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<DATE>2010-07-26</DATE>
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<NAME>Zev Berger</NAME>
<RESP>MURP</RESP>
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<BIBNO T="oclc">[ocm]64551398</BIBNO>
<VID>184664</VID>
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<TEXT LANG="eng">
<FRONT>
<DIV1 TYPE="title page">
<PB REF="1">
<PB REF="1">
<P><HI>Ab&s;tractum Chirurgiae Marinae.</HI> OR, An ABSTRACT of SEA CHIRURGERY: De&s;igned for the u&s;e of &s;uch Chirurge|ons who de&s;ire to &s;erve at Sea, yet are unacquainted with Sea practice: In or|der to their re&s;toring to Health of Sick or Wounded Sea-men; But may all fit|ly &s;erve for mo&s;t Chirurgeons. In Three Compendious Books. The Fir&s;t containeth certain Directions nece&s;&s;ary to be ob&s;erved by the Sea-Chirurgeon in his fitting out. The Second teacheth how he &s;hould perform his Chirurgical Duty being at Sea, both in an ingage|ment, and at other times. The Third in&s;tructeth how he mu&s;t execute the Phi|&s;ical office impo&s;ed on him.</P>
<P>By <HI>JOHN MOYLE</HI> Sen. &s;ometime a Sea-Chi|rurgeon in His Maje&s;ties Service.</P>
<P>Licen&s;ed, <HI>May</HI> 25th. 1686. <HI>ROB. MIDGLEY.</HI></P>
<P><HI>London,</HI> Printed by <HI>J. Richard&s;on</HI> for <HI>Tho. Pa&s;&s;inger</HI> at the 3 Bibles on <HI>London-Bridge.</HI> 1686.</P>
<PB REF="2">
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<PB REF="3">
<GAP DESC="duplicate" EXTENT="1 page">
<PB REF="3">
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</DIV1>
<DIV1 TYPE="dedication">
<PB REF="4" MS="y">
<PB REF="4">
<HEAD>TO The Wor&s;hipful, The Chi|rurgeon General of His Maje&s;ties Navy: AND TO The Wor&s;hipful, The Ma|&s;ters, or Governours of Chirurgeons-Hall, <HI>London.</HI></HEAD>
<OPENER><SALUTE>Worthy Gentlemen,</SALUTE></OPENER>
<P>IT is not unknown to &s;ome of you, if not to all, that by your appointment I have
<PB REF="5">
had the Honour to be a Sea Chirurgeon (for not a few years) in His Maje&s;ties Ser|vice; and now I find my &s;elf in years, and cannot ex|pect to hold it much longer at Sea; which turbulent Ele|ment requires the be&s;t of a Mans Age in what&s;oever Capacity he comes there to &s;erve. But before my Exit I re&s;olved to write this <HI>Ab&s;tract,</HI> according to what Skill and Experience I have attained for the u&s;e of others of my Calling,
<PB REF="5">
who are the true Sons of <HI>E&s;|culapius,</HI> and either are, or would be <HI>Sea-Chirurgeons,</HI> yet who&s;e younger years, or non opportunities have not permitted them to aim at that degree of Experience, as is requi&s;ite; but are either al|together unacquainted with the Sea Practice, or at lea&s;t waies have not been in In|gagements, and &s;o need In|&s;truction. I undertake this, not that I think better of my &s;elf than of all other Sea-Chirurgeons; for there are
<PB REF="6">
&s;ome who were my Con|temporaries in the Wars, and their Knowledge I e|&s;teem as good, and &s;ome better than my own: But I undertake to write this, be|cau&s;e I &s;ee others have not: And indeed being at pre&s;ent out of Imploy, I have more lei&s;ure time than others, or then my &s;elf de&s;ires, if I could remedy it: However at this juncture it falls out opportunely to me to write it, and e&s;pecially for &s;ome rea&s;ons urging.</P>
<P><PB REF="6">Now as I have had at all times my Imployments from Your Wor&s;hipful Compa|ny, &s;o I humbly Dedicate this Book unto you. I have taken what care I can to write as becomes a Chirur|geon for the good of tho&s;e that will practi&s;e by it, that they may be provided with Knowledge to help Sick or wounded Sea men, when there is occa&s;ion: More e&s;pe|cially con&s;idering Your Ma|ture and Piercing Judgments to whom I pre&s;ent it: I wi&s;h
<PB REF="7">
I could have done it better, but it is the be&s;t I can, and I hope it will find your Candid Reception. So wi&s;hing you all Health and Happine&s;s, I Sub&s;cribe my &s;elf</P>
