as al- fo the air which it violently carries before it,by much bruifing the flcft,on every fide,diflipates the na- tive heat,and exhaufts the fpirits of the part.Which things hinder digeftion,and often caufe the matter to ftinkyis alfo many other pernicious lymptomes. Yet moft uftially or quitture appears within three or four dayes,fooner and later according to the various complexion,and temperament of the Pa- tients bodies,and the condition of the ambient air in heat and cold.Then by little afid little you muft come to deterfives,adding to the former medicin fome Turpentine wafted in Rofe, Barly, or fome o- ther fuch like water,which may waft away the biting thereof.If the incompafling air be very cold, you may to good purpofe,add fome aqua by Grf/w prefcript,we muft not ufe hot medicins in win- ter, & lefs hot in fummer.Then in the next place ufe deterfives,as R. aqua decoflionis hordei quantum [uffi- centaurei minor is3an. %].buHiant omnia finwlfin fine decotfionis adde terebinths venetx | iij. well is rofat. * ij.farin.hordei $ iij. croci 9 j« Let them be all well mixed together and make a Mundihcative of an indifferent confidence. Or R fucci clymenirflantag. abfinth. api ij. tereb.venet. 5 ij. bulliant omnia fecundum drtemypofled colenturfin colutura adde pulver. a- loesjnaftiches} Ireos Florent, j.fiat Mundificativum ad ufum difium. Or clfe R. terebinth, venet. lota in aq. rof. | v.olei rof. j.mellis rof. $ iij. ariftoloch. rotunda, an.% i hord.% iij.mifce. Make a Mundificative,which you may put into the Wound with tents, but fuch as are neither too long,nor thick,left they hinder the evacuation of the quitture and vapours,whence the woundedrpart will be troubled with erofion,pain,defluxion, inflammation, abfeefs, putrefaftion; all which feverally of themfelves,as alfo by infefting the noble parts, are troublefome both to the part affefted, as alfo to the whole body befides. Wherefore you ftall put into the Wound no tents,unlefs fmall ones,and of an indifferent left (as I faid) you hinder the patting forth of the matter,or by their hard pref- fing of the part, caufe pain,and fo draw on malign fymptomes. But feeing tents are ufed both to keep open a Wound fo long,untill all the ftrange bodies be taken forth,as alfo to carry the medicins, wherewithal! they are anointed .-even to the bottom of the Wound. Now if the Wound be finuous and deep,that fo the medicin cannot by that means arrive at the bottom and all the parts muft do yourbufinefs by injeftions made of the following decoction. R. aq. hord.lib. 4. agrimon.centaur. minor.pimpihella,abfinth.planta£.M-fi'rad.arifioloch.rotund.$ p. fiat decoftio ad lib.]. in colatura expreffa diffolve a- loes iij.mellis rof. % ij. bulliant modicum. Injeft fome of this decoftion three or four times into the Wound,as often as youdrefs the Patient; and if this ftall not be fufficient to clenfe the filth, and waft the fpongious,putrid and dead fleft,you ftall diffolve therein as much JFpyptiacum as you ftall think fit for the prefent neccflity; but commonly you ftall diflblve an ounce of Jtyyptiacum in a pint ®f the decoftion. Verily JEgyptiacum doth powerfully confume the proud fleft which lies in the ca- pacity CHAP. VI. How you jball order it at the fecond drejfing. Why wounds made by Gunlhoj are fo long before they come to fuppurati- on. WhyTur*' pentine mull be wtfhed, Meth. A detergent median. Why tents nauft be neither ro® long nor thick. When you inuft. u fe in j edi- ons. An on. i Thequanti*. ty of &gyp- ■ tiacum to be ■ ufed in au' i injection. 320 Of Wounds made by Gunjbot, Lib.1I. pacity of the Wound ; befides alfo it only works upon fuch kind of flefh. 1 or this purpoie 1 have alio made triall of the powder of Mercury ,and burnt Alum equally mixed together, and found them very powerfull,even almoft as fublimatc,or Arfenick, (but that theie caufe not fuch pain in their operati- on.) I certainly much wonder at the largenefs of the Eichar which arifes by the afperfion of theie powders. Many Practitioners would have a great quantity of the injection to be left in the cavities of finuous ulcerSjOr Wounds;which thing I could never allow of. 1 or this contained humor caufeth an Unnatural teniion in thefe parts,and taints them with fuperfluous moifture,whertby the regeneration of flefh is hindered; forthat every ulcer as it is an ulcer,requires to be dryed,in Hippocrates opinion.Many alfo offend in the too frequent ufe of Tents; for as they change them every houre, they touch the fidcs of the WoundjCaule pain,and renew other malign fymptomes;whcrefore Inch ulcers as caft forth more abundance of matter,I could wifli rather to be dreffedwith hollow tents, like thofe 1 formerly defcri- bed to be put into Wounds of the Cheft. You fhall alfo prefs a linnen bou lifer to the bottom of the Wound, that fo the parts themfelves may be mutually condenled by that prefliire and the quitture thruft forth; neither will it be amifs to let this boulfter have a large hole fitted, to the orifice of the Wound and end of the hollow tent and pipe,that fo you may apply a fpunge for to receive the quit- ture,for fo the matter will be more fpeedily evacuated and fpent, cfpecialiy it it be bound up with an expulfive ligature,beginning at the bottom of the ulcer,and fb rapping it up toi the top. All the boul- fiers and rowlers,which fhall be applycd to thefe kinds of Wounds,fhall be dipped in Oxycratc or red wine,fd to flrengthen the part,and hinderfdefluxion. But you muff have a fpeciall care, that you do not bind the Wound too hard,for hence will arife pain,hindering the paflage forth of the putredinous vapours and excrements, which the contufcd flefh cafts forth ; and alfo fear of an dtrop hzrf,or want of nourifhment, the alimentary juyces being hindered from coming to the part. VVhy none of the inje- ction muft be left in the wound. Hollow tenfs or pipes. The manner of binding up the wound. CHAP. V 11. By what means ftrange bodiesfteft in at the firft drefling, may be drawn forth. Two caufes that make ftrange bo- dies hard to be taken' forth. )T divers times happens5that certain fplinters of bones, broken and (battered afunderby the : violence of the be pulled forth at the firft drefling,for that they either do not > yeeld or fall away3or elfe cannot be found by the formerly defcribed inftrunients.For which purpofc this is £n approved medicin to draw forth that which is left behind. R radic. Ireos Floren.panac. & cappar. iij.ariftoloch.rctund. 3 j. inpofinem redapfa incorporcntur cum mefle rofar.& terebinth, venet. an.% ij.or R re/fo. pini ficc* J iij.pumicis combufti & extinfti in vino albo, radic. Ireott ariftolochi£9 thuris ij.in foUinem redigantHrjncorporentur cum me He rofato3 fiat medica- mentum. C H A P. V111. Of Indications to be obferVed in this kind of Wounds. 4c ulcer being clenfedand purged, and all ftrange bodies taken forth;natures indeavours to regenerate fleffi,and cicatrize it,mufl be helped forwards with convenient remedies, both ta- ken inwardly, and applyed outwardly.To which things we may be eafily and fafely carry - edby indications drawn,firft from the eflence of the difeafe, then from the caufe ; if as yet prefent it nourifh thedifeafe For that which Galen fay cs,Lib. 3.Meth, that no indication may be taken from the primitive caufe and time; muft be underftood of the time paft, and the caufe which is abfent. And then from the principal timesof thedifcafe.>the beginning,increafe,ftate,and declination jfor each of thefe four require their remedies.Others are taken from the temperament of the Patient, fb that no Chirurgeon need doubt,that fomemcdicins are fit for cholerick, otherfome for phlegmatick bodies. Hither refer the indication taken from the age bf the Patient ; alfb it is drawn from his diet, for no man muft prefcribe any flender diet to one who is alwayes feeding,as to him who is accuftomed to eat once, or twice a day. Hence it is that a diet confifting only of Panada's is more fit for Italians than for French mcn;for we rnuft give fomewhat to cuftome,which is as it were another nature. Vocations and dayly exercifes,are referred to diet, for other things befit Husbandmen & labourers,whole flefh is denfe and skin hardened by much labour,than idle and delicate perfons.But of all other,have diligent regard of that indication which is drawn from the ftrength of the Patient ; for we muft prefently, (all elfe being neglefted) fuccor the fainting,or decaying ftrength; wherefore if it be needfull to cut off a mem- ber that is putrefied,the operation muft be deferred if the ftrength of the Patient be fo dcje&cd, that he it performed without manifeft danger of his life. Alfo indication may be drawn from the incompafling air,under which alfo is comprehended that, which is taken from the feafon of the yeer,region,the ftate of the air and foil, and the particular condition of the prefent and lately by-paft time. Hence it is we read in Guido,that Wounds of the head are cured with far more difficulty at Paris, than at Avignion, where notwithftanding on the contrary ,the Wounds of the legs are cured with more trouble,than at P*r jr;the caufe is,the air is cold and moift at P4rz/;which conftitution feeing it is hurt- full to the brain and head,it cannot, but muft beoffenfive to the Wounds of thefe parts. But the heat of the ambient air at and difiblves the humors, and makes them flow from above downwards.But if any objeCt that experience contradicts this opinion of Guido, and fay,that Wounds of the head are more frequently deadly in hot countries ; let him underftand that this muft not be at- tributed to the manifeft and naturall heat of the air; but to a certain malign and venenate humor, or vapor difperfed through the air,and raifed out of the Seasjas you may eafily obferve in thofe places of France and Italy which border upon the Mediterranean Sea. An indication may alfo be drawn from the peculiar temper of the wounded parts, for the mufculous parts muff be drefled after one, and the bony parts after another manner. The different fenfe of the parts, indicates and requires the The Indi- cation which is drawn from the 'ftrength of the Pati- ent is the chiefeft of all other. Why wounds of the head at Paw,and of the tegs at dvignion are hard to be cured. Lib.ii. and other fiery Engines,and allfiorts ofW\eapons. 321 the like variety of remedies; for yon (hall not apply fo acrid medicins to the Nerves and Tendons, as * to the ligaments which are deftitute of fenfe. The like reafon alfo for the dignity and fun ft ion of/ther parts needfull for the prcfervation of life; far oft-times wounds of the brain, or of fome other of the, naturall & vitall parts,for this very reafon that they are defixed in thefe parts,divert the whole manner a of the cure,which is ufually and generally performed in wounds.Neither that without good caufe, for f oft-times from the condition of the parts,we may certainly pronounce the whole fuccefs of the difeafe; v for wounds which penetrate into the ventricles of the brain, into the heart,the large veflels, the cheft, * the nervous parts of the midriffe,the liver,ventricle,fmall guts,bladder,if fomewhat large are deadly ;as alfo thefe which light upon a joynt in a body repleat with il humors, as we have formerly hoted.Nei- ther muft you negleft that indication which is drawn frorii the fituation of the part,and the commerce it hath tvith the adjacent parts, or from the figure thereof; feeing that Galen himfelf would not have it negle&ed.But we muft confider in taking thefe forementioned Indications, whether there be a compo- C fition,or complication of the difeafes; for as there is one and that a fimple indication,of one and thatJ a limple difeafeyfo muft the indication be various of a compound and complicate difeafe. But therea is obierved to be a triple compofition,or complication of affefts befides nature; for either a difeafe is compounded with a difeafe,as a wound, or a phlegmon with a fraftufe of a bone; or a difeafe with a caufe,as an ulcer with a defluxion;or a difeafe with a fymptome,as a wound with pain, or bleeding. It fometimes comes to pafs,that thefe three,the difeafe, caufe, and fymptome, concur in one cafe or af- feft. In artificially handling of which , we muft follow Galens counfell, who withes in complica- ted and compounded affefts,that we refift the more urgent;then let us withftand the caufe of the dif- eafe,and laftly that affeft,without which the reft cannot be cured. Which counfell muft well be ob- ferved;fbr in this compofure of affefts,which diftrafts the Emperick ; but on the contrary, the ratio- nal! Phy fitian hath a way prefcribed in a few & thefe excellent words, which if he follow in his order of cure,he can fcarfc mifs to heal the Patient.Symptomes truly aS they are fymptomes,yeeld no indica- tion of curing,neither change the order of the ctire;for when the difeafe is healed, the fymptome va- nishes,as that which follows the difeafe,as a fhadow follows the body. But fymptomes do oftentimes fo urge and prefs,that perverting the whole order of the cure, we are forced to refift them in the firft placets thofe which would otherwife increafe the difeafe.Now al the formerly mentioned indications may be drawn to two heads; the firft is, to reftore the part to its native temper; the other is, that the blood offend not either in quantity or quality;for when thofe two are prefent,there is nothing which may hinder the repletion,or union of wounds nor ulcers. ; An indies- cion ro be drawn from rhe quick and dull fenfe of the wounded part. Gal. lib. 7. Meih.& 2. ad Glanc. Cal. lib.7. Meth'. • How an J ; when we mu ft rake ; indication ' of curing ' from a I fymptolnc« CHAP. IX. What remains for the Chirurgeon to do in this kfnd of Wounds. He Chirurgeon muft firft of all be skilfull and labour to aflwage pain,hinder defluxions, pre- fcribe a diet in thefc fix things we call not naturall,forbidding the ufe of hot & acrid things, as alfo of wine;for fuch attenuateth humors and make them more apt for defluxion. There- fore at the firft let his diet be (lender, that fo the courfe of the humors may be diverted from the afteded part;for the ftomach being empty and not well fillcd,draws from the parts about it,where- by it confequently follows,that the utmoft and remoteft parts are at the length evacuated; which is the caufe,that luch as are wounded, muft keep fo (pare a diet for the next dayes following. Venery is very pernicious, for that it inflames thefpirits and humors far beyond other motions; whereby it happens that the humors waxing hot,are coo plentifully carried to the wounded and over heated part. The bleeding muft not be ftanched prefently upon receiving of the wound, for by the more plentifull ef- flux thereof the part is freed from danger of in flammation and fulnefs. Wherefore if the wound bleed not fufficiently at the firft,you (hall the next day open a vein,and take blood according to the ftrength and plenitude of the Patient; for there ufually flows no great ftore of blood from wounds of this na- ture ; for that by the greatnefs of thecontufion and vehemency ofthe moved air,the fpirits are forced in,as alfo 1 have obferved in thofe who have one of their limbs taken away with a Cannon bullet.For in the time when the wound is received, there flows no great quantity of blood, although there be large veins and arteries torn in funder thereby. But on the 4, 5, 6. or fome more dayes after, the blood flows in greater abundance,and with more violence,the native heat and fpirits returning into the part. The belly muft be fo qualified, that he may have at the leaft one ftool a day,either by nature,' or Art;and if by A rt,than rather with a Clyfter than purging medicins taken by the mouth, for that the agitation of humors, chiefly in the firft dayes of the difeafe, is to be fufpe&ed, left we increafe the defluxion falling down upon the wounded part. Yet Galen writes that both the evacuations are here needfull,that is,blood-letting and purging;though the Patient be neither repleat with il humors.But the care hereof muft be committed to the judgment of the learned Phyfitian;pain,if joyned with inflamation (hall be mitigated,by anointing the parts neerunto the wound With unguent. nt/tritam,compofed with the juyce of Plantain, Houfleek,Nightfhade, and the cs defcribed by Galen diflblved with vinegar,oil of Poppyes and Rofes is of no lefs cfficacy;nor unguent, de 6o/o,nor divers other things ofthe fame faculty,though properly no anodynes,as thofe which are not hotandmoift in the firft degree, but rather cold,but yet not lb as to have any narcotick faculty.Now thefe forementioned things aflwage pain for that they corrcft the hot diftemper,and ftay the acrid and Cholerick defluxions,whole violence is more than cold. After the ufe of repercuflives, it will be good to apply this following cataplafm. R. Micgpan# infufe inlatfe •vaccine fb j J3. bull! ant parum addenda olei rofar.an. iij.vitel/os ovorum nu.iiij. pulver.rofar.rub. flor.chamem.& meliloti9 an. 3 ij.farin.fabar. & hordei an.%j.mifce9fiatcataplafmafecundutnarteni. Alfo in this cafe you may eafily make a medicin, of bread crums boy led in Oxycrate and oil of Rofes.The cure of T umors if any aflbeiate the wound,may be Why fuch as are wounded mufl keep a flender di« «♦ Why wc ffluA opera a vein in fuch as are wounded by Gunfhor, Gai.Lib.4l Meth.cdp.tfi Gal.Lib. i» de comp. t gen. c.tf ♦ An anodine and ripe- ning Cara- Of Wounds made by Gunfhot, LlB.ii; 322 be found in their proper place.Natures motion, whether to fuppuiation,oi any fuch thfiig, muft ftiH be obferved,and helped by the Phyfitian and Chirurgeon,as the minifters and fervants thereof. C H AP. X. Of Bullets which remain in the body, for a long time after the JFound n healed up. Why Lea- den Bullets lye in the body fo many years without doing any harm. Eaden Bullets lye in force parts ofthe body force wlnles leaven,eight or more years, fo tha' they neither hinder the agglutination ofthe Wound.ne.ther doth any other fymptome hap- pen thereupon,as I have divers times obferved; tin till at length by theftrengthof nature forcing them, and their proper weightmefs bearing; them downwards, they lhew thernfelves in fome lower part,by their fwelling or bunching forth,and fo muff be taken forth by the hand of the ChirurgeomFor they fay lead hath a certain fympathy and familiarity with mans body, chiefly the flefhy parts thereof. Wherefore it neither putrefies it fell, nor caufeth the flefli to putrefie; belides it hath an excellent faculty in cicatrizing old ulcers. But bullets of ftone,iron and of any other metall, are of another nature/or they cannot remain any long time in the body without hurt $ for Iron will grow rufty and fo corrode the neighbouring bring other malign fymptomes.Yet a Leaden bullet cannot remain any lon£ time in nervous,or noble parts without danger. CHAP. XI. How to correct the constitution of the air,fo that the noble parts may be Strengthened,and tbe whole body befides. Cordialls to ftrengthen the noble parts. Utbecaufe as we have formerly told you,there are fome times wherein even finall Wounds made by Gunlhot prove deadly,not by their own fault, but the fault of the air; therefore 1 alfo the Chirurgeon muft have this care,that he correft the aire with all diligence,& reduce it to a certain quality and moderation of fiibftance, and ftrengthen the noble parts and whole body befides, which may be performed by the following medicins, which are to be taken inwardly and applyed outwardly.In the morning three houres before meat let the Patient take fome certain quantity as the Phylitian lhall think fit of the ele&uary Diarrhodon Abbatis3 or Aromaticum rofatum9triafantalon9biamofchum3latificans Galeni-prfome fucli other like. And you lhall apply fome fuch Epitheme'as is here defcribed to the heart and Liver. R aqu* rofar.$iiij}aqu£ buglojfaaceti boni3an.$ij. co- riandri prrfarati JfL caryophil/.cortic.citri cor alii utriujque Qj.croci 9|3. pulver. an.^.pul.flo.chamam.&melil.an.^iij.mifce9fiat epithema. Let it be applyed warm by dipping a leaflet cloath therein.You lhall frequently put odoriferous and refrigera- ting things to the Patients nofe,to ftrengthen the animall faculty,as;R aqu* rofar. & aceti boni car)ophyllorum3nucis mofchat.cinamomi conquajfatorum3 & Theriac# Galeni9an.%]. Let a linnen rag dipped here- in,be now and then put to the Patients nofe«for the fame purpofe he lhall carry a Pomander about him, and often fmell there. As R ro[.rub.violar.an.3n].baccarum myrtij uniper i9fant al. calamit. fat is eft: liquefiat fimul cum cer& alba quod fujficit3fiat ceratum ad comprehendendos fupra- difios pulveres cum piftillo calido3& ducatur in pomum.Or R rad.Ireos Florent.majoran.calam.aromat.ladaniftenzoi- ni9rad.cyperi? pulvis cumgummi tragacanth, quod fufficit. Orelle. R ladani puri %j.Benzoini%fi.ftyracis calamit.yvj.ircos Flor.^fi.caryophyll.'Snj.majoran.ro/. rub. calami aromat.an.3fi. in polli- nem redigantur omnia3& bulliantcum aqua roj.quantum [ufficit3colentur9 colata liquefiant cum jufta cer<e alba quan- titate 3ftyrac is ad modum cerati3& cum piftillo fiat pomum3addita mofchi Jj.Alfo you may corrobo- rate the animall faculty by application of frontalis., as allb procure fleep,and eafethe pain of the head; asc R rof.& papav.an.%]fi.aceti boni3^j.trocbij.de camphora3 3f3. fiat frontale. Linnen rags dipped herein may be applyed to the temples of the forehead,and often renewed;otherwife by their heatsdry- nefle,and hardnefs, they will caufe watching in Head of Heep. Neither muft you in the mean time bind the head too hard, left by intercepting and hindring the pulfation of the temporall Artery, you en- creafe the pain of the head .You lhall make a fire,in the Patients chamber of oderiferous woods, as lu- niper,Bay-tree,the primings or cuttings of Vines, Rolemary, and Orris roots. For the lame purpole, you may fprinkle the floore with Iweet water;if the Patient be able to undergoe fuch coft. As, R majo* faturei^bacca- rum lauri9& juniperi9an.M.iij.pulv.caryophyll. nucis rofar.&vit<e9 an.lib.ij. vini albi boni& , odorifici.ft).x.bulliant omnia in balnco Marine adufumdiflum. You may alfp make perfumes to burn in his chamber,as thusft&.carbonisfalicis ladanipuri mafculiftigni &baccarum xyloa- locs3benjoini,ftyracis calamit.an.^fi.Nucis an.3ij.zedoari£9 calami aromat.anJft.gummi tragracanth.aqua rofar.joluti3quod fit fat is', Make hereof perfumes in what falhion you pleafe.Forthe rottennes and corruption of bones we will treat thereof hereafter in its due place. A cordiall Epithem. Pomanders. Frontalis to caufe reft, and ftrcng- then rhe animallfa. cul ty. A fweet wa- ter. Perfumes to burn. CHAP. XII. Certain memorable Hiftories. Ere I thinke good for the benefit of young praftitioners,to illuftrate by examples the former- ly prefcribed Method of curing Wounds made by Gunlhot. The famous and moll valiant Count of Mansfelt, Governour of the Dutchy of Luxembourg, Knight of the order of Bur- gundy ,comming to the aide of the French King, was at the battell of Moncontour, where in the conflift he received fo great, a Wound at the joint of the left arme with a Piftoll bullet, that the bones were Ihivered and broken in fo many peeces,as if they had been laid upon an Anvill and ftruck with an hammer:hence proceeded many malign fymptomes, as cruell and tormenting pain,inflamma- tion,a feaver,an ocdematous and flatulent tumor of the whole arm event© the fingers end,and a certain inclination to a Gangrane:which to refill, Nicolas Lambert, and Richard Hubert the Kings Chirurgeons, had The malign fynjptomes which ufii- ally happens upon wounds made by Gunihor. Xj I B« 11. and other fiery Engines,and allforts of PFeapons. 323 had made many.and deep fcarifications. But when I came to vifit and drefs him,by the Kings appoint- ment,and hadobferved the great ftenchjandputrefaflion,! wiffied that they would ufe lotions of JE- gjf tiacum made fomewhat ftronger than ordinary,and diflblved in vinegar and do other things more largely fpoken of in the chapter of a Gangnene. For the Patient had alfo a Viarrhcea or flux,whereby he evacuated thepurulent,and ftinking filth which flowed from his Wound.Which how it might come to pafs we will ffiow at large when we come to treat of the fupprcffion of the Urine. f For this feemed very abfurd tomany,bccaufe that if this purulent humor flowed out ofthe arm into £ the belly,it muft needs flow back into the veins, be mixed with the blood, and by its pernicious and d contagious paflage through the heart and liver,caufe exceeding ill fymptomes,and laftly death. Indeed ii he often fwounded by the aicent of the filthy vapdurs railed from the ulcer to the noble partSjWhich t to refill,! wifhed him to take a fpoontull of aqua z//t<ewith fome Treacle diflblved therein. I endea- voured to reprefs the osdematous and flatulent Tumor'poflefllng all the arme with ftoups dipped in oxycrate,to which was put a little fait and aqua vita thefe Iloups I flayed and held to the part with double cloaths,fowed as ftrait as I could. Such a compreffion held the broken bones in their places, preffed their Sanies from the ulcers,and forced back the humors flowing to the part into the center of the body. If at any time I omitted this compreffion,the tumor was fo'encreafecl, that I was in a great deal of fear,left the native heat of the part (hould be fuffocated. NeitUgcould 1 otherwife bind up the arm by reafon of the excelfive pain which molelled the Patient upon t® leaft flirting of the Arm.There were alfo many Abceflcs about his elbow and over all his arm befides. For the letting forth ofwhofe matter I was forced,to make new incifionsjwhich he endured very ftoutly. At length I cured him with ufing a vulnerary potion,and by cleaning the ulcers,and correcting the putrefaftion with JEgyptia-1 cum diflolved in wine or honey of roles, audio poured into the ulcers, and reprefling the growth of c proud fleffi,with the powder of burnt Alum, drying it after the deterfion with liniments. Now this Ir can truly affirm and profefs,that during the time of the cilre9l took out above threefcore fplinters ofr bones,and thofe neceflarily,amongft which there was one ofthe length of ones finger; yet by Gods affi fiftanceat length he became found in all things,biit that he could not put forth, or draw in his arm* Not long after by the Kings command I went tq fee Charles Philip of Croy, Lord of Auret, the Duke? of Afchos brother,not far from Mounts a City ofHenalt.He kept his bed feaven months by reafon of a Wound made by a Bullet the fpace of three fingers above his knee. When I came to him, he was affli- f. Red with thefe fymptomes, intolerable pain,a continuall feaver, cold fweats, watchings, excoriation r of the hippes by reafon of his long lying upon them, his appetite dejected with much thirft. He oft o funk down as if he had the falling ficknef$,had a defire to vomit, and a continuall trembling or fha- b king fo that he could not put one hand to his mouth without the affiftance ofthe other: he fwounded frequently by reafon of the vapours afeending to the noble parts.For the thighbone was broken long- c wayes and fidewayes with many fplinters of bones,whereof fome were plucked /out and others remai- ned flicking faft in. He befides alfo had an ulcer in his groin which reached to the midfl of his thigh,& many other finuous ulcers about his knee. All the mufcles of his thigh and leg were fwoln with a fleg- matickjcold and flatulent humor,fo that almoft all the native heat of thofe parts feemed extinft. All which things being confidered,I had fcarfe any hope to recover him, fo that I repented my coming thither. Yet at length putting fome confidence in his flrength,and prime of youth,I began to have bet-* ter hopes. Therefore with his good liking,firfl of all I make two incifions, fo to let forth the matter, i which lying about the bone did humeft the fubftance of the mufcles. This had happy fuccefs,and drew v out a great quantity of matters then I with a fyringc inje&ed much JEgyptiacum diffolved in wine,and a n little aqua viti into thefe incifions,fo to reftrain and amend the putrefaftion,reprefle the fpungic, loofe and foft fleffi,refolve the oedematous and flatulent tumor,aflwage the pain, and ftir up and flrengthen the native heat almoft oppreft by the aboundance of excrementitious humors, fo that it could fcarfely affimilate any nouriffiment and adjoin it to the parts. Then I fomented the affefted part v with Sage,Rofe-mary,Time, Lavander,Chamomile and Melilot flowers and Red-rofe leaves boy led in i white wine,and lye made of Oake-affies,adding thereto as much fait and vinegar as I judged requifite. it This fomentation did attenuate & draw forth the morbfiick humor.Now we ufed them long & often, fo to waft the humor more by drying up and breathing thorow the paflages of the skin, more thereof than fell into the part.For this fame purpofe,wc ordained that he fhould ufe friRions with hot 1 innen w clothes,and that thefe fliould be made from above downwards, from below upwards, and fo on every fo fide,andfomewhat long withall:Fora fhort friflion drawes more humor into the partthan it can re- 01 folve:L wiffied that each other day they fhould lay bricks heated hot in the fire about his leg,thigh, & te foal of his footjbut they were to be fomewhat quenched,and fprinkled with Wine and vinegar, with ath fmall quantity of aqua watriffi moifture by this moift heat, did fweat out of thefe parts, the tumor was leflened,and the native heat by little and little reftored.Then ftoups dipped in lye madeof & Oake-affies,wherein Sage,Rofemary,Lavander,fait,and cloves, were boy led,fome aqua vita added, Were te applyed theretojbut the rowlers were fo gently, and artificially wrapped about, that he dideafily en- dure them without any pain,and that with fuch happy fuccefs, that if they Were omitted but for one day,the tumor became very great.But thick linnen boulfters were daid upon the lower cavities of the ulcers; that fo the Janies or filth might be moreeafily prefled forth. But I had alwayes a fpeciall care that the orifices of the ulcers fhould be kept open with hollow Tents or pipes put therein.and fome- times this following cataplafm was applyed to refolve the tumor.R Far. hord. fabar.& orobfan. |vj. mel-A Us cyper. Maft. an. oxymel. jimp, f»' quantum fifficittfiat cataplafrna ad formarn pultis \atis liquids. And emplafrum de Vigo without Mercury was P applyed there to, whereby the pain was much aflwaged,and the tumor leflened .- yet were they not ap- plyed before the parts were throughly heated by the fomentation, fri&ious, and evaporations 5 for ■ u otherwayes Matter may flow from the worm- • ded limbes into the belly* A briefe re- cital 1 of the manner of rhe cure', Horrid fymprome occafioned by a wound made by Gunflw, Fncifions wherefore made. Wherefore I ufed fo- Mixed or found frifli'J or»s,as they terme them. A medica- red Lyea A dlfcuf- ling Cata- ph (me, OfW\jundf made by Gunfhot, L iB.ii. 324 otherwayes this Emplafter could never have been activated,by reafon of the cxccffive coldneis of the af- fected parts. Neither did we omit catagmatick powders,fit for the taking,and drawing forth of broken bones.Hc uftd a vulnerary potion for 15 dayes. Alfo befides the particular frictions of the affefted parts,I appointed other generall friftions of the whole body,which was become very leanffor by theft, blood together with the fpirit was drawn to the parts, and the acrid, and fuliginous vapours were breathed forth. To conclude, his feaver and pains being aflwagcd, his appetite reftored, by feeding plentifully upon good meats according to his ftrength,he in a (hort time became more lufty; and laftly by the fingular mercy of God,recovered his health perfeftly, but that he could not very well bend his kneed thought good to recite theft things,not to glory or brag of the happy (ucceffe of thofe Patients, which have recovered by my means,and the favour of God;but that thus I may more fully and per- feftly by familianexamples inftruft young pra&itioners,in the operations of Chirurgery. Here lately came to my hands abook written by a certain Phyfitian,whereby he endeavours to difprove and overthrow,that which I have hitherto writ, of the cure of wounds made by Gunfhot. Afliiredly if there were no other harm,but the lofs of my credit enfuing there, on,! would willingly hold my peace,and flop his mouth by model! (ilence. But feeing the fafety of fo many men, lyes upon the judgement of this point, I have thought good to withftand this errour,left it,to the great deftru&ion of mankind, fpread and diffufe it fell any further. The ufe(faith he) offuppurative medicins, have killed many who have been but lightly wounded with Gunfhot,but acrid medicins, as killed more. Neither is the counfell of Hippo- crates to be obferved in curing this fort of wounds,who bids that every contufed wound be brought to fuppuration. For feeing this is a new kind of wound,it requires new,and not anciently ufed medi- cines.Now the temper of the air changed from the naturall conftitution ought not to indicate change of medicinesjbut much lefle muft thunderjand lightning be compared to the (hooting of Great Ordi- nance.Thefe are the chief heads of this his book, which becaufe they diflent from the truth, and thefe things I have formerly delivered,! have thought good here to confute.Firft,feeing Leaden Bullets which areufually (hot out of Guns are round, obtufe and weighty, they cannot wound the body without co'ntufion and attritionjNow no contufioncan be cured without fuppuration, not only according to the opinion of H ippocrates Jjiit alfo of Galen and all others who have written of Phyfick. Neither muff we invent new remedies,for thefe new kinds of wounds j for the lawes of the (acred and divine Art of Phyfick are not obnoxious to change,nor fubjeft to the humor of men or times,as the decrees of Kings and Emperours are. For thefe are ftablifhed with immutable ncceffity, which conftancy neither con- fuming time,nor age,nor tyranny can pervert.Wherefore neither thefe who with great praife arePhy- fitians to Kings and Princes,! mean loubert and Potal/uf3 think it lawful! for them to depart from the rules of Hippocrates. And this they not only do and follow in curing and doing the works of Art, but much and highly commend,confirm and propound to be diligently obferved by all, in their books which they have publifhed concerning the cure of thefe kinds of wounds.' And yet thefe Phyfitians are fuch,as daylyconverfantin Armies and Kings houfes have healed and dayly cure as many wounded by Gunfhot as this Phyfitian our Antagonist hath feen in all his life. Neither only do thefe whom I have named thus cure thefe wounds,but almoft all that drefle fuch kind of wounds do the like, fo that if there be nothing which may hinder,or indicate to the contrary, they prefently apply fuppuratives. And I wonder that he hath not obferved how his neighbour Doublet the Emperick cures defperate wounds of this nature,with no other than a fuppurative medicine,compofed of Lard, • the yolk of an Egge,Turpentine and a little Saffron. In the year 1538. there was at Turin whileft I was Chirur- geon there to theMarfhall of Montejan the Kings Lieutenant Generali in Pienwnt a certain Chirurgeon wondrous famous for curing thefe wounds,and yet he ufed nothing elfe but the oil of Whelpes, ( the defcription whereof I at length obtained of him with much intreaty and expence) and he ufed it not fcalding hot,as fome have imagined,but powred it fcarfe warm into their wounds, and fo did mitigate their pain,and happily bring them tofuppuration.'Which afterwards almoftall Chirurgeons, after they had got the defcription hereof,when I firft publifhed this Work, have ufed and daily doe ufe with happy fuccefle. But in contemning and condemning® gjftitfcww ,1 think he hath no there as yet hath been found no medicine more fpeedy and powerfull to hinder putrefaction,ifbeginning; or correct it, if prefent. Now thefe wounds often degenerate into virulent, eating, fpreading, and maligne ulcers, which eaft forth a (linking and carion-like filth,whence the part gangrenates, unlefs you withftand them with ./Egypt iacum and other acrid medicins,being greatly approved by the formerly named Phy- fitians and all Chirurgeons.But (faith he) this unguent is poyfonous, and therefore hath been the death of many who have been wounded by Gunfhot. Verily if any diligently enquire into the compo- fition of this ointment,and confider the nature of all and every the ingredients thereof, he (hall un- derftand that this kind of Unguent is fo far from poyfon, that on the contrary itdire&ly oppofes and refifts all poyfon and putrefaftion which may happen to a flefhy part,through occafion ofany wound. It is moft falfe and diflbnant from the doftrine of Hippocrates to affirm, that the feafons of the year fwerving from the Law of nature,and the air, not truly the fimple and elementary ,but that which is defiled and polluted by the various mixture of putrid and peftilent vapours, cither raifed from the earthjor fent from above,make not wounds more malign and hard to cure at fome times than they are at otherfome. For the air eithtr very hot, or cold, drawn into the body by infpiration or tran- fpiration,generates a condition in us like its qualities. Therefore why may it not, when defiled with / the CHAP- [XIII. An wounds made by Gunfbot. TheoccaG- on of wri- tingthis Apologie. The chiefe heads of our adver- faries Tiea' life. / AH wounds made by Gunfhor are CQnru- fed. A fuppura. five medi- cine of rry- ed efficacy. The force acutn a- gainft pu- trefaflion. The force of th: air in breed- ing and augmen- ting dif- cafes. LlB.II. and other fiery Engines,and allforts ofWe apons. 325 the putredinous vapours of bodies lying unburied after great battails,and fhipwracks of great Arma- does,infeft with the like quality our bodies and wounds ? . ; In the year 1562. when the civill wars concerning Religion firft begun in France, at Pens aCaftle A* lying upon the River Lot,many (Iain bodies were caft into a Well,fome hundred cubits deep, Io ftink- ing and pcftilent a vapour arofe from hence fome two months after, that many thoufimd of people dyed all over the Province of Agenois,-as if the Plague had been amongft them, the pernicious conta- gion being fpread twenty miles in compafs; which none ought to think ftrange, elpeeially feeing the the putrid exhalations by the force of the winds may be driven and carried into divers and moll: re- mote regions,difperfed like the feeds of the Peftilence; whence proceeds a deadly corruption of the fpi- rits,humors,and wounds,not to be attributed to the proper malignity,or perverfe cure of wounds,but to be the fault of the air. Therefore Francis Dalefchatnpe in his French Chirurgery, in reckoning up thefe things which hinder the healing of Ulcers,hath not omitted that common caufe which proceeds from the air defiled or tainted with the feeds of thepeftilence. For he had learnt from his Matter Hip- h pocrates that the mutations of times chiefly bring di!eafes,and he had read in Guido., that this was the/ei chief occalion,that wounds of the head at Par is,and of the legs at Avignion, were more difficultly heal- ed. Laftly ,even Barbers and fuch as have leaft skill in Chirurgery know,that wounds eafily turn into a Gangrene in hot and moift conftitutions of the air. Wherefore when the wind is fbutherly,the But- chers will kill no more fleffi than to ferve them for one day. I have formerly declared the malignity in of the wounds occafioned by the air in the fiege of Roven, which fpared none,no not the Princes of the cc blood,who had all things which were requifite for their health.Which caufed me,made at length more cc skilfull by uie Enguentum JEgyptiacum and medicins of the like faculty in Head of fuppu- ratives,to wounds during all that feafon, that fo I might withftand the putrefa&ion and Gangrene which fo commonly aflailed them. But if the various motion of theftars, can by their influx fend a T Plague into the air,why then may it not by depravation of their qualities infeft,and as by poyfoning G corrupt both wounds and wounded bodies obnoxious to their changes and that of the air? We learnt u long fince by experience, that all pains but principally of wounds, grow worfe in a rainy and moift ai feafon,fpecially becaufe in that foutherly conftitution the air replete with thick and foggy vapoursjd caufes the humors to abound in the body,which forthwith eafily fall upon the afte&ed parts, and caufe increafe of pain. But faith our Adverfary, in the battell at Dreux, and at S. Dennis which were fought in winter,there dyed a great number of men who were wounded by Gunfhot; This I confefs is truejbut this I deny,that it was occafioned by applying cor ro fives,but ratherby theve- hemency and largenefs of their wounds,& the fpoil the bullet made in their memberSjbut above all by reafon of the cold. For cold is moft hurtfull to wounds and ulcers, (as Hippocrates teftifies) it hardens < the skin and caufes a Gangrene.If this my Gentleman had been with me in the fiege of Metz, he might j have feen the Legs of many fouldiers to have rotted, and prefently taken with a Gangrene to have fain away,by the only extremity of cold; if he will not belecveme, let him make tryall himfelf 5 and go in winter to the Chappell at Mount Senis one of the Alpine hills,where the bodies of fuch as were frozen to death in palling that way are buried,and hefnall learn and feel how true I fpeak.In the mean time I think it fit to confute the laft point of his repreheiifion. He cavills for that I compared Thunder and Lightning with the difeharging peeces of Ordnance. 1 Firft he cannot deny but that they are alike in effefts.For it is certain that the flame arifing from Gun- t powder fet on fire,refembles Lightning 5 in this alfo that you may fee it before you hear the crack or r report. I judg for that the eye almoft in amoment perceives its objefts 5 but the ear cannot but in 1 Lome certain fpace of time,and by diftinft gradaxions.But the rumbling noife is like in both, and cer- J tainly the report of great Ordnance may be heard fbmetimes at forty miles diftance, whilftthey make any great battery in the befieging of Cities. Bcfides allb,Iron Bullets caft forth with incredible cele- rity by the fired Gunpouder, throw down all things with a horrid force,and that more Ipeedily and violently by how much they refill the more powerfully by their hardnefs.They report that Lightning melts the mony not hurting the purle j Now many by the only violence of the air agitated and vehe- mently moved by (hooting a peccfe of Ordnance,as touched with Lightning have dyed in a moment, their bones being Ihivered artd broken.no fign of hurt appearing in the skin. The fmcll of Gunpou- der when it is fired,is hurtfull, firy and fulphurous,juft like that which exhales or comes from bodies killed withLightning.For men do not only ffiun this fmell, but alfo wild Beafts leave their Dens if touched withLightnings.Now the cruelty of great Ordnance makes no lefs fpoil amongft nor flaiighter amongft men and beafts,than Lightnings do, as' we have formerly fhown by examples, not only horrid to fee,but even to hear reported,as of Mines,the Arcenall of Paris,the City ofMalignes. Thefe may feem fufficient to* teach,that thunder and lightning have a great fimilltude with the (hoot- ing of great Ordnance, which notwithftanding I would not have a like in all things. For they neither agree in liibftance, nor matter,but only in the manner of violent breaking aftmder the obje&s. Now let us fee and examin what manner of cure of wounds made by Gunfhot our adverfary fubfti- < tutes for ours.For he would have fuppuratives ufed and applyed,yet fuch as fhouldnot be hot & moift f; in quality,or of an Emplaftick confiftencc,but hot and dry things/For (faith he) here is not the famd t! reafon as in Abfcefles,where the Phyiitian intends nothing but fuppuration.But here becaufe a contu- n fion is prefent with the wound,this requires to be ripened with fuppuritives, but the wound to be * dryed. , , . Now to anfwer this objeftion,! will refer him to Galen, who will teach him the nature of fiippu- g rativesjfrom whom alfo he may learn that great regard is to be had of the caufe and more urgent order (i in the cure of compound would I willingly learn of him, whether he can heal a wound * made by Gunfhot,not firft bringing that whi,ch is contufed to perfeft maturity. If he affirm he .can, I F i A*Hiflor)< Hip.Apbj' In our fe- cond dif- courfe. The' power of rhe flat s upon rhe air and our bo. dies» , 'J, Aphtr.tQ, Mfr. The fimih* rude be- tween Thunder and great Ordnance, manrained, Our adfyer- faries mc- thod,and manner of cure repro- ved. Gal. lib.g. fimpl.lGv Metbd. 326 Of Wounds made by Gunfhot, L iB.11. will be judged by whatfoever Practitioners he will,to judg how oblcure thefe things are.Whereby you may the better underhand there is nothing more commodious than our Ba/ilum and oil of Whelps to ripen wounds made, by Gunffiot, if fo be that putrefa&ion, corruption., a Gangrene or fume other thing do not hinder. Then would he have Oxy crate poured into thefe wounds to ftay their bleeding, which if it cannotfo be hayed., he would have a medicin applyed confiding of the white of an Egge, Bole Armenick,oil of Roles and fait.But I leave it to other mens judgment, whether thefe medicins have power to hay bleeding if put into the wound;certainly they will make it bleed the niore.For vi- negar feeiag it is of a tenuious fubhanceand biting,it is no doubt but that it will caufe pain,defluxi- i on and inflammation. To which purpoft I remember I put to ftanch bleeding, for want of another re- ■t medie,a medicin wherein was fome Vinegar,into a wound received by a Moor, an attendant of the 'Earl ofKoi£y, hurt with a Lance, run through his arm before Bologne by an Ezg/z/hhorftman. But he conies again to me a little after,complaining and crying out that all his arm burnt like firejwhere- fore I was glad to drefs him again,and put another medicin into his wound,and laid an aftringent me- dicin upon the wound,bnt poured it not therein. And then above all other remedies he extols his Balfam wmpofed of oil of Wax, and Myrrh beaten together with the white of an Eggejwhich he faith is equall in operation to the naturall Balfam of Peru. For he affirms that this hath a faculty to con- fume the excrementitious humidity of wounds, and fo drengthens the part that no fymptom af- terwards troubles them. Yet he faith, this doth not fo well heal and agglutinate thefe wounds, as it doth others which are cut. Verily it is ridiculous to think thatcontufed wounds can be healed after the fame manner as Ample wounds may,which only require the uniting of the loofed continuity. Therefore neither can thefe Balfams be fit remedies to heal wounds made by Gunffiot, feeing by * reafon of their drynefs they hinder fiippuration, which unlefs it be procured the Patient cannot be healed. Wherefore fuch things ought not be put into wounds of this nature, before they be ripened, walhed and denied from their filth. Yet can I fcarft conceive, where we fhall be able to find out fo ma- ny Chymifts which may fumiffi us with theft things fufficiently to drefs id many wounded fouldiers as ufually are in an Army,or whence the iduldiers havefufficient means to bear the charge thcreof.Al- fo that which he faith is abfurd,that thefe Balfams mud be put into the wounds without Tents ; and preftntly forgetting himfelf,he faith,it will not be amifs, if there be a little and flender Tent put in- to the wound,which may only ferve to hinder the agglutination thereof. But how can thefe Balfams come to the boftomes of wounds without Tend,when as it is their chief property to carry medicins even to the innermoft parts of the wounds9and alwayes keep open a free paflage for the evacuation of the quitture > But it is not worthy ,that after he hath rejected unguentum neverthelefs bids to apply it, from the beginning untill the contufion come to perfect maturation, diflblving it 1 in a decoftion of the tops of wormwood,SJehw JF«rt,the lefler Centory and Plantain, and fo inje&ing it into the wound. Befides alfo a little after he gives another way of-ufing it,which is, to boil a quan- i tity ofHony ofRofts in plantain water,carefully skimming it,untill it be boiled to the confidence of Hony,andthen to add as much Agyptiacum thereto,and fo to make an ointment mod fit to bring thefe wounds to fiippuration.But I leave it for any skilful in Chirurgery to judg,whether fuch medicins can be fuppurativesjor whether they be not rather deterfi vesk Lad of all he writes, that thefe wounds muft be dreft but every fourth day. And if there be a frafture of the bone joyned with the wound, then to move nothing after the firftdreffing untill the eighthday .after ? then preftntly in another place he faithjit will be good,and expedient,to drop ten or twelve drops of the formerly defcribed Balfam eve- ryday into the wound. Verily fuch doftrin which neither agrees with its felf nor the truth, cannot but much pufle a Novice and young Practitioner in Chirurgery, who is not yet in verfed the Art, or the operations thereof. > Vinegar put into a wound dot! not flay bu caufes blee ding. A Hiftory, Balms are fit to heal fimple but not contu- fed wounds. how foever made is a clenfer,nor'a fuppurative. CHAP. XIII I. Another Apologie3again(l thofe who have laboured with new reafons to prove that wounds made by Gunfhot are poyfoned. The occafi- on of this Apology. Dme few months agone,I vifited a Patient together with fome learned Phyfitians and skilfull Chirurgeons. Now they,as it oft-times happens,in way of difiourfe, begun to argue of the condition & quality of wounds made by Gunfhot, & indeavoured to prove that they might be poyfoned by five reafons. Not truly through the occafion of the Gunpouder, for they all confefled that it was free from poy fon, whether you have regard to its eflence,or to its compofition j but by the Bullet,into which the poyfoh may be transfufed and incorporated.The firft reafon is, that Lead feeing it is of a rare and fpongious nature,tvhich the eafinefs of melting and foftnefs argues, is very fit to drink and foak in what liquors fo ever you pleafi. But methinks this conclufion is very weak;for in all mixtures made by Art,fitch as this is whereof we fpeak,there are two things to be con- fidered j that is to fay, the matter of the things which enter into the mixture, and the form : for the matter,fiich bodies muft be either liquid,or foft,or friablejand laftly fuch as may be broken and divi- ded into finall particles,that fo they may eafily in all parts concur and be conjoynod and united. But for their form,there ought to be a certain affinity,confent and lympathy.You may perceive this by wa- ter and oil;for each of them though of a liquid fubftance, and fuch as may eafily be mixed with divers other things,yet cannot they be mixed the one with the other by reafon of their antipathy of forms. For thus gold and filver are fo agreeing with lead, that as oft as they are molten lead is mixed with them. But brafs Ihuns lead as much as gold and filver fly tin and white lead. If therefore brafs and lead being melted cannot be mixed together,though contained under the fame Ge w,and common na- ture of Metalls; how then can it be commixt with another thing diftinft in the whole kind, much more in /pec/er,and form,to wit, poyfon > Their fecond reafon is this 5 Iron, fay they, which is more denfe, The reafon of onr ad- verfaries that the Bui. lets may be poyfoned, fet down and confu- ted. Lib.ii. and otherfiery Engines,and all forts offfl\eapons 327 denfe,folid, and lefs porous, may receive fome venenate fubftance and quality ,as the Arrows of the Ancients which were dipped in poyfon,teftifie; therefore muft Lead much more be capable thereof. I anfwcr,that the furface of Iron may be poyforied,but not the inner part or fubftance by mixture there- with.But here the queftion is of union,but not of anointing or inundion. The third reafon is thus framed; though(fay they)leadcaft off and purges itfelffrom the drofs and unpure parts,yet that is no argument that it will not commix, or foak it fclf in feme ftrange liquor or body; for thus Steel,being the moft folid Iron,receives the temper which hardens it by the artificial pouring upon it or quench- ing it in liquors contrary thereto in their whole kind. I anfwer, that. Steel admits into it by that quenching and tempering,none of the juyces or liquors wherewith it is watered or quenched. For if that were neceflary,it might be better & more eafily performed, when the rnetall is firft call,than when it is beaten into plates or bars;which anfwer fhal ierve to confute their fourth reafon;wherin they fay, that bullets may be made fo poyfonous by the commixture of the juyces.of jMuncks-hood, Oleander, Crow-foot, and other fuch like things which in their whole fubftance are contrary to ours, that the wound wch is made with them cannot butbepoyfbned.But I on the contrary affirm,that mixture is on ly of thefe things,which may not only be put,but alfo flick thereto,& be mutually united but how can water or any other liquid juice fb much as only ftick to lead,as that which is a folid & firm body, it is fo fat from being united,therewith?Ydu may give more certain judgment hereof by experience,than by reafbn;wlicrefore let melted lead be put into the forefaid juices or the like; then when the lead is cold, weigh each of them feverally and you flial find,that both of them retain the fame weight they formerly had.Which is a moft certain argument that neither the lead hath mixed orunited it felf with the juices, nor thejuices loft any part of their fubftance. Their fifth reafon is thus; A bullet (hot out of a Gun a- gainft fome hard ftone,grows not io hot,but that you may prefently without any harm take it up in your hand.Therefore it is falfc,that the poyfon commixt & united With the bullet can be diflipated by the fire and flafh of Gunpouder.The aniwer to this obje&ion iseafie. For when we lay, that although, the Bullet maybe infected by <poyfon perfectly commixt with the lead,yeaall the force of the poyfoa would be diflipated by the fire;we would have you thus to underftand us,that we do not meap this of that fire which is made by the ponder at the diicharging of the Peice,but of that by force whereo f the molten lead is mixed and conjoined with the venenate juice,fo to make one of many .for t his fire ex- ercising its force upon the venenate juices hindered by the intercourfe of no Medium, and that for fome fpace of time,and not for an inftant,itmay,ifnot confume,yet much weaken their ftrength. , If there be any,who wil not be iatisfied by thefe reafons,let him confult, & read Mathiojus. There areffaith he) i fome ofthefe later times wholly ignorant of things, who( ifwemay fay the the truth) have been fo < madly fooli(h,that they faid it was fit and requifite to put Treacle and Mithridate and fuch like anti- dotes amongft gold arid filver that Was melted to make cups,that fo receiving the faculties of the An- tidote they might refift poyfon.But how abfurd and ridiculous their opinion is, letth;m judg (for it tieeds no clearer reproof) who havebut a little knowledg in natural! things, but chiefly in metalls. Theft are my reafons,thefe the authorities of men excelling in learning & judgment,that confirm me in fny ancient & former opinion,that wounds made by Gunffiot do not partake of any venenate quality.* In prrfaiJ- 6.Di»far*} CHAP. XV. How toounds made by Arrows differ from fuch as are made by Gun fat. bounds made wirfa Arrows and fcctilike things,are often with- out contri- tion. But are ofr.- -timesjoy-* foned* Thediffeen- ccs of Ar- rows. Ounds made by arrowsand boltsfhdt out ofCfoft-bows and fuch like things,differ chiefly in two things,from thefe which are made by gunfhot. The firft is, for that they are oft-times without contufion,which the other never are. The other is, for that they oft-times are poy- foned.In bqth thefe refpefts,their cure is different from the other .But the cure of thefe wounds made by arrows is different in it felf,by reafon of the variety arid divers forts of Darts or Arrows, 7he figure of divers forts of Arrows GiHAP; XVI. Of the diversities of Arrows and Tfaitr. jRrows and Darts are dit- j ferent amongft themfelves' ' both in matter arid in1 form or figure, m num- ber3making,faculty or ftrength; In mattcr,for that feme ofthcni are of wood,fome of reeds,fome are blrint headed, others have piles or heads of itombrafi, lead, tin, horn, glafle, bone. In figure, for that fome are round, others cornered, fome are fharpe pointed, fome barbed, with the barbs Handing either to the point,or fhaftS, or elfe acrofle, or both wayes,but fome are broad ana and cut like a Chiflcll. For their bignefle, fome are three foot long, fome lefle. For their number, they differ in that,becaufc foirie have one headjOthers more.But they vaty in in making, for that feme of them F f 2 have In matrefe In JlglSa In bigaefsc In number. In reading; 328 Of Wounds'made by Gun/bot, LlB.II, In force. have the (haft put into the head, others the head into the (haft 5 fome have their heads nailed to the (haft,others not,but have their heads fo loofly let on,that by gentle plucking the (haft,they leave their heads behind thena, whence dangerous wounds proceed. But they differ in force,for that fome hurt by theit Iron only5others befides that,by poylbn, wherewith they are infefted.You may fee the other vari- ous lhapes reprefented to you in the preceding Figure, C H A P. X V 11. Of the difference of the wounded parts. tie wounded parts are either fleffiy or bony 5 fotne are neer the Joints, others feated upon the very joints; fome are principall,others ferve them;fome are externall,others internail. Now in wounds where deadly figns appear, it's fit you give an abfolutc judgment to that effeft; left you make the Art to be fcandalled by the ignorant. But it is an inhumane part, and much digrefling from Art,to leave the Iron in the wound;it is fometimes difficult to take it out, yet a Charitable and artificial! work.For it is much better to try a doubtfull remedy,than none at all. You muft not leave the weapon in the wound. CHAP. XVII I. Of drawing forth Arrows, r Ou muft in drawing for th Arrows fhun incifions and dilacerations of Veins and Arteries, Nerves and Tendons. For it is a fliamefull and bungling part to do more harm with your SjyljS hand,than the Iron hath done. Now Arrows are drawn forth two wayes, that is, either by extra&idn,or impulfion. Now you muft prelently at the firft drefling pull forth all ftrange bodies, whieh that you may niore eafily and happily perform,you fliallfet the Patient in the fame po- fture,as he ftood when he received his wound; and he muft have «alfo his Inftruments in a readinefle, chiefly that which hath a flit pipe and toothed without,into which there is put a fharpe Iron ftyle,like the Gimblets we formerly mentioned for the taking forth of Bullets; but that it hath no fcrue at the end, blit is larger and thicker, fo to widen the pipe, that fo widened it may fill up the hole of the Arrows head whereinto the (haft was put,andlo bring it forth with it, both out of the flelhy as alfo out of the bony parts, if fo bethat the end of the fhaft be not broken, and left in the hole of the head. That alfo is a fit Inftrument for this purpoft, which opens the other end toothed on the out- fide,by prefling together of the handle. You fliall find the Iron or head that lies hid by thefe figns, there will be a certain roughnefle and inequality obftrvable on that part if :you feel it up and down With your hand; the flelh there will be bruifed,livid, or black, and there is heavinefle and pain felt by the Patient b6th there and in the wound. The manner of drawing forth Ar- rows, and fnch wea- pons. A delineation of Injtrunieritsfit to draw forth the heads of ar- rows9&daYts}which are left in the wound without their fhafti' But if by chance either Arrows,Darts or Lances, or any winged head of any other weapon,be run through and left flicking in any part of the body,as the thigh, with a portion of the (haft or ftaffe flivered in pieces, or broken off 5 then it is fit the Ghirurgeon with his cutting mullets fhould cut off the end of the ftaffe or lhaft, and then with his other mullets pluck forth the head, as you may feeby this Figure. CHAP, A hooked Inftrument fit for to draw forth ftrange bodies, as pieces of Malc,and fuch other things as it can catch hold ofjwhich may alfo be ufed in wounds made by Gurrfhot. Lib.ti. and other fiery Enginer,and all forts of Weapons' 329 CHAP. XIX. How Arrowes broken in a wound may be drawn forth. lit if It chance that the weapon is fo broken in the wouridj that it cannot be taken hold on by the formerly mentioned Mallets,then mull you draw,or pluck it out with your Crane orCrows bill,and other formerly defcribed Inftrumehts. But if the fhaft be broken neer the head,to that you cannot take hold thereof with your Cranes bill, then you (hall draw Xw forth it forth with your Gimblct which we defcribed before to draw forth bulletSjfor if Inch a Gimblet can ihe weapoit befallned in bullets,it may far better take hold of wood.But if the head be barbed,as ufually the Eng- on the con. A Delayer ho/lowtit on tbc a Cranes- lilh arrowes ar.-, then if it may be conveniently trai7 hdc' bill to tnke hold of the barbed head. done,it will be very fitting to thruft them through lilh arrowes ar-, then it it may be conveniently' done/it will be very fitting to thrnft them through the parts.For it they fhould be drawn out the fame way they went in,there would be no fmall danger of breaking or tearing the Velfclls and Nerves by thefe hooked barbes. Wherefore it is better to make a feftion on the other fide whither the head tended,' and fo give it pallage forth if it may be cafily done 5 for fo the wound will be the more eafily clenfed and confolidated.Bnt on the contrary,if the point tend to any bone, or have many mufcles or thick flefh a- gainft the head thereof, as it happens fometimes in When, by the fame w ay it went the Thighs, and Armes-.tHen you muft not thruft the head, through, but rather draw it out the fame wav it came in ,dl1atinethe wound with fit Inftruments, and by skill in Anatomic fhunriing the i'Zr Ne "« and for thispurpofe put a hollow Dilator into thewounded there- with take hold of both the barbs or wings of the headjand then take faft hold of the head With yoitr Crancs-biil3and fo draw them forth all three toget lei. lit if the weapon be fo depart and faftned in a bone that you cannot drive it forth on the other fide,neither get it forth by any other way rthara that it entred in by j you inuft firft gently move it up anddown,if it flick very faft in, but have a fpeciall care that you do not break it,8c fo leave fome fragment thereof in the take it forth with your Crowes bill or fome other fit Inftrument formerly defcribed. Then prefs forth the blood,and fuff'er it to bleed fomewhat largely,yet according to the ftrength of the Patient and nature of the wounded part. For thus the part fhall be eafed of the fulnefs and ilnefs of humors, and lefs molefted with inflammatiori, rutrefaftion and other fymptomes which are cuftomarily feared.When the weapon is drawn forth,and the wound once drefltd,handle it,if fimple,as you do fimple wounds; if compound,then according to the condition and manner of the complication of the effe&Sj Certainly the Oil of Whelpes formerly defcribed is very good to aflwage pain. To conclude,you fhall cure the reft of the Symptbmes accord aing to the method prefcribcd in our Treatife of wounds in generail, and to that we have formerly de- livered concerning wounds made by Gqnfhot. C H AP. XX. What to be doneywhen an Arrow'is left faftned or flicking in a bond A Cautioii. The benefit of bleeding, CHAP. XXI. Of poyfoned wounds. F theie wounds at any time prove poyioneci, tney nave it rrom tneir primitive cauic,w wn.3 the empoifoned Arrowes,or Darts of their enemies. You may find it out both by the pro- perty of the pain,if that it be great and pricking,as if continually flung with Bees,for filch pain ufilally enfues in wounds poyfoned with hot poyfon, as Arrowes ufually are ; Alfc you (hall know it by the condition of the wounded flc(h;for it will become pale andgroiri livid,with fome iigns of mortification.To conclude,there happen many and malign fymptomes upon wounds which are empoyfoned, being fuch as happen not in the common nature of ufiiall wounds. Therefore preiently after you have plucked forth the ftrange bodies, cncompafs the. wound with ma- ny and deep fcarifications,apply ventofes with much flame,that fo the poyfon may be more powerful* ly drawn forth jto which purpofe the fucking of the wound,performed by one whole mouth hath no foarnefs therein,but is filled with oil,that fo the poifon which he fucks may not 'flick, nor adhere to the part,will much conduce. Laftly,it muft bedrawn forth by rubefying,ve(icatory and cauftick medi- nine and affnilrd hv ovntments,cataplafmcs,emplaifters,and all forts of locall medicins. The figns ofpoyfoned wounds# Remedies in poyfo- ned wonndsd A he erd of the Eleventh Book. Ff; of 330 L iB.12. OfContnfiomand (jangrener. THE TWELFTH BOOK. CHAP. I. Gal.Lib.de artis confii tut. Contufion according to Galenjs a folution of continuity in the flefh or bone,caufed by the ftroak of fome heavy and obtufe thing,or a fall from an high. The fymptome of this difeafe is by Hippocrates called Me/afixasthat is to fay,blacknefs and blewnefs- the Latins term it There are divers forts of thefe Sugillations or blackness' according as the blood is poured forth into the more inward or outward part of the body.The blood is poured forth into the body,when any (for example) falls from an high5orhath any heavy weight falls upon him,as it often happens to filch as work in. Mines, or are extreamly racked or torturedjand fometimes by too loud and forcible exclamation. Befidcs alfo by a Bullet foot through the body,blood is poured forth into the bellie, and fo often evacuated by the paffages of the Guts and bladder. The fame may happen by the more violent and obtufe blowes of a hard Trunchion,Club,Stone,and all things which may bruifeand prefs the blood out of the veflells either by extending or breaking them. For which caufes alfo the exteriour parts are contufcd or bruifedfometimes with a wound,fometimes without,fo that the skin being whole, and as far as one can difcern,untoucht,the blood poures it felf forth into the empty fpaces of the mufcles, and between the skin and mufclesjwhich affeft the Ancients have tearmed Ecchymofts ; Hippocrates calls it by a pecu- liar name that in this affeft the fwoln veins feem as it were to vomit, and verily do vomit or call forth the fuperfluous blood which is contained in them. From thefe differences of Contuflons are drawn the indications of curing,as foall appear by the enfuing difcourfc. Seft.z..lib defraSurist Caufes of Bruifes and Sugillari- ons. Se&.t.lib, de frafl. CHAP. II. Of the general! cure of great and enormous Contufions. rte blood poured forth into the body, muft be evacuated by vifible and not vifible evacuati- on. The vifible evacuation may be performed by blood-letting, Cupping-glafles,horns,fca- rification,hor(leeches and fit purgative medicinsjiffo be the Patient have not a ftrong and continuall feaversThe not vifible evacuation is performed by refolving and fudorifick po- tions,baths,and a (lender diet.Concerning Blood-letting Galens opinion is plain,where he bids,in a fall from an high place,and generally for bruifes upon what part foever they be, to open a vein, though the parties a ft eft cd are not of a full conflitution;for that unlefs you draw blood by opening a vein, there may inflammations arife from the concreat blood, from whence without doubt evill accidents may enfue. After you have drawn blood give him foure ounces of Oxycratc to drink ■, for that by the tenuity of its fubftance hinders the coagulation of the blood in the belly, or in (lead thereof you may ufe this following potion. R in Oxycr attain colatura diffblve rhei elecii potio- Thefe Medicins difldive,and caft forth by (pitting and vomit the congealed blood, if any thereof be contained in the ventricle or lungs; it will be expedient to wrap the Patient prefently in a flieeps skin being hot and newly taken from the (heep,and fprinkled over with a little myrrhe,crefles and falt,and fo to put him prefently in his bed,& then cover him fo that he may fweat plentifully .The next day take away the flieeps-skin, and anoint the body with the following anodyne and refolving ungnent.R un- guent.de alth<ea %vj.ol?i fanugra.rofa. rub.pulverifat. pul.myrtillorum3 litw ut dittum e/i.Then give this potion which is fudorifick and difldives the congealed blood.R Ligni guajaci enuLecamp.con[olid.majori<r3ireosFlorent.pol)pod.querni3 feminis co~ riandri3anijt3dn.%fi.glycyrbiz.iij.nepet43centaure£3caryiophyl. cardui m.f.aqu* fontane lib.xij. Let them be all beaten and infufed for the fpace of twelve houres,then let them boil over a gentle fire un- till the one half be confumedjlet the Patient drink fome half pinte of this drink in the morning, and then fweat fome hour upon it in his bed, and doe this for feaven or eight dayes. If any poor man light upon fuch a mifchance,who for want of means cannot be at fuch coft, it will be good, having wrapped him in a (heet,to bury him up to the chin in Dung mixed tyith fome hay or ftraw,and there to keep him,untill he have fweat fufficiently. I have done thus to many with very good fuccefs. You (hall alfo give the Patient potions made with fyrups which have power to hinder the coagulation and putrefaftionof the bloodjfuch as fyrup of Vinegar,or Lemons, of the juice ofCitrons and fuch others to the quantitie of an ounce difldlved in (cabins, or Carduut water. You may alfo prefently after the fall give this drink,which hath power t6 hinder the coagulation of the blood, and ftrengthen the bowells* R Rheieletf.inpul.redatti 3]3aqitt rubi<e plantagin.an. %j.tberiac<e %fi.(yrupi de rojis facis, sfisfiat pot uf. Let him take it in the morning for foure or five dayes.In (lead hereof you may make a po- tion of one dram ofSperma ceti difldlved in buglofs or fome other of the waters formerly mentioned, and half an ounce of fyrup ofMaiden-hair;ifthedifea(eyeeld not at all to thefe formerly prefcribed medicinSjit will be good to give the Patient for nine dayes, three or foure houres before meat (bme of the following powder.R rhei gentian*, ariftolo. rotund*, an. give 3). hereof with lyrup of Vinegar and Cardun# water. They (ay that the water of green Walnuts,diftilled by an Alembick, is good to diflblve congealed ai)d knotted blood.Alfo you may u(e baths made of the dccoftion of the roots of Orris,El ecampane,Sorrell, Fennell, Marfhmallowes, Water-fern, or Of- mund Adfententl, lib.de Arti culis. A potion to diffolve and evacuate clotted blood. A hot iheeps skin. A di fc tiffing oyn rment. A fudori- fick potion to diflblve congealed blood. k Syrups hin dering pu- trefadion 8 congealing of blood. A drink for the fame purpofe. A powder for the fame. The diftil- led warer of green Wal- nuts. Baths* L1B.12. Of Contnfions and Gangrenet. 331 mund the waterman,the greater Comfrey., the feeds of Fenugreek, the leaves of Save, Marjerum; the flowres of Camomile,Mclilote,and the like. For a warm bath hath power to rarifie the skin to dif- folve the clotted blood, by cutting the tough and mitigating the acrid humors, by calling them forth into the furface of the body, and relaxing the palfages thereof ; fo that the rebellious qualities being orecome, there infues an eafie evacuation of the matter by vomit,or expectoration,if it flote in the fto- maehjor be contained in the Cheftfout by ftool & urin,if it lye in the lower parts; by fweats and tran- fpiration,if it lye next under the skin.Wherefore bathes arc good for thofe who have a Peripneumonia or inflammation of their Lungs, or a Plurifie,according to the mindofH*ppomrt«,iffo be that they be ufed,when the feaver begins to be aflwagedjfor fo they mitigate pain, help forwards fuppuration, and ' haften the fpitting up of the purulent matter. But we would not have the Patient enter into the bath • unlefs he have firft uled general 1 remedies,as blood-letting and purging;for otherwife there will be no f nail danger, left the humors diffufed by the heat of the bath,cau(e a new defluxion into the parts af- fefted. Wherefore do not thou by any means attempt, to ufe this or thelike remedy,having not firft had the advice of a Phyfitian. uili.acut. lib.7,, de 'norbi CHAP. III. How we mufi handle Contufions3when they are joyned with a wound. Zery great Contulion forthwith requires blood-letting,or purging,or botlij and thefe either for evacuation,or revullion.For thus Hipocrates in a contulion of the heel, gives a vomitory, portion,the fame day,or clle the next day after the heel is broken. And then if the Contulion have a wound alfociating it, the defluxion mufl be flayed at the beginning with anoint- ment made of Bole Armenick,the whites of egs,and oil of roles,and myrtles, with the"ponders of red roles,allome and maftich. At the fecond dreffing apply adigeftive made of theyoalkofan eg, oil of violets and turpentine. This following cataplafm lhall beapplyed to the near parts to help forwards liippuration. Rr. rad. alth<ee;)& in)dol.malv.'violar.finecionifian.M.fi.coquantur complete^pafientur per butyri recent if & olei viol.an.% iij. faring wolatilis quant,, fiujficitfiat cataplafiiia ad fortnam fultis UquidadYet have a care in tiling ofCataplafms,thatyou do not too much exceed; for too frequent and immoderate life of them makes wounds phlegmonous, fordid and putrid. Wherefore the wound after it is come to fuppuration muftbe denied,filled with fldh and cicatrifcedginlefle happily the con- tufed flelh lhall be very much torn,fo that the native heatforfake it,for then it muftbe cut away.But if there be any hope to agglutinate it,let it be fowed,and other things performed according to Art; but the flitches muft not be made fo dole together,as when the wound is Ample, and without contulion ; for filch wounds are ealily inflamed and (well up, which would occafion either tlle breaking of ths thred or flelh, or tearing of the skin. frctth. A fuppuri-' rive Cara- plafa), A caution to beobfervtdd How con tu-1 fed wounds muft be fowedj CHAP. IV. Of thefe Contufions which are without a wound* F the skin being whole and not hurt,as far as can be difcerned, the flefh which lies under it be contufed,and the blond poured forth under the skin make an the Patient muft be governed according to Art untill the malign fymptomes which commonly happen, be no more to be feared. Wherefore in the beginning drawbloud on the oppofite fide, both for evacuation and revulfion.The contufed part (hall be fcarified with equall fcarifications ; then lhall you apply cupping-glafles or hornsJSoth for evacuation of the bloud which caufes the tumor and teri- fion in the part; as alfo to ventilate*and refrigerate the heat of the part, left it turn into an Abfceffe. Neither rnuft we in the mean while omit gentle purging of the belly.The firft topick mediems ought to be aftriftives,which muft lye fome fhort while upon the part,that io the Veins, and Arteries may be as it were ftraitned andclofed up ; and io the defluxion hindred; as alfo that the partit felf may be ftrengthened.This may be the form of Rich a remedy, R. dlbumina ovorum nu. iij. olei myrtini grrojaceL, an. bolt armenis& fanguin.dracon.an. 5 fi.nucumcupref. aluminis ufti, an. ij. incorporentur omnia addenda aceti parum-fiat medic amentum. Then you (hall refolve it with a fomentation, cataplafm and dif- cuffing emplaifters. - * Scarifying Cuppings glade s, Aftriftives how good in Conruli° ons. Af'er afiri- flivesmuft follow diC' caffives. CH AP. V. Ey what means the contufedpart may be freed from the fear and imminent danger of a Gdngretie* Reat contufions are dangerous even for this caufe, forthat a Gangrene and mortification fometimes follows them; which hippocrates teacheth to happen., when as the affected part is grown very hard and liquid. Wherefore when the part grows livid and black, and the na- tive colour thereof3by reafbn of the efflux of the concreat bloud,is aimoft extinft;chiefly to eate the part of that burden,cupping-glafles and horns fflal be applyed to the part it felf being firfl: fca- rified with a Lancet,or cite the following Inftruraent termed a hath 18. little wheels (harp and cutting likea razour,which may be ftraitened and flacked by the pins noted by P.and P.This inflrument is to be commended for that it performs the operation quickly andgently,for it makes 18 incifions in the (pace that you make one with a Lancet or knife. Then fhall you foment the part with ftrong vinegar wherein the roots of radifhorof Dragons, Seal, Auripigmentum and the like have been boiled; for fuch acrid things do powerfully heat,refblve and draw the concreat blood from the inner part of the body unto the skin, which by its felling in the part affefted,prohibits the entrance of the vitall fpirits,the prefervers of its integrity; yea alfo extinguifheth the native heat of the fame part. Now we muft not life thefe things but with great difcrction, left fo we draw not only that blood which is poured forth of the veffels, but 1 Sett.2.lib: : de fratt. The can fc of a Gangrene. The ufe of ar Scarificator. A fomenta-'' tiontodif- ' cufle and draw to the\ skirt. 332 Of Contufions and Gangrenes. LiB.12 but alfo the other which is contained in the vciiels.Moreover alio we mult not life them,unlefle when the defluxion is flayed: For fniallcontu(ions (which judgeth by the foftnefle of the cbiitufed part) it will be fufficient to apply todifcufle them,Virgins wax dll- folved and mixed with Cummin feeds, Cloves, the root of black Briony, ("which hath a wonder- full faculty to difcnilc all black- nefles and fugillations: ) for the fame purpofe, you may alfo apply wormwood bruifed and fo warmed in a difh and fprinkled over with a little white wine. Alfo fry worm- wood with oil of camomill, bran, the powder of Cloves, and megs, adding thereto a little aqua then put all in a linnen cloth and apply it hot to the part. The following emplaifter doth power- fully difeuffe congealed blood. R. Picis | ij. G'ww.E/cwi i ftyracis liquid* & terebinth.com.an. % fi.julphuri? vivi |j. Liquefiart Eitylaftrurn5and let it be ipred upon leather and fo applyed. fa left.t,lib. defrafiur. A Scarificator. A. Shews the cover, B. The Eox}or Cafe A difcufl'ing plaifler. CHAP. VI. Of that ftrange kjnd oflynptome which happens upon contufions of the ribs. He fit fh confuted fometimes by great violence becomes mucous and fwoln, or puffed up like Veal,which the butchers blow up,the skin remaining whole.Thisis feen and happens chief- ly in that flefli which is about the ribs; for this being bruited either by a blow,or fall,or re- nitency,or any other fuch like caute; if you prefs it with your hand,a certain windinefs go- eth out t tereof with a (mail whizzing, which may be heard,and the print of your fingers wil remain as in ££/ew?j.Unlefs you quickly make fit provifion againft this fymptome,there is gathered in that fpace which theflefh departing from the bones,leaves empty,a certain purulent pnzet,which divers times fouls and corrupts the ribs.lt will be cured,if the mucous tumor be prefently prefled,& ftraitly bound with ligatures, yet fo that you hinder not the breathing,when as the affeft happens upon the ribs and parts oftheCheft. Then apply to the part a plaifter of Oxycroceum or diachylon Ireatum with the emplaifter de melilotoj alfo diffusing fomentations (hall be ufed. The caute of fuch a tumor is a certain mucous flegm; teeing that nature is fo weak that it cannot welldigeft the nourifhment, andaflimilateit to the part, but leaves fomething as it were half conco&ed. No otherwite than the conjunctive coat of the eye is fometime fo lifted up and fwoln by a ftroak, that it harts as it were out of the orb of the eye, leaving fuch filth or matter as we fee thofe which are blear eyed to be troubled withall ; becaufe the force and naturall ftrength of the eyes is become more weak, either by the fault of the proper diftem- pcrature,or the abundance of moifture which flows thither, as it happens in thote tumors which are againft nature.For flatulencies are eafily raifed from a waterifh and phlegmatick humor wrought upon by weak heat,which mixed with the reft of the humor,the tumor becomes higher. HipfAh 3 lib.de art. fent Remedies for a mu - cous and flatulent tu- mor of the ribs. The caufe. CHAP. VII. A difcourfe of Mumia, or Mummy. Eradventure it may feem flrange what may be the caufe,why in thisTreatife of curing contufi- ons,or bruifes,! have made no mention of giving Mummy either in bole,or potion to fuch as have fain from high placebo r have been otherwife bruited, efpecially feeing it is lb common and ufual,yeathe very firft and laft medicin of almoft all our practitioners at this day in fuch acafe.But feeing I underftood,and had learnt from learned Phyfitians, that in ufing remedies, the in- dication muft alwayes be taken from that which is contrary to the difeafe,how could I ? how can any other give Mummie in this kind of difeafe,teeing we cannot as yet know what Mummie is,or what is the nature and elfence thereof? So that it cannot certainly be judged ; whether it have a certain pro- perty contrary to the nature and effects of contufions. This how it may have,! have thought good to relate fomewhat at large; neither do the Phyfitians who prefcribe Mummie,nor the Authors that have written of it,nor the Apothecaries that fell it,know any certainty thereof. For if you read the more ancient Serapio and Avicen or the modern Match io!-m and 7hmt,you fhall find quite different opinions. Ask the Merchants who bring it to us,ask the Apothecaries who buy it of them, to fell it to us, and you fhall hear them fpeak diverlly hereof,that in fuch variety of opinions,there is nothing certain and manifeft.S'c'Mpzo and Avicen have judged Mummie to be nothing elte but Piflafphalthmn now Pijfajphal- thum is a certain froth or foam riling from the Sea,or Sea waters ; this fame foam as long as it fwims upon the water is foft and in fome fort liquid : but being driven upon the fhore by force of tempeft, ' and working of the tea,and flicking in the cavities of the rocks, it concreats into fomewhat a harder fubftance than dryed pitch,as DioMrides faith. Belonite faith, that Mummie is only known to A&ypt and Greece.Others write that it is mans flefh, taken from the carcates of filch as are dead,and covered over in the fands in thedefertsof Arabia-, in which Country they lay the Sands are fometinies carryed anj raited up with fuch force and violence ofthe winds,that they overthrow and fuffocate fuch paflenger£ as Mummie a frequent and ufuall medicin in contufions. The reafon that the ■Author makes no mention thtreof a- mongft his medians. The opini- on of the Arabians concerning'' it. Lib.l'.cap. 84. Another opinioh of Mutnmie, LI B.I2. OfContufiont and Gangrenes 333 as they meet withalljthe fleffi of thefe dryed by the fand and wind they affirm to be Mummie. Matbio- luf following the more ufuall and common opinion writes., that Mummie is nothing eife than a 11- J quo r flowing from the Aromatick embalments of dead bodies, which becomes dry anil hard. For un- derftanding whereof you muft know from all manner of anitiquity, that the have been moft ftudious in burying and embalming their deadjnot for that end that they fhould become mcdicins for fuch as live/or they did not fo much as refpeft or imagin fo horrid a wickedncsjbtit either for that they held an opinion of the gcnerall refurreftion,or that in thefe monuments they might have fomething, whereby they might keep their dead friends in perpetuall remembrance, 'lhevet not much diflenting from his own opinion,writes chat the true Mummie is taken from the monuments and ftony tombs of the anciently dead in Egypt, the chinks of which tombs were clofed,and cimented with fuch diligence but the inclofed bodies embalmed with precious fpices with fuch Arc for eternity ,that the linnen ve- ftures which were wrapt about them prefently after their death,may be feen whole even to this day ;but the bodies themfelves,are fo freffi that you would judg them fcarfe to have been three daies buried. And yet in thofe Sepulchers and Vaults from whence thefe bodies are taken, there have been ionic corps of two thoufands years old. The fame,or their broken members are brought to Venice from Syria & Egypt, and thence difperft over all Christendom. But according to the different condition of men,the matter of their embalments were divers; for the bodies of the Nobility or Gentry are embalmed with Myrrh, Aloes,Saffron,and other precious fpices,and Drugs; but the bodies of the common fort whole poverty and want of means could not undergo fuch coft,were embalmed with afpha/tum or piffitipbaltum. Notv Mathiolut faith that all the Mummie which is brought into thefe parts is of this laftkind & con- i dition.For the Noblemen and chief of the province lb religioufly addicted to the monuments of their 1 anceftors,would never fiiffer the bodies of their friends,and kindred to be tranfported hither for filthy 1 gain,and fuch detefted ufe,as we ffiall ffiew more at large at the end of this work. Which thing fome- times moved certain of our French Apothecaries, men wondrous audacious,and covetous, to fteal by night the bodies of fitch as were hanged,and embalming them with Salt and Drugs they dryed them in an Oven,fo to fel them thus adulterated in ftead of true Mummie. Wherefore we are thus compelled both fooliffily and cruelly to devoure the mangled and putrid particles of the carkafles of the bafeft people of Egypt, or of fuch as are hanged,as though there were no other way to help or recover one bruifed with a fall from a high place,than to bury man by an horrid infertion in their,that is,in mans guts. Now if this Drug were any way powerfull for that they require, they might perhaps have Ibme pretence5for this their more than barbarous inhumanity. But the cale ftands thus, that this wicked * Lind of Drug, doth nothing help the difeafed,in that cafe, wherefore and wherein it is adminiftred,as ' 1 have tryed an hundred times, & as Jhewet witnefles,he tryed in himfelfjwhen as he took fome thereof c by the advice of a certain lewifb Phyfitian in Egypt, from whence it is broughtjbut it alfo infers many troublefome fymptomes,as the pain of the heart or ftomach, vomiting and ftink of the mouth. | I perfwaded by thefe reafons, do not only my felf prefcribe any hereof,to my Patients, but alfo in 1 consultations, endeavour what I may, that it be not prefcribed by others. It is far better according 3 to Galens opinion zn Metbod.med. to drink fome oxycrate, "which by its frigidity reftrains the flowing 1 blood,and by its tenuity of fiibftance diflblvcs anddifcufles the congealed clots thereof.Many reafons of learned Phyfitians (from whom I have learned thisHiftory of Mummie) drawn from Philo- , fophy, whereby they make it apparent,that there can be no life of this or that Mummie in contufions, or againft flowing or congealed blood, I willingly omit, for that I think it not much beneficiall to Chirurgeons to inlert them here.Wherefore I judg it better to begin to treat of combuftions,or burnj. Another. Whatctir Mutntnit; ufuaily is. Mtimmie is no way good for contgfions. But hurtful!, and how? rhe effete jfoxycrap in Cont ufi* ons. CHAP. VII 1. Oj Combuftions and their differences. -L Combu it ions whether occaiioned by Gunpouder, ar by folding oil;, water, fame mctall or what things foever elfc3differ only in magnitude.Theieftrft caufe pain in the part, and imprint in it an unnaturall heat. Which favouring of the fire, leaves that impreflion, which the Greeks call There are more or Idle figns of this impreflion, according to the efficacy of the thing burning, the condition of the part burned, and flay upon the lame.If the com- bunion be luperficiary,the skin riles into puftules and blifters,unlefle it be fpeedily prevented. If it be low or deep in,it is covered with an Eicbar or cruft,the burnt fleih by the force of the fire turning in- to that crufty hardnefle. The burning force of the fire, upon whatfoever part it falls,, leaves a hot di- ' Hamper therein,condenlates,contraCls,and thickens the skin, whence pain proceeds; from pain there ' conies an attraction of humors? from the adjacent and remote parts. Thele humors prelently turned into waterifli or ferous moilhire,whilft they feck to pafle forth, and are hindred thereof by the skin, condtnfated by the action of the fire,they lift it up higher, and raife the blifters which we lee. Hence divers Indications are drawn,whence proceeds the variety of medicins for burns. For fome take away the■Enqyreuma3that is,the heat of the fire,(as we term it)Sc allwage the pain;Other hinder the riling of blifterSjOtherfome are fit to cure the ulcer,firft to procure the falling away of the Efchar,then to clenfe, generate flclh and cicatrize it. Remedies fit to aflwage pain, and take away the fiery heat, are of two kindsjfor fome do it by a cooling faculty,by which they extinguilh the preternatural! heat,and reprefs or keep back the blood and humors,which flow into the parts by reafon of heat and pain. Others en- dued with contrary faculties,are hot and attractive; as which by relaxing the skin, and opening the 1 pores,refolve and diflipate the lerous humors,which yeeld both beginning,and matter to the puftules,' accklent aflwage the pain and heat. Refrigerating things are cold water,the water of Plan- tam,Night-lhade,Henbane, Hemlock; the juyces of cooling hearbs, as Purflane, Lettuce, Plantain, Houfleek,Poppy9Mandrakc and the like. Of thefe fome may be compounded, aslbmeof the fore- named The icafon and fymp- comes of combuftions The caufe of the blifters rifing upon btunSo ' Variety of : medic ins to' take away the heat and a flwage the pain. Of Contufions and Gangrenes Lib.12. 334 named juices beaten with the white of an egge; Clay beaten and diflblved in ftrong Vmegarproch »A- lome diflblved in water,with the whites of egs beaten therein; writing ink mixed with Vinegar, and a little CamphirejFHgwesfwm nutritum,and alfo PopuIcon newly made.Thefe and the like lhall be now and then renewed chiefly at the firft,untill the heat and pain be gone.But thefe fame remedies muft be plyed warm,for if they fliouldbe laid,or put to cold,they would caufe pain, and confequently defluxi- un;befides alfo their ftrength could not palTe,or enter into the part, or be brought into aftion ; but fo applyed they aflwage pain,hinder inflammation and the rifing of blifters. CHAP. IX. Of hot and attractive medicins to be applyed to burner. How fire may af- fwage rhe pain of burning. Vloncft the hot and attractive things which by ratifying,drawing out,and diflblving,aflwage the pain and heat of combuftions, the fire challenges the firft place, efpecially when the bur- ning is but fmall.For the very common people know and find by day ly experience, that the heat of the lightly burnt part vanilhcs away, and the pain is aflwaged, if they hold the part which is burnt fome pret?y while to the heat of a lighted candle, or burning coals; for the fimilitude caufeth attraction. Tnus the externall fire whileft it draws forth the fire which is internalland inuft into the part,is a remedy againft the difeafe it caufed and bred.It is alfo an eafily made and approved remedy,ifithey prefently after the burn apply to the grieved part raw Onions beaten with fome fait. Now you muft note,that this medicine takes no place, if it be once gone into an ulcer, for it would increafe the pain and inflamtnationjbut if it be applyed when the skin is yet whole and not excoria- ted,it doth no fuch thing,but hinders the riling of puftles and blifters. Hippocrates for this caufe alfo ufes this kind of remedy in procuring the fall of the Ej char. Ifany endeavour to gainfay the ufc of this remedy by that principle in Phy lick, which fay es,that contraries are cured by contraries,and therefore affirm that Onions according to the authority of G«/e»,bcing hot in the fourth degree, are not good for combuftions Jet him know that Onions are indeed potentially hot, and aftually moift, therefore they rarifie by their hot quality, and foften the skin by their aftuall moifture, whereby it comes to pafs that they attra&,draw forth,and diflipate the imprinted heat, and fo hinder the breaking forth of puftles.To conclude,the fire,as we formerly noted,is a remedy againft the fire. But neither aredifeafes alwayes healed by their contraries(faith Galen)but fbmetimes by their like;although all healing pro- ceed from the contrary,this word contrary,being more largely and ftriCtiy taken,for fo alfo a Phlegmon is often cured by refolving medicins,which healeth it by diflipating the matter thereof. Therefore O- nions are very profitable tor the burnt parts, which are not yet exulcerated or excoriated. But there are alfo many other medicins good to hinder the rifing of bliftersjfuch as new horfe-dung fryed in oil of Wai-nuts or Rofes,and applyed to the parts.In like manner the leaves of Elder or Dane-wort boi- led in oil of nuts,and beaten with a little fait. Alfo quenched lime powdered and mixed with Vnguen- tum Rofatum.Orelfe the leaves of Cuckow-pint and Sage beaten together with a little fait. Alfo Car- penters Glue diflblved in water and anointed upon the part with a feather, is good for the lame pur- pofe. Alfo thick Vernilh which polifhcrs or fword cutlers ufe. But if the pain be more vehement, thefe medicins 3 or 4 times in a day and a night, fo to mitigate the bitternes of this pain. Butiffobewe cannot by thefe remedies hinder the rifing of blifters, then we muft presently cut them as foon as they rile,for that the humor contained in them,not having paflage forth,acquires fuch acri- mony that it eats the flelh which lyeth under it,and fo caufeth hollow ulcers: So by the multitude of caufe sand increafe of matter the inflammation groweth greater,not only for nine dayesfas the common people prattlejbut for far longer timejalfo fome whiles for lefs time, if the body be neither repleat with ill humors,nor plethorick,and you have fpeedily refilled the pain and heat by fit remedies. When thecombuftion lhall be fo great as to caufe an Ejchar, the falling away muft be procured by the ufe of emollient andhumeCtive medicins,as of grcafes,oils,butter,with a little baftlicon9or the following oint- ment. R Mucagin.pftllii.& cum aqua parietaria, olei liliorum |ijp. cera neva q.f.fiat unguentum nolle- For ulcers and excoriations you (hall apply fit remedies, which are thofe that are without acrimony,luch as unguentum album camphoratum,deficcativum rubrum3unguentum rofa* t«w,made without Venegar,or nut r it uni compofed after this manner.R lithargyri auri Jiiij.o/. roJat.Ziij.ol. unguentum in mortariopluntbeo fecundum artem. Or oil ofEgs tempered in a Leaden mortar.Alfo unquenched lime many times walked and mixed with unguent um rofatum,or frelh butter without falt,and fome yolks ofegs hard roafted.' Or R Eutyri recent.frne jale9uftu - lati9& colati Jvj. vitcll.ovorAiij.ceruf.lota in jimiliter ufti3& loti, omnia fimul,fi at liniment urn ut decet.Orelle,R olei rojat. an.lih.j.bu!liant ft- tnul lento igne,pofiea colentur,&>adde olei ovorum tuthi£pr£par.an.$].cer£ alba quantum fufficit, fiat unguent, nolle fecundum artemMat the quantity ofdrying medicins may alwayes be encreafed or di- minilhed according as the condition of the ulcer lhall feem to require. The following remedies,arc fit to aflwage pain,as the mucilages of Line feeds, of the feeds of PfiIlium, or Flea-wort, and quinces ex- tracted in rofewater,or fair water,with the addition of a little camphircj and left that it dry too fpee- dily,adde thereto fome oil of Rofes. Alfo five or fix yolks of egs mixed with the mucilages of Line feed,the feed of PfiUium,and quinces often renewed, are very powerfull to aflwage pain. The women which attend upon the people in the Hofpitall in Paris,do happily ufe this medicin againft burns. R Rofewater,thcn ftrained through a linnen cloath,then walk it foure times with the water of hen-bane or fome other of that kind,then let it be incorporated with eight yolks of new laid egs,and fo make an ointment. If the fmart be great, as ufually it is in thefe kinds of wounds,the ulcer or fores lhall be covered over with a E piece of Tiffany, left you hurt them,by wiping them with fume what a courfc cloth, andfo alfo the matter may eafily come forth, and Beaten O« nions good for burns and how» How often in a day thefc muft be d retted. Medicins for an £/- cfor. A defcrip- tion of Nh' trimtn. A remedy for burns commonly ufed in the Hofpirall sfPur/7. L1 B.12. Of Contufions and Gangrenes 335 and the medicins eafily enter in. Alfo you muft have a care when the eyelids, lips, fides of the fingers, neck, the armpits,hams,andbending.of the elbow are burnt, that you differ not the parts to touch one the other,without the interpolition of fome thing ; otherwiie in continuance of time they would grow and ftick together.Therefore you (hall provide for this, by fit placing the parts,and putting foft linnen rags between them.But you muft note,that deep combuftions,and filch ascaufea thicker Ejchar, arelefs painfi.il l,than fuch as are but only fuperficiary.The truth hereof you may perceive by the ex- ample of fuch as have their limbs cut off,and feared or cauterifed with an hot Iron ; for prefcntly after the cauterifing is performed they feel little pain.For this great combuftion takes away the (en(e, the vehemency of the fenfory or thing affefting the fenfe, depriving the fenfitive parts of their fcnfe's As we have formerly noted when we treated of wounds and pains of the Nerves. The falling away of fuch Efchars (hall be procured by fomcwhat a deep fcarification which may pierce even to the quick, that fo the humors which lye under it may enjoy freer perfpiration, and emollient medicins may the freelier enter in,fo to foak,moiften and foften the Ejchar that it may at length fall away. The reft of the cure (hall be performed by detergent and farcotick medicins, adding to the former oint- ments metalline powders,when the prefent neccflity (hall feem fo to require. >But wc cannot juftly fay in what proportion and quantity each of thele may be mixed,by reafon of that variety which is in the temper and confidence of bodies, and the ftubbornefs and gentlenefs of difeafes. After a burn the (car which remaineth is commonly rough,unequal!,and illfavoured:therefore we will telly ou in our trea- tife of the plague how it muft be fmoothed,and made even. I muft not here omit to tell you,that Gunpowder (et on fire doth often fo penetrate into the flefh, not ulcerating nor.taking off the skin,and fo infinuate and throughly faften it felfe into the flefh by its tenuity,that it cannot be taken or drawn out thence by any remedies, no not by nor ve- ficatories,nor fcarification,nor ventofes,noE horns,fo that the prints thereof alwayes remain,no other- wife than the marks which the Barbarians burn in their (laves,which cannot afterwards be taken a- way or deftroyed by any Art. Why deep combufti- , onsare lefs painfull then fuper- ; ficiary, Marks or fpots made in the face by corns of Gunpowder Cannot be taken away. C H A P. X. Of a Gangrene and Mortification. srtainly the malign lymptomes which happen upon wounds,and the folutions of Continuity are many,caufed either by the ignorance or negligence of the Chirurgeon; or by the Patient* or fuch as are about hirnjor by the malignity and violence of the difeafe: but there can hap- pen no greater then a Gangrene,a$ that which may caufe the mortification and death of the part,and oft times of the whole I have thought good in this place to treat of a Gan- grenc5firft giving you the definition, then (hewing you the caufes, figns, prognofiicks, and laftly the manner of cure.Now a Gangrene is a certain difpofition, and tvaytothe mortification of the part, which it feifeth upon,dying by little and little. For when there is a perfeft mortification, it is called by the Greeks the Latines Sjdenrtio, our countrymen termeitthe fire of Saint Anthony or Saint Gnl'i.ad GlauconemX C H A P. XI. Of the generail andp articular caufes of a Gangrene. He moft generall caufe of a Gangrene is,when by the diflblution of the harmony and joini temper of thefoure firft qualities,the part is made unapt to receive the faculties,the Natural! Vitall,and Animall fpirits, by which it is nourifhed,lives, feels, and moves. Fora part de- prived by any chance of thefe as of the light,languifties and prefently dyes. Now the parti- cular caufes are manyiand thefe either primitive, or antecedent.The primitive or external! are combu- flions caufedby things either actually or potentially burning;aftually,as by fire,fcalding oil or water, gunpowder fired and the like. But potentially by acrid medicins 5 as Sublimate, vitriol!, potential! cauteries and other things of the fame nature; for all thefe caufe a great inflammation in the part. But the ambient air may caufe great refrigerations, and alfb a Gangrene, which caufed Hippocrates lib.de Act. to call great refrigerarions of the brain Sph ace! i [me.Therefore the unadvifed and unfit application of cold and narcotick things,a frafture,luxation and great contufion,tdo ftrait bandages,the biting of beafts,efpecially of fuch as»are vencmous,a punfture of the Nervesand Tendons,the wounds of the ner- I vous parts and joints,efpecially in bodies which are plethorick and repleat with ill humors, great wounds whereby the veflels which carry life are much cut,whence an laftly many other caufes, which perturb that harmony of the foure prime qualities which we formerly mentioned, and lb infer a Gangrene. : T he gene- ( rail caufe of a Gangrene, The parti-' cularcanfesc Cold cau- feth a Gan» grene. CHAP. XII. Of the Antecedent caufes of a Gangrene. Ow the antecedent or intemall and corporeall caufcs of a Gangrene, are plentifull and abun- dant defluxions of humors,hot or cold,falling into any part.For feeing the faculty of thepart is unapt and unable to fuftain and govern luch plenty of humors, it comes to pafle thatahe native heat of the part is fuffocated and extinft for want of tranlpiration. For the Arteries are hereby fo (hut or pent up in a ftrait, that they cannot perform their motions of contraction and dilatation,by which their native heat is preferved and tempered. But then the Gangrene is chiefly un- cureable when the influx of humors firft takes hold of the bones, and inflammation hath its be- ginning from them.For in the opinion of G<?/e»,all thefe kind of affefts which may befall the flelh, are alfo incident to thcbones.Ncither only a Phlegmon or inflammation, but alfo a rottennefle and cor- ruption How defle- xions caufe a Gangrene. An uncure-; able Gan- grene. Lib.de tud 336 Of Contufions and Gangrenes. ruption doth oft-times firft invade and begin at the bones; for thus you may fee many who are trou- bled with the Leprofie and French difcafe, to have their skin and flelh whole and fair to look on, whofe bones notwithftanding are corrupt and rotten, and oft-times are much decayed in their proper fubftance.This mifchief is caufed by a venemous matter, whole occult qualitie wecan Icarie exprefle by any other name than poyfon inwardly gcnerated.Oft-times alfo there is a certain acrid and (linking filth generated in flelh with a malign and old ulcer, with which if the bones chance to be moiftened they become foul and at length mortified:of which this laying of Hipocrates is extant, Ulcers of a years continuance or longer,muft neceflarily foul the bone, and make the fears hollow. Whither alfo belongs this laving of the fame party; An Erifiplas is ill in the laying bare of a bone. But this flowing r venenate and gangrenous matter is fomewhilcs hot, as in peftilent Carbuncles, which in the (pace of four and twenty hours by caufiiagan efchar, bring the part to mortification ! otherwhiles cold, as we fee it divers times happens in parts which are pofleft with a Gangrene,no pain,tumor,blacknels, iior a- ny other precedent lign of a Gangrene going before.For lohn de Vigo faith, that happened to a certain gentlewoman of Genoa under his cure. I remember the fame happened to a certain man in tapping merrily and without any fenfe of pain,went to bed,and fuddainly in the nighttime a Gangrene icifed on both his legs, caufed a mor- tification without tumor,without inflammation; only his legs were in fome places (bred over with livid, black and green fpots,the reft ofthefubftance retaining his native colour : yet the fenfe of thefe parts was quite dead,they felt cold to the touch; and if you thruft your lancet into the skin no blood came forth. A Councell of Phyfitians being called, they thought good to cut the skin, and flelh ly- ing under it,with many deep fcarifications ; which when I had done, there came forth a little black thick and as it were congealed blood;wherefore this remedy, as alfo divers other, proved to no pur- pofe,for in conclufion a blackilh colour comming into his tace,and the reft of his body, he dyed fran- tick.I leave it to the Readers judgement,whetherfo (peedy,and taddainly cruell a milchief could pro- ceed from any other than a venenate matter;yet the hurt of this venenate matter is not peculiar, or by I its felf. For oft-times the force of cold, whether of the encompafling«air, or the too immoderate ufe i of Narcotick medicins,is fo great,that in a few hours it takes away life from lome of the members, and divers times from the whole body,as we may learn by their example,who travell in great fnowes, and over mountains congealed,and horrd with froft and ice. Hence allb is the extinftion of the native heat and the fpirits refiding in the part,and the (hutting forth of that which is (ent by nature to aid or defend it.For when as the part is bound with rigid cold,and as it were frozen,they cannot get nor enter therein-Neither iftheylhould enter into the part, can they ftay long there, becaufe they can there finde no fit habitation,the whole frame and government of nature being fpoiled,and the harmo- ny of the four prime qualities deftroyed,by thejoftenfive dominion of pred ominant cold their enemy, whereby it cometh to pafle that flying back from whence they firft came; they leave the part deftitutc and deprived of the benefit of noui ilhment,life,fen(e and motion. A certain Briton an Hodler in drunk foundly after fupper, caft himlelf upon abed ; the cold air coming in at? a window left open,fo took hold upon one of his legs,that when he wa- ked forth of his deep,he could neither ftand nor goe. Wherefore thinking only that his leg was numb, they made him (land to the fire;but putting it very nigh, he burnt the foie of his foot without any fenfe of pain,fome fingers thicknefs,for a mortification had already poflefled more than halfe his leg. Wherefore after he was carryed to the Hofpitall,the Chirurgeon who belonged thereto, endeavoured by cutting away of the mortified leg to deliver the reft ofthe body from imminent death ; but it pro- ved in vain;for the mortification taking hold upon the upper parts, he dyed within three dayes, with troublefome belching and hicketting,raving,cold fweat, and often (wounding. Verily all that fame s winter,the cold was (b vehement that many in the Holpitall of Paris loft the wings or (ides of their nbftrills,(ei(ed upon by a mortification without any putrefa&ion. But-youmuft note, that the Gan- grene which i s caufed by cold,doth firft and principally feife upon the parts moft diftant from the heart, the fountain of heat,to wit?the feet and legs;as alfo fuch as arc cold by nature, as griftly parts, fuch as the note and cares. fM. u4Gangrene by efflux of scold mat- ter! A notable Hifiory» Simple cold may caufe a Gangrene, A Hiftory. What part! are ufually taken by a Gangrene occafioned by cold. He figns of a Gangrene which inflammation or a phlegmon hath caufed, are pain and pul- fation without manifeft caufe, the fudden changing of the fiery and red colour into a livid or black,as Hipocrates fhewes where he (peaks of the Gangrene of a broken heel. I would p__ have you here to underftand the pullifick pain not only to be that which is caufcd by the quicker motion of the Arteries,but that heavy and pricking which the contention of the naturall heat dothproduce by railing a thick cloud of vapours from thele humors which the Gangrene lets upon. The figns of a Gangrene caufed by cold, are,if fuddainly a (harp pricking and burning pain aHaileth thepirtiiorpenetrabile frigus cold doth burmif a Ihining rednefs as ifyou had handled (how,pre(ently turn into a livid colourjif in ftead of the accidental! heat which was in the part, pre- iently cold and numbncfs (hall poflelie it,as if it were (hook with a quartain feaver. Such cold if it (hall proceed ib far as to extinguifh the native heat, bringcth a mortification upon the Gangrene;al(o oft-times convulfions & violent (baking of the whole body, wondrous troublefbme to the brain & the fountains of life.But you (hall know Gangrenes caufed by too ftrait bandages, by frafture,luxation, and contufion, by the hardnefs which the attra&ion and flowing down of the humors hath caufed, little pimples or blifters fpreading or riling upoh the skin by reafon of the great heat,as in a combufti- onjby the weight of the part occaiioncd through the dcfc& of the (pirits not now (uftaining the bur- den CHAP. XIII. Of the figns of a Gangrene. Se&.t.tfb. defratfur. VVhara pulfifick pain is. Signs of a Gangrene proceeding* of cold* Signs of Gangrenes proceeding from ft rait Hndages,or Of Contnfons and Gangrenes. Lib.12. 337 den of the laftly from this,the prefling of your finger upon the part,it will leave the print thereof as in an aulenw:, and alfo rom this,that the skin cometh from the flelh without any mamfcfi caufe. Now you (hall know Gangrenes ariiing from a bite,pun&ure,m<*,or wound in 'plethorick and ill bodies,and in a part indued with moft exquifite fenfe, almoft by the fame figns as that which was caufed by inflammation. For by thefe and the like caufes,there is a far greater defluxion and attraftion of the humors than is fit,when the perfpiration being intercepted and the paflages ftopt,the native heat is opprefled andfuffocated.But this I would admonifh the young Chirurgeon,that when by the fore- mentioned figns he (hall find the Gangrene prefent, that he do not defer the amputation for that he finds fome fenfe, or fmall motion yet redding in the part. For oft-times the aftefted parts are in this cafe moved not by the motion of the whole mufcle,but only by means, that the head of the mufcle is not yet. taken with the Gangrene: with moving it felt by its one ftrength, .alfo moves its proper an continued tendon and tail though dead already; wherefore it is ill to make any delay in fuch caufes. j Signsofa G angrene occaiioneJ by a bite, puntlure, &c» CHAP. X 11II. Of the in Gangrenes. \ving given you the figns and caufes to know a Gangrene ; it is fit we we alio give you the prognoftick. The fiercenefle and malignity thereof is fo great, that unlefle it be moft fpeedi- ly withftood the part it felf will dye,and alfo take hold of the neighbouring parts by the contagion of its mortification : which hath been the caufe that a Gangrene by many hath oeen termed an Efthtomenos. For fuch corruption creeps out like poyfon,and like fire eats, gnaws, and deftroyes all the neighbouring parts, untill it hath ip read over the whole body. For as Hippocrates writes,Lz£>. de vulner.capitis ; Mortui nulla eft proportion (ft) there is no proportion between the dead aud living.Wherefore it is fit prefently to leparate the dead from the living ; for unlefle that be done,the living wil dye,by the contagion of the dead.In filch as are at the point of death a cold fweat flows over all their bodies: they are troubled with ravings, and watchings,, belchings and hicketing moleft them; and often iwoundings invade them,by reafon of the vapours abundantly and continual- ly railed from the corruption of the humors and fleih, andfo carried to the bowells and principal! parts3by the Veins,Ncrves,and Arteries.Wherefore when you have foretold thefe things to the friends of the Patient, then make haft to fall to your work' Why a , Gangrene is called Eftbi, omeiw. The quick , impatient of the dead. CHAP. XV. Of the general/ cure of a Gangrene. He Indications of curing Gangrenes are to be drawn from their the cure muft be diverfly inftituted according to the eflence and magnitude. For fome Gangrenes poflefle { the whole member ; others only fome portion thereof fome are deep; otherfome fuperficiall only.Alfo you muft have regard to the temper of the body .For foft and delicate bodies,as of children,women,Eunuches,and idle perfons,require much milder medicins, than thofe who by nature and cuftome, or vocation of life,are moreftrong and hardy, inch as husbandmen, labourers, mariners, huntfmen, porters, and men of the like nature who live fparingly and hardly. Neither muft you have refpeft to the body in generail,but alfo to the parts affe&ed; for the flefhy and mufculous parts, are different from the folid,as the nerves and joints,or more folid,as the Vertebra. Now the hot arid moift parts,as the privities,mouth,womb,and fundament,arc eafilyer and fooner taken hold of by putrefacti- on,wherefore we muft ufe more fpeedy means to help them.Wherefore ifthe Gangrene be chiefly occa- fioned from an internail caufe, he muft have a dyet prefcribed for the decent and fitting ufe of the fix things not naturall. If the body be plethorick,or full of ill humorsjyou muft purge, or let blood by the advice of a Phyfitian. Againft the afeending up of vapours to the noble parts,the heart muft chief- ly be ftrengthened with Treacle diflolved in Sorrell, or Carduiu water; with a bole of Mithridate, the conferves of Rofes and Bugloffc; and with Opiates made for the prefent purpofe according to Art; this following Apozeme fliallbe outwardly applyed to the region of the heart. R. aqua rofar. & nenu- J phar.an. % iiij. aceli flillitici ].corallorum3 fantalorum alborum & rubrorumjojar. rub. inpulver. redaaarum3& 1 5 j. mithrid. & thsriaca3an. 3 i j P- trschijcorum de Caphura Jij. flor.cardial, inpollin. redaffarum9 p. ifl croci 3 J.ex omnibus in pollmem redaliis3 fiat epithema. Which may be applyed upon the region of the heart with a fcarlet cloth or ipunge.Thele are ufually fuch as happen in the cure of every Gangrene. Various In- dica rions of curing a Gangrene,' What parts Foonert ta- ken hold hj? 1 Gangrene A cordial/ Epiibtma- rle cure of a Gangrene,cauled by the too plentifull and violent defluxion of humors fuffo- eating the native heat,by reafon of great Phlegmons,is performed by evacuating and dry- ing up the humors,which putrefie by delay and colle&ion in the part. For this purpofe fcarifications and incifions,great,indifferent,fmall,deep and fuperficiary according to the condition of the Gangrene,arc much commended; that fo the burdened part may injoy the benefit of perfpiration;and the contained humors,of difflation, or evacuation of their footy exerts ments. Let incifions be made when the affeft is great, deep in,and neer to mortification. But Icaritica- tions may beufed when the part firft begins to putrefie, for the greatnefle of the remedy mult antwer in proportion to that of the difeafe. Wherefore it it penetrate to the bones,it will be fit, to cut the skir and flelh with many and deep incifions,With an incifion knife made for that purpofe; yet take.hee o cutting the larger nerves and veflels, unlefle they be wholly putrefied, for if thejr be not yet putrene . you (hall make your incifions in the {paces between them; if'the Gangrene oeleiie, we miu rei 0 g latisuec CHAP. XVI. Of the particular cure of a Gangrene. The cure of a Gangrene made by inflamma* tion. LlB.12« 338 Of Contnfions' and Gangrenes Satisfied with only Scarifying it. When the Scarifications and incifions are nude, we muft Suffer much blood to flow forth,that So the conjunft matter may be evacuated.Then muft we apply and put upon it Such medicins as may by heating,drying,reSolving,clenfing and opening,amend and correft the putre- aftionund by piercing to the bottom may have power to overcome the vn ulencie already impaft m the par . For this purpoSe Lotions made of the lye of the Aftes of fig-tree or Oak wherein Lupins have been throughly boyled are good.Or you may with leffe trouble make a median with Salt water, wherein you ma? diffolve Aloes and adding in theconclulion a for vitx and calcined vitrioll are lingular medians fora Gangrene. Or R. aat.otimi Itq.me/.roJ.Jiu). lynf. MCt'fi ?iii.to« nm.Jv. WM t-rtz.fc.f. Let the part be frequently wafted with this medi- cimtor it hath much force to reprrffe Gangrenes. After your Lotion, lay for a Liniment, and put it into the incifionsflor there is no median, more powerfull againft putrefaftion, for by cau- ling an Eldur,it Separates the putrid flelh from thefound But we mult not in thiskmdof affeft ex- reft that the putrid flefli may of it Self fall from the found;but rather cut offwtth your incifion knife or fiffers,whatsoever thereofyou can, and then put to it as oft as need ftall require The knowlcdg hereof may be acquired from the colour,fmell,and fenfiblcnefle of the flelh it felt. The de- fcription I have often tryed in thefe caufesjs this. R florist- ry aluminif rooh.mel/y acerrimi %v.[alur rom.% omnia ftmul ad ignemM unguent. If the force of the putrefaction in the part be not io great3 a weaker cum may ferve. When you have put in the jEgyptiacum, then prefently lay the following Cataplafm thereupon. For it hinders putrefaction,refolvcs,clenfes and dryes up the virulent by the dry fubtlety of the parts penetrates into the member,ftrengthens it3and aflwages the pain.R. farin.fabar.hor- dei orobiflert.lupin.an.Vb.f.fal.atn.meliy aqua flmpl.quantum fujficitifiat Cataplafmamol/e fecundum artem-, Somewhat higher than the part aflefted,apply this following aftringent3or defenfitive,to hinder the flowing down of the humors into the part,and the rifing up of the vapours from the putrid part into the whole body. R olei rofa- ti & plantag. folanijempervivi3an.$ij .album ovorum 5. rfratw, terra flgillatt fubtiliter pulverijatorums quantum fujficitjnifcc adufum ditfuni. But thefemedicins muft be often renew- ed.If the grief be fo ftubborn3that it will not yecld'to the defcribed remedies,we mull come to ftrongcr, to wit,Cauteries,after whofe application,G*/e« bids to put upon it the juice of a Leek with fait beaten and diflolved therewith, for that this medicin hath a piercing and drying faculty, and confequently to hinder putrefa&ion. But. if you prevail nothing with Cauteries, then muft you come to the laft re- medy and refuge,that is,the amputation of the part; For according to Hippocrates3to extream difeafes exquisitely extream remedies are beft to be applyed. Yet firft be certain of the mortification of the part, for it is no little or fmall matter to cut off a member without a caufe. Therefore I have thought it fit to fet down the figns, whereby you make know a perfect and abfo- lute mortification. The de- fcription of an Egyptia- fum. yffiringents that may be ufed in cure of a Gan- grene..; Gal.i.ail Glauctnem. Apbor.6. fetLll. CHAP: XVII. The figns ofaperfefi Necrofis or Mortification. Du fhall certainly know that a Gangrene is turned into a Sphacell,or mortification and that the part is wholly and throughly dead,if it look of a black colour,and be colder than fton® to your touch,the caufe of which coldneffe is not occafionedby the frigidity of the air ; if there be a great foftnefle of the part, fo that if you prefle it with your finger it tiles not a- gain,but retains the print of the Impreffion. If the skin come from the flefh lying under it; if fo great and ftrong a fmell exhale (efpecially in an ulcerated Sphacell)that the ftanders by cannot indure or fuffer it; if a fanious moifture,vifcid,green or blackifh flow from thence;if it be quite deftitute of fenfe and motion,whether it be pulled,beaten,crufhed,pricked,burnt,or cut off. Here 1 muft admonifh the young Chirurgeon,that he be not deceived concerning the lofie or privation of the fenfe of the part. For I know very many deceived as thus; the Patients pricked (on that part would fay they felt much pain there.But that feeling is oft deceitfull, as that which proceeds rather from the ftrong ap- prehenfion of great pain which formerly raigned in the part, than from any faculty of feeling as yet remaining. A moft clear and manifeft argument of this falfe and deceitfull fenfe appears after the impu- tation of the member; for a long while after they will complain of the part which is cutaway. Verily it is a thing wondrous ftrange and prodigious, and which will fcarfe be credited, unlefle by fuch as have feen with their eyes,and heard with their ears the Patients who have many months after the cutting away of the Leg,grievoufly complained that they yet felt exceeding great pain of that leg fb cut off. Wherefore have a ipeciall care left this hinder your intended amputation; a thing pitifull, yet abfolutely neceflary for to preferve the life of the Patient and all the reft of his body,by cutting a- way of that member which hath all the figns of aSphacell and perfeft mortification; for otherwife thenegleftedfire will in a moment fpread over all the body, and take away all hope of remedy ; for thus HiWecrates wifheth : That Seftions,Uftions,and Terebrations muft be performed as foon as need requires. A'note con- cerning the unfenfible- neffe of the part. A won* drousfymp- tome. Lib. G.Epidem, CHAP. XVIII. Where Amputation muft be made. The contto.. vcrfy deci- ded. T is not fufficientto know that Amputation is neceflary, but alfb you muft learn in what place of the dead part,it muft be done, and herein the wifdom and judgment of the Chirur- geon isnaoft apparent. Art bids to take hold of the quick, and to cut off the member in the found flefhbut the fame art wilheth us,to preferve whole that which is found, as much as in us lies. I will fhew thee by a familiar example how thou raaift carry thy felf in thefe difficulties. Let u> Lib.12. Of Contufions and Gangrenes. 339 us fuppofe, that the foot is mortified even to the anckle; hereyou muft attentively mark in what place you muft cut it off.For unleffeyou take hold of the quick flefh in the amputation,or if you leave any putrefa&ion, you profit nothing by amputation?for it will creep and fpread over the reft of the body. It befits Phyfick ordained for the preferyation of man kind,to defend from the iron or inftrunient & al manner of injury,that which injoyes lite and heal th. Wherefore you fhall cut off as little of that which is found as you poffbly can; yet fo that you rather cut away that which is quick,than leave behind a- ny thing that is pecifhed,according to the advice of Cel/k/. Yet oft-times the commodity of the aftion - ofthe reft of the part,and as it were a certain ornament thereof, changes this counfell. For if you take ; thefe two things into your confideration they will induce you in this propounded cafe and example, to cut off the Leg fome five fingers breadth under the knee. For fo the Patient may more fitly ufe the reft of his Leg and with leffe trouble,that is,he may the better go on a wooden Leg ; for otherwife, if according to the common rules of Art,you cut it off clofe to that which is pcriftied, the Patient will be forced with trouble to ufe three Legs in ftead of two. • For I fo knew Captain Francis Clerk., when as his foot was ftruckenoff withan iron bullet foot forth of a man of war, and afterwards recovered and healed up, he was much troubled and wearied with the heavy and unprofitable burden of the reft of his Leg, wherefore though whole and found he caufed the reft thereof to be cut off,fome five fingers breadth below his knee ; and verily he ufeth it with much more eafe and facility than before in performance of any mot'on. We muft do otherwife if any fuch thing happen in the Arm; that is,you muft cut off as little ofthe found part as ypu can. For the aftion of the Legs much differ from theie of the Arms, and chiefly in this that the body refts not3 neither is carried upon the Arms,as it is upon the feet and Legs. •v / ?. Lib.7. cap* 33- An obiex- vable Hifto' ry. CHAP. XIX. How the fefiion or amputation mlrft be formed. ■{e firft care iiiuft be of the Patients ftrength, wherefore let him be nourifhed with meats of good nutrimcnt,eafie digeftion,and Inch as generate many fpirits; as with the yolks of Egs, and bread tolled and dipped in Sack or Mnskadine. Then let him be placed, as is fit, and drawing themufcles upwards towards the found parts, let them be tyed with a ftrait liga- ture a little above that place of the member which is to be cut off,with a ftrong and broad fillet like that which women uftially bind up their hair withall. This ligature hath a threefold ufe; the firft is, thatit<hold themufcles drawn up together with the skin, fo that retiring back prefently after the performance of the work,they may coyer the ends of the cut bones,and ferve them in ftead of boulfters or pillows when they are healed up5Sc fo fuffer with Idle pain the compreflion in fuftaining the reft of the body;befides alfo by this means the wounds are the fooner healed and cicatrized;for by how much more flefh or skin is left upon the ends of the bones,by fo much they are the fooner healed and cicatri- zed.The fecond is,for that it prohibits the flux of blond by prefling and (hutting up the veins and arte- ries.The third is,for that it dulls the fenfe of the part by ftupefying it, the animall fpirits by the ftrait comprefling being hindred from palling. in by the Nerves. Wherefore when youhave made your 1 iga- ture, cut the fldh even to the bone with a (harpe and well cutting inciiion knife, or with a crooked knife,fuch as is here exprefled. The Liga- ture of the pan. A crooked knife fit for difmembringjor a difmembring kpife The Figure offich a Saw. Now you muft notqthat there ufually lies between the bones,a portion of certain mufcles which you cannot eafily cut with a large mcifion or difmembring knife; wherefore you muft carefully di- vide it and feparate it wholly from the bone,with an inftrument made neatly like a crooked mcifion b knifc.I thought good to adyertife thee hereof; for if thou (honldeft leave aily thing bolides the bone to be divided by the Saw,you would put the Patient to exceffive pain.in the performance thereof; for oft things, as flelh, tendons and membranes, cannot be eafily cut with a Saw. Therefore when you (hall come to the bared bone,all the other parts being wholly cut afunder and divided,you frail nim- bly divide it with a little Saw about fome foot and three inches long, and that as near to the found flclh as you can. And then yoti muft fmooth the front of the bone which the Saw hath made rough. A canuon t® be obferved> CHAP. XX. How to ftanch the bleeding when the member if taken off. Hen you have cut off and taken away the memberjet it bleed a little according to the ftrength of the Patient,that fo the reft of the part may afterwards be lefle obnoxious to inflammation and other fymptomes;Then let the veins and arteries be bound up as fpeedily and ftraitly as you can ; that fo the courfe of the flowing blood may be flopped and wholly ftayed. Which may be done by taking hold of the veflels with your Crows the figure follows. G g 2 Lib. is. 340 Of Contufions and Gangrenes, 'Ihe Crowes beakjit pr to draw the veflells forth of the flcfb wherein they lye hidjhat fo they may be tyed or bound faft. The ends of the vef- fells lying hid in the fleflynuft betaken hold of and drawn with this inftrurnent forth of the mufcles whereinto they prefently after the amputation withdrew I themfelvcs, as all parts are ftillufed to with- draw themfelvcs to- wards their originalls. In performance of this work,you need take no great care,if you together with the veflells comprehend fome portion of the neighbouring parts, as of the flefh, for hereof will enfue no harmejbut the veflells will fo be confolidated .with the more eafe, than if they being bloodlefle parts Ihould grow together by themfelves. To conclude, when you have fo drawn them forth, bind them with a ftrong double thred. Howro draw forth the veffells and bind them. CHAP. XXI. How after the blood is ftanched, you muft drefte the wounded member• How the lips of the difrnem. bred part are to be joined toge« ther. Hen you have tyed the Veflells,loofe yotir Ligature which you made above the place of am- putationjthen draw together the lips of the wound with four ftitches made acrofle having taken good hold ofthe flefhjfor thus you (hall draw over the bones that part of the skin and cut mulcles drawn Opwards before the amputation, and cover them as dole as you can that fo the air may the lefle come at them,and that fo the wound may be the more fpeedily agglutinated. But when we lay,draw together the lips of the wound with four ftitches, you muft not fo underftand it,as that you muft endeavour, to draw them fo clofe as to touch each other,for that is impoflible • for the ftitches would fooner break out,and fo the part would lye bare. Wherefore it will be fufficient to draw them indifferent clofe together,that fo you may fuffer the skin and flefh thereunder to enioy its former liberty which it pofleft before the drawing up, and fo in fine by natures afliftance, the wound may be the more ealily agglutinated. CHAP. XXII. How you muft flop the bleedingftf any of the bound up veffells chance to get loofe. He bufinefs hitherto being performed as we faid,if peradventure it happen that any bandage of any of the veflels be unloofed3then muft you again bind the member with that kind of Li- gature which you did before the amputation thereof.Or elfe, which is better3more eafieand lefle painfulljletyour fervant take hold of the member with both his hands., prefling his fingers ftrait,ftop the paflage of the looted veflell3for fo he may ftanch the bleeding. Then let the work-mafter take a needle Lome four fingers long,fquare,and having lharp edges,drawing after it a three or four doubled ftrong thred.With this let him bind the veflell after the following manner. Let himthruft his needle on the outfide into the flefli,fome half fingers breadth from the looted veflell untill he come to the end thereoi/hen let him put it about it,and bring it back, again,but fo that there be no more than the fpace of a fingers breadth between the going in, and coming forth of the needle. In this fpace let him put a linnen rag three or four times doubled,and thereupon bind fomewhat ftrait the two ends of the thred together. For fo he (hall hinder the knot from hurting theflelh which lies under it in the bindings,and alfo add ftrength thereto. For fo the bound up orifice of the veflell will in fhort fpace be agglutinated to the adjoyning fle(h,and that fo firmly,that there hath never been feen any one drop of blood to have flowed from a veflell fo bound up. But if the blood which flows forth proceed from any fmall veflell, you muft not ufe this future and ligature, nor make any fuch great matter thereof; for it will quickly be ftanched by the only application of Aftringents pre- fently to be mentioned. b r The He- morrhagic of froali vef- fels is notto be regarded. C H AP. XXI IL How toperform the reft due of the cure of the amputated member. Ar empla- ftick medi- cine. Ow muft we (hew what medicins are fitting to be applyed after the amputation of a member; wparc Emplafticks,as thefe which exceedingly conduce to green wounds. As R boli arm. cnjnia [ubtilijj'.&fimul mixtis fiatpulvir, herewith j r. r . uthe wound be ftretved,and lay thereupon dry Lint; but let the following repercuffive or defenfitive be applyed to the member. R Album ovorum vj.boli arm. [ang.drac.^pftiterra ftgill.aloesjnafiichesy redigantur bene agitenturaddenda olei rofarum&imrtil. an.Zj.fiatdefen- fitivum ad jormammelln. This ointment muft be applyed uponftoops dipped in Oxycrate, and that fo thatitmaynotonly cover thecut member; but alfo be fpread further and cover the neighbouring paitsjas when the Leg is cut off,it muft be laid upon the joint, and fpread higher than the knee.fome Jour fingers upon the thigh;forit hath not only a repercuflive faculty,but it alfo ftrengthens the part, hinders defluxion by tempering the blood,aflwaging pain,and hindring inflammation. It will alfo be to moiften your double cloths and bandages in Oxycrate; then muft you place the member in an 7 ?on k pil TLyith, oaten huskes or chaffe> Stags hair, or wheat bran. It m ft not be ftiried after the firft drcfling ( unlefs great neceflity urge ) for four dayes in winter, but fomewhat Arepercuf' five. How to place the member & how often co drefs it. Lib.12, Of Contufions and Gangrenes 341 fbmewhat (boner in fummer.For the ligatures wherewith the vefiells are bound,they muft not be Ioo« fed,or otherwife taken away,before the mouthes of the vefiells are covered with their glue or flc(h,lcft by too much haft you caufe a new flux of blood. This agglutination will be performed by applying refrigerating,aftringent,and emplaftick medicins,fuch as this following powder, fy.boli arm.far indoor d., Aloes,nucum incorpor'ehtur. omnia ftmu I,fiat pulvis fubtilis: herewith f let the whole.ulcer be brewed over far three or four dayes fpace; which being ended, let only the (eats '• of the vefiells be powdred therewith,and that for eight or tcndayes,fo that we need no further doubt of the agglutination of the vefiells. Jn the mean (pace let the digeftivebe applyedtothe reft of the Ulcer untill it be come to fuppuration ; for then you (hall give over yoijr digeftive, and be- take you to deterfive and mundificative medicins: As Be- terebinth, ven. lot# in aquavit# I wellis rof. colati 5iiij- fucci plantag. Apii, centaur, minoris, an. $ij. bulliant omnia ftmul ulque ad con- fwnptionem fuccorum, auferantur ab igne, addenda farin#fqb. &hord. an. |j, theriae.Gal.% ft.aloes, myrrh#, arifto- \ ty.fiat mundificativum. But feeing the cafe hands fo that the Patients imagin they have d their members yet entire,and yet do complain thereof (which 1 imagin to come to pafs, for. that the c! cut nerves retire themfelves towards their original!, and thereby cauie a pain like to convulfions 5 for as Galen writes in his book. De motu mufculorum, that contraction is the true and proper aftion of a 1 nerve and mufele.-and again,extenfion is not fo much an action as a motion:) now wc muft indeavour to give remedy to this iymptomc. Which may be done by anointing the fpine of the back and all the 1 affeftedpart with the following Liniment,which is very powerful againft Convulfions, the Palfie,num-.' nefs and all cold effects of the nervous bodies. R falvi£,cham#pyt!:cos,maj&ran£,rorifm.ar. menth. riii#, la- , hyperici,an.fi.ij. bpfcarum lauri & juniper i . rethri olei lumbr.'aneth. catell. an. |vj. olei terebinth.ifiiftaxung. %].vini albiodoriferi lib.j.cer# quantum fufftcit,contundenda contundantur, pulverijanda pulver ifentur, deinde macerentur amnia invino per no3cm,poftea coquantur cum oleis & axungiaprsdifiis invafe- duplici,fiat lini- mer.tum fecundum artem.infine adde aqu# vit£ 5 iiij, Efefides, in drcfling thefe wounds, the Chirurgeon muft ufe diligence to procure the falling away of the ends or fcales of the bones, which the faw and the ap- pulfe of the air never before coming hereto, have tainted which may be done by applying to their ends a&uall cauteries,that is, hot irons,in tiling of which you muft have a fptciall care that you touch not the fenfible parts with fire ■, neither muft tlje bones themfelves be forcibly pluckt off, but gently moved by little and little,fo that you (hall think you and the i' Patient have exceedingly well perfor- med your parts ifthey fall away at. the thirtieth day after the Amputation. All thefe things being per- formed,you (hall hinder the growth of proudflefh with the cathaereticks, (uch as are burnt vitfioll,thc powder of Mercury,and other things, amongft which is Alum burnt and powdered, which is excel- Jent in thefe kind of wounds,whether by it felf or mixed with.others. You (hall ufe thefe and fuchi like,even unto the perfect agglutination and cicatrization of the wound, and you may of your felt devife other things,fuch as thefejas occafion (hall offer its felf. An cmpki- ilick pow- der. Dererfives.1 Why after difmembring rhe Patients com > Iain of p as if the part ' were yet ; remaining on. An oint- ment for rhefpins oi? the back a- gain ft all , a'teflsofthe nerves; How to procure the falling a- way of rhe ends of the bones. Cathasre* ticks. • * ■- - ■' . ' - t . f . i J CHAP.' XXII11. J7hat juft occafton moved the Author to devife this now form of remedy ,to ftanch the blood af- ter the amputation of a member, and to forfake the common way ufed almoft by all Chirurge- ons j which is, by application of afiuall cauteries irily I confefs,! formerly have ufedto ftanch the bleeding of members after amputation, after another manner than that I have a little before mentioned. Whereof Jam alhamed, and a- grieved-,Biit what fhould I do ? I have obftrved my mailers whole method I intended to fol- ' low,alwaies to do the like;who thought themftlvcs Angularly well appointed to ftanch a ilux of blood, when they were furnilhcd with various ftore of hot Irons and cauftick medicins,wllich they would ufe to the difmembred part,now one,then another,as they themftlyes thought meet.Which thing cannot be fpoken,orbut thought upon without great horror, much lefle afted.For this kind of remedy could not but bring great and tormenting pain to the Patient, feeing fuch frelh wounds made in the quick and found flefh are endued with exquifite ftnfe. Neither can any'cauftick be applyed to nervous bodies,but that this horrid impreflion of the fire will be prefentiy communicated to the in- ward parts,whence horrid lyniptonies enfue,& oft-times death it felf.And verily of Inch as. were burnt, the third part fcarfe ever recovered,and that with much adoe,for that combuft wounds difficultly come to cicatrization ; for by this burning are cauftd cruell pains,w hence aFeavcr, Convulfion,and oft- times other accidents worfe than theft. Adde hereunto,that when the efchar fell away, oft-times a new haemorrhage enfiied, for ftanching whereof they-were forced to uft other cauftick and burning Inftru- ments.Neither did theft good men know any other courft j fo by this repetition there was great Ioffe and waft made of the flcfhy and nervous fubftancc of the part. Through which occafion the bones were laid bare, whence many were out of hope of cicatrization, being forced for the remainder of theft wretched life to carry about<an ulcer upon that part which was difmembred ; which alfo took away the opportunity of fitting or putting to of an artificial! leg or arm in Head of that which was taken off. Wherefore I mull earneftly entreat all Chirurgepns, that leaving this old,and too too cruell way healing,they would embrace this new,which I think was taught me by the ipediall favour of the Tacred Deity,for I learnt it not of my ra liters, nor ofany other, neither have I at any time found it ufed by any .Only I have read in Galen* that there was no fpeedier remedy for ftanching of blood, than to bind the veflells through which it flowed towards their roots, to wit,the Liver and Heart. This pre- cept ofGtZrn,of binding and fowing the Veins and Arteries in the new wounds,when as I t hought it might be drawn to theft which are made by the amputation of members,! attempted it in maiiy; yet fo that at firft in my budding practife thereof, I alwayes had my cauteries and hot Irons in a read/nefle, Gg 3 that Hot Irons not to be ufcd. Lib.'yMetK 342 Of Contufiom and Gangrenes Lib.j 2. that if any thing happened otherwift then I expe&ed in this my neW work,I might fetch fiiccour from the ancient praftice, untill at length confirmed by the happy experience of almoft an infinite number of particulars,I bid eternally adieu,to all hot Irons find cauteries which were commonly ufed in this work.And I think it fit that Chirurgeons do the like, f or antiquity and cuftome in fuch things as arc performed by Art,ought not to have any fway,authority or place contrary to reafon,as they oft- times have in civill affairesjwherefore let no man fay unto us,that the Ancients have alwayes done thus. CHAP. XXV. The pra&ifecfthe former precepts it declared, together with a memorable hifiory of a certain fouldier,whoje arm was takeoff at the Elbow. A Hiftory. Think it fit to confirm by an example the prefcribed method of curing a Gangrene and Mortification. Whilft I was Chirnrgeon to the Marlhall of Monte) an at 'Iwrin, a certain common fouldier received a wound on his wrift with a musket bullet,by which the bones and tendons being much broken, and the nervous bodies cruelly torn, there followed a Gangrene and at length a mortification even to the Elbow; befides alfo an inflammation feifed up on the middle part of his Cheft, and there was as it were a certain difpofition to a Gangrene, Whereby it followed that he was painfully and dangeroufly troubled with belchings, hickettings, Watchings,unquietnefle and frequent fwoundings,which occafioned many Chirurgeons to leave him as defperate. But it fo fell out, that I orecome by his friends intreaty, undertook the cure of this wretched perfon,deftitute of all humane help. Wherefore knowing the mortification by its figns,I cut off the arm by the elbow as fpeedily as I rcould, making firft the ligature, whereof I made mention; I fay Itookitoffnotwithafaw, but only with an incifion knife, cutting in funder the ligaments which held the bones together,becaufe the fphacell was not paffed the joint of the Elbow'. Neither ought this ieftion to be counted ftrange,which is made in a joint; for Hippocrates much commends it, and faith that it is eafily healed,& that there is nothing to be feared therein befides fwounding,by rea- fon of the pain cauled by cutting the common tendons & ligaments. But fuch incifion being made,the former ligature could not hinder,but much blood muft flow from thence,by reafon of the large veflrls that run that way .Wherefore I let the blood to flow plentifully fo to disburden the part,and fo after- wards to free it from the danger and fear of inflammation and a Gangrene ; then prefently I ftanched the blood with an hot Iron,for as yet I knew no other courfe.Then gently loofing the ligature I fcari- fie that part of the brawn of the Arm which was gangrenated, with many and deep incifions, (hunning and not touching the inner part,by reafon of the multitude of the large veflels and Nerves which run that wayjthen I prefently applyed a cautery to fome of the incifions,both to ftanch the bleeding, and draw forth the virulent pnzej which remained in the part. And then I aflailed and overcame the fprea- ding putrefaftion by 'putting and applying the formerly prefcribed medicins ; lufedallfortsofrc- ftriftive medicins,to ftay the inflammation of the Cheft; I al(b apply cd Epithema's to the region of theheart,and gave him cordial potions and boles,neitheir did 1 defift from ufing them untill fuch tirtie ns his belching, hicketting and fwoundings had left him. Whilft I more attentively intended thefc things,another mifehief aflails my Patient,to wit,Convulfions,and that not through any fault of him or me,but by the naughtinefle of the place wherein he lay, which was in a Barn every where full of chinks and open on every fide, and then alfo it was in the midft of winter raging with froft andfnow and all forts of cold jneither had he any fire or other thing ncceflary for prefervation of life, to leflen thefe injuries of the air and place; Now his joints were contrafted, his teeth fet, and his mouth and face were drawn awry, when as I pitying his cafcmade him to be carried into the neighbouring Sta- ble which fmoaked with much horfe dung,and bringing in fire in two chafendifhes, I prefently anoin- ted his neck and all the fpine ofhisback,(hunning the parts of the Cheft,with liniments formerly de- fcribed for convulfions; then ftraight way I wrapped him in a warm linnen cloth, and buried him even to the neck in hot dung, putting a little frefh ftraw about him; when he had ftayed there fome three dayes, having at length a gentle (couring or flux of his belly, and plentifull fweat,he begun by little and little to open his mouth and teeth which before were fet and dole (hut. Having got by this means fome opportunity better to do my bufinefle,! opened his mouth as much as 1 pleafed,by putting this following Inftrument between his teeth. bring at a joint. de Art. Burying in hot horfe dung helps Convul- sions. A D i loter made for to open the mouth and teeth by the means of a/crew in the end thereof. Now drawing out the Inftrument I kept )his mouthiopen by putting in a willow flick on each fide therof3that fo I might the more cafily feed him with meats foon made, as with Cows milk and rear egs,un- till he had recovered power to eat,the con- vulfion having left him.He by this means freed from the Con- , .. „ vulfion, I then again begun the cure of his arm,and with an aStuall cautery fear the end of the bone, fo to dry up the per- petuall Lib.13. 343 petuall afflux of corrupt matter. It is not altogether unworthy of your knowledg,that he faid,how that he was wondroully delighted by the application of fitch actual! cauteries, a certain tickling running the whole length of the arm by reafon of the gentle diffulion of the heat by the applying the cauftickjwhich fame thing I haveobferved in many others; efpecially in fuch as lay upon the like oc- cafion in the Hofpitall of Pari-s> After this cauterizing there fell away many and large fcalesofthe bone,the freer appulfe of the air than was fit making much thereto; befides when there was place for fomentation,with the decofuoa of red Role leaves, Wo rmwood,Sage,Bay leaves, flowers of Camomil, Melilote, Dill, I fo comforted the part that I alfo at the Fame time by the fame means drew and took away thclvirulent which firmly adhered to the flclh and bones. Laftly, it came to pafle, that by Gods afliftance,thcfe means I uled,andmy carefull diligence,he at length recovered.Wherefore I would admonifh the young Chirurgeon,that he never account any fo defperate,as to give him for loft,content to have let him gdhvith prognofticks ; for as an ancient Doftor writes; that as in Nature,fo in difeafts there are alfo Monfters. Tbe End of the Twelfth Book. A rion for a Convid- fion. Monflers o. miracles in difeafes. Of Vleers, Fiflulas, and Hzmorrboides. THE THIRTEENTH BOOK. C H A p. I. Of the hatute, caufes and differences of Ulcers. Aving already handled and treated of the nature., differences, caufes, figns and cure offrefh and bteody wounds,reafon and order item to require that we now fpeak of Ulcers; taking our beginning from the ambiguity of the nanje.For ac- cording to name of Ulcer moft generally taken may fignifie all or any folutiori of Continuity; In which fenfc it is read that all pain is an Lil- cer.Generally,for a wound and Ulcer properly fo called; as appears by hL Book, de Flceribw. Properly, as when he faith,it is a fign ot death when an Ul- cer is dryed up through an Jtrophia&i' defeft ofnourilhment. We have here de- termined to fpeak of an Ulcer in this laft and proper lignification. And according thereto we define an Ulcer to be the folution of Continuity in a foft part,and that not bloody, but fordid and unpure, flowing with quitture, Sanies or any fuch like corruption,affociated with one or more affefts againft nature, which hinder the healing and agglutination thereof; or that we may give you it in fewer Words according to Galens opinion; An ulcer is a folution of Continuity,caufcd by Erofion.The cau- fes of Ulcers are either intcrnall or externail. The internall are through the default of humors peccant in quality rather than in quantity,or elle in both, and lb making erolion in the skin and Ibfter parts by their acrimony and malignity; now thefe things happen either by naughty and irregular diet, or by the ill difpoiition of the entrails,lending forth and emptying into thchabit of the body this their ill difpofure. The externail caufes are,the excefle of cold feifing upon any part, efpecially more re- mote from the fountain of heat,whence follows pain,whereunto fucceeds an attraction of humors and Ipirits into the part,and the corruption of thefe fo drawn thither by reafon of the debility or extirifti- on of the native heat in that part,whence laftly ulceration proceeds.In this number of externail caufes may be ranged,a ftroak,contufion,the application of fharp and acrid medicins, as caufticks, burns ; a. allo impure contagion,as appears by the virulent ulcers acquired by the filthy copulation or too fa miliar converfation of fuch as have the French difeafe. How many and what the differences of Ulcer are,you may fee here defcribed in this following Scheme. The divers acceptions of an Ulcer. 'Sent.34.fefa 2dib.de frail. Sefi.l.yrGgi What an Uker pro- perly is. Lib.de cea- ftit» Artis capi 6. The intern*} allcaufes. The extern* all caafes. A Tabic of the differences of Ulcers. An Vker k an impure filutfon of continuity in a foft part. flowin' with filth and matter or other corruption, whereof there are two chief differences-, for one rlsftmple andfolitary without complication of any other affeft againfl nature, and this varies in Proper,which are ufually drawn from three things ; to wit, Kound or circular. } Sinuous,and variously fptead- '(Right, or oblique. Cornered as triangular. Figure}whence one Fleet, is called Quantity, <tnd that ei- ther according to their I Equality or inequality1 \-which conjifts Length', whence anVlcer is long,fbort,indifferent, whence anVlcer is broad,narrow,indifferent. Profundity- wahfn/'/> tin <7)lc.f>r it deet)»lat>erficiaiy,indifferent- Inthoje differences of dimensions whereof we laft treated,! fty in .length,breadth and profundity ,wherein they are either alike or oj the fame elCe unlike and Io of a different manner. and H<emorrboidef. LtB.iq*. 344 i Or common and accidental, andtheje drawn, either "From their time ; whence anVlcer is tearmednew, old, of (bort or long cure and duration. From their appearance; whence me is called an apparent Vlcer;anc,ther a hidden and occult Vlcer. Front their maimer of generation; as if it be made by a heavy, bruifing, cutting, pricking or corroding thing-, whence a cut,torn andmixt Vlcer. i „ r irr. From their ftte-, whence anVlcer before,behind,above,below,in the head,tail,or beUyofa Mufcle. From that part itfeifes upon, whence an Ulcer in theflefb and skin,or feeding upon thcgnftles or boner, fuch ns the fe of the nole,the point of the mouth, and cars. From other common accidents-, whence a lelephian Vlcer; that is,fuchanVlcer as Telephus had. A Chi- nr.ian,which needs the hand and art of Chiron. A Conchy ous,mich rcjembles f Cancer. 'Is Catarrhoickyr that a or depletion of il!humor Catarw3or poifon *cheri(bes or feeds. | With the caufe9whence l an Ulcer Withthedifeafe, as from With the Symptoms/whence, a corroding,eating,painful/,fordid and virulent Ulcer With the caufe and difeafe, " J With the caufe and Symptoms, With the difeafe and Symptome, With the caufe,difeafe, and Symptoms. Is compound and many and wariouswayes complicated, as T)iftetnper whether jtnqle or compound, whence an Vlcer is Swelling orStumor, whence c Solution of continuity3 er any other difeommodity, whence a tough,callous,fifluloiw,cavernous3/inuoui Vlcer, with lux at i- • ■ ■ ■ ■ Het. paid. Dry. } Moi ft. Mixt. * Pblegmonow \Eryfipelow r Oedematow fScinbow .Canc'Tow Dicer. Examples whereof may be taken from that we have formerly delivered. C H A P. 11. Of the figns officers. The fignsof a putrid Ulcer. are. jailoys fighs of Ulcers, according to their differences. For it is the fign of apUtrid Ulcer.it it exhale a noyfbme,grievous,ftinking and carion-like vapour,together with filthy matter. An eating Ulcer is known by the eating in, hollownefle and wearing away of the part wherein it refides,together with the adjoining parts. A fordid Ulcer may be known by the grofneffe and viicidity of the excrements it fends forth,and by the loofeand fpongy l*oftnefle,or the cnifled inequality of the flefh which grows over it. A cavernous Ulcer, by the ftraitneffe of the orifice, and largeneffe and deepneffe of the windings within. A fiftulous Ulcer, if to thelaft mentioned figns theie accicwa callous naiunefle of the Ups or fides ofthe Ulcer.A cancrous Ulcer is horrible to behold with the lips turned bacK,hard and fwoln, flowing with virulent and flinking corruption,and fome- times ado with bloody matter,together with the fwelling and lifting up of the adjacent veins.An un- temperate,or as tney term it,a di (tempered Ulcer, is fuch as is nourished by fome great diftemper whe- thcr hot or c°kf)tnoiflor dry,or compounded of theft. An ill * natured or malign Ulcer is 'known by the difficulty of curing and rebellious contumacy to remedies appointed according to Art and reafon. We knowa catairhqus U.cei, if the matter which feeds it flow to it from fome varices thereunto ad- dilated,fWoLcn and broken veins,or from fome entrail, or from the whole body being ill affected. An Apoflumatous Ulcer is perceived by the preftnee of any tumor againft nature, whole Kind may be found out by fight and handling. Telephian Ulcers,are fuch as affefted Telepbus, and Chiro- whoic cure excelled) are Ulcers which may be known by their magnitude not much putrid,and confequently riot fending forth any ill fmcll,not eating, not tormenting with pain, but aving tacn lips fwoln and hard,and therefore ill to be healed. For although they may be /bmetimes Cicatrize .yewit being but (lender may eafily be broken,and the Ulcer renewed. They are almoft like lVc\atet Cancel,biiL that they are accompanied with fwelling in the adjacent parts; they are alfo » one,t'lan t le e,w alc ten)icd Crfcodhejthat is,ill natured,or malign ; whence it is that Fernelius lougiut cy ia a hidden caufe of malignity, befides the common default of the humor, and that i .ch as can fcarle be driven away;fuch commonly are felt after the plague.Wherefore Galen thinks fuch to be malign as will not Hippurate or yeeld any quitture. Gal.cap.'Q lib.Metho ★View ca. eoethes. Cam.ad a? fbor. 23. CHAP. III. Of the Prognofticks officers. He bone muft neceflanly fcale, and hollow fears be left by malign Ulcers of a years conti- nuance or longer,and rebellious to medicins fitly applycd. The bone muft fcale by reafon O. die continual! afflux,and wearing by the acrimony of the humor, which loofes the compofure and glue by which the parts thereof are joined together. But the fears muft be- . . c°n}e hollow, for that the bone(whence all the flefh takes its firft original!) or fome por- tion thereof, being taken from under theflefly as the foundation thereof, fo much of the bulk of the flelh Lib.13. OfOlcerSjFiftula s/tnd Htfinorrb aides'* 345 flefh muft neceffarily fink do wn,as the magnitude of the portion of the wafted bone comes unto. You may know that death is at hand,when the Ulcers that arife in or before difeafes, arefuddainly either livid ordryed,or pale and withered.For filch drinefs (hcweth the deleft of nature, which is not able to fend the familiar and accuftomed nutriment to the part ulcerated. But the livid or pale colour is not only an argument of dhe overabundance ofcholer and melancholy, but alfo of the extinftion of the native heat.ln Ulcers where tumors appear,the patients fuller no convulsions, neither arefrantickj for the tumor being in the habit of the body poflelled with an Ulcer, argues that the nervous parts and their originall are free from the noxious humors.But thefe tumors fuddainly vanifhing and with- out manifeft caufe,as without application of a dilculling medicin,or bleeding, 'thofe who have them on their backs have convullions and diftenfions, for that the fpine of the back is almoft wholly but fuchas have them on their fore parts,become either frantick, or have a (harp pain of their fide, or pleurifie,or elfe a dyfentery if the tumors be reddilh ; for the forepart of the body is replenifhed and overlpread with many and large veflells,into whole p»aflages the morbifick matter being tranflated-js prefently carryed to thele parts which arc the feats of fuch dileafes. Soft and loofe tumors in Ul- cers are good,for they (hew amildnefs and gentlenefs of the humors, but crude and hard Iwtilings are naughtffor all digeftion in fome meafure refembles elixation. Ulcers which arc fmooth and (hining are ill,for they (hew that there refides an humor malign by its acrimony,which frets afimder the roots of the hairs, and depraves the naturall conftruftion of the pores of the skin ; whence it is that fuch as are troubled with Quartain agues,the Leprofie or Lues have their hair fall off. A livid flelh is ill in Ulcers which catife a rottennefs or corruption of the bones lying under the flelh j for it is an argument of the dying heat and corruption of the bone,whence the flelh hath its originall & integrity. Thefe Ulcers which happen by occafion of any difeaie, as a Dropfie, are hard to be cured ; as alfo thofe whereinto a varix or fwoln veflell continually calls in matter; which a prefent diftempcr fo- nientsjwhich have fwoln,hard and callous lips;and fiich as are circular or round. An Hyptr farcer, or flelhy excrel'cence ufually happens to Ulcers not diligently mundified $ and ifthey poflels the arms or Legs,they caufe a Phlegmon or fome other tumor in the groins,chiefly if the body be full of ill humo rs, as Avicen hath noted. For thele parts by reafon of their rarity and weaknels are fit and fubjeft to de- fluxions.Yf'«cr<r/n writes that for ninecaules Ulcers are difficultly replenifhed with flelh and cicatri- zed. The firft for want of blood,in a bloodlefle body ;the fecond by reafon of ill humors and the im- purity of the blood-,the third by the unfit application of unconvenient medicins jthe fourth by rea- fon of the fordidnefs of the fifth by the putrefaftion of the foft and cariou-like flelh encom- yafling the Ulcer;the fixth when they take their originall from a common caufe which every where rages with fury,fuch as are chofe which are left by the peftilence; the feaventh by reafon of the callous hardnefs of the lips of the Ulcer. The eighth when the heavens and air are of fuch condition as mini- fters fuell to the continuance of the Ulcer,as at Sarogozain Aragons the ninth when the bones which lye under it are wafted by rottennefs. An Ulcer that calls forth white, Imooth, equall quitture, and little or no (linking,is cafil)healed;for it argues the viftory of the native heat, and the integrity of the folid parts.Wc terms that fmooth quitture which is abfolutely concofted, neither yeelds any aipe- rity to the touch,whereby we might lulpeft that as yet any portion of the humor remains crude; we j call that equall wherein you can note no diverlity of parts;8c white not that which is perfeftly fo, but ( that which is of an a(h colour,as Galen obferves. But it is ill,ifwhen the curefis indifferently forward, a flux of blood fuddainly break forth in thofe Ulcers which beat ftrongly by reafon of the great in-- flammation adjoyned therewith. For as Hippocrates obferves, aneffufion of blood happening upon a ftrong puliation in Ulcers is evill-, for the blood breaking out of an Artery cannot be ftayed but by force;andalfo this blood is fo furious by reafon of the heat and inflammation the nourifhers of this Ulcer that it breaks its receptacles,and hence enfiies the extinftion of the native heat, whencethede- feft ofluppuration and a Gangrene enlues. Now for that there flowes two forts of excrements from malign Ulcers,the more thin is tearmed Ichor or pnzei,but the more grofle is named jordes'7 that is viru- lent and flowes from pricked nerves, and the periaflea when they are evill affeftedfout the other ufually flowes from the Ulcers of the joints, and it is the worler if it be black,reddi(h, afh-coloured,if muddy or unequall like wine Lees,if it ftink.S'rfMzej is like the water wherein flefli hath been walked 5 itargues the preternatural! heat o f the part, but when it is pale coloured, it is faid to (hew the extinftion of the heat. Hip.progn; lib.i .cap.Si A ph.6 feS.6. ulc.Gdl.capa Me th .4' Forwhsc caufes Ul- cers a re hard to heal. What pwoi matter is ftnooth,e» quail and white. Jdfentent' •< S2.fei}.2'de Aph.21. Two forts ofexcie- tnentsflow from a mat' lign UlceroJ C H A P. I V. Of the General! cure of Fleers* N Ulcer is either Ample or compound.A Ample Ulcer,as an Ulcer hath one and that a Ample indication, that is, exficcationjand that more than in a wound, by how much an Ulcer is moifter than a wound.There are many indications propofed for the cure of a compound Ul- cer, in refpeft of which Galen would have*us to keep this order, that we have the firft regard of the moft urgent,then of the caufe,then ofthat, which unlefle it be taken away,thc Ulcer.canl]ot^e healed. By giving you an example you may eafily underftand the meaning.hereof. Imagin on the infide of the Leg a little above the ancle,an Ulcer very painfull, hollow, aflociated with the rotten- nefle of the bone,circular,having hard and fwoln Lips, and engirt with the inflammation and of the neighbouring parts.If you take this to cure, before you do any thing about the Ulcer, unlefle you be called upon by that which urges,as by vehemency of pain,you muft firft ufe generall means by calling and advifing with a Phy fitian;For in Galens opinion,if the whole body require a preparation, then muft that be done in the firft place;for in fome Ulcers purgation only will be fuflicient 5 in iome blooddettingjothers arc better by ufing both means,which is as the caufe of the Ulcer proceeds from a The curing of a .fimplc Ulcer con-' (iftsinex- $ ficcarion. (ial.7 WethJ Gal.lib.q. de compMetf J'ecund'ger,! 346 Officers,Fiflular, and H<emorrboides. Lib.13. repletion or ilnefte ofhumors.Nowby thefe means having taken away the caufeof the Ulcer, you muft come to the particular cure thereof, beginning with that which is moft urgent. Wherefore you fnuft firft aflwage the pain by application of things contrary to the caufe thereof,as if it proceed from a Phlegmonous diftemper, which hath long pofleft, diftendedand hardned the part, it muft be eafedby evacuation.Firft, bathing it with warm water,to mollifie and relax the skin, that io you may the more eafily evacuate the contained humors; then fhall you draw away poition of the matter cau- fing the (welling and pain by fcarification,ifthe Patient (hall be of fufficient courage, or elfe by appli- cation of horfe-leaches if he be more faint-hearted ; and then you (hall temper the heat thereof by ap- plying ynguentum refrigerans Galeni. 1 o conclude,you (hall attempt all things which we have former- ly delivered (in our treatife of Tumors} to take away the fwelling thereof. When you have brought this to that pafle you defire,you (hall come to thofe which are fuch, that it cannot be taken away or healed without them, which fhall be done by orderly helping the defers againft nature which were conjoined with the Ulcer,to wi t,the rottennefic of the bone,which you fhall help by aftuall cauteries; and in the mean while you fhall draw the Ulcer into another form,to wit,cornered, and you fhall cut away the callous hardnefle, and help the rottennefic. Then muft you procure the falling away of the Efchar,and then provide for the fading of the bone by the means formerly prefcribed,laftly the mun- dified Ulcer muft be filled with flefh. For generating of flefh two caufes muft concur, the efficient,and materiall;The efficient is,the good temper both of the whole body, as alfo of the Ulcerated part. For this prevailing,there will be an attra&ion, digeftion,oppofition and aflimilation of the laudable juice to the part afiected;verily the laudable temper is preferved by like things,but the vicious is amended by contraries.The matter to be fpent upon Hefti is laudable blood,which offends neither in quality,nor quantity. In this regeneration of the flefh there appear two kinds of excrements, the one more thin and humid called S antes other more grofle termed Sordes. Both of thefe for that they are contrary to nature, do therefore hinder the regeneration of flefh,and therefore muft be taken away by applying their contraries,as by things drying in the firft degree, and more ftrongly or weakly detergen t, accor- ding to the complexion of the part and the whole body,and the plenty and quality ofthe excremen- titious humor,and the uncleannefs of the Ulcer. For the part muft be preferved by the ufe of the like, but the Ulcer orecome by application of things contrary thereto. After that by natures endeavour and the Chirurgeons help the ulcer is replete with flefh, it muft be cicatrized, that is,covered with a callous skin in ftead of the true and native skin. It may be cicatrized by ftrewing of very drying pow- dershaving very little or no acrimony .Thus Alum and Vitrioll being burnt& made into powder, and thinly ftrewed upon the part, do quickly cicatrize the former flefhy work. To this purpofe alfo ferve, the root of Aloes, burnt Lead, Pomegranat pills burnt, and alfo plates of Lead befineared with quick fil ver, whofe efficacy for this purpofe Chirurgeons fonietimes find more certain and powerfull than any other remedies. The things conducing to the ge- nerating of flefh. WhataScat is. Things caufing ci- catrization. CHAP. V. Of a diftempered Dicer. Signsofa diftenspe- red ulcer. Efore wefpeak ofadiftemperedulcer,it ismeet, left that the Chirurgeon take one diftemper for another,briefly to relate the flgns of each. You may know that an ulcer is aflbciated with a dry diftemper by your.(ight,as if the ulcer be as it were wrinkled,if it fend forth little or no moifturejalfo it is known by touch,ifit feel rough and hard. You (hall correct this diftemper by humefting medicins3as fomenting it with warm water according to Galens opinion,or elfe with B)drel<eum (z.) Oil and water mixt,but alwayes you muft firft purge, if the body (hall abound with ill humoiSjOr ufe Phlcbotomie if the body beplethorick 5 otherwife you fhall draw more humors into the part than it can bcar.Now you (hall fo long foment it, untill the flefh which is about it begin to look red,wax foft and.moift,and the part it felf be a little fwoln. Ifyou proceed further, you will re- folve all the humor which you have drawn thither,andfoyour labour is in vaine. After the fomenta- tion apply ftich a remedy to the ulcerated part. Bo cremork hordei in %ifi.melfa in mortario &fiat unguentum.* You (hall know a moift diftemper aflociates the ulcer by the plenty of the excrementitious humor, which the ulcer fends forth, by the fpongy and fungous foftnefle and growth of the flefh about it.You (hal amend this by drying remedies,fuch as thefe are,which we tearm farcoticks,having alwayes regard to the plenty of the hum or,the proper temper of the part,and other indications formerly mentioned. Amongft other remedies Galen much commends Alum water,for it dries,clenfes and corroborates the afle&ed part.Alfo this enfuing fomentation may be applyed to good purpofe. be- ton. tapfi barbati an.m.j.gallaruni9nucum cuprefii3an.3ij.alumina roch<e $fifiat decoflio in vino auftero3infiitHaturfo~ Then let Ltnpl.de cerufla or De tninio be applyed to the ulcer. Al(b I have found by experience that the powder of burnt alum lightly ftrewed upon the ulcer is very effedtuall in this cafe. You (hal know that an hot diftemper aflociates the ulcer by rednefs,or yellownefle thereof,by the heatmanifeft to your touch,and the propriety of your pain.Then muft you have recourfe to refrigerating things, fuch as ang.Rojatum Mel.DefrigeransGal.Populeoni ftoops and clothed dipped in Plantain water, Night-fhade water,or Oxy crate. I have oft found by experience that fcarification, or Leaches being applyed, did more conduce than any other remedy .E or (b the chafed blood,which by that means is apt to corrupt, is drawn away,and the part it felf is alfo freed of that burden. We know a cold diftemper by the whitifh or pale colour,by the touch oftheChirurgeon,and (peach of the Patient complaining of the coldnefle of the ulcerated part. You fhall correft this by applying arid putting bottles filled with Waterabout the part, or elfefwines bladders half filled with the fol- lowing deception, R, ori^ani3pukgii3 domain,nieliloti3an.m.fiabfinth.maioTan4s[alvi43rorifmar.an,in.fi.'fiat, decotfia Remedies for a dry diftetnpe- red ulcer. Signs ofroo moift an ul- cer. Gal.lib.i. fimp.cap.-j Signsof a hot diilem- pered ulcer. Signs of a cold di- fiempered tikcr. Lib. i OfV leers ,Fiftula s.,and H<emorrb aides 347 decMo ,nyim^nero[<,,Mendo viuqnod fufficit. Alfo the Ulcer may be conveniently fomented wit* fpnnDes dipped in the fame let there be applyed thereto Empl.OxjcmeL-,m» de mehlote- de 7 /£« cum mercummdjine mrrwrw.But if a mixt and compound diftemper be joined to the Ulcer the medians muft m like manner be mixt and compofed. The refidueof the Chirurgeons care and pains muft be (pent upon the proper and peculiar cure of the Ulcer,as it is an Ulcer; which wefaid in the former Chapter was contained in detcrfion,regenerating flelh and cicatrization thereof CHAP. V I. Of anVlcer with pain. Here oft-times fo great pain accompanied! Ulcers, that it calls thereto the counfell of the Phy litian. Wherefore if it proceed from any diftemper, it lhall be taken away by remedies proper againft that diftemper,fuch as we mentioned in the former Chapter. Bat it it do not fo ceafe,we muftgo on to Narco ticks. Such arecataplafms of the leaves of Mandrakes, Water lillics,Hcnbanc,Nightihade,Hemlock,the feeds of Poppy and oils of the lame; to which alfo may be ad- ded other things of like faculties.But ifa malign acrimony and virulency of an hu- mor corroding and eating the flelh lying under it and the lips about it,caufc and make the pain, you lhall neither allwage it by anodynes,nor Narcoticks; for by application of gentle medicins it will be- come worfe and worfe.Wherefore you muft betake you toCathsBreticks;For ftrong medicins are fitteft for ftrong difeafts.Wherefore let a pledget dipped in ftrong and more than ordinarily powerfull JE- gjptirtcawj, or in a little oil of Vitrioll,be applyed to the Ulcer;for thefe have power to tame this ra- ging pain,and virulent humors.In the mean feafon let refrigerating things be put about the Ulcer left the vehemencyof acrid medicins caule a defluxion. • ' j The feattci* ofNarcoi tick cat*, plafms. Cat hx re- ticks have power to af. fwage pain. C H xA. P. V11. Of Vleers with overgrowing or proudneffe offlefb. Leers have oft-times proud or overgrowing flefli in them, either by the negligence of the Chirurgeon,or fault of the Patient. Againft this,drying and gewtly eating or confuming me- dicins muft be applyed; fuch as are Galls,cortex thuris}Aloes, 'I'utia, Antimony, PompMix* Vi- triol],Lead,all of them burnt and walht if need require. Of thefe powders you may alfo make ointments with a little oil and waxjbut if the proud flefh,as that which is hard and denft,yeeld not to theft remedies,we muft come to caufticks,or elft to iron,fo to cut it off. For in Galens opinion, the ta- king away of proud flefli is no work of nature, fas thegenerating,reftoring and agglutinating of the flefh isjbut it is performed by medicins whirfh dry vehemently,or elfe by the hand of the Chirurgeon; Wherefore amongft the remedies fit for this operation,the powder of Mercury with Lome final 1 quanti- ty of burnt Alum, or burnt Vitriol alone,feem very effeftuall to mc.Now for the hard and callous lips of the Ulcer, they muft be mollified with medicins which have fuch a faculty,as with Calves, Goole, Capons or Ducks greaft,the oils ofLillies,fwect Almonds,Worms, Whelps, Oe/ipus, the mucilages of Marfh-mallows, Linfeed, Faenugreekfted, Gum Ammoniacum, Galbanum, which being mixed may be made Emplaifters,unguents,and liniments: or you [hall uft Empl. Diachylon, or de De Vigo cum tncrcurio. To conclude,after we have for fome few dayes ufed fiich like remedies, you may aPP1T to the Ulcer a plate of Lead rubbed over with Quickfilverj for this is very efleftuall to fmooth an Ulcer and deprefle the lips:ifyou fhall prevail nothing by this means, you muft come to the cau- ftickSjby which if you ftill prevail nothing, forthat the lips of the Ulcer are fo callous that the can- flicks cannot pierce into them,you muft cleave them with a gentle ftarification,or elft cut them to the quick,fo to make way, or as it were open a window for the medicin to enter in, according to Galen, Neither in the interim muft you omit Hippocrates his advice,which is, that by the fame operation we reduce the Ulcer if round, into another figure,to wit,long or triangular. Things wai fling fupcr- fhious flefh. Lib.'Jf.Metbr caf'6.. For the cal« louslips of Ulcers. caf,20 C H xA P. V111. Of an Ulcer putrid and breeding Worms, 3unds are divers times bred in ulcers, whence they are called wormy ulcers ; the caufe hereof is the too great excrementitious humidity prepared to putrefie by unnaturall and immode- rate heat.Which happens,either for that the ulcer is neglefted , or elfe by reafon of the di- ftemper and depraved hu mors of all the body,or the affc&ed part; or elfe for that theexcrc- nientitious humor collefted in the ulcer3hath not open and free paffage forth; as it happens to the ul- cers of the ears,nofe,fundament,neck of the womb,and laftly,to all finuous & cuniculous ulcers. Yet it doth not neceflarily follow that all putrid ulcers muft have worms in them ; as you may perceive by the definition of a putrid ulcer which we gave you before. For the cure of fuch ulcers after generall means,the worms muft firft be taken forth, then the excrementitious humor muft be drawn away, whence they take their originall. Therefore you (ball foment the ulcer with the enfuing decoftion, which is of force to kill them;for if any labour to take forth all that are quick he will be much de- ceived;for they oft times do fo tenacioufly adhere to the ulcerated part, that you cannot pluck them away without much force and pain. R. abffnth.centaur•majorisqmarrubii3 an.M.j.fiat decotfio ad tb.ff.in qua i diffolw aloes % fi.unguenti tgyptiaci Jj. Let the ulcer be fomented and walked with this medicin,and let f pledgets dipped herein be put into the ulcer; or elfe if the ulcer be cuniculous or full of windings, * make injeAion therewith which may go into all parts thereof. . Achigenes much commends this following medicin. R. Cerufapolii montani3an.navalis liquid# G quantum fuffcit3mifce in mortariopre linimento. If the putrefaftionbe fuch that thefe medicine will not fuf- n flee for the amendment muft conic to more powerfull,or to cauteries alfo,c/r hot Irons, or to The caafe of worms j breeding ifl Ulcers. Afomen« ration to kill the worms. med. OfVlcers,Fifhda's, and bolder. Lib. 13* 348 to feftion- yet you muft ftill begin with the more gentle, fuch as this of Galens defeription. R. cer.e, *ii viv£>an.%j. fiat emplafirum. Or R'.terebinth.leU alb.e fimul addendo vitnoli calcination. %].fiat mundificativttm. Or you muft ufe our JEgyptiacum alone,which hath Sublimate entiing into the compofition thereof; but in the interim the circuit of the Ulcer muft be defended with refrigerating and defenfative things for fear of pain. CHAP. IX. Sordid Ulcer after the cure of the body in generail,(hall be healed with detergent mcdicins; the indication being drawn from the groffe and tough excrement,which with the excremen- titious it were befieging,and blocking up the ulcerated parts,weakens and as it were dulls the force of medicins though powerfull, which caufeth us to begin the cure with fo- mentations and lotions, as thus. R. Lixivii com.fc.j. abfinth.marrub. apiiiccntaur,utriufqueyhypericonif9 an. Mfilcoquantur^olatur^qu* msllx rofati agyptiaci % ft.fiat fotw.Then ufe the following deterfive medicin: K. jucci apfii9& plantag. meliis Florent.haloes fiat medicamentutn. The Chirurgeon muft well confider, at how many draftings he fball be able to wafh away the groffe forties or filth flicking clofe to the Ulcer,and dry up the excrementitious fanies.For oft- times thefe things may be done at one drefling;but in others who have more quick fenfe or feeling,not fb foon.But when the Ulcer is freed of fuch grofle Sordes or filth, you muft forbear to ufe more acrid things for fear of pain,defluxion, inflammation,and erofion, whereby the Ulcer would become more hollow.Wherefore then we (hall be content to apply remedies which dry and clenfe without acrimo- ny that live may fo help natures indeavours in generating flefh.Such remedies are the pouders of Aloes, Maftich,Myrrh,Orris,Litharge,Antimony,roots of Gentian,Barly flower,and the like, which being flrewed upon the Ulcer,you fball cover it with Lint,and put over that a plate of Lead, rubbed over with quickfilver; and you fball put on thefe deterfivesand deficcatives more or lefle ftrong,as you fball find it requilite and neceflary.For the too plentifull ufe of drying and deterfive things, doth in time hollow the Ulcers, whereby it comes to pafle that in fhort time in like fort,a greater quantity of Sa- nies flows from the Ulcer, the proper fubftance of the flefh being diflblved by the force or acrimony of deterfive medicin; as alfo the proper alimentary humor, which flowed to the part, being in the like fort, a greater quantity of Sanies flowed from the Ulcer, the proper fubftance of the flefh being diflblved by the force or acrimony of the deterfive medicine, as alfo the proper alimentary humor, which flowed to the part, being in like fort de- filed .• which thing beguiles the unskilfull Chirurgeon. For by how much he fees the Ulcer flow more plentifully with Sanies, he endeavours by fo much the more to exhauft and dry up with more acrid medicins thefe humidities as if they were excrementitious jBut Galen hath long ago admo- nifhed us to take heed hereof, lotting forth a Hiftory of a certain Emperick who drefling a fordid Ul- cer with a green,acrid and eating medicin,diflblved the flefh,and fo confequently made the Ulcer more hollow,and caufed more pain and defluxion; whereby it happened that continually adding more acrid medicins,he continually by his ignorance and unskilfulnefle increafed the colliquation of the flefh, the largeneffe ot the ulcer and excrementitious humidity.Wherefore we muft take fpeciall care whether the fordid Ulcer grow each day worfe,by its proper fault and the impurity ofthe whole body befides, or elfe by the colliquation of the flefh and corruption of the benign and alimentary humor fent thi- ther for the nutrition of the part,by the too frequent and unskilful ufe of too acrid a medicin. You may conjefture this by the iriefeafe of the pain without reafbn, and by the heat and rednefle of the lips of the Ulcer.Thereforcyou muft principally have regard to this,that you give each of your Patients his fit meafure,that is, a convenient and agreeable medicin to each of their ftrengths, taking indication from the ftrengthjdiftcmper,and confiftence ofthe whole body and affefted part; for there is a great deal of difference whether you apply a medicin to a plowman or labourer, or to an Eunuch and wo- man,or whether to the Leg,or eyes.For thefe mcdicins which to a denfe and hard body and part arc only detergent and drying,the fame are to delicate and tender bodies and parts cathasretick and eating, by colliquation of the flefh,and corruption of the nourifhment, making an increafe of Sordes or filth, on the contrary thofe things which do laudably and fufficiently clenfe the flefh in a foft body and dry up the Sanies,thefe fame things applyed to a hard body encreafe the Sordes and Sanies by fuffering them to breed, neither are they Of fufficient power to wafh away the tenacious impurity of a denfe body. icre orc the skilfull Chirurgeon will fee when he muft betake himfelf from too ftrongly cleanfing and eating medicins,to thefe which are more milde. A d etergent lotion. Detergent medicins without a- crinaony. A caution very ob* fervablein ufe of deter* gent things. A diftinfli- on to be obferved concerning the impuri- ty of ulcers. Diligent re- gard muft be had of rhe parienrs bodies and rhe affected parr. How viru- lent a nd ea- ting ulcers differ. C H A P. X. Of a and malign "Ulcer which if tearmed of a Chironian "Ulcer. nt andeaUng Ulcers differ not unlefle in for we tearm it a virulent Ulcer, which fends forth a virulent Jimzef,which is properly called Fzw.This Virus}or vi- rulency,when it becomes more malign,gnawes and feeds upon the parts which lye under, and are adjoyning to the Ulccr,and makes an eating Ulcer.Such Ulcers are by Galen called Pj/p/ktzM,that is,difficultly to be cicatrizedjfor,faith he,it happens that the Ulcer isDy- lepuioticK, either for that the part affefted may be vitiated either in the habit or temper thereof, fo thatitmaycorrapt the humor which flows thither; fuch an Ulcer is by a particular name tearmed fhTnari' °r reafon of the evill quality of the blood flowing thithcr and eating P » c part affefted being too moift cannot heal up. He further adds that a Qhironian / ulcer de comp med. fee.genera. How a Chi- ronian ulcer differs from an eating, fee before, Gtf .2... L/i b. 13* Of'V leersjFifiula's and H<emorrboides. 349 ulcer is far more malign than thefe Ulcers which are termed Cacoethe. For the cure; by rea- fon that all thefe Ulcers have a large extent} for forne are more malign and ill to be cicatri- zed than otherfome; it is alfo neceflary to have divers medicins ready and at hand diftinft both in their faculties and the degrees thereof,fo that it is no marvail if they oft fail of their purpofe3 who with thefame medicin drefle and think theylhall heale all malign Ulcers.This following medicin fcribed by Afclepiadcs is much commended by Galen. Bc.fyuaime £ris}<eruginis3rdfaanJtj.cer<e lb. [3. refine laricisjfjft. qusi hquari fofiunt aridis make an emplafter to be laid only upon the Ulcer;for you muft lay a delenlative about the Ulcer for fear of inflammation.But Galen faith.that the following Epulotick of Primion excels thereft>as that which todefperate Ulcers(which many have taken in hand and left as of certain and approved ufe. R jbreos §iij. alum inis thurisgaUarum^an.^dA}.cere.tt>.].& tt).j.&%Gij.ol?i vet tris quantum [ufile it .fiat emplafirum. GalJib.q. fee Gen. Cap. 5.] Gel lib.4. de comp, med. fee GeniCap. 6i CHAP. XI. An advert ifcment to the young Ch irurgeon touching the difiance of times wherein malign Vlcers are to be dreljed. O fhew the ufe of jfclepiades his medicins defcribed in the former Chaptered convince the error of thefe Chirurgeons, who think they do well for their Patients, if they twice or thrice on a day drefle malign ulcersyl have here thought good to digrefle a little from my purpofe and to interpole Galens authority. Rightly (faith Galen) hath dfclepiad&s added theie words to the formerly defcribed medicin And loole this after three dayes, and fo- ment the ulcer,and fatten the fame emplaifter being wafticd,awd apply it again 5 fbr unleffe the medicin adhere long to the skin,it will do no good. Which thing notwithftanding-many Phyfitians have been ignorant ofjthinking if they wiped away the fames from the ulcer thrice on a day,they fhould do bet- ter than thole who did the famebut twice a day.But thole who drelle it but once a day, are reproved by the Patients as negligent.But they are much miftakeny for you muft remember,as we have delivered in moft of our writings,that the qualities of al neighbouring bodies do mutual actuate and aileft each other in fome degree,although the one thereof be much more powerfully for by this reafon in fpace of time they be come fomewhat alike,though they otherwife differ much y But when the quality of the medicin (hall be like the freezes to the body to be cured,there follows the better fucceffe. Wherefore he which moved by thefe reafons firftappointed to ule the emplaifter formerly applyed, is worthy of commendationsyand we ought to follow him much the rather,leeing that which he found out by rea- fbn,is approved by experience.Ncither did heunadvifedly command to foment the wound every third day,that is,every drelfingyfor feeing it is a powerfull medicin,therefore it Hands in need of mitigation. Thus much Galen, whofe opinion grounded on reafon,he can again confirm with another reafon. It is already fufficiently known,that medicins can do nothing in us unlefle by the force of the native heat, which ftirs up the faculty of the medicin to operation.But in ulcers which are abfolutely malign, the native heat of the affe&ed part is very languid,being broken and debilitated by the prefence of the pre- ternatural! heat y io that it (lands in need of a great (pace of time to actuate the vertue and faculty df die medicin.Wherefore,ifin that time,when as the native heat hath much moved and ftirred up the fa- culty of the medicin, the ulcer be looied or opened, and that emplaifter caft away which was laid upon the part,and a frefh one laid in Head thereofythe heat implanted in the part is either dilfipated by the contaft of the air,or is weakened and driven inyand that endeavour which was made by the cm- plaifter was to fio purpole,being as it were flopped in the midft of the courfe.But a new emplaifter be- ing laid on,the heat of the part muft undergo a new labour,fo to ftir up the faculty to bring it to ait. For all medicins are, what they are,in faculty.Equall to this is their error, who by too oft renew- ing their emplaifters on the famedayydo too powerfully clenfeyfor fo they do not only take away the excrementitious humors, both for des and pvftj,but alfb the alimentary juiceyto wit, the Rob, Cambium, and Gluten,which are the next matter for procreating of laudible flefh. Wherefore it is not good to drefle ulcers fb often in one day, and to loofc them to apply new emplaifters,unlefle fome greivous fymptomc(as pain)force us to do it,which requires to be aflwaged and mitigated by the often change- ing and renewing of Anodyne mcdicins. GaIJib 4f.de cemp.med* fee Gen. Cap. 3 Galens rea» Con further Medicins are only fuchin fa« culty. CHAP. XII. How to bind up V leers. Or the binding up of ulcers,you muft alwayes begin your bandage at the ulcer. Now the Rowler muft be fo large that it may not only cover and comprehend the ulcer, but aifo ibrne portion of the adjacent parts above and below ; and let it preflc the ulcer with that moderation,that it may only prefle out the excrementition humors. For fo the ulcer will become dry,and confequently more neer to healing,as it is oblervedby Hippocrates. Let this be the meafure of your binding, that it be neither too ftrait for hence would enliie pain and defluxion ; nor too laXjfor fuch is of no ufe. You may moiften your boulfters and Rowlers in oxycrate or in red and aftringent wine, efpecially in Summer; when you have bound it up the part muft be kept quiet. For according to Hippocrates, thole who have an ulcer in the leg, ought neither to Hand, nor fit, but to lye on a bed.Wherefore when the legs are ulcerated the arms muft be exerciied,by handling, lifting up and rafting downe of divers things.But on the contrary if thearms be ulcerated,the legs muft be exercifed With walking,or friftions from above downwards,if the Patient cannot endure to walk. So the hu- mors and fpirits which with more violence and greater plenty run down to the part affe&cd, may be drawn back and diverted. The begin-' nin g of your bin- \ dingmuft be at the Ulcer. UipMb.d*. nit. Rcvaf/iora into contra* ry parts* CHAP. OfVlcerSjFiflulds and Htimorrboides LIB.I3e 350 CH A P. XIII. Of the cure of particular ulcers,andfirfiofthoje of the eyes. or tliatfin Gakm opinion) the divers indication in curing difeafes is drawn from the condi- of the eyes Theft according to Cesare by Pufluks=OT ' which frets or eats in funder thc^.'fe"^O/o£the ulcers of the eyes;If (faith he)a fmall,little and hollow ul- Paulus fets down th Grecks tearmed Betrym-, hilt it it be.broader and lefle deep,it is cer be upon . ' ]e ot jlc Iris or Rainbow, it is called If it be crufty and fordid, h is termedTheft in generall require the famecure as the former, that is.to be: mundified', it is tcimcci.tp. Hcatrizeckbut the part affected indicates more gentle medians. Wherefore ha- incarnated,dry < n£j tafcCn fomeblood both from hisariy, as allo from his veins and tempo- Si APr«rietand bathed him if it be necdfull;to divert the defluxion you frail to his (boulders apply • 1 rl with fcarificationjor clfe bread newly drawn out of the oven,and fpnnkled with S o"fon e good wine 111311 be aPplycd tO thei or^ina11 Ot tbe fPin?U niarroW* But y°u flia11 aPPty to the forchead and temples an aftringent emplaiftermadeof emplafirum contra rupturing. Comitifo rubrum mixed together. But this enluing Collyrium deferred by Ce/>and approved by Hslleriw (hall be dropped into the eye. ft trit ufiijadmia uft<e & lots, an. f y ex aquafingatur collyrium quill liauore oh difTolvatur. But in the mean time you muft diligently obferve whether you put the eye to any great pain Wherefore now and then by putting anodyne medians thereto,it will be good to comfort it Allo you may make col/jria of the decoftion of Plantain, tenugreek, wormwood, with a little quantity of Sugar-candy, and vitrioll diffolved therein. When the ulcer mundified the following larcotick will be of good ufe. ftfarcocolfa in latte muliebri $iij. pul. diaireosrimplicur?gum.arabici9 quantum fiufficit utindefiat collyrium. But you muft note that for moift ulcers, powders are more convenient than Collyria. When the ulcer is plained or filled with its proper flefli,it may be cicatrized with the following collyrium. R.ftrtw, cadmi* utdecetpr^arata9cerujle3antimonii9olibani3an.^.myrrha}[arcocoll£9 fanguinur Draconis, aloes3opii3an cum a- qua plantarinis fiat collyrium-, or the powder only may be conveniently ftrewed thereon. Celfw hath noted that the cicatrizing of the eyes is incident to two dangers, that is, left they be too hollow,or elfe too thick. If too hollow, they muft be filled by the following remedy,R Papaverif lachrymie3>k.iagapeniiopopanacisi 'fy.cumini $iij. piper is 3'tficadmu lota & cerufx, an.%]$. cum a* qua pluvial! fiat collyrium. But if the fears be thick or grofle,the following remedy will extenuate them. R cinamon.acaci£3 elot^3croci3myrrh£3papaver is lachryma3gum.arabici3an.3]. piper is albi3thuris3 an. 3i(i.<erif aqua pluviali fiat collyrium. But if the fear be upon the cornea or horny coat, fo that it cover the pup ilia or fight,the fight will be intercepted by the denfenefs of the membrane. Here you muft alfo obferve,that the fears that are on the Cornea are white, but thefe on the ddnata are red, becaufe this is fpred over with more little veins than that. 4. Metb. Lib.6. cap. Botiyon. Cteloma. Argemcn. Epicauma. The cure* A CSWyri* um to denfe the ulcers of the eyes. A farco- tick Colly- riwn. An epulo- rick Colly- rium. Lib.6.cap. 6. A Collyri- wmfor hoi. low fears. The fears of the Horny coat are white, and rhe fe of the Ad- ip taxed. CHAP. XIIII. Of the Ozaena and Fleers of the- Nofe. He Oztna is a deep and (linking ulcer in the infide of the nofe,fending forth many crufty and (linking excrements.Ce/fai-faith that fuch ulcers can fcarfly be healed.lt is caufed ( as Galen faith)by the diftillation of acrid and putrid humors from the head into the noftrills about the mammillary procedes.For the cure, the Patient muft eat (paringly, and his meat muft neither be (harp nor humor being p repared muft be head dryed and ftrengthened, that fo it may neither admit the excrementitious humors5nor fend them downj then muft we come to the part affected with the ulcer.The ulcer muft be dryed with a repelling medicine, fuch as is the juice ofPomegranats boiled to the half in abrade veflelhthe powder of Calamint, Cre(Tes,white Hellebore, the juice of Crefles with Alum and other things which you may read in Cel/w. Galen out of Arcbigenet wifhcSjto draw up into the noftrills the juice of Calamint,or that the Calamint it (elf being dryed, and made into powder/nay be blown with a quill into the no(e. Others ufe this following powder. R ro^.rub.mint.calam.arom>rad.angelic£:igentian.macif:tcario^.dn.3^^amph.dmbr£i gr. vj. fiatful- vit [ubtilifimw.Manardte writes that the Urine of an A(fe, though a nafty medicine,is an excellent reme* dy in this affeft.But if the inveterate and contumacious evill do not yeeld to thefe remedies,then you muft have recourfe toCoprofe,Verdigrcece, [al ammoniacum, and Alum with Vinegar. It divers times happens that the ulcer fpreading on, comes to take hold of the Ofla cthtnoidea or live-like bones ; ih which cafe you muft not forcibly pluck them out,but refer the whole bufinefs to nature, and expeft when they (hall come away ofthemfelves, making in the meanwhile inje&ions into the noftrills of aqua z/iu, wherein Cephalick powders have been fteeped for the greater drying. Lib.6.cup.. S.Gal lib. 3. de comp, mod.fecund. locos cap. 3. The cure. Lib.iQ. An inje- ction when the fhall come to the OjJj Etbtnoidca, CHAP. XV. Of the Fleers of the mouth. F this tribe are the familiar to little children, according to Hippocrates, They oft-times begin at the gums,and by the palat of the mouth creep into the w«/<*,throtle, and over all the mouth,as Qilfas faith. Galen makes two kinds of aphtha's ; the one of eafie cure, fuch as that which ufually troubles children by reafon of the acrimony of the nurfcs milk ; the other is malign by reafon of an afflux of an evill humor (that is, venenate and malign ) into the mouth. Aph.2y. .left}. CeL jw lib.6. cap. II. Gal. /vm.ad 3. lib. epidem. Lib.13* Of V leers jFiftula's and Hzmorrboides 351 mouth. For thecure,it {hall be good to abftain from all acrid things, and if it be a fucking child, it will not be amide to temper the nurfes milk with refrigerating meats, bathing the whole body, and fomenting the dugs with warm water;for all the members in children are mod tender, and as it were mucous,and their mouths are unaccuftomed to meats and drinks.For topick medicins, you muft make choice of fuch which may quickly and readily work the effe£t;for here the condition of the aft'e&cd part is fuch,that they cannot long remain and adhere thereto.Therefore if the ulcer be malign, it muft be lightly touched with aqua forte which hath been ufed in fcparating metalls and which befides is tempered with fix parts of common water. >Y ou may for the fame purpole ufe the oils of Vitrioll, Sul- phur, Antimony,Mercury water and the like. Aetius wifhes you to touch and correct Inch ulcers with a lock of wooll dipped in fcalding oil,and fo faftned to the end of a probe,untill they wax white and become fmooth or plain.For fo their eating and fpreading force will at length be bridled, and lauda- ble flefh grow up in place of that which is eaten. After fuch burning it will be good to walk the mouth with the following g£'rgarifm,which alfo of its felf alone will ferve to cure Aphtha's, which are not malign. R border integri decoftio ad tb.j. in qua diffolve mel- lis rojati gargarijma. You may alfo make other gargles,of Pomegranate pills, Balau- flies,Sumach,Berberies,red rofes being boyled, and dilfolving in the {trained liquor Diamoron and Dia- nucurn with a little Alum. For Galen writes, that fimple ulcers of the mouth are healed with things which dry withmoderatiomnow Diamoron and Dianucum are fuch. But others hand in need of ftrong medicins, with fuch like.If the palat be feifedupon, we muft ufe the more diligence and care; for there is danger, left being the part is hot and moift, the bone which lyes under which is rare andhu- mide,may be corrupted by the contagion and fall away,and the voice or fpeech be {polled. If the ulcer bepocky,omitting thecommon remedies of ulcers, you muft fpeedily betake your felf to the proper antidote of that difeafe,to wit,quick-filver. Fiftulous ulcers often take hold on the Gums, whence the root of the next tooth becomes rotten,and fo far that the acrimony of the Sanies oft-times makes its felf a paffage forth on the outfide under the chin; which thing puts many into a falfe conceit of the fcrophuLe or Kings evill, and confequently of an uncurable dileaie. In fuch a cafe and Celfus counfell is,to takeout the rotten tooth, for fo theFiftula will be taken away, the Gum prefling and thrufting its felf into the place of the tooth which was taken forth; and fo thecaufe nourifhing the putrefaftion being taken away,(that is,the tooth) the reft of the cure will be more eafy. The ulcers of the tongue may be cured by the fame remedies by which the reft of the mouth ; yet thofe which breed on the fide thereof endure very long,and you muft look whether or no there be not lome fhar6 tooth over againft it,which will notfuffer the ulcer in that place to heal; which if there be, then muft you take it away with a file. The cure. A gargarifiii for the Aphthtt. Lii>.6.methi Cap. 10. Ulcers of the palat muft be quickly and carefully drefled, Aetiui Lib. Cdfw lib. CHAP. XVI. Of the Fleers of the Ears. are bred in the auditory pafligeboth by an external! caule, as a ftroak, or fall, as alfo' by an internal!, as an abfcels there generated. They oft-times flow with much matter, not there generated,for fuch ulcers are ufiially butfmall andbefides in afpermatick part,butfor that the brain doth that way disburden its felf. For the cure, the chief regard muft be had of the antecedent caufe,which feeds the ulcer,and it muft be diverted by purging medicins,Mafticatories, and Errhines. This is the form of a Mafticatory ,R.. fagr.&pj/reth. anS)].cinam.& caryoph.an. 3j3. fiant Ma/Hcatona, utatur inane & tiejperk But1 this is the form of an Errhin. R fucci betonic. mercurial . &meliflaf9 an.. vini albi %j, mifee & frequenter naribus attrahatur. For topick medicins we muft ftiun all fatty and oily things,as Galen let down in Me- thod.wieJcrat/ijWhere he finds fault with a certain follower of 'lhefl'alw who by uling Tetrapharmacum,' made the ulcer in the ear grow each day more filthy »than other,which Galen healed with the Trochi-| fees of dndroniuf diflblved in Vinegar,whofe compofure is asfolloweth.R balauft,3ij.alumin.'$j.atrament<> futor. 3 ij.myrrhs %j.thur.ar iftoloch.gallarum,an.$ij.falis ernnia fiant trochifci.1 Galen in the fame place wi t- ' nefleth,that he hath healed inveterate ulcers & of two years old of this kind,with the fcales of Iron made into r powder, and then boiled in ftiarp Vinegar until! it ac- tjuired the confiftence of Honey : Moreover an Oxes gall diflblved in ftrong Vineg ar,and dropped in warm, amends and dryes up the putrefaction wherewith thefe ulcers flow. Allo the fcales of Iron made into powder boy led in1 ftiarp Vinegar,dryed and ftrewed upon them.But if the ftraitnefs of the paflageS (hould not give leave to' the matter contained in the windings of the ears to pafle forth,then muft it be drawn out with an Iri- ftrument thereupon called a mattcr-drawer,'iwhereof this is the figure. Their cat*' fcs. The cure; A maftica* rory» An Errhitii The com- petition of Androniut his trochif- ces. 'Ihe figure of a Pyoulcus,or matter-drawer. Scales of Iron. Of the Pj- oulcos Galtft raakesmen- rion 2 ad Glauconem. -fcie parts are ulcerated either by an externall caufe, as an acrid medicine, or poyfon (wal- lowed doWn;or by an internail caufe,as a malign fretting humor which may equall the force of poyfon generated in the body, and reftrained in thefe parts. If the pain be encreafed by (wallowing or breathing,it is the (ign of an ulcer in the wcazon,or windpipe joining th,ere- to.But the pain is mod fenfibly felt when as that which is (wallowed is either four or acrid, or the H h a ai* CHAP. XVII. Of the ulcers of the windpipejweazonfomach and Guts, The CaU" fes. Signs. OfV leersJFifiulas and Hxmorrboides LiB.13, 352 air breathed in,is more hot or cold-than ordinary. But if the caufe of pain lye faftned in the ftomach, more grievous (ymptomes urge; for fometimes they (wound, have a naufeous diipofition and vomit- ing,convulfions,gnawings,and pain almoft intolerable,& the coldnels of the exti cam partsjall which when prefent at once,few fcape unlcfs fuch as are young,and have very ftrong bodies. The fame affeft may befall the whole ftomach,but becaufe both for the bitternefs of pain,and greatnefs of danger,that ulcer is far more grievous which takes hold of the mouth of the Ventricle, honoured by the Ancients with the name ofthe Heart Phyfttians do not make fo great a reckoning of that which hap- pens in the lower part of the ftomach.Now we know that the Guts are ulcerated if Pm3 or much pu- rulent matter come forth by ftool;if blood come that way with much giiping ? for by the Put flaying and as it were gathered together in that place,there is as it were a certain continuall Tenefaus, or de- fire to goc to ftool.Now all fuch ulcers are cured by meats and drinks,rather than by medicins,accor- ding to G'df'zz.Therefore you muft make choice of all fuch meats and drinks as are gentle, and have a le- nitive faculty, (hunning acrid things;for Tutia,Lycharge, Ccrufe,Verdigreece & the like, have no place here,as they have in other ulcers. But when as the ulcer (hall be in the Gullet or Weazon, you muft have'a care that fuch things may have fome vifeidiry or toughnefle,and be (wallowed by little and little,and at divers times;otherwife they will not much avail, becaufe they cannot make any flay,in thefe commune wayes of breath and meat; therefore they prefently (lip down and flow away ; where- fore all fuch things (hall be ufed in form of an betaken lying on the back, and (wallowed . down by little and little,opening the mufcles of the throat, left the medicin paffing down fuddainly and in great quantity,caufe a cough,a thing exceeding hurtfull to thefe kinds of ulcers. When they muft be denied,you fhall have crude honey,which hath a Angular faculty, above all other detergent things,in thefe kind of ulcers. But when they can conveniently fwallow, you (hall mix Gum Traga- canth diflblved in (bmeaftringentdecoftion, In ulcers of the flomach all acrid things ( as I have formerly advifedJmuft be (hunned,as thofe which may caufe pain,inflammation and vomit,and befides hinder the digeftion of the meat .Therefore let them frequently ufe a ptifan,and (ugred gellyes where- in gum Tragacanth,and bole Armenick have been put,the deco&ion of Prunes, Dates, Figs, Raifbns Honey,Cowes milk boyled with the yolks of egs, and a little- common honey. When they are to be agglutinated,it will be convenient to make ufe ofauftere,aftringent, and agglutinative things which want all acrimony,and ungratefull taft,fuch as are Hjfocijfa, Pomegranate flowres and pills,terra Jigil- decoction of quinces,the Lentisk wood,thetops of Vines,of brambles,myrtles,made in aftingent wine,unlefle there be feare of inflammation. Their drink fhall be Hydromel Water with Su- gar,fyrup ofViolets and lujubcs.Honey mixed with other medicinsis a very fitting remedy for ul- cers of the guts and other parts /more remote from the ftomach ; for ifyou fhall ufe aftringent medi- cins alone of themfelves,they will ftick to the ftomach; neither will they carry their ftrength any fur- ther;but honey mixed with them,befides that it diftributes them to the reft of the body, and helps them forwards to the affefted parts,alfo clenfes the ulcers themfelves. Here alfo Afles milk may with good fuccefs be ufed in ftead of Goats or Cowes milk.The ufe of a vulnerary potion is alfo commen- dable, iffo be that it be made offuch hearbes and fimples,as by a certain tacit familiarity have refpeft to the parts affefted. But the ulcers of the Guts have this difference amongft themfelves, that if the greater guts be affefted,you may heal them with a Clyfter and injections, made alfo (harp to correct the putrefa&iomfuch as are thofe which are made of Early water,or wine with But if the final! guts be ulcerated,they muft be rather healed by potions and other things taken at the mouth, fpr tfiat(as Galen faith) thefe things which are put up into the body by the Fundament, do not com- monly afeend to thefniall or (lender guts, but fuch as are taken at the mouth cannot come unlefle with the lofle of their faculty ,fo far as the great guts. de loe.affect. cap. $. Lib.t..& 5. Method. The cure. How rorake medicins for ulcers of rhethroar. Why acrid things maft be Ihunned in rhefe ul- cers. How pow- erfull Ho- ney is to cure fu ch kind of ul- cers. JEtyptia- eMfflgOod for rhe ul- cers of rhe greater guts Lib. 'y.metb. CHAP. XVIII. Of the Fleers of the Kidneys and Bladder. Caufts. Leers are caufed in the Kidneys and Bladder,either by the life of acrid meats,drinks,or nie- dicins,as Caritharides-bor elle by the colleftion of an acrid humor bred in that place, fent or fain thither;or elfe by the rupture offome vcflell,or an abfeefie broken and degenerated into an ulcer,as it fomeciniesxcomcs to pafle. They are difeerned by their fite, for the pain and heavinefle of ulcers ofthe Reins comes to the Loins,and the Pi» or matter is evacuated well and throughly mixed with the Urine. Neither doth the Pus which flows from the reins ftink fo ill, as that which is call forth of the bladder;the reafon is,for that the bladder being a bloodldfe, flelhlcfle and membranous part,hath not fuch power to refill putrefaftion.That Pus which flowes from the Kidneys never flowes without wa- tered although by long keeping in an Urinall,it at length fubfides or falls to the bottome,and may be feen feparated;yet when it is firft madc,you may fee it perfectly mixed with the Urine; but thatPwj which flowes from the bladder is oft-times made alone without Urine; and ufually it comes to pafle that the Par,or matter which flowes from the ulcerated Kidneys,hath in it certain caruncles,or as it were haires,according to the rule who in a thick Urine have little caruncles,and as it were hairs come forth together therewith, they come from their Kidneys ; but on the contrary thofe who have certain bran-like fcales come from them in a thick Urine, their bladder is fcabbyor troubled with a (cabby ulcer. For the cure;it is expedient that the belly be foluble either by nature or Art, and the ufe ofmolli- fying Clyfters. And it is good to vomit fometimes, fo to draw back the humors by whofe conflux in- to the affefted part the ulcer might be fed and made more fordid and filthy. You muft beware of flrong purgationsjieft the humors being moved and too much agitated, the matter fit to nourifli the » ■ . ulcer Signes. Hip A ph or. .Aphor.76. Apl:or. 77. M4. The cure. Why we muft fhun ftrong purges. Lib.13. Of'V leers,Fibulas, and FLemorrboides. 353 Ulcer may fall down upon the kidnies or bladder.The enluing potion is very cffeftuall to mundifie thofe kind of Ulcers. R. Hordei integri, M.iyglycyrrbiz* raf. & contuf.t$. rad. acetoft & petrafel'antyj. Ji at dece- Eiio ad tfe.j. in colatwra diflolve mellis Let him take every morning the quantity of tour ounces. Gordonite exceedingly commends the following TrochiCces. Be quatuor fem.frig.maj.muxdatorum/em.pa- paVsrif alb i, fem. malvay portnl.cjdon.bdccarHm myrti, tragacanth, gum.ar ab.nucum pine arum mund.pifiacbglycyt- j rhiz4 mund.mucaginif amygd.dulc.bordei mund.an. irof'arum>myrrh<ttan. < Zfi.eKcipiantttr bydromelite, & fingantur trochijci ftnguliponderii Jij. Let him take one thereof in the morn- J fng diffolved inBarley water or Goats milk. Galen bids to mixe honey and diurctick things with medi- J cines made for the Ulcers of the reins and bladder,for that they gently move mine, and areas vehicles to ' carry the medicines to the part affefted. Ulcers of the bladder are cither in the bottome thereof, or at the neck and urinary paffage. If they be in the bottome, the pain is almoft continual!; if in the neck, the ( pain then pricks and is molt terrible when they make water and presently aiter.Thc ulcer which is in the 1 bottome fends forth certain fcaly or skinny excrements together with the Urine; but that which is in the 1 neck, caufes alraoft a continual! Tentigo, Thofe which are in the bottome are for the moft part incurs- u ble, both by reafon of the bloodlefs and nervous nature of the parr, as alfo for that the ulcer is continu- v ally chafed and troubled by the acrimony of the urine, fo that it can hardly be cicatrized. For even after ii making of water fome reliques of the urine alwayes remain in the bottome of the bladder, which could t( not therefore pafs forth together with the reft of the urine, forthat for the palling forth of the urine, the bladder being diftended before, fals and is complicated in its felfe. Ulcers of the bladder are healed " with the fame medicins as thofe of the reins are; but thefe not only taken by the mouth but allo inje- cted by the urinary paffage. Thefe injeftions may be made of Gordonite his Trochilces formerly prefcii- bed, being diffolved in fome convenient liquor; but becaufe ulcers of the bladder caufe greater and more fharpe pain than thofe of the kidnies,therefore theChirurgeon muft be more diligent in ufing Anodynes. For thispurpofe, I haveofeenby experience found,that the oil of henbane made by expreifion gives cer- tain help. He (ball do the fame with Cataplafmsand liniments applyed to the /. all the lower belly and peri»<«w,as alfo by cafting in of Cly fters. If that they ftink,it will not be amilfe f( to make injeftion of a little JEgyptiacum diffolved in wine, plantain, dr role water. For I have often ufed £ this remedy in fuch a cafe with very profperous fuccefi. Things to clcnfe thefe ulcers. Trochifcei for the ul- cers of the kidnies and bladder. 4. Method., Signs to know what part of the aladder is ilcerated. Why ulcers in the hot- tome of the bladder ye uncurable. JEgptiAcwn for the ul- cers of the bladder. CHAP. XIX. Of the V leers of the Womb. Leers arc bred in the womb either by the conflux of an acrid, or biting humour, fretting the coats thereof, or by a tumour againft nature degenerating into an abffiefle, or by a difficult and hard labour; they are known by pain atthe perineum, and the efflux of Ptif and Sanies by the privity. All of them in the opinion of Avicm are either putrid, when as the Sanies break- ing forth is of a funking fmell, and in colour referable# the water whereinfleffl hath been waffled 5 or elfe fordid,when as they flow with many virulent and crude humours 5 or elfe are eating or fpreadlng ulcers, when as they caft forth black Sanies, and have pul fation joined with much paine. Befides they differ a- mongft themfelves in fite, for either they poffefs the neck and are known by the fight, by putting in a or elfe are in the bottome, and are manifefted by the condition of the more liquid and terous excrements, and the fiteofthepain. They are cured with the fame remedies wherewith the ulcers of the mouth to wit,with aquafortis the oil of Vitriol and Antimony,and other things tnadefomewhat more milde and correfted with that moderation, that the ulcerated parts of the Womb may be fafely touched with them; it is requifite that the remedies which are applyed to the ulcers of the womb, do in a mo- ment that which is expe&ed of them, for they cannot long adhere or flick in the womb, as neither to the mouth. Galen faith that very drying medians are exceeding fit for the ulcers ofthe womb, that fo the pu- trefa&ion may be hindred or reftrained, whereto this part as being hot and moift is very fubjeft j befides that the whole body unto this part as unto a fink fends downe its excrements. If an ulcer take hold of the bottome of the womb,it fflallbecleanfedand the part alfo ftrengthened by making this following in- Jeftion. R< bsrdei integri p.ij guajaci.'^].rad.lreos.^.abfinth.plant an. IW.y.fiat deco&.in a- qua fabr arum ad ft.ij. in quibw dijfolve mellii rofati, & fyrttpi de abfintbio, injeflio. For amending the (linking fmell I have often had certaine experience of this enfuing remedy. R. wini rub. lb. j. unguent, agyttiaci %i].btilliant parurn. Thus the putrefa&ion may beCorrefted5and the painfull malieioufnefs of the humour abated. Ulcers when they atecleanfed muft prefently be cicatriced- that may be done with A- lum water, the water of Plantain wherein a little Vitriol or Alum have been diffolved. Laftly, if reme- dies nothing availing, thaulcer turn into a cancer muft be dreffed with anodynes and remedies proper fora cancer, which you may findefet down in the proper treatife of Cancers. The cure of ulcers of the fundament was to be joined to the cure of thefe of the womb; but I have thought good to referre it to the treatife of Fifinit's, as I do the cure of thefe of the urinary paflage to the treadle ofthe Lues wentrea. The caufes 12.trali.2- Signes. The cure ly drying things are good for ul- cers of the womb. An injefli- onforan ulcer in the bbrtome of the wombe. An injcfliorf hindring purrefafli* oft. CHAP. XX. Of the Varices and their curt by cutting, Varix is the dilatation of a vein, fome whiles of one and1' that a Ample branch,other whiles of many. Every varix is either ftreight or crooked, and as it Were infolded into certaine windings within its felfe. Many parts arc fubjeft to Varices, as the temples, the region of the belly under the navill, the tefticles,womb, fundament, but principally the thighs and legs. The matter of them is ufiially melancholy bloud, for Varices often grow in men of a melancholy temper 9 and which ufually feed on grofs meats, or fuch as breed grofs and melancholy humours. Allb women with child are commonly troubled with them, by reafon ofthe heaping together of their (upprelfed menftruall eva- Hhj cuaciom a Pk- ■rix is, and ' what be rhe ' differences I thereof. The matt ter. OfZ) leersjFifiula'f and Hemorrboides. LiB.13, 354 The cawfes. . cuation. The precedent caufes aixa vehement concuffion ofthe body, leapirir5running,a painful jour- ney on foot, a fall, the carrying/* burden, torture or racking. This kind of difeale gives ma< nifeft figns therof by the lageneis, tmeknefs, fwelling and colour of the veines, It is heft not to meddle with luch as are inveterate; for of luch being cured there is to be feared a reflux ofthe melancholly bloud to the noble parts, whence there may be imminent danger of malign ulcers, a cancer,madnefs or ffiffoca- tion. When as many Varices and diverfly implicit are in the legs, they often (well with congealed and ; dryed bloud, and cauft pain which is increased by going and compreffion. Such like varices are to be o- pened by dividing the veine with a Lancet, and then the bloud mult be prefled out, and evacuated by pref- ling it upwards and downwards; which 1 have oft-times done, and that with happy fuccefs to the Pati- ents, whom I have made to refl for fome few dayes, and have applyed convenient medicins. A varix is often cut in the infide ofthe leg a little below the knee, in which place commonly the originall thereof is feen« He which goes about to intercept a varix downwards from the firft original! and as it were fountain thereof, makes the cure far more difficult. For hence it is divided as it were into many rive- lets, all which the Chirargeon is forced to follow. A varix is therefore cut or taken away fo to intercept the paflage of the blood and humours mixed to- » gether therewith, flowing to an ulcer feated beneath- orelfeleft that by the too great quantity of blood 1 the veflel ffiould be broken,and death be occafioned by a haernorrhagie proceeding from thence. Now this ( is the manner of cutting it. Let the Patient lye upon his back on a bench or table, then make a liga- ture upon the leg in two places thediftance of fome four fingers each from other, wherein the excilion r may be made/or fo the vein will fwell up and come more in fight,and befides you may alfo mark it with cinke. then takingthe skin up between your fingers cut it long wayes according as you have marked it then free the bared vein from the adjacent bodies, and put thereunder a blunt pointed needle (left VOu prick the vein) thred with a long double thred, and fo bind it faft, and then let it be opened with a Lan- cet in the middle under the ligature juft asyou open a vein, and draw as much therehence as {ball be fit" Then ft raight make a ligature in the lower part of the forementioned vein, and then cut away as much of the faid vein as is convenient between the ligatures, and fo let the ends thereof withdraw themfelves into the fleffi above and below, let thefe ligatures alone untill fuch time as they fall away of themfelves The operation being performed , let an aftringent medicine be applyed to the wound and the neighbouring parts ; neither muft you flir the wound any more for the fpace of three day es.Then do all other things al are fit to be done to other fuch affi&s. 5 bignes. The cure. The cutting oWaricet. For what intention ? Varix mud be cur. Pauhx cap, 82. lib.6. Zhemannei how to cui it. CHAP. XXI. WhataFi- fnila is. Fiftulais afinuous, white, narrow, callous, and not feldome unperccivablc nicer It took denomination from the fimilitude of a reeden CFiftulaJ that is, a pipe, like whofe hollo wnefs it is. A Fiftula is bredm fundry parts of the body, and commonly followes upon abfceffes or ulcers not well cured. r *u<wucs or • h C^°m " " "rtai"fle9,y white, folid, or denfe and hard,dry and without pain,generated by heaping up of dryed excrementitiousphlegme, or elfeaduft melancholy encompaffinp thecircnit If theulcer,and ffibftituting it lei fe into the place of laudable flefli. The Sinta or cavity ofa Fiftula is fom. tunes dry and other while drops with continuall moifture: fometimes the dropping ofthe ma Jr T damly «afa and the orifice thereof is ihut up, that fo it may deceive both theChirurgeon and the Pati' 'rdd*'^^Ifrffiewofanabfolutecure; for within a while after it will open again and run as formerly it thd. Some Fiftula's are bred by the corruption of a bone, others of a nerve, others of membranes and others ofother parts of the body.Some run ftratght in,others and that the greater part,have turnSaSd wmdmgs;fome have one, others have more orifices and windings.fome are at the joints others nmtL. c?,M^Ome T°f tht bndy'aS in\7h"'hcft>!ly,guts,womb, bladder; fome areeafily, others diffi- cultly cured,and fome wholly uncurable.There are divers figns of Fiflula's according to the variety of the parts they poflefs; for if that which you touch with the end of your probe make refiftance and refound then you may know that it is come to the bone, and then if the end of the probe flip ap and down as on » fmooth and polite fuperficies,it is a fign that the bone is yet found;but if it flop and (lay in any place as in a rough way,then know that the bone is eaten, rough and periffiedjfometimes the bone lies bare and then you need not life the probe. Befides alfo it is a fign that the bone is affefted, iftherebe apurule'nt efflux of an unftuotis or oily matter,not much unlike that marrow wherewith the bone is nourished For ereJ» excrement Ibcwesthe condition of the nourifliment of the part whence it is fens- inaFiflnl. wT? penetrates to a nerve, the Patient is troubled with a pricking paine elbreiX5wL„ ±, "h fearch with a probe, efpeciallyif the matter which flowes down be more afrid. Oft-times ifit be cold*' andUPfified t aIfothe matter whfch flow om then? £ more lubtle, and fomewhat like unto that which flowes fronuthe bonps vpi nnt r tnence is ous and vifcouveftmbling the condition ofthe alimenuh"mouof rv« from an artery. Old FffidaTand fuch L ' 7'"' -cc with fomc ™rmBri„g if efpecially inan ancient and weak bSy have run ftfuddainly (hut up, caufe dealh, What a Cal Jous is. The diffe- rences of Fiftula's. The fignes. The Ggne that the bone is bare from the condition of the mat- ter which is caft forth. Aetius tetr. 4. fe fl. 2.cap. 55- Old Fibu- la's ilclofed prove naor- 5«ll» CHAP. Lib.13. Of O leers,Fiilulds, and Hitmorrboides 355 CHAP. XXII. Cf the cure Jr the cure ; in the hilt place it will oe expedient to r iitula;and that either with a wax fize, a probe of lead, gold or filver, to find outtnedepth and windings or corners thereof. But if the Fiftula be hollowed with two or more orifices, and thofe cimiculous, fo that you cannot poflibly and certainly fearch or find them all out with your probe ; then mint you call an injedion into fomcone of theie holes, and fo obferve the places where it comes forth,for fo you may learn how many,and how deep or fuperficiary cavities there be; then by making inciftons you mult lay open and cut away the callous parts. You muft make incifions wkh an incifion knife or razour,or die apply aftuall or potential! cautcriesjfor nature cannot unkfle the callous fub- ftance be firft taken away,rcftoreor generate flefh or agglutinate the diftant bodies. For hard things cannot grow together,unlefle by the interpofition of glue, fuch as is laudable blood ; but a callous body on all fides poflefimg the lurface of the ulcerated Hefti, hinders the flowing of the blood out of the capillary veins for the reftoring of the loft fubftance and uniting of the disjoined parts. If you at any time make cauftick injeftions into the Fiftula,you muft prefcntly flop the orifice thereof,that fo they may have time to worke the efleft,for which they are intended. Which thing we may conjecture by the tumor of the part,the digefture of the flowing matter, and its lefler quantity. Then you mu ft haften the falling away of the Efchar,and then the ulcer muft be drefled like other ulcers.But oft-times the CaL'ous which poflefles the finuous cavity of a Fiftula,overcome by the power of acrid and efcarco- tick medicins comes whole forth,and falls out like a pipe, and fo leaves a pure ulcer underneath it. Which 1 oblerved in a certain Gentleman, when I had waftied with ftrong divers times a Fiftulous ulcer in his thigh (hot through with a bullet; then prefcntly by putting in my Balfam for- merly defcribed,he grew well in a Ihort time. Fiftula's which are neer great vcfiells,Nerves or princi- pal! intrailes,muft not bemedled with unlefs with great caution.When a Fiftula proceeds by the fault of a corrupt bone,it is to be confidered whether that fault in your bone be fuperficiary,or deeper in,or whether it is wholly rotten and periftied.For if the default be fuperficiary it may eafily be taken away with a defquammatory Trepan ;but if it penetrate even to the marrow, it muft be taken forth with cutting mullets,firft having made way with a 'lerebellum. But if the bone be quite rotten and perifhed, it muft be wholly taken away,which may be fitly done, in the joints of the fingers, the radius of the Cubit and Lea;;but no fuch thing may be attempted in the focket of the Buckle bone,the head of the Thigh bone,or any ofthe Rack bones when they are mortified,neither in thofe Fiftula's,which are of their own nature uncurable;but you fhall think you have difeharged your duty and done fufficient- lyfor the Patient,if you leave it with aprognoftick. Of this nature arc Fiftula's which penetrate e- ven to the bowellsywhich come into the parts orefpread with large veflclls or Nerves, which happen to effeminate and tender perfons,who had rathrr dye by much, then to fuffer the pain and torment of the operation. Like caution muft be ufed,when by the cutting of a Fiftula there is fear of greater danger,as ofconvullion if the difeafe be in a nervous part.In thefe and the like cafes the Chirurgeon fhall not fet upon the perfect cure of the difeafe,but fhall think it better to prevent by all means poffi- ble that the difeafe by frefh fupplies become no worfc, which may be done if he prevent the falling down of any new defluxion into the part 5 if by an artificial! diet he have a care that excrementiti- ous humors be not too plentifully generated in the body;or fo order it, that being generated they may be evacuated at certain times,or clfe diverted from the more noble to the bafe parts. But in the mean fpace it fhall be requifite to waft the faulty flefti,which growes up more then is fitting in the ul- cer,and to clenfe thejordet or filth,with medicins,which may do it without biting or acrimony and putrefaction. Row ro find out rhe windings and cavities ofFiftula'$0 Cauftick injefltons» Ufa life'. Remedies fora Viftu- la procee- ding from a corrupt bone. The care of whatFiftu- la's may be atrempredj and which may nor. A palliative cure of a FifiulSp CHAP. XXIII. Of the Fiftula" s in the Fundament. Ill ula's In the Fundament are bred of the fame canfes as other kinds of Fiftula's are; to wit, of a wound or abfcefle not well cured,or of a haemorrhoid which is fuppurated. Such as are occult,may be known by dropping down ofthe pmdwand purulent humor by the Fundament and the pain of the adjacent parts. But fuch as are manifeft by the help of your probe you may find whither they goe and how far they reach. For this purpole the Chirurgeon lhall put his finger into the Fundament of the Patient, and then put a Leaden probe into the orifice ofthe Fiftula,which if it come to the finger without interpolation of any is a fign it penetrates into the capacity ofthe Gut.Befides alfo then there flowes not only by the Fundament but alfo by the orifice which the malign humor hath opened by its acrimony,much matter,fomewhiles famous,and oft-times alfo breeding Worms. Fiftula's may be judged cuniculous, and running into many turnings and windings,if the probe do not enter far in, and yet notwithftanding more matter flowes therehence then reafon requires (hould proceed from fo fmall an ulcer. You may in the ori- g fices of all Fiftula's,perceive a certain callous wart, which the common Chirurgeons tearm a Henst arfe. Many fymptomes accompany Fiftula's which are in the Fundament,as a eIenejmu$.) ftrangury and falling down of the Fundament- If the Fiftula muft be cured by manuall operation, let the Patient lye fo upon his back,that lifting up his legs, his thighs may prefle his belly, then let the Chirurgeon, having his nail pared,put his finger belmeared with fome ointment into the Patients let him thruft in at the orifice of the Fiftula a thick Leaden needle drawing after it a thread confifting* of thread and horfe hairs woven together,and then with his finger taking hold thereof and fomewhat crooking it,draw it forth at the Fundament,together with the end of the Thread-Then let him knit the two ends of the thread with a draw or loofe knot,'that fo he may ftfaiten them at his pleafure. Burts The caufei. Signs. Symp- ' tomes* The art of binding and cutting aFiflulaof the Punch? mem. 356 Of V leers jFiftula'r and H<emorrboides Lib.13; But before you bind them you (hall draw the thread Ibmcwhat roughly towards you as though you meant to faw the flelh therein contained,that you may by this means cut the Fiftula without any fear of an Hemorrhage, or flux ofblood. It Ibnietimes happens that fuch Fiftula's penetrate not into theGutjfothat thefingerby interpofition offome callous body cannot meet with the needle or probe. Then it is convenient to put in a hollow Iron or lil ver probe fo through the cavity thereof to thrtift a (harp pointed ncedle,& that by pricking and cutting may dettroy ; which thing you cannot perform with the formerly defcribed leaden probe, which hath a blunt point,unlefs with great pain. A.Shewes the Nee- dis. probe. C. 7 he needle with the probe. O. The Leaden nee- die drawing a thread after it. 1 he Callus be- ing waited, the Fittula fliall be bound as we for- merly mentio- ned. That which is fuperficiary needs no bin- ding, onely it mutt be cut. with Callus being confumed, the reft of the cure muftbe performed the manner ulcers. But youmuft note,that it any parcell of the Callous body remain untoucht bv the medirin or Inftrumentjthe £ tftulareviving again will caufe a relaple. The defection of a hollow filver Probe to be ujed with a needle}as aljo a Leaden Probe. o CHAP. XXIlII. Of VVhat are. ZEmorrhoides, as the word is ufually taken, are tumors at the extreamities of the veins cn- compaffing the Fundament, caufed by rhe defluxion of an humor commonly melancholick and reprelenting a certain kind of Varices.Some of thefe run at an hole being opened,which fometimes in fpace of time contrafts a Callus ; others only fwell,and call forth no moifture; fome arc manifeftjother lye only hid within. Thofe which run, commonly cafl forth blood mixed with yellowiffl ferous moifture,which ftimulates the blood to break forth,and by its acrimony opens the mouths of the veins.But fuch as do not run, are either like blifters,fuch as happen in burns, and by practitioners arc ufually called are caufcd by the defluxion of a phlegmatick and fe- rous humorjorelie reprefent a Grape, whence they are called fWn, generated by the afflux of blood laudable in quality,but overabundant in quantityjor elfe they exprefle the manner of a difeafe,whence they are termed proceeding from the lupprefflon of melancholick bloods or elfe they reprefent warts,whence they are ftilcd FtTrww/ci,enjoying the fame materiall caufe of the generation as the mo- rales do. This affeft is caufe of many accidents in men;for the perpetuall efflux of blood extinguiffl- eth thevivid and lively colour of the face, calls on a droplie, overthrows theftrength of the whole body. The flux of Haemorrhoides is commonly every moneth, fometimes only foure times in a yeare. Great pain,inflammation,an Abfcelfe which may at length end in a Fiftula,unlefle it be refilled by con- venient remedies,do oft-times forerun the evacuation of the Haemorrhoides. But if the Hxmorrhoides now in a moderate quantity,if the Patients brook it well,they ought not to be flayed, for that they free the Patients from the fear of iminent evills,as melancholy,leprofie,ftrangury and the like.Befides? if they be flopped without a caufe,they by their reflux into the Lungs caufe their inflammation or k rak thc veffclls hereof,and by flowing to the Liver caufe a dropfie by the fuffocation of the na- tiveheat; they caufe a dropfiejand univerfall leannefle on the contrary, if they flow immoderately by refrigerating the Liver by Ioffe of too much blood; wherefore when as they flow too immoderately t ey muft be flayed with a pledget of hares down dipped in the enfuing medicin. Rful.aloesjhurit ba- laujt. lang, draconian. incorf orentur Jimul cum ovi medicamentum adufum. When they are retched out and fwoln without bleeding,it is convenient to beat an Onion roafted in the embers ??"J Oxes gall; and apply this medicin to the fwoln places, and renew it every five houres. This Kind of remedy is very prevalent for internal! Haemorrhoides; but fuch as are manifeft may be opened with horlleachessor a Lancet.The juice or mafic of the hearb called commonly Dead-nettle or Ark- angcll,applyed to the fwoln Haemorrhoides opens them,and makes the congealed blood flow there- hence.Thef ungus and Thymus being difeafes about the fundament arc cured by the fame remedv Tf acrimony,heat and pain do too cruelly afflift the Patient, you muft make him enter into a bath and Prcfently after apply to the ulcers (if any fuch be) this following remedy. R Olei rofciii] ceruse I i tharg.^.cer^ unguent.fecundum artem.Qr elfe,R thurisjnyrrh*, crock an. *]. opii Qi'Hat unguentum cum tleo rojarum& mucagme vitellum wnius ovi. You may eafily profecute the refidue-ofthe cure according to the gcnerall rules of Art. The end of the Thirteenth Theird'ffc' Symprotnes. Sent.2 7 Jeff. 6 epid. A remedy for the im- moderate flowing of rhe Harmor- rhoides. Forfup- preftHea- morrhoides Lib.i4' 357 OF BANDAGES, OR, LIGATVRES. THE FOURTEENTH. BOOK. CHAP. I. Ofthe differences of Bandages. Andages,wherewith we ufc to bind,do much differ ambngft themfelves. But their differences (in Gakns opinion) are chiefly drawn from fix things 5 to wit, their matter,figure,length,breadth,making, and parts whereof they confift. Now the matter of Bandages is threefold;Membranous or of skins,which is accommodated peculiarly to the fra&ured grilles of the Nofc 5 of Woollen, proper to inflamed parts,as thofe which have need of no aftrifl:ion;of Linnen,as when any thing is to be faftbound:and of Linnen cloaths,foine are made of flax, otherfome of hemp, as hippocrates oMervcs.But Bandages do thus differ amongft themfelves in ftrufture, for that fome there- of confift of that matter which is fufficiently clofe and ftrong of it fell, inch are the membranous ; o- thers are woven,as the linnen ones.But that linnen is to be made choice of for this ufe,and judged the beft,not which is new and never formerly ufed,but that which hath already been worn and fervedfor other ufes,that fo the Bandages made thereof may be the more foft and pliable.-yet muft they beof fuch ftrength,that they may not break with ftretching,& that they may ftraitly contain & repell rhe humor ready to flow down,and fo hinder it from entring the part. Thefe, befides, muft not be hemmed nor ftitchcd,muft have no lace nor feam 5 for hems and feams by their hardnefs prefle into, and hurt the flcfh that lyes under thcm.Lace,whether in the midft or edges of the rowler, makes the Ligature une- quall.For the Member where it is touched with the lace,as that which will not yeeld, is prefled more hard:but with the cloth in the middle more gently,as that which is more lax. Furthermore,thefe Li- gatures muft be of clean cloth, that if occafion be,they may be moiftened or fteeped in liquor appro- priate to the difeafe,and that they may not corrupt, or make worfe that liquor by their moiftening therein.Now the Bandages which are made of Linnen clothes muft be cut long-waycs,and not athwart, for fo they (hall keep more firm and ftrong that which they bind, and befides, they will be alwaies a- like,and notbroadcr in one place then in another.But they thus differ in figure, for that fome of them are rowled up,to which nothing muft be fowed,for that they ought to be of a due length to bind up the member : others arc cut or divided, which truely confift of one piece, but that divided in the end (fuch are ufually taken to bind up the breads)or clfe in the midft; others are fowed together, which confift of many branches fowed together,and ending in divers heads, and reprefenting divers figures, fuch are the Bandages appropriated to the head. But they thus differ in length, for that fome of them are (horter,others longertfo in like fort for breadth; for fome are broader, others narrower. Yet we cannot certainly define nor fet down neither the length, nor breadth of Rowlers,for that they muft be various,according to the different length and thicknefs of the members Orparts.Generaily they ought both in length and breadth to fi; the partSjWhereunto they arelifed. For thefe parts require a bin- ding different each from other,the head,the neck, (boulders, arms, breads,groins, tefticles,fundament,' hips,thighs,legSjfeet and toes. For the parts of Bandages, we tearm one part their body, another their heads.By the body we mean their due length and brcadth;but their ehds, whether they run long-wayes or a-crofle,we according to G<den9term them their heads. ciis. Chir.offic. What cloths beft for rowlcrs. Cern.ad Je$i 22 fefi.2.de tflic.ehiri C H A P. IL Sheweth the indications and general/ precepts of fitting of Bandages and Ligatures. Here are,in fliff cerates opinion, two indications of fitting Bandages or Ligatures; the one whereof is taken from the part afiededjthe other from the afieft it felf.From the part affected: fo the leg,if you at any time bind it up, muft be bound long-waycs, for if you bind it over- thwartjthe binding will loofen as foon as the Patient begins to go, and put forth his leg, tor' then the mufcles take upon them another figure. On the contrary the Arm or Elbow muft be bound up,bending in and turned to the brcaft,for otherwife at the firft bcnding,ifit be bound when it is ftretched forth,the Ligature will be flacked,for that ( as we formerly faid ) the figure of the nmfcles is pervcrted.Now for this indication,let each one perlwade himtelf thus much, that the part muft be bound up in that figure, where in wc would have it remain. Now for that indication which is drawn from the dileafe, if there be a hollow ulcer, finuous and cuniculousjcafting forth great ftore of 5rt«zcj,thcn muft you begin the ligature and binding from the bottom ofthe /?w,and end at the orifice of the ulcerjand this precept muft you alwayes obferve, whe- ther be fealcd in the top,bottom,middle, or fides of the ulcer. For thus the filth therein con- tained (hall be emptied and caft forth,and the lips ofthe ulcer too far feparated, (hall be joined toge- ther; other wife the contained filth will eat into all that lyes neer it, increafc the ulcer, and make it I lib.de fr<& , VVe muR > a! waits be« gin our li- gatures at ■ the bottom Lib.14, 358 Concerning Bandages, or Ligatures. uncurable by rotting the bones which lye under it with this acrid fanies or filth. But fonic Ligatures ■ are remedies of themftlves,as thofe which perform their duties of thcmfelves,and whereto the cure is comm it ted,as are thefe which reftore their native unitie, thofe parts.which are disjoined : others are ' not ufed for their own fakes,but only to ferveto holdfaft fuch medicins as have a curative facultie. This kind of Ligature is either yet a doing,and is termed by Hippocrates Deligatio operans-, or elfe done and finilhed,and is called,Deligatio operata;for the firft,that the Ligature may be well made, it is fit that it be clofe rowled togcther,and belidcs,that the Surgeon hold it Rifle and ftrait in his hand, and not carelefly,for fo he fhall bind up the member the better. Alfo he muft in the binding obferve, that the ends of the Rowler,and conftquently their faftning may not fall to be on the aflc&ed or grieved part, for it is better that they come above or below,or elfe on the fide : befides alfo, he muft have a fpcciall care that there be no knot tyed upon the lame place,01 upon the i egion of the back, buttocks, fides, joints,or back part of the head,or to conclude in any other part upon which the Patient ufes to lean, reft or lye. Alio on that part where we intend to fow or faften the Rowlcrs,you muft double in their endsjthat fo the faftning or future may be the ftronger,otherwife how clofe foever they fhall be wrap- ped or rowled about the member, yet will they not remain firm,efpecially if they be of a great breadth. For the ftcond kind of Ligature,to wit,that which is already done and finifhed;the Surgeon, the per- former thereof,muft confider to what end it was done,and whether he hath performed it well and fit- : ly,as alfo neatly and elegantly,to the fatisfa&ion both of himfelf and the beholders. For it is the part ' of a skilfull Workman every where handfomely and rightly to perform that which may fo be done. In fra&ures and luxations and all diflocations of bones,as alfo in wounds and contufions,you muft begin your bandage with two or three windings or wraps about upon the place,and thatfif you can) more ftraitly than in other places,that lb the ftt bones may be the better kept in their places,and that the humors,if any be already fallen thither,may by this ftrait comprefllon be prefled forth as alfo to hinder and prevent the entrance in of any other which may be ready to fall down. But in fra&ures fas thofe which never happen without contufion)the blood flowes,and is prefled forth of its proper vef- fels,as thofe which are violently battered and torn, which caufes fugillation in the neighbouring flefh,which firft looks red, but afterwards black and blue by reafon of the corruption of the blood poured forth under the skin. Wherefore after theft firft windings, which I formerly mentioned you muft continue your rowling a great way from the broken or luxated part; he which does otheiwife will more and more draw the blood and humors into the affefted part,and caufe Impoftumcs and o- ther malign accidents.Now the blood which flowes,goes but one way downwards, but that which is prefled is carryed as it were in two paths,to wit, from above downwards, and from below upwards Yet you muft have a care that you rather drive it back into the body and bowels, then towards the extremities thereof,as being parts which are uncapable offo much matter,and not furnifhedwith fuf- ficient ftrength to fufler that burden, which threatens to fall upon it, without danger and the increaftofprenaturall accidents. But when this mafle and burden of humors is thruft back into the body,it is then ruled and kept from doing harm by the ftrength and benefit of the faculties remai- ning in the bowels and the native heat. Sett 2- ojfic. Initio i ft$. Ligatures mu ft nor be onlylightly. but alio neatly per- formed. Gil.cwtJd ljib.de frait. CHAP. III. Of the three kfnds of Bandages neceffary in features. Sent. 2 4.. fctt.2. offi c. I, Wo forts of Ligatures are principally neceflary for the Surgeon, according to Hippocrates j by which the bones afwell broken as diflocated may be held firm when they are reftored Mto their naturall place. » Of thefe feme are called Hypodejmides, that is, Under-binders : others, Epidefini, that is Over-binders. There are fometimes but two under-binders ufed, but more commonly three. The firft muft firft of all be caft over the frafture,and wrapped there fome three or foure times about,then the Surgeon muft mark and obferve the figure of the frafturesfor as that fhall be fomuft he vary the manner of his binding.For the Ligature muft be drawn ftrait upon the fide oppofiteto that whereto the luxation or frafturemoft inclines, that fo the bone which ftands forth may be for ced into its leat,and fo forced may be the more firmly there contained. Therefore if the right fide be the more prominent or ftanding forth, thence muft you begin your ligation,and fo draw your liga- ture to the left fide. On the contrary,if the left fide be more prominent,beginning there you (hall goe towards the oppolite fide in binding androwling it. Here therefore would I require a Surgeon to be having both his hands at command, that fo he may the more exquifitely perform fuch variety of ligations.But let him in rowling,bend or move this firft ligature upwards, that is to- wards the body,tor the former reafons. But neither is this manner of ligation peculiar to fraftures but common to them with luxations:for,into what part foever the luxated bone flew, then when it is ieftored,that fide muft be bound the more loofly and gently whence it departed, and that on the contrary more hard unto which it went. Therefore the ligature muft be drawn fide where- unto the bone wentjfo that on this fide it be more loole and foft,and not ftraitly prefled with boul- fteis or rowlers,that fo itmay be more inclined to the fide oppofiteto the luxation. If the ligation otherwife performed,it fucceeds not well,for the part is relaxed,and moved out of its natural feat herefore there will be no fmall danger,left the bone be forced out again,and removed from its'place* wheremto it was reftored by art and the hand. Which thing Hippocrates fo much feared that Jn rhp contrary he willed that the fet bone (hould be drawn fomewhat more unto> X"part XntrerX that hereunto it was driven by force,than the naturall and proper fite thereof fliould require But to re rW?° Tf?kmC^uCOU-fe?t'hr V«atur«:The "nderbinder being put on, we then take he fecond,with which we m like fort begin at the fra&ure,but having wrapped it once or twice a- bout typodefmii de/. Lib.14* Concerning Bandages, or 359 bout there,forthat3as we formerly (aid, we muft not force back, and prefle fo much blood towardsthe extremities, as we muft do towards the body and bowels. Wherefore this Ligature [ball be drawn from above downwards, gently draining it to prefle forth the blood contained in the wounded part; When by rowling you (hall come to the end of the part,then you (hall carry back again that which remains thereofto wit,upwards;But otherwite you may take the third under-binder, wherewith you may be- , gin to rowle,whereas you left with the fccond, & you may carry it thus,rowling it from below upwards. t Thete under-bindings thus fini(hed,apply your boulfteris, after them your over or upper-bindings,which < are oft-times two3buc fometimes three. The firft hath two heads, and is Wrapped both from the right ' hand and the left, for the pretervation of the firft under-binder and the boulders and reftoringthe mu- J foies to their native figure. The two other which remain,confift of one head, anti the oneof them muft be rowled from below upwards,the other from above downwards.after inch a manner, that they may be directly contrary to theunder-bindeis;asifthey were rowled from the right hand, then thefe muft be from the left. Now this is the manner of Hippocrates his Ligation,which, for chat it is now grown out of ufe,we muft herefet down that which is in common ufe.They do not at this time.ufe any over-binders,' butthat which we termed the third under-binder ferves our Surgeons in (lead ofthe three foremsntio- ned over-binders. Wherefore they carry this third under-binder, v rapped from below upwards C as we., formerly faidjeontrary to the firft and tecond under-binder-.as if thtfe begun on the right fide, this (ball be rowled from the left,and (ball end whereas the firft under-binder ended. And you muft not only draw it indifferently hard,but alfo make the fpires and windings more rare. This third rowler is of in this manner of Ligation,that is,it reftores the mufcles totheir native figure,fronr whence they were iome- what altered by the drawing and rowling ofthe two former Ligatures. But you muft alwaycs have re- gard,thzft you obferve that meafurein wrapping your Ligatures,which reafon, with the tenfe ofthe Pati- ent,and eafe in fuffering,preferibes;having regard that the tumor become not inflamed. Alfo the habit of the body ought to prefcribe a meafure in Ligatiomfor tender bodies cannot away with fo hard binding as hard.Verily,in fractures andluxations,the humors by too ftrait binding are prefled into the extreme parts of the body grievous and oft-times enormous Oedema's proceed • for healing whereof the Ligature muft be looted,and then the tumified parts p&fled by a new rowlirig, which muft be performed from below upwards,and fo,by forcing the matter ofthe tumor thither, it may be helped ; for there is nd other hope or way to drive the humor back again.He which doth this3forfakes the proper cure of the dif- eate, fo to refift the fymptome,which the Surgeon (hall never refute to do, as often as any rieceflary caufe (hall require it.For this caufe Hippocrates bids,that the bandages belpofed every three dayes, and then to foment the part with hot water3that fo the humors,whtch ( drawne; thither by the vehemency of painj have fetled in the part,may bediffolved and difperfedjahd itching and other fuchlike fymptomespre- vented.The fear of all accidents being paft,let the Ligation'be fodner or later looted, and more flacked then it formerly was accuftomed; that fo the blood and laudable matter, whereof a Caff™ may enfue, may flow more freely to the affefted part. When the third un- der-binder is necefla- £7- Epideftttii The man* ner of binding now What mean to be obfer- vtrd in wtapping ■ rhe Ligtty cures. Why /lippoc. b d- to loofe the Ligatures every third day. CHAP. Till. Of the binding up of Fra flu res affociated with a wound. Tfometimeshappens,thataFraftufc is affociated by a Wound, and yet for all this it is fit to bind the part with a Ligature,otherwife there will be nofourll danger of fwelling, inflammati- on,and other ill accidents,by reafoh of the too 'plehtifull afflux of humors from the neigbou- ringparts,But it is not fit to endeavour to ufe that kind of binding which is performed with many circumvolutions or wrappings about.For feeing the wound muft be drafted every day, the part muft each day neceflarily bcftirred,and the Ligature,confifting of fo many windings,loofedjwhich thing will caufe pain,and conlequently hinder the knitting and uniting which is performed by reft. Therefore this kind of binding may be performed by one only rowlihg about the wound, and that with a rowler which confiftsof a twice or thrice doubled cloth,made in manner of a boaliter, and fewed with as'much conveniency as you can,that it may be fo large as to encompafle and cover all the wound, for thefe rea- fons;which (hall be delivered at large in our Treadle of Fractures. But if the wound run long-wayes, let theboulftersand fplints be applyedto the fides of the wound, that fo the lips of the wound may be prefled together, and the contained filth prefled forth. But if it be made' overthwart,wemuftabftain- from boulfters and fplints.-for that,in Galent opinion, they would dilate the wound, and the purulent matter would be prefled out,and caft back into the wound. How to bind ups Fraflure with a wound. Ad jerJ.n- (efi.de fra fi, CHAP* V. Certain common precepts of the binding tip ofF ra&ures and and luxations» N every Fra&ure and Luxation,the deprefled,hollow. and extenuated parts,fuch as are neer unto the joints3ought to be filled up with boulfters9or clothes put about them, lb to make the part equall,that fo they may be equally and on every fide prefled by thefplints, and the bones more firmly contained in their feats# So when the knee is bound up,you muft fill the ham or that Ca- vity which is there,that fo the ligation may be the better and fpeedilier performed. The fame muftbe done under the arm-pits,above the heel,in the arm neer the wrift ; and, to conclude, in all other parts which have a conspicuous inequality by reafon of fome manifcft cavicie. When you have finifhed your binding, then enquire of the Patient,whether the member feem not to be bound too ftrait. For if he fay, that he is unable to endure it fo hard bound,then muft the binding be fomewhat flackned. For,too ftrait binding caufes pain,heat, defluxion,a gangrene, and laftly, afphacellor morcificatiombflt too loofe is unprofitable,for that it doth not contain the parts in that ftate we defire. Itisafign of a juft ligation that is neither too ftrait nor too loofe,tf the enfuing day the part be fwoln with an oedematous tumor, \ - caufed Hipp.fenti 37-6-38' /e&.i.ae frafft The figns af too flraif and. loofebin- - ding up. 360 Concerning Bandageor Ligature LIB.14. canted by the blood prefled forth of the broken place- but of too ftrait ligation3if the part be hard fwoln; and of too loofe,ifit be no whit fwoln.as that which hath prefled no blood out of the afle&ed part Now if a hard tumor3caufed by too ftrait binding, trouble the Patient, it muft prefently be loofcd3for tear of more grievons fymptomes,and the part muft be fomented with warme and another indiffq- rent,yea verily, more loofe ligature muft be made in ftead thereof, aslongasthe pain and inflammation (hall continue;in which time and for which caufe,you (hall lay nothing upon the part which is any thing burdenfome. When the patient begins to recover/or three or four dayes fpace, efpecially if you find him of a more compaft habit and a ftrong man,theligature muft be kept firm and not loofed. Ifon the third day,and fo untill the feventh,the fpires or windings be found more loofe,and the part affefted more flen- der-then we muft judge it to be for the better. For hence you may gather,that there is an expreflion and digeftion of the humorsjcaufing the tumor made by force of the ligation. Verily, broken bones fitly bound up,are better fet,and more firmly agglutinated,which is the caute,why in the place of the frafture the li- gation muft be made the ftraiter,in other places more loofly.If the fraftured bone ftand forth in any part, it muft there be more ftraitfy prefled with boulfters and fplints. To conclud, theicventh day being paft we muft bind the part more ftraitly then before:for thai then inflammation, pain and the like accidents* are not to be feared. But thefc things which we have hitherto fpoken of the three kinds of Ligatures, can- not take place in each fra&ured part of the body,as in the chaps,collar-bones, head, nofe, ribs. For,teeing fuch parts are not round and long, a Ligature cannot be wrapped about them, as it may on the arms, thighs,and legs,bat only be put on their outfidcs. Why we niuft make mere ftrait ligation on the broken part. CHAP. VL n/eJfor wbibbLigjtttres ferve. The firftbe* ttefit of Li* garures. V that which we have formerly delivered,you may underftand that Ligatures are of ule to re- ftore thole things which are leparated and moved forth of 8their places3and join together thole which gapejas in fra&ures,wounds,contufions,finewous ulcers, and otherlike affe&sagainft na- ture,in which the lolution of continuity (lands in need of the help of Bandages, for the repara- tion thereof Befides alfo,by the help of Bandages thefe things are kept afunder or leparated, which o- therwife would grow together againft'nature 5 as in Burns, wherein the fingers and the hams would mutually grow together; as alfo the Arm-pits to the Cheft, the Chin to the Brcaft, unleffe they be hindred by due ligation. Bandages do allo conduce to refrelh emaciated parts: wherefore if the right leg waft for want of nourilhment, the left leg, beginning at the foot, may be conveniently rowled up even to the groin. If the right arm confume, bind the left with a frrait Ligature, beginning at the han (Land ending at the arm-pit.For thus a great portion of blood from the bound-up partis lent back into the vent whence it regurgitates into thcalmoft empty veflels of the emaciated paru But I would have the found part to be fo bound,that thereby it become not painfulljfor a dolorifick liga- tion eaufes a greater attra Nation of blood and fpirits,as alfo exercife: wherefore I would have it during that time to be at reft3and keep holy-day. Ligatures alfo conduce to the flopping of bleedings: which you may perceive by this,that when you ©pen a vein with your lancet,the blood is prcfently ftayedjay- ing on a boulder and making a Ligature. Alfo Ligatures,are ulefull for women prefently after theirde- liveryjfor their womb being bound about with Ligatures, the blood wherewith their womb was too much moiftened,is expelled, the ftrength of the expulfive faculty being by this means ftirredup to the cxpulfion thereof:anditalf> hinders the empty womb from being fwoln up with wind, which other- wile would prefently enter thereinto.This fame Ligature is a help to fuch as are with child,for the more ealie carrying of their thofe whofe Child lyes fo far down-wards, that lying as it were in the den of the hips,it hangs between the thighs,and fo hinders the free going of the mothcrThcrcfore the woman with child is not only cafed by this binding ofher womb with this Ligature, which is com- monly terniedjthe navill alfo,her child being held up higher in her womb,(he hath freer and more liberty to walk.Ligatures are in like fort good for revulfion and derivation: as alfo for holding of medians which are laid to a part,as the neck,brcaft or belly. Laftly, there is a triple ufe of Ligatures in amputation of members ,as arms and legs.The firft to draw and hold upwards the skin and muicles lying under it,that the operation being performed,they may,by their falling down again, cover the ends of the cut-off bonesjandfoby that means help forwards the agglutination and cicatrization; and when it is healed up,caufe the lame member to move more freely, and with leflTe pain-and alfo to performe the for- l°nkith?'aS L B'ereiculhlon °,r bo7lfter of mufculous fleih lying thereunder. The fecend is, they a r blee,jbn8 by PpAng together the veins and arteries. The third is,they by ftrait binding inter- Xdi he£rCe Piffag' °fanlmaI1 fPin«3and fo deprive thepart which lyes thereunder of the fenfe of feeling,by malting it,as it were, ftupid or num. J C Ot Thefecqnd. The third. The fourth, Thefifth. Thefixth. The feventh The eighth, the particu. hr ufe of ligatures in the amputa, tion of members. CHAP. VII OfBoulfterj orComprejfej, The firft life of Boulftcrs ?aU.LftnthtTe afdoub*c.afe^e " «to fiU »P cavities and thoG parts which are not of an equal! thicknefs to their end. We have examples of cavities in the Arm-pits, C!avicles,Hams and Groins5andot parts which grow fmall towards their ends, in the arms towards the refts,m the legs towards the Get,m the thighs towards the knees. Therefore youmufthll twoorrtreeFiowjersOT'undentaidere' thelatterjotqjlwayenjr dowtwigbt?1*^ n,eatl°nedkind'the^lniIft iouniayalfouGBoulfters,ieft .hetoo flraic binding ofche Lifan™cauft painand trouble new The fecond ufe ofrhem. The third wfe of them. Lib.15. 361 ncw tet bones. A three or four times doubled cloth will ferve for the thicknefs of your Boulfters, but the length and breadth muft be more or Jefs, according to the condition of the parts and diteate fo» which they muft be applyed. CHAP. VIII. Of the ufe of Splints, Cafes. Avingdelivered theliftsof Ligaturesand Boulfters,it remains that we fay fomewhatof the other things, which ferve to held the bones in their places j as Splints, Junks, Cafes, and fuch other like. Splints are made and com poled of paft-bord, of thin iplinters of wood,of leather3fuch as Ihoo-foals aremade the rinds of trees, or plates of latin, or lead,and fuch other like,which have a gentle and yeelding ftifnefs ; yet would I have them made as light as may be,left they by their weight become troublefome to the affe&ed part. But for their length,breadth,and number,let them be fitted agreeable to the part whereto they muft be ufed.Let alfo their figure be (freight or crooked according to the condition of the member whereto they muftbeapplyed. You muft have a fpeciall care, that they run not fo far as the fwcllings out, or cminencies of the boncs;as the ancles,knees,elbows, and the like,left they hurt them by their preffurc: alfo you muft have a care,that they be fmaller at their ends,and thicker in their middles,whereas they lye upon the broken bone.The ufe of fplints is,to hold faft and firm, that they may ftir no way the broken and luxated bones,after they be let and reftored to their places. That they perfbrme this ufe, it is fit there be no thick boulfters under them,nor over many fo through fo thick a fpace, they would not fo ftraitly prefle the part. Junks are made of(ticks thebignefs of ones finger,wrapped about with ru(hes,and then with linnen cloth: they are principally ufed in fractures of the thighs and legs.Cafcs are made of plates of latin, or elfe of (bme light woodjtheir ufe is,to contain the bones in their due figure, when the Patient is to be carried out of one bed or chamber into another, or elle hath need to go to ftool:laftly,ifwe muft reft fomewhat more ftrongly upon the broken or luxated members,thefe Cafes will hinder the bones from ftirring or flying out on the right fide or left,above or below,we deeping or waking,being willing orunwillingjandin like fort left being riot as yet well knit,or more loofly bound up for fear of pain, inflammation,or a gangrene,they hang downe, fall, or fly in funder by reafon of the inequalities of the bed.Such Cafes, Junks,and the like, which ferve for reftoring and faft holding of broken and luxated bones,we may,according to Hippocrates his mind,call them in generall Gloflocomia. All which things,the young Surgeon, which is not as yet exercifed in the works of Art, can fcarce- tell what they are.But in the mean time, whileft that he may come to be exercifed therein,or fee others perform thefe operations,I, as plainly as poflibly I could,have in worjls given him their portraiture or (hape.. The matter of Their ufe,' VVhat Junks ar6< The mattes and uft of Cafes t um,3 gene- ral! name! for fa ch things. 7he end of the Fourteenth OF FRACTVRES. THE FIFTEENTH. BOOK. . . > ux .. ':.<rn - . C H A P. I. What a if, and what the differences thereof aret Frafture, in Calebs opinion, is the Solution of continuity in a bone, which by the Greeks is called Catagtna.There arc many forts of hurting or offending the bones:as the drawing them afunder,luxation,or putting them out of joint 5 their Unnaturall grow- ing together,their cutting or dividing afunder; contu(ion,abfceffe,putrefaftion,rotten- nefle,laying bare the being violated or loft and laftly, that whereof we now- treat,a Fracture. Again,the varieties of Fra&ures are almoft infiriite.For one is complete and perfcft,another long-wife,another tranfverfc,anotheroblique ; one while it is broken into great pieces3another while into little and fmall fcales,which have either a blunt, or eKe a (harp end,and prick the adjacent bodies of the mufcles, nerves, veins Or arteries. ft fometimes hap- pens,that the bone is not broken into fplinters3that is, long-wayes, but together, and at once into two peeces overthwart,which Ffa&ure is called Raphanedon, that is,after the manner of a Pvadifli. A Fraftare is made like a nut,whenas the bone flyes into many fmall peeces, fevered each from other,as when a Nut is broken with a hammer,or mallet upon an Anvile:Which fraftureis alfo termed Atyhitidonjzy reafon of the refemblance it hath to meal of flour 5 and filch is often lecn in fraftutes made by bullets,(hot out of guns and fuch fiery to thefe are thole fraftures which are called Sth id addon, as rent into fplinters, or after the manner of a boordor peeceof timber, that is, right-down,and alongft the boftc : and thefe fractures are either apparent to the eye,or elfe not apparent,and therefore called Capillarie,being fo fmall, as that they cannot be perceived by the cye,unlefle you put ink upon them,and then (have them with your Scrapers. Sometimes the bone is only preffed down with the ftroke,fometimes in the contrary it flyes up, as if it were vaulted: They call it attrition,when the bone is broken into many fmall fragments, and as it were fcales or chips. The fragments of fractured dones are fometimes Imooth and polifhed, otherwhiks unequal!, and tM, Wha t it is for a bone to be bro- ken Rapb** nedon. What Ci* rjedon,ot Alpbiiidoii. What styl* daeideiC' • .. 363 Concerning Fractures. werefharp and rough with little teeth,or pricks.Some fraftures touch only the furfacc of the bone, fetching off only a change not the lite of featured bones, but only cleaves them length-wayes, without the plucking away of any fragment; otherfome penetrate even to their mar- row. Furthermore fome traftures are ilmpleand alone by themfelves 5 otherfome are accompanied with a troop of other affe&s and fymptomesjas a woundjwBmorrhagie, inflammation, gangrene, and the like.Hereunto you may alfo adde the differences drawn from the parts which the Fraftures pof- feflejas from the head,ribs,limbs,joints,and other members of the body. Adde alfo thefe which are ta- ken from the habit of bodies, aged, young, full of ill humors, well tempered 5 almoft all which have i their proper and peculiar indications for curing. Now the caufes of f ractures, are the too violent af* faults or ftroaks of all externall things,which may cut,bruife,break,or fhake:in this number of caufej may alfo be reckoned fals from high places,and infinite other things, which would be long and ttdiZ ous to reckon up. The caufes of fraftures. CHAP. II. Ojthe figns of a Fracture. E may know by evident figns that a bone is broken : the firft whereof and mofr certain is when by handling the part which we fufpeft to the broken, we feel peeces of the bone feve- red afunder,and hear a certain crackling of thefe peeces under our hands, cauled by the attri- tion of the/battered bones I Another lign is taken from the impotency of the part, which chiefly bewrayes it felf, when both the bones,the leg, and brace-bones, the ell and wand are broken. For if only the brace-bone or wand be broken,the Patient may go on his leg, and ftir his arm: for the brace-bone ferves for the fuftaining of the mufcles,and not of the body,as the leg bone doth.The third fign is drawn from the figure of the part changed befides nature; for it is there hollow, from whence the bone is flown or gone,but gibbous or bunching out whither it is run* Great pain in the interim torments the Patient by reafont of the wronged f>erioftetony and that membrane which involves the mar- row and the lympathy of the adjacent parts which are comprefled or pricked. The firft figti ofa broken bone. Another. A third. CHAP. III. Of prognofticfy to beniade in Fractures. E muft prognoftkate in Fradures whether they are to end in the deftruftion or welfare of the Patient;or whether their core fhall be long of ffiort,cafie, or elfe difficult and dange- rousjandlaftly,wlut accidents & fymptomes may happen thereupon.He ffialleafilv attain to theknowledg of all thefe things,who is not only Srell feen in the ana"l defX „rf r ?lo"^ftbe1boneTs>tIalfoin/hetGmP complexion ofthe Whole body. Wherefore in the firft place,! think good to admoniffi the Surgeon of this, that in winter when all is ftiffe with cold,by a little fall,or Tome fiich fleight occafion, the bones may be quickly and readily broken .For then the bones,being dried,by the drynefs of the air encompaffing us, become more brit- tl ejwhich every one of the Vulgar ufually obferve to happen bt>th in waxen and tallow candles • but when the feafon is moift,the bones arealfo more moift, and therefore more flexible and veelding to the violence of the obvious and offending body. Whereforealfoyvu may gather this to the framine of your Prognofticks, That bones by reafon bf their naturafldrinefs areifet'fo eafily acclutinated and confolidated as fleflijthough in Children,according to reafon.ofthe abuiidaB« of their humidity ,theloft fubflance may be repaired,according (as they term it J to the firft intention, that is by' reftonng of the fame kind of fubflance or matter. But in others, about the Fraftures a certain hard lubitance ufually concreats,of that nourishment of the broken bone which abounds, wliicTiVIues to- gether the fragments thereof,being fitly put together. This fubflance is then termed a Calin* and it is lot hardened in time,that the bone thereafter in the broken part is feen to be more firm and hard t han it is in< any othentherefore that ufuall faying in Phyfick is not without reafon; That reft is neceflarr for the uniting of broken bones For the Ok is eafily diffolved, if they be moved before their perteft and folid agglutination. Thcmatter trfiOllus ought to be indifferent and laudable in quan. T quallt7'7e£" b ood wh?h floTS for the rc8oif»tion of the loft flefli in wounds. ids St, that there may be fufficient matter for fuch a Ok, that the part have a laudable temper otheraftfc thereeither will be no Cafe,or certainly it will grow more flowly. Fra&ures are far eafily paired in young bodies than in oldifor in thefexhere is olcntv of rhf J i- - dt±B h01diAga titious.By this y ou may eafily conjcfture, that you cannot certainly fet down a time necefiarv for he generating a in fomeit happens later,in fome&oncrrthe caufe oY whkh vXv ilabfo ° be r v11 tO phe of the year and reg ion,the temper ami diet of the Patient and man- i ti of Ligation.For,thofe Patients whole powers are weak and blood wirriffi unJ •*5 u r l f nh°Ebet T°tre di®cuIt.'e.fPc,cial?y if the Ok,which is n.hliltuud"be thftfe which happen but to one of them. For they are haS aS their Acuity, Why bones are more brittle in froftie wea- ther. Why the Solution of continuity in bones is not fo eafi* ly repaired. Galan arte- par. Whybones fooner knit injoung bodies. Meats of groife and cough nou* rifhmep.t conduce to the genera- tion of a Callw. Fraflures at joint dan« gcroixs. Lib.15. Concerning Fractures. 363 ficulty3becaufe that which remains whole., ferves the other tor a reft or ftay to which it may lean. Moreover,the re is longer time required to fubftitute a Callus to a great bone,than to a little one. Again thefe bones which are more rare and fpungie3are fooncr glued together by the interpofitiOn of a Cal- fr#,than thefe which are denfe and folid. A Callus fooner growes in fanguin3than in cholerick bodies. But broken bones cannot be fo happily agglutinated,nor reftored in any Body,but that alwayes fome ttfperity or unequall protuberancy may be Iccn on that part where the Callus is generated. Wherefore the Surgeon ought to make artificial! Ligations, that the may not ft-and out too far, nor fink down too low.ThatFra&ure isleaft troublefome which is fimple;on the contrary,that is more trou- blefome which is made into fplintersjbut that is moft troublefome and worft of all which is in final! and (harp fragments,becaufe there is danger of convulfion by pricking a nerve3or the periofteum. Some- 1 times the fragments of a broken bone keep themfelves in their due place:they alfo oft-times fly forth 1 thereof3fo that one of them gets above anotherjwhich when it happens,you may perceive an inequali- ' ty by the depreflion of the one part and the bunching forth of the other, as alfo pain by the pricking: befides alfo the member is made fhorter than it was,and than the found member on the oppofitefide is,and more fwoln by the contraftion of the mufcles towards their originall.Wherefore when a bone: is broken3ifyou perceive any thing fo deprelfed.prefently putting your hand on both fides above and ] below8ftretch forth the bone as forcibly as you can ; for otherwife, the mufcles and nerves, ftretched ' and contra&edjWill never of their own accord fuffer the bones to be reftored to their proper feat and 1 themfelves.This extenfionmuft be performed in the firftdayes, for afterwards there will happen in- 1 flammation:which beingprefent3it is dangerous to draw the nerves and tendons too violently 5 for 1 hence would enfue an impoftume, convulfion,gangrene and mortification. Therefore Hippocrates for- bids you to defer fuch extenfion untill the third, or fourth day. Fraftures are thought dangerous, whofc fragments are great,and fly out3efpecially in thefe bones which are filled with marrow on the 1 infide.When broken or dillocated bones cannot bereftored to themfelves and their naturall place, the ' part wafts for want of nourifhment;both for that the naturall fite of the veins, arteries and nerves is perverted,as alfo becaufe the part it felf lies immovable, or fcarce movable: whereby it cometh to j pafle,that the fpirits do not freely flow thereto,as neither thefriutritive juice cometh thither in fuf- r ficient plenty.When the diflocated or broken member is troubled with any great inflammation, it is j doubtfull whether or no a convulfion will happen3if we attempt to reftore it3or the parts thereof to 1 their feat:therefore it isbetter3itit may be done,to defer the reducing thereof fo long, untill thehu- 1 mor which podefies the part be diflblved,the tumor abated, and the bitternefs ofpain mitigated. H'ippfeEl. iS-dri?., fedt-i.de frctlhtrif. Ligations conduce to thehand- fomnes of a Callus, Extention mutt pie- fcntly be made after the bone is broken. 3.def rati. In inflam- mations rhe lettering of the bone mutt notbfe attempted; CHAP. IV. the cure of broken and diflocated bones. O cure a broken and diflocated bone,is to reftore it to its former figure and lite. For the per- formance whereof,the Surgeon muft propofe three things to himlelf: The firft is, to reftorc the bone to its place ; The fecond is,that he contain or flay it being fo reftored : The third iSjthat he hinder the increafe of malign fymptomes and accidents; or elfe if they do happen, that then he temper and correct their prefent malignity .Such accidents are pain, inflammation, a fea- ver,abfcefle,gangrcne and Iphacell.For the firft intention,you may eafily reftore a broken or diflocated bone,if prefen tly,as foon as the milchance is got,or elfe the fame day, you endeavour to reftore it:for the bitternefs of pain or inflammation,which may trouble the Patient, is not as yet very great, nei- ther is the contraftion of the mufcles upwards as yet very much or ftubbom. Therefore firft of all, the Patient with his whole body,but efpecially with the broken or diflocated part,as alfo the Surgeon, muft be in fome place which hath good and fufficient light.Then let trufty and skilfull attendants be there,good ligatures,and alfo,if need fo require,good engins.His friends which are prefent., let them fee and hold their peace,neither fay,nor do any thing which may hinder the Work of the Surgeon. Then putting one hand above,that is,towards the center of the body, and the other below, as neer as he can to the part affefted,lethim ftretch forth the member: for if you lay your hand any diftance from the part affected,you will hurt the found part by too much comp reflion, neither will you much avail your felf by »ftretching it at fuch a diftance. But if you only endeavour'below with your hand or ligature,aflifting to make extenfion thereof, it will be dangerous if there be nothing above which may withftand or hold,left that you draw the whole body to you.This being done, according . as I have delivered,it is fit the Surgeon make a right or ftreight extenfion of the part affefted:for when the bone is either broken or out of joint, there is a contraction of the mufcles towards their origi- nall,and confequently of the bones by them,as it is obferved by Galen. Wherefore it is impoffible to reftore the bones to their former feat,without the extenfion of the mufcles.But the part being thus ex- tendedjthe broken bones will fooner and more eafily be reftored to their former feat.Which being re- j ftored,you fhal 1 prefently with your hand prefie it down,if there be any thing that bunches or ftands out. And laftly you fliall bind it up,by applying boulfters and fplints as fhall be fit. But if the bone be diflocated or forth of joint,then prefently after the extenfion thereof, it will be requifite to bend it fomewhat about,and fo to draw it in.The Surgeon is fometimes forced to ufe engins for this work, efpecially if the luxation be inveterate, if the broken or luxated bones be great; and that in ftrong and ruftick bodies,and Rich as have large jointsefor that then there is need of greater ftrength, than is in the hand of the Surgeon alone. For,by how much the mufcles of the Patient are the ftronger, by fo much will they be contra&ed more powerfully upwards towards their originals. Yet have a care that you extend them not too violently,left by rending and breaking afunder the mufcles and nerves, you caufe the forementioned fymptomes,pain,convulfion,a pahie and gangrene : all which fooner happen to ftrong and aged bodies,than to children,eunuches,women,youths,and generally all moift bodies, I i 2 for Three things to be performcdin curing bro.' ken and dif« located bones. How to put rhe bones ms then Hipp.ft nt. .. 6o.feft.2.de frali. Adfent.u fefit.I. de fia2> When in- ft rtunems or enginsare ncccfft'7< 364 Concerning Frattwes, Lib.jcj What bo- dies are fooner hurt by violent extension. Signs of a bone well tec.*. • for that they are lefs hurt by violent extenfion and pulling, by reafon of their native and much hu- midity and ioftnefs.For thus skins of leather,moiftened with any liquor,are ealily retched,and drawn f out as one pleafethcbut fuch as are dry and hard,being Icfle tractable, will f oonei rend and tear, than ftrctch further out.Therefore the Surgeon flrall ufe a mean in extending and drawing forth of mem- bers, as fha.ll be mo ft agreeable to the habits ofthe bodies. You may know the bone is let, and the let- ting performed as is fit,if the pain beaflwaged;to wit,the fibres of the mufcles,and the other parts be- ing reftored to their former lite,and all compreflion, which the bones moved out of their places have made,being taken away;jf,to your feeling there be nothing bunching out,nor rugged, but the furface ofthe member remain fmooth and equall 5. and laftly, if the broken or diflocated member compares withies oppofite in the compofurc of the joints, as the knees and ancles anfwer juftly and equally in length and thicknefs.For which purpofe it muft not fuffice the Surgeon to view it once, but even as often as he fhall drclfe it. For it may happen,that the bone which is well fet,may by fome chance, as by the Patients uncon fiderate turning himfelf in his bed,or as it were a convuhive < twitching of the member or joints whilft he Heeps,the mufcles of their own accord contracting themfelves towards their originals,that the member may again fall out;and it will give mayifeft ligns thereof by renew- ing the pain,by prefling or pricking the adjacent bodies : which pain will not ceafe, before it be refto- red to its place:and hereof the Surgeon ought to have diligent care.For if,whilft the CaUm is in grow- ing,one bone ride over another,the bone it felf will afterwards be fo much the Ihorter, and confe- quently the whole member;fo that if this errour fhall happen in a broken leg, the Patient will halt ever after,to his great grief,and the Surgeons fhame. Wherefore the Patient fhall take heed, as much as in him Iycs,that lie ftir not the broken member, before that the CaUw be hardned. Such diligent care needs not be had in diflocations. For thefe once fet, and artificially bound up, do not afterwards fo cafily fall forth as broken bones. The fecond fcope is, that the bones wich fhall be reftored may be firmly kept in their ftate and place. That fhall be done by Bandages 5 as ligatures, boulfters, and other thingSjWhereof hereafter we fhall make particular mention. Hither tend proper and fit medicins, to wit,applying of oil of Rofes with the whites of Egs,and the like repelling things; and then refolving medicins,as the prefent neceflity fhall require.lt will be convenient,to moiften your rowlcrs 8c boul- fters in oxy crate for this purpofe,or elfe in Rofe vinegar,ifthe Frafture be Ample, or with red wine, or the like liquor warm (in Galens opinionjif a wound be joined to the fracture ; and it will be fit to ' moiften fractures oftner in SummenFor fo the part is ftrengthened, the defluxion being repelled, whereby the inflammation and pain are hindred. You muft defiftfrom hume&ing and watering the part when the fymptomes are paft,left you retard the generating of a Callus ; for which you muft la- bour by thefe means which we fhall hereafter declare. To this purpofe alfo conduces the reft and ly- ing of the part in its proper figure and fife accuftomed in health, that fo it may the longer remain in the fame place unftirred.Befides alfo,it is expedient then only to drefle the part, when it is needfull, and with thofc things that are rcqui(ite,fliunning,as much as may be, inflammation and pain. That figure is thought the beft,which is the middle,that is,which contains the mufcles in their lite, which is without pain;fo that the Patient may long endure it without labour or trouble. All thefe things being performed,the Patient muft be asked,whether the member be bound up too ftrait ? If he anfwer, No, ( unleffe peradventure a little upon the fra&ure or luxation, for there it is fit it fhould be more ftraitly bound) then may you know that the binding ismoderate. And this fame firft ligation is to be kept in frafturcs without looting for three or four dayes fpace,unlefleperadventure pain urge you to the contrary.In diflocations the fame binding may be kept for (even or eight dayes,unlefs by chance fome fymptome may happen,which may force us to open it before that time:for the Surgeon muft with all his art have a care to prohibit the happening of evill accidents and fymptomes,which,how he may bring to pafle,(hall be declared in the following Chapter. Cantes and figns of the rcfapte of a fee bone. Ad. fent. bi fe&.i.de fra if. What the midklle fi- gureis and why beft. Fit time for looftngof ligatures in fraflures and diflo« cations. CHAP.) V. By what means you may perform the third intention in curing fraflures and dislocations which isy the hindring and correction of accidents and Jymptomes. Fourthoice means r0 hinder acci- dents. HLat we may attain unto this third fcope, it is requifite wt handle as gently and without pain,as we may,the broken or diflocated member., we drive away the defluxion ready to fall down upon the part by medicins,repelling the humor,and ftrengthening the part;we by appointing a good diet,hinder the begetting of excrements in the body, and divert them by purging and phlebotomy. But if thefe accidents be already prefent, we muft cure them according to the kind and nature of each of them:for they are various. Amongft which is recko- ned itching,which in the beginning torments the Patient: this arifeth from a colle&ion and fuppref- iion otlubacrid vapours,ariling from the blood, and other humors under the skin. Whence a light biting,which i caufeth a Ample itch,or elfe a more grievous and acrid one,from whence (in Galens opi- nionjproceeds a painfull itching.Wherefore fuch matter,as the caufe,being evacuated, all itching cea- leth.But this cannot eafily and freely be evacuated and breathed out, becaufe the pores of the part are . ihut up,and as it were opprelfed with the burden of the emplaifters,boulfters, and ligatures, which are put about the part. Hereunto may be added, that the part its felfdoth notfo perfectly perform and enjoy its wonted faculties and a&ions:by which it commeth to palfe, that the heat thereof is more , languid than may fuffice to difeufle the fuliginous matter there collefted. Wherefore it will be con- venient to loole the ligatures every third day,that as by loofing their tyes, their famous and fuligi- nous excrements,ffiut up under the skin,may freely paffe forth,left in continuance they ffiould fret and ulceiateitjas it happens to moft of thofe who provide not for it by loofing their ligatures. Befides al- io,thG part muft be long fomented with hot water alone,or elfe with a decoftion of fage,chamomile, rofes. The cautes and diffe- rences of itching. Ad fent.A. ft ft.I ok frail. Remedies againft ih< itching. LIB.15. Concerning Fra&ures. 365 rcfes,and melilot made in wine and water : for long fomenting attenuates ahd evacuates, but fhorter fils and mollifies,as it is delivered by Hippocrates. Allo gentle friftions, performed with yotlr hand, or a warm linnen cloth upwards, to the right fide and left, and circularly co every fide, are good. But if the skin be already rifen into blifters,they muft be cut,left the matter contained thereunder may cor- rode and ulcerate theskimthenmuft the skin be anointed with fome cooling and drying medicin; as urg.album Camphoratum rtfatum fine thereto the pow- der of a rotten poft,or prepared the like.Other accidents more grievous than thefe, do often happen but we will treat of them hercafter.But if the fcales of the bone underneath be quite fevered' from the whole,then muft they be prefently taken forth,especially if they prick the mufcles-.but if the bone be broken into fplincers,and fo prominent out of the wounded flefti as that it cannot be refto- red into its feat,it muft be cut off with your cutting mallets, or parrats beak, as oCcafioh (hall offer its fclf.In the interirmyou muft have a care that the pare enjoy perfpiration, and by change of place and rifingmow and then it may be as it were ventilated : alio you muft fee that it be not over-burde- ned neither too flrait bound, otherwife it will be apt to inflammation. Thus much concerning fra&ures anddiflocations in generail: now we muft defeendto particulars, .beginning with the fra- dure of the Nofe. Hlpp.fenl. 46 fefi.2.de> fra8./ CHAP. VI. Of the Frafture of the Nofe. He Note is griftly in its lower part,but bony in the upper. Wherefore it fiifTersno fra&ure in the griftly part(unlefspcradventure a SedejJbut only a depreflion,diftortion or cdiitufi- on.But afra&ure often happens to the bony part,and fo great a depreflion to the innerfide, that unlefs it be provided for by diligent reftoring it, the nofe will become flat, or wre* fted afide,whence there will be difficulty of breathing. That this kind offrafture maybe reftored that bone which ftands too far out,mult be pre'kd down; but that which is depreft, muft be lifted up with a fpathem,or little ftick handfomcly faflnoned and wrapped about with cdtten or a linnen rag,fo to avoid pain. Therefore you ffiall hold fpathern in one hand, and reduce and or- der it with\heother.The bone being reftored, or tents of a convenient bignefs ffiall be put into the nofejwhich tents ffiall be made of fpunge, or flax, or a pcece of a beafts or ffieeps lungs. For thefe things are foft,and do not only hinder the fones of the Nofe that they fall no more, but alfo lift them up higher. And then the Nofe ffiall be in feme fort flayed with boulfters on each fide, even untill the perfeft agglutination of the bon$s,lcft ide figure and ftraitnefs ffiould be vitiated and fpoiled.l have oft times put golden,filver and leaden pucs into fraftured nofes,and faftned them with a thred to the Patients night-cap, which, by oneand the fame means, kept the bones from be- ing again depreft,gave the matter free paflage forth,and'nothing hindred the breathing. In the mean time we muft fee,thafwe do not prefle the Nofe with too ftrait binding,unlefleperadventure fome o- ther thing perfwadejeft they become either too wide,too £• ut,or crooked. If any wound accompany the frafture,that ffiall be cured after the lame manner,as the wound: of the head. The fra&ure reftored, the following medicin,which hath a faculty to repel and reprefle the defluxion,'to ftrengthen and keep the p art in its due pofture,and to dry up and waft the matter which hath already fallen down, ffiall be applyed to the Nofe,and all the other dry parts. R thurif, mafiiches, boli armenia9 [anguinif draconic an.^fi.alum ini* pini.an. $ij. fulverijentur fubtili/fime: Or elfe, R farina! nolatili* albuminum murrum quantum fufficit9incoTforenturfimul9&fiat medicamentum, . . Neither ffiall you ufe any other art to cure the cartilagineous part of the nofe being fractured. Wherefore Hippocrates termes that folurion of continuity that there happens, A frafture, as if it were in a bone;bccaufe he could find no other name more fitly to exprefle it:for a griftle, next to a bone,is thehardeft of all the parts of our body. A Callus, ufes to grow infra&urcd nofes, unleflc fomething hinder within the fpace of twelve or fifteen dayes. jfyp.feto. , 46.jeR.l-fc art. How co re» duce the nofeinro . its natural! figures A fit aftrid* 'gent and 'dryingme* dicin. Sent. Jell, 2* de art. & Gal.in Gw# CH A P. VII. Of thefra&ure of the lower Jaw. He lower Jaw runnes into two,ai it were,horns Or tops: the one whereof ends (harp, and receives a tendon from the tempo rail milicle ; the other ends blunt and round undei the mammillary procefs,and it is there implanted in a fmall cavity ;it is joined together ir the middle of the chin by Synphyfis, and is marrowie within.The Frafture,which happens theretOjis reftoredby putting your fingers into the Patients mouth, and prefling them on the infid< and cutfide,that fo the fra&ured bones put together may be (moothed and united. But if they be bro- ken wholly athwart,fo that the bones lye over each other, extension muftbe made on both fidesor contrary parts,upwards and downwards, whereby the bones may be competed and joined more ea- sily to one another. The teeth in the mean while, if they be either (hdten or removed out o their fockets,muft be reftored to their former places, and tyed with a gold or filver wyer, or cite ST ordinary thred, to the next firm teeth,untill fuch time as they (hall be aften«d,and the bcrties perfect- ly knit by a Callut. To which purpofed the ordered fragments of the frafhircd bone (hall be flayed, by putting a (plint on the cutfide,made of fuch leather as (hoe foals are made ; the midft thereof being divided at the Chin,and of fuch length and breadth as may ferve the Jaw : then you (hall make liga- tion with a ligature two fingers broad, and of fuch length as (hall be fufficient, divided at both the endsjand cut longwayes in the midft thereof;that fo it may engirt the chin on both fides. Then there Will be four heads of fuch a ligature fo divided at the endsjthe two lower whereof being brought to tht crown of the head,(hall be there faftned and fowed the Patients night-cap. The two upper z 1x3 draw® A defer Ipr on of rhe lower Ja<J , The man- ner of refloJ , ring a bro«! ken Jaw, The de- fcription o* a fit ligature for the un- der jaw* Concerning Fra&wres. LlB.Itp 366 drawn athwart (hall likewife be (owed as artificially as may be,to the cap in the nape of the neck. It is a moft certain (ign,that the Jaw is reftored and well let,if the teeth fahened therein Hand m their due rank and order. The Patientfliall not lyedownupon his broken jaw,left Lie nagmentsor the bones(houlo a- gain fal out,andeaufc a greater defluxion.UnlelTe inflammation, or form other grievous fymptome (ball happen,it is ftrengthened with a CaOM within twenty dayes;for that it is fpungious,hoHow, and full of marrow,cfpecially in the midft thereof:yetfomctimes, it heals more floppy, according as the temper of the Patient is,which takes alfo place in ocher fra&ured bones. 1 he agglutinating and repelling medi- cin,defcribed inthe former chapter,(hall be tifed=as allo others, as occafion (ball offer it ftlf. The Patient muft be fed with liquid meats, which ftand notjn need of chewing, unti ifuch timeas the CaLw (hall grow hard, left the fcarce or ill-jointed fragments (hould fly in hinder with the labour or chewing. Therefore (hall he be nourilhed with water-grewell, ponadoes, cullatks, barley creams, grilles, broths, rear egs, reftaurative ]iquorssand other things of the like nature. In what time it may be healed. C H A P. VIII. Of thefradure of the Clavicle or Collar-bone. >s the nature and kind of the fra ft u red Clavicle (hall be, fo mull the cure and reftoring thereof be performed.Bat howfoever this bone (hall be broken,alwaycs theendfaftned to the (boulder I and (houlderblade,is lower than that which is joined to the cheft5 for that the arm drawes it r downwards, The collar-bone,if broken athwart, is more eafily reftored and healed, than if it be cloven long-wayes.For, every bone broken athwart doth more eafily return into its former ftate or feat,whiles you lift it up on this or that fide with your fingers.But that which is broken .fchidacidm, or into fplinters,or long-wayes,is more difficultly joined and united to the ends and fragments: for thofe peeces, which were fet, will be plucked afunder,even by the leaft motion of the arms; and that which was ' knit with the (boulder,will fall down to the lower part of the breaft. The reaibn of which is, the collar- bone is not moved of its felf,but confents in motion with the arm.In reftoring this or any other frafture, you muft have a care that the bones ride not one over another5neither be drawn nor depart too farr e in (undenthereforc it will be here convenient,that uhe fervant draw the arm backwards, and another pull the (houlder towards him the contrary Way;for fo there will be made,as I may Co term it, a counter-ex- tenfion. While which is in doing,the Surgeon with his fingers (hall reftore the feature, prefling down that which flood up too high, and lifting up thlt which is prefled down too low. Some, that they may more eafily reftore this kind of frafture,put a clew of yarn under the Patients arm-pit • fo to fill up the cavity thereofithen they forcibly prefle the elbor4 to the ribs,and then force the bone into its former (eat. But if it happen,that the ends of the broken bouts (hall be fd depreft,that they cannot be drawn upwards by the forementioned means:then muft the Patient be laid with his back, juft between the (houlders, upon a pillow hard fluffed,or a tray turned w&h the bottome upwards, and covered with a rug or fome fiich thing. Then the fervant (hall fo long prefle down the Patients (houlders with his hands, untill the ends of the bones Jying hid and prefled down,fly out and (hew themfelves. Which being done, the Sur- geon may eafily reftore or fet the bone. But if the bortebe broken fo into fplinters that it can- not be reftored,and any of the fplinters prick and wound theflefh, andfocaufedifficuty of breathing, you then muft cut the skin even againft them,and with your inftrument lift up all the depreffed fplinters, and cut off their (harp points*fo to prevent all deadly accidents, which thereupon may be feared. Ifthere be any fragments,they,after they are fet, (hall be covered with a knitting medicin made of wheat floure, frankincenfe,bole armenick,/d»g»M draegni^refoapini,made into powder, and mixed with the whites of egs,putting upon It fplints,covered with foft worn linnen rags; covered overlikewife with the fame medicin,and then three boulfters dipped in the fame; two whereof (hall be laid upon the fides, but the third and thickeft upon the prominent frafture,foto reprefle it and* hold it in. For thus the fragments (hall not be able to ftiror lift themfelves up further than they fhould, either to the right fide or left.Now thefe boulfters muft be ofa convenient thicknefs and breadth, fufficientto fill up the cavities which are above and below that bone. Then (hall you make fit ligation with a rowler, having a double head caft crofle-wi(e,ofa hands breadth,and fome two ells and a half long,more or lefs, according to the Patients body.Now he (hall befo fowled up,as it may draw his arme fomewhat backwards, and in the interim his arm*pits (hall be filled with boulfters,efpecially that next the broken bone $ for (b the Patient may more eafily fuffer the binding. Alfo you (hall with the Patient,that he of himfclf bend his arm backwards,and fet his hand upon his hip,as the Country Clowncs u(e to do,when they play at leap-frog. But how great diligence foever you ufe in curing this fort of frafture, yet can it (carce be fo performed, but that there will fome deformity remain in the part.-for that a ligature cannot be rowled about the collar-bone,as it may about a leg or an arme. A Call™ oft-times growes on this bone,within the (pace of twenty dayes, becaufe it is rare and (pongious. s fiflpp.fent. 63 fttt* 1. dun. How to rc fl ©re the fractured Thefirft way. The fecond way. The third way. How to bind up the fraffured clavicle. It Is a diffi- cult matter perfectly to reftore a frafhited clavicle. CHAP. IX. Of tbt frail fire of the fbouldtr-blade. An a'nsto' mica!I de- fer ip t ion of the fhoul- der-blade* Greeks call that Omoplata, which the Latinos ter me Sc^z//<«5 or Scapula patella,that is the (hoElder-btede.lt is faftned on the back to the ribs,nowle, the Vertebra of the cheft and neck. but not by articulation >but only by the interpofidon ofmufcles, of which we have (poken *n our Anatomie. But on the forepartit is articulated after the manner of other bones with the collar-bone,the (boulder, or arm-bone. for with its precede, which reprefents a prick or thorn,and by fome, for that it is more long and prominent,is called Acromion fthat is,asyou would (ay the top or fpire ofthfl laid fhoulder-bladej it receives the collar-bone. Therefore fome Anatomifts, ac- cording to Ytypocrw&i they all this articulation of thecollar-bone with the hollowed pre- cede Lib<15, Concerning FraEhires. 367 cefsofthefnoulder-blade, Acromion. /There is another prqcefs of the faid blade-bone, called Cervix o- moplat£ 3or the neck of the fljouldcr-bladej this truly is very fbort,but ending in a broad infinuated head, provided for the receiving of the (boulder or arm bone. Not far from this procefs is another,called Co- racoides, for that the end thereof is crooked like a Crows beak. This keeps the Pnoulder bone in its place, and conduces to the ftrength of that part. The (boulder blade may be featured in any part thereof, thai is, either on the ridge, which tuns like a hill, alongft the midft thereof for its fafety, as we fie in the ®er- ubr£ of the back. So alfo in the broader pai t thereof it may be thrufl in and depreft- and alfo in that ar- ticulation, whereby the top oftbe (houlder is knit to it. According to this variety of thefi frachircd parts, the happening accidents are more grievous or gentle. We know the (pine or ridge of the (boulder blade to be broken, when'a dcdorificke inequality is per- ceived by touching or feeling it. But you may know, that the broader or thinner part thereof is de- prefled, if you feel a cavity, and a pricking painemoleft the part, and if a numnelJe trouble the arme, be- ing ftretched forth. The fragments, if they yet flick to their bones aqddo not prick the flelb, muft be-; yeftoredto their Rate and place,and there kept with agglutinative medicines, and fach as generate si Call™, as alfo with boulders and rowlers fitted to the place. But if they do not adhere to the bone, or prickethe flelb lying under them, then muft you make incifion in the flefh over againft them, that fo you may take them out with your Crows beak. But although they ftir up and down, yet if they (fill adhere to the periefteHm and ligaments, (if to be that they trouble not the mufcles by pricking them) then Tnuft they not be taken forth : for I have oftner than once obfirved, that they have within feme (bort time after grown to the adjacent bones. Biit if they, being wholly (eparated, do not fo much as adhere to the^erw)fi«i»}then mnft they neceflarily be plucked awayjotherwife within fame fbort fpace after,they will be driven forth by the ftrength of nature, for that they participate not any more in life with The whole. For that which is quick, faith Hippocrates, ufes to expel! that which isdead far from it. The truth whereof was manifefted in die Marques of FiBars, who at the battell of Vretex was wounded in his (boulder with a Pi Roll bullet, certain fplinters of the broken bone were plucked forth with the pieces of his harneffe, and of th2 leaden billet j and within fome (bort fpace after, the wound was cicatrized, and fully and perfectly haled- But raore than feven years after, a deflaxion and inflammation arifing in that place by reafon of his labour in arms, and the heavinefs of his armour at the battell of Mont- contour, the wound broke open again; fo that many fhivers of the bone, with the refidue of the leaden bullet, came fo! th of themfelves. But if the fracture (hall happen in the neck of d^oulder-blade or dearticu- lation of the (boulder, there is fcarce any hope of recovery • as I have of King of Navarre; Franeu ofLorrtiv, Duke of Guife ; the Count Rbingrave Philibert, and many otherin thefe late civil! Wars. For there are many large veflels about this dearticulation,to wit, the axillary vein and artery ,the nerves arifing from the Vertebra of the neck,which are thence difleminated into all t he mufcles of the arm. Befides, alfo inflammation and putrefa&ion arifing there areeafily communicated by reafon of their neighbour-hood to the heart and other principal parts,whence grievous fymptoms,and oft. times death it filfe enfues. : How toany , wayes rhe fhoulder blade, may i be broken, The cure.' Lib,de Z'uL capitit. A hiftory. Nature of 1 its own ac- • cord makes • it felfeway f to caft forth j ftrange bo' I dies and ' matters. Why a fra- flute in the joint of the ihouldcr is deadly. CHAP. X. Of the fratture and deprefion of the Sternon, or Ereafi-bone. He Sternum is fometimes broken, other whilesoncly thrufl in Without a fra&ure. The inequa- lity pereeivable by your feeling, (hewes afrafture,asalfothe«going in with a thruft with your finger, and the found or noife of the bones crackling under your fingers, But a manifeft cavity in the part, a cough, fpitting ofbloud,and difficulty of breathingbycompreflion of the mem- brane inverting the ribs and the lungs, argue the depreffion thereof. For the reftoring of this bone,whe- ther broken ordepreft,thePatientmuftbelaidonhisbackwith acuffiion fluffed with tow or hay under the vertebra of the back, as we fet down in the fttting of the collar bone.Tben a ftrvant (hall lie ftrongly with both his hands on his (boulders, as if he would prefs them down, whileft the Surgeon, in the mean time prefling the ribs on each fide, fhallreftore and let the bone withhishand; and then the formerly defcribed medicines (hall be applyed for to hinder inflammation, and affwagepain; boulfters (hall be fitted thereto, and a ligature (ball be made croffe wayes above the (boulders, but thatnot too ftrait, left it hinder the Patients breathing. I by theft means, at the appointment of Anthony of E«r£a»King of Na- var, cured Anthony Bemnd a Knight of the order, who had his breaft-plate bended and driven in, with an iron bullet (hot out of a Field>peece,as al(b hisflernttm together therewith, and be fell down as dead with the blow; he did (pit blond for three months after I had fet the bone ; yet for all this he lives at this day in perfect health. Signsthas the Jiernum is broken. Signs that it is deprefL The cure. A hiftory» CHAP. XI. Of tbi fraSture of tbi ribs. He true ribs,for that they arc bony, may be broken in any part of them. But the baftard ribs cannot be truly broken tinlclfe at the back bone, becauie they arc only bony in that part, but griftly on the forefide toward the breaftbone;wherefore there they can only be folded or croo- ked in.Thefe which are fubjeft to fraftures,may be broken inwards and outwards.But oft-times it comes to pafs,that they are not abfolutely broken,but cleft into fplinter$,and chat fometimcs inwards, but not outwards. Thus the filfurc doth oft-times not exceed the middle fubftance of the rib; but fome- times it fo breaks through it all, that the fragments and fplinters do prick and wound the membrane, which invefts and lines them on the infidc, and then there is great danger. But when the fra&ure is fim- - pie without a wound, compreflion,pun&ure of the membrane, and laftly, without any other fymptomes then the danger is lefle. Therefore Hippocrater wiftetb, that thefe, who are thus affe&ed/ill themfelves more In what place the fhorrribs may be broken.. 368 Concerning LIB.15. JW. 3. de tft. more freely with meat; for that moderate repletion of the belly, is («it« ere) a certain prop or (ray for the ribs, keeping them well in their place and date; which rule chiefly takes place in fraftures of the ba- ftardribs. For fuch as have them broken, ufually feel themfelres better after, thanbefore meat. Forem- ptinefs ofmeat.or of the ftomach,makes a fufpenfion of the ribs, as not underpropped by the meat. Now that frafture which is outwardly,is far more eafre to heal,than that which »inwardlydor that this prick- cth the membrane or Pleura, and caufeth inflammation, w hich may eafrfy end m an Empyema.Adde here- ' unto, that this is not foeafily to be handled or dealt withall, as the other: whereby it commeth to pafe, that it cannot be foeafily reftored; for that thefe things cannot be (o:ally and fredy performed in this kinde offraSure, which are neceffary to thefetting ofthebone, as to draw it out hold it and join « together. It is therefore healed within twenty dayes, if nothing eHe hinder. T he hgns or fractured ribs * are not obfeure; for by feeling the grieVed part with your fingers, yon may eafily perceive the fraflureby the inequality of the bones, and their noife or crackling, efpecially if they be quite broke afunder. But if a rib be broken on the infide, a pricking pain, far more grievous then in a plurifir,troubles the Patient; becaufe the (harpe fplinters prick the Coftall membrane: whence great difficulty in breathing, a cough, and (pitting of bloud enfte. For bloud,flowing from the veffels broken by the violence of the thing cau- fing the fra&ure, is (ask wcre> fucked up by thelungs,and fo by a dry cough carryed into the weazond, • and at length fpit out of the mouth. Some, to pull up the bone that is quite broken and depreft, ap- ' ply a cupping glafle, and that is ill done 5 for there iscaufed greater dttra&ion of humours, and excefs of pain by the preflure and contraction of the adjacent parts, by the cupping glafs, wherefore Hippocratet al fo forbids it. Therefore it is better to endeavour to rettore it after this following manner. Let the Patient lye upon his found fide, and let there be laid upon thefra&uredfidean emplaitter made of Tur- pentine, Rofin, black Pitch, wheat flour, maftick, and aloes, and fpread upon a ftrong and new cloth. When it hath fluck there fome time,then pluck if (hddenly with great violence from below upwards; for fo the rib will follow together therewith, and be plucked and drawn upwards. It is not fufficient to have done this once, but you muft do it often, untill fiich time as the Patient (hall finde himfelte better, and to breath more eafily. There will be much more hope of reftitution, if, whileft the Surgeon do this dili- gently, the Patient forbeare coughing, and hold his breath. Otherwlfc ifnecefficy urge,as if (harp (pl in- ters with moft bitter tormenting pain prick the Coftall membrane overlpread with many nerves, veins, and arteries, which run under the ribs, whcnce.difficulty of breathing, fpicting of bloud,a cough and fe- ver enfue j then the only way to deliver the Patient from danger of imminent death, is to make incifioh on the part where the rib is broken, that fo laying it bare, you may difeern the pricking fragments, and take them out with your iaflrument,or elfe cut them off. And if you make a great wound by incifion,then (hall you (ew it up, and cure it according to the common rules ofcuring wounds; Now diet,phlebotomy, and purgation, which (as Hippscraiej faith ) are not very needfull in a Ample frafture, for that there arc no (ymptomes which may require fuch remedies; yet they, by reafon of the complicated fymptomes, as a convulsion, feaver, Emfytuia9 and the like,inuft here be prefcribed by the advice of the Phyfician which 0* verfees the cure. A Cerate, and other remedies fitting the occafioh, (hall be applyed to the grieved part: no other ligatures can be ufed, than fuch as are fit to hold faft and ftay the locall medicins. There is no other Hile offite and lying, than fuch as is taken from the will and concent of the Patent. Why an mrernilTra- flure of the ribs is deadly. The fignes, The caufe ©ffpitting bloodwhen the ribs are broken. Stott tfdh 3>dnri. *tolue lib. 6. cap.g6. Avietn>4. The cure. A Em pie frafture may be cured only by Surgery. CHAP. XII. Of certain affcCt j which enfue Hponhroken rib/. Any fymptomes enfue upon fra&ured and confuted ribsjbutamongft the reft,there are two which are not common, whereof we will treat in this place. Thefirftis, the inflation, or tiling t?p of the contufcd fle(h, which allbenfucs upon light affcfts of the bone, which have been negle&ed at fihe beginning. But the fleflj is not meerly puffed up of it felfe, but alfo wit h a certain phleg- matick, glutinous and vifcous humour gathering thereinto. The caufe hereof is, the weaknefs of the di- geftive faculty ofthe part, occafioned by the ftroak and diftemper; which therefore cannot aflimilate the nourifliment flowing more plentifully than it was wont, either drawn thither by means of the pain, or fent thither by a blinde violence of nature, ftirred theretb by a defire of its own prefervation.Whereforc this halfe crude humor remaining there,raifeth much flatuling from its felfe, or elfe wrought upon by the weaker heat, it is refolved into cloudy vapours; whence it cometh tp pafs, that the fleffi is fwoln up in that place, and the skin on the contrary grows foft, as if it were blown up with a quil. Therefore lay- ing your hand thereon, you may hear the noife of the winde going forth thereof, and fee a cavity left in the part,askisufuallyfeeninoedcmatous tumors. Uriels you remedy this inflation, there will enfus an inflammation, fearer,abfcefr, difficulty ofbrc«hing;and lately,that fccond kind of atfe# whereof we have determined to treat in this chapter,to wit, the putrefadion, corruption, orblafting oftheribs. Au abicefle, and the reparation ofthefleffi from the boneis the caufe hereof: for hence it cometh to pafs that the bone, defpoiled of itsnaturall and fleffily cloathing wherewith it was cheri(hed,is cafily offend- eJ;/(k!tAUihOLttCC?tr,!?gulr' andfo at length it bccometh (as is when it happens,they fpit up filth,snd fo fall into a confumption,and at length die. To withftand all thefe mconvemencies, you mute as fpeedily as you can, reftor* the frafiured bones by the former delivered means. And then this mucous tumor muft be refolvedbyproperheatinganddif- cufling medians, and kept down by boulfters and rowlers; that fo the fleffi may touch the bone, and co- ver it as it ufually did.Bui the ligature (hall not be made fo ftrai t,as to hinder the ribs from their wonted J"?n m cxP,"tI<>p al,d mfpiration.If the tumor degenerate into an abfcefs,it (ball be fpeedily opened CHAP. The caufe. The fignes. The cure. LiB.15. Concerning Fractures. 369 CHAP. XIII. andoftheir proceffis. He are fome whiles broken, otherwhiles bruifed,or drained on the infide, whereby It cometh to pals, that the membranes which invert the fpinall marrow, as alfo the fpinall marrow it felf, arecompreffed and ftraitned, which caufemany malign accidents j which, whether they be curable or not, may be certainly foretold by their magnitude. Amongft thele fymptomes, are the ftupidity, or numnefs and pallie of the arms, legs, fundament, and bladder, which diminifh, or elie take away from them the faculty of fenfe and motion 5 fo that their u- rineand excrements come from them againft their wils and knowledg5orelfearewholly (upprert. Which When they happen (faith Hippocrates) you may foretellthat death is at hand, by reafcn that the fpinall marrow is hurt. Having made fuch a prognoftick, you may make an incifion,foto take forth thefplin- ters of the broken vertebra, which driven in, prefs the fpinall marrow,and the nerves rhereof.If you can- not do this, at leaft you (hall apply fuch medicins as may aflwage pain, and hinder and then the broken bones fbajl be reftored to thei'r places, and contained therein by thdfe means which we (hall mention when we to treat of the luxation of the fpine. But if that the procetes only of the vertebr* be broken, the fragments (hall be put in their unlefs they be quite fevered from their/eri- eJ?e«w.But if they be fevered, you (hall open the skin and take them forth, and then drefs the wounds as is fit. We underftand that only the procefles of the vertebr* are broken, if in the abfence of the fore- mentioned fymptoms of numnefs and the palfie,you laying your finger upon the grieved part,feel fome- thing,as a bony fragment,(baking and moving thereunder,with a certain crackling noife,and cavity,and depreflion $and then,ifwhen the Patient holds down his head, and bends his back, he feel far more pain, than whenheftands up rtreight upon his feet. For in Hooping, the skin of the back is fomewhatlfretch- ed forth, and extended, and alfo forced upon the fliarp fplinters of the fragments, whence proceeds a do- lorifick folution of continuity, and a pricking: in Handing ftreight up, on the contrary, the rtretched skin is relaxed, and consequently lefs molerted by the fharp fragments. The fraftured proceflcs of the ver* tebrx eafily heal, unlefs they be aflbeiated with fome other mere grievoui (ymptome which may hinder* fuch as is a certain great eontufion, and the like. For as we formerly faid out of Hippocrates, all rare and fpongy bones are knit by a Cabur within a few dayes. The affefh of the Sell. H Pror&. The cure of fraftured 'ueTiebrfit The cure of the procef- fes. Signs that onely the procefles are frailty red. CHAP. XIV. Of the fraUure of the holy-bom. Lib the holy bone in a certain part thereof, which niaybeeafily healed, may be broken by the blow of bruifing things, as by a bullet (hot out of a musket,a81 have obierved in many. But if the frafture violate, together with the vtrtebr* thereof, the fpinall marrow contained therein, then the Patient can icarce fcape death, for the reafons (hewed in the former chapter. Wharfra. flure off ho holy bone curable,and what not. CHAP. XV. Of the fr atture of the rump. He Rump is competed of four bones • thefirft whereof hath a cavity, wherein it receives the loweft vertebr<£ of the holy other three are joined together by Sjmpbjfis or Coalition; at the end ofthefe hangs a certain fmall griftle. Thefraftureof thefe bones (hall be cured by putting your finger into the Patients fundament3and fo thrufiing it even to the fractured place. For, thus you may thruft the fragment forth, and fit and reftore it to the reft of the bones by your other band lying upon the back. But that it may be the fooner healed, itis fit the Patient keep his bed, during all the time of the cure.But if there be a neceflity to rifc,he (hall fo fit in a perforated feat, that there may be not hing which may prefs the broken part5and fitting remedies for healing fractures (hall be applyed as occafion (hall offer it telfe. The de- fcriprion o f rhe rump. The cure. leHipconfifts of three bones:the firfl: is named Os llium3the haunch bone; the other,Oj Ifcbion, thehuckle bonejthe third 0J/wfo5the (hare bone. Thefe three bones in men of full growth are fo faft knit and joined together,that they can by no means be feparated;but in children they may be feparated without much a do.This bone may be broken in any part thereof3cither by a ftroakj or by a fall from high upon any hard body* You (hall know the fra&ure by the fame kind of figns,a s you know others, to wit, pain, pricking, a deprefled cavity3 and inequality, and alfo a numnefs of the leg of the fame fide. The fplinters of the bones (if quite broke off) muft by making incifion be taken away at the firftdreffing • in performance of which operation, you muft have a care that you hurt not with your inftrumentthe heads of the muf'cles, nor any veflels,efpecially which are great; nor laftly,that large nerve which is (ent into themufcles of the thigh and leg. On the contrary, fuch fragments as are not broken or fevered from their periofteum3 (hall be fmoothed and fet in order with your fingers, as is fitting. Other things (hall be done according as art and neccffiiy (ball perfwade and require. CHAP. XVI. Of the frailttre of the Hip, or Os Ilium. The de- fcri ption of the hip. The fignes; The cute.' CHAP. XVil. Ofafrablure of the/boulder, or arm bone. He Arm bone is round,hollow, full of marrow5rifing up with an indifferent neck, and ending on the upper part into fbmewhata thick head .On the lower part it hath two procefles,the one before,the other behinde; between which there is (as it were) an half circle, or thecavity of a pulley ,each end whereof leads into its cavity, of which one is interior, another exterior; that by thefe (as it were) flops, the bending and extension ofthe arm might be limited, left that the bone t The ! fcriprion of the arm, os , fhoulder boricj Concerning Fraciures. LiB.15, 370 bone of the cubic, if the circle (bould have been perfeft, Hiding equally this way and that way, might, bv its turning, have gone quite round, as a rope runs in a pulley; which thing would much have con- futed the motion of the cubit.For fo the extenfion, or bending it back, would have been equal! to the ne- ceffary bending it inwards. It is very expedient that a Surgeon know thele things, that fo he may the better know howto reftore the fra&ures and luxations of this part. If one of the fragments of this broken bone (ball lye much over the other, and the Patient have a goodftroiig body.then the arm (hall be much extended, the Patient being To fet upon a low fear, that he may not rile, wnen the frafture (ha 11 be a fet- ting, and fo hinder the begun work; and alto, that fo the Surgeon may the more eafily perform his o- peration upon the Patient feared under him; yet regarding another thing, would have the Patient to fit higher. But you muft have a care that the (boulderbone it (elf be drawn direftly down wards, and the cubit fo bended as when you put it into a fcarf. F or if any one let this bone, lifting the arm up- wards, or otherwife extending it, then mute itbe kept in that po ..ure; for otherwise, if the figure be changed the fetfmg will quickly be fpoiled, when as you come to put the arm in a fcarf. Wherefore the Surgeon muft diligently and carefully obtervethat in fetting a broken arm, he put it in filch apofture, thatreftingon the bread, it look down towards the girdle. You muft have a care in laying the fplints, 1 and rowling your ligatures, that they hurt not, nor prefs too hard upon the joints. For, in the opinion ' of the prdfure of parts which are nervous,flefblefs,and confequently endued with exquifite fenfe, by the fplints there is danger of moft grievous pam, inflammation, denudation both of the bone and nerve 5 but chiefly, if fuch comprefiion hurt the inner part,towards wh$ h the arm is bended-where- fore the fplints made for this place muft be the (hotter. Therefore after the arm-bone is fet,the arm (hall be laid upon the breaft in a right angle, and there bound up in a fcarf, left that the Patient, when he hath need to ftir, fpoil and undo the fetting, and figure of the broken bone.But the arm muft be kept in quiet untill fuch time as the fragments (hall be confirmed with zCali™, which ufually is in forty dayes fooner or later, according to the different conftitutions of bodies. The cure. How the arm muft be placed when the bone is fer. Sefl-3- effic. fefl.i.de frafl. In whit time it will knit, CHAP. XVIII. Of tbe fracture of tbe Cubit 9 or the £11 andWand, Thediffc fences. T fometimeshappenethjftat the cubit and wand are broken together and atonce,and other- i whiles that but the one of them is fra&ured. Now they are broken either in their midft or 1 ends, their ends (I fay) which are either towards the elbow, or elfe towards the wrift. That fra&ure is worft of all, wherein both the bones are broken, for then member is made wholly impotent to perform any fort of aftion, and the cure is alfo more difficult . for the member cannot id eafily be contained in its ftate: for that bone which remains whole, ferves foraftay to the arm, and hinders the mulcles from being drawn back, which ufually draw back andfhrinkup themlelves, whenfoever both bones are broken. Henceit is, that that fra&ure is judged die word, where- in the cubic or ell bone is broken. Butthat iseaficft of all, wherein only the wand is broken, for To the fraftured part is fuftained by the ell bonejw hen both the bones are broken,there muft be made a flronger extenfion, for that the mufcles are the more contra&ed. Therefore, whenfocver either of them remains whole, it doth more fervice in fuftaining the other, then any either ligatures or fplints, for that it keeps the mufcles right in their places. Wherefore, after the bones (hall be let and rowled up with ligatures'and fpiintSjthe arm muft be fo carryed up in a Icarf put about the neck,that the hand may not be much higher than the elbow, left the blood and other humours may fall down thereinto. But the hand (hall be fee in that pofture which is between prone and fupine, for fo the wand ihall lye direftly under the ell, as we have read it oblerved by Hippocrates.The reafon is, for that by a fupine figure or fituation,both the bone and mulcles are perverted : for firft,for the bone, the ApopbyfiSi fiyloides and Okcranum of the cubit,ought to be in an eqnail plain, and to be leated each againft other; which is not fo in a fupine figure,as wherein the Proceff™ jljloides of the cubit is fet againft the inner procefs of the arm bone. But in mufcles,for that, like as the infertion and fitc of the head of a mulcle is,fuch alfo is the lite of the belly thereof, and Jaftly, inch the infertion efthe tail thereof; but by a fupine figure, the mulcles arifingfrom the inner procefs of the arm bone and bending the cubit,fhall have the tail placed in an higher and more exteriour fite. In the interim3you muft not omit,but that thePatients arm may,with as little pain as poffible you can,be bended and extended now and then,left by the too long reft of the eyed up part,and the inter- miffion of its proper bones of the joint may be fowdred together by the interpofition, and as it were glue of the defluxion which falsabundantly into the joint of the elbow, and neighbouring parts, whence the ftifnels and unmovea- blenefs thereof, as if there were a Callus grown there: from whence it may happen that the arm thereafter may neither be bended, nor extended, which I have ob- fervedto have happened to many. Where- kind of vitiated conformation A*,k and Jve.Mr.If a wound mention, and cals this that you PutaooutitplatesofLatin,orPaflbord, andmakea,convenienteiaisatmv'rer>?rVrfn,|,^ei?^eS ments of the bones be kept in thefameflate wherein they were fit and reftored Moreover 7 armupon a foftpillow,orcu(hion,aSthe precedent figure ftewesyou Moreover,let him lay hts The cure. Sent. 3 fell. I. de fra fl. The figure ofa fractured arm3 with a wound bound up3 and feated3 as is fit. Cem.inlib, de CHAP. Lib.i5» Concerning Fracinres. 371 CHAP. XIX. Of of a Hand. He bones of the Wrift3and After-wrift, may be broken.*but>in Hippocrates opinion, chiefly by that kind offeature which is called a Stdej-now ifchey (hall happen to be brokera3this fhall be the manner of reftoring them. Let the Patient lay forth his hand upon fome even and (mooth tabl.e,then let your fervant ftretch forth the broken bones3 and the workmafter ro ' (lore them thus extended3and put them in their proper feats. But being reilored, they muft be kept in their places by fuch remedies as are ufed in other fractures ; to wit,cerates, comprefles, linnen fplints. Now the featured fingers (hall be tyed or bound to their neighbours, that fo they may the more eafily,as bound to a llake3be kept in that ftate wherein they have been put by the hand of the Workman. Butthefe bones3feeing they ire of a rare and fpongie nature, are in a Chore time and ea- fily ftrengthened3or knit by a Calhtf.TheCe things being done,thc hollownefs or palm ofthe hand (hall be filled with a Tennis ball3for thus the broken bones (ball not only be more eafily kept in their places, but alfo the fingers themfelves (hall be kept in a middle pofture3that is3not wholly open, nor quite (hut. If they be kept in any other figure3the enfuing CaUut will either deprave or quite abolifh that a&ion of the hand,whereby we take hold of any thing. The cafe (lands otherwife with the featured Toes; for they (hall be kept (freight and even out3le(l they (hould hinder our going or (landing. Sftf.z.df frafl.fint'fi The cure* To what purpoferhe carrying of a ball in a frafiured handfervesj CHAP. XX. Of the fracture ofthe Thigh* is a hard thing to bring the fragments of the broken thigh together to be fet,by reafon of the M 61 larFftr°Bg m"fclas of that Pai tjwhich whileft they are drawn back towards their origi- nail,by a motion both naturall and conviiliive, they carry together with them the fragment of the bone,whereinto they ai? inferred. Therefore, when as thefra&ure of this bone fhall be reftoredjthe Patient mutt lye upon his back with his leg ftretched forth, and the Surgeon muft ftrongly and with great force extend the thighjbut if he alone (hall not be able fufficiently to extend it, he (hall imploy two otherftrong altendants,by whpfe joint-help the fragments may be fitted and fet each againft bther.For this as the flrength of the hand was not fufficient, the Ancients ufed an Inftru- naent,called a Gloffgcominmywhereof this is the figure. In Head of this you may make life of my Pul- ley 5for Hippocrates in this bone when it is broken, doth ap- prove of extenfion fo great, chat although by the great- nefs of the extenfion the ends of the fragments be fomewhat diftant afunder, an empty (pace being left between ; yet notwithftanding would he have ligature made. For it is not here as it is in the ex- ten fions of < ther bones, whereas the calling about of Ligatures keeps the muicles immoveable : but here, in the extended thighs, the deligati- on is not of inch force,as that it may (lay and keep the bones and mufcles In that (late,wherein the Surgeon hath placed them.For,fee- ing that the mufcles of the thigh are large and ftrong,they overcome the ligation, and are not kept un- der by it.Tfre Surgeon,in (etting it,(hallalfo copfider,that the thigh-bone, is hollowed on the inner fide, But gibbous Qtythe outfide,therefor? it muft befet in its native figure. Otherwife, if any, unmindfull of this confideration,would have it ftreight,he (hall make his Patient halt all his life after : wherefore this inner and native hollownefs muft be filled up and preferved by putting in a compreffe or boulfter fpread > over with return,or the like glutinous thing that it may not fall offjfbr thus alfo the ligati- on fibalj the more faithfully keep the fragments, of the bone in their places. Moreover, Comprefles (hall be apply edtothe more (tender and lefs protuberating parts of the thigh, as thoie which are next the ham and knee,that(o the whole ligation may be alike, and cOnfequendy the more firm. Now ligatures, as we formerly no£ed,are ordained for three things. The firft the bones may be kept in that (late wherein they were fee,tmtill they abe (lengthened by a Call™. The fecond is, to hinder defluxion, which eafily fate into the broken and luxated parts,both by reafonof pain,as alfo by weaknefs. The third is, to $ay and hold faft .the fpliuts and medicins which are applyed. Inflammation is hindred by repreffing , and hindring the blood and other humors,ready to flow down,from entring into the part,and by pref- ' fing thofe humors3which ?re preternaturally contained in the part,into the neighbouring parts above & 1 below. Wherefore there muft no fmall care be had of preparing ligatures, to wit, that they be made of choice and well woven cloth,yet not tjourfe or let them be of fuch length and breadth, as the $urgeon,perfwaded by an artificial! conje&ure, (hall judge to be fit for the thicknefs and length of the ,member#and greatnefs of the frafture:for ligatures ought to be of breadth to involve and cover all the frafturedpart,& a great part of that which is found. But feeing that in my Book of Bandages,! have fet- med Why the bone of the thigh is more djffU cukly fet. fbdigureof a Gloffocomiuna/w Extender, Sent6?,& frtfl. The natu- ral! and irk rernall crooked- nefie muft be prefer - ved in fer« .ring the , bone. The part to be bound up,muft.be made plain either by na- tare or art. Concerning Fr a&nres. LiB.iy, 372 med chiefly to letdown and approve the manner of binding ufed by now! thing good here • in this place to detcribe that which is in common ufeamongft our Surgeons. Our Surgeons there- fore at this day require three Ligatures for fraftufes,the firit whereof they prelcntly caft upon the hurt part, whether broken or diflocated,or only drained, making the firft wiapptngs upon it ;fb that they at moft and ftraitlieft bind it there,butlefle and more loofly on both fides thereof. Such circumvolutions, or wrappings,are drawn upwards3and there ended. They mufl be rowled thick) and not wide; for fo if e they prefentiy follow3and lye one upon another, they will hold the bones more firmly, and more far of and wide prefle forth and reprefle the fuperfiuous blood from the found part. They prefentiy in like fort ■ caft the fecond ligature upon the very fra&ore,giving it two wraps, then going downwards ■ yet fo, as that they are opener or wideband farther diflant each from other, and not fo clofc together, as thecir- cnmvolutions of the firft fo they may prefs the humors the leffe to the extremities of the an part,asthofe which cannot receive and bear, without inflammation and danger of a gangrene, fuch a- . bundance of humors,for that they are not fufflciently fpatious;as alfo more remote from the fountain of native heat3which is greater in the center than in the circumference. At the lower end of the hurt part the circumvolutions either end3or elfe are twined thence back again. They caft on the third ligature in that lower end of the hurt part,and rowl it finoothly and gently upwards, the windings being made be contrary to the windings of the firft and fecond ligatures;that they may fo draw back into their natu- n' rail ftatc the mufcles, which peradventure have been drawn afide by the force of the former Wrappings K Thefe ligations fini(hed,they apply three fplints ofpaft-bord,or fome fuch matter; the firft below the fra- ftufe3and that truely more broadband offtiflicient length 5 and then two others, one on each fide diftant each from other fome fingers breadth,to the end to keep the bone that it do not flir to this fide or that s- being wrapped about with Tow or Cotton.Then they think of placing or laying the part,to which pur- ? pole they propound to themfelvcs three fcopes. The firft is,that the part may lye foft;the fecond fmooth" £ or even;the third/omewhat high. The hurt part ought truely to lye foft,for chat hard lying preffes it ' and caufes pain and inflammation; which whiles the Patient cannot patiently endure, he is forced to r. change hisplace,whilft he every way feekseafeforhispaimand thus he now and then moves the fractu- red part,which ought to be kept quiet withoutany motion. Itmuftlyefinooth or even, becaufe anunc- quall or uneven fite diftorts or draws awry the part, whilft one portion of the hurt part is born up and fuftained by that which lyes under it; but the other hanging down hath nothing thereunder where- upon it may reft.Therefore Hippocrates bids us diligently to take heed that the heeLdo not hang down nor the foot remain without a pillow/or hence pain and a troublefome defluxion of humors is to be feared. But the part ought to lye fomewhat high,that the defluxion may be hindred, which is eafily ftir- red up by a prone and declining fitetfor if the foot (hal be placed in a lower figure,the blood which flowes thither from the leg,will caufe inflammation. But on the contrary, if it be higher, nothing can flow k down thereinto. Therefore abfolutely not only thefoot,but alfo the thigh and leg,arc to be placed high- er than the reft of the body .yet keeping fuch a mean, that the part may not 6etoo much diftended a* Hippoeratet admoniflieth us. In the mean time, this hurt leg or fide,ought to be of equall length with the found,and for that purpofe it muft be flayed on both fides with Junks, as we (hall (hew you hereafter when we come to fpeak of a broken leg. The bandage being performed as we have faid,the following the next day the Patient feels the member more ftraitly bound, than when it was firft wrai> ped-yea, verily the knee is lifted up into a foft tumor by the expreflion of the humor from the woun- ded part:but on the contrary, the enfuing day the ligation is flackned and relaxed, fome portion ofthe humor contained in the part being digelted. Alfo the next day all things are perceived more loofe there being made a larger refolutionof the humor. Then therefore the bandages muft be loofed, and that not only 3Ieft that the fragments of the bones (hould fall forth of their place, but alfo that we may gratifie the Patient by that alteration or change of place,and befides that we may avoid itching, which ufuallv happens to parts too long bound up, by reafon of the fuppreflionof acrid and fuliginous excrements which ufe to be gathered in great quantity in a part at reft and bound up, both from the excrementiti- ous humors,wherewith the part is moiftened,and the alimentary humors, in a part whichiis idle and at qmetjby reafon thedifflation and tranfpiration are hindredby want of exercife, and the pores of the skin fhut up by the abundance of the ligaturesdb that by the fuppreflion thereof, many have not only an itching,but alfo the skin being brokeby the acrimony of thefe,as well vapours as humors, which are kept (hut and pent up,haye ulcers break forth. Therefore when fuch accidents (ball be feared, the part fhallfo longbe fomented with warm water and oil,asyou (hall think fit.-for, fuch fomenting afFwageth Pain,relaxeth that which was too much ftraitned by the binding, and amends the refrigeration ofthe part,caufed by the repercuffion and expreflion of the blood and fpiriw,the native and internail heat be- ing by th is means revived. If,together with the tumor, there be a contufion and fugillation it muft be e longer fomet|ed,that the excrementitious humor refidingin the part maybe dieefted But if thit here be remembred whkh f7h r°n °f a Therefore of muft Unn Ir ffi . I faith, That a weak fomentation,and the (fibre time of ufing one doth attraft but not difcufle;but a longer and ftronger wafts the flefli. Befides alfo,you muft have retard to thS a. part The bodies,draw fuperfiuous humors tothe be t0.0fedeVTthifd day UntiU thdr feVGnth the rim.?, -V ? • hcreofnotblngcan be certainly and perpetually decreedFor accor- S?of theKe Th" which are dDne to thePatient at rhe firft JfO(r'1^nOkympt:On;eiir?eAJwOuIdbavenona thefe dung** F-yoUfe ' ' k , for. The man- ner ofbin- dingufedby Surgeons ar this day. VVhy the windings of the upper ligatures muft be thicker and flraiter chan the lower. VVhy rhe third liga- ture muft be row led con- trary ro rhe two firit. The Surge- on mart be mindfall of three things in placing the member. Sefi.z.de I rail. Sent.%$.& $6.fe&.2. de frail. When the ftrft ligation tnuft be looted. Sent.I Z.cktffic, LIB.15, Concerning Fractures. 373 for., as you fee wood is joined together by glue, and pewter with fowder; fo the fragments of bones are by a providence of nature,glued and fowdred together by a Callus. Wherefore broken bones have very much need of reft, to the generating of a • otberwife, the matter thereof flowing down, quickly flowes away, and nothing is done. You may much help forwards the generation of a Ca/tw, which is be- gun about the thirteenth or fifteenth day,by applying an emplailler made with the white of an eg,having the powder ofred role leaves, and wheat flour mixed therewith, and othercatagmatick plaifters, which (ball hereafter be defcribcd in fpeaking of the fra&ure of a 1 g. Reft necef- fary for the knining of fet boiler, C H A P. XXL Of tbefrafiure of the Thigh nigh to the joints or the upper or lower bead df the bone. Fra&ure fometimes happens at the Joint of the hip in the neck of the thigh bone,as I once ob- fervedin an honeft matron* I being called to her, when I had obfervedrhe hurt thigh to be fhorter than the whole, with the cutward prominency of the I/cbium, which at the firfl fight I fuppofed to proceed from the head of the thigh bone, I prefendy my filf it was a diflocation and no frafturejl then therefore extended the bone,and forcedfas I thcughQthe head there- of into its cavity. The equality ofboththe legs in bignefs which followed upon thistxtcnfion5encreafed my perfwafion that it was a diflocation. The next daylvifited her the (econd time, and found her in great painjher hurt leg the (hotter, and her foot wrefted inwards. Thenlloofed all her ligatures, and perceived fuch a prominency as I did formerly. Wherefore I endeavoured again to force in the head of the bone, as I formerly did. But as 1 wasbufied therein, I heard a little crackling, and alfo 1 confidered, that there was no cavity nor depreflion in the joint, by which figns I certainly perfwaded my felf, that thebone was broken; and not di (located. Neither only fuch kind offraftures, butalfothefeparationof the appendix or head of this bone from its place, may induce one to think it a diflocation; which thing hath fometimes deceived fomeheedlefs Surgeons, who have not dreamt of the divulfionor (eparation ofthe appendix from the top of the thigh bone,but have judged it only a diflocation.Then therefore (that I may return to my former narration) I fet the bone, and joined the fragments together, laid thereupon fplints with comprefles, made ligations with a rowler, having two heads wrapped about the joint, and the body crofs-wife,and I defended her foot with a cafe,that none of theclo?hs might prefs it.I faftned a rope to a poft, and fo letit come down into the midft ofthe bed, and eyed many knots thereon,for the better taking hold and lifting up her felf; the which thing you muft alwayes do in fraftures and dido- cations of the thigh and leg, that fo your Patients may have feme ftay, whereby they may fuccour them- Pelves with their hands, as oft as they defire to rife, or lift themfelves up in their beds, or go to ftool; as alfo, that they may give perfpiration, and as it were ventilation to the loins, buttocks, rump, and other parts, comprefled and wearied with long lying, for want whereof they are molefted with heat and pain, whence ulcers arife, which oft-times torment the Patient with fuch tormenting heat and pain, that he is even confumed by a feaver, watchings, and want of reft. This opportunity of railing the body out of the bed,is by fo much the more needfull in this place,by how much the fra&ure is nearer the joint; for there it is more dangerous than in the midft of the thigh, and conftquently more difficult to drefs and heal, for that the part is bloodle(s,and by reafon of the multitude ofthe nerves, tendons and ligaments, which are obnoxious to many malignlymptomes. But the Surgeon muft have diligent care in this kind of fra&ure, and muft look often that the bone, which is fet, do not fall forth again, which eafi-ly hap- pens here by any light flirting of the body, and the like occafion, for that the thigh hath but one only bone. Therefore, as oft as the Bandages (ball be loofed,and the frafture dre(Ied,he (hall attentively view thefigure ofthe bone, and the magnitudeofthe affe&ed part, comparing it with the found; for the fet and compofed fragments of the broken bone, can fcarce fall afonder, but that the one muft lye upon the other. But before it be knit, the part muft be extended and reftored to its ftate, that fo the Patient may not halt during the refidue of his life. For I have read it written in Avicenjhat fcarce any do fo well re- cover a fraftured thigh, that they do not halt thereoftherefore the Patient muft be careful!,that he move himfelf, or his body as little as he can. Many of the Ancients have fet downe the time of the confolida' tion ofthis bone to be fifty dayes : but (as I formerly faid) there can be no certain or determinate time hereof. But in what time foever this bone fliall be knit, the Patient muft not ftand or go thereon pre- fentlyupon it j for that there remains a weaknefs in the part a long time after, fo that the Patients are forced to ufe cratches to go withall, in the mean fpace while they recover more ftrengtfi. A Hiftory, Another fraflure of the thigh, refem bling a luxation. Why rhe fraGureof a bone near a joint is more dan- gerous. 6. trdi.i. c.14. In what fpace the thigh bon« may be knit. CHAP. XXII. fif He whirl bone of the knee is-sft-times contuftfl, but not fo frequently broken; yet when that happens, it goes into two or three pieces, frjtnetinies long-wile, ibmetimes athwart. Some- times it isbroken in the midft, and fome whiles Ihiyered into many fplinters, andall thefeei- ther with, or without a wound. The hgns are? impotency in goings a hollownefs in thdt place, and afenfible reparation of the fragments of the hurt part, and the Crackling of thefe parts under your hand. It is let after this manner; vyifh the Patient to ftretch forth his leg, yea, hemift keep it extended all the while, un till it be knits and therefore left he ftiouid bend it unawares/he hoHow- nels of the ham (hall be filled with a boulfter • for by bending of the kneejtheietTragmerits of the whirl- bone would again fly in fund erf This being done, the fragments fhall by the hand of thefthirgeon be fee as is fitting, and be kept fo fee by the application ofcorivenient remedies, making ligatures, and applying junks, as we faid muft be done in the frafture of the thigh bone. And laftly, you muft obferve and do in this as inthefra&ureofaleg. For the prognoftick this Iaffirm,thatl have feen none of thole who have had this bone fractured, who have not halted during the reft ofcheir lives. The caufc hereof is, the knit- K k ting The Diffe- rences. Signs. Cure Concerning Frazures. 374 Why thbfe halt who have had this bone fraflurcd. tinebv the concretion ofaCaSw hinders the free bending oftheknee;going,efpecially on even ground, i> more esfie to the Patient,but an afcent is far moree difficult, and abfolutely painfull. The Patient mult neceffarily for this kinde of frafture lye or keep his bed, at the leaft for forty dayes. CHAP. XXIII. Of * broken kg. Mil kind of frafturc is cured after the fame manner as that of the arm or cubit. Hippocrtiv admonilheth us, that the Tibia, or leg bone is more dangerous to be broken, and more diffi- cult and flow to be healed than the Fibula, or (bin,bone; becaufe chat is the thicker, and as k were the upholder of the whole bulke of the body; but this other is but as it were a certain additament or affiftant, provided for thcftayingor bearing up of themufcles of theleg, i which the foot is moved. The leg bone being only broken, the hgnsthcreofare perceived only in the mnerpart of he leg; for that the Ihin bone being whole, fuffers it not to throw or caft forth it felfe.On thecomrary, when the (bin bone only is broken, tfie figns thereof appear only in the txternall part of the leg- becaufe the leg bone, being oppofed thereto,doth not fuffer it to caft in its felf,and with its frag- ments to turninwards. But when both the bones are broken, the figns of the frafture may equally ap< near both here and there. But when only one of thefc bones are broken, the frafturc is far more eafie to drefle and heal, becaufe that which remains whole, is a much more firm ftay to that which Is&urt, than any fplintscan be. But that I may the better inftrutt and make ready the Surgeon for the relforing of this feature, I will illuftrate the matter by an example from my felf. John FkftorJ>o&(x of Phyfick,Ri- dur el Hubert, and I, went together to vifit a Patient at the place of the Frier Minorites. Wherefore in- tending to pafs over the Sein within fight of the place, 1 endeavoured to make my horfetake boat, and therefore Twitched him over the buttocks. The Jade,madded herewith,fo ftruck at me with his heels,that he brake both the bones of my left leg, fome four fingers breadth above my ancle. Then I, fearing fomt worfe mifehief, and left the Jade (hould double his blow, flew backs and as I fled back,the broken bones flew in funder; and breaking through the fleft, flocking, and boot, (hewed themfelves, whereby I felt as much pain, as it is credible a man was able to endure. Wherefore I was prefently carried into the boat, that fo I might be carryed to the other fide of the water to be drefled; but the flirting of the boat as they rowed, almoft killed me with bitternefs of pain, for that the (harp fragments of the bones were rubbed againft the flefti which lay next thcm.Being ferried over,as I was conveyed into the next houfes,my pain was much increafed,whileft lifted by the hands of divers perfons,one while up,another down, fometimes to the left fide,other whiles to the right with my whole body,and all the parts thereof. When at the length I was laid upon a bed,I was fomewhat freed from the bitternefs of my pain,and had time to wipe off the fweat, which ran down over all my body. Then was I drefled with luch a medicine, as the time and place would afford, we compofed it of the white of an egge, wheat flour, foot of a chimny,and mel- ted butter. For the reft, I entreated Ricbar/I Hubert, that he would handle me, as if he knew me not nei- ther that, moved for love of me,he (hould remit any thing of the (everity of art,but chiefly,that he would ftrctch my foot ftraight out, and if the wound were not (ufficiently wide, that he would enlarge it with his incifion knife, that fo he might the more eafily fet the broken bones in their due place; that he would with his fingers (whole judgment is far more certain than the beft made inftrumentsj fearch, whether the fplinters which were in the wound were quite fevered from the bone, and therefore to be taken forth-that he would with his hand prefs forth the blood, and the clods of blood which were in a great quantity concrete at the mouth of the wound; that he would bind up and place my leg in that fite and manner as he thought beft: which is,that he (hould have three rowlers in a readinefs, the firft whereof he (hould caft dire&ly upon the wound,fo that he (hould begin his ligation at the wound:alfo he (hould put fplints about it; fome three, but others two fingers bredth,of the length of half a foot, fomewhat deprefled and hollowed, whereby they might be the more eafily put about theleg, more ftraitly at their ends, and a fingers diftance each from other,which at the laft he Ibould bind with fillets,like thole wherewith women ule to bind up their hair;y et lb that the binding might be more ftrait upon the wound.and that he would fill the cavity of the bam, and of the ancles with boulftcrs made of flaxe wrapped in linnen clothes: that he would fortifie the fides of my leg with Junks made of bents or little flicks,and lined with linnen cloth ftretched from my heel to my groin, and bound over in four places; fo that the ftrait figure of the leg might fcarcely be perverted by any force: that he would gently, and fmoothly, lift up my ]cg an jn, differentiy height: and laftly, that he fliouldarm it from the violence of externall injuries, by putting ic in a box or calc. But you muft note, that the fit placing or laying rof the leg is a matter of fuch Moment, that if any error be here committed, it will caufe no lefs than lamenefs. For if it be lif- ted up higher than is fit, the will be hol- low on the forefide; iffower,then it will be gib- bous or bunching forth. Neither alfo do they commit a (mall error, who do not fill up the ca- vities at the ancles after the aforementioned man- ner: for,hereupon the heel will be much afflifted, whileft ic is forced to fuftain a tedious and pain- full compreflion, which at length brings a hoc .. Lr. . diftemper, becaufe the fpirits cannot freely flow thereto; whjch ! finding by experience, not knowing the caufe, wift.cd them ever now and than to lift up my heel, whereby it might enjoy the benefit of perspiration, and the Ipirits havefree entrance thereinto, and 2.defrtfl. Sign* that both the bones arc broken. AHiftory. made me- dicine. Whar to do when the leg is bro- ken. The figure of 4 Leg fractured with a Wound, and bound up. LiB.15. Concerning Froiftwres. 375 and the contained vapours pafting forth. To conclude, my hurt leg 'was laid upon a culhion after the manner you fee defcribed in the page precedent. CHAP. XXIV. Of fame things to be obferved intyation, wbenafratiure k ajfociated with a wound. Mistaken out of the do&rine of the Ancients,oughttobe kept firm and ratified,that ligati- on muft be made upon the wound;otherwifc the wounded part will prefently lift it felfnp into a great tumor, receiving the humors prefled thither by the force of the ligation made on this Sc that fide,above and below,whence enfuemany malign (ymptorns.You may make tryall hereof upon a found fleftiy part* for if you bind it above and below* not touching that which is in the nidft, it will be lifted up into a great tumor, and change the flourith- ing and native colour, into a livid or blackifh hue, by reafon of the flowing and abundance of the hu- mors prefled forth on every fide from the neighbouring parts. Therefore fuch things will happen much the rather in a wounded or ulcerated part. But for this caufe, the ulcer will remain unfuppurated and weeping, crude and liquid faniis flowing there-hence,like unto that which ufually flowes f rom inflamed eyes. it fall uPon tne ones' and ma^e anY ftaY thcre> irs>w5tJ1 the Io«ch thereof,burns and corrupts them, and to much the more, if they be rare and fofc. Thele will be the fignsoffuch corruption of the bones; ifa greater qiiantity,and that more filthy fitnies* flow from the ulcer, th?.n was accuftomed, or the nature of a Ample ulcer requires; if the lips of the ulcer be inverted; if the flefli be more foft and flaccid about them; if a forrowlull fcnfe of a beating, and alfo deep pain torment the Patient by fits; if, by fearching with your probe, you perceive the bone to be fpoiled of its and laflly.ifyou find it icaly and rough; or alfo if your probe be put down fomewhat hard, it run into the fiiblhnce of the bone. But we have treated fufficiently hereof in ourparticuhr Treatife of the rottennefs of thebones.But certainly fuch rottennefs will never happen to the bone, if the hurt part be bound up, as is fit,and accor- ding to art. Wherefore I judge it not ami(s,again to admonifh the Surgeon of this,that as far as the thing (hall fuffer, he make his rowlings upon the wound- unlefsby chance there be filch exctffive pain and great inflammation, that, through occafion of fuch fymptomes and accidents, he be diverted from this proper and legitimate cure of the difeafi. Therefoie then, becaufenothing more can be done,let him on- ly do this, which may be done without offence; that is,let him fupply the dcfeft of ligation and rowlers, with a linnen cloth, not too weak, nor too much worn, being twice or thrice doubled, and which may ferve to compafs the wound and neighbouring parts once about: let him few the edges thereof atthe fides cf the wound, left he be forced to ftir the fragments of the bones (which once ft t ought to be kept unmo- ved) as often as the wound comes to be drefled. For,broken bones do not require fiich frequent drefling, as wounds and ulcers do. By this it appears, that as want of binding, and too much loofnefs in abfence of pain and a phlegmon, fo alfo too ftrait ligation, when pain is pretent, brings a phlegmon and ab- feefsto the wound. Therefore let all things here,according to the forementioned rules and circumftan- ces, be indifferent. I have for this purpofe thought good to reiterate theft things, becaufe you (hall as yet find many, who follow the praftife of make many circumvolutions here and there,above and below the wound, which prefently they carry crofs-wife. But this croft or lattice-like kind ofligation is wholly to be difliked, and that only to be ufed which we have defcribed, according to the mind of Hip- pocrates. Now it is time that I returne to the former hiftory of my mifhap, and declare what was done to me after that firft drefling, which I have formerly mentioned. Th ar rhe Il- gar icn mutt be moll ftrait upon rhe ' v fvm- i i< the want of oinding upon rhe wounded parr. Signs of the corruption of the bones. When the woun ded Parr muftb® omitted in ligation. Earrice. like binding ro be fhunned. CHAP. XXV. PPbat was ufed to the Authors kg after thefirjldrejfag. Being brought home to mine own houfe in Paris in the afternoone, they took from me, out of the Bafilica of the left arm,fome fix ounces of blood. And then at the fecond dreffing the lips or edges of the wound and places thereabout were annointed with ungtentum ropr«w,which by a joint confent of the Ancients, is much commended in the beginnings of fra&ures: for it will aflwage pain, and hinder inflammation,by repelling the humors far from the wounded part:for it is cold, aftringent and repelling, as the compofition thereof (hewes 5 for it is made ex oleo ompbacino* aqua rofacea* pauco aceto* & cera alba. Therefore I ufed this ointment for fix dayes; I dipped the comprefles and rowlers fomewhiles in oxycrate, otherwhiles in thick and aftringent red wine, for the ftrengtheping of the part, and repreffing the humor?; which two things we mtift have a care of in Hippocrates opinion, in fra&ures efpecially with a wound. W herefore if at any time the comprefles or rowlers feemed to dry, I now and then moiftned them with the oxy crate, or rofevineger: for, by their too much drinefs, pain and inflam- mation happen; and if they bind the partfomewhat more ftraic, they hurt it alio by their hard- nefs. Youfliall fee many Surgeons, who in this kind of afleft, from the beginning to the end, ufe only aftringent and emplaftick medicins, wholly contrary to the method fet down by Hippocrates* and com- mended by Ga!en. For, by the continued ufe of fuch things, the pores, and breathing places of the skin are (hut up; whence the fuliginous excrement being fuppreft,the externall heat is increafed, and itching caufed, and at length an ulcer by the fretting of the acrid and ferous humour long fuppreft.Whereby you may learn, that aftringent and emplaftickmedicins muft not be ufed above fix dayes. In fteadhereof you Shall ufe the emplaifters, which I (hall prefently defcribe. In the beginning of my difeafe I ufed fo fpare a diet, that fortune dayes I ate nothing each day, but twelve ftewed prunes, and fix bread, and dranke a Paris pint of fugred water,of which water this was the compofition. WJacciatoif%tij.aiju£ font. fitnulfecundum artem: Otherwhiles I ufed fyrup of maidens-hair with boiled wa- ter : Otherwhiles, the divine drink (as they term it) whereof this is the compofition. cottt ftvg agitentur & tranfaafenturfapius in vafij vitreii. I was purged when need required K k 2 With rofatum, whe dore] good in fraQtires. You IT.tlft have acarej that rhe comprefles and rowlers grow not hard by drinefs. The defcri* prion of a fugrcd wa-> ist. 376 Concerning FrMures. LiB.15, with a bole of Caff a with Rubarb. Jufed alfo fuppofitories of Caftlefoapto make me go to ftoole- for,if at any time I wanted due evacuation, a preternatural! heat prefcntly /eifed upon my kidnies. With this, though exquifite manner of diet, I could not prevail,but that a fever took me upon the eleventh day of my difeafe, and a defluxion, which turned into an abfeefs, long flowing with much matter. I think the occafion hereofwas fome portion of the humorfuppreftinthe bottomeof the wound5as alfoby tooloofe binding}by reafon that I could not endure juft or more ftrait binding ; andlaftly, fades or (Livers of bones quite broke off, and therefore unapt to be agglutinated : for thefe therefore putrefying, drew by confent the proper nouriftiment of the part into putrefaftion,and by the putredinous heat thence arifing, did plentifully adminifter the materialland efficient caufe to the defluxion and inflammation. I was moved to think they were /bales fevered from their bone, by the thin and crude faniet flowing from the wound, the much fwoln fides of the wound, and the more loofe and fpongy fleffi thereabouts. To thefe caiifes, this alfo did accrew, one night amongft the reft, as I flept, the mufeks fo contrafted themfelves by a violent motion, that they drew my whole leg upwardsjjfo that the bones, by the vehemency of the convulfion,were difplacedA' preffed the fides of the could they be perfeftly compofed o* ret,unlefs by a newexcenfion and impuliion, which was much more painfull to me than the form'er My feaver when it had lafted with me/even dayes,at length enjoyed a errand end, partly by the eruption of matter, and partly by fweat, flowing from me in a plenteous manner. r 7 he caufes of a fever and abfeefs, snfuingup- ona fra- flure. Signs of fcales feve- red from their bones CHAP. XX VL What may be the caufe of the convulfive twitching of broken memberJ, Why rhe extream parts are cold when we fleep. {is contraction, and (as it were) convulsive twitching, ufually happens to fraftured member? in the time of Sleep. I think the caufe thereof is, for that the native heat withdraws its felf while we deep,into the center of the body5whereby it commeth to pafi,that the excream Darts grow cold. In the mean while, nature, by its accuftomed providence, fends fpirits to the fun ply of the hurt part. But becaufe they are not received of the part evill affefted and unapt thereto thev betake themfelves together, and Suddenly, according to their wonted celerity, thither from whence thev came, the mufcles follow their motion: with the mufcles, the bones, whereinto they are inferted are together drawns whereby it comes to pafs, that they are againe difplaced, and with great torment of pain, fall from their former fear. This contraction of the mufcles is towards their originall. CHAP. XXVII. Certain documents concerning the parts, whereon tbe Patient muft necefTarily reffwbilefi he lyes in his bed. The natu- ral faculties Jangujfh in the parts by idlenefs, but are fhengchen- ed by afti- on. | Hofe who have their leg or the like bone broken, becaufe they are hindered by the bitternefs of I pain, and alto with for their cure or confolidauon, are forced to keep themfelves without fiir- | r'ng> and upon theirbacks in their beds fora long time together. In the meanlpace the parts whereupon they mutt neceffarily lye, as the heel,backjioly-bone,rump,the mufcles of the bro ken thigh or leg,remain ftretched forthand unmovablc,fet at liberty from their ufual functions Where" by it conies to pafs, that all their ftrength decaies, and grows dull by little and little. Moreover allo bJ the fupprefiion ofthe fuliginous and acrid excrements, and want of perfpiration,they grow preternatu- rally hot, whence defluxion, an abfeefs and ulcer, happen to them, but principally to the holy bone rhZ rump,and heel: to the former,for that they are defended with fmall ftore of flefh; to the latter for that it is of more exquifite fenfe.Now the ulcers of thefe partsare difficultly healed,yea,and oft-times'they caufe a gangrene in theflefh,and a rottennefs and mortification in ths bones there-under,and for the nioft part a continued feaver, deli- rittmi convulfion, and ( by that fympathy which generallyaccom- panies fuch affefts ) a hicketing. For the heel and ftomach are two very nervous parts, the latter in the whole bo- dy thereof, and by a large portion of the' nerves of the fixth con- jugation; but the other by the great tendon pairing under it, the which is produced by the meting} and as it were growing together of the three mufcles of the calf of the leg. All which are deadly, both by diffipation of the native beat by the fea- verifh,and that which is preternaturall; as alfo by theinfeftion of the noble How and ■what ulcers happen up- on rhe fra- Cure of the leg, to the rump and hoc/, The figure of a Cafe. the bottom? or belly of the Caffe. BB.TAr wing/ or fide/ to be opened and the ™hmi0 thefik or arch Mfitteil- DD.Tbe Arcb. EKTbejole.FF, An open ipJCes whereat tbe heel bangs forth of the Caffe. LiB.15. Concerning Fractures. 377 noble parts, whofeufethe life cannot want, by carrion-like vapours. When as I cqnfidered all theft things with my felf, and (become more ski ] full by the example of others ) iinderitood how dangerous they were, I wifhedthem now and then to lift my heel up out of the bed; and taking hold of the rope which hung over my head, I heaved up my felf, that fo the parts, prefTed with continual! lying, might, tranfpire, and be ventilated. Moreover alio I idled thefe parts upon a round cufhion, being open in the middle,and fluffed with foft feathers,and laid under my rump and heel,that they might be refrelhed by the benefit and gentle breathing of the air:and I did oft-times apply linnen clothes fpred over with unguentum rofatum, for the aflwagingof the pain and heat. Befidesalfo, I deviled a Caffe of Lattin,wherein the bro- ken leg being laid, is kept in its placc,far more ftirely and certainly than by any Junks-and moreover alfo k may all be moved to and again at the Patients pleafure.This Cats will alfo hinder the heel from lying with all its body and weight upon the bed, putting a foft and thick boulfter under the calf, in that place where the Cafs is hollow: beiides alfo, it arms and defends it again!! ths falling down and weight of the bed clothes, having a little arch made over and above of the fame matter. All which (hall be made manifeft unto you by the precedent figure. Now it remains, that I tell you u hatremedies I applyed to the abfcefs which happened upon my wound. When therefore I perceived an ablcefs to breed, I compo-t fed a fappurative medicin of the yolks ofegs, common oil, turpentine, and a little wheat flour, and! ufed it untill it was opened; then to clenfe it I ufed this following remedy. R. frrttpi rofati & terebinth, zeneta, an.^ij.pulveris radicis inos florentia, aloesy mefticbesjariu* hordei, incorporentur omnia fimul & fiat muudificativum: but I had a care,that the place, whereat I conjeftured the quite fevered icales of the bones mud break forth, fliould be filled with tents made of fponge or flax,that fo,by this means, I might keep the ulcer open at my pleafure. But I put into the bottome of the ulcer catagmatick and cephalick powders, with a little burnt alum,to procure the egrefs of the formerly mentioned fcales.Thefe at length call: forth, I cicatrized the ulcer with burnt alum. For, this having a drying and aftringent faculty, con- firms and hardens the flefli, which is loofe and fpongy, and flowing with liquid fanies, and helps forward natures endeavor in cicatrization. F or,the fragments of the bones, they,by reafon of their naturtrfl drp nefs and hardnefs, cannot be joined and knit together by themfdves without a medium : but they need a certain fubftance, which, thickning and concreting at their ends, doth at length glue them together3and (as it were) fallen them with fbder. This fubflance hath its matter of the proper fubftance and marrow of thebones- but the former from the native heat,and emplaftick medicins,which moderately heat.For, on the contrary, thefe medicins, which, by their too much heat, do difeufs and attenuate,do(as it were) melt and diffolve the matter of the Call™, and fo hinder the knitting. Wherefore for this purpofe, I would wifh you to make ufe of the following emplaflers, of whole efficacy I have had experience; for, hence they are called knitting or confolidating plaifters. R. dei my r till. & r of arum ompbac.an, ft. (3, rad. althe* ft.ij. r ad.fr &fel. eju/dimfol.falicu3an.m.j.fiat decottioin fujfi- cienti quantitate vininigri, & aquafabroruni) admedietatis conjumptionem, adde in colatura pulverh myrrb* & thuris Hbfi.terebinth Jot* tnafiicbes aftri & argenti3an.^X\t beli armeni*,& terr* alb* quantum fufficit: fiat emplafirum3ut artis efi.ln Head hereof yotl may ufe the black emplaifler, whereof this is thedefcription. R.litbargyri auri tb.j.olei & aceti IfoXycoquantur fimul lento igne donee nigrum & fplendens reddatur emplafirum3& non adb*reat digitis. Or elfe, R. olei rofat, & myrtid.an.yynftcum cuprefiif/oli armenfanguinis diacbalcitbeos ciant fimul3 &fiat emplafirumfccundum artem. In deleft of thefe, you may ufe a Cere-cloth,or tda Gualteri, whereof this is the description. fy.pulveris tburisjarin* bo'rarm. refin* pini, nucum cu- prefii, rubi* tin£farum9an.%i].fevi arietini & cer* alba an.tb.fi. fiat emplafirum: into which(whilefl it is hot) dip a warm linnen cloth, for the forementioned ufe. Emplafirum Diacalcitheos, by the common confent of all the Ancients, is much commended for fraftures; but it muft undergo different preparations, ac- cording to the condition of the time; for inthe fummer it mull be diflblved in the juice of plantain and uight-fliade, left it fliould heat more than is fit. It is convenient,in the interim,to have regard to the tem- per of the affefted bodies; for neither are the bodies of children to be fo much dried as thefe of old men: otherwife if fuch drying medicins fliould be applyed to young bodies as to old, the matter of the Call™ ■would be diflblved, it would be fo far from concreting; wherefore the Surgeon muft take great heed in thechoice of his medicins. For, oftentimes remedies, good of themfelves,are by ufe made not good,be- caufe they are ufed and applyed without judgement: which is the caufe that oft-times pernicious accidents happen, or elfe the Call™ becomes more foft, hard, (lender, crooked, or la ft ly, concretes more flowly by the great error, and to the great fhame of the Surgeon. Remedies for the pre-i veijrion of rhe .fotefaid ulcers* Theufe oT a Lattin Cafle. A fuppur* rative me- dicine, A deterfivec Catagma* ti: k pow- ders have power ro caft forth rhe fcalej of bones, The caufed both effici- ent and ma- terial! of a Callus, Mediciris conducing to the gcne-> ration of a Callus, The black plaifter; The Dr- fcription of a Sparadra- pumt or Cere-cloth,' Medicins good of. , themfelresj not good by event* CHAP. XXVIII. By wbat means vee may kgorv tbe Callus is a breeding. den I knew that my leg begun to knit, when as leCs matter chan was ufaall came from the ul- cer, when the pain flackened, and laftly, when as the convulfive twitchings ceaftd ; which caufedmetojudge it fittodrefs it feldomerthan I was ufedtodo, For, by the frequent de- terfion in dreffing an ulcer,whilefta Callus is breeding, the matters whereof it is to be made, are drawn away and (pent, which are (as they term them) Kt?/, and Gluitn1 which are tne proper and genuine nourishments both of the bony, as alfo of the fleffly fubftance.I by other figns alfo conjc&ured the breeding of rhe Calius, fco wit, by the fweating of a certain dewie blood out of the edges and pores of the wound, which gently dyed and bedewed the boulfters and ligatures, proceedi ng from the efflux of the fubtler and gen tier portion of that matter, which plenteoufly flowed down for the breeding of a Callus. As alfo, by a tickling and pleafing fenfe of a certain vapour, continually creep- ing, with a moderate and gentle heat, from the upper parts even to the place of the wound. Wherefore thenceforwards I fomewhat loofened the ligation, left, by keeping it too ftrair, I (hould hinder from K k 3 ■ ■ ' ' - entrinf When the Calluses breeding the u!Cer mu ft be fek dotne dr cft6 HipP-ftnt2 Concerning Fraffaires. Lib.ic 378 entring co the fragments of the bones,the matter of the Callus,which is a portion of the blood,temperate in quality, and moderate in quantity .Then therefore I thought good, to nfe nouriftiments fit to generate • more grofs,thick and tenacious blood, and fufficient for generating a Callus- fuch as are the extremities, * tendinous, and griftly parts of beads, as the heads, feet, legs, and ears of Hogs, Oxen, Sheep, Kids; all which I boiled with rice,French barley,and the like,ufing fome whiles one,fome whiles another,to pleafe my ftomaeh and palate. I alfo fometimes fed upon frumity, or wheat iodden m Capon broth with the yolks of egsi I drank red, thick and aftringent wine, indifferently tempered with water. For my fecond courfe J ate chefnuts and medlars: neither do I without fome reafon,thus particularize my diet: for that grofs nouriftiments, efpecially ifthcy be friable and fragil , as beef is, are alike hurtfull (forasmuch as pertains to the generating of a Callus )as light meats are For that makes the Callus too dry,thefe tooten- . der, W her efor pronounces thefe meats only fit for generating a Callus, which are neither fragiL nor friable, neither ferous and thin, nor too dry» but indifferent grofs, and allo vifcid, fat and tough* Thefe meats, digefted by the ftomach into cbylus, are fent into the guts, and from hence, by the mefara- ick veins, into the gate-vein, and the hollow part of the Liver, thence into the hollow vein, and fo into the veins difperfed over all the body and the parts thereof. There are alfo fome of thefe veins which car- ry blood into the bones; but in the large cavities of the bones is marrow contained,as in the fmall a cer- tain marrowy fubftance, proportionable thereto, being their proper nourifhment* The generation of marrow is from the gr offer portion of the blood; which flowes into the greater cavities ofthe bones by* larger veins and arteries, but into the lefs by leffer, which end in their pores and fmall paflages. For, in large bones you may obferve large and apparent paffages, by which the veins and arteries enter for the forementioned ufe. By the fame wayes the nerves alfo infinuate themfelves,from whence proceeds a mem- brane which involves the marrow of the bones, the which by that means is endued with moft exquifite fenfe, as experience teacheth; which is thecaufe that makes many beleeve, that the marrow hath fenfe of feeling, becaufe the membranes thereof being hurt caufe moft bitter pain. Therefore out ofthe marrow and the proper fubftance of the bone, , there fweats a certain grofs and terreftriall juice, whereof by the power of the aflimilating faculty, which ferves in ftead of the formative, a Callus growes and knits.Sim- ple fraftures of the leg are ufually knit in fifty daiesjbut through the occafion of the wound and the fcales quite broke off, and other accidents which befell me, it was three whole months before the fragments of the bones were perfedly knit,and it was alfo another month, before I could go upon my leg without the help of a crutch.Going was painfull to me for fome few dayes,becaufe the Callus had taken up fome place ofthe mufcles: for, before my former freedome of motion could return again to the broken and knit part, it was neceffary,that the tendons and membranes Ihould feparate themfelves by little and little from the fear. In the performance of all thefe things, I had the diligent and faithfull affiftance amongftthc Surgeons, to omit Phyfitians, of Anthon) Vortal the Kings Surgeon. 6 Meats fit or genera- ting a CiB* LH.6.meth< Why the marrow may feem to have fenfe of feeling. In what fpace the kg isufnal- Jy knit. CHAP. XXIX. Of tbofe thing which may binder the gneraMn of a Callup and bow to comU the fault i thereof if it be ill formed. \ving already fpoken of the figns of a C JZw beginning to concrete,of its generation and the manner thereof: itnowremains, that we treat of thofe things which hinder the generation thereofjand what on the contrary help forwards the conformation and concretion thereof Now thefe things which either wholly hinder, or elfe retard the generation of a Call™ have a ftrong and powerful! difcuflive and attenuating elfe they are unftuous oStv' andmoift For by fuch, the juice, whereof the to be,is either melted and confumed oreife growes foft, and is relaxed. Baton the contrary, thofe things which help forwards a Call™ muft be drying, incraffating, thickening,hardning,and emplaftfok, moderately hot and aftringent.But for moift and relaxing medians, they ought to have no place here,unlefs when it happens that the Callwis ill for- ; med, that is, too thick, or crooked, or otherwife ill fliapen, whereby it may be wafted and broken, fo ta be reftored again after a better manner. Yetnotwithftanding, fiich things are not to be attempted, un- Ids when the C»Uu, is yet green,and Co depraved,that the fault thereof doth very much pervertthe native conformation of the part, and exceedingly offend the aSion. Then therefore in fuch Vcafe, the place muft be fomented with a dcco&ion of a Sheeps head and guts,wherein ftiall be boiled the roots of Marflr- dfl1S-°c^10"y'th- fccdsofL,Jne'^t 2n«Rr«k> Pigeons dung, Bayberries, and the like. You (hat a foufe this following ointment and plaifter. Then apply thisfollowingemnlaifter' R.impUjt.dtrigiieumma-<Mnoarm dtferiptimt Phflagrii, i»3iii.oleiMUbiiii & lilurHm m let i.befpred upon leather for the aforefa'd ufe. WiXtt « C" 1 k' f"'n J°, be£fu®cient|y mollified,it (hall be broken,and the bones reftored to their natural e fate, and the cure of the frafture to be followed as at thebeginning. Ifthe Ca//,„ bebecometonfard through age,itisbetternottobreakit,biittoletitalone, left feme worfe accident befall the Parish " > kr1C ®ay (° fail out, that by your labouring to break it,the bonemay break in fotne other part before u be forbidden; that thus by little and little the Cafltor nay decay and dintintfh Ifon'the° 2? W -wayes happen that Diftuffing and unflii' ous medi- ans hinder the genera- tion of a Citlw. What helps forward the generation thereof. WhatCd/fa mnft no t b< broken, though di flort, or o therwifeill conformed The caufes of too flen. deraC'a//w Lib.i6. 379 bound# orbecaufe the idle part is longer kept in quiet than is fit, without exercifing ofits proper ftin&i- on, (which caufe is to be reckoned amongft the chief caufes of the leannefs,even for this tea ton, for that exercifeftirs up the native heat of the part, the worker ofdigeftion and nutrition) orelfefor that they feed uponfuch nourilbments as offend in quality,or quantity, or both# or for that the ligature, ufed to the part,is too often loofed, orbecaufe the part its felt is toohaflily and before the time put to undergo fblid offices and motions. According to the variety of caufes,medicins (ball be applyed. For if the liga- ture of the part be too ftrait, it (hall be loofed, yea verily thefraftured place, the ligature being taken away, (hall be quite freed from ligation, and a new kind of ligature muft be made.) which muft be rowled down from the root of the veflels, that is, from the armpits, if the arm; or from the groin, if the leg be broken, to the frafture; yet fo, as that you may leave it untouched or taken in, forthusthe bloud is preffed from the fountain and fpring, and forced into the affe&ed part, by a way quite contrary to that, whereby we have formerly taught,in fear of inflammation, to hinder it from entrance into the affe&ed part. Aho gentle fri&ions and fomentations with warm water may be profitably made, from which you muft then defift when the part (hall begin to grow hot and fwell. If any too long continue thefe friftrons and fomentations# he (hall refolve that which he hath drawn thither* For this we have oftentimes ob- ferved, thatfri&ions and fomentations have contrary effe^ks,according to the (hortnefr and continuance oftime.Pfcations will alfo conduce to this purpofe,and other things which cuftomarily are ufed to mem- bers troubled with an or want of nourilhment* Remedies therefore; When w» muft defift from fo- menting and frifli, ons. CHAP. XXX. Of fomentations whidi be ujed to brofen bones. Tver*fomentations are ufed to broken bones for feverall caufes. When we ufe warm Water for a fomentation,we mean that,which is juft between hot and cold, that is, which feels lukewarm to the hand of the Phyfitian and Patient, A fomentation of fuch water ufed for fome fhort /pace doth moderately heat, attenuate and prepare for refblution, the humor which is in the furface ofthe body, it draws blood and an alimentary humor to the part labouring of an atrophia-, it af- fwages pain, relaxes that which is too much extended, and moderately heats the member refrigerated through occafion of too ftrait binding, or by any othermeans. On the contrary, too hot fomenting cools by accident, digefting anddifcuffing the hot humor which was contained in the member.We mean a (hors time is (pent in fomenting, when the part begins to grow red and fwellj a juft fpace, wheii the part is manifeftly red and fwoln; but we conjedure, that much or too much time is fpent thereon, if the rednefi, which formerly appeared, go away,and the tumor, which lifted up the part, fobfide. Alfo in fo- menting, you nauft have regard to the body whereto it is ufed. For if it be plethorick,an indifferent fo- mentation will diftend the part with plenty offuperfluous humors; but if it be lean and fpare, it will make the part morcfiefcy and fucculent. Now it remains, that we fay fomewhat of the frafturc of the bones of the feet. . VVarmc water. The effect thereof. Notes of fhorr, juft/ and roo long fo. menting; Fomentatif ons hurt bodies. CHAP. XXXI. Of the frattttre of the bone/ of thefeeh He bones of the inftep, back and toes of the feet, may be fra&ured as the bones of the hands may. Wherefore thefe (hall be cured like them, but that the bones of the toes mutt not be kept in a crooked poftqre, as the bones of the fingers muft, left their action (hould perifh or be depraved. For as we ufe our legs to walk, io we ufe our feet co ftand« Befides aHo the Patient (hall keep his bed untill they be knit. T In end of the fifteenth Why rhe fraflurtd bones of rhe fooc mwft be kept in<« ftreight OF DISLOCATIONS, or LVXATlONS. THE SIXTEENTH BOOK. CHAP. I. Of the kinds and manners of difiocationt. Diflocation is the departure or falling out of the head of a bone from its proper cavity., into an accuftomed place befides nature, hindring voluntary motion. There is another kind of Luxation, which is caufed by a violent diftetition, and as it were a certain divari- cation, and dilatation, or extenfion into length and bredth of the ligaments, and all the nervous bodies, which contain, ftrengthen, and bind together the joints.Tbus thofe who have been tormented and racked, have that thick ligament which is in the inner cavity of the huckk bone too violently extended. Thofe who have fuffered the Strappado, have the ligaments encompafling the articulation of the arm bone,with the (boulder blade/orcibly and violently diltended. Such alfo irtheir affeft, whole foot is flrained by flipping. There is a third kinde of luxatlqn, when as thofe bones which are joined contiguous, and one (a» it werejbound to the (ides of another, gape or fly ■funder: as in the arm, when the ell parts from the wand; in the leg, when the one focile flycs from the other: yet this may be referred to the fccond fort of diflocations, becaufe it happens not without dilata- What a' Luxation properly for called is. What a Luxation nor proper- ly fa called is.J The third kind of location', 380 Concerning Diflocations,or Luxations. Lib.i6 tioihor elfc the breaking of the ligaments.There is alfo a fourth added to thefejas when the Epipbjfes and' heads of bones are plucked from the bone whereon they were placed or faftned: which improperly called, kind of Luxation,hath place chiefly in the bones of young people, and it is known by the impotency of, the part,and by the noife and grating together of the crackling bones when they are handled. Now the bones of young folks are alfo incident to another cafualtyrfor as the bones of old people are broken by violence by reafon of their drinefs and hardnefs3thus the bones of children are bended or crooked in by reafon-oftheirnaturallfoftnefsandhumidity. r 7,/ :: * -- --1 'p - .-v The fourth. CHAP. H. Of the differences of Diflocations. What Lux- ations are finiple* □meL/iiiocations arc »» ......-wun.uu«vc.uuuiuerpre« ternaturall affeft joined with liich compound,as are complicated with one or more preternaturall affe&sjas when a diflocation is affociatedwith a won niffradu re, great paia,in- flammation,and an abfcef».For,through occafion of thefe we are often compelled fo long to let alone the luxation,until thefe be remitted of then Gives,or by our art.Some Diflocations are complete and perfect as when the bone wholly fals out of its caviry:otherfome are unperM as when it is only lightly movcd,& not wholly fallen outjwherefore we only cal them fubluxations or Grains Differences of Luxa- tions are alfo drawn from the placerfor fometimesthe bone is wrefted forwards,otherwhiles backwards. upwards,downwards ; fomewhiles it may be wrefted,according to all thefe differences offfte, and other- whiles only according to fome of them. Differences are allb taken from the condition of thedillocated Joint in greatnefle and littlenefs, from the fiiperhciary or deep excavation of the jinw or hollownels 5 ind laftly from the time, as if it be lately done, or of fbme long continuance. I have judged it fit tofet down all thefe,for that there are feverall indications of caring,according to the varietie of each .of thefei »s wr* fhall teach hereafter. ' What com- pound. What a complete Luxation is. VVhat a fhbluxation or flrain. CHAP. Ilf. Of the caufes ofDiJlocations, Here are three generall caufls of Luxationsjinternalljexternalljand hereditarie. The internail are excrementitious humors and flatulencies,which., fltling into the joints with great force and plentie, do fo make flippery, foften and relax the ligaments which bind together the bones,that they eafily fal out of their cav'des,or elfe they fo fil & diftend thefe ligaments,and make them fb (bort,that being contraftedjhcy alfo contraft the appendices of the bones from whence they arifl,and fb pluck them from the bone whereon they are placed, or el fe draw the heads of the bones out of their cavities 3chiefly if the violence of a noxious humor doth alfo concur, which pof- feflingahd filling up the cavities of the joihts,putsthem from their flats, as it oft-times happens to the joint of the hip by Sciatic jes,and to the Kertetae of the fpine, by whofe Luxation people become gib- bous,or otherwife crooked.Butexternallcaufes ofPiflocations are, fals from high, bruifing and heavy blowes,the Rackiftrappadp,flipping in going,and all fuch like things,which may force the heads of the bones to fly out of their feats,or cavities,which alfo happens fometimes to infants in their birth, when as] they are too carelefly and violently drawn forth by the Midwife, fo that either their arms or legs are put out of joint.Hereditarie caufls are fuch as the Parents transfufl into their off-fpring: hence it is,that crooked not neceflirily,but oftentimes are generated by crooked,and lame by lame. The truth whereof is evident by daily experience. Befides alfo Hippocrates himfelf avers, that infants in the very womb may have their Joints dillocated by a fall9blow and com preflion, and by the too much humidity and loofnefs of the Joints: whence alfo we fee many crook legg'd and footed from their nativity; fb that none need marvell or make any doubt hereof. We have read it obferved by Galen In librum de drtic.that children may have impoftumes in their mothers wombs,which may caft forth quitture, the ulcers being opened of their own accord, and be cicatrised by the only benefit of nature. It alfo happens to many from their firft conformation,that the cavities of their Joints are lefle depreft than they fhould be, and that their verges are more dilated than they ought to be • whereby it happens that the heads of the bones can the lefle enter into them. It falls out,that otherfome have the ligaments, appointed by nature for faftning together the bones of the joint,whether infected or placed about, fo weak, that from their firft originall they are not of fufficient ftrength,or elfe abound with much Phlegm, either bred together with them,or flowing from fome other placejfo that by their too much flipperinefs they lefle faithful- ly contain the knittings or articulations of the bones. In all thefe as the bones are eafily dillocated, fo they may prefently be eafily reftored without the afliftancc of a Surgeon, as I have fbmetimes obferved infbme. Internal! caufes of diftocari- 0HS. External! caufes. Heredirarie aufes. 94' fea.%2.4- fenK3.&4' lib.de Art. Children may have Impo- flumes in their mo - thers wonjbs. CHAP. 1III. The jtynf of di (locations. Ome of thefigns whereby we come to the knowledg of a luxated bone5are commo# to all diflo£ cationsjothers are proper only to (everall Luxations. It is a common fign9that there is al Wales a tumor in that part whereto the bone runs9 and a hollownefs on that fide from whence it is flown. Now the proper figns (hall be (hewed., when as we come to treat of the particular kindes of Luxations. We know a perfeft Dislocation by the loft aftion of the parr3that is to (ay9 the loft moti- onjpain alio breeds a fufpicion of a diflocatiomfor the head of the bone3 which ( moved out of its place) is forced into another3prefles the fle(h3and diftends the nerves al(b moved out of their place. Hereto allo conduces the comparing of the found joint with that which is hurt,in which collation9it is fit the found part,which is compared with the hurt, be no waies, neither by nature nor any accident. Wronged, nor defer.. Hie conn, mon fignof all di flota- tions. Lib.16. Concerning Luxations. 381 deformed,nor withered or decayed,nor fwoln above meafure,otherwile it may cozen anddeceiveyou, if you be leflewarie. Labour and difficulty of a&ion in moving,isa fign of an uncomplete Luxation *or drain. Now we thus know, that the ligaments, feiving to the connexion of the aniculations, are exten- ded and relaxed,if the head of the bone,preffid with your fingers,be eafily driven unto the contrary part and fodainly fiy thence back again, if thrulling your finger into the joint, it eafily enter, nothing re- filling it,as though all were empty withinjifthe motion be difficult,or none at all. Signs of ah nnperfeft dillocatioti. C H A P. V. Of Prognoflickj to be upon luxations. LI Joints may be perverted or luxated,but all of them cannot in like manner be reftored. For the head may be diflocated, but thereupon preient death enlues, by reafon of the compreffion ' of the whole fpinall marrow prefently at theoriginall thereof; fuch alfo is the dillocation of a 3and ofthe Jaw-bone,which, flipped forth on both fides, hath caiiled in- flammation,and a great tumor before that it be let. The bones of other Joints, as they are more or leflTe diflocated,and moved cut of their feats,fo.may they be more eafily or difficultly reffored. For, by how much they are the lefle moved out of their places, by fo much they are the more quickly, and by how much they are the further,by fo much they are the more flowly and difficultly fet. Alfo an indication, taken from the figure of the luxated bone,gives a fign ofthe eafie or hard refloring of the dillocation • asintbe Arm,by how much the bones be the more eafily diflocated, by fo much once luxated they are the more eafily reftored. Bones do not eafily fallout of join tin fleffiy bodies j but when they chance to be put out,they arenot eafily got in again. For in fuch,the articulation is ftraitly on every fide held in by What ati.ons be uneutable. VVhy rhofe bones which are hardly diC- located, ar« hard co be fee. the thicknefs of the mufcles/nd the plenty of the fat lying thereabouts. On the comrade, fuch as are lean,efpecially thofe who formerly have been more fat,have their joints more lax, whereby it comes to pafTe,that their bones may eafily be putforth ofjoint: befides alfo, through the default of the digeftive iacultie,they have their joints replete with mucous humors; whence it is, that the heads of the bones, as Banding in a flippery place,are the leffe ftable,as it is recorded by Hippurates. But Bender bodies, which < are naturally dry,compaft and denfe,have their mufcles and ligaments more ftrong and dry • wherefore • their bones are the more difficultly difplaccd;and difplaced, the more difficultly fet. Some bones,joined amongft themfelves,do fometimes fly affinder,as when the fhoulder blade flyes from the collar-bone at the Acromium&nd in the Arm the Ell from the Wand,and in the Leg the one focile from the other, and the Heel-bone from the Ancle. Bones thus feparated will never be joined together again,wil! never reco- ver their former comely figure,never their ftrength of a&ion. For, then it moft ufually happens, that the ligaments are either broke afunder,or elfe refolved and become lax. Thole whole bones are dislocated by anexternall caufe,they,after they be fet,may eafily fall out again,for that the ligaments, moiftened and bedewed with an excrementitious humor, cannot firmly hold them I oft-times the ligaments are not wholly broken,but only in fome portion thereof; and hence the aftion of the part either periffies, or is debilitated. Alfo that diflocation is uncurable, when as the ligaments, fteeped and fwoln up with an ex- crementitious humidity, are fo much (hortened and contra&ed in their length, as they have acquired in their breadth: and thus they draw away and pluck off the appendices of the bones from whence they ariie, andbyreafontheboneand the appendix do enter and receive each other by many cavities and promi- nencies,therefore they cannot,by how skilfull hand foever they be handled, be again fitly placed and put together. Old and inveterate diflocations, therein a tough humor poflefling the cavity is concrete in Bead of the head of the bone,are not to be reftored; as neither when the heads of the luxated bones have by continuall attrition made themfelves a new cavity in the neighbouring bonejneither if they be reftored, is the reftitudon firm and of continuancejbecaufe the naturall cavity is poffefled by another matter,and the new made near thereto cannot well and faithfully contain the received head of the bone. Thcffie who have their fhoulder diflocated,may ufe their hand for many actions, as well as the oppofite found handdor the weight of the body is not fuftained by the hands as it is by the legs* And by how much the hand is the more exerci(ed,by fo much the arm becomes the more corpulent.Contrarily,if the thigh- bone be diflocated, efpecially if it be wrefted inwards, the whole leg quickly decayes by an atrophia, be- caufe the part doth abfolutely lofe all motionjfor by the opinion of Hippocrates, the performance of the proper aftion'encreafes ftrength,and makes the part in better plight;but idlenefs debilitates and makes itlean.If a great wound and fra ft tire be joined with a luxation,there is danger, left while We ufe extend- , on for reftoring the part,we draw the nerves too violently 5 and fo break the nerves, veins and arteries, whence would enfue fear of inflammation,convulfion,and other malign fymptomes. Wherefore Hippo- . crates judges it better in fuch a concourfe and complication of pjeternatura'I affects, abfolutely not to J meddle at all with the fetdngof the diflocated bone:for,by attempting the reftitudon, certain death, but ' by omitting it only lamepefs is to be feared. Every diflocation muft be reftored before inflammation j be already prefent, you muft prefently be careful Ito take it away. For other things, let the Patient reft, left if the affeft be irritated, the increafe and excefle of pain caufe a convulfion,1 gangrene,and laftly death,as I remember I have fometimes obferved.Therefore when inflammation, and other malign fymptomes (hall be mid gated and correcfedjthen may you endevouc to reftorethe lujtati- on,efpecially if the habit of the body and member affe&ed may admit it. For if the body be flender,deli- cate and tender,then the reftitudon will be more fpeedy and facile. But on the contrary, more difficult,if it be grofle and compaCt; And let thus much fuffice for prognofticks in Luxations. CHAP< Se&.t.dear'. tic.fem. 2# Celfuilib.%* cap. it. Why the 1 plucking of an appendix from a bone is ble. Mippjtni. 88 artt - Sent.io. fea.'ylib. 6. epid& de art, fetit.SS. ■ You truft nor en de- vour to fer an inflamed joint, Concerning Luxations. 382 Or all that I have heretofore delivered the general! method of curing fraftures and diflocations, yet it (hall not be unprofitable to repeat herein this place, thole things which may be accom- modated to this Treadle of curing luxations»Now he that will cure diflocations, mutt have re- gard to five intentions, which it will befitting to perform in order, i he firft is, of holding; the fecond, of drawing or extending; the third, of forcing injthe fourth, of placing in convenient figure and fite- the fifth, ofcorre&ing the concomitant, or following fymptomes. The firft icope, which we faid was of holding, is meant either of the whole body, or elle of fbme part J thereof only. The whole body mu ft beholden by the ftrongembracement of y our lervant or attendant, when as the fhoulder, the the thigh bones are diflocated. But in the dillocation of the coilar- ■ bone, elbow, hand, knee, or foot and leg, it is fufficient only to hold the part ftraitly in your hands. There is neceflity of holding either the body, or elfefome part thereof, left, while the diflocated bone is extended, the whole body follow by continuance of parts, if there be nothing which may hinder; for ifthe body Ihould follow him that draws or extends, all the work-maftcrs labour and endeavour to re- ftore it, is to no purpofe. The ufe of thefecond fcope,that is, of drawing or extending,is,that there may be a free (pace and diftance between the luxated bones, by which diftance the diflocated bone may the '5ore freely be forced into its cavity. But the manner of drawing or extending is different in quantity add manner-, according to the various ftrength of the muffles and ligaments,and diflocation of the bones to this or that part. Therefore this work is almoft alwayes performed by the hands; which when they cannot fuffice,we muft ufe the afliftance of inftruments and engins,whofe figures you (hall fee hereafter de- lineated. But that you may not do amifs, you may fo far u(e extenfion, untill the head of the "bone be brought juft againft its cavity. When the Surgeon hath brought it to this pafs,then muft he haften to the third intention, which is, to put the head of the bone firft moved and gently bended, into its cavity. For he muft have a fpeciall care,that he force it no other way'than into its proper cavity: for it would be dan- gerous, left he ffiould turn it from one extream into another, and the bone, for examples fake, of the thigh, which was diflocated into the fore-part by too violent forcing, by exceeding the middle'cavity may be driven and diflocated into the hinder part. To (hun this,the bone (ball be put back the fame way that it fell out, which may be eafily done in freffi and late happening diflocations. We underftand that 1 the bone is fet by the noife, or as it were a popp, or found like that,which folid and founding bodies be- ing fully and forcibly thruft into their cavities,do make5by the fitnilitude & confent in figure magnitude and all conformation of the affe&ed part with the found, and laftly, by the mitigation of the pain. The t fourth feppe, which is of the convenient fite of the part,muft be fo fulfilled,that the bone after it is fet mav * be kept in its cavity,and not fly forth again. W herefore if the arm be diflocated,it (hall be carryed bound ■upinafcarf: if the thigh, knee,leg,or foot be luxated, they (hall be fitly laid in a bed; butin tbe interim the Surgeon, prefently after he hath fet them, (hall have a care, that the affe&ed joint be wrapped about with ftoups and clothes, or compreffes fteeped in rofe vinegar, and fpred with convenient medicins, then let it be bound with an artificial deligation,rowling the ligatures unto the part contrary to that whereto the diflocated bone flew. For the which purpofe thicker boulfters (hall be there applied whence the bone came out, other wife there will be ffime danger, left it ffiould be again dilplaced; when thefe things are d°nc he ffiall for four or five dales fpace meddle with nothing about the di (location,unlefs pain,orfome fuch like fy mptome happen. For then the fifth fcope will call us from that ceffation and reft, which is to correct the fymptomes and complicate affeftions, as pain,inflamiriation, a wound,frafture,and others* whereof we have fpoken abundantly in our Treatife of Fra&ures. Before we attempt to fet inve- terate diflocations, we muft endeavour to humeft the ligaments, tendons and mufcles by fomentations cataplafms,emplafters, liniments and other remedies, that fo thefe parts may be more obedient to the Surgeons hand; then muft the diflocated bones be moved with a gentle motion upand down, to and again,thatby this means the excrementitious humour,which by continuance of time hath floweddown may wax hot, be attenuated,refolded ormadeflippery, and alfo the fibres of the mufcles, ligaments and nervous bodies, placed about the joint for the defence thereof, may be loofed, that fo they may prefentlv be more reely extended. But if agreatfwelhng, pain, and inflammation urge, we muft firft think of af- fwaging and curing them, then of the reftoring the diflocation. 1 CHAP. VI. Of the general! cure of Dijlocations. Five in ven nons in cu ring diflo- canons The benefit of holding the mem- ber in diflo- cations. The ufeof extenfion The man- ner of fer- ting it,or putting it into its place. Signs that the bone ii fet. The benefit of fir placing the member. The man- ner of bin- ding up the fet joint. "1 " of ii;,rc ate scions. CHAP. VII. he defcriptkn of certain for tberefloringef Dijlocatians. The delineation of the three Ligature $. Thefe liga* tures are not for de liga- tion, but extenfion. : Wore I come to the parti- j eular kinds of diflocations, I think it not amifs to defcribe three forts of bandages, and give you their figures, as thofe which are moft fit to hold and extend dislo- cations. Thefirft liga- ture, defigned by this letter is made for holding the member. The fecond, fflarkBd with the letter S3 is fit Lib.i6, Concerning Diflocations,or Luxations. 383 K r d v . wing or extenfion, and confifts of one knot. The third, whereto the letter C is put, confifting of nots, is to hold or bind more ftraitiy. I have thought good alfb to de- lineate the fol- lowing Engine, made for to draw and extend more powerful- ly, when the hand will not ferve. It is made like a Pulley, marked with thefe letters® D. Within this there lye hid 3. wheels, through whole furrowes tuns the rope which is to be drawn, marked with this letter H.At the ends of the pulley are hooks faftned, the one of which is to fa- ftenthe Pulley to a Poft, the other is to draw the ligature faftned to the part. The Boxes or Cates where- in the Pulley is kept, is marked with B B. Their Covers are mai ked with -d. A fcrew pin which may be twined, and fo faftned to a Poft, that Id one of the ends of the pulley may be with C. A Gimlet (marked by F. J to make a hole in a Poft, fo to let in the (crew pin. You may let all thefe things expreft in the precedent figure. n 2 A Pulley, Manubrium verfatile9 or, A Handvice, Some Practitio- ners in fteadofthis Pulley5make ufe of this defcribcd in- ftrument > which they termc brium vtrfatik, or a Handvice. The end thereof is faftion- cd like aGimblet, and is to be twined into aPoft. With- in that handle lies a (crew with a hooked end , whereto the firing or ligature muft be faftned. Now the (crew rod or male- fcrew runs into the female by twining about of the thus the ligature is drawn a s much as will fuffice, for the fettingthe diflocated bone. Having delivered theft things thus in generally now I come to treat of the Luxations of each part, from the jaw bone even to the toes of the feet. CHAP. VIII. Of the dijlocMion of the bo*e» 3e Jawbone is diflocated by many occasions, and not feldomc by yawning, and other more ftrong openings of the mouth. It is more frequently luxated into the fore, than into the hinder part, by reafon of the mammillary additaments, which hin- der it from falling backwards.Thediflocation is fometimes but on one fide,otherwhi les on both. If the one fide only be luxated, it (together with the chin) is drawn awry unto the contrary fide which is not diflocated; the place is hollow from whence it is flown, but fwoln whither it is gone; the Patient cannot (hut his mouth, but is fordt to gape, fo that he cannot cat; the Jaw, together with the teeth therein, hangs (bmewhat forwardsj neither do the teeth anfwer fit- ly to one another, but the dog teeth are under the (hearers. But if both fides be diflocated,all the jaw and chin hang forwards and towards the breaft; befides alfo, the temporal! mufcles appear diftended, fpictle runs out of the Patients mouth againft his will, the lower teeth (land further forth than the upper, which is the oceafion that the mouth cannot be (hut, neither the tongue have free volubility to fpeak,the Patient ftammeringin his fpeech. When it is diflocated on both fide?, it is more difficultly reftored, and all the fymptomes are more vehement; wherefore it muft be fet with all fpeed, otherwife the Patient will prefently have grievous pain about his throat, inflammation, a feaver, whereupon oft times death cnfues within ten dayes, by reafon of the five branches of nerves, which,arifing from the fecond and fifth conjugation of the brain, are diftributed into the moving mufcles thereof, which too violently extended, brings Thetcaufes, Differences., Signs chat only one part is dif- locace d. Signsthat both fides arc d allo- cated. Progno* nicks* Why death quickly en« rhcdifloca- riots ofbarb fides of ihf jaw# Concerning Diflocations,or Luxations. Lib.i6, 384 bring the forementioned fymptomes- Pra&itioncrs affirm, that the Jaw twelve daycs after it is fet,is free from the danger of relapfe* If it have been dillocated fome few dayes before you go about toreffore it, you muftufefoftning and relaxing medicins to it 5 but when it is put in the joint, apply a medicine made of the whites of egs, and oil of rofes to affwage pain, and apply cloths dipped in oxycrate. At the fecond dreffing you (ball apply fuch things as have power to agglutinate and ftrengthcn the ligaments and otherrelaxed parts, and alfo to keep it beingreftored in its place. Thisfliall be the form of fuch a medi- cine. R.T'ulv.boli armeni,Jang,draconis}fjrin<£ volat.maftich.picit> albuminis ouorum q.f.fiat me- ■ dicamentum* afterwards you may ule emplajWiacalcitheos di fiblved in oil of rofes and vinegar, and other things, as occafion (hall be. Anaftrin- gcnr medi- cine. CHAP. IX. How to fit the Jaw diflocatedforwards on both fidej. The firn manner of fertinga jaw bone. Irft of all the Patient mutt be placed upon the ground., or feme low feat with his face upwards and his head muft be firmlyheld by your fervant,that fo it may be the more immoveablerthen the Surgeon (hall put both his thumbs, wrapped in cloths (left he hurt them by rubbing them upon the Patients teeth, as alfo to keep them from flipping) into the Patients mouth, and prefs with them the larger teeth of the luxated jaw, but put his other fingers without under his chin, and fo lift up the whole jaw with them. But if the operation cannot be thus done, for that the mouth on the infide is fofiiut and doled that the thumbs cannot be put thereinto, then muft you thruft in Woodden wedges made of foft wood, as hazle or firre, being cut fquare, and of fome fingers thicknefs.Thefe (hall be wedg- ed in on each fide above thegrinders-then caft a ligature under his chin,whofe ends your fervant ftial hold in his hands, and letting his knees upon the Patients lhoulders,fhall pull them upwards; then at the fame time the Surgeon fball prefs downwards the woodden wedges. The jaw bones thus reftored,lhall be kept fo by convenient ligation, and dretted with medicins, as it is fitting; and in the mean fpace y ou Auft for- bid the Patient to Ipeak, or needlefly to open his mouth. Wherefore he muft abftain from hard meats and fuch as require much chewing, untill his pain be quite patted, and ufe only fooon meats, as Bariev-' creams, ponadoes, jellies}cullafles, broths, and the like. Another. Ct'er, C H A p. X, Ofre faring the Jaw dijlocatea forwards but on one (ide. What the Surgeon. He Patient mud be placed on a low feat, fo that he may be under the Slirgeonjthen your fer- vant, ftanding at his backj (hall hold his head firm and fteddy, that it may not follow the Surgeon drawing, extending, and doing other things neceffary for reftoring it Then the Surgeon, putting his thumb between the grinders, (hall prefs down the jaw, and gently .. r □ rawing it afide,-force it into its cavity; in the mean while alfo the Patient, as much as in him lyes, fba 1 help forwards the Surgeons endeavour, in opening his mouth as little as he can left the > muiclcs mould be extended; and he (hall only gape fo wide as to admit the Surgeons thumb, for fo the temporal! mufcles (hall be reftored to their place and favour the reftitution. If he open his mouth as wide as he can,they will be extended after a convulfive manner; if on the contrary he (hut his teeth too clofe, there will be no paflage forthe Surgeons thumb unto his grinding teeth.Some there be which affirm that the jaw bone may fometimcs be diflocated towards the hind part,and that then the mouth is fo clofe (hut that the Patient cannot open it nor gape, and that the lower rank of teeth ftands further in, and neare? the throat than the upper. Now for reftoring it, the Patients head mud be ftraitly holden behind,whilft the Surgeon, the mean while putting both his thumbs into the Patients mouth,holding his other fingers without under the Patients chin, he (hall, by (haking it, draw it to him, or for wards,8 and fo rcftore it to its place. For my own part, I confefs I never faw this kind of Luxation, and I eafily perfwade my felf that it can fcarce ever happen, for the reafon I gave in the former chapter. But neverthelefs. if it bv anv means chance to happen, yet can it not be a perfed luxation, but an impeded one; the jaw being only rS k Pfr* thruftback.to * to thofe mammillary additaments. And then it may eafily red by lifting or drawing forth the jaw,and fuddenly forcing it from below upwards. * What rhe Patient ought to do Signs that the jaw is diflocated backwards. The cure. Differences ofthe luxa- ted collar uones. > the Collar bones may be broken, wrefted and crooked, fo alfo they may be diflocated Now vetVotVrhlfr ki^T*'hZrrigaInft th' lkr',xm'or aS?inft the ftouldeZblade, or teri,thereof: yet both theic kinds of diflocationsare very rare, bv reafbn of th*. mJ c r V'cc"!1"b°ne hath with theforefaidpartssbutchiefly whereitisjoined™theff"?™™ it can fcai ce be deprelf, for that it is as it were underpropt with the firft rib. But K mao be diflocated in ' wardly, outwardly and fide-wife, and according to this variety there muft bed ms waves oXJt' yet generally the collar bone is put into its plate by moving or extending he arm S ' 3 «h the bottome upw'Xa the(houlder and S willftand fXrhT?'"f S k thu8UWi"foCOmePafi,that the arm forwardsor backwards, as the bont•l£nfe flown years old, whilft he elercifed Gato wnte, that when he was five and thirty 'M~,thauhe« in CHAP. XI. Of the Luxation of the Collar bom. The cure/ Com.ttd [ent dz.fefl.l. de art. Lib.16. Concerning Diflocationsjr Luxations. 385 in forty dayes (pace, by fo ftraic and ftrong a ligation, that he perceived the motion of the beating arteries under the you (hall find very few,who will fuffer fuchftrait ligation fo long, though it be never fo neceffary.Verily,this kind of luxation is hard to be known,but far more difficult to be healed. I have known many Surgeons deceived, who have taken the luxation of the collar bone for the diflocation of the top of the fhoulder. For then the Spomis or top of the (boulder fwel$,and the place from whence the collar bone is flown3is deprefled with a manifeft cavity,with vehement pain,inflammation}andimpotency of lifting up, or o- therwife moving the arm, or performing other actions which are done by the help of the flioulder. Certainly, if this bone,when it is diflocated, be not fet,the Patient (hall be lame du- ring his life, fo that he (hall not be able, neither to put his hand to his head nor mouth. CHAP. XII. Of the luxation of the Spine, or Backbone. He Back bone confiftsof many bony vertebra, like rowls or wheels mutually join- ted or knit together, by their fmoothnefs and circular form confpiring to an apt- nefs of moving or bending forwards. For if it Ihould conlift of one bone, we Ihould ftand continually with the trunk of our bodies immoveable, as thruft through with a ftake* The vertebra have a hole palling through the midft of them, whereby the marrow, palling this way out from the brain as by a pipe, may fcrve for the ge- neration of thefenfitive and motive nerves, and their diftribution into all parts beneath the head. For which purpofe it is perforated with many holes on the fides,through each whereof certain conjugations of the nerves pafs forth into the reft of the body, and veins and arteries paft in for the propagation of nourishment and life. The whole exterior face of the Spine'is rough, and as it were armed with four forts of apophjfes, or procefles, whereof fome ftand up, others down-fome direft,others tranfverlc. Wherefore from thefe thorny and lharp procefles, the whole hath acquired the name of the Spina. The vertebra the further from the neck they are, the greater they grow, fo that thofe which are the loweft, are the largely for it is agreea- ble to reafon, that that which bears, Ihould be bigger than that which is born. Hence we fee, that the holy bone is placed under the reft as a foundation.The fide procefles of the rack bones ofthecheftjbefides the benefit of defending thelpinall marrow (hut up therein from extcrnall injuries, havealfb another, which is,they firm and fatten the bones of the ribs by a ftrong tye. There lyes a griftle, and a tough, and fas it were) albuminous humor between the vertebra, which makes them , as alfo all the other joints of the body, flippery, and fit for mo- tion: the fpine is flexible with notable agility forwards only, but not backwards, forthat fo there would be continuall danger of breaking the hollow afcendcnt vein,and the great defen- ding artery running thereunder.Therefore the dearticulations of the vertebra, mutually ftreng- thened with ftrong ligaments, do look more backwards.I have thought good to premife the(£ things of the nature of the fpine, beforelcome todiflocationshappening thereto:!wil- lingly omit divers other things which are moft copioufly delivered by Galen,content only to adde thus muchjthat there is nothing to be found in the whole ftrudureof mans bones,which more clearly manifefts theinduftry ofGods great workmanfhip, than this compofure ofthe fpine and the vertebra thereof. An anatctraicaH defcription of the Spine. The variety of rhe proceffes of the Spine. Gal.cap.7 .lib, 13. deufuptr- tiwn. partiwn. CHAP. XIII. Ofthe diflocation efthehead. He head ftands upon the neck knit by dearticulation to the firft vertebra thereof,by the interpofition of two procefles which arife from the bafis thereof,near the hole through which the marrow of the brain pafles down into the back they are received by fit cavities,hollowed in this firft vertebra.Thcfe procefles fometimes fall out of their cavities, and caufe a diflocation behind, whereby the fpinall marrow is too violently and hard comprefled, bruifcd and extended, the chin is faftned to the breaft,and the Patient can neither drink nor fpeak: wherefore death fpeedily follows upon this kind of luxa- tion,not through any fault ofthe Surgeon,but by the greatnefs of the di(eafe,refufing all cure. The connexi- on of the bead with the firft Rack bone of the neck. Proguofticks.' CHAP. XIV. Ofthe diflocation ofthe vertebrX, or rac\ boner of the neck,. He other wrfefof of the neck may be both diflocated and Grained,Dislocation verily,, unlefs it be fpeedilyhelped,brings fudden death:for9bythis means the fpinal marrow isprefently oppreft at the very original! thereof, and the nerves, therehence arifing, fuffer alfo together therewith* and principally thole which ferve for refpiration; whereby it cometh to paCs, that the Animal fpirit cannot come and difperle its lelfinto the reft of the body lying thereunder; henceproceed Hidden inflammation, the fquinfie, and a dif- ficulty, or rather a defeft of breathing. But a Grain or incompleat luxation brings not the like calamity:by this the •yerie£r<e,a little moved out of their feats3are turned a little to the hind ©r fore-part, then the neck is wrefted afide, the face looks b!ack,and there is difficulty of fpeak- ing and breathing. Such, whether diflocation or ftcain, is thus reftored. The Patient muft be fct upon a low feac3and throne mift lean and lye with his whole weight upon his (boulders; kk and The danger hereof. Signsand f>rrr proms of rhea# fubluKario®. The cute, Concerning Dislocations,or Luxations. lib.i6. 386 and the mean while the Surgeon muft take the Patients head, about his ears,betwixt his h inds, and (offtake and move it to every part, untill the vertebra be reftored to its place. We may know it is fet by the fudden ceafmg of the pain, which before grievoufly affixed the Patient, and by the free turning and moving his head and neck every way.After the reftoring it, the head muft be inclined to the part oppofite to the Luxation,and the neck muft be bound up a- bout the dearjiculation of the (houlderjbut yet fo, that the ligature be not too ftrait,leftby prefling the tveazon and gullet,it ftraicen the paffages of breathing and fwallowing. Signs ofrheir refti turion. C H A P. X V. Of the Diflocated VertebrX of the Back. Differences and fignes. He Rack bones of the back may be diflocated inwards, outwards,to the right fide and to the left. We know they are diflocated inwards,when as they leave a deprefled cavity in the fpine;outwardly,when they make a bunch on the back 5 and we know they are luxated to the right or left fide, when as they oblique- ly bunch forth to this or that fide. The vertebra are dillocated by a caufe ei- ther internal!, or externall, as is common to all other Luxationsjthe i nternall is either the defluxion of humors from the whole body,or any part to them and their liga- mentsjor elfe a congeftion proceeding from the proper and native weaknefs of theft parts;or an attraftion arifing from pain and heat.The externall is a fall from high upon fome hard body,a heavie and bruifing blow,much and often ftooping,as in Dreflers and Lookers to Vineyards, and Paviers,decrepit old menjand alfo fach,as through an incurable diflocation of the thigh- bone,are forced in walking to ftoopdown,and hold their hand upon their thigh. But a ver- tebra cannot be forced or thruft inwards,unlefle by a great deal of violence ; and if it at any time happen,it is not but with the breaking of the tyes and ligaments, for they will break ra- ther than fuffer fb great extenfion. Such a diflocation is deadly>for that the fpinall marrow is exceedingly violated by too ftraitcotnpreflion/ whence proceeds dulnefs, and lofleof ftnft in the members lying thereunder.Neither is reftitution to be hoped for,becaufc we cannot through the belly force it into its place: the urine is then fuppreft,as alfo the excrements of the befly/ometimes on the contrary, both of them break forth againft the Patients minde, the kneesand legs grow cold, their ftnft and motion being loft. Such things happen more fre- quently,when the fpine is luxated inwards, than when it is diflocated outwards, for that the nerves,thencearifing,runandare carryed more inwardly into the body. Befides the prefled Spinall marrow becomes inflamed5and that being inflamed,the parts of the fame kindle fuch as are joined thereto, are alfo inflamed by conftnt,whence it happeneth,that the bladder can- not caft forth the urine.Now where thefinews are prefled,they can no more receive the irra- diation of the animal faculty.Hence foliowes the deprivation of the ftnft and motion in the parts whereto they are carryed, therefore the contained excrements do no more provoke to expulfion by their trouble fome ftnft,neither are prefled to keep them injthence proceeds their luppreflion,and hence their breaking forth againft their wils.But the fpine outwardly difloca- ted,Pearce caufts any compreffion of the marrow or nerves. Caufes. The danger of a vertebra diflo- cated inwards. Jfyp.fynt.fi. /e&.yde art.& Gal. in cent. CHAP. XVI. How to refl ore tbe Spine outwardly diflocated. Thecure. C outwardly diflocated, when as they ftand bunching forth,then it is fit to SSL ISIt ftretch forth the Patient upon a table,with his face downwards,and ftraitly vW tO ak°ut with towels under the arm-pits,and about the flanksand thighs. And then to draw and extend, as much as we can, upwards and downwards, yet without violenceifor unlefs fuch extenfionbe made,reftitution is not to be hoped for, by rea- hollowed cavities of the vertebra t whereby, for the faftcr knitting, Another man ner of cure. they mutu- ally receive each other. Then imuft you lye with your hands upon the ex- tuberancyes, and force in the promi- nent vertebra. But if it can-* notbethusrei. ftoredj then wil it be con- venient to wrappe two peeces of wood , of Tour Lib.i6. Concerning Diflocationr>or Luxations. 387 four fingers long,and one thick.more or lefle,in linnen cloths,and fo to apply one on each fide of the diflocated fo with your hands to prels them againft the bunching forth vertebra, untill you force them back into their feats, juft after the manner you tee it before delineated. In the mean while have a care,that you touch not the procefles which (land up in the ridg of the Spine,for they are eafily broken. You may know that the vertebra arereftored by thee- quall fmOothnefsofthewholeSpine.lt is fit,after you have reftoted it, to bind up the part, and1 lay fplints or plates of Lead neatly made for that purpofe upon it 5 butfo, thatchey may not' prefs the crifts or middle procefles of the vertebra, which I formerly mentioned, but only the fides-.then the Patient (hall be laid upon his back in his bed, and the fplints long kept left the vertebra fhould fall out again. How to keep rhe reflored vertebra in their placea. CHAP. XVIII. A more particular wquirie of the dijlccsttion (f the Vertebi 3E, proceeding from an internal! caufe. He vertebra are in like fort luxated by the antecedent caute, as we have formerly which is caufed by the naturall imbecillitieof the parts, principally of the ner- vous ligament, by which all the vertebra are bound each to other. this ligament comes not to the fpinall marrow, but only bindcs together the vertebra on their outfides. For, befides the two membranes proceeding from the two Meningei of the Brain, wherewith the marrow is covered, there is a third ftrong and nervous coat put upon it, left-, whilft the fpine is diverfly bended, the bended marrow (hould be broken. This third coat arifes from the pericranium, as foon as it arrives at the firft vertebra of the neck. Nowthat liga- ment, wherewith we faid the joints of the vertebra were mutually knit and faftried, isencons- pafled with a tough and glutinous humor fop the freer motion of the vertebra. Sometimes a- nother cold,crude, grofs and vifcid humor, confuted and mixed herewith by great defluxions and catarrhs, begets a tumor, which doth not only diflend the nerves proceeding forth ©f the holes of the vertebra, but alto diflends the ligaments wherewith they are bound togetherS which fo diftended, and fas it were) drawn afide, do draw together with them the vertebra, one while towards the right fide,another while to the left, fomewhiles inwards, other whiles outwards,and thus move them out of their feats, and diflocace them. .A difloCated (landing forth and making a bunch, is termed in Greek Cypbofir, (Thofethus aflefted we may csM, Buncb-bacfy. But when it is deprefled, it is named Lordofij, (Such we may term, Saddle- But when the fame is luxated to the righ t or left (ide,it maketh a Scslwfij ( or nejr, )Cwhich wreftingthe fpine, draws it into the fimilitude of this letter S. Galen adds a fourth default of the vertebra, which is, when their joints are moved by reafon ot the loofenefs of their ligaments, the vertebra yet remaining in their places, and he cals it a SJJrr (or (baking.) They alto note another defeft peculiar to the fpinall marrow, which is, when as it(th-e vertebra being not moved whereto it adheres) is plucked and levered from themsthis difeafe is occafioned by a fall from on high,by a great flroak,and by all occafions which may much (hake, and confe- quently deprefle the fpinall marrow, or by any other means remove, or put it forth of its place. Scarce any recovers of this difeafe, for many reafons, which any exercifed in the art, may eafily think upon : But let us return to the internall caufe of Luxations. Fluid and (oft bodies, fuch as Childrens, ufually are very fubjeft to generate this internall caufe of defluxion. If extern all occafions (hall concur with thefe internal! caufes, t\ie vertebra will (boner be dif- located. Thus Nurfes, whilft they too ftraitly lace the breads and (ides of girles, fo to make them (lender, caufe the breaft-bone to caft its felf in forwards or backwards, orelfe the one (houlder to be bigger ©r fuller,the other more fpare and lean. The fame error is committed, if they lay children more frequently and long upon their fides, than upon their backs; or if sta- king them up when they wake, they take them only by the feet or legs, and never put their o- ther hand under their backs, never (b much as thinking that children grow moft towards their heads. Syphcfis. Leidofis, Seoliefis. Com.adfehtiil fefl. Z.lib'deartl Seifis. T he reparation ofthefpinall marrow from the cn compaf- ling vertebra. The error of Nnrfes in bin- ding and la- ding of Chil - dren. F in Infancy it happen that the vertebra of the back (hall be diflocated, the ribs will grow little or nothing in breadth, but run outwards before; therefore the cheft lo- lethiis naturall latitude, and (lands out with a (harp point. Hence they become aflh- inatick, the lungs and miilcles which (erve for breathing, being prefled together and llrartnedj and that they may the eafilier breath, they are forced to hold up their heads, whence alfo they feem to have great throats. Now becatife the weazen being thus prefled, the breath is carryed through a (trait paflage; therefore they wheafe as they breath,arid fnott in their fleep, for that their lungs, which receive and fend forth the breath or air, be ofleffe bignefs:befides alfo, they ire fubjeft to great diftillations upon their lungs, whereby it cometh to pais, that thev are horter lived.But fuch as are bunch-backed below the midriffe, are incident to diieafes of the Sidneys and bladder, and have fmaller and flenderer thighs andlegs, and they more llowly ind (paringly call forth hair and have beards; to conclude, they are lefle fruitful11, and more ubjeft to barrennets, than fuch as have their crookednefi above their midriffe.. The punches which proceed from external caufes are oft-times curable; but fuch as have their oiiginal from m inward caufe;arc abfolutcly uneatable, unlefs they be withftOodat thcfirft with great care CHAP. XVIII. Prognofiicfy of ike 'Dijlcaied Vertebrae ofthe Jfipp.fent.6. art. ConcerningDiflocationjyOrLuxationr. Lib.i6. 388 Why, when thefpine is luxated, the parts belong- ing to the eheft are nourifhed and grow (he leffe. and induftry. Wherefore fuch as have it by kind, never are helped. Such as, whflftthey are yet children, before their bodies be come to perfeft growth, have their fpine crooked and bunching out, their bodies life not to grow at the fpine, but their legs and arms come to their per£& and full growth} yet the parts belonging to their breaftsand back, become more flender. Neither is it any wonder,for feeing the veins,artcries,and nerves are not in their places,the fpirits do neither freely, nor the alimentary juices plenteoufly flow by thefe ftraitened paflages, whence leannef? muft needs enfue: but the limbs fhall thence have no wrong, for that not the whole body, but the neighbouring parts only are infefted with the contagion of this evil. When divers vertebra, following each other in order,are together and at one time diflocated, the dillocation is lefs dangerous, than if one alone were luxated.For,when one only vertebra is diflocated, it carries the fpinall marrow foaway- with it, that it forces it alnaoft into a (harp angle; wherefore being morcftraitly prefled, it muft neceflarily be either broken or hurt,which is absolutely deadly for that it is the brains fubftitute. But when divers vertebra are diflocated at once,it muft of neceflity be forced only into an obtufc angle, or rather a femicircle; by which compreflion it certainly differs, but not fo, as that death muft neceflarily enfue thereof. Hereto may feem to belong that . which is pronounced by Hippocrates 5 a circular moving of the vertebra out of their places is left dangerous than an angular. VVhy the lux- ation of one vertebra is more dange- rous than of many. Sem.fi.fe8$ lib,dt art* CHAP. XIX. Of the diflocation of the rump. The figns. He rump oft-times is after a fort diflocated inwards by a violent fall upon the but- tocks, or a great blow; in this affeft the Patient cannot bring his heel to his buttocks* neither,unlefs with much force, bend his knee.Going to ftool is painfull to him thfcr can he fit unlefs in a hollow chair. That this (asitwere) diflocation maybe reftored, you muft thruftyour finger in by the Fundament,even to the place affefted as we have faid in a fra&ure; then muft y ou ftrongly raife up the bone, and with your other hand at the fame time join it rightly on the outfide with the neighbouring parts, laftly, it muft be ftrengthened with the formerly mentioned remedies, and kept in its place. Now it will be rec o- vered about the twentieth day after it is fet. During all which time the Patient muft not go to ftool, unkfs fitting upon a hollow feat, left the bone, asyetlcarce well recovered, a- gain out of its place. The cure. CHAP. XX. Of the luxation of the ribs. Caufes, He ribs may by a great and bruifing ftroak be diflocated, and fall from the wrrtfr* whereto they are articulated, and they may be driven inwards, or fidewaies. Of which kind of luxation, though there be no particular mention made by the Ancients vet they confefs, that all the bones may fall, or be removed from their feats or cavities wherein they are received and articulated. The fign of a rib diflocated and flipped on one fide" is, a mamfeft inequality; which heremakes a hollownefs, and there a bunching forth- but it is a frgn that it is driven in, when as there is only a deprefTed cavity where it is knit and faftned to the vertebr£ Such diflocationscaufe divers fymptoms, as difficulty of breathing, the hurt rib hin- drmg thc free moving ofthecheft; a painfulnefs in bowing down, or lifting up the body occa- boHed by a pain counterfeiting a pleurificj the rifing or puffing up of the mufculous fleffi'about the rib, by a mucous and flatulent humor there generated: the reafons whereof we formerly men- tioned in our Treatife of Fraftures.To withftand all thefe,the Allocation muft be forthwith rc- ftored,then the puffing up of the fleffi muft bei helped. Wherefore,ifthe diflocated rib ffiall fall upon the upper fide of the vertebrate Patient ffiall be fet upright,hanging by his arms upon the top of tome high door or wmdow.'then the head of the rib, where it ftauds forth, ffiall be prefled down until! it be put into its cavity. Again, if the rib ffiall fall out upon the lower fide of the vertebra it wil be requifite,that thePatient bend his face down wards,fetting his hands upon his knccs-then the diflocation maybe reftored by prefling or thrufting in the knot or bunch which ftands forth But ifthe luxated rib fall in wards,it can no more be reftored or drawn forth by the hand nfrhZ Surgeon,than a vertebra which is diflocated towards she infide,for the reafpns Signs. Cure. Gal.com,adfent. 3'fefl.l.deart> CHAP. XXL Of a dijlocated fooulder. InnC 1? 1 k k • beeral?fethc ligaments of its dearticulation are foft and loofe; as aLo for that the cavity oftheflioulder blade is not very deep; and befidesJtis every where fmooth andI polite, no ©therwife than that of the (houlder bone for that i k* I hCTn recfived;Adde hereunto, that there is no internal! ligament from' bone tn bone,which may ftrengthen that dearticulation, as is in the leg and knee Wherein no wkbfl ding, we muft not think nature defc&ive, but rather admire Gods providence in Jhis that thnart.culationferveanotonlyforextenfionandbending.as that of tbe Elbow for a round or circular motion, as that which carries the arm rLnJ betides, according to each difference of fite.* The fhoulder bone which Hitt* U#' n0Vf tbeD W0J may be diflocated four manner of wayes-upwards downward® rt • es ca ftbc arm bone, outwards, but never backwards, or to the hind part For ieeino th*1 °k * aJ'n,'P1^^orwards and bone, which receives the head of the ar"e whkh X ' CTy °f thc biade •gainft it 5 who itit that can bnt imagin any fuch diflocatioh? In like fonTtb ' inwardly VVhy there is no internall li- gament from the arm bone to the fhoulder blade. Differences of a luxated (hoai- der. Sent.i.fe&.i, lib. de art. Lib.i6. Concerning Luxation!. 389 inwardly, for on this part it hath the flefh of a ftrong mufcle, termed Deltoidesftying over it, be- tides alfo the back and acromion of the blade, and laftly, the anker-like, or beak-like prccefs, all which four hinder this joint from flipping inwards. Now Hippocrates faith, that he hath only foen one kind of diflocation of this bone, to wit, that which is downwards or tothe arm-pit: and certainly it is the moft ufoall and frequent; wherefore we intend to handle it in the firft place.When the (boulder is diflocared downwards into the arm-pit, a depreffed cavity may be perceived in the upper part of the joint; the acromion of the blade (he wes more (harp and (landing forth than ordinary ,for that the head of the (boulder bone is f]iptdown,and hid under the aim- pit,cau(ing a (welling forth in that place; the elbow alfo cafts it felf (as it were) outwards, and Hands further off from the ribs; ar d though you force it, yet cm you not make it to touch them; the Patient cannot lift up his hand to his ear on that fide, neithertohis mouth, nor (boulder. Which fign is not peculiar to the luxated (boulder, but common to it, affcchd with a contufion, frafture> inflammation, wound, ab(cefs,/c/>zr7w,or any defluxion upon the nerves,arifing out of the vertebr# ofthe neck, and lent into the arm: alfo this arm is longer than theother. Laftly, (which alfo is common to each difference of a luxated (boulder) the Patient can move his arm by no kind of motion without fenfe of pain,by reafon ofthe extended and prefled mufcles,fome alfo of their fibres being broken. There are fix wayes to reftore the fhoulder luxated downwards into the arm-pit. The firft is, when it is performed with ones fill, or a to web the fecond,with a clew of yarn, which put under the arm-pit, (ball be thruft up with ones heel;the third .with ones fhoulder put under the arm hole, which manner, together with the firft, is moft fit for new and eafily to be reftored as in thofe who have (e fleth, and effeminate perfons, as chil- dren, eunuches, and women;the fourth,with a ball put under the arm pit and then the arm caft overa piece of wood held upon two mens (boulders,or two (landing pofts;thc fifth, with a lad- der; the (ixth,with an inftrument,callcd an Ambi. We w ill deicribe thefe fix waies, and prefent them to your view. Signs of rhe Ihoulder diflo- cared down, wards. The wayes to reflorc it. CHAP. XXII- Of the firft manner of jetting a which is with onesfift. Irft, let one offufficient ftrength, placed on the oppofite fide, firmly hold the Patient ' upon the joint of the (houlder, left he move up and down with his whole body, at theneceflary extenfion,working& putting itin:thenletanother,taking hold of his »arm above the elbow,fo draw andcxtend it downwards,that the head thereof maybe fit juft aaainft its cavity3hollowed in the blade bone.Then at laft let the Surgeon lift and force up with his fift the head ofthebone into its cavity. Here this is chiefly to be ob' ftrved , that in frefti luxations, efpecially in a body foft, effe- minate, moift: and not over corpulent, thal it femetimes somes to pafs3 that by the only means of juft extenfion, the head ofthebone freed from the mufcles and o- ther particles wherewith it was, aB- it were,entangled>will betake it felt' into its proper cavity-the mulclesbeing by this means reftored to their place and figure, and drawing the hope with them, as they draw themlelves towards their it were with a hidden gird or twitchrwherefore in many, whilft we thought no fuch thing, it fufliced for reftitution only to have extended the arm. But if the luxation be inveterate, and the hand cannot ferve, then muft the Patients (houlder be faftned to a poft with the forementioned ligature, or elfe committed to ones charge, u?ho may Hand at his back and hold him faft.Then the arm (hall prcfently be tyed about, a little above the elbow, with afillet, wheretoacord fhallbe being put or faftned to thepulley, fhal be drawn or ftretched forth, as much as need (hall require. Laftiy the Surgeon, with a towel, or fuch like ligature, faftned about his neck and hanging down, and fo put under the Patients arm- pit near to the luxation, (hall, railing himfelfe upon his feet with the whole ftrength of his neck, lift up the (houlder, and alfo at the fame time bringing his arm to the Patients bread, fball fet the head ofthe (houlder bone, forced with both his hands into its cavity, as you may fee by the precedent figure. Then muft youcoverall the adjacent parts with a medicine made ex faring vo- armenloi & alwminey beaten into powder, and mixed with the white k k 3 c Gnl.com. adfent. 2$,fell.I.dean. An exprejjien of the fir ft manner of putting a fhoulder into joint. A perfect fee- ling rhe luxa- ted ihoulder by extenfion only. Concerning Dislocations>or Luxations. Lib.i6, 390 of an eg.Then niuft the hollownefs under the arm be filled with a clew of woollen or cotten yarn, or a linnen cloth fpred over with a little oil of Roles or Myrtles, a little vinegar, and unguentum or infrigidans Gakni, left it ftick to the hairs, if there be any there. The part mult after- wards be bound up with a ligature, confiding of two heads, of fome five fingers bredth, and two els long; more or left, according as the body (hall require. The midft thereof (hall be put imme- diately under the arm pit, and then eroded over the lame (hoqlder, and fo crofting it as much as (hall be fit, it (hall be wrapped under the oppofitearrn. And laftly.the arm (hall be laid upon the breaft, and put in a fcarf, in a middlefigurealmoft to right angles, fq,that by lifting up the hand he may al mod touch his (bund (houldar, left the bone; newly fet, may fallout again; neither (hall the firftdtefling be ftirred, untill four or fivedayes be pa(l,ualefs the greatneft offome happening (ymptome divert us from this our purpofe. CHAP. XU. Ojthefecond manner of reftoring afbottlder.) that ity with the when as the *Patient by reafon of pain can neitherfit3 nor (land. He ratienr maftbelaid with his back on the ground upon a cover-lid, or mat, and a clew of yarn or leathern ball, fluffed with tow or Cotten, of (uch big- nefs as may ferve to fill up the cavity, mull be put un- der his arm-pit, that fo the 'bone may ftraightwaies the more eafily be forced by the heel into its cavity. Then let the'Surgeon Fit befide him, even overagainft the luxated (houlder; and if his right fhoulder be luxated, he (hall put his right heel to the ball, which filled up the arm-pit; 1 but if the left, then the left heel;then let him forthwith - draw towards him the Patients arm,taking hold thereof with both his hands,and at the fame inftant of time ftrongly prefs the arm-pit with his heel.Whilft this is in doing, one (hall (land at the Patients back, who (hall lift up his (houlder with a towel, or fome fuch thing fitted for that purpofe, and alfo with his heel prefs down the top ofthe (houlder blade:another alfo (hal fit on the other fide of the Patient,who,holding him (hal hinder him from ftirring this way or that way at the neceflary extenfion in letting it, as you may fee it 'expreft by the precedent figure♦ r J Jfip.fent. Iz.feH. l.aeart. The expref ion of the fecond manner of reft oring a /boulder. CHAP. XXIV. Of the third manner of reflating a Jboxlder. 2* be figure ofthe third manner of putting a Jhstdder intojoint. Ome one who is of a competent height and ftrength (hall put the (harp part of the top of his (boulder un- der the Patients arm-pit , and alfo at the fame time (hall ibmewhat violently draw his arme towards his owns breaft, fo that the Patients whole body may (as it were)hang thereby.In the mean time another, for the greater impreffion, (hall lay his weight on the luxated (boulder, (baking it with his whole body.Thus theflioulder, drawn down- wards by the one which (lands under the arm- hole, and moved and fiiaken by the other, who I hangs upon it, may be reftored into its (eat by | the help of the Surgeon concurring therewith, | and with his band governing thefe violent i motions, as this figure (hewcs. CHAP. Lib.i6. Concerning Diflocations}or Luxations. 391 C H AP. XXV. Of the fourth manner of reftoring a dfttcated fhoulder. The figure ef the fourth manner ef reft oring the fhouldtr. Ou muft take a perch , or piece of wood (fomewhat refembling that which the Water-bearers of Paris u(e to put on their (houldersj fonie two inches broadband iovne fix foot long-, in the midft hereof let there be faftned a clew ofyarn, or ball of Sufficient bignefs to fill up the cavity of the arm-hole. Let there be two pins put in, one on each fide of the ball, each alike di- ftant therefrom,with which,as with ftaies, the (boulder may be kept in, and upon the ball, that it flip not away from it. Let two ftrong men, taller than the Patient, either by nature or art/put this perch upon their (boulders; then let the Patient put his arm- pit upon that place where the ball (lands up5 the Surgeon muft be ready to pull his hanging arm downwards. Thus the Pati- ent (hall (as it were ) hang on the perch with his (boulder, and (b the head of the bone (hall be forced into its cavity,as this figure declares; wherein you may fee the perch or yoak, with the two woodderi pins and ball faftned in the midft, deline- ated by its (elf. CHAP. XXVI. Of the fifth manner of jutting the fboulder into joint, which m terformed by a Ladder, Ibe delineation of the fifth manner of reftoring a fhoulder. Ou may alfo reftore a fhoulder difloca* ted into the arm-pit, by the help of a Ladder, after this manner. Let fome roundbody,as a ball, or clew ofyarn, which (as we formerly faid) may ferve to fill the arm-pit, be faftned upon one of the upper fteps of a Ladder; at the foot of the Ladder fet a low ftool, whereupon let the Patient mount; then bind both his legs, and alfo his found arm be- hind his back, left, when you are about your o- peration, he hinder and fpoil all you do, by laying his hand, or fetting his foot upon the ladder. Then let his arm be prefently put over the ftep of the Ladder, and his arm pit put upon the there faftnedball, the Patient in the mean while being wifhed to come with his whole bo- dy as near unto the fteps of the Ladder as he is able; for otherwife, befides that there is no o- ther hope of reftoring the luxation, there would be no fmall danger of breaking the fhoulder bone. Alfo let him take heed, that he put not his head between the fteps.Then his arm,bound above the Elbow with filletting, or fome other ligature fit forthatpurpofe,ftiall bedrawn down by the hand of fome 'thataflitt you, and at the fame time let the ftool be plucked from under his feet, fothat he may hang upon the ladder. Thus by this means the head of the fhoulder will be reftored by its fell, the endeavour of the Sur- geon aflifting, and preffing down the fhoulder blade, and moving it to and again, The bone being Concerning Dislocationsyor Luxations. Lib.i6. 392 being fet, the ftool, which a little before was plucked from under the Patients feet, (hall be put there again, that he may, with the more cafe and 1 els pain,pull back his arm from the ftep of the Ladder. F or if he fliould lift it high up to draw it over, there would be danger, left being newly let, and not well (laid, the head of thebone might fall out again. I have thought good to have all thefe things here exprefled, that you may learn this, operation, as if you lee it done before you. I have not thought fit in this place to omit the induftry of Nickola Picarts the Duke of Guife his Surgeon; who being called to a certain Country-man to let his Ihoulder being out of joint, and finding none in the pl ace befides the Patient and his wife, who might alfift him in this work, he put the Patient, bound after the forementioned manner, to a Ladders then immediate- ly he tyed a ftaffe at the lower end of the Ligature, which was faftned about the Patients arm above his elbow; then pu t it fo tyed under one of the fteps of the Ladder, as low as he could, [and got aftride thereupon, and late thereon with his whole weight, and at the lame inftant made his wife to pluck the ftool from under his feet: which being done, the bone prefently came into its place, as you may lee by the following figure. Another figure exprefling the fourth manner of refla- ting a dijlocated jhoulder. Another figure to thefame purpofe. If you have never a Ladder, you may ulea peece of Wood, laid ac'-ofs upon two Polls. Alfa °°r\aS the oc^cr/gure fliewes, wherein you muft obferve a flat piece of wood or fpat a with ftrings thereat, whole ulc (ball be fliown in the following Chapter. CHAP, XXV1J. Tbefixth manner of reft oring a frontier, luxated into the arm-pit. mnft S?* t*?" is,theAeft Way ofal 110 reftor« a diflocated (boulder. You of tne fpatula mtift be wrapped ibout with a lin ' e„0P ° r^e 10ll^er* This lipper part n maybe the fofter, and hm the left and t hT ° aY°r K" °r fonic fllch that throughly penetrate intothe T? t f° thr«ft«nder the arm-pfMhat Lay There mufl, befides in this fpatula be rwn hnl • j, ° r' 2n h tJle t^e bone, other, through which let foft firings be pur pIjCCS> achalike diftant from length thereof even to the fingers, in oneplacea little below aXbt'Jt another Se8.i.lib.i,de artifent.ig. The dcfcripti- on of rhe G/o£ focomium, ter- med Ambi, lib.i6. Concerning Diflocations>or Luxations. 393 another a little above the e!bow,and the third at the wrift/hat fo they may hold it firm. I here fore let tfiediftances of the holes be fitted co this purpofe; but principally you mull have a care of this that the upper part of the fpatnfa, reaching beyond the head of the arm, enter even to the innermoft Cavity of the a rm-pit ;t hen croffe pin or piece of wood muft be made fall through two pofts or a frame,and well faftned thereto,and thereupon the Arm with the fyatula mull be fo put ovefjthatthe pin may be under the arm-pit, the body weighing one way, and the arm a- nother:which being done,the arm muft be drawn down one way, and the body another about the pin. Now this erode pin muft be put on fuch a height that the Patient may frand on tip- toes. Now this is the very beft way of reftoring a (boulder. In (lead of two polls or a frame, you may make (hift with a ladder,doore,bed$ pofts, and fuch like things as (hall be there prefent. I have heard Henry very good Surgeon of Orteanj (ay,that he never attempted this manner of putting into joint a (houlder diflocated into the arm-pit without good fuccefle, unlefie by chance (which alfo is noted by Hi//wc*tfej)that the fiefh is grown into the cavity, and the headj of the bone hath made it felf another cavity in the place whereinto it isfalleriifor in this cafe the bone will either not be reftored, or elfe not re- main in its place, but fall back notwiehftanding into the new hollowed cavity, which ferves it in {lead of its naturall focket or cavity. But I muft here admonifh young Surgeons, that if the bone be not reftored at the firft endeavour and dnfer, that they doe not defpair and prefendy defift from their intended operation, but they muft wind about, and gently move the joint: for fo at the length it will be more eafily moved,and enter into the naturall cavity. When it is in, itmuft be bound up with com- prefles and rowlers after the forementioned manner. To the former figures I have thought good to adde this, which expretfeth the manner of refto- ring a (houlder luxated into the arm'pit with a [patula after the manner of Hippocratej, This JpA- ntla faftned with an iron pin to the (landing frame may be turned, lifted up, and pre (Ted down at your pleafure. A. fhewes the wooden ftatula. B. the frame or (landing pofts. • . SeRa.de art, pent.21. HiWocTAI" bis Glofl'ocomiumwnwrf Ambi. Hippfent.64,' artic. The figure of an Ambi fitted to a diflo criedJbonlder For the more certain u(e of this in- ftrument the Patient muft fit upon a feat which muft be fomewhat lower. than the (landing frame, that fo the (panda which is thruft into the arm*pit may be the more forcibly depreft, foto force in the head of the (boulder bone; the Patients feet muft alfo be tyedsthat he may not raife himfelf up whileft the Sur- geon endevours to reft ore it.Now he fliall then endevour to reftore it when he (hall have bound the ftretched forth arm of the diflocated ftioulder unto the fpatula9 and thruft the one end thereof under the flipped forth head of the (boulder bone, as we have formerly (hewed; for then by prefling down the other end of the fpatula which goes to the hand, the bone is for® ced into its cavity. You muft diligently obferve the wooden fpatula3 which there™ fore I have caufed to be expreffed by it felf,which Hippocrates calleth Ambi9'whofe head is a little hollowed where it is noted with this letter B.The whole fpatula is marked with this letter A. with three firings hanging thereat, provided for the binding of the arm, that it may be kept fteddy, as you may perceive by rhe an- nexedfigure- /, How to make ofc of the Ambi, Concerning Dislocations,or Luxations. Lib.i6. 394 ~ There are other additions to this Ambi,whofe figure I now exhibited to your view, by the in- vention of Nichol# Vicart the Duke of terrain's Surgeon3the ufe and knowledg whereof,beftow- ed upon me by the inventor himfelf, I would not envie the ftudious reader. Another figure of an Ambi with the addit aments, AA. Shew the two eares5as it were3ftops made to hold and keep in the top of the fhoulderfleft it fhould flip out when it is put into the frame or fupporter. BB. The frame or fupporter whereon the Ambi refts. CG. The pin or axeltree which fattens the Ambi to the fupporter. DD. Screw-pins to fatten the foot of the fupporter that it ftir not in the operation. EE.The holes in the foot of the fupporter,whereby you may fatten thefcrew-pins to the floor. CHAP. XXVIII. Hew to refit re a /houlder di/lacoted forwards. T is feldome that the (boulder is luxated towards the forefide 5 yet there is nothing fo ftable and firm in our bodies which may not be violated by a violent aflault , fo that thofe bones do alfo fall out of joint, whole articulations are ftrengthncd for the firmer connexion with fle(hly,nervous3griftly and bony ftayes,or bars. This you may per- ceive by this kind of diflocated (houlder, ftrengthned as it were with a ftrong wall on every handjto wit,the Acromium and the end of the collar-bone3(eeming to hinder it3 as alfo the great and ftrong mufcles,E/o»»»3 (hut up within the ftrait bounds of the leF fer Afiaynev&s (aw this kind of diflocation, which was obferved five times by Gden. I profeffe 1 have feenit but once3and that was in a certain Nun, which weary of the Nunnery3 caft her (elf down out of a windo w,and bore the fall and weight of her body upon her elbow, Co that her (houlder was diflocated forwards.This kind ofdiflocation is known by the depravation of the conformation or figure of the member, by the head of the (boulder wrefted out towards the breaft3asalfo the Patient cannot bend his elbow. It is reftored by the fame meanes as other luxa- tions of other parts,to wit,byftrait hold ing,extcnding, and forcing in. Therefore the Patient jnuft be placed upon the ground with his face upwards, and then you muft extend the (boulder otherwife than you do when it is luxated into the arm-pit. For when it falleth into the arm- hole3it is firft drawn forwards3then forced upwards, untill it be brought juft againft the cavity whereinto it muft cnter.But in this kind of luxa«on3becaule the top of the (boulder is in the fore parts of the dearticulation (hut up with mu(cles,opened both to the outer, as alfo to the inner part, you muft worke to the contrary 5 to wit, to the hinde part. But firft of all you muft place a (ervant atthe back of the Patient, who may draw back a ftrong & broad Bandagecaft a- bout the arm-pitf fuch as is the Carcbtfi which confifls of two contrary and continued left that when the arm (ball be extended, the (boulder follow.-alfo you muft put a clew of yarn to fill up thcarm-pit. Then muft you extend the arm,/ cafting another ligature a little above the clbow,and in the interim have a care that the head thereof fall not into the arm-pit, which may be done both by putting the forementioned dew under the arm3 and drawing the head another way;then muft you permit, by flacking your extenfion3the joint freed from the encompafting mufcleSjto be drawn and forced into its cavity by the mufcles forcible recoiling, as with an un- animous confentjintothemfelves and their originals, for thus it will eafily be reftored and fuch extenfion only is Efficient thereto* 3 CHAP. Cem.td fent.a & 2$je8.i.de trticxlx. Signs. Cufc. rfitrt. Lib.i6. Concerning Diflocations>or Luxations. 395 dediflocation alfo of the (houlder to the outward parts (eldome happensjbut yet, if ic may at any time happen,the cxtcnlion of the arm will be very difficult, but yet more difficult towards the outward part than towards the inward; there is a deprefied cavi- ty perceived towards the cheft;but externally a bunching forth, to wit, in that part from whence the head oftheffioulder bone is fled. For the reftoring hereof, the Patient muft be laid flat on his belly,and the elbow muft be forcibly drawn contrary to that whereto it is fled, to wit, inwardly to the breaftjand alfo the Handing forth head of the ami-bone muft be forced into its cavity, for thus it (hall be eafily reftored. But into what part foever the (boulder bone is diflocated, the arm muft be extended and drawn direftly downwards. After the reflitution fit* ting niedicins (hall be put about the joint. Let there be fomcwhat put into the arm-pit which may SI it up, and let comprefles or boulftersbe applyed to that part to which the luxated bone fel; ! then all theft things (ball be ftrengthened and held faft with a ftrong and broad two headed Jiga- ' tureput under the arm-pit, and fo brought acrofs upon the joint of the ffioulderjand thence car- ry ed unto the oppofite arm-pit by fo many windings as (hall be judged requifite. Then the arm muft be put and carried in a (carfto right angles,which figure muft be obftrved not only in every luxation of the (houlder, but in each fra&ure of th e arm alfo, for that it is left painfull,and con- sequently, (uch as the arm may ftand the longeft therein without moving. CHAP. XXIX. Of the [boulder luxated outwardly. Signs. The cure. VVhat to be done to hold in the fhoulder alter it is reftd- red. le head of the (houlder alfo may fometimes be luxated into the upper part. Which when it happens, itlhewes itfelfby bunching forth at the end of the collar bone, the hollowne(s of the arm-pit is found larger than ufaall, the elbow dyes further From the ribs than when it fell downwards, now the arm is wholly unable to per- form the ufuall a&ions. It is 6c for the reftitution of inch a luxation, that the Sur- geon ftoop down, and put his (houlder under the Patients arm, and then ftand up as high as he can upon his feet, and therewithal! preis down the head of the (houlder bone into the cavity, or el(e make fome other to doic. Otherwife it is fit to lay the Patient upon his back on the ground, and whilft fome one extends the afiFe&ed arm by drawing it downwards, the Surgeon with his own hand may force down the head of the bone into its cavity. The operation perfor- med, the lame things (hall be done as in other luxations, comprefles being applyed to that part whereto the bone new, and it being alfo bound up with ligatures. Now you may underftand in thele four forementioned kinds ofdiflocations, that the bone which was luxated is reftored, by the found which (hall be heard as you forceitin, by the reftitution of the aecuftomed aftions, which are perceived by the bending, extending, and lifting it up, by the mitigation of the pain, and laftly, by the collation and comparing of the affe&ed arm with the found, and by its fimi- litude and equality therewith. CHAP. XXX. Ofthi jboulder dijlacated upwards. Signs, Cure, CHAP. XXXI. Of the diflocation o[ tbs elbow. He elbow may alfo be four manner ofwayes diflocated; to wit,inwardly5outwardlyj and downwards. By the part which is inwards, I mean that which looks towards the center of the body, when as the arm is placed in a natural! fite, to wit,in a middle figure between prone and fupine; I make the outward part, that which is contraiy thereto. By the upper part I mean that which is towards the heaven, and by the lower that which is next to the earth: and by how much the joint of the elbow confifts of more heads and cavities then that of the Ihoulder, by fo much when it is fixated it is the more difficultly let, and it is alfo more fubjeft to inflammation, and to grow hard thereupon, a s Hip- pocrates faith. Now the jointof the elbow is more difficultly diflocated than that of the Shoulder, and more hardly let, for that the bones of the cubit and arm do receive and enter each other by that manner of articulation which is termed Gingljas we have formerly more at large treat- ed in our Anatomy, and a little before in our Treatife of fractures. The elbow is therefore diflo- cated, for that the proceffis thereof are not turned about the fhoulder bone in a full orb, and by an absolute turning. Wherefore if at any time the cubit be bended more flraitly and clofely than that the inner procefs can retain its place and ftation in the bottom of its the hind procefs falleth out and is diflocated backwards. But when as the fore procefs is extended more violent- ly, and forced again ft the bottom of its cavity, it flyes and departs out of its place as beaten or forced thence, and this kind of luxation is far more difficultly reftored than the former: adde hereunto that the utter extremity of the cubit, which is called Okcranttm, is the higher, but the other inner is the lower; whence it is that every one can better and more eafily bend than extend their cubits. Therefore fuch a diflocation is caufed by a more violent force, than that which is made to the inner fide. *The fign of this luxation is,the arm remains extended, neither can it be bended,for the Dinner proceffe ftayes in the externall cavity which'is hollowed in the bottom of the Ihoulder bone,which formerly was poflefled by the inner part of the thing makes the reliitution difficult,for that this procefle is kept,asit were,imprifoned there.But when it falleth out diflocated to the fore part, the arm is crooked, neither is it extended,and it is alfo (hotter than the other. But if the elbow be fallen out of its place according to the other manner of diflocations, to wit, upwards or downwards, thenaturall figure thereof is perverted,, for the thofc C?!£m hath attributed t» a diflocation to the 1 arm The Author feetns nor to a> gree with Hip, Sent.ult. fribt.and Celfaf in rhe fetring down the kinds of a dihocated Elbow. * The Author doth not agree with and in fitting down the notes of rhefediflocati- ons;forrhofe notes which are here attri- buted to an outward and inward luxa« tionjthefe hath gi- ven to an el- bow diflocated towards the fore and out part; and thofe which are here attributed to the elbow dip located up- wards and downwards; out and infides. 396 Concerning Diflocations,or Luxations. Lib.i6, 'Inflammation h'ndets repeti- tion. arm is ftretched forth, but little notwithftanding bended towards that part from whence the bone went, that r, figured after a middle manner between bending and extending thereof. What kind foever of diflocation ffiall befall it, the aftion of the elbow will either not be at all, or cer- tainly not well untill that it be reftored to its former place; there is a (welling in the part where- into it is flown, anda cavity there from whence it is fled, which alfo happens in the diilocati- ons of all other parts. Furthermore, one diflocation ofthe elbow is compleatand perfect, a- nother imperfeft. The lattfir as it ealily happens, and through a fmall occafion, fo itiseafily reftored; but on the contrary aperfeft, as it hardly happens, and not imlefle with great vio- lence, fo it is not fo eafily reftored again, efpecially if that you do not prevent inflammation* for being inflamed it makes the reftitution either difficult* or wholly impoffibie, principally that which falleth outwards. CHAP. XXXII. How to refiore the dijlocated outwardly. Signe. Ou may know that theelbow is diflocated outwardly, ifat any time you (ball obferve the arm to be di (tended, and not able to be bended. Wherefore you mult forthwith undertake the reftitution thereof, for fear of defluxion and iuflamma* tion which the bitternefle of pain ufoally caufeth, upon what part foever the luxation happen. There is one manner of reftoring it, which is, you muft caufe one to hold hard and fteddy the Patients arm a little under the joint of the fhoul- der, and in the mean while let the Surgeon draw the arm, taking hold thereof with his hand,and alfo force the fhoulder bone outwards, andtheeminencyof the cubit inwards, but let him by little and little draw and extend the arm , wrefting it gently this way and that way, that he may bring back the bone which fell out into its cavity. I have thus expreflely delivered this, that the young Surgeon may underftand, that the arm muft not be bended for the reftoring of this kind ofdiflocation; for reftitution cannot fo be hoped for, becaufe by this kind of luxation the inner procefle of the cubit pofTefleth the place ofthe exteriour proceffe in the cavity of the fhoulder bone. Wherefore whilft the arm is bended or crooked, the cubit is only lifted up, and not drawn into its feat. But if we cannot attain to the reftitution thereof with our hands alone, you muft caufe thediflocated arm lightly bended to embrace a pofte, then muft the end of the cu- bit called Olecranum be tyed or bound about with a ftrong ligature or line, and then wrefted into its cavity by putting a battoon or ftaff into the ligature,as is demonftrated by this enfuing figure. Cure a A Caution, A figure whichjbews the way how to reft ore the elbows by -putting it about a poft3 with a battoon. A figure whichJhewej how to refiore the elbow by only cafiing a line about it. There is alfo another more exquifite way oil reftormg it,which.is expreffed by the latter figure! whereui a line of fomc inch bredth is caft about! theO/ecr^«Wof the arm, embracing a pofr or| that the bone is returned into itdlP0C^ted bone be brought into its feat. Now we know whole naturall conformation is rC.ftored' whenthe pain ceafeth, and the figure and eafie5andnotXfui r red and the bending and extending thereof is r • ' CHAP Ln Concerning Difloc at ions,or Luxations. 397 CHAP. XXXIII. Of the Diflocation of the Elbow to the infi demand of a comp I eat and uncompleat Luxation. F the Elbow be diflocated to the inner part, the arme muft bee ftrongly and powerfully extended 3 then bended quickly and with fudden violence , fo that his hand may fmite upon his (boulder. Some put fome round thing into the bought of the Elbow, and* upon that do fuddenly force the Elbow to the fhoulder as wee have formerly faid. If the Cubit bone [bee onely lighxly moved out of its place into the upper or lower place* it is eaiily reftored by drawing and forcing it into its cavity , after this following manner. Let two extend the arme, taking hold thereof at the (boulder and wrift, and each draw towards himfelfe; and al(o the Surgeon (who (hall there be prtftnt) (hall force the bone which is diflocated from that part whereunto it is bended, unto the contrary- after he (hall thus have reftoredit, hee (hall lay the arme in a ftrait angle, and fo binde it up, and apply fit medicins formerly mentioned, and folet him carry it inafcarfe put about his neck, as we faid in the diflocation of the (houlder. Hippocrates bids that the Patient, after it is fet, (hall often endeavour to bend his hand upwards and* down- wards, andalfo extend and bend his arme, yea, and alfo to attempt to lift up fonie heavy thing with his hand 5 for fo it will come to pafle, that the ligaments of this Joint may become more foft, ready, and able to performe their accuitomed functions and alfo the bones of the cubit and (houlder (ball be freed from the atfeft termed /in- cjlofij) whereto they are incident by the luxations of this part. Now dAcyfofa is a cer-' taine preternaturall agglutination, coagmentation, and as it were union of fundry and feverall bones in the fame joint, which afterwards hinders the bending and extenfion 1 thereof. Now* a CaBw is generated in the elbow fooner than in any other articulation whether it remaineth out, or be put into joint, byreafon that by reft and ceflation from the accuftomed a&ions, a vifeide humor which is placed naturally in the joints as alfo another which is preternatural!, drawne thither by paine, floweth downe, and is hard- ned, and gleweth the bones together, as I have obferved in many, by reafon of the idlenefli and too long reft of this part. Wherefore, that we may withftand this affeft, the whole ligation mult be loofed fooner and ofrner than otherwife, that is to fay, every third day, and then the Patients arme muft be gently moved every way. Within the fpace of twenty, or twenty five dayes, thefe reftored bones recover their ftrength fooner or later, according to the happening accidents. It is neceifary alfo that the Surgeon know that the Radiut, or Wand , fometimes fallcth out when the Cubit or Ell is wholly diflocated ; wherefore hee muft bee mindful! in fetting the Cubit, that hec alfo reftore the Wand to its places in the upper part it hath a round proceffe light- ly hollowed, wherein it receiveth the (houlder bone: it hath alfo an eminenev whichad- mitteth the two headed mufcle, . ' The Cm-fs'c. Sent.63.feZk!, defraZt. Why thcelbow is moft fubjeft to CHAP. XXXIV. Of the Diflecation of the or bodkin-liHe procefle of the cubit or ell. HE precede of the Ell called being articulated to the wrifi by Diar thro fit y by which it is received in a fmall cavity, is diflocated, and falleth out fometimes inwards, fomewhiles outwards. The caufe uftially is the fallingofthe body from high upon the hands. It is re- ftored,ifthat you force it into its feat, diligently binde it, and ap- ply thereto very aftringent and drying medicines. But yet, though you (ball diligently performe all things which may bee done in diflocations, yet you (hall never fo bring it to paffethat this bone (hall bee perfeftly reftored, and abfolutely put into the place where hence it went : which thing wee have read, obferved by Hip- poerttu; when (faith hee) the greater bone, to wit, the Ell, is removed from the o- ther, that is, the wand, it fis not eafily reftored to its owne nature againe; for 17 kkk ' that Differences and caufcsp Cure, Sent.i.feZZ. 2/' fafent. uh feZt9 5 de frail. Concerning Dislocations,or Luxations. lib,i6. 398 that, feeing that neither any other common connexion of two bones, which they call Symphyfis or union, when itisdrawneafunder and deftroyed, may be reduced into its former nature, by reafonthefe ligaments wherewith they were formerly contained, and as it were continued, are too violently diftended and relaxed, whence it happens, that I have in thefe cafes often obferved, that the diligence and care of the Surgeon hath nothing availed. CHAP. XXXV. of the diflocation of the Wrift, Here, as btfore chap. i. the Author diflents from Celfas and ffippocrat. in ex prefling the names and figna of thefe diflocations. Ee underftandby the Wrift, a certaine bony body, confiftlng of a compoftire of eight bones knit to the whole Cubit by Viartkrofij, For the Wrift considered wholly in its felfe, is knit and articu- lated with the Ell and Wand: with that, againft the little finger, with this, againft the thumb: for thus as it were by two con- nexions, the joint is made more firme. Yet may it be diflocated inwardly, outwardly 3 and towards the fides. Wee fay it is lux- ated inwardly when the hand ftands upwards, but outwardly, when it is crookt m and cannot be extended. But if it chance to be diflocated fidewayes, it Hands awry either towards the little finger, or elfe towards the thumbe, as the luxation befah to this or that fide. The caufe hereof may feeme to depend upon the different dear- ticulation of the Ell and Wand with the Hand or Wrift. For the Wand, which is articulated on the lower part with the Wrift at the thumbe, by its upper part, whilft it receives the outward (welling or condyle of the Ell ira its cavity, pertormes the circular motions of the hands- But the Cubit or Ell, which in like fort is conneftcd on the lower part by Viarthmfij at the little finger with the Wrift, being articulated on the upper part with the (houlder bone bends and extends, or ftretches forth the hand. There is one way to reftore the formerly mentioned diflocations. The arme on one fide and the hand on another muft be extended upon a hard refifting and fmooth place, fo that it may lye flat 5 and you muft have a care that the part whence the diflocated bone fell, be the lower in its fite and place , and the part whither it is gone, the higher. Then to conclude 5 the prominencies of the bones muft be prefled down by the hand of the Surgeon,untill by the force of comprellion and fite the luxated bones be thruft and forced into their places and cavities. CHAP. XXXVI. Of the dif orated bones of the Wrift. fignei HE Wriftconfifts of eight bones, which cannot, unlefle by extraordi- naryviolence, be put or fall out of their places. Yet if they (halt at any time fall out, they will frew it by the tumour of the part where- to they are gone, and by the depreffion of that wherefrom they are fled. They may beereftored, if the difeafed hand be extended upon a table 5 and if the bones (hall be diflocated inwards, the hand frail bee placed with the palme upwards, then the Surgeon (hall, with the palme of his hand, prefle downe the eminencies of the bones, and force each bone into its place. But if the luxation bee outwards, hee frail lay the palme next to the tableland prefle it after the fame manner. To conclude, if the luxation frail be to- ward either fide, the luxated bones frail be thruft towards the contrary, and the refto- red bones frail be prefencly contained in their places with fit remedies, binding, fowling, and carrying the hand in a frarfe. B Gw, CHAR Lib.16. Qmcerrimg Diflocation} or Luxation 389 Chap. XXXVII. Of the diflocated bones of the After-mefi. Here are four bones in the Palm or After-wreft, the twp middlemoft where- of cannot bee diflocated fide-waies, becauf they are hindred and kept from ( falling afide by the oppofition of the parts, as it were refilling' them. Nei- I ther can that which anfwereth to the little finger, nor that whereon the fore- finger reft's, bee diflocated towards that fide which is next the middle bones, tWfalito' Mp.i3, whereof wee now foake, but onely on the other fide,free'd from the neighbor-hood of $he bones: but all of them may bee diflocated inwardly and outwardly. They may bee refto- red as thofe of the Wreft. <3 , Chap. XAXVII1. Of the diflocated Finger. .fo the bones of the fingers may bee four leveral waies inwardly, out- wardly, and at each fide. To reftore them, they muft bee laid firaight upon a ta- ble, and fo put into joint again. For thus they may bee eafily reftored, by realbn their lockets are not deep, and.their joints are fhorter, and ligaments lets ftrong. In twelv daiesfpace they will recover their ftrength, asalfo thole diflocations that happen to the Wreft and After-wreft. Why the difto" catedfingers maybeeeafily reftored. Of a diflocated Tbigh> or Hif. Chap. We Thigh or Hip may bee diflocated, and fall forth towards all the four parts But mofl frequently inwards, next to that outwardsbut verie ieldoni either forwards or backwards. A fubluxation cannot happen in this joint, as nei- ther in the fhoulder, specially from an external caul, contrarie to which it ufiially happens in the elbow, hand, knee, and foot. The cauf hereof is, for that the heads of the thigh and flioulder-boneare exaftly round, and the lockets tidiich re- ceiv them have certain borders and edges encompafling them: hereunto may bee added,that ftrong mufcles encompals each dearticulation, fo that it cannot com to pals that part of the heads of fuch bones may bee conteined in the cavitie,and other parts ftand or fal forth, but that they will quickly bee reftored to their places by the motion and wheeling about of the joint, and the Hrength of the encompafling mufcles. But a fubluxation may feem to happen in thefe parts from an internal cauf. For then the ligaments and ties being fofr- ned and relaxed, cannot draw and carrie back the head of the bone Handing forth lb far as the edges of the focket. If the Hip bee diflocated towards the inner part, that leg bee-' com's longer and larger then the other, but the knee appear's fomwhat lower, and look's outwardly with the whole foot, neither can the patient Hand upon his leg* To conclude, the head of the Thigh-bone bewrays it felf lying in the groin, with a fwelling manifelt both to the eie and hand; now the leg is longer then that which is found, for that the head of the thigh is out of it's focket or cavitie, and lituated lower, to wic, in the groin, therefore the leg is made by lb much the larger. New the knee Hand's forth, becaufnecef- larily the lower head of the thigh-bone Hand's contrarie to the focket. For this is com- mon to all diflocated bones, that when as the diflocation happen*sto the one fide, the o- ther end of the bone flic's out to the contrarie. Whence it is, that if the tipper-head of the thigh-bone fhall fall inwards, then the other head, which is at the neceflarily look outwards. The like happen's in other diflocations. The leg cannot bee bended to- wards the groin, for that the diflocated bone hold's the extending mufcles of the lame part lb ftiffly Hretched out, that they cannot yeeld, or applie themfelvs to the benders. For flexion or bending ought toprecede extension, and extension, flexion. ' ' ■ 1 3B0d' . - ; ' ' I 1 Li CHAP* Hip.fat.63. Gal, com, ad de art. A fubluxation maybefal the Thigh from an internal cauf. Concerning rDi/location, or Luxation, Lib.16. 390 CHAP. XL. Here is this danger in the diflocations of the Hip, that either the bone cannot bee put into the place again, atleaft unlefs with very much trouble, or elf bee- ing put in, that it may prefently fall out again. For if the tendons of the muf- cles, the ligaments,and other nervous parts of the member bee hard and ftrong, , . they, by reafon of their contumacie and ftiffnefs will hardly fuffer the bone to return to its place. If that they bee foft, loof, effeminate and weak, they will not contain the reftored bone in its place. Neither will it bee any better contained, ifthatfhort, but yet Itrong and round ligament, which faften's the head of the Thigh-bone on the infide in the Socket or Cavitie of the huckle-bone, bee broken or relaxed. Now it may bee broken by fom violent fhock or accident, it may bee relaxed by the congeftion and long flay of fom excrementitious, tough and vifcuous humor lying about the joint, through which ! means itwaxeth foft. But if it bee broken, how often foever the bone bee reftored, it will [ prefently fall out again. If it bee relaxed, there is onely this hope to contain the reftored bone,that is, To confume and draw away the heaped up humiditie by application of Me- dicines and Cauteries of both kindes, for which purpofe thofe are more effeftual which do aftuallyburn, for that they drie and ftrengthen more powerfully. Leannefs ofthebodie, and the want of JpoNeurofes,that is, of broad tendont and external ligaments, whereof ma- ny encompaft the knee, encreafe's the difficultie of containing it in the place. But the parts adjoining to the diflocated and not-fet-bone fall away by little and little, and confume with an Atrophia or want of nourifhment; bothbecauf the part it felf is forced todefift from the accuftomed aftions and funftions, as alio for that the veins, arteries and nervs beeing more ftraitned and put out of their places, hinder the fpirits and nourifhment from flowing fo freely as they ought, to the part: whence it com's to pals, that the part it felf is made more weak, the native heat beeing debilitated through idlenefs, it can neither at- traft the alimentarie juice, neither can itdigeft and affimilate that little thereof which flow's and falleth thereto. Verily the Thigh-bone, as long as it is forth of the cavitie, grow's no more after the manner as the other bones of the bodie do, and therefore in fom (pace of time you may perceiv it to bee fhorter then the found bone. Notwithstanding the bones of the leg and foot are not hindered of their growth, for that they are not out of their proper places. Now for that the whole leg appear's more (lender, you muft think that happen's onely by the extenuation and leannefs of the proper mufoles thereof. The fame thing happen's to the whole hand, in the largeft acception, when as the (houlder is out of joint, unlefs that the calamitie and lofs hereof is the left. For the fhoulder beeing forth of joint you may do fomthing with your hand, whereby it will com to pafs that no final portion of nourifhent may flow down into thefe parts* But the Thigh-bone beeing diflocated, Specially inwards in a childe unborn, or an infant, much left alimentarie nou- rifhment flow's to that part, becaufit can much left ufe the foot and leg by reafon of the diflocation of the Hip, then it can do the hand by a luxation of the fhoulder. But now Wee muft thus underftand that which is faid by Hipocrates, That diflocated bones and not reftored do decreaf or are hindered from their juft growth, to bee onely in thofe who have not yet attained to their full and naturally-appointed growth in every dimenfion. For in men of full growth, the bones which are not reftored,becom more (lender, but yet no (hot- ter, as appear's by that which hee hath delivered of the (houlder. Prognofticly belonging to a diflocated Hip. Why the thigh- bone di fl oca- ted,is difficult- ly reftored, or reftored, eafily fall's out a- gain. The breaking and relaxation of the internal ligament. Gal. com. ad de art. Hippotratti ex- plained fefai. Jib.de art CHAP. XL I. Of the figns af the Hip dislocated outwardly or inwardly • He Thigh-bone or Hip when it is diflocated outwardly, and not reftored, after fom time the pain is anwaged, and flefli grow's about it, the head of the bone wear's it (elf a new cavitie in the adjoining Hip, whereinto it betake's it (elf, fo that at the length the patients may go without a ftaff, neither fo deformed a leagftels will wafte their leg. But if the luxation happen inwards, a greater leannefs will be- ku them, by reafonthat the veflels naturally run more inwardly, as Galen oblerv's in the dmocation of the Vertebra to the infide; therefore it com's to pafs that they are more grievoufly opprefled: befides the thigh-bone cannot wag or once ftir againft the (hare- *5OIa ' wherefore ifthe bone thus diflocated bee not reftored to its joint again, then they m!j!SftLthekle^abouta8theywalk3 juft as wee fee oxen do. Wherefore the (bund leg wml it they go,take's much lefs (pace then the lame,becauf this, whil'ft it ftirreth or moov- et"Kmuft neceHartly fetch a compafs about,but thatperformeth its motion in a right line, belides, whii it the patients (land upon their lame leg to put forwards the found,they are orced to Hand crooked, whereupon they arc forced to ftay thcmfelvs witUa ftaff that they Further' Ad Jetfl. $i. ftft&dctrt' Lib. Concerning 'Dislocations, or Luxations. 391 Furthermore thofewho have this bone dillocated either backwards or outwards,fo that * it cannot bee reftored, have the part it felf grow ftiff and hard ; which is the caufwhy the 1 ham may bee bended without great pain 5 and they may (land , and go upon the tops oP their toes ; belides alfo, when they defire to go faller, they are forced to Hoop, and ftreng-1 then themlelvs by laying their hand on their lame thigh at every ftep, both for that their lame leg is the (hotter, as alfo becauf the whole weight of the bodie fhould not lie wholly or perpendicularly upon the joint or head of the thigh-bone. Yet in continuance of time, when they are ufed to it, they may go without any ftaff in their hands. Yet in the inte- rim, the found leg bccom's more deformed in the compofure and figure, becauf whiff! it fuccor's the oppofite and lame leg by the firm (landing on the ground , it bear's the weight of the whole bodie, in performance whereof the ham muft neceflarily now and then bend. But on the contrarie, when as the head of the thigh beeing diflocated inwards is not put into the joint, if the patient bee arrived at his full growth, after that the head of the bone hath made it felf a cavitie in the neighboring bone wherein it may reft, hee may bee able to walk without a fraff, becauf the dillocated leg cannot eafily bee bended toward the groin or ham, and hee will fooner .reft upon his heel then upon his toes. This kinde of diflocation if it bee inveterate, cau never bee reftored. And thefe things happen,when as the thigh-bone is dillocated inwards, or when the internal ligament which fallen's the dearti- ticulation (hall bee broken or relaxed. But the contrarie (hall plainly appear if the difld- cation (hall happen to bee outwards for then the lame leg becom'sthe (hotter, becauf the head of the thign file's into a place higher then its cavitie, and the mufcles of that part are contrafted towards their original, and couvulfively draw the bone upward together with them. The whole leg, together with the knee and foot looketh inwards, they cannot go upon their heels, but upon the (etting on of the toes. The leg may bee bended, which it cannot bee in a dillocation of the thigh inwards, as Paulus (hew's. Therforcswee muft di- • ligently obferv that (entence of Hipocrates which is read with a negative, in thefe words: t Sed nequeconfleftere quemadmodum fanutn crus poffunt, that they ought to bee read with an af- j firmative after this manner: Sed confletiere &c. quin & crus ip fam &c. But now the lame leg < will better fuftain the weight of the bodie in an external, then in an internal diflocation; for then the head of the thigh is more perpendicularly fubjeft to'the whole weight of the bodie. Therefore when in thefuccefs of time it (hall by wea ring have made it felf a cavitie in the neighboring bone, which in time will bee confirmed, fo that there will remain no hope of reftoring the diflocation, neverthelefs the patient (hall bee able to go without a ftaff, for that then no fenfofpain will trouble him; whence it follow's, that the whole leg alfo will becom lefs lean, for that going is lefs painful, neither are the veflels fo much pref- fed as in that diflocation which is made inwardly. Signs of the thigh-bonedif- out- wards. Paul.tty.lib.6. C.S.Hip.fent.yi fett.$Jib.de ar* tic. CHAP XLII. Of the thigh-bone diflocated forewards. T feldom happeneth that the thigh is diflocated forwards 5 yet when as it fhall happen, it is by theft fjgns. The head of the thigh lieth towards the fhare; whence the groins fwellup, and the buttock on the contrarieis wrinkled and extenuated by reafon of the contraftion of themufcles; the patient cannot extend his leg without pain, no verily, not lb much as bend it towards the groin, for the fore-mufcle which ariftth from the hanch-bone is to prefled by the head of the thigh, that it cannot bee diftcnded; neither can the ham bee bended with out very much paine.But the fame leg is equall at the heel with the other leg, yet the patient cannot Hand upon the fttting on of the toes; therefore when heeis forced to go, hee toucheth the ground with his heel only,yea verily the foie of his foot is left incli- ned to the fore fide, neither doth it feldom happen, that the urine, by this accident, is fup- pre'lhbecauft the head of the thigh opprefle's the greater nerves from whence thoft arift ; which are carried to the bladder, which through the occafion of this compreflion is pain- < ed and inflamed by'conftnt: now when inflammation fhall feiz upon the Sfbiflft-mufcle, ' the urine can fcarcely flow out, for that it is hindered by the fwelling. 1 Stepping of u- rineby reafon of an internal di {location of the thigh-bone. CHAP. XLI11. Eldom alibis the thighbone diflocated backwards, becauf the hind-part of the cavitie of the huckle-bone is deeper and more deprefled than the fore; whence , it is that the dillocation of the thigh to the inner part is more frequent then the reft. The patient can neither extend nor bend his leg by reafon of the much Compreflion andtenfion of the muicles which encompais the head of the thigh by this kind IJ 2 of Of the "thigh-bone diflocated backyards. Signs# JLiB.ld. 392 Concerning T>iflocations, or Luxations. of luxation. But the pain is encrealed when hee would bend his ham, forthat then the mufcles are more ftrongly extended. The lame leg is Ihorter than the found: when the Buttocks are preffed, the head of the thigh is perceived hid amongft the mufcles of that part, but the oppofite groin is lax, foft, and depre'ft with a manifeft cavitie. The heel tou- ches not the ground, for that the head of the thigh is plucked back again by the mufcles of the buttocks amongft which itlieth hid, but principally by that which is the larger,and which is faid to make as it were the pillow or cushion of the buttocks; for this is much more preffed in this kinde of diflocation then the reft: whence it is, that the patient can- not bend his knee, becaufthe extenlion of the nervous production or large tendon which covers's the knee is fo great. But if the patient will Hand upon the foot of his luxated leg without a ftaff heelhall fall down backwards, for that the bodie is inclined to that part, the head of the thigh being not direffly underneath for the propping or bearing up of the bodie; wherefore hee is forced to fuftain himfelf upon a crutch on his lame fide. Haveing premiled thele things of the differences, figns,lymptoms and prognofticks,it now remaineth, that wee briefly defcribe the different waits of rcftoreing them, according to the difference ofthe parts whither it is fallen. Firft, you muft place the patient upon a bench or table, groveling, or with his face upwards, or upon one fide, laying fom foft quilt or coverlid under him, that hee may lie the eafier. Now you muft place him fo, that the part unto which the bone is flown,may be higher,but from whence it is fled,the lower.For it the thigh-bone bee dillocated outwards or backwards, then muft the patient bee laid grove- ling; if inwardly, upon his back; if forwards,then upon hisfide. Then muft extenfion and impuliion bee made towards the cavitie, that fo it may bee forced thereinto: but if the diflocation bee fielh, and in a foft bodie, as a woman, childe, and fiich like, whofe joints' are more lax, it ffiall not bee any waies needful to make great extenfion with ftrong liga-' tures for the reftoreing it; the Surgeon's hand fhall fuffice,or a lift or towel caft about it. In the interim the bone fhall bee kep't faft with compreffes applied about the joint: then the Surgeon fhall extend the thigh, takeing hold thereof above the knee, in a ftraight line and fo let itdire&ly againft the cavitie, and then prefently thruft it thereinto. For thus fhall hee reftore it,if fo bee that in thruftingit hee lift up the head thereof fomwhat higher, left the lips ofthe cavitie force it back, and hinder it from entring. Now becauf unlefs there bee juft extenfion, there can bee no reftitution hoped for, it is far better in that part, that is, to extend it fomwhat more than is neceflarie, yet fo,that you do not en- danger the breaking of any mufcles, tendon or other nervous bodie. For that as Hittocra* tes write's, when as the mufcles are ftrong and large, you may fafely extend them, if fo bee that you difplace nothing by the force of the extenlion. If your hand will not fuffice to make juft extenfion, you muft ufe the help of an Engine, fuch as isour Pulley, faft- ned to two pofts, fo much of the rope beeing let forth, and drawn up again as ffiall fuffice for the bufinels in hand; in the performance whereof, it is fit that the patients friends ab- fent themfevs from this fad fpeftacle, and that the Surgeon bee refolute, and not deterred from his bulinefs by the lamentation, neither of the patient nor his friends. But for that wee write thele things chiefly for the benefit of young pra&icioners, it leemeth meet, that haveing delivered thele things ingenerabof reftoringthe thigh-bone, that wee run over thefe generalities in each particular, begining with that diflocation which is made inwardly. The general cure. St ft. i.lib.de ft act. CHAP. XLIV. Of reporting the 'Thigh-bone dijlocated inwards. T jj to place the patient after the fore fa id manner, upon a table or bench, in the mid 11 whereof fhall Hand faftned a woodden pin of a foot's length, and a? thick as the handle of a fpade uleth to bee; butitmuft bee wrapped about with fom (oft cloth, left the hardnds hurt the buttocks, betwixt which it muft Hand, as wee did in the extenl'on of a broken leg.The wooden pin hath this ufe,to finn K - od,e j " ma7 not foIlow him tflat draweth or extendeth it;and that the exten- thediiu!?,"! a®"^£has"requifite,it may go between the fertowum and the head of UDnernari-c f us there is no great need of counter-extenfion towards the thePSnrwn ' and hcfideS " heIPeth t0 force back the bone into its cavitie, the help of dothdire&nrkp',1,Ckri'n&'yh°nWInirg fomwhiIe' t0 chisJ and otherwhiles to that fide, it is needfill vn i?° e?0/ « Eutwhen the extenfion hath need of counter-extenfion,then ' diflocated flioidrl aVC ufb atures at hand, as wee have mentioned in thereftoreingofa the joint of the Mn' to bee dra *'n above the Ihoulder. Oneof thefe (hall bee faflned above by another with the lit rXtended by a rong man 5 another fhall bee caft above the knee and like lisature (hah °rCe' But lfy°u cannot have a woodden pin, another ftrong ofaftron/man veJ Ut-Up°n theloinJ atthehip5 and held ftiff by the hands gm n, yet 10 that it my not touch the head of the thigh by puffing it, forfoit would Seft.i.libde frafi. How to make extenfion and counter-exten- fion in this kinde of for ilnre. Lib.rtf. Concerning Di [locations, or Luxations. 393 would hinder the reftoring thereof. This manner of extenfion is common to four kindes of luxation of the thigh-bone. But the manner offorcing the bone into its cavitie muft bee varied in each, according to the different condition of the parts whereunto the head incli- neth j to wit it muft bee forced outwards if it bee fallen in wards, and contrarie in the reft, as the kinde ot the diflocation fhall bee. Somtooclowniih and ignorant knot-knitters fa- llen the lower ligature below the ankle, and thus the joints of the foot and knee are more extended then that of hip or huckle-bone, for they arcneerer to the ligature, and confe- quently to the aftive force : but they ought to do otherwife 5 therefore in a diflocated fhoulderyou fhall not faften the ligatures to the hand or wreft, but above the elbow. But if the hands fhall not bee fiiflicient for this work,then muft you make ufe of engines. Where- 1 fore then the patient being placed as is fit, and affe&ed part firmly held, fom round thing j ihall bee put into the groin, and the patient's knee, together with his whole leg ihall bee t drawn violently inwards, towards the other leg. And in the mean while the head of the t thigh ihall bee ftrongly forced towards the cavitie of the huckle-bone, and lb at length i«- ' ftored, as the following figure fhew's. Ligatures made for ex- tension muft bee faftned neer the part to bee exten- ded. A figure which manifefteth the way of restoring the Thigh-bone diflocated inwards. When the head ofthe Thigh by juft extenfion is freed from the mufcles wherewith it was infolded, and the mufcles alio extended that they may give way and yeeld themielvs more pliant, then muft the rope bee ibmwhat flacked,and then you muft alio delift from ex- tending, otherwife the reftitution cannot bee performed, for that the ftrongerextenfion of the engine will refill the hand of the Surgeon , thralling and forceing it into the cavitie. This precept muft bee obferved in the reftoring of this and other diflocations.Y ou Ihall know that the thigh is reftored by the equalitie of the legs, by the free and painlefs extenfion and inflexion of the lame leg. Lallly, by the application of agglutinative medicines (whereof wee have formerly fpoken) the reftored bone Ihall bee confirmed in its place; to which pur- pofe ligation Ihall bee made, the ligature beeing firft call upon the place whereinto the head of the thigh fell, and thence broughtto the oppofite or found fide by the belly and loins. In the mean while the cavitie of the groin muft bee filled with fomwhat a thick bolfter which may keep the head of the bone in the cavitie. Neither muft you omit junks ftretched down even to the ankles, as wee have obferved in the frafture of the thigh. Then muft both the thighs bee bound together, whereby the diflocated member may bee unmoovable, and more and more ftrengthned. Neither muft this drelfing bee loofed, untill four or five daies bee pafled, unlefs peradventure the bidden happening of fbm other more grievous fym- ptom fhall perfwade otherwife. To conclude, the patient muft bee kept in his bed for the fpace of a month, that the relaxed mufcles, nervs, and ligaments may have fpace to recover their former ftrength, otherwife, there is danger left the bone may again fall out by the too forward and fpeedy walking upon it. For the fite of the thigh it muft be placed and kept in a middle figure, yet this middle figure confift's in the extenfion, not in the flexion, as it is demonftrated by Hippocrates,for that fuch a figure is accuftomable to the leg. J A general precept. Sett. 2. lib, de frtft. CHAP. XLV. Of refioreing the Thigh diflocated outwardly. THe patient muft bee placed groveling upon a table in this kinde ofdiflocation alfo, and ligatures as before, caft upon the hip and lower part of the thigh, then extenfion muft LI 3 bee 394 Concerning 'Di/locations, or Luxations. Lib.16. bee made downwards, and counter-extenhon upwards j then preftntly the head of the bone muft bee forced by the hand of the Surgeon into its place. If the hand bee not fufficient for this purpofe, our pulley muft bee ufed, as the following figure fheweth. 4figure which exfreffeth the manner of reporting the thigh luxated outwards. When it is that onely extenon fervs for the reftoring the chflocatcd Thigh. This kinde of diflocation is the eafilieft reftored of all theft which happen in the thigh or hip, fo that I have diverf times obferved the head of the thigh to have been drawn back into its cavitie by the onely regrefs of the extended muftles into themftlvs towards their o~ riginals, fomwhiles witha noiforpop, otherwhiles without, which beeing don, laying a compreft upon the joint, you fiiall perform all other circumftances as before in an inter- nal diflocation. CHAP. XLVI. Ofreftoreing the Thigh di/located forwards. Hen the Thigh is luxated forwards, the patient muft bee laid upon his (bund fide, and tied as wee have formerly delivered. Then the Surgeon (hall lay a bolfter upon the prominent head of the bone, and have a care that his fervant firmly hold it: then immediately juft extenfion beeing made, hee fliall with his hand force the bone into the cavities but if his hand will not ferv, hee (hall attempt it with his knee. Then to conclude, hee fliall ule the reft of the things former- ly mentioned to contain the reftored bone. CHAP. XLVII. Of reporting tbe Thigh di/locateif backyards. patient fliall bee placed groveling upon a table or bench, and the member ex- tended, as in the reft, one ligature ftretched from the groin, another from the knee 5 then the Surgeon fhall endeavor to force back with his hand that which hmmH' ftand's up,} and alfo to draw away the knee from the found leg. The bone thus placed and reftored, the cure require's nothing elf than to bee bound up and kept long in bed, left that the Thigh, if it fliould bee moved, the nervs beeing yet might again fall out. For the thigh is in great danger of relapQ for that the cavitie of the hucle- bone is onely depreft, as far as it goe'sin, and the burden of the hanging or adjoining thigh is heavie. CHAP. XLVII1. Of the dislocation of tbe Whirl-bone of the pnee. THe Whirl-bone of the knee may fall forth into the inner, outer, upper and lower part j but never to the hind-part, becauf the bones which it cover's do not fuffer it. To reftore it, the patient muft ftand with his foot firmly upon fom even place,and then the burgeon muft force and reduce it with his hands from the part into which it ispreter- ✓ naturally Lib.id. Concerning!)tflocations, or Luxations. 395 naturally Hidden. When it fhal 1 bee reftored, the cavitie of the ham fhall bee filled up with bolfters fo that hee may not bend his leg, for it it bee bended, there is no final danger of the falling back of the whirl-bone. Then a cafe or box fhall bee put about it, on the fide efpe- cially whereto it fell,beeing madefomwhat flat and round refembling the whirl-bone it felf, and it fhall bee bound on with ligatures, and medicines fo faft that it may not ftir a jot. Af- ter the part fhall feem to have had fufficient reft, it is fit that the patient trie andaccuftom by little and little to bend his knee, until at length hee fhall finde that hee may eafily and fafely moov that joint. CHAP. XLIX. Of the diflocated Knee. He Knee alfo may bee diflocated three manner of waies, that is, into the inner, outer, and hind-part, but very feldom towards the fore-lide, and that not without fom grievous and forcible violence; for the whirl-bone lying upon it, hinder's it from flipping out, and hold's it in. The other waies are eafie,becauf the cavitie of the leg-bone is fuperficiarie aud very fmooth, but the cavitie of the lower end of the thigh-bone is made in the manner of a fpout or gutter, and belides the head thereof is verie fmooth and flipperie; but the whole joint is much more lax than the joint of the Elbow : id that as it may bee the more eafily diflocated, fb may it the beter bee reftored j and as it may bee the more eafily, fb may it bee the more fafely diflocated, for that inflammation is lefs to bee feared here, as it is obferved by Hippocrates. Falls from high, leaping, and too violent runing are the caffes of this diflocation. The fign thereof is the difabilitie of bending or lifting up the leg to the thigh, fo that the patient cannot touch his buttock with his heel. The diflocation of the knee which is inwardly and outwardly,is reftored with indifferent extenfion and forceing of the bones into their feats from thofe parts whereunto they have fallen. But to reftore a diflocation made backwards, the patient ihall bee placed upon a bench of an indifferent height, fb that the Surgeon may bee behinde him who may bend with both his hands and bring to his buttocks the patients leg put be- tween his legs. But if the reftitution do not thus fucceed, you muft make a clew of yarn, and faften it upon the mid'ft of a ftaff, let one put this into the cavitie of his ham, upon the place whereas the boneftand's out,and fo force it forwardsjthen let another caft a ligature of fom three fingers bredth upon his knee, & draw it upwards with his hands,then prefently & at once they fhal fo bend & crook the lame leg that the heel thereof may touch his buttocks. The diffe- rences. Ad finem [tft. How to re- ftore a knee diflocated backwards. CHAP. L. Of a Knee diflocated forwards. Ut if the Knee bee diflocated forwards ( which feldom happen *s) the patient fliall T, bee placed upon a table and aconvenient ligation made aboov, and another dole 1 ecute beneath the knee. Then the Surgeon ftiall fo long prefs down with both his hands the bone which is out of joint, until itfhall return to its place again. To which pu rpofe if the ftrength of the hand wil not lervto make juft extenfion each way you may make ufe of our engine, as you may perceiv by this following figure. A figure fhewing the manner ofreftoreing a Knee diflocated forwards. You Ml know that the bone is reftored by the free and painlcls extenfionof the leg 5 u.._ then 396 Concerning Diflocation, or Luxation. Lir.16. then will there bee place for medicines, bolfters and ftrengthening ligatures. Tn the mean (pace the patient fhall forbear going fo long as the part fhall feem to require, CHAP. LT. Of the feparation of the greater and leffer Focile. The joining of the leg and fliin-bones. He FiM* or lefler Focile is faftned and adheres to the tibia, leg-bone, orgreatei Focile without any cavitie, above at the knee and below at the ankle. But it may bee pluck't or drawn afide three manner of waies, that is, forwards, and to each fide : this chance happen's when in going wee take no fure footing, lb that wee flip with our feet this way and that way as in aflipperie place, and fo wreft it inwards or outwards 5 for then the weight of our bodie lying open upon it, draw's the leg, as it were, in funder, fo that the one Focile is diflocated or leparated from the other. The fame may happen by a fall from an high place, or 1dm grievous and bruifing blow: befides alfo,their appendices are lomtimes leparated fr om them. For the reftoreing of all thcfe into their pro- per places, it is fit they bee drawn and forced by the hand of the Surgeon into their feats: then fhall they bee ftraitly bound up, putting compreffes to that part unto which the Fibula flew; beginning alfo your ligation at the very luxation , for the fore-mentioned realbns. The patient fhall reft fortiedaies, to wit, as long as fhall bee fufficient for the ftrengthen- ing of the ligaments. The cure. CHAP. LIL Of the Leg-bone or greater Facile dijlocated and divided from the Paftern-lone. Differences and figns. the Leg-bone is fbmtimes diflocated and divided from the Paftern-bone, as wel inwardly, as outwardly 5 which may bee known by the fwelling out of the bone to this or that part 5 ifitbeeonely afubluxation or ftrain, it may bee eafily reftored, by gently forceing it into the place again. After the bone flial bee reftored,it fhall bee kept fb by comprefles and fit deligation,by crofs and contrarie bindeing to the fide oppofite to that towards which the bone fell, that fo alfo in fom meafure it may bee more and more forced into its place. In themean time you muft have a care that you do not too ftraitly prefs the great and large tendon which is at the heel.This kinde of diflocation is reftored in fortie daies, unlefs fom accident happen which may hinder it. CHAP. LUI. Of the diflocation of the Heel, Hofoever leaping from an high place have fallen very heavie upon their heel, have their heel diflocated and divided from the paftern-bone.This diflocation happen's more frequently inwardly than outwardly, becauf the prominencie of the lefler Focile embrace's the paftern-bone; whence it is, that there it is more ftraitly and firmly knit. It is reftoredby extenfion andforceingit in, which will bee no very difficult matter, unlefs fom great defluxion or inflammation hinder it. For the bindeing up, it muft beee ftraiteft in the part affefted, that fo the blood may 'bee prefled from thence into the neighboring parts 5 yet ufingfuch a moderation, that it may not bee painful, nor prefs more ftraitly than is fit, the nervs and grofs tendon which run's to the heel. This diflocati- onis not confirmed before the fortieth day, though nothing happen which may hinder it. Yet ufiially it happeneth that many fymptoms enfue by the vehemencie of the contufion. Wherefore it will not be amifs to handle them in a particular chapter. Ciufes and differences. The cure. CHAP. LIV. Of the Symptoms which follow upon the coutufton of the Heel. Why blood- letting necefla- rie in the fra- Gureofa heel. r happened? by the vehemencie of this contufion, that the veins and arteries do as it were vomit up blood both through the lecret pailages of their coats, as alfo by their ends or orifices, whence an Ecchymofis or blacknels over all the heel, pain, fwelling, ' aud other the like enfue,which implore remedies and the Surgeon's help,to wit,convenient diet, and drawing of blood by opening a vein, (of which though Hippocrates make's no mention, yet it is here requifite by reaion of the Feaver and inflammation) and if need re- quire, purgation 5 principally fuch as may divert the matter by caufing vomit, and laftly, the tie frdhrif. Lib.id. Concerning T)iflocationsy or Luxations. 397 the application of local medicines, chiefly fuch as may Token and rarifie the skin under the heel, otherwife ufiially hard and thick (fiich as are fomentations of warm water and oil) fo that divers times wee are forced to fcarifie it with a lancet, fhunning the quick flefli. For (bat length the blood poured forth into the part, and there heaped up, is more eafily atte- nuated,and at length refolved. But thefe things mutt all be performed before the inflamma- tion Teiz upon the part,otherwife there will be danger of a convulfion.For the blood,when it fall's out of the veflels, readily putrefies,by reafon the denfitie of this part hinder's it from ventilation & difperfing to the adjacent parts.Hercto may be added, that the large and great tendon which cover's the heel,is endued with exquifite fenf,& alfo the part it felf is on eve- rie fide fpred over with many nervs. Befides alfo there is further danger of inflammation by lying upon the back and heel, as wee before admonilhed you in the Frafture of a leg. There- fore I would have the Surgeon to bee heer moft attentive and diligent to perform thefe things which we have mentioned, left by inflammation a Gangrene and Mortification (for heer the famous flelh prefently fall's upon the bone) happen together with a continued and (harp Fever, with trembling, hicketting and raveing. For the corruption of this part firft by contagion aflail's the next, and thence a Fever aflail's the heart by the arteries prefled and growing hot by the putrid heat, and by the nervs and that great and notable tendon made by the concourf of the three mufcles of the calf of the leg , the mufcles, brain and ftomachare evilly affe&edand drawn into confent, and fo cauf convulfions, raveing and a deadlie hicketting. Why the heel isfubjeft to inflammation* Gal.adfent.23, ft ft.i.lib,de frail. CHAP. LV. Of the diflocated Paftern, or Ancle-lone. He Aftragalw or Pattern bone may bee diflocated and fall out of its place to e- very fide. Wheref ore when it fall's out towards the inner part, the foie of the foot is turned outwards, when it fiie's out to the contrarie, the fign is alio con- trarie j if it bee diflocated to the foyelide, on the hinde fide the broad tendon coming under the heel is hardened and diftended; but if bee luxated backwards, the whole heel is as it were hid in the foot: neither doth this kinde of diflocation happen without much violence. It is reftored by extending it with the hands, and forcing it into the contrary part to that from whence it fell. Beeing reftored it is kept fo by application of medicines and fit ligation. The patient muft keep his bed long in this cafe, left that bone which fuftain's and bear's up the whole bodie, may again fink under the burden, and break out, the finews beeing not well knit and ftrengthened. ■ Sign, Cure, CHAP. LVI. Of the diflocation of the In-flef and the foot. He bones alio of the In-ftep and back of the foot may bee luxated, and that ei- ther upwards or downwards,or to one fide,though feldom fidewife, for the rea- fon formerly rendred,fpeaking'of the diflocation of the like bones of the band- If that they hand upwards,then muft the patient tread hard upon Com plain or even place,and then the Surgeon by prefling them with his hand fhall force them into their places 5 on the contrary, if they ftand out of the foie of the foot, then mull you prefs them thence upwards, and reftore each bone to its place. They may bee leiWed after the fame manner if they bee flown out to either fide. But you muft note, that although the Ligatures confift but of one head in other diflocations,yet here Hipocrates would have fiich ufedas have two heads, for that the diflocation happen's more from below upwards, or from above downwards, then fide wife. Cure. Sent.14. feft.i, bb.de frail. CHAP. LVII. Of the diflocation of the foes: Ow the Toes may bee four waies diflocated,even as the fingers of the hand; and they may bee reftored juft after the fame manner» that. is, extend them direftly forth, and then force each joint into its place,and laftly,binde them up as is fitting. The reftitution of all them is ealie, for that (hey cannot far tranfgrefs their bounds. To conclude, the bones of the feet are dislocated and reftored by the fame means as thofe of the hands, but that when as any thing is dillocated in the foot, the patient muft keep his bed j but when any thing isauiiG in the hand, hee muft carrie it in a fcarf, The patient muft reft twenty daies, that is, until hee can firmly ftand upon his feeu CHAP. The differed CCS. Cure* Concerning 'Di/locations, or Luxations. Lib.i6. 398 CHAP. LVIII. Oftbefymptoms, and other accidents which may befal a broken or dislocated member. Anie things may befal broken or diflocated members by the means of the fra- fture or dfllocation ; fuch as are bruiles, great pain, inflammation, a fever, ini- pofhime, gangrene, mortification, ulcer,and atrophia, all which require a skilfull and diligent Surgeon for their cure. A contufion happen's by the fall offom heavie thing upon the part, or by a fall from high, whence follow's the tffuiion ot olood poured out under the skin : which if it bee poured forth in great plentie, muft bee fpeedily evacuated by fcarification, and the part cafed of that burthen, left it Ihould thence gangrenate. And by how much the blood lhall appear more thick,and the skin more denf, by fo much the fcarification lhall be made more deep. You may alio for the fame pur- pole applie Leeches. Concerning pain wee formerly faid, that it ufually happen's by reafon that the bones are mooved out of their places,whence it happeneth that they becom troublefom to the mulcles and nervs, by pricking and prefling them. Hence enfue inflammations, as allb impoftumati- on and a fever, oft times a gangrene, and in conclufion a mortification corrupting and rot- ting the bones; otherwhiles a linuous ulcer or fiftula. But an atrophia and leannels arileth by the doth and idlenels of the member decaying all the ftrength thereof,and by too ftraight ligation intercepting thepaflages of the blood, otherwife readie to fall and flow thither. Now the leannefs which is occafioned by too ftraight ligation receive's cure by the flack- ning of the ligatures wherewith the member was bound. That which proceed's from idle- ness helped by moderate excrcile, by extending, bending, lifting up, and deprefling the member, if fo bee that hee can away with exercile. Otherwile hee lhall ule frictions and fo- mentations with warm water. The frictions muft be moderate in hardnels and gentlenels,in length and fhortnefs. The fame moderation fhall be oblerved in the warmnefs of the wa- ter, and in the time of fomenting. For too long fomenting refolv's the blood that is drawn. But that which is too little or Ihort a fpacedraw's little or nothing at all : after the fomentation, hot and emplaftick medicines made of pitch, turpentine, eupborbium, pel- litorie of Spain, liilphur, and the Tike, fhall bee applied. They fhall bee renued ever!e day more often or leldom, as the thing it felf fhall ieem to require. Thefe medicines are termed Dropaces, whole form is thus: R picis nigrt, ammoniaci, bdelii, gummi elemi in aqua vit& dijfolutorum old laurini pulverif piperis, zinziberis,gr anorum paradiJi, baccarutn lauri & juniperi, emplaftrum fecunditm artem, extendatur fuper alutam. It is alfo good to binde about the opppfite found part with a ligature, yet without pain; as if the right arm lhall decay for want of nourifhment, the left lhall bee bound, beginning your ligation at the hand, and continuing it to the arm-pit. If this mifchance lhall feiz upofi the right leg, then the left fhall bee fwathed up from the foie of the foot to the groin. For thus a great portion of the blood is forced back into the vena cava, or hollow vein , and from this being diftended and over full,into the part affected and gapeing with the veilcis al- moft emptie; befide alfo it is convenient to keep the found part in rcft,that fo it may draw the lefs nourifhment,and bythat means there will bee more ftore to refrelh the weak part. Som wilh alfo to binde up the decaying member with moderate ligation ; for thus, fay they, the blood is drawn thither: for when as wee intend to let blood by opening a vein with a lancet, wee binde the arm. Alfo it is good to dip it into water fomwhat more then warm, and hold it there until it grow red, and fwell; for thus blood is drawn into the veins, as they finde, which ule to draw blood of the fapbena and falvatella. Now, if when as thele things and the like bee don, the lame part grow's hot, red and fwollen, then know that health is to bee hoped for; but if the contrarie happen, the cafe is delperate: wherefore you need attempt nothing further. Furthermore, there is fomtimes hardnels left in the joints, after fraftures and diflocati- ons are reftored. It is fit to foften this,by refolving the contained humor by fomentations, liniments, cataplalms, emplafters made of the roots of marlh-mallows, brionie, lillies, line feed, fenugreek feed, and the like, and alfo of gums dilfolved in ftrong vineger, as ammonia- cum,bdelium, opopanax, labdanum,fagapenum, ftyrax liquida, and adeps anferinus, gallinaceus, buma- liliorum, and the like. Alfo you muft with the patient to moov the part ever now and then, everie day, yet fo, that it bee not painful to him, that fo the pent up humor may grow hot, bee attenuated, and at length difculled, and laftly, the part it lelf reftored as far as art can perform it; for oft-times it cannot bee helped any thing at all. For if the mem- ber bee weak and lame,by reafon that the frafture happened neer the joint, for the refidue of his life the motion thereof uleth to bee painful and difficult, and oft-times none at all, elpecially if the which grow's there, bee fomwhat thick and great; and laftly, if the joint it felf fhall bee contuled ajnd broken by the ftroke, as it oft-times happen's in wounds made by gun-(hot. OF Remedies fo a contufion. What may hap- pen by paim Remedies for the leannefs or Atrophia of any member. What meafure to bee ufed in fomenting. A dropax. Bindeing of the found part oppofite to the emaciated. How to binde up the emaci- tcdparr, Signs that an Atrophia i> cureable. LiB-iy. 399 Of diverf other PRETER-NATURAL AFFECTS, whole cure is commonly performed by Surgeric. The Seventeenth Book. CHAP. 1. Of an Alopecia, or tbe fallingaway of the hairs of the head. N Alof ecia is the falling away of the hair of the head, and lomtimes al- fo of the eie-brows, chin and other parts ; the French commmonly call it the Pelade: Phyficians term it the Alopecia,for old Foxes(fubjeft, by reafon of their age to have the fcab) are troubled oft-times with this difeaf. This affeft is caufed either through deleft of nourilhraent fit to nourifli the hairs, as in old age through want of the radical humiditie, or by the corruption of the alimentarie matter of the fame, as after long Fevers, in the Lues -venerea,Leprofie, the corruption of the whole bodie and all the humors, whence follow's a corruption of the vapors and fuliginous ex- crements ; or elf by the vitious conftitution of pores in the skin in raritie, and conftrifti- on or denfitie, as by the too much ufe of hot ointments made for coloring the hair, or fiich as are ufed to take ofFhair, therefore called Vepilatoria, or by the burning of the skin,or loft thereof, haveing a fear in ftead thereof, by reafon of whofe denfitie the hair cannot fpring out; as by too much laxitie the fuliginous matter of the hair ftaie's not, but prefentlyva- nifhethaway. The Alopecia which com's by old age, a confumption, burn-baldnefs, le-< profie,a fcald head,is incureable: that which admit's of cure, the cauf beeing taken away, is , helped* Wherefore if it proceed from thecorruption of humors,let a Phyfician beecalled, who, as hee fliall think it fit, fliall appoint diet, purgeing and phlebotomie. Then the Sur- s geon fliall (have off the hair which is remaining, and fliall firft ufe refolving fomentations, applie Leeches and Horns to digeft the vitious humor which is under the skin, then fliall hee wafli the head to take away the filth with a Lee wherein the roots of Orris and Aloes have been boiled. Laftly, hee fliall ufe both attraftive fomentations and medicines for to draw forth the humor which is becom laudable in the whole bodie by the benefit of diet fitly ap- pointed. But if the Alopecia fliall happen through defeft of nourifhment, the part fliall bee rubbed fo long with a courf linnen cloth, or a fig-leaf, or onions until it wax red; beiides alfb the skin fliall bee pricked in many places with a needle, and then ointments applied made of Labdanum, pigeons dung, ftaves-acre, oyl of bayes,turpentine and wax, to draw the " blood and matter of the hairs. If the hair bee loft by the Lues venerea, the patient fhall bee anointed with quick-filver to (ufficient falivation. To conclude, as the caufes of this difeaf fhall bee, fb muft the remedies bee fitted which are ufed. Gal.c.i.libj, de complied, fe- am.locos. The cauf. What Alopecia uncureable. Whatcureable, and how- CHAP. IL Of tbe Tinea, or Scald-head. He Tinea (let mee fo term it in Latine, whil'ft a fitter word may bee found) or a Scald-head, is a dileaf pofiefling the mulculous skin of the head or the hairie icalp, and eating thereinto like a moth. There are three differences thereof5 the firftis called by Galen jcalie or bran-like, forthat whifft it is Icratched itcaft's manie bran-like fcales : lorn Praftitioners term it a drie [call, becauf of the great aduftion of the humor caufingit. Another is called Ficofa, afig-tyefcaff, becauf when it is delpoil- ed of the cruft or fcab which is yellow, there appear s grains of quick and red flefh, like to the inner feeds pr grains of figs, and cafting out abloodie matter. Galen name's the third richer, and it is alfo vulgarly termed the com five or ulcerom [call, for that the many ul- Lib.i'deeonpf, me Aft ft, locos. 400 Of diverfpreternatural LiB'iy. cers wherewith it abound's are open with manie fmall holes flowing with liquid fames like the wafting of fleft, (linking, corrupt and carrion-like, fomwhiles livid, lomwhiles yel- lowifh. Theft holes, if they bee fomwhat larger, make another difference which is called Cerion or Favofa, (that is, like a honie-comb) becauf as Galen think's, the matter which * floweth from theft, refembleth hpnie in color and confiftence. They all proceed of an hu- more which is more or lefs vitious,for a lefs corrupt humor cauftth a fcalie, a more corrupt; the fig-like, but the moft corrupt produceth the ulcerous. If it ft all happen to an infant by reafonofthe fault and contagion of the nurQ or elf prefently after it is bom, it fcarce ad- mits of cure; neither muff wee attempt that, before the childecom to that age thathee may bee able to endure the cure and medicines. But you may in the mean while applie the leavs of Colworts or Beets befmeared with freft butter, or other gentle medicine haveina a facultie to mollifie and open the paffage for the ftut-up matter. Thofe who are of fufficient age to away with medicine, may bleed, purge,bathe,according to art by the advice of a Phy fician. For local medicines in a fcaliefcall, foftening and difcufllng fomentations ftall bee appointed, made of the roots of marft-Mallows, Lillies, Docks, Sorrel boiled in lee with a little vineger added thereto. The head ftall bee twice in a day fomented with fuch a deco- aion, and on the fixth day the hair beeing ftaven off, it ftall bee fcarified, and then leeches & horns put to it fo fcanfied.Then it ftal bee forthwith anointed with oyl of ffaves-acre mi- xed with blackfope,both to draw and reprefs the malignitie of the humor impa'ft in the part. You may alfo ufe the following medicine even to the perfeft cure of the difeaf, as that which is much commended m this kinde of difeaf by Vigo, Gordon™ and Gwdo; it is thus made. R elleb. albi & mgr i,atr ament.auripigmenti, litbargyri auri, calc is vivt, vitriol alum a alia t fulig.cmer.fais vim Ufa, anZft.argfnti viui extintii, giii. trugini, tris $ii. fiat pulvis qui inc or- poretur cumfucco boragtms, fcabiofafumarfa oxylafatbi, aceti, an. quart,i. oleiantiqui lib.i. bulliant ufque ad confumpt.fuccorum,infine decofaonis cineres gonantur9 addenda vicis cer£ quan- tum fufiicit, fiat unguentum: Thefe autors teftifie that this will heal any kinde of fall Cer- tainly nonecan difallow oHt who well confidereth the ingredients andcompofure thereof. , A cruftiealfo or fig-like fall ftall bee fo longfomented with the preferred fomentation, until the crufts or fcabs fall off, yet there is nothing fo good and effectual as Creffes beaten or fried with hog s fuet For it will make it fall off in the fp.ee of four and twentie hours, befides, if it bee continued it will heal them throughly, as I have known by experience, and reafon alfoftandstherewith; for according to Galen, Creffes are hot and drie. When the crufts ftall bee fallen away, the parts affe&edfhall bee anointed with the formerly prefcri- bed ointment 1 have cured manie with a little oyl of vitriol, and fomtimes alfo with gyptiacums made fomwhat then ordinarie. But if the root of the hairs appear rotten, they ftall bee plucked out one by one; yet if fuch putrefaftion ftall poffefs the whole anie ca p, and trouble all the roots of the hair, that you may pluck them out the more readily, and with lefs pain, you may befmear a cotten-cloth on the rougher fide with this refill, pul. viridis tris, & vitriol.rom.an2i.vel e ommafimulin aceti acerrimi quantitate fufficiente, fiat medic amen- tum adufium: let it bee applied to the head, and remain on for two daies; then let it bee quickly and forcibly p ucked away againft the hair,that fo the hairs flicking to the plaifter may by that means bee plucked away therewith : you ftall ufe this medicine fo long as need mall leem to require. For the third kinde of Scali which is termed a Corrofive or Ulcerous, the firft indica- tion is to cleanf the ulcers with this following ointment. R unguenti enulati cum mercurio du- lr albl \n T"l™re,m red<M ncorforentur fimul, fiat unguentum ad * foyou ™y ufe the formerly defcribed ointment. Butifany pain or'other accident 3iiy°U-mUft ltand K by theaffiftance and direction of fan good Phyfician ; verily have bcen found out by reafon, and Xdby5fe- olei an'^n' incrorT°renturfimul in mortario,fiat unguentum. Som take the nlr r r!i1C 1 leth 111 a fteep-fold; they ufe that which is liquid, and rub it upon cannot «Ponit. But if the padent troubIedTnlikedfW r 1 !^thef^ed}cinesSand that you finde his bodie in fom parts thereof with anXitnlWd ukerS' 1 WOuId wifh that his head ™g anointed anda litcIe<W»r, and then fit fom bee applied to the faftion of a cap; alfo fom plaiflers of the fame may and all things don aslf 3 rd e?s'and fo let ,bin?bee in a verie warm chamber, of J attempted bv v; bfd5h^ej, 'venerea' This kinde of cure was firft (that I know heeinvain hadIdiligently^ man' When aS verie loathfom to the eiey r Jda 1 U.fuaI med,cincp- A fcalled head oft-times appeareth cured, but being old, far mot/r?v,S?leand ftlnking fames; at the firft it is hardly think it kill'd, by reafai Xh^0^7, F°r dlverf.times n brca.keth out afreftb when you which wholly corrupt's the tpmimpik^IOnc°Mtbe mab^n P remaining in the part, y p s the temper thereof.Moreover,oft-times beeing healed,it hath left an dlo-pecia Cap.B.libcitati. The cure. Forafcalie fcall* An ointment fora [colled head. The cure of a cruftie fcall. A poultis of Creffes. A plainer to pluck away the hair at once. The cure of ar ulcerous fcall. A con turn a ci. ous fcall muft bee cured as wee cure the Lueivanerta, Lib.17. rvhoje Cure is performed by Surgerie 401 Alopecia behinde it, a great fliame to the Surgeons. Which is the reafon, that moft of them judg it beft to leav the cure thereof to Empericks and women. CHAP. III. Of tbe Vertigo, or giddinefs. He Vertigo is a fudden darkning of the eies and fight by a vaporous and hot (pirK which aflcendeth to the head by the fleepie arteries, and fit's the brain, cliftur- bing the humors and fpirits which are contained there, and toiling them unequal- ly, as if one ran round, or had drunk too much wine. This hot fpirit oft-times rifeth from the heart upwards by the internal fleepie arteries to the Kete mirabile, or wonder- ful net; otherwhiles it is generated in the brain it (elf, beeing more hot then is fitting 5 al- lo it oft-times arifeth from the ftomack, (pleen,liver and other entrals beeing too hot. The fign of this difeafe is the fiidden darkning of the fight, and the doling up as it were of the eies, the bodie beeing lightly turned about, or by looking upon wheels riming round, or whirle-pits in waters, 'or by looking down anie deep or fteep places. If the original of the difeafproceed from the brain, the patients are troubled with the head-ach, heaviness of the head, and noif in the ears, and oft-times they lofe their fmell. Paulus JEgineta for the cure bid's us to open the arteries of the temples. But if the matter of the difeaf arife from fom o- ther place,as from fom of the lower entrals,luch opening of an arterie little availeth. Where- fore then (dm skilful Phyfitian muft bee confiilted with, who may give direftions for phle- botomie, if the original of the dileaf proceed from the heat of the entrals; by purging, if occafioned by the foulnefe of the ftomack. But if (uch a Vertigo bee a critical fymptom of lorn acnte difeaf affefting the Crijis by vomit or bleeding, then the whole bufineis of freeing the patient thereof muft oee committed to nature. What the Fer- tig«is,and the caufcs thereof. The Signs. Lib. 6. A critical Ftr- tilt. CHAP. IV. Of the Hemicrania, or Megrim, 4e Megrim is properly a difeaf affe&ing the one fide of the head, right, or left. Ii fomtimes pafleth no higher then the temporal mufcles,otherwhiles it reacheth to the top of the crown. The cauf of fuch pain proceedeth either from the veins and exter- nal arteries, or from the meninges, or from the verie fubftance of the brain or from the perx- cranium, or the hairiefcalp covering the pericranium, or laftly, from putrid vapors arifing tc the head from the ventricle,womb, or other inferior member.Yet an external caufmay bring this affeft , to wit, the too hot or cold conftitution of the encompafling air, drunkennefi. gluttonie, the ule of hot and vaporous meats, fbm noifbm vapor or finoak,asof Antimonie, quick-filver,or the like,drawn up by the nofe,which is the reafbn that gold-finiths,and fuch as guild metals are commonly troubled with this difeaf But whencefoever the cauf of the evil proceedeth,it is either a Ample diftemper,or with matter : with matter,! lay,which again m either fimple or compound. Now, this afltft is either alone, or accompanied with othei aifedts, as inflammation and tenfion. The heavinefs of head argue's plentie of humor; pricking, beating and tenfion lhew's that there is a plentie of vapors mixed with the hu- mors, and fliut up in the nervous, arterious, or membranous bodie of the head. If the pair proceed from the inflamed meninges, a fever followeth thereon, efpecially, if the humoi caufing pain do putrefie. If the pain bee fuperficiarie, it is feated in the pericranium. If pro- found, deep and piercing to the bottom of the eies, it is an argument that the meninges are affe&ed, and a feaver enfue's, if there bee inflammation, and the matter putrefie; and then oft-times the tormenting pain is lb great and grievous, that the patient is afraid to have his head touched, if it bee out with your finger, neither can hee away with anienoiQ or final! murmuring, nor light, nor finds however fweet, no nor the fume of Wine. The pain is fomtimes continual, otherwhiles by fits- If the cauf of the pain proceed from hot, thin and vaporous blood, which will yeeld to no medicines, a verie necdlarie, profitable and Ipeedie remedie may bee had by opening an arterie in the temples, whether the dileaf pro- ceed from the internal or external veflels. For, hence alwaits enfuethan evacuation* of the conjunct matter, blood and fpirits. I have experimented this in manie, but Specially in the Prince de la Roche-[ur-you. His Phyficians, when hee was troubled with this grievpus Me- grim, were Chaplain, the King's, and Caftellane the Queen's chief Phyficians, and" Lewes I>uret, who notwrthftanding could help him nothing by blood-letting, cupping, bathes, friftions, diet or anie other kinde of remedie either taken inwardly or applied outwardly. I beeing called, faid, that there was onelyhope one way to recover his health, which was to open the arterie of tbe temple in the fame fide that the pain was; for I thought it probable, that the cauf of his pain was not contained in the veins, but in the arteries, in M m which The differen* ces. In whit kindc of Megrim the opening of an Arteric is gooH! A Hiftorie. Ofdiyerjpretcrnatura I zAfcEts, LlB.17. 402 whichcaleby the teftimonie of the antients, there was nothing better then the opening or bleeding of an arterie, whereof I have made trial upon my felt to my great good. When as the-Phylicians had approoved of this my advice, I prefently betake my felf to the work, and choof out the arterie in the pained temple, which was both the more fwoln and beat more vehemently then the reft. 1 open this,as wee ufe to do in the bleeding of a vein, with one in- cilion, and take more then two fawcers of blood flying out with great violence, and leap- ing j the pain prefently ceafed, neither did it ever moleft him again. Yet this opening of an Arterie is fufpefted by manie, for that it is troublefomto ftay the guftiing forth blood, and cicatrize the place, by reafon of the denfitie, hardnefs and continual pulfation of the arte- rie j and laftly, forthat when it is cicatrized there may bee danger of an dneurifma. Where- fore they think it better firft to divide the skin, then to feparate the arterie from all the ad- jacent particles, and then to binde it in two places; and laftly divide it, as wee have formerly told you muft beee don in Varices.But this is the opinion of men who fear all things where there is no cauf; for I have learn't by frequent experience that the apertion of an arterie which is performed with a Lancet, as wee do in opening a vein, is not at all dangerous; and the confolidation or healing is fomhat flower then in a vein, but yet will bee don at length, but that no flux of blood will happen, if fo bee that the ligation be fitly perform- ed, and remain fo for four daies with fitting pledgets. No danger in opening an ar terie. CHAP. V. Of certain affefls of the Eies, and fir ft of flaying up the upper eie-lid when it is too lax. F the difeafes which befal the eies, fom poffefs the whole fubftance thereof, as the Ophthalmia, a Phlegmon thereof: others are proper and peculiar to fom parts thereof, as that which is termed Guttaferena to the optick nerv. Whence Galen made a threefold difference of the difeales of the eies, as that fom happened to the eie oy nurting or offending the chief organ thereof; that is the cryftalline humor; others by hindering the animal facultie, the chief caufer of fight, from entring into them; and laftly,other fom by offending the parts fiiblervient to the prime organ or inftrument. Now of all thele dileales, the eie hath fom of them common with the other parts of the bodie, fuch as are an ulcer, wound. Phlegmon, contuhon and thelike: other fbm are peculiar and proper to the eie, fuch as are the Egilops, CataraflatGlaucoma, and diverf others of this kinde. Som have their upper eie-lid fall down, byreafon that the upper skin thereof is relaxed more then is Efficient to cover the eie, the griftle in the mean while not relaxing it felf to- gether therewith. Hence procced's a double trouble; the firft, for that the tie cannot bee ealily opened, the other, becaufthe hairs ofthe relaxed eie-lid run in towards the eie, and becom troublefom thereto by pricking it. The cauf of fuch relaxation is either a particular palfieofthat part, which is frequent in old people, or the defluxion or falling down of a waterifr humor, and that not acrid or biteing; which appear's by this, that thole who are thus affe&ed have a rank of hairs growing under the natural rank, by reafon of aboun- dance of heaped-up humor, as itis moft probable. For thus a wet and mariffi groundhath thegreateft plenty of grafs. Now if this fame humor were acrid, it would cauf an itching, and conlequetly becom troublefom co the patient, and it would alfofretin funder anddeftroy the roots of the other hairs, fo farre it is from yeelding matter for the preternatural generationofnew.lt is fit before you do. any thing for the cure, that you with ink the portion there of which is fiiperfluous, and therefore to bee cut away,lead if you frould cut off more then is requifite, the eye-lid frould remain turned up, and lb caul another kinde of affeft,which the antients have called E<5ropz<w. Then the eie beeing co- vered, take and lift up with your fingers the middle part of theskin of the eie-lid,not take- rs hold ofthe gnftle beneath it, and then cut it athwart,takeing away juft fo much as (tall oee necenarie to make it as it were natural; laftly, join the lips ofthe wound together with C' fti/ches, that fo it may bee cicatrized ; for the cicatrization strain s the eie-lid from falling down fo loofly,at leaft fom part thereof beeingtaken away. 1 tO- Se raeaAire and beed taken in the amputation , otherwife you muft eie wftlnLT mtO th! °.nre or inconvenie"ce, as if too much bee cut away, then the bled to no mm?0?? Iil6 : 0U .^ave don n.otbings and the patient is trou- them awarwith e' .^t^ere A'a beemanie hairs grown preternaturally, you frail pluck with a pentTe T Lnftr5m?nf m.ade for the fame purpofe ; then their roots frail bee burned them from growing agafr.^? klt untouch^for a fcar PrefentI7 arif™g will hinder Differences. cap. 6. The cauf. The cure. CHAP. Lib.17. Vohofe Qure is performed by Surgerie. 403 CHAP. VI. Of Lagophthalmus, or the Hare-eie. Uch as have their eie-lids too (hort, fleep with their eies open, for that they cannot bee covered by the too fhort skin of the eie-lids. the Greeks term this affeft, The cauf is either internal or external: internal, as by a Carbuncle, Impoftume, or Ulcer; external, as by a wound made by a fword, burn, fall, and the like. If this mifhap proceed by reafbn of a cicatri- zation, it is cureable, if fothat the fhorteie-lid bee of an indifferent thicknefs. But if it have been from the firft conformation, or by fom other means , whereby much of the fiib- ftance is loft , as that which happen's by burning, and a carbuncle, then it is uncureable. For the cure, you (hall ufe relaxing and amollient fomentations, then the skin fliall bee di- vided above the whole fear, in figure of an half moon, with the horns looking downwards. Then the edges of the inciiion (hall bee opened, and lint put into the middle thereof, that fo it may hinder the lips from joyning together again. Then (hall you apply a plafter upon the lint, and Co binde up the part with a fitting ligature,that may fbmwhat prefs upon the whole eie, left it fhould lift it felf fomwhat upwards again, and fo return into its anci- ent, but not natural figure. But in cutting the skin, you muff take care that your incifion harm not the griftle; lor if it bee cut, the eie-lid fall's down , neither can it bee afterwards lifted up. But now for the lower eie-lid : it is fubjeft to lundrie difeafes, amongfr which there is one which anfwereth in proportion to that, which wee late mentioned, which is, when as it is lifted upwards little or nothing, but hang's and gape's, and cannot bee joyned with the upper, and therefore it doth not cover the eie, which affeft is familiar to old peo- ple ; it is called Efiropion, and it may bee helped by means formerly delivered. PaulMveginii lib.6.cap.io. The cure.' Eliropion, or the turning up, or out of the eie-lid. CHAP. VII. Of tbe Chalazion, or Hail-Hone, and the Hordeolum, or Early-corn of the eie-lids. Ie Chalazion is a round and cleer pimple, which grow's upon the upper eie- lid j it is alfo moovable, and may bee ftirred this way and that way with your fingers. The Latines call it Grando, for that it relemble's a hail-ftone. Another pimple not much like this grow's fomtimes upon the verges of the eie-lids a- bove the place of the hairs. It is termed Hordeolum, by reafon of the fimilitude it hath with a barlie-corn. The matter of thele is contained in its proper cift or skin, and therefore is hardly brought to fuppuration. At the firft begining it may bee refblved and difcufled. But when as it is once grown and concrete into a plafter or ftone-like hardnefs, it is fcarce cureable. Wherefore it is beft to perform the cure by opening them, that to the contained matter may flow, or bee prefled forth. If the pimple or fwelling bee fmall, then thruft it through with a needle and thread, and leav the thread therein of fuch length, that you may fallen the ends thereof with a little of the emplafter called Gratia Dei, like glue to the fore-head, if it be on the upper eie-lid; or to the cheeks,if on the lower.You muft draw through a frelh one every fecond daie, as is ufually done in chirurgicall letons. For thus at length the fwelling will bee deftroied, and made plain. Pdul.iapt, lib.6. The cure. CHAP. VIII. Of the Hydatis, or fatnefc of the eie-lids* He Hjidatit is a certain fattie fiibftance, like a piece of fat feated and lying under the skin of the upper eie-lid. It is a dileaf incident to children, who are of a more humid nature: wherefore it is a loft and loof tumor, making the whole eie-lid, which it poflefleth, ocdematous; fo that as if deprefled with a weight, it cannot bee lifted up. It hath its name, for that it hath as it were a bladder di- ftended with a whayifh humor , which kinde of fault is obferved by Galen in the liver. Thole, who are thus afte&ed, have their eies look red, and flow with tears, neither can they behold the fun, or endure the light. The cure is performed by cutting off the fuperfluous liibftance, not hurting the neighbouring parts ; and then prefently put 1dm fait into the place whence it was taken out (unlels the vehemencie of pain hinder) that fo the place may bee dried and ftrengthened, and the reft of the matter (if anie fuch bee) may bee confirmed, and hindred from growing again. Laftly, you fhall cover the whole eie with the white of an egg diflblved in role-water, or 1dm other repercufllve. What Uyd/h lists. Com.ad apher. M-f'Ci-7- The cure. Mm 2 CHAP. Of diverf preternatural <tAfl: LiB'iy. 404 CHAP- IX. Of the eie-lids faftened or glewed together. Omtimes it conieth to pais that the upper eie-lid is glewed or fattened to the under, fo that the eie cannot bee opened, or fo that the one of them may ftick or bee fattened to the white coat of the eie, or to thehornie. This fault isfom- times drawn from the firft originall, that is, by" the default of the forming fa- cultie in the womb (for thus manie infants are born with their fingers fattened together, with their fundaments, privities and ears unperforated) the eie in all other relpefts beeing well computed. The caufof this affeft Ibmtimes proceed's from a wound, otherwhiles from a burn, fcald or impottumation, as the breaking of the fmall pox. It is cured by putting in a fit inftrument, and fo opening them; but with fuch moderation, that you touch not the hornie coat, for otherwile it would fall out. Therefore you muft put the end or poirit of your -probe under the eie-lids, and fo lifting them up (that you hurt not the fubftance of the eie) divide them with a crooked incifion-knife. The incifion made, let the white of an egg beaten with fom role-water bee put into the eie, let the eie-lids bee kept open; yea let the patient himlelf bee careful that hee often turn it upwards, and lift it up with his fingers, not onely that the medicine may bee applied to the ulcer, but allb that they may not grow together again. In the night time let a little pledget dipped in water, and that either limple, or wherein fom vitriol hath been dillblved, bee laid thereon. For thus you Ihall hinder the eie-lids from joyning together again. Then on the third daie the parts or edges of the eie-lids. Ihall bee touched with waters drying without biting or acrimonie, that lb they may be cicatrized. But if the eie-lid adhere to the hornie coat at the pupilla or apple of the eie, the patient will either bee quite blinde, or verie ill of light. For the fear which enfiie's will hinder the fhapes of things from entring to the chryftaline humor, and the vifive fpirits from palling forth to the objefts. For prognofticks, you may learn out ofCe//«j,that this cure is lubjeft to a it may bee fimnned nei- ther by diligence nor induftrie,but that the eie-lid will alwaies adhere and cleav to the eie. Paula ctp.i f lib.6, The cauf. The cure. Adifeaf fub- jed to relapf. CHAP. X. Anie have their eie-lids itch vehemently by reafon of (alt phlegm,which often- times excoriating and exulcerating the parts themfelvs, yeeld's a fanies, which joyn's together the eie-lids in the night time as if they were glewed together, and make's them watrie and bleared. This affeft doth fo torment the patients, that it oft-times make's them require the Phyficians help. Wherefore general medicines beeing premifed, the ulcers (hall bee wafhed with the following Collyrium. Bc.aque mellisin balneo maria diftillata %iii. faccarii candi $1. aloes lota & inpollinem redatta col- lyrium. Which if it do no good, you may ufe this which follow's. R.Z/tog. dijfol- wein aqua plantaginis quantitate fufficienti. Let the ulcerated eie-lids bee touched with a toft linnen rag dipped therein, but with care that none thereof fall upon the eie. But when the patient goe's to bed, let him cauf them to bee anointed with the following ointment, verie , effeftual in this cafe. Bc.axungia porci & butyri recently antimon, in aqua eupbrafia praparati, campbora gra.iiii* mifce,& in mortario flumbeo ducantur per tres boras,con- flatum indeunguentum,ferveturin pyxide plumbed. Sorri commend and ule certain waters fit to cleanf, drie, binde, ftrcngthen, and abfolutely free the eie-lids from itching and rednefs ; of which this is one. R. aquaeuphrag.f<xniculiicbelidon.an%fi.farcocal. nutrita fimul, & bulliant unica ebullitions poftea coletur liquor, & [erwetur ad ufum dictum. Or elfaqua rof.&vi- ni alb.boni an.$iiii. tuth.prapar.aloes Let them bee boiled ac- cording to art, and kept in a glafs to wafh the eie-lids. Or elf, fk.vini albi ibfL falls com. let them bee put into a clean Barbar's baton and covered,and kept there five or fixdaies,and bee ftirred once a daie, and let the eie-lids bee touched with this liquor. Som with that the patients urine bee kept all night in a Barbar's baton,and fo the patients eie-lids bee waflied therewith. Verely in this affeft wee muft not fear the ufe of acrid medicines, for I once law a woman of fiftie years of age,who wafhed her eie-lids when they itched with the fharpeft vinegar fhee could get, and affirmed that fhee found better foccefs of this then of anie other medicine. Vigo prefcribe's a water, whole efficacie above other medicines in this affeft, hee faith, hath been proved 5 and that it is to bee efteemed more worth then gold, the delcripti- on thereof is thus : l&.aq.rof.vini albi odoriferi mediocria vinofitatis myrobalan. citrini trit, bulliant omnia fimul ufque ad confumptionem tertia partis 5 deinde immediate addantur flares aris Let the liquor be kept in a glafs well flopped for the fore-faid ufe. CHAP. Of tbe itching of the eie-lids. A detergent Collyrium. You need not fear to ufe a- crid medi- cines in the itching of the eie-lids. Lib.z.cap.g. Lib.17 rohoje Cure is performed by Surgerie. 405 CHAP. XI. Of Lippitudo> or Blear-eies. Here are manie whofe eies are never drie, but alwaies flow with a thin, acrid, and hot humor, which cauleth roughnefs, and upon final occafions, inflammati- ons, blear or blood-ihot eies, and at length alfo Strabifmus or fquinting. Lip- pitudo isnothingelf but a certain white filth flowing from the eies, which oft- times agglutinate's or join's together the eie-lids. This dileaf often trouble's all the life- time, and is to bee cured by no remedie in fom it is cureable. Such as have this difeaffrom their infancie, are not to bee cured,for it remain's with them till their dying day. For large heads, and fiich as are repleat with acrid or much excrementitious phlegm, fcarce yeeldto medicines. There is much difference whether the phlegm flow down by the internal veflels under the foul,or by the external which are betweeen the skull and the skin, or by both. For if the internal veins caft forth this matter, it will bee difficultly cured if it bee cured at all. But if the external veflels caft forth, that cure is not unprofitable, which haveing u(ed medicines refpefting the whole bodie, applie's aftringent medicines to the fhaved crown, as Enip!. contra rupturam, which may ftreighten the veins, and as it were fufpend the phlegm,ufeth cupping, and command's fri&ions to bee made towards the hinde part of the head, and laftly, maketh a Seton in the neck. There are fom who cauterize the top of the crown with an hot iron, even to the bone, fo that it may caft a fcale, thus to divert and ftaiethe defluxion. For local medicines, a Collyrium made with a good quantitie of role- water, with a little vitriol diflblved therein, may ferv for all. What lipfitwto is. JkCollyrium of vitriol to flay the deflnxions of the eics. CHAP. XII. Of the Opthalmia, or inflammation of the Eies. M Ophthalmia is an inflammation of the coat Adnata and confequently of the whole eie, beeing troublelbm by the heat, rednels, beating, renitencie, and laftly pain* It hath its original either by fom primitive cauf or occalion, as a fall, ftroke,duft,or fmall fand flying into the eies .For the eie is a imooth part, lb that it is eafily offended by rough things,as faith Hipocrates Jib. de carnibus. Or by an antecedent cauf, as a defluxion falling upon the eies. The figns fol- low the nature of the material cauf, for from blood Specially cholerick and thin, it is full of heat, rednefs and pain; from the fame allaied with phlegm all of them are more re- mils. But if a heavinelspoflels the whole head, the original of the dileaf proceeds there- from.But if a hot pain trouble the forehead, the dileaf may bee thought to proceed from lorn hot diftemper ofthe Dura mater3 or the pericranium ; but if in the verie time of the rageing of the difeat the patient vomit, the matter of the dileafproceed's from the ftomack. But from whence foever it cometh there is Icarce that pain of any part of the bodie, which may bee compared to the pain of the inflamed eies. Verily the greatnefs of the inflammation hath forced the eies out of their orb, and broken them aliinder in diverf. Therefore there is no part of Phyfick more blazed abroad then for fore eies.Forthe cure, the Surgeon lhall confi- der and intend three things; diet, the evacuation of the antecedent and conjunct cauQ and the overcoming it by topick remedies. The diet (hall bee moderate, efchewing al! things that may fill the head with vapors; and thole things ufed that by aftri&ion may ftrengthen the orifice of the ventricle, and prohibit the vapors from flying up to the head; the patient lhall bee forbidden the ule of wines,unlels peradventure the diieaf may proceed from a grols and vilcid humor, as Galen deliver's it. The evacuation of the matter flowing into the eie, lhall bee performed by purgeing medicines,phlebotomie in the arm, cupping the Ihoulders and neck with Icarification, and without: and laftly, by friftions, as the Phyfician that hath undertaken the cure lhall think fit. Galen after univerfal remedies for old inflammati- ons ofthe eiesjcommend's the opening of the veins and arteries in thefforehead and temples, becaufforthemoft part the vdlels thereabouts diftended with acrid, hot and vaporous blood, caufgreat and vehement pains in the eie. For the impugning of the conjunct cauf, diverf topick medicines lhall bee applied,accord- ing to the four lundrie times or leafons that everie phlegmon uliially hath. For in the begining when as the acrid matter flow's down with much violence, reperculfives do much conduce: and tempred with refolving medicines, are good alfo in the encreaf. R. aq. rof. &plantag.an. micagin. gum. Tragacanth. album, ovi quedfufficit, fiat col/yrium, let it bee dropped warm into the eie, and let a double cloth dipped in the lame collyrium bee put upon it. Or, R. mucag. fem.pfil. & cy don. extract# in aq.plant- an. aq. folan. & laflis muliebris, an. Ji. trochifc. alb. rbafiyfiat collyrium, ufe this like the former. The veins of the temples may bee ftreightned by the following medicine. R.. bol. arm. fang. drac. et mafi. an. alb. ovi, aqux rof. et acet. an. Ji. tereb. lot. et ol. cidon. an. Ji.p. fiat defenfivum. You may alfo ufe Mm 3 Vug. What Opthal- mit is> and the caufes thereof. Signs. The cure* Cow.adaphor* 31 Lib.x cap.ult. A revert cuflive medicine. Aftringenc emphfters- 406 Ofdherfpreternatural (yylffetts, JL-iB.iy. Ung. de Boft, empl.diacal. or contra rupturam diflblved in oyl of myrtles, and a little vineger. But if the bitterncis of pain bee intolerable, the following cataplafm fhall bee applied. Bemedul. pomor. fub. ciner.cottorum %iii. lattis muliebris P- let it bee applied to the eie, the for- merly prefcribed collyrium beeing firft dropped in. Or, R miog. fem. pfil. & mi- c# panic albi in latte infuft. %ii.aqu# rof. ft. fiat cataplafnm. The blood of a 1 urtle-Dove, pi- geon or Hen drawn by opening a vein under the wings, dropped into the eie, aflwageth. p?in. Baths are not onely anodine, but alfo alfb flay the defluxion by diverting the matter thereof by fweats; therefore Galen much commend's them in inch defluxions oftheeiesas com by fits. In the ftate when as the pain is either quite taken away or aflwaged, you may (life the following medicines. Be. farcocol. in lattemuliebri aides lot# in aq.rofar.. Z)ii. trochif.alb. cand. aqu# rof |iii. -fiat collyrium. Or, R. fem. feeniculi, & fxnug. an- 3ii./o. cbam#. &melil. an.m. fi.coquantur in aq. com. ad colatur# adde tutbi#pr#p.& facroc. nutrit# in latte muliebri. an p. faccbari cand. % ft. fiat collyrium ut artis eft. In the decli- nation the eie fhall bee fomented with a carminativcdecoftion, and then this collyrium drop- ped thereinto. Bc.facroc. nutrit# %ii. aloes & myrrb.an. & cup brag. an. fat collyri- um, ut artis eft. An anodine cataplafm. The efficacie of Bathes in pains of the ties. Ad aphor.feff.y. Detergent Col- Ijria. CHAP. XIII. Of the Proptofis, that is the falling or parting forth of the eie, and of the Phthifis and Chemofis of the fnne. He Geerks call that affeftProftofis,theLatines Procidentia or Exitw oculi, when' as the t ie (land's, and is call out of the orb, by the occahon ofa matter filling and lifting up the eie into a great bigneff, and largenefs of fubflance. The caut of this difeafis fomtimes external, as by tOo violent (training to vomit,by hard labor in child-birth, by exceflive and wondrous violent fhouting, or crying out. It fomtimes happeneth that a great and cruel pain of the head, or the too (trait bindeing ot the forehead and temples for the eating thereof, or the pal tie of the mufcles ot the eie, give beginning to thisdifeaf. Certainly fomtimes the eie isfo much ditlended by the defluxion of humors, that it break's in funder, and the humors thereof are (lied, and blindeneis en- fue's thereof, as 1 remember befel the filler of Lewis de Billy merchant, dwelling at Paris neer S. Michael's bridg. The cure (hall bee diyerfified according to the caufes.. Therefore univer- fal medicines bceing premifed, cupping-glades (hall be applied to the original of the fpinal marrow, and the fhoulders j asalfo Cauteries, or Setons: the eie (hall bee prefled or held down with cloths doubled and deeped in an allringent decoction made of the juice of Acacia, red roles, the leaves of poppie,henbane, rofes and pomgranat pills:of which things poultiff les may bee made by addition of barlie-meal and the like. There is fomtimes to bee feen in the eie an affect contrarie to this, and it is termed Atro- phia. By this the whole fubflance of the eie grOw's lank and decay's, and the apple it felf becom's much lefs. But if the confumption and emaciation take hold of the pupil onely, the Greeks , by a peculiar name and different from the general, term it a Phtbljis, as Paulus teacheth. Contrarie caufes (hall bee oppofed to each affect 5 hot and attractive fomentations (hall bee applied j friftions (hall bee u(ed in the neighboring parts, and 1 aftly all things (hall bee applied which may without danger be ufed to attract the blood and (pirits into the parts. There is another affeft of the eie, of affinitie to the Proftbfis, which by the Greeks is termed Chembfis. Now this is nothing elf then when when both the eie-lids are turned up by a great inflammation, fo that they can fcarce cover the eies, and the white of the eie is ' lifted much higher up then the black. Somtimes the Adnata changeing his wont, looketh red j befides alfo, this affeft may take its original from external caules, as a wound, contu- lion and the like. But according to the varietie of the caufes, and the condition of the pre- lent affeft fixed and remaining in the part,diverf remedies (hall bee appointed. The cauf. The cure. The Atrophia of the eh. The Phthifis thereof. Lib.$.crp.zz, The Chemdfis. Paulus CHAP. XIV. Of the Ungula, or Web. BpOi He Ungula, Pterygion or Web is the growth of a certain fibrous and membranous flelh upon the uppercoat of the eie called adnata, arifeing more frequently in the bigger, but fomtimes in the leffer corner towards the temples. When it is ncgle ftfd, it cover's not onely the adnata, but alfo fom portion of the Cornea, and coming to the pupil it lelf hurt's the fight thereof.Such a Web fomtimes ad- here's not at all to is onely ft retched over it from the corners of the eie,lb that you maythruft a probe between it and the Adnata: it is of feveral colors, fomwhiles red, ibmwhilcs yellow, fomwhiles duskilh, andotherwhiles white. It hath its original either • - from Tohoje Cure is performed by Surgerie .Lib. 17. 407 from external caufes, as a blow, fall, and the like ; or from internal, as the defluxion of humors into the eies. The Ungula which is inveterate, and that hath acquired much thick- nefs and bredth, and beiides doth difficultly adhere to the Adnata, is difficultly taken away, neither may it bee helped by medicines whereby fears in the eies are extenuated. But that which covereth the whole pupil muft not bee touched by the Surgeon, for beeing cut away, the fear which is left by its denfltie hindereth the entrance of objefts to the cryftalline hu- mor, and the egrefsofthe animal fpirit to them. But oftentimes it is accompanied with an inflammation of the eies, a burning, itching, weeping defluxion,and (welling of the eie- lids. That the cure may rightly and happily proceed, hee muft firft ule a (pare diet, purgeing medicines fhall bee given, and blood taken away by opening a vein, Specially, if there bee great inflammation. For particular remedies,this excrelcence ftiall bee eaten away, or at leaft kept from growth, by dropping into the eie collyciwn of vitriol delcribed in wounds of the eies. But if that wee profit nothing by this means, it remaineth, that wee take it away with the hand after the following manner. You fhall let the patient upon a fourm or ftool, and make him lean much back, and bee lb held firmly, that hee may not fall nor ftir, then muft you open his fore eie,putting there- 1 in a fpeculum oculi formerly defcribed in treating of the wounds of this part, and then muft you lift up the Web it felf with a ffiarp little hook, with the point turned a little in, and put under the mid'ft of the you have lifted it a little up, thruft a needle threded with almooththred betweenit and the Adnata, then takeing hold of the hook, and the two ends of the thred drawn through with the needle, and lifting up the Web by them, you fhall gently begin to feparate it from the fubftance of the eie lying there-under, beginning at the original thereof with a crooked incifion-knife, and fo profecuteit even to the end,yet lb as you hurt no part of the Adnata, nor Cornea. What Web cu- rable,and what incure« able. The cure. ' The cutting of the Web. fbe figures of little books, a needle, and crooked incifion-knife. Little books. A needle. A crooked incifion-knife. Then muft it bee cut off with a pair of feiflers, and the white of an egg beaten with fom Role-water laid thereon, and often renewed* Afterwards the eie muft everie day bee opened, leaft coming to cicatrization, the eie-lids fhall bee glewed together in that part whereas the Web is taken away, which allb ftiall bee hindered by putting of common lalt, fage and cum- min-leeds into the eie, beeing firft champed and chawed in the mouth. There are lorn who in ftead of the crooked knife leparate the Web from the Adnata with a horle s hair, others do it with a goofquil made readie for the fame purpole, takeing heed that they hurt not the caruncle at the corner by the note , for it will follow if that you draw the Web away too violently j and if it bee cut, there will remain a hole, through which dureing the reft of the life a weeping humor will continually flow,a dileaf by the Greeks termed Rhyas. If after the cutting there bee fear of inflammation,linnen rags moiftned in repelling medicines,formerly prelcribed in wounds of the eie, fhall bee laid thereupon. CHAP. XV. Of the Egilops, Fiftula lacrymola, or weeping Fiflula of the Eie. AT the greater corner of the eie there is a gfendyle, made for the receiving and con- taining the moifture which ferveth for the lubricating and humeflting the eye, leaftit ' " fhould The ufe of the glandule at the greater corned of thesis. 408 Ofdnerfpreternatural •yl/fitls, LiB.iy fhould drie by continual motion. This glandule (bmtimes by a (anguin or pituitous de- fluxion falling violently from the brain, fwel's, impoftumate's and ulcerates with an ul- cer, not feldomdegenerateing into a fiftula, fo that in fuccefs of time it rottech the bone that liethunder it: of fuchfiftulae's,(om are open outwardly, and thefeufually have their original from a phlegmon; other fom are inwardly, and thole are (uch as at firft (welled by the defluxion or congeftion of a phlegmatick matter, (b that there appeareth no hole out- wardly, but onely a tumor of the bignels of a peaf, this tumor beeing prefled, floweth with a famous, ferous and red or other wife with a white and vifcid matter, aud that either by the corner of the eie, or by the infide of the note. Som have this matter flowing continual- ly, others have it onely monethly,which is proper alfo to (bm fiftulae's. Such weeping fiflu- lae's if they becomold,caufan oftheeie, and (bmtimes blindenefs and a (linking breath. Therefore wee muft diligently and fpeedily by phyfical and chirurgical means refift the breeding difeaf.Wherefore,haveing uted general medicines,wee muft com to particulars. Therefore if the ulcer bee not fufficiently wide, it (hall bee enlarged by putting tents of fpunge therein.The flefh of the Glandule encreafing more then is fit, (hall bee corrected by putting therein the catheretick ponders of Mercuric, calcined vitriol, or fom aqua forth, or oil of vitriol, and laftly, by a potential cauterie. If you cannot prevail by thefe means, and that the bonebegin's to rot, and the patient bee (lout hearted, then ufe an a&ual cauterie whole ufe is far more effectual, readie, certain and execellent, then a potential cauterie, as I have tried in manie with happie (iiccefs. In my opinion it make's no matter, whether the cauterie bee of gold, filver or iron 5 for the efficacie it hath,proceedeth not from the matter, but from the fire. Yet if wee muft religioufly obterv and make choice of metals, I had rather have it of Iron, as that which hath a far more drying and aftringent facultie then gold, for that the element of earth beareth the chief (way therein, as appeareth by the waters which flow through iron-mines. Wherefore you (hall cauf to bee made a triangular Iron, (harp at the end, that it may the more (peedily penetrate. And then the (bund eie and adjacent parts being well covered and defended,and the patien'ts head firmly hoi den in one's hand,leaft the patient beeing frighted, ftir himfelf in the verie inftant of the operation. But a place of iron (bmwhat deprefled in the mid'ft, for thecavitie of the greater corner, (hall bee applied and fitted to the pained eie. This plate (hall bee perforated that the hot Iron may pafs thereby to the fiftula lying there-under,and (b may onely touch that which is to bee cauterized. The differen- ces. Periodical and Typical Fiftu' lacs. The cure. The efficacie of an a&ual cauteric. "the figure of a cauterie, and a plate with a hole therein. ; After the bone is burnt with the cauterie, a col/yrium made of the whites of eggs beaten in plantain and night-fliade waters muft bee poured into the hole it telf, the eie and all the neighboring parts; but the patient (hall bee laid in bed, with his head (bmwhat high, and the collyrium (hall bee renued as often and as (bon as you (hall perceiv it to grow drie. Then the fall of the Efchar (hall bee procured by anointing it with frefh butter 5 when it is fallen away,the ulcer (hall bee cleanted, filled with flefh, and laftly cicatrized. Things to bee- don after the cauterizing. CHAP. XVI. Of the Staphyloma, or grape-like falling. Whara Staphy- loma is,and the caufes thereof. and grape-like coat, bred through the occafion of an humor flowing down upon the eie,or by an ulcer,the homie coat ESftJjgl beeing relaxed, or thru'ft forth by the violence of the puftule generated beneath. It in fhape refembleth a grape,whence the Greeks ftyle it Staphyloma. This tumor is fomtimes blackifh, otherwhiles whitifli. For if the hornie coat bee ulcerated and fretted in funder, fo that the grapie coat (hew it felf, and fall through the ulcer,then the Staphyloma will look black like a ripe grape, for the utter part of the Vvea is blackifh. But iftne Cornea bee onely relaxed and not broken,then the fwelling appear's of a whitifli color like an unripe grape. The Antients have made manie kindes or differences thereof. For if it bee but a (mall hole of the broken Cornea by which the Vvea flieweth or thrufteth forth its felf, they then termed it Myocephalon , that is , like the Tatdut and Actins. LlB.ltf. whofe Qure is performed by Surgerie. 409 the head of a flie. But if the hole were large, and abb callous, they called it ClavM, or a nail j if it were yet larger, then they termed it Acinus, or a grape But in what lhape or fi- gure foever this dileaf (hall happen, it bringeth two difeommodities, the one of blindenefs, the other of deformitie. Wherefore here is no place for Surgerie to reflore the fight,which is already loll, but onely to amend the deformitie of the eie j which is by cutting off that which is prominent. But you muft take heed that you cut away no more then is fit, for fo there would bee danger of pouring out the humors of the eie. Eyerie Slapbi- loma infer'sin- cureable blind- nefs. CHAP. XVII. Of the Hypopyon, that is the fuppurate or putrefied eie- <7 S', or Quitture is fomtimes gathered between the hornie and grapie coat from an internal or external cauf : From an internal, as by a great defluxion, and oft- times after an inflammation; but externally, by a ftroke, through which occafion, a vein beeing opened hath poured forth blood thither, which may prefcntly bee turned in- to Quitture. For the cure, univerfal remedies beeing premiled, cupping-glafles (hall bee applied, with fcarifications and fri&ions ufed. Anodine and digettive collycia (hall bee pour-, ed from above downwards. Galen write's that hee hath (bmtimes evacuated this matter, the Cornea beeing opened at the Iris, in which place all the coats meet, concur and are termi- < nated. I have don the like, and that with good fuccefs, James Guillemeau the Kings Surgeon beeing prefent, the Quitture beeing exprefled and evacuated after the apertiom The Ulcer fhall bee claenfed with Hjdromel,or fbm other other fiich like medicine. The cauf. Lib. 14. Method, lap.ult. CHAP. XVHI. Oo the Mydriafis, or dilatation of the Pupil of the Eie. Ydriafis is the ditatation of the pupil of the eie, and this happeneth either by nature or chance: the former proceedeth from the default of the firft confor- mations neither is it cureable; but the other is of forts; for it is either from an internal cauf, the off-fpring of an humor flowing down from the brain, wherefore Phyfical means muft bee ufed for the currthereof. Now that which cometh by anie external occaiion, as a blow, fall, or contufion upon the eie, muft bee cured by prefently applying repercuflive and anodine medicines, the defluxion muft bee hindered by diet skilfully appointed, phlebolomie, cupping, fcarification, fri&ions and other reme- dies which may seerfi convenient. Then muft you com to refolving medicines, as the blood of a Turtle-dove, Pigeon, or chicken reeking-hot out of the vein, beeing poured up- on the eie and the neighboring parts.Then this following cataplafm (hall bee applied there- to R. faring fabar.&lwrdei ol.rofar. &* myrtillor. fi.pul. ireos cumfapa fiat cataplalma. You may alio ufe the following fomentation- R. rofar.rub. & myrtyl.an m.i. flerummelil. & cbamtm.an.p.i. nucum vini aufteri fb.£. aq.rofar. & plantag. make a decoftion of them all for a fomementation to bee ufed with a Iponge. The Cauf. The Cure. A digefting Cataplafm. CHAP. XIX. Cataraftis called alfo by the Greeks Hyfocbima, by the Latines fuffufio. How- Ibever you term it, it is nothing elf but the concretion of an humor into a certain thin skin under the hornie coat, juft againft the apple or pupil, and as it were fwimming upon the waterie humor j and whereas the place ought to bee emptie, oppofing it lelf to the internal facultie of feeing,whereby it differ- eth from (pots and fears growing upon the hornie coat and Adnata. It fomtimes covereth the whole pupil, otherwhiles but the one half thereof, and fomwhiles but a final portion thereof. According tothisvarietie the fight is either quite loft, weak, or fom what de- praved , becaufthe animal vifive fpirit cannot in its entire fubftance pafs through the den* fide thereof. The defiuxion of the humor whence it proceed's, is either earned by an exter- nal occafion, as a ftroke, fall, or by the heat or coldnefs of the encompalling air ,trouble- lom both to the head and eies; or elf it is by an internal means, as the multitude, or elfthe acrid hot and thin qnalitie of the humors. This diieaf alfo fomtimes taketh its original from grols and fumid humors lent from a crude ftomack,or from vaporous meats or drinks, up to the brain, and fo it falleth into the eies, where, by the coldnefs, ftraitnefs and tarry- ing in the place, they turn into moifture, and at length into that concretion or film which Wee lee: The figns may bee eafily drawn, from that wee have alreadie delivered. For when S the cataract is formed and ripe, it refembleth a certain thin membrane fpred over the pupil, and Of a Cataratf. A Catarad. The differen- ces. Caufes. Signes. 410 Of diver [preternatural Lib.17. and appeareth of a different color, according to the varietie of the humor whereof it confi- fteth, one while white, another while black, blue, a(h-colored, livid, citrine, green. It fom- times retenibleth quick-iilver,which is verie trembling and fugitive, more then the reft. At the firft when it beginneth to breed, they (eem to tee manie things, as flies flying up and down, hares, nets, and the like , as if they were carelefly tolled up and down before their eies: fomtimes everie thing appeareth two,and fomwhiles lefs then they are; becauf the vi- five fpirit is hindered from pafling to the objects by the denfitie of the skin, like as a cloud (hadowing the light of the Sun. Whence it is that the patients are duller lighted about noon, and furer and quicker flighted in the morning and evening 9 for that the little vifive fpirit diflufed through the air, is difperfed by the greater light, but contrafted by the lefs. Now if this film cover half the pupil, then all things (hew but by halfs; but if the mid'ft thereof bee covered, and as it were the centre of the chryftaline humor, then they teem as if they had holes or windows : but if it cover it all, then can hee tee nothing at all, but onely the fhadows of vifible bodies, and of the Sun, Moon, Stars, lighted candles, and the like lumi- nous things,and that but confufedly, and as by conjefture. CHAP. XX. Of tbephyfical cure of a beginning Cataract. Diet for fuch as are troubled with a Cata- ract. Begining Cataraft is hindered from growing and concretion by diet conveni- ently and artificially prefcribed, by the abftinence from wine, Specially more flrong and vaporous, and forbearing the tile of meats, which yeeld a phlegma- tick juice and vaporous: as peaf, beans, tumeps, chefnuts, and,laftly,all fuch things as have the facultieof flirting up the humors, and caufing defluxion in the bodie, fuch as are all fait and Ipiced meats, as alfo garlike, onions, muftard. The immo- derate ufe of Venerie hurts more then all the refl, for that it more violently exagitate's the whole bodie, weaken's the brain and head, and beget's crude humors. Let his bread bee fea- ibned with fom fennel feeds, for it is thought to have a facultie of helping the fight 3 and clearing the eies, and diflipating the miftie vapors in the ftomack before they can aifcend to the brain. Wherefore by the lame realon it is good to ule marmelade of quinces, conferv of roles,and common drige powder > or anie fuch like compofed of things good to break winde, or corroborate the ventricle. Phlebotomie and purging,if they bee requifite, fliall bee fitly appointed: Ventofts fliall bee applied to the flioulders and neck; and phlegmatick matter lhall bee diverted and evacuated by the mouth with ufingmafticatories in the morn- ing. There bee fom which beleev, that a begining Cataraft may bee dilfipated and difculfed by often rubbing the eie-lids with his fingers, and in like fort by the often and earneft be- holding of the Stars, and the Moon when it is at the full, looking- glalfes, diamonds, and all other liich like bright flfining things. I beleev, that by beams plentifully and fuddenly brought and diffufed over the eie, directly oppofite againftlbme bright flfining thing, it may feem to have a penetrating, dividing, dinolving, as alfo a conluming and drying fa- cultie. Befides,allb the hot breath of him who holdeth in his mouth, and chaweth fennel feeds, anif-feeds, coriander feeds, nutmeg, cinnamon,cloves, and the like, hath a great fa- cultie, the eies beeing firfl: gently rubbed with the finger, it beeing breathed in neer at hand, and often received, to heat, attenuate, refolv, digeft and diffufethe humor which is readie to concrete. Moreover, this collyrium of John is thought verie powerful to clear the eies, ftrengthen the fight, hinder iuffufions, and difeuls them, if at anie time they con- crete, and begin to gather. R.hepatis hircini fam'& recentis tbii. calomi aromatici & mellis an. rutc, aque chelidonic, foeniculi, verbenic cup be fie, piperir longi, nucis mofeba- tc, caryophyllorum croci £)i. florid rorifmarini aliquantum contriti, m.|S. farcocollc, aloes hepa- tic*, fellit rate, leporis & perdicis, an.%1. terantur omnia, tritifque adde faccbari albi %ii.mel- lis rofati conjiciantur in alembicum witreum, & diftillentur in balneo Marie: Let this diftilled liquor bee often dropped into the eies. But if you prevail nothing by all thefe medicines, and that the cloudie and heaped up humor doth daily increafand thicken, then muft you abftain from remedies, and expeft until it bee no more heaped up, but thickned, yea until it feem to bee grown fomwhat hard. For lb it may bee couched with a needle 5 otherwife,if this fame skin fliall not bee ripe, but more tender then is fitting, when you fliall com to the operation, it will bee broken and thruft through with the needle, and not couched. On the contrarie,if it bee too hard, it will refill the needle, neither will it fuffer it felf to bee eafily couched. Wherefore it is requifite that the Surgeon know when it is ripe, and hee muft diligently obferv the figns whereby hee may difeern a ripe Cataraft from an unripe; and that which is cureable,from that which is uncureable.For that onely which is ripe and e' cureable is to bee couched; that which is unripe, that is, luch an one as is more tender,and as it were crude, and that which is more hard and de»G and laftly, that is uncureable muft not bee attempted at all. Bread feafoned with fennel- feeds. How bright fhining things may diffipate a begining Catarad. A Collyrium difli paring a begining Ca- taraft. A Cataraft muft not bee un» lefsit bee ripe CHAP. Lib.17. rvhofe Cure is performed by Surgerie 411 CHAP. XXL By what figns rife and cureable Cataratts may bee difeerned from unripe and uncureable ones. F the found eie beeing fhut, the pupil of the fore or fuffofed eie, after it (hall bee rubbed with your thumb,bee prefently dilated &?diffufed,and with the likeceleritie return into the pl ace, figure,color and ftate,it is thought by fom to (hew a ripe and confirmed Cataraft. But an unripe, and not to bee couched, if the pupil remain dilated and diffufed for a long while after. But it is a common fign of a ripe, as alfo more denf, and confequently uncureable fuffufion, to bee able to fee nor diftinguifh no vilible thing befide light and brightnefs •, for to difcern other objefts ftieweth that it is not yet ripe: Therefore the found eie beeing (hut and preffed, the pupil of the other rubbed with your thumb, is dilated, enlarged, fwelleth, and is more diffufed; the vifive fpirits by this compreffion beeing as it were forced from the found into the fore eie. But thefe following Catarafts are judged uncureable, that is, fuch as are great, foch as when the eie-lid is rub- bed are nothing dilated or diffufed,whofe pupil becometh no broader by this rubbing: for hence you may gather, that the.ftopping or obftru&ion is in the optick: nerv, fo that how cunningly and well foever the Cataraft bee couched, yet will the patient continue blinde; you (hall do no more good in couching a Cataraft, which is in an eie confumed and wafted with a Phtbifis- Alfo that Cataraft is uncureable, which is occafioned by a moft grievous difcaf, to wit, by moft bitter and cruel pains of the head, or by a violent blow. Such as are of a plaifter-like, green, black, livid, citrine and quick-filver-like color,are ufiially uncure- able. On the contrarie, foch as are of a Chefnut color, or of a skie or fea-water color,with fom little whitenefs, yeeld great hope of a happie and fuccefsful cure. llncureable Catara&s. Cureable Ca- taradi* CHAP. XXII. Of the couching a Cat ar aft. Fter you (hall know by the fore-mentioned figns that the Cataraft is cureable, \ it remains that you attempt the couching thereof,but fo,that there bee nothing < which may hinder.For if the pain of the head,cough,nauftoufnefs or vomiting 1 at that time trouble the patient, you fhall then beftow your labor in vain: Wherefore you muft exfpeft until thefe fymptoms be gon. Then make choice of a feafbn fitting for that purpofe, that is, in the decreaf of the moon, when the air is not troubled with thunder nor lightning, and when as the Sun is not in Aries, becaufthat fign hath dominion over the head.Then let the Surgeon confult a Phyfician whether purg- ing or blood-letting bee convenient for the patient, fo to refill plethorick fymptoms,other- waies readie to yeeld matter for relapfl Twodaies after you muft make choice of a place furnifhed with indifferent or competent light, and the Patient being falling fhall bee placed in a ftraight chair,lb that the light may not fall with the beams direftly upon him, but fide- wile. The eie which fhall bee cured muft bee made tnore fteddie, by laying and bindeing woollupon the other: Then the Surgeon fhall feat and place himfelf dire&ly againft the patient upon a feat fomwhat higher, and bidding the patient put his hands down to his gir- dle, hee fhall hold the patient's legs between his knees. One (hall Hand at the patient's back, who fhall hold his bead, and keep it -from ftirring; for by a little ftirring hee may lofe his fight tor ever. Then mull you prepare and make readie your needle, and thruft it often into fom ftrong thick cloth, that it may hee as it were fmooth by this motion , and for the per- formance of the work in hand with the left pain fomwhat warmed.lt muft bee made of iron or fteel, and not of gold or filver, it muft bee alfo flatted on the fides, and fharp-pointed, that fo it may the better pierce into the eie, and wholly couch the Cataraft once taken hold of s and leaft it Ihould flip in the Surgeon's hand, and bee left fteddie, it fhall bee put into a handle, as you may fee by the following figure. When to couch a Cata- raft. The place. The needle. Aneedle inferted in a handle for the couching ofCatarafis. All things beeing thus in a readinefs3you muft bid the patient to turn the fight of hiseie towards his nofe5& the needle muft bee boldly thru'ft(for it is received in a place that is void, & onely filled with Ipirits)direftly by the coat t in the middle (pace between the Idler 412 Ofdiy erf preternatural zAffe&s., Lib. 17. corner and the hornie coat, juft againft themid'ft ot the Cataraft,yet fo,as that you hurt no vein of the Adnata, and then by ftirring it as it were diverfly until it com to the mid ft of the pupil and iuftuiion. When it is com thither,the needle muft bee inclined from above down- wards to the fiiffufion, and there to bee ftirred gently until by little and little it couch or bring down.the Cataraft as whole as may bee beneath the compafs of the pupil 5 let him ft ill follow it though couched with his needle, and fomwhat violently deprefs and. keep it down for fom ihort fpace, that fo it may reft and ftay in that lower place whether it is de- preflcd. The Surgeon fhall trie whether it firmly remain there or no, bidding the patient prefcntly to move his eie; for if it remain conftantly fo, and do not return again, the cure isperfeft. Then muft the needle bee lifted up by little and little, neither muft it prcfendy bee taken forth, that if the Cataraft ftiouldbear up, or rife again, that it might again, and fo often (whil'ft the work is yet hot, and all things in a readineis) bee couched towards the lefler corner, until it bee fully and furely hid. Then muft you draw back the needle gently, and after the fame manner as you put it in; left if you uft not moderation, you bring back theCataraft from whence you couchedit, orgrievoufly offend the cry ftalline humor, the prime inftrumcnt of fight, or the pupil with danger of dilateing thereof. Som as foon as the work is don, give the patient fomthing in his hand to look upon: but Paulus approov's not thereof, for hee fear's left his endeavoring or ftriveing to fee, may draw back the Cataraft. Wherefore it is more wifedom and better, preftntly after the drawing forth of the needle, to put on a foft rag the white of an egg beaten in rofe-water with a little choice alum, and fo applie it to the eie and neighboring parts for to binde and hinder the then alfo you muft together therewith binde up the found eie, left by ftirring to fee, it might to- gether therewith draw and move the fore eie, by reafbn of the fympathie and confent they mutually have by the optick nervs. After all things are thus performed, the patient fhall bee laid in a foft bed, and fo placed, that his head may lie fomwhat high ; let him bee laid far from noif, let him not fpeak, nor eat anie hard thing that may trouble his jaws, where- fore let him feed upon liquid meats, as panado, barly cream, cullifles,gellies, rear-eggs, and other meats of the like nature. At the end of eight daies the ligature that binde's up the eies fhall bee loofed, and his eies wafhed with rofe-water, and putting on fpedacles, or fom taf- fatie, the patient fhall by little and little accuftom himfelf to the light, left heefhould bee offended by the fudden meeting wth light.But if the fuffiifion,after fom fhort while after,lift it felf up again,it muft bee couched again,but through a new hole, for the eie is pained and tender in the former place. It fomtimes happens by the touch of the needle that the Cataraft is not couched whole, but is broken into manie pieces 5 then therefore each of them muft bee followed, and couched ftverally: if there bee anie verie finall particle which fcape's the needle, it muft bee let alone, for there is no doubt but that in procefs of time it may bee dif* . folved by the force of the native heat. There are alfb fom Catarafts which at the firft touch of the needle are diffufed and turn into afubftance like to milk or water, for that are not throghly ripe, yet theft put us in good hope of recoverie,and it bee but for this,that they can never afterwards concrete into one bodie as before. Wherefore at the length they are alfo diftuffed by the ftrength of the native heat, and then the eie recovers its former fplendor. If that anie other fymptoms com unlooked for, they fhall bee helped by new counftls and remedies. Gal.hb.io.de ufupartium.c.f Ctlfdib.7. The fign of a Cataraft well couched. Lib. 6,Mp.tl> VVhatto bee don after the 1 couching of a j Cataraft. Of a Cataraft which is bro- ken to peeces. CHAP. XXI11. Of the /topping of the pa/fage of the Ears, and the fading of things thereinto. The cauf. T (bmtimes happeneth that children are born without anie holes in their ears, a certain flefhly or membranous (ubftance growing in their bottom or firft entrance. The fame may allo happen afterwards by accident, they beeing ulcerated by fom im- poftume or wound, and the ear (hut up by (dm flelhly excrefcence or (car. When as the flop- ping is in the bottom of the cavitie, the cure is more difficult then if it were in the firft en- trance, But there is a double way of cure; for this fubftance, whatfoever it bee, muft ei- ther bee cut out,or elfeaten away and confiimed by acrid and catheretick medicines; in per- formance of which there is need of great moderation of the minde and hand. For it is a part endued with moft exquifite fence and near the brain, wherefore by handling it too roughly, there is fear of diftention of thenervs, and confequently of death. Somtimes alfo thepreternatual falling of fom ftrange bodies into this paffage maketh a flopping of the ears, fuch as are fragments offtone, gold, filver, iron and the like metals, pearls, cherrie-ftones, or kernels, peaf and other fuch like pulfl Now folid and bonie bo- dies ftill retain the fame magnitude; but peaf, feeds and kernels, by drawing the moifture there implanted into them, (well up, and cauf vehement pain by the diftention of the neigh- boring parts, wherefore the (boner they are drawn forth, the better it is for the patient. This (hall bee don with fmall pine ts and inftruments made in the (hape of ear-picks. But if you profit nothing thus, then muft you ufe fuch gimblets as are made for the drawing forth of The cure. 'whofe Cure is performed by Surgerte Lib.17. 413 of bullets (hot deep into the bodie. Little ftones and bodies of the like ftonie hardnefs lhall bee forced forth by the brain, provoked to concuflion by lheefing, and by dropping ibm oil of almonds fir ft into the paflage of the ear, that the way may bee the more flipperie; for it will com to pafs by this fneefing, or violence of the internal air forcibly leeking paflage out, that at length they may bee caft forth, the mouth and noftrils beeing flopped with the hand. But if wee cannot thus prevail, it remain's, that wee cut open the paflage with an in- cifion-knife, (b much as fliall bee fiifficient for the putting in and ufing of an inftrument for to extraft them. If anie creeping things of little creatures, as fleas, ticks, pifmires,gnats and the like, which fomtimes happeneth, fhall get therein, you may kill them by dropping in a little oil and vinegar. There is a certain little creeping thing, which for piercing and getting into the ears, the French call Perfe-oreil/e Qwee an ear-wig.) This, if it chance to get into the ear, may bee killed by the forelaid means,you may alfo catch it, or draw it forth by laying half an apple to your ear, as a bait for it. Theconcuf- five force of faceting. CHAP. XXIV. Of getting of little bones and fuch like things out of the jaws and throat. Omtimes little bones and fiich like things in eating greedily u(e to ftick, or as it were fallen themfelvs in the jaws or throat. Such bodies if you can com to the fight of them, flhall bee taken out with long, (lender and crooked mallets made like a Cranefibeak. If they do not appear , nor there bee no means to take them forth, they (hall bee caft forth by caufing vomit, or with fwallow- a liuu ui bread, or a drie fig gently chawed, and (b fwallowed 5 or elf they (hall bee thruft down into the ftomack, or plucked back with a leek, or fom other fiich long and ftiff crooked bodie anointed with oil, and thruft down the throat. Ifanie fiich like thing (hall get into the weazon, you muft caufcoughing, by taking (harp things, or elffneefing, fo to caft forth whatfbever is there troublefom. The cure dif- ferent ing to the pla- ces where they flick. CHAP. XXV. Of the tooth-ache. F all pains, there is none which more cruelly tormenteth the patients then the Tooth-ache . For wee fee them oft-times after the manner of other bones to fiiffer inflammation, which will quickly fuppurate, and they becom rotten,and at length fall away piece-meal; for wee fee them by daily experience to bee eaten and hollowed, and to breed worms, Com portion of them putrefying. The caufof fiich pain is either internal, or external and primitive. The internal is a hot or cold defluxion of humors upon them, filling their fockets, and thence contequently driving out the teeth; which is the reafon that they ftand fomtimes fo far forth , that the patient neither dare's, nor can make ufe of them to chaw for fear of pain : for that they are loof in their fockets by the relaxation of the gums , caufed by the falling down of the defluxion. When as they are rotten and perforated even to the roots, if anie portion of the liquor in drinking, fall into them , they are pained as if you thru ft in a pin or bod- kin, the bitternefsof the pain is fuch. The fignsofahot defluxion are fharp and prick- ing pain, as if needles were thruft into them , a great pulfation in the root of the pained tooth and the temples, and fom eaf by the ufe of cold things- Nowthefigns of a cold defluxion are a great heavinefs of the head , much and frequent fpitting, fbm mitigation by the ufe of hot remedies. In the bitternefsof pain wee muft not prefently run to Tooth-drawers, or cauf them prefently to go in hand to pluck them out. Firft confiilt a Phyfician , who may prefcribe remedies according to the varietie of the caufes Now heer are three intentions of cureing. The firft is con- cerning diet; the other for the evacuation of the defluxion or antecedent cauf; the third for the application of proper remedies for the affwageing of pain. The two former fcopes , to wit, of diet, and diverting the defluxion by purgeing, phlebotomie, application of cupping-glafles to the neck and fhoulders, and fcarification, do abfb- lutely belong to the Phyfician. Now, for proper and topick medicines they (hall bee chofen contrarie to the cauf. Wherefore in a hot cauf, it is good wafhing the mouth with the juice of pomgranats, plantain-water, a little vinegar wherein rotes , ba- laufiia and fumacb have been boiled- But fuch things as fhall bee applied for the mitiga- ting of the pain of the teeth , ought to bee things of verie fiibtle parts, for that the teeth are parts ofdenfconfiftence. Therefore the ancients have alwaies mixed vinegar in tech kind of remedies. Tk.rofar.rub.fumacb.bordeit an.vn.fi. feminis byofcyami conquaffati Jii. fan- talorum an. £i. latfuc* [wnmitatum rubi, [olani, flantaginx>an.m.fi. bulliant omnia in aqu* fb.iiii. N n & fauco TheTooth- ach a moft cruel pain. The cauf thereof. The figns of this or that defluxion. Three fcopes of cureing. A cold and re- pcrcufiive lo- tion for the mouths 414 Ofdty erf preternatural Lib.17* &pauco aceto ad bordei crepaturam. Walh the mouth with iuch a decoftion beeing warm. You may alfo make Trochifces for the lame purpofe after this manner. R. Jent.byofciami, fandaracb*, & cum aceto incorporentur, formentfirque trochifci apponen- di dentibus dolentibns. Orel!., R. feminisporttdac*, hyofcyami, coriandri3 lentium, corticis fanta- li citrini, rofar. rub. pyretbri, camphor*, an, 3j3. let them all bee beaten together with ftrong vi- neger, and made into trochifces, with Which beeing dlffolved in rofe-water, let the gums and whole mouth bee wafhed when need requireth. But if the pain bee not aflwagedwith thefe, you fhall com to narcoticks, which may ftupefie the nerv ; as, Be. feminis hyofcyami albi,opii, camphor*, papaweris albi, an. quantum fujficit, coquantur cum fapA, & denti applicentur. Befides, you muft alfo put this following medicine into the ear of the pained fide. R. »pii & caftorei, an. Qi.mifceantur cum oleo rofato: It hath fomtimes availed in Iwoln and diftended gums, beeing firlt lightly fcarified, to have applied leeches, for the evacuation of the con- junct matter, as alfo to have opened the veins under the tongue, or thele which are behinde the ears. For I remember that I,by thefe three kindes of remedies, aflwaged great pains of the teeth. Yet there bee fom who in this affeft open not thefe veins which are behinde the ears, but thole which areconfpicuous in the hole of the ear in the upper part thereof. Pain of the teeth arifeing from a cold cauf and defluxion, may bee helped by thele reme- dies; boil rolemarie, fage, and pellitorie of Spain in wine and vineger, and add thereto a little aqua vit*> in this liquor dilfolv a little treacle, and walh your teeth therewith. Others mingle gum ammoniacum diflblved in aqua wit* with a little fandaracba and myrrh,and lay it to the pained tooth, after Vigoe's counfel.Mefne think's that beaten garlick carried in the right or left hand,alfwage's the pain,as the teeth ake upon the right or left fide. But 1 beeing once troubled with grievous pain in thisKinde,followed the counfel of a certain old woman,and laid garlick rofted under the embers to my pained tooth, and the pain forthwith cealed. The fame remedie uled to others troubled with the like aifed, had like liiccefs. Moreover, 1dm think it available if it bee put into the auditorie pallage. Others drop into the ears oil of caftoratm, or of cloves, or fom iuch other chymical oil. It is good alfo to walh the teeth with the following deco&ion. R. rad. pyretbri mentb*& rut* an. p-i. bulliant in aceto, and with this decoction beeing warm, walh the teeth. Som like fumes better, and they make them of the feeds of Colloquintida andmuftard,'and other like; they take thefmoak by hold- ing their mouths over a funnel. Other fom boil pellitorie of Spain, ginger cinnamon, a- lum, common lalt, nutmegs, cyprefs-nuts, anif and muftard feeds, and eupborbium in oxy- crate, andintheendofthedecoftionaddalittle aquavit*, and receiv the vapor thereof through a funnel; as alfo they walh their teeth with the decoftion, and put cotton dipped therein into the ear, firft dropping in a little therebf. Som there are which affirm, that to walh the teeth with a decodion of Spurge is a verie good and anodine medicine in the tooth- ach. I have oft-times alfa waged intolerable pains of the teeth,by applying veficatories under the ear, to wit, in that cavitie whereas the lower jaw is articulated with the upper: for the vein, arterie and finew which are diftributedto the roots of the teeth ,Iie thereunder. Where- fore the blifters beeing opened, a thin liquor run's out, Which doth not onely cauf, but alfo nourilh or feed the difeaf But if the tooth bee hollowed, and that the patient will not have it pull'd out, there is no fpeedier remedie, then to put in cauftick medicines, as oil of vitri- ol, aquafortis, aud allb a hot iron; for thus the nerv is burn't in limder, and lofeth it's fenfi Yet lorn affirm that the milkie juice that flow's from Spurge made into a pafte with olibanum and amylum, and put into the hollowed tooth,will make it prelently to fall away in pieces. When the gums and cheeks are fwoln with a manifeft tumor, then the patient begins to bee fomwhat better and more at eafi For fo by the ftrength of nature, the tumor caufing the pain is carried from within outwards. But of what nature foever the matter which caufeth the pain bee, it is convenient to intercept the courf thereof with Empl.contra rupturam, made with pitch and maffick, and applied to the temple on that fide where the tooth asketh. . Trochifces for a hot dcfluxi- on« Narcocicks, Hot fumes. Veficatoiies. Caufticks. CHAP. XXVI. Of other affects of t be "teeth. He teeth are alfo troubled with other preternatural affefts. For fomtimes they fhake by relaxation of the gums, or elf beeconi corrupt and rotten, or have Em worms in them3or elf are fet on edg.For the firft3thegums are relaxed either by W® an external or primitive cauf, as a fall or blow : or elf by an internal or an- tecedent,as by the defluxion of acrid or waterilh humors from the brain , or through want of nouriffiment in oldbodies. Iftheteeth grow loofby the means of thede- caying gums,the difeaf is then incureable but you may withfland the other canfes by the ufe of fuch things as fafan the teeth , (f unning on the eontrarie fuch as may loofcn them. There- Caufesofloof- nefrof the teeth. Lib.17. Cure is performed by Surgerie. 415 Therefore the patient muft not fpeak too earneftly, neither chaw hard things. If they be- com loofby a fall or blow,they muft not bee taken forth , but reftored and fattened to the next that remain firm,for in time they will bee confirmed in their lockets, as I tried in An- tonie de la Rue a Tailor,who had his jaw broken with the pommel of a dagger, and three of his teeth loofened, and almoft lhaken out of their lockets; the jaw beeing reftored, the teeth were alfo put in their places, and bound to the reft with a double waxed thred; for the reft, I fed the patient with broths, gellies,and the like,and I made aftringent gargarifms of cyprefs-nuts, myrtle-berries, and a little alom boil'd in oxycrate, and 1 wilhed him to hold it a good while in his mouth : by thele means I brought it lb to pafs, that hee within a while after could chaw as eafily upon thole teeth, as upon the other. I heard it reported by a credible perfon, that hee faw a Ladie of the prime Nobilitie, who inftead of a rotten tooth lhee drew, made a found tooth, drawn from one of her waiting-maids at the fame time, to bee I ubftituted and infected, which tooth in procels of time,as it were taking root, grew lb firm, as that lhee could chaw upon it as well as upon anie of the reft. But as I for- merly faid, 1 have this but by hear-lay. Now the teeth are corroded or eaten in by an acrid and thin humor penetrating by a plenteous and frequent defluxion even to their roots, and beeing there contained, it putre* fie s, and becoming more acrid, it doth not onely draw the teeth into the contagion of its putrefaction, but alfo perforate's and corrode's them. The putrefaction may bee corrected, if after general medicines, you put oil of vitriol or: aqua forth into the hole of the eaten tooth: or if you burn the tooth it lelf to the root with a fmall iron wier beeing red hot: you fliall thruft this hot iron thorow a pipe or cane made for the fame purpole,leaft it Ihould harm any found part by the touch thereof,and thus the putrefaCtion,the cauf of the arrolion, may bee ftaied. But if the hole bee on the one fide between two teeth,then Ihall you file away fo much of the found tooth, as that you may have fofficient libertie to thruft in your wier without doing anie harm. A Hiftorie. The caufes of hollow teeth. The cure. The forms of Files made for fileing the teeth. Worms breeding by putrefaction in the roots of the teeth, (hall bee killed by the life of caufticks,by gargles or lotions made of vineger,wherein either pellitorie of Spain hath been fteeped,or treacle diflblved; alfo aloes and garlick are good to bee uled for this purpoft. Setting the teeth on edg happen's to them by the immoderate eating of acrid or tart things, or by the continual alTcent of vapors endued with the lame qualitie, from the orifice of the ventricle to the mouth, or by a cold defluxion, efpecially of acrid phlegm, falling from the brain upon the teeth, or elf by the too exceflive ule of cold or ftupifying liquorsl This af- feft is taken away, if after general medicines and Ihunning thole things that cherilh the dif- eaG the teeth bee often walked with aqua vit<e, or good wine,wherein lage,rofemarie,clovs, nutmegs, and other things of the like nature have been boiled. Caufes of worms in ths teeth. Caufes of fet* ting the teeth on cdg. CHAP. XXVII. Of drawing of Teetlfl Eeth are drawn, either for that they cauf intolerable pains,which will not yeeld to medicines, or elf for that they are rotten and hollowed, fo that they cauf the breath to fmell; or elf, for that they infeft the found and whole teeth, and draw them into the like corruption, or becaufthey ft and out of order. Beiides, when they are too deep and ftrongly rooted, fo that they cannot bee pluck'd out, they muft oft-times bee broken of neceftitie, that fo you may drop fom cauftick thing into their roots, which may take away the £en£ and conlequently the pain. The hand muft bee ufed with much moderation in the drawing out of a tooth; for the jaw is fom- times diflocated by the too violent drawing out of the lower teeth. But the temples, eies and brain are (haken with greater danger by the too rude drawing of the upper teeth. Wherefore they muft firft bee cut about, that the gums may bee loofed from them , then Nn 7. lhake A caveat in drawing of teeth. 416 Of diver[preternatural ctAjfeflsy LiB.iy. fliake them with your fingers,and do this until they begin to bee loof; for a tooth which is faft in, and is plucked out with one pull, oft-times break's the jaw, and bring's forth the piece together therewith,whence follow's a fever and a great flux of blood not eafily to bee ftaied (for blood or pus flowing out in great plentie is,in Celfus's opinion, the fign of a bro- ken bone) and manie other malign and deadlie (ymptoms : Som have had their mouths drawn fo awrie,during the reft of their lives, fo that they could fcarce gape. Befides, if the tooth bee much eaten, the hole thereof muft bee filled either with lint, or a cork, or a piece of lead well fitted thereto, left it bee broken under your forceps, when it is twitched more ftraightly to bee plucked out, and the root remain, readie in a fliort time to cauf more grie- vous pain. But judgment muftbee ufed, and you muft take Ipecial care, leaft you take a (bund tooth for a pained one ; for oft-times the patient cannot tell, for that the bitternefs of pain by neighborhood is equally diffufed over all the jaw. Therefore for the better pluck- ing out a tooth, obferving thefe things which 1 have mentioned,the patient fhall bee placed ima low (eat,bending back his head between the tooth-drawer's legs; then the tooth-drawer fhall deeply fcarifie about the tooth , feparating the gums there-from with the inftruments marked with this letter A. and then if fpoiled as it were of the wall of the gums, it grow loof,it muft bee fhaken and thruft out,by forceing it with the three-pointed levatorie noted with this letter B. but if it ftick in too faft. and will not ftir at all, then muft the tooth bee taken hold of with (bm of thefe toothed forcipes marked with thefe letters C.D.E.now one, then another, as the greatnefs, figure,and fite fhall feem to require. I would have a tooth- drawer expert and diligent in the ufe of fuch toothed mullets j for unlefs one know readily and cunningly how to ufe them, hee can (carce fo carrie himfelf, but that hee will force out three teeth at once, oft-times leaving that untouch't which caufed the pain. Lib.'f.cty.rt. The maner of drawing teeth* Inftruments for fcrapeing tbe teetb, and a tbree-pointed levatorie. Tbe effigies of Forcipes, or Mullets for tbe drawing of teetb. The form of another Inftrument for drawing of teeth. What to bee don when the tooth is pluck'c out. After the tooth is drawn, let the blood flow freely, that io the part may bee free'd from pain,and the matter of the tumor diicharged. Then let the tooth-drawer prefs the flcfli of the gums on both fides with his fingers whereas hee took out the tooth, that fo the locket that was too much dilated,and oft-times torn by the violence of the pluck, may bee doled a- aIn kaftly»the mouth fhall bee waflied with oxycrate; and if the weather bee cold, the pa- tient fhall take heed of going much in the open air, kali it cauf a new defiuxion upon his leeth. CHAP. Lib.17. whofc Qiwe dperformed by Surgerie. 417 CHAP. XXVIII. Of the Teeth. leces of meat in easing fomtirnes ftick between the teeth, and becoming cor- rupt by long flaying there doalfo hurt the teeth themfelvs, andlpoil the fweetnefs of the breath. i'Hee chat would efchue this, ought prefently after meat to walh his mouthwfthwine mixed with water, or oxycrate, and well to cleanfhis teeth, that bo: llimie matter adhere to them. Manie folks teeth by their own default gather an eatthie filth of a yellowilh color, which eat's into them by little and little, as ruft eat's into iron. This ruftie filthinefs,or as it were mouldinefs of the teeth, doth alio oft-times grow by the. omitting of their proper dutie, that is, of chawing. Whence foever this flimie filth proceed's, wee muft get Dentifrices to fetch it off withall, and then the teeth muft bee prefently rubbed with'ftrtif and aqua vita mixed together, that if there bee anie thing that hath leaped the Dentifrices, it may bee all fetched off; yet iuch acrid wafhings are hurtful to the found teeth, for that they by little and little confume and wafte the flefh of the gums. •f Dentifrices fhall bee made of the root of marlh-mallows boiled in white wine and allom; and,as when the teeth are loof, wee muft abftain from iiich things as are hard to bee eaten & chawed, but much more from breaking of fuch things as are of a bonie confiftence, lb allb heer wee muft fhun all things that by their toughnefs flick to the teeth. Manie for the cleanfing of the teeth, commend a powder made of fcuttle-bones , purple-fhells, pumice- ftone, burnt allom, and Hart's-horn5and a little cinnamon, which is a lingular remedie for the teeth howfoever affe&ed. Manie other are content with bread onely tolled and beaten 5 but this following water is verie effeftuall to whiten the teeth. R. fal.ammon. & gemmei, an. %i.aban.rocb .%fi.aqua refrquodfafficit, diffillentur. And let the teeth bee cleanled with this di- 1 tilled liquor. Caufes of foul or ruftie teeth. The cure. A caution in the ufe of acrid things. A water to whiten the teeth. CHAP. XXIX. Of the impediment and contraction of the 'tongue. -Ie tongue is fomtimes tied and fhort from the nativitie ; as when the libertie of the tongue is reftrained by the lubjeft and neighboring, as well membranes as mufcles, being either too fhort or too hard. Somtimes this dileaf happen's af- ter they are born by lorn accident or preternatural affeft, as by too hard a fear . left by the healing of an ulcer under the tongue. The patient at his begiriing to /peak, is too flow in lpeaking,but prelently leaving his flownels,hee becom's too quick, fb that hee Hammer's. If the dileaf proceed from the aftriftion and Ihortnels of the ligamen- tal membrane lying under the tongue, then the incifion fhall bee made broad-wile, having great care that the veins and arteries which are there, bee not violated, for fear leaft they Ihould caul an hemorrhagic, not eafilyto bee ftaied: Then the mouth lhall bee prefently walked with oxycrate, and fom lint dipped in lyrup of dried roles, or honie of roles put into the midft of the incilion, leaft the part of the ligament, elpecially on the night time when the tongue is filent and at reft, fhould grow to the reft of the ligament. For the lame purpole the finger lhall bee often thruft this way , and the tongue more violently rowll'd up and down, and thruft out of the mouth. Yet fomtimes this ligament is fo thick and Ihort, and therefore hold's down the tongue fo dole, that you cannot com to cut it with a knife or lancet without great and manifeft danger of death by bleeding. Therefore in luchacale a needle and thred lhall bee thruft through it, and lb the thred lhall bee tied ftraighter and ftraighter everie day, until by little and little this ligamental tie of the t tongue, which by its immoderate Ihortnefs intercept's the libertie of the motion lhall bee conlumed and broken. The caufof beeing tongue- tied. The cure; Another way o cut it. CHAP. XXX. Of fuperfluoM Fingers, andfucb as together. Ach hand hath naturally five fingers onely; whatlbever is more or lels is a- gainft nature: and if there bee fewer, it is a fault not to bee helped by art. But if there bee more,that for the moft part may bee helped by art: liiperfluous fingers ufually grow by the thumb, or the little finger, but leldom otherwile. Thefe are either wholly flefliie, or have bones of their kinde and nails upon them. Thole which are of a bonie nature doe either arile from the joints of the natural fingers, and are jointed like them, and fo are oft-times moovable, or elf from fom mid- dle (pace of a joint, and thefe have not power to ftir or moov. Now they are fomtimes Nn j equal The differen- ces. 418 Of diver)preternatural, JLiB.iy. equal! in magnitude to the natural fingers to which they grow, yet more frequently they are Ihorter. 1 hole which are onely flelhie, are eafrly amputated and made even with a razor; but fuch as are allo bonie cannot bee cut off, unlefsayith the cutting mullets hereafter de- fcribed, and this is a difeaf of the fingers in number. There is alfo another difeaf in fingers, for they fomtimes flick together, and btherwhiles they< are verie little feparated. This fault happen's either from thefirft original# by the error-of die formative facuitie, or elf it bap- pen's afterwards by accident, as by a,Wound,or bufn ill cured. For neighboring fingers bee- ing ulcerated do eafily grow together, unle(s they bee kept afunder by a linnen rig. And if they by chance fhall grow together by a little and thin skin and flelh, they (hall forthwith bee divided with a (harp razor j but if they bee joined by the interpofition of a more grols and denffubftance, to wit, the nervs, tendons, and veflels, being knit together on each fide, it will bee beft not to meddle at all with the divideing them. Cutting Mullets neatly made for the cutting off juperflous fingers. The cure of nails running into the flefli of the fingers. Neither muft wee omit, that manie have their nails run with liich bonie fliarpnefs into the flelh of their fingers lying under them, that they caufmoft cruel pain; neither com- monly do you avail anie thing by parsing them; for growing up within a while after, they prefs downwards again with the more violence. Therefore the Surgeon is often forced to cut away all the flefh whereinto the fharpnels of the nail run's. Which I have don in with happie fiiccefs. Manie have corns growing upon their fingers in divers iafhions: They are taken off by paring away by little and little the callous hardnels,and then laying a head ofgarlick beaten thereon. Yet the cure is more quick and certain, which is performed by caufticks, as aqua forth, or oil of vitriol. How t® take oft'the corns of the fingers. CHAP. XXXI. Of the too fbort a Prepuce, and of fuch m have been circuntcifed. The cauf. Hen as the Prepuce or fore-skin is too fhort, it cannot cover the GTdflr.This hap- pen's either by nature, to wit, by the firft conformation , or afterwards by fom > accident, as to thole whom religion and the cuftom of their nation bid's to bee circumcifed. The cure is thus: The Prepuce is turned up, and then the inner membrane thereof is cut round, ancbgreat care is had, that the vein and arterie which are there between the two membranes of the Prepuce bee not cut in hinder. Hence it is drawn downward by extenfion, until it cover the Glans,deficcative emplafter beeing firft put be- tween it and the Glans, leaft they fhould grow together. Then a pipe being firft put into the urinarie paftage, the Prepuce fhall bee there bound until the incilion bee cicatrized. This cure is uled to the Jews, when having abjured their religion full of luperftitions, for hand- fomnefs fake»they would cover the nut of their yard with a Prepuce, and lb recover their cut offs-kin. The cure. CHAP. XXXII. , Of Phimofis and Paraphimofis/ tiat is,fo great a conftrifiion of the Prepuce about the Glans or Nut, that it cannot bee barred or uncovered at pleafure. THe prepuce is ftraightened about the Glans two waies for it either cover's the whole nut,and fo ftraightly encompafle's the end thereof, that it cannot bee drawn upwards, and Lib.17. yphofe Qwe is performed by Surgerie 419 and con equently the nut cannot bee uncovered ; or eif it leav's the Glans bare under it, be- ing faftned fo ftiffly to the roots there of , that it cannot bee turned up, nor drawn down, or over the Glans. The firft manner of conitriftion is termed Pbnwo/S j,the later Paraph im ojis. The Pbimofis hap pen's either by the fault of the firft conformation'or elf by a fear,through which occaiion the prepuce hath grown lefler, as by the growing of warts. Now ParapbG wcyiHsxjften occafionedbythe inflammation of the yard,by impure copulation s for hence ulcers breed between the prepuce and Glans,with fwelling, and fo great inflammation ,that the prepuce cannot bee turned back. Whence it is that they cannot bee handled and cured as you would, and a gangrene of the part may follow, which may by the contagion bring death to all the bodie* unlels it bee hindered and prevented by amputation : but if a fear bee the caul of the conftriftion of the prepuce, the patient beeing plac'd in a convenient fite, let the prepuce bee drawn forth and extended , andas much as may bee ftretched and enlar- ged, then let the fear bee gently cut in three or four places on the inner fide with a crook- ed knife,but fo, that the galhes com not to the outfide, and let them bee an equal diftance each from other. But if a flefhlie excrefcence or a wart fhall bee the occafion of this ftrait- neteaud conftriftion, it lhall bee confumed by the fame remedies, by which the warts of the womb and yard are confiimed or taken off. But when as the prepuce doth clolely adhere to the Glans on everie fide, the cure is not to bee hoped for, much lefs to bee attempted. The caufes. The cure. CHAP. XXXIII. Of tbofe whofe Glans is not rightly perforated,and of the too fbort orflrait ligament, bridle, or cord of the yard. Om at their birth, by evil conformation, have not their Glans perforated in the middle, but have onely a fmall hole underneath, toward the bridle and ligament of the yard, called the cord. Which is the cauf, that they do not make water in a ftrait line, unlei's they turn up their yard toward their bellie, neither by the fame reafon can they beget children, becauf through this fault of conformation, the feed is hindered from beeing call direftly into the womb. The cure is wholly chirurgi- cal, and is thus performed. The prepuce is taken hold of and extended with the left hand, but with the right hand, the extremitie thereof, with the end of the Glans, is cut even to that hole which is underneath. But fuch as have the bridle or ligament of the yard too fhort, fo that the yard cannot ftandftraight, but crooked, and as it were turned downwards5 in theft alfo the generation of children is hindered, becauf the feed cannot bee caft dire&ly and plentifully into the womb. Therefore this ligament muft bee cut with much dexteritie, and the wound cured after the manner of other wounds, haveing regard to the part. Children alfo are fomtimes born into the world with their fundaments unperforated, for a skin preternaturally covering the part, hinder's the paffage forth of the excrement; thoft | muft have a paflage made by art with an inftrument, for fo at length the excrements will com forth : yet 1 have found by experience, that fiich children are not naturally long live'd, nei- therto live maniedaies after fuch ftftion. . h The cauf. The cure. Such as are torn without i hole in their fundament are lot long lived. CHAP. XXXIV. the caufes of the Stone. He Stones which are in the bladder have for the moft part had their firft origi- nal in the reins or kidnies, to wit, falling down from thence by the ureters in- to the bladder.The caufof thefe is twofold, that is,material and efficient.Grofs, tough,and vifcid humors, which crudities produce by the diftempers of the bowels and immoderate exercifts,chiefly and immediately aftet meat, yeeld mat- ter for the ftone ; whence it is that children are more fubjeft to this diftaf then thoft of other ages. But the efficient cauf is either the immoderate heat of the kidnies, by means whereof the fubtler part of the humors isrefolved, but the grofler and more earthlie fublide's, and is hardned as wee fte bricks hardned by the fim and the more remifs heat of the bladder, fufficient to bake into a Hone the feces or dregs of the urine gathered in great plentie in the capacitie of the bladder. The ftraightnefe of the ureters and urenarie paflage may bee accoun- ted as an affiftant cauf. For by this means the thinner portion of the urjny floweth forth, but that which is more feculent and muddie being ftaied behinde, groweth as by fcale upon ftale, by addition and colleftion of new matter into a ftonie mafs. And as a vyieke often- times dipped by the Chandler into melted tallow, by the copious adheiion of the tallowie fobftance preftntly becom's a large candle; lb the more grofs and vifcid fecis of the urine ftay as it were at the bars of the gathered gravel,and by their continual appulf are at length wrought and faffiioned into a true ftone. Why children are fubjeft to the ftone in the bladder. Thecauf. CHAP. 420 Of diverf preternatural Lib.17. CHAP. XXXV. He figns of the Stone in the Reinsure the fubfideing of red or yellow fand in the urine, a certain obfcure itching at the kidnies, and the fenf of a weight orheavi- nefs at the loins,a (harp and pricking painin mooving or bending thebodie,a num- nets of the thigh of the fame fide, by reafon of the compreffion caufed by the hone, ot the nervs descending out of the vertebra of the loins of the thigh. But when the hone is in the bladder, the fundament and whole yerinaum is prefled as it were with aheavie weight, efpecially if the ftone bee of anie bignefs, a troublefom and pricking pain run's to the verie end of the yard, and there is a continual itching of that part, with a defire to fcratchit: hence alfo by the pain and heat there is a ten fion of the yard, and a frequent and needlefs defire to make water, and fomtimes their urine cometh from them drop by drop. Amoft grievous pain torment's the patient in makeing water, which hee is forced to (hew hy Stamp- ing with his feet, bending of his whole bodie,and the grateing of his teeth. Hee is oft-times fo tormented with excefs of pain, that the Sphincter beeing relaxed, the right gutfalleth down, accompanied with the fwelling heat and pain of the Henwrhoid veins of that place. The caufoffuch torment is, the frequent ftriveing of the bladder to expel the ftone wholly contrarie to the nature thereof whereto by fympathie the expulfive facultie of the guts and all their parts of the bellie com as it were for fupplie. The fcdiment of the urine is grofs and vifcid, and oft-times like the whites of eggs, which argueth the weaknefs of the native heat not attenuateing the juices. The patient looketh of a pale and yellowifli complexion and hollow-eied, by reafon of the almoft continual watching which is caufed by the bitternefs i of pain; yet may it more certainly bee known by putting in or fearching with a Catheter. Which to do, the patient (hall bee wilhed to (land with his bodiefomwhat (looping,leaning againft fomwhat with his back, and holding his knees fbm foot afunder. Then the Catbetei ' beeing bigger or lefler as the bodie (hall require, and anointed with oil or butter (hall bee thruft with a skilful hand into the paflages of the urine, and fo into the capacitie of the blad- der. But if the Catheter cannot com to that capacitie, the patient (hall bee placed in fuch a pofture; then (hall hee bee laid upon his back on a bench,or the feet of a bed,with his knees bended, and his heels drawn to his buttocks, after which manner hee muft almoft lie when hee is to bee cut for the ftone, as (hall bee (hew'n hereafter. For thus the Catheter is more eafily thruft into the bladder, and (hew's there is a ftone by the meeting and obfcure found of the obvious, hard and refilling bodie. You muft have (undrie Catheters, that they may ferv for everie bodie bigger and lefler, and theft muft bee crooked, finooth and hollow. When being thruft into the urihariepaflage (which before unawares 1 omitted)they com tc the neck of the bladder, they muft not bee thruft ftraight into the bladder ; but takeing hole of the yard with the left hand, they muft bee gently thruft with the right direftly into th< bladder,efpecially in men,by reafon of the length and erbok edntfs of the way, which tend'i in the form of this letter S. It is not fo in women by reafon of the (hortnefs and ftraitnefi c of the neck of the bladder. It is fit your Catheters bee hollzOw or fiftulous in manner of a pipe, that they may recei v a filver wiar or ftring, that may-hinder the grofs and vifcid humor,clot- tedblood, or the like, from (lopping the further end of the Catheter, through which the fupprefled urine ought to pals and bee made. But now aflbon as wee perceiv that the Catbe ter is com into the capacitie of the bladder, the wiar muft bee drawn forth, that fo the urint may the freelier flow out by thehollownefs of the Catheter. You may perceiv thefhapesol theft inftruments by this following figure. Ofthe figns ofthe Stone in the Kidnies and Bladder. Why the thigh is numtn in the ftone of the reins. Signs of the ftone in the bladder. Why such as have a ftone in the bladder are troubled with* the falling of the fundament. Howto fearch for the ftone in the bladder with a Catheter. The figure of the neck of th< bladder is dif- ferent in men and women* "I be figure of Catheters, and of a filver firing or wiar. CHAP* Lib.17. whoje Qure is performed by Surgerie 421 CHAP. XXXVI. Progno/iicks in tbe Stone. Hen the Stone is caft forth of the kidnie (whereas it bred by little and little) and is fb driven into one of the ureters, that it wholly flop it, yet thereupon there followeth no fuppreflion of the urine ; for feeing nature hath made diverf parts of our bodie double, all the urine floweth into the other ureter. But if they fhall bee both flopped with ftones, there is no doubt but the urine will bee wholly fuppreft, and death enfue by the fuffocation and extin&ion of the native heat, by the urine flowing back by the rivelets of the veins over all the whole bodie. Such as have a flnall ftone caft forth of their reins into the cavitie of the uterers,thefe,untill this ftone bee fallen into the bladder, have cruel pain with gripeings, with often defire to go to ftool and make water, but oft-times do neither. For fuch oft-times have their bellies diftendedwith flatulencies: an argument hereof is their continual belching or breaking of winde. But by fheefing and coughing, or anie other concuflion of the whole bodie,a pricking pain is forth- with felt, whereas the ftone flop's, efpecially if it bee either rough, or have (harp points like horns. This pain is communicated to the hip and thigh by lympathie, and fbm have the ftones drawn up as it were with great violence. To thefe may bee added the Colick, cholerick vomiting, and almoft a general fweat. The ftone in the kidnies is moft common- ly bred in fuch as are antient, by reafbn of the weaknefs of the expulfive facultie. But the ftone in the bladder happeneth to fuch as are more young, becauf the native heat is more vigorous in fiich, and ftrong and inordinate motions encreaf the ftrength of the expulfive facultie. When the ftone is in the bladder, and the urine appeareth bloodie, it is thefign of a finall, as alto a pricklie and rough ftone, for thus it more eafily entreth into the neck of the bladder, and exulcerateth itbeeingflefliie, whence the blood cometh away with theu- rine, and moft cruel pain as of needles thruft into the flelh, efpecially after labor and much exercife: on the contrarie, a larger and more fmooth ftone will not cauf fuch tormenting pain, and it caufeth a milkie water. The lhapes offtones in the kidnies are various, accor- ding to the varietie of the ftrainers through which they pafs whil'ft they are bred. Verily I have feen ftones which reprefented the figure of grayhounds, hogs and other creatures, and things wholly contrarie to man's nature,by the production of their prickles and as it were branches. Som are four fquare, others longifli and like a finger,other fom of a round figure with manie protuberancies like a pine-apple kernel; neither is the varietie left in magnitude, number and color: for fom are yellowiih, others whitifh, red, alb-colored or fom other like, according to the various temper of the affeCted bodies. The ftones of cholerick and lean men vfiially concrete by preternatural heat and drieneft; but thofe of phlegmatick or fat bodies, of a certain congelation as it were and obftruftion of the paflages.A ftone falling fomtimes from the bottom of the bladder into the paflages of the urine quite ftop's it up,and thence followeth a total fiippreffing of the urine. Therefore then the patient fhall bee placed upon his back and his legs beeing lifted up on high, hee fhall bee fhaken and tofled up and down, juft as one would (hake up a lack -o fill it; for thus it is forced back into the bladder from whence it came, from the paflage of the urine whereinto it was got; yetitmayalfo bee forced back by thrufting in a Catheter. The pain which affli&eth fuch as have the ftone is fomwhiles continual,yet more frequently it cometh by fits and returns, fomtimes month- ly, otherwhiles yearly.Such as have the ftone in the kidnies make for the moft part waterilh urine. Women are not fb fubjeft to the ftone as men, for they have the neck of their blad- der morefliort and broad, asalfo more ftraight; wherefore the matter of the ftone by realbn of the fhortneft of the paflage is evacuated in gravel, before it can bee gathered and grow into a ftone of a juft magnitude; yet ftones breed in fom women and thofe equally as big as in men, and therefore they are to bee cured by fe&ion and the like remedies. When the ftone exceedeth the bigneft of an egg, it can farce bee taken away without tearing of the bladder, whence happeneth an unvoluntarie lhedding of the water, cureable by no art, be* cauf the bladder, feeing it is nervous and without blood,beeing once torn admitteth no con- fblidation, add hereto that inflamation and a gangrene,often following the rending of the bladder,bri ng inevitable death. The patient run's the fame hazzard, if a long ftone bee pul- w led out fidewife with your inftrument, or if it bee inclofed in a membrane (which kinde of ca| ftone can fcarcebee found with a Catheter) and fb bee faftned to the bladder, or otherwife fcC] if the ftone it felf bee faftned into the fubftance of the bladder, or laftly if by anie chance bh the Surgeon beeing about to pluck out the ftone fhall hurt the bodie of the bladder with his °ui infti uments. Yet ftones of a more indifferent bigneft are morcfafely ext rafted out of the Pat bladder then thofe which are lefs, and the patient more frequently and happily recovereth. For they do not fcape from the inftrument, and the patient beeing ufed a long while to en- dure pain, as that which hath been a long time a growing doth more eafi,y and conftantly away with the inflamation, pain and other fymptoms which happen after cutting, yea in cutting. Haveing thus fpoken of caufes, figns, places, fymptoms and pro- How death miyenfueby the fuppreffing of urine. Why (tones of the kidnies have fundtie fhapes. Why men are morefubjeftto the ftone then women. What (tones cannot bee ta- ken out of the bladderwitb- out tilling the patient. 422 Ofdnerfpreternatural feels, Lib .17 prognofticks, wee muft com to the cure, begining with that part which is termed Frophyla- ttice, that is the preventing part. CHAP. XXXVII. What cure is to bee ufed when wee fear the Stone. What diet fuch muft ufeas fear the ftone. let muft firft bee appointed, which by the convenient ufe of the fix things not natural (as they term them J may heap up fmall ftore of grofs, tough and vi- fcid humors in our bodies. Therfore cold and cloudie air is to bee Ihunned. They muft abftain from fifh, beef, pork, water-foul, cheef, milk-meats, fried and hard eggs, rice, cakes and all paftrie, unievened bread, and laftly, all manner of obftrufting meats* Alfo garlik, onions, leeks, muftard, fpices,and laftly, all things which over-heat the blood and humors muft bee Ihunned, specially if you fear that the ftone is concrete by the heat of the reins. Standing and muddie waters, thick and troubled wines,beer,aud fuch kinde of liquors muft bee efchewed. Satietie in meats and drinks is to bee Ihunned, as that which breed's crudities. Alfo long watching and continu- al labor becauf they inflame the blood, cauf crudities, and preternatural heat muft careful- ly bee efchewed, as alfo more vehement paflions of the minde. If the bodie bee plethorick, then it muft bee evacuated by phlebotomie, purgeing and vomiting, which is accounted for a Angular remedie for the prevention of this difeaf. For the performance of all which things a Phyfician fhall bee confulted with. But becauf Phyficians are not in everie place and alwaies as hand, I have thought good to fet down thefe following medicines 5 yet wee muft fitft remember this counfel of Galen; the ufe of diureticks, and ftrong purgeing medi- cines is hurtful, as often as there is inflammation in the reins and bladder, for fo the conflux of the humors to the affefted parts is the greater, whence the inflammation and pain are increafed. Wherefore firft ufeing relaxing medicines, as fix drams of Cafia newly drawn , with of Rubarb in powder mixed therewith, then lenitive and refrigerating medicines fhall bee inwardly and outwardly ufed, fuch as is this following fyrrupe. R. fummitatum malv. bifmal. & violar.an.m.fi.rad.altb.'Zft. fem. frigid. major, an. |i. fiatdecodio. R. pr<e- diEt. decodionis ft p. in colaturd diffolve face, albi fyrupiu fecund, artem$ let the patient ufe this often. This following apozeme is alfo verie effe&ual for the fame pur- pofe. R. rad. afpar. gramin. polyp, quercini, an. 2$. betonic. berniar. £grimon. omnium capiU. & pimpinel. an.m p. 4. fem. frigid, major. & fem. fxnic. an. folior. fen. %vifiat decod. ad tb.fyin colaturfi diffolve fyrupi de ,Altb£a& de berniar•an.%i ft. Make a clear apozeme and let it bee aromatized with a little cinnamon, for two dofes 5 let him take the firft dofis in the mor- ning two hours before meat, and the other at four of the clock in the afternoon. Moreover this following broth hath an excellent and certain power to prevent the ftone. R. bordei in- tegr p.i. radic. petrofelini, acetof. fcenic. cicbor. brufei an. 5i-4- fewr. frigidornm conquaffatorum fol.acetof. portul. laduaejummitatum malvt, & violar. <sw.m.p. bulliant in aqua fluviatili cum gallo gallinaceo & crure vitulino j let the broth bee kept, and let the patient take thereof fix ounces for four daies ", in the morning two hours before meat, with an ounce of the juice of Ci- trons gently warmed with the fame broth at the takeing thereof; for thus, much urine will bee made in a fhort while after, full of a fandie fediment and a grots viicid humor. Where- by you may certainly gather, that this kinde of broth is verie effeftual to cleanf the paflages of the urine, neither in the interim, doth it anie harm to the ftomack and other parts by which it pafleth : fothat it may bee rightly termed a medicinal nourifhment. You may alfo profitablyufe this following powder. R. nucleorum pul. eled. diamarg. frig. $ii. 4. fem. frigid, majorum mund. glycyrbiz# razt, fem.faxifrag. £ii fem. milii folis, genift. pimpin. brufei & afpar ag.an. £)i. fem altbet, facch. albiff. fiat pulvis5 let him take a fpoonful in * the morning three hours before meat. Alfo fom think that lee made of the ftalks and husks f of beans is a good prefervative againft this difeaf. Befides the ufe of this following glyfter hath done good to manic. R. fol. laduc. fcariol. portul. an m.i: flor. viol. & nenupb. 4?xp.i- fiat . decodio. ad lib.i. in colaturddiffolve caffi# me Ilk viol. & face- rub. an. |ip. olei viol.|iiii. fiat clyfter. This which followeth is the fitter to aflwage the pain. R. ftor.cham. melil. fum~ mitat. anetb. berul. an.p.ii. fiat decodio in lade vaccino ■> in colatura diffolve caffi# fifiul. & faccar. alb. an. %i. vitel/os ovorum num. ii olei anetbini, & chamtm. an. $ii. fiat clyfter. In the interim let the kidnies bee anointed on the outfide with unguentum rofatum, refrigerant Galen, andpopule- on ufed feverally, or mixed together, laying a double linnen cloth dipped in oxycrate. But if the concretion of the ftone bee of a cold the remedies muft bee varied, as follow's : R. ne terebeinth. venet. cort. citri aqu# cod. potio. Or elf 5 R. cafli* recent.extrad. 3 vi. * benedid.lax. $iii. aq. fcenic. aq. afrarag. fiatpotio 5 let him take it three hours before dinner: this following apozeme is allb good. R. rad cepet. bardan. & gram. an. bifmal. cum toto,beton. an m.p. fem. milii folk, bardan. urtic. melon, glycyrbiz. raf. fi~ (us num, /{.fiat decod'. a'd-quart. iii. in expreffa collatura, diffolve firup. de caphon, oxymilitis fcyl- Lib. i A lenitive and lubricateing fyrrupe. A diuretick Apozeme. A diuretick and lenitive broth. A diuretick powder. The Ice made of the afhes of bean-ftalks a diuretick. Anodine gly- fters in the ftonc. Remedies a- gainft theftone of the kidnies coming form acoldcauf. Lib.I? rvhoje Cure is performed by Swrwehe. 423 litician. Ji. fl faccha?. albif, apozema pro tribus doftbus, elarificetur & aromatiz. cum qfi. cinam. & 3fl {ant. citrin. let him take four ounces three hours before dinner. R. rad. petrofel. fenicul. an.%i. faxifrag. pimp. gram. & bardan. an. m.fl quatuor femi num frig. major mundat.& milii. folis an. fiat decofiio, cape de colatura tb.p. in qua dijfolve facch. rub.& fyrup.capilb wen.an. Ji. (1 Let it bee taken at three dofts, two hours before meat. The following powder is verie efteftual to diflblv the matter of the ftone. R. fem. petrofel. & rad. ejufdem mundat. anfem. cardui, quern colcitrapam vocantgi. let them bee dried in anoven or ftone with a gentle fire, af- terwards let them bee beaten feverally and make a powder, whereof let the patient take £)i.p* or two fcruples with white wine,or chicken-broth fafting in the morning by the Ipaceof three daies. Or, R.coriand.prtp. §lv. anif.marathri,ganor. milii foils,an. $ii. zinzib. & cinam. an. turbitb. eletti 51. cari J)ii. galang- nucis mofchat. & lapid. judiaci an. fol. ferine mund, ad duplum diacrydii %ii*fi.mifce,fiat pulvis: the dofis is about 51. with white wine three hours before mean the flatulencies which much diftend the guts in this kinde ofdiftal) glyfters (hall bee thus made $ fy.malu.bifmal.pariet. origani, calament.flor. cbamcem.i fumitat. anetbi, an.rn.fi' anrfi, carvi. cuminirfoenic. baccar.laur. $iii. fem. rutt cottio, in colatura, dijfolve bened. lax, vel diapbanic- confeft. bac. lauri facebar. rub. fi. olei anetbf cham(em- .& rutar. an. Ji. fiat clyjler. Or, R. olei nucum & vini mal. an. lb. fl aq. viu fiat clyjler j let it bee kept long , that fo it may have the more power to dilcuft the winde. Carminative glifters. CHAP. XXXVIII. trbat if to bee don, when the /lone falleth out of the Kidnie into the Ureter. Ft-times it falleth out that the reins lifting their expulfive facultie force down f t^le ft°ne Cwh°ft concretion and generation the Phyficians by the formerly pre- bribed means could not hinder) from themfelvs into the ureters ; but it ftaieth , there either by reafon of the ftraightneis of the place, or the debilitie of the ex- pulfive facultie. Therefore then cruel pain tormenteth the. patient in that place whereas the ftone fticketh, which alfoby conftnt may bee communicated tb the hip,' bladder, tefticles andyard, with a continual defire to make water and go to ftool. In this cafe it behooWth the Phyfician that hee fiipplie the defeft of nature, and affift the weak indeavors. Therefore let the patient if heebee able mount upon a trotting hor£ and ride Upon J him the fpace of fom two miles, or if hee can have no opportunitie to- do fp, * then let hith 1 run up and down a pair of ftairs untill hee bee Wearie, and even fwcat again 3 For the ftbfie ; by this exercift is oft-times fhaken into the bladder; then prefentlyfliall bee given or takeh by thc'niouth fuch things as have a lenitive and relaxing faciiltie, as oil of newly drawn and that without fire, and mixed with the water of pejlitorie offhe wall: arid white wine. Let friftions of the whole bodie bee made from above daWftWards with hot clothes; let Ventoftswith a great flame bee applied one while to the loins, and another while to the bottom of the bellie, a little below thegrieved place; and unlefs the pzttfcrit Vo- mit of his own accord, or by the bitternels of his pain, let vomiting bee procured With a draught of water and oil hike-warnr,for vomiting hath much force to drive dbwif the ftone by reafon of the ccrtfiprefliom of the parts, which is caufed by fuch an endeavor t Jaftly 3if the ftone d'efcend not by the power of theft remedies, then the patient muft bee ptit irito $ Semi- cttpiuhtjthat is a Half-bath, made of the following decoftion. R. bifmal. cum tot'6 dti.. m ii.'beton. najlurf.j'dxifrag. Icrul.parietar.violar. <m.m.iil fem.rfelonum, milii jothjrflfykert&: ty.1 eften rub. fb.l.'rad' appii. gram, funiculi, & eringii.an. Jiiii. fufficievrti qittbitfrate aqtrffprfo ittcejfu; coquanturifta omnia inclufa jacco •, herein let the patient fit up to the navel; neithefis it fit th at the patient tarrie longer in fuch a bath then is requifit'e, for the fpftifs are dlffipa- ted, and the powers refolved by too long flay therein. But on the comrade, If the patient remain as long as is Efficient in theft rightly made, the pain*h?tnitigated,the extended parts relaxed, and the paflages of the urine opened and dilated, and thus the ftone defeehdetfi ffl- to the bladder. But if it bee not mooved by this means any thing at all,Otit iff the place ,ancf that the lame total foppreflion of urine do as yet remain, neither before die pattern efitfed into the bath the putting of a Catheter into the bladder did any thing avail, yet notwith- ftanding hee (hall trie the fame again after the patient is com out of the bath, that hee may bee throughly (atisfied whether peradventure there may bee anie other thing in theft firft paflages of the yard and neck of the bladder, which may. with-hold the urine? for the Ca- theter will enter far more eafily, the parts beeing relaxed by the warmneft of the bathtfim injeft (bm oil of tweet almonds with a lyringe into the Urethra or paflage of the yard; whil'ft all theft things are in doing, let not the patient com into the cold air. But heer I have thought good to defcribe a chair for a bath, wherein thepatient may fitly fit. > • The Signs of the ftone flopping in the prefer. Remedies to force down the ftone flicking in the ureter. A decp&on 424 Ofdhterfpreternatural <zAffeS:s, LiB.17' The figure of a Chair for a Semicupium. K A. Sheweth the whole frame of the Chair. 9 B. The bole wherein tbe patient mufifit. ' C. TheCiftern that bold's tbe water. -- D. A Cockjo emftie the water when it growetb cold. E. A Funnel whereby to four in warm water. There may alfo bee another deco&ion for the bath, as thus: rapb.ahh. an. ft.ii. rad. rufc.petrofel.& afparag-an. ft.i. cuminfanicul. ameof an. an. fol. marub. parietar. forum chamam. melil. anethi. an. m. ii. bulliant omnia fecundton artem in aqua fufficienti, & vini albi odoriferi exiguA quantitate ad confumptionem tertia partis pro Semi cup io. Al- fo the lame decoftion may bee ufed for glitters, adding thereto two yolks of eggs, aud four ounces of oil of lillies, with 51. of oil of Juniper, which hath a certain force to affwage the pain of the ftoneand collick. But a far lefs quantitie of the decoftion in a glitter muft bee ufed in thefe difeafes, than ufually is appointed in other difeafes; otherwife there will bee danger left the guts beeing diftended ftiould more prefs upon the kidnies and ureters, troubled in fom fort with inflammation, and fo increaf the pain and other fymptoms. This following cataplafin fhall bee profitably applied to the grieved place, to wit, the loins or flanks and bottom of the bellie, for it is verie powerful to aflwage pain, and held forwards the falling down of the ftone. R. rad. alth. &raphani, pariet. fanic. [etwcionis, najlurt. berul. an. m.i. berniaria m.p. omnibus in aqua fujficienti decotiis, & deinde contriiis, adde clei aneth, cbamam. &pingued. cuniculi,an.%u»farin. cicer. quantum [ufficit, fiat cataplafmaad ufumpradiftum. After, by thefe means, the ftone forced out of the ureter is fallen into the bladder, the pain prefently (if there bee but one ftone, for fomtimes more with much gravel do again fall in- r to the ureter} is mitigated, and then the patient is troubled with an itching and pricking at the end of his yard and fundament. Therefore then tmlefs hee bee verie weak, it is fit that hee ride and walk a foot, and take $iy. of fpecies Lithontribon in four dofes with white wine, or the broth of red Cicers three hours before dinner and flipper. Befides, let him plentifully drink good wine, and after hee hath drunk, let him hold in his urine as long as hee can 5 that fo it beeing gathered in great plentie, it may prefently thruft the ftone out of the bladder with the more force5 for which purpofe you may alfo inieft the following li- quor into the bladder. R. fjrupi capilf. ven.%1. aqua alkfkfngi Jiii. olei [corpionum. Jp. Let it bee injefted into the bladder with a fyringe. An anodine Cataplafm. Signs of the ftone fallen outofthefftoer into the blad- der. CHAP. XXXIX. What rnuft bee don the ft one beeing fallen into the of the bladder, or faffage of the yard. Fter the Hone is fallen out of the capacitie of the bladder,and Hops in the neck thereof, orpaflage of the yard, the Surgeon (ball have a fpecial care that hee do not force or thruft back the ftone from whence it came, but rather that hee prefs it gently with his fingers to the end of the yard, the paflage beeing firft made flipperie by injefting fom oil of fwect almonds. But if it flop in the end of the Glans,it muft bee plucked out with fom crooked infirmr c nt 5 to which it it will not yeeld Lib.17. whofe Qure is performed by Surgerie. 425 yeeldj a Gimblet with a pipe or cate thereto, (hall bee put into the paifage of the yard, and fo it (hall bee gotten out, or elf broken to pieces by the turning or twining about of the Gimblet,which I remember I have divers times attempted and don 5 for fuch Gimblets are made with (harp fcrues, like ordinarie gimblets. fhe delineation of a Gimblet made to breaks the ftones in the paffage of the yard, together with its pipe, or cafe. effigies of another leffer Gimblet, Verily what Gimblets foever are made for this bufineft, their bodie or point muft bee no thicker then a (mall probe-, leaft whil'ft they are forced or thruft in- to the Urethra, or urinarie paflage, they might hurt the bodies next unto them by their violent entrance. CHAP, XL. Wbat courf rnuft bee taken, if the ftone flicking in the Urethra., or urinarie 'faffage, cannot bee gotten out by-.tbe fore-meutioned arts. Ut if the ftone bee more thick, hard, rough and remote from the end of the yard, then that it may bee gotten out by the means formerly mentioned in the precedent Chapter., and if that the urine bee wholly fuppreft therewith; then muft you cut the yard upon the fide with a ftraight wound: for you muft not make incifion on the upper part, for fear of a flux of blood, for a large vein and arterie lieth there-under; nothin the lower part, for fo it would (carce ever heal again, for that it is a bloodlefs part, and befides, the continual and acrid falling of the urine would hinder the agglutination : wherefore the incifion muft bee made on the fide , on that part whereas the ftone moft refill's and (well's out. For that part is the more flelhie 5 yet firft the end of the skin of the prepuce muft bee much drawn up (b Giant, which beeing don, the Urethra (hall bee tied with a thred a little above the ftone,that fo the ftone may bee ftaied there, and may not fall back again. Therefore then, incifion beeing made, the ftone muft bee taken forth, and the skin which was drawn more violently to cover the Glans, is to bee let go back again; for fo it will com to pals that a whole part of the skin may cover the cut-yard, and fo it may bee the more fpeedily united, and the urine may na- turally flow out. 1 have by this means oft-times taken forth the ftone with the inftruments heer delineated. When the yard may becfafely cut* Inftrumentsfit to take the ftone forth of the opened Urethra} or urinarie paffage of the yard. Oo Then Ofdiver [preternatural Lib.17. 426 Then for the agglutination, if need require, it will bee requiiite to few up the lips of the wound,and applie this agglutinative medicine following. %i.fang dr aeon. & medicamentum ut dictum eft : then the whole yard mutt bee covered over with a repercuflive medicine made of the whites of eggs, with the 'powder of bole armenick, aloes, farina volatilis, and oil of rofes. Laftly, if need*fo require, a wax- candle, or leaden firing anointed with Venice turpentine (hall bee thruftTnto the Urethra, to haften the agglutination, and retain the natural fmoothnefs and ftraightnefi of the uri- narie paflage, leaft peradventure a caruncle grow therein. An agglutina- tive medicine. How to haften the agglutina- tion. CHAP. XLI. What manner of feStion is to bee made when a ftone is in a boy's bladder. Itherto wee have lhewed,by what means it is convenient to draw final! ftones out of the ureter,bladder and paflage of the urine; now will wee briefly fliew the manner of takeing of greater ftones out of the bladder, which is per- formed by incifion and iron inftruments,and I will deliver the pra&ice there- of firft in children, then in men, and laftly in women. Firft therefore let the Surgeon take the boy (upon whom it is determined the work (hall bee per- formed) under the arm-holes, and fo give him five or fix (hakes, that fo the ftone may de- fcend the more downwards to the necK of the bladder. Then muft you caufa ftrong man, fitting upon an high feat, to lay the childe upon his back with his face from him-ward, haveing his hips lying upon his knees. The childe muft lie (bmwhat high, that hee may breathe the freelier, and let not the nervous parts bee too much ftretched , but let all parts bee loof and free for the drawing forth of the ftone. Furthermore, it is fit that this ftrong man,the childe's legs beeing bended back,wilh the ch ilde,that puttings his legs to his hams, that hee draw them up as much as hee can, and let the other bee fure hee keep them fo; for this fite of the childe much conduceth to well performing of the work. Then let the Sur- geon thruft two of the fingers of his left hand as far into the childe's fundament as hee is a- ble; but let him with his other hand prefs the lower bellie, firft wrapping a cloth about his hand, that fo the compreflion may bee the left troublefom, and leaft inflammation fhould happen rather by this means then by the incifion. Now the compreffion hath this uft , to caufthe ftone to defcend out of the bottom of the, bladder into the neck thereof under the or fubis, whither after it is arrived, it muft bee there kept, and as it were governed by the com- mand of your hand, leaft it fliould Hide from that place whereto you have brought it. Theft things thus don, nothing now remaineth, but that the Surgeon, with a wound fom two fingers breadth diftant from the fundament,cut through all the flefli even to the ftone on the left fide of the Perineum. But in the interim, let him beware that hee hurt not the inteftinum return; for it may, and ufually doth happen, that whil'ft the ftone is brought out of the bottom of the bladder to the neck thereof, this gut is doubled in: now, if it bee cut with your incifion-knife, it cometh to paft that the excrements may fomtimes com out at the wound, and the urine by the fundament, which thing hath in manie hindred the agglutina- tion and confolidation of the wound; yet in fbm others it hach don little harm, becauf in this tender age manie things happen, which may feem to exceed nature: the incifion beeing made, the ftone muft bee plucked forth with the inftrument heer exprefled. Why the boy muft bee fliaken before cutting. How topbce the childe be- fore diflcdion. Where to di- vide the ptri- wwn. Nature verie powerful in children. Hoofy to pul/ftones forth of childrens bladders. The ftone beeing drawn out, a finall pipe (hall bee put into the wound, and there kept for fom fpace after, for reafons heerafter to bee delivered 5 then his knees fhall bee bound to- gether, for thus the wound will the fooner dole and bee agglutinated. The reiidue of the cure (hall bee performed by reduceing the general cure of wounds, to the particular temper of the childe's age, and the peculiar nature of the childe in cure. General rules muft bee redu- ced to parcicu- hr bodies. CHAP. LiB.17. IP'hoJe Qure is performed by Surgerie 427 CHAP- XL1I. . How to cut men, for the talking out of the ftone in the bladder* EeingweC cannot otherwile help foch men as have ftonesin their bladders, wee • muftcomto the extreme remedie, to wit, cutting. But the patient muft firft bee i purged, and if the cafe require, draw fom blood; yet muft you not immediately i after this, or the day following haften to the work: for the patient cannot but bee weakned by purgeing and bleeding. Alfo it is expedient for fom daies before to foment the privities with fuch things as relax and foften,that by their yeelding, the ftone may the moreealily bee extra&ed. Now the cure is thus to bee performed: The patient (hall bee placed upon a firm table or bench with a cloth manie times doubled under his buttocks, and a pillow under his loins and back, fo that hee may lie half upright with his thighs lifted up, and his legs and heels drawn back to his buttocks. Then (hall his feet bee bound with a ligature of three fingers breadth cslft about his ankles: and with the heads thereof beeing drawn upwards to his neck, and caft about it, and fo brought downwards, both his hands fhall bee bound to his knees, as the following figure lheweth. What to bee don before diffcdion. How to lay the patient* A figure of a man lying readie to bee cut for the ftone. The patient thus bound , it is fit you have four ftrong men at hand ; that is,two to hold his arms,and other two who may lb firmly and ftraightly hold the knee with one hand, and the foot with the other,that hee may nei- ther moov his limbs, nor ftir his but- tocks , but bee forced to keep in the lame pofture with his whole bodie. Then the Surgeon fhall thruft into the urenarie paflage even to the blad- der, a filver or iron and hollow probe, anointed with oil, and opened or flit on the out-fide, that the point of the knife may enter thereinto, and that it may guide the hand of the work- man, and keep the knife from pierce- ing anie farther into the bodies lying there-under. The figure of this probe is heer expreft. » Why the probe muft bee flit on the ouc- fide* Probes with flits in their ends. Hee (hall gently wreftthe -probe;beeing fothruft in, towards the left fide, and alfohee who ftandeth on the patient's right hand, (hall with his left hand gently lift up his cods>' that fo in the free and open (pace of the left fide of the Surgeon may have the j more libertie to make the incifion upon the probe, which is thruft in and turned that way. But in making this incifion, the Surgeon muft bee careful that hee hurt not the (earn of the perineum and fundament. For if that feam bee cut, it will not bee eafily confolidated , for that it is callous and bloodlefs, therefore the urine would continually drop f9rth this way. But if the wound bee made to near the fundament, there is danger, leaft by forcible plucking forth of the ftone hee may break (bm of the hemorrhoid veins , whence a bleeding may enfue,which is fcarce to bee flopped by anie means, or that hee may rend the (phinfter- Oo 2 mufcle? Why the fcatn of the perw<e* um muft nos bee cut. 428 Ofdiyerfpreternatural zAjfe&s, Lib.17. bodieof the bladder, fo that it can never bee repaired. Therefore it muftbee made the /pace of two fingers from the fundament, according to the ftraightnefs of the fi- bres, that fo it may bee the more eafily reftored afterwards. Neither muft the incifion thus made, exceed the bignefs of ones thumb, for that it is afterwards enlarged by putting in the Crow's beak and the dilater, but more by the ftone as it is plucked forth. But that which is cut, is neither fo fpeedily nor eafily healed up, as that which is torn. Then preftntly put into the wound fom one of theft filver inftruments delineated heer below, and called by the name of Guiders, for that they ftrv as guides to the other inftruments which are to bee put into the bladder; theft are made with a round and prominent head, whereby it may bee put into the defcribed cavitie of the f robe, and they are noted by theft letters, A*A. then there are others marked with the letters, B»B. and called by the like name, and are to bee put un- der the former, beeing made forked at the end, that fo it may, as it were , embrace the end of the former. Where to make the wound to take forth the Hone. That which is torn is (boner healed then that which is cut. TCbefigures of Guiders of two forts. Now the probe is to bee drawn forth , and the guiders to bee thruft and turned up and down in the bladder, and at length to bee ftaied there by putting in the pin yet fuch guid- ers as want a pin are fitter for the hand, and are by fbm called ffiathe. Then muft they bee held betwixt the Surgeon's fingers. It will bee allo neceflarie for the Surgeon to put an- other inftrument called the Duckf-bill between the two guiders into the capacitie of the bladder 5 hce muft thruft it in fbmwhat violently, and dilate it fo thruft in with both his hands, turning iteverie way to enlarge the wound as much as (hall bee fiifficient for the ad- mitting the other inftruments which are to bee put into the bladder; yet it is far better for the patient, if that the wound may with this one inftrument bee fufficiently dilated, and the ftone pulled forth with the fame without the help of anie other. The effigies of an inftrument called a Pucfy-bill. Which if you have not in a«adineft,andthelargeneftof the ftone require more dilata- tion, then muft you put in this dilaterjfor beeing put into the bladder, and the handle prdfed together, it will dilate the incifion as much as you defire* • - ■ - - • • - * - Tfo Lib.17. T»hoje Cure is performed by Surgerie. 429 the figure of a Dilater fhut and opened. The wound by the help of this inftrument beeing dilated as much as is fuffident,thcn put in the ftraight Duck-bill before described, or the crooked heer expreft. Crooked Forcipes's like The ftone may bee fought and taken hold of with thefc inftruments, and beeing taken hold on, the branches of the inftrument fhall bee tied together, leaft they fhould fuffer that to Aide away which they have once taken hold of. Neither (hall the ftone bee fuddenly plucked out, but eafily fhaken to and again, and at length gently drawn forth. Yet you muft beware that you do not prefsit too ftraightly in the forceps, leaft you fhould break it in pieces: Som, leaft it fhould flip away, when they have once taken hold thereof, put their two fingers into the fundament, and put them above the ftone that it may not fall out, nor flip back again, which I think conduceth much to the eafie extraftion of the ftone. There are others who ftrengthen this comprehenfion by putting in on each-fide above and below thefc winged inftruments, fo that the ftone can flip forth on no fide. Oo 3 Winded 430 Of diver] preternatural .Affeftst Lib.17 Winged inftrumentf to bold tbe ftone with tbe the figure of another* The figure i>f amtherrtlngedinfirimentjie end of wbrfe handle itfafiened by a firue.fnMa bended iron-platejwbicb is marked with ibis letter A.for tbe firmer bolding, thereof. After the Gone is by thefc means drawn forth, obferv diligently whether it bee worn on anie fide, and as it were levigated 5 for thathappeneth by the wearing or rubbing of one or more hones upon it 5 yet there is no furer way to know this, then by learching with a Ca- theter one end of the following inftrument may fupplie the want of a Catheter or probe, and the other may lerv for a (coop or cleanfen A clean fir A note of rnoptf ftonei then one. Lib. 17. Whofe Qure is performed bySurgerie. 431 A cleanfer or fcoop whereby you may jearcb whether there bee ante more ftones bobinde, as alfo clean]'or purge the bladder from gravel, clots of blood, and other fucb bodies, as ufe to remain bebinde after the drawing forth of the ftone. . For if other (Jones remain behinde, they fhallbee drawn forth a: the former, whichbee-1 ru u"3 l e 0 , e which is crooked and hollowed like a fcoop or fpoon, 1 fnall bee thruft by the wound into the bladder, and therewith you (hall gather together and take out what gravel (oever, clotted blood, and the like refute as (hall bee there, for that they may yeeld matt r for another flone. But if you finde that the (lone which is in the bfad- der bee too great, (b that it may not bee plucked forth without great and fearful rending of! the bladder, it will bee better to take hold thereof with this Crows bill and lb break it 1 to peeces. How to cleatti the bladder. Howto break a ftone that cannot bee ta- ken out whole and at once. 7be effigies of a toothed Crow's-billmade neatly to breakjgreater ftones> with a [crew to force it together. This Crows-bill hath onely three teeth, and thole (harp ones on theinfide, of which two are placed above, and one below, which is the middle- molt, lb that it falleth between the two upper. When the flone is broken, alt the peeces thereof muft bee taken forth, and wee muft have a fpecial care, left any peece thereof lie hid; for that in time, increaled by the accefs of a tough and vhcuous matter, or conjoined with other fragments by the interpofi- tion of the like matter as glcw, may rile to a ftone of a large bignefs. CHAP. XLIII. i What cure muft bee ufed to the wound, when the ftone is taken forth. He ftone beeing drawn out, if the greatnefe of the wound fo require , it (hall h ave one or two flitches with a needle and th reed,leaving onely Co much (pace as (hall bee fufficient to put in a pipe for the u(e wee (hall hereafter (hew j your thned muft bee of crimfon filk waxed, and let it not bee too finall, leaft it by bindcing (hould cutafunder the flelhie lips of the wound, or rot in a (horc time, either by the moiflure of the urine, or matter flowing from the ulcer. Thereforejrou Of few log the wound when the ftone is ts» ken forth, 432 Of.dnerfpreternatural oydfe'cls, Lib.17 (hall take up much flelh with the skin in ftwing it, leaft the lips of th? wound beeing torn, your labor proov in vain, andfo you are forced to trouble the patient with makeing a new one. Things beeing thus performed, a filver pipe (hall bee put through the wound into the bladder,whereof I have here given you divers forms,that you may take your choice, & fo fit them to the wounds, and not the wounds to them, which oft-times in want of inftruments the Surgeons are forced to do, to the great harm of the patient. Silver pipes to bee put into the bladder when the ftone is drawn out. Thefe muft have no holes in their fides fas thole here exprefled) but onely in their ends, that all the matter of the wound, and the filth gathered and con- crete in the bladder may flow and bee carried forth this way. When cleer urine fhall begin to flow out of the wound, there fhall bee no more need of a pipe; therefore if you continue it and keep it longer in the wound, there is fom dan- ger leaft nature accuftomed to that way, may afterwards negleft to fend the water through the Vretbra, or urinarie paflage. Neither muft you forget to defend the parts near to the wound with the following repercuflive medicine, to hinder the defluxion and inflammation, which are incident by reafon of the pain. R. album ovorum.nuXu. pul. bolt armeni,fanguinis dracon. oleirof. %i.pilorum leporinorum quantum fufficit, make a medi- cine of the confiftence of honey. A repercuffive medicine. CHAP. XLIV. LI things which wee have recited beeing faithfully and diligently performed, the patient fhall be placed in his bed, laying under him as it were a pillow filled with bran, or oat chaff, to drink up the urine which fioweth from him. You muft have divers of theft pillows, that they may bee changed as need fhall require. Somtimes after the drawing forth of the ftone,the blood in great quantitie falleth into the Cod,which unlefs you bee careful to provide againft, with difcufting, drying and confumeing medicines, itistobeefearedthatitniaygangrenate. Wherefore if anie accidents happen in cureing theft kinde of wounds, you muft diligently withftand them. After fbm few daies a warm injeftion fhall beecaft into the bladder by the wound, confifting of the waters of plantain, night-ftiade and rofts, with a little lyrup of dried rofts. It will help to temper the heat of the bladder cauftd both by the wound and contufion, as alfoby the violent thrufting in of the inftruments. Alfb it fomtimes happen's, that after the drawing forth of the ftone, clots of blood and other impuritie may fall into the urinaric paflage, and fo flop the urine that it cannot flow forth. Therefore you muft in like fort put a hollow probe for fom daies into the urethra, that keeping the paflage open, all the grofler filth may flow out together with the urine. How to lay the patient after the ftone is taken away. Remedies for the Codjlcaft it gangrcnatc. CHAP. XLV. How to cure the wound made by the incifion. What things haften the uni- on. Ou muft cure this wound after the manner of other bloodie wounds, to wife by agglutination and cicatrization,the filth,or fiich things as may hinder,beeing taken away by detergent medicines.The patient (hall haften the agglutination if hee lie croft-legged, & keep a (lender diet until the ftventh or ninth day bee paft. Hee muft wholly abftain from wine, unlefsit bee verie weak j in (lead thereof let him ufe a decoftion of barlie and licorifli, or mead, or water andfugar, or boiled water mixed with fyrrups of dried rofes, maidenhair, and the like. Let his meat bee panado, rat- ions, ftewed prunes, chickens boiled with the cold feeds, pur(lain,forrel, borage, ipinage, and the like. If hee bee bound in his bellie, aPhyfician (hall bee called, who may help it, by appointing either Caffia, a glyftcr,or fom other kinde of medicine as hee (hall think good. CHAP. Lib.ly- xvhoje Cure is performed by Surgerie. 433 CHAP. XLV1. What cure is to hue ufed to Vleers, when as the urine flow's through them, long after the ftone is drawn out. Anie, after the ftone is drawn out, cannot have the ulcer confolidated3there- fore the urine flow's out this way continually by little & little,and againft the patient's will dureing the reft of his life,unle(s the Surgeon helpit. Therefore the callous lips of the wound muft bee amputated, Co to make a green wound of an old ulcer ; then muft they bee tied up,& bound with the inftrument wee term a Retinaculum or ftay; this muft bee perforated with three holes, anfwering to three other on the other fide; needles (hall bee thruft through theft holes, takeing hold ofmuchflefh, and fhall bee knit about it, then glutinative medicines (hall bee applied, fiich as are Venice Turpentine, gum Elemi, fanguis draconis, bole armenick and the like; after five or fix daies the needles (hall bee taken out, and alfo the ftay taken away. For then you (hall finde the wound almoft glewed, and there will nothing remain but onely to cicatrize it. How to make efrefli wound ofanoldukcr« The figure of a Retinaculum, or ftay. 1 k. {hew*s the greater. B. the leffer, that you may tyow that you mujtufe diverf according to the different bignefs of the wound. If a 'Retinaculum or flay bee wanting, you may conjoin the lips of the wound after this following manner. Put two quills fomwhat longer then the wound, on each fide one, and then prefently thruft them through with needles haveing thred in them, takeing hold of the flefli between, as often as need Shall require, then tying the thred upon them. For thus the wound (hall bee agglutinated, and the flefliie lips of the wound kept from beeing torn, which would bee in danger if the needle and thred wereonely ufed* What to do ia wantofaftay. CHAP. XLVH. Ee know by the fame figns that the ftone is in a woman's bladder as wee do in a man's,yet it is far more ealily fearched by a Cathetert for that the neck of the blad- der is the fhorter, broade • and the more ftreight. Wherefore it may not onely bee found by a Catheter put into the bladder, but alto by the fingers thruft into the neck Of the womb, turning them up towards the inner fide of the Os fubis, and placeingthe lick woman in the fame pofture as wee mentioned in the cure of men. Yet you muft obferv that maids younger then feven yeers old, that are troubled with the ftone, cannot bee fear- ched by the neck of the womb, without great violence. Therefore the ftone muft bee drawn from them by the fame means as from boies, to wit. by thrufting the fingers into the funda- ment 5 for thus the ftone beeing found out, and the lower bellie alfb prefled with the other hand, it muft bee brought to the neck of the bladder, and then drawn forth by the foremen- tioned means. Y et if the riper yeers of the patient permit it to bee don without violence,the whole work (hall bee more eafily and happily performed, by putting the fingers into the neck of the womb, for that the bladder is nearer the neck of the womb, then it is to the right gut. Wherefore the fingers thus thruft in, a. Catheter fhall bee prefently put into the neck of the bladder: This Catheter muft bee hollow, or flit on the outfide like thofe before de- fcribed but not crooked,but ftraight, as you may perceiv by the following figure. How to take ftones out of women's bladders. How to fearch forcheftonc in women* XCathe- Ofdiverf preternatural Affects, Lib.17 434 A Catheter, upon which, beeing put into the bladder, the thereof may bee cut, to draw out a ftone from a woman. Upon this inftrument the neck of the bladder may bee cut, and then with the D Hater made for the fame purpoft, the incifion (hall bee dilated as much as need require's 5 yet with this caution, that feeing the neck of a womans bladder is the (horter,it admit's not fb great dilatation as a mans, for otherwife there is danger that it may com to the bodie of the bladder, whence an involuntarie (hedding of the water may enfue and continue thereafter. The incifion beeing dilated, the Surgeon putting one or two of his fingers into the neck of the womb, (hall prefs the bottom of the bladder , and then thruft his crooked inftruments or forcipes in by the wound, and with theft hee (hall eafily pluck out the ftone, which hee fhall keep with his fingers from flipping back again. Yet Laurence Collo the King's Surgeon, and both his fbns (then whom 1 do not know whether ever there were better cutters for the ftone) do otherwift perform this operation 5 for they do not thruft their fingers into the fundament or neck of the womb, but contenting themftlvs with putting in onely the guid- ers (whereof wee formerly made mention) into the paflage of the urine, they preftntly thereupon make a ftraight incifion dire&ly at the mouth of the neck of the bladder,and not on the fide, as is ufually don in men. Then they gently by the fame way thruft the forcipes hollowed on the out-fide formerly delineated,and fo dilate the wound by tearing it as much as fhall bee fufficient for the drawing of the ftone forth of the bladder. The refidue of the curd is the fame with that formerly mentioned in men : yet this is to bee added, that if an ulcer grow in the neck of the bladder by reafon of the rending it, you may by putting in the fpeculum matricis, dilate the neck of the womb, that fitting remedies may bee applied with the more eaf. CHAP. XLVIII. slides the fore-mentioned caufes of fupprefled urine,or difficultie of making of wa- ter, there are manie other, leaft anie may think that the urine is ftop't onely by the ftone or gravel, as Surgeons think, who in this cafe prefently u(e diureticks. Therefore the urine is fuppreft by external and internal caufes. The internal cau- fcs are clotted blood,tough phlegm, warts,caruncles bred in the paflages of the urine,(tones, and gravel; the urine is fomtimes fuppreft, becaufthe matter thereof, to wit, the (erous or whayifti part of the blood, is either confomed by the fevepifli heat,or carried other waies by fweats or afcouring; fomtimes alfo the flatulencie there £ontained,or inflammation ariflng in the parts made for the urine and the neighboring members, fiipprefle's the urine. For the right gut, if it bee inflamed, intercept's the paflage of the urine, either by a tumor whereby it prefleth upon the bladder, or by the communication of the inflammation. Thus by the default of an ill-affe&ed liver, the urine is oft-times foppreft in fuch as have the dropfie; or elf by dulnefs or decgyof the attractive, or (eparative facultie of the reins by fom great di- ftemper, or by the default of the animal-facultie, as in fuch as are in a phrenfie, lethargic, convulfion, apoplexie. Befides alfo a tough and vifcid humor falling from the whole bodie into the paflages of the urine, obftru&'s and (hut's up the paflage. Alfo too long holding the water fomtimes caufe's this affeft. For when the bladder is diftended above meafore, the paflage thereof is drawn together,and made more ftraight: heerto may bee added , that the too great diftenfion of the bladder is a hinderance that it cannot ufe the expulfive facultie, and ftraiten it (elf about the urine to the exclufion thereof; heerto alfo pain focceed's,which prefently dejc&'s all the faculties of the part which it (eizeth upon. Thus of late a certain young man, riding on horfback before his miftrefs, and therefore not dareing to make wa- ter, when hee had great need fo to do, had his urine fo foppreft, that returning from his journie home into the citie, hee could by no means poflible make water. In the mean time hee had grievous pain in the bottom of his bellie and the ferintum, with gripeings , and a fweat all over his bodie , fo that hee almoft (wooned. I beeing called, when I had procured him to make water by putting in an hollow Catheter, and prefling the bottom of his bellie, whereof hee forthwith made two pintes;! told them that it was not occafioned by the ftone, which notwithftanding the ftanders by imagined to bee the occafion of that foppreflion of , urine. Of the fuppreftion of the Urine by internal caufes. In fuppreflion of the utine wee muft not prefent ly flie to diureticks. Why the.too long holding the urine cau- feth the fup- preffion there- of. An hiftorie. Lib.17. trboje (Jure is performed by Surgerie. 435 urine. For thence forward there appeared no ligns of the (tone in the youth, neither was hee afterwards troubled with the (lopping ofhis urine. CHAP. XL1X. Adigrefion concerning tbe purgeing of fuch things as are unprofitable in the whole bodie by the tbe urine. Think it not amils to teftifieby the following hiftories,the providence ofna- ture in expelling by urine fuch thing as are unprofitable in the whole bodie. Mounfteur Sarret the Kings fecretarie was wounded in the right arm with a piftol-bullet; manie and malign lymptoms happened thereupon, but princi- pally great inflammations, flowing with much /ariej and fus or quitture: it iomtimes happened that without anie reafon this purulent and fanious efflux of matter was ftaied in inflammation; whereof while wee follicitoufly inquired the cau£ wee found both his ftools and water commixed with much purulent filth, and this through the whole courf of the difeaf, whereof notwith handing by God's afflftance hee recovered, and remain's whole and found ; wee obterved that as long as his arm flowed with this filthie matter, fo long were his excrements of the bellie aud bladder free from the fijnious and pu- rulent matter: as long on the contrarieas the ulcers of the arm were drie, fo long were ex- crements of the guts and bladder fanious and purulent. The fame accident befel a Gentle- man called Mounjleur de laCroixjNho received a deadlie wound with a fword on the left: arm, though German Cbaval and Mafter Rafs moft expert Surgeons, and others, who together with mere had him in cure, thought it was not fo for this reafon, becauf the pw cannot run fo long a way in the bodie, neither if it it were fo, could that bee don without the infecti- on and corruption of the whole mafs of blood, whil'ft it flow's through the veins; there- fore to bee more probable that this quantitie of filth,mixed with excrements & urine, flow- ed out by the default ofxhe liver, or of fom other bowel, rather then from the wounded arm: I was of a contrarie opinion for thefe following reafons. Firft for that which was ap- parently teen in the patient; for as long as the excrement and urine were free from this pu- rulent matter, fo long his arm plentifully flowed therewith; this on the contrarie beeing drie, much purulent was voided both by ftool and urine. Another was, that as our whole bodie is perfpirable, fo it is alfo fif I may fo term it) confluxible. The third was an exam- ple taken from the glafles which the French term Monte-vins (that is, Mount-wines) for if a glafs that is full of wine bee let under another that is fill'd with water, you may lee the wine raif itfelf out ofthe lower veflel to the upper through the mid'ftof the water, and fo the water defoend through the mid'ft of the wine, yet fo, that they do not mix themtelvs, but the one take and poflefs the place of the other. If this may bee don by art, by things onely natural, and to bee difoerned by our eies, what may bee don in our bodies, in which by reafon of the pretence of a more noble foul, all the works of nature are far more perfect? What is it which wee may delpair to bee done in the like cate ? For doth not the laudable blood flow to the guts, kidnies, fpleen, bladder of the gall, by the impulf of nature together with the excrements, which presently the parts themtelvs teparate from their nutriment? Doth not milk from the breafts flow fomtimes forth of the wombs of women lately delive- red? Yet that cannot bee carried down thither, unlefsbythe paflages of the mammillaric, veins and arteriers, which meet with the mouths of the veflels of the womb in the middle of the ftraight muteles of the Epzgraftzum.Therefore no marvel if according to Galen the -pus uu- mix't with the blood flowing from the whole bodie by the veins and arteries into the kid- nies and bladder ,bee caft forth together with the urine.Thete and the like things are don by nature, not taught by anie counfel or reafon,but onely afflfted by the ftrength of the tegre- gateing and expulfive facultie j and certainly wee prctently diflefting the dead bodie, obter- ved that it all, as alfo all the bowels thereof, were free from inflammation and ulceration, neither was there anie fign of impreffion of anie purulent matter in anie part thereof. An hiftorie* An hiftoriei How the pus may flow from the wounded arm by the u- rine and excre- ments. Lib.de loc.dtfit.. 6.cap,q. CHAP. L. Here are alfo manie external causes, through whofe octafion the urine may bee fuppreft. Such are batheing and fwimming in cold water; the too long con- tinued application of Narcotick medicines upon the reins, yerintum and (hare; the ufe of cold meats and drinks* and ftich other like. Moreover, the difloca- tion of fom Vertebra of the loins to theinfide, for that it prefleth the nervs i difieminated thence into the bladder; therefore it caufeth a ftupiditie or numnefsof the bladder. Whence it is, that it cannot perceiv it felf to bee vellicated by the acrimonie of the urine, and confequendy it is not ftirred up to theexpulfion thereof. But from what- foever 'Ey wbat external caufes the urine is fuppreff; and prognofticky concerning the fupprejfion thereof- Wbythediflo- cationofa&er- 'ft&rdofthe loins may cauf a fupprcffion qf urine. Of diverfpreternatural zJTjfe'tts, Lib.17. 436 Why the fup- preflion of the urine becom's deadly. foever cauf the oppreffion of the urine proceed's, if it perfevere forfom dales, death is to beefeared, unlefe either a fever which may confume the matter of the urine, orafcouring or flux, whichmay divert it, lhall happen thereupon. For thus by flay it acquireth an acrid and venenate qualitie, which flowing by the veins readily infefteth the mafs of blood, and carried to the brain, much moleft's it by reafon of that fimilitude and lympathie of conditi- on which the bladder hath with the Meninges, But nature, if prevalent, ealily free'th it felf from this danger by a manifeft evacuation by ftool, otherwife it mult neceflarily call as it were to its aid, a feverilh heat, which may fend the abounding matter of this feroushu- miditie out through the skin, either by a fenfible evacuation as by fweat j becauf fweat and urine have one common matter : or elf difperf and breath it out by tranfpiration, which is an infenfible excretion. A fever fol- lowing there- on help's the fupprtflion of urine. CHAP. LI. Of bloodie Urine. Om pifs pure blood, others mix't, and that either with urine, and then that which is expelled refemble's the walking of flefh newly killed; or elf with pus» or matter, and that either alone or mixed with the urine: There may beediverf caufes of this fymptom, as the too great quantitie of blood gathered in the bo- die, which by the fuppreflion of the accuftomed and periodical evacuation,by the courfes or hemorrhoids, now turn's its courf to the reins and bladder: the fretting afun- der of fom veflel by an acrid humor, or the breaking thereof by carrying or lifting of fom heavie burden, by leaping, falling from high, a great blow, the falling of fom weight upon the loins, rideing Pott too violently, the too immoderate ufe of venerie, and laftly, from ahie kinde of painful and more violent exercife, by a rough and fliarp ftone in the kidnies, by the weaknefs of the retentive facultie of the kidnies, by a wound of fom of the parts be- longing to the urine, by the too frequent ufe of diuretick and hot meats and medicines, or elf of things in their whole nature contrarie to the urinarie parts; for by thefe and the like caufes, the reins are oft-times fo inflamed, that they neceflarily impoftumate, and at length the impoftume beeing broken it turn's iuto an ulcer, calling forth quitture by the urine. In fo great varietie of the caufes of bloodie urine, wee may gather whence the caufes of this fymptom may arife, by the depraved aftion of this, or that part, by the condition of the flowing blood, to wit, pure or mix't, and that either with the urine alone, or with pus. For example, if this bloodie matter flow from the lungs, liver, kidnies, diflocated Vertebra, the ftraight gut, or other the like part: you may difcern it by the feat of the pain and fym- ptoms, as a fever : and the proprietie of the pain, and other things which have preceded, or are yet prefent* And wee may gather the fame by the plentie and qualitie, for if, for ex- ample, the pus flow from an ulcer of the arm, the purulent matter will flow by turns, one while by the urine, fo that little is caft forth by the ulcer; then prefcntly on the contrarie the urine becom's more cleer* That purulent matter which flow's from the lungs by reafon of an Empiema, or from the liver, or any other bowel placed above the midriff,the pus which is caft forth with the urine, is both in greater plentie and more exaftly mixed with the urine, then that which flow's from the kidnies and bladder. It neither belong s to our purpofe,or a Surgeon's office, either to undertake, or deliver the cure of this affeft. It (hall luffice onely to note that the cure of this fymptom is not to bee hoped for fo long as the cauf remain's. And if this blood flow by the opening of a veffel,it fhail bee ftaied by aftringent if broken, by agglutinative 5 if corroded or fretted afunder, by farcotick- The differen- ces. Caufes. Signs of what caufes they proceed. Cure. CHAP. LIL Had not determined to follow or particularly handle the caufes of bloodie urines, yet becauf that which is occafioned by the ulcerated reins or bladder more fre- quently happens, therefore I have thought good briefly to (peak thereof in this place. The figns of an ulcer of the reins are, pain in the loins, matter howfoever mix't with the urine, never evacuated by it (elf, but alwaies flowing forth with the urine, and refideing in the bottom of the chamber-pot, with a fanious and red (ediment, flefhie and as it were bloodie fibres fwimming up and down in the urine, the fmell of the filth is notfogreatasthat which which flow's from, the ulcerated bladder, forthat thekidnies, feeing thsy are of a flefhie fubfiance, do far better ripen and digeft the purulent matter then the bladder which is nervous and bloodlefs. Of the figns of the ulcerated kidnies. Why the mat- ter which flow's from the kidnies is lefs (linking then that which flow's from the blad- der. CHAP* Lib.17. ypbofe Qure is performed hy Surgerie. 