<CLOSER><SIGNED>Your Wor&s;hips very Humble and Affectionate Servant, <HI>John Moyle,</HI> Sen.</SIGNED></CLOSER>
</DIV1>
<DIV1 TYPE="preface">
<PB REF="7">
<HEAD>THE PREFACE.</HEAD>
<OPENER><SALUTE>Chirurgical Reader,</SALUTE></OPENER>
<P><HI>I</HI> Do not de&s;ign here to teach you how to be a Chirurgeon, but will &s;uppo&s;e you to be one already: But I intend to teach you to be a Sea Chirurgeon, for by that time you have read this Book, you will find that a man may be an Ingenious Practitioner at Land; and yet, if he comes to Sea, be far to &s;eek, being unac|quainted with the Sea Practice: Nay, You may have been at Sea, and yet (if not in a Sea-fight) you will be to &s;eek, not knowing how to behave your &s;elf at &s;uch a time.</P>
<P>Now in the&s;e three Books I purpo&s;e to in&s;truct you in Sea Practice, and make you able to help Wounded and Di&s;ea&s;ed Sea men at their need. The fir&s;t Book
<PB REF="8">
directeth you how to fit your &s;elf out to Sea, The &s;econd &s;heweth you how to perform your Chirugical Duty being at Sea. And the third how to Execute your Phy&s;ical part, you have every thing as compendi|ous as po&s;&s;ible; (for I affect not prolixity) yet all as plain as if you &s;aw the things acted before your eyes. I will not by any means be guilty of applauding my &s;elf; but this let me tell you, in order to gain your good opinion of the Book, That it is no fro|thy and uncertain di&s;cour&s;e: Nor is it writ|ten by one that hath attained only <HI>Theorie</HI> without Practice, but here is really Ex|perimental Knowledge: The Author be|&s;ides his fir&s;t Rudiments, hath &s;ince Tra|velled in the World for this Experience; and in mo&s;t of the Sea Fights that we have had with any Nation in his time, he hath been in them, and his hands have acted what he here writes. He hath not pickt this out of other Books, he hath on|ly made u&s;e of <HI>The New London Di|&s;pen&s;atory</HI> to compare therewith, in or|der to the regulating of his Do&s;es, and for other &s;uch u&s;es; as any Ingenious
<PB REF="8">
Arti&s;t in reading this Book, will ea&s;ily per|ceive: You will likewi&s;e find here the choi|ce&s;t of Medicines at this day known in the World, for the Cure of every Di&s;ea&s;e and Wound. 'Tis true there are &s;ome that w<GAP DESC="illegible" RESP="UOM" EXTENT="2 letters">e not formerly u&s;ed by Sea Chirurgeons; but &s;ince the Impre&s;&s;ion of <HI>The New London Di&s;pen&s;atory</HI> by Doctor <HI>Salmon,</HI> they are become in Practice, and are known to be the mo&s;t excellent of all Medicaments, both Bal&s;ams, E&s;&s;ences, and others. In|deed &s;ome of them (as they are of Incom|parable goodne&s;s, &s;o they are co&s;tly) but a mans Life and Limbs are valuable; and be&s;ides, to countervail the Co&s;t, the Do|&s;es are generally very Minute, and &s;mall quantities of &s;uch will be &s;ufficient to be carried with you: Therefore &s;ince you mu&s;t buy Medicines, 'tis well if you take &s;uch of them, (though they are co&s;tly) as are now approved to be most effectual.</P>
<P>Then as to Practice: You &s;hall find here a convenient Method to Practice by: You are not bound here to give large and loth&s;ome Bolus, or Potions; nor yet confin'd to one particular thing, and
<PB REF="9">
&s;o nece&s;&s;itate your Patients to <HI>Hob&s;ons</HI> Choice, (that or none;) for &s;ome Pati|ents can &s;ooner dye than take the former, and the latter Nau&s;iates being taken of|ten: But I &s;hew you here &s;mall and plea|&s;ant Do&s;es, or &s;ome few grains of &s;ome excellent Powder made up in a &s;mall Pill or two, or &s;ome few Drops of &s;ome No|ble E&s;&s;ence, drank in a gla&s;s of the choice&s;t Wine, or Cordial Liquor, which would invite even a Child to take it.</P>
<P>Then if the Patient cannot take a Me|dicine in one form (as Bolus-waies) you have another, as Pills to perform the &s;ame intention; and if he is aver&s;t to the&s;e, you have here &s;ome grateful Liquors: This order I have ob&s;erved for you throughout the Book: And with it I wi&s;h you Pro|&s;perity in your Ingenious and Ju&s;t En|deavours,</P>