437 CHAP. LIII. Of the figns of the ulcerated Bladder. .cers are in the bottom of the bladder, and the neck thereof. The figns of an ulcer in the bladder are, a deep pain at the fliare-bones; the great ftench of the matter flowing there-from,white and thin skins fwimmingup and down in the water. But when the ulcer poflefleth the neck of the bladder, the pain is more gentle , neither doth it trouble before the patient com to make wa- ter, but in the verie making thereof, and a little while after. But it is common both to the one and the other, that the yard is extended in makeing of water, to wit, by reafon of the pain cauled by the urine fretting of the ulcerated part in the paflage by : neither is the matter feen mixed with the urine-', as is ufual in an ulcer of the upper parts, becauf it is poured forth not together with the urine, but after it. Differences. CHAP. L1V. of the ulcerated Reins and Bladder. Leers of the kidnies are more eafily and readily healed then thole of the blad- der; for fleftiie parts more fpeedily heal and knit, then bloodlels and nervous parts. Ulcers which are in the bottom of the bladder, are uncureable, or cer- tainly moft difficult to heal; for belides that they are in a bloodlels part , they are daily vellicated and exalperated by the continual afflux of the contained u- rine; for all the urine is never evacuated : now that which remaine's after rilakeing water, becom's more acrid by the diftemper and heat of the part, for that the bladder is alwaies ga- thered about it, and dilated and ftraightned according to the quantitie of the contained u- rine: therefore in the Ifchuria, that is, the luppreflion or difficultie of makeing water, you may lomtimes fee a quart of water made at once. Thole which have their legs fall away, haveing an ulcer in their bladder, are near their deaths. Ulcers arifing in thefe parts, un- left they bee confolidated in a Ihort time, remain uncureable. Why ulcers of the bladder are cured with more difficul- tie« CHAP. LV. N cureingthefiippreflionof the urine, the indication muft bee taken from the nature of the and cauf thereof, if it bee yet prefent or not. But the diverfitie of the parts, by which beeing hurt, the Ifchuria happen's, intimate's the varietie of medicines, neither muft wee prefently run to diureticks , and things breaking the ftone, which manie Empericks do. For hence grievous and malign fymptoms often arife,efpecially if this fuppreffion proceed from an acrid humor, or blood prefled out by a bruile, immoderate venerie , and all more vehe- ment exercife , a hot and acrid potion, as of Cantbar ides ,by too long abstaining from make- ing water, by or ulcer of the urinarie parts. For thus the pain and inflammati- on are increafed, whence follow's a gangrene, and at length death. Wherefore attempt no- thing in this cafe without the advice of a Phyfician, no not when you muft com to Surge- rie. For diureticks can fcarce have place in another cafe, then when the urinarie paflages are obftru&ed by gravel, or a grots and vifcid humor, or elfin fbm cold countrie, or in the application of Narcoticks to the loins, although wee muft not heer ufe thefe before wee have firft made ufe of general medicines: now diureticks may bee adminiftred fiindrie waies, as heerafter fhall appear. R. agrimon.urtic. parietar. jurculos rubros babentx, an.m.i. radaftarag. mundat. gran.alkg- tylgi, nu.xx,.[em. malue rad.acor.%i. bulliant omnia fimul infexlibrit aqu# dulcis ad tertias,de- inde coletur. Let the patient take Jiiii. hereof with Ji. of fugar candie, and drink it warm falling in a morning, three hours before meat. Thirtie or fortie Ivie-berries beaten in white wine, and given the patient to drink fomtwo hours before meat, are good for the fame purpofe. Alfo of nettle-feeds made into fine powder, and drunk in chicken-broth, is good for the fame purpofe. A decoftion alfo of grummel, Goat's-faxifrage, pellitorie of the wall, white faxifrage, the roots of parflie , aftaragus, acorns, bruftus, and orris drunk in the qu antitie of fbm three or four ounces, is profitable alfo for the fame purpofe. Yet this following water is commended above the reft to provoke urine, and open tne paflages thereof, from what cauf fbever the flopping thereof proceed. R.radicofound,regal.cjrp.biJ- mal.gram.petrofel.faenic.an.$ii. rapb.craffior. in macerentur per nottem in aceto alboacer- rimo, bulliant poftea in aqu* fluvialh ib.x. [axifrag. crift.marin.rub.tinh, milii folir, fonmitat.malv*, Pp • ' bi foal. What cure muft bee ufid in the fuppre/fion of the Urine. Scopes of cureing. To what fup- preffion of the urine diure-* ticks muft not bee ufed. To wideband when to bee ufed. A diurctick water. 438 Of diverf preternatural Affefis, Lib.17 bifmal.an. p.ii. berul.cicer. rub.an. p.i.fem. melon, citrul.an. alkekengi,gra.xx. glycyrhiz.%.1. bulliant omniafimul ad tertias: in colaturti inf unde per notion fol. fen.oriental, ft), fr. fiat iterum parva ebullitiojnexprejjione colata infunde cinam. j iterum colatura injiciatur in alembi- cum vitreum,poftea teveb.venet.lucid.ft).U' aq.vit# %vi. agitentur omnia fimul diligentiffime. Lutetur alembitum Into fapienti£,fiat diftillatio lento igne in balneo war it. Life it after the following maniitr : ftcaq. ftillatitfa prefciptt ?it aut iii. According to the operation which it (hall per- form, let the patient take it four hours before meat. Alfo radifh-water diftilled in balneo mdrith given in the quantitie of |iiii. with fugar, and that with good fuccefs. Baths and ferticitpia, or half baths are articificially made, relax, fbften, dilate, and open all the bodic; therefore the prefcribed diureticks mixed with half a dram of treacle may bee fitly given at the going forth of the bath. Theft medicines following are judged fit to cleanf the ulcers of the kidnies and bladder. Syrup of maiden-hair , of rofes, taken in the quantitie of with bydromel, or barlie-water: AfTe's or Goat's-milk are alfo much commended in this af- feft, becauf they cleanf the ulcers by their ftrousor whayifh portion, and agglutinate by their cheef-like. They muft bee taken warm from the dug, with honie of rofts , or a little fait, leaft they corrupt in the ftomach; and that to the quantitie of four ounces , drinking or eating nothing preftntly upon it. The following Trochifces are alfo good for the fame purpoft. Bc.quatuor fem.fr igid-major.feminis papa ver if albi, portulaf, plantag.cydon,myrtil, gum. tra- gacanth. & arub.pinear.glycyrrbi.mund.hordei mund.macag.pfilii, amygdal.dulcium, an.%.i. boli armen. fanguin.dracon.frodiiy rojar. an.yi. cum oxymelite, conficiantur fecunditm artem trocbifri. Let the patient take diffolved in whay, ptifan, barlie-water,and the like; they may alfo bee profitably diffolved in plantain-water, and inje&ed into the bladder. Let the patient abftain from wine, and inftead thereof let him uft barlie-water , or bydromel, or a ptifan made of an ounce of raffins of the Sun, honed and boiled in five pintes of fair wa- ter, in an earthen pipkin well leaded, or in a glafs, until one pinte bee confumed, adding thereto of liquorice fcraped and beaten of the cold feeds likewift beaten two drams. Let it, after it hath boiled a little more, bee (trained through an hypocras bag, with a quar- tern of fugar, and two drams of choice cinnamon added thereto, and fo let it bee kept for ufual drink. Why the ufe of i ditireticksis | better after baching. Todeanfthe ulcers of the ktdnies and bladder. Trochifces to heal the ulcers of the kidnits. Drink inftead of wine. CHAP. LVI. Of the Diabete, or inabilitie to bold the Vrine. What Dinbete is. He Diabete is a difeaf, wherein prefently after one hath drunk, the urine is pre- fently made in great plentie, by the diflblution of the retentive facultie of the reins, and the depravation of immoderation of the attractive facultie. The ex- ternal caufes are the unfeafbnable and immoderate ufe of hot and diuretick things, and all more violent and vehement exercifes. The internal caufes are the inflammation of the liver, lungs, fpleen, but efpecially of the kidnies and bladder. This af- feft muft bee diligently diftinguifhed from the excretion of themorbifick caufes by urine. The loins in this difeaf are molefted with a pricking and biteing pain, and there is a con- tinual and unquenchable thirft : and although this difeaf proceed from a hot diftemper, yet the urine is not colored, red, troubled, or thick, but thin, and white or waterifh, by rea- fbn the matter thereof make's verie fmall flay in the ftomach, liver, and hollow vein, bee- ing prefently drawn away by the heat of the kidnies or bladder. If the affeft long endure, the patient for want of nourifhment falleth away , whence certain death enfue's. For the cure of fo great a difeaf the matter muft bee purged, which caufe's or feed's the inflamma- tion or -phlegmon, and confequently blood muft bee let. Wee muft abftain from four cold feeds, for although they may profit by their firft qualitie, yet will they hurt by their diure- tick facultie.Refrigerateing and aftringent nourifhments muft bee ufed, andfuch as generate grpfs humors; as rice, thick and aftringent wine mixed with much water. Exceeding cold, yea narcotick things (hall bee applied to the loins, for otherwife by reafon of the thicknefs ofthe muftles of thofe parts, the force, unlefs of exceeding refrigerateing things, will not bee able to arrive at the reins; of this kinde are oil of white poppie, henbane, opium, pur- flain, and lettuce-feed, mandrage,vineger, and the like : of which, cataplafms, plafters, and ointments, inay bee made fit to corroborate the parts, and correft and heat. The caufcs. Signs. Why the u- rines are wa- triih. The cure, Narcotick things to bee applied to the loins* CHAP* LVIL Of the Strangurie. What the Strangurie is. THe Strangurie is an affeft haveing fbm affinitie with the Viabete, as that wherein the water is involuntarily made, but not together at once, but by drops, continually and with pain. The external caufes of a ftrangurie are, the too abundant drinking of cold * - • water, The caufcs. Lib. 17. whole Cure is performed by Surgerie. 439 water, and all too long ftay in a cold place. The internal caufes are, the defluxion of cold humors into the urinarie parts; for hence they are refolved by a certain palfie,and thefybin- fter of the bladder is relaxed, fo that hee cannot hold his water according to his defire: in- flammation alfo and all diftemper caufeth this affeft, and whatfoever in fom fort obftruft's the paflage of the urine 5 as clotted blood, thick phlegm, gravel, and the like. And becauQ according to Galen s opinion, all Ibrts of diftemper may cauf this difeaf, diverf medicines ihall bee appointed according to the difference of the diftemper. Therefore againft a cold diftemper fomentations fhall bee provided of a decoftion of mallows, roles, origanum, cala- mint, and the like, and fo applied to the privities: then prelently after,let them bee anoint- ed with oil of bays, and ofO/forewwi, and the like. Strong and pure wine fhall bee prelcri- bedforhis drink, and that not onely in this cauf, but allo when the ftrangurie happen's by the occalion of obftru&ion, caulfed by a grofs and cold humor, if fo bee that the bodie bee not plethorick.But if inflammation,together with a Plethora or fulnefs,hath caulfed this affeft, wee may, according to Galen's advice* heal it by blood-letting. But if obftru&ion bee in fault, that fhall bee taken away by diureticks either hot or cold, according to the condi- • tion of the matter obftru&ing. Wee heer omit to Ipeak of the Ityfuria, or difficultie of makeing water, becaufthe remedies are in general the fame with thole which are ufed in the Ifchuria, or fuppreflion of urine. Cwf.adapbor, Ad CHAP. LVIII. Of the Colicky Henfbever the guts beeing obftru&ed s or otherwise affe&ed, the excrements are hindred from pafiing forth,and if the fault bee in the fmall guts,the affeft is term- ed Volvulus, Ileos, and Miferere mei j but if it bee in the greater guts, it is called the Colick, from the part anefted, which is the Colon, that is, the continuitie of the greater guts; but efpecially that portion of the greater guts, which is properly and efpeci- ally named Colon, or the Colick-gut. Therefore Avicen rightly define's the Colick, A pain of the guts, Wherein the excrements are difficultly evacuated by the fundament. Paulus jE- gineta reduceth all the caufes of the Colick, how various foever, to four heads : to wit, to the grofnefs, or toughnefs of the humors impaft in the coats of the guts : flatulencies hin- dred from paffage forth: the inflammation of the guts: and laftly , the colle&ion of acrid and biteing humors. Now wee will treat of each of thefe in particular. Almoft the fame caufes produce the grofnefs of humors, and flatulencies in the guts, to wit, the ufe of flatu- lent and phlegmatick, tough and vifcid meats, yea alfb of fuch as are of good nourilh- ment, if fundrie thereof, and of fondrie kindes bee eaten at the fame meal, and in greater quanticie then is fit. For hence cruditie and obftru&ion, and at length the colle&ionof flatulencies, whereon a tenfive pain enfue's. This kinde of Colick is alfo caufed by the ufe of crude fruits, and too cold drink, drunken efpecially when anie is too hot by exercife, or anie other way : for thus the ftomach and the guts continued thereto, are refrigerated, and the humors and excrements therein contained are congealed, and, as it were, bound up. The Colick which is caufed by the inflammation of the kidnies, happen'sby thefym- pathieof the reins pained or troubled with the ftone or gravel contained in them or the ureters. Therefore then alfbpain trouble's the patient at his hips and loins, becauf the nervs, which arifing from the vertebra of the loins , are opprefled by the weight of the ftones and gravel, about the joint of the hip are difleminated into the mufcles of the loins and thigh. Alfb the ureters are pained (for they feem nothing elf but certain hollow nervs) and alfb the cremafter mufcles, fb that the patient's tefticles may feem to bee drawn upwards with much violence. Hence great, phlegmatick , and cholerick vomiting, and fweat of the whole bodie, all which do not furceaf before that the ftone, or gravel ffiall bee forced down into the bladder. Now vomiting happen'® in this affeft, for that the ventri- cle, by reafbn of its continuitie and neighborhood which it hath with the guts, fuffer's by content or fympathie. For the ftomach is of the fame kinde or matter as the guts are, fb that the guts feem nothing elf but a certain produ&ion of the ftomach. Therefore if at anie time nature endeavor to expel anie thing that is troublefbm in the kidnies, ureters, coats of the gutSj mefenterie, pancreas, and hypochondries, it caufeth a Colick with pain and vomit- ing. An hot and drie diftemper alfo caufeth the Colick, produceing a pricking and biteing pain, by drying the excrements fhut up in the guts, as alfo by wafting as it were the radi- cal humors of that place provided for the lubricateing of the guts. Acrid,vifcid, and tough phlegm caufeth the fame. There is alfb another caufof the Colick which is not fb com- mon, to wit, thetwineing of the guts, that is, when they are fo twined, folded, and doubled, that the excrements, as it were, bound in their knots, cannot bee expelled, as it manifeftly happen's in the rupture called Enterocele, by the falling of the guts into the cod. Likewife alfo worms generated in the Colick-gut,whil'ft that they mutually fold or twine Pp 2 thcmfelvs What IleaSjOi iliaca pafsio is. What Colica pttfsio, or the Colick is* tib.i.c.43. 4 The manner of the ftone- colick. How a hot di- ftemper cauf- eth the colich The folding of the guts the cauf of the Ofdiyerfpreternatural LIB.I7J 440 themfelvs up, do alio twine the Colon it ielf ,and fold it with them. Alfo the too long Hay of the excrements in the guts, whether it fhall happen by the peculiar default of the too hot and drie bodie of the patient, or by his diet, that is, the ufe of too drie meats, or exer- cifes and pains taken in the heat of the fun, or by the greatnefs of bufinefs, the minde bee-> ing carried away, caufeth the colick, with head-ach, and plentie of vapors flying upwards. I remember I once diflefted the bodie of a boy of fom twelv years old, who had his guts folded with manie as it were ties or knots of the reftrained, too hard and drie excrements, the which hee caft out by his mouth a little before his death, which brought him to his end, beeing not helped in time by fitting medicines. Now thefe are the caufes of the colick, according to the opinion of the ancient and modern Phyficians, of whofe figns I judg it not amite beer to treat in particular. You (hall know the patient is troubled with the ftone- colick (by the pain which is fixed, and as it were kept in one place, to wit,of the kidnies 5 by his former manner of life, as if the patient hath formerly voided Hones or gravel toge- ther with his urine 5 by the pain of the hips and tefticles for the formerly mentioned cau- fes, and laflly, by that the patient cab's forth by Hone 01' urine,for that the great and labo- rious endevor of nature to cafl forth the Hone which is in the kidnies, is propagated by a certain fympathie, and like fludie of the neighboring parts, ftirring up the expulfive facul- ties each to his work. The figns of a flatulent colick are, a tenlive pain, fuch as if the guts were rent or torn in pieces, together with a noife or rumbling in the bellie. The force of the fhut-up winde is fomtimes fo great, that it rendeth or teareth the guts in hinder, no o- therwife then a fwine's bladder too hard blown up. Which when it happen's, the patient die's with much vomiting, becaufthe flomack oppreft with winde,can contain norimbrace no meat. The colick whith is occafioned by the too long keeping in of the excrements, is accompanied with the weight and pain of the bellie, the tenfion of the guts, head-ach, ap- parent hardnefs of the bellie , and the complaint of the patient that hee hath not gon to flool in a long time. That which proceed s from a cholerick inflammation, yeeld's a fenf of great heat and pulfation in the midft of the bellie, by reafbn of the veins and arteries which are in the ■pancreas and coats of the guts, and there are the other figns of a Phlegmon, although alfb this as it were inflammation may arife alfo from fait, acrid and vifeous phlegm, which nature can neither expel upwards by vomit, nor downwards by ftool 5 this fundrie times is aflbeiated with a difficultie of makeing water,for that when as the right gut is inflamed, the bladder is prefled by reafon of their focietie or neighborhood. The collick which proceed's from the contorfion of the guts, fhew's it felf by the exceflive crueltie of the pain arifing, for that the guts are not in their due fite and place, and becaufthe excrements by their too long detention acquire a preternatural heat 5 and this is the caufof the death of manie fuch as have ruptures, for that the gut falling down from the natural place into the cod, beeing a preternatural place, is redoubled, and kept there as it were bound, whereby the excrements beeing baked,becoming more acridly hot,cauf inflammation, and by railing up flatulencies, increafthe diftenfion through all the guts, until at length a deadly Ileos or colick arifing, they com forth at the mouth. For prognofticks; it is better to have the pain in the colick to wander up and down, then to bee fixed: it is good alfb that the ex- crements are not wholly ffippreft. But the evil figns that are heer pronounce the affe& ei- ther difficult or deadly- Now thefe ffiew that it is deadlie, intolerable tormenting pain,con- tinual vomiting, cold fweat, coldnefe of the extreme parts, hicketing by reafbn of the fym- pathie the ftomack hath with the guts, a phrenfie by the confent of the brain with the flo- mach, and oft-times a convulfion, by drawing the matter into the nervs. But fuch af have gripeing and pain about their navil and loins, which can neither bee helped by medicine nor otherwife, it end's in a dropfie. The cure muft bee diverfified according to the varietie of the caufes, for the ftone-collick is cured by medicines proper to the ftone ; that which is caufedby an Enterocele, is cured by the onely reftoreing the gut to its place; that which is occafioned by worms, requires medicines fit to kill and caft forth the worms. But that which proceed's from the weakness and refrigeration of the guts and ftomack, is cured by heating and ftrengthening medicines as well applied outwardly , as taken in inwardly by the mouth, or otherwaies. The beginning of the cure of that which is occafioned by tough phlegm and flatulencies, is by the mitigation of the pain, feeing there is nothing which more dejeft's the powers then pain. To this purpofe fhall you provide baths, Semicupia, fo- l" mentations of mallows, marfli-mallows, violet leavs,penie-royal,fennel, Origanum., the feeds of time and fenugreek, flowers of caniomil, melilote, and other fuch like,which have power to heat, drie, attenuate, and rarifie the skin, fo to diffipate the winde. But «11 fuch muft bee t. aftually hot. Alfo the bellie may bee anointed with this following ointment. R.o/ez cba- petro[.& galang.an. ol.jalvi* aut tbymi cbrmice extrafi.q.f. The following liniment is much commended by Holler ius- Pk.olei rut.&nardi,an, Qvi.galbani cum aq.vit.diffoluti 3'11. liquefatiisfitnul adde zibete gr-iiii. crocij gr.vi far linimentum, Alfo little bags made with millet, oats and fait fried with a little white wine in a frying- pan, fhall bee applied hot upon the bellie and flanks, and renewed before they grow cold. You may, in head of thefe bags, ufe ox-bladders half filled with a dtco&ion of refoNing things 5 An hiftorie. Signs whereby wee know that the cdick proceed 'i from this or that eauf. Hip.aphor. to. The cure. Baths and ano- dine fomenta- tions. An ointmcn Wbofe Qure isperformed by Surgerie. LiB.17. 441 things ; as fait, rofemarie, time,lavander, bay-berries,and the like: then injeft a glyfter bee- ing thus made. Bc.quatuor remol. an-m.i. orig.puleg.calamentb. an.ny.fi. anifi,carui an.mrfi.flOr. anetb.an.p.i' bulliant in bydromele ad fb.i. in qua diffolve bened. laxat.mellif antbofati,[acc rub.an.%1.1 olei anetb.& Let a glyfter bee made to bee injefted at twice ; for the guts be- ing ftretched out cannot contain theaccuftomed dofts of a glyfter : Alfo this following gly- fter is much approQved.Bc.vini malvat.& olei nucum, an.fyn.aqua vite, %i.olei juniperi, <& rut. per quintam effent extrafi.anfyii. Let this bee injcfted as hot as the patient can endure. I have oft-times as by miracle helped intolerable pain caufed by the winde-collick and phlegm with this glyfter. Avicen prefcribe's a carminative glyfter made of hyflop, origanum, acorur, anif-feeds, and Englifli galengal. Let the patient feed upon meats of good juice and eafie di- geftion, as broths made with the yolks of eggs, faffron, hot herbsand a nutmeg; let him drink good wine, as Muskadine, or hypocras made with good wine fo to heat the ftomach and guts. For in Galen s opinion, all windinefs is generated by a remils heat. But if the pain (hall continue, a large cupping-glafs (hall bee applied to the navel, to draw and difli- pate the windinefs; the bellie (hall bee bound with ftrong and broad ligatures, to ftrengthen the guts, and di feu(s the matter of flatulencies. The patients taught by nature, life this re- medie,whil'ft none admoniftiing them, they prefs the bellie with their hands in the bitter- nefs of pain. But if the pain cannot bee thus appeafed , wee muft com to fuch medicines as: work by an occult propertie, as the dried gut of a Wolf, fora dram thereof made into pow- der it given in wine with good fuccefs. That colick which is canted by a cholerickin- flammation require's contrarie medicines, to wit, blood-letting, and a refrigerateing diet; < potions made of Diacatbolicon and Calf a diffolved in barlie-water, alfo cooling glyfters. A- vicen preforibe's narcoticks, for that beeing cold , they are contrarie to the morbifick cauf which is hot and drie; fiich are pills of Philonium. Alfo pills of Hyera picra in the quantitie opium and faffron, of each one grain, may beeufed. Alfo baths are appointed, made of water wherein mallows, marfli-mallows, violet-leavs, flowers of white lilies, let- tuce, purflainhave been boiled, to correct the acrimonie of the cholerick and hot humors, whence the dileaf and fymptom arifeth. That colick which is like to this, and proceeds from (alt, acrid, thick and tough phlegm, is cured, the humor beeing firft attenuated and diffufed, and at length evacuated by medicines taken by the mouth and otherwise, accord- ing to the prefcription of the learned Phyfician. But Avicen cure's that which is occafioned by the foppreflion of the hardened excrements, and twineing of them by meats which have an emollient facultie, fuch as humefting broths, as that which is made of an old cock tired with running, and threfhed to death, and fo boiled with dill, polypodie, and a little fait, until the flefh fall from the bones; alfo hee ufeth detergent glyfters, fuch as this which fol- low's. Bc.betx, m.i. furfurir, pi. ficus, nu.x. altb.m.i. fiat decofiioad Ibi.inqua diffolve nitri & murioe anfyi.facc. f i. ol.fefamini, %ii. But if the obftru&ion bee more contumacious,you muft ufe more powerful ones made ex cyclamin.centaurio,&biera But if the ob- ftruftion do notwithstanding remain, fo that the excrements com forth at the mouth, Ma- rianas SanEius wi(heth(by the counftl of manic who have fo free'd themfelvs from this dead- lie (ymptom) to drink three pounds of quick-filver with water onely. For the doubled,and as it twined up-gut is unfolded by the weight of the quick-filver, and the excrements are de- < preft and thruft forth, and the worms are killed which gave occalion to this affeft. John of1 S.Gerw4»r,that moft worthie Apothecarie, hath told mee that hee (aw a Gentleman, who when & hee could not bee free'd from the pain of the colick by anie means prefcribed by learned Phyficians, at length by the counfel of a certain German his friend, drank three ounces of oil of fweet almonds drawn without fire, and mixed with fom white wine and pellitorie-water, and fwallowed a leaden bullet befmeared with quick-filver, and that bullet coming prefently out by his fundament, hee was wholly free'd from his colick. Why glyfters in the collick muftbee given in lefs quan- tise. me. dicines. The cure of a cholerkk col- lick. The force of quick-lilver in the unfolding of the guts. An hiftorie. CHAP. L1X. OfPblebotomie, or Blood-letting. Hlebotomie is the opening of a vein, evacuating the blood with the reft of the humors; thus Arteritomie, is the opening of an arterie. The firft fcope of phlebotomie is the evacuation of the blood offending in quantise, al- though oft-times the Phyfician's intention is to draw forth tha blood which offend's in qualitic, or either way by opening a vein. Repletion, which is canted by the quantitie, is two-fold ; the one ad vires, that is, to the ftrength, the veins bee- ing otherwife not verie much fwelled; this make's men infirm and weak, nature not able to bear his humor, of what kinde foever it bee. The other s termed ad vafa, that is, to the vef- fcls, the which is fo called comparatively to the plentie of blood, although the ftrength may verie well away therewith. The veflels are oft-times broke by this kinde of repletion, fb that the patient caft's and (pit's up blood, or elfevacuate's it by the nofe, womb, hemor- rhoids, or varices. The repletion which is ad vires, is known by the heavinels and weari- P p 3 fomnefs What Phlebo- tomy is. The ufc. ; Repletion . two-fold. The figns. 442 Of diverf preternatural Ajfeds, Lib.17. fomnefsofthe whole bodie j but that which is advafats perceived by their 'diftenfion and Five fcopos in letting blood. n fulnefs, both of them band in need of evacuation. But blood is onely to bee let by opening a vein, for five refpe&s: the firft is to leflen the abundance of blood, as in phletorick bo- dies, anu thole who are troubled with inflammation without anic plenitude. The fecond is for diversion, or revulfion, as when a vein of the right, is opened to ftay the bleeding of the left noftril. The third is, to allure or draw down: as when the fapbenn is opened in the ankle, to draw down the courfes in women. The fourth is for alteration or introdu&ion of another qualities as when in fharp fevers wee open a vein to breath out that blood which is heated in the veffcls, and cooling the refidue which remain's behinde. The fifth, is to prevent imminent difeafes 5 as when in the Spring and Autumn wee draw blood by opening a vein in fuch as are fubjeft to {pitting of blood, the fquinancie, plurifie, falling* ficknefs, apoplexie, madnefs, gout, or in fuch as are wounded, for to prevent the inflam- mation which is to bee feared. Before blood-letting, if there bee anie old excrements in the guts, they fhall bee evacuated by a gentle glyfter, or fuppofitorie, leaft the mefaraick veins : fhould thence draw unto them anie impuritie. Bloud muft not bee drawn from ancient peo- ple, unlefs fom prefent necefiitie require it,leaft the native heat,which is but languid in them, fhould bee brought to extreme debilitie, and their fubftance decay; neither muft anie in like fort bee taken from children, for fear of refolving their powers by reafon of the ten- derness of their fubftance, and rarenefs of their habit. The quantitie of blood which is to bee let, muft bee coniidered by the ftrength of the patient,and greatnefs of the difeaf: there- fore if the patient bee weak, and the difeaf require large evacuation, it will bee convenient . to part the letting of blood, yea by the interpofition of fom daies. The vein of the fore- head beeing opened is good for the pain of the hind part of the head; yet firft wee foment the part with warm water, that fo the skin may beefofter, and the blood drawn into the veins in greater plentie. In the fquinancie, the veins which are under the tongue muft bee opened aflant, without putting anie ligatures about the neck, for fear of ftrangling. Phle- botomie is neceflarie in all difeafes which flop or hinder the breathing, or takeaway the voice or fpeech, as likewise in all contufions by a heavie broke, or fall from high, in an a- poplexie, fquinancie, and burning fever, though the ftrength bee not great, nor the blood faultie in quantitie or qualitie, blood muft not bee let in the height of a fever. Moft judg it fit to draw blood from the veins moft remote from the affefted and inflamed part, for that thus the courfof the humors may bee diverted,the next veins on the contrarie beeing open- ed, the humors may bee the more drawn into the affected part, and fo increaf the burden and pain. But this opinion of theirs is verie erroneous, for an opened vein alwaies evacu- ate's and burden's the next part. For I have fundrie times opened the veins and arteries of the affected part, as of the hands and feet in the Gout of thefe parts; of the temples in the Megrim; whereupon the pain alwaies was fbmwhat aflwaged, tor that together with the e- vacuated blood, the malignitie of the Gout, and the hot fpirics (the caufers of the Head-ach or Megrim) were evacuated. For thus Galen wifheth to open the arteries of the temples in a great and contumacious defluxion falling upon the eies, or in the Megrim,or Head-ach. From whence wee muftnot draw blood. When and for what it is ne- ccfljrie. nit. CHAP. LX. How to open a or draw blood fi-om thence. How to place the patient. de firft thing is, to feat or place the patient in as good a pofture as you can, to wit, in his bed, if hee bee weak j but in a chair, if ftrong; yet fb, that the light may fall directly upon the vein which you intend to open. Then the Surgeon fhall rub the arm with his hand, or a warm linnen cloth, that the blood may flow the more plentifully into the vein. Then hee fhall bindc the vein with a ligature a little above the place appointed to bee opened, and hee fhall draw back the blood upwards towards the ligature from the lower part j and if it bee the right arm, hee fhall take hold thereof with his left hand ; but if the left,then with his right hand, prefling the vein in the mean time with his thumb a little below the place where you mean to open it, leaft it fhould flip away; and that it may bee the more fwoln by forcingup the blood. Then with his nail hee fhall mark or defign the place to bee opened, and fhall anoint it, beeing fb marked, with butter or oil, whereby the skin may bee relaxed, and the lancet enter more eafily,and therefore the feftion may bee the lefs painful- Hee fhall hold his lan- cet between his thumb and fore-finger, neither too near, nor too far from the point j hee fhall reft his other three fingers upon the patient's arm, that fo his hand may bee the more fteddie, and lefs trembling. Then fhall hee open the vein with an incifion agreeable to the magnitude of the vefTel, and the indifferent thicknefs of the contained blood, fomwhat a- flant, diligently avoiding the arterie which lie's under the Bafilica, and the nery, or tendon of the two-headed mufcle, which lie's under the Median vein- But for the Cepha- lick> it may bee opened without danger. As much blood as is fufficient beeing drawn, ac- cording to the minde of the Phyfician, hee fhall loof the ligature, and laying a little bolfler under Rubbing the atm. Bindcing it before wee d- pen the vein. Why the B*/?- lica andMedf an may not bee opened fo fafely as the Cephalick, Lib.17. Whofe Cure is performed by Surgerie. 443 under, hee (hall with a ligature binde up the wounded part today the bleeding, the liga- ture (hall bee neither too ftraight, norloof, but (b that the patient may freely bend and extend his arm; wherefore whifft that is in doing, hee mult not hold his arm ftraight out, but gently bended, otherwite hee cannot freely bend it. The bindeing up after blood-letting. "Thefigure of a Lancet to let blood witball. CHAP. LXI. dpping-glafles are applied Specially when the matter con junft and impaft in ante part is to bee evacuated , and then chiefly there is place for fcarification after the Cupping-glafles : yet they are allb applied for revulfion and diverfi- on; for when an humor continually flow's down into the eies, they may bee applied to the Ihoulders with a great flame , for fo they draw more ftrongly and effeftually. They are allb applied under women's breafts , for to flop the courfts flow- ing too immoderately, but to their thighs, for to provoke'them. They are allb applied to fuch as are bit by venemous beafts , as alfo to parts poflefled by a peftiferous Bubo or Car- buncle, lb to draw the poifon from within outwards. For (as Celfa lai th) a Cupping-glals where it is faftned on, if the skin bee firft Icarified, draw's forth blood ; but if it bee whole, then it draw's Ipirit. Alfothey are applied to the bellie, when anie grols or thick windi- nefs Ihut up in the guts, or membranes of the mufcles of the Epigajirium, or lower bellie cau- flng the colick, is to bee difcufled. Allb they are faftned to the Hypocondrie s» when as flatu- lencie in the liver, or Ipken, (well's up the entrail lying there-under , or in too great a bleeding at the note. Alfo they are fet againft the reins in the bottom of the bellie, whereas the ureters run down to draw down the ftone into the bladder, when as it flop's in the mid- dle or entrance of the ureter. You (hall make choice of greater and lefler Cupping-glafles, according to the condition of the part, and the contained matter. But to thoft parts whereto theft cannot by realbn of their greatneft bee applied , you may fit horns for the famepurpoft. Of Cufflng-glaffes, or Ventofes. The ufeof Cupping- glafles. Lib.S.oap.i. ths Of diverfpreternatural Affects, LIB.17. 444 7 be figures of Cupping-glaffes of different bignefs, with little holes in their bottoms, which (ball bee flopped with wax, when you apply them to the part; but opened when you would take them off, that fo the air may enter in with the more eaf. Htrw Lib.17. whoje Cure is performed by Surgerie. 445 Horns which without fire, by onely fucking at the upper hole, draw from the part lying under them. CHAP. LX!!. • N thofe parts of the bodie whereto Cupping-glafles and horns cannot bee applied, to thole Leeches may for the moft part bee put, as to the funda- ment, to open the coat of the hemorrhoid veins, to the mouth of the womb, the gums, lips, note, fingers. After the Leech, beeing filled with blood,(ball fall off, if the difeafrequire a large evacuation of blood, and the part affefted - - may endure it,Cupping-glafles,or Horns, or other Leeches fhall bee fiibftitu- ted. If the Leeches bee handled with the bare hand, they are angred,and becom lb ftomach- ful, as that they will not bite; wherefore you fhall hold them in a white and clean linnen cloth, and applie them to the skin, beeing firft lightly fcarified,or befmeared with the blood of lorn other creature ; for thus they will take hold of the flefh,together with the skin more greedily and fully. To cauf them fall off, you fhall put fom powder of aloes, fait or afhes upon their heads. If anie defire to know how much blood they have drawn, let him iprinkle them with fait made into powder, as foon as they are com off; for thus they will vomit up what blood foever they have fucked. If you defire they fhould fuck more blood then they are able to contain, cut off their tails as they fuck, for thus they will make no end of fuck- ing, for that it run's out as they flick it. The Leeches, by fucking, draw the blood not onely from the affefted part whereto they are applied, but alfo from the adjacent and di- ftant parts. Alfo fomtimes the part bleed's a good while after the Leeches bee fallen away, which happen's not by fcarification after the application of Cupping-glafles or Horns. If you cannot ftop the bleeding after the falling away of the Leeches, then prefs the half of a bean upon the wound, imtirit ftick of it felf, for thus it will flay 5 alfo a burnt rag may bee fitly applied with a bolfter and fit ligature. \ Of Leeches, and their ufe. The ufc of Leeches. How to applic them. How to cauf them to fall off. The end of tie feyenteenth (Book, 446 Lib.i8. Of the GOUT. The eighteenth Book. CHAP. I. *Ihe defcription of the Gout. What it is. He Gout is a dileaf occupying and harming the fubftance of the Joints by the fal- ling down and colle&ion of a virulent matter accompanied by four humors. This word Arthritis or Gout, is general for everie joint fo affefted > yet it enjoie's di- verf particular names in fundrie joints of the bodie : as that which falleth upon the joint of the Jaw, is termed Siagonagra, forthat the Greeks call the Jaw Siagom that which affe&'s the neck is termed 'trachelagra,for that the neck is termed Tracbelos; that which trouble's the back-bone is called Rbacifagra, for the ipine is termed Rbacis : that which moleft's the flioulders Omagra, for the joint of thefhoulder is called Oworzthat which af- feft's the joint of the Collar-bones Cleifagra, for that the Greeks call this bone Chis: that in the Elbow, Pechyagra, for Pechys fignifieth the elbow: the gout in the hand is called Cbi- ragra, in the Hip Ifchias, in the knee Gonagras in the feet Podagra, for that the Hand, Hip, Knee, and Foot are in Greek termed, Cbeir, Ifcbion, Gony, and Pous. When as there is great abundance of humors in a bodie, and the patient lead's a fedentarie life, notfomone, but all the joints of the bodie are at once troubled with the Gout. Particular Gouts- CHAP. II. Of the occult caufes of the Gout. He humor caufing the Gout is not of a more known, or eafily expreft nature then that which caufeth the plague, Lues venerea, or falling ficknefs. For it is of a kinde and nature clean different from that which cauf a Phlegmon, oedema, erylipelas, or Scirrhus; for, as Aetius faith, it never cometh to fuppuration like otner humors, not for that, as I think, becauf it happen's in bloodlefs parts,but through the occafion of fom occult malignitie. Hereto may bee added that the humors which cauf the fore-mentioned tumors, when as they fall down upon aniepart, not then truly when they are turned into pus or matter, do they cauf fb fharp pains as that which caufeth the Gout, for the pain thereof is far more (harp, then of that humor which caufeth an ulcerated Cancer. Befidesthefe humors, when they rail upon the joints through anieo- ther occafion, never turn into knots , onely that which caufeth the Gout in the joints, af- ter it hath fallen thither, is at length hardnqd into a certain knottie and as it were plafter- like fubftance to bee amended by no remedies. But feeing it offend's not the parts by which it flow's down, (no more then the matter which creeping upwards from the lower parts to the brain,caufleth the Ep Hep fie) as fbon as it falleth into the (paces of the Joints it caufleth cruel pain, one while with heat, another while with cold. For you may fee Com troubled with the Gout, who complain that their pained joints are burn't; there are others to whom they feem colder then anie ice, fb that they cannot bee fufficiently heated to their heart's de- fire ; verily you may fomtimes fee in the fame bodie troubled with the Gout,that the Joints of the right fide will as it were burn with heat, but on the left fide will bee ftiff with cold; or which is more, the knee in the fame fide to bee tormented with a hot diftemper, and the ancle troubled with a cold. Laftly, there fomtimes happen's a fucceflion of pain in a fiiccefi- fion ofdaies, as the fame joints will bee this day troubled with a hot, to morrow with a cold diftemper, fo that wee need not marvel to fee Phyficians prefcribe one while hot, ano- ther while cold medicines againft the fame difeaf of the fame part and bodie. Alfo it fom- times happen's that the malignitie of this humor doth not onely not yeeld to medicines,but it is rather made fb that the patients affirm that they are far better when they have none, then when they have anie remedies applied. For all things beeing rightly don, and according to reafbn, yet the difeafwill com again at certain feafons by fits; and hereupon it is faid by Horace: 6 Qui cupit, autnwtuit, juvat ilium fie domus aut res, Vt lippum pitta tabula, fomenta podagram. Riches the covetous, and fearful fb do As pi&ures fore eies,Bathes the Gout do eaf Certain- Lih.i xiwp.ii. The refetn- blance of the Gout to the Epilcpfic. The ftrange varietie of the Gout. LiB.lS. Qonceming the Gout. 447 Certainly fuch as have this difeaf hereditarily, can no more bee helped and throughly free'd therefrom, then thole in whom the matter of the dileaf is becom knottie, whereof Ovid thus fpeaketh: Tol/ere nodofam nefcit medicina fodagram. ' ' Phylick the knottie Gout it cannot heal. Thefe realbns have induced manie to believ that the eflence of this difeafis unknown, for there is a certain occult and inexplicable virulencie, the autor of fo great malignitie and contumacie. Which Avicen teem's to acknowledg, when hee write's that there is a certain J kinde of Gout whole matter is fo acute and malign, that it it at anie time bee augmented by* the force of anger, it may fuffice to kill the partie by fudden death. Therefore Galen him- J felf write's that Treacle muft bee ufed in all Arthritical and goutie affefts,and as I think, for j no other reafon, then for that it drie's, waffs and weaken's the malignitie thereof. Gordoni- us is of the fame opinion, but addeth withall, that the bodie muft bee prepared and purged , before wee ufe T reacle. Therefore the matter of the Gout is a thin and virulent humor, yet not contagious, offending in qualitie rather then quantitie, caufing extreme pains, and j therefore inftigateing the humors together with the caliginous and flatulent fpirits prepared < or readie for defluxion upon the affe&ed parts. Therefore as the biteings of Alps, and (ting- i ing of Wafps cauf cruel pain with fudden fwelling and bl iftering,which is by the heat of the humors which the poifon hath tainted, and not by the Ample folution of continuitie, fee- ing that wee daily fee Shoo-makers and Tailors pricking their fleffi with aules and needles without haveing anie Inch lymptom; So the virulencie of the gout caufeth intolerable tormenting pain, not by the abundance, becauf it happen's to manie who have the gout, no fign of defluxion appearingin the joints,but onely by a malign and inexplicable qualitie, by reafon whereof thefe pains do not ceafunlefs abated by the help of medicines, or nature, or both. The recital of the following hiftories will give much light to that inexplicable and virulent malignitie of the matter caufing the Gout. Whil'ft King Charls the the ninth j of happie memorie, wasatBurdeaux, there was brought to Cbafflellain and Caftellan the King's Phyficians, and Tafte a Phyfician of Burdeaux, Nicolas Lambert and my felf Surge- ons, a certain Gentlewoman fom fortie yeers old, exceedingly troubled for manie yeers by reafon of a tumor fcarce equalling the bignefs of a peaG on the outiide of the joint of the left Hip: one of her tormenting fits took her in my prefence; ffiee pretently began to crie . and roar, and rafhly and violently to throw her bodie this way and that way, with moti- ons and geftures above a woman's, yea a man's nature. For fhee thruft her head between her legs, laid her feet upon her ffioulders, you would have faid fhee had been poffefled of the Divel. This fit held her fom quarter of an hour; dureing all which time I heedfiilly obfer- ved whether the grieved part fwelled anie bigger then it was acuftomed, whether there hap- ned anie new inflammation ; but there was no alteration as far as I could gather by fight or feeling, but onely that fhee cried out more loudly when as I touched it. The fit pafled, a great heat took her, all her bodie ran down with fweat, with fo great wearineteand weak nefs of all her members, that fhee could not fo much as ftir her little finger. There could bee no fufpicion of an Epileptick, for this woman all the time of her agonie did per- feftly make ufe of all her fenfes, did (peak, difcourG and had no convulfion. Neither did fhee > fpare anie coft or diligence, whereby fhee might bee cured of her difeaf by the helpofPhy- ficians or famous Surgeons •, fhee confulted alfo with witches, wizzards and charmers, fo that fhee had left nothing unattempted, but all art was exceeded by the great ne(s of the dif- cafl When I had (hewed all thefe things at our confultation, wee all with one content were of this opinion, to applie a potential Cauterie to the grieved part, or the tumor.I my felfap- plicd it: after the fall of the Efchar verie black and virulent Janies flowed out, which free'd the woman of her pain and diteaf for ever after. Whence you may gather, that the caufof fo great evil was a certain venenate malignitie, hurting rather by an inexplicable qualitie then quantities which beeing overcomand evacutatcd by the Cauterie, all pain abfolutely ceated. Upon the like occafion, but on the right arm, the wife of the Queen's Coach-man at Amboif confulted Cbafpel/ain, CafteHan and mee, earneftly craveing eaf of her pain, for fhee was fo grievoufly tormented by fits, that through impatiencie, beeing carelefs of her felG fhee endeavored to caft her felf headlong out of her chamber window, for fear where- of fhee had a guard put upon her. Wee judged that the like monfter was to bee aflaulted with the like weapon, neither were wee deceived, for ufeing a potential Cauterie, this had like fuccefs as the former. Wherefore the bitternefs of the pain of the gout is not occafio- ned by the onely weaknefs of the joints, for thus the pain fhould bee continual, and alwaies like it felf j neither is it from the diftemper of a fimple humor, for no fuch thing happen's in other tumors of what kinde fbever they bee of; but it proceed's from a venenate, malign, occult and inexplicable qualitie of the matter: wherefore this difeaf Hand's in need of a di- ligent Phyfician and a painful Surgeon. , CHAP. * • • > - ■ : ' i 11 t- ' ...... Lib i.fett.iz, ':raft.z.cq>. Lib. de tbev.ad Pifinemc,i$» The matter of the gout par- take's of oc- cult maligni- tie. An hiftorie. A terrible fit. How an Epi- ; Uptick fit dif- fer *s from the i Gout. 448 Concerning the Gout. Lib.18. CHAP. III. Of the manifeft caufes of the Gout. The firft pri- mitive cauf of the Gout. Lthough thefe things may bee true which wee have delivered of the occult cauf of the Gout, yet there bee and are vulgarly affigned others, of which a pro- bable reafon may bee rendred,wherein this malignitie,whereof wee have fpoken, lie's hid and is feated. Therefore as of manie other difeafes, fo alfo of the Gout there are affigned three caufes; that is, the primitive, antecedent,and con- junft : the primitive is twofold, one drawn from their firft original and their mother's womb, which happen's to fuch as are generated of Goutie parents, chiefly ifwhil'ft they were conceived, this goutie matter did aftually abound and fall upon the joints. For the feed fall's from all the parts of the bodie, as faith Hippocrates, and Ariftotle affirm's lib. de gen. animal. Yet this caufe's not an inevitable neceffitie of haveing the Gout, for as manie begot of found and healthful parents ase taken by the Gout by their proper and primarie default; fo manie live free from this dileaf, whole Fathers notwithftanding were troubled therewith. It is probable that they have this benefit and priviledg by the goodnefs of their Mother's feed, and the laudable temper of the womb 5 whereof the one by the mixture and the other by the gentle heat, may amend and correft the faults of the paternal feed 5 for otherwife the difeafwould becom hereditarie, and goutie perfons would neceffarily generate goutie; for the feed fblloweth the temper and complexion of the partie generateing, as it is (hewed by Avicen. Another primitive cauf is from inordinate diet,efpecially in the ufe of meat,drink, exercifeand Venerie. Laftly, by unprofitable humors which are generated and heaped up in the bodie, which in procefs of time acquire a virulent malignitie; for thefe fill the head with vapors raifed up from them, whence the membranes, nervs and tendons, and confe- quently the joints becom more lax and weak. They offend in feeding who eat much meat, and that of lundrie kindes at the lame meal, who drink ftrong wine without anie mixture, who Heep prefently after meat, and which ufe not moderate exercifes 5 for hence a plenitude, an obftruftion of the velfels, cruditites, and the encreaf of excrements, elpecially lerous. Which if they flow down unto the joints, without doubt they cauf this difeaf; for the joints are weak either by nature or accident in companion of the other parts of the bodie: by nature, as if they be loof & foft from their firft originahby accident,as by a blow,fall,hard travelling, tuning in the liin by day, in the cold by night, racking, too .frequent Venerie, elpecially fuddenly after meat; for thus the heat is diffolved by reafon of the diffipation of thefpirits caufed in the effufion of Iced, whence manie crude humors, which by an unfea- Ibnable motion are lent into the finews and joints. Through this occafion old men,becauf their native heat is the more weak, are commonly troubled with the Gout. Befides alfo the luppreffion of excrements accuftomed to bee avoided at certain times, as the courfes, hemor- hoids, vomit, fcouring, caufeth this dileaf. Hence it is, that in the opinion of Hippocrates, A woman is not troubled with the Gout, unlefs her courfes fail her. They are in the fame cafe who have old andruning ulcers fuddenly healed, or varices cut and healed, unlefs by a ftriftcourfofdiet they hinder the generation and encreafof accuftomed excrements .Alfo thofe which recover of great and long difeafes, unlefs they bee fully and perfeftly purged, either by nature or art,thefe humors falling into the joints,wch are the reliques of the difeaf make them to becom goutie : and thus much for the primitive cauf. The internal or antece-» dent cauf is, the abundance of humors, thelargenefsofthe veflels and paflages which run to the joints, the ftrength of the amandating bowels, the loofhefs, foftnefs and imbecilitie ofthe receiving jonits. The Conjunft cauf is the humor it felf impaft and fhut up in the capacities and cavities of the joints. Now the unprofitable humor, on everie fide lent down by the ftrength of the expulfivc fiicultie, foonea linger's about the joints, for that they are of a cold nature and denf, fo that once impaft in that place, it cannot bee eafily digefted and refolved. This humor then caufeth pain by reafon of diftention or folution of continuitie, diftemper, and befides the virulencie and malignitie which it acquire's. But it favor's of the nature fomtimes of one, fomtimesof more humorsj whence the Gout is either phle- gmonous, or eryfipilatous, edematous, or mix't. The concourf of flatulencies, together with the flowing down humors, and as it were tumult by the hinderance of tranfpiration, encreafeth the dolorifick diftention in the membranes, tendons, ligaments and other bodies wherein the joint confift's. Lib.de aerejoc. & aqua. Lib. 1. cap. 17. Lib. 3.feu a a. tnift.x.wp.f. Another pri- mitive cauf of thcGour. Apb.ig.Sefi.f The antece- dent caufof the Gout. The conjunft Five caufes of the pain of the Gout. CHAP. IV. VVhat and how the matter of the gout coin's down fromthc brain. Out of what fart the matter of the Gout may flow down upon the joint f. THe matter of the Gout cometh for the moft part fom the liver, or brain; that which defcend's from the brain is phlegmatick, fe'rous, thin and clear, fuch as ufually drop's out of the note, endued with a malign and venenate qualities Now it pafleth out by the 'Tnufcu- Lib.18. Concerning the (jout. 449 mufculous skin and pericranium, as alfo through that large hole by which the Ipinal mar- row, the brain's fubititute, is propagated into the fpine, by the coats and tendons of the nervs into the fpaces of the joints, and it is commonly cold. That which proceed's from the liver is diffused by the great vein and arteries filled and puffed up, and participate's of the nature of the four humors, of which the mafs of the blood confift's, more frequently accompanied with an hot diftemper, together with a goutie malignitie. Befides this manner of the Gout,which is caufled by defluxion,there is another which is by congeftion 5 as, when! the too weak digeftive facultie of the joints cannot aflimilate the juices lent to them. Gout by con® geftion. t CHAP. V. The figns of the humor flowing fiom the brain. Hen the defluxion is at hand, there is an heavinefs of the head, a defire to reft, and a dulnefs with the pain of the outer parts, then chiefly perceptible, when the hairs are turned up, or backwards; the mufculous skin of the head is puffed up as fwoln with a certain oedematous tumor; the patients feem to bee much different from themfelvs by reafon of the fundions of the minde hurt by the ma- ligni tie of the humor, from whence the natural faculties are not free; as the crudities of the ftomach, and the frequent and acrid belchings may teftifie. CHAP. VI. The figns of a goutie humor,proceeding fiom the liver* He right Hypocondrie is hot in fuch goutie perlons , yea the inner parts are much heated by the bowel 5 blood and choler carrie the (way 3 the veins are large and fwoln, a defluxion Hidden ly fall's down, Specially if there bee a I greater quantitie of choler then of other humors in the mats of the blood. But if, as it often fall's out, the whole blood , by means of crudities degene- rate into phlegm and a whayilh humor; then will it com to pafs, that the Gout alfo,which proceed's from the liver, may bee pituitous or phlegmatick,and participate of the nature of anixdema , like that which proceed's from the brain. As if the fame mats of blood decline towards melancholic, the Gov: which thence arifeth, refemble's the nature of a fcirrbus yet that can fcarce happen, that melancholic by reafon of the thicknefs and flownefs to motion may fall upon the joints. Yet notwithftanding, becaufe wee {peak of that which may bee of thele, it will not bee unprofitable briefly to diftinguifh the figns of each humor , and the differences of Gouts to bee deduced from thence. When the Gouti which proceed's from the de* fault of the li- ver, aflimi- . ate's the na- ' ture of an adtma. Why the Gout feldom pro- ceed's from melancholic. CHAP. VII. By what figns wee may underftand this or that humor to accompanie the goutie malignitie- Ou may give a guefs hereat by the patient's age, temper, feafon of the year, condition of the countrie where hee live's, his diet and condition of life, the increafof the pain in the morning, noon, evening or night, by the proprietie of the beating, pricking, fharp or dull pain; by numnels, as in a melancholic gout or itching; as in that which is caufled by tough phlegm,. by the lenfible appearance of the part in lhape and coior (as for example fake in a phlegmatick Gout, the color of the affefted part is verie little changed from its ftlf and the neighboring well parts, in a languine Gout it look's red, in a cholerick it is fierie or pale, in a melancholic livid or blackilh) by the heat and bignefs which is greater in a fanguine and phlegmatick then in the reft, by the change: and laftly, by things helping and hurting. And there bee fom, who for the knowledg of thele differences, with us to view the patient's urine , and feel their pulf, and confider thele excrements, which in each particular nature are accuftomed to a- bound or flow, and are now fuddenly and unaccuftomarily fuppreft. For hence may bee taken the figns of the dominion of this or that humor. But a more ample knowledg of thefe things may bee drawn from the humors predominant in each perlon, and the figns of tumors formerly delivered. Onely this is to bee noted by the way, that the Gout which is caufled by melancholic, is rare to bee found. Qjl CHAP. 450 Concerning the Cjvut Lib.18. CHAP. VIII. in the Gout. Y the writein gs of Phyficians the pains of the Gout are accounted amongft the moft grievous and acute; fo that through vehemencie of pain manie are almoft mad, and wife themfelvs dead. They have certain periods and fits, according to the matter and condition of the humor wherin this malign and inexplica- ble goutie virulencie reiide's. Yet they more frequently invade in the Spring and Autumn; fuch as have it hereditarie are fcarce ever throughly free therfrom, as neither fuch as have it knottie: for in the former it was born with them, and implanted, and as it were fixed in the original of life; but in the other, the matter is becom plafter-like, fo that it can neither bee refolved nor ripened. That which proceed s from a cold and pituitous mat- ter, cauffeth not fuch cruel tormenting pain, as that which is of an hot, (anguine or chole- rick cauf, neither is it fo fpeedily healed, for that the hot and thin matter is more readily diflblved; therfore commonly it ceaftth not until fortie dales bee paft: Befides allb, by how much the fubftance of the affefted part is more denf, and the expulfive facultie more weak, by (b much the pain is more tedious. Hence it is, that thole goutie pains which moleft the knee, heel and huckle-bone, are more contumacious The Gout which proceed's of an hot matter, reft's not before the fourteenth or twentieth daie. That which is occafioned by a- crid choler, by the bitternefs of the inflammation and pain caufleth a diflicultie of breath- ing, raveing, and fundrie times a gangrene of the affefted part, and laftly death; and healed, . it often leav's a palfie behinde it. Amongft all the goutie pains, the Sciatica challenged! the prime place, by the greatnefs of the pain and multitude of fymptoms; it bring's un- qtiietnefs and watching, a fever,diflocation, perpetual lamenels, and the dccaie of the whole leg, yea and oftefi-times of the whole bodie. Now lamenefsand leannefs, or decaie of the part are thus occafioned, for that the decurrent humor forceth the head of the thigh-bone out of the cavitie of the huckle-bone; this beeing forced out prefleth the mufcles, veins, ar- teries, and that notable and large nerv which run's along the thigh, even to the furtheft joints of the toes, and by the waie is diverfly difperftd over the mulcles of the whole leg: Therfore becauf the head of the thigh is put out of its place, the patient is forced to halt; becaufthe veflels and nervs areopprefled, the nourifement and fpiritsdo not freely flow into the parts ther-under, whence proceed's their decaie. Yet it fundrie times happen's, that the head of the thigh beeing not difplaced, manie halt becaufthe vifcid humor, which is naturally implanted in that place, and continually flow's thither, both for the nutri- tion of theft parts, and the lubrication of the joint for quicker motion, is hardened by heat and idlenefs , and the other unprofitable humors which flow down do there concrete, and fb intercept the libectieof motion. A grofs and vifcid humor intowhat joint foever it falleth and ftaieth, doth the fame. For by concretion it turn's into a plafter-like nature at or near the joint, poflefling the cavities therof,and itdepraveth the figure of the part, makeing it crooked and knotted, which formerly was ftraight and fmooth. Furthermore, everie diftemperature cabled by the defluxion of humors, if it feall lie long upon anie part, deprave's all the a&ions, and oft-times wholly abolifeeth them; fo that there may bee three caufles of the leannefs or decaie of the joint by the Gout, the obftruftion or cotn- preffion of the veflels, idlenefs and an heftick diftemper: but two of lamenefs, diflocati- on and the concretion of an adventitious humor impact in the joint. If contrarie to cu- ftom andreafbnthe pains of the Gout do not go away, or return at their accu Homed periods, moft grievous and dangerous difeafes theron follow ; for the matter accuftomed to flow down into the joints> if it feiz upon the fubftance of the liver, caufle's a phlegmon; if it ftaie in the larger veins, a continual fever : if it flow in the membrane invefting the ribs, a plurifie; if it betake it ftlf to the guts, and adhere to their coats, the colick, or Iliaca faljio : and to conclude, it produceth divers other fymptoms, according to the di- verfitieof the parts whereto it flow's and abide's. For thus fundrie that have been trou- bled with the Gout, becom paralytick, becaufthe matter, which formerly flowed down into the joints, ftaie's in the fubftance and pores of the nervs, and fb hinder's the fpirit that it cannot freely in its whole fubftance pafs through them: hence therfore com's the refblution of the part, whereinto the nerv is inferred. Old men can never bee quite or abfblutely cured of the Gout, forthat themafs of their blood is fb departed from its primarie and native goodnefs , that it can no more bee reftored, then dead or fbwred wine. The Gout, which proceed's from a cold cauf, invadeth flowly,andby little and little, and is helped by the uft of hot things ; that which is from an hot matter,quickly feew's it felf, and is helped by the uft of cold things. Now, although the Gout more fre- quently return's in the Spring and Fall, yet it com's in the midft of winter, the nervs beeing weaknedby theexcefs of cold, and the humors prefled out; otherwhiles in the mid'ft of Summer,the fame beeing diffuftd and diffipated. Laftly, it com's at anie time or ftafbn of the year, if thoft who are fubjeft to this difeaf feed plenteoufly, and do all things accord- ing The Gout fre- < quent in the j Spring & Fall., What Gout uncureable* J Gal.adaphw. Wfett.i. Why the Sch- tica caufleth lamenefs. Theecauffes of the lame- nts or decay of the limbs. How the Gout turn's into the Palfie. Why the Gout tike's one in winter,and the midft of fuxn* men Lib.18. whofe (Jure is performed by Surgerie. 451 ing to their own mindes and dcfire. 1 note who are troubled with the Gout, feel and per- ceiv change of weather, itorms, rains, fnows, windes, and fuch like, before they com. A Southerlie conftitution of the air, for example, fill's the bodie with humidities, and ftir's up the humors that lie quiet in the bodie; and therefore cauf defluxions upon the weaker parts, fuch as the joints, both by nature, as beeing without blood and flelh, as alfo by accident, for that they a long time have been accuftomed to bee fo tormented therefore their pains are increafed in a wet feafon. Manie of thele that are troubled with the Gout, defire ve- nerie in the bitternels of their pain, becaufthe internal heat wherewith they then are in- flamed, doth not diflipate into Ipirits and air, as the feverilh heat doth, but diflblv's, and as it were melt's down the leminal humor, which diflblved, flow's to the genitals , filleth and diftend's them. The lame thing befall's carriage and running horles, for in thefe by labor, much heat (end's flatulencies to the bottom of thebellie. Yet venerie is verie hurtful to fuch as are troubled with the Gout, becauf it diffipate's the Ipirits and native heat, and encrealeth the unnatural heat; whereby it cometh to pafs, that the nervous parts are weak- ned, and the pain exafperated. Rich men, that is, fuch as feed riotoufly on varietie of dain- ties, and in the mean (pace live idlely and lazily are more frequently and cruelly tormented with the Gout then poor people,who live fpareingly and hardly:Wherefore there have been feen not a few of liich rich and riotous perfons, who haveing (pent their eftates, have there- with changed their health, together with their fortune and diet, and fo have been wholly freed from the Gout. Why fuch as have the Gout upon them, do oft-times de, fire venerie. Venerie hurt- ful in the Gout. CHAP. IX. 77;e general method of preventing and cureing the Gout. dofe who delire to prevent the Gout,muft not glut themftlvs with meat,muft bee quick to labor,and abftain from wine & venerie, or certainly muft not ufe them, unlefs for their healths fake, muft vomit and purge at certain times. Hippocrates write's,that boies are not troubled with the Gout before the ufe of venerie. Yet at this day manie Eunuchs are feen to have the Gout,but Specially thofe who abound with idlenefs and pleafure j yet thefe wee have heretofore mentioned are verie effeftual, not onely for the prevention,but alfo for the cure of the prefent difeaf. Yet wee muft diligently diftin- guilh the caulfes, what they bee,and whence they may proceed, and oppofe thereto remedies contrarie in quantitie and qualitie.There are abfolutely three diftinft caufles of the Gout:A tainture from the parents; a corruption of the humors by diet and air j a native,or adventi- tious weaknefs of the joints. Againft thefe there is a two-fold indication : the firft is the eva- cuation and alteration of the peccant humors,the other the ftrengthning of the weak joints* Thefe two fhall bee performed by diet conveniently appointed , purgeing , blood-letting, provocation of the hemorrhoids, courfes, vomit, fweat, urine, and fit application of local medicines. Therefore, when the time fhall com, wherein the Gout accuftometh to return by courf, the patient fhall have a care of himftlfbydt diligent manner of diet, hee fhall leflen the matter of the difeaf by phlebotomie (if that the Gout fhall arife from the blood) from the oppofite part, that by the fame means revulfion and evacuation may bee made, as if the upper parts bee inflamed, blood fhall bee drawn from the lower; if on the contrarie the lower, out of the upper, alwaies obferving the ftraightnefs of the fibres. Thus the right arm beeing troubled with a goutie inflammation, the Saphcia of the right leg (hall bee open- ed, and fo on the contrarie; but if this general blood-letting beeing premifed , the pain fhall not ceaf, it will bee requifite to open the vein next to the pain, which I have often per- formed with happie fuccefs. Yet phlebotomie hath not the like effeft in all, for it is not available to fuch as are con- tinually and uncertainly troubled with goutie pains, or whofe bodies are weak and cold, wherein phlegm onely is predominant. Wee may fay the fame of purgeing, for though it bee oft-times neceflarie, yet too frequently re-iterated,it prove's hurtful j furthermore,nei- ther of theft remedies is ufaally verie profitable to fuch as obferv no order in meat & drink, which ufe venerie too intemperately, who abound with crude and contumacious humors; whofe joints by long vexation of the contrafted an heftick diftemper and weak- nefs, fo that they are departed from their natural conftitution, and fuffered a great change of their proper fubftance. Wherefore as often as thefe greater remedies fhall bee ufed a Phy- fician fhall bee called,who according to his judgment may determine thereof. For oft-times diet proveth more available then medicines : therefore the patient (if the matter of the Gout bee hot) fhall either drink no wine at all, or elf verie much allaied, that is, as much as his cuftom and the conftitution of his ftomach can endure. A fit time for purgeing and bleeding is the Spring and Autumn, becauf, according to the opinion of Hippocra- tes , Gouts reign chiefly in theft feafbn j in Autumn, for that the heat of the pre- cedent Summer debilitateth the digeftive facultie, the native heat beeing diflip.ated : as alfo the eating of Summer-fruits hath heaped up plentie of crude humors in the Q_q 2 bodie, Aph.$o-/eft6t Two general fcopcs of cutt- ing the Gout. Whence blood nwft bee let in the Gout. What goutic perfons findc no benefit by phlebotomje. In what Gout diet prove's more cffiftuaj then medi- cines. Concerning the Cjout. Lib.18. 452 bodie, which eafily flow down into 'the paflages of the joints opened and dilated by the Summer's heat: add heerunto, that the inequalitie or variablencfs of Autumn weakneth all nervous parts, and contequently the joints. But in the Spring, for that the humors forced inward, by the coldnels of the Winter , are drawn forth from the centre to the circumfe- rence of the bodie, and beeing attenuated , fall into the joints upon a verie (mall occafion, therfore theer is great both neceffitie and opportunitie for evacuation, which if it (hall not avert the accuftomed fit, yet it will make it more gentle and eafie. CHAP. X. Of Vomiting To what gout vomiting is to beeuied. it Omiting is by all the Antients exceedingly commended, not onely for the pro 0 vention, but alio for the cure, Specially when as the matter floweth from the brain and ftomach; for the phlegmatick, ferous and cholerick humors, which ufiially flow from the joints, are excluded and diverted by vomit, and alio theer is attenuation of that phlegm, which beeing more thick and vifcid, adhereth to the roots of the ftomach : yet you muft confider and fee, that the patient bee not of too weak a fto- mach and brain, for in this cafe vomiting is to bee fufpefted. For the time, fuch as have e excrementitious humors flowing down to the ftomach through anie occafion, as by exer- cife and motion, muft vomit before they eat ; on the contrarie,fuch as are over-charged with an old congeftion of humors, muft vomit after they have eaten fbmthing. Certainly, it is fafer vomiting after meat, then it is before. For the drie ftomach cannot, unlefs with great contention and ftraining , free it felf from the vifcid humors impaft in the coats thereof; and hence there is no finall danger of breaking a vein or arterie in the cheft or lungs, efpe- cially if the patient bee ftraight-chefted, and long-necked, the feafon cold, and hee unaccu- ftomed to fiich evacuation. I remember that with this kinde of remedie I cured a certain Gentleman of Geneva, grievoufly molefted with a cruel pain in his ffioulder, and therby im- potent to ufe his left arm ; the Phyficians and Surgeons of Lions feemed to omit nothing elffor his cure. For they had ufed purgeing, phlcbotomie, hunger, a diet-drink of Gudia- cum and China (although his difeaf was not occafioned by the Lues Venerea) and diverf o- ther topick medicines, neither yet did they anie thing avail. Now learning by him that hee was not apt to vomit, but that it was difficult to him, Iwiffied him to feed more plentifully, and that of manie and fiindrie meats ; as fat meat, onions, leeks: with fundrie drinks; as beer, ptifan , fweet and (harp wine, and that hee ffiould as it were over-charge his ftomach at his meal, and prefently after get him to his bed; for fb it would happen, that nature not endureing fo great confufion and perturbation of meats and drinks, wherof fbm weer corrupted alreadie in the ftomach, and other-fbm fcarce altered at all, nature not endureing this confufion and perturbation, would eafily, and of its own accord provoke the ftomach to vomit; which that it might the beteer fiicceed, hee ffiould help forward na- ture's endeavor, by thrufting his finger or a feather into his throat, that fb the thick and tenacious phlegm might by the fame means bee evacuated : and not content to do thus once, I wiffied him to do the like the fecond and third daie following; for fo it verifieth that fay- ing of Hippocrates/the fecond and third daie exclude the reliques ofthefirft: afterwards, that hee ffiould vomit twice a month, chaw maftick falling, rub his neck and the pained part xvith aqua witt, ftrengthened by infufing therin lavander, rofemarie, and cloves grofly beaten, confirm his arm by indifferent exercife: hee performed all this, and fo became free from his pain, and recovered the ufe of his arm. Thofe who do not like fiich plentiful feeding, ffiall drink a great quantitie of warm water , wherin radiffi roots have been boiled, and they ffiall have a care leaft by ufing their ftomachs to this excretion by vomit, they weaken the digeftive and retentive faciiltie therof. Wherfore fuch as can naturally, (hall think it fufficient to vomit twice a month. What time the fitteft ther- fore. An hiftoric. How to make one vomit cafily. Lib.de rtt.vi- ftis. CHAP. XI. 'The other general remedies for the Gout. He defluxion of ferous humors is verie fitly diverted from the joints by the urine by the Life of diuretick medicines. Therfore the roots of (brrel, parflie, rufcuf, aftaragus, and graft, and the like, (hall bee boiled in broth, and given to fuch as have the Gout: for when the urine floweth much and thick, the pain is lefl- ned. Maniehave found benefit byiflues; for the Arthritick malignitie flow's forth of thefe, as by rivelets ; experience (hew's it in fiich as are troubled with the Lucs Ve- nerea, for in thofe that you cannot overcom the malignitie by the proper antidote, that is, Quick-filver,they feel no greater eafof the pain,then by application of caufticks,and make- ing of iflues.They (hall bee made in lundrie places,according to the difference of the pained joints, How diurc- ticks are good for the Gout. Iflues or fon- tanels. Lib.18. whofe Qure is performed by Snr gene. 453 joints, to wit, in the beginning or the neck , ii the defluxion proceed from the brain , and fall into the joints of the collarbones or fhoulderjif into the elbow or hand, under the mufck Epomis it into the hip, knees and feet, lorn three fingers breadth under the knee, on the in-fide: for thus thcer will follow more plentiful evacuation, by reafbn that the Sapbeia runneth down that way. Yet if the patient bee troubled with much bulinefs, and muft tra- vel much on horfi-back, then fhall they bee made on the out-fide of the leg,between the two bones thereof, that fb they may trouble him the lets in rideing. If anie had rather ufe an a- ftual cauterie, let him take fuch an one as is triangular and (harp, that fo hee may with more fpeed and lels pain perform that which hee intend's, and let him thruft it through a plate of iron which hath an hole therein, and let the place bee marked,leaft hee (hould err 5 the ulcer fhall bee kept open, by putting in a pill of gold, filver, lint, of the root of orris, hermodaftiies, gentian, wax, wherwith fom powder of vitriol, mercurie or alum (hall bee incorporated, leait it (hould fill up with flefh fooner then the Phylician fhall think fit. In the mean (pace, the head, oft-times the original of the evil, (hall bee evacuated by takeing in the winter the pits cocbit, and de Affajeretb; but in, dimmer fine quibus, or Imperials, be- fore the Full of the Moon. Be.pul.hyert agar.recent. troeb. & rbei an.fii. myrobal. cbe- bul.%$. tamarind, cum infufionefen£,fiat znaffa de qua formentur pil/.vi. pro drachma $ let the patient take two before flipper everie eighth di?e; the daie after hee (hall drink fbm broth of the decoilion of cicers, and the diuretick roots. Alfo thefe following pils will bee good to purge the phlegmatick and ferous humor- Bc.pillular.fcetid. & de bermodattil.av. formentur cum fucco vel fyrup.rofar.folut. Or elf, Be.aloes agarici troebif. & rhei, pilul-ar- thrit. & de hermodatt.an £)ii. diacrzd.Q-. cum melle rofatofiat maffa, capiat pondM, as the Phyfi- cian fhall think fit, by whole advice thefe (hall bee ufed and changed as occafion fhall offer it felf, and the nature of the humor cauffing the difeaf. The day after the purgeing, the pa- tient fhall take three hours before meat half a dram of treacle , to ftrengthen the entrails : pils are preferred before liquid medicines, for that by their long ftaie in the ftomach they eafily attraft the noxious humor from the brain, and the other more diftant parts. I have known fom Phyficians, who mixing with ordinarie pils a good quantitie of fcamonie, as feven or eight grains, with a little ginger, lead it (hould hurt the ftomach, have purged by (tool a great quantitie of ferous humors; the daie following they gave barlie cream to cor- reft the harm which the fcamonie may have don to the ftomach. Others for the fame pur- pofe give treacle, which doth not onely ftrengthen the entrails, but alfb weaken's the viru- Icncie of the goutie malignitie; the orifice of the ventricle muft bee (hut after meat, that fo the vapors afleending to the brain may bee reftrained: for this purpofe common drige-pow- der, marmelate, or conferv of rofes are good. In a wet feafbn ufe cephalick perfumes thus made : mafiicb. an.%1. gr anorum juniperi, baccarum lauri, an.%fi. ligni aloes affe odor ate $i.p. Let them bee grofly beaten, let the fume bee received in tow,or card- ed cotton, and io applied to the head. Alfo the excrementitious humors (ball bee dried up by the following powder ftrowed on the patient's head for fifteen daies. Be.fol. rof. rub. feme,ft£cbad. utriufque 4w.n1.fk wiz'/n, %iiii. furfuris loti in vino albo, |iii- florum cbamcem.melil.an. p-i. fem.anifi, %i. falls commit. fiat omnium ptulvis. Let it bee put into linnen bags,with which, beeing warmed at the fire in a frying-pan, and kept with ftirring, the head (hall bee rub- bed. Let the following medicine bee chawed, and kept in the mouth in the form of a ma- fticatorie, in the time of the falling down of the defluxidn. Be. cubelarum, nucis mofebat- pyretbrz, £ii. mafiicb.rad.fiapbifagr. eryngiz, Let them all bee made into powder, and mixed together, and tied up in a little taffatie to the bignefs of a ha- fel-nut, and let them bee rowled up and down the mouth with the tongue to cauf (pit- ting or falivation. Working with the hands, and friftions of the arms , efpecially in the morning after the evacuation of the excrements, are good for fuch as are troubled with the Gout in the feet, for fb, it not onely caufleth revulfion from the feet, but alfo the re- (blution of that which is unprofitable. Where to bee m?dc. An adual cauterie. Pils. Common pils with the addi- tion of fcamo- nie. Tre»cle,how ufeful in the Gout. Cephalick fu- migations. Cephalick A mafticato- rie. CHAP. XII. Fter the bodie is once fed, they muft not return to meat before that the conco&ion bee perfe&ed in the ftomach, leaft the liver bee forced to draw by the melaraick veins that which is yet crude and ill digefted, and as it were forced thence. Whence the depravation of the nutriment of the whole bodie; for the following decoftions doe not amend the default of the firft. Let them make choice of meat of good juice and eafie digeftion, rofted for fuch as are phlegmatick, but boiled for fuch as are cholerick: As they (hall fhun much varietie one meal, fo muft they efchue the ufe of • pulfts, milk-meats, fallads, and (harp things $ as verjuice, vineger, the juice of oranges, and citrons.They fhal not eat unlefs they bee hungrie,& (hall defift ther-from before they bee ful- ly fatisfied,if it bee but for this, that whil'ft the native heat is bufied in the digeftion of meat Qjj 5 plenteoufly What diet is convenient for fuch as have the Gout. The fault of the firftcon- co&ion, is nor amended in the after. Concerning the Gout. Lib.18. 454 plenteoufly eaten, it is diverted from the conco&ion of the noxious humors. The flefh of great fowl, as fwans, cranes, peacocks are not of and are with more diflicul- tie digefted in the ftomach. Som of the ancients have difallowed of the eating of capons.and the like birds, becauf they are fubjeft to bee troubled With the Gout in the feet. Fillies are to bee fhunned, for that they heap up excrementitious humors, and are eafily corrupted in the ftomach, yea and relax it by continual ufe. Of the flefh of beafts,veal is moft to bee com- mended, for that it breed's temperate blood, and laudable juice, and is eafily digefted. Nei- ther in the mean time is mutton to bee found fault withall. But the like hunger or abfti- nence muft not bee appointed to all men troubled with the Gout, for fuch as are of a fan- . guine and cholerick complexion, becauf they are endued with much , and much wafteing heat, are to bee refrefhed with more plentiful nourifhment; for hunger fharpen's choler,and ; fo augment's their pains; neither in the interim muft they bee fed with too much moift meats, for too much moifture, befides that it is the autor of putrefaftion, will cauf defluxions,and draw down the matter to the joints. Therefore the cholerick humor muft bee incraflated and refrigerated by takeing things inwardly , and applying things outwardly, leaft by its tenuitie it fhould fall down into the grieved parts. To this purpofe conduce broths altered with lettuce, purflain, forel, and the like and barlie creams made with a deco&ion of the four cold feeds* Phlegmaekk bodies, by reafon that they have not fo vigorous heat, do as it were carrie their provaftt:about them , wherefore they muft not bee fed, neither with i manie, nor with moift meats. FA 11 that are troubled with the Gout, muft fhun thofe things which are hard of digeftion, and which are foon corrupted, for they all have a certain re- mifs fever,which diminifheth the native heat, and make's the meats apt to putrefie. Too plentiful drinking not onely of wine, but alfo of anie other liquor, is to bee avoided. For by too great a quantitie of moifture the meat float's in the ftomach, and the native heat is in fbm fort extinguifhed, whence proceed crudities- Som Phyficians commend the ufe of white wine, for that it provoke's urine, which is not altogether to bee difallowed, if fb bee that the bodie bee free from excrements, otherwife by this, as it were a vehicle, efpecially if the temperature of the bodie bee fbmwhat more hot, they fhall bee carried down into the joints. Therefore in fuch a cafe I fhould rather advife them to ufe claret,which is fbmwhat weak and aftringent, for that it doth not fo much offend the head nor joints, and it fhuts and ftrengthen's the orifices of the veflels. Yet it will bee more convenient wholly to ab- ftain therefrom, and inftead thereof to drink an drome I made after this manner : ft.aqut ft.iiii. meltis opt.q.i. bulliant ad confumptionem ft.i. bene defiumando, adde ad finem, falviti p.i. im'o ft tiger fit pituitojus, cinnamomi aut caryopbillorum momentum. For cholerick perfbns make a fu- gred water thus: Rc-aquti fontis ib.iiii.faccari Ib-fi.colenturpermanicam fine ebullitione, addenda in fine cinnamomi For thus the ftomach fhall alfo bee ftrengthened; alfo hee may drink ftifan, wherein at the end of the deco&ion fhall bee boiled fbm dried roles, or elf fom fyrup of pomegranates added thereto,leaft it fhould offend the ftomach; as foon as it come's from off the fire, let it ftand and fettle, and then ftrain it through an hypocras-bag, or clean lin- nen cloth. Capons fub- jeft to the gout. Cholerick per- fons cannot a- way with long falling. Phlegmatick bodies in fall- ing feed upon themfelvs. White wine not good for the gout. Claret may bee the fafelier drunk. Hydromel moft fafely. An Hydrofac- wum. CHAP. XIII. T is a matter of much conlequence for the prevention of this evil, to ftrengthen thesjoints, whereby they may bee able to refill the humors preternaturally falling down upon them. Wherfore it is good morning and evening to rub them with oleum ompbacinum, that is, oil made of olives not com to their perfect maturitie j or with oil of rofes mixed with common fait finely powdered. It may alfo bee mixed with common oil, adding thereto the powder of Hart's-horn , as that which hath an aftringent and drying facultie. Alfo it is good to bathe them in this following lee: Bccort.granat.nucum cupref.gallarum,fumacb.cortic.querni, an%ii.falis com.alumin. rocb. an.%i- falvia, rorifmar. lavendul. lauri, iv& artbretic.an.m.i. rofar.rub.rn.fi. bulliant omnia in fex fkvini crafli & aftringentis, & lixi- wio parato ex aquacbalibeata,& cinere querno. Then foment the part with fponges or cotton- cloths ; after,this fomentation fhall bee carefully wiped and dried with hot linnen cloths, takeing heed of cold. The juice of unripe haws tempered with oxycrate is a Angular thing for this purpole. But if you defire to ftrengthen the joints weakned by a cold cauf, then, R.falvit, rorifm. tbymi, lavendul. laur. abfinth. anm.i. caryopbyl.zinzib.piperif, conquaffatorum an. %i.infundanturinaquh vite &\vini rubri aftringentis, an.Vb.iiii. bulliant leniter inbalneomari#. With this liquor foment the joints morning and evening. Som think it good to ftrengthen the joints, to tread grapes in vintage-time, which if they bee not able to do, then let them wafti their feet in the muft or new prefled wine. Alfo bags may bee thus made for the lame purpole. Befall com.alum.rocb.cort.granat.fumach.berberif, nucum cupreffiian.Jini.fol.falvi<ie,rorifm. rofar.rub.an.rn.fi. Let them bee all put in linnen bags, and boiled in lee, and lo make a de- co&ion for to foment the joints. CHAP. How to ftrengthen the Joints. A fomentati- on to ftreng- then the joints. The juice of haws with oxycrate. Bags. Qoncerning the (font Lib.iS. 455 CHAP. XIV. Of the Palliative Cure of the Gout and the material caufes thereof. Eer alfo mutt wee conlider the caufes whence this difeaf proceed's, the tem- per of the di leafed bodie, the parts affefted, and thofe from whence it pro- ceeds. For as thefe are not alwaies alike, fo neither can one and the like re- medie bee ufeful in everie Gout. For firft thole which proceed of a coldcauf require other remedies, then thole which arife from a hot, and that which proceed's from anie one limple humor,then that from wch arifeth diverf mix- ed together.ForCholer alone caufeth cruel pains,but tempered by the admixture of Phlegm, itbecom's more gentle. Furthermore fom remedies are good in thebeginning, fom in the encreaf and fom at other times. Neither may wee ufe reperculfives in the Sciatica, as wee may in the Gout of the feet and other joints j unlefs per adventure the part bee fearfully in- flamed. Takeing thefe things to confideration wee muft obferv that the Palliative cure of that Gout, which cannot abfblutely bee helped, as that which is hereditarie and inveterate, is performed by four Icopes. The firft isby appointing a convenient diet in the fix things wch are termed not-natural. The fecond by evacuaterng & diverting the antecedent matter, both by purgeing and phlebotomie.The third by topick medicines according to the condition of the morbifick humor and nature.The fourth by corre&ing the lymptoms, but Specially the pain, whereof in thefe affefts there is oft-times fo great excels by reafon of the inexplicable and invincible malignitie of the virulent qualitie allbciateing the humor that it alone is oft-times fufficient to kill the patient. And becaufthe varietie of morbifick caufes, bring's a varietie of remedies, fitted to thele four intentions, therefore it behoov's a Phyfician to bee moft attentive in the diftinftion of the caufes. For hee may bee eafily deceived and mi- ftake one for another, for arthritick pains proceeding from a cold matter, if they bee mi- tigated by the application of Narcotick and cold medicines, it may induce us to believ that the material cauf is hot, though really it bee not lb; for Narcoticks aflwage pain, not for that they arecontrarie to the cauf thereof, but becaufthey take away the fenf by induceing a numnefs 5 on the contrarie, the material cauf may Ibmtimes feem cold, which notwlth- ftanding is hot, for that it becom's better by application of hot medicines, that is,by take- ing an argument from that which help's, becauf contraries are cured by contraries, and the like preferved by the like. But herein confift's the error, for that hot medicines profit not by their contrarietie, but by the attenuation of thegrofs matter, by the rarefa&ion of the skin and diflipateing them into air. Whence you may gather, that an argument drawn from that which help's and hurt's, is verie deceitful: moreover it may happen that a large quan- titie of cold matter flowing down from the brain, may cauf great pain by reafon of the vi- rulencie, and a finall quantitie of choler mixed therewith, which ferv's for a vehicle. to Carrie down the tough and flow phlegm into the joints, whence the patient becom's thirftie and feverifl by reafon of the heat and inflammation of thefe parts, wherby fuch as are lets caute- lous and hcedie will eafily bee induced to beleev that fom hot matter is the occafion of this Gout. Now when as not fom one fimple humor but different by reafon of mixture, cau- feth the Gout, the yellowifh color of the part may deceiv one, as, if the evil matter fhould proceed from choler onely, which by the tenuitie of its fubftance leaving the center, eafily poflt fleth the circumference of the bodie or part: and notwithftanding much phlegm beeing as it were en raged by the admixtion of a little choler, may bee the chief cauf ofthe may peradventure bee difcovered by the encreaf of pain in the night feafon. A fever arifeing by means of pain and watching may encreaf the conceived opinion of choler, which at- tenuateingand diffufeing the humors, drive's them into the joints, and caufeth fierie urines, tinftured with much choler, and a quick pulfl Yet notwithftanding the Phyfician fliall bee in an error, it deceived with thefe appearances,hee attempt the cure of this Gout,as arife- ing from a hot, and not from a cold cauf: yet I am not ignorant that the cure of the pro- per difeaf muft bee neglefted for the cure of the fymptoms. Befides alfo it may com to pals that choler may bee the cauf of the Gout, aud notwithftanding no figns thereof may appear in the skin and furface of the affefted part, becauf the coldnels of the ambient air, and the force of applied Narcoticks may have deftroied the color of the juices lying therunder, and as it were imprinted a certain blacknels. It alfo happen's, that the bodie beeing over-char- ged with a great quantitie ofgrofs and vifcid humors, the expulfive facultie may difeharge fom portion thereof unto the joints , but leav the reft impaft in the cavitie of fom entrail, where caufing obftruftion and putrefaftion may prefently cauf a fever, and that intermit- ting, if it bee final!, and obftruft onely the lefler veins, and thefe of the habit of the bodie. Wherfore then it is not fufficient that the Phyfician employ himfelf in the cure of the Gout, but it behoov's him much more to attend the cure of the fever, which if it bee con- tinual, it diferedit's the Phyfician, and endanger's the patient 5 if it bee intermitting,it eafi- ly becom's continual, unlefe it bee withftood with fit remedies, that is', unlelsyou let blood,the bellie beeing firft gently purged, and nature bee prefently free'd by a ftronger purge The (copes of cureing. Reptrcuflives not tobeeufed in the Sciatica. The palliative cure performed by four (copes. An argument taken from that which helpeth orgi- veth eaf, is not alwaiescertain. How cold dif- eafes may bee helps 1 by cold, and hot,by hot medicines. The firft thing that may dc- :eiv a Phyfici- an. The fecond. The third. The fourth. The fifth. The fixth, 456 Qoncernin? the Gout. Lib.i8. Whj' ftrong purges mult be given to fuch as have the Gout. purge of the troublefbm burden of humors. Now it is convenient, the purge bee fomwhat . ftronger then ordinarie, for if itfhould bee too weak, it will ftir up the humors, but not carrie them away, and they thus agitated will fall into the pained and weak joints,and caufthe Gout to By this it appears how deceitful that conje&ure is,, which relic's and is grounded on one iign, as often as wee muft pronounce judgment of morbifick caufes. Wherfore to conclude, wee muft think that opinion moft certain concerning the matter of . the difeaf, which is Strengthened with multiplicitie of figns, as thofe which are drawn from the color of the part, the heat or coldnefs manifeft to the touch, thole things that help and hurt, the patient's familiar and ufiial diet, temper, age, region, feafbn of the yeer, propri- etie of pain, the exacerbation or excefs thereof,in what daies, and in what hours of the daie, the length of thefe fits, the urine and other excrements coming from the patient's bodie. But for that not a few are in that herefie, that they think that wee muft neither purge nor let blood in the Gout, weee muft heer convince that opinion. For feeing that phyiick is the addition of that which want's, and the takeing of thofe things that are fuperfluous, and the Gout is a dileafwhich hath its effence from the plentie of abounding humors, cer- tainly, without the evacuation of them by purgeing and bleeding, wee cannot hope to cure, cither it, or the pain which accompanies it. Metric, in his Treatife of the Gout write's, that it muft bee cured by purgeing, ufed not onely in the declination, but alfo in the height of the difeaf which wee have found true by experience; and it is conlbnant to this faying of Hippocrates $ in pains wee muft purge by the ftool. Befides alfo, Galen profeffeth that in great inflammations, fevers and pains, hee knew no greater nor furer remedie then to let blood, even to the fainting of the patient. If thofe which are in this cafe fhall not becom better by purgeing and phlebotomie conveniently prefcribed, then it happen's by the means of drunkennefs, gluttonie, and the like diftemper. For hence abundance of crude humors are heaped up, which by thir contumacie yeeld themfelvs lefs obedient to medicines. There- fore fuch goutie perfons as are intemperate and giv'n to gluttonie and venerie, may hope for no health by ufe of medicines. That judg- ment moft cer- tain which reft's upon multiplicitie of fig ns. Why wee muft ufe purge ing and bleeding in the Gout. Lib.de aflefi.ubi de Arthrit lo- quitur. Adafh.ii. fefi.i. Lib.de cur.pey fangmifsionem. CHAP. XV. Of local medicines which may bee ufed to a cold Gout. It is not fafe to uferepercuf- fives in the Gout before purgeing. Ittle do topick medicines avail, unlefs the bodie of the goutie patient (hail bee purged from excrementitious humors; belides alfo there is danger leaft by the ufe of repelling medicines, the virulencie of the humor may bee driv'n into the en- trails, which thing hath been the caufof fudden death tomanie. Now in the firft place wee will (peak of local medicines which are thought meet for a phle- gmatick juice, becaufthis is more frequent, then that which is from a hot cauf. At the be- gining in everie gout, the Sciatica excepted, wee muft ufe aftringent things which have a fa- cultieto binde or ftrengthen the joints , and to drie and wafte the excrementitious humor. As, R. fol* fabin* m.fS. nucum cuprefi Jiii. aluminis rocb. fygum. tragacanth* Jiiii. mucaginis pfi- lii <& cydon. quantum fufficit, fiat cataplafma. Or, R. ftercoris bubuli recentis ft>. i. mellit rof. |iiii. oleirof.& aceti anfyi. bulliant Jimulpar%m, fiat cataplafma. Or elf R. olei rofar. &myrtillan. |ii. pulveris myrrh* & aides an. fy acaci* |ii-P. incorporentur cum aquh gallarum cottarum, & fiat unguentum. Som boil (age, camomile and melilote flowers, wormwood and dane-wort, of each a handful in a fofficient quantitie ofvineger, then they put the grieved part into this decoftion beeing warm; and by frequent ufeing this medicine, it hath been found to repel and confume the noxious humor, not onely cold, but alfo cholerick; and alfo to ftreng- then the part. The frefti feces of Olives laid to the part, affwage pain : dried Oranges boil- ed in vineger, beaten and applied,do the feme* Or, R. medii corticis ulmi fo.p. caud* equin, jhzcbad. confolid. majoris, an. m.j3. aluminis roch. tburis an. farin. bordei %v. lixivii com. quan- tum fufficit, fat cataplafma ad formampultis fails liquid*. Commonly then when as the part fwelleth up, the pain is leflned, for that the expulfive facultie driveth the' humor from the center into the circumference of the part, that is, from within outward; for in like fort, luch as have the tooth-ache have leis pain when their cheeks begin to fwell. After repercuffives, wee muft com to thofe which evacuate theconteined humor by evacu- ateing or refolving it. For everie defiuxion ofhumors remaining in anie part require's eva- cuation. Neither muft wee marvel thereat, if the digefted humor doth not vanifh at the firft time; for wee muft have regard to the cold phlegm which is thick and vifcid, as allo of the part which is ligamentous, membranous and nervous, and confequently more denfthen flelhie parts. R. rad. Bryon. ftgilli beat. Mari*. anfyv. bulliant in lixivio, poftea terantur, & colen- tur per fetaceum, addendo farin. bordei & fabarum an. fy olei cbam*m. %ni. fiat cataplafma. Or, R. bordei & lupin. 4g. |iii .fulpburis vivi & fain com. an. mellis comfy. pul aloes & myrrbean.fy. aq. vit. fy cum lixivio,fiat cataplafma. Or, R. fucci calium rub. aceti boniy anfyiii. farin. bordei pul. vitellos ovorum nu. iii. olei cbam*mfyii. croci £)ii, fom burn the roots and ftalks of Coleworts,and mix the afhes with hog's greaf and the powder of Orris, and fo An aftringent Cataplafm. A difcuffing fomentation. One, partly a- ftringent and partly difcuf- fing. Why the gou- tie humor doth not prefently vanifh upon the ufe of reper- cufiivts. Greater di£ cuffcs Lib.i8. Qoncerning the (font. 457 Co make a pulcis- Or, R. Latfis vaccini ft.ii. mic# pants albi quantum fujficit, bulliant fimul, ad- denda pulveris fubtilis florum cbam#m. &meliloti an. m.p. croci £)i. vitellos ovorum nu. iiii.o/. rof. %iii. butyri recentis %i. terebinth. %ii. fiat cataplafma ad formam pultis fails liquid#, ThisCata- plafm may bee applied with good fuccefs, not onely to phlegmatick and cold, but alfo to anie gout, at anie time to mitigate the extremitie of the pain in men of anie temper, and it muft bee changed twice or thrice a daie. Alfo Triacle diffolved in wine, and anointed on the part, is faid to affwage this pain. You may for the lame pur pole make and applie em- plafterrs, unguents, cerats and liniments: This may bee the form of an cmplafter. R.gum- mi ammoniaci, bdelii,ftyracis, cum aceto &• aqua vit. dijfolve adde far in. f#nugr> 5P- olei cbam#m.& anetb. cer# quantum fujficit, fiat empaftrum molle, Or, R. rad. bryon.figjll. beat Mari#, an. bulliant in lixivio complete, & colentur per fetaceum,addenda olei cbam. |iiii. fevi bir- cini cpfanov. quantum fujficit, fiat emplaftrum molle. Or, R. gum. ammon. opopanacis galba- ni. an.pfii, diffolvantur in aceto» poftea colentur, adde olei liliorum, terebinth, venet.anfiffi. picifna- valis,&cer. nov. quantum fujficit,fiat emplaftrum molle. Or elf, Ec.fuccirad. enul.camp. & ebuli an. rad. altb. ft. (5. coquantur & colentur per petaceum, addendofiorum cbam. melil. fambuchi,ro- rifrnar. & byperici an p. ii. nucum cuprefi, nu. iiii. ol. cbam. anetb. hyper, liliorum, de fiica an. $ii. pinguedinis anatis, pallin. anferis an. ranas viridas vivas nu.vi.catellos duos nuper natos, bulliant omnia fimul, zn ft. ii- fi.vinioderiferi&unaaqu£vit.adconfumptionem fuccorum & vini, &offi- um catellorum dijfolutionem, & for titer exprimantur exprejfionis adde terebinth.%iii. cer. quan- tum fufficit, fia emplaftrum molle. devigo. Oxicroceum, de mucilaginibus , de meliloto and the like mixed together, and foftned with a little oil or axungia, are of the like facultie, and good for the lame purpofe. Let this bee the form of an ointment. R. anferem pinguem, & imple catellis duobus, de quibus deme cutem, vifcera, caput & pedes item accipe r anas nu. x. colubros detrafla cute infruftra diffefios nu. iv. mithridat. & tberiac. fol.falvi#, rorifmar. thymi,rut#, an. m.p. baccarum lauri,& j uniperi, conquaffat. anf%i. pulveris nuc. mofcbat. zinzib. caryophyl. & piper, an. $i. de eo quod ftil- labat fiat unguent um vel linimentum cum cera & terebinth, veneta, pauca aquh vit# addita this mar- veloufly alfwageth the pain of the Gout arifeing from a cold caul? Another, R. gummi pini, & lodani, an. gummi elemi & pifcis naval, an. terebinth, venet. clar# $vi. cbam#m. & hlio- rum an. ffvi.vini rub. ft. i. ]3. aq.vit. &falv. an. 3vi. diffolvantur omnia fimul lento igne, baculo fem- per agiiando, deinde adde pul. ireos.flor. baccarum lauri et hermodatyl. mafticbes, myrrh# et olibani an. farin# incorporentur omnia fimul, fiat unguentm molle. Or R. mucag, feminis f#nugr. in aceto extraff. quantum volueris, cui mifcemellis quantum fujficit, let them bee boiled together until they acquire the conliftenceof anointment. Thefe things (hall bee changed, as often as need (hall leem to require. Alfo ah anodine and difeufling fomentati- ons are good to refolv; as this, R. fol.rut#,falv. rorifmar, an. md. bulliant cum aceto &vino', and lb make a decoftion for a fomentation, which you may ule not onely in a cold Gout, but alfo in a hot, becauf it relblveth and ftrengtheneth the part by aftriftion, andfree'th it from the defiuxion : you muft have a care that the medicines which are tiled to pains of the Gout bee changed now and then. For in this kinde ofdifeaf that remedie which did good a little before,and now availcth,will in a Ihort time becom hurtful. But if the contumacieand exefs of the pain bee lb great, that it will not yeeldto thede- fcribed medicines ; then it is fit, becauf the difeaf is extreme, toufe (according to Hippocra- tes's counfel) extreme, ftich as are thofe which follow. R. axungi# gal!in#, olei laurini maftic. &euphorb.an.%i. pulv.euphorb. &pyretb an. litus, herewith let the partbeerubbede- veriedaie,for it is a verie effectual medicine. For euphorbium and Pellitorie by their heat at- tenuate and refolv, the capon's greafand oil of baies relax , the oil of maftich ftrengthen- eth the part and hindereth a new defluxion. Alfo there is made a verie anodine ointment of oil of Foxes, wheerin earth-worms,the roots of elecampane and bryonie have been boiled, with a little turpentine and wax; this foften's, attenuate's and refolv's the cold humor im- paft in the joints* Or elf R. feminis finapi pulviferati, & aceto acerrimo dijfoluti, mellisana- cardani aqu#vit#'ffi..falis com. let them bee all mixed together, and applied to the pained part. Or, R. picis nigr#fffm. terebinth, venet# i. fulpburis vivi fubtiliter pulverifati olei quantum fujficit, liquefiant fimul, fiat emplaftrum; let it bee fpread upon lether, and laid up- on the part for two or three daie's fpace,if the patient perceiv anie eaftherby ;if otherwise, let it bee changed as wee faid before. Somforthe fame purpole applie nettles therto, and prefently after wafh the part in the fea or fait water. Others foment the part with vineger wherin pigeons hath been boiled. A veficatorie made of verie fower leaven^cantharides,and a little aqua vit# is verie powerful to eveauate the conjunft matter. For thus the malign and ; virulent ferum,or whayilh humor is let out, whence follow's fom eafof the pain. Now there 1 are fomgoutie pains, which cannot bee leffned or affwaged unlefs by remedies more power- 1 fill then the diftemper, therfore veficatories ought not to bee reje&ed, feeing that the An- cients in this affeft have alfo made ufe of aftual cauteries,as wee fhall fhew heerafter. Chrifto- pber Andreas in his book termed O'ecoitarie [that is, domeftick much commend's Ox-dung wrapped in cabbage or vine-leays, and roafted in the embers, and fo applied hot too the grieved part. C H A P, A cataplafm good for anie Gout at anie time. Difcuffing em- plafters. Ointments, Difeufling fer- mentations. Remedies mutt bee often chan- gedin the gout A great dif- cuffer. An anodine. : A veficitorie againftthecon- tumacie of the conjunft mat- , ter. 458 Qoncerning the Gout Lib.i8. CHAP. XVI. Gf local medicines to bee applied to hot or fanguin Gout. Whatrepercuf- fives are here required. Eremuft wee in the begining make uft of repercuflives, fuch as are cold and drie, that they may contend with the morbihck matter by both their quali- ties 5 alfo let them bee aftri&ive, fo to add ftrength to the part. But I would have you alwaies to underhand that you muh firh premile general medi- cines. R. albuminum ovorum nu. iv./accz latiucx&folani an. |i. aq. rofar. |ii. z«- corporentur Jimul, & fiat linimentum fcepius renovandum, Others take the meal of barlie, lentils, acatia, oil of rofes,myrtles, and with a little vineger they make a cataplafm; Or, Rc.fumach. myrtillorum, boli arm, an. acati<e,corticum granat. baluft. an. 3b aq. plantag.& rofar, an. ol. rofati farina bordei & lentium quantum fatis erit, fiat cataplafma. This is verie excellent and effectual to hay or hinder phlegmonous and erifipelatous tu- mors. Alfo you may make a cataplafm ex mucagine Cydoniorum in aqua rofarum extracta, cafsie fiftula, oleo rojato, & aceto : Or, R. pampinorum vitis viridum, m.ii, terantur & bulliant in oxycra- to ex aqua fabrorum, cui adde fumacb. conquaffat. %i. olei rofai. faring bordei quantum fufficit, fiat cataplafma. Orel£ Rc. fucci fempervivi,byofcyami, portulace an. corticum mali granati arins bordei %v. vini aufteri quantum fujficit, fiat cataplafma-, this is much commended, for it hath entring thereinto wine and the pomgranate pill, which both are verie great aftri- ftives ; and the juices are exceeding cooling, the meal alfo hinder's and thicken's the fan- guin humors that are readie to flow down, and make the medicine of a good confiflence. Another: Rc.fol. byofeyami <&* acetofe an. m.i. involvantur papyro, & fub cineribus coquantur, mox cum unguento populeon. aut rofat. %ii. incorporenturand then lay this Cataplafm thus made warm unto the part. Another: R. fiorum byofeiami ft.ii. ponantur in phialA vitreata, & reconde infimo equino donee putruerint, accipe exputredine inquibus diffolve olei de junipero lini- mentum ad ufum. Others beat pulp of a Gourd or Citral in a mortar, and fo applie it. Ano- ther: R. mucag. fem. pfilih& cyton.exteatf. in aq. rofar. & folani olei rofati ompbacini vinigranat. |i. vitellos ovo. cum albumine nu. iii. camphors %i. encorporentur Jimul,fiat lini-t mentum. Or elf, R. ol.rofat. ompbacini |iv. album, ovorum cum vitelli? nu.vi. fucci plantag. et fo- lani an%i. farin# bordei %iii. incorporentur fimul, fiat cataplafma. Or, Re. farime fabarum et bordei an. %iii. olei rofati,%ir oxycrati quantum fujficit, coquantur fimul, fiat cataplafma. Another; R. mucag. fem. pfilii%iiii. ol. rofati acetal vitellos ovorum, nu. iii. croci $i. mifee. Plinie report- ed! that Sextus Pomponius the Governor of the hither-Spain, as hee overlooked the winow- ing of his corn, was taken by the pain of the Gout in his feet, wherfore hee cover'd himfelf with the Wheat above his knees, and lb was eafed, his feet beeing wonderfully dried ; and hee afterwards ufed this kinde of remedie. It is note-worthie, which often happeneth, that the pain cannot bee altogether eafed by foch remedies, by reafon of the abundance of blood impaft in the part; wherefore it muft bee evacuated: which I have don in manie with good fuccefs, opening the vein which was moft fwelled and nigh to the affe&ed part; for the pain was prelently aflwaged. Neither muft wee too long make ule of repercuflives; leaft the matter becom fo hardned, that it can fcarce bee afterwards relblved, as when it (hall bee concrete into knots and plafter-like ftones : relblving medicines are to bee mixed with re- percuflives conveniently applied, fo to difeufs the humor remaining as yet in the part, whereof fhall bee fpoken in the following Chapter. An excellent aftringent ca- taplafm. Lib.zi.cap.zf. Phlcbotomieto evacuate the conjunct mat- ter,and affwage pain. CHAP. XVII. fiSSSEBM He repercuflives that muft firft bee uled in this kinde of Gout ought to bee cold and moift, that fo they may refift both the qualities of choler; filch are the MjB Km leavs of night-lhade , purflain , houf-leek, henbane,forrel, plantain, poppie, UQKhub cold water and the like, whereof may bee made diverf compositions. As,R.pc- ci byofcyami, fempervivi.la3uc.an.%ii. farin. bordei %i. olei rofati %ii. agitando fimul fiat medicamentum; let it bee applied and often changed, for fo at length it will aflwage the in- flammation. Som think the brain of a hog mixed with white ftarch , or barlie-meal and oil of roles, an excellent medicine. The leavs of mallows boiled in water, and beaten with a peftil, and applied, aflwage pain. R. mucag. fem. pfitHi extrafl. in aq. folani, vel farin.bordei Ji. acetiq.f. fiat linimentum. Or el£ R. unguent, rofat. me[n£,& populeian %iii.Juc- ci melonum Jii. alb. ovorum, nu.iii. mifceanturfimul pro litu. Allb a fpunge dipped in oxycrate, and prefled out again and applied thereto doth the lame. Or elf R. fol, caulium rub. m. ii. co- quantur in oxycrato & terantur: adde ovorum vitellos tres,olei rofati Jiii. faring border quantum fuf- ficit, fingatur cataplafma. Allb you may take the crude juice of qole-Wdrts, dane-weed, and roles beaten and prefled out, andofthele incorporated with oil-of roles and barlie-meal make a cataplafm. In winter-time, when as thefe things cannot bee had green, you may ule unguent* Of local medicines for a Gout. Whatrepercuf- fives are beer required. Lib.18. Concerning the Gout. 459 unguentum tnfrigidans Galeni &populeon. Or elG R. cere alb<e fyi. croci 9'- opii £iiii. o/ez rofati quantum fuflicit, marcerentur opium & crocus in aceto, deinde terantur et incorporentur cumceraet t oleo,fiat ceratum; fpread it upon a cloth, and lay it upon the part, and all about it, and let it bee often renewed. Som cut Frogs open and applie them to the grieved part. It is con- firmed by fimdrie men's experience, that pain of the Sciatica, when it would yeeld to no o- therremedie, to have been affwaged by anointing the afte&ed with the mucous water or gellie of Snails , beeing ufed for the (pace of (even or eight daies, the truth whereof was' allured mee by the worthie Gentleman the Lord of Longemau, a man of great honeftie and1 credit, who himfelf was troubled for fix month's fpace with the Sciatica* This water is thus made. Take fiftie or fixtie red Snails, put them in a copper-pot or kettle,andfprinkle them over with common fait, and keep them fo for the (pace of a daie; then prefs them in a courf or hair-cloth 5 in the exprefled liquor dip linnen rags and applie them lb dipped to the part affefted, and renew them often. But if there bee great inflammation, the Snails (hall bee boiled in Vineger and Rote-water. They fay that Citrons or Oranges boiled inVineger, and beaten in a mortar, and incorporated with a little barlie or bean flower, are good a- gainft thefe pains. Or elf, R. porno rum cottorum in latte ft.i. butyri |i. vitellos ovorum, nu. ii. ace- tify, fiat cataplajma. There are fom who take cheef- curd newly made, and mix it in a mor- tar with oil of Roles and barlie-meal, and fo applie it; itreprefleth inflammation and afi- fwageth pain. Others mix caffia newly extracted forth of the cane, with the juice of Gourds or Melons. Others applie to the part the leavs of Coleworts, and Dane-weed or fmallage, or all three mixed together and beaten with a little Vineger. Others macerate or fteep an ounce of linfeed in Wurt, and make the mucilage extrafted therefrom into a Cataplafm with fom oil of Rotes and barlie-meal. Som put oil of poppies to the pulp of Citrulls or Gourds beeing beaten,and fo incorporate them together, and applie it. This following medicine hath its credit from a certain Gafcoin of Bafas that was throughly cured therewith, when as hee had been vexed long and much with goutie pains, jibove the common cuftom of fuch as are troubled with that dileaf. Thus it is; Take a. great ridg-tile thick and ftrong, and heat it red hot in the fire, then put it into fuch another1 tile of the fame bignete, but cold, leaft it fhould burn the bed-clothes, then forthwith fill the hot one with fo manie Dane-wurt-leavs, that the patient may fafcly lay the affefted part therein without anie danger of burning it. Then let thepatient endure the heat that corn's therefrom, and by fweat receiv the fruit thereof, for the (pace of an hour, fobftituteing frelh Dane-wurt-leavs, if the former becom too drie, as alfo another hot tile, if the former (hall grow too cold before the hour bee ended. This beeing don, let the part bee dried with warm and drie linnen clothes. Ute this particular ftove for the fpace of fifteen daies, and that in the morning fading ; afterward annoint the part with this < following ointment. R. fucci ebuli ft. i. [L olei com. ft. i. mifceantur fimul, and let them bee put into a ftrait mouthed glafs, and well luted up; then let it boil in balneo Mar it, beeing firfl mixed with fom wine, untill the half thereof bee continued , for the (pace of ten or twelv hours, then let it cool, and fo keep for ute, adding thereto in the time of anoint- ing, fom few drops of aqua vite. It may bee anointed twice or thrice in a daie, long after meat. Moreover,the roots and leavs of Dane-wurt boiled in water, beaten and applied af- fwage pain; the oil thereof chimically extracted perform's the fame. But ifthe contumacious pain cannot bee mitigated by the defcribed remedies, and becom- ing intolerably hot and rageing, make the patient almoft to fwoun, then muft wee flieto 1 Narcoticks. For although the temper of the part may bee weakned by thefe, the native heat diminifhed or rather extinguiflied; yet this is a far lefs inconvenience then to let the whole bodie bee wafted by pain. Thefe things have a powerful refrigerateing and drying facultie, takeing away the tenf of the pain, and furthermore, incraffate, thin acrid and biteing humors, fach as cholerick humors are. Wherefore if the matter which caufleth the , pain bee thick, wee muft abftain from Narcoticks, or certainly ute them with great caution. 1 nc.micepanis fecalini parton cotti in latte, fyi. vitellos ovorum, eu.ii. opii. 5*1. fuccorum falani,by- ofcyami, mandragort, portulact, fempervivi, an. fy. let them bee mixed together and applied,and often changed. Or dC, Be. fol. hyofeyami cicute, acetofan, m. i. bulliant in oxycrato & contun- dantur, cumque vitellis ovorum crudorum nu.ii. & olei rofat. fyii. farm- bordei quod fatls fat, incorpo- rentur, fiat cataplafma; with the ufe thereof I am accuftomed to aflwage great pains. Or R. opii camphorelet nenupb. fyi. lattisfyii. unguent, rof. Galeni fyw.incorporentur firnulin mor- tar io, applicentur. Moreover, cold water applied and dropped upon the p art drop by drop, is narcotick and ftupefaftive, as Hippocrates affirmeth, Jpbor. 29. Sett. 5. for a moderate numnefsmitigateth pain- There is alfo another reafon why it may bee profitably ufed in all pains of the Gout, for that by repelling the humors, it hindereth their defluxion into the part. Mandrag-apples boiled in milk, and beaten, do the fame thing; alfo the leavs of hen- bane, hemlock, lettuce, purflain, beeing fo boiled, do the fame. If anie defire to ufe thefe more cold, hee muft applie them crude,and not boiled. But the excels of pain beeing mitigated, wee muft defift from the ufe of fuch narcoticks, and they muft rather bee ftrengthened with hot and digerateing things; otherwife there will A cerate with opium. The water of Snails. An hiftorie. A particular ftovc. An ointment of the juice of Dane*wnrt. When to ufe narcoticks. A cataplafoa with opium. 460 Concerning the Gout. Lib. 18- How to amend the harm don by Narcoticks. will bee danger left it bee too much weakned, the temper thereof beeing deftroied, and id afterwards it may bee fubjeft to everie kinde of defluxion.Wherefore it fhall bee ftrengthened with the formerly difcufling fomentations) and theft enfuing remedies. As, R. gum. ammo- niaci & bdelii an$i. dijfvlvantur in acete, & pajfml ur per fetaceum, addenda ftyracis liquid. & far in. fanugr. an. pulv. ireos §iiii. olei cbamtm. Jii. pulveris pjretbri 311. cum cera , fiat em- plaftrum malle. Or,elQR. rad. emult, ebuli altbet an. ft.p. fem. Uni, fxnugr.. an. nu. xx. coquantkr complete &trajiciantur per fetaceum, addenda pul. eupborb. cbamtm. anetb. & rutacei, an. medullt cervi %'iv.fiat cataplafma. Yet you muff ufe moderation in difcufi- ling, left thefubtler part of the impaft humor beeing difcufled, the grofler part may turn into a ftonie confidence, which alfo is to bee feared in ufting repercuflives. I alfo omitted, that according to the opinion of the Antients, bathes offrefh water, wherein cooling herbs have been boiled, uftd three hours after meat, conduce much to the aflwageing of pain 5 for fo uftd, they are more convenient in cholerick natures, and fpare bodies, for that they humeft the more, and quickly digeft the thin and cholerick, and conft- quently acrid vapors, the pores beeing opened, and the humors difiipated by the gentle warmneft of the bath. After the bath,the bodie muft bee anointed with bjdrtlium, or oil and water tempered together, left the native heat exhale and the bodie becom more weak. Meats of more grots juice are more convenient, as beef, fheeps-feet, and the like , if fo bee that the patient can digeft them, for theft infpiflate the cholerick blood, and make it more unfit for defluxion. Difcuflcrs. A mean to bee ufe J in difiuf- fing. Bathes a Tw age the pain of the Gout. How meats of grofs juice are profitable. CHAP. XVIII. What remedies mufl bee ufed in fains of the joints froceeeding of a diftemper onelyy without matter. Ains alfo happen in the joints by diftemper without anie matter, which though rare, yet becauf I happened once to feel them, I have thought good to fhew what remedies I ufed againft them. I once earneftly bulled in ftudie, and therefore not tenfible of fuch external injuries as might befall mee; a little winde coming fecretly in by the crannies of my fludie, fell upon my left Hip; at length wearied with ftudie, aflbon as I rofe up to go my way, I could not Hand upon my feet, I felt fuch bitter pain without anie fwelling or humor which might bee dilcerned. Therefore I was forced to go to bed, and calling to minde, that cold, which was abfolutely hurtful to the nervs, had bred mee that pain, I attempted to drive it away by the frequent application of verie hot clothes; which, though they fcorched and bliiteredthe found parts adjoining thereto, yet did they fcarcemake anie impreflion upon the part where the pain was fettled, the diftemper was fo great, and lb firmly fixed therein. And I laied thereto bags filled with fried oats and millet, and dipped in hot red wine; as alfo ox-blad- ders half filled with a deco&ion of hot herbs- And laftly, a wooden difh almoft filled with hotafhes, covered over with fage, rofinarie and rue lightly bruited, and fo covered with a cloth, which, fprinkled over with aqua tent forth a vapor which affwaged the pain. Alfo brown bread newly drawn out of the oven, and fprinkled over with rote-water, and applied, did verie much good. And that I might more fully expel this hurtful cold, I put ftone-bottles filled with hot water, to the foals of my feet., that the brain might bee heated by the ftraightneis and continuitie of the nervs. At length, by the help of thefe re- medies, I was verie well free'd from this contumacious diftemper, when it had held mee for the fpace of four and twentie hours. There is another kinde ofGoutie pain fomtimes canted by a certain excrement! tious mat- ter , but fo thin and fubtle that it cannot bee difcerned by the eies. It is a certain fuliginous or footie vapor, liketo that which paffeth from burning candles or lamps, which adhcre's and concrete's to anie thing that is oppoted thereto; which beeing infe&ed by the mixture of a virulent terous humor whitherfoever it runneth, cauteth extreme pain, fomwhiles in thete, and otherwhiles in other joints, unlefs you make a way therefore, when as it teeketh paflage forth, wich mutt bee don by horns, cupping-glafTes, velicatories, cauteries, or other the like art. An hiftoric. Hip.ap.io. feit. Divers reme- dies for pain arifeing from a cold diftemper without mat- ter. A fuliginous vapor Com- times the cauf of the Gout, CHAP. XIX. What is to bee don after tbe fit of Gout is over. Hew to ftreng- then the joints. T is convenient when the pain is aflwag d, that you itrcngthen the joints. Now, to ftrengthen them is not onely to binde and drie, but wholly to amend the weaknefs left in the part by the difeaf, that is to difcuft the humor., if anie fuperfluitie thereof remain; but to humeft the part, if the moiflure bee exhauftedand dried up. But fuch as are troubled with the gout, after they are free'd from their pain, have notwithftanding ftich impotencie of their joints that they cannot go of along time after; for that the nervs and tendons Remedies for theweakncfs left in the joints after the pain is gon. Lib.18. Concerning the Gout. 461 tendons which are in great number in the feet, beeing moiftned with much phlegm,are fo relaxed, that they can no more fuftaih or bear themlelvs upon their feet, then paper when it is wet can bee made to Hand. Wherefore, that they may recover the ufe of their feet, the impafted humor muft by all means bee difcufled, and /pent with fomentations, cataplalms, drying and aftringcnt emplafters. You may ufe the formerly defcribed fomentation, en- creaiing the quaintitie of alum and fait, and adding thereto a like quantitie of'jutybur vi- vum: then the following emplafter fhall bee applied thereto. R.maf. enqlaft. contra rupturam yulv.rof.rub.nucum cuprefigal!arum,gran myrtil.& fol.ejufdem, thuris,maftich. & ca- malaxentur omnia ftmul.manibui inuntiis oleomyrtino & mafticbino, fiat emplaftrum. Let it bee (pread upon leather to a juft bignels, and applied to the top and foie of the foot. Draw over the plaller, and the whole leg a ftocking made of a tanned-dog's-skin j thisem- plailer ftrengtheneth the nervs, draweth forth the humor impaft therein, and intercept's the defluxion.But the dog-skin-ftocking prefervcth the native heat of the part, and for that it bindeth, hindreth the defluxion into the feet. The benefit of ■ a dog-skin ftocking. CHAP. XX. Of the T ophi, or facts which grow at the joints of fuch as are troubled with the Gout. Dm that are troubled with the Gout, have knottie bunches growing in their joints, wThich by the antients were called Topbi. Theie are generated by the congeftion ofgrofs, vilcid and crude phlegm, with a little admixtion of an a- crid and cholerick humor. Theie matters remain fettled in the part, for that it beeing too weak cannot digeft and deprefs them; wherefore beeing there impact, they ealily concrete into a certain plafter-like or chalk- like fubftance, whileft by the adventitious and burning heat caufled by pain, and the goutie malignitie, their more fubtle part is dilperledjbut the grofler lubfide's. Yet fomtimes the unfit application of repercuflive or difcuflive medicines is a caufof the generation of theie Tophi. For by the former, the im- part matter is incraflated and gathered together 5 but by the later, the fubtle part beeing dif- culfed, the remnant that fubfide's, concrete's into Tophi. Thofe medicines which are made to mollitie, ought to have a moderately heating, and humerting facultie, that they may diffule, and as it were difTolv the impart matter 5 luch is warm water, the decortion of e- mollient herbs, the decortion of calv's or fheep's entrails, heads and feet: after theie or the like fomentations, you lhall ule the following medicine. R.axungie, human, anfiris & galli- ne,medulcervin. an. tereb.wendfii.aq.viteparum, cere quantum fufficit, fiat unguentum molle. Then this which followeth will bee good. R.rad. altb. liliorum, bryon. lapath. acuti, coquantur complete, & trajiciantur per fitaceunr, adds gum. amnwn.bdel. galb. opopanacis in aceto difiolutorum incorporentur fimul, & applicentur. Or elf, R.c/ez liliorum, a- mygd-dul.medulle cruris mucag.fim.lini, altb.fcenugr. an. %i. cere quantum fufficitj fiat ceratum. Or elf, R.emplde vigo cum mercurio;& cerat de cefipo bum i da de fir ip t. Pbilagrii, an%ii. malaxentur fimul cum oleo lilior.fiat mafia. Or elQ R.gum.ammon. opopan.galb. bdel. difiolutorum in aceto, an.Jii. panno lineo colatis, adde pulv. fulph. nitr.finapi, pyretbri, an.Jft fiyracis, liq & axung- rej.pini,tereb.ven.an.$fi.cere quantumJufficit,fiat ceratum molle. This which follow's is thought 1110ft effertual in the opinion of Galen and Avicen. R.pedes porcel.bene falfos, nuiiii.weterem pernam,cum illis coque : addenda fubfinem, radicis bryonie, lapath.acut. gie tauri, & medul. cervin.an.%1. cum cafio putrefaEio fiat emplmoll? ad ufum This which fol- low's is al lb moft effertual. R.cafei acris & putrefaEii, 5 iiii. pulv.fulph.vivi euphorb.& pyreth.an. decoEiionis veteris perne & porcellorum quodfufficit ad incorporandum, ducantur in mortario, & fiat ernpLad ufum. Or elf, R.frume terebAfii. olei veteris,lixivii, quo lane pileorum la- vantur, & cere quantum fufficit, fiat ceratum fatis molle. After the ufe of emollients, a fumiga- tion lhall bee made in this manner: Heat a cogle-ftone, mill-ftone or brick red hot in the fire, take it forth, and caft upon it a fufficient quantitie of verie Utarp vineger, and aqua wi- fe, the riling vapor (hall bee diligently received by the afferted member, for this hath a fa- cultie to attenuate and cut.grofs, vilcid, and plafter-like matter, yea alfo, and to break the skin ; yet that is broken oftime of its own accord , without the help of either medicine or inftniment. To conclude, theie medicines which are good to mollifie fcirrhous tumors,the fame are alfo good to loften the goutie knots and tophi. But wee muft note,that theie knot- tie bunches are lomtimes fuppurated, not truly by the impart and plafter-like matter, but by a new defluxion comming on a fudden, and then it is necellarie to make way for the con- tained matter, which beeing don, firft there commeth forth an humor like milk, then a plafter-like matter, then it leav's behinde it an ulcer to bee cured by applying thereto empLgratia Dei, and others as the Surgeon lhall think fit. Whence the Tophi arcgl* aerated. The unfit ap- plication of difcuflive and repercuflive medicines caufthe Tophi, Mollifying medicines. Lib.to.fimp. tratt.z.c,ii» An effectual fumigation. R r CHAP. 462 Concerning the Cjout. lib.i8. CHAP. XXL Of Flatulencies contained in the joints, and counterfeiting true Gouts, and of the remedies to bee ufed ■ Ftimes there is fmall quantitie of humor, which move's the pain of the Gout; but much fiatulencie mixed therewith, efpecially in great joints, as in the huc- kle or hip-bone, and the knees; theylbmtimes cauffo great diftention, that they drive the heads of the bones forth of their places. You may partly underhand it is fo, if atenfive pain afflift the patient with anie lenf of hea- vinefs; if when you prefs the tumor with your fingers, the place retain no mark or im- preflion thereof, as happen's in an oedema: but on the contrarie, a flatulent Ipirit lift's it up as it were by renitencie, as if one ftiould thruft a pair of bellows, which are filled with winde; hence the part cannot perform its ducie, for that the fpaces of the joints are poflefA fed with abundance of flatulencies,fb that the libertie of motion is intercepted,and the mem- ber is kept as it were bound up. Manie no verie skilful Surgeons , putting their fingers to thele kinde of tumors, fo that lifting up the one,they prefs down the other, when as they perceive the fiatulencie, as it were, riling between their lingers, fuppofing it to bee the mo- tion of pot, or matter alreadie generated & flowing up and down, as is ufual in impoftumes, they have opened it by incifion; buc when as nothing flowed forth, it appeared how much they were deceived, yet in the interim, by this their ralhnefs they have caufled manie dange- rous fymptoms: as increaf of pain, defluxion of humors, by force whereof the bones have been diflocated,and brought to the patient an uncureable lamenefs.But thefe flatulent Gouts are feldom without fom phlegmatick matter, which is neither too crude, nor vifeid. Such like flatulencies are notealily difeuifed, nor at the firft endeavor,by reafon of a cold diftem- per which they bring to the part, and the denlitie of the membranesand ligaments, by which the articulation is knit and fattened, fo that Icarce anie part of that which is there fhut up can breathe forth of filch ftraight paflages. Therefore the cure mutt bee undertaken with refolving, difcuffing, and drying fomentations; as for example, with a decoftion of fennel, anif feeds, rue,chamomil,melilote,fage, rolemarie, origanum, calamints,hore-hound, and the like, boiled in wine with a little lee, rofe-vineger, and common fait. This follow- ing ointment fhall bee ufed after the fomentation. R.o/ez cbamoem.anetb.rutdauri, cum certi alba, fiat linimentum, addenda aq.vite-parum. After you have annointed it, applie thereto this following cataplafm. l&.flor.cbam.melil.anerh.rof.rub.fulv.an.ni.i.fol malv.& abfintb.an.rn.fi. furfur, m i. bulliant omnia fimul cum lixivio,&vino rubro, deinde fiftentur cum meduUaq>anis,& fa- ring fabarum, quantum fufficit, fiat catafilajma, addendo ol.rofar. & myrtin.an.ffii. Som highly ap- proov of this following medicine for the watteing of flatulencies. R.axung.fiuilZfiy. calcis vi- v<e,%ifi. terantur diligenterin mortario, & incorforata afphcentur. Or elf, R,fiercor.caprar.cofii cum vino & aceto, anRfi.tereb.venet.&mel.com.an.ffiiaq.vit#, %fi.ful.rad.Ireosflorent.&fabin.an. olei rut.& fabarum quantum JuJficit. Make a cataplafm to the form of a pultis. Allb ftoups dipped in oxycrate, and wrung out, lhall bee applied : in this oxycrate lhall bee boiled wormwood, origanum, chamomil, melilote, rue,common fait, adding there- to lorn aqua vita. Then the part lhall bee bound up as ftraight as the patient can endure it; in conclufion , that the native ftrength may by little and little bee reftored to the part, it lhall bee fomented with lee made of the afhes of oak-wood, and the cuttings of vines, wherein lhall bee boiled fait, fulphur, choice alum, and wetting linnen-clothes, or ftoups therein, and applying them, it lhall bee ftraightly fwathed up. Yet if great pain lhall more cruelly vex the part, then neglefting for a time the proper cure of the you lhall with- ftandthe fymptom by rubbing the part, and annointingit with lorn difcuffing oil, laying thereon lom moift wooll, and other anodyne things. In what joints flatulencies are chiefly ge- nerated. Signs of flatu- lencies. How flatulen- cies may make you belief there is pusf or matter. Why hard to cure* CHAP. XXII. Of the Ifehias, Hip-gout, or Sciatica, Or that the Hip-gout in the greatnefs of the caufles, bitternefe of pain, and vehe- mencie of other lymptoms, eafily exceed's the other kindes of Gout , therefore I have thought good to treat thereofinparticular.Thepain of the Sciatica is there- fore the moft bitter, and the fymptoms moft violent, for that the dearticulation of the huckle-bone, with the head of the thigh-bone, is more deep then the reft j becauf alfo the phlegmatick humor which caufleth it, is commonly more plenteous, cold, grofs, and vifeid, that flow's down into this joint: and laftly, becauf the Sciatica com- monly focceed's fbm other chronical difeaf, by realbn of the tranflation and falling down thither of the matter, becom malign and corrupt by the long continuance of the for- mer difeaf But the pain not onely trouble's the hip, but entring deep, is extended to the mufcles of the buttocks, the groins, knees, and verie ends of the toes, yea often times it * vexeth Why it hath the moft grie- vous iym- ptoms. The cauf of the large fpreading of the pain. Lib.18. Concerning the Gout. 463 vexeth the patient with a fenf of pain in theverie vertebra of the loins, fo that it make's the patients,*and alfo oftimes the verie Phyficians and Surgeons to think it the winde or ftone- colick. The cairfe of fitch wandering and difperfed pain is to bee referred to the manifold diftribiition ofthe itervs which com to that joint Trom the loins and bolie-bone, for they are lent into the miifcles of the buttocks y and fo dilperfed over the whole leg to the verie ends of the toes, as it is'fhewed in our Anatomic. Therefore the pain is largely extended, that is, to what part fdever a nervrun's which corn's from the atie&ed hip. Oftentimes there is no (welling, no redfiefs, nor diftemper manifeft to the eie, by reafon that the veins are verie few which rife into the (iirface and skin of this part, and the humor lies,as it were, funk in ; which is the caufthat diverf times the excrementitious humors mixed with flatu- lencie, run fa violently into the cavitie of this joint, that relaxing the ligaments, as well proper as common, the head of the thigh-bone is ealily driven out from hence, fo that it may never bee reftored again, if it remain fo for anie (pace of time; for that in this time the1 humor falling down into this cavitie, by delate concrete's as it were into a ftonie bodie,and the head of the thigh-bone wear's it lelf another cavitie in the neighboring bone; but the lips of the true cavitie, which are griftlie, becom more ftraight and depreft: and laftly, all the ligamentous bodies moiftned with this excrementitious humor becom more loof and weak}whence (ucceed manic and moft grievous lymptoms; as lamenefs, and the decaie not onely of the thigh anil leg, but at length of the whole bodie; and laftly, a flow and heftick fever, which in conjjnuance of time will continue the patient for the caufles formerly men- tioned. Thereto Phyficians and Surgeons have a care that they refift it at the firft,and, with luch powerfet remedies as are mentioned in the following Chapter,hinder thelpring- ing up and growth of the formerly mentioned (ymptoms. The thigh- bone often diflocatcd by the Sciatica. CHAP. XXIII. Hoe cure of the Sciatica. Hough the Sciatica bee commonly occafioned by tough phlegm, yet if the pa- tient bee (li*ong,and abound with blood,and all things elf confent3it (hall bee good to draw blood by opening a vein; for phlebotomie equally evacuate's • all humors .-therefore the falling down of the humors into the part alfeftedj* 1 is thereby hindered or retarded. Verily, I have known no fpeedier remedie to alfwage the pain of inflammation, then blood-letting, beeing firft made on the Bafilica of the grieved lide for revulfion's fake; and then for evacuation of the conjunct matter on the vena Ifchiadica, which is at the out-fide of the ankle , if the pain of the Sciatica bee more on the out-fide; or elf on the Sapbeia, which is on the in-fide of the ankle,if the inner parts bee more pained. The quantitie of blood which is to bee drawn , mull bee left to the judgment of the Phylician , without whole advice I would attempt nothing in this cafe. Alfo acrid gly tiers are good,if there bee nothing which may hinder; as ulcers of the guts , or hemor- rhoids. cbam.me- lil.anetb.anp.i.fem anif. &fxnic.an.%fi.fiat decociio ad fti. in colatura diflolve bierx & diaphen.an. antbof.facc. rub. an.%1. olei liliorum %iii.fiat clyfier. Strong purgations are alfo here ufe- full, as of pidul.fxtid.arthritic. 4flajeretb.de Hermodatiylis, and others ufed in phlegmatick cauf- les. Elettuarium Diacarthami purgeth choler and phlegm. Often vomitings do not onely eva- cuate the humors, but alfo make revulfion, as wee have formerly delivered. Baths & fweats profit no otherwife then a decoftion of Guaicum or farfaparil/a. If heat molefl the part, then foment it with oil of rofes and vineger, efpecially if the pain bee deep in, for vineger by its tenuitie pierceth to the bottom, and make's way for the oil, which of its own nature is ano- dyne. After the ufe of general medicines,you (hall applie attra&ive and refolving things: emplafters of pitch and fulphur, or of ammoniacum, eupborbium, terebintbina, propolis, galbanum, bdelium, Opopanax, draw the humor from within to the furface or skin. As in like fort alfo the chymical oil of fage, rofemarie , pellitorie of Spain , and fuch other like do the fame, which by reafon of the tenuitie of their fubftance, and their ieparation from earthie impu- ritie, have far more powerful and expedite faculties to penetrate and difcufs. Yet muft you ufe none of all thefe without verie good judgment and deliberation, otherwife there will bee danger of inflammation. There may alfo bee made fomentations ofdifcufling and refolving herbs,as the roots and leavs of dane-weeds, orris, bay and juniper-berries, the feeds of fenugreek, fennel,the leavs of fage, rofemarie, chamomile, melilote, elder, and the like, boiled in wine and oil: the following plafter is much commended by the antients to digell, or refolv and aflwage the pain , with this which draw's forth thorns, fplinters, and rotten bones. Rc.jem.urtic» mundat.fipumx borac.flalis ammoniaci,rad.ariftolocb. rotund, colocyntb. terebinth. venet.an.\x. fxnug* piperis longi,x)lobal[am.tbur.myrrbx, a dip is cap. gum.pifti, cer<e,ft>fi. lafiif ficus fylv-%fi> ex omnibus fecundicm artem prxparatis cum oleo liliorum, & vini generofi quantitate fufficientefiat emplaftrum. Let it bee applied to the hip. Or, Ec.finapi acerrimo aceto diffoluti, Jii. fermenti Rr 2 acris, Why wee muft open a vein in the Sciatica, When tbe vena Ifchiadica and Sapheia muft bee opened in the Sciatica. Strong purgi» tions inthe Sciatica. Concerning the (j out. 464 ■ i. ■■■ 11 'A 1 "" "- - 1 '■ ■" „ olei laur. deficit, an.^u.far.fatnug^fterr4e formicarum cum ovis, fti. fol.laur.falv.rut. roriftn- fermium-terreft. The earth with the eggs and worms fhall bee boiled apart with the whjte herbs cut in pieces, and thefe beeing drained out,the reft of the things fhalj .bep added according ;p art, and then it ihall bee applied to the hip. Or df, eo- quantur complete & terantur, trajiciantur per [etaceum, addenda farin. fxnug.& liorum, & cer<e It refoly's, aflwageth pain, and calleth forth the humors to the skin. Or elf, beat* Mari#,fyi. empl-dia- chyl.albi, in aqua vit& difioluti, $ii. pl-defticli nardi quantum fufficit, fiat empl. Let it bee fpread upon leather, and applied warm. I have oftentimes iuddenjy affwaged the pain of the Sciatica, by putting to the pained hip the root of black Bi jonie cut into flices, and applied,when the matter was cold.Or elf,R,cene citrine fimul in vafe duplici, & ubi reftixerint, adde flor.chamtmarid.flor. nardi, fior.thymi, an.yi. interiors cinamomi cleft. & croft, £iv.malaxantur fimul ma- nibus axungia porci vetere nonfalita unftis, & fiat mafia empl. But if the pain bee not by this means affwaged, then muft wee com to more powerful medicines, as to ufe great cupping- glafles applied with much flame, and to veficatories: As, fy.cantbarid. quibus detraftt funt alt, acerrimi incorporentur fimul, & fiat veficatorium. Alfo blifters may bee raifed by applying the inner rinde of Travellers-joy to the weight of fom two drams, a little beneath the grieved part: you muft have a care that the ulcers that re- main after the skin of the blifters is taken off, do run, and bee kept open for fbm time af- ter, that fo more of the humor contained in the part may bee drawn away. But if wee can- not avail by thefe means, wee muft, according to Hippocrates his counfel, com to the laft and extremeft remedie. Such (faith hee) as are troubled with a long pain of tbe Sciatica, have tbeir bip fall out of joint, tbeir leg confutne's, and they becom lame, unlefstbey bee burnt. Wee have alfb read the fame approved by Celfus. It is tbe laft (laith hee) and moft effeftual medicine in longer difeafes, to cauterize with hot irons tbe skin of tbe bip in three or four places , and then not to heal up thefe ul- cers orfontenels as foon as may bee, but to keep them open, by putting thereinto bullets of gold, or filver, or pills of gentian, or wax melted and wrought up with the powder of vitriol, mer curie, arid the like ca- tbereticks, until tbe afieft againft which wee ufe this remedie bee helped, for by this means manie have been helped. Therefore three or four aftual cauteries, or hot irons fhall bee fo thruft in about the joint of the hip, that they may enter into the flefh fom fingers breadth, yet fb that you fhun the nervs. Cauteries here do good, for that by heating the part, they heat and diffolv . the cold humors, they cut, attenuate, and draw forth the grofs and vifeid, fo that they flow out by the ulcers, together with the quitture. Over and befides, the ligaments are ftrength- ned by their cicatrization, and their loofnefs helped 5 and by this means the whole part is notably corroborated. Black brionie difcuficth. A ftrong vefi- catoric. The inner rinde of Tra- vellers-joy a veficatorie. Aep.uit.feft.6. 11. The ufc of cauteries in the Sciatica. CHAP. XXIIII. Of the flatulent convulfion, or convulfive contraction, which is commonly called by the French, Goute Grampe, and by the Engliffy, The Cramp. Hat which the French call Goutc Gramme, wee here intend to treat of, induced thereto rather by the affinitie of the name , then of the thing ; for if one fpeak truly, it is a certain kinde of convullion generated by a flatulent matter, by the violence of whole running down or motion , oftimes the neck, arms, and legs are either extended, or contracted into themlelvs with great pain, but that for a Ihort time. The cauf thereof is a grolsand tough vapor, infinuating it felf into the branches of the nervs, and the membranes of the mufcles. It take's one on the night, rather then on the day, for that then the heat and Ipirits ufually retire themfelvs into the entrails and centre of the bodie whence it is that flatulencies may bee generated,which will fill up, diftend and pull the part whereinto they run, juft as wee lee lute-ftrings areextended. This affeft often take's filch as fwim in cold water, and caufleth manie to bee drowned, though excellent Iwimmers, their members by this means beeing fo ftraightly contrafted,that they cannot by anie means bee extended. For the skin, by the coldnelsof the water is contracted and con- denied, and the pores thereof fhut, fo that the engendered flatulencies have no'paflage brth. Such as give themlelvs to drunkennels and gluttonie, or lloth and idlenefs, are ufu- ally more frequently troubled with this dileaf, by reafon of their heaping up of crudities. Therefore it is cured by moderate diet, and ordering of the bodie, and exercile of each part thereof; for thus they gather ftrength,and the generation of the flatulent matter is hindred. n the verie time when it take's one, the patient lhall bee cured by long rubbing with warm clothes, and aqua z/ite, wherein the leavs of fage, rolemarie, thyme, favorie, lavander, clovs, anger, and the like dilcuflmgand refblving thingshave been infufed. Theextenfionand icxion of the members or joints, and walking, are alfo good. What the Cramp is. The cauf thereof. Who fubjed thereto. The cure. The end of the eighteenth Book' Lib.ip. 465 Of the Lues Venerea, and thofe Symptoms which happen by mean's thereof. The nineteenth Book. CHAP. I. de French call the Lues-Venerea the Neapolitan difeaf 5 the Italians andi Germans (as alfo the Englilh) term it the French difeaf j the Latines call 1 it Pudendagra: others name it otherwife, But it make's no great matter how it bee called 5 if the thing it fell bee underftood: Therefore the Lues Venerea is a difeaf gotten or taken by touch, but chiefly that which is in unclean copulation 3 and it partake's of an occult qualitie, com- monly takeing its original from ulcers of the privie parts , and then further manifefting its felf by puftles of the head , and other external parts 3 ana jaitiy, mfe&ing the entrails and inner parts with cruel and no&urnal torment- ing pain of the head, fhoulders, joints, and other parts. In procefs of time,it caufleth knots, and hard tophi: andlaftly, corrupt's and foul's the bones , diflblving them, the flefh about them beeing ofttimes not hurt 3 but it corrupteth and weakneth the fubftance of other parts, I according to the condition of each of them, the diftemper and evil habit of the affe&ed bo- dies, and the inveteration or continuance of the morbiiick cauf For fom lofe one of their eies, others both : Som lofe a great portion of the eie-Iids, other-fom look verie gaftly, and not likethemfelvs,and fom becom fquint-eied. Som lofe their hearing, others have their nofes fall flat, the palat of their mouths perforated with the lofs of the bone Lthmoi- des, fo that inftead of free and perfeft utterance, they faulter and fumble in their Ipeech. Som have their mouths drawn awry, others their yards cut off, and women a great part of their privities tainted with corruption. There bee fom, who have the urethra or paflageof the yard obftrufted by budding caruncles, or inflamed puftles, fo that they cannot make water without the help of a Catheter, readie to die within a (hort time, either by the fuppreflion of the urine, or by a gangrene arifing in thefe parts , unlefe you fuccor them by the ampu- tation of their yards. Others becom lame of their arms, and other-fom of their legs, and a third fort grow iftiff by the contraction of all their members 3 fo that they have nothing left them found but their voice, which ferveth for no other purpofe but to bewail their mi- feries, for which it is icantly fofficient. Wherefore fhould 1 trouble' you with mention of thofe that can fcantly draw their breath by reafon of an Afthma : oc thofe whole bodies wafte with an heftick fever, and flow confamption ? It fare's far worf with thefe, who have all their bodies deformed by a leprofie arifeing there-hence, and have all their throttles and throats eaten with putrid and cancrous ulcers 3 their hair falling off from their heads, their hands and feet cleft with tetters and fcalie chinks: neither is their cafe much better, who, haveing their brains tainted with this difeaf, have their whole bodies fliaken by fits of falling-ficknels 3 who troubled with a filthie and curfed flux of the bellie, do continu- ally caft forth ftinking and bloodie filth. Laftly, there are no kindes of difeafes, no forts of fymptoms, wherewith this difeaf is not complicate, never to bee taken away, unlels the virulencie of this murrain bee wholly taken away, and impugned by its proper anti- dote, that is, argentum vivum. What the Lues Venerea is. What hurt it doth to the bodie. The Leprofie fomtimes the off-fpring of the LuesPe- neau. CHAP. II. Here are two efficient caufles of the Lues Venerea; the firft is, a certain occult and fpecifick qualitie, which cannot bee demonitrated; yet it may bee referred to God, as by whole command this hath aflailed mankinde, as a Icourge or puniffiment to reftrain the too wanton and lalcivious lulls of impure whore- mongers. The other is an impure touch or contagion, and principally , that which happeneth in copulation. Whether the man or woman have their privities troubled with virulent ulcers, or bee molefted with a virulent ftrangurie (which difeafcraftie Whores color by the name of the whites) the malignitie catcheth hold of the other; thus a woman R r 3 taketh Of the cauffes of hte Lues Venerea. The Lues Ve- nerea the fcourge of Whore-mon- gers. 466 Concerning the Lues Venerea. Lib.icj. taketh this difeaf by a man, cafting it in her hot, open and moift womb but a man taketh it from a woman, which, for example fake, hath (bm (mall while before received the viru- lent feed of a whore-mailer polluted with this difeaf the mucous fames whereof remaining in the wrinckles of the woman's womb, may bee drawn in by the pores of the (landing and open yard, whence (iicceed malign ulcers, and a virulent itrangurie. This virulencie, like a torch or candle fet on fire, will by little and little bee propagated and fent by the veins, arteries and nervs to the noble parts; whole malignitie a ftrong liver not endureing, by the ftrength of the natural expulfive facultie, will fend it into the groins, whereon follow abfeefles, therefore called Venereal Bubo's, Thefe, if they return in again, and caft not forth matter by beeing opened, they will, by their falling back into the veins and arteries, infeft the ma(s of the blood by the like tainture, and thence will enfue the Lues Venerea. Yet this difeaf may bee got by a more occult manner of touch, as by breathing onely. For it is not al togatheeije licks reafon and experience, that a woman long troubled with this difeaQ may by inrportunate and often kifling , transfufe malignitie into a childe ; for the tender and (oft (ubftance of a little childe may bee altered , infe&ed, and by little and little cor- rupted by receiving of filthie, and in their whole kinde malign vapors. For it is known, and now vulgarly beleeved, that mid-wives, by receiving the childe of a woman infefted with this difeaf, to have got this affeft , the malignitie beeing taken and drawn into their bodies through the pores of their hands by the paffages of the veins and arteries. Neither doth it fpare anie condition, (ex, nor age of men : for, not onely whofoever ufe copulati- on, but (uch as onely lie with them, may bee taken by this virulencie ; yea verily , if they onely lie in the (beets or coverings which retain his fweat, or the virulencie caft forth by an ulcer. The fame danger may aflail thole who (hall drink in the fame veflel after fuch as are troubled with this difeaf. For by the impure touch of their lips, they leav a virulent fames and (pittle upon the edges of the cup, which is no lefs contagious in its kinde then the virulencie of leprous perfons, or the fome of mad dogs. Wherefore it is no marvel if chil- dren nurfed by an infefted nurf, draw in the feeds of this difeaf together with the milk, which is onely blood whitened in the breafts; or infe&ed fucking children by their hot and ulcerated mouths, may transfufe this malignitie into the bodie Of the nurG by the rare,loof and porous (ubftance of the dugs which it frequently fucketh. This following hiftorie is verie memorable to this purpofe. A certain verie good Citti- zen of this Cittie of Paris granted to his wife, beeing a verie chafte woman, that conditio- nally lhee (hould nurf her own childe, of which lhee was lately delivered, lhee Ihould have a nurf in the houfto eaf her of fom part of the labor: by ill hap, the nurf they took was troubled with this difeaf; wherfore lhee prefently.infe&ed the childe,the childe the mother, the mother her husband, and hee two of his children, who frequently accompanied him at bed & board,beeing ignorant of that malignitie wherewith hee was inwardly tainted.In the mean while the mother when lhee obferved that her nurf-childe came not forward,but cried almoft perpetually, lhee asked my counfel to tell her the cauf of the difeaf; which was not hard to bee don,for the whole bodie thereof was replenilhed with venereal (cabs and puftles, the hired nurfes and the mother's nipples were eaten in with virulent ulcers;alfo the father's, and the two other children's bodies, whereof the one was three, the other four years old, were troubled with the like puftles and fcabs. 1 told them, that they had all the Lues Ve- nerea, which took its original and firft off-(pring by malign contagion from the hired nurf. I had them in cure, and by God's help healed them all, except the fucking-chi Ide, which died in the cure. But the hired nurf was foundly lathed in the prifon, and Ihould have been whipped through all the ftreets of the Cittie, but that the Magiftrate had a care to pre- ferv the credit of the unfortunate familie. Venereal Bu- bo's returning in again,oeca- fion the Lues Veneres. The Lues Ve- nerea may bee got.by the onely cotntnu nicationof vapor. How nurfes may infeft children, and they their nur- fes. An hiftorie. CHAP. III. In what humor the malignitie of the Lues Venerea reftde's. Hough in the opinion of manie the antecedent cauf of this difeaf bee the mals of blood containing the four humors, yet I had rather place the matter, and primarie, and chief feat thereof in grofs and vifcid phlegm infe&ed with the malign qualitieof the venereous venom, and from this beginning and founda- tion, I think by a certain contagious growth it (boner or later infeft's the o- ther humors, as each of them is difpofed or apt to fuffer. Of which my opinion there are manie arguments, but this chiefly, That by the evacuation of a phlegmatick humor, whe- ther by the mouth and falivation , or by ftool, urine, or fweat in men of what temper foever , whether cholerick, fanguine or melancholick, the difeaf is helped or cured. Se- condly, for that the excels of pain is more by night then by day, becauf then the phlegm bearing fway, fever's the perioftium from the bone, or elf oflend's it and the reft of the mem- branous and nervous bodies by the acrimonie of its malignitie. Thirdly, becauf the patients are hurt by the ufe of cold things, but uftially finde benefit by hot medicines, whether they bee Why the pain is worf upon the nightjthen on the day. Lib. 19. Concerning the Lues Venerea. 467 bee ointments, plafters fumigations, or whatfoever elf, inwardly taken, or outwardly ap- plied. Fourthly, for that in venereous puftles there is found a certain hardnefs at the root, though outwardly they make fhew ofcholer or blood. For beeing opened, you fhall finde them fluffed with a certain plafter-like andtophous matter, or elf with rough phlegm, or vifcous •> whence arife thefe hard tophi, orbonie excrefcences upon the bonesj if not from phlegmatick humors there heaped up and concrete. Fifthly, for that the fpermatick aud cold parts do primarily and principally feel the harm of this difeaf. Sixthly,for that the ulcerswhich over-fpread the bodie by reafon of this difeaf admit of no cure, unlefs you cauf fweats. Therefore if the matter of the difeaf and fuch ulcers as accompanie it, were hot and drie, it would grow worf, and bee rather increafed by a decoction of Guajacum, the roots of China, or jar jap ar ill a. Seventhly, becauf oftimes this difeaf the feed thereof beeing taken or drawn into the bodie, fb lieth hid for the (pace of a yeer, that it fhew's no fign thereof, which happen's not indifeafes proceeding from an hot matter,which caufleth quick and violent motions. By this it appeareth that the bafts and foundation of the Luet venerea is placed or dated in a phlegmatick humor ; yet may not denie, but that other humors con- fufed therewith may bee alfo in fault, and defiled with the like contagion. For there are fcarce anie tumors which proceed from a fimple humor , and that of one kinde, but as in tumors, fo here the denomination is to bee taken from that humor which carrieth the chief fway. This difeaf fomtimes lie's long hid in the bodie before it fliew it felf. CHAP. IV. Of the figns of the Lues Venerea. ■ Hen the Lues venerea is lately taken, malign ulcers appear in the privities, fuel- lings in the groins,a virulent ftrangurie nmneth ofttinies with filthie fanies which t proceeds either from the proftatt, or the ulcers of urethra ; the patient is trou- bled with pains in his joints, head, and (houlders,and as it were breakings of his arms, legs and all his members, they are wearie without a caul, fo that neither the foot nor hand can eafily perform his dude; their mouths are inflamed, afwelling trouble's their throats, which take's away their freedom of {peaking and (wallowing, yea of their verie (pittie puftles rife over all their bodies, but chiefly certain garlands of them engirt their temples and heads 5 the (bedding or lo(s of the hair, difgraceth the head and chin 5 and leannefs deformeth the reft of the bodie j yetallofthefeufenotto appear in all bodies, but fbm of them in fom. But the moft certain figns of this difeafare, a callous ulcer in the pri- vities, hard and ill conditioned, and this fame is judged to have the fame force in a progno- ftick, if after it bee cicatrized, it retain the fame callous hardnefs; the Bubo's or dwel- lings in the groins to return back into the bodie without coming to (uppuration or other manifeft cauf: thefe two figns, if they concur in the fame patient, you may judg or foretel that the Lues venerea is either prefent, or at hand 5 yet this difeaf happeneth to manie with- out the concourf of thefe two figns, which alfo bewraieth it (elf by other manifeft figns, as ulcers and puftles in the reft of the bodie, rebellious againft medicines though power- ful, and diicreetly applied, unlefs the whole bodie bee anointed with Argentum vivum. But when as the difeaf becometh inveterate, manie becom impotent to venerie, and the mali- gnitieand number of the (ymptoms encreaf, their pains remain fixed and ftable, verie hard and knotted tophi grow upon the bones, and oftimes they becom rotten and foul, as allo the hands and feet by the corruption of fait phlegm are troubled with chops or clefts, and their heads are (eazed upon by an opbia/is and alopecia whitifh tumors with roots deep faft- nedin, arifein fundrie parts of the bodie, filled with a matter like the meat of a chefnut, or like a tendon 5 if they bee opened they degenerate into diverf ulcers, as putrid, eating, and other fuch, according to the nature and conditon of the affe&ed bodies. But why the pains are more grievous on the night (eafbn, this may bee added to the true reafbn wee ren- 1 dred in the precedent Chapter, firft for that the venereous virulencie lying as it were afleep 1 is ftirred up and enraged by the warmnefs of the bed and coverings thereof 5 Secondly, by 1 reafbn of the patient's thoughts which on the night feafon are whollyturned and fixed upon the onely ob jeft of pain. The moft cer- tain figns of the Lues vene~ vet. Twoothersau- fes of the excels of pain in the night. CHAP. V. Of Prognoflickj. F the difeaf bee lately taken, aflbciated by a few fymptoms, as with fbm final num- ber of puftles,and little and wandring pains,and the bodie befides bee young and in good cafe, andtheconftitution of the feafon bee good and favorable, as the Spring, then the cure is eafie, and may bee happily performed. But on the contra- ries that which is inveterate and enraged by the fcllowfhip ofmanie and malign fymptcans, as The fignsof a cureable Lues veiKrcf, 468 Concerning Lues Venerea. Lib.19. as a fixed pain of the head, knots and rottennefs of the bones, ill-naturd ulcers in a bodie verie much fallen away and weak, and whereof the cure hath been alreadie fundrie times undertaken by Empyricks, but in vain; or elf by learned Phylicians, but to whole reme- dies, approved by reafon and experience, the malignitie of the difcaf and the rebellious vi- rulencie hath refuted to yeeld, is to bee thought incureable, efpecially, if to thefe fo manie evils, this bee added, that the patient bee almoft wafted with a confumption and heftick leannels, by reafon of the decaie of the native moifture. Wherefore youmuft onely attempt fuch by a palliative cure; yet bee warie here in makeing your prognoftick i for many have been accounted in a defperate cafe, who have recovered; for by the benefit of God and na- ture, wonders oftimes happen in difeafes. Young men who are of a rare or lax habit of bodie are more fubjeft to this difeaf, then fuch as are of a contrarie habit and complexion. For as not all who are converfant with fuch as have the or live in a peftilent air, are alike affe&ed; lb neither all who lie or accompanie with luch as have the Lues venerea, are alike infected or tainted. The pains of luch as have this difeaf,are far different from the pains of the Gout. For thole of the Gout return and torment by certain periods and fits,but the other are continual and almoft alwaies like themfelvs; Goutie pains poflels the joints, and in thefe condenf a plafter-like matter into knots; but thofe of the Pocks are ratherfaft- ned in the mid'ft of the bones, and at length dilfolv them by rottennefs and putrefaftion. Venereous ulcers which are upon the yard are hard to cure, but if beeing healed, they fhall remain hard and callous , they arefigns of the difeaf lying hid in the bodie. Generally, the Lues venerea which now reigneth is far more milde and eafie to bee cured then that which was in former times, when as it firft began amongft us : befides, each day it leemeth to bee milder then other. Aftrologers think the cauf hereof to bee this, for that the celeftial influences which firft brought in this difeaf in fuccefs of time by the contrarie revolutions of the Stars, lofe their power and becom weak; fo that it may feem fomwhat likely, that at length after lorn few yeers it may wholly ceaf; no otherwife then the dileaf termed Montana, which was verie like this in manie fymptoms, and troubled manie of the Romans in the reign of Liberia-, and the Lichen, which in the time of Claudius (who fuc- ceededTiberius) vexed not onely Italic, but all Europe befides. Yet Phyficians had rather take to themfelvs the glorie of this lefs rageing dileaf, and to refer it to the manie and wholfom means, which have been invented, ufed and oppofed thereto by the moft happie labors of noble wits. The figns of an incureable noe. How thefc pains differ from thofe of the gout. The Lues ve- nerea becom's more gentle then formerly it was. CHAP. VI. How manie, and what means there are to oppugn this difeaf. Why the deco ftion of Guai cam is not fufficient to impugn the difeaf. Anie forts of remedies have been found out by manie to oppugn and overcom this difeaf. Yet at this daie there are onely four which are principally ufed. Thefirftisbyadecoftion of Guaicum j the fecond by unftionj the third by emplafters, and the fourth by fumigation : all of them by Hydrargyrum, the firft excepted. Yet that is not fufficiently ftrong and powerful j for experience hath taught, that thedecoftion of Guaicum hath not fufficient ftrengch to extinguilh the ve- nom of the venereous virulencie, but onely to give iteaffor a time for becauf it heat's, attenuate's, provoke's fweat and urine, wall's the excrementitious humors by drying them, it feemeth to cure the for that thereupon, for fom time, the pain and all other fym- ptoms feem more remifs ; but thefe endeavors are weak and deceitful, as whereby that onely which is more fubtle in the humors in fault, is exhaufted and difperfed by fweat. But Hy- drargyrum, is a certain higher power, contain's therein all the power of Guaicum, yet much more excellent and efficacious; for befides that it heat*s,attenuate>s,cut's, refolv's and drie's, it provokes fweat andurine,and befides itexpel's noxious humors upwards and downwards, by the mouth and ftool. By which evacuations not onely the morefubtle,but alfo the more grofs and feculent excrements,wherein the feat of this difeaf is properly fixed, are difperfed and evacuated, by which the Phyfician may bee bold to allure himfelf of certain victorie o~ ver the difeaf. But after the uft of the decoftion of Guaicum, frelhpains aud knots arifeby thereliques of the more grofs and vifcous humors left in the cavities of the entrails 5 but Hydrargyrum leav's no reliques behinde it. Hydrargyrum is fufficient to overcom the difeff.' CHAP. VII. THat is preferred before the reft, which is of a great log, of a duskie color, new, gum- mie,with a frelh ftrong fmell, an acrid and fbmwhat biteing tafte, the bark cleaving verie dole to the wood. It hath a facultie to heat, rarifie, attenuate, attraft, to cauf iweat, and move urine, and befides by a fpecifick propertie to weaken (he virulencie of the Lues z>e~, 7ierea. How to make choice of the wood Guaicum. The facultic. Concerning the Lues Venerea. LlB.ip. 469 nerea. There are three fubftances taken notice of in this wood: thefirft is the bark,the other is a whitifh wood which is next to the bark, the third is the heart of the wood, that is the inner, blackifh, and more duskie part thereof. The bark is the more drie, wherefore you fhaUufeit when as you would drie more powerfully; themidle fubftance is more moift, becauf it is more fucculent and fet; that which lieth between both, is of a milde temper. Wherefore the two laft are more convenient for delicate natures and rare bodies, which re- quire lefs drying. Furthermore, the bark muft bee given to denf and ftrong natures, that by the more fierie force thereof, the humors may bee made more fluid, and the paflages of the bodie more paffable. But I would here bee underftood to mean fuch bark as not putrid & rotten with age,co which fault it is verie fubjeft,for that long before it bee (hipped by our people, the wood lieth in heaps upon the fhore in the open air, until they can tinde chap- men for it; which when it is brought aboard, it is flowed in the hold or bottom of the fhip, where beneath by the fea through the the chinks of the boards, and above by the mariners, it ufually gathereth much dirt. When it is brought hither to us, it is bought and fold by weight, wherefore, that it may keep the weight, the Druggifts lay it up in vaults and cellars underground, where the furface thereof bedewed with much moifture, can fcarce efcape mouldinefs and rottennefs. Wherefore, I do not like to give the decoftion either of the bark or wood which is next thereto to fick people. The parts. The hot and fierie facultie of the barks CHAP. VIII. Of the preparation of the decoblion of Guaicum. Jrft you muft have your Guaicum lhaved into (mall pieces, and to everie pound ' of the lhaveings, add of fair water eight, ten , or twelv pintes , more or left as c the nature of the partie, and condition of the diftaf lhall Item to require, ac- c cording to the rule ofthe formerly mentioned indications. Let the water bee ' hot or warm, efpecially if it bee in Winter, that (b it may the more eafily and throughly enter into the bodie of the wood , and draw into it felf the faculties thereof in the (pace of twentie four hours, wherein it is macerated; then boil it in in balnea, to avoid empyreuma, or tafte of fire, which it will contraft by boiling it over a hot fire. Yet fom, no-, thing regard this, but think the patient lufficiently ftrved, if they make a decoftion in an earthen-pot well glazed, over a gentle fire, fo that no part of the liquor may run over the mouth of the velleljfor that thus fo much of the ftrength of the decoftion might vanilh away. Howfoever it bee made,let it bee boiled to the confumption of half, a third,or fourth part, as the nature of the patient,and diftaf (hall ftem to require. There bee fom who mix diverf fim- ples therwith, which have an occult and proper fympathie with that part of the bodie which is principally hurt by the diftaf which at theleaft may lerv in Head of a vehicle to carrie the facultiesoftlftdecoftionthitherwherethedifeaf moft reigneth-Others add thereto purge- ing medicineSjWhole judgment I cannot approve of,for that I think it is not for the patient's good to attempt two evacuations at once; that is to expell the humors by (weat, by the habit of the bodie, and by purgeing by the bellie; for that as much urine, fo alfo much ' fweat lhew's little evacuation by ftool. Fortheft two motions are contrarie, which na-1 ture cannot brook at once. For purgeing draw's from the Circumference to the Center, but, (weat run's a quite contrarie courf, and this is the opinion of manie and great This firft decoftion beeing boiled out and (trained, the like quantitie ' of water lhall bee put to the ftulf, or maft, that lb beeing boiled again without anie further infulion, and (train- ed, with the addition of a little cinnamon for the ftrengthening of the ftomack, the patient may ule it at his meals, and between his meals, if hee bee drie, for his ordinarie drink. The quantitie of the firft decoftion to bee taken at once, ought to bee lorn five or fix ounces,and it (hall bee drunk warm, that lb it may bee the (boner brought into aftion, and left the a- ftual coldnefs Ihould offend the ftomach; and then the patient beeing well covered, lhall keep himftlf in bld,and there expeft fweat which if it comhlowly on,it lhall bee helped for- wards with ftone-bottles filled full of water, and put to the (bles of the feet. If anie parts 1 in the interim lhall bee much pained, they lhall bee comforted by applying of fwines-blad- 1 ders half filled with the fame decoftion heated. Neither will it bee unprofitable before the decoftion bee drunk, to ruboyer all the bodie with warm lihnen clothes,that by this means the humors may bee attenuated, and the pores of the skin opened. When hee (hall have fwet fom two hours, the parts oppofiteto the grieved places, lhall firft bee wiped, then pre- (ently, but more gently the grieved parts themftlvs, left a greater conflux of humors flow thereto. Theft things beeing don, hee lhall keep himfelf in bed, Ihunning the cold air until hee bee cooled and com to himftlf again, fom two hours after hee lhall (b dine, as the diftaf and his former cuftom lhall ftem to require; fix hours after, betakeing himftlf to his bed, hee lhall drink the like quantitie of the decoftion, and order himftlf as before. But if hee bee either weak, or wearie of his bed, it lhall bee (iiflicient to keep the houf without lying down » for although hee lhall not fweat, yet there will bee a great diflipation of the vapors The'proporti- on of the Gu<u- raw to the wa- ter. Why the deco- dion ought to bee performed with a drie heat. Whether it bee fit to add pur- ges to a deco- dion of Guai» cum. Hip.aph.ult. felt. 6. How, and in what quan title this decodion muft bee taken. Flow todrie the fweat of the >od.e. 470 Qoncerning the Lues Venerea. LiB.iy. vapors, and venenate fpirits, by inftniible transpiration 5 for the Lues venera by the onely communication of theft, often times catchethhold3and propagates it felf in lying with a bedfellow tainted therewith. Butasitisrequifitetohave let blood, and purged thebodie by the advice of a Phyfician, before the takeing of the decoftion of Guaicum ; fowhil'fthee doth take it, it much conduceth to keep the bellie foluble (which is much bound by the heat anddrienefsofiiich adrink)andtopreftrvthe puritie of the firft veins by a glyfter, or laxative medicine taken everie fifth, or fixth day. But for the uftot it, wee muft warily obftrv, takeing indication, not onely from the malignitie and contumacie of the diftaQ but allo from the particular nature of the patient 5 for filch as have their bodie wafted by heat & leannefs,8c their skin drie and fcalie(whence you may gather a great aduftion of the humors,&,as it were,a certain incinerationof the habit of the bodie)muft more fpareingly make uft of theft things, but rather temper thebodie by humefting things taken inwardly, and applied outwardly, as bathes, ointments without Quick-lilver, and Other fuch like ■things. Andthtna verie weak decoftion ofGuaicum [hall bee uftd for a few daies before your un&ion with Quick-filver. A more plentiful diet, as it draw's forth the difeaf^which of its own nature is long, fo a more fpareing and (lender diet make's the ulcers more rebel- lious and contumacious,by a heftick drienefs. Therefore a middle courf muft bee kept, and meats made choice of which are fit, and na- turally engender good and laudable juice in the bodie. For it is not onely great ignorance, but much more crueltie, to go about to contein all patients without anic difference, within the ftrait allowance of four ounces of Ship-bisket, & twelv damask prunes : for I judg it far better to diet the patient with Lamb,Veal,Kid, Pullets,fat Larks, and black-birds, as thoft which have a greater familiaritie with our bodies, then Prunes and the like Junkets. Let his bread bee made of white wheat, well levened, neither too new, or tough, neither too old or hard. Let his drink bee made of the mafs, or {trainings of the firft deco&ion of Guaicunf boiled with more water, as was formerly mentioned; yet if there ariftanie great weakneft of the faculties, you may permit the uft of fom little wine, drinking efpecially before each a cup of the laft mentioned deco&ion. Let him avoid deep preftntly after meat, for fo the head is filled with grofs vapors. Paffions, or perturbations of the minde muft alfo bee avoi- ded, for that by theft the fpirits are inflamed and diflipated 5 all the delights of honeft plea- fiire are to bee defired, but venerie wholly avoided, as that which weaken's all the nervous parts. Manie in ftead of a decoftion of Guaicwn, uft a decoftion of China. Now this China is the root of a certain Rulh, knottie, rare,and heavie, when it is frelh, but light when it is waxed oldj it is alfo without finell,whence manie judg it void of anie effeftual qualitie,ir is brought into ufe out of India,it it thus prepar*d,it is cut into thin round flices,boil'd in foun- tain or.river water, and is given to patients to drink morning & evening after this manner. .J&. rad. chin, in aqut font, tkxii.infundantur per hor. xii. & coquantur ad confum- ption. tertia partis. Let him take Jvi. in the morning, and fo much at night 5 let him expert afweatin his bed: afeconddecoftion may bee made of the mafs remaining of the firft, but with a left quantitie of water put thereto, which alfo by longer boiling may draw forth the ftrength remaining in the mafs, and bee uftd at meals for ordinarie drink. There are fom , who make a third deco&ion thereof,but that is wholly unprofitable & unufeful. SarfapariUa is prepared alfo juft after the fame manner. How long this dccoftienmuft bee ufed. The manner of diet. To whom,and what manner efwinetmy bee allowed The descripti- on of china. The preparati- on. OtSvfarefilla. CHAP. IX. Of thefecond manner ofcureing the Lues Venerea, which is performed by fritlion or untiion. When the Bo- die muft bee prepared with hume&ing things before unftion. »He cure of the Lues Venerea which is performed by undion and fridion is more certain, yet not in everie kinde, condition and feafon thereof. For ifthedieaf bee inveterate from an humor, tough, grofs, vifcous, and more tenacioufly fi- xed in the (olid parts, as you may gather by the knottie tumors of the bones; for then wee are fo far from doing anie good with afridiortufedatthefirft, that on the contrarie wee bring the patient in danger of his life,unlefs wee (hal have firft pre- pared the humor to expulfion,by emollient and digefting things firft ufed.But if it bee lately taken with moveable pains, puftles,and ulcers in the jaws, throat and privie parts,then may it bee eafily cured without fuch preparatives, Specially if the humor bee fufficiently obedi- ent, and as it were prepared of it felf, and its own nature. Therefore firft ufeing general medicines, you may afterwards com to ufe the undion with Hydrargyrum. CHAP. X- Of the choice preparation and mixing of Hydrargyrum. HTdrargyrum which is deer, thin, white and fluid, is thebeft: on* the contrarie, that which is livid, aud not fo fluid, is thought to bee adulterated by the admixture of fom Lib.ij?. Concerning the Lues Venerea. 471 lead. That it may bee the purer, ftrain it through fom fheeps-leather,forby prefling it,when it is bound up, it pafleth through by its fubtiltie, and leav's the filth and leaden droft behinde it on the infide. Then it may bee boil'd in vineger with fage, rofemarie,thyme, ca- momile, melilcte, and ftrained again, that fo manie waies cleanfed, it may enter into oint- merits and plafters: To kill it more furely, it fhall bee long wrought, and as it were ground in a mortar,that it may bee broken and feparatedinto moft fmall particles,that by this means it may not bee able to gather it (elf into the former bodie: to which purpofe you may alfo add lorn fulpbur, or fublimate, as wee fhall fliew hereafter. It is moft ufually mixed with hogs- greaf, adding thereto lbw oil of turpentine, nutmegs, cloves, fage?and Galen s treacle. If a Leucopblegmatia together with the Lues Venerea affeft the bodie, then hot, attenuateing, cut- ting and. dying things fhall bee added to the medicine, which fhall bee provided for unftion; the fame fhall bee don when as wee would have it to enter into the liibftance of the bones. But if the patient bee of a cholerick temper, and his blood eafie to bee inflamed, you fhall make choice of left hot, attra&ive and dilcufling things. As when the bodie {hall bee reple- nifhed with knottie and fcirrhous tumors,or fqualid by exceflive drinefs,then fhall emollient and hume&ing things mixed therewith. But that fuch ointments may have abetterconfi- ftence, I ule to add to each pound thereof, four, five, or fix yolks of hard eggs. Therefore this fhall bee the form of the ointment called Vigoes. R. axung- porci3 fti. olei cbamxm. aneth. mafticb.&laurini, an.%1. ftyrac. liquid. $x. rad enulx, camp, paritm trite, & ebuli,an%m. pul. eu- vini odorif. tki.jbulUant omnia fimul ufque ad confumptionem vini, deinde colentur; colatur# adde Ijthargyr# auriffyii. tburis, mafticb. ref-pini,$ifi. tereb venet fi. argenti vivigiv. cert alb<£,%ifi. liquefaflisoleis, cumceraincorporentur omnia fimul, fiat Unimentum ad ufum. argenti vivi preparation fulpuris vivi, axung. porci, falls expcrtisfiLi. vitellos ovorum fub cineribus cotiorum, nu. iii. olei terebinth. & laurini, tberiac. vet. & fiat linimentum ut artls eft. You fhall compole it firft the fublimatum and fulpbur fhall bee finely poudred, then 1dm part of the Argentum vivum and hog-greafput to them, then pre- fently after, fom of the hard yolks of eggs, continually and diligently ftirring and mixing them all together. All thefe beeing well incorporate, add fom riiore Argentum vivum, hogs- grea£ and yolks of eggs,and incorporate them with the former; at the laft add the oils,then treacle, and methridate, and fo let them all bee beaten together for a whole daies {pace, and thus you (hall make an oinment of a good confiftence, which I have often ufed with good fticcefs. Yet the hogs-greaf fhall bee firft boiled with the hot herbs good for the finews, as fage, rofemarie, thyme, marjerom, lavander and others which the feafon affords. Forfo the axungia acquired a more attenuating facultie,and confolidateing of thole parts which the Lues Venerea afflift's. Befldes, when unguents are made for this purpofe, that fiich virulencie may bee drawn from within outwards, by fweats and tranfpiration throughthe pores of the skin, no man need doubt, but that they ought to bee furnifhed with relaxing,and ratifying, and attra&ive faculties. But axungia, befldes that it verie fit ro kill the Argentum vivum, it al- fo relaxeth and mollifieth. Now Oleum laurinum, de fpicti, rutaceum, rarifie, digeft and alfwage pain. Turpentine alfo extinguifheth and bridleth the Argentum vivum, moderately heat's, refolds and ftrengthen's the nervous parts. But Argentum vivum is the proper antidote of the Lues Venerea, as that which cure's it howfoever ufed, drying by the fobtiltie of the parts,and provokeing fweat. Verily Treacle and Methridate fomwhat conduce to retund the virulen- cie of t hi s'difeaf,but unlefs Jrgtvzfww vivum affift as a ferret to hunt, and an Alexiteriumto impugn the difeaf,they can do no great matter HowtokilUr- gentumvivum, What to mix therewith. , An unftion , withargrBWw , vivum. Another. How to make it. How to pre- pare the hog's- greafbefore you mix the ar- gentum vivum therewith. CHAP. XI. He bodie and humors apt to caufor nourifli a plethora or inflammation, beeing prepared by digeftive firups, and evacuated by purgeing and bleeding as is fit- ting,according to the direftion of fom Phyfitian,the patient (hall bee (hut up in a parlor or chamber, hot either by nature or art, and free from cold blafts of winde. f or cold is moft pernitious in this both for that it hurt's the nervous parts, alreadie ill affefted by reafon of the difeaf,as allo for that it leflen's the efficacie of medicines. Wherefore maniedo ill in this, who, whether .in winter or dimmer, annoint their patients in a large room, expofed on eyerie fide to the windes. They deal (bmwhat more wifely, who put a cloth faftned like half a tent prefently behinde the patient, though annointed by the fire-fide, fo to keep away the cold air from him. Yet it is fafeft to fet, and annoint the patient either in a little room, or elfin fom corner of a large room, (eparated from the red or the room by fom hangings, and building a dove, or makeing (dm fire therein, for fo hee bee may ftand or fit as heebeft like's, the longer, and with the lefs offence, and bee equally beared on everie fide, whereas fuch as are annointed in a chimney by a fire's fide cannot but bee heated unequally, beeing readie to burn on the one fide, whil'ft the other is cold, which motions are contrarie and hurtful to that wee require: befides,if the patient (hall bee weak, hee How to ufe the VnOtion. Cold moft hurtful to fuch as are troubled with the venerea. 472 Concerning ?Ae LuesVenerea. Lib.ip hee cannot Rand and endure the heat of the fire. Or if hee bee IhamefacY, hee will bee un- willing to (hew all his bodie at once naked to the but hee may without anie harm3 and with modeftie3 lying on a bed in a little room3 wherein a Rove is made, have all his linis annointed about the and prelently bound up> either with floups5 or carded cotton3 or brown paper. CHAP. XII. Ifbat cautions to bee obferved in rubbing or annointing the Patient. The patient, if it may bee con- veniently don, muft bee an- notated fall- ing. £e fhall bee annointed or rubbed over with the ointment in the morning, the concoftion and diftribution of the meat beeing perfefted, which funftions o- therwife would not bee well performed, the powers of nature beeing diftra- fted into feveral operations. Yet if the patient fhall bee weak, you may fom hour before the unftion,give him fom gellie, the yolk of an egg, or fom broth made of meat, boiled to pieces, but verie fpareingly, left nature, intent upon the concoftion offolid meats, or in great quantitie, fhould bee drawn away from that which wee intend. At firft,let onely the joints of the lims bee annointed,as about the wrefts, elbows, knees, anckles, fhoulders. But afterward, if the patient fhall bee more ftrong, and a greater commotipn of the humors and bodie feem necelfarie, the emunftories of the prin- cipal parts may alfo bee annointed, and the whole fpine of the back j yet haveing much care, and alwaies fhunning the principal and noble parts, left wee fhould do as thofe butcherlie Empericks do, who equally, and in like manner daub and rub over all the bodie, from the foies of the feet, to the crown of the head: moreover, diligent regard muft bee had of thofe parts, which are feazedupon by the fymptoms of this difeaef, that they may bee more an- nointed,and that it may bee more throughly rubbed in.Yetyou muft alwaies begin your an- nointing or rubbing at thofeparts which are lefs offended,left the humors fhould bee drawn in greater meafure to the grieved part. And as gentle frications do not Efficiently open the pores of the skin, fo more ftrong and hard ones fhut them up, cauf pain, and more plenti- fully attraft the morbifick matter. Wherefore it will bee more couvenient to ufe mode- rate friftions, takeing indication from the ftrength of the patient, as that whereto wee muft ftill have the chief regard. There is alfo another thing whereto the Phyfician and Surgeon muft diligently attend, as that, which if it bee not carefully prevented,will either haften the death of the patient, or make him ftibj eft to a relapG that is,the quantitie of the remedies and unftions, and the number of the friftions. Which confideration, together with that which is of the degrees of the temperaments of the whole bodie, and each part thereof, much trou- ble's the mindcs of good Phyficians, and maketh the art conjeftural, it is far from beeing at- tained to by Empericks. Yet wee muft endeavor by method and reafbn, that by the rule of indications fbfrequently mentioned, wee may attain to the knowledg thereof, as near as ■ may bee.For to have perfeft knowledg hereof,and to fay that thofe need onely four, others live, and otherfbm Hx,more or fewer friftions at the beginning, which Empericks common- ly do, is a thing both impoflible and vain. All thefe muft bee changed and ordered accord- ing to the malignitie and continuance of the difeaf and the condition of the affefted bodies. Verily wee muft fo long ufe friftions and unftions, until the virulent humors bee perfeftly evacuated by fpitting and falivation, by ftool, urine, fweat, or infenfible tranfpiration. Which you may underftand by the falling away and drying up of the puftles and ulcers, and theceafing of the pains and other fymptoms proper to this difeaf. In manie, by reafon of the more denfand compaft habit of the bodie nature is more flow in excretion. Yet I have learn't by long experience, fhat it is beft to annoint and chafe fiich twice in a daie,to wit, morning and evening, fix hours after meat. For fo you fhall profit more inonedaie, then - by the fingle friftion of three daies. But on the conV'aie, 1 have often,and with good fiiccefs, rubbed over but each other day more rare and delicate bodies, giveing them one or two daies reft to recolleft their ftrength,which by the too much diffolution of their fpirits becomming too weak, were not fufficient to cxpell the reliques of the morbifick matter. And certainly about the end of the appointed friftion, efpecially when as the patient begin's to flux at the mouth, the bodies, together with the noxious humors are made fo fluid by the means of the precedent friftion,that one friftion is then more efficacious then two were at the beginning. Therefore as Galen bid's, when as the difeaf is great, and the ftrength of the patient infirm, that wee fhould part our blood-lettings, and draw a little and a little at once; fo alfo here when as wee fhall obferv nature ftirred up, and readie bent to anie kinde of evacuation by the mouth, ftool, or other like; you ought not to ufe anie unftion or friftion oftner then once in a daie 5 yea, certainly it will bee better to intermit for fom few daies. For thus Ma[- fa report's, that there was a certain man who almoft wafted with a confumption beeing con- tinually afflifted with the moft grievous pains of this difeaf and reputed in a defperate cafe by other Phyficians, was notwithftanding at length recovered by him, when as hee had an- nointed him thirtie fevcn times, putting fom time between for the recoverie of his ftrength. I my In what places the bodie muft bee anno inted. Where to begin the unftion. What it is that m»keth the art ofPhyfickcon- jeftural. Who muft bee rubbed over once, who twice in a daie and who but e- verie other drie. Llb.de ven* Lis-ip- Concerning the fines Venerea. 473 I rify felf have obferved others, who thus, by the interpofitipn of one or two daies, bceing robbed over fom fifteen or feventsen times, have perfed ly recovered. Wherefore you mtift take this courf iurefolved arid weak bodies, yet in the you have a care, that ths fridions bee not too weak, and fo few, that themorbifick caufmay not bee touched to .the quick : for in this kinde of difcaf nature doth not of ififelf endeavour aniecrz/b,' or1 excretion; it require's the auxiliarie forces of medicines, by whole afliftance it may expel! [ all the malignitie. Thefe are iigns of fuch a crifif, either at hand, or alreadie pref ent, if the J patient bee fo reftlefs,, fo loath all things, that hee cannot remain in one place either B Hadding or lying, bee can neither eat nor drink, if hee bee opprefled with a continual S wearihefs, aimoil readie to (wound, yet have a good and equal pulf, and gripeings in his f: bcllie aftiid him with bloodie and vifcous dejedions, until at length nature after one or twodaies portion ofthemorbifick matter.beeingfpent,bee fomwhat free'd, and all pains' and Symptoms fo much abated, as the excretions have proceeded. But whereas medicines arb not fuflicient in number or ftrength, there follow's an impcrfed cri/is, which leav's be- hiridc it fom reliques of the morbifick matter, which like leaven do fo by little and little infed the whole mafs of the humors, that oftimes after ten years fpace, the difcaf rifetjf as out of an ambtifh, or lurking-hole, and becom's far worfthen before- But wee muftin like 1 manner have a care leaft thefe medicines, that are either given inwardly , or applied out- c wardly, bee not tooftrong : for by cauffing fuch colliquation of the radical moifture and J folid parts, manie have been brought into an incureable confumption. In others fordid and putrid ulcers have thence arifen in the mouth, which having eaten a great part of the pal- late and tongue, have degenerated into a deadly Cancer. In others hereupon the tongue hath fo fwelled up, that it hath filled the whole capacitie of the mouth, fo that it could not beg bended to anie part of the mouth for chawing, whereupon they have by little and lit- tle been famifhed. In other fom there hath been caufled fo great colliquation of humors, that for a whole moneth after, tough and filthie Haver hath continually flowed out of their mouths. Other fom have the mufcles of their jaws relaxed; others troubled withacon- vuifion, fo that dureing the reft of their lives they can fcarce gape. Others, by lofing a portion of their jaw, have loft fom of their teeth. But you muft not alwaies fb long an-: nointand chafe the bodie, untila flux of the mouth or bellie appear. For you may finds fundrie perfbns,who, if you fhould annoint or rub them to death, you cannot bring them to flux at the mouth; yet thefe will recover notwithftanding, excretion beeing made ei- ther by infenfible transpiration, or evacuation of urine, or fom gentle flux of the bellie, either procured by art, or comming of itfelf. In which cafe I have oblerved that manie£ have received much good by a purgeing decoftion of Guaicum, adminiftred according to the jr quantitie of the peccant humor, and given for lorn daies in the morning, adding thereto o white wine, if the bodie abounded with tough and vifeid humors. Dyfenteries, or £ bloodie Fluxes caufled by unftions, may bee helped by glyfters , wherein much Hogf-greaf is diflblved to rotund the acrimonie caufled by the medicine and humor which nourifheth the Dyfenterie. Alfo new treacle diflblved in new milk, is thought wonderfully to miti- tc gate this fymptoni. ft Nature is not fufficicntly a- ble to expel the virulent matter. Signs that the crifa is nigh. Inconvenien- ces following upon immode* race unftions. For what per- lons a purge- ing decodion of Guwnm is good. The cure of a Dyfenterie oc- cafioned by too ftrong fridion. CHAP. XIII. Of the third manner of cure, which it performed by cerates, and emplafterst as fubftitutes of unfiions. Or that fundrie by reafon of the name abhor the life of fri&ion,which is per- formed by the fore-mentioned ointments, therefore there is found out an- other manner of cure by cerates and emplafters , as lubftitutes of Frictions, but that ufually is fbmwhat flower; for which purpofe it is not needful onely to ufe the things which are described by Figo, but you may alfo devife other,which are more or left anodyne,emollient, attenuating,dilcuffing, or drying,according to the condition of the prefent difeaf, fymptoms,humors and patient, ne- ver omitting Hydrargyrum, the onely antidote of this difeaf. Such emplafters mitigate pains and knots, and refolv all hardnefs, and are abfolutely verie effeftual, for continually flick- ing to the bodie,they continually operate. Wherfore they are of prime ufe in relapfes of this difeafjor when the humors are thick and vifcous, or otherwife lie deep in the bodie,and ve- rie difficult to root out. But for that they work more (lowly oftimes, fiich as ufe them are forced at length to ufe fom friftions to ftimulate nature,and caufthe Reedier excretion.Yet in fom whofe bodies and humors have been fluid, either by nature or art, the applied em- plafters have in three daies (pace procured evacuation fiifficient for the difeaf, lb that if they fiad not been taken away, they would have caufled a colliquation,like that which wee lately mentioned in too violent friction. Wherefore you (hall ufe the like difcretion in takeing of theft,as you uft in your unftions and fri&ion. In ftead ofemf.de Vigo,this following may bee fitly uftd. ft.mafft emf.de melii;& oxycrocei,an.tbfi.argenti oko laurino, & de ftica, S f rfducantur The cure by emplafters more flow.' In what cafe they are chiefly ufcful. The defcripti- oo of an cm* pl after. Concerning the Lues Venerea. LlB.Ip. 474 reducdntur ad for mam emflaftri. Theft*plafters muft bee equally .fpread upon lether, and laid upon the fame places of the joints, as were formerly mentioned in the cure by friftions.Yet foni there bee, who cover with the plafter all the arm, from the hand even to the fhoul- der , and all the leg from the top of the knee, even to the ends of the toes, which thine I do not difallow of, if fo bee that the places of the joints bee covered over with a thicker plafter. They muft bee left flicking there fo long, until nature bee ftirred up and provoked to caufexcretion of the virulent'humors. Yet if in the interim great itching fhall arift in the parts, you may take them off fo long dhtil the parts fhall bee fomented with a decoftion of the flowers of camomile, melilote, red rofes, and the like made in wine, to difcufsthat ivhich cauled the itching, and thin yoti may lay them on again. Som, to hinder the rifting of anie itch, lay not the bare plafter to the part, but cover it over with farcenet, fo to keep it from flicking, ai)d thus intercept the tranfpiration of the part, thecaufofitchingThey fhall bee ftrongef or weaker, and lie to the part a longer or Ihorter (pace, as long as the indica- tions, fo often formerly mentioned, fliall feem to require. The effefts of emplafters are the fameas offriftionsj for they cauf excretion, one while by infenfible tranfpiration, other- whiles by a Diarrhea,or flux ofthebellie; fomtimes by urines, but moft frequently (which Crifis is alfo moft certain)by falivation.Sordid and virulent ulcers often breed in the mouth, tongue, pallate and gums by falivation, by reafon of the acrimonie of the virulent humors adhering to the fides of the mouth : to hinder the growth of theft, manie in jeft glyfters made of eijnollient things, efpecially at the beginning of the falivation, fo to draw down- wards the humors forceibly flying up in greater quantitie then is fit , although the partit: felf may endure them. There are alfo fom, who to the fame end give a purgeing medicine at the verie time when as thehnmorsarereadie to move upwards, the which I think is not afafecourf The cure of foch ulcers is far different from the cure of others. For they ought by no means to bee re- percufled or repelled, how inflamed foever they bee, but onelytobee mitigated by garga- rifins, fo onely to leflen the heat,and that by this frequent Walhing of the mouth, you may hinder the flicking or furring of vifeid humors to fuch like ulcers. A decoftion of barlie, co w'f-milk warm,held and gargled in the mouth, the mucilages of the feeds of mallows, marfh-mallows, ffilium, lettuce, line extracted in the water of barlie, mallows, and pellito- rie of wall, are good for this purpofe; for thus the ulcers becom more milde, and the tena- citie of the adherent humors is looted. Y ou muft at the firft beware of ftrong detergent me- dicines, for almoff all fuch have acrimonie joined with them, which will encreaf the pain* but chiefly in the ftate of the difeaf: for fo, the ulcers gently cleanfed by frequent gargling, Would becom worf by the ufe of acrid things. Therefore it fhall bee fufficient to make ufe of the fore-mentioned medicines, fo to hinder the encreaf of the filth, and inflammation of the ulcers, if fo Beethat fuch ulcers bee not too exceeding malign and burning. For if ft fhall happed either by the powerful efficacie of the applied plafters, or by the violence of na- ture in its motion of the ill humors upward, that fuch ftore of vifeous and grots humors are carried to the mouth, that it want's little, but that the part it felf is over-ruled by the mor- bifick matter, fo that by the violence and continuance of the flux,the mouth and jaws becom fb (welled, that a gangrene is to bee feared, by hindering the entrance of the fpirits, and ex- tinguifhing of the native heat of thefe parts. In this cafe wee are forced to leav the proper cure for to withftand the accidents, and for this purpofe wee ufe reftri&ive and repelling things, fuch as are barlie water, plantain, night-(hade, knot-grafs, and the like, with fyrup of rofts, violets, quinces, berberies, pomegranates and the like; alfo fuch are the mucilages and deco&ions of the feeds of lettuce, quinces, plantain,night- ihade, water-lillies,wood-bine,&c. Alfo it is convenient to procure fweats by ftoves,or the application of anie hot and drie things; for thus the humors which run forth of the veflels into all the furface of the bodieare diverted. But when as the courfof the humors running to the mouth, is beginning to flop, and the tumors and ulcers begin to leflen, then nothing hinder's, but that wee may ufe gently detergent things, as, fyrup. rofarum ftccarum, mel rofatwn, Diamoron, Dianucum, and the like. But when it is time to drie the ulcers, they may bee lightly touched with alum-water, or with acua fortis, fuch as Gold-fmiths have ufed for the feparation of metals. They may alfo frequently ufe drying gargarifms made with aftri&ion of the waters of rofes, plantain, night-fhade, fhepherd's-purf, knot-grafs, and dog's-tongue, boiling therein balau- ftia, rof. rub. myrtil. fumacb, alumen. acacia t berber. gall* malicor. and the like. Dureing the time of fluxing or falivation you muft diet and feed the patient with liquid meats, and thofe of good juice, and eafie digeftion, for that then hee can neither chaw, fwallow, nor digeft hard things. For nature wholly intent upon the excretion of the noxious and peccant humors, as alfo weakfted by the bittemefs of pain, watchings, and unquietnefs, and confequently a great refolu- tion of the fpirits, cannot infift powerfully upon the work of conco&ion. Therefore hee fhall bee fed with rear new-laid eggs, caudles of the fame, barlic-creams, cullefles made of ia decoftion of knuckles of veal > and a capon, and gellies, and with What excreti- on beft in this difeaf. To avoid the ulcers of the mouth. To cure them. Reftriftive and repelling gargarifins. To drie the ul- cers of the mouth. Manner of diet when the mouth is ulce- rated. Lib.ip. Concerning the Lues Venerea. 475 with thefe in (mall quantitie,but frequently adminiftred,alwaies gargling his mouth before heeeat. For his drink hee (hall ufe a deco&ion of Guaicum aromatized with a little cinna- mon ; but if anie defire that the drink (hall becom nourishment., for that the patients cannot fee don more folid meats, you may give them old wine, claret and thin, mixed with (bm barlie-water. Som there are who fteep fom crums of pure manchet in the forefaid wine,and then prefs it out, but yet fo, that there may fbm part of the bread remain therein,which may make it more nourifhing, and lefs fharp or acrid. Others fteep bread hot out of the oven,in wine, for the fpace of a night, then they diftil it all over in balneo the liquor which firft com's over is more ftrong and hot, but that which flow's out afterwards, more milde, and fuch as the patient may ufe to mix with his wine without anie danger , for his better nourishment, and the recoverie of his ftrength. For to refrelh the fpirits in fear of fainting, muskedine, hippocras, ro(e-vineger, and the like, put to the nofe to fmell to, will bee (ufficient, unlefs peradventure the patient fliould naturally abhor fuch things,for fo they would rather dejeft the powers and fpirits.In the in- terim,you. muft have care of the bellie,that you keep it open by gentle and emollient glyfters. To make their i drink nourifli- I ing* CHAP. XI111. □m have deviled a fourth manner of cureing the Lues Venerea, which is by pj/t- tus, or fumigations. I do not much approov hereof, by reafon of limdrie ma- lign fymptoms which thence arife, for they infeft and corrupt by their vene- mous contagion, the brain and lungs, by whom they are primarily and fully received, whence the patients dureing the refidue of their lives have {linking breaths. Yea, manie while they have been thus handled, have been taken hold of by a convulfion, and a trembling of their heads, hands, and legs, with a deafnefs, apoplexie, and laftly, miferable death, by reafon of the malign vapors of fulphur and quick-filver, whereof cinnabaris con- flit's, drawn in by their mouth, note, and all the reft of the bodie. Wherefore I can never ap- proov the ufe ot fuch fumigations which are to bee received in fumes by the mouth and no* ilrils for to work upon the whole bodie; yet I do not difl ike of that, which is undertaken for fom one part onely, as to drie up ill-conditioned ulcers, which fo affeft it, that they cannot bee overcom by anie other means, or for to difperfor digeft knots, orto refolv fixed pains, otherwile unmoveable. Thefe fumigations, by reafon of the admixture of argentum vivum, have an attenuating, cutting, refolving, and colliquating facultie. Thole who pre- pare theie fumigations for the cure of the whole difeaf and bodie, take this courf They put the patient under a tent or canopie made clofe on everie fide, left anie thing fhould ex- pire, and they put in unto him a veflel filled with hot coles, whereupon they plentifully throw Cinnabaris, that fo they may on everie fide enjoy the rifeing fume, juft after the lame manner as Farriers ufe co finoak their horfes for the glaunders : they repeat this everie day fo long, until they begin to flux at the mouth. The principal matter or bafis of luch fumi- gations, as wee have alreadie noted, is Cinnabaris confifting of fulphur and argentum vivum mixed together 5 there is added alfo, radix ireos flor. thus, olibanum, myrrhajuncus odoratus, afl'a odorata, mafliche, terebinthina, & theriaca, all which have a facultie to refolv and ftrengthen the Ipiri tSj) and nature, and correft the flinch and evil qualitie of the argentum vivum.There are alfo other fumigations made after another manner,but that alfo when as the argentum vivum is extinft,and as it were fix't after this manner;let fom lead bee melted,& let there be poured or put thereto lorn argentum vivum, then let it all bee powdred, adding thereto antimonie, a- loes, maftich, coprefs, orpiment,and benjamin made into powder, and framed into Trochi- Ices with fom turpentine. Or R cinnabaris, rub.& calamity, nucis benzoinifl$.excipe terebintb.fiant trocbifci fonderis $ii. for the fore-laid ufe. The terebinthina is added to incorporate the drie things , and the gums are added to yield matter to the fume. But virulent ulcers of the Lues Venerea fhall not bee fumigated before they bee cleanfed j alfo this following fumigation is good. Rc.cinnab.Q. benzoini, myrrh#, ftyracis, olibani, ofofanacis, an. m acis, thuris, terebinthina, &flat [uffumigium. Of the fourth manner of cureing tbe Lues Venerea. The hurt that follow's upon fumigations. lWhat fumiga- f tionsgood. The common manner of ufingthem. The matter of them. Trochifces for fumigations. CHAP. XV. T'be cure of the Jymptoms, or affeEis of the Lues Venerea: andfirft, of the Vleers of the Yard. Allous and malign ulcers in this difeafmay grow all over the yards but thefe are far more malign which arife on the prepuce, then thofe that grow on the Glans, or nut of the yard. Now they are rebellious to the common medicines of ulcers which happen other-waies, and they are allo fiibjeft to turn into a gangrene, fo that fundrie, who have not in time provided for themfelvs by S f 2 the The ulcers cf the prepuce more malign then thofe of the Glans, 476 Qoncerning the Lues Venerea. LlB.ip. the life of argentum vivum, are forced for their negligence to fuffer the lofs of their Glam, and oftimes of their whole yard* Yet I am of opinion, that I think wee muft begin the cure of all ulcers of the yard with the general remedies of ulcers. For all ulcers arifing in thefe parts by reafon of copulation, are not virulent. But when as wee fhall finde that wee doe no good by this means, and that the difeaf notwithftanding grow's worf and worf, then muft wee com to make ufe of fuch things as receiv argentum vivum, that by thefe wee may re- lift the virulencie which is readie to difperf it felf over all the bodie, yet it is abfolutely ne- ceflarie that all thefe things bee endued with fuch faculties as may retund the malign acri- monie of this venom, fuch an one is this following collyrium of Vc.vini albi, fti. aq'rof.& plan.ag. an.quart.i. viridis aloes, myrrb#, terantur fubtili/fi- nie, & fiat collyrium- Alfo thefe ulcers may bee profitably touched with mercurie-water , or aqua fortis which the Gold-fmiths have ufed, or elf mercuric in powder, or our tgyptiacum : but the falling away of the Efchar fhall bee procured with bafilicon, or frefh butter. Yet I think it not fit to ufe thefe acrid things without verie great caution, for fear of a gangrene, which eafily happen's to this part. But if fuch ulcers are fo ft ubborn , that they will not yeild to thefe remedies, then muft we com to the fri&ion or unftion of the groins , perine- um, and ulcers, with the ointments formerly prefcribcd for the general fri&ion. Alfo fumi- gations may bee made, as wee mentioned in the former chapter. For thus at length the ma- lignitieof the virulent humor will bee overcom, and the callous hardnefs mollified sand laftly, the ulcers themfelvs cleanfed, and beeing cleanfed, confolidated. Somtimes after the perfeft cure offuch ulcers, there will appear manifeft figns of the Lues Venerea in manie, which fhewed not themfelvs before, for that the virulencie flowed forth of the running ul- cers, and now this vent beeing ftopt, it flow's back into the bodie, and fhew's figns thereof in other parts j and thefe men have need of a general unftion. Lanfranck's eollyrium. * This which by out Autor is here termed Stranguria vt'rtf lent a, and in French Chaudepif- fe, is the fame which by other Autorsis ufual- ly termed Cjonor- that virulent a, and by us vulgar- ly in Englifh.TAe running of the reins. CHAP. XVI. How a Gonorrhoea differeth f om a * virulent Strangurie. Ven to this day .verie manie have thought that the virulent Strangurie hath fom affinitie with the Gonorrhoea of the Antients, but you lhall underhand by that which follow's, that they are much different. For a Gonorrhoea is an tfn- voluntarie effufion of feed running from the whole bodie to the genitals, by realbn of the refblution and palfie of the retentive facultie of thele parts, as it is delivered by Galen, lib.de lac.affect. This dileaf befalleth others by the colleftion of the blood and fcminal matter by the.veffels of the whole bodie, which not turning into fat and good flefli, take's it courf to the genitals ; but on the contrarie> a virulent Strangurie is a running, or rather dropping out of the urinarie paflage, pf ayellowifh, livid, bloodie,fil- thie fanies, like to puf, or matter not well concofted, oftentimes fretting and exulcerating the pallage with the acrimonie, and caufling a painful erection of the yard, and diftenlion of all the genital parts. For in thisere&ion there is caufled as it were a convulsive con- traftion of thele parts. And hence it is that the patients complain, that they feel as it were a flring flretched ftiff in that part, which draw's the yard as it were downwards. The cauf hereof is a grofs and flatulent Ipirit, filling and diftending by its plentie, the whole chan- nel or hollow nerv ; yea verily, the whole porous liibftance of the yard. If to thele Sym- ptoms this bee added, that the urinarie paflage bee exulcerated, a grievous pain afflift's the patient, whil'ft hee make's water, for that the ulcers are irritated by the (harp urine palling that way. Such a virulent ftrangurie or running of the reins oftirnes continueth for two or three years Ipace: but the Gonorrhea, or running of the feed cannot endure fo long , but that it will bring the bodie to an extreme and deadlie leannels, for that the matter of the feed is of the more benign and laudable portion of the blood, as you may perceiv by thole who have too immoderately ufed copulation but the fpace of one night. I* or Rich have their faces more lean and lank , and the reft of their bodies enervated , languiflieth and becom- meth dull. By this wee have delivered, it may bee perceived that the running of a virulent ftrangurie, is not the running of a feminal humor, fit for generation of ifliie, but rather of a vilcous and acrid filth, which hath acquired a venenate malignitie by the corruption of the whole liibftance. What a viru- lent ftrangu- rie is. The cauf of the convulfive diftenfion of the yard. Vid. Ant. de- fin.med.apud Galen. What kinde of matter floweth forth in a viru- lent ftrangu- ric. CHAP. XVII. Of the causes and differences of tbcfcalding, orfbarpnefs of the urine. He heat or fcalding of the water, which is one kinde of the virulent. ftranguiie, arileth from fom one of thele three caufles; to wit, repletion, inanition, and contagion. That which proceeds from repletion, proceed's either from too great abundance of blood, or by a painful and tedious journie in the hot fun, The cauf* of a particular re- pletion of the privie parts. Concerning the Lues Venerea. Lib.19. 477 or by feeding upon hot, acrid, diuretick and flatulent meats caufling tenfion and heat in the urinarie parts, whence proceed's the inflammation of them and the genital parts, whence it happen's that not onely a leminal,but alfo much other moifture may flow unto theft parts, but principally to the pro ff ate, which are glandules lituate at the roots, or beginning of the neck of the bladder, in which place the Ipermatick veflels end; allb abftinence from venerie caufleth this plenitude in fom who have ufually had to do with women , elpecially the ex- pullive facultie of the ftminal and urinarie parts beeing weak, fo that they are not of them- ftlvs able to free themftlvs from this burden. For then the fupprefled matter is corrupted, and by its acrimonie contra&ed, by an adventitious and putredinous heat, it caufleth heat and pain in the paflage forth. The proff ate Iwelling with liich inflamed matter, in proceft of time becom ulcerated, the abftefs beeing broken. The purulent fanies dropping and flow- ing hence alongft the urinarie paflage caufles ulcers by the acrimonie, which the urine fal- ling upon,exafperate's; whence Iharp pain, which allo continueth for lorn Ihort time after makeing of water, and together therewith by reafon of the inflammation, the pain's attra- ction, and the vaporous fpirit's diftenfion, the yard Hand's, and is contracted with pain, as wee noted in the formed Chapter. But that which happen's through inanition, is acquired' by the immoderate and unfit ufe of venerie, for hereby the oilie and radical moifture of the J fore-mentioned glandules is exhaufted, which wafted and fpent, the urine cannot but bee J troublefom and Iharp by the way to the whole urethra. From which ftnf of Iharp pain, the fcalding of the urine hath its denomination. That which com's by contagion, is caufled by impure copulation with an unclean perlon, or with a woman, which fom fliort while before hath received the tainted feed of a virulent perlon, or elf hath the whites, or her pri- vities troubled with hidden and ftcret ulcers, or carrieth a virulent»lpirit ihutup or hidden there, which heated and refafcitated by copulation, preftntly infeCFs the whole bodie with the like contagion,no otherwift then the fting of a Scorpion or Phalangium, by calling a lit- tle poifon into the skin, prelently infect's the whole bodie, the force of the poifon ipread- ing further then one would believ, fo that the partie fall's down dead in a Ihort while after. Thus therefore the leminal humor contained in the proftate, is corrupted by the tainture of the ill drawn thence by the yard,and the contagion infeCFs the part it felf ; whence follow's : an abftels, which calling forth the virulencie by the urinarie paflage, caufleth a virulent ftrangurie 5 and the malign vapor carried up with lorn portion of the humor unto the en- trails and principal parts, caufthe Lues Venerea. Thecaufies of the inanition of the genital parts. ■ The reafon of a contagious ■ ftrangurie. CHAP. XVIII. Ee ought not to bee negligent or carelels in cureing this affeft , for of it pro- ceed,pernicious accidents,as wee have formerly told you, and neglefted, it be- com's uncureable, fo that (bm have it run out of their urinarie pallage dureing their lives 5 oftimes to their former milerie is added a luppreflion of the urine, tne projtat* and neck of the bladder beeing inflamed and unmealurably (welled. Copulati- on,and the ule of acrid or flatulent meats increaf this inflammation , and allb together therewith caul an Ifcburia , or ftoppage of the urine; they are worf at the change of the Moon : certain death follow's upon fuch a ftoppage; as I oblerved in a certain man , who troubled for ten years fpace with a virulent ftrangurie, at length died by the ftoppage of his water. Hee tiled to bee taken with a flopping of his urine, as often as hee tiled anie vio- • lent exercile, and then hee helped himfelf by putting up a filver Catheter, which for that purpole hee ftill carried about him 5 it happened on a certain time, that hee could not thruft it up into his bladder, wherefore hee lent for mee , that I might help him to make water, for which purpofe when 1 had ufed all my skill, it proved in vain : when hee was dead, and his bodie opened, his bladder was found full, and verie much diftended with u- rine, but the groftat£ preternaturally (welled, ulcerated, and full of matter relembling that , which formerly ufed to run out of his yard, whereby you may gather, that this virulencie flow's from the proftat£, which run's forth of the yard in a virulent ftrangurie,and not from the reins, as manie have imagined. Certainly, a virulent ftrangurie, if it bee of anie long continuance, is to bee judged a certain particular Lues Venerea, fo that it cannot bee cured unlefs by frictions with Hydrargyrum. But the ulcers which poflels the neck of the bladder are eafily dilcerned from thefe which are in the bodie or capacitie thereof. For in the later the filth com's away as the patient make's water, and is found mixed with the urine, with certain firings or membranous bodies comming forth in the urine: to theft may bee added, the far greater flinch of this filth which iflueth out of the capacitie of the bladder. Now muft wee treat of the cure of both thefe diftafts, that is, the Gonorrhoea and virulent Stran- gurie; but firft of the former- Prognofticky in a virulent Stranguries A virulent ftrangurie continue's with fom dureinj their lives. An hiftorie, From what part the mat- ter of a viru- lent tie flow's. Sf 3 CHAR 478 Concerning the Lues Venerea. Lib.19 CHAP. XIX. 'Ibe chief beads of cureing a Gonorrhoea. Et a Phyfician bee called, who may give dire&ion for purgeing, bleeding and diet, if the affeft proceed from a fulnefs and abundance of blood and leminal matter; all things fhall bee Ihunned which breed more blood in the bodie,which increaf feed,and ftir to venerie. Wherefore hee mult abftain from wine, unlefs it bee weak and aftringent, and hee muft not onely efchue familiaritie with women, but their verie pictures, and all things which may call them to his remembrance, Specially if hee love them dearly; ftrong exerciles do good, as the carrying Of heavie burdens even un- til they fweat, fwimming in cold water, little fleep, refrigerations of the loins and genital parts, by annointing them with unguentinn rofarum refrigerant Galeni & nutritum , putting thereupon a double cloth fteeped in oxycrate, and often renewed. But if the refolution or weakneis of the retentive facultie of thele parts bee the cauf of this dileaQ contra&ed by too much ule of venerie before they arrive at an age fit to perform fiich exercile; in this cafe ftrengthning andaftringent things muft both bee taken inwardly, and applied outwardly. But now I haften to treat of the virulent Strangurie, which is more proper to my purpole. Diet. For a ftrangu- rie occafioned by repletion. For the decaie of the reten- tive facuhie. CHAP. XX. Tbe general cure both of tbe fcalding of the watert and tbe virulent Strangurie. Diet. Ee muft diverfly order the cure of this difeaf,according to the varietie of the cauf- fes and accidents thereof. Firft, care muft bee had of the diet , and all fuch things (harmed as inflame the blood, or cauf windinefs; of which nature are all diure- tick and flatulent things, as alfo ftrong and virulent exercifes. Purgeing and bleeding are convenient, efpecially, if fulneft caufthe affeft. Womens companies muft bee (banned and thoughts of venereous matters; the patient ought not to lie upon a (oft bed, but upon a quilt or matterice, and never, if hee can help it, upon his back : boiled meats are better then rofted, efpecially boil'd with forrel, lettuce, purflain, cleanfed barlie,and the four cold feeds beaten : for fauce, let him ufe none, unlefs the juice of an orange, pome- granate, or verjuice •, let him Ihun wine, and in (lead thereof ufe a deception of barlie and liquorice, an bydromel, or bydrofaccarum with a little cinnamon, or that which is termed Potus divinuf. In the morning let him (up of a barlie cream, wherein hath been boiled a no- dulus of the four cold feeds beaten together with the feeds of white poppie ; for thus it refri- gerated}, mitigateth and cleanfeth 5 alfo the fyrups of marffi-mallows and maiden-hair are good. Alfo purgeing the bellie with half an ounce of Caflia, (bmtimes alone, otherwhiles with a dram or half a dram of Rubarb in powder put thereto, is good. And thefe follow- ing pills are alfo convenient. ■pilul.Jine quibus rbei elect/ %ft.capbur<e gr.iiii. cum te- rebinthina formenturpilulgj let them bee taken after thefirft fleep. Venice turpentine alone, or adding thereto fom Rubarb in powder , with oil of fweet almonds newly drawn with- out fire, or (dm fyrup of maiden-hair,is a lingular medicine in this cafe , for it hath an ex- cellent lenitive and cleanfing facultie, as alfo to help forwards the expulfive facultie, to caft forth the virulent matter contained in the pro flats. You may by the bitternefs perceiv how it refift's putrefa&ion, and you may gather how it perform's its office in the reins and uri- narie parts, by the fmell it leav's in the urine after the ufe thereof. But if there bee anip who cannot take it in form of a bole, you may eafily make it potable, by difldiving it in a mor- tar with the yolk of an egg, and fome white wine, as I learned of a certain Apothecarie, who kept it as a great fecret. If the difeafcom by inanition or emptinefs, it (hall bee helped by fattie injections, oilie and emollient potions, and inwardly takeing and applying thefe things which have the like facultie , and (Running thefe things which caufled the dif- eaf How to cure that which happen's by contagion, or impure copulation, it (hall bee a- bundantly (hewed in the enfuing Chapter. Pills. T he force of Venice-tur- pentine in this ctifeaf* How to bee made potable. CHAP. XXL I\ .-1 Irft, wee muft begin with the mitigation of pain , and haying the inflammati- | r/v on, which (hall bee performed by makeing injection into the urethra, with this following decoCtion warm. Be fem. pftlii, lafluct, papav. albi, plantag. cydon. Uni, j J byofcyanti albi, detrabantur mucores in aquis [olani & rofar. ad quantitatem Juf- u±___ ..-±11 fl ci ent ent, adde trocbifc.alborum Rhafis camphoratorum in pollinem redafiorum, fimul,& fiat injetfio frequent. For thisbecaufit hath a refrigerateing facultie, will help the inflamma- The proper cure of a virulent Strangurie. An injeftion to flay inflam' mation. LiB.iy. Concerning the Lues Venerea. 479 inflammation, mitigate pain, and by the mucilaginous facultie lenifie the roughnefs of the urethra, and defend it by covering it with the flimie fubftance, againftthe acrimonie of the urine and virulent humors. In head hereof you may ule cow's milk newly milked,or warm- ed at the fire. Milk doth not onely conduce hereto, beeing thus inje&ed, but alfo drunk, for it hath a refrigerateing and cleanfing facultie, and by the fubtiltie of the parts it quick- ly arrive's at the urinarie pafl'ages. Furthermore, it will bee good to annoint with cerat.re- friger.Galeni addita campbora, or with ceratum centalinum, ung.comitifa, or nutritum, upon the re- gion of the kidnies, loins and perineum, as alfo to annoint the cods and yard. But before you ufe the forefaid ointments or the like, let them bee melted over the fire, but have a care that you make them not too hot, leaft they Ihould lole their refrigerateing qualitie, which is the thing wee chiefly defire in them. Haveing ufed the forefaid ointment,it will bee con- venient to applie thereupon fom linnen clothes moiftened in oxycrate, compofed etc aquis plantaginif, jolani, [empervivi,rofarum, and the like. If the patient bee tormented with into- lerable pain in makeing water, and alfo fom fmall time after, as it commonly commeth to pafs, I would wifli him that hee Ihould make water, putting his yard into a chamber-pot filled with milk or water warmed. The pain by this means beeing aflwaged, wee muft com to the cleanfing of the ulcers by this or the likeinje&ion: R.bydrometitif frr.de rojis Jiccir,& de injeciio- But if there bee need of more powerful detection,you may fafely add, as I have frequently tried,a little egyptiacum. I have alfo found this follow- ing decoftion to bee verie good for this purpole. R. wzz albi odoriferi, Ibfi. aquar. plantag.& tris, ty.alo'es pulverifanda,& bulliant fimul. Keep the decoition for to make injeftion withall. You may increafor diminifh the quan- titie and force of the ingredients entring into this compofition, as the patient and difeaf fhall feem to require. The ulcers beeing thus cleanled, wee mult hafren to drie them, fo that wee may at length cicatrize them.This may bee don by drying up the fuperfluous moiilure, and ftrengthning the parts that are moiftned and relaxed by the continual defluxion , for which purpole this following deco&ion is verie profitable. Rc.aq.fabrorum, ibi.pftdiarum, ba- lauft.nucum cupref.conquaflatorum,an.%ifi.femin. Jumacb.&berber.an.^ii.fyrup. rofar. & de abfintb, decotiio. You may keep it for an injeftion to bee often injefted into the urethra withafyringe, fo long as that there fhall no matter or filth flow over thereat, for then there is certain hope of the cure. The faculties ofmilkagainft a virulent ftranjurie. How to make water without pain. Detergent in- jedions. How the cleanfed ulcers may bee dried. CHAP. XXII. Of Caruncles, or flefbie excrefeences which fomtimes happen to grow in the Urethra, by the heat or fcalding of the urine. Sharp humor which flow's from the Glandules, termed Proftate, and continu- ally run's alongft the urinarie paflage, in fbm places by the way it fret's, and exulcerate's by the acrimonie the urethra in men , but the neck of the womb in women. In thefe, as allo is ufual in other ulcers, there fomtimes grow s up a fuperflous flelh, which oftimes hinder's the calling orcomming forth of the feed and urine by their appropriate and common paflage, whence manie mifehiefs arife; whence it is that fuch ulcers as have caruncles growing upon them mult bee diligently cured, But firft Wee muft know whether they bee new or old. For the later are more difficultly to bee cured then the former, becauf the caruncles that grow upon them becom callous and hard, beeing oftimes cicatrized. Wee know that there are caruncles, if the Catheter cannot freely pafs alongft the paflage of the urine, but finde's fo manie flops in the way,as it meet's with caruncles that flop the paflage; if the patient can hardly make water, or if his water run in a verie fmall ftreatn, or two ftreams, or crookedly, or onely by drop and drop, with fuch tormenting pain, that hee is readie to let go his excrements , yea and oftimes doth id, after the fame manner as fuch as are troubled with the ftone in the bladder- After makeing water, as alfo after copulation, fom portion of the urine and feed ftaie's at the rough places of the caruncles, fo that the patient is forced to prefs his yard, to prefs forth fuch reliques. Somtimes the urine is wholly flopped , whence proceed's fuch difteniion of the bladder, that it caufleth inflammation, and the urine flowing back into the bodie, haften's the death of the patient. Yet fomtimes the urine thus fuppreft, fweat's forth preternaturally in fun- drie places, as at the fundament, ■perintunt, cod, yard, groins. As fbon as wee, by anie of the fore-mentioned figns , fhall fhfpeft that there is a caruncle about to grow, it is expedient forthwith toufe means for the cure thereofj for a caruncle from a verie little beginning doth in a ffiort time grow fo big, that at the length it becom's incureable: verily, you may eafilyguefs at the difficultie of the cure by that wee have formerly delivered of theeflence hereof, belides, medicines cah verie hardly arrive thereat. The fitteft feafon for the under- takeing hereof is the Spring, and the next thereto is Winter ;yet ifit bee verie troublefom, you muft delaie no time. Whileft the cure is in hand, the patient ought wholly to abftain from venerie, for by the ufe thereof, the kidnies, fpermatick veflels, projtat£, and the whole yard, How caruncles com to grow upon the ul- cers of the ge- nital parts. Callous carun- cles hard co cure. Signs. The fuppreft urine com's forth whereas it can get vento The fitteft time for the cure. Why venerie muftbee cfchued. 480 Concerning the Lues Venerea. Lib.ip. yard, fwell up and wax hot, and draw to them from the neighboring and up- per parts, whence abundance of excrements in the affe&ed parts, much hindering the cure. You muft beware of acrid and corrodeing things in the u(e of detergent injeftions, for that thus the urethra beeing endued with moft exquifite fenf, may bee eafily offended, whence might enfue manie ill accidents. Neither muft wee bee frighted, if at fom times wee fee blood flow forth of fecret or hidden caruncles. For this help's tolhorten the cure, becauf the difeaf is hindered from growth, by takeing away portion of the conjunct matter, the part allb it felf is eafed from the oppreffmg burden, for the material caufof caruncles is fu- perfluous blood. Wherefore unlefs fuch bleeding happen of it felf, it is not amifs to procure it by thrufting in a Catheter fomwhat hard, yet with good advice. If the caruncles bee inve- terate, and callous, then muftthey bee mollified by fomentations, ointments, cataplafins, plafters, and fumigations ; you may thus make a fomentation. Bcrad.altb.& lilior.alb.an.%bf. ' rad.bryoni*, & fol malvar. violarum, parietar. & mercur.an. m.f3. fem. Uni. fcenugr.an. ping.nu.xii.florum chamxm.& contundenda,incidenda incidantur, bulliant omnia in aqua communi: make a fomentation, and applie it with fbft fponges. Of the mafs of the ftrained-out things, you may make a cataplafm after this manner. Bc.pr*ditfa materialia, terantur, & trajiciantur, adde axungi* porci, unguenti bafiliconU, cataplafma: let it bee applied prefently after the fomentation. You may u(e this following liniment whil'ft the cataplafm is providing. Bc.unguenti alth.& agripp* an cefipi humid*, & axung. human an%i.butyri recent#, olei lilior.& chamoem. liquefiant fimul, addenda aqu* vit* %i.fiat linimentum: let it bee applied outwardly upon the part wherein the caruncles are. For the fame purpofe plafters (hall bee applied, which may bee diverfified, and fitted as you (hall think good; yet Emplaftrum de Vigo truly made, exceedeth all the reft in a mollifying facul- tie, and in wafteing (uch callous hardnefs. The following fumigation is alfo good for the " fame purpofe; take (bm pieces of a mill-ft one (for this wee ufe in ftead of the pyrites men- tioned by the Antients) or elf fome bricks of large fize, after they are heated hot in the fire, let them bee put into a pan, and (et under a clofe ftool, then cauf the patient to fit thereon, . as if hee were going to ftool, then pour upon the hot ftones equal parts of verie (harp vine- ger, and verie good aqua vit*, and calling clothes about him , that nothing may exhale in vain: let himreceiv the affeending vapor at his fundament, perineum, fcrotum, and urethra- Moreover, that this medicine may work the better effeft, you may put the patient naked in- to the barrel noted with this letter A. (b that hee may fit upon a feat or board perforated on that part, whereas his genitals are, then place the pan, holding the hot ftones between his legs, then prefently fprinkle the ftones with the fore-mentioned liquor, by the door marked with the letter B. Thus the patient (hall eafily receiv the fume that exhale's there- from, and none thereof bee loft, hee covering and vailing himfelf on everie fide. Such a fo- • migation in Galen's opinion, hath a facultie to penetrate, cut, refblv, foften and digeft feir- rhous hardnefles. The paticular cure. A fomentation A ataphfm. A liniment- rigo's empla- fter efFedual to foften a Ca runclc* kfuffumigwn AdGlauc.lib.i up.f. A Barrel fitted to receiv the fume in. CHAP. LiB.ip. Concerning the Lues Venerea. 481 CHAP. XXIII. JVhat other remedies fhal! bee ufed to Caruncles occafioned by Hie Lues Venerea. lit ifyou fufpeft that thefe Caruncles com or are occafioned by a virulent hu- mor, or the malignitie of the Lues venerea, it is meet that the patient obferv fuch a diet as ufually is prefcribed to fuch as are troubled with the Lues Venerea; let himufe a decoftion of Guaicum, and let the ferin<eum and the whole yard bee an- notated with ointment made for the Lues Venerea-, otherwise the Surgeon will lofe his labor, fa the interim, whil'ft hee (hall fweat in his bed, hee fhall bee wifhed to hold between his legs a ftone-bottle filled with hot water, or elf a hot brick wrapped in linnen cloaths, moiftened in vineger and aqua vite for thus the heat and vapor will affcend to the genitals, which..together with the help of the applied ointment, will diflblv the matter of the Caruncles, and beeing thus fbftened, they muft bee confiimed with convenient medicines. Wherefore firft it they becom callous,or cicatrized (which you may fufpeft if they caft forth no excrementitious humiditic) they fhall beeexafperated, excoriated and torn with a leaden Catheter. haveing a rough button at the end like a round file. Hee fhall fo long ufe the Cathe- ter put into theUrethra, thrufting it up and down the fame way fo long and often as hee fhall think fit for the breaking and tearing the Caruncles, hee fhall permit them thus torn to bleed freely,fb to eafthe affefted part. You may alfo for the fame purpofe put into the Ure- thra the Catheter marked with this letter B; whereinto putting a filver wier fharp at t,he up- per end, that by often thrufting it in and out it may wear and make plain the refilling Ca- runcles. Verily, by this means I have helped manie much perplexed with the fearful danger of this difeafi Som better like of the Catheter marked with this letter A, beeing thus ufed: it is thruft into the Urethra with the prominent cutting fides downwards, and then prefling the yard on the outfideclofe with your hand to the Catheter in the place where the Carun- cles are, it is drawn forth again. Particular de- faults of the Lues Venerea not to bee cu- red unlefs by the general re- medie ofthe vi~ tulencie. Caruncles, if callout, muft firft bee foft- ned> Catheters fit towear afunder> or tear Caruncles. A fbewetb the Catheter with the inferted filver wier, but not hanging forth thereat. B fbewetb the Catheter with the inferted filver wiar banging forth at the end. The Caruncle thus torn fliall bee ftrowcd over with the following powder, beeing verie effectual to wafte ard confume all Caruncles of the privities without much pain. Ik. herb, fabin. in umbra ocr<e, antimon, tuth. pr<eparat.an.t$. fiat pulv. fubtilifjimus, let it bee ap- plied in the following manner. Put the powder into the pipe or Catheter haveing holes in the*fides thereof, the which is the lowermoft of the laft defcribed. Then put the Catheter into the urinarie paflage until the flit or opennefs of the fide com to the Caruncle,then into the hollownels of the Catheter put a filver'wier, wrapped about the end with a little linnen rag, which as jt is thruft up, will allo thruft up the powder therewith, until it fliall com to the flit againft the caruncle, then will it adhere to the caruncle, bloodie, by reafon of the late attrition. Then fliall you draw forth the Catheter, firft twineing it about,that fo it may not fcrape off the powder again. If intolerable pain hereupon happen,it fhall bee aflwaged, and the inflammation reftrainedby the following injection. Ik. fuccorum portulac<e, plantag. folani, & fempervivi, album ovorum.nu.vi. agitentur diu in mortario plumbeo; let it beein- je&ed warm into the urethra with a lyringe. In ftead hereof you may alfo make ule of ano- ther injeftion, which is formerly prefcribed. Neither will it bee unprofitable to applie re- percuflives to the genitals, to hinder pain and inflammation. You may alfo ufe other medi- cines, haveing a facultie to confume the Caruncle, amongft which thefe following are ex- cellent, A powder to wafte Carun- cles. How to applic it. An injedion to hinder in- flammation. 482 Concerning the Lues Venerea. LlB.ip. An emplaftcr 0 ufed by the Surgeons of Mount? etier for Caruncles. . cellent. R. viridis tris, auripignienti, 'vitriol. Rom. aluminit rocb. infundantur omnia in acet, acerrimo, atque inter duo marmora in pollinem redigantur : then let it bee expofed to the fummer's fun, and dried, again infilled in fharp vineger, and then as before ground upon a marble, (b that you finde nothing fharp with your fingers; laftly, let it bee oppofed to the firn until it may bee made into moft fubtil powder,and all the acrimoniebee vanifhed,which will bee commonly in eight daies fpace. Then, adignem, quoufque coi'erint in emplajl. folidt conjiftenti<e,ab igne turn fcmotis, a'ddcpulv. let them bee mixed with a fpatula, and put it upon the fire until it com to fo hard a confiftence, that it will ftick faft to a wax candle, or lead wier, fo that it may not com off by handling with your hands. The Surgeons of Montpelier u(e this medicine: This following is another,R. tutbi<epr<eparat.$vi. antimonii£iii. trocbijc. alborum, Rhaf. camphor a corticis granati, aluminis ufti, fpongi# ufa 9ii. let them bee all made iuto powder : then, R. ung.diapompboligof, & alb.Rhafistan.%ii.mijceaniur cum predict if pulver ibw in mortar io & diu agitentur: let a verie fine rag bee fpread over with this ointment, and wrapped about a wax candle,and fo thruft into then draw forth the candle by twineing it a contrarie way; fo let the end of the rag hang out of the yard, fo to pluck ir forth again, when as you (hall think it hath don what it can to the Caruncle, which is, when it hath covered it with the medicine with which it was fpread.Som alfo make wax candles with a (lender, but ftiff wick, whole end, which is to bee put to wear and confume the Caruncle, is compofed of the fol- lowing medicine. R. Emplaftri nigri,vel diathylonisireai,%ii.pulv. fabin£,ocx£,vitriol Rom. calcin. pul. mer. an. amnia liquejcant jimul ad difium ufum. Whil'ft the cure (hall bee in hand, by thefe following medicins ; Let the patient bee careful that hee fo (hake hit yard after make- ing water, that hee may (hake forth all the reliques of the urine which may chance to flop at the Caruncles; for if but one drop (hould (lay there, it would bee fufficient to fpoil the whole operation of the applied medicines. After that the Caruncle (hall bee worn away and wholly confirmed by the defcribed medicines, which you may know by the urine flowing forth freely, and in a full flream, and by thrufting up a Catheter into the bladder without anieftoppage; then it remain's that the ulcers bee dried and cicatrized; for which purpofe the following injeftion is verie powerfill and efleftual, and without anie acrimonie. fy.aq. fabr or urn,tb.fi- nuc. cupref.gallar. bulliant omnia Jimul Jecund.art. fo make a decoftion for an inje&ion, which you (hall ufe fo long, until no excrementitious humiditie diflill out of the yard. The following powder drie's more powerfully, and con- (equently haften's forwards cicatrization, and it is alfo without acrimonie. R. lapidem cala- min.lotumjeJlM ovorum uftjfi corallum rubrum, corticemgranat. comminue omnia in pollinem\\tt this powder be uiedto the ulcers, with a wax candle joined to (dm unguentum dejiccativum ru- brum, or fom (uch like thing. Alfo firings or rods of lead thruft into the urethra as thick as ' the paflage will fuffer, even to the ulcers, beeing firft befmeared with quickfilver, and kept in daie and night as long as the patient can endure, are good to bee ufed. For they drie by their touch and cicatrize, they dilate the urinarie paflage without pain, and laftly hinder the fides of the ulcers from corrupting one another. Another era- plafter. How to applie it. A caution in makein g wa- ter. Signs that the Caruncle is worn away. An epulotick injeftion. Quick- film by drying cau- feth cicatriza- tion. CHAP. XXIV. Of venereal Buboes, or fallings in the Groins. The efficient and material caufes ofvene- reous Bubo's. He virulencieoftbe Lues Venerea is fomtimes communicated to the Liver, which if it have a powerful expullive facultie, it expell's it into the groins,as the pro- per emun&ories thereof, whence proceed venereal Buboes. The matter of theft forthe moft part is abundance of cold, tough, and vifcous humors, as you may gather by the hardneft and whiteneft of the tumor, the pravitie of the pain, and contumacie of cureing; which alfo is another reafon, befides theft that wee formerly menti- oned,why the virulencie of this diftaf may bee thought commonly to fatten it ftlfin a phle- gmatick humor.Yet fomtimes venereal Buboes proceed from a hot, acrid andcholerick hu- mor, aflbciated with great pain and heat, and which thereupon often degenerate into viru- lent and corroding ulcers. Som venereous Buboes are fiich conjoined accidents of the Lues Venerea, that they foretel it; ftich are theft which for a fmall while (hew a manifeft tumor, and fuddenly, without aniemanifett occafion hide themftlvs again, and return back to the noble parts. Others are diftinft from the Lues Venerea though they have a fimilitude of ef- ftnce and matter therewith, and which therefore may bee healed, the Lues Venerea yet re- maining uncured. Such ai£ theft which are ufiially ften, and which therefore compared with the former, may bee teamed fimple and not implicit. Forthe cure, youmuft notufe difcutting medicines,lett relblving the more fubtil part, the grofler dregs becom impaft and concrete there; but much left mutt wee uft repercuffives, for that the matter is virulent. Wherefore onely attra&ive and iiippurateing medicines are here to bee uftd>agreeable to the humor predominant and cauiing the tumor, as more hot things in crdematous and ftir- rhous tumors,then in thoft which reftmblethe nature of a phlegmon or eryfipelas: the indica- tion What Bubo's foretel the Concerning the Lues Venerea. 483 tion taken from the raritie anddeniitie of bodies infinuate's the fame varietie. The apply- ing of cupping glafles is verie effe&ual to draw it forth. But when as it is drawn forth,you (hall forthwith applie on emplaftick medicine, and then you (hall com to fuppuratives. When the tumor is ripe it (hall bee opened with a potential cauterie,if it peoceed from a cold cauf; for by the induceing of heat the refidue of the crude matter is more eafily concofted, befides when as an ulcer ofthiskinde is opened, the matter will bee more eafily evacuated, neither (hall it bee fit to ufe anietent, but onely to applie pledgets. The refidue of the cure (hall bee performed by detergent medicines, and then if need require, the patient (hall bee let blood, and the humors evacacuated by apurgeing medicine, but not before the perfeft maturitie thereof < Cupping,' A potential Cauterie. CHAP. XXV. Of the Exoftofis, bunches or kytots growing upon tbe bones by reafon of the Lues Venerea- Ard tumors, Exojiofes and knots have their matter from thick and tough phlegm, which cannot bee diflblved, unlels by hot medicines, which have a nullifying and diffolving faculties Fop which purpofe, befides thole medi- cines which ufually are applied to Icirrhous humors, you muft alfo make ufe of arg. viv. commonly after this manner. R. empl. filii Zacb.& emplafi. de vigor'll. cerat. o/ip- defcript, Pbilagr. argent, vivi ex- tinci. fyi.fi at emplaftrum. Spread it upon leather for your ufe. In the mean (pace let the pati- ent oblerv a Ipareing diet 3 for thus hee lhall bee helped, if fo the iiibftance of the bones bee yet unperilhed. For if it bee putrified and rotten, then defcribed medicines are of no ufe, bntyou muft of neceftitie lay bare the bone, either by incifion , or elf by an aftualor potential cauterie s but I had rather do it with an a&ual, forthat it extract's the virulencie impact in the bones, as alfo it haften's the abfeefs, or falling away of the corrupted bone. It (hall bee of a convenient figure to cauterize the bone, as round, fquare, or long. Initially, before the application of fuch a Cauftick, firft divide the flefti that lie's over it with an inci- fion-knife, that fo the pain may bee the lefs, becauf the flefti cannot burn't through but in a longtime, by which the fire may come to the bone- But it will not bee amifs, before wee treat of this art, firft to confider the nature of the rottennefs of the bones. The matter of knots and vi- rulent Tophi. An emplafter againftthe * bunching out of the bones. CHAP. XXVI. , Wby the bones becom rotten, and by what ftgns.it may bee perceived. Hat Iblution of Coucinuitie which is in the bones, is called by Galen, Catagina. Thisufuallyis the caufofrottennefs; for,bones that are grated, bruifed,rent, perforated, broken, luxated, inflamed and defpoiled of the flelh and skin are eafily corrupted; for dilpoiled of their covering, they are altered by the appulf of the air, wch they formerly never felt, whence alfo their blood & proper nou- r rifhment is dried up& exhaufted. Befides alfo,the fanies running down by realbn of wounds & old ulcers, in procefs of time fallen's it felf into their lubftance,and putrefie's by little and little; this putrefaction is encreafed and cauled by the too much ule of oilie and fattie medicines, as moift and fuppurate things; for hence the ulcer becommeth more filthie and malign, the flelh of the neighboring parts groweth hot, is turned into which prefently falling upon the bone lying under it, inflame's it. Laltly, the bones are fubjeft to the lame difeafes, as the flelh that lieth under them is; befides alfo according to Galen, the beginning of inflammation oftimes proceed's from the bones jbut they beat not,becauGaccording to the opinion of the ancicnts,pulfation is a dolorifick motion of the Arteries,but the bones want fenf. Which verily 1 cannot denie, but allb wee muft confefs that the membrane that en- compafleth them, and the arteries that enter into their bodie, are endued with moft exquifite fenf Wherefore the arteries comprefled and waxing hot by reafon of the inflamed bone, caufa lenf ofpain in the peri oft ium,fo that the patients complain of a dull and deep pain,as it were funk into the fubftance of the bones. The rottennels or corruption is oftimes manifeft to the eie,as when the bone is lai'd bare,for then it varieth from the natural color, and be- com's livid, yellowilh or black. Otherwife you may perceiv it by touch, as by learching it with a probe, as when you meet with anje inequalitie or roughnels, or when but gently touching it, your probe run's into the fubftance of the bone as into rotten wood; for a bone is naturally hard, but beeing rotten,becom's foft. Yet hardnefs is not an infallible fign of a found bone. For I have feen rotten and bared bones, to have fomtimes grown lb hard, by theappulfof the air, that a Trepan could not, without a ftrong endeavor, enter them. Alfo the rottennefs of the bone is known by the condition of the filth which flow's forth of the ulcer, for it is not onely more thin and liquid, but alfo moreftinking. Furthermore, fuch ulcers have a foft, loof and waterie flelh5 befides allb, they are untoward and rebellious to farcotkk Gil.Meth.6o The frequent caufofthe rot- tenenfs of bones. Hip.lib.de utc. fraft. Gal. lib.de turn, cont.net* Signs of the rottennefs. Hardnefsis no infallible fign of found bones. 484 Concerning the Lues Venerea. Lib.ijj. farcotick and epulotick medicines; to which if they chance to yeeld and bee cicatrized} yet within a {bort while after the fear will relerit of its own accord, for that nature, deftitute of the firm and found foundation of the bones, cannot build up a laudable and conftant flefli. Neither is it fufficient that the Surgeon know certainly that the bone is rotten and corrupt, it is furthermore fit hee know, whether this corruption bee fuperficiarie, or pierce deep into the fubftance of the bone, that hee may know how much of the bone muft bee fca- led For fcaleing is the onely cure of that which is corrupted; now it is fcaled by that which drie's excedingly,&draw's forth all the humiditie,afwell theexcrementitious,theau- tor of therotennefs,asthealimentarie. For thus it remain's without blood and nourifh- ment, and confequendy life alfo; whence it muft of neceflitie fcale or fall off, beeing defti- tute ofthe glue or moifiure which joined it to the found parts in vicinitie and communi- on of life, like as leavs which fall away from the trees, the humiditie beeing exhaufted, by which, as by glue, they adhered to the boughs. For this purpofe Catagmatick powders are prepared to amend the corruption which is onely fuperficiarie. R. pul. aloes, cret* cornbu- ft*, pompbolygos,an.%ii. ireosflor. ariflolocb. rot. myrrh. cerujf*,an.%i. pul. ofteor. combufi.'sft. teran- tur fubtiliff.fiat pulvif •, let it bee applied either alone by it felf, or elf with liQnie and a little aquavit*. Alfo the following emplafter beeing applied, ftir' sup nature to the exclufionof the broken bones, andcleanfeth the ulcers from the more grofs and vifcidfanies. R. cer. nov.ref.pini,gum.ammon. & elemi} pul'mafticb. myrrb.an%ft. ariftol.rot.ireos flor, aloes, opopan. euphorb.an.^i-olci rofati quantum fuflicit, fiat emplafi. fecundum artem. Eupborbium, J according to pzo/corii/er take's off the fcales of bones in onedaie. Hereto alfo conduceth Emp. de betonica. Or, R. olei caryophyl.%ft. mifeeantur fimul in mortario, &utere. But if that part of the bone wWch is corrupt cannot thus bee taken away, then muft you ufe the fcaleing Trepans and Scrapers defcribed formerly in wounds ofthe head; efpecially if anie more great or folid bone bee foul. Furthermore the here-defcribed Trepan will bee good to perforate the rotten bone in manie places where it is corrupted, until, as it were, a cer- tain bloodie moifture iflue forth at the holes; for thus it more freely enjoie's the air, and al- fo the force ofthe medicines admitted by theft: holes work's more powerfully. The cure of a rotten bone. Acatsgmatick powder. A defquama- torie or (cak- ing plaftcr* 7S« A Trepan with two triangular bits and a-pin to bold them in the as alfo another Trepanhaveing four-fquare and fix-quare bits convenient for to bee ufed in the rottennefs of greater bones. But if the rottennefs bee more deep,and the bone more hard, either by nature or accident, as by the occafion of the too long admiflion of the air,then the rotten icales (hall bee cut off by the inftruments defcribed in wounds of the head, driveing them into the bone withlca- den mallets, left the part fhould bee too much offended or fhaken with the blow. The fcales and fragments (hall bee taken forth with mullets, the figns that all the rottennefs is taken a- way, are the folidnefs of the bone thereunder, and the bloodie moifture (wearing out thereat. CHAP. Signs that the rottennefs is taken away. Concerning the Lues Venerea. Lib.iy. 485 CHAP. XXVII. Ofattual and potential Cauteries, Ik if the defcribed remedies cannot take place, by reafon of the malignitie or magnitude of the rottennels, then muft wee com to aftual and potential Caute- ries. But I fhould rather approov of aftual, becauf by ftrengthening the part, they corifame the excrementitious humors wherewith it is over-charged , to wit, the matter of the Caries; which is not lb effeftually performed by poten- tial Cauteries. Yet are wee oftimes forced to ule thele, to pleaf the patients which are ter- rified at, and affraid of hot irons. Potential Cauteries are aqua fortis, aqua vitrioli, Icalding oil3melted fulphur and boiling, and the like; in pouring on of which I would have the Sur- geon to bee prudent and induftious, lefthee Ihouldralhly violate the neighboring (bund parts by the burning touch of thele things; which his temeritie would cauf vehement pains, inflammations, and other horrid lymptoms. For aftual Cauteries, their varietie in figure is fo great, that it cannot bee defined, much lefs let down in writeing; for they muft bee va- ried according to the largenefs of the rottennels , and the figure and conformation of the fouled bones. Such as are more ufual I have thought good here to delineate unto you,con- tent onely to admonifti you thus much, that fom of thele work by pricking , fbm by cut- ting, fom flat-wile, and other-fom with their points made to the form of an Olive-leaf. Adual Quite* ties to bee pre- ferred before potential. Potential Cau- teriei. Sundrie forms of aliual Cauteries fit in all necejfarie cafes of all farts- Tt Other 486 Concerning the Lues Venerea. Lib.19. Other Cauteries. Other Cauteries for the fame purpofe. The following figure of a Cauterie is fit for virulent knots that arife in the fcull, when you defire to take away the flefli that cover's the bone; for this purpofe it is made hollow andfharp in a triangular and quadrangular form, divided as it were into three branches, that you may fo make ufe of which you pleaf the LlB.ip. Concerning the Lues Venerea. 487 the figure of an hollow and cutting Cauterie. The Cauteries, whofe forms are hereafter expreft, take place in rotten bones that lie deep in, wherein you cannot make ufe of the formerly defcribed, without touching of the neigh- boring (bund parts. To avoid which danger, you (hall put your Cauterie even to the bone through an iron pipe, which may keep the neighboring and fieffiie parts from burning. Actual Cauteries with their pipes. Great difcommodities enfue upon too rath, that is, too frequently applied Cauteries, or too long adhering to the bone ; for by this immode- rate and fierie heat not onely the excrementiti- ous humiditie of the rotten bone is confumed, but alfo the radical and fubftantial moifture of the part is exhaufted; wherein alone nature en- deavouring to call off the corrupt fcales, and le- ver the (bund from the rotten bone, and to (iib- ftitute fleffi, (land's and confift's. Whereof the mealureof applying of Cauteries ought to bee taken from the greatnefs of the rottennefs , and the excrementitious, or after a manner, foaming humiditie (wearing through the pores of the bone. But before you prefs yourCauterie into the rotten bone which lie's verie deep in,as that which happen's in the thigh-bone,and upon other verie flefhie parts, you mull diligently defend the neighboring found and fieffiie part, as it were with a covering, for that the humor diffuted by the touch of the fire,burn's the other places whereunto it diffuteth it felf like fcalding oil. After the cauterization,you muft help forwards the falling away ot the fcales , by fomtimes dropping in our oil of whelps, beeing made fcalding hot. This oil, though verie fit for this purpote, yet do I not judge it fit to ute it too often, it may fuffice to have dropped it in,(bm twice or thrice. For at length it may violate the found bone, that lie's under the rotten, by the oilie, fubtil and moift fubftance. Furthermore, a bone is the moft drie part of the bodie, therefore unftuous and moift medicines are contrarie to its temper and confidence. But it conduceth often and gently to moov the (bales alreadie beginning to feparate themtelvs, and it haften's the flack- nefs of nature in calling them off. Yet may you not ute force, unlefs peradventure when as they hang as it were by a (lender thred ; otherwite if the unwarie Surgeon forcibly pluck away the fcales before that nature hath put a cover upon the found bone, hee (hall give way to a new alteration and fowlnefs by the appulf of the air. Furthermore , after the corrupt (cale is falling offby the force of nature expelling it, you muft have diligent heed that you put not eating or corroding medicines upon the bone that is under it; for thus thou (halt confume or wade the fleffi which nature hath generated thereupon , which competed of newly concreted blood, is like in foftnefs to newly crudled milk , which otherwife in time would grow into a more (olid and hard confidence. This under-growing flefti by little and little thruft's the rotten bone above it, out of its place, and is the cauf of the fcaling there- of; it is at the firll gathered together like the granes of a pomegranate, with a red,(mooth & equal fames, and not (linking, and at length it call's forth a white matter. Therefore then wee muft rather draw thereon cephalick powder computed offuch things as have a facultie T t 2 to Manner of ap- plying of Cauteries. Oil of whelps help's for- wards the cafting off of fcales. A caution in mooving the fcaks of burnt bones. Cephalick powders of what compO' fed.. 488 Concerning Lues Venerea. L!B.I2. to drie without btteiug, fitch as are Orril-roots,walhed aloes,maftich, myrrh, barlie-flowr, and the like. Lafily, it mufi bee cicatrized 5 it is better that fcales of bones fall away of themfelvs by the onely force of nature,then to bee plucked away by the force of medicines or inftrumenrsj as are too violently and forcibly plucked away ,leav corners like to fiftulons ulcers. Neither ought the corrupted membranes when they are turned into pus to bee plucked away too violently , or to bee touched by too acrid medicines 5 for pain here- upon arifeing hath divers times caufled inflammation, convulfion and other pernicious fymptoms. Therefore it is better to commit this bufinefs to nature , which in fuccefs of time, by makeing of the expulsive fecultie, will eafily free it lelf from this rotten fob- ftance j for that which is quick as far as it is able , will ftill put away that which is dead from it. ' CHAP. XXVIII. Of a Vulnerarie potion. lit if the contumacious of the bone, and alfo a rebellions ulcer (hall not yield to the defcnbed remedies, it will bee convenient to prelcribe a vulne- rarie potion to the patient. For nature helped by fuch a potion, hath to my knowledg fandrie times don wondrous things, in the amendment of corrupt bones, and confolidacion of ulcers. For theie potions though they do not purge the noxious humors away by ftool, yet are they wondrous effe&ual to cleanf ulcers, and free them from the excels of excrementitious humors, to cleanf the blood, and purge it from all impuritie, to agglutinate broken bones, and knit the finews. I have here thought, good to fpeak of them, and chiefly, for that they were much commended by the Antients, but negle&ed by the modern Phyficians and Surgeons. But if the cure of wounds and old ulcers bee performed by deterlion, and the repofition of the loft fubftance, what medicine Can (boner or rather do it then that, which by its admirable and almoft divine force fo purgeth the blood» that thereof as from a fit and laudable matter, the He fh or anie other loft fubftance may bee fitly reftored, and the part recover its former union ? But if fiftulous Ul- cers, Cancers, Gouts, and the like difeafes bee offended by the u(e of falt,fpiced,acrid meats, and others which are of (ubtil parts, as muftard, onions, andgarlike, or anie other excels in meat or drink j why may they not becom milde and gentle by medicated and contrarie meats and drinks, or at leaft bee reduced to a more equal temper ? Therefore that Surgeons may know of what things fuch compofitions may arife,I have here thought good to reckon them up, that you may learn what they are. The ufe o£ vuinerarie po tions. Scabious. Sanicle. Bugle. Mouf-ear. Burnet. Madder. tanfie. tops of bemp. tops of brambles. Sow's-bread. Comforie the greater and leffer. Vervine. Biftort. Mug-wurt. Reriwincle. Centaurie. Adder s-tongue. Betome. Carduus benedittus. The cordial flowers. Ariftolocbia, or Birth- wurts. Speed-well. Agrimonie. the CapiUaries- Herb-Robert* Dove's-foot. Dogs-tongue. Avenes. Rrunella. Ofinund. Clarie. Gentian. Herniaria. Red Cole-wurt,or Cabbage. Scordium. Cat's-mint. Cinque-foil. River-Crabs. Mace. Bole-armenick. Return, or Tobacco Mead-fweet. Colt's-foot. Dandelion. Rlantane. S .John's-wurt. du • thefe the Surgeon fhall make choice according to the mindeand judgment of the Phyfician, luch as hee lhall think fit and proper to everie ulcer or wound,or to each wound- ed and ulcerated part, according to the condition of the time , the temper of the patient, and kindeor nature of the dileaf You may make drinks not onely of the deco&ions of thele, but alfo of their juices in white wine, or cenomel, which are good not onely to purifie the Concerning the Lues Venerea. LlB.lp. 489 the mafs of the blood, to cleanffanious, virulent,filthie and dylfenterious ulcers,but alio to drive away putrefaction, fcale-bones, diflolv clotted blood in bruiles, to draw, pluck out and exterminate all ftrange bodies, as I have often oblerved to my great admiration. They are compelled uliially after this manner. R.pzvc. bugul. ficabiof.beton.fcord. nepet. uvar. fnund.fem.byper.& card.ben.an.%i.trium flor.cord.an.p.ii. coquantur complete in aq.communi 5 poftea in fine adde vini alb. tnel. rof. & cinnatn. quod[ufficit,fiat decottio, coletur per manic am> Let him drink §iii. in the morning 3.hours before dinner. You may alfo with good fuccefs make injecti- ons with the fame liquor into fiftulous and finuous ulcers, as alfo to walh the fordid ulcers therewith. You may alfo boil the fame fimples, as herbs, flowers and feeds in the patient's broths, that fo they may acquire a medicinablc and nourilhing facultie. For the time of the affeCt, wherein you may with good luccefs make ufe of thele, wee have read in Guido, that bee uied not to prelcribe thefe potions to his patients when as they were newly wounded, for that they commonly are compoled of things hot and opening, which heat and attenu- ate the blood, whence there would bee danger of a defluxion,upon the affefted part-Where- fore when the matter is com to liippuration, when as there nothing remain's , but to cleanf the ulcer, and fill it with flefh, no inflammation as now remaining in the part, I judg thele potions may then bee ufed with good luccefs. The form of a vulnerarie po- tion. In what time ofthedifeaf they are chiefly to bee ufed. ;chap. XXIX. Of Letters, Ring-worms, or Chops occajtoned by the Lues Venerea. Pon the cure of the Lues Venerea, ufually Tetters and Chops happen thereupon, which make furrows in the.palms of the hands and foies of the feet. They ac- quire their matter from fait phlegm, or aduft choler, or the reliques of the ve- nereous virulencie fenttthither.The cure, efpecially when as the difeaf is grown old, is difficult j byreafSn that the humor hath long accuftomed to flow that way,and for that it hath corrupted the habit of the part by the continual defluxion ; but the cure is more eafie, if the difeaf bee newly bred. Now you may know it is newly bred by the rednefs, accompanied by a great itching, and not onely a drinefs of the skin, but alfb a thicknefs and denfnefs thereof.That which is old,befides thefe fore-recited figns,have fcale- lie and bran-like hardneflcs conjoyned therewith, which by fcratching and rubbing caft off fcales. For general medicines , the diftemper of the liver, and habit of the bodiemuft bee correfted, which by the occafion of the former difeaf and remedies apt to inflame the blood, cannot but much fwerv from their native temper. This may bee don by diet conveniently appointed, by purgeing and altering medicines, bleeding, batheing, applying of cupping- glaffes and horns. For topick or particular medicines, waffi fiich as are newly or lately bred with the following water which drie's;and is of fubtil parts. 1&.aq.rof.& aq.alum- fubl.tyv.fiat lent-&nunim.ebulin baln.mar. This water (hall bee made more or lefs forcible, according to the condition of the difeaf Or, R.ol.tart.%ii.fep.com.%iv. nt zfc.fi at unguent.ad ufum. If the Phyfician ffiall think good, let the patient ufe a decoftion of Guaicum, but that verie weak. But old Tetters and Chops muft bee foftned with emollient, attenuating and inciding deco&ions, as alfo with liniments,ointments and plafters haveing the fame effect. Then let the refidue of the cure bee performed by fumigations, filch as this which follow's. Rc.pul.cinab tart.& tberiac. q.f.fiant trochzfcz j ufe at each time fom them, and let onely the affefted parts receiv the fmoak. Som commend the rubbing of the hands with the following medicine. Take the affies of wine-lees, make thereof a -lee, and ftrain it through an hypocrafs-bag , then put thereto fbm rennet, let them bee well mixed together in a mortar, and herewith let the hands bee rubbed or wafhed. Or, Or elQ R.ref.pz'nz,%i. cerufaffi. citri & lapatb.acut.an.%fi. Let them bee incorporated , and make a lini- ment to bee ufed to the part. If to this you add fublimate fo wafhed and prepared, as wo- men ufe for their faces, you ffiall make it more effeff uall. Others take burnt alum made in- to powder, and incorporated with the yolk of an egg, the juice of citrons , and a little a- loes diflblved in oxjmel fcilhticwn. Signs of the new-bred dif' caf. The cure of newly com Tetters. A water dry- ing virulent Tetters. The cure of old Tetters. A Fumigati* on. A Liniment. CHAP. XXX. Ofcureing the Lues Venerea in infants and little children. iNfants oftimes conceiv the feeds of this difeaf in the wombs of their mothers, and are born infefted thcre-withall, parties prefently arising over all the bodies, in- ; fefting with the like difeaf as manie nurfes as give them fuck ; they fcarce ever re- cover thereof, for that they contrafted the difeaf from their firfc confirmation. But fiich as are fbmwhat bigger,if they chance to catch the dileaf after they are born by flicking fom infe&ed nurf, or by anie other occafion or kinde of contagion, often times receiv cure. . T t 3 For Concerning the Lues Venerea. LlB.ip. 490 For firft, you fhall cauf the nurfto ufe the aqua theriacalis here-under defcribed, for the fpace of twentie or more daies, that fb fhee may the better arm her felf againft the contagion of this yield milk which may have the facultie both of meat and medicines fhee fhall bee careful as often as fhee giv's the childe fuck, to wafh and drie her teat or pap, left the virulencie that the childe breath'es out at his mouth, bee impaft in the little holes of the teat through which the milk flow's out. Now the puftles of little children fhall bee an- notated with fom ointment that receive's argentum vivum in fbm fmall quantitie, as unguen- turn enulatum cum mercurio, or the like. Then fhall it bee fwathed or bound up in fwathes and clothes aired with the formerly defcribed fumigations.For the reft, it fhall bee kept as warm as you can in fbm warm place. Thefe and the like miift bee don not in one continued courQ but at feveral feafbns, otherwife it is to bee feared, that it would cauf ulcers to arife in the mouth, or elf falivation. If anie ulcers arife in the mouth, and fpread therein, they fhall bee touched with the formerly defcribed waters, but made fomwhat weaker, haveing regard to the tender age of the patient 5 if the infant fhall get this difeaf of its nurf, let the nurf bee prefently changed, for it beeing otherwife nourifhed with tainted and virulent blood, can never bee healed. Manie have by thefe means recovered j but fuch as have perifh't, have not perifh't by the default of medicines, but by the malignitie and vehemencie of the difeaf The cure. Adefcrtytien of the Aqua Theriacalis, or treacle-water formerly mentioned. A treacle- water. R rrffor.interior.ligni fantii gummojt, ftii. polypod.querni, vini albi dulcedinis experts tbii. aqu* fontan.purijf.ltviii.aquar.cichor.& fumar.an.%iv.fem.junip.heder.&baccar.lauri carys- phyl.& citri faccaro condit. conf rofantbos, cichor. buglof. borag.an%fi. conf tnula camp.tberiac.vet.& diftil them all in balnea Marit, after the following manner. Let the Guaicum bee infilled in equal parts of wine, and the fore-mentioned waters for the fpace of twelv hours, and the refidue of the things in that which remain's of the fame wine and waters for fix hours fpace, beating fuch things as may require it, then let them bee mix- ed altogether, that fb the liquor may bee endued with all their faculties. Which that it may bee the more effeftually performed, let them bee boiled, put up in glafs-bottles, clofe- ly flopped for fom three or four hours (pace, in a large kettle filled with boiling water,then let them bee put into a glafs alembick, and fo diftilled. Give of this di (tilled liquor at once, bee ing aromatized with 3*1. of cinnamon, and9i.of Diamargariton, and fugar, to give it a pleafing tafte. Such a drink doth not onely refund the virulencie of the Lues Ve- nerea, but flrengthen's the noble parts. Rondeletius make's an aqua tberiacalis after this man- ner. rad temperen- tur omnia in vino albo, & diftillentur in vafe vitrio : referv the water for ufe 5 whereof let the pa- tient take with |iii. of forrel and buglofs-water : hee wilheth this to bee don when hee fhall enter into bed or a ftove; for fb this diftilled liquor will cauf fweat more eafily, and mitigate pain, whether given by it felf, or with a decoftion of grommel, or of cbyna, or bur- dock-roots ; yet if the patient bee of a phlegmatick conftitution,hee fhall ufe a deco&ion of Guaicum in ftead of a deco&ion of cbyna, for it penetrate s more fpeedily , by reafbn of its fubtiltie of parts, and allo expell's the dolorifick matter. The manner ofmakcing it. RmdehliM his treacle-water. The end of the nineteenth Book. Lib.io. 491 Of the Small Body and Measles: As alfo of IVorms, and the Leprofie. The twentieth (Booh CHAP. I. Oftbe caufes of the Small Pocky and Meazles. O R that the final! Pocks and Meazles are diftafes, which ufiially arefore- runners and fore-tellers of the Plague, not onely by the corruption of hi» mors, but oftimes by default of the air; moreover, for that worms are oft- times generated in the plague, 1 have thought good to write of theft things, to the end that by this treatife the young Surgeon may bee more amply and perfeftly inftrufted in that peftilent difeaf Alio 1 have thought good to treat ofthe Leprofieas beeing the off-fpring of the higheft corruption of humors in the bodie. Now the final! Pocks are puftles, and the Meazles fpots,which arife in the top of the skin by reafbn of the impuritie of the corrupt blood lent thither by the force of nature. Moft of the Antients have delivered that this impuritie Is the reliques of the menftruous blood remain- ing in the bodie of the infant, beeing of that matter from whence it drew nourishment in the womb, which lying frill or quiet for fom fpace of time, but ftirred up at the firft oppor- tunitie of a hotter Summer, ora foutherlie or rainie feafon, or a hidden malignitie in the air, and boiling upj or working with the whole mafs of the blood, fpreador (hew themftlvs upon the whole furface of the bodie. An argument hereof is, there are few or none who have not been troubled with this difeaf, at leaft once in their lives, which when it begin's to fliewitfelf, not content to fet upon fom one, it commonly feazeth upon more : now com- monly there is as much difference between the finall pocks and meazles, as there is between a Carbuncle and a peftilent Bubo. For the finall pocks arife of a more grofs and vifcous matter, to wit,of a phlegmatick humor. But the meazles of a more fubtil and hot; that is, a cholerick matter, therefore this yeeld's no marks thereof, but certain finall ipots without anie tumor, and thefe either red, purple, or black. But the finall pocks are extuberateing puftles, white in themid'ft,but red in the circumference, an argument of blood mixed with choler, yet they are fcarce known at the beginning,th at is on the fir ft or fecond daie they ap- pear ; but on the third and fourth daie they bunch out and rife up into a tumor, becom- ming xvhite before they turn into a fcab; but the meazles remain ftill the fame. Further-' more the finall pocks prick like needles by reafbn of a certain acrimonie,and caufan itching; the meazles do neither, either becauf the matter is hot fb acrid and biteing, or elf for that it is more fubtil, it eafily exh ale's, neither is it kept ffiut up under the skin. The patients often fneez when as theft matters feek paflage out, by reafon of the putrid vapors aftending from the lower parts upwards to the brain. They are held with a continual Fever, with pains in their backs, itching oftheir nofe, head-ach, and a vertiginous heavinefs, and with a kinde of fwounding or fainting, a nauftous difpofition, and vomiting, a hoarft nefs, difficult and frequent breathing, an inclination to deep, a heavinefs of all the mem- bers, their eies are ficrie and fwollen, their urine red and troubled- For prognofticks, wee may truely fay thus much, That the matter whence this affeft take's its original, partake's of fo malign, peftilent and contagious a qualitie, that not content to mangle and fpoil the flefhie part, it alfo cat's and corrupt's the bones like the Lues Venerea, as I obferved not one- ly in Anno Dow. 15 68. but alfo in diverf other yeers, whereof I think it not amifs to fet dowm this notable example. The daughter of Claude Pique a book-feller,dwelling in S. James his ftreet at Parity beeing fom four or five yeers old,haveing been fick of the finall pocks for the (pace of a month, and nature could not overcom the malignitie of the diftaf, there roft abftefles upon the fternon and the joints of the fhoulders,whoft eating and virulent matter,corroded the bones of the fternon,and divided them in funder; alfo it confumed a great part of the top of the fhoulder* bone, and the head of the blade-bone : of this thing I had witnefles with me, Marcus Myron Phyfician of Paris} and at this prefent the King's chief Phyfician,Jo/;w Doreau Surgeon to the Conte de Bryane, the bodie being diflefted in their preftnee. Alfo you may obftrv in manie killed by the malignitie of this difeaf, and differed, that it caufeth fuch impreffion of cor- ruption What the final Pocks and Meazlcs are. Their matter. Why the Mea zles do not itch. Prognofticks, An hiftotte. 492 (Concerning the Small Lib.zo. ruption in the principall parts, asbring's the dropfie, ptifick, a hoarfnefs, .Aftbma, bloody flux ulcerating the guts, and at length bringing death, as the putties have raged or raigned over thefe or thele entrails, as you fee them to do over the furface of the body; for they do not onely moleft the external parts, by leaving the impreflions & (cars ofthe putties and ul- cers,rooting themfelvs deep in the flefh,but alfo oft times they take away the facultie of mo- tion, eating afiinder, and weakning the joints of the elbow, wreft, knee and ancle. More- over lundry have been deprived of their fight by them, as the Lord Guytnenay, others have loft their hearing, and otherfom their fmclling, a flefhy excrefcence growing in thepaflages of the note and ears. But if anie reliquesof the difeaf remain, and that the whole matter thereof bee not expelled by the ftrength of nature, then (ymptoms afterwards arife, which favor ofthe malignitie of the humor , yea and equall the harm of the (ymptoms of the Luer Venerea. What grievous and pernftious fymptomsmay happen by the ftuall Pocks* CHAP. 1 I. Of the cure of the SmaU Pocks and Meazles. He cure of this dileaf uleth to bee divers,according to the condition of the humor free from, or partaker of the venenate qualitie. For if it partake of malign itie,and the childe bee a fucking childe, fuch things (hall bee given to the Nuri as may in- fringe and overcom the ftrength of the malignitie,as wee (hall lhew more at large, when wee com to treat of the cure of children which are fick of the Plague;howloever it bee, the childe muft bee kept in a warm room free from winde, an d muft be wrapped and covered with fcarlet cioaths, untill the pocks com forth. There fhall bee provided for the Nuri' me- dicated broths with purllain , lettuce, forrell, fuccory,borage, and French barly bound up in a cloth. Shee fhall fhun all fait, fpiced and baked meats, and in Read ofwine drink a de- co&ion of liquorice, raifons and forrel roots. Shee fhall alfo take purgeing medicins, as if fhee were fick of the fame dileaf, that fo her milk may becom medicinable. Laftly, fhee lhall obferv the fame diet as is ufually prefcribed to fuch as have the plague. You fhall give the childe no pap,or if you give it anie,let k be verie little. But if the childe bee weaqed,let him abftain from flelh, until the feaver have left him, and the pocks bee fully com forth: in ftead of fielh let him feed on barly and almond creames, chicken broths, wherein the fore-named herbs have been boy led, panadoes, gellies, culafies, prunes and raifons. Let his drink bee a ptifan made of French barlie,grafs & forrel roots,or with a nodula containing the four cold ieeds,the pulp of prunes and raifons,with the lhaveings of Ivorieand hartf-horn; between meals the lame decoftion may bee mixed with fbm iyrup of violets, but not of roles or a- ny other aftringent lyrup,left wee hinder the courf and inclination of the humor outwards. Let his lleep bee moderate, for too found deep draws back the matter to the center, and lu- cre aft th the fever; you muft neither purge,nor draw blood thedifeafincrealing or bceing at the height,unlcfs paradventure there bee a great plenitude, or elle the dileafcomplicate with other, as with a pleurifie,infiammation ofthe eyes,or an fquinancie which require it,left the motion of nature Ihouldbe difturbed; but you ftiall think it Sufficient to loofe the bellie with a gentle glyfter: but when the height of the dileaf is over, and in the declenlion thereof, you may with Caflia or fom ftronger medicine evacuate part of the humors and the reliqiics of the difeaf But in the Rate and increaf it is better to ufe fudorificks, which by attenuating the humors and relaxing the pores of the skin may drive the cauf of the dif- eaf fom the center to the circumference, which otherwife refideing in the bodie might bee a cauf of death, as I and Richard Hubert oblerved in two maids, whereof one was four, and the other leventeen yeers old; for wee differing them both beeing dead, found their en- trails covered with fcabbie or crufted. puftles, like thole that break forth upon the skin. Wee muft not think that a bleeding at Dole at the beginning of the difeaf or in the firft four or five daies Ihould carrie away the matter and original of the dileaf, for ncverthelefs the pocks will com forth ; but for that this is a true and natural crifis of this as that which is carried to the liirface & circumference of the bodie,luch bleeding muft not bes flopped,unlefs you fear it will cauf (wounding. The matter lhall bee drawn out with a decoftion of figs, husked lentils, citron-feeds, the feeds of fennel,parllie, fmallage, roots ofgrafs, raifons and dates. For fuch a decoftion, certainly if it have power to cauf fweat, hath alfo a facultie to fend forth unto the skin the morbifick humor; the feeds of fennel and the like opening things relax and open the pores ofthe skinffigs lenifie the acrimonie of the matter, and gent- ly the lentils keep the jaws and throat, and all the inward parts from puftles, and hinder a flux by realbn of their moderate aftriftion, but haveing their husks on, they would binde more then is required in the dileaf; dates are thought to comfort the ftomach,and ci- tron-feeds to defend the heart from malignitie, licorilh to fmooth the throat, and hinder hoarfhefs and cauf fweat. But thefe things lhall bee given long after meat, for it is not fit to fweat presently after meat; fbm there bee who would have the childe wrapped in linnen clothes fteep'd in this dcco&ion beeing hot, and afterwards hard wrung forth. Yet I had rather The cure. The childe mu ft h i vc no pap. How found fleep doth harm in this difeaf Ofpurgeing, bleeding and fudorificks An hiftorie* A fudorifick decodion. When it is beft to procure fwcat. Lib.zo. c5Vfeasftes and 493 rather to me bladders or fpunges, or hot bricks for the fame purpofe; certainly a decoftion of millet, figs and raifons, with fom fugar, caufeth fweat powerfully. Neither is it amifs whil'ft the patient is covered in all other parts of the bodie, and fweat's, to fan his face, for thus the native heat is kept inandfo ftrengthned, and fainting hindred, and a greater excre- tion of excrementitious humors caufed. To which purpofe you may alfo put now and then to the patient's nofe a nodulus made with a little vineger and water of rofes, camphire, the powder of fanders, and other odoriferous things which have a cooling facultie, this alfo will keep the note from puftles. CHAP. HI. JFbat parts muft bee armed againfi, and preferred from the Pockj. He eies, note, throat, lungs and inward parts ought to bee kept free'r from the eruption of putties then the other parts; for that their nature and confidence is more obnoxious to the malignitie of this virulencie, and they are eafilyer cor- rupted and blemifhed. Therefore left the eies fhould bee hurt, you muft defend them when you firft begin to fufpeft thedifeaQ with the eie-lids, alfo moiftning them with rote-water, verjuce or vineger, and a little camphire. There are tom alfo who for this purpofe alto make a decoftion of Sumach,berberie-fetds, pomgranate-pills, aloes, and a little iaffron; the juice of fowr pomgranates, and the water of the whites of eggs drop- ped in with rote-water are good for the fame purpofe ; alfo woman's milk mixed with rote-water and often renewed; and laftly all fitch things or have a repercullive qualitie. Yet if the eies bee much fwoln and red, you fhall not ute repercuffives alone, but mix therewith difcuflers and cleanfers, fuch as are fit by a familaritie of nature to ftrengthen the fight; and let thefe bee tempered with fom fennel or eie-bright water. Then the patient fhall not look upon the light or red things for fear of pain and inflammation; wherefore in the Rate of the difeaQ when the pain and inflammation of the eies are at their height, gently drying and difeuflivethings properly conduceing to the eies are moft convenient, as wafhed aloes, tuttie and Antimonie in the water of fennel, eie-bright and rofes. The formerly mentioned Modulus will prefcrv the note,and linnen clothes dipped in the fore-faid aftringent decoftion, put into the noftrils and outwardly applied. Wee fhall defend the jaws,throat, and throtle, and preferv the integritieof the voice by a gargle of oxycrate, or the juice of fbwr pomgranates, holding alfo the grains of them in their mouths,and often routing them up and down therein, as alfo by nodula's of the feeds of pji/zMW,quinces and the like cold and aftringent things. Wee muft provide for the lungs and refpiration by fyrups of jubes,violets, rofes, white poppies, pomgranates, water-lillies,and the like. Now when as the Pocks are throughly com forth, then may you permit the patient to ufe fomwhat a free'r diet, and you muft wholly bufie your felf in ripening and evacuateing the matter, drying and fcaleing them. But for the Measles, they are cured by refolution onely, and not by fuppuration; the Pocks may bee ripened by annointing them with frefh butter, by fomenting them with a decodion of the roots of mallows, lil lies, figs, line-feeds and the like. After they are ripe, they fhall have their heads clipped off with a pair of f ci Hers, or elf bee opened with a golden or filver-needle,left the matter contained in them, fhould corrode the flefh that lie's thereun- der, and after the cure, leav the prints or pock-holes behinde it, which would cauffom de- formitie; the/w, or matter beeing evacuated, they fhall bee dried up with unguent, rofat. ad- ding thereto cerufs, litharge, aloes and a little faffron in powder; for thefe have not onely a facultie to drie, but alfo to regenerate fle(h;for the fame purpofe the flowr of barlie and lu- pines are diflblved and mixed with rote-water, and the affefted parts annointed therewith with a fine linnen rag;fom annoint them with the fward of bacon boiled in water and wine, then prefently ftrow upon them the flowr of barlie or lupines, or both of them. Others mix erudehonie newly taken from the comb, with barlie-flowr, and therewithal! annoint the puftles fb to drie them; beeing dried up like a feurf or fcab, they annoint them with oil of rofes, violets, almonds, or elfwith fom cream, that they may the fooner fall away, the puftles beeing broken ; tedious itchings follicit the patients to fcratch, whence happen's ex- coriation and filthie ulcers, for fcratching is the occafion of greater attraftion. Wherefore you fhall bindc the fick childe's hand, and foment the itching parts with a deco&ion of marfh-mallows, barlie and lupines, with the addition of fom fait. But if it bee alreadie ex- coriated, then fhall you heal it with unguent album camphor at. adding thereto a little powder of aloes or or a little deficcativum rubrum. But if notwithftanding all yqur appli- cation of repelling medicines, puftles neverthelefs break forth at the eies , then muft they bee diligently cured with all manner of co//yrz^3haveing a care that the inflammation of that part grow not to that bignefs, as to break the eies, and that which fomtimes happen's to drive them forth of their proper orbs.If anie cruftie ulcers arife in the noftrils, they may bee dried and caufed to fall away by putting up of ointments. Such as arife in the mouth, pa- How to defend the eies. When theeies mutt not bee defended by re- pcrcuffivcsone- ly. How to defend the noft. How the mouth. How the lungs How to pre- ven t pock-ar rs. Remedies for excoriation* Concerning the Small Tocky, Lib.zo. 494 late and throat, with hoarfhefs and difficultie of fwallowing, may bee helped by gargarifms made with barlie-water,the waters of plantain and chervil, with fom fyrup of roles, or Di- amoron dilfolved therein ; the patient fhall hold in his mouth fugar of rofes or the tablets of •E/eff. diatragacantbfrigid. The Pock-arrs left in the face, if they bunch out undecently, fhall bee clipped away with a pair of feiflers, and then annointed with frefh ungnent. citrin. or elf with this liniment. R. amyli triticei, & amygdalarum cxcorticatarum,an.$ifi. gum.tr feminismelonum,fabarum ficcarum excorticate farin£hordei,an>%nii. Let them all bee made into fine powder, and then incorporated with rofe-water,and fb make a liniment, wherewith an- noint the face with a feather 5 let it bee wiped away in the morning, wafhing the face with fom water and wheat-bran; hereto alfo conduceth lac virginale; duck's and capon's greafare good to fmooth the roughnefs of the skin, as alfo oil of lillies 5 hares-blood of one newly killed and hot, is good to fill and plain, as alfo whiten the pock-holes,if they bee of- ten rubbed therewith. In Head hereof manie ufe the fward of Bacon rubbed warm thereon; alfo the diftilled waters of bean flowers, lillie-roots, reed-roots, egg-fhels, and oil of eggs are thought verie prevalent to wafte and fmooth the Pock-arrs. For the ulcers of the mouth and jaws. To help the un fightlie fears of the face. A Difcourf of certain monftrous creatures which breed againft nature intbe bodies of men, wo- men., and little children, which may ferv as an induction to the enfuing difcourf of worms* As in the macrocofmos or bigger world, fo in the microcofmos or leffer world there are windes, thunders, earth-quakes, fhowrs, inundations of waters,fterilities,fertilities, Hones, mountains & fundrie forts offruits & creatures thence arife.For whocan denie butthat there is winde contained fhut up in flatulent abfeefles, and in the guts of thofe that are troubled wt,] the colick?Flatulencies make fo great a noif in diverf women's bellies,if fo bee you hand near them, thatyou would think you hearda great number of frogs croaking on the night- time:That water is contained in waterie abfeefles, & the bellie of Rich as have the dropfie,is manifefted by that cure which is performed by the letting forth of the water fin fits of Agues the whole bodie is no otherwife lhaken & tremble's,then the earth when it is heard to bel- low, and felt to (hake under our feet* Hee which fhall fee the ftones which are taken out of the bladder, and com from the kidnies and diverf other parts of the bodie, cannot denie but ! that ftones are generated in our bodies. Furthermore wee fee both men and women who in their face or fom other parts, fhew the impreflion, or imprinted figure of a cherrie, plumb, fervice, fig-mulberrie and the like fruit j the cauf hereof is thought to bee the power of the imagination concurring with the formative facultie, and the tendernefs of theyeeldingand wax-like embryon, eafie to bee brought into anie form or figure by reafon of the proper and native humiditie. For you fhall finde that all their mothers whil'ft they went with them have earneftly defired or longed for fuch things, which, whil'ft they have tooearneftly agi- tated in their mindes, they have tranf-ferred the fhape unto the-childe, whil'ft that they could not enjoy the things themfelvs. Now who can denie but that the bunches of the back and large wens refemble mountains ? Who can gain-fay, but that fqualid ftcrilitie may bee aflimilated to the heftick drinefs of wafted and confumed perfbns ? and fertilitie deciphered by the bodie diftended with much flefh and fat, fb that the legs can fcarce Hand under the burden of the bellie ? But that diverf creatures are generated in one creature, that is in man, and that in fundrie parts of him, the following hiftories fhall make it evident. Holler ins tell's that a certain Italian by frequent fmelling to the herb Bafil,had a Scorpion bred in his brain, which cauffed long & vehement pain,and at length death; therefore I have here expreft the figure of that Scorpion, found, when as his brain was opened. A companion between the bigger and kf- fer world. The generati- on ofwindcin man's bodie. Of water. Of (tones. Offruks from the firft con- formation. I * Lib.de rxoib- interctp.T. 'The figure of a Scorpion. It make's Hollerius conje&ure of the cauf and original of this Scorpion, probable for that . Chryfippus, Ttyophanes and Plinie write, that of bafil beaten between two ftones, and laid in the fun, there will com Scorpions. Fernelius write's that in a certain fouldier, who was flat nofed,upon the too longreftraint or ftoppage of a certain filthie matter that flowed out of the note, that there were generated two hairie worms of the bignefs of ones finger, which at length made him mad, hee had no manifeft fever,and hee died about the twentieth day: this was their fhape, by asmuch as wee can gather by Feme Ums his words, Lib. de pity t, morbiscap.7. Tbe Lib.zo. eagles and Worms,&c. 495 effigies of worms mentioned by Fernelius. Lewis Z) wet, a man ofgreat learning Accredit,told me that he had com forth with his urine, after along and diffi- cult difeaf, a quick creature, of color red, but otherwife like in ffiape a Mil- lepes, that is,a Cheflop,or Hog-louC An hiftoric* foapeofa Millepes caff forth by urine, Count Charts of Mansfieldt, laft Summer troubled with a grievous and continual fever, in the Duke of Guifes place caft forth a filthie matter at his yard, in the ffiape of a live thing almoft juft in this form. An hiftorie* The fljape of a thing cafi forth by urine. Monftrous creatures alfb offundrie forms are alfb generated in wombs of women; fbm- whiles alone, otherwhiles with a mola, andfomtime with a childe naturally and well made; as frogs, toads,ferpents, lizzards: which therefore the Antients have termed theLumbard's brethren, for that it was ufual with their women, that together with their natural and per- feft iflue they brought into the world worms, ferpents, and monftrous creatures of that kinde generated mtheir wombs, for that they alwaies more refpe&ed the decking of their bodies, then they did their diet. For it happened whileft they fed on fruits,weeds and traffi, and fuch things as were of ill juice, they generated a putrid matter, or certainly verie fub- jeft to putrefaction and corruption, and confequently opportune to generate fiichun- perfeft creatures.i-JoubertM telleth that there were two Italian women, that in one month brought forth eaqh .of them a monftrous birth; the one that married a Tailor,brought forth a thing lb ittefembled a Rat without a tail; but the other a Gentlewoman, brought forth a larger, for it was of the bignefs of a Cat; both of them were black, and as foon as they came out of the womb, they ran up high on the wall, and held faft thereon with their nails. Lycoftbenes write's that in AinoDom. 1494. a woman at Cracovia, in the ftreet which taketh name from the holie Ghoft, was delivered of a dead childe, who had a ferpent faftned upon his back, which fed upon this dead childe, as you perceiv by this fol- lowing figure. Nicolatu Flor. Libm? fopul. T'he -faure af a ferpent fa/bied to a cbilde. Levinus Leninite tell's a verie ftrange hiftorie to this purpofe. Som few yeers agone (faith heeja certain woman of the Iflein Flanders,which beeing with childeby a Sailor,her bellie (welled Lib.de occult. nat.mir.cap.9. 496 Concerning the Lib.zi. fwelled up fo fpeedily, that it feemed fhee would not bee able to carrie her burden to the term prefcribed by nature; her ninth month beeing ended fhee call's a midwife, and prefent- ly after ftrong throws and pains, fhee firft brought forth a deformed lump of flefh, haveing as it were two handles on the fides, ftretched forth to the length and manner of arms, and it moved and panted with a certain vital motion,after the manner of fpunges and fea-nettles; but afterwards there came forth of her womb a monfter with a crooked nofe, a long and round neck, terrible eies,a fharp tail, and wonderful quick of the feet, it was fhaped much after this manner. the fbape cfa monfier that came forth of a womans womb. Asfoon as it came into the light it filled the whole room with a noife & hi fling, running to everie fide to finde out a lurking hole wherein to hide its head,but the women which were prefent, with a joint confent fell upon it, and fmothered it with cuffiions, at length the poor woman wearied with long travel, was delivered of a boie, butfo evilly entreated and handled by this monfter, that it died as foon as it was chriftened. Cornelius Gemma a Phyfician of Lovain, telleth that there were manie verie monftrous and ftrange things caft forth both upwards and downwards out of the bellie of a certain maid of Lovain, of the age of fifteen years. Amongft the reft, fhee caft forth at her fundament, toge- ther with her excrements,a liveing creature fom foot & half long, thicker then ones thumb, verie like an eel, but that it had a verie hairie tail; I have here given you the figure of the monfter as it was exprefled by him. Lib.de divinix natuf.Cbaraiie- rifmis. the figure of a monfter that came fortb'of a maid's bellie. An biftorie. Mafter Peter Barque and Claude le grand, Surgeons of Verdun, lately affirmed to mee that they cured the wife of a certain Citizen of Verdun, which out of an Abfcefs broken in the bellie, caft forth a great number ofworms, together with the quittur; and thefc were of the thicknefs of ones finger, with (harp heads, which fb gnawed her guts, that the excrements for a long time came forth at the ulcer, but now ffiee is perfe&ly recovered. Anthonie Bcnenius a Phyfician of Florence telleth; that one John Menufierus, a man of fortie yeers of age, troubled with continual pains at his ftomach, was often at the point of death, neither found hee anie help by the counfels ofmanie Phyficians which hee ufed. At length comming to have his advice, hee gave him a vomit, by means whereof hee caft up a great quantitie of corrupt and putrid matter, yet was hee not thereby eafed of his pain. Therefore hee gave him another vomit, by force whereof hee caft up much matter like to the former, and together therewith a worm of four fingers long, haveing a red round head, of the big- ness of a great pea£covered over the bodie with a foft downinefs,with a forked tail, in man- net of an half moon,going upon four feet,two before,and two behinde. An hiftoric. the figure of a worm caft forth by vomit. •the Lib.xo. eagles and 497 Why ihould I mention the prodigious bodies which are found in abfcefles, as ftones, chalk, fand, coles, fnail-fhels, ftrawes, hay, horns, hairs, and manie kindes of living and dead creatures > For there is nothing in the generation of theft things (caufled by corrupti- on, preceded by much alteration) which may make us admire,or hold us in fulpence,elpeci- ally if wee flial confider that nature,the fruitful parent of all things,hath put divers portions and particles of the univerlal matter whereof the greater world is competed into this micro- cofinos, or little world, man 5 whereby hee might the rather feem to bee made to the rcfem- blance and form of the greater. Wherefore it fo defport's it ftlf here, that it may counter- feit and re.'emble all the aftions and motions which it uftth to perform in the fcene of the greater world, in this little one, if fo bee that matter bee not wanting. The efficient and material caufles of fuch things as are preternatural- ly generated in our bodies. CHAP. IIII. Grofs, vifcid and crude humor is the material cauf of worms , which haveing got the beginning of corruption in the ftomach, is quickly carried into the guts, and there it putrefie's, haveing not acquired the form of laudable Cbylut in the firft concoftion. This, for that it is vifcid, tenacioufly adhere's to the guts, neither is it eafily evacuated with the other excrements; therefore by delay it further putrefies, and by the efficacie of heat, it turn's into the matter and nourifhment for This alimentarie humor beeing confumed, unlefs fom fre(h,fupplie the want there- of, which may eaftheir hunger, they moov in the guts with great violence, they aufgrievous and great pains, yea, and oftimes they creep up to the ftomach, and Co com forth by the mouth, and fomtimes they aflcend into the holes of the palate, and com forth it the note. Worms are of three forts for fom are round and long, others broad and long, others fhort and (lender. The firft are called by the Antients Terete s,that is, round; for that they are long and round. The fecond are named Tenit , for that their bodies are long and broad, like a rowler or fwathe. The third are termed -dfcarider, for that they commonly wrap themfelvs up round. Other differences of worms are taken from their colors s as red, white, black, afh-colored, yellowiih. Som alfo are hairie, with a great head like the little fifh which the French call Chabot ,wee3 a Miller's-thumb; in fom difeafes manie worms are ge- nerated and caft forth by the fundament, as fmall as hairs, and ufually of color white, and thefe are they which are called dfiarzdes. The diverfitie of colors in worms proceedeth not from the like diftinft diverfitie of humors whereof they are generated. For the melancho- lick and cholerick humor by their qualities are wholly unfit to generate worms. But this manifold varietie in color, is by reafon of the different corruption of the cbylow or phleg- matick humor whereof they are bred. The long and broad worms are oftentimes ftretch- td alongft all the guts, beeing like to a mucous or albuminous fobftance; and verily I law one voided by a woman, which was like to a ferpent, and fom fix foot long, which ought not to teem ftrange, feeing it is noted by the Antients, that they have feen worms fo long, as the length of the whole guts, that is, feven times the length of ones bodk.TFieruf write's, that hee faw a countrie-man who voided a worm eight foot and one inch long, in head and mouth refembling a Duck, which therefore I have thought good here to exprefs. Of the worms which ufe to breed in the guts. How worms are generated. • The reafon that they fom- times com forth at the mouth. The different ces of worms. An hiftorie. An hiftorie.' the figure of a worm, generated in, and caft forth of the guts. Valeriola affirmeth, that hee Caw a worm above nine foot long. Now as worms differ in fhape, fo are their places of generation alfb different. For the round and long worms are commonly generated in the (mailer guts, the reft in the greater, but efpecially the Afcarides: V none tntbferwk 498 Concerning the &c. Lib.zo. In what pla- ces of the bel- lie worms arc generated. ■ none breed in the ftomach, as that which is the place of the firft conco&ion. There truly ' the matter which breedeth thefe worms, get's the firft rudiment of corruption , but corn's : to perfe&ion onely in the guts; they breed in fom infants in their mothers bellies, by the pravitie and corrupt nature of the humor flowing from the mother for the nourilhmentof the childe, which for that then they do not expell it by liege, it by delay putrefieth the • more, and yield's fit matter for the breeding of worms, as fom have obferved out of Hipo- crates. Laftly, worms breed in people of anie age that are Bellie-gods, and given to glutto- nie, as alfo in liich as feed upon meats of ill juice, and apt to corrupt, as crude lummer- fruits, cheef, and milk-meats. But to know in what part of the guts the worms do lurk, you muft note, that when they are in the fmallguts, the patients complain of a pain in their ftomach, with a dog-like appetite, whereby they require manic and feveral things without reafon,a great part of the nourifhment beeing confumed by the worms lying there; they are alto fubjeft to often fainting, by reafon of the lympathie which the ftomach, beeing a part of moft exquifite hath with the heart, the note itches, the breath ftink's, byreafon of the exhalations fent up from the meat corrupting in the ftomach; through whichocca- fion they are alfo given to fleep, but are now and then waked there-from by Hidden Cart- ings and fears; they are held with a continued and flow fever, a drie cough, a winking with their eie-lids, and often changcing of the color of their faces. But long and broad worms, beeing the innates of the greater guts, fhew themfelvs by ftools replenifhed with manic floughs,here and there refembling the feeds of a Musk-melon or Cucumber, ' are known by the itching they cauf in the fundament, cauffmg a fenf as if it were Ants rui- ning up and down j caulfmgalfo atenafmus , and falling down of the fundament. Thisis the caufof all thefe fymptoms ; their fleep is turbulent and often glamorous, when as hot, acrid and fubtil vapors, railed by the worms from the like humor and their food,are lent up to the head ; but found fleep by the contrarie, as when a miftie vapor is lent up from a grols and cold matter. They dream they eat their fleep, for that while the worms do more greedily confume the chylous matter in the guts, they ftir up the fenfof the like a&ion in the phantafie. «They grate or gnalh their teeth by reafon of a certain convulfifick repletion, themufcles of the temples and jaws beeing diftended byplentieof vapors- Adrie cough com s by the confent of the vital parts ferving for refpiration , which the natural, to wit, the Diaphragma, or midriff, fmit upon by acrid vapors, and irritated as though there were fom humor to bee expelled by coughing. Thele lame acrid fumes allailing the orifice of the ventricle,caufeither an hicketting, orelfa fainting, according to the condition of their contiftence, grofs or thin $ thefe carried up to the parts of the face cauf an itching of the nofe, adarknefs of the fight, and a hidden changeing of the color in the cheeks. Great worms are worf then little ones, red then white, living then dead, manie then few, variega- ted then thofe of one color, as thofe which are figns of a greater corruption. Such as are caft forth bloodieand Iprinkled with blood, are deadlie, for they fhew that the fubftanci ofthe guts is eaten alimderjfor oftimes they corrode and perforate the bodieof the gu. wherein they are contained , and thence penetrate into divers parts of thebellie, fo that they have com forth Runtimes the navel, haveing eaten themfelvs a pallage forth , as HoZ- lerius affirmeth. When as children troubled with the worms draw their breath with diffi- cultie, and wax moift over all their bodies, it is a fign that death is at hand. If at the begin- ning of (harp fevers, round worms com forth alive , it is a fign of a peftilent fever, the malignitie of whofe matter they could not endure, but were forced to com forth. But if they bee caft forth dead, they are figns of greater corruption in the humors, and of a more venenate malignitie. Adfinem lib. 4 de morbis. Signs of worms in the final! guts. Signs of worms in the great guts. Signs of 4/U rides. Why worms of divers co- lors are more dangerous. CHAP. V. What cure to bee ufed for the Worms. The genera! indications of cureing the worms. N this difeaf there is but one indication,that is, the excluhon or editing out of the worms, either alive or dead, forth of the bodie , as beeing fuch that in their whole kinde are againft nature; all things muft bee Ihunned which are apt to heap up putrefaction in the bodie by their corruption, fuch as are crude fruits, cheef, milk-meats, fifties, and laftly, ffich things as are of a difficult and hard digeftion, but prone co corruption. Pap is fit for chil- dren, tor that they require moift things,but thefe ought to anfwer in a certain fimilitude to the confidence and thicknels of milk, that Co they may the moreeafily bee corroded and aP iimilated, and fuch onely is that pap which is made with wheat flower,not crude,but baked in an oven, that the pap made therewith may not bee too vifeid nor thick, if it ffiould onely bee boiled in a pan as much as the milk would require; or elf the milk would bee too rerre- ftrial, or too wateriffi, all the fattie portion thereof beeing refolved, the cheelie and whayiffi portion remainingjif it ffiould boil fo much as were ncceflarie for the fol boiling of the crude meat j Measles, and Lib.zo. 499 meats they whic hufe meal otherwise in pap yeeld matter for the generateing of grots and vifcid humors in the ftomich, whence happen's obftruftion in the firft veins and fubftance of the liver; by obftruftion worms breed in the guts, and the ftone in the kidnies and bladder. The patient muft bee fed often, and with meats of good juice, left the worms through want of nourilhment, Ihould gnaw the fubftanceof the guts. Now when as fuch things breed of a putrid matter, the patient fliall bee purged, and the putrefaftion repreft by medicines men- tioned in our Treatife of the Plague. For the quick killing and calling of them forth, lyrup of fuccorie, or of lemmons with rubarb, a little treacle or methridate is a lingular medicine, v if there bee no fever; you may alfo for the fame purpofe ufe this following medicine.R.corww a cervi, pul. rafur. fem. tanacet. & contra fiat decottio pro parva doji,in cola- v tura infunde rbei optimist. diffdue fyrupz de abfintbiofffi. make a potion, give it in the b morning diree hours before anie broth. Oil of Olives drunk, kill's worms ; as allb water of knot-grafs drunk with milk; and in like manner all bitter things. Yet I could firft wilh themtogiveaglyfter made of milk, honie andluger, without oils and bitter things, left Ihunning thereof, they leav the lower guts, and com upwards;for this is natural to worms, to fhun bitter things, and follow fwect things. Whence you may learn, that to the bitter things which you give by the mouth, you muft alwaies mix fweet things, that allured by the fweetiefs,they may devour them more greedily,thatfothey may kil them.Therefore I would . with milk and fuger, mix the feeds of centaurie, Kwe,wormwood, aloes and the like: hartfe * horn is verie effectual againft worms, wherefore you may infufe thereof in the f water or drink that the patient drink's,as allo to boil fom thereof in his broths.So alfo trea- cle drunk or taken in broth,killeth the worms; purflain boiled in broths, and diftilled and drunk, is alfo good againft the worms; as allb fiiccorieand mints; alfo a deco&ion of the lel- ferhoul-leek and febeftens given with fuger before meat; it is no lets effe&ual to put worm- feeds in their pap, and in rolled apples, and lb to give them it. Allb you may make J fuppolitories after this manner , and put them up into the fundament. R. coraUi fub- 3 albi, rafur£ eboris, cornu cervi ufti, ireos an£)n> mellifalbi |iip, aqu£ centinodi£ q.f. ad omnia con- * ccrporanda,fiant Glandes: let one bee putupeveriedaie, of the weight of $ii. for children; thefe fuppolitories are chiefly to bee ufed for dfcarides, as thofe which adhere to the right gut.To fiich children as can take nothing by the mouth,you fhall applie cataplafms to their navels made of the powder of cummin-feeds, the fiowr of lupines, worm-wood, fouthern- wood, tanfie, the leavs of artichokes, Rue, the powder of coloquintida, citron-feeds, aloes, arf-finart,horf-mint,peach-leavs,C(^Mamarus,ZedoariatCope and ox-gall. Suchcataplafins arc oftimes fpred over all the bellie, mixing therewith aftringent things for the lirengthen- ing of the part, as oil of myrtles, Quinces and maftich; you may alfo applie a great onion hollowed in the mid'ft, and filled with aloes and treacle, and lb rolled in the members,then beaten with bitter almonds,and an ox-gall. Alfo you may makeemplafters of bitter things, - as this which follow's. R. fellis bubuliffucci calocyn.%1. terantur & mifeeantur Ji- l muljncorporentur cum farina lupinorum: make hereof an emplafter to bee laid upon the Navel.1 Liniments and ointments may bee allb made for the fame purpofe to annoint the bellie, yt>u may alfo make plafters for the navel of pil/ul£ ruf. annointingin the mean time the fun- dament with honie and fuger, that they may bee chafed from above with bitter things, and allured downwards with tweet things.Or elf take worms that have been call forth,drie them in an iron-pan over the fire, then powder them, and give them with wine or fbm other li- quor to bee drunk, for fo they are thought quickly to kill the reft ofthe worms. Hereto al- lo conduceth the juice of citrons, drunk with the oil of bitter almonds, or fallet-oil. Alfo fom make bathes againft this affeft of worm-wood® galls, peach-leavs boiled in water,and then bathe the childe therein. But in cureing the worms, yon muft obferv that this difeaf is oftimes entangled with ther more grievous difea£ as an acute and burning fever, a flux orfcouring, and the like, in which (as for example fake) a fever beeing prefent and conjoined therewith, if you fhall give worm-feeds, old Treacle, myrrh, aloes, you fhall increaf the fever and flux,for that bit- ter things are verie contrarie to thefe affects. But if, on the contrarie, in a flux whereby the worms are excluded, you fhall give corral, and the flowr of Lentils, you fhall augment the fever, makeing the matter more contumacious by drie and aftringent things. Therefore the Phy fician fhall bee careful in confidering whether the fever bee a fymptomof the worms, or on the contrarie it bee eflential, and not fymptomatick; that this beeing known, heemay principally infill in the ufe of fuch medicines as refill both affefts, as purgeing and bitterilh in a fever and worms, but bitter and fomwhat aftri&ive things in the worms and flux. Wherfore, and w her with ,fuch as have the worms,muft bee purged. Hirtf-horn good againft the worms. Suppofitoriee againft the j/laridej. A plaftet a- gainft the worms. ■ A fever fom- : times a fym- ptom,andfom- . times a difeaf. V V 2 GHAp. Qoncerninp the 500 Lib.20. CHAP. VI, 4 foort defeription of tbe Elephantiafis or Leprofie, and of the caujfes thereof. His difeaf is termed Elepbantiajis , becauf the skin of fiich as are troubled there- with is rough, fcabious, wrinkled and unequal, like the skin of an Elephant. Yet this name may feemto beeimpofed thereon by reafon of the greatnefs of the difeaf. Som from the opinion of the Arabians have termed it Ltpra, or Le- protic (but improperly, for the Lepra is a kinde of fcab and difeaf of the skin. Which is vul- garly called Malum fancli manis) which word for the prelent wee will ufe, as that which pre- by cuftom and antiquitie. Now the Leprofie (according to Paulus) is a Career of the whole bodie, the which (as Avicen add's) corrupt's the complexion, form and figure of the members. Galen think's the caul arileth from the error of the languifying facultie,through whole default the aff milation in the Hefti and habit of the bodie is depraved, and much changed from it felf, and the rule of nature. But ad Glauconem, hee define's this difeaf An effufion of troubled or grots blood into the veins and habit of the whole bodie. This dif- eaf is judged great,for that it partake's of a certain venenate virulencie,depraveing themem- bers and comlinefsof the whole bodie. Now it appears, that the Leprofie partake't of a certain venenate virulencie by this, that fiich as are melancholick in the whole habit of their bodies, are not leprous. Now this difeaf is compofed of three differences of dileafes: Fiift,ic confift's of a diftemper againft nature., as that which at the beginning is hot and drie, and at length the ebullition of the humors ccaling, and the heat dilperled, it becom's cold ind drie, which is the conjunft caufof this lymptom. Alfoit confift's of an evil compolitionor conformation, for that it deprave s the figure and beautie of the parts. Alfo it confift's of a folution ofcontinuitie, when as the Hefti and skin are cleft in divers parts with ulcers and chops. The Leprofie hath for the moft part three general caufies, that is, the primitive, an- tecedent, and conjun&ive : The primitive cauf is either from the firft conformation, or com's to them after they are born. It is thought to bee in him from the firft conformation, who was conceived of depraved and menftruous blood, and fiich as inclined to melancholic; who was begot of the leprous feed of one or both his parents, for leprous perfons generate leprous, becauf the principal parts beeing tainted and corrupted with a melancholick and venenate juice, it muft neceffarily follow, that the whole mafs of blood and feed that fall's from it, and the whole bodie ftiould alfo bee vitiated. This cauf happen's to thofe that are alreadie born, by long ftaying and inhabiting in maritime countries,whereas the grots and miftie air, in fuccels of time, induceth the like fault into the humors of the bodie; for that, according to Hippocrates, fuch as the air is, fuch is the ipirit, and fiich the humors. Alfo long abideing in verie hot places, becauf the blood is tonified by heat, but in cold places, for th at they incraflate , and congealing the fpirits do after a manner ftupifie, may bee thought the primitive caufies of this difeaf. Thus in fom places of Germanic there are di* vers leprous perfons ; but they are more frequent in Spain, and over all Africa, then in all the world betide, and in Languedoc, Provence and Guyertne, are more then in whole France befides. Familiaritie, copulation, and cohabitation with leprous perfons may bee reckoned amongft the caufies thereof,becaul they transfer this difeaf to their familiars by their breath, fweat and fpittle left on the edges of the pots or cups. This difeaf is alfo cauffed by the too frequent ufe of fait, fpiced, acrid andgrofs meats, as the flefti of Swine, Affes, Bears, pulf, milk-meats; fo alfo grofs and ftrong wines, drunkennels, gluttonie, a laborious life, full of forrow and cares, for that they incrafiate, and as it were burn the blood. But the retenti- on of melancholick excrements, as the fiippreflion of the hemorrhoids, courfes,finall pocks and meazles, as alfo a quartain fever accuftomed to com at let-times; the drying up of old ulcers, for that they defile the mats of the blood with a melancholick drofsand filth. Now you muft underftand, that the caufof the Leprofie by the retention of the fuperfluities, hap- pen's, becaufthe corrupt blood is not evacuated, but regurgitate's over the whole bodie,and corrupt's the blood that Ihould nourifti all the members; wherefore the aflimilative facul- tie cannot well aflimilate by reafon of the corruption and default of the juice; and thus in conclufion the Leprofie is caufied. The antecedent caufies are the humors difpofed to adu- ftion and corruption into melancholie,by the torrid heat; for in bodies poflefled with fuch heat, the humors by aduftion eafily turn into melancholic, which in time acquiring the rna- lignitie and corruption of a virulent and venenate qualitie, yield's a beginning and eflence to the Leprofie. The conjunft caufies are the melancholick humors, which are now par- takers ofa venenate and malign qualitie, and Ipread over the whole habit of the bodie, cor- rupting and deftroying it firft by an hot and drie diftemper , and then by a cold and drie, contrarie to the beginnings of life. For hence inevitable death muft enfiie, becauf our life confift's in the moderation of heat and moifture. Lib. 4. cap. i. There is,a cer- tain hidden vi- rulenciein the Leprofie. The primitive cauf of a Le- ptofie. How they may bee leprous from their firft conformation. The antece- dent caul ofa Leprofie. The conjund cauf. How it com's to bee deadlie* CHAP. Lib.zo. Measles, and JTorms, &c. 501 CHAP. VII. 'The figns of a Leprofie, breeding, prefent, and already confirmed. le difpofition of the bodie and humors to a Leprofie is (hewed by the change of the native and frefh color of the face, by that affeft of the face, which is commonly called Guttarofacea, red and blackilh iiiifufions and puftles, the falling away of the hairs, and a great thirft, and a drinels of the mouth both by night and day, a (linking breath, little ulcers in the mouth, the change of the voice to hoarfnefs, a delire of venerie above nature and cuftom. Now there are four times of this difeaf, the beginning, ftate and declenfion. The beginning is, when as the malignitie hath not gon further then the inner parts and bowels, wherupon the ftrength n muft need's bee more languid. The increafis,when as the virulencie com's forth, and the ligns and fymptoms are everie day increafed in number and ftrength. The ftate is, when as i the members are exulcerated. The declenfion is, when as the afpeft of the face is horrid,the 1 extreme parts fall away by the profund itie and malignitie of the ulcers, fo that none,no not o of the common fort of people, can doubt of the difeaf. According to the doftrine of the Antients, wee muft in (earching out of the figns of this difeaf beeing prefent, have chief re- gard to the head. Forthefignsof difeafes more properly and truly fiiew themfelvs in the face, by reafon of the foftnefs and raritie of the fubftance thereof, and the tenuitie of the skin that cover's it 5 wherefore a black and aduft humor diffufed there-under, eafily fhew's it (elf, and that not onely by the mutation of the color, but alfo of the charafter and bulk, and oftimes by manifeft hurting it. Wherefore you muft obferv in the head whether it have (cauls, and whether in the place of thole hairs that are fallen away, others more tender, ftiort and rare grow up, which is likely to happen through defeft of fit nourilhment to pre- ferv and generate hairs, through corruption of the hairie foalp that fhould bee ftored with fuch nourilhment, and of the habit it felf, and through the unfitnels thereof to contain hairs : laftly,by the acrimonie of the vapors fent up from the aduft humors and entrails,fret- ting afunder the roots of the hairs. But if not onely the hair, but alfo fom portion of the ' skin and flefh about the roots of the hair, comaway by pulling, it is an argument of per- < feft corruption: let this therefore be the firft fign of a Leprofie. A fecond and verie certain 1 fign is, a numerous and manifeft circumfcription of round and hardpulhes or puftles under th^eie-brows,and behinde theears,and in feveral places of the face, refembling round and hard kernels, occafioned by the default of the aflimulating facultie. The caufof this default is the grofnefs of the flowing nourilhment, by which means it beeing impaft, and flopping in the ftraitnels of the Way, it grow's round,as it were compaffed about in the place whereas it ftick's, and by the means of the cruditie, for that it is not aflimulated, and by delay, it is further hardned. The third fign is, the more contraft and exaft roundnefs of the ears,their grofnefs, and as it were grainie fpiflitude or denfoefs; the caufoftheir roundnefs is thecon- fumption of the flaps and flefhie part through want of nourilhment, and excels of heat; but the occafion of their grainie fpiflitude is the grofnefs of the earthie nourilhment flowing thither. The fourth fign is a Lion-like wrinkling of the fore-head, which is the reafon that ( fom term this dileaf morbus Leoninus; the cauf hereof is the great drinels of the habit of the bodie, which alfo is the reafon that the bark of an old oak is rough and wrinkled. The, fifth is, the exaft roundnefs of theeies, and their fix't and immoovable fteddinels; verily the eies are naturally almoft round, yet they appear obtufe, and fomwhat broad on the fore- fide,but end in a Conus on the hind part,by reafon of the concourf and figure of the mulcles and fat inverting them. Therefore thele beeing confomed either through defeft of laudable nourilhment, or elf by the acrimonie of the flowing humor, they are reftored to their proper figure and roundnefs. Now the mufcles which mooved the eies beeing confiimed, and the fat which facilitated their motion wafted, it com's to pafs that they ftand ftiff and unmoov- able, beeing deftitute of the parts yeelding motion, and the facilitie thereof. The fixth fign is, the noftrils flat outwardly, but inwardly ftraight amd contrafted, that is, an earthie and grols humor forced from within outwards, which (wel s the fides or edges of the noftrils; whence it is, that the paflages of the note appear as it were obftrufted by the thicknefs of this humor; but they are deprefled and flatted by reafon of the reft of the face and all the neigh- boring parts fwoln more then their wont; add hereto that the partition is confumed by the acrimonie of the corrodeing and ulcerateing humor. The feventh is, the lifting up, thick- nefs and fwelling of the lips, the filthinefs, ftinch and corrofion of the gums by acrid va- pors rifeing to the mouth; but the lips of leprous perfons are more fwoln by the internal heat burning and incraflateing the humors, as the outward heat of the Sun doth in the Moors. The eighth fign is, the fwelling and blacknefs of the tongue, and as it were varicous veins lying under it; becauf the tongue, beeing by nature fpongeous and rare, is eafily ftored . with excrementitious humors,lent from the inner parts unto the habit of the bodie: which fame is the cauf why the grandules placed about the tongue above and below,are fwoln hard & round,no otherwife then fcrophulous or meazled fwine.Laftly, all their face rifeth in red V v 3 bunches The begin- ning of a Le- profie. The incteaf. The ftate. The dcclenfi- ; on. The firft fign oftheLepro- fie. I Ju III. IV. Why it is ai- led morbui Leo- nine. V. VX- VI t VIIL 502 Meazj.es and jTorms, &c. Lib.zo. bunches or putties, and is over-fpread with a duskie and obfcure rednels ; the eies are fierie, fierce and fixed, by a melancholick chacheftick dilpolition of the whole bodie , manifeft figns whereof appear in the face by reafon of the fore-mentioned caufles,yet /dm leprous perfons have theit faces tihftured with a yellowilh, others with a whitifh color, according to the condition of the humor, which lerv's fora bafts to the leprous malignitie. For hence Phyficians affirm that there are three forts of Leproiies; one ' a reddiffi black color, con- fifting in a melancholick humor; another of a yellowitti green, in a cholerick humor; ano- ther in a whitilh yellow, grounded upon aduft phlegm. The ninth fign is a /linking of the breath, as alfo of all the excrements proceeding from leprous bodies, by reafon of the ma- lignitie conceived in the humors. The tenth is, a hoarfnels, a fhakeing, harfti and obfeure voice, comming as it were out of the nofe, by reafon of the lungs, recurrent nervs, and mu- fcles of the throttle tainted with the grofneft of a virulent and aduft humor; the fore- mentioned conftriftion and obft ruCtion of the inner paflage of the nofe; and laftly, the afperitie aud inequalitie of the weazon by immoderate drinels, as it happen's to liich as have drunk plentifully of ftrong wines without anie mixture. This immoderate drinels of the mufcles lerving for refpiration make's them to bee troubled with a difficultie of breathe- ing. The eleventh, fign is verie obfervable , which is a morphew or defedation of all the skin, with a drie roughnels and grainie inequalitie, foch as appears in the skins of plucked geel, with manie tetters on everie fide,a filthie fcab,and ulcers not calling off onely a brain- like feurf, but alfo Icales and crufts. Thecaufof this drie fcab is the heat of the burning bowels and humors unequally contracting and wrinkling the skin, 'no otherwife then as leather is wrinkled by the heat of the fun or fire. The catifof the filthie /cab and lerpigi- nous ulcers, is the eating and corrodeing condition of the melancholick humor,and the vc* nenate corruption, it alfo beeingthe autor of corruption, fo that it may bee nomarvell if the digeftive facultie of the liver beeing fpoiled, the affimilative of a malign and unfit matter lent into the habit of the bodie cannot well nor fitly perform that which may bee for the bodie's gc ?d. The twelfth is, the fenfof a certain pricking, as it were of goads or needles over all the skin, cauffed by an acrid vapor hindred from palling forth, and intercepted by the thicknefs of the skin. The thirteenth is a confumption and emaciation of the mufcles which are between the thumb and fore-finger, not onely by reafon that the nouriffiing and affimilating faculties want fit matter wherewith they may repair the loff of thele parts, for that is common to the/e with the reft of the bodie; but becaul the/e mufoles naturally rile up unto a certain moiintarious tumor,therfore their depreffion is the more manifeft.And this is the caul that the /houlders of leprous perfons ftand out like wit,the emaciation of the inward part of the mulcle Trapozitej.The fourteenth fign is,the diminution a rramn -ls over all the bodie by reafon that the nervs are obftrufted by the thicknefs of the melancholick humor hindring the free palfage of the animal Zpirit, that it cannot com to the parts that Ihould receiv fenf, the/e in the interim remaining free which are lent into the mufcles for motion's fake,and by this note I chiefly make trial of leprous perfons,thruftinga fom-what long and thick needle fom-what deep into the great tendon endued with moft exquifite lenG which run's to the heel, which, if they do not well feel, I conclude, that they are certainly leprous. Now, for that they thus lole their fenf, their motion remaining en- tire, the cauf hereof is, that the nervs which are difleminated to the skin are more affected, and thole that run into the mufcles are not fo much; and therefore when as you prick them fomwhat deep, they feel the prick, which they do not in the forface of the skin. The fif- teenth is, the corruption of the extreme parts poffeffed by putrefaction and a gangrene, by reafon of the corruption of the humors lent thither by the ftrength of the bowels, infecting with the like tainture the parts wherein they remain: add hereto that the animal lenficive facultie is there decaied, and as often as anie facultie hath forfaken anie part, the reft pre- /ently after a manner negleft it. The fixteenth is , they are troubled with terrible dreams, for they leem in their fleep to lee divels, lerpents, dungeons, graves, dead bodies, and the like, by reafon of the black vapors of the melancholick humor troubling the phantafie with black and difinal vilions, by which reafon alfo fuch as are bitten of a mad dog fear the wa- ter. The feventeenth is, that at the beginning and increaf of the dileaf they are lubtil,craf- tie and furious by reafon of the heat of the humors and blood 5 but at length in the ftatc anddeclenfion they becom craftie and fo/picious, the heat and burning of the blood and en- trails decaying by little and little ; therefore then fearing all things whereof there is no cauGand diftrufting of their own ftrength,they endeavor by craft malicioufly to circumvent thole with whom they deal, for that they perceiv their powers to fail them. The eighteenth is, a defire of venerie above their nature, both for that they are inwardly burned with a ftrange heat, as alfo by the mixture of flatulencies therewith (for whofe generation the me- lancholick humor is moft fit) which are agitated, and violently carried through the veins and genital parts by the preternatural heat j but at length,when this heat is cooled, and that they are fallen into an hot and drie diftemper, they mightily abhor venerie, which then would bee verie hurtful to them, as it alfo is at the beginning of the dileaG becaufthey have fmall ftore of /pirits and native heat, both which are diffipated by venerie. The nineteenth is, IX. X. XI. XII. XIII. XIV. XV. XVI. XVII. XVIII. XIX. Lib.zo. eagles and Worms,&c> 503 is, the fo great thicknels of their grofs and livid that if you wafli it, you may finde a fandie matter therein, as fom have found by experience, by reafon of the great aduftion and aflation thereof. The twentieth is,the languidnefs and weaknefs of the pulf(by reafon of the oppreflion of the vital and pulfifick facultie by a cloud of groft vapors.) Herewith alfo their urine fomtimes is thick and troubled,like the urine of carriage-beafts, if the uri- narie veflels bee permeable and free; otherwife it is thin, if there bee obftruftion, which onely fuffer's that which is thin to flow forth by the urinarie paflages j now the urine is oftentimes of a pale alh-color, and oftimes it imelfs like as the other excrements do in this difear. Verily there are manie other figns of the Leprofie, as the flowneft of the bellie by reafon of the heat of the liver, often belchirigs by reafon that the ftomach is troubled by the reflux of a melancholick humor,frequent fneefing by reafon of the fulnefs of the brain; to theft, this may bee added moft frequently, that the face and all the skin is unftuous or greafie, fo that water poured thereon, will not in anie place adhere thereto :I conceiv it is by the internal heat diffolving the fat that lie's under the skin, which therefore alwaies look's as if it were greafed or annotated therewith in leprous perfons. Now of theft fore- mentioned figns, fom are univocal, that is, which truly and neceflarily fhew the Leprofie: other-lbm are equivocal or common, that is, which conduce as well to the knowledg of o- ther diftafts as this. To conclude, that afluredly is a Leprofie which is accompanied with all, or certainly the moll part of theft fore-mentioned figns. XX. Why their fa- ces teem to bee gteafie* CHAP. VIII. Of Prognoflicks in the Leprofie ; and bow to provide for fuch as ftandinfear thereof. He Leprolie is a dileaf which pafleth to the ifliie, as contagious almoft as the Plague, fcarce cureable at the beginning, incureable when as it is confirmed, i becauf it is a Cancer of the whole bodie; now if fom one Cancer of fome one part lhall take deep root therein, it is judged incureable. Furthermore, the remedies which to this day have been found out againft this dilcaQ are judged inferior and unequal in ftrength thereto. Befides, the ligns of this dileaf do not outwardly (hew themfelvs before that the bowels bee ftized upon, pofleffed and corrupted by the ma- lignitie of the humor, efpecially in luch as have the white Leprolie, fundrie of which you may lee about Bordeaux, and in little Brittain, who notwithstanding inwardly burn with fo great heat, that it will fuddenly wrinkle and wither an apple held a Ihort while in their hand, as if it had laid for manie daies in the fun. There is another thing that increaleth the difficultie of this difeaf, which is an equal pravitie of the three principal faculties whereby life is prelerved. The deceitful and terrible vifions in the Heep, and numnefs in feeling,hr- gue the depravation of the animal facultie; now the weaknefs of the vital facultie is lhewed by the weaknefs of the the oblcuritie of the hoarf and jarring voice, the difficultie of breatheing, and ftinking breath 5 the decay of the natural is manifefted by the depravation of the work of the liver in fanguification, whence the firft and principal cauf of this harm arileth. Now becauf wee cannot promile cure to luch as have a confirmed Leprolie 5 and that wee dare not do it to Inch as have been troubled therewith but fora Ihort Ipace, it re- main's that wee briefly lhew how to free fuch as are readie to fall into fo fearful a dileaf. Such therefore muft firft of all Ihun all things in diet and courf of life, whereby the blood and humors may bee too vehemently heated, wherof wee have formerly madelbm mention* Let them make choice of meats of good or indifferent juice, fuch as wee lhall delcribe in treating of the diet of luch as are lick of the plague 5 purgeing, bleeding, batheing, cupping, to evacuate the impuritie of the blood, and mitigate the heat of the liver, lhall bee prelcri- bed by fom learned Phylician. Valefiuf de 'I'arenta much commend's gelding in this cav,nei- ther do I think it can bee dilliked. For men fubjeft to this difeafmay bee effeminated by the amputation of their tefticles, and fo degenerate into a womanilh nature, and the heat of the liver boiling the blood, beeing extinguilhed, they becom cold and moift, which tem- per is direftly contrarie to the hot and drie diftemper of leprous perlons; befides the leprous beeing thus deprived of the facultie of generation, that contagion of this difeafis taken a* way which lpreadeth,and is diffuled amongft mankinds by the propagation of their iflue. Why the Le« proGe is in- curcable. The curei The diet. Gelding good againftthc le- proGe* The end of the twentieth Book* Lib.zi. 504 Of Toifins,and of theSita'ngof a mad Dog, and the Biteings and Stingings of other venemous Creatures. The one and twentieth Booh CHAP. I. The cauf of writeing this Treatife of Poifons. ve reafons have princip lly mooved mee to undertake to write this Trea- tife of Poifons, according to the opinion of the Antients. The firft is, that I might inftruft the Sui geon what remedies muft prefently bee ufed to foci as are hurt by poifons, in the interim whil'ft greater means may bee expe- cted from a Phyfician.The fecond is,that hee may know by certain figns& notes fiich as are poifoncd or hurt by poifonous means, and fo make report thereof to the Judges, or to fiich as it may concern.The third is, that thofe Gentlemen and others who live in the countrie, and far from Cities, and ftore of greater means, may learn fbmthing by my labors by which they may help their friends bitten by an Adder,mad Dog, or other poifonous creature, in fo dangerous, fiidden and ufoal a cafe. The fourth is, that everie one may beware of poifons , and know their fymptoms when prefent, that beeing known, they may fpeedily feek for a remedie. The fifth is, that by this my labor all men may know what my good will is, and how well minded I am towards the common-wealth in general, and each man in particular, to the glorie of God. I do not here fo much arm malicious and wicked perfons to hurt,as Surgeons to provide to help and defend each man's life againft poifon; which they did not underhand, or at leaft feemed not fo to do , which takeing this my labor in evil part, have malicioufly interpreted my meaning. - But now at length, that wee may com to the matter; I will begin at the general divifion of poifons, and then handle each frecies thereof feverally: but firft let us give this rule,That poifon is that which either outwardly applied or ftruck in, or inwardly taken into the bodie, hath power to kill it, no otherwife, then meat well drcft is apt to nourifh it. For Conciliator write's,that the properties of poifon are contrarie to nourifhments in their whole fobftance; for as nourifliment is turned into blood, and in each part of the bodie whereto it is applied to nourifh,by perfect aflimilation is fob1 ituted in the place of that portion which flow's away each moment. Thus on the contrarie poifon turn's our bodies into a nature like it felf and venenate, for as everie agent imprint's the force and qualities thereof in the fobjeft patient, thus poifon by the immoderation of faculties in their whole nature contra- rie to us, changeth our fubftance into its nature, no otherwife then fire tumeth chaff in a moment into its own nature, and fo confome's it. Therefore it is truly delivered by the An* tients, who have diligently pried into the faculties of natural things, that it is poifon that may kill men by deftroying and corrupting their temper, and thecompoforeand conforma- tion of the bodie. Now all poifons arefaidto proceed either from the corrupt air, or from living creatures, plants and minerals, or by an artificial malignitie in diftilling, fob- liming and diverfly mixing of poifonous and fuming things. Hence arife fundrie differen- ces of poifons j neither do they all work after the fame manner : for fom corrupt our nature by the unmeaforeablenefs of the manifeft and elementarie qualities whereof they confift, others from a fpecifick and occult propertie. Hence it is that? fom kill fooner then other- • fom; neither is it true, that all of them prefently affail the heart,but others are naturally at deadlie ftrife with other parts of the bodie, as Cantbaridet with the bladder, the fea-Hare with the lungs, the Torpedo with the hands, which it ftupefieth, though the fifliers rod bee betwixt them. Thus of medicines , there are fom which are apt prefently to comfort and ftrengthen the heart j others the brain, as fttcbw; others the ftomach, as cinnamon: Alfo there are fom poifons which work both waies, that is, by manifeft and occult qualities , as Eupborbium; for that both by the exceflive heat and the whole fubftance , or the difcord of the whole fubftance with ours, corrupt's our nature. An argument hereof is, that Treacle, which by its qualitie is manifeftly hot, infringeth the force thereof, as alfo of all others of an occult propcrtic. Poifons which work by an occult and fpecifick propertie, do not there- A ' \ fore What is to bee accounted poifon. The differen- ces of poifon. All poifons have not a pe- culiar antipa- thic with the heart. Lib.ii. Concerning 505 fore do it, beecauf they are too immoderately hot, cold drie, moift ; but for that they are abfolutely fuch, and have that eflencefrom the flares and celeftial influence, which is apt to diflblv and deftroie the ftrength of jaiui's bodie,becauf beeing taken,but even in a final quan- titie, yet are they of fo pernicious a qualitie, that tjhey kill almoft in a moment. Now poi- fbns do not onely kill beeing taken into the bouid, bht fom beeing put or applied outward- ly; neither do venemous creatures onely harm by their ftingingaud biteing,but alfo by their excrements, as fpittle, blood, the touch and breath. > CHAP; n. , .'j . ...... \ ■ .