<CLOSER><SIGNED>JOHN MOYLE.</SIGNED></CLOSER>
</DIV1>
<DIV1 TYPE="errata">
<PB REF="9">
<HEAD>ERRATA.</HEAD>
<P>IN the Epi&s;tle Dedicatory, for <HI>aim</HI> read <HI>attain.</HI> Pag. 7. line 11. for <HI>Electum</HI> read <HI>Electuarium,</HI> and the &s;ame here that word is in any other place, p. 16. l. 11, 12. id 30. for <HI>Gla&s;&s;es</HI> r. <HI>Cla&s;&s;es,</HI> p. 17. l. 19. for <HI>Sarrina's Farrina's,</HI> p. 19. the <HI>a</HI> that is at the end of line 6, buld be at the end of line 3. p. 20. l. 2. for <HI>Crui&s;e</HI> r. <HI><GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">ew,</HI> p. 26. l. 2. for <HI>lighter</HI> r. <HI>light,</HI> p. 32. l. 12. for <HI><GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">lecta</HI> r. <HI>Electu.</HI> p. 34. l. 30. for <HI>Spirit of Vinum</HI> r. <HI>Spiri|<GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">s Vini,</HI> p. 35. for <HI>minus</HI> r. <HI>minor,</HI> and the like where is word is in other places, p. 36. for <HI>&s;tuff</HI> r. <HI>&s;tuff,</HI> p. 37. 29. for <HI>the&s;e</HI> r. <HI>this,</HI> p. 38. l. 2. for <HI>deccicatrum</HI> r. <HI>de|cativum,</HI> p. 39. for <HI>extramo&s;ities</HI> r. <HI>extranio&s;ities,</HI> p. 41. 4. for <HI>it</HI> r. <HI>is,</HI> and for <HI>wounds</HI> r. <HI>wound,</HI> p. 54. l. 10. <GAP DESC="illegible" RESP="UOM" EXTENT="1 letter"> <HI>electo</HI> r. <HI>electu,</HI> p. 61. l. 30. for <HI>&s;tuff</HI> r. <HI>&s;tuph,</HI> p. 66. 28. for <HI>unguent. &amp; album</HI> r. <HI>unguent. album &amp; populion.</HI> 68. l. 12. for <HI>Cribratum</HI> r. <HI>Cribro&s;um,</HI> p. 69. l. 23. for <HI>ab.</HI> r. <HI>orab.</HI> p. 80. l. 29. for <HI>(and Elixir)</HI> r. <HI>and give <GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">lxir,</HI> p. 83. l. 1. r. <HI>Olium Ro&s;arum omphacinum,</HI> p. 83. 5. for <HI>Quint. Coloc.</HI> &ounce;j. r. <HI>Quint. Colocynth.</HI> &dram;&s;. p. 82. 9. for <HI>Cario&s;tinum</HI> r. <HI>Carioco&s;tinum,</HI> p. 92. This mark that is at the word <HI>Liquor,</HI> &s;hould be at <HI>Sar&s;a,</HI> the <GAP DESC="illegible" RESP="UOM" EXTENT="2 letters">xt line, p. 97. for <HI>Combotes</HI> r. <HI>Bombotes,</HI> p. 103. <HI>Cymamoy</HI> r. <HI>Cynamonii,</HI> p. 108. for <HI>Decoct. Carminativ.</HI> r. &ounce;x. p. 112. l. 11. for <HI>childs</HI> r. <HI>child,</HI> and in the la&s;t <GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">e but two, for <HI>ana</HI> r. <HI>a.</HI> p. 123. l. 20. for <HI>now it is held <GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">d,</HI> r. <HI>now it is not held good,</HI> p. 125. fir&s;t line, for <HI><GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">int.</HI> r. <HI>Quint.</HI> p. 126. la&s;t line, for <HI>the new Skin,</HI> r. <HI>a <GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">v Skin.</HI></P>
</DIV1>
</FRONT>
<BODY>
<DIV1 N="1" TYPE="book">
<PB REF="10">
<PB N="1" REF="10">
<HEAD>The fir&s;t part containeth certain Di|rections nece&s;&s;ary to be ob&s;erved by the Chirurgeon in his fitting of him|&s;elf out for the Sea.</HEAD>
<DIV2 N="1" TYPE="direction">
<HEAD>The Fir&s;t Direction.</HEAD>
<P>WOuld you be a Sea Chirurgeon; Then it is nece&s;&s;ary you &s;hould under&s;tand, fir&s;t, how to fit your &s;elf out for the Sea, in order to which, you are fir&s;t to con&s;ider what tho&s;e Accidents and Di&s;tempers are, that are mo&s;t incident to the Sea, that you may provide Medicines and In&s;truments proper for them.</P>
<P>They are the&s;e that follow,</P>
<P>All manner of Wounds, e&s;pecially by Gun&s;hot, Brui&s;es or Contu&s;ions both out|ward and inward; Spreins, Di&s;locations, and Ruptures, Scalding and Burning, e&s;pe|cially with Pouder; Pains, Aches, and Numbne&s;s of Limbs, Tumours, Ulcers, and Gangrenes, Ophalmias, Squinzys,
<PB N="2" REF="11">
Hemorrhage at the No&s;e, Tooth-ach, Piles, Procedentia Ani.</P>
<P>And then inwardly: The Scurvy, Fe|vers and Agues; Fluxes, Cholera, Gripes and Cholick, Surfeits, Colds, Catarrhs, Rhumes, Pluri&s;ie, Strangury, and Gravel; Worms, Co&s;tivene&s;s.</P>
<P>Now you mu&s;t under&s;tand that there be &s;everal Di&s;ea&s;es that are very rarely cured at Land, and are not expected to be cured at Sea; as Con&s;umption, Drop&s;ie, Gout, Evil, Pal&s;ie, Epilep&s;ie, and others; and &s;everal Chirurgical Operations that are not expected to be performed at Sea, as Cutting for the Stone, Couching Ca|taracts, Extirpating Wens, and the like.</P>
<P>The former Accidents and Di&s;tempers you are ab&s;olutely obliged to provide for, but the&s;e latter not: However, if you think you can do any good in the&s;e deplo|rable Di&s;ea&s;es, with the Medicines or In|&s;truments you have for the other, you may u&s;e your endeavours, and in &s;o doing, you will do well.</P>
</DIV2>
<DIV2 N="2" TYPE="direction">
<HEAD>The Second Direction.</HEAD>
<P>Secondly, To know what tho&s;e Medi|cines and In&s;truments are, that are proper to be carried for the Cure of tho&s;e Acci|dents and Di&s;ea&s;es before enumerated, your way is to turn over this Book, and &s;ee
<PB N="3" REF="11">
what Medicines and In&s;truments are here appointed, and what I have u&s;ed in every Accident and Di&s;ea&s;e: Take a Catalogue of them, the which dige&s;t into an invoice to fit by; for I will a&s;&s;ure you that you will here find the be&s;t of Medicines, and Bal|&s;ams that are at this day known or Practi|&s;ed withal; and every needful In&s;trument you will find named, and the u&s;e of it &s;hewed occa&s;ionally in the Book: Only this ob&s;erve, that whereas I in &s;ome pla|ces name many things that are proper for the &s;ame Di&s;temper, and yet any one of them will cure it: That that is for your full knowledge, and lea&s;t you may per|chance have one of them, and not the other.</P>
<P>In this ca&s;e you may chu&s;e which of them you believe to be the be&s;t, and not charge your &s;elf with more, only this variety you mu&s;t nece&s;&s;arily u&s;e: If a man cannot take a Bolus, you mu&s;t have Pills that will per|form the &s;ame Office; or if he cannot take Pills, you mu&s;t have a Potion to execute the &s;ame intention; for &s;ome men cannot take one manner of Medicament that can take another; and a Patient mu&s;t not be &s;uffered to mi&s;carry becau&s;e he cannot take only one &s;ort of Medicine.</P>
<P><PB N="4" REF="12">To make it more plain to you: There are the be&s;t of Diaphoretiqnes, in the World, &s;poken of in this Book for the rea|&s;ons above-mentioned, as <HI>Mitherid. Thri|ac. Ven. Tinctura Gummi, Guaci,</HI> and o|thers, all of them extraordinary proper; but then there is only <HI>Thriac Lond Nova,</HI> that executes the Office of them all, and may be u&s;ed in all Di&s;ea&s;es wherein Sweat|ing is required; only it is an <HI>Electuary,</HI> and it is po&s;&s;ible &s;ome cannot take an <HI>E|lectuary</HI> (although indeed this may be ta|ken in Wine) then you &s;hould have <HI>Aqu. Thriac,</HI> or the like to drink.</P>
<P>And this further, If your &s;elf has had the experience of any Medicine (that you do not &s;ee named in this Book,) for the cure of any Di&s;ea&s;e, you may take that Medicine, and leave out which of mine you think you can be&s;t &s;pare: For in the for|ming of your invoyce you mu&s;t con&s;ider that you have no more room than only a Chirurgery Che&s;t, and Drug Che&s;t to contain all your things; therefore you are not to carry greater variety than of ne|ce&s;&s;ity you mu&s;t. And let tho&s;e be of the mo&s;t pertinent, and univer&s;al tendency, one of which is proper for the Cure of many Di&s;ea&s;es. As indeed, what need a Sea Chirurgeon to incumber his Che&s;t with
<PB N="5" REF="12">
<HI>Pil aurae, faetidae,</HI> or &s;everal others, whil&s;t <HI>Pil Rudij</HI> of it &s;elf will do all that they can do.</P>
<P>So among Chymical Medicaments what need is there for a Sea Chirurgeon to take <HI>Aurum Potabile, Precipitatus Aurius:</HI> or <HI>Ma|na Mercurij.</HI> When <HI>Bezoarticum &s;olare Schro|deri,</HI> will do as much as them all, in any di&s;ae&s;e they are appropriated unto.</P>