<. ' ■ How poifons beeing fmall in quantitie, may fry their onely toucbiMtf fo great alterations. T feemeth ft range tomanie, how it may com to pals, that poifon taken or admitted in a fmall quantitie, may almoft in a moment produce fo pernici- ous effects overall the bodie, and all the parts, faculties, and aftidns, fo that beeing admitted but in a little quantitie, itfwell's up the bodie into a great bignefs. Neither ought it to feem lets ftrange,how Antidotes and Counter- poifons, which are oppoftd to poifon,can fo ftiddenly break and weaken the great and pernicious etfe&s thereof, beeing it is not likely that fo fmall a particle of poifon or Antidote can divide it felf into fo manie, and fo far fever'd particles of our bodie. There arefom (faith Galen) who think that fom things by touch onely,by the power of their qua- litie, may alter thoft things which are next to them; and that this appear's plainly in the fifh Torpedo, as that which hath fo powerful a qualitie, that it can lend it along'ft the filher's rod to the hand, and fo make it becom torped or numb. But on the contrarie, Philofophers teach, that accidents, fiich as qualities are, cannot without their ftibjefts remove and diffuft themfelvs into other fubje&s. Therefore Galen's other anfwer is more agreeable to reafon, that fo manie and great affefts of poifons and remedies a rife either from a certain fpiritor or fubtilhumiditie; not truly, for that this fprr|t and ftibtil humiditie may bee difperfed over the whole bodie and all the parts thereotfWdcn it affect's, but that little, which is en- tred the bodie, as caft in by the ftroak of a Spider,3 the fting of a Scorpion, infeff s and corrupt's all the next parts by contagion with' the like qualitie, theft others that are next to them, until from an exceeding fmall portion of the blood, if the ftroak mall light into the veins, it fhall fpread over the whole mafs of blood 5 or of phlegm, if the poifon fhall chance to com to the ftomach, and fo the force thereof fhall bee propagated and diffufed over all the humors and bowels. The doubt of Antidotes is left, for theft* beeing taken in greater quan- titie, when they fhall com into the ftomach, warmed by the heat or the place, they becom hot, and fend forth vapors, which ftiddenly diffufed over the bodie by the fubtiltie of their fubftance,do by their contrarie forces dull and weaken the malignitie of the poifon.Where- fore you may often fee when as Antidotes are given in lefs quantitie then is fit, that they are left prevalent,neither do they anfwer to our expectation in overcomming the malignitie of the poifon; fo that it muft neceflarily follow that theft muft not onely in qualities, but alfo in quantitie bee fuperior to poifons. Cap.j.lib.G. de loc.affeli> • The truerea- | fonofthewon- drous effects of poifons. CHAP. III. l?rhetber there bee anie fuch poifons as will kill at a fet time ? O the propounded queftion; whether there may bee poifons which within a cer- tain and definite time f put cafe a month or year) may kill men. 'IbeoybraftM thus anfwer's; of poifons,fom morefpeedily perform their parts,others more flowly; yet may you iinde no fuch as will kill in let limits of time, according to the will and delire of men.For that fom kill fooner or later then others jthey do not this of their own or proper nature, as Phyficians rightly judg,but becauf the fubje& upon which they light, doth more or lets refift or yeeld to their efficacie. Experience tfieweth the truth hereof; for the fame fort of poifon in the fame weight and meafure given to limdrie men of different tempers and complexions, will kill one in an hour, another in fix hours, or in a daie,and on the contrarie will not lb much as hurt fbm third man. You may allo obferv the fame in purgeing medicines. For the fame purge given to diverf men in rile fame pro- portion, will purge fom fooner, fbm later, fbm more iparingly, others more plentifully, and otherfom not atall;alfo with fom it will work gently, with otherfom with pain and gripeings. Of which diverfitie, there can no other cauf bee afligned, then men's different natures in complexion and temper, which no man can fb exaftly know andcomprehend, as to have certain knowledg how much and how long the native heat can refift and labor againft the ftrchgth of the poifon, or how pervious or open the paf&gesof the bodie may bee,whereby the poifon may arrive at the heart and principal parts. For in fuch(forexA no/ ample No poifons kill in a fee time. , How poifons com ci kill (bo- ner or later. 506 Concerning &c. Lib.21. xample fake) as have the paflages of their arteries more large, the poifon may more readily & fpeedily enter into the heart together wth the air that is continually drawn into the bodie. CHAP. IV. Whether fueb creatures as feed upon poifonous things bee alfo poifonous; and whether they may bee eaten fafely and without harm. .licks, Storks, Herns, Peacocks, Turkies, and other birds, feed upon Toads, Vipers, Afps, Snakes, Scorpions, Spiders, Caterpillers, and other venemous - things. Wherefore it is worthie the queftioning, whether fuch like creatures nourifhed with fuch food, can kill or poifon fuch perlons as (hall afterward I eat them ? Matthiolus write's that all late Autors, who have treated ofpoi- fons, to bee abfolutely of this opinion, That men may fafely and without anie danger feed upon fuch creatures, for that they convert the beafts into their nature after they have eaten them, and on the contrarie are not changed by them. This reafon though verie probable, yet doth it not make thefe beads to bee wholly harmlefs,efpecially if they bee often eaten or fed upon. Vi ofc or ides and Galen teem to maintain this opinion, whereas they write, that the milk, which is nothing elf then the relented blood of fuch beafts as feed upon fcammonie, hellebore and fpurge, purgeth violently. Therefore Phyficians, defireous to purge a fucking childe,give purges to the nurfes, whence the milk becomming purgeing, becom's both meat and medicine to the childe. The flefti of thrufties, which feed upon Juniper-berries, favor's of Juniper. Birds that are fed with worm-wood or garlick, either tafte bitter, or have the ftrong fent of garlick. Whiteings taken with garlick, fo fmell thereof, that they will not forego that fmell or tafte by anie faking, frying or boiling; for which foie reafon, manie who hate garlick,are forced to abftain from thefe fifties. The flefti of Rabbits that feed upon pennie-royal and jupiper,favor of them; Phyficians with that Goats,Cows and Afles,whofe milk they would ufe for Confumptions or other difeafes, ftiould bee fed fom fpace before, and everie daie wth thele or thefe herbs fit for the cureing of this or that difeafi For Gii/enaffirm'sthathee doubt's not, but tfiat inVxiccefs of time the flefti of creatures will bee changed by the meats whereon they feed,and at length favor thereof. Therefore I do not allow that the flefti of fuch things as feed upon venemous things, fhould bee eaten for food, unlefs it bee fom long fpace after they have diluted fuch repafte, and that all the venom bee digefted and overcom by the efficacie of their proper heat, fothat nothing thereof may re- main in tafte, fmell or fubftance, but bee all vaniftied away. For manie die fuddenly, the cauf of whofe deaths are unknown,which peradventure was from nothing the fympathie and antipathie of bodies, for that thefe things cauf death and difeaf to fom, that nourifli o- therfom [according to our vulgar Englifti proverb; that which is one mans meat, is another man's foifon.'] Such things as feed upon poi- fon may bee eaten without danger. Lib. de fimp. fault. The occafion of fudden dearhin manic CHAP. V. The generalftgns of fuch as are foifoned. Common ffgns offuch as are poifoncd. Ee will firft declare what the general figns of poifon are, and then wee will defcend to particulars, whereby wee may pronounce that one ispoifoned with this or that poifon. Wee certainly know that a man is poifoned, when as hee complain's of a great heavinefs of his whole bodie, fo that he is wearie of himlelf; when as fom horrid and loathfom tafte fweat's out from the orifice of the ftomach to the mouth and tongue, wholly different from that tafte;that meat, howfoever corrupted, can fend up : when as the color of the face changerh fuddenly, fomwhilesto blacks fom times to yellow, or anie other color, much differing from the common cuftom of man ; when nauleoufnefs with frequent vomi- ting,troubleth the patient,and that hee is molefted with fo great nnquietnefs,that all things may feem to bee turned upfide down. Wee know that the poifon work's by the proper, and from the whole fubftance, when as without anie manifeft fenfof great heat or coldnefs, the patient fwound's often with cold fweats, for ufually foch poifons have no certain and di- ftinft part wherewith they are at enmitie, as cantbarides have with the bladder. But as they work by their whole fubftance, and an occult proprietieof form; fo do they prefently and direftly aflail the heart, our effence and life, and the fortrefs and beginning of the vital fa- cultie. Now will wee foew the figns whereby poifons, that work by manifeft and elemen- tarie qualities, may bee known. Thole who exceed in heat, burn or make an impreflionof heat in the tongue, the mouth, throat, ftomach, guts, and all the inner parts, with great thirft, unquietnefs, and perpetual fweats. But if to their excefs of heat they bee accompanied with a corrodeing and putrefying qualitie, as Arfenick, Rofe-ager or Ratf-bane, Verdegreacep Orpiment, and the like, they then cauf in the ftomach Signs of hot poifons. LlB.21. Concerning Toifons, 507 flomach and guts intolerable pricking pains, rumblings in the bellie, and continual and in- tolerable thirft. Thefc are liicceeded by vomitings, with fweats fomwhiles hot, fomwhiles cold, with fwoundings, whence iudden death enfue's. Poifons that kill by too great cold-1 nefs, induce a dull or heavie Heep, or drowzinefs,from which you cannot eaiily rouz or wa-1 ken them; fomtimes they fo trouble the brain, that the patients perform manie undecent geftures and antick tricks with their mouths and eies,arms and legs,like as fuch as are fran- tick; they arc troubled with cold fweats, their faces becom blackifh or yellowiih, alwaies ghaftlie,all their bodies are benummed, and they die in a Ihort time unlels they bee helped; poifons of this kinde are Hemlock, Poppie, Night-ffiade, Henbane, Mandrag. Drie poi-J (pus are ufually accompanied by heat with moifture, for although fulpbur bee hot and drie, I yet hath it moifture, to hold the parts together, as all things which have a confiftcnce have; yet are they called drie, by reafon that drinefs is predominant in them: fuch things make the tongue and throat drie and rough, with unquenchable thirft; the bellie is fo bound, that fo much as the urine cannot have free paflage forth; all the members grow fqualid by drinefs, the patients cannot Heep : poifons of this kinde are Lytharge,Cerufs, Lime, fcales of Brafs, fileings of Lead, prepared antimonie. On the contrarie, moift poifons induce a perpetual fleep, a flux or fcouring therefolution of all the nervs and joints,fo that not fo much as the eies may bee faithfully contained in their orbs,but will hang as readie to fall out;the extreme parrs, as the hands, feet,nofe and ears corrupt and putrefie, at which time they are alfo trou- bled with thirft by reafon of their ftrong heat, alwaies the companion of putrefa&ion, and oftimes the autor thereof: now when this commeth to pafs, death is at hand- Verie manie denie that there can bee anie moift poifons found, that is, fuch as may kill by the efficacie of their humiditie, becauf there are no fuch things to bee found, as may com to the fourth de- gree of moifture. Yet there is an example that averts the contrarie, which was of one, who fleeping on the night, was bitten by a Serpent, as Gilbertos Jwgficwr affirmeth; for dying thereof, when as his fcrvant,defirous to awaken his Matter out of his deep, took him by the arm, all the flefh beeing putrefied, fell off, and prefently the bones alfb fell afunder, beeing deprived of their flefh, which could not happen, unlefs by excefs of the venemous humiditie which lay hidden in the teeth and fpittle of the ferpent. Alfo wee have found it noted by Hippocrates, that in a rainie, humid and foutherly conftitution of the year, it happened by the malign violence of the venenate and putrefying humiditie, that the flefh of the arms and legs becomming rotten, fell away by peece-meal, and the bones remained bare; yea alfb and the bones themfclvs in fom putrefied and fell away; neither doth the Lues Venerea kill by anie other means, then by a fretting and putrefying force of humiditie, by whofe efficacie the fbli di tie of the bones is diffolved 5 then much more the flefh may bee tainted and confu- ' med by putrefa&ion, To thefe and fuch poifons which work by a manifeft and elementarie facultie, when as they fhall bee received into the bodie after what manner foever, you fhall forthwith oppofe their contraries, and if by chance it bee not manifeft, what, and of what diftinft kinde of poifon that is, you muft know that fiich poifons as work by occult properties, it is not by reafon as yet found out how they will affeff the bodie, but onely by experience. Therefore to thefe you muft oppofe their like antidotes,which may by their whole fiibftance ftrengthen the heart and vital facultie, and withftand the ftrengthof the poifon. But to this our di- flinftion of poifons, working by a manifeft and elementarie qualitie, their opinion is con-: trarie, who affirm that the venom of all poifbnousbeaftsare therefore cold, forthat fuch as are bitten or flung with them, are forthwith felt to bee colder then a ftone. And that fer- pents for fear of cold, when as winter is at handi keep themfclvs in holes and dens under ground, or elf,as vipers ufc to do, lie under ftones; under which, you may often finde them fliff and numb, and fb unapt for motion,that you may eafily take them up in your hand.But the coldnefs that is perceived or felt in fuch as are bitten or flung, is not occafioned by the coldnefs of the poifon, but by the abfcnce of the natural heat, withdrawing it felf in the ve- rie inftant of the ftroak, from the fiirface into the center of the bodie, both for the defence of the heart, as the principal part; as alfo for that there is nothing which fb much diflipate's, or fo much oppugn's the vital heat,as poifon, of what kinde foever it bee, doth. Signs of cold poifons. Signs of due poifons. Signs of moift poifons. An hiftorie. rid. The Lues Ve- nerea kill's by ex cefs of moi- ft ure. All poifons are not cold. Why fuch,as arepoifoned or ftung,arecold« CHAP. VI. How, or by wbat means to fbun» or efchew Poifons. T is a matter of much difficultie to avoid poifons, becauf Rich as at this time temper them, are fo throughly prepared for deceit and mifchief, that they will deceiv even the moft warie and quick-lighted; for they (bqualifie the ingrate tafte and fmell,by the admixture of fweet and well-lmelling things, that they < cannot ealily bee perceived even by the skilful. Therefore fuch as fear poilbn- j ing, ought to take heed of meats cooked with much art, verie fweet,lalt,fbwr, i or notably endued with anie other tafte. And when they are oppreft with hunger or thirft, ' they What, fuch as fear poifoning, muft obferv in their diet. $ Qoncerning (Poyfons) &c. LlB.lI. 508 they muft not eat nor drink too greedily3 but have a diligent regard to the tafte of inch things as they eat or drink; befides, before meat let them take fuch things as may weaken the ftrength of the poifons; fuch as is the fat broth of good nourilhing flefh-meats 5 in the morning let them arm themfelvs with treacle or mithridate, and conferv of roles, or the leavs of rue, a walnut and drie figs 5 befides, let him pretently drink a little draught of muf- kedine or 1dm other good wine5 when one fufpe&s hee hath taken any poifon in meat or drink, let him forbear deeping. For befides that the force of poilbn is oft times fb rapid , that itconfume's our life in a fliort (pace, as fire dothflubble, as allb for that it is drawn more inwardly into the fecretpaflages of the bodie by deep. Wherefore in fuch a cate it is better to procure vomit by drinking Hydrtleum warm, or butter dilfolved in warm oil, or a : deco&ion of line, or fenugreek-feeds, or fat broth, for thus the received poifon is alfo caft forth therewith, or elf the acrimonie thereof retunded, and the bellie looted. You may fee this by dailie experience, for caufticks, veficatories, and the like acrid things beeing applied to an anointed part, will not blifter nor exulcerate the part. Neither doth the vomit conduce onely in this, that it excludeth the poilbn, but it fhew',s either by the tafte, fmell, or color, the kinde of the taken-poifon; fo that then by ufeing the proper Antidote, it may bee the more eafily and fpeedily refifted, yet notwithftanding if you conceiv that the poifon have deteended deeper in the Guts, you may with a glyfter draw away the reft there- of which adher's to the coats of the Guts. But if the patient cannot vomit, then fhall fom purgeing medicine bee given him f orthwith,and fuch as are thought more particularly to re- lift poilbn, luch as are Agarick, Aloes, the leffer Centaurie, Rubarb and other things, ac- cording to the direftion of the learned Phyfician. Then fhall you adminifter glyfters made with Cafjia, fattie deco&ions, ftieep-fuet, or butter or Cowf-milk, with the mucilages of Line-feed, ffilium-Ceeds, quince-teeds,and other luch things as are ufually given in a Dyten- terie, or bloodie flux, that fuch things may hinder the adhefion of the poifon to the coats of the Guts,and by their un&uoufhefsrctund the acrimonie of the poifon,and mitigate if anie thing fhall alreadie bee ulcerated, and ablblutely defend the found parts from the malign ef- fects of the poifon. But let this bee a perpetual rule, That the poifon beefpeedily drawn back by the lame way it entred into the bodie 5 as, if it entred by finelling in at the noftrils, let it bee drawn back by fneefing, if by the mouth into the ftomach, let it bee excluded by vomit;if by the fundament into the bellie,then by glyfter j if by the privities into the womb, then by metrenebites or injeftions made thereinto 5 if by a bite, fting or wound, let revulfion bee made by fuch things as have a powerful attractive facultie; for thus wee make diverfions, that by thete wee may not onely hinder the poifon from aflailing the heart, but alfb that by this means wee may draw it from within outwards. Wherefore ftrong ligatures caft a- bout the arms, thighs and legs, are good in this cafe. Alfo large cupping glafles applied with flame to fundrie parts of the bodie are good. Alfo bathes of warm water, with ade- coftion offuch things as refift poifon, fbuthern-wbod, calamint, rue, betonie, horehound, pennie-royall, bayes, fcordium, fmallage,Icabious, mints, valerian,and thelike, aregood in this cate. Alfo fweats are good,beeing provoked fb much as the ftrength of the patient can endure. But if hee bee verie weaTthie, whom wee fufpeft poifoned, it will bee fafer to put him into the bellie of an ox, horf or mule, and then prelently into another aflbon as the former is cold, that fb the poifon may bee drawn forth by the gentle and vaporous heat of the new killed beaft 5 yet do none of thete things without the advice of a Phylician,if it may conveniently bee had. Why fie ep is hurtfull. ' Why and how vomit muftbee procured. When and wherewith they (hall bee purged. The cure of poifoned wounds. CHAP. XIIII. How the corrupt or venemoM Air way kill a Man. By how manic, and what means the air may bee in- fefted. HE air is infefted and corrupted by the admixture of malign vapors, either arifeing from the unburied bodies of fuch as are (lain in great conflifts, or ex- haleingout of the earth after earth-quakes,for the air,long pent up in the ca- vities and bowels of the earth, and deprived of the freedom & commerce of the open air, is corrupted,and acquires a malign qualitie,which it prefently trans- ferred! unto fiich as meet therewith. Allo there is a certain malignitie of the air, which ac- companied! thunders, and lightnings, which favours of a fiilphureous virulencie, fo that whatfoever wilde beafts (hall devour the creatures killed therewith, they becom mad, and die immediately; for the fire of lightning hath a far more rapid, fubtil, and greater force then other fires, fb that it may rightly bee termed a Fire of Fires. An argument hereof is, that it melteth the head of a fpear, not harming the wood, and filver and gold, not hurting the purf wherein it is contained. Alfb the air is infefted by fumigations, which prefently admitted into the bodie and bowels by the mouth and note in relpiration, by the skin and arteries in perforation, doth eafily kill the fpirits and humors bceing firft infefted, and then within a fhort fpace after, the folid fubftance of the principal parts, and chiefly of the heart beeing turned into their nature, unleft the man bee firft pro » vided How thunders and lightnings may infcft the air. Lib.zi. Concerning Toifons, 509 provided for by fneefing, vomiting, fweating, purgeing by the bellie, or fom other excreti- on. Forthat poifon which is carried into the bodie by fmell, is the moft rapid and effeftu- all, by fo much as a vapor or exhalation is of more fobtil and quicklier-piercing eflencethen an humor. Yet notwithftanding, wilt thou fay, it is not credible, that anie bee kill'd by a- nie vapor railed by the force of fire, as of a torch, or a warming-pan, for that the venenate1 qualitie of the thing that is burnt, is diflipated and confomed by the force of the fire,purge- , ing and cleanfing all things. This reafon is falfly feigned to the deftru&ion of the lives of carelefs people; for fulphureous brands kindled at a clear fire,do notwithftanding caft forth a fulphureous vapor. Whether do not Lignum aloes and Juniper , when they are burnt in a flame, fmell lefs fweetly > Pope Clement, the leventh of that name, the uncle of our Kings mother, was poifoned by the fume of a poifonous torch that was carried lighted before him, and died thereof. Ma- tbiolus telleth, that there were two Mountebanks in the market-place of Sienna, the one of which but fmelling to a poifoned gillie-flower given him by the other, fell down deadpre- lently. A certain man not long ago, when hee had put to his nofe, and fmelled a little unto a po- mander, which was lecretly poifoned , was prefently taken with a Vertigo, and all his face fwelled, and unlels that hee had gotten fpeedie help by fternutatories and other means, hee had died Ihortly after of the fame kinde of death that Pope Clement did. The fafeft prefervative againft luch poifons is, not to fmell to them : moreover, fom af- firm, that there are orepared fom poifons of fiich force, that beeing annointed but on the faddle, they will kill the rider, and others, that if you but annoint the ftirrups therewith, they will fend fo deadlie poilbnous a qualitie into the rider, through his boots, that hee (hall die thereof within a Ihort time after: which things, though they bee fcarce credible, becauf foch poifons touch not the naked skin, yet have they an example innature,whereby they may defend themlelvs. For the Torpedo (end's a narcotick,and certainly deadly force in- to the arm, and fo into the bodie of the filher, the cords of the net beeing between them. Whether the vapor that a- riiech from a burnt thing may poifon one. An hiftorie. CHAP. VIII. that everie kinde of poifon bath its proper and peculiar Signs and Effetts. S poifons are diftinft in fyecies, fo each frecies differ's in their figns and effe&s ? neither is it poflibleto finde anie one kinde of poifon, which may bee accom- panied or produce all the figns and effe&s of all poifons, otherwife Phyfici- i ans fhould in vain have written of the figns and effefts of each of them, as alfo oftheir proper remedies and antidotes. For what kinde of poifon fhall that bee, which fhall cauf a burning heat in the ftomach,bellie,liver,bladder and kidnies,which fhall cauf a hicketting, which fhall cauf the whole bodie to tremble and fhake, which fhall take away the voice and fpeech, which fhall cauf convulfions, fhall weaken the pulfifick fa- cultie, which fhall intercept the freedom of breathing, which fhall ftupeiie and caft into a dead fleep, which fhall together, and at once cauf a Vertigo in the head, dimnefs in the fight, a ftrangling, or ftoppage of the breath, thirft, bleeding, fever, ftoppage of the urine, perpetual vomiting, rednefs, lividnefs, andpalenefs of the face, refolutions of the powers, and manie other things, all which are caufled by all forts ofpoifon. Laftly,no bodie will denie but that hot poifons may kill more fpeedily then cold, for that they are more (peedily actuated by the native heat. Hot poifons kill fooner then cold* CHAP. IX. 'the Effects of poifons from particular venemous things, and what Prognofticks may thence bee made. T is the opinion of Cornelius Celfa, and almoft of all the Antients, that the bite ofeverie beaft had lorn virulencie,butyet lorn more then other-lbm-They are moft virulent that are infli&ed by venemous beafts,as Afps, Vipers,Water- fnakes, and all kindes of Serpents , Bafilisks, Dragons, Toads, mad Dogs, Scorpions, Spiders, Bees, Walps, and the like. They are lefs malign, which are of creatures wanting venom,as of Horfes, Apes, Cats, Dogs not mad, and manic other things,which though of their own nature they are without poilbn,yet in their bites there is fomthing more dolorifick and ill natured, then in common wounds infli&ed by other occafions : I beleev, that in their Haver or fanies,there is fomthing,! know not how to term it,contrarie to our nature,which imprint's a malign qualitiein the ulcer,which allb you may oblerv in the tearings and Icratchings of liich creatures as have (harp claws, as Lions and Cats. Moreover manie affirm,that they have found by experience, that the bites of men are not altogether without virulencie, elpecially of luch as are red-haired & freckled, chiefly X x when Lib-1.cap. it. The bites of all wilde beafts arc viru- lent. i The bites of a red-haired man virulent.' Concerning &c. -Lib.21. 510 when as they are angred ; it is probable that the bites of other perlons want this malignitie, feeing that their fpittle will cure fmall ulcerations. Wherefore,itahere (hall happen difticul- tieof cure in a wound, caulled by a man's biteing, which is neither red haired nor freckled, neither angrie •, this happen's not by means of the Ipittle, nor by ante malign qualitie, but by reafon of the contuiion, caulled by the bluntnefs of the teeth, not cutting, but bruiling the part, for beeing not fharp, they cannot lb ealily enter the flelh, unlefs by bruiling and tearing, after the manner of heavie and blunt ftrokes and weapons, wounds beeing occalio- ned by fuch are more hard to bee cured, then fuch as are made by cutting and fharp wea- pons. But of the fore-faid biteings of venemous creatures, there are few which do not kill in a Ihort Ipace, and almoft in a moment, but principally if the poifon bee lent into the bo- die by a live creature, for in fuch poifon there is much heat; alfo there is therein a greater tenuitie, which ferv's as vehicles thereto into what place or part foever of the bodie they tend, the which the poifons taken from dead creatures are defeftive of. Wherefore fom of theft kill a man in the fpace of an hour, as the poilbn Alps, Bafilisks and Toads; others not unlefs in two or three daies ipace , as of water-Snakes ■> a Spider, and Scorpion require moi't time to kill, yet all of them admitted but in the leaft quantitie, do in a Ihort (pace cauf great and deadlie mutations in the bodie, as if they had breathed in a peftiferous air, and with the like violence, taint and change into their own nature all the members and bowels, by which theft lame members do in the time ofperfeft health change laudable meats into their nature and lubftance. The place whereas thefe poifonous creatures live, and the time, conduce to the pernicioulhels of the poilbn, for liich as live in drie,mountanous, and fun-burnt places kill more fpeedily then liich as bee in moift andmarilh grounds ; alfo they are more hurtful in winter then in fnmmer; and the poifon is more deadly which proceed's from hungrie, angrie and falling creatures,then that which com's from liich as are full and quiet; as alfo that which proceed's from young things,chiefly when as they are Simulated to venerie, is more powerful then that which com's from old and decrepit; from femals worf then from males; from fuch as have fed upon other venemous things, rather then from liich as have abftained from them, as fromfnakes which have devoured toads, vipers which have fed upon ftorpions, Ipiders and Caterpillers. Yet the reafon of the efficacie of poifons de- pends from their proper, that is, their fubtil or grols confidence, and the greater or lels aptneft of the affefted bodie to liiffer. For hot men that have larger and more open veins and arteries, yeeld the poifon freer pallage to the heart. Therefore they which have more cold and ftraight veflels, are longer ere they die of the like poilbn; fuch as are full, are not fo foon harmed as thoft that are falling: for meats, befides that by filling the veflels, they give not the poilbn lb free paflage, they alfo fir engthen the heart by the multiplication of fpirits, fo that it more powerfully refift's pernicious venom. Ifthe poifon work by an oc- cult and fpecifick propertie, it caufleth the cure and prognoftick to bee difficult, and then mull: wee have recourfto Antidotes, as theft which in their whole fubftance refill poifons; but principally to treacle, becauf there enter into the compofition thereof medicines which are hot, cold, moift and drie: whence it is, that it refund's and withftand's all poifons, chiefly liich as confift of a Ample nature,liich as theft which com from venemous creatures, plants and minerals; and which are not prepared by the deteftable art of empoifoners. Contufcd wounds harder to heal then (uch as are cut. Why treacle refund's the force of all fi tuple poi- fons. CHAP. X. What cure muff lee ufed to the biteings and ftingings of venemous beafts- Lire muft fpeedily bee uled without aniedelaieto the bites and itingings of venemous beafts, which may by all means dilperfthe poifon, and keep it from entering into the bodie j for when the principal parts arepoflefled, it boot's nothing to ule medicines afterwards. Therefore thcAntients have propounded a double indication to lead us to the findeing out of medicines in luch a cate, to wit, the evacuation of the virulent and venenate humor,and the change or alteration of the lame and the affefted bodie. But feeing evacuation is of two forts, to wit, toiiverjal 9 which is by the inner parts ; and particular; which is by the outward parts. Wee muft begin at the particular, by luch to pick medicines as are fit to draw out, and refund the venom; for wee muft not alwaies begih a cure with general things, as fom think, es- pecially in external dileales, as wounds, fra&ures, diflocations, venemous bites and pun- ftures. Wherefore hereto as fpeedily as you may, you fliall applie remedies fit for the bites and punftures of venemous beafts; as for example, the wounds lhall bee prefently waflied with urine, with lea-water, aqua or wine, or vineger where- in old treacle or muftard fhall bee dilfolved. Let luch wafhing bee performed verie hot, and ftrongly chafed in, and then leav upon the wound and round about it, linnen rags, or lint fteeped in the fame liquor. There bee lorn who think it not fit to lay treacle thereto, becauf, as they lay, it drivers the poifon in. But the authoritieof Galen convin- ceththat opinion, forhee writeth that if treacle bee applied to this kindeof wounds before A double in- dication in the cure of vene- mous bites. v Lotions fit for venemous bites. Lib.dttberiaia. Lib.zi. ConcerningPoifons, 511 before that the venom fhal arrive at the noble parts,it much conduceth.Allb reafon confutes it; for viper's flefli enters the compofition of treacle which attracts the venom by the fimi- litude offubftance, as the Load-ftone draweth iron$or Amber ftraws. Moreover, the other Ample medicines which enter this compofition, refolv and confume the virulencie and ve- nom, and beeing inwardly taken, it defendeth the heart and other noble parts, and corro- borated! the fpirits. Experience teacheth that mithridate fitly given in the Head of treacle worketh the like efleft. The medicines that are taken inwardly and applied outwardly for evacuation, muft bee offubtil parts, that they may quickly iniinuate themfelvs into everie part to retund tjie malignitie of the poifon; wherefore garlick,onions, leeks,are verie good in this cafe, for that they are vaporous ; alfo jcordiumjlue, ditiamnw, the lefler Centaurie , milkie juice of unripe figs, and the like, are good; there is a kinde of wilde buglbfs amongft all other plants, which hath a lingular force againft venemous bites, whence it is termed Echium and viperinum, and that for two caufles; the firft is, becauf in the purple flowers that grow amongft the leav's, there is a refemblance to the head of a viper or adder. Another reafon is, becauf it heal's the biting of a viper not onely applied outwardly,but alfo helped) fuch as are bitten,beeing drunk in wine,yea,and will not fufler thole that have lately drunk thereof to bee bitten at all. Wilde 'lime hath the like efleft; though thefe oft-times agree with the poifon in qualitie as in heat, yet do they help in dil- cuffing and refolving it; yet, as much as wee may, wee muft labor to have evacuation and alteration together. It is moft convenient, if the part affefted will permit, to applie large cupping-glafles with much flame and horns; alfo fucking is good, the mouth beeing firft walked in wine wherein lome treacle is diflblved, and with oil,left any thing Ihould adhere thereto, for it will hinder it,if lb bee the mouth bee no where ulcerated. It is good allb to applie horf leeches 5 lorn with to applie to the wound, the fundaments of hens or turkies that lay cgs, for that fuch are opener behinde, firft putting fait upon them that they may gape the wider, (hutting their beaks and opening them now and then left they Ihould bee ftifled, and ever and anon to fubftitute others infteadoffuch as die or are luflbcated; for thus it is thought the poifon is drawn forth, and pafleth into the bird by the fundament. There bee others which had rather applie to the wound live birds cut afunderin the midft, and fo laid to hot, for that they ghefs thele refill poifon by a natural difeord. But certain- ly it is by their heat whereby they do not onely digeft toads, alps? vipers, Icorpions ando- ther venemous things, but alfo wear alunder and foften land, ftones, and moft drie and fto- nie feeds in their gizzards; wherefore wee muft think them very good to draw out the poi- fbn and diffipateit. But nothing is fo forcible to difperf and retund the venom, as the im- . preflion of cauteries, efpecially aftual, for a hot iron works more effe&ually and fpeedily, and caufleth an ulcer which will remain open a longer time. Wherefore to caufthe fpeedier falling away of the Efchar, you (hall fcarilie it to the quick, and then plentifully annoint 1 the place. For thus the poifon will thefooner pals forth. But this muft bee done before the poilbn enter's far into the bodie, for otherwife Cauteries will not onely do no good, but further torment the patient, and weaken him to no purpofe. Let drawing plafters bee laid to the wound and neighboring parts, made of turpentine, black pitch,and other gummie and refinous things. After the falling away of the Efehar, bajilicon lhall bee applied, quickned with a little Precipitate, for it is very efleftual in thefe cafes, for that it draweth forth the virulent fanies out ofthe bottom of the wound, neither doth it lufler the wound to bee clofed fpeedily. To which purpofe they put in a piece of a Ipunge, or a root of Gentian or Hermodaftyl, or fom acrid medicine, as xgyptiacinn, or Precipitate mixed with the powder of Alum, or a caullick beaten to powder. But you muftalwaies obferv this, that with your ointments you muft alwaies mix fom Treacle or Mithridate,or the juice of bypericon, or the like, which have power to attraft and difperfthe poilbn, and cleanfthe ul-, cer; yet if too vehement heat lhall caufliich pain as is likely to bring a gangren by the dif- fipation of the fpirits, then neglefting the cure of the proper difeaf for a time, wee muft la- bor to correft thefymptom. But in this cafe you muft obferv this rule, that you let no blood, give no purgeing medicine, nor gly fter,nor vomit,nor ufe no bath, nor other thing that may procure fweat, untill three daies bee paft after the bite or fling. In the mean fpace let the patient fhun all manner of labor, but chiefly venerie, left by caufing an agitation of the humors, the poilbn get fooner to the heart. Therefore then it is time to ufe univer- fal evacuations, when as you lhall fulpeft that the poilbn isdiflufed over the veins and whole inner part of the bodie befides. Before you lhall give nothing, unlels medicines of Treacle or Mithridate and the like things,which have a facultie to refill poifon, and ftreng- then the whole bodie by their benign and vital vapor, although their fubftance go no fur- ther then the ftomach. Thus pills when they are fwallowed, though they go no further then the ftomach, yet do they draw matter out of the joints and head; and ftrong gly tiers, though they pafs no further then the guts, yet by their qualitie diffufed further with the vapor, they draw from the moft diftant parts; yet you muft give an Antidote, not onely more powerfull then the poifon in qualitie, but alfo greater in quanti tie, that fo it may the more eafily overcom and exfpcll the poifon. Wherefore you muft give it twice in a daie, X x 2 and Treacle out- wardly applied and inwardly taken good a- gainft veno- mous bites. The force of Ecbiwi. Theeffiacie of Cauteries a- gainft vene- mous bites. The force of Precipitate a- gainft vene- incus wounds. When hoc things ari not convenient for poifoned wounds. Antidotes tnuft bee given in great quantities. 512 Concerning ~Poi[onsy &c. Lib.zi. and continue it fo long untill you faall know that the flrength of the poifon is weakned and overcom by the remiffion and decay of the malign fymptoms. Yet in the mean while, you mull not neglcd the diftemper cauffed in the part by the poifon,but muft rather correft it by the application of the remedies contrarie to the dillemper, as by cold things, if great heat afflift the afiefted part and whole bodie; by hot things on the contrarie, if it feem as cold as a (lone, which oft-times happen's. And-let thus much fufficefor the general cure of poifons: now will wee com to their particular cure. CHAP. XL dogs fooner becom mad then other creatures, and what bee tbe/igns thereof. Dogs natural- ly fubjeft to madnefs. Ogs bccom mad fooner then other creatures,becaufnaturally they injoy that temper and condition of humors which hath an eafie inclination to that kinde of diftaf, and as it were a certain difpofition, becauf they feed upon carrion and corrupt, putrid and (linking things, and lap water of the like condition ; befides the trouble and vexation oflofing their matters, make's them to run everie waie, painfully fearchingand fmellingto everie thing, and negle&iilg their meat. A heating of the blood enfiie's upon this pain, and by this heat it is turned in- to a melancholic, whence they becom mao. But yet dogs do not alwaies becom mad by means of heat, but alfo by occalion of cold, that is, by contrarie caufies; for they fall into this dileafnot onely in the dog-daies, but alfo in the depth of winter. For dogs abound with melancholik humors, to wit cold anddrie. Butfuchhumors as in the fummer through excefs of heat, fo in the depth of winter by conftipation and the fuppreffion of fu- liginous excrements, they ealilie turn into melancholic. Hence follow's a verie burning and continual feaver, which caufleth or bringeth with it a madnefs. Add hereto, that in the depth of winter the heat which is contained within is redoubled, and in like manner as the fcorching heat in fummer, it breed's and turn's the humors into melancholic. Al lb dogs be- com mad by contagion, as fuch as are bitten by another mad dog. A mad dog hath Ipark- lingand fierieeies, with a fixed look, cruel andafquint ,hee carrie's his head heavily, hanging down towards the ground, and fomwhat on one fide,hee gape's, and thruft's forth his tongue, which is livid and blackilh; and beeing Ihort breathed, call's forth much filth at his nofe,and much foaming matter at his mouth; in his gate, as if hee fufpefted and fear- ed all things, hee keepeth no one or certain path, but run's one while to this fide, another while to that, and Humbling like onethat is drunk, hee oft-times falleth down on the ground; hee violently affail's whatfoever hee meet's withall, whether it bee man, tree, wall, dog, or any thing elf; other dogs Ihun him, and prefently fent him a far off. But if another unawars chance to fall foul on him, hee yeeld's himlelf to his mercy, fawn's upon him, and privily labor's to get from him, though hee bee the ftronger and greater. Hee is unmindful of eating and drinking, hee bark's not ,yet hee bite's all hee meet's without anie difference, not Ipareing his mailer, as who at this time hee knows not from a firanger or enemic. For it is the propertie of melancholietodifturbthe underftanding, fo that fuch perfons as are melancholick, do notonely rageagainft, and ule violence to their friends and parents, but allb upon themlelvs. But when as hee lee's water, hee tremble's and (hake's, and his haires Hand up on'end. Dogs becom ma'lJnot onelj in the heat of fummer,but aL fo in the deptl of winter. Why tnelan- cholick per- fons hurtthem- felvs. CHAP. XII. By what fignes wee may fytow a man is bitten by a mad dog. The bite of a mad dog not vetie painful at the firft. T is not fo ealie at the firft to know a man that is bitten with a mad dog;and principally for this reafon, becauf the wound made by his teeth caufleth no more pain then other wounds ufiially do ; contrarie to the wounds made by the fling or bite of other poilbnous creatures , as thole which prelently after they are infli&ed, cauf lharp pain, great heat, fwelling and abundance of other malign accidents, according to the nature of the poifon; but the malignitieof the bite of a mad dog appear*s not before that the venom (hall invade the noble parts. Yet when you are fiifpicious of fuch a wound, you may acquire a certain knowledg and experience thereof by putting a piece of bread into the quitture that come's from the wound. For if a hungrie dog negleft, yea more flie from it, and dare not fo much as fmell thereto, it is thought to bee a certain lign that the wound was inflifted by a mad dog. Others add, That if anie give this piece of bread to hens,that they will die the lame daie they have eaten it; yet this later, I makeing experiment thereof,failed, for devouring this virulent bread, they became not a jot the worf Wherefore I think the former fign to bee the more certain , for dogs have a wonderful and lure fmelling facultie, whereby they lent and perceiv the malignitie of die like creature. But when as the rageing virulencie Signs of the bite of a mad dog. Lib.-zi. Concerning Toifpns, &c. 513 virulencie hath invaded the noble parts, then thepatfents,becommingfilent and forrowful, S think of manie things, and at the beginning mike a noiie with their teeth ; they make no v anfwer to the purpofe, they are more teftie then ordinarie, and in their Heeps they are trou- 8 bled with dreams, and ftrange phantafies, and fearfohvifions : and laftly, they becom affraid " of the water. But after that the poifon hath fixedit felf into the fubftance; of the noble parts, then all their faculties are difturbed, all the light oFtheir memorie, fenfes, reafon and judgment is extinguifhed. Wherefore becomming ftark mad, they know not fuch as Hand by them, nor their friends, no nor themfel vs, falling upon fuch as they meet withall and themfelvs with their teeth, and nails, and feet. Often, twitchings like convulsions do fud- denly rife in their limbs; I judgthemoccafioned by extraordinariedrinefs,which hath as it were wholly drunk up all the humiditie of the nervous parts; there is a great drinefs of the mouth with intolerable thirft, yet without anie dpffiv of drink-, becauf the minde beeing troubled, they becom unmindful and negligent of fuch things as concern them, and are needful for them; the eies look fierie and red, and ajl the face is of the fame color 5 they ftill think of dogs, and feem to lee them, yea and defire to bark and bite juft after the manner of dogs : I conjecture, that the virulent humor hath changed all tbe humors and the whole bodie into the like nature , fo that they think themfelvs allb dogs 5 whence their voice be- f com s hoarf by much endeavouring to bark, haveing forgot all decencie, like impudent* dogs, to the great horror of the beholders. Fortheir voice grow's hoarf by reafon of the great drinefs of the aftera arteria; they fhun the light, as that which is enemie to melancho- 1 lie, wherewith the whole fubftance of the brain is repleniftied : on the contrarie, they defire i darknefs, as that which is like and friendly to them. But they are affraid of the water (though good to mitigate their great diftemper of heat and drinefe) and they flie from 1 looking-glafles, becaulthey imagin they fee dogs in them, whereof they are much affraid,' by reafon whereof they Ihun the water , and all polite and clear bodies which may fopplie the ufe of a looking-glafe ; fo that they throw themfelvs on the ground , as if they would hide themfelvs therein, left they ffiould bee bitten again: for they affirm, that hee which is bitten by a mad dog, alwaies hath a dog in his mind, and fo remain's fixed in that fad cogi- tation. Wherefore thinking that hee fee's him in the water, hee tremble's for fear, and therefore Ihtjn's the water. Others write, that the bodie by madnefs becommeth wondrous drie, wherefore they hate the water, as that which is contrarie thereto, beeing abfolutely the moifteft element, and fo they lay that this is the reafon of their fearing the water. Ruffus write's, that madnefs is a kinde of melancholic, and that fear is the proper lymptom there- of, according to Hippocrates; wherefore this or that kinde of melancholic beget's a fear of thefe or thefe things , but chiefly ofibright things, Inch as looking-glafles and water, by reafon that melancholick perfons leek darknels and folitarinefs; by reafon of the black cor- ruption of the humor wherewith they abound. They fall into cold fweats, a fomie, (link- ing and greenilh matter flow's from the ulcer, by reafon of the heat of the antecedent cauf and ulcerated part. The urine moft commonly appear's watriffi, by reafon that the ftrain- ers, as it were, of the kidnies, are ftraightned by the heat and drinefs of the venom. Yet fomtimes alfo it appear's more thick and black, as when nature powerfully ufing the expul- five facultie, attempt's to drive forth by urine the melancholick humor, the feat of the ve- nom. Alfo fomtimes it is wholly foppreft, beeing either incraflated by hot drinefs , or elf the minde beeing carried other-waies, and forgetful of its own dutie,until at length the pa- tients, vexed by the crueltie of Co manie lymptoms, and overcom by the bitternefs of pain, die frantick, by reafon that medicines have not been ipeedily and fitly applied. For few of thofe who have ufed remedies in time, have periflied of this difeaf. 1 Signs, by which you may gather that the noble pans arc tainted. Why men be- comming mad bark like dogs. Why they (han the light. Why they are afFraid of the water. After. The bite of a mad dog taken in hand in time, is for the moft part cure- able. CHAP. XIII. Ee cannot Co eafily Ihun the danger wee are incident to by mad dogs, as that of other beafts, by realbnheeis a domeftick creature, and houled under the fame roof with us. The virulencie that refide's in his foam or Ila ver is hot and drie, malign., venenate and contagious, fo that it caufleth a diftemper like to it fdf, in the bodie whereto it lhall applie it felf, and Ipread it (elf over the whole bodie by the arteries; for it doth not onely hurt when as it is taken in by a bite or punfture,but even applied to the skin, unlels it bee forthwith wafhed away with fait water or urine. Neither doth this venom hurt equally, or at all times alike, for it harm's more oriels, according to the inclination of the air to heat or cold, the depth of the wound, the ftrength of the pati- ent's bodie, and the ill humors thereof, and their difpofition to putrefaction, the freedom and largenefs of the pallages. Now malign lymptoms happen Iboner or later, as in 1dm a- bout the fortieth day, in others about fix moneths, and in others a year after. There bee lom who thereupon are troubled with the falling-ficknefs, and at length grow mad: fuch as fell into a fear of the water, never recover. Yet Avicen think's their calc is not delperate, Xx 3 if Prognofticks. The venom of a mad dog ap- plied outward- ly one'.y may caufmadnefs- ; Whether the Hidrepbebia or fear of water bee incurable® 514 ConcerningcPoifonsi Lib.21. if as yet they can know their face in a glafs; for hence you may gather, that all the animal faculties are not yet overthrown, but that they ftand in need of ftrong purgations, as wee (hall (hew hereafter. Aetiiu tell's, that there was a certain Philofopher, who taken with this difeaf, and a fear of water, when as hee defcended with a great courage unto the bath, and in the water beholding the fhape of the dog that bit him, hee made a ftand, but afliamed thereof, hee forthwith cried out, d coni cum Balneo ? i.e. What hath a dog to do with a Bath ? which words beeing uttered, hee threw himftlf forcibly into the Bath, and fearlefly drank of the water thereof, and fo was freed from his difeaf together with his erroneous o- pinion. It is a deadlie fign to tumble themfelvs on the ground, to have an hoarf voice , for that is an argument that the weazon is beeom rough by reafon of too exceflive drinefs. Fi- nally,the principal parts beeing poflefled, there is no recoverie or life to bee hoped for. Men may well fall mad,though they bee not bit by a mad dog. For as the humors are often in- flamed of themfelvs,and caufa Cancer or Leprofie, fodo they alfo madnefs in melancholick perlons. The bites of vipers and other venemous creatures caufnot like fymptoms tothefe that com by the biteing of a mad dog; becaufthey die before fuch can com forth or lhew themfelvs.Great wounds made by mad dogs are not equally fo dangerous as little, for from the former,great plentie of venemous matter flow's outjbut in the later,it is almoft all kept in. An hiftorie. CHAP. XIV. His cafe alfo require's fpeedie remedies 5 for fuch things are in vain which com long after the hurt. The Lawyer Baidu experienced this to his great harm j for beeing by chance lightly bit in the lip by a little dog wherewith hce was de- lighted, not knowing that hee was mad, and neglecting the wound, by reafon of the (malnefs thereof, after fom four moneths {pace, hee died mad, haveing then in vain aflaied all manner of medicines. Wherefore obferving thefe things both for e- vacuation, as alfo for alteration , which wee have formerly mentioned in the general cure of wounds inflifted by the bite or fling of venemous creatures, and by all the means there fpecified, wee muft draw forth the venom; and if the wound bee large,then fuffer it to bleed long and much, for fo fom part of the poifon will bee exhaufted; if it bee not great, it (hall bee enlarged by fcarification, or an occult cauterie , neither (hall it bee healed or clofed up at the fooneft, till fourtie daies bee palled. Sorrel beaten and applied to the wound, and the decoftion thereof taken inwardly, is verie effe&ual in this cafe, as Aetius affirm's. To the lame purpofe you may with good fuccefe make a lotion and friftion with muftard diflolved in urine or vineger, leaving upon the wound a double cloth moiftned in the fame deco&i- on : laftly, all acrid, biteing, and verie attractive medicines are convenient in this cafe. Wherefore fom applie rocket boiled and beaten with butter and felt; others take the flower of Orobus, and temper it with home, fait and vineger, and applie it hot. Horfl-dung boiled in lharp vineger, or brimftone beaten to powder, and tempered with ones fpittle, is good. Alfo black pitch melted with fom felt, and a little Eupberbium mixed therewith , and fo applied, is good. Som write, that the hairs of the dog, whofe.bite caufled the madnefe, applied by themfelvs, by their lympathie or limilitude of fubftance draw the venom from within outwards jfor fo a Scorpion beaten and applied to the place whereas it flung, by drawing out the poifon that it fent in, reftore's the patient to health, both thefe by often experience are affirmed to have certain event. Others chaw unground wheat, and lay it upon the wound, others rofte beans under hot embers, then husk them, and cleav them, and fo applie them. Alfo the wound may bee wholfomly walked and fomented with a de- coction of Docks, and then the herb beaten may bee applied thereto; alfo the patient may drink the decoCtion; and by this one remedie A'etius affirm's that hee hath recovered divers; for thus it move's urine plentifully, which is thought much to conduce to the cure of this difeaf. There bee fom who applie the leavs of betonie and nettles beaten with common felt, others make a medicine to the feme purpofe and after the feme manner of an Onion, the leavs of rue and felt. Yet the reft are exceeded by treacle diflolved in aqua vit£ or ftrong wine, and rubbed hard upon the part,fo that the blood may follow, laying upon the wound when you have wiped it,cloths dipped in the feme medicine,then prefently applie garlick or onions beaten with common felt and turpentine: by this onely remedie 1 free'd one of the daughters of Madameifel/e de Gron from the lymptoms of madnels,& healed the wound,when as a mad dog had bit her grievoufly in the calf of the right leg* Alto it is good prefently to eat garlick with bread,and then to drink after it a draught of good wine, for garlick by its fpirituous heat will defend the noble parts from poifon. There bee fom who wilh to eat the rolled liver of the dog that hurt them, or elf the liver of a goat, of which remedies as yet I have had no experience. Others preferibe a dram of the feeds of Agnus caftus to bee drunk with wine and butter.Othersthe powder of river-crabs,burntand drunk in wine. OrJ&.rad. aftacorum fluviatdnfumo combuft.&infol/inem Give $i. of this What cure mutt bee ufed to fuch as are bitten by a mad dog* An hiftorie. The force of Sorrel. The force of Docks, An hiftorie. Lib.zi. Concerning^otfons, 515 this lame powder in the deco&ion of river-crabs, and let them drink thereof oft at lundrie times. Manie have caft themlelvs into the fea, neither have they thence had anie help againft madnefs, as Ferrand Pozet the Cardinal teftiheth in his book of poifons; wherefore you muft not relie upon upon that remedie, but rather you muft have recourfto fuch things as are fet in the books of Phyficians, and approved by certain and manifold experience. But feeing1 that no poifon can kill, uiilefs it bee taken or admitted into the bodie, wee muft not fear a- nie harm by Iprinkling our bodies with the fames of a mad dog, viper, toad, or anie other ftich like venemous creature,if lb bee that it bee prelently wiped or wafhed clean away. Leaping into the lea no cer- tain remediea- gainft madnefs. CHAP. XV. cure muft bee ufed to fueb as fear the water, but yet are able to kriow themfelvs in a glafs. |Uch as have not their animal facultie as yet o'recom by the malignitie of the ' rageing venom, muft haye ftrong purgations given them. Wherefore, if in a- nie cafe Antimonie bee ufeful, then is it in this, as that which caufeth fweats, 1 loofeth the bellie,and procure's vomiting. For it is a part of extreme and dan- gerous madnefs to hope to overcom the cruel malignitie of this poifon alrea- die admitted into the bowels, by gentle purgeing medicines. Affuredly, fuch and fo great danger is never overcom without danger. Bathes alfo conduce, which may di- fperfand draw forth the poifon by caufling fweats. Alfo manie and frequent treacle-potions are good to retund the venom,and ftrengthen the bowelsjalfo it will bee fitting to give them water and all other liquid things, which they fo much abhor,in a cup with a cover. Alwaies let fuch as are poifoned,or bitten, or (lung by a mad dog or other venemous beaft,keep them- felvs in fom Warm and light place, that the poifon which by coldnefs is forced in, may bee the readilyer drawn out by the means of heat,and the fpirits bee recreated by the brightnefr of the air, and therefore moov from the center to the circumference of the bodie, and let the room bee perfumed with fweet things. To eat verie hot and fait things prefently at the be- ginning, as onions, leeks, all Ipiced meats, and ftrong wine not allaied, feem' not to bee be- fidesreafon; becauffuch things by their fpirituous heat hinder the diffufion of the poifon over the bodie>and ftrengthen the filled entrails. There bee fom alfo that would have them to feed upon grots and vilcous meats, which by obftru&ing the veflcls, may hinder thcpaP fage of the poifon to the heart and other parts; and by the fame reafon it will bee better to fill themlelvs wth meat to fatietie then otherwife;becauf the malignitie of humors is encreaf- ed by hunger,then which nothing can beemore harmful to venemous wounds. Yet within a fliort while after, as within five or fi?f they muft return to a mediocritie, and life all things temperate, boiled meats rather then rofted,and that in a decp&ion of opening things, fo to moov urine. Laftly, they muft keep fuch a diet as melancholick perfons ought to do; neither lhall they let blood, left fo the poifon Ihould bee further drawn into the veins; but it is good that the patient's bodie bee foluble from the verie firft. £et their drink bee wine indifferently allaied with water, oxjmelJimplex, or the lyrup of the juice of Citron with boi- led water; or elf this following Julip. R. fucci Ihnonum, & malorum citrfan fuc. gran.acid. §ii. aqu,£ acetof<e,.min.& rof.an.Ji. aq.font.cott. quantum fufficit, fiat Julep, ut artis eft. Sleep is to bee avoided until the force of the poifon is abated; for by fleep the humors flow back into the bowels. All things that refill poifon muft bee given anie waie whatfoever, as lemons, o- ranges, angelica-roots, gentian, tormentil, burnet,vervin,c4rJw beneditfus, borage, buglofs, and the like.Let all things that are afterwards let before the patient bee meats of good juice, fuch as are veal, kid, mutton, partridg, pullets, capons, and the like. The force of Antimonie a- cainftmadnefc. Why deep is hurtful to fuch as are bitten by a mad dog,and all fuch as are pojfoncd. CHAP. XVI. Of the biteing of a Viper or Adder, and the Jymptoms and cure thereof He remedies that were formerly mentioned againft thebiteings of mad dogs,the fame may bee tiled againft all venemous bites and fting, yet neverthelels each poifon hath his pecular antidote.Vipers or Adders(as wee vulgarly term them) have in their gums, or the (paces between their teeth, little bladders filled with a virulent fanies, which is preffed out into the part that they bite with their teeth. There forthwith arifeth a pricking pain, the part at the firft is much (wollen, and thenthewholebodie,unlels it bee hindred : grofs and bloodie filth fweat's out of the wound, little blifters rift round about it, as if it were burn't, the wound gnaw's, and as it were feed's upon the flefh, great inflammation poflefleth the liver and the gums, and the whole bodie bccom'sveriedrie, becomming of apaleor yellowcifli color, with thirft un- quenchable ythe bellie is griped by fits, a cholerick vomiting molefteth them,the ftomach is troubled with a hicketting, the patients are taken with often ftvoundings, with cold fweat, the fore-runner of death, unicfs you provide by fit medicines for the noble parts, before the The bites of vipers how vi- rulent. The fymptotns 516 Concerning FoifonSy'&c. Lib.2i. An hiftcrie. the poifon fhall invade them. Matthiolus tell's that hee law a countrie-man,who, as hee was mowing a meadow, by chance cut an Adder in two with his fithe,which when hee thought it was dead,hee took the one half whereon the head remained,without anie fear in his hand, but the enraged creature,turning about her headjCtuelly bit him by one of his fingers,which finger, as men ufiially do (efpecially when as they think of no fiich thing J hee put into his mouth, and fucked out the blood and poifon, and prefently fell down dead. When as Charts the ninth was at Montpelier,! went into the (hop of one Farges an Apothe- carie, who then made a folemndifpenfation of Treacle, where not Satisfying riiyfelfwith the looking upon the vipers which were there in a glafs, readie for the compofition, I thought to take one of them in my hands,but whil'ft that I too curioufly and fecurcly hand- led her teeth which were in her upper jaw, covered with a skin, as it were a cafe to keep the poifon in, the beaft catched hold of the verie end of my fore-finger, and bit mee in the foace which is between the nail and the flefhj whence prefently there arofe great pain, both by reafon of the part endued withmoft exquifite fenfe, as alfo by the malignitie of the poifon: forthwith I exceeding ftraitly bound my finger above the wound,that fo I might prefs forth the blood and poifon, left they fhould diflufe themfelvs further over the bodie. I diflblved old treacle in aqua vita, wherein I dipped and moiftned cotton, and fo put it to the wound, and within a few daies I throwly recovered by this onely medicine. You may ufe in ftead of Treacle, Methridate and fundrie other things, which by reafon of their heat are powerful drawers, as a quill rofted in hot embers, garlick and leeks beaten and applied, barlie flowr tempered with vineger, honie, and goats-dung, and fo applied like apultis.' Som think it fufficient forthwith to wafli and foment the wound with vinegcr, fait, and a little honie. Galen write's that the poifon inflifted by the bite of a viper,may bee drawn forth by applying to the wound the head of a viper, but otherfom applie the whole viper beaten to mafh. An hiftorie. Remedies for the bite of a viper. Lib.de theme. CHAP. XVII'. Of the Serpent called Hsemorfhous. He Serpent Hoemorrbout is fo called, becauf by biteing hee caufeth blood to drop out of all the padages of the wounded bodie 5 hee is of a fmall bodie, of the big- nets of a viper,with eies burning with a certain fieriebrightnefs,and a moft beau- tiful skin. The back of him(as Avicen write's)is fpotted with manie black fpots, his neck little, and his tail verie fmall : the part which hee bite's forthwith grow's blackifli, by reafon of the extin&ion of ofthe native heat, which is extinguished by fiich poifon whith is contrarie thereto in its whole fubftance.' Th ep follow's a pain of the flomach and heart, thefe parts beeing touched with the peftiferous qualitie of the poifon. Thele pains areleconded by vomiting, the orifice ofthe ventricle beeing relaxed by a Diar- rbza, the retentive facultie of all the parts of the bellie beeing weakned, and the veins which are ipred through the guts, not beeing able to retain the blood contained in them. For the blood is feen to flow out, as in ftreams, from the note, mouth, ears, fundament, privities, corners of the eies,roots of the nail, and gums, which putrefie,the teeth falling out of them. Moreover there happen's a difficultie of breathing, and ftoppage ofthe urine, with a deadlie convulfion. The cure is forthwith to (carifie, and burn the bitten part, or elf to cut it quite off,if that it may bee don without danger of life, and then to ufe powerfullie drawing Antidotes. The Hamor- rhons why fo called* Wondetfull bleedings. CHAP. XVIII. Of the Serpent called Seps. laoif He Serpent Seps is fo called, becauf it caufleth the part which it bite's, forth- with to putrefie, by reafon of the cruel malignitie of its poifon. It is not much HHI unlike the Hatnorrbous, but that it curl's or twine's up the tail in divers circles. Paufanias write's that this ferpent is of an afh-colour, a broad head, (mall neck, big bellie, writhen tail, and as hee goe's,hee run's afide like a crab. But his skin is variegated and fpotted with feveral colors,like to Tapiftrie, By the Grueltie of his cauftick The reafon of the name,and defcription of the Seps, Lib.2i. Concerning 517 and putrefying venom, hee burn's the part which hee hath bit, with moft bitter pain; hee cauleth the thedding of the hairs, and as Aetiut addeth, the wound at the tint caiieth for Ji manifeft blood> but within a little while after, dinking tilth The putrefied atfefted parts wax white,and the bodie all over becorn's of the color of that fcurf,which is termed Alphas, fo that by the wickedneft ofthis putrefa&ive potion, not onely the fpirits are reiblved, but alfo the whole bodie confumed,as by fire,a peifilent carbuncle, and other putrid tumors, a- rifting from a hot and humidor futfocateingconhitudon of the air. Now for the reme- dies, they muft bee fuch as are formerly prefcribed againit the biteings of a viper. The fytn- ptoms. The figure of tbe Serpent Seps. CHAP. XIX. Oftbe Cockatrice. He Bafilisk far exceed's all kindes of Serpents in the curftnefe of its poifon.There- fore it is affirmed by Nieander,that into what place foever hee com's, other ve- nemous creatures do forthwith flie thence, for that none of them can fo much as endure his hiflingj for hee is thought to kill all things even with this, and not with his biteing and touch onely 5 belides, if ante of them haften to get anie meat or drink, and perceiv that the Bafilisk is not far from from thence, he fiie's back, and negleft's the get- ting of nouriffiment necefiTarie for life. Galen write's,that the Baiilisk is a yellowiffi ferpent, with a ffiarp head, and three rifeings diftinguiffied with white fpots, and rifeing up in form of a crown, by reafon whereof hee is Ailed the King of Serpents* Certainly the violence of his poifon in killing men is fo great, that hee is therefore thought to kill men, and other creatures by his fight onely* Solinut affirm's,that the bodie of a dead Bafilisk hath wondrous faculties. Wherefore the inhabitants of Pergamum, in antient times, gave a mightie price for one, to hang upon thejoifts of the temple of jtyollo, fo to drive away the Spiders and Birds, left they ffiould there weav their webs, or the other build their nefts in that facred place. Ve- rily no ravenous creature will touch their carkafs; but if conftrained by hunger they do touch it, then they forthwith fall down dead in the fame place : and this happens not one- ly by eating their Dodie, but alfo by devouring of the bodies of fuch beafts as are killed by their biteings. They kill the trees and Ihrubs by which they pafs, not onely by their touch, but even with their breath. Among the weftern is the fountain Nigris, near1 which there is a ferpent called Catablepasfinall in bodie,and flow,haveing a great head ; wch • it fcarce can carrie, but that it lie's alwaies upon the ground, otherwife it would kill abun- dance ofpeople,for it forthwith kil's all that fee's the eies thereof,the Bafilisk hath the fame force; hee is bred in the province of Gyrene, of the length of fom twelv fingers, with a white (pot in his head, refembling a hee chafeth away all ferpents with his hils:Weafels are the deftruftion of Rich monfters : thus it pleated nature, that nothing thould bee without its equal; they aflail them in their dens, beeing eafily known by the barrennets or confum- ption of the foil* Thete kill them alfo by their lent, and they die, and the fight of nature is ended: ffius nature to' the magnanimous Lion, left there thould bee nothing which hee might fear, hath oppoted the weak creature the Cock, by whole crowing onely hee is terri-' fled and put to flight. Erafifiratuf write's,that a golden yellownefs affeft's the bitten part of: fuch as are hurt by a Bafilisk, but a blacknels and tumor poflefleth the reft of the bodie, all the fleffi of the mutcles within a while after falling away peece-meal. An antidote againft 1 this muft bee made of a dram of Cafioreum, diflolved in wine and drunken, or in the juice of poppie. But Aetius think's it luperfluous to write remedies againft the Bafilisk, when as the light and hearing onely kill's Rich as either fee or hear her. The efficacie of the poifon of the Bafilisk. Lib.de theriac. Why the Bafi- I sk is thought to kill by his onely fight. Plin. lib. 8. cap.zi. The Catablepas» Nothing in nature with- out its equal. Symptoms. Cure' Th 518 Concerning (Poifons) &c. Lib.zt. Ike figure of a Bafilifk» CHAP. XX. Of the Salamander. * • ♦ He Salamander kill's not onely fuch as it bite s, by makeing a venemous im- preflion, but it alfo infe&'s the fruits and herbs over which it creep's, with a fpittle or grots moifture which fweat's out of all the bodie, to the great dan- ger of the health and life of fuch as eat theft things at unawares: wherefore it need not ftem ftrange, which is received by fom late writers , that fom fami- lies have all died by drinking water out of the pits, whereinto a Salamander by accident was fallen- For if it fhall creep upon a tree , it infeft's all the fruit with the qualities of cold and mbift poifon, wherein it yield's not to Aconite. Aettus write's, that fuch as are infe&ed with the poifon of a Salamander, certain parts of their bodie grow livid, to that they fall away often, beeing putrefied. At the firft there ap- pear white fpots over the bodie, then red, afterwards black with putrefaction, and the fal- ling away of the hairs. The cure is, to procure vomit, to loof the bellie with a glyfter, and to give them Treacle and Mithridate in potions. Avicen prefcribe's the fame things againft this kinde of poifon as againft ofium, by.reafon of the cold nature of them both j the pro- per antidote is turpentine, ftjrax, nettle-feeds, and cyprefs-leavs. Diofcorides write's, that the Salamander is a kinde of Lizard,dull, variegated, and which is falfly reputed not to bee burnt by fire. But PUnie faith fhee is fo cold , that fhee extinguifheth the fire by her touch onely, beeing laied upon hot coals. On the contrarie, Mattbioluf faith, that caft into a great flame, they are quickly confumed. It is eafie out of Actiuf to reconcile theft disagree- ing opinions. This creature, faith hee, pafleth through a burning flame, and is not hurt, the flame divideing it ftlf, and giveing her way , but if fhee continue anie time in the fire, the cold humor beeing confumed in her, fhee is burnt. Now the Salamander is black, va- riegated, with yellow fpots, ftar-fafhion. The malign! tie of a Sala- mander. The temper of her. Symptoms. The cure. How a Sala- mander may bee laid to live in the fire. 'the figure of a Salamander. CHAP. XXI. Of the Torpedo. THe Toledo hath his name from the effeft, by reafon that by his touch and power the members becom torpid and numb; in muddie (hoars it live's upon fifiu which fhee catch- eth by craft, r or lying in the mud3fhee fo ftupefie's thole that are nigh her , that fhee eafily prey s upon them, fhee hath the fame power over men , for fhee (end's a numnefs not onely into the arm of the fifher-man,but alfo over all his bodie , although his fifhers pole bee be- tween them. e The The craft of the Torpedo. Hss ftupefying force. Lib.zi. Concerning Toifons, &c. 519 tbe effigies of a Torpedo. CHAP. XXII. Of the Biteings of Afps. He wound which is made by an Afp is verie final!, as if a needle were thruft into the part, and without anie Iwelling. Thefe fymptonis follow upon her bite,fiid- den darknefs cloud's their eies, much agitation in all their bodies, but gentle notwithftandingja moderate pain of the ftomach trouble's them,their fore-heads are continually troubled with convulfive twitchings, their cheeks tremble, and their eie-lids fall gently to reft and fleep; the blood which flows from the wound is little, but black; death no longer deferred then the third part of adaie, will take them away by convulfions, unlels you make refiftence with fitting remedies. The male-Afp make's two wounds, the female four, as it alfo happen's in the biteings of vipers. Now for that that the poifon of Alps congeal's the blood in the veins and arteries, therefore you muft ufe againft itfiichthingsasarehotandfiibtilofparts,as mithridate or treacle diflblved in aquavitt, and the fame powred into the wound ; the patient muft bee warmed by baths , fri&ions, walking, and the like. When as the hurt part becommeth purple, black or green, it is a fign that the native heat is extinft and fiiffocated by the malignitie of the venom.Thereforethen it is beft to amputate the member, if the partie bee able to endure it, and there bee nothing which may hinder. Kzgo write's, that hec law a Mountebank at Florence, who, that hee might fell the more of his Antidotes, and at the better rate , let an Afp to bite him by the finger, but hee died thereof fom four hours after. To the fame purpofe you may read Mat- tbioluf,whereas hee write's that thofe Impoftors or Mountebanks to cozen the better,and de- ceiv the people,ufe to hunt and take vipers and alps long after the fpring, that is,then when- as they have caft forth their moft deadlie poilbn;then they feed them w*h meats formerly un- ufiial to them, fo that by long keeping and care, at the length they bring it to pals,that they put off a great of their venemous nature; neither beeing thus fatisiied,they make them often- times to bite upon peeces of flefli, that fo they may caft forth into them the venom which is contained in the membrane between their teeth and gums. Laftly, they force them to bite, lick and fwallow down an aftringent medicine, which they compofe and carrie about for the fame purpofe,that fo they may obftruft thepaflages by the venom ufed to flow out, for thus as length their bites will bee harmlefs, or without great danger. This therefore is their art, that Co they may fell their counterfeit treacle to the people at a high rate, as that which is a moft fafe remedie againft all poifonous bites. Cbrijtapber Andrew in his book cal- led Oicoiatria, write's that the I Hands of Spain are everie where full and ftor'd with ferpents, ( alps, and all forts of venemous beafts, againft whofe bites they never obferved or found anie * benefit in treacle. But the efficacie of the following Antidote is lb certain and excellent,and approoved by fo manifold experience,that in the confidence thereof,they will notbeeaffraid to let themfelvs bee bitten by an Alp. Nowthis medicine is compofed of the leavs ofMullet, Avenes and red-ftock-gilliflowrs in like quantitie, which they boil in (harp vineger and the i urine of a found man, and therewith foment the wounded part. Yet if hee have not taken ' nor ufed anie thing of a good while after the wound, it will bee better and more ceitian, if the patient drink three ounces of this deco&ion falling two hours before meat. Symptoms* Cureing. An hiftorie. By what means Afps may bee made lefi hurt- ful. Gtl.lib.de They, ad fifonem. Againft the bites of what ferpentstreacle doth no good. A certain re- mcdie againft the biteing of Afps. ♦ CHAP* XXIII. I Have thought good in a true hiftorie to deliver the virulent malignitieof the bite of a Snake,& the remedies thercof.Whenas King Charts the ninth was at Moulins3Mo»«/fc«r Le Fmr, Of the biteing of a Snake.. An hiftorie. 520 Concerning &c. Lib.21. Feure the King's Phylician,& I were called to cure the Cook of the Ladie of Caftelpers. Who gathering hops in a hedg to make a fallet,was bit on the hand by a fnake that there lay hid, hee putting his hand to his mouth, flicked the wound to eaf the pain by fucking forth the venom. But his tongue forthwith fwelled to big,that hee could not fpeak his minde :befides, his whole arm, even to his flioulder, was in like fort much fwelled, his pain was fo vehe- ment, that it made him (woun twice in my prefence, his face was wan and livid like to a dead bodies and though I defpaired of his recoverie, yet not differing him to bee quite forfaken, 1 walhed his mouth with treacle diflblved in white wine,and gave him fom thereof to drink, adding thereto fom aqua vite. I opened his fwoln arm with manie and deep fcarifications, e- fpecially in the place where hee was hurt, I differed the blood which was wholly ferous and famous,, to flow more plentifully,! walhed the wovnds with treacle and mithridate diflbl- ved in aqua vita, and then I put him exceeding warm in bed, procureing Iweat, and makeing him to lie awake,left deep Ihotild draw the poifon inwards to the entrails. I by thefe means fo far prevailed, that on the day after hee was free'd from all his malign fymptoms. There- fore I judged, it onely remained for a perfeft cure, that the wound Ihould bee long kept open and waftied with treacle j neither was I deceived, for within a few daies hee was perfe&ly recovered* The cure. CHAP. XXIV. Of the biteings of "toads. The bites of Toads how harmful. Hough Toads want teeth, yet with their hard and rough gums they fo ftraitly prefs or pinch the part which they (hall take hold on, that they will force their poifon thereinto, and fo over the whole bodie by the pores of the preffed part. Moreover they caft forth their venom by urine , fpittle and vomit upon herbs, but chiefly upon Strawberries,the which they are reported greatly to affe&.Hencc manie fuddenly and ignorantly catch their deaths. I heard from a man of verie good credit, that there were two merchants not far from the Citie Tbolout, who wh Heft dinner was provideing, walked into the Garden that belonged to the Inn, where they gathered fom fage leavs, and unwaflied as they were put them into their wine. They had not as yet dined, when beeing taken with a fudden Vertigo, the whole Inn teemed to run round, then lofing their light, they fell into a fwound, intermixed now and then with convulfions. But they Hammered with their lips and tongues becomming black; a froward and horrid look, with continual vomiting, and a cold fweat, the fore-runner of death, which prefently feazed upon them,their bodies becomming exceedingly much fwoln. But the Juftices of the place fufpe&ing that they were poilbned, made the Inn-keeper and the Guefts to bee apprehended, beeeing examined they all conftantly and with one voice an- fwered, That the dead parties ate of the fame meat and drink which the reft did, butonely that they put fage into their wine.. A Phyfician was asked the queftion whether fage might bee poifoned; hee anfwered, it might : but to com to the purpote, it muft appear whether anie venemous creature hath poifoned the plant with her fpittle or venemous janies. This which was lightly pronounced, and onely by conjefture, was by the eie found to bee true.For at the root thereof there was found a hole in the ground full of Toads,who got out by putting in of warm water, made it credible that the plant was poifoned by their fpittle and urine,whereby you may underftand how unwifely they do,who devour herbs and fruits newly gathered without wafhing. Alfo wee muft take heed left falling afleep in the fields, wee lie not near the holes which toads or other venemous beafts of the fame nature have made their habitation. B or thence a venemous or deadlie air may bee drawn into the lungs. For the fame caufwee muft abftain from eating of frogs in the month of May, becauf then they engender with toads. Oxen in feeding lomtimes lick up fmall toads together with the grate, which prefently will breed their great harm, for thereupon the oxen fwell fo big,that they often burft withall. Neither is the venom of toads deadly onely beeing taken inwardly, blit even fprinkled upon the skin, unlefs they forthwith wipe the place, and wafh it with u- rine, water and fait. Such as are poifoned by a toad turn yellow,fwell over all their bodies, are taken withan Afthmatick dimcultie of breathing, a Vertigo, convulfion, {wounding,and lattly by death it telf. Thefe fb horrid fymptoms are judged inherent in the poifqn of toads, not onely by reafon of the elementarie qualities thereof, coldnete and moifture, which are chiefly predominant therein; but much rather by the occult propertie which is apt to pu- trefie the humors of that bodie whereto it fliall happen. Therefore it will bee convenient toprocmv vomit, efpecially if the poifbn bee taken by the mouth, to give glifters, and to weaken theftrength of the poifon by hot and attenuateing Antidotes , as treacle and me- thridate diflblved in good wine; but in conclufion to digeft it by bathes, ftoves, and much and great exercite. Rondeletiut in his book de affirm'sthe fame things of the curted of toads, as wee have formerly delivered: yet that they teldom bi te, but that they caft forth either their urine, the which they gather in a great quantitie in a large bladder, or elf An hiftork. The fymptoms occafioned by the poifon of Toads. May-frogs. The cute. LlB.Xf. Concerning^oifons, &c. 521 elf their venemous fpittle or breath againft fuch as they meet withall, or aflail; befidesj the herbs which are tainted by their poifonous breath , but much more fiich as are fprinkled with their fpittle or urine, are fufficient to kill fuch as eat them. The Antidotes are juice of betonie, plantane, mug-wurt, as alfo the blood of Tortoifes made with flower into pills, and forthwith diflblved in wine, and drunken. Plinie write's, that the hearts and fpleens of Toads refill poifon. The vulgar opinion is falf, who think that the Toad-ftone is found in their heads, which is good againft poifon. * Antidotes a- gamft the poi- fonof Toads.' CHAP. XXV. Of tbe flinging of a Scorpion, Scorpion is a imall creature with a round bodie in form of an egg,with manie feet, and a long tail confifting of manie joints, the laft whereof is thicker,and a little longer then the reft, at the verie end thereof is a fting,in fom two,hoi- ' low and replete with cold poifon,the which by the fting it. call's into the ob- vious bodie j it hath five legs on each fide forked with ftrong claws,not unlike to a Crab or Lobfter, but the two foremoft are bigger then the reft; they are of a blackilh or footie color, they go alide, alide 5 and oftimes faften themfelvs with their mouths and feet fo faft to men, that they can fcarce bee plucked there-hence.There bee (dm tvho have wings like the wings of Locufts, wafteing the corn , and all green things with their biteing and burning. Such are unknown in France. Thele fiie divers countries, like winged Ants. This is likely to bee true by that which Mattbiohu write's, that the husband-men in Caftile in Spain, in digging the earth oftimes finde a fwarm of Scorpions,which betake themfelvs thi- ther againft winter. Plinie write's, that Scorpions laid wafte a certain part of /Ethiopia, by chaleing away the inhabitants.The Antients made divers kindes of Scorpions,according to their varietie or difference of colors, fom beeing yellow, others brown,reddilh,afli- colored, green,whitilh, black, duskie; fom have wings,and fom are without. They are more or lefs deadlie, according to the countries they inhabit. In Tulcanie and Scithia they are abfolute- ly deadlie, but at Trent,and in the Hand Pharos their flinging is harmkls. The place flung by a Scorpion preiently begin's to bee inHamed, it waxeth red,grow's hard, and fwell's,and the patient is again pained, hee is one while hot, another while cold, labor preiently wea- rie's him, and his pain is fom-whiles more, and fom-whiles lefs, hee Iweat's and (hake's as if hee had an Ague, his hair Hand's upright, palenefs dif-color's his members, and hee feel's a pain, as if hee were pricked with needles over all his skin, winde flieth out backwards , hee drive's to vomit and go to ftool, but doth nothing j hee is molefted with a continual fever and (wounding, which at length proov's deadlie, unlels it bee remedied. Diofcorides write's, that a Scorpion beaten and laid to the place where hee is flung,is a remedie thereto 5 as alfo eaten rolled to the lame purpole. It is an ufiiall, but certain remedie to annoint the fifing place with the oil of Scorpions. There bee fom who drop into the wound the milkie juice of figs 5 others applie calamint beaten, other-lorn ule barlie-meal mixed with a deco&ion of Rue. Snails beaten together with their Ihells, and laid thereon, preiently alfwage pain. Sulphur vivum mixed with Turpentine, and applied plafter-wile, is good j as allb the leavs of Rue beaten,.and laid thereto. In like fort allbthe herb Scorpioides, which thence took its name, is convenient, as alfo abryonie-root boiled and mixed with a litile fulphur and old oil. Diofcorides affirm's, Agarick in powder ? or taken in wine to bee an Antidote againft poilbns, verily it is exceeding good againft the ftingings or biteingsof lerpents. Yet the continual ufe of a bath Hand's in flead of all thefe, as allb fweat, and drinking wine Ibm- whatallai'd. Now Scorpions may bee chafed away by a fumigation of Sulphur and Galba- num fallb oil of Scorpions dropped into their holes, hinder's their comming forth.. juice ofraddifh doth the lame. For they will never touch onethat is befmeared with the juice'of radifh or garlick, yea verily, they will not dare to com near him. The defcriptn on of a Scon- pion. His tail. Winged Scor- pIOD$« Symptoms.' Lib.t.cap.ioi & Lib,3 .cap, I. Scorpions cha- fed away with the juice of Garlick or ' Radifh. CHAP. XXVI. Of toe fiingitig of Bees, W'afys, &c. ■ Ees, Wafps, Hornets and foch lilce; cauf great pain in the skin wounded by their flinging, by reafon of the curfoiefs of the venom which they fend into the bodie by the wound, yet are they feldom deadlie,but yet if they let upon a matt, by multitudes, they may com to kill him. For thtis they have fom times been the death ot hor'fes; Wherefore becatif fiich as are flung by thefe, by reafon of the crueltid of paih, may think they are wounded by a more virulent and deadlie creature, I. think it'not amifs to fet down what fignes follow upon their ftingings. Great pain presently arlfeth, ! which continueth untill the fling left in the part is taken forth, the part becbm's red and fwoln, and there rifeth a path or little Wilier. The cure is, forthwithto fuck the wound Y y verie Symptoms. The curd Qonceming (Poijonsi Lib. zi. 522 verie hard, and thereby to draw forth the flings, which if they cannot thus bee gotten out, the place, if nothing hinder, is to bee cut, or elf temper allies with leven or oil, and fo ap- plie them : the part alfo may bee verie conveniently put into hot water, and there fomen- ted for an houres (pace, and at length walhed in lea-water. Crelfes beaten and applied, al- (wage the pain and difculs the humor caufling the tumor. Ox-dung macerated in oil and vineger, and applied hot, doth the fame. There are fom who applie to the part the lame creatures beaten, as wee formerly faid of Scorpions ; beans chawed and laid to the part af- (wage pain. Vineger, honie and fait applied exceeding hot, are good, if befides, you dip a cloth therein, and lay it upon the place; futybur vivum tempered with (pittie hath the fame effect The milkie juice of unripe figs incorporated with honie, is judged verie effe&ual,but it is much the better,mixed with treacle. Walps will not fling nor bite fuch as annoint their bodies with the juice of mallows mixed with oil. They may bee quickly chafed away with the fume of brimftone and fuch like things. A wafp is faid, if lhee finde a viper dead, to dip her fting in the others poifon, and thence men learned toempoifon the heads of their ar- rows. The rough and hairie worms, which are commonly called Bear-worms, elpecially thole which breed about a Pine-tree, cauf great itching, rednefs and fwelling in the part which they bite, touch or grate upon verie hard. A remedie hereof is onions beaten with vineger, and the reft of the things formerly mentioned. The bitts of Bear-worms. CHAP. XXVII. weav webs with various art, yet in thefe they alwaies make alurking- hole, fo to lie in wait to catch the intrapped flies, and fb to prey upon them. There are manie forts of Spiders; one is termed Rhagium, round, and like a black-berrie, whence it taketh the name; it hath a verie finall mouth under the mid'ft of the bellie, and moft fliort feet, as if they were imperfeft, her bite is as painful as the fting of a Scorpion. Another is called Lupus, or the Wolf-Spider, becauf lhee doth not onely lie in wait to catch Flies, but alfo Bees and Wafps, and all fuch things as may flee into her web* The third is named Myrmecion, it is larger then an Ant, but headed like one, the bodie thereof is black, and hath white fpots or ftreaks running towards the back- The fourth kinde may bee called Veftarium, in other things refembling a Wafp , but that it want's the wings; of a reddilh color , and liveing onely on herbs. The Antients have thought their biteings to bee venemous. Now their poifon is therefore thought to bee cold, becauf the fymptoms thence arifeing are winde in the bellie, refrigerations of the ex- treme parts of the bodie, numnefs in the bitten part, with fenf of cold and fliakeing. The wound muft forthwith bee walked with verie hot vineger; then muft you lay thereto Oni- onsj and luch like things beaten, then procure fweat by art, as by baths and ftoves , yet no- thing is more effe&ual then treacle and mithridate. Of the bite of a Spider. Differences of Spiders. CHAP. XXVIII. Of Cantharides and Bupreftes. The defcripti on of Ctmhu- 7ides. 4ntbarzd.es fliine as it were with a golden color, acceptable to the eie, by reafon of the commixture of a blewifh or greenifh color therewith , yet their fmell is ungrateful. They are hot and drie in the fourth degree, and fo cauftick, corrofive and venemous, not onely by reafon of their cauftick qualitie, but becaufof a fecret antipathic which they naturally have againft the urinarie parts ; which effefts they produce not onely if they bee taken by the mouth into the bodie,but even applied outwardly to raif blifters. Such as have taken them inwardly,have the tafte of pitch,or fom thing like cedria, or the rofin of Cedars in their mouths, it is likely that this tafte proceed's from the humors diflblved by the pu- tredinous heat in the ftomach, guts & liver,and the vapors that there-hence arife; for taken inwardly,they gnaw,exulcerate and burn all parts from the mouth even to the bellie,whence enfueth a bloodie-flux, excrements flowing out, which referable the walkings of new-killed flefh. Then follow's a burning fever, vertigo, madnefs, reftlefiiefs,the brain beeing difturbed by the plentie of vapors lifted up from the corroded and burnt parts and humors , which therefore when as they appear, you may know the afleftis uncureable. In the parts ap- pointed for the receiving and conveiance of the urine they cauf a burning excpriation, ftrong and continual ereftion of the yard, whence enfue's a bloodie and painful ftrangurie, in ftead of which there oftimes happen's orfucceed'san Ifchurief QX ftoppage of the water, whence a gangrene and mortification of the!paflt, and fo in conclufion of the whole bodie befides. When as Cantbarides are taken inwardly, there- medie is vomiting,drinking of Cows-milk to correft the heat and drinefs, good to mi- tigate the ulcers, and ftay the dy[enterie 5 it is good alfo to injeft it into the guts by glyfter. \ ' ' In Enemies to the Bladder. Symptoms. Concerning'? oifons, &c. Lib.zj. 523 In (lead thereof fallet-oil, or oil of fweet almond's is convenient to retund the acrimonie of the poifon faftned to the fides of the ftomach. The reft and whole cure of this poifon you may learn by the following hiftorie. A certain whore,the better to enjoy the companie of a young Abbot who loved her, entertained him with a banquet, and (prinkled divers of/ their cates with the powder of Cantbarides,to incite him the more to venerie The next day, when as the Abbot caft forth pure blood at his fundament and yard which ftood verie ftiffe, hee called fom Phyficians, who prefently by the fore-mentioned (ymptoms,which were all verie apparent in him, underftood that hee had Cantbarides given him: wherefore they ; purged him upwards with vomits , and downwards by glyfters made with French-barlie, Rice, a decottion of mallowes, feeds of line and fenugreek,oil oflillies, goats-faet: then preftntly after they gave him a little treacle with a good quantitie of confervas of violets, which might draw the poifon outwards, they gave him milk to drink, and cauffed him to to uft injettions into the urinarie paflage and guts made ofrefrigerateing things,as the juice of lettuce, purflaine, cucumbers, gourds, melons ; of tough and vifcid things, that fo they might flick the more eafily and longer to the ulcerated parts,as the mucilages of pfilium, mallows, quince-feeds, fyrup of water-lillies, poppies and violets, frefli butter, and oil of fweet almonds, and they made him drink onely barlie-water, or the common ptifan ; they let him feed on veal, kid , and pork boiled with lettuce, purflaine, barly and violet leaves, the which by their humidicie might relax the bellie, and by their toughneft lenifie the roughnefs of afperitie; they applied alfo refrigerateing things to the loines, fhare and perinxum to affwage tlft heat of the urine. At length they put him into a warm bath, and to conclude, they left nothing u«attempted to draw forth or weaken the poifon. But all their endeavors were in vain, for the Abbot died, not beeing deftitute of remedies conveniently prefcdbed, but overcom by the contumacious maligni tie of the poifon. The Phyficians i pains had far better fuccefs in a certain Gentlewoman againft this kinde of affett; her whole face was deformed with red, fierie and filthie puftles, fo that all fhunncd her compa- nie aS if fhee had been troubled with a Leprofie, and were readie to forbid her the focietie of men; fhee came to Paris, and calling Holleriw and Grealmus Phyficians, mee and Caballus beeing Surgeons, fhee made a grievous complaint, and befbught us earneftly for fom reme- die againft fo great a deformitie of her face having diligently confidered her caft, wee pro- nounced her tree from a Leprofie; but wee judged it fit to applie to her whole face a vefica- torie of Cantbarides,three or four houres after the application whereof,the medicines beeing , com to work its effctt, her bladder began to burn exceedingly, and the neck of her womb > tofwell, with gripings, continual vomiting, making of water and ftowring, a troublefbm 1 agitation of the bodie and members, a burning and abfolutely fierie fever. 1 forthwith' called the Phyficians, it was decree'd that fhee fhould drink wine plentifully, and that it (hould bee in jetted by the fundament into the guts, and by the urinarie paflage into the bladder and the nccK of the womb, and that fhee fhould keep her felf, untill the pain were mitigated, in a warm bath made of thedecottion of Line-feeds, the roots and leaves ofmal- lowes, marfh-mallowes, violets , henbane , purflain and lettuce; and her loines and geni- tals fhould bee anointed with unguentum rofatum andpopuleon ftirred and incorporated with oxycrate. By theft means, all the fymptoms were mitigated. Her face in the interim rofe all in ablifter, and much purulent matter came out thereof and fo the deformitie, where- with fhee was formerly troubled, vanifhed away for ever , fo that within a while after (hee was married, and had manie children, and is yet living in perfett health. Buprejtes alfb are of the kinde of Cantbarides, beeing like unto them in fhape and facultie. If an Ox or fheep or anie other creature fhall in feeding devour one of them, hee will pre- ftntly (well up like a Tun; whence alfo they take their name: if a man take them inward- ly,he fhall endure the like (ymptoms as in takeing Cantbar ides, and over and befides both his ftomach and his whole bellie fhall bee wonderfully puffed up, as if hee had a Dropfie. It is probable that this inflation like a tympanic happenethby humors diffuftd and refblved into vapors by the fierie acrimonie of the venom: They are to bee cured after the fame manner as (iich as have drunk Cantbarides, Laftly,asin all other poifons which are taken into the bodie, fo alfb here, if the poifon taken by the mouth bee thought as yet to bee in the ftomach, you muft then procure vomit. If it bee gotten into the guts, then muft it bee drawn away by glyfters; if diffiifed over all the bodie, then muft you make uft of foch things as may drive the poifon forth from the center to the circumference, fuch as arc baths and (loves. A hiflorie. The cure.1 A hiftcrie. Canthwides ap- plied to the head, ulcerate the bladder. A remcdie a- gainft Leprous puftles. The rcafon of the name. CHAP. XXIX. Of Horf-leeches. , HOrf-leeches are alfo venemous, efpecially fuch as live in muddie (linking ditches, for ] theft are left hurtful which refide in clear and pure waters. Wherefore, before they are Yy 2 to What horf- leeche* moil virulent. Concerning Foifons, Lib.zi. 524 to bee uted in cafes of phyfick ,they muft bee kept for fom dates fpace in clean water, that fo they may purge themfelvs; otherwife they may chance to leav ulcers hard to cure in the places whereto they ffiall bee applied, and the rather, if they bee violently plucked off, be- cauf they by that means leav their teeth faftned in the part. Now hee which by chance hath (wallowed a Horf-leech, muft bee asked in what part hee feeleth. her, that is, the fenf of her fucking. For if fhee ftick in the top of the throat or gullet, or in the midd'ft thereof, the part fhall bee often wafhed with muftard diflblved in vineger. If fhee bee near the orifice of the ventricle,it is fit that the patient by little and little (wallow down oil with a little vine- ger. But if fheefaften to the ftomach, or the bottom of the ventricle, the patient, by the plucking of the part, fhall perceiv a certain fenf of (ticking, the patient will fpit blood, and will for fear becom melancholick. To force her thence, hee fhall drink warm water with oil 5 but if fhee cannot fo bee looted, then fhall you mix aloes therewith, or fom thing en- dued with the like bitternefs,for (hee will by that means leav her hold, and (b bee caft forth by vomit. You may perceiv this by fuch as are applied to the skin, on the external parts, for by the afperfion of bitter things, whether they bee full or emptie, they will forfake their hold. Then fhall the patient take aftringent things, which may ftop the blood flowing forth of the bitten part, fuch is Conferv ofRofes, with terra figillata, and other more aftringent things, if need fo require. For if they (hall adhere to (bm greater branch of fom vein or arterie, it will bee more difficult to ftop the flowing blood. But for that not the earth onely , but the tea alfo produceth venemous creatures, wee will in like (brt treat of them, as wee have alreadie don of the other, beginning with the Lampron. Divers reme- dies according to the diverfi- tie of the parts. CHAP. XXX. Of the Lantfron. The defer i pti- on of the Lampton* He Lampron, called in Latine Murtna, is a fea-fifh fbmthing in fhape refembling a Lamprie, but fhee is bigger and thicker, and hatha larger mouth, with teeth long, fharp and bending inwards, fhee is of a duskie color, diftinguifhed with whitifh fpots, and fbm two cubits length; the Antients had them in great etteem, becaufthey yield good nouri(hment,and may bee kept long alive, in pools or ponds, and id taken as the owners pleaf to ferv their table, as it is fufficiently known by the hifto- rie of the Roman Cr affix. Shee by her biteing induceth the fame iymptoms as the viper,and it may bee helped by the fame means. Verily the Lampron hath inch familiaritie with ehe Viper, that leaving her natural element the fea, fhee leapeth afhoar, and feeketh out the Vi- per in her den to join with her in copulation, as it is written by JElian and Nicander. The natural friendfliip of the Lampron and Viper. CHAP. XXXI. He fea-Dragon, called by the French Viva, for his vivacitie (and by the Englifli a Viver, or as fom fay, a gua-viver) becauf beeing taken in fifliing, and drawn out of the fea, fliee is faid long to furvive. Her pricks are poifbnous3but chiefly thoie that are at the edges of her gils. Which is the reafbn that Cooks cut off their heads before they ferv them up to the table; and at Roven the fiflier-men lay them not upon their flails to fell before they have cut off their heads. The wounded part of fuch as are hurt, pain's them much with inflammation, a fever, fwounning, gan- grene and deadlie mortification, unlefs it bee quickly withftood. Not verie long ago the wife of Monfieur Fromaget, Secretarie of the requefts, was wounded with a prick of this fifh in her middle-finger, there followed a fwelling and rednefs of the part, without much pain , but perceiving the fwelling to encreaf, beeing made more warie by the mifehance of her neighbor the wife of Monfteur Bargelonne, Lievtenant particular in the Chaftelet of Paris, who died not long before by the like accident beeing neglefled, lent for mee3 I under- ftanding the caufof her difeaf, laid to her pained finger and her whole hand,befidesa pul- tis made of a great Onion rofted under the coles, leaven, and a little treacle. The next day I wilhed her to dip her whole hand into warm water, fo to draw forth the poifon, then I di- vided the skin about it with much fcarification, but onely fuperficiarily; to the gaffes I ap- plied Leeches, which by fucking drawing a fiifficient quantitie of blood, I put thereto trea- cle diffolved in aqua vite. The next day the fwelling was aflwaged, and the pain eafed, and within a few daies fliee was perfeftly well. Dio far ides write's , that this fifh divided in the mid'ft, and applied to the wound, will cure it. Of the Draco-marinus, or fea-Dragon. Symptoms. An hiftorie. The cure. CHAP. Lib.zi. Concerning*? oifont, &c. 525 CHAP. XXXII. Of the Paftinaca marina, or Sting-Ray, which fom call the Fiercc-claw. Uch as are ftung by a Sting-Ray (as A'etiut hath written) the place of the wound doth manifeftly appear; there enfiie's thereon lading pain and the numnefs of the whole bodie. And feeing that it hath a (harp and firm fting, whereby the nervs by the .deepnefs of the ftroke may bee wounded, it fo happen's that tom die forthwith, their whole'bodies differing convulfions. Moreover, it will kill even the ve- rie trees into whole roots it is faftned. Yet Plinie affirm'$,that it is good againft the pain of the teeth, if the gums bee (carified therewith, yea, and it beeing made into powder with white Hellebore, or of it felf, will cauf teeth to fall out without anie pain, or anie violence offered to them. This fifh is good meat, the head and tail excepted fom of them have two flings, other-fom but one; thefe ftings are (harp like a faw with the teeth turned towards their heads. Offlianus write's, that their ftings are more poifbnous then the Perfian's ar- rows, for the force of the poifbn remaineth, the fifh beeing dead, which will kill not onely living creatures, but plants alfo. Fifher-men, when they catch this fifh, prefently fpoil him of his fting, left they fhould bee hurt therewith. But if by chance they bee hurt therewith, then take they forth his liver, and lay it to the wound; furthermore, the fifh beeing burnt and made into powder, is the true antidote of his wound. The Sting-Ray live's in muddle places near the (hoar, upon the fifhes that hee hunteth and cattheth with his fting , haveing the teeth thereof turned towards his head for the fame purpofe. Hee is not unlike a Ray, and I have here given you his figure. Thefym- ptoms. The virulcncie of her fling. The figure of a Sting-Ray. CHAP. XXXIII. Linie call's the Sea-hare, a mats or deformed piece of Hefti. Galen faith it is like a Snail taken forth of the (hell. It is exceedingly poifonous in the judgment J of the Antients; wherefore it is notamifc to let down the defcription of it, left wee might eat it at unawares, too earneftly view it, or fmcll thereto,as al- lo that wee may ufe it againft the poilbn thereof; it is an inhabitant not oneiy or tne lea, but allo of lakes of lea-water, Specially fuch as are muddie; it is of the fame color as the hair of the land-hare is,it hath a hole in the head,out of which hee putteth , a certain piece of Hefti,and pluck's it back again when aS hee is leen. Pau Im, Aetiuf,'Plinie, j. Galen and Nicander are of one opinion, and agree in this, that if a woman big with childe < do too earneftly look upon one, ftiee will vomit,and preftntly after abort.They which have < drunk this poifon,faith Di ofcor ide J, are troubled with pain inthebellie, and their urine is flopped. If they do make water, then is it bloodies they rundown with (linking (wear, which fmell's of fifti ;(a cholerick vomiting fomtimes mixed with blood enfue's thereon. Aetius write's, that all their bodies turn yellow , their faces fwell, and their feet, but chiefly their genital member, which is the caufthey cannot make water freely. Galen write's, . that it is the propertie of the Sea-hare to exulcerate the lungs. Their antidote is Afle' s-milk, muskadine, or honied-wine continually drunken, oradecoftion of the roots andleavs of Yy 3 mallows. Of the Lepus marinus, or Sea-hare. The defetipti- on of the Sea- hare. The earned beholding of a Sea-hare will caul abortion* rhe fym- ptoms. The antidote. 526 ConcerningcPoifons, &c. Lib.zi. Mallows. It is good for the falling away of the hair. I have here given you the figure there- of out of Rondeletius his book of Fifties. The figure of a Sea-Hare. CHAP. XXXIV. Of the poifon of Cats* Ot onely the brain of a Cat, beeing eaten, is poifbnous and deadlie to man, but allb their hair , their breath, yea and their verie pretence to lom proov deadlie.For although anie hair devoured unawares,may bee enough to choak one,by flopping the inftruments of refpiration, yet the hairs of a Cat by a certain occult propertie,are judged moft dangerous in this cafe: befides alfo, their breath is infefted with a certain hurtfulmalignitie.For Mattbiolus faith, that hee knew 1dm, who beeing lb delighted with Cats, that they could never go to bed without them , have by fo often drawing in the air with their breath, fallen into a con- fumption of the lungs, which occafioned their death. Moreover,it is manifeft that the verie fight of their eies is hurtful, which appear's by this , that fbm but feeing or hearing them, prefently fall down in a fwound j yet I would not judg that to happen by the malicious vi- rulencie of the Cat,but alfo by the peculiar nature of the partie,and a qualitie generated with him, and lent from heaven. When as, faith Matthiolus, a certain Germane in winter-time, came with us into a ftove to fupper, whereas were divers of our acquaintance, a certain wo- man,knowing this man's nature, left that hee fhould fee her kicling which lhee kept, and fo fhould go away in a chafe, lhee fhut her up in a cup-board in the fame chamber. But for all that hee did not fee her, neither heard her crie,yet within a little fpace,when hee had drawn in the air, infefted with the breath of the Cat, that qualitie of temperament, contrarie, or enemie to Cats, beeing provoked, hee began to fweat, to look pale,and to crie out (all of us admireing it) Here lies a Cat in fom corner or other', neither could hee bee quiet till the Cat was taken away. But fiich as have eaten the brains of a Cat, are taken with often Vertigo's, and now and then becom foolifh and mad: they are helped by procureing vomit, and take- ing the Antidote againft this poifbn, that is, half a fcruple of Musk, diflolved and drunk in wine. There bee (bm who prefcribe the confeftion Diatnofcbum to bee taken everie morning, four hours before meat. By this you may gather,that it is not fo fabulous that the common fort report,that Cats will kill or harm children ; for lying to their mouths with the weight of their whole bodies, they hinder the paffage forth of the fuliginous vapors, and the moti- on of the cheft, and infeft and ftifle the fpirits of tender infants, by the peftiferous air and exhalation which they fend forth. A Cat's bait moft fubjeft to choak. The breath of a Cat moft hurtful ro the lungs. An hiftorio. A wonderful antipathic be- tween a man and a Cat. The Antidote againft the brains of a Cat. CHAP. XXXV. Of certain poifonous Plants. Aveing defcribed the poifons that com from living creatures, I com to {peak of fuch as are from Plants, beginning with the Sardonian herb, which is alfo called Afium rifas: this is a kinde of Ranunculus, or Crow-foot: (and,as it is thought,the round- leaved water Crow-foot,calledMarfli-crow-foot»or Spear-wort) it taketh away the under* Handing of fuch as eat thereof,and by a certain diftention of the nervs,contraft's the cheeks, fo that it make's them look as if they laughedjfrom this affeft came that proverbial fpeech of the Sardonian laughter, taken in evil part. His Bezoar,as one may term it,is the juice of Balm. The juice,fruit,and fubftance of Nay elint taken inwardly, killeth a man the fame day, or at the furtheft in three daies: yea,and fuch as efcape the deadlie force thereof by the fpeedie and convenient ufe of Antidotes, fall into an heftick fever, or confumption,and becom fub- jeft to the falling-ficknefs, as Avicen affirmeth- And hence it is,that barbarous people poifbn their arrows therewith. For the lips are forthwith inflamed, and the tongue fo fwell's, that tw reafon thereof it cannot bee contained in the mouth, but hang's out with great horror; their eies are inflamed, and ft and forth of their head,and they are troubled with a Vertigo and /wounding. Apiumriffa. His Antidote. Nape Um, or MonkC-hoode Lib.zi. Concerning Toifins, 527 fwounding, they becom fo weak that they cannot ftir their legs, they are fwoln and puf- fed in their bodies,the violence of the poifon is fo great.The An- tidote thereof is a certain little creature like a * Mouf, which is bred, and live's on the root of NtfeUw, beeing dried and drunk in powder, to the weight of two drams. In want hereof, you may ufe the Iced of Raddifhor Turnips to drink, and annoint the bndie alfo with oil ofScoroions. * Our Autor is deceived by the (it may bre)miftook the greek word in ftead thereof reade piui' for a Flie,a Moufj for there is no Mouf to bee fsund, but whole fwarms of Flies,which feed thereon: you may finde the defcription of an Antidote made with them in Lobel'j Dorycinum and Solanum Mani cum, or deadlie Night-fhade, are not much different in their mortal fymptoms or effefts. Dorycinum beeing drunk, refembleth milk in tafte , it caufleth continual hicketting, it troubleth the tongue with the weight of the humor, it caufleth blood to bee caft forth of the mouth, and certain mucous matter out of the bellie, like that which commeth away in the bloodie flux- A remedie hereto are all lhell-fi(hes,as well crude as rofted, alfo Sea-Lobfters and Crabs, and the broth or liquor wherein they are boiled,bee- ing drunk. Now the root of Solanum Manicum drunk in the weight of one dram in wine, caufleth vain and not unpleafing imaginations, but double this quantitie caufleth a diftra- ftion or alienation of the minde for three daies ; but four times fo much kill's. The reme- dies are the fame as thefe prefcribed againft Dorycinum. Hen-bane drunken, or otherwife taken inwardly by the mouth, caufleth an alienation of the minde like drunkennefs5 this alibis accompanied with an agitation of the bodie, and exfolution of the fpirits like fwounding. But amongft others, this is a notable fymptom, that the patients fo dote, that they think themfelvs to bee whipped : whence their voice becom's fo various, that ibmtimes they bray like an Afs or Mule, neigh like an Horfi as A- vicen write's. The Antidote is piftick nuts eaten in great plentie, treacle alio and mithridate diflblved in fack, alio worm-wood, rue and milk. Of Mufhroms, ibm are deadlie and hurtfull of their own kinde and nature, as thofe, which broken, prefently becom of divers colours, and putrefie: (fuch as Avicen faith thofe are which be found of a grayifli or blewifh colour)others though not hurtfull in qua- litie, yet eaten in greater meafure then is fitting, becom deadlie 5 for feeing by nature they are verie cold and moift, and confequently abound with no fmall vifcofitie, as the excre- mentitious phlegm of the earth or trees whereon they grow, they fuffocateand extinguifh the heat of the bodie, as overcom by their quantitie, and ftrangle as if one were hanged,and laftly kill. Verily I cannot chufe, but pittying Gourmondizers, who though they know that Mufhroms are the feminarie and gate of death , yet do they with a great deal of doo, moft greedily devour them; I fay, pittying them, I will fhew them, and teach them the art, how they may feed upon this Co much defired dilh, without the endangering of their health. Know therefore that Mufhroms may bee eaten without danger, if that they bee fir ft boiled with wilde pears: but if you have no wilde pears,you may fiipplie that defeat with o- thers which are the moft harfh,either newly gathercd,or dried in the firn. The leavs?as alfb the bark of the fame tree, are good, efpecially of the wilde 5 for pears are their Antidote: yet Conciliator give's another, to wit, garlick eaten crude, whereto in like fort vineger may bee fitly added,fo to cut and attenuate the tough,vifcous and grofs humors, heaped up, and in danger to ftrangle one by the too plentiful eating of Mufhroms,as it is delivered by Galen. Epbemerum, which fbm call Colcbicum or Bulbus fylveftris, that is, medow faffron, beeing taken inwardly,caufleth an itching overall the bodie,no otherwife then thofe that are net- tled, or rubbed with the juice of a Squill. Inwardly they feel gnawings, their ftomach is troubled with a great heavinefs, and the difeafencreafing, there are ftreaks of blood mixed with the excrements.The Antidote thereof is womans milk, Afles or Cows-milk drunken tvarm, and in a large quantitie. Mandrag taken in great quantitie, either the root or fruit caufleth great fleepihefs, fad- nefs, refolution and languifhing of the bodie, fo that after many fcritches and gripeings, the patient fall's aflcep in the fame pofture as hee was in, juft as if hee was in a Lethargic. Wherefore in times paft they gave Mandrag tofuchaswere to bee difinembred. The ap- ples, when as they are ripe,and their feeds taken forth, may bee fafely eaten,for beeing green and with their feeds in them, are deadlie.For there arifeth an intolerable heat,which burn's the whole fiirface of the bodie , the tongue and mouth wax drie , by reafon whereof they gape continually, fo to take in the cold air 5 in which cafe unlefs they bee prefently helped, they die with convulfions. But they may eafily bee helped,if they fhall prefently drink iuch things as are convenient therefore. Amongft which, in Conciliator's opinion,excell raddifh- feeds eaten with fait and bread for the fpace of three daies. Sneefing fhall bee procured, if the former remedie do not quickly refrefh them , and a deco&ion of Coriander or Pennie- royall in fair water fhall bee given them to drink warm. The ungrateful tafte of the juice of black poppie, which is termed Opium, as alfo of Man - drag, eafily hinder's them from beeing put into meat or drink , but that they may bee di- fcerned, and chiefly for that neither of them can kill, unlefs they bee taken in a good quan- tities But becauf there is danger , left they bee given in greater quantitie then is fitting by the ignorance of Phyficians, or Apothecaries, you may by thefe figns finde the error. There Dorjcinum and Solatium Mam- cum pt deadlie Night-(hade. The fytn- p tom len-bane. rhe Antidote. Mufhroms. Their Anti- dote. In wpidtml' Colchicum» or Medow- Saft'ron. The Antidote. Mandrag. The cure. Opium. Why not ufed in poifonings* 528 Concerning cPotfons) &c. Lib.zi* I here enfue's heavie deep, with a vehement itching* fo that the patient oftimes is for- ced thereby to caft off his dull deep wherein hee lay, yet hee keep's his eie-lids fhut, beeing unable to open them. But by this agitation there flow's out fweat, which find's of orium, the bodie waxeth pale, the lips burn, the jaw-bone is relaxed, they breath little and feldom. When as theireies wax livid, unlefs they bee drawn afide, and that they are deprefled from their orb, wee muft know that death is at hand.The remedie againft this is twodrams of the powder ofCaftoreum given in wine. Hemlock drunken, caufleth Vertigo's, troubleth the minde, fo that the patients may bee taken for mad men; it darkneth the fight, caufleth hicketting, and benum's the extreme parts, and laftly ftrangle's with convulfions,by fupprefling or flopping the breath of the Ar- terie. Wherefore at the firft, as in other poifons, you muft endeavor to expell it by vomit; then injc& glyfters, to expell that which is got into the guts; then ufe wine without mi- xture, which is verie powerful in this cafe. Peter Afonen/is think's the Bezoar or Antidote thereof to bee a potion of two drams of Treacle, with a decoftion of Dittamnus or Gentian in wine. Hee which further defire's to enform himfelf of the eflefts of Hemlock, let him read Mattbiolus his commentarie upon Diofcorides, where as hee treat's of the fame fubjeft. Aconitum called of Aconis a town of the Periendines, where as it plentifully grow's. Accor- dind to Mattbiolus, it kill's Wolvs, Foxes, Dogs, Cats, Swine, Panthers, Leopards, and all wilde beafts, mixed with flefh, and fo devoured by them, but it kill's mice by onely fmelling thereto. Scorpions, if touched by the root of Aconite, grow numb and torpid, and fb die thereof; arrows or darts dipped therein, make incureable wounds. . Thofe who have drunk Aconite, their tongue forthwith waxeth fweet with a certain aftriftion, which within a while turneth tobitternefs; it caufleth a and (hedding of tears, and a heavinefs or ftraitnefs of the cheft and parts about the heart; it make's them break winde downwards,and make's all the bodie to tremble. Plinie attribute's fb great celeritie and violence to this poi- fbn, that if the genitals of female creatures bee touched therewith, it will kill the fame dale; there is no prefenter remedie then fpeedie vomiting after the poifbn is taken. But Conciliator think's Ariflolocbia to bee the Antidote thereof. Yet fbm have made it ufeful for man by ex- perimenting it againft the flinging of Scorpions, beeing given warm in wine. For it is of fuch a nature, that it killeth the partie unlefs it finde fbmthing in him to kill, for then it ftrive's thererwith as if it had found an adverfarie. But this fight is onely when as it finde's poifbn in the bodiejandthis is marvelous that both the poifons beeing of their own nature deadlie, fhould die together, that man may by that means live. There are divers forts there- of, one whereof hath a flower like an helmet, as if it were armed to man's deftru&ion; but the other here delineated hath leavs like to fo w's-bread, or a cucumber, and a root like the tail of a Scorpion. The fytn- ptoms. Hemlock Thefymptotns The Antidote. In Hb.6.diofc. Acmitutn. Lib.27,cap.i. Aconite good agaipft the poi- fon of Scorpi- ons. The differen- ces. 'The figure of a certain kinde of Aconite. The Yew. * This is true in fom coun- tries,as in Pro- vence, Italic, Greece,Sc.but it is not fo here with u? in Eng- land's both Lobcl and dai-. lie experience can tcftifie. Trees alfo are not without poifon, as the Yew and Walnut tree may witnefs: Cattel if they feed on the leavs of Yew, are ' killed therewith. * But men, if they deep , under it, or fit under the ftiadow . are hurt therewith, and oftimes die there- • of. But if they eat it, they are taken with abloodie flux, and a coldnefs over all their • bodies, and a kinde of ftrangling or ftop- page of their breath. All which things the Yewcaufleth, not fo much by an elemen- tarie and cold qualitie, as by a certain oc- cult malignitie, whereby itcorrupteththe humors, and ffiaveth the guts. The fame things are goodagainft this,as wee havefet down againft Hemlock; Nicander affirm's, that good wine beeing drunken is areme- die thereto. There is alfo malignitie in a Wall-nut-tree, which Grevinut affirm's that hee found by experience, whifft hee unawares fate under one and flept there in the mid'ft of Summer. For wakeing, hee had a fenf of cold over all hisbodie,a hea- vinefsof his head, and pain that lafted fix daies. The remedies are the fame as againft the Yew. The Antidote. The Wall-nut tree. CHAP Lib.zi. Concerning (Poifonsi 529 CHAP. XXXVI. Of Bezoar, and Bezoartickjnedicines. O R that wee have made mention of Bezoar , in treating of the remedies of < poifons, I judg I (hall not do amifs,if I lhall explain, what the word mean's,and the reafon thereof. Poifon abfolutely taken is that which kills by a certain fpecifick antipathic contrarie to our nature. So an Antidote or Counter-poi- fon is by the Arabians in their mother-tongue termed Bedezahar, as the prefer- versoflife. This word is unknown to the Greeks and Latines, and inufe onely with the Arabians and Perfians,becaufthe thing it felffirft came from them, as it is plainly (hewed by Garcias ab ho rto,Phy fician to the Vice-roy of the Indies,in his hiftorie of the Spices and Sim- ples of the Eaft-Indies. In Perfia (faith hee) and a certain part of India is a certain kinde of Goat called Paza'in (wherefore in proper (peaking, the (lone (hould bee termed Pazars of the word Paza'in, that (ignifie's a Goat; but wee corruptly term it Bezaror Bezoar} the color of this beaft is commonly reddifh, the height thereof indifferent,in whole ftomach concrete's the ftone called Bezoar; it grow's by little and little about a ftraw or fom fuch like liibftance in fcaleslike to the fcalesof an onion, fo that when as the firft (cale is taken off, the next appcar's more (mooth and Ihineing as you ftill take them away, the which amongft others is the fign of good Bezoar and not adulterate.This ftone is found in fundriefhapes,but com- monly it refemble's an Acorn or Date-done; it is fomtimes of a fanguin color, and other- whiles of a honie-like or yellowilh color,but moft frequently of a blackifh or dark green,re- fembling the color of mad Apples, or clfof a Civet-Cat. This (lone hath no heart nor ker- nel in the mid'ft, but powder in the cavitie thereof, which is allb of the lame facultie. Now this ftone is light and not verie hard, but lb that it may ealily bee fcraped or rafped like ala- blafter, fo that it will diffolv, beeing long macerated in water; at firft it was common a- mongft us, and of no verie great price, becaufour people who trafficked in Perfia, bought it ataneafierate. But after that the faculties thereof were found out, it began to be more rare and dear, and it was prohibited by an Edift from the King of theCountrie, thatnobodie Ihould fell a Goat to the ftranger-Merchants, unlels hee firft killed him and took forth the done, and brought it to the King. Of the notes by which the ftone is there are manic counterfeits brought hither) the firft is alreadie declared; the other is, it may bee blown up by the breath, like an oxe's hide; for if the winde break through, and do not ftay in the denlitie thereof, it is accounted counterfeit. They ufe it, induced thereto by our ex- ample, not onely againft poifons, but alfo againft the bites of venemous beafts. The richer fort of the Countrie purge twice a year, to wit, in March and September; and then, five daies together they take the powder of this ftone macerated in Role-water, the weight of ten grains at a time: for by this remedie they think their youth is preferved, as alfo the ftrength of their members. There bee fom who take the weight of thirtie drams; yet the more warie exceed not twelv grains. The fame Autor addeth that hee uleth it with verie good fuccefs in inveterate melancholick dileafes, as the itch, fcab, tetters and leprofie; there- fore by the fame realbn 2t may well bee given again a quartane fever. Befides, hee affirmeth for certain that the powder contained in the mid'ft of the ftone, put upon the bites of vene- mous beafts, prefently free'th the patient from the danger ofthepoifon, as alfo applied to to peftilent Carbuncles when they are opened, it draw's forth the venom. But becaufthc fmall pocks and meazles are familiar in the Indies, and oftimes dangerous, it is there given with good fiiccefs, two grains each daie in Role-water. Mattbiolus fubferibeth to this opi- nion of Garcias, witnefling that hee hath found it by frequent experience, that this ftone by much exceed's not onely other ftmple medicines of this kinde, but alfo fuch as are termed tberiacalia, and what other Antidotes foever. Hereto alfo confent's Abdanalaracb-^ee (faith hee) have ften the ftone which they call Bezabar, with the Ions of Almirama the obferver of the Law of the God; with which ftone heee bought a ftately and almoft princely houf at Corduba. Som years ago, a certain Gentleman who had one of thefe ftones which hee brought out of Spain, bragged before King Cbarls then beeing at demount in Jmn, of the moft certain efficacie of this ftone againft all manner of poifons. Then the King asked of mee, whether there were anie Antidote which was equally and in like manner prevalent againft all poi- fons ? I anfwered, that nature could not admit it; for neither have all poifons the like ef- fe&s, neither do they arife from one cauf; for fom work from an occult and fpecifick pro- pertie of their whole nature, others from fom elementarie qualitie which is predomi- nant. Wherefore each muft bee withftood with its proper and contrarie antidote; as to the hot, that which is cold, and to that which affairs by an occult proprietie of form, another which by the fame force to oppugn it, and that it was an eafie matter to make trial hereof on (iich as were condemned to bee hanged. The motion pleafed the King, there was a Cook brought by the Jailor who was to have been hanged within a while after for ftealiug two filver-diffies out of his maftef*s houf Yet the King defired firft to know of him, whether hee What potton i». A fignoftru: Bezoar. The ufc of Bezoar. Lib.<;.in Die fa &P-73- An hiftorie. No one thing can bee an An- tidote agaiuft oil poifonSd Concerning Poifons} &c. Lib.zj. 530 hee would take the poifbn on this condition# that if the Antidote which was predicated to have Angular power againft all manner of poifons# which fhould bee prefently given him af- ter the poifon# fhould free him from death# that then hee fhould have his life faved. The Cook anfwered chearfully#that hee was willing to undergo the hazard yea#and greater mat- ters>not onely to fave his life,but to fhun the infamie of the death hee was like to be adjudged to.Therefore hee then had poifon given him by the Apothecarie that then waited#& prefent- ly after the poifon# fom of the Bedezabar brought from Spain , which beeing taken down# within a while after hee began to vomit# and to avoid by ftool with grievous tor- ments# and to crie out that his inward parts were burn't with fire. Wherefore beeing thir- fiie, and defireing water# they gave it him; an hour after# with the good leav of the Jailor, I was admitted to him j I finde him on the ground going like a beaft upon hands and feet, with his tongue thruft forth of his mouth#his eies fierie,vomiting, with llore of cold fweats, and laftly, the blood flowing forth by his ears# nofe# mouth, fundament and yard. I gave him eight ounces of oil to drink# but it did him no good, for it came too late. Wherefore at length hee died with great torment and exclamation, the feventh hour from the time that hee took the poifon beeing fcarcely pafled. I opened his bodie in the prefence of the Jailor and four others, and I found the bottom of his ftomach black and drie , as if it had been burn't with a Cauteries whereby I underftood hee had fublimate given him; whofe force the Spanifh Bedezahar could not reprefs,wherefore the King commanded to burn it. The cauftick force of fubli- male. CHAP. XXXVII. Of Mineral Poifons. Inerals or metals are either fo taken forth of the bowels of the earth, or elf frbm fornaces. Ofthefe manie are poifonous, as arfenick, jublimate, flaftcr, cerufs, litharg, verdegreafe, orpiment, filings oflron,brafs, the load-ftone, lime and the like. Such as have taken fublimate , the tongue and jaws becom ftraightned & rough,as if they drunk the juice of unripe [ervices:you cannot a- mend this afperitie wth lenitive gargarifms but wth labor & time 5 for aflbon as itdefcend's into the ftomach,it fticketh to it.Therforeprefently after it fret's& exulcerate's; it cauffeth unquenchable thirft,and unexplicable torments 5 the tongue is fwoln, the heart faint*s,the urine is fuppreft,the cheft can fcarce perform the office of breathing, the bellie is griped, and fo great pains happen to other extreme parts,that unlefs they bee helped, the pa- tient will die 5 for prcfently will grow upon them, unlefs it bee fpeedily hindered, the de- vouring and fierie furie of the poifon, rending or eating into the guts and ftomach, as if they were feared with an hot iron, and blood floweth out of the ears, note, mouth, urinarie paflage and fundament, and then their cafe is defperate. Thefe and who elf foever ffiall take anie corrodeing poifon, fhall bee cured with the fame remedies, as thofe that have taken Cantbarides. Verdegreaf fb flop's the inftruments of refpiration,that it ftrangle's fuch as have taken it. The cure is performed by the fame remedies as help thofe that have taken Arfenick. Litharge caufleth a heavinefs in the ftomach , fupprefleth urine, make's the bodie (welled and livid. Wee remedie this, by giveing a vomit prefently, then after it pigeons-dung mi- xed in ftrong wine,and fo drunken. Peter Afonenfis wiffieth to give oil of fweet almonds and figs. Alfo it is good to give relaxing and humefting glyfters, and to annoint the bellie with frefh butter, or oil of lillies. The fcales of Brafs drunk by troubling the ftomach, cauf a cafting and fcouring. The re- medie is, if the patient forthwith vomit, if hee enter into a bath made of thedccoftion of Snails, if hee annoint his bellie and breft with butter or oil of lillies, and injeft laxative and hume&ing glyfters. The Load-ftone make's them mad that take it inwardly. The Antidote thereof is the powder of gold and an emerald drunk in ftrong wine, and glyfters of milk and oil offweet almonds. The filings of Lead, and the fcales or refufe of Iron, cauf great torment to fuch as take them down. The which wee help with much milk and frefh butter diffolved therein,or with oil of fweet almonds drawn without fire, with relaxing andhume&ing glyfters ufed until the pain bee perfeftly aflwaged. or Katfi bane,becaufit is of a moft hot and drie nature,induce's thirft and heat over all the bodie, and fo great colliquation of all the humors, that although the patient by medicines fpeedily given efcape death, yet can they not dureing the residue of their lives, ufe their members as they formerly did, beeing deftitute of their ftrength, by rea- fon of the great drinefs and contraftion of the joints The Antidote thereof is oil of Pine- kernels fpeedily given, and that to the quantitie ofhalfapinte; then procure vomit, then give much milk to drink, and glyfters of the fame, and let them fup up fat broths. Unquench't-Lime and Aurtyigntenuim, or Orpiment drunk, gnaw the ftomach and guts with Thefytnptoms of fuch as have | taken(ubHmate,\ Verdegreaf. Litharge. The fcales of Brafs. The Load- ftone. Tileings of Lead and fcale of Iron. Arfhick,Rofc- aker or Racf- banc. Lib.zi. Concerning 'Poifons, 531 with great tormenting pain, and canf unquenchable thirft, analperitie of the jaws and throat, difficultie of breathing, flopping of the urine, and a Hoodie flux. They may bee helped by all fat, hume&ing, and relaxing things which retund the acrimonie, by lenitive potions, and fuch things as lubricate the bellie; as alfo by creams, and the mucilages of fom feeds, as with a decoftion of the feeds of Line, mallows, marlh-mallows and other liich things let down at large in the cure of Cantbaridej. Theft exceeding acrid and ftrong waters wherewith Gold-finiths and Chymifts feparate gold from filver,beeing taken into the bodie,are hard to cure,becauf they are forthwith dif- fused over all the bodie, firft burning the throat and ftomach. Yet it may bee helped by the means prefcribed againft unquenched Lime and Orpiment. Cerufs caufleth hicketting and a cough, make's the tongue drie, and the extreme parts of the bodie numb with cold, the eies heavie to fleep. The patients verie often in themid'ftof the day fee fom vain phantafie or apparition, which indeed is nothing; they make a black and oftimes bloodie water, they die flrangled unlefs they bee helped. The Antidote, in the opinion of'Aetiw and Aviccn, is Scammonie drunk in new wine, or honie and wine, and o- ther diuretick things, and Such things as procure vomit, and purge by ftool. Plafter, becauf it concreteth and becommeth flonie in the ftomach , caufleth ftrangulati- on, by ftraitning and flopping the inftruments that ferv for breathing. The patients receiv cure by the fame remedies, as thofe who have eaten mufhorms, or drunk Cerufs: you muft add Goof-greaf in the glyflers, and annointthe bellie with oil of lillies and butter. 11 n quenched Lime and Or- piment. finis. Ccrufs. Flakier. CHAP. XXXVIII. Of GMckzJtlver. LIick-filver is fb called becauf it refembleth filver in the color, and is in perpetual motion, as if it had a fpirit or liveing foul. There is a great controverfie amongft tutors concerning it. For moll of them affirm it hot, among whom is Galen, Haly- abas, Rbafes, driftotle, Conffantine, Platearius, Nicolas Maffa : they maintain their opinion by an argument drawn from things helping and hurting; befides from this, that it is offfich fubtil parts, that it penetrate's, diffolv's and performeth all the aftions of heat upondenf and hard metals; to wit, it attenuateth, incideth, drieth, caufeth falivati- on by the mouth, purgeth by the ftool, mooveth urine and fweat over all the bodie, neither doth it ftir np the thinner humors onely, but in like fort the grofs, tough and viffious, as thofe which have the Lues Venerea finde byexpeience, ufeing it either in ointments or Plafters. Others affirm it verie cold and moift, forthat put into emplafters and fo applied, ita£ iwageth pain by ftupefaftion, hindering the acrimonie of puftles and cholerick inflamma- tions. But by its humiditie it fbfteneth fcirrhous tumors, diflblveth and diffipateth knots and topbous knobs; befides,it caufleth the breath of fuch as are annointed therewith to ftink, by no other reafon,' then that it putrefie's the obvious humor by its great humiditie. Auicen's experiment confirm's this opinion, who affirmeth, that the blood of an Ape that drunk Quick-filver,was found concrete about the heart,the carcafs beeing opened. Mattbiolus moo- vecFby thefe reafons, write's that Quick-filver killeth men by the exceffive cold and humid qualitie, if taken in a large quantitie, becauf it congeal's the blood and vital fpirits, and at length the verie fubftance of the heart, as may bee underftood by the hiftorie of a certain A- pothecarie, (e t down by Conciliator; who, for to quench his feverifh heat, in ftead of water, drunk off a glafof Quick-filver,(for that came firft to his died within a few hours after, but firft hee evacuated a good quantitie of the Quick+filver by ftool, the refidue was found in his ftomach beeing opened, and that to the weight of one pound; befides, the blood was found concrete about his heart. Others ufe another argument to proov it cold, and that is drawn from the compofition thereof, becauf it confift's of Lead and other cold metals. But this argument is verie weak. For unquench't Lime is made of flints and ftonie matter, which is cold, yet neverthelefs it exceed's in heat- Par ace I fas affirmeth that Quick- filver is hot in the interior fubftance, but cold in the exterior, that is, cold as it com's forth of the Mine. But that coldnefs to bee loft as it is prepared by art, and heat onely to appear and bee left therein, fo that it may lerv in ftead of a tin&ure in the transmutation of metals. And verily it taken for a rule amongft Chymifts, that all metals are outwardly cold, by reafon of the waterie fubftance that is predominant in them,butthat inwardly they are verie hot, which then appeal's when when as the coldnefs together with the moifture is fegrega- ted; calcination they becom cauftick. Moreover manie account quick-filver poilbn, yet experience denie's it. For Marianus Santiuf Roralitanus tell's that hee faw a woman, who for certain cmffes and effefts, would at leveral times drink one pound and a half of quick- filver, which came from her again by ftool without anie harm. Moreover hee affirmeth that hee hath known fundrie who in adefperate Colick (which they commonly call mifererc ntei') have been free'd from imminent death,by drinking three pound of quick-filver with wa- ter The reifon why it is fo called. ini. praftic. c.148. ? ad aiming. Meteor. tnl.6,Diof,C.i3 An hiftorie. Lib i.dtnai. rerum. Trati.de t»/k & offen* Concerning &c. Lib.zi. 532 ter onely. For by the weight it open sand unfold's the twined or bound up gut, and thruft's forth the hard and hopping excrements; hee addeththat others have found this medicine ef- feftual againft the colick, drunk in the quantitie of three ounces. Antonins Mu[a write's, that heeufually giveth Quick-filver to children readie to die of the confirmeth this, averring that manie have drunk Quick-filver without anie harm, wherefore hee mixeth it in his ointments againft ftales and fcabs in little children; whence came that common medicine amongft countrie people to kill lice by annointing the head wi.th Quick-filver mi- xed with butter or axungia, Mattbiolus affirmeth that manie think it the laft and chiefeft re- medie to give to women in travel that cannot bee delivered. I proteft to iatisfie my ftlf con- cerning this matter, I gave to a whelp a pound of Quick-filver, which beeing drunk down, it voided without anie harm by the bellie. Whereby you may underhand that it is wholly without anie venemous qualitic. Verily it is the onely and true Antidote of the Lues Vene- rea, and alfo a verie lit medicine for all malign ulcers, as that which more powerfully im- pugn's their malignitie then anieother medicines that work onely by their firft qualities. Befides, againft that contumacious icab, which is vulgarly called Malum [anfti manis, there is not anie more fpeedie or certain remedie. Moreover Guido write's, that if a plate of lead bee befmeared or rubbed there with, and then forfom fpace laid upon an ulcer, and conve- nientlyfaftned,thatit will foften the callous hardnefs of the lips thereof, and bring it to cicatrization, which thing I my felt have oftimes found true by experience. Certainly before Guido,Galen much commendf d Quick filver againft malign ulcers and can- cers. Neither doth Galen affirm that lead is poifonous(which manie affirm poifonous,becauf it confift s of much Quick-filver) but hee onely faith thus much,that water too long kept in 1 leaden pipes and citterns, by reafon of the droilinefs that it ufeth to gather in lead, cauileth bloodie fluxes, which alfo is familiar to brafs and copper. Otherwife manie could not with- out danger bear in their bodies leaden bullets dureing the fpace of to manie years, as ufual- ly they do. It is reported. It is declared by Lbeodoret Here) in the following hiftories, how powerful Quick-filver is to refolv and aflwage pains and inflammations. Not long fince, (faith hee) a certain Do&or of Phyfick his boy was troubled with parotides, with great fwel- ling, heat, pain and beating; to him by the common confent of the Phylicians ther pre-, lent, I applied an Anodine medicine, whoft force was fo great, that the tumor fubfided at the firft dreffing, and the pain was much aflwaged At the fecond drefling all the fymptoms were more mitigated. At the third dreffing, Iwondring, at the fo great efftft of an Anodine Cataplafm, obferved that there was Quick-filver mixed there- with, and this happened through the negligence of the Apothecarie, who mixed the fimple Anodine medicine preftribed by us, in a mortar wherein but a while before hee had mixed an ointment wherinto Quick-filver entred,whofe rel iqus, and fom part thereof yet remain- ed therein. This which once by chance fucceeded well, I afterwards wittingly and willing- ly uftd to a certain Gentle-wornan troubled with the like difeaf, poflTeffing all the region behinde the ears, much of the throat,and a great part of the cheek, when as nature helped by common remedies, could not evacuate neither by refolution nor fuppuration, the con- tained matter greatly vexing her with pain and pulfation. I to the medicine formerly ufed, by the content of the Phyficians51put fom Quick-filver, to within a few daies, the tumor was digefted andrefolved. But fom will lay, it reiblvtsthe ftrength of the nerves and limbs, as you may fee by fuch as have been annointed therewith for the Lues Venerea, who tremble in all their limbs dureing the reft of their lives. This is true,if any ufeit too intemperately without meafure, and a difeaf that may require fo great a remedie; for thus wee fee the Gil- ders, Plumbers and (uch as dig in mines,by the continual afeent of the vapors of Quick-fil- ver to the brain, the fountain of the nervs , by refolving the fpirits, and diffipating the ra- dicall and fubftantifick moifture, maketh them fubjeft to the trembling of their joints. Ve- rily,ifit bee killed and incorporate with a lift befmeared therewith, which may encompafs the bodie like a girdle, it will drive away lice, fleas and cimices', andan- nointed about the navel, it kill's the worms in the guts. There are two forts of Quick-fil- ver, the one natural, the other artificial. The natural is found running or flowing in the veins and bowels of the earth, and amongft meials,and in the fornaces offilver-mines. The Artificial is made of minium ( as. it is in Vitruvius') and of the powder of Ivone. Alfo it is probable that by art it may beee extrafted out of all metals, but chiefly out of Lead and Cinnabaris. You may eafily diftinguifh theft kindes by the dull and blackiffi color, tough and grofs fubftance, which as itrun's, leav's an impreffion like melted greaG beeing as it were the excrement of lead. The beft Quick-filver of all is pure,clear,thin,and verie white: it may bee cleanfed with the drofs of lead, andbecom's more then beeing boiled in (harp vineger, with pge, roftmarie, time, lavander,. Or elfgive it by a pound at a time to a whelp, to drink down, and beeing caft forth by it, boil it again in vineger, for thus it hath won- drous fac ulties, and fitly given produceth -marvelous effefts; nothing is more, contrarie thereto then fire. For Qpick-iilver, though of its own nature ponderous, flieth upwards by the force of the fire, and forfaketh gold by that means, then which nothing is more friend- lie to it. CHAP. Qaick-filver good for wo- men in travel. For the difeaf called Malum fanfti manis. Lib. de comp, med.fecund toe. Againft malign ulcers. Againft the Parotides. ® Againft lice and flits,&c« The kindes thereof. How to puri- fie it. Lib.21. Concerning 'Poifons &-c. 533 CHAP. XXXIX. Of the Unicorn's horn. Here are verie manieat thisdaie who think themfelvs excellently well armed a- gainft poifon and all contagion, if they bee provided with fbm powder of Um- corns-horn,or fom infufion made there with-Therefore I have thought it good to examine more diligently how much truth this inveterate,and grounded opi- nion hath. The better to perform this task, I will propound three heads,where- to I will direft my whole difcourf The firft fhall bee of the lignification of this word Vni- corn. The fecond, whether there bee anie fiich thing really and truly fo called, or whether it bee not rather imaginarie; like as the Chimera and Tragelapbus <? The third, whether that which is faid to bee the horn of fuch a beaft,hath anie force or facultie againft poifons? For the firft, that is, the name, it is fbm what moreobfcure what the word ( beeing Lie ora) in Frenchmay fignifie, then what the Latin or Greek word is. For the French name is fur-, ther from the word and lignification ; but it is fo clear and manifeft, that this word Vni~ corn# amongft the Latines fignifieth a beaft haveing but one horn, as it is vulgarly known; the fame thing is riieant by the Greek word Monoceros. But now for the fecond,! think that beaft that is vulgarly called and taken for an Unicorn, is rather a thing imaginarie then really in the world. 1 am chiefly induced to believ thus, by thefe conjeftures. Becauf of " thofe who have travelled over the world, there is not one that profefleth that ever hee did r lee that creature. Certainly the Romans conquered the world, and beeing moft diligent3 fearchers after all things which were rare and fo excellent, if anie where in anie corner of the world this beaft could have been found, they would have found it out, and engraven it upon their coins, or arms, as they did Crocodiles, Elephants, Eagles, Panthers, Lions, Ti- gers, and other creatures unknown to thefe countries. For thefe that have written of the Unicorn,either that they have heard, or that hath bren delivered by tradition, or what they in their own mindes and fancies have conceived , you (hall fcarce finde two that agree together, either in the defcription of the bodie, or in the nature and condition of her. P/z- L nie write's, that Unicorns are for the faftiion of their bodies like to an Horf; that is,as Car- dans interprets it, of the bignefs of an Horft with the head of an Hart, the feet of an Ele- phant, the tail of a Bore, with one black horn in the mid'ft of his fore-head, of the length of two cubits. Munfter, who (as Mattbiolus Jeffs) never faw Unicorns befides painted ones,2 doth on the contrarie affirm them not to bee of the bignefs of an Horft but of an Hinde-calf of three months old, not with feet like an Elephant, but cleft like thofe of Goats, with an horn not onely of two, but oftimes of three cubits long, of a Weazel-color, with a neck not verie long, nor verie hairie, but haveing few and ffiort hairs hanging to the one fide of the neck, the legs are lean and fmall, the buttocks high,but verie hairie. Cardane diflenting from both theft, write's, that hee hath an horn in the mid'ft of his fore-head, but that it is onely the length of three fingers. Andrew 'Tbevet mention's an Unicorn feen by a certain Turkifh Sangjach, which was of the bignefs of a Bull of five or fix moneths old, and had c( one horn, but that not in the mid'ft of the fore-head, but upon the top of the crown of the head; hee was legg'd and footed like an Aft, but longer haired, and had ears not much un- like the Ran gif er, a beaft not unknown in the futyotare or northern countries. Thus various therefore is the report concerning the ffiape of this Beaft. Neither is there left difference concerning her nature and conditions. For Plinie write's, that the Unicorn is a moft fierce beaft, and hath a great bellowing voice, and that ffiee cannot therefore bee taken alive. Cardane render s a reafon of this fierceneft, Becauf (faith heC) it inhabit's the de- fers of a region fqualid, and filtbie, abounding with 'toads, and fueb like venemow crea- tures. Others on the contrarie affirm her to bee of a moft milde, amiable, and gentle nature of all others, unlefs one purpoftly offend her, or uft her too harffily; for feeing fhee feed's not by Hooping her head to the ground, becauf fhee is hindered therefrom by the length of her horn, fhee muft neceflarily feed upon the fruit that hangeth upon trees; out of cratches or man's hand fhee ferelefly and harmlefly takes all manner of fruits, herbs, (heaves of corn, apples, pears, oranges and pulf. And herein they have proceeded fo far, that they feign they will love Virgins, entifed by their beantie, fo that ftaied in the contemplation of them, and allured by their entifements, they by this means are often taken by hunters. In this opinion is Lewes who denies that Unicorns are wilde or fierce; for hee faith that hee faw two, which were ftnt out of Ethiopia to the Saltan, who kept them fhut up in Penns 3 in Mecba, a citie of Arabia felix, renowned by the Sepulcher of Mahomet. Tbevet traveling thi- un therjtel's that hee diligently inquired of the inhabitants, what there opinion was of fuch a beaft, yet could hee never hear anie tidings thereof. Whence it is eafie to difeern, that fuch beafts have neither been in our, nor in Vartomands times. The fo great varietie of diflenting opinions, eafily induceth mee to beleiv that this word. is not the proper name of anie beaft in the world, and that it is a thing onely feigned by Painters, and Writers of na- tural things, to delight the readers and beholders.- For as there is but one right waie, but , Z z manie whit the name imports. That there is no fuch beaft as an unicorn. Lib.S.cap. 21. Mungers opi- nion concern- ing unicorns. Tom. i.lib.f. Cap. $. Vartomans opinion of the nature of the unicorn. Concerning Lib .21. 534 manic by-waies and windeings,fb the fpeech of truth is but one,andthat alwaies Ample and like it felf, but that of a lie is diverf, and which may eafily refel it felf, by the repugnan- cie and incongruitie of opinions, if one fhould fay nothing. What therefore (will fom fay) of what creatures are thefe horns, which wee fee wholly different from others, if they bee not of Unicorns? 'Ibevet think's them nothing elf then Elephants bones turned and made in- to the fafhion that wee fee them j for thus in the Eaftern Countries, fom craftie merchants and cunning companions turn, hollow, and beeing fbftened, draw to what length they pleaf the teeth of the fifh Pvohard, which live's in the Red and Ethiopian Sea,and beeing fb hand- led, they fell them for Unicorn's horn. Verily that which is termed Unicorn's horn, bee- ing burnt, fend's forth a fmell like to Ivorie. Now Cardanus affirm's that the teeth and bones of Elephants made foft by art,may bee drawn forth,and brought into what form you pleaf, like as Ox-bones are. For what is there in the world which the thirfting defire of gold will not make men to adulterate and counterfeit ? But it is time that wee com to the third fcope. Grant there bee Unicorns,muft it therefore follow that their horns muft bee of fuch efficacie againft poifons ? If wee judg by events,and the experience of things,! can proteft thus much, that! have often made trial thereof,yet could I never findeanie good fuccefs in the ufe there- of againft poifons,in fuch as I have had in cure. If the matter muft bee tried by witnefles and autorities, a great part of the Phyficians of better note have long fince bid it adieu,and have detrafted from the divine and admirable vertues for which it formerly was fb much defired. And this they have don,mooved thereto by manic juft,but two efpecial reafons. The firft is of Rondeletius, who in this cafe affirm's that horns are endued with no tafte nor fmell; and therefore have no effeft in phyfick,unlefs it bee too drie. Neither (faith hee) am I ignorant that fuch as have predicate their worth, fo to make the greater benefit and gain ► by them,as ofthe ffiaveings or fcrapeings of Unicorn's horn, which they fell for the weight in gold, as th at which is fingular good againft poifons and worms 5 which things, I think, Hart's-horn and Ivorie do no lefs effectually perform 5 which is the caufwhy, for the fame difeaf,and with the like fuccefs,! prefcribe Ivorie to fuch as are poor, and Unicorn's horn to the rich, as that they fo much, defire. This is the opinion of Rondeletius, who, without anie difference, was wont, for Unicorn's horn, to prefcribe not onely Hart's-horn or Ivo- rie, but alfo the bones of Horfes and Dogs, and the ftones of Myrabalanes. Another reafbn is, that whatfoever refift's poifbn is cordial, that is, fit to ftrengthen the heart, which is chiefly affailed by poifons*, but nothing is convenient to ftrengthen the heart, unleft it bee by laudable blood or fpirit, which two are onely familiar to the heart, as beeingthe work- houfofthearterious blood and vital fpirits. For al! things are preferved by their like, as they are deftroied by their contraries 5 for all things that generate, generate things like themfelvs. But Unicorn's horn, as it contain's no fmell, fo neither hath it anie aerie parts, but is wholly earthie and drie 5 neither'can it bee converted into blood by the digeftive fa- cultie, for as it is without juice, fo is it without fleffi. For as it cannot bee turned into Chy- lug) fo neither is it fit to becom that is, juice or blood. Therefore it is joined to the heart by no fimilitude,nor familiaritie. Furthermore, there is not a word in Hippocrates and Galen concerning the Unicorn's horn, who notwithftanding have in fb manie places com- mended Hart's-horn. Therefore D.Cbapelainn the chief Phyfician of Xing Charles the Ninth, often ufed to fay, that heewould verie willingly take away that cuftom of dipping apiece of Unicorn's horn in the King's cup, but that hee knew that opinion to bee fb deeply in- gratfed in the mindes of men, that hee feared, that it would fcarce bee impugned by reafbn. Befides (hee laid) if fuch a fuperftitiops medicine do no good,fo certainly it doth no harm, unleft it bee to their eftates that buy it with gold, or elf by accident, becauf Princes, whil'ft they relie more then is fitting upon the magnified virtues of this horn, negleft to arm them- felvs againft poifons by other more convenient means, fo that death oftimes take's them at unawares. When as upon a time I inquired of Lewes Duret the Kings Phyfician and Pro- feflbr(by reafon of the great opinion that all learned men juftlyhad of his learning and judgment) what hee thought of this horn 5 Hee anfwered, that hee attributed no faculties thereto: for the confirmation whereof hee rendred the fecond reafbn I have formerly given, but more largely and elegantly ; neither feared hee to affirm it aloud, and m plain words to his auditorie of learned men, comming from all parts to hear him. But if at anie time (ore'com by the fault of the times and place) hee prefcrib'd this horn; that hee did it for no other intent, then to help faintings or fwoundings that happen by the abundance of ferous humors, floating in the orifice of the ventricle, which make's men ill difpofed, becauf this mixed with other things endued with the like facultie, hath power to drink up the wate- riffi humiditie by its earthie drieneft. But fom will replie, that neither the Lemnian,nor Ar- menian earth,have anie juice in them,neither anie fmell,nor aerie fpirit.lt is granted;neither truly are fuch things truly and properly called cordial, but onely by event and accident, for that by the excellent aftriftive facultie they have,and flopping the paflages of the veflels,they hinder the poifbn from entring into the heart.This is my opinion of Unicorn's horn, which if anie do not approov of, hee fhall do mee a favor, if for the publick good,hee ffiall freely oppofe his 5 but in the interim take this in good part which I have don. T'he end of the one and twentieth What the ordi- narie Unicorns horns are. The Unicorn's horn is not ef- fectual againft poifon. 'Lib.de ponder. cap. 19. Horns and bones net effe- ctual unlefs tc drie. In what cafes good* Lib.zz. 535 Of the PLAGUE. tu>entk fecond iBook. CHAP. I. Tbe defcription of the Plague. 4e Plague is a cruel and contagious difeaQ which everie-where 3 like a com- mon difeaf, invadeing Man and Beaft, kill's verie manie j being attended, and as it were aflociated with a continual fever, botches, carbuncles,fpots,naule- oufnels, vomitings, and other fuch malign accidents. This difeaf is not fo pernicious or hurtful, by anie elementarie qualitie, as from a certain poifo- nous and venenate malignitie, the force whereof exceed's the condition of common putre- faftion. Yet I will not denie, but that it is more hurtful in certain bodies, times and regi- ons, as alfo manie other dileafes, of which Hipocrates make s mention. But from hence wee can onely collet, that the force and malignitie of the plague may bee encrealed, or dimini- flied, according to the condition of the elementarie qualities concurring with it j but not the whole nature and eflence thereof to depend thereon. This peftiferous poifon principally alTail s the vital fpirit, the ftore-houf and original whereof is the heart, fothat it the vital fpirit proov itronger, it drive's it far from the heart; but if weaker, it beeing overcom and weakned by the hoftile aflault, flie's back into the fortrefs of the heart, by the like contagion infefting the heart, and fo the whole bodie, beeing fpread into it by the paflages of the arteries. Hence it is, peftilent fevers are fomtime fimple and folitarie; other-whiles aflociated with a troop of other afle&s, as botches, carbuncles, blanes and fpots, of one or more colors. It is probable fuch affefts have their original from the expulfive facultie, whether ftrong or weak, provoked by the malignitie of the rageing matter: yet afluredly divers lymptoms and changes arile, according to the conftitution of the bodie of the patient, and condition of the humor in which the virulencie of the plague chiefly inherent, and laftly, in the na- ture of the efficient cauf s I thought good, by this defcription, to exprefs the.nature of the plague, at this my firft entrance into this matter; for wee can Icarce comprehend it in a proper definition. For al- though the force thereof bee definite, and certain in nature, yet it is not altogether cer- tain and manifeft in mens mindes,becauf it never happen s after one fort: fothat in fo great varietie, it is verie difficult to let down anie thing general and certain. What the Plague i* How it comfc to kill. The original buboes, car* hundes,&c. in the plague. CHAP. IIt T is a confirmed, conttant,and received opinion in all Ages amongftChriftians, that the plague and other difeaies, which violently aflail the life of man , are often lent by the juft anger of God punifliing our offences. The Prophet Amos hath long iince taught it, faying. Shall there bee affliction ? frail there bee evil in a Citie, and the Lord hath not don it ? On which truly wee ought daily to meditate, and that for two caufles : The firft is, that wee alwafes bear this in minde, that wee enjoy health, livejtnove, and have our beeings from God, and that it defcend's from that Father of Light; and for this cauf wee are al- waies bound to give him great and exceeding thanks. The other is, that knowing the ca- lamities, by fending whereof the Divine anger proceed's to revenge, wee may at length re- pent, and leaving the way of wickednefs, walk in the paths of godlinefs. For thus wee (hall learn to fee in God, our felvs, the Heaven and Earth, the true knowfedg of the caufles of the plague, and by a certain Divine Philofophie teach, God to bee the beginning and cauf of the fecond caufles, which cannot well without the firft caufgo about nor attempt, much lefs perform anie thing. For from hence they borrow their force, order, and conftancie of order 5 Co that they ferv as inftruments for God, who rule's and govern's us, and the whole world, to perform all his works, by that conftant courfof order, which hee hath appoint- ed unchangeable from the beginning. Wherefore all the cauf of a plague is not to bee at- tributed to thefe near and inferior caufles or beginnings, as the Epicures and Lucianifts Z J 2 commonly Of the Divine cauffes of an extraordinarie Plague* Amos Aits 17, Thefecond caufles have their power from God as the fir ft cau£ 536 Concerning the Lib.JX; commonly do, who attributeing too much,yea all things to Nature, have left nothing to God's providence. On the contrarie, wee ought to think,and beleev in all our things,That even as God by his omnipotent Power hath created all things of nothing, fo hee by his e- ternal Wifdom preftrv's and go vein's the lame, lead's and incline's them as hee pleaftth, yea verily at his pleafiire changeth their order, and the whole courf of nature. This cauf of an extraordinarie Plague, as wee confefs and acknowledg, fo here wee will not proftcute it anie further, but think fit to leav it to Divines, becauf it exceed's the bounds of Nature, in which I will now contain my felf. Wherefore let us com to the na- tural caufles of the Plague. CHAP. III. Of the Natural caufles of the Plague, and chiefly of the Seminarie of the Plague by the corruption of the Air. The general caufles of the Pligut* He general and natural caufles of the Plague are abfolutely two, that is, the in- fection of corrupt air, and a preparation and fitneft of corrupt humors to take that infedion; for it is noted before out of the doftrine of Galen, that our hu- mors may bee corrupted, and degenerate into fuch an alienation which may e- qual the malignitie of poifon. The air is corrupted, when the four (eafons of the year have not their feafonablenefs,or degenerate from themftlvs, either by alteration, or by alienation : as if the conftitution of the whole year bee moift and rainie, by reafon of grofs and black clouds; if the Winter bee gentle and warm, without anie Northerly winde, which is cold and drie,and by that means contrarie to putrefaction; if the Spring, which (hould bee temperate , (hall bee faultie in anie excels of diftemper 5 if the Autumn (hall bee ominous by fires in the air, with ftars (hooting, and as it were falling down, or terrible comets, never ften without fom difafter; if the Summer bee hot, cloudie and moift, and without windes, and the clouds flie from the South into the North. Thefe and fuch like unnatural conftitutions of theftafonsof the year, were never better, or more excellently handled by anie, then by Hippocrates in his Books Epidemion. Therefore the air from hence draw's the feeds of corruption and the peftilence, which at length, the like excefs of qualities beeing brought in, it (end's into the humors of our bodies, chiefly fuch as are thin and ferous. Although the peftilence doth not alwaies neceflarily arife from hence, but fom-whiles fom other kinds of cruel and in- fectious difeaf. But neither is the air onely corrupted by theft (uperior caufles, butalfo by putrid and filthie (linking vapors fpread abroad through the air encompafling us, from the bodies and carkafles of things not buried, gapeings and hollowneflas of the earth, or finks and fuch like places beeing opened: for the fta often overflowing the land in fom places , and leav- ing in the mud or hollownefles of the earth (caufled by earth-quakes) the huge bodies of monftrous fifties, which it hide's in its waters, hath given both the occafion and matter of a plague. For thus in our time, a Whale caft upon the Tufcan (hore, preftntly caufled a plague over all that countrie. But as fifties infeft and breed a plague in the air, fo the air beeing corrupted often, cauft ftth a peftilence in the fta among fifties, elpecially when they either fwim on the top of the water, or are infeCted by the peftilent vapors of the earth lying under them, and rifting into the air through the bodie of the water, the later whereof Ariftotle faith, hapnethbut feldom. But it often chanceth, that the plague rageing in anie countrie, manie fifties are caft upon the coaft , and may bee ften lying on great heaps. But (ulphureous vapors, or fuch as partake of anie other malign qualitie, fent forth from places under the ground, by gapeings and gulfs opened by earth-quakes, not onely corrupt the air, but al(b infeCt and taint the feeds, plants, and all the fruits which wee eat, and fo transfer the peftilent cor- ruption into us, and thofe beafts on which wee feed, together with our nouriftiment. The truth whereof Empedocles made manifeft, who by (hutting up a great gulf of the earth, ope- ned in a vallie between two mountains,free'd ail Sicilie from a plague caufled from thence. If windes rifeing fuddenlyfhall drive fuch filthie exhalations from thoft regions in which they were peftiferous, into other places,they alfo will carrie the plague with them thither. If it bee thus,fom will fay, it (hould feem that wherefoever (linking and putrid exha- lations arift, as about JI anding-pools, finksand (hambles, there (hould the Plague reign, and ftraight fiiffbcate with its noifom poifon the people which work in fiich places: but experience finde's this falfl Wee do anfwer, that the putrefaCtion of the Plague is far different, and of another kinde t then this common, as that which partake's of a certain ftcret malignitie, and wholly con- trarie to our lives, and of which wee cannot eafily give a plain and manifeft reafon. Yet e that vulgar putrefaftion wherefoever it bee, doth eafily and quickly entertain and welcom the peftiferous contagion, as often as, and whenfoever it com's, as joined to it by a certain . familiaritie, Lib.6.de toe. affettis. How the fea- fons of the year may bee laid to want their feafona- blenefs. Haw the air may bee cor- rupted. Lib.&hifl.anim. Peftiferous putrefaftioais fir different from ordinarie putrefa&ion. Lib.22. Concerning the Tlague. 537 familiaritie, and at length, it fclfdegenerateing into a peftiferous malignitie , certainly no otherwift then thofe difeafes which arift in the plague-time, the putrid difeafts in our bo- dies, which at the firft wanted virulencie and contagion, as Ulcers, putrid Fevers,and other fuchdiftafes, raifed by the peculiar default of the humors, eafily degenerate into pefti- lence, prefently receiving the tainture of the plague, to which they had before a cer-, tain preparation. Wherefore in time of the plague, I would advife all men to (hun fuch exceeding (linking places, as they would the plague it fclf: that there may bee no prepara- tion in our bodies, or humors to catch that infe&ion (without which, as Galen teacheth, the Agent hath no power over the Subjeft, for otherwife in a plague-time, the ficknefs would equally feiz upon all) Co that the impreflion of the peftiferous qualitie may prefent-J ly follow that difpofition. But when wee (ay the air is peftilent,wee do not underftand that fincere,elementarie,and fimple as it is of its own nature, for fuch is not fubje&to putrefa&ion 5 but that which is polluted with ill vapors rifting from the earth, ftanding-waters, vaults, or fta, and degene- rate's, and is changed from its native puritie and fimplicitie- But certainly amongft all the conftitutions of the air, fit to receiv a peftilent corruption, there is none more fit then an hot, moift and bill ftafon 5 for the excels of fuch qualities eafily cauffeth putrefaftion. Wherefore the South winde reigning, which is hot and moift, and principally in places near the fea, there flefti cannot long bee kept, but it preftntly is tainted and corrupted. , Further, weemuft know, that the peftilent malignitie which riftth from the carkafles or bodies of men, is more eafily communicated to men 1 that which riftth from oxen,to oxen; and that which com's from (heep, to (beep5 by a certain (ympathie and familiaritie of Na- ture : no otherwift then the Plague which (hall ftiz upon fom one in a Familie, doth pre- ftntly fpread more quickly amongft the reft of that Familie, by reafon of the fimilitude of temper, then amongft others of another Familie, difagreeing in their whole temper. There- fore the air thus altered and eftranged from its goodnefs of nature, neceflarily drawn in by infpiration and tranfpiration, bring's in the fteds of the Plague, and fo conftquently the Plague it felf, into bodies prepared and made readie to receiv it. Inapeftilsnt conftitution of rhe air, all dtleafcs becom peftilent. Lib,i.de differ, feb. How the air may bee fa id to putrcfie* A Southerly conftitution of the air is the fu?l of the Plague. CHAP. IV. Aveing (hewed the caufles from which the air doth putrefie, becom corrupt, and is made partaker of a peftilent and poifonous conftitution; wee muft now declare what things may cauf the humors to putrefie, and make them fo apt to receiv and retain the peftilent air and venenate qualitie. Humors putrefie either from fulnefs, which breed's obftruftion; or by diftemperate ex- cels ; or iaftly, by admixture of corrupt matter and evil juice,which ill feeding doth (pecial- ly cauf to abound in the bodie: For the Plague often follow's the drinking of dead and muftie wines, muddie and (landing water , which receiv the finks and filth of a Citie 5 and fruits and pulf eaten without difcretion in fcarcitie of other corn, as Peaf, Beans, Lentils, Vetches, Acorns, the roots of Fern, and Grafs made into bread. For (uch meats obftruCt, heap up ill humors in the bodie, and weaken the ftrength of the faculties,from whence pro- ceed s a putrefaction of humors, and in that putrefaction a preparation and difpofition to receiv, conceiv,and bring forth the feeds of the Plague: which the filthie fcabs,malign (ores, rebellious ulcers, and putrid fevers, beeing all fore-runners of greater putrefaction and cor- ruption, do teftifie. Vehement paflions of the minde, as anger, forrow, grief, vexation and fear, help forward this corruption of humors, all which hinder nature's diligence and care of concoCtion: For as in the Dog-Daies, the lees of wine fubfideing to the bottom, are by the ftrength and efficacie of heat drawn up to the top, and mixed with the whole (ubftance of the wine, as it were by a certain ebullition, or working; fo melancholick humors, bee- ing the dregs or lees of the blood, ftirred up by the paflions of the minde, defile or taint all the blood with their feculent impuritie. Wee found that fom years agon by experience, at the battel of S.Dewwr.For all wounds, by what weapon foever they were made, degenerated into great and filthie putrefactions and corruptions, with fevers of the like nature, and were commonly determined by death, what medicines, and how diligently foever they were applied; which caufled manie to have a falf lufpicion that the weapons on both (ides were poifoned. But there were manifeft figns of corruption and putrefaction in the blood let the fame day that anie were hurt, and in the principal parts dif-ieCted afterwards, that it was from no other an evil con- ftitution of the air, and the mindes of the Souldiers perverted by hate, anger and fear. Of the preparation of humors to putrefaction, and admiflion of peftiferous imprefjions. Three caufles of the putre- faction of hu- mors* Paffions of the minde help forward the putrefacti- on of the hu- mors. Zz 3 CHAP, 538 Qmceming the 'Plague Lib.zz. CHAP. V. Mil Jgnt in the &r aid&irth fngmfiicate a Plague. Ee may know a Plague to bee at hand and hang over us, if at anie time the air and feafons of the year fwarv from their natural conftitution, after thole waies I have mentioned before ; if frequent and long continuing Meteors,or fulphu- KOtK Thunders infeft the air; if fruits, feeds and pulf bee worm-eaten : If Binis foriaKe theft nefts, eggs or young, without anie manifeft cauf; if wee perceiv women commonly to abort, by continual breathing in; the vaporous air, beeing corrupted and hurtful both co the Embryon and original of life,and by which it hieing fuffocated,is pre- feftdy call forth and expelled. Yet notwithftanding, thole airie impreflions do not folely corrupt the air, but there may bee allb others raifedby the Sun from the fikhie exhalations and poifonous vapors of the earth and waters, or of dead carkafles, which by their unna- tural mixture, ealily corrupt the air, fubjeQ to alteration, as which is thin and moift, from whence divers Epidermal difcafes, and Inch as everic-whcre feiz upon the common fort, ac- cording to the feveral kindes of corruptions, luchas that famous Catarrh with difficultic of breathing, which in the year 1510 went almoft over all the world, and raged over al! the Cities and Towns of France, with great heavineft of the head (whereupon the French named it Cstt-idfa) with a ftraightnels of the heart and lungs, and a cough , a continual fe- ver, and Ibmtimes raveing. This, although it feized upon manic more then it killed, yet becauf they commonly died who were either let blood, or purged, it (hewed it ftlf peftilent by that violent and peculiar and unheard of kinds of malignitie. Suds allo was the Englilh Sweating-feverwhich unulual, with a great deal of terror invaded all the lower parts of German ie, and the Low-Couutries, from the year is; 25" unto the year 1 $50, and that chiefly in Autumn. Asfoonas this peftilent difeafentred into anieCitie, faddenly two or three hundred felt lick on one day, then it departed thence to fam other place.The people ftrucken with it latiguilhing, fell down in a fwound, and lying in their beds, fweac continually, haveirig a fever, a frequent, quick, and unequal pulf; neither did they kav fweating, till the difeaf left them, which was in one or two dates at the malt: yet freed of it, they languilhed long after, they all had a beating, or palpitation of the heart, which held fom two or three years, and others all their life after. Ac the fail beginning it killed manic, before the force of it was known: but afterwards verie few, when it was found out by pr a&ice and ufe , that thole who furthered and conti- nued their fweats,and ftretigdtened themfelvs with cordials, were all reftored. But at cer- tain times many other popular difeafes fpmng up, as putrid fevers, fluxes,bloodie-fluxes,ca- tarths, coughs, phrenzies, (quittances, plurilies, inflammations of the lungs, inflammations of the ties, apoplexies, lithargies, final! pocks and meazles, (cabs, carbuncles, and malign s puftles.. Wherefore the Plague is not alwaies, nor everie-where of one and the fame kin.de, : but of divers» which is the cauf that divers names are i mpoftd upon it,according to the va- rictie of the dfe&s it being's, and lymptoma which aocompanie it, and kindes of putrefacti- on, and hidden qualities of the air. They afami, when the Plague is at hand, that Mufhroms grow in greater abundance out of the earth, and upon the farface thereof manic kindes of poilbnous infetta creep in great numbers, as Spiders , Gaterpillers, Butter-flies, Graft-hoppers, Beetles, Hornets, Wafps, Flies., Scorpions, Snarls, Locufts, Toads, Worms, and fcch things as are the pff-fpring of putrefefrfou. And alfo wilde benfts tired with the vaporous malignitie of their dens and caves in die earth, foefake them; and Moles, Toads, Vipers, Snakes, Lizards, Alps and Crocodiles are feen to flieaway, and temoov their habitations in great troops. For theft, as alfo fom other creatures, have a manifcft power by the gift of God, and the inftinfr of N'ature, to prefege changes of weather, as rains, fhowrs, and fair weather; and fea- fons of the year, as the Spring, Summer, Autumn, Winter, which they teftifie by their ling- ing, chirping, crying, flying, playing, and beating with their wings, and fitch like ligns: fo alfo they have a perception of a Plague at band. And moreover , the carkafles of fom of them which took left heed of themftlvs, fotfocatcd by the pefliferous poifon of the ill air contained in the earth, may bee everie-where found , not onely in theft dens , but aifo in the plain fields. e Theft vapors corrupted: not by a fimple putrcfaftion , but an occult malignitie, are drawn out of the bo wels of the earth into the air, by the force of the Sun and Stars , and i thence condenied into clouds, which by their falling upon corn, trees and graft, infed and corrupt all things which the earth produceth, and allb kill's thofe creatures which feed them; yet brute beads fooner then men, as which ftoop and hold their heads down towards the ground (the maintainer and breeder of this poifon) that they may get their food from chenaThereforc at foch times, skilful husbandmen, taught by long experience, never drive • theft Why abwtf- ous are fre- quent iu a pc- ftilentfcafon. A C with difftcultie of breathing kil- ling mamc. The EnglKht nu/r. The Plagdeis notthcdefini'c name of one dtfeaC What Gptisla the earth fore- tell a Plague. How peftilene vipers may kill plants and trees. Lib.iz. Concerning the Tlagtte. 539 their Cattel or Sheep to pafture, before that the Sun, by the force of his beams, hath wa- > fled and diflipated into air this peftiferous dew hanging and abideing upon boughs and leavs of trees, herbs, corn and fruits. But on the contrarie, that peftilencc which proceeds from fom malign qualitie froma- bove, by reafon of evil and certain conjunction of the Stars, is more hurtful to men and birds, as thofe who are nearer to heaven. chap. vi. A veing declared the figns fore-fliewing a Peftilencemow we muft fhew by what means wee may fhun the imminent danger thereof and defend our felvs from it. No prevention feemed more certain to the Antiens, then moft fpeedily to remoov into places fardiftant from the infefted place, and to bee moft flow in their return thither again. But thofe, who by reafon of their bufinefc or em- ploiments, cannot change their habitation, muft principally have a care of two things: The firft is, that they ftrengthen their bodies, and the principal parts thereof againft the dailie imminent invafions of the poifon,orthe peftiferous and venenate Air. The other, that they abate the force of it, that it may not imprint its virulencie in the bodie; which may bee don by correcting the excels of the qualitie inclineing towards it, by the op- position of its contrarie. For if it bee hotter then is meet, it muft bee tempered with cool- ing things ; if too cold, with heating things: yet this will not fuffice. For wee ought be- sides, to amend and purge the corruptions of the venenate malignitie diffufed through it, by Fuels and perfumes refilling the poifon thereof. The bodie will bee ftrengthened and more powerfully refill the infe&ed Air, if it want excrementitious humors, which may bee pro- cured by purgeingand bleeding and for the reft a convenient diet appointed, as fhunning much varietie of meats,and hot and moift things,& all fuch which are eafily corrupted in the ftomach, and caufobftruftions, fiich as thole things which bee made by Comfit-makers ; wee muft Ihun fetietie and drunkennefs,for both of them weaken the powers, which are pre- ferved by the moderate ufe of meats of good juice* Let moderate excercifes in a cleer Air,and free from anie venemous tainture,precede your meals* Let the bellite have due evacuation either by Nature or Art. Let the heart, the feat of life, and the reft of the bowels bee ftrengthened with Cordials and Antidotes applied and taken (as wee (hall hereafter lhewjin the form of epichemes,oint- ments, emplafters, waters, pits, powders, tablets, opiates, fumigations, and fuch like. Make choice of a pure air, and free from all pollution, and far remote from ftinking pla- ces, for fiich is moft fit to prelerv life, to recreate and repair the Spirits; whereas on the con- trarie, a cloudie or miftie Air, and luch as is infeftedwith grofsand ftinking vapors, dull's the fpirits, dejeft's the appetite, make's the bodie feint and ill colored, opprefleth the heart, and is the breeder of manie difeafes. The Northern winde is healthful, becauf it is cold and drie. But on the contrarie, the Southern winde, becauf it is hot and moift, weaken's the bodie by floth or dulnefe, open's the pores, and make's them pervious to the peftiferous malignitie. The Weftern winde is alfo unwhollbm, becauf it com's near to the nature of the Southern : wherefore the win- dows muft bee fhut up on that fide of the houf on which they blow,but opened on the N orth and Eaft-iide, unlels it happen the Plague coni from thence. . Kindle a clear fire in all the lodging Chambers of the houf, and perfume the whole houf with Aromatick things, as Frankincenf, Myrrh,Benzoin, Ladanum, Styrax, Rofes, Mirtle- leavs, Lavander, Rolemarie, Sage, Savorie, wilde Tzwe. Marjarum, Broom, Pine-apples,1 peeces of Firr, Juniper-berries, Cloves, Perfume's: and let your cloaths bee aired in the lame. There bee fbm, who think it a great prefervative againft the peftilent Air, to keep a Goat in their houfes, becauf the capacitie of the houfes, filled with the ftrong fent which the Goat (end's forth, prohibit's the entrance of the venemous Air: which feme reafon hath place al- fo in fweet fmels j and befides it argue's, that fiicfi as are hungrieare apter to take the Plague then thofe who have eaten moderately: for the bodie is not onely ftrengthened with meat, but all the paflages thereof are filled by the vapors diffufed from thence, by which otherwife the infe&ed Air would finde a more eafie entrance to the heart. Yet the common fort of people yeeld another reafon for the Goat, which is, that one ill fent drive's away another, as one wedg drive's forth another 5 which calleth to my minde that which is recorded by Alexander that there was a Scythian Phyfician, which caufied a Plague, arifeing from the infeftion of the Air, to ceaf, by caufling all the dogs,cats, and fiich like beafts which were in theCittie, to bee killed, andcaft their carcaflesup and1 down the ftreets, that fo by the comming of this new putrid vapor as a ftranger, the former peftiferous -Sy ufang, what cautions in Air and diety one may prevent tffe Plague. Change of pla- ces the fureft prevention of the Plague, Two things of chief account for prevention. Diet for pre- vention of the Plague. ties ofa clou- die or-foggie Air. Why the South windeis pefti- ient. The efficacie of fire againft the 1 bgue. Moderate re* pletion good for prevention, A ftrange Art co drive-way the Plague. 540 Concerning the blague. Lib.zx. peftiferous infection,as an old gueft,was put out of its lodging,and fo the Plague ceafed. For poifons have not onely an antipathic with their Antidotes,but alfo with fom other poifons. Whil'ft the Plague is hot, it is not good to ftir out of door before the rifeing of the Sun: wherefore wee muft have patience,until hee have cleanfed the Air with the comfortable light of his Beams, and difperfed all the foggie and no&urnal pollutions, which commonly hang in the Air in dirtie, and efpecially in low places and Vallies. All publick and great meetings and aflemblies muft bee ihunned. Tfthe Plague begin in Summer, and feem principally to rage, beeing helped forward by the Summers-heat, it is beft to perform a journie begun, or undertaken for neceflarie affairs, rather upon the night-time, then on the daiejbecaufthe infeftion take's force, ftrength and fubtiltieoffubftance,by which it may more eafily permeate and enter in by the heat of the Sun j but by night men's bodies are more ftrong,and all things are more grofs and denf. But you muft obferv a clean contrarie courf,if the malignitie feem to borrow ftrength and cele- ritie from coldnefs. But you muft alwaies efchew the beams of the Moon, but efpecially at the Full: for then our bodies are more languid and weak,and fuller of excrementitious hu- mors. Even as trees which for that cauf muft bee cut down in their feafon of the Moon,that is,in the decreaf thereof. After a little gentle walking in your Chamber, you muft prefently ufe fom means that the principal parts may bee ftrengthned by fufcitateing the heat and fpirits , and that the paf- fages to them may bee filled, that fo the waiemay bee fhut up from the infeftion comming from without. Such as by the ufe of garlick have not their heads troubled,nor their inward parts inflamed,as Countrie-People and foch as are ufed to it; to fuch there can bee no more certain preforvative and antidote againft the peftiferous fogs or mifts, and the no&urnal ob- fcurititie, then to take it in the morning with a draught of good wine; for it beeing abun- dantly diffufed prefently overall thebodie, fill's up the paffages thereof, and ftrengthneth it in a moment. > For water 5 if the Plague proceed from the tainture of the Air, wee muft wholly fhun and e avoid Rain-water,becauf it cannot but bee infe&ed by the contagion of the Air. Wherefore ' the water of Springs and of the deepeft Wells are thought beft. But if the malignitie proceed from the vapors contained in the earth,you muft make choice of Rain-water. Yet it is more fafe to digeft everie fort of water by boiling it, and to prefer that water before other, which is pure and clear to the fight, and without either tafte or fmell,and which befides fuddenly take's the extremeft mutation of heat and cold. The antipathic ofpoifonswith poifons. Whether in rhe Plague-time onemuft travel by night or by daie. Why the Moon is to bee (hun- ned. Gat lick good againft the Plague. What water to be made choice ofintheplague. time. CHAP. VII. Of the Cordial Remedies by which wee may preferv our bodies in fear of the Blague, and cure thofe already inf etied therewith. Uch as cannot eat without much labor, excercife and hunger, and who are no lovers of Break-fafts,haveing evacuated their excrements,before they go from home muft ftrengthen the heart with fom Antidote againft the virulencie of the infeftion. Amongft which Aqua Theriacalis,or Treacle-water, two ounces, with the like quantitie of is much commended beeing drunk, and rub- bing the noftrils,mouth and ears with the fame} for the Treacle-water ftreng- then's the heart, expell's poifon, and is not onely good for a prefervative, but alfb to cure the difeaf it felf: For by fweat it drive's forth the poifon contained within. It (hould bee made in June, at which time all iimple medicines, by the vital heat of the Sun, are in their greateft efficacie. The compofition whereof is thus: Take the roots of Gentian,*Czperw,Tormentil,Di ptam, or F raxeZta,Elecampane,of each one ouncejthe Itavs of Mullet,Canfw Benedict us, Divel's-bit, Burnet, Scabious, Sheeps-forrel, of each half a handful ; of the tops of Rue a little quanti- tie; Mirtle-berries one ounce ;of red Rofe-leavs,the flowers of Buglofs,Borage and S.John's- wurt, of each one ounce: let them bee all cleanfed, dried and macerated for the fpace of twentie-four hours in one pound of white wine or Malmfie, and of Rofe-water or Sorrel- water 5 then let them bee put in a veflel of glafs, and add thereto of Treacle and Mithridate, of each four ounces: then dift ill them in Balneo Mari*, and let the diftilled water bee received in a glafs-Vial, and let there bee added thereto of. Saffron two drams, of Bole-Armenick, Terra figiHata, yellow Sanders, fhaveings of Ivorie and Hartf-horn, of each half an ounce} then let the glafs bee well flopped, and let in the Sun for the {pace of eight or ten daies. Let the prefcribed quantitie bee taken everie morning fo oft as fhall bee needful. It may bee given without hurt to fucking children,& to women great with childe.Butthat it may be the more pleafant,it muft be drain'd through an Hippocras-bag,adding thereto fomfuger & cinnamon. Som think themfelvs fufficiently defended with a root of Elecampane, Zedoarie, or An- gelica, rowled in their mouth, or chawed between their teeth. Others drink everie morning one dram of the root of Gentian bruifed, beeing macerated for Aqm tberiactlu go@d againft the Plague both inwardly taken and out- wardly applied. The compoG- tion thereof Lib.zz. Concerning the Tlague. 541 for the Ipace of one night in two ounces of white wine. Others take Worm-wood-wine. Others fup up in a rere egg one dram of terra Sigil/ata, or of Hartf-hom, with a little Saffron, and drink two ounces of wine after it. There bee fom that do infufe Bole-Armenick, the roots of Gentian, Tormentil, Diptam, the berries of Juniper, Cloves, Mace, Cinnamon, Saffron, and fitch like, in aquavit* and ftrong white wine, and fo diftill it in Balneo Mari*. This Cordial water that followeth is of great vertue. T ake of the roots of the long and round Ariftalochia, Tormentil, Diptam, of each threedrams, of Zedoarietwo drams, Lignum , Aloes, yellow Sanders, of each one dram, of theleavs of Scordium, St. John's-wurt, Sorrel, Rue, Sage, ofeach half an ounce, ofBrfj and Juniper-berries, of each three drams, Citron- ieeds one dram, Cloves, Mace, Nutmegs, of each two drams, of Maftich, Olibanum»Bole-A.r- menick, terra SigiUata, fhaveings of Hartfihorn and Ivorie, of each one ounce, of Saffron one fcraple, of the C onfervs of Rofes,Buglols-flowers, water-lillies and old T reacle, of each one ounce, ofCamphire half a dram, of aqua vit* half a pinte,pf white wine two pintes and a half, make thereof a diftillation in Balneo Marine, The ufe of this diftilled water is even as Treacle water is- TheEIeftuarie following is verie effe&ual. Takeofthe beftTreaclfe three ounces, Juni- per-berries and Cardaus-fieds of each one dram and a half,of Bole-Armenick prepared half, an ounce, of the power of the Ele&uarie de Geminis and Viomargariton frigidum, the powder of Hartf-horn, and red Coral, of each one dram : mix them with the lyrup of the rindes and juice of Pome-Citrons as much as fhallfufhce, and make thereof a liquid Ele&uariein the form of an Opiate, let them take everie morning the quantitie of a Filberd, drinking af- ter it two drams of the water of Scabious, Cherries, Carduus Beneditfusf and of fom fuch like cordiall thing, or of ftrong wine. The following Opiate is allb verie profitable, which allb may bee made into Tablets. J Takeofthe roots of Angelica, Gentian, Zedoarie, Elecampane, of eath two drams of Ci- tron and Sorrel-leeds of each half a dram; of the dried rindes of Citrons, Cinnamon, Bay and Juniper-berrie,and Saffrom,ofeach one Icruple; of conferv of Rofes and Buglols, of each one ounce ; and fine hard Suger as much as is fufficient: make thereof Tablets of the weight of half a dram, let him take one'of them two hours before meat: or make thereof an Opiate with equal parts of confervs ofBuglofs and Mel Anthofatum,and lb adding all the reft drieand in powder. Or takeofthe roots of Valerian, Tormentil, Diptam, of the leavs of Rue, of each half an ounces ofSaffron, Mace, Nutmegs, of each halfadram; of Bole- Armenick pre» pared half an ounce; of conferv of Rofes and lyrup of Lemmons as much as will bee fuffidient to make thereof an Opiate liquid enough. Or take of the roots of both the Ariftolochia's,of ' Gentian, Tormentil, Diptam, of each one dram and an half; of Ginger three drams; of the leavs of Rue, Sage, Mints and Pennie-royal,ofeach two drams; of Bay and Juniper-berries, Citron-feeds, of each four fcruples; of Mace, Nutmegs, Cloves, Cinnamon, of each two drams of Lignum aloes, and yellow Sanders, of each one dram; of Male-Frankincenf, f. Oli- banum, Maftich, fhaveings of HartFhorn and Ivorie, of each two Icruple; ofSaffron halfa dram; of Bole-Armenick, terra Sigillatat red Coral, Pearl, of each one dram; of confervs of Roles, Buglofs-flowers, water-lillies and old Treacle , of each one ounce ; of loafiluger one pound and a quarter: a little before the end of the makeing it up, add two drams of con- fefiio Alkgrmes, and of Camphire diffolvedin Rofe-water one fcruple; make thereof an Opi- ate according to Art,the dole thereof is from half adramto half a Icruple. Treacle and Mithridate faithfully compounded, excell all Cordial medicines, adding for everie half ounce of them, one ounce and an half of confervs of Roles, or of Buglofs, or of Violets, and three drams of Bole-Armenick prepared: Of thefe beeing mix't with ftirring, and incorporated together,make a conferv: It muft bee taken in the morning the quantitie of a Filberd. You muft chufe that Treacle that is not lefs then four years old, nor above twelv: that which is fomwhat new, is judged to bee moft meet for cholerick perlbns;but that which is old, for flegmatick and old men. For at the beginning the ftrength of the Ogium that en- ter's into the composition thereof, remain's in its full virtue for a year : but afterwards the more years old it waxeth,the ftrength thereof is more abolilhed,(b that at length the whole compofition becommeth verie hot. The confeftion of Alkermes is verie effectual both for a prelervative againft this dileafiand alfo for the cure. The quantitie ofa Filberd of Rubarb, with one Clove chawed or rowled in the mouth, is fuppofed to repell the comming of the peftilent Air: as alfo this compofition following. Take of prelerved Citron and Orange pits, of each one dram; of conferv of Rofes, and of the roots ofBuglofs, of each three drams ; of Citron-leeeds half an ounce; of AnniEleeds 1 and Fennel-feeds,of each one dram;of Angelica-Roots four fcruples jfuger of Rofes as much as fufficeth: Make a Confe&ion, and cover it with leavs of Gold, and take a little of it up- j on a Ipoon before you go abroad everie morning. Or take of Pine-apple-kernels, and Fiftick-nuts, infufcdforthe fpaceof fix hours in the water A Cordial water. A Cotdial Bic* duarie. An Opiate. Another. Another* A Gonfeftion to bee taken in the morning again* the pe- ftilent Air. A March'pane Concerning the Blague. Lib.zz. 542 water of Scabious and Roles, of each two ounces ; of Almonds blanched in the tore-named waters half a pound: of preferred Citron and Orange pills, of each one dram and an half: of Angelica-roots four fcruples: make them according to art,unto the form of March-pane, or of anie other fiich like confe&ion, and hold a little piece thereof often in your mouth. The Tablets following are moft effectual in fiich a cafe. 1 ake of the roots or Diptam, Tormentil, Valerian, Elecampane, Eringoes, of each half a dram; 'Ter- ra Sigillata, of each one fcruple; of Camphir, Cinnamon, Sorrel-feeds, and Zedoarie, of each one fcruple; of the ft ecies of the Eleftuarie Viamargariton frigidum, two fcruples; of con- (erv ofRofes, Buglofs, preferved-Citron-pills,Mithridate, Treacle, of each one dram;of fine Suger diffolved in Scabious and as much as fhall fuffice : Make thereof Tablets, of the weight of a dram, or half a dram: take them in the morning before you eat. The pills of Rufus are accounted moft effeftual prelervatives,fo that Rufus hlmfelf faith, that hee never knew anie to bee infeftcd that ufed them: the composition of them is thus. Take of the beft Aloes half a drani5 of two drams, of Myrrh two drams and an half, of Maftich two drams, of Safforn feven grains: put them all together, and incorporate them with the juice of Citrons, or the fyrup of Limons, and make thereof a mafs, and let it bee kept in leather: Let the patient take the weight of half a dram everie morning two or three hours before meat, and let him drink the water of Sorrel after it, which through its tartnefs,and thethinnefs of its parts, doth infringe the force and power of the malignitie or putrefa&ion: For experience hath taught us, that Sorrel beeing eaten or chawed in the mouth, doth make the pricking of Scorpions unhurtful. And for thole ingredients which do enter into the compofition of thole pills, Aloes doth cleanf and purge. Myrrh refill's putrefaction, Maftich ftrengthen's, Saffron exhilarate's and make's liveliethe Ipirits that govern the bodie, efpecially the vital and animal. Thofe pills that follow are alfo much approoved. Take of Aloes one ounce, of Myrrh half an ounce, of Saffron one fcruple, of Agarick in Trochifces two drams, of Rubarb in powder one dram, of Cinnamon two fcruples, of Maftich one dram and an half, of Ci- tron-feeds twelve grains: powder them all as is requifite; and make thereof a mafs with the lyrup of Maiden-hair : let it bee ufed as aforelaid. If the mafs begin to wax hard, the pills that mull prefently bee taken, muft bee mollified with the lyrup of Limons. Take of wafhed Aloes two ounces, of Saffron one dram,of Myrrh half an ounce, of Am- moniac urn dillblved in white wine one ounce, of honie of Rofes, Zedoarie, red Sanders, of each one dram, of prepared two drams, of red Coral half an ounce, of Cam- phir half a fcruple: make thereof pills according to art. But thole that are fubjeft or apt to the hemorrhoids ought not at all, or verie feldom to ufe thole kindes of pills that do re- ceiv much Aloes. They fay, that King Mithridates affirmed by his own writeing, that whofoever took the quantitie of an hafel-nut of the prefervative following, and drank a little wine after it, fhould bee free from poifon that day. Take two WaH-nuts , thole that be verie drie , two Figs, twentie leavs of Rue, and three grains of Salt: beat them, and incorporate them toge- ther, and let them bee ufed as is aforefaid. This remedie is alfo faid to bee profitable for thole that are bitten or ftung by lom vene- mous beaft, and for this onely, becaufit hath Rue in the compofition thereof.But you muft forbid women that are with childe the ufe of this medicine; for Rue is hot and drie in the third degree, and therefore it is faid to purge the womb, and provoke the flowers, whereby the nourifhment is drawn away from the childe. Of fuch varietie of medicines, every one may make choice of that that is moft agreeable to his tafte, and as much thereof as fhall bee lufficient. Pills of Ruffm. Other pills. Other pills. CHAP. VIII. Of local medicines to bee applied outwardly. Hofe medicines that have proper and excellent virtues againft the peftilence,are not to bee negle&ed to bee applied outwardly, or carried in the hand. And filch are all aromatical, aftringent, or fpirituous things, which therefore are endued with virtue to repel the venemous and peftiferous air from comming and en- tring into the bodie , and to ftrengthen the heart and the brain. Of this kinde are Balm, Rofeniarie, Scordium,Sage, Worm-wood, Cloves, Nut-megs, Saffron , the roots of Angelica, and Lovage, and fuch like, which muft bee macerated one night in fliarp Vineger and Aqua vit£, and then tied in a knot aS big as an egg: or rather let it bee carried in a iponge made wet, or (baked in the faid infufion. For there is nothing that doth fooner and better hold the fpirituous virtue and ftrength of aromatick things, then a iponge. Where- fore it is ofprincipal ufe either to keep or hold fweet things to the note, or to applie Epi- thems and Fomentations to the heart. ■ Tbofe Of what na- ture the medi- cines out- wardly ufed ought to bee. LlB.%2. Concerning the Tlague. 543 Thole fweet things ought to bee hot or cold, as the leafon of the year, and kinde of the peftilence is As for example,in the Summer you ought to infuft and macerate Cinnamon an d Cloves, beaten together, with a little Saffron in equal parts, of vineger of Rofes, and Role-water,intc( which you muft dip a fponge, which rowlcd in a fair linnen cloth, you may carrie in your |iand, and often finell to. T ake of W orm-wood half a handful; ten Cloves, of the roots of Gentian and Angelica, of each two drams; of vineger and Rofe-water, of each two ounces; of Treacle and Mithri- date, of each one drain ; beat and mix them all well together, and let a Ipongebee dipped therein, and ufed as above-laid. They may allb beeencloled inboxes made of iweet wood, as of Juniper, Cedar, or Cyprefs, and fo carried for the fame purpole. But there is nothing more eafieto bee carried then Pomanders: the form ofwhich is thus: Take of yellow Sanders, Mace, Citron-pills, Role and Mirtledeavs, of each two drams ; of Benzoin, Ladanum, S torax, of each half a dram ; of Cinnamon and Saffron,of each two fcru- ples; ofCamphire and Amber-Greece,of each one fcuple;of Musk three grains. Make there- j of a Pomander,with Rofe-water,with the infufion of Tragacanth. Or take red-Rofe-leavs, the flowers of Water-lillies and Violets, of each oneounce;of the three Sanders, Coriander- feeds, Citron-pills, of each half an ounce; ofCamphire,one dram; let them all bee made in- to powder, and with Water of Roles and Tragacanth make a pomander. In the Winter it is to bee made thus. Take of Storax, Benzoin, of each one dram and a half; of Musk, half a fcruple; of Cloves, Lavander and Ciperus, of each two drams; of the root of Orris, i.e. F lower-de-Luce, and Calamus aromaticusi of each two drams and a half; of Amber-Grece, three drams; of Gum-Tragacanth diflolved in Role-water and aquavit*,is much as (hall fuffice: make thereof a Pomander. And for the fame purpole you may allb uleto carrie about with you Iweet powders,made of Amber-Greece,SlonzXjOrriSjNutmegs,Cinnamon, Mace, Cloves, Saffron,Benzoin,Musk, < Camphire, Roles, Violets, June us odoratus, Marj arum and liich like, of which beeing mixed together,Powders may may bee compounded and made. Take of the roots of Orris two drams, of Gjpeiw, Calamus aromaticus, red Roses, of each half an ounce; of Cloves half a dram, of Storax,one dram; of Musk,eight grains : mix them, and make a powder for a bag : or take the roots of Orris two ounces; red-Rofe-lcavs, white Sanders, Storax, of each one dram; of Cyprus, one ounce; of Calamus aromaticus, one ounce; of Marjarum, half an ounce; of Cloves, three drams; of Lavander, half a dram; of Corian- der-leeds, two drams; of good Musk, half a fcruple; of Ladanum and Benzoin, of each a dram; of Nutmegs and Cinnamon, of each two drams: Make thereof a fine powder, and fow it in a bag. It will bee verie convenient alfo to applie to the region of the heart, a bag filled with yel-; low Sanders, Mace, Cloves, Cinnamon, Saffron and Treacle lhaken together, and incorpo- rated, and iprinkled over with ftrong vineger and Role-water in Summer, and with ftrong wine and Muskadine in the Winter. Thefe Iweet Aromatick things thar are lb full of ipirits, finelling Iweetly and ftrongly, have admirable virtues to ftrengthen the principal parts of the bodie, and to ftir up theex- pulfive facultie to expel the poilbn. Contrarie-wile, thofe that are (linking and unlavorie, procure a defire to vomit, & diffo- | lution of the powers,by which it is manifeft how fooliffi and abfurd their perlwafion is, that i counlel luch as are in a peftilent conftitutionofthe Air,toreceivand take in the Linking and < unlavorie vapors of fin\s and privies, and that efpecially in the morning. But it will not fiifficc to carrie thole prefervatives alone, without the ule of anie other thing, but it will bee allb verie profitable to walh all the whole bodie in Vineger of thede- co&ion of Juniper and Bay-berries, the Roots ofGentian, Marigolds, S. John's-Wurt, and luch like, with Treacle or Mithddate alfo diilblved in it. For vineger is an enemie to all poifons in general,whether they bee hot or cold: foritrefifleth andhindereth putrefaftion. Neither is it to bee feared, that it ffiould obftruft the pores, by reafon of its coldneft, if the bodfc bee bathed in it: for it is of fubtil parts, and the Ipices boiled in it,have virtue to open. Whofoever accounteth it hurtful to walh his whole bodie therewith, let him walh onely his arm-holes, the region of his heart, his temples> groins, parts of generation; as haveing great and marvelous fympathie with the principal and noble parts. If anie miflike batheing, let him annoint himfelf with the following Unguent. Take oil of Rofes, four ounces; oil of Spike, two ounces; of the powder of Cinnamon and Cloves, of each,one ounce and a halfiof Benzoin,half an ounce;of Musk,fix grains; of Treadle, half a dram; of Venice-Turpentine,one dram and a half; of Wax, as much as lhall fuffice: make thereof a foft Unguent. You may alfo drop a few drops of oil of Maftich, of of Gio ves, and fuch like,in- to the ears,with a little Ci vet or Musk. Pomander* Sweet-pow- ders. - Bags.' Unfavorie things to bee efehewed. An Unguent* CHAR Concerning the 'Plague. Lib.xx. 544 CHAP. IX. Of other thini,s-to bee obferved for prevention, in fear of the Plague. Why Venetie is to bee fhun- ned. en E rie is chiefly to bee efchewed, for by it the powers are debilitated}the (pi ri ts diflipated, and the breathing places of the bodie diminiflied, and laftly, all the ftrength of nature weakned. A fedentarie lite is to bee Ihunned} as alfo excels in diet} tor hence proceed's obftruftion,thc corruption of the juices,and preparation . of the bodie to putrefa&ion and the peftilence. Women muft bee verie careful that they have their courfes duely, for flopping befides the cuftom, they eafily acquire corruption, and draw by contagion the reft of the humors into their focietie. Such as have fiftulous, or otherwife old ulcers, muft not heal them up in a peftilent feafon j for it is then more convenient rather to make new ones and thefe in con- venient and declineing places 5 that as by thefe channels, the fink of the humors of the bo- die may bee emptied. The Hemorhoids,bleedings3and other the like accuftomed evacuations,muft not bee flop- ped, unlefs they exceed meafure. Moreover, they muft at fuch times take heed that they touch or handle notanie of thele things wherein the feeds or fuell of the peftilence may lie hid; fuch as are hemp, fl&x, quilts and coverings wherein fuch as have had the Plague have laid; skins and all lether-things,hangings and cloaths. You umft dwell far from Church- yards, efpecially from thole wherein the corps of fuch as have died of the Plague are not bu- ried dead in the ground, as in the Church of innocents in Paris, in which place by the fame realbn it fundrie times happen's that the bodies are plucked up,rent and torn by dogs. Alfo let them dwell far from places of execution,lhambles of flelh and fifli,from tan-houfes,diars, tallow-chandlers, cloth-dreflers, farriers, skinners, and from the places wherein metals are are call or wrought. The filth and dung, efpecially of Swine, Privies, (landing and mud- die waters, and laftly all things of the like evil fmell,muft bee far remote from your habi- tation 5 the bellie muft not bee emptied into thole places, into which the excrements of fuch as have the plague are caft. The companie of liich as ulually viiite thofe fick of the plague, muft bee efchewed, as of Phyficians, Apothecaries, Surgeons, Nurf-Keepers, Grave-makers and Bearers. For though they have not the Plague, yet comming out of a peftilent place, they may carrie with them lying in their garments, the leeds thereof. You may gather this by liich have for a little while ftaied in a perfumer's (hop,for the perfume diffufed in the air, beftow's the fmell upon the garments of fuch perfons, fo that gon from thence,fuch as meet them, will judg them to carrie perfumes with them. They (hall alfo fliun long watchings found fleeping, all palfions of the minde, efpecially anger, hunger, thirft, journying in the Sun, for that hath oftimes occafioned a diarie fever, which hath not feldom been feen to turn into a peftilent one ; for by dilateing the pore of the skin, they have given entrance to the peftilent air, which by that means hath eafily taken hold of the humor dilpofed to putrefaction. Running ul- cers good in time of pesti- lence. Places to bee fhunned in time of plague. What com pa- nic to bee a- voided. You muft do nothing in. a peftilcnt fea- fon whereby you may grow too hot. CHAP- X. Vgiftrates ought to have afpecial care that no filth bee heaped up3either in pri- vate or publick places : let all things bee kept neat in everie houG and let all the ftreets bee kept clean , the dung and filth bee carried forth of the Cittie ■» as alfo the dead carcafles of killed dogs & cats,for becaufthey oftimes lick and devour the excrements of (uch as have the Sickne(s,therefore they may by their familiar entrie into found houies, there propagate the Plague. Wherefore they muft either bee driven forth of the Citie,or killed, and fo bee carried forth and buried deep in the ground. Wells, fprings, and rivers themftlvs, muft bee free'd and cleanftd from all impuritie. Care muft bee had that muftie corn, tainted flefh, nor Pinking fifh bee not let to fale. Publick baths and hot-houfts muft bee prohibited, for that in theft, men's bodies are weakned, and made more yeelding and pervious to the peftiferous air. They fhall commit the cure of fuch as have the Plague, to learned, skilful and honeft Phyficians and Apotheca- ries and Surgeons. Such as are known to have the Plague,fhall beeftparated from fuch as are free there-from, and bee ftnt to fuch fit places as fhall bee provided for them; for this is better and more hu- manely don then to fliut up everie man in his own houf. They fhall provide and fore-fee that the houfhoW-ftuff of fuch as have the Plague bee not ftt to fale. They fhall ftt figns and noted marks upon the houfts ftazed upon by this difeaf, left they fliould unawares run into danger. Wherefore to the famepurpoft they (hall procure that the Surgeons and others that vifit the fick of the Plague may bee known by fom confpicuous mark, that fuch as pais by them may bee admonifhed of the danger 5 they fhall alfo take care that the bodies of the Of tbe Office of Magistrates in the time of the Plague. Why dogs and cats mult bee killed in a Plague-time. Why Baths and hot-houfcs are not then to bee allowed. Lib.zz. Concerning the Plague. 545 the dead bee buried as fpeedily as may bee. For they fooner and more grievoufly putrefie in J a ihort time, then the bodies of others of what death foeyer they die. Wherefore, neither ' birds,nor ravenous beafts dare once touch their bodies, though unburied; for by tafteing ' them they fliould quickly com to their deaths. The keepers of the gates of the Cittie fhall bee admonilhed, that they take fpecial care that fuch as are infe&ed, or com from a vifited place,do not enter into the Cittie; for from one, the evil may com to fpread it 1 elf further; for one fpark may fet a whole Cittie on fire,and one (cabbie iheep infeft a whole flock. And becauf there is nothing which may more perfeftly purge the air,and cleanf it from all man- ner of noifomnels and infection, then fire; they fhall command that there bee kindled , and perpetually kept burning-fires, made with odoriferous and ftrong-fmelling things, as Ju- niper, Turpentine, Broom, and the like. In Head hereof Levinas tell's, that the Souldiers of the Garrifon of Tornieufed ina Plague-time to difcharge their Canons laded onely with powder, turning their mouthsup-1 on the Cittie, and that morning and evening; that by the vehemencie of the mooved air, the peftiferous fogs might bee chafed away; and by the heat of the burned powder, the vene- nate and noifom qualitie of the air might bee amended. Laftly, I judg it fit to admonilh Ma- giftrates, that they have their eies and mindes attentive upon a murderous and impious kinde of Bearers and Nurf- keepers; which allured with a defire of gain (which whil'ft the Plague reign's, they get abundantly) annoint the walls, doors, threlholds , knockers of gates and locks with the filth and ointments taken from fuch as have the Plague, that the Plague within a while after ieizing upon thefe alio, the mailers of them flying away,and the familie diiperied, they may there reign alone, and freely and without puniftiment carrie thence what they pleaf; oftimes ftrangling iuch as lie readie to die, left recovering , they might bee their accuiers. This I remember happened at Lions, Anno Dom. 15 6 5. Such as die of the Pbgue do quickly putrc- Lib.t.dg tccult, iMt.mirtc. The villanie of Com bale people. CHAP. XI. What caution muft bee ufed in chuftng Pbyficians, Apothecaries and Surgeons, who may have care of fueb as are taken with the Plague. 1 is the part or iviagiitratcs in tne io great neceintie or cue amictea common- wealth, to appoint learned, skilful, and honeft Phyficians, Surgeons, and Apothecaries, and fuch as have more regard to the Law of God then to gain, to have the care and cure of fuch as are vifited. But principally let them not take Surgeons and Apothecaries called by proclamation with (bund of trum- pet, that if they will take this charge, they (hall becom free without exami- nation or reward. But let them rather bee allured by gifts and honeft rewards, not onely then when as neceffitie urgeth; but alfo after the Plague is over. For fuch (ervant-Surgeons and Apothecaries as are called by proclamation, fo to gain freedom, are moft commonly unskilful and unexperienced Dunces; who, confcious of their own ignorance, and fearing to undergo the examination of the Mafters of their Companies, refute no hazard, however dangerous, with defire to obtain their freedom. It is far worf and more dangerous to fall into the hands of fiich, then into the hands of theevs and murderers; for thefe, by providence or ftrength, wee may chance to efcape; but wee feek for and embrace the other, and haveing found them , lay our throats bare unto them,(b by their unskilfulnefs to bee butchered Certainly by the fault of the times,and thfe negleft of Magiftrates, it is almoft com to this pals,that if anie honeft and learned ans and Surgeons (hall undertake this cure, they are commonly forced thereto by the Ma- giftrate for fear of banifhment or fineing. Therefore becaufthey do it againft their wills, they (hew themfelvs left vigilant, cheerful and painful about the fick. They com unwil- lingly, and compelled hereto, becauf by the memorie of the fore-paft time, they fufficiently know, how fordid and bafely Magiftrates, when the Plague hath been over-paft, have been in paying the promifed reward to men of their condition, who have ftoutly run into dan- ger ; for thence it happen's, that dureing the reft of their lives , they may fit idle at home, for that they are infamous, and feared by the people onely for this, that a while agon they vifited fiich as had the Plague. Therefore I would have Magiftrates prudent, faithfill, and free in chufeing honeft, learned and skilful men , who may undergo this fo difficult and dangerous a charge. • ■ CHAP. XII. How fuch of undertake the cure of the Plague ought to arm tbemfeht. FIrft they muft think and hold for certain, that they are not called to this office by Our lots are men, but by God, (b dire&ingthe counlels andaftionsof men as hee thinketh fit. m the hands of Therefore they (hall confidently enter into the cure thereof, for that our lot, life and death tbe or ' A a a are 546 Concerning the 'Plague. LlB.ZZi are in the hands of the Lord : but notwithftanding they ought not to negleft remedies, which are given to men for prevention, left by neglefting the gifts of God, they may feem to riegkft him alfo that is the giver of fo manie good and excellent benefits. Therefore firft let them by purgeing and bleeding evacuate the humors fubjeft to putrefa&ion , and to conceiv the feeds of the peftilence. Let them make two fontanella's by application of cau- teries, to bee as rivelets to evacuate the excrementitious humors which are daily by little > and little heaped up in usj let one of them bee in the right arm a little below the mufcle E- f ow; the other the fpace of three fingers under the knee on the in-fide of the left leg. This is found by experience a verie certain means of prevention. Let them walh their whole bo- dies with the following lotion. Rc.aqu# rof.acetz rofati, aut [ambucini,vini albiaut malvatici, rtw.tfe.vi. rad.enul# canty.angelic£,gentian-biftorte, baccar-juntyeri, beder<e, falvi<£,rorifinar.ab/inth.rut£, an.m.i. cortiw citri,%fi.tberiac<e & mitbridat. an%i. conquaffanda con- quaffent, bulliant lento igni, & fcrventwr ad ufam ante commemoratum. Theepithems,unguentsand bags formerly defcribed (ball bee applied to the region of the heart. I have read it noted by John Baft ift'J beodoftM,that amongft other things, Arfenick may bee profitably applied to the region of the heart, that fo it may by little and little accuftom it felf to poifons, that after- wards it may bee lefs harmed by their incurfion, firft makeing their aflault upon it. Let their garments bee made of Chamelet, Dutch-Sarge, Satin, Taffatie, or the like. Or elf if they cannot of thefe, let them bee of fom other handfom Stuff, but not of Cloth, Freez, or the like, that they may take the vcnenate air, and carrie it with them to the infe- ftion of the found. They (hall oftimes change their cloaths, ihirts and other linnen, and perfume them with aromatick things Get them warily approach to the lick, more warily fpeak unto him, with their faces looking away from him, rather then towards him , fo that they may not receiv the breath of his mouth, neither the vapor nor finell of anie of his excrements. When as I upon a time beeing called to vifit one that lay fick of the Plague, came too near and heedlefly to him, and prefently by Hidden cafting off the cloaths, laid him bare, that fo I might the better view a Bubo, that hee had in his right groin, and two Carbuncles that were on his bellie, then prefently a thick, filthie and putrid vapor arifeing from the broken abfcefs of the Carbuncle, as out of a raked puddle , affcended by my noftrils to my brain, whereupon I fainted, and fell down fenflefs upon the ground ; raifed up a little af- ter, all things feemed to mee to run round j and I was readie to fall again, but that I ftaied my felf by takeing hold of f . bed-poft. But one thing comforted mee,that there appeared no figns that my heart was afiefted, either by pain or panting, or the ftrong and contuma- cious failing of my powers. Ari argument that the animal fpirits were onely diffipated by a venenate vapor, and that the fiibftance of the heart was no way wronged, was a fnee- fing which took mee fo violently, that I fneefed ten times, and then fell a bleeding at the nofe 5 which excretion, 1 believ, ftee'd mee from all the impreflion of the malignitie. Let others, warned by this mine example, learn to bee wifer and more warie in this cafe , left they com to a worfmifliap then befel mee. Where to makeiffues in the time of the Plague. Cftp.S. Epifl. a. What to wear, How to vifit your patients. An hiflorie* CHAP. XIII. Of the figns offucb as are infefied with the Plague. Whence cer- tain figns of the Plague may bee taken, Ee muftnot flay fo long before wee pronounce one to have the Plague, until there bee pain and a tumor under his arm-holes, or in his groin, or fpots (vulgar- ly called 'Tokens) appear over all the bodie, or carbuncles arite: for maniedie through the venenate malignitie, before thefe figns appear. Wherefore the chie- feft and trueft figns of this difeaf are to bee taken from the heart, beeing the manfion of life, which chiefly and firft of all is wont to bee affailed by the force of the poifbn. Therefore they that are infe&ed with the Peftilence, are vexed with often fwoundings and fainting; their pulfis feebler and flower then other, but fomtimes more frequent, but that is fpeci- ally in the night-fcafbn; they feel prickings over all their bodie, as if it were the pricking of needles j but their noftrils do itch specially by occafion of the malign vapors riteing upwards from the lower and inner, into the upper parts, their breaft burneth , their heart beateth with pain under the left dug, difficultie of takeing breath, ptiflick, cough , pain of the heart, and fiich an elation or*putfing up of the Hypocondria, or fides of the bellie , di- ftended with the abundance of vapors railed by the force of the feverilh heat, that the pati- ent will in a manner teem to have the Tympanie. They are molefted with a defire to vomit, and oftentimes with much and painful vomiting, wherein green and black matter is teen, and alwaies of divers colors,anlwering in proportion to the excrements of the lower parts, the ftomach beemg drawn into a content with the heart, by reafon of the vicinitie and communion of the veflels; oftentimes blood alone, and that pure, is excluded and caft up in vomiting 5 and is not onely caft up by vomiting out of the ftomach, but alfb verie often out of the noftrils, fundament 5 and in women,out of the womb 5 the inward parts are often burned, The caufof vomiting in fuch as have the plague* Lib.zz. Concerning the Tlague. 547 burned, and the outward parts are (tiff with cold , the whole heat of the patient beeing drawn violently inward, after the manner of a Cupping-glais, by the ftrong burning of the ' inner parts then the eie-lids wax blew, as it were through fom contufion, all the whole : face hath an horrid afpeft, and as it were the color of lead, the eies are burning red, and as * it were fwoln, or puffed up with blood, or anie other humor, fhed tears , and to conclude, the whole habit of the bodie is fomwhat changed, and turned yellow. Manie have a burning fever, which doth (hew its felf by the patient's ulcerated jaws,un- quenchable thirft, drineis and blacknefs of the tongue, and it caufleth fuch a phrenfie by in- flameing the brain, that the patients, running naked out of their beds, leek to throw them- felvs out of windows into the pits and rivers that are at hand. In fom the joints of the bo- die are fo weakned, that they cannot go nor hand; from the beginning they are as it were buried in a long (wound and deep deep, by reafon that the fever fendeth up to the brain the t grofs vapors from the crude and cold humors, as it were from green wood newly kindled • to make a fire* 1 Such deeping doth hold him efpecially while the matter of the lore or carbuncle is drawn together, and beginneth to com to fiippuration. Oftentimes when they are awaked out of deep, there do fpots and marks appear dilperfed over the skin, with a (linking Iweat. But if thofe vapors bee (harp that are ftirred up unto the head, in (lead of deep they cauf great wakeing, and alwaies there is much diverfitie of accidents in the urine of thofe that are in- fefted with the Plague,by reafon of the divers temperature and condition of bodies: neither is the urine at all times,and in all men of the fame confidence and color: For fomtimes they are like unto the urine of thofe that are (bund and in health, that is to (ay, laudable in co- lor and fubftance; becauf that when the heart is affefted by the venemous air , that entreth in unto it, the (pirits are more greatly grieved and molefted then the humors : but thole,z.e. the (pirits, are infefted and corrupted when theft do begin to corrupt. But Urines onely (hew the difpofitions of the humors or parts in which they are made, colle&ed together, and through which they pais. This reafon ftemeth truer to mee then theirs which fay, that nature terrified with the malignities of the poifon avoid's contention,and doth not refift or labor to digeft the mat- ter that caufleth the difeaf. Manie have their appetites fo overthrown, that they can abflain from meat for the (pace of three daies together. And to conclude, the varietie of accidents is almofl infinite, which appear and Ipring up in this kinde of difeaf, by reafon of the diverfitie of the poifon, and condition of the bodies and grieved parts : but they do not all appear in each man; but (bm in one , and lorn in another. Their looks are fuddenly changed. Why Com that are taken with the plague are fleepie. Why their u- rines are like thole that are found. CHAP. XIV. Jfhat figns in the Plague are mortal. T is a moft deadlie fign in the Peftilence, to have a continual and burning fe- ver, to have the tongue drie, rough, and black, to breathe with and to draw in a great quantitie of breath,but breathe out little, to talk idlely; to have phrcnfie and madnefs together, with unquenchable thirft and great watching; to have convulfions, the hicket, heart-beating, and to fwound verie often and vehemently: further, tolling and turning in the bed, with a loathing of meats, and dailie vomits of a green, black, and bloodie color; and the face pale, black, of an horrid and cruel alpeft, be- dewed with a cold Iweat, and verie mortal figns. There are 1dm which at the verie beginning have ulcerous and painful wearinefs, pric- king under the skin, with great torment of pain 5 the eies look cruelly and ftareingly, the voice waxeth the tongue rough and ftutting, and the underftanding decaying 5 the patient uttereth and talketh of frivolous things. Truly thole are verie dangeroufly tick, no otherwife then thofe whofe urine is pale, black, and troubled like unto the u- rine of carriage-beafts, or lee, with divers colored clouds or contents; as blew, green, black, fattie and oilie, as alfo refembling in lhew a Spiders web, with a round bodie fwim- ming on the top. If the flelh of the carbuncle bee drie and black ,* as it were feared with an hot iron, if the flefh about it bee black and blew, if the matter do flow back,and turn in, if they have a lask with greatly {linking, liquid, thin, clammie, black, green or blewilh ordure 5 if they avoid wormsjby reatbn of. the great corruption of the humors , and yet for all this the patient is never the better 5 if the eies wax often dim, if the noftrils bee contra&ed or drawn together, if they have a grievous cramp, the mouth bee drawn afide, the mulclesof the facebeeing drawn or contracted equally or unequally 5 if the nails bee black 5 if they bee often troubled Aaa 2 . with An ulcerous and painful wearinefs from the be- ginning fliew- cth the Plague to bee deadlie. 548 Concerning the Plague. Lib .22,. with the Hicket, or have a Convulfion and refolution over all the bodie, then you may certainly prognofticate that death is at hand, and you may ule cordial medicines onely,but it is too late to purge, or let blood. CHAP. XV. Signs of the Plague comming by contagion of the air without anie fault of the humors* Ou (hall underhand, that the Peftilence proceed's from the corruption of the air, if it bee verie contagious,and dilperfeth it lelf into fundrie places in a mo- ment. If it kill quickly and manie, fo that whil'ft fundrie perlons go about their ufual bufinels, walk in the places of common relbrt,and through the Greets, they liiddenly fall down and die, no fign of the dileaf or harm appear- ing, nor anie pain opprelTing them j for the malignitie of the corrupt air is quick and verie (peedie in infe&ing our fpirits, overthrowing the ftrength of the heart, and killing the pa- tient. The patients are not troubled with great agitation, becauf the fpiritsdiflipatedby the rapid malignitie of the poifon, cannot endure that labor; befides they are taken with frequent fwoundings, few of them have Bubo's, few have Blains com forth 5 and by the fame realbn their urines are like to thole of found men. Why they have no fores. CHAP. XVI. Signs of the Plague drawn into the bodie by the fault and putrefaction of humors* jrmeriy wee nave recKonea up tne cauues or tne corruption or numors from plenitude , obftru&ion , diftemper, and the ill juice of meats. Now muftwee deliver the figns of each corrupt humor which reign's in us, that it may bee reduced to foundnefs and perfeftion of nature by the oppoiition. of its contrarie, or elf bee evacuated by phyfick. Therefore if thebodie bee more yellow then ufiial, it is a lign of choler offending in quantitie and qualitie. If more black, then of melancholic; if more pale, then of phlegm ; if more red, with the veins fwoln up and full, then of blood. Alfb the color of the rifeing blains, tu- mors and fpots, exprefs the color of the predominant humor, as alfo the excrements caft forth by vomit, ftool and otherwife ; the heavinefs and cheerfulnefs of the affefted bodie ; the manner of the prefent fever; the time of the year, age, region, diet. Such things as have a cutting, penetrateing, attenuateing, and cleanfing facultie, take away obftru&ion. By means of obftruftion fevers oftimes accompanie the Plague, and thefe not onely continual, but alfb intermitting, like tertians or quartanes. Therefore that Plague that is fixed in the infeftion or corruption of a cholerick humor, fhew's it felf by the fore-mentioned figns of predominateing choler, to wit,the heat of the skin, blains, and excrements, as alfb in the quicknefs of killing, and vehemencie of the fymptoms, bitternefs of the mouth , a painful- and continual endeavour of going to ftool,by reafon of the acrimonie of choler ftimulateing and rakeing the guts in the pafiage forth. That which refide's in the corrupt fubftance of grofs humors, as of blood, fheweth it felf by manic and plentiful fweats, by a fcouring, by which are avoided manie and various humors; and oftimes alfo bloodie matter that pro- ceeds from corrupt phlegm, it invade's with more fofind deep, and cauflefs wearinefs of all the members; when they are awakened out of their deep, they are not fcldom troubled with a trembling over all their joints, the entrance and way of the fpirits into the members bee- ing obftru&ed by the grofnefs of the humors. That which is feated in the corruption of a melancholick humor, is accompanied with heavinefs and pain of the head, much penfive- nefs, a deep and finall pulf. But the moft certain fign of the Plague refideing in the cor- ruption of the humors, is to bee taken from the urine. For the figns of the vitiated humors cannot but fhew themfelvs in the urines: therefore troubled urines, and fuch as are like thofe of carriage-beafts, as alfb black and green, give certain notice thereof. But fom are much troubled with thirfl, others not at alljbecauf choler or phlegm fbmtimes onely putre- fie in the ftomach or orifice of the ventricle; fomtimes befides they will weaken the govern- ment of the natural faculties of the part, as of the appetite. But if the fever happen by the default and infeftion both of the air and humors 5 then will there bee, a great confufion of the fore-mentioned figns and fymptoms. • Signs of cho- ler. When the u« rine is to bee looked upon. Why fora are much troubled with thirft, o- thers not at all. CHAP. LlB.22. Concerning the Plague. 549 CHAP. XVII. Of the Prognoftication that is to bee inftituted in the Plague, lO U may well fore-tell the future motions and events of diteates, when you throughly know the nature of the diteaQ and accidents thereof, and the condi- tion, funftion, and excellencie of the bodie and grieved parts: Although that this may bee Ipoken in general. That there is no certain prediftion in peftilent ] diteates, either to health or death,for they have verie unconftant motions,fom- < times fwift and quick, fomtimes flow, and fomtimes choaking or fuffocateing in a moment, while one breath's in the venemous air, as hee is going about anie of his neceflarie affairs, haveing puftles rifeing in the skin with fharp pain, and as though the whole bodie were pricked all over with needles, or the ftings of Bees. Which I have feen with mine eies in the Plague that was at Lions when Charts the French King lay there. It manie times commeth to pals that the accidents that were verie vehement and rageing a little before, arc fiiddenly ate lwaged,andthe patients do think themtelvs better,or almoft perfectly found. Which happen's to Marie one of the Queen-Mother her maids, in that notable peftilent conftitution of the Air, that year when Charis the French-King lay at the Caftle of Roffilion: For when fhee was infefted, a great tumor or Bubo arote in her groin, andfuddenly it went in again, fo that the third day of her iicknefs, fhee faid fhee was without anie grief or diteaf at all, but that fhee was troubled with the difficultie of makeing water ; and I think it was becaufthe the bladder was enflamed by the reflux of the matter 5 but fhee was found in minde and bodie, and wal- ked up and down the chamber on the fame day that fhee died-The itrangenefsof which thing made the King fb fearful,that hee hafted to depart thence. Although this difeaf doth fpare no man of what age, temperature, complexion, diet*and 1 condition foever, yet it aflaulteth young men that are cholerick and fanguine,morc often 1 then old men that are cold and drie, in whom the moifture that is the nourifher of putrefa- < ftion by reafon of their age is confiimed, and the waies,paflages and pores of theskin,where- ' by the venemous air fliould enter and pierce in,are more ftrait and narrow. And moreover, becaufold men do alwaies ftay at home,but young men for their neceflarie bufinefs,and alfo for their delight and pleafare, are alwaies more abroad in the day-time, in the air, where- hence the pollution of the peftilence commeth more often. That peftilence that com's by the corruption of the humors, is not fo contagious as that, which commeth by the default of the air. But thofe that arephlegmatick and melancholick, 1 are moft commonly grieved with that kinde of peftilence becauf in them the humors are - more clammie and grots, and their bodies more cold and lets perlpirable, for which caufes the humors fooner and more fpeedily putrefie. Men that are of an ill juice are alto moft apt to this kinde of peftilence,for in the naughtie qualitie of the juice there is a great preparation of the humors unto putrefaftion: You may know it by this, that when the peftilence reigneth, there are no other diteates among the common people, which have their original of anie ill juice, but they all degenerate into the Plague. Therefore when they begin to appear and wander up and down, it is a token that the peftilence will (hortly ceafl or is almoft at an end. But here alfo I would have you to unerftand thofe to bee of an ill juice, which have no pores in their skin, by which,as it were by rivers,the evil juice which is contrarie to nature, may bee evacuated and purged. And I have noted and obterved, that thofe are lefs in danger of the peftilence which have cancerous ulcers and ftinking fores in their notes, and fuch as, infefted with the French Pocks, have by reafon thereof, tumors and rotten ulcers, or have the King's-evil running upon them,the Leprofie or the Scab: and to conclude,all thofe that have fiftula's and running in their bodies. I think thote that have quartane Fevers are the better priviledged for the lame, becauf that by the Fit caufling fweat, that commeth eyerie fourth daie, they avoid much of the evil juice that was engendred. This is more like to bee true, then to think that the poifon that commeth from without, may bee driv'n away by that which lurketh within. Contrariwite, women that are great with childe, as I have noted, becaufthey have much ill juice, beeing prohibited from their accuftomed evacuations,are verie apt to take this dif- eaf, and fo teldom recover after the are infefted. Black orblew impoftumes, and Ipots and puftles of the fame color, difperted over the skin, argue that the difeaf is altogether incureable and mortal. When the fwelling or fore goeth or commeth before the Fever,it is a good fignflbr it de- clareth that themalignitie is verie weak and feeble, and that nature hath overcom it, which of it telf is able to drive fo great portion thereof from the inner parts. But if the fore or tu- mor com after the Fever, it is a mortal and deadlie fign, for it is certain that it commeth of the venemous matter not tranflated,but dilperted;not by the viftorieof nature,but through A a a 3 the Mo certain pre- diftion in the Plague. An hiftorie. Why young men fooncr take the Plague then old. What Plague moft contagi- ous. Who leaft fub- je ft to take the Plague. Who fubjeft thereto. Sigjns the difeafisinGurc- ablc. A good fign. A dead lie fign. 550 Concerning the Plague Lib.zx. the multitude of the matter, with the weight whereof nature is overcom. When the Moon decreafeth,thofethat are infefted with the Peftilence are in great doubt and danger of death, becaufthen the humors that were colle&ed and gathered together be- fore the Full of the Moon,through delay and abundance, do fwell the more, and the facul- ties by which thebadit is governed,becom more weak and feeble, becauf of the imbecillitie of the native heat, which before was nourilhed and augmented by the light, and fo confe- quently by the heat of the full-Moon : For as it is noted by Arifiotle3 the warnings of the Moon are more cold and weak: and thence it is that women have their menftrual fluxes chiefly or mo ft commonly at that time. In agrofs and cloudie Air the peftilent infe&ion is lefs vehement and contagious then in ■ a thin and fubtil Air » whether that thinnefs of the Air proceed from the heat of the Sun, or from the North winde and cold. Therefore at Park3 where naturally; and alfo through the abundance of filth that is about the Citie,the Air is dark and grofs, the peftilent infecti- on is lefs fierce and contagious then it is in Province3 for the fubtil tie of the Air ftimulates or helps forward the Plague. But this difeaf is mortal and pernicious wherefoever it bee, becauf it luddenly aflaulteth the heart, which is the Manfion, or as it were the fortrefs or caftle of life : but commonly not before the figns and tokens of it appear on the bodie: and yet you ffiall fcarce finde anie man that thinketh of calling thePhyfician to help to preferv him from fo great danger before the figns thereof bee evident to bee feen and felt: but then the heart is aflaulted: And when the heart is lb aflaulted, what hope of life is there, or health to bee looked for. Thereforebecauf medicines com, oft-times too late, and this maladie is as it were a fudden - and winged meflenger of our death, is commeth to pafs that fo manie die thereof. And c moreover, becauf of the firft fufpicion of this fo dire and cruel a difeaf, the imagination and ' minde( whole force in the diverfly much ftirring up of the humors is great & almoft incredi- ble) is fo troubled with.fear of imminent death,anddelpair of health,that together with the perturbed humors, all the ftrength and power of nature falleth and finketh down. This you may perceiv and know, by reafon that the keepers of fiich as are lick, and the bearers which are not fearfull, but verie confident, although they do all the baleft offi- ces which may bee for the fick, are commonly not infe&ed, and leldom die thereof if infe&ed. ' -iJJ 4 : • Aii . In what air tn oft contagi- ous. Whateffefts ear and confi- dence produce in the Plague. CHAP. XVIII. de Plague oft-times findeth fuel in our bodies, and oftirnes allurements, to wit the putrefaftion of humors, or aptnefs to putrefie: but it never thence hath its firft originall, for that com's alwaies from the defiled air; therefore a peftilent fever is thus bred in us: The peftilent Air drawn by inlpiration into the lungs and tranlpiration into the utmoft mouths of the veines and arteries ipread over the skin,the blood or elf the humors alreadie putrefying or apt to putrefie therein, are infeftedand turn- ed into a certain kindeof malignitie refembling the nature of the agent. Thefe humors, like unquench't lime when it is firft fprinkled with water,fend forth a putrid vapor, which carried to the principal parts and heart efpecially, infefteth the (pirituous blood boiling in the ventricles thereof, and therewith alfb the vital fpirits; and hence proceed's a certain feverifh heat. This heat diffufed over the bodie by the arteries,together with a malign qua- litie, taint's all,even the folid parts of the bones with the peftiferous venom, and befides, caufleth divers fymptoms, according to the nature thereof, and the condition of the bodie and the humors wherein it is. Then is the conflift of the malignitie availing, and nature defending, manifeft; in which if nature prevail, it, ufing the help of the expulfive facultie, will fend and drive it far from the noble parts, either by fweats, vomits, bleeding, evacuati- on by ftool or urine, buboes>carbuncles,puftles, (pots, and other fuch kindes of breakings out over the skin. But on the contrarie, if the malignitie prevail, and nature bee too weak, and yeeld, and that firft hee bee troubled with often panting or palpitation of the heart; then prefently after with frequent faintings, the patient then at length will die. For this is a great fign of the Plague or a peftilent fever, if prefently a t the firft, with no labor,nor anie evacuation worth the fpeaking of, their ftrength fail them, and they becom exceeding faint. You may finrfe the other figns mentioned in our preceding difcourC How a-peftilent fever com s to bee bred in y- The original of the Plague alwaies from the Air. Signs that na- ture is orccoin. CHAP. Lib.zi. Concerning Poifong 551 CHAP. XIX. Into what place the Patient ought to betake himfelf fi fion as bee finders himfelf infetfed. Ee have faid that the perpetual and firft original of the peftilence commeth of the Air, therefore fo foon as one is blafted with the peftiferous Air, after hee hath taken fom prefcrvative againft themalignitie thereof, hee muft withdraw himfelfintofom wholefom Air, that is, clean and pure from any venemous infeftion or contagion /or there is great hope of health by the alteration of the Air; for wee do moft frequently and abundantly draw in the Air of all things, fo that wee cannot want it for a minute of time: therefore of the Air that is drawn in depcndeth the corredion, amendment, or increaf of the poifon or malignitie that is received, as the Air is pure, fincere,or corrupted' There bee fom that do think it good to (hut the patient in a clofe chamber, fhutting the windows to prohibit the entrance of the Air as much as they are able: But I think it more convenient that thofe windows Ihould bee open from whence that winde bloweth that is direftly contrarie unto that which brought in the venemous Air: For although there bee no other caul,yet if the Air bee not mooved,or agitated,but (hut up in a dole place,it will foon bee corrupted. T herefore in a dole and quiet place that is not fubjeft to the entrance of the Air,I would with the Patient to make winde, or to procure Air with a thick and great doth dipped or macerated in water and vineger mixed together, and tied to a long ftaff, that by toiling it up and down the dole chamber,the winde or air thereof may cool and recreate the Patient. The Patient mufteverie daie bee carried into a frefh chamber, and the beds and the linnen cloaths muft bee changed:there muft alwaies bee a clear and bright fire in the patient's chamber, and especially in the night, whereby the air may bee made more pure, clean, and void of nightly vapors, and ofthefilthie and peftilent breath proceeding from the Patient, or his excrements. In the mean time, left (if it bee in hot weather) the Patient Ihould bee iveakned or made more faint by reafon that the heat of the fire doth difperfand wafte his Ipi- rits, the floor or ground of his chamber muft bee fprinkled or watered with vineger and wa- ter, or ftro wed with the branches of Vines made moift in cold water, with the leavs and flowers of Water-lillies, or Poplar,or foch like. In the fervent heat of Summer hee muft ab- ftain from Fumigations that do fmelltoo ftrongly, becauf that by affaulting the head, they increaf the pain. If the Patient could to that coft, it were good to hang all the chamber where hee licth, and alfothebed, with thick or courf linnen cloaths moiftned in vineger and water of Ro- les. Thole linnen cloaths ought not to bee verie white, but fomwhat brown, becauf much and great whitenefs doth dilperf the fight, and by wafteing the Ipirits, doth increaf the pain of the head : for which caufalfo the chamber ought not to bee verie lightfom. Contrariwifc, on the night feafon there ought to bee fires and perfumes made, which by their moderate light,may moderately call forth the Ipirits. Sweet fires may bee made of little peeces of the wood of Juniper, Broom, Alh, Tamarisk, of the rinde of Oranges, Limmons, Cloves. Benzoin, gum-Arabick, Orris-roots, Myrrh, grofly beaten together, and laid on the burning coals put into a chafing-dilh. Truly the breath or fmoak of the wood or berries of Juniper, is thought to'drive fcrpents a great waic from the place where it is burn't. The virtue of the Afti-tree againft venom is fo great,as Pli- 7iie teftifieth, that a fcrpentwill not com under the lhadow thereof, no,not in the morning, nor evening,when the lhadow of anie thing is moft great and long,but hee will run from it. I my fclf have prooved that if a circle or compafs bee made with the boughs of an Alh-tree, and a fire made in the mid'ft thereof,and a ferpent put within the compafs of the boughs,that theferpent will rather run into the fire then through the Alh-boughs. There is alfo another means to correft the Air. You may fprinkle vineger of the deco&i- on of Rwe, Sage, Rofcmarie, Bay-berries, Juniper-berries, Czpem-nuts, and fuch like, on ftones or bricks red hot, and put in a pot or pan, that all the whole chamber where the pa- tient lieth may bee perfumed with the vapor thereof. Alfo Fumigations may bee made of fommatter that is more grofs and clammie, that by the force of the fire the fume may continue the longer,as of Ladanum, Myrrh, Maftich,Rofin, Turpentine, S tor ax,Olibanum, Benzoin, Bay-berries, Juniper- berries,Cloves,&?ge} Rofcmarie, and Marjarum, ftamped together,and fuch like. Thote that are rich and wealthie may have Candles and Fumes made of wax, or Tallow mixed with fom fweet things. A fponge macerated in vineger of Rofes, and Water of the fame, and a little ofthe de- co&ion of Cloves, and of Camphire added thereto , ought alwaies to bee readie at the patient's hand, that by often fmelling unto it, the animal-fpirits may bee recreated and ftrengthned. The water following is verie effeftual for this matter. Take of Orris four ounces; of \ Zedoarie, Spikenard, of eaeh fix drams ; of Storax, Benzoin, Cinnamon, Nutmegs, Cloves,'t of Change of the Air conduceth to the cure of the Plague. Air pen't up is apt to putrefie. The materials forfweet fires. Lib.i6.cap. 13. Perfumes. Sweet candles. A fweet water to fmell to. Qoncerning tbeTlague. Lib.zz. 552 of each one ounce and a half; of old T reacle, half an ounce: bruif them into grols powder, and macerate them for the fpace of twelv hours in four pound of white and ftrong wine; then diftill them in a Limbeck ofglafs on hot allies, and in that liquor wet a fponge, and then let it bee tied in alinnen cloth, or doled in a box, and lb often put into the noftrils. Or take of the vineger and water of Rofes, of each four ounces; of Camphire, fix grains; of Treacle, half a dram: let them bee dilfolved together, and put into a vial ofglafs, which the patient may often put into his note. This Nodula following is more meet for this matter. Take ot Role-leavs, two pugils; of Orris, half an ounce; of Calamus Cinnamon, Cloves, of each two drams; of Storax and Ben zoin, of each one dram and a half; of Cyprus, half a dram; beat them into a grofs powder, make thereof a Nodulabetween two peeces of Cambrick or Lawn of the big- nefs of an hand-ball, then let it bee moiftned in eight ounces of Role-water, and two oun- ces of Rofe-vineger, and let the patient fmell to it often. Thole things mult bee varied ac- cordrngtothetime: For in the Summer you muftule neither Musk nor Civet, nor fiich like hot things: and moreover women that are fubjeft to fits of the Mother, and thofe that have Fevers or the head-ach, ought not to ufe thofethings that are fo ftrong fmelling and hotjbut you muft make choice of things more gentle: Therefore things that are made with a little Camphire and Cloves bruited and macerated together in Rofe-water and vineger of Roles, fhall bee fufficient. A Uodula to fmell to. CHAP. XX. What Diet ougtht to bee obferved, andfirft of the choice of Meat. le order of Diet in a peftilent difeaf ought to bee cooling and drying; not flen- der,but fomwhat full;Becauf by thiskinde of difeaf there commeth wafteing of the fpirits,and exfolution of the faculties , which inferreth often fwounding, therefore that lofs muft bee repaired as foon as may bee with more quantitieof meats that are of eafie concoftion and digeftion.Therefore I never law anie bee- ; ing infefted with the peftilence that kept a (lender diet, that recovered his health,but died 5 and few that had a good ftomach, and fed well,died. Sweet, grofs, moift and clammie meats, and thofe which are altogether, and exquifitely of fubtil parts, are to bee avoided; for the Tweet do ealily take fire, and are foon inflamed 5 the moift will putrefie;the grofs and clammie oftftruft, and therefore engender putrefaftionj thofe meats that are fubtil parts, over-much attenuate the humors, and inflame them 5 and do ftir up hot and fliarp vapors into the brain, whereof commeth a Fever. Therefore wee muft efchew Garlick and Onions, Muftard, faltedaud fpiced Meats, andallkindeofPulf muft alfo bee avoided, becauf they engender grofs windes,which are the autors of obftrufti- on: but the decoftion of them is not alwaies to bee refuted, becauf it a provoker of urine. Therefore let this bee their order of diet : let their bread bee of Wheat or Barlie, well wrought, well leavened and falted, neither too new, nor too ftale: let them bee fed with fuch meat as may bee eafily concoftedanddigefted, and may engender much laudable juice, and verie little excremental, as are the flefh of Wether-Lambs, Kids, Leverets, Pullets, Par- tridges, Pigeons, Thrufhes, Larks, Quails, Black-Birds, Turtle- Doves, Moor-Hens, Phe- fants,and fuch like 5 avoiding water-Fowls. Let the flefh bee moiftned in Ver-juice of un- ripe Grapes, Vineger, or the juice of Limmons, Oranges, Citrons, tart-Pomgranats, Bar- berries, Goof-berries,or red Currance, or of garden and wildc-forrel: for all thefe fbwr things are verie wholfom in this kinde of difeaf, for they do ftir up the appetite, relift the venemous qualitie and putrefaftion of the humors, reftrain the heat of the Fever, and pro- hibit the corruption of the meats in the ftomach. Although that thofe that have a more weak ftomach, and are endued with a more exaft fenG and are fubjeft to the Cough and difeafes of the Lungs,muft not ufe thefe, unlefs they bee mixed with Sugar and Cinnamon. If the patient at anie time bee fed with fodden meats, let the brothesbee made with Let- tuce,Purflain,Succorie,Borage, Sorrel, Hops, Buglofs: Crefles,Burnet, Marigolds, Chervil, the cooling Seeds, French-Barlie and Oat-meal, with a little Saffron, for Saffron doth en- gender maniefpirits, and refifteth poifon. To thefe opening roots may bee added toa- void obftruftionjyet much broth muft bee refilled by reafbn of moifture.The fruit of Capers eaten at the beginning of the Meal provoke the appetite, and prohibit obftruftionsjbut they ought not to bee feafoned with over-much oil and fait,that they may alfo with good fiiccefs bee put into broths. Fifties are altogether to bee avoided, becauf they foon corrupt in the Stomach: but if the patient bee delighted with them, thofe that live in ftonie places muft beechofenj that is to fay,thofe that live in pure and fandie water,and about rocks and ftones,as are Trouts,Pikes, Pearches, Gudgeons andCrevifes boiled in milk, Wilks,and fuch like.And concerning Sea- fifh,he may bee fed with Gilthead«,Gurnarts,with all the kindes of Cod-fifh/Whiteings not feafoned withfalt,andTurbuts. Eggs Why fuch as have the plague may feed more fully. Pulfmuft bee fhannede The manner of Diet. Lib.zi.- Concerning the Tlagtie. 553 Eggs potched and eaten with the juice of Sorrel, are verie good. Likewife Barlie-water feafoned with the grains of a tart Pomgranat ,and it the Fever bee vehement, with the feeds of white Poppie. Such barlie-water is ealie to bed concofted and digefted,it c leanfeth great- ly, and moiften's and mollifieth thebellie. But in fom it procures an appetite to vomit,and pain of the head, and thole muft abftain from it. But in head of Barlie-water they may ufe pap, and bread crammed in the decodion of a Capon. For the fecond let him have railins of the Sun newly fodden in Rofe-waterwith 1 Sugar,fowr Damask-Prunes, tart Cherries, Pippins and Katharine-Pears: < And in the later end of the Meal, Quinces rolled in the embers, Marmalate of Quinces, I and conjervs of Buglofs or of Rofes, and fiich like, may bee taken : or elf this powder t following. Take of Coriander-feeds prepared, two drams: of Pearl, Rofe-Ieavs, (haveings of Hartf- horn and Ivorie, of each half a dram3 of Amber, two fcruples 5 of Cinnamon one fcruple 5 of Unicorn's horn, and the bone in a Stagg's heart, of each half a fcruple 5 of Sugar of Ro- les, four ounces : make thereof a powder, and ufe it after meats. If the patient bee fomwhatweak,hee mult beefed with Gellie made of the flefh of aCa- pon, and Veal fodden together in the water of Sorrel, Carduus Benedict™, with a little quan- ofRofe-vineger, Cinnamon, Sugar, and other fiich like, as the prefent neceflitie (hall feem to require. In the night feafbn for all events and mifchances, the patient muft have readie-prepared broth of meats of good digeftion,with a little of the juice of Citrons or Pomgranats. This reftaurative that followeth may ferv for all. T ake of the confers of Buglofs,Borage, * Violets, Water-lillie, and Succorie, of each two ounces 5 of the powder of the Eleftuarie' Diamargaritum frigidum,of the Trochifces of Camphir,ofeach three drams 3 of Citron-feeds, CarduM-feeds, Sorrel-feeds, the roots oBDifiamnw, Tormentil,, of each two drams 3 of the broth of a young Capon,made with Lettuce,Purflain, Buglofs and Borage boiled in it, fix pintes 3 put them in a Limbeck of glafs with the flefh of two Pullets, of lb manic Partridges, and with fifteen leavs of pure Gold: make thereof a diftillation over afbftfire. Then take ofthediftilled liquor, half a pinte, (train it through a woollen bag, with two ounces of white Sugar, and halfa dram of Cinnamon : Let the patient ufe this when hee is thirftie. Or elf put the flefh of one old Capon,and of a leg of Veal, two minced Partridges, and two drams of whole Cinnamon without anie liquor, in a Limbeck of glafs,well luted and cove- red, and fo let them boil in Balneo Mari# unto the perfeft conco&ion. For fo the flefhes will bee boiled in their own juice, without anie hurt of the fire 3 then let the juice bee pref- fed out there-hence with a Prefs:give the patient for everie dofe,one ounce of the juice with fom cordial waters, fomTrifantalum, and Diamargaritum frigidum. The prefer vs of fweet fruits are to bee avoided, becaufthat fweet things turn into choler but the confeftion of tart prunes, Cherries, and fiich like may bee fitly ufed. But becauf there is no kinde of ficknefs that fo weaken's the ftrength,as the plague 3 it is alwaies necef- farie, but yet fparingly and often, to feed the patient, Hill haveing refpeft unto his cuftom, age, the region, and the time : for through emptinefs there is great danger, left that the ve- nemous matter that is driv'n out to the fuperficiall parts of the bodie, fhould bee called back into the inward parts, by an hungrieftomach, and the ftomach it felf fhould be filled with cholerick, hot, thin, and (harp excremental humors, whereof commeth biteing of the fto- mach,and gripeings in the guts. For the fecond courf. in the end of he A reftaurative irink. CHAP. VII. What drinkjhepatient infetted ought to ufe. F the fever bee great and burning, the patient muft abftain from wine, unleft that hee bee fiibjeft to (wounding : and hee may drink the Oxymel follow- ing in head thereof. Take of fair water, three quarts; wherein boil four ounces,ofhonie un- till the third part beeconfiimed, fcumming it continually 5 then ftrajn it, and put it into a clean veflel, and add thereto four ounces of vineger, and as much cinnamon as will fuffice to give it a taft. Or elf a fugred water, as followeth. Take two quarts of fair waterjof hard (ugar,fix ouncesjof cinnamon,two ouncesjftrain it through a woollen bag or cloth without anie boiling 5 and when the patient will uft it, put there- to a little of the juice of Citrons. The fyrup of the juice of Citrons excelleth amongft all others that are ufed againft the peftilence. The u(e of the Jul ip following is alfb verie wholfom. Take of the juice of Sorrel well clarified,half a juice of Lettuce fo clarified, four ounces 5 of the beft hard fugar, one poundjboil them together to a perfe&iomthen let them be (trained & clarified,adding a little before the end a little vineger,and fo let it be ufed between meals with boiled water,or with equal portions of the water of Sorrel, Lettuce, Scabious and Buglofs: or take of this former AnOxynula A Julip, Concerning the Tlague Lib.zx. 554 mer defcribed Julip brained and clarified four ounces; let it bee mixed with one pound of the fore-named cordial waters, and boil them together a little. And when they are taken from the fire, put thereto of yellow Sanders one dram; of beaten Cinnamon half a dram; brain it through a cloth: when it is cold,let it bee given the patient to drink with the juice of Citrons* Thofe that have been accuftomed to drink fider,perrie,beer or ale,ought to ufe that drink bill, fo that it it bee clear, tranfparent,and thin, and made of thofe fruits that are fomwhat tart; for troubled and dreggilh drink doth not onely engender grofs humors, but alfo cru- dities, windinefs, and obbruftions of the firb region of thebodie, whereof com's a fever. Oxycrate beeing given in manner following, doth aflwage the heat of the fever, and re- prefs the putrefaction of the humors, and the fiercenefs of the venom, and alfo expelleth the water through the veins, if fo bee that the patients are not troubled with /pitting of blood, cough, y.exing, and altogether weak of bomach: for fuch mub avoid tart things. Take of fair water, one quart; of white or red vineger three ounces; of fine fugar,four ounces; of fyrup of Rofes, two ounces: boil them a little, and then give the patient there- of to drink. Or take of the juice of Limons and Citrons, of each half an ounce; of the juice of fowr Pomgranats,two ounces; of the water of Sorrel and Rofes, of each an ounce; of fair water boiled, as much as fhall fiiffice: make thereof a Julip, and ufe it between meals. Or take the fyrup of Limmons and of red entrance, of each one ounce; of the water of lil- lies, four ounces; of fair water boiled, half a pinte; make thereof a Julip. Or take of the fyrups of water-Lillies and vineger, of each half and ounce; diflolv it in five ounces of the water of Sorrel; of fair water one pinte: make thereof a Julip. But if the patient bee young,and have a brong and good bomach, and cholerick by nature, I think it not unmeet for him to drink a full & large draught of fountain-water cold;for that iseffeftual to rebrain and quench the heat of the Fever; and contrariwife, they that drink cold water often, and a verie fmall quafititie at a time, as the Smith doth fprinkle water on the fire at his Forge,do increafthe heat and burning, and thereby make it endure the longer. Therefore by the judgment of Celfus, when the difeaf is in the chief increaf, and the patient hath endured thirb for the fpace of three or four daies,cold water muft bee given unto him in great quantitie,fo that hee may drink pah his fatietie, that when his bellie and bomach are filled beyond meafure, and fufficiently cooled,hee may vomit. Som do not drink fo much thereof as may cauf them to vomit, but do drink even unto fatietie, and fo ufe it for a cooling medicine; but when either of thefe is don, the patient muft bee covered with manie cloaths,and fo placed that hee may fleep;and for the mob part after long thirb and watching, and after long fulnefs, and long,and great heat, found deep commeth; by which great fweat is fent out,and that is a prefent help. But thirb mub fomtimes bee quenched with little pieces of Melons, Gourds, Cucumbers, with the leav's of Lettuce, Sorrel,and Purllain,mademoib or foaked in cold watet,or with a little fquare piece of a Citron,Limmon, or Orange macerated in Rofe-water, and fprink- led with Sugar, and fo held in the mouth, and then changed. But if the patient bee aged, his brength weak, flegmatick by nature, and giv'n to wine, when the bate of the Fever is fomwhat pah, and the chief heat beginning to aflwage, hee may drink wine verie much allayed at his meat; for to reftore his brength, and to fupplie the want of the wabed fpirits. The patient ought not by anie means to fuffer great thirb,but mub mitigate it by drinking, or elf allay it by walking his mouth with oxycrate and fuch likejand hee may therein allbwaflihis hands and his face,for that doth recreate the brength. if the flux or lask trouble him, hee may verie well ufe to drink Reeled water, and alfo boiled milk, wherein manie Rones comming red hot out of the fire have been manie times quench- ed. For the drinefs and roughnefs of the mouth, it is verie good to have a cooling, moi- Rening & lenifying lotion of the mucilaginous water of the infufion of the feeds of Quin- ces, f/iliutn, id eft, Flea-wurt, adding thereto a little Campbir , with the Water of Plantain and Rofes; then cleanf and wipe outthefilth,and then moiflen the mouth,by holding there- in a little oil of fweat Almonds mixed with a little fyrup of Violets. If the roughnefs breed or degenerate into ulcers, they muft bee touched with the water of the infufion of [ub- Innate, or Aquafortis. But becaufwee have formerly made frequent mention of drinking of water, I have here thought good to fpeak fomwhat of the choice and goodnefs of waters. The choice of wa- ters is not to bee neglefted, becaufa great part of our diet depend's thereon ; for befides that wee ufe it either alone, or mixed with wine for drink, Wee alfo knead bread, boil meat,and make broths therewith* Manie think that rain-water which falls in fummer, and is kept in a ciRern well placed and made, is the wholefomefl of all. Then next thereto they judge that fpring water which nm's out of the tops oftnountains,through rocks, cliffs & Rones: in the third place they put Well-water , or that which rifeth from the foots of hils. Alfo the river-watet is good that is taken out of the mid'R or bream. Lake or pond-water is the worb, efpecially if it band bill for fuch is fruitfull of and bored with manie venemous creatures, as Snakes, Toads, and the like. That which com's by the melting The commo- dities of oxy- crate. To whom hurtfull. The drinking of cold water to whom and when profita- ble. Lib. 3.cap, 7. For drienefs or roughnefs of the mouth For the Ulcers thereof. The choice of waters. Lib.zi. Concerning (PoiJons) 555 melting of Snow and Ice is verie ill,by reafbn of the too refrigerateing facultie and earthlie nature. But of fpring and Well-waters thele are to bee judged the bell, which areinfipid, without fmell, and colours fiich as are clear, warmilh in winter,and cold in fummer, which are quickly hot,and quickly cold5that is,which are moft lighten which all manner ofpulG - turnips, and the like, are eafily and quickly boiled. Laftly, when as fuch as ufiially drink1 thereof, have clear voices and Ihrill, their chefts found, andalivelie andfrefh colour in their faces. aphtr. z6. CHAP. XXII. Of Antidotes to bee ufed in the Plague. Ow wee muft treat of the proper cure of this difeaf, which muft bee ufed as foon as may bee poflible, becauf this kindeof poifon in fwiftnefs exccedeth the celeritie of the medicine. Therefore it is better to err in this, that you ffiould think everie difeaf to bee peftilent in a peftilent feafon, and to cure it as the Peftilence : becauf that fo long as the air is polluted with the feeds of the Peftilence, the humors in the bodie are foon infefted with the vicinitie of fuch an air, fo that then there happeneth no difeaf void of the Peftilence, that is to fay, which is not peftilent from the beginning by his own nature, or which is not made peftilent. Manie begin the cure with blooddetting, lorn with purgeingj and fom with Antidotes. Wee, takeing a conlideration of the fubftance of that part that is aflaulted, firft of all begin the cure with an Antidote ; becaufthat by its fpecifick propertie , it defends the heart from poifon, as much as it is offended therewith. Although there are allo other Antidotes which preferv and keep the heart and the patient from the danger ofPoilbnand the Peftilence,not onely becauf they do infringe the power of the poifon in their whole fubftance,but allo be- cauf they drive and expel it out of all the bodie by (weat, vomiting, feouring, and fuch o- ther kindes of evacuations. The Antidote muft bee give'n in fuch a quantitie as may bee diffident to overcom the poi- fbn ; but becauf it is not good to ufe it in greater quantitie then needeth, left it fliould o- verthrow our nature, for whole prefervation onely it is ufed 5 therefore that which cannot bee taken together at once, muft bee taken at feveral times, that fom portion thereof may daily bee ufed fo long, untill all the accidents,effefts and impreflions of the poifon beepaft; and that there bee nothing to bee feared. Som ofthofe Antidotes confift of portions of ve- nemous things, beeing tempered together, and mixed in an apt proportion with other me- dicines, whofe power is contrarie to the venom : as Treacle , which hath for an ingredient the fleffi of Vipers, that it beeing thereto mixed may fervas a guide to bring all the Antidote unto the place where the venenate malignitie hath made the chief impreflion 5 becauf by the fimilitude of nature and lympathie, one poifon is foddenly (hatched and carried into ano- ther. There are other abfolutely poifonous 5 which neverthelefs are Antidotes one unto another: as a Scorpion himfelf cureth the pricks of a Scorpion. But Treacle and. Mithridate excel all other Antidotes: for by ftrengthening the nobleft part, and the manfton of life, they repair and recreate the wafted Spirits, and overcom the poifon, not onely beeing taken inwardly, but alfo applied outwardly to the region of the heart, Botches and Carbuncles : for by an hidden propertie they draw the poi- fons unto them, as Amber doth Chaff, and digeft it when it is drawn, and (poil and rob it of all its deadlie force, as it is declared at large by Galent in his book de 'Iberiaca ad Pifonem, by moft true reafons and experiments. But you will fay that thefe things are hot, and that the plague is often accompanied with a burning fever.But thereto I antwer, there isnotfo great danger in the fever,as in the peftilence, although in the giveing of Treacle, I would not altogether feemto negleft the fever,but think it good to minifter or applie it mixed with cordial-cooling medicines, as with the Trochifces of Camphir, fyrup ofLimmons, of wa- ter-Lillies, the water of Sorrel, and {fuch like. And for the fame cauf wee ought not to chufe old Treacle, but that which is of a middle age, as of one or two years old: to thofe that are ftrong, you may give half a dram 5 and to thofe that are more weak, a dram. The patient ought to walk prefently after hee hath taken Treacle, Mithridate, or anie other Antidote; but yet as moderately as hee can: not like unto manie, which when they perceiv themfelvs ro bee infe&ed, do not ceafto courf and runup and down, until they have no ftrength to foftain their bodies j for fo they diffolv nature, fo that it cannot fuffice to o- vercomthe contagion. After moderate walking, the patient muft bee put warm to bed, and covered with manie cloaths, and warm brick-bats or tiles applied to the foies of his feet 5 or in ftead thereof you may ufe fwines bladders filled with hot water, and applie them to the groins and arm-holes, to provoke fweat: for fweating in this difeaf is a moft excellent re- medie, both for to evacuate the humors in the fever, and alfo to drive forth the malignitie in the peftilence, although everie . fweat brings not fo rth the fruit qf health. For George Agricolt The begin- ■ ning of the cure muft bee by Antidotes. In what quan- titie they muft bee taken. Why poifon- ous things are put into Anti** dotes. Soin poifons Antidotes to other-fom. How to walk after the take- ingofan An- tidete. 556 Qoncerning theTlague. LlB.22,- Agricola faith, that hee faw a woman at Mifnia in Germanic, that did (weat fo for the ipace of three daies, that the blood came forth at her head and bread, and yet neverthelefs (hee died. -7 This potion following will provoke (weat. Take the roots of China (haved in thin pree- ces one ounce and half; of Guaicum two ounces; of the bark of Tamarisk one ounce 5 of Angelica-roots two drams;of the (havings of Hartfi-horn one ounce;of Juniper-berries three drams ; put them into a vial of glafs that will contain fix quarts, put thereto four quarts of running or river-water that is pure and clear, macerate them for the fpace of one whole night on the aflies: and in the morning boil them all in Balneo Mari#, until! the half bee confumed, which will bee don in the (pace of fix hours ; then let them bee (trained through a bag, and then (trained again, but let that bee with fix ounces of fugar of Roles, and a little T reacle: let the patient take eight ounces or fewer of that liquor,and it will provoke fweat. The powder following is al(b verie profitable. Take of the leav's of Dittamnuf , the roots of Tormentil, Betonie, of each half an ounce 5 of Bole-Armenick prepared one ounce; of Terr a Sigi Hat a three drams; of Aloes and My rrh,of each half a dram; of Saffron one dram; of Maftich two drams: powder them all according to art, and give one dram thereof dif- folved in Role-water, or the water of wilde-forrel, and let the patient walk fo (bon as hee hath taken that powder; then let him bee laid in his bed to fweat as I have (hewed before. The water following is greatly commended againft poifon. Take the roots of Gentian . and Cyperut) of each three drams; of Carduus benedittus, Burnet, of each one handful; of Sor- rel-feeds andDivels-bit,ofeach two pugils; of Ivie and Juniper-berries, of each half an ounce; of the flowers of Buglofs,Violets,and red-Rofes, of each two pugils: powder them (bmwhat grofly;then foak or fteep them for a night in white wine and Rofe-water:then add thereto of Bole-Armenick one ounce; of Treacle half an ounce;diftill them all in Balneo Ma- ri#, and keep the diflilled liquor in a vial of glafs well covered or clofe flopped for your ufe: let the patient tak fix ounces thereof with Sugar and a little Cinnamon and Saffron: then let him walk, and then fweat asisaforefaid:the treacle and cordial-water formerly pre- feribed, are verie profitble for this purpofe. Alibthe the water following is greatly com- mended. Take of Sorrel fix hand-fuls;of Rue one handful: drie them and macerate them in vineger for the (pace of four and twentie hours,adding thereto four ounces of T reacleimake thereof a diftillation in Balneo Mari#, and let the diflilled water bee kept for your ufe; and Co Coon as the patient doth think himfelf to bee infe&ed; let him take four ounces of that o liquor, then lerhim walk and fweat. Hee muft leav fweating when hee beginneth to wax faint and weak; or wh<m the humor that run's down his bodie bcgin's to wax cold, then his bodie muft bee wiped with warm cioaths, and dried. The patient ought not to fweat with a full ftomach; tor (b the heat is called away from performing the office of concoftion: alfo hee muft not deep when hee is in his fweat; left the malignitie go inwardly with the heat and fpir its unto the principal parts : but if the patient bee much inclined to deep, hee muft bee kept from it with hard rubbing, and bands tied about the extreme parts of his bo- die,and with much noifofthofe that are about him, and let his friends comfort him with the good hope that they have of his recoverie; but if all this will not keep him from deep, diflblv Caftoreum in tart vineger, vit#, and let it bee injected into his noftrils : and Jet him bee kept continually wakeing the firft day, and on the fecond and third, even unto the fourth; that is to (ay, unto the perfeft expulfion of the venom; and let him not deep a- bove three or four hours on a daie and a night- In the mean time let the Phyfician that (hall bee prefent confider all things by his ftrength: for it is to bee feared, that great watchings will diffolv the ftrength, and make the patient weak: you muft not let him eat within three hours after his fweating; in the mean feafon, as his ftrength (hall require, let him take the rinde of a preferred Citron, conferw of Rofes, bread tofted and fteeped in wine, the meat of preserved Myrabolane, or (dm fuch like thing. A fudorifick potion. A fudorifick powder. A diftilled wa- ter againft the Plague. Another. What mean to bee ufed in fweating. CHAP. XXIII. Of Epithems to bee ufedfor tbe ftrengthening of the principal parts. Whereof they muft beemade. Here are alfb fom topick medicines to bee reckoned amongft Antidotes, which muft bee outwardly applied asfpeedilyasmay bee, as cordial and hepatick Epi- thems for the fafetie of the noble parts, and ftrengthening of the faculties, as thole that drive the venenate air far from the bowels : they may bee made of cordial things not onely hot, but allo cold, that they may temper the heat, and more powerfully rcperculs. They muft bee applied warm with fcarlet, or a double linnen cloth, or a foft fpunge dipped in them, if fo bee that a Carbuncle do not pof- fefs the regions of the moft noble parts ; for it is not fit to ufe repercuflives to a Carbuncle. You may make Epithems after the following forms; R. aquar. rof. tlantag. & folan. an. Jiv. aqu<e acetof. vini granat. & aceti, an. Jiii. fantal. rub. & coral, rub. tberiac. vet. fj?. croci Ji. cariofb. mifce,fiat efitbeina. Or elf, R.aqu. rof. & flantag. an%x. / aceti Repercuflives not fit to bee applied to Carbuncles* LlB.ZZ. Concerning the 557 acet, caryopb.[ant. rub. coraLrub.pulverij.pul.diamargarit. frigid. an, 3$. caphura mofcbi aji. Qi.fiat epitbema. Or, R. aquar. rofar. &meliffa an- |iv. aceti rof. Jiii. caryopbil. 3$. croco 9ii« caphurt 9i. boli arm. terra figil, & zedoar. an. fiat epitbema. Orel!, R. aceti rof. & aqua rofat.an. capbua 3p. tberiac. & fiat epitbema. Or elf, aqu. rofar. ne- nupb. buglof. acetofe, aceti rofar. an.fk-fi.fant. rub.rof. rub.an.%iii.flor. nenupb. violar- capbur. anzfi. metbridat. & tberiac terantur& mifceanturfimul omnia. When you intend to u(e them, take fom portion of them in a veflel by itsfelf3 wherewith let the affe&ed bowel bee fo- mented warm. . . . CHAP. XXIV. Whether purgeing and blood-letting bee neceffariein the beginning of peftilent difeafet. O foon as the heart is ftrengthened and corroborated with cordialsand antidotes, wee muft com to phlebotomie and purgeing. As concerning blood-letting in this cate there is a great controverfie among Phyficians. Thole that with it to , bee tiled, lay or affirm that the peftilent Fever doth infix it felf in the blood, and therein alfo the peftilent malignitie taketh its feat; and therefore it will foon infeft the o- ther humors, unlefs that the blood bee evacuated, and the infeftion that remaineth in the blood bee thereby taken away. Contrariwile, thole that do not allow phlebotomie in this cafe, alledg, that it often commeth to pals that the blood is void of malignitie when the o- ther humors are infefted with the venemous contagion. If anie man require my judgment in this doubtful queftion, I lay, that the peftilence fomtimes doth depend on the default of the Air : this default beeing drawn through the palfages of the bodie, doth at length pierce unto the intrails,as weemay underftand by the abfcefles which break out one while behinde . the ears, fomtimes in the arm-holes, and fomtimes in the groins, as the brain, heart or liver < are infefted. And hereof alfo com Carbuncles, and other colle&ions of matter, and erupti- ons, which are leen in all parts of the bodie; byreafon that nature ufeing the ftrength of the expulfive facultie, doth drive forth whatfoever is noilbm or hurtful. Therefore if the Phyfician will follow this motion ofnature, hee muft neither purge nor let blood, left that by a contrarie motion, that is, by drawing in from without, the motion of nature which proceeds outwardly from within, ffiould bee troubled. So wee often fee in thofe who are purged or let blood for luch Buboes as com through unlawful copulation, that the matter is thereby made contumacious, and by drawing it inwardly, it Ipeedily caulfeth the French Pocks. Wherefore, when Buboes, Carbuncles,and other peftilent eruption appear, which com through the default of the air, wee oug tto abftain from purgeing and phlebotomie; but it islufficient to tore-arm the heart inwardly and outwardly with Antidotes that are endued with a proper virtue of refilling the poifon. For it is not to bee doubted, but that when na- ture is debilitated with both kindes of evacuation, and when the Ipirits together with the blood are exhaufted, the venemous air will loon pierce,and bee received into theemptie bo- die,where it exercileth its tyrannic to the utter deftruftion thereof. In the year of ourLord God 15 66. in which yearthere was greaat mortalitie throughout all France, by reafon of the peftilence and peftilent difeafes, I earneftly and diligently in- quired of all the Phyficians and Chyrurgians of all the Cittiesf through which King Cbarls the Ninth pafled in his progrefs unto Bayon) what fiiccefs their patient had after they were let blood and purged; whereunto they all anfwered alike, that they had diligently obferved, that all that were infe&ed with the Peftilence, and were lett bleed 1'om quantitie of blood,or had their bodies lomwhat ftrongly purged, thenceforwards waxed and weaker, and lb at length died 5 but others which were not let blood nor purged, but took cordial Antidotes inwardly, and applied them outwardly,for the moft part elcaped and recovered their health: for that kinde of Peftilence took its original of the primitive and folitarie default of the Air, and not of the corruption of the humors. The like event was noted in the hoarfnefs that wee fpake of before: that is to lay,that the, patients waxed worfand worfby purgeing and phlebotomie; but yet I do not difallow ei- ■ ther of thole remedies, if there bee great fulnefs in the bodie, efpecially in the beginning, 1 and if the matter have a cruel violence, whereof may bee feared the breaking in unto lorn noble part. For wee know that it is confirmed by Hippocrates, that what dileaf foever is caufled by repletion, muft bee cured by evacuation; and that in difeafes that are verie ffiarp, if the matter do (well, it ought to be remedied the lame day, for delaie in luch difeafes is dangerous; but luch difeafes are not caufled or infifted upon man's bodie by reafon, or occafion of the peftilence, but of the dileafed bodies, and difeafes t he mfel vs corn- mixed together with the peftilence : therefore then peradventure it is lawful to purge ftrongly, and to let a good quantitie of blood, left that the peftilent venom ffiould take hold of the matter that is prepared, and fo infeft it with a contagion, whereby the peftilence Bbb taketh Reafons for and againft blood-letting in rhe Plague. The compo- fing of this controverfie An hiftorie. When purging md bleeding maybeeufed. Aph.iz.feti.i. Apb.io.fift.4, Concerning the Tlague. 558 LlB.Zj,; taketh new and for greater ftrength ; especially asCtlfus admonilheth us, where heefaith, that, by how much the fooner thole ftidden invafions do happen, by fo much thefooner remedies muft bee ufed, yea or rather raflily applied; therefore if the veins fwell, the face wax fieriered; if the arteries of the temples beat ftrongly; if the patient can verie hardly breath by reafon of a weight in his ftomach; if his fpittle bee bloodie; then ought hee to bee let blood without delaie,for the caufles before-mentioned. It feem's beft to open the Li- k z/er-vein on the left arm, whereby the heart and fpleen may bee better difeharged of their a- 1 bundant matter; yet blood-letting is not good at all times, for it is not expedient when the bodie beginneth to wax ftiff by reafon of the comming of a Fever;for then by drawing back the heat andfpirits inwardly, the outward parts bpeing deftitute of blood, wax ftiff and cold, therefore blood cannot bee letten then without great tofs of the ftrength, and perturbation of the humors. And it is to bee noted, that when thofe plethorick caufes are prelent, there is one Indication of blood-letting in a fimple peftilent Fever, and another in that which hath a Bubo, id eft, a Botch or a Carbuncle joined therewith. For in one or both of thefe, beeing joined with a vehement and ftrong burning Fever, blood muft bee letten by open- ing the vein that is neareft unto the tumor or fwelling againft nature, keeping the ftraight- that this beeing open, the blood might bee drawn more direftly from the part affefted; for all and everie retra&ion of putrefied blood unto the noble parts, is to bee avoided, becauf it is noifom and hurtful to nature, and to the patient. Therefore, for ex- ample lake, admit the patient bee plethorick by repletion ; which is called AdVafa, id eft, unto the Veffels, and Ad Vires, id eftt unto the Strength : and therewithal hee hath a tumor that is peftilent in the parts belonging unto head or neck; the blood muft bee let out of the cephalick or median vein, or out of one of their branches difperfed in the arm on the grie- ved lide.But if through occafion of fat, or anie other fiich like cauf, thole veins do not ap- pear in the arm, there bee fom that give counlel in fuch a cafe to open the vein that is be- tween the fore-finger and the thumb, the hand beeing put into warm water, whereby that vein may fwell'and bee filled with blood gathered thither by means of the heat. If the tumor bee under the arm-hole, or about thole places, the liv er- vein, or the median muft bee opened which runneth along'ft the hand: if it bee in the groin, the vein of the hamm, or Sapbena, or anie other vein above the foot that appeareth well, but alwaies on the grieved fide. And phlebotomie muft bee performed before the third daie : for this dileaf is of the kinde or nature of (harp difeafes; becauf that within four and twentie hours it run- neth paft help. In letting of blood you muft have confideration of the ftrength. You may perceiv that the patient is readie to (wound, when that his forehead waxeth moift, with a (mall fweat fuddenly arifeing, by the akeing or pain at the ftomach, with an appetite to vo- mit, and defire to go to ftool, gapeing, blacknels of the lips, and liidden alteration of the face unto palenels: and laftly moft certainly by a filial! and flow pulf : and then you muft lay your finger on the vein, and ftop it until the patient com to himlelf again, either by na- ture, or elfreftored by art; that is to fay, by giveingunto him bread dipped in wine, or a- nie other fuch like thing: then if you have not taken blood enough,you muft let it go again, and bleed fo much asthegreatnefs of the dileaf, or the ftrength of the patient will permit or require: which beeing don fom of the Antidotes that are prefcribed before will bee verie profitable ro bee drunk, which may repair the ftrength , and infringe the force of the malignitie. Why blood muft bee let on the left arm in the Plague. CHAP. XXV. Ofpurgeing medicines in a Peftilent difeaf. What purges fit in the Plague. F you call to minde the proper indications , purgeing fhall feem neceflarie in this kinde of difeaf > and thatmuft bee prefcribed as the prefent cafe and ne- ceflitie requireth; rightly confidering that the difeaf is hidden, and doth re- quire medicines that may with all (peed drive out of the bodie the hurtful hu- mor wherein the noifbm qualitie doth lurk and is hidden; which medicines are divers by reafbn of the diverfitie of the kinde of the humor, and the condition or temperature of the patient. For this purpofe fix grains of Scammonie beaten into powder, or elf ten grains are commonly miniftred to the patient with one dram of Treacle. Alfopilsmay bee made in this form: Take of Treacle and Mithridate, of each one dramjof Sulphur vivum finely powdred half a dram?of Diagridium four grains:make there- of Pils.Or, take three drams of Aloesjof Myrrh and Saffron of each one dram; of white Hel- lebore and each four 9-make thereof a mafs with old treacle, and let the patir ent take four fcruples thereof for a dole,three hours before his pils may bee pro- fitably given to thofe that are weak. The antient Phyficians have greatly commended A- garick for this difeaf, becauf it doth draw the noifbm humors out of all the members: and Pili. Lib.zz. Concerning the'Plague. 559 and the virtues thereof are like unto thole of Treacle; for it is thought to ftrengthen the heart, and to draw out the malignitie by purgeing. To thole that are ftrong, the weight of two drams may bee given, and to thole that are more weak, half a dram. It is better to give theinfufionin adeco&ion, thcninfubftance; forbeeing elefted and prepared truly into Trochifces, it may bee called a divine kinde of medicine. Jntimonium is highly praifed by the experience of manie ; but becaufl know the ule there- of is condemned by thecouncel and decree of the School of Phyficians at Paris, I will here ceaf to fpeakof it. Thole medicines that cauf fweats are thought to excel all others, when the Peftilence commeth of the venemous Air; among whom the efficacie of that which followeth hath been prooved, to the great good of manie in that Peftilence which was lately throughout all Germanic, as Matthias Rodler Chancellor to Duke George the Count Palatine lignified unto mee by letters. They do take a bundle of Mugwurt, and of the alhes thereof after it is burn't, they make 2 a lee with four pintes of water; then they do let it over the fire,and boil it in a veflel of earth i well leaded, until the liquor bee confumed, theearthie dregs falling into the bottom like J unto fait, whereof they make Trochifces of the weight of a crown of gold : then they1 diflblv one or two of thefe Trochifces, according to the ftrcngth of the patient,in good Muskadine, and give it the patient to drink,and let him walk after that hee hath drunk it for the fpace of half an hour; then lay him in his bed, and there fweat him two or three hours, and then hee will vomit, and his bellie will bee looledas if hee had taken An- timonie; and fo they were all for the moft part cured, [efpecially all thole that took that, remedie betimes: and before the difeaf went to their heart; as I my felfhave prooved in 1dm that were lick at Paris, with moft happie luccels: Truely Mugwurt is highly commen- ded by the Antient Phyficians, beeing taken and applied inwardly or outwardly againft the biteings of venemous creatures; fo that it is not to bee doubted but that it hath great virtue againft the Peftilence. I have heard it moft certainly reported by Gilbert us Heroaldus phyfician of Mompilier, that eight ounces of the pickle of Anchovis,drunk at one draught,is a moft certain & approved re- medie againft the Peftilence, as hee and manie other have often found by experience For the Plague is no other thing but a verie great putrefaftion; for the corre&ion and amend- ment whereof,there is nothing more apt or fit then this pickle or fubftance of Anchovis,bee- ing melted by the Sun and force of the fait that is ftrewed thereon.There bee lorn which infule one dram of Walwurt-leed in white wine,and affirmthat it drunken wil perform the like ef- feft asAntimonie. Others diflblv a little weight of the feed of Kwe beeing bruifed inMuP kadine, with the quantitie of a bean of Treacle, and fo drink it. Others beat or bruifan handful of the leavs or tops of Broom in half a pinte of white wine,and fo give it to the pa- tient to drink, to cauf him to vomit, loof his bellie, and make him to Iweat. Truly thole that are wounded or bit with venemous beafts, If they binde broom above the wound, it will prohibit or hinder the venom from dilperfing it felf, or going anie further: therefore a drink made thereof will prohibit the venom from going anie nearer the heart. Som take of the root of Elecampane, Kermes-berries and broom; of the powder of Ivorie and Hartf-horn, of each half a dram: they do bruifand beat all thefe, and infule them for the fpace of four and twentie hours in white wine and aqua wit# on the warm embers,and then ftrain it, and give the patient three or four ounces thereof to drink; this provoke's fweat, and infjringeth the power of the poifons : and the potion following hath the fame virtue. Take good Muftard half an ounce ; of Treacle or Mithridate the weight of a bean; difi- folv them in white wine, and a little aqua wit#, and let the patient drink it, and fweat there- on with walking. You may alfo roft a great Onion made hollow, and filled with half a dram of Treacle and vineger under the embers; and then ftrain it, and mix the juice that is prefled out of it the water of Sorrel, Carduus Beneditfusi or anie other cordial thing,and withdteongjwine; and give the patient to drink thereof to provoke fweat, and to repel the malignitie. Or elf take as much Garlick as the quantitie of a big Nut; of Rue and Celan- dine, of each twentie leavs; bruifthem all in white wine and a little aqua wit# then ftrain it, and give the patient thereof to drink. There bee fom that do drink the juice that is pref- fed out ofCelandine and Mallows, with three ounces of Vineger,and half an ounce of the oil of Wall-nuts,and then by much walking do unburthen their ftomach and bellie upwards and downwards, and fo are helped. When the venemous air hath already crept into and in- feftcd the humors,one dram of the dried leavs of the Bay-tree macerated for the fpace of two daies in Vineger and drunk, is thought to bee a moft foveraign medicine to provoke fweat, loofhefs of the bellie, and vomiting. Matthiolus inhisTreatifede Morbogallico writeth, that the powder of Mercurie miniftred unto the patient with the juice of Carduus Benedicts, or with the Ele&uarie de Gentmis, will drive away the peftilence before it bee confirmed in the bodie, by provokeing vomit, loof- Bbb 2 nefs An effe&ual (udorifick and alfo purgeing medicine. The virtues of Mugwurt. VideRondtltt, Lib.j.defif.c3, A Potion* 560 Concerning the Flague. Lib.zz nets of the bellie and feat: one dram of Calchanthum or white Copperas diflblved in Rofe-water, petformeth thelikeeffeftin the fame difeaf. Som do give the patient a little quantitie of the oil of Scorpions with white wine to expel the poifbn by vomit, and there- withal they annoint the region of the heart, the breft and the wrifts of the hands. I think thefe verie meet to bee ufed often in bodies that are ftrong and well exercifed, becaufweaker medicines do evacuate little or nothing at all, but onely moov the humors, whereby com- meth a Fever. When a fufficient quantitie of the malignitie is evacuated, then you muft minifter things that may ftrengthen the bellie and ftomach, and with-hold the agitation or working of the humors: and fuch is the confe&ion of Alkermes. CHAP. XXVI. the malignitie bee carried into the brain, and nature bee not able to expel it,it inflame s not onely it, but alfo the membranes that cover it: which inflammation doth one while hurt, trouble,or abolifti the imagination-, another while thejudg- ment; and (bmtimes the memorie; according to the fituation of the inflammation, Whether it bee in the former,hinder,or middle part of the head;but hereof commeth alwaies aPhrenfie, withfierie rednefs of the eies and face and heavinefs and burning of the whole head. If this will not bee amended with Clyfters, and with opening the Cephalick vein in the arm, the arteries of the temples muft bee opened, takeingfo much blood out of them, as the greatnels of the Symptoms and the ftrength of the patient (hall require and permit. T ru- ly the incilion that is made in opening of an arterie will dole and join together as readily, f and with as little difficultie, as the incifion of a vein. And of fuch an incilion of an arterie, • commeth prefent help; by reafon that the tenlive and (harp vapors do plentifully breath out together with the arterious blood. It were alfo verie good to provoke a flux of blood at the nofe, if nature bee apt to exonerate herfelf that way. For as Hippocrates faith, when the head is grieved,or generally aketh,if matter ,water, orblood flow out at the noftrils,mouth, or ears, it prefently cure's thedifeaf. Such bleeding is to bee provoked by ftrong blowing, or ftriveingto cleanfthenofe, by icratching or picking of the inner fide of the noftrils, by pricking with an horf-hair,and long holding down of the head- The Lord of Fontains, a Knight of the Order, when wee were at Bay on, had a bleeding at the nofe, which came naturally for the fpace of two daies,and thereby hee was free'd of a pe- ftilent Fever which hee had before, a great fweat rifeing therewithal, andfhordy after his Carbuncles came to fuppuration, and by God's grace hee recovered his health beeing under my cure. If the blood do flow out and cannot bee flopped when it ought, the hands, arms, and legs muft bee tied with bands ; and fponges wet in Oxycrate muft bee put under the arm-holes, cupping-glafles muft bee applied unto the dugs, the region of the Liver and Spleen 5 and you muft put into the noftrils, thedounofthe willow-tree, or anie other a- ftringent medicine, incorporated with the hairs pluck't from the flank, bellie or throat of an Hare, Bole-Armcnick, ierra Sigillata, the juice of Plantane and Knot-grafs mixedtoge- ther; and furthermore the patient muft bee placed or laied in a cool place.But if the pain bee nothing mitigated notwithftanding all thefe fluxes of blood, wee muft com to medicines that procure deep, whole forms are thefe. Take of green Lettuce one handful 5 flowrs of water-Lillies and Violets, of each two pu- gils ; one head of white-Poppie bruifecfiof the four cold feeds,ofeach two drams; of Liquo- rice and Raifins, of each one dram: make thereof a decoftion, and in the (training dilfolv one ounce and a half of Viacodion: make thereof a large potion to bee given when they go to reft. Alfo Barlie-cream may bee prepared in the water of water-Lillies and of Sorrel, of each two ounces padding thereto fix or eight grains of Opium : of the four cold feeds, and of white-Poppie feeds, of each half an ounce; and let the lame bee boiled in broths with Lettuce and Purflain; alfo the pills de Cynogloffo, i. e. Hounds-tongue may bee given.Clyfters that provoke fleep muft bee tiled. which may bee thus prepared. T ake of Barlie-water half a pinte 5 oil of Violets and water-Lillies, of each two ounces; of the water of Plantain and Purflain, or rather of their juices, three ounces 5 ofCamphir (even grains,and the whites of three eggs:make thereof a Clyfter. The head muft bee fomen- ted with Rofe-vineger, the hair beeing firft (haven away, leaving a double cloth wet therein on the fame, and often renewed. Sheeps-lungs taken warm out of the bodies, may bee ap- plied to the head, as long as they are warm. Cupping-glafles with and without fcarification may bee applied to the neck and (houlder-blades. The arms and legs muft bee ftrongly bound, beeing firft well rubbed to divert the fharp vapors and humors from the head* Frontals may alfo bee made on this manner. Take of the oil of Roles and water-Lil- lies , of each two ounces; of the oil of Poppie half an ounce ; of Opium, one dram; of Rofe-vineger, one ounce; of Camphir half a dram; mix them together. Alfo Nodules may Ofmunie Symptoms which happen together with the Plague : andfirft of the pain of the head. The cauf of phrenfie in th Plague. The benefit of opening an ar- terie. 4pb.io.fett.6. An hiftorie. To ftay blee- ding. Medicines to procure fleep. Lib.zz. Concerning the 561 may bee made of the flowrs of Poppies, Henbane,water-Lillies,Mandrags beaten in Rote- water with a little Vineger, and a little Camphir , and let them bee often applied to the no- ftrils: for this purpote Cataplafms alfb may bee laid to the forehead. As, Take ofthe mu- cilage of the feeds of Pftlium»id eft, Flea-wurt, and Quince-feeds extra&ed in Rote-water, three ounces; of Barlie-meal four ounces; of the powder of Rote-leavs, the flowers ofwa- ter-Lillies and Violets, of each half an ounce; of the feeds of Poppies and Purflain,of each two ounces ; of the water and vineger of Rotes, of each three ounces: make thereof a Ca- taplafm, and applie it warm unto the head. Or take of the juice of Lettuce, water-Lillies, Henbane, Purflain, of each half a pinte; of Rote-leavs in powder, the teeds of Poppie, of each half an ounce; oil of Rotes three ounces; of vineger two ounces; of Barlie-meal as much as fhall faffice: make thereof a Cataplafm in the form of a liquid Pultis. When the heat of the head is mitigated by thefe medicines,and the inflammation of the brain aflwaged, wee mull com unto digefting and refolving fomentations, wich may difperf the matter of the vapors. But commonly in pain of the head, they do ufe to binde the forehead and hin- der part ofthe head verie ftrongly, which in this cate muft bee avoided. ACataplafm. CHAP. XXVII. Of the beat of the Kidnies. He heat of the Kidnies is tempered by annointing with unguent • refrigerant Galen newly made, adding thereto the whites of eggs well beaten, that to the oint- ment may keep moift the longer; let this liniment bee renewed everie quarter of an hour, wipeing away the reliques of the old. Or, R, aq. rof. tfc.p. fucci plant. alb. ovorum iv. olei rofacei, & nenupb. aceti tnifce ad ufum. When you have annointed the part, lay thereon the leavs of water-Lillies or the like hold herbs, and then prefently thereupon a double linnen cloth dipped in oxycrate and wrung out a- gain, and often changed ; the patient (hall not lie upon a fether-bed, but on a quilt fluffed with the chaff of Oats,or upon a Mat with manie doubled cloaths or Chamelet fpread there- on. To the region of the heart may in the mean time bee applied a refrigerateing and alexite- rial medicine,as this which followeth.R. wig. nenuphar ini, |ii. acet. rof. & aq-rof. an.ty. tberiac<e,$i. thefemelted and mixed together make a loft ointment, which fpred upon a fcarlet cloth m ay bee applied to the region of the heart. Or, R. tberiac# fucci citri acidi,& limonit,av 5P- coral.rub. &fem.rofar. capbur* & croci, 4tt.gra.iiii. let them bee all mixed together, and make an ointment or liniment. At the head of the patient as hee lie's in his bed, (hall bee fct an Ewr or cock with a bafin under it to receiv the water, which by dropping may refemble rain. Let the foies of the feet and palms of the hands bee gently fcratched, and the patient lie far from noi£ and fo at length hee may fall to fom reft. An ointment for the reins. Anointment for the heart. The noifof dropping; wa- ter draw s on fleep. CHAP. XXVIII. Oftbe Eruptions and Spot;, which commonly are called by the name of Purples and Tokens. He skin,in peftilent Fevers,is marked and variegated in divers places with fpots, like unto the biteings of Fleas or Gnats, which are not alwaies fimple,but ma- nie times arife in form like unto a grain of millet, The more fpots appear, the better it is for the patient: they are of divers colors according to the virulencie of the malignitie, and condition of the matter, as red, yellow,brown,violet or purple, blew and black. And becauf for the moft part they are of a purple color, therefore wee call them purples. Others call them LenticuLe j becauf they have the color and form of Lentiles. They are alfo called Ptfiliones,(i.') Butterflies; becauf they do fuddenly feiz or fall upon di vers regions of the bodie, like unto winged Butterflies; fomtimes the face, fom- times the arms and legs, and fomtimes all the whole bodie;oftentimes they do not onely af- feft the upper part of the skin, but go deeper into the flelh, (pecially when they proceed of matter that is grofs and aduft. They do fomtimes appear great and broad, affe&ing the whole arm, leg or face, like unto an Eryfyelas: to conclude, they are divers according to the varietie of the humor that offends in quantitie or qualitie. If they are of a purple or black color, with often fwounding, and fink in fuddenly out anie manifeft c au£ they fore-fhew death. The caufof the breaking out of thofe fpots, is the working or heat of the blood, by rea- fon of the crueltie of the venom received, or admitted. 1 hey often arife at the beginning of a peftilent Fever: manie times before the breaking out of the Sore,or Botch or Carbuncle, Bbb 3 and The differen- ces of the fpots in the Plague: Their levcral names,and the refons of them. When figns of death. 562 Qoncerning the <Plagm. Lib.zx. and manie times af ter : but then they fhew fo great a corruption of the humors in the bo- die, that ncithe r the fores nor carbuncles will fuffice to receiv them; and therefore they ap- pear as fore-runners of death. Somtimes they break out alone , without a botch or car- buncle,which if they bee red, and have no evil fymptoms joyned with them , they are not wont to proov deadlie: they appear,for the molt /art, on the third or fourth daie of the difeaf, and fomtimes later, and Ibmtimes they appear not before the patient bee dead; be- cauf the working or heat of the humors beeing the off-spring of putrefaftion, is not as yet reftrained and ceaftd Wherefore then principally the putrid heat, which is greateft a little before the death of the patient, drive's the excremental humors , which are the matter of the ipots unto the skin; or elf, becauf nature in the lafl conflift hath contended with fom greater endeavor then before (which is common to all things that arc readie to die) a little before the in- ftant time of death, the peftilent humor beeing prefently driven unto the skin and nature thus weakned by theft extreme conflifts falleth down proftrate, and is quite overthrown by the remnant of the matter. Why they fomtimes ap- pear after the death of the patient. CHAP. XXIX. Ou muft firft of all take heed , left you drive in the humor that is comming outwards with repercuflives : therefore beware of cold, all purgeing things, phlebotomie, and drowfie or found deeping. For all fuch things do draw the humors inwardly, and work contrarie to nature. But it is better to provoke the motion of nature outwardly, by applying of drawing medicines outward- ly , and miniftring medicines to provoke fweat inwardly j for.otherwife by repelling and flopping the matter of the eruptions, there will bee great danger, left the heart bee oppref- fed with the abundance of the venom flowing back; or elf by turning into the bellie, it in- feros a mortal bloodie flux : which difcommoditics that they may bee avoided, I have thought good to fit down this remedie,whofe eflicacie I have known and prooved manie times, and on divers perfons, when by reafbn of the weaknefs of the expulfive facultie, and the thicknefs of the skin, the matter of the fpots cannot break forth, but is conftrained to lurk under the skin, lifting it up into bunches and knobs. I was brought unto the invention of this remedie, by comparifon of the like.For when 1 underftood, that the eflence of the French pocks (and Jikewife of the peftilence) confifted in a certain hidden virulencie, and venemous qualitie,! foon defcended unto that opinion,that even as by the annointing of the bodie with the unguent compounded of Quick-(liver, the grofs and clammie humors which are fixed in the bones, and unmoovable, are diffolved, relaxed, and drawn from the center into the fuperficial parts of the bodie, by ftreng- thening and birring up the expulfive facultie, and evacuated by fweating and fluxing at the mouth; that fo it fliould com to pals inpeftilent fevers, that nature beeing ftrengthened with the lame kinde of unftion, might unload her felf of fom portion of the venemous and peftilent humor, by opening the pores and palfages, and letting it break forth into fpots and puftles, and into all kinde of eruptions. Therefore I have annointed manie in whom nature leemed to make paflage for the venemous matter verie (lowly, firft looting their bel- lie with a glyfter, and then giveing them treacle-water to drink, which might defend the vi- tal facultie of the heart, but yet not diftend the ftomach , as though they had the French pocks, and I obtained my expefted purpofe: In ftead of the treacle-water you may ufe the deco&ion of Guaicnm, which doth heat, drie, provoke fweat, and repel putrefa&ion, ad- ding thereto alfo vineger, that by the fubtiltie thereof, it may pierce the better, and with- ftand the putrefa&ion. This is the defcripdon of the unguent. Take of Hogf-greafone pound,boil it a little with the leavs of Sdge, Rolemarie, of each half an handfull, ftrain it, and in the ftraining extinguilh five ounces of Quick-filver, s which hath been firft boiled in vinegerwith the fore-mentioned herbs; of Sal Nit rum three drams ; the yelks of three eggs boiled until they bee hard: of Treacle and Mithridate, of each halfan ounce; of Venice-Turpentine, oil of Scorpions and Bays, of each three oun- ces ; incorporate them altogether in a mortar, and make thereof an unguent, wherewith an- noint the patient's arm-holes and groins,avoiding the parts that belong to the head,breaft, and back-bone 4 then let him bee laid in his bed,and covered warm, and let him fweat there for the (pace of two hours, and then let his bodie bee wiped and clean(ed;and if it may bee, let him bee laid in another bed, and there let him bee refrefhed with the broth of the deco&ion of a Capon, reer eggs, and with fuch like meats of good juice that are eafie to bee concofted and digefted; let him bee annointed the fecond and third daie, unlefs the fpots appear before. If the patient flux at the mouth, it muft not be flopped: when the fpots and puftles do all appear, and the patient hath made an end of fweating, it (hall bee convenient to ufe diuretick Of the cure of Eruptionsand Spots. They are to bee cured by drivcing forth* The indicati- on of curein g taken from the like. An ointment to draw them forth when as they appear too flowly- Lib.zz. Concerning the 'Plgaue. 563 diuretick medicines,for by theft the remnant of the matter of the (pot, which happily-could not all breath forth, may eafily bee purged and avoided by urine. If anie noble or gentlemen refuft to beeannointed with this unguent, let them bee enclo- fed in the bodie of a Mule or Horf that is newly killed, and when that is cold, let them bee laiedin another, until the puftles and eruptions do break forth, beeing drawn by that natu- ral heat. For fo Matthiolus writeth that Valentinus,the Ion of Pope Alexander the lixt,was de- livered from the danger of moft deadlie poifon which hee had drunk. In pro am.lib.6. Diofi. CHAP. XXX. Peftilent Bubo is a tumor at the beginning long and moveable, and in the ftate, and full perfeftion copped, and with a fharp head, unmoveable and fixed deeply in the glandules, or kernels 5 by which the brain exonerate's it felf of the venemous and peftiferous matter into the kernels that are behinde the ears, and in the neck : the heart into thofe that are in the arm-holes; and the Liver, into thofe that are in the groin 5 that is,when all the matter is grofs and clammie,fothat it cannot bee drawn out by fpots and puftles breaking out on the skin ; and fb the matter of a Carbuncle is (harp, and fo fervent, that it maketh an Efcbar on the place where it is fixed. In the beginning, while the Bubo is breeding, it maketh the patient to feel, as it were, a cord or rope ftretched out in the place, or a hardned nerv with pricking pain: and fliortly after the matter is railed up as it were in- to knob, and by little and little it groweth bigger, and is inflamed, thefe accidents before mentioned accompanying it.lf the tumor be red,and increaf by little & little,it is a good and falutarie lign : but if it bee livid or black,and com verie flowly unto his juft bignefs, it is a deadlie fignjt is allo a deadlie fign if it increaffuddenly,and com to his juft bignefs as it were with a fwift violence, and as in a moment, have all the fymptoms in the higheft excels; as pain, fwelling and burning. Buboes or Sores appear fomtimes of a natural color, like un- to the skin, and in all other things like unto an oedematous tumor, which notwithftanding will fuddenly bring the patient to deftruftion; like thofe that are livid and black,wherefore it is not good to truft too much to thofe kindes of tumors. Ofafeftilent Bubo, or Plague-fore. What a pefti- IcntBwtois. The figns of Bubo's klutarie and deadlie. CHAP. .XXXI. O (bon as the Bubo appear's, applie a Cupping-glafs with a great flame unto it, ■ unlefs it Bee that kinde of Bubo which will fuddenly have all the accidents of( burning and fwelling in the higheft nature; but firft the skin muft bee annoin- i ted with the oil of lillies, that fo it beeing made more loof, the Cupping-glafs < may draw the ftronger and more powerfully; it ought to ftick to the part for the fpace of a quarter of an hour, and bee renewed and applied again everie three quarters of an hour, for fo at length the venom (hall bee the better drawn forth from anie noble part that is weak, and the work of luppuration or refolution, which foever nature hath aflailed,will the better and fooner bee abfolved and perfected: which may bee allb don by the applica- tion of the following ointment. Take ofTJuguentum Dialtb#a one ounce and a half; oil of Scorpions half an ounce; of Mithridate diflblved in Aqua. vit#, half a dram; this liniment will verie well relax and loolen the skin, open the pores thereof, and fpend forth portion of that matter which the Cupping-glals hath drawn thither : in ftead thereof mollifying fomentations may bee made, and other drawing and fuppurating medicines, which ihall bee defcribed here- after. A veficatorie applied in a meet place below the Bubo profit's them verle, much but not a- . bove; as for example. If the Bubo bee in the throat, the Veficatorie muft bee applied unto the Ihoulder-blade on the fame fide; if it bee in the arm-holes, it muft bee applied in the mid1 ft of the arm, or of the ffioulder-bone, on the inner fide: if in the groin, in the mid'ft of the thigh on the inner fide, that by the double paflage that is open for to draw out the matter, the part wherein the venom is gathered together, may bee the better exonerated. Spurge, Crow-foot, Arfmart, Bear-foot, Brionie, the middle bark of Travellers-)oy, the rindes of Mullet, Flammula or upright Virgins-bower, are fit for railing blifterS. If you cannot com by thole fimple medicines, you may applie this which followeth. Which may bee prepared at all times. T ake Cantbarides, Pepper, Euyborbium3 Pellitorie of Spain, of each half a dram; of lower a leaven, two drams; of Muftard one dram, and a little Vineget; the vineger is added there- v< to to withhold or reftrain the vehemencie of the Ctfabaridej; but in want of this medicine it (hall fuffice to drop Icalding oil or water, or a burning candle, or to lay a burning coal on Of the cure of Buboes,or Plague-fores. The ufe of cupping-glaf- les in cuieing of a Bubo. A liniment. A compound veficacoric, 564 Concerning the Diagne. Lib.zz. on the place: for (o you may raif blifters, which muft prefently bee cut away, and you muft fee that you keep the ulcers open & flowing as long as you can,by applying the leav's of red-colwurts, Beets, or Ivie dipped in warm water, and annointed with oil or frefh but- ter. Som applie Cauteries, but Veficatories work with more fpeed: for before the Efchar of the Cauteries will fall away, the patient may die : therefore the ulcers that are made with Veficatories willfiiffice to evacuate the peftilent venom, becaufthat doth work rather by its qualitie then by its quantitie. Let the abfeefs bee fomented as is (hewed before: and then let the medicine following, which hath vertue to draw, bee applied. Fill a great onion, beeing hollowed, with Treacle and the leav's of 7?ue3 then roft it un- der the hot Embers, beat it with a little Leaven, and a little Swines-greaf, and fo applie it warm unto the abfcefs or fore; let it bee changed everie fix hours. Or take the roots of Marfh-mallows and Lillies, of each half a pound; of Line, Fenugreek, and IVIuftard-feeds,of each half an ounce; of Treacle one dram; ten Figs, and as much Hogs-greaf as (hall (uffice: make thereof a cataplafm according to Art. Or, take of Onions and Garlick roftedinthe Embers, of each three ounces : bruif them withone ounce of fowr leaven, adding there- to one ounce; Treacle one dram; Mithridate half a dram; of old Hogs-greaf on ounce; of Cantbar ides in powder one fcruple; of Pigeons-dung two drams: beat them and mix them together into the form of a cataplafm. Hereunto old Rennet is verie profitable, for it is hot, and therefore attraftive,beeing mixed with old Leaven and Ba- filicon: you ought to ufe thefe until the abfcefs bee grown unto its full ripenefs and big- nefs; but if prefently after the beginning there bee great inflammation, with (harp pain, as it often happeneth, efpecially when the abfcefles bee of the kinde of Carbuncles; wee muft ab- ftain from thofe remedies that are hot and attra&ive, and alfo from thofe that are verie em- plaftick and clammie; becaufthey do altogether clofe the pores of the skin; or becaufthey refolv the thinner part of the collected matter, which ifit might remain, would bring the other fooner to fuppuration : or elf becauf they may perchance draw more quantitie of the hot matter then the part can bear; whereof commeth rather corruption then maturation : and laft ofall becaufthey increafthe fever and pain, which inferred! danger ofa convulli- on or mortal Gangrene. Therefore in fuch a cafe it is beft to ufe cold and temperate local medicines, as the leavs of Henbane and Sorrel rofted under the coales, Galen's pul- tis, and fuch like. There are manie that for fear of death, have with their own hands pulled away the Bubo with a pair of Smiths-pincers : others have digged the fle(h round about it, and fo gotten it wholly out. And to conclude others have becom lb mad, that they have thruft an hot i- ron into it with their own hand, that the venom might have a paflage forth : of all which I do not allow one; for fuch abfcefles do not com from without, as the biteings of virulent beafts, but from within, and moreover becauf pain is by thefe means increafed, and the hu- mor is made more malign and fierce. Therefore I think it fufficient to ufe medicines that re- lax, open the pores of the skin, and digeft portion of the venom by tranfpiration, as are thefe that follow. Take the roots of Marfh-mallows and Lillies, ofeach fix ounces; of Camomil and Melilot-flowers, of each half an handful ; of Lin-feeds half an ounce; of the leav's of Rue half an handful : boil them and ftrain them, dip fponges in the draining, and therewith let the tumor bee fomented along time. Or, take the crum of hot bread, and fprinkle it with Treacle-water, or with aqua vit£3 and Cows-milk or Goats-milk, and the yelks of three egs , put them all on ftupes or flax, and applie them warm unto the place. Or, take of fowr Rie-leaven four ounces ; of Baftlicon two ounces; three yelks of egs; oil of Lillies two ounces ; Treacle one dram: let bee received on ftupes, and applied in like manner. Or, take of Diachylon and Baftlicon3 of each two ounces; oil of Lillies one ounce and an half: let them bee melted and mixed together, and let it bee applied as is abovefaid. When you fee, feel and know, according to reafon, that the Bubo is com to perfect fuppura- tion, it muft bee opened, with an incifion-knife, or an aftual or potential Cauterie, but it is beft to bee don with apotential Cauterie,unle(s that happely there bee great inflammati- on, becauf it doth draw the venom from beneath unto the iuperficial parts, and maketh a larger orifice for the matter that is contained thereinmeither muft it be looked for,that na- . ture (hould o.pen it of her (elf; for then there were danger that left while nature doth work (lowly,a yenemous vapor (hould bee ftirred up,which ftrikeing the heart by the arteries,the brain by the nervs, and the liver by the veins, (hould caufa new increaf of the venemous in- fection. Fpr fear whereof there bee fom that will not expeft the perfect maturation and (iip- . puration, but as it were in the mid'ft of the cruditie and maturitie will make an orifice for it to pafe forth at: yet if it bee done before the tumor bee at his perfect maturitie, pain, a Fever, and all accidents are ftirred up and enraged, whereof commeth a malign ulcer that often degenerat's into a Gangrene. For the moft part about the tenth or eleventh daie the work offuppuration (eemeth perfe&ed and finifhed; but it may bee fooner or later by rea- fbn of the application of medicines, the condition of the matter, and ftate of the part: when the matter commeth forth, you muft yet ufe (uppurative and mollifying medicines, to ma- turate Why veficato- ries are better then cauteries in a peftilent Bubo. Strong draw- ing cataiplaf- mes. Againft fuch as cat away Plague-fores. A (igeftive fo mentation. An anodyne Cataplafm* Why it is beft to open a I plague-fore with a poten- tial cauterie. Lib.zz. Concerning the Rlague. 565 maturate the remains thereof; in the mean while cleanfing the ulcer by putting mundifica- tives into it, as wee fhall declare in the cure of Carbuncles. But if the tumor feem to link in,or hide it felf again, it muft bee revoked and procured to com forth again, by applying ot Cupping-glafles with fcarification, and with (harp medicines, yea, and with Cauteries both aftua! and potential. When the Cauteries are applied, it (hall bee veriegood to applie a veficatorie a little be- low it, that there might bee fom palfage open for the venom while the Efchar is in falling away. For fo they that are troubled with the French-Pocks, fo long as they have open and flowing ulcers, fo long are they void of any pain that is worth the (peaking of; which ul- cers beeing clofed and cicatrized, they do prefently complain of great £ain. If you fufpefl that the Bubo is more malign by reafon that it is of a green, or black and inflamed color, as are thofe that com of a melancholick humor by adaftion, turned into a grofs and rebelli- ous melancholick humor,(b that by the more copious influx thereof into the part, there it, danger ofa gangrene and mortification; then the places about the abfcefs muft bee armed with repercuflives, but not the abfcefs it felf; and this may b:e the form of the repercuflives : T ake of the juice of houf-leek,Pur(lain, Sorrel, Night-(hade, of each two ounces ; of Vine- ger one ounce,the whites of three egs,of oil of Roles and water-Lillies, of each two ounces and a half: ftir them together, and applie it about the Bubo, and renew it often: or boil a Pomgranat in vineger, beat it with Vnguentum Rofatum, or Po-puleon newly made,and applie it as is aforefaid. If thefe things do not ftop the influx of other humors, the abfcefs it felf and the places about it muft bee (carified round about, if the part will permit it; that the part exonerated of portion of the venom may not (land in danger of the extin&ion of the proper and natural heat, by the greater quantitieand malignitie of the humors that flow unto it- In fcarifying you muft have care of the great veflels, for fear of an irrepugnable flux of blood, which in this cafe is verie hard to bee flayed or refilled; both becauf the part it felfis greatly inflamed, and the humor verie fierce;for the expulfion whereof, nature,care- ful for the prefervation of the part and all the bodie befides, feemeth to labor and work. But yet you muft fufferfb much of the blood and humor to flow out as the patient is able to abide without the lofs of his ftrength. Moreover, you may (pend forth the fuperfluous portion of the malignitie, with relaxing, mollifying,and refolving fomentations: as, Take the roots of Marlh-mallows, Lillies and Elecampane, of each one pound; ofLin-feeds and Fenugreek, of each one ounce; of Fennel-feeds and Anile-feeds, of each half an ounce;of the leavs of Rue, Sage., Rofemarie, of each one handfull, of Camomil and Melilot-flowrs, of each three handfuls; boil them all together, and make thereof a decoftion for a fomenta- tion ; ufe it with a fponge according to Art. Allb after the aforefaid fcarification, wee may put Hens, or Turkies that lay egs( which therefore have their fundaments more wide and open, and for the lame purpofe put a little fait into their fundaments ) upon the (harp top of the Bubo, that by (hutting their bills at fcveral times they may draw and fuck the venom into their bodies, far more ftrongly and better then cupping-glafles, becauf they are endued with a natural propertie againft poifon, for they eat and concoft Toads, Efts, and fuch like virulent beafts; when one Hen is killed with the poifon that lhee hath drawn into her bodie, you muft applie another, and then the third, fourth, lift and fixt within the fpace of half an hour. There bee fom that will rather cut them, or elf ufe whelps cut afunder in the mid'ft, and applied warm unto the place; that by the heat of the creature that is yet Icarce dead, portion of the venom may bee diflipated and exhaled. But if neverthelefe there bee apie fear of a Gangrene at hand, you muft cut the flefli with a deeper fcarification, not onely avoiding the greater veflels, but alfo the nervs, for fear of convulfion : and af- ter the fcarification and a fufficient flux qf blood, you muft wafh it with JEgyptiacum,Trear cle and Mithridate diflblved in lea-water,aqua uiu and Vineger. For (iich a lotion hath vir- tue to ftay putrefaftion, repel the venom,and prohibit the blood from concretion: but if the Grangrene cannot bee avoided fo, cauteries may bee applied to the part: efpecially aftual, becauf they do more effe&ually repel the force of the poifon, and ftrengthen the part. Pre- fently after the impreflion of the hot iron, the Efchar muft bee cut away even unto the quick-flelh, that the venemous vapors and the humors may have a free paflage forth; for it is not to bee looked for that they will com forth of themfelvs. With thefe inunftions they ' are wont to haften the falling away of the Efchar. Take of the mucilage of marlh-mallows and Lin-feeds, of each two ounces; frefli butter, or Hog's-greaf one ounce; the yelks of i three eggs ; incorporate them together,and make thereof an ointment: butter,Swines-greafc oil of Rofes, with the yelks of eggs, perform the felf fame thing. When the Efchar isfal- len away wee muft ufe digeftives. As take of the juice of Plantane, Water-Betonie, and Smallage,of each three ounces ; honie of Rofes four ounces; Venice-Turpentine five oun- ces ; Barlic-fiower three drams; Aloes two drams; oil of Rofes four ounces; Treacle, half a dram : make a mundificative according to Art. Or,Take of Venice* Turpentine four ounces; fyrupof dried Rofes and Wormwood, of each an ounce; of the powder of Aloes, Maftich, Myrrh,Barlie-flower, of each one dram; of Mithridate half an ounce; incorporate them together. This unguent that followeth is verie meet for putrefied and corroding ulcers: Take How to draw forth a fore that feem's to go in again. When reper- cuflives may bee applied. Why too much bleeding is co bee feared. Liniments to haftenthc fal- ling away of the Efchar. ' Againft citing ' Ulcers. 566 Concerning the Tlague. Lib.zz. Take red Orpiment one ounce; of unquenched Lime, burnt Alum, Pomgranat-pills, of each fix drams; of Olibanum, Galls, of each two drams; of Wax and Oil as much as (hall fuf- fice, make thereof an unguent. This doth mundifie ftrongly, confume putrefied flefh, and drie up virulent humidities that engender Gangrenes. But there is not a more exccellent unguent then JEgyptiacum increafed in ftrength,for befides manie other virtues that it hath, it doth confume and wafte the proud flelh; for there is neither oil nor wax that goeth in- to the compofition thereof, with which things the virtue of (harp medicines convenient for iuch ulcers, is delaied, and as it were dulled and hindered from their perfeft operation lb long as the ulcer is kept open. There have been manie that beeing dilealed with this dL feaf, have had much matter and venemous filth com out at their abfcdfes; fo that it leemed lufficient, and they have bin thought well recovered, yet have they died fuddenly. In the meanwhile whenthefe things are in doing, cordial medicines are not to bee omitted to ftrengthen the heart. And purgations muft bee renewed at certain leafons, that nature may bee everie waie unloaded of the burthen of the venenate humors. Thepraifof dgyptiacum. CHAP. XXXII. Of the Nature, Cauffes and Signes of a peftilent Carbuncle. What a Car- buncle is. Peftilent Carbuncle is a fmall tumor, or rather a malign puftle, hot and rageing, confiding of blood vitiated by the corruption of the proper fubftance. It often commeth to pafs through the occalion of this untameable malignitie, that the Carbuncle cannot bee governed or contained within the dominion of nature. In the beginning it is fcarce fo big as a feed or grain of Millet or Peaf flicking firmly unto the part and immoveable, fo that the skin cannot bee pulled from the flefh; but fhortly after it increafeth like unto a Bubo unto a round and fharp head, with great heat, pricking pain, as if it were with needls, burning and intolerable, efpecially a little before night, and while the meat is in concofting, more then when it is perfectly conco&ed. In the mid'fl thereof appeareth a bladder puffed up and filled with famous matter. If you cut this bladder, you fhall finde the flefh under it parched, burned and black; as if there had bin a burning cole laid there, whereby it feemeth that it took the name of Carbuncle; but the flefh that is about the place is like a Rain-Bow, of divers colours, as red, dark,geen, purple,livid, and black; but yet alwaies with a fhineing blacknefsjike unto ftone-pitch, or like unto the true preci- ous ftone which they call a Carbuncle, whereof fom alfb fay it took the name. Som call it a Nail, becaufit inferreth like pain as a nail driven into the flefh. There are manie Carbun- cles which take their beginning with a cruftie ulcer without a puftle, like to the burning of a hot iron : and thefe are of a black colour, they increaf quickly, according to the conditi- on of the matter whereof they are made. All peftilent Carbuncles have a Fever joined with them, and the grieved part feemeth to bee fo heavie,as if it were covered or prefled with lead tied hard with a ligature. there commeth mortal fwounings, faintings, tolling, turning, idle-talking, rageing, gangrens and mortifications; notonelyto the part,butalfbto the whole bodie; by reafon (as I think) of the oppreflion of the fpirits of the part, and the fuf- ' focation of the naturall heat, as wee fee alfb in manie that have a peftilent Bubo. For a Bubo , and Carbuncle are tumors ofa near affinitie,fb that the one doth fcarce com without the o- ther, confifting of one kinde of matter,unlefs that which maketh the Bubo is more grofs and clammie, and that which caufleth the Carbuncle more fharp,burning and rageing, by reafon of its greater fiibtiltie, fb that it maketh anEfchar on the place where it is, as wee noted before. The figns of a Carbuncle. When fo cal- led. Symptoms of Carbuncles. How the mat- ter a Bubo ana Carbuncle differ. CHAP. XXXIII. Om haveing the peftilence have but one Carbuncle, and fom more in divers parts of their bodie, and in manie it happeneth that they have the Bubo and Carbuncle before they haveanie Fever; which giveth better hope of health , if there bee no other malign accident therewith: for it is a fign that nature is the viftor, and hath gotten the upper-hand, which excluded the peftilent venom before it could com to aflault the heart. But if a Carbuncle and Bubo com after the Fever, it is mortal; for it is a token that the heart is affefted, mooved and in- cenled with the furious rage of the venom; whereof prefently commeth afeverifh heat or burning, and corruption of the humors, lent as it were from the center unto the fiiperficies of thebodie. It is a good fign when the patient's minde is not troubled from the beginning untill the feventh daie; but when the Bubo or Carbuncle finketh down again Ihortly after that it isrifen, it is a mortallfign, efpecially if ill accidents foliowit. If after they are brought tofuppuration they prefently wax drie without anie reafon thereof,it is an ill fign: ' • z Thofe What may bee made in peftilent Buboes and Carbuncles- Why it is dead lie to have a Tore com after the Fever. Lib.i-z. Concerning the Plague. 567 Thole Carbuncles that are generated of blood have a greater Efchar then thole that are made of choler ; becauf that blood is of a grots con(iftencc,and therefore occupieth a greater room xq the flefli: contrariwife, a cholerick humor is more (mall in qnantitie and thin, and it ta- k,tth little room in the vpper part of the flelh onely, as you may fee in an Ery/ipelas. And I have teen Carbuncles whole Efchars were as broad and as large as half the back : alfo I have teen others, which going up by the (houlders to the throat, did fo eat away the flefli that was under them, that the rough arterie or winde-pipe might bee teen bare, when the Efchar was fallen away: I had once aCarbuncle which was in the mid'ft of my bellie,lb that when the Efchar was fallen away, I might verie plainly tee the Piritoneum or Rim: and the cica- trice that remaineth is as broad as my hand: but they do not (pread themfelvs fo far with- out the great danger or death of the patient. There are alfo fom Carbuncles which begin- ning at the parts under the chin,ditperfthemfelves by little and little unto the pattel-bones, and fo ftrangle the patient. So in manie, the Buboes in the groin arife above a great part of the mufcles of the Epigaftrium. Truly of thofe abfcefles that are (b large and great in quan- 1 Utie, and lb terrible to bee feen, there is great danger of death to the patient, or at leaft to 1 the grived part. For after the confolidation, the part remaineth as if it were leprous, which * aboliflieth the aftion of the part, as I have feen in manie. Oftentimes alfo the corruption of the matter is fo great,that the flefli leaveth the bones bare : but Carbuncles often leav the joints and ligaments quite refolved through the occafion of the moifture that is (baked and iunk in unto them; for they often caft out putrefied and virulent fanious matter: whereby eating and creeping ulcers are bred, manie blitters and putties arifing up in the parts round about it ; which (hortly breaking into one, make a great ulcer. Thete com verie fcldom and (lowly unto (uppuration, or at lead to caft out laudable matter, specially if they have their original of choler ; becauf the matter is fooner burned with heat, then fuppurated. Therefore then, if they can bee brought to fuppuration by no medicines ; if the tumor ftill remain black; if when they are opened,nothing at all, or elf a verie little (harp moifture doth , com forth,they are altogether mortal; and there is (carce one of a thoufand who hath thete t accidents that recovereth health : difperfed fmall blifters, comming of vapors flirted up by the matter that is under the skin, and are there ftaied and kept from paflage forth, do not neceflarily fore-fliew death in Carbuncles. But if the part bee (woln or puffed up, if it bee of a green orblack color, and if it feel neither pricking nor burning, it is a fign of a mortal Gangren. Buboes or Carbuncles fcldom or never com without a Fever: but the Fever is more vehement when they are in the emunftories, or nervous parts, then when they are in the flelhlie parts, yet it is lefs, and all Symptoms are lets, and more tolerable in a man that is ftrong and of a good temperature: Carbuncles not onely affeft the outward, but al(b the inward parts, and oftentimes both together. If the heart bee vexed in fuch fort with a Car- buncle that nothing thereof appeareth forth on the fuperficial parts, all hope of life is pafr, and thofc die fciddenly, eating, drinking or walking, and not thinking anie thing of death. If the Carbuncle bee in the middriffor lungs, they are (bon (uffbcated: If it bee in the brain, the patient becommeth frantick, and fo dieth. If it bee in the parts appointed for the paflage of the urine, they die of the fuppreflion of their water, as it happened in the Queen- mother's waiting maide at the Caftle of Rofli lion, of whom I fpeak before. If it bee in the ftomach, it inferreth the accidents that are (hewed in this hiftorie following. While I was Surgeon in the Hofpital of Paris, a young and ftrong Monk of the order , of St. Vidor, beeing overfce'r of the woman that kept the fick people of that place, fell into a continual Fever verie fuddenly, with his tongue black, drie, rough, (by reafbn of the pu- trefied and corrupted humors, and the vapors riling from the whole bodie unto that place) and hanging out like unto an hound's, with unquenchable thirft, often fwounding and de- fire to vomit. Hee hath convulfions over all his bodie through the vehemencie andmalig- nitieof the diteaG 2nd (b hee died the third day: Wherefore thofc that kept the fick people in the Hofpital, thought that hee had been poifbned, for the certain knowledg whereofthe Governors of the Hoipital commanded his bodie to bee opened. I therefore calling to mee a Phyfician and Surgeon, wee found in the bottom of his fto- mach a print or impreflion, as if it had been with an hot Iron or potential Cauterie, with an Efchar or cruft as broad as one's nail, all the reft of his ftomach was greatly contracted and fhrunk up together, and as it were hornie ; which wee confidering, and efpecially the Efchar which was deep in the (ubftance of the ftomach, wee all (aid with one voice that hee was poifbned with Sublimate or Arfcnick. But behold, while I was (owing up his bellie, I perceived manie black fpots difperfcd diverfly throughout the skin: then 1 asked my com- panie what they thought of thofc (pots; truly (find I) it feemeth unto mee that they are like unto the purple (pots or marks that are in the peftilence. The Phyfician and the Sur- geon denied it, and laid that they were the biteings of fleas. But I perfwaded them to confi- der the number of them over all the whole bodie, and al(b of their great depth anddeprefli- on into the flefli; for when wee had thruft needls deep into the flefli in the middeft of them , and (o cut away the flefli about the needle,wee found the flefli about the needle to bee ' black: moreover his noftrils, nails,and ears were livid,and all the conftitution of his bodie • was Huge pc ft i lent Abfcctfes com- monly dcadlie* Deadlie Car- buncles. An hiftorie. How to diftin* guifli purple (pots from flea* bitein gs. 568 Concerning the Diague. Lib.zz; was contrarie, and far unlike to the bodies of thofe that died of other ficknefles or dife eafes. Alfo it was credibly reported unto us by thofe that kept him, that his face was fb al- tered a little before hee died, that his familiar friends could hardly know him. Wee per- fwaded by thefe proofs, revoked our former opinion and fentence, and made a Certificate to bee fent unto the Governors and Matters of the Hofpital, fetting our hands and feals unto it, to certifie them that hee died of a peftilent Carbuncle. .CHAP. XXXIV. Of the cure of a peftilent Carbuncle. Why empla- ftickjVerie hot, and great drawers are not good for a Carbuncle. Y the fore-named figns of a peftilent Carbuncle, and efpecially by the bitternefe of the pain, malignitie of the venemous matter, and by the burning fever that is therewithal annexed, I think it manifeft , that verie hot, emplaftick , and drawing medicines Ihould not bee applied to this kinde of tumor ; becauf they prohibit or hinder the exhalation,or wafteing forth of the venenate malignitie ; becauf that by flopping the pores ot the skin, they increafand caufa greater heat in the part then there was before.Therefore it is better to ufe refolvi ng medicines, which may afiwage heat, and refolv the pores of the skin. Therefore lirft the place mufl bee fomented with wa- ter and oil mixed together, wherein a little Treacle hath been difiblved, leaving thereon ftupes wet therein : you may allb ufe the decoftion of Mallows, the roots of Lillies, Line- feeds, Figs, with oil of Hypericon, for to make the skin thin, and to draw forth the matter ; and the day following you mufl applie the Cataplafm following. Take the leavs of Sorrel and Hen-bane, roft them under the hot allies; afterwards beat them with four yelks of eggs, two drams of Treacle, oil of Lillies , three ounces ; Barlie- meal as much as lhall fuffice: make thereof a Cataplafm in the form of a liquid pultif •, this aflwageth heat, and furthereth fuppuration. Or, take the roots of Marfti-mallows and Lil- lies, of each four ounces; Line-leeds half an ounce; boil them, beat them, and then flrain them through a cerf, adding thereto of frelh butter one ounce and an half; of Mithridate one dram; of Earlie-meal as much as fhall fuffice : make thereof a Cataplafm according to art: thofe Cataplafins that follow are moft effectual to draw the venemous matter forth,and to make a perfect fuppuration , efpecially when the flux of the matter is not fo great, but that thepartmay bear it. Take the roots of white Lillies, Onions, Leaven, of eachhalfan ounce; Muftard-feeds, Pigeon's dung, Sope, of each one dram; fix Snails in their fhels ;of fine Sugar, Treacle and Mithridate, of each half a dram; beat them altogether, and incorpo- rate them with the yelks of eggs : make thereof a Cataplafm, and applie it warm. Or, take the yelks of fix eggs; of fait pov\ dered one ounce; of oil of Lillies and T reacle, of each half a dram; Barlie-meal as much as fhall fuffice: make thereof a Cataplafm. Takeofordi- narie Diachylon four ounces; of TJnguentum Ba/ilicon two ounces; oil of Violets half an ounce: make thereof a medicine. Manie antient Profeflbrs greatly commend Scabious groun'd, or brayed between two ftones, and mixed with old Hog's greaf, the yelks of eggs, and a little fait; for it will cauf fuppuration in Carbuncles : alfo an egg mixed with Barlie-meal, and oil of Violets doth mitigate pain, and hippurate. A Raddiffi-root cut in dices, and fo the dices laid one after one unto a Carbuncle or peftilent Tumor , doth mightily draw out the poifon. The juice of Colt's-foot doth extinguilh the heat of Carbuncles. The herb called n Divel's-bit, beeing bruifed, worketh the like effeft. I have often ufed the medicine follow- ing unto the heat of Carbuncles, with verie good fiiccefs; it doth alfo afiwage pain,and cauf fuppuration. Take of the foot feraped from achimniefour ounces, of common fait two ounces ; beat them into fmall powder, adding thereto the yelks of two eggs, and ftir them well together until it com to have the confidence of a pultis,and let it bee applied warm un- to the Carbuncle. In the beginning, the point or head of the Carbuncle mufl bee burned, if it bee black ; by dropping thereinto fealding hot oil, or aqua fortis : for by fuch a burning the venom is fuffocated, as touched by lightening, and the pain is much leflened, as I have prooved often times : neither is it to bee feared, left that this burning fhould bee too pain- ful, for it toucheth nothing but the point of the Carbuncle, which by reafbn of the Efehar that is there, is void of fenfi After this burning, you nnift go forward with the former-de- feribed medicines, until the Efehar feemeth to feparate it felf from the flefh round about it, which is a token of the patient's recoverie; for it fignifieth that nature is ftrong and able to f refift the poifon. After the fall of the Efehar you mufl ufe gentle mundificatives, as thofe which wee have preferibed in a peftilent Bubo not omitting fbmtimes the ufe of fuppura- tive and mollifying medicines, that while the grofs matter is cleanfed, that which is as yet crude may bee brought to fuppuration : for then the indication is twofolcL; the one to fup- 'puratethat which remain's as yet crude and raxv in the part, and the other to cleanf that which remain's conco&ed and perfectly digefted in the ulcer. A Cataplafm fora peftilent Carbuncle. Another. Other Cat?- plafms. The effect of Scabious a- ganft a pefti- lent Carbun- cle- A Raddifh root draw*s out the venon powerfully. The top of a Carbuncle, when,why,and with what to bee burned. The falling of the Efchar promifeth health. A twofold in- dication. CHAP. .Lib.22. Concerning the 'Plague. 569 CHAP. XXXV. Of the itching and inflammation happening in peftilent ulcers, and how to cicatrize them. He parts adjoyning to a peRilent Ulcer, oft-times are fuperficiarily excoriated by reafon of ulcerous puftles, which here and there with burning and great * itching prick and vellicate the part. The cauf may happen either externally or Jt internally; internally, by a thin and biteing fanies , which fweating from the Ulcer, moiRen's the neighboring parts. But externally by the conRipation of the pores of the skin induced by the continual application of medicines. To remedie this, A the place muft bee fomented with difcufling and relaxing things, as aqua fortis, which the Gold-fmiths have ufed for feparateing of metals, Alum-water, the water of Lime, Brine, Kl and the like. But Ulcers left by Carbuncles and peRilent Bubo's, are difficultly cicatrized y by reafon of the corrodeing fanies, proceeding from the cholerick, or phlegmatick and fal't c< blood, which beeing in fault by the corruption of the whole fobfiance caufleth the abfcefs. n Betides, fuch Ulcers are commonly round, and therefore hard to bee cicatrized , for that2 the Quitture hath no free paffage forth ; fo the fanies, of its own nature acrid and corrode- ing , doth by delaie acquire greater acrimonie and introfitie; fo by its burning touch dif- folving the adjacent flefh, it hinder's the conjunction and unition of the lips of the Ulcer: but in the interim, the lips of the Ulcer becom callous, which, unlefs they bee helped by cutting, or eating medicines, the Ulcer cannot bee heajed ; for that by their denfitie they hinder the fweating out of a fufficient quantitie of the dewie glue to heal up the Ulcer. Now the Ulcer beeing plained and brought equal to the other fleffi , wee muR ufe Epulo- 1 ticks, that is, fuch things as have a facultie to cicatrize Ulcers by condenfing and harden- E ing the furface of the fleffi : of thefe there are two kindes 5 for fom without much biteing binde and drie: fuch are Pomegranat-pills, Oak-bark, Tulia,Litharge,burn't bones, fcales of brafs, Galls, Cyprefs-nuts, Minium , Antimonie, Eole-Annenicf , the burn't and waffied ffiels of OiRers, Lime nine times waffied, and manie metalline things. Others are next to thefe, by which proud fleffi is confumed 5 but Rich muR bee fpareingly ufed: of this kinds is waffied Vitriol, burn't Alum, which excelleth other Epuloticks, by reafon of the excellent drying and aRringent facultie confblidateing the fleffi, which by beeing moiRened by an excrementitious humor, grow's lank. For that the fear which is made, is commonly un-1 lightly in this kinde of Ulcers, as red, livid, black, fwoln, rough, by reafon of the great a- f duflion imprinted in the part, as by a burning cole : therefore I have thought good hereto ( let down fom means,by which this deformitie may bee correfted or amended. If the fear bee too big,or high,it ffiall bee plained by makeing convenient ligation and Rraight bindeing to the part a plate of lead rubbed over with Quick-iilverj but you may whiten it,by annoint- ing it with Lime nine times wafhed (that fo it may bee more gentle,and lofe the acrimonie) and incorporated with oil of Roles. Som take two pound of Tartar or Argole, burn it, and then powder it *, put it in a cloth, and fo let it hang in a moifl Vault or Cellar, and fet a veffel under it to receiv the dropping of liquor, which is good to bee rubbed for a good fpace upon the fear. The fame facultie is thought to bee in that moiflureof eggs which fweat's through the ffiell, whil'R they are rofied at the coles; as alfo unguentum citri- jium, and Emplaft.de cerufsa newly made. The three following compofitions are much ap- prooved. Bc.slxungi# fuilLe nonies lote in aceto acerrimo |iv. cinab.fucci titri, & alum.ufti,an.%fi. fulpbur.vivi ignem baud experti, pulvisi then let them all bee incorporated to- gether, and make an ointment: it attenuate s the skin, and cleanfeth fpots. Rc.olei by of. olei tartar.% ft. cer# ftmul lento ignejdeinde adde ftermatceti removeantur ab igne donee inftigid.poftea adde troch.alb. Jxbafis pul tandem cum mali cirei fucco omnia diligenter cotnmifee, fiat linimentum. Or elf, bulliat in aqub com.ibi.ad dimid.deinde adde fulph vivi ignem non experti, & alum.crudi,pulverif.an.%ifi.colcnt.pr£- ditt.& addatur capb byofeyami $ip. Let this medicine bee kept in a lead or glafs-veflel; and when you would ufe it, dip linnen cloaths therein, and lay them to the part. You may alfo ufe thefe medicines againfl the rednefs of the face $ and you may fetch them off in the morning, by waffiing the face with warm water and bran. Why the adja- cent parts are troubled with itching. A fomentati- on for this itch. Why thefe Ul- cers are hard to bee cicatri- zed. Two forts of Epuloticks. Remedies a* gainft the de- formitie of fears. Ointments to attenuate and take away fears. CHAP. XXXVI. Of fundrie 'kindes of Evacuations, andfirftof Sweating and Vomiting* He peftilent malignitie is not onely evacuated and (ent forth by the eruption of pullies and fpots, but alfo by fweat, vomit, bleeding at nofe, at the b&norrbo'icb, by the courfes, a flux of the bellie, and other waies; fo that nature by everie kinde of excretion may bee free'd from the deadlie poilbn, efpecially that which is not as yet arrived at the heart. But chief regard muft bee had to the inclination of na- C c c - ture. Why the pefti- lent malgnitie , is not carried away by one way, but by manic* Concerning tbe Plague Lib.U. 570 Wee muft have chief regard to the motion of nature. e ture, and wee muit attend what way it chiefly aim's at} and what kinde of excretion it af- 0 left's. Yet fiich evacuations are not alwaies critical, but ufually fymptomatical; for that oft-times nature is fo irritated by the untameable malignity of the matter, thatitcan no e way digeftit; but is forced by anie means to fend it away crude as it is. Wherefore, if na- ture may feem by the moiftnefs of the skin, the fuppreflion of urine, and other figns to affeft a crijis and excretion by fweat, you then fhall procure it by the formerly mentioned means. It is delivered by the Antients, that all fweats in acute difeafes are falutarie, which happen upon a critical day, which are univerfal and hot, and lignified before the critical day. But in this rapid and deadlie difeaf of the Plague, wee muftnot expefta Crifts, but as toon as wee can, and by what means wee may, to free nature from fb dire and potent an enemie. But oft-times the tough and grofs excrementitious humors may bee purged by vomit, which could not bee evacuated by ftrong purges. Therefore alfb by this manner of excre- tion may wee hope for the cxclufion of the peftilent venom, if there bee nothing which may hinder; and nature by frequent naufeoufnefs may feem to affeft this way: the endea- vor thereof fhall bee helped by giveing fbm half a pinte of warm water to bee drunk with four ounces of common oil, an ounce of vineger , and a little juice of raddifh: after the takeing of the potion, it is fit to thruft into the throat a Goofiquill dipped in the fame oil, or elf a branch of Rofemarie; or elf by thrufting in the fingers, fo to procure vomit; alfo a potion of eight ounces of the mucilaginous water of the dt?coftion of Line-feeds will procure vomit. Or elf, Rc.rad. rapb. in taleol.firtt' vel fem.ejus, & bulliant in aqu# com. quod fufficit pro doft. in colaturd diffolve oxym.& fyr.acet.an.lflexbibeatur polio larga & tepida. Or elQBc.oxym. ol.com.Zii.paretur potio tepid. But nature mult not bee forc't, unlefs of its own accord it undertake this motion 5 for forced and violent vomiting, diffend's the nervous fibres of the ventricle, dejeft's the ftrength , break's the veffels of the lungs, whence proceed's a deadlie fpitting of blood. Wherefore if the ftomach fhall trou- ble it felf with a vain and hurtful defire to vomit, it (hall rather bee ftrengthened with bags of Rofes, Worm-wood, and Sanders, ufeing inwardly the juice of Quinces and Berberies, and broths made for the fame purpofe. bigns 01 future fwcat. A Cylfif muft not bee ex- pefted in rhe Pbgue. How to pro- cure vomit. Why vomit mutt not bee forced. CHAP. XXXVII. Of Spitting, Salivation, Sneefing, Belching, Hicketting, and malting ofJVater, ThecfFeft of fpitting in pe- ftilcnt difeafes. Hat long evacuations may bee made by Spitting and Salivation, you may learn by the example of fuch as have a plurifie; for the matter of the plurifie beeing turned into fw, the purulent matter fuck't up by the rare and fpon- geous (iibftance of the lungs, and thence drawn into the afliera arteria, is laft- ly caft out by the mouth. There is none ignorant, how much fuch as have the Lues Venerea are helped by Saliva- tion and Spitting. But theft (hall bee procured by Mafticatorie of the roots of Ireos, Pelli- torie of Spain, Maftich, and the like; the mucilage of Line-feeds held in the mouth will work the fame effect That fuch as have a moift brain may expel their fiiperfluous humors by fneefing and blowing their notes; the brain, by the ftrength of the expulfive facultie, beeing ftirredup to the exclufion of that which is harmful, may bee known by the example of old people and children which are daily purged by their nofes; the brain is ftirred up to both kindes of ex- cretion from caufles either internal or external: from the internals by a phlegmatick and vaporous matter, which contained in the brain, offend's it; externally, as by receiving the beams of the fun in the noftrils, or by tickling them with a feather, or blowing into them the powder of Hellebore, Euphorbium, Pyrethrum, Muftard-fted, and the like fternutamento- ries. For then the brain is ftraightened by its own expulfive facultie, to the excretion of that which is troublous unto it. Sneefing breaketh forth with noif, for that the matter pafleth through ftraights, to wit, by the draining pafiages of the Os cribrofum, which is Sea- ted at the roots of the noftrils. It is not fit to cauf fneefing in a bodie verie plethorick,un- lefs you have firft premiftd general medicines, left the humors fhould bee more powerfully drawn into the brain, and fo caufan Apoplexie, Vertigo, or the like fymptoms. By Belching the flatulencies contained in the ventricle,beeing the off-fpring of cruditie, or flatulent meats, are expelled ; thefe by their tafte and finell, pleafing, ftinking,fweet,bit- ter or tart, fhew the condition and kinde of cruditie of the humors from whence they are railed: now vomiting f'ree'th the ftomach of crudities, but the diftemper muft bee corre&ed by contraries, as altering things to bee preftribed by the Phyfician. Hicketting is acontra&ion and extenfion of the nervous fibres of the ftomach, to caft forth fuch things as are too contumacioufly impaft in the coats thereof; yet repletion onely is not the cauf thereof,but fomtimes inanition alfo; lb oft-times a putrid vapor, from fbm other place, breaking into the ftomach, as from a peftilent Mo, or Carbuncle; alfo all acfd The force of Salivation. The force of Sneefing. The commo- dities of Belch ing. Lib.zz. Concerning the "Plague 571 aicd and acrid things,; becaufthey prick, vellicate and provoke the tunicles of the ventricle, as vineger, fpiced things, and the like soften and contumacious hickctting after purgeing, a wound or vomiting is ill; but if a convulfion prefently happen thereon, it is deadlie. Several remedies muft bee tiled according to the varietie of the caufles : for repletion help's that hicketting that proceed's from inanition and evacuation, that which happen's by repletion J that which proceed's from a putrid and venemous vapor, is helped by Trea- cle and Antidotes; that which is occafioned by acid and acrid things, is cured by the ule of grofs, fattie, and cold things. Now the whole bodie is oft-times purged by urine, and by this way the feverilh matter is ' chiefly and properly accu homed to bee evacuated: not a few, beeing troubled with the Lues 1 Fwiere4> when as they could not bee brought to falivation by unftion,have been cured by the * large evacuation of urine caufled by diuretick medicines. Diureticks, wherewithal! you may moov urine, are formerly defcribed in treating of the ftone.But wee muft abftain from \ more acrid diureticks, efpecially when as inflammation is in the bladder; for otherwile the c noxious humors are Cent to the affefted part, whence there is danger of a deadlie Gangrene. 1 Therefore then it is better to u(e diverfion by fweat. 1 The whole bodie purged by urine. When wee ought to ab- ftainfromdi- uretick*. CHAP. XXXVIII. Of the Menftrual and Hemorrhoidal purgation. Ot onely reafon, but alfo manifold experience induceth us to beleev , that women, by the benefit of their menftrual purgation, efcape,and arefree'd from great, peftilent, and abfolutely deadlie difeafes j wherefore it muft bee procured by remedies, both inwardly taken, and outwardly applied : thefe may bee taken inwardly with good liiccefs, Caljia lignea, Cinnamon, the Bar^of the root of a Mulberrie? Safforn, Agrick, Nutmeg, Savine , Diagri- dium, and divers others. But if the affefl: require more vehement medicines , the roots of Tithymel, Antimonie, Cantbarides (taken in Imall quantitie) moov the courfts moft power- fully ; friftions and ligatures made upon the thighs and legs conduce hereto, as alfo cup- ping in the inner and middle part of the thighs, the opening of the vein Saphena, Leeches ap- plied to the orifice of the neck of the womb, peflaries, nodula's, glyfters, baths, fomentati- ons made of oderiferous things, which by the fragrancie of their odor, or rather by their heat, may attenuate and cut grofs humors, open the obftrufted orifices, of the veins 5 fuch are the roots of Marffo mallows, Orris, Parflie, Fennel, Kneholn, the leavs and flowrs of Saint < John's-wurt, Aft ar agus, Rocket, Balm, Chervile, Mug-wurt, Mints, Pennie-royal, Savorie, Roftmarie, Rue, Time, Sage, Bay-berries, Broom, Ginger, Cloves, Pepper, Nutmegs, and the like ; the vapor of the boiling whereof, let the woman , fitting upon a perforated feat, receiv by a funnel into the neck of her womb , covering herftlf warm on all (ides , that fo nothing may otherwife break forth. Of the fame things may bee made baths , as well general,as particular. Alfo peflaries are good made after this manner* hTtheriac. mitbrid. ■ caff or.'gum. ammoniac, an. %i. mifce cum bombace in fucco mercurials tintfo,fiat peffarium. 1 Or eif, tb-rad.petrofelin. & foenug.fub cineribis cottas, deinde contufas cum pulftapbyfag.pyretb. croco oleo liliorum1, fo make a peflarie in the form ot a fiippofitorie or nodala. Or, ISc.pulv. tnyTrb.& aloes,an.%bfol.fabin.nigel.artbewif.an %ii.rad.Helleb.nigr %i.croci, fucco mercur. & rnelle communi: make a peflarie iu cotton. This which follow's is more effectual. Bc.fucci rut. abfintb.an.%ii.myrrb.euphorb.caffor.fabin. diacrid.terebintb.galban.tberiac,an.%i. make a peflarie ac- cording to art; let a thred hangout of the one end of the peflaries, that fo you may eafily draw them forth as you pleafl . * But if this menftruous flux one provoked, flow too immoderately, it muft bee flopped t by ufeing meats ofgrofler and more vifcid juice, by opening a vein in the arm, application £ of cuppin g-glafles under the dugs, frictions and ligations of the upper parts, as the arms, £ putting up of peflaries, application of refrigerateing and aftringent plafters, to the lower bellie, fbare and loins, laying the woman in a convenient place,and not upon a feather-bed. This following injeftion ftoppeth the blood flowing out of the womb. \S.aqU£ plant.& fabror.an.fki.'nucum cupref.gallar.immatur.an.%ii.berber fumacb.balauft. witriol.rom.alum.rocb.an.%u. bulliant omnia fimul,& flat decoffia: of this make ihje&ion into the womb- In the perfor- mance of all theft things, I would have the Surgeon depend upon the advice of a Phyfician, as the occafion and place fhall permit. p But if nature endeavor to free it fclf of the peftilent matter by the bwmorrboides, you y may provoke them by frictions and ftrong ligatures in the lower parts, as if the thighs or legs were broken, by wentofes applied with great flame to the inner fide of the thigh, by application of hot and attractive things to the fundament, foch as are fomentations, emplafters, unguents j foch as is ufoally made of an Onion rofted under the embers, and in- corporated with Treacle, and a little oil of Rue: after the bwmorrbo'id veins, by theft means, com to (hew themfelvs, they fhall bee rubbed with rough linnen clothes, or Fig-leavs, Ccc 2 or How to pro- voke the cour- fes. How aroma- tick things provoke the courfes. Peflaries to provoke the ;erms. How to flop the co jrfes flowing too immoderately. How to pro- voke the has- morrhoids. 572 Concerning the Diagne. LlB.ZZ; or a raw Onion, or an Ox-gall mixt with fom powder ofColloquintida. Laftly,you may ap- plie Horfi leeches, or you may open them with a lancet, if they hang much forth of the fun- dament, and bee fwoln with much blood. But if they flow too immoderately, they may bee ftai'd by the fame means as the courfes. CHAP. XXXIX. Of procuring evacuation by ftool, or a flux of the bellie. Ature often times, both by it ftlf, of its own accord, as alio helped by laxa- tive and purgeing medicines, caft's into the bellie and guts, as into the fink of the bodie, the whole matter of a peftilent difeaf^whence are caufled Diar- rheas, Lienteries, and Dysenteries; you may diftinguifh theft kindes of fluxes of the bellie, by the evacuated excrements. For if they bee thin and finqere, that is, retain the nature of one, and that a fimple humor, as of choler, me- lancholic, or phlegm; and if they bee caft forth in a great quantitie, without the ulceration or excoriation of the guts, vehement,or fretting pain, then it is a Diarrhea, which fbm alfb caIIJIuxus bumoralif. It is called a Lienteria, when as by the refblved retentive facultie of the ftomach and guts caufled by ill humors, either there collefted, or flowing from fbm other place; or by a cold and moift diftemper, the meat is caft forth crude, and almoft as it was taken.. A Dyjenteria is, when as manie and different things,and oft-times mixt with blood, are caft forth with pain, gripeings, and an ulcer of the guts, caufled by acrid choler , fret- ting in hinder the coats of the veflels. But if in anie kinde of difeaf, certainly in a peftilent one, fluxes of the bellie happen Im- moderate in quantitie, and horrible in the qualitie of their contents, as liquid, vifcous, fro- th ie, as from melted greafi yellow, red, purple, green, affi-colored , black, and exceeding ftinking. The cauCs various, and manie forts of ill humors,whichtaken hold of by the pe- ftilent malignitie, turn into divers fiecies, differing in their whole kinde both from their particular, as alfo from nature in general, by reafon of the corruption of their proper fob- ftance, whoft inftparable fign is ftinch, which is oft-times accompanied by worms. In the camp at Amiens, a peftilent Dyfenterie was over all the Camp, in this the ftrongeft fouldiers purged forth meer blood ' I diflefting fom of their dead bodies, obferved the mouths or the Mefara'ickyv eins and arteries , opened and much fwollen; and whereas they entered into the guts, were juft like little Catyledones,out of which as I prefled them> there flowed blood. For both by the exceflive heat of the Summer's fun, and the mindes of the enraged fouldiers, great quantitie of acrid and cholerick humor was generated, and fo flow- ed into the bellie: but you (hall know whether the greater or lefler guts bee ulcerated, bet- ter by the mixture of the blood with the excrements, th< n by the fite of the pain; therefore in the one you muft rather work by glyfters; but in the other, by medicines taken by the mouth. Therefore, if by gripeings, a tenefmus, the murmuring and working of the guts , you fufpeft in a peftilent diftaf, that nature endeavor's to disburden it ftlf by the lower parts, neither in the mean while doth it fucceed to your defire,then muft it bee helped forward by art, as by takeing a potion of of bier a (implex, and a dram of Diapbenicon diflblved in Worm-wood water. * Alfo Glyfters are good in this cafe, not onely for that they affwage the gripeings and pains,& draw by continuation or fucceffion from the whole bodie; but alfo becaufthey free the and guts from obftruftion and fluffing ; fo that by opening,and as it were unlocking of the paflages, nature may afterwards more freely free it ftlf from the noxious humors. In fuch Glyflers they alfo fomtimes mix two or three drams of Treacle , that by one and the lame labor they may retund the venenate malignitie of the matter. There may alfo bee made for the fame purpoft Suppofitories of boiled honie, ?i. of hie- ra picra and common fait, of each or that they may bee the ftronger,of honie |iii. of Ox-gall of Scammonie, Eupborbiunu and Coloquintida powdred, of each The want of theft may bee fupplhd by Nodulas made in this form. Bev i tell. ovor. nu-iii. fellis bubuli, & well is, com.t$. let them bee flirred together, and well incorporated, and fo parted into linnen ra«s, and then bound up into Nodulas, of the bignefs of a Fil-berd, and fo put Up into the fundament; you may make them more acrid, by adding fom powder of E«- pborbium, or Coloquintida. WhataDMr Yh<ta is. What a D]fen- ter in is. The cauf of various and ftinking excre- ments in the Plague. An hiftone. A Potion. Supfofitories. CHAP. XL. Of flopping the flux of the bellie. Violent and immoderate fcourings, for that they refolv the facultie, and lead the pati- ent into a confumption and death 5 therefore if they fhall appear to bee fuch,they muft . • . > ' . ' V ' bee Lib.zz. Concerning the Plague. 573 bee ftaied in time by things taken and injected by the mouth and fundament. To this pur- pole may a pudding bee made of wheat-flowr boiled in the water of the decoftion of one / Pomegranat, Berberies, terra figillata, and white Poppie-feeds, of each £i. d The following Almond-milk ftrengthen's the ftomach,and mitigate's the acrimonieof the 11 cholerick humor, provoking the guts to excretion. Take fweet Ajmonds boiled in the wa- ter of Barlie, wherein ft eel or iron hath been quenched; beat them in a marble-mortar,and fo with fbm of the fame water make them into an Almond-milk , whereto adding £i. of Diarhodon .Abbatit, you may give it to the patient to drink. This following medicine I learn't ofDrChappelaine, the King's chief Phyfician, who re- ceived it of his father, and held it as a great fecret, and was wont to prefcribe it with hap- pie fuccef, to his patients. It is thus: Vc.boli armen. terraJigil. lapid.bemat. an.$i. picif navalif, I rub.marg.elett.corn.cervi uft. & loti in aq.plant. faccar. rof.%ii.fiat pulvifc. Of this ® let the patient take a fpoonful before meat, or with the yelk of an egg. r Cbriftopber Andrew in his cecoiatria, much commendeth dog's-dung, when as the dog hath for three daies before been fed onely with bones. Quinces rolled in embers, or boiled in a pot, the Conferv of Cornelian-cherries, Prefer- red Berberies and Myrabalans,rofted nutmeg taken before meat, ftrengthen the ftomach,and flay the lask , the patient mull feed upon good meats, and thefe rather rolled then boiled. His drink fhall bee calibeate-water of the deco&ion of a fowr Pomegranat beaten , or of j the decoftion of a Quince, Medlars, Cervices, Mulberries, Bramble-berries, and the like things, endued with a facultie to binde and wafte the excrementitious humidities of the bo- die : thefe waters fhall bee mixed with fyrup of red Currants, julip of Rofes, and the like. Let the region of the ftomach and bellie bee annointed with oil of Maftich3Mofcbatelinum, Myrtles, and Quinces. Alfb a cruft of bread newly drawn forth of the oven , and fteeped in vineger and Rofe-water,may bee profitably applied; or elfa cataplafin of red Rofes,Su- mach, Berberies, Myrtles, the pulp of Maftich, Bean-flowr, and honie of Rofes made up with calibeate-water. , ' Anodyne, abftergent,aft ringent, confolidateing and nourifhing glyfters fhall bee inje&ed. Thefe following retund the acrimonie of humors, and aflwage pain. fk.fol.lattuc. byofc. ace- ' tof.portul.an.m.i.flor.violar. & nenupb. an.%1fi.fiat clyfter. Or elf, fk.rbf.rub. hard. mund. fem.plant. ' an.p.i.fiat decottio, in colatura adde olei rof%ii.vitel.ovor.ii.fiat clyfter. Or, Rc.decottionis capi, crur. vitellin.& capit.vervicin. una cum pellejb.ii. in qua coquantur fol.violar. malv.mer cur. plantag. an. m.i. bord.mund.%\.quatuor fem. frigid.major.an.%fi.in colatura dijfolve caff.recenter extrafl. %i. ol.viol.%iv. vitel/or.ovor.ii.facc.rub.%i. fiat clyfter. Or, fk.fior. cbamam. melil. anetb. an.p.i.rad.bif- mal.%i.fiat decottio in latte •, colatura adde mucag.fem.lin.fanagr.extratt. in aqua malv.%ii. faccar.rub. %i.olei cham.&anetb.an.%ifi. vitellor.ovor.il. fiat clyfter. Such glyfters mull bee long kept, that they may more readily mitigate pain.When fliave- ings of the guts appear in the fiools, it is an argument that there is an ulcer in the guts ; therefore then wee mull ufe detergent and confolidateing glyfters, as this which follow's. fk.bordei integr.p.ii.rof.rub.flor.chamcem.plantag.apii, an.p.i.fiat decottio, in colaturli diffolve me Hit rofat.& fyr.de abfintb.an%ifi.vitel.ovor.ii. This following glyfter confolidateth. Bafucci plan- tag.centinod& portulac.nu.%ii. bol armen.fang, dr aeon, hircini difloluti, cly- fter. Alfo Cow's-milk boiled with Plantain, and mixed with fyrup of Rofes, is an excel- lent medicine for the ulcerated guts. This following glyfter binde's. Bc.cand.equin. plant.polygon. an.m-i. fiat decottio in latte uftu- lato ad quart.iii. & in colatura adde boli armen. albumina duor. ovor. fiat cly- fter. Or elf9 R.fuc.plant.arnoglofcentinod.portulac.refidentia fatta depuratorum quantum fufficitpro clyftere, addenda pul. boli armeni, terras ol.myrtbin.& rofat.an.%ii.fiat clyfter. If pure blood flow forth of the guts, I could with you to ufe ftronger aftriftives. To which purpofe I much commend a decoftionofPomegranat-pills, of Cyprefs-nuts, red Rofe leavs, Sumach, and Alum, and Vitriol made with Smith's water; and fo made into glyfters, without anie oil. It will bee good with the fame decoftion to foment the funda- ment, perineum, and the whole bellie. Aftringent glyfters ought not to bee ufed before that the noxious humors bee drawn a- way, and purged by purgeing medicines, otherwife by the ftoppage hereof, the bodie may chance to bee opprefled. If the patient bee fo weak, that hee cannot take or fwallow anie thing by mouth, nutri- tive glyfters fhall bee given him. fy.decottionis capi pinguir, & crur. vitulini, cott.cum acetofdjbu- glofio,boragine,pimpine!/a,lattuca,%x. velxii. in quibiu diffolve vitcllos ovorum, nu.iii. faccari ro- fati, & aque vit<e, an.%i. butyri recentis non faliti, fiat clyfter. A haftie pud* ding co ftay the Task. D. Chappelaiifx medicine to ftay a fcou- ring. Drink. Ointments. Glyfter to ftay a flux. A glyfter for ulcerated guts* A verieaftrin"- gent glyfter.,' A nourifliing glyfter. Ccc 3 CHAP. Qoncerning the Lib.xz. 574 CHAP. XLI. Of evacuation by infenfible He peftilent malignitie, as it is oftimes drawn by the pores , by tranfpiration into the bodie, fo oftimes it is Tent forth invilibly the fame way again. For our native heat, that is never idle in us, difperleth the noxious humors, atte- nuated into vapors and air through the unperceivable breathing-places of the skin. An argument hereof is, wee fee that the tumors and ablcefles againft nature, even when they are com to luppuration , are oftimes refolved and difcuffed by the onely efficacie of nature, and heat, without ante help of art. Therefore there is no doubt, but that nature, beeing prevalent, may free it felf from the peftilent malignitie by tranfpi- ration, fom Abfcels, or Carbuncle beeing com forth, and fom matter collefted in fom certain part of the bodie. For when as nature and the native heat are powerful and ftrong, nothing is impolfible to it, efpecially when the paffages are alfo in like manner free and open. Tumors arc o (times dif- cuffed by the force of nature after they arc fuppurated. CHAP. XLII. How to cure Infants and Children taken with the Plague. F that it happen that fucking or weaned children bee infe&ed with the pc- ftilence, they muft bee cured after another order then is yet defcribed. The Nurf of the fucking childe muft govern her felf fo in diet and the ule of medicines, as if lheewere infe&edwith thepeftilence her felf: Her diet confifteth in the ule of the fix things not natural. Therefore let it bee mo- derate ; for the fruit or profit of that moderation in diet cannot chufe but com unto the Nurfes milk, and fo unto the Infant that liveth by the milk. And the Infant it felf muft keep the fame diet as near as hee can in fleep,wakeing, and expulfion, or avoid- ing of fiiperfluous humors and excrements of the bodie. Let the Nurf bee fed with thole things that mitigate the violence of the feverifli heat: as cooling broths, cooling herbs, and meats of a moderate temperature: lhee muft wholly abftain from wine , and annoint her nipples , as often as (hee giveth the Infant fuck, with water, or juice of Sorrel, tempered with Sugar of Roles. But the Infants heart muft bee fortified againft the violence of the in- creafing venom, by giveing it one fcruple of Treacle in the Nurle's milk,the broth of a Pul- let, or lorn other cordial water. It is allb verie neceflarie to annoint the region of the heart, the emunftories, and both the wrifts with the lame medicine : neither were it unprofitable tofmell often unto Treacle dillblved in Role-water, vineger of Roles, and a little Aqua vit£, that lb nature may bee ftrengtheued againft the malignitie of the venom* When the children are weaned, and fomwhat well grown, they may take medicines by the mouth ; for when they are able to concoft and turn into blood meats that are more grols and firm then milk, they may eafily aftuate a gentle medicine. Therefore a potion muft bee prepa- red for them of twelv grains of Treacle, dillblved with a little of the fyrup of Succorie in fom cordial water, or the broth of a Capon: unlels that anie had rather give it with Con- ferw ofRofes,in form of a bole: but Treacle muft bee given to children in verie fmall quan- titie, for if it bee taken in anie large quantitie, there is great danger , left that by inflame- ing the humors, it infer a fever. Furthermore, broth may bee prepared to bee taken often, made of a Capon lealbned with Sorrel, Lettuce, Purflain and cooling feeds, adding thereto and terra ftgillata, of each one ounce, beeing tied in a rag , and fomtimes prefled out from the decoftion. For whether it bee by its marvellous facul- tie of drying, or by fom hidden propertie, hath this virtue,that beeing drunken (according as Galen witnefleth) it cureth thole that are infefted with the peftilence, if lb bee that they may bee cured by phyfick j fo that thofe that cannot bee cured with Bole- cannot bee preferved by anie other medicines. But becauf the- bodies of children are warm, moift and vaporous, they are eafily delivered of fom portion of the venenate matter through the pores of the skin by provokeing fweat, with a decoftion of Parllie-feeds, Prunes,Figs, and the roots of Sorrel, with a little of the powder of Hart's-horn, or Ivorie. But that the fweat may bee more abundant and copious,applie Iponges dipped and prefled out in the hot decoftion of Sage, Rofemarie, Lavender, Bays, Cammomil, Melilot and Mallows , or elf Swine's bladders half filled with the fame decoftion, to the arm-holes, and to the groins. In the time that they fweat, let their faces bee fanned to cool them. Alfo let a nodule of Treacle, diflblved in vineger and water of Roles, bee applied to the noftrils; but alwaies ule a moderation in fweating,becauf that children are of a lubftance that is eafie to bee dilfi- pated and refolvcd: fo that oftentimes although they do not fweat, yet they feel the com- modities The nurfmuft bee dieted when as the childe is tick. Medicines may bee given to fuch as are weaned. Lib.g.jMp.ca.7. The benefit of I children. ; LlB.22. Concerning theTlgaue. 575 modifies of fweating , the matter of the venom beeing diflipated by the force of the beat through the pores of the skin. But in the fweating, while the face is fanned, and fweet and cordial things applied to the noftrils,nature mull bee recreated and ftrengthened,which otherwile would bee debilitated through fweating, that it may bee better able to expel the venom. After that the fweat is wiped away, it is verie profitable to take a potion of Con- ferv of Roles, with the powder of Hart's-horn, or of Ivorie dilfolved in the waters of Bu- glet's and Sorrel, the better to cool and defend the heart. If there appear anie tumor un- der the arm-holes, or in the groin, let it bee brought to maturation with a mollifying,re- laxing, drawing, and then with a fuppurative fomentation, or cataplafm ; alwaies ufeing and handling it as gently as you may, confidering the tender age of the Infant. If you have need to purge the patient, the purgation following may bee prefcribed with great profit. Take of Rubarb in powder one dram; infufe it in the water of Car duns BenediEiw, with one fcruple of Cinnamon; in the (training difiolv two drams of Diacatboliconj of iyrup ofRo- fes laxative three drams; make thereof a fmall potion. This is the cure of the Peftilence,' and of the peftilent Fever, as far as I could learn from the mod learned Phylicians, and have obferved my felf by manifold experience by the grace and permiflion of God: of whom alone, as the Autor of all good things that mortal men enjoy, the true and certain prefervatives againft the Peftilence, are to bee defired and hoped for. The form of a purge to bee given to a childe. The end of the twentie fecond Book. OF 576 Of the Means and Manner to repair or fupplie the na- tural or accidental defedts or wants in Man's bodie. The twentie third Book. CHAP. I. How the lofs of the natural or true eie may lee covered, hidden or {hadowed. Aveing at large treated in the former Books of Tumors, Wounds, Ulcers, Fraftures and Luxations, by what means things diflblved and diflocated might bee united, things united feparated, and fuperfluities confumed or a- bated: Now it remain's, that wee fpeak of the fourth office or dutie of the Chirurgion, which is to fupplie or repair thole things that are wanting by nature, through the default of the firft conformation, or afterwards by 1dm milchance. Therefore, if that through anie milchance, as by anie inflammation, anie man's tie happen to bee broken or put out, and the humors Ipilt or wafted > or if it bee ftrucken out of his place or cavitie wherein it was naturally placed by anie violent ftroke or if it wafte or conliime by realbn of a confumption of the proper liibftance, then there is no hope to reftore the fight or fun&ion of the eie, yet you may cover the deformitie of the eie fo loft (which is all you can do in fuch a cafe) by this means: If that when you have perfectly cured and healed the ulcer, you may put another eie artificially made of gold or filver,coun- terfeited and enamelled, lb that it may feem to have the brightnels, or gemmie decencie of the natural eie, into the place of the eie that is fo loft. The fourth dotie of a Sur- geon. "the forms of eies artificially made of gold or filver, policed and enameled){hewing both the inner and outer fide. But if the patient bee unwilling , or by reafon of fom other means cannot wear this eie fo prepared, in his head ; you may make another on this wile. You muft have a firing or wier of iron bowed or crooked3like unto women's ear-wiers3made to binde the head harder or loofer, as it plealeth the patient, from the lower part of the head behinde above the ear, unto the greater corner of the eie; this rod or wier muft bee covered with filk; and it muft allb bee lomwhat broad at both ends, left that the lharpnels thereof fliould pierce or prick anie part that it commeth unto. But that end wherewith the emptie hollownels muft bee covered, ought to bee broader then the other, and covered with a thin piece pf leather,that thereon the colors of the eie that is loft may bee lhadowed or counterfeited. Here followeth the figure or portraiture of liich a firing or wier. Tbe LiB.23. ASupplie of the defers of Man's bodie 577 Tfce form of an iron wier wherewith the deformitie of an eie that if loft may bee jbadowed or covered. CHAP. II. By what means a part of the Nofe that if cut off, may bee reftored; or how in ftead of the nofe that if cut off another counterfeit nofe may beefaftened, or placed in the ftead. Hen the whole Nofe is cut oft from the face, or portion of the noftrils, from the Nofe, it cannot bee reftored or joyned again; for it is not in men, as it is in plants. For plants have a weak and feeble heat; and furthermore, it ise-1 qually difperfed into all the fubftance of the plant or tree, neither is it eafie' to bee contumed or wafted: for when the boughs or branches of trees are broken, torn, or, cut away, they live nevertheless, and will grow again when they are fet and grafted ; nei- s ther is there anie feat for the heart rightly prepared in them from whence the heat muft ne- < ceflarily run, and difperf it felf continually into all the parts thereof. But contrariwife,tlie1 feparated parts of more perfeft living creatures, as of men, are incontinently deprived of life 5 becauf they have their nourifnment, life,fenf, and whole fiiftentation not of themfelvs, by faculties flowing or comming unto them from fom other parts 5 neither are they gover- ned by their own heat, as but by a borrowed heat: fo that above or befide the natu- ral facultie of the liver, another vital facultie commeth unto it from the heart. Wherefore in ftead of the Nofe cut away or confumed,it isrequifiteto fobftitute ano- ther made by art j becauf that nature cannot fupplie that defefUthiS Nofe fb artificially made, muft bee of gold, filver, paper, or linnen clothes glewed together, it muft bee fo co- lored, counterfeited, and made both of fafhion, figure and bignefs, that it may as aptly as is poflible, refemble the natural Nofe: it muft bee bound or ftayed with little threds or laces unto the hinder part part of the head or the hat. Alfo if there bee anie portion of the up- per lip cut off with the nofe,you may fhadow it with annexing lorn fuch thing that is want- ing unto the nofe, and cover it with the hair on his upper lip, that hee may not want anie thing that may adorn or beautifie the face. Therefore I have thought it neceffarie to fet down the figure or form of both thefe kindes. Why the parts of plants bee- ing cut off, may grow a- g*in,but thofe of man can- not. ibe fupplie of the defects in Man's bodie. Lm.z}. 578 The form of a nofe artificially made, both alone by it felf» and alfo with the up . \ ... per-lip covered as it were with the hair of the beard) A ftrange cun for a cut-off nofe. There was a Surgeon of Italic of late years which would reftore or repair the portion of the no/c that was cut away after this manner. Hee firft fcarified the callous edges of the maimed nofe round about, as is ufiially don in the cure of hare-lips : then hee made a galh orcavitie inthemufcleofthearm, which is called Biceps, as large as the greatnefs of the portion of the nofe which was cut away did require: and into that galh or cavitie fo made, liee would put that part of the nofefo wounded, and binde the patient's head to his arm,as if it were to a poll, fo fall that it might remain firm, liable and immoveable, and not lean or bow anie way 5 and about fortie daies after, or at that time when hee judged the fiefh of the nofe was pcrie&ly agglutinated with the fiefh of the arm; hee cut out as much of the fiefh of the arm, cleaving faft unto the nofe,as was Efficient to fupplie the defcft of that which was Jolt* aud then hee would make it even, and bring it, as by licking, to the fafhion and form of a nofe, as<ifcar,as art would permit; and in the mean while hee did feed his patient with > PRnadoes, gellies and all- fiich things as wereeafie to bee fwallowed and digefted. And hee did this wo rkof curein g th eplace where the fiefh was fo cut out, onely with certain balms imd agghifin W„e liquors. A. younger brother of the familie of St. fhoan, beeing wearie of a filver-nofe, which beeing artificially made, hee had worn in the place of his nofe that was cutoff, Went to this Chjrurgian into Italie, and by the mean fore-named practice hee re- covered addled f fiefh again, to the great admiration of all thofethat knew him before.This thing truly is poffible to bee don, cut it is verie difficult both to the patient fuffering, and allo to the Chirurgian working. For that the fiefh that is taken out of the arm is not of the like temperature as the fleffi of the note is 5 alfo the holes of the reftored nofe cannot bee made as the were before. * % . 1 An hiftoric. CHAP. III. Ofjbc flatting made in ftead of tliofe that areloflor wanting. T oftentimes happeneth that the fore-teeth are mooved, broken or ftricken out of their places by fom violent blow, which caufleth deformitieof the mouth, and hinder's plain pronunciation. Therefore when the jaw isre- ftored (it it were luxated or fraftured) and the gums brought into their former hardnefs; other teeth artificially made of bone or Ivorie may bee put in the place ofthofe that are wanting, and they muft bee joined one Taft untoanotner, and alfo fo faftned unto the natural teeth adjoining, that are whole; and this muft chiefly bee don with a thred of gold or filver, or for want of either , with a com- mon thred offilk or flax, as it is declared at large by Hipocrates, and alfo defcribed in this figure following. StH.tJib.de art.fent.tf. Ibt Lib.23. A fubblie of the defeAs in Man's bodie. 579 Tbe figure of Teetb bound or faftned together. CHAP. mi. Anie times it happeneth that a portion or part of the bone of the Palat, bat- ing broken with the (hot of a gun, or corroded by the virulencie of the Lues Venerea, fall's away, which make's the patients, to whom this happeneth, that they cannot pronounce their words diftin&ly, but obfcurely, and fnuffling: therefore I have thought it a thing worthie the labor to (hew the means how it may bee helped by art. It mult bee don by filling the cavitie of the Palat with a plate of gold or filver, a little bigger then the cavitie it felf is. But it muft bee as thick as a French Crown, and made like unto a difh in figure; and on the upper fide,which fhall bee towards the brain, a little fponge muft bee faftened , which, when it is moiftened with the moifiure diftilling from the brain , will becom more fwoln, and puffed up; fo that it will fill the concavitie of the Palat, that the artificial Palat cannot fall down, but Hand fall and firm, as if it flood of it lelf. This is the true figure of thole inftruments,whole certain ule I have oblerved not by once dr twice, but by manifold trials in the battels fought beyond the Of filling the bollownefs of tbe Palat. The caufies and hurt that : cnfue'a of rhe loft palat. Alps. T'he figure of plates to fill or fupplie the defers of tbe Palat. figure of another plate for tbe Pal at, on wbofe upper fide there is a button, which tnajt bee turned when it is put into tbe place, with a fmall Ravens bill, likg this wbofe figure is here exprefled* CHAP. 580 A Jitpplie of the defeats in Man's bodie. CHAP. V. How to belpfucb as cannot fpeakjy reafon of tbe lofs of fom part of the tongue. Hance gave place and autoritie to this remedie, as to manie other in our Art. A certain man dwelling in a village named Tvoy le fom twen- tie four miles from Bourges, had a great piece of his tongue cut off; by which occafion bee remain'd dumb fom three years.lt happen'd on a time that as hee was in the fields with reapers, hee drinking in a wooden difh, was tickled by fom of the ftanders by, not endureing the tickling, hee fuddenly broke out into articulate and intelligible words. Hee himfelf wondring thereat, and delighted with the noveltie of the thing, as a miracle, put the fame difh to his mouth juft in the fame man- ner as before, and then hee Ipakefo plainly and articulately, that hee might bee underftood by them all. Wherefore a long time following hee alwaies carried this difh in his bofom, to utter his minde, until at length neceflitie, the miftrefs of arts, and giver of wit induceing him, hee caufled a wooden inftrument to bee neatly cut and made for him, like the which is here delineated, which hee alwaies carried hanging at his neck, as the onely interpreter of his minde, and the key of his fpeech. A re me die found out by accident. An hiftorfe. An inftrument made to fupplie the defect of the fpeecb when the tongue is cut off. The ufe of tbe Inftrument is this. A. flieweth the upper part of it which was of the thicknefs of a nine-pence, which hee did fo hold between his cutting teeth, that it could not com out of his mouth nor bee feen. B. flieweth the lower part, as thick as a fix-pence, which hee did put hard to the reft of his tongue, dole to the membranous ligament which is under the tongue. That place which is depreft andfomwhat hollowed, marked with the letter C. is the inner part of the inftru- ment. D. flieweth the outfide of the fame. Hee hanged it about his neck with the firing that is tied thereto. Textor the Phyfician of Bourges (hewed mee this inftrument : and I my felf made trial thereof on a young man whdfe tongue was ait off, and it fucceeded well, and took verie good effect And I think other Surgeons in fiich cafes may do the like. CHAP. VI. Of covering or repairing certain def efts ordefaults in the face. oftentimes happened], that the face is deformed by the hidden flafhing of Gun-powder, or by a peftilent Carbuncle, fo that one cannot behold it i without great horror. Such perlons muft bee fo trimmed and ordered, that S&f. AIx they may com *n foni^e manner into the companie of others.The lips if they WwMSS bee either cut off with a fword, or deformed with the erolion or eating of a peftilen t Carbuncle or ulcerated Gswcer, lb that the teedi may beefeen to lie bare with great deformitie. If the lofs or confomption of the lip bee not verie great, it may bee repaired by that waie which wee have prescribed in the cure of hare-lips, or of an ulce- rated Cancer. But if it bee great, then muft there bee a lip of gold made for it, ib fliadowed and counterfeited, that it may not bee much unlike in color to the natural lip, and it muft beefaftned and tied to the hat or cap that the patient weareth on his head, that fo it may remain liable and firm. CHAR LlB.Z}. A fufplie of the defeats in Man's bodie. 581 CHAP. VII. Of the defers of the Ears. LIch as want their Ears, either naturally or by misfortune, as through a wound, carbuncle, cancer, or the biteing of wilde beafts: if lb bee that the Ear bee not wholly wanting, wafted,con fumed, or torn away; but that fom portioh thereof doth yet remain,then muft it not bee negle&ed,but muft have manic holes made therein with a bodkin5 and after that the holes are cicatrized, let fom convenient thing, made like unto the piece of the Ear that is loft, bee tied or faftned unto it by thefe holes. But if the Ear bee wholly wanting, another muft bee made of paper artificially glewed together, or elf of leather , and fo fattened with laces , from the top or hinder part of the head, that it may ftand in the appointed place; and fo the hair muft bee permitted to grow long, or elf tom cap worn under the hat, which may hide or cover the deformitie, unlets you had rather have it to bee lhadowed or counterfeited by fom Painter , that thereby it may referable the color of a natural Ear; and fo retain in it the place where it ought to ftand, with a rod or wier comming from the top or hinder part of the head, as wee have fpoken before in the lols of the Eie and the form thereof is this. CHAP. VIII. Of amending the deformitie of fucb as are He bodies of manie, efpecially young maids or girls (by reafbn that they are more moift and tender then the bodies of boys) are made crooked in procefs of time, efpecially by the wrenching afide and crookednefs of the back-bone. I It hath manie cauffcs, that is to fay, in the firft conformation in the womb, ' and afterwards by misfortune; as a fail, bruiG or anie fuch like accident ; but specially by the unhandfoni and undecent fituation of their bodies, when they are young and tender, either in carrying, fitting or ftanding (and efpecially, when they are taught to go too foon) fainting, tewing, writeing, or in doing anie fuch like thing. In the mean while, that I may not omit the occafion of crookednefs, thathappen's tel- dom to the Countrie-people, but is much incident to the inhabitants of great T owns and Cities, which is by reafbn of the ftraightnefs and narrownefs of tire garments that are worn by them, which is occalioned by the follie of mothers, who while they covet to have their young daughters bodies fb fmall in the middle as may bee poffible , pluck and draw their bones awrie, and make them crooked. For the ligaments of the back-bone beeing verie ten- der, fbft and moift at that age, cannot ftay it ftraight, and ftrongly 5 but beeing pliant, eafily permit's the fpondels to flip awrie inwards, outwards, or fide-wite, as they are thruft or forced. The remedie for this deformitie is to have breaft-plates of iron , full of holes all over them , whereby they may bee lighter to wear; and they muft bee fo lined with bombafte, that they may hurt no place of the bodie. Everie three months new plates muft bee made for thote that are not yet arrived at their full growth5 for otherwite by the dailie afflux of more matter, they would becom worf But thete plates will do them fmall good that arc al- readie at their full growth. Ddd Tfc Cauffej of crookedncfs. Lib.zj. 582 »_A jupplte of the defers in Man's bodie. The form of an iron Ereaft-platc, to amend the croofydnefs of the Bodie. CHAP. IX. How to reliev fuch at have their urine flow from them againft their wils, and fueb as want their yards. M thole that have the Strangurie, of what cauf foever that maladie com meth, the urine pafleth from them by drops, againft their wils and confent. This accident is verie grievous and troublefom, elpecially to men that tra- vell: and for their fakes onely I have invented the inftrument here beneath defcribed. It is made like unto a clofe breech or hole; it muft bee of latin, and to contain fom four ounces: it muft bee put into the patient's hofe, be- tween his thighs, unto which it muft bee tied with a point by the ring. Into the open and hollow mouth of this inftrument} which is noted with the letter C. the patient muft put his yard; and into this concavitie or hollownefs goeth a ftay fomwhat deep , it is marked with the letter B. and made or placed there, both to hold or bear the end of the yard , and allb by his dole joint that it muft have unto the veflel, to ftay the urine from going back again, when it is once in. But the letters A..and D. do fignifie all the inftrument; that the former part, and this the hinder part thereof. Now this is the Ihape thereof. An inftrumcnt for fuch as cannot hold their water. The figure of an Inftrument, which you may call, A Bafin, or Receptacle for the Urine. 1 hofe that have theiryards cut off clofe to their bellies , are greatly troubled in make- ing of urine, fo that they are conftrained to fit down like women, for their eaf. 1 have de- viied this pipe or conduit, haveing an hole through it as big as one finger, which may bee made of wood, or rather of latin. A. and C. do fhew the bignefs and length of the pipe. B.fheweth the brink on the broa- der end. D.flieweththe out-fide of the brink. This Inftrument muft bee applied to the lower Lib.23* A fupplie of.the defers in Man's bodie 583 lower part of os pefii'nis: on the upper end it is compalled with a brink for the pallage of the urine, for thereby it will receiv the urine better, and carrie it from the patient, as hee ftandeth upright. The defcription of a pipe or conduit, ferving in /lead of the yard inmakeing of water, which therefore wee may call an artificial! yard. A , C CHAP. X. By what means the peri/bed function or action of a thumb or finger may bee torrefied and amended- Hen a fmew or tendon is cut clean afimder, the aftion in that part, whereof it was the author, is altogether abolifhed ; id that the member cannot bend or ftretchoutit telf, unlefs it bee holpen by art: which thing I performed in a certain Gentleman belongingxo Annas ot Montmorenci e, General of the French Horf men, who in the battle of Dreux received fo great a wound with a back- fword,upon the out-lide of the wrift of the right hand, that the tendons that did ereft or draw up the thumb were cut clean in funder; and alfb , when the wound was throughly whole and confblidated, the thumb was bowed inwards, and fell into the palm of the hand, fo that hee could not extend or lift it up, unlefs k were by the help of the other hand, and then it would prefently fall down again; by reafon whereof hee could hold nei- ther fword; (pear, nor javelin in his hand, fo that hee was altogether unprofitable for war, without which hee fuppofed there was no life. Wherefore hee confiilted with mee about the cutting away of his thumb, which did hinder his gripeing, which I refuted to do, and told him, that I conceived a means how it might bee remedied without cutting away. Therefore I cauffed a cafe to bee made for it of latin, whereinto I put the thumb : this cafe was fo artificially fattened by two firings that were put into two rings, made in it above the joint of the hand, that the thumb flood upright, and ftraightout, by reafon whereof hee was able afterwards to handle anie kinde of weapon. An Inftorie. The form of a thumb or finger-.ftal! of iron or latin, to lift up or erefi the thumb, or anie other finger that cannot bee erefied of it felf. If that in anie man the finews or tendons , which hold the hand upright, bee cut afim- der with a wound, to that hee is not able tG lift up his hand, it may eafily bee erefted or lifted up with this Inftrument that followeth, beeing made of an equal, ftraight, thin, but yet firong plate of latin, lined on the inner fide with filk, or anie fiich like loft thing, and fo plac't in the wrift of the hand, that it may com unto the palm, or the firft joints of the Ddd 2 fingers; A fupplie ofthe defeats in Man's bodie. 584 Lib.Z}.1 fingers; and it muft bee tied above with convenient ftaies, and fo the difcommoditie of the depreflion, or hanging of the hand, may bee avoided: therefore this Inftrument may bee called the Ere&or of the Hand. Tlx Eretfor of the Hand. CHAiP. XI. Of helping thofe that are Vari or Valgi, that is, crook-legged, or crook-footed, inwards or outwards. Hfofe are faid to bee Vari, whote feet or legs are bowed or crooked inwards. This default is either from the firft conformation in the womb, through the de- fault in the mother, who hath her legs in like manner crooked j or becauf that in the time when fhee is great with childe, fliee commonly fit's with her legs a- crols: or elf, after the childe is born, and that, either becauf his legs bee not well fwathed, when hee is lai'd into the cradle, or elf, becauf they bee not well pleated in carrying the in- fant 5 or if hee bee not well looked unto by the Nurf, when hee learneth to go: for the bones are verie tender, and alnioft as flexible as wax. But contrariwife, thole are called Valgi,whofe legs are crooked or bowed outwards. This may com through the default of the firft conformation, as well as the other •, for by both, the feet alfo and the knees may bee made crooked; which thing, wholbever will amend, muft reftore the bones into their proper and natural place 5 fo that in thofe that are varous, hee muft thruft the bones outwards, as though hee would make them valgous: neither is it fuf- ficient to thruft them fo, but they ought allb to bee retained there in their places after they are fo thruft; for otherwite they beeing not well eftablilhed, would flip back again. They muft bee ftai'd in their places,by applying of collars and bolfterson that fide where- unto the bones do lean, and incline themfelvs 5 for the fame purpote boots may bee made of leather, of the thicknefs of a teftone, haveing a flit in the former part all along the bone of the leg, and allb under the foie of the foot, that beeing drawn together on both fides, they may bee the better fitted, and fit cloter to the leg. And let this medicine following bee applied all about the leg. R.tburif, mafticb.aloes, boli ar men i, rocb.refina pinificae, jubiilzfjimcpulverif.an.^iii.faring album.ovor.q.f. make thereof a medicine. You may alfo add a little Turpentine, left it Ihould drie fooner, or more vehemently then is necefla- rie. But you muft beware, and take great heed, left that fiich as were of late varouf or val- gout, Ihould attempt or ftrain themfelvs to go,before that their joints bee confirmed 5 for fo the bones that were lately tet in their places, may flip afide again. A nd moreover, until they are able to go without danger, let them wear high fhoos tied clote to their feet, that the bones may bee ftaied the better, and more firmly in their places 5 but let that fide of the foal of the Ihoo bee under-lai'd whither the foot did incline before it was reftored. What Vmu is, What is* A plater to hold faft refto- fed bones* the Lib.23. A fupplie ofthe defeats in Man's bodie. 585 The form of tittle Boots, whereof the one is open, and the otherfbut. CHAP. XII. By what means Arms, Leas, and Hands may bee made by art, and placed in /lead of the natural Arms, Legs, or Hands that are cut off and loft. Eceflitie oftentimes conftrain's us to finde out the meanes whereby wee may > help and imitate nature, and fupplie the defeft of members that are periflied and loft. And hereof it commeth that wee may perform the fun&ions of go- , ing, ftanding and handling with arms and hands made by art, and undergo our neceflarie flexions and extenfions with both of them. I have gotten the forms of all thole members made fo by art, and the proper names of all the Engines and Inftruments whereby thole artificially made are called, to my great coft and charges, of a moft ingenuous and excellent Smith dwelling at Paris, who is called of thofe that know him, and allo of ftrangers, by no other name then the little Lorain; and here 1 have caufled them to bee portraied,or fet down,that thole that ftand in need of fuch things, after the example of them, may cauffom Smith, or liich like work-man to ferv them in the like cafe. They are not onely profitable for the neceflitie of the bodie, but alfo for the de- eencie and comlinels thereof. And here followeth their forms. Ddd 3 ibe A Jupplie of the defers in Man's indie. LlB.Z}. 586 Tbe form of an Hand made artificially of iron. figure following fbewetb the bacb-fide of an Hand artificially made, and fo that it may bee tied to tbe arm orfieev. Tbe A fttpplie of the defe&s in Man's bodie. 587 T'he form tf an Arm made of iron verie artificially. *tbe d'efcription of Legs made artificially of iron. tbe 588 // fupplie of the defers in Man's bodie Lib.xj; the form of a woodden Leg made for poor men. A. Shewetb tbe ftump or flock, of the woodden Leg. BB.Sbeweth the two ftaies which muft bee on both fides of tbe Leg, tbefborter of them muft bee on the inner fide. CC.Shewetb tbe pillow or bolfter, whereon tbe knee muft reft in tbe bottom between the two ftaies, that fo it may reft tbe fofter. DD.Sbewetb the tbongs or girths with their round buclfi.es, put through tbe two ftaies on either fide to flay the knee in bis place firm and immoovable, that it flip not afide, E. Sheweth the tbigbit felfi that you may Iqiow after what fafbion it muft ftand. It happen's allb manie times, that the patient, that had the nervs or tendons of his Leg wounded, long after the wound is whole and confolidated, cannot go but with verie great pain and torment, by realbn that the foot cannot follow the mulcle, that Ihould draw it up. That this maladie may bee remedied, you ought to fallen a linnen band made verie ftrong unto the fhoo that the patient weareth on that his pained foot; and at the knee it mull have a flit where the knee may com forth in bowing of the Leg: and it mull bee truf- fed up fall unto the patient's middle, that it may the better lift up and ereft the foot in go- ing, This band is marked in the figure following with the letters AA. CHAP. Lib. 23. A fupplie of the defers in Man's bodie. 589 CHAP. XIII. Of amending or belpinglamenefs or halting. not onely a great deformitie, butalfo verie troublefom and grievous. llr&J R Therefore if that anie bee grieved therewith by reafon that one of his legsis & HI Ihorter then the other, it may bee holpen by putting under his fhort foot this fitting crutch, which, wee are now about to defcribe. F or by the help of this, bee J not onely go upright, but alio more eafily and with little labor or no pain at all. It was taught mee by Nicolas Piccard Chirurgian to the Duke of Lorain. The form thereof is this. A. Shewetb tbe ftaffor fiilt of this crutch, which muft bee made of wood. B. Shewetb the Seat of iron whereon tbe tbigb reftetbjufi under tbe buttock. C. Sbeweth a prop which fiaieth up tbe feat whereon all the weight of tbe patient's bodie refietb. D. Shewetb tbe fiirrup, freeing made of iron, and bowing crooked upwards, that the foot may (land firm, and not flip off it when the patient goeth. E. Sbeweth tbe prop that fiaieth or boldetb up tbe fiirrup to firengthen it. F. Shewetb the foot of the fiilt or crutch made of iron with manie pikes, and compared with a ring or ferule, fo to keep it from /lipping. G. Tbe crofs or head of the crutch which tbe patient mufi put under his arm-bole to lean upon, as it is to lee feenin tbe figure. Tbeendof the tuwitie third Book. 590 Lib.14.. Of the Generation of Man. The twentte fourth 'Book The Preface. The diftinfti- on of male and female. OD, the Creator and maker of all things, immediately after the Creation of the florid, of his unfpeakable counfel and inefiitnable wifdom not onely diftinguifbed mankinde, but all other liveing creatures alfo into a double fex, to wit, of male and female; that fo they beeing moved and enticed by the allurements of lufi,might defire copulation, thence to have procreation. For this bountiful Lord bath appoin- tedit as a folace unto everie liveing creature againfithe moft certain and fatal ne- ce/Jitie of death: than for as much as each particular liveing creature cannot con- tinue for ever, yet they may endure by their fpecies or bfinde by propagation and fucceffion of creatures, whicb is by procreation, fo long as tbe world endureth. In this conjunction or copulation replenifbed with fuch delectable 'pleafure, (which God bath chiefly eftablifbed by the law of Matrimonief) the male and femaleyeeld forth their feeds, which prefently mixed and conjoined, are received and kep't in tbe fe- male's womb. For tbe feed is a certain fpumous or foamie humor replenished with vital fpirit, by the benefit whereof, as it were by a certain ebullition or fermentation, it is puffed up, and fwoln bigger, and both the feeds beeing feparated from tbe more pure blood of both the parents, are the material and for- mal beginning of the iffue ; for the feed of the male beeing caft and received into the womb, is accounted tbe principal and efficient caufbut the feed of tbe female is reputed the fubjacent matter, or the matter whereon it worketh. Good and laudable feed ought to bee white, fbining, clammie, knottie, fmelling like unto tbe elder or palm, deletiable to bees, and finding down in the bottom of water beeing put into it, for that which fwimmeth on the water is efteemed unfruitful for a great portion commetbfrom the brain,yet fom thereof falT> from the whole bodie, and from all tbe parts both firm and foft thereof. For unlefs it com from tbe whole bodie,and everie part thereof,all and everie part of the iffue cannot bee formed thereby: becauflike things are engendred of their like: and therefore it commeth that tbe chi Ide refembletb tbe pa- rents,not onely in ftature and favor,but alfo in the conformation and proportion of bis Ums and members, 'and complexion and temperature of his inward parts, fo that difeafes are oft-times hereditarie, the weak- nefs of tbjs or that entral beeing tranfiated from the parent to tbe childe. I here are font which fuppofe this falffng of the feed from the whole bodie not to to bee underfiood according to tbe weight and matter, as if it wefe a certain portion of all the bloodfeparated from the refi-, but according to the power andform, that * lhe animal, natural and vital fpirits, beeing tbe framers of formation and life, and alfo the for- mative facultie to fall down from all the parts into tbe feed, that is wrought or perfected by tbe T<efticles, for proof and confirmation whereof, they alledgthat manie perfeff, found, abfolute, and well proportioned children, are born of lame and decrepit parents. The caufof thisdiftindion Whae feed is. The conditi- ons ofgood feed. Seed falleth from all the parts of the bodie* Wherefore ma- nie difeafes are hereditarie. How feed is to bee underftood to fall from the whole bodie. CHAP. I. IFhy the generative farts are endued with great pleafure. H Certain great pleafure accompanieth the fun&ion of the parts appointed for generation, and before it, inliveing creatures that are of a luftie age, when matter aboundeth in thole parts, there goeth a certain fervent or furious de- lire:the caufles thereof manie,of which the chiefeft is,That the kinde may bee preferred and kept for ever,by the propagation and (ubftitution of other live- ing creatures of the fame kinde. For brute beafts which want reafon, and therefore cannot bee felicitous for the prefervation of their kinde, never com to carnal copulation, unlefe they bee mooved thereunto by a certain vehement provocation of unbridled luft, and as it were by the ftimulation ofvenerie. Butman, that is endued with reafon, beeing a divine and moft noble creature, would never yeeld nor make his minde fubjeft to a thing fo abjeft and filthie as is carnal copulation,but that the venereous ticklings,raifed in thofe parts,relax the feveritie of his minde; or reafen admoniftieth him that the memorie of his name ought not to end with his life, but to be preferved unto all generations,as far as may bee poflible,by the propagation of his feed or iflue.Therefore by reafon of this profit or commoditie,nature hath What moveth a man to copu- lation. Lib.24.. Concerning the Generation of 591 hath endued the genital parts with a far more exaft or exquiiite fenf then the other parts,by lending the great iinews unto them,and moreover thee hath caufled them to bee bedewed or moiftned with a certain whayifli much unlike the feed Cent fromthe glandules or kernels called proftate, fituated in men at the beginning of the neck of the bladder, but in wo- men at the bottom of the womb: this moifture hath a certain fharpnefe or biteing, forthat kinde of humors of all others can chiefly provoke thole parts to their funftion or office, and yeeld them a dele&able pleafure, while they are in execution of the fame. For even fo whay- ilhand lharp humors, when they are gathered together under the skin, if they wax warm, tickle with a certain pleafent itching, and by their motion infer delight: but the nature of the genital parts or members is not ftirred up or provoked to the expulfion of the feed with thefe provocations of the humors, abounding either in quantitie or qualitie onely, but a certain great and hot fpirit or breath contained in thofe parts, doth begin to dilate it felf more and more, which caufleth a certain incredible excels of pleafure or voluptuoufnefs, wherewith the genitals beeing replete,are ipread forth or diftended eyerie waie unto their fid greatnefs. The yard is given to men whereby they may call out their feed dire&ly or ftraight* ly into the woman's womb, and the neck of the womb to women, whereby they may re- ceiv that feed lb call forth, by the open or wide mouth of the fame neck, and alfo that they may caft forth their own feed, fent through the fpermatick veflels unto their tefticles; thefe fpermatick veflels, that is to fay, the vein lying above,and the arterie lying below, do make' manie flexions or windeings, yet one as manie as the other, like unto the tendrils of vines diverfly platted or folded together,and in thefe folds or bendings the blood and fpirit which are carried unto the tefticles, are conco&ed a longer time, and fo converted into a white feminal fubftance. The lower ofthefe flexions or bowings do end in the ftones or tefticles, But the tefticles, forafmuch as they are thin, and fpongeous or hollow, receiving the humor which was begun to bee concofted in the fore-named veflels, concoft it again them- felvs : but the tefticles of men concoft the more perfe&ly for the procreation of the iflue;and the tefticles of women more imperfectly, becaufthey are more cold, lets, weak and feeble,but the feed becommeth white by the contact or touch of the tefticles, becauf the fubftance of them is white. The male is fuch as engendreth in another, and the female in her felf, fpermatick veflels which are implanted in the inner capacitie of the womb. But out of all doubt unlefs nature had preparedfo manic allurements, baits and provocations of pleafure, i there is fearce anie man fo hot or delighted in venereous aCts, which confidering and mark-i ing the place appointed for humane conception, the loathfomnefs of the filth which daily ■ falleth down unto it, and wherewithal! it ishumefted and moiftned, and the vicinitie and nearnefs of the great gut under it, and of the bladdder above it, but would ffiun the embra- ces of women. Nor would anie woman defire the companie of man, which once premedi- tate's or fore-think's with her felf on the labor that Ihee fhall foftain in bearing the burthen of her childe nine months, and of the almoft deadlie pains that fhee fhall fuffer in her deliverie. Men that ufe too frequent oftentimes in ftead of feed caft forth a crude and bloodie humor, and fomtimes alfo meer blood it felf 5 and oft-times they can hardly make water but with great pain, by reafbn that the clammie and oifiemoifture,which nature hath < placed in the glandules called proftate, to make the paffage of the urine flipperie, and to de- * fend it againft the ffiarpnefe of the urine that pafleth through it, is wafted, fo that afterward they fhall ftand in need of the help of a Surgeon to cauf them to make water with eaf and without pain, by injefting of a little oil out of a Syringe into the conduit of the yard. For in generation it is fit the man caft forth his feed into the womb, with a certain impetuofitie, 1 his yard beeing ftiff and diftended, and the woman to receiv the feme without delay into { her womb, beeing wide open, left that through delay the feed wax cold, and fo becom un- fruitful by reafon that the fpirits are diflipated and confumed. The yard is diftended or made ftiff,when the nervous,fpongeous and hollow fubftance thereof is replete and puffed up wrh a flatuIentfpirit.The womb allure's or draw's the mafeuline feed into it felf by the mouth thereof,and it receiv's the woman's feed by the horns from the fpermatick veflels which com from the tefticles into the hollownefe or concavitieofthe womb,that fb it may bee tempered by conjun&ion, commiftion and confufion with the man's feed, and fo reduced or brought unto a certain equalitieffor generation or conception cannot follow without the concourf of two feeds, well and perfe&ly wrought in the verie feme moment oftime,nor without a lau- dable difpofition of the womb both in temperature and complexion : if in this mixture of feeds the man's feed in qualitie and quantitie exceed the woman's,it will bee a man-childe;1 if not, a woman-childe, although that in either of the kindes there is both the man's and ! woman's feed > as you may fee by the dailie experience of thofe men who by their firft wives have had boies onely, and by their fecond wives had girls onely: the like you may fee in ' certain women, who by their firft husbands have had males onely, and by their fecond hus- bands females onely. Moreover one and the feme man is not alwaies like affe&ed to get a man or a woman-childe; for by reafbn of his age, temperature and diet, hee doth fom- times yeeld forth feed endued with a mafeuline virtue, and fomtimes with a feminine or weak Why the geni- tals are endu- ed withawhiy- iih aioiftur&o The caufof the foldings of the fpermatick vef- fels. Women's tc- ftides more impetfeft. Why manie m n and wo- men abhor ve< nereous copu- lation. Why the ftran- gurie enfueth immoderate copulation. What things ntceiErieunto ge aeration. Why a male, and why a fe- male is engen- died. 592 Qoncerning the (generation of Man. Lib.24., weak virtue, fo that it is no marvel if men getfomtimes men, and fomtimes women- children. CHAP. II. Of what qualitie the feed is, whereof the male, and whereof the female is engendred. Me children are engendred of a more hot and drie feed, and women of a more cold and moift: for there is much lets ftrength in cold then in heat, and like- wife in moifture then in drinefs; and that is the caufwhy it will bee longer before a girl is formed in the womb then a boy. In the feed lieth both the pro- creative and the formative power:as for examplejin the power of Melon-feed are fituate the ftalks, branches, leavs, flowrs, fruit, the form, color, fmel, tafte, feed and all. The like reafon is of other feeds 5 fo Apple-grafts engrafted in the ftock of a Pear-tree,bear Apples 5 and wee do alwaies finde and fee by experience, that the tree(by virtue of grafting J that is convert it felf into the nature of the Siens wherewith it is grafted. But although the childe that is born doth referable or is verie like unto the father or the mother, as his or her feed exceedeth in the mixture 5 yet for the moft part it happeneth that the chil- dren are more like unto the father then the mother, becauf that in the time of copulation,the minde of the woman is more fixed on her husband, then the minde of the husband on, or towards his wife: for in time of copulation or conception, the forms, or the liknefles of thofe things that are conceived or kept in minde,are tranfported and impreffed in the childe or ifliie 5 for fo they affirm that there was a certain Queen of the /Ethiopians who brought forth a white childe, the reafon was (as ffiee confefledj that at the time of copulation with her King, fhee thought on a marvelous white thing, with a verie ftrong imagination. Therefore Hejiod advertifeth all married people not to give themfelvs to carnal copulation when they return from burials, but when they com from feafts and plaies, left that their fad, heavie, and penfive cogitations, fhould bee fo transfufed and engrafted in the ifliie, that they fhould contaminate or infeft the pleafant joifulnefs of his life with fad, penfive or pafli- onate thoughts. Somtimes it happeneth, although verie feldom,the childe is neither like the father nor the mother, but in favor refembleth his Grandfather,or anie other of his kindred, by reafon that in the inward parts of the parents, the engrafted power and nature of the Grandfather lieth hidden : which when it hath lurked there long, not working anie effeft, at length break's forth by means of fom hidden occafion : wherein nature refembleth the Painter, makeing the lively portraiture of a thing, which as far as the fiibjeft matter will permit, doth form the ifliie lik unto the parents in everie habit j fo that often-times thedife eafesofthe parents are transferred or participated unto the children, as it were by a certain hereditarie title: for thofe that are crook-back't get crook-back't children, thofe that are lame, lame; thofe that are leprous, leprous 5 thofe that have the ftone, children haveing the ftone; thofe that have the ptiiick,children haveing the ptifick 5 and thofe that have the gout, children haveing the gout: for the feed follow's the power, nature, temperature and com- plexion of him that engendereth it. Therefore of thofe that are in health and found, heal- thie and found; and of thofe that are weak and difeafed, weak and difeafed children are be- gotten, unlefs happily the feed of one of the parents that is found doth correct or amend the difeafed impreffion of the other that is difeafed, or elf the temperate and found womb as it were by the gentle and pleafant breath thereof. Why men chil- dren are Cooner formed in the womb then women. The feed isthat in power from whence each thing cometh or floweth. Why the chil- dren are moft commonly like unto tjxeir fa- thers. ' When children fhould bee be- gotten. Why often- times the childe refembleth the Grandfather. Why fomtimes thofe that are difeafed do get found children, CHAP. III. What is the cauf why Females of all brute beaftst beeing great with young, do neither deft re, nor admit the males, until they have brought forth their Young. vWhy the fenf of venereous «fts is given to brute beafts. He cauf hereof is, forafmuch as they are mooved by fenfonely,they applie them- felvs unto the thing that is prefent, verie little, or nothing at all perceiving things that are paft, and to com. Therefore after they have conceived, they are unmindeful of the pleafurethat is paft,and do abhor copulation : for the fenfor feeling of luft is given unto them by nature, onely for the prefervation of their kinde, and notfor voluptuoufhefs, or delegation. But the males rageing, (welling, and as it were ftimulated by the provocations of the heat, or fervencie of their luft, do then run unto them, follow and defire copulation, becaufa certain ftrong odor or fmell commeth in- to the air from their fecret or genital parts, which pierceth into their noftrils , and unto their brain, and fo inferreth an imagination, defire, and heat. Contrariwife, the fenf and feeling of venereous aftions feemeth to bee given by nature to women , not onely for the propagation ofiflue and for the confervation of mankinde, but alfo to mitigate and af- fwage the miferies of man's life, as it were by the entifements of that pleafuret alfb the great ftoreof hot blood that is about the heart, wherewith men abound,maketh greatly to this Why of brute hearts the males rageing withluft/ol- low after the females. Wherefore a woman when fhee is with childe/lcfireth copulation. Pages 593-594 missing Lib.2.4.. Concerning the (generation of Man 595 enter into the childe's bodie by the hole of the navel. Here Galen doth admire the lingular providence of God and Nature; becaufthat in fuch a multitude of veflels, and in fo long a paflage or length that they go or are produced, the vein doth never confound it felf, nor flick to the arterie, nor the arterie to the vein 5 but everie veflel joineth it felf to the veflel of its own kinde. But the umbilical vein, or navel-vein, entering into the bodie of the childe, doth join it felfprefently to the hollow part of the liver ; but the arterie is divided into two, which join themfelvs to the two Iliack arteries along the tides of the bladder, and are prefently covered with the peritoneum j and by the benefit thereof are annexed unto the parts which it goe's unto. Thole finall veins and arteries are as it were the roots of the childe 5 but the vein and arterie of the navgfrare as it were the bodie of the tree , to bring down the nutriment to nourilh the childe. Ob firft, vJ'be live in the womb the life of a plant, and then next the life of a fenfitive creature: and, as the firft tunicle of the childe is called Cho- rion, or Allantoides •, fo the other is called Amnios, or Agnina, which doth compafs the feed or childe about on everie fide. Thefe membranes are moft thin, yea for their thinnefs like un- to the Spider's web,woven one upon another5 and alfb connexed in manie places by the ex- tremities of certain fmall and hairie fobftances, which at length, by the adjunftion of their like do get ftrength 5 whereby you may underftand, what is the caufwhy by divers and vio- lent motions of the mother in going and dancing, or leaping, and alfb of the infant in the womb, thofe membranes are not almoft broken. For they are fb conjoined by the knots of thofe hairie fiibftances,that between them nothing,neither the urine,nor the fweat can com, as you may plainly and evidently perceiv in the difleftion of a woman's bodie that is great with childe, not depending on anie other man's opinion , bee it never fb old or inveterate: yet the ftrength of thofe membranes is not fo great, but that they may bee fbon broken in the birth, by the kicking of the childe. The vein ne- ver joincth it Telfwith the artcrie. Hippocrates calkth all the membranes that compafs the infant in the womb}ac- cording to the judgment of G«/t7iin his book de ufu partiumtby the name of the /e- cundines. CHAP. VIII. Anie of the antient Writers have written that there are five veflels found in the navel. But yet in manie, nay all the bodies 1 fought in for them,1 could never finde but three ; that is to fay, one vein, which is very large, fo that in the pat- (age thereof it will receiv the tag of a point, and two arteries, but not lb large, but much narrower ; becauf the childe wanteth or ftandeth in need of much more blood for his conformation, and the nutriment or increafof his parts, then of vital fpirit* Thele veflels makeing the bodie of the navel, which, as it is thought, is formed within nine or ten daies, by their doubling and folding, make knots like unto the knots of a Fran- cifcan Friers girdle, that flaying the running blood in thofe their knottie windeings , they might more perfeftly concoft the lame: as may bee feen in the ejaculatorie fpermatick vel- fels,for which ufe alfo the length of the navel is half an ell; fo that in manie infants that are fomwhat grown, it is found three or four times doubled about their neck or thigh. As long as the childe is in his mother's womb, hee taketh his nutriment onely by the na- vel, and not by his mouth ; neither doth hee enjoy the ufe of eies, ears , nofrrils or funda- ment, neither needeth hee the funftions of the heart. For fpirituous blood goeth unto it by the arteries of the navel, and into the Iliack arteries; and from the Iliack arteries unto all the other arteries of the whole bodie , for by the motion of thele onely the infant doth breathe. Therefore it is not to bee fiippofed that the air is carried or drawn in by the lungs unto the heart,in the bodie of the childe; but contrariwife from the heart to the lungs.For neither the heart doth perform the generation or working of blood, or of the vita! fpirits. For the iflue or infant is contented with them as they are made and wrought by his mother. Which, until it hath obtained a full, perfeft and whole defcription of his parts and mem- bers, cannot bee called a childe; but rather an embryon, or an imperfeft fubllance. Oftbe Vmbilical veflels, or tbe veflels belonging to the navel. An old opini- on confuted. Towhat ufe the knots of the childe'a , navel in the wombferveth« The childe in the womb ta~ keth his nutri- ment by his navel) not by his mouth. , How the childe breath** ' eth. CHAP. IX. Of tbe ebullition or fuelling oftbe feed in the womb, and of the concretion of the bubbles or bladders, or tbe three principal entrals. M the fix firft daies of conception the new veflels are thought to bee made and brought forth of the eminencies or cotylidons of the mother's veflels, and difperfed into all the whole feed, as they were fibres, or hairie firings. Thofe, as they pierce the womb, fb do they equally and in like manner pe- netrate the tunicle Chorion. And it is carried this way, beeing a paflage not onely neceflarie for the nutriment and conformation of the parts, but alfo into the veins diverfly woven and dilperfed into the skin Chorion. For thereby it commeth Eee 2 to 596 Concerning the Generation of Man LIB.Z4.. to pafs, that the feed it felf boileth,and as it were fermenteth or fwelleth,not onely through occasion of the place, but alfo of the blood and vital fpirits that flow unto it and then it rifeth into three bubbles or bladders,like unto the bubbles which are occaiionedby the rain falling into a river or channel full of water. Thefe three bubbles or bladders , are certain rude, or new forms, or concretions of the three principall entrals, that is to fay , of the liver, heart and brain. All this former time it is called feed, and by no other name 5 but when thofe bubbles arife, it is called an embryon,or the rude form of a bodie until the per- feft conformation of all the members : on the fourth day after that the vein of the navel is formed, it fucketh grofler blood, that is, of a more full nutriment out of the Cotylidons. And this blood, becauf it is more grofs,eafily congeal's and curdle's in that place,where it ought to prepare the liver fully and abfolutely made. For tlfjn it is 6f a notable great bignefs a- bove all the other parts j and therefore it is called Parencbyma,beczu£it is but onely a certain congealing or concretion of blood brought together thither, or in that place. From the gibbous part thereof fpringeth the greater part or trunk of the hollow vein,called common- ly vena cava, which doth difperfhis fmall branches, which are like unto hairs, into alfo the fiibftance thereof: and then it is divided into two branches, whereof the one goeth up- wards, the other downwards unto all the particular parts of the bodie. In the mean feafon the arteries of the navel fuck fpirituous blood out of the eminencies or Cotylidons of the mother's arteries, whereof, that is to fay,of the more fervent and fpiritu- ous blood, the heart is formed in the fecond bladder or bubble, beeing endued with a more flefhie, found, and thick fiibftance, as it behooveth that veflel to bee, which is the fountain from whence the heat floweth, and hath a continual motion. In this the virtue formative hath made two hollow places 5 one on the right fide, another on the left. In the right, the root of the hollow vein is infixed or ingrafted , carrying thi- ther neceflarie nutriment for the heart: in the left is formed the ftamp or root of an arterie, which prefently doth divide it felf into two branches, the greater whereof goeth upwards to the upper parts, and the wider unto the lower parts, carrying unto all the parts of fhe bodie life and vital heat. The three bladders. When the feed is called an an embryon. Why the liver is called P«- renchyma. CHAP. X. He far greater portion of the feed goeth into this third bubble, that is to fay, yeelding matter for the conformation of the brain, and all the head For a grea- ter quantitie of feed ought to go unto the conformation of the head and brain; becauf thefe parts are not fanguine or bloodie , as the heart and liver; but in a manner without blood, bonie, marrow, cartilaginous, nervous , and membranous, whofe parts, as the veins, arteries, nervs, ligaments, panicles, and skin , are called parts; becaufthey obtain their firft conformation almoftof feed onely : although that afterwards they are nouriftied with blood, as the other flelhie and mufculous parts are. But yet the blood, when it is com unto thole parts,degenerateth, and turneth in- to a thing fomwhat Ipermatick, by virtue of the aflimulative facultie of thole parts. All the other parts of the head, form and falhion themlelvs unto the form of the brain, when it is formed; and thole parts which are lituated and placed about it for defence efpecially, are hardened into bones. The head, as the feat of the fenfes, and manlion of the minde and reafon, is lituated in the higheft place; that from thence, as it were from a loftie tower or turret, it might rule and govern all the other members , and their fun&ions and aftions that are under it: for there the foul or life, which is the re&refs or governefs, is lituated; and from thence it flow- eth, and is difperled into all the whole bodie. Nature hath framed thefe three principal en- trals, as props and fuftentations for the weight of all the reft of the bodie: for which mat- ter allo (hee hath framed the bones. The firft bones that appear to bee formed,or arc fuppofed to bee conformed,are the bones called off a Ilium, connexed or united by Ipbndyls that are between them: then all the other members are framed and proportioned by their concavities and hollownefles, which gener- ally are feven, that is to lay, two of the ears, two of the note, one of the mouth ,and in the parts beneath the head, one of the fundament, and another of the yard or conduit of the bladder; and furthermore in women, one of the neck of the womb,without the which they can never bee made mothers or bear children. W hen all thele are finilhed, nature, that lhee might polilh her excellent work in all forts, hath covered all the bodie and everie member thereof with -skin. Into this excellent work or l Microcofinos Co perfected, God, the author of nature and all things, infuleth or ingrafteth a foul or life: which St. Auguftine prooveth by this fentence of Mofes: Ifanie man finite a wo- man with child, fo that thereby fbee bee delivered before ber natural .time, and the child be dead> beeing firfl formed in tbewombjet him die the death ; but if the child ba'tbnot as yet obtained the ful proportion • i ' and Of the third Bubble or Bladder, -wherein the head and the brain is formed. Why the grea- ter portion of feed goeth into generation of the head and brain. Why the head is placed on the top of the bedie. EJffiLio.qtl.fi LlB.Zzj- Concerning the (jeneration of <£M.an. 597 and conformation o f bis bodie and members, let bim recommence it with monie. Therefore it is not to bee thought that the life is derived,propagated or taken from Adam or our parents,a$ it were an hereditarie thing diftributed unto all mankinde by their parents 5 but wee muft believit to bee immediately created of God, even at the verie inftant time when the child isabfolute- ly perfected in the lineaments of his bodie, and fo given unto it by him. So therefore the rude lumps of flelh called mol# that engender in women's wombs, and mongers of the like breeding and confufed bignefs, although by reafon of a certain quake- ing and fhivering motion,they feem to have lite,yet they cannot bee fuppoled to bee endued with a lite or a reatbnable foul: but they have their motion, nutriment and increaf wholly ' of the natural and infixed facultie of the womb, and of the generative or procreative fpirit that is ingrafted naturally in the teed. But even as the infant in the womb obtaineth not perfect conformation before the thir- tieth day, fo likewile it doth not move before thefixtieth day: at which time it is moft com- monly not perceived'by women, by reafon of the fmalnefs of the motion. But now let us tpeak briefly of the life or foul, wherein confifteth the principal original ofeverie fun&ion in the bodie, and likewife of generation. The WflAsin the womb liv- eth not as the childe. CHAP. XI. Of the life or foul. HE foul entreth into the bodie, fo foon as it hath obtained a perfed and abfo- lute diftin&ion and conformation of the members in the womb , which in male- children, by reafon of the more ftrong and forming heat which is ingraffed in them, is about the fortieth day, and in females about the fortie fifth day; in (bm (boner, and in fom later, by reafon of the efficacie of the matter working, and pliantnefs or obedience of the matter whereon it worketh. Neither doth the life or foul beeing thus infpired into the bodie prefently execute or perform all his functions, becaufthe inftruments that are placed about it cannot obtain a firm and hard confiftence neceflarie for the lively, but efpecially for the more divine minifteries of the life or foul, but in a long procefs of age or time. Thole inftruments of the (bul are vitiated either in the firft conformation, as when the formorfalhion of the head is Ihaped upwards or pyramidal, as was the head of 'Therfites3 that lived in the time of the Trojan war, and of 'Iriboulet and that lived in later years; or alfo by fom cafualtie,as by the violent handling of the midwife,who by comprefli- on, by reafon that the fcul is then tender and (oft, hath caufled the capacitie of the ventri- cles that bee under the brain to bee too narrow forthem: or by a fall, ftroak, diforder in diet, as by drunkennefs, or a fever, which inferreth a lithargie , exceflive fleepinefs, or phrenfie. Prefently after the foul is entred the bodie,God endueth it with divers and fundrie gifts: hereof it commeth that (bm are endued with wifdom by thefpirit; others with knowlcdg by the fame fpirit; others with the gift of healing by the fame fpirit; others with power, dominion and rule; others with prophefie; others with diverfities of tongues; and to o- thers other endowments, as it hath pleafed the divine providence and bountie of God to beftow upon them, againft which no man ought to contend or (peak. For it is not meet that the thing formed fbould fay unto him that formed it3 why baft thou made mee thus ? bdft> not the Potter power io make of the fame lump of claie one veffel to honor and another to dishonor ? it is not my purpofe, neither belongeth it unto mee or anie other humane creature to (earch out the reafon of thofe things, But onely to admire them with all humilitie , But yet I dare affirm this one thingjthata noble and excellent foul neglefteth elementarie and tranfitorie things,and is ra- viffied and mooved with the contemplation of celeftial,which it cannot freely enjoie before it bee (eparated from this earthlie inclofure or prilbn of the bodie,and bee reftored unto its original. Therefore the foul is the inward Entclechia or perfection, or the primitive cauf of all mo- tions and funftions both natural and animal, and the true form of man. The Antients have endevoured to exprefs the obfcure fence thereof by many defcriptions. For they have called it a celeftiall (pirit, and a fuperior, incorporal, invifible, an immortal eflence, which is to bee comprehended of its (elf alone, that is, of the mindeor underftanding. Others have not doubted but that wee have our (buls infpired by the univerfal divine minde, which as they are alive, fo they do beftow life on the bodies unto whom they are annexed or united. And although this life bee difperfed into all the whole bodie, and into everie b portion of the fame , yet is it void of all corporal weight or mixtion , and it is e wholly and alone in everie feveral part, beeing Ample and invifible , without all ' compofition or mixture , yet endued with manie virtues and faculties 5 which it f E e e 3 doth , " The life goeth ■ not into the tnafsoffeed that doth en- gender the childe, before the bodie of the childe and each part thereof hath his perfeft proportion and form. Why the life or foul doth not prefently exe- cute all his of- fices. i Cor.c, iz. What the foul or life is. The life is in all the whole bodie, and in everie portion thereon The life or foul i$ fimple and indivifi- blc Concerning the (feneration of Man. LIB.24.. 598 doth utter in divers parts of the bodie: For it feeleth, imagineth, judgeth,remembreth,un- derftandeth, and ruleth all our defires, pleafures, and animal motions ; it fee'th, heareth, fmelleth, tafteth, toucheth: and it hath divers names of thefe fo manie and fo great functi- ons, which it performeth in divers parts of the bodie. It is called the foul or life ; becauf it maketh the bodie live, which of it felf is dead. It is called the ftirit or breath j becauf it in- fpireth our bodies. It is called reafon:, becaufit difcerneth truth from fallhood, as it were by a certain divine rule.lt is termed the minde ; becauf it is mindeful of things paft, in re-cal- ling and remembring them: And it is called the vigor or courage ■, becauf it giveth vigor and courage to the fluggifh weight, or mats of the bodie. And laftly, it is called the fenf and underftanding; becauf it comprehendeth things that are fenfible and intelligible. Becauf it is it cannot occupie a place by corporeal extenfion; although notwithftanding it filleth the whole bodie. It is fimfle ; becaufit is but one in eflence, not increafed, nor di- minifhed: for it is no lefs in a Dwarf then in a Giant 5 and it is like perfect and great in an infant as in a man, according to its own nature. But there are three kindes of bodies informed by a foul whereby they live : the firft bee- ing the moft imperfeft, is of plants ; the fecond of brute beafts ; and the third of men. The plants live by a vegetative 5 beafts by a fenfitive ; and men by an intellective foul. And as the fenfitive foul of brute beafts is endued with all the virtues of the vegetative ; fo the hu- " mane intellective comprehendeth the virtues of all the inferior, notfeparated by anie divi- e Aon, but by beeing indivifibly united with reafon and underftanding, into one humane form and foul whereon they depend. But becauf wee have laid a little before, that divers funftions of the life are refident, and appear in divers parts of the bodie herein this place, omitting all others, wee will profecute thofe onely which are accounted the principal. The principal functions of an humane foul, according to the opinion of manie, are four in number, proceeding from fo manie faculties, and confequently from one foul ; they i-are thefe: The Common Senf, Imagination, Reafoning, and Memorie. And they think that the common or interior fenfdoth receiv the forms and images of fenfible things, bee- ing carried by the fpirit through the paflage of the nervs, as an inftrument of the external n fenfes, as it were a meflenger to go between them 5 and it ferv's not onely to receiv them, but alfo to know, perceiv,and difcern them. Fortheeie, wherein the external fenfof fee- ing confifteth, doth not know white or black. Therefore it cannot difcern the differences of colors, as neither the tongue tafte's, nor the nofe favor's, nor the ears found, nor laftly, the hands their touching qualitie: yea, the eie doth not of it felf perceiv that it fee'th, nor the nofe that it fmelleth, nor the ears that they hear, nor the tongue that it tafteth, nor the hands that they touch. For all thefe things are the offices and funftions of the common fenf; for this fenf knoweth that the eie hath feen fom thing, either white,black,red, a man, horf, fheep, or fom fuch like material thing; yea, even when the Aght is gon and paft 5 and fo likewife the nofe to have fmelled this or that favor , the ear to have heard this or that found,'the tongue to have tafted this or that tafte, and the hand to have touched this or that thing, bee they never fo divers. For all the external fenfes, and all the funftions there- of do end, and are referred to the Common fenG as it were the lines of a circle from the cir- cumference into the center, as it is expreffed in this figure. Divers names, and the reafon of divers names that arc given to hu- mane forms. Three kindes of liveing bo- dies. The fuperior foul contained in it felf all the powers of the inferior. What the com- mon fenf. The fuuftion of the common fenf is double. For what cauf the internal fenf is called the common fenf. For which caufit is called the common or principal fenf; for that therein the primitive power of feeling or perceiving is Atuated, for it ufeth the minifterie or fervice of the exter- nal fenfes, to know manie and divers things, whofe differences it doth difcern and judg;but Ample things, that are of themfelvs, and without anie compofition and connexion , which may conftitute anie thing true or falf, or anie argumentation 9 belongeth onely to the minde, underftanding, or reafon. For this was the counfel of nature, that the external fen- fes fhould receiv the forms of things foperficially, lightly, and gently onely ; like as a glafs, 1 not to anie other end, but that they fhould prefently fend them unto the Common (en£as it were unto their center and prince, which hee (that is to fay, the Common fenf) delivereth to bee collefted unto the underftanding or reafoning facultie of the foul, which Avicen and Averrots have fuppofed to bee Atuated in the former part of the brain. Next unto the common fenf followeth the phantafie or imagination , (b called, be- cauf of it arife the forms and Idea's that are conceived in the minde, called of the Greeks Phantafmata. The common fenf underftan' deth or know- eth thofethings that are fimple onely. What imagi- nation is. Lib.z4-u Concerning the (feneration ofMdn, 599 Tbantaj'mata. This doth never reft but in thole that deep : neither alwaies in them, for oft- times in them it caulleth dreams,and caufeth them tb fuppofe they fee and perceiv fuch things as were never perceived by the fenfes, nor which the nature of things, nor the order of the world will permit. The power of this facultie of the minde is fo great in us, that it often bringeth the whole bodie in lubjeftion unto it. For it is recorded in hiftorie, that Alexander the Great fitting at Table, and hearing 77- motbeus the Mufician fing a Martial fonnet unto his Cythern,that hee prefently leaped from the table, and called for arrnsj but when again the Mufician mollified his tune, hee return- ed to the table and fate down as before. The power of imagination cauffedby mufical har- monic, was fo great, that it fubje&ed to it the courage of the World's conqueror, by whole various motion, it would now as it were cauf him to run headlong to arms, and then paci- fic and quiet him, and fo cauf him to return to his chair and banquetting again. And there was one whofoever it was, who fom few years agon, feeing the Turk dance on a rope on high, with both his feet fall ned in abalin, turned his eies from fo dangerous a fight or Tpedacle, although came of purpole to fee it, and ftricken with fuch fear, that his bo- die fhook and heart quaked, for fear left that by Hidden falling down headlong hee Ihould break his neck. Manie looking down from an high and loftie place, are fo ftricken with fear, that fuddenly they fall down headlong, beeing fo overcom and bound with the ima- gination of the danger, that their own ftrength is notable tofiiftain them. Therefore it manifeftly appeareth that God hath dealt moft gracioully and loveingly with us,who unto this power of imagination, hath joined another, that is, the facultie or power of reafon and underftanding $ which difcerning falfdangers and perils from true,doth luftain and hold up a man that hee may not bee overthrown by them. After this appearetftand approacheth to perform his funftion , the facultie of Realbn, 1 beeing the Prince of all the principal faculties of the foul 5 which bringeth together, i compofeth, joineth, and reduceth allthefimple and divided forms or images of things into one heap, that by dividcing, colle&ing, and reafoning it might difcern and trie truth from falfliood. This facultie of Underftanding or Reafon is fubjeft to no facultie or inftrument of the bodie, but is free, and penetrateth into everie fecret, intricate and hidden thing with an in- * credible celeritie: by which a man lee'th what will follow, perceiveth the originals and caufles of things, is not ignorant of the proceedings of things; hee compareth things that are paft with thole that are prelent and to com, decreeing what to follow, and what to a- void. This bridleth and with-holdeth the furious motions of the minde, bridleth the over- haftie motions of the tongue, and admonilheth the fpeaker that before the words pals out of his mouth, hee ought with diligence and diferetion to ponder and confider the thing where- of hee is about to fpeak. After Reafon and Judgment followeth Memorie , which keeping and conferving all , forms and images that it receiveth of the fenfes, and which Realbn ihall appoint, and as a i faithful keeper and conferver, receiveth all things, and imprinteth and fealeth them as well by their own virtue and power, as by the impulfion and adherence of thole things in the bo- die of the brain, without anie impreflion of the matter that when occafion ferveth,wcemay bring them forth there-hence as out of a trealurie or ftore-houl. For otherwife, towhat purpofe were it to read, hear, and note fo manie things, unlefs wee were able to keep and retain them in minde by the care and cuftodieof the Memorie or Brain > Therefore aflured- ly God hath given us this onely remedie and prefervative againft the oblivion and ignorance of things, which although of it felf and of its own nature it bee of greater efficacie, yet by dailie and often meditation it is trimmed and made more exquifite and perfeft. And hence it was that the Antients termed wildom the daughter of memorie and experience. Manie have fuppofed that the manfion or feat of the Memorie, is in the hinder part, or in the ven- tricle of the Cerebellum 5 by reafon that it is apt to receiv the forms of things,becauf of the en- grafted drinels and hardnefs thereof. . What Reafon > The fun&ions ofReafon. What memorie is. Wifdom the daughter of memorie and experience. CHAP. XII. Of the natural excrements in general, and efyecially oftbofe that the cbilde or infant beeing in the ■womb excludetb. Efore I declare what excrements the infant excludeth in the womb and by what paflages, I think it good to (peak of the excrements which all men do naturally void. All that is called an excrement which nature is accuftomed to feparate and caft out from the laudable aud nourifhing juice. There are manie kindes of thole excrements. The firft is of the firft conco&ion, which is performed in the ftomach, which beeing dri- ven down into the inteftines or guts, is voided by the fundament. ' The fecond commeth from the Liver and it ufually is three-fold, or of three kindes; one choler- What an ex- crement is. The excre- ment ofthefirft concoftion. Concerning the (generation of Man LlBeXzj. 600 Theexcrement of the (econd concodion is triple. cholerick, whereof a great portion is (ent into the bladder of the gall, that by fweating out there-hence, it might ftir up the expulfive facultie of the guts to expel and exclude the excrements. The other is like unto whay, which goeth with the blood into the veins, and is as it were a vehicle thereto to bring it unto all the parts of the bodie , and into everie ca- pillar vein for to nourifli the whole bodies and after it hath performed that funftion, it is partly expelled by fweat, and partly fent into the bladder, and fb excluded with the urine. The third is the melancholick excrement which beeing drawn by the milt, the purer and thinner part thereof goeth into the nourifhment of the milt, and after the remnant is part- ly purged out downwards by the Hemorrhoidal veins, and partly fent to the orifice of the t ftomach, to inftimulate and provoke the appetite. The laft commeth of the laft concoftion, which is abfblved in the habit of the bodie, and breathed out, partly by infenfible tranfpira- tion, is partly confumed by fweating, and partly floweth out by the evident and manifeft paflages that are proper to everie part: as it happeneth in the brain before all other partsjfor it doth unload it felt of this kinde of excrement by the paflages of the nofe,mouth,ears,eies, p a la t-bone and futures of the fail. Therefore if anie of thole excrements bee ftaied altogether, or anie longer then it is meet they fhould,the default is to bee amended by diet and medicine. Furthermore, there are o- ther forts ofexcrements not natural, of which wee have entreated at large in our book of the peftilence. When the infant is in the mother's womb, until hee is fully andabfolutely formedin all the lineaments of his bodie,hee fends forth his urine by the paffage of the navel or urachus- But a little before the time of childe-birth, the urachus is doled, and then the man-childe voideth his urine by the conduit of the yard, and the woman-childe by the neck of the womb. This urine is gathered together and contained in the coat Chorion or Allantoides, to- gether with the other excrements, that is to fay,fweat,and fuch whayifh fuperfluities of the menftrual matter, for the more eafie bearing up of the floteing or fwimming childe. But in ■ the time of childe-birth , when the infant by kicking breaketh the membranes, thofe hu- mors run out, which when the midwives perceiv,they take it as a certain fign that the childe is at hand. For if the infant com forth together with thofe waters, the birth is like to bee more eafie, and with the better fiiccefs; for the neck of the womb and all the genitals are id by their moifture relaxed and made flipperie , that by the endevor and ftirring of the infant the birth will bee more eafie, and with the better fuccefs: contrariwife, if the infant bee not excluded before all thefe humors bee wholly flowed out and gon , but remaineth as it were in adrie place, preftntly through drinels the neck of the womb and all the genitals will bee contrafted and drawn together, fo that the birth of the childe will bee verie dif- ficult and hard, unlefs the neck of the womb, to amend that default, bee annointed with oil or fbm other relaxing liquor. Moreover, when the childe is in the womb, hee voideth no excrements by the fundament, unlefs it bee when at the time of the birth, the proper mem- branes and receptacles are bur'ft by the ftriveing of the infant,for hee doth not take his meat at the mouth, wherefore the ftomach is idle then, and doth not execute the office of turning rhe meats into chylus, nor of anie other concoftion; wherefore nothing can go down from n it into the guts. Neither have I feldom feen infants born without anie hole in their funda- . meat, fb that 1 have been conftrained with a knife to cut in funder the membrane or tuniclc that grew over and flopped it. And how can fuch excrements bee engendred, when the childe beeing in the womb, is nouriflied with the more laudable portion of the menftrual blood ? therefore the iflue or childe is wont to yeeld or avoid two kindes or forts of excre- ments, fplongas hee is in the womb, that is to fay, iweat and urine, in both which hee fwimsj butthey arefeparatedby themfelvs,by a certain tunicle called Allantoides, as it may bee feen in kids, dogs, fheep, and other brute beafls j for as much as in mankinde the tunicle ,;iCtymon and Allantoides or all one membraneJf the woman bee great of a man- 'childe, fhee is more merrie, ftrong, and better colored, all the time of her childe-bearingjbut ifof a woman-childe, fhee is ill colored, becaufthat women are not fo hot as men. The males begin to ftir within three months and an half, but females after : if a woman conceiv a male-childe, fhee hath all her right parts ftronger to everie work: wherefore they do begin to fet forwards their right fodt firft in going, and when they arife they lean on the right arm, the right dug will fooner fwell and wax hard : the male-children ftir more in the right fide then in the left, and the female-children rather in the left then in the right fide., •• T he excremen efthe third concodion is triple. Thcufeofthe navel-firing. The irgns of fpeedie and ca- fe deliverance. Children born wiebottta paf- fage in their tadaeneat. ■ io nut; 'J CHAP. Lib.1z|.. Concerning the Generation ofoZMan 601 Vfitbwbat travail the Childe is brought into the world, and of the cauf of this labor and travail. CHAP. XIII. Fieri the natural prefixed and prefcribed time of chilcle-birthis com, the childe beeing then grown greater,require's a greater quahtitie bf food : which when hee cannot receiv in fufficient meafure by his navel, with great labor and (hi- ving hee endeavoreth to get forth therefore then hee is mooved with a ftrong- :r violence,and doth break the membranes wherein hee is contained. Then the womb, becauf it is not able to endure fiich violent motions,nor fuftain or hold up the childe anie longer, by reafon that the conceptacles of the membranes are broken afunder, is rela- xed. and then the childe purfuing the air which hee feeleth to enter in at the mouth of the womb, whichthenisverie wide and gapeing, is carried with his head downwards, and fb commeth into the world with great? pain both unto it felf, and alfo unto his mother, by reafon of the tendernefsof his bodie, and alfo by reafon of the nervous neck of his mo- thers womb,and feparation of the bone called Os Ilium from the bone called Os facrum. For unlefs thofe bones were drawn in funder, how could not onely twins that cleav fall toge- ther, but alfo one childe alone,com forth at fo narrow a paffage as the neck of the womb is? Not onely reafon, but alfo experience con firmeth it; for I opened the bodies of women pre- (ently after they have died of travail in childe-birth, in whom I have found the bones of Ili- um to bee drawn the bredth of ones finger from Os facrum: and moreover, in manie unto whom I have been called, beeing in great extremitie of difficult and hard travail, I have not onely heard, but alfo felt the bones to cracle and make a noif, when I laid my hand upon the coccyx or rump,by the violence of the diftention. Alfo honeft matrons have declared unto mee that they themfelvs, a few daies before the birth , have felt and heard the noif of thofe bones feparateing themfelvs one from another with great pain. Alfo a long time after the birth manie do feel great pain and ach about the region of the coccyx and Os facrum, fo that when nature is not able to repair the diffolved continuitie of the bones of llium3 they are conftrained to halt all the daies of their life after. But the bones of the (hare called Offapu- bif) Ihaveneverfeentobeefeparated,asmaniedo alfo affirm. It is reported that in Italic the coccyxor rump in all maidens, that when they com to bee married thee may bear chil- dren with the leffer travail in childe-birth ■, but this is a forged tale, for that bone beeing broken, is naturally and of its own accord repaired, and ioined together again with a CaHus, whereby the birth of the childe will bee more difficult and hard. Why the infant is born fom- timeswith his head forwards" In the time of childc birth the bones of Ilium and Osfacvum are drawn and extended one from another. An Italian fa- ble. CHAP. XIV. Of the fnuation of the infant in the womb. Eaton cannot fhew the certain fituation of the infant in the womb, for I have found it altogether uncertain,variable and diverf both in liveing and dead women: in the dead by opening their bodies prefently after they were dead; and in the live- ing by helping them by the induftrie of my hand, when they have been in danger of perilhing by travail of childe-birth : for by putting my hand into the womb, I have felt the infant comming forth,tomtimes with his feet forwards, fomeimes with his hands, and fomtimes With his hands and feet turned backwards, and fomtimes forwards as the figure following plainly defcribeth. The fituation of the infant in the womb is diverf. I have often found them comming forth with their knees forwards, and fomtimeswith one ofthefeet3and fomtimeswith their bellie forwards, their hands and feet beeing lifted upwards,as the former figure (heweth at large. Som~ 602 Concerning the Generation of Man LlB.Zzp Somtimes I have found tbe infant cam- ming with his feet downwards ftrideinga- fomtimes headlong, ftretching one of bis arms downward out at length* and that was an Hermaphrodite, as the figure fol/owinatdainly declare th. One time I observed in the birth of twins, that tbs one came with bis bead for- wards> and tbe other with bis feet, according as here I have thought good to defcribe them. In the bodies of women that died in travail of childe I have fomtimes found children no bigger then if they had been but four months in the womb, fituated in a round compafs like a hoop, with their head bowed down to their knees, with both their hands under the knees, and their heels clofe to their buttocks. And moreover, I proteft before God that I found a childe beeing yet alive in the bodie of his mother (whom I opened fb foon as fhee was dead) lying all along ftretched out, with his face upwards, and the palms of his hands joined together,*as if hee were at praier. CHAP. XV. Which is the legitimate and natural3 and which the illegitimate or unnatural time of childe-birtb. Mankinde hath no certain timeofbring- ingforthjoung O all liveing creatures, except man, the time of conception and bringing forth their young is certain and definite; but the iflue of man commeth into the world , fomtimes in the feventh, fomtimes in the eighth; and fomtimes, which is moft frequent, in the ninth month; fomtimes in the tenth month; yea fom- times in the beginning of the eleventh month. Maffiainus report's that Lucius Papyriut the Pretor, the fecond heir commencing a fuit, gave the pofleflion of the goods a- way from him, feeing the mother of the childe affirmed that fhee went thirteen months therewith, beeing there is no certain definite time of childe-birth. The childe that is born in the fixt month cannot bee long-lived, becaufthat at that time all his bodie or members are not perfeftly finiffied, or abfolutely formed. In the feventh month it is prooved by reafbn e and experience that the infant may bee long-lived. But in the eighth month it is feldom or never long-lived: the reafbn thereof is, as the Aftronomers fuppofe, becaufthat at that time Saturn ruleth, whofe coldnefs and drinefs iscontrarie to the original of life: but yet the phyfical reafon is more true; for the phylicians fay that the childe in the womb doth often- times in the feventh month ftrive to bee fet at libertie from the inclofure of the womb, and therefore it contendeth and laboreth greatly, and fo with laboring amd driving it becom- meth weak, that all the time of the eighth month it cannot recover his ftrength again,where- by it may renew his accuftomed ufe of (h iving, and that fbm by fuch laboring and ftriving hurt themfelvs, and fo die. Yetfomftrong andluftie women are thought to bring forth their children, beeing livelie and ftrong, on the eighth month, as Ariftotle teftifieth of the Egyptians, the Poets of the inhabitants of the Ifle of Naxuh and manie of the Spaniards. Furthermore I cannot fufficientjy marvel, that the womb,which all the time of childe-bear- ing is fb doled together, that one can fcarceput a probe into it, unlels it bee by fuperfoetati- on, or when it is open for a Ihort time to purge it felf, that presently before the time of childe-birth, it fhould gape and wax lb wide, that the infant may pafs through it, anp pre- fently after it to clofe again as if it had never been opened. But becauf that the travail of the firft time of childe-birth is wont to bee verie difficult and grievous, I think it not un- meet that all women, a littlebefore the lime of thtir firft travail, annoint and relax their privie parts with the unguent here defcribed, ft. cr. cetz, i|ii. ol, amigd. cert Why the childe is fcarce alive in the eighth month. Lib. 4. dt bift. animxap,?. LlB.Zz].. Qoncerning the (feneration of Man. 603 inedul. cer-vin. §iii. axung. anf.& gallin. an. tereb. make thereof an ointment to noint the thighs, fliare, pnvie-parts and genitals. Furthermore, it ffiall not bee unprofita" ble, to make a truCs or girdle of moft thin and gentle dog-skin, which beeing alfo annoin- ted with the fame unguent, may lerv verie neceflarily for the better carrying of the infant in the womb. Alfo baths that are made of the decoftion of mollifying herbs,are alfo verie pro- fitable to relax the privie parts a little before the time of the birth. That is fuppofed to bee a natural and eafie birth, when the infant commeth forth with his head forwards, prefent- ly following the flux of water; and that is more difficult, when the infant commeth with his feet forwards : all the other waies are moft difficult. Therefore Mid-wives are to bee ad- monifhed that as often as they perceiv the childeto bee comming forth none of thole waies but either with his bellieor his back forwards, as it were double; or elf with his hands and feet together, or with his head forwards, and one of bis hands ftretched out, that they ffiould turn it, and draw it out by the feet; for the doing whereo£>if they bee not Efficient Jet them crave the affiftance and help of fom expert Chirurgian. 3 The natural and eafiechild- birth. CHAP. XVI. Signs of the birth at band. Here will bee great pain under the navel, and at the groins, and fpreading there- hence toward the Vertebra of the loins, and then efpecially when they are drawn back from the Os facrum, the bones Ilia and the Coccyx are thruft outward, the ge- nitals fwell with pain, and a certain Fever-like ffiakeing invade's the bodie, the face waxeth red by reafbn ofthe endeavor of nature, armed unto the expulfion of the infant. And when thefe figns appear, let all things bee prepared readie to the childe-birth. There- forefirft of all let the woman that is in travail bee placed in her bed conveniently, neither with her face upwards, nor fitting, but with her back upwards and fomwhat high, that thee j may breath at libertie, and have the more power or ftrength to labor. Therefore fhee ought to have her legs wide one from another, and crooked , or her heels fomwhat bowed up towards her buttocks, lb that fhee may lean on a ftaff that muft beee placed overthwart the bed. There are fom that do travail in a ftool or a chair made for the fame purpofe: others Handing upright on their feet, and leaning on the poaft or piller of the bed. But you muft take diligent heed that you do not exhort or perfwade the woman in travail to ftrive or la- bor to expel the birth before the fore.named figns thereof do manifeftly fhew that it is at hand. For by fiich labor or pains fhee might vbee wearied or ioweakned, that when fhee (hould ftrive or labor, fhee fhall have no power or ftrength fo to do. If all thefe things do fall out well in the childe-birth. the bufinefs is to be committed to nature, and to the Mid- wife. And the woman with* childe muft onely bee'admonilhed that when fhee feeleth verie ftrong pain, that fhee prefently therewith ftrive with moft ftrong expreflion , fhutting her mouth and nofe if fhee pleaf, and at the fame time let the Midwife with her hands force the infant from above downwards. But if the birth bee more difficult and painful, by reafbn that the waters wherein the infant lay are flown out long before, and the womb bee drie, this ointment following is to bee prepared. R, butyri recentis fine [ale in aqub artemefia loti^ii.1 mucaginis ficuum, femin. cum aqua fabina Uliorumfffi.rtaka there- ( of an ointment, wherewith let the Midwife often annoint the fecret parts. Alfb this pow- : der following may bee prepared. R. Cinnamon. cort. caflia fitful. ditfamni Jaccb. albi ad < fondus omnium : make thereof a moft fubtil and fine powder. Let the woman that is in ex- ' tremitie by reafbn of difficult and painful travail in childe-birth, take half an ounce thereof < at a time, with the decoftion oflin-feed, or in white wine, for it will cauf more fpeedie and ( eafie deliverance of the childe. Moreover let the midwife annoint her hands with this ointment following as often as fhee putteth them into the neck of the womb, and therewith alfb annoint the parts about it. olei ex feminibus lini,%i$. olei de ladani make thereof a liniment. Moreover, you may provoke fheefing, by putting a little pepper or white He- lebore in powder into the noftrils. Lin-feed beaten, and given in potion, with the water of Mugwurt and Savine, is fuppofed to cauf fpeedie deliverance. Alfb the medicine following is commended for the fame purpofe. R. corticis cafjia fifiul, conqwafiata cicer. rub.mfi. bulli- ant cum vino albo & aqua fufficienti, fubfinem addenda fabina,%ii. in colatura pro dofi adde crocigr.Yi. make thereof a potion, which beeing taken, let fheefing bee provoked, as it is above-faid, and let her fhutor clofe her mouth and noftrils. Manie times it happeneth that the infant commeth into the world out of the womb,have- ing his head covered or wrapped about with a portion of the fecundine or tunicle wherein it is inclofed, efpecially, when by the much, ftrong, and happie ftriveing of the mother, hee commeth forth together with the water wherein it lieth in the womb, and then the mid- wives prophefie or fore-tell that the childe fhall bee happie, becaufhee is born as it were with a hood on his head. But I fuppofc that it doth betoken health of bodie both to the in- fant How the wo- man that tra- vailcthinchild- birh muft bee placed in her bed. An unftion to fupplie the de- fed of the wa- ters that are flowed out too long before the birth. A powder to cauffpeedie de- liverance in cbilde-birth. fefi.j.e A potion cau- sing fpeedie de- liverance. 604 Concerning the Generation of Adan Lib. id.. fant and alfo to his mother; for it is a token ofealie deliverance. For when the birth is difficult and painful, the childe never bringeth that membrane out with him, but it remain- ed! behindein the paflage of the gentitals or fecret parts, becaufthey are narrow. For even fo the Snake or Adder when ffiee (hould caft her skin thereby to renew her age, creepeth through fom narrow or ftrait paflage. Prefently after birth, the woman fo delivered muft take two or three fpoonfuls of the oil of fweet almonds extrafted without fire, and tempe- red with fugar.Som will rather ufe the yelks of egs with fugar,fom the wine called hypocras, others cullifes or gellie: but alwaies divers things are to bee uftd, according as the patient or the woman in childe-bed (hall bee grieved, and as the Phylician (hall give counfel, both to eafand affwage the furious torments and pain of the throws, to recover her ftrengch and nouriffi her. . Throws com prefently after the birth of the childe, becauf that then the veines ( nature beeing wholly converted to expulfion ) caft out the reliques of the menftrual matter that hath been fuppreffed for the fpace of nine months,into the womb with great violence, which becaufthey are grofs, flimie and dreggiffi, cannot com forth without great pain both to the veines from whence they com, and alfo unto the womb whereinto they go: alfo then by the converfion of that portion thereof that remaineth into winde, and by the undilcreet ad- miffion of the air in the time of the childe-birth, the womb and all the fecret parts will fwel, unleft it bee prevented with fom digefting, repelling or mollifying oil, or by artificial row- ling of the parts about the bellie. What a woman in travail muft take prefently after her deli- verance. Thecaufofthe after-throw*. CHAP- XVII. L J J <elently after the childe is bom, the midwife muft draw away the fecundine or after-birth, as gently as thee can: but if ffiee cannot, let her put her hands into the womb, and fo draw it out, feparateing it from the other parts j for o- therwife if it ffiould continue longer, it would bee more difficult to bee got- ten out, becaufthat prelently after the birth,the orifice of the womb is drawn together and clofed, and then all thefecundine muft bee taken from the childe. Therefore the navel-ftring muft bee tied with a double thred an inch from the bellie. Let not the knot bee too hard, left that part of the navel-ftring which is without the knot (hould fall away fooner then it ought, neither too flack or loof, left that an exceeding and mortal flux of blood ffiould follow after it is cut off,and left that through it (that is to fay the navel-ftring) the cold air ffiould enter into childes-bodie. When the knot is fo made, the navel-ftring muft bee cut in funder the bredth of two fingers beneath it with a (harp knife. Upon the fe- dion you muft applie a double linnen cloth dipped in oil of Roles, or of fweet Almonds, to mitigate the pain j for fo within a few daies after, that which is beneath the knot will tall away beeing deftitute of life and nourilhment, by reafon that the vein and arterie are tied fo clofe, that no life nor nourilhment can com unto it: commonly all midwives do let it lie unto the bare bellie of the infant, whereof commeth grievous pain and gripeing, by reafon of the coldnefs thereof which dieth by little and little as deftitute of vital heat. But it were far better to roul it in foft cotton or lint, until it bee mortified, and fo fall away. Thofe midwives do unadvifedly, who fo foon as the infant is born do prefently tie the navel-ftring and cut it off,not looking firft for the voiding of the fecundine. When all thele things are don, the infant muft bee wiped, cleanfed and rubbed from all filth and excrement with oil of Rofes or Myrtles. For thereby the pores of the skin will bee better ffiut, and the habit of the bodie the more ftrengthened. There bee fom that waffi infants at that time in warm water and red wine,and afterwards annoint them with the fore-named oils. Others waffi them not with wine alone, but boil therein red Roles and the leavs of Myrtles , adding thereto a little fait; and then ufeing this lotion for the (pace of five or fix daies, they not onely waffi away the filth, but alfo re- folv and digeft, if there bee anie hard or contufed place in the infant's tender bodie, by reafon ofthe hard travail and labor in childe-birth. Their toes and fingers muft bee handled,drawn afonder and bowed, and the joints of the arms and legs muft bee extended and bowed for manie daies and often 5 that thereby that portion of the excremental humor that remaineth in the joints,by motion may bee heated and refolveddf there bee anie default in the members, either in conformation, conftruftion or focietie with thole that are adjoining to them, it muft bee correfted or amended with fpeed. Moreover, you muft look whether anie of the natural paflages bee ftopped,or covered with a membrane, as it often happeneth. For if anie luch cover or flop the orifices of the ears, noftrils, mouth, yard or womb, it muft bee cut in fonder by the Chirurgion,and the paflage muft bee kept open by putting in of tents ,peffaries or dolels,left otherwift they ffiould join together again after they are cut. If hee have one finger more then hee ffiould naturally, if his his fingers do cleav dole together,like unto the feet of a Goof or Duck, if the ligamental membrane that is under the tongue bee more ffiort and What is to bee don prefently after the childe is born. Whythefecun- dine or after- birth muft bee taken away prefently after the birth ofthc childe. The bindeing of the childcs navel-ftring after the birth. The defaults that are com- monly in chil- dren newly born* Th: defaults of conformation muft bee fpee- dily amended. Concerning the Generation ofCTvian. 605 and ftifferthen it ought, that the infant cannot liick, nor in time to com, (peak, by realbn thereof j and if there bee anie other thing contrarie to nature, it muft bee all amended by the induftrie of lorn expert Chirurgian. Manie times in children newly born, there fticketh on the inner fide of their mouth and on their tongue, a certain chalkie fubftance, both in color and in conliftence; this affeft proceeding from the diftemperature of the mouth, the French-men call it the white Cancer. It will not permit the infant to fuck, and will Ihortly breed and degenerate into ulcers that will creep into the jawes, and even unto the throat, and unlefs it bee cleanled Ipeedily, will bee their death. Forremedie whereof, it mu ft bee cleanled by deterfives, as with a iinnen cloth bound to a little ftick,and dipped in a medicine of an indifferent conliftence made with oil of fweet almonds, honie and fugar. For by rubbing this gently on it, the filth may bee mollified, and fo cleanled or walhed awaie. Moreover it will bee verie meet and convenient to give the infant one fpoonful of oil of almonds, to m ike his bellie loof and flipperie, to alfwage the roughnels of the weafon and gullet, and to diflblv the tough phlegm, which caufleth a cough, and fomtimes diflicultie of breathing. If the eie-lids cleav together, or if they bee joined together, or agglutinated to the coats cornea or adnata', if the waterie tumor called hydrocephalos affeft the head, then muft they bee cured by the proper remedies formerly prefcribed , againft each di- feaf. * Manie from their birth have Ipots or marks, which the common people of France call Signes, that is, marks orfigns. Som of theleare plain and equal with the skin, others are railed up in little tumors, and like unto warts, fom have hairs upon them, manie times they are fmooth, black or pale yet for themoft part red. When they rife in the face, they fpread abroad thereon manie times with great deformitie- Manie think the cauf thereof to bee a certain portion of the menftrual matter cleaving to the fides of the womb, comming of a frelh flux, if happily a man do yet ule copulation with the woman, or elf diftilling out of the veins into the womb, mixed and concorporated with the feeds at that time when they are congealed, infeding this or that part of the ifliie j beeing drawn out of the leminal bo- die,with their own color. Women refer the cauf thereof unto their longing when they are with childe; which may imprint the image of the thing they long for or defire,in the cnilde or iflue chat is not as yet formed ( as the force and power of imagination in humane bo- dies is verie great:) but when the childe is formed, no imagination is able to leav the im- prellion of anie thing in it, no more then it could cauf horns to grow on the head of King Cbyfitsas hee Hept prelently after hee was returned from attentively beholding Bulls fight- ing together. Som of thole Ipots bee cureable, others not 5 as thole that are great, and thole 1 that are on the lips, noftrils, and eie-lids. Butthole that are like untowarcs, becaul they are partakers of a certain malign qualitie and mtlancholick matter, which may bee irritated, by indeavouring to cure them, are not to bee medled with at all, for beeing troubled and. angered, they foon turn into a Cancer ( which they call Noli me tangere ) .* Thofe that are ' cureaole are fmall, and in fiich parts as they may bee dealt withall without danger. There- fore they muft bee pierced through by the roots with a needle and a thread, and lb beeing 1 lifted up by the ends of the thread, they muft bee cut awaie, and the wound that remaineth < muft bee cured according to the general method of wounds. There are lorn that fuppole the red fpots that are railed up into little knobs and bunches, may bee walhed awaie and confumed by rubbing and annointing them often with menftru- al blood, or the blood of the fecundine or after-birth. Thole that are hairie and Ibmwhat railed up like unto a Want or Mouf, muft bee pierced through the roots in three or four places, and ftraightly bound, fo that at length beeing deftitute of life and nutriment, they may fall awaie. after they are fain awaie , the ulcer that remaineth muft bee cured as other ulcers are. Ifthere bee anie fuperfluous flelh remaining, it muft bee taken awaie by applying or the powder of Mercurie, and fuch like : but if It bee doubted that it com- meth from the root of the tumor that may happily remain, it muft bee burned awaie by the root with oil of vitriol or aqua fortis. There is allb an other kinde or fort of Ipots, of a livid or violet-color,commingelpecial- ly in the face about the lips, with a foft,flack,lax,thin, and unpalnful tumor, and the veins as if they were varicous round about it. This kinde of tumor groweth greater when it ariP eth on children that are wayward and crying, and in men of riper years that are cholerick and angrie,and then it will bee of a diverf color,like unto a lappet or flap of flelh that hang- er hover the Turkie-cock's bill. When they have don crying, or cealed their anger, the tu- mor will return to his own natural color again. But you muft not attempt to cure it in peo- ple that are of thefe conditions. Remedies for the Cancer in a chdde's mouth. An old fable of King Chy- w. Which uncure- able. Which and how they are curcablc. Fff CHAR 606 Concerning the (generation of Man. CHAP. XVIII. How to full awaie the fecundine or after-birth. Whyir is cal- led the fecun- dine. Suppole that they are called fecundines, becauf they do griev the woman that is with childe the fecond time,as it were a fecond birth: for if there bee feveral children in the womb at once, and of different (exes, they then have everie one their feveral fecundines,which thing is verie neceft farie to bee known by all midwives. For they do manie times remain be- hinde in the womb when the childe is born, either by reafbn of the weak- aeft of the woman in travail, which by contending and laboring for the birth of her childe, hathfpent all her ftrength : or elf by a tumor rifing fuddenlyin the neck of the womb, by reafon of the long and difficult birth, and the cold air unadvifedly permitted to ftrike into the orifice of the womb. For fo the liberties of the waies or pafla- ges are flopped and made more narrow, fo that nothing can com forth : or elf becauf they are doubled and foulded in the womb, and the waters gon out from them with the infant, fo that they remain as it were in a drie place: or elf becaufthey yet flick in the womb by the knots of the veins and arteries, which commonly happeneth in thole that are delivered be- fore their time. For even as apples which are not ripe, cannot bee pulled from the tree but by violence; but when they are ripe, they will fall off of their own accord : fo the fecun- dine before the natural time of the birth can hardly bee pulled awaie but by violence 5 but at the prefixed natural time of the birth, it may eafily bee drawn awaie. Manieand grievous accidents follow the flaying of the lecundine; as fuffbeation of the womb, often (wounding, by reafbn that groft vapors arife from the putrefa&ion unto the midriff, heart and brain: therefore they muft bee pulled awaie with (peed from the womb, gently handling the navel, if it may bee fo poflibly don. But if it cannot bee don fo, the wo- man muft bee placed as fhee was wont when that the childe will not com forth naturally>but muft bee drawn forth by art. Therefore the midwife having her hand annointed with oil, muft put it gently into the womb, and finding out the navel-firing, muft follow it untill it com unto the lecundine, and if it do as yet cleav to the womb by the cotylidons, fhee muft ffiakeand move it gently up and down, that lb when it is fhaked and loofed, fhee may draw it out gently; but if it fhould bee drawn with violence, it were to bee feared left that the womb fhould allb follow: for by violent attraftion fom of the veflels, and alfo fom of the nervous ligaments, whereby the womb is faftened on each fide, may bee rent, whereof fol- loweth corruption ofbloodfhed out of the veffels, and thence commeth inflammation, an abfeefs or a mortal gangrene. Neither is there lets danger of a convulfion by reafon of the breaking of the nervous bodies, neither is there anie left danger of the falling down of the womb. If that there bee anie knots or clods of blood remaining together with the lecundine, the Midwife muft draw them out one by one, lb that not anie may bee left behinde. Som women have voided their lecundine, when it could not bee drawn forth by anie meanes, long after the birth of the childe, by the neck of their womb, piece-meal, rotten and corrupted,with manie grievous and painfull accidents. Allb it (hall bee verie requifite to provoke the indeavor of the expulfive facultie by fternutatories, aromatick fomentations of the neck of the womb, by mollifying inje&ions: and contrariwife,by applying luch things to the noftrils as yeeld a rank favor or finell, with a potion made of mug-wort and bay-ber- ries taken in honie and wine mixed together, or with half a dram of the powder of favin,or with the hair of a womans head, burnt and beaten to powder, and given to drink 5 and to conclude, with all things that provoke the tearms or courfes. The cauffes of the flaying of the fecund ines. Accidents that follow the flaying of the fecundines. The manner of drawing out the fecun- dines that re- main after the birth. Thecaufof the falling down of the wood). The accidents that com of the violent pulling of the womb, toge- ther with the Tecundine. CHAP. XIX. things muft bee given to the infant by the mouth, before hee bee permitted to teat or dug. Ta draw fleam from the childe's moutb0 T will bee verie profitable to rub all the inner fide of the childe's mouth and palat gently with treacle and honie, or the oil of Iweet almonds extrafted without fire, and if you can, to cauf it to Iwallow lorn of thole things: for thereby much flegmatick moifture will bee drawn from the mouth, and allb will bee mooved or provoked to bee vomited up from the ftomach j for zifthele excremental humors Ihould bee mixed with the milk that is flick- ed, they would corrupt it, and then the vapors that arile from the corrupted milk unto the brain would infer moft pernicious accidents. And you may know that there are manie excremental things in the ftomach and guts of children by this, becauf that lb loon as they com into the world, and often before theyfuckmilkor take anie other thing, they void downwards manie excrements diverlly colored, as yellow, green, and black. Therefore ma- nie, that they may Ipcedily evacuate the matter that caufeth the fretting of the guts, do not onely Li B.24. Concerning the (jeneration of 607 onely minifter thole things fore-named, but alfo fom laxative lyrup,asthat that is made of 1 damask-Rofes. But before the infant bee put to fuck the mother, it is fitting to prefs fom] milk out of her breft into its mouth, that fo the fibres of the ftomach may by little and lit- J tie accuftom them lei vs to draw in the milk. Milk fooncor* rupted io a flegmacick Ro- ma ch. CHAP. XX. Hat all mothers would nurf their own children were greatly to bee wiihed: for the mother s milk is far more familiar nourifhment for the infant then that of anie Nurf: for it is nothing elf but the fame blood made white in the duggs, ' wherewith before it was nourifhed in the womb. For the mother ought not to give the childe fuck for the (pace of a few daies after the birth, but firft to expeft the perfeft expurgation and avoiding of the excremental humors. And in the mean time let her cauf her breafls to bee fucked of another, or manie other children, or of (dm wholfbm or (bber maid, whereby the milk may bee drawn by little and little unto her breads, and al- fo by little and little purified. For a certain fpace after the birth, the milk will bee troubled, and the humors of the bo- die mooved: fo that by long flaying in the duggs, it will feem to degenerate from its natur- al goodnefs, as the grofnefs ofit is fbmwhat congealed, the manifeft heat in touching,and the yellow color thereofteftifieth evidently. Therefore it is neceflarie that others fhould comin place thereof when it is fucked out, wherewith the infant may bee nouriflied. But if the mother or the Nurfchance to take anie difeaf, as a Fever, Scouring, or anie filch like, let her give the childe to another,to give it fuck,led that the childe chance to take theNur- fes difeafes. And moreover, mothers ought to nurf their own children,becauf for the moft part they are far more vigilant and careful in bringing up and attending their children,then hired and mercenarie Nurfes, which do not fo much regard the infant, as the gain they fhal have by the keeping ofit, for themott part. Thofethatdo not nurf their own children, eannot rightly bee termed mothers: for they do not abfblutely perform the dutie of a mo- ther unto their childe, as Marcus Aurelius the Roman Emperor was wont to fay. For it is a certain unnatural, imperfeft and half kinde of a mother's dutie,to bear a childe, and prefent- lytoabandonorputitawaieasif it were forfaken: tonourifli and feed a thing in their womb ( which they neither know nor fee ) with their own Hood, and then not to nourifh it when they fee it in the world alive, a creature or reafonable foul,now requireing the help and fuftentation of the mother. That mothers ought to nurf or give fuckjtnto their own children. The milk is moft familiar for the childe. The difeafof the Nurfis participated unto the childe. Gel.lib.u.tf.l, CHAP. XXI. Of the choice of Nurfes. Anie husbands take fiich pittie on their tender wives, that they provide Nurfts for their children, that unto the paines that they have liiftainedin bearing them, they may not allb add the trouble of nurling them : wherefore fuch a Nurfmuftbeecholen which hath had two or three children* For the duggs which have been alreadie fucked and accuftomed to bee filled, have the veines and arteries more large and capable to receiv the more milk. In the choice ofaNurf there is ten things to bee confidered verie diligently. as, her age, the habit of her bodie, her be- haviour, the condition of her milk, the form, not onely of her duggs or breafts,but allb of her teats or nipples, the time from her childe-birth, the fex of her laft infant or childe,that fliee bee not with childe, that lhee bee found and m perfeft health. As concerning her age; - lhee ought not to bee under twentie five years, nor above thirtie five: the time that is be- < tween is the time of ftrength, more temperate, and more wholfom and healthie, and left a- bounding with excremental humors. And becaaf her bodie doth not then grow or increap lhee muft of neceflitie have the more aboundance of blood. After thirtie five years in manie themenftrual fluxes do cea£ and therefore it is to bee liippoled that they have the lefs nu- triment for children. ' ' The Nurfmuft alfo bee of a good habit, or fquare or wel-fet bodie, her breaft broad, her' color lively, not fat, nor lean, but well-made , her flelh not loft and tender, but thick, and < hard or ftrong, whereby lhee may bee the more able to induce watching and taking of pains about the childe; lhee muft not have a red or freckled face, but brown or Ibmwhat fhadow- ed or mixed with redneft: for truly liich women are more hot then thofe that are red in the face, by reafon whereof they muft needs concoft and tum their meat the better into blood. For according to the judgment of Sextut Chttvntnfih as blackilh or brown ground is more - fertil then the white : even lb a brown woman hath more ftoreof milk. You muft look wel on her head, left lhee fliould have the Icucf or running forest fee that her teeth bee not Fff 2 foul The heft az of a NurL The beft habit ofbodiein a NuiT. LjHktf.W' 608 Concerning the Generation of Man LlB.Zz].. foul or rotten, nor her breath {linking, nor no ulcer nor fore about her bodie, and that ffiee bee not born of goutieor leprous Parents. Shee ought to bee quick and diligent in keeping the childe neat and clean, chafte, fober, f merrie, alwaies laughing and fouling on her Infant, often finging unto it, and (peaking di- ftinftly and plainly, for foee is the onely Miftreis to teach the childe to fpeak. Let her bee wel-mannered, becauf the manners of the Nurf are participated unto the Infant together with the milk. For the whelps of dogs, if they do fuck Wolves or Lionefles, will becom more fierce and cruel then otherwifo they would. Contrariwift, the Lions whelps wil leave their (avagnenefs and fiercenefs, if that they bee brought up and nourifoed with the milk of anie Bitch, or other tame beaft. If a Goat give a Lamb fuck,the fame Lamb's-wooll will bee more hard then others: contrariewife, if a Sheep give a Kid fuck, the fame Kids hair will bee more foft then another Kid's-hair. Shee ought to bee fober,and the rather for this cauf, becaufmanieNurfesbeeing overloaden with wine and banqueting, often let their chil- dren unto their breafts to fock, and then fall afleep, and fo fuddcnly ftrangle or choak them. I Shee muft abftain from copulation: for copulation troubleth and mooveth the humors . and the blood, and therefore the milk itfelf 5 and it diminifoeththequantitieofmilk, be- caufit provoketh the menftruall flux, and caufeth the milk to have a certain ftrong and vir- ous qualitie, fuch as wee may perceiv to breath from them that are incenfed with the fer- vent luft and defire ofvenerie. And moreover, becaufthat thereby they may happen to bee with childe, whereof infoeth diicommoditie both to her own childe that is within her bo- die, and allo to the nurf-childe : to the nurf-childe, becaufthat the milk that it fucketh will bee worf and more depraved then other wife it would bee, by reafon that the more laud- able blood after the conception remaineth about the womb, for the nutriment and increa- fing of the infant in the womb; and the more impure blood goethinto the dugs, which breedeth impure or unclean milk: but to theconceived childe, becaufit will caufit to have icarcitie of food 5 for, fo much as the fucking-childe flicker h, fo much the childe conceived in the womb wanteth. Alfofoee ought to have abroad breaft, and her dugs indifferently big, not flack or hang- 0 ing, but of a middle confidence, between foft and hard ; forfoch dugs will concoft the blood into milk the better,becaufthat in firm flelh the heat is more ftrong and compact. You may by touching trie whether the fleffi bee folid and firm, as alfo by the difperfing of the veines, eafily to bee (een by reafon of their (welling and blewnefs, through the dugs, as it were into manie ftreams or little rivelets; for in fleffi that is loof and flack, they lie hidden. Thole dugs that are of a competent bigneis, receiv or contain no more milk then is fuffici- ent to nouriffi the infant. In thole dugs that are great and hard, the milk is as it were fuffo- cated, flopped or bound in, fo that the childe in fucking can fcarce draw it out. and more- over, if the dugs bee hard, the childe putting his mouth to the breaft, may ftrike his note a- gainft it,and fohurt it, whereby hee may either refute to fock,or if hee doth proceed to fock, by continual flicking, and placeing of his note on the hard breaft,it may becom flat, and the noftrils turned upwards, to his great deformitie, when hee (hall com to age. If the teates or nipples of the dugs do ftand fomwhat low or deprefled inwards on the tops of the dugs, the childe can hardly take them between its lips, therefore his flicking will bee verie labori- ous. If the nipples or teates bee verie big,they will fo fill all his mouth,that hee cannot well c ufe his tongue in fucking or in (wallowing the milk. ie Wee may judg of or know the nature and condition of the milk ,by the quantitie,qualitie, color, (avor and tafte; when the quantitie of the milk is fo little, that it will not fuffice to nouriffi the infant, it cannot bee good and laudable; for it argueth fom diftemperature ei- ther of the whole bodie, or at leaft of the dugs, efpecially a hot and drie diftemperature. But when it fuperaboundeth, and is more then the infant can fpend, it exhaufteth the juice of the Nuries bodie; and when it cannot all bee drawn out by the infant, it cluttereth, and congealeth or corrupteth in the dugs. Yet I would rather with it to abound, then to bee di- fedive, for the fuperabounding quantitie may bee prefled out before the childe bee fet to the s breaft. f That milk that is of a mean confidence between thick and thin, is efteemed to bee the belt. For it betokeneth the ftrength and vigor of the facultie that ingendereth it in the breafts. Therefore if one drop of the milk bee laid on the nail of ones thumb, beeing firft made verie clean and fair, if the thumb bee not mooved, and it run off the nail, it fignifieth that it is waterie-milk : but if it ftick to the nail, although the end of the thumb bee bowed downwards, it flwweth that it is too groft and thick: but if it remain on the nail fo long as you hold it upright, and fall from it when you hold it a little afide or downwards by lit- tle and little, it ffieweth it is verie good milk. And that which is exquifitely white, is beft Ik of all. For the milk is no other thing then blood made white. Therefore, if it bee of anie other color, it argueth a default in the blood: fo that if it bee prown, it betokeneth melancholick blood; if it bee yellow,it fignifieth cholerick blood; if it it bee wan and pale,it betokeneth phlegmatick blood;if it bee fomwhat red,it argueth the weaknefs Ofwhatbeha' viorthe Nurf muft bee* Why the Nurf muft abftain from copulati- ' on. * What dugs a Nurfought to have. What is to bee obfcrved in the milk. ■The Uudabh confidence ol milk. Why the milk ought to bee vcric white. 609 Lib.14. Concerning the Generation of Man. weaknefsof the facultic that engendreth the milk. It ought to bee fweet, fragrant, and plea- fant in fmell j for if it ftrike into the noftrils with a certain fharpnefs, as for the moft part the milk of women that havered hair and little freckles on their faces doth , it prognofti- cates a hot and cholerick nature: if with a certain fowernefs, it portendcth a cold and me- ' lancholick nature. In tafte it ought to bee fweet,and as it were fugered, for the bitter, faltifh, i (harp, and ftiptick, is naught. And here I cannot but admire the providence of nature,which j hath caufled the blood wherewith the childe fhould bee nourifhed to bee turned into milk: { which unlefs it were fo, who is hee that would not turn his face from, and abhor fo griev- | ous and terrible a ipeftacle of the childes mouth fo imbrued and befineared with blood ? ] What mother or Nurf would not bee amazed at everie moment with the fear of the blood fo often (hed out, or fucked by the infant for his nourifhment > Moreover, wee Ihould want two helps of fuilentation, that is to fay. Butter and Cheef. Neither ought the childe to bee permitted to fuck within five or fix daies after it is born, both for the reafon before alledged, and alfo becauf hee hath need of fo much time to reft quiet, and eafhimfelf after the pains hee hath fuftained in his birth : in the mean feafon the mother mutt have her breafts drawn by fom maid that drinketh no wine, or elflhee may fuck or draw them her felf with an artificial! inftrument which I will defcribe hereafter. ( That Nurf that hath born a man childe is to bee preferred before another, becauf her milk is the better concofted, the heat of the male-childe doubling the mother's heat. And moreover, the women that are great with childe of a male-childe, are better colored, and in better ftrength, and better able to do anie thing all the time oftheir greatnefs,which proov- eth the fame : and moreover the blood is more laudable,and the milk better. Furthermore, it behooveth the Nurfto bee brought on bed, or to travail at her juft and prefixed or natural time : for when the childe is born before his time of fom inward cauQ it argueth that there is fom default lurking and hidden in the bodie and humors thereof. Why a woman that hath red hair,or frec- kles on her face cannot bee a good Nurf. Why that Nurf that hath born a man-cbrlde is to bee pre- ferred before another. Why dree can* not bee a good Nurfwhofe childe was born before the time* CHAP. XXII. Och in eating, drinking, fleeping, watching, excerciling and refting, the Nurfes diet muft bee divers, according as the nature of the childe both in habit and tem- perature fhall bee: as for example, if the childe bee altogether of a more hot blood, the Nurfboth in feeding and ordering her felfought to follow a cool- ing diet. In general, let her eat meats of good juice, moderate in quantitie and qualitie, let her live in a pure and clear air, let her abftain from all ipices, and all (altedand fpiced meats, and all (harp things, wine, Specially that which is not allayed or mixed with water, and carnal copulation with a man, let her avoid all perturbations of the minde, but anger efpecially, let her u(e moderate exercife, unlels it bee the exercife of her armes and up- ' per parts, rather then the leggs and lowerparts,whereby the greater attraction of the blood, ] thatmuft bee turned into milk, may bee made towards the dugs. Let her place her childe lb • in the Cradle that his head may bee higher then all the bodie, that lb the excremental hu- < mors may bee the better (ent from the brain unto the paflages that are beneath it. Let her I fwathe it fo as the neck and all the back-bone may bee ftraight and equal. As long as the 1 childe fucketh, and is not fed with ftronger meat, it is better to lay himalwaie on his back, ' then anie other waie, for the back is, as it were the Keel in a (hip, the ground-work and , foundation of all the whole bodie, whereon the infant may (afely and eafily reft, But if hee lie on the (ide, it were danger left that the bones of the ribsbeeing foft and tender, not ftrong enough, and united with flack bands, (hould bow under the weight of the reft, and fo wax crooked, whereby the infant might becom crook-backed. But when hee beginneth to breed teeth, and to bee fed with more ftrong meat,and alfo the bones and connexions of them begin to wax more firm and hard, hee muft bee laied one while one this fide, another while on that, and now and then alfo on his back. And the more hee groweth, the more let him bee accuftomed to lie on his Tides s and as hee lieth in the Cradle, let him bee turned unto that place whereat the light commeth in,left that otherwife hee may becom pur- blinde, for the eie of its own native is bright and light-fom, and therefore alwaies defireth the light, and abhoreth darknefs, for all things are moft delighted with their like, and (hun their contraries. Therefore vnlefs the light com's direftly into the childt's face, hee turneth himlelf everie waie beeing verie forrowful, and ftriveth to turn his head and eies that hee may have the light; and that often turning and fowling of his eies at length groweth into a cuftom that cannot bee left: and fo it commeth to pafs that the infant doth either becom pur-blind , if hee let his eies ftedfaftlyon one thing, or elf his eies do becom trembling, alwaies turning and unftable, if hee caft his eies on mailie things that are round about him : which is the reafon that Nurfes,beeing taught by experience,cauf over the head ofthe childe lying in the Cradle, an arch or vault of Wickers covered with cloath to bee made, thereby to reftrain, direft, and eftablilh the uncertain and wandering motions of the childe*s eies. Fff 3 If What diet the Nurf ought to ufe, and in what fituation free ought to place the infant in the Cradle. Anger greatly hurtetb the Nurf. The exercifc of the arms ia belt for the Nurf. How the chi Ide fbould bee placed in the Cradle, Why an arch of wickers mutt bee made over the childe's head lying in the Cradle* 610 Concerning the (generation of Man. Lib. 24.. Why a fquirit- eied Nurfcauf- feth the childe to bee fquinr- eied. If the Nurfbee fquint-eied, lhee cannot look upon the childe but fide-waies , whereof it conimeth to pals that the childe beeing moift, tender, flexible, and prone to anie thing with his bodie, and fo likewile with.his eie, by a long and dailie cuftom unto his Nurle's fight, doth foon take the like cuftom to look after that fort alfo , which afterwards hee cannot leavor alter. For thole evil things that wee learn in our youth, do flick firmly by us j but the good qualities are eafily changed into worf. In the eies of thofe that are fquint-eied, thofe two mulcles which do draw the eies to the greater or lefler corner, are chiefly or more frequently mooved. Therefore either of thele beeing confirmed in their turning afide by long ufe, as the exercife of their proper office increafeth the ftrength, loon overcom's the contrarie or withftanding mufcles, called the Antagonists , and bring's them into their fub- jeftion, fb that,will they, nill they , they bring the eie unto this or that corner as they lift. So children becom left-handed,when they permit their right hand to languilh with idlenels and fluggilhnefs, and ftrengthen their left hand with continual ufe and motion to do everie a&ion therewithal!, and to bring by the exercife thereof more nutriment unto that part. But if men (as fom affirm) beeing of ripe years, and in their full growth, by dailie focietie and companie of thole that are lame and halt do alfo halt, not mindeing fo to do, but it commeth againft their wills, and when they think nothing thereof, why ffiould not the like happen in children, whole (oft and tender fubftance is as flexible and pliant as wax unto e- verie imprelfion ? Moreover, children, at they becom lame and crook-back't 5 fo do they alfo becom fquint-eied by the hereditarie default of their parents. How children becotn left- handed. CHAP. XXIII. is a moft meet food or meat for children; becaufthey require moift nou- rifliment, and it muft bee anfwerable in thicknefs to the milk, that fo it may not bee difficult to bee concofted or digefled. For pap hath thefe three con- ditions,fo that it bee made with wheaten flower, and that not crude, but boiled : let it bee put into a new earthen pot or pipkin, and fo let into an o- ven at the time when bread is fet.thereinto to bee baked; and let it remain there until the bread bee baked and drawn out: for when it is fo baked, it is lefs clammie and crude. Thofe that mix the meal crude with the milk, are conftrained to abide one of thefe difcommodities or other, either to give the meal grots and clammie unto the childe, if that the pap bee onely firft boiled over the fire in a pipkin or.skellet, Co long as ffiall bee neceflarie for the milk; hence com obftruftions in the mefaraick veins , and in the final! veins of the liver, fretting and worms in the guts, and the Hone in the reins- Or elf they give the childe the milk, defpoiled of its butteriffi and whayiffi portion, and the terreftrial, and cheef-like, or curd-like remaining, if the pap bee boiled Co long as is neceflarie for the meal: for the milk rcquireth not fo great, neither can it fiiffer Co long boiling as the meaL Thofe that do ufe crude meal, and have no hurt by it, are greatly bound to nature for fo great a benefit. But Galen willeth children to bee nouriffied onely with the Nurfe's milk, fo long as the Nurf hath enough to nouriffi and feed it. And truly there are manie children that are contented with milk onely , and will receiv no pap until they are three months old. If the childe at anie time bee coflive,and cannot void the excrements, let him have a cataplafm made with one dram of Aloes,of white and black Hellebore,of each fifteen grains, beeing all incorporated in as much of an Ox gall as is fufficient, and extended or fpread on Cotton like unto a fultie, as broad as the palm of ones hand,and fo applie it upon the navel warm: Moreover, this cataplafm hath alfo virtue to kill the worms in the bellie. Manie times children have fretting of the guts, that maketh them to crie, which commeth of cru- ditie. This muft bee cured by applying unto the bellie fweatie or moift wooll,macerated in oil of Camomil. If when the childe's teeth begin to grow,hee chance to bite the nipple of the Nurfe's breaft, there will bee an ulcer verie contumacious and hard to bee cured; becauf that the fucking of the childe, and the rubbing of the clothes do keep it alwaies raw ; it [muft bee cured with fomenting it with Alum-water, and then prefently after the fomentation putting thereupon a cover of lead, made like unto a hat, as they are here deferibed,with manie holes in the top, whereat both the milk, and alfo the fanious matter chat commeth from the ul- cers may go out j for lead it felf will cure ulcers. How to make fay for children. Three lauda- ble conditions of pap. How the meal mu ft bee pre- pared t© make the pap with' all. Why the meal wherewith the papmuftbee - made,muft firft bee boiled or biked. Lib.i.de fanit. Mend. Acataplafmto relax the childc's btllie. for the fret'- ting of the guts in chil- dren. For the ulcers of the nipples or teats. II* Lib.24.. Concerning the Generation of Mau'. 611 The figure of leaden Nifties to bee put upon the Nipple or Teat of the Nurf when it it ulcerated. Children may bee caufled to ceaf their crying four manner of waies, that is to fay, by giveing them the teat, by rocking them in a cradle, by finging unto them,and by changeing the clothes and fwathes wherein they are wrapped. They muft not bee rocked too violently in the cradle, left that the milk that is fucked fhould bee .corrupted by the too violent mo- tion,by reafbn whereof they muft not bee handled violently an io other way, and not alto- gether prohibited, or not fuffered to crie. For by crying the breaft and lungs are dilated, and made bigger and wider; the natural parts the ftronger, and the brain, noftrils, the eies and mouth are purged, by the tears and filth that com from the eies and noftrils. But they muft not bee permitted to crie long or fiercely, for fear of breaking the production of the Peritoneum, and thereby caufling the falling down of the guts into the cod , which rupture is called of the Greeks Enterocele; or of the caul,which the Greeks call Epiplocele. What mode- rate crying workcth in the infant. What immo- derate crying cauflcth. CHAP. XXIV. Of the weaning of Children. Anie are weaned in the eighteenth month, fomin the twentieth; but all, or the moft part, in the fecond year: for then their teeth appear , by whole pre- fence nature feemeth to require lorn harder meat then milk or pap, wherewith children are delighted, and will feed more earneftly thereon. But there is no certain time of weaning of children. For the teeth of (dm will appear (boner, and fom later; for they are prepared of nature for no other purpole then to chaw the meat. If children bee weaned before their teeth appear , and bee fed with meat that is Ibmwhat' hard and folid, according to the judgment of Avicen, they are incident to manie difeafes comming through cruditie; becauf the ftomach is yet but weak, and wanteth that prepara- tion of the meats which is made in the mouth by chawing; which men of ripe years cannot want without offence : when the childe is two years old, and the teeth appear, if the childe more vehemently defire harder meats, and doth feed on them with plealure and good luc- ce(s , hee may bee lafely weaned s for it cannot bee fuppofed that hee hath this appetite of hard meats in vain, by the inftinft of nature. Yet hee may not bee weaned without fuch an appetite, if all other things bee correfpondent, that is to lay, his teeth and age; for thofe things are eaten without an appetite, cannot profit. But if the childe bee weak,ficklie, or feeble, hee ought not to bee weaned. And when the meet time of weaning commeth,the Nurf mult now and then ule him to the teat, whereby hee may leav it by little and little, and then let the teat bee annointed or rubbed with bitter things, as with Aloes, water of the infufion of Colocynthw, or Wormwood, or with Muftard, or Soot fteeped in water, or fuch like. Children that are fcabbie in their heads, and over all their bodies, and which void much phlegm at their mouth and noftrils, and manie excrements downwards, are like to bee ftrong and found of bodie; for fo they are purged of excremental humors: contrari- wile, thole that are clean and fair of bodie, gather the matter of manie dileafts in their bo- dies, which in procels of time will break forth and appear. Certainly,by the Hidden falling of fuch matters into the back-bone, may becom crook-back't. When children muft bee weaned* Why children muft not bee weaned before their reeth ap- pear. How children muft bee weaned. i What children »are ftrong and , found of bo* die. An often cauf of fudden crookednefs. CHAP. 612 Concerning theGeneration of Mam LlB.Zzj-.' CHAP. XXV. what figns it may bee kriown whither the childe in the womb bee dead or alive F neither the Chirurgians hand , not the mother can perceiv the infant to moov, if the waters bee flowed out, and the fecundine com forth, you may certainly affirm that the infant is dead in the womb, for this is the molt infal- lible fign of all others : for becaufthe childe in the womb doth breath but by the arterie of the navel, and the breath is received by the Cotyledon of the arte- ries of the womb , it muft of necelfitie com to pafs that when the fecundine is feparated from the infant, no air nor breath can com unto it. Wherefore fo often as the fecundine is excluded before the childe, you may take it for a certain token of the death thereof: when the childe is dead , it will bee more heavie to the mother then it was before when it was alive , becauf it is now no more fuftained by the fpirits and faculties where- with before it was governed and ruled,for fo wee lee dead men to bee heavier then thole that are alive, and men chat are weak though hunger and fatpin to bee heavier then when they are well refrelhed, and allo when the mother etidine's her bodie anie way, the infant falleth that way alfo even as it were a ftone. The mother is alfo vexed with lharp pain from the privities even to the navel, with a perpetual defire of makeing water , and going to ftool, becauf that nature is wholly bulled in the expulfion or avoidance of that which is dead : for that which is alive will expel the dead fo far as it can from it felf, becauf the one is altogethet dWreiit from the other 5 butlikenefs, if :anie thingcoil join's and unite's things together > the genitals are cold in touching, and the mother complaineth that thee iceleth a coldncfs in her womb, by reafon that the heat of die infant is eicringuilhed, where- vvith before her heat was doubled : manie filthie excrements com from her, and alfo the mother's breach ftinketh , lhee fwoundeth often, all which for the moft part happen With- in three dales after the death of the childe: for the infant's bodie will fooner corrupt ill the pipther's womb then it would in the open air , becauf that, according to the judgment of Galen, all hot and moift things, beeingin like manner cncldfed in ahot andmoiftplace,e- Ipe.claliy if by reafon of the thicknefs or ftraitnefs of the place they cannot receiv the air, will Ipeedily corrupt. N ow by the rifeing up of fuch vapors from the dead unto the brain andJieart, fuch accidents may Coon follow , her face will bee clean altered, feeming livid and ghaftly, her dugs fall and hang loof and lank, and her bellie will bee more hard and fwollen then it was before. In all bodies fo putrefying, the natural heat vaniiheth away,and in place thereof fucceedeth a preternatural, by the working whereof the putrefied and dif- folved humors are ftirred up into vapors, and converted into winde, and thofe vapors, be- caufthey poffefs and fill more fpace and room (for naturalifts fay that of one part of water ten parts of air are made) do fo puff up the putrefied bodie into a greater bignels. You may note the fame thing in bodies that are gangrenate, for they call forth manie lharp vapors,yet nevertheless they are fwollen and puffed up. Nowfo loon as the Chirurgian fhall know that the childeis dead by all thefe fore-named figns, hee fhall with all diligence endeavor to fave the mother fo Ipeedily as hee can, and if the Phylicians cannot prevail with potions, baths, fumigations, fternutatories, vomits,and liniments appointed to expel the infant,let him prepare himfelf to the work following 5 but fir ft let him coniider the ftrength of the woman, for if hee perceiv that lhee bee weak and fee- ble by the fmalnefs of her pulf, by her fmall, feldom and cold breathing, and by the altered and death-like color in her face,by her cold fweats,and by the coldnefs of the extreme parts, let him abftain from the work, and onely affirm that lhee will die Ihortly j contrariwife,if her ftrength bee yet good, let him with all confidence and induftrie deliver her on this wife from the danger of death. A rnoft certain fign of the childc dead in the womb. Whenthechilde is dead in the womb hee is more heavie then bee was before bceinj alive* Thatwhich is alive will not fufferthat which is deal. Lib.de tumofib. Why the bellie of a woman will bee more bigwh?n the childe is dead with'nherthep it waS before when it was * alive. Thp flgn« of a woman that is weak. CHA XXVI. After whitfort the woman in travail muft bee. placed when the child beeing dead in herwomb,muft bee drawn out. lereforefirftofalltheairof the chamber muft bee made temperate, and reduced into a certain mediocritie, fo that it may neither bee too hot nor too cold. Then hee muft bee aptly placed, that is to fay, overthwart the bed-fide, with her but- ocks fomwhat high, haveing a hard ftuffcd pillow or boulfter under them, fo that thee may bee in a mean figure of foliation, neither fitting altogether upright, nor altogether lying along on her back ; for fo lhee may reft quietly, and draw her breath with eaf, neither Ml the ligaments of the womb bee extended fo as they would if thee lay upright on her back, her heels muft bee drawn up dole to her buttocks, and there bound with broad and foft linnen rowlers. The rowler muft firft com about her neck, and then croft-wile over her thoulders, and fo to the feet, and there it muft crols again, and fo bee rowled about the legs thighs3 and then it muft bee brought up to the neck again, and there made faft, fo that lhee may Oftbe Cbirurgical extractions oftbe cbil.de from the womb either dead or alive. How flice muft bee bound Lib.14-. Concerning the (jenerationof't'Man. 613 may not bee able to moov her as one fliould be tied when he is to bee cut of the ftone* But that (hee may not bee wearied, or left that her bodie Ihould yceld or fink down as the Chirurgian draweth the bodie of the infant from her, and fo hinder the work, let him cauf i her feet to bee let againft the fide of the bed, and then let tom of the ftrong ftanders by hold i her faft by the legs and fhoulders. Then that the air may not enter into the womb, and that1 the work may bee don with the more decencie, her privie parts and thighs muft bee covered * with a warm double linnen cloth.Then muft theChirurgian,haveing his nails clolely pared,J and his rings (if hee wear aniej drawn off his fingers, and his arms naked,bare, and well an- t nointed with oil, gently draw the flaps of the neck of the womb afunder, and then let him < put his hand gently into the mouth of the womb, haveing firft made it gentle and flipperie with much oil; and when his hand is in, let him finde out the form and fituation of the 1 childe, whether it bee one or two, or whether it bee a Mole or not. And when hee findeth ' that hee commeth naturally, with his head toward the mouth or orifice of the womb, hee ( muft lift him up gently, and fo turn him that his feet may com forwards, and when hee hath I brought his feet forwards, hee muft draw one of them gently out at the neck of the womb, < and then hee muft binde it with fom broad and foft or filken band a little above the heel with an indifferent flick knot, and when hee hath fo bound it, hee muft put it up again in- to the womb, then hee muft put his hand in again, and finde out t he other foot, and draw it alfoout of the womb, and when it is out of the womb, let him draw out the other again whereunto hee had before tied the one end of the band, and when hee hath them both out, let him join them both clofe together, and foby by little and little let him draw all the whole bodie from the womb. Alfo other women or Midwives may help the endeavor of the Chirurgian, by prefling the patient's bellie with their hands downwards as the infant goeth out: and the woman herfelf by holding her breath, and clofeing her mouth and noftrils,and by driveing her breath down/aards with great violence, may veriemuch help the expulfion. I with him to put back the foot into the womb again after hee hath tied it, becauf if that hee fliould permit it to remain in the neck of the womb , it would hinder the entrance of his hand when hee putteth it in to draw out the other. But if there bee two children In the womb at once, let the Chirurgian take heed left that hee take npt of either of them a leg, for by drawing them fo, hee (hall profit nothing at all, and yet exceedingly hurt the woman. Therefore that hee may not bee fo deceived, when hee hath drawn out one foot and tied it, and put it up again,let him with his hand follow the band wherewithal! the foot is tied,and fo go unto the foot, and then to the groin of the childe andthen from thence bee may foon finde out the other foot of the fame childe:for if it fliould happen otherwife, hee might draw the legs and the thighs out: but it would com no further, neither is it meet that hee fliould com out with his arms along by his fides, or bee drawn out on that fort, but one of his arms muft bee ftretched out above his head, ond the other down by his fide, for otherwife the orifice of the womb when it were delivered of filch a graft trunk, as it would bee when his bodie fliould bee drawn out with his arms along by his fides., would fo (brink and draw it felf when the bodie fliould com unto the neck , onely by the accord of nature requiring union, that it would ftrangle and kill the infant, fo thatit cannot bee drawn there-hence unleft it bee with a hook put under, or faftned under his in his mouth, or in the hol- lownefs of his eie. But if the infant lieth as if hee would com with his hands forwards, or if his hands bee forth alreadie, fo that it may feem heemay bee drawn forth eafily that way, yet it muft not bee fo don; for fo his head would double backwards over his fhoulders, to the great danger of his mother. Once 1 was called unto the birth of. an infant, whom the midwives had aflaied to draw out by the arm, fo that the arm had been fo lorig forth that it was gangrenate,wHereby thechilde died;! told them preftntly that his arm muft bee put in a- gain, and hee muft bee turned otherwife. But when it could not bee put back by reafon of the great (welling thereof, and ajfo ofthe mother's genitals, I determined to cut it qffwith an incifion knife, cutting the mufcles as near as I could to he fhoulder, yet drawing the flefli upwards,that when I had taken off the bone with a pair tof cutting pincers, it might com down again to cover the fhivered end of the bone, left otherwife when it were thruft in again into the womb, it plight hurt the mother. Which beeing don, 1 turned him with his feet forwards, and drew him out as is before faid. But if the tumor either naturally or by fom accident, that is to fay, byptftrtfa&ion, which may perchancfe com, bee (b great that hee cannot bee turned according to the Surgeon's intention, nor bee drawn out according as the tumor;muft bee diminifhed, apd tfien he? muft bee drawn out as is afore-faid,'and that meft bee don at once. As for example, if the dead infant appear at the orifice of the womb, which our rijidwiyes call the Garland, when it gapeth, is open and dilated, but yet his head beeing more great and puffed up with winde (b that it cannot com forth, as sbee fo through that difeaf which the Greeks call Macrophifocepbalos, the Surgeon muft fallen a hook urn der his chin, or in his mouth, or elf in the hole of his which is bet- ter and more expedient, in the hinder part of his head* For when thefcull is fo opened, there will bee a paffage whereat the winde may pafsout, audio whenthe tumor falleth ■' , ; 2.' and How the Chi- rurgian ought to prepare him- felf and his pa- tient to the drawing out of the chi Ide from the womb. How theinfans that is dead in the womb muft bee turned a bound and drawn out* : A caution to a- . void ftrangling of the infant in drawing out 1 the bodie.' Why the childe mult not bee drawn out with his bands for- wards. An hiftorie. To diminiih the winde wherewith the infant beeing dead in the wombjfwel- leth and is pu£» fed up that hee cannot bee got- ten out of the womb. 614 Concerning the Generation of Man. L 15.2.4.. and decrealeth, let him draw the infant out by little and little s but not rafhly, left hee fhould break that whereon hee hath taken hold: the figure of thofe hooks is thus. Tbe form of Hoofy for drawing put tbe infant that is dead in tbe womb, But if the breaft bee troubled with the like fault, the hooks muft bee faftned about the chanel-bone: if there bee a Dropfie or a Tympanic in the bellie,the hooks muft bee faftned either in the flioit ribs, that is to lay, in the mufcles that are between the ribs, or efpecially, if the dileaf do allb delcend into the feet, about the bones that are above the groin 5 or elf putting the crooked knife here piftured into the womb with his left hand, let him makein- cifion in the childe s bellie, and fo get out all his entrals by the incifion: for when hee is fo bowelled, all the water that caufied the Dropfie will out. But the Surgeon muft do none of all thefe things but when the childe is dead, and the woman that travelleth in fiich danger that fliee cannot handlbmly bee holpen. But if by any means it happeneth,that all the infant's members bee cut away by little and little,and that the head onely remaineth behinde in the womb,which I have lomtimes againft my will, and with great lorrow feen 5 then the left hand, beeing annointed with oil of Lil- lies, or frelh Butter, muft bee put into the womb, wherewith the Surgeon muft finde out the mouth, putting his finger into it; then with his right hand hee muft put up the hook (ac- , cording to the dire&ion of the left hand) gently, and by little and little , and fo fatten it in the mouth, eie, or under the chin 5 and when hee hath firmly fixed or fattened it, hee muft therewith draw out the head by little and little, for fear of loofiiing or breaking the part whereon hee hath hold. In ftead of this Hook, you may ufe the Inftruments that are herede- fcribed, which therefore I have taken out of the Surgerie of Francif Dalecbamp > for they are fo made,that they may eafily take hold of a ipherical and round bodie with the branches, as with fingers. How the head of the infantjif it remain in the womb fe- parated from the bodicjUiay bee drawn out. Gryphon's Talons,ttat is to fay, Infttuments made to draw out the bead of a dead infant that it feparated in tbe womb from tbe reft of the bodie. Bui LlB.lzJ.. Concerning the Generation of -CMan. 615 But it is not verie ealie to take hold on the head when it remaineth alone in the womb, by reafon of the roundnefs thereof, for it will flip and Aide up and down, unlefs the bellie be | prefled down, and on both fides, thereby to hold it unto the inftrument, that it may with i more facilitie take hold thereon. i Why the head bceing alone in the womb} is more diffi- mltcobee out. CHAP. XXV1I. What muft bee don unto tbe woman in travail frefently after her deliverance. •Here is nothing fo great an enemie to a woman in travail, especially to her whole childe is drawn away by violence, as cold : wherefore with all care and , diligence lhee mull bee kept and defended from cold. For after the birth , her bodie beeing void and emptie, doth eafily receiv the air that will enter into everie thing that is emptie, and hence (hee waxeth cold, her womb is diftended and puffed up 3 and the orifices of the veffels thereof are fhut and doled, whereof commeth luppreffion of the after-birth, or other after-purgations. And thereof commeth manie grie- vous accidents, as hyfterical fufFocation, painful fretting of the guts, fevers, and other mor- tall dileales. What woman foever will avoid that dilcommoditie,let her hold her legs or thighs acrols, for in fo doing, thofe partS-that were feparated will bee joined and dole together again. Let her bellie bee allo bound or rowled with a ligature of an indifferent bredth and length, which may keep the cold air from the womb, and allb prels the blood out that is contain- ed in all the lubtlance thereof. Then give her fom Capon-broth or Caudle, with Saffron, or with the powder called Pulvis duels, or elf bread toafted and dipped in wine wherein Spice is brewed, for to reftore her ftrength, and to keep away the fretting of the guts.When the Secundine is drawn out, and is yet hot from the womb, it muft bee laid warm unto the region of the womb, especially in the Winter, but in the Summer,the hot skin of a weather newlie killed mull bee laid unto the whole bellie, and unto the region of the loins. But then the curtains ofthe bed muft bee kept dawn, and all the windows and doors of chamber muft bee kept Ihut with all diligence, that no cold air may com unto the woman , that travaileth, but that lhee may lie and take her reft quietly. The Weather's skin muft be taken away after that it hath lien five or fix hours,and then all the region of her bellie muft? bee annointed with the ointment following. R.fpermatis amygdal.dulcium & olei cera nova quantum fuflicitjmake thereof an ointment, wherewith let her bee annointed twice in the i daie: let a plafterof Galbanum bee applied to the navel, in the mid'ft whereof put fom few1 grains ofCivet or Musk, fo that the fmel of the plafter may not Strike up into hernoftrils. • Then let this medicine following bee applied, commonly called Tela Gualterin. R. cera nova, j ?iv. fpermatis CefiJ i(L terebinth, veneta in aquH rofacea olei amygdal.dulcium & bypericonit • dn. %i. olei mafticb. & myrtini3an. JfS. axungia cervi,melt them altogether, and when they < are melted, take it from the fire, and then dip a linnen cloth therein , as big as may ferv to * fit the region of the bellie, whereunto it is to bee applied. Thele remedies will keep the ex- ternal region of the bellie from wrinkling. But of all other, the medicine following excelleth. R. limacum rub.foi.florum antbos quart. iiii. let them bee cut all in final! peeces, and put into an earthen pot well nealed with lead, and dole flopped, then let it bee let in the dung of horles for the fpace of fortie daies, and then bee prefied or ftrained, and let the liquor th at is ftrained out bee kept in aglalswell covered, and let in the Sun for the fpace of three or four daies, and therewith annoint the bellie of the woman that lieth in childe bed. If lhee bee greatly tormented with throws, let the powder following bee given unto her. R. anifi conditi $ii. nucis mofebat. cornu cervi uft. an. nucleorum datty 11 or. aloes & cinnamoni,an.$u. make thereof a molt fubtil powder, let her take thereof at once with white wine warm. Or, R. rad. confolida majority. nu- cleorum perjicorum, nucis mofebat. an.Qii. carab. ambragraca gra.iv. make thereofa powder, let her take one dram thereof at a time with white wine, or if lhee have a fever, with the broth of a Capon. Let there bee hot bags applied to the genitals,bellie and reins; thele bags muft bee made of millet and oats fried in a frying-pan with a little white wine. But if through the violence of the extraftion the genital parts bee torn, as antient writers affirm it hath com to pals, fo that the two holes, as the two holes of the privie-parts and ofthe fundament have been torn into one, then that which is rent muft bee Hitched up, gi and the wound cured according to art. Which is a moil unfortunate chance for the mother afterwards, for when lhee Shall travail again, lhee cannot have her genital parts to extend and draw tbemfelvs in again by reaSbn of the fear. So that then it will bee needful that the Chirurgian Shall again open the place that was cicatrized, for otherwise lhee Shall never bee delivered, although lhee ftrive and contend never fo much. I have don the like cure in two women that dwelt in Paris. < CHAP. Cold an ene- mie to women in travail. What accidents follow the ca- king of cold in a woman that is delivered of child e. Secundines muft bee laid to the region of the womb whil'ft they bee warm. Unguents for the woman in travail that the region of the bcilie may not bee wrinkled. The medicine called 7eU A powder for the fretting of the guts. What muft bee don when the groin is torn in childc-bit th 616 Concerning the Generation of.Man LlB.lz}.. CHAP. XXVIII. Wbat cure muft bee ufed to the Dugs and Teats oftbofe that are1>rougbt to bed. To drive the milk down- ward. , F great (tore and abundance of milk bee m tne Dreait,anct the woman be not willing to nurf her own childe, they muft bee annointed with the unguent following, to repel the milk, and cauf it to bee expelled through the womb. R. olei rof.myrtini an%ni. acai rofat. them together,and there- with annointing befprinklethem with the powder ofMyrtils, and then ap- plie the plafter following. R. pulv. mafiichini nucit mofibat, nucis cu- frefli balauftmyrtil. Ireos, florent. olei myrtini Jiii. terebinth, veneta |ii. cert nova quantum fuflicit, make thereof a foft plafter. The leavs of brook- lime,crefles and box boiled together in urine and vineger,are thought a prefent remedie for this purpofe, that is to fay, to draw the milk from the breafts. And o- thers take the clay that falleth down into the bottom of the trough wherein the grinde- ftone, whereon (words are grownd, turneth,and mix it with oil of ro(es,aud applie it warm unto the dugs, which in Ihort (pace, as it is thought,will aiTwage the pain, ftay the inflam- mation, and drive the milk out of the dugs. The decoftion of ground-lvie, Peruwinkle, red Roles, and roach Alum beeing prepared in oxycrate, and ufed in the form of a fomentation, is thought to perform the like effeft : the like virtue have the lees of red wine, applied to the dugs with vineger, or the diftilled water of unripe Pine-apples applied to the breafts withlinnen cloaths wet therein, or hemlock beaten and applied with the young and tender leavs of a gourd. ( This medicine following is approoved by u(e : Take the leavs of Sage, Smallage, ! and Chervil, and cut or chop them verie (mall, and incorporate them in vineger and oil of Rofts, and fo applie it warm to the breaft, and renue it thrice a day. In the mean time let Cupping-glades bee applied to the inner (ide of the thigh and groin, and al(b above the na- vel. For this is verie effeftual to draw the milk out of the breafts into the womb by the veins whereby the womb communicateth with the breafts. Moreover, they may let children : or little whelps fuck their breafts, whereby they may draw out the milk that is fixed faft in their dugs, in fteed whereof wee have invented this inftrument of glals , wherewith, when the broader orifice is faft'ned or placed on the breaft or dug, and the pipe turned upwards to- wards her mouth, (hee may fuck her own breafts her felf. Bywhatreafon, and which way cupping-glaf- fes beeingfa- ft'ned on the groin or above the navel, do draw milk ont the of brcafts. 71)e form of a little glafr, which freeing put on the nipple, the woman ma) fuck her own frreafa. Inftead of this inftrument, a viol of glafs beeing fir ft made warm, and the mouth there- of applied to the nipple or teat, by reafon of the heat and widenefs thereof will draw the milk forth into the bottom thereof, as it were by a certain fucking. The after-purgations beeing firft evacuated, which is don for the moft part within twentie daies after the birth, if the woman bee not in danger of a fever, nor have anie other accident, let her enter into a bath, made of niarjerom, mint, fage, rofemarie, mugwurt, agrimonie, penniroyal, the flowrs of camomil, melilote, dill, beeing boiled in moft pure and clear running water. All the day following let another fuch like bath bee prepared, whereunto let thefe things following bee added. R.farini fatarum & aven.an.tk.iii. far in. or obi, lufindr. & gland. «w,ibi. falis com. ifeii. gallarum, nucum cuprefji, rofar. rub. m.vi. caryoybyl.nucum boil them all in common water, then few them all in a clean linnen cloth, as it were in a bag, and caft them therein into the bath wherein Iron red hot hath been ex- tinguilhed, and let the woman that hath lately travailed fit down therein fo long as lhee pleafeth, and when fhee commeth out let her bee laid warm in bed, and let her take fom freferved Orange-pill, or bread toafted and dipped in Hippocras,or in wine brewed with Ipi- ces,and then let her fweat,ifthe fweatwill com forth of its own accord. On the next day letaftringent fomentations bee applied to the genitals on this wile pre- ' pared- [fc. gaUaK nucum cuprefli, corticum granat. an%i rofar. rub.m i. tbymij majoran. an. m.fl alu. ■ minis roebt, falis com. boil them all together in red wine, and make thereof a deco- ction for a fomentation, for the fore-named ufe. The diftilled liquor following is verie excellent Aftringent fo- mentations for the privic parts. Lib.z<|.. Qoncerning the Generation of Man. 617 excellent and effe&ual to confirm and to draw in the dugs, or anie other loofparts. R. cary- opbyl. nucit mojcbat.nucum cugrefi an. maftich. |ii. alumin. rocb. %'ifi.glandium & corticis quer- ni, dzz.ftfi rofar. rubr m.i. cort.granat. terr*figillat. %i. cornu cervi ufti%fi. myrtiHor. fanguinis dracon.anQ. boli ar mini. ireos florent. Ji. fumacb.berber. m.fl conquaffentur omnia, & macerentur fpatio duorum dierum, in ft.fi aqut rofarum ftii. yrunorum jyveflr. mefyilorum, fomo- runt quernvcum,& ft.JS. aqut fabrorum, aceti denique fortiffljiv. afterward diltil it over a gentle fire, and keep the diililled liquor for your ule, wherewith let the parts bee fomented twice in a day. And after the fomentation, let wollen cloaths or flupes of linnen cloth bee dipped in the liquor, and then prefled out out and laid to the place. When all thele tilings are don and paff, the woman may again keep companie with her husband. A diftilkd li- quor for to draw together* the dugs that are loofand flack. CHAP. XXIX. Wbat the cauffes of difficult andfainfal travail in cbilde-hirtb are. 4efault dependeth fomtimes on the mother, and fomtimes on the infant or childe within the womb. On the mother, if ffiee bee more fat, i f lhee bee given to gormandize or great eating, if lhee bee too lean or young, as Savanarola thinketh her to bee, that is great with childe at nine years of age, or unexpcrt, - or more old, or weaker then fhee fhould bee either by nature or by fom accident: as by diieafes that fhee hath had a little before the time of childe-birth, or with a great flux of blood. But thofe that fall in travail before the ful and prefixed time, are verie difficult to deliver, becaufthe fruit is yet unripe, and not rcadie or ealie to bee delivered. If the neck or orifice of the womb bee narrow, either from the firll conformation, or afterwards by fom chance as by an ulcer cicatrized: or more hard and callous, by reafon that it hath been torn before at the birth of fom other childe, and fo cicatrized again, lo that if the cicatrized place bee not cut even in the moment of the deliverance, both the childe and the mother will bee in danger of death 5 alfo the rude handling of the midwife may hinder the free de- liverance of the childe. Oftentimes women are letted in travail by ihamefac'tneis, by reafon of the prefence of fom man, or hate to torn woman there prelent. Ifthe fecundine bee pulled away fooner then it is neceffarie, it may cauf a great flux of blood to fill the womb, fo that then it cannot perforin his exclulive facultie, no otherwile then the bladder when it is dillended by reafon of over*abundance of water that is therein, cannot cad it forth, fo that there is aftoppage of the urine. But the womb is much rather hindred, or the facultie of childe-birth is flopped or delaied, if together with the flopping of the fecundine, there bee either a Mole or fom other bodie contrarie to nature in the womb. In the fecundines of two women whom I delivered of two children that were dead in their bodies, I found a great quantitie of (and like unto that which is found about the the banks of rivers, fo that the gravel or land that was in each fecundine was a full pound in weight. Alfo the infant may bee the occafion of difficult childe-birth, as, if too big , if it com o- verthwart, if it com with its face upwards, and its buttocks forwards, if it com with its feet and hands both forwards at once, if it bee dead and fwoun by reafon of corruption, if it bee monftrous, if it have two bodies or two heads, ifit bee manifold or feven-fold, asAl- bucrafis affirmeth he hath feen,if there bee a mole annexed thereto,if it bee verie weak,ifwhen the waters are flowed out, it doth not moov or ftir, or offer its (elf to com forth. Yet not- wzthftanding, it happeneth fomtimes that the fault is neither in the mother nor the childe, but in the air, which beeing cold, doth fo binde, congeal and make ftiff the genital parts, that they cannot bee relaxed : or, beeing contrariwife too hot,it weakeneth the woman that is in travail, by reafon that it walletb the fpirits, wherein all the ftrength conlifteth: or in theignorant or unexpert midwife, who cannot artificially rule and govern the endeavors of the woman in travail. The birth is wont to bee eafie, if it bee in the due and per fixed natural time, ifthe childe offer himlelfluftily to com forth with his head forwards, prefently after the waters are com forth, and the mother in like manner lullie andllrong: thole which are wont to bee troub- led with verie difficult childe-birth, ought a little before the time of the birth, to go into an half-tub filled with the decoftion of mollifying roots and feeds,to have their genitals, womb and neck thereof to bee annointed, with much oil, and the intellines that are full and loa- ded mull bee unburthened of the excrements, and du n the expulfive facultie provoked with a Iharp glyfler, that the tumors and fwelling of the birth concurring therewith, the more ea- lie exclulion may bee made. But I like it rather better, that the woman in travail Ihould bee placed in a chair that hath the back thereof lean ing backwards, then in her bed,but the chair mull have a hole in the bottom, whereby the bones that mull bee dilated in the birth, may have more freedom to dole themfelvs again. The caulfi-sof the difficult childe-birth that are in the : woman that travaikth. The paflions of the mindc hinder the birth. Thecaufles of difficult child- birth that are in the infant. The external caufcs of diffi- cult childe- birth. Which is an cafie birth. What caufleth eafinefscf child-birth. Ggg CHAP. Concerning the (generation ofMan. LIB.24.. 618 CHAP. XXX. Tbe cauf of Abortion or untimely birth. What Aborti- on is. Bortion or untimely birth is one thing, and effluxion another. They call abor- tion the hidden exclufion of the childe alreadie formed and alive, before the per- fect inaturi tie thereof, Eut that is called effluxion, which is the tailing down of feeds mixed together and coagulated but for the (pace of a few daies, onely in the forms of membranes or tunicles, congealed blood,and of an unfhapen or de- formed piece of flefh; the Midwives of our countrie call it a falf branch or bud. This efflux, ion is great pain and moft bitter and cruel torment to the woman: leaving be- hinde it weaknefs of bodie far greater then if the childe were born at the due time. The caufes ofabortion or untimely birth, whereof the childe is called an abortive, are manie, as a great feouring, a ftrangurie joined with heat and inflammation, fliarp fretting of the guts, a great and continual cough, exceeding vomiting, vehement labor in running, leaping, and dauncing, and by a great fall from on high, carrying of a great burthen, riding on a trot- ting-horf, or in a Coach, by vehement, often and ardent copulation with men, or by a great blow or ftroke on the bellie. For all thefe and fiich like vehement and inordinate mo- tions diHolv the ligaments of the womb, and fo cauf abortion or untimely birth. Alfo whatfoever prefleth or girdeth in the mothers bellie, and therewith alfo the womb that is within it, as are thofe Ivorie or Whale-bone buskes, which women wear on their bodies,-thereby to keep down their bellies ; by thefe and fuch like things the childe is letted or hindred from growing to his full ftrength, fo that by exprefiion, or as it were by compul- fion, hee is often forced to com forth before the legitimate and lawful time. Thundering, the noifof the (hooting of great Ordnance, the found, and vehement noifof the ringing of Bells conftrain women to fall in travell before their time, efpecially women that are young, whofe bodies are foft, flack and tenderer then thofe that bcc of riper years. Long and great falling, a great flux of blood, efpecially when the infant is grown fomwhat great: but if it bee but two moneths old, the danger is not fo great, becaufthen hee needeth not fo great quantitie of nourifhment, alfo a long difeaf of the mother,which conliimeth the blood, caufe leth the childe to com forth beeing deftitute of ftore of nourifhment before the fit time. Moreover, fulnefs, by reafon of the eating great ftore of meats, often maketh or caufleth un- timely birth ; becaufit depraveth the ftrength, and prefleth down the childe: as likewife the ufe of meats that are of an evil juice, which they luft or long for. But bath's, becauf they re- lax the ligaments of the womb, and hot houfes, for that the fervent and choaking air is re- ceived into the bodie, provoke the infant to ftrive to go forth to take the cold air, and Co cauf abortion. What women foever,beeing indifferently well in their bodies,travail in the fecond or third moneth without anie manifeft cauf, thofe have theCotylidones of their womb full of filth and matter, and cannot hold up the infant, by reafon of the weight thereof,but are broken: Moreover, fiidden or continual perturbations of the minde, whether they bee through anger or fear,may cauf women co travail before their time,and are accounted as the caufes of abor- tions,for that they cauf great and vehement trouble in the bodie. Thofe women that are like to travail before their time,their dugs will wax little: therefore when a woman is great with childe, if her dugs fuddenly wax fmall or (lender,it is align that Ihse will travail before her timejthe caufofliich fhrinking of the dugs is,that the matter of the milk is drawn back into the womb,by reafon that the infant wanteth nourilhment to nourilh & fuccour it withall. Which (carcitie the infant not long abiding,ftriveth to go forth to feek that abroad which hee cannot have within, for among the caufes which do make the infant to com out of the womb,thofe are moft ufually named with Hippocrates, the neceffitieofamorelarge nutri- ment and air. Therefore if a woman that is with childe have one of her dugs fmall,if(hee have two chil- dren,fliee is like to travail of one of them before the full and perfeft time: fo that if the right 1 dug bee (mall, it is a man-childe, but if it bee the left dug it is a female. Women are in far more pain when they bring forth their children before the time,then if it were at the full and due time; becaufthat whatfoever is concrarie to nature,is troublefom, painfull,and alfo of- f centimes dangerous. If there bee anie error committed at the firft time of the childe-birth, it is commonly feen that it happeneth alwaies after at each time of childe-birth. Therefore, to fiinde out the caufes of that error, you muft take thecounfel of fom Phyfician, and after his ' counfel indeavour to amend the fame. Truly thisplafter following beeing applied to the reines doth confirm the womb,and (lay the infant therein.Bc.ladani .%i.nucis mofchat nucis cuprefsiyboli armeni,terr<£ftgil. fanguin.dracony pftdiorumj)ipociftid.an.%i.. „ tnapiicb u.gummi picis navald^i.fi.ar# quantum [ufficit.fiat it emplaft.fecundum ertew.-fpread it for your ufe upon leacher.lf the pare begin to itch,let the pla- fter bee taken awaie,& inftead thereof ufe unguent.rofat.or refrig. Galen, or this that followeth. R.oZez myrtini.mafticb.cydonior. an.% i.bypo. boli armen. fang quant-fuf. make thereof an ointment according unto art. There are women that bear the diilde What Effluxi- on is. Women are in more pain by rcafon of the effluxion then at the true birth. The caufes of Abortion. I Girding of the bellie may cauf untimely birth. How bathes and hot houfes eauf untimely birth. 37felt Hip.aph.4f. ft a. f. Hip.npb.3ti fett. ?. Women are in more pain at the untimely ' birth then at the due time of b:rth. The error of thefirft child- birth cont]-, nues after- ward*. A plafter flay- ing the infant in the womb. Lib.24.. Qmcerning the Generation of Man. 619 childe in their womb ten or eleven whole moneths,and fuch children have their conformati-1 on ofmuch quantitie of feed: wherefore they will bee more big,great and ftrong, and there- : fore they require more time to com to their perfection and maturitiejfor thole fruits that are ] great will not bee fo foon ripe as thole that are imall. But children that are Imall and little' of bodie do often com to their perfection and maturitie in feven or nine moneths: if ano- ther things are correfpondent in greatnels and bignels of bodie , it happeneth for the moft part that the woman with childe is not delivered before the ninth moneth beedon,or at the leaftwife in the fame moneth. But a male childe will bee commohly born at thebeginning,' or a little before the beginning of the fame moneth, by reafon of his engrafftedUieat which caufleth maturitie and ripenels. Furthermore, the infant is fooner com to rri furitie and J perfection in a hot woman then in a cold, for it is the propertie of heat to ripen. What children are ten or ele- ven moneths in the womb. A male will bee born foon- er then a fe- male. CHAP. XXXI. Howto preferv the infant in tbe womb, when the mother is dead. F all the figns of death appear in the woman thatlieth in travel, and cannot bee delivered3there mutt then bee a Surgeon readie and at hand, which may o- pen he r bodie fofoon as fliee is dead, whereby the infant may bee preferved in iafetiesneither can it bee foppofed fiifficient if the mother's mouth and pri- vie parts bee held open ; for the infant being enclofed in his mother's womb, J and compared with the membranes,cannot take his breath,but by the contra- * ftions and dilatations of the arterie of the navel. But when the mother is dead, thelungs J do not execute their office and funftion : therefore they cannot gather in the air that com- I pafleth thebodie by the mouth orafyera arteria into their own fiibftance, or into the arteries 1 that are difperfed throughout the bodie thereof, by reafon whereof it cannot fend it unto 1 the heart by the veinie arterie which is called arteria venalis : for if the heart want air, there ' cannot bee anie in the great arterie which is called arteria aortay whofe funftion it is to draw ' it from the heart; as alfo by reafon thereof it is wanting in the arteries of the womb,which ; are as it were the little conduits of the great arterie, whereinto the air that is brought from the heart is derived, and floweth in'unto thefe little ones of all the bodie, and likewife of the womb. Wherefore it muft of neceffitie follow that the air is wanting to the cotyle- dons of the fecundines, to the arterie of the infants navel, the iliack arteries alfo, and there- fore unto his heart,and fo unto his bodie: for the air being drawn by the the mother's lungs, is accuftomed to com to the infant by this continuation of paflages. Therefore be- cauf death maketh all the motions of the mother's bodie to ceaf, it is far better to open her bodie fo loon as ffiee is dead, beginning thedncifion at the cartelage, Xtyboides, or breaft- blade, and makeing it in a form femicircular, cutting the ski®, mufcles and yeritoTwum, not touching the guts: then the womb being lifted up, muft firft bee cut, left that otherwife the infant might perchance bee touched or hurt with the knife. You ffiall oftentimes finde the child unmoveable, as though hee Were dead ; but not be- cauf hee is dead indeed, but by reafon that hee, beeing deftitute of the accede of the fpirits by the death of the mother, hath contrafted a great weaknefs : yet you may know whether hee bee dead indeed or not, by handling the arterie of the navel, for it will beat and pant if hee bee alive, otherwife not j but if there bee anie life yet remaining in him , ffiortly after hee hath taken in the air, and is recreated with the accefs will move all his mem- bers, and alfo all his whole bodie* In fo great a weaknefs or debilitie of the ftrehgth of the childe, by cutting the navel ftring, but it muft rather bee laid clofe to the region of the bel- lie thereof, that thereby the heat (if there bee anie jot remaining) may bee ftirred up again. But I cannot fufficiently marvail at the infblencie of thofe that affirm that they have feen women whofe bellies and womb have been more then once cut, and the infant taken out, when it could no otherwife bee gotten forth, and yet notwithftanding alive; which thing there is no man can perfwade mee can bee done, without the death of the mother4, by reafon of the neceffarie greatnefs of the wound that muft bee made in the mufcles of the bellie, and fubftance of the womb, for the womb of a woman that is great with child, by reafon that it fwelleth, and is diftended with much bloud, muft needs yield a great flux of bloud,which of neceffitie muft bee mortal. And to conclude, when that the wound or incifion of the womb is cicatrized, it will not permit or fuffer the womb to bee dilated or extended to re- ceiv or bear a new birth. For thefe and fuch like other caufles, this Kinde of cure, as defpe- rate and dangerous, is not (in mine opinion) to be ufcd. Why It is not fufficient to preferv life in the childeto hold open the ' mouth and pri- vie parts of the mother fo foon as thee is dead and the childc alive in her bodie. How the bel- lie of the wo- man chat dieth in travel mull bee cur open to fave the childc. ■Mow it may bee known whether the infant bee a* live or not. Ggg 2 CHAP, 620 Concerning the Generation of Man. LlB.24.. CHAP. XXXII. Of fuperfetation. Uperfetation is when a woman doth bear two or more children at one time in her womb, and they bee enclofed each in his feveral fecundine: but thole that are included in the lame fecundine, are fuppofed to bee conceived at one and the fame time of copulation, by realon of the great and copious abundance of leed , and thefe have no number of daies between their conce- ption and birth, but all at once. For as prefently after meat the ftomach which is naturally of a good temper, is contra&ed or drawn together about the meat,to comprehend it on eve- rie fide, though fmall in quantitie, as it were by both hands, fo that it cannot rowl neither unto this or that fide; fo the womb is drawn together unto the conception about both the feeds,affoon as they are brought into the capacitie thereof, and is fo drawn in unto it on eve- riefide, that it may com together into one bodie, not permitting anie portion thereof to go into anie other region or fide, fo that by one time of copulation the feed that is mixed together, cannot engender more children then one, which are divided by their fecundines. And moreover, becauf there are no fuch cells in the wombs of women , as are fuppofed, or rather known to bee in the wombs ofbeafts, which therefore bring forth manieat one con- ception or birth. But now if anie part of the woman's womb doth not applie and adjoin it felf clofely to the conception of the feed already received5left anie thing fhould bee given by nature for no purpofe, it muft of necelfitie follow that it muft bee filled with air, which will alter and corrupt the feeds. Therefore the generation of more then one infant at a time, haveingeverie one his feveral fecundine, is on this wife. If a woman conceiv by copulation with a man as this day, and if that for a few daies after the conception, the orifice of the womb bee not cxaftly fhut, but rather gape a little, and if lhee do then ufe copulation a- gain, fo that at both thefe times of copulation there may bee an effufion or perfeft mixture of the fertile feed in the womb, there will follow a new conception, or (uperfetation. For (uperfetation is no other then a certain fecond conception, when the woman already with childe, again ufeth copulation with a man, and Co conceiveth again, according to the judg- ment of Hippocrates. But there may bee manie caufles alledged why the womb which did join and clofe doth open and unloof it felf again.For there bee fbm that fuppofe the womb to bee open at certain times after the conception,that there may bee an ifliie out for certain ex- cremental matters that are contained therein, and therefore that the woman that hath fe> conceived alreadie,and fhall then ufe copulatiojrt with a man again,fhall alfo conceiv again; Others fay that the womb ofit felf, and ofits own nature is verie defirous of feed or co- pulation, or elf beeing heated or enflamed with the pleafent motion of the man mooving her thereto, doth at length unclofe it felf to receiv the man's feed: for likewifeit happeneth manie times that the orifice of the ftomach beeing fhut after eating, is prefently unloofed a- gain, when other delicate meats are offered to bee eaten : even fo may the womb unclofe it felf again at certain feafons, whereof com manifold iffues, whofe time of birth and alfo of conception are different. For as Plinie writeth, when there hath been a little (pace between two conceptions, they are both haftened, as it appeared in Hercules and his brother Ipbiclesj and in her which haveing two children at a birth,brought forth one like unto her husband, and another like unto the adulterer. And alfo in the Procomefian Have or bond-woman, who, by copulation on the feme day, brought forth one like unto her matter, and another like unto his fteward: and in another who brought forth one at the due time of childe-birth, and another at five months end. And again in another, who bringing forth her burthen on the feventh month, brought forth two more in the months following. But this is a moft manifeft argument of iuperfetation, that as manie children as are in the womb (unlefe they bee twins of the feme fex) fo manie fecundines are there, as 1 have often feen my felf. And it is verie likely that if they were conceived in the feme moment of time, that they fhould all bee included in one fecundine. But when a woman hath more children then two at one bur- denjit feemeth to bee a monftrous thing, becauf that nature hath given herbuttwobreafts. Although wee fhall hereafter rehearf manie examples of more numerous births. What fuperfe- tation is. A woman's womb is not diftinguiflied intodivuf cels. The reafon of fu per fetation. Lib. de fuper- fattationibus. Why the womb after the conception of the feed, doth many times after- wards open. Lib,j. cap.it. CHAP. XXXIII. Of tbe tumor called Mola, or a Mole growing in the womb of Women. The reafon of the name. F the Greek word Myle, which fignifieth a Mill-ftone,this tumor called Ma hath its name j for it is like unto a Mill-hone both in the round or circular figure, andalfoin hard confiftence, for the which felf fame reafon the whirl-bone of the knee is called of the Latines and of the Greeks Myle» But the tumor called Mola, whereof wee here entreat, is nothing elf but a certain falf concepti- on of deformed flelh, round and hard,conceived in the womb as it were rude andunperfeft, and What a kola is. • Lib.24. Concerning the (jeneration ofMan. 621 not diftinguilhed into members, comming by corrupt, weak, and difeaied feed, and of the immoderate flux of the termes, aS it is defined by Hippocrates. This is inclofed in no fecun- dine, but as it were in its own skin. There are fbm that think the Mola to bee ingendered of the concourf or mixture of the wo- mans feed and menftrual blood, without the communication of the mans feed. But the opi- nion of Galen is, that never anie man law a woman conceiv either a or anie other fuch thing, without copulation of man , as a hen laieth eggs without a cock: for the onely < cauf and original of that motion is in the mans feed, and the mans feed doth onely minifter1 matter for the generation thereof. Of the fame opinion is Aviceny who thinketh the Mola to bee made by the confluxion ofthe mans feed that is unfertile, with the womans 5 tvhen 1 as it, becaufunfruitful, onely puff's up or make's the uromans feed to fwellas leaven into a 1 greater bignefs, but not into anie perfeft lhape or form. Which is alfo of the opinion of Fer- neliitf, by the decrees of Hippocrates and Avicen: for the immoderate fluxes of the courfes are conducing to the generation of the Mola, which overwhelming the mans feed, beeing now unfruitful and weak, doth conftrain it to delift from its interprifeof conformation al- readie begun, as vanquilhed or wholly overcom: for the generation of the Mola commeth not of a Ample heat working upon a clammie and grofs humor, as worms are generated; but of both the feeds, by the efficacie of a certain fpirit, after a fort prolifical, as may bee under- ftood by the membranes wherein the Mola is inclofed,by the ligaments whereby manie times it is faftened or bound to the true conception or childe, engendered or begotten by fuperfoe- tation ; and finally, by the increaf, and great and fluggilh weight. If all men were hot per- iwaded that the conflux of a mans feed muft of neceflitie concur to the generation of the Mo- la} it would bee no fmall cloak or cover towomen to avoid the lhame and reproach of their light behavior. ' Lib.de fleril. Cap. 7. lib.de ufu part. How the mola is engendered. CHAP. XXXIV. How to difcern a true, conception from a falf conception or Mola. The fignes <5f a mola inclo- fed in the womb. Hen the Mola is inclofed in the womb, the fame things appear as in the true and lawful conception. But the more proper fignes of the Mola are thefe: there is a certain pricking pain, which at the beginning troubleth thebellie as if it were the cholick, the belly will Iwel fboner then it would if it were the true iuue, ana will bee diftended with greater hardnefs, and is more difficult and troublefom to carrie, becaufit is contrarie to nature, and void of foul or life. Pretently after the concep- tion the dugs fwel and puff up, but ffiortly they fall and becom lank and lax 5 for nature fendeth milk thither in vain, becauf there is no iflue in the womb that may ipend the fame. The Mola will move before the third month, although it bee obfcurely, but the true con- ception will not: but this motion of the Mola is not of the intellectual foul, but of the fa, cultie of the womb, and oftht fpirit of the feed dilperted through the lubftance of the Molaj for it is nourifhed and increafeth after the manner of plants, but not by reafon of a foul or fpiritlent from above, as the infant doth. Moreover, that motion that the infant hath in its due and appointed time, differeth much from the motion of the Mola; for the childe is mooved to the right tide, to the left fide, and to everie fide gently, but the Mola3 by reafon of its heavinefs, is fixed, and rowleth in manner of a ftpne, carried by the weight thereof unto what fide foever the woman declineth her telf. The woman that hath a Mola,'in her womb doth dalie wax leaner and leaner in all her members, but elpecially in her Jeggs, al- though notwitfiftanding towards night they will fwel, fo that flic will bee vefie lpw or heavie in going, the natural heat forfakeing the parts remote from the heart by little and little: and moreover, her bellie Iwel's, by ae'afon that the menftrual matter refteth about thole places, and is not continued in the nouriffiment of the-Molaflieeis' fwpln asif fhee had the dropfie, but that it is harder, and doth not rile again when it is prefled with the fin- gers. The navel doth not ftand out as it will do when the true iflue is conteined in the womb, neither do the courles flow as they fomtimes do in the true conception; but fomtimes great fluxes happen, which eaf the weight of thebellie. In manic when the Mola doth clear not verie fall, it falleth awaie within three or four moneths, beeing not as yet com unto its juft bignelsjand manie times it.cleaveth to the fides of the womb & Cotylidons verie firmly , fo that fom women carrie it in their wombs five or fix yeers,and fom as long as they live. The wife of Guiliam Roger Pewterer, dwelling in St. Ritters ftreet, bore a Mela in her womb leventeen yeers, who beeing of the age of fiftie yeers, died 5 and 1 haveing opened her found the bodie of her womb to bee almoft looted, and not tied or bound by its accuftom- ed ligatures, but as it were hanging onely by the neck,and furthermore cleaving to the Kall adjoining to it, haveing but onely one tefticle, and that on the right fide, and that fomwhat broader and looter then ufual: the homes were not to bee feen except it were on that fide , the veflels were on the neck onely, and there verie maryfeft and puffed up, it was as big as a mans head. When I had taken it out of her bodie, I brought it home unto my houQ that at Ggg? By what fa- cultie the womb moov- eth. How the mo- tion of the mola differeth from the motion of the infant in the womb. The mola doth turn to each fide of the womb, as the fituation of the bodie is. A hiftorie, 622 Concerning the Generation of Man. ' LlB.2.g. my leaflire 1 might tinde out what was conteined in it fo long;therefbre,on a certain day,cal- ling together the chief Phyticians of Paris, as MaffiLeM, Alexis, Vigor,de S.Pont.Feure, Brovet, Violais, Grealmus,Ravin, Marefcotius, MilotM,Hautin,Riolan, Lujfon s and Surgeons,as Brun, Co- interelj Guillemeau; all thele beeing prefent, I opened the womb, and I found it in all the bodie thereof, and in the proper tunicle, fo fchirrhous, and fo hard, that I could hardly cut or make a knife to enter it: the bodie thereof was three fingers thick. In the midft of the capacitie thereof! found a lump of flefli as bigas both myfifts, like unto a Cow's udder, cleaving to the tides of the womb but in certain placee, of a verie chick, unequal and clod- difli fubftance, with manie bodies therein,even as are commonly found in wens and griftles, difperfed through it as if it were bones. The judgment of all that were prefent was, that this great tumor at the tirft was a Mola, which in procefs of time degenerated into a fchir- rous bodie, together with the proper fubftance of the womb. Moreover, in the middle of the neck of the womb, wee found a tumor as big as a Turkie's egg, of fubftance hard, carti- laginous and bonie,filling all the whole neck,but efpecially the inward orifice of the womb, which the common people of France do call the Garland, fo that by that paflage nothing could go out, or enter into the womb: all that tumor weighed nine pounds and two oun- ces, which I, by reafon of the novellie of the thing, keep in my clofer, and here I have de- Icribed it* The defcripti- on of a Mold carried feven- teen yeers in the womb. the external form and description of the fore-named womb. A. Shewetb the bodie of the womb* B. 'the tefticle. C. the of the womb, wherein that little tumor wot contained. D. Shewetb the end of the of the womb that was fluckfd in funder, and alfo the veffeb whereby it drew the nutriment unto ih E. Shewetb the band. FFF.tbe veffels difterfed thorow the wombt LiB.24. Concerning tbe Generation of Man-. 623 'Ibe defer iption of tbewomb freeing open, andShewing tbe Mola contained therein. A.A. Shew the external and Superficial part of tbe womb. BB-E.B. Shew the tbictyefs of the lodie, or proper fubftance of tbe womb. C. Sbeweth the Mola. D.D. Shew that concOvitie wherein the Mola was contained, or inclojed in the womb. As long as the Woman carried this Mola in her womb,fhee felt moft (harp pain in her bel- lie, the region of her bellie was marvellous hard, diftended and large, as if it were a wo- man that had manie children at once in her womb 5 fo that manie Phyficians, when the time of childe-birth was pafl, fuppofedthat fwelling of the bellie to com of thedropfie, and affaied to cure it as they would the dropfie 5 but for all the medicines they could ufe, the bellie became never the leffer. Oftentimes the urine was flopped for the fpace of three daies, and then the makeing of urine was verie painfull unto her, and manie times alfo her excrements were flopped for the fpace of a week, by reafon that the guts Were prefled by thfc weight of the Mola. At certain feafbns, as everie third moneth, there came exceeding great fluxes, the matter thereof could not bee carried through the capacitie of the womb, as wee faid before, becanfit was exactly fhut and flopped, but through the veflelsby which virgins, and alfo certain other women great with childe evacuate their menftrual matter. If the Mola bee expelled or call out in the firft or fecond moneth, as manie times it fo happcneth, it is called of women an unprofitable or falfe conception. Somtimes there are found in one womb two or three moles feparated one from another, and (omtimes bound or tied to the found and perfeft infant. As it happened in the wife of Valleriola the Phyfician, which was delivered of a Mola which fhee had carried in her womb twelve moneths, annexed with a childe of four moneths old, which had deprived the infant both of its room and nutri- ment. For it is alwaies to bee certainly fuppofed,that the Mola, as a cruel beaft, by its (ocie- tie,and keeping it from its nutriment and place, kil's the infant that is joined unto it. I remember once I opened thebodie of a dead woman, which had a Mola in her womb, as big as a Goof-egg, which when nature had affaied by manie vain endevors to call out, re- mained notwithstanding, and at length putrefied, and therewith infefted the whole womb, whereoffhee died. There bee fom which judging themfelvs great with childe,doe about the ninth or tenth moneth expell no other thing but founding blafls of winde j whereby the Womb fuddenly falling down, and waxing more (lender, they are faid in a mockerie to have been delivered of a fart. To conclude, whatfoever refemble's beeing with childe, if it bee not excluded at the due and lawful time of childe-birth by its own accord,or by the flrength of nature, then mufl it bee expelled by art. A vain or un- profitable con* ception. The Mold kill*s the in- ftnt in the it 'S fattened un:o it. CHAP. XXXV. What cure muft bee ufed to the Mola. A LI things that provoke the flowers and (ecundines,and exclude the infant,beeing dead, are to bee prefcribed, given inwardly5putup, and applied outwardly, as*the trochifces of 624 Qoncerning the (feneration ofMan LIB.Z4.. Thofe things that provoke the flowrs for- cibly3 do alfo confume or wafte the molt. of «ijrr/^5hermodaftyls,and fuch like,firft haveing fomentations that are relaxing and mol- lifying alwaies applied to the places. You mull ufe thefe medicines and phtebotomie, diet and baths then and fo long as it fhall feem neceflarie to the Phyfician that is prelent. But Jf it happen's that the mola is feparated or loofed from the womb, and nature cannot expel it when it is fo looted, let the Chirurgian place the woman in that htuation that wee laid lhee was to bee put in, when the childe was to bee drawn from her. Then opening her ge- nital parts, let him take hold on it by putting an inftrument into it, which by reafon of the likenefs thereof is called a Gryphon's Talon, for it cannot bee taken hold on other- wile, by reafon of the roundnels thereof,for it hath no place whereon it bee may taken hold of: therefore when one taketh hold on it with his hand,it cannot bee hoi den faftby reafon of the (lipperinels thereof, but will run aud flip back into the hollownels of the womb,like unto a bowl or great ball; but it may bee more eafdy taken hold on with the Gryphon's Ta- lon, if the bellie bee prelfed on both fides that it may remain ftill while the Gryphon's Ta- lon take's hold on it, for when it hath taken good hold on it, it may bee eafily drawn out. When the mola is drawn out, the fame cure muft bee ufed to the woman, as is ufed to a Woman after that lhee is delivered of childe. The Chirurgi- cal extradion ofthe»vZ<r, The figure of an aninfirument called a Gryphon's Talon, to draw out the Mola when it is loof in the womb. CHAP. XXXVI. Of Tumors or fweHings happening to the Pancreas or fweet-breadi and the whole Mefenterie. He tumors of other places and parts in the bellie ought diligently to bee diitin- guilhed from the niola, and other tumors of the womb. For when the tumors arife in the glandula called Pancreas, and in all the whole Mefenterium, manie un- skilfulChirurgians take them for mola's or feirrhous tumors of the womb,and fo goerroneoully about to curethem,as (hall appear by thefe hiftories following, Ifabel Rolant the wife of John Bony dwelling in Paris in the ftreet Moncey near to St. Ger- vlfe his Church, beeing threefcore years of age, departed this life in the year of our Lord 15 78. on the twentie fecond daie of Oftober: and her bodie beeing opened in theprefence of Doftor Milot the Phyfician, hee, when the Mefenterie was taken out of the bodie,caufled it to bee carried home to his that at his leafure hee might finde out the cauf of this mortal difeaf, which was alwaies fufpe&edto bee in the Mefenterie. Therefore on a time calling Brove, Chappel, Marefiotins, Arragonins, Bail/utius, Reburtias, and Riolan, all Doftorsof Phylick, and mee and Pinew Chirurgians, to his houf to fee the fame. Where wee found all the Mefenterie and the Pancreas in the Mefenterie fwoln and puffed up with a marvellous and almoft incredible tumor, fo that it weighed ten pound and a half, altoge- ther feirrhous on theoutfide, cleaving on the hinder part onely to the vertebresof the loins: but on the fore-part to the Ptritonxism Joeing alfo feirrhous and wholly cartilaginous.More- over, there were infinite other abfeefles in the fame Mefenterie, eyerie one doled in his feve- - ral cift, fom filled with a honie-like,fbm filled with a tallow-like,fom with an albugineous, and fom with a waterifh liquor or humor, whereof fom alfo were like untopapj and to conclude, look how manie abfeefles there were, fo manie kindes or differences of matters there were. It was then eight years fince that tijmpr .began to grow by little and little wihout feeling and pain unto fuch a greatneff, becaufthat the Mefenterie it felf was with- out pain in a manner. For the woman her felt could do all the faculties of nature almoft as well as if (hee had been found and whole, except that two months before fhee died, fhee was conftrained to keep her bed, becauf fhee had a continual fever, which endured fo Tongas fhee lived,and alfo becaufthat the Mefenterie, beeing as it were feparated or torn from its roots or feat, did rowl up and down, ip the bellie, not without'the fee- ling of grievous pain : for, as wee faid before, it did flick but onely to the wertebres of the An hiftoric. Apoftumes of diverf kindes in the Mefente- riutn. The accidents that com when the Mefenteri- um is feparated from she bo- dies adjoining. LiB.2,4.. Concerning the (generation of Man. 625 the loins and ferzton^«;«,and nothing at all to the guts and other parts whereunto it is as it were naturally knit or joined. Therefore becauf the weight and heavinels thereof deprefled the bladder,it caufled a great difficultie in her making of water, and alfo becauf it refted on the guts,it made it verie pain- ful for her to go to ftool, fo that the excrements would not com down except fhee took a (harp glyfter to cauf them:and as concerning glyfters,they could not bee put up high enough by reafon of the greatnefs of the tumor which enclofed and flnit the way ; and fuppofitories did no good at all. It was alfo verie difficult for her to take breath, by reafon that the mid- riff or diapbragma was comprefled with the tumor. There were fom that did fufpeft it to bee ■ a mola, others thought that it came by reafon of the dropfie. Afluredly this dileaf caufled < thedropfietoenfue; neither was the cauf thereof obfcure, for the fun&ion of the Liver was fru flrated by reafon that the concoftion or the alteration of the Chylus was intercepted - by occafion of the tumor: and moreover, the Liver it felf had a proper dileaf,for it was hard and fcirrhous, and had manie abfcefles both within and without it,and all over it.Themilt tvas fcarce free from putrefaftion,the guts and Kall were fomwhat blew and fpotted,and to bee briefithere was nothing found in the lower bellie. There is the like hiftorie to bee read, written by Philip Ingraft#, in his book of tumors, of a certain Moor that was hanged for theft, for f faith hee) when his bodie was publickly differed, in the Mefenterium were found feventie fcrophulous tumors, and fo manie abfcef. fes were contained or encloled in their leveralcifls or skins, and flicking to the external Specially of the greater guts : the matter contained in them was divers, for it was hard, knottie,clammie, glutinous, liquid and waterifli,; but the entrails, efpecially the Li- ver and the milt,were found free from all manner of tainture,becauf (as the fame Author al- being ftrong,had fent all the evil juice,and the corruption of the entrals into the Mefenterie:and verily this Moor,fo long as he lived,was in good & perfect health.With- but doubt the corruption of fuperfluous humors for the moft part is fo great (as is noted by Fernelius') that it cannot bee received in the receptacles that nature hath appointed for it 5 therefore then no fmall portion thereof falleth into the parts adjoining, and Specially into i the Mefenterie and Pancre#, which are as it were the fink of the whole bodie. In thole bo- dies which through continual and dailie gluttonie abound with choler, melancholic and ' phlegm, if it bee not purged in time, nature beeing ftrong and luftie, doth depel and drive' it down into the pancre# and the Mefenterie, which are as places of no great repute,and that etpecially out of the Liver and Milt by thofe veins or branches of the vena porta which end or go not into the guts, but are terminated in the Mefenterie and Pancreas. In thefe places di- verf humors are heaped together, which in procels of time turn into a loofandfoft tumor, and then if they grow bigger, into a ftiff, hard and verie fcirrhous tumor. Whereof Feme- lias affirmeth that in thofe places hee hath found the caufles of choler, melancholic, fluxes, dylenteries,cachexia's,atrophia'SjConfumptions, tedious and uncertain fevers, and laftly of manie hidden diteales, by the takeing whereof lorn have received their health, that have been thought paft cure. Moreover Ingraft# affirmeth out of Julius Pollux that Scrophulae's ' may bee engendred in the Mefenterie, which nothing differ's from the minde and opinion 1 of Galen, who faith that Scrophulae's are nothing elf but indurate and fcirrhous kernels.' But the Mefenterium with his glandules beeing great and manie, makeing the Pancre#, doth eftablifli, ftrengthen and confirm the divifions of the veflels. Alfo the fcirrbus of the proper fiibflance of the womb is to bee diftinguilhed from the mola: for in the bodies of fbm wo- men that I have opened, I have found the womb annoied with a fcirrhous tumor as big as a man's head, in the cureing whereof Phy ficians nothing prevailed, becauf they fuppofed it to bee a mola contained in the capacitie of the womb,and not a fcirrhous tumor in the bo- die thereof* The dtopfie commingofg turn or of the Mtfcncmum, Tom.i.tra.il cap.i. Lib.6.part. mor, cap.7. The Me(ente~ rium is the fink ' of the bodie. The Scrophu - lie's in the Mefenterium, Kfdrrhui of the womb. CHAP. XXXVII. Oftbe cauf ofbarrennefs inmen. Here are manie caufles of barrenneft in men,that is to fay, the too hot, cold, drie or moift diftemper of the feed,the more liquid and flexible confidence thereof,fo that it cannot ftay in the womb,but will prefently flow outagaimfor fuch is the feed of old men and dripline;s,and of fiich as ufe the aft of generation too often andimmoderately: for thereby the feed becommeth crude and waterifh, becauf it doth not remain his due and law- ful time in the tefticles,wherein it fliould bee perfeftly wrought and concofted, but is eva- cuated by wanton copulation.Furthermore,that the feed may bee fertile,it mud of neceflitie bee copious in quantitie,but in qualitie well concofted,moderately thick,clammte,& puffed with abundance of fpirits;both theft conditions are wanting in the feed of them that ufe co- pulation too oftemand moreover, becauf the wives of thoft men never gather a juft quanti- tieoffeed laudable both in qualitie and confidence in their tedicles, whereby it commeth to pals that they are the left provoked or delighted with venereous aftions,and perform the aft with How the feed is unfcrtil. Concerning the Generation of Man. LlB¥2z)_- 626 With lefs alacritie,fo that they yeeld themfelvs lefs prone to conception. Therefore let thole that would bee parents of manie children ufe a mediocritie in the ufe of vencrie, The woman may perceiv that the man's feed hathfom diftemperature in it, if when fhee hath received it into her womb, fhee feeleth it fharp, hot or cold, if the man bee more quick or flow in the aft. Manie becom barren after they have been cut for the ftone, and . likewife when they have had a wound behinde the ears, whereby certain branches of the ju- gular veins and arteries have been cut, that are there, fo that after thofe veflels have been ci- catrized, there followed an interception of the feminal matter downwards, and alfoofthe communitie which ought ofneceflitie to bee between the brain and the tefticls,lb that when the conduits or paflages are flopped, the ftones or tefticles cannot anie more receiv, neither matter nor lively fpirits from the brain in fo great quantitie as it was wont, whereof it muft of neceflitie follow, that the feed muft bee lefler in quantitie,and weaker in qualitie. Thofe that have their tefticles cut off,or elfcomprefled or contufed by violence,cannot be- get children, becauf that either they want that help the tefticles Ihould minifter in the aft of generation, or elf becauf the paflage of the feminal matter is intercepted or flopped with a Callus: by reafon whereof they cannot yeeld forth feed* but a certain clammie humor con- tained in the glandules called froftate(yet with fom feeling of delight). Moreover the defefts or imperfeftions of the yard may cauf barrennefs: as, if it bee too fhort, or ifit bee fbunreafonable great, that it renteth the privie parts of the woman, and fo caufleth a flux of blood, for then it is fo painful to the woman,that fliee cannot void her feed, for that cannot bee excluded without pleafure and delight, alfo if the fliortnefs of the ligature ligament that is under .the yard doth make it to bee crooked, and violate the ftiff ftraightncfs thereof, fo that it cannot bee put direftly or flraightly into the woman's privie parts. There bee fom that have not the orifice of the conduit of the yard rightly in the end thereof,but a little higher,fb that they cannot ejaculate or caft out their feed into the womb. Alfo the particular palfie of the yard is numbred among the caufles of barrennefs;and yoif may proov whether the palfie bee in the yard by dipping the genitals in cold water : for ex- cept they do draw themfelvs together or flirink up after it,it is a token of the palfie; for mem- bers that have the palfie, by the touching of cold water, do not flirink up, but remain in their accuftomed laxitie and loofnefs : but in this cafe the genitals are endued with fmall fcnf; the feed commeth out without pleafure or ftiffnefs of the yard; the ftones in touching arc cold; and to conclude, thofe that have their bodies daily waxing lean through a confampti- on, or that are vexed with an evil habit ordifpofition,or with the obilruftion of fom of the entrals, are barren and unfertil, and likewife thofe in whom fom noble part neceflarie to life and generation exceedeth the bounds of nature with fpm great diftemperature, and laftly thofe who by aniemeans have their genital parts deformed. Here I omit thofe that are withhold™ from the aft of generation by inchantment,magick, witching and inchanted knots, bands and ligatures,for thofe caufles belong not to Phyfick, neither may they bee taken away by the remedies of our Art. The Doctors of the Canon laws have made mention of thofe magick bands which may have power in them, in the par- ticular title De impotentibns & incantafa; alfo St. Auguft. hath made menti- on of them, T'raci.y. in Joan. How the cut- ting of the veins behinde the earsma- keth men bar- ren. The defaults of the yard. The lignofthe palfie in the yard. M?gick bands and enchanted knots. CHAP. XXXVIII. Oftbe barrenness or unfruitfulnefs ofTfomen, The cauf why the neck of the womb is nar- row. Woman tnay becom barren or unfruitful through the obftruftion of the pa£ fage of the feed,or through ftraitnefs and narrownels of the neck of the womb comming either through the default of the formative facultie, or elf after- wards by fom mifchance, as by an abfcefs,fc7rriw,warts, chaps,or by an ulcer, which being cicatrized, doth make the way more narrow, fo that the yard can- not have free paflage thereinto : Moreover, the membrane calle Hymen, when it groweth in the mid'ft or in the bottom ofthe neck of the womb, hinder's the receiving of the man's feed. Alfo if the womb bee over-flipperie, or more over wide,it maketh the woman to bee barren s fbdoth the fuppreflion of the menftrual fluxes, or the too immoderate flow- ing of the courfes or whites : which commeth by the default of the womb,or fbm entral,or of the whole bodie, which confumeth the menftrual matter,& carrieth the feed away with it. The cold and moift diQemperature of the womb, extinguifhe's and fuffocate's the man's feed, and maketh it that it will not ftay or cleav unto the womb, and flay till it bee conce- ded : but the more hot and drie doth corrupt for want of nourifhment,for the feeds that are fbwn either in a marilh or fandie ground cannot profper well: alfb amola contained in the womb, the falling down of the womb, the leannefs of the woman's bodie, ill humors bred by eating crude and raw fruits, or great, or overmuch, whereof obftrudlons and crudities follow which hinder her fruitfulnels. Furthermore, by the uie of ftupefa&ive things, the feminal matter is congealed and retrained, and though it flow and bee caft out, yet it is de- , prived The mem- brane called Hymen, Tbecaur of the flux of women. Lib.24. Concerning the Generation of zcMan. 627 prived ofthe prolifick power, and of the lively heat andfpirits, the orifices or cotylidones of the veins and arteries are flopped, and fothe paffage for the menflrual matter into the womb,is flopped. When the Kall isfo far that it girdeth in the womb narrowly, it hinder- eth the fruitfulnefs of the woman, becauf it will not permit the mans feed to enter into the womb. Moreover the fat and flefhie habit ofthe man or woman hinder generation. For it hindereth them that they cannot jointheir genital parts together: and by how much the more blood goeth into fat, by fo much the lefs is remaining to bee turned into, feed & men- ftrual blood, which two are the originals and principals of generation. Thole women that are fpeckled in the face, fomwhat lean, and pale, becaufthey have their genitals moiflned with a faltifh, (harp and tickling humor, are more given to venerie then thofe that are red and fat. Finally, Hippocrates fet's down four caufes onelywhy women are barren and un-* fruitful. The firfl is, becauf they cannot receiv the mans feed, by reafon ofthe fault ofthe neck of the womb ; the fecond, becauf when it is received into the womb, they cannot con- ceiv it i the third is, becaufthey cannot nourifh it j the fourth, becaufthey are not able to carrie or bear it untill the due and lawful time of birth. Thefe things arc neceffarie to gener- ation, the object, will, facultie, concourf of the feeds, and the remaining or abiding there- of in the womb, untill the due and appointed natural time. dph i<fu par cap. drift.in prob, fcfi deftcr.qua. 3-6-4- CHAP. XXXIX. fix fignes of a difteinpered nomb. Hat woman is thought to have her womb too hot, whole courfes com forth fpar- ingly and with pain3and exulcerate by reafon of their heat,the fuperfluous mat- ter of the blood becing diflblved or turned into winde by the power of the heat; whereupon that menftrual blood that floweth forth is moregrofs and black.For it is the propertie of heat, by digefting the thinner fubftance, to thicken the reft, and byaduftion to make it more black. Furthermore, fheethat hath her genitals itching with the defire of copulation, will foon exclude the feed in copulation, and lhee (h all feel it more fliarp as it goeth through the paflages. That woman hath too cold a womb whole flowers are either flopped, or flow fparingly, and thofe pale and not well colored. Thole that have lei's defire of copulation, have lefs delight therein, and their feed is more liquid and waterilh, and not flaining a linnen cloth by flicking thereunto,and it is fparing- ly and (lowly caft forth. That womb is too moift that floweth continually with manie li- quid excrements, which therefore will not hold the feed, but prelently after copulation fiif- fereth it to fall out j which will eafily cauf abortion. The fignes of too driea womb ap- pear in the little quantitie of the courfes,in the profufion of a fmall quantitie of feed, by the defire of copulation, whereby it may bee made flipperie by the moifture of the feed, by the filfures in the neck thereof,by the. chaps and itching,for all things for tvant of moifture will foon chap, even like unto the ground, which in the funimer by reafon of great drought or drinefs, will chap and chink this waie and that waie, and on the contrarie with moiflure it will clofe and join together again as it were with glew. A woman is thought to have all opportunities unto conception when her courfes or flow- ers do ceaf, for then the womb is void of excremental filth, and becauf it is yet open , it will the more eafily receiv the mans feed , and when it hath received it, it will better retain it in the wrinkles of the cotylidones yet gaping as it were in rough and unequal places. Yet a woman will eafily conceav a little before the time that the flowers ought to flow : becauf that the menftrual matter. falling at firft like dew into the womb, is verie meet and fit to nourifh the feed, and not to drive it out again, or to fuffocate it. Thofewhich ufe copulation when their courfes fall down aboundantly, will verie lurd- lydrfeldomcencei v, and if they do conceiv,the childe will bee weak and difeafed, and Specially ifthe womans blood that flow's out bee unfound; butifthc blood bee good and laudable, the childe will bee fiibjeft to all plethorick difeafts. There are fom women in whom prelently after the flux of the termes, the orifice of the womb will bee do- led, fo that they muftofneceflitie ufe copulation with a man when their menftrual flux floweth, if at leaft they would conceiv at all. A woman may bear children from the age of fourteen untill fortie or fiftie; which time vvhofoever doth exceed, will bear until! threefcore yeers,becauf the menftrual fluxes are kept, the prolifical facultie is alfo preferved : therefore manie women have brought forth children at that age,but after thattime no wo- man can bear, as Ariffotle writeth. Yet Plinie faith that Cor lie 1 fa Q who was of the houf of the Sctyiocs') becing in the fixtie fecond yeer of her age, bear VoIk/Im Saturnine who was Conful; Valefcus de 'Parent a alfo af- firmeth, that hee faw a woman that bear a childe on the fixtie fecond yeer of her age, have- ing born before pn*the fixtieth and fixtie firft yeer. Therefore it is to bee (uppofed that by reafon of the varietie of the air, region, diet and temperament, the menftrual flux and pro- creative facultiefeafeth infom fooner,in fomlater; whichvarietie taketh place alfoin men. For The fignes of a hot womb. The fignes of a cold womb. The fignes of a moift womb. The fignes of dtic womb. A meet time for concepti- on* drift.£.7.de hi'., anim.c.i &.c\f Lib.6.cap, ji. 628 Qcerning the Generation of Man. Lib,Z2|.. Lib.7.de hift. e~ For in them although the feed be genitable for the moft part in the fecond feventh yeer, yet truly it is unfruitful untill the third feventh yeer. And whereas moll: men beget children untill they bee threefcore yeers old, which time if they pafs, they beget till feventie: yet there are fom known that have begot children untill the eightieth yeer. Moreover, Ylinie wriueth that Maftniffa the King begot a Ton when hee was fourfcore and fix yeers of age, and alfb Cato the Cenfor after that hee was fourfcore- Lib. 7» cap. 14. CHAP. XL. What is the falling down of the womb. Of tbe falling down, or perverJi on, or turning of the womb. He womb is faid to fall down and bee perverted,when it is mooved out of its pro- per and natural place as when the bands and ligatures thereof beeing looted and relaxed, it falleth down unto one fide or other, or into its own neck, or elf pafleth further, ib that it com's out at the neck, and a great portion thereof ap- pear £ wiLuOiit the privie parts. Therefore what things foever refolv, relax,or burfl the liga- ments or bands whereby the womb is tied,are fiippoted to bee the cauffes of this accident. It fomtimes happen's by vehement labor or travail in childe-birth, when the womb with vio- lence excluding the iffue and the fcctindines, alfo follow's and fall's down, turning the in- nedide thereof outward. And fomtimes the foolifh rafhnefs of the Midwife,when fhee draw- eth away the womb with the infant, or with the tecundine cleaving faft thereunto, and fo drawing it down and turning the inner-(ide outward. Furthermore, a heavie bearing of the womb, the bearing or the carriage of a great burthen, holding or flretching of the hands or bodie upwards in the time of greatnefs with childe, a fall, contufion, fhakeing, or jogging by rideing, either in a Waggon or Coach ; or on horf-back, or leaping or dancing, the fal- ling down of a more large and abundant humor, great gripeing, a ftrong and continual cough, a 'Tenefrnus, or often defire to go to ftool, yet not voiding anie thing, neefing, a ma- nifold and great birth, difficult bearing of the womb, an affmatical and orthopnoical diffi- cultie of breathing, whatfoever doth weigh tilie prefs down the Diapbragma or Midriff, or the mufcles of the Epi^aflriu)n} the takeing of cold air in the time of travail with childe, or in the flowing of the menftrual flux, fitting on a cold marble-ftone, or anie other fuch like cold thing, are thought often times to bee the occafion of thefe accidents, becaufthey may bring the womb out of its place. It fall's down in manie(faith AriftotleJby reafon of the defire of copulation that they have, either by reafon of the luflinsfs of their youth,or elf becauf they have abftained a long time from it. t • ' \ ou may know that the womb is fallen down by the pain of thote parts wherehence it is fallen, that is to fay by the entrals, loines, os and by a tra&able tumor at the neck of the womb,and often with a vifible hanging out, ofa diverfgreatnefs,according to the quan- titie that is fallen down. It is teen fomtimes like unto a piece of red flefh,hanging out at the neck of the womb, of the bignefs and form of a Goofegg; if the woman (land upright,fhee feeleth the weight to lie on her privie parts,but if fhee fit or lie,then fhee perceiveth it on her back, or go to the flool, the ftraight gut called inteftinum reflum will bee prefled or loaden as ifit were with a burthen, iffhee lie on her bellie,then her urine will bee flopped,fo thatfhee fhall fear to the copulation with a man. When the womb is newly relaxed in a young woman, itmaybeefbon cured, but ifit hath been long down in an old woman, it is not to bee helped. Ifthe palfie of the ligaments thereof have occafioned the falling,it fcarce admit's of cure, but ifit falKs down by means of putrefaftion, it cannot poflibly bee cured. If a great quantitie thereof hang out between the thighes, it can hardly bee cured j but it is corrupted by takeing the air, and by the falling down of the urine and filthy and by the motions of the thighes in going it is ulcerated, and foputrefie's. I remember that once I cured a young woman who had her womb hanging out at her privie parts as big as an egg, and I did lb well perform and perfeft the cure thereof, that af- terwards fhee conceived, and bare children manie times,and her womb never fell down. The cauflis, hijlo'i'. anitn. cap. z. The fignes. The prog- nofticatiofis. A hiflorie. CHAP. XLI. 'I be cure of the falling down of the womb. Remedies for the affcenfion of the womb. Y this word, falling down of the womb, wee underfland eyerie motion of the womb out of its place or (cat: therefore if the womb alccnd upwards, wee mu ft ufe the fame medicines as in ftrangulation of the womb. If it bee turned towards „ either fide, it muft bee reftored and drawn back to its right place, by applying and ufing cupping-glafies. But if it defcend and fall down into its own neck, but yet not in great quantitie, the woman muft bee placed fo that her buttocks may bee verie high, and her legs acrofs jthen cupping-glafies muft bee applied to her navel and and when the Lib.14.. Concerning the (generation of 629 the womb is fo brought into its place, injections that biude and drie ftrongly muft bee in- jected into the neck of the womb, (linking fumigations muft bee ufed unto the privie parts, and Iweet things tiled to the mouth and note. But if the womb hang down in great quan- titie between the thighs, it muft be cured by placing the woman after another fort, and by uling other kinde of medicines. Firft ofall fhee muft bee fo laied on herback, her buttocks and thighs fo lifted up, and her legs fo drawn back as when the childe or fecundine are to bee taken or drawn from her; then the neck of the womb, and whatfoever hangeth out thereat,muft be anointed with oil of lillies, frelh butter, capons greaf, and fuch like,then it muft be thruft gently with the fingers up into its place, thefick or pained woman in the mean time helping or furthering the endeavour by drawing in of her breath as if lhe did fop, drawing up as it were that which is fallen down. After that the womb is reftored unto its place,whatfoever is filled with the ointment muft bee wiped with a foft and clean cloth, left that by the flipperinefs thereof the womb fhould fall down again; the genitals muft bee fomented with an aftringentdecoftion,made with pomegranate pils, cyprefs nuts, gals, roach allom, horf-tail, fumach, berberies, boiled in the water wherein Smiths quench their irons; of thele materials make a powder, where- with let thole places bee fprinkled: let a peflarie of a competent bignefs bee put in at the neck of the womb,but let it bee eight or nine fingers in length, according to the proportion of the grieved patient's bodie. Let them bee made either with latin, or of cork covered with wax, of an oval form, haveing a thread at one end,whereby they may bee drawn back again as need required. For the falling down of the womb, proper- ly fo called. 'The forms of oval yeffarics. k.fbeweth the bodie of the Pefarie. B.fhewetb the thread where- with it muft be tied to the tbigb. When all this is don, let the lick woman keep her (elf quiet in her bed, with her buttocks lying verie high,and her legs acrofs, for the (pace of eight or ten daies: in the mean while the application of cupping glafles will ftaie the womb in the right place and feat after it is reftored thereunto: but if fhee hath taken any hurt by cold air, let the privie parts bee fo- mented with a difcufling and heating fomentation, on this wile. Be. fol. altb. falv. lavend. ro- riftnar. artemif. flor, cbamzm.melilot. an. m fi.fem. anif. fanugr. aft. § i. let them bee all well boi- ' led in water and wine, and make thereof a decoftion for your ule. Give her alfo glyfters, that when the guts are emptied of the excrements, the womb may the better bee received in- to the void and emptie capacitie of the bellie : for this reafon the bladder is alfo to bee emptied, for otherwile it were dangerous left that the womb lying between them both bee- ing fol, (hould bee kept down and cannot bee put up into its own proper place by reafon thereof. Alfo vomiting is fuppofed to bee a lingular remedie to draw up the womb that is1 fallen down: furthermore alfo it purgeth out the phlegm which did moiften and relax J the ligaments of the womb; for as the womb in the time of copulation at the beginning of < the conception is moved downwards to meet the feed, fo the itomack, even of its own ac-\ cord, is lifted upwards when it is provoked by theinjurieof anie thing that is contrarie unto it,to caft it out with greater violence, but when it is fo railed up, it draw's up toge- ther therewith the ■peritoneum, the womb, and alfo the bodie or parts annexed unto it. If it cannot bee cured or reftored unto its place by thefe prefcribed remedies, and that it bee ul- ' cerated and fo putrefied that it cannot be reftored unto his place again, we are commanded • by the precepts of art to cut it away, and then to cure the womb according to art, but firft it ' (hould be tied, and as much as is neceflarie muft bee cut off, and the reft feared with a cau- ' terie. There are fom women that have had almoft all their womb cut off,without anie dan- ger of their life,as Taulw teftifieth. John Langius Phyfician to the Count Palatine,writeth that Carpus the Chirurgian took out H h h the A difeuffing and hearing fomentation. How vomiting is profitable to the falling down of rhe womb. The cutting away of the womb when it is putrefied* Lib.6. Epifi.mid. (Concerning the (feneration of Man. Lib.Zz)-. 630 the womb of a woman of BononM, hee beeing prefent, and yet the woman lived and was ve- rie well after it. Antonito Benivenito Phyiician of Florence, writeth that hee was called by 77- .golito the Phyiician to the cure of a woman whofe womb was corrupted and fell away from her by pieces, and yet lhee lived ten years after it. There was a certain woman, beeing found of bodie, of good repute, and about the age of thirtie years, in whom, Ihortly after lhee had been married thetecond time, which was in Anno 2571. haveing no childe by her firft husband,the lawful figns of a right conception did appear: yet in procefs of time there arofe about the lower part of her privities the ten! or feeling of a weight or heavinefs, beeing fo troublefom unto her by realbn that it was pain- ful,and alfo for that it flopped her urine, that lhee was conftrained to ditelote her mifchance to Cbriftofber Mombey a Surgeon her neighbor dwelling in the Suburbs of S.Germans5 who haveing feen the tumor or fwelling in her groin, alfwaged the pain with mollifying, and anodyne fomentations and cataplafms; but pretently after hee had don this, hee found on the inner fide of the lip of the orifice of the neck of the womb,an impoflume rotten and run- ning, as if it had been out of an abteete newly broken, with fanious matter, fomwhat red, yellow,and pale,running a long time. Yet for all this the feeling of the heavinels or weight was nothing diminilhed, but did rather encreaf daily, fo that from the year of our Lord 1573. lhee could not turn herfelf beeing in her bed on this or that fide, unlefs lhee laid her hand on her bellie to bear and eaf herfelf of the weight, and alfo lhee faid when lhee turned herfelf,lhee teem to feel a thing like unto a bowle to rowle in her bodie unto the fide where- unto lhee turned her neither could lhee go to ftool, or avoid her excrements ftanding or fitting, unlefs lhee lifted up that weight with her hands towards her ftomach or midriff: when lhee was about to go lhee could fcarce fet forwards hgr feet, as if there had fomthing hanged between her thighs, that did hinder her going. At certain teafons that rotten apo- flume would open or unclote of it telf, and flow & run with it's wonted fanious matter,but then lhee was grievoufly vexed with pain of the head, and all her members, Iwouning, loa- thing, vomiting, and almoft choaking. Id that by the perfwafion of a foolilh woman lhee was induced and contented to take Antimonium; {the working and ftrength thereof was fo great and violent, that after manie vomits, with manie frettings of the guts and watrie deje- ctions or ftools, lhee thought her fundament fell down; but beeing certified by a woman that was a familiar friend of hers, unto whom lhee lhewed her lelf, that there was nothing fallen down at or from her fundament, but it was from her womb, lhee called, in the year of our Lord 1575* Surgeons, as my James Guillemsau, and Antonie Vieux, that wee might help her in this extremitie. When wee had diligently and with godd conlideration weighed the whole eftate of her dileaf, wee agree'd with one content, that that which was fallen down Ihould bee cut away, becaufthat by the black color, ftinking, and other, fuch figns, it gave a teftimonie of a pu- trefied and corrupted thing. Therefore for two daies wee drew out the bodie by little and little, and piece-meal, which Teemed unto the Phyficians that wee had called, as Alexius, Gaudinus, Feureus, and Violaneus, and allb to our felvs, to bee the bodie of the womb, which thing wee prooved to bee fo, becauf one of the tefticles came out whole, and alfo a thick membrane or skin, beeingthe relick of the mola, which beeing luppurated, and the abfeefe broken, came out by little and little in matter 5 after that all this bodie was fo drawn away, the lick woman began to wax better and better, yet notwithftanding for the Ipace of nine daies before it was taken away, lhee voided nothing by fiege,and her urine allb was flopped for the Ipace of four daies. After this all things became as they were before, and lhee lived in good health three months after, and then died of a Pleurifie that came on her verie fiiddenly, and I haveing opened her bodie, obferving and marking everie thing verie diligently, could not finde the womb at all, but in ftead thereof there was a certain hard and callous bodie, which Nature, who is never idle, had framed in ftead thereof, to fupplie the want thereof, or to fill the hollownels of the bellie. Trac.de mirand. mirb.cauf. AnHiftorie* Antimonium ta- ken in a potion doth cauf the womb to fall down. The fignsof the fubftancc of the womb drawn our. CHAP. XL II. n lorn virgins or maidens in the orifice of the neck of the womb there is found a certain tunicle or membrane called of antient writers Hymen, which prohibited! the copulation of a man,and cauffeth a woman to be barren ; this tunicle is lup- poled, by manic, and they not of the common fort onely, but allb learned Phyli- cians,to bee, as it were, the enclofure of the virginitie or maiden-head. But I could never finde it in anie., leeking of all ages from three to twelv, of all that I had under my hands in the Hofpital of Paris. Yet once I law it in a virgin of leventeen yeers, whom her mother had contra&ed to a man, and lheekncw neverthelefs there was ibmthing in her privie parts that hindered her from Of the tunicle or membrane called Hymen. Whether there bee a mem- brane called Hymen. An HifloHe. LlB.£2p Concerning the (feneration of zCMan. 631 from bearing of children, who defired mee to fee her; and I found a verie thin nervous mem- brane a little beueath the nymphf, neer unto the orifice of the neck of the womb; in the midft there was a verie little hole whereout the terms might flow :1 feeing the thicknefs thereof cut it in funder with my feiflars, and told her mother what fhee fhould do afterwards: and truly ftiee married fhortly after and bore children. Rcaldur Columbia is of my opinion 9 and faith that this is teen verie ftldom ? for theft are his words : under the nymph# in manie, but not in all virgins,there is another membrane,which when it is prefent (which is but feldom) it ftoppeth,fo that the yard cannot bee put into the orifice of the womb 5 for it is verie thick aboov towards the bladder, it hath an hole by which the courfes flow out. And hee alfo ad- deth, that hee obferved it in two y oung virgins, and in one elder maid. Avicen writeth, that in virgins in the neck of the womb there are tunicleS competed of veins and ligaments verie little, rifeing from each part of the neck whereof, which at the firft tim&of copulation are wont to beebroken,and the bloud to run out. Almanjor writeth,that in virgins, the paflage of the neck of the womb is verie wrinkled, or narrow and ftraight, and thoft wrinkles to be woven or ftaied together with manie little veins and arteries, which are broken at the firft time of copulation. Theft are the judgments of Phyfitians of this membrane: Midwives will certainly affirm that they know a virgin from one that is defloured, by the breach or foundnefs of that membrane. But by their report too credulous Judges are fbon brought to commit an error. ' For that Midwives can fpeak nothing certainly of this membrane, may bee proved by this, becauf that one faith that the fituation thereof is in the verie entrance of the privie parts, others faie it is in the midft of the neck of the womb, and others faie it is within at the in- ner orifice thereof,and fom are of an opinion that they faie or fuppote that it cannot be feen or perceived before the firft birth. But truly of a thing fo rare,and which is contrarie to na- ture, there cannot be anie thing fpoken for certaintie. Therefore the blood that commeth out at the firft time of copulation,come's not alwaies by the breaking of that membrane,but by the breaking and violating or renting of the little veins which are woven and befpread all over the fuperficial and inward parts of the womb and neck thereof, defeending into the wrinkles, which in thoft that have not yetufed $he aft of generation, are clofed as if they were glewed together: although that thoft maids that are at their due time of marriage, feel no pain nor no flux of blood, efpecially if the man's yard be anfwerablc to the neck of the womb; whereby it appear's evidently how greatly the inhabitants of Fez, the metropo-' litan citie of Mauritania, are deceived: for Leo the Affrican writeth, that it is the cuftom among them, that fofoon as the married man and his fpoufe are returned home to their houf from the church where they have been married, they prefently (hut themfelves into a chamber, and make faft the door, while the marriage dinner is preparing : in the mean while fom old or grave matron ftandeth waiting before the chamber door,to receiv a bloodie linnen cloth the new married husband is to deliver her there,which when fheehath received, fhee bring's it into the midft of all the companie of guefts, as a frefh fpoil and teftimonie of the married wives virginitie,and then for joie thereof they all fall to banquetting folcmnly. But if through evil fortune it happeneth that in this time of copulation the fpouf bleedeth not in the privie parts, fhee is reftored again unto her parents, which is a verie great re- proach unto them,and all the guefts depart home fad,heavie,and without dinner. Moreover,there are fom,that having learned the moft filthie and infamous arts of bawderie, proftitute common harlots to make gain thereof, making men that are naughtily given to < beleevthat they are pure virgins, making them to think that the aft of gefSeration is verie! painful and grievous unto them, as if they had never uted it before, although they are verie expert therein indeed; for they do cauf the neck of the womb to be fo wrinkled and fhrunk together, fo that the fides thereof (hall even almoft clofe or meet together, then they put thereinto the bladders of fifties, or galls of beafts filled full of blood, and fo deceiv the igno- rant and young lecher, by the fraud and deceit of their evil arts, and in the time of copula- tion they mix fighs with groanes,and womanlike cryings,and the crocodiles tears,that they may ftem to be virgins, and never to have dealt with man before.. Lib.tt.ctp, Lib.}. (ent.ii, trrfl.i.cap.i. The trifles of midwives about the membrane cal- led Hymen. What virgins at the firfl: time of copulation do not bleed as their privie parts. • The fikhie de- i ceic of bauds . and harlots. CHAP. XLI1I. of the membrane called Hymen, Obn Wrieruf writeth that there was a maid at Camburge, who in the middeft of the neck of the womb, had a thick and ftrong membrane growing overthwart, fo that when the monethlie tearms (hould come out, it would not permit them, fo that thereby the menftrual matter was flopped and flowed back again, which caufled a great tumor and difteniion in the bellie, with great tor- ment, as if ffiee had been in travel! with childe : the midwives beeing called , and having feen and confidered all that had been don, and did appear, did all with one voice affirm, that ffiee fuftained the pains of childe-birth, although that the maid her fell de- nied that lhee ever dealt with man. Therefore then this forefaid Author was called, H h h 2 who Lib. de profi. daman.cap. 632 Concerning the Generation of Man. LlB,2z}.. who, when the midwives were void of help and counfel, might help this wretched maid haveing alreadie had here urine flopped now three whole weeks, and perplexed with great watchings,lofs of appetite,and loathing : and when hee had feen the grieved place,and mark- ed the orifice of the neck of the womb,hee faw it flopped with a thick membrane •, hee knew alfo that that fudden breaking out of bloud into the womb and the veflels thereof, and the paffage for thofe matters that was flopped, was the cauf of her grievous and tormenting pain. And therefore hee called a Chyrurgian prefently, and willed him to divide the mem- branethat was in the midft, that did ftop the flux of bloud, which beeing don, there came forth as much black congealed and putrefied bloud as as waighed fbm eight pounds. In three daies after fhee was well and void of all difeafand pain. I have thought it good to fet down this example here, becauf it is not worthie to bee noted, and profitable to bee imitated, as the like bccafion fhall happen. /j CHAP. XLIIII. Of the ftrangulation of the womb. Wbat is the ftiatigttlacion of the womb. He firangulation of the womb, or that which commethfrom the womb,is an in- terception or flopping of the libertie in breathing or takeing winde,becauf that , the womb, fwoln or puffed up byreafon of the accefs of grofs vapors and hu- mors that are contained therein,and alfb fnatched as it were by a convulfive mo- tion, by reafon that the veflels and ligaments diftended with fulnefs, are fb car- ried upwards againft the midriff and parts of the breafl, that it maketh the breath to bet fhort, and often as if a thing lay upon the breafl and prefled it. Moreover, the womb fwelleth , becauf there is contained or inclofed in it a certain Jub- ilance, caulked by the defluxion either of the feed or flowers, or of the womb or whites,or of fom other humor,tumor,abfcefs,rotten apoflume,or fom ill juice, putrefying, or getting, or ingendering an ill qualitie, and relblved intogrofs vapors. Thefe, as they affeft fimdryor divers places, infer divers and fundrie accidents,as rumbling and noifin the bcllie, if it bee in the guts, defire to vomit, after (with feldom vomiting) commeth wearinefs and loathing of meat, if it trouble the flomach. Choaking with firangulation , if it affail the breafl and throat j fwooning,if it vex the heart; madnefs, or elf that which is contrarie thereto, found fleep or droufinefs, if it griev the brain: all which oftentimes proov as malign as the biteing of a mad dog, or equal the flinging or biteings of venemous beafts. It hath been obferved, that more grievous fymptomes have proceeded from the corruption of the feed, then of the menftrual bloud. For by how much everie thing is more perfeft and and noble, while it is contained within the bounds ofthe integritie of it's own nature,by fb much it isthe more grievous and perillous, when by corruption it hath once tranfgrefled the laws thereof. But this kinde of accident doth verie feldom griev thofe women which have their menftrual flux well and orderly, and do ufe copulation familiarly j but verie often thofe women that have not their menftrual flux as they mould, and do want, and are defti- tute of husbands, efpecially if they bee great eaters, and lead a folitarie life. When the vef- fels and ligaments of the womb are fwollen and diftended as we faid before, fb much as is ad- ded to their latitude or bredth,fb much is wanting in their length: and therefore it hapiwth that the womb, beeing remooved out of it's feat, doth one while fall to the right fide to- wards the 1 iver,Jomtimes to the left towards the milt, fbmtimes upwards unto the midriff and flomach, fbmtimes downwards, and fo forwards unto the bladder, whereof commeth an Ifchurie and Ilrangurie; or backwards, whereof commeth oppreflion of the ftraight gut, and and fiippreflion of the excrements, and the 'Tenefinw. But although wee acknowledg the womb to decline to thofe parts which wee named, yet it is not by accident onely, as when it is drawn by the proper and common ligaments and bands, when they are contrafted or made fhorter, beeing diftended with fulnefs, but alfb of it's felf, as when it is forced or provoked through the grief of fbmthing contrarie to nature that is contained therein: it wandreth fomtimes unto one fide, and fomtimes unto another ' part with a plain and evident natural motion, like unto the flomach which imbraceth anie thing that is gentle and milde, but avoideth anie thing that is offenfive and hurtful 5 yet wee denie that fo great accidents may bee birred up by the falling of it alone unto this or that 1 fide, for then it might happen, that women that are great with childe, whofe wombs are ' fo diftended by reafon that the childe is great, that it doth prefs the midriff, might bee troubled with a ftrangulation like unto this; but much rather by a venemous humor breathing out a malign and grofs vapor, not onely by the veins and arteries, but alfo by the pores that are invifible, which pollute's the faculties of the parts which it toucheth with it's venomous malignitie and infe&ion', and intercept's the funftions thereof. Nei- ther doth the varietie of the parts receiving onely, but alfo of the matter received, cauf varietie of accidents. For fom accidents com by fupprefllonof the terms , others com by corruption of the feed, Whythe womb fwclleth. The accidents that com of the ftrangling of the womb. Whit the ftrangulation thatcommeth ofthe corrup- ts (Xi of the feed is more dangerous then that that com's of the corruption of the bloud. Thecauf of the divejf tur- ning of the womb into di- vers parts of thebodie. The womb is not fo greatly mooved by an accident,but by it felf. Whereof com fuch divers ac- cidents of fh angulation of the womb- Lib. 24.. Concerning the Generation 633 feed, but if the matter bee cold, it bringeth a droufinefs , beeing lifted up unto the brain, whereby the woman finketh down as if lhee were aftonifhed, and lieth without motion,and' ienf or feeling, and the beating of the arteries,and the breathing are fo fmall.that fomtimes it is thought they are not at all, but that the woman is altogether dead. If it be more grofs, it inferreth a convulfion j if it participate of the nature of a grofs melancholick humor , it bringeth inch heavinefs, fear,and forrowfulnefs,that the party that is vexed therewith fhall fhall think that heelhall die prefently, and cannot bee brought out of his mindebyanie means or reafon : if of a cholerick humor, it caufleth the madnefs called furor uterinum and fuch a pratling, that they fpeak all things that are to bee concealed; and a giddinefs of the head, by reafon that the animal fpirit is fuddenly fhaken by the admixtion of a putrefied va- pour and hot fpirit: but nothing is more admirable, then that this difeaf taketh the patient ibmtimes with laughing, and fomtimes with weeping, for fom at the firft will weep and then laugh in the lame difeaf and ftate thereof. But it exceedeth all admiration which Hol/erius writeth ufiially happened to two of the daughters of the Provoft of Roven. For they were held with long laughter for an hour or two before the fit, which neither for fear, admonition, nor for any other means they could hold ; and their parents chid them, and asked them wherefore they did lb,they anfwe- red, that they were not able to ftay their laughter. The aflcention of the womb is diligent- ly to bee diftinguilhed from the ftrangulation thereof; for the accidents of the aflcention and of the ftrangulation are not one, but the woman is onely opprefled with a certain pain of the heart, dilficultie of breathing, or Iwouning, but yet without fear, without raveing or idle talking, or any other greater accident. Therefore oftentimes contrary caufles infer the aflcention: that is, overmuch drinels of the womb, laboring through the defeft of moifture, whereby it is forced after too violent and immoderate evacuations ftf the flowers, and in childe-bed, and fiich like, and laborious and painful travel in childe-bed, through which occafion it waxeth hot, contrary to nature, and withereth and turneth it felf with a certain violence unto the parts adjoining , that is to fay, unto the liver, ftomach and midriff: if haply it may draw fom moifture there- hence unto it. I omit that the womb may be brought unto it*s place upwards by often fmelling to aromatick things, yet in the mean while it infer's not the ftrangulation that wee defcribed before. The caufof fleepinefs in the ftrangula- tion of the womb. The caufof a droufic mad- neCs. A hiftorfc. The afleention of the womb is to bee diftin- guiihed from the ftrangula- : tion. CHAP. XLV. 7'he fvyis of imminent ftrangulation of the womb. Store that thefe fore-named accidents com, the woman think's that a certain pain* full thing arifeth from her womb unto the orifice of the ftomach and heart, and fheethinkethher (elf to bee opprefled and choaked, fhee complaineth her felf to bee in great pain,and that a certain lump or heavie thing clime's up from the low- er parts unto her throat, and ftoppeth her winde, her heart burneth and panteth. And in manie the womb and veflels of the womb fo fwell, that they cannot ftand upright on their legs, but are conftrained to lie down flat on their bellies , that they may bee the lefs grieved with the pain, and to prefs that down ftrongly with their hands, that kemeth to arife up- wards, although that not the womb it felf, but the vapor aflcendeth from the womb, as wee (aid before: but when thefitt is at hand, their faces are pale on a hidden, their underftand- ing is darkncd, they becom flow and weak in the legs, with unablenefs to ftand. Hereof commeth found fleep, foolilh talking, interception of the fenfes, and breath as if they were dead, lots of ipeech, the contraftion of their legs, and the like. The womb it felf doth not Co' well make the afleention as the vapoc thereof. CHAP. XLVI. How to know whether the woman bee dead in the firangulation of the not. Have thought it meet (becaufmanie women, not onely in ancient times, but in our own and our fathers memorie have been fo taken with this kinde of fymptome, that they have been fiippoled and laid out for dead,although truly they were alive:} to let down tne ligns in fiich a cafe which do argue life and death. Therefore firft of all it may be prooved, whether lhee bee alive or dead, by laying or holding a clear and fmooth looking-glals before her mouth and noftrils. For, if lhee breath, although it bee never fo obfcurely, thethin vapor that commeth out will (lain or make the glals duskie. Alfo a fine ; dounifh feather taken from under the wing of any bird, or elf a fine flock beeing held' before the mouth,will by the trembling or Ihakeing motion thereof, (hew that there is torn ! breath, and therefore life remaining in the bodie. But you may proov moft certainly whe- ther there bee anie fpark of life remaining in the bodie, by blowing fom fneefing powders, ofpellitorie of Spain,and eleborc into the noftrils.But though there no breath appear, yet H h h 3 muft Women live* ing taken for dead. How women that have the fuffoeation of the womb,Hve onely bytrari- fpiration with- out breathing Concerning the Generation of Man. LiB.24.. 634 muft you not judg the woman For dead, for the fmall vital heat,by which3beeing drawn in. to the heart,fhee yet liveth,is contented with tranfpiration onely,and required not much at. tradion; which is performed by the contraction and dilatation of the breaft and lungs unto How flics, gnats and pif- raises do live all the winter without breathing. ? the prefervation of it's felf. For follies, gnats, pifmires and fuch like, becauf they are of a cold temperament, live unmoovably inclofed in the caves of the earth, no token of breath- ing appearing in them, becauf there is a little heat left in them, which may bee conferved by the office of the arteries and heart, that is to fay, by perforation, without the motion of the breaft, becatif the greateft ufe of refpiration is, that the inward heat may bee preferved by refrigeration and ventilation. 1 hole that do not mark this , fall into that error which almoft colt the life !of him who in our time firft gave life to anotomical adminiftration, that was almoft decaied and neglected. For hee beeing called in Spain to open the bodie of a noble woman which was fuppofed dead through ftrangulation of the womb, behold, at the fecond impreffion of the incifion knife, fhec began fudddenly to com to her felf, and by the mooving of her members and bo- die, which was fuppofed to bee altogether dead, and with crying, to fhew manifeft figns that there was fom life remaining in her. Which thing flrook fuch an admiration and hor- ror into the hearts of al! her friends that were prefent, that they accounted the Phyfician, beeing before of a good fame and report,as infamous,odious and deteftable,fo that it wanted but little but that they would have fcratched out his ties prefently : wherefore hee thought there was no better Waie for him,if hee would live fafe,then to forfake the countrie.But nei- ther could hee fo alfo avoid the horrible prick and inward wound of his confcience (from whofe judgment no offender can bee abfolved) for his inconfiderate dealing, but within few daies after, beeing confumud with forrow,hee died,to the great lofs of the Common-wealth, and theartof Phyfick. A h flo.ie. jfjlAIP. XL VII. Howto know whether the ftrangulation of the womb corn's of the fuppreflon of the flowers, or the corruption of the feed. The figns of fuffocation of the womb commiogof corrupt feed. Here are two chief caufles efpecially, as moft frequently happening of the firan- gulation of the womb : but when it proceedeth from the corruption of the feed, > all the accidents are more grievous and violent: diflicultie of breathing goes be- fore, and fhortly after com's deprivation thereof 5 the whole habit of the bodie feemeth more cold then a ftone: the woman is a widow j or elf hath great fiore or abundance of feed, arid hath been ufed to the companie of a man, by the abfence whereof fhee was before wont to be pained with heavinefs of the head, to loath her meat, and to bee troubled'with fadnefs and fear,but chiefly with riielancholie. Moreover when fhee hath fati£ tied, artdevcrie Waief ulfilled her luft, and then prefently on a hidden begins to contain her felf. ItisVCrie likely that fhee is fuffocated by the fuppreffion of the flowers, which former ly had them well and fiifficiently, which formerly had been fed with hot, moift and manie- and therefore engendring much bloud,which fitteth much,which is grieved with fom weight and fwelling in the region of the bellie, with pain in; the ftomach, and a delire to vo- mit, and with flich other accidents as com by the fuppreffion of the flowers. Thofe who are free'd from the fit of the fuffocation of the womb,either by nature or by art, in a fhort time tfieif color commeth into their faces by little and little, and the whole bodie beginneth to ftfongjandthe teeth,that were let and doled faft together, begin (the jaws beeing loof- ed} tb open and unclofe again, and laftly, fom moifture floweth from the fecret parts with a certain tickling pleafiire j but in fom women, as in thofe efpecially in whom the neck of the womb is tickled with the Midwives finger,in ftead of that moifture com's thick and grots feed, which moifture or feed when it is fallen, the womb beeing before as it were rageing,is reftored unto it's own proper nature and place, and by little and little all fymptoms vanifh away. Men by the fuppreffion of their feed have not the like fymptomes as women have, be- - cauf mans feed is not fb cold and moift, but far more per left and better digefted , and there- fore more meet to refift putrefaction , and whiles it is brought or drawn together by little and little, it is diffipated by great and violent exercife. The figns when it com's of the fuppref- ficnof the flowers. The. figns of onferecorvtdng of or from die fuffocationof the womb'. Why the fup- prefsion of the feed is not pe- rilous dr dead- ly Co fifrel.' CHAP. XLVIII. Th$ pulling of the hairs of the loflhr parts, are profitable both for this maladie and for the caufof tfic fame. Of ibe cure of the Strnnguhtlion of the reomu. Eeing that the ftrangulation of the womb is a hidden and fharp difeaQit therefore requireth a prefent and fpeedieremedie,for if it bee neglefted it manie times cauf- feth prefent death* Therefore,when this maladie commeth3the lick woman muft presently bee placed on her back,haveing her breaft and ftomach loof/and all her cloaths & garments flack & loofabout her,whereby lhee may take breath the moreeafilyjand LIB.24. Concerning the (generation of 635 fliee muft be called on by her own name,with a loud voice in her ears,and pulled hard by the hairs of the temples and neck, but yet Specially by the hairs of the fecret parts, that by pro- vokeing or caufting pain in the lower parts, the patient may not onely bee brought to her felf again, but alfo that the (harp and malign vapor aflcending upwards, may bee drawn downwards : the legs and arms muft bee bound and tied with painful ligatures, all thebodie muft bee rubbed over with rough linnen clothes befprinkled with fait and vineger, until it bee verie fore and red, and let this peflarie following bee put into the womb. Bc.fucci mercu- rial- artemif. an. ii. in quibutdiffolve pul. bened. 3 iii« pulradic. enult camp, galang. minor, an. 5.1. make thereof a peflarie. Then let the foals of her feet beeannointed with oil ofbaies, or with fom fuch like oil, let a great cupping-glafs with a great flame bee applied to the bellie below the navel, to the inner part of the thigh, and to the groin, whereby both the matter that climes upwards, and alfo the womb it felf running the fame waie,may bee brought downwards or drawn back. There may bee made a fumigation of fpices to bee received up into the womb,which,that it may bee the eafier don,the womb may bee held open by putting in this inftrumenthere defcribed into the neck thereof. Let it bee made of gold, filver or latin into the form of a peflarie;at the one endthereofjthat is to fay,that end which goeth up into the neck of the womb,let there bee made manie holes on each fide,but at the lower end let it bee made with a fpring , that it may open and flint as you will have it. Alfoit muft have two laces or bands by which it muft bee made faft unto a fwathe or girdle tied about the pa- tient's bellie. A Peffaric, 'The defcription of a veffel made with a funnel or pipe for to fumigate the womb. The form of a Peffafieto bee put in of tbe womb to bold it open. The 636 Concerning the feneration of Man. Lib.24,. The matter of fwcet tuur.ga- tOnS. jOy what power fwcet fumiga- tions uo leitore the womb unto its own nature and place. Stinking fmels to bee applied to the noihils. The matter and ingredients of fweet and aromatick fumigations, are cinnamom, callam. aromat.lig.alo s,ladanum,benzoin,thyme>pepper, clove?, lavander, calaminth, mugworth, penniroyal, alepta mojchat. nutmegs, musk, amber, fquinant, and fuch like, which for their iwectfmell and iympathie, allure or entice the womb downwards, by their heat confiime and digeft the thick vapors, and putrefied ill juice. Contrariwife, let the noftrils bee perfu- med with fetid and rank fmels, and let thefe bee made with gum. galbannm, fagapenum} ammo- niacum, affafeetida, bitumen, oil of Jeat,fhuff of a tallow-candle when it is blown out, with the fume of bird's tethers, efpecially of Partridges and Woodcocks, of man's hair or goat's hair, of old lether, of horf hoofs, and fuch like things burned, whofe noifom or pftenfive favor the womb avoiding, doth return unto its own place or feat again. Moreover it fhall bee verie neceflarie to procure vomit by thrufting a goof fether down into the throat, or elf the hairs of the patient's own head. Shortly after fhee muft ufe a po- tion of fifteen grains of black pepper bruifed and diflolved in hydromel, or water and honie mixed together, or in fom ftrong wine, which remedie Avicen holdeth for a fecret. Alfo in Head thereof three hours before meat 5f$. of Treacle diflolved In of the water of wormwood may bee given her : Alfo it is thought that one drop of the oil of Jeat drop- ped on the tongue, is a verie profitable remedie. There bee fom that allow a potion of half a dram of Cdfloreum diflolved in white wine, or in the broth of a Capon; alfo it is profitable not onely to give her Treacle to drink, but alfo to injeft it into the womb, beeing firft dif- ■ folved in aqua vit£, and in the mean time to drop two drops of oil of Sage, or fom fuch Chi- mical oil, into the ears. If fhee bee drowfie or fleepie, fhee muft bee awaked or kept wakeing with fneefing powders, of white hellebore and pellitorie. : It is alfo requifite to injeft glyfters both into the fundament and fecret parts, which muft bee made of the decoftion of things that difeufs winde, as of calamint, mugwort, lavander, penniroyaljcammomil, melilot, and fuch like ; and let peflaries or fuppofitories bee made of ladanum, ginger, gallia mofebat. treacle, mithridate,civet and musk, of the oil of cloves, anni- feeds, fage, rofemarie, and fuch like, chymically drawn; this following is a convenient de- ■ fcription of a glyfter. ariftolocb. an. £i. fol.abfyntb.artemeft£} ma- tricar.puleg. origani, an m.i. baccarum lauri,juniperi &fambuc. an p.i. fem florum ftxcbadosyrorifmarin.falvi£3centaur.minor.an.p ii.fiat decociio, cape colatur£ ft.i in qua diffolve mellis antbofatijacc.rubr. & benedan.% i..diacbartb.%ii. olei anetb.mard,an make thereof a gly- fter, and and applie this plaifter following to the bellie. R. mafs.empl. oxycrocei, & melilot. an, oleinard. as much as fhall fuffice to makeit conveniently fbft,make thereofa plaiter, and n fpread it on leather, and applie it to the region of the bellie when the fit is ended: if fhee bee married, let her forthwith ufe copulation, and bee ftrongly encountered by her husband, for i there is no remedie more prefent then this. . Let the midwife annoint her fingers with oleum nardinum or mofchetalinum, or of cloves, or elf of fpike mixed with musk, ambergreef, civet, and other fweet powders, and with thefe c let her rub or tickle the top of the neck of the womb which toucheth the inner orifice; but her fecret parts muft firft bee warmed by the applying of warm linnen cloaths,for fo at length the venomous matter contained in the womb, (hall bee diflolved and flow out, and the ma- lign, fharp and flatulent vapors, whereby the womb is driven as it were into a furie or rage, fhall bee refolved and diffipated, and fo when the conjunct matter of the difeaf is fcattered and wafted, the womb, and alfo the woman fhall bee reftored unto themfelvs again. Som hold it for a fecret to rub the navel with the juice of garlick boiled and mixed with aloes. Avicrn's fecret for fuffbeation of the womb. Ctflarciim drun- ken. Exprcflionsin- to the womb. The matter of peflarics. Aglyfter fcat- terrggrofs vapors. A quick,certain and a plealant remedie for the fu flotation of the womb. Tickling of the neck of the womb. CHAP. XLIX. Of women's monthly flux or courfes. Thereafon of the names of the monthlie flux of women. - Sually they call the flux of blond , that ifliieth from the lecret parts of women, | monthlie flowers or courfes , becauf it happenth to them everie month Co long I as they are in health. There bee fom which call them terms, becaufthey return I at their ufoal time. Manie of the French men call it lepmains, becauf in fuch as * fit much, and are given to plentiful! feeding, it endureth almoft for the (pace of (even dales. Som call them purgations, becauf that by this flux all a woman's bodie is pur.- ged of fuperfluous humors. There bee fom alfo that call thofe fluxes the flowers,becauf that as in plants the flower buddeth out before the fruits; Co in women kinde this flux goeth be- fore the iflue, or the conception thereof. For the courfes flow not before a woman bee able to conceiv;for how fliould the feed beeingcaft into the womb have his nourifhment and increaf,and how Ihould the childe have his nourifhment when it is formed of the feed, if this neceflaric humor were wanting in the womb ? yet it may bee fom women may conceiv without the flux of the courfes: but that is ' in fuch as have fo much of the humor gathered together,as is wont to remain in thole which are purged, although it bee not fo great a quantitie that it may flow out, as it is recorded by What women do conceiVythis flux not appea- ring at all. LiB.24.. Qoncerning the (jeneration ofMan. 637 by Ariftotle. But as it is in fom verie great, and in fom verie little,fo it is in fom feldom,and in fom verie often. There are fom that are purged twice,and fom thrice in a moneth, but it is altogether in th ofc who have a great liver, large veins, and are filled and fed with many and greatly nou- rilhing meats, which fit idlcly at home all day, which haveing Hept all night, do notwith- Handing lie in bed deeping a great part Of the day alfo, which live in a hot,moift,rainie and foutherly air, which ufe warm baths of fweet waters and gentle fiiftions, which ule and are greatly delighted with carnal copulation : inthefeand fiich like women the courfes flow more frequently and abundantly. But contrariwife, in thofethat have fmall and obfcure veins, in thole that have their bo- dies more furnifhed and big either with flelh or with fat, are more feldom purged, and alfo more fparingly, becauf that the fiiperfluous quantitie of blood ufeth to go into the habit of the bodie. Alfo tender, delicate and fair women are lets purged than thofe that are brown and endued with a more compaft flelh, becauf that by the raritie of their bodies,they fuffer a greater wafting or difiipation of their fubftance by tranfpiration. Moreover, they are not id greatly purged with this kinde of purgation, which fom other folemn or accuftomed eva- cuation in anie other place of their bodie,as by the note or hemorrhoids. And as concerning their age, old women are purged when the Moon is old, and young women when the Moon is new, as it is thought. I think the cauf thereof is, for that the Moon ruleth moift bodies, for by the variable motion thereof the Sea floweth and ebbeth, and bones,marrow and plants abound with their genital humor, Therefore young people which have much blood, and more fluxible, and their bodies more fluxible, are foon moved unto a flux, although it bee even in the firft quarter of the Moon's rifing or increafing : but the humors of old women, becauf they wax Iliff as it were with cold,and are not Co abundant,and have moredenf bodies and ftraighter veflels, are not Co apt to a flux, nor do they ib eafily flow, except it bee in the full of the Moon, or elfin the decreaf; that is to fay, becauf the blood that is gathered in the full of the Moon fall's from the body even of its own weighty for that by reafon of the decreafing or wane of the Moon this time of the moneth is more cold and moift. i What womcA . have this men- . ftrual! flux of- I ten, abundant* ly, and for a • longer fpace ' then others. What women have this flux more fcldom, kfs,and a far more fhorc time then others. ; Why young Women are purged in the new of the Moon. Why old wo- men are purged in the wane of the Moon. CHAP. L. -Tbe caufes of tbe monetblji flux or courfa. lEcauf a woman is more cold, and therefore hath the digeftive facultie more y weak,it cometh to pals,that fliee requireth and defireth more meat or food than £ fliee can digeft or concoft: And becaufthat fiiperfluous humor that remaineth j is not digefted by exercile,nor by the efficacie of ftrong and lively heat, there- j fore by the providence or benefit of nature it floweth out by the veins of the womb, by the power of the expulfive faculty, at its own certain and prefixed feafon or time. But then especially it beginneth to flow, and a certain crude portion of < blood to bee expelled, being hurtfull and malign otherwile in no qualitie, when nature ( hath laid her principal foundations of the increaf of the bodie, lb that in greatnefs of the I bodie,fliee hath com as it were in a manner to the higheft top, that is to lay, from the thir- teenth to the fiftieth yeer of our age. Moreover, the childe cannot bee formed in the womb, nor have his nutriment orencreaf without this flux: therefore this iMnother finall cauf of themonethly flux. Manieare- peri waded that women do far more abound with blood than men,confidering how great an t abundance of blood they caft forth of their fecret parts everie moneth, from the thirteenth > to the fiftieth year of their age: how much women great with childe, of whom allb nianie£ are menftruall,yeeld unto the nutriment and encreaf of the childe in their wombs, and how much Phyficians take from women that are with childe by opening of a vein, which other- wile would bee delivered before their naturall and prefixed time; how great a quantitie thereof they avoid in the birth of their children, and for ten or twelv daies after, and how great a quantitie of milk they Ipend for the nourifliment of the childe when they give fuck, which milk is none other thing than blood made white by the power of the kernels that are in the dugs,which doth luffice to nourilh the childe, bee hee great or little ■, yet notwith- ftanding manic nurles in the mean while are menftrual: and as that may be true, lb certain- ly this is true, that one dram (that I may fo fpeak) of a mans blood, is ofmorc efficacie to < nourifli and encreaf than two pounds of woman's blood, becauf it is far more pert eft, more, concofted,wroiight,andbetter replenifhed with abundance offpirits: whereby it commeth c to pals that a man endued with a more ftrong heat, doth more ealily convert what meat lb-1 ever he eateth unto thenourifliment and fubftance of liis bodie; and if that anie luperfluitie J remain's, he doth ealily digeft and fcatter it by inlenfible tranfpiration. But a woman be- f ing more cold than a man, becauf fliee taketh more than fliee can concoft, doth ga- f ther together more humors, which becauf lhee cannot difperf, by realbn of the i unperfeft* The material caufeof the monethlie flux. When the monethlyflux begin'sto flow. The final :auf. A woman cx- ceed's a man in quantitie of blood. A man ex- cecdeth a wo- man in the qualitie of his blood. A man is more hoc than a wo- man,andthcre- fore not men- ftrual. 638 Concerning the (feneration of.Man LIB.Z4.. unperfeftnefs and weaknefs of her heat, it is neceflarie that fliee fhould fiiffer, and have he r monethly purgation, elpecially when fliee groweth unto fom bignefs 5 but there is no flic h need in a man. CHAP. LI. T'be caufles of tbe fuppreflon of tbe courfes or menftrual/flux. He courfes are fupprefled or flopped by manie caufles, as by (harp, vehement, and long difeafes,by fear, forrow, hunger, immoderate labors, watchings, fluxes of the bellie, great bleeding, haemorrhoids, fluxes of blood at the mouth, and eva- cuations in anie other part of the bodie whatfoever, often opening of a vein, great fweats, ulcers flowing much and long, fcabbinets of the whole skin, immoderate grot- nets and clamminefs of the blood, and by eating of raw fruits, and drinking of cold water, by (luggithnets and thicknets of the veffels, and alfo the obftruftion of them by the defaults and dileafes of the womb, by diftemperature, an abfcefs, an ulcer, by the obftruftion of the inner orifice thereof, by the growing of a Callus, caruncle,cicatrize of a wound or ulcer,or membrane growing there, by injefting of aftringent things into the neck of the womb, which place manie women endeavor fbolifhly to make narrow: I fpeak nothing of age, greatnels with childe, and nurfing of children, becaufthete caufles are not betides nature, (neither do they require the help of the Phyfitian. Manie women, when their flowers or tearms be flopped, degenerate after a manner into a certain manly nature, whence they are called Viragines, that is to fay, ftout, or manly wo- men j therefore their voice is more loud and big,likeunto a mans, and they become bearded. In the citie Ab de r a (faith Hippocrates) Pbaetbufa the wife of Pytbeas at the firft did bear children and was fruitful, but when her husband was exiled, her flowers were flopped for a long time: but when thefe things happened,her bodie became manlike and rough,and had a beard, and her voice was great and thrill. Theverie fame thing happened to Namy/ia the wife of Gorgippus in T'bafus. Thofe virgins that from the beginning have not their moneth- ly flux, and yet neverthelets enjoy their perfect health,they muft neceflarily be hot and drie, or rather of a manly heat and drinefs,that they may fo ditperf and diflipate by trantpiration, as men do, the excrements that are gathered,but verily all fuch are barren. The foolith endeavor of making the orifice of the womb narrow is rewarde d with the dif- commoditic ol flopping of the flowers. What women are called Vivagines. Lib.6.epidem fed 7. 1 he women that are called viraginei are barren. CHAP. L11. Wbat accidents follow the fupprefion or flopping of tbe monethly flux or flowers. Hen the flowers or monethly flux are flopped, dileales affeff the womb, and from thence pats into all the whole bodie. For thereof commeth fuffocation of the womb, headach, fwouning, beating of the heart, and fwelling of the breads and fecret parts,inflammation ofthe womb,an abfcefs,ulcer, cancer,a feaver, naufeouP nefs,vomitings,difficult and flow conco&ion, the droplie, ftrangurie, the full womb prefling upon the orifice of the bladder, black and bloodie urine, by reafon that portion of the blood fweateth out into the bladder. In manie women the flopped matter of the monethly flux is excluded by vomiting, urine,and the haemorrhoids, in fom it groweth into varices. In my wife, when lhee was a maid, the menftrual matter was excluded and purged by the noftrils. The wife of Peter Feure of Cafteaudun, was purged of her menftrual matter by the dugs everie moneth, and in fuch abundance, that fcarce three or four cioaths were able to drie it and fuck it up. In thofe that have not the flux monethly to evacuate this plenitude by fom part or place of the bodie, there often follow's difficultie of breathing, melancholic, madnels, the gout, an ill difpolitionof the whole bodie, diffblution of the ftrength of the whole bodie, want of appetite, a conlumption, the falling ficknefs,an apoplexie. Thofe whole blood is laudable, yet not fo abundant, do receiv no other difcommoditie by the fuppreflion of the flowers, unlefs it be that the womb burn's or itcheth with the de- lire of copulation, by reafon that the womb is diftended with hot and itching blood, efpeci- ally if they lead a fedentary life. Thole women that have been accuftomed to bear children, are not fb grieved and evil at eafe when their flowers are flopped by anie chance contrarie to 5 nature, as thofe women which did never conceiv, becauf they have been ufed to be filled, and the veflels by reafon of their cuftomarie repletion and diftention, are more large and ca- pacious : when the courfes flow, the appetite is partly dejefted, for that nature, beeing then wholly applied to expulfion,cannot throughly concoft or digeft, the face waxeth pale, and without its lively color, becauf that the heat with the fpirits, go from without inwards, fo to help and aid the expulfive facultie. Why the fti'an- gurie, or bloo- dinefs of the urine follow-, eth thefup- prcflionof the flowers. Hiftoriesof fuch as were purged of their menftrual flux by thenofe and dugs. To what wo- men thefup- preffionof the moneths is moft grievous. CHAP. Lib.24.. (Concerning the (feneration of Man. 639 CHAP. LIII. Of provoking the flowers or courfes. He fuppreflion of the flowers is a plethorick therefore muft bee cured by evacuation, which muft bee don by opening the vein called Saphena, which is at the ankle, but firft let the bafilike vein of the arm bee opened, efpecially if the bodie bee plethorick, left that there Ihould a greater attraftion bee made into the womb, and by fuch attraction or flowing in, there Ihould Come a greater obftruftion. When the veins of the womb are diftended with fo great a fwelling that they may bee feen, it will bee verie profitable to applie horf-leeches to the neck thereof: peflaries for women may bee ufed; but fumigations of aromatick things are more meet for maids, becauf they are baftifull and (hamefac'd. Unguents, liniments, emplafters, cata- plafms, that fcrv for that matter, are to bee prefcribed and applied to the ftcret parts, liga- tures and friftions of the thighs and legs are not to bee omitted, fomentations and fternu- tatories are to bee ufed , and cupping glafles are to bee applied to the groins, walking, dancing,rideing,often and wanton copulation with her husband, and fuch like exercifes, provoke the flowers. Of plants, the flowers of Sc. John's-Wurt, the roots of fennel, and alparagus, brufcus or butcher's-broom,of parfleie,brook-lime,bafil, balm, betonie, garlick, onions, crifta marina, coftmarie, the rinde or bark of caflia fiftula,calamint,origanum,pen- niroyall, mugwort, thyme,hyflbp,fage,marjoram,roftmarie, horehound, rue, favin, fpurge, faftron,agarick,the flowers of elder, baie-berries, the berries of Ivie,fcammonie, Cantbarides, pyrethrum or pellitorie of Spain, eupborbium. The aromatick things are amomum,cinnamon, Iquinanth, nutmegs, calamus aromaticw, cyperw, ginger, cloves, galingal, pepper, cubibes, amber,musk, (piknard, and fiich like; of all which let fomentations, fumigations, baths, broaths, boles, potions, pils, lyrups, apozemes, and opiates be made as the Phyficians fhall think good. The apozeme that followeth is proved to be verie effeftualL ftfil.&flor.di&am.an.p H.pim- pinel. m p. omnium capillar, an. p i. artemif. thymi, marjor. origan, an.m p. petrofelin. i p. rad. pjeon.bifiort. an. 5 p. cicerum rub. fem. pxon. fanicul. an. 5 p. make thereof a deco&ion in a fufficient quantitie of water, adding thereto cinnamon 5 iii.in one pint of the decoftion diffblvc (after it is {trained) of the fyntp of mugwort, and of hyflbp, an. 5 ii. diarrbod. abbat. % i. let it be (trained through a bag,'with 3 ii. of the kernels of Dates, and let her take 5 iiii. in the morning. Let peflaries bee made with galbanum, ammoniacum', and fiich like mollifying things,beaten into a mats in a mortar with a hot peftel, and made into the form of a peflarie, and then let them bee mixed with oil of Jafmine, eupborbium,nn ox-gall,the juice of mugwurt, and other fiich like, wherein there is power to provoke the flowers, as with fcammonie in powder: let them be as big as ones thumb,fix fingers long, and rowled in lawn, or fbm fuch like thin linnencloth; of the fame things nodula's may bee made. Alfo peflaries may bee prepared with honie boiled, adding thereto convenient powders,as of fcammonie,pellitorie,and fiich like. Neither ought theft to ftaie long in the neck of the womb, left they Ihould exulcerate, and they muft be pulled back by a thread that muft bee put through them, and then the ori- fice of the womb muft bee fomented With white wine of the decod ion of penniroyall or mother-wort. But it is to be noted, that if the fupprelfion of the flowers happeneth through the default of the flopped orifice of the womb, or by inflammation, thefe maladies muft firft bee cured before we come unto thoft things that of ptoper ftrength and virtue provoke the flowers: as for example, if fuch things bee made and given when the womb is inflamed,the blood beeing drawn into the grieved place,and the humors (harp' ned, and the bodie of the womb heated, the inflammation will bee increafed. So if there bee anie (uperfludusflefh, if there beeanie Callus of a wound or ulcer, or if there bee anie membrane (hutting the orifice of the womb, and fo flopping the flux of the flowers,they muft firft bee confiimed and taken away before anie of thoft things bee adminiftred. But the opportunitie of takeing and applying of things, muft bee taken from the time wherein the fick woman was wont to bee purged before the (lopping, or if (hee never had the flowers, in the decreaf of the Moon; for fo wee (hall have cuftom, nature,and the external efficient caufe to help art. When theft medicines are u(cd,the women are not to be put intobaths or hot houfes,as maniedo,except the maladie proceed from the denfitie of the veflels, and the grofnefs and clamminefs of the blood. For fweats hinder the menftrual flux, by diverting and turning the matter ano- ther waie. Why the vein called bafilica in the arm muftbe opened before the vein faphena in the foot. Horf-leeches to be applied to the neck of the womb. Plants that provoke the flowers. Sweet things. An apoxeme to provoke the flowers. Whatcaufles of the flopping of the flowers ipuft be cured before the dif- eaf itfelf. The fitteft time to pro* voke the Howers. Why hot hoU" fes do hurt rhofe in whom the flowers are to be pro* The figns of the approaching of the menstrual flux. WHen the monthlie flux firft approacheth, the dugs itch and become more fwoln and hard then they were wont, the woman is more defirous of copulation, by reafon of the CHAP. L I 111. Concerning the Generation of Man. Lib. 640 What women do love and what women do loath the aft of genera- tion when the months are flopped. the ebullition of the provoked bloody and the acrimonie of the blood that remaineth, her voice becommeth bigger, her lecrct parts itch, burn, fwell, and wax red. If they ftaie long, fhee hath pain in her loins and head, naufedufnels and vomiting troubleth the ftomach: notwithftanding, if thofe matters which flow together in the womb, either of their own nature,or by corruption,bee cold,they loath the aft ofgeneration,by reafon that the womb waxeth feeble through fluggiffinefs and waterie humors filling the lame, and it floweth by the lecret parts verie foftly. Thofe maids that are marriageable, although they have the menftrual flux verie well, yet they are troubled with headach, naufeoufnels, and often vo- miting, want of appetite, longing, an ill habite of bodie,difficultie of breathing, trembling of the heart, fwouning, melancholie, fearfull dreams, watching, with fadnefs and heavi- nefs, becauf that the genital parts burning and itching, they imagine the aft of generation, whereby it commeth to pafs that the leminal matter,either remaining in the tefticles in great abundance,or elf powred into the hollownels of the womb,by the tickling of the genitals,is corrupted,and acquireth a venemous qualitie, and caufleth fuch like accidents as happen's in the fuffocation of the womb. Maids that live in the countrie are not Co troubled with thofe difeales, becauf there is no fuch lying in vrait for their maiden-heads,and alfo they live fparingly and hardly,and Ipend their time in continual labor. You may fee manie maids Co full of juice, that it runneth in great abundance, as if they were not menftrual, into their dugs, and is there converted into milk,which they have in as great quantitie as nurles, as we read it recorded by Hippocrates. If a woman which is neither great with childe, nor hath born children, hath milk, fliee wants the menftrual fluxes; whereby you may underftand that that conclufion is not good which affirmeth that a woman which hath milk in her breafts, either to be delivered of childe, or to be great with childe: for Cardanus writeth that hce knew one Antonie Euzus at Genua, who beeing thirtie years of age, had fo much milk in his breafts as was fufficient to nurf a childe; for the breeding and efficient caule of milk proceed $ not onely from the engrafted facultie of the glandulous fubftance,but much rather from the aftion of the man's feed ; for proof whereof you may fee manie men that have verie much milk in their breafts, and manie women that almoft have no milk,unlefs they receiv man's feed. Alfo women that are ftrong and luftie like unto men, which the Latines call Viragines, that is to fay, whole feed commeth unto a manly nature, when the flowers are flopped, concoft the blood, and therefore when it wanteth paflage forth, by the likenels of the fubftance it is drawn into the dugs, and becommeth perfeft milk : thofe that have the flowers plentifully and continually for the fpace of four or five daies, are better purged and with more happie luccefs then thofe that have them for a longer time. With what ac- cidents thofe that are mar- riageable and are not mar- ried, are trou- bled. The cauf of fo manic acci- dents. Apb.36.fell.5. Lib. t>de fubt. The efficient cauf of rhe milk Is to be noted. CHAP. LV. Wbat accidents follow immoderate fluxes of the flowers or courfes. F the menftrual flux floweth immoderately, there alfo follow's manie accidents; for the concoction is fruftrated, the appetite overthrow'll, then follow's coldnefs throughout all the bodie, exolution of all the faculties, an ill habit of all thebodie, leannels, the droplie, an heftick fever, convullion, Iwouning, and often Hidden death : if a- nie have them too exceeding immoderatly,the blood is (harp and burning, and alfo (linking, the lick woman is alfo troubled with a continual fever, and her tongue will bee drie5 ulcers arife in the gums and all the whole mouth. In women the flowers do flow by the veins and arteries which rile out of the Ipermatick vellels, and ended in the bottom and lides of the womb, but in virgins and in women great with childe, whole children are found and healthful, by the branches of the hypogaftrick vein and arterie, which are Ipred and difper- fed over the neck of the womb, The cauf of this immoderate flux is in the quantitieor qualitic of the blood, in both the fault is unrealbnable copulation, especially with a man that hath a yard of a monftrous greatnels,and the diflblution of the retentive facultie of the vellels : oftentimes allb the flowers flow immoderately by realbn of a painful and a difficult birth of the childe or the after-birth, beeing pulled by violence from the cotyledons of the womb,or by reafon that the veins and arteries of the neck of the womb are torn by the com- ming forth of the infant with great travel, and manie times by the ufe of (harp medicines, and exulcerating peflaries. Oft-times allb nature avoids all the juice of the whole bodie critically by the womb after a great difeaf, which flux is not raffily or liiddenly to be flop- ped. That menftrual blood that floweth from the womb is more grofs,black, and clottie, but that which commeth from the neck of the womb is more clear,liquid and red. By what pores the flowers do flow in a wo- man and in a maid. The cauffcs of an unreafona- ble flux of blood. The critical flax of the flowers. Thefignf of . blood flowing from the ' womb or neck i of rhe womb. CHAP, Lib.ZzJ.. Concerning the (generation of Man. 641 CHAP. LVI. Of flopping tbe immoderate flowing of the flowers or courfes. Ou muft make choice of fiich meats and drinks as have power to incraflate the blood; for as the flowers are provoked with meats that are hot, and of liibtil parts, Co they are flopped by fiich meats as are cooling, thickning, aftringent, and ftiptick, as are barlie-waters, fodden rice, the extreme parts of beafts s as of oxen, calvs, ftieep, either fried or fodden with fbrrel, purflain, plantain , fliep- herp's-purf, lumach, the buds of brambles, berberries, and luch like. It is fiippofed that a Hart's-horn burned, wafhed,and taken in aftringent water, will ftop all immoderate fluxes; likewife fanguis dr acorns,terra ftgillata, bolus armenus, lapis btmatites, coral beaten into moft fiib- til powder, and drunk in fteeled water; alfo pap made with milk, wherein fteel hath often- times been quenched, and the flowr of wheat, barlie, beans, or rice, is verie efteftual for the fame. Quinces, cervices, medlars, cornelian-berries, or cherries may likewife bee eaten at the lecond Julips are to bee uled of fteeled waters, with the lyrup of drie roles,pome- granats, forrel, myrtles, quinces, or old confervs of red roles, but wine is to bee avoided: but if the ftrength bee fo extenuated, that they require it, you muft chufe grofs and aftringent wine tempered with fteeled water; exerciles are to bee Ihunned , elpecially venereous exer- cifes, anger is to bee avoided, a cold air is to bee cholen, which (if it bee not lb naturally) muft bee made lb by fprinkling cold things on the ground,efpecially if the lummer or heat bee then in his full ftrength; found lleeping ftaie s all evacuations, except Iweating. The opening of a vein in the arm, cupping-glafles fattened on the breafts, bands, and painful fri- ftions of the upper parts are greatly commended in this maladie. But if you perceiv that the caufof this accident lieth in a cholerick ill juice mixed with the blood, the bodie muft bee purged with medicines that purge choler and water , as Ru- barb, Myrobalanes, Tamarinds, Sebeftens, and the purgeing lyrup of Rofes. The inftituti* on or order of life. Purgeing. CHAP. LVII. Of local medicines to bee ufed againfi the immoderate flopping of the Courfes. Lfo unguents are made to flay the immoderate flux of the terms , and likewife inje&ions and peflaries. This or itich like may bee the form of an unguent, Bc.e/ mafticb.& myrt.an. 5 ii. nucurn cupref. fucci rofar. pulvjnafticbin.%ii<boli quantum jufficit, fiat unguen- turn. An injeftion may bee thus made. Bc.aqplantag.rofar.rubr.burf£ paftor. cen- iinodii, an.Vbfi. corticif querni, nucum cupreiji, gallar.non berberisjumacb. balaufl. a- lumin.rocb.an.%i.make thereof a deco&ion, and injeft it inafyringe blunt-pointed into the womb 5 left if it fhould bee (harp , it might hurt the fides of the neck of the womb 5 alfo Snails beaten with their (hells, and applied to the navel, are verie profitable.Quinces rolled under the coles, and incorporated with the powder of Myrtles, and and put into the neck of the womb, are marvellous effeftual for this matter. The form of a peflarie may bee thus. fygallardmmaturar.combuft.& in aceto extinttar.ifi. pulv.rad. fympbytfiumacbmajlicb.fucci acac/£, cornu ceruft.colopbon, myrrb£,jcori£ ferri}an.$i.caphur.$ii.niix them,and incorporate them all together with the juice of knot-grafs, fyngreen,night-fhade, hen-bane, water-lillies,plantain,of each as much as is fufficient,and make thereof a peflarie. Cooling things,as Oxycrate, unguentum rofatum,and fuch like , are with great profit tiled to the region of the loins, thighs, and genital parts: but if this immoderate flux do com by erofion, (b that the matter thereof continually exulcerateth the neck of the womb 5 let the place be« annointed with the milk of a fhee-Afs, with barlie-water,or bindeing and aftrin- gent mucelages, as of Pfilium, Quinces,Gum Tragacanth, Arabick, and fuch like. An unguent; An aftringent injeftion. Aftringent peffarics. CHAP. LVIII. Of Womens Fluxes, or the Whites* Elides the fore-named Flux , which by the law of nature happeneth to women monthly, there is alfo another called a Woman's Flux , becauf it is onely pro- per and peculiar to them: this fomtimes wearieth the woman with a long and continual diftillation from the womb, or through the womb, comming from the whole bodie without pain, no otherwile then when the whole fiiperfluous filth of the bodie is purged by the reins or urine 5 foratimes it returneth at uncertain fea- fons, and fomtimes with pain and exulcerateing the places of the womb: it differeth from the menftrual Flux, becauf that this for the fpace of a few daies, as !it (hall feem convenient to nature, cafteth forth laudable bloods but this Womans Flux yeeldeth impure ill juice. Hi fomtimes The resfon of the name. The diffe- rences. 642 Concerning the Generation of Man. LiB.24.. fomtimes fanious, fomtimes ferous and livid, otherwhiles white and thick, like unto bar- lie-cream, proceeding from flegmatick blood : this laft kinde thereof is moft frequent. Therefore wee fee women that are flegmatick, and of a foft and loof habit of bodie, to bee often troubled with this difeaf j and therefore they will fay among themfelvs that they have the whites. And as the matter is divers, fb it will ftain their fmocks with a different color. Truely, if it bee perfe&ly red and fanguine,it is to bee thought it commeth by erofion, or the exfblution of the fiibftance of the veflels of the womb, or of the neck thereof: therefore it commeth verie feldom of blood, and not at all except the woman bee either great with cbilde, or ceaf to bee menftrual for fom other cauf; for then in ftead of the monethly flux there flbweth a certain whayilh excrement, which ftaineth her cloaths with the color of wa- ter wherein flefh is walhed* Alfo it verie feldom proceed's ofa melancholick humor,and then for the moft part it cauf- feth a cancer in the womb. But often-times the purulent and bloodie matter of an ulcer ly- ing hidden in the womb, deceiveth the unskilful Chirurgian or Phyfician: but it is notfb hard to know thefe difeafes one from the other j for the matter that floweth from an ulcer , ; becauf( as it is faid ) it is purulent, it is alfo leffer, groffer, ftinking, and more white. But thofe that have ulcers in thofe places, efpecially in the neck of the womb,cannot have copu- lation with a man without pain, What women are apt to this flux. Women's flux commeth serie feldom of blood. By what figns an ulcer in the womb may bee known from the white flowers* CHAP. L1X. Omtiraes the caufof the Whites confifteth in the proper weaknefs of the womb, or elf in the uncleannefs thereof; and (bmtimes by the default of the principal parts. For if the brain or the ftomach bee cooled , or the liver flopped or (chir- rous,manie crudities are engendered, which if they run, or fall down into the Womb that is weak by nature, they cauf the Flux of the womb, or Whites: but if this Flux bee moderate,and not fharp, it keepeth the bodie from malign difeales 5 other- wife it ufeth to infer a confiimption, kannefs, palenefs, and an oedematous (welling of the legs, the falling down of the womb, the deje&ion of the appetite and all the faculties, and continual (adnefs and (brrowfulnefs; from which it is verie hard to perfwade the fick wo- man, becaufe that her mindeand heart will bee almoft broken, by reafon of the (hame that (hee taketh, becauf (itch filth floweth continually ; it hindereth conception, becauf it either cOrrupteth, or driveth out the feed when it is conceived. Often-times, if it floppeth fora few months, the matter that ftaieth there caufleth an ablcels about the womb in the bodie or neck thereof; and by the breaking of the abfcefs there followeth rotten and cancerous ulcers, (bmtimes in the Womb, fomtimes in the groin, and often in the hips. This difear is hard to bee cured, not onely by reafon of it (elf, as becauf all the whole filth and fuperfluous excrements of a woman's bodie floweth down into the womb, as it Were into a fink 5 becauf it is naturally weak, hath an inferior fituation, manie veflels end- ing therein 5 and laft of all, becauf the courfes are wont to com through it; as al(b by rea- fon of the fick woman, who often-times had rather die then to have that place £een, the difeaf known, or permit local medicines to bee applied thereto: for (b faith Montanw, that on a time hee was called to a noble woman of Italic, who was troubled with this difeaf un- to whom hee gave counfel to have cleanfing decoftions injefted into her womb , which when (hee heard, fhee fell into a (wound , and defired her husband never thereafter to ufc his counfel in anie thing. Of the cauffes of the Whites. How a wo- man's flux is wholfotn. How it caui- feth difeafes. How it lettetli the concepti- on. Why it is hard to bee cured. An hfftorie. CHAP. LX. If the flux of a woman bee red,wherein it difeeth from the tncnftrual flux. F the matter that floweth out in this difeaf bee of a red color , it differeth from the natural monthly flux in this onely, becauf it keep's no order or certain time in its returning. Therefore phlebotomie and other remedies which wee have fpoken of, as requifite for the menftrual flux, when it floweth immoderately , is here neceflarie to bee ufed. But if it bee white, or doth teftifieor argue the ill juice ofthis or that humor by anie other color, a purgation muft bee prefcribed of fuch things as are proper to the humors that offend's: for it is not good to flop fuch a flux fiidr it is neceflarie,that Co thebodie fhould bee purged of fuch filth or abundance of hu- mors:for they that do haftcn to flop it,caufthe dropfie,by reafbn that this fink of humors is turned back into the liver; or elf a cancer in the womb,becauf it is ftaied there; or a fever,or other difeafes, according to the condition of the part that receiveth it.Therfore wee muft not com to local deterfives, deficcatives,reftriftives, unlefs wee have firft ufed univerfal remedies according to art. Alum-baths, baths of brimftone, and of bitumen, or iron, are convenient for 'The cure of the Whites. A woman' s fiaxisnotfud- denly tobee flopped* What baths are proflcabk. LlB.Zzj" (Concerning the Generation of Man. 643 for the whites that, com of a phlegmatick humor; in ftead whereof baths may bee made of'' the deco&ion of herbs that are hot, drie, and indued with an aromatick power, with alom 3 and pebbls, or flint-ftones red hot thrown into the fame. Let this bee the form of a clean- ling decoftion and injeftion. R- fol. abfyntb. agrimon. centinod. burf-paft. an. m ft. boil them ; together, and make thereof a decoftion, in which diflolv mellis-rofar. aloes, myrrh#, fa-' lis nitri, an. $i. make thereof an inje&ion, the woman beeing fo placed on a pillow under her buttocks that the neck of the womb beeing more high, may bee wide open : when the inje&ion is received, let the woman fet her legs acrofs, and draw them up to her buttocks, and fo (hce may keep tfftt which is injeded. They that indeavor to drie and binde more ftrongly, add the juice of acatia, green gals, the rindes of pomegranates, roch-alome, ro- mane vitriol, and they boil them in Smiths-water and red-wine; peflaries may bee made of the like facultie. 4 If the matter that commeth forth bee of an ill color or Imell, it is like that there is a rot- ten ulcer; therefore wee ought to injeft thofe things that have power to correft the putre- faftion : among which #g yptiacum. dilfolved in lie or red-wine, excelleth. There are women which when they are troubled with a virulent Gonorrhea,or an involuiftarie flux ofthe feed, cloaking the fault with an honeft nam?, do untruly lay that they have the whites, becauf that in both thele difeales a great abundance of filth is avoided. But the Chyrurgian may eafily perceivthat maladieby the rottennefs ofthe matter that floweth out, and hce lhall perfwade himfelf that it will not bee cured without falivation or fluxing at the mouth, and iweats. In the mean while let him put in an inflrument made like unto a pefTariCj and cauf the lick woman to hold it there : this inflrument muft havemanie holes in the upper end, through which the purulent matter may pafs, which by flaying or flopping might get a lharpnels ; as alfo that lb the womb may breath the more freely,and may bee kept more tem- perate and cool by receiving the air, by the benefit ofa Ipring whereby this inflrument, bee- ing made like unto a pelfarie, is opened and (hut. What baths are profitable. An aftringent iniedion* The fignsofa putrefied ulcer in the womb. The virulent Gonorrhea, is like unto the flux of wo- men. I he form of an Inflrument made like unto a Peffarie, whereby the womb may bee ventilated' A. Sheweth the end of the Infir ument, which muft have manie holes therein. B. Sheweth the bodie of the Inftrument. C. Sheweth the -plate whereby the mouth of the In- ftrument is opened and [hut, as wide and as clofe as you will , for to receiv the air more freely. D. the faring. EE.'xS'bw the laces and bands to tie about the pati- ent's bodie, that fo the In- ftrument may bee ftaied and kept faft in bis place. CHAP. LXI. Of the Hoemorrhoides and JKarts of the of tbs womb. Ike as in the fundament, lb in the neck of the womb,there are Hamorrbo'ider,and as it were varicous veins, often-times flowing with much blood, or with a red and flinking whayifh humor. Som of thele, by reafon of their rednels and great inequalitie as it were of knobs, are like unripe Mulberries, and are called vulgar- ly ucux mui ales, that is to fay, the veins or hoemorrboides like unto Mulberries: others are like unto Grapes, and therefore are named uvales other lorn are like unto warts > and therefore are called verrucales : lorn appear and (hew themlelvs with a great tumor, others are lit- tle, and in the bottom of the neck of the womb ; others are in the fide or edg thereof. A- cbrocordon is a kinde of wart with a callous bunch or knot, haveing a thin or (lender root, and a greater head, like unto the knot of a rope, hanging by a fmall thred j it is called of the Arabians, verruca botoralis. There is allb another kinde of wart, which becauf of his great roughnefs and inequali- tie, is called thymus, as relembling the flower of Thyme. All fuch difeafes are exalperated aud made more grievous by anie exercile, elpecially by venereous acts; manie times they » . J i i 2 have The differen- ces of the Hm- monhoidei of the neck of the womb. What an 4cr<h chordonis. What a Thy. r/w is. 644 Concerning the Generation of Man. Lib.24.. have a certain malignitie, and an hidden virulencie joined with them, by occafion whereof they are aggravated even by touching onely j becaufthey have their matter of a rageing hu- mor:therefore to thefe wee may not rightly ule a true,but onely the palliative cure,as they term it : the Latines call them onely ficus, but the French men name them with an adjunft. Saint fiacrius figs. S. Fidcrint figs. CHAP. LXII. Of the cure of the Hearts that are in the Whit warts of the womb mutt bee bound} and fo cutoff. THe warts that grow in the neck of the womb, if they bee not malignant, are to bee tied with a thred, and Co cut off, Thole that lie hid more deep in the womb, rqay bee feen and cured by opening the matrix with a Dilater made for the purpole. Divers Specula matricis, or Dilatcrs for the infection of the Matrix. Another form of a Dilater,or Speculum matricis, whereof the declaration followeth. A. Sbewetb the fcrew, which fbuttetb and ofenetb the Dilater of the Matrix. BB. Shew the arms or branches of the Instrument, which ought to bee eight or nine fingers long. But Lib. Concerning the Generation ofSMan 645 But thefe Dilaters of the matrix ought to bee of a bignefs, correfpondent to the patient's bodie 5 let them bee put into the matrix, when the woman is placed as wee have faid, when the childe is to bee drawn out of her bodie. That inftrument is moft meet to tie the warts, which wee have defcribed in the relaxation of the palate or Uvula: let them bee tied harder and harder everie day until they fall away. 1 herefore for the cureing of warts there are three chief fcopes, as bands, feftions, cauteries ; and left they grow up again , let oil of vi- triol bee dropped on the place, or aqua fortis t or fbm of the lee whereof potential cauteries are made. This water following is moft effeftual to confume and wafte warts. virid.&YK, $11. alnm.r9cb.5iu.fal & fublim.an.5ft* beat them all together, and boil them; let one or two drops of this water bee dropped on the grieved place , not touching anie place elf; but if there bee an ulcer, it muft bee cured as I have (hewed before. A certain man, ftudious of phyfick, of late affirmed to mee, that Ox-dung tempered with the leavs or powder of Savi ne? would wafte the warts of the womb,if it were applied there- to warm; which, whether it bee true or not, let Experience, the miftrefsof things, bee judg. put into unguents will do it, and (as it is likely) more effe&ually; for they will confume the calloufnefs which groweth between the toes or fingers. I have prooved by experience, that the warts that grow on the hands, may bee cured by applying of Purflain beaten or ftamp't in its own juice. The leavs and flowers of Marigolds do cer- tainly perform the (elf-fame thing. Three fcopes of the cure of warts in the womb. An tfFedual water to con- fume warts. Unguents to confume warts. CHAP. LXIII. Of Chaps, and tbofewrinkled and bard excrefcences, which the Greeks call Condylomata. Haps or Fiflures, are cleft and verie long little Ulcers, with pain verie fharp and burning, by rea/bn of the bkeing of an acrid, fait and drying humor, makeing lb great a contra&ion, and often-times narrownefs in the fundament and the neck of the womb, that fcarcely the top of one's finger may bee put into the orifice thereof, like unto pieces of leather or parchment, which are wrinkled and parched by holding of them to the fire. They rife fomtimes in the mouth, fo that the patient can neither (peak, eat, nor open his mouth* fo that the Surgeon is conftrained tG cut it. In the cure thereof, all (harp things are to bee avoided, and thofe which mollifie are to bee' ufed, and the grieved place or part is to bee moiftened with fomentations, liniments, cataplafins, emplafters; and if the maladie bee in the womb, a dilater of the matrix or pef- farie muft bee put thereinto verie often, fo to widen that which is over hard, and too much drawn together or narrow, and then the cleft little ulcers muft bee cicatrized. Condylomata are certain wrinkled and hard bunches, and as it were excrefcences of the flefh, rifeing efpe- cially in the wrinkled edges of the fundament and neck of the womb. Cooling and relaxing medicines ought to bee ufed againft this difea£ fuch as are oil of eggs,and oil of lin-feed, take of each of them two ounces, beat them together a long time in a leaden mortar, and therewith anoint the grieved part; but if there bee an inflammation, put thereto a little Camphir. . . .< . What Chaps are. The cure. What Ccndy lo- rn ua are. The cure. CHAP. LX1V. Of the itching of the womb. M women., efpecially fuch as are old, there often-times commeth an itch- ing in the neck of the womb, which doth fo trouble them with pain, and a defire to (cratch, that it taketh away their- deep. Not long fince a wo- man asked my counfel, that was fo troubled with this kinde of maladie, that dice was conftrained to extinguish or ftay the itching burning of her fecret parts by fprinkling cinders of fire, and rubbing them hard on th*3, place. I counfelled her to take diflolved in fea-water or lee, and inje& it in her fe- cret parts with a (yringe, and to wet ftupes of flax in the fame medicine, and put them up into the womb, and fo lhee was cured. Manie times this itch commeth in the fundament or tefticles of aged men, by reafon of the gathering together or conflux of fait flegm, which when it falleth into the eies, it caufleth the patient to have much ado to refrain (cratch ing : when this matter hath di(per(ed into the whole habit of the bodie, it caufleth a burning or itching fcab, which muft bee cured by a cooling and a moiftning diet, by phlebdtomie and purgeing of the (alt humor, by baths and horns applied, with (carification and annointing of the whole bodie with the unftion following. [alif nitri,aflat. tartar, Jtapbifag. futyb.viv.%'1. argent.viv%ii.acet. rof. quarti.-, incorporate them all together, and make thereof a liniment according to art,and ufe it as isfaid before: unguentum enulatum cum mercurio is thought to have great force,not without de(ert,to aflwage I i i 3 the What the itch of the womb Ahiftorie. The cwf ®f the itch. The virtue of unguent, enulac. 646 Concerning the Generation of Man. the itch, and drie the fcab, Som ute this that followeth. $bif:%i. let them all bee diflblved in vinegar of Rotes , adding thereto butyr.recent.q-f. make thereof a liniment for the fore-named ufe. CHAP. LXV. 1'he cauf. Anie women that have had great travel and ftrains in- childe-birth, have the great Inteftine (called of the Latines craffum inteftinum) or Gut, relaxed and flipped down ; which kinde of affeft happeneth much to children, by reafon of aphlegmatick humor moiftening the fybintter-mufcle of the fundament, and the two others called Levatores. For the cure thereof, firft of all the Gut called return inteftinum, or the ftraightGut, is to bee fomented with a deco&ion of heating and re- folving herbs, as of Sage, Rolemarie, Lavander, Thyme, and fuch like; and then of aftrin- gent things, as of Rofes, Myrtils, the rindes of Pomegranats, Cyprefs-nuts, Galls , with a little Alum , then it muft bee fprinkled with the powder of things that are aftringent with- out biteing: and laft of all, it is to bee reftored, and gently put into its place. That is fop- poled to bee an effeftual and lingular remedie for this purpofe, which is made of twelv red Snails put into a pot with Alum,and as much of Salt,and lhaken up and down a long time,for lb at length when they are dead there will remain an humor, which muft bee put upon Cotton, and applied to the Gut that is fain down. By the fame cauf (that is to fay, of painful childe-birth in fom women) there arifeth a great fwelling in the navel 5 for when the yeriton<eum is relaxed or broken, fomtimes the Kall, and lomtimes the Guts flip out: manie times flatulencies com thither: the cau£ as I now lhewed, is over great {training or ftretching of the bellie, by a great burthen carried in the womb , and great travel in childe- birth :if the fain-down Guts make that tumor, pain joined together with that tumor doth vex the patient; aud if it bee prefled, you may hear the noif of the Guts going back a- gain : if it bee the Kall, then the tumor is foft, and almoft without pain 5 neither can you hear anie noif by comprelfion: if it bee winde, the tumor is loof and loft, yet it is foch as will yeeld to the prefling of the finger with lorn found, and will foon return again: if the tumor bee great, it cannot bee cured, unlels the -peritoneum bee cut, as it is faid in the cure of of ruptures. In the Church-porches of Paris, 1 have leen Beggar-women, who by the fal- ling down of the Guts, have had foch tumors as big as a bowl, who notwithftanding could go, and do all other things as if they had been found, and in perfect health: I think it was, becauf the faces or excrements, by reafon of the greatnefs of the tumor, and the bignels or widenefs of the Inteftines, had a free paflage in and out. Of the relaxation of the great Gut, or Inteftine, which haffeneth to women. The cure. An eftedual icmedie. The differen' ces and figns. An hiftorie. CHAP. LXVI. Of the relaxation of the navel in children. Ften-times in children newly born, the navel fwelleth as big as an egg, becauf it hath not been well cut or bound,or becauf the whayifh humors are flowed thi- ther, or becauf that part hath, extended it felf too much by crying, by reafon of the pains of the fretting of the childe's guts,manie times the childe bringeth that rumor joined with an abfceft with him from his mother's womb : but let not the Chirurgi- an aflay to open that abfcefs, for if it bee opened, the guts com out through the incifion, as I have feen in manie, and efpecially'in a childe of my Lord Martines ; for when Peter of the Rock, the Chirurgian, opened an abfcefs that was in it, the bowels ran out at the incifion, and the infant died 5 and it wanted but little that the Gentlemen of my Lord's retinue that were there, had ftrangled the Chirurgian. Therefore when lohn Gromontiuf the Carver de- fired mee, and requefted mee of late that I would do the like in his fon, I refilled to do it, be- cauf it was in danger of its life by it alreadie, and in three daies after the abfcefs broke, and the bowels gufhed out, and the childe died. An abfcefs not to bee opened. An hiftorie. CHAP. IX. Of the fain that children have in breeding of teeth. The time of breeding of the teeth. Mildren are greatly vexed with their teeth, which caufgreat pain when they begin to break, as it were, out of their (hell or (heath, and begin to com fortfi, the gums beeing broken, which for the moft part happeneth about the feventh month of the childe's age. This pain commeth with itching and fcratching of the gums, an inflammation, flux of the bellie, whereof manie times commeth a fever, falling of the hair, a convulfion, at length death. The cauf of the • r pain IyIB.24. Concerning the (generation of ■'S\dan. 647 pain is the (blution of the continuitie of the gums by the comming forth of the teeth. The fignes oi that pain is an unaccuftomed burning, or heat ot the childe's mouth, which may bee perceived by the nurfthat giveth it fuck, a (welling of the gums and cheeks, and ' the childe's beeing more way-ward and crying then it was wont, and it will put its fingers ' to its mouth, and it will rub them on its gums as though it were about tofcratch, and it flavereth much. That the Phy lician may remedie this, hee mull cure thenurfasiffheehad the fever, and lhee muft not fuller the childe to fuck fo often, but make him cool and moift when hee thirfteth by giving him at certain times/yrupus alexandrinut, fyrup, de limonibus , or. the (yrup of pomegranats with boiled watenyet the childe mult not hold thole things that are actually cold long in his mouth, for fuch by bindeing the gums, do in fom fort ftay the teeeth that are newly comming forth '■> but things that lenifie and mollifie are rather to bee uled, that is to fay,fuch things as do by little and little relax the loof flelh of the gums, and allo allwage the pain. Therefore the Nurflhall often-times rub the childe's gums with her fingers, annointed or befmeared with oil of Iweet al monds, frelh-butter, honie, fugar, mu- cilage of the feeds of ffolium, or of the feeds of marlh mallows extrafted in the water of pel- letorie of the wall. Som think that the brain of a hare,or ofa fucking pig rofted or fodden, through a fecret propertie, are effectual for the fame: and on the outiide (hall bee applied a cataplafin of barlie-meal, milk, oil of roles, and the yelks of egs. Alfo a ftick of liquorice Ihaven and bruited and annointed with honie, oranie of the forenamed fyrups, and often rubbed in the mouth or on the gums, is likewife profitable; fo is alfo anie toie for the childe to plaie withall, wherein a wolve's tooth is fee, for this by fcratching doth alfwage the painfull itching, and rarifie the gums, and in fbm weareth them that the teeth appear the (boner. But manie times it happened! that all thele and fuch like medicines profit no- thing at all, by reafon of the contumacie of the gums, by hardnefs or the weaknefs of the childe's nature : therefore in fuch a cauf, before the fore-named mortal accidents com, I would perfwade the Chirurgian to open the gums in fuch places as the teeth bunch out with a little (welling, with a knife or lancet,fo breaking and opening a waie for them,not- withftanding that a little flux of blood will follow by the tenfionof the gums : of which kindeofremedie I have with profperous and happie fuccefs made trial in fom of mine own children, in the prefence ofFeuteut, Altinus, and Cortinus, Doftors of Phylick, and Guille- wmk the King's Chirurgian, which is much better and more fafethen to do as (bm nurfes do, who taught onelyby the inftin& of nature, with their nails and (cratching, break and tear, or rent the children's gums. The DukebfNwm had a fonof eight months old, which died of late, and when wee, with the Phylicians that were prefent, dili gently fought for the caufofhis death, wee could impute it unto nothing elf, then to the contumacious hardnefs of the gums, which was greater then was convenient for a childe of that age; for therefore the teeth could not break forth, nor make a paffage for themfelvs to com forth: of which our judgment this was the trial, that when wee ait his gums with a knife, wee found all his teeth appearing as it were in an arraie, readie to com forth, which if it had been don wh en hee lived, doubtlefs hee might have been preferved. The caufof the pain in breeding teeth. The figns. The cure. What power Scratching of the gums hath to affwage the pain of them. An hiftorle. The end of tie tmittie fourth <Book 648 LlB.25' Of Monsters and Trodtgies. Th twentie fifth Book* The Preface. if call Monfter i, what things foever are brought forth contrarie to the common decree and or- der of nature. So wee term that infant monftrous, which R born with. one arm alone, or with two beads. But wee define Prodigies»tbofe things which happen contrarie to the whole courf of nature, that is, altogether differing and diffenting from nature : as if a woman fhauld bee de- livered of a Snake, or a T)og. Of the fir fl fort are thought all thofe, in which anie oftbofe things, which ought, and are accuftomed to bee, according to nature, is wanting, or doth abound, is changed, worn, cove- red or defended, hurt,or not put in his right place: forfomtimes fom areborn with more fingers then they fhould, otbevfom but with one finger: fom with thofe parts divided which fhould bee joined, others with thofe parts joined which fhould bee divided:fom are bomwith the privities of both fexes, male and female. And Ariftotle faw a Goat with a horn upon her tyiee. No liveing creature was ever born which wanted the Heart,but fom have been feen wanting the Spleen,others with two Spleens,and fom wanting one oftbe Reins. And none have bin kpown to have wanted the whole Liver,although fom have been found that bad it not perfefi and whole: and there have been thofe which wanted the Gall, when by nature they fhould have bad it: and be ft des it hath been feen that the Liver, contrarie to his natural fite, hath lien on the left fide, and tbe Spleen on the right. Som women alfo have had their privities clofed,and not perforated, the membranous obftacle, which they call the Hymen,hindering. And men are fomtimes bomwith their fundaments, ears,nofes,and the reft of the paffages fhut, and are accounted m onhrous, nature erring from its entended fcope. But to conclude,thofe Monfters are thought to portend fom ill,which are much differing from their nature. « ' ( ' What a Mon- Per is. What aProdi- gic is. chap: k Of the cauf of Moiiflers; and fir ft ofthofe Monfters which appear for the glorie of God, and the punijbment of mens lere ape reckoned upmanie caufles ofMonfteng the firft whereof is the glorieofGod, that his immenf power may bee manifefted to thole which are ignorant of it, by the fending of thole things which happen contrarie to nature: for thus our Sawior-Chsift anfwered the T)ifciples ("asking whether bee or his parents had offended, who beeingZw» blinde, received his light from him) that neither bee nor his parents had committed anie fault fo great, but this to happened onely that the glorie and majeftie of God Ihould bee divulged by that miracle, and liich great works. Another cauf is, that God may either punifli men's wickednels, or lhew ligns of punilh- ment at hand,becaufparents lomtimes lie and join themfelvs together without law and mea- fure, or luxurioully and beaftly, or at liich times as they ought to forbear by the command of God and the Church, luch monftrous, horrid and unnatural births do happen. 'the figure of a Colt with a man's face. At Verona Anno Dom. i 2 5 4. a mare foaled a colt with the perfeft face of a man, but all the reft of the bodie like an horf: a little after that, the war between the Floren- tines and Pifans began , by which all lu/zewas in acombuftion. About Lib.25. Of Monsters and Prodigies. 649 Lbe figure of a winged Monfter. About the time that Pope Julius the fe- cond raifed up all Italic, and the greateft part of Chriftendom , againft Lewis the twelfth the King of France 3 in the year of of our Lord 1512. (in which yearj upon Eafter daie, near Ravenna was fought that mortal battel, in which the Pope's forces were overthrown) a monfter was born in Ravenna, haveing a horn upon the crown of his head, and befides,'two wings, and one foot alone, moft like to the feet of birds of prey,and in the knee thereof an eie, the pri- vities of male and female, the reft of the bo- die like a man, as you may fee by this fi- gure. The third cauf is, an abundance of feed and overflowing matter* The fourth, the fame in too little quantitie, and deficient. The lift, the force and efficacie of imaginati- on. The fixt, the ftraightnefs of the womb. The feventh, the difbrderly fite of the partie with childe,and the pofition of the parts of the bodie. 1 he eight, a tall, ftrain or ftroak, Specially upon the bellieof a woman with childe. The ninth, hereditarie difeafes, or affefts by anie other accident. The tenth, the confufion and mingling together of the feed. The eleventh, the craft and wickednefsof the divel. There are fom others which are accounted for monfters, becauf their original or ellence full of admiration, or do aflume 3 certain prodigious form by the craft of fbm beg- ging companions; therefore wee will /peak briefly of them in their place in this our treatife of monfters. CHAP. IL Of Monjiers cauffed by too great abundance of feed- Eeing wee have already handled the two former and truly final caufles of mon- gers, wee muft now com to thole which are material,corporeal and efficient cau- les, takeing our beginning from that wee call the too great abundance of the matter of feed. Itis the opinion of thole Philolbphers which have written of monfters, that if at anie time a creature bearing one at once, as man, lhall call forth more feed in copulation then is neceflarie to the generation of one bodie, it cannot bee that one- ly one ffiould bee begot of all that; therefore from thence either two or more muftarile: whereby it commeth to pals, that thele are rather judged wonders, becauf they happen lel- dom, and contrarie to common cuftom. Superfluous parts happen by the fame cauG that twins and manie at one birth, contrarie to nature's do chance, that is, by a larger ef- fufion of feed then is required for the frameing of that part , that fo it exceed's either in number or elf in greatnefs. So /luftin tell's that in his time in the Eaft an infant was born, haveipg all the parts from the bellie upwards double, but from thence downwards Angle and Ample: for it had two heads,foureies, two breafts, four hands, in all the reft like to a- notherchilde, and it lived a little while. Cdiw Rbodiginuf faith hee faw two monfters in Italie, the one male, the other female, handlbmly and neatly made through all their bodies, except their heads, which were double; the male died within a few daies after it was born; but the female (whole lhape is here delineated) lived twenty-five years,which is contrarie to the common cuftom of monfters j for they for the moft part are verie ffiort-Iiv'd, becauf they both live and are born, as it were, againft nature's conlent; to which may bee added,, they do not love themlelvs, by realbn they are made a fcorn to others, and by that means. lead a hated life. Monfters are feldom long- lived. But Of iVvionflers and 'Prodigies 650 Lib. 2.5. But it is moft remarkable which Lycoftbenes tellcth of a * Woman-monitor, for, exce- pting her two heads, fhee was framed in the reft of her bodie to an exaft perfeftion : her two heads had the like defire to eat and drink, to deep, to fpeak,and to do everie thing ; fhee begged from door to door, eyerie one giveing to her freely. Yet at length ftiee was banifh't Bavaria, left that by the frequent looking upon her, the imagination of women with childe, ftrongly mooved, fhould make the like impreflion in the infants they bare in their wombs. The effigies of a * Maid with two beads. T'he effigies of two a Girls whofebacly grew together. In the year of our Lord 1475. at Verona in Italic, two a Girls were born with their backs flicking together from the lower part of the fhoulders unto the verie buttocks. The noveltie and ftrangenels of the thing mooved their parents, becing but poor, to carrie them through all the chief towns in Italie to get monie ofallfuch as came to fee them. The figure of a man with another growing out of him. In the year 1530. there was a man to bee feen at Parks, out of whole bellie another, perfeft in all his members except head,hang- ed forth as if hee had been grafted there. The man was fortie years old, and hee carried the other implanted or growing out of him, in his arms, with fuch admiration to the be- holders, that manie ran verie earnefliy to fee him. Ibt LiB.25. OfMongers and Trodigies. 651 The effigies of a horned or hooded monfter. At guiers, a fmall village fom ten miles fem Turine in Savoy, in the year 1578. upon the feventeenthdaieofja- nuarie, about eight a clock at night, an honeft matron brought forth a childe haveingfive horns, lik to Ram's horns,let oppofite to one another upon his head: hee had allo a long peece of flefh, like in fom fort to a French- hood which women ufed to wear, hanging down from his forehead by the nape of his neck almoft the length of his back: two otherpeeces offlefh, like the collar of a ihirt, were wrapped about his neck - the finger's ends of both his hands fbmwhat refembled a Hawk's talons, and his knees feemed to bee in his hams: the right leg and the right foot were of a verie red color 5 the reft of the bodie was of a tawnie color :* it is faid hee gave fo terrible a fcritch when hee was brought forth, that the Midwives, and the reft of the women that were at her labor, werefb frighted that they prefently left the houf and ran away. When the Duke of Savoy heard of this monfter, hee com- manded it fhould bee brought to him, which performed, one would hardly think what various cenfures the Cour- tiers gave of it. The monfter you fee here delineated, was found in the middle and inpermoft part of an * Egg, with the face of a man, but hairs yeelding a horrid representation of Snakes; the chin had three other fhakes ftretched forth like a beard. It was firft feen at Autun, at the houf of one Bancberon a Lawyer, a maid breaking manie egs to butter : the white of this egg given a Cat, prefently killed her. Laftly this monfter comming to the hands of the Baron Senecy» was brought to King Cbarls the ninth beeing then at Metz. 'the fhaye of a monfter found in an * Egg. The effigies of a monftrous b Childe, baveing two heads,two arms and four legs. 4 In the year 1546. a woman at Pari/ in her fixt month of her account, brought forth a b Childe haveing two heads, two artns and four legs : J, differing the bodie of it, found but one heart,by which one may know it was but one infant. For you may know this from Afi/lotle, whether the monftrous birth bee one or more joined together,by the principal part:for if the bodiehave but one heart,it is but onejif two,it is double by the joining together in the con- • In ception. Of and'Prodigies. L1B.Z5. 652 In the year 1569. a certain woman of lower f was delivered of * Twins joined together with one headland mutually embraceing each other. Renat m Ciretus the famous Chirurgian of thofe parts,Cent mee their Sceleton. the portraiture of * twins joined toge- ther with one head. the effigies of two c Girls beeing twins, joined together by their fore-heads. Munffir write's that in the village not far from in the year 1495. hee faw two c Girls perfeft and entire in everie part oftheir bodies, bur they had their foreheads fo joined together that they could not bee parted or fevered by anie art: they lived together ten years; then the one dying, it was needful to feparate the liveing from the dead: but fhee did not long out-live her After, by rcafbn of the malignitie of the wound made in parting themafunder. In the year of our Lord 1570: the twentieth of Julie, at Paris, in the ftreet Gravilliers, at thefign of the Bell, thefe two infants were born, differing in lex, with thatfhapeofbodie that you fee here exprefled in the figure. • They were baptized in the Church of S. Nicolas of the fields, and named Ludovicus and Ludovica, their father was a Mafbn, his name was Peter Germane, his furname Petit Dieu (z.) little-God, his mother's name was Mathea Petronilla. the fhape of the infants lately born at Paris. Tn LiB.25. Of Monsters and Prodigies. 653 In the year 1572 in Pont de See, near Angers a little town, were born upon the tenth daie of Julie, two girls, perfeft in their limbs,but that they had but four fingers apiece on their left hands: they clave together in their fore parts,from their chin to their navel, which was but one, as their heart alfo but one; their liver was divided into four lobes: they lived half an hour, and were baptized. "The figure of two girls joined together in their breafts and bellie. Tfo figure of a childe with two beads, and the bodie as big as one of four monetbs old. caf.3» Cdius Rbodiginus tell's, that in a town of his countrie called Sarzano, Italie beeing trou- bled with civil Wars, there was born a monfter of unufual bignefs 5 for hee had two heads, having all his limbs anfwerable in greatnefs and tallnefs to a childe of four months old; be- tween his two heads, which were both alike, at the fetting on of the fhoulder, it had a third hand put forth, which did not exceed the ears in length, for it was not all feen: it was born the 5. of the Ides of March31514* "The figure of one with four legs and as manie arms. 'The figure of a man out of whofe bellie another head {hewed it felf. Jovianu Pont an m tell's in the year 1529. the ninth daie of Januarie,there was a man childe born in Germanie, haveing four arms, and as many legs. In the year that Francis the firft King of France entered into league with the Swijfes, there was born a monfter in Germanies out the midft of whole bellie there ftood a great head; it came to man's age, and his lower, and as it were inferred head,was nourifhed as much as the true and upper head. Kk k ln Of Monger sand {Prodigies. Lib,25.' 654 Tbe (bflVe of two tnonftrous Twins, beeing but of one onely Sex. In the year 1572. the laftdaieof Februarie, in rhe parifh of Vinban, in thewaieas you go from Carnuta to Paris, in a fmall village called Bordes one called Cypriana Giranda, the wife of James Merchant a husbandman, brought forth this monfter whole (hape you fee here delineated, which lived until the Sundaie beeing but of one onelyfex, which was the female. In the year 1572. onEafter Mundaie at Metz in Lorain , in the Inn whole fign is the Holie Ghoft,a Sow pigped a pig, w had eight legs, four ears, and the head of a dog 5 the hinder part from the bellie downward was parted in two as in twins, but the fore-parts grew .'into one 5 it had two tongues in the mouth, with four teeth in the upper jaw, and as manie in the lower. The (ex was not to bee diftinguiffied,whether it were a Bore or Sow pig, for there was one flit under the tail, and the hinder parts were all rent and open.The (hape of this monfter, as it is here fet down, was fent mee by Borgefius the famous Phyfician of Metz. Tbe fbape of a monftrus Pig. CHAP. III. Of women bringing manie Children at one birth. Oman is a creature bringing ulually but one at a birth: but there have been lorn who who have brought forth two, lorn three, lorn four, fom five, fix, or more at one birth. Empedocles thought that the abundance of feed was the cauf of luch nu- merous births : the Sto'ikj affirm the diverI cells or partitions of the womb to bee the cauf j for the feed beeing varioufly parted into thefe,partitions , and the conception di- vided, there are more children brought forth; no then in rivers,the water beating • againft the rocks, is turned into divers circles or rounds.y But Ariftotle faith there is no rea- fon to think fo, for in women that parting of the womb into cells, as in dogs and fows, ta- keth no place; for women's wombs have but one parted into two recedes, the right and left, nothing comming between, except by chahte diltinguilhed by a certaine line; for often twins lie in the lame fide of the lypmb. lAriftotle's opinion is , that a woman cannot bring forth more then five children at due birth. The maid of Auguftus Cefar brought forth five at a birth,and,a Ihort while after,(he and her children died. In the year 15 54. at Be-arn in Switzerland, the wife of Dr. John Gelenger brought forth five children atone birth,three boies and two girls. Albucrafis, affirm's a woman to have been the mother of feven children at one birth;and another,who by fom external injurie did abort,brought forth fifteen perfectly Iha- ped in all their parts. Elinie report's that it was extant in the writeings of Phyficians, that twelv children were born at one birth;and that thf re was anotherin Peloponnefus which four ieveral times was delivered of five children at one birth , and that the greater part of thole children lived. It is reported by Valecbampius that Boftaventura the Have of one Savil, a gen- tleman of Senapt one time brought forth (even children, of whichfourwere baptized.In our time,between Sarte and Main., in the pariffi of far from Cbambellay, there is a fami- lie and noble houf called Maldemeure; the wife of the Lord of Maldemeure, the firft year lhee was married brought forth twins, the lecond year lhee had three children, the third year four, the fourth year five, the fifth year fix, and of that birth lhee died: of th-ole fix one is yet alive, and is Lord of Maldemeure. In the valley of Beaufort, in the countie of Anjou, a young woman the daughter of Mace Cbanniere, when at one perfeft birth lhee had brought forth one childe,the tenth daie following lhee fell in labor of another, but could not bee delivered untill it was pulled from her by force, and was the death of the mother. Martin 4'Depen, anim. I,ib.7.C<tpl I. Lib.15. Of Monsters and 'Prodigies. 655 T'be picture of Dorothie, great with childe with manic children. Martin Cromerw the autor of the Polith hifto- rie, writeth that one Margaret, a woman Iprung from a noble and ancient familie neer Cracovia, and wife to Count VirboJlaM, brought forth at one birth thirtie five live children, upon the twentieth daie of Jan. in the year Pic ns Mirandula writeth that one Dorotbie an Italian had twentie children at two births; at the firft nine, and at the ftcond eleven, and that fhee was fo big, that lhee was forced to bear up her bellie, which laie upon her knees, with abroad and large fcarf tied about her neck,as you may fee by this figure. The nfnth Book of the Polifh Hifto- lie. And they are to bee reprehended here again, who affirm the cauf of numerous births to coniift in the varietie of the cels of the womb,for they feign a Woman's womb to have (even cels or partitions 5 three on the right fide for males, three on the left fide for femals,and one in the mid'ft for Hermophrodites or Scrats: and this untruth hath gon lb far,that there have been fom that affirmed everie of thefe feven cels to have been divided into ten partitions,into which the feed difperfed,doth bring forth a divers and numerous encreaGaccording to the varietie of cels furniffied with the matter of feed; which, though it may feem to have been the opinion of Hippocrates,in his Book Ve natura Pueri, notwithftanding it is repugnant to reafon,and to thole things which are manifeftly apparent to the eies and fenfts. The opinion of Ariftotle is more probable,who faith twins and more at one birth, are be- got and brought forth by the fame cauf that the fixth finger groweth on the hand,that is,b/ the abundant plentie of the feed,which is greater and more copious then can bee all taken up in the natural framing of one bodie 5 for if it all bee forced into one,it maketh one with the parts encrealed more then is fit,either in greatnefs or number j but if it bee,as it were,cloven into divers parts,it caufleth more then one at one birth. Lib.i.degen. tnim.cep-i' CHAP. IV. Of Hermaphrodites, or Scrats* Nd here allo wee muft (peak of Hermoph rodites,becauf they draw the cauf of their generation and conformation from the abundance of feed,and are called lb, becauf they are of both fexes,the woman yeelding as much feed as the 'man. For hereupon " it commeth to pals that the forming/facultie (which al wales endeavor's to produce iomthing likeitfelf) doth labor both the matters almoft with equal force,and is the cauf that one bodie is of both fexes. Yet lom make four differences of Hermoph rodites j the firft of which is the male Hermo- phrodite,who is a perfeft and ablblute male,and hath onely a flit in the Perineum not perfo- rated,and from which neither urine nor feed doth flow. The fecond is the female, which be- sides her natural privitie,hath a flelhie and skinnie fimilitude of a man's yard, but unapt for erection and ejaculation of feed, and wanteth the cod and ft ones j the third difference is of jhofe, which albeit they bear the exprefs figures of members belonging to both fexes, commonly fet the one againft the other, yet are found unapt for generation, the one of them onely ferving for makeing of water: the fourth difference is ofthofe who are Kkk 2 able Of Monflers and Prodigies. Lib,Z5. 656 able in both (exes, and throughly perform the part of both man and woman, becauf they .have the genitals of both fixes complete and perfeft, andalfo the right brcft like a man, and the left like a woman: the laws command thole to chufi the lex which they will ufi, and in which they will remain and live, judging them to death if they bee found to have departed from the fex they made choice of, for fom are thought to have abufid both, and promifiu- oufly to have had their pleafure with men and women. There are figns by which the Phy- licians may difiern whether the Hermophrodites are able in the male or female lex, or whe- ther they are impotent in both: thefe figns are molt apparent in the privities and face j for if the matrix bee exaft in all it's demenfions, and lb perforated that it may admit a man's 'yard, if the courfes flow that waie, if the hair of the head bee long, flender and foft, and to conclude,if to this tender habite of the bodie a timid and weak condition of the minde bee added, the female fex is predominant, and they are plainly to bee judged women. But if they have the Perineum and fundament full of hairs, (the which in women are commonly without anie) if they have a yard of a convenient largenefs, if it hand well and readily, and yeeld feed, the male fex hath the preheminence, and they are to bee judged men. But if the conformation of both the genitals bee alike in figure,quantitie,and efficacie, it is thought to bee equally able in both fixes: although by the opinion of thofi who have double genitals, the one ofthe male, the other of the female, the one of them is alwaies perfeft, the other imperfeft. Lib.t de gener. anim.cap.f. 'Tbefigure of Hermaphrodite twins cleaving together with their bacfs. 7'he effigies of an Herniopbrodite haveing four bands and feet. The fame day the Venetians and Genoefes entred into league , there was a monfter born in Italic haveing four arms and feet., and but one head; it lived a little after it was baptized. James Ruef a Helvetian Chirurgian faith hee faw the like5but which befides had the privities of both lexes, whofe figure I have therefore let forth, Pag. 653. Anno Dorn. 148 6.In the Palatinate, at the village Pobach, neer Heidelberg, there were twins, both Hermophrodites, born with their backs flicking together. CHAP. V. Of the changeing of Sex. Matttt Lufitanus report's that in the village Efquina, there was a maid na- med Maria Patera, who at the appointed age for her courfes to flow, had in ftead of them a man's yard, laying before that time hid and covered, fo that of a woman ffiee became a man, and therefore laying afide her woman's habite , was cloathed in man's, and change- ing her name, was called Emanuel', who, when hee had got much i wealth by manic and great negotiations and commerce in India, returned into his countrie y and married a wife: but Lufitanttf faith heedid not certainly know whether hee had anie children, but that hee was certain he remained alwaies beardlels. . Anthonie Loqucneux, the King's keeper or receiver of his rents of St.Quintain at Vermandvir, lately affirmed to mee that hee faw a man at Reimer, at the Inn haveing the fign of the S wan, . l : . in LiB.25. Of Monsters and'Prodigies. 657 in the year 15 60. who was taken for a woman untill the fourteenth year of his age; for then it happened as he played fbmwhat wantonly with a maid which laie in the fame bed with him, his members (hitherto lying bid) ftarted forth and unfolded themfelvs: which when his parents knew (by help of the Ecclefiaftick power) they changed his name from Joan to John, and put him in man's apparel. Somyears agon, beeing in the train of King Cbarls the Ninth,in the French Gla(s-hou£ I was (hewed a man called Germane but by fom Germane Maria (becauf in former times when hee was a woman hee was called Marie') hee was of an indifferent ftature, and well fet bodie, with a thick and red beard; hee was taken for a girl until the fifteenth year of his age, becauf there was no fign of beeing a man feen in his bodie, and for that amongft women, hee in like attire did thofe things which pertain to women: in the fifteenth year of his age, whileft hee fomwhat earneftly purtued hogs given into his charge to bee kept, who running into the corn, hee leaped violently over a ditch, whereby it came to pals that the ftaies and foldings beeing broken, his hidden members fuddenly broke forth, but not without pain; going home,hee weeping complained to his mother that his guts came forth: with which his mother amazed, calling Phyficians and Surgeons to counlel, heard hee was turned into a man ; therefore the whole bufinefs beeing brought to the Cardinal the Bifhop of Lenuncure} an a ffemblie beeing called, hee received the name and habite of a man, Plinie report's that the fon otCafjinus of a girl became aboy,liveing with his parents 5 but by the command of the Sooth-faie'rs hee was carried into a defert Ifle, becauf tney thought fuch monfters did alwaies (hew or portend fom monftrous thing. Certainly women have fo manie and like parts lying in their womb,as men have hanging forth; onely a ftrongand livelie heat feem's to bee wanting,which may drive forth that which lie's hid within: there- fore in procefs of time, the heat beeing increated and flourithing, and the humiditie (which is predominant in childe-hood) overcom, it is not impoflible that the virile members,which hitherto (luggifli by defeft of heat, lay hid, may bee put forth 5 efpecially if to that ftrength of the growing heat fom vehement concuflion or jaftation of the bodie bee joined. There- fore I think it manifeft by theft experiments and reafons, that it is not fabulous that iom women have been changed into men : but you fFia.ll finde, in no hiftorie men, that have dege- nerated into women; for nature alwaies intend's and goe's from the imperfeft to the more perfeft, but not bafely from the more perfeft to the imperfect CHAP. V I. Of Mongers caufed by the defeat of Seed. \ on the contrarie, the feed bee anie thing deficient in quantitie, for the confor- mation of the infant or infants, fomone or more members will bee wanting, or more ftiort and decrepite. Hereupon it happen's that nature intending twins, a childe is born with two heads, and but one arm, or altogether lame in the reft of his limbs. The effigies of a monstrous cbilde, by reafon of tbe defect of the matter of feed. Anno I faw at Saint Andrew's Church in Paris, a boy nine years old, born in the village ParfaviUa, iix miles from Guife his father's name was Peter Renard, and his mother, Marguete: hee had but two fingers on his right hand, his arm was well proportioned from the top of his flioulder almoft to his wrift, but from thence to his two finger's ends it was verie deformed, hee wanted his legs and thighs, al- though from the right buttock a certain unper- feft figure, haveing onely four toes , feemed to put it felf forth; from the midft of the left but- tock two toes fprung out, the one of which was not much unlike a man's yard, as you may fee by the figure. Kkk j In 658 Of <£Monflers and Prodigies. Lib.25. In the year 1562m the Calends of November, at Villa franca in Gafconie, this monitor, a headlefs woman, whole figure thou here lee'ft, was born, which figure Dr. John Altinw the Phyfician gave to mee, when 1 went about this book of Monitors, hee haveing received it from Fontanus the Phyfician of Angoleftre, who ferioully affirmed hee law it. T'be figure of a monftrous woman witbout a bead, before and bebinde. T'be effigies of a man witbout arms, doing all tbat is ufually don with bands. Tik effigies ofamottfterwitb two beads, two legs, and but one arm. A few years agon there was a man of fortie years old to bee leen at Paris, who although hee wanted his arms, notwithftanding did indifferently perform all thole things which are ufiially don with the hands; for with the top of his Ihoulder, head and neck > hee would ftrikeanAxe or Hatchet with as fare >and firong a blow into a poft, as anie other man could do with his hand: and hee would lalh a Coach-man's whip , that hee would make it give a great crack, by the ftrong refra&ion of the air 5 but hee ate, drank, plai'd at cards, and loch Lib.15. Of Monsters and 659 fiich like, with his feet. But at laft hee was taken for a thief and murderer, was hanged, and fattened to a wheel. Allo not long ago there was a woman at Pari/ without arms,which neverthelefs did cut, few, and do many other things, as if (hee had her hands. Wee read in Hipocrates,that Attagenis his wife brought forth a childe all of flefli with- out anie bone, and notwithftandingk had all the parts well formed. CHAP. VII. Of Mongers, which take their cauf and [bap by imagination* He Antients haveing diligently fought into all the fecrets of nature, have mark- ed and obferved other caulTes of the generation of Monfters: for, underftanding the force of imagination to bee fo powerful in u$,as for the moft part,it may al- ter the bodie of them that imagine, they foon perfwaded themfelvs that the fa- cultie which formeth the infant may bee led and governed by the firm and ftrong cogitation of the Parents begetting them (often deluded by nofturnal and deceitful apparitions) or by the mother conceiving them 5 and fo that which is ftrongly conceived in the minde, im- print's the force into the infant conceived in the womb : which thing manie think to bee confirmed by Mofes, becauf hee tell's that Jacob encreafed and bettered the part of the lheep granted to him by Laban, his wive's father, by putting rods, haveing the bark in part pul- led offjfinely ftreaked with white and green, in the places where they ufed to drink, efpeci- ally at the time they engendred , that the reprefentation apprehended in the conception, fliould bee prefently impreffed in the young , for the force of imagination hath fo much power over the infant, that it let's upon it the notes or charafters of the thing conceived. Wee have read in Heliodorus, that Perftna Queen of JEtbiopa, by her husband Hiduftes, beeingalfo an Ethiope, had a daughter of a white complexion 5 becauf in the embraces of her husband, by which fhee proved with childe, fhee earneftly fixed her eie and minde upon the pifture of the fair Andromeda ftanding oppofite to her. Damajcetie report's, that hee faw a maid hairie like a Bear, which had that deformitie by no other cauf or occafron then that her mother earneftly beheld, iu the verie inftant of receiving and conceiving the feed , the image of S.Jobn covered with a Camel's skin, hanging upon the pofts of the bed. They by this explication of the cauffes,free'd a certain noble woman fron fufpition ofadulterie,who beeing white her felf, and her husband alfo white, brought forth a childe as black as an Ethiopian, becauf in copulation fhee ftrongly and continual!) had in her minde the pifture of the Ethiope. The force of imagination upon the bodie and humors. J Gm.cbty.30. The effigies of a maid all bairie, and an infant that was blackjy the imagination of their Parents There 660 Of (infers and 'Prodigies. L ib.25. There are lorn who think the infant once formed in the womb, which is don at the ut- moft within two and fortie daies after the conception, is in no danger of the mother's ima- gination, neither of the feed of the father which is call into the womb ; becauf uhen it hath got a perfeft figure, it cannot bee altered with anie external form ot things 5 which whether it bee true, or no, is not here to bee inquired of: truly I think it belt to keep the woman, all the time fhee goeth with childe, from the fight of fuch lhapes and figures. In Stecquer a village of Saxonie, they fay, a monfter was born,with four feet,eies, mouth, and note like a calf, with a round and red excrefcence of flefh on the forehead, and alfba piece of flefh like a hood hung from his neck upon his back, and it was deformed with its thighs tom and cut. 'the figure of an infant with a face like a Frog, the effigies of a horrid Monfter, haveingfeet bands and other parts like a Calf. AinoVom. 1517. in the parifli Kingfwood, in the forreft Biera, in the waietoFon- taiu-Bleau, there was a monfter born, with the face of a Frog, beeing feen by John Bellanger, Chirurgian to the King's Engineers, before the Juftices of the town of Harmoy, principally John Bribon the King's procurator in that place. The father's name was jdmadams the Little, nis mother's Magdalene Sarbucata, who troubled with a fever, by a woman's perfwafion, held a quick frog in her hand until it died,fliee came thus to bed with her husband and con- ceived ; Bellanger, a man of an acute wit, thought this was the cauf of the monftrous defor- mitie of the childe. CHA VIII. Of Mongers caujfed by the ftraitnefs of tbe womb. That the ftaaitnefs or littlencfs of the womb may bee the occafi- on of mongers E Eare conftrained to confefs by the event of things , that monfters are, bred and caufled by the flraitnefs of the womb; for fo apples growing upon the trees, if be- fore they com to juft ripenefs, they bee put into ftrait veflcls, their growth is hin- dred- So fom whelps which women take delight in, are hindred from anie further growth by the littlenefc of the place in which they are kept-Who know's not that the plants growing in the earth, are hindred from a longer progrefs and propagation of their roots,by the oppofition of a flint, or anie other folid bodie, and therefore in (uch places are crook- ed, (lender and weak, but on the other part, where they have free nourifhment, to bee ftrait and ftrong > for feeing that by the opinion of Naturalifls, the place is the form of the thing placed ; it is neceflarie that thole things that are (hut up in ftraiter fpaces,prohibited of free motion, (hould be leflened, depraved, and lamed. Empedocles and Dtybilw acknowledged three caufles of monftrous births: The too great or final! matter of the feed 5 the corruption of the (ecd ;and depravation of growth by the flraitnefs or figure of the womb: which they thought the chicfeflofall jbecaufthey thought LiB.25. Of Mongers and 661 thought the cafe was fuch in natural births, as in forming of metals and fufible things, of which ftatues beeing made,do lefs exprefs the things they bee made for,if the molds or forms into which the matter is poured, bee rough, fcabrous, too ftrait,or otherwife faultie. CHAP. IX. Ofmonfters cauffed by the ill flaceing of the mother, in fitting, lying down, or anie other fite of the bodie in the time of her beeing with childe. EE often too negligently and carelefly corrupt the benefits and corporal en« dowments of nature in the comlinefs and dignitie of conformation: it is a thing to bee lamented and pitied in all, but Specially in women swith childes becauf that fault doth not only hurt the mother3but deform's and pervert's the infant which is contained in her womb: for wee mooving anie manner of waie5 muft necet farily moov whatfbever is within us. Therefore they which fit idlely at home all the time of their beeing with childe, or crofs-legged3 thofe which holding their heads down, do fow or work with the needle , or do any other labor, which prefs the bellie too hard with cloaths, breeches or fwathes,do produce children wrie-necked3ftooping3 crooked, and disfi* gured in their feet,hands3and the reft of their joints, as you may fee in the following figure. the effigies of a childe, who from the fir ft conception, by the fite of the mother, bad his hands and feet /landing crookfd. CHAP. X. Of confers, cuff'd by a firoke»W, or the like occafion- Here is no doubt but if anjeinjurie happen to a woman with childe, by rea- fon of a ftroke, fall from on high idr the like occafion, the hurt alfo. may extend to the childe. T hereforeby jhefe occafions the tenderphones may bee broken, wreftcd, drained, ordepravdl after fom other monflrous mann r, and more, by the like violence of inch things, a vein is often opened or broken, or a flux of bloud, or great vomiting,is clifled by the vehement whole bodie, by which means the childe want s ndiirifhnient, an ere and little, and altogether monftrous. CHAP. 662 Of <£Monflers and Trodigtes. Lib.zj. CHAP. XI. Of Monfters which have their original by reafon of hereditarie difeafes. Y the injurie of hereditarie difeafes , infants grow monftrous, that is, mon- ftroufly deformed: for crook't-back't produce crook-back't, and often-times fo crooked, that between the bunch behinde and before, the head lie's hid, as a Tortoif in her (hell: id lame produce lame, flat-nos'd their like, dwarfs bring forth dwarfs,lean bring forth lean, and fat produce fat. CHAP. XII. HHat which followeth is a horrid thing to bee fpoken 5 but the chafteminde of the Reader will give mee pardon, and conceive thajt, which not onely the Stoicks, but all Philofophers, who are bufied about the fearch of the caufles of things, muft hold,That there is nothing obfeene orfilthie to bee fpoken. Thofe things that are accounted obfeene may bee fpoken without blame, but they cannot bee afted or perpetrated without great wickednefs, furie and madnefs; therefore that ill which in obfcuritie confift's not in word, but wholly in the aft. Therefore in times paft there have beenfbm, who nothing fearing the Deitie, neither the Law, nor themfelvs, that is, their foul, have foabjefted and proftratedthemfelvs, that they have thought themfelvs nothing different from beafts: wherefore Atheifts, Sodomites, Out-laws, forgetful of their own ex- cellencie and divinitie, and transformed by filthie lull, have not doubted to have filthie and abominable copulation with beafts. This fo great, fo horrid a crime, for whofe expia- tion all the fires in the world are not fufficient, though they too malicioufly craftie, have concealed, and the confcious beafts could not utter, yet the generated mi (-th a pen iffue hath abundantly fpoken and declared, by the unfpeakable power of God, the revenger and puni- Iher offuch impious and horrible aftions. For of this various and promifeuous confufion of feeds of a different kinde, Monfters have been generated and born, who have been partly men, andpartly beafts. The like deformitie of iffue is produced, if beafts of a different fpecies do copulate toge- ther, nature alwaies affefting to generate fbmthing which may bee like it felf: for wheat grow's not but by fowing of wheat, noran apricock but by the fetting or grafting of an a- pricock; for nature is a nioft diligent preferver of the fpecies of things. Of Monfter i by tbe confujion of feed of divers kjndes. *tbe effigies of a Monger balf man and balf dog. Anno Dom. 1493. there was generated of a woman and a dog, an iflue, which from the navel upwards perfeftly re- fembled the fhape of the mother, but therehence downwards the fire, that is, the dog. This monfter was lent to the Pope that then reigned, as Volaterane writeth : alfo Cardane mention's it; wherefore I have given you the figure thereof. Ctrdm.Kb.i4- devar.rtrwn "f-9* Ctlius Lib.z?. Of Mongers and 663 'Ibe figure of a Monfter in face refembling a man, bnt a Goat in his other members. CAius Rhodoginus write's that at Sib*> ris t a heardf-man called Cbrathis fell in love with a Goat, and accompanied with her, and of this deteftable and brutifli co- pulation an infant was born, which in legs refembled the dam, but the face was like the father's. The figure of a pig, with the bead, face, bands, and feet of a man* Anno Dow* mo. In & certain town of Liege ( as faith Lycoftbenes _) a Sow farrowed a pig with the head, face, hands, and feet ofaman,but in the reft of the bodie refembling a fwine. Anno Dom. 15 64. at Eruxels, at the houf of one Joeft Dittzpeert, in the ftreet Warmoesbrt-* efts,a Sow farrowed fix pigs, thefirft whereof was a monfter representing a man in the head, face, fore-feet and (houlders,but in the reft of the bodie another pig, for it had the genitals of a fow-pig, and it fucked like other pigs. But the ftcond daie after it was farrowed, it was killed of the people together with the lbw, by reafon of the monftroufnels of the thing.Here followed! the figure thereof. 'The effffies of a Monfter half man and balffwine. 664 Of and Trodigies LIB.Z5. Anno Dom. 1571. at Antwerp, the wife of one Michael a Printer dwelling with one John Molline a Graver or Carver, at the fign of the Golden Foot, in the Camiftrate, on St. tbomas his daie,at ten of the clock in the morning, brought forth a monfter wholly like adog, but that it had a fhorter neck, and the head of a bird, but without anie fethers on it. This mon- fter was not alive,for that the mother was delivered before her time; but fliee giveing a great fcritch in the inftant of her deliverance, the chimnie of the houf fell down, yet hurt no bo- die, no not Co much as anie one of four little children that fate by the fire-fide. the figure of a manlier likga dog, but with a head like a bird. Leto is Ge Hi us writeth that hee hath read in an approved autor, that an Ew once brought forth a Lion, a beaft of an unlike and adverf nature to her. AnnoDom- 1577- in the town BBw- J/e, three miles from Melon, there was lambed a Lamb,haveing three heads,the middlemoft of which was bigger then the reft, when one bleated they all bleated. John Bellanger the Chirurgian of Melon affirmed that hee (aw this monfter,and hee got it drawn,and lent the figure thereof to mee with that hu- mane monfter that had the head of a Frog, which wee have formerly deftri- bed. There are fom monfters in whole generation by this there may ftem to bee fom divine cauf, for that their be- ginnings cannot bee derived or drawn from the general cauf of monfters,that is, nature,or the errors thereof, by rea- fon of fom of the fore-mentioned par- ticular caufles: fuch are theft monfters that are wholly again all nature, like that which wee formerly mentioned,of a Lion yeaned by an Ew. Yet Aftrologers (left there fliould ftem to bee anie thing which they are - ignorant of) refer the caufles of theft to certain conftellations and afpefts of the Planets and Stars, according to Ariftotle's laying in his Problems 5 in confirmation whereof they tell us this tale. It happened in the time of Albertus Magnus, that in a certain village, a Cow brought forth a Calf, which was half a man: the townf-men apprehended the heardB-man, and condemned him as guiltie of fuch a crime,to bee preftntly burnt together with the Cow; but by good luck Albertus was there, to whom they gave credit by reafbn of his much and certain experience in Aftrologie, that it was no occafioned by anie humane wickednefs, but by the efficacie of a certain pofition of the ftars, that this monfter was born. CHAP* the figure of a three-beaded Lamb, Lib.z$. Of Mongers and Trodigies. 665 CHAP. XIII. Of monfters occasioned by the craft and fubtiltie of the Devil. N treating of fuch monfters as are occafioned by the craft of the Devil, wee crave pardon of the courteous Reader,if peradventure going further from bur purpofe, wee may feem to fpeak more freely and largely of the exiftence, na- ture, & kindes of Devils.Therefore firft it is manifeft that there are Conjurers, 1 Charmers, and Witches, which whatfoever they do, perform it by an agree-0 ment and compact with the Devil, to whom they have addifted themfelvs: for f* none Jan oee admitted into thatfocietie of Witches, who hath not forfaken God the Crea- tor,and his Saviour,and hath not transferred the worfhip due to him above,upon the Devil, to vhom hee hath obliged himfelf. And afluredly, whofoeveraddift's himfelf to thefe Ma- V gicd vanities and witch-crafts, doth it, either becauf hee doubt's of God's powepromifcs, ftuJie and great good will towards us: or elffor that hee is madded with an earnhft defire of knowing things to com; or elfbecauf difdaining povertie, hee affeft's and defire's from a pjor eftate to becom rich on the hidden. It is the conftant opinion of all, both antient and nodern,aswellPhilofophersas Divines, that there arefom fiich men 5 which when they Rave once addicted themfelvs to impious and divelifh Arts, can by the wondrous craft of the Divel, do manie ft range things, and change and corrupt bodies, and the health and life of them, and the condition of all mundane things. Alfo experience forceth us to confefs the fame, for punifhments are ordained by the laws againft the profeflbrs and praftifers of fiich Arts ; but there are no laws again thofe things which neither ever have been,nor never came into the knowledg of men : for fiich things are rightly judged and accounted for impofli- bilities, which have never been feen nor heard of. Before the birth of Chrift there have been manie fiich people, for you may finde in Exo- dus and Leviticus laws made againft fiich perlons by Mofes, by whom God gave the Law to his L people. The Lord gave the fentence of death to Ochawos by his Prophet, for that hee turned into thefe kinde of people. Wee are taught by the Scriptures that there are good and evil fpirits, and that the former are termed Angels, but the later Devils 5 for the law is alfo faid i to bee given by theminiftrie of Angels: and it is laid that our bodies fhall rife again at the C found of a trumpet, and the voice of an Arch-angel. Chrift faid that God would fend his 1 Angels to receiv the Eled into the heavens. The hiftorie of Job teftifieth ehat the Devil lent fire from heaven, and killed his fheep and cattel, and raifed windes that fhook the four corners of the houG and overwhelmed his chil- dren in the ruines thereof. The hiftorie of Acbab mentioneth a certain lying fpirit in the mouth of the falf Prophets.Sathan entring into Judas, moved him to betraie Chrift. Devils, J who in a great number poflefled the bod/e of a man, were called and obtained of Chrift that they might enter into Swine, whom they carried headlong into the Sea. • In the beginning God created a great number of Angels,that thofe divine and incorporeal fpirits might inhabit heaven, and as meflengers, fignifie God's pleafiire to men, and as mini- fters or fervants,perform his commands,who might bee as over-feers & proteftors of humane affairs. Yet of this great number there were fom who were blinded by pride,and thereby alfo caft down from the prefence, and heavenlie habitation of God the Creator. Thefe harm- ful and craftie fpirits delude men's mindes by divers jugling tricks,and are alwaies contri- 1 ving fbmthing to our harm, and would in a fhort fpace deftroie mankinde, but that God re- e ftrain's their furie; for they can onely do fo much as is permitted them: Expelled heaven, * fbm ofthem inhabit the air; others,the bowels of the earth; there to remain until God fhall c com to judg the world: and as you fee the clouds in the air fomwhiles to refemble centaures, otherwhiles ferpents,rocks, towers, men, birds, fifties, and other fhapes: fo thefe fpirits turn themfelvs into all the fhapes and wondrous forms of things; as oft-times into wilde- beafts, into ferpents, toads, owls, lapwings, crows or ravens, goats,affes, dogs,cats,wolvs, buls, and the like. Moreover, they oft-times aflume and enter humane bodies, as well dead as alive, whom they torment and puni(h,yea alfo they transform themfelvs into angels of light. They feign themfelvs to beefhut up and forced by Magical rings,but that is onely their r deceit and craft, they wifh, fear, love, hate, and oft-times as by the appointment and decree 0 of God they punifti malefa&ors : for wee read that God fent evil angels into Egypt, there to deftroie. They houl on the night,they murmure and rattle,as if they were bound in chains, they move benches, tables, counters, props, cupboards, children in the cradles, plaie at ta- bles and chefs,turn over books,tell monie,walk up and down rooms and are heard to laugh, to open windows and doores, caft founding veffels, as brafs and the like, upon the ground, break ftone-pots & glaffes, & make other the like noifes. Yet none of all thefe things appear to us when as we arife in the morning,neither find we anie thing out of its place or broken. L 11 They There are for- ceters,and how they com fo to bee. What induceth them thereto. Exod.cap.22'. Levit.cap.ip* Hebr.1.14. Gal. $.19. 1 Thefati(t Jfar.al.34* The power of evil (pints •- /cr mankinds. I The diffcren- 1 ces of devils. ' The delufioua ■ of devils* Of Mongers and Prodigies Lib. 25. 666 Their titles and names. They are called by divers names, as Devils, evil Spirits, Incubi, Succubi, Hobgoblins, Fairies, Robin-good-fellows, evil-Angels, Sathan, Lucifer, the father of lies, Prince of darknels and of the world, Legion, and other names agreeable to their offices and natures. CHAP. XIV. Oftbe fubterrene Devils, and fuch as haunt Mines. What the De- vils iu Mines do. Ewis Lav at er write's, that by the certain report of fiich as work in that in tom Mines there are feen fpirits, who in the fhape and habit ofmen, work there, and running up and down leem to do much work, when as notwithftmding they do nothing indeed.But in the mean time they hurt none of the by-ftaaders, unlefs they bee provoked thereto by words, or laughter. For then they will- throw lom heavie or hard thing upon him that hurt them,or injure them fom other waie. The fame autor affirm's that there is a filver Mine in Rhetia, out of which Peter Priot, the Governor of the place, did in his time get much Iilver. In this Mine there was a Devil,who chiefly on Fridaie,when as the Miners put the Mineral they had digged into tubs, kept a great quarter, and made himfelf exceeding bufie, and poured the Mineral as hee lifted, oat of one tub into another. It happened one daie that hee was more bufie then it ufed to bee,fo that one of the Miners reviled him, and bad him bee gone on a vengeance to the puniflimen: appointed for him. The Devil offended with his imprecation and feoff, fo wrefted the Mi- ner, takeing him by the head, twineing his neck about, hee fet his face behindehim, yet was not the workman killed therewith, but lived, and was known by divers for manie years after- • CHAP. XV. what means the Devils may deceiv us. mindes involved in the earthie habitation of our bodies, may bee deluded by the Devils divers waiesffor they excel in puritieand fubtiltie ofeffence,and in the fl | much ufe of things:befides, they challenge a great preheminence, as the Princes of this world, over all fublunarie bodies. Wherefore is is no marvel if they, the taachers and parents of lies , fhould caft clouds and mifts before our eies from the beginning, and turn themfelvs into a thoufand fhapes of things and bodies,that by thefe juglings and tricks they may fhado w and darken men's mindes. Devils are {pi- nts,and from ctcrnitie* CHAP. XVI. Of Sucubi and Incubi. Owerful by thefe fore-mentioned arts and deceits, they have fundrie times ac- companied with men in copulation, whereupon fuch as have had to do with men were called 5w«Z»i,thofe which made ufe of women, Incubi. Verily Sc. Auguftine feemeth not to bee altogether againft it, but that they, takeing upon them the fhape of man, may fill the genitals, as by the help of nature, to the cnu niau Dy Lids means they may draw afide the unwarie, by the flames of luft, from virtue and chaftitie. John Ruef in his book of the conception and generation of man, write s that in his time, a certain woman ofmonftrous luft, and wondrous impudencie, had to do by night with a Divel, that turned himfelf into a man, and that her bellie (welled upprefently after the aft; and when as ftiee thought fhee was with childe, (hee fell into fo grievous a difeaf, that (hee voided all her entrails by ftool, medicines nothing at all prevailing. The like hiftorie is told of the fervant of a certain Butcher, who thinking too attentive- ly on venereous matters, a Devil appeared to him in the fhape of a woman, with whomf fup- pofing it to bee a a woman J when as hee had to do, his genitals fb burned after the aft, that becomming enflamed hee died with a great deal of torment. Neither doth Peter Paludanus, and Martin Arelatenfis think it abfiird to affirm that Devils may beget children, if they fhall ejaculate into the woman's womb feed taken from ibm man either dead or alive. Yet this opinion is moft abfiird and full of falfitie, man's feed confifting of a feminal or fanguineous matter, and much fpirit: if it run otherwaies then into the womb from the tefticles, and ftaie never fo little a while,it lofeth it ftrength andef- ficacie, the heat and fpiri ts vaniffiing away; for even the too great length of a man's yard,is reckoned amongft the caufles of barrennefs , by reafoh that the feed is cooled by the length of the waie. If anie in copulation,after the ejaculation of the feed, prefently draw themfelvs from the woman s embraces, they are thought not to generate, by reafon of the air entring into The reafon of the name. Lib. if.de civil. Deijcap.n. & xj. An hiflorie. Another. An opinion confuted. Lib.25. Of Monfters and Prodigies. 667 into the yet open womb, which is thought to corrupt the feed. By which it appear's how * falf that hiftorie in Averrois is, of a certain woman that laid ftee conceived with childe by a man's feed fhed in a bath, and fo drawn into her womb, fhee entring the bath prefently af- OJ ter his departure forth. It is much lels credible that Divels can copulate with women, for they are of an ablblute Ipirituous nature, but bloud and flefh are neceflarie for the generati- on of man. What natural reafon can allow that the incorporeal Devils can love corporeal women > And how can wee think that they can generate, who want the inftruments of ge- neration > How can they who neither eat nor drink bee faid to fwel with feed > Now where the propagation of the fpecies is not neceflarie to bee lupplied by the lucceflion of individu- als, Nature hath given no defire of venerie, neither hath it imparted the ufe of generation; but the devils once created were made immortal by God's appointment: If the facultieof-j generation fhould bee granted to devils, long fince all places had been full of them. Where- o fore if at anie time women with childe by the familiaritie of the devil, feem to travel, we mull think it happen's by thofe arts wee mentioned in the former chapter,to wit, they ule to fluff tip the bodies of living women with old clouts, bones,pieces of iron, thorns, twifted hairs,, pieces of wood, ferpents, and a world of fuch trumperie, wholly diflenting from a womans nature:who afterwards,the time,as it were,of their deliverie drawing nigh,through the5 womb of her that was falfly judged with childe, before the blinded, and, as it were, bound up eies of the by-ftanding women, they give vent to their impoftures. The follow- ing hiftorie, recorded in the writings of manie moft credible authors,may give credit hereto. There was at Convince, a fair damofel called Margaret, who ferved a wealthie Citizen: lhee i gave it out everie where that fhee was with childe by lying with the devil on a certain night. Wherefore the Magiftrates thought it fit fhee fhould bee kept in prilbn, that it might bee apparent both to them and others, what the end of this exploit would bee. The time of de- liverance approchingjhee felt pains like thofe which women endure in travel; at length,af- ter manie throws, by the midwive's help, in head of a childe, fliee brought forth iron nails, pieces of wood, of glafkjboneSjftoneSjhairs, tow,and the like things,as much different from each other, as from the nature of her that brought, them forth, and which were formerly thruft in by the devil to delude the too credulous minds of men. The Church acknowledgeth that devils, by the permillion and appointment of Godpu- < nifhing our wickednefs, may abufe a certain lhape, fo to ule copulation with mankinde.But1 that an humane birth may thence arife, it not onely affirm's to bee falf, but deteft's as impi- ' ous, as which believ's that there was never anie man begot without the feed of man, our Sa- viour Chrift excepted. Now what confufion and perturbation of creatures fhould poffefs this world (as Cajsianus faith} if devils could conceiv by copulation with men ? or if women fhould proov with clylde by accompanying them,how manie monfters would the devils have brought forth from the beginning of the world ? how manie prodigies by calling their feed into the wombs of wilde and bruit beafts ? for by the opinion of Philolbphers, as often as facultie and will concur, the effeft muft neceflarily follow: now the devils never have wan- ted will to difturb mankinde, and the order of this world: for the devil, as they lay, enemie from the beginning; and as God is the autor of order, and beautie, lb the devil, by pride, contrarie to God, is the caufler of confufion and wickednefs. Wherefore if power fhould accrew equall to his evilminde and nature,and his infinite de- lire of mifehief and envie,who can doubt but a great confufion of all things and fpecies, and alfo great deformitie would invade the decent and comlie order of this univerf, monfters a- rifeing on everie fide: But feeing that devils are incorporeal, what reafon can induce us to believ that they can bee delighted with venereous aftions: and what will can there bee where as there is no delight, nor anie decaie of the fpecies to bee feared > feeing that by God's ap- pointment they are immortal, fo to remain for ever in punifhment : fo what need they fuc- ceflion of individuals by generation > wherefore if they neither will nor can jt is a madnefs to think that they do commix with man. Averrois bis hi- ftorie convift of falflioocL The illufions of the devil,, : A hi ftorie Our fins are thecauf that the devils a* bufe us. CHAP. XVII. Hat I may refrefh the mlnde of the Reader, invited to thefe hiftories of monfters raifed tip by the art of the devil, witches, and conjurers, his fervants,! have thought good to add the following hiftorie of certain diftafts, and remedies fuptrnatural,and wholly magical out of Fernelius. There are difeafes,which as they are ftnt amohgft men by God beeing offended, fo they cannot expeft cure othervvift then from God, from whence they are thought fupernaturally to have their ef- fefice and cure. Thus the air oft-times, yet chiefly in the time of King David, being defiled with the peftilence, killed fixtie odd thoufand perlons. Thus Ezechias was ftruck with a grievous diftaf: Job vvas'defiled with filthie ulcers by Sa- than at command. Andas the Devil, the cruel eriemie of mankinde, commonly Lila '; ufeth Of fitfernatural difeafes and remedies. ; Lib. i. de abdit, , cauf. cap.16. 668 Of tZMonjlers and Trodigies. Lib.25. Witches hurt i by the devil's | alii ft a nee. ufeth by God's permiflion toafflift thole, fo wicked perfons by the wondrous fubtiltie of 1 the devil, offer violence and do harm to manie. Som invoke 1 know not what Ipirits, and adjure them with herbs, exorcifms, imprecations,incantations, charms: others hang about their necks, or otherwife carrie certain writings, charafters, rings, images, and other fuch impious fluff* Som ufe longs, founds or numbers : fomtimes potions, perfumes, and Irnels; fomtimes geftuces and jugling. There bee fom that make the portraiture of the abfent partiein wax, and boaft that they can cauf or bring a dileaf into what Ibever part thereof they prick, by the force of their words and ftars, into the like part of the partie abfent; and they have no few other tricks to bring difeafes. We know for certain that magicians, witches, and conjurers, have by charms fo bound fbm, that they could not have to do with their wives 5 and have made others fo impotent,as if they had been gelt or made eunuchs. Neither do wicked men onely fend difeafet into man's bodie, but alfo devils themfelvs. Thefe truely are foon diftrafted with a certain hrie, but in this one thing they differ from fimple madnefs,for that they fpeak things ofgreatdife ficultie, tell things paft andhid,difclofethefecretsof fuch as are prefent, and revile them manie waies, and are terrified, tremble and grow angrie by the power of divine words. One not very long agon, beeing by reafon of heat exceeding drie in the night time, ris- ing out of his fleep,and not findeing drink, took an apple that hee found by chance,and eat- ing it, hee thought his jaws were (hut and held faft as by ones hands, and that hee was al- moft ftrangled : and alfo, now polfefled of a devil entring into him, hee feemed in the dark to bee devoured of a huge exceeding black dog, which hee, afterwards reftored to his former health, orderly related to mee. There were divers, who by his pulfr heat and the roughnefe of his tongue, thought him to bee in a fever, and by his watching, and the perturbation of his minde, thought him onely to rave. Another young Noble man, fom few years fince, was troubled at fet times with a lhaking of the bodie, and as it were, a convulfion, wherewith one while hee would moov onely his left arm, another while the right arm, and alfo lorn times but one finger onely, fomwhiles but one leg, fomtimes the other, and at other times the whole trunk of his bodie, with fuch force and agilitie, that lying in his bed, hee could fcarce bee held by four men 5 his head laie without anie fliakeing, his tongue and Ipeech was free, his underftanding found, and all his fenfes perfeft even in the height of his fit. Hee was taken at the leaft ten times a daie,well in the fpaces between, but wearied with labor: it might have been judged a true Epilepfie,if the underftanding and fenfes had failed. The moft judicious Phyfitians who were called to him, judged it a convulfion, cofen-ger- mane to the falling ficknels, proceeding from a malign and venemous vapor impaftinthe (pine of the back, whence a vapor diflperfed it felf over allthenervs, .which pafs from the (pine every waie into the limbs, but not into the brain. To remoov this, which they judged the cauf, frequent glyfters are ordained, and ftrong purges of all forts, cupping-glafles are applied to the beginnings of the nervs, fomentations, unftions, emplafters, firftto difculs, then to ftrengthen and wear away3 the malign qualitie: Thefe things doing little good,hee was fweated with bathes, ftoves, and a decoftion of Guacurn , which did no more good then the former, for that wee were all far from the knowledg of the true caufe of his difeaf: for in the third month, a certain devil was found to bee the autor of all this ill, bewraying .himfelf by voice , and unaccuftomed words and fentences, as well Latin as Greek •( though the patient were ignorant of the Greek tongue) : heelaied open manie fecrets of the by-ftanders, and chiefly of the Phyficians, derideing them for that heehadabu- fed them to the patients great harm, becauf they had brought his bodie fb low by needlels purgations. When his father came to vifit him, hee would crie out long before hee came at him,or law him, drive away this vifitant, and keep him from coming in here, or elf pluck his chain from about his neck : for on this (as it is the cuftom of the French order of Knights) there hangs the image of St. Michael. If holieand divine things were read before him, hee (hook and trembled more violently. When his fit was over, hee remembred all that was don, and affirmed that hee did it againft his will, and that hee was forrie for it. The devil, forced by ceremonies and exorcifins, denied that hee was damned for anie crime, and faid that hee was a fpirit: beeing asked who hee was, and by what means and power hee did thefe things, hee faid that hee had manie habitations into which hee could betake himfelf, and in the time of his reft, hee could torment others : that hee was caft into this bodie by a certain perlon whom hee would not name, andthat heeentredby his feet up to his neck, and that hee would go forth again the feme waie, when as his appointed time was com. Hee fpokeof fimdrie other things, as others which are poflefled ufe to do. Now I fpeak not thefe things as new or ftrange, but that it may appear that devils lom- times entring into the bodie, do Ibmwhiles torment it by diverf and uncough wajes 5 other whiles they do not enter in, but either agitate the good humors of the bodie, or draw the ill into the principal parts, of with them obftruft the veins or other paflages, or chang the ftrufture of the inftruments, from which caufles innumerable difeafes,proceed: of thele,de- vils if A hiftoric. A hiftoric. The devil j ftuw's himfelfz by fpeaking of' greek. c Devils wax angrie,and are terrified by'di- vine things. Lib.%5. Of Monjlers and 669 vi Is are the a utors, and wretched and forlorn perfons the minifters: and the reafon of thefe things is beyond the fearch of nature. Plinie tel's that the Emperor Nero in his time, found magical arts moft vain and falf: but what need wee alledg profane writers, when as thofe things that are recorded in Scripture of the pithonifs, of the woman fpeaking in her bellie, of King Nebucbodonozor, of the Magi- tiansof Pharaoh, and other fuch things not a few, proov that there both is , and hath been Magick • Plinie tel's of Venarcbus, that heetafteing of the entrails of a facrificed childe,turn- ed himfek into a Wolf- Wee reade in Homer that Circes, in the long wandring of Vlyffes, changed his companions into beafts, with an inchanted cup or potion: and in Virgil, that the growing corn may bee fpoiled or carried away by inchantments : which things, unlefs they were approoved and witnefled by manie men's credits, the wifdom of Magiftrates and Lawyers, would not have made fo manie Laws againft Magicians, neither would there have been a mulft impofed upon their heads by thelaw of the twelv tables, who had inchanted o- ther men's corn. But as in magical arts the devil doth not exhibit things themfelvs, as thole which hee cannot make, but onely certain fhews or appearances of things: fo in thefe which are anie waies accomodated to the ufe of Phyfick, the cure is neither certain, nor fafe, but deceitful, captious, and dangerous. I havefeen the JaundiQ over the whole bodie, cured in one night, by a written fcroul jt hanged about the neck: alfo I have feen Agues chafed away by words and filch ceremonies, cei but in a Ihort while after they returned again and became much worf Now there are Ibm is vain things,and verily the fancies of old women, which becauf they have long poflefled the b] mindes of men, weakned with too much fuperftition, we term them fuperftitious. Thele are fuch as wee cannot truly fay of them,wherefore and whence they have the faculties aflcribed to them: for they neither arife from the temperament, neither from the other manifeft quali- ties,neither from the whole fubftance, neither from a divine ormagical power, from which two laft mentioned, all medicines beyond nature, and which are confequently to beeufed to difeafes, whole cflence arefupernatural,muft proceed. Such like old wive s medicines & fiiper- ftitions remedies are written figures and charafters,tings,where neither the afliftance of God or Spirits is implored. Let me ask you, is it not a liiperftitious medicine to heal the falling licknefs, to carrie in writing the names of the three Kings, Gafpar, Melchior, and Baltbafar, J} who came to worlhip Chrift > To help the tooth ached! one whil'ft Mafs is in faying,touch d his teeth, faying thele words, Os non comminuetis ex eo > To ftaie vomiting with certain cere- monies and words, which they abfent pronounce,thinking it fufficient if that they but one- ly know the patient's name. I law a certain fellow that with murmuring a few words, and touching the part, would ftanch bloud out of what part foever it flowed: there bee Ibm who to that purpole faie this, Ve latere e]us exivit Sanguis & Aqua. How manie praiers or charms are carried about to cure agues ? Ibm takeing hold of the patient's hand,faie,jE7«e facilis tibi Febris hac fit, atque Maria virgini Chriftipartus. Another waffieth his hands with the patient before the fit, faying to himfelf that folemn Plalm, Exaltabo teOeus meus Rex, &c. If one tell an Afs in his earthat hee is ftung by a Scorpion,they faie that the danger is immediately over. As there are manie liiperftitious words, fo there are many fuperftitious writings alfo. To help lore eies, a paper wherein the two greek letters, p and A, are written muft bee tied in a thread,and hanged about the neck. And for the tooth ache this ridiculous laying, Strigi- les, falce]que dentata, dentium dolorem perfanate. Allb oft times there is no fmall fuperftition in things that are outwardly applied. Such is that of Apollonius in Plinie, to fcarifie the gums in the tooth-ach, with the tooth of one that died a violent death: to make pils of the skul of one hanged, againft the bitings of a mad dog : to cure the falling ficknels by eating the flelh of a wilde beaft, killed with the lame iron wherewith a man was killed : that hee fhall bee free'd from a quartain ague who fhall drink the wine whereinto the (word that hath cut off a man's head,lhall bee put; and hee, the parings of whofe nails lhall bee tied in a linnen cloth to the neck of a quick Eel, and the Eel let go into the water again. The pain of the Milt to bee alfwaged, if a beaft's Milt bee laid upon it, and the Phyfician faie that hee cure's or make's a medicine for the Milt. Anie one to bee free'd from the cough, who fhall fpit in the mouth of a Toad, letting her go away alive. The halter wherein one hath been hanged put about the temples,to help the head-ach. This word Abracadabra,written on a paper, af- ter the manner Jefcribed by Serenus, and hanged about the neck, to help agues or fevers, e- fpecially femitertians. What truth can bee in that which fundr ie affirm, that a leaf of Latby- ris, which is akinde of Spurge, if it bee plucked upwards, will cauf vomit, but broken downwards, will moov to ftool ? You may alfo finde manie other fuperftitious fiftions concerning herbs, fuch as Galen report's that Andreas and Pamphilus writ, as incantations, transformations, and herbs dedicated to conjurers and devils. I had thought never in this place to have mentioned thefe and the like, but that there may bee every where found fuch wicked perfons, who leaving the arts and means , which are appointed by God to preferv the health of man's bodie, flie to the fuperftitious and ridicu- lous remedies of forcerers, or rather of devils, which notwithftanding the devil fomtimes L 1 1 3 make's It Is but a de- ceitful cure that is performed by the dkvil* Old wire's fu- perftitious me- dicines againft divers difeafes Lib ,6.de Of <£\4on(iers and Trodtgies. Lib.z$. 670 make's to perform their wifh't for effefts, that fo hee may (fill keep them enfnared and ad- dicted to his fervice. Neither is it to bee approoved which manie fay, that it is good to bee healed by anie art or means, for that healing is a good work. This faying is unworthy of a Chriftian,and favor's rather of him that truft's more to the devil then in God.Thofe Empe- ricks are not of the focie tie of Sorcerers and Magitians, who heal fimple wounds with drie lint, or lint dip't in water : this cure is neither magical nor miraculous, as many (uppole, but wholly natural,proceeding from the healing fountains of nature, wounds and fraftures, which the Surgeon may heal by onely takeing away the impediments, that is pain, defluxi- on, inflammation,an abfeefs and gangrene, which retard and hinder the cure offuchdifeafes The following examples will fufficiently make evident the devil's malicioufhefs,always wic- kedly and craftily plotting againft our fafetie and life. A certain woman of Florence (as Langius write's) haveing a malign ulcer,and beeing trou- bled with intolerable pain at the ftomach, fo that the Phyfitians could give her no eaf: be- hold on a hidden (hee vomited up long and crooked nails, and brafs needles, wrapped up with wax and hairs, and at length a great gobbet of fle(h, fo big that a Giants jawscodd fcarce (wallow it. But that which happened in the year of our redemption 153 9. in a certain town called Fugenftal, in the Biflioprick of Eijiet, exceed's all credit,unlefs there were eie-witnefles of ap- prooved integritie yet living.Tn this town,one Ulrich Neufeffer an husbandman,was torment- ed with grievous pain in the one fide of his bellie,hee fuddenly got hold of an iron key with his hand under the skin, which was not hurt, the which the Barbar-Surgeon of the place cut out with arazor;yet for all this the pain ceafed not,but hee grew every daic worf then other: wherefore expecting no other remedie but death, hee got a knife and cut his throat. His dead bodie was opened, and in his ftomach were found a round and loggilh piece of wood, four fleel knives,part (harp,and part toothed like a law,and two (harp pieces of iron,each where- of exceeded the length of a (pan, there was alfo as it were a ball of hair. All thefe things were put in by the craft and deceit of of the devil. Thus far Lcingfus. CHAP. XVIII. Of the Cozenages and crafty 'tricks of Beggars. \veing treated of Monfters, it follow's that wee (peak of thofe things which either of themfelvs, by reafon of their nature full of admiration, havefom kind of monftroufnefs in them j or elf from fbm other waies, as by the craft and cozenage of men. And bccauf to the laft mentioned crafts of the Devil, the fubtle devices of begging companions are fomwhat alike, therefore I will handle them in the next place,that the Surgeon beeing admonifhed of them, may bee more cautious and cunning in difcerning them when hec meet's with them. Anno Dom- 15 25\when I was at Anjou, there ftood a craftie beggar begging at the Church door, who tying ana hideing his own arm behinde his back, fhewed in heed thereof,one cut from the bodie of one that was hanged, and this hee proped up and bound to his brett, and fb laid it open to view, as if it had been all enflamed , fo to moovfuch as palied by unto greater commiferation of him. The cozenage lay hid, every one giving him monie,until at length his counterfeit arm not beeing fiirely fattened, fell upon the ground, many feeing and obferving it: hee beeing apprehended and laid in prifon, by the appointment of the Magi- ftrate, was whipped through the town, with his falf arm hanging before him, and fo ba- Anhiftorie of a counterfeit arm. nilhed. I had a brother called John Parey, a Surgeon,who dwelt in Vitre in Britanie; hee once ob- ferved a young woman begging, who (hewed her breaft, as if it had a cancrous ulcer there- on, looking fearfully by realbn of much fordid filth,wherewith it leemed to defile the cloth that lay under it. But when as hee had more diligently beheld the woman's face,and the frefli color thereof, as allb of the places about the ulcer, and the good habite of the whole bodie agreeable to that color ( for lhee was fomwhat fat, and of a very good habit of bodie) hee was eafily hereby induced to fulpeft lom roguery and deceit. Hee acquainted the Magiftrate with this his fulpicion,andgot leav that hee might carrie her home to his hou£lb to learch her more narrowly. Where opening her breaft, hee found under her arm-pit, a ipong moift- ned with a commixture of beaft'sbloud and milk, and carried through an elder-pipe to the hidden holes of her counterfeit cancer. Therefore hee foment's her breaft with warm water, and with the moifture thereof looleth the skins of black, green, and yellow frogs, laid up- on it, andftuck together with glew, made of bole armenick, the white of an egg, and flow- er ; and thele beeing thus fetched off, heefound her breaft perfe&ly (bund. The beggar beeing call for this into prilbn, confefled that lhee was taught this trick by a beggar that lay with her, who himlelf allb, by putting about his leg an Oxes Milt, and per- forating it in lundry places, that lb the forementioned liquor might drop out, counterfeit- ed an ulcer of a monftrous bignefs and malignitie, covering the edges of the Milt on every fide Another of a cancrous breft Lib.25. Of Monsters and Prodigies. 671 fide with a filthie cloth. This beggar was diligently enquired after,but could not bee found; and lb (hee was whipped and baniffied. Within le(s then a year after, there came into the fame citie another notable craftie com- panion, who prelently takeing up the Church doors, laid open his wares; to wit, a Ker- cher with fom finall pieces of monie lying thereon, a wooden Barrel, and* Cliquets,where- with hee would ever now and then make a great noif: his face was Ipread over with great thick pufdes, beeing of a blackiffi red color, and made with glue like thole that have the Le- profie: this his ghaftly look made him to bee pitied by all men, which was the cauf that eve- rie'one gave him monie. Then my brother came fomwhat nearer him, and asked him how long hee had been troubled with this fo cruell dileaf; hee anfwered with an oblcure and hoarf voice, that hee was born a Leper from from his mother's wvmb, and that his parents both died of this wicked difeaf, fo that their members fell away piece-meal. Now hee had a woollen fwathe about his chaps, wherewith (haveing his left hand under his cloak) hee fo flraitnedhis chaps, that much black bloud role into his face, and made him fo hoarf that hee could fcarce (peak; yet hee could not contain himlelf, but that in fpeaking hee ever now and then flackned the fwathe with his hand, the freelier to draw his breath : which when my brother had oblerved, fufpe&ing fom cozenage, hee obtained leav of the Magiftrate to fearch and examine the man whether hee were truly leprous, or no. Firfl: therefore hee took away his fwathe or rowler that was about his neck, then waffied his face with warm water, fo that the counterfeit glued puftles were dilfolved, and his face (free from all tain- ture) (hewed it lelfof a good and natural color and (hape. Then hee laid bare his whole body, and diligently viewed each part, and found no lign of a Leprolie, one or other. Which when the Magiftrate once heard, hee made him to bee put in prifon, and to bee thrice whipped through the ftreets of the citie, with his barrel hanging before him, and his cliquets behinde him, adding thereto thepuniihment of perpetual banifliment. It hap'nedthat as hee was whipped the third market-day, the people cried out to the hang-man in jeft, that hee (hould not fear to lafh him foundly, for beeing leprous hee could not feel it: the execu- tioner incited by this crie of the people, did fo belabor him, that the wretch died of his whipping within a (hort while after, haveing a juft reward for his wickednels. For thele impoftors, befides that they live like drohes, feigning this or that difeaf, and fb beeing idle, enjoy the fruits of others labors; they alfo divers times conlpireing together, take away the lives and goods of honeft and fiibftantial citizens, and other people: for there are fom of them,that in an evening, as men that have no habitation, defire lodging for a night, and it beeing granted them,they,when as the mafter of the houfand his familie are afleep,open the doors to their comrades,men as wicked as themfelvs, and kill and carrie away all they can. Certainly wee may juftly affirm, that this craftie begging is the mother and fchool of all diffioneftie: for how manie a&s of bawdrie. and poifoning everie where corrupt the wells and publick fountains ? How manie places have been burnt under the (hew of begging ? Where can you get more fit (pies? Where more fit undertakers and workers of all manner of villanie, then out of the crew of-thefe beggers ? Somof them there are, ivho befmear their faces with foot laid in water, fo to feem to have the Jaundifi But you may at the firft fight finde out the deceit, by the native whitenefs of the utter coat of the eie, called Adnata, which in fuch as truly have the Jabndil, ufeth to bee died and overcaft with a yellowiffi color; alfo you may bee more certain thereof, if you wet a cloth in water or fpittle , andfo rub the face, for the adventitious yellownefs will quickly vaniffi, and the true native color (hew it (elf. Somtherebee, who not content to have mangled, and filthily exulcerated their limbs with cauftick herbs, and other cauteries ; or to have made their bodies more Iwoln , or elf lean, with medicated drinks; or to have deformed themfelvs fom other waie,but from good and honeft Citizens, who have charitably relieved them, they have ftolh children, have bro- ken or diflocated their arms and legs, have cut out their tongues, have depreffed the cheft, Or whole breaft; that with thele, as their own children, begging up and down fhecountrie, they may get the more relief, pitifully complaining that they came by this ttilichance by thunder, or lightning, or lorn other ftrange accident. Laftly,they part the Kingdom amongft themfelvs as into Provinces, and communicate by letters one to auother,what news or new quaint devifes there are to conceal or advance their roguerie: to which purpole they have invented a new language onely known to themfelvs, fo to difeourf together and not to bee underftood by others. £Wee here vulgarly term it * . . ' < , J ■ Dr. F It telle a Phylician of Paritt entreated mee to bear him companie to his countrie houf at four miles from Pari*. Where aflboh as Wee arrived, and were walking in the Court, there came prelently to us a good Inftie well fleffi't manlie woman, begging alms for Fiacre fake', and takeing up her coat and herfmock, (hee (hewed a great gut.hanging down fom half a foot, which (eemedas if it had hanged out of her fundament, whereout there dropped filth like unto pw, which had all ftained her legs and (mock, moft beaftly and filthie to look upon. Fleet lie asked her how long (hee had been troubled with this difeaf: fhee Of one feign* ing himfelf leprous. *Cliquecs arc things made fomwhat re- fembling a fmall wool- card,but have two or three little pieces of boards fo faft- ned together with leather* that they will make a great noif with them and thefearc ufed by the [ French beg- A multitude of beggars hurt- ful to thecicie. How to difeo- ver fuch a counterfeit the Jaundif. Of one coun- terfeiting the falling of the fundament. 672 Of Monsters and Prodigies. Lib.zj. fhee anfwered that it was four years fince fhee firft had it. Hence hee eafily gathered that fhee plaied the counterfeit: for it was not likelie that fuch abundance of purulent matter came forth of the bodie of fo well flelh't and colored a woman; for ihee would rather have been verie lean and in a confumption. Wherefore provoked with juft anger, by reafon of the wic- kednefs of the deceit, hee run upon her and threw her down upon the ground, and trod her under his feet, and hit her divers blows npon the bellie,fb that hee made the gut,which hung at her, to com away, and by threatning her with more grievous puniffiment, made her con- fefs the cozenage, and that it was not her gut, but of an ox , which being filled with bloud and milk, and tied at both ends, fliee put the one of them into her fundament, and let the filth flow forth at verie little holes. n- Not verie long ago, a woman equally as Ihamelefs, offered her felf to the overfeers of the jg poor of Paris, entreating that fliee might bee entredfor one of their Penfioners , for that her womb was fallen down by a dangerous and difficult birth, wherefore fliee was unable to work for her living. Then they commanded that fliee fliould bee tried and examined,accor- ding to the cuftom, by the Surgeons which are therefore appointed. Who feeing how the whole bufinefs was carried, made report fliee was a counterfeit 5 for fliee had thruft an ox's bladder, half blown and befmeared with beaftlie bloud by the neck, whereto fliee had faftned a little fpoiige, into the neck of her womb, for the fponge beeing filled and fwollen up by the accuftomed moiftureof the womb, fo held up the ox s bladder that hanged thereat, that fliee might fafely go without anie fear of the falling of it out, neither could it bee pulled forth but with good force. For this her device fliee was put into prifon , and beeing firft whipped,was after baniflied. Their cozenage is not much unlike this, who by fitly applying a flieep's paunch to their groin, counterfeit themfelvs to beeburften. Anno i)om. 1561. there came to Paris a luftie, flout, and verie fat Norman woman,beeing about fbm thirtie years old, who begging from door to door , did caft to meet with rich women, and verie familiarly and pittifully would relate unto them her misfortune 5 faying, fliee had a fnake in her bellie , which crept in at her mouth as fliee flep't in an hemp-land : fliee would let one feel her ftir, by putting their hand unto her bellie, adding alfb that fhee was troubled daie and night with it's unceflant gnawing of her guts. The noveltie of this fad chance, mooved alltopitieand admiration, wherefore as much as they could, they afl- filled her with means and counfel. Amongft the reft, there was a woman of great devotion and charltie, who fending for Dr. Holferius, Cbevall, and mee, asked us if this fnake could by anie means be gotten forth. Hollerius gave her a ftrong purgation, hopeing that by ftirring up the expulfive facultie, the ferpent might bee caft forth , together with the noxious hu- mors. But this hope had no fuch fuccefs. Wherefore when as wee met again, wee thought it fit to put a Speculum matricis into the neck of her womb, fo to fee if wee could difeern ei- ther her head or tail: but I makeing large dilatation of her womb, could fee no fuch thing, onely wee obferved a certain voluntarie motion, whereof fliee her felf was the author, by contra&ing and dilateing the mufcles of the lower bellie. Which when as wee had obfer- ved, perceiving the deceit and impofture, wee thought good fb to terrifie and her, and make her confefs the deceit, to tell her that fliee muft take another, but that a more ftrong purga- tion 5 that what wee could not do by the former, as more gentle, wee might attain to by the later, as far ftronger. Shee diflembling all fear, and confcious of her craft and diffimulati- on, after wee were gon in the evening, packing up her fluff, and a great deal more then her own, fheefecretly ftole away, not bidding her hoftefs farewel: and thus at length the fraud was apparent, to the lots of the honeft gentlewoman. I faw this baggage, fix daies after, fit- ting luftily upon a Pack-horfl, at the gate Mont-martre , and laughing heartily with fuch as brought Sea-fifli to town 5 and fhee was returning (as it was moil likely) into her countrie, feeing her cozenage was difeovered here. Such as feign themfelvs dumb , draw back and double their tongues in their mouths. Such as falling down counterfeit the falling ficknefs, binde ftraitly both their wrefts with plates of iron, tumble and rowl themfelvs in the mire, fprinkle and defile their heads and faces with beafts bloud, and fliake their limbs and whole bodie. Laftly, by putting fope in- to their mouths, they foam at the mouth like thofe that havejthe falling ficknefs. Otherfbm With flour make a kinde of glue, wherewith they befmear their whole bodies, as if they had that Leprofie or Scab, that is vulgarly termed, Malum fantti manis, Neither muft wee think this art of counterfeiting and cheating begging to bee new, and of late invention, for long ago it flourifhed in Afia, even in the time of Hippocrates, as may appear by his book De Acre, Locis, & Aquis. But by how much this difeaf hath taken more deep root, and grown more inveterate by procefs of time , by fo much it muft more diligently and carefully bee looked to and prevented, by cruelly punifhing filch counterfeits : for that by this feigned begging, as the nouriflier of floth, and fhop of all difhoneftie, that which is taken from the good is bellowed upon the ill, and one wicked and counterfeit begger hurt's all other wretched people. Of one feign- ing the falling down of the womb. Of a begger that feigned her fclf to have a fnake in her bellic. The craft of fuch as feign themfelvsto have the fal- ling fickncfs. Of fuch as feign them- fcl vs leprous. CHAR LiB.25. Of Monsters and Prodigies. 673 CHAP. XIX. Of ftrange or monstrous accidents in difeafes. ; Hat monftroufnefs foever was in the laft mentioned parties, it was made up by the f craft of beggars for filthie gain. But if there bee anie monftroufnefs in the follow- j ing narrations, it is of nature, but working, as it were, miraculoufly, by fomfe- cret and occult means 5 for thus there are oft times monfters in difeafes. Before the : town of St. John de Angeley, a Ibuldier called Francis, of the companie of Captain Muret, was wounded with a Harquebuz-(hot on the bellie, between his navel and tides j the bullet was ' not taken out, becauf the Surgeons, who fearched him diligently ,could not finde it: where- : fore hee was troubled with grievous and tormenting pains, until the ninth daie after hee re- , ceired the wound, the bullet came forth at his fundament: wherefore within three weeks 1 after hee was perfectly whole. Hee was healed by Simon Crinay, the Surgeon of the French companies. ... > James Pope, Lord of St. Albans in Oaupbine, was wounded at the skirmifli at Cbafenay,have- ing three harquebuz bullets entring into hisbodie, one whereof pierced under his throat, where it buncheth out as with a knot, neer tothe pipe of his longs, even to the beginning of the vertebra of the neck,in which place the leaden bullet ftuck, and as yet doth remain.Here- upon hee was afflifted with manie and fearfully mptoms,as a fever,and a great (welling of his whole neck, Co that for ten whole daies hee could fwallow nothing but broaths and liquid things. Yet hee recovered, and remained! wellat this prefent, by the cure of James Oalam the Surgeon. ; Alexander P>enedicius make's mention of a certain countrie-man, who, (hot into the back with a dart, drawing out the (haft, the head was left behinde, beeing in length about the bredch of two fingers, but hooked and (harp on the fides. When as the Surgeon had care- fully and diligently fought for it, and could by no means fiudeit, hee healed up the wound, but two months after this crooked head came forth at his fundament. > The fame author tclleth that at Venice a virgin (wallowed a needle, which fbm two years after (hee voided by urine,covered over with a ftonie matter, gathered about vifeous humors. Catherine Per lan, the wife of William a Draper of Paris, dwelling in the Jewrie, as (hee rode on horf back into the countrie,a needle out of her pin-cufhion, was got under her by accident, ran Co deep into her right buttock, that it could not by anie art or force bee plucked forth. Four months after (hee lent for mee to com to her, and (hee told mee that as often as (hee had to do with her husband, fhee (offered extreme pricking pain in her right groin; putting my hand thereto, as I felt it, my fingers met with fomthing fharp and hard : wherefore I ufed the matter lb,that I drew forth the needle all ruftie: this may bee accounted a miracle, that fteel, naturally heavie, (hould rife upwards, from the buttock to the groin, and pierce the mufeles of the thigh, without caufling an abfeels. Anno Oom. 1566. thetwofonsof Laurence Collo (men excellent in cutting for tht-ftone) took forth a ftone of the bignels of a wall-nut, in the mid'ft whereof was a needle, juft like . thofe that (hoo-makers ufe: the patient's name was Peter Cocquin, dwelling in the llrret Ga- land at the place called Maubert at Paris, and I think hee is yet living. This ftone was (hewed to King Charls the ninth, for the monftroufnefs of the thing, I beeing then prefent, which beeing given me by the Surgeon, I preferv amongft my other rarities. Monftershap' pen alfo in difeafes. A bullet ihot into the bcllie came forth ac the fundament. A bullet flick- ing in the ' throat and pa- tient recover- ing. Lib. 3. anatom, cap. 9. Acrookediron Ihot into the back came forth at the fundament. A fwallowed needle voided by urine. A needle run- ning in at the buttock came forthat the groin. A needle in the mid 'ft of a ftone taken forth of the j Anno Oom. 15 yo.the Dut- chefs of FerraraatParis, (ent for John CoUo}to take a ftone out of a Confectioner. This ftone , though it weighed nine ounces, & was as thick as one's lift,yet was it happi- lie taken out, the patient re- covering, Francis Reujfet 3and Jofepb Jstvelle, the Dutchels Phyficians, beeing prefent. Yet not long after this Con- feftioner died by the ftop- page of his water, by reafon of two other little ftones, which about to deftend from the kidnies to the Mad- der, ftaied in the mid-way of the Ureters.The figure of the extracted ftone was this. Tbe figure of a ftone taken forth of tlx bladder of a Confectioner. 674 Of Monsters and 'Prodigies. Lib,2. Anno Oom. 15 69. Laurence Collo the younger, took three Hones out of the bladder of one dwelling at Marly, called commonly tire-vit: becauf beeing troubled with the Hone from the tenth year of his age, hee continually fcratched his yard, each of the Hones were as big as an hen's egg ; of color white, they all together weighed twelv ounces. When they were prefented to King Charts, then lying at Saint Mauredes Fauffez, hee made one of them to bee broken with a hammer, and in the middeft thereof there was found another, of a chefiiut color, but otherwife much like a Peach hone. Thefe three Hones, beflowed on mee by the brethren, I have here reprefented to the life. the effigies of the three forementioned ft ones, whereof one is broken I have in the difte&ing of dead bodies, obterved divers Hones, of various forms and fi- figures, aS of pigs, whelps, and the like. Dalecbanipius telleth that hee law a man, which by an abteefs of his loins, which turned to a Fiftula, voided manie Hones out of his kidnies, and yet notwithteanding could endure tq ride on hOff-back , or in a coach. John Magnus, the King's mob learned and skilful Phyfidian , havein£ in cure a woman, troubled with cruel tormeht and pains of the bellie and fundamept, ient for mee, that by putting a Spe- culum into the fundament, hee might tee if hee could perceiv anie diteernable cauf of fo great and pertinacious pain : and when as hee could tee nothing which might further him : in the findeing out of the cauf of her pain (following reafon as a guid) by giveing her often glyHers'and purgations, hee brought it fo to pafs, that fliee at length voided a Hone at her fundalnent of thebignefeof a Tennis-ball: which once avoided, all her pains ceated. Hippocrates tell's that the fervant of Ttyferis in Lariffa, when lhee was young, in uteing ve- nerie was much pained, and yet fomtimes without pain, yet fliee never conceived. But when as fliee was fixtie years old, lhee was pained in the after-noon as if fliee had been in labor. When as fliee one daie before noon had eaten manie afterward fliee was taken with a mote violent paiu, far exceeding all her former, and fhee felt a certain rough thing riteing up in the orifice of her womb. But fliee falling into a fwoun, another woman putting in her hand, got out a fliarp Hone of the bignefs of a whirl, and then fliee forthwith became well, and remained fo. ; ? : In a certain woman, who, as Holler ius tell's, for the (pace of four months was troubled with an incredible pain in makeing water, two Hones were found in her heart, with manie abteefles, her kidnies and bladder beeing whole. ' , : Anno Horn. 1558.1 opened in JobnBourlier a Tailor,dwelling in the Hreet of St. Honore, a watrie abteefs in his knee, wherein f found a Hone, white, hard, and finooth, of the thick- nets of an Almond; which beeing taken out, hee recovered. Certainly there is no part of the bodie wherein Hones may not breed and grow. Anthonie Benevenius a Florentine Phyfician write's,that a certain woman fwallowed a brafs needle without anie pain, and continued a year after without feeling or complaining of it: but at the end thereof fhee was niolefled with great pains in her bellie 5 for helping ofwhich fliee asked the advife of all the Phyficians fliee could, makeing, in the interim, no mention of the fwallowed needle. Wherefore thee had no benefit by all the medicines fliee took; and fhee continued in pain for the fpace of two years, until at length the needle came forth at a little hole b/her navel, and fliee recovered her health. - A Scholar A ftone by the forceof purg- ing medicines voided by the fundament. $. Epid. A ftonc com- ming out of the neck of the womb. Lib. i. cap. de palpt cond. No part of the bodie wherein fl ones may not bee found. A needle fwal- lowed 3 came forth at the navel fom two years after. Ljb.15. OfNlonjlers.aml FrAigics. 675 A Scholar named ChamhAant,a native offie«rga,a fludent i,n.T*r<M,iii fwallowed a ftalk of grafis, which came afterwards whole out between two of his ribs, with the great danger of the (cholar's life. For it could com there nnleis by palling or breaking through the lungs, the encompaffing membrane, and the intercoftal mufcles, yet hee recove- red, Fernelius and Haguet having him in cure. A H O Cabrolle Chirurgian to Mounfieur the Marshal of AjrviUe, told mee thatFrancx Guillenet the Chirurgian of firiall village fom eight miles fromMbmpAier,had in cure, and hea- led a certain Shepherd, who was forced by thecvs tofwallowaknife of the length of half a foot, with a horn handle of the tbickneG of ones 4bumb < jhte> kept it the (pace of half a yeer, yet With and hee fell much away, but yet was not in a until at length an abfeefs tifeing in his groin, with great (lore of verie (linking quitture, the knife Was there taken forth in the prefence of the Judices, and left with Joubert the Phyfici- an of Aftmpe/ier. ■ <' < cue'. < j Mounfteux the Duke of Rohan had a Fool called Guido,who fwallowed the point of a fword of the length of three fingers,and hee voided it at his fundament on the twelfth daie follow- ing,yet with much adoo: there are yet living manie (gentlemen of Britanie,who were eie-wit- nefles thereof. There have been fundrie women withchilde, who have (b caft forth piece-meal children that have died in their wombs, as that the bones have broke themfelvs a paflage forth at the navel, but the flefh, diflblved as it were into quitture, flowed out by the neck of the womb and the fundament, the mothers remaining alive, aS Dalechampius obferv's out of Albucrafis. Is it not verie ftrange that there have bin women, who troubled with a fit of the Mother, have lien three whole daies without motion,without breathing,'or pulf that were anie waie apparent, and (b have been carried out for dead ? A certain young man, as Fernelius tell's, by fomwhat too vehement exercife, was taken with fuch a cough, that it left him not for a moment of time, until hee therewith had caft forth a whole impoftume of the bignefs of a pigeon's egg,wherein, beeing opened, there was found quitture exquifitely white and equal. Hee (pitblood two daies after,had a great fever, and was much diftempered ,yet notwithftanding hee recoveredhis health. Anno Dorn. 1578.Corner, dwelling at St.Maure def Fauffez, a widow offorde yeers old, beeing fick of a tertian Fever, in the beginning of her fit vomited up a great quantitie of choler, and together therewith three hairie <worms,m figure, color, and ma- gnitude like the worms called Bear-worms, yet fomwhat blacker; they lived eight whole daies after without anie food : the Chirurgian of this town brought them to Dr. Milot ,who (hewed them to Feure, Le Gros, Marefcot and Courtin Phyficians, and to mee alfp. . This following hiftorie, taken out of the Chronicles of Monftrele, exceed's all admiration. ' A certain Franck-Archer of Meudon, four miles from Faris, was for robberie condemned to ' bee hanged: in the mean time it was told the King by the Phyficians, that manie in Faris at ' that time were troubled with the (lone, and amongft the reft the Lord of Bofcage, and that it ] would bee for the good ofmanie, ifthey might view and difcern with their eies the parts themfelvs wherein fo cruel a difeafdid breed, and that it might bee don much better in a li- ving then in a dead bodie, and that they might make trial upon the bodie of the Franck-Ar- cher, who had formerly been troubled with thefe pains. The King granted their requeft; wherefore opening his bodie they viewed the breathing parts, and fatisfied themfelvs .as much as they de(ired,and having diligently andexa&ly reftored each part to its proper place, the bodie,by the King's command,was fewed up again,and drefTed and cured with great care. It came fo to pais, that this Franck-Archer recoverd in a few daies, and getting his pardon, got good ftore of monie befides. Alexander Beneditfus tell's that hee faw a woman called who having loft all her teeth, and beeing bald, yet had others came up in their places, when as (hee was fourfcore yeers old. f SteyhenTelJitera Chirurgian of Orleance,told mee that noting ago hee cured one Charts j Verigncl, a Serjeant of Orleance, of a wound received in his habi, yvhereby the two tendons c bending the ham,were quite cut in (under.Hee took this order in the the pa- tient to bend his leg,then hee fewed together the ends of the cut-tendpns, tfen placed .die member in that fite, and handled with that art, that at length hee heaH the vvpund, tfee pa- tient not halting at all. Truly this is a memorable thing,and carefully and heedfully to bee imitated by the young Chirurgian. How manie havel (een, who wounded and thruft through the bodie with fvvordsj ar-? rows, pikes, bullets, have had portion of the brain cut offby a woftnd of the head, an arm or legtaken avvaie by a cannon-bullet, yet have recovered ? and how manie on the contra- rie, have died of light and (mail wounds, not worth the fpeaktng of. A certain man was (hot in near to his groin with an arrow, whom wee have (een, faith ? Hippocrates,and hee recovered beyond all men's expe&ationjThe arrovv's-head was not taken forth, for it was verie deep in, neither did the wound bleed verie much, neither did hee halt : but wee found the head, and took it forth fix yeers after hee was hurt. Now A fprigof gras (wallowed came forth whole again between the ribs. A knife fwal- lowed, came forth at an ab> fcefsinthe groin. The point of a fwordfwallow- ed came forth at the fundament* Wonderful excretions of infants out of the womb. Women trou- bled with thp Another laid out for dead. An impoftume fpitout, of the bignefs of a Pigeon's egg. Wormscaft up in the fit of an Ague, This narration exceed's not onely alladmi- ration,but al- fo belief. Pratt, lib.64' 1 cap. i. f. Epidtoh 676 Of 'SMonflers and Trodigies. LlB.JJi Now Hipocrates give's no reafon of it's fo long ftaie, but that hee faith it might bee fulpe- fted it laie hid between the nervs, and that no vein nor arterie was cut thereby. CHAP. XX. Of the wonderful original, orbreeding of font creatures. Boifl.in biflor, prdig. E E have read in Boiftey, that a certain work-man of Avignion , when as hee lived in that cittie, opened a leaden coffin,wherein a dead bodie laie, that was fo clofely faudered 3 that the air could not get in5 and as hee opened it, hee was bitten by a ferpent that laie therein, with lb venomous and dead- lie a bite , that it had neer to have coft him his life. Yet the original of this creature is not fo prodigious as hee fuppoftth, for it is an ufual thing for a Serpent to breed of anie putrefied carcafs, but chiefly of man's. BaptiftaLeo write's, that in the time of Pope Martin the fifth, there was a live-Serpent : found enclofed in a vafte, butfolid Marble,no chink appearing in (uchdenffoliditie,where- ■ by this living creature might breathe. Whileft in my vine-yard> that is at Mendon, I caufled certain huge ftones to bee broken to pieces, a Toad was found in the mid'ft of one of them* When as I much admired thereat, becauf there was no fpace wherein this creature could bee generated, increaf, or live; the Stone-cutter wiflied mee not to marvel thereat, for it wss a common thing, and that hee faw it almoft everiedaie. Certainly it may com to pals, that from the more moift portion of ftones, contained in places moift and underground, and the celeftial heat mixing and diffusing it felf over the whole mafs of the world, the matter may bee animated for the generation of thefe creatures. It is a common thing for a fer- pent to breed of the dead corp's of a man. Alive ferpent in a folid Mar- ble The caufof fuch wonder- ful generati- ons. CHAP. XXI. Oftbe wondrous nature of fom marine things, and other living creatures. He laft mentioned creatures were wonderful in their original, or rather in their £rowth: but thele which follow, though they bee not wonderful of themlelvs, IOb as thole that confift of their own proper nature, and that working well and af- ter an ordinarie manner 5 yet they are wondrous to us, or rather monftrous, for that they are not verie familiar to us. For the raritie and vaftnefs of bodies, is in fom fort monftrous. Of this fort there are manie, elpecially in the Sea, whole lecret corners and receptacles are not pervious to men: as Tritons, which from the middle upwards are reported to have the fliape of men. And the Strenes, Nereides or Mere- maids, who (according to PlinieJ have the faces of women, and fcalie bodies; yea, where as they have the fliape of man: neither yet can the forementioned confufion and conjunftion of feeds take anie place here, for as wee lately laid,they confift of their own proper nature. When Mena was Prefident of Egypt, and walked on the banks of Nilas, hee law a Sea-mon- fter in the fliape of a man, comming forth of the waters : his fliape was juft like to a man even to the middle, with his countenance compofed to gravitie, his hair yellow, yet intermixed with fom graie,his ftomach bonie, his arms orderly made and jointed, his other parts ended in a fifli. Three daies after in the morning, there was leen another Sea-monfter, but with fliape or countenance of a woman, as appeared by her face,her long hair, and fwoln breafts: boththefe monitors continued fo long above water,that anie one might view them verie well Lify.cap. effigies of the Triton and Siren of Nilus. LiB.27. Of Monfters and Prodigies. 677 In our times let ins,in Norway was a monfter taken in a tempeftuous which as manie as faw termed a Monk,by reafon of the fliape which you may ice here fee forth. -- 1 be figure of a fib m the habit or (hate of a Ki(hnt>. Tbe figure of a fifh refembling a Aino Dorn. 1531. there; was feen a fea-monfter in the habit of a BiQiop, covered over with fcails : Rondoletius and Gefner have defcribed it. Gefner profefleth that hee received from JeromCardane this monfter, having the head of a Bear, the feet and hands of an Ape. fbe effigies of a Sea-mojler beaded like a Bear. Not long before the death of Pope Paw/ the third 5 in themid'ft of the Tyrrhene tea,a monfter was taken,& prefented to the (ucceflbr of of this Paul: it was in fhape & bignels like to a Lion,but all fcalie;and the voice was like a man's voice. It was brought to Rome to the great admiration of all men, but it lived not long there, beeing deftitute of it's own natural place and nourifti- ment, as it is reported by Philip Forreft. 'I'be effigies of a Lion-like fcalie Sea-monfier, 678 Of tSMfonfters and Trodigies Lib.25; Anno Dom. 15 23. the third daie of November, there was feen at Rome this fea-monfter, of the bignefs of a childe of five years old, like to a man even to the nave], except the ears 5 in the other parts it refeinbled a fifh. The effigies of a Sea-monfter with a man's face. Gefner make's mention of this Sea-Monfter,and faith that hee had the figure thereof from a Painter, who took it from the veriefifh, which heefaw at Antwerp. The head look's verie ghaftly, having two horns,prick-ears, and arms not much unlike a man, but in the other parts it was like a filh. It was taken in the Illyrian Sea, as it came a ihore out of the water to catch a little ch ilde: for being hurt by ft ones caft by fifher-men that law it, it returned a while after to the Ihore from whence it fled, and there died. The effigies of a Sea-Vevil. Gefner tel's that a Sea-monfter with the head, mane, andbreaftof ahorQ and the reft of his bodie like a fifli, was feen and taken in the ocean-Sea, brought to Rome, and prefented to the Pope. Olaus Magnus tel's that a Sea-monfter taken at Bergen, with the head andfhapeof a Calf, was given him by a certain Englifh Gentleman. The like of which was prefented lately to King Cbarls the ninth, and was long kept living in the waters at Fountain-Bleau, and it went oft-times a fhore. This is much different from the common Sea-calf or Seal. * *,This here fi- gured is the 1 fea Mor f,ta- ken common- ly by our men in their green- land voiages: and 1 judg the fea-Bore and Elephant to bee the fame, butthat the Painter hath fhewedhis skil too mu.h in the one: and the otht r is an old Morf, as tbishert figu- red is a young one. If be effigies of a monfir ous * Sea-calf This Lib.25. Of Mon/lers and Prodigies. 679 This great monfter was feen in the Ocean-fea, with the head of a Bore, but longer tusks ftiarp and cutting, with leads let in a wonderful order, as you may lee by this figure, * The effigies of a Sea-bore. Olaus Magnus writes that this monfter was taken at fbjle an Ifland of the North , Anno Vom. 15 3 8. it was of a bignefs almoft incredible, as that which was feventie two foot long, and fourteen high, and feven foot between the eies : now the liver was fo large that there with they filled five hogflieads, the head refembled a fwine, having as it were a half-Moon on the back, and three eies in the mid'ft of his fides, his whole bodie was fcalie. the effigies of a monftrous Sear Swine. The Sea-Elephant, as Hettor Bdetius write's in his delcription of Scotland $ it is a creature that live s both in the water andalhore, having tyvo teeth like to Elephants,with which as oft as hee defire's to fleep, hee hang's himfelf upon a rock, and then hee fleep'sfo fbundly, that Mariners feeing him at fea, have time to com afhore and to binde him, by cafting ftrong ropes about him. But when as hee is not awaken'd by this means, they throw Hones at himjand makes a great noif 5 with which awakned,hee endevour's to leap back in- to the fea with his accuftomed violence, butfindeing himlelf faft, hee grow's fo gentle, that they may deal with him as they pleaf. Wherefore they then kill him, take out his fat and divide or cut his skin into thongs, which becauf they are ftrong and do not rot, are much efteemed of. Tk effigies of a Sea-Etybant. The Arabians of Mount Maznan, which run's aiong'ft the Red Sea, chiefly feed on a fi(h called which is verie terrible and much feared by other iilh, beeing nine or ten foot long, and of the breadth agreeable thereto,and it is covered with fcales like a Crocodile * M m m 2 A' Of Mongers and Prodigies LiB.zy. 680 A Crocodile is a vail creature, comming fomtimes to bee fifteen cubites long, and feeing it is a creature that doth not bring forth young, but eggs,it ufeth at the molt to laie fom fix- tie eggs, no bigger then Goole eggs, rileng to fiich bignefs from fo fmall beginnings ( for the hatched young one is proportionable to the egg) ftiee is verie long-lived. It hath fo fmall and ufelefs a tongue, that it may feem to have none at all. Wherefore fee- ing it live's both on land and water ; as it live's on land it is to bee taken for a tongue, but as it live's part of the life in the water it hath noufe of a tongue, and therefore is not to bee re- : puted one. For fifties either wholly want tongues, or elf have them fo impedite and bound, that they ferv for little ufe.TheCrocodile onely of alljother things moov's the upper jaw,the • lower remaining unmovable: for her feet,they are neither good to take nor hold anie things fhee hath eies not unlike thofe of fwine, long teeth ftanding forth of the mouth,moft (harp claws, a fcailie skin, fo hard that no weapon can pierce it. Of the land-Crocodile ( relem- bling this both land and water one) is made the medicine Crocodilea, moft fingular for fore eies, beeing annotated with the juice of leeks, it is good againft fuffufions or dimnefs of thje fight; it take's away freckles, puftles, and fpotsjthe Gall annotated on the eies help's Cata- racts, but thebloud clear's the fight. 7 hevet faith they live in the fountains of the river or rather in a lake flowing from • the fame fountains, and that hee faw fom that were fix paces long,and a yard crofs the back, fb that their verie looks were formidable. They catch them thus ; when as the water ofNilus fyVs9 the Egyptians let down a line, haveing thereto fattened an iron hook of fom three pound waight, made verie large and ftrong, upon this hook they put a piece of flefti of a Ca- mel or fom other beaft5 which when as hee fee's, hee prefently fal's upon it, and devour'sit hook and all, wherewith when hee finde's himfelf to bee cruelly pulled and pinched, it would delight you to fee how hee fret's and leap's aloft; then they draw him thus hooked, by little and little to the ftiore, and fatten the rope furely to the next tree, left hee fhould fall upon them that are about him; then with prongs,and fuch things they fobelabor his bellie, whereas his skin is fbft and thin, that at length they kill him,and uncafeing him,they make readie his flefti, and eat it for delicious food. John Lereus, in his hittorie of Brajil, write's,that the Salvages of that countrie willingly feed upon Crocodiles, and that hee faw fom who brought into their houfes young ones, wherewith their children gathering about it, would plaie without receiving anie harm thereby. True (faith FUnis') is that common opinion, Whatfoever is brought forth in anie part of Nature, that alfb is in the lea, and manie other things over and above, that are in no other place. You may perceiv that there are not onely the refemblances of liveing creatures, but alfb of other things; if you look upon the fword, faw, cucumber, like in finel and color to that of the earth, that you may lefs wonder at the Sea-feather and grape, whole figures I have here given you out of Rondeletius. The fea-feather is like thofe feathers of birds, which are worn in hats for ornament,after they are trimmed and dreft for that purpofc. The fiftiermen call them fea-pricks, for that one end of them refembleth the end of a man's yard, when the prepuce is drawn off it. As long as it is alive it fwel's, and becom's fomtimes bigger and fomtimes lefler ; but dead, it becom's verie flaccid and lank : it (bine's bright on the night like a ftar. You may by this gather, that this which wee here exprefs is the Grape whereof Plinis mak's mention,becauf in the furface and upper part thereof it much refemble's a fair bunch of Grapes; it is fbmwhat longifti, like a mis-ftiapen club, and hang's upon a long ftalk. the inner parts are nothing but confufion, fomtimes diftinguiftied with little glandules,like that wee have here figured alone by it felf. TheCrocodile onelymoov's the upper jaw. Expends dili- gent er Plimi lo- cum lib.zS.c.% Cofmograph tom. i.Z.z.c.8. How they take Crocodiles. Cap. 10. Lib.9.cap.z. The figures of the Sea-Feather and Grape, In the Sea near the Ifland ffifyaniola in the Weft Indies, there may bee feen manie mon- ftrous fifties, amongft which Tbevet in his Cofinographie thought this moft rare and obferv- able, which in the vulgar language of the natives is termed Aloes. For it is juft like a goo£ With a long and ftraight neck, with the head ending (harp,or in a Cone, not much unlike a fugar- Lib.25. Of Monfters and Prodigies 681 liigar-pear, it is no bigger than a goo£ it wanteth fcails, it hath foure fins under the bellie for fwimming, when it is above water you would laie that it were a goof The Sarmatian, or Eaftern Germane Ocean contain's fifties unknown to hot and verie monftrous. Such is that which relembling a lhail,equars a barrell in magnitude of bodie,and a flag in the largenefs and branches of her horns : the ends of her horns are roun- ded as it were into little balls, -ffiineing like unto pearls, the neck is thick, the eies Ihineing like unto little candles, with a roundilh nofe fet with hairs like to a cat's, the mouth wide, whereunder hang's a piece of flefti verie uglie to behold. It goe's on fourelegs, with fo manie broad and crooked feet, the which with a long tail, and variegated like a Tiger, lerv's her for fins to fwim withal. This creature is fo timerous, that though it be an Amphibium, that is, which live's both in the water and aftiore, yet ufually it keep's it lelf in the lea, neither doth it com aftiore to feed,unlefs in a verie clear feafon. The flefti thereof is verie good and grateful meat, andthebloud medicinable for fuch as have their livers ill affefted, or their lungs ulcerated, as the bloud of great Tortoifes is good for the Leprofie. Tbevet in his Cof- mbgraphie affirmeth that hee faw this in Denmark. In a deep lake of frefti water, upon which Hand's the great cittie or town of Tbemiftitan, in the Kingdom of Mexico, which is built upon piles, like as Venice is, there is found a fifti of the bignels of a calf,called by the Southern Salvages, Andura, but by thole of the place,and th£ Spaniards the conquerers of that place, Hogd. It is headed and eared almoft like a Iwine; from the chaps hang five long bearded appendices, or the length of fom half a foot, like the beard of a Barbel. It hath flefti verie grateful and goodtoeat.lt bringeth forth live young like as the Whale. As it fwim's in waters, it leem's green, yellow, red, and of manie colors, like a Chameleon: it is moft frequently converfant about the fliore-fides of the lake, and there it feed's upon the leavs of the tree called Hoga, whence alfo the fifti hath its name. It is fearfully toothed and fierce fifti, killing and devouring liich as it meeteth withal , though they bee bigger then her lelf: which is the realbn why the Fiftiermen chiefly dcfire to kill her, as Tbevet affirmeth in his Cofinographie. The blond of gr eat Tort oifet good for the leprolie. Tom.i.lib.zQ, 'The monftrous fifh Hbga. Andrew Tbevet in his Cofmographie write's that as hee failed to America, hee law infinite (lore of flying fifties, called by the falvages Bulampecb, whorifingout of the water, fliefom fiftie paces, elcaping by that means from other greater fifti that think to devour them. This kinde of flying Hfh exceed's not the bignefs of a Mackrel, is round headed, with a blewifti back,two wings which equal the length of almoft all their bodie. They oft-times flie in fuch a multitude, that they fall foul upon the fails of ffiips, whileft they hinder one another's fflght,and by this means they fall upon the decks,and becom a preie to the failers: which fame thing wee have read confirmed by John Lereus in his hiftorie of Brefil. In the Venetian gulf, between Venice and Ravenna, two miles above Quioza, Anno Dorn. 1550. there was taken a flying fifti, verie horrible and monftrous, beeing four foot long, it had a verie great head, with two eies (landing in a line, and not one againft another , with two ears, and a double mouth, a fhout verie flefliie and green, two wings, five holes in her throat, like thole of a Lampreie,atail an ell long, at the letting on whereof there were two little wings. This monfter was brought alive to Quioza, and prefented to the chief of the cittie, as a thing whereof the like had not been formerly leen. Mmm 3 fbt Of Monsters and 'Prodigies. LiB.zy. 682 T'be figure of a monftrous flying Fife. There are fo manie and different forts of ftiels to bee found in the Sea, that it may bee truely faid, that Nature, the hand-maid of the Almightie,difport's it (elfin the frameingof them. In id great diveriitie I have chiefly made choice of three to treat of here, as thoie that areworthieof the greateft admiration. In theie lie hid certain little fifties, as (hails in their ftiels, which Ariftotlc cal's Cancelli9 and hee affirmeth them to bee the common companions of the * crufted and ftieli fifties, as thoie which in their fpeczes or kinde are like to Lobfters , and ufe to bee bred without ftiels; but as they creep into ftiels,and there inhabit, they are like to ftieli fifties. It is one of thefe that is termed the Hermite. Hee hath two fomwhat long and (lender horns,under which are his eies, alwaies ftanding out of his head, as th ofe which hee cannot pluck and draw in, as Crabs can* His fore-feet have claws upon them, where- with hee defend's himfelf,and carrie's meat to his mouth,haveing two other on each fide,and a third beeing lefler, the which hee ufeth in going. The female laie's eggs, which hang forth at her back part as if they were put upon a thread, beeing joined together by certain little membranes. Laftly, in the opinion of JElian9 the Cancellus or fmall Craie-fifti is born naked and without a (hell, but within a while after,(hee of manie which (hee finde's empue,make's choice of a fit one, and when as grown bigger, (hee cannot bee contained or dwell anie lon- ger therein, or elf beeing ftimulated with a natural defire of copulation,(hee remoov's into a more capacious and convenient one. Theie little Craie-fiihes oft-times fight together for their habitation, and the ftronger carrie's away theemptie (hell,or elf make's the weaker to quit pofleflion* Now the ftieli is either of a Nerita, or 7Wo,and oft-times of a finall Purple5 and entring into pofleision,fhee carrie's it about,there feed's and grow s, and then leek's a more capacious one, as Ariftotle faith in the formerly-cited place. 4.«fc hi]!. anim. cap. 4. * By crufted is meant Crabs, Lebfters, Shrimps, and fuch like. The defcripti- oe of the Her- mite cray-filh. ZiE7.Mp.3i, They change their habitati- on for two caufles. Tfte effigies of the emptie feefs wbereinto the Cancelli «/e to creep to dwell. What the Pin- wrez,or dwarf- crab is. Som think that this Bernard the Hermit is that kinde of Cancellus which is by Plinie ter- med Pinnoter j but in truth the Pinnoter is not a kinde of Cancellus, or Cray-fifh, but of a lit- tle Crab. Now in dritfotle there is much difference between Cancellus and Cancer parvus t though Plinie may feem to confound them 5 for hee is bred naked, haveing his cruft onely, but without a fhell: wherefore feeing that by nature hee want's it, hee diligently fearche's for it, and dwell's in it, when as hee hath found it: But the Pinnoter is not bred by it felf alone, but in Pinn<e and fom others, and hee changeth not his habitation, becauf (asAriftotle think's Lib.25. Of Monfters and Trodigies. 683 think's) beeing of the kindeof dwarf-Crabs, it never grow's big, neither dwells it in emptie (hells. Now the Pinna, or Pin is a kinde of ftiell-fifti, it breed's in muddie places, and isal- waies open, neither is it at anie time without a companion, which they therefore call the Pinnoter, or Pinnopbylax3 (i.e.) the Pin-keeper, as Plinie faith. Verily that thefe things are thus, you may plainly perceiv by thefe words of Athentus. Cbryftppus Solenfts 5. deHoneft. & Volupt. faith the Pinna and Pinnoter aflift and further each other, neither can they live afuncjer. The Pinna may bee referred to the kindes of oifters, but the Pinnoter is a dwarf-crab: the Pin- na open's her (hell for the little fifties to enter thereinto j the Pinnoter hand's by, obferving if anie com in, which ifthey do, hee give's the Pin notice thereof by biteing, who prefently thereupon (hut's her (hell, and lb they feed together upon that they catch by this means. Thus Atbeneus. Shee is alfo for this her craft mentioned by Plutarch in his writeings. The. Pinnoter is (bmtimes called by Cancer dapisajfefiator. But that which by thefe authors is attributed to the dwarf-Crab, the fame by Cicero is af- fcribed to the little (hrimp: Now the Pinna (faith hee) opening her two large (hells, enter's into confederacie with the little (hrimp for getting of food, wherefore when little fifties fwim into her gapeing (hell, then the Pinna, admoniftied by the ftirimp's biteing her, (hut's her (hell 5 thus two unlike creatures get their livings together. But Plutarch feem's to make the Pinna to bee the Pearl-oifter, in that work of his, whereas hee inquireth whether the craft of Water or Land-beafts bee the greater. What the Pz«- n<t is. Lib. 9 capes'. Lib. j. Deipno. The fa mill ar i- tie and craft of thePwz and Pinnoter, Lib.tMnu, deornm. Tbe figure of bim out of bis Cell, Tfte effigies of Bernard the Hermite boufedinhis fbell. But amongft the moft miraculous fifties may fittly bee placed the or Sailer,of fbm called Pompylos fit is thought to bee akinde of Polypus) it com's with the face upwards to the top of the Sea, railing it lelf by little and little, that calling forth all the water by a pipe, as if it had a Pump, it ealily float's ; then putting back the two firft ten- drils or arms, it extend's between them a membrane of wondrous finenels or thinnefs,which gathering air like as a fail, and lhee rowing with the reft ol her arms, lhee guid's her lelf with her tail in the mid'ft, as a Rudder. Thus lhee fail's along in imita- tion of Pinnaces, aud if anie thing affright her, lhee prefently take's in water,and finks her felf. Plin. lib. The (bape of Nautilos, or Sailer-fijb 684 OfAdon Ilers and Prodigies. Lib.25. How the Whale may b< reckoned a- rnengft mon« fters. The better to ftore this Treatife of Monfters, abufing the name with the Poets, wee will : reckon up the whale amongft the Sea-monfters, by realon of his monftrous and wondrous magnitude. Now the Whale is the greateft by much of all the fifties of the Sea, for molt commonly this beaft is thirtie fix cubits long , eight high , the flit of his mouth is eigh- teen toot long, teeth they have none, but in Head thereof in each Jaw hornie black excres- cences or fins [which wee vulgarly term Whale-bones J which by little and little end in Small hairs like to a fwine's briftles, which comming and (landing out of his mouth, are in head of Guides, left whileft hee fwim's with a blinde and rapid violence, hee might run againft a rock. His eies are diftant one from the other the (pace of four ells, which outwardly appear fmall, but inwardly they are bigger then a man's head ; wherefore they are deceived that faie that they are no bigger then an Ox's eies: his nofe is ftiort, but in the middle of his tore-head hee hath a pipe whereat hee draw's in the air, and call's forth a whole ftiower or river of water, that therewith hee will even link the veflels or boats of Mariners; when hee hath filled himlelf beyond meafure, hee crie's out or roar's with Id great or ftrong a voice, that hee may bee heard two miles off. Hee hath two verie large fins upon his lides wherewith hee fwim's , and under which in the time of danger hee hide's his young; hee hath none upon his back. His tail in lite is like to the tails of Dol- phins , neither is it much unlike in lhape, which when hee moov's, hee lb tolfeth the Sea, that hee drown's and overturn's the boats that heetoucheth. You may by dif- fering them finde that a Whale bring's forth live -young, and give's them fuck; for the male hath teflicles and a yard, but the female a womb and dugs. They are taken ' in divers places about winter , but chiefly about the coaft of Aquitane , at a fmall town which is vulgarly called Biarris, fom fix miles diftant from Bayon: whereunto 1 beeing fent by King Cbarls the ninth when hee was at Bayon } to cure the Prince of Rocbe Sur- Tou , I was an eie-witnefle how they are caught ; and allo I confirmed that which I had formerly read to that purpole, in that excellent and moll true hiftorie of fifties fet forth by Rondeletius. Now at that town there is a little hill, in the top whereof there is a Tower of verie great antiquitie, from which as from a watch-tower they keep watch whether or no anie Whales fwim that waie. Wherefore the watch-men from the tower, either feeing , or by the horrible noif hearing a Whale to pafs that waie, they give war- ning thereof to the inhabitants by the beating of Drums, and ringing a Bell: which lign once given , they all run forthwith , as to extinguilh the Cittie if it were on fire, bee- ing furniftied with weapons and all things fitting for that purpole. For the people of that countrie are verie diligent and expert in catching the Whale. Wherefore in each of the boats furniftied with all things either to aflail or flie, there are put ten luftie row- ers, and divers othersfurniftied with harping iroiis to ftrike the Whale;which beeing call and faftned in her, they loof out huge long ropes faftned to them , until fuch time as hee bee dead, then together with the ropes, and aflifted by the waves of the fea, they draw the Whale (wearied with running and laboring, and fainting by reafon of the magnitude and multitude of his wounds, beeing in the time of their conflift dili- gently chafed and driven toward the ftiore) a land; and merrily part the preie, each whereof hath his (hare, according to the number of the irons thrown, the magnitude of the wound, and the neceflitie and excellencie of the bounded part for life: each of their harping-irons are known by their peculiar marks. In the heat of the skirmifti manie Hand up and down in boats, onely for this purpofe,to take up fuch as chance to fall into the Sea, left they Ihould bee drowned. The ihales are caught with more difficultie, the females more ealily, Specially if their young ones bee with them; for whil'ft they linger to help and fuccour them,they lofe the occafion of efcaping. The flefti is of no efteem, the tongue onely is commendable; for beeing verie large, and of a verie lax fubftance, it is poudered, and by moft Gentlemen accounted for a daintie. The lard is difperfed over manie countries, to bee boiled and eaten with fifti in the time of Lent, that Gourmandizers may have fbm- thingto ferv them in ftead of flefti which is then forbidden. There is great ftore of fat in them in the parts under the skin and bellie, which melted, concreet's not again, byjeafon of thefubtiltie of the parts, they keep it to burn in lamps, and to ufe about their fhips. Thehoufes of the fifti-eaters are builded with their bones ;alfo orchards in the coaft of Aquitane are fenced with thefe bones- The fins that ftand forth of their mouths, which are commonly called Whale-bones, beeing dried and poliftied, ferve to make busks for women, whip-ftaves, and little ftaves, as alfo to ftiffen garments. Manie make feats or fteols of the vertebra or fpondils of the back-bone. A Whale bring's forth young, and fuckle's them. How they are caught. Why the fe- males are moreeafily caught then the males* Whale-hone. The Lib.xj. Of Monfers and Prodigies. 685 The manner of cutting up the fRhale. fn the river Sc aide, ten miles from Antwerp, Anno Dom. i477.thefeconddaieof Jafte,there a Whale taken, of a blacki Ih blue color, lhee had a fpout hole in the top of her head, < tit of which lhee caft great ftore of water: lhee was fiftie eight foot long, and fixteen foot high: her tail was fourteen foot broad; from the eie to the end of her nole was fbm fixteen foot- Her lower jaw was fix foot on each fide, fhee had twentie five teeth, which lhee could hide in her upper jaw, there beeing holes for them, it beeing whollie toothlels; for which one thing this Whale may bee judged monftrous, forthat nature hath denied them teeth, and and for that in creatures that are not horned, it is fo ordained by nature , that when they have teeth in their lower jaw, they Ihould have others alfo in the upper to anlwer to them, fo to chaw their meat. The longeft of thele teeth exceed not fix inches. There is (as Plinie report's) a verie fmall filhaccuftomed to live about rocks , it is called j Ecbeneis, never excceeding the length of a foot; it is thought that fhips go more (lowly iff this ftick to them: wherefore the Latins have allb given it a name of Remora, for that a Ihip ' beeing under fail with a good winde, may by the Ecbeneis leazing on her as if lhee would de- J vour her, bee ftaied againft the Sailer's wills, and ftand ftill as if lhee were in a lafe harbor.1 Wherefore lhee is laid in the Aftian fight to have ftaied the Ihip of Marcus to go about and encourage, his fouldiers, fo that hee was forced to enter into another Ihip, and thereupon Cefar's navie came upon them too haftily, and before they were provided. Shee alfo ftai'd the Ihip of the Emperor Cains, comming from Aftura to Antes , his Ihip of all the navie makeing no waie; neither did they long wonder at this ftaie , the cauf beeing prelently known; fom forthwith leaping into the Sea to finde the cauf thereof, there found her about the fticking to the Rudder, and they lhewed her to Caius, beeing wroth that this fo fmall a thing Ihould ftop him, and countermand the endevour of fortie Rowers. * Therefore this little fifli fame's and infringe's the violence and madnefs of the world, and that with *no labor, not without holding or anie other waie, but onely by fticking thereto. Cetainly how ever it com's to pafs, who from this example of holding of fhips,can doubt of anie power or effect of nature, in medicines which grow naturally > Yea, and without this example, the Torpedo out of the fea alfo may bee fufheient, who a far off, and at diftance,if it bee touched with a fpear or rod, will benumb even the ftrongeft arms, and retard the feet, how ever nimble to run away. & lib.ii.ctp.x The wondrous power of the Remora. The wondrons force of the 1 Torpedo. CHAP. XXII. Of the admirable nature of Birds, and of fom Beafts. Hat there bee divers things not onely in the Sea, but alio in the air and earth, which by the wonderful condition of their own nature may equal that of Mon- fters, the onely Eftrich may ferv for a witnels. It is the biggeft of Birds,though indeed it partly refemble's a bird, and partly a beaft (and it is familiar to Africa and as which contrarie to the nature of beafts hath feathers, and againft the cu- ftom of birds cannot die aloft; for it hath not feathers fit to flie, but like unto hairs, yet will it out-run a horf. The natural force of the ftomach in concofting is miraculous, as to which nothing is untameable: fhee laic's eggs of a wondrous largnefs, fo that they may bee framed into cups: their feathers are moft beautiful, as you may perceiv by this following figure. 6 ; The The Eflrich is between a bird aud a beaft. The wondrous force of her ftonoach. 686 Of on tiers and Trodigies. Lib.25. 'Ebe figure of an Eftricb. Anieonemay eafily ga- ther of what a prodigious magnitude an Ellrich is, by the greatnefs of his bones, three of thefe birds were kept at the King s charge, by the Marefchal de Rets : one whereof dying, it was beftowedupon mee, where- of I have with great dili- gence made a Sceleton. *fbe delineation of tbe Sceleton of an Eftrich. A. Shew s the head5which was fomwhat thicker then the head of a Crane,of the length of one s hand, plain from the crown even to the beak; the beak being divided to the mid- dle region of the eie,beeing roundift at the end thereof, B.The LIB.25. Of Monjlers and Prodigies. 687 B. The neck, a yard long, confining of feventeen vertebra's., each whereof on each fide isfurniflied with a tranfverf proceft looking downwards, of fom fingers length, exce- pting the two which are next the head, as which want thele, and are joined together by Ginglynws. C. The back is of a foot's length, confifting of feven Vertebra. D. The holie-bone of two foot long, in whofe top there is a tranfverf procefs,under which there lie's a great hole. E. Three more, but lefs. F. G. H. After which there follow's the cavitie orfocket, whereinto the head of the thigh-bone is received and hid. This externally and on the fide producerh a perforated bone, noted with the letter I. perforated I faie at the beginning, for it is prelently united at the letter, K. then is it forked and divided into two other bones, whereof one is big- ger then the other. The lefs is noted with the letter, L. then are they both united at the letter M each of them is half a foot and four inches longi But from that part whereas they firft begun to bee divided, to that whereas they are united, there is a hole fom four fingers broad, but the length of one's hand, or more, and it is noted with the letter N. Therefidue of the bone is like to a pruning knife three inches broad, but fix in length: at the end whereunder is the letter, 0. it is joined by coalition. P. The rump confifting of nine vertebra's, like to a man's. The thigh-bones are two, whereof that which is noted with the letter <gjs of the length of a foot,and of thicknefs equal to a horle's thigh. The other next under (which peradventure you may call the leg- bone) noted with K. is a foot and half long: it hath joined thereto the Fibula., or lefler focil of the length, but which grow's fmaller as it corn's lower. S. Is the leg, to which the foot adhere's, being one foot and a half long, divided at the end into two claws,the one bigger,the other left, whereof each confift s of three bonesj T. Eight ribs, which are inferted into the S ter non, the three middlemoft of theie have a bonie production like to a hook. V. Is the Sternon, confifting of one bone of fom foot's length, representing a buckler,to this there is joined another bone, which ftretched over the three firft ribs, is in ftead of cla- vicles or collar-bones. X. The firft bone of the wing, which is one foot and half long. r. Two bones under this, equivalent to the ell and wand, under which there are fix o- ther bones compoling the point of the wing, noted with Z. This whole Sceleton is feven foot long,and fo manic foot or more high from the feet to the beak : there are manie other obfervable things in his compofure, but 1 have thought fit to omitt them for brevi tie's fake. Jerotn Cardane in his books De [ubtilitate, write's, that in the Hands of the Moluccas you may fomtimes finde lying upon the ground , or take up in the waters, a dead bird called a Manucodiata, that is in Hebrew, the bird of God, it is never feen alive. It Jive's aloft in the air, it is like a Swallow in bodie and beak, yet diftinguilhed with divers colored feathers: for thole on the top of the head are of a golden color,thofe of the neck like toa Mallard, but the tail and wings like Pe- acocks; * it want's feet: Wherefore if it becom wearie with flying, or de- fire fleep, it hang's up the bodie by twineing the fea- thers about fam bough of a tree. Itpafleth through the air,wherein it muft re- main as long as it live s, with great celeritie, and live's by the air and dew onely. The cock hatha cavitie depreft in the back, wherein the hen laie's and fit's upon her eggs> I faw one at Paris which was prefented to King Cbarls the ninth. V , Wee have read in Cofinographie, that hee law a bird in which in that countrie fpeech is called in this verie monftrous and deformed, for.that the beak «• in length and thicknels, exceed's the bignefsof the reft of the bodie; it feed's on pepper,as the black-birds and felfares with us do upon Ivie-berries, which are not lefs hot then pepper. The defcripti- on ofthe bird of Paradife. Tbe effigies of a Manucodiata3 or bird of Paradife. * Wholbever de fire's to know more of the tiuih of this bird,let him read Clait- fius in the Ait- flarium ad lib. "} cap. i. exotico-> rum. A cer- 688 Of Monfers and Prodigies. Lib. 25. A certain Gentleman of Provence brought a bird of thiskinde from that countries to pre- fentit to King Charts the ninth, but dying in the waie hee could not prefent it alive.Where- fore the King wifhed the Marejcbal de Rets to give her to mee, that, I might take forth her bowels and embalm her, that (hee might bee kept amongft the King's rarities. Ididwhat I could, yet not long after fhee rotted: (hee refembled a crow in bodie and feathers, but had a yellowiftibeak, clear, fmooth, and toothed like a faw, and of ftich length and thicknefsas wee formerly mentioned. I keep it yet as a certain monftrous thing* fthevet write's, that frequently found a certain wilde beaft called of the the bignefs of in Ethiopian Monkie. It is a verie monftrous creature, but in nothing more, then that it is thought to live upon the air onely; the skin,as if it were died in grain, is of a fcarlet color, yet it is in fom places (potted and variegated: it hath a round-head like to a boul, with feet round, broadband wanting hurtful nails. The Moors kill it and u(e to eat the flefti of it, beeing firft brui(ed,that fo it may bee the more tender. In the Realm of Camota, of Abob3 of Benga, and other mountains of Cangipa, Plimatiq and Catagan, which are in the inner India, beyond the river of Ganges, fom five degrees beyond the Tropick of Cancer, is found a beaft, which the Weftern German's call Giraff. This beaft in head, ears, and cloven feet, is riot much unlike our Do ; it hath a verie (lender neck, but it is fom fix foot long, and there are few beafts that exceed him in the length of their legs: his tail is round,but reacheth no further then his hams; his skin is exceeding beautiful,yet fom- what rough,having hair thereon fomwhat longer then a Cow,it is (potted and variegated in fom places with fpots of a middle color, between white and chefnut, fo as Leopards are: fop which cauf by fom Greek Hiftorians it is called a Cameleepardalis: it is fo wilde before it bee taken, that with the good-will it will not fo much as bee (een. Therefore it inhabited and live's onely in defert and fecret places, unknown to the reft of the beafts of that region. Hee prefently (lie's away at the fight of a man, yet is hee taken at length, for that hee is not verie (peedie in running away j once taken, hee is as eafily and (peedily tamed as anie wilde beaft whatfoever. Hee hath a- bove his crown two ftraight horns covered with hairs, and of a foot's length. When as hee hold's up his head and neck hee is as high as a Lance. Hee feed's upon herbs and the leavsand boughs of trees 5 yea, hee is al(b delighted with bread. tom.i.cap, 11. lib-q. Thevet tom i. lib. u, cap. 13. effigies of Giraffa. Such .Lib.25. Of Mon/lers and Prodigies. 689 Such as fail in the red lea along the coaft of Arabia , meet with an Hand called by the Arabians Cadenwta j in that part thereof where the river Plata run's , is found a wilde beaft, called by the barbarous inhabitants Paraff'oupi , beeing of the bigneisof a Mule, headed not unlike one, yet rough and haired like to a Bear, but not of fo dark a color, but inclineing to yellow, with cloven feet like a Hart: Ihee hath two long horns on her head, but not branched, fomwhat refembling thofe fo much magnified horns of Unicorns. For the na- tive's of the place, bitten by theyenemous tooth of either beaft or fifti, are prefently helped and recover by drinking the water wherein fiich horns have been infilled for fix or (even daies (pace, as Tbevet in his Cofinographie report's. In one of the Iflands of the Moluccas there is found a beaft living both on land and water like as a Crocodile ; it is called faantfburcb, it is of the bignefs of an Hart, it hath one horn in the fore-head, moovable after the fafhion of the nole of a Turkic-cock: it is fom three foot and an half long, and never thicker then a man's arm 5 his neck is covered over with an alh color, hee hath two feet like to a goof's feet, wherewith hee fwim's both in frelh and fait waters. His fore-feet are like to a flag's, hee live's upon fifti. Manie have perfwa- ded themfelvs that this beaft is a kinde of Unicorn , and that therefore his horn fhbuld bee good againft poifons. T he King of the Ifland love's to bee called by the name of this beaft 5 and fo alfo other Kings take to themfelvs the names of the wilde beads, fifties, or fruits, that are moft precious and obfervable in their dominions, as "tbevet report's. Mauritania and , and that part of that is beyond the defcrts and fyrtes, bring forth Elephants; but thofe of India are far larger. Now although in the largenefs of their bodie they exceed all four-footed beafts, yet may they bee more fpeedily and eafily tamed then other beafts. For they may bee taught to do manie things above the common nature of beads. Their skin is fomwhat like to a Buffies, with little hair upon it, but that which is, is afli colored, his head large, his neck fliort, his ears two handfuls broad, his note or trunk verie long, ahd hanging down almoft to the ground, hollow like as a trum- pet , the which hee ufeth in ftead of an hand, his mouth is not far from his breaft , not much unlike a fwine's, from the upper part whereof two large teeth thruft forth themfelvs, his legs are thick and ftrong, not confifting of one bone as manie formerly have falflybe- leeved (for they kneel to admit their PUder, or to bee laden, and then rife up again of them- felvs) his feet are round like a quoit fom two or three hand's bredth, and divided into five clefts. Hee hath a tail like a Buffle, but not verie rough , fom three hand's bredth long, wherefore they would bee much troubled with flies and wafps, but that nature hath recom- penced the Ihortnefs of their tails by another waie j for when they finde themfelvs mole- fled, they contraft their skin fo ftrongly, that they fuffocate and kill thefe little creatures taken in the wrinkles thereof 5 they over-take a man running by going only, for his legs are proportionable to the reft of his bodie. They feed upon the leavs and fruits of trees, neither is anie tree fo ftrong or well rooted, which they cannot throw down and break. They grow to bee fixteen handfuls high, wherefore foch as ride upon an Elephant are much troubled as if they went to tea. They are of fo unbridled a nature, that they cannot endure anje head-ftall or reins, there- fore you muft fuffer them to take the courf and waie they pleaf. Yet do they obey their countrie-men without anie great trouble 5 for they feem after fom fort to underftand their fpeech, wherefore they are eafily governed by their known voices and words. They throw down a man that anger's them, firft taking him up with their trunk and lifting him aloft,and then letting him fall, they thread him under foot, and leav him not before hee bee dead. Ariftotle write's that Elephants generate not before they bee twentie years old : they know notadulterie, neither touch they anie female but one, from which they alfo diligent- ly abftain when they know Ihee hath once conceived. It cannot bee known how long they go with young, the reafon is forthat their copulation is notfeen, for they never do it but in fecret. The females bring forth refting upon their hinde legs, and with pain like women, they lick their young, and thefe prefently fee and go, and fuck with their mouths, and not with their trunks. You may fee Elephant's teeth of a monftrousand ftupendious bignefs, at Venice, Rome, Nafles9 and Paris j they term it Ivorie , and it is ufed for Cabinets , Harps, Combs, and otherfuch like ufe$. The Indian Elephants are bigger then the African. How they keep flies from them. Lib.9.de bi (I, anim.cap.28. It is not known how long an Ele- phant go's with young. Nnn Tbs Lib,Z5 690 Of Monsters and Prodigies. The figure of an Elephant. Wee Lib. 25. Of Mongers and Frodigies. 691 Wee have read in Tbevet, that in Florida there are gn at Bulls, called in that countrie ' tongue Beautrol, they have horns of a foot long, a bunch on their back like a Camel, their1 hair long and yellow , the tail of a Lion 5 there is fcarce anie creature more fierce or wilde,, for it can never bee tamed, unlefs it bee taken from the dam. The Salvages ule their hides againlt the cold, and their horns as an Antidote againft poifbn. The fame author affirm's that whileft hee failed in the redfea, hee fawa monfterin the hands of certain Indian merchants , which in the biguefs and fhape of his limbs was 1 not unlike a Tiger, yet had the face of a man, but a verie flat note: befides, his fore feet were like a man's hands, but the hinde like the feet of a Tigre , hee had no tail, hee was of a dun color: to conclude, in head, ears, neck\ ana face it refembled a man, but in the blackilh and curled hair, a Moor: for the other parts they were like a Ti- gre 5 they called it 'Tbanaftb. Tom.z.lib. x?. cap, x. Their horns good againft poifon. Tom.idib.i. csp.io. ibe figure of a beaU called Thana&h. This following monfter is Co Grange that it will ftarce bee believed, but by thoft that have feenit: it is bred in America, and by the Salvages called Flai'it, of thebig- neft of a Monkie, with a great bellie, almoft touching the ground, and the head and face of a childe: beeing taken, it mourns and figh's like to a man that is troubled andper- plext; it is of an afh-color, hath the feet divided into three claws, four fingers long, and (harper then thofe of a Lion : it climbe's trees, and live's there more frequently then up- on the ground, the tail is no longer then thebredth of three fingers. It is ftrange and al- moft monftrous that theft kinde of creatures have never been feen to feed upon,or eat anie thing: for the Salvages have kept them long in their houfes to make trial thereof, where- fore they think them to live by the air. nn 2 692 Of Monsters and Prodigies. Lib.25 The figure of the be aft called Haiit. I have taken this following monfter out of Leo's African hiftorie; iris verie deformed,be- ing round after the manner of a TortoiQ two yellow lines crofting each other at right an- gles, divide his back jateverieend of which hee hath.oneeie, and alfo one ear, (b that fiich a creature may fee on everie (ide with his four eies, as alio hear by his (b manie ears: yet hath hee but one mouth, and one bellie to contain his meat, but his round bodie is encompafled with manie feet,by whole help hee can go aniewaie hee pleaf without turning of his bodie, his tail is (bmthing long and verie hairie at the end The inhabitants affirm, that his blood is moreeffe&uall in healing of wounds then anie balibm. Blood as good as balfom. It is ((range that the Rhinoceros (hould bee a born enenrie to the Elephant; wherefore hee whet's his horn, which grow's upon his nofe, upon the rocks, andfo prepare'® himfelf for fight, wherein hee chiefly aflails the bellie,as that which hee kjiow's to bee the fbfteft: hee is as long as an Elephant, but his legs are mu ch (hotter, hee is of the color of box , yet fomwhat (potted. Pompe was the firft, that (hewed one at Rome. FtifUfrCW 'the Lib.25. Of Monslers and Prodigies. 693 N n n j Tbe Of Mongers and Trodigies. Lib,25- 694 'the figure of the Chameleon. Africa produceth the Chameleon, yet is it more frequent in India: hee is in lhape and greatnels like a Lizard, but that his legs are ftraight and higher, his lides are joined to the bellie as in filh,and his back ftand's up after the fame manner, his note ftand's out not much unlike a {wine's, his tail is long, and £ndeth fliarp, and hee fould's it up in a round, like a ferpent, his nails are crooked, his pace flow like as the Tortoif, his bodie rough, hee never Ihut's his eies, neither doth hee look about by the mooving of the apple, but by the turning of the whole eie. The nature of his color is ve- rie wonderful, for hee changeth it now and then in his eies and tail, and whole bodie befide; andheealwaies aflimilate's that which hee is next to , unlels it bee red or white* His skin is verie thin, and his bodie clear ; therefore the one of thefe two, either the color of the neigh- bouring things in fo great fubtiltie of his clear skin, eafily Ihine's as in a glafs; or elf various humors diverfly ftirred up in him, according to the varietie of his affeftions, repreient divers colors in his skin, as a Turkie-cock dothinthofe flelhie excrefcences under his throat,and upon his head: hee is pale when hee is dead. Mathiolus write*s that the right eie taken from a living Chameleon take's a- way the white fpots which are about the thornie coat oftHteie; hisbodiebeing beaten,and mixed with Goat's milk,and rubbed upon aniepart,fetcheth off hairs; his gall difcufleth the Catara&s of the eie. Plbilib.S.C.33. drift, lib.z.hift, Mim.cap.iz. The ftrange nature of the color of the Chameleon. CHAP. XXIII. Of Celeflial Monfters. P Eradventure it hath not been ftrange that monitors have been generated upon the earth and in the Sea: but for monitors to appear in heaven, and in the upper region of the air, exceed's all admiration* Yet have wee often read it written by the antients, that the face of heaven hath been deformed,by bearded,tailed, and haired Comets; by meteors reprefenting burning torches,and lamps,pillars, darts,lhields,troups of clouds, hoftilely aflailing each o- cher; Dragons,two Moons,Suns,and the like monitors and prodigies. An- JLib.zj. Of Monjlen and Prodigies. 695 Antiquitie hath not teen anie thing more pro- digious then that Comet which appeared with bloodie hair in Vverftine, upon the ninth date of Otfober, 15 28,.for it was fo horrible and fearful a fpeftacle, that divers died with fear, and manie fell into grievous dileafes; going from the Eaft to the South, it endured no longer then one hour and a quarter: in the top whereof was feen a ben- ding arm holding a great (word in a threat'ning hand5 at the end thereof appeared three ftars, but that over which the point of the (word direftly hanged was more bright and clear then the reft : on each fide of this Comet were feen manie fpears,fwords, and other kindes of weapons died with blood, which were intermixt with men's heads, haveing long and terrible hair and beards, as you may fee in this figure. Alfo there have been feen great and thick bars of Iron to have fain from heaven, which have prefently been turned into fwords and rapiers. At Sugolia in the borders of Hungarian ftone fell from heaven with a great noif, the feventh daie of September;, Anno jDom. 15 14. it weighed two hun- dred and fiftie pound : the Citizens hanged it up with a great iron-chain put through it, in the mid'ft of the Church of their Cittie, and uted to fhewit,as a miracle, to travellers of better note that pafs'd that waie.t Plinie report's that claftiing of armour, and the found of a trumpet were heard from heaven often, before and after the Cimbrianwar. The fame author write's that in the third Conful-fhip of Marius, the Ama- rines and Judortines faw the heavenlie armies comming from Eaft and Weft 5 and fo joining, thofe beeing vanquifhed which came from the Eaft. Which fame thing was feen in Lufalia,3.t a town called Jubea,vwo hours after mid-night, A Dorn. 15 35. But in AJJom. 1550. upon the 19. daie of Julie, in Saxonie, not far from Wittenburg, there appeared in theair a great Stag, incomp ailed with two armed hofts, makeing a great noif in their conflift, and at the fame inftant it rained blood in great abundance, the fun feemed to bee cloven in two pieces, and the one of them to fall upon the earth. A little before the takeing of Constantinople from the Chriftians, there appeared a great armie in the air appointed to fight,attended on with a great companie of dogs and other wild beafts. Julius Obfequius report's that in A.Dom. 45 8. it rain- ed flefli in Italie}in greater and lefler pieces, part of which were devoured by the birds before they fell upon the earth: that which fell upon the earth kept long unputrefied, and unchan- ged in color and frnel. A.Vom.yBy.Otbo the third being Emperor,it rained corn in Italic. A.D. 180. it rained milk and oil in great abundance, and fruit-bearing trees brought forth corn. Lycoftbenes tel's that in the time of Char Is the fifth, whil'ft Maidenberg was befieged, three funs firft appeared about y.a clock in the morning, and then were feen for a whole daie whereof the middlemoft was thebrighteft,the two others were reddifh, and of a bloodie color;but in the night time there appeared three Moons. The fame appeared in Bavaria, An. Dorn. 1554- But if fo prodigious and ftrange things happen in the heavens befides the common order of nature, fhall wethink it incredible that the like may happen in the earth ? An. the whole earth quaked, mount JEtna eaft forth flames and (parks of fire,with which manie houfesof the neighbouring villages were burn'd. An.Dom. 1531. in Portugal there was an earthquake for eight daies,and it quaked (even or eight times each daie 5 fo that in Lisbone a- lone it eaft down a thoufand and fiftie houfes, and more then fix hundred were fpoiled. Fer- rara lately was almoft wholly demolifh'd by a fearful earthquake. Above all which ever have been heaid is that prodigie which happened in the time of Plinie, at the death of Nero the Emperor in the Marucine field, the whole Olive-field of Veaius Marcellus a Romane Knight going over the high waie,and the fields which were againft it comming into the place there- of. Whyfhould I mention the miracles of waters, from whole depth and ftreams, firesand great flames have oft broke forth > They tell out of St. Auguftine, that the fire of the facrifice, which for thofe feventie years of the Babylonian captivitie endured under the water, was extinguifhed,.Antiochus felling the prieft-hood to Jafon. What miracle is this, that the fire fhould live in the water, above its force and natural efficacie,and that the water fhould forget the extinguifhing facultie I Verily Philofophers truely affirm that the elements, which are underftood to be contrarie, and to fight in varietie among themfelvs, are mutually joyned and tied together by a marvellous confederacie. Tte end of the Twentie fifth Book. the figure of a fearful Comet, L.i.C.f?. Prefages of thetakeing of Confi antinople. Monftrous rains. Earth quakes. Lib,i. cap.Ji, 696 OF THE Faculties of Simple MEDICINES, Of their Compofition and Ufe. AS ALSO TheTwentie fixthBook. The Preface. SMongft the cauffes which wee term healthful, and other remedies which pertain to the health of man, and the expelling of Difeafes, Medicines eafily challenge tbe prime place} which (as it is delivered by Solomon) God bath produced out of the earth, and they are not to bee abhorred by a wife man; for there is nothing in tbe world, w icb fooner, and as by a miracle, affwageth the horrid torments of difeafes. therefore Herophilus called them fittingly admini fired,The hands of the Gods. And hence it was that fuch Phyficians as excelled in tbe knowledg of Medicines, have amongft the Antients acquired an opinion of Divinitie. It cannot by words bee expreffed what power they have in healing, Wherefore the kriowledg of them is verie neceffarie not onely for the prevention, but alfo for the driveing away of Difeafes. The excellen- ce of medi' cincs. CHAP. I. Wbat a medicine is, and how it differed) from nourishment EE define a medicine to bee,That which hath power to change the bodie according to one or more qualities; and that fuch as cannot bee changed into our nature: . contrarie whereto wee term that nourifhment which may bee converted into the fubftance of our bodies. But wee define them by the word power , becauf they have not an abfblute nature,but as by relation and depending upon the condition of the bodies by whom they are taken. For that which is medicine to one,is meat to another,and that which is meat to this, is medicine to that. Thus for example. Hellebore is nourishment to the Qyail, but a medicine to man: Hemlock is nourifhment to a Sterling, but poifon to a Goof: the Fe- rnla is food to an Afs, but poifon to other cattel. Now this diverfitie is to bee attributed to the different natures of creatures. It is recorded in hiftorie, that the fame by long ufe may happen in men.They report that a maid was prefented to Alexander the Great,who nourifhed with Napellus, and other poifons, had by long ufe made them familiar to her,fo that the verie breath fhee breathed was deadlie to theby-ftanders. Therefore it ought to feem no marvail,if at anie time it happen, that me- dicines turn into the nature and nourifhment of our bodies: for wee commonly may lee birds and fwine feed upon ferpents and toads without anie harm: and laftly, - -Serpent i Ciconia pullos Nutrit, &per devia rura lacerta : Illi eadem jumptis quxruntanimaliapennis. The Stork with Serpents and with Lizards caught, In waielefs places nourifheth her brood : And they the fame purfue, when as they 're taught To ufe their wing, to get their wifh'd-for food. CHAP. II. The differences of Medicines in their matter and fubftance. The earth the mother of ri- ches and medi ciness ren as the concealed glorie of worldlie riches lieth hid in the bowels of the earth, and depths of the lea and waters,as gold,filverand all forts of metals, gemms and pretious ftones,furnifh'd with admirable virtues} fb wee may behold the fuperficies ot this earth clothed with almoft an infinite varietie of trees, fhrubs, and herbs: where wee may contemplate and wonder at the innumerable diverlities of roots, leavs, flowers, fruits, gums , their finds, pleafant tafls and colors,but much more at their virtues. This fame mo- *ther-earth,as with her breafts,nouri(heth marvellous diftinft kindes of liveing creatures,va- rious in their fpringing, encreaf and ftrength. Wherein the immenf goodnefs of God, the great Architeft and framer of all things, dothmoft clearly appear towards man,as who hath fubjefted to our government,as a patrimonie, foampie and plentiful provifion of nature for our ddight in nourifhment and neceffitic of healing. Therefore the antient Phyficians have right- Lib.z6. Offimple Medicines, and their ufe. 697 rightly delivered,that all forts of medicines may bee abundantly had from liveing creatures, plants, the earth, water and air. Medicines are taken from liveing creatures either whole and entire, or elf the parts - and excrements of them. Wee ofttimes ufe in Phyfick whole creatures, as foxes,whelps, < hedg-hogs, frogs, fnails, worms,crabs,and other living creatures. Wee alfo make ufe of fom I parts of them, as the liver of a Wolf or Goat,the lungs of the fox, the bone of the flags' heart, Cranium bumanum, fat, blood, flelh, marrow, the cods of the Caftor or Beaver, which , is therefore termed Caftoreum, and fuch other particles that are ufeful in Phyfick. Wee know alfo that there are fom medicines taken from excrements,as horns, nails,hairs,feathers, skin; as alfo from urine, dung, fpittle, honie, eggs, wax, milk, wool, fweat, and others of this kinde, under which wee may comprehend musk, civet, pearl, oefipus, and fundrie others of this nature. Wee take medicines from plants, both whole, and alfo from their parts, whether Crees, fhrubs, or herbs. For we oft-times ufefuccorie, marfh-mallows, mallows, plantain, and the like, whole: but otherwhiles onely the roots of plants, their pith, wood, bark, Ihoots, flalks, leavs, flowers, feeds, fruits, juices, gums, rofines, modes, and the like. Things taken from the earth for the ufe and matter of medicine, are either earths, ftones, or Minerals. The forts of earth are Bole-Armenick, Terra refilller's-ear th, chalk, pot- ters claie, and fuch like.Stones, are the pumice, Marchifite of gold, filver, brafs, marble,the load-ftone, plaifter, chalk, fulpbur vivum, lapis fpecularis, and others. Metals and Minerals are gold, filver, tin, lead, brafs, iron, fteel, antimonie, cerufe, brimftone, Cinnaber, litharge of gold and filver, tuttie, true Pompbolix, verdigreece, alum, romane vitriol, copras white and green, faits of fimdrie kinds,bothof Arfenicks, and fuch like. The following medicines are from frelh water, rain-water, fpring-water, river-water, and all things thence arifeing, as water-lentile, common flags, water-lilies, water-mints, and all the creatures that live/therein. From the falt-water are taken fait, Alcyonium, all forts of coral, fhels of fifti, as alfo cuttie-bones, fponges, and all creatures of the lea. From waters mixt of fait and frefh, the herb Androjace (which grow's in plentie in the marlhes at Fontig- nan and Cape de Sete} Afpbaltum, which is found in the dead fea. From the air proceed's Manna, therefore called mel-derium ( i. e.) honie of the air,and al- fo all other kindes of dew that are ufeful in Phyfick, by reafon of the virtues they receiv from the firn which raifeth them up; from the air, whereas they make fom ftaie; as alfo from the plants, whereupon they fall and refide. What medi- cines taken fromlivcing creatures. What fro® piants. What from the earth. What from the water. What from the air. CHAP. III. The differences of fimples in their qualities and effects* LL the mentioned forts of fimples are indued with one or more of the four facul- ties, whereof I nowpurpofe to treat. The firft facultie common to all the reft,and as it were their foundation,flow's from the four firft qualities of the prime bodies or elements, that is heat,coldnels, drinefs, and moifture, and this either Ample or compound, as one or two of thele prime qualities exceed in the temper of the medicine, as may appear by this following. The fimple qualitie is either to Heat, Cool, Humeft, Drie. The compound, arifeing from two joined qualities, either Heat's and drie's,Heat's and moi- ften's, Cool s and drie's, Cool's and moiften's. Heat moderate, Heat's, Attenuate's, Rarifie's, Open's the paflages, Digeft's, Suppurate's- Immoderate, Inflame's and burn's , Bite's, whence follow's Violentattraftion, Rubrificati- on, Confumption, Colliquation, Anefchar, Mortification. Cold moderate, Cooleth, Condenfeth, Obftrufteth. Immoderate, Congeal's, Stupifie's, Mortifie's. Moi fare moderate. Humeft's, Lubricate's, Levigate's and mitigates. Glue's. Immode- rate, Obftruft's, lift's up into a flatulent tumor, Specially if it bee a vaporous hu- miditie. Vrinefs moderate, Dries, Rarifie's, Attenuate's. Immoderate, Binde's, Contraft's or (brink's, Caufleth chops andlcails. Theefteftof thefe qualities is diftinguilhed, and as Galen obferv's digefted into thefe or- ders, which wee term Degrees, fo that by a certain proportion and meafiire, they may ferv to oppugn dileafes, as the fame GcZewaffirm's. For to a dileaf (for example) hot in the fecond degree, no other medicine muft bee ufed then that which is cold in the like degree: Where- fore all fimple medicines are Hot, Cold,Moift,or Drie ; in the beginning middle,or extr ne, of the firft, fecond, third, or fourth degree. The Heat, Coldnefs, Moifture, Drinefs, of the firft, fecond, third, fourth degree; is ei- ther Obfcure, Manifeft, Vehement or Excefti ve. An id afowit. 698 Of fimple Medicines, and their Vfe, LiB.zd. Examples of the degrees of heat* An example of heat diftinguifhed thus by degrees, may bee thus 5 Warm water is tempe- rate 5 that which is a little hotter, is in the firft degree of heat 5 if manifeftly hot, it is in the fecond degree; but if it heat more vehemently, it may bee thought to com to the third 5 but if it fcald, then wee know that it hath arrived to the fourth degree of heat. Such alfo is the diftinftion of coldnels, moifture, and drinels by degrees. Wherefore it will bee worth our labor, to give you examples of certain medicines, diftinguifhed in their order and degree, by which you may the more eafily give conje&ure of the reft. Simple Medicines hot in the Firft degree. Abfintbium. Maa. Amygdala dulcia. Beta. Brafica. Cbamamelum. Ladanum. Semen Lini. Save arum. Ervum,five Orobus. Vinum novum: Foroldis judged hot in thele- cond or third degree, as it is more or lefs years oldK Second degree. Ammoniacum. Arthemifia. Anetbum. Foenugracum. Mafticbe. Salvia. Marrubi- um. Meliffa. Apium. Cbatmepytis. Crocus. Ficus, thus. Myrrba.Mel. Nuxmofcbata. Fix utraque turn arida corporibus particulifque filidioribus aptior, tumliquida delicatioribas. Sc ill a. Sar corolla. Bryonia. Sal. Opopanax. Ammi. Third degree. Abrotanum.Agnus caftus.Anifum.Afarum.Ariftolocbia.Chanvedrys.Sabina.Calamin- tba.Cinnamomum.Iris.Juniperus.Hyffbpus-Origanum.Sagapenum. Cbelidonium majus. But a faliva. Fourth degree. Allium. Capa. Eupborbium. Nafturtium. Pyrethrum- Sinapi Titbymalli.Anacardi. Cbelidonium minus, Galena. Yet ours, by reafon of the gentlenefs of the air, and moifture of our foil, is not fo acrid. Buta fylveftris. This, as all wilde and not cultivated things, be- com's more ftrong and acrid then the Garden-Rue. Simples cold in the Firft degree. Atriplex. Hordeum. Cydonia mala. Malva. Pyra. Fruna. Bo fa. Viola. Second degree.Acacia. Cucurbita. Cucumis. Mala granata acida3 dulcia enim temperata funt potifis. Plantago.Polyganum.Solanum bortenfe; namidquod fomniferum dicitur, vi refrigerandi ad papaver accedit. Third degree. Hyofcyamus. Solanum fomniferum. Fortulaca. Sempervivum. Mandragora. Fourth degree.Cicuta.Papaveris genera omnia9excepto Corniculato ? buic enimincidendi & abfter- gendi vim attribuii Gal. Certe nitrofum & falfum guftu percipitur, quo fit ut calida & ficca fit natura. Opium. Simples moift in the Firft degree. Bugloflum. Viola-Malva.Bapum.Spinacia. Second degree. Ammoniacum. Laciuca. Cucurbita. Cucumis. Melones. Portulaca. Simples drie in the Firft degree.T'bus.Cbamamelum.BrafJiica.Sarcocolla.Crocus.Faba-Fanugracum.Hordeum integrum. Second degree. Artemifia. Fix arida. Orobus. Flantago. Balaufiiai Nux mofchata. Lens Mafiicbe. Mel. Sal. Anetbum. Myrrba. Third degree. Abrotonumuftum. Abfintbium. Myrtus. Acetum.Aloe. Milium. Cuminum. Sanguis draconis. Galla. Sabina. Fourth degree. Piper. Allium. Nafturtium. Sinapi. Eupborbium. Thole wee have mentioned have of themlelvs and their own nature all foch qualities? yet , do they produce far other effects by accident, and befides their own nature in our bodies, by reafon of which they are termed accidental caufles. This (hall bee made manifeft by the following examples. External heat by accident refrigerate's the bodie within, becauf it open's the paflages and pores, and call's for the internal heat, together with the fpirits and humors by Iweats: whence it follow's, that thedigeftion is worf, and the appetite is diminiftied. The lame encompafling heat alfo humeft s by accident, whileft it diftufe's the humors concrete with cold: for thus Venetie is thought to humeft. The like may bee laid of Cold , for that it heat's, not by it's proper and native, but by an adventitious force: whereof you may make trial in Winter, when as the ambi- ent cold, by (hutting the pores of the bodie, hinder's the breathing forth and diflipa- pation of the native heat. Whence it is inwardly doubled, and the concoftion better performed, and the appetite ftrengthned. This fame Cold alfo drie's by accident, when as it by accident reperculfe's the humor that was readie to flow down into anie part, and whil'ft it concrete's that which is gathered in the part: for thus, by the immoderate uleof repercuflers, an cedematous tumor proceeding from grots and vilcid phlegm, de- generate's into a feirrhus. Drinels and Moifture, becauf they are more paflive qualities, lhew their effe&s by not fo manifeft operations, as heat and cold do; but in companion of them they are rather to bee judged as matter,or a fubjeft. The effcfts of the firft quali- ties by acci- dent* CHAP. IV/ Of the fecond faculties of Medicines- XX / E term thofe the fecond faculties of Medicines, Which have dependance upon the v V firft, which are formerly mentioned,as it is the part of Heat to Rarifie3Attraft,Open, Attenuate, LlB.zd. Of /tmple Medicines, and their fe. 699 Attenuate, Levigate, Cleanf. Of Cold, to CondenQ Repercufs, Shut up, Incraflate, Exa- iperate, Conftipate. Of Moifture, to Soften, Relax. Of Drinefs, to Harden. Stiffen. Hence wee term that an attractive medicine, which hath an attractive facultie, as on the contrarie, that a repercuflive, that repel's; a detergent, that which cleanfes vifcous matter. Wee call that an Emplaftick medicine, which not onely fhut's up the pores of the bodie, but reduce s the liquid bodies therein contained to a certain equalitie and fubftance. Thus alfo emollients, relaxers, and the reft, have their denominations from their effefts , as wee (hall declare hereafter. CHAP. V. Of the third faculties of Medicines, fe third facultie of medicines depend's for the moft part upon the firft and fecond faculties, fomtimes conjoined, otherwhiles feparate. Alfo fomtimes it follow's neither of thefe faculties, but a certain propertie and inexplicable qualitie, which is onely known by experience. Now the operations of this third facultie are to agglutinate, to fill with fiefh, to cicatrize, to affwage pain, to moovorftaie the urine, milk, feed, the courfes, fweats, vomits, and performfiichlike operations in, or about the bodie. Thus the generation of flelh is produced by the concourf of two faculties, that is, of dry- ing and cleanfing. But drinefs and aftriftion produce a glutinating and cicatrizing facultie. A hot and attenuating facultie caufleth fweats, moov s urine, the courfes,and the like in the bodie; butcontrarie faculties retard and flop the fame. To mitigate pain, proceeds' onely from the firft facultie, to wit, from heat,or a moderate- ly heating facultie; to procure reft, from cold onely, or coldnefs ioined with fommoifture. But to procure vomit, proceed's neither from the firft nor fecond facultie , but from a cer- tain occult andeflential propertie, which is naturally implanted in Agarick, and other naufeous and vomitorie medicines. CHAP. VI. lHe fourth facultie of medicines is not of the fame condition with thole that are for- | merly mentioned; for it depend's not upon them , or anie other manifeft or ele- j mentarie qualitie, but on an occult propertie of the whole fubftance; by means whereof, it work's rather upon this then that part, upon this rather then that hu- mor. Wherefore Phyficians cannot by anie realbn finde out this facultie, but onely by ex- perience, as wee have laid a little before of medicines procuring vomit. Hence it is, that names are given to thole medicines from thofe parts that they chiefly relpeft: For they are termed Cephalicks, which reipeft the head 5 as, Betonie, Marjarom, Sage, Rolemarie, Ste- eb as. Pneumonicks, which refpeft the Lungs ; as , Liquorice , fweet Almonds, Orris, Ele- campane. Cordials, that ftrengthen the heart: as, as Saffron, Cinnamom, Citrons j but chiefly their rindes, Buglols, Coral, Ivorie. Stomatical, which relpeft the ftomach, and the orifice thereof: as, Nutmegs, Mint, Maftick, Pepper,Ginger. Hepaticks, which refpeft the Liver : as , Wormwood, Agrimonie, Spiknard, Succorie, Sanders. Spleneticks, which have relation to the fpleen: as, as Time , Epitbymum, Broom flowers. Cetrach, bark of their roots, the bark of Tamarisk. Diureticks, fuch as refpeft the kidnies and urinarie paflagcs: as, the roots of Smallage , Afperagus, Fennel, But- cher's broom, the four greater cold feeds, Turpentine, Plantain, Saxifrage. Arthni- ticks, or liich as ftrengthen the joints: as Cowflips, Charntpytis, Elecampane, Calamint, Hermodaftils, and the like. To this rank may bee referred purging medicines, which, furnilhed with a fpecifick propertie, lhew their efficacie on one humor more then another humor, and that im- paft more in one part then in another. For thus Agrick chiefly draw's phlegm from the head and joints , Rubarb draw's choller chiefly from the Liver, and hurt's the kidnies. But let us here forbear the confideration of fuch things, as not appertaining to Sur- gerie. But fom medicines of this kinde are furnifhed with one limple facultie, other- fom with more , and thofe contrarie, whereof you tafte may give you fufficient notice: for Rubard at the firft touch of the tongue is found acrid and hot 5 but when you com to chaw and throughly to tafte it, you lhall finde it to partake of an earthlie aftri&i- on. Therefore becauf taftes give notice of the faculties of medicines, therefore I have thought good to treat of them briefly. Of the fourth facultie of Medicines. The fourth fa- cultie of medi- cines depend1* onely upon an occult pro- pertie. CHAP. Of ftnple Medicines, and their LlB.zd. 700 CHAP. VII. Of Taftes. Afte, as Galen deliver's according to Jriftotle and 'tbcopbraftM , is a certain con- co&lonof moifture in drinefs, caufled by means of heat, which wee know or dlfcern by the tongue well tempered, and fittingly furnifhed with fpittle and his nervs. There are nine differences of taftes; for there are three judged hot, to wit, the acrid, bitter, and fait: three cold; the acid, auftere,and acerb: three temperate; the fweet, the oilieor fat, and the infipide. Now they are thought fo manie,ac- cording to the different degrees of concoftion 5 for it appears greater in hot taftes, and as it were a certain aflation, but lefs in cold, but indifferent, and as it were an elixation in things temperate: therefore Nature obferv's this order in the conco&ion of fapid bodies , that at thetirftthe acerb tafte fhould take place, then the auftere, and laftly,the acid: from thefe (as it were) rudiments of concoftion, arlfe's an infipid, then an oilie, then a fweet perfe&ly conco&ed and temperate. This concoftion exceeding the bounds of mediocritie,there arife's a fait tafte, then a bitter, and then an acrid with the higheft excefs of almoftafierie heat. Yet I would bee thus underftood, that all things that are by nature fapid, do not alwaies afi- fcend to the height of fweetnefs by the'degrees of acerbitie,aufteritie, and aciditie,a$ though it were of abfolute neceflitie, that all things that are fweet, they fhould bee acerb, auftere, and acid. For there are manie things found, efpecially in plants and their fruits, which when they fhall arrive to their perfection and maturitie, are acid, bitter, or fait, but beeing yet unripe, and not com to full perfection, they havqa certain fweetnefs, which afterwards> by a further digeftion, or perfection and concoCtion, acquire a bitter, auftere , or acid tafte. For thus bitternefs in Wormwood and Aloes, acrimonie in Pepper or Pellitorie, is a perfe- ftion of nature, a full ripenefs and perfeCt concoCtion, and not an excefs of heat in that fiecies. Alfo acerbitie and aufteritie is a perfection of nature,and no t a rudiment in Services and Cornelians; aciditie or tartnefs is alfo in verjuice. But in verie manie things it fo fall's out, that the fweet or fattie taftes becomfb, and acquire their perfection by concoCtion, as in Grapes, Figs, Pears,Apples,and almoft all other fuch fruits,as wee ufually feed upon.There- fore I will now treat of each of them in order, firft beginning with cold taftes. The acerb tafte is cold and terreftrial, and of a fubftance abfolutely grofs, beeing lets hu- mid then the auftere, but much lefs then the acid. It notablie cool's and drie's, it conden- fat's, binde's, repel's,efpecially from the fuperficies,and it alfo exafperate's j this tafte refide's, and may bee found in Pomegranat pills, Galls, Sumach, and Cy prefs nuts. The auftere is nigheft in temper and effeCts to the acerb, but fomwhat moifter; for the acerb abfolutely confift's in a terreftrial and cold fubftance. Wherefore this, increafed by a degree of concoCtion, acquire's more ftore either of heat alone, or elf of moifture alone,or elf of both together f moifture, I fay, and that is either aierie, or elf watrie. Therefore if thefe fruits, which before their maturitie are acerb, have an acceflion of heat, then do they becom fweet, as you perceiv by Chefnuts j but if there bee an acceflion of moifture onely, and that more grofs, of acerb they becom auftere: for both the taftes are in the like degree of cold, but the auftere is the moifture. But if to the fame frigiditie remaining in fruits, a certain fubtle humiditieaccrew, then is there cauffed an acid tafte. But if they have an ac- ceflion of a watrifh moifture and heat,they will acquire a fweet tafte, or elf oilie,if the humi- ditie accrewing with the heat bee aierie. I have judged it requifite to admonifh you hereof, that you might know by what means fapid bodies mitigated becom fweet of acerb, as it were by thefe interpofed degrees of au- fleritie, aciditie, and oilinefs, as they acquire a various acceflion of heat and moifture fepa- rately, or conjunCtly. Now by all that wee have delivered, you may gather, that all acerb and auftere things are cold anddrie; and as they are cold, they repel and hinder defluxions : as they are drie and terreftrial, they condenfate, incraflate, conftipate,and ftraiten the paffages; yea, and they alfo cicatrize: but acerb things perform this far more powerfully, as thofe which are abfb- lutely terrene, Cold, and drie, not partaking of moifture, or water. Now auftere things con- fift (as it were) in a middle matter, that is, in a more dilute terrene bodie, as it is apparent' in Services, unripe Grapes, Cornelians, Medlars, Crabs, wilde Pears, and all fort of unripe fruits, whence it is termed a crude tafte. The acid tafte is of a cold and watrifh nature, but moft fubtle, by benefit whereof it penetrate's, and divides almoft as powerfully as the acrid. It incide's or divide's, at- tenuate's, bite's,cleanfe's, open's obftruftions, repel's and drie's. For by the means of the deep piercing cold, it repel's all deflu&ions j and by the drying facultie, Which is ftrong even in it's watrie confidence, it ftaie's and flops all bleedings, the hxmorrhoides and dyfeti- teries* The force thereof is chiefly manifeft in Vineger , as alfo in the juice of Citrons, Sorrel, Cherries, Berberies, and the like. And this is the nature of cold taftes , now it is time wee fpeak of fuch as are temperate. The Lib-i.fimpl. Differences of taftes. The acerb, tafte. The auftere. The acid tafte. LiB.zd. Of fimple Medicines> and their ufe. 701 The infipid is improperly termed a tafte, as that which is rather a privation of taftes,1 it is in fom fort cold , and of a verie watrifti and grofs nature., it infpiflate's, conftipate's, and ftupifie's. This kinde of tafte is chiefly nianifeft in Water , and next in Gourds, Ci- trals, and maniefuch like things. The oilie cafte is hot, humid, and aierie ; therefore it humeft's, relaxate's, mollifie's, lu- 1 bricate's. Of this kinde are oil, butter, fat which is not rauced by age, nor acrid by nature, as that of Lions and Foxes. The fweet tafte is made by a moderate and well concofting heat, confifting in a matter 1 more tenuious and hot then the infipid, but in fomwhat more grofs then the oilie, from w hich in the firft qualities it doth not differ; therefore it is of a hot, aierie, and temperate nature. Therefore everie (weet thing detergeth, levigate's, concoft's, ripen's, relaxe's, and aflwageth pain. Examples of this tafte may bee had in Sugar,Honie,Manna, fweet Almonds, Milk, and other like. Now let us com to hot taftes. The fait tafte is hot and aftringent, lefs earthie then the bitter, as that which refide's as it' were in a middle matter. For it proceed's from an earthie drinefs, which is formerly terri- fied and attenuated by the force of heat in a watrie humiditie. Wherefore that which is fait contraft's the pores, cut's, cleanfe's, digeft's, or rather drie's up the humors by the dri- nefs thereof,without anie manifeft fenf of heat, whence it is, that it vindicate's from putre- iaftion. Under this kinde are conteined all forts of fait; as falt-peter, niter, [al dmmonia- cum, falgemm£3 common-falt, fea-water, and fuch other like. The bitter tafte is hot, earthie, and drying; for the matter thereof is grofs and earthie, ' which the abounding heat hath terrified and dried up. Wherefore bitter things taken in- wardly, purge and carrie away fuperfluous humors : and outwardly applied, they mundifie and deterge ulcers, they open the mouths and paflages of the veins oft-times by their ab- ftergent facultie; whence it is that they moov the courfes and haemorrhoides. The principal things indued with this tafte are Aloes, Gall, Wormwood, Gentian, the lefler Centaurie, Coloquintida, Fumitorie, Soot, and fiich like. The acrid tafte is hot, of a fubtil and fierie nature; for it is kindled of a hot, fubtle, and' drie matter, neither can it coniift in anie other. Therefore that which is acrid, heat's,prick s or bite's the mouth by the acrimonie, it heat's, and oft-times burn's,it penearate's,open's the paflagesJattenuate1s,attraft's and draw's forth grofs humors,evacuate's and (end's forth urine, the courfes,andfweat: befides it oft-times is feptick, bliftering, and efcharotick ; and laftly, burning,and cauftick.The feptick and putrefaftive things are fublimate,Cb«mieZe»,the juice of Tbapfta.The veficatories are Dittander,Cantharides,Crow-foot,Muftard,Pellitorie of Spain, Euphorbium. But the cauftick and efcharotick are Lime, Oke-afhes, and the like. But tvee know medicines not onely by the tafte, but alfo by our other fenfes, as touch, fight, hearing, finell. And as by the tafte, fo alfo by thefe wee judg of and trie the goodnefe of medicines, and diftinguifh the true legitimate from the adulterate. The touch judge's what are hot and cold,moift and drie, rough and gentle, or fmooth, hard and foft, brittle or friable, glutinous and vifeid, drie or flipperie. Wee approov of the goodnefs of medicines by their color, brightnefs, or duskinefs,whereof the eie is judg; for wee commend that Sen- na which is fomwhat greenifh, but diflike the whitifh: as alfo wee like well of fuch Caflia as is black both within and without, fhining and full, and not drie and fhrunk up. Yet the judgment of the firft qualities, by the color is deceitful, or none at all; for fuch things as are white, or the color of Snow,are not therefore colcl: for fundrie of them are hot,as Lime. Neither are red things to bee therefore judged hot; for Roles cool. Alfo medicines are cho- len by the finell; for fuch as have a good, frefh, and natural finell, are commonly hot, and in their perfeft vigor. On the contrarie, things that want finell are for the moft part cold and evan id. By hearing wee diftinguifh things full from fuch as areemptie : thus wee chute Caflia, which thaken, make's nonoif with the grains or feeds rattling in it. Hitherto wee have explained the firft, fecond, third, and fourth faculties of medicines in general,and have (hewed how they may bee found out: now muft wee more particularly treat of their fecond and third faculties, becauf by reafon of thefe they chiefly com into ufc in Surgerie: Yet let mee firft briefly lhew by what means and arts they may bee prepared. The infipid. The oiliec The fweet rhe file. The bitter?, The acrkL CHAP. VIII. O prepare medicines,is nothing elf, then by Art to make them more commodious for uie and compolition, whereby they are either made More gentle. Bybruiftngj as when medicines are broken by ftriking and rubbing grindeing in a mortar, and that either of Brafs, Iron, Lead, Glals, Wood, Marble, and other like. Coniidering the thing which is to bee beaten. The ftrength or force wherewith it muft bee performed. The time or fpace. The fituation. The things to bee added. The con* fiftencc which the thing beaten muft bee of. v O o o More Of the preparation of Medicines. Of fimple Medicines, and their nfe, LlB.Zd. 702 More ftrong By fearfing, whereby wee teparate the pure and finer from the more impure and grofs, which is don by fivs and feartes,made of Wood,Parchment,Hor£hair,Silk,Lawn. Wherein is to bee noted, that the fame confideration is to bee had in fearfing,asin beating 5 therefore fuch things as are to bee finely powdered, muft bee fearted in a finer fearf: fuch as are more grofs, in a courier. More pleafant By diffolving or Which is nothing elf but a diflblving of a fimpleor a compound medicine, of a thick or hard confiftence, either into a mean confiftence;, or a little more li- quid or foft, which is performed either by heat onely for by heat gums and horns are mo- llified : or by liquor, as by vineger, water, wine, juice of Limmons, &c. More whelefom By deftccation or hardening 5 which is nothing elf, but the confuming of the fiiperfluous and hurtful moifture; and this is performed, either by the Sun, or by Fire. By infufton 5 which is nothing elf but the tempering or macerating of a medicinea little beaten or cut, in fom liquor appropriate and fit for our purpote; as in Milk,Vineger, Water,oil, and the like, fb long as the nature of the [medicine require's. To Infufion, Nutrition may bee reduced, which is nothing elf, but as it were a certain accretion of the medicine, by beeing moiftened, macerated, rubbed, or groun'd with fom moifture, efpecially with heat. By burning; that is, by confuming the humiditie which is in them. And that, either that they may bee the better powdered,beeing otherwife too glutinous, or that they may laie afide their grofs eflence, and becom of a fubtiler temper 5 or that they may put off, or partly lofe fom fierie qualitie, as acrimonie, Gal. ftmplicium. Or that they may acquire a new color.Now all things are burnt,either alone 5 as,fuch things as have a fattie moifture, as hairs,fweatie wool,horns: Or elf with fom combuftible matterjasfulphur, alum, fait, barlie, &c. More fit for mixture By boiling or '.elixation 5 which is performed by a humid heat ; as burning is by a drie, and that either that wee may increaf the weak faculties of fiich medicines as are boiled, by boiling them with fuch as are ftronger ; or elf to weaken fiich as are too ftrong, or elf wholly to diflipate fiich as are contrarie: Or that one facultie may arite offun- drie things of different faculties beeing boiled together, or for the longer keeping them, or bringing them to a certain form or confiftence: All which are don,by the Fire,or Sun.By wafting owcleanfing; whereby the impuritie of the medicine is wafted away or chanted , and fiich things are either hard:as metals,ftones,parts of living creatures, condenfed juices, and otherlike: Orfoftjas Rofins, Gums,Fats,Oils And thete ought firft to bee finely beaten,that the water may penetrate in all their fiibftance.Or to bee diflblved, and caft into a veffel filled with water, and fb ftirred, and then fullered to fubfide, fo that the fat mayfwim aloft: And this muft bee don fo long that the water retain nothing thereof in color,fmell, or tafte. CHAP. IX. Aftringents are underftood by the name of repellers. Spelling or repercuffive medicines are cold., and of grofs and earthie parts; by which name alte) aftringent medicines are underftood, becauf they hinder the falling down of the humors upon the part. Repercuffives are fuch, either of their nature, and of themtelvs, or elf by accident , beeing not fuch of their own nature. Thete which of themtelvs are fuch, are of two kindes; for fom are watrifh and moift, without anie aftri&ive facultie, which almoft wholly proceed's from an earthie eflencej wherefore that facultie of repelling which they poflefs,they have it whol- ly from coldnefs. Of this kinde are lettuce, purflain, fow-thiftle,duck's-meat, kidnie-wurt, cucumbers, melons, gourds, houf-leek, mandrag-apples, night-lhade, henbane, and the which cool powerfully, and unlefs they bee taken away before the part wax blackilh, they extinguifhthe natural heat. Other fom are of an earthie eflence, and therefore aftri&ive; but yet fom of thefe are hot, other fom cold. Such things as are cold of temper, and of an earthie conliftence, are properly and truly termed repellers. Of thefe, fom are temple, other fom compound: the temples are plaintain, vine-leavs, leavsof rotes, okes, brambles,cyprete, berberies, fumacb, all unripe fruits, verjuice, vineger, red wine, the juice of fower pomegra- nats, acacia, the juice of barberries, and quinces, hypociftis, pomegranate-pills, oke-bark, the flowers ofwildepomegranats, the meal of barlie, beans, panick, oats, millet, orobus mixed with juices in form of a pultis, bole-armenick, draconis,cerufst litharge,terra ftgillata, fuller's-earth, chalk, marl, the load-ftone, lead, corals, all marchifites, antimonie, (podium;, true pompbylix., all forts of earth, and other things of the like nature. Now compound things are Oleum rofaceum} ompha cinum, papaveris, cidonio- unguentum rofatiem, album rbafi-s , campboratum, emplaftrum diacalcitbeos, dif- folved in vineger and oil of rotes, deficcativum rubrum., populeon 3 emplaftrum nigrum feu te- trapbarmacum of Galen s defciption, empl, contra ruptur-am, de cerufa, pro matrice. All fuch cold repercuffives Of repelling, or repercuflive Medicines, The differen- ces of rcper- cufiives. Lib.26. Of jmiple Medicines, and their ufe. 703 repercuflives are more effectual if they bee affociated withtenuitie of fubftance, either of' themfelvs, or by mixture with fom other things : for to this purpofe wee often mix vine-1 gar, camphire, and the like things of fubtil parts, with repercuflives of grofs parts , that: they may ferv as vehicles to carrie in the repercuhive's facultie. Repercuflives of grofs! parts and hot, are wormwood, centorie, gentian, agrimonie, favin, coriander, mint, baie- leavs, cardamomes, calamus, aromaticus, aloes, fpiknard, faffron, nutmeg, cinnamom,amber, fait, alum, coporas, fulpbur, oleum abfintbinum, mafticbinum, nardinum , cofiinum, ceratum9 i Gal. ftomacbicum, fantalinum, emflaflrum diacalcitheos. But fuch things as repel by acci- ; dent, are bandages , comprefles, linnen-cloths , and rowlers of all forts, cafes, cauteries, blood-letting, cupping, painful friftions in the oppofite parts, and other fuch like things as are properly (aid to make revulfion. The ufe of repercuflives is to force back the humor which flow's from anie other place into the part, and thus they mitigate the heat of fiich inflammation as that defluxion of humors hath caufled , yea , oft-times to affwage and help pain, the fever, abfcefs, malign ulcers, and mortification. Such repercuflives muft alwaies bee fb oppofed to the difeaf, that refpeft may bee had to the temper, com- plexion , and particular nature of the part whereto they are applied; for all parts cannot equally bear the like force of repercuflives, as nervous and other fpermatick and cold parts. Furthermore, there are fom parts whereto wee may by no means applie reper- cuflives j as the groins, arm-pits, and thofe glandules or kernels which are behinde the ears and brain, left the humor fhould retire back into fom of thePrincipal parts: the like reafbn is alfo of bodies; for the bodies of women, children, eunuchs, cannot endure fo ftrong repercuflives and the like excels of cold as the manlie and vigorous bodies Befides, everie difeaf require's not repercuflives, for if the bodie bee repleat with ill hu- mors ; if it bee plethorick; the ufe of repercuflives , unlefs after general purgation, can- not bee fafe; as neither if the humor, which is in motion,fhall bee venenate, grofs, acrid, critical, or (hall cauf great pain in the part, for then on the contrarie wee muft rather make ufe of attraftives. But now if the difeaf bee great , weak repercuflives will avail nothing againft it, as lettuce againft a great inflammation; and thou fhalt do ill if thou let upon a fmall defluxion with powerful repellers ; for by that means the skin is ftraitned, and the paflages thereof flop't, whereby the inflammation is increafed, or elf brought to a [cirrus. Wherefore let the Surgeon have a care that hee temper the force of his Repercuflives accor- ding to the magnitude of the difeaf. Why things of (ubtil parts are oft-times mixed with re- percuffiyes. Repellers by accident. When, and to r what parts re- , percufliyes muftbgcap- 1 plied. CHAP. X. M attractive medicine is contrarie to the repeller 5 the Greeks call it He lei 1- cum, it is of a hot and thin fubftance, whereby it draweth forth into the liiperficies of the bodie that which lieth hid in the center , although lom- times it doth it by an occult qualitie ; other-whiles allo by accident, as by the acrimonie. Thole things which by a manifeft qualitie do attraCt, are either Ample or compound. The Ample are Bryonia, allium, cep a, porrum , araftolocbia, bermodaflyli, ciclamen, lilium, figillum beat# Marie, arum, afarum, afpbodelus, gentiana , pyrethrum, ruta, fabina, calamen- tum, omnes titbymalorum fpecies, vifcum , abrotanum, anagallis, urtica, ranunculus, ftrutbium, and fuch like: Ammoniac um, bdelium, gabbanum , fagapenum , eupborbium, afpbaltum, cinis e face vinivel aceti, calx viva, fulphur, fal ammoniacus, omnis falis fpecier, auripigmentum , oleum vetus, adeps leonis, urfi, canis, anferis, vipere, ranarum, axungia poici vetuflate acris, aut at- tritu rotarum. Compofita verb, ut oleum de fpica, pbilofophorum, de terebintbina, de croco, de fcorpionibus, rutaceum, vulpinum, laurinum, anetbinum, de vitriolo, unguentum Agrippe, ar agon, feu auxiliare,martiatum,enulatum,theriaca,mitbridatium, ernpl. demeliloto, diachylon magnum & parvum, oxycroceum, divinum. Thole things which draw by a lecret propertie in nature, as are the load-ftone, quick- Alver, pyonie, amber, all antidotes and triacles that are remedies again ft the biteings of ve- nemous beafts, and all purging medicines. Thele which draw by accident, perform it otherwife then of their own nature, they have that qualitie out of putrefaction and corruption, as dove's dung> goat's dung, cow-dung, man's dung, and all kinds of dungs: alfo leven, old cheef, and fuch like. Cupping glafles, leeches, lyringes, rougher and harder frictions, lucking, pain, ftraight ligations, cauteries do alfo draw, but after a different manner from them lpo- ken of before. Attraftive medicaments muft neither burn nor dilculs, and beeing verie ftrong and lharp, they Ihould bee tempered and mixed with oil of roles, and other lenitives: but to weak ones Ihould bee added oil of baies, calx viva, and luch like to ftrengthen them. The ule of attraftives is to draw poifon toward the skin, and to haften forward critical abfcelfes; Oooa and Of attractive medicines. What ana t- traftive medi- cine is. Attraftives by a manifeft qualitie. By an occult. By accident Their ufco Of limbic Medicines,and their ufe. Lib.26. 704 and they make thofe parts which are benummed and confumed, to have life, they reftore the refrigerated parts by drawing thither the fpirits 5 they draw forth the vifeous filth of malign ulcers that lie's hid in the nervs, and hollow paflages of them ; they alfo draw out fcales of bones, fplinters of wood, nails, thorns, arrows, and that matter which is impaft in hard- ned inflammations. CHAP. XI. Of refolving Medicines. What a refol- ving medicine is. The differen- ces thereof. Hat is called a refblving medicine , which by heat, and the tenuitic of his fub- ftance openeth the pores, attenuates the humors , diffipate's and difcufleth by evaporating the unprofitable matter. There are two forts of thefekindes , of medicines j the one is called Areoticum or ratifying; the other is termed 8 Diapboreticum, or digefting. The Areoticum by a mean heat, and not drie , and indued with a tenuitie of fub- ftance, openeth and relaxeth the skin , and draweth forth the matter (hut up under it, whereby it may eaf pain, like as Anodynes, becaufit doth not much depart from a temperate heat. But the Diapboreticum beeing much hotter , whatfoever fticketh in the part beeing there impaft, it doth by thin vapor infenfibly diflipate : therefore the acrid and hot things are in this cafe to bee made ufe of rather then then attra&ives,becauf that cold and grofsnefs is more difficulty to bee digeftcd , and the length and involution of the waies beeing to bee confidered. The Arxotick, which wee may call weak refol vers, are either Ample or compound. The fimples are thefe, Bifmalva tota, parietaria, adiantbum , mercurialis, ebulus,Valeriana, rofmarinus, falvia, thymus- chamemelum, melilotum, anetbum, farina bordei, tritici, feminis Uni, fenugreci, nigella, furfur, adeps galline, anferis, anatis, cuniculi, vituli almoft all metals un- lefs ffich as are acrid* The compounds are Oleum cbamemolinum, anetbinum, liliaceum ' catello- rum,lumbricorum, Keirinum, de vitellis ovorum,de tritico,amygdalarum. dulcium,'Onguentum de al- thea, empl. diachylum;, ireatum. Diaphoreticks or digeftives, are alfo both Ample and com- pound : The fimpleare Ariffolocbia,enula campana, iris,cjpa, fey Ila, figillum Salomonis, figilium beate Marie, bryonia, panis porcinus, dracunculus, afpbodelus, origanum, mentba, pulegium, fabina, ferpillum, calamentba, byffop us, urtica, artbemifia, lavenduia, chamepytis, anifum , faniculum , cumi- num, piper, nux mofebata, coriandrum, bacce lauri & juniperi, farina, fabarum, lupinorum, orobi, milii, frumenti, furfur, mica panis, acetum tepidum, oxycratum, vinum vetus aut aromaticum, mel, aqua vite, muria, adeps tauri, equi, leonis, cams, bird , medulla cervi, cruris bovis & arietis, ammoniacum , galbanum » opopanax , fagapenum , myrrba , bdelium, thus , terebintbina , pix nigra, ladanum, fiirax, calamita, benioinum, ftercus caprinum, columbinum,caninum,bubulum9 & alie ftercorum (pedes. Compound diaphoreticks are Oleum amygdalarum amararum, Juniperinum, laurinum, de fcorpionibus, irinum, coftinum, nardinum, de terebintbina, de croco, canabinutn, rapbaninum, e cucumere agrefii, vulpinum, rutaceum, pbilofopborum de lateribus, de euphorbio, de tartaro, de petroleoj de berva, five ricininum, unguent, Agrippe, aragon, martiatum, enulatum, empl. de Vigo, without addition, and with addition, oxycroceum, diacalcitbeos, diflblved in a digefting oil to the form of a cerat. Araeoticks are profitably ufed in the increaf and ftate of fiiperficial tumors. But Diaphoreticks are not to bee ufed in the increaf of tumors, unlefs fom aftringent bee added, left by their more ftrong digeftion, they fhould draw and increaf the defluxion : but when the tumors decline, they are then onely to bee ufed in the parts chiefly where the skin is denf and hard, and when the humor is cold and grofs, and lying hid deep in the bodie, fo that the virtue of medicaments can hardly com thereto: but confideration is to bee had of the parts to which refblutives are to bee applied j for you may not applie relaxers or dia- phoreticks to the liver, fpleen, ft omach,or bowels, unlefs you add fom aftringents, of which a great part mull bee aromaticks. To the parts, where fenf is more dull, may bee applied the ftronger diaphoreticks, but thofe parts which are indued with a more exquifite fen£ as the eie and the nervs, to them wee muft applie weaker. When the matter is grofs and cold, things cutting and attenua- ting, and then emollient are to bee ufed, and fo by degrees com to diaphoreticks; otherwise that onely is refolved which is the moft fiibtil of unprofitable matter, the groflerbecom- ming concrete and hardned. But if the part bee afflifted with a continual defluxion, fb that there may bee danger of a gangrene or Iphacel, it is not lawful then to make ufe of refblvers, but you muft in the place where the humor flow's, divide the skin by fcarifi- cation, as it is moft learnedly noted by Hollerith in that profitable book of his left topofte- ritie, whofe title is. De materia Chirurgica, CHAP* The me of dia- phorcticks. LlB.Ztf. Of fimple Medicines, and their ufe. 705 CHAP. XII. Of Suppuratives. Supparative medicine is faid to bee that, which (hutting the pores, and pre- i venting tranfpiration by his emplaftick confiftence, increafeth the matter f of native heat, and therefore turneth the matter caft out of the veflels into and fanies. It is of nature hot and moift, and proportionable to the native heat of the part to which it is applied , and or an emplaftick confi- ftence 5 that fo it may hinder the native heat from beeing exhaled j in which refpeft it differeth from emollients and mala&icks, of which wee (hall fpeak hereafter. There bee: two kindes of (iippuratives, for fom do it of themfelvs , and by their proper qualitie 5 others by accident. Thole things which by their own ftrength do bring to fuppuration, are either fimples or compounds. Simples are radix liliorum, ctfa, allium, malvarum omnium folia & femina,buglo[fum, acanthus, fenecio,viol£, farietaria, crocus, caules, ficus, faffuLe mundate, with a deco&ion of thele things, farina tritici,farinavolatilis, farinabordei excorticati, lolii, feminis Uni & fxnugrtci, galbannm, ammoniacum,ftyrax finguis, ladanum, vijcum aucufatorum, thus, fix, cera, refina, colla, adefs,fuillus9 vitulinus ,vaccinus, cafrinusy butyrum, vitellus ovi, xfifus humida, fiercus fuillum, columbinum, capri- num, pueri. Compounds are oleum liliorum, lumbricorum, de croco, unguent. bafilicum, emflaft. diacbilon com- mune, magnum, de mucilaginibus. Thofe things do luppurate by accident which work it onely by the means of an empla- ftick confiftence : for fo often-times aftringents, becauf they are of earthie and thick parts, are found to fuppurate; luch are unguentum de holo nutritum,and luch like. Such alfo are thofe which by their coldnefs keep the heat in, and (hut the pores. Hence it is that the qualities of forrel are commended to generate fus: for whil'ft it keepeth the heat within, it increafeth his effefts, to the thickning of the fuppurable matter,and the overcomming other rebellious qualities. Wee ule things ripening in great inflammations, whofe growth wee cannot hin- der with repellers, or increaf with refolvers or difcuflers. ' What a fup»' putative mcdi- i cine is. Differences c£ fuppurativcs, ' Suppurative? > by accident. CHAP. XIII. Hat is defined to bee a mollifying medicine, which by a ftfonger heat then that ' which is proper to (iippuratives, without anie manifeft qualitie of drying or ■ moiftning, again malaxeth or fofteneth hardned bodies : wherefore this dif- ' fer's from that which fiippurate's, becauf that they bee hot in the firft or ft- j cond degree, according to the ftveral temper of the bodie, or part to which it is applied, working rather by the quantitie of heat, then the qualitie: contrariwife , that which mollifieth beeing indued with a greater heat , rather worketh by the qualitie of the heat, beeing otherwift in drinels and moifture temperate. Although as manie things agree together in fom refpe&s, though of a diverf nature; fo manie emollients are fuch as are hot in the firft degree, and drie in the ftcond and third, that To they may the better difperf [and diffiife that which is congealed , by taking away a lit- tle ofthe humiditie,which is contained within the part affefted:but not by exhaufting it wholly by the violence of heat or drinefs : for hereon would follow a greater hardnefs. Things mollifying, are either fimple or compound; and theft again ftrong or weak.' The weak are. Radix liliorum alborum, cucumeris agreftis, althe# 9 folia malv£,bifmalv£, li-* liorum, anetbi fummifates, viola, branca urftna, femen malvx, bifmalvt, lini,fanugr<eci, caricipin-' gues,pafful£ mundat£,pedum,capitum,inteflinopum vervecinorum decoctum, adeps ex junioribus & caftrati), domefticis, feeminis animalibus, adeps fuillus, vitulinus, badinus, caprinus, bubulus, vulpinus, gallinaceus, anferinus, anatinus, olor inns, effic aces. The weaker are things more gentle ; as, Buty- rum, lana fuccida, cera pinguis, vitellus ovi, medulla ex ofjibus, cervina, ovilla, caprina. The com- pound are oil, wherein are boiled mollifying herbs; as, Oleum liliorum, chatmemelinum, amyg- dalarum dulcium. Stronger emolliments are, Acetum, adeps taurinus, urfinus,cervinus,leoninus,par- dalinus, apri, equi fevum, pinea, picea, abietina, terebentbina, ammoniacum, bdelium,ftyrax, galbanum, ladanum, propolis, opopanax, ung. de emp- diachylon commune & magnum, de mucilaginibus, ce- roneum,oxycroceum,Joannis de vige. Wee uft emollients in (cirrous tumors of the muftles, or in the lips of ulcers, in anie of the limbs, bellie, glandules, bowels, by reafon of a grofs, cold, and viftous matter, either phlegmatick, or melancholick. Yet thofe tumors which com of melancholies commonly turn to cancers, which are exafperated by mollifying things. On the contrarie, (iich as pro- ceed from a phlegmatick matter,are brought to an equalitie ofconfiftence,by the uft of emol- lients. Furthermore, there are three things obftrvable in the uft of emollients: the firft is, O o o 3 duly Of Mollifying things. Gal. Mp.7« Hb. f. /imp. How luppura- tives &eraob lients differ. The differed* ces ofemolli' cnts. Their life. 706 Offimple Medicines,and their ufe. Lib.2,6' Things obftr vable in the ufe of emolli ents. duly to conlider how much the affe&ed parts differ's from his proper and naturall temper and proportion, that fo wee may applie an equivalent remedie. The lecond is, that wee di- " ftinguilh the natures of the parts. The third is, that wee artificially gather after what man- ner this mollifying muft bee performed; that is, whether wee Ihould mingle with the emollb ments, deterfive or difcufling medicines. For there are manie delperate fcirrous tumors,that is, liich as cannot bee overcom by anie emollient medicine , as thole which are grown fo hard, that they have loft their fenf; and thereupon are becom fmooth and without hairs. Here you muft obferv, that the part fomtimes becom's cold in lb great an excels, that the native heat plainly appear's to languilh, fo that it cannot aftuate anie medicine. That this janguilhing heat may bee refufcitated, an iron-ftove (hall bee fet neer to the part, where- in a good thick piece of iron heated redhotfhall beeencloled, for fo the ftove will keep hot a long time. Tbe figure of an iron [love. A. Tbe cafe of t be ftove. B. The iron-Bat to bee heated* C. The lid to [but tbe Hove. CHAP. XIV. Of Deterfives, or Mundificatives. Deterlive is defined to be that which doth deterge or cleanfan ulcer,and purge forth a double kinde of excrement; of the which one is thicker, which is commonly cal- led fordes, which is drawn forth from the bottom of the ulcer, by the edifications qualitie of the medicine, the other is more thin and waterie, which the Greeks call Icbor, the Latins Sanies, which is taken away by thedrinefs of the medicine 5 and therefore Hippocrates hath well advifed,that everie ulcer muft bee cleanfed and dried. Of DeterfiveSjlbm are fimple,fom compound, fom ftronger, fom weaker. Thelimple are either bitter, fweet,or fowr: the bitter are Gentiana, Ariftolocbia, iris, enula, fcilla, ferpentaria, centaurinumminas, abfinthium, marrubium, perforata, abrotonen, apium, chelidonium, ruta, byffopus, fcabiofa, artbemijia, eupatorium,aloe,fumus terr<e, badera terr efir is, a lixivium made with the afhes of thefe things, lupini, orobus, amygdala amar a, faba, terebintbina,myrrha, mafticbe,fagapenum,gal- banum, ammoniacum, the gals of beafts, fiercus caprinum, urina bene cotta, fquamma<£ris,£s uftum, <erugo,fcorta &ris, anttmonium, calx, cbalcitis, mify, fory, alumen. The fweet are Gioia, rofa, melli- lotum, ficus pingues, dattyli, uv& pajfie, glycyrrbiza, aqua bordei, aqua mulfa, vinum dulce, mel facca- rum, ferum, lattis, manna, thus. The lharp are all kinde of fowr things, Capreoli vitiurn, acetum, and other acid things. The compound are Syrupus de abfinthio, de fumaria, de marrubio, deeu- patorio, de artbemi/ia, acetofus, lixivium, oleum de vitel/is ovorum, de terebintbina, de tartaro, unguen- turn mundificativum de apio, apoftolorum,pulvis mercurialis. Wee ufe fuch things as deterge, that the liiperfluous matter beeing taken away, nature may the more conveniently regenerate flelh to fill up the cavitie: But in the ufe of them, confederation is firft to bee had of the whole bodie, whether it bee healthie, plethorick, or ill difpoled, there is confederation to bee had of the part, which is moifter and drier,,indued with a more exquilite or duller fenf. But oftentimes accidents befal ulcers belides nature, as a callus, a defluxion of a hot or otherwife malign humor, and the like fymptoms, Laftly, confideration is to bee had, whether it bee a new Deterfives. Their life. Lib.26. Of fimple Medicines, and their ufe. 707 new or inveterate ulcer ; for from hence, according to the indication, remedies are appoin- ted different in quantitie and qualitie :fo that oftentimes wee are conftrained to appoint the bitter remediein ftead of the fweet. Neither truly with a painful and drie ulcer doth anie o- ther then a liquid deterfive agree: neithd?to the moift anie that of a drie confi- ftence, as Powders. CHAP. XV. Hat medicine is laid to bee farcotick, which by its drinefs help's nature to rege- nerate flelh in an ulcer hollow, and diligently cleanled from all excrements.But this is properly don by blood indifferent in qualitie and quantitie. Wherefore,if I wee muft (peak according to the truth of the thing, there is no medicine which t can properly and truly be called farcotick: For thole which vulgarly go under that name, are onely accidentally fuch j as thole which without biting and erofion do drie up and deterge the excrements of an ulcer, which hinder theendevour of nature in generat- ing of flelh. For as by the law of nature, from that nourilhment which flow's to the nou- rilhingof the part, there is a remain, or a certain thin excrement, flowing from fom other place, called by the Greeks Ichor, and by the Latines Sanies: Thus by the corruption of the part there concreet's another grofler excrement, termed Rypos by the Greeks, and Sordes by the Latines. That make's the ulcer more moift, this morefilthie. Hence it is, thateverie wound which require's reftitutionof the loftfubftance, muft bee cured with two forts of medicines, the one to drie up and wafte the luperfluous humiditie thereof, the other to fetch off the filth: and by how much the wound is the deeper, by fo much it require's more liquid medicines, that lb they may the more eafily enter into everie part thereof. But diverfitie of things fhall bee appointed according to the various temper of the part. For if the affefted part fhall bee moift by nature, fuch things lhall bee chofen as lhall bee lefs drie: if on the contrarie the part bee drie, then liich things lhall bee uled as bee more drie $ but manie forts of medicines lhall bee alTociated with the farcoticks, according to the mani- fold complication of the effefts pollefling the ulcer.Therefore nature onely is to bee accoun- ted the workmafter, and the efficient caufin the regenerating of flelh, and laudable blood the material cauf,and the medicine the helping or affifting cauf,or rather the caufwithout which it cannot bee: as,that by cleanling and moderately drying without anie vehement heat,tak'es away all hinderances of incarnation and orders, and fit's the blood to receiv the form of flelh. This kinde of medicine according to Galen9 ought to be drie onely in the firft degree, left,by too much drienefs, it might drink up the blood and matter of the future flelh, which notwithftanding is to bee underftood of farcoticks, which are to bee applied to a delicate and temperate bodie. For if the ulcer bee more moift,or the bodie more hard then is fit, wee may allcend to liich things as are drie, even in the third degree. And hence it is that fuch drie me- dicines may firft bee called deterfives, and then prelently farcoticks. A farcotick medicine is either Ample or compound, ftronger or weaker. Simple farcotick medicines are, jfriftolocbia utraque, iris, acorus, dracunculus, a[arum9 fympbyti omnia genera9betonica9 [anicula, gua major,el minor eorumque fucci. 'Terebintbina lota & non lota, re/ina pini, gummi arabicum, farcdcolla, mafticbe, colopbonia, manna tbit- ris, cortex ejufdem, aloe, olibanum-) myrrba, mel, vinum, fanguis draconis, lytbargyros auri, fpodium, famfholix, tutia, plumbum uftum lotum,fcoria ferri. The compound farcoticks are,Oleum byparico- nis, ol. ovorum, maftichinum,& cetera olea, qu# balfami nomine appellant ur, unguentum aureum, emp. de betonica, vigonis, dejanua, Emp. gratia Dei, Emp. nigrum. Wee ule not larcoticks before that the ulcer bee cleanfed and free'd from pain, defluftion, inflammation, hardnefs, and diftem- per. In ufing thele things wee confider the temper of the bodie, and the affefted part: For oft-times a part otherwife lets drie by nature, require's a more powerful drying medi- cine, and ftronger farcotick, then another part which is more drie , and this for fom other reafon, whicltQught to com into our confideration: For example, thegMw; would bee more dried then the produce, although it bee of a temper lefs drie, becauf it is a paflage of the u- rine. Wherefore wee muft diligently obferv the condition of the affefted parts, and thence taking indication, make choice of more ftrongfatcoticks. For both that which is too little, and that which is too much farcotick, make's a fordid ulcer: the firft, becauf it drie's not ffifficiendy; the later, for that by its acrimonie it caufleth defluxion. Therefore diligent Care muft bee uled in the examination hereof. Of Sarcoticky. No medicine truly farcotiek Simple farco« ticks. Compound Sarco ticks. CHAP. XVI. Of Epuleticltf, or spinning mecicines. AN Epulotick medicine is that which covereth the part with skin: it is faid to bee fuch as by drienefs and aftri&ion without biting deficcate's,binde's and condensate's the fleffi into a certain callous fubftance, like to the skin, which wee commonly call a cicatrize or fear; 708 Of fimple Medicines, and their u(e. Lib.26. fear: yet this, as the generating of fiefli, is the work of nature. A medicine therefore is faid to bee Epulotick, for that it aflift's nature in fubftituting and generating a fear, in ftead of the true skin, whileft it confume's the fiiperfluous humidities, condenfate's, incraffate's, and binde's the next adjacent fiefli; therefore it ought to drie more powerfully then a farco- f tick* Epulotick medicines are of three kinds: the firft is the true epulotick: which onely drie's and bind's. The fecond is an acrid and biting epulotick, which, for that it wafte's the proud fiefli,is called lb j and this muft bee fparingly ufed, and that onely to hard and ruftick bodies. The third is that which onely drie's without aftriftion. The things whereof they confift are thefe: jiriftolocbia utraque, gentiana, iris, centaurium majus, pentaphyllon, fytnpbytum majus, cham£drys,betonica, cauda equina, eupatorium, zerbenaca, plant aginis & fymphiti folia, gall*, baccamyrti»glandes & earum calices, balauftia, cuprefsi nuces,malicorium, cortex quer cits, cortex ta- tnaricis, cortex ligni aloes, acacia, colopbonia, farcocolla, fanguir draconis, ladanum, lithargyros,au~ ri, argenti, cerufa, -plumbum uftum, alumen uftum,. rutbia, fquamma <erit & ferri, & eorum [coria,£ru- go,flos <eris, &s uftum et lotum, fulpbur vivum, cbryfocolla, corali, bolus armenus, terra Jigillata, cine- res buccenarum,ofireorum, filicis, offa ufla et ftccata, caries lignorum, ung. dcapompbolygos, ung. alb, rhafts, de ficcativum rubrum, emp. decerufa, de betonica, diacalcitbeos, emp. nigrum. Weeufe Epuloticks when as the ulcer is almoft filled up,and equal to the adjacent skin. In the ufe of thefe wee muft alwaies have refpeft to the tendernefs and hardnefs of thebodie; for fuch things as are corrofives to tender and delicate bodies, are epulotick to hard and ru- ftick bodies. Alfo wee have much regard, whether the bodie bee plethorick or replete with ill humors, for fuch do not eafily admit cicatrization. Alfo it is moft worthie of your obfer- vation, to mark whether the ulcer that is to bee cicatrized, bee fed or nouriflied by the pre- fent deleft of anie part, as the liver, fpleen, lungs, ora varix lying about it. For it cannot bee cicatrized before thefe impediments (if anie fiich bee) bee taken away. Laftly, the cal- lous lips of an ulcer, unlefs they bee fcarified or foftened, hinder cicatrization. Therefore all fuch defaults muft bee taken away, and then fiich an Epulotick applied,as may not by the too much drienefs leav the fear too hollow, or the too little, leav it too high. Three forts of Epuloticks. Their life. CHAP. XVII. Of Agglutinatives. Ldutinatmg, or agglutinative medicine is or a middle nature, between the bar- cotick and ftrong then the former, and weaker then the later, for it is drie to the fecond degree.lt by the drying and aftriftive facultie,void of all deterfion,con join's parts that are diftant, or rather lend's helping hands to nature the principal agent in this work. Glutinatives, whether they bee ftrongly or weakly fuch, do agglutinate either by their proper or accidental nature: Of this fort are Plantaginis omnes fiecies3 confolida utraque3bugloffa3 millefolium, f imp inella,f>ilofella, cau- da equina, fempervivum, telepbium,fanicula, atrattilis, folia quercits et dracunculi, falix, ebulus, fambucus, pentapbyllon, veronica, cortex pini, ulmi, palm* quercits, Aqua vitis, aq. e folliculis ulmi, fuccus calamintb*, vinum aufterum, terebinthina, mjirrba, Janguis dr ac onia, bolus armenus, terra figil- lata, omnia denique acerba. Glutinatives by accident are thole that hinder deflu&ion, and binde the part, as Sutures, Bandages, Reft, rowlers, and the like. Wee ule glutinatives in green, and as yet bloodie wounds, whence the Greeks call a glutinative medicine En<eM4, although fomtimes they are tiled to inveterate, malign, fiftulous and finuous ulcers; for they hinder the deflu&ion from comming to the lips of ulcers. You muft coniider, when as you intend to applie them,whe- ther the skin bee whole or no: For ulcers knit together, or heal more difficultly, if the skin bee rubbed off, or cut, or other wife loft. Neither ought you to bee 'unmindful of the fore- mentioned cautions and indications drawn from the iex,the tendernefs or hardnefs of the af- fefted bodie, the continuance and magnitude of the ulcer: for hence indication muft bee ta- ken, what the quantitie and qualitie of the medicine ought to bee. Agglutinative medicines. Glutinatives by accident. CHAP. X VIII. dat medicine is Paid to bee Pyrotick or Cauftick, which by its acrimonieand biting> commonly conlifting in an earthie confiftence,either fuperficially corrode s, or more deeply eat's and putrifie's, or laftly, burn sand confome's the skin and flelh, fo that it even pierce's into callous and hard bodies. Therefore there are three degrees of Pyroticks; for fom are termed cathaeretick or corroding, for that they wafte the proud flelh of an ulce- rated or anie other part, and thefe are judged the weaker fort of Pyroticks. Otherfom arc termed Septick or putrefying,as thole which deftroie and difldiv the tender and new-lprung- up flelh, and raif blifters in the skin, and thefe are more powerful then the chathaereticks. Laftly, there are otherfom termed moft powerful Efcharoticks, which by their fierie and ter- reftrial Of Pyroticks3 or Medicines. Three dbgrces of Caufticb, Lib.z6. OfJimple Medicines, and their life. 709 redrial qualitie caul' efchars or crufts •, whereupon they are alfo termed Ruptoria, and poten- tial Cauteries : Now all thefe differences are taken from that they are more or lefs powerful. For it oft-times happen'?,that according to the different temper and confidence of the parts, according to the longer or fhorter daie, a Cathsretick may penetrate as far as a Septick,and on the contrarie,an Efcharotick may enter no farther then a Septick. , Thefe are judged Cathxreticks, Spongia ufta, alumen uftum & non uft urn, vitriolum uftum, calx < mediocriter lota, trugo, cbalcbantbum, fquamma tris, oleum devitriolo, trochifci andronis, pbafionis, afphodelorum, ung. JEgipticum, apoftolorum, pulvis mercurii, arfenicum fublimatum. Septicks and Velicatories are, Radix fcill<e,brygni£, figill. beat# Mari#, bugloffa, radix ran- . nunculi,panisporcini, apium, rifus, lac tithymallorum, lacfici, eupborbium, anacardus,finapi,cantba~ rides, arfenicum fublimatum: For allthefe weaken the native temper and confidence of the part, and draw thereunto humors plainly contrarie to nature. Efcharoticks or Caufticks are Calx viva, fax vini cremata, & prtcipue aceti, ignis, whereto are referred all Cauteries, as well aftual as potential, whereof wee (hall treat hereafter. Wee ule Cathaereticks in tender bodies and difeafes not verie contumacious ; therefore by how much they are lefs acrid and painful, by fo much oft-times they penetrate the deep- er, for that they are lefs troublefom by delaie; but wee ule Septicks, and fomtimesEfcharo- ticks in ulcers that are callous, putrid, and of unexhaufted humiditie, but principally in cancers, carbuncles, and excellive hxmorrhagies. When as wee make ufe ot thefe, thepati- ent muft have a convenient diet appointed, muft abftain from wine: laftly, they mud not bee uled but with great diferetion •, for otherwife they may cauf fevers, great inflammations, intolerable pains, fwounings, gangreens, and fphacels. Cauteries heedfully ufed, ftrengthen and drie the part, amend an untameable didemper, dull the force of poilbn, bridle putrefa- ction and mortification, and bring fundrie other benefits. ' Septicksand Vclicatories. Efcharotick s. Their uf*e. CHAP. XT X. Of Anodynes, or [ueb as mittigate or affwage pain. Efore wee treat of Anodyne medicines, wee think it fit to (peak of the nature of pain. Now pain is a forrowful and troublefom cauffed by fom hidden diftemper, or folution of continuitie. There are three things neceffarie to cauf pain s The efficient cauf, that is, a fodain departure from a natural temper or union: the fenfiblenefs of thebodie receiving the dolorifick cauf: laftly, the apprehenfion of this induced change, cauffed either by diftemper or union for otherwife with how exquifite foever fenf the bodie receiving the cauf is indued with , unlefs it appre- hend and mark it, there is no pain prefent. Hence is that Aphorifm of parte aliqua corporis dolentes dolorem omnirio nonfantiunt, bis mens tgrotat, that is, Whofbever pained in anie part of their bodies do wholly feel no pain, their underftanding is ill affefted and depraved. Heat, cold, moiffiire and drinefs, induce a fodain change of temper; and heat and cold cauf ffiarp pain, drinefs moderate,but moifture fcarce anie at all: for moifture cauf- feth not pain fb much by its qualitie, as it doth by the quantitie. Both the fore-mentioned qualities, efpecially affociated with matter, as alfo certain external cauffi s too violently aft failing fuch as thefe that may cauf contufion, cut, prick, or too much extend- Wherefore pain is a fymptom of the touch, accompanying almoft all diftafts; therefore oft-times leav- ing thefe, they turn the counfel of the Phyfician to mitigate them, which is performed ei- ther by mitigating the efficient cauffes of pain, or dulling the fenf of the part. Hereupon they make three differences of Anodynes: For fbmftrv to cure the diftaf, otherfom to mi- tigate it,otherfbm ftupifie, and are narcotick. We term fuch curative of the difeafts, which refift, and are contrarie to the cauffes of diftafes.Thus pain, cauffed by a hot diftemper,is ta- ken away by oil of Flofes, Oxycrate, and other fuch like things, which amend and take a- way the cauf of pain, to wit the excefs of heat.Pain cauffed by a cold diftemper, is amended by Oleum Laurinum, Nardinum, de Caftoreo. Pain occafioned by too much drinels, is helped by Hydrtlium, a bath of frefl and warm water. Laftly, by this word Anodyne, taken in the largeftfenf, we underftand all purging medicines, Phlebotomie, Scarification, Cauteries, Cuppings, Glyfters, and other fuch like things as evacuate anie ftoreof the dolorifick mat- ter. But fuch as are properly termed Anodynes, are of two forts : for fom are temperate,o- thers hot and moift in the firft degree, and conftquently, near to thoft that are temperate ; thefe prefer? the native heat in the proper integritie, thus they amend all diftemperatures j of this kinde are accounted Sallad oil, oil of fweet Almonds, the yolks of eggs, and a few other fuch like things, theft ftrengthen the native heat, that thus increaftd in fubftance, it may with the more facilitie or'ecom the cauf of pain : befides alfb, they rarifie, attenuate, digeft, andconfequently evacuate both groft and viftid humors, as allb cloudie flatulencies hindred from paifing forth : fuch are flares cbamameli, meliloti, crocus, oleum tbinum, oleum lini, oleum ex famine altb<££, lumbricorum, ovorum, ex tritico, butyr um, lana fatccida, fuillus adeps, witulinus, gallinaceus, anfarinus, bum anus, ex anguilla,cunicula,& aliis. Lac muliebre', & vaccinum,mucago faminis lini, f<enutyr.£ci altbtxyinalvt, velejufmodi faminum decofium: as alfb Decotfum liliorum, capitisrfedum, & inteftinorum arietis et hcedi, Nar- What pain What proper- ly termed A- ' nodynes arc/ 710 Offimple Medicines,and their ufe. Lib.2,6. Narcoricks improperly termed ano- dynes. Narcoticks,or ftupefying medicines, improperly termed Anodynes,arecoldin the fourth degree, therefore by their excefs of cold, they intercept or hinder the padage of the animal fpirit to the part, whence it is that they take away fenf : of this fort are hyofcyamus, cicuta, folanum manicum, mandragora, ■palaver, opium, artiiflimavincula. You may make ufe of the firft fort of Anodynes in all difeafes , which are cured by the oppofition of their contraries: but of the fecond, to expugn pains that are not verie con- tumacious, that by their application wee may refift defluxion, inflammation, the fever, and other fymptoms.But whereas the bitternefs of pain is fo exceflive-great that it will not ftoop to other medicines, then at the length muft wee com to the third fort of anodynes. Yet oft- times the bitternefs of pain is fo great that verie narcoticks muft bee applied in the firft place, if Wee would have the part and the whole man to bee in fafetie. Yet the two frequent ufe of them, efpecially alone without the addition of faffron, myrrh, caftoreum, or fom foch like thing, ufeth to bee verie dangerous : for they extinguish the native heat, and cauf mortifi- cation, manifefted by the blacknefs of the part. But intolerable pains, to wit, foch as are occafioned by the excefs of inflammation and gangrenes, may bee fooner mitigated byo- pening a vein, purging and foarifying the part affefted, then either by properly-termed ano- dynes or narcoticks,to wit, that pain may bee the remedie of pain. By purgers wee here un- derftand not onely foch,as taken by the mouth, produce that effeftj but alfo foch as out- wardly applied perform the fame, as thofe whereof Aetius makers mention, As, R.pulp# feumedul. colocynth. femin. eruc. rut. fylveft. elaterii, gr. cindii, latbyrid. expurgatar. galban. nitri, cer<e} fingulorum, | iiii. opopan. $ ii. terebinth. 5 vi. terenda terito, ettaurino fellepaul- latim irrigate, donee apte imbibantwr. Then applie it about the navel even to the fhare, for thus it will purge by ftool 5 if on the contrarie you applie it to the bottom of the ftomach, it will cauf vomit. Another 5 R. elaterii, colocyntb. fcammon. fquamm# xris, radic- cucumer. agrefi* latbyrid. an. 5 i. autpro latbyrid. titbymal. fuccum terito et cribrato, at cum oleo plurimum falls babente fubigito 5 magnam indepilam e Una confertam hoc medicamento illitam, umbilico aut lumbis applica- tor Or, R.fellis cindii virid.^iv.fuccilupinor. eupborb. i. pulp.colo- cyntb. tantundem &dip.vulpin.recent.%vi. adip. viper. ftercor. muris, fucci pxon.caflor. ftngulor. 3 iv. ol. liguftrin. vi. ol. antiq. § ifiat unguentum vel oleum. Itpurgeth without trou- ble, and befides the other commodities it alfo is good againft diftra&ion or madnefs. Two fpoonftils is the greateft quantitie to bee ufed at one time,for in fom,one is fufficient:annoint therewith the navel and thereabouts, and a juft purgation will enfoe thereupon, which if it fhall flic out beyond your exfpe&ation,you may foment the bellie with a fpongemoiftened in warm wine and prefled forth again, it will bee prefently ftaied. Moreover Fernelius lib. 7. metbodi, make's mention of a laxative ointment. The ufe of them. Tetnh.i .Jen. 3. Purgatives to bee externally applied. The cotnpofi- tionof a pur-J g-ingoiland ointment. CHAP. XX. Of the compofition and ufe of Medicines. Ttherto wee have fpoken of the faculties of Ample medicines , now wee think good to/faie fomthing of the compounding of them: for fo by the Architeft are had and known everie thing apart,and then hee fettle's the workmen to the building, the conceived form of which hath been in his minde ever fince hee did ' enterprife it. Therefore the compofition of divers medicaments with their qua- lities and effects, is a mingling appointed by the art of the Phyfician. Hence therefore rbewn3 abjynthium9 although they have divers fubftances and faculties, yet are notwithftan- dingcalled Ample medicines, becauf they have that varietie from Nature,not from Art. But wee manie times call Ample fiich things as are compounded by art, as oxym. fimpl. oxyfaccb. fimflex.) as compared to greater compoAtions. And therefore oftentimes wee ufe compound medicines, becauf alwaies the Ample medicine alone, hath not ftrength enough to oppugn the difeaf. For manie times the Ack labor with manifold, and not Ample effefts, from which there beeing taken a various indication, wee gather contrarie Ample medicines, to applie to everie affeft, in one compoAtion. But oftentimes the nature of the part of the patient, or of the bodie affefted,requireth another kinde of medicament which may bee proper for the re- moovingthat difeaf j wherefore it is fo made to oppugn the difeaf andndtoffend the bo- die : and wee mingle manie other together, whole effefts may temper one another. Moreo- ver, the compofition of medicines was neceflarie. that becauf thofe things which have not a good tafte, color,or finell,by art or compofition,might bee made more grateful.Compound medicines of which we intend to fpeak, are Glyfters, Suppofitories, PefTaries, Oils, Liniments, Ointments, Emplafters, Cerats, Pultifles, Cataplafms, Fomentations, Embroca- tions, Epithemates, Veficatories, Cauteries, Collyria, Errbina, Sneefing-powders, Maftica- tories, Gargarifins, Dentifrices, Bags, Fumigations, Semicupiums, Baths. But firft it is ex- pedient that I faie fomthing of weights and meafures, with their notes, by which medicines commonly are meafured and noted by Phyficians, GAl.z.fimp.4. defanit.tMnd. The neceffitie of compound medicines. CHAP. LlB.ad. Of fimple Medicines, and their ufe. 711 CHAP. XXI. Zerie weight arifeth from a beginning and foundation, as it were; for as our bo- dies do arife of the four firft iimple bodies or elements, into which they are often refolved.- fo all weights do arife from the grain, which is as it were thebeginning and end of the reft. Now hereby is underftood a barlie-corn or grain, and that fuch as is nei- ther too drie, or overgrown with mouldinefs, or rancid, but well conditioned, and of an indifferent bignefs. Ten grains of thefe make an Obolia; two Oboli, or twentie grains make a fcruple, three fcruples, or fixtie grains make a dram, eight drams make one ounce, twelv ounces make one* pound medicinal, which is for the moft part the greateft weight ufed by Phyficians, and which they feldom exceed; and it is refblved into ounces, drams, fcruples, oboli and grains, which is the leaft weight. To exprefs thefe weights we ufe certain notes, the pound is ex- prefled by this note , ft. the ounce by this J, the dram thus the fcruple thus 9, the obolu$ with the beginning letter thus obol. the grain with his beginning letter thus,g. But fbmtimes wee meafure the quantitie of medicines by meafures and not alwaies by weights ; and there- fore wee exprefs a han dful by this note, m. a pugil thus,p« number thus, n. and the half part of everie weight and meafure is expreffed by this note,f$. put after everie note oftheaforefaid weights and meafures of the fame fort,as the halfpound,ft p.the half ounce,Efland fb of the reft.Moreover,in defcribing the fame medicament we ufe the notes fomtimes of weights,fbm- times of meafuresjand therefore it is to bee noted that herbs, green or drie, are figned with thefe notes,m.p,but thofe which are drieand bee brought to powder,with thefe notes,p, Roots, by thefe notes, m. Barks, by thefe notes, 5-Seeds, by thefe notes, 5.3. Fruits, by thefe notes, an. p. J. T 9- Flowers, by thefe notes, p. m. 3. Pulfes, by thefe notes, p.?. 5. All other medicaments either drie or liquid, are defcribed with thefe notes, ft. 5.5. .9 obol. g. Having expounded thefe things, let us come to the defcription of compound medicines beginning with gly fters firft, as the remedie which is moft common and familiar, and almoft chiefly neceflarie of all others. Of mights and and the notes of both of them. A grain the beginning of all weight. What is means by a grain. I Obobu. [ A fcruple. A dram. > An ounce. ■ A pound. CHAP. XXII. Glyfter is an inje&ion prepared firft and properly for the grofs inteftines and funda ment; for fomtimes glyfters are ufed and made for the ftomach, fplecn, reins, blad- der, womb, mefenterie, and alfo for the head, from whence oftentimes by (harp gly- fters, the hurtfull matter is brought downwards, as wee fee in Apoplexies. Therefore there is no part of the bodie which receiv's notfom benefit by glyfters,but more or lefs according to the vicinitie they have with the bellie,and the ftrength of the glyfter: for there are divers forts of glyfters, fom emollients, other evacuating, fom anodynes , fom aftringents, (dm cleanfing, fom farcotick, and epulotick, and fom may bee faid to nourifh. They may bee all made of the parts of plants or beafts, with compound medicines either folutive, or alter- ing, and others according to the advife of the Phyfician. The parts of plants which are u- led to this purpole, are roots, feeds, leavs, flowers, fruits, fhouts, juices, mucilages. Parts ' of beafts are yolks of eggs and whites, honie, chickens, capons, old cocks well beaten , heads and feet of fheep, the inteftines, whey, milk, fewet, axungia, and fuch like in decocti- ons, wherein wee mingle and diflblv iimple and compound medicines. Wee fomtimes ufe without anie other medicament, to make a glyfter with oil alone,as oil of nuts for the Co- lick, of whey alone, the decoftion of the head and feet of the fheep alone, and of thedeco- ftion of Cicers and barlie do wee prepare glyfters. The quantitie of a glyfter is fomtimes lefs according to the divers difpofition of men and their difeafes : for weak children the quantitie is lefs: for women with child,' and in the colick, dyfenterie, lyenterie, or when much hardened excrement, is within. But when we would abundantly moov the excrement, and there is nothing that may hinder, the dofe of a glyfter for the moft part is half a pound, one pound,or three quar- ters of a pound. The glyfter muft bee inje&ed warm or hot, more or lefs, according to the nature or condition of the lick : for beeing cold it offend'sthe inteftines, and the neighbor- ing nervous parts, which are cold of themfelvs. It muft bee given by degrees, for beeing in- jeCfed fuddenly, the winde which is ufiially in the guts will beat it back again, whence com's intolerable pain. But this will bee more clear by that wee fhall teach concerning the differen- ces of glyfters, whereof there fhall bee fufficient examples. R. malv. violar. bifmalv. acantb. an. m i. radic.altb. lilior. an. J. i. pafful. ficuum ping, J P* fiat decottio ap tb i. in qua diffolve caff. butyr, recent, an. § i. ol. viol. iii. jwt Clyfter. f Glyfters, that do evacuate, are prepared by the counfel of the Phyfician, and of divers Simplesjbeing boiled for feveral purpofes, Therefore if the humors bee cold which are to bee Of Glyfters. What a gly- fter is. Differences of glyfters. The materials of glyfters. Their quartit'e An emollient glyftcr. Of fimple Medicines, and their ufe. Lib.z6. 712 AGlyfter to cvact'ate a cold phlegmatick humor. bee evacuated, the Glyfter fliall bee after this manner. Ec.Salvu, origani, abrotoni, cbam£m. 1 melilot. an. m. ft.feminum anifi, fenic. cumini, an. 5 iii. femin. cart bar. £ii. Make a deco&ion of them, wherein diffolv Diapbon. Hier. Simpl. an ol. anetb. cbam£m. an. Meilis Antho. face. rub. an.%i.fiat Clyfter. . To evacuate Cbolerickjnattcr, prepare a Glyfter after this manner, lx. quat. remollient. paret. Ci- chor. endi. an. m. f>. Semen, quat. frigid. Major, 'an. %iii. bordei integri. p. i. Make a decoftion of them, and diifolv in it Caff. i. Ol. viol.mellisviol.an.% ii.fiat Clyfter. r To evacuate melancholic, t bis Glyfter following will bee ufeful. R. Fumiter. Centaur, Mercurials, an. m- i. Polyp. Qu- folicul. fenn£, an. % iii. feminis agni cadi, 'Tbymi, an. 5 ii« Make a decoftion and diffolv therein, Confed* Hamecb. (5. Caff, recens extract. 5 iii. clei violati, lilior, an. Sacc. rub. mellisviol. an.Ji$. falis, $i. And thofe Glyfters do not onely evacuate the humors that offend, but alfo correft the diftemper of the bowels and inward parts.For the Glyfters defcribed againft pitutious andmelancholickmatter,help the colddiftemper 5 but that which is for choler, the hotdiftemper. Purging medicines , which are diffolved in the decoftion of Glyfters, are verie ftrong, as, Confed. Hamech. Benedida, Viaprun. Solutivum, Diapb£nicon, beeing ufed from to §i. at moft: but the weaker and more gentle are Ca- tbolicon. Cajfia, Hiera fimplex,from £vi. to at moft.. An Anodyne Glyfter is ufually made without fuch things as purge or evacuate: as, R. Flor. Cba- m£m.melil. Anetb. an. p. i. rad. boil them in Milk,and to the decoftion add Muca- ginis feminis lini fxnUgrtci extrad* in [accarialbi, olei anethi, chanwneli, vitellos ovorum duos, fiat Clyfter. Thefe Glyfters fhould bee kept longer in the bodie, that fo they may more eafily mitigate pain. the example of an aftringent Glyfter. R. Equifeti plantag. poligami. an. m i. boil them in lade uftulato, to the deco&ion (trained add Bole armeni, fanguinis draconis, an.%11, olei rofati, album, ovorum duorum, fiat Cly- fter. Wee ufe thefe kinde of Glyfters in Dyfenteries, and in the immoderate flux of the Ha> morhoid veines,having firft evacuated the ufual excrements.Glyfters, which be farcotick,epu- lotick, and cleanfers of the greater guts, and fit for the curing of ulcers,are to bee prepared of (uch medicines as are defcribed before in their proper Chapters. Alimentarie Glyfters are made of the decoftion of Chickens, Capons, Cocks, beeing boiled to a gellie, and ftrongly preft forth. They are alfo prepared of Marrow, gellie,which are not altogether fo ftrong as thofe which are commonly taken by the mouth, becauf the facultie of conco&ion in the guts, is much weaker then that of the ftomach .Oftentimes al- fo the matter of thefe kinde of Glyfters are prepared in wine, where there is no pain of the head or fever, but more frequently in the decoftion of Barlie,and in Milk, adding the yolks of Eggs,and fom fmall quantitie of white fugar, left by the cleanfing facultie it move the guts to excretion. And therefore Sugar of Rofes is thought better, which is conceived to fomwhat binding. Here you may have example of fuch Glyfters. R. Vecodionis Capi perfede codi ft. i. P- faccarialbi, |(3. mifce,fiat Clyfter. R. Vecodi PuHi & Galattn£,an. tb.fi.vini fiat Clyfter. R. Decodi bordei mundati, & in cremorem redadi ft.p. ladis boni ft. i. Vitel/os ovorum duos,fiatClyfter. We ufe thefe kinde of Glyfters to ftrengthen children, old and weak men, and bodies which are in a Confumpff on.But in the ufe of thefe there are three things to beeobferved: Firft, that the feculent excrements may bee taken away, either by ftrength of nature, or by art» as by a fuppofitorie, or an emollient Glyfter,left the alimentarie mat- ter beeing mingled with them, fhould fo bee infefted and corrupted. The other is , that there bee great quantitie given, that fo fom may afleend to the upper guts. The third is,that the fick (Jeep after the taking of it; for fo it is more eafily converted into nourifhment, and the elementarie matter is better keptffor deep hindereth evacuations.In Glyfters of this kinde wee muft beware of Salt, Honie, and oil 5 for the two firft provoke excretion by their a- crimonie, and the laft by his humiditie doth relaxate and lubricate. They t who think no kinde of Glyfter can nourifti or fuftein the bodie, relie upon this reafon: That it is necef- farie whatfbever nouriftieth, fhould have a triple commutation or conco&ion in the bodie : - firft, in the ftomach 5 fecond in the liver : thirdly, in all the members. But this opinion is 0 repugnant to reafon and experience : to reafon, for that a certain fenf of fuch things as q are defedive, is implanted in all and everie of the natural parts of our bodie. Therefore feeing nutrition is a repletion of that which is emptie, without doubt the emptie and hun- grie parts will draw from anie place that nourilhment that is fit and convenient for them , andindefeft thereof, whatfoever they meet with, which by anie familiaritie may affwage and fatisfie their defire.But the alimentarie Glyfters,by us defcribed,confift of things which agreeverie well with the nature of our bodies, and fuch as are boiled and ordered with much art, (b to applie the chylification to bee performed in the ftomach. Therefore they may bee drawn in by the meferaick veins of the guts; which according to Galen, have a cer- tain attraftive facultie. And thence they may bee eafily carried through the gate-vein, liver, f and fo over the whole bodie. And experience teacheth, that manie fick people, when they couldtake nothing by the mouth , have been fufteined manie daies by the help of thefe kinde of Glyfters. What is more to bee faid ? Wee have (een thofe who have taken a Sup- pofitorie by the fundament, and vomited it at the mouth 5 by which it alfo appeareth, that four An Anodyne Glyfter. An Aftringcnt Glyftcr. Nouriflung Glyfters. Their ufe. Their Argu- ment that de- nieGlyflersto nourifli. Confuted firft by reafon. Secondly, ty experience. Lib. z6. Offimple Medicines, and their ufe. 713 fomthing may How without danger of the lick trom the guts into the ftomach. Commonly they give Glyfters anie hour of the daie, without anie relpeft ofx time, but it ihould not bee don unlefs a great while after meals,otherwise the meat,being hindered from digeftion, will bee drawn out of the ftomach by the Glyfter. ■ Glyfters are ufed to help the weaker expulfive facultie of the guts,and by conftquence al- fo of the other parts, both that fuch as through want of age, and old people, and fuch as by reafonof great imbecilitie by ficknefs cannot admit of a purging medicine, may by this means at leaft eaf themftlvs of the trouble and burden of hurtful humors. Galen hath attri- buted to Storks the invention of Glyfters, which with their bils, having drunk Sea-water which from faltneft hath a purging qualitie, walh thethfelvs by that part, whereby they uft to bring away the excrements of their meats,and of the bodie. But a Glyfter is fitly taken after this manner: whileft the Syringe is exprefled, let the patient hold open his mouth 5 for by this means all the mufcles of the Abdomen, which help by compreflion the excretion of the guts,are relaxed. Let him wear nothing that may gird in his bellie,let him lie upon his right fide, bending in a femicircular figure ; and fo the Glyfter. will the more eafily pafs to the upper guts, and (as it were) by an overflowing, wet and walh all the guts and excre- ments. It hap'neth otherwift to thoft who lie upon their left fide; for the Glyfter beeing fo inje&ed, is conceived to abide, and (as it were) to ftop in the Inteftinum return, or Colon, becauf in this fite theft two inteftines are opprefled, and as it were Ihut up with the weight of the upper guts. A little while hee may lie upon his back after hee hath received the Gly- fter, and prefently after hee may turn himftlf on either fide. And if there bee pain in anie part, fo long as hee is able hee may incline to that fide. Moreover, becauf there are manie who cannot by anie reafon bee periwaded to lhew their buttocks to him that Ihould admi- nifter the Glyfter, a foolilh fhamefaftnefs hindering them: therefore I thought good in this place to give the figure of an Inftrument, with which one may give a Glyfter to himftlf, by putting up the pipe into the fundamentjilting the buttocks a little up. The pipe is mar- ked with this letter A. The bodie of the Syringe, whereinto the Glyfter muft bee put,with this Letter 2>. * The common J ufe of glyftcrs. The'fick ha- ving reaived the glyfter, tnuft turn to their fide grie- ▼cd. Tfo figure of a Glyfter pipe and Syringe, by benefit whereof a man may give himfelf a Glyfter. CHAP. XXIII. Of Suppofitories3Nodules, andPetfaries. Suppofitorie is a certain medicament, formed like unto a tent, or gobbet of paite, fiich as is commonly ufed to fat Fowl. It is put into the fundament, that it might excite the fphin&er-mufcle to fend forth thofe excrements which are knit in the guts. Antiently it had the form of an Acorn, whence it is called to this daie Glans. The Suppofitories,wee now ufually make,have the form of aPeflarie, that is round and longifti, in the form ot a They are either weak, Wronger, or fliarp ■, the weak are made of the ftalks or the roots of Beets, <ot Lard, boiled Honie with Salt, or of Caftle-fope. The ftronger of purging powders, as, Hiera with Salt and Honie, The fliarp with Scamonie, Eupborbium, Coloquintida3 and like things powdred, and with Honie, or the juices of fliarp herbs, or mingled with the gals of beads. It is com- monly made thus : as, R. Meilis ?i. Salis aut yulveris alterius R. Meilis cotii pd. 9 ft 9*i. fiat Suftofitorium. Wee ute Suppo- sitories,when the lick by his infirmitie is unwilling,or not able to bear or away with a Gly- fter, as in burning Fevers: or, when as one beeing injefted, is flow, and refteth in the guts. And wee u(e the (harper Suppositories in (bporiferous affefts of the head , that they might provoke the dull facultie of the gut§ to expuliion. As alfo, when the condition of the difl- Ppp eaf The different ces. The foriD,' Thc«r«. 714 Offtmpie Medicines,and their ufe. LlB.z6. eaf is fuch, that by the life of Glyfters there is manifeft hurt; as, in an JLnterocele,where the gut fo fwel's 5 that over and above it bee filled by the glyfter infufed,it would the more prefs the fo that ftraight-waies by the relaxed or broken part it might eaf ily bee de- volved into the Cod. Nodules have the fame ufe with Suppofitories, and are oftentimes fubftituted in (lead of Glyfters. They are made of gentle medicines, as the yelks of Eggs with a little Salt and Butter, or of Gall and Honie tied up in a cloth in the form of a Filbert/he firing of it may hang forth., whereby the Nodule in the fundament may bee drawn forth. This defcription ; may bee an example of Nodules: ft. Vitellum unius ovi, cui adde falis modicum, fellis vnvecis, mellisam mifce, fiantNoduli filo appenfi. A Pefiarie is grolfer than a Suppofitorie, and is appointed for the womb, beeing made with Cotton-wool or Silk beeped in fom medicament, and then put into the neck of the womb. A peflarie is ufed either to ulcers of the neck of the womb, or for the procuring or hop- ing of the Menftrua, or againft fordid and hurtful humors of the Womb caufing hyfterical paflions, and therefore to bee wafted away and evacuated. Therefore in the compolition of peffaries are tiled gums, juices, feeds of herbs, roots, and manie other things, according to theadvifeof the Phyfician; they are alfo made of afolid confiftence, the bignefs of a fin- ger, that they may enter into the neck of the womb 5 thele beeing tied with a firing, which muft hang forth to pluck it out withal when evafion ferv's. This following may bee an example of their defcription. I&.myrrb. aloes, an 3 b jabin.femin- nigel. arthemif. an. ra- dio. ellebor. nig. $i. croci, 9 k cumfucco mercurial. & mellefiat peffus; let it bee tied to the thigh with a thred. Or thus, ft. majlicb. tburii, an. § iii. alum, rof. rub. nuc. cupref. ladan- by- foci, fuinacb, myrtil. an.% iii.fiant pejfi cum fucco arnoglof. & cotoniorum, According to this ex- ample others may bee made for to mollifie,to binde,to cleanly to incarnate, to cicatrize and cover the ulcers of the womb: they are to bee put up when the patient lieth in bed,and to bee kept all night. Pellaries are alfo made of medicinable powders, not onely mixed with fom juice.but al- fo with thole powders alone beeing put into a little bag of fom thin matter, beeing fluffed with a little cotton that' it might bee of a convenient ftifnels,and this kind of peffaries may bee ufed profitably in the falling of the mother. ./In example of one mentioned by Rondeletius in bis bookjif inward Medicines, is as followed). ft. Benioini,ftyracis, caryopb. an. gal. mofebi, gr. vi.fiat pulvis this beeing made up with cotton may bee put up into the bodie. The form cfa Noduie. Peffarics. Their ufe. Againft the faf- focation of the Meeker. CHAP. X IIII. Of Oil's. 'Roperly and commonly wee call oil that juice which is prefled forth of O- lives 5 but the word is ufed more largly, for wee call everie juice of a fluxi- ble,unftuous, and airie fubftance, Oil. There are three differences of thefe oleaginous juices: The firft is of thole things which yield oil by expreflion, as well fruits as feeds beeing bruifed, that by beating the oilie juice may bee prefled forth;fbm are drawn without fire,as oil of fweetand bitter almonds, on or nuts, off alma Chrijii. Others are made to run by the help of fire, by which meansds gotten oil of baies,linfeed-oil, rape-oil, oil of hemp, and fuch like : The manner of draw- ing oil from feeds is fet down by Mefue in his third book* The fecond fort of thofe oils which are made by the infufion of Ample medicines in oil> wherein they leav their qualities : and this is don three feveral waies, the firft is by boiling of roots, leays, tops of flowers, fruits, feeds, gums, whole beafts, with wine, water,or fom other juice,with common or anie other oil, until the wine,water,juice bee confumed,which J ou may perceiv to bee perflfkly don, if you caft a drop of the oil into the fire, and it ma- keth no noil but burneth. It is to bee remembred that fomtimes the feeds or fruits are for a certain time to bee macerated before they are fet to the fire; but it muft bee boiled in a double veflel, left the oil partake of the fire. After this manner is made oleum coftinum, rutaceum, de croco, cydoniorum, myrtilforumynafticbi- nums de eufborbio, de and manie others. The fecond is by a certain time of maceration, fom-upon hot afhes, others in horf-dung,that by that moderate heat the oil might draw forth the effects of the infufed medicines into it felf. The third is by infolation that is, when thefe or thefe flowers, beeing infufed in oil, are expofed to the fun, that by the heat thereof the oil may change, and draw into him felf the facultie of the flowers which are infufed: of this kinde are oil of roles, camomil, [dill, lilies, of water-lilies, violets, and others, as you may fee in Mefue. The third kinde is properly that of theChimifts, and is don by refblution made after f divers manners, and of this fort there are divers admirable qualities of divers oleaginous juices,whether they bee made by the Am or fire,or putrefaftion,as wee ihall fpeak in his place hereafter. Wee The making oils byinfofion The manner of oils by refolu. cion. Lib.id. Of fimple Medicines,and their life 715 Wee ufe oils when wee would have the virtue of the medicament to pierce deep, or the fubftance of the medicines mingled with the oil to bee.foft and gentle. Moreover, when wee prepare oils that ffiould bee of a cooling qualitie, the common oil of the unripe Olive is to bee tiled: of that ffiould the oil of rofeS bee made. A.gain,when wee would prepare oils of heating qualities, fuch as are Oleum pbilofopborum, or of Tiles, fweet and ripe oil is to bee chofen. CH AP.XXV. Of Liniments. A Liniment is an external medicine of a mean confidence, between an oil and an oint- ment, for it is thicker then an oil; for befides oil it is compounded with butter, ax- a ungia and fuch like,which is the reafon why a liniment is more efficacious in ripening and* mitigating pain, then fimpleoil. The varieties of liniments are drawn from their effefts,fom cool, others heat, ibmhumeft, fom ripen, others by composition are made for divers ufes. The matter whereof they are ulually made, is oil, axungia, fiiet, butter, all thole things which have an oilie fubftance or conliftence, as ftyrax liquida, turpentine, the mucilages of fenugreek, marffi-mallows, marrow, and other like. To thefe are fomtimes added powders of roots, feeds, flowers, rindes, metals, but fparingly, that the liniment may bee of a li- quid conliftence. An example of a liniment that is good to attenuate, heat, and this that fol/oweth. R. ol amygd. amar.lilior. an. 5i. axung. anat. gallin.an. butyr, fal expert. §i. mucag.fem.altb. fanugr. extraCt. in aq. hyffop.an.% P- croci, ireos3 an. $i.fiat linimentum. 'This may bee an example of a liniment to burned and mollifie. R. ol. amygd. dulc. Jii, axung.human. f>. mucag. femin. malv. extract, in aq. parietar.% (5. fiat linimentum: you may add a little faffron. There bee manie others like thefe which ma y bee made for divers affe&s. They are ealily applied to everie part of the bodie, becauf they are not lb liquid as oils : the reafon is, they are more agreeable to anie of the parts. If they bee to enter into anie crooked narrow pallage, fuch as the ear, they muft bee more liquid, and have more oil: if they bee to ftick on the part, they will admit of more axungia and fuet. They are deceived who think that the difference between liniments and ointments is, that there is no wax in liniments as there is in unguents for there bee fom unguents which ad- mit not anie wax to bee added, as <egyptiacum, and all fuch as are ufed in gangreens, and all forts of putrid ulcers 5 becauf to thefe kinds of difeafes all fattie things, as oils, fats, ro- fins, and wax, are enemies. Therefore wee fubftitute in the place of them in £gyptiacum }ho- nie and verdigreaf 5 for of thefe it hath his confidence,and his qualitie of cleaniing. What a lini- ment is. CHAP. XXVI. ntments are of a more (olid confidence then Liniments, and are therefore of more force. Their differences ate partly taken from their efteds ; for fom heat, others cool, fom drie, and torn humeft/om clean£ fom corroborate, fom wafte dead flefh, and others cicatrize, partly from the varietie of colors, partly from the firft invertors, as Album rubrum: partly from the number of thefimple medicaments where- of they bee made, as, 'tetrapbarmacum, tl'ripbarmacumi or Nutritum : partly from that medica- ment which is principal in the compofition, hence are they called, Vnguentum de Lythargj/ro3 de Minio, Diapompboligor3 and fiich like. They are compounded of herbs, roots,feeds, fruits, metals, and part of Beafts; the juices and other liquid things beeing confirmed away by boiling, as wee have (aid in the Chapter of compound Oils. Herbs, and the parts of them, if they bee drie, muft bee powd'red,and alfo metals j but beeing green, they are boiled and (trained forth, and the juice fo prefled is wafted by boiling.Gums and Rofins fom are pow- dred, others beeing put to fom convenient liquor are diflblved by fire : So wax is diflblved in the Oil. In the compofition of unguents this proportion is ufually observed,that for one ounce of powder, two ounces of Wax,and eight of oil is added : notwithftandingfor that Wax ferveth onely to the confidence of the ointment, it is better to leav the quantitie to to the will of the Apothecarie; but hee may bee more fparing in adding Wax to the oint- ments in Summer then in winter, for the heat of Summer, drying them, addeth to the confidence by examples propounded, thefe common precepts will more plainly appear. R. Olei rof- iv. pil- lepor. bol. armen. terr* an. bal. Gallar. an. 3(3* tritis terendis, & ft- niulmixtis3 addiacera quod fuflicit, fiat unguentum. Here wee muft obferv, that there bee three waiesof making ointments: The firft is of thofe which are made onely by ftirringor grindeing in the Mortar without anie fire,and fo is made Unguentum nutritum. The fecond is, when wee diflblv Wax in Oil, Fat, or fomfuch fubftance with fife : and beeing all difl- folved, wee mingle the powders according to the proportion wee noted before. After which manner are made 'Vneuentum Aureum, Bafilicon, Piapompholigos, Veficcativum rubrum, p p p 2 Enulatum, Of Ointments. Ointments and their dif- ferences. m Adfaingms. 716 Offimpie Medicines,and their ufe. LiB.26. Enulatum. The third lore is, when wee bruile herbs with a Peftell, and mingle them with Ajcungie, boiling them together, and then (training them, and the ointment is that which is (trained. Therefore let us proceed to explain this by examples. - R. Lytbar. auri triti & loti IfyS. olei rof. ft.i. aceti rof. fiat Vnguenlum. Firfl:, wee put the Lytharge into the Mortar, powring in a little Oil, and working it with a Peftil,that it may grow thick,then with the Oil wee put a little Vineger,continually working,until they min- gle into one bodie, now and then between whiles adding fomtimes a little Oil, fbmtimes a- little Vineger, until the whole bee brought to the confidence ofan ointment. If of an oint- ment of this kinde thou wouldeft make a black plafter, by degrees conlume all the Vineger, fo lhall the plafter thine and grow black. R. Cert citr. |vi. olei boni ib.ii. tereb. re fin. & colopb. an. olib. mafticb. an. %i. croci&i. 'fiat Vnguentum. Firft, diflblv the Wax with a good part of Oil,then add the Rofin and Co- •lophonie broken finall. Thele beeing diflblved, take the compofition from the fire, and then add the Turpentine; when the whole is fomwhat cooled, add the Olibanum and Maftick bce- ing finely powdred, then the Saffron, which thall bee macerated in the reft of the Oil. Tetrapharmacon is fo called, becauf it is made of four Ample medicines, Wax, Rofin , Pitch, Tallow, of each a likeqnantitie, and fo equally mixed. R Refin. picis nigr. adip.vituli. & cert an %ii. £. Olei veteris olivarummaturarum,lb.i. (3.or if you would have it harder, lb. i. that ointment is alfo called Bafiliicon, the Wax beeing cut fmall and diffolved in Oil,then add the reft of the things, which beeing diflblved, thou (halt have the defired ointment. R. Olei rof.^ix.cer. alb. folani bortenfts, §iv. Ceruf. Pompbolygos,plumbiufti & loti, olib. puri,an.%fi fiatunguentum. Diflblv the Wax in the Oil with a gentle fire, then you lhall take it from the fire, and add to the reft of the ingredients, working them toge- ther in a ftone-Mortar, powring on the juice by degrees, at leaft fo much of it as will in- corporate. i R. Lap. calam. ter. fig. an. f ii. Litbarg. auri, ceruf. an. jS. Camphor. cert, Olei rofat. viol. an. %iii.fiat Vnguentum. Diflblv the Wax in the Oyl, then let it to cool, and work in the powders with a Ipatter, and atlaft add the Camphir diflblved in a little Oil of Roles, or Rolewater. R. Rad. enul' campan. cott. cum aceto & contuf. ut decet lb. f>. Axung. porci, olei commu. an. |i£. argen.vivi exftincii,et tereb. lot. an. $i.fal. commu. pulverati, incorporate them according to art. The boiled roots muft bee drawn through a Sieve, which beeing boiled by a gentle fire with the Axungia, muft bee continually ftirred,then put to the Salt with Oil and Wax: when you let it from the fire to cool, then add the Qpickfilver5beeing killed with a little Ax- ungia and Turpentine. R. Olei rofat. cernf. alb. |iii. cer.alb. |ii. make it thus: Let the Cerufs bee finely pow- dred, and put into the Oil and Wax whil'ft it is hot, and fo work the whole together, until they lhall bee brought into a bodie. R. Rad,Altb. Ib.i. femi. lini, feenugr. an. Ib. j3. Scillt |iii. Olei com. lb. ii. cer. lb. terebinth, gum. heder, galb. an. |i. coloph et re fin. Jiii. The roots and feeds beeing bruifed, are infufed for three daies in five pints of water ; boil them until three ounces bee confumed,and then draw forth the Mucilage, and boil it with the Oil, then add Wax cut fmall: thefe beeing taken from the fire, the Galbanum beeing diflblved with Vineger, and mingled with the Turpen- tine, muft bee added together with the Gum Hedert, Colophonie, and Rofin. R.Ocul.populi arb.lb.i-fi fol.papaveris nigr. Mandrag, byoficami, latiuct,fempervivi parvi et ma- folani) umbilici veneris, feu cymbalar. bardant, f Cordiw , Fcrnelius, et Nicolaus fingulorum %iii. prtfcribunf) Adipis fuilli recentis falis expertis, lb. ii. wz boni, Ib.i. fiat Vuguentum. The Poplar buds and Violet leavs mnft bee bruifed and macerated in the Axun- gia for the (pace of two moneths, that is until the reft of the herbs bee readie ; for they cannot bee gathered before the Summer time, but the Poplar buds and Violets may bee had in March. They muft bee bruifed and mingled verie well, and let in a warm place for eight daies; then add one pint of ftrong Vinegar, and boil them till it bee confiimed,which may bee perceived by cafting a little of it into the fire, then ftrain it forth ,& put up the Ointment. R. Ferch. cer. alb. ref. an. £xiv. Opopanacis, floris,feuviridis trisfnam hiefios tris non proprih accipitur pro granuliS) qut fcintillarum inftar ab tre exiliunt dum a fa bris ferrariia aqua tingitur: fed pro viridi tris ufurpatur) cujus contra maligna ulcera nott funt qut omnino id Vuguentum eft comparatum) an. ammon. ariftol- Ion. thuris mafeuli an. $vi. myrrbt et galbani an. bdellii 5 vi. Lytbarg. 5ix. olei lb. ii. fiat Vnguentum. The Litharge is to bee mingled with two ounces of Oil for the fpace of five hours, and with a gentle fire to bee boiled until it com to the confidence of honie, andbeealwaies ftirring, left it burn: beeing taken from the fire and warm,the Wax and the Rofin,beeing diflblved,with the reft of the oil,muft bee added.Then put to it, when it is cooling, the Gums diflblved in Vineger, boiled and incorporated with the Turpentine.Then the Ariftolochia, Myrrh, and Frankincenf are to bee mingled, and laft of all the Verdig reaf, beeing in fine powder,and fprinckled in: and fo the unguent is made* R. Cortic. median, caftan, conic, median, querc. cortic, median, gland, mirtil. equefi cortic. fabar. acinor. Uftguentum tritum. anguentum m- reum. uag. Tetrapfar- mtcum,ftu Ba- fiiicum. ! ung.Dhfpem- pbolygpj. Ung, deficcati- vum rubrum. ting. Enuhtum. ting. Album Rua fa. veAltbaa. ung.Populeum. sing. Apoflolo* rum. Cwfaiffa, Lib.z6. Of finiple Medicines, and their tfe. 717 forbor. ft tear. immatur.mefpillor, immaturor. rad. cbelidon.fotior. prunor. fylveft.'an. 5 ifi. Aqu* plantaginis, ft.viii. cer. nov. |viii fi.oleimyrtillor. ft. ii£. Then thele things which follow, beeing finely powdred, are to beciprinkled in. R- Pulver a corticis mediani caftan, corticis mediani gland. cortic. median, arb. gland. ideft,qUerc. gallar. an. %i. Cineris of. cruris bovis, myrtill acinor.uvar. forbor. ficcor. an. ] fi. Trocbijcorum de Z'nguentum. Firffmake a decoftion corticis mediani arboris querent, acini uvar. rad. chelid. mefpil. forbor. equif. feminis myrtil. foliar.prunifylveftris-cort. fabar.cortit. medianigland, cortic. caftan. & gdUdr. in the Plantain water for the (pace of two hours, then ftrain it, and divide the liquor into nine parts, walking the Wax, diflblved with the Oil of Myrtilsfevert times j the liquor beeing all fpent, and the Wax and Oil beeing melted, theninfperge the powders, Crwrn bovis, afium, cortic. median. querc. median, cortic. gland. caftan, gallar forbor. me fpil. feminum myrtil. acinor.uvar. and at the laft the Trochifces carab. after this manner fhall you make this Ointment. R- Olei abfinth,mafticb. de pulver. abfintb. rof. major.mentb. an. %i. Cdryopb. cinam. mafticb. galang. an. Powder thole things which are to bee powdred, and with a fiif-( ficient quantitie of Wax make a foft ointment,wherewith let the ftomach be annotated one hour before meals continually. R. Cer.alb. Ib.ii. ceruf. litbarg. auri, an. Ib.i. myrrh. medul. cervi, an. %ii. thuris, %i. olti, lb. ft 1 Boil the Litharge in the oil to a mean conliftence, then add to the Wa± and Cerufs , and' when it will not ftick to the fingers, take it from the fire, and put in the Medulla, when it t beginneth to cool, the Myrrba and Thus, beeing finely powdred , muft bee cab in by little and little, and the ointment may bee put up for ufe. The chops of the fundament, and re- mollient Peflaries are likewile made of it, and it is verie good againft the bitings of mad Dogs, andthepunftures of nervsand tendons, keeping wounds lb that they do not ag- glutinate. R. Picis pinguis, Ib.i. Opopanacis in aceto forti, oleo liliorum, & vetcri porci axungia cotti, |iii. fiat Vnguentum. Oleum ex Jinapi is good againft thole bitings of mad beaftsand pun&iLiedJ nervs : for it doth open wounds when they are cicatrized. Ointments are tiled to overcom the contumacie of a ftubborn evil by their firm and dole fticktag to, efpecially if there fhall need no medicine to go further into the bodie. Vng.pro/lama' cbo. wng.ad morfm r uh iofos,ex U. i Gal.de comp* [ec,genera* tJDecompjned* (tc,gen. CHAP. XXVII. Of Cerats and Emplafters, Uch affinitie there is in the compofition of a Ceratand Emplafter, that often- times the one is taken for the other, as is ufiially done in Ointments and Lini- ments. A Cerat is a compofition more folid and hard then an ointment, and fofter then a plalter, having his name from Wax, which taking away the fluid- neis ot the oil, bringeth him to his confiftence. The differences of Cerats are taken fom from the parts by which they are called, as Ceratum ftomacbicum : fom from the effefts, as Ce- ratum refrigerant Galeni:Others from the fimple medicaments which are the chief in the com- pofition, as Ceratum Santalinum. The proper matter of Ceratsis, new Wax and Oils,beeing appropriated to the grief of thefe, or thole parts ; fo that Liniments and Ointments do fcarce differ from Cerats, if they admit of Wax : for if ointment of Roles Ihould have Wax added to it, it were no longer an Ointment but a Cerat. Cerats, which are made with Rolins, Gums, and Metals, do rather deferv the names of Emplafters then Cerats. And therefore Ceratum ad Hernias, wee commonly call Emplaftrum contra Rupturam. If that pain or inflammation do griev anie part, wee make Cerats of pla- iner, diflolved with Oil, left that the more hard and heavie confiftence of the Emplafter Ihould bee troublefom to the part, and hinder perlpiration: and therefore laying alide the compofition of Cerats, let us/peak of Emplafiers. An Emplafter is a compofition which is made up of all kinde of medicines, elpecially Of fat and drie things, agreeing in one grofs, vilcous, fofid, and hard bodie flicking to the fin- gers. The differences of Emplafters are taken from thole things,which the varietie of oint- ments are taken from. Of thole things which go into the compofition of an Emplafter, fom are onely ufed for their qualitie and facultie, as Wine, Vinegar, Juices. Others to make the confiftence, as Litharge (which, according to Galen, is the proper matter of Emplafters) Wax, Oil, and Rofin. Others bee ufeful for both, as Gums, Metals, parts of beaf'ts, Rofin, Turpentine to digeft, tocleanf, and drie. Of Emplafters, fom are made by boiling, fom are brought into a form without boiling; thole which bee made without fire, do fuddenly drie, nor are they vifcous : they are made with meal and pow- der, with fom juice, or with fom humid matter mingled with them. But plafters of this kinde may rather bee called hard ointments, or cataplafms: for plafters properly fo cal- led are boiled, fom of them longer, fom Ihorter, according to the nature Of thole things P p p 3 which Whit a Cerat is. The diffcreh* CCS. Emplafleis. Offimple Medicines, andtheir ufe. Lib.z6. 718 which make up the compolition of the Emplafter: Therefore it will bee worth our la- bor to know what Emplafters do ask more, or which left boiling. For roots, woods, leavs, ftalks, flowers, feeds, beeing dried, and brought into powder, are to bee added laft, when the plafter is boiled as it were, and taken from the lire, left the virtue of thefe things bee loft. But if green things are to bee ufed in a compolition, they are to bee boiled in fom liquor, and beeing prefled forth, that which is ftramed to bee mingled with the reft of the compolition ; or if there bee juice to bee uted, it is to bee bruited and prefled forth, which is fo to bee boiled with the other things, that nothing for the qualitie is to remain with the mixture, as weeufetodo in Empl. de Janua, feu Betonica, & GratiaDei. The fame is to bee don with Mucilages, but that by their clamminefs they do more relift the fire. But there doth much of oil and honie remain in their plafters when they are made. Thofe juices which are hardened by concretion, as, Aloes, Hypocy- ftif, Acacia, when they are ufed in the compolition of a plafter, and bee yet new, they muft bee macerated and diflblved in fom proper liquor, and then they are to bee boiled to the confiimption of that liquor. Gums, as, Opopanax, Galbanum, Sagaptnum, Ammoniacum, muft bee diflblved in Wine, Vinegar, or Aquawitt, then ftrained and boiled to the con- fiimption of the liquor, and then mixed with the reft of the plafter. And that they may have the exaft quan tide of Gums and Pitch, it is neceflarie that firft they bee diflblved, ftrained, and boiledbecauf of the flicks and fordid matter which are mingled with them. You muft have refpeft alfo to the liquor youufeto diflblv them in ; for Vin- egar of the belt Wine doth more powerfully penetrate, then that which is of weak and bad Wine. Other Gums,which are drier,are to bee powdred,and are to bee mingled with plafters laft of all. Metals, as, JEj ufium, Cbalcitis, Magnet, Bolus Armenus, Sulphur, Auripigmentum, and o- thers, which may bee brought to powder, muft bee mingled laft, unleft advife bee given by long boiling to dull the fierce qualities of them. The like confideration is to bee had of Rofin, Pitch, and Turpentine, which muft bee put in after the Wax,and may not bee boiled but verie gently ; but the fats are mingled whil'ft the other things are boiling. The Litharge is to bee boiled with the oil to a juft confiftence, if wee would have the plafter drie without biting. Cerufs may endure as long boiling, but then the plafter fliall not bee white,neither will the Litharge of filver make a plafter with fo good a color as Litharge of gold. More- over, this order muft bee obferved in boiling up of plafters : the Litharge muft bee boiled to his confiftence; juices or mucilages are to bee boiled away,then add the fats,then the drie Rofin, Wax, Gums, Turpentine, and after them the powders: You fliall know the plafter is boiled enough by his confiftence, grofi, hard, glutinous, and flicking to the fingers, bee- ing cooled in the air, water, or upon a ftone. Alfo you fliall know it by his exafl: mixtion, if that all the things becom one mafs hard to bee broken. The quantitie of things which are to bee put into a plafter can hardly bee deftribed, but an artificial conjecture may bee given, by confidering the medicaments, which make the plafter ftiff, and of a confiftence,and the juft hardneft and foftnefs they make beeing boiled. Wax is not put into fuch plafters wherein is Labdanwn for that is in ftead of Wax. For if there fliall bee in the compofition of a plafter fom emplaftick medicaments, the Wax (hall bee the left: Contrariwite, if they fliall bee almoft all liquid things, the Wax fliall bee in- creafedfo much,as fliall bee neceflarie for the confiftence of the plafter. The quantitie of the Wax alfomuft bee altered according to thetime, or the air; therefore it is fit to leav this to the art and judgment of the Apothecarie. Emplafters are fbmtimes made of ointments by the addition of wax, or drie rofin, or fbm other hard or fblid matter. Som would that a handful of medicaments poudred, fhould bee mingled with one ounce, or an ounce and an half of oil, or fom fuch liquor, but for this thing nothing can certainly bee determined : Onely in plafters defcribed by the Antients there muft bee great care had, wherein hee muft bee verie well verfed, who will not err in the defcribing the dote of them; and therefore wee will here give you the more common forms of plafters. R. ol. chamtm, aneth. de [pica, liliacei, an. ? ii. ol. de croco, i. pingued. porci, ft i. pingued. wi- , tul. ft p. v. t buris, 3 x* ol. lauri, i f>. ranas. viv. nu. vi. pingued. wiper, wel ejus loco hu- man. J ii £. lumbricor. lotor. in wino, J iiifS.fucci ebuli, cnul. ana. 5 ii. fcba>nantbi,ft<£chados,matri- car. an. m ii. wini oderiferi, ft ii. litbarg auri, ft i. terebinth, clarke, % ii. ftyracis liquid. J i/8. ar- genti wivi exftin8i,Comuch as the prefent occafion fliall require, and the fick fliall bee able to bear, and make up the plafter they do commonly add four ounces of quick-filver, yet for the moft part they do increaf the dote, as they defire the plafter fhould bee ftronger : the worms muft bee waflied with fair water, and then with a little wine to cleanf them from their earthie filth, of which they are full, and fo the frogs are to bee wafli't and ma- cerated in wine, and fb boiled together to the confiimption of a third part ; then the Squinanth muft bee bruited, the Feverfew and the Stsechas cutfinall, and they bee- ing added, to bee boiled to the confumtion of one pint, and beeing boiled fufficiently, the deco&ion beeingcooled fliall beeftrainedand kept; and the Litharge is to bee infufedfor twclv hours inthcoil of Camomil3dill,Lilics3 Saffron ,andthcaxungia's above fpoken of. tn i ' " Then Signs of a plafter per- feftly boiled. The quantitic of things to bee put into plafters. Empl.de Pty with Mercuric, Lib.2(5. Of fimple Medicines, and their ufe. 719 Then boil them all with a gentle fire,by and by taking from it from the fire , and add one quart of thedeco&ion above fpoken of, then let it to the fire again that the decoftion may bee confumed, and then by degrees add to the reft of the decoftion : the oil of fpike fhall bee referved unto the laft, which may give the plafter a good fmell. Then are added the juices of walwurt and enula,which muft bee boiled until they bee wafted away. Afterwards it bee- ing taken from the fire, to the compofition is added the frankincenf and euphorbium, and white wax as much as fhall fuffice. When the whole mafs fhall cool, then at laft is min- gled the quick-filver exiting turpentine, oil of bitter almonds, baies, fpike, of line, ftyrax and axungia, beeing continually ftirred, and it fhall bee made up upon a ftoneinto rolls. Unlefs the quick-filver bee well extinguiflied, it will run all into one place, and unlefs you tarrie until the compofition cool, it will vapor away in fume. R. crocz,3ii. bdelli, maftich. ammonftyrac. liquid, cer# alb. lb f8. tereb. vi.medul. cruris a 7jacc£, adipis anfertniy an oefipiyvel fi defit, axung. gallin. 5 lx. olei nard, quantum fatls ad magda- ex leones'formandos,expreffionis fcill#,%ifi.olibaniy fevi vitul.%1. The atfipus,fepumy adeps, medulla, cera, are to bee diffolved together ; when they cool, add the ammoniacum diffolved in the de- ception of fenugreek and camomil, half an ounce, and fo much juice of fquills, then put to the ftyrax and turpentine, ftirring them continually 5 then add the bdellium, ma- ftich, aloes, brought into fine powder,and when they are perfectly incorporated into a mats let them bee made up with oleum nardinum into rolls. R. terebinth, lb p. refin. fti. cer alb. % iv. mafticb. %i. fol.verben. betonic. pimpinel. an. m i. The £ herbs beeing green, the tops are to bee cut and bruifed in a ftone-mortar, and boiled in red wine to the confumption of one third part. To the drained liquor add wax cut into fmall pieces, and beeing diffolved by the fire ; the liquor beeing confirmed put to the rofin, when it fhall cool add the Maftich powdred, working it with your hands,by which it may bee in- corporated with the reft of the things. R. (ucci beton plantag. apiiy an. Ib i. cer#,picis, refin. tereb. an. lb p. fiat empl. The juices are 1 to bee mingled with the wax beeing diflolved, and boiling them until three parts bee con- c fumed, add the rofin and pitch, which beeing diffolved and hot, muft bee drained, and then add the turpentine,and makeup the plafter. R. crocificis com. (or rather Jzrzjr nivalis, becauf this emplafter is ufed to difcufs and £ draw forth the matter which cauffeth the pain in the joints) calopb. cer#, an. | ii. tereb.galb. 0 amnion, thuris, myrrh#, maftich. an. 5 v p. The cera, pix, and colophonia are by little and little to bee diffolved, to which add the gums diffolved according to arc, and mingled with the tere- binth ; and taking it from the fire add the tbusy myrrha, and at laft the crocus in fine powder, and then make it up into rowls with oil of worms, R. ol. com. tb ii. ceruf. fubtilif. ib i. boil them together with a gentle fisa, ftirring them up j continually until they com to the bodie of an emplafter; if you would have the plafter whiter, take but J ix. of the oil. R. lytharg- iriti, acet.fortif. an. ft p. ol. antiq. ft i. fiat emplaftrum: let the oil bee mingled : with the litharge for the fpace of twelv hours 5 then boil them to a good confiftence, putting J in the vineger by little and little 5 but you fhall not take it from the fire until the vineger bee quite wafted away. R. ol. vet. ft iii. axung.vet.fine fale,fb ii. litharg.trit. ft iii.vitriol.% iv.Iet the oil bee mingled ; with the litharge for the fpace of twelv hours 5 and boil them to a good confiliepce,then add c to the axungia, ftirring them continually with a fpatter made of the palm-tree,reed, or wil- low,and beeing fufficiently boiled, take it from the fire,and add the vitriol in fine powder. R. picis naval, aloes, an. § iii. liibarg. cer#, coiopb. galban. ammoniac, an. § ii. J>z/cz querni, vi. , gypfiuft. utriufque ariftolocb. iv. myrrh#, thuris, an vi. tereb. ii. pulveris vermium terreftri- um, gallar. utriufq. confalid. bol. arm. an. iv.fang humani, ft i.fiat emplaft. It you would have it of a verie good confiftence, you may add of the oil of myrtils or maftich, ftp. you fhall make it thus : T ake the skin of a Ram cut in pieces,and boil it in an hundred pintes of water and vineger until it com to a glue of ftiff gellic, in which you fhall diffolv the vifc. quer. then add the pitch and wax broken into fmall pieces, and if you will you may add the oil with them, afterwards the galban. and ammoniac, diffolved in vineger, beeing mingled with the terebinth, may bee added. Then add the litharge, gjjp jum,bol. ariftoloch.confilida, vermes & fang, human. At laft the myrrh,thus, colophon and aloe, ftirring them continually 5 and that they may bee the better mingled, work the plafter with a hot peftil in a mortar. R. mucagfem.liniyrad.altb.fcenug.median.corticis ulmi> liliacei, chain- anetb.an, am- t mon. opdpanac. fagap. ana fiat empl. Fernelius hath |xx.ot wax: the wax beeing cut fmall muft bee mingled with the oilsand the mucilages, ftirring them continually with a wooden fpatter till the liquorb.ee confumed.Then the gums diffolved and mingled with the terebinthina,muft bee added,and laft of all the faffron finely powdered. R. ol. rof myrtil.ung.populeon,ana,^iv.pingued'irfis'gdllin. f ii. fibi arietis cafirati, fepi vaccini,an. §vi. pingued. poici, litbarg.auri, argenti, an. iii. ceruf. J iv. minif J.iii. tereb. j iv« cer#,q.f.fiat emplaftrum vel ceratummolle. The Utbargir-os, cerufdy2nd minium are to bee brought into fine powder,feverally beeing fprinkled With a little rofe water,left the fineft of it fhould fire away; thefe Cerattim orfe ft ex Philagrfo. De gratia Dei: Dejanuafeu de Betoiticd. oxycroceum. De certitd. Tripbarmacums feu nigrum. Diapalma, feu diachalciteor. Contra ruptu ram. De mucaginibM De rninid. 720 Offimple Medicmes}and their ufe. Lib.z6. thefe beeing mingled with the oil of roles and myrtles,with a gentle fire may bee boiled un- til they com to the confiftence of honiejthen add the axungia's, and boil them till the whole grow black, after add the and that beeing diflblved take it from the fife, and then add the unguentumpopuleon, and fom wax if there bee need, and io bring it to the form of a pl alter. R. litbarg.puripul&ii, oLirin.cbamm.anctb.an?viii. ping, uvar.pafar.jucci cefipi, vil fitereb, J iii. ref. ? li. fiat emplaftrum. The litharge is to bee mingled with the oil before it bee let to the fire, then by a gentle fire it is to bee boiled to a juft confiftence ; after the mucilage by degrees muft bee put in, which beeing confumed the juices muft bee added and the ifthyocolla, and they beeing wafted too, then put to the wax, rolin, then taking the whole from the fire, add the cefipus and terebinthina. Wee ufe plafters when wee would have the remedie ftfck longer and firmer to the part, and would not have the ftrength of the medicament to flie away or exhale too fuddenly. Diacbylon magnum. The ufc of plafters- CHAP. XXVIII. Of Cataplafms and Fultiffes. The matter of cataplafms. Ataplafins are not much unlike to emplafters lefs properly Co called, for they may bee fpread upon linnen cloths and itoups like them, and fo applied to the grieved parts. They are compofed of roots, leavs, fruits, flowers, ieeds,herbs,juices,oils, fats,mar- rows, meals, roll ns. Of theft fom mull bee boiled, others crude. The boiled are made of herbs boiled tender, and fo drawn forth an adding oils and axungia's thereto.The crude are made of herbs beaten, or their juices mixed with oil and flower, or other powders appropiate to the part or difeaf, as the Phyfician (hall chink fit. The quantitie of medicines emring theft compofitions cahfcarce bee defined, forthat they muft bee varied as wee would have the compolition of a fofter or harder bodie. Verily they ought to bee more groftand denf when as wee defire to ripen anie thing, but more foft and liquid when wee endevour to diftuft. Weeuft cataplafms to aflwagepain, digelf,diftuft and refolv unnatural tumorsand flatulencies. They ought to bee moderately hot and of fubtil parts, fo to attraft and draw forth 5 yet their uft is fufpe&ed the bodie beeing not yet purged, for thus they draw down more matter into the affefted part. Neither muft wee uft thefe when as the matter that is to bee difcufl'ed is more groftand earth ie, for thus the fubtler parts will bee onely difcufl'ed, , and the groft remain impaft in the part unlefs your cataplafm bee made of an equal mixture of things, not only difcufling,but alfo emollient, as it is largely handled by Galen. This (hall bee largely illuftrated by examples. As, R. medul. panis, ft (3. decoquantur in latte pingui, adde olei cbamam. 5 [>• axung. galin fiat cataplafina. Or, R. rad. altb. | iii.fol.malvfene- donis, an. ni i. fem. lini, fanug. au. 3 ii. ficus, ping. nu. vi. dequoquantar in aqua, & per fetaceum tranfmittantur, addenda olei lilior. 5 i far. bord 5 ii axung. porcin. 5 i P* fiat cataplafina. Or, Bc.far. fab.& orob. an-1 ii. pulv. cbamam. & melil. an. iii. ol.irin.& amygd.amar. fucci rut. f fi.fiat cataplafina. Pultifles differ not from cataplafms, but that they ufiially confift of meals boiled s in oil, water,honie,or axungia. Pultifles for the ripening of tumors are made of the flour of barlie, wheat, and milk, efpecially in the affefts of the entrals ; or elf to drie and binde , of the meal of rice, lentils, or Grohns with vineger; or to cleanft and they are made ofhonie,the flour of beans and lupines, adding thereto fom old oil, or anie other oil of hot qualitie, and fo makea diftufling pultis. Alfo anodyne pultifles may bee made with milk; as thus for ex- ample, Bcfarintriticex, mica panis purifiimi, $ iii. decoquantur in latte, &fiat pulticula. Be. far in. 1,'ordei & fab. an% ii. far. orob. iii. decoquantur in bydromelete , addenda mellif quart. i» olei amyg. amar. 5 ii./ntf pulticula. Wee uft pultifles for the (amepurpofe as wee do cataplafms, to the af- fefts both of the internal and external parts. Wee fomtimes uft them for the killing of worms, and foch as are made of the meal of Lupines boiled in vineger, with an ox's gall, or in a deco&ion of wormwood, and other foch like bitter things. Their ufe. Lib. i. adglauc. uli defcirrho. An anodyne otaplafm. A ripening cataplafm. A dilculiing c-'taplafm. How Pulriflcs differ from cata plaims. A ripening caaplafm. CHAP. XXIX. Of Fomentations. 7otu or fomentation is an evaporation or hot lotion, chiefly ufed to mollifie, relax and aflwage pain, confiding of medicines having thefe faculties. A fomentation commonly ufeth to bee moift, beeing ufually made of the fame things as embroca- tions, to wit,of roots,feeds,flowers.)boiled in water or wine. The roots here ufed are commonly of mallows, marlh-mallows, and lilies. The feeds are of mallows , marfh- fmallage, line,fenugreek. Flowers are of camomil 5 melilot, figs, raifins, and the like : all which are to bee boiled in wine, water, or lee,the confumption of the third part or the half: as, Rfo Rad.altb.& lil. an.jjii. fetn.linifanug.cutnin.an. , jiij. flo. cbam. melii & aneib.an.p.i. [ummit. orzg.m.p, buUiant in tquis fartibns3 aqux & vini, in duabm fartibus ague, una vini, aut in Lixivia Lib.z6. Of finiple Medicines, and their ufe. 721 Lixivio cineris farmentorum, ad tertH partis confumptionem, fiat fotus. In imitation hereof you may eafily defcribe other fomentations, as occalion and neceffitie fhall require. Wee ule fomentations before wee applie cataplafms, ointments or plafters to the part, that Co wee may open the breathing places or pores of the skin, relax the parts , attenuate the humor, that thus the waie may bee the more open to the following medicines. The bo- die beeing foft purged, fomentations may bee ufed to what parts you pleaf They may bee applied with a female-fpunge, for it is gentler and fofter then the male 5 with felt, woollen cloaths, or the like dipped in the warm decoction wrung out, and often renued •, otherwiie, you may fill a Swine's bladder half foil (elpecially in pains of the fides)of the decoftion, or elf a ftone-bottle, fo to keep hot the longer ;yet fo, that the bottle bee wrapped in cotton, wool, or the like foft thing, that fo it may not by the hardnefs and roughnefs offend the part, according to Hipocrates. Their ufe. 2. De Vitin in acKtis, CHAP. XXX. Of Embrocations. 1N E mbrocbe, or Embrocation is a watering, when as from on high wee (as it were) fhowr down fom moilture upon anie part. This kinde of remedie is chieriy uled in ' the parts of the head, and it is uled to the coronal future, for that the skull is more thin in that part, fo that by the fpiracula or breathing places of this future, more open then thole of the other futures, the force of the medicine may more eaiily penetrate unto the Me- ninges, or membranes of the brain. The matter of Embrocations is roots,leavs,flowers,Leeds, fruits, and other things,according to the intention and will ot the Phylician. They are boi- led in water and wine, to the half or third part. Embrocations may allo bee made of Lie or Brine againlt the cold and humid affefts of the brain. Somtimes of oil and vineger, other- whiles of oil onely. J&.fol plantag.& folan.an ni.i.fem.portul & nymph. & rof.anp.fi.fiat decoti. ad ibi. cum aceti ft alte fubeundum fit, ex quit irrigetur pars inflammata. In affefts of the brain, when wee would repercufs, wee often and with good fuccefs ule oil of Roles with a fourth part of vineger. Wee ule Embrocations, that together with the air drawn into the bodie by the Viaftole of the arteries, the ftibtler part of the humor may penetrate , and fo cool the inflamed part : for the chief ufe of embrocations is in hotaffefts. Allb wee ufe embrocations, when as for fear of an haemorrhagic, or the flying afunderof a broken or dillocated member , wee dare not loof the bandages wherewith the member is bound. For then wee drop down fom decoftion or oil from high upon the bandages, that by thele the force of the medicine may enter into the affefted member. ' What an Em- 1 brocationis* Their ufe. (C H A P. XXXI. Of Epitbemes. Pitbema,or an Epitheme, is a composition uled in the dilealcs of the parts of the low- er and middle bellie, like to a fomentation, and not much unlike an embrocation* They are made of waters, juices, and powders, by means whereof they are uled to inc neart, cheft, liver and other parts. Wine is added to them tor the more or lets penetra- tion, as the condition of the hot or cold affeft (hall feem to requires for if you delire to heat, more wine muftbee added, as in fwooning by the clotting of blood,by the corruption of the feed, by drinking torn cold poifon: the contrarie is to bee don in a fainting by dillipation of the Ipirits by feverilh heats, alfo vineger may bee added. The matter of medicines proper to the entrails is formerly defcribed,yet wee commonly ufe the fiecies of eleftuaries,as thefiecies eleft triafantali the liver beeing affefted, and Diamargariton in affefts of the heart. The pro- portion of the juices or liquors to the powders,ufe's to bee this, to everie pinte of them of thefe,of wine or elf of vineger |i. You may gather this by the following example. R. aqu. rof. bagl. borag. an. fiii. fucci fcabiof. 3jii. pul. elect, diamarg. frigid cart, citrificci coral, raf. ebor. an. % ft. fem citri & card. ben. an. croci & mofibi an. gra- 5 • addenda vini albi %ii. fiat Epitbema pro corde. Epithemes are profitably applied in he&ick and burning fevers to the liver,heart,and cheft, if fo bee that they bee rather applied to the region of the lungs ; then of the heartj for the heat of the lungs beeing by this means tempered, the drawn in air becom's lefs hot in pefti- lent and drying fevers. They are prepared of hume&ing, refrigerateing,and cordiall things, fo to temper the heat, and recreate the vital facultie. Somtimes alfo wee ufe Epithemes to ft rengthen the heart, and drive there-hence venenate exhalations , lifted or railed up from aniepart which isgangrenate orlphacelate. Som cotton, or the like, fteeped or moiftened with fitch liquors and powders warmed, is now and then to bee applied to the affe&ed en- trail 5 this kinde of remedie, as alfo all other topick and particular medicines, ought not to bee ufed, unlefs you have firft premifed general things. CHAP. What an Epi- theme is. In the Gxth Chapter. A cordial Epi- theme* Their ufe. Of fimple and their uje. LlB.Zdi 722 CHAP. XXXII. Of Potential Cauteries. The ufe of potential cauteries. Hat kinde of Pyrotick, which is termed a Potential Cauterie, burn's, and caufleth an efchar. The uft of thefe kindes of Cauteries is to make evacuation, derivation, revulfion, or attraction of the humors by thole parts whereto they are applied. Wherefore they are often and with good fuccefs ufed in the punftures and bites of venemous beads, in a venemous, as alfo in a peftilent Bubo and Carbuncle, unlefs the inflam- mation bee great: for the fire doth not onely open the part, but alfo retund's the force of the poifon, call's forth, and plentifully evacuate's the conjunft matter. Alfo they are good in phlegmatick and contumacious tumors 5 for by their heat they take away the force and en- devours of our weak heat. Alfo they are profitably applied to ftanch bleeding, to eat or wafte the fuperfluous fleffi of ulcersand wens, to .bring down the callous lips of ulcers, and other things too long here to infift upon. ' The materials of theft Cauteries are Oke-affies, Pot-affies, the aflies of Tartar, of Tithy- mals or fpurges, the Fig-tree, the ftalks of Colewurts and beans, cuttings of Vines, as alfo fal ammoniacum, alkali, axungia vitrijal wtrwn,Roman Vitriol,and the like j for of thefe things there is made a fait, which by it's heat is cauflick and elcharotick, like to an hot iron and burning coal: Therefore it violently looft's the continuitie by eating into the skin,together with the fle(h there-under* 1 have thought good here to give you divers forms of them. Take of unquench't Lime exftinguiffied in a bowl of Barber's Lee three pounds: When the Lee is fettled, let it bee (trained, and into the ftraining put of Axungia vitri, or Sandiver,cal- cined Argol, of each two pounds, of Sal nitrum & ammoniacum, of each four ounces, thefe things muft bee beaten into a grofs powder, then muft they bee boiled over the fire, and af- ter the boiling let them remain in the Lee for four and twentie hours (pace, beeing often ftirred about, and then (trained through a thick and double linnen-cloth , left anie of the earthlie drofs get thorow together with the liquor.This (trained liquor, which is as clear as water, they call Cafitel/um, and they put it in a braftn Bafin, fuch as Barbers uft, and fo ftt it upon the fire,and aflbonas it boil's, they keep it with continual (tiering, left the (alt (hould adhere to the bafin ; the Cafitel/um beeing half boiled away,they put in two ounces of pow- dred vitriol, fo to haften the falling of the efchar, and fo they keep the bafin over the fire until all the liquor bee almoft wafted away. Then they cut into pieces the (alt or that ear- thie matter, which remain's after the boiling away of the Cayellum, and with a knife or hot iron (patula, form them into cauteries of fach figure and magnitude as they think fitting, and fo they laie them up, or keep them for ufe in a viol or glafs cloftly flopped, that the air get not in: Or, Take a bundle or fufficient quantitie of Bean-ftalks or husks , of Colewurt-ftalks two little bundles, of cuttings of Vines four handfuls, burn them all to allies, which put into a veflel of river-water, fo let them infuft for a daie's fpace,beeing ftirred ever now and then > to this adde two pounds of unquench't Lime, of .Axungia vitri half a pound, of calcined Tartar two pounds, of Sal niter four ounces, infuft all theft, beeing made into powder, in the forefaid Lee for two or three daies (pace, often ftirring it, then (train the Cafitel/um or li- quor through a thick cloth until it becom clear. Put it into a bafon, and fet it over the fire, and when as the moifture is almoft wholly fpent, let two or three ounces of vitriol bee added, when the moifture is fufficiently evaporated, make cauteries of that which remain's, after the formerly mentioned manner* Take of the allies of found, knottie, old Oke as much as you pieaf,make thereof a Lee; powr this Lee again upon other frelh allies of the fame wood, let this bee don three or four times, then quench fom Lime in this Lee, and of thefe two make a CafiteUum, whereof you may make moll approoved cauteries. For (itch allies are hot in the fourth degree; and in like fort the (tones, whereof the lime by burning becom's fierieand hot to the fourth degree: Verily, I have made cauteries of Oke-afhes onely, which have wrought quickly and power- fully. The Cafitellum or Lee is thought fufficiently ftrong, if that an egg willfwim therein without finking. Or, Take of the allies of bean-ftalks three pounds, of unquench't lime, Argol, of the afhes of Oke-wood, beeing all well burnt, of each two pounds. Let them for two daies fpace bee infuftd into a veflel full of Lee made of the allies of Oke-wood, and bee often ftirred up and down. Let this Lee then bee put into another veflel,having manie holes in the bottom there- of, covered with ftrums or ftraw-pipes, that the Cafitellum flowing through thefe ftrait paf- fages may becom more clear. Let it bee put twice or thrice upon the aflies , that fo it may the better extraft the heat and cauftick qualitie of the affies. Then putting it into a Bar- ber's bafin, ftt it over the fire, and when it (hall begin togrow thick, the fire muft bee increa- fed, and cauteries made of this concreting matter. The following cauteries are the beft that ever I made trial of, as thoft that applied to the arm in the bignefs ©f a PcaQ in the (pace of half an hour without pain, efpecially if the part of ifrfelf bee painlefs and free from inflammation, eat into the skin and flefli even to the , . bone. The matter of them. The forms of them. The fign of good Ctpitel- The fxailtie cf the filken cauterie. Lib.z6. OfJim fie Medicines, and their ufe. 723 bone, and make an ulcer of the bignefs of ones finger's end, and they leav an efchar fo moift and humid, that within four or five daies ipace it will fall away of it felf without anie fca- rification. I have thought good to call thefe cauteries Silken or Velvet ones, not onely for T! that they are like Silk, gentle and without pain, but chiefly becauf I obtained the defcription thc of them of a certain Chymilt, who kept it as a great (beret, for fom Velvet and much entrea- tie: Their defcription is this, . . . Take of the allies of Bean-flalks, of the allies of Oke-wood well burnt, of each three Tj pounds, let them bee infilled in a prettie quantitie of river-water, and bee often ftirred up fC] and down, then add thereto of unquencht lime four pounds, which beeing quencht, ftir it now and then together for two daie's fpace, that the Cafitellum may becom the ftronger,then (train it through a thick and flrong linnen-cloth, and thus (trained,put it three or four times upon the allies, that fo it may draw more of the cauftick faculties from them, then boil it in a Barber's bafin, or elf an earthen one well leaded, upon a good Char-coal-fire, until it be- com thick. But a great part of the fecret or art confilt s in the manner and limit of this boi- ling ; for this Cayitellum becomming thick and concreating into fait, muft not bee kept fo long upon the fire, until all the moifture (hall bee vanilhed and fpent by the heat thereof: for thus alfo the force of the forefaid medicines, which alfo conlift's in a fpirituous fubftance, will bee much dilfipated and weakned; therefore before it bee com to extreme drinefs,it (hall bee taken off from the fire, to wit, when as yet there lhall fom thick moifiure remain,which may not hinder the cauteries from beeing made up into a form. The made-up cauteries lhall bee put up into a glafs moll clofely luted up or Hopped, that the air may not dilfolv them, and fo they (hall bee laid up and kept in a drie place. Now, becauf the powder of Mer- curic is neer to cauteries in the effeftsand facultie thereof, which therefore is termed Pm/- w Angelica for the excellencie; therefore I have thought good to give you the defcription thereof, which is thus: R. Aurifigmenti citrini, floris falls nitri, ItiffL alumin. roche, ttii. vitrioli rom. ftiii. 1 Let them all beepowdred, and put into a Retort, having a large receiver well luted put ° thereto. Then fet the Retort over a Fornace, and let the diftillation bee made firft with a ( gentle fire,then increafed by little and little,fo that the receiver may wax a little reddilh. 1 R. Argenti vivi, tbp. aquafortis, tfei.fonantur in q>b'iala,& fiat q>ulvis,ut fequitur. Take a large earthen pot, whereinto put the viol or bolt-head wherein the Argentum ui- vum and Aqua fortis are conteined, (etting it in alhes up to the neck thereof, then let the pot over a fornace, or upon hot cools, fothat it may boil and evaporate away the Aqua fortis: neither in the interim will the glafs bee in anie danger of breaking, when all the water is va- nifhed away, which you may know is don when as it leav's fmoaking ■> fuffer it to becom cold, then take it forth of the afhes, and you lhall finde calcined Mercurie in the bottom, of the color of red Lead, Separated from the white, yellow or black excrement; for the white that concrete's in the top is called Sublimate, which if it (hould remain with the calcined Mercurie, you (hall make it into powder, and put it in a brafs-veflel upon fom coals , ftir- ring or turning it with a fyatula for the (pace of an hour or two : for thus it will lofe a great part of the acrimonie and biting, whence it will becom lefs painful in the operation. The cauf of the name. Their de* fcrintion. The defcripti- on of Mercuric or Angelical powder. CHAP. XXXIII. Of Veficatories, [Eficatorie and rubrifying ointments, cataplafins, or plafters are made of acrid me- ! dicines, which have power to draw forth to the fiiperficies of the bodie fuch hu- | mors as lie deep, by exw Icerating the skin and caufling blifters. Their matter is the fame with feptick medicines; as, Sinafi, anacardus, cantbar ides, eupborb. radices fcylke, bryon. and the like, which with honie, turpentine, leaven,gum,or rofin, may bee made into cataplafins, ointments, or plafters ; therefore the compofure of veficatories , or rather their confidence differ's not from that of hard or foft unguents. Therefore I will give you one example or delcription of them, which is thus. R. cantbarid. eupborbii,finapi, mellis anacardini, modico aceti, & fermenti quod fit fails exctfianturi& fiat weficatorium. Som of the antients think it better to make up thefe medicines with water rather then with vineger, becauf experience teacheth that vineger abate's the ftrength of muftard. Wee ufe this kinde of medicine in long difeafes, when as wee cannot anie thing prevail with other remedies 5 Specially in the head-ach, megrim,epileptic,/czafzca, gout, the bites and punftures of venemous creatures, peftilent and other invetc* rate and contumacious difiales. Alfo wee ufe them when as wee would reftorelife and ftrength to a dead or decaied part, for thus they are drawn back together with the heat j for which purpofe wee muftmake choif of more gentle veficatories,as fuch which onely rubrifie , fo that the part may onely becom red,and not bee burnt:the part muft firft bee ftrongly rubbed,that the decaicd and dull heat may bee rowzed and ftirred up, the pores of the skin more opened, that theforce of the medicine may enter the deeper into the bodie. CHAP. Whatveiica- totie and ru- brifying medi- cines are. The on of a v«G- catorie. Their nfe.* Offimple Medicines}and their uje. Lib.2<5« 724 CHAP. XXXIV. Of Collyria. What a collyti- amis. Collyrium is a medicine proper for the eies, made of powder finely levigated and groun'd into the form of Alcbobol, as the Arabians and our Alchymifts term it: yet the word in a more general acception is tiled for anie liquid medicine, made with liquors and powders, and applied or tiled to anie part. Wherefore collyria are of three kindes, fom are moilt or liquid, which are properly called collyria-, others drie, which are of the fame confidence withTrochilces; others have the confidence of honie, or a liniment. The liquid fer v for the greater and lefler corners of the eies 5 thole of the confidence of honie are meet for the apple of the eie 5 but the drie are to bee made into powder, and fo blown into the eies: alfo fomtimes they are to bee diflblved in fom juice, or other convenient liquor, that fo they may bee made into a mold collyria. Therefore collyria. have diverf ufes, and are applied to leveral parts according to the inten- tion and counfel of the Phyfician: for liquid collyria put into the corners of the eies do more readily mitigate the heat of their inflammation, by reafon they enter more eafily by the te- nuitie of their liibdance,fuch things as have a more firm confidence adhere more tenacioufly, and work more certainly. Moift collyria are made of juices,mucilages, waters of herbs, flow- ers,feeds,metalline bodies,galls,and other fuch like medicines, which are repercuflives, refol- vers,detergents,anodynes,and the like,according to the nature of the prefent difeaf. Somtimes they are made of juices and diftilled waters onely, otherwhiles powders, or drie collyria made into powder, are mixed with them,together with the white of an egg. Powders are preferibed to $ii. and liquors to §v. in medicines for the eies 5 but for other parts, as when it is to bee injected into the urinarie paflage, they may bee preferibed to thequan- titie of a pinte* Drie collyria are made of powders exceeding finely beaten or groun'd, and incorporated with lom juice, whence it is that they differ little from Trochifees. Where- fore the collyrium album Rbafis is now ufiially termed a Trochifee , and kept with them. Ca- theretick powders are not applied in the form of a moift collyrium, but in the form of a lini- ment, that is, incorporated with fat or oil. All tjiefe things (hall bee made more plainly by the following examples. . R. aq.plant.& rofar.an. %'ii.album. ovi unum, bene agitatum, mi fee 3 fiat collyrium. R. aq. rofar. & viol. an. troebif. alb. Rbaf. cum opio, yi.fi at collyrium. Or, R. de co ci. fxnug. mucag.fem. Uni, faccar. cand. £i. croci, collyr. R. thuris, myrrh. £)ii. tut. prepar. & antimon, lot. an. £ii. cum fucco chelidon. fiat collyriumin umbra ficcand. R- fellisperdic. ant lepor.^fi.[ucci faccar. cand. fyrup. rof. excipiantur,fiat collyrium. Wee ufe collyria in wounds, ulcers, fiftula's, fuffufions, inflammations, and other difeafes of the eies. The differen- ces of them. Their ufe. Their matter. A repercuffive collyrium. An anodyne. A detergent. CHAP. XXXV. Of Errbines aud Sternutatories What an er- rhine is. Rrhines are medicines appointed to bee put into the nofe to purge the brain of ( it's excrementicious humors by the noftrils,or to deterge fiich excrements as are i therein, by reafon of an polypus, or the like difeaf. Errhines are either li- ( quid or drie, or elf hard,and of the confiftence of an cmplafter. Liquid errhines, which ufiially are to purge the head, are made of the juices of herbs 5 as beets, colewurts, marjoram, pimpernel, hyffbp or balm, or of their decoftions taken alone,or mix- ed with wine, or fyrup, as oxymcl fcilliticum, fyrup of hyffbp, rofes, or mel anthofatum: fom- times powders are mixed with thefe liquors j as of pepper , eupborbium., pellitorie of Spain, hore-hound, nigella romana, caftoreum, myrrh, white ellebore, fow-bread, and other like, in a fmall quantitie, to wit, to ji. little more or lefs according to the vehemencie of thedifeaf Wee will make this more plain by examples. R. fucci brafic. an. $i. depurentur, & modice bulliant cum vini albi, %ii. oxymelit. fiat errbinum. When as you defire to attraft more powerfully from the brain, you may diflblv in errhines fom purging medicines; as agarick, diapb&nicon, fenna, cartbamus, and the like: hence doth arifethe diftinftion of errhines into fiich as are meet to purge phlegm, choler, and melancholie. This following example is let down by Rondeletius. R. rad. pyretb. hid. an. cadam. origon. an. m i. agar, trocbifc. flor, antbos & ftzcbad. an. p i. fiat de- co ft io in colatur. fti. diffolve mellis antbofati & fcillit. an. fiat caput purgium. But it is better to this purpofe to makeufe of purging fimples; as agarick, turbeth, coloquintida,and the like, then of compofitions 5 as diapbtnicon, for thefe make the deco&ion more thick, and lefs fit to enter the paffages of the noftrils, and the fiev-like bones, but apt rather there to cauf ob- ftruftion, and intercept the freedom of refpiration. Be. fucci bete, %i.aq. falv.& beton.an. pul. caftor. piper. & pyreth. an, fiat caput purgium. Drieerrhines that are termed fiernutatories, for that they cauf fneefing, are made of powders onsly, to which purpofe the laft mentioned things are ufed 5 as alfo aromatick things Their diffe- rences. The form of ®ne. An errhine purging phlegm. An errhine with powders, LlB.zd* Of fimple Medicines, and their ufe. 725 A fternuu- torie. things in a fmall quantitie, as to $ii. at the moft: as, R. major- nigel, caryopb. zinzib, pyretb.& panisporcin.an.$fi.eupborb.ty.terantur,&' in nares in/ufflentur.Errhinesofthe conli Hence of Emplafters,by the Latins vulgarly called made of the defcribed pow- ders or gums diilblved in the juice of fom of the forementioned herbs,incorporated with tur- pentine and wax, that fo tfeey may the better bee made into a pyramidal form to bee put into the noftrils. As, R. major an. falv. nigel. pip. alb. caryopb. galang. pyretb.eupborb. panis porcin. ellebor. alb. an. 9i. terantur, & inpulverem redigantur- And then with turpentine and wax as much as (hall bee fuHicient, make them up into Nafalia of a pyramidal or taper-fafhion. Wee ufe errhines in inveterate difeafes of the brain; as the epilepfie, fear of blindenefs,an apo- plexie, lethargie, convullion, the loft fenf of fmelling: yet wee firft ufe general remedies and evacuations, left by fneefing and the like concuflion of the brain for the exclufion of that which is offenfive thereto, there fhould bee made a greater attra&ion of impuritie from the (ubjacent parts. Liquid thingsmuft bee drawn up into the noftrils warm out of the palm of the hand, to the quantitie of JfL the mouth beeing in the interim filled with water, left the at- tracted liquor fhould fall upon the palat, and fo upon the lungs : drie errhines are to bee blown into the note with a pipe or quill: folid ones muft bee faftned to a thrcd, that they may bee drawn forth as need require's,when as they are put up into the noftrils. The morning(the bellie beeing emptie) is the fitteft times for the ufe of errhines. If by their force the nofe fhall bee troubled with an itching,the pain thereof muft bee mitigated by woman's milk, or oil of violets. The ufe of attra&ive errhines is hurtful to filch as are troubled with difeafes of thei eiesjor ulcers in the nofe,as it oft-times fall's out in the Lues venerea.: wherefore in this cafe it f will bee beft to ufe Apophlegmatifms, which may divert the matter from the noie. The matter of foliderrhmej. Their life. rhe manner of jfingthem. ! To whom . they are ' hurtful. Of apophlegmatifms, ar Mafticatories. CHAP. XXXVI. APophlegntatifmoi in Greek, and Mafticatoria in Latine, are medicines which kept or held in the mouth and fbmwhat chawed, do draw by the mouth forth of the brain excrementiti- L ous humors, Specially phlegm : now they are chiefly made four manner of waies > the fir ft is * when as the medicines are received in honie or wax, and formed into pills , and fo given to chaw upon. The fecond is, when as the fame things are bound up in a fine linnen-cloth, fo to bee held in the mouth. The third is when as adecoftionof acrid medicines is kept in the mouth for aprettiefpace. The fourth is when as fom acrid medicine, or otherwise drawing phlegm, as pellitorie of Spain, maftich, and the like, is taken of itfelf to the quantitie of a hafel-nut, and fo chawed in the mouth for fom fpace. The matter of mafticatorics is of the kinde of acrid medicines ; as of pepper, muftard, hyffop, ginger, pellitorie of Spain , and the likejamongft which you muft make choice chiefly of fuch as are not troublefom by anie ingrate tafte, that fo they may bee the longer kept in the mouth with the lefs offence and loathing. Yet mafticatories are fomtimes made of harfh or acerb medicines 5 as of berberies, the hones of prunes or cherries, which held for fom fpace in the mouth, draw no lefs ftore of phlegm then acrid things ; for the verie motion and cowling them up and down the mouth attraft's, becauf it heat's, compreffe's, and expreffe's : the quantitie of the medicine ought to bee from to as, 1&. pyretb. ftapbifag. an. £ip. maflicb. & involventur nodulir in mafticatoria. Or, R. zinzib.finap. an- eupborb. piper. 3$. excipiantur fiant paftil/ipro mafticatoriis. R. byffop. tbym. origan, falv. an. p i. boil them in water to wafh the mouth withall. Or, caryopb. an pyreth. pip. an Zfi.ftapbifagr. mastiches y excipiantur,fiant paftilli pro maftica- toriis. Wee ufe mafticatories in old difeales of the brain, dimnefs of the fight, deafnefs, puftles of the head and face, and fomtimes to divert the excrements which run to the nofe beeing ulcerated. Mafticatories are verie hurtful to fuch as have their mouths or throats ulcerated, asalfoto' them whole longs arefubjeft to inflammations, diftillations and ulcers for then errhines are more proEtable to derive the matter of the difeaf by the noftrils.For though the humor drawn from the brain into the mouth by the means of the mafticatorie, may bee thence caft forth by coughing and fpitting, yet in the interim nature will bee fo inured to that paflage for the hu- mor, fo that it will run that waie when as wee deep, and fall down upon the parts thereunder, weak either by nature,or by accident. The time fitteft for the ufe pf Apophlegmatifms is the morning, the bodie beeing firft pur- ged; if anie ingrateful tafte remain in the mouth, or adhere to the tongue by ufing of ma- fticatories, you fhall take it away by walking t;he mouth with warm water, or a decoftion of liquorice and barlie. What an apo- phlegmatifai is. The differen- ces. The life of mafticatories, To whom hurtful, CHAP. XXXVII. Of Gargar ifins- A Gargle or gargarifm is a liquid compofition fit for to wafh the mouth and all the parts, thereof, to hinder defluftion and inflammation, to heal the ulcers which are in thofei parts, to aflwage pain. Their compofition is two-fold,thefirftis ofadecoftion of roots,leavs, ( Q_q q flowers, !What a gargle :is. The diftcra ces thereof* 726 Of fimple and their uje. Lib. 16; flowers, fruits, and feeds fit for the difeaf; now the deco&ion is to bee made either in fair wa* ter alone, or with the admixture of white or red wine, or in the decoftion of liquorice and barlie, or of pe&oral things, as the intention of the Phyfician is to repel, cool, or hinder in* fiammation 5 as in the tooth-ach caufled by matter which is yet in motion ; to difcufs,as in the tooth-acb already at the height; or to cleanf, as in the ulcers of the mouth 5 or to drie and binde, as when it is fit to heal the ulcers already cleanfed. r. The other waie of making of gargarifms is without deco&ion, which is, when as wee make them either of diflilled waters onely, or by mixing them with fyrups, mucilages, milk, the whey of Gbat's-milk carefully ftrained. There are mixed fbmtimes, with a decoftion, diflilled waters and mucilages, mel rofatum,exymel lex, di amor on, diannewn3 bfera, picra3 oxyfacebara, fyrup.derofis /icand other things, as the prefent cafe fhall feem to require} as tLh\m3balauftid3 myrrh, olibanum3 ginger, pepper, cinnamom, drie rofeS,and manie fuch things? even fb that oft-times there enter into gargles fuch medicines as have force to draw from the brain 5 as pellitorie of Spain, carthamus, turbith,and fuch things as have no bitterneft, which is the caul' that neither agarick nor coloquintida ought to enter into gargarifms. The quantitie of liquor for a gargarifin is commonly from ft> fi. to ibi. mix therewith fbm %ii. of fyrups, but put in powders fparingly; as fom $iii. Alum may fomtimes bee put in to 3vi. let mucilages bee extracted out of feeds: let thefe ferv for fbm examples. t R. plant, polygpn. oxalidis, an. m i. rofar. rub. p hordei, p i. fiat decoEiio ad in qua diflolve fyrupi myrtillorum, $vi. dianucum, % ft. fiat gargarifma, Or, R. eham melil anetb. an. p i. rof. rttb.p pafful. mund. &ficuum, an. p in. decoquantur in &quis partibw vini & aqut, ad addenda macag.Jem. /ini, & fcenugr. an. %'ii.fiat gargarifina. Or elf, Bc.aq.plantag. mellis rojati colati, yn.fyxup, refar.fiaar.&deabfintb. an. fiat gargarifrna. Wee tile gargles in the morning falling after general purgations", they are fbmtimes taken or ufed cold, when as malign, acrid, and thin humor fall's down,fomtimes warm, but let thefe things bee don according as the Phyfician fhall advife. Their matter. An aflringcnt eargle. An anodyne gargle. A deterfiye. CHAP. XXXVIH. Of Dentifrices. Entifricesare medicines prepared and ierving divers waies for to cleanfr whiten, and faften the teeth; for from their ufe they take their name. Of thefe, fom are drie, other fom moift: of the drie, fom have the form of opiats, others of pow- ders grofly beaten, but the moift are commonly made by diftillation: the matter of drie dentifrices is taken from detergent and drying things 5 fuch as are coral white and red, hart's-horn,fcuttle-bones, alum, cryftal, pumice, balauftia, acorns, all forts of flrclls of fifties: all thefe are to bee made into powder either by burning, orwithout it, for fcuttle-boneS bnrn'tcaft forth a linking and nnpleafantfnjell. To thefeforfiftell fake are added certain aromatick things 5 as cinnamom, cloves, nutmegs, and the like: liich powders if mixed with fom fyrup 5 as oxymelfciliilicum, or with mucilage ofgum arabick and tragacanth, will becom opiaits, to bee made into a pyramidal form of (bm finger's length, round or Iquare, and ftiarp pointed, that dried they may ferv for dentifrices. Somtimes emollient roots are boiled With (alt or alum, thatdried again they may bee ufed for dentifrices: moift ones are made of drying herbs , diftilled together with drying and aftringent things. \ t All the differences fliall appear by the following examples. R. lapidis fpong. pumicis 3 & cornu cervi uft. an. coral. rub. & cryftal. an. 51. alum. &fdl. uft. an. 3'ijS. cinnamom &caryopb. rofar.rub* pulver. an. >yii. fiat pult'is pro dentrificio. Or, R. offis fiepi£} %£.mafticbes, coralli rubri ufti 3 an. £ii. cornu cervi ufii, alum inis-> car bonis, rorifmarini, an. $i. cirmamomi, $ii. fiat pulvis pro dentifricio. Or, R. oflis fepise, alum.. & falls ufti, an. ui. cryftalli,glandium,myrrb£,lburis, an. corticis granna- torum, macis , cinnamomi, an. *)i. fiat pulvis qui excipiatur mucagine gummi tragacanth. &formen* tur pyramides long#, ficcand. pro dentifricio. Or,R. rad. malv<£ junioris , &, coquantur in aqua falsa aut alwmirofa, delude ficcentur in furno pro dentifricio. R. falls, §vi. alumin. iburis , mafiichest fanguis dracottis, an. aqu& rof. %vi. diftftlentur in alembico vitreo pro dentrifricio. Dentrihces are not onely good to polifli, cleanf, and ftrengthen the teeth; but wee alfo oft- times ufe them for the tooth- ach, the difeafes of the mouth, and ulcers of gums. You may ufe them in the morning, before and after meat. The ancients, of lentisk-wood made themfelvs tooth-picks, and fuch devifes to ftrengthen their loof teeth, which alfo at thisdaie-is in ufe with thofe of with whom -this wood is plentiful, fo that it may bee brought thence for the tife of Noblemen and Gentlemen 5 myrrh may alfo ferv for this fame ufe, and anie other aftringent wood. Our people commonly ufe the ftalks of fennel? yet have they no faculty to faften the teeth, but their fmell is grateful. What a den. tifrice is. Thedifferen. ces. The matter ' whereof they confift. A powder for a Dentifrice! Their ufe. CHAK IvIB.Zd. Of fimple Medicines}and their if e 727 CHAP. XXXIX. -Iy licians term a bag or facculus, the compofition or mixture of drie and po wdred me-' dicines put in a bag, therefore it is as it were a drie fomentation. Their differences i are not drawn from anie other thing then from the varietie of the parts wheretor< they are applied : fuch as are for the head muft bee made into the fafhion of a cap, thofe which bee for the whole ventricle muft bee made into the form of a cithern; thofc for the fpleen, like to an ox's tongue : laftly, liich as are for the liver, heart, and other parts, muft bee made according to the figure of thole parts. Their matter is ulually taken from whole feeds fried in a frying-pan, or made into powder, there are fomtimes added roots, flowers, fruits, rindes, cordial-powders, and other drie medicines, which may bee eafily brought into pow- der, and conduce to the grieved parts; the quantitieis different according to the magnitude of the affefted parts : In the books of praftifcrs it is commonly found prefcribed from |iii.to 5vifS fomtimes flowers, and drie herbs are prefcribed by handfuls and pugils : and here there is need of an artificial conjefture to conceiv and appoint a fit quantitie of powders: but let us give you fom examples. R- rofar.rub. p i. mafticb. cor alii rub. anifi,& nucis mofebat. $i.fammitat., abfinth. & mentb.an. m i. iritis omnibus, fiat facculus confutus & compunttus pro ventriculo. * Be. fur fur is macri, p i. $ii. rofar- rub. flor, rorifinarini, ft<ecbados, caryoph. an. mii. j fol. beton. &falv. an. tritis omnibus fiat cucupba, interfata & c ale facia fumo tburis, & fandaracb#1 exuflorum, capiti apponatur. R. flor.'borag. buglof. &violar. an. p ii. cortzc. cztrz ficci,macis,ligni aloes, eboris, an.$i. { ojfis de corde cervi, croci, an. 9ii • fol. melif. mjS. pulveris diambrx. contritis omnibus fiat facculus e ferico pro corde, irrorandus aqua fcabiofa. Wee ufe bags for the ftrengthening of the noble parts; as the brain, heart, liver : as alfo for thofc lets noble; as the ftomach: laftly for difcufling flatulencies in what part foever; aS in the collick,and in a baftard pleurilie proceeding from flatulencies. The powders muft bee ftraw- ed upon carded bombaft, that they run not together, and then they muft bee fcwed up or quil- ted in a bag of linnen or taffatie. Wee often-times moiften thefc bags in wine or diftilled water, and fomtimes not with the fubftance thereof, but by the vapor onely of fuch liquors put into a hot difh: thus oft-times the bags are heated by the vapor onely, and oft-times at the fire in a difh by often turning them. Thefc, if intended for the heart, ought to bee of crimfon or scarlet filk,becauf the icar- let-berrie, called by the Arabians Kermes, is laid to refrefh and recreate the heart* Certainly they muft alwaies bee made of fom fine thing, whether it bee linnen or lilk. Of Bags or guilts. . What a bag or quilt is. 1 Their diffe- (rences. . A quilt for the ftomach. , A cap fora , cold head. A quilt for the heart* Their life, CHAP. XL. Of Fumigations. ' Sufffius or fumigation is an evaporation of medicines having fom vifeous and fattie, i moifture : of fumigations fom are drie, otherfom moift, the drie have the form oftro- j ! chifes or pills : their matter ought to bee fattie and vifeous, fo that it may fend forth , a fmokeby beeing burnt: fuch are ladanum, myrrh, maftich, pitch, wax,rofin, turpen-1 tine, cafioreum, tty rax, frankincenG olibanum 3 and other gums, which may bee mixed with con- venient powders : for they yeeld them a bodie and firm confidence; the fumigations that are made of powders onely, yeeld neither fo ftrong nor long a fume. The quantitie of the powders muft bee from tof i0. but the gums to jfii.as,R. fandaracb*, mafiicbes. rofar. an. benioiniy galang. an. $iib terebinthina excipiantur, & fiant trocbifciy quibus in-f cenfis fiifiumigentur tegumenta capitif. R. marchafitoe, bdellii, myrrh*, fiyracis, an. cer* flav*, & terebinth, quod fufficit, 'fiant formul* pro fuffumigio. R. cinnabarisy ftyracis & benzoiniy an.%ii,, cum terebinth, fiant trocbijci pro fufiumigio per embotum. Wee ufe fumigations in great obftruftions of the brain, ulcers of the longs, the aftbma, an old cough, pains of the fides, womb, and the difcafes of fom other parts ; fomtimes the whole J bodie is fumigated, as in the cure of the Lues, venerea to procure fweat: fomtimes onely fom ■ one part whereto fom relicks of the Lues adhere's; fuch fumigations are made of cinnabarisy wherein there is much hydrargyrum. The fume muft bee received by a funnel, that fo it may. not beedilperfed, but may all bee carried unto the part affefted, as is ulually don in the affe&s < of the womb and ears. In fumigations for the brain and cheft, the vapor would bee received with open mouth; which thence may pais by the weafon into the cheft, by the palat and noftrils into the brain : but in the interim let the head bee vailed, that none of the vapor may flie away. Moift fu- migations are made fomwhiles of the decoftion of herbs , otherwhiles of fom one limple medicine boiled iuoil, fomtimes a hot fire-ftone is quench't in vineger, wine, aqua vit*, or the like liquor, fo to raifa humid vapor. Wee oft-times ufe this kindeof fumigationin overcomming fcirrous affefts, when as wee would cut, difcufe, penetrate deep, and drie: take this as an example thereof Q_q q 2 Rd laterwt ■ Whit a fumi- . gation is. Their diffe- rences and . matter. A cephalick fume. For the hard' nefs of the finews. For the relicks' of the Lues venerea The manner of nfing tbems 728 Of fimple (JAdedicines, and their uje. Lib.z<5. The manner ofamoift fu- migation. Be. laterem u'numfatlf craffum3 autmarcbafitam ponderis ffei. heat it red hot, and then let it bee quencht in (harp vineger, powring thereon in the mean while a little aqua vit£, make a fumi- gation for the grieved part. Fumes of the deco&ionof herbs do verie little differ from fomentations properly fo called; for they differ not in the manner of their compofure, but onely in the application to the af- fefted parts: therefore let this bee an example of a humid fumigation. R. abfintb.falv. rut. origan- an. p i. rad. bryon. & afar. an. f £. fem. finap. & cumin, an. $ii. deco- quantur in duabus partibuf aqu£, & una vini pro fuffitu auris cum emboto: and oft-times fuch fumiga- tions are made for the whole bodie, whereof wee fhall treat hereafter. Amoiff fume for the ears. CHAP. XLI. Of a particular, or balf-batb. What an infe( fas is. Semicupium or half-bath, is a bath for the one half of the bodie 5 that is, for the parts from the bellie downwards : it is called alfo an infeffio, becaufthe patient fittetn to bathe in the decoftion of herbs : in which form and refpeft a femicupium differ's from a fomentation; for it is competed of the fame matter, to wit, a decoftion of herbs, roots, feeds, fruits, but in this the quantitie of the decoftion is the greater, as wee (hall teach by the following example. R. malv- bifmalv. cum toto 9 an. m i beton. [axifrag. pariet. an. m i.fem. melon, milii folis, al}%- , an. $iii. deer. rub. p. ii. rad. apii, graminlf,fxmculi, cryngii, an. $ i. decoquantur in fufficiente aqu<epro infeffu. Wee ute thete half-baths in affects of the kidnies,bladder, womb, fundament, and lower bel- lie, or otherwife when as the patient by reafon of weakness and fear of diffipating the ipirits, Fcannotfuffer or away with a whole bath. The manner of ufing it is thus: Fill fombags with the boiled herbs, or other parts of plants, and cauf the patient to fit upon them; yet in the in- terim keep the vapors from the head, left they fliould offend it, by calling over it a linnen- cloth, or elf let him not enter thereinto until the vapor bee exhaled. The matter. AhalRbath for the Hone in thekidnies. Theufe. The manner of u/ing it. 1 CHAP. XLII. Of Baths. !Vths are nothing elf then as it were a fomentation of the whole bodie3both for prefer- ving health, and the cure of difeafes: this is a verie commodious form of medicine, and among other external medicines much celebrated by the Greek, Arabian, and La- tine Phyficians. For a bath, befides that it digeft's the acrid humors, and footie excrements ly- ing under the skin, mitigate's pains and wearinefs, and correft's all cxcefs of diftemper : more- over, in the cure of fevers, and manie other contumacious inveterate difeafes it is the chief and laft remedie, and as it were the refuge of health, ftored with pleating delight. Baths are of two forts,fom natural, others artificial: natural, are thofe which of their own accord, with out the operation or help of art, prevail or excel in anie medicinal qualitie. For the water which of it lelf is devoid of all qualitie that is perceivatyp by the tafte, if it chance to bee ftrained through the veins of metals,it furnifhe's and impregnate's it lelf with their qualities and effects: hence it is that all foch water excel's in a drying facultie, fomtimes with cooling and aftri&i- on, and otherwhiles with heat and a difcufling qualitie. The baths whole waters beeing hot or warm, do boil up, take their heat from the cavities of the earth and mines filled with firejwhich thing is of much admiration whence this fire fhould arife in fubterrene places, what may kin- dle it, what feed or nourifh it for fo manie years, and keep it from beeing exftinft. Som Philo- fophers would have it kindled by the beams of the fun,others by the force of lightning penetra- ting the bowels of the earth,others by the violence of the air vehemently or violently agitated, no otherwife then fire is ftruck by the collifion of a flint and fteel. Yet it is better to refer the cauf of fo great an effect unto God the maker of the Univerf,whole providence piercing everie waie into all parts of the World, enter's and governs the fecret parts and paflages thereof. Notwithftanding they have leemed to have com neareft the truth, who refer the cauf of heat in waters unto theftoreof brimftoneconteined in certain places of the earth, becauf among all minerals it hath moft fire and matter fitteft for the nourifhing thereof. Therefore to it they at- tribute the flames of fire which the Sicilian mour/tain JEtna continually fend's forth. Hence alfo it is that the moft part of fuch waters fmell of Sulphur, yet others fmell of Alum, others of Nitre, others of Tar,and fom ofCoperas. Now you may know from the admixture of what metalline bodies the waters acquire their faculties by their tafte,fent,color,mud,which adhere's to the channels through which the water run's,as alfo by an artificial feparation of the more terrettrial parts from the more iubtil.For the earthiedrofs which fobfides or remain's by the boiling of fuch waters, will retein the faculties and fobftance of brimftone, alum,and the like minerals: befides alfo,by the effefts and the cure of thefe or thefe difeafes, you may alfo gather of what nature they are. Wherefore wee will deferibe each of thefe kindes of waters by their effects, beginning firft with the Sulphureous. Sulphureous waters powerfully heat, drie, refolv,open, and draw from the center unto the furface The faculties of Baths. Their diffe- rences* Natural Baths How to know whence the Baths have their efficacie. LlB.Zd. Offimple Medicines, and their ufe. 729 furface of the bodie; they cleanf the skin troubled with fcabs and tetters ; they ceaf the itch- ing of ulcers, anddigeftand exhauft the caufles of the gout, they help pains of the colick and hardened fpleens. But they are not to bee drunk, not onely by reafon of their ungrateful fmell and tafte, but allb by reafon of the malitioufhefs of their fubftance,offenfive to the inner parts of the bodie, but chiefly to the liver. Aluminous waters tail verie aftri&ively,therefore they drie powerfully,they have no Rich ma- nifeft heat,yet drunk, they loof the bellie: I beleev by reafon of their heat and nitrous qualitie they cleanf and ftaie defluxions,and the courfes flowing too immoderately 5 they alfo are good againft the tooth-ach,eating ulcers,and the hidden ablcefles of the other parts of the mouth. Salt and nitrous waters lhew themfelvs fiifficiently by their heat: they heat, drie, binde, < cleanf, difcufs, attenuate, refill putrefaftion, take away the blacknefs comming of bruifes, heal fcabbie and malign ulcers, and help all oedematous tumors. Bituminous waters heat, digeft,and by long continuance foften thehard'ned finews 5 they are different according to the various conditions of the bitumen that they walh, and par- take of the qualities thereof. Bralen waters, that is, fuch as retain the qualities of brafs; heat, drie, cleanf digeft, cut, binde, are good againft eating ulcers, fiftula's, the hardnefs of the eie-lids, and they wafte and eat away the flelhlie excrefcences of the note and fundament. Iron water's, cool, drie, and binde powerfully, therefore they help ablcefles, hardened milts, the weaknefles of the ftomach and ventricle, the unvoluntarie fhedding of the urine, and the too much flowing terms, as alfo the hot diftemper of the liver and kidnies. Som fuch are in Lucan territorie in Italie. Leaden water's, refrigerate, drie, and perform fuch other operations as lead doth; the like may bee faid of thole waters that flow by chalk, plafter, and other fuch minerals, as which all of them take and perform the qualities of the bodies by which they pafs. Hot waters or baths help cold and moift difeafes 5 as the palfie, convulfion, the ftiffnefs and attraction of thenervs, trembling, palpitations, cold diftillations upon the joints, the infla- tions of the members by a dropfie, the jaundif by obftru&ion of a grofs, tough, and cold hu- mor, the pains of the fides, colick, and kidnies, barrennefs in women, the fuppreffion of their courfes, the liiffocation of the womb, cauflefs wearinefs: thole dileafes that fpoil the skin 5 as tetters, the leprofie of both forts, the fcab, and other dileafes arifingfrom a grofs, cold, and obftmfting humor, for they provoke fweats. Yet fuch muft fliun them as are of a cholerick nature, and have a hot liver, for they would cauf a Cachexia and dropfie by over-heating the liver. Cold waters or baths heal the hot diftemper of the whole bodie and each of the parts thereof, and they are more fre- quently taken inwardly then applied outwardly 5 they help the laxnefs of the bowels, as the relblution of the retentive facultieof the ftomach, entrals, kidnies, bladder, and they allb add ftrength to them. Wherefore they both temper the heat of the liver, and allb ftreng- thenit, theyftaiethe Diarrhea, Dyfenterie, Couries,unvoluntariefheddingof urine, the Gonnorrbea, Sweats, and Bleedings. In this kinde are chiefly commemdable the waters of the Spaw in the countrie of Lzege, which inwardly and outwardly have almoft the fame facultie, and bring much benefit without anie inconWnience, as thole that are commonly ufed in the drinksand broths of the inhabitants. In imitation of natural baths, there may in want of them bee made artifical ones,by the in- filling and mixing the powders of the formerly defcribed minerals; as,Brimftone, Alum,Nitre, Bitumen .-allo you may manie times quench in common or rain-water, iron, brafs, filverand gold heated red hot, and lb give them to bee drunk by the patient, for fuch waters do oft-times retein the qualities and faculties of the metals quenched in them, as you may perceiv by the happie fuccels of fuch as have ufed them againft the Dyfenterie. Befides thefe, there are alfo other baths made by art of Ample water, fomtimes without the admixture of anie other thing, but otherwhiles with medicinal things mixed there- v with, and boiled therein. But after what manner foever thefe bee made, they ought to bee warm , for warm-water hume&'s , relaxe's, mollifie's the folid parrs, if at anie time they bee too drie, hard, anddenf j by the alcititious heat it open's the pores of the skin, digeft's attraft's, and difeufles fuliginous and acrid excrements remaining between the flelh and the skin. It is good againft fun-burning and wearinefs, whereby the fimilar parts are dried more then is fit. To conclude, whether wee bee too hot or cold, or to drie, or bee naufeous, weefinde manifeft profits by baths made of fweet or warm-water, as thole that may fuppliethedefeftof fri&ionsand exercifes: for they bring the bodie to a mediocritie of tem- per, they increaf and ftrengthen the native color, and by procuring fweat difculs flatulencies: therefore they are verie uleful in hectick fevers, and in the declenfion of all fevers, and againft raving and talking idlely , for the procure deep. But becauf water alone cannot long adhere to the bodie, let oil bee mixed or put upon them , which may hold in the water, °' and keep it longer to the skin. Thefe baths are good againft the inflammations of the lungs and fides,for they mitigate pain, and help forward that which is fuppurated to exclufion, when as general remedies according to art have preceded, for otherwife they will cauf a greater defluxion on the afflicted parts: Q_q q 3 for The condition of natural ful- phureous wa- ters. Of aluminous waters. Of Tait aud J nitrous. Of bitumi- nous. Of brafen. Of iron. Of Leaden. Of hot baths To whom hurtful. The facultie* of cold-baths The Spaw. Of artificial baths. The facultie of a bath of warm-water. Why wee put oil into baths* 730 Of flmple Medicines, and their ufe. LiB.26. for a bath (in Galen s opinion) is profitably ufed to difeafes when as the morbifick matter is concofted. To this purpole is chofen rain-water,then i iver-water>fo that it bee not muddie,and then fountain-water; the water offtanding-lakesand fens is not approoved of, for it is fit that the water which is made choif of for a bath of Iweet water, Ihould bee light and of fubtil parts, for baths of waters which are more then immoderately hot or cold yceld no foch com- moditie ; but verily they hurt in this,that they (hut up or dole the pores of the bodie, and keep in the fuliginous excrements under the skin; other baths of fweet or fiefli water confift of the fame matter as fomentations do,whence it is that lorn of them relax,others mitigate pain,others cleanly and otherlbm procure the courfes, that is compounded of a decodion of ingredients or plants having fuch operations. To thefe there is fomtimes added wine, other whiles oil, fom- times frefli butter or milk, as when the urine is flopped, when nephiritick pains are violent, when the nervs are contracted, when the habit of the bodie wafte's and wrinkles with a hedick drinefs, for this corrugation is amended by relaxing things, but it is watred,and as it were fat- ted by humeding things, which may penetrate and transfufe the oilie or fattie humiditie into thebodie thus ratified and opened by the warmnefs of a bath. Anodyne baths are made of a decodion of medicines of a middle nature, fuch as are tempe- rate and relaxing things, with which wee may alfo fomtimes mix refolving things; they are boiled in water and wine, efpecially in pains of the colick proceeding from vitreous phlegm, lor grofs and thick flatulencies conteined or flint up in the bellie, kidnies, or womb. In fuch l baths it is not fit to fweat,jbut onely to fit in them fo long until the bitternels of the pain bee alfwaged or mitigated,left the powers,weakned by pain,fhould bee more refolved by the break- ing forth of fweat: emollients are fomtimemixed with gentle detergents, when as the skin is rough and cold,or when the fcails or cruft of fcabs is more hard then ufiial,then in conclufion, wee muft com to ftrong deterfives and driers;laftly to drying and fomwhat aftridive medicines fo to ftrengthen the skin, that it may not yeeld it felf fo eafie and open to receiv defluxions* By giving you one example the whole manner of prefcribing a bath may appear. R. rad-lilior.abbor.bifinalv. au.tbii. malv.pariettviolar. an. mf$ fem.liniy fetnug. bifrnalv. an.l&i. for. cbarn. melil. anetb. an. p vi. fiat decociio in fuficienti aqu£ permifeito olei liliorum & Uni ana, ifeii. balneum in quo diutiits natet £ge.r. Baths though noble remedies approoved by ufe and reafon, yet unlefs they bee fitly and dif- erectly ufed in time, plentie, and qualitie , they do much harm; for they cauf ftiakings and chilnefs,pains,denfitie of the skin, or too much rarefadion thereof, and oft-times a refolution of all the faculties. Wherefore a man muft bee mindeful of thefe cautions before hee enter into a bath: Firft, that there bee no weaknefle of anie noble and principal bowel,for the weak parts eafily receiv the humors which the bath hath diflufed and ratified, the waies lying open which tend from the whole bodie to the principal parts. Neither muft there bee anie plentie of crude humors in the firft region, for fo they fliould bee attraded and diflufed over all the bodie:there- fore it is not onely fit that general purgations fliould precede , but alfo particular by the bellie and urine: befides, the patient fliould beeftrong, that can fafting endure a bath as long as it is needful. Laftly, the bath ought to hee in a warm and filent place, left anie cold air by it's blowing , or the water by it's cold appulf, cauf a fhivering or fliaking of the bodie whence a fever may enfiie. The morning is a fit time for bathing, the ftomach beeing fafting and emptie, or fix hours after meat, if it beerequifite that the patient fliould bathe twice a daie, otherwise the meat yet crude would bee fnatched by the heat of the bath out of the ftomach into the veins and habit or the bodie. Manie, of all thefeafonsof the year, make choif of the fpring and end of fummer and in thefe times they chufe a clear daie,neither troubled with ftormie wlndes, nor too fharp an air. As long as the patient is in the bath, it is fit that hee take no meat, unlefs peradventure to comfort him hee take a little bread moiftened in wine, or the juice of an orange, or fom da- mask-prunes to quench his thirft: his ftrength will fhew how long it is fit that hee fliould ftaie in, for hee muft not ftaie there to the refolution of his powers, for in baths the humid and (pi- er rituous fubftance is much diflipated. Comming forth of the bath,they muft prefently get them tbto bed, and bee well covered, that by fweating, the excrements, drawn unto the skin by the heat of the bath, may break out: the fweat cleanfed, let them ufe gentle frictions, or walkings then let him feed upon meat of good juice and eafie digeftion, by reafon that the ftomach can- not but bee weakned in fom fom fort by the bath. Thatquantitieof meat is judged moderate, the weight whereof (hall not opprefs the fto- mach : venerie after bathing muft not bee ufed, becauf to the refolution of the fpirit by the bath, it add's another new caufof further (pending or diflipating them. Som wifli thofe that ufe the bath by reafon of fom contra&ion, pain, or other affeftsof the nervs, prefently after bathing, to dawb or befmear the afle&ed nervous part with the claie or mud of the bath, th at by making it up as it were in this pafte, the virtue of the bath may work more effeftually,and may more throughly enter into the affeCted part. Thefecautionsbeeingdiligentlyobfervedjthereisno doubt but the profit by batheswill bee great and wonderfukthe fame things are to bee obferved in the ufe of ftoves or hot-houfes, for the ufe and efleft of baths andHot-houfes is almoft the fame, which the antients there- fore ufed by turn, fo that comming forth of the bath they entred a ffoveand called it alfo by Why wee mult, not continue in the bath till I wee fweat. A mollifying and anodyne bath. Cautions to bee obferved in the afe of baths. The fitteft time for bathing. How to order the patient comming forth of the bath. Lib.z6. Of [imple Medicines, and their ufe. 731 by the name of a bath, as you may gather from fundrie places of Galen in his Methodus med. wherefore I think it fit in the next to fpeak of them. CHAP. XL III. Of Stoves or Hot-boufes. are either drie or moift: Drie, by railing a hot and drie aerie exhalation, fb to imprint their faculties in the bodie,thatit thereby waxeth hot, and the pores beeing opened, run down with fweat. There are divers waies to raif fuch an exhalation: at Paris, and wherelbever there are ftoves or publick hot-houfes, they are railed by a clear fire put under a vaulted fornace, whence it beeing prefently diifufed, heat's the whole room; Yet everieone may make himfelf fiich a ftove as hee fhall judge beft and fitteft. Allb you may put red hot cogle-ftones or bricks into a tub,having firft laid the bottom there- of with bricks or iron-plates, and fo fet a feat in the mid'ft thereof, wherein the patient fit- ting, well covered with a canopie drawn over him, may receiv the exhalation arifing from the ftones that are aboufrhim, and fo have the benefit of fweating: but in this cale wee muft oft look to and fee the patient, for it fbmtimes happen's thatfom, negle&ed by their keepers o- therwife emploied, becoming faint, and their fenf failing them by the diifipation of their fpi- rits by the force of the hot exhalation, have funk down with all their bodies upon the ftones lying under them, and lb have been carried half dead andburn't into their beds.Som alfo take the benefit of fweating in a fornace or oven, as loon as bread is drawn out thereof. But Ido not much approov of this kind of fweating, becauf the patient cannot as hee will, much lefs ashee pleafeth, lie or turn himfelf therein. Humid ftoves or fiidatories are thofe wherein fweat is caufled by a vapor or moift heat: this a vapor muft beeraifed fromadecoftiont>f roots, leavs; flowers, and feeds, which are thoughtfl fit for this purpofe; the deco&ion is to bee made in water or wine, or both together. There- fore let them all bee put into a great veflel well luted, from the top o f whofe cover iron or tin-pipes may com into the bathing-tub (landing near thereto,between the two bottoms there- of, by means whereof the hot vapor may enter thereinto, and diftufe it felf therein. Now it is fit the bathing-tub ftiould bee furniftied with a double bottom, the one below and whole, the other fomwhat higher and perforated with manie holes, whereupon the patient fitting may re- ceiv a fudorifick vapor over all his bodie: now this vapor, if at anie time it becom too hot, muft bee tempered by opening the hole, which muft for the feme purpofe bee made in the top of the pipe, that foit may bee opened and Ihut at pleafure. In the interim the tub (hall bee clofely covered where- in the patient fit's, hee putting forth onely his head, that fo hee may draw in the cool air. In defeat of luch pipes, the herbs fhall bee boiled by them- felvs in a caldron or kettle, and this fhall bee fet thus hot into the bathing-tub at the patient's feet, and Jo ,by calling into it hea- rted ftones, a great and fudorifick vapor fhall ,bee raifed. , The differen- ces of Stoye j. , How nude. i A vapourous . floveo rbath The delineationof a bathing Tub, having a double bottom, with a veffel near thereto, with fifes camming therefrom, and entring between the two bottoms of the Tub. CHAP. XLIV. Of Fuci, that is wafbes, and fuch things for the fmootbing and beautifying of the skin. dis following difcourf is not intended for thole women tvhich addicted to filthie lull, leek to beautifie their faces, as baits and allurements to filthie plealures: but it is inten - ded for thole onely, which the better to reftrain the wandring luffs of their husbands, may endevouf by art to take away thofe Ipots and deformities which have happened to fall on their faces either by accident or age. The color thatappear's in the face, either laudable or illaudable,abundantly lhew's the tem- per both of the bodie, as allo of thole humors that have the chief dominion therein : for everie humor die's the skin of the whole bodie, but chiefly of the face with the color thereof: for choler bearing Iwaiein the bodie, the face look's yellowifh; phlegm ru- ling, it look's whitilh or pale 5 if melancholic exceed, then blackilh or fwarth; but it blood have As the color ofthg skin is fuch istheha- mor tb*tu thereunder, Of fimple Medicines, and their ufe. Lib.16. 732 have the dominion, the color is frefh and red. Yet there is other things happening externa fly which change the native color of the face, as fun-burning, cold, pleafure, forrow, fear, watching, fafting, pain, old diftafes, the corruption of meats and drinks: for the flourifhing color of the cheeks is not onely extinguilhedby the immoderate ufe of vineger,but by drink- ing of corrupt waters the facebecom's fwoln and pale. On the contrarie, laudable meats and drinks make the bodie to bee well colored and comly, for that they yield good juice, and confequently a good habit. Therefore if the (pots of th face proceed from the plenitude and ill difpofition of humors, the bodie fhall bee evacuate > by blood-letting; if from the infirmitie of anie principal bowel, that muft firft of all b e ftrengthened; but the care of all thefe things belong's to the Phyfician : wee here onely fee after particular remedies which may fmooth the face, and take away the fpots, and other de fefts thereof, and give it a laudable color. Firft the face fhall bee waftied with the water of lillie-flowrs,of bean-flowers, water-lillies, of diftilled milk, or elf with the water wherein fbm barlie or ftarch hath been beeped- The dried face fhall bee anointed with the ointments prefently to be? defcribed; for fiich wafhing cleanfeth and prepareth the face to receiv the force of the ointments, *no otherwife then an a - lumed lee prepair's the hairs to drink up and retein the color that wee defire. Therefore the face beeing thus cleaned and prepared,you may ufe the following medicines,as thofe that hav a facultie tobeautifie, extend, and fmooth the skin : as, R. gum. tragacanth-, conquaff. £ii. diftemgerentur in vafe vitrid cum tb ii. aqux communis, ficgummi liffolvcntur, inde albefcet aqua. Or elf. R. litbargyri auri, ceruf. & falis com. an. | |3. aceti aqu* Hantig. an. macerentur litbargyros& cerufa in aceto feorfim ger tret aut quatuor boras, [al verb et camgbora in aqua quam inflituto tuo agtam delegeris: then filter them both feveral,and mix them together beeing fo tiltred, when as you would ufe them. R.lahis vaccini,ttdib aranciorumet limon. an. nu. iv. faccari albifsimi, et alum, rocb. di- ftillentur omnia fimnl: let the limmons and oranges bee cut into flices, and then bee infufed in milk, adding thereto the fugar and alum; then let the mall bee diftilled together in balnea Ma- ria; the water that com's thereof will make the face fmooth arfd lovelie. Therefore about bed- time it will bee good to cover the face with linncn-clothes dipped therein. A water alfo diftil- led of fnails gathered in a vine-yard, juice of limmons, the flowers of white mullain mixed to- gether in equal proportion with a like quantitie of the liquor contained in the bladders of Elm-leavs, is verie good for the fame purpofe. Alfo this, R. mica ganis al bi, lb iv.flor. fabar. rofar. alb. flor, nanugb. lilior. & in ireos, an. lb ii. lattis vac- cini, lb vi' ova. nu.viii. aceti ogb lb i.diftillentur omnia fimul in alembico vitreo, & fiat aqua ad facie' et manuum lotionem. Or, R. olei de tartaro, J iii. mucag.fem. gfilii, J i. ceruf. in oleo rof.diffolut. ifi. borac. [al. gem. art. %i.fiat linimentum gro facie. Or, R. cagonem vivurn, et cafeum ex latte cagrino re- centur confettum, limon. nu. iv. over. nu. iv. ceruf lot. in aq. rofar. % ii. boracis, i camgb. 3 ii. aq. flor, fabar. lb iv. fiat omnium infufio ger xxiv. horas, gofiea diftillentur in alembico vitreo. There is a moft excellent fucus made of the marrow of fheeps-bones, which fmooth's the roughnefsof the skin, beautifie's the face j now it muft bee thus extrafted. Take the bones, fevered from the flefh by boiling,beat them,and fo boil them in water,when they are well boil ed, take them from the fire, and when the water is cold, gather the fat that fwim's upon it, and therewith anoint your face when as you go to bed, and wafh it in the morning with the for- merly prefcribed water. falls ceruf "%ii»ung.citrin.vel fgermat. ceti,%i. malaxentur flmul. et fiat linimentum, addendo olei ovor. 5 ii. The Sal cerufie is thus made, grinde Cerilfs ipto verie fine powder, and infufe lb i. thereof in a pottle of diftilled vineger for four or five daies, then filter it, then fet that you have filtred in a glafed earthen veflel over a gentle fire until it concrete into fait, juft as you do the cagitellum in making of cauteries. R. excrementi lacert. ofsis f#gi<e, tartari, vinialbi, rafur.* corn, cerv.farin. oriz. an. gartes <equales, fiat gulvis, infundatur in aqua dijiillata amygdalarum dulcium, limacum vinialium,flor. nenugb. huic ad- dito mellis albi gar gondus,: let them bee all incorporated in a marble mortar, and kept in a glafs or filver veflel, and at night anoint the face herewith j it wonderfully prevails' againft the red- nefs of the face, if after the annointing it you fhall cover the face with a linnen cloth moiften edin the former defcribed water. • R. fublim. i. argent, viv.faliv. extintf. ii.margarit.non gerforat. i. cagb. i ft. incorgorentur fl- mul in mortario marmoreo, cum gifiillo ligneo, ger tres boras ducantur et fricentur, reducanturque in tenu- ifiimumgulverem, confefius gulvis abluatur aquhmyrti et deficcetur, ferveturque ad ufum, adde foliorunt auri et ar genii,nil* x. When as you would ufe this powder, put into the palm of your hand a little oil of maftic,or of fweet-almonds,then prefently in that oil diflblv a little ef the defcri- bed powder, and fb work it into an ointment,wherewith let the face bee anointed at bed-time but it is fit firft to wafh the face with the formerly defcribed waters, and again in the morning when you rife. t When the face is freed from wrincles and fpots, then may you paint the cheeks with a rofie and flourifhingcolor; for of the commixture of white and red arifeth a native and beautih j color: for this purpofe take as much as you fhall think fit of brafil, and alchunet 5 fteep them m alum-water, and therewith touch the cheeks and lips, and fo fuffer it to drie in: there is allb Waterswhere- withto wafli the face. Compound: liquors where with to wafh the face. Virgin's milk- The marrow of fheepf- bones good tolmooththe face. How to make Sdcertif]*, How to paint the face. Lib.26. Of fimple their ufe 733 alfo fpanifli red made for this purpofe; others rub the mentioned parts with a fheep's-skin di- ed red : mouover the trillion that is made by the hand onely, caufleth apleafiug rednefs in the face, by drawing thither the blood and fpirits. CHAP. XLV. Of the Gutta or a fierie face. [is treatile of Fuci put's mee in minde to (aie fomthing in this place of helping the preternatural redneis which poflefleth the nofe and cheeks, and oft-times all the face oefides,one while with a tumor,otherwhiles without,fomtimes with puftles and fcabs, * by reafon of the admixtion of a nitrous and aduft humor. Pra&itioners have termed it rofacea. This (hew's both more and more uglie in winter then in (ummer, becauf the cold clo- feth the pores of the skin, fb that the matter contained thereunder is pent up for want of tran- fpiration, whence it becom's acrid and biting, fo that as it were boiling up, it lift's or raileth the skin into puftles and (cabs 5 it is a contumacious difeaQ and oft-times not to bee helped by medicine. For the general method of curing this difeaQ it is fit that the patient abflein from wine, and from all things in general that by their heat inflame the blood, and ditiule it by their va- porous fubftance: hee (hall (hun hot and verie cold places, and fliall procure that his bellie may bee foluble, either by nature or art. Let blood firft bee drawn out of the bafilica, then from the vena frontis, and laftly from the vein of the nofe. Let leeches bee applied to fundrie places of the face, and cupping-glalfes with fcarification to the (boulders. For particular or proper remedies, if the dileaf bee inveterate, the hardnefs (hall firft bee fbft'ned with emollient things, then aflaulted with the following ointments, which (hall bee uled or changed by the Chirurgian as the Phyfician (hall think fid R.jkccz citri, ceruf. quantum fufficit ad eum inffiffandum, argenti vivi cum faliva et fulfhure vi- vo 3(3 incorforentur fimul,et fiat unguentum. R. boracis, 3 it.farincicer. etfabar. i. cum melle et fucco ceftfiant trocbifci: when you would ufe them, diffolv them in rote and plantain-water and fpread them upon linnen clothes, and foapplie them on the night-time to the affeftcd parts, and fo let them ofc times bee renued. R. unguenti citrini recenter difpenfati, § ii. fulf buris vivi, % ]3. cum rnodico olei fem» cucurb. et fucci limonum, fiat unguentum with this let the face be anointed when you go to bed, in the morning let it bee wafhed away with role-water, beeing white by reafon of bran infufed therein : moreover, (harp vineger boiled with bran and rofe-water, and applied as before, powerfully take's away the rednels of the face. R. ceruf & litbarg. auri, fulf hurls vivi fulverifati, an, (3. fonantur. in fbiala cum aceto & aqua rofarum : linnen cloths dipped herein (hall bee applied to the face on the night, and it (hall bee tn rirpnn t-Pip it* in mnrninrr timfI'i r 1 for the firft daies is troubled and (linking,but tneie paucu,u uccuHicui cicar ana wen uncttuig. Som boil bran in vineger and the water of water-lilies, and in this decoftion they diflblv of fulf bur and camphire a fit proportion to the quantitie of the deco&ion, and they applie cloths moiftened in this medicine to the face in the evening. R album, ovor. nu. ii. aqut rof. % i (3. fucci flantag. & lafatb. acut. an. % i fublimati, 9 i. incorf0- fentur in mortario marmoreo. R. axung. forci decies in aceto lot<e,%iv. argenti vivifi i. aluminisfiulfbu- ris vivi, au. 3 i.fiftentur omnia diu in mortario flumbeo, &fiat unguentum argentum vivum non debet nifi extremo loco affundi. R. rad• lafatb. acut. & aff bedel. an. coquantur in aceto fciUitico, foftea tundantur, etfetaceo trajiciantur, addenda aurifigmenti, 3 ii. fulfburis vivi, 3 x.let them bee incorpo- rated and make an ointment to bee u(ed to drie up thepuftles. R. rad. liliorum fub cineribus coftorum, iv. fiftillo tufis, et fetaceo trajetfis, adde butyri recentis, et axung. forci, lot# in aceto, an. f i. fulfburis vivi, 3 iii. camfbor. 9 iii. fucci limonum quantum fufficit, malaxentur fimul et fiat unguentum. R. lattis virginalis,tk aluminis, % ft. fulfhuris vivi, i. fucci limonum, 5 iv. falls com. 3. (3. let them all bee diftilled in a glafs alembick,and the water kept for the forementioned u(es. R, lafatb. acut. flantagin. et affbodel. an- 5 i (3. olei vitel. ovor. | i. terebinth, venet. (3. fucci limo- num, 3 iii. aluminis combuft. 3 i. argenti vivi exftinfl. i.olei liliorum, ft. tundantur omnia in morta- rio flumbeo, addenda fubfinem argent, viv. ne mortario adb<erefcat. The juice of onions beaten with fait, or the yelks of eggs are good for the fame purpofe. For (laying and killing of Ring-wormsand Tetters, theleavs of hellebore beaten with vi- neger are good, the milk of the fig-tree is good of it felf, asalfo that of the (purges, ormu- (larddilfolved in ftrong vineger with a little fulphur. Or, R. fulf buris, calcantbi, & aluminis, in aceto forti, trajiciantur f er lineum, ap- plie the exprefled juice. Others macerate an egg in (harp vineger, with coperas and fulfbur vi- vum beaten into fine powder, then they drain or prefs it through a linnen cloth. But feeing the forementioned medicines are acrid, and for the moft part eating and corro- ding, Why Worf in winter then >in fanunar. Diet. Remedies' An apporved ointment, •t To drie up thepuftels. To kill let* ter* 734 Of /imple and their ufe. Lib.z6. ding, it cannot beebut that they muft make the skin harfh and rough, therefore to fmooth and levigate it again, you (hall make life of the following ointment. R. tercb. ven. tarn diu lot#, ut acrimoniam nullam babcat, butjri jalis expertis, an. % i olei vitel. ovor. i. axung. porci in aqua rofarum lot#, | f>. cert parum, fiat linimentum ad ufium. To the fame purpofe you may alfo make u(e of fomof the foremeutioned medicines. To (mooch the skin. CHAP. XLI. What things are fit to die the hair. r firft the hairs, (to take the fucus or tinfture, and to retain it) muft bee prepared with Lie, wherein a little roch-Alum isdiffblved. Thus the fattie (calcs may bee wafhed and taken away, which hinder, and (as it were) keep away the fucus, that it cannot adhere or penetrate into the bodie of the hair* Then muft wee com to particular or proper and fitting medicines for this purpofe. Theft ought to bee aromatick and cephalick, and (bmwhat ftip- tick,that by their odoriferous &aftringent power they may ftrengthen the animal facultie.Fur thermore,they muft beof fubtil parts,that they may enter even into the inner roots ofthe hairs. R. Sulpburis,vitrioli, gallarum, calcis viv£,litbargyri, an.%ii.fcori£ inpollinemre- ducantur, et cum aq. communi incorp or entur,ut indefiat mafia: with this at bed time let the hairs bee rubbed, and in the morning let them bee fmoothed with the fame. R. calcis lot£, 5 i litbargyri utriufq-, 5 P* decotto gallarum, corticum, nucum, fiat mafia, addenda olei cbamem. 3 ii. R. lytbarg. auri, 5 ii* ower clavellat. i/8. calcis wiv. 3 i. difiolve omnia cum urina. Isominis donee acquirant confiftentiam unguenti pro untiione capillorum. R. calcis lot£, J. ii. cum decott. falv. et cart, granat. fiat pafta ad formam pultis fatls liquid£: let the hair at bed-time bee died here- with, and walhed in the morning with wine and water. Now the manner of wafhing lime is thus : Infuft in ten or twelv pints of fair water one pound oflime, then pour out the water by ftooping the veflel, putting more in the (lead there- of 5 the third time in ftead of common water pour thereon the water of the decoftion offage and galls, let the lime lie therein for fo manie hours, then in like manner pour it off by ftoop- ing the veflel j and thus you (hall have your lime well walhed. There is alfo found a way how to die or black the hair by onely powring of (dm liquor thereon : as, R. argenti purifsimi,^iit reducantur in tenuiffimas lamina*, ponantur in ampulla vitrea cum 5 ii. aqu£ feparationis auri et argenti, et aqu£ rofar. 3 vi. The preparing of this water is thus, put into a viol the water of ftparation and the filver, and (et it upon hot coals (b to diflblv the filver, which beeing don then take it from the fire, and when it is cold, add thereto the roft-water But if you would black it more deeply, add more filver thereto, if left, then a fmaller quantitie 5 to u(e it, you muft fteep the comb wherewith you comb your head in this water. Rc.plumbiufti, ii.gallarum nonperforat.cortic. terr£ figilferret, bifpan.an.% ii.vi- triol. rom. vi.falis gem. § i caryoph. nucis mofeb. an. § i. falis ammon. aloes, an. 3 fi. fiat pulvis fub- tiliffimus: let this powder bee macerated in vinegar for three daies (pace, then diftil it all in an waf-pr that corn's therefrom is good for the forefaidnft. The following medi- To blackjhe bair. Howto Wafh lime. A water to black the hair. To make t hair of a fl en color. CHAP. XL VI I. Of Pfilothra, or Depilatories : and alfo of facet-waters- MEdicines to fetch off hair, which by the Greeks are termed Pjilotbra, and Depilatoria in latine vulgarly, are made as you may learn by theft following examples. R. calc if uiv£, § iii. auripigmenti£ i. let the lime bee quench'd in fair water,and then the orpiment added with fom aromatic thing: have a care that the medicine lie not too long upon the part, otherwife it will burn; and this medicine muft bee made to the confidence of a pultis and applied warm, firft fomenting the part with warm water; for then the hair will fall off by gentle rubbing or wafiling it with warm water: but if there happen anie excoriation thereupon, you may help it by theule of wwgaentWHi roptwiw, or fom other of the like facultie. R. calcis viv. aurip. citrin. an% i. amyl.fpumt argent, an- J terantur et incorporentur cum aq. com. buUiantfimul: you fhall certainly know that it is fufficiently boiled, if putting thereinto a goo- fes quill, the feathers com prefently of: fom make into powder equal parts of unquench'd, lime and orpiment,they tie them up in a cloth,with which beeing fteepedin water they beftnear the part, and within a while after by gently ftroaking the head, the hairs faFs away of it felf The following waters are verie fitting for to wafli the hands,face,and whole bodie, as alfo lin- nen, becauf they yield a grateful finel: the firft is lavander-water thus to bee made. R. flor, la- wend.ft)iv.aq.rofar.& vini alb.an. lb ii. aq. vit£9 %iv.mifceantur omnia flmul} &fiat diflillatio in balneo Maru: the fame water may alfo bee had without diftillation, if you put lom lavander-flowers in fair water,and fo fet them to fun in a glafs,or put them in balneo,adding a little oil of fpike and musk .Clove-water is thus made.l&.caryoph.'%ii .aq.rofar.tbii.macerenturfpatio xxiv.borarum-fet difliHentur in balneoMarit.Sweet-water commonly fo called,is made of divers odoriferous things put together; as thus, R. mentbt,majorant fly ii.radicis ireos* mofcbat<e,ana,%limonum,nu Av. macereniuromnia inaquarofarum. fpacio viginti quatuor diflillentur in balneo Marit, addenda Mofcbi, 9 'The end of the 'Iwentie A depilatotie. Another. Sweet-waters* lavender-wa. ten Clove-water. Sweet- water. 735 Of D I ST ILLATIONS. The Tweritie feventh Book. CH A P. I. TPhat Diftilldtioh andhowmanie kindes tbereof there bee. Aving finifh'd the Treatife of the faculties of medicines, it now feem's requisite that wee (peak fomwhat of Chymiftrie and fuch medicines as are extracted by fire. Thete are fuch as confift of a certain fift eflence feparated from their ear- thie impuritie by Difti!lation,ih which there is a lingular, and almoft divine ef- ficacie in the cure of diteafes. So that of fo great an abundance of the medicines there is fcarce anie which at this daieChymifts do not diftil, or otherwife make them more ftrong and effectual then they were before. Now diftillatidn is a certain Art or Way by which the liquor or humid part of things, by the virtue ind force of fire or fom femblable heat ( as the matter (hall teem to requilt) is extracted and drawn, beeing firft refolved into vapor and then condens'd again by cold. Som call this art Sublimation or fubliming, which fignifie's no- thing el<5 but to Separate the pure from the impure ; the parts that are faiore fhbtil and delicate from thole that are more corpulent, grofs and excrementious ; as alfo to make thofe matters whole fubftance is more grols, to becou? more pure and fincere, either for that the terteftrial parts are ill-united and conjoined, or otherwife confuted into the whole and dilperled by the heat and fo carried up; the other grofter parts remaining together in the bottom of the veftel. Or a diftillation is the extraction or effufion of moifture diftilling drop by drop, from the note of the Alembeck or anie fuch like veffels Before this effufion or falling down of the li- quor there goe's a certain concbftidn performed by the virtue of heat, which feparate's the iubftances of onekinde from thofe of another that were confutedly mixed together in one bo- die, and fo bring's them into one certain form or bodies which may bee good and profitable for divers diteafes. Som things require the heat of a clear fire, others a flame; others the heat of the Sun; others of alhes,or fand,or the filings of Iron; others horf dung, or boiling wa- ter, or the oilie vapor or fteam thereof. In all thefe kinds of fires, there are four confiderable degrees of heat. The firft is conteined in the limits of warmth,and fuch is warm water,or the vapor of hot water. The tecond is a little hotter, but yet fo as the hand may abide it, without anie harm, fuch is the heat of Afhes. The third exceeds the vehemencie of the tecond,where- fore the hand cannot long endure this without hurt, and fiich is the heat of fand. The fourth is fo violent, that it burneth anie thing that commeth near, and fiich are the filings of Iron. The firft degree is moft convenient to diftil fuch things asarefubtil and moi ft as flowers. The tecond fuch as are fubtil and drie as thote things which are odoriferous and aromatical,as Cinnamom, Ginger, Cloves. The third is fitted to diftil fuch things as are of a moredenfe fubftanceand fuller of juice; fuch as are fom Roots, and gums. The fourth is fit for metals and minerals, as Allum,Vitriol, Amber, Jet, &c. In like manner you may diftil without heat; asweeufeto do in thofe things Which are diftilled by (training, as when the more pure is drawn aud feparated from that which is moft unpure and earthie, as wee do in Lac Virginalet and other things which are (trained through an hypocras-bag, or with a piece of cloth cut in form of a tongue, or by fettling,or by a veftel made of Ivie wood: foretimes alfofomthings may bee diftilled, by coldnefs and humiditie, and fo wee mike the oil of Tartar, Myrrh and Vitriols, by laying them upon a marble in a cold and moift place. What diflil- lation is. Four degrees of heat- What heat fitted for what things. CHAP. II. Of the matter and* form of Fornaces, He matter andform of Fornaces life's to bee divers. For fom FornaceS ufe to bee made of bricks and daie, otherfom of claie onely., which are the better and more lafting, if fo bee the claie bee fat and well tempered with whites of Eggs and hair. Yet in fudden oc- cafions when there is prefent neceffitie of diflillation, Fornaces may bee made of bricks, fo laid together that,the joints may riot agree, but bee unequal} for fo the ftru&tire will bee the ftronger. The beft and fitteft form of a Fbrnace for di [till at io n is round; for fo the heat of the fire carried up equally diffufe's it felf everie waie,which happen's not in a Fornace of another figure, as fquare or triangular, for the corners difperf and fcparate the force of the fire. Their magnitude muft bee fiich as [hall bee fit for the receiving of the vefleL For their thicknefs; fo greatjas neceffitie [hall feem to requir. They muft bee made with' two bottoms,dtftnYguifh'd as it were into two forges, one below which mafyrectiv theafhes of the coals' or the like other fuel, The matter 1 the heft for Fornaces. A round forftt the heft fOt Fo'rnaCcs, 736 ' Of 'Di/lillationS', LiB.27. fuel, the other above to contein the burning coals or fire. The bottom of this upper muft ei- ther be an iron-grate, or elf itmuft bee perforated with nianie holes, that fo the afhes may the more eafily fall down into the bottom, which otherwife would extinguifh the fire; yet fom Fornaceshave three partitions, as the Fornace for reverberation. In the firft andloweft the afhes are received, in thefecond the coals are put, and in the third the matter which is calcin'd or elf diftilled. The third ought to have a femicircular cover, that fo the heat or flame may bee reflefted upon the conteined matter. The lower partition fhall have one or more doors, by which the fallen-down afhes may bee taken forth. But the upper muft have but one, where- by the coals or wood may bee put in.But in the top or upper part of the Fornace where it fhall feem moft fit, there fhall bee two or three holes made, that by them you may blow the fire,and that the fmoak may more freely pafs out. But thefe fore-mentioned doors muft have their Ihutters, much like an oven's mouth. But in defeft of a fornace or fit matter to build one with- all, wee may ufe a kettle, fet upon a treefoot,after the manner that wee fhall prefently declare, when wee com to fpeak of chat diftillation which is to bee made by 'Balneum Maria.. CHAP. III. Of veffelsfit for Diftillation. Eflels for Diftillation confift of different matter and form,for they are either of Lead, Tin, or Brafs; or elf earthen veflels and theft are fomtimes leaded, foretimes not: or elf they are of Gold,Silver,or Glafs. Now for leaden veflels they are worf then the reft, and utterly to bee refilled, efpecially when as the liquors which are drawn by them are to bee taken into the bodie by the mouth,by reafon of the malignant qualities which are laid to bee in Lead; by which occafion Galen condemn's thofe waters which run, and are conteined in leaden pipes, which byrealbn of their faltifhnefs andacrimonie which favor's of quickfilver, they caul dyfenteries. Therefore you may perceiv fuch waters as are diftilled through a leaden head to bee indued with a more acrid and violentp-iercing vapor, by reafon the portion of that faltifhnefs diflolvedin them , and as it Were fhaved from the Alembeck or head, defile's the diftilled liquors, and whiten's and turn's them into a milkie fubftance : but copper or brafs-heads are more hurtful then Lead, for they make the waters that com through them to favor or participate of brafs. Thofe that are of gold and filver are lels hurtful; but the greatnefs of the coft hinder s us from making heads of fuch metals; therefore wee muft have a care that our veflels for diftillation bee either of pottcrs-mctal leaded, or elf of brafs, or of that jug metal which is commonly called terra betovacenfis, and theft rather then of lead or a- nie other metal. Verily glafles are thought the beft 5 and next to them earthen veflels leaded , then of jug-metal, and laftly theft of tin. Therd is great varietie of veflels for diftillation in form and figure; for fore are of an oval or cylindrical figure, that is, of a round andlongifh ; others are twined and crooked, others of other fhapes, as you may fee in the beaks of the Chi- mifts. Of this almoft infinite varietie of figures 1 will in fit place give you the delineation and uft of fuch as fhall feem to bee moft neceflarie. Leaden veffels il. Erafs worf. The Left veC- fels for diftil- lation. What things are to bee csnfidered in diftillation. CHAP. IIII. Irftmakechoif of a fit place in your houf for the fornace, fo that it may neither hin- der anie thing, nor bee in danger of the falling of anie thing that (hall lie over it. When you fhall diftil anie thing of a malign or venenate qualitie,yee (hall (land by it as little as you may, left the vapor Ihould do you anie harm: when you provide glals-veflels for diftillation, make choifof fuch, as are exquifitely baked,without flaws or cracks,and fuch as are everie where fmooth. Let not the fire at firft bee verie violent, not onely for fear of brea- king the veflels, but alfo for that the firft fire in diftillation muftbee gentle, and fo increafed by little and little. The things to bee diftilled, ought not to bee put in too great quantitie into thebodie of the Still, left they ftiould rife up or flie over. Hot things that they may bee more effeftual muft bee twice or thrife diftilled, by powring upon them their own diftilled water or other frefli materials, or elf by diftilling them feverally and by themfelvs : of this kindeare gums, wax, fats, or oils. But in each other repeated diftillations you muft fomthing leflen the force of the fire, for the matter attenuated by the former diftillation cannot afterward endure fo great heat: but a- romatick things, as Cloves, Cinnamom,e>c. as allb the chimical oils of Sage , Rofemarie, Tyme, &c. ought not to bee diftilled or reftihed over again, for that wee muft prefently after the firft diftillation have a diligent care to feparate them from the phlegm,that is,the more wa- trie fubftance of the whole liquor,to which purpofe wee muft have regard to that which is di- ft illed, for there are fom things which lend over their phlegm as Vineger; others, wherein it ; com's laft, as * aqua vit<e. If you would give to things to bee diftilled another tafte or finell then that which they have naturally,you may mix with them lom odoriferous thing, as Cinnamom,Camphire,or Musk, or the like, as you plea£ and fo diftil them together. The diftilled liquors are drawn by the , . » heat Hot things muft bee of- ten diftilled. * By #qu<t w r« in this and I moft other places is meant nothing but the fpirit of wine. LiB.xy. Of D ifillations. 737 heat of allies or fand, favor of and retain a certain enrpyreuma, or ihiatch of the fire; for the helping of which, you ihall put them into glalles clofe ftopt, andfo expole them to the fun, and now and then open the glafles that this fierie impreflion may exhale, and the phlegmon bee conliimed, if that there fhall bee anie. But though in all diftillation, there are mame things to bee obferved, yet are there two things, chiefly worthie of note. The firft is, the matter that is to bee diftilled and wrought upon, that is, of what kinde it is, and what the nature thereof may do and fuffer. The other is the Fornace, which ought to bee provided of a convenient matter and figure of that which is to bee diftilled : for you cannot draw anie thing of anie matter,neither of everie mixture beeing diftilled can you rightly exfpeft oil or water.For mix't bodies do not confift of an equal portion of the four Elements,but fom are more aierie,others more fierie, fom participate more of the water, others more of the earth, and that prefently from their firft original. Therefore as watrie things yield more water; fo aierie and fierie things yield more oil when they are diftilled; neither are all inftruments fit for the extracting of everie liquor. Moreover you muft note, that the waterie liquor fomtimes com's forth in thefirft place, and prefently after by the help of a ftronger fire follow's the oilie, which wee finde happen's as often as the plant or parts of the plants,which are diftilled,are of a cold tem- perament ; for in hot things it happen's otherwife, for the firft liquor which com's forth is oi- fte, and the following wateriih. CHAP* V. Of wbat fafbion tbe veffels for tbe diftilling of waters ought to bee. ffracj Or the diftilling of anie kinde of waters, two kinde ot veflels are neceflarie, which are ' grsHa comprehended under this one generall name of anAlembick. They call one of them' the bodie,or conteining vef- el, the other the head, that is,the cap or top wherein the aflcending vapors are con- denfated or turned into wa- ter. It is called the head,be- cauf it hand's over the bodie, like as an head , from the head there com's out a pipe or note whereby the diftilled liquor flow's drop by drop into the receiver}as you may fee by the figure. The parts of an Alembick* TheFoinace for a Balneum Maria with the their receivers. hH L D J JD A. Shew's a brafs kettle full of water. B. cover of the kettle perfo~ rated in two places to give paffage forth to the veffels. C. Apipe or Cbimnie added to the kettle, wherein the fire is conteined to heat tbe water. D. The confifting of his bodie. and head. E. The receiver whereinto tbe diftilled liquor run's. tE E| The effi&es of another balneum M arise, not fo eajily to bee remoovedas the former. A. Shew's the ziefelor Coffer that content's the water. B. The Alembic kj'et in water. But left the bottom of the Alembick beeing half foil- ftiould float up and down in the water,and fo ftick againft thefides of the Kettle; I have thought good to fhew you the waie and means to prevent that danger. R.rr A, Shew's 738 Of distillations. LIB.27. A. Sbew's the vefiel or glafs-Alembick- B. A plate of lead whereon it Hand's. C. Strings that binde the to the plate. D. Rings through which tbe firings are put to faften the Alembick. You may diftil the liquors of things by the vapor or ftream of boiling water, if fo bee that you bee provided of Veflels and forms made after this following manner, A Fornace with bis veffel s to diftil liquors with the fleam of boilingwater. A. Shew's the he ad of the Alembick. B. The bodie thereof, placed in a brafs-veffel made for thatpurpofe. C. A brafs-veffel perforated in manie places toreceiv the vapor of the water, "this veffel [ball contein the Alembickjompaffed about with [aw-duft, not onely that it may the better and longer retein the beat of the vapor, but alfo left it fbould bee broken by tbe hard touch of the brafen vejjel. D. Shew's the brafs veffel containing the water as it is plac'd in the Fornace. E. 'The Fornace, conteining the veffel. F. A Funnel by which you may now and then pour in waterin ftead of that which is vanifh'd and difsipa- ted by the heat of tbe fire. G. Tbe Receiver. Now for the faculties of diftilled waters it is certain, that thole which are drawn in balneo Maria or a double veflel, are far better and efficacious , becauf they do not onely retein the fmell of the things which are diftilled, butalfo the tafte, as aciditie, harffinefs, fweetnefs,bit- ternefs, and other qualities, fo that they will neither favor of fmoak nor burning; for the 1 milde and gentle heat of a bath contein's by his humiditie, the more fubtil parts of the plants that are diftilled, that they may not bee diffipated and exhaled, contrarie to which it ufiially happen's in things which are diftilled by the burning heat of wood or coals. For thefe have a certain nitrous and acrid tafte, favoring of the fmoak of fire. Befides, they acquire a malign qualitie from the veflels out of which they are diftilled, efpecially if they bee of Lead, whence they contraft qualities hurtful to the principal, vital, and natural parts. Therefore the plants which are thus diftilled, if they bee bitter by nature, prefently becom infipid, as you may perceiv by wormwood-water thus diftilled. Thofe things which are di- ftilled in Balneo Maria are contained in a glafs-veftel, from which they can borrow no malign qualitie. Therefore the waters fo drawn are more effeftual and pleating in tafte, fmel, and fight. You may draw waters not onely from one kinde of plant, but alfb from manie com- pounded and mixed together : of thefe fom are alimentarie, others medicinal, yea and pur- ging 5 others acquir'd for fmell,others for waffiing or fmoothing of women's faces,as wee ffiall fhew hereafter. Why thofe things that are diftiiled in Balnea retein more of the ftrength of things. How the materials mufl bee prepared before Diftillation. CHAP. VI. Hings before they bee put into the Alembick muft undergo a preparation, that is, they muft bee cut fmall, beaten and macerated, that is, fteepedinfom liquor, that fothey may bee the more eafjly diftilled and yield the more water? and retein their native fmell and Lib. 17. Of 'Difiillations. 739 and faculties ; yet fuch preparation is not convenient for all things j for there bee fbm things, which need no inlulion or maceration, but mu ft rather bee dried before they bee diftilled, as be Sage, Ty me,Rofemarie, and the like, by reafon of their too much humiditie •, it will bee fuf- ficient to fprinkle other things with fom liquor onely.In this preparation there are two things be obfervable, to wit,the time of the infulion,and condition of the liquor wherein thefe things ought to bee infufed. The time of the infulion is different according to the varietie of the mat- ter to bee macerated; for things that are hard, folid,drie or whole, muft bee longer macerated, then filch as are tender, frefhly gathered or beaten : whence it is that roots and feeds require a longer time of infulion; flowers and leavs a fhorter, and the like of other things. ;The li- quors wherein infufion muft bee made, ought to bee agreeable to the things infufed. For hot ingredients require hot liquors, and cold fuch as are cold wherein they may bee infufed. Such things as have not much juice, as Betonie, wormwood and the like, or which are verie odoriferous,as all aromatick things,would bee infufed in winejfo to preferv their fmell, which otherwife by the force of the fire, by reafon of the tenuitie of the fiibftance eafily vaniftie's.But if wee defire that the diftilled liquor fhouldmore exaftlyretein and have the facultieof thee things whereof it is diftilled, then muft you infufe it in the juice thereof or fom fuch appro-1 priate liquor, that it may fwim in it whileft it is diftilled, or at leaft let it bee fprinkled therewith. What things need not to bee macerated , before they beediffolyede : The macerati- on of plants in their own juke. CHAP. VII. Of tbe Art of di frilling of waters. I defcribe the manner how to diftil waters J think it not amifs briefly to reckon up™{ h°wmanie forts of diftilled waters there bee, and what the faculties of them are. ten Therefore of diftilled waters Com are medicinal,as the waters of Rofes, Plantain, Sor- rel, Sage, and the like: others are alimentarie, as thole waters that wee call reftauratives; o- therfomare compofed of both, Rich as are thele reftaurative waters which are alfo mixed with medicinal things; others are purging, as the diftilled water of green and freftiRubarb; o- therlbm ferv for fmoothing the skin , and others for Imell 5 of which lort are thofe that are diftilled of aromatick things. To diftil Role-water, it will bee good to macerate the Roles before you diftil them for the R° fpace of two or three daies, in fom formerly diftilled Role-water, or their prefled-out juice, luting the veflel dole; then put them into an Alembic clolely luted to his head and his Recei- ver, and fo put into Mar it, as wee have formerly defcribed* The diftilled Alimentarie liquors are nothing elf than thofe that wee vulgarly call Reftau- ratives 5 this is the manner and art of preparing them. Take of Veal, Mutton, Kid, Capon Pullet, Cock, Patridg, Phefant, as much as lhall feem fit for your purpole: cut it (mail, and left it Ihould require hear, or enrpyreuma from the fire,mix therewith a handful of French-Bar- lie, and of red Role- lea' id frefh, but firft fteeped in the juice of P om granats,or citrons and Rofewater with a little Cxbnamom,as much. But if you defire that this reftaurative Ihould not onely bee alimentarie,but allb medicinal,you fhalladd thereto fuch things as.lhall rcfiftthe dileaf, fiich as are Cordial powders as of El-Dia- margaribfrigid. T>e getnmis}Aromaticum Rofat.Con- fervof Buglofs,Borrage, roots, herbs, feedsand other things of that kinde. But if it bee in a pe- ftiferous feafon, Triacle, Mithridate and other Antidotes lhall bee added 5 each of thele lhall bee laid in ranks or orders one over another,which is vulgarly termed frratumfuper frratum, in a glafs A- lembick, and diftilled in balneo Mari# with the heat of Alhes, or elf of warm fand, as the fi- gure lhew's. ESS The varieties of ftilled wa- ters. • Rpfe.watv* Reftwratives. The delineation of a Balneum Marias, which may alfo fervfor to diflil with afljes. A. Shew's the Fornace with the hole to take forth the the Afbes. B. Shew's another Fornace, as it were fet in the other: now it is of Brafs ,and runs through the mid'ft of the kettle made alfo of brafs, that fo theconteined water or afhes may bee the more eafily heated. C. The kettle wherein the water3afbes3 or fand are con- teined. D. The Alembickjet in the water3 a[hes3 or fand3 with the mouths of the receivers. E. The bottom of the fecond brafs Fornace, wbofe top is marked with B. which conteins the fire. Rrr 2 There Of T)ijlillatons. Lib.217, 740 Anotherwaie of making re- ftaurativc Li- <l<wcs. There may beemade other reftauratives in fhorrer time with lefs labor and coft. To this purpole the flefhmuft bee beaten and cut thin, and Co thruft through with a double thred, Co that the pieces thereof may touch each other; then put them into a glafs, and let the thred hang out ; fo ftop up the glafs clofe with a linnen cloth, Cotten or Tow, and lute it up with pafte made of meal and the whites of eggs; then let it up to the neck in a kettle of water,but fo that it touch not the bottom,but let it bee kept upright by the formerly-delcribed make a gentle fire there-under,until the conteined flelh by long boiling (hall bee dillblved into juice, and that will commonly bee in fom four hours fpace. This beeing don, let the fire bee taken from under the kettle, but take not forth the glafs before the water bee cold , left it bee- ing hot fhould bee broken by the fudden appulf of the cold air. Wherefore when as it is cold, let it; bee opened, and the thred with the pieces of flelh bee drawn forth, fo that onely the juice may bee left remaining 5 then ftrain it through a bag, and aromatize it with Sugar and Cinna- mom,adding a little juice of Citron, V erjuice or V ineger,as it (ball beft like the patient's palate. After this manner you may quickly, eafily,and without great coft have and prepare all forts of reftauratives afwellmedicated as fimple.But the force and facultie of purging medicines is ex- . traced after a clean contrarie manner then the oils and waters which are drawn of Aromatick things, as Sage,Rofemarie,Tyme,Anifeeds,Fennel,Cloves,Cinnamom,Nutmegs,and the like. For the ftrength of the(e,as that which is fubtil and aierie, flie's upwards in diftillationjbutthe ftrength of purging things, as Turbith, Agarick Rubarb and the like, fubfide in the bottom. For the purgative facultie of thefe purgers inleparably adhere's to the bodies and fiibftances. Now for fweet waters and fuch as lerv to fmooth the skin of the face, they may bee diftil- led in Balnea Mari# like as Role-water. CHAP. VIII. How to diftil Aqua vitx or the ft irits offline. &ke of good White or Claret-wine or Sack which is not fowr nor muftie, nor other- wife corrupt, or of the Lees,that quantitie which may ferv to fil the veflel wherein you make the diftillation to a third parts then put on your head furniffied with the nofeor pipe, and fo make your diftillation in Balnco Maria. The oftner it is diftilled, or (as they term 1C it) re&ified, the more noble and effe&ual it becom's. Therefore fbm diftil it feven times over. At the firft diftillation it may fuffice to draw a fourth or third part of the whole-5 to wit, of twentie four pintes of Wine or Lees, draw fix or eight pintes of diftilled liquor. At the fecond time the half part of that is three or four pintes. At the third diftillation the half part again, that is, two pints s fb that the oftner you diftil it over, the left liquor you have, but it will bee a great deal the more efficacious. I do well like that the firft diftillation bee made in Affies s the fecond in Balneum Maria. T o conclude , that aqua vita is to bee approoved of, neither is it anie oftner to bee diftilled,which put into a fpoon or faucet, and there fet on fire,burn's wholly away and leav's no liquor,or moifture in the bot- tom of the veflel 5 if you drop a drop of oil into this fame water, it continually fal's to the bottom 5 or if you drop a drop into the palm of your hand,it will quickly vaniffi away,which are two other notes of the probation of this liquor. < \ The faculties and effefts of aqua vita are innumerable, it is good againft the epilepfie and all cold difeafes,it aflwage's the pains of the teeth, it is good forpunftures and wounds of the Ncrvs, faintings, fwoonings,gangreens and mortification, both of it's fleffi,as alfoput too- ther medicines for a vehicle. There is this difference between the diftilling of wine and Vineger, wine beeing of an aie- rieand vaporous fubftance, that which is the beft and moft effectual in it, to wit, the aierie and fierie liquor, com's from it prefently at the firft diftillation.Therefore the refidue that remain's in the bottom of the veflel, is of a cold drie and acrid nature j on the contrarie,the water that com's firft from V ineger beeing diftilled is infipid and flegmatick. For Vineger is made by the corruption of wine, and the fegregation of the fierie and aerie parts 5 wherefore the Wine becoming fowr, there remain's nothing of the former fubftance but phlegm 5 wherefore fee- ing phlegm is chiefly predominant in Vineger, it firft rife's in diftillation* Wherefore hee that hope's to diftil the fpirit of Vineger, hee muft caft away the phlegmatick fubftance,that firft fubftance that firft rife's,and when by his tafte hee (hall perceiv the fpirit of the Vineger, hee ffiall keep the fire there-under,until the flowing liquor ffiall becom as thick as honie; then muft the fire bee taken away, otherwife the burning of it will cauf a great ftinch. The veflels fit to diftil aqua vita and Vineger are divers, as an Alembick or Retort fet in fend or Affies j a Copper or brafs-bottom of a Stil, with a head thereto, having a pipecomming forth thereof which run's into a worm, or pipefaft'ned in a barrel or veflel filled with cold- water, and having the lower end comming forth thereof, whole figure wee ffiall give you when as wee com to fpeak of the drawing of oils out of vegetables. Spirit of wine feven times rectified. The faculties of the fpirit* of wine. ( The diftilling of Wineand Vmeger is different. CHA. L1B.Z7. Of Dillillations, 741 CHAP. IX. Of the manner of retfifyin&tbat is, how to increaf tbeftrengtb of waters,that have been once diflilled. O reftifie the waters that have been diflilled in you muft fet them in the Sun in glaffes well flopped and half filled, beeing fet in fand to the third part of their height, that the water waxing hot by the heat of the Sun may feparate it felf from the phlegm mixed therewith, which will bee performed in 12; or X 5. daies» There is another better waie to do this, which is to diftil them again in Bal- nea with a gentle fire,or if you will put them into a Retort furnifhed with his receiver,and fet them upon chryftal or iron-bowls, or in an iron-mortar dire&ly oppofite to the beams of the Sun, as you may learn by thefe enfuing figns. The fir ft wait. Thefecond. A Retort with bis receiver {landing upon Cbryftal- bowls, juft oppofite to the Sun-beams. Another Retort with bis receiver {landing inaMar- bleor Iron-mor tar^direft ly oppojite to the Sun. A. Shew's rfo Retort. 'B.lhe marble,or Iron-mortar • C.the receiver. A. Shew's the Retort, B. receiver. C. the Cryftal bowls. CHAP. X. Of diftillatidn befitting. HOu (hall let three bafins or veflels of convenient matter in that fite and order that each may bee higher than other 5 that which ftand's in the higheft place, fliall con* tein the liquor to bee diftilled, and that which ftand's loweft fliall receiv the diftil- liquor. Out of the firft and fecond veflel fliall hang flireds or pieces of cloth or cotten, 'with their broader ends in the liquor or upper veflel j and the other (harper ends hanging down,whereby the more fubtil and defecate liquor may fall down by drops into the veflel that ftand's under it, but the grofler and more feculent part may fubfide in the firft and fecond veflel. You by this means may at the fame time aiftil the fame liquor divers times, if you place manie veflels one under another after the fore-mentioned manner,and fb put flireds intoeach of them, fo that the loweft veflel may receiv the purified liquor. In (lead of this di- flillation Apothecaries oft-times ufe bags. J v j c This manner of diftillation was invented to make more clear and pure waters, and all jui- cesand compofitions,which are of fuch a liquid confiftence. You may take an example from Lfa Virginia orVirgin's-milk ,of1 which this is the description. R. litbarg. auri diligenterpulverif. §iii. macerentur in dceti boni Jvi. tri- urn borarum ftatio,feorjim etiam in a- quaplantaginir, folani, aut communi fal infundatur 5 then diflil them both by flireds, then mix the diftilled liquors, and you fliall have that which for the milkie whitenefs is termed Virgin's milk, beeing good againft the rednels c and pimples of the face , as weef* have noted in our Antidotarie. "The dcfcription of veflels to perform the diftillation or filtration by fhreds. &&&& A. Skew's the vejfel. B, the Cloths or fhreds. R r r 3 GHA. Of T)ifiliations. Lib. 742 CHAP. XI. Wbat andbowmanie waies tbey are to makgoils. Ou may by three means efpecially draw to extraft the oils that you defire. The firft is by exprefiion, and fo are made the oils of Olives, nuts, feeds, fruits and the like.Un- der this is thought to bee conteined elixation, when as the beaten materials are boil- ed in water, that fo the oil may fwim aloft, and by this means are made the oils of the feeds of Elder and danewort, and of Baie-berries. Another is by infufion, as that which is by infil- ling the parts of plants and other things in oils.The third is by diftillation,fuch is that which ' is drawn by the heat of the fire, whether by affcent or by defcent, or by concourf 5 The firft waie is known by alls now it is thus, take almonds in their husks, beat them, work them into amafj, then put them into a bag made of hair, or elf of ftrong cloth firft fteeped in water or in white-wine,then put them into prefs and fo extraft their oil. You may do the fame in pine- apple-kernels. Hazel-nuts, Coco-nuts, nutmegs, peach-kernels, the feeds of gourdsandcu- cumbers, piftick-nuts,and all fuchoilie things. Oil of baies may bee made of ripe baie-berries newly gathered,let them bee beaten in a mortar and fo boiled in a double veflel,and then forth- with put into prefs, foto extraft oil as you do from Almonds,unlefs you had rather get it by boiling as wee have formerly noted-. Oile of Eggs is made of the yelks of Eggs boiled ve- riehard 5 when they are fo, rubthem to pieces with your fingers, then frie them in a pan o- ver a gentle fire, continually ftirringthem with a fpoon until they becom red, and the oil bee refblved and flow from them ■, then put them into a hair-cloth, and fo prefs forth the oil. The oils prepared by infufion are thus made, make choif of good oil wherein let plants, or crea- tures, or the parts of them bee macerated for fom convenient time, that is, until they may feem to have transfufed their faculties into the oil, then let them bee boiled, foftrainedor preffed out. But if anie aquofitie remain, let it bee evaporated by boiling. Som tn compoun- ding of oils add gums to them, of which though wee have formerly fpoken in our Antidota- rie, yet have I thought good to give you this one example. R. flor, hyper. R fi.immittantur in phi- alam cumflo. cent. & gum- elemi, an. %ii. olei com. ft ii. Let them bee expofed all the heat of Sum- mer to the Sun. If anie will add aquavit# wherein fbm Benzoin is diffolved, hee fhall have a moft excellent oil in this kind. Oil of opti- mi |viii. Let them all bee boiled together to the confumption of the wine, then ftrainthe oil and referv it in a veflel. Oils by ex- preflion. By infufion. By dlftillati- on. Oil ofBaie- beiriM. OF Egg> Oil of 8. CHAP. XII. Of extracting of Oils of vegetables by Di filiation. Lmoftall herbs that carrie their flowers and feeds in an umble, have feeds of of a hot, fubtil and aierie fubftance,and confequently oilie. Now becaufthe oilie fub- ftance that is conteined in iimple bodies is of two kindes, therefore the manner al- fb of extracting is twofold. For fom is grofs, earth ie,vifcous, and wholly confu- ted and mixt with the bodies out of which they ought to bee drawn5as that which Wee have laid is uiiially extracted by expreflion j this becauf it moft tenacioufly adhere's to the grofler fubftance, and part of the bodie,therefore it cannot by reafbn of this natural groflhefs, bee lifted up, or affeend. Otherfom are of a (lender and aierie fubftance,which is eafily fevered : from their bodie, wherefore beeihg put to diftillation it eafily rife's : fuch is the onejyfub- • fiance of aromatick things, as of Juniper, Anifteds, Cloves, Nutmegs, Cinnamom, Pepper, Ginger, and the like odoriferous and fpicie things. This is the manner of extracting oils out -<>f them j let your matter bee well beaten and infilled in water to that proportion, that for e- verie pound of the material, there may bee ten pints of water; infufe it in a copper-bottom, -having a head thereto either tinned or filvered over, and furnifhed with a couller filled with cold-water. Set your veflel upon a fornace having a fire in it, or elf in (and, or allies. When as the water conteined in the head (hall wax hot, you muft draw it forth, and put in cold,that fb the fpirits may the better bee condenftd, and may not (lie away: you (hall put a long-neck't- receiver to the note of the Alembick,and you fhall increafthe fire, until the things contained in the Alembick boil. There is another manner of performing this diftillation, the matter preftrved and infilled ' as wee have formerly declared, fliall bee put in a brafs or copper-bottom covered with his head, to which fhall bee fitted or well luted, a worm of Tin, this worm wall run through a barrel filled with cold-water, that the liquor which flow's forth with the oil, may bee cooled in the paffage forth; at the lower end of this worm you fliall ft t your Receiver. The fire gentle at the firft, fliall bee increafed by little and little, until the conteined matter, as wee formerly faid do boil5 but take heed that you make not too quick or vehement a fire, for fb the matter (wel- ing up by boiling may exceed the bounds of the conteining veflel, and fo violently file over. Obftrving theft things, you fliall preftntly attheverie firft fee an oilie moifture flowing forth together with the watrifh. When the oil hath don owing which you may know by the color of the diftilled liquor,as alfbby the confiftence and tafte, then put out the fire; and you may ftparate the oil from the water by a little veflel madelike a Thimble and tied to the end of a flick j [or, which is better, with a glafs-funnel, or inftrument made of glals for the What oilsare to bee drawn byexpreffion. The fir ft man« net of drawing oils by diftil- lation. Anorhcr vyaie. Lib-xj. Of 'Diftillations t 743 the fame Here you muft alio note that there bee lorn Oils that fwim upon the top of the water; as oil of anifeeds; otherfom on the contrarie, which fall to the bottom; aS oil of' Cinnamom, Mace, and Cloves. Moreover you mtift note, that the watrifh moifture, or water that is diftilled with oil of Anifeed and Cinnamom, is whitifh, and in fiiccefs of time, will in fbm Ihiall proportion turn into oil. Alfb thefe waters muft bee kept feveral,for they are far more excellent then thofe that are diftilled by Balneum Mari£} eipecially thofe that firft com forth together with the oil. Oils are of the lame faculties with the bodies from whence they are extrafted, but much more effe- ftual; for the force which formerly was diffufed in manie pounds of this, or that medicine,is after diftillation contrafted into a few drams. For example, the facultie that was dilperfed over i. pound of Cloves, will bee contrafted into two ounces of oil at the moft; and that which was in a pound of Cinnamom will bee drawn into or at the moft of oil. But to draw the greater quantitie with the lefler charge, and without tear of breaking the veflels, whereto glafles are fubjeft, I like that you diftil them in copper-veflels, for you need not fear that the oil which is diftilled by them will contraft an ill qualitie from the copper, for the wa- trifh moifture that flow's forth together therewith will hinder it, efpecially if the copper fhall bee tinned or filvered over. I have thought good to describe and fet before your eyes, the whole manner of this operation. What oils &11 to the bottom A Fornace with fet vetfels to extratt the Chymical oils3 or Jpirits of Sage, Rofemarie, Tyme, Lavander, Anifeeds, Fennel-feeds, Cloves, Nutmegs, Cinnamom^epper, Ginger,and the like as affo to diffil the fpirit of Wine, ofVineger and Aquavits. In fiead of the barrel and worm, you may ufe a bead with a bucket or rowler about it. A. Shew's the bottom, which ought to bee of Copper and tinned on the in-fide. t B. The head. C. Barrel filled with cold water to refrigerate and condenfate the water and oil that run through the pipe or worm that is put through it. D. A pipe of brafs or lattin,or rather a worm of Tin running through the Barrel. E. The Alembick, fet in the fornace with the fire under it. Now becaufwee have made mention of Cinnamom, Pepper, and other fpices which grew not here with us, I have thought good to defcribe thefeout of Tbevet's Colmographie, hee ha- feen them growing.Pepper grow's upon fhrubs in India, thefe fhrubs (end forth little bran- ches whereon hang clufters of berries3like to Ivie-berries, or bunches of fmall black grapes,or currans the leavs are like thole of the Citron-tree, but (harpifh and pricking. The Indians gather thole berries wi th great diligence, and How them up in large cellars, as foon as they com to perfeft maturitie. Wherefore it oft-times happen's, that there are more then 200 (hips upon the coaft of the lefler lava an Ifland of that countrie, to carrie thence Pep- per and other Ipices. Pepper is ufed in Antidotes againft poifbns , it provoke's urine, digeft's, attraft's, refolv's, and cure's the bites of Serpents. It is properly applied and taken inwardly againft a cold ftomach; in fauces it help's concoftion and procure's appetite; you muft make choif of liich as is black, heavie, and not flaccid. The trees which bear* white, and thole that bear black pepper, are fo like each other, that the natives themlelvs know not which is which, unlefs when they have their fruit hanging upon them, as the like happen's upon our Vines which bear white and black grapes. The tree that yeeld's Cinnamom grow's in the mountain's of India,and hath leavs verie like i to baie-leavs j branches and (hoots at certain times of the year are cut from this tree, by the ap-r pomtment of the King of that Province, the bark of which is that wee term Cjrinamom.This is fold to no ftranger unlefs at the King's pleafure and hee letting the price thereof, it is not lawful for others to cut thereof* Galen The defctiptL. on of Pepper, The ufts thereof, The CinniA mom tree#. 744 Of Dillillations. LIB.Z7, 7. fimp. Galen write's that Cinnamom is of verie fubtil parts, hot in the third degree, and partaking of fom aftriftion j therefore it cut's and diflblv's the excrements of the bodie, ftrengthen's the parts, provoke's the courfes when as they ftop by reafon of the admixture of grofs humors j it fweeten's the breath, and yeeld's a fine tafte and fmell to medicines, hippocras, and fauces. Of Cinnamom there is made an excellent water againft all cold difeafes, & alio againft fwoonings, the plague and poifons. The compofition thereof is this. Takeofthechoifeft and beft Cinna- mom one pound, beat it grofly, and put thereto of Rofe-water four pintes,of white-wine half a pinte, beeing thus mixed, put them into a glafs and fo let them hand in infufion 2 4. hours, often ftirring of them. Then dift il them in Balneo Mari#, clofely luting the receiver and veflels left the fpirit fhould flie away. An excellent Cinnaniom- tree. CHAP. XIII. Another manner bow to draw the eflence and fpirits of herbs,flowers, feeds,and fpices j as alfo ofRu- ' barb, Agaric^,Turbith, Hermodatyls, and other Purgers. Ou may extraft the eflences and fpirits of the things mentioned in the title of this Chapter,as thus. Take Sugar, Rubarb, Cinnamom, or anie other material you pleaf j cut it fmall, or elf beat it, then put it into a glafs with a long neck , and pour thereupon as much aqua vita as fhall bee fufficient to cover the materials or ingredients, and to over-top them fom fingers bredth, then ftop up the glafs verie clofe that no air enter thereinto; Thus fuffer it to infufe for eight daies in balneo with a verie gentle heat; for thus the aqua vita will extraft the faculties of the ingredients, which you fhall know that it hath don, when as you fhall fee it perfeftly tinftured with the color of the ingre- dients. The eight daies ended, you fhall put this fame aqua vita into another veflel filled with the like quantitie of the fame materials prepared after the fame manner , that it may alfb take ■ forth the tinfture thereof,'and do thus three or four times, untill the aqua vita bee deeply tin- ftured with the color of the infufed Ingredients. But if the materials from whence you defire to extraft this fpirit or eflence,bee of great price; as Lignum Aloes, Lubar b, &c. You muft not think it fufficient to infufe it once onely, but you mutt go over it twice, or thrice, until all the efficacie bee exftrafted out thereof, you may know that it is all wholly infipid. Thefe things thus don,as is fitting,put all the liquor tinftured and furniffied with the color and ftrength of the ingredients, into an Alembick, fitted and clofely luted to it's head , and Co put into Balneum Maria, that fo you may extraft or draw off the aqua vita, to keep for the like purpofe,and fo you fhall have the fpirit, and eflence remaining in the bottom. Now if you defire to bring this extraft to the height of honie, fet it in an earthen-pot well leaded, upon hot afhes, fo that the thin part thereof may bee evaporated , for thus at length, youffiall have a moft'noble and effeftual effence of that thing which you have diftilled,where- of one fcruple will bee more powerful in purging,then two or three drams of the thing its felf. A fign that the Ipint of wine hath fetcht out the ftrength of the ingredi- ents. A fign that the ingredi- ents have loft their flrength. CHAP. XhV. How to extratt oil out of Gums, condenfed juices, and roftns, as alfo out of fom woods. ALL oils that are drawn out o£ gums,oilie-woods and metals, are extra&ed by that veflel which wee vulgarly term a Retort. It muft bee made of gla(s,or jug's-metal well leaded, and of fiich bignefs as fhall bee convenient for the operation you intend, though commonly it fhould bee made to hold fom gallon and an half of water 5 the neck thereofmuft bee a foot and a half, or at leaft a foot long. T he receiver is commonly a vial whereinto the neck of the Re- tort is fitted and inferted. Then the Retort [hall bee fet in an earthen pan filled with afhes, Or Land, and fo fet into a furnace, as you may fee by the following figure. the figure of a Furnace., with bis earthen-fan and receiver* What a Re- tort is. R. Shew's the fornace< B. earthen-pan, orvejfel to [ettbe Retort im C. 'the Retort or Cucurbits. D.T&e Receiver. Of Lib. z-j. Of D if illations. 745 Of gums, fom are liquid, fom folid; and of the folid, fom are more folid then otherfom; thole that are folid are more troublefom to diftil then the liquid, for they are not lb eafily dif- folved or melted, neither do they yeeld fo well to the fire, fo that oft-times they are burnt be- fore they bee dilfolved 5 whence it is that fom for everie pound of folid gum add two or three pounds of molt clear and liquid oil of Turpentine. Belides, liquid things are alfo hard to bee diftilled, becauf when as they com to bee throughly hot at the fire, they fwell up fo much,that they exceed,or run out of the Retort, and fo fall into the Receiver, as they were put into the Retortjcfpecially if fo beethat the fire bee too hot at the firft.Manie to Ihun this inconvenience add to the things put into the Retort, fom land, as it were, to balaft it withal. Oil of Rofin and Turpentine is thus made;take two or three pounds of Turpentine,and put it into a Retort of fuch largenefs that three parts thereof might remain emptie, and for everie ] pound of Turpentine add three or four ounces of land 5 then place the Retort in an earthen- pan,filled with lifted alhes, and let it upon the fornace as is fit, and to the neck thereof fit and clolely lute a Receiver. Laftly,kindle there-under a foft fire at the firft, left the conteined ma- terials fhould run over 5 increaf this fire by little and little, and take heed that the things be- com not too hot on a fudden. At the firft, a clear and acid liquor will drop out, wherein a cer- tain lediment ufe's to concrete; then will flow forth a moft clear oil, fomwhat refembling the watrie and phlegmatick liquor 5 then muft the fire bee fomwhat increaled, that the third oilie, clear,thin and verie golden colored liquor may rile and diftil 5 but then alfo a clearer and more violent fire muft bee raifed, that fo'you may extraft an oil that will bee red like a carbuncle, and of a confidence indifferently thick. Thus therefore you may extraft four kindesof li- quors our of Turpentine, and receiv them beeing different in leveral Receivers 5 yet I judg it better to recciv them all in one, that fo by diftilling them again afterwards you may feparate your defired oil; now there will ten or twelv ounces of oiljflow from an ounce of Tur- pentine. This kinde of oil iseffeftual againft the Palfie, Convulfions, piinftures of the nervs, and wounds of all the nervous parts. But you lhall thus extraft oil out of wax 5 Take one pound of wax, melt it, and put it into a glafs-Retort fet in fand, or alhes, as wee mentioned a little before in drawing of oil of Tur- pentine, then diftil it, by increafing the fire by degrees. There diftil's nothing forth of wax, befides an oilie iubftanceand a little Pblegma, yet portion of this oilie fubftahce prefently con- crete's into a certain butter-like matter, which therefore would bee diftilled over again j you may draw or viii. of oil, from one pound of wax. This oil is effeftual againft Contufions, and alfo verie good againft cold affefts. The differen - ces of Gums> Cautions in diliillingof Gums. ■ How to make ' oil of Tur- pentn ft ) How to make . oil of wax. The faculties thereof. CHAP. XV. C)m there bee who extraft thefe kindes of oils with the Retort let in allies or fand, as wee mentioned in the former Chapter of Oils of more liquid Gums, adding for everie pound of Gum two pintes of Aqua vit#,and two or three ounces of Oil of Turpentine* then let them infuft for eight or ten daies in Balnea mari#, or elf in horftdung; then let it to diflil in a Retort. Now this is the true manner of making of Oils of Myrrh; Take Myrrh made into line powder, and therewith fill hard Eggs in head of their yelks beeing taken out; then place the Eggs upon a gridiron , or liich like grate in fom moift place as a cellar, and fet under them a leaden-earthen-pan; the Myrrh will diflblv into an oilie-water, which beeing prefently put into a glafs and well flopped, with an equal quantitie of re- ftified Aquavit#, and fo fet for three or four months in hot horf-dung, which paft the veflel fhall bee taken forth , and fo flopped that the conteined liquor may bee poured into an Alembick , for there will certain grofs fettling by this means remain in the bottom, then let your Alembick in Balneo and fo draw off the Aqua vit# and phlegmatick liquor, and there will remain in the bottom a pure and clear oil, whereto you may give a curious co- lor by mixing therewith fom Alkanet, and a fmell by dropping thereinto a little oil of Sage, Cinnamom, or Cloves. Now let us fhew the compofition and manner of making of balfams by giving you qpe or two examples; the firft of which is taken out of Fejalius his Surgerie; and is this. R. terebinth, dpt. ft i. tburis, myrrh#, gum. bere'di} 'centaur, ma-1 joris,ligni aides, galang#, caryopbyll. confolid# majoris,Cinnamomi, nucis mofchat. zeddr.ri#,'1 zinzib. dictamni albi, an. o/ez vermium terreftrium, %ii. aqua vit# ftvi. The manner of making it is this; Let all thefe things bee beaten and made fmall, and fo in- fuftd for three daies fpace in Aqua z>zLe, then diftilled in a Retort juft as wee laid, yon muft diftil oil of Turpentine and Wax. There will flow hence three forts of liquors; the firft wa- trifh and clear, the other thin, and of pure golden color: the third of the color of a Car- buncle, which is the true Balfam. The firft liquor is effeftual againft the weaknefs of the flomach comming of a cold cauf, for that it cut's phlegm anddifcuffe's flatulencies ; thefc- cond help's frefli and hot bleeding wounds , as alfo thepalfie. The third is chiefly effeftual agajnft theft fame effefts. The compofition of the following Balfamum is out of Fallopius and is this. R. terebinth, clar#, ft. ii. olei de [etftine Uni ft. i. reftn# pini, tburis, myrrh#, aloes, ma/ticbes, Of extracting of Oils out of the harder forts of Gums •, as myrrh, maflicb?Frankjncenf, and tbe like. How to make oil of myrrh. HoW togi vi it a pleating color and fmelb Vefalius his BalGim. 'PiUotiu his Balfartb 746 Of 'TDijlillations. LIB.Z7. wafticbes, farco.coM*} an. macis, ligni Abes, an. |ii. crocz, Let them all bee put into aglals- Retort, let in alhes and fo diftilltd. Firfl: there will com forth a clear water, then prelenly after a reddiih oil, molt profitable for wounds. Now you mull know that by this means, wee may eafily diftil all Axungia's, fats, parts of creatures, woods, all kindes of barks and feeds s if fo bee that they bee firfl: macerated as they ought to bee, yet fo that there will com forth more watrie then oilie humiditie. Now for that wee formerly frequently mentioned "Ibus or Frankincenf I have here thought good out of Tbe- vet's Cofmographie to give you the defcription of the tree from which it flow's. The Fran- kincenf-tree (faith hee) grow's naturally in Arabia, refemble's a Pine,yeeldinga moifturethat is prefently hardened, and it concrete's into whitifh clear grains, fattie within, which caft into the fire, take flame. Now Frankincenf is adulerated with Pine-rofin and Gum, which is the cauf that you fhall feldom findcthat with us, as it is here defcribed; you may finde out the de- ceit as thus, for that neither Rofin nor anie other Gum take's flame, for R ofin go's away in fmoak, but Frankincenf prefently burn's. The fmell alfo bewraie's the'counterfeit,for it yeeld's no grateful fmell as Frankincenf doth. The Arabians wound the tree that fo the liquor may the more readily flow forth, whereof they make great gain. It fill's up hollow ulcers and cica- trize's them;wherefore it enter's as a chief ingredient into artificial balfam 5 Frankincenf alone made into powder and applied, ftanche's the blood that flow's out of the wounds. Matbiolus faith, that it beeing mixed with Fuller's-earth, and oil of Rofes, is a Angular re- medie againft the inflammation of the breafts of women lately delivered of childe. What Fran- kincenf is. The faculties thereof. CHAP. XVI. The making of oil of Vitriol. Ake ten pounds of Vitriol, which beeing made into powder,put it into an earthen- pot, and fet it upon hot coals , untill it bee calcined, which is when as it beconr- reddilh; after fom five or fix hours, when as it lhall bee throughly cold, break the pot, and let the Vitriol bee again made into powder, that lb it may bee calcined again, and you fhall do thus lb often and long until it (hall bee perfeftly calcined, which is when as it (hall bee exaftly red; then let it bee made into powder, and put into an earthen-Re- tort, like that wherein aqua fortis is ulually drawn, adding for everie pound of your calcined Vitriol of tile-flireds, or powdered-brick i quarter; then put the Retort furniflied with it's re- ceiver into a Fornace of Reverberation, alwaies keeping a ftrong fire, and that for the /pace of 48. hours, more oriels according to the manner and plentie of the diftilling liquor. You lhall know the diftillation is finiflied when as the Receiver lhall begin to recover his native perlpi- cuitie,beeing not now filled with vaporous fpirits, wherewith as long as the humor diftil's it is replenilhed and look's white. Now for the Receiver there are two things to bee oblerved. The firft is,that it bee great and verie capacious, that it may not bee diftended and broken by the abundant flowing of vapo- rous fpirits, as it doth oft-times happen 5 another thing is, that you let it in a veflel filled with cold water, left it Ihould bee broken by beeing over hotj you may eafily perceiv all this by the enluing figure. The fign of perSeftly calci- ned vitriol. A Fernace or Reverberation furnifhed with bis Retort and Receiver, A. Shew9/ the Fornace. B. Retort. C. *the Receiver. D. Tbe vejjel filled with celd water, CHAR LiB.zy. Of Distillations; 747 CHAP. XVII. A Table or Catalogue of Medicines and Infiruments ferving for the cure of Difeafes. MEdicines, and Medicinal meats fit for the cure of Difeafes, are taken from living Creatures, Plants and Minerals. From living creatures are taken. Horns. Hoovs. Hairs. Feathers. Sbel/s. Sculls, Scales. Sweatt- Skins. Fats. Fleft. Blood. Entrails, Urine. Bones. Extreme parts. Hearts. Liver. Lungs. Brain. Womb. Secundine. Tefticles.Pizzle.Bladdev Sperm. Tail. Coats of the Vent ride. Expirations. Brifiles. Silk,. Webs. Tears. Spittle. Honie.Wax.Eggs* Milk. Butter. Cbeef. Marrow. Rennet. Smells whether they bee ftinking or fweet,as alfb Poifbns:whole creatures themlelvs: as, Foxes. Whelps. Hedg-hogs .Frogs. Worms.Crabs Craie-fifhes.Scorpions.Horfleecbes.Swal/ows.Dungs, From Plants, that is. Trees, Shrubs, and Herbs, are taken Roots. Mofs. Pith. Siens. Buds. Stalky. Leavs. Flowers. Cups. Fibers, or hairie-threds. Ears. Seeds. Wood. Meal. Juices. Tears. Oils. Gums. Ro fins. Rottennefs. Mafsor fpiffament. Manna , which falling down like dew upon plants, prefently concrete's. Whole plants, as Mallows. Onions, e>c. Metals, or Minerals, are taken either from the Water, or Earth, and are either kindcs of Earth, Stones, or Metals, &c. The kindes of Earth arc, Bole-Armenicp Terra figillata. Fuller's-earth. Plafier. Lime. Now the kindes of Stones are Flints. Lapis Judaicus. Lapis Lyncis. The Pumice. Lap. Haematites. Amiantus. Galaftites. Spunge-fiones. Diamonds. Saphire. Chryfolite.Topace. Load-fione. The Pyrites or fire-fione. Alabldfier; Marble. Cryfial, and manie other pretious fiones. The kindes of Salts as well Natural as Artificial are Common fait Sal nitrum. Sal Alkali Sal Ammoniacum. Salt of Urine. Salt of tartar and gene- rally all faits that may bee made of ante kjnde of Plants. '< f Thole that are commonly called Minerals are Mar ch a fit te. Antimonie.Mufcovic-Glafs, Tuttie. Arfnick- Orpiment. Lazure, or blue. Rofe-agar.Brito- fione. Quick-fitIver. White-Copras. Chalcitis. Pforie. Roman Vitriol. Colcother, vitriol, or green co- per as. Alumen Iciffile,Common Alum. Alumen rotundum. Round Alum.Mumen liquidum. Alumen plumolum. Borax, or Burrace. Bitumen, Naphtha- Cinnabaris, or Vermillion. Lytbarge of Gold. Lytbarge of Silver.ChryFocolla.Scandaracha.Red-lead. White-Lead, and divers other. Now the Metals themlelvs are Gold, Silver, Iron, Lead, Tin, Brafs, Copper, Steel, Lattin andfucb as arifefrom thefe 5 as thefcales, verdigreaf, rufi, &c. Now from the Waters; as the Sea, Rivers, Lakes and Fountains, and the mud of thefe wa- ters, are taken divers medicines, as white and red Corral, Pearls, and infinite other things which Nature the hand-maid of the great Architect of this world, hath produced for the cure of difeafes; lb that into what part foever you turn your eies, whether to the furface of the earth, or the bowels thereof, a great multitude of remedies prefent themlelvs to your view.The choif of all which is taken from their fiibftance, or quantitie, qualitie, aftion, place, feafon, fmell,tafte,lite,figure,and weight,other circumftances,as Sylvius hath abundantly lhewed in his Book written upon this Subjefts. Of thefe Simples are made diverf Compofitions , as, Collyria. Caputpurgia. Eclegmata. Dentifrices. Dentilcalpia. Apophlegmatilmi. Gargarifms. Pills. Boles. Potions. Emplafiers. Unguents. Cerats. Liniments. Embrocations. Fomentations. Epithemes. Attradives. Refolvers. Suppuratives. Emollients. Mundificatives. Incarnatives.Cicatrizers. Putrifiers. Corrofives. Agglutinatives. Anodynes. Apozemes. Julips. Syrups. Powders. Tablets. Opiats. Confervs. Prefervs. Confeftions. Rowls. Vomits. Sternutatories. Sudorificks. Glyfiers. Peffaries. migations. Trocbifces.Frontrals. Caps. Stomachers. Bags. Batbs. Half-batbs. Virgins-milly Fuci. Pi- cations. Depilatories. Veficatories. Potential cauteries. Nofe-gaies. Fans. Canopies , or extended cloths to make winde. Artificial fountains, to difiil or drop down liquors- Now thefe that are thought to bee nourilhing Medicines, are, Refiauratives. Culliffes. Expreffions. Gellies. Ptifans. Barlie-creams. Panadoes. Almond-milky .march- pains. Wafers. Hydrofacchar- Hydromel, and fuch other drinks. Mucilages-Oxymel- Oxycrate.Rofe- Vineger. Hydrxlium. Metheglin. Cider. Drinks of Services, Ale. Beer. Vineger. Verjuice. Oil. Steeled- water. Water brewed with bread-crums. Hippocras, Perrie, and fuel) like. Waters and di ft illed oils, and divers other Chymical extra&ions. As the waters and oils of hot, drie and aromatick things, drawn in a copper-Alembick,with a cooler, with ten times as much water in weight as of herbs 5 now the herbs muft bee drie,that the dift illation may the better liicceed. Waters are extra&ed out of flowers put into a Retort, by the heat of the Sun, or of Dung, or of an heap of prefled-out Grapes, or by Balneo, if there bee a Receiver put and clolely luted thereto. All kindes of laltof things calcined, dilfolved in water, and twice or thrice filtred, that lb they may becom more pure and fit to yeeld oil. Other diftillations are made either in Cellars by thecoldnels or moifture of the place, the things beeing laid either upon a marble, or elf hanged up in a bag •, and thus is made oil of Tartar, and of lalts, and other things of an Aluminous nature. Bones muft bee diftilled by defeent, or by the joining together of veflcls, All woods, roots.? 748 Of Diftillatons. LiB.zy. barks, (hells of fifties, and feed, or grains; as of corn, broom, beans, and other things whofe juice cannot bee got out by bee diftilled by defeent, or by the joining together of veflels in a Reverberatorie Fornace. Metals calcined and having acquired the nature of fait, ought to bee diflblved and filtred, and then evaporated till they bee dric; then let them bee diflblved in diftilled vineger, and then evaporated and dried again ; for fo they will eafily diftil in a Cellar upon a Marble, or in a bag.Or elf by putting them into a glaffieRetort,and fetting it in fand,and fo giving fire thereto by degrees until all the waterie humiditie bee diftilled; then change the receiver, and lute ano- ther clofe to the Retort,then increaf the fire above and below, and thus there will flow forth an oil verie red colored: Thus are all metalline things diftilled, as Alums, faits, &c. Gums, axungi<e,and generally all rofins are diftilled by Retort fet in an earthen veflel filled with Allies upon a Fornace; now the 'fire muft bee increafedby little and little according to the different condition of the diftilled matters. "the Veffels and Inftruments fervingfor Diftillations are commonly thefe. Bottoms of Alembicks. The heads of them, from whence the liquors drop.Refrigeratories. Veflels for fiiblimation. For Reverberation. For diftilling by delcent. Crucibiles and other fiich. Veflels for Calcination. Hair-drainers. Bags. Earthen-platters. Veflels for circulati- on, as Pelicanes. Earthen-Bafins for filtring. Fornaces. The fecret Fornaces of Philofo- phers. The Philofopher's egg. Cucurbites. Retorts. Bolt-heads. Urinals. Receivers. Vet- tels fo fittted together that the lowermoft receiv's the mouth of the uppermoft , whence they may bee termed conjoined Veflels : They are ufed in diftilling per defeenjum. Marbs exquifitely fmooth for diftillations to bee made in Cellars. Pots to diflblv calcined metalls in. A Catalogue of the Surgeon's Inftruments mentioned in this whole work. Ings wherein little Lancets lie hid, to open Impoftumes. Trunks or hollow Indru- druments going with fprings. A vent, or cooler for the womb made like a peflarie. Hollow teqts. Sundrie Cauteries ; as flat, round, (harp-pointed, cutting,&c. Con- ftriftorie rings to twitch or binde the Columella. Speculum Oris. Ocul. Ani. Uteri. A trunk orpipe with an aftual Cauterie in it. Crooked Knives. A pipe in form of a quill. Divers trufles, with one or more boulders. A (houlder-band to bee put about the neck , to hold up a trufs. A needle to draw through a golden wier, &c. Pipes with feneftels, and needls fit for futures. Cutting mullets. Mullets onely to hold and not to cut. Mullets to take forth /plinters of bones. Mullets to draw teeth. An incilion-knife. Scrapers to plain or finooth the bones, or elf to cut them. Cutting or hollow Scrapers. A leaden mallet to drive the Scrapers or Chizzels into the (cull. A Gimblet in lhape andufe refembling that which Coopers ufe to lift up the funk ftaves of their cask withal. Lcvatories, of which kinde is the three-footed one. Old Levatories, which taken by their handls, and their tongues put under the deprcft bones, lift them up. Saws. A deftjuamatorie Trepan. Pliers to take forth iplinters of bones. A Gimblet to perforate the fcull. A Trepan fit to divide the fcull, with the fcrue,point,or piercer, brace, and cover or cap that keep's it from running in too far. A plate to fet one foot of the Compais upon. A cutting pair of Compalfes both open and (hut. A fit inftrument to deprefs the Dura mater without hurting thereof. A (yringe to make injeftion withal. A pair of Pincers with holes through them to take up the skin for making a Seton. Setons as well drie,as moiftned with ointments. The Beaks of Crows, Parrats,Swans,Ducks, Lizards,Cranes, are either draight,crooked,toothed,or finooth. Catch-bullets, and Pliers to draw forth pieces of mail,and (plinters of bones that lie deep in. Hollow and fmooth Dilaters diverfly made for the different wounds of the parts-Probes fit for to put flamula's into wounds; and thefe are either ftraight or crooked, perforated or unperforated. Scrued mullets to draw forth barbed heads of arrows, and the like. Lancets to let blood, and fcarrifie as well ftraight, as crooked. A pyulcos,or Matter-drawer. Ligatures,bands,fwathes,thongs of leather,woollen, linnen,round, flit, (own together; again fom are upper-binders, others under- binders. Again thefe are either exprefling, or elfconteining,and that either the applied medicine,or the lips of wounds, or members put in a fit pofture,which therefore they call a farcotick Ligature. Thred. Bottoms,or clews of thred,or yarn. Pledgets,comprefles,boulfters,doubled cloaths. Splints. Cafles. Boxes. Junks Gloflbcomies. Am bi,a kinde of Gloffocomie. A pullie with it's wheels,and wooden and iron-pins,whereon the wheels may run. Ropes as well to draw & extend,as hold up the member,&c. Scrue-pins. A hand-vice. Hooks. Buttons or ftaies to fa- llen to the skin to hold together the lips of the wounds. Lint. Cufhions,pillows,linncn-cloths. Files. Catheters,guiders of the work. A bathing chair or feat,bathing-tubs,half-tubs,caldrons,funnels,with all other circumfiances belonging to a bath. Stoves,or hot-houfes to (weat in. Cocks to turn and let out water. A Gimblet to break the Hone. Hooks. Hollow probes flit on the upper-fides. Winged Inftrumentsto draw forth ftones. An inftrument to cleanfthe bladder. Spathula's ftraight and crooked. Cupping-glafles. Horns. Pipes or catheters to wear Caruncles. Artificial members, as eies of gold enamelled, &c. An Urinal,or cafe to fave the water in. An artificial yard. Crutches. Nipples, or leaden covers for fore breads. Griffins talons to draw forth a mola,out of the womb. A (ucking-glafs to draw a bread withal. Peflaries, both long and oval. Syringes to give glyfters,as alfo to make inje&ion into the ears and womb. The LiB.iy. 749 The Effigies of Hippocrates of Gris the Prince of Phyficians, te potuerefuperba Eo'i nunquam fleftere dfygis opes, Cecropidafronti ex auro fulgente coronam T romer iti memores impofuere tua. Gratia fed levis eft, Aftais tantws zAtbenis » Afec fuit bine uni quam tibi partus bonos, Jfam quod qua recreent languentia corpora morbo Taonias fueris promere largus opes. Sed tua tam fundit, quam magni machina mundi infgnis tam tuaJama volat. Bon. Gra. Paris, Medic. Sff Seledt 750 LiB.27. Select Aphorifms concerning Surgerie, collected out of the Aphorifms of the great Hippocrates, afpbor. 27. [eft. 6. T 7T THofbever beeing fuppurate or hydropical, are burnt, or cut therefore, if all the mat- V V ter, or water flow forth at once, they certainly die. 31.6. The drinking of wine, or a bath, fomentation, blood-letting, or purging, help the pains of the eies. 3 8. 6. Such as have hidden, or not ulcerated Cancers, had better not to cure them. For healed they quickly die, not cured they live the longer. 55. 6. Gootie-pains ufually ftir in the Spring and Fall. 28. 6> Eunuchs are not troubled with the Gout, neither do they becom bald. 49. 6. Whofoever are troubled with the Gout, have eaf in fortie daies, the inflammation qpafing. 66, 5. In great and dangerous wounds,if no (welling appear, it is ill. 67. 5. Soft tumors are good, but crude ones ill. 25. 6, For an Eryfipelof, or inflammation to return from without inwards, it is not goods but to com from within outwards, is verie good. 19. 7. An Ery/ipelas comming upon the baring of a bone, is evil. 20. 7. Putrefadion,or fiippuration comming upon an Eryftpelw, is ill. 21. 6. If Varices or Haemorrhoides happen to fiich as are mad, their madncls ceafe's. 21. 7. A flux of blood entiling upon a great pulfation in ulcers is ill. 26. 2. It is better that a fever happen upon a convulfion, then a convulfion upon a fever. 4. 6. Thole Ulcers that have the skin fmooth or (hiding about them, are evil. 18. 6. The wound is deadlie whereby the bladder, brain, heart, midriff, anie of the (mail guts, ftomach, or Liver are hurt. 45. 6. Whatfoever ulcers are of a year's continuance or more, the bone muft neceflarily Icale, and the fears becom hollow. 2. 7. The bone beeing affefted, if the flefh bee livid, it is ill. 14. 7. Stupiditie and lack of reafon, upon a blow of the head, is evil. 24. 7. A Z)t7zrzw« happen's if a bone (to wit, the fculi) bee cut even to theholIowneG thereof. WhiPftPw, or matter is in generating, painsand fevers happen rather then when it is alreadie made. 18. 5. Cold things are hurtful to the bones, teeth, nervs, brain, fpinal marrow, but hot things are good. 46. 2. Two pains infefting together, but not the fame place, the more vehement obfeure's the other. 74. 7. A corruption an abfeefs of the bone is caufled by the corruption of the flefk. 5 06. Coacar. prtnot. A livid or drie ulcer, or yellowifh,is deadlie. 19. 6. When as a bone, or gr-jftle, or nerv, or fmall portion of the cheek, or the prepuce is cut afunder, it neither increase's, nor grow's together. 2 4. 6. 4pb.& 513. Coacar. If' anie of the fmall guts bee cut, it knit's not again. 50. 7. Thofe that have the brain fphacelate, that is, corrupt, they die vvjthin three daies 5 if they efcape thefe, they recover. 9. 7. Bleeding at a wound caufling a convulfion, is the fore-teller of death. 20. 5. Cold is biting to ulcers 5 harden's the skin, caufle's pain,not eafily comming to flip* puration, blacknefs, aguifh fhakings,convulfions, cramps. 5 08. Coac, Thofe who have the temples ait, have a convulfion upon the parts contraric to the feftion. 44. 7. Whofoever beeing fuppurate are burnt or cut, if pure and white quitture (hall flow forth they efcape 5 but if that which is bloodie, feculent, and ftinking, then they die. Galen. Comment, ad Apbor. 29.2, It is not fit to take in hand to cure fuch as are in a dofpe- rate cafe, but to leav them, one fore-telling the end of the difeafi Celfut, Cap, 10. Lib. 2 o' It is better to trie a doubtful remedie then none at all. The Lib. 18. 751 The Effigies of G a l e n the Prince of Phyfi- cians next to Hippocrates. Quum erat Hippoyratem divinoefiemineT)irvum.J Orbem muneribus conciliare Jtbi: Scripta fed in volvit tarn multo tenigmate3verum quamvis filers nullus habere queat ■ Tergamei auxilio nifi fint monimenta Cfaleni, Qui docta ambages fifiulit arte finis Ergo matte eslo virtute, arcana refibens, QusenuUi filer ant not a (fCpalenef) prius ■ Obfiringenfque orbem ceternotibi munere totum, jEternis facras te quoque temporibus. Bon. Gra. Paris. Mebic. Sffi Rules Lib.27. 752 Rules of Surgerie by the Autor. iT)Raftice is an operation agreeable to the their Legs, neither to walk, ftand nor fit 3 but I Rules and Laws of the Theorie. to reft themielvs in bed. 2 Health is not received by Words,but by 20 All biting and acrid medicines areof- Remedies fitly ufed. fenfive to clean Ulcers. 3 Remedies known and approoved byufe 21 For reftoring of diflocations you muft and reafon, are to bee preferred before fuch as hold them faft , ftretch them out, and force are unknown, or but lately found out. them in. 4 Science without experience get's the 2 2 A great Gangrene admifs no cure, but Phyfician no great credit with the Patient. cutting. 5 Hee that would perform anie great and 23 A monfter is a thing differing from the notable work, muft diligently applie himfelf laws of nature. to the knowledg of his fubjefl:. 24 Wounds of the Cheft prefently becom 6 It is the part of a good Phyfician to heal fanious and purulent. the difeaf, or certainly to bring it to a better 25 The wounds made by all venemous crea- pafs, as nature (hall give leav. tures are dangerous. ' 7 The Surgeon muft beeaftive, induftrious, 26 The fouth-winde blowing, wounded and well-handed , and not truft too much to members eafily becom mortified. 1 1 1 1 1 2 7 Such as are wounded, and defire to bee 8 Hee that hath not been verfed in the ope- quickly whole, muft keep a fparediet. rations of the Art, nor a frequent auditor of 28 Untemperate bodies do not eafily reco- theLe&ures of fiich as are learned therein, and ver of difeafes. Let's forth himfelf for a brave Surgeon, for 29 Round Ulcers,unlefs they bee drawn in- that hee hath read much, hee is either much de- to another figure, do not eafily heal up. ceived or impudent, 30 An Eryfipelatous Ulcer require's purga- 9 Heelhall never do anie thingpraif-wor- gation by ftool. thie, that hath got his mafterie in Surgerie by . 31 Crying is good for an infant,for it ferv's gold, not by uie. in ftead of exercile and evacuation. 10 You (hall comfort the Patient with hope 3 2 Grief is good for none but fuch as are or Recovene, even when as there is danger verie fat. of death. 3 3 Idlenefs weaken's and exftinguilheth the II 1 o change Phyficians and Surgeons is native heat. troublefom,but not good for the Patient. 24 An ill-natured Ulcer yeeld's not unlefs i21 hough the difeaf proov long, yet it is to a powerful renaedie. not fit that the Phyficians give over the patient 3 5 A bath refolv's and difcuffes humors 13 Great wounds of large velfels are to bee and gently procure's fweat. judged deadlie. || 3 6 Cold difeafes are troublefom to old 14 Eyerie contufion muft bee brought to people, and hard to bee helped; but in young luppuration. bodies they are neither fo troublefom, not 15 As the nature or kinde of the difeaf muft contumacious. bee known, fo alfo muft the remedie. 3 7 Exercifed bodies are lefs fubjeft to difeafes . 16 An Abfcefs of the bone of thepalat,is 38 Moift bodies though they need fmall m danger to cauf a ftinking-breath. nourifliment, yet ftand they in need of large 87 Bleeding cauiled by heat muft bee re- evacuation. PreQbw°Idj r • 39 Sick people die fooner of an hot diftem- . 18 Wounds of nervous parts require medi- per then of a cold, by reafon of the quick and ones which by the fubtiltie of the parts may aftive operation of fire. enter in and draw from far. - 40 The quitture that flow's from an ulcer is 19.1t is notht for fuch as have Ulcers in laudable,which is white, finooth and equal. The end of the tiventie feventh (Book. LiB.28. 753 How to make Reports, and to Embalm the Dead- The Twentie eighth Book. Ow it onely remain's that wee inftruft the Surgeon in making and framing his Re- i port, or opinion, either of the death of anie perlon, or of the weaknels, or depriva- [ vation of anie member in the funftion or execution of its proper office and dutie. Herein it is meet that hee bee verie confiderate that is to laie, ingenious or wile in making his Report, becauf the events of difeales are often-times doubtful and uncertain, nei- ther can anie man fore-tel them certainly, whether they will bee for life or death , by realbn of the manifold nature of the lubjeft of which wee (peak, and alfo the uncertain condition of the humors both in their kinde and motion. Which was the cauf why Hippocrates even in the firfl: of his Aphorifins pronounceth, that judgment is difficult. But firfl: of all, it is verie expe- dient that a Surgeon bee of an honeft minde, that hee may alwaies have before his eies a care- ful regard of true pietie; that is to laie, the fear of God and faith in Chrift, and love toward his neighbors, with hope of life everlafting, left that hee beeing carried away by favor, or cor- rupted with monie or rewards, ffiould affirm or teftifie thole wounds to bee finall that are great, and thole great that are fmall; for the report of the wound is received of the Surgeon accord- ing to the Civil Law. It is recorded in the works of antient Phyficians that wounds may bee called great for three relpe&s. The firft is by realbn of the greatnels of the diflblved Unitie or refolution of Continuitie > and fuch are thele wounds which made by a violent ftroke with a back-fword have cut off the arm, or leg, or overthwart the breaft. The lecond is by realbn of the dignitie or worthinels of the part j now this dignitie dependeth on the excellencie of the aftion; therefore thus anie little wound made with a bodkin, knife, in anie part whole fubftance is noble : as in Brain, Heart, Liver or anie other part whole aftion and funftion is neceffarie to prelerv life, as in the Weafant, Lungs, or Bladder, is judged great. The third is, by reafon of the great- nels and ill habit, or the abundance of ill humors or debilitie of all the wounded bodies fo thofe wounds that are made in the nervous parts, and old decaied people, are faid to bee great. But in fearching of wounds let the Surgeon take heed that hee bee not deceived by his probe. For manie times it cannot go into the bottom of the wound but ftoppeth, and fticketh in thewaie , either becauf hee hath not placed the patient in the lame pofture, wherein hee was when hee received his hurt 5 or elf for that the ftroke beeing made down right, flips afide to the right or left hand, or elf from below upwards, or from above downwards, and then hee may exlpeft that the wound is but little and will bee cured in a ffiort time, when it is like to bee long in curing, or elf mortal. Therefore from the firft daie it behoov- eth him to fufpend his judgment of the wound until the ninth, for in time the accidents will fhew themfelvs manifeftly, whether they bee finall or great, according to the condition of the wound, or wounded bodies, and the ftate of the air according to his primitive quali- ties, or venemous corruption. But generally the figns, whereby wee may judg of difeales, whether they bee great or finall, of long or fliort continuance, mortal or not mortal, are four. For they are drawn either from the nature and eflence of the or from the cauf or effefts thereof, or elf from the fi- militude, proportion, and companion of thole difeales with the feafon or prelent conftitution of the times. Therefore if wee are called to the cure of a green wound,whole nature and dan- ger is no other but a Ample lolution of Continuitie in the mufculous flelh, wee may prelent- ly pronounce that wound to bee of no danger, and that it will loon bee cured. But if it have an Ulcer annexed unto it,that is, if it bee famous, then wee may laie it will bee more difficult and long in curing j and fo wee may pronounce of all difeales, taking a fign of their effcnce and nature. But of the figns that are taken of the caufles, let this bee an example. A wound that is made with afharp-pointedand heavie weapon; as with an halberd beeing ftricken with great violence muft bee accounted great,yea and alfo mortal,if the accidents bee correfpondent. But if the patient fall to the ground through the violence of the ftroke,if a cholerick vomit- ing follow thereon,if his fight fail him,together with a giddinefs, if blood com for at his eies and noftrils,if diftraftion follow with lots of memorie and lenf of feeling : wee may laie, that all the hope of life remaineth in one finall fign which is to bee deduced from the effects of the wound. But by the comparing it unto the fealbn that then is, and difeales that then affault man's bodie, wee may laie, that all thole that are wounded with gun-fhot are in danger of death, as it happened in the skirmifhes at the liege of Roan, and at the battel of Saint Denis. For at that time, whether it were by reafon of the fault of the heavens, or air, through Sff5 the . Why a Surge- on muft bee careful in ma- king of Re- ports. What judg- ment is diffi- cult. Wounds ter- med great for three refpefb. How long a Surgeon miift ' fufpend his judgment in fom cafes. General figns whereas by wee judg of difeafes. Woundsdead- lie 6y the fault of the air. 754 How to ma!{e deports, and to Snbalm the dead. Lib.z8 the evil humors of man's bodie, and the difturbance of them ; all wounds that were made b y gun-(hot, were for the moft part mortal. So likewifeat certain feafons of the year, wee fee the imall-pocks and meazels break forth in children, as it were by a certain peftilent contagion to the deftruftion of children onely, inferring a moft cruel vomit and laskj and in fuch a feafon .the judgment of thofe difeates is not difficult. But you by the following figns may know what parts are wounded. If the patient fall down with the ftroke, if hee lie fenfiefs, as it were afleep, if hee avoid his excrements unwittingly, if hee bee taken with giddinefs, if blood com out at his ears, mouth, andnofe, and if hee vomit choler, you may underftand that the fcull is fraftured, or pierced through, by the deleft in his underftanding and difcourf. You alfo may know when the fcull is fraftured, by the judgment of your external fenfes, as if by feeling it with your finger you finde it elevated or deprefled beyond the natural limits, if by ftriking it with the end of a probe, when the Pericranium or nervous film that inve- fteth the fcull is cut crofs-wife; and fo divided there from it, yeeld a bafe and unperfeft found like unto a pot-fheard that is broken, or rather like unto an earthen-pitcher that hath a cleft, or rent therein. But wee may fay, that death is at hand if his reafon and underftanding fail him, if hee bee fpeechlefs,ifhisfightforfakehim,if hee would tumble head-long out of his bed, beeing not at all able to remoov the other parts of his bodie; if hee have a continual fever ,if his tongue bee black with drinefs,if the edges of the wound bee black or drie,andcaft forth no fanious matter, if they refemble the color of falted-fleffi,if hee have an apoplexie,phrenfie,convulfion or palfie, with an involuntarie excretion, or abfolutefuppreffion of the urine and excrements. You may know that a man hath his throat, that is, his weafon and winde-pipe cut. Firft by the fight of his wound, and next by the aboliffiment of the funftion or office thereof both waies, for the patient can neither fpeak nor fwallow anie meat or drink ; and the parts that are cut afunder, divide themfelvs by retraftion upwards or downwards one from another , whereof commeth fudden or prefent death. You may know that a wound hath pierced into the breaft or conca- vitie of the bodie, if the air com forth at the wound making a certain whizzing noif,if the pa- tient breathe with greatdifficultie, if hee feel a great heavinefs or weight on or about the midriff, whereby it may bee gathered, that a great quantitie of blood lieth on the place or midriff, and fo caufleth him to feel a weight or heavinefs, which by little and little , will bee caft up by vomiting. But a little after a fever commeth, and the breath is unfavorie, and (link- ing, by reafon that the putrifying blood is turned into fanies: the patient cannot lie but on his back, and hee hath an often defire to vomit, but if hee efcape death, his wound will degene- ■ rate into a Fiftula, and at length will confume him by little and little. c Wee may know that the Lungs are wounded by the foaming and fpumous blood comming out both at the wound and caft up by vomiting; hee is vexed with a grievous fhortnefs of breath and with a pain in his fides. Wee may perceiv the Heart to bee wounded by the abun- dance of blood that commeth out at the wound , by the trembling of all the whole bodie, by the faint and (mail pulf, palenefs of the face, cold fwcat, with often fwooning, coldnefs of the extreme parts, and fudden death. Wrhen the midriff (which the Latines call Diaphragm aJis wounded,the patient feeleth a great weight in that place,heeraveth and talketh idlely, hee is troubled with fhortnefs of winde, a cough, and fit of greevous pain , and drawing of the intrals upwards. Wherefore when all thefe accidents appear, wee may certainly pronounce that death is at hand. Death appeareth fuddenly, by a wound of the hollow Vein, or the great Arterie, by reafon of the great and violent evacuation of blood and fpirits, whereby thefunftions of the Heart and Lungs are flopped and hindered. The marrow of the back bone beeing pierced, the patient is affaulted with a palfie or con- vulfion verie fuddenly,and fence and motion faileth in the parts beneath it, the excrements of the bladder are either evacuated againft the patients will,or elf are altogether flopped. When the Liver is wounded,much blood commeth out at the wound,and pricking-pain di- fperfeth it felf even unto the fword-like griftle, which hath it's fituation at the lower end of the breaft-bone called Siernon: the blood that faileth from thence down into the inteftines doth often-times infer moft malign accidents, yea, and fbmtimes death. . When the ftomach is wounded, the meat and drink com out at the wound, there followeth a vomiting of pure choler, then commeth fweating and coldnefs, of the extreme parts , and therefore wee ought to prognofticate death to follow fuch a wound. When the Milt or Splene is wounded, black and grofs blood cometh out at the wound, the patient will bee verie thirftie, with pain on the left fide, and the blood break's forth into the bellie, and there putrifying canffethmoft malign and greevous accidents, and oten-times death to follow. When the guts are wounded, the whole bodie is griped and pained, the excrements com out at the wound, whereat alfo often-times the guts break forth with great violence. When the Reins or Kidnies are wounded, the patient will have great pain in making his urine, and the blood commeth out together therewith; the pain commeth down even unto the groin, yard, and tefticles. When the Bladder and Ureters are wounded, the. pain goeth even unto the entrails ; the parts Signs of a fra-' Surcd fcull. i Signs of death by a wound on the head. Signs that the throat is cut. Signs that a wound hath pierced in the concavitie of thecheft. Signs that the Lungs are wounded. That the Heart is' wounded. The Midriff. The Ven»CtL- va, and great Artorie. The fpinal marrow. The Liver. The Stomach, The Spleen. The Guts, Hie Kidnies. The Bladder* Lib.28. How to make and to Enbalm the dead. 755 parts all about, and belonging to the groin are diftended, the urine is bloodie that is made,and the fame allo commeth oftentimes out of the wound. When the womb is wounded,the blood commeth out at the privities,and all other accidents appear, like as when the bladder is wounded. When the finews are pricked or cut half afonder, there is great pain in the affe&ed place, and there followeth a fudden inflammation, flux, abcefs, fever, convulfion, and oftentimes a gangrene or mortification of the part, whereof commeth death , unlels it bee fpeedily prevented. Having declared the figns and tokens of wounded parts, it now remaineth that wee fet down other figns of certain kindes of death that are not common,or natural,whereabout when there is great ftrife and contention made,it oftentimes is determined and ended by the judgment of the difcreet Phyfician or Surgeon. Therefore if it chance,that a nurf either through drunkennefs,or negligence, lie's upon her infant lying in bed with her and fo Aifle's or fmother's it to death.-If your judgment bee requi- red, whether the infant died through the default, or negligence of the nurf? or through 1dm violent or fudden diteates that laie hidden and lurking in the bodie thereof ? You ftiall finde out the truth of the matter by thete figns following. For if the infant were in good health before; if hee were not froward or crying; if his mouth and noftrils, now beeing dead, bee moift'ned or bedewed with a certain foam, if his face bee not pale,but of a Violet or Purple color; if when the bodie is opened the Lungs bee found fwoln and puffed up, as it were with a certain vaporous foam and all other intrals founddt is a token that the infantwas ftifled,fmothered or ftrangledby fom outward violence. If the bodie or'dead corps of a man bee found lying in a field, or houf alone, and you bee called by a Magiftrate to deliver your opinion,whether the man were (lain by lightning or fom other violent death ? You may by the following figns finde out the certaintie hereof. For everie bodie that is blafted, or ftricken with lightning,doth caft forth or breathe out an unwholfom, flinking or fulphureous imel, fo that the birds or fowls of the air, nor dogs will not once touch it, much lels preie or feed on it: the part that was ftricken oftentimes found, and without a wound, but if you tearch it well, you fhall finde the bones under the skin to bee bruited, broken or (hivered in pieces. But if the lightning .hath pierced into the bodie, which making a wound therein (accor- ding to the judgment of Plinie) the wounded part is far colder then all the reft of the bodie, For lightning driveth the moft thin and fierie air before it, and ftriketh it i nto the bodie with great violence, by the force whereof the heat that was in the part is foon difperfed, wafted aud confumed. Lightning doth alwaies leav fom imprelfion or fign of fom fire either by ufti- on or blacknefs: for no lightning is without fire. Moreover whereas all other living creatures when they are ftricken with lightning fall on the contrarie fide, onely man falleth on the affefted fide, if hee bee not turned with violence toward the coaft or region from whence the lightening came. If a man bee ftricken with lightening while hee is afleep, hee will bee found with eies open; contrariwife, if hee bee ftricken while hee is awake, his eies will bee clofed, as Plinie writeth- Philip Commines writeth that thote bodies that are ftricken with lightning are not fiibjeft to corruption as others are. Therefore in antient time it was their cuftom neither to burn,nor burie them,for the brim- ftone which the lightning bringeth withit, was unto them in ftead of fait, forthat by the drienefs and fierie heat thereof it did preterv them from putrefaftion. Allo it may bee inquired in judgement, Whether aniethat is dead and wounded, received thete wounds alive or dead. Truely the wounds that are made of a living man, if hee die of them, after his death will appear red and bloodie, with the fides or edges fwoln,or pale round about: contrariwite, thote that are made in a dead man, will bee neither red, bloodie, fwoln, nor puffed up. For all the faculties and ftmftions of life in the bodie do ceaf and fall toge- ther by death; fo that thenceforth no fpirits nor blood can bee fent, or flow into the wounded place. Therefore by thete figns which fhall appear it may bee declared that hee was wounded dead or alive. The like queflion may com in judgment when a man is found hanged, whether hee weres dead, or alive. Therefore if hee were hanged alive , the imprelfion or print of the rope will £ appear red, pale, orblack, and the skin round about it will bee contra&ed or wrinkled, by c reafon of the compreflion which the cord hath made; alfo oftentimes the head of the afpera arteria is rent and torn, and the tecond fpondyl, and the neck luxated or mooved out of his place.Alfo the arms and leggs will bee pale, by reafon of the violent and fudden fuffbcation of the fpirits : moreover there will bee a foam about his mouth, and a foamie and filthie matter hanging out of his noftrils, beeing tent thither both by reafon that the Lungs are (uddenly heated and fuffbcated,as alfo by the convulfion and conculfion of the brain like as it were in the falling-licknefs. Contrariwite if hee bee hanged dead, none of thefe figns appear: for neither the print of the rope appear s red or pale, but of the fame color as the other parts of the bodie are, becauf in dead men the blood and fpirits do not flow tothegreev- ed parts* r . Who- The womb< The nervs. Signs that ar, infant is ftno. dieted,or o- yer-laid. Signs of fiicb as are (lain by lightning. £ifi.a,erfp.54. Signs of wonnds given to a living and dead man Signs whether one bee hang- ed alive or dead. 756 How to make sports, and to Smbalm the Head. Lib.18- Whether one found dead in tha water came therein alive or dead. j Whofoeveris found dead in the waters, you (hall know whether they were thrown into the water alive or dead. For all the bellie of him that was thrown in alive, will bee fwoln and puiftd up by reafon of the water that is conteined therein ; certain clammie excrements com * out at his mouth and noftrils, the ends of his fingers will bee worn and excoriated,becauf that hee died ftriving and digging or (craping in the fand or bottom of the river5feeking fomwhat whereon hee might take hold to fave himfelf from drowning. Contrariwifeif hee bee thrown into the waters,beeing dead before, his bellie will not bee fwol'n, becauf that in a dead man all the paflages and conduits of the bodie do fall together, and are flopped and doled,and for that a dead man breathe's not,there appeareth no foam nor filthie matter about his mouth and note, and much left can the tops of his fingers bee worn and excoriated, for when a man is al- readie dead, hee cannot ftrive againft death. But as concerning the bodies of thofe that are drowned, thofe that fwim on the upper part of the water beeing fwoln or puffed up, they are not fo by reafon of the water that is contei- ned in the bellie, but by reafon of a certain vapor, into which a great portion of the humors of the bodie are converted by the efficacie of the putrifying heat. Therefore this fwelling ap- peareth not in all men which do perifh, or elf are caft out dead into the waters, but onely in them which are corrupted with the filthinefs or muddinefs of the water, long time after they were drowned, and caft on the fhore. » But now I will declare the accidents that com to thofe that are fiiffocated and ftifled or fmo- y thered with the vapor of kindled or burning-charcoals, and how you may fore-tel thecaufles thereof by the hiftorie following. In the yeareof our Lord God 1575. the tenth daie of May, I with Robert Greauline Doftor of Phyfick,was lent for by Mailer Hamel an Advocate of the Court of Parlament of Paris, to fee and (hew my opinion on two of his fervants,of whom the one was his Clerk, and the other his Horf-keeper. All his familie fiippofed them dead, be- cauf they could not perceiv or feel their Arteries to beat, all the extreme parts of their bodies werecold, they could neither fpeak nor moov, their faces were pale and wan, neither could they bee railed up with anie violent beating or plucking by the hair. Therefore all men ac- counted them dead, and the queftion was onely of whatkinde of death they died, fortheir mailer fiifpeftedthat fbmbodie had ftrangled them, others thought that each of them had flopped one another's winde with their hands : and others judged that they were taken with a fudden apoplexie. But I prefently inquired whether there had been anie fire made with coals in the houf lately, whereunto their mailer giving ear, fought about all the corners of the chamber ( for the chamber was verie little and clofe) and atlaft found an earthen-pan with charcoal half burned: which when wee once faw, wee all affirmed with one voice,that it was the cauf of all this misfortune,& that it was the malign fume and venemous vapor, which had (mothered them, as it were by flopping the paflages of their breath. Therefore 1 put my hand to the regions of their hearts, where I might perceiv that there was fom life remaining by the heat and pulfation that I felt though it were verie little, wherefore wee thought it convenient to augment and increaf it. Therefore firft of all, artificially opened their mouths,which were verie fall doted, and flicking obftinately together 5 and thereinto both with a fpoon and al- fo with a filver-pipe, wee put aqua vite often diftilled with diflolved bzerc and triade 5 when wee had injefted thefe medicines often into their mouths, they began to moov and to ftretch themfelvs, and to caft up and expel manie vifcous excreme ntal and filthie humors at their mouth and noftrils, and their lungs feemed to bee hot, as it were in their throats. Therefore then wee gave them vomitories of a great quantitie of Oxymel, and beat them often violently on the laft fpondil of the back, and firft of the loins, both with the hand and knee (for unto this place the orifice of the ftomach is turned) that by the power of the vo- mitorie medicine, and concuflion of the ftomach, they might bee conftrained to vomit. Nei- ther did our purpofefal us, for prefently they voided clammie, yellow and fpumous phlegm and blood. But wee not beeing content with all this, blowedup into their noftrils, out of a Goof- quil, the powder of Eupborbium, that the expulfive fa cult it? of the brain might bee ftirred up to the expulfion of that which opprefled it j therefore prefently the brain beeing ffiaken, or mooved with (heeling and inftimulated thereunto by rubbing the chymical oil of mints on the palate and on the cheeks, they expelled much vifcous and clammie matter at their noftrils. Then wee ufed friftions of their arms, legs, and back-bones 5 and miniftred ffiarp gly- flers, by whole efficacie the bellie beeing abundantly loolened, they began prefently to fpeak and to take things that were miniftred unto them of their own accord, and fo came to them- lelvs again. In the doing of all thefe things, James Guillemeau Surgeon unto the King, and of Pa- ris, and John of Saint Germanes the Apothecarie, did much help and further us. In the afternoon that the matter beeing well begun might have good fuccels , John Hautie, and Lewis 'Ibibaut, both molt learned Phylicians, were lent for unto us, with whom wee might confult on other things that were to bee don* They highly commended all things that wee had don alreadie, thought it verie convenient that cordials fhould bee miniftred un- them, which,by ingendring of laudable humors, might not onely generate new fpirics, but alfo Of fiich as are fmothered by Charcoal. Lib.28. Horn to make Embalm the Dead. 757 aho■attenuate and purifie thofe that were grofs and cloudie in their bodies. The reft of our coniultatiou was Spent in the inquirie of the cauf of fo dire a mifchance. For they faid it was no new or ftiange thing, tnatmenmay bee finothered with the fume and cloudie vapor of burning coals. . . r for wee reads in the works of Fulgofiw, Volaterenus ind Egnatius, that as the Emperor Jo- umtan travelled in winter-time towards Rome, hee beeing wearie in his journie, refted at a village called Didaftanes, which divideth Bithynia from Galatia, where hee laiein a cham- ber tnat was newly made, andplaiftered with lime, wherein they burn'd manie coals, for to drie the work or plaftering, that was but as yet green on the walls or roof of the cham- ber. Now hee died the verie fame night beeing fmothered or ftrangled with the deadlie and poifonous vapor of the burned charcoal, in the mid'ft of the night; this happened to him in the eight month of his reign, the thirtieth year of his age , and on the twentieth daie of Auguft. But what need wee to amplifie this matter by the antient hiftories, feeing that not manie years fince three fervants died in the houf of John Bigine goldfmith, who dwellethac the turning of the bridge of the Change, by reafbn of a fire made of coals in a dole cham- ber, without a chimnie where they laie. And as concerning thecaufles, thefe were alledged. Manie were of opinion that it happened by the default of the vapor proceeding from the burned coals,which beeing in a place void of all air or winde, infers fiich like accidents as the vapor or muft of new wine doth, that is to faie, pain, and giddinefs of the head. For both thefe kinds of vapor belides that they are crude, like unto thofe things whereof they com, can alfb verie fuddenly obftruT the original of theNervs, and fo cauf aconvulfion, by reafbn of the grolfnefs of their fubftance. For fo Hipocrates writing of thofe accidents that happen by the vapor of new wine,fpeak- eth. If anie man beeing drunken do fuddenly becom fpeechlefs and hath a convulfion, hee di- eth unlefs hee have a fever therewithal; or if hee recover not his fpeech again when his drun- kennefs is over. Even on the fame manner the vapor of the coals aflaulting the brain caufledthem to bee fpeechlefs, unmoovable and void of all fenf, and had died fhortly unlefs by miniftring and applying warm medicines into the mouth and to the noftrils, the grolfnefs of the vapor had been attenuated, and the expulfive faculties mooved or provoked to expel all thofe things that were noifom : and alfo although at the firft fight the Lungs appeared to bee grieved more then all the other parts, by reafon that they drew the malign vapor into the bodie , yet when you confider them well, it will manifeftly appear that they are not grieved, unlefs it bee by the fympathie or affinitie that they have with the brain when it is verie grievoufly af- flifted. The proof hereof is, becauf prefently after, there followeth an interception or defeft of the voice, fenfand motion : which accidents could not bee unlefs the beginning or original of the nervs were intercepted orletted from performing its funftion, beeing burthened by fom matter contrarie to nature. And even as thofe that have an apoplexie do not die but for want of refpiration, yet with- * out anie offence of the Lungs, even fo thefe two young men's deaths were at hand, by reafbn c that their refpiration or breathing was in a manner altogether intercepted, not through anie 1 default of the Lungs, but of the brain and nervs diftributing fenf and motion to the whole1 bodie and efpecially to the inftruments of refpiration. Others contrariwife contended and faid, thatthere was no default in the brain, but conjeftured the interception of the vi- tal fpirits letted or hindered from going up into the brain from the heart, by reafbn that the padages of the Lungs were flopped, to bee the occafion that fufticient matter could not bee afforded for to preferv and feed the animal-fpirit. Which was the cauf that thofe young men were in danger of death, for want of refpiration , without which there can bee no life. For the heart beeing in fuch a cafe, cannot deliver it felf from the fuliginous vapor that encompafs it, by reafbn that the Lungs are obftru&ed by the groffnefs of the vapor of the coals, whereby infpiration cannot well bee made, for it is made by the comparing air drawn into our bodies : but the air that compaffeth us doth that which nature endevoureth to do by infpiration, for itmoderateth the heat of the heart, and therefore it ought to bee endued with four qualities. The firft is, that the quantitie that is drawn into the bodie bee fufticient. The fecond is, that it bee cold, or temperate in quantitie. The third is, that it bee of a thin and mean confiftence. The fourth is, that it bee of a gentle and benign fubftance. z But thefe four conditions were wanting in the air which thefe two young men drew into their bodies beeing in a clofe chamber. For firft, it was little in quantitie, by reafbn that fmall quantitie that was conteined in that little clofe chamber, was partly confumed by the fire of coals, nootherwife then the air that is conteined in a cupping-glafs is confumed in a moment by the flame fofoonas it is kindled* Furthermore it was neither cold nor temperate,but as it were inflamed with the burning fire of coals. Thirdly, : lib.23. An hiftorie. Self. 5, I. The occafion ofthe death of fuch as have the apo- plexie. Conditions of the air good to breathe in. 758 How to and to Embalm the dead, Lib.z 8. Thirdly, it was more grois in confidence then it Ihould bee by reafon of the admixtion of the grofler vapor of the coals: for the nature ot the air is fo that it may bee foon altered, and will verie quickly receiv the forms and impreflions of thofe fubftances that are about it. LafHy, it was noifom and hurtful in fubftance, and altogether ofienfive to the aierie fiib- ftance of ourbodies.For Charcoals are made of green wood burnt in pits under ground,and then extinguifht with their own fume or fmoak, as all Colliers can tell. Thefe were the o- pinions of moft learned men although they were not altogether agreeable one unto another, yet both of them depended on their proper reafons.For this at leaft is manifeft, that thole pat- (ages, which are common to the breft and brain, were then flopped with the groflhefs of the vapors of the coals: whereby it appeareth that both thefe parts were in fault, for as much as the confent and connexion of them with the other parts of the bodie is fo great, that they cannot long abide found and perfeft without their mutual help by reafon of the lo- ving and friendlie fympathic and affinitie that is between all the parts of the bodie one with another. Wherefore the ventricles of the brain, the paflages of the lungs and the fleepie Arteries beeing flopped, the vital fpirit was prohibited from entring into the brain, and confequently the animal fpirit retained and kep't in, fb that it could not com or difperf it felf through the whole bodie, whence happened the defeft of two of the faculties neceflarie for life. It manie times happeneth and is a queftion too frequently handled concerning women's mai- * den-heads; whereof the judgement is verie difficult. Yet fom ancient women and Midwives will brag that they afluredly know it by certain and infallible figns. For (faie they) in fuch as are virgins there is a certain membrane of parchment-like skin in the neck of the womb, which will hinder the thrufling in of the finger if it bee put in anie thing deep, which mem- brane is broken when firft they have carnal copulation, as may afterwards bee perceived by the free entrance of the finger. Befides, fuch as are defloured have the neck of their womb more large and wide; as on the contrarie, it is more contracted, ftrait and narrow in virgins. But howdeceitful and untrue thefe figns and tokens are, ffiall appear by that which followeth; for this membrane is a thing preternatural,and which is fcarce found to bee in one of a thou- fand from the firft conformation. Now the neck of the womb will bee more open or ftrait according to the bignefs and age of the partie. For all the parts of the bodie have a certain mu- tual proportion and commenfuration in a well-made bodie. Joubertus hath written, that at Letioure in Gafconie, a woman was delivered of a child in the ninth year of her age,and that (hee is yet alive and called Joan de Perie being wife to Videau Be- ebe the receiver of the amercements of the King of Navare: which is a moft evident argument, that there are (bm women more ableto accompanie with a man at nine years old, then manie other at fifteen, by reafon of the ample capacitie of their womb and the neck thereof; Befides alfo, this paflage is enlarged in manie by fom accident, as by thrufling their own fingers more ftrongly thereinto by reafon of fom itching, or by the putting up of a Nodule, or Peffarie of the bignefs of a man's yard, for to bring down the courfes. Neither to have milk in their brefts is anie certain fign of loft virginitie; For Hippocrates thus write's ; But if a woman which is neither with child, nor hath had one, have milk in her brefts , then her courles have failed her. Moreover, Ariftotle report's that there bee men who have fuch plentie of milk in their brefts, that it may bee fucked or milked out. ' Car dan writes, that hee faw at Venice one Antonie Bufsey fbm 30. years old, who had milk in his brefts iu fuch plentie, as fufficed to fuckle a child, fo that it did not onely drop, but fpring out with violence like a woman's milk. Wherefore let Magiftrates beware left thus ad- moniffied, they too raffily afleent to the reports of women. Let Phyficians and Chirurgions have a care left they do too impudently bring Magiftrates into an error, which will not re- dound fo much to the judge's difgrace, as to their's. But if anie defire toknow, whether one bee poifoned, let him fearch for the Symptoms and figns in the foregoing and particular treatif of poifons. But that this doftrine of making re- ports may bee the eafier, I think it fit to give prefidents, in imitation whereof the young Chi- rurgion may frame others. The firft prefident ffiall bee of death to enfue; a fecond of a doubt- ful judgement of life and death 5 the third of a impotencie of a member; the fourth of the hurt- ing of manie members. I A.P. Chirurgion of Paris, this twentieth.daie of Maie by the command of the Counfel, entred into the houf of John Brojey, whom I found lying in bed, wounded on his head,with a wound in his left temple, piercing the bone with a fraChire and effrafture, or depreflion of the broken bone, fcales and meninges into the fubftance of the brain, by means whereof, his pulf was weak, hee was troubled with raving, convulfion, cold fweat, and his appetite was de- jefted. Whereby may bee gathered that certain and fpeedie death is at hand. In witnefs where- of I have figned this Report with my own hand. By the Coroner s command I havevifited Peter Lucey, whom I found fick in bed, beeing wounded with a Halbert on his right thigh.Now the wound is of the bredth of three fingers and (b deep that it pierce's quite through his thigh with the cutting alio of the vein and arterie whence enffied much eflufion of blood,which hath exceedingly weakned him,& caufled him to (wound Of the figns of virginities Lib.de ertor. popul. 5* Li J. 4. de hifla lib. 12. de (iebtiliiate. A certificate of death. Another in a doubtfid cafe* ■ Lib.zS. Hoyv to make Reports, and to Embalm the dead. 759 (wound often; now all his thigh is fwoln,livid, and give's occafion to fear worf fymptoms, which is the cauf that the health and fafetie of the partie is to bee doubted of. By the Juftice's command I entred into the houf of James Bertey, to vifithisown brother; I found him wounded in his right arm, with a wound of fom four fingers bignefs, with the cutting of the tendons bending the leg, and of the veins, arteries, and Nervs* Where- fore I affirm that hee is in danger of his life, by reafon of the malign fymptoms that ufu- ally happen upon fuch wounds, fiich' as are great pain , a fever, inflammation, abfcefs, con- vulfion, gangrene and the like. Wherefore hee ftand s of provident and careful drefling, by benefit whereof if hee efcape death, without doubt hee will continue lame , during the remainder of his life , by reafon of the impotencie of the wounded part. And this 1 affirm under my hand* Wee the Surgeons of Pcrft, by the command of the Senate, this twentieth daie of March, have vifited Mafter Lewis Vertoman., whom wee found hurt with five wounds. The firft infli- cted on his head, in the middle of his fore-head-bone, to the bignefs of three fingers, and it penetrate's even to the fecond table, fo that wee were forced to pluck away three fplintersof the fame bone. The other was athwart his right cheek, and reachetli from his ear to the mid'ft of his note, wherefore wee ftitched it with four ftitches. The third is on the mid'ft of his bcL- lie, of the bignefs of two fingers, but fo deep that it afeend's into the capacitie of the bellie, fo that wee were forced to cut away portion of the Kall, comming out thereat, to the bignefs of a walnut, becauf having loft it's natural color, it grew black and putrified. The fourth was upon the back of his left hand, the bignefs almoft of four fingers, with the cutting of the veins, arteries, nervs, and part of the bones of that part 5 whence it is, that hee will bee lame of that hand, howfbever carefully and diligently healed. Now becauf by hurting the fpinal marrow, men becom lame, fomtimes of a leg; it is fit you know that the fpinal marrow defeend's from the brain like a rivelet for the diftribution of the nervs, who might diftribute fenf and motion to all the parts under the head 5 where- fore if by hurting the fpinal marrow, the patient's arms or hands are refolved dr numB,ob wholly without fenf, it is a fign thefe nervs are hurt which com forth of the fifth, fixth, fe- venth vertebra of the neck. But if the fame accidents happen to the thigh, leg or foot with refrigeration, fo that the excrements flow voluntarily, without the patient's knowledg, or elf are totally fuppreft, it is a fign that the finews which proceed from the vertebra of the loins and holie-bone are hurt, or in fault; fo that the animal-facultie bellowing fenf and motion upon the whole bodie, and the benefit of opening and {hutting to the fphin&er-mufcle of the bladder and fundament, cannot fhew it's felf in thefe parts, by which means hidden death hap- pen's, efpecially if there bee difficultie of breathing therewith. Beeing to make report of a childe killed with the mother, have a care that you make a dif- creet report, whether the childe were perfeft in all the parts and members thereof, that 1 the Judg may equally puniffi the autor thereof. For hee meriteth far greater punilhment, J who hath killed a childe perfectly fhaped and made in all the members; that is, hee which hath killed a live-childe, then hee which hath killed an Embry an, that is, a certain concre- tion of the fpermatick bodie. For Mofes punifheth the former with death, as that htc (hould give life for life, but the other with a pecuniarie mulft. But I ijudgit fit to exemplifie this report by a Prefident. I A.E. By the Judges command vifited Miftris Margaret Vlmarie, whom I found fick in bed, having a ftrong fever upon her, with a convulfion and efflux of blood out of her womb, by rea- fon of a wound in her lower bellie, below her navil on the right fide, penetrating into the ca- pacitie of her bellie, and the wound therein; whence it hath com to pals, that fhee was delive- red before her time of a male childe, perfect in all his members but dead, beeing killed by the fame wound, piercing through his fcull into the marrow of the brain. Which in a fhort time will bee the death of the mother alfo* In teftimonie whereof, I have put my hand and feal. In the lofs of a member# Another in the hurts of divers parts. A caution in making report ofa woman with childe teeing killed Tfo manner bow to Embalm the Dead. Had determined to finifh this my tedious work with the precedent Treatif of Re- ports ; but a better thought came into my head, which was, to bring Man,whole cure I had undertaken, from his Infancie, to his End, and even to his Grave; fo that no- thing might bee here defective which the Surgeon might by his profeflion, perform about man's bodie either alive, or dead. Verily there hath fcarce ever been a Nation Co barbarous, which hath not onely been careful for the Burial, but alfo for the Embalming or preferving of their dead bodies. For the verie Scythiansswho have leemed to exceed other Nations in barbarouf- nets and inhumanitie, have don this; for (according to Herodotus) the Scythians burie not the • corps of their King, before that beeing embowelled and fluffed hill of beaten Cyprels,Frankin-! cenf, the feeds of Perllie, and Anif, hee bee alfo wrapped in fear-cloths. The like care n hath alfo polielled the mindes of the Ethiopians; for having disburdened the corps of their friends, of their intralsand flelh, theyplaftered them over, and then having thus rough-c caft them, they painted them over with colors fo to exprefs the dead to the life; they inclofedf The care the Scythe anj in the Embal- ming tbeir deal. Th like far.' Of th? W'!.(r; pidii How to make Reports, and to Embalm the dead, Lib.28. 760 them thus adorned in a hollow pillar of glafs, that thus incloftd they might beeften and yet not annoie the fpeftators with their fmell. Then were they kept the (pace of a year, in the hands of their next kindred; who, during this fpace, offered and facrificed to them. The year ended, they carried them forth of the cittie,and placed them about the walls each in his proper vault,as Herodo twaffirm's. But this pious care of the dead, did far otherwife affeft the Egjpfi- then it did other nations. For they were fo ftudious to preferv the meinorie of their aqcc- ftors, that they Embalmed their whole bodie with aromatick ointments, and ftt them in trans- lucent Urns, or glafs-Cells in the more eminent and honored part of their houfts, that fo they might have them daily in their fight,and might bee as monuments, and inciters to ftir them up to imitate their Father's and Grandfire's virtues. Befides alfo the bodies thus embalmed with aromatick and balfamick ointments, were in (lead of a moft fare pawn, fo that if anie Egyptian had need of a great fam of monie,they might eafily procure it of fuch as knew them and their neighbors, by pawning the dead bodie of fom of their dead parents. For by this means the cre- ditor was certain, that hee which pawned it would fooner loft his life,then break his promift. But if all things fo unhappily fucceeded with anie,fo that through povertie hee could not fetch home his pawn again, but was forced to forgo it, hee was fo infamous amongft all men,during the reft of his life, as one banifhed, or forlorn 5 and lofing his freedom hee fhall becom a ftr- vant, yea, (corned and reviled of all men, hee (hould bee accounted unworthie to enjoie the light and focietie of men. And certainly the Egyptians underftanding the life which wee here lead, to bee of fhort continuance, companion beeing made with that which wee are to live af- *er the ftparation of the foul from the bodie, they were more negligent in building their hon- es they dwelt in,but in rareing the pyramids which ihould ferv them in ftead of fepulcres, :hey were fo beyond reafon famptuous and magnificent, that for the building of one of theft edifices fo renowned over all the world, which King Cheoper begun, a hundred thouland men were everie three months, for twentie years fpace there kept at work: It was five furlongs, and beeing fquare,each fide was 800. foot long, and fo much in height. Almoft all the pieces of marble went to the building thereof, were thirtie foot long, engraven and carved with various workmanfliip,as Herodotus report's. But before the bodies were committed to theft magnificent Sepulcres, they were carried to the Salters and Embalmers, who for that purpoft had allow- ance of out of the publick ftock. Theft befmeared them with Aromatick,and Baliamick oint- ments, and ftwed up the incifions they made, then ftrewed them over with (alt, and then co- vered them with brine for 70. daies 5 which beeing exfpired, they waflied them, beeing taken thence, and all the filth beeing taken ofF, they wrapped them in Cotton-cloths, glued together with a certain gum 5 then their kinfmen placed them thus ordered in a wooden Coffin carved like to a man. This was the facred and accuftomed rite of Embalming and Burying dead bo- dies amongft the Egyptians which were of the richer fort. Our countrie-men the French, ftir- red up with the like defire, embalm the bodies of their Kings and Nobles with (pices and (weet ointments. Which cuftom they may feem pioufly and chriftianly to have taken from the Old and New Teftament, and the antient and laudable cn ft om of the Jews 5 for you may read in the New Teftament that Jofepb bought a fine linnen-cloth, and Nicodemus brought a mixture of myrrh and Aloes about 100. pound weight, that they might embalm and burie the bodie of Jejus Chrift our Saviour,for a fign and argument of the renovation and future in- tegritie which they hoped for by the refarreftion of the dead. Which thing the Jews* had re- ceived by tradition from their anceftors. For Jofepb in the old Teftament commanded his Phyficians, they (hould embalm the dead bodie of his father with (pices- But the bodie which is to bee embalmed with (pices for verie long continuance muft firft ' of all bee embowelled, keeping the heart apart, that it may bee embalmed and kept as the kinsfolks fhall think fit. Alfo the brain, the fcull beeing divided with a faw, (hall bee taken out. Then (hall you make deep incifions along the arms, thighs, kgs, back, loins and but- tocks, efpecially where the greater veins and arteries run, firft that by this means the blood may bee prefled forth, which otherwift would puirefie and give occafion and beginning to pu- trefaftion to the reft of the bodie; and then that there may bee (jpaqe to put in the aromatick powders; the whole bodie (hall bee wafhed over with a fpunge dipped in aqua vity, and ftong vineger, wherein (hall bee boiled tvormwood, aloes, coloquintida, common (alt and alum. Then theft incifions, and all the paflages and open places of the bodie, and the three bellies fhall bee (luffed with the following (pices grofly powdered. R. pul. rofar. cba- mym- melil. baljami, mentby, anethi, falvitj lavwid. rorijmar. marjoran. thymi, abfinthii, cyperi, calami aromat. gentians, ireos florent. ajflt odorate, caryophyll. nucis mofchat, cinnamomi, ftyracis, cala- mity. benjoini. rnyrrby, aloes, fantal. omnium quod [ufficit. Let tbsdneifions bee (owed up and the open fpaces that nothing fall out; then forthwith let the whole bodie beeannointed with Tur- pentine diffolved with oil of Roftsand Camomil, adding,if you (hall think it fit, fom Chy- mical oils of (pices, and then let it bee again ftrewed over with the fore-mentioned powder; then wrap it in a linnen-cloth, and then in (ear-cloths. Laftly, let it bee put in a Coffin of Lead, fare ibuderedand filled up with drie(weet herbs. But if there bee no plentie of the fore-mentioned fpices, as it ufually happen's in be- fieged towns, the Surgeon (hall bee contented with the powder of quenched lime, common allies made of oke-wood. Eor Lib. ?. Of the Vims, Yhereafon of, building the J Eglptia'nsPy- | ramids. Lib. 2. John ip, 39. Gen.Jo.*« The manner of embalming for along continuance. How to em- balm bodies when as wee want {pices. LiB.zy. 761 For thus the bodiebeeingover and above waffied in ftrong vinegar, or Lee, fhall bee kept a long time, if fo bee that a great difldiving heat do not bear fwaie, or if it bee not put in a hot■ and moift place. And this condition of time and place is the cauf why the dead bodies of Prin-' cesand Kings, though embalmed with Art and colt, within the (pace of fix or (even daies, in ( which they are kept to bee (hewed to the people after their embalming,do caft forth fo greevous a (ent,that none can induce it; fo that they are forced to bee put in a leaden Coffin. For the air which incompafleth them groweth fo hot by reafon of the multitude of people flowing to the fpeftacle,and the burning of lights night and dale, that the fmall portion of the native heat which ramaineth beeing diflipated, they eafily putrefie, eipecially when as they are not firft moiftened and macerated in the liquor of aromatick things, as the JEgjptztfHrantiently ufed to do, fteeping them in brine for 70 daies, as I formerly told you out of Herodotus. I put in minde hereby, u(e, that fo the embalming may becom the more durable, to fteep the bodies ( beeing embowelled, and pricked all over with (harp bodkins, that fo the liquor hindering putrefa&i- on may penetrate the deeper into them J in a wooden tub filled with ftrong vinegar of the de- coftion of aromatick and bitter things, as Aides, Rue, Wormwood, and Coloquintida; and there keep them for twentie daies,pouring thereinto eleven or twelv pintes of Aqua vitt. Then taking it forth, and fetting it on the feet, I keep it in a clear and drie place. I have at home the bodie of one that was hanged,which 1 begged of the Sheriff, embalmed after this manner, which remaine's found for more then 25 yeers, (b that you may tell all the mufcles of the right fide, ( which 1 have cut up even to their heads, and plucked them from thole that are next them for diftinftion's (ake,that fo I may view them with my eies, and handle them with my hands as of- ten as I pleaf9that by renuingmy memoriel may work more certainly andlurely, when as I have anie more curious operation to bee performed) the left fide remain's whole,and the Lungs Heart, Dzaphragma, ftomach, fplene, "kidnies, beard , haiers, yea and the nails , which beeing pared, I have often obferved to grow again to their former bignefs. And let this bee the bound of this our immenf labor's and by God's favor,our refhto whom Almightie, all-powerful,immortal and invifible,bee afcribed all honor and glorie for ever,and ever, Amen, Why the bo- dies of our Princes* how well foevet embalmed* corrupt in a few dales* Labor intprobus omnia vincit* The end of the Treatif of reports , and embalming the dead. The Apologie and Treatif, conteining the voiages made into divers places. By Anibrofe Tare of Laval in Maine, Counfellor and chief Chirugion to the King. The twentie ninth Book. Ruelylhad not put my hand to the pen, to write on fuch a thing, ®er' 'aJ fom have impudently injured, taxed, and more through Paf.,c"I"hat"d' d mee, then for zeal or love they bear to the publick good; which was, concei a y manner of tying the Veins and Arteries , writing thus as followeth. Male ieitur & nirniitm°arroganter inconfidtus & temerarius quidam, vafirum ufiionem fofi emortui omnibus flurMm <°mmcnd"'amfi vumquendam deligandi vafanwdunt, contra veteres omnes me icos fin ' J actl*artem Canam cere cuyiens,nec animadvertit majoramulto pericula ex ipfa vaforu *^ram fi acu nervofam aliquant urnifM hberxtm and raft pt4n blame and con- OF what the Adverfarieac- cufeth the An • tor. The words of the Advert- rie. 762 Ai Apologie or Treatif, Lib.29. of the Antient Phyficians, taking no heed, nor beeing well advifed, that there happen's far greater pe- rils, and accidents, through this new waie of tying the veflels (which hee will have to bee made with a needle,piercing deeply the found part) then by the burning and uftion of the faid veflels 5 for if the needle fhall prick anie nervous part, yea the nerv it felf, when hee iliall by this new and unaccuftonied waie abfurdly conftrein the vein by bindeing it,therc mu ft neceflarily follow a new inflammation 5 from an convulfion; from a convulfion,death : for fear of which accidents, Galen never durft flitch tranfverfal wounds,(which notwithftanding were lefs dangereiisjbsfore hee had difcovered the A- poneurofesof themufcles. Moreover thepincers with which,after the feftion, the flelh is again dilace- rated, while hee think's to draw the veflels out which are drawn in toward their original, bring no left pain then thecautering irons do. And if anie one having experimented this new manner of crueltie have efcaped danger,hee ought to render thanks to Almightie God for ever,through whole goodneft hee hath been free'd from fuch tyrannic, feeling rather his executioner then his methodical Chirurgion. TbeAutors what fweet words are here for one,who is faid to bee a wife and learned Doftor? hee re- anfwen. member's not that his white beard admonilheth him, not to fpeak anie thing unworthie of his age,and that hee ought to put off and drive out of him all envie and rancor conceived againft his neigh- bor. So now I will prove by autoritie, reafon and experience, that the faid Veins and Arteries ought to bee tied. Autorities. AS for Autorities,! will com to that of that worthie man Hippocrates, who wil's and command' the cure of Fiftula's in the fundament by ligature,as well to confume the callofitie,as to avoid hemor- ragie. In the book of Fiftula's of the fundament chap. 3. book. 5. leaf 4. Galen, Treatif 2. chap. 17. in his method, fpeaking of a flux of blood made by an outward cauG of whom fie here the words. It is (faith hee) moft fure to tie the root of the veflel, which I underftand to bee that which is moft near to the Liver,or the heart. Avicen, Treatif 3. doft. 1. chap. 3. command's to tie the vein and the Arterie, after it is difcovered towards his original. Guido of Cauliac,fpeaking of the wounds of the Veins and Arteries,injoineth the Chirurgion to make the ligature in the veflel. Mafter Hol/ier in the 3. book, chap. 4. of the matter of Chirurgerie, fpeaking of a flux of blood, command's expreffly to tie the veflels. Calmetheus in the 12. chap, of the wounds in the Veins and Arteries, tel's a moft lure waie to ftaie a flux of blood, by ligature of the veflel. Celfus, chap.26.book 5.from whom the faid Phyfician hath fnatchedthe moft part of his book,charg- eth exprefly,to tie the veflels in a flux of blood happening to wounds,as a remedie moft eafie & moft fure. Vejaliiu in his Chirurgerie, chap. 4 book 3. willeththat the veflels bee tied in a flux of blood. John de Vigo, book 1. treatif 1. treating of a hemorragie in bleeding wounds, command's to tie the Vein, and the Arterie. Tegaultius chap. 12.book 2. treating of the means to ftaie the flux of blood, command's to pinch the Vein or Arterie with a Crow or Parrat's-bill, then to tie it with a verie ftrong thred. Peter of Argillata of Bullongne, treatif 4. chap. 11. book. 1. difeourfing of a flux of blood, and the means to ftop it, giveth a fourth waie expresfly, which is made by ligature of the veflels. John Andreas a Cruce, a Venetian, book i.feft. 3 .chap. i6.pag.$. upon the 88. chap, of the book ofPaul make's mention of a method, to ftaie a flux of blood by the ligature of the veflels. P' Alechamp command's to tie the Veins and Arteries* See then f my little good man) the autorities which command you to tie the veflels. As for the rea- fbns, I will debate of them. The hemorragie(14ie you)is not fb much to bee feared in the leftion of the Call, as that of the Va- rices, and the incifion of the temporal Arteries,as after the amputation of a member.Now you your felf command that in cutting the Varices, the flux of blood bee flopped by the ligature of the veflels. in the book 2. chap, of Angealogie, leaf 176. You command the fame in the book ofStitches i.ehap. fpeaking of the flitch,with the amputation and feftion of the Call, changed by the outward air, fee heer your own words : After that muft bee confidered concerning the Call: for if there bee anie part corrupted, putrified, withered,or blackifli: Firft having tied, for fear of a flux of blood, you do not bid afterward to have it cauterifedj but to faie the truth, you have your eies Ihut, and all your fenfes dulled, when you would fpeak againft fo fure a method, and that it is not but through anger, and an ill will. For there is nothing which hath more power to drive reafon from her feat, then choice and anger.Moreover when one come's tocauterife and difmember the parts, oftentimes when the Efchar come's to fal oftjthere hap- pen s a new flux of blood : As I have feen divers times, not having yet been infpired by God, with lb fure a means then, when I ufed the heat of fire. Which if you have not found, or underftood this method in the books of the Antients, you ought not thus to tread it under your feet, and (peak unlucke ly of one who all his life hath preferred the profit of the Common-wealth before his own particular.lt is not more then reafbnable to bee founded upon the faying of Hippocrates j in the chapter of burning, 2.book leaf 206. upon whofe autoritie you ferv your felf,which is thus That what the medicament cureth not the iron doth, and what the iron doth not amend, the fire exterminateth: It is a thing which favor's not of a Chriftian, to fall to burning at the firft dafh without flaying for anie more gentle remedies.As you your felfwrite, in the firft book leaf 5. fpeaking of the conditions required in a Chirurgion to cure well i which paflage you borrow from fom other place: for that which may bee don gently without fire, is much more commended then otherwift. Is it not a thing which all fchools hold as a Maxim,that wee muft Lib. 19. concerning diverf Voiages. 763 muft alvvaies begin with molt ealie remedies, which if they bee not fufficientywee muft then com to extreme,following the doftrine of Hippocrates ? Galen command's in the place before alledgedjto treat or dreis the difeafed quickly, lately, and with the leaft pain that is poflible. (jalen in 4. book of the Me/A.and in the book of - . , , , Art of Hippocr »te> <Apho> the *. book. 1 • In the book of Let us com to Reason. NOvv fo it is,that one cannot appne not irons due vvitn extreme and vehement pain m a knhble pare void of a Gangrene,which would bee caufof a Convulsion,Fever,yea oft-times of Death.Moreover it would bee a long while afterwards before the poor patients were cured, becaufthat by the a&ion of the fire there is made an efchar,vvhich proceed's from the fubjeft flefli,which beeing fallen, nature muft regenerate a new flefli in ftead of that which hath been burned; as alfo the bone re- main's difcovered and bare; and by this means,for themoft part there remain's an ulcer incurable. More- over there is yet another accident. It happeneth that oftentimes the cruft beeing fain ofF, the flefli not beeing well renued, the blood iffueth out as it did before.But when they (hall beetied,the ligature fal's not off until the firft flefli have verie well covered them again : which is proved by Galen in the 5. book of his that efcharotick medicines which caufa cruft or efchar,vvhenfoever they fall off,leav the part more bare then the natural habit require's.For the generation of a cruft proceed's from the parts fiibjeft, and which are fituate round about it, beeing alfo burned,as 1 may faie: wherefore by how much the part is burnt, by fo much it loleth the natural heat.Then tell mee when it is neceffarie to ufe efcarotick medicines,or cantering irons?'Tis when the flux of blood iscaufledby erofion, or lom Gangrene or putrefa&ion. Now is it thus ? In frefli bleeding wounds there is neither Gangrene, nor putrefaftion.Therefore,the cauteries ought not to bee there applied. And when the Antients com- manded to applie hot irons to the mouths of the veffels,it hath not been onely to ftaie the flux of blood, but chiefly to correft the malignitie, or gangrenous putrefaction which might fpoil the neighboring parts. And it muft bee here noted,that if I had known luch accidents to happen,which you have declared in your book,in drawing and tying the veffels,! had never been twice deceivedjnor would I ever have left by my writings to pofteritie,fuch a waie of flopping a flux of blood.But 1 writ it after 1 had feen it don & did it verie often, with happie fuccefs.See then what may happen through your inconfiderate counfd, without examining,or ftanding upon the facilitie ot tying the faid veffels-For fee,heer's your fcope and proposition,to tie the veflels after amputation is a new rcmedie, faie you; then it muit not bee ufed, it is an ill argument for a Doftor. Of what the efchar is made Words of the adverfirie* Propofiuons of the Adver- (arie. But as for that (faie youjone mult ule hre after the amputation of members, to confume and drie the putrefadion,which is a common thing in Gangrenes,and mortifications,that indeed hath no place here, becauf the praftice is to amputate the part above that which is mortified, and corrupted; as Celfa write's and command's,to make the amputation upon the fecond part,rather then to leav aniewhit of the corrupted. I would willingly ask you, if when a vein is cut tranfverf, and that it; is verie mnch retraced towards the original,whether you would make no confcience to burn till that you had found the orifice of the vein,or arterie; and if it bee not more eafie onely with a Crow-bil to pinch and draw the veflel,and fo tie it?In which you may openly fhew your ignorance,and that you have your minde feazed with much rancor and choler.Wee dailiefee the ligature of the veflels pra- &ifed with happie fuccefs after the amputation of a part, which I will now verifie by experiences and hi- ftories,of thofe to whom the faid ligaturehath Deen made, and perfons yet living. THe 16.of June 15 82. in the prefence of M. John Liebaud doftor in the facultie ofPhyfick at Paris,Claud Viard fworn Surgeon,M.Mtfbm7z Hanw,Surgeon ofMonfieur de Souvray, and 1,/oun Cbarbonel M.Barber-Surgeon of well underftanding the Theorick#and PraftickjrfSurge- rie, did with gooddexteritie amputate the left leg of a woman tormented the (pace of three years with extreme pain,by reafon of a great Carier which was in the bone Aftragal, Cyboides, great and little focil, and through all the nervous parts,through which lhee felt extreme and intolerable pains night and daie: (heels called Marie of Hojiel, aged 28.years,or thereabouts,wife of Peter Herve. Efquire of the Kitchin to the Ladie Vucbefr of Vzez3dwelling in the ftreet of Verbois on the other fide S.Martin in the fields,dwel- ling at the fign of the S. Jobn's-head;where the laid Cbarbonel cut off the laid leg, the bredth of 4. large fingers below the knee,& after that hee had incifed the flefh,& fawed the bone, hee griped the vein with the Crow-bil,then the Arterie,then tied them;from whence I proteft to God(which the companie that were there,can witnefs)that in all the operation that was fuddenly don,there was not fpilt one porrenger of blood; and 1 bid the faid Cbarbonel to let it bleed more, following the precept of Hippocrates,that it is good,in all wounds and alfo in inveterate ulcers,to let the blood run;by this means,the part islefs fubjeft to inflammation,The faid Cbarbonelcontinued the dreffing of her,who was cured in two months,without anie flux of blood happening unto her,or other ill accident; and fhee went to fee you at your lodging beeing perfeftly cured. Another hiftorie of late memorie,of a finging-man of our Ladie's Church named M. Colt, who broke both the bones of his leg which were crufht in divers pieces, infomuch that there was no hope of cure,to vvithftand a gangrene and mortification,and by confequence death. Monfieur Helin Do- dor Regent in the facultie of Phyfick,a man of honor and good knovvledg,GM Viard, & Simon Peter, fvvorn Surgeons of P<zw,men well exercifed in Surgerie;and Balthazar of Le)he,and Lefcbenal, M.Barber-Surgeons, well experimented in the operations of Surgerie, were all of opinion,to vvithftand the accidents afore faid, to make entire amputation of the whole leg,a little above the broken & fhivered bones & the torn nervs,veins,arterie,;the operation was nimbly don,by the faid Viard and the blood ftanch't by the ligature of the veflels in the prefence of the faid Helin, and M. Tonfard great vicar of our Eadie's Church,and was continually dreft by the faid Lefcbenal, and I went to fee him other- whiles; hee was happily cured without the application of hot irons,and walkech luftily on a wood- den leg. T112 In In 5. book c. 'and 7. book c. 3 J. In the ch» of cutting-book the a. Expenentef.. Anotable hi- ftorie. The operation of Charbmel. In the7. lent, of the book of Ulcers. Another Hiftorie. operation don by Vi- ard. 764 An Apologie or TreattJ LlB.Zp. Hiitoi-ie year 1583. the ic.daie of December, Touffaint Poflon born at Ronievilie, at this!prefent 1101 le* dwelling at Beauvais near Dour dan, having his legg all ulcered, and all the bones cariez'd and rotten, praied niee for the honor of God to cut off his leg by reafon of the great pain which hee could no longer endure. After his bodie was prepared, I caufled his leg to bee cut off, four fingers below the rotula of the knee, by Daniel P owlet one of my tervants,to teach him and to imbolden him in fiich works; and there hee readily tied the veflels to ftaie the bleeding,without application of hot irons, in the pre- fence of James Gulilemeau ordinarie Surgeon to the King, and John Charbonell mafter-Surgeon of Paris'. and daring the cure was vifited by WLaffile and M Courtin Doftors, Regents in the facultie of medicine at Paris.The laid operation was made in the houf of John Gohel Inn-keeper, dwelling at the fign of the white-horfin the Greve. I will not here forget to faie,that the Ladie Princeis of Montpenfier, knowing that hee was poor,and in my hands,gave him monie to paie for his chamber and diet.Hee was well cured, Gcd bee prailed, and is returned home to his houf with a woodden-leg. AGangreen happened to half of the leg to one named Nicolas Mefnager aged 76. years , dwelling in S. Honor es ftreet, at the fign of the Basket; which happened to him through an inward cauf,fo that wee were conftrained to cutoff his leg to fave his life : and it was ta- ken off by Antonie Renaud, mailer Barber-Surgeon of Paris the i6.daie of December 1583. in the pretence of M. Le Fort,and M La Noile fworn Surgeons of Paris; and the blood was ftanched by the ligature of the veflels,and hee is at this pretent cured and in health, walking with a wooden-leg. AWater.man at the Port of Nefle,dwelling near Monfieur de Afw,Poft-mafter,named John Bouf- fiereau, in whote hands a Musket brake afiinder, which broke the bones of his head, and rent and tore the other parts in fuch fort that it was needful and neceflarie to make amputation of the hand two fingers above the wrift: which was don by James Guillemau then Surgeon in ordinarie to the King, who dwelt at that time with mee. The operation likewite beeing readily don, and the blood ftanch'd by the Ligature of the veflels without burning irons , hee is at this pretent living. A Merchant Grocer dwelling in S-Denis-ftreet at the fign of the great Tour no is named the JudgjWho fell upon his head,where was made a wound near the temporal mufcle, where hee had an arterie opened, from whence iflued forth blood with great impetuofitie,infomuch * that common remedies would not terv the turn ; I was called thither, where I found Nl.Rafle, M. Cointeret,M..Priard,(wom Surgeons of Paris,to ftaie blood;where pretently I took a needle and thred, and tied the arterie, and it bled no more after that, and was quicklie cured. M. Rouffelet can witnete it, not long fince Deacon of your Facultie, who was in the cure with us. A Sergeant of theChaftlet dwelling near S. Andrew des Arts, who had a ftroak of a (word * upon the throat in the Clacks medow, which cut afunder the jugular vein extern,as foon as hee was hurt hee put his handkercher upon the wound, and came to look mee at my houf, and when hee tookawaie his handkercher the blood leaped out with great impetuofitie: I fuddenly tied the vein toward the root;hee by this means was ftanched and cured, thanks bee to God. And if one had followed your manner of ftanching blood by cauteries, I leav it to bee fiippoted whether hee had been cured; I think hee had been dead in the hands of the operator. If 1 would recite all thote whole veflels were tied to ftaie the blood which have been cured, I fhould not have ended this long time;fo that mee thinks there are Hrftories enough recited to make you believ the blood of veins and arteries is lately ftanched without applying anie outward cauteries. Du Bartas. Hee that doth flrive againft experience, Daigtis not to talfiof anie learned fcience. TVTOw my little mafter,teeing that you reproch mee that I have not Written all the operati- J_N ons of Surgerie in my works which the Ancients write of,l Ihould bee verie forrie for it: for then indeed might you juftly call mee Carnifex. 1 have left them becauf they are too cruel, and am willing to follow the moderns,who have moderated fuch cruel tie: which notwithftanding you have followed liep by ftep, as appeareth by the operations here written,extra&ed from your book,which you have drawn here and there from certain ancient Autors, fiich as follow, and fuch as you have never praftifed nor teen. "Thefirfl operation. TO inveterate fluxions of the eies,and Nligrimes,Paulus JFlgineta as alfo Albucafis command to md&eArteriotomie, tee here the words of the fame Atginete. Y ou mark the Arteries which are behind the ears,then divide them in cutting to the verie bone, and make a great in- cifion the brpdth of two fingers,even till theArterie bee found,as you command to bee don in your book; but I holding the opinion of G<ife»,who command's to drels the diteated quickly, lafely, and with the leaft pain that is poffible, I teach the young Surgeon the means to reme- die fuch evils in opening the Arteries behinde the ears,& thofe of the temples, with oneonely incifion, as a letting Blood,and not to make a great incifion, & cut out work for a long time. TO fluxions which are made a long time upon the eies, Paul AEginete and Albucafis com- mand to make incifion which they call Perifcethifmos or Augiologie of the Greeks; and tee heer the words of Paul-, In this operation firft the head is fhaved, then taking heed of touch- ing the temporal mufcles, a tranfverf incifion muft bee made.beginning at the left temple and finilhingat the right, which you have put in your book word for word, without changing anie thing : which fheweth openly you are a right wound-maker; as may bee teen in the Chapter which you call the Crown cut, which is made half round under the Coronal future from one temple to another even to the bone. Now I do not teach fiich a cruel kinde of remedie, but inftruft the opera- tor by reafon, autoritie and notable proof of a fiire and certain waie to remedie fiich affedH- ons without butchering men in this kinde. ln Another Hi- ftotie. Gahgreen happening by an Antece- dent cauC Another Hiftorie. Operation don by GzjzZ- lemau. Another Hi- ftorie. Operation don by the Antor- Another Hi- ftbrie. Another Ope- ration. Book <f.c.4j. book 2.C.4. book 3. c, 9. fed. 7. In the 2book oftbechap'of Ifypo'pitil m , book r 4 ch. laft of the Meth. in the 4 tn.ot the 16 book of my work, Book <5.C7, Book 2.C.5. 'The (econd. In the 2. book Chap- of Peri- Ccythifm. In the 26. ch. of the j?. book of my works. LlB.2p. conteining diverj Voiages. 765 F the cure of Empyema, Paul ALginet, Albuc rafts and Cel fa commanded to applie fom thir- book zxh.tt A teen, others fifteen Cauteries to give iflTue to the matter conteined in the breft, as the (aid bookj.ch.12 Cel fa in the afore-faid place appointeth for Afthmatick people, which is a thing out of all reafon ( which refpeft to their honor bee it fpoken) that fince the Surgeon's fcope is to give iflue to the matter therein conteined, there is no other queftion then to make apertion, to evacuate the matter in the moft inferiour part, I have (hewed the young Surgeon the means to do it fafely, without tormenting the patients for nothing. > IN Paps that are too great,Paul AEginet and Albucrafis command's to make a crofs-incifion, to take out all the fat, and then join together the wound by ftitch: in brief, it is to flea a man alive, which I have never praftiftd, nor counfel it to bee don by the young Surgeon* ky- chap. io.book 6. chap. 46. book 2. chap. 47. . , ALbucrajis and Paul jEgznet will cauterize the Liver and the Splene with hot irons, which rhf» mnrlfrnR haw n#>vpr nraftirprli fnr inrLvrl r#*afnn is manifefllv rpmicmant The fourth. Guido QfCau- liac the *. treatif. Dod i*chap.i. 1 The fifth. In the fir ft book, chap. ' r and jo. alR> in book *. chap, 32. book 6. chap. 47. and 48. Thefwth. In the J. book chap.i. Dt inturntt morbis. book i.chap. 23. book j. feft- 3. chap. 8g. book 6. chap. So In the 3. bookisxh. IN the Paracentefts which is made in the third kinde of Dropiie called Aj cites, CeliUs Aureli- anus commandeth divers apertions to bee made in thebellie. Albucrafts applie's nine aftual cauteries, that is to faie, four about the Navel, one upon the Stomach, one upon the Splene, one upon the Liver, two behinde the fpondy Is, one of them near thebreft, the laft near the ftomach. jEtius is likewife of the fame opinion, to open the bellie with divers cauteries. IPaul JEginet command's toapplie five aftual cauteries to make the faid Paracentefts. But abhorring fuch a kinde of burning,of which you (peak much in your third book, 1 fhew another kinde of practice, the which is don by making a Ample incifion in the faid bellie, as may bee feed in my works, with happie fuccefs.I do not teach young men in my works the manner of burning, which the Antients have called infibulare, that is not in praftice though Celjus writeth of it. IN the Sciatick proceeding from an internal cauf and becaufthe vifcous humors difplace the bones, Paul command's to burn or cauterize the faid joint to the bone: Diafcorides com- mand's the fame, Which I do not find expedient, taking indication from the fubjacent parts; for there where one would burn,'tis in the place of four twin-mufcles, tinder which pafleth the great Nerv defending from the Holie-bone; which beeing burnt, I leav it to your ceh- fure what might happen, as Galen remarketh fpeaking of the uftion which muft bee made id the fhoulders called humerus. IN the outward laxation of the Spondyls, Hippocrates command's to binde the man right upon a Ladder,the Arms and Legs tied and bound: then afterwards having railed the Lad- der to the top of a tower, ortheridg'of anhouf, with a great rope in a pullie, then to let the patient fall plumb down upon the hard pavement; which Hippocrates faie's was don in his time. But I do not fhew of anie fuch waie of giving the ftrapado to fficn, but I fhew the Sur- geon,in my workSjthe xXzaie to reduce them furely,and without great pain.Moreover I fliould bee forrie to follow the faying of the faid Hippocrates, in the third book De morbis, who command's in thedifeaf called Volvulus to cauf the bellie to bee blown with a pair of bellows, putting the nofel of them into the inteftinum retfum, and then blow there till the bellie bee much ftretcht, afterwards to give an emollient glyfter, and to flop the fundament with a fponge. Such practice as this is not made now a daies,therefore wonder not if I have not fpoken of it- And you not beeing contented to patch together the operations of the above-faid Autors,you have alfb taken divers in my works, as everie man may know: which fheweth manifeftly that there is nothing of your own in your Surgeon's Guide .1 leav out divers other unprofitable operations which you quote in your book, without knowing what beafts they are,in never having feen them praftifed; butbecauf you have found them written in the books of the Antients, you have put them into your book. • Moreover you faie that you will teach me my lefibn in the operations of Surgerie, which I think you cannot do: becauf 1 have not onely learned them in my ftudie, and by the hearing of manie years the lef- fbns of Doctors of Phyfick: but as I have laid before in my epiftle to the Reader, I was refident the fpace of 3 .years in the Hofpital of Paris, where 1 had the means to fee and learn divers works of Surgerie, upon divers difeafes,together with the Anatomie,upon a great number of dead bodies,as oftentimes I have fuf- ficiently made trial publickly in the Phyficians fchool at Paris, and my good luck hath made mee feen much more.For beeing called to the fervice of the King of France (four of which I have ferted) I have been in companie at battels,skirmiffies, aflaults, and befeiging of citties and fortrefles;as alfo I have been fhut up in citties with thole that have been befieged,having charge to drefs thofe that were hurt. Alfo I have dwelt manie years in this great and famous cittie of Paris,where, thanks bee to God,I have lived in verie good reputation amongft all men,and have not been efteemed the lea ft in ranck of men of my pro- feffion,feeing there was not anie cure,were it never fo difficult and great, where my hand and my counfel have not been required, as I make it appear in this my work. Now dare you (thefe things beeing un- derftood ) faie you will teach mee to perform the works of Surgerie, fince you never went further then your fludie? The operations of the fame are four in general (as wee have declared heretofore J where you may make but three, that is to faie,join that which is feparated,feparate that which was conjoin- ed, and to take awaie that which is fuperfluous, and the fourth which I make, is as much neceflarie as induftrious ihventioh,to add to nature that which is wanting, as I have ihewed here above. Alfo it is your will that the Surgeon make but three operations above-faid without medling to ordain a fimple Cata- plafm, faying it is that which com's to your part belonging to the Phyfician : And that the An- tients ( in the difeourf which you have made to the Reader ) have divided the pra&ice of Phyfick T113 \ into Thefeventh. In the 7.book c.if. book 6. c.7<J.book 2. c-7*.upon the fcntence 49* ofttei. on of the book of Arts. The eighth. Sentence the ax and »3-of the J.fe&ion of the book of the joints c. >4. of the a 5. book. An Apologie or Rreatif Lib.2,9. 766 into three kindcs, that is to lay, Diet, Medicine,and Chirurgerie. But I would willingly demand of you who hath made the partition, and where anie thing fliould bee don, who are thole which are content with their part, without anie enterprize upon the other ? For Hippocrates, Galen, JEtius, Auicen, in brief, all the Phylicians, as well Greeks and Latins as Arabians, have never fo treated of the one, that they have not treated of the other, for the great aflinitieand tie that there is between them two,and it Ihould bee verie difficult to do otherwife. Now when you will vilifie Chirurgerie fo much, you fpeakagainft your (elf; for in your Epiftle which you have dedicated to Monfleur of Martignes, you fay, that Chi- rurgerie is the molt noble part of Phyfick, as well by reafon of the original antiquitie, neceflitie, as certaintie in her aftions; for lhee work's Luce aperta, as learnedly writeth Celfus in the beginning of his (eve nth book; therefore it is to bee believed you never went out of yourftudie, but to teach Theo- rickfifif you have been able to doe it. J Afaitfimiii- The operations of Chirurgerie are learnt by the eie, and by the touch. I will (ay that you tade. much referable a yong Lad of low Britanie, of plump buttocks, where was fluff fufficient; who demanded leav of his lather to com to Paris,to take France; beeing arrived the Organift of our Ladies Church met with him at the Pallace-gate, who took him to blow the Organs, where hee was remain- ing three years : hee faw hee could fomwhat fpeak French, hee return's to his Father, and told him that hee (pake good Fiench, and moreover hee knew well, to plaie on the Organs: his father received him ve- rie joifully, forthat hee was fo wife and learned in fo fhort a time. Hee went to the Organift of their great Church, andpraiedhim to permit his fonto plaie on the Organs, to the end hee might know whether his fon was becom fo skilful a mafter, as hee faid hee was; which the Organift agreed to veric willingly. Beeing entred to the Organs, heecaft himfelf with a full leap to the bellows, the mafter Or- ganift bid him plaie, and that hee would blow; then this good mafter anfwer's, Let him plaie himfelf on the organs if hee would for him, hee could do nothing but plaie on the bellows. I think al(b my lit- tle mafter, that you know nothing elf, but to prattle in a chair; but I will plaie upon the keies, and make the Organs found (that is to fay) 1 will do the operations of Chirurgerie, that which you can- not in anie wife doe, becauf you have not gon from your ftudie or the fchools, as I have faid before. But alfo, as I have faid alreadie in the Epiftle to the Reader, that the laborer doth little profit by talk- ing of the (eafons, difeourf of the manner of tilling the earth, to fhew what feeds are proper to each foil; all which is nothing if hee put not his hand to the Plough, and couple the Oxen together. So likewife is it no great matter if you do not know the Pratiicf, for a man may execute Chirurgerie well, al though hee have no tongue at all. As Cornelius Celfus hath verie well remarked in his firft book when hee faith, Mor bos noneloquentia, fedremediis curari: qua Ji quit elinguis,ufu diferetus bene nbrityhunc aliquan- to majorem medicum futurum, quam Ji fine ufu linguam fuam excoluerit; that is to fay ; Difeafes are not to bee cu red by eloquence, but by remedies well and duely applied, which if anie wife and difereet man though hee have no tongue know well the ufe thereof, this man in time fhall becom the greater Phyfician, than if without pra&ife his tongue were dip't with oratorie;the which you your (elf confefs in your (aid book by a Tetraftick which is thus: To taliks not all in Chirurgions Art, . But working with the hands; Aptly to drejs each grieved part, And guid, fire, fyiife, and bands. Arifiotle in the firft book of his Metaphy (icks the firft chapter faith, Experience is almoft like unto (cience ,and by the fame,Art and fcience have been invented. And indeed wee fee thefe which are experi- mented,attain fooner to that which they intend,then thofe which have reafon and not experience,becauf that the faid experience is a knowledg of Angular and particular things, and fcience on the contrarie is a knowL dg of things univerfaLNow that which is particular is more healable then that which is univerfal therefore thofe which have experience are more wife and more efteemed,then thofe which want it,by rea- fon they know what theydo.Moreoverl fay,that fcience without experience,bringeth no great afliirance. Alciat a Do&or of Milan, boafted one daie of himfelf, that his glorie was greater and more famous then that of Counfellors, Prefidents, mafters of Requeft : becauf that it Was by his fcience, and his in- ftruftions that they became fuch i but hee was anfwered by a Councilor, that he was like unto a whet- ftone, which made the knife (harp and readie to cut, not beeing able fo to do it felf, and alledged the verfes of Horace that; Fungebatur vice cot is, acutum Reddere qua ferrum valetfexors ipfafecandi. See you now (my little mafter) my anfwers to your calumniations, and pray you, if you bear a good minde (to the publick good ) to review and correft your book, asfoon as you can, and not to hold young Chirurgions in this error by the reading of the fame,where you teach them to ufe hot irons after the amputation of members, to ftaie a flux of blood, feeing there is another means,and not fo cruel and more fure and eafie. Moreover if to daie after an affaultof a Citie, where diverf Souldiers have had arms and kggs broken, and (hot oft by Cannon-bullets, Cutlas and other inftruments of war; to ftaie the flux of blood, if you fliould ufe hot irons, it would bee needful to have a forge, and much coals to heat them : and alfo the fouldiers would hold you in fuch horror for this Grueltie, that they would kill you like a Calf,even as in times paft they did one of the chiefeft Chirurgions of Rome, which may bee found written before in the third chapter of the Introdu&ion of Surgerie, the r ♦ book. Now left the Senators of your writings fliould fall into fuch inconveniencie,! praie them to follow the method afore- faid, the which I have (hewed to bee true and certain, and approQved by autoritie, reafon and ex- perience. . . . • The Lib.ZJ). concerning dtverj Voiages. 767 The voiage A /IOreo ver, I will here fhew to the readers the places where 1 have had means to learn the •f Thudn, IV1Art ofSurgerie. for the better inftrufting of the young Surgeon : and firft in the year 15 3 s* 15 3 6. the great King Francis fent a great Annie to Flyurin, to recover the Cittie and Cattles, which the Marquefs of Guaft, Lieutenant-General of the Emperor had taken: where the high Conftable of France the great Mafter, was Lievtenant-General of the Armie, and Montier de Montaiti Colonel-Ge- neral of the Foot, of which I was then Surgeon. A great part of the Armie arrived in the Countrie of Suz>e? wee found the enemie which ftopt the paflage, and had made certain Forts, and Trenches, info- much that to hunt them out and make them leav the place, wee were forced to fight, where there were divers hurt and (lain, as well of the one tide as of the other: but the enemies were conftrained to retire, The ret-r' 8et 3nto was caufled partly by one Captain Fait, who climed with di- of th? enemie. vers of the fouldiers of his companie upon a little Mountain3 there where hee thot dire&Iy upon the enemies, hee received a ftiot upon the ankle of his right foot, wherewith prefently hee fell to the ground; and laid then. Now is the Fat taken. I drefled him, and God healed him. Wee entred the throng in the Citie, and palled over the dead bodies, and fom which were not yet dead, wee heard them crie under our horfe's-feet, which made my heart relent to hear them. And truly I repented to have for- (aken Paris to fee fo pitiful a fpeftacle. Beeing in the Citie, I entred into a ftable thinking to lodg my own, and my man's where I found four dead fouldiers, and three which were leaning againft the Hiftorie. wall, their faces wholly disfigured, and neither faw nor heard, nor fpoke :; and their clothes did yet flame with gun-powder which had burnt them. Beholding them with pittie, there happened to com an old Souldier, who asked mee if there were anie poflible means to cure them, I told him no: hee prefently approached to them, and cut their throats without choler. Seeing this great crueltie, I told him hee was a wicked man, hee anfwered mee that hee praied to God, that whensoever hee fhould bee in fuch a cafe, that hee might finde fom one that would doe as much to him, to the end that hee might not miferably languid). And to return to our former difeourf, the enemie was fummoned to render, which they foon did, and went out, their lives onely faved, with a white ftaff in their hands; the greateft part whereof went and got to the Caftle of Fillane, where there was about 200. Spaniards; Monfier the Conftable would not leav them behinde, to the end that the waie might bee made free. This Caftle is feated upon a little mountain, which gave great afliirance to them within, that one could not plant the Ordnance to beat upon it, and were fummoned to render, or that they fhould bee cut in pieces; which Brave aafirtr t^iey Aatty refufed, making anfwer, That they were as good and faithful fervants to the Em- of the foul- peror, as Mounfier the Conftable could beeto the King his mafter. Their anfwer heard,they diers* made by force of arm,two great Cannons to bee mounted in the night with cords and ropes, by the Swiflersand Lanfquenets 5 when as the ill luck would have it, the two Cannons beeing feated, a Gunner by great negligence fet on fire a great bag of gun-powder; wherewith hee was burned together with ten or twelv fouldiers '■> and moreover the flame of the powder was acauf of difeovering the Ar- tillerie, which made them,that all night they of the Caftle did nothing but fhoot at that place where they difeovered the two pieces of Ordnance,wherewith they kiI'd & hurt a great number of our people. The next daie early in the morning a Batterie was made, which in a few hours made a breach, which beeing made, they demanded to parlie with us 5 but 'twas too late for them : For in the mean time our Exempfarie French foot feeing them amazed, mounted to the breach, and cut theft) all in pieces, except a puniihment. fajr youngluftie maid of Piednwunt, which a greatLord would have kept and preferved for him to keep him companie in the night, for fear of the greedie wolf. The Captain and Enfign were taken alive, but foon after were hanged upon the gate of the Cittie, to the end they might give example and fear to the Imperial fouldiers not to beeforafliand foolifh,to bee willing to hold fuch places againft fo great an Annie. Now all the faid fouldiers of thcCaftle, feeing our people co'mming with a moft vio- lent fork, did all their endevour to defend themfelvs, they kil'd and hurt a great companie of our foul- diers, with pikes, muskets, and ftones,where the Surgeons had good ftore ofworkcutout. Now at that time I was a frefh water fouldier, I had not yet feen wounds made by gun-fhot at the firft drefling. It is Coanfei of true51 had read in John de in the firft book of Wounds in General, the eighth Chapter, v£>. that wounds made by weapons of fire did participate of Vcnenofitie, by reafon of the powder, and for their cure command's to cauterize them with oil of Elders fcalding- hot, in which fhould bee mingled a little treacle; and not to fail,before I would applie of the faid oil,knowing that fuch a thing might bring to the patient great pain, I was willing to know firft, before I applied it, how the other Surgeons did for the firft drefling, which was to applie the faid oil the hotteft that was poflible into the wounds, with tents and fetons j infomuck that I took courage to do as they did. At laft I wanted oil, and was conftrained in ftead thereof, to applie a digeftive of yelks of eggs, oil of rofes, and turpentine. In the night I could not fleep in quiet, fearing fom default in not cauterizing, that I fhould fitide thofe to whom 1 had not ufed the burning-oil dead inipoifoned; which made mee rife veriC earlie to where beyond my expe&ation, I found thofe to whom I had applied my digeftive medicine, abKan's to feel little plain, and their wounds without inflammation or tumor, having refteditafo- happie fuccefs. nayc night: the other to whom was ufed the faid burning-oil, I found them fevc- rifh, with great pain and tumor about the edges of their And then I refolved with my fell, no6- ver fo cruelly to burn poor men wounded with gun-fhot. Beeing at I found a Surgeon,Who had the fame above all others, for the curing of wounds of gun-fhot, into whofe favor I found toeans to in- finuatc my felf, to have the receit of his Balm , as hee called it wherewith hee drefTed wounds of that kinde, and hee held mee of the fpace of two years, before I could poflible draw the Receit from him. In the end by gifts and prefents hee gave it mee, which was this6 to boil young whelps new pupped, in 768 Jn Apologie or Treatif, LIB.29. oil of Lilies, prepared earth-worms, with Turpentine of Venice. Then was I joifuland wounds whhtOr my heart made glad, that I had underftood his remedie, which was like to that which I had gun fliot. obtained by great chance. See then how I have learned to drefs wounds made with gun- fhot, not by books. My Lord Marfhal of Montian remained Lieutenant-General for the King in Pied- mont, having ten or twelv thoufand men m garrifon through the Citties and Caftles , who often com- bated with fwords and other weapons, as alfo with muskets j and if there were four hurt, I had alwaies three of them; and if there were queftion of cutting off an arm or a leg, or to trepan, or to reduce a frafture or diflocation, I brought it well to pafs. The (aid Lord Marfhal Cent mee one while this waie, another while that waie, for to drefs the appointed Souldiers which were beaten as well in other Citties as that of 'Thurin, infbmuch that I was alwaies in the Countrie one waie or other. Monfieur the Mar- fhal fent fora Phyfician to Milan,who had no lefs reputation in the medicinal Art (then the difeafed Monfieur le Grand') to take him in hand for an hepatical flux, whereof at laft hee died. This Phyfician was a certain while at Tburin to deal with him, and was often called to vifit the hurt people, where hee alwaies found mee, and I confulted with him, and fom other Surgeons, and when wee had refblvedto do anie ferious work of Surgerie, 'twas Ambrofe Pare that put his hand thereto, where I did it promptly and with dexteritie, and with a great aflurance, in fo much that thefaid Phyfician admired mee, to fee mee Co readie in the operation of Surgerie, feeing the fmall age which I had- One daie difcourfing with the faid Lord Marfhal, hee laid to him, Signor tu, hai un Chirurgico giovane di anni, ma egli g vec- ckjo di fafere e di efperientia. Guarde lo bene, percbe egli ti far a fervicio & bonore. That is to faie, Thou halt a young Surgeon of age, but hee is old in knowledg and experience , preferv him well, for hee will do thee fervicc and honor. But the old man knew not that I had dwelt three years in the Hofpitai of Paris, there to drefs the difeafed. In the end Monfieur Marfhal died with his hepatical flux. Beeing dead, the King lent Monfieur the Marfhal of Annebaut to bee in his place, who did mee this honor to praie mee to dwell with himj and that hfee tvould ufe mee as well or better, then Monfieur the Marfhal Montian; which I would not do for the grief I had for the lots of my mailer who loved mee intimately,and I him in the like manner 5 and fo 1 came back to Paris* T Went to the Camp of Marolle, with the deceafed Monfieur de Roban, where King Francis was in perfon; and I was Surgeon of the companie of the faid Monfieur de Rohan. Now the King was advertifed by Monfieur de Eftampes, governor of Britanie, that the Englifh had hoift fail to land in Low Britanie, andpraied him that hee would fend Monfieur de Roban, and Monfieur Jr Laval for fuccour, becaufthey were the Lords of that Countrie, and for their fakes thofe of that Countrie would beat back the enemie and keep them from landing. Having received this advertife- ment, his Majeftie difpatched to fend the faid Lords for the relief of their Countrie , and to each was given as much power as to the Governor; in fo much that they were all three the King's Lieutenants. They took willingly this charge upon them, and fpeedily went away in Pofte, and lead mee with them to Landreneau, there where wee found everie one in arms, the Alarum-bells founding on everie fide, yea, five or fix leagues about the Harbors, that is to faie, Breft, Conquet, Crozon, Le Fou Donlac, Laudanec, each of them well furnifht with Artillerie; as Cannons, Demie-cahnons, Culverins, Sakers, Serpentines, Falcons, Harquebuzcs: in brief, there was nothing wanting in Artillerie, or Souldiers, as well Britains as French, to hinder that the Englifh made no landing, as they had refolved at their parting from Eng- land. The enemie's Armie came unto the verie mouth of the Cannon, and when wee perceived them that they would land, they were faluted with Cannon-fhot, and wee difeovered our men of War, toge- ther with our Artillerie i they fled to Sea again : where J was glad to fee their veflels hoif fail again, which was in a great number and in good order,and feemed like a forreft which march- ed upon the Sea. I faw a thing alfo whereat I marvelled much, which was,that the bullets of great peeces made great rebound's, and grazed upon the water as upon the ground. Now to make the matter fhort, the Englifh did us no harm, and returned whole and found into England,and left u$ in peace. Wee ftai'd in that Countrie in garrifon, till wee were allured that their Armie was difperfed. In the mean time our horf-men exerdfed their feats of aftivitie 5 as to run at the ring, fight in duel, and others , fo that there was frill fomthing to emploie mee withal. Monfieur de Eframfes, to make fport and pleafure to faid Monfieur de Roban,and Laval,and other gentlemen, caufleddiverf Countrie wenches, to com to the feafts, to ling fongs in the Low Braitain tongue, where their harmonie was like the croaking of Frogs, while they are in love. Moreover made them dance the Britanie Lriorie, without moving feet or Buttocks, hee made them hear and fee much good. Otherwhiles they caufled the Wraftlers of the Citties, and T owns, to com where there was a Prize for the beft, and (port was feldom ended, but that one or other had a leg or arm broken, or the fhoulder or hip difplaced: there was a little man of Low Britanie of a fquare bodie and well fet, who held along time the cre- dit of the field, and, by his skill and ftrength, threw five or fix to the ground; there came to him a great fchool-malter, who was faid to bee one of the beft Wraftlers of all Britanie: hee entred into the lifts,ha- ving taken off his long jacket, in hole and doubler, and beeing neer the little man, hee feemed as if hee had been tied to his girdle. Notwithstanding when each of them took hold of the collar, they were a long time without doing anie thing, and they thought they would remain equal in force and skill: but the little man caft himfelf with an ambling leap under this great Pedant, and took him on his fhoulder, and caft him on his kidnies fpread abroad like a frog, and then all the companie laugh't at the skill and ftrength of the little fellow- This great Dative had a great fpight, for beeing caft by fb little a man: hee rofe again in choler, and would have his revenge. They took hold again of each other's collar, and were again a good while at their hold without fallingto the ground :in the end this great man let himfelf Witneft oF the dexteritie. of the Autor The death of Marthal Montian- TheVoiageof Marolle and ©flow Brita- nie, 1543. The Englifh retire. Dances of the Conntrie wenches. Wraftlerazlit- tle Britain a good wraftkr. Lib.19. concerning diverj Poiages. 769 uinkii'dBri' fall uPon the little, and in falling put his elbow upon the pitch of his ftomach,and Uln ' ' burft his heart, and kil'd him ftark dead. And knowing hee had given him his death's blow, took again his long caffock, and went away with his tail between his legs and hid himfelf, feeing that the little man came not again to himfelf, either for wine, vineger, or anie other thing that was prefen- ted unto him; I drew near to him, and felt his pulf which did not beat at all, then I faid hee was dead: then the Britans who affifted the wraftlingfaid aloud ini their jabberring, that is not in the fport. And fom faid that the faid Pedagoge was accuftomed to do fo, and that but a year palled hee had don the like in a Wraftling. I would need's open the bodie to know the cauf of this fudden death, where I found much blood in the Thorax and in the inferior bellie, andl ftrived to finde out anie 'a- pertion in the place, from whence might ilTue fo great a quantitie of blood, which I could not do for all the diligence I could make. Now I beleev it was perDiapedefin or ; that is to faie, by the apertion of the mouths of the velfels, or by their porolities; the poor little Wraftler was bu- ried.I took leav of Meffieurs de Laval&nd Efiatnps. Monfieur de Rohan,gave mec a prelent offiftie double duckets, and an ambling-horf, and Monfieur de Laval another for my man, and Monfieur de Eftamps, a Diamond of thirtie Crowns, and fo I returned to my houf at Paris. A Little while after Monlieur de Rohan took mee with him pofte, to the camp of Parpig- nan ; beeing there, the enemie made a Sallie forth, and came and inclofed three pieces of our Artillerie, where they were beaten back to the gates of the citie: which was not don without hurting and killing manie, and amongft the reft de Brijjac, (who was then chief mafter of the Artillerie) received a musket {hot upon the Ihoulder: returning to his Tent, all the others that were hurt followed him, hoping to bee dreft by the Surgeons, that ought to drefs them. Beeing com to his Tent and laid on his bed, the bullet was fearched for by three or four the moft expert Surgeons of the Armie, who could not finde it, but laid it was entred into his bodie. In the end hee called for mee, to fee if I were more skilful then them, becauf hee had known mee before in Piedmount: by and by 1 made him rife from his bed, and praied him to put his bodie into that pollute as it was then when hee received his hurt; which hee did, taking a javelin be- tween his hands as hee held the Pike in theskirmilh. 1 put my hand about the wound, and found the bullet in the flelh, making a little tumor under the Omoplate : having found it I ftieiwed them the place where it was, and it was taken out by Mafter Nicolas Lavernaut Surgeon to Monlieur the Dolphin, who was the King's Lievtenant in that armie,yet notwithftanding the honor remained to mee for findeing it. I law one thing of great remark, which is this : That a fouldier in my prefence gave to one of his fellows a ftroke with an Halbard upon the head, penetrating even to the left ventricle of the brain, without falling to the ground. Hee that ftroke him faid, Hee had heard that hee had chea- ted at dice,and that hee had drawn a great fum of monie,and that it was his cuftom to cheat;! was called to drels him, which I did as it were for the laft,knowing well that hee would quickly die : having dreft him hee returned all alone to his lodging,which was at leaft two hundred paces diftant: 1 bid one of his companions fend for aPrieft to dilpofe of the affairs of his Ibul; hee help'c him to one who ftaid with him to the laft galp. The next daie the patient lent for mee by his lhee-friend in a boie's apparel to com to drels him, which I would not do, fearing hee (hould die under my hands; and to put it off, I faid I muft not take of thedrefling till the third daie, by reafon hee would die though hee were never touched. The third daie hee came ftaggering, and found mee in my Tent accompanied with his wench, and prai- ed mee moft affectionately to drels him: And [hewed mee a purf wherein hee had an hundred or fixicore pieces of gold, and that hee would content mee to my defire ; for all that, yet notwithftanding I left not off to defer the taking off his dreifing, fearing left hee fhould die at the fame inftant. Certain gentlemen defired mee to go drefs him, which I did at their requeft,but in drelfing him hee died under my hands in aConvulfion. Now this Prieft accompanied him until death, wholeazed upon the purf left another Ihould take it, faying,Hee would faie Malles for his foul. Moreover hee furnifht himfelfwith his cloaths, and with all the reft of his things. I have recited this Hiftorie as a monftrous thing, that the Souldier fell not to ground when hee had received this great ftroke, and was in good fenfes even till death. Soon after, the Camp was broken for divers cauffes ; the one, becauf wee were advertifed that four companies of Spaniards were entred into Parpignam; the other, that the plague begun much in our camp; and it was told us by the people of thecountrie , that Ihortly there would bee a great over-flowing of the Sea, which might drown us all; and the prefage which they had, was a verie great winde from Sea, which arofe in liich manner that there remained not one Tent which was not broken and overthrown , for all the ftrength and diligence that could bee given; and the Kitchins beeing all uncovered, the winde raifed fo the duft and fand, which lalted and pondered our meat in fuchfort, that wee could not eat it, fo that wee were conftrained to boil it in pots and other veflels well covered. Now wee did not un-camp our felvs in fo good time, but that there were many Carts and Carters Mules, and Mule-drivers drowned in the Sea, with great lofs of baggage. The Camp broken, I returned to Paris. King Francis railed a great Armie to viftual Landrefy: on the other fide, the Emperor had no lels people, yea much more ; that is to faie, eighteen thouland Germans, ten thou- fand Spaniards, fix thoufand WaUonsy ten thoufand English, and a matter of thirteen or four- teen thoufand Horf. I flaw the two Armies near one another, within Cannon-fhot, and it was thought they would never part without giving battel. There were fom certain foolilh gentlemen who would approach the enemie's Camp; certain fliot was made at them, and fom died at the place, others had their legs or arms carried away. The King having don what hee defired3 which was to visual Landrefy, reti- red The bodie opened by the Autor. The Voiage ofParpignan, >5<r Addrefi 'of the Autor. Hiftorie. TheVcage to Landrefy, *544. An Apologie or Treatif, LlB.Zp. 770 tired himfelf with his armie to Guife, which was the daie after All-Saims, one thoufand five hundred fortie four, and from thence I returned to Paris. A Little while after wee went to Boulogne, where the Engliffi feeing our Armie, left the Forts which they had, that is to faie,Moulamhert ; the little Paradife, Monplaifir, the fort of Sbatillon, the Portet,the fort Dardelot. One daie going through the Camp to dreft my hurt people, the enemies who were in the Tower of Order, (hot off a piece of Ordnance, thinking to kill hodmen which ftai'd to talk one with another.lt happened that the bullet pafled verie near one of them which threw him to the ground, and 'twas thought the faid bullet had toucht him, which it did not at all,but onely the winde of the faid bullet in the mid'ft of his coat, which went with fuch a force that all the outward part of the thigh became black and blue, and had much ado to (land. I dreft him, and made him divers Scarifications to evacuate the contufed blood, which the winde of the laid bullet had made * & the rebounds that it made on the ground,kil'd four fouldiers which remained dead in the place. I was not far from this ftroke, fo that 1 felt fomwhat the moved air, without doing mee anie harm,then a little fear which made mee ftoop my head verie low,but the bullet was alreadie pafled far beyond mee. TheSouldiers mockt mee to bee afraid of a bullet alreadie gon. (My little Mafter) I think if you had been there, that I had not been afraid alone, and that you would have had your fhare of it. What (hall I (aie more > Monfieur the Duke of Guife,Francis of Lorrain, was hurt before Bullogne with a ftroke of a Lance, which above the right eie, declining towards the noft, entered and pafled quite through on the other between the nucha and the ear , with fo great a violence, that the head of the Lance with a great part of the wood was broken and remained within, in fuch fort that it could not bee drawn out but with great force, yea,with Smith's pincers. Notwithftanding all thia vio- lence which was not don without breaking of bones, nervs, and arteries, and other parts 5 my Said Lord, by the help of God,was cured: the Said Lord went alwaies with open face, which was the cauf that the Lance went through on the other fide. {T Went the Voiage to Germanie in the year 1552. with Monfieur de Bohan Captain of fiftie Ihorfi where I was Surgeon of his companie, which I have faid alreadie. In this voiage Mon- fieur the high Conftable of France was General of the Armie: Monfieur de Cbaftillon, fince Ad- miral, was chief Colonel of the Foot, having four Regiments of Lanfquenets, under the Conduft of theft Captains, Recrod and Ringrave, having each of them two Regiments, each Regiment was of ten Enfigns, and each Enfign of five hundred men. And befides theft, was Captain Chattel, who conduced the troops that the Proteftant-Princes had lent to the King. This was a verie companie on foot, accom- panied with fifteen hundred Hor£ with the following of each one two Archers, which might make Four thoufand and five hundred Horf, befides two thoufand Light horf, and as manie musketeers on horf-back, of whom Monfieur de Aumalle was General, befides the great number of Nobilitie who came for their pleafure. Moreover, the King was accompanied with two hundred Gentlemen of his houG and likewife with divers Princes ; there was alfo for his troop that ftrved him , the French Scottifb, and Sniffers Guards, amounting to fix hundred men on foot, and the Companies of Monfieur the Dolphin, Meffteres de Guife, de Aumalle, and of the Marftial of Saint Andrew, which amounted to four hundred Lances, which was a marvellous thing to ftefuch a fair Companie 5 and in this equipage the King entered into Dbou and Mets. I will not omit to tell that it was ordained, that the Companions of Mefferes de Rohan, of the Count of Sancerr, of larnac, which was each of them of fiftie horifi went by the Wings of the Camp; and God know's wee had (carcitie of viftuals, and I proteft to God, that at three divers times I had thought I fliould have been famiffit, and it was not for want of monie, fori had enough, and wee could not have viftuals but by force, by reafon that the Pefants withdrew it all into the Cities and Caftles. One of the fervants of a Captain of the companie of Monfieur de Rohan, went with others thinking to enter into a Church where the Pefants were retired, thinking to finde viduals by force or love: but amongft the reft this man was well beaten, and returned with (even wounds, with a fword in the head; the leaft of which penetrated the fecond table of the fcull, and heehad four other upon the arms, and upon the right (houlder, which cut more then one half of the blade-bone,or Omoplate. Hee was brought back to his matter's lodging, who fteing of him (b wounded, and they were to depart thence the mor- row after at the break of daie, and not thinking ever hee could bee cured, made him a grave, and would have caft him therein, faying that, or elf the Pefants would maffacreand kill him 51 mov'd with pittie, told him,that hee might bee cured if hee were well dreft: divers Gentlemen of the companie praied him thathee would cauf him to bee brought along with the Baggage, feeing I had the willingnefs to dreft him; to which hee agreed, and after that I hadcloth'd him, hee was put up into a cart upon a bed well covered and well accommodated, which one horf did draw. I did the office ofaPhyfician,Apothecarie, Surgeon, and Cook; I dreft him even to the end of his cure, and God cured him, in fo much that all theft three Companies admired at this cure. The horf-men of the companie of Monfieur de Rohan, the firft mutter that was made, gave mee each one, one Crown,and the Archers half a Crown. AT the return from the German Camp, King Henrie befieged Danvilliers, thofe within would not render. They were well beaten, and our powder failed us, in the mean time they (hot much at our people. There was a Culverin-ffiot pafled a traverf the Tent of Mon- fieur'de Rohan, which hit a Gentleman's Leg, which was of his train; which I was fain to finiffitlie cutting off, the which was don without applying hot irons. The King fent for powder to Sedan, which beeing com, they began a greater batterie then before, m fiich fort that they made a breach. Meffiers de Guife, and the high Conftable beeing in The Voiigeof Boulogne. M45f The hurt of Monfieur dtGuife. The Voiageof Germanic. The Voiageof Danvilliers. »5S». Another; Hiftorie. LlB.Zp. conteining divert Voiages. 771 in the King's Chamber, told him they concluded the next daie to make aflault, and that they were afe fured they fhould enter into it, and that they Ihould keep it fecret left the enemie were advertifed. And all of them promifed not to fpeak of it to anie one- Now there was a groom of the King's chamber who laie under the King's bed in the Camp to deep, underftood that they refolved the next daie to give an aflault, hee prefently revealed it to a certain Captain, and told him that for certain, the daie follow- ing aflault Ihould bee given, and that hee had heard it of the King, and praied the laid Captain that hee would not (peak a word of it to anie bodie, which hee promifed 5 but his promife was not kept, for at the fame inftant, hee went and declared it to a Captain, and this Captain to another Captain, and from the Captains to fbm of the fouldiers, faying alwaies, faie nothing. It was fo well hid that the next daie early in the morning, there was feen the greateft part of the Souldiers with their round hole and their breeches cut at knee for the better mounting at the breach. The King was advertifed of the yumor which run through the Camp, that the aflault muft bee given, whereof hee much marvelled, feeing there were but three of that advife, which had promifed one to another, not to tell it to anie one. The King lent for Monfieur de Guife, to know if hee had not talked of this aflault; hee (wore and affirmed to him hee had not told it to anie bodie; and Monfieur the Conftable faid as much 5 who faid to the King,hee muft exprefsly know who had declared this fetret Counfel; feeing they were but three. Inquifition was made from Captain to Captain, in the end the truth was found ; for one laid 'twas ftich a one told mee, another faid as much, till at length they came to the firft, who declared hee had learned it of a Groom of the King's-Chamber, named Guyard, born at Blois, the fon of the deceafed King Fran- cis his Barber. The King lent for him into his Tent, in the prefence of Monfieur de Guife, and of Mon- fieur the Conftable, to underftand from him whence hee had it, and who told him that this aflault was to bee given. The King told him, that if hee did not tell the truth, that hee would cauf him to bee han- ged j then hee declared, hee laie down under his bed thinking to Heep, and fo having heard it, hee decla- red it to a Captain who was a friend of his, to the end hee might prepare himfelf with his Souldiers the firft for the aflault. After the King knew the truth; hee told him hee fhouId never ferv him again, and that hee deferved to bee hanged , and forbid him ever to com again to the Court. My Groom of the Chamber went away with this fad news, and laie with one of the King's Sur- geons in Ordinarie, named Mafter Lew, and in the'night gave himfelf fix wounds with a knife, and cut his throat 5 yet the faid Surgeon perceived nothing till morning, till hee faw the bed bloodie, and the dead bodie by him: hee much marvelled at this fpe&acle upon his waking, and was afraid left they fhould faie hee was the cauf of this murther; but was fbon free'd, knowing the cauf to bee from defperation, having loft the good amitie which the King bore to him. The faid Guyard was buried. And thofe of Vanvilliers when they faw the breach large enough for them to enter in, and the Souldiers prepared for the aflault, yeelded themfelvs to the mercie of the King. The chief of them were prifbners, and the Souldiers lent away without arms. The Camp beeing broken up I returned to Faris with my Gentleman whole leg I had cut off, Idrefthimand God cured him; Ifent him to his houf merrie with his wooden leg, and was content, faying thathee efcaped good cheap, not to have been mi- ferable burnt, as you write in your book, my little Mafter. A Little while after, King Henrie levied an Armie of thirtie thoufand men , to go make fpoil about Hedin> The King of Navarre who was then called Monfieur de Vendo[me, was chief of the Armie, and the King's Lievtenant. Beeing at S. Denis in France, flaying while the Companies pafled by, hee lent for mee to Paris to com fpeak with him $ beeing there,hee praied mee, and his requeft was a command, that I would follow him this Voiagdjand I about to make my excufe, told him my wife was fick in her bed ; hee made mee anfwer, That there were Phyficians at Paris for to cure her; and that hee as well left his own , who was as well des- cended as mine; promifing mee that hee would ufe mee well, and forthwith gave command that I fhould bee lodged as one of his Train. Seeing this great affeftion, which hee had to lead mee with him, 1 durft not refufe him. I went and met with him at the Caftle of Compt, within three or four leagues of Hedin, there where there was the Emperor's Souldiers in garrifon with a number of Peffants round about: hee caufled them to bee fummoned to render themfelvs 5 and they made anfwer they fhould never have them but by pieces, and let them do their worft, and they would do their belt to defend themfelvs. They put confidence in their ditches full of water, and in two hours with a great number of Bavins, and certain emptie Casks, waie was made to pate over the Foot: when they muft go to the aflault and were beaten with five pieces of Cannon, till a breach was made large enough to enter in, where they within received the aflau t verie valiantly, and not without killing and hurting a great number of our people with musket-fhot, pikes, and ftones. In the end when they faw themfelvs conftreined, they put fire to their powder and munition, which was the cauf of burning manic of our people, and their's like- wife, and they were all almoft put to the fword. Notwithftanding fom of our Souldiers had taken twentie or thirtie, hoping to have ranfom for them. That was known, and ordered by the Counfel, that it fhould bee proclamed by the Trumpet through the Camp, that all Souldiers who had anie Spaniards prifbners, were to kill them, upon pain to bee hanged and ftrangled, which was don upon cold blood. From thence wee went and burnt divers Villages, whofe barns were hill of all kinde of grain, to my great grief. Wee went along even to Tournahan, where there wasa verie great Tower where the Enemies retired, but there was no man found in it, all was pillaged,and the Tower was made to leap by a Mine, and then with gun-powder turned topfie-turvie. After that, the Camp was broken up, and I returned to Paris. I will not yet forget to write that the daie af- ter the Caftle of Compt was taken, Monfieur de Vendofine tent a Gentleman to the King to make report to him What it is to reveal the fe- Crets of Prin- ces. TheVoiage of Caftle the Comptjsjz. The King of Navarre prat- ed the Autor to follow him Hiftorie of defperate people. The taking of Cattle of Compt. 772 An zApologie or Treatif, LlB.lp* him of all which had palled, and amongft other things, told the King that 1 had greatly don my dutie in drelling thole that were wounded , and that I had (hewed him eighteen bullets which I had taken or drawn out of the hurt bodies, and that there were divers more which I could neither finde, nor draw out, and told more good of mee then there was by half. Then the King faid hee would have mee into his lervice, and commanded Monfieur de Gogui er his chief Phyfician to write meedown as entertained one of his: Surgeons in ordinarie, and that llhould go meet with him at Rbeimes within ten or twelv daies; which I did, where hee did mee the honor to command mee that I would dwell near him, and that hee would do mee good. Then I thank'd him moft humbly for the honor it plealed him to do mee, in calling mee to his lervice. THe Emperor having befieged Mets, and in the hardeft time of winter, as each one know's of frelh memorie: and that there was in theCittie five or fix thoufand men,and amongft the reft (even Princess that is to faie, Monfieur the Duke of Guife the King's Lievtenant, Meflieurs d' Anguien, de Conde, de Montpenfter, de La Roch uprn Ton, Monfieur de Nemours, and di- vers other Gentlemen, with a number of old Captains of War, who often made Tallies forth upon the enemies, (as wee (hall (peak of hereafter) which was not don without flaying ma- nie, as well on the one fide as the other. For the moft part all our wounded people died, and it was thought the medicaments,wherewith they were drefled,were poifoned; which caufled Monfieur de Guife and other Princes to lend to the King for mee, and that hee would lend mee with Drogues to them, for they beleeved their's were poifoned, feeing that of their hurt people few efcaped. I do not beleev there was anie poifon, but the great ftrokes of the Cutlafles, musket-(hot, and the extremitie of cold was the caufi The King caufled one to write to Monfieur the Marlhal of S. Andrew which was his Lievtenant at Verdun, that hee found fom means to make mee enter into Mets. The faid Lord Marlhal of S. Andrew and Monfieur the Marlhal of old Ville, got an Im/mw Captain, who promiled them to make mee enter in, which hee did, and for which hee had fifteen hundred Crowns: the King having heard of the promift which the Italian Captain had made, fent for mee, and commanded mee to take of his Apothecarie named Daigue, liich, and as manie Drogues as I Ihould think fit for the hurt who were befieged, which I did, as much as a poft-horf could carrie. The King gave mee charge to (peak to Monfieur de Guife, and to the Princes, and Captains who were at Mets. Beeing arrived at Verdun, a few daies after the Monfieur the Marlhal of S. Andrew, caufled horles to bee given to mee, and my man,and for the Italian, who Ipake verie good high Dutch, Spanifb,and JVallon, with his own natural tongue. When wee were within eight or ten Leagues of Mets, wee went not but in the night, and beeing near the Camp, I faw a league and a half off bright fires about the Cittie, which feemed as if all the earth were on fire, and I thought wee could never pals through thole fires without beeing difco- vered, and by confeqftent bee hanged and ftrangled, or cut in pieces , or paie a great ranfom. To fpeak truth, I wilhed my felf at Paris,for the imminent dianger which I fore-law. God guided lb well our af- fairs that wee entred into the Cittie at midnight with a certain Token , which the Captain had with another Captain of the companie of Monfieur de Guife: which Lord 1 weut to, and found him in bed, who received mee with great thanks, beeing joiful of my comming. I did my meflage to him of all that the King had commanded mee to faie to him; I told him I had a little letter to give to him, and that the next daie I would not fail to deliver it him. That don, hee commanded mee a good lodging, and that I Ihould bee well uled, and bid mee I Ihould not fail to bee the next daie upon the Breach, where I Ihould meet with all the Princes, and divers Captains, which I did 5 who received mee with great joie, who did mee the honor to imbrace mee, and tell mee I was verie welcom, adding withal, they did not fear to die if they Ihould chance to bee hurt. Monfieur de la Rech upon Ton was the firft that feafted mee, and inqui- red of mee what they faid at the Court concerning the Cittie of Mets: I told him what I thought good- Then prelently hee defired mee to go fee one of his Gentlemen, named Monfieur de Magnane, at this pre- fent Knight of the King's Order, and Lievtenant of his Majeftic's Guard 5 who had his leg broken by a Cannon-lhot. I found him in his bed, his leg bended and crooked , without anie drefling upon it 5 be- cauf a Gentleman promifed him cure, having his name, and his girdle, with certain words. The poor Gentleman wept, and cried with pain which hee felt, not fleeping either night or daie, in four daies: then I mock't at this impofture and falf promile. Prelently I did fo nimbly reftore and drefs his Leg, that hee was without pain and Hept all night, and fince (thanks bee to God J was cured, and is yet at this prefent living,doing fervice to the King. The faid Lord of the Roch upon Ton fent mee a tun of wine to my lodging, and bid tell mee, when it was drunken hee would lend mee another. Thar don, Monfieur de Guife gave mee a lift of certain Captains and Lords, and commanded mee to tell them what the King had given Mee in chargejvvhich 1 did,vvhich was to do his commendations and a thankf- giving for the dutie they had don, and did in the keeping of the Cittie of Mets, and that hee would ac- knovvledg it. I was more then eight daies in acquitting my charge, becauf they were manie 5 firft to the Princes and others; as the Duke of Horace, the Count of Martigues, and his brother, Monfieur de Bauge, the Lords Montmuranc'/, and d'Anvilkithen Marlhal of France, Monfieur de La Chapel, Bonnivet Caroug now Governorof Rohan, the Vadafme of Chartres, the Count of Lude, Monfieur de Biron now Marlhal of France, Monfieur de Randan the Rochfoucaut, Boxdaille d'Etrez, the younger , Monfieur de S. John in Dol- phin), and manie others which it would bee too long to recite; and chiefly to divers Captains who had verie well don their dutie in defenfof their lives and Cittie. 1 demanded afterwards of Monfieur de Guife, what it plealed I Ihould do with the Drogues which I had brought, hee bid mee impart them to the Surgeons and Apothecaries, and chiefly to the poor hurt Souldiers in the Holpital which were in great number; which I did, and can affure you, I could not do fo much as go and fee them, but they lent The Voiage of Mets,i$5 2, The names of the Princes who were at the fiegeof Mets. Commifsion of the Autor» Hiftorie. -LlB.Zp. containing diverf Votages. 773 (ent for mee to vifit and drefs them. All the befieged Lords praied mee carefully to follicite above all others Monfieur de Pienne who was hurt at the breach by a ftone railed by a Cannon-lhot in the Temple with a fra&ure, and deprelfing of the bone. They told mee that prefently when hee received the ftroak, hee fell to the earth aS dead, and caft blood out of his mouth , and ears with great vomitings, and was fourteen daies without fpeaking one word, or having anie realon; there happened to him alfo ftartings fomwhat like Convuliions, and had all his face fwell'd and livid. Hee was trepan'd on the fide of the temporal mufcle upon the Os Coronate. I dreft him with other Surgeons, and God cured him j and is at this daie living, God bee thanked. The Emperor caufled batterie to bee made with fortie double Cahnons, where they fpared no powder night nor daie. Prefently when Monfieur de Guife law the Artillerie feated to make a breach, hee made the neareft hou- <es to bee pulled down to make Ramparts, and the polls and beams were ranged end to end, and be- tween two clods of earth, beds and packs of wool, and then other polls and beams were put again up- on them as before. Now much wood ofthe houles of the Suburbs, which had been put to the ground for fear left the enemie Ihould bee lodged, clofe covered, and that they fhould not help themfelvs with anie woodjlerved well to repair the Breach. Everie one was bufied to carried earth to make the Ram- parts night and daie. Meflieres the Princes, Lords and Captains, Lievtenants, Enfigns, did all carrie the Basket,to give example to the Souldiers and Citizens to do the like,which they did: yea, both Ladies and Gentlewomen, and thole which had not baskets , helpt themfelvs with ket- tles, panniars, lacks, Iheets, and with what elf they could to carrie earth ; in lb much that the enemie had no Iboner beaten down the Wall, but hee found behinde it a Rampart more ftrong. The Wall bee- ing fain, our Souldiers cried to thofe without, the Fox, the Fox, the Fox, and fpake a thoufand inju- ries one to another. Monfieur de Guife commanded upon pain of death that no man Ihould fpeak to them without, for fear left there fhould bee fbm Traitor who would give them intelligence what was don in the Cittie ; the command made, they tied living Cats at the end of their Pikes, and put them upon the Wall, and cried with the Cats, miau, miau. Truly the Emperialifts were verie much vexed to have been lb long making a Breach, and at fb great expend which was the breach of fourfcore fteps , to enter fiftie men in front, where they found a Rampart more ftrong then the wall; they fell upon the poor Cats and (hot at them with their muskets as they ufe to do at birds.Our people did oftentimes make Tallies by the command of Mon- fieur de Guife. The daie before there was a great prefs to make themfelvs enrowled, who muft make the fallie, chiefly of the young Nobilitie,lead by well experimented Captains. Infomuch that it was a great favor to permit them to fallie forth and run upon the enemie : and they {allied forth alwaies the num- ber of one hundred, or fixfcore armed men with Cutlafles, Muskets, Piftols, Pikes, Partifans and Hal- berds , which went even to their trenches to awaken them. Where they prefently made an alarum throughout all their Camp, and their Drums founded, plan, plan, ta, ti,ta, ta, ta, ti,ta,tou, touf,touf: likewife their Trumpets and Cornets founded,to the faddle, to the faddle,to the faddle,to hor£ to horf, to the faddle, to horf. And all their fouldiers cri'd. Arm, arm, arm, to arms, to arms,to arms, arm, to arms, arm,to arms, arm to arms, like the crie after Wolvs, and all divers tongues, according to their Nations : and they were feen to go out from their tents, and little lodgings, as thick as little Bees, when their hive is difcovered 5 to fuccor their fellows , who had their throats cut like fheep. The horf-men likewife came from all parts, a great gallop, patati, patata, patati, patata, ta, ta, patata, pa- tata, and tarried well, that they might not bee in the throng, where ftroaks were imparted to give and receiv. And when our men law they were forced, they returned into the Citie,' ftill fighting, and thofe who run after were beaten back with the Artillerie which they had charged with flint-ftones , and four-fquare pieces of iron; and our fouldiers who were upon the faid Wall made a vollie of (hot, and fhowred down their bullets upon them like hail, to fend them back to their lodging, where divers remained in the place of the combat, and alfo our men did not all com with whole skins, and there ftill remained fom for the Tithe, who were joiful to die in the bed of honor. And where there was a horf hurt, hee was flaied, and eaten by the Souldiers in (lead of beef and Bacon , and it was fit I muft run to drefs our hurt men. A few daies after other fallies were made, which did much anger the enemies, becauf they did not let them fleep but little in fafetie. Monfieur de Guife, made a war-like ftratagem, which was, Hee lent a Pefant who was none of thewifeft with two pair of letters toward the King, to whom hee gave ten Crowns, and promifed the King fhould give him an hundred, provided hee gave him the letters. In the one, hee fent word that the enemie made no fign of retiring himfelf,and by all force made a great Breach,which hee hoped to defend, yea,to the lofing of his life,and of all thofe that were within 5 and that the enemie had fo well placed his Artillerie in a certain place which hee named, that with difficultie was it kept that they had not entered into it, feeing it was a place the moft weak of all the Cittie: but hee hoped quickly to fill it up again in fuch fort, that they cannot bee able to enter. One of thefe Letters was fewed in the lining of his doublet, and hee was bid to take heed that hee told it not to anie man. And there was alfo another given to him", wherein the faid Monfieur de Guife fent word to the King, that hee and all the befieged did hope well to keep the Citie, and other matters which I ceaf to fpeak of. They made the Pefant go forth in the night, and prefently after hee was taken by one that flood Sentinel, and carried to the Duke of Albe, to underfland what was don in theCittie, and they asked him if hee had anie letters, hee faid, yes, and gave them one 5 and having feen it, hee was put to his oath, whether hee had anie other, and hee (wore, not j then they felt and fearch't him,and found that which was lewed to his doublet, and the poor meflenger was hanged. The (aid letters were communicated to theEmperor,who caufled his counfcl to bee called there,where V v v it The hurt of Monfieur di Pienne, tre- pan'd and cu- red. Princes carried the Baskets. Breach. 774 An Abologie or Freatif LIB.29. it was refolved, fincethey could do nothing at the firft breach , that preiently the Artillerie (hould bee drawn to the place which they thought the moft weak,where they made great attempts to make another breach, and dig'd and undermined the wall, and endevoured to take the Tower of Hell, yet they durft not com to the affault. The Duke of Albe declared to the Emperor that the fouldiers died daily, yet more then the number of two hundred, and that there was but little hope to enter into the Citie,feeing the feafon, and the great quantitie of Souldiersthat were there. The Emperor demanded what people they were that died, and if that they were gentlemen of remark or qualitie: anfwer was made, that they were all poor fouldiers; then laid hee,It make's no matter if they die, comparing them to caterpillers and grafhoppers, which eat the buds of the earth. And if they were of anie faihion, they would not bee in the Camp for twelv (hillings the month, and therefore no great harm if they died- Moreover hee faid,Hee would never part from before that Cittie, till hee had taken it by force or famine, although hee (hould lo(e all hrs Armie; by reafon of the great number of Princes which were therein, with the moft part of the Nobilitieof France. From whom hee hoped to draw double his expenf, and that hee would go once again to to vilit the Parifiens,and make himfelf King of all the Kingdom of France. Monfieurde Guife with the Princes , Captains, and Souldiers, and generally all the Citizens of the Cittie, having underftoodthe intention of the Emperor, which was to extirpate us all, they advifed of all they had to do : And fince it was not permitted to the Souldiers,nor Citizens, no nor to the Prin- ces, nor Lords themfelvs to eat either fre(h-fifh, or venifon,as likewife fom partridges,woodcocks,larks, plovers, for fear left they had gathered fom peftilential air which might give us anie contagion $ but that they (hould content themfelvs with the ammunition-fare 5 that is to laic, with bilquet, Beef, pou- dered-cows, lard, and gammons of bacon: Likewife fi(h5 as green-fifh, falmon , fturgcon , anchovies, pilchers and herrings, alfopeaf, beans, rift, garlike, onions, prunes, cheef, butter, oil, fait, pepper, ginger, nutmegs, and other Spiceries to put into pies, chiefly to horf-flelh, which without that would have had a verieilltafte 5 divers Cittizens having gardens in the Cittie fowed therein great Raddifhes, Turnips, Carrots, and Leeks, which they kept well and full dear, againft the extremitie of hunger. Now all thefe ammunition-vi&uals were diftributed by weight, meafure, and juftice, according to the qualitie of the perfon, becauf wee knew not how long the fiege would laft. For having under- flood from the mouth of the Emperor, that hee would never part from before Mets, till hee had taken it by force or famine; the visual s were leflened, for that which was wont to bee diftributed to three, was now (hared amongft four, and defenf made they fhould not fell what remained after their dinner, but 'twas permitted to give it to the wenches that followed the Camp , And role alwaies from table with an appetite, for fear they fhould bee fubjeft to take Phyflck. And, before wee would yeeld our felvs to the mercie of our enemies, had refolved to eat our Afles, Mules, Horfes, Dogs, Cats and Rats; yea, our boots and other skins which wee could foften and frie. All the befieged did generally refolv to defend themfelvs with all forts of Inftruments of War; that is tofaie, To rank, and charge the An- tillerie, at the entrie of the Breach, with bullets, (tones, cart-nails, bars, and chains of iron. Alfo all kindes and differences of artificial Fire 5 as Boertes, Bariquado's, Granado's, Ports, Lances, Torches, Squibs, burning-faggots. Moreover, foalding-water, melted-lead , powder of unquenched lime to blinde their eies. Alfo they were refolved to have made holes through and through their houles, there to lodg musketeers, there to batter in the flank and haften them to go , or elf make them lie for altogether. Alfo there was order given to the women to unpave the ftreets,and to caft them out at theit windows, billets,tables,treffles,forms,and (tools, which would have troubled their brains: moreover, there was a little further, a ftrong Court of Guard, fil'd with carts and pallifado's, pipes and hogfheads fil'd with earth for barriquado's to ferv to interlaie with faulcons, faulconets, field-pieces, harquibu- zes, muskets, and piftols, and wilde-fire, which would have broken legs and thighs, infomuch that they had been beaten in head, in flank, and in tail ; and where they had forced this Court of Guard, there was others at the crolfing of the ftreets, each diftant an hundred paces, who had been as bad com- panions as the firft, and would not have been without making a great manic Widdows and Orphans. And if fortune would have been fo much againft us, as to have broken our Courts of Guard, there was yet (even great Baftallions ordered in (quare, and triangle, to combate altogether, each one accompa- nied with a Prince to give them boldnefs, and encourage them to fight, even till the laft gafp, and to die altogether. Moreover it was refolved, that each one fhould carrie his treafure, rings and jewels , and their houfhold-ftuff of the beft, to burn them in the great place, and to put them into allies rather then theenemie (hould prevail, and make Trophies of their (poils ; likewife there was people appointed to put fire to the munition, and to beat out the heads of the Wine-cask, others to put the fire in each hou£ to burn our enemies and us together : The Cittizens had accorded it thus , rather then to fee the bloodie knife upon their throat, and their Wives and Daughters violated, and to bee taken by force, by the cruel and inhumane Spaniards, Now wee had certain prifoners which Monfieur de Guife font away upon their faith, to whom was fecretly imparted our laft refolution, will, and delperate mindes 5 who beeing arrived in their Camp, do not defer the publilhing; which bridled the great impe- tuofitie, and will of the fouldiers to enter anie more into the Cittie to cut our throats, and to enrich themfelves of our pillags. The Emperor having underftood this deliberation of the great Warriour, the Duke of Guife put water in his wine, and reftreined his great choler and fiirie, faying, Hee could not enter into the Cittie without making a great (laughter and butcherie, and (pill much blood, as well of the defendents,as of the a(Iailants,and that they (hould bee dead together,and in the end could have no- thing elf but a few a(hes,and that afterward it might bee (poken of that,as of the deftru&ion Jerufalem al- readiemade byT/tw & Fefpatian,The Emperor then having underftood our laft refolution,& feeing their little LiB.29. conteining diverj Voiages. 775 little prevailing by their batterie and undermining,and the great plague which was in his whole armie, and the indifpofition of the time, and the want of victuals and monie, and that his fouldiers forfook him,and went away in great companies; concluded in the end to retire themfelvs accompanied with theCavallerie ofhisVantgard, with the greateft part of his Artillerie, and the Battalia : The Marquefs of Brandeborg was the laft which uncampt, mainteined by certain bands of Spaniard/, Bohemians, and his Germane companies,and there remained one daie and a half after,to the great grief of Monfieur de Guife* who caufled four pieces of Artillerie to bee brought out of the Cittie, which hee caufled to bee difehar- ged at him on one fide 5 and the other to haften them to bee gon, which hee did full quickly.with all his Troops. Hee beeing a quarter of a league from Mets was taken with a fear left our Cavallerie fhould fait upon him in the Here,which caufled him to put fire to his munition-powder, and leav certain pieces of Artillerie,and much baggage which hee could notcarrie,becaufthe Vantgard,and the Battalia,and great Cannons had too much broken the waie. Our horf-men would by all means have gon out of the cittie to have fain upon their breech.But Monfieur de Guife would never permit them, but oh the contrarie wee fhould rather make plain their waie, and make them bridges of gold and filver, and let them go, beeing like to a good lhepherd, who will not lofe one of his flieep. See now how our well-beloved Imperialifts went away from before the Cittie of Mets,which was the daie after Cbri(hnas daie, to the great content- inent of the befieged, and hohor of Princes,Captains,and Souldiers, who had endured the travels of this liege the (pace of two months. Notwithftanding they did not all go, there wanted twentie thoufand who were dead, as well by Artillerie,by the fword,asalfo by the plague,cold, and hunger,and for fpight they could notenter into the Cittie to cut our throats, and have the pillage: and alfo a great number of their horfes died, of which they had eaten a great part in ftead of Beef and Bacon. They went where they had been encamped, where they found divers dead-bodies not yet buried, and the earth all digged like S. Innocent's Church-yard in the time of the plague. They did likewife leav in their lodgings,pavil- lions and tents, divers fick people: allo bullets, arms, carts, waggons, and other baggage, with a great manie of munition4oavs,lpoiled and rotten by the rain and (how,yet the fouldiers had it but by weight and meafure5 and likewife they left great provifion of wood,of the reiriainders of the houfes of the Vil- lages which they had pluckt down two or three miles compafs, likewife divers other houfes of pleaftire belonging to the Citizens,accompanied with fair gardens, grafs-plats fil'd with fruit-trees, for without that they had been ftarv'd with cold,and had been conftreined to have rais'd the fiege fooner. The Said Monfieur de Guife caufled the dead to bee buried, and drefs their fick people 5 likewife the enemies left in the Abbie of S. Arnoul divers of their hurt fouldiers which they could not lead with them : the Said Monfieur de Guife fent them all vi&uals enough, and commanded mee and other Surgeons to go drefs them and give them medicines 5 which wee willingly did, and think they would not have don the like toward others (becauf the Spaniard is moft cruel, perfidious, and inhumane,aiid therefore enemie to all Nations) which is proved by Lopez a Spaniard, and Benzo of Milan, and others who have written the hi- ftorie ot America, and the Wcft-Mw,who have been conftreined to confefe, that the crueltie, avarice, blalphemie, and wickednefs of the Spaniards, have altogether alienated the poor Indians from the Reli- gion which the Said Spaniards are faid to hold. And all write, they arc lefs worth then the Idolatrous Indians, by the cruel ufage don to the faid Indians. And a few daies after wee fent a Trumpet to I'bionville toward the enemie, that they fhould fend back for their wounded meh in fafetie, which they did with Carts and Waggons,but not enough. Monfieur de Guife,caufled them to have Carts and Carters, to help to carrie them to the Said Tbionwille. Our Said Carters beeing returned back, brought us word that the waie was paved with dead bodies, and that they never lead back the half,for they died in their Carts,and the Spaniards feeing them at the point of death, before they had caft out their laft gafp, caft them out of their Carts, and buried them in the mud and mire, faying, They had no order to bring back the dead. Moreover our Said Carters laid, they met by the waie divers Carts loaden with baggage flicking in the mire, which they durft not fend for back, for fear leftthofeof Utfets fhould fall upon them. I will again return to the caufof their mortalitie, which was principally through hunger, plague, and cold; for the fnow was two foot thick upon the earth, and they were lodged in the caves of the earth, oncly covered with a littlediraW. Notwithftand- ing each Souldier had his field-bed, and a covering ftrewed with glittering ftars, more bright then fine gold, and everie daie had white fheets , and lodged at the fign of the Moon, and made good cheer when they had it, and pai'd their hofte fo well over-night, that in the morning they went away quite, fhaking their ears, and they needed no comb to take away the doun out of their hairs either of head or beard, and found alwaiesa white table-cloth, lofing good meals for want of Viftuals. Alfo the greateft part of them had neither boots, nor buskins, flippers, hofe, or fhooes, and divers had rather have none then have them , becauf they were alwaies in mud, half waie of the leg; and becauf they went bare-leg'd , wee called them the Emperor's Apoftles. After the Camp was wholly broken, I diftributed my patients into the hands of the Surgeons of the Cittie , to finifh their cure: then I took leav of Monfieur de Guife, who came back toward the King , who received mee with a loving countenance , and demanded of mee how I did enter into the Cittie of eJWets. I recounted to him all that I had don , hee caufled two hundred crowns to bee given mee, and one hundred I had at my going out , and told mee hee would not leav mee poor 5 then I thanked him moft humbly for the good and the honor which hee pleafed to do mee. CHaris the Emperor caufled the Cittie of 'IberoHerme to bee befieged, where Monfieur, the Duke of Savoy, was General of the whole Armie: it was taken by aflault where there V v v 2 was TlieVoiage of Hedin.t 776 An Apologie or Freatlf, Lib. was a great number of our men Gain and prifoners. The King willing to prevent that the enemie fhould not alfo com to befiege the Cittie and Caftle of Hedin, fent Mefliers the Duke Boidllion, the Duke Horace, the Marquefs of Fillars, a number of Captains, and about eight hundred fouldiers, and during the fiege of Tiber ouenne,the Said Lords fortified the faid Caftle of Hedm,in fuch fort that it feenied impreg- nable. The King fent mee to the Said Lord to help them with my Art, if there were anie need. Now foon after the taking of Tiberoiienne, wee were befieged with the Armie: there was a quick clear fountain or Spring, within Cannon-(hot, where there was about fourfcore whores, and wenches of the enemies, who were round about it to draw water. I was upon a Rampart beholding the Camp, and feeing fo ma- nie idlers about the faid fountain, I praied Monlieur de Pont Commifiarie of the Artillerie, to make one Cannon-lhot at that roguilh companie, hee made mee much denial, anfwering mee that fuch kinde of people were not Worth the powder they fhould wafte. Again I praied him to level the Cannon, telling of him,the more dead,the fewer enemies ; which hee did through my requeft, and at that fhot fifteen or fixteen were kil'd,and manie hurt. Our fouldiers (allied forth upon the enemies, where there was minie kil'd and flain with musket-fliot and (words, as well on the one fide, as of the other, and our fouldiers did often make Callies forth upon the enemies before their trenches were made5 where I had much Work cut out,fo that I had no reft night nor daie for drefling the wounded. And I will tell this by the waie, that wee had put manie of them in a great Tower,laid upon a little ftraw,and their pillows were (tones, their coverlets were their cloaks, of thofe that had anie. WhiFft the batterie was making,as manie fhot as the Cannons made, the patients faid they felt pain iri their wounds, as if one had given them blows with a ftaff,the one cri'd his head,the other his arm,and fo of other partsjdivers of their wounds bled a fre(h,yea in greater quantitie then firft when they were wounded,and then it was 1 muft run to ftaic their bleeding. My little mafter,if you had been there,you had been much troubled with your hot-irons,you had need to have had much charcoal to make them red hot, and beleev they would have flain you like a Calf for this crueltie. Now through this diabolical tempeft of the Eccho from thefe thundering In- ftruments, and by the great and vehement agitation of the collifion of the air refbunding and reverbe- rating in the wounds of the hurt divers died, and others becauf they could not reft byreafbn of the groans and cries that they made night and daie 5 and alfo for want of good nourifhment, and other good ufage neceffarie to wounded people. Now my little mafter, if you had been there you would hardly have given them gellie, reftauratives, cullifes, preflures, panado, cleanfed barlie, white meat, al- mond-milk, prunes, raifins, and other proper meats tor fick people: your ordinance would onely have been accomplifht in paper, but in effect they could have had nothing but old Cow-bief, which was ta- ken about Hedin for our munition, faked and half-boiled, in fb much that who would have eat it, hee muft pull it with the force of his teeth, as birds of Preie do carrion. I will not forget their linneH wherewith they were dreft, which was onely reWalhed everie daie , and dried at the fire, and therefore drieandftubborn like Parchment, I leav you to think how their wounds could heal well. There were four luftie whores to whom charge was given to wdfh their linnen , who difeharged their dutie under penaltie of the batoon,and alfo they wanted both fope and water. See then how the fick people died for want of nourilhments,and other neceflarie things. One daie our enemies feigned to give us a general aflault,to draw our Souldiers upon the breach,to the end,to know ourcountenance & behaviour reverie one ran thither,wee had made great provifion of artificial fire to defend the breach; a Prieft belonging to Nlonfienr du Bouillon took a granado, thinking to throw it on the enemies, and (etit on fire (boner then it ought to have don: it brake afimder, and the fire fell amongft our fire-works, which were put into a houf near the breach j which was to us a marvellous difafter, becauf it burned divers poor fouldi- ers : it allo took hold on the houf it (elf, and wee had been all burned had not great help beenufed for to quench it 5 there was but one Well there wherein was water in our Caftle, which was almoft quite dri- ed up, and in ftead of water wee took beerand quenched it: then afterWards wee had great Icarcitie of water, and to drink the reft that remained which weemuft ftrain through napkins. Now the enemie feeing this finoak and tempeft of thefire-jvorks which caft a verie great flame and clalhing noi£ beleeved wee had put the fire on purpofe for the defenf of our breach, to burn them, and that wee had great ftore of others. That made them to bee of another opinion, then to take us by af- fault 5 they did undermine, and dig into the greateft part of our walls, fo that it was the Waie to over- throw wholly the Caftle topfie-turvie, and when the mines Were finiflit, and that their Artillerie (hot, the whole Caftle did (hake under us like an earth-quake,which did much aftonifh us. Moreover hee had levelled five pieces of Artillerie which they had feated upon a little hill, to plaie upon our backs when wee fhould go to defend the breach. The Duke Horace had a Cannon-fliot upon one (houlder, which carried away his arm on one fide and the bodie On the other, without beeing able to (peak one onely word. His death was to us a great difi- after for the rank which hee held in his place. Likevvife Monfieur de Martigues had a ftroak with a bullet which pierc't through his Lungs 51 dreft him, as I will declare hereafter. Then wee demanded Pari, and a Trumpet was lent toward the Prince of Piedmont, to know what compofition it pleafed him to make us: His anfirver was, that all the chief, as Gentlemen, Captains, Lievtenants, and Enfigns, (hould bee taken for ranfom , and the Souldiers (hould go out without Arms 5 and if they refilled this fair and honeft proffer, the next daie wee ought to bee affured they would have us by aflault or otherwife. Counfel Was held, where I was called to know if I would fign as divers Captains,Gentlemen,and others,that the place (hould bee rendered up. I made anfvver it was not poflible to bee held,and that I would fign it with my proper blood,for the lit- tle hope that I had,that wee could refill the enemies force,& alfo for the great defire Which I had to bee out Lib.z?. concerning diverf Voiages. 777 out of this torment, and hell ; for I Hept not either night or daie, by reafon of the great number of hurt people, which were about two hundred. The dead bodies ycelded a great putrefaftion , beeing heaped one upon the other like fagots, and not beeing covered with earth becauf wee had it not; and when I entred into one lodging, Souldiers attended mee at the door to go drels others at another; when I went forth, there was ftriving who Ihould have mee, and they carried mee like a holie bodie not touching the ground with my foot in fpight one of another; nor could I latisfie fo great a number of hurt people. Moreover 1 had not what was neceflarie to drefs them withal; for it is not fufficient that the Surgeon do his dutie towards the patients, but the patient muft alfo do his, and the afliftance, and all exterior things; witnels Hipocrates in his firft dpboriftne. Now having underftood the refolution of the yeeld- ing up of our place, I knew our affairs went not well; and for fear of beeing known , I gave a velvet coat,a Satin doublet, a veriefine cloth-cloak lin'd with velvct,to a fouldier,who gave mee a fcurvie old torn doublet cut and flaftit with ufing, and a leather jerkin well examined, and an ill favored hat, and a little cloak 51 finutcht the collar of my fhirt with water in which I had mingled a little foot; likewile I wore out my ftockings with a ftone at the knees and the heels as if they had been worn a long time, and I did as much to my fhooes, in fo much , that they would rather take mee for a Chimnie-fweeper, then a King's Surgeon. I went in this Equipage towards Monfieur de Martigues,where I praied him that hee would take order that I might remain near him to drefs him, which heeagree'dto moft willingly, and had as much defire I Ihould remain with him as my felf. Soon after, the Commiflioners, who had charge to eleft the prifoners, entred into the Caftle,the leventeenth daie Qi Julie one thouland five hun- dred fiftie three, where they made Mejfieurs the DukeofBo»z7/on,the Marquels of Villars, the Baron of Culan, Monfieur du Pont Commiflarie of the Artillerie, and Monfieur de Martigues, and J to bee taken through the requeft that hee made to them; and all other Gentlemen which they could perceiv were able to paie anie raniom, and the moft part of the Souldiers and the chief of the Companies, having fodi, and fo manie paifoners as they would. • Afterward the Spanifb Souldiers entered by the Breach without anie refiftanCe, for otirs efteeriied they would hold their faith and compofition that they ftiould have their lives faved. They entred in with a great furie to kill, pillage, and to rifle all they reteined : fom hoping to have ranfom, they tied their ftones with Arquebuficords, which was caft over a pike which two held upon their fhoulders, then pul- led thefaid cord with a great violence and derifion, as if they would ring a bell, telling them that they muft put themlelvs to the ranfom, and tell of what houles they were; and if they faw they could have no profit, made them cruelly die between their hands, or prelently after their genital parts would have fain into a gangrene,and total mortification; but they kil'd them all with their daggers, and cut their throats. See now their great crueltie and perfidioufnels,let him truft to it that will. Now to return to my purpole, beeing lead from the Caftle to the Citie with Monfieur de Martigues, there was a Gentleman of the Duke of Savoyes, who asked mee if Monfieur de Martigues wound was curable, I anfwered not 5 who prelently went and told the Duke of Savoy; now I thought hee would fend Phyficians and Surge- ons to vifit and drels my Said Monfieur de Martigues: in the mean time I thought with my lelf whether I ought to make it nice, and not to acknowledg my lelf a Surgeon, for fear left they Ihould retein mee to drels their wounded, and in the end they would know I was the King's Surgeon, and that they would make mee paie a great ranfom. On the other fide I feared, if I Ihould not make my felf known to bee a Surgeon, and to have carefully drefled Monfieur de , they would cut my throat, fo that I took a refolution to make it appear to them hee would not die for want of good drefling and looking to. Soon after, fee, there arrive divers Gentlemen accompanied with the Phyfician and Sur- geon to the Emperor, and thole of the laid Duke of Savoy, with fix other Surgeons following the Ar- mie, to lee the hurt of the laid Lord of CMartigues, and to know of mee how I had drefled him, and with what medicines. The Emperor's Phyfician bid mee declare the eflence of the wound,and how I had dreftit. Now all the afliftance had a verie attentive ear to know if the wound were mortal or not; I began to make a difcourf that Monfieur de Martigues looking over the wall to perceiv them that did undermine it, received a (hot from an Arquebuf quite through the bodie; prelently I was called to drefs him, I faw hee caft blood out of his mouth, and his wounds. Moreover hee had a great diflicultie of breathing, and caft out winde by the faid wounds with a whittling, in fo much that it would blow out a candle, and heelaid, hee hadamoft lharp pricking pain at the entrance of the bullet- Ido beleer and think it might bee fom little pieces of bones which prickt the Lungs. When they made their Sy- ftole and Diaftole, I put my finger into him; where I found the entrance of the bullet to have broken the fourth Rib in the middle, and leaks of bones which the faid bullet had thruft in, and the out-going of it had likewife broken the lift Rib with pieces of bones which had been driv'n from within outward; I drew out fom ,but not all,becauf they were verie deep and adherent ! put in each wound a Tent,having the head verie large,tied with a thred, left by the infpiration it might bee drawn into the capacitie of the Thorax9 which hath been known by experience to the detriment of the poor wounded; for beeing fain in , it cannot bee taken out, which is the cauf that engenders putrefaftiqn, a thing contrarie to nature. The laid Tents were annointed with a medicine compoled of yelks of eggs, rewzce-Turpen- tine, with a little oil of Roles: My intention for putting the Tents was to ftaie the flux of blood, and to hinder that the outward air did not enter into the breft, which might have cooled the Lungs and by conlequent the heart. The faid Tents were alfo put, to the end that iflue might bee given for the blood that was Ipilt within the Thorax. I put upon the wound great Emplafters of Diacalcitheos in. which I had relented oil of Rofes and Vineger to the avoiding of inflammation, then I put great ftupes of Oxycrate, and bound him up, but not hard, to the end hee might have eafie relpirations; that don, 1 drew from Vvvj him 778 An Apologie or Treatif, Lib.zj?. him five porrengers of blood from the Bafilick vein of the right arm, to the end, to make revulfion of the blood which run's from the wounds into theTborax, having firft taken indication from the woun- ded part, and chiefly his forces,conlidering his youth and his (anguine temper; Hee prefently after went to ftool,and by his urine and liege call: great quantitie of blood. And as for the pain which hee laid hee felt at the entrance of the bullet, which was as if hee had been pricked with a bodkin, that was becauf the Lungs by their motion beat againft the fplinters of the broken Rib.Now the Lungs are covered with a coat comming from the membrane called Pleura, interweaved with nervs of the jixt Conjugation from the brain, which was cauf of the extreme pain hee felt; likewife hee had great difficultie of breathing, which proceeded from the blood which was fpilt in the capacitie of the Thorax, and upon the Diaphragm, the principal inftrument of re(piration,and from the dilaceration of the mufcles which are between each Pub, which help allb to make the exfpiration and the infpiration; and likewife becauf the Lungs were torn and wounded by the bullet, which hath caufled him ever finceto fpit black and putrid blood in coughing* The fever feazed him loon after hee was hurt,with faintings and (woonings. It leemed tomee that the faid fever proceeded from the putredinous vapors ariling from the blood which is out of his pro- per vellels, which hath fain down,and will yet flow down. The wound of the Lungs is grown great and will grow more great, becauf it is in perpetual motion, both (leeping and waking, and is dilated and compreft to let the air to the heart,and caft fuliginous vapors out: by the unnatural heat is made inflam- mation, then the expullive virtue is conftreined to caft out by cough whatfoever is obnoxious unto it: for the Lungs cannot bee purged but by coughing, and by coughing the wound is dilated , and grow's greater, from whence the blood ilfues out in great abundance, which blood is drawn from the heart by the vein arterial to give them nourilhment, and to the heart by the vena cava; his meat was barlie-broth, ftued prunes,fomtimes panado-,his drink was PtifamHee could not lie but upon his back which (hewed hee had a great quantitie of blood fpilt within the capacitie of the Thorax,and beeing Ipread or fpilled along the lpondyls,doth notfo much prefs the Lungs as it doth beeing laid on thefides or fitting. What (hall I faie more, butthat the Said Lord Martigues fence the time hee was hnrt hath not repoled one hour onely,and hath alwaies caft out bloodie urines and ftools. Thefe things then Mefferts confide- red, one can make no other prognoftick but that hee will die in a few daies,which is to my great grief. Having ended my difeourf, I dreft him as I was wont; having difeovered his wounds,the Phyficians and other afliftants prefently knew the truth of what I had faid. The faid Phyficians having felt his pulfand known his forces to bee almoft (pent and aboli(hed,con- cluded with mee that in a few daies hee would die; and at the fame inftant went all toward the Lord of Savoy, where they all faid, that the faid Lord Martigues would die in a (hort time; hee anfwered, it were poffible if hee were well dreft hee might efcape : Then they all with one voice laid, hee had been ve- rie well dreft, and folicited with all things neceflarie for the curing of his wounds, and could not bee better,and that it was impoflible to cure him, and that his wound was mortal of neceflitie. The Monfi- eur de Savoy (hewed himfelf to bee verie much difeontented and wept, and asked them again if for cer- tain they all held him deplored and remedilefs, they all anfwered, yes. Then a certain Spanish impoftor offered himfelf, who promifed on his life that hee would cure him, and if hee failed to cure him, they (hould cut him in an hundred pieces 5 but hee would not have anie Phyficians, Surgeons, or Apotheca- ries with him* And at the fame inftant the Said Lord of Savoy told the Phyficians and Surgeons they (hould not in anie wife go anie more to fee the Said Lord of Martigues. Alfo hee lent a Gentleman to mee to forbid mee upon pain of life not to touch anie more the Said Lord of Martigues, which I promi- fed not do 5 wherefore I was verie glad, feeing hee (hould not die in my hands, and commanded the faid Impoftor to drefs the (aid Lord of Martigues. And that hee (hould have no other Phyficians nor Surge- ons but him5 hee came prefently to the laid Lord of Martigues, who told him, Senor Cavallero el fenor Dugueme ba mandado que venieffe i cur ar voftra herida, yo osjuro 5 Dios que antes de debio dias yo os baga[ubir i Cavallo con la lanfa en puno contafque no ago queyo qnos togue, Comereis y bibereis to das comidas que fueren de voTro guftoy yo hare la diet a pro V. m.y defto os de veu afeguirar fibre de mi,yo be fanado num bos que teni an magoresberidas que la voftra' That is to faie, Lord Cavalleere, Monfieur the Duke of Savoy, hath commanded mee to com drefs thy wound; I (wear to thee by God, that before eight daies I will make thee mount on horf-back with thy Lance in thy hand, provided that no man may touch thee but my felf; thou (halt eat and drink anie thing thou haft a minde to, I will perform thy diet for thee, and of this thou maieft bee allured upon my promife, I have cured divers who have had greater wounds then thine: and the Lord replied, God give you grace to do it. Hee demanded of the Said Lord a (hirt, and tore it in little rags, which hee put a crofe, muttering and murmuring certain words over the wounds; and having dreft him, permitted him to eat and drink what hee would, telling him hee would obferv a diet for him, which hee did, eating but fix prunes and fix bits of bread at a meal, and drinking but beer. Notwithftanding, two daies after, the Said Lord of Martigues died', and my Spaniard, Ceeing.of him in the Agonie, eclip'ft himfelf and got away without bidding farewel to anie bodie; and I beleev if hee had been taken, hee had been hang'd for his falf pro- mife.*, which hee had made to Monfieur the Duke of Savoy, and to divers other gentlemen. . Hee died about ten of the clock in the morning, and after dinner, the Said Lord of Savoy, fent Phyfi- cians, and Surgeons, and his Apothecarie, with a great quantitie of Drogues , to embalm him; they came accompanied with divers Gentlemen and Captains of the Armie. The Emperor's Surgeon came neer to mee, andpraied mee kindly to open the bodie; which I refufetf, telling him I was not worthie to carrie his plafter-box after him: hee praied mee again, which then I did for his fake, if it (b liked him* I would yet again haveexcufedmy felf, that feeing hee was not Lm.zp. conteining divert Voiages. 779 willing to embalm him,that hee would give this charge to another Surgeon of the companie; hee made mee yet anfwer,that hee would it fhould bee I,and if I would not do it,I might hereafter repent it:know- ing this his affeftion3for fear hee fhould not do mee anie diipleafure,! took therafor and pretented it to all in particular, telling them I was not well pra&ited to do luch operations which they all refuted. The bodie beeing placed upon a table,truely I purpoted to (hew them that I was an Anotomift,decla- ring to them divers things,which fhould bee here too long to recited began to tell-all thecompanic that I was fin e the bullet had broken too ribs,and that it had pate d through the Lungs, and that they fhould finde the wound much enlarged, becauf they are in perpetual motion, fleeping or waking, and by this motion the wound was the more dilacerated. Alfo that there was great quantitie of blood fpilt in the capacitie of the breft, and upon the midriff, and fplinters of the broken ribs which were beaten in at the entrance of the bullet,and the iffuing forth of it,had carried out. Indeed all which 1 had told them was found true in the dead bodie. One of the Phyficians asked mee,which way the blood might pate to bee caft out by urine, beeing conteined in the iboraxd. anfwered him that there was a manifeft conduit,which is the Vena Azygos jnE® having nourifh'd the ribs,the reft of the blood defcend's under theDiapbragm,8c on the left fide is conjoin- ed to the emulgent vein, which is the waie by which the matter in plcureftes and in Empiema3do manifeftly emptie themfelvs by urine and ftool. As it is likewife feen, the pure milk of the brefts of women newly brought to bed,to defcend by the Manrmillarie-Veins, and to bee evacuated downwards by the neck of the womb without beeing mixt with the blood. And fuch a thing is don ( as it were by a miracle of na- turejby her expulfive and fequefting virtue,which is teen by experience of two glate-veflels called Mount- wines let the one bee filled with water,and the other with Claret-wine, and let them bee put the one up- on the other, that is to faie,that which (hall bee filled with water, upon that which fhall bee filled with wine; and you fhall apparently tee the wine mount up to the top of the veflel quite through the water, and the water defcend a traverl the wine, and go to the bottom of the veflel without mixture of both; andif fuch a thing bee don fo exteriorly and openly to the fenf of oureie, by things without life: you muft believ the fame in our underftanding. That nature can make matter and blood to pate, having been out of their veflels,yea,through the bones,without beeing mingled with the good blood. Our difcourfended:! embalmed thebodie,and put it into a coffin; after that the Emperors Surgeon took mee apart,and told mee if I would remain with him that hee would ufe mee verie well, and that hee would clothe mee anew, alfo that I fhould ride on horf-back. 1 thank'd him verie kindely for the honor hee didmee,and told him that! had nodefire to do fervice to Grangers, and enemies to my coun- trie; then hee told mee I was a fool,and if hee were prifoner as I,hee would terv the devil to get his liber- ties In the end I told him flat that I would not dwell at all with him. The Emperor's Phyfician returned toward the faid Lord of Savoy, where hee declared the cauf of the death of the faid Lord of Martigues,and told him that it was impoffible for all the men in the world to have cured him; and confirmed again, that I had don what was neccfTarie to bee don, and praied him to win mee to his tervice, and fpake better of mee then I deterved. Having been perfwaded to take mee to his fervice,hee gave charge to one of his ftewards named Mon- fieur du Boucbet> to tell mee,if I would dwelin his tervice that hee would utemee kindely:,! anfwered him that I thank'd him moft humbly,and that I had refolved not to dwel with anie ftranger. This my anfwer beeing heard by the Duke of was fbmwhat in choler,& faid,he would tend mee to the Gallics. Monfieur de Vaudeville^Governor ofGravelin^ndColonel of the tevcnteen Enfigns of foot, praied him to give mee to him,to drete him of an ulcer which hee had in his leg this fix or tevcn years; Mon- fieur de Savoy told him becauf 1 was of worth, that hee was content, and if I rankled his leg it would bee- well don ; Hee anfwered that if hee perceived anie thing,hee would cauf my throat to bee cut. Soon after,t he faid Lord of Vaudeville tent for mee by four Germane Halberdiers,which affrighted mee much, not knowing whither they led mee,they fpake no more French then I high arrived at his lodging, hee told mee I was welcom, and that I was his; and as loon as I Ihould have cured him of that ulcer in his leg, that hee would give meeleav to bee gon without taking anie ranfom of mee. 1 told him that I was not able to paie anie ranfom. Then hee made his Phyfician and Surgeons in ordinarieto ffiew mee his ulcerated leg ; having teen and confidered it, wee went apart into a chamber where I began to tell them, that the faid ulcer was an- nual,not beeing Ample but complicated : that is of a round figure and fcalie, having the lips hard and callous, hollow and fordid: accompanied with a great varicous vein which did perpetually feed it; be- fides a great tumor,and a phlegmonous diftemper verie painful through the wholeleg,in a bodie of cho- lerick complexion ; as the hair of his face and beard demonftrated. The method to cure it, (if cured it could beej was to begin with univerlal things, that is,with purgation and bleeding,and with this order of diet,that hee Ihould uot ute anie wine at all,nor anie telt meats,or of great nourifliment,chiefly thete which did heat the blood: afterward the cure muft begin with diversfcarifications about the ulcer, and totally cutting away the callous edges or lips,and giving along or a triangular figure,for the round will verie hardly cure, as the Antientsliave left it in writing, which is feen by experience* That don, the filth muft bee mundified,as alfo the corrupted fleffi, which fhould bee don with Vnguentum JEgyptiacum, and upon it a bolfter dipt in juice of Plantain and Nightlhade and Oxycrate, and roul the leg beginning at the foot, and finiffiing at the knee, not forgetting a little bolfter upon the Varicous vein, to the end no fuperfluities fhould flow to the ulcer. Moreover that hee fhould take reft in his bed, which is comman- ded by Hippocratesfaith,that thofevvho have fore legs fhould not ufe much ftanding or fitting, but lying along And after thefe things don and the ulcer well mundified, a plate of Lead rubbed with quickfilver 780 An Apologie or 'Treatif, LiB.29. <Juickfilver (hould bee applied. See then the means, by which the faid Lord Vaudeville might bee cured of the faid ulcer; all which they found good. Then the Phyfician left mee with the Surgeon, and went to the,Lord Vaudeville; to tell him that hee did allure him I would cure him,and told him that I had re- vived to do for the cure of his ulcer: whereof hee was verie joyful. Hee made mee to bee called to him, and asked mee if I was of the opinion that this ulcer could bee cured,and I told him, yes, provided hee would bee obedient to what hee ought. Hee made mee a promife hee would perform all things which I Would appoint; and as (boil as his ulcer fhould bee cured, hee would give mee liber tie to return without paying anie ranfom.Then I befeech'd him to com to a better compolition with mee,telling him that the time would bee too long to bee in libertie, if I ftaied till hee was perfeftly well,and that I hoped with in fifteen daies the ulcer fhould bee diminifhed more then one half, and it fhould bee without pain,and that his Phyficians and Surgeons would finifh the reft of the cure verie eafily. To which hee agree'd,and then I took a piece of paper, and cut it the largenefs of the ulcer, which I gave him, and kept as much my felf. I praied him to keep promife, when hee fhould finde his buhnefs don: Hee fwore by the faith of a Gen- tleman hee would doe it; then I refolved to drefs him well according to the method of Galen, which was, that after all ftrange things were taken out of the ulcer, and that there wanted nothing but filling up with flefh, I dreft him but once a daie,andhee found that verie ftrange. And likewife his Phyfician which was but a frefh man in thofe affairs,who would perfwade mee with the patient,to drefs him two or three times a daie,I praied him to let mee do what I thought good; and that it was not to prolong the cure,but on the contrarie to haften it,(for the great defire I had to bee in libertie. And that hee would look in Galen in the fourth book of the compofition of medicaments fecundum genera, who faith, that if a medi- cine do not remain long upon the part it profit's not fo much, as when it doth continue long; a thing which manie Phyficians have been ignorant of, and have thought it hath been better to change the Pla- tter often. And this ill cuftom is Co inveterate and rooted, that the Patients themfelvs accufe often-times the Surgeons of negligence, becauf they do not oftner remove their emplafters; But they are deceived. For as you have read in my works in divers places; The qualities of all bodies which mutually touch, operate one againft another,and both of them fuffer fbmthing, where one of them is much ftronger then the other,by means whereof the (aid qualities are united, they familiarife with the time, although they are much differing from the manner, that the qualitie of the medicament doth unite, an&fbmtimes be- com's like to that of the bodie, which is a verie profitable thing. Therefore they faie hee is to bee praif- ed much who tirft invented not to change the plafter fo often, becauf it is known by experience, this is a good invention. Moreover it is (aid, great fault is committed to drefs ulcers often in wiping of them hard, for one take's not away onely the unprofitable excrement, which is thepwr or Sanies of the ulcer, but the matter whereof the flefh is engendred ; wherefore for the reafbns aforefaid it is not needful to drefs ulcers fo often. The faid Lord Vaudeville, would (ee whether that which I alleged out of Galen were true, and com- manded the (aid Phyfician to look there, for that hee would know it; hee caufed the book to bee brought upon the table, where my laying was found true, and then the Phyfician was afhamed, and I verie joyful. So that the faid Lord of Vaudeville defired not to bee drefled but once a daiej infomuch that within fifteen daies the ulcer was almoft cicatrized; the compofition beeing made between us, I began to be merrie.Hee made mee eat & drink at his Table,when there were not men of more great rank with him. Hee gave mee a great red (carf,which hee commanded mee to wear. I may (aie I was as glad of it as a dog that hath a clog,for fear hee fhould go into the vineyard and eat the grapes. The Phyfician and Surgeon led mee through the Camp to vifit their huVfpeople, where I took notice what our enemies did; 1 perceived they had no more pieces of Cannon,but onely thentie five or thirtie pieces for the field. Monfieur de Vaudeville held Monfieur de Bauge pri(bne'4 /he brother of Monfieur de Martigues who di* ed at Hedz'tf.The (aid Lord of Bauge was prilbner in the Caftleofthe heap of wood belonging to the Emperor, who had been taken at 1'hero'itenne by two Spanifs Souldiers. Now the (aid Lord of Vaudeville having looked well upon him, conceived hee muft bee a Gentleman of (bm good houf, and to bee the better allured, hee cauffed him to have his flockings pulled off,and feeing his flockings and his feet clear and neat, together with his white fine lock, it confirmecbhim the better in his opinion, that it was a man was able to paiefom good ranfom. Hee demand's of the Souldiers if they would take thirtie Crowns for their prifoner, and that hee would give it to them prefently, to whichxhey agree'd willingly,becauf they had neither means to keep him, nor feed him; behdes they knew not his worth, therefore they de- livered their prifoner into the hands of the faid Lord of Vaudeville, who prefently fent him to the Ca- ttle of the heap of wood with a guard of four Souldiers with other Gentlemen prifbners of ours. The faid Lord Bauge would not difcover himfelf, who hee was, and endured verie much, beeing kept bat with bread and water,and laie upon a little draw. The (aid Lord of Vaudeville after the taking of Hedin, (ent word to the faid Lord Baugeand other prifbners, that the place of Hedin was taken, and the lift of thofe that had been (lain, and amongft the reft, Monfieur de Martigues: and when the (aid Lord oC Bauge heard the found of the death of his brother the Lord Martigues, hee began much to weep and lament; his keeper demanded of him,why hee made (b manie and (b great lamentations ? Hee declared unto them that it was for Monfieur de Martigues his brothers lake. Having under flood that, the Captain of the Caftle difpatch'd a man avvaie quickly, to tell it to Monfieur de Vaudeville that hee had a good prifoner; who having received this good news rejoiced greatly,and the next daie (ent mee with his Phyfician and four Souldiers to the Wood-caftle to know if his prifoner would give him fifteen thoufand Crowns for a ranfom; hee would (end him free to his own hou£ and for the prefent hee defired but the fecuri- tie Lib.z$>. concerning diverf Voiages. 781 tie of two Merchants of Antwerp, that hee would name. The faid Lord Vaudeville perfwaded mee that I would make his agreement with his prifoner. See then why hee lent mee to the wooden Caftle, and commanded the Captain of the Caftle to ule him well, and to put him into a Chamber hung with Tape- ftrie, and that they Ihould make the guard more flrong,and from that time they made him good chear at his expence. The anfwer of the Said Lord of Bauge was, that to put himfelf to ranlbm hee was not able ; and that, that depended upon Monfieur d'Eftamps his Uncle,and of Miftris de Breffure his Aunt, and than hee had not anie means to paie fuch aranfom. I returned with my keepers to the faid Lord Vaudeville, and told him the anlwer of his faid prifoner, who told mee,Perhaps hee Ihould not out at fo good a rate, which was true, for hee was difeovered. And forthwith the Queen of Hungarie, and the Duke of Savoy lent word to the Lord Vaudeville,that this morfel was too great for him, and that heemuft fend him to them, (which hee did) and that hee had enough prifoners befides him:hee was put to fourtiethoufand Crowns ranlbm befides other expenfes. Returning toward the Said Lord Vaudeville I palled by S. Omer, where I law their great pieces of bat- terie,whereof the greateft part was flawed and broken. I came back allb by 'I'heroiienne, where I did not fee fo much as ftone upon ftone, unlels the mark of a great Church. For the Emperor gave command- ment to the countrie people within five or fix leagues about,that they Ihould emptie and carrie awaie the ftones ; infomuch, that now one may drive a cart over the Cittie, as is likewile don at Hedin, without anie appearance of Caftle or Fortrels. See then the milchief which com's by the wars. And to return to my purpofe, prelently after my faid Lord Vaudeville was verie well of his ulcer and little wanted of the entire cure,which was the cauf hee gave mee my leav, and made mee bee conduced with a Pafs-port by a Trumpet to Abbeville, where I took poft, and went and found the King Henrie my Matter at Auftmon, who received mee with joie,and a good countenance. Hee lent for the Duke of Guije the high Conftable of France, and Monfieur d'EJlrez,to underftand by mee what had paft at the taking of Hedin; and I made him a faithful report, and allured them I had leen the great pieces of Batterie, which they had carried to S. Omer. Whereof the King was verie joyful, be- cauf hee feared left the enemie Ihould com further into France. Hee gave mee two hundred Crowns to retire my lelf to my own houf, and I was verie glad to bee in libertie and out of this great torment and noif of thunder from the Diabolick artillerie, and far from the Souldiers, blalphemers and deniers of God. 1 will not omit to tell here that, after the taking of Hedin, the King was advertifed that I was not (lain, but that I was a prifoner, which his Majeftie caufled to bee written to my wife by Monfieur du Goguier bis chief Phyfician, and that lhee Ihould not bee in anie trouble of minde for mee, for that I wasfafe and well, and that hee would paie my ran Com. AFter the battel of S.&htintin, the King lent for mee to the Fere in 'I'artemx fieur the Marlhal of Bourdillon, to have a pafs-port by the Duke of Savoie to go to drefs Monfieur the Conftable, who was grievoufly hurt with a Piftol-lhot in the back, whereof hee was like to die,and remained a prifoner in his cnemie's hands. But the Duke of Savoy would not give confent that I Ihould go to the Said Lord Conftable,faying,hee Ihould not remain without a Surgeon, and that hee doubted I was not lent onely to drels him, but to give him fom advertifement, and that hec knew I underftood fomthing elf befides Surgerie, and that hee knew mee to have been his prifoner at Hedin, Monfieur theMarlhal of Bourdillon advertifed the King of the Duke's denial, by which means the King writ to the faid Lord of Bourdillon,that if my Ladie,the Lord high Conftable's wife, did fend anie bodie of her houf, which was an able man, that 1 Ihould give him a letter,and that I Ihould alfo have told him by word of mouth, what the King and monfieur the Cardin al of Lorraine had given mee in charge.T wo daies after there arrive's a lervant of the Lord Conftables chamber, who brought him (hires, and other linnen, for which the faid Lord Marlhal gave pafs-port,to go to the Said Lord Conftable I was verie glad thereof,and gave him my letter, and gave him his leflbn, of that which his Mafter ihould do,beeing prifoner. I had thought beeing difeharged of my embaflage to return toward the King. But the faid Lord of Bourdillon prai'd mee to ftaie with him at the Fere to drefs a great number of people who were hurt, and werethither retired after the battel; and that hee would fend word to the King, the cauf of my ftaie; which I did. The wounds of the hurt people were greatly (linking,and full of worms with Gangrene and putrefaction; fo that I vv?s epnftreined to com to my knife to amputate that which was fpoild, which was not without cutting alarms and legs, as alfo to Trepan divers. Now there were not anie medicines to bee had at the Fere,becauf the Surgeons of our Camp had carried all with them;I found out that the Chariot of the Artillerie tarried behinde at the Fere,nor had it yet been touched 1 prai'd the Lord Marlhal that hee would cauf fom of the drogues to bee delivered to mee which were in hee did,and there was given to mee one half at a time : five or fix daies after 1 was conftreined to take the reft, neither was there half enough to drefs fo great a number of the people, and to correft and ftaie the putrifaftion, and to kill the worms that were entred into their wounds ■, I wafhed them with cum diflblved in wine and Aqua vita, and did for them, all which I could poftible, yetnotwithftanding all my diligence, verie manie of them died. There were Gentlemen at the Fere who had charge to finde out the dead bodie of Monfieur de Boif- Dolphin the elder, who had been flain in the battel; they praied mee to accompanie them to the Camp to finde him out amongft the dead, if it were poftible, which indeed was impoflible; feeing that the bodies were all disfavoured and overwhelmed with putrefaftion. Wee faw more then half a league about us the earth covered with dead bodies, neither could wee abide long there, for the cadaverous fents, which did arifefrom the dead bodies, as well of men as of horfes. And 1 think wee were the cauf, that fo great a num- The battel of S'. ■ S57. 782 An Apologie or Rreatif LlB.2<?. a number ot nies,roie trom tne oeau ooaies, wnicn were procreated by their numiditie and the heat o the Sun, having their tails green and blew; that beeing up in the air made a fliadow in the Sun. We< heard them buz,or hum,which was much marvel to us. And I think it was enough to cauf the Plague where they alighted. ( My little mailer) I would you had been there as I was,to diftinguifh the ordurei and alfo to make report to them which were never there.Now beeing cloied and annoied in that Coun- tries prai'd Monfieur the Lord Marihal, to give nice my leav to bee gon, and that I was affraid I Ihoulc bee lick, by reafon of my too great pains,and the ft inks which did arife from the wounded bodies,which did almoft all die, for what diligence foever was ufed unto them. Hee made other Surgeons to com finift the drefling of the faid hurt people, and I went away with his good grace and favor. Hee wrote a lettei to the King, of the pains hee had taken with the poor wounded. Then I returned to Farit, where 1 found yet manie Gentlemen who had been hurt, and were there retired after the battel. THe King fent mee to Dourlan, and made meebee conduced by Captain Govaft with fifth men in arms,for fear I Ihould bee taken by the enemies. And feeing that in the waie wet were al waies in alarms, 1 cauffed my man to alight, making him to bee my mafter for that time,and I got upon his horf,which carried my mail, and took his cloak and hat, and gave him my ambling Marc. Mj man beeing put upon her back, one would have taken him for the mafter, and I for the fervant.Thofe ol Daurian feeing us far off, thought wee were enemies, and let flic their Cannon-(hot at us.Captain Gavaft my condu&or,made fign with his hat, that wee were not enemies, fo that they left (hooting,and weeen- tred into Dourlan with great joie. Thofe of Dourlan made a fallie forth,upon the enemies five or fixdaiec before,who kil'd and hurt divers of our Captains, and good (buldiers; and amongft the reft Captain St. Aubin valiant at the fword,whom Monfieur de Guifeloved verie well,and for whom chiefly the King fent mee thither, who beeing in the fit of a quartan fever, would needs go out to command thegreatefl part of his companie: a Spaniard feeing him that hee commanded, perceived hee was a Captain, and (hot a musket-bullet quite through his neck; my Captain St. Aubin thought with this ftroakheewas dead, and with the fear (1 proteft to God) hee loft his quartan ague, and was altogether free'd from it. 1 drefled him with Antonie Portal Surgeon in ordinarie to the King, and divers other Souldiers: fom died , others efcaped quite with the lois ol a leg,or an arm,or the lofs ofan eie,and they laid they efcapedgood cheap, efcape that can.When the enemie had broke their Camp, 1 returned to Par is. Here 1 hold my peace nf mv little mafter, who was more at eaf in his houf, then I at the Wars. YEt I will not omit to (peak of the voiage of the Harbor of Grace; then when they made the approches to plant the Artillerie, the Englifh who were within it kil'd fom of our Souldiers,and divers Pioners,who undermined, who when they were feen tobeefb hurt that there was no hope of curing, their fellows ftript them and putthem yet alive,in the Mines,which ferved them for fo much filling earth.The Englijb feeing they could notwithftand an aflault, becaufthey were verie much attainted with difeafes,and chiefly with the plague, they yielded, their lives and jewels faved. The King caufled them to have fhips to return to England, beeing glad to bee out of this place infefted with the Plague: the greateft part died, and carrid the plague into England,and fince have not yet been exempted. Captain Sari about mafter of the Camp, was left there in garrifon, with fix Enfigns on foot, who had no fear of the plague, and were verie joiful to enter therein, hoping there to make good cheer. My little mafter had you been there you had don as they. XT Ow for the taking ot Rouen they kil'd divers of ours before the aflault,and at the aflault: 1X1 thedaie after they entred into the Cittie,! trepaned eight or nine, who were hurt at the breach with the ftroaks of ftones. There was fo malignant an air, that divers died, yea of verie final! hurts, infomuch that fom thought they had poifoned their bullets: thofe within faid the like by us,for although they were well treated in their necelfities within the cittie, yet they died alfo as well as thofe without. The King of Navar was hurt in the Ihoulder with a bullet fom few daies before the aflault; 1 vifited and helpt to drefs him, with his own Surgeon, named M. Gilbert one of the chief of Montpelier, and others.They could not finde the bullet,! fearch'd for it verie exaftiy, I perceived by conjecture,that it was entred by the head of the Adjutorium, and that it had run into the cavitie of the faid bone, which was the cauf wee could not finde it. The moft part of them faid it,was entred and loit within the ca- vitie of the bodie.Monfieur the Prince of the Rockjtyon Ton, who intimately loved the King of Navar, drevvmeetoonefide,andasktmeeif the wound was mortal. I told him yea, becauf all wounds made in great joints, and principally contufed wounds, were mortal according to all Autors who had writ- ten of them. Hee inquired of the others what they thought, and chiefly of the faid Gilbert, who told him that hee had great hope that the king his mafter would bee cured, and the Said Prince was verie Joyful. Four daies after the King and the Qjieen-mother, Monfieur the Cardinal of Row bon his brother, Monfieur the Prince of Rockjqon Ton, Monfieur de Guife, and other great perfonages,after wee had dref- fed the King of Navar, caufleda confultation to bee made in their prefences,where there were divers Phy- ficians and Surgeons: each man (aid what feemed good unto him, and there was not one of them,who had not good hope of him,faying that the King would bee cured, & I perfifted alwaies on the contrarie. Monfieur the Prince of the Rockjipon Ton who loved mee, withdrew meeafide, and faid I was onely againft the opinion of all the reft, and praied mee not to beeobftinate againft fo manie worthie men. I anfvvered him, that when I faw anie goodfigns of cure, I would change my advife. Divers confultati- ons were made,where I never changed my word, and prognoftick , fuch as I had made at the firft dref- fing,and alwaies faid that the arm would fall into a Gangrene,which it did,what diligence foever could bee had for the contrarie ; and gave up his foul to God the eighteenth daie of his hurt. Monfieur the Prince upon Ton, having heard of the death of the Said King , fent his Phyfician and Surgeon toward mee, The wage ot the camp of lAmxnhtSSB The voiage of Harbor of Grace. 15tf3- The voiage to LlB.Zp. concerning diverf dotages. 783 mee, named Feure now in ordiuarie to the King, and to the Queen-mother, to tell mee, that hee would have the bullet taken out, and that it thould bee look't for in what place (bever it could bee found: then I was verie joyful,and told them that I was well allured to finde it quickly,which 1 did in their pretences, and divers Gentlemen. It was lodged in the verie midft of the cavitie or the Adiutorie bone. My Said Prince having it, Iftewed it to the King and the Queen,who all faidmy prognoftick was found true.The bodie was laid to reft in theCaftL-Galliard, and I returned to Paris where I found divers hurt men who were hurt at the breach of and chiefly Italians, who deiired mee verie much to dreft them, which I did willingly 5 there were divers that recovered, and others died. I believ ( my little mailer) you were called to drefs fom of them, for the great number there was of them. THe daie after the battel given at Prewar, the King commanded mee, to go drefs Monfieur the Count of Em,who had been hurt with a Piftol-lhot in the right thigh,neer the joint of the hip j which fraftured and broke the Os femoris in divers places, from whence divers accidents did ante, and then death, which was to my great grief. The daie after my arrival I would go to the field, Where the battel was given, to fee the dead bodies; I law a league about, all the earth covered , where there was by eftimation five and twentie thoufand men and more.All which were dilpatch'd in the fpace of two hours. I wogld (my little matter_) for the love I bear you, that you had been there to recount it to your teholars and to your children.Now in the meantime while I was at Dreux I vifited and dreft a great number of gentlemen and poor fouldiers, and amongft the reft manie 5wjfer-Captains, I drefled fourteen in*one chamber onely all hurt with Piftol-fliot, and other inttruments of diabolical fire, and not one of the fourteen died. Monfieur the Count of Em beeing dead, I made no long tarrying at f)reuxt there came Surgeons from Paris who performed well their dutie toward the hurt people, as P/gruy, Coin- teret, Hubert, and others; and I returned to Paris, where I found diyers gentlemen wounded, who had retired themtelvs thither after the battel to beedreft.of their hurts. DVring the battel of Moncontour King Cbarls was atPlefsis the Towers, where hee heard they had won it; a great number of hurt gentlemen and Souldiers withdrew therpfelvg into the Cittie and foburbs of Towers, tojbee dreft and help'd, where the King and Queen- Mother commanded mee to lhew my dutiewith the dther Surgeons,who were then in quarter, as Pigray, du Bais, Portail, and one named Siret, aiSurgeon of towers, aman verie skilful in Surgerie, and at that time Surgeon to the Kings brother, and for the multitude of the wounded wee were but little in repote, nor the Phyficians likewiteCount Mansfield Governor of the Duckie of Luxembourg, Knight of the King of Stains order, was greatly hurt in the battel, in the left arm, with a Piftol-lhot, which broke a great part of the joint of the elbow, and had retiredhimtelf to Bourgueil neer towers ', beeing there hee tent a gentleman to the King, affeftionately to beteech him to fendotie of hi*Surgeons to help him in his hurt. Counsel was held what Surgeon fliQiddbee tent.. Monfieur the Marshal of Montmorency told the King and Queen,that it were beft to tend him his chief Surgeon,and declared: tQ them that the Said Lord Mansfield was one part of the caufof winning the battel. The King faidfiat hele would not that I ftiould go, but would have mee remain cloteto himThen the Queen-Mother faid, Ifhould but go and com,and that hee mutt confider it was a ftrange Lord, who was com from the king of Spains fide , to help and foccourhim. And upon this hee permitted tnee to go, provided that I fhould return quickly. After this refolution hee fr nt for mee, and likewite the Queen-Mother, and commanded mee to go finde the Said Lord Mansfield in the place, where I was to ferv him in all I could, for the cure of his hurt; I went and found him>having with mee a letter from their Majeftieshaving teen it, hee received mee with a good will,and from thenceforth difcharged three other Surgeons that dreft him; which was to my great grieft becauf his hurt feemed to mee uncurable. Now at Bowguedl there were retired divers Gentlemen, who had been hurt at the faid battel, knowing that Monfieur de Guifie was there, who had been alfb verie much hurt with a Piftol-fhot through one leg,well allured that hee wouldhave good Surgeons to drefs him,and allb that hee,beeing kinde and liberal, would afsift them with a great part of their necesfities. And for my part, I did help and aid them with all my Art,as much as it waspoftible; (bm died,fbm recovered accor- ding to their hurts. The Count Kingrave died, who had fuch a Ihot in the Ihoulder, as the king of Ndi/ar before Eowen.Monfieur de Baffonpiere Colonel of twelv hundred hurt allb in filch a like place as Count Mansfield, whom I dreft and God cured. God lb well bleffed my work that within three weeks ! 1 led him back to Paris, where I mutt as yet make fom incifiohs in the arm of the Said Lord Mansfield,U> draw out the bones which were greatly broken and caries*d: hee vvas cured;by the grace of God, and gave mee an honeft reward, fo that I vvas well contented with him,and hee with mee,as hee hath fince made it appear: hee writ a letter to the Duke of Jfcot how that hee vvas cured of his hurt, and allb Monfieur de Baffontpiere of his, and divers others, which I had dreft after the battel of Monicontour, and countelled him to beteech the king of France my good mafter to give mee leav to go tee Monfieur the the Marquels of Auret his brother. A /TOnfieur the Duke of Afcot did not fail to tend a Gentleman to the king with a letter, ■ V1 humbly to beteech him to do him lb much good and honour,as to permit and command his chief Surgeon to com to tee the Marquefs of Auret his brother; who had received a Musket-(hot near the knee, with ffafture of the bone, about teven months fince, which the Phyficians and Surgeons in thote parts were much troubled to cure. The King tent for mee and comman ded rnee to go fee the Said Lord Auret, and to help him in all that I could for the cure of his hurt; I told him I would emploieal! all that little knowledge which it hath pleated God to give mee. I went then conduced by two gen- tlemen to the Cattle of Auret,which is a league and a half from Mounts in Hainaut,where the Said Mar- quefe was:as fbon as I arrived I vifited him,and told him theKing had commanded mee to com to fee him, The voage of the battel of Drexx, i J The vouapot the battelof Mnumtow, It 6a. Voiageof 784. An Apologie or Trcalif, LlB.Zp. arid to drefs him of his hurt 5 hee told mee hee was glad of my comming, and was much bound to the King to havedon him the honor to have fent mee to him I found him in a great fever his eies verie much (link, with a countenance gaftlie and yellow, his tongue drie and rough, and all thebodie emaciated and lean, his ipeech low like that of a dying man : then I found his thigh much fwelled, apoftemated, ulce- rated, and cafting out a green (linking matter5 I fearch'd it with a filver probe, and by the fame I found a cavitie neer the groin, ending ip the middle of the thigh, and others about the knee, fanious and cu- niculous; alfo certain fcales of bones, fom (eparated, others not.The legs were much tumified, and foa- ked with a pituitous humor, cold, mdift, and flatulent; infomuch that the natural heat was in the waie to bee fuffocated,and ex(tingui(hed,and the (aid leg crooked and retraced toward the buttocks,his rump ulcerated the bredth of the palm of an hand, and hee faid hee felt there a great pain and Smarting, and likewife in his reins, infomuch that hee could not take anie reft night or daie 5 neither had hee anic appe- tite to eat, but to drink enough ■■> it was told mee that hee fell often into faintings and fwoonings, and fomtimes as it were by an Epilepfie, and had oftentimes defire to vomit, with fuch a trembling that hee could not carrie his hands to his mouth. Seeing and confidering all thefe great accidents, and the forces much abated 5 truly I was much grieved to have gon to him, becauf mee thought there was little appea- rance that hee could efcape. Notwithftanding to give him courage and good hope, I told him, that 1 would quickly fet him on foot by the grace of God, and the Phyfician's and Surgeon's helpiHaving (een him, I went a walking into a Garden, where I praied to God that hee would give mee the grace to cure him, and that hee would give a bleflin * to our hands and medicaments, to combat againft fo manie complicated maladies. I bethought in my minde the waies I mult keep to do it. They called mee to din- ner, I entred into the kitchin where I (aw taken out of a great pot, half a Mutton, a qi arter of Veal, three great pieces of Beef, and two pullets, and a great piece ot Bacon, with great ftore of good Herbs. Then I faid to my felf this broth was full of juice, and of good nourfhment; After dinner all the Phy- ficians and Surgeons aflembled, weeentred into conference in the prefence ot Monfieur the Duke of dfcot, and fom Gentlemen that did accompanie him ; I began to tell the Surgeons that I marvelled much they had made no apertions in the Marquefs's thigh, which was all apoftumated, and the matter that if. (ued out was foul and (linking, which (hewed it had a long time lurked there, and that 1 had found with my probe a Caries in the bone,and (mall fcales which were alreadie feparated ; they made mee anfwer,hee would never give confent and likewife it mas almo'ft two months iince they could win him to put on clean (heets on his bed,neither durft'anie one (carce touch the coverlet hee felt (b great pain.Then (aid 1, for to cure him, wee muft touch other things then the coverlet of the bed.Eac h one faid what hee thought beft of the Lord's grief, and for conclusion held it altogether deplorable. 1 told them there was yet fom hop?, becauf of his youth/and that God and nature do fomtime fuch things which feem to Phyficians and Surgeons to bee impoisible.My confutation was,that all thole accidents were com by reafon of the bullet hitting near the joint o; the knee, which had broken the ligaments, tendons,arid ojoneurofes of the mufcles which tie the faid joint together with the Os femoris 5 alfo nervs,veins, and arteries from whence had followed pain, inflammation,apofteme and ulcer: and that wee muft begin the cure by the difeaf, which was the cauf of all the faid Occidents, that is to (aie, to make apertions,to give ifliie to the matter reteined intheinterfpaces of the mu fries, and in the fiibftance of them: Likewife to the bones which caufled a great corruption in the whole thigh, from whence the vapors did arife and were carried to the hearts, which caufled the fyncope and the fever; and the fever an univerfal heat through the whole bodie; and by confequent, depravation of the whol Oeconomie ; Likewife that the (aid vapors were communica- ted to the brain, which caufled the Epilepfie, and trembling, and to the (lomach difdfin and loathing, and hindred it from doing his fim&ions, which are chiefly to concoft and digeft the meat, and to con- vert it into Chylus; which not beeing well concofted, they ingender crudities and obftruftions, which make's that the parts are not nourithed, and by confequent the bodie drie's,and grow's lean; and becauf alfo it did not do anie exercife, for everie part which hath not his motion remaineth languid, and atro- fiated, becaufthe heat and (pirits are not lent or drawn thither,from whence follow's mortification. And to nourifh and fatten the bodie,fri&ions muft bee made univerfally through the whole bodie,with warm linnen clothes above, below, on the right fide: and left, and round about: to the end to draw the blood and (pirits from within outward, and to r efolv anie fuliginous vapors reteined between the skin,and the flefh 5 thereby the parts (hall bee nourithed and reftored,(as 1 have heretofore faid in the tenth book trea- ting of the wounds of Gun-(hot) and wee muft then ceaf when wee fee heat and rednefs in the skin, for feir of refolving that wee have alreadie drawn, and by confequent make it becom more lean. As for the ulcer which hee hath upon his rump, which came through too long lying upon it without beeing re- moved, which was the cauf that the fpirits could not flourifti or (hine in it; by the means of which there (houldbee inflammation, apofteme and then ulcer, yea with lo(s of fiibftance of the iubjeft flefh, with a verie great pain: becauf of the nervs which are difleminated in this part* That wee muft likewife piit him into another (oft bed, ard give him a clean (hirt,and (heets ; otherwifi all that wee could do would ferv for nothing, becauf that thofe excrements and vapors of the matter reteined fo long in his bed, are drawn in by the Syftole and Diaftole of the Arteries which are diffeminated through the skin, and cauf the fpirits to change and acquire an ill qualitie and corruption which is (een in fom that (hall lie in a bed where one hath fweat for the Pox,who will get the Pox by the putrid vapors which (hall remain foaked in t he (heets and coverlets. Now the cauf why hee could in no wile deep, and was as it were in a confiimption, 'twas becauf hee ate little, and did not do anie exercife, and becauf hee was grieved with extreme pain. For there is nothing thatabateth fo much the (Irength as pain.The cauf why his tongue was drie and fowl, was through the vehemencie of the heat of the fever, by thevapors which afleended through Lib. 29. concerning div erf Voiages 785 through the whole bodie to the mouth. For as wee faie in a common proverb,when the oven is well heat, the throat teel's it. Having difcourfed of the caufles and accidents, 1 laid they muft bee cured by their contraries, and firft wee muft appeaf the pain,making apertions in the thigh to evacuate the matter rc- temed, not evacuating all at a time for fear left by a fudden great evacuation there might happen a great decaie of fpirits which might much weaken the patient and foorten his daies. Secondly, to look unto the great fwelling and cold of his leg, fearing left it Ihould fall into a Gangrene; and that aftual heat muft bee applied unto him, becauf the potential could not reduce the intemperature de potentia ad attum; for this cauf hot bricks muft bee applied round about, on which Ihould bee caft a deco&ion of nerval herbs boiled in wine and vineger, then wrapt up in fom napkin, and to the feet an earthen bottle filled with the faid decoftion, ftopt and wrapt up with fom linnen clothes j alfo that fomentations muft bee made upon the thigh, and the whole Leg, of adeco&ion made of Sage, Rotemarie, Tyme, Lavender, flowers of Camomile, Melilot,and red-Rotes boiled in white-Wine, and a Lixivium made with Oke- afoes, with a little Vineger, and half an handful of fait. This deco&ion hath virtue to attenuate,in- cifo, refolv and drie the grols vifcous humor. The faid fomentations muft bee ufed a long while, to the end there may bee a greater refolution; for beeing fo don a long time together, more is refolved then at- tracted, becauf the humor conteined in the part is liquified, the skin and the flefli of the mufcles is ra- tified. Thirdly, that there muft bee applied upon the rump a great emplafter made of the red deficcative and ungaentum Comitiffe of each equal parts incorporated together, to the end to appeaf his pain and drie up the ulcer, alfo to make hiiYi a little doun-pillow which might bear his rump aloft without lean- ing upon it. Fourthly, to refrelh the heat of his kidnies one Ihould applie the unguent called Refrige- rans Galeni freflily made, and upon that the leavs of water-Lilies. Then a napkin dipt in Oxy crate,wrung out and often renewed: and for the corroboration and ftrengthening of his heart a refreftiing medicine Ihould bee applied made with oil of nenuphar, and unguent of Rotes and a little faffron diflblved in Rote-vineger, and Triaclelpread upon a piece of Scarlet: For the Syncope which proceeded from the debilitation of the natural ftrength troubling the brain. Alfo hee muft ute good nourilhment full of juice, as rere eggs, Damask-prunes ftewed in wine and fogar, alfo Panado made of the broth of the great pot (of which I have alreadie ipoken) with the white fleftiie parts of Capons, and Partridg-wings min- ced finall, and other roft-meat eafie of digeftion, as Veal, Goat,Pigeon,Partridg,and the like. The ftuce Ihould bee Orenges, Verjuice, Sorrel, (harp Pomgranats ; and that hee Ihould likewife eat of them boiled with good herbs; as Sorrel, Lettuce, Purflain, Succorie, Buglofs, Marigolds, and other the like. At night hee might ute cleanted Barlie with juice of Nenuphar and Sorrel, of each two ounces , with five or fix grains of Opium and of the four cold teeds bruited, of each half an ounce, which is a remedie nourifhing and medicinal, which will provoke him to fleep: that his bread Ihould bee of Mellin, neither too new, nor too ftale; and for the great pain of his head, his hair muft bee cut, and rub his head with Oxirrbodinum luke-warm, and leav a double-cloth wet therein upon it; likewite Ihould bee made for him a frontal of oil of Rotes, Nenuphar, Poppies, and a little opium and Rote-Vi- neger, and a little Camphir and to renew it fomtimes. Moreover oue Ihould cauf him to finel to the flowers of Henbane and Nenuphar bruited with Vineger,Rote-water and a little Camphir wrapped in a handkercher, which lhall bee often and a long time held to his note, to the end that the fmell may bee communicated to the brain, and thete things to bee continued, till that the great inflammation and pain bee paft, for fear of cooling the brain too much. Befides one may cauf it to rain artificially in powring down from fom high place into a kettle, and that it may make fuch a noif that the patient may hear it, by thefe means fleep lhall bee provoked on him. And as for the retraftion of his leg that there was hope to redrels it, when evacuation was made of the matter and other humors conteined in the thigh,which by their extention (made by repletion) have drawn back the leg, which might bee remedied in rubbing the whole joint of the knee with unguentum Dialthta and oil of Lilies, and a little aqua vit£, and upon it to bee laid, black-wool with the greaf thereof. Likewite putting in the ham of a feather-pillow fol- ded in double, and by little and little to make his leg toftretch out. All which my difeourf was well approoved of by the Phyficians and Surgeons. the confoltation ended wee went to the lick patient, and I made him three apertions in his thigh, from whence ifliied out great quantitie of matterand Sanies; and at the fame time I drew out fom fcales of bones, nor would I let out too much abundance of the faid matter for fear of too much decaying his ftrength: Then two or three hours after I caufled a bed to bee made near his own, where there were clean white lheets,then a ftrong man lifted him into it, and rejoiced much in that hee was taken out of his foul ftinking bed. Soon after hee demanded to fleep, which hee did almoft four hours, where all the people of the houf began to rejoice, chiefly Monlieur the Duke of Afcot his brother. The daies following I made injections into the bottom of the cavities of the ulcer, made with Egy- pt iacum, diflblved fomtimes in aqua vita, and fomtimes in wine. I applied to mundifie and drie the Ipon- gie and loof fle(h,bolftersj at the bottom of the finuofities, hollow tents of lead, that the Sanies might have paflage out; and upon it a great Emplafter of Viacalcitheos diflblved in wine : likewife 1 didrowl it with foch dexteritie, that hee had no pain, which beeing appeafed the fever began much to diminilh. Then I made him drink wine moderately allaied with water,knowing that it reftore's and quicken's the fpirits: and all the things which wee refted on in the confoltation were accompliftit, according to time and order; and his pains and fever ceated, hee began to grow better and dilcharged two of his Surgeons, and one of his Phyficians,fo that wee were but three with him.Now I remained thereabout two months, which was not without teeing divers lick people, as well rich as poor, which came to mee three or four leagues about. They gave meat and drink to the needje, all which hee recommended to mee, andpraied X x x mee 786 An Apologie or <Treatij\ Lib.2<?. mee allo for his fake to help them. I proteft I did not refute anie one, and did to them what I poflibly could, whereof hee was joyful. Then when I faw hee began to mend, I told him hee muft have a con- fort of Violons and a Jefter to make him merrie, which hee did : in one month wee fo wrought, that hee could hold himfelf up in a chair, and made himfelf to bee carried and walk in his garden , and at the gate of his Caftle to fee the people pafs by. The Countrie people of two or three leagues about, knowing they could tee him, came the feaft daie male and female, to ling and dance pell mell, in joie of his amendment, all beeing verie glad to fee him, which was not don without good laughing and drink- ing.Hee caus'd ftill a barrel of beer to bee given them , and they drank all merrily to his good health. And the Citizens of Mont Hainaut and other gentlemen neighbors came to fee him in ad- miration, as a man comming from the tomb. And as foon as hee began to mend, hee was not without companie , and as one went out another came in to viiit him . his table was al- ways well Covered. Hee was greatly loved of the Nobilitie, and of the common people, as well for his liberalise as by reafon of his beautie, and honeftie, having a pleafant look and a gracious fpeech, infomuch that thofe that beheld his face were conftrained to love him. The chief of the Cittie 'of Monts cime on Saturdaie to befeech him to permit mee to go to Mons where they had a great defire to feaft and make mee good chear for his fake. Hee told them hee would praie mee to go there, which hee did. But I made them anfwer that they (hould not do mee fo much honor, as allb that they could not give mee better chear then I had with him. And hee praied mee again affectionately to go thither,and that I Ihould do that for his lake,to which I agree'd. The daie after they fetcht mee with two Coaches, and beeing arrived at Monts wee found the dinner readie, and the chief of the Cittie with their wives, ftaied for mee with a good will. Wee went to the Table and they placed mee at the upper end, and drank all to mee, and to the health of Monfieur D'auret, faying that hee was verie happie, and they likewife to have obteined mee to take him in hand, for that they knew that in this companie, hee was greatly honored and loved. After dinner they led mee back to the Caftle of where Monfieur the Marauefs ftaied for mee with great exfpeCfation to recount unto him, what wee had don in our ban- quet, I told him that all the companie had drank divers times to his healths in fix weeks hee began to up- hold himfelf a little with crutches, and to grow verie fat and get a fivelie natural colour. Now hee had a defire to go to Beaumont which is the dwelling place of Monfieur the Duke of Afcot, and made himtelf bee carried in a great chair with eight men by turns, and the Countrie folks where wee palled along, knowing'twas Monfieur the Marquefs fought and ftrove together who Ihould carrie him, and con- ftrained us to drink, but it was but Beer, but 1 believ had it been Wine or Hippocras they would have given it us with a verie good will, fo much did they lhew themfelvs joyful to tee the Said Marquefs, and praied all to God for him. Beeing arrived at Beaumont all the people came before us to do him reverence, and praied God to blefs him, and keep him in good health. Wee entred into the Caftle where there was more then fiftie gentlemen which the Duke of Afcot had tent for to com make good chear with his bro- ther,who kept his table furnilht three daies together. After dinner the gentlemen ran at the Ring,plaied at Foils, and rejoiced greatly to fee Monfieur Auret, becauf they had heard hee would never com out of his bed again, or bee cured of his hurt. 1 wasalwaies at the upper end of the table, where everie one drank caroufes to him,and mee, thinking to make mee foxt,which they could not do: For I drank but according to my old cuftom.A few daies after wee returned back and took leav of Madam the Dutchefs of Afcot, who took a Diamond-ring from her finger which lhee gave mee , acknowledging I had verie well dreft her brother; which Diamond was better worth then fiftie Crowns. Monfieur Auret grew ftill better and better, and walked all alone roundabout his garden with crutches. I beg'd leav of him divers times to com awaie to Paris, declaring that his Phyfician and Surgeon would well do the reft that re- mained, for the.cure of his grief. And now to begin a little to eftrange my felf from him, 1 praied him to give mee leav to go fee the Cittie of Antwerp, which hee willingly accorded to: and commanded his Steward to conduft mee thither accompanied with two pages : wee pafled through Malignes and Brux- elle, where the chief of the Cittie praied the Said Steward, that at our return they might hear-of it; and that they had a great defire to feaft mee, as they of Monts had don. I thank'd them moft kindely,and told them that I was not worthie of fuch honor; I was two daies and a half to tee the Cittie of An- twerp where fom Merchant s knowing the Steward, praied him to do them the honor, that they might beftow a dinner or fupper upon us. There was ftriving who Ihould have us, and were all verie joiful to hear of the good health of the Marquefsof Auret, doing mee more honor then I exfpe&ed.To conclude, wee came back to the Marquefs making good cheer, and within five or fix daies I asked my leav of him , which hee granted with great grief, and gave mee an honeft Prefent, and of great value,and made mee bee conducted by the (aid mafter of his houf and two Pages, even to my houf at Paris. I have forgot to tell you, that the Spaniards havefince ruined,and demolifht his Caftle of Auret,Cuck^t, pillag'd, rifled and burnt all the houfes, and Villages belonging unto him, becauf hee Would not bee of their fide, in the {laughters and mines of the Low Countries. Thevoiageof rT",He King with his Camp remained not long at Bourges, but thote within yielded it up, Baurges,i$61 f and went out with their jewels laved. I know nothing worthie of memorie, but that a boie of the Kings privie kitchin, who beeing neer the walls of the Cittie before the compofition was made, cried with a loud voice, Hugue not, huguenot, flioot here, (hoot here having his arms lifted up, and his hand ftretched out; a fouldier (hot his hand quite through with a bullet : having received his ftroak, hee came and found mee out to drete him. My Lord high-Conftable, teeing the boie to have his hand af bloodie, and all rent and torn ; demanded of him who had hurt him. Then there was a Gen- 111 man who faw the Ihot made, faid it was well beftowed becauf hee cried, Huguemt, flioot here,(hoot here. contcining div er J Voiages. LiB.29. 787 here.Then the Said Lord Conftable faid this Huguenot was a good musketeer, and pare a pittiful minde, for it was verie likelie if hee would have (hot at his head, hee might have don it more eafily then in the hand. 1 drefs'd the faid Cook who was verie fick, but at length was cured., but with lamenefs of his hand, and everfince his companions call him hee is living. The battel of A Nd as for the battel of Saint Denis there were divers (lain as well on one fide,as on the Mw jCV other: ours beeing hurt, went back to Paris to bee drefled together with thpprifoners who were taken, whereof I drefled a great part. The King commanded mee ,by the requeft of the Ladie high-Conftable, to go to her houf todrefsmy Lord, who had received a PiftoLlhot in the middle of thefpondils of his back, whereby hee prefentdy loft all fenf and motion of thighs and kgs, with reten- tion of excrements, not beeing able to caft out his Urine, nor anie thing by the fundament, becauf that the (pinal marrow, ( from whence proceed the finews to give fenf and motion to the inferiour parts,) was bruited, broken, and torn by the vehemence of the bullet. Hee likewife loft his reafon,and under- Handing, and in a few daies hee died. The Surgeons of Paris were a long time troubled tpdrefs the faid wounded people, 1 believ ( my little mafter ) that you faw fom of them. I befeech the great God of vi&orjes, that wee may never bee emploied in fuch evil encounters and difafters. The K TOw I faie moreover, what I did in the voiage with the King to Bayonne, where wee have 1AI been two years and more to compafs all this Kingdom > where in divers Citties and Villages I have been called into confutations for divers diteafes, with the deceated Monfieur Chaglain chief Phyfician to the King and Monfieur Cbaftellan chief to the Queen-Mother, a man of great honor and knowledge in Phyfick and Surgerie: making this voiage I was alwaies inquifitive of the Surgeons if they had mirked anie rare thing of remark intheir praTke,to the end to learn fom new thing.Beeing at Bayonne there happened two things of remark for tKe young Surgeons. The firft was, that I dreft a Spanifli Gentleman, who had a grievousgreat impoftume in his'throat: hee came to have been touched by the deceated King Charts for the Evil. 1 made incifion in his Apofteme, where there was found great quantitie of creeping worms as big as the point of a fpindle, having a black head; and there was great quantitie of rotten flefh.Moreover there was under his tongue an irnpoftume called Ranula, which hin- dred him to utter forth his words,and toeat and fwallow his meat:hee praied mee with his held up hands to open it for him if it could beedonwithout peril of his perfon, which 1 immediately did, and found under my Lancet a folid bodie,which was five ftones,like thote which are drawn from the bladder. The greateft was as big as an Almond and the other like little long Beans,which were five in number; in this apofteme was conteined a flimie humor of a yellow color which was more then four fpoonfuls j I left him in the hands of a Surgeon of theCittieto finifii his cure. Monfieur de Funtain Knight of the Kings Order, hada great continual peftilent Fever, accompanied with divers Carboncles in divers parts of his bodie, who was two daies without ceafing to bleed at at nofe, nor could it bee ftanch'd; and by that means the fever ceafed with a verie great fweat,and foon after the Carboncles ripened and were by mee drefled,and,by the grace of God, cured. I have publifh'd this Apologie to the end that each man may know, with what foot I have alwaies marched, and I think there is not anie man fo ticklifh, which taketh not in good part what I have faid, feeing my diteourf is true, and that the effeft flieweth the thing to the eie, reafon beeing my warrant again ft all Calumnies. The end of tlx Afwlogie and Voiages. FINIS. X X X 2 A General Table of all the chief things treated of in this Work. A A Bortions why frequent in a peftilentfcafbn, 8 aCX their caufles &c. 618 Antipathic, fee Tympathie. Antipathic between fom Men and a Cat>5 26. Of poifbns with poifon* 5 40 mon precepts for their ute, 35 8. Utes whereto they ferv, ibid. Bema/dthe Hermit. 689 lAbduftores mufiuli, ,74»®£ 1 Abfcefses how to bee opened, 2°3 Aconite,the fymptoms caufled thereby, and their Ants, 44. their care, ibid. Apes their imitationof men's aftions, 5 2 Aptum rifuf, the poifonous qualitie thereof, with the cure, 5 2<s Apologie concerning wounds made by Gun-fboc, Barrennefs thecauf thereof in men» 62j. In wo- men, 6'6 Bafilisk,her defcription, bite, and the cure thereof cure, 518 Aflual cauteries preferred before potential, 485 • S 7 Battels where the Autor was prefent: See voiage., Their forms and ufe, ibid. Their force againft 324. Thatfuchwoundsarenot poifoncd,j2<J. • j • 14 venemous bites, 511 Concerning bindeing of veffels,8cc. Baths good in pain of the eies, 466 Aftion, the definition and divifion thereof, '7 Apophlegmatifms what, andt heir ufe, 7 2 J Baths their faculties and differences, 628. How Voluntarie action, ibid. cApepbyfes clino ides, ' 135.136 to know whence they have their efficacie, tbid. Adders their bitings, the fymptoms thereon en- Aphorifms concerning Surgerie felefted out of Their faculties and to whom half fuing, together with the cure, 515 Hippotratet,y59 of the Autor, ytf» baths, if>id. \Adipofa vena, 90 lAddu&ore s mufiuli, 174 Adj unfti of things natural, 17 Apoltumes, fee impoftumes. Apothecaries, choii of fuch as lhall hayecare of thofe fick of the plague, 545 Beautrol a beaft of Florida, 691 Bear-worms, the bites and the cure thereof. 522 Jive coni unffiva, one of the coats of the 95 Bears their craft, 42, eie, >42 the poifonous qual'tie, and the cure Bcafts inventors or" fom remedies, ibid. Their fa- Egileps what, the differences thereof, 4°7- The thereof, 5 3« cultie in prefaging,ibid. Their love and care of cure, 4° 8 tberiacalis the defcription and manner their young, 43. Moft wilde ones may bee tamed, 48. They know one another's voice, Egyptian™, the force thereof againft putrefafti' thereof, 490. 540. good againft thePlague, on, 3 24. a cleanfer and n ota luppurat/ve ,325 defcriptionsthereof,? 38.318- the praifthere- ibid. Bees their government, 43. Care and juftice,»W. idwhow diflilled. Their itinging and the cure thereof, 521 of, 5 vdyxrM humor, 144 Beggars their cofcnagcs andcraftie tricks, 6 70 After-birth, fee Sccundine. 504 iAracbnotdes,five araneoja tunica,1 144 Bellie, why not borne, The divifion of the After-tongue, M3 After-wrjft. 1 7 Arxotick medicines. i 704 lower bellie ilid. lArehagettu a Romane Surgeon, flain by the peo- Bezoar and Bezoartick medicines, 529 Age what, the divifion thereof, 6 Ages compared; to the four feafons of the year, 7 ple. 2 Biceps rnu/cutia, 171 Argentum vivune, fee Hydrargyrum. Bindeing of the vcffek for Weeding, 266. An A- utriflomctbm the philofbpher a great obferver of pologie therefore, Autoritics therefore , Agonic what, Bees, 4 4 Rcafon, Fxpcriencc, Hiftories to con- AgueSs fee quotidian* quartai&* tertUn* Baftard Agueshow cured. 224 Agglutinative medicines 255, their nature and ufe, &o 703 Arm or flioulder-bone rhe fraSure thereof, Arm and the bone and mulcles thereof, 168. The firm it. Birds their induftrie in building their nefts, 43. defeft thereof bow to bee fupplicd, 585,587 Ravenous birds, counterfeit man's voice, 54. Arfnick, the poifonous qualitie thereof, and the They have taught men to fing, Hid. Air an Element, the prime qualities thereof, 6<'« the neceffitie thereof for lite, 22. whichhurtful, cure, 530 Arrows, wounds made by them, and their fevcral Bird of Paradife, 686 Birth. See Childe-birth. ibid. What underftood thereby, ibid. How it forms, 3 27. How to bee drawn forth, 328 Bitings of man and Beaft yenenate, 26 2, 509 Bitings of a Mad-dog, Adder &c. fee Dog, Ad- der, &c. change's our bodies, 2$. Though in Summer colder then the brain, 2J7. How it becom's Arterie what, 74. The divifion of the feendent arterie,87,89. Diftribution of the left feurtful, 314. How to bee corrected, 3 2 2.Of what force in breeding diteafes, 3 24. What force fubdavian arterie, it9. the Axillarie, 165 Bitter things not fit to bee injefted into wounds Of the crural, 176. Not dangerous to bee o~ of theCheft, 297 the Stars have upon it, 325. How that which is corrupt or-venemous may kill a man, 509. How it may bee corrupted, 5 39* Pent up it is apt to putrifie, 5 49- change thereof conduce's to the cure of the plague. 5$ 1 what, 102 tunica,there is no fuch,flicwcd by 3. teveral reafons, <Albugineujburner, theute thereof, 145 Almonds of the throatorears, their hiftorie, 230 pened, 402. Rough Arterie, 12 3. Figure of Bladder of the Gall, 8y the Arteries, 120 (Aiteria venofa, and the del? ruff ion thereof, 114 Bladder of urine, 95. The fubftmcc, figure, &C- ibid- Signs of the wounds thereof, 302. Ulcers Carefydec, 119.Ce/vrcalisibid. Inttrcofialu,ibid. thereofand their cure, 3 5 2>4 3 7 "PAamnraria, ibid. Mufculofa, ibid. Humeral la duplex, ibid. Theraciea daptex, ibid. 1 22, Mu/cula, 177 iX rthrodia what, j 9 , Blcar-eies their differences and cure, 405 Bleeding in wounds,how helped, 256. How flop- ped by bindeing the veflels, 26 Why devi- led by our Autor,341 • In amputation of mem- Articulation and the kindes thereof, ibid. have known, 497 bers, 339 Blood che temper thereof, 7. The material ana. their tumor with the caufles and figns thereof, the cure, . ,bid' Afcites, fee Dropfir. Afpe his b'te, and the fymptoms that happen thereon, with their cure, 519 AH' s-milk how to bee ufed in the cure ofa He- ftick, 300 ,JfiragaliU. j 8 3 theroma what, 212. The cure thereof, ibid. efficient caufles thereof, ibid. Where perfe&ed, ib'd- All thefour humors comprehended under that ge-cral name, Hid. compared with hew wine, ib/d. the nature, confidence, color, tafte and ute, 8 Blood-letting whether neceffarieat the beginning of peftilentditeafes, ' 657 Almonds increaf the pain of the head, 27a topee in what; thecauf, which curable, and how,- and which not, 399 tunica the fubftance and compofurc there Of, • . . I03 velretiformrs tunica, 14c Amputation of a member when to bee made, 33 8 How to bee performed ibid, to ftanch bleeding enfuing thereon, 3 39. howto drefs the part, 340.T0 perform the reft of the cure, ibid, fbm- timesmadeata joint, 3 42 Anatomie, theneceflitieof the knowlcdg thereof, how helped, Attraftive medicines what, 703 Bloo i - letting, when neceffarie in a fynocus, 205. When in an Eryfipelas, 206. When in a Terti- .Auricula Cordie, 11 3 Auripigmentum, the poifonous qualitie, and the an, 208. In what wounds not neceffarie, 255. 1 he two chief indications thereof, 27 9 .Why enre thereof, 5 30 Autumn, the condition thereof, 7 nereffarie in the frafture of the heel, See Phlebotnmie. Axioms anatomical, 95. x 19,144.16 Philo- Bloodie Urine aid the cauffes thereof,&c. 43 6 68. A threefold method thereof, ibid. The de- finition thereof, fophical. " 144 Boat bone, 183 Bo lie how divided, 6 3, 6 5» The fore part there- Anatomical adminiftration of the lower Bellie , 66. Of thefternon.ioj. Axioms, 95. 119, 144. »66 cAueutifina what, 224. how cured, 225. wh ich incurable, **'"• Anger, the effefts thereof, 2 9 Angina, fee Iquinacie.. iXiMOMhow manie waies taken, 4. See Soul. Animal parts which,6 3, Their divifion, ibid. Anodyne medicines, 709. For the eies, 291• in pains of the teeth, .. 3°4 Antidotes muft bee given in great quantities, 511 • NO one againft all poifonsj 29. To bee ufed in cure of the Plague, 555 B T) Ack- bone and the ufe thereof, 15 $ IJRags, the diyerfiticandule. 727 Ball-bellows, 313 of, 66. The back-part. ibid. The crooked- nefs therco f how helped, 5 8 * Bolftcrs and other ute, 278 Bone', how theyfcel,6t. Their definition, 106. Their differences,ibid. How hurt by the tre- Balneum Manx, 737 pan, 283. What batten's their fcaling, ibid. Balfams fit to beal fimple, not confuted wounds, 326 Ba Ham of Vefialius's deteription 74?.of Fallopius his defcription, ibid. An anodyne, and farco- tick one, 30 5 Bandages their differences, 3 57. What cloth beft for them, ibid. Indications how to fit them ibid. Three kindes neceffarie in fraaures Com - Their corruption, 283. How helped, 287 Bones of the fcul,i 26 oftheface,! 3 8.of the note rb. of the auditorie paffage, 149. of the arm, 16 8 of the back, 15 5. of the breft, 105. of the cubit, 1 yo.ofthe wrift,after wrift, and fingers, 1 ? r. Seed- bones, 17 3 .of the thigh, 179. of the leg,i8r. ofthefoot,i8?. of the toes, »8f- A brief recital of all the Bones, 18 8 Bones The (fable. Bones more brittle in froft.e weather, 3 6*. foo- Cerats what, their differences, 717 Corroborating medicines* 212 ner knit in young bodies, ibid. Their general Ceratum cefypi ex Philagrio, 719 cure beeing broken or diflocated, 3 <5 3. How Cerufs, the poifonous qualitie thereof, and the Cotyle what, 19 j Cotyledones what, 100-394 to help the lymptoms happening thereon, 3 64. cure, 531 Whv they becom rotten in the Lue venerea , Certificates in Tundrie cafes, Cour fes how to provoke them, 371,638. how to flop them, 571,641. The reafon of their and how it may bee perceived,481. How help- Chalazion an effeS of the eie-lid, 40 3 name, 636- Theircaufles ibid, caufles of their ed, ibid. Chamelion his lhape and nature, - 694 fupprtflion,6 3 8. what fymptomsfollow there- Hones ftricken in the throat or j aw, how to bee Chance fomtimes exceed's a rt, 3 7- F inde's out re- on, 6 3 9 • fy mptoins that * follow their immo- got out. 35* medies, . 309 derate flowing, ibid. Tbrachiaus MuCculut, 171 Change ol native temper, bow it happen's, Crabs, 3 x Brain and the Hiftorie thereof, 128, The Ven- _ 1? tricles thereof, 130. The mammillarie procef- Chaps, or Chops occafioned by the Luos venerea, fes, ibid. and the cure, 489- In divers parts by other Brain,' the mboving or concuffion thereof, 271. means,and their cure, 639 Cramp, the caufand cure thereof. 464 Cranes obferv order in flying and keep watch, 5 1 Cremafter muffles, 9 g howcured. " 273 Charcoal cauffethiuffocation, 756 Cridones what difeaf, and the cure, 250 Brefts, 107. Their magnitude, figure, &c, ibid. ChemfifisinaSe&c>f theeie-lids, 406 How they communicate with the womb, ibid. Cheft and the parts thereof, 106. why partly Breft-bone, the Hiftorie thereof. ibid. griftly, partly bonie,i6nT Thedivifionthere- Breft-bone, the depreflion or frafture thereof, how of, ibid. The wounds thereof, 279. Their Crocodiles may bee tamed, " 3 g Crookednefs how helped, 382 Crural vein, 176. Arterie, 177 Ciweusmn/culus, j.g* helped, 367 cure, ih'd. They eafily degenerate into a Fiftula Crus how taken. "Brevis Mufculus, 17* 298 Cryfiallinus humor. j a 4 Bronchpcele, the differences thereof, and the cure, Childe, whether alive or dead in the womb, Cubit, the bones and muffles thereof, 17® 233 612. If dead, then how to bee extruded, Cubit bones, the fradure of them, ' 369 Bruifes, fee Contufions. 613 £ub tide IOS, Bubo*s,by what means the humor that cause's them Children why like their fathers, and grand fathers, Cupping glafles and their ufe, 443. Their ufe in flow's down, 176 591. Born without a paflage in the funda- the cure of a Bubo. '* 563 Bubo's , venereal ones returning in again caufles ment, 6°°. Their fite in the womb , fid, Cures accidental and flrange, 37, 38. deceitful» the Lues venerea, 466- Their efficient and When and how to bee weaned , 611- Their materialcaufles, 481. Their cure ibid. pain in breeding teeth, 646- They may Cuftom how forcible, 24 Bubo's in the Plague, whence their original, 535. have impoflumes in their mother's womb , Cuticle,the matter,quantitie, figure, &e. thereof the deffription,figns, and cure, 563. progno- 380 67 fticks, ibid, childe-birth and the cauf thereof, 6°!• Thena- Cuttel- fi fh his craft, y 1 "Bubonocele what, 238 tural and unnaturall time thereof, 602. Wo- Bullets fhot out of Guns do not bum,312. They men have no certain time, ibid. Signs it is at cannot beepoifoned, 311. remain in the bodie hand ,603- What's to bee don after it, after the healing of wounds, 322 604 Bupreftes their poifbn and their cure, 522 China-root, the preparation and ufe thereof, Cyfticat gemellae, gg O. T-'Sofrrtr, 95 j J Death, the inevitable caufthereof,3o. How Burns, how kept from bliftering, 310. See Com- 469 buftions. Chirurgerie, fee Surgerie. fudden to manie, 506 Bifhop-fifh, 677 chkurgion, fee Surgeon, Definition of Surgerie, 1 Choler, the temper thereof, 8- The nature con- Definition how different from a deffription 6 < f, fiflence, color, tafte and ufe, 10. The effects thereof, 11. Not natural, how bred and the mia what, »8 kindes thereof, ibid. V jCxcum intefimum, 81 cholerick perfons, their habit of bodie,manners Defluxion of humors how diverted, * 20 < the caufles thereof, 261. The cure, . . . ibid. Deliverance in childc-birth how furthered, 6°i Cafcanoim os, 183 and difeafes, 12. They cannot long brook fa- Wh ch difficult,504. Whichtafie, * ibid- Cahaca arteria, 87 fling, , 454 Callus what, and whence it proceed's, 253. Bet- chorion what, 103 Deltoid?s mufculus, 1 yo Dentifrices, their differences, matter, and form. ter generated by meats of grofs nouriihment, Chylus, what, 8 7'6 362. Made morehandfom by Ligation, ibid, a kinde of Rupture, &c-23 8.The cure. The material and efficient caufles thereof, 377. 243 Medicines conducing to the generation there- cinni mom and the water thereof, 744 > Depilatories, Derwrt, •• v 67 • Deterfives, 203. theirufe, ibid. of, ibid. How to know it is a breeding, ibid, rbavicle, fee Collar-bone. Devils and their differences, 66 f. Their titlesand What may hinder the generation thereof, and rleitoris, . 102 names, 666- They are terrified and anm-ed bv how to help it beeing ill formed, 373 clyfter,when prefently to bee given after bloo.(■ divers things, " Camels their kinds and condition, $ 1 letting, 205. See Glyfter. Cancer, the reafon of the name , 219. Caufles coats,common coat of the muffles, the fubftance Devil of the Sea, » what, thecaufles, figns, and cure. a.z8 thereof, ibid, differences, 220. Which not to quantitie, &c-thereof, 70. of theeies, 142 Diaphoretick medicines, io? bee cured, ibid. The cure if not ulcerated, of the womb, l02 Diep/irarma, fee Midriff, whv called Phrenes ibid. Cure if ulcerated, ibid. Topick medi- Cocatricc, fee Bafilisk, ' 1 io cines to bee thereto applied, 221 Cocks are kinglie and martial birds, 5' 0 Diaphylii what, igr Cancer or Canker in a childe'smouth how to bee Colchnum the poifonous qualitie thereof, and the Diarie fever, the caufles and figns, 204. the cure, helped, 6°5 cure, • ibid. Cannons, fee Guns» Colick, and the kindes thereof, &r. 439 Ttiarthrofis, 191 Cantharides, their malignitie and the help thereof, Colon. 81 Die-bone, ,8? 522. Applied to the head they ulcerate the collar-bones, or Clavicles, their Hiftorie, 107, Diet hath power to alter or preferv the tempera- bladder, 523 iog. Their fracture, 366. How to help it, ment, Capons fubieft to the Gout, 454 ibd. Their diflocation and Cure, 384 Diet convenient for Rich as have the Gout, 2.ri Carbuncles whence their original, J 33. whyto Collyna what, their differences and ufe, 724 4 For fuch as fear the ftone, 422. In prevention called, together with their nature, caufles, and color is the bewraier of the temperament, 20 of the Plague, 53?. In the cure thereof, yj i figns, 566- prognofticks , ibid, cure, columella, See Uvula, . 553 Combuftions and their differences, 33 3.their cure, Differences of muffles, 73 Caries ofitum, 2°b »» »• DieitMuoflexoresmufculi, 173, 186 Carpifiexores mufculi '7i Common fcnf what, $98 'DigitumtenfbresmuCcidi, 173,186! Carpuenfores mufculi, ibid. Comparifon between rhe bigger and the lefler Diploe what, 127 Cartilago feueiftrmis, vel enftfbrmie, i°5 world, 494 Difeaf the definition and divifion thereof, 3o.cauf- Caruncles, their caufles, figures, and cure, 479- romplexus mujtulus, 15 7 fes, ibid. Other waies of cure, 480 Competition of mediCineSjthe neceflitie thereof, Difeafes flrange and mbnflrous, jy Cafes, their form and ufe, 361 739 Difeafesincident to fahguine, cholerick,nhlesma- Cafpiliieaftrangefifh, 52 comprefles, fee Bolfters- tick and rrelancholick perfons, 12. Wherefore Catagmatick pouders, 282 concoftion, fault of the firft conccft'on not men- fom arehcreditarie, spo. fupernatural, (,G7 Catalogue of medicines and inttruments for their (ied in the after, 4 ■ 13 Monitrous accidents in them, preparation, 747. &C. of Surgical inftru- Concuflionof the brain, how helped, 2! 19 Diflocations, their kindcsand manner, ?61. thrir ments, 748 Condylomata, what they are,and their cure, 645 d.ffereaces, 362, Caufffs, ibid. Signs, Cataplafms their matter and ufe, 720 Conformation, the faults thereof muft bee fpeedi- Prognofticks, 363. The g-'nerakure, 382. Catarra&s, where bred, 145- Their differences, ly helped. 5 caufles, &c. 409. Their cure at the beginning Congeflion, two caufles thereof, v 04 Symptoms that may tefal a diflocated member, 96 ibid. The touching of them, . 411 Contufions what, their caufles, 330. general Diflocation of the jaw, 383- The cure, 384. Catarrh fomtimes malign, and killing manic, cure, ibid. How to» bee handled if joined with and ibid. Of the Collar bone, it id Of the 538 a wound, 331. How without a wound, ibid. fpioe, 3 8 $. Of the head, ibid., Of the neck, Catharetick medicines - 70? how kept from gangrening, ibid. 388. Of the Rump, ibid. OftbeR'hs, ibid. Cats, their poifonous qualitie, and the Antipathic Contufions of the ribs, their cure, 3 between fern men and them, <26 Convulfion, the kindes and caufles thereof, 2 32 of the fhoulder, >bid. Of the elbow, <7 Of the dtylhfcrmiifioeeirus, 397. Oftbewrifi Cauftick medicines their nature and ufe, 708 the cure, 23 8, 3 59- why on thecontrarie 328. Of the afterwrift, 398. Of the fingers. Cauteries, aftualones preferred before potential, part in wounds of the head, 2 76 lb. Olthe thigh or hip, ibid. Of the whirl- 483. Their feveral forms, 486. Their ufe, Convulfive twitching in broken members and the bone, 394- Of the knee forwards,395 of 487; Their force againft venemous bites, 5 11 cauf thereof, 3 76 thegre.tcrandfffler- Poole,394. of theheel potential ones, 722 Comes have taught the art of und'rmin'ng, 50 ibd Ot the Paftern or anckle-bonc. 397. Cephalewbat, 19c fornea tunica, 1 Cephaliea vena. 163 Cor one j what, 1 Cephalick powders how compofed, 487 Coronabsvsna, 4» Of the inftep and back of the foot, ibid. Of 91 the toes, ibid. D fmembnng, fee Amputarbn. X k x 3 Diftempcra- 'The Di'ftemperature and tbc diverfitie thereof , ? t Erythrois tunica, 9 2 Efchar how to batten the falling awaie thereof Hermit, 685. Of the failing-fi(h, ibid. Of Di'dillation and the kindes thereof, 735. For- the Whale, 685. Of an Eftuch, 686- Of naces and the veflels therefore, 736• What r.6 5. Medicines caufling it, 70? Efcaroticks, 709. Whv ufed to fpread ulcers, the birds of Varadife , 6 8 7. of a Giraffa, to bee confidered therein, 737- How to pre- 688- Of a beaft called Thanafth, 691. Of pare the materials therefore, 73X. How to 304 the Beaft Haiit, and a monftrous African- diftil waters, 739. How aqua vita;, 740. How to reftifie them, 741. To diftil in the Eflrich between a bird and a beaft, 6%6. Thelce- bead, 692. Of a Chameleon, 694 letonofone, ibid. Figuresof Fornacesand other things fit for diftil- Sun, ibid, By filtring, ibid Of Oils, 741 Evacuation and the kindes thereof, 28. What to lation, 737, 738, 739, 741, 743,744, Of Spirits, 744. Of Oils out of Gums,«/'»W- bee obferved therein, 2 9 746 Of Oil of Vitriol. 746 Eunuchcs aflim ilated to women, 1t Excrements of the firft, fecond, and third conco- Figure of a fraftured arm with a wound in a fit- Docilitieof beafts. 5 2 pofture , 370. Of a Leg fraftured with a Dogs their love to their matters, 46- Theirdoci- ftionwhat, 599 wound and bound up, 3 74. Of Ligature for litie, 5 2. Why they becom mad looner then 0- Exercife, the ufe and beft time for it,26. The qua- extention, 382. How to reflore the diflocated ther creatures, 512. How their bites may bee litie thereof, ibid. fpine, 386. Of putting the fhoulderinto known, ibid. Prognotticks, 513. The cure of fuch as are bitten by them, < 14 Exomphalos, or (landing forth of the navel, 238 joint, 389, 390, 391, 392, 393, 394. Oi the ambi and the ufe thereof, 394, 396. Ofreftoring the diflocated Elbow, 396- Of Dorycnium, the poifonous qualitie thereof and the Epoflofit in Lue venerea, 483 Experience without reaibn, of what account, cure, 527 Doves free from adulterie, 4? the thigh-bone diflocated inwards, 393. Out- 34 wards, 394. Of reftoring a knee diflocated Drato man fin, the fea-Dragon his poifonous pun- Eie brows, T42 forwards, 395 fture, the fymptom s and cure, 5 24 Eie-lids, ibid. To ftaie them beeing too lax.402 Figure of a Semicupium , 425. -Of a Barrel Dracunc ulus what, 247, The cure, ibid. To open them foftned together, 404. To help to bee ufed in the cure of a Caruncle , 480- Dragons their craft, 51 their itching, ibid. Of the Helmet- flour , $ 28* Of the fite of Dreams of the(anguine1cholerick,pblegmatickand Eies their fight and quicknefs, 141. Figure, com- pofure, &c. ibid. Their mufcles coats, and humors, 142, 143. theirwounds, 29t.rohide the cbilde in the < womb, 601. Of leaden nip- malancholick perfons, 12.Not to beeneglefted, ples >611. Of a glafs to fuck the brefts with 26 616 Dropfre what, 234/rhe differences,Symptoms and the lofs or deleft of them, Hid. their ulcers, Figures of Artificial Eies, Of nofes, cauffes, 2 3 f. Signs and Prognotticks ibid. The 349. their cure, 350. their effefts, 402, &c. 578. Of Teeth, 579. Palats, ibid. Howto fupplie the defeft of the tongue, 580. Of the cure, ibid. Following upon a Tumor of the me- their inflammation, 4°i fenterie, 6 24 Dugs, their fubftance> magnitude,&c. 107. What F. Ears, tSr . Iron Breft-plates, 582. Of an urine bafin and artificial-Yard, tbid. Of an to bee don to drie up milk, 616 Duodenum, the magnitude, &c. 8 < TTAce difeloferof affeftionsandpaffions 29.the wounds thereof»29O. How to help the rednefs iron-finger-ftall, 583- Of an ereftorofthe hand, 584- Of Boots for Rich as are crook- Dura mater what, 128. Tbehurts thereof by Tre- legged, 585. Of an artificial-hand, $86- Of an arm and leg, 5 87, c 8 8 • Of a crutch, panning, and how helped, 288. Remedies for the inflammation and Apoftumation thereof, thereof, ... 733 Faculties what, 15, their divifion, 16 589 ;• ibid- Why it eafily endure's acrid medicines. 219 Falling down of the Fundament the cauffes and Filings of lead, their harm taken inwardly, aDd E. cure thereof, 2 Fat, the fubftance, and cauf, &c. thereof, 69 cure, ' 530 Filtration the manner and ufe thereof, FT ars,thelr parts and compofure, 148. Their 11 wounds and cure 2j»y. To fupplic their defefts, Why not generated under the skul.aqo. How tobcediftinguifhed from the brain, ibid. the Fingersand their parts, &c. 172. their diflocati- on , whyt eafily reftored, ibid, how to cure thereof beeing wounded, 303 take awaie fuch as bee fuperfluous , and help 581. Their ulcers, 351. Their flopping, and things falling into them how helped, 412 Fences what, *51 thofe that flick together, 417. How to fiip- Faulcon her fight with the Hern, 54 plie their defefts, 583 Ban of the heart, Faultsof conformation mutt bee fpeedily helped, Fire and the qualities thereof, 3. Hie force there- Ear-wax, for what ufe it ferv's, 149 504. Of the firft concoftion, not helped in the of againft the Plague, 539 Earth a cold and drie element, 4 after, 453 Fifhes their induftrie, 50. They may bee tamed, Earthquakes, their cauf, 3'3 Fear and the effefts thereof, 29 48 Ecchomofis what, and how cured, 267 Fever fomtimes a fymp om , otherwbiles a dif- Fuller a fifh fo called, $ t Etho, the cauf thereof, 14? eaf, Flatulent tumors, their caufles, figns, and cure , Effefts of Phlegm. o -Of cholerand Fevers accompanying Phlegmons and their cure, Ejaculatorie veffelsin men93• In women, p? 204. Happening upon Eryfipelous tumors, 20B.' Upon Oedematous tumors, 212. Upon Schirrous tumors, 223. The cure of baftard in- Flatulencies about the joints counterfeiting the Elbow,the dislocation thereof, 3? 5-how toreftore Gent, 46a itdiflocated outwardly, ibid. Totheinfide,j$>7 fee Why moft fubjeft to the anchyliofis, # ib. termitting Fevers. 224 Fiftula's what, their differences,figns, 8ec. 355 Elements how underftood, and their principal qua- Feet and their bones, 183. Their twofold ufe, Their cure, ibid. In the Fundament, ibid. The lities, 3. What thofe of generation are,4.What 1*5 cure, ibid. Upon the wounds of the cheft, and thefe of mixt bodies iredbid, The cauf of their Feirce Clare a fiih, 525 the cure, 298 tranfimutation, 3 r J Females of what feed generated, 592 Ftbraaurii what,. * ' 148 Fleihly Pannicle, the Hiftorie thereof, 6 8 Elephants, their ftrength, pietie, &c. 46- Where Flefh quickly putrifie's in maritime parts bred, and their qualities, 689 Fibula, i8r Figures in Anatomie, and firft of the forepart of 314 Embalming the dead, 759. The manner how, 760 Flexeres mufeuli, 18®. Superitr 1 8 7 Embryon, when it take's that name, 566 man, 65. Of the backparts, 66. Of the lower bellie, and parts thereof, 7 6, Of Flux of blood in wounds now helped, Embrocation what, and how performed, 7 21 Flux of the bellie how to bee flopped, $72' Emollient and refolving medicines, 215,218 theftomach, 80. Of theveffclsoffeedandu- 571 Emplafters what, their differences^17. Signs they rine, 91. Of the bladder and yard, 9 6 • Of Flying fifftof amonftrousfhape, 682 areperfeftly boiled, 718.Their ufe,72o. Cau- tions in tbeirapplication, , 211 the womb, >98. Of fom parts in women Foeiie what, 181. How to cure the reparation of the greaterard leffer, 6 31 • The reparation from different from thofe of men, 101. Of the Emplaftrum de Vigo cum .Mercurio, 718. Degra- hollow vein, n6. Of the Arteries, 120. Of the rough Atterie or weazon, 122. Firft the paftern-bone, 3 2 tia Dei, ibid. De Det mica five de janua, ibid. Fomentations and their ufe , 720. For broken 0'Cycrotium,yi6. D* cerufd.ibid.TripharmOcum and fecond of the brain, 129. Third of the bones , 379. They hurt plethorick bodies, feu nigrum ibid. Dtacalma feu Diacalcitheos, ib. Cerebellum, 130. Fourth and fifth of the ibid. What to bee obferved in their ufe, Centra ibid. De JKuci'agiiubus, ib. De minis, ibid. Diachylum magnum, ibid. brain, 132, The filth of tbc brain, ibtd. Seventh (hewing the Ncrvs of the brain, 254. , ibidu Fornaces ,their matter and form> 735,73 7> 73 3, Empyema what, 234. The cure thereof, ibid. The eighth of the brain, J 35. Of the fpinal &c. Empiinefs, *8 marrow, 137. Of the eie, 143. Of the Fwux, 13 t Fmulgens . 90 chief mufcles of the face, 147. Of the lower Foxes and their crafts, 50 ■Enartbrofis, a kinde of articulation, 1 i jaw, ibid- Of the ears, 148. Of the back- bone, 154. Of the mufcles in fundne para Frafturewhat, and the differences thereof, Enterocele a kinde of Rupture, 238 Ephemera febris, 204. ThccaufTesand figns there- Their caufles, 362- Signs and Prognotticks, of the bodie, 156, 157, M*, 159, »6o, 161- Of the nervs, >63. Of the bones in ibid. Their general cure, 363. Howto help of, ibid. The cure. ibid. the fymptoms, 3 64- Why deadlie in the joint Epidermis, 6 J Epidydimis, 9 3 Epigaftrium what,66. The conteining parts there- the hands, 172. Of the thigh-bone, 179. of the (houlder ,367. why ntar a joint more Of the bones in the feet, 184. Of the Sceleton, dangerous, 188,189,190 * rafturesof the fcul, their differences, 262. of of, ibid. Figures of Inftrurrents ufed in Surgerie, See In- the cauffes and figns,ibtd. 264. Signs manifeftto Ep igaflrica vent, 9 Epiglottis what, 15 ftruments. fenf ,' A Fiffure the firft kind of fra- Figures of divers forts of javelins and arrow-heads, fture, ibid. How to finde it beeing Idsmani- Epipleonwtet. 78 327 feft, ibid. A contufion the fecond kinde offra- Epiplois vena, by Figuresof monfters, 648., 649. &c. Of di- fture, 267. An Effrafture the third kinde , Epiplocele, vers beafts, &c- as of the Succarath, 45. 269. A Seat the fourth kinde, 271. Refoni- Epitbemes to ftrcngtben the principal parts, 84 5 Of the Elephant, 47, 690. Of the Rhinoce- tus the fifth kinde,ibid. The Prognofticks, 274 Their composition and ule, 721 ros, 49. Of the Camel, 3>. Of the Croco- dile, 58,693- Of the Crab, 219. Of the general cure of them and their fymptoms,277. Epoints mufcnlus, *7° They are hurt by venerie,279. By noifi ibid. Epulis what, the fymptoms and cure, 229. Scorpion, &c. 494,495. Of the Serpent He- ' The particul ar cure r 81. Whv Trepanned, 282 Epulo:ick,or skinning medicines,their kindes and monhous, fi6. Of the Serpent Seps, 5x7, Of theBafilisk,5i8. Of the Salamander and Fraftcres more particularly and firft of the nofe , ufe, 707 365.Of the lower jaw, ibid. Of the Collar-bone 666.Of the fhoulder-blade, ibid. Of thebreft- Eppbincs their differences, defcription and ufe, Torpedo, ibid, of the fting Raie, 525. of 724 theSea-hare, 526. Of the monk andbifoop- bone, 367.01' the 'R.ibs.ibid. Of the vertebra.or 206. What tumors referred there- fifh, 677. Of the Sea-divel, Of the Sea-Mors, Rack-bones, 769. Of the Holie bone , ibid. to, 199. the differences thereof, 262. Progno- and Bore, 6?7. Of thefifli Hoga,68r. Of a Of the Rump, ibid Of the Hip. ibid. Of tticks, 262. Their cure, ibid. monftrous flying-filh, (82. Of Bernard the the Ihoulder or arm- bone, ibid. Of the cubit or Tablet or Ell a Wand, 370. Of the Hand, 37 r. Of the Thigh, ibid- Of the Thigh near the joint, 373. Of the Or whirl-bone, ibid. Of the leg, 3 74. Of the bones of the feet. 399 Hamon ho id.ilis arteriat five mefenteripa inferior. 88 Hatmorrhous a Serpent h's bite, the figns and cure' 5 lg The fraftureof the low. r jaw. 265 How to help it. 3<stf The diflocation thereof. 383 Fraftures aflbeiated with wounds, how to bee Hint, a ftrange bead. a bird, the inventer of glyfters* 41 Ichneumon * bow hee arm's himfelf to aflail the bound up. 35?>375« Hair, what the original and ufe, 125. How to French Pox, fee Lues ventrea. make it black. 7 3 4. How to take it off. ibid.- Crocodile. 48 Friftions their kindes and ufe. 2 5 Hairie-fcalp, the connexion and'ufe, 125. The Idlenefs, the difeommndities thereof. 26 Fuci, how made. 73 r wounds thereof not to bee neglected, ibid. The Jejunum intejlinum. g 1 ibid. iliaca amria. g9 Vena. Fumigations, their differences, matter and form. cure thereof beeing contufed/ 280 727 Hand taken generally , what, 164. Thefraffure Fundament, the falling down thereof. 2 thereof with the cure, 370. Howto fuppliethe The cauffes and cures. 646 defeft thereof. 584, 5 8 <5 Ilium os. fungus, an excrefcence fomtimes happening in Hares how they provide for their young. 46 Hl conformation. ,T F railures of the fcull. 2 8 6 Hare-lips what, 293. Their cure ibid. Harmowa what. 191 Imagination, and the forcethereof. 598 Impoftors, their impudencie and craft. 29 287 Impoftume, what, their cauffes and differences. Hawks 5 4 Head, the general defer'ption thereof, 124. The tAlens Effigies and praife. 7 €9 V TGabi and the bladder thereof,&c. 8 5 conteining and contemed parts thereof, ibid. The mufculcus skin thereof, 125 - Why affeffed Signs of them in general. Prognofticks. Ganglion,what. 214- properly focalled. ibid. when anie membranous part is hurt, ibid. The What confidetable in opening of them. 20 2 Inanition, fee Etnptinefs. ' Gangrene what, 3 35* The general and particular watrictumor thereof, 226. The wound?, there- cauffes, ibid- That which is occafioned by cold, of, 262. &c. The falling away of the hair and upon what part it feaze',,3 36.Signs,ibid. Prog- other affects thereof, 399. The diflocation j27 i4« Indication, whence to bee drawn, 2 of feeding nofticks, 337- The general cure, ibid. The par- thereof. 385 25, what, 3 a. the kindes, ibid, table of them ticular cure, :6id. Hearing, the organ, objeft, &c. thereof- 18 3 6. obfervable in wounds by gun-fliot- 3 20 Infant, what hee muft take before hee fuck, 6061 their crying what it doth. 6 r 1. how to bee pre- fervedinthe womb when the mother is dead, JeeChilde. Gargareon. I 51 Heart, and the hiftorie thereof. 112. The ventri- Gargarifms, their matter and form. 72 5 des thereof, 113. Signs of the wounds thereof. repelling,ripening and detergent ones, 233 296 Garlick good againlt the Plague. 5 40 Heat, one and the fame efficient cauf of all humors Cjaflncavena. 86 at the fame time, 10. three cauffes thereof. 196. Inflammation of the almonds of the throat, and Cjaftrepip'ois vena, ibid. Major. ibid- Geef, their warinefs in flying over mount Taiatu. Hetfick fever with the differences , cauffes, figns and cure. 299 their cure, 230, of the Vvula- ibid, of the eies. 4q5 5» Hedg hogs,how they provide for their young. 46 Inflammation hinder's the repofition cr putting diflocated members into joint. Gemelli mufculi. 186 Heel, and the parts thereof; 183. Why a fradure Qemtni mufculi. _ _ 180 thereof fo dangerous , ibid. The diflocation Infeffw, what, their manner, mattcr,and ufe y zg Generation, what it is, 17.Wbatneceffarie thereto. thereof, Symptoms following upon the Inftrumcnts ufed in Surgerie for opening abfeef- 593 contufion thereof, ibid. Why fubjeCt to inflam- Generation of the Navil. 594 mation. Al'cnt for the womb. 222, 64 3 An iron-plate and aftual cauterie for the cute olthe Ranula. Giddinefs, fee Vertigo. Hemicrania, fee Megrim. Ginglymos what. 19 r Hemlock the poifonous qualitie thereof, and Giraffa a ftrange bcaft. 688 the cure- 528 Confl riflorie rings to binde the Columella. 2 2 ■ Glandula what fort of tumor. 213 Henbane the poifonousqualitie and the cure. 527 Speculum oris. G Undid* lacry malto. 142 Hermophrodites, . 20. and 6; 5. Glandules in general, 80. At the root of the Hern, his fight, and the Falcon. 54 An incifion-knife. 2 2 2. tongue, 151 .Their inflammation and cure. 230 Hernia kindes thereof,2 3 8. Humor alls. Glans penis, 9*7. Not rightly perforated, howto 245 An a&ual cautei ie with the plate, for the cure of •^T''ka?4- of a pipe ro evacuate the rhtCf 1!\the,Dropl'c' '17-wherewith to make the golden ligature, 242. to Hitch up wounds. bee helped. 4,9 Glyfters, their differences, materials, &c. 71 r. Several defcriptions of them, ibid. They may nourifh. y 12 Herps and the kindes thereof, 207, The cure. ib. Hip-gout, (eefciatica. Hip, the diflocation thereof, 389. Prognofticks, JJ>o. Signs that it is diflocated outwardlyot Goat's dung is good to difeufs {cirrous tumors. inwardly, jpo.Diflacated forwards, 391. back- A razor or incifion-knife, 2 a cbizzel, 26s tort a tbree-footed leva! 269, Saws todi- 260 neflfcu a defquamatorie Trepan, a *7°- ScraPers> pincers.i nd Ln met' '7°' A piercer t0 enter aTre- a L rrTrepans ' 281' Tcwbellum, 284. zfej TLll5e SCraper' cutt'ng-tompaffes, l°j duic P'PC? and fyringe. 286. to de- prefs Speculum oculist LLLsnfV PfPesufed in the 298. to draw out bullets, 3 to, «c. Dilaters and Probes to draw through ;2iy Golden ligature, how made. '242 wards, ibid, how to reftore the inward difloca. tion, 392. the forward diflocation, 394. the Gomplofis what. Gonorrhea, how different from a virulent ftran- gurie, the cure. 4y 8 backward diflocation. ibid. Hippocrates his Effigies. 749 Hoga, a monfl rous fifh. 681 Gout, the names and kindes thereof, 44 6. the occult Holes of the inner bafis of the fcull, 13 <J. of the cauffes thereof, ibid- the manifest cauffes there- external bafis thereof, ibid, fmall ones fomtimes of, 448. out of what parts it may flow, 449. remain after the cure of great wounds. 294 figns that it flow's from the Brain, or Liver, ib. Holie-bone,his number of Vertebra,and their ufe, How to know this or that humor accompanying 15 5. the frafture thereof. 3 69 the Goutie malignitie, ibid. Prognoftickss4jo. Hordeolum, an affeft of the eie-lids, 40 3 The general method to prevent and cure it, 451 Horns ufed in fteadof Ventofe's. 445 Vomiting fomtimes good, 452. Other gene- Horf-leeches, their application and ufe, ibid, their ral remedies, ibid. Diet convenient, 453. what virulencie and cure. ibid. k'-^arlfiCat2r' 53r- A difinembring knife and faw, <39. A dilator to open the mouth, Id • pyoulcos , or matter-drawer. 251. ?7I. A lattin-cafe, 376 a pulhe and band-vice, cal- led Ambi, 393.httlc hooks,needles,and an in wine not good, 4 5 4. How to ftrengthen the joints,ibid. The palliative cure thereof, 43?. Hot-houfes how made. r 3 < Hulpalu, a monftrous beaft. <588 Local medicines in a cold Gout, 446. In a hot Humeraria arteria, »2o. Vena, igj or fangume Gout, 458. InaCholerick Gout, Humors, their temperaments, 7. the knowledg of ibid. What is to bee don after the fit is over, themneceffarie, 8. their definition and divifion, 460. Tophi or knots how caufled, 461. The hip-gout or fciatica, 462. The cure thereof. Griftleswhat, >06, of the note, 14;. of the La- ibid. Serous and fecundarie; as Ros, Cambium, Gluten, it. an argument of their great putre- faction. 314 cilion-knife to take away the Web, 407. fifes for filing the teeth, 41 f.forcfeanfing and draw- ing the teeth, 4 rtf. cutting mullets to takeoff nnx- - j Humors of the eie. 142 faperfluous finders, 418. A Catheter a->o Groins their wounds, 303. Their tumors, fee lAqueus. 144 Gimbletto break the ftone in the paffige of the yard, 42 5. other inftrumcnts to take out the flcwe.zW. ufed m cutting for the ftone, 426. and 4? 2 a lancet, and Cupping-glafles a4z Horns to bee ufed for ventofes, 445. Catheter's to wear away caruncles, 481. Trepans for rot- ten bones, 4-4. cauteries, 48? Gr'ffin's Bubo's. Guajacum , the choif faculties and parts, CryfiaUinus. ibid. Vitretu. 145 The preparation of tbedecoffion thereof, 469. Hydatis. 4o 3 The ufe. 470 Hydrargyrum, the choif, preparation , and ufe Gullet and the hiftorie thereof, 123.The wounds thereof in the Lues Venerea. 473 thereof. ?.9? Hydrophalia, whether uncurable, 513. What cure Gums overgrown with flefh, how to bee helped. muft bee ufed therein. 5,4 tallons .24. Hooks to draw forth cbdWet 014. Sp cula matricss. g. . ~ . r - • rZ29 Hydrocephaloswbat, 282. The caufles, differences Guns, who their inventer ,307. Their force, 308. The cauf of their reports. 312 figns, &c. ibid, the cure- 2 z<5 Hydrocele. 228,1,4 Inftrumcnts, when neceffaricinrefloring broken bones. & * Gun-powder not poifonous, 31°, 31». How made, Hywtw. IOf Intercartalaginei mufculi. Intercpjlal.u arteria. f t Intercollales mufculitxterni, 142. Interni \bid JnterofJesnvVculi, Intefiinalis vena. n7 Iniromoventes mufculi. « Joie, and the effoffs thereof. „ _ , ibid. Gun a rofacea what, 7 3 3 .The cure- ibid. Guts, their fubftance, figure, and number. 8 1 Their fite and connexion, ibid. A£hon,82. How to bee taken forth, 89. Signs that they are Whether anie or no. g - o A hiftorie thereof. Hyoides or, thereafonof tire name, compofure fite, &c. thereof. j Hspocond ia, their fite. wounded,89, Their cure, 301, 302. Their Ul- Hvpochyma. 40a cers. J5, H. pjTErnorrho.ids what, their differencesand cure. Hypoga/trica vena* So HJW», 409 Hypothenar. I. Joints,thc1rwounds.3o5.how to firengthen them the r i'1"' Ifchiadica vena, vp6. Ifchium os. Iffues, or fontanels. 356. In the neck of the womb. 64, Uamorrhoidalis interna, 8y. Externa. 90 T Aundifl a medicine therefore. < 5 , 7 1 Jaw,the bones their produftioni. 139 Itchingofthe womb. Judgment, why difficult Jungs»wbaML,theirLfe. Kall, The TMe, Mafleter mufrlc. 147 Ndpellu, the poifonous qualitieand cl re. $ 26 K- Majloideus Mufcuhu. 15 ° Narcoticks, 202. cautions in their ufe, 207 in?- Mafticatories, their form and ufe. 7 2 5 properly termed Anodynes. 710 V All, it's fubftance, &c. 78. what to bee don when it fail's out in wounds. 301 Matrix. See Womb. Nara, what. ai» Medow-faffron, the poifonous qualitie thereof, Nates. jjg Kernelsof the ears* >48 and cure. 527 Nature oft doth ftrange things in curing difeafes. Kibes, where bred- 186 Meat, the quantise and qualitie thereof, 2 3. accu- Kidnies, their fubftance, &c. 91. figns that they ftomed more grateful and nourithing 24. order Natural parts, and theirdivifion. are wounded, 302. Ulcers, and their cure, 3 52> to bceobferved in eating,ibid- the time, ibid. Natural, toe Things, Facujiies, Aflions. 437. their heat how tempered. 5 61 fit to generate a Calhu. 3 7 8 Navel, what, the figure and compofure, 103. the generation thereof, 5 94. the relaxation there- Kings-evil, what, the cauf, s 15. the cure. jwd. Meaz les, wbar, their matter, 491. why they itch Knee diflocated forward, how to reftore it. 3 9 5 not, ibid, their cure. 49 2 of in children , 646- the (welling or ftandina Medtaflmum, it's fubftance, &c- 199 forth thereof, 23 8. the cure. sbid. I. Medicines, their excellence, 696- their definition Nautilus, or failing- fifh. and differerence in matter and fubftance, ibid. Neck, and the parts thereof, 153. the wounds T Agophthalmia, what, 291. the cauffes and in qualities, and of their firft faculties, 697. thediffocatfon thereof. 385 J cure. * 402,403 their fecond, third, and fourth faculties, 698,, Necrofis, or mortification. 331 Lamenefs how helped. 5 89 69?. the preparation, 701. the competition neceffitie and ufe thereof. 710 Nervs what, 73. their diflribution to the natural Lamprie, their care of their young. 4 8 parts, 89 of the fixth conjugation, and their Lampron, their poifonous bite. 52 4 Megn'm, the cauffes, &c. thereof. 401 diftnbution, 119. Kamus coflabs9 ibid, Larinx. what meant thereby, 152. it's magnitude, Melancholic,the tempers thereof, 8. the nature rens, ibid, ftonsachiciu, ibid, their (evcnconju- figure, compolitre, &c. ibid. Latiflimus mufculne, 164 confidence, &c. 9. the effefts thereof, 10. of it gations. xj, corrupted. 11 Nervs of the neck, back, and arms, 166. of the Leeches, fee Horf-leeches. Melancholick per fons, their complexions, &c. 13- loins, holie-bone,and thigh. 177 Leg, taken in general, what, iff. the bone there- why they hurt themfelvs. 512 Net vs and nervous p*rts> thieir wounds, 302. their of, 181. 'the wounds, 30 3. the fradure and Meliceris, what kinde of tumor. 212 cure. ?04. cure, 374-the cure of the Autor's legbeeing broken, 374, 375- their crookednefs bow hel- JHembranofyt mufculiu. 182 Night-fliade, the deadlie night-(hade, his poifo- Memotie, what. 599 nous qualitie,and the cure. e ay ped,584. defeft(applied. 587,588 Leprofie, and the cauffes thereof, 500. the figns, Menftrual flux, figns of th: firft approach thereof, N ghtingales fing excellently. 639. toeCourfes. Nipples, 107. how to help their forenefs. 11 jot, &c. why called Morbus leoninus, ibid. the Meninges,their number, &c. 128 Nodm, what. Prognofticks, diet, cure, 503. it fomtimesfol- Mercuric, fublimate, it's cauftick force, J 30. the Nodules, their form and ufe. 71 low's the Lues venerea. 4.6, cure. ibid. Nothern people how tempered. 14 Lepus marinuo,the potion,the fymptoms, and cure. Meremaid. 676 Nofe, and the parts thereof, 145. the wounds 525 Mefentcric, it's fubftance , &c. 8 3. the tumors thereof, 204, their cure, ibid, how to fupplie the defeft thereof, 577. the ulcers thereof. 35 0 Levator muf:ulin,i6i.Levstores Ani. 82 Life, what, and it's effidts,4r 7. • toe Soul. thereof, 6 2 4. the fink of the bodie. 6 2 j Midriff, it's fubftance, &c. no. figns of the their cure, ibid, the fraflure, Ligaments, their ufe, 73- why without fenf, 155 woun is thereof. 296 Nurfes, their error in bindeing and lacing of chil. dren, 387. they may infra children with the their difference, ibid, the r wounds. 306 Miik foon corrupt's in a Phlegmatick ftormch, Ligatures for wounds are of three forts, 2 54. too bard hurtful, x88. they muff bee neatly made, 607. the choif thereof > 6°8. how to drive it downwards. 616 Lues venerea, and bee infeded by them, 466. participate their difeafes to their children, 607. 358. for what ufes they chiefly ferv ,360. in M'llipescaft forth by urine. 495 the choif of them, ibid. 4c. of their diet, and ufeat this daie For features , 372. how in fra- Milr. See Spleen* other crcumftances. 6og.&a ftures joined with wounds, 375- which forex- Mola, the reafon of the name, and how,bred,6 20, Nutrition, what. 16,17. tentfon. 3S2. See Bandages. Lightning, the wonderful nature, and the (linking finell thereof, 312. how it may infra the Air. tfir.howtobecdifcerned from a true concepti- ception, ibid, a hiftorie and delcription of a Nympbt. lot ftrange one. 6 2 2. the figure thereof, 623. what 0. 508 cure to bee u(ed thereto. dependent mufdes, 74, afeendent Lime unquencht, the hurtful qualitie and cure Mollifying medicines, 105 53i Monk's hood, the poifon and cure. 516 Liniments are not to bee ufedin wounds of th* Monftrom creatures bred in man- 494 Obhquator externus mufculm. 173 cheft, 298. their matter,form, and ufe. 7 5 < Monfters what, 648. their caufles and deferiptt- Obtitratores mufculi. xgs Lion, his provident care in going. ons,iW. Vc. cauffed by defeft of feed, 657. Oedema, what, 209. which tumors referred there- Lion of the fea. 677 by imagination, 6 5 9 by ftraitnels of the womb, to, 199. the differences thereof, 209. thecaufi. fes, 2io. figns.prognoftfcks,cure. ibid. Liepiiudo. 405 660. by the fite of the mother,661. bya ftroak, Litharge, it's poifonousqualitie and cure. 530 Liver, what, 84. it's fubftance, 85. figns of the &c ibid, by confufion of the feed of divers Ve ephagws, or Gullet, the fubftance, attentive kindes, 66 j. by the craft of the devil, 66^. of force, tkc. thereof, 123. the magnitude, figure. wounds thereof, 301. why it is called paren- the fea. $76 677 fite, temper, and aftion. tb;d. cl.yma. 596 Morf, Sea-calf or Elephant. £78,6 79 Oil of whelps, the delcription, and ufe thereof, Lons, their nervs. 177 Mortification, and the figns thereof* ■ ' 338 3 °?>3 18.it help's forward the (balingof bones. Lom.wwm/ckIm. 171,182 Lues venerea, whit, 465. the hurt it Caufleth, ibid. Mother. See Womb- Mothers fitted to nurf their own children, 607 487 Oils, and the fcveral making of them, 714,742. by diftillation,ifi/d. out ofgums. 744,74? the caufles thereof, 465 in what humor the their milk moftfamiliarto them. ibid. malignitie refideth 466. it cauffc's more pain Motion, which voluntarie, 18. taken for all man- Ointments, their differences, defcriptions, and in the night then >n the daie, ibid, fomtimes ner ofexerdfe. 25 mjre' j L j- -r lie's long" hid, 467. figns thereof, ibid, progno- Mouth, and the parts thereof. 151. the ulcers OM-age, and the dtvfoon thereof, 6. it is a difcafi flicks, 467. how to bee opnugned, 4 8 to and their cure, 3 50, 3 5how to prevent and heal them in cure of the Lues venerea 474 whom wine may bee allowed, 470. the fecond Old wive , medicines. 669 mannerofcure, ibid, theth'rd mannerof cure, Mummie, frequently ufed in contufions, 3 3 2. not what. 17O 47 3 - the fourth manner, 4.75. how to cure it's fymptoms, ibid, it caufle's bunches on the bones, good therein. 33 3 Oment eWi or the Kall, the fubftance, magnitude, Mundificatives- 706 Macles, what, 70- their differences, and whence ligui'c, and compofure thereof, 78. tlic conne- xion, temper, and two-fold ufe, ibid, it fom- timesbindei'sconception. ibid. 483. rotten bones, bow perceived and cured, ibid, tettar, and chaps occafioned thereby, and taken, ibid. St 71. &c. their parts, 73. a fur- their cure, 489, how to cure children of this difeaf, ibid, it kill's by excefs of moifture- 507 ther inquirie into the parts of them. ibid. Operations of Surgerie , of what nature, 1. why Mufdes of the Epsgaftrium, 74. of the funda- fom>which are mentioned by the Antients, are Lumharis regio , fivebimbi , 65. sArteria, 8 J. ment, 8 2. of the teftides, 93. 'of the bladder, om itted by t he Autor. 7 (, 4 Vena. 89 96. of the yard, 97. the broad mufde, 140 that O/wrw.why not ufed in 27. the fytnp - Lumbrici mufcult. 17 5,187 Lungs, their fubftance, &c. no, in, figns of their wounds, 296. which curable. 299 open and (hut the eie,ibid. of the eie, 142. of thenofe. 145. of the face, of the lower toms cauflcd bv it, and their cure. 5 28 Order to bee obferved in eating our meat, &c. 24, jiw, ibid. of the bone Hyoides. 149. of the in lying to deep. w Organical pins, which , fit. what obfervablein Lupi a, what, their cauffes and cure. 213 tongue, 150. of the Larinx, 152 .of the Epi- Luxation, 379. which incurable. 381 glottis, 153. oftheeneck. 15 6. of the cheft and each of them. Lying in bed, how it mull bee. 27 loin , 16*, 162. of the (boulder-blade, 16 3* Orifices of the heart. 1,4 of the arm, 16 8. of the cubit, 170. moving Orpiment,the poifonous qualitiethereof, and tte M. the band, 173. of the infide of the hand, 174. cure. Ik K Ad dog. See Dog. 1 Vl Magic k • and the power thereof. 667 moving the thigh, 180. of the leg, 182 moving the foot, r 85. of the toes, 187. an epitome or Os & o/ja, oceipitis, I 2fi. Bafilia/e, ib'.d. Coronate, ibid. Bregmatis, five pariptalia, ibid. Parofct, ibid. Cuneiforme,five (phenoides, n7. Ftl-mw- brief recital of a 11 the mufdes. 191,192 Magiftrate's office in time of plague. 544 Mufeulous skin of the head, 125. the wounds des, crib-o(tim,(eu/pongio(um, ibid. Zwmi. Males of what feed generated. 592 thereof and their cure. 279 five jugate, 138. Hyoides, jp(iloides,fire. 149. Malleolus, one of the bones of the auditorie paf- Mufeulofavena,??: Arteria. 119 &c. Se(dmoidi, 173. Iliuni, 178, Itebitim. (age. 127, 149 Mufliroms, their hurtful and deadlie qualitie, and L. ibid. Mammillarie procefles, 130. their ufe. 133 the cure. $ 27 Pmvm- 178 Mammavia arteria. 119 Mufick, the power thereof. 37 Innomtnata. 185. toe Boni'S. Man, his excellence, 5 6. &c. the divifion of his difeaf of the eie,the cauf,and cure. 409 a filthie ulcer of the nofe , the cauf, and bodie.63. why diftinguiflied into male and cure. J5.o female. 590 7. 3 Mandrag, it's danger and cure. 527 Marrow, why it may teem to have the fenf of T~\ Ain,and thecaufrsthtreof. 196 J7 it muft bee aflwaged. uo TVT Ails, why added to the fingers. 164 xN why grow generated. feeling. ' 378 lhe 'Table The difcommodities thereof. ibid. In wounds how hel ped. 257 Palat, the nervs, holes, and coat thereof, &c. 151 How to iupplie the defcfls thereof. 5 79 Palmaris mijculitf, 174 Palfie,the differences,caufles,& c.thereof. 259 The cure. 260 Follows upon wounds of the neck. ■ 2 9 5 Divine caufles thereof, ibid. Natural caufi. fcs» 5 3 6- Tigris of the air and earth that prognosticate it, 538. Cautions in air and diet to prevent it , Prefermives a- gainft it, 540, 541, 542, &c. Others cb- lervations for prevention, 544. Such as die thereof quickly putrefie , 54;. How fuch as undertake the cure thereof muff arm themfelvs, ibid. &c. Signs of infection, 546 reins and bladder, 437. in the Gout, 4$0, in the Lties venerea, 467. Sec. in a virulent ftrangurie, 5-77, in the fmall pox, 491. in the leprofie, 50j. concerningpoifons t in the bite of a mad dog ,513. in the plague, 549. in p.'ague fores. Pronatoresmtfculi. 174 Properties of a good Surgeon. 2 Pancreas , the fubftance , fite , i&c* thereof. Mortal figns, <47. Signs thereof, without Prollrates. 400 93. &c. 347 734 The tumors thereof. Pannicle. Sse F lefhie- 83. &c. $24 fault of the humors , 548. with the pu- trefaction of them , ibid. Prognofticks there- in, 549- What to bee don when one fihde's himfelf infeffed , 551. Diet, 552, 553. &c. Antidotes , 555- &c- Epitbemes to ftrengthen the principal parts ,556. Whe- ther purging and bleeding bee neceflarie at Proud flefli in ulcers, how helped. Phlothra, their form and ufe. Pap, how to bee made for children. 610 and the condition thereof. ibid. 'Paricentefis, and the realbns for and againft it. 236 Pulf,the triple ufe thereof. 16 U,^On *n a Ph*rSm<:)n how caufled. 200 Pultifles how different from Cataplafms, The place where, and manner how. the beginning, 557. What purges fit, 5 $8. P aureus. Paraffoupi, a ftrange beaft. Paraftates,theirfubftance, &c. Paronychia, what. £89 93 &c. Symptoms accompanying difeaf, 56°. Spots or Tokens, $6t. Their cure, $92. Sores, 563. &c. See Bubo's and Puncture of a nerv, why deadlie. 304 Purging, whether neceflarie in the beginningof peftilent difeafes. The cure. Parotides their fite and ufe* ibid. 148 Carbuncles. Suhdrie evacuations, $69,570. &c. How to cure infants and children there- Purple fpots, or tokens ill the plague. 561 Their difference,prognoftick,cure,&C. 228 Partridg, their care of their young. 45 Parts hmilar. 61 Organical. i bid. Inftrumental. . 62 Things confiderable in each part. ibid. Principal parts which , and why fo called, iiidr Of generation, ibid. J9o. diftinguilhed into three. 6 3 The conteining parts ofthe lower bellie. £6 of. 5,4 Plafter, the hurtful qualitie thereof, and the cure. Plaflers. See Emplafters. Plant ar is wifculus. 18 <5 Pleura, what, the original, magnitude,figure, &C. 109 Pieurine, what. a 3 4 P[exist choroides. , j < Pneumatocele- Polyp", the reafonof the name. ibid. pus, or quitture, the figns thereof. 202 How it may flow from the wounded part, and bee evacuated by urine and ftoo.'. 435 Putrefaftion in the plague different from common putrefafiion. - , g Three caufles thereof. 53- pies may bee taught to (peak. 5 5 Pylorus. go Pyramidal mufdes. Pyroticks, their nature, kindes, and ufe. 708 Of thecheft. I06 The differences. ibid St. Paffions of the minde, their force. 29 The cure. Hid. Sec, ' They help forward putrefaction. Paftinaca marina, os the fting-Raie. Patella, what. Pedlar alls mufcultu. 537 18r <*4 Poplitteus mufculus. 183 Porus biliarts. g_ Potential cauteries. 7 2 a.&c. Pox, French pox. See Lues venerea. Q U tdrigemini mufeuli. 111 ague or fever, the caufles, figns, fymptoms. 223 Prognofticks, and cure. tbid. Quickfilver, why fo called. 53c Whether hot or cold . ibid. Wherefore good. 532, The kindes thereof. tbid. How to purifie it. ibid. See Hydrargyrum. fever,thecauf thereof, 216 The figns, fymptoms, &c. ' ibid. The cure. 217 How to bee diftinguilhed from a double Ter- P edium, what. Pediofus mulculm. Pelvis, the fite and the ufes thereof. Pericardium, and the hiftorie thereof Pericranium, what, and the ufe thereof. Perinaum, what. Pet 10ft turn. Pattonaum, the fubftance and quantitie The figure,compofure, fite, ufe, &c. Perone. 185 187 <3< III 97 125 thereof! .77 tbid. 181 Small pox what,their matter. 491 What pernicious fymptoms may follow upon them. prognofticks. 49 ( The cure. _ What parts to bee armed againft, and preferved therefrom, . 493 Foifons, the cauf of writing them. 5 04 What they are. ibid. Their differences. ibid. All of them have not a peculiar Antipathic with PeronaM mufculus. 18<S with the heart. ibid. ' -w Perturbations of theminde. See Paffions. How in fmall quantities they may work great R. Peflaries, their form and ufe. 7*3 alterations by touch onely. 5 o 5 Peftilence, See Plague. The recons of their wondrous effects , ibid. Arif hnnf'c thrir PraiQnrx*- Peftilent fever, how bred. Pharinx, what. 5So 15* None of them kill at a fet time , ibid- How they kill fooner or later, ibid. Whether things l\,Radifh root draw's out venom powerfully. Phlebotomie, the invention thereof! 42 feeding on poifons. bee poifonous , 509. Ge- 370 8-7 Neceflarie in a Srnocus putrida. a°5 neral figns that one is poifoned, tbid. How to Ramus {plenictu. The ufe, ftope, ire. thereof. 441 fhun poilbn, $07 The general cure of poi- •7 How to bee performed. 442 fons, 508. Whether vapors arifing from Ranula wbv fo called, (he cauf and cure. 229 See Blood-letting. Phlegm, the temper thereof, 7 things burnt, may poifon one. $09. Each poifon hath it's proper effeds, ibid. Their ef- Ratfbane, or Rofeager, the poifonous qualitie □ nJ r„rn - is blood half conceded. 9 feds and prognofticks, ibid. 'The cure of poi- Raving. See Delyrium. Reafon, and the functions thereof. Rebti mufculi. Refium inteflmum. Reins, See Kidnies, 3 J- Why it hath no proper receptacle. tbid. Hie nature, confidence, color, tafte and ufe. ibid. The effefls thereof. 10 fonous bites. 510 Poifon of A Iders, Afps, Toads, &c. See Adders, Alps,Toads, &c. Poifonous plants, and the remediesagainft them. $S»9 157,i<5S. 81 Not natural, how bred, and the kindes thereof. 5 2 &•&<-, Poifons of Minerals and their remedies. Remedies fupernatural. See Medicines. 66f Howmame wares it com's fo. Phlegmatick perlons, their manners and 210 diieafes. 12 5, 530 Praputium, 97. to help the! fhortnefs thereof, and fuch as have been circumcifed, 418. The Remora, the wondrous force thereof. Repletio ad vafa ir ad vires. Repercuffives. What diffWade's their ufe. 68f 28 In failing they feed upon themfelvs. ulcers thereof are worf then thofe of the 198 Phlegmon, what kinde of tumor. Wnat tumors may bee reduced 454 Glans. 475. &C. When co bee ufcd. 199 thereto* Preparation of fimple medicines, and the divers kindes thereof. 701. &c. Fit to becjiut into, and upon the eie. Their differences,&c. 70Z How different from a phlegmonous ibid- Prefervatives againft the plague. 54»,$4,» Reports how to bee made. Refolvine medicines, and their kindes. 753 tumor. 542. Sec. 704 How generated. ibid. ibid- Principal parts which, and why fo called. 61 Refolving and ftrengthening medicines, abv. 21Z The cauffesand figns thereof- 20 0 Proctfjds mammiUares, 13 j Refpiration how a volunt notion. 18 The cure. ibid- Precedes of the K ght, oblique, tranfverf, The ufe thereof. in The cute when it is ulcerated. Phrenic* lArteria- 2r>2 87 15 3-&c. that called the tooth, 154. and Coracoides. 163 Reft neceflarie for knitting of broken bones. 37 j Rete mirabile. 10 c Pbthifis oculi. 406 Prodigie , what, 648. divers of them, Whether different from the Plexus ceaoidec. Phy mo fit (7 paraphymolis, what. 410. &c. 694. Sec. X Phyfick,the fubjeft thereof. 6l Prognofticks in Impoftumes , 197. in an ErifipelM, 208. in an Oedema, 210. in Rhinocerot. 49 Phyficians to have care of fueb as have the phgue, His enmitic with the Elephant. how tobeechofen. $4f a Scirtus, 218. in a quartain Ague, 223. Rhomb aides mufcultts. Phyfbcele. 238 in an Jlneurifma ,22$. in the Parotides, Ribs their number, connexion, and confidence. Pi* mater, the confidence, ufe, &c. 128 228. in the Dropfie, 235, in a Sarcocele, Pigeons, See Doves. Filot-fiih. 50 245. in wounds, 253. in fradtures of the fcull , 274. in wounds of the liver and Their contufion, and a flrange fymptom fom- times happening thereon. P me glandule. »3< guts, 302. in a Gangrene, 337. in ul- Their frafture, the danger and cure. 367 Pinna amts, which. 148 cers, 344. in Fraftures, 36*. in Diflo- Svmptorr s enfuing thereon. 36R Pinna & Pinnoter- 683 cation, 381. in a diflocated jaw, 383. in Their diflocation and cure. 381 Pilmire. See Ant. the diflocated rertebrn , 387. in a diflo- Right mufcles of the Epigaflrittm. Pith of the back. <37 cated Hip, in the ftone , 421. in fuppref- Rim of the bellie. 77 Plague what, 535. how it com's to kill ■ ibid. iion of the urine , 4J$. in the ulcerated The figure, compofure, &'c. thereof, ibid. Ring 'Table R i r ° - worm ■'« 207 Signs in geneial whereby to judgof difeafes. 753 subclavian-d're Artcrie and Vein. i'<51 Silk-worms, their induflrie. 4j Subclavim m'lfcuhss. jfiz Rough arytrie. J 2?- Similar parts, how man e, and which- 6t Succarath, a heal! of the Weft Indies. 45 Howlers, See Simple medicines, their differences in qualities and Suffufio. See Catar. ct. RuL. s <: f Surge ri'. Run p, the faftures thereof. 7!2 effeSs, *57. bo.-, cold.mo'ft.drie in all degrees, Suggillations Ste ( ontufions. 3*9 ibid. 698 tbcii accidental qualities ibid, their Summer, the temper thereof. 7 Th-diflocation thereof. 388 preparation. 701 Stipinatores mufculi. The cure. ibid- Siren. 676 Suppuration, the figns thereof, 197. caufled by Ruptures, 2-8 Skin two-fold, the utmoft or fcarf-skin, 67. the natural heat. 315 The r kinrler ibid. true skin, ibid, the fubftance, magnitude, &c- Suppuratives, 202, 21 j-. an effeflualone, 324. their differences, & c. 7® 5, how they differ f rom Their cure. 2 39,2 40,241 thereof. ibid. Sleep, what it is, ig. the fit time, the ufe and abufe emollients. ibid.- $. thereof, 27. when hurtful, 217. how to pro- Superfoetation what, 6 20. the reafon thereof, ib. cure it. 5*° Suppofitories, thdr difference,form, and ufe. 713 O i/cez mufculw. 163 Smelling, the objeft and medium thereof. 18 Suppreflion ot urine. See Urine. 9° Snake, hisbite, and thecure. 519,5 20 S argerie, what, 1. the operation thereof. ibid. Surgeons, what nceeflane for them, 1. their office, S ac> o-lumbut mufcultu. 162 Solarium manicum, the poifonous qualitie, and Salamander, thefvmntoms that enfac upon his cure. 5 27 2 thechoifof fuchas fliall have care ot thofe poifcn, and the cure. Salivation. 518 So'etu mu(culm. 186 fick of the plague, J|4. they mult bee careful 28 Solution of continuitie, 42. why harder to repair in making Reports,? 5 3 - how long in fom cafes Santmine oerfons, their manners and difeafes. > 2 in bones. 362 they muft fufpend their judgments, they Sapheia waa.whcn and where to bee opened. 176 Sorrow, the effefts thereof. 18 muft have acareleft they bring Magiftrates in- Sarcoce'e, 238 Soul, or life, what it perform's in plants, beafts, and men, 7. when it enter's into a man's bo- to an error, 758- how to Report,or make Cer- The proenofticks and cure. 245 tificates in divers cafes. ibid. &c. Sarcoticks, Ample and compound. 707 die, &c. 55>7 Sutures of the Icull, their number, &c. taj.want- None ti ulv fueb. ibid. Sounds, whence the difference. > 4a in fom, ibid, why not to bee trepaned,, r 26, S abious, the effect thereof againfta peftilcntcar- Southern people how tempered. 17 284. Sutures in wounds, their forts and manner bunde. 568 South-winde why peftilent. 539 how to bee performed, 2 $ 25 6 Scails,how known to bee fevered from the bones. Sownning what,the cauffes and cure, 261 Sweating ficknefs. Scails of bra fs, their poifonous qualitie and 37* Sparrows with what care they breed their young. Sweet-bread. gj cure. 43 Sweet-waters. 734 r3° Spevmatica arteria, 90. Rewa. ibid. Swine aflift their fellows* Of iron, their harm and cure. ibid. Spcrmatick veflels in men, 92. in women, 97. (the Symptoms,their definition and divifion. 31 Sral'd-head the figns and cure thereof. 399 cauf of their foldings. ' 591 Sympathie and Antipathic of living creatures. Scalenus mufculut. • 160 Sphmfter muffle of the fundament, 82. of the . 55 Scalp, ha jrie-fcalp. 125 bladder. 95 SympbyfiSy a kinde of articulation. J 1 „ j Scaphoidcs os. 183 Spiders, their induftrie, 58. their differences and Synmsofis, Synarthrofis y Synchondvefis , Syne** Scars, how to help their deformitic. 5*9 bites. 522 ,rofi5- , " ibid. Scavust a fiih. 5° Spinal-marrow , the coats , fubftance,' ufe, &c. thereof, 13 7. figns of the wounds thereof. 297 Synocus putmda, it's cauf and cure. 205 Sceleton. 188, 189,190. what. ibid. T. Sciatica, the cauf, &c. 461 Spin atm rmdcu Im. 1 j The cure. 4*3 Spine, the diflocation thereof, 385, 386. howto rTT'Alparia, what. s 1 j Scinw, what. 3I7 reftoreit, 386. a further inquirie thereof, 387 What tumors referred thereto. 199 prognofticks. ibid. JL Tarentula's poifonous bite, and'Cure. 37 The differences,figns,and prognofticks. 218 Spirit, what, 18. three-fold, viz. Animal, Vital, and natural, t <)• fixed, ibid, their ufe. 20 Tarfus,what. Cure. ibid. Taftes, what, their differences , 700. their feverai Scorpion bred in the brain by fmelling to ! Bafil. Spirits how to bee extracted out of herbs and flow- denominations and natures. ibid. 701 520 ers, &c. 744 Talking, what. Their defcription, fling, and cure. Scrophul*, their cauf and cure. 521 Splene.the fubftance, magnitude, figure, &c.there- Teeth, their number, divifion, and ufe, 139. nJ of, 86 wherein they differ from other bones. i4o.pain Scull, and the bones thereof. 126 Splenius mufculus. 157 of them how helped, 304. their affefls, 4*14. The fraftures thereof. See Fra&urcs. Splints and their ufe. 361 how to draw them, 41 J. to deanf them, 417. Depreflions thereof how helped- 367 Spring, the temper thereof. 7 how to fupplie their defeft, 378. to help" the Where to bee trepaned. 285 Squinancie, the differences, fymptoms, &;.thereof, pain in breeding them. * 646 Sea-feather and grape. 680 2 3 2. the care. . ibid. Temporal muffle, 146, what enfue's the cutting Sea bare, his defcription, poifon, and the cure Stapes, one of the bones of the Auditoric paflage. thereof. ,85 thereof. 5'5 . I27'I49 Temperament, what, the divifion* thereof, 4 ad. Seafonsofthe year. 7 Staphilomayin effeft of the eies, the caufles there. pondm, ibid, ad jufliiiam, $• of a bone, liga- Secundine, why prelently to bee taken away after of. 408 ment, griftle, tendon, vein, arterie. 6. ofaees. the birth of the childe. 604 Stars, how they work upon the Air. 2 2 ibid, of humors. 7 Why fo called. 606 Steatoma, what. 212 Temper of the four feafonsof the year, ibid, na- Cauffesof the ftaie, and fymptoms that follow Sternon, the anatomical adminiflration thereof. tive temper how changed. ' ' rj thereon. ibid 108 Temperatures in particular; as of the Ibuth*rn, Seed-bones* x73j . 185 Sternutamentorie.', their defcription and ufe.|b724 northern, &c. people. 13,! 4 Seed,the con lition of that which is good. 590 Stinging of Bees, Walps, Scorpions, &c. See Bees, Tenfbres mtfculi. < go The qualities. 592 Wafps, Scorpions, &c. Tentigo. tot. The ebullition thereof, &c. 595 Sing-Raie , the fymptoms that follow his fling, Tertian agues, orfevers, their caufles, &c. 3o8« Why the greareft portion thereof go's to these- and the cure. 525 their cure. ibid. &c. neration of the head and brain. 59<5 Stink, an infeparable companion of putrefaftion. Teftides, their fubftance, 92. in women, 97. their Serins, the inftrument,objea, &c. thereof. >7 249 wounds. ' ' joj Semicutium, the form, manner, and ufe thereof, Stomach, the fubftance, magmtudc, &c. thereof, Ttjiudo, what. 2,2 Tettars, their kindcs and caufles, fo7. their cure Sewlbmatm m-ifeubw. 728 79.the orifices thereof,itaOigns of the wounds >*3 thereof, 3 01. the ulcers thereof. 3 y a ibid. &c- 73 3. occafioned by the Lues wwzeat 489. their cure. rfd $enf, common fenf, and the funutons thereof. 598 Stones. See Teftkles. Septum luctd''.vn» 130 Stone, the caufles thereof, 419. figns of it in the Thanadh, a ftrange beaft. 69 i Thenar mu(culus. 174,187 Thigh, the nervs thereof, r77. ft»s proper parts, 178. and wounds thereof. 303 Septick medicines. 709 kidniesand bladder, ibid, prognofticks, 42 r. Serpent Ha-rrot r-ous, his bite and cure. Seps, bis bite and cure. 516 517 the prevention thereof, 422. what to bee don when the ftone fall's into the ureter, 423. figns Eafilik, his bite andcure. AQ>, his bite md cure. 5<7 5'9 it is fain out of the ureter into the bladder, 4 2 4- what to bee don when it is in the neck of the Thigh-bone, the appendices and procefles there- of, 179,'80. the Injure and cure, 371, nigh to the joint, 373. it's diflocation, 389, 463. See Hip. Snake, his bite and cure. 519, 5 2 0 Stratus Mu!culm J-6 2. posterior drfuperiov, bladder, or the paflage of the yard, .ibid, how to.cut for the ftone in the bladder, 427,428.&c. ibid, minor* 163 how to cure the wound, 431. to help the ulcer Things natural, 3. not natural,.21. why ib called, Serous humor. io when the urine flow's out by it, 433. how to ibid, againft nature. ' 30 StffyMowzd Oj//* « I71u8$ cut women for the ftone, 68 a.divers ftrange Thorax, the cheft and parts thereof. 105 Seton, wherefore good, 292. the manner of ma- ones mentioned. 673 Thoracea avteria. 120 king thereof. ibid. Storks, their pietie. 46 Throat, how to get out bones,and fuch like things that (lick therein. 413 Throttle, and the part s thereof, 152. Thows, and their cauf. 60 4 Sex, what, and the difference thereof. 20 Stoves, how to bee made. 731 Hiftories of the change thereof. 65 8 Strangurie, the caufles, &c. thereof 439- a viru- Shame, and fliamefai/tncls, tbeit effects. 30 lent one, what, 476. the cauflesand differences Shin-bone. 181 thereof, ibid, prognofticks, 477. from what TZrzMWiwbat. 121 Sho-ilcter blade , the fractures thereof, 366, thd part the matter thereof flow's, ibid, the general Tibia. i8r core, 307.the dii'ocarton, 388 tbefrft man- cure, 478. the proper cure, ibid, why it fiic- ceedeth immoderate copulation. 591 Tibialis anticus mufeulus, 18 6. pofliciu. ibid. ner of reftoring it, 3 89. the fecond ma inner, ' J " Toad,his bite, and cure. 503 Tongue,it'squantitle, 8cc. tje. it's wounds, it's 3 90. the third manner, i bid. the fourth manner, 3 91. the fifth, iAzd. the fixth, 392. bow to re- Strangulation of the mother or womb, 631.'figns of ('the approach thereof, 633. the cauflesand floteit d:{located forwards, 394. outwards,395 _ upwards. ibid. Signs of (anguine , cholerick , pblcgmatfck, and melancholic!: perfons. 12, i 3 cure. CJ4 Strengthening medicines. See Corroborating. Struma. See King's-evil. Sublimate. See Mercuric. cure, 294. it's impediments and contraction,and the'cure, 417. fiil r, 210, their inflammations, and their cure. ibid. * Tooth- 'The Table Tooth -a ch, the caufles, figns &c. 41J good in time of the plague, 3 44. Ulcers in parti- Whites, the reafon of the name, differences, &c« 1 ophi, or knots at the joints in fom chat have the cular,and firft of the eies, 3 50 of the nofe.iW. <5« t i caufles, 642. their cure. i bid. gout, how cauffed>4tft. the Lues wwwbbw helped. 483 of the mouth,ibid.oE the ears, 3 5 x.of the winde- pipe,weazon,ftomach,and guts, ib.of the kidnies and bladder, 3 J 2.of the womb. 353. that hap- Whitlows 246 Wine, which not good in gout. 45 4 Torptio, his craft, and ftupefying force. 5 18 Windes, their tempers and qualities. I4,22 Touching, how performed. 18 pen upon the frafture, of the leg, rump , and heel, 3 7 <5. how to prevent them, 3 7y,they muft ' Winter, and the temper thereof, 7. how it increaf- Taucha, a ftrange bird. 689 eth the native hear. ibid. Trapezius m.i(cuhu. 163 bee feldom drtft when the callus is breeding,ibid. Wtldom the daughter of memorieand experience- Tranfverftrius nt ifcuhu. 159 Umbilical veflels, how manic and what. 595 Tranfverf mufcles of the Epigafb i tm- 76 Unftion to bee ufed in the Lues 470. their Witcheshurt by the Divel'aafliftance. 668 Triade, how ufeful in the gout,45 3. how it dull's ufe,471. cautions in their ufe, 472- and the in- Wolvs, their deceits and ambufheS. 50 the force of Ample poifons. 5 10 conveniences following the immoderate ufe. Womb, the fubftance, magnitude,&c. thereof, 99. Trepan, when to bee applied, z6&. their defcripti- on, 283 where to bee applied. 285 473 the coats thereof, 102.figns of the wounds there Vngula, or the web on the eie, the caufles, prog- of, 302. ulcers thereof, and their cure, 353. Trepaningwhy ufed, 282. how performed, ibid. nofticks, and cure, 40S.Sc;. when it hath received the feed it is Quit up,594, a caution in performance thereof. 283 ffnguentum adfbingens, 715. nutvitum,716. au- reum. ibid, bafUtcunt, five tetrapharmacum, ib. the falling down thereof how cauflcd,6o£. iris Triangulus mufculm- 163 notdiilinguiflied into cells, 620. a feirrus there- Triton- 676 diapompholigos, ibid. deficcattvim, rub. ibid. of, 6 2 5. figns of the diftemper thereof, 627. 'Trochanter • 180 emditumjb, .Album Rhafis,ib. ■Althea, ib.po- which meet for conception, ibid, of the falling Trudes, their form and ufe. 240,241 puleon, ib. apojtolorum, ib. comuiffa, ib. pro lio- down, per ver tion, or turning thereof, 628. the cure thereof,ibid it muft bee cut away when it is Tumors, the'rdifferences, 195.their general caud- micho, 717. ad morfus rabiofos. ibid. les, figns, 196. general cure, 198. which hirdeft Unicorn , if anie fuch beaft, what the name im- putrefied, 619. the ftrangulation or fuffocation to bee cured, ibid- the four principal, 199, fla- tulent and watrifli, their figns and cure, 21 r. port's, 533. what the ordinarie horns are, 534. not effeftual againft poifon, ibid, effectual onely thereof, 63 2. See Strangulation. Women, their nature, 20. how to know whether they have conceived, 593. thpir travel in childe- of the gums, 2 29, of the almonds of the to drie, ibid, in what cafes good. ibid. throat, 230. of the navel, 238. of the groin and Voices, whence fo various. 152 birth, and the cauf thereof, do 1.what muft bee cods, ibid- of the knees. 247 Vomits,their force,28. their defcription. 217 don to them prefently after their deliverance, Turtles. 46 Vomiting,whv it happen's in the Colick, 82. the <5 04.bearing manie children at a birth. <5$ 4 Tympanites. See Dropfie. fitted time therefore,45 i-to make it eafie. ibid. Wonderful net. 135 Voiages and other emploiments, wherein the Au- Wondrous original of fom creatures, £76, nature V- tor was prelent} Of Thurin.yiSy. of Marolle and of fbm marine things. ibid. V T olives of the heart, their adion, fite, &c. V 114 Low of Perpignan, 789. of Lan- Worms in the teeth,their caufles, and how killed, drefie, ibtd.oiBologn, 770.of Germanic,zlzd.of Danvillers, ibid. ofCaftleof Compt, 771. of 4 r 5- bred in the head, 494. caft forth by urine, 495.how generated-and their differences. 497. Varicous bodies. 93 Mets, of Hedin, 775. Battel of S. of monftrous length ibid, figns, 49 8. the cure. th. yartces, what, their caufles, fignsand cure. 3 tin, 781. voiage of Amiens, of Harbour, of Wounds may bee cured onely with lint and wa- yas breve,(eu venoftm. 87 Grace, ibid, to Roven, ibid, battell of Dreux, ter ' 39 ya ft ejaculatoria- 93 783. of Moncontoar, ibid. Voiageof Flanders, Wounds termed great in three relpe&s. 3 yaflt mifeuli. 181 ibid, of Burges, 786. battel of S. Dennis, ibid- Wounds poifoned how cured. 508 Vein, what, 74. Gate-vein,and it's diftribution,8<» voiage of Baton. 787 Wounds of the head at Paris, and of the legs at defeendent hollow vein, and it's diftribution, Urachus, 194. Avignon, why hard to bee cured. 32® 89. afeendent hollow vein.and it's diftribution, Ureters, their fubllance, 8cc. 95 Wounds, what, the divers appellation and divifion 115. they are more then arteries, x 19. thofe of Urine ftopt by dislocation of the thigh-bone, 391. of them,251. theircaufles and figns, 252 pro»- the eies, 14^. which to bee opened in the in- fuppreflion thereof how deadlie, 4 21. how it hap • nofticks,2 53 fmall ones fomtimes mortal, ibid. flammation of the eies, zAid.the cephalick ,165. pen's by internal caufles,434.by external, 43 5. their cure in general,ibid.to ftaie their bleeding, 2 5 6. to help pain. 2 57. why fom die of final! Median, ibid. diftribution of the fubclaVian vein, prognofticks, ibid, things unprofitable in the ibid- of the axillarie, ibid, of the crural. 176 whole bodie, parged thereby,»W. bloodie, the ones, and others recover of great, 273. whether Kent parti, 86. cava, % 9. ar ter io fa, 114. phrenic*, differences and caufles thereof, 4jff. the cure, better to cure in children or in old people. 274 coronates, azygos, tntercoflalis, mammar'i*,n c 437. fcalding thereof how helped, 478. a re- Wounds of the head, See Fradures. Of the mufeu- cer vic alts, mufculofa, ibid, axillaris, hunter alia, ceptacle for fuch as cannot keep it, 581. Urines lous skin thereof, 279. their cure, 280. of the jugularis interna & externa, 116. re'll pupis, of fuch as have the plague fomtimes like thofe face,290.ofthe eie.brows ibid.of the eies, 291, 118. cephalic*, hunter aria, median t, «6 5. /u/- that are in health. 547 of the cheek,39 3.of the note, 29 4 of the tonmiej 'Vttella, & plertica, 166. fapheia, vel faphena. Utelif, a Hrange fifli. 5 2 iWd.of the ears, z 9 $• of the neck and throated of the weazon and gullet, iftd- of the cheft* -bid- ifchisdica, 176, mufcula, poplitea, furalis, if- yvea tunica. >4* chiadica major. Vulnarie potions, their ufe, 488. thenamesof the et_ the heart, lungs, and midriff, 298. ofthe Venerie, it's dilcommodities in wounds of the fimples whereof they are competed, their fpine, zW, what wounds of the lungs curable, head. 279 form,and when chiefly to bee uted. 489 299. of the Etigadri'im or lower bellie, 301. Venem ous bites and flings how to bee cured- 510 Uu'tlr.the fiteand ute thereof,«5i.the inflimmati- their cure, 302. of the Kall, ibid, of thefatj Venom of a mad dog, outwardly applied,caufleth on and relax »t!On thereof, 230. the cure, ibid- 303. of the groins, yard, and teftides, ibid, of madnefs. $ i j the thighs and legs, ibid, ofthe nervs and ner- Ventofe's their form and ufe. 443.4.4 ir. vous parts, ibid, of the joints, i&zd. of the Ventricle. See Stomach. . ligaments. 305,3o<? Ventricles of the brain. 136 fT TAlnut tree,and themalignitiethereof.yaS vV Warts of the neck of the womb, Wounds confuted muft bee brought to figu- Verdegreaf, it's poifonousqualitie and cure. 530 ration. 3!* Vertehr*, and their precedes, 15 3. of the neck,/W their cure. <544 Wounds made by gun-(hot are not burnt, neither of the holie-bone , 155. how different from thofe of the loins i*r. Tenth of the back,how Wailies to beauti fie the skin • 731 Wafps, their fl inging how helped. 5 x r Watching, and the diteommodicies thereof. 27 muft they bee cauterized, 309. they may bee drefl'edwith fuppuradves , 310. whv hard to cure, ibid, why they look black, 312.they have to the middle of the fpine, 162. their difloca - tion, See Spine. Fezrzgo.it's caufles and figns, 4ot. the cure. ibid. Water,it'squalities,3,beft in time of plague, 540 noElchar, ibid, why fo deadlie, 31?. in what Waters, how to bee diftilled- 7 3 bodies not eafily cured, 314. their divifion, 315 Veflels for diftillation. Watrifli tumors,theirTigns and cure. 2 i 1 figns, ibid, how to bee dreft at the firft, ibid. & Velicitories why better then cauteries in cure of a Weapons, of the Antients compared with thofe of 318 how the fecond time, 319. they al] arc peftilentbubo, fd?. whereof made 709. their the modern times. 308 contufed. 324 defcription and ufe. 713 Wea-zon,the fubllance,&c.thereof, '22. how to bee Wounds made by arrows how different from thofe Viper. See Adder. opened in extreme diteates, 236, the wounds made by gun (hot. 327 Virgmitie the figns thereof. 758 thereof, 29 $ • the ulcers thereof. 351 Wrift, and the bones thereof, 171. the diflocation Vital parts whLh, tf 3. their divifion. <54 Weaknefs, two caufles thereof. (9& thereof, and the cure. Vitreu humor. Web on the eie, which curable, and which not, 407 Viver, or,as fom term it, the Weaver , a fifh , his the cure. ibid. r. poifonous prick and the cure. $ 24 Wedg-bone. 135 TZ'Atd, and the parts thereof, 97. the wounds JL thcreof.3o3.to help the cori thereof 19. the Ulccrsconjoined with tumorshow cured, 207. in Weights anl meafures, with their notes- 711 what bodies not eafily cured, 314. their nature, Wens,the-'r caufles and cure,213.&c.bow todiftin caufles, &c. 343. figns, prognofticks,344. their gilifh them m the breft from a Cancer. 214 Wnale,why reckoned among monfters, 684. they malign ulcersthereof, 475. to fiippiie the deffft general cure, 345. Ggnsof adiftempered one, thereof formaking water. 582 and the cure, 446. a painful one and the cure, 347- with proul flefli in them,ibid, putrid and bring forth young and fuckle them, ibid, how caught. ibid. Yew-tree, his malignitie. 5 2 8 breeding worms, ibid- a fordid one, 3 58. a ma- Whale bone. ibid. z. lign, virulent, and eating one, ibid, advertile- Whirl-bone, the frafture thereof and cure. 373. Irbus, the Kall, the fubftaftce, &e. thereof. ments concerning the time of drefling ulcers, the d 1 {location thereof. 394 349.how to bin ie them up,ibid. fuch as run are White lime. 77 Zj 78 FINIS; t ArrEioAoriA- | ix* i °r' a * J Defcription of the Veflells in the body of J A£?45 « MAN, J pG™ 0 Of the three kinds , z. e, ® OF THE f f VEINS, ARTERIES, and NERVES, j «&* Efpecially of thofe in the Limbs and Habit of the Body : «|* «0» ' pg* X Whereof there are alfo given Anatomicall Figures, $ Q the largeft and faireft that ever were publiflied with any X ENGLISH Book.) X 4» 4» In three Tractates. «§» $ --■- - -----■-- - y gg, «§» Tranflated out of the Anatomie of Adrianus ag, «§g whomthefe parts are more largely and accurately defcribed then by other Authors;the more fill tra fiat ion whercof5being a pare •|g of Anatomie fo ufcfull in order to C hirurgicall Operations > hath been <§» judged very worthy to be annexed unto this prefent work. its* g «g» t - ,g, •§» LONDON, i«» 2* Printed by Rich.ird Cotes, for lohn Clark, and are to bee fold at the lower endof Cheapfide, entring into Mercers-chappell, 1649. The Preface. F how great conference a more perfe& knowledge of Anatomie is to the Art of and Chirurge- ry, hath beenfrequently and abundantly made out by Anatomijis, P by fit i an s and C birurgeons, upon /ion, in their fever all writings', though the thing it felf fpeak, fo plainly in its own behalf, that much need not be faid in this fynd. The ca/e is plain, that n>ith the like facility and fucceffe may a Mariner, making out fame unknown land-jleer bu courfe through the main Ocean, where nothing but fea and skie appears,wit bout the help of his Card and Compaffe,as 4 Pbyfician judgofthe natural! action, or preternatural I affeSi of any part of the body, or a Chirurgeon inflitute any operation about thefame* without the Anatomicall knowledge thereof, and therefore no more (ball be faid to this effect. Anatomic may be very commodioufly reduced to four difiinci kinds, or diftinguifhed according to (o many principal! partS. !• j Splanchnologies that is, the defcription of the Bowels contained in the three Cavities or Bellies of the body, the lower, middle, and fupreme. j OJleologie, which is the def crip th on of all the bones of the body. 3. MuoAoyfa , Myologie, being the Ana- tomicall hijlory of all the Mufcles. 4. 5 Angeiologie 5 defcril bing all the Veffells of the body : i. e. the Veins, Arteries, and Nerves, lhefe laft, though having nofenfible cavities, being reputed veffells in the account of Anatotnifis* Now though all thefe parts or kinds of Anatomic, are needfull both to Phyfickjmd Chirurgery, yet are they net all of a like neceffity to both ; but the firft of more abfolute neeejpty to the Art of the other three,to Chirurgery. And therefore though all four have been treated on by the learned author ofthis Volume, yet in reafon it could not but be advant agio us and acceptable to Chi- rurgeons to have fome farther helps in our Enghfb tongue, for improve- ment in the three later kinds before mentioned,or in fome of them at Icaji. Now for Ofleologie, the parts them (elves, or the dry bones are and may be kept at hand, for frequent view and contemplation upon them , whereby their fever all Figures, Articulations, and all other particulars obfervable about them, may be rendred familiar, in order to practice about Frames and Lu* at ionstand without fuch Autopfie,much cannot A 3 'The Preface. be acquired by the readingof Defcriptions,or fight o f Delineat ions.To- rt ar dMyo logic,there hathbeen a peculiar traElate of late publifebed inEng- lifh,which may be ufeful in that re/peEl to thofe who cannot peruf Latin Authors. So that the great eft want feemed to he in that kind or part of Anatomic, which is the laft in the Enumeration, i. e. Angeio logic, or theDefcription of the Veffellst, the more exaSi or part icular knowledge whereoff efpecially of thofe in the Habit of the body, will appear, upon a true accompt,more neceffary to the exercife of Chirurgicall operations, at greater certainty, and with more fecnrity, then the kpowledg of the Mufcles. Tdpon thefe confederations, being confnlted by the Eublifher of this Work,what peece or TraEiatein any if nd,of Chirurgery or Anatomy, I thought might to good purpofe be added thereunto', I refolved him,that I could thinkofnothing more adv ant agio us in this if nd, then a fuller and more accurate Anatomicall Defcriptiori of the Leins, Arteries, and Nerves in the body ofMan,tranflated out of the Anatomic adding alfo the moft ufefull Anatomicall Figures, relating to the faid Deferiptions, of the fame largeneffe as they are in the Editions of tbefaid Author intoXiQ',which were firft taken out of Vefalius,and are the largeft and fair eft that are ext ant: the cafe being here,as in Mathematical inftru- ments,in which,how much the largeneffe conduceth to certainty in ufe,is well known. Accordingly be bath not fpared for care and co ft, in procu- ring a Scholar every way competent to tranflate the Defcriptions of thefe parts ,out of the forementioned author, and an able Artificer to cut the Figures. And as the werkjsnow accomplished, I doubt not but good improvement may be made thereof, by fucb Chirurgeons, as being not able to make ufe of the Origin all, ftand in need offucb helps,if they will not be wanting to tbevijelves for induftry in the ufe hereof. J.G. THE Tract.1. 1 The firft Treatife, Concerning The V E I N E S. Note that rite. Letters,which we cnclofed rhusf ] refer to the par*, titular tables at the end of th$c CHAP. I. Reckons up the branches or propagations of the vena portae er the and explains an A- phorifm of Hippocrates, that makes very much to thepurpofe. Et us come now to the Hiftory of the veins, in which we will begin with the vena port* or gate-vein, as that which fpreads not fo wide afid far as the common hollow one. For ,k is wont to be diftribu- ted only through the loweft belly, and not at all to propagate it felf out of it; nor does it branch through all the parts of that, but fuch only as are appropriated to the nutritive faculty, namely the Liver,the bladder of Gall,the Stomach, the Spleeri,the Sweet-bread, Kall,Guts, and Mefentery,for the Hollow vein fends its propagati- ons to the reft, as the Reins,Bladder, and thole parts which ferye for. generation. But that the manner of this diftribution may be more cafily underftood, for our better method in teaching,likening the whole vein to a tree, we will divide it into four parts,one of which we will call the Roots, as that part which is in the Liver; ano- ther t he Trunk, which continues it felf on and is not divided; a third the Branches into which the Trunk is divided; a fourth, Twigs or Surcles, fuch fmall veins as the Trunk (hoots out at its tides; before it be divided into its branches. Which terms ought dili- gently to be obferved, becaufe we have endeavoured by the propriety of thefe words to give light to this obfeure Treatife concerning the veins. But that they may moreeafily be committed to memory, and all that concerns this bufinefs be written with more bre- vity, following fome very learned later Authors, we will give every part its name from the place of its infection. From the outfide then of the Liver fome very little hairy veins arc prolonged towards its inner region,and by little and little meet together into greater branches, fo that at length they become five, which again gathered together like roots about the middle of the hollow fide of the Liver, but fomewhat hinderly near to the back, make, a notable flock or Trunk, which at length ifluing forth near to thofe enlinencies of the liver,which by the Greeks are termed Gates, is cal'd the Gate-vein, and flow deferves the name ofaTrunk. , . -, . . • . This Trunk parting now from the Liverdefeends fomewhat obliquely towardslhe left fide, under the Gut cal'd Duodenum, where above the Rack -bones it gets a firm feat; but before it be divided into branches, two twigs fprout from it; the firft of which being very fmall, arifing out of the uppermoft and forepart of the Trunk, as foon as it is come forth from the Liver, is fcattered into the neck,and body of the bladder of Gall, or into its outer coat,with a numerous fucceflion of very little branches,fuch as wehave faid above are called hairy veins. This twig is cald in Greek in Latin you may render it* the vein of the bladder of Gall. Vefaliut layes there are two branches,Which run through the bladder of Gall, whence they are called by fome Cyftic* gemeUe, the twin vein? ofthcGall, but this makes no great matter. The fecond twig being greater then tfic former, but lower, arifing from the fame fore part,and more to the right, is inferred into; f)lor& or t,he lower mouth of ftomach, into whole hinder part, which looks towards the back, it fcatters many fmall branches,from whence it is commonly called the mach-branch,but perhaps for memories fake it may be better termed tyloriw, or branch,of Bbbb . • * ,' - ■ Treatifej wherein they are fee* Through what parts the Gate* vc in is difper- fed, The divjfion of the Gate-vein into the roots, trunk, branches and twigs. The Rootrj The Trunk; Thetwigstfao grow out be- fore thejdivifi- on of the 2 A Defcription of the Veins Tract.1. the lower mouth of the Stomach,becaufe there are others alfo, which are called Stomach- branches. Thefe two twigs being thus propagated,the Trunk runs downwards, and inclining all the way fomewhat to the left is divided into two notable branches,a right, and a left one: the left is fome thing higher then the right,but lefler; the right lower,but greater: the left fpreads it felf through the flomach,the kclLone part of the colon or colique gut,and the fpleen;the right through the Guts and Mefentery that is called Splenica or Spleen-vein, or the linear one; this theMefenterick. Now the Spleen-vein, after it is thus come forth from the Trunk,is carried athwart, being underpropt by the membrane of the Kall, toward the Spleen, into which before it r be confumed, it (hoots forth certain twigs, both from its upper part, and from its lower; from its upper part one, that afeending obliquely to the left fide of the Stomach, that looks toward the back,is divided into three propagations, of which the outermoft on either fide are conveyed into the Stomach, andprefently fcatter into more twigs; but the middle one afeending through the fame hinder part fpreads itfelf through the upper region of the Stomach, and compafles the left orifice or mouth,round about like a crown., from whence it is called avkua or Coronaria,the Crown-vein of the Stomach. This fl- gain fends forth continually fome fmall branches upwards to the end of the Gullet, and others downwards through the Stomach. All this branch is called Gaftricw, the Stomach branch, becaufe it is the greateft, and moft capacious of all thofe, which come to the Sto- mach. From the lower part of the Spleen branch arife two twigs ; one, which is fmall, fending forth other little fprigs to the right fide of the lower membrane of the .Kell, and the colique Gut annexed thereunto, is commonly called Epiplois dextra, you may Latin it Omentalit, the right Kall-vein. Another anfwering to that branch, which arifes from the higher part of the Spleen-vein, and begets the Crown-vein, is inferred in the lower membrane of the Kall, and prefcntly after its rife is di- vided into two branches, which parting one from another a great diftance beget many other twigs, which are fpent upon the lower membrane of the Kall, which like a Mefen- tery ties the colique gut to the back, as alfo upon that part of the colique Gut, which is io tyed. It is called Epiplois,or Omentalis poftica, the hinder Kall vein. After the Spleen- branch has thus fcattered many twigs, now drawing near to the Spleen it is cleft into f two branches,an upper, and a lower one; which are broken into others in the very Paren- - chyma or flefh of the Spleen. From the upper, fometimes before it enters the Spleen,fome- times when it is already entered, there fprouts forth a double or threefold twig, very 1 famous among the writers of Phy fick,which they commonly call breve the fhort veflcli, out we the venall, to diftinguifh it from the Artcriall vcflel that anfwers to it: this is in- ferred into the left fide of the bottom of the Stomach, fometimes alfo higher,and about the left orifice or mouth. Which is the caufewhy fome Phyfitians, and commonly Anato- niiftstoo have foolifhly thought, that the melancholick humor is returned from the Spleen through this veflcli back into the Stomach, to provoke appetite. But you may of- A ten find bodies, in which it is altogether wanting. From the lower branch, which goes to the nether part of the Spleen, one propagation arifes, which being pretty big, and notable is reflefted towards the right hand, like the foregoing, and compafles the bottom of the Stomach on the left fide, and alfo fends many little branches to the higher mem- brane of the Kall on the left fide; it is called Gaftro-epiplois ftniftra, the left Stomach and Kell-vein. There is alfo another notable branch, which is found in moft to arife from the lower Spleen-branch $ very feldom from the Spleen it felf. This is carried down- wards, and fcattering twigs over all the left fide of the colique Gut, goes on further by the whole length of the ftraitGut, and at length determins in the membranous fub- ftance thereof, and in the fundament with many little twigs. Phyfitians make mention * of this very often, and call it interna, the inner emroid vein, to diftinguifli it from the outer, which is derived from the Hollow-vein. It is truly and properly called the Emroid vein; I fay, properly, and truly, becaufe fometimes they call by that name the veins of the noftrills,gums, and mouth, that caft forth blood, and without pain. In this largefenfe the Philofopher took it 3. depart, animal, where he makes menftruous purga- tion alfo a fpecics of the emroids. But the Emroids properly fo called by Phyfitians are dilatations of this vein in the fundament, caufed as well by black and yellow choler, as alfo by a fait phlegm,as by the melancholick humor. And thefe are of two kinds; C<ec^e9 blind piles,which caft out no blood, but (well out like the ftonc of a grape into the fun- dament or out of it: Others aperU,open, which caft out the blood, which they contain. The learned Hippocrates hath left us a peculiar book, a golden one indeed, concerning the cure of thefe. The remaining part of the Spleen-branch is fpent upon the whole Spleen, and therein is fcattered into divers and very fmall propagations, entring the very flefli of it'about the hollow, and middle line. And thefe are the fprigs which grow out of the Spleen-branch. The Mefentcrick vein, or right branch of the Gate-vein is joined to the Mefentery, as foon as it comes from the back, and is divided into two chief branches, which palling through The two branches. Splenica. Circles riling from the upper part of the Spicenick- branch. Ctremria. 'rcles riling nthe •r parr of Spleenick. inch. Zpipltit fifth The divifionof the Spleen ick;- braach. A propagation of the uppe.r branch. A propagation of the lower branch. finiftra. J/ttncrrhoidalif 1« & Tract.1. A Defcription of the Veinr. 3 through the Mefentery betwixt its two coats,are each of them cleft into an infinite num- bcr of final! branches, and they again into lefs twigs, which going to the guts make up thofe veins fo famous among Phyfitians, that are called the Mefaraick-veins. The firft of thefe branches is called the right Mefenterick vein from the "right fide, wherein it is placed, and is likewife twofold, whence it came to pafs, that Vejaliw, and almoft all q- thers, who follow him,reckon three Mefenterick veins. This branch is infected into the Jejunum or empty gut, the Ileum, or circled gut, the or blind gut, and the right fide of the Colique gut,where it lies nm to the reins, and liver; and although both its bran- ches (hoot forth many propagations from themfelves,fo that it is very hard to exprefle any number of them,-as well becaufe they vary much by reafon of their fubjefts, as allo, becaule they do not obierve the very fame order and courfe, yet it hath been obfervcd,that for the nioft part there are fourtcen,which afterwards are fcattered into an infinite company of o- ther twigs.Thefe when they are come to the guts, only gape with their little mouths into their coat,and enter not the cavity it felf/hat being compalfed about within with a certain cruft. But as we have faid above,that in nioft parts of our body,the divarications or divisi- ons of the veflels are attended with certain glandules, partly that they may make the fafer progrefle, partly leaft they (hould fink down, and withall the flow and ebb of the blood fo very neceflary be hindered ; fo here alfo thedivifions of the veflels, which are fcattered through the Mefentery, arc bolftered up with certain glandules, which with their pro- pagations obferve fuch an exaft proportion, that the greater glandules do fuftain the greater branches, and thclefs the lefler. When thefe glandules fwell with a Scirrhut the veflels being preft clofe together, and the diftribution of the chylus through the veins, and con fequently of the bloud through the body being hindered; there follows a Con- fumption, and pining of the whole body. The left Mefenterick vein is divided into the middle part of the Mefentery, and alfo that part of the Colique Gut, which runs from theleft region of the Stomach as far as to the ftrait gut. The hjmorrhoidalis interna, or inner Emroid vein, of which we fpake a little before, fometimes arifes from this vein, as Vefaliw hath obferved, which affording fome fprigs to the Colique gut, at laft running forward through the whole length of the ftrait gut, determins in the fundament. But before the Mefenterick trunk be divided into theie two branches, it firft fends forth two propagations, one of which is called Gaftro-epiploif dextra,or the Right Stomach and Kail- vein, which creeps through the right bottom of the Stomach, before, and behind, as alfo through the Jupper membrane of the Kall; the other called by others Inteftina* lis, or the Gut vein, by us the Duodena, reaches to the middle of the Gut Duodenum 5 and the beginning of the Empty gut or Jejunum, and defeends all along through them. ; j The chief ufe of the Gate-vein is to nourifli thofe parts, which are featedin the loweft belly, and need a thicker and more feculent blond, luch as are all thole parts, which ferve for nutrition. For their blood ought to be thicker, that it might be hotter, when heat is alwayes more powerfull in a thicker body : fo then the Roots of the Gate-vein nourifh the Liver,the Trunk nourifhes the Pancreas or Sweet-bread; of the Twigs,the Cy- fticw, or Gall-twig nourifhes the bladder of the Gall; the Spleen-branch,all the entrails, which ferve for nutrition, except the Mefentery,and the Guts; the Twig Pyloricus, »or-of the lower mouth of the Stomach, the Gaftricw or Stomach-branch,both the Stomach and Kail-veins, and the fliort veflell nourifh the Stomach. For I do not think that the fhort veflell was made by nature for the carrying back of melancholick humor to the Stomach, but chiefly for its nourifhments fake ; when that blood, which is generated in the Spleen, is not melancholy, and excrementitious humor, but rather the beft, although foniewhat thicker then other blond, and that becaufe the parts that are to be nourifhed, by the Spleen branch, needed a thicker blond, then they which are to be nourifhed by the Mefenterick. Both the Stomach and Kail-veins nourifli the upper membrane of the Kall >• the right and the hinder Epiplois, or the Kall-veins , the lower. The Spleen is nourifhed by thofe two branches, into which the Spleen-vein is cleft, and which enter its parenchyma, or flefh through its middle line : the Mefentery, and almoft all the Guts by the two Mefen- terick branches; the Gut Duodenum by the propagations called Duodena but the empty Gut, the Ileum or circled Gut the blind Gut, or the right fide of tfie Collique or Colon by the right Mefenterick-branch. The left fide of the Colique, and all the ftrait-Gutby tht hsemorrhoidall vein ; but the middle part which lies under the Stomach, by the hin- der Kall-vein. The fecond ufe is to attraft the Chylus, and carry it to the Liver; whole veins are nioft famous for the making of bloud. But the fame veins which nourifh the. Mefenterick branch, do allb attraft the chylw, as we fhall fhew you hereafter, when we fhall infift upon the Hiftory ofit. The third ufe is to empty out the excrements from, the body through the Guts. Thus we fee that the cholerick humor is fometimes poured forth out of the Liver through the Mefenterick-branch in the bloudy flux, and cholerick Ioofnefs, and the melancholick dregs through the Emroicl-vein. The fourth ufe is to help the concoftion of the Liver. Thus we fee that the thicker part of the chylut, which is called melancholy,is astrafted by the fpleenicjc branch, not that the feat of melancholy B b b b 2 is The right Me. fenterick branch. The left Me- fenterick. Propagations that arife be- fore the divifi- onof rhe Me, renrerick. Dextra. Inteftintfa. Thcfirft qfeo? the Gate vcw; The fecijiid ufe. The third ufc0 The fourth* 4 A Description of the Heins Tract.i. is in the Spleen, but that it may be more attenuated, and better concoftcd by the benefit of the arteries, which are moft abounding in the Spleen, and fo not difturb , or hin- der theconcoftion, which is famed to be in the veins of the Liver, as it ufually happens, that whenfoever the Spleen is troubled with any difeafe,the work of making bloud is pre- fen tly harmed. But becaufe there has been mention made hereof the Eraroid-veins, it feemed, that it would not be unfeafonable if I did refer to this place the explanation of a moft excellent Aphorifm, which is the twelfth of the fixth Seftion, when it cannot be underftood with- out theHiftory of Anatomy, and is not fo faithfully explained by others, as was necef- fary. Hipocrates writes in it, afpofpofJlct; InGbp nivfuvQ- >1 fOlOTv, that is,he that is cured of okFEmro ids,unlefs one of them be preferved, is in danger of falling into a Dropfie, or Qbnfumption. In explanation hereof we will firft doubt of the Aphorifm, then w£»rill defpute of the manner whereby a Dropfie, or Confumption follows upon the cure of old Emroids. But we may not without caufe doubt of the truth of it, becaufe the fame Hippocrates in a Book concerning the Emroids, which I think to be very much his own, whatever Mercurial# fay though otherwife a moft learned man, bids us to turn the Emroids, and forbids us to leave any unburnt, but to burn them all. And truly 14, Book, defirous to reconcile thefe two places, atthofe words wjr K** that is, unlefs one be preferved, being overcome, thinks that a manner of diet is to be underftood, not an Emroid,as if Hipocrates fhould fay:Thou (halt not cure one that hath long had the Emroids, unlefs the Patient will diligently ob- ferve a convenient manner of diet prefcribedby thee 5 for otherwife there is danger of his falling into a Dropfie, or Confumption. But Galen in his Comment upon that Apho- rifm writes exprefly, that Hippocrates fayes, that unlefs one Emroid be preferved, fuch dan- ger will enfue,and makes no mention at all of diet. And, what is more, dayly experi- ence fufficiently witnefles9that fuch mifehiefs do enfue though never fo exaft a diet be kept, and the reafon taken from the manner, wherein they h'appcn , and which we (hall prefently explain, does abundantly manifeft it. Whence it is evident, that thefe two places of Hippocrates are left ftill in controverfie, and contradicting one another from this anfwer of Aetiw. But the right anfwerwill be, if we fay, that Hippocrates when he writes in his Book of the Emroids, that fora perfeft cure they muft all be burnt, fpeaks not of old Emroids, but of fuch only as are lately come, or when nature has already en- deavoured to expell the humor, which was otherwife purged out of the Emroids fome other way,whcther it be by iffues,or by a Fiftula,or fome ulcer in the Leg. For fuch may be very well and without danger of Confumption, or Dropfie, the rather, if the entrails be yet whole and found, and efpecially if a good rule of diet follow. Nor does the cure of all old Emroids neceflarily bring on a Dropfie or Confumption, but only for the moft part they threaten a danger of thefe difeafes to enfue, for fometimes the melancholick matter being hurried up into the brains, there follows madnefs, as it happened to Alcippus, in Hippocrates 4. Epidem. For, fayes he, this Alcippi# having the Emroids was forbidden to be cured, for after the cure he fell madd, but an accute Feavcr following it, he was reco- vered. For explanation of the fecond doubt, firft let us hear Galen for he in his Commen- tary upon the Aphorifm, fayes tC That the Emroids come by reafon of feculent, and me- cc lancholick bloud, which the Liver drives down to the mouths of certain veins, and fb <c this way being ftopt,and abundance of grofs humor burdens the Liver, and ftifles the cc naturall heat,which being extinguifht, no more bloud is generated, but only water, cc which nature afterwards driving it into the abdomen,or paunch, makes a Dopfie. But if cc the Liver fend that abundance of melancholick humor to the Lungs, fome veflell being <e broken, there follows a Confumption. This interpretation of Galen, befides that it teems very obteure to us, is not altogether agreeable to truth. For firft, it is falte in my judgment, which Galen fets down in his Comment, that it is impoflible,that the Emroids fhould be caufed without an abundance of feculent and thick bloud when it jmay be proved both by reafons, and authority,that they come alfo from choler and phlegm. By the authority of Hippocrates, who in thebeginning of his Book concerning the Emroids, witnefles that this difeafe is caufed in this manner j to wit, when choler,or phlegm falling down into the veins of the Straight-Gut, heats the bloud,which is in the veins. For thefe veins being heated attraft the bloud out of the little veins, that are near, and when they are filled, the inward part of the Seat fwels, and the heads of the veins appear out of it. But by reafon it is proved thus ; when madnefles are caufed by phlegm, or choler, as Hip- pocrates witnefles in his Book De Morbo Sacra, the fame Author in the 6. Aphorifm, 21.pro- feffes that that madnefs is taken away, if there follow fwellingsofthe veins, or Emroids in thote that are fb mad. Now the madnefs would not be taken away, if melancholick humor did only come for th by the Emroids 5 for then the caufe of the difeafe would not be purged out. But I my felf alfo have teen formerly in Germany fome Noblemen, tliat Were troubled with fait catarrhs, afterwards recovered by a great flux of the Emroidsjthat I am of opinion, that not only melancholy, but alfo fait phlegm and choler are >wont to purged out by the Emroids. Wherefore if it happen, that one, #ho has been long trou- bled The explana- tion of a cer- tain A pho rifm of /fippocrates. I. 2. Tract.i. A Defeription of the Veins. 5 bled with the Emroids, be cured afterwards, that choler and phlegm, either breed,obftru- ftions in the Liver, or Spleen, or being gathered together in fome plenty by ftretching the vcffels contained in the abdomen,or paunch,breaks through them, or by their quality corrodes and cats their way out, and makes a Dropfie in the Abdomen-, or clfe by railing obftru&ions in the Liver, and extinguiffiing thcnaturall heat, generates much water, and ferous humor in flead of bloud,which palling through the veins,make a fpecies of the Drop- lie called Leucop Megmat ids -, but if this humor go back to the Breaft, or Lungs, it breaks through, or eats cut their veflels, and hence follows a fpitting firft of Moiid,then of cor- rupt matter,and from thence at laft aConfumption,as Hippocrates teaches in his Aphorifm. But in this place it is firft of all to be obferved, that there are two forts of propagations of veins, which make the Emroids : for there are fome propagations of the Gate-vein, of which we have already treated ; but there are others of the hollow-vein, which arife from the Iliacall branches,of which we are to fpeak hereafter. Now if the forementioned humors, whether melancholick,or cholerick, or phkgmatick,and fait, flow through the propagations of the Gate-vein, the internail Emroids are cauffid, which being cured, the matter flows back into the branches of the Gate-vein,that are flattered through the lower Belly into which the veins bcingloadcn with thefe humors unburden themfelves,and make afeecies of the Dropfie called if they flowthrough the branches of the Hollow- vein,they caufe the external Emroids,and thefe being cured againft the Precept of Hippocra- tesfehere is danger of a Confumption to enfue, becaufe from hence there is an ealie paflage of the peccant matter through the Hollow-vein to the Lungs, nigh to the Heart.And this is that which wc have of a good while obferved, that many,who have been long troubled with Fiftula's of the Fundament > and afterwards cured,through the ignorance of Phyfi- tians, have fain into a fpitting of bloud, and then into a Confumption. Nay we remem- ber, that a maid was once cured by us in Germany, which had a Fiftula in the middle of her Hip, and for three years had fought help from many in vain, but being cured ffiee fell at length after three or four months into a fpitting of much bloud. Although ffiee was fcarfe ten years old, I let her bloud prefently in the foot of that fide on which ffiee had been troubled with the Fiftula, and purging* her body, and laying on a cautery near the place, in which the Fiftula had been, I eafily freed her in this manner from imminent danger of a Confumption. This fpitting of bloud happened from no other caufe, but that ffiarp and cholerick matter, which when it could no longer find a way out by the Fiftula, got up afterwards to the Lungs through the branches of the Hollow-vein. But Hippocrates fayes exprefly, that there is danger of a Dropfie, or Confumption to follow, becaufe it fometimes falls out, that neither of thefehappen, but rather fome other difeafe infues, as it happened to Alcippus, who fell into a madnefle, and from that into an acute Feaver: fometimes alfo the bloudy flux follows, and other mifehiefs. Sometimes alfo it happens, that they who are fo cured, arepreferved ftill in health,by abundance ofilrinCjj iweatings,remedies, and a good rule of diet. CHAP. II. Treats of the 'fuperior, or ascendent Trunks of the Vena Cava, or Hol/ow- vein, and the branches which it fcatters through the Head. E E are now to confider the other vein, which as we told you is called Cava, the Hollow one Fa], which fpreads it felf much wider, then the Gate-vein, as being diftributed throughout the whole body. For its office is to nouriffi all thofe parts of our body, which conduce not to the concoftion of the food, and thofe parts being fpread far and wide, it is neceflary, that the Hollow-vein alfo be very large, and extended to a great length : and becaufe they ought tobenouriffitwith a thinner, and more elaborate bloud, and not fo thick and feculent, as that wherewith the Stomach, Spleen, and Kall are nouriffit; therefore the bloud which the Hollow-vein makes, and carries,is allo more pure,thin and fincere. In delivering the Hiftory of this vein, although we are not of their opinion, who de- rive its beginning either from the Liver, or heart, yet becaufe we muft begin our Treatife •of it fomewhere, we thought fit to follow the received cuftome of Anatomifts, and fo for perfpicuitics fake we dial 1 alwayes fpeak of it, as if it took its birth from the Liver. It may be added, that it fpreads certain roots as it were in the Liver, juft like the Gate-vein, in the Hiftory of which when for thatreafbn we took our rife from thofe roots, we may not without caufebegin thence alfo with the Hollow one. But this vein although it run dire&ly through the whole Trunk of the body, and make one very notable flock [DI that is drawn out through the middle, and loweft belly, like one ftraight line continued, or rather in manner of a channell, or conduit pipe, is notwithftanding wont to be divi- ded into two by reafon of the Liver, and fo one to be called the Afccndent Trunk, the other the Defccndent. For indeed that is not true, to which many perfwade rhemfelves, The ufc of th® Hollow-vcirti • The method to be observed in* rhe Hiftory of this Vein. 6 A Defer ip t ion of the Deinr. Tract. 1. that the Hollow-vein in its going forth from the Liver, like the great Artery, when it comes out of the heart, is cleft into two Trunks 5 but if hereafter they be called Trunks by me, you muft bcleeve, that I do it only for orders fake in teaching. The Afcendent therefore or upper Trunk [A.D.] is that which hands about the Liver, and is terminated about the Jugulum, or Hollow of the Neck 5 but that is called the Dependent one [T.V.-] which is beneath the Liver, and reaches dpwn as far as the Legs. For both of them are af- terwards divided into branches, of which they of the Afcendent [m and q ] ate carried up- wards to the Head, as the Jugular or Neck-branches; or to the Arms, as the Brachiales [G and I J or Arm-veins ; thele of the Defccndent Trunk to the Legs, and are called ths Crurall branches. [ T ]. We will (peak therefore of all thefe in order, fo that we firft deliver the Hiftory of the Afcendent Trunk, then of its branches, that grow up partly to the Head,partly to the Arms , after that we will come to the Defccndent Trunk, and its branchesjthat are digefted into the Legs. !t As therefore we have faid, that many little Veins like roots grew out of the Hollow fide of the Liver, which alwayes by degrees inferred into the greater veins, and all of them at length meeting together about the middle of it did make a T runk; fo in the fame man - ncr outofa circuit of the Convex fide of the Liver a numerous propagation of veins ifliies forth, which afterwards meet together in one Trunk.This Trunk makes its way through the nervous part of itsmidriffe on its right fide, and pafiing through it goes undivided to the or Hollow of the Neck, and becaufe it climbs upwards, it is commonly called the Afcendent Trunk by them,who conceive that the Hollow-vein rifes out of the Liver. It is much greater then the Defcendent, becaufe the upper parts are nourifhed by it alone ; but almoft all the inferior parts, that are contained in the loweft Belly, by the Gate-vein. But although it be not parted into any branches, untill it come to the Jugu- 5 lum 5 yet before that it fpreads fome propagations at its fides, and of thofc, three notable ones. The firft [e is that which is called Phrenica, or the vein of the Midriffe, on ei- ther fide one, and is diftributed throughout the whole Midriffe, which is called with a numerous i flue, fending little branches to the neighbouring Pericardium) or purfe of the Heart, and the mediafiinum, or partition of the Cheft 5 which when it has now got above, and entred the Cheft, it inclines a little to the left hand, and enters the pericardium, and being hidden very clofe over againft the eight rack-bone of the Cheft, is very ftrong- ly infixt into the Right ventricle [C] of the heart; that Ariflotle did not without caufe guefle, that it fprung from hence. But before it be fo infixed, it fends out another pro- pagation [b bj which is a notable one, and extends itfelf by the hinder part of the Heart, and the left fide of it, towards the forepart, compafling the bafts of the Heart like a Crown, from whence it is called Coronaria, or the Crown-vein of the Heart. This fcat- ters many branches through all the outer furface of the Heart, but efpecially through the left fide, as that which needed a more copious aliment then the right fide, becaufe of the continuall, and greater motion there. But becaufe the flefh of the Heart is hard,and folid, it ought therefore to be nourifht with a thicker bloud,from whence it is, that this branch grows out of the vein, before it enters the Heart, to wit, when the blond is fomewhat thicker, and not yet attenuated in the cavities of the Heart. Near to the originall of this there is a little valve, or floud-gate, which hinders the bloud from flowing back to the Hollow-vein, as it might eafily do by reafbn of the continuall motion ofthe Heart.When the Hollow-vein has now gotten above the Heart, it becomes lefler, and perforates again the Pericardium,and forfakes the Rack-bones of the Back, and being got above the Gullet, the rough Artery, and the aorta, or Great Artery, (which lean fo upon one another, that the Gullet takes hold ofthe bodies of the Rack-bones, the rough Artery lies upon that,and the aorta again upon this)it climbs upwards through the midft of the divifion of the Lungs, where the right part is feparated from the left. But becaufe by this means it could not get to the Back, and the little branches, if it fiiould have lent forth any filch, had been very liable to danger of breaking, being fo hanged up 5 therefore it fends forth a third propagation [ccj as fbon as it is got out of the Pericardium or purfe of the Heart. The Greeks call this vein the Latins fine pari, or carens co/z/wge,without a companion, or wanting a mate, becaufe in a man there is but one, and it has no compa- nion, or mate on the left fide, as other veinshave 5 though in creatures that chew the cud, it is double, and plainly to be perceived of both fides. But it ifliies forth about the fifth Rack-bone ofthe Cheft out ofthe hinderpartof the Hollow-vein, and the right fide, and goes downwards, notdireftly, but inclining a little toward the right hand is as it were reflected backwards to the Back-bone: but as fbon as it reaches the eighth, or ninth rib, it is cleft above the Spine of the Back into two branches, which running downwards pafle through the divifion of the Midriffe, which is betwixt its two pro- duftions, and fo are fpread abroad into the loweft Belly : Of thefe the left,which is fome- times the greater, hiding itfelf about the tranfverfc Proceflesof the Rack-bones, and under the left produ&ion of the midrifle and the originall of the firft bending mufcle of thethighj is inferted into the left Emulgent, either near to its beginning, or (as it oft happens) into the middle of it. But the right, running on likewife under the mem- branes The Afcendent Truhk. Propagations of rhe 4fcen- dent Trunk fbreniea. Coriturit. A£vj/©-. Tract.1. A Description of the Veins. 7 branes about the tranfverfe procefles of the right fide, and the right production of the Septum or Midriffe, and the beginning of the fame firft bender of the thigh, which keeps the right fide, is implanted fometimes into the very Trunk of the Hollow-vein, fame- times into the firft vein of the Loins: And we are indebted for this obfervation to the learnedFallopiut, who would have the matter that, is gathered together in th e Cheft, whe- ther it be watery, or purulent and corrupt, or fanguinous, to be evacuated by the bene- fit of the left branch of this vein; of which notwithstanding we will fayfomething briefly in the following Book. But this vein in its journey fhoots forth twigs of both fides, as well right, as left, of which the right are more notable, and larger, of which there arc numbred almoft alwayes ten; which run out to as many distan- ces of the lower ribs, and make the inferiour Intcrcoftall veins. But I fay they are almoft alwayes ten, becaufe it happens very feldom, that all the distances of the ribs receive branches from this vein, the two uppermoft, to wit, the firft and fecond diftance getting their farcies or twigs front the fourth branch, that is prefcntly to be mentioned? But theft twigs run ftraight forwards near to the lower fide of the ribs, where there are ca- vities cut out for them, as we have taught in the fecond Book. And truly this place isdi* ligently to be taken notice of by Students in Chirurgery, becaufe of the opening of the Cheft in the difeafe called they may know that incifion is to be made in the uppermoft place of the rib, becaufe in the lower the veflels would be harmed to the great indangering of life. But theft veins do not run through the whole length of the true ribs* but are terminated together with the bony part.Btit the propagations of the Mammary vein nourifh the fix diftances between the griftles of the ftven true ribs,as we fha.ll tell you by and by. Ytfc in the Baftard ribs they run even beyond the Griftles towards the Abdomen or Paunch, into whofe Mufcles they infinuate themfelves. But there are certain other little branches propagated from the fame vein, by which nourifhment is derived to the marrow of the Rack-bon and the Mufcles, to .wit, thoft about which they arc carried: fome allo are implanted into the Mediaftinum near to theback.This vein fine pari without a companion,being thus conftituted, the Hollow-vein afeends to the Jugulwn, or Hollow of the Neck [D~| being liipported by the Mediafiinum, and a certain loft and glandulous bo- dy,which the Greeks call » and is placed in the higheftpart of the Cheft, to defend the divarications of the veins there hanging up from all danger of breaking. And here the Hollow-vein is firft divided into two notable branches [E E] from which all hofe veins arife, that run as well to the Head,as to the Arms, or to certain Mufcles of the Abdomen. Of thefe one goes to the right fide,and the other to the left,which as long as they yet are in the Cheft, are called Subclaviifiubclxvun branches,becaufe they go under the clavicular Coller-bones;but as foon as they have gotten out of the Cheft,and attain to the Arm-hole,they are named Axillares, the Axillary-veins [F]. From both of them very many propagations ifllle forth, fome of which arife from their upper part, and fome from their lower. In our recitall of them we will obftrve this order, that they which are neereft to the Trunk, fhall be firft mentioned by us; and they laft, which are fartheft from it. The firft propagation then ifliics out near the very root of the divarication or divifion : of the Trunk, and is called Interceftalif fiperior, the upper Intcrcoftall vein; QeJ there is of either fide one, which being very little, and defcending along by the roots of the ribs, as far as to the third rib, fends two twigs [ f f ] overthwart, like the vena fine pari, to the ( two diftances of the upper ribs. But if the vena fine pari fends its propagations to all : the diftances (as it fometimes happens) then it is Wanting not without caufe. Sometime* , the fame vein arifes from the Trunk of the Ho How-vein, before its divifion into the fabclavian branches. Another vein f g fometimes arifes from the fore-part of the bifurcation; fometimes from the root of the Subclavian branch, and is double, of cither fide one : fometimes al- fo only'one grows out of the middle of the Trunk, before it be divided; which at length, when it has attained unto the Brcaft-bonc, is parted into a right, and a left branch. For Nature is wont to fport, as fometimes in its other works, fo efpecially in the rife of veins, fo that they are not fpread in all bodies after the fame manner. But this is called Mani- 1 maria, the Mammary vein, which, when foever it arifes, going toward 'the fore-part, ftrives to get up to the higher part of the Breaft-bonc, and defeends by the fides of it, and when it is come to the Breaft-blade, about its fides goes out of the Cheft, and runs on di- reftly under the right Mufcles of the Abdomen, even to the Navill, near to which it ia joynedby an Anaftomofis,or inoculation [10J with an Epigaftrick-vein [9] that afeenda and meets k 5 by the benefit whereof arifes that notable fympathy betwixt the womb, and Breaftscof women, of'which we fhall fpeak more hereafter in the eight Chapter,when we fhall infift on that Hiftory of the Epigaftrick-vein. But before it leave the Cheft, in its defeent, it diftributes one branch a piece to the fix diftances betwixt the Griftles of the ftven upper true ribs, of cither fide, which are terminated whh the Griftles near to the end of the bony part of die ribs, in which place we told you that the branches of the, vein fine pari, (with the extremities of which thefe are joyned) were ended. From thefe T'iv J.i-ti- ,»T The diyjfien of rhe Hollow* vein into the cwo.iubclavj. an branches. Propagations from the lowci? part of the Subclavian* branches. In tcrcoftafa fit* pirivr. 8 A Defcription of the Veins Tract.i. veins, which are diftributed in this manner to the diftances ofthe Grilles, fome others very worthy of our noticed© arifc,which are difleminated both into the Mufcles,that lye upon the Breaft, and into the Paps. Near to thefe a third [h] arifes, and ionic times al- io grows out of the Trunk, which is called Mediaftina, becaufe it fpreads itfelf into the Mediaftinum, or membrane that clofes up the cavity of the Cheft, being extended all a- longby it, with the left Nerve of the Midrifle. The fourth [ij commonly called Cert>i~ calif, or the Neck-vein,is a large vein of both fides which running ebliquely,upward,and backward, to the Tranfverfe procefles of the Rack-bones of the Neck, and climbing up through their holes, (from whence perhaps it might be better named 'Vertebrati.? ) affords fprigs to the Mufcles, that lye next upon the Rack-boneL When this vein has got above the Tranfverfc Procefle of the feventh Rack-bone, it derives a notable branch of the Sinus or Canale-, in the Neck, through the hole that is made for the outlet of the Nerves; and then another, when it comes above the Procefle of the fixt Spondyll, or Rack-bone, and again another, when it has left the fifth Spondyll,untill at laft it comes to the Procefle of the firft Rack-bone, which notwithftanding it does not touch, much lefle does itpafle into the Skull, (as VefaliM would have it) near which it goes partly to the fame finus orcanale, partly it is diftributed into the hinder parts of the Neck. For there are two long finus filled with bloud, which are made out of the hard membrane of the Brain, one of each fide, being placed at the fides ofthe marrow of the Neck. From thefe little branches are diftributed, which nourifh the marrow of the Back-bone, and the neighbouring parts; they begin about the Junfture of the Head with the firft Rack- bone, and end near to the feventh Rack-bone of the Neck. Thefe two finw, of which one is ofthe Right, the other on the Left fide, have fome communion betwixt them- felves by a little pipe, and that a fhort one, which is derived overthwart from the one to the other, for the mo ft part about that region of the Neck,which is betwixt the fecond, and third Rack-bones. At laft there is a fift vein [I] which arifes from the hinder part, called Mufatla inferior, or the lower Mufcle-vein, which is dftributed in many branches to the Mufcles in the lower part of the Neck, (and fo extending the Head and Neck, from whence the vein might be rightlycr called Cerwicalif,or the Neck-vein) and alfo to thofe in the higher part of the Cheft near to the Rack-bones. From the upper part of the Subclavian branches, whileft the Hollow-vein is yet in the Cheft, three propagations ifliie forth, two of which do very well defers to be no- ted, which take their way upward, under the Mufcles that bend the Head. The former of the two looks more inwards, and is called Jugulara interna, the inner Jugular veimthe other inclines to the outer parts, and is commonly called Jugular if externa, the outer Ju gularvein. For both of them arife near to the Jugulum, or Hollow of the Neck, and afeend by that to the Head. The inner is greater, and the outer lefle in a man; but in Brutes 'tis contrary. But when almoft all Appellations are derived, and that beft, not from the place, through which the veins pafle, but from their infertion; perhaps they might be rightlier named Cephalic* or Capitales,Head-veins. The inner Jugular vein [mJ takes its originall near to the joint,by which the Clavicles or Patel-bones are tyed to the Cheft, and as foon as it arifes, is joined with the arteria carotif, or fleepy Artery, and a Nerve of the fixt pair, as companions in its journey, at the fide of the rough Artery, and climbing to the Chops, about the middle ofthe way is parted into two branches, of which one is called the outer, the other the inner branch. The outer is fo called, be- caufe it comes not into the inner parts of the Head, but being divided into two at the corner of the lower Cheek, diftributes one branch to the Chops, and the other near to the Ears, and Face. The inner branch, all the way, is joyned to the Arteria Carotif,or fleepy Artery, even to the bafisof the Skull, whither when it is arrived on the backfide, it is likewife cleft into two branches, but of uneauall bignefle. For the firft [ n ] is greater and more hinderly, being carried backward obliquely, which having propagated fome twigs to the Mufcles under the Gullet, and in the forepart of the Rack-bones ofthe Neck, through the fecondholeof the occipitiutn orNowl-bone enters the Skull with the lefler branch of the Arteria Carotif, through which faid hole the fixt pair of the Nerves de- feends: and thus this branch eaters the firft [i] and fecond of the thick mem- brane. The fecond branch [ p J being fma Iler, and more to the forepart, quite forfaking the Arteria Carotif, or fleepy Artery, goes to the forepart of the Head, and after that by the way it has beftowed a Circle not very notable upon the Organ of hearing, it enters the Skull through the feventh hole of the Wedg-bone, or Os Cuneiform. This is difperfed through the bafts, and fides of the thick membrane, with a numerous ifliie of branches, the prints whereof are obferved in the inner furface of the bones of the forepart of the Head, as we have faid above in the fecond Book. Wee will call thefe two branches, be- caufe they go to the brain, Encephalici,as if you fhould fay Cerebrates, of the Brain, and that (hall be the greater this the lefler. The externall Jugular vein QqJ a* feending under the skin, and quadrat us, or Square-Mufcle, that draws d-o wn the Cheeks, by the fides ofthe Neck, when it comes to the Ear, is cleft into two branches [r] onc of which I call Profundus, the deep one, becaufe it enters the Mufcles, and retires into Mediajlin* Cervieali/- jfropajations that arife from the upper part efthe Subclar vian branches. JugularM in- terna. Extern* pigularb Externa. Trtfimdw. Tr.4CT,I. A Defcriptionof tbe Vein «■. 9 into the more inward parts, the other Cutanes the Skin-branch. The deep or inner one ! s] in its firft divarications meets with Glandules about the Chops, and fends forth propagations worthy of our notice to the Larinx or Throttle, and the Glandules, that grow to it, as alfo to the Mu'cles of the Chops, and of the bone called bjodes, among which that which creeps all along under the tongue, is a notable one, and is fcattered into many little branches, which are fcen, if the Tongue be lift up, even befoie dif- feftion. From this deep branch three others arife, which enter into the inner parts of the Head, and the Skull. The firft, after it has fpread little branches into the Chops, and Mouth, enters the Skull, through the firft hole of the Temple-bone. The next £ej pafles out of the fo epart of the eye through the fecond hole of the Wedg-bone, at which the fecond pair of Nerves gets out, and runs with fome circles through the thicker Membrane upwards. The third is fcattered out of the breadth of the Noftrils through the hole of the Os cribrofum, or five-bone into the fame Membrane. Thefe two nourifli this forepart, to which the third Jtnus reaches not, but ends near to the partition of the Mamillary Procefles. But the outer or Skinbranch [ u] creeping by the skin of the Head, and ftayed up with the Glandules under the Ear, which they call Parotides, is divided into two branches 5 of which the Anteriour [x] is carried upward obliquely through the Cheeks to the inner corner of the Eye , diftributing little branches by the way to the Nofe; and going on to the Eye-brow, is joyned with the remainder of the branch of the other fide, and makes the Strait-vein, which they call vena front is,the Fore- head vein, fyj and which in madnefie is opened to very great advantage. To this the Satyr ift alludes, whui fpeaking of a certain foolifh fellow, hee fayes,--pertun- dite venam. The other or Pofteriour branch is carried behind, and fends branches to the Temples IXI and skin of the Back-part [a | of the Head. A third vein, which arifes out of the upper part of the Subclavian branches, is commonly called Mufcula Juperior, the upper Mufcle-vein, in relation to another of the fame name arifing out of the lower part. It iffaes out near to the external 1 Jugular vein, and is difperfed into the Mufcles,and skin of the back-fide of the Neck,in regard whereof we fhal not do amifle to cal it Cervical is fuperior or the higher Neck-vein | B ]. But now let us return to the diftribution of the Subcla- vian-vein, from which we have digreft. This vein, as foon as it gets out of the cavity of theCheft, is called Axillaris [F], and when it comes to the Arm-pit, is divided into two notable branches, called Cephalic# or Head-vein [GJ and Ba/flicaflJ, which are after ward difleminated throughout the whole Arm. But before the Axillary-vein be thus divided, it fends forth two twigs : the firft [7 J is called Scapularis interna the inner Blade-vein,and is diftributed through the Mufcles on the infide of the Shoulder-blade : the other named Scapular is externa, or the outer blade-vein, it is a pretty big one, and is implanted into the Mufcles of the outer, and gibbous part of the fame Shoulder-blade. But the vein Ea/ilica alfo,before it enters the Arm,(hoots out two propagations; one called Phoraci- ca fuperior,or the upper Cheft-veinfG becaufe it arifes out of a higher part then the follow- ing, it is a very notable one,and runs through the infide of the peftorall Mufcle that brings the Arm forward to the Breft 5 itdiftributes branches alfo to the other Mufcles of the Brcft, as alfo to the Skin of the Dugs in women. The other is called Pboracica inferior,the lower Cheft-vein [ ( J, a great and notable one likewife, which defeending along the fide oftheCheft is diftributed efpecially through the third broad Mufcle or Lotijjimw that moves the Arm backward, fcattering many little branches from itfelf, which afterwards are joyned by Andftomofis or inoculation, with the branches of the vein fine pari, that fallout of theCheft. And this vein fometimes grows out of the former, or the up- per Cheft-vein» Thefe branches being thus diftributed, the Axillary-vein reaches into the Arm. Three bran- ches entring the skull. Cutentih'i Mufciita Supe- rior. The divifion . of rhe Axillar/ vein into two branches.- Its propagari- ons before irs divifion. capillarii in- terna. Externa. Thoracica fpe- rior. Tboracica infe- rior. CHAP. III. Shews bow the Axillary-vein is diftributed through the Arm, He Axillary-vein [F] therefore is cleft into two branches, as foon as it conies near to the Ann, but thofe branches are of different bignefle. For the up- per f G| which they call Cephaliw3the Head-branch,is fmaller; but the lower vein [T called Bajilicajs almoft thrice greater.The Cephalick allo is as it were wholly juft under the skin, & finks not with above one branch into the deeper retreats of the Mufcles ; wherefore it has neither Artery, nor Nerves for its companions, they being addifted to the more inward rooms of the body. But the Bafilick-vein partly creeps on under the skin, partly hides itfelf under the Mufcles, and therefore it ought with good reafon to exceed the other in bigneffe, as being deftined for the nourifhment of more parts. It hath both Nerves, and Arteries as companions in its journey, which is the caufe, why upon the cutting of this vein the blond fpins out with a force j but of the C c c c con- The di vifiofl of rhe Axiltary vein. 10 A Defcription of the Reins Tract.i. contrary, the Cephalick being cut, it conies forth foftly : which we fee fome Phyfitians unskilful! in difleftions, Handing by whileft the vein is opened, foolifhly refer to the ftrength, or weaknefle of the mind,or body. We arc now to fpeak briefly of the manner of the diftribution of both thefe veins through the Arm, beginning from the upper,as the lefler branch. The Cephalic* [G ] therefore is called by Vesalius Burner aria, or the vein of the Arm, be- cauft by the Arm it defeends into the Hand; by others Cubit i exterior, the cuter vein of the cubit, from its fituation, becauft it runs on the outfide of the Cubit, as the Bafilica contrariwife does on the infide. By fome later writers it is commonly called the Head-vein,becaufe it is wont to be opened in difeafes of the Head, through-the error of the Ancients, who thought ignorantly, that it arifes from the external Jugular vein,and there- fore empties the blond immediately out of the Head. But it arifes from the upper part of the Axillary vein, & climbing over the Tendon of the Serrrtw minor,ov lefler Saw-Mufcle, that bends the Shoulder-blade forward to the Breaft,it runs betwixt the Mufcle called Pc/- toides, which lifts up the Arm, and the beginning of the Pcftorall Mufcle, which brings it forward to the Breaft, where it arifes from Coller-bone,and fo it runs down by the Arm to the out fide of the firft Mufcle that bends the Cubit, which they call Biceps,or the»double-headed reafon whereof the more learned Chirurgeons have wifely ufedto make iffues betwixt theMufcles Biceps, andDeltoides forifliies ought al- wayesto be made at the feat of fome notable vein, that the matter may more eafily be voided out. But although this vein be not divided into branches,whileft it is thus carried down by the upward part of the Arm, yet it ftatters fome twigs [uande] of both fides into the afore.aid Mufcles, and the skin. At length when it is come to the Cubit, it runs under the flefliy Me j brane, as a vein under the skin fhould, and To preftnts itfelf to the fight without difleftion. But about the very joint of the Cubit at the external! protube- • ration of the Arm, it is wont to be divided [ Hj for the nioft part into three branches, an outer, an inner, and a middle one. The two former run under the skin,the third deeper. The firft or middle one, [ij which is often wanting,. is very little, and deeper, and pe- netrates into the fubftance of the Mufcles, efpecially of thoft two, that bend the fecond, and third joint of the fingers, as alfo of the long of the Radius, or wand of the Arm. The fecond [xj and inner,and chief of the three branches is carried down obliquely under the skin, and joins with the inner branch of the Baftlica, three fingers below the joint of the Cubit, with which it makes up the vein, that Phyfitians call Mediana, the middle vein [*]. This running down obliquely by the middle Region of the Cubit, di- ftributes many Circles to the Radius or wand, and at length itfelf is divided into two lefler branches; of which the outer goes to the infide of the wrift,toward the thumb; the other and inner [V] runs to the fore, and middle fingers. The outer of theft is cal- led by fome Cephahcamanus, and is opened to very good purpoft in difeafes of the Head, or Teeth. Now the third branch |_h] or outer Cephalick-vein climbs up to the Mufcle called the long fupinator of the Radius, or wand,difperfing divers little veins into the skin, and fo is carried obliquely through the Radius, or wand, and having attained to the middle of its length enters the outfide of the Cubit, and in that fame place is joyned with a little branch|V]of the Bafilick-vein,being united thereto it goes on to the outfide of the wrift ;and diftributes veins to that part of the Hand,which lies before the little,and Ring- fingers,. as alfo to the fingers themftlves. This vein,efpecially that,which retpefts the little Finger,is commonly called 5alvate//<?, and the Section of it is much commended by Practi- tioners in Phyfick in melancholy diftafts.Which being fometimes called in qucftion,and I having obferved, that experience does favour thofe Practitioners, endeavoured to find out thecaufe, and found that there are many inoculations here of this vein with the Ar- teries, as the inoculations are ufually more frequent about the extream parts, as being more removed from the fountain of heat, and therefore wanting a hotter, and more fpi- ritedbloud. This vein therefore being cut, becaufe the Inoculations are fonear,it can- not be, butthat the bloudofthe Arteries fhould be alfo let out, which cannot be fo well done by opening the veins of the Cubit, becaufe the Bnafiomcfes or Inoculations are fomewhat morediftant from the place, in which the vein is opened. And hence it is, that the bloud, which is emptied out of the Hand,is much fairer and redder,then that out of the Arm, becaufe the Arterious blond there al way es runs out together with that of the veins. But there being fix times more Arteries, then there are veins in the Spleen,it is neceflary, that its difeafes be much helped, when the peccant blond is drawn out of thofe veflels,wherein it was. The other branch of the Axillary-vein,that is the inner, and greater, is the Bafilica fl J which according to its fituation in different arms hath found different names among wri- ters praftiftd in Phyfick.For in the right arm it is called Hepatica or the liver-veinjbut in the left Splenica, or the fpleen-vein.They chooft that to be opened in difeafes of the liver, this in difeafes of thefpleen.But it iflaes forth under thearmpit,and difperfing many pro- pagations to the Glandules5that are frequent thereabout, it is carried dowm by the upper part of the Arm to the fide of the double headcd-Muftle, or Biceps, between the Mufcles that ThcCepha- lick vein. Three bran- ches of the Ce- phalick-vcin. Sain atelia. The baClick vein. Tract.i. A Defer ip t ion ofthe Deinr. 11 that bend and ftretch out the Cubit, and not far from its, egrefle out of the Cheft, is divi- tf'td m into two notable branches, of which one is called Profundus or deep, the other Subcutaneuss orbranch under the skin, from their lite, and progrcfle. The deep one or Profundus [L], which for the moft part is the thicker, all the way it goes , penetrates into the more inward parts of the Ann 5 having the Axillary Artery, that runs into the Arm, every where for its companion , as allb the fourth branch of the third Nerve of the Arm. But it is carried betwixt the two Mufcles, which bend the Cubit, and, having paft its joint, is cleft [M] into two branches 5 of which the outer [N] near to the radius or wand, (from whence it might be called Kaditw) goes down to the Hand, and Mat- ters little branches toward the Thumb and Fore-finger, as al Co the middle one ; but the inner branch [O] palling near to the bone of the Cubit, (from whence it deferves the name of Cubiteus) diftributes finall branches to the middle, and little fingers; but as the outer fends its propagations to the Mufcles on the outfide of the Hand 5 fo the inner to thole on the inlide. The other is the branch or under the skin [P] which * is carried down by the in fide of the Arm, {battering divers little branches to the skin, 1 and parts adjacent, but when it is come to the inner protubcration of the Arm, it is divi- ded [ QJ into an outer, and inner branch, like as the Cephalick is. The inner [R] is carried down obliquely, beneath the bought of the Arm, and being united with the inner branch [k] of the Cephalick, makes the vein called Mediana, [/] of which we fpake before. But the outer [S j near to the inner protuberation of the Arm being divi- ded into two branches, is carried by the greater alfing the Region of the ulna or ell downward to the wrift, and fcatters icfelf into the lit tic Finger,but by the other it is de- rived to the infide of the Hand. But in this place it is worth our pains to advertife with other the moft learned Anatomifts; that it ought not to be believed, that the fame order, and courfe of veins is to be found in all men ; when the difle&ion of bodies does demonftrate, that fcarfe two. in a thoufand do accurately obferve the fame diftribution of the veins. Where- fore we ought not to be fb fcrupulous in choofing out places for the openings of veins,as fome that are unexperienced, are wont; but to choofe that vein efpecially, which may be moft lately opened, becaufe it is belt ieen. For fometimes the Cephalick or Head- vein is fo fmall, that it can hardly bedifeerned ; ahd fometimes on the contrary theBa- filick is fo. Wherefore he lhall do beft 3 who will rather follow wifecounfell, then the fcrupulous opinion of unskillfull men. The branches of rhe bafihek vriri* Profundw. Subculhneiii. Its divlfion into an oncej and an inner branch. CHAP. IV. Explains the lower, or defiendent Trunks of the Hollow-win. E have done with the upper Trunk, and branches of the Hollow-vein, it remains now, that we treat alfo of the lower. Neverthelefie (as we have above alio ad- monifht) they are not indeed two Trunks, as Galen would have them, but one only which reaches in one continued line from its divifion about the fifth Rack- bone of the Loins QV] as far as to the Jugulum, or Hollow of the Neck [ D] : but, for methods fake in teaching, we thus divide it by reafon of the Liver,-which Handing as it were in the middle of it, feems to part it into an upper, and a lower Trunk. As there- fore that is the upper one [ AD] which runs up from the Liver to the Hollow of the Neck? fo that is the lower [T V ( which beginning at the fame Liver is terminated at the Os ja- er urn, or Holy-bone. Andas the upper did run on undivided through the Cheft, fcattering only fonie propagations at its fidcs ? fo the lower alfo Hides down in tire through the whole Abdomen, or paunch, only fome twigs fprouting from it. But when it has at- tained to the fifth Rack-bone of the Loins, it is cleft into thofetwo notable branches called Iliad [XX] as the upper is into the Subclavian, which Iliacall branches afterward reaching into the Legs make the Crurall-veins ? as the fubclavian carried into the Arms make the Brachiales, or Arm-veins. Let us fpeak therefore in this Chapter of the Trunk, and its propagations, as long as it yet is in the lower belly. Then let us come to. the crurall branches. From the defeendent Trunk then [TV] before it part into branches, arife four veins. For as foon as it is come forth from the hinder part of the Liver, it declines to the right fide of the Back, and (ends forth a propagation from its own left fide which they call Adipofa ftnifira, the left fatty vein Q u on the left fide] becaufe it pafles to the fat and outer membrane of the Kidneys, which arifes from the Peritoneum or Rim of the Belly, as alfo to the Glandule, that grows above the Kidneys. There is another j y on the right fide] anfwering to this on the right fide, but which does very fcldom grow out of the Trunk, but rather from the upper fide of the middle part of the Emulgent vein ? and becaufc it is diftributed in the fame manner as the left is, it is called Adfya dextra, the right Fatty vein. Yet fometimes you may fee the contrary alio to happen, and this right vein to C c c c 2 com* The infrnoet Trunk of rhe Hollow-vein. ' Fourpropaga* cions arifing from theTrunk before its divi* fion. A dip oft, A Defer ip tion ofthe Deins T RACT.I. 12 come forth of the Trunk, andjhe left out of the Emulgent. For there are divers fpor- tings of nature to befeen in the veins; and you cannot cafily meet with a dead body, in which you may not find fomething new, and differing from others. After this the Hol- low-vein palling on, when it comes beyond themiddle oftheback, about the fiift Ptack- bone of the Loyns, it brings forth a fecond pair of veins [p J very notable, which ha- ftens direftlytothe Kidneys, upon whofe fubftance it is wholly fpent. And hence it is called Renale, the pair of Kidney-veins from its infertion 5 but from its ufeLmtilgetis, becaufe the Kidneys feem by this pair to milk out the wheyie or ferous moifture in the bloud, and to draw it to thcmfelves. It is therefore very thick, but yet fhort, and not of equall length, nor riling dire&ly oppofiteeach to his fellow. It is fhort, becaufe it did not need length, which for the moft part is given by nature to veffels for fome pre- vious preparation. It is unequall, becaufe it was fitting the left fliould be longer then the right,by rcafon that it was ncceflary to bring the fpermaticall vein out of it.But the beginning of both anfwers not dircftly one to another, left one fliould be hindered by the aftion of the other. And the left is higher then the right, becaufe the left Kidney is alfo feated higher, then the right. But the Emulgent branches, as foon as they arife out of the Trunk, do notprefently go to the cavity of the Kidneys, but are firft divi- ded into two greater branches, and fo, accompanied with Arteries, enter the concavous fide of the Kidneys, and afterward being broken into lefler branches are fcattered quite through the whole fubftance of the Kidneys, and at laft determin with their fmall hairy ends ip certain flefhy procefles,which they cal M<?wmz//rfre;.Thefe veins do ferve not only for the bringing of nourifhment to the Kidneys, but alfo for the carrying down of the fe- rous moifture to thofe flefhy Procefles called Mammipares, through which it is drained into the pipes of the Ureters, and then gathered together into that cavity oftheirscal- led the Pelvis, and fo drops down by little and little into the bladder, as we fhall fhew, when we open the Hiftoryofthe Kidneys. And here the place is to benoted,in which the ftones of the Kidneys are wont to be generated, which is not in the Emulgent veflels, I mean veins, or Artery j but rather in the very cavity of the Kidneys, or in the Pelvis, and pipes of the Ureters. For in theft if a vifeous matter be at any time received, either it is hardened there by rcafon of a notable heat, or elfe through cold is congealed into graveli or ftone. For this matter is not only a crude, and uncofted kind of bloud,which like fnivell fometimes is wont to abound in the mafic of bloud, but oftentimes alfo that excrementitious phlegm which falls down from the Head, through the veins and Arte- ries, both into the Hollow-vein, and the great Artcry,and fometimes into the Stomach, and Guts. Of which this feems to be a manifeft fign, that they who are fubjeft to dif- eafes of the Stone, are very often troubled with rheumes, and pains of the Colique; of which whilftfome perfwade themfelves that it is caufed by wind, dayly experience hath taught me, that it comes from phlegm 5 becaufe I have obferved, that they, who are troubled with the Stone in the Kidneys, had .their Colon or Col ique-gut alwayes ftuft with plenty of this phlegm, and that this being taken away, the Stone has been no longer bred. And therefore oft-times I givefcouring Clyfters, and fuchas gently purge phlegm, not only to fuchas have the Stone already, but alfo to fuch as arcthrcatned with the breeding of it,with a great deal of benefit to the Patients. But all thofe things are perpetually to be avoided,which drive out the Stones, as well becaufe moft of that nature are hot, as alfo becaufe they are able to drive down the crude matter plentifully to the Kidneys. We thought fit therefore to infift upon this, that we may accommo- date the ftudy of Anatomy to the very praftife of Phyfick; efpecially feeing that the place, wherein the Stone is bred, is not commonly known, becaufe the moft famed Fer- nelius, whom the greateft number of Phyfitians does for the moft part follow, Lib. 6. Patholog. c. 12. thinks that fmall graveli is bred in the proper fubftance of the Kidneys, and wafhed from thence by the flowing of the Urine, and carryed into the cavity, and fo the Urine full of graveli Aides down through the Ureters into the Bladder. But if : any one enquire alfo the caufe , /why the left Kidney is more fubjeft to the Stone, then the rights wemuft conclude, that this happens, becaufe the Colique-gut lies more up- on the left Kidney, in whofe cells this phlegm, of which we fpake, abounding, either it fweats through the pores, and is fucktinto the Kidneys, or elfe by rcafon of its nearnefle, the Kidneys arc exceedingly cooled experience having often taught us, that this kind of phlegmatick matter is indeed a&ually exceeding cold in the body, as they have fufficiently perceived, who have voided it in great plenty by Stool. After this there follows a third pair and 4] called (perw<?tzc<e, or jewzWw, the fpermaticall, or feeds veins, becaufe they carry down matter for making of the feed. Thefe differ in their originall. For the left Q 4 ] a riles from the in (ide, and middle part of the Emul- gent, and communicating fome furcles to that part of the Peritoneum., or rim of the bel- ly, which covers the Mufcles, that lie in the Loins, itgoesfaft by the laid Peritoneum, and defeends obliquely 5 but, when it has attained to the Os pubis, or the Share-bone,ri- ding over it, it pafles through the Peritoneum, and holes of the oblique and tranfverfe Mnfrles of the abdomen., with whofe procefles being fiiftained it is conco&ed into certain varicous • t Emnlgentes. The place in which the ftones of the Kidneys are bred. Why the left Kidney is more fubjefl to the (JonCjthenthe right- Spermit! c£. Tract. 1. A Defcription of tbe 13 varicous circlings, which are joined with the fpermaticall Artery by Anaftomojes or In- oculations, and at length it ends in the Tefticlc of its own fide. But the right fpermati- call vein [x] arifesnotouc of the Emulgen t, but the Trunk itfelf, and the forepart of it, a lictle beneath the Emu Igent-vein, and afterwards obferves a likecourfe with the former. And thus they are in males, though we may obferve nature oftentimes vary- ing in them: but in women, although they arife in the fame manner, and obferve the famecourfe withthofe in men, as far as the Holy-bone yet they fall not out of the Peritoneum, nor reach unto the (hare-bones, but before they come to the Tefticles, are cleft into two unequall branches ; the lefler of which is fcattered into the hides of the Woinb, toward the bottom of it; the greater being joined to the fpermaticall Artery,and inocu- lated with it, enters into the Tefticle of its own fide. Laft of all the fourth pair is cal- led [X]Lumbares, the Loin-veins [ 4 4 4 I two, or three, which the Hollow-vein fends forth from its backfidc, which looks towards the bodies of the P<ack-bones of the Loins 5 and therefore they are not to be feen, unlefle the Trunk of the Hollow-vein be lifted up. Thefe veins go in through the holes of the Rack-bones, through tvhich the Nerves goout, andfo carry nourifhment to the Spinall marrow. From them two o- ther veins, tyed on both (ides to the fide of the Marrow, afeend toward the brain, with which afterward two veins defeending from the internall Jugular, are joined by an /lowo/zr of Inoculation. Thefe propagations being thus fentout, when the Hollow-vein has almoft attained to the Sacrum, or Holy-bone, about the fifth Rack-bone of the Loins, it inclines under the great Artery, and is cut into two notable branches called X/fiaz [XX] which having gone a little way are again cleft into two others [Y and Z ] of unequall bignefle, of which one is called the inner, the other the outer. The inner is leffe, the outer larger and greater. But before they be fo divided,they fcatter two other propagations, the firfl: of which [5] is commonly called Mufcula fuferior, the upper Mufcie-vein, which is difleminated overthwart, through the Mufcles of the Loins, and Abdomen;) or paunch, from whence I would call it Mujcula the Mufcle-vein of the Loins: the other[6J is named Sacra, or the Holy-vein,becaufe it reaches fome little twigs to the upper holes of the Holy-bone,for the nourifhing of the faid bone and the Spinal 1-Marrow. But from both the Iliacall branches many veins fifue, before they go out of the Peri- l toneum or Rim of the Belly toward the Legs ; and from the inner branch two. The firft [7] arifes from the outfide called Macula media, the middleMufcle-vein; becaufe it is fcattered into all the Mufcles of the Buttocks, and into their skin: For it carries aliment to all thofe Mufcles, which are of the outfide, or Back of the bone Ilium or Hanch-bone, as alfo to the very joint of the Hip, that for this caufe it ought to be efpecially taken notice of by them, who would fomewhat curioufly confiderthe caufe of the ach in the Hip, or the Sciatica. I fhould think that this vein may not be amifle called Glutea from its infection, becaufe it is implanted into the Mufcles called Glutei, or Mufcles of the Buttocks. The other [8] grows out of the infide, and is a notable vein, galled Hyfogaftrica, or the vein of the water-courfe, from its diftribution into al- moft all the parts of the Hyfogaftrium,or water-courfe. From this fifties a branch named PLemorrhoidalis externa, the outer Emroid-vein, becaufe if at any time it fwels with a more facculent blond, or hot,or fait, it makes the outward Emroids of the Fundament. This, affords twigs to the holes of the Os [acrum, or Holy-bone,butbcftows greater branches upon the Mufcles of the Return or the Strait-Gut, as far as to the outer skin of the Fundament. There is alfo another branch arifing from the fame Hypogaftrick- vefri, which we call Cyfticus, the Bladder-branch, and is worthy of obfervation both in men, and women ; in men, becaufe it is fpent upon the Bladder ; but in women, becaufe in them being fuftained with a fat membrane, it goes with fome twigs to the Bladder ; but with more to the bottom of the Womb ; and with more manifeft ones to the Neck of it, by which veins alone fome think that the monthly courfes flow in Virgins, and fome alfo think the fame in women. But the monthly courfes do not only flow out by thefe branches, but by thofe alfo, which we told you were fent from the fpermaticall branch,and which go to the bottom of the Womb, not to the Neck. For the menftruous blond is ufually purged out,whether in virgins,or women,every month;not only through the Neckpbut efpecially through thofe paflages of the Womb,called Cotyledones. Which we have fhown here at Padua, publiquely in the Theater, the firft year of our being Profeflbr, in the carkafle of a certain woman having her monthly courles. For we faW that the Hypogaftrick branches, and the Tpermatick veflels with the Tefticles were filled with blond, and that the Womb itfelf did pour out a thicker bloud, the little mouths of the veins in the inner part of the Womb lying open , and manifeftly gaping. Yet I faw twice in others, that the menftruous bloud came out of the veins of the Neck only, not alfo out of the Womb, and in another on the contrary that it flowed out of the Womb only. But the ordinary way is for women to be purged at them both, and not at one only,except when befidcs the intent of nature obftm&ions do feem to hinder their flowing. ' / Lumfarei. The divifion of rhe Trunk into the'two Iliacall bran- ches. Mufcula fufe- tier. r Sacra. Propagations of the inner I- liacall branch. G!ntnea, typogaftrici. Jfamorrhoidafy ex terna* Qfticuit A Defer iption of the Veins Tract. 1. 14 But we have obfervcd, and fcen divers times, whilefl: we were about the cure of Ulcers in the privie Members, and Neck ofthe Womb, that at what time the monthly courfes do flow, the mouth of the Womb gapes. 1 faw alfo then, that thofe parts were dilated with a certain ftinking moifture, and that the Neck ofthe Womb appeared much larger , then it was wont to be at other times. And therefore no man need to wonder at that, which hath been obferved by fome Writers of our age, that in the time of their courfes thefe parts have been fo widened in fome, that being new married, although they were true Virgins, they have for this reafon been accufed, and thought to have been defloured. Wherefore if it happen, that any,who are new married, doubt of their Wiles virginity, becaufe they find the privy paflage very wide, it will behove them to confider, whether their flowres were not at that time upon them.Now at length the remainder of the inner Iliacall Trunk makes to the Share bone, and taking to it a propagation of the outer Ilia- call, together with which it makes one vein, and fo patting through the Peritoneum, and hole of the Share-bone, it fpreads itfelf into the Leg,and is extended almoft beyond the middle of theThigh on the infide. From the outer branch in like manner fome veins iflue: and firft of all, that which is called Epigaftrica, or vein of the lower Belly [ 9] which arifes from the higher part of the branch, and is fo named, becaufe it goes to the Mufclcs ofthe to wit, the right Mufcles of the Abdomen. For patting with its chief branch out of the Peritoneum or Rim ofthe Belly, it climbs ftraightupof both fides under the right Mnfcle,till it come near to the Navill, where it is joined by Anaftomojis with the defending Mammary-veins. But this Anaftomofis or Inoculation is feldom found in men, but in women it is very confpicuous, from whence alfo GalenLib. deDiffed. ven. & Arter. Cap. 8. witnefles, that that great fympathy betwixt the Womb and the Breafts or Dugs is caufed by thefe two veflels. But the mofl learned Hippocrates has explained this fympathy in many Apho- rifms of the fifth Seftion. For in the fiftieth Aphorifm he fayes. If you would flop the courfes in a woman, apply a very great Cupping-glaflc to her Breafts. And in the thirty feventh. If the Breafts of a great bellied woman, do ofa fodain become fmall, the child proves Abortive. And in the thirty eight 5 If one of the Breafts of a great bellyed wo- man become fmall, one ofthe Twins, that fhe goes with, proves Abortive 5 and that a Male, if the right Breaft be fmall; a Female, if the left: fo the Womb being difeafed, the Nipples become pale ; and upon aDropfie in the Womb they fwell up. But there is a fympathy alfo not only by reafon of the veins, but alfo ofthe Nerves, that come from the fix th Conjugation. Whence we fee, that if the Breafts of a Woman, or Virgin be handled, they are provoked to luft 5 fo that for this reafon alfo thofe women, that have great Breafts may be accounted more luftfull, as Afra is in Marti all. But it is conveni- ent to note concerning the originall of this vein, that very often it arifes out of the Cru- rall branch, which we fhall by and by defcribe, but oftner out of the Iliacall. Another vein is the Pudenda [11] which arifes from the infide of the outer Iliacall branch, after it is come out. of the Peritoneum, or Rim ofthe Belly, and it is called Pudenda, becaufe it is fpent upon the privities of both Sexes. For in men it is diftributed into the Scrotum or Cod, and into the skin of the Yard 5 but in women it is propagated to the L!ps and skin ofthe privy paflage, to the Nympha or wings, and other parts of it j but in both men and women to the Glandules, that lye about the leskes, whence arifes that confluxe of matter into thefe Glandules, in a peftilent or venereous Bubo. Laftly, the Mufcula inferior, or lower Mufcle-vein is that, which goes to the joint of the Hip, and is difleminated into the skin, and Mufclcs thereabout, by reafon whereof in my judgment by a ftrifter Appellation it might be better called Coxendica, or Coxalif, the Hip- vein. Propagations of the outer Iliacall branch, EPifaftrica- Pudenda. Mufcula infe- rior* CHAP. V. Reckons up the propagations, and branches of the outer Iliacall branch diffeminated through the crus, or great Foot, that reaches from the lower part of the Buttocks to the ends of the Toes- He outer branch then of the Iliacall veins [ZQ when it hath fent forth the laid propagations,falls out of the Rim of the belly3 and is carried to thejfopmw or leskes, through the upper and inner region of the Hip-bone, through which the firft and fecond bending Mufeles of the Thigh do defccnd, and makes the Cru- rall vein The Hiftory whereof that we may deliver in an eafie method,we will divide it into Trunk, and Branches. But before the Trunk be cleft into its branches, it fhoots out four propagations ; the firft of which is that they call Saphena, [13I and vein of the inner Ankle, becaule it runs near thereunto , it is alfb commonly called by Phyfiti- ans venatali.) but improperly, as we have laid above in our firft Book.But it arifcs from the inner fide of the Trunk, prefently after its departure out of the Peritoneum, or rim of the Belly, and having no Artery forks companion, runs ftraight downwards under the - . skin The divifion of the Crural vein into a Trunk and branches. Four propaga- tions of the Trank before irs divifion, Saphena. Tract,!. A Defcription ofthe Geins. 15 skin,through the infides of the Thigh,& Legrand when it is now come to the inner Ankle, it fpreads itfelf into the upperpart ofthe Foot, and (carters a branch overthwarc/rom which afterward many others arife, that are distributed in their order to every one of the Toes.This vein fcatters other propagations by the way,but which arc feldom found anfwcrable one to another,either in number,or bigneflc;as we have already more then once intimated,that nature is found to (port in the veins, but efpecially in thefe of the joints. The Hrft [17] of thefe propagations,not far from the originall of the vein itfelf, is dele into the upper skin of the inner Region of the Thigh, in two branches 5 of which the outer, which is the thicker, creeps through.the fore, and outfide of the Thigh, under the skin j but the inner goes more inwardly, and fpreads itfelf into the rim ofthe Belly .The fecond[i8J is propagated, when the vein has now attained to the middle of the Thigh. The third propagation [1 9; arifes about the Knee,and brings forth two off-fprings,one, which is difleminated into the skin ofthe forepart ofthe Knee, by the Patella or Whirl- bone, but the other into the skin of the Backlide, where the bending, or Ham is, about which it is rowledorjicularly. The fourth [20] is carried to the middle of the Tibia or Leg, with furcles forward, and backward. Over again ft the Saphena, another vein 1*4 I is brought forth from the outfide ofthe Trunk, but (hot ter then the vein Sityhena is, and reaches outward, and overthwart into the «kin, that covers the forepart of the Hip-bone, as alfo into the Mufcles ofthe fame place, which the 1-ater Anatomifts call Piehia. Thefe propagations being brought forth, the Trunk afterwards is drefccht into the Mufcles, that cornpafle the bone ofthe Thigh, andfetsoutathirdpropagation£i53 which they call Mujcula the Mu(cle-vein ; and there ufe to be two of them. For the outer,which is the lefle, fends (hoots to the fecond,and fourth, extending Mufcles of the Tibia or Leg,together with the skin 5 theinner,and greater, affords twigs to the third ex- tender of the Leg, and to almoft all the Mufcles about the Thigh. After this the< Trunk turning to theBackfide, and defeending by degrees, fcatters fome other twigs into the membranes of the Mufcles, and by and by fends out a fourth vein, which runs into the backfide of the Thigh, and is called Poplitea, the Ham-vein [16\ much fpoken of by wri- ters of Phyfick, but efpecially by Piiffocrates the chiefof them, who 6. Ep idem. 1. 5. com- mends much the-opening of it in difeafes in the Kidneys. But it is oftentimes feated too deep to be cut without very great difficulty. I have learnt by frequent <experience, that ilfues made in the Sura or calf of the Leg, to which this vein fpreads itfelf] have done a great deab of good in many difeafes. This vein, when it is propagated, fome- times receives the addition of a Sprig from the inner branch ofthe Mufcle-vein; often- times alfo two propagations iffiie from the Trunk, one higher, and another lower,which afterward are united in their journey .But prefently after its rife it fcatters fome branches into the skin of the Thigh, about the higher and hinder part of it; then it runs down direftly throughthe middle of the Ham, or bending of the Leg, into the Calf, to which it diftributes many Surcles,that run on with an uncertain courfe, fomedireftly, fome overthwart, and fome obliquely. Thefe little branches being thus diflemina- ted, the vein pafles on as far as to the Taha. or Cockall-bonc, and there at length determins. And this is the progrefle of the Crurall-Trunk, and thefe the propagations which it fcatters, before it be divided. For lying upon the bone ofthe Thigh, itfo defeends, and runs fide-long near to it, that, when it has attained to the Knee, it is carried betwixt the two loweft, and hindmoft heads ofthe Thigh, in which place [a] it is cleft afunder into two branches, an outer, and an inner one. But they are of unequall bignefle, the cuter being the fmaller, and the inner the greater, but both of them [0 A] are fcattered through the Leg, and lowed part of the Foot. The inner Q©'] in its defeent fends fome propagations to the Mufcles, that are placed on the backfide of the Leg, and efpecially thole which make the Calf, but moftof all to the inner part of the Gafteronemiia externia, or outward Calf-Mufcle, andfo afterward continuing its courfe downward, when it is come to the lower dftendix of the Tibia or Leg, andhasbeftowed fome fhoots upon the skin, it is reflected under the inner Ankle [22 j and runs out as far as to the great Toe. The outer is prefently cleft into two lefler branches, that are likewife unequall, of which the inner [ s'] that is the greater, and lies deep, is wholly fpent up- on the Mufcles of the Calf] running all along direftly betwixt the two heads of the Ga- externia 9 or firft moving Mufcle ofthe Foot, as alfo betwixt the Gafieronemiia or inward Calf-Mufcle, and the Tibieia anticia or forward Leg-Mufcle, and at lad betwixt the Mufcles, that bend the Toes,diftributing fome furcles every where by the way to the Mufcles, through which it pafles. When it comes to the mid length of the Leg, it is again fubdivided into an inner,and an outer branch. The inner of thefe difiributes a twig near to the joint of the Tibia or greater Leg-bone,and the bone called the Cockall, defeends with the Tendons of the Mufcles, and is divided into the fore, and the middle Toes. The outer pafles on near to the Fibula, or lefler bone ofthe Leg, and when it comes to the Ligament, which tyes together the greater and lefler bones of the Leg, it frioots forth a branch.which perforating the Ligament runs into the Foot, and is fcattered into the Mufclesj which bend the Toes ofthe Foot outward. But Four propaga- tions of the Vein Saphena, Ifcbiei. Mh/chIa. Pop lite a. The divifio® of the Trunk into two branches. 16 A Defer ip t ion of the Veins T ra cm* But the outer and lefle branch [n] of the Crurall-vein goes from that divifion of the outer branch, which is made near the Ham, to the upper Appendix ot the Fibula, as alio to the outer,and hinder part of the Fibia, where fcattering many little branches, it goes to the outer Ankle,and at. laftends in the Foot. And this is the univerfall Hiftory of the Hollow and Gate-veins, wherein we have perfected the whole courfe of their diftributions. It feems yet to remain, that we (peak of the Umbilical!, and Arterious veins. Butbecaufe the Umbilicall vein is nothing clfe but a more notable propagation iffuing out of the Gate-vein 5 and in a man grown performs the office of a Ligament, rather then a vein; becaule it keeps the Liver in its place 5 as the ftoricsof them do witnefle, who upon the cutting off, or wounding of the Navill, have fodainly dyed, their refpiration being hindred by the weight of the Liver falling out of its place, and putting down the Viaphragma or Midrifle with it; we thought it not worth our pains to make any more mention of it in this place. But if any one will obftinately contend that it is a peculiar vein with arguments fetcht out of his own Brain, we know no bettep counfell, that we can give him, then to confult better with his own fenfe, or if he will contend further, to purge his Head with Hellebore, that that dimnefle of his Eye-fight may be a little taken away. But wc fhall with more convenience make mention of the Vena Arterio[a, or Arteriall-vein,in the following Book, when we fhall explain the Hiftory of the Arteria venefa, or venal! Artery, becaufe they are very like one another, and therefore the fame pains may ferve them both. 17 An Explanation of the Table of the Veins. AD. . This Table delineates the Hollow-vein, en- tire,and tree from all parts. Wherein we have marked the Trunks, and largerbranches,with pretty great letters: but the propagations with little ones; and when they are at an end, with figures. n. 0 0. and region of the Ear , is joined by the inner all the way to the Arteria carotis,orfieepy Artery,and is di- vided near to the skull into two branches called Ence- phalic! or of the Brain, by Spigelius ; of which the hindmoft and greater, n, having entred into the skull through the jecond hole of the Newl bone, is in- serted 0 o,into the firft i,and jecond 2 finus of the thicks membrane. But the forcmoft and lefler, p, having He Afcendent Trunk of the Hollow P- the beginning whereof is about entred through the feventh hole of the wedg-bene,is feat- *1' A,which notes the place, wherein the tered through the fides of the thiefmembrane. The fe-* Liver fbould ftand in the proportion q- cond is the outer Jugular vein, q,which getting up by of this figure, the end about D. For r. the fides of the Necffis divided near to the Ears,r, in- it paffes on undivided from the convex part of the f. to two branches', of which the one called Profun- a a a. Liver, about which it jeatters little branches, a a a. dus, P,is variously dijfcminated into the Mufcles of as far as to the Hollow of the Neck', but it fcatters fame propagations,three in number. The firft ofthefe, the Larinx or Throttle, and the bone called hyoides, as alfo into the Tongue, the Palat, and hollowneffe of t he X X. xx, if called vena Phftnica the vein of the Midrifi, Noftrils, and laftly into the skull with three propagati- which if diftributed of both fides into the midrieffe and Pericardium, or purfe of the Heart growing thereto, as alfo into the Mediaftinum orpartitionofthe Cheft. L. ons, of which that which paffes t out of the forepart of the eye, through the jecond hole of the wedg~bone,is very well delineated here.The other called Subcutancus, Another is Vena Coronaria the Crown-vein, u. u, firft of all Spreads its fore-branch x,into the Muf- bb. bb, which embraces the bafis of the heart in manner of X. cles and skin of the Face,which joins with its fellow a- a Crown, dijperfing many Surclesto the point of it. y- bout the top of the nofe,and makes the Forehead vein y; The third is the vein Azygos, or without a mate, then it ifj'ues out another hinder branch, which cc. c c, which iffuing out from the right fide of the Hol- low-vein,a bout the heart,about the fifth of the Che ft, goes down near to the right fide of the creeps upward along the temples,z, and partly is carryed behind the ears to the skin of the bacfpart of the head. jS. a The third, Cervicalis Superior, the upper vein Backbones',far as to the fecond almoft of the loines. oftheNecf, 8 is propagated into the Mufcles behind add There are ten propagations d d d from th if, font to as on the bacffide of the Necf 7 here are three finus or many bony diftancesofthe ribs,which are called Inter- jmall channels of the thiefmembrane of the brain, the coftales inferior es, the lower veins betwixt the ribs. I. Hr ft or right one is marked with i,thc fecond or left B. Shews how the Trunk A D if bowed toward the 2. one with 2, the third with 3.7he hinder part of thi/g right fide,becauje of the Situation of the heart. 3- which is nearer to the Howl of the Head, isfbadow- C. 7he orifice of the HoUow-vein reaching into the ed-,but the forepart, which is next the Forehead,is [een right ventricle of the heart. manifeftlyi From this finus many little veins, which D. 7 he divifion of the Afcer.dert Hol- F. they call , are reacht forth to both fides. low of the Rieck., into two branches E E. which they Here the [ubclavian vein takes on it the name of EE. call fubclaviae, or the veins under the Collar-bones. Axillaris or the vein of the Armpit, and is divided From thefe arife many propagations,fome iffuing from into two branches, the Cephalicf G, and the Bafilick the lower,others from the upper part of them. 1. But before this divifton it jeatters two twigs : Out of the lower part iffue five. The firft jr oz/ZedIntercoftalis fuperior the upper vein beeween the ribs, e, and fcatters two Surcles r f, to the diftan- ces of the three upper ribs. The fecond is mamma- X <h. the firft called fcapularis interna, or the inner vein of the fhoulder blade, y, the other Scapularis e. externa, the outer blade vein A The Bafilicfvein ff. alfo, I, before it enters the Arm, propagates two • o. ria the vein of the dugs, g, which, defending under one called Thoracica fuperior, the upper Cheft- s the breaft-bone, as paras to the ftrait Mufcles of the e. vein,** which isdiftributedthrough the infide of the Abdomen,is inoculated i o,with the Pictor all Mufcle, and in women, through the Dugs climbing upward, 9, giving iurcles to the Griftly di- the other called Thoracica inferior, the lower ftances of the true ribs, as alfo to the Mediaftinum, and MujcUs, that lie upon the breaft. The third cal- ?. Cheft-vein, which defending along the fide of the s Cheft,goes to the Mnfcle called Aoifcalptor. h. led Mediaftina, h, is'difieminated into the Media- G. The Cephalick vein, which, before its divifion9 ftinum,orp4rt/tz'ow oftheCheft. The fourth,ver- fends away a fprig, it, into the Mufcle dcltoidcs, and j. tebralis. or the vein of the i. climbs up another 9 into the Mufcles of the Cubit. through the holes,that are bored in the tranfverffe pro- IRhenthe Cephalicf vein comes to the joint of the ceffes of the Rack-bones of the Neck, distributing Sprigs to the Mufcles, that lie upon the H. Cubit, at the outer bunching forth of the Arm it is cut irito three branches, H.The firft,<> or deep and middle The fifth is called Cervicalis or the vein of the bin- /. one goes to the Mujcles arifingfrom the faid protube- 1. der part of the Neck,I,diftributed into the Mufcles,jea- X. ration. The fecond x, er inner goes to the making ted on the lower part of the backjide of the neckband on of the vein called Mediana a. The third or outer the upper part of theCheft.Out of the upper part A4' is carried obliquely,v,by the radius or leffer bone of the iffue three .The firft jrjugularis interna, the inner vein of the Hollow of the Neck# m, which having jent I overfmall [prigs from its outer branch to the Chops, 1 F. Cubit,to the out fide of the Arm, and fo creeping on ob- liquely all the way, when it is come to the root of the Ill* wrift, it is joined with a little branch of the Ba- D ddd 18 An Explanation ofthe Table of the Veins. fi lick-vein, t, and makes the vein called Salvatella. 1 he Bafilick-vcin, which on the right hand if cal- led Hepatica, or of the Liver, on the left Lienaris, of 6. and Sacra or the holy-vein6. Y. The inner Iliacall vein, before it goes out of the Peritoneum, or rim of the belly,/boots out two propa- the Spleen. 7 hi/ before its divifion fends out a Surcle, 7- gations, the fir fl called Glutaeay, and the fecond Hy- e. 0, to the heads of the Mujcles of the Cubit 5 and then 8. pogaftrica 8. The remainder of it pafing through the •sr. another notable one which being carried down ol- Peritoneum,is fp ent upon the infide of the I high. ligucly, be flows its Surcles upon the Mujcles, that arije from the outer protuberation of the Arm. Z. The outer Iliacall vein likewise before its going forth of the Peritoneum fcatters-three propagations ; K. 7 he divifion of the K into two branechs, the one called Profundus or the deep one, the other Subcutaneus,or branch under the d'/rt.The deep one 9- the firft called Epigaftrica 9,going into the Mufcles of the Ep igaftrium, and the fir ait ones of the Abdo- men, where they are joined by Anaftomofis, or inocu- L. L,whcn it comes to the bending of the cubit,is divided in- 10. lation 10. The fccond called Pudenda, 11, /pent M. to two,M,one of which called Radius N, at the Radi- us,or leffer bone of the Cubitjthe other called cubjteus, 11. upon the privy parts. The third Coxalis, 12,upon the N. 12. Mufcles of the Hip. o. O, at the greater bone of the Cubit, goes to the hand. Subcutaneus, or the branch next under the skin P, Here the outer Iliacall vein having pafi through the P. Peritoneum or rim of the Belly enters the Crus, and near to the inner protuberation of the Arm is divided, r. begins to be called the Crurall Trunk Tjhat is undi- R. into two other, of which the inner R together with the inner branch of the Cephalic fix-, up the vein vided as far as to the two lower heads of the "I high. But it reaches forth four propagations before its divifion. medianax, which is likewife divided into two bran- The firft; 15, is called Saphena,wbzch creeps through p. ches,the outer of which, is called by jome Cephalica the infide of the Leg,under the skin as far as to the ends «■» nianus. and goes to the Thumbs the inner <? to the 14. of the Toes. Another 14 called Ifcnia isfpread out S. fore and middle fingers: The outer S going to the wrift,is joined toward the little finger with the outer *5- z into the skin upon the Hip-bone. The third 15 named Mufcula is [ent tothe Mufcles,which extend the 7. branch of the about t- 16. Leg. The fourth 16 named Poplitea is distributed f. The little valves ,which are found in the veins of the into the Calf of the Leg. j»ints,are handfomely cutout here, as it Were to be j'een *3- The vein Saphena alfa fcatters from it/elf four through. J7- farcies, the firft 17 into the upper part of the skin of T. The Dependent Trunk of the Hollow-vein which the infide of the Thigh : the fecond 18 about the begins about the region of the Liver T, and ends 19. middle of the Thigh : the third 19 into the Knee : V. 1 y about the fifth Sack-bone of the loins V. "There are 20. the fourth 20 is carried forward and backward to the y. four Twigs growing from this. The firft y called A- middle of the Leg. dipofaor Fattie-vein, diftributed to the Membrane of A. The divifion of the Crurall Trunks near to the two F the Kidneys. The fecond 9 the Emulgent going to ©. lower heads of theThigh into an inner branch &>and an the Kidney. The third,prjeparans vas,tbe preparing A. outer one A. X- veffell; the right one % arifing out of the TrunkfE-V. 0. The inner difiributes little branches to the Mufcles 4* the left 4 out of the left Emulgent,both afterward going 21. of the Calf 21 ,and then\uns down under the inner ankje into the Tefticles wt The fourth is the three Lum- 22. to the great Toe 22. 444. barcs or loin-veins 444. A. The outer prefently is cleft into two branches, an in- The divifion of the Vefcendent Trunk/V, into the S' ner one St and an outer n. That is [pent wholfyupon tfie XX. two Iliac all branches XX, both which are again divi- n. Mufcles of the Calf: this pa/fes on near to the Fi- Y. ded into two other,an inner one Y, and an outer Z. But bula or leffer bone of the Leg, through the outer and z. 5* before this divifion two propagations are iffued forth, Mufcula lumbalis,or the Mufcle-vein of the loins 5, backjfide of the Leg. the TRACT.2. 21 The fecond Treating Concerning The A R T E R I E S. CHAP. L Shews the upper or afcendent of the great Artery, with its propagations that are diftributed through the Plead. Here is no controverGe among writers of Anatomy concerning ' the number and originall of the Arteries, but an unanimous * confent, that all the propagations, which are fcattcred through- ' I out the body, take their rife from one, which they call Aorta, and that this is derived out of the Heart, But th<r Heart con- lifting oftwo finuf or cavities, a right, and a left ones this great Artery grows out of the left ftnw or ventricle [ A], where it is largeft, and more hard, and griftly, then elfewhere. But as foon as it is grown out, and before it fall out of the Pericardium or purfe of the Heart, it prcfently propagates two fmall fprigs [a a] one of each fide, which they call A(teri<e Coronari*, the Crown-Arteries, becaufe together with the vena Coronal it, or Crown-vein, they compafle the bafts of the Heart in manner of a Crown,and from thefe many propagations are fcattered downward all along chc Heart.But they are more,and greater about the left,then the right ventricle,as we have alfo formerly faid concerning the vein, becaufe the Heart needs a greater plenty of bloud on that fide, as which beats with a pcrpetuall, and more violent motion, wherein more bloud is digefted, then the right finus or ventricle does : yet that propagation is bigger, and longer, which arifes out of the right fide of the Artery: fometimes alfo there is on- ly one, at whofe orifice a little valve is found. Thefe propagations being thus diflemi- nated, the Artery afeends fomewhat, under the Trunk of the vena Arter ioa, or Arteriall- vein, and pierces through the Pericardium, and, having got above it, is cleft [Bl into two branches, which becaufe of their notable greatnefle we will call Trunks, and becaufe one afeends [C] and the other runs downward [ QJ] that fha.ll be the Afcendent Trank, this the Defcendent. Yet the Defcendcnt, and lower one is bigger by much then the upper, that ferves more parts, then this. For the Afcendent one goes only to fbme Carts of the Cheft, to the Head, and Arms j but the lower to very many parts of the Ar eft, to all the loweft Belly, and the Legs. That therefore we may treat of the great grttery with more perfpicuity, we will firft fhew the Afcendent Trunk, and its pro- thifie through the Cheft, and Head, and after that its branches diftributed through d e Arms. Then we will fall upon the Defcendent one, and explain the manner of its iftribution through the Cheft, and loweft belly,and laftly through the Legs. The Afcendent therefore orupper Trunk of the being faftened to the Oefto- or Glillet, climbs upward betwixt the rough Artery, and Hollow-vein, and the mediaftinum, or partition of the Cheft. Which fituation of it they ought diligently to obferve,who defire to know the reafon of that Aphorifm,which is the four and twentieth of the fifth Seftion in Hippocrates: For, fayes he, cold things, as fnow, and ice, are ene- mies to the Breaft, provoke coughs, and caufe eruptions of bloud, and diftillations. Tru- ly they are enemies to the Breaft, becaufe, whilcft they are fwallowed down through the Gullet, they cool the rough Artery,that lies next to it, together with the Gullet, which part being of it felf cold does eafily take harm from fo violent a cold : hence the cough, and7 other di fcafes ofthe Breaft follow one another in along row. But i flues of bloud happen in like manner, the great Artery being cooled,whereby the vi tall Spirits, and the bloud are driven back to the Heart, and from thence arc fent up forcibly to the Head, which being ftufc, eruptions of bloudarc caufed by its dropping forth at the Noftriis, as '> alfo The originsH of the great Artery. Arteri* Core* nuridt the Crown-Ar- teries. The divifia»i' of the great Artery into two Trunks. VVh?r pan* both the T ranks nou* rifh. The order of that whichi* to befaid»' TrACT.2. 22 Arteries alfo catarrhs and diftillations, it being driven down undigefted to the infcriour parts. And hence alfo a reafon may be rendred,why fome, upon drinking of cold water after hement motions, and exercife of the body, have prelently been fuffocatcd, the puff n of the heart, and grievous (woundings following thereupon. For the Artery being ve- hemently cool'd, the blood is congealed,as well that, which was in the Aorta9 or Great artery, as that which abides in the heart, ; from whence happen at firft fearful} (ymptoms, and then fuddain death. But we havefeen in thefe men, that a vein being opened, the blond hath come out thick,and cold,and with very great difficulty, whence alfo we have not found a more prefent remedy for them,then fuch things, as by'reafon of the thinnefs of their parts have a power of diffolving the clots of blood. Hence alfo a reafon may be given, why in burning feaversthe tongue becomes black , and the difeafed can hardly (wallow. For although it be true ( which is the caufe commonly affign'd ) that many vapors are lent up from the whole body to the head; yet we may afcribe amain caufe of this blacknefleto the nearnefle of the artery, which being fet on fire,and inflamed,pro- cures much mifehief to the gullet, and confequently to the tongue it felf. But the Afcendent Trunk,whilft it pafles thus upwards, is divided into the two fubcla- , vian arteries, [DD] of which one runs to the right fide,and the other to the kft.They are called [ubclavit, as long as they are in the cheft,for the fame reafon as the fubclavian veins i are fo called, becaufe they run under the ciavicide or collar-bones : but as foon as ever they are fain out of the cheft, they change their name,and are called Axillares QE]. From both the fubclavian arteries, when they have attained to the firft rib (for before that they fend forth no propagations ) many fprigs iflue outgas well from their upper, as lower part. From the lower iflues the upper Intercoftall artery, or Intercoftalif j wpmer[b j,which being faftned to the roots of the ribs, beftowes particular branches upon the diftances of the four uppermoft which run under the ribs,together with the veins,as far as to the gri- ftles, from which propagations are difperfed into the marrow of the back, and the neigh- bouring mufcles. From the upper part iflues firft that which is commonly called Cervica- lif, or the artery of the neck [ c ],but better of the rack-bones , which arifes more backward,and toward the bodies of the rack-bones,and afeending obliquely,near to the feventh rack-bonc of the neck,like the neck-vein,pafles through the holes of the tranf- verfc precedes,and upper rack-bones of the neck,where it (hoots out many propagations, which enter the fpinall marrow through the common holes, at which the nerves go out. It (ends alfo a pretty company to the mufcles that are feated on. the backfide of the neck, and afeends to the nowle-bone together with the vein, through whofc firft notable hole, by which the fpinall marrow defeends out of the head, it enters the skull. After this it is joined With its fellow of the other (ide under the fpinall marrow, which remains yet in the skull, and fo runs ftraight forwards, under the middle of the bafts of the brain; but when it hath now attain'd to the or (addle of the wedg-bone,upon which the phleg- matick glandule lies, it is divided into two branches, a right, and a left one, both which at the fide of the faddle creep to the fecond pair of the nerves, where being broken on both fides into an infinite number of furcles, they are difperfed betwixt the firft and fe- cond pair of the nerves, and folded together with the thin membrane make that com- plication of veflcls call'dplexus Choroides. The next is arteria mammariaov artery of the paps [d] which being reflefted under the breft-bone( accompanied with the mammary vein ) defeends along its fides, and when it comes to the griftle called Fnfi-formis, or the breaft-blade, about the fides thereof goes out of the cheft, and running under the right mufcles of the abdomen^defeends direftly through the lower fide of them,and at length neer the navell, is joined by anaftonwfis or inoculation [ with the Epigaftrick artery ply- ing upward[i^j. But before it leaves the cheft, it fcatters particular branches to fix diftances betwixt the griftles of the feven true ribs, which branches determin togu* ther with the griftles. A third [ e J is otherwife called M.u[cula the mufcle artery, t might bee better, and more ftriftly named Cervicalis9 being it is difleminated into mufcles, that are placed in the region of the neck,as far as to the occipitium or nowl of head. v Thefe branches being fent out,the fubclavian artery goes out of the cavity of the ch., and getting above the firft ribs tends obliquely to the arm-pit, and fo makes the axilla- ry artery QE] which afterward is fpread into the arm. But before that it (carters feme propagations, and from its lower fart three,of which the firft is fcafularit interna9 the inner- blade artery £ f ] which goes to the mufcles on the hollow fide of the fhoulder-blade. A- ? nother is 'Ihoracicafuferior the upper cheft artery'[ g 3, which goes to the pe&orall mufcle, that leads the (boulder forward to the breaft, and the other mufcles that lie upon the breaft, and is a pretty big one. The third is ihoracica inferior the lower artery of the cheft,[lfj which is alfo a large one, and running down all along the fide of the cheft, is the greateft part of it fcattered into the broad mufcle called L at if win} which moves the fhoulder backward from the breaft. From the upper part of the axillary artery arifes one called fcapularis externa the outer blade-artery [ i ],which climbing up to the top of the fbnnirier is into the mufcles that cover the gibbous fide of theffioulder- blade The divifion of rhe Afcen- dent trunk into two branches. The fubclavian arteries. Interceftatefu- perier3 the up* per artery be- tween the ribs. Vertebrate, rhe artery of the rack-bones. Matnmariajte artery of the paps. Ctrviaate, the artery of the neck. Arterfd axilla- ris. Its branches before it enters into the arm. From its lower part. Vrornksupper m one. TRact.2, Concerning the Arteries. 23 blade. The remaining part of the axillary artery pafles on incompany of the Bafilick vein to the arm, upon all which it is afterward lpent,df whofe diftribution we will (peak in the following Chapter; That which remains yet of the Afcendena T rank [ L] being fuftained with the "Th} mat neer to the upper part of the breaft-bone,is divided into two branches [ MM Jwhich they call or /operates the fleepy arteries, becaule they being'obftrufted, or anyway ftopt, we prefently fall afleep, of which Valuerda witnefles in Anatom, lib. 6. c. 11. that Realdus Columbus made tryall in a young among a great company of men. They are unequall in bignefle, the right one being much thicker then the left, but they tend di- re&ly upward, being carried along by the fides of the neck, and faftned to the rough ar- tery, and to the internail jugular veins, by the benefit of a membrane, and when they arc come to the cups, are divided into two branches [NJ of which one is the outer , the other the inner one : that is the lefie, this is the greater. The outer [O ] fends propa- 1 gations [+J to the cheeks and mufcles of the face; then when it is come to the ear , it is | divided in twain ; for one branch [r] of it goes to the backfide of the ear , from which i ttyo branches under the ear enter the neather jaw through the firft hole of it, that is fea- ted at its precedes, and throughout the length thereof are difleminated into the roots of all the lower teeth; that which remains, going out at the fecond hole; which is pla- ced at the chin, is fcattered into the lip. The other branch [ q ] creeps through the Tem- ples and fore-head, and is fpent upon the mufcles of the face. The inner branch £Plof the fleepy artery, or artcri a Encephalic a the brain-artery,is carried into the chops; and having icattered lome propagations to the tongue and throttle, is divided about the bafts of the skull, into two unequall branches, to wit, a greater,and a lelfer one. The lejjer and hind- tnoft Qs] is carried together with the greater Enccphalick branch of the iriternall jugular ' vein to the back-fide of the skull, enters through the fecond hole of the occipitium or ' nowl-bone, and goes into the Jinus or canale of the thick membrane. The greater and wore forward f t J having entred the cavity of the skull through a hole made on purpofe for it in the temple-bone, and attain'd to the faddle of the wedg-bone, going every where under the hard membrane;firft of all propagates a branch on both fides into the fide of the thick membrane, then in beafts fcattering an infinite number of furcles makes the Rete mirabile or wonderfull net,which indeed may be found in a man too, but it is very little, and feems but a lhadow in refpeft of that in beafts .Thele furcles being thus placed it pierces through the thick membrane of the brain,and having got out of it,lends'another propagation out of the skull,through the fecond hole of the wedg-bone to the eye , and its mufcles, as alfo to the temple mufcle, that lifts up the lower jaw; and then going ftraight up to the/fidc of the phlegmatick glandule, it is divided into two branches, an outer, and an inner. The inner is joined with its fellow of the other fide, and being joined they are wafted into many little arteries, which are difperfed through the thin' membrane, and the very fubftance of the brain, to the originallof the optick nerves. The outer being refleftedand fuftained with the thin membrane, goes into the forward ventri- cle of the brain; being divided into many furcles, which are united with thole little arte- ries, which ariie from the vertebral#,or artery of the rack-bones;fome with thofe which the vertebrall artery fcatters through the bafts of the head under the brain, but others with thole which it defleminates through the thin membrane and fubftance of the brain, together with which they make thep/wo# chor tides. The tteep/ arteries. The divifionof them. The outer, bran ch of the face. The inner j o'i branch of the brain. . The divifion p thereof into a letter and j greater branch.- A fubdivifiori of the greater.- CHAP. II. DecUr is the Hifiory of the Axillary artery being dijtrifoited through the Arm. HE Axillary artery therefore when it is cofne to the arm,taking the name of the Arm-trunk [FF] is carried in one undivided flock, beyond the bent of the cubit, through the/ infidc of the arm, difperfing fome fmall pro- pagations on both Tides to the mufcles that lie on the infide of the upper part of the arm. But it goes faft by the inner or deep branch of the Bafilick vein , as an unfeparable companion of it, whofe conduft and fteps it every where follows. But prefently felling down by the back-fide of the upper part of the arme, where the mufcles which extend the cubit flick to it, it fends forth two propagations f 1 & m ] the lower ofwhich is a very notable one, and fo it is writhed back toward the bent of the cubit, and having attained thereunto it reaches out two fiircles [ nn Jone of each fide, fo ma- nifeft, that the pulfeis there oftentimes evidently enough perceived. Then going under the bent of the cubit, through the infide of it,and finking down betwixt the two mufcles that bend the feco nd and third bones of the four fingers, it is cut [GJ into two notable branches, one of which is an outer, the other an inner one. The outer [ H ] is carried • along ' Bntchlafa mini cHr,the trunk of the arm. The divifiorf chereofinro two brauchcr. The outer branch* 24 Concerningtbe Arteries. along the Radi™, or letter bone of the cubit (whence I call it Radiew ) and goes directly to the wrift, in which place Phyfitians feel the pulfe j it being very manifeft, byreafon that the artery lies next under the skin. But not far from the root of the wrift ic (hoots out a little branch Q o J which runs under the tendons of the mufcles, which extend the thumb, intotheoutfide ofthe hand, and is fpent upon the mufcles, which are placed betwixt the firft bone of the thumb, andthatoftheafter-wrift, which fupports the fore-finger. This branch being propagated, going under the inner annular ligament of the wrift, and the broad tendon ofthe palm-mufcle, it is divided into three branches [ ppp] like the vein, and nerve, that are its companions. The firft of thefe goes to theinfideot the thumb, the fecond to the infide of the fore-finger , and the third to that of the middle .The firft, and iecond are each of them parted into two branches; the third is undivided. Tbt inner branch ofthe trunk ofthe arm £ I] runs ftraight along thexlna or greater bone of thecubit ( and for that reafon I edit ic Cxbitew ) and is diverted into the palm of the hand. But it is fo hidden among the mufcles, that it is hardly perceived to beat, unlette in lean folkes; and therefore Phyfitians alwaies lay their hands upon the outer branch,when they feel the pulfe in the wrift. But it pattes on under the tranfverfe ligament of the wrift, and the tendon of the palm-mufcle, in company of a vein,and nerve, and (carters two branches into the little finger, as many into the ring'finger,and one into the outfide of the middle. The inner branch. CHAP. III. Shewes the Inf eriour or Dependent Trunk of the great artery, and the propagation thereof through the middle find loweft bellies. EE have faid above, that the great artery [ A ] as foon as it has gotten above the Pericardium or purfe of the heart,is B] into two branches; of which one goes upward, the other defeends to the parts below. We have already handled the upper branch; it remains that wee explain the other allo. The Defcendent trunk therefore [ Qj anfwering in proportion to the flock of a tree, is carried down to the fifth rack-bone of the chcft,and declining fomewhat to the left, cleaves to that fide of the body of the rack-bones, and fo defeends leifurely. When it has now paft the midriffe through that divifion refembling a femi-circle,which is betwixt the productions of the feptum tranfverfitm or midriffe,prefently it runs out by the rack-bones of the loins, lea- ning upon the middle of their body,til it come to the laft of them,where near to the os Jacrwm it is divided[R]into two notable branches£SS]which with other Anatomifts we wil cal I/m- ci the Iliacal arteries from their fituation.In this journey it (carters many propagations from it (elf,which are very worthy to be diligently obferved,becau(e from thence we may eafily give a reafon ofmany accidents in difeafes. But they are in number eight,the Intercoftal arteries, the two Phrenic or arteries of the midriffe, the Coeliacall one,then the upper Mefenterick3the two Emulgents, as many (permaticall ones, at laft the lower Mefenterick, and the Lumbares9 or arteriesof the loins. Of thefe the Intercoftalls are fcattered,whilft the trunk is yet in the cheftjthe reft, whilft it pafles on through the loweft belly .But fome of them accompany the branches ofthe gate-vein, as the Coeliacall,and both the Mefentericall arteries jothers thole of the hollow vein, as the reft. Now we will treat of theft in order, beginning from the Intercoftalls, or arteries between the ribs, which are placed uppermoft, Prefently there- fore after the Deftendent trunk [Q] is iffued forth, from its back-fide it ftnds over little branches on both fides to the diftances ofthe eight lower ribs, which they call Intercoftales the lower arteries between the ribs [uu u ]j.n refpeft of the upper Intercoftall, of which we have fpoke above. Theft affociating themfelves with the veins and nerves of the feme name, goftraigbton by the lower fide of the ribs; where peculiar finta or channells are cut out for them. But as the Intercoftall veins reach in the true ribs only to the griftlcs, but in the baftard ones fomewhat farther, to wit, to the fides of the abdomen: fo alto the ar- teries end in them together with the bony part of the ribs, but in th eft run out a little far- ther. And thefe arteries fend over fome propagations through the holes of the nerves to the fpin all marrow, and to the mufcles that lie upon the rack*bones of the back, juft as we have laid the Intercoftall veins were propagated. But the ufe of them is to diffufe the vitall fpirit, and the blood to the mufcles betwixt the ribs, befides which they have all© another notable office, to wit, of carrying down the water, and purulent matter, that is gathered together in thecheft, into the great artery, and from thence by the Emulgent branches to the bladder. Although I am not ignorant that the moft learned and others who have fead be- fore me in this moft famous Univerfity ofPadua, have (hewn another way to their Audi- tors* by which either purulent matter, or water might be conveighed forth by help of the kidneys, to wit, the vein finepari, or without a companion, a little branch whereof in the left The DtCctri- dent trunk. Its progreflc. In'proptgati. ®ns. Intereofialef in* ferifrtiithe ar- teries between the lower Their ufe. £ ract.2» Concerning tbe Arteries 25 eft fideg3?s inco th? Einlgeic of the left kidney. Bac this way which we (hew through the latercoft ill arteries, is by much the (hotter; that I pafs by this, that any matter heaped together may be more eafily difpatchr away through the arteries then the veins.Nor needs any one here to be afraid, left the vital spirits (hould be infefted from thefe excrementi- tiousand ill humors,whereby the heart may incurre fearfull (ympcomes; when we willingly grant ( which experience alfo hath ofcentaught us) that whilft the corrupt matter is empti* ed out by the urine, the fick parties have 'often fain into fits of fwotmding, and other dif- eafcs; fometimes alfo have died fuddenly, when the peccant humor has been of too great a quantity, or too bad a quality, and has offered fo much violence to nature,that the hea£,and fpirits have been overcome therewith. But here a certain place in Hippocrates calls upon me to explain it, which has long and often troubled my mind. The place is in Coacis prano- tienib™, where he fays; They, who together with the heart have their whole lungs infla- med, fo that it falls to the (ide, are deprived of motion all overi and the parties fo difeafed lie cold, fenfelefle, and die the fecond or third day .But if this happen to the lungs without the heart,they live not fo long:Yet fome alfo are preferved.I have often thought with my (elf, what (hould bethat (ympathy of the heart and lungs with the brain and nerves, that from the inflammation of thofe parts, the Patient (hould be fo deprived of fenfe and motion all over, when the fame Hippocrates teacheth in the fame place,that the dileafed fiiffer fuch depri- vation in that part,& livid (pots appear on the outfide about the rib, where-about the Aorta (fo he feems to call the lobes or divifions of the lungs ) being inflamed fall to the fide. But if they be not much inflamed, fo that they fall not down to the fide; he fayes that there is a pain indeed all over, but no deprivation of fenfe or motion, nor any fpots appear.Having deliberated often with my felf, at length I came to be of this opinion; that there was no o- ther cau(e,bat the (ympathy betwixt thefe Intercoftal arteries,and the marrow in the back* bone. This fympathy arifes from thole propagations,which we told through the holes ofthe rack-bonesof the cheft into the backbone. Wherefore if the lungs,and heart befo mightily inflamed,that great plenty of bloud ru(h into the great artery,whereupon it fwells, as alfo thefe veflels betwixt the ribs,and confequently thofe furcles which go to the marrow of the back-bone; truly it cannot be, but that both the marrow, and the nerves, which ifliis out of it,be compreftj from whence what elfe can follow, but the refolutions ofthofe parts, into which thole nerves are implanted, and to which they impart the faculty of motion > This opinion feems to mee to bee wonderfully confirmed by a certain pretty obfervation, which thelearned Cornelim Gemma has in his book, de btmititraopejlilehti. A certain ftudi- o'.is young man,fayes he, through the whole courfe of his difeafe, had his left eye lefle then the other. He was pain'd in the left fide,efpecially all the time the fit raged; but about the crifis or change thereof, the artery of his left leg being (woln up was moved according to its length, that being to be feen by us it feemed to be turned upward and downward like a rope pull'd back. Who will not here willingly confefle,that this matter was in the when the crifis was made by them? But from this that hath been faidareafon may be alfo gi- ven of another obfervation of which is 4 de he (ayes thus: In a cer- tain man, whowas-troubled with a vehement inflammation of the lungs, as well the outer, as the inner parts of his arm, from the cubit to the very ends of his fingers labour'd with difficulty of fenfe, and their motion alfo was fomewhat empair'd. In the fame man alfo the nerves, which are in the firft, and fecond dlftances betwixt the ribs,fuftained harm. And a little afeer,This man was quickly reftot'd to his health, to wit, a medicine being applyed to the place, from whence the nerves iflue forth, near to the firft, and fecond fpaces betwixt the ribs. By reafon of the fame branches betwixt the ribs John Kaleriola, the fon of that Phyfitian, whofe obfervations we have, being yet a boy fuffered Convulfion-fits in a grie- vous Pleurifie. The arteries called Phrenic* of the midriffe, [xx ] are two; one ofeach fide, which ari- fing out of the trunk, prefently after it is come forth of the hollow of the cheft,being divided into more branches, are (battered into the midriffe, but efpecially into the lower fide of it, near to the rack-bones ofthe back .They (p rinkle fome (mall twigs alfo into the upper pyt, which afterwards go to the Pericardium or purfe of the heart, there where it growes to the midriffe. The Cceliaca or Stomach-Artery is but one, fo called, becaufe it fends over branches to theyjjixfa, that is, the Stomach. This, being moft like to thefpleenick branch of the Gate-vein, affords many branches to the Stomach, Liver, Bladder of Gall, Kell, the gut Duodenum, the beginning of the Jejunum or empty Gut,a part of the Colon or Colique-Gut, the Sweet-bread, and Spleen. But it arifes out of the forefideof the body of the Trunk, and being ftayed up all the way by the upper part of the lower membrane of the Kall, is divided into two notable branches, but of unequall bigneffe, one of which goes to the right, the other to the left: that is the lefle, this the greater, '/he right branch therefore is joined with the defeendent Gate-vein in the Pancreas or Sweet-bread, that is placed under the hinder part of the Stomach, and leaning there upon the membranes of the Kall goes to thcLiver;and its fiiulnefle is worth the taking notice of,if you look upon the largenefs •f the Liver, which the Ancients long fince, and at this day have made the work- E houfe Theexplana* nation of a place in Hip* pscrate-r. 2? Phrenic* the arterie* of the? midriffc» 3° Caliac*. The two bran., ches thereof. , The right branch. 26 Concerning the Arteries. Tract.2. houfeofthebloud.But it is infected in the hollow part, near to the Trunk of the Gate- vein, and is fo fmall, becaufe that part of the Liver, which entertains the roots of the Gate-vein, needed not a greater Artery ; but the otherpart-which hath the propagati- ons of the Hollow-vein, receives great plenty of vitall Ipirit lent over from the Heart through the Hollow-vein. Yet before it enters into the Liver, it difleminates in the way many farcies,and thofe partly from its upper fide, partly from its lower; from the up- per fide two, firft, that which 1 call PyloricM, which ariies in the mid-way, and being di- vided into many little branches is fcattered into the back-fide of the right orifice of the Stomach. The other is called Cyftict gemel/<ef the Twin-Arteries of the bladder of Gall, which are two little branches, and go into the bladder of Gall, and prefently are divided into many propagations. From the lowerfide likewife two arife. The firft is Epiplojs dex- tra or the right Kail-Artery, which is implanted into the right fide of the lower mem- brane of the Kall, and part of the Colique-Gut annexed thereunto. The other is cleft into two branches, of which one called Inteftinah9 the Gut-Artery pafles on to the Pks- denum, and beginning of the Jejunum or empty Gut: the other, named Gaftroepiploisdex- tra the right Stomach and Kall Artery, fomewhat larger then the former, turns down to right fide of the bottome of the Stomach, and being fapported by the upper membrane of the Kall, ifliies out fame (hoots from the upper part to the fore and back-iides of the Sto- mach ; but from the lower to that membrane of the Kall, upon which it leans. 7he I eft y and greater branch is called Arteria Splenica the Spleen Artery, which flicking to the lower membrane of the Kall, and the Glandules placed therein, pafles on together with the Spleen-vein, to which it is faftened,and in like manner diftributes its propagations to the Spleen. But inthe way likewife it diftributes branches from both parts of it: from the upper ifliies Gafirica the Stomach-Artery, which reaches into the middle of the hinder part of the Stomach, or that, wherewith it leanes upon the back, and afeending from thence it compafles the left orifice of the Stomach round about like acrown, and difperfes little twigs, partly upward to the end of the Gullet, partly downward, and thofe great- er, and more numerous,inta the Stomach,and fo it makes the Arteria Coronaria or Crown- Artery,like to the Crown-vein, which arifes from the Gate-vein, as we have faid in the fore-guing Treatife. But from its lower fide the Splcen-A tery fends out the Epip lots finiftra, or left Kali-Artery, about that, part, wherewith it now attains to the Spleen, which runs out into the left fide of the membrane of the lower part of the Kall. This Artery pre- fently after its rife is cleft into two branches, which part very far afunder from each o- ther, from which many other Arteries arife, that are all confumed upon the faid mem- brane of the Kall,and the Colique gut, that is tyed thereto. Thefe branches being iflued, the Spleen-Artery draws nearer to the Spleen, and juft like the vein of the fame name, which accompanies it all the way,is cleft into two branches like the Letter Y,one of which may be called the upper, the other the lower, which afterward entring by the hollow part of the Spleen are (plintered into an infinite number of little fprigs, fo that there are five times more Arteries there, then veins. Whence it comes to pafle, that in inflammations of the Spleen, if you lay your hand to the left Hypochondrium-pr place under the Griftles of the Baftard-ribs, it feems to pant. But before this entry of the Artery of the lower branch makes a notable anaftomofis or inoculation with the lower branch of the vein, and propagates a twig to the lower membrane of theKall. But from the upper branchiflues one called Gaflro-epiplois the left Stomach and KalLArtery, which being fattened to the upper membrane of the Kai is derived into the left fide of the bottom of the Stomach, beftowing little branches upon the fore and back-fides of it, or alfo upon the upper part of the Kall. Another ifluing from the upper branch makes the was breve Arter iofum,or (hort Ar- teriall vcflell,carried,like the vein its name-fake,to the left fide, and orifice of the Stomach* The ufe of the right branch,which goes to the liver,befides the common one,which it hath, is this, as often as the bladder of Gall is obftrufted, to carry down choler to the Guts, and efpecially to the Colon, into which fome of its branches are implanted. Which is the reafon, that in bloudy Flixes the Ulcers are almoft alwayes found inthe great Guts, and efpecially in the Colon., very feldome in the; fmall ones. For this artery, when either the Liver being over hot breeds abundance of choler, or the bladder of Gall is obftru&ed,re- ceiving into itfelf ftore of choler carries it diredly over to the Colon., or Colique Gut. In : like manner the ufe of the left branch, or Spleen Artery, befides the common one, is to throw down choler, melancholy and wheay humors, if at any time the Spleen abound with them, to the Guts. Moreover by this fame way the waterifh humors in fuch as have the Dropfie, are fometimes committed either to the Guts, or to the Kidneys and Blad- der. This fame branch is that by which the drink pafles fo fodainly through the whole body, and by which ill humors are caft out by vomit. This fame is the caufe, that upon a full Stomach we make little water; but more when the conco&ion therein is finifhed. For the Stomach being much diftended prefles it; but that once empty, it can perform its office. This fame branch teaches us that a (lender diet is to be prefcr'bed to them, who are to take purges,that the way may be open for the medicins, as well that, by which the Propagations from its uj per parr. I. 2. From its lower parr. 1. 2. The left branch Propagations from its upper part. From its lower part. Sts divificn. * The ufe of the tight branch. Why ulcers are morefre. qutnt in rhe great guts. The ufe of the deft. Tr*ct.2. Concerning the Arteries» 27 the excrements are lent over to the Stomach, as that, by which they are conveyed to the Guts. This fame branch alfo, if you adde the two Mefentericks, is the feat of the hypo- chondriacall Melancholy. For this difeafe arifing from the obftru&ion of the entrails, which are contained in the lowelt belly,it is neceflary that the arteries here (hould fuffer ve- ry much,which the very Symptomes,that happen in this dileafe,may fufficiently inform us. Mc'ienterica fuperior, the upper Artery of the Mefentery Qy] arifes a little below the Cce- liacall, being diftributed like the Meferaick vein(which is its companion) with numerous propagations into the Guts called Ilium and Jejunum,2s alfo that region of the Co/on,which reaches from the Hollow of the Liver as far as the right Kidney, and fo for the molt part into the upper part of the Mefentery. In which place it is to be obferved, that the Artery fometimes lies upon the vein, fometimes on the contrary the vein upon the Artery, and fb is carried betwixt both the Membranes of the Mefentery .But thefe Arteries in many pla- ces in the Mefentery have Glandules,which were made for the free perfpiration of the vef- lels, and efpecially of the Arteries,whereby it comes to paffe,that thefe Glandules labour- ing with a hard tumor,or 5czrrb«<,th'c vclfels are compreft,and a pining away of the whole body follows thereupon. ThcEmulgent arteries [Y] are two, one the right,another the left one. Both ifliie out under the forementioned Artery, where the firft, and fecond Rack-bones of the loins are coupled together by the Ligament. But they arifeoutof either fide of the Trunk, al- though not direftly over againft one another,as alfo it is in the Emulgent veins, the right one being lower then the left. Thefe Arteries,when they come to the Kidney,are cleft into two branches, with which they arc inferred into the finut or channels of the cavity of the Kidneys, and like the veins are confumed in an infinite number of little fprigs upon their fubftance. Their ufe, befides the common one,is to purge out the whey,which is found in great plenty in the Arteries. < The fpermaticall, or feed-arteries are likewife two, which arife out of the fore- part of the Trunk of the great Artery, their originals touching each other 5 for the left Artery iflues not from the Emulgent, as the left fpermaticall vein does. Afterward in their defeent th ey are made faft to the veins of their own fide, and in men are carried through the proceffes of the Peritoneum or Rim of the Belly to the Tefticles:but in women, when they come fomewhat near to the Tefticles, they are divided into two parts, one of which is carried to the Tefticles, the other to the bottom of the womb. But the arteries do fo come to the womb, that they only water it at the fides, and pierce not at all into the inner parts of it.Which truly came to pafle by the great providence of wifeft nature,fince it had not been fo fafe to have brought them down to the inner furface of the womb, by reafon that in the coming forth of the child very great ifliiings of bloud would be caufed to the no fmall danger of the woman in Child-bed,if the Arteries had been an- nexed to the Womb on the infide.Hence alfo it is,that in the time of delivery they flow by little and little, not rufhing down with violence. Mefcnterica inferzor,the lower Artery of the Mefentery [£],arifes near to the Osfacrum, or great bone, a little above the divifion of the Trunk into the Iliacall banches, and goes into tlw left fide of the Colon, and into the ftrait gut, defeending with the hsemorrhoidall veins to the very end of the Fundament, and making the haonorrhoidall Arteries. It is queftioned concerning the ufe of both the Mefentericks, whether befides the common,they have any peculiar one. For Galen in his 4. of the ufe of the parts, feems to make mention of fome other when he would have fome part of the chylw to be attrafted by them. And in the book, whether bloudbe contained in the Arteries, in the fifth Chapter, he 1ayes.- •If we divide the loweft belly, and the inner membrane, we fhall plainly fee the Arteries in the Mefentery filled with milk in Kids newly yeaned, but in living creatures that arc grown,full of fomething elfe. In which words Anatomicall experience teaches us,that not enely the Mefaraick veins, but Arteries atfo do manifeftly draw the chylw to them. Which being fo indeed, it is altogether to be beleeved, that thechylw is either afterward tranf- ported by them into the veins, or elfe turned into bloud by the Arteries themfelves.Nor will this feem wonderful to any one who fhall confider alfo that the mothers bloud is con- veyed through the Umbilical! Arteries to the child,whileft it is yet fhut up in the Womb. But if the bloud which is received by the veins ought yet to be better worked, as any di- ligent inquirer into nature will conclude it ought; truly that which is received by the Arteries will require to be fo much the more exaftly laboured, by how much the better it is , then that of the veins. But it is fo laboured in the Arteries themfelves, and in the Spleen, being haled into the Coeliacall Artery,and carried to the Spleen. And this is an excel lent ufe of the Mefenterick Arteries, whileft a man enjoyes perfeft health, befides which wee will adde another alfo, as often as he leaves to be in health. For thefe Arteries take to them the excrements of the whole body, that they may car- ry them down to the Guts, in like manner as the veins do, by which nature doth both attraft the chylut, and likewife expell the noifome humors out of the body, as choler, phlegm, and melancholy. Choler is thus expelled oftentimes in continuall and inter- mitting cholerick feavers, a folution whereof follows by a loofnefle: Phlegm is fo E e e c 2 expelled 4- Mefenterict fk- pGrior* An obfervarf- ©rt« EmnlgenteS. Their afe. 6, Spermuticx; , 7'. .7 Mejenterica in- ferior. Its uf«« 28 Concerning the Arteries. Tract.2. cxpell'd, as often as bloady fluxes happen to fiich as have the gout in the feet, which eafe them of their pain, if the intent of nature be advanced by the help of a wife P hyfitian.Laft- ly melancholy is conveyed out by boththeMefentericks, but efpecially by the hemorrhoi- dal! branch ; whence Hippocrates fayes, 6. Epidem, He which has the Emroids naturally, {ball neither be troubled with the pain of the fide,or inflammation of the lungs}nor with fel- lons or black puftles, called Terminth's nor with the Leprofy, canker,or other difeafes. For there is avery great fympathy betwixt the breaftand the haemorrhoidall artery, becaurethe trunk, out of which it arifes, defending from the heart, prefently after it firft iflues from thence, propagates the Intercoftall branches, Moreover all black cholerick humours are purg'd by this means out of the whole body, thatcankers5and leprofies cannot be caufed by them. From thefe voluntary purgings which nature it felf has found out, wee may now judgof fuch as are caufed by thehelpof a Phyfitian, and may be termed Artificial!. For an opinion of fome men hath prevailed much in outage, that the body cannot be purged by clyfters, but only by thofe medicins, which are taken at the mouth. But I will not only believe, but alfo being taught it by experience can witnefle, that,ifthe clyfters contain in them purging medicins, the whole body is very commodioufly cleanfed. Forthewhole colick gut receiving the matter of the clyfter, the verrue itfelf of the medicin draws down the noifbme Jhumors by the arteries out of the Aorta or great artery. Which being granted, we may give a reafon(what we have feen very often)why Suppofitories made of white helle- bore produce the fome fymptomes,as are wont to be cauledin them,who have taken in white hellebore at the mouth. In like manner from hence we may fetch the reafon ;why the belly is ftrongly purged,the region about the navell,being anointed with purging medicins.For the vertueof the medicin is attracted by the arteries, and by them afterward it purges. Thefe » arteries are they , by which the difeafe of the colick is changed into the gout, and on the contrary the gout into the colick, as we have it in Hippocrates 6. £pidem. Sett, 4. where he fayes : One, that was vexed with the pain of the colick on the right fide, had fome > cafe, whileft the gout held him ; but this difeafe being cured, he was pained more. The 'reafon hereof was this, becaufe that humor, which caufed the gout, was carried out of the joints to the colick gut, whereby the colick difeafe was increafed. inquiring into the caufe of this, refers us to hidden and unknown paflages, to which, it feems to me, that we need not fly, if we fay, that the humors are brought out of the crural! arteries into the trunk, and out of this into the Mefenterick branches, and laftly, out of thefe into the guts 5 for this is the fhorteft, and moft convenient way. Nor is there any reafon, that we fhould be afraid of that pollution of the vital! fpir its, which they will obje& to us if the excrementitious humors pafle through the arteries; for this betrayes their great ignorance as well in Anatomy,as in folidphyfick5and it would be very eafie,if I would digreffe,to prove in this place, that a great part of the humors in our body flow down through the arteries. For in them the ftrength of nature exceeds,and is more vigorous, that whenfbever it is pro- voked, it is moft apt to expell; and the bloud being ftirred by their continuall beating, as alfo by its own nature,makes all that is therein more fit to flow. And who will not be- leeve that excrements are carried through the arteries, who confiders the flowings down from the fpleen, in which there being five times more arteries, then there are veins, truly it is ncceflary that that ballaft of the fpleen be carried out through the arteries ? The four Liimbaret or loin-arteries[»>Jarife out of the backfide of the trunk of the great artery,all along as itpafles through the region of the loins.Thcy run through the icommon holes into the rack-bones of the loins, and to their marrow, and alfo into the neighbour- ing mufcles. And at the fide of the marrow, after they have entred the rackbones, they climb upon both fides to the brain together with the veins of the loins. But they are all e- quallybig, if you except thofe two, which iflue out near to the os facrum or holy-bone, which are not only derived jinto the rack-bones to the marrow, and to the mufcles therea- bout, but are alfo fent overthwart through the peritoneum* and mufcles of the Abdomen, The two laft are by fome called Adxfixlxjitperiores the upper mufcle-arteries, and are diftinguifhe from the Lumbare/, Andthefeare the arteries, which if we obferve, we (hall eafily give the reafonypf many things, of which Phy fitians do ftill difpute very hotly; but efpecially of.tffiat moft difficult queftion, which is controverted among Phyfitians, by what wayes, , and in what manner the colick ends in a palfie or in the falling ficknefle. For we have the 1 9^^crvat'on lu faulw JEgimtalib, J. c. 4^. where he fayes t the colick , as it were by a cer- ■ fain peftilerit contagion, ended with many in the falling ficknefle, with others in arefoluti- of the joints or palfie, their fenfe remaining ; and they who fell into the falling fick- ndfe, for the moft part dyed; but they who fell into the palfie, were moft of them pre- ferved; the caufe of thedifeafe being carried to another place in the folution. For the humor, that caufed the difeafe, came back out of the colick gut through the mefentericall ar- teries, from whence being afterward tranfported into the trunk of the great artery, it came alfo to thelxmbaresor arteries of the loins, which fwcllingwith bloud preft together the neighbouring nerves, from which came rhe palfie in the feet. And this we have often obferved, as well incur felves, as in others, efpecially in former years, when thefe di £ cafes An oa Pefvati- on. VVhy anoin- ting of the na« veil with fnch things as purge, loofen the belly. How the colick is changed into the gourmand on •the contrary* 8. Lumbarei* How the colick difeafcends in a palfie or Epi* Jepfie. Tract.2. Concerning the Arteries. 29 cafes at Yadtta were Epidemiall. Yet the Palfie is not alwayes a perfect oneffiut often (as' am wont tocallic ) imperfeft, becaufe the power to walk is not wholly taken away, but the difeafed ftan d upon their feet with a great deal of difficulty. Many at that time being deceived in the knowledge of the difeafe, miftaking this for a great weaknefle of body contra&ed by their fickne(Ie,endeavoured to take it away by eating and drinking largely,but in vain. This alfoisthecaule, why the Falling-ficknefs,and Lethargies too, as we have oft-times feen. follow after the Colick, becaufe the matter being Cent over from the Mefenterick arteries tc thofe ofthe loins,mayealily go from them into the brain, to which thofe very veffells are carried. Butthe trunk of the great artery, when it is come to the laft rack-bone of the loins, ha- ving taken its journey all the way 5which we have (hewed, under the hollow vein, at the left fide, here gets above the vein,left it ffioold be worn away in that continuall motion by the hardnefs of the holy-bone. But it is divided,nootherwife then the hollos? vein is,into two notable branches [ S. S. ] which are called by Anatomifts the Iliacall arteries from their fituation, and being carried downward obliquely to the thigh referable the r ofthe Greeks turned upfide down. But they alfo juft like the Iliacall veins, to which they are exaftly anfwering, before they be implanted into the thigh, (hoot out a pretty number of branches. But from the lower fide of the artery before the Iliacall branches be divided,iffue forth faerie the holy arteries which are notable ones, and carried downward, leaning upon the holy-bone,pafle through the holes thereof and run to the marrow and backfide of the bone. And through thefe alfo there is a way for the matter, that makes the Colick , to caufc the Palfie of the legs. After this a little below the divifion of the trunk, the Iliacall arteries are fubdivided into two branches, one of which is the inner and lefs; the other outer and greater. The left and inner £ T ] iffues out two propagations, one from its outfide, the other from its infide. The outer [ e ] is commonly called Mufcula, by us more ftriftly Gluua the mufcle of the but- tocks, becaufe it runsdown with its name fake vein, betwixt the holy and hip bones,where they part one from another, and fcatters many twigs into the mufcles, which lye upon the Oj Ilium, or hanch -bone, called Glutti, or the mufcles of the buttocks; becaufe they are the authors of them. T/;e is called j which is very notable, and large, and, being carried direftiy down to the lower fide of the holy-bone,it affords certain propagations in men to thebottome, and neck of the bladder, as alfo to the ifraitgut, which alfo may bee called the H jemorrhoidall arteries; but in women, to whom this branch is (bmewhat larger, it di- ftributes a great number of propagations, befides thofe to the fore-named parts, into the lower region alfo of the bottoms of the womb,and likewKe into its neck.Hence we may ga- ther the reafon, why ,if the womb reach to the middle of the hip, Convulfions are caufed,as Hippocrates witneffeth, lib. de natttra mislie bri.hs alfo if the worab fal down to the hip, why the monthly flowers are fuppreft,and a pain is caufed in the foftnefs ofthe fides, and in the loweft belly. For the blood which nature drives to the wombe, cannot bee laid in there, thearteries being preft together by the falling down of it; fo that neceffarily flowing back, it fils the neighbouring veins and arteries, which fwelling up caufe thefe pains. For wee have oft-times feen in diffeftions thefe veins fo fwoln,that they have been feven fold bigger then chemfelvcs. Hence alfo a reafon may be given of the thirty fecond Aphorifm of the fifth fedion in the fame Hippocrates, where he witneffes, that a woman vomiting blood is rid of her difeafe, upon the iffuing forth of her tcarms. Which happening by the confent of all by revulfion or attraction of the humour to a contrary part, and that not by the benefit of the veins, becaufe the veins of the ftomach arife out of the gate-vein, but they of the wombe from the Hollow one- there is no other fympathy to bee fought for, then that which is caufed by the arteries, eipecially when the Hypogaftrick or artery of the lower part of the lowed belly is not far diftant from the Coeliacall, or artery of the ftomach. Hence likewise a reafon will be given of the Aphorifm that follows this, wherein he judgeth the .Htmorrbagia or abundant iffuing forth of blood at the noftrills to bee profitable when the monthly courfcs do fail. The remaining part of the leffer Iliacall artery defcends,and brings forth the Umbilicall or navell artery [ »»] ,which is carried down near to the length of the great artery, and is tyed with ftrong membranes to the fides of the bladder of urine. But it loles its hollownefle in thofe that are once out ofthe wombe. After this £ & 3 acall vein which is joined to it,it goes through the hole of the (hare bone, or of pubis, whicht before it be pad,it takes to it a propagation iffued from the outer Uiacal branch,and fo goes out ofthe hole,andbeing departed from it fpends it felf,in like manner as the inner UiacalF vein does5upon the mufclesjpartly thofe with which the hole is ftoptjand partly thofe which arife from the (bare bone. At length being terminated at the middle almoft ofthe length of the thigh, the end of it meets [ 0 ], and is united with the ends ofthe branches [v ] of the inner mufcle-artery ofthe leg,ofwhich we fhall fpeak in the next Chapter. The greater or outer Iliacall artery Q V]produces likewife two propagations-the firji of which [i]is called Epigaftrica9which arifing from the outfide of it, a little before it paffes through or rim of the belly is refl6ftedupward,andafcends bythe infide of the ftrait mufcle Saer*. The divifion of rhe Iliaca!£ arteries into are inner and outer branch. Propagations ofrheinner or lefle branch. I. Glutta. 2. typBgaftricfr A'-reria umbOi" calis. Propagations of the oarer or greater Iliacall branch. I. Epigaftricas or rhe artery of ths upper patrol : the lower h-c^y' 30 Concerning tbe Arteries 1 r Ac re2. mufcle til about the navel it be inoculated with the dependent Mammary ai tery.The other [Vj is called is a little inner propagationjbeing not divided intofo many branches as the vein of that name is.But it arifes prelently after the artery is gone our of and being carried overthwart along the commilfure or joyning together of the (hare-bone«9is (pent at the privy parts upon the skin of the yard. That which remains of this trunk goes into the crw [X], whereof we (hall now (peak. Pudenda or the artery of the Privy parts. CHAP. IV. The propagations of the outer Iliacall branch ,rvhicb are diftributed through the Crus or great foot,containing the thigh, and foot. Ter that the outer branch [ V ] has propagated the fore-mentioned branches, it departs cut of the peritoneum or rim of the belly, and at the groin is carried into the crus, by the fame way which the crurall vein takes, under which it goes, and is joined in company therewith every where, and fo it makes the trunk of the Crurall arterie [ X ], ( as we will alwaies call it) . But pre- fently after it hath got beyond the peritoneum, it ifliies forth a propagation from the out- fide, which is called Macula cruralis exterior, the outer mufcle-artery of the Crus, which being carried downward is propagated into the mufcles that cover the forefide of the bone ®f the thigh. Sometimes over againft this, but oftner a little below, yet of the infide another is brought forth, called Mujcula cruralis interna, the inner mufcle-artery of the Cr us,[ v ] which is diftributed in many branches through the third bending mufcle of the thigh, called 'tricep s, and thofe on the infide of the thigh, as far as the knee; the ends of which branches are joined with the end of the inner lliacall artery ,which we told you deftends through the hole of the fliare-bones to the Crus, Theft propagati- ons being difpatcht away, the crurall trunk defeends from the groin , together with the crural vein;and is fo bent backward near to the bone of the thigh,that when it is come to the ham, it Hands betwixt the two hindmoft heads of the thigh. For prudent nature does alwaies obferve this, to carry down the veflells about thatjide of the joint where the bending is, left if they fhould go on that fide whereon the joint is extended, they fhopld be compreft. But in the very mid-way as it were, as it runs down through the thigh,it fends out a which breaking into more furcles runs out through the muftles that are ftated on the backfideofthe thigh, together with the ham-vein;and at length defeending through the ham ( whence it is called Poplitea the ham-artery) is di- ftributed with many Iprigs into the call of the leg.But whilft it Hayes in the ham, it fends out a propagation L ? p ] on each fide, tothefidcsof the joint of the knee, which then finking deeper,'' are confumed partly in the joint it felf, partly upon the mufcles called tafteromenii that make the calf; from whence they are called Sur ales,the arteries of the calf. Aft& that the Crurall trunk lyes in the ham [ Y ], it ftnds forth a propagation from its outfide [ <r ] which runs down near to the Fibula or lefler bone of the leg, and is hid betwixt the mufcle, that moves the foot outward,and the fecond bending mufcle of the inftep, and diftributes it felf into the reft, that lye on the forepart of the leg,as far as they are flelhy, and till they begin to be contorted by the outer ankle. A little under this fame another artery [ T ] is brought forth out of the backfide of the trunk, which runs down as far to the mixing together of the tendons of the calf-mufcles. Then another Miflues out of the fame backfide of the trunk, but under the fecond,which defeending and palling through the tranfverft ligament, runs down by the top of the foot, and is diffuftd into the mufcles that move the toes outward.The remainder^r] of the trunk is carryed down- ward by the backfide of the leg,and about the inner ankle offers a furcle [ <? ] to the foot, which goes to the mufcle of the great toe,and creeps through the top of the foot.Butthe trunk it felf lying hid among the tendons of the mufcles of the toes is cut into two branches; of which the Inner £ 4 ] beftowes two fiircles upon the great toe; two upon the fore toe, and one upon the middle; the outer [ « ] two upon the little toe, and two upon the toes next to it, on the lower fide. But although the progrefle of the arteries be for the moft part fuch, as we have defcribed, yet what we have faid formerly of the veins,that their diftribution varies much, not only according to the diverfity of bodies, but alfo of fides in the body of the fame man, is true alfo of the arteries,whieh in divers pen are diverfly diftributed. The trunk of the erurall arte- ry and its pro- pagations ere it bee divided. I. 2, 3- 4- AN TRACT.2. 31 An Explanation of the Table of the Arteries. This Table comprifes the deline- h h5 Thoracica inferior the lower ar- A ation of the great Artery ,entire and free from all the parts. He large beginning of teryofthe cheft, which defeending a- long the fides of the chefi , is inferted into the mufcle called Anifcalptor , that moves the upper part of the arm /Sal the great artery,where it iffues out of the left ventricle of the heart: butprefently after its before it yet i backyard. Betwixt g andh a little branch is placed, one of them which here are difl'eminated into the glandules of thearm.pit./From the upper pare ijfues one,i,caled fcapqlaris externa a a u out Qj peri- cardium or purfe of the heart, it fboots forth the two Coronary arteries, a, a, which encamp affe the bafis of the FF the outer blade artery, being difpofed of into the mufcles, on the outfide of the (boulder-blade. In this place the axillary artery B heart in manner of a crown. But presently having pa ft the peri- cardium it is divided B into two 1 m changes its name,and is called Brachi- alis the trunk_ofthe arm,that is undi- vided as far as G,Scattering two twigs trunks5 one of which is the Afcendent 1 and m into the mufcles that cover the C C5 theotherthe Dependent one The Afccndent trunk C,is by and n n bone of the upper part of the arm on the backfide-, and two other n n,one of each DD by divided into the two fubclavian ar- teries D D,bcth which when they have G fide about the bending of the cubit* Theparting in twain of the Brach i all attained to the fir ft rib, fc after many propagations', partly from the higher, partly from their lower fide. H artery under the bought of the cubit in- to an outer H, and inner branch I. The outer branch of this divifion, b From the lower fide iffues Inter- coftalis fuperior, the upper artery between the ribsfb,communicating par- o or Radieus, running ftraight along the radius or leffer bone of the cubit to the wrift,and diftributing a branch o into ticular twigs to the di fiances of the four upper ribs. the mufcles footed betwixt the firft bone of the thumb, and that of the me- From the higher fideiffue three. The firft is vertebralis/he artery of therackJrtneS) c, creeping on by the tranfverfe proceffes of the raebyfiones of th enemas far as to the skull. The fecond mammaria the artery of the ppp tacarpium or after-wrifi, which fu- ftains the fore-finger,and then three o- ther, ppp, which are difperfed into 1 the firft outer fingers,the thumb, and wit, the two fingers next thereunto. The inner brar^rh, or Cubiteus d dugs, d, which defeending under the p fifing along the greater bone of the breafi-bone,runs out as far as to the feat of the navill,and difiributes fprigs into the difiances of the grifiles of the true ribs,and then into the mufcles that lye L cubit, is at length canfumed in a double branch upon the two inner fingers-, to ring-finger and little one. Theremainingpart of the Afcendent upon the breaft •, at length about the navill it joins by anaftomofis or ino- culation, x,with the afeending Epiga- MM trunks tt'hich near to the upper part of the breaft-bone is cleft into two bran- ches MM called Carotides, or the ftriefartery, i. The third cervica- lisortbe artery of the backjide of the neck?e,is propagated to the mufcles on the backjide of the as far as the fleepy arteries.- Thefe tend diretfly Up- ward by the fides of the neckband being come to the chops .are divided into two N branches about N, one of which is the nowl of the head. Theft branches being iffued out, the ot outer O, the other the inner P« The outer Carotis propagates fubclavian artery goes to the arm-pit, and takes the name of Axillaris,about • - twigs 4 to the Buccae or cheeky puffes , and to the mufcles of the face ; but a- bout the ear it is cut into two E E, andfo is difiufed into the arm. let before it enters thereinto, it (boots out q a formoft one,cp,which is caried through feme twigs from both parts of it-' from r the Temples-, arid a hinder one,r, that f the lower threes of which the firft, f, is called fcapularis interna the is diffeminated along the backfide of the ear under the skin. inner blade artery, becaufe it is [pent P The Inner Carotis, going to the upon the mufcles that cover the hollow fide of the (boulder-blade.The fecond is Thoracica fuperior the upper f skul is divided near to the bafis there- of into two branches-,of which the one and leffer,f,which goes into the finus g chefi artery,g,di [perfed into the mujcles on theforefide of the chefi. The third I on the fide of the thick m embrane, is cut off here, whereabout it finks into tht An Explanation of the Table of the Arteries. 32 t the styll: the other and greater, t, e The remainder under 9, taking to it a enters the styll,through a peculiar hole bored for it in the temple-bone. propagation from the outer Iliacal arte- ry,flips down through the hole of the The Defcendent trunk of the great artery, reaching downward to the rackfones of the back flare-bone into the Crus, the end of it joining about e with the inner mufile artery o f the Crus». From th if before its div ifion at 'R, many propagations are fcattered,whicb we will now rehearfe in order. V The outer Iliacall artery Hkewife before its going forth of the perito- naeum produces two. The firfi is cal- Firfi then are Intercoftales infe- riores, the lower arteries between the 1 led Epigaftrica, ?, digefted into the wwfe/ej of the Epigaftrium, and the uuu ribs, u u u, distributed to the di fian- 1 freight ones of the abdomen, where ces of the eight lower ribs, from which propagations are brought to the mar- X it is joined by inoculation, h, with the defeending mammary artery d. The row of the back-bone-, and to the mu- files that growto the backhand chefl.Af- A other called Pudenda \>goes to the privy parts. ter this the trunkjaffing on diflributes two more., called Phrenicae the arte- X In th is place the outer Iliacall ar- tery havingpafi the Periton^im,en- X X tellies of the midriffe x xfiecaufi they are dfipofidof into the midriffe. 'then follows Cceliaca or the fiomach. After that Mefenterica fuperior/he upper ters the Crus,and begins to be called theCrurall trunk, which iffues out more propagations. The fir ft Mu- fcula cruralis exterior, the outer y artery of the Mefentery,y, reachingout into the guts Jejunum,Ileum, as alfi into that part of the Colon,which reaches from the hollow of the liver as mufile artery of the Crus, p,that if propagated into the mufiles, that cover the fore fide of the Thigh-bone. The fecond is the inner mufile-artery of far as the right Ifidney. After this the V the Crus, x, digefied through the third bending mufile of the thigh; and thofi mufiles that are on the infide of thc z Emulgent arteries, z, propagated to the kidneys. Then fpermaticae, the et feed arteries, a.,going to the tefiicles, thigh-,the endo of it are joined with the under which is Mefenterica inferi- or the lower artery of the Mefenterie , a ends of the inner Iliacal artery about q. The third is Pop] i tea, the ham-ar- £ into the left fide of the co - lick, and into the fir ait gut, and ma- 9T tery ,7r. running out into the mufiles on the backfide of the thigh.The fourth king the hemorroidall arteries. Lafily Lumbarcs the arteries of the loins, is fiiralis the calf-artery f which if double, iffuing out there, where the y yyy, which going to the rackfones o, the loins joint by joint, are difiributed, into the peritonaeum or rim of the belly, and the mufilcs growing to the racf-boncs. V crurall trunk is hid betwixt the two lower heads of the thigh, andfpreading out on both fides into the joint of the knee,and the two heads of the fir fl ex- tending mufile of the foot. R Thefe branches being iffued forth,the trunfi about the fift tf the 1 Here the great artery lyes in the ham, where it is divided into bran- ches of une quail bigneffe. ss loins,is divided into two branches S S called the Iliacall, both nhich are a- gainbrefieninto two other, an inner ff A Iprig iffuing from its outfide, and reacht out to the fibula or leffer bone branch T, and an outer one V. Eut before this divifion in the very parting in twain of the facra the of the leg, betwixt the mufile that , moves the foot outward, and the fecond bending one of the inflep. cP holy artery <A, difiributed into the holes of the os facrum or holy lone, to the The trunkdefeending by the back-fide of the leg. marrow thereof. 7 A higher branch iffuing out of the T The inner Iliacall artery, before it backfide of the trunk falls cut of the peritonaeum, iffues forth two propagations : from its V A lower branch iffuing out of the backfide of the trunk e outer fide, that glutaea,«, difiributed into the mufiles of the but- r The remainder of the trunk defen- ding by the leg, which offers a little tocks-, from its inner fide, that <p branch <? to the inner ankje. called Hypogaflrica, Agoing into the The divifion of the trunks into an bladder and yard, and in women alfi to the lottome of ihwcmb. After this 4 i inner branch 4 that is propagated to the great toe,and the two next $ and an outer, it runs down, and finds forth theum- G> a,propagated to the little toe, and the MM bilicall arteries n » ,that tend upward near to the length of the great artery.' two next to that. THE rTRACT 35 The third Treatife I. J Concerning The NERVES. CHAP. 1. Of the nerves ef the brain. thofe eight Conjugations, which arife from the marrow of the ' brain drawn oh tin length, whileft it is yet contained within the J limits of the skull, that offers itfelf in the firft place, which maizes the J nerves, that arefo famous among all the Maftcrs of Anatomy., For thefe are not only the biggeft, if you look upon their thick- ' nefle; but alfo without doubt the fofteft of all the nerves of the bo- v dy. But they arife out of the middle of the bafts of rhe brain,on the > forepart, according to the opinion of the Ancients,but indeed, if the head bp turned upfide down in the difleftion [(which is the proper way) out of the beginning of the former trunks of the fpinall marrow, that their origi- nal! is as it were in the back part of the head, and prefently each of them by little and little making towards its mate, they are united (not only joyned, as fbme would have it) oyer the faddle of the wedg-bone, and make one common fquare body, the marrow within them being mixt together. After that prefently feparating /again, each of them is carried obliquely into the eye of its own fide, entring the orb thereof through the firft hole of the wedg-bone, and ending at the very centre of the eye. In this pair we may eafily fhew thofe two membranes, which are derived to the nerves from the two me- ninges of the brain, as alfo the very inner marrowy fubftance, which comes from the bo- dy of the brain. Yet the nerve it felf is not cleft into more branches, (as the other are) but lying hid makes the coats of the eye 5 and out of the thick membrane it forms that coat, which is called Cornea, the horny one;out of the thin membrane that is called Vvea, the grapey one; but out of the fubftance of the marrow the Retina or coat like a net. For as foon as it is arrived at the centre of the eye, thefe membranes are difplayed, and making a fphere contain the humors in them. Thefe nerves convey the faculty of feeing to tlie eyes ; wherefore, they being obftrufted, or compreft, a blindnefle infues. Galen hath a- ' fcribed holes to them, and Herophilus for the fame reafon called them 07nw.it t the1 paflages of the fight, teaching that there is a fenfible hollo wnefle plainly to be feen in 1 them, whom for all that almoft all Anatomifts do contradict But I have heretofore fhewen in the Univerfitie of Padua, and in a great aflembly of men, that there are certain paflages continuing from thebeginning ofthefenerves,as far as to the place, where they meet together, and prefently after that vanilhing away toward the eye. And therefore I fhewed that the Ancients may not only beexcufed, but alfb that they writ the truth, efpecially when none of them have laid, that thefe paflages were great, but only filch, as did not altogether efcape the fight, if one would make tryall thereof in a great living creature, and by a clear light, and prefently after it is killed. For Galen himfelf requires thefe three conditions, 7. placit. 4. and lib. de oculis, that one may fee them. But before we depart hence, I will bring in fome problemes, that, befides thehiftory itfelf, I may p alfb fhew the ufe of that, which I fay, efpecially when in our time they only for the moft part follow the ftudy of Anatomy, who imploy their induftry in the behalf ofPhy- fick. The firft therefore fhal 1 be, what is the caufe, that many upon fneefing often (cfpe- cially when they have provoked it for the nonce) have of afodain fain blind. This hap- pens, either becaufe the branches of thefleepy arteries, which arc fo near to the optick nerves, that they touch, are fijlcd, and being fo, prefle together thofe nerves; or elfe be- F f f f 2 caufe The firft paU of the brain. Its original!. Progrefle= Inferxion.' The holes of the optick nerves, Froblemes. I. 36 Concerning the Nerves Ik AC 1.3. caufe a copious, and that a phlegmatick humor has fain out of the brain into the optick nerves, and obftrufted them. I have feen thofe, that have been blind through the firft caufe, fometimes cured by a Seton 5 but I never remember, that any, in whom this a- rofe from phlegmatick humorSjhave recovered, except one having the French pox, who being anointed with quick-filver, all the humors melting away, was reftored to health. But it is not the part of a good and pious Phy litian, to make ufe of thofe things, which, being full of danger, may do more harm, if they prove hurtfull, then they can procure good, if they beprofitable. And truly it is better not to cure blindnefle, then to caufe death ; although oftentimes rafhnefle helps them, whom reafon helps not, as the moft elegant of Phyfitians Ce/ptf fayeS elegantly.In the mean time indifeaksof the eyes, they who pra&ife Phyfick, may learn rather to adminifter thofe things, which bring the phlegm out by the palat, then to draw the noxious humors to the noftrils. That I may conceal befides the danger which they avoid, that more profit arifes from the mcdicins, that void the phlegm out of the head through the mouth 5 which both long experience hath hitherto taught, and Anatomy perfwades, when the optick nerves in their origi- nal! are not far diftant from the palat-, but farther from the fpongy bone, and it is a pre- ternatural! way, by which the humors are carried, aS hath been already demonftrated by the learned Vefalius. Then it is difputed, by what means the eye can fall out of its orb. the optick nerve not being broke, whereof we have very many hiftories. But it is not hard to give an anfwer, to wit, that the nerves maybe very much extended in length. Whileft therefore this nerve receives much moifture irt the inflammations of the eyes, it ea- fily comes to pafle, that it is flackned 5 but the mufcles themfelves fwelling very much, when they can no longer be contained in the orb, leap forth out of it. For this falling forth of the eyes moft commonly proceeds from inflammations; fuch as are the ftories of the moft learned Fegd,who cured a woman in this cafe by procuring the flux of her terms, and a young man by digefting ointments.But the queftion is very worthy to be made men- tion of, and that gives me an occafion to explain it, which I have read in fome Authors, that fuch as Were before blind, upon receiving of a wound overthwart the fore- head , and fome, upon a great loofnefle of the belly arifing on a fodain, have re- ceived their fight, and that prefently. The caufe of their blindnefle Was no other, then the comprelTion ofthefe nerves proceeding from the neighboUr-veflels,to Wit,theveins,and arteries being Iwoln with bloud,Which fuch a Wound prefently emptyed. Wherefore I alfo fometimes,and not without fuccefle,in that/peefej of blindnefle, which the Barbarians call Gutta open the middle vein of the fore-head,out of which I draw bloud fo long, till it ceafcs to run ofits one accord. The fecond pair arifes, as the ancient Ahatomifts fay, from thefides of the bafts (A the forepart of the brain,hear to the originall of the firft pair.But the new difleftion (hew s,that it ifliies out at the infide of the beginning of the fpinall marrow, and that they are fo United in their originall, that they make one common angle,which is the caufe why both the eyes are moved together to the fame fides. It is much fmaller, if you compare it With the firftpair, andharder, and goes out of the skull through the fecond hole of the wedg-bone, which is fomewhat long, and fb it enters the orb of the eye. By and by it is divided into many fprigs, which goe to the mufcles of the eye 5 and thefirft climb- ing up above the firft pair,or the optick nerves, is dilpofed of into the two mufcles,as well that, which lifts up the eye-lip, as that which lifts up the eye. Another very confpicuous one is difleminated in many furcles into the mufcle,which moves the eye in ward. 7third, no contemptible one neither,being divided firft into two fibres,and by and by into more, is fent into the mufcle,that draws down the eye .* the fourth ,into the lower or lefler of the oblique mufcles,that rowls the eye about toward the other angle. At length It ifliies out fom e thin fibres,which being joined with the firft pair are diftributed to the outer mem- branes of the eye,fo that this fecond pair is propagated only to four mufcles ofthe eye,and to that, which lifts up the eye-lid. The ufe of this pair is,to impart the faculty of motion to the mufeles of the eyes. The third pair arifes with a very fmall nerve out of the lower, and hinder part of the marrow of the brain, and runs direftly forwards under the bafts of the brain, being tyed po the fecond conjugation, together with which it enters into the orb of the eye through the laid fecond hole of the wedg-bone.By and by it is divided into four branches, of which thefirft offers a little branch to the upper, and greater of the oblique mufcles of the eye, or that called the mufcle of the pulley, and then falling out through the hole of the fore-head-bone above the orb of the eye, in the skin,and mufcle of the fore-head, which ought rather to be called the mufele ofthe ey-brows.This branch is diligently to be taken notice of,becaufe I have long fince ob£erted,that,it being hurt with a flight wound the eye-lid fell down,whileft the mufcle of the eye-brow by reafon thereof fell into a Fai- lle. I have feen alfo the fame palfiecaufed bycold,and narcotick medicicins,lbmewhat un- reafonably applyed for the procuring of fleep. But hence alfo a reafon may be rendred, why Hippocrates 1. Prognoftic. reckons it among thefigns of death in acutedifeafes to fleep with the eyes half Open. For this is an ill fign for that reafon, becaufe it fignifies, that 2. 3* Thefecsnd pair. Its Qriginall. Branches. 1. 2. 3- 4: Vfe. The third pair. Its original!. Ranches. I. An obferva- tion. of the 'Brdin. 37 that the nerves are very much dry cd, and fo the brain itfelf, whence it comes to pafle, that they,who are fo difeafed,for the moft part fuffering convulfions afterward dye. In fome alfo a fore-runner of the Falling-ficknefle is wont to arifefrom the fame caufe iu the eye-lids, the eyes, and the whole face, when this third pair is pluckt by the humors begetting the falling-ficknefle, and fo aconvuliion of the eyes, and face is caufed. The fecond branch is carried downward, and falls out through the hole of the fourth bone of the upper jaw, which is under the orb of the eye, and prcfently fcattering into more propagations, on the forepart of the face, is fpent upon the mufcles, that move the upper lip,and wing of the note outward, as alfo upon the lip itfelf, and the gums of the teeth, called or fhredders. The third it fent through the hole of the fecond bone of the upper jaw, behind the caruncle, that is placed in the inner angle of the eye, to the wide cavity of the noftrills, being fpread throughout its coat,whereby it comes to pafle,that it is indued with a very fliarpe fenfe,and being but lightly touch'e caufes fneezing.Tfoe fourth goes out through that crevife, which is betwixt the firft bone of the upper jaw, and the wedg-bone,in the outer angle of the eye, or through the fourth hole of the wedg-bone,and departs to the inner fide of the temporall mufcle. The ufe of this pair is to convey the fa* culty of moving to the faid mufcles. The fourthpair arifes out- of the marrow of the brain on the backfide, goes out of the skull through the fixt hole of the wedge-bone, and running ftraight down, propagates three branches from itfelf. "The firft is prefently after its going out of the skull, which being writhed fometimes about in manner of the tendrells of a vine,or gourd,and united to two fprigs of the Auditory nerve ( of which we are to (peak next ) afterward diftri* butes furcles to the temporall mufcle, that lifts up the lower jaw, and that which moves it forward from the head, as alfo to the mufcles of the cheeks. After this the pair running farther down, ifliies forth a fecond branch, which propagates furcles in order to the gums of the upper cheek-teeth called the grinders, and alfo to the teeth themfel Ves. The third branch ifluing forth from the backfide of the nervc,and entring the hole of the lower jaw- bonethat is bored in the inner furface of it,at the originall of the procefles,beftows little branches in order to the roots of the teeth, and at length going forth through the fore- moft hole in the outer furface is terminated in the lower lip,and skin of it.The remainder of this nerve is (pent upon the coat of the tongue near to the root, and Co gives it the power of diftinguifhing fapors or tailing. But note in this place, that thefe two pairs which we have now recounted, I iay>, the third and fourth,are commonly reckoned for one by Anatomifts, and that the third ; but with this diftindion,that they fay this very pair arifes with a double root; the one (mai- ler , and the other thicker. They call that the fmaller root, which wee fet down for the third pair; that the thicker, which we make the fourth. But we diftinguifti them , becaufe indeed they are not joined together, neither in their original!, nor in their pro- grefle. But that which they account for the fourth pair, teems not to bee diftinguifhed, from the third; as Valuerda himtelfgrants, lib. p. felnatomu. cap. 4. The fifth pair ifliies out of the marrow of the brain drawn out in length,on that fide whereon a part of the cerebellum or after-brain is joined to it, arifing out of two nerves, of which one is fofter, the other harder. Thefe go out of the membrane together , and enter the organs of hearing, through the hole of the temple-bone, that is bored in the ftony procefle thereof, being a large one and winding. After this that harder part goes forthwith to the forefide, being carried through a peculiar channel!, and returns back- ward again obliquely through the fame bone, and departs into the firft cavity of the in- ner ear. From thence being more reflefted, it fends forth two propagations,one higher., the other lower; but both pafs through their peculiar holes. The upper is carried through the tranfverfe hole of the fame bone, through which alfo a little vein pafles into the or* gan of hearing; and a little after it is come forth of it, is joined with that branch of the fourth pair ( as we have delivered; but as other commonly count the pairs of the third} which we told you was writhed about, like the tendrell of a Vine. The lower goes out through the third hole of the fame bone, which is very narrow and winding; and being carried overthwart above the mufcle of the lower jaw, that moves it fidewards,defcendsj into the chops, having difleminated a pretty many propagations into the noftrills. But forthwith it is joined with the propagation of the fourth pair,that refembles the tendrell ofaVine, or that fprig which goes to the tongue, from which it pafles to the roots of the teeth, and mufcles of the cheeks, as alfo to the skin that goes about the root of the outer, or little ear. Anatomifts do beleeve,that by means of this branch it Comes to pafle, that they who are bom deaf, are for the moft part dumb alfo. But that fofter part of this p air is carried together with the hard part; and when it is come to that firft ca- vity of the inner ear, it is fpread throughout it in manner of a membrane, and fo it defervesto bee called theAuditbry nerve, as miniftring all the fpirits, that ferve for hearing. The pair arifes fomewhat more toward the lower and hinder part, then the fifth am 2„ Zfa. The fourth pair. its original] branches. I. A note* The fifth pairi Its origiftaJh Its two partsa He harden The (oft par6 les aft. The fix th pair Iw Origin! & 38 Concerning the Nerves Tract.5. and not with one, but with many little nerves fevered from each other , which for all that are prefently joined together, although they do not dole fo, as to make one only, but two diftinft ones alwaies, yet are they contained in one membrane, arifing from the Duta meninx of the brain, which hath deceived many, fo that they have accounted them for one. Being thus joined,they defcend both together out of the skull, through the fe- cond and third hole of the nowl bone; through which fame the lefler branch of the fleepy artery, and the greater of the Jugular vein enter into the skull. There being then two nerves, the one in its egrefle inclines more to the forepart of the faid hole , and is the lefler of the two ; the other to the hinder part, and is the greater. That presently after its going forth of the skull, tends ftraight downward to the mufcles of the tongue and chops, and to the parts placedin the mouth,upon which it is wholly confumed. Ihij on the contrary fends its firft propagation to the mufcles feated on the backfide of the neck, efpecially to the firft muicle of the fhoulder~bladc,called Cucullarir or the cowl- mufcle, and then adhering to the feventh pair, and the aforefaid artery and vein, by the benefit of certain membranes, it runs down to the (ides of the throtle, to whole mufcles, efpecially thofe feated in the inner cavity, it diftributes furcles overthwart. Here many propagations of nerves meeting together, and parting afunder again, a cer- tain texture is made, wherein knots are found not unlike to the glandules,thax are tyed to the divarications of the veflels ; which was firft obferved by the moft learned Anato- miftFdFopw, who would have it referable the body of an olive. But the greater nerve it felf going in the middle betwixt thofe fame veflells which 1 fpake of, is carried leifurely from the throtle to the rough artery, and running down at the fide thereof, tends to the cheft. ' But before it enters thereinto, it is divided over the hollow of the neck into two bran- ches, of which one is the outer and lefle: the other the inner and greater. We fhall now (peak briefly of the diftribution and propagations of them, butfe that being the right trunk isdifleminated in another manner then the left, we fet down ohe hiftory of each by itfelf 5 and firft of the right, then of the left. clhe outer branch then of the right nerve fends out propagations prefently after the divifi- on to the mufcle that bends the head, called Maftoideuf, as alfo to that of the bone hyoides , called fternohyoideufj and that of the Larinx or throtle, called fternothyroidew, after this it the cavity of the cheft, and when it comes to the axillary artery, ifliies forth from its infide fometimes three, fometimes two furcles one under another which arc returned about the faid.axillary artery, as it were an axel-tree, or ( to fay trulyer ) a kind of pulley, and doling together make one nerve; which being faftned to the right fide of the rough artery, by the benefit of a membrane,run's back from the lower part thereof to the higheft, and hafts to the right fide of the throtle, lea- ning upon a glandule, which is placed at the root of the right fide.Having paft this, it is forthwith divided into mamy furcles,which are (pent upon the mufcles of their own fide, which are placed in the throtle, and have their heads downward, giving motion to them. And this nerve is called Recurrens9the returning one from its progrefle,and is very ' famous among all, being lb made by skilfull nature with great wifdome, that it might be inferted into the mufcles of the throtle, whofe heads look downward, when all the nerves that give motion, ought to be infected into the heads , and to look towards the end , not on the contrary. And becaufe the throtle is an organ of the voice,but the voice cannot be uttered without motion of the mufcles, that either open the cartilages of the throtle, or flint them; therefore thele nerves, which impart to the mufcles the power of moving and contracting themfelves, being either bound hard or cutoff, it happens for that caufe,that the voice is taken away. This may be very handfomely (hewn in dogs,or in a hog, becaufe the o ne continually makes a noife with barking, the other with grun- ting. For one of thefe nerves being cut off,halfe the voice is taken away; but both being cut, it is wholly loft.The recurrent propagation being thus conftituted, the outer branch running down obliquely under the hollow of the necK, after that by the way ithath diftributed furcles of an indifferent bignefle into the Plcura9 or membrane of the ribs, and into the coat of the lungs, and given others to the pericardium or purfe of the heart,and to the heart it felf; - it defeends farther within the duplication of the mediaftinum, and near to the rack-bones is divided into two branches, which make the right nerve of the left orifice of the ftomach., arc carried obliquely, and then piercing through the midriffc,together with the gullet, to which for all that they afford never a branch, are confumed upon the left orifice of the ftomach, with many branches like a little net,and fo encompaflc it together with the left nerve, that it feems wholly to confift of nerves.Hense there is fb great a fym- pathy of the ftomach, not only with the brain., but with the heart alfo;that fuch difeafes, as pain the upper orifice, feem to be of the heart, and indeed fo they are, the fame heart fuffering pain, becaufe of this nerve being pained. And this is the true caufe, to wit, the communion of this nerve, not the nearnefle of both the entrails, as others fay. The inner branch goes to the inner fide of the root of the firft rib of the cheft, and cleaving to the The letter nerve. The greater nerve, 3 nd its propagation. The branches of the greater nerve. The propaga- tions of the < outer bran ch of, the right nerve. I. 2? The right re- current nerve. 3- 4. 5- Whence the fympathy is be- twixt the fto- rnach and heart. Propagations of rhe inner branch* Tract.5. Oftbe Nerves. 39 the rack-bones inader the Pleura,runs dotvn through the roots of the reft of the ribs, ta- king to it a little branch from every one of the Intercoftall nerves, that iflue out of the back-boncjthen pafling through the midriffe with the Defcendent trunk of thegreat artery it is carried as far as to the osjacrum or great bone, at the region whereof it iflues out three propagations, which are diftributed into thenaturall inner parts. The firft goes to the lower membrane of the Kall, and defcending through it is parted into three little branches, of which one is diftributed to the right fideofthe fame membrane, and to that part of the colick gut, that is joined unto it •' another the leaft of them, and a very finall one, to the guts e/woden«w,and the jejunum about its beginning; the third to the bottom of theftomach on the right fide, and to the upper membrane of the Kall, which is fome- thing the larger. That which remains of this propagation is fpent upon the hollow part of the Liver, and the bladder of gall. The ferond goes into the right kidney, and the membrane thereof. The third, which is greater then cither of the former, defcen- ding to the firft rack-bone of the loins,reache3 into the right fide of the mefentery andt in- to the guts, that are tyed thereto, entring the center of the mefentery in com- pany of an artery, and a vein. The remainder goes into the bladder, and in women into the right fide of the bottom of the womb. But the outer branch of the left nerve, laving that in its defeent it has offered fprigs both to the Pleura, or membrane invefting the ribs, and to the coat of the lungs, and that outwardly, as alfo to the purfc of the heart, and heart itfclf inwardly, at that part of the Defcendent trunk of the great artery,where it firft ifliies out of the heart, and is bowed to the back-bone,it fends forth three furcles, which returning to the faid artery cloie together into one nerve, which is called (inifter recurrens nervus, the left returning nerve, and in like manner as the right one, takes its progrefle upward, and is propagated into the mufcles of the Larinx, or throttle. After this it ifliies out a fmall fprig, which is diftributed through the bafts of the heart, and coat of it in manner of hairs. Afterward the remainder defeends inclining itfelf oblique- ly to the right, and goes to the upper orifice of the ftomach, into the right fide where- of it is diffi.ifed,as the right branch was before into the left fide, being divided into many little branches in manner of a net. From this a furcle is carried down along the upper part of the ftomach to the pylorus, or lower orifice, which when it hath as it werein.ter- woven with lome fprigs, it goes into the hollow of the liver. The inwer branch firft of all takes to it propagations from the intercoftall nerves, and then palling through the midriffe is divided into three. The firft of them goes overthwart to the Spleen, and in the way (hoots out two fprigs, one, which is like wife fent into the lower membrane of the Kall, and part of the colick-gut, which is tyed thereto; another into the left fide of the bottom of theftomach, and into the upper membrane of the Kall. Thejecond pro* pagation goes into the left fide of the Mefentery, and the guts of thatplace; fometimes allb it ifliies fprigs, which run out with the feminary vcflels through the procefles of the Peritoneum, or rim of the belly to the tefticles. The third goes to the left Kidney, and the fat membrane thereof. The remainder of the branch pafles to the left fide of the bladder, and of the bottom of the womb. The ufeof this pair is manifeft enough, as being very notorious,when the outer branch beftows little boughs upon the middle bow* els,but the inner upon all thofe of the loweft belly, and the right branch upon thofe of the right fide, the left on thofe of the left. Befides this ufe it conduces by the returning branches alfo to the framing of the voice,by imparting the faculty of motion to the muf- cles of the throttle. - The fewenth pair arifes in the utmoftpart of the nowl-bone, where the marrow of the brain is ready to goe out of the skull, and fo is counted the hardeft of all the nerves, that have their original! within the skull. But it arifes in fome roots feparated from each o- ther, which joining together on both fidcs into one, it goes out of the skull through the fourth and fifth holes of the nowl-bone (which are placed betwixt that greateft one, which opens a way for the defcent of the fpinall marrow, and that, at which the fixtn pair goes out) and prefcntly after its egrefle is involved in one common membrane with the fixth pair; whence fome, not fo diligently obferving it, have beleeved that they were mixt one with another; and thus they defeend together. When it comes to the root of the tongue, it diftributes furcles into all the mufcles thereof fending over fome alfo to certain mufcles of the bone hyoides, and of the throttle, as alfo to thofe, which take their beginning from the appendix called ftyloides. The ufc of this conjugation is to carry down the faculty of fcnfe, & motion from the brain,to the mufcles of the tongue. To thefe feven pairs, which are commonly fo numbred, we adde an Eighth which makes the nerves of finelling, by which a faculty is derived from the brain of apprehending the odours of things without. Thefc are commonly affirmed to arife out of the marrowy fubftance of the brain, in the bafts thereof, near to the firft pair; but the new difleftion of the brain, and which is performed by turning it upfidedown, hath taught us, tha$ they arife at the utmoft fides of the brain, in that part, which is above the holes of the ears,whereby it is manifeft, that hitherto only one half of them hath been (hewn. They are very (harp at their original!,and diftant one from the othcrsbut going,forward by dr gr 2; 3- > The outer branch of the left nerve. Its propaga- tions. The left recur-' rem nerve; rPropagariortt of rhe inner branch of the Jefe nerve. b 2. 3* Vfa' ; The fcventlg pair* Its origiaaht Its u(e0 The eighth pair. Its orig 40 Of the Nerves. "I RAC T.gj. grees, betwixt'the uppermoft and middle prominence of the brain, they grow thicker, and draw nearer one to another, and fo at length they lye down above the firms orcavi- ties of the fpongy bone within the skull. Thefe arethruft into the mammillary pro- cefles of the ..brain: but Galen and Marinus.fi whom almoft all Anatomifls have followed) would not call them by the name of Nerves, although they altogether agree therewith in their colour,courfe, and ufe, becaufe they neither have productions like the reft of the nerves, nor go out of the cavity of the skull: but truly they feemtometo commit no other a fophifm,then they, who have expelled the teeth out of the number of the bones becaufe they are not invefted on the outfide with a membrane,as others arp,al though nei- ther this makes any thing to the eflence of the bones,nor that to the e Hence of the nerves. CHAP. II. Concerning the nerves of the Sp inall marrow properly fo andfirjl of thofe of the Rack-bones of the Nech Attire, the wife parent of all things, as fhee hath framed the nerves, that they might ferve for the carrying of the faculties, and fpirits, that are generated in the brain, becaufe the brain itfelf could not be diflufed through the whole body : fo when the fame could not conveniently bc- ftow nerves upon all the parts, by reafon of their too great diftance, fhee made the fpinall marrow, which is nothing elfe, but the marrow of the after-brain and brain, extended through the long conduit pipe of the rack-bones of the back. And therefore we having already viewed thofe nerves, which take their originall from the marrow of the brain, whileftitisyet contained in the skull; it remains now, that we take a view of them alfo,which come from the fpondyls of the back-bone .* But it is called marrow, not that it hath any affinity by reafon of its fubftance with the marrow of the bones 5 but bccaufe like marrow it is contained within the rack- bones ; but the fubftance thereof is like that of the brain , which itfelf alfo Plata called marrow; and it is named the fpinall marrow, or of the to diftinguifh it from both thofe, that are not contained in the back-bone, but cither in the skull, as the brain, or in the hollownefle of the bones, as that which is properly called marrow. This fubftance is covered with two membranes, no otherwife then the brain itfelf is, from whence it takes its Originall,the one thick,the other thinner,which are invefted with a certain third, ftrong, and membranous covering, that Galen thought to be the ligament of the rack-bones. But it was made to that end, that it might diftribute fenfe, and motion to the mufcles, aad membranes, to which thofe pairs of the brain do not reach. Therefore, when there is a good number of nerves arifing there from, yet we ffiall eafily reduce them to fome certain clafles, or companies, if wc fay that they all make up thirty pairs, of which feven belong to the marrow, whileft it is carried through the rack-boneS of the neck; twelve, whileft it is carried through thofe of the chcft ; five, through thofe of the loins; and laftly fix to that, which is contained in the holes of the osfacrum, or great bone. But thefe nerves go out through the holes of the rack-bones, and either with a double originall on the fore and hinder part, as it happens in the two firft conjugations of the neck, and five of the great bone, which arife not from the fides, that is, from the right, or left part, but iflue forth two branches before and behind; or elfe ftith a (Ingle one, through one hole bored in both fides of the rack-bones, as happens in all the reft of the pairs, in which one nerve ifliies from the right fide, the other from the left. But the firft, and fecond pair have a double beginning, left if they fhould arife with a fingle one, that being fomewhat thicker might have been hurt by the joints of the rack- bones ; or if the hole fhould be made larger, the rack-bone (which was fmall enough of itfelf ) fhould be liable to breaking. Therefore that both thefe evils might be avoided, the wife Opificet made a double beginning,one on the forcpart,another on the hinder.But the •right branches go every where to the right fide, the left to the left,and they arediftributed on both fides after the fame manner. The firft pair therefore [tab. i.w.i.J a rifts with its firft,and for enwft prop agationftab.i.Bjfrom the forepart of the fpinall marrow, and pafles cut betwixt the nowl-bone, and the firft rack bone of the neck, near to the fides of that round ligament, wherewith the tocth- Jike proceflc of the fecond rack-bone is tyed to the forefide of the nowl-bone, and fo it is, diftributed into the mufcles over the neck, and under the gullet, that bend the neck. IFiththe other, andhinder propagation, [tab. 2. Fig. i. C."] it likewife falls out through the hole, that is common to the nowl-bone, and firft rack-bone of the neck, toward the hin- der part, but with a double fprig , one of which being fmall is fpent upon the leffer ftrait mufcles, and the upper oblique ones, that extend the head; the other reaches out into the beginning of the mufcle, which lifts up the ffioulder-blade. ' ? The The fpinall marrow. VVhy it is cal* lad marrow. Itis wrapt up in two mem- branes. The conjuga- tions or pairs ofthefpinall marrow. The firfl pair of the neck. i Tract.3. Concerning tbe Nerves. 41 The fecondpair [tab. i. 2.] with its fore-branch [ tab. i.D,] (which is (lender, then the hinder on e,, though both of them feem fmall enough) arifing from die fore-part of the marrow goes forth betwixt the firft, and fecond rack-boms at the fide of the tooth-like procefle, which branch is dlftributed into the mufcles, that lie upon the neck, as well as the fore-branch of thefirft pair,which is wrapped together with it ; and isalmoft wholly fpencupon the skin of the face. With its hinder branch [tab. 2. Fig. i.E.J it flips out through the fides of the backward procefle of the fecond rack-bone, but prefently is cleft into two branches of uncquallbigne(fe,ofwhich that which is the thicker[tab.2. fi.i.F»] tends from the forepart to the hinder, where the mufcles feated on both fides of the hindet part of the neck do meet together,& there being mixt[t.2.f. 1 the third propagation of the third pair of the nerves,it runs out through the middle of the faid mufcles,returri- ing from the hinder to the foreparts, andfo is diftributed into all the skin of the head, as far as to the top of the crown, 2.f.t. H] as alfo to the ears. The other branch ,which is the/lenderer, is in erted into the greater ftraight mufcles, and the lower oblique ones, that extend the head. Galen makes mention of thefe branches lib. 4. de locis affeft. which place we (hall not think much to tranicribe hither, it making very much to the illuftra- tion of the ufe of this kind of learning.Not long fince,faycs he,they ulcerated the head of a certain man, by laying on medicins vehemently heating,thinking by this means his fenfe, that was greatly impaired, might be recovered. But we cured this very man, having found out the feat of thedifeafe as well from other accidents, as from the primitive, or procatarftick caufes. For we diligently examined him about every one of them, apd found that this was one; when he had walked in much raincaufedby a violent wind, his cloak was wet about his neck, fo that he felt hjmfelf affe&ed with a vehement cold in that part: fo then if you know, that four nerves afeend from the firft racks of the back-bone to the head,frohi which the skin about it receives itsfenfe,you will eafily find out the feat of the difeafe,that therefore being hcaled,the skin of the head was healed alfo, as having no primary difeafe. The third pair [tab. 1.3.3 ifliies out of the common hole in the fides, which is betwixt the fecond and third rack-bones, and prefently after it gets out, is cleft into two branches, of which the more forward one [tab. 1.1.] is fubdivided into propagations. The firfl f t.2.K] goes to the firft bending mufcle of the neck,or the long one; the fecond [*t. 1 .L.] runs down,and being united with a fprig of the fourth pairQnd,. 1 .QJ ends in the mufcles, that lye under the gullet. The third [tab. 1. M.] climbsup, and joining with the thicker branch of the fecond pair but now mentioned [tab.2.f. 1 .F] is fpent upon the skin of the hinder part of the head. The fourth [tab. i.NJis imparted to the tranfverfe mufcles, or to the firft pair of the extenders of the neck, and to that, which lifts up the (houldcr-blade, of which two mufcles that ends in the tranfverfe procefles of the neck, this begins therein; and at length it is digefted into the fquare mufcle, that draws down the cheeks, which is called by Galen vnaTw/MpvaFtf.The hinder branch [tab. 2.f.i. O] is implanted into the (ccond pair of mufcles,that extend the cheft. - The fourth pair [tab. 1. out of the common hole of the third, and fourth rack-bones,and like the third pair is divided into two uncquall branches. The more forward and greatcr[tab.i .P Jis cleft into three other twigs,of which the firft [tab.i.QJ is joinedwith anotherbr nchofthe third pair [tai.i.L] and goes to the firft long pair of mufcles, that bend the neck. Another [goes to the tranfverfe mufcle, orfirft ofthofe, which ex- tend the neck, and to the firft of the (boulder-blade, called Cucul/aris,the cowl-mufcle. The third [tab. 1 .S] being fmaller then the other, and joyned with a furcle of the fifth pair,and another branch of the fixth pair, near to the mediaftinum or membrane that parts the cheft in the middle, and above the Pericardium, pafles on downward, that out of thefe three principles the nerve of the midriffe may be made up. The hinder branch [tab.z.f. i,T] goes to- ward the fpine or ridge, under the mufcles, which are placed thereabout, to which alfo it affords a good number of branches,and from thence being led downward between the mufcles on both fides of the neck, it is carried to the fquare mufcle, that draws down the cheeks. In this place it is worth our labour to inquire what may be the reafon, that they who are troubled with a Refblution,or deprivation of motion in the whole body,have ne- vcrthelefle the motion of their midriffe for a while free : fome make anfwer, that this hap- pens, bccaufe although no fpirits are (ent over from the brain,yet they may be diffuied out of the marrow of the back. But thefe men beg the queftion, when we fiippofe, that no fpi- rits come from hence,becauie we (ee that all the mufcles of the whole body,to which nerves are (ent from the marrow of the back, are refolved or deprived of motion. Therefore I thought fit to feek out for another anfwer, and to fay that the midriffe has two motions, one, that is voluntary,which we ufe, whilft we breath ftrongly ; another naturall one, when the fibres are extended,and contrafted of themfelves./ A man therefore is preferved by this naturall motion, when we fee that breathing is little, and weak, and as much as fuffices, that the lungs may be moved a little. The fifth pair [tab.1 .numb, goes out betwixt the fourth and fifth rack-bonej, and, like the two laft fore-going, is cleft into two branches. The forwarder of them [tab.i ,U] iftues Gggg forth The fccond pair. .The third pair. ' les fore-branch Its hind«' branch. The fourth pair. The f« re- branch. les prOpagX' cions. I. 2a 3* The hinder branch. A queftionu The fifth1 nerve? Its fore- branch,, 46 Concerning the Nerves. Tract. . forth fome propagations.firfl [tab.i .betwixt U and 6] goes to the mufcles, that bend the neck. Another [tab. I .X] together with propagations of the fourth3and fixth pairs,fome- times alfo of the feventh, to wit, then when the branch of the fourth is wanting, defeends near to the fide of the gullet through the forepart of the rack-bones of the neck,and is im- planted into themidriffe, & fo makes the midriffe nerve.7 he third [ti Y] is carried through the upper part, and outfide of the arm,to the fecond mufcle of the arm,to wit,that which lifts it up, called Deltoides,from whence little branches are fent over to the firft,and i'econd, that is to the cowl-mufcle,& the lifter up of the fhoulder-blade.'fhe jwth i. b ] at the neck of the fhoulder-blade is cleft into two,of which the formerftab. i .c]goes in- to the mufcle Deltoides,at that part where it arifes from the clavicles or canal-bonerthe lat- ter and thicker [tab. 1 .d] is inferted into the fourth pair of mufcles of the bone lyoides, cal- led coracohyo/deum, and from thence imparts a finall branch to the upper mufcle over the fhoulder-blade called fuperfcapularir, and to the mufcle Pe/tozdct, where it arifes from the fpine of the fhoulder-blade.Tfce hinder branch [tab.2.f. i .eJis writhen toward the back-bone, and diftributed in the fame manner, as the hin'der branch of the fourth pair is. The fixth pair [tab.i.num b.6\ goes out under the fifth rack-bone, and in like manner as the other pairs are,is divided into two branches.Tfce forwarder and greater [tab.i. f] after it has propagated that fprig,[W.i.g] which wefaid is joined with the fourth,and fifth pair, [tab. i -S and X] to the making up of the nerve of the midriffe [t ab. i .i] palling on farther is united with the two next following pairs,the feventh of the neck,and the firft of the cheft, and is again feparated from them, and then again being joined with them it fo weaves a certain net-like texture,from which nerves are ifiiied forth, go to the arm. 7he hinder [tab.2.figi. 1] is carried to the hind mufcles,which extend the head,and neck. Thefeventh pair [tab.i.n. is derived from the marrow of the neck, and iflues forth through the common hole of the fixth, and feventh rack-bones. 7he forwarder, and greater branch thereof [tab. i.iff] is joined presently after itsegrefle with the fixth nerve of the neck,and the firft of the cheft,and for the greater part is carried with the reft to the arm.TZze binder and kffer branch [tab.2. fig. i.ff] goes to the mufcles,that lye upon the neck, and to the fquare one,that draws down the cheeks. The hinder branch. The fixth pair, its fore- branch. Its hinder branch. The feventh pair. The fore- branch. The hinder. CHAP. III. Concerning the Nerves of the marrow of the of the Cheft. Wclve conjugations of nerves ifliie forth from the Ipinall marrow, whilft it runs through the rack-bones of the back,as the mo ft learned Vefalius has right- ly opinioned,howcver there are but eleven holes bored in the twelve rack- bones thereof as Columbus objected , becaule the firft pair pafles out between the laft rack-bone of the neck, and the firft of the back, wherefore it ought to be numbred rather among the pairs of the cheftathen thofe of the neck. All thefe con- jugations after their egrefle are divided in two ; and the one branch which is the greater, alwayes bends forward 5 the other which is the lefle is bent to the hinder parts,and to the mufclcs, that lye upon the back. The firft pair then [tab. 1. numb. 8~] of the nerves , which iflue forth from the mar- row of thecheft, goes out of the common hole of the feventh rack bone of the neck, and the firft of the cheft, in the fame manner, as the five pairs laft mentioned do, and in like fort alfo is forthwith divided into two branches. The forwarder, • and greater [tab. 1. o] is united, [tab. 1. p] partly with the feventh nerve of the neck , partly with the fecond of the cheft, in that manner, which we have before explained; and fo afterward is wholly confumed upon the arms, excepting one propagation [tab. 1. q| which arifingat the beginning of it, is joined with the faid nerves, and runs into the foreparts, near the length of the firft rib of thecheft, to the breaft bone, bellowing a fprig upon the fubclavian mufcle, after that being reflefted upward it is fpent upon the mulcles,which take their originall from the top of the breft-bone: filch are the mufcle,that bends the head called Maftoidew;that which draws down the bone hyoides,or fternohyoideus; and the firft of them which extend the buckler-like griftle of the throttle, called thyroides, or the mufcle fternothyroideus. But to the two laftlbmetimes branches are fent over from the fixt conjugation of the brain, and the third of the cheft. The fame branch alfo when it has paft the arm-pit, being ready to go to the arm, iflues forth a certain other propagation from its hinder part, which goes to the mufclcs feated in the hollownefle of the Ihoulder-blade. The hinder and leffe branch [id. 2. fig. 1. r] lies hid un- der the mulcles, which grow to the rack-bones, and imparts fome propagations to the lecond bending mufcle of the neck, and to them which extend the head and neck; but when it has attained to the fpine of the leventh rack-bone, it goes overthwart to the lower fide, and diftributes furcles into the firft mufcle of the lhoulder-blade,or that like a Monk's cowl,and into the third of the fame, called Rhomboides, as alfo into the upper of the hindmoft law-mulcles. The The firft Pair. Its fore - branch Its hinder branch. Tkact.9. ■Concerning the Nerves. 41 The fecondpair ta. i.num. 9. ] breaks out betwixt the firft and ftcond rack-bones of the cheft, and is cleft likewife into two branches. The forwarder [ t. 1. s.'Q is united with the firftpair of the cheft; and thus the firftand fecond pairs of the cheft are united by Hirns, with the fifth, fixth, and ftventh of the neck, that the one are not difterned from the other; but make a net not unlike to thofe firings which hang at Cardinals hatsjfrom which afterward all the nerves that go to the arms, iffue forth, and cake their original!. This fpreads out a branch [ t. 1. t ] which goes forward throHgh the firft diftance betwixt the ribs, according to the courfe of the firft rib, as far as to thebreaft-bone, making the firft Intercoftall nerve, from which furclcs [ t1. u ] -are diftributed into the mufcles that lie upon the ■cheft. "The hinder branch [ t. 2. pi. x]has the fame diflemination with that of the foregoing pair. The other ten pairs \ tab. 1. numb. 10,11,12. and fo on to 19 inclufively 3 of the nerves of the cheft, obferve the fame manner both of their rife , and diftribution. For they all iflue out of the common holes of the rack-bones at the fides, and preftntly after their egrefle are cleft into two branches of unequal bignefle, one of which is the forwar- der and greater;the other, the inner and lefle. The forward branches f ta. 1. j.-] ( which make the nerves between the ribs ) are carried into the forc-fide,and each of \ them affords a little branch in order according to its length,to the inner branch of the fixth pair,which defcends under the pleura to the roots of the ribs. Thefe branches are joined with the In- tercoftall veins and arteries; together with which they paflc along the rib to the forepart through the jlnus or chanel, which is cut out on the lower and infide of the ribs.But they which belong to the true ribs, go on as far as to the breaft-bone; but they which belong to the baftard ones, are carried into the forepart of the abdomen above the peritoneum or rim of the belly. From thefe nerves many branches are difleminated into the mufcles be- tween the ribs,not only in the inner, but the outer onesalfb,as wel as into the i.«]which lye upon the cheft; fuch as are the fourth,andfifth mufcles of the fhoulder-bladc or the two formoft faw-mufcles, as alfb the broad one, called Latifjimus Q tab. 1. (2 j that moves the arm backward from the breaft. In like manner a propagation goes from the fifth Intercoftall nerve, about the middle of the rib , palling through the Intercoftall mufcle, into the firft pair of the mufcles of the 1.* ] as alfo into the skin of the cheft; and being divided in four parts is diftributed into the peftorall mufcle that moves the arm forward to the breaft,and alfo into the skin, from which fome fprigs doc afterward goe to the nipples of the breaft | ta.i. y] and impart to them a very (harp fenfe. The hinder branches [ ta. 2. fi.i. goe backward to the fpine, or ridge , between the mufcles going to the rack-bones, which have the charge of extending the cheft. Yet are they not wholly fpent upon theft mufcles, but when they have now attained to the tops of the fpines, they fall out between the mufcles of both fides, whereabout they are joined to one another, and fo afterward they give nerves to all the mufcles , which arift out of the tops of the fpines of the rack-bones. Such are the firft extending mufcle of the head, called Triangular is ,or Splenetic the third mufcle of the fhoulder-bladc,or Rhomboidesj the firft of the fhoulder-blade, or Cucullaris, the third broad muftle that leads the arm a- way from the breaft, called sfnifcalptor, and the hinder faJV-mufcle. A good number alfo of furcles are diftributed into the skin of the back. The fccond pair. rhe fore- branch. • The binder one. The other ccn pairs. Their fore* »branches. Their hinder branches» CHAP. IV. Concerning the nerves of the marrow of the rack-bones of the loins. Rom the fpinall marrow, whilft it is carried through the loins,although there beonly four holes,yet five pairs ifliie forth , the firft being between the laft rack-bone of the cheft, and the firft loins. But they go forth through the common holes, and being gone forth , are diftributed in like manner as we have faid of the nerves of the cheft; when from everyone of them, pre- fentlv after its gong out, onebranch, and that the greater, fpreads it ielfe forward ; the other and lefle backward. The formoft branches run to the mufcles. of the abdomen y or outer and forepart of the loweft belly; the hindmo/i to them, which lie upon the fpmes of the rack-bones, and the bones without a name, from whence they impart lome little branches alfo to the skin that covers the loyns. But the fore-branches are knit together, the firft with thefecond, the fecond with the third, the third with the fourth, aud the fourth with the fifth in the fame fa(hion,as we faid the nerves of the arm were,whilft they make the net-like complication. The falitwr thmSta.mm.i. 20. Jas the reft do alfo;going out under theferrtWMWB, or rlmofthebelly, through the common hole of the rack-bones, which is betwixt the laft rack-bone of the cheft, and the firft of the loins; prefently after its cgretle 11 d'ft into tw > branches. The fore-im®*,which is greater, goesjnto the flefliy parts of the nud- ri ff- and into the beginning of the firft bendi ng mufcle of the thigh, called 4«w. ' Gggg2 t'rom The firft pairCc Its fore-branch 42 Concerning the Nerves. Tract.5* The hinder one. From this nerve a certain furcle [ ta. 1.39.] takes its beginning., reaching out for the moft part with the preparing artery to the tefticlc. The hinder branch [ ta. 2. fig. 1. Kw.42.3 Tends propagations into the mufcles that lie upon the back fide of the rack-bones of the loins,filch as are the firftand third of them which extend the cheft, that being called Dorjt longi(Jimus3 this facrolumbw, asalfothe mufcle which extend the loins : but when they iff fue out from the tops of the fpines,wherabout the faid mufcles are joined one to another, they run to the fides,and are implanted into the broad mufcle,th at leads the arm outward from the breaft, called Latiffimw. The fecond pair [ t. 1. n. 21. ] goes out under the firft bending mufcle of the thigh, called betwixt the firft and fecond rack-bones of the loins. Uhe fore-branch thereof isdi- ftributed to the fecond bending mufcle of the thigh, that fills up the cavity of os Ili- um, or the hanch-bone, and the firft bending one of the leg, called Fafcialis, as alfo to the skin of the thigh. The hinder branch going out of the abdomen is diftributed to the three mufcles that extend the thigh, or the Glutei, and to that which extends the leg, called Mcmbranofus, the membranous mufcle. The third pair [ t. 1. M.22. ] iffues forth likewife under the firft bending mufcle of the thigh, betwixt the fecond and third rack-bones. The fore-branch thereof paffes over near to the hanch bones, diftributing two propagations; one which goes to the knee, and its skin; another f 1.1.51. Jwhich accompanies the vein of the inner ancle, called faphena. The hinder branch is rcfle&ed and diffeminated into the mufcles which lie upon the loins. The fourth pair [ t. i.w.23. ] is the greateft of all the nerves of the loins, and being car- ried under the faid mufcle that bends the thigh, as alfo under the os pubis, or fhare-bone, accompanies the Crurall vein and artery. The fifth andlaft pair [t. i.n. 24.] iffues out betwixt the fourth and fifth rack-bones; the fore-branch whereof pafles through the hole which is betwixt the hip-bone,the os pubis, or fhare-bone, and the os Ilium or hanch-bone, and diftributes fome propagations to the two mufcles that turn the thigh about, calledObturatores, others to the fecond and third bending ones of the thigh, and others to the mufcles of the yard. The hinder branch goes into the mufcles, and skin upon the rack bones. T hefccond. The third. The fourth. The fifth. CHAP. V. Concerning the nerves of the war row of os facrum or the great hone. Vft of all from the marrow which is contained in the rack-bones of the oj fa- the fix laft pairs of the nerves of the fpinall marrow do ifliie forth. The firft of thefe [ t. j. n. 2 5. J goes out betwixt the laft rack-bone of the loins , ind the firft of the great or holy bone, in the very lame manner as the rcft,that arife out of the rack-bones of the loins, and likewise after the fame fort is di- vided into two branches. 'The fore-branch although it be mixed with the crurall nerves .fends yet a foi?cle £ t.1.43 • ] over near to the inner region of os Ilium, and is difperfed into the mufcles of the abdomen, and into the fecond bending one of the thigh. The hinder £ t. 2.f. 1. n. 44«] is difleminated into the mufcles that arife from the os Ilium or hanch- bone, and efpecially into the firft of them, that extend the thigh, or the greater Gluteus, as alfo into the skin of the buttocks. The other five pairs have fomething proper to themfelves j fo that before they go out of the bone, they are every of them double on each fide, and fo from every one ctl them a double branch is carried on each fide, one to the forepart, another to the hinder. The three uppermoft of the fore-branches, as that of the firft pair alfo, go to the Crus, or parts of the body below the buttocks : the two loweft go into the mufcles of the fundament and in women to the neck of the womb, in men to the yard 5 but in both fexes to the outer privy parts. The hinder branches are diftributed to the mufcles feated on the backfide of the bones Ilium, and facrum. Of this fort are the firft and third extending mufcles of the cheft, or Dor ft longiffimus, the long mufcle of the back, and facrolumbus, that which bends the loins, called facer, and the broad mufcle that leads the arm away from the bread; as alfo the three which extend the thigh, being the authors of the buttocks, and therefore calledglutei the buttock-mufcles. And this is the utmoft end of the fpinall marrow, which reaching into the rump-bone, called os coccygis is in this manner terminated: And this is the hiftory of the thirty pairs of the nerves which go out of the fpinall marrow,which is diligently and accurately to be committed to the memory ? that we may know to what place remedies ought to be applyed, if at any time from fome externall caufe, as by a fall from aloft, or a bruife,or fome notable compreflion,any part fhallhave loft either motion, or fenfe, or both. For the remedies muft be applyed al waits to the beginning of that nerve,not to the place, in which the fymptome is perceived. / • ' CHAP. The fir ft paire. The other five pairs. Trac Concerning the Nerves'. 45 CHAP. V I. , the Nerves which are diftributed through the Arms. Hofe nerves being now enumerated, which are difperfed through the mufcles of the three bellyes, and the parts contained in them 5 it re- mains that wedefcribe thofe alfo, which are propagated through the or extream parts of the body. Here we meet with them firft, which are diftributed through the arms, whereof there are fix pairs com- monly fet down by Anatomifts arifing from the fifth , fixth, and feventh pair of the nerves, that come out of the marrow of the neck, and from the firft, and fecond of thofe, which iffue out of the cheft. Thefe nerves go out through the common holes of the rack-bones, on both fides, and prefently after their going out are united one among another with their forwarder, and greater branches, by and by are feparated one- freen another again, and joined again, and finally feparated, fo that they feem to make blit a certain net-like texture, which cannot be better likened then to thofe firings of Cardinals hats. This implication of nerves goes forth under the clavicle, or coller- bone, about that place, where the axillary veins and arteries go out of the hollow of the cheft, and from this all the nerves of the arm take their originall. But their rife is very uncertain by reafon of their being fo knit together, wherefore wee in our relation of them will rather follow the footfteps of other men, then our own obfervations, left wee fhould feem to affeft new opinions rafhly, and without neceffity. The firfl nerve then[W. 1. e] which is carried to the arm, is a double propagation, namely the third, and fourth of the fore branch of the fifth pair of the neek. For the one branch [tab. 1. Y] is carried to the fecond mufcle of the upper part of the arm cal- led Deltoides, and to the skin that lies upon it: the other Q tab. 1. b 3 goes toward the neck of the fhoulder-blade, where it is cleft into two branches; the former of which f tab. 1. c] goes into the mufcle Deltoides, where it arifes from the collar- bone ; the latter [tab. 1. d] is inferred into the fourth pair of the mufcles of the bone hjoides called coracohjioideum, and from thence affords a little branch to the upper fuperfeapular mufcle, and the Deltoides, at what place it arifes from the fpinc of the fhoulder-blade. This nerve runs out through the higher fide of the arm; blit the other five are carried through the arm-pit into the arm, and in the fame are Mattered into more branches. The fecond nerve [tab. is thicker, and takes it originall from that net-like compli- cation, of which we fpake , yet, from what nerve cannot be evident enough. This is carried down through the middle, and fore-part of the arm; into which it enters under the firft bender of the cubit, or the double-headed mufcle, at that part, where its two heads are united one with the other, and where the tendons are inferred both of the peftorall mufcle, that leads the arm forward to the breaft, and of the Deltoides, that lifts it up. Being hid then under this mufcle it fends forth two propagations [tab. 1. »j one of each fide, which enters into the two heads of the mufcle bicepsand after that about the middle of the length of the upper part of the arm, going under the fame double- headed mufcle, it (hoots forth another fprig [tab. 1. t] by means whereof it is joined with ■ V third nerve; and from thence defeenuing it diftributes in its progrefle a furcle [tac !.sl from its outfide to the head of the longer of the two mufcles of the radius or wand, that turns the palm of the hand downward. When it is now come to the ben- ding of the cubit, being led to the flefhy membrane, near to the outfide of the tendon of the faiddouble-headed mufcle, it is diftributedinto the skin, being divided into two branches,of which one is the outer,the other the innerjthat is the flenderer,this the thick- er.Tbe outer then (Yd). i.fj being carried down a good way with a branch of the Gepha- lick vein through the infideof the cubit, is diftributed [tab. 1.to the fecond bone of the thumb. 7he inner brunch (tab. i. m] is fubdivided under the common vein of the arm, or the middle one, called Me di ana, into two branches, the eater whereof [tab. 1.] going on obliquely under the skin leaving the vein goes away toward the radius as far as tothewreft : but the inner [tab. 1.beingfaftened to the inner branch of the Cephalick- vein,when it goes more obliquely, in the region of the cubit is cleft into two fpeciall branches,of which one [tab.1 isdiftributed through the region of theleflerbone of the cubit,the other [Yrta.o] through the region of the greater bone tothewrift, and from thence,that being paffinto the skin of the infide of the hand. The third nerve ofthearm[t4&.i.{f] or the third, which is carried to the arm, lies next'" under the fecond, and in like manner with it arifes from that net-like texture. This aerve, whilft it paffes through the arm-pit, before it has yet attained to the arm,brings @ g g g 3 forth 71ie firft nerve' of ths arm. The feconct In progreffir# Its ons.; Its branches. The outer. The The third# 46 Concerning the Nerves. Tract. 2. forth a propagation, [tab. I* which is difpcrfcd under the skin betwixt the Pc&orall mufcle, that leads the arm to the breaft, and the mufcle Deltoides, that lifts up the fame. But when it hath firft attained to the arm, it hides itfelf under the mufcle Biceps, or firft bender of the cubit, and palling on downward together with the feco nd nerve, it fends out a littlebranch [tab. l./J into the head of the fecond bending mufcle of the cubit. After this defeending it receives a branch [tab. I. from the fecond nerve, by means whereof they are joined one with the other/, and then it goes farther through the forepart of the arm unto the bending of the cubit, being alwaycs equally diftant from the fecond nerve, and is carried into the protuberation of the infide of the arm, aud the fore-part thereof. When it hath paft this, it iffues forth many propaga- tions, [tab. i. <| which together with the branches, that are derived from the fifth nerve, which is carried through the hinder region of the fame protuberation, are diftributed into the mufcle s, that arefeatedon the infide of the cubit,and arife from the inner protuberation of the arm: fuch are the two,that bend the uttermoft bones of the fore-fingers, and that, which bends the third joint of the thumb. After this it fends out another propagation, which is carried down between the faid mufclcs through the- radius together with a vein,and artery,to the wrift, and palling through under the the tranfverfe ligamentjfcattcrs fome fmall fprigs into the mufcle, that moves the thumb outward from the fingers,and the two,that bend the firft joint of the fame. After this when it is come to the palm of the hand,it is divided into three branches; the firft of which (car- ters two twigs into the thumb,the fecond as many into the fore-finger,the third fends one to the middle finger on the infide. The fourth nerve [tab. 2. fig. 1. Tj isthebiggeft of all them, which are carried to the arm, as being almoft thrice thicker then the reft. Thisarifes, as well as the other,from the net-like complication, and from thence is carried down through the arm, in like manner as the third is, lying deep every where among the mufclcs, having the bafilick- vein, and axillary artery for its companions. But prefently after it hath entred the arm, it derives many, but fmall fprigs [tab.i.fig. a] into the heads of the mufclcs,that extend the cubit; and before it is come to half the length of the upper part of the arm, it is contorted obliquely downward to the bone thereofand pafles on betwixt that, and the mufclcs, which extend the cubit. But before it be wholly refle&ed, it fends forth a furcle [tab. 2. fig. 1. rjfrom its infide, which goes betwixt the faid mufclcs, as alfb the fecond of them, that bend the cubit, and is fpent upon the skin, that clothes the infide of the arm, fome fibres being propagated upward, and downward. Having difleminated this propagation it goes by degrees through the hinder part to the outfide of the arm, being carried through the cavity of the outer protuberation of the upper bone of the arm, that is cut out in the back-fide thereof, where likewife it fends out a furcle, [tab. 2. fig. i.a] going to the skin, that covers the lower part of the out- fide of the arm 5 and then another [tab. 2. fig. 1 ©3 which is diftributed into the skin,as far as to the wrift. After that near to the joint of the cubit it is divided into two branches, an outer, and an inner one, which being hid deep, and among the mufcles, as the whole trunk alfb, defeend to the wrift. The outer branch [tab.2. fig. i.A] goes a- long the radius, or wand, and when it is come to the wrift,paffes through the tranfverfe ligament, on the outer part, and by and by is fubdivided [tab. 2. fig- 1.2] into two bran- ches, of which owe goes with a double fprig into the outfide of the thumb,the other is fpent partly upon the fore-finger,partly on the middle one But the inner branch [t reach- ing along the cubit fcatters more propagations, the/hf? into the firft mufcle that extends the fingers, the fecond [ta.2.fig. 1.<f]into the fecond,that extends the fingers 5 the thirdft.2.fi. 1.^]into the innermufclc,that extends the wrift. But in its ptrogrefle [t.z.fi.iSQ it affords propagations to the three beginnings of themufcles,that take their original from the ulna,or greater bone of the cubit.The remainder ofit ends in the wrift, [tab.2.fig. 1.31]. The fifth nerve [tab.i.nmnb. 32] arifing lower then any of the fore-mentioned, out of fame net-like complication,and being joined to the fourth, defeends through the infide of the arm, between the mufclcs, that bend, and extend the cubit. This fcatters no pro- pagation from itfelf, but remains intire,till it be come to the inner protuberation of the arm, at whole hinder cavity it is reflected, and is diftributed afterward in the fame man- ner with the third nerve,which pafles through the forefide of the fame pro tuberation. For both of them beftow propagations [tab. 1.3 3J upon the mufclcs, which grow out of the inner protubcration of the arm, and keep the infide of the cubit. It iflues forth a pro- pagation alfo [tab.i. 3 4.3 which being carried through the radius3or wand; goes between the mufcles, which bend the fecond, and third joints of the fingers, and fo to the palm of the hand, & fends out the firft branch9which being parted in two is implanted into the in- fide of the little finger;then another, which being alfo cut in two goes into the ring-finger, and at laft another that goes to the outer part of the infide of the middle finger. But from this fame fifth nerve,and from the outfide near to the middle of the length of the radiw3or wand,there grows out a certain other furcle,Qt.l.35.Jwhich being divided into three bran- ches is difleminated into the outer part of thcmiddlesthcring-finger,and the little one. Th? f The fourth. Its propagati- ons. Its two bran- ches. The outer. The inner. The fifth nerve Tract. 5. Concerning the Nerves, 47 'ths jixth nerue[tab,i. numb.36,J iflues out of theloweft part ofthe net-like complication, and going through the arm-pit,and infideof the upper part of thearm,8c of the cubit, un- der the skin it makes haft to the inner protuberation of the upper-bone of the arm,difpcr- ling many farcies in its way to the neighbouring skin. Qt.1. 37. 3y.]But as (bon as it has attained to this protuberation,it is cleft into many propagations,fome of which lie under the branches of the balllick vein,fome lie over, and fo being carried under the skin,when they arc come down to the wrift, they end [ ta. 1.3 8.] The fix th. CHAP. VIII. of the nerves that are diftributed through the thighs fiegs, and feet. Here are four pairs of nerves,which are propagated through the Crura. They arife from the three lower conjugations of the loins, and the four upper ones of theffi great bone,which after they are gone through forth the com- mon holes of the rack-bones,as wel as the nerves,whieh.are diftributed through the arm, make a certain complication like the meiftiing of a net, but far grea- ter then that other. Nor are thefe nerves of equall bignefs, but the firft [ta. i .n.46. ] and the third [ta. 1. 56. ] are final 1, wherefore alfo they reach but to the thigh;the fecond [ t. 1. 5 o. ] is fomewhat thicker, and reaches to the leg; but the fourth [ 1.1. 61.] alone is thicker then the three other put together; and is carried down as far as to the utmoft ends of the toes. The firft nerve then [ ta. 1.46. ] growes out of the higher part of the net-like complica- tion, where the third nerve of the loins is joined with the fourth £ ta. 1.47. But it is pre- iently carried downward under the rim of the belly, to the thigh; lying upon the outfide of the tendon of the firft bending mufcle of the thigh, to which when it is come, it fends out a propagation [ta. 1.48.] which runs out through the skin on the forepart of the thigh, as far as to the joint of the knee, and there ends, and offers furcles | ta. i. 49.] to the firft bending mufcle of the leg,as alfo to the fecond and third,that extend the fame. The fecond nerve £ 1.t.50. ] arifes out of the fame complication, and below the firft, over againft the connexion of the third and fourth rack-bones of the loins. This together with the crurall vein, and artery, ( which are the outer Iliacall branches ) defcends through the groin into the thigh, which when it has attained to,prefently it itfues forth a notable propagation [ta. 1.51. ] from its infide, lying upon the fyhena or vein of the inner ankle, on the forepart, all the way it goes under the skin through the inner parts of the crus to the great toe. But as the vein faphena it felf diftributes fome (prigs in the way to the skin next to it, fo alfo this nerve fends out many propagations, of which that is the chief [ t.1.5 3. ] which it gives to the forefide of the knee. But the trunk it felf 121. 1. 54. J when it has fent out this propagation,pafles together with the trunk of the' crurall vein and artery into the thigh,and is fcattered into the mufcles feated on the infide of the thigh,efpecially[ 1.1.5 5. ]into the third bending one of the thigh,and the fourth extending one of the leg,and fo afterward it is terminated above the knee. 7 he third ft. 1. n. 5 6. J grows out of the complication, under the fecond, over againft the conjunction of the fourth and fifth rack-bones of the loins. This nerve being carried down upon the fecond bending mufcle of the thigh, called Iliac us internw, pafles through the hole ofthe fhare-bone, and affords propagations £ 157.] to the two mufcles, that turn the thigh about,which they cal Obturatoresjdie. ftoppers,to wit,of that faid hole,as alfo to the two mufcles that ereft the yard,which arife out of the bone of the hip. From thence like fhetwo foregoing nerves, it defcends, and diftributes little nerves into the skin, that clothes the inner part ofthe thigh [t. 1. 58.] The remaining part £ t. 1.57.] lies deep, the chief propagation whereof [t. 1.6o.]is (pent partly on the fecond, partly on the third mufcle that bend the leg. The fourth nerve [ t. 1. n. 61.1 is made up out of the fore-branches of the four upper pairs of the great bone being united together. By reafon whereof it pafles the reft, yea and all the nerves of the whole body, not only in thicknefle, but in hardnefle alfo, as being made ofthe laft, that iflue out ofthe fpine, or ridge. This enters into the hinder part of the thigh through the cavity, that is in the hinder part of the hip-bone. But prefently it fends forth a notable propagation [j. 1.62.3 fr°m its back-fide, which ftayes a pretty while under the firft extending mufcle of the thigh, or Gluteus magnus} the great buttock- mufcle, and from thence is difperfed into the skin that covers the buttocks, and the back- fide of the thigh to the middle of its length.Then it fends other propagations on both fidcs, three for the moft part to the heads of the third, fourth, and fifth mufcles that extend the leg, and to the third bending one ofthe thigh. After this the trunk of thenefve defcends among the mufcles feated on the hinder part of the thigh, near to the bone, as far as half the length thereof, and diftributes another branch [ 1.1. 64.3 to that flelhy lump of the fifth bending mufcle ofthe leg, called BicepSj which grows to it on the infide, • . / • f r .. i,;/- a Jr* • The firft nerve,' The feeond. The progress of rhe trunks The thirdj The fourth/ The progrefl© of the trunks 48 Concerning the Nerves. Tract. infide, after it has gone beyond the middle of the thigh. From hence alfo other farcies proceed, which arc diftributed into the skin on the backfide of the thigh. But the trunk it ielf proceeding farther on, at length attains to the knee betwixt the two heads of the bone of the thigh, and imparts a fmall branch [1.1. 65.] on each fide into the fir ft ex- tending mufcle of the foot, and the foie mufcle, called plantarir, and by and by is divided, [ t. 1. 66. ] into the inner cavity of the knee,'or in the ham into two unequall branches, which are diftributed alone through the leg and foot. For there is not any nerve which runs out through the leg, befidesthefe two branches of the fourth; if you except only that notable propagation, which being derived from the fecond nerve, as we have faid, defcends in company of the vein the inner part of the crw.'Ihe outer branch [ t. 1.67.] is the fmaller,and goes toward that part where the upper appendix of the fibula, or lefler bone of the leg is joined with the tibia, or greater bone thereof fcatteringa 1.6 8.Jin theway,which goes to the outer ancle under the skin,diftributing in the mean time, many fprigs to the skin. But the branch it ielf [ ta. 1. 6 9. ] pafles be- tween the mufcles feated on theforefideof the leg,and going through the long ligament of thetibia andfibula, or two bones of the leg, pafles together with the tendons of the mufcles that extend the toes, under the tranfverfe ligament, and difperfes little branches to the fides of the Upper part of the toes.'The ifiner branch[j. 1.72 Jis carried down through the backfide of the crus, lurking betwixt the mufcle of the ible of the foot, and the firft of them, that move the foot obliquely, aS alfo the long bending mufcles of the toes; and. being joined afterward with the branch of the outer, which pafles through the ligament, it goes to the foie of the foot, and diftributes propagations in both the fides of the lower part of the toes. . 3cUvifion. FINIS. AN rf'RACT Concerning tbe Nerves. 49 An Explanation of the two Tables of the Nerves. t He thirty pairs of the nerves of 1 Itgrom outofthc[fine of the (bwlder-bMe. • the marrow ol thebrain,whilit hfe it is carried through the (pint rS or ridge3are exp reft in thefe two Tables the prelent & the following one. Wee have in fcribed com- mon charafters on both ofthem;though many alfo bee peculiar to one 5 after which we have prefently fet the number of the Table.But the fir ft (hews the rack- bones of the fpine and the nerves that if- fue from thence on the for elide; the fe- e 2. 6. 1. f 1. g1-. h 1. i, 1. 1 2. 7.1. ni 1. 2. 1 he hinder branch, e. Die llxth pair of the neefe whofe fore- branch f, when it has propagated that circle with the fourth andfifth pair , Sand Xfrnakfs the nerve of the midrifi, if joined with the two following,}.}, and thus it makes up the nerve of the midriffe iffo that this ?•'? out of three farcies S, X, and g. 'Ihe hinder branch 1. The (cventh pair of the neefe whoje fore - branch is m, its hinder one h. WW.l.t. 1. condon the backfide. 8. 1. The firft pair of the chefr, whofe fore- &C. 8 as fir as as far as toy.The (even rackfeoncs of the neck; to 19. The twelve rackybones of thechefr. 0 1. p 1. blanch 0, is united,p, with the feventh pair .of the neefi, and fecond of the chefr, fpreading 20 as far as to 24. The five rackybones of the loins. ql. a propagation q, through the upper fide of the as far as to 30. The fix bones of the os Cacrum. Thefe fame figures do fraud for the fairs of thefpinall marrow. r 2. 9 i- t 1. firfr rib. The hinder branch r. The fecond pair of the chefr, whofe fore- branch lends forth a farcle t, running out K ta. i. The feat of the fpinall marrow, where it firfr * through thefirfrfpacebetwixt the ribs, and & 2. enters into the racky bones. U I. fending farcies u to the mufcles of the chefr. I. I. The firft pair of the neck, whofe forwarder X 2. The hinder branch X. B i.C 2. propagations is B; the hinder C. Thefecond pair, whofe fore-propagati- 10,11,12 &c.to 19 The paires of nerves from the ninth to the twentieth, which have the fame (erics of 2. I. D. on is D, its hinder E,from this two branches inclu- propagations, and especially to the difrar.ces of E 2. E 2.F 2. grow out-, the (lender one marked with the letter E, the other thick one with F, which is mixed with a branch of the third pair M, lively 1. the ribs. The fore-branches of thefe fifig.i.) are fettered into the mufcles [eatedon the forep art of the chefr,and partly into their er G H about G. But thecourfe thereof to the styi of the crown, and backfide of the head is marked with the letter H. y l.X I.. region, as y,partly into their lower z,which in women go alfo to the breafrs-,and then they fend other farcies into the heads of the oblique de* 3- '• The third pair of the neefe whofe fore- CC 1. /tending mufcles of the abdomen a., and into 1.1. branch I is divided into four propagations.The /3 1. that which leadsthe arm from thebreafr/?, ano- K. i. firft K is implanttd into the mufcles, that bend yi. J' 1. ther goes to the nipple of the breafr y. The M. i. the neck; Thefecond Lis mixt with a twig of the fourth pair QjThe thirdMZf mixt with the thicker propagation of the hinder branch of « 1. ' hinder branch The firft nerve that goes to the arm , which isfeattered into the skin of the out fide of N. the fecondpair F. The fourth N is inferted into the mufcles that are joined to the tranj- verfe pracejfes of the rack-bones. »« I. the arm. The (econd nerve that goes to the arm, whofe two firft propagations » ngoeto the tw« O 2. 4. I. The hinder branch O. The fourth pair of the neefe, whofe fore- t. heads of the mufcle Biceps '.then it joins with the third nerve by a furclef. Thirdly, it P. Qj. Ri. branch P is cleft into three propagations. The firft QJoins withthe fecond propagation of the thirdpairL. The fecond R goes into the fl I. carries a propagation to the longer mufcle ;hat turns the palm of the hand downward 9. But about the bending of the cubit it is divided Si. tranfverfe mufcle of the neck; The third S. t I. into two branches, an outer >, and an inner T2. The hinder branch T. K1- eno «.That i defending along the radius or 5.1. The fifth pair of the fore-branch i wand, is inferted at the outfide of the fecond V 1. V iffaes out jome farcies. The firft goes to the mufcles that bend the neck# being to be feen in A I. /z I. joint of the thumb a. This« is by and by fubdivided into an outer [j., and an inner the firfr table between V, and the number 6. V I. I branch v. This v is again cleft in the region Xi. The (econd X wwl'pig thegreatefr part of the 0 It of the cubit into an outer branch ®, and ari Y. a 1. b 1. nerve of the midriffe. The third Y goes to the mujcle Deltoides,of which there is a pro- pagation, a, which goes to the skin, that covers the mufcles Del to ides , and Biceps. The fourth b, at the necfaof the (boulder-blade is 7T I. P *• ff I. inner oneyr. The third nerve entring the arm p,before it attains to the arm, (cotters a (prig betwixt the Fefioral mujcle, aaciDcltoides a.By and by having entred the arm, it distributes another, c 1. cleft into two branches', one of which, c, en~ ters into the mufcle Deltoidc-s , at what part it growes out of the Collar-bone : the other, 7 I. V 1. 7,into the*fecond mufcle that lends the cubit. Alfter that defending it receives a branch from the (econd nerve when it is pafr the d 1. d, is implanted into the fame,inthe place where 5s I. bought of the arm, it is difiributed into many farcies 50 An Explanation of the two T ables of the Nerves. * ! furcles 0, at length about the palm of the 50.1. The fecond crurall notable pro- i.. . j and it is divided into three branches %. The fourth ner**e entring the arm. 51.I. pagation whereof 51 runs out in the fame courfe with the vein Saphena to the end of the foot, and there ends about 52. In the mean time it proffers another notable furcle ohichisthc greateft of all them that goc to he arm, is not mar fed with any letters in the 52.1. h t'ce.... table, but in the third only, left'thefe- 53.1. 53 to theforefide of the finee. But the remain- pc ond fbould be too much blurred with Letters. 54.1. der of the trunks enters deep into the thigh, 1 r this fodainly after it has entred the arm, reaches out fmall [prigs into the mufcles, 55.1. and gives out a fmall branch 55, but without queftion the chief. drat extend the cubit, then another into 56.1. The third crurall nerve,whofe propaga- the inner skyn,upwards and downward r > and 57.1. tion goes to the mufcles called Obtura- .. i another intothe lower part A, and another 58.1. tores, and another 58 to the skin. There- ©, which goes as far as to the wrift. After 59.1. mainder 59 lies deep intangledin the mufcles this near to the bought of the arm it is divided into two branches,an outer one and an inner n That A about the tranfverfe h- 60.1. whofe chief propagation is 60, which is im- plants J into the fecond and third mufcles that bend the Leg. * gament is again divided in twoZ- 7.his n 61.1. The fourth, and that the thictyl of all 1 reaching all along the cubit fends forth more propagations, the firft S, the fecond the 62.1. the nerves of the crus, whofe firft branch is 6 2,which is inferted into the skjn of the but- third 4- Then another in its progreffe n- 63.1,' tocky 5 another 63 is diftributed into the 7 he remainder ends in the wrift 51. heads, of the mufcles that arife from the ap- pendix of the Hip : a third 64 is given to the fifth maf de, that bends the leg y and 0- 2,1, j The fifth that enters the arm,which a- bout the inner protuberation of the arm, is dif- 94- feminated lil% to the third. Its firft furcle 3 its fecond 34,1ft third 3 5. 65.1. thers 65 go into the outer calf-mufcle. and that of the foie of the foot. But about the lower **7 e The fixth nerve of the arm, which goes under the skin impartingmany fprigs to it 37, 37,37.7hc end of it is 38* 66.1. hpnds of the th igh it is divided 66 into two branches, to w # an outer one, 67. and an inner 7 2 Y The five pairs of the nerves of the 67. i. The outer bi anch, a propagation where- of 68 is [ent under the skftb that co' ..rs the outer part of the leg,aud the ouifide . fot. '•3> loins : the firft 20, the fecond 21, the third 22,the fourth 23, the fifth 24. A certain 68.1. branch ariftng from the firft pair of the loins 20,and defending for the mo ft Ipart with the preparing artery tothetefticle. 7he courfe of the nerves through the mufcles 69.1. 70.1. But the branch itfelf 69 goes tothe cznMiexiffi of the leffer bone of the leg with the greater 5 fending forth another furcle 70 tothe forepart of the leg under the skin: the remainder of it js x. I of the Abdomen from which branches 41 | goes to the mu'.cle that leads the arm outwarc j from the breaft. 71.1. 72.1. 71 reaches along the fibula or leffer L / of The inner branch a propag. on I The hinder branches of the nerves of the ; loins. 73.1. whereof, 73,goes through the infide of leg toward the calf,and infide of the foot un .he | The fix pairs of the nerves of the great | bone. Ofthefe thefirft is cond 26, 74.1. skyn: and then another 74 is fcaltered into the skin, efpecial/y that which covers the calf. l2.I. the third 27,the fourth 28, the fifth 29, the • fifcth 30. ' A Surcle reacht out from the fore-branch of the firft nerve of the great bone to the infide 75-75-J- Another alfo 7 5,75 goes into the fore-part of the leg through the ligament that joins the lef- fer bone of the leg to the greater,and afterward isfpent on the upper fide of the foot. The laft - of the hanch bone, and jo to the mufcles of the I abdomen, that arife from that bone.Then a- > nother fpreading out from the hinder-branch to the mufcles jeated onthe os Ilium, ■er the hanch-bone. The termination ofthefpinall marrow paf- j fing on without a mate, and undivided. The firft nerve entring the arsis.7 his a- 76.1. 77.1. propagation 76 runs out betwixt the inner and outer calf-mufcles. The remainder of the trunkygoes by the inner ankle tothe lower partofthefoot,diftributingtwo furcles apeice to the lower part of al! the toes. The fecond and third figures of the fecond Table. Thefe two figures do exhibit the nerves of the arm and leg in a larger form. | rifes where the third nerve of the loins meets then the firft table does,fo that all, which con- [ with the fourth 47. A branch of this 48 goes cerns thofe nerves, may be ftrew'n moreaccu* | to the skjn 5 but 49 it is entangled among ths | mufcles, that are feated on the outfide cf the [ thigh. 1 rately herein. But they have common chara- cters, and the fame explanation of the fame ferves for both. THE I H E Readers ordinary charity is de fired in behalfe of the P S E. Such faults, as are more j corifiderable in the/e three L /i f IS E Sy and from which the 'Translation might pofiibly 1 have fitffered, are here. fet downs. As for thofe ' petty flips, wbichconcerne the mi[placing of com- inas, or the they will be as eafly by the have been committed by the Printer, and are amended even before they are taimen not ice of > PA G. i. line 3. read c or, ibid.1.3 4. for read ib.l.39. read of theftomach* p.3.1.15. put out (we havefaidabove thatf) ib. 1. 24. for {divided') read diftributed* ib.l. 5 5. read propagation's. forf or the right) read and&c. ib.l.di.for (Mefenterick branch) read Mefentery* p.4.1.17.for (turn) burne* ib.l. 3 5. rca•! very wed cure d, ib. I.41. read acute.* ib. I.45. for (and abun- dance) read an abundance, p.5.1.7, read Leucophlegmatia, p.6.1.4. ahout the liver, ib. l.i 7. for (a circuit) the circuit, read of the midriffe* p.8,1.12. read tothe finus*fo.\.atf. for cheek read jaw* ibJ.58.for (circle) Jurcle, p. 9. 1.1. lead Cutanew, ib.1.4. read hyaides* ib.l. 11. read farcies* as alfo p. 10.I.35. p.i 1. I.9. read Radius, pag.i 2.1ine32. for fnivell) read a mucous matter ib.l, 67. for ( concocted ) contorted 16. line 12. for ( putting ) pulling * pag. 18.I.13. read Radietcs* p.23.1.12. for (cups) chops* p.25.1.36. for (change)rcad judication* p.26.1.42, for (of the lower) the lower* p.28.1.20, read the fane fywp- p.31.1.35. put out tv/'r, ib.l.39. read the, p.32.1.21; read thefts for i read of* 0.36.1.49* read the outer angle* p.38.1.34, for returned read turned* read many farcies* I.40. Splenicw* 46. read thefrft of the going out* p.47. Lio. gone forth through* p.48.1.6. in the inner, ib.l.22. for circle read Jurcle* ib. 1.3 5. hinder branches, YJNJS.