<P>You are therefore I &s;ay to take the mo&s;t Catholick, but no more of a &s;ort, than nece&s;&s;ity enjoyns you.</P>
</DIV2>
<DIV2 N="3" TYPE="direction">
<HEAD>The Third Direction.</HEAD>
<P>Thirdly, In forming your invoyce, you mu&s;t have a care in regulating your quan|tity of each Medicine, that you may carry what is &s;ufficient, but not &s;uperfluous.</P>
<P>To do this, you mu&s;t fir&s;t con&s;ult what your Complement of men are, and Second|ly, The length of your intended Voyage: At lea&s;t wayes how long it will be ere you may expect a recrute. For rea&s;on tells, that you mu&s;t fit a greater quantity of each Medicament for a greater quantity of men, than for a le&s;&s;er: and more of every Me|dicament for a long Voyage than for a &s;hort.</P>
</DIV2>
<DIV2 N="4" TYPE="direction">
<PB N="6" REF="13">
<HEAD>The Fourth Direction.</HEAD>
<P>Fourthly, Con&s;ider the Chances and Maladies that may be expected in that ex|pedition you are upon, or Climate you are bound unto; that you may in a &s;pecial manner furni&s;h your &s;elf with quantities, for tho&s;e expectations; as if you go into the Wars, you mu&s;t expect wounds and broken Bones, then you mu&s;t carry more quantity of Vulneraries, than if you were not bound into the Wars.</P>
<P>So as to the Climate: If you are bound to <HI>Newfound Land,</HI> you may expect the Scurvy, therefore provide good quanti|ties of <HI>Scorbuticks;</HI> more than if you were to go a <HI>Straights</HI> Voyage: But again, if you were to go to <HI>Scanderoon,</HI> there is ve|ry often malignant Fevers and Fluxes, but &s;eldom the Scurvy: Therefore you mu&s;t now put up greater quantities of <HI>Antefe|britiques,</HI> then of <HI>Scorbutiques.</HI> I &s;ay, al|though you mu&s;t carry &s;ufficient quanti|ties of Medicines proper for every Acci|dent and Ailment that doth u&s;ually be|fall at Sea, yet in a &s;pecial manner you mu&s;t provide for the Accidents and Di|&s;tempers that may be expected in the Voy|age, or expedition you are now upon.</P>
</DIV2>
<DIV2 N="5" TYPE="direction">
<PB N="7" REF="13">
<HEAD>The Fifth Direction.</HEAD>
<P>Fifthly, You would do well to con&s;ider that &s;ome Medicines are expended at Sea fa&s;ter than others, and &s;ome are given in greater Do&s;es than others, and therefore you mu&s;t not carry the like quantity of the one as of the other. There is more of <HI>Ba&s;ilicon</HI> u&s;ed, than of Apo&s;tolorum; and more of Diapalma, than of <HI>Ad Herniam,</HI> and &s;o the do&s;e of <HI>Electum Lenitivum</HI> is from &dram;<HI>vi</HI> ad <HI>xij,</HI> whereas that of <HI>Cario co&s;tinum,</HI> is but from &dram;<HI>ij</HI> ad <HI>iij,</HI> therefore it is not rea&s;onable that you &s;hould take as much of the one of the&s;e Medicines, as of the other; except it be becau&s;e that of the le&s;&s;e Do&s;e may be more in u&s;e than the other, and in that Ca&s;e it may be equalized.</P>
</DIV2>
<DIV2 N="6" TYPE="direction">
<HEAD>The Sixth Direction.</HEAD>
<P>Sixthly I would advi&s;e you if you take greater quantities of tho&s;e things, that are lea&s;t in u&s;e, and &s;malle&s;t in Do&s;e, let them be &s;uch as will keep good at Sea for a long time; for then 'tis true you may have no great lo&s;s in them; but if they be &s;uch as will decay in a &s;hort time, then you had be&s;t be advi&s;ed as to your Quantities, an
<PB N="8" REF="14">
Ounce of <HI>Stibium</HI> will be as good at &s;even years end, as it was the fir&s;t day; but your <HI>Rubarb</HI> at 4 years old will have the worm; therefore when you fit, mind &s;uch things as the&s;e, and take quantities accord|ingly.</P>
</DIV2>
<DIV2 N="7" TYPE="direction">
<HEAD>The Seventh Direction.</HEAD>
<P>Seventhly, To &s;ave charge and incum|brance, let me advi&s;e you to inform your &s;elf what Medicines or Drugs are plenty in the Country where you are going, that you may carry with you out of <HI>England</HI> as much of tho&s;e Medicines or Drugs only as you Judge will &s;erve you thither.</P>
<P>Why &s;hould a man carry any quantity of <HI>Theriaca Andromica</HI> to <HI>Venice,</HI> when as that is the place where it is made, and ei|ther for Truck, or Money, you may have the be&s;t, and be&s;t cheap: Or, Why <HI>Cena</HI> to <HI>Alexandria</HI> in <HI>Egypt,</HI> and I have &s;een it &s;old there, and that of the be&s;t in the World, for a quarter of the money that we buy it at home.</P>
<P>The like I &s;ay of <HI>Rubarb</HI> and <HI>Scamony</HI> at <HI>Ptolemais</HI> in <HI>Pale&s;tine.</HI> So that if a man be bound into any part of <HI>Turky,</HI> he need carry only as much of the&s;e things as will &s;erve him thither, and no more. What
<PB N="9" REF="14">
need is there of carrying Spices or Gumms to the <HI>Indies,</HI> or Wine, Brandy, or Recchee to <HI>France, Spain, Portugal,</HI> or <HI>Italy,</HI> when their Ports vend tho&s;e Commodities. There|fore in your fitting mind this Direction.</P>
</DIV2>
<DIV2 N="8" TYPE="direction">
<HEAD>The Eighth Direction.</HEAD>
<P>Eighthly, If you are bound out in a Merchant man to any place that is known to be &s;ickly, you would do well to put the Commander in mind, to carry in the Ship &s;ome fre&s;h and nece&s;&s;ary provi&s;ions, lea&s;t men &s;hould be &s;ick and mi&s;carry for want of it; for it is not all the Medicines in your Che&s;t that will recover men, with|out fre&s;h and whole&s;ome Diet.</P>
<P>If you go any Forraign Voyage, or into the Wars in a Ship of the Kings, you have the&s;e things provided for you: for His Maje&s;ty graciou&s;ly allows nece&s;&s;ary Provi&s;ions for &s;ick and wounded; which the Chirurgeon General of His Maje&s;ties Navy, with care and di&s;cretion puts up and di&s;po&s;eth of to each Chirurgeon, ac|cording to the Complement of men the Ship carries, and the Voyages he is a going; which is a great comfort and refre&s;hment to the Men, and an ea&s;e to the Chirurge|on in curing them.</P>
</DIV2>
<DIV2 N="9" TYPE="direction">
<PB N="10" REF="15">
<HEAD>The Ninth Direction.</HEAD>
<P>Now as to the Pounds, or Ounces of each individual Medicine that you &s;hould carry for any particular Voyage, and Com|plement of Men; If it be in a Merchant man, you have only cu&s;tom to guide you by; you carry what quantities you know others have done and have found &s;ufficient. Therefore I'le tell you, that for my own part when I have gone in a Ship of about 40 men, and a Voyage &s;uppo&s;ed 12 or 14 Months. I have carried of Medicines of the large&s;t Do&s;e, and mo&s;t frequent u&s;e, <HI>lb ij</HI> of each, and of the re&s;t proportiona|bly. However I impo&s;e no quantities on you, you are at your own liberty; only I give you a light to &s;ee by:</P>
<P>And if you go in a Man of War, your quantities are judiciou&s;ly regulated by the Governours of <HI>Chirurgeons Hall:</HI> So (that if you would) you &s;hall not, take le&s;s quan|tities than they judge to be &s;ufficient. Therefore I pre&s;ume not to advi&s;e you to any certain quantities, but refer you to their more mature Judgments, Only to ready you for their view, let me acquaint you, that when I my &s;elf has gone out in a Fourth, Third, or Second Rate, my lar|ge&s;t
<PB N="11" REF="15">
Jarrs and Gla&s;&s;es were generally up|ward of <HI>lb iij,</HI> that they might contain <HI>lb iij</HI> compleat, and yet room for fermen|ting Medicines, and my other Medicines have been proportion'd accordingly; and the&s;e have for the mo&s;t times been appro|ved of as good moderate quantities. And this farther, when I have gone in a fourth rate I have taken as great quantities, as when in a &s;econd; for you mu&s;t con&s;ider this, that the length of the fourth rates Voyage may equalize the &s;econd rates great complement of men, and &s;hort Voyage, for u&s;ually the great &s;hips are not out above &s;ix or &s;even Months, but the le&s;&s;er a much longer time. However, being you put up your Medicines before they come to view them, 'tis your wi&s;e&s;t way to take no le&s;s quantities than you know others have taken, and have been approved of as &s;ufficient. Otherwi&s;e when they come to view, they will make you take more (as they have &s;ometimes done by me in the like ca&s;e) and that will create you a double trouble.</P>
<P>I only give you this light, that you may be in a competent readine&s;s for the view, and as to the certain quantities you mu&s;t &s;ubmit (as I have done) to the Governours judgment and ordering.</P>
</DIV2>
<DIV2 N="10" TYPE="direction">
<PB N="12" REF="16">
<HEAD>The Tenth Direction.</HEAD>
<P>Having prepared your Invoyce accord|ing to the foregoing Directions, you are now to begin to put up Medicines. And here let me advi&s;e you to &s;ee all things, whether they be good.</P>
<P>'Tis true the Governours of <HI>Chyrurgeons Hall</HI> do throughly in&s;pect the medicines that go into the Kings Ships, and will not &s;uffer any thing that is ill to pa&s;s; but you put up your Medicines whil&s;t they are not there. Therefore to &s;ave an after trouble, be very circum&s;pect as to what you take. For &s;o it is, that in ma|ny Medicines one Apothecary can deceive another, and much more a Sea Chyrur|geon, who&s;e calling it is not to make all his own Medicaments. However al|though 'tis impo&s;&s;ible for you to know whether every Ingredient be in a Com|pound Medicine that the Di&s;pen&s;atory ap|points, yet by the &s;ight, &s;mell, ta&s;te, or con&s;i&s;tence, you will judge within a little more or le&s;s, (if you make it your bu&s;i|ne&s;s to under&s;tand Medicines) whether it be &s;ound, or Sophi&s;ticated.</P>
<P>Be&s;ides you are the Per&s;on that mu&s;t &s;tand or fall by the repute or di&s;-repute that your Medicines acquire, therefore it
<PB N="13" REF="16">
behoves your &s;elf to &s;ee to the be&s;t of your knowledge that what Medicines you put up be good. E&s;pecially if you go in a Merchant-man where you have no view upon your Che&s;t. And indeed you are very happy if you meet with an hone&s;t Apothecary or Chymi&s;t who di&s;pence and prepare their Medicines faithfully, and that will not put bad things upon you.</P>
</DIV2>
<DIV2 N="11" TYPE="direction">
<HEAD>The Eleventh Direction.</HEAD>
<P>It remaines now that I direct you to take &s;uch care in putting up your Medi|cines, that they may be pre&s;erved good as long as po&s;&s;ible. To do this, put up as many things as you can in Jars, Gla&s;&s;es and Boxes. Let every thing be well covered that the Air hurt them not, nor that they &s;pill, and &s;o you come to damage. See that your <HI>Rhubarb</HI> be new and &s;ound, and that the worm hath not got into it (as it will certainly do at four years old) let it be wrapt in Cotton, and kept in a Box dry. See likewi&s;e that your Liquid Me|dicines that will ferment, be put into Jars or Gla&s;&s;es that will hold more then the quantities you put in them, that there may be room to ferment. Let not &s;uch Bottles of Syrups be Corked, but cover|ed
<PB N="14" REF="17">
well with Leather and tied hard, and the Cover pricked, and let your ferment|ing Electuaries be often &s;tirred down. Such as grow dry at Sea, add to them &s;ome of the humid ingredient whereof they were made, and Honey to &s;ome, Su|gar to others, and Spirit of Wine to o|thers. When your Ma&s;s of Pill <HI>Rudii</HI> grows hard, temper it with rectified Spi|rit of Wine by the warm Fire to its right con&s;i&s;tence. Other Pills, as <HI>Cochiae,</HI> or <HI>Ruffi,</HI> &s;trow <HI>Cream or Tartar</HI> on the Ma&s;s, and it will pre&s;erve them in their due con&s;i&s;t|ence. Your Rich Confections, as <HI>Alchermis,</HI> or <HI>De hyacinthis</HI> will quickly dry and &s;poil. Therefore carry the &s;pecies of &s;uch, and make them up as you have occa&s;ion; hav|ing with you <HI>Syrupus Lemonibus,</HI> and others for that purpo&s;e. Let all your Jars and Gla&s;&s;es both great and &s;mall be &s;quare, and not round, that they may &s;tow the better; and let them be all &s;trong double Gla&s;&s;es, that will not break upon a &s;light occa&s;ion. It hath been accu&s;tomary to put them into Bladders, as well to &s;ave what is in them, (if any one &s;hould chance to break) as to pre&s;erve other Medicines from being &s;poiled, by the Oyles or Co|ro&s;ives, if they &s;hould &s;pill, but good double Jars and Gla&s;&s;es prevent that.</P>
</DIV2>
<DIV2 N="12" TYPE="direction">
<PB N="15" REF="17">
<HEAD>The Twelfth Direction. To fit the Chirurgery Che&s;t.</HEAD>
<P>Now for the greater &s;afety of your Medicines, let me advi&s;e you, not to have drawing Boxes at the Ends of the bottom of your Che&s;t, as &s;ome u&s;e to have, and carry their Seeds and other things in them; for when you &s;hall need any thing that is in them, you mu&s;t take out &s;everal Medicines that &s;tand in the bottom of the Che&s;t before them; which Pots or Gla&s;&s;es will be in danger of breaking, e&s;pecially if there goes a great Sea, and the Ship rouls.</P>
<P>Some Chyrurgeons (e&s;pecially in &s;mall Merchant-men) carry their Drugs in the bottom of their Che&s;ts, together with &s;ome Medicines, which is altogether in|convenient (if you can avoid it) for there mu&s;t be a prepo&s;terous di&s;placing of things before you can come at the Medicine you would have, therefore if I am worthy to advi&s;e you, let not your Drugs be in your Chyrurgery Che&s;t; but have Partitions all over the bottom, and let tho&s;e parti|tions be bigger than them at top; and in them place your greate&s;t Jars and Gla&s;&s;es
<PB N="16" REF="18">
(and e&s;pecially your Oyles and Corro&s;ive Medicaments, that if they &s;hould &s;pill or break, they cannot fall on others to in|dammage them). Be&s;ides in one of tho&s;e partitions, you may place four of &s;uch &s;mall &s;quare Gla&s;&s;es, as your Oyles of <HI>Sul|phur</HI> or <HI>Vitriol</HI> are put in, if you wrap them with Tow, and place them decent|ly one upon another. Let each kind of Medicines be placed in Gla&s;&s;es by them|&s;elves; as the Syrups in one Gla&s;s, the Electuaries in another; and &s;o of the Oyles, and Unguents, or Waters; with every Medicament its Lybel upon it. And keep account in your Book whereabout each Medicine &s;tands, that you may either go or &s;end for the Medicine you want and find it (as it were) in the dark.</P>
<P>Having thus fitted the bottom of your Che&s;t, there is u&s;ually a hanging drawer under the middle of the top partitions, where &s;ome Chyrurgions u&s;e to keep their In&s;truments; Let that be for your Empla|&s;ters. And then fall in hand with the top of your Che&s;t. You are to place round the top the remainder of your bigger Jars and Gla&s;&s;es, becau&s;e they are the big|ger partitions: And as in the bottom, &s;o here, let each kind of Medicines be in their peculiar Gla&s;&s;es and writ upon.</P>
<P><PB N="17" REF="18">And in the partitions of your top Drawers you may place in &s;ome four, in others more, of your &s;mall &s;quare Gla&s;&s;es and Jars; as four <HI>ounces,</HI> two <HI>ounces,</HI> and <HI>ounces;</HI> and every thing written upon, and account taken in your book, you will know readily where to find each Medicine in the bottom of any partition, although its Lybel &s;hould be lo&s;t, and let your box of &s;mall Weights and Scales be fixed to the in&s;ide of the Lid of your Che&s;t, as al&s;o your <HI>Electuary</HI> and <HI>&V;nguent Spatula's,</HI> and <HI>Tyle</HI> to mix <HI>Bolu&s;es</HI> on; with other Nece&s;&s;aries.</P>
</DIV2>
<DIV2 N="13" TYPE="direction">
<HEAD>The Thirteenth Direction. For fitting the Drug Che&s;t.</HEAD>
<P>Having furni&s;hed your <HI>Chyrurgery Che&s;t,</HI> now fall in hand with your <HI>Drug Che&s;t.</HI> 'Tis u&s;ual to put your <HI>Sarrina's, Seeds, Roots, Herbs, Flowers,</HI> and &s;uch like in Papers, and &s;o write upon them; but do you put the&s;e papers into &s;mall Canvas Bags, each bag mark'd with a peculiar Mark. Let &s;everal of the&s;e Papers be put into one bag; as, the &s;everal papers of <HI>&s;eeds</HI> into one bag, the <HI>herbs</HI> into another, the <HI>roots</HI> into a third, and &s;o of the re&s;t.</P>
<P><PB N="18" REF="19">Then take account in your Book what is in each bag &s;o marked, and you will ea|&s;ily find what you want when you have oc|ca&s;ion. Let the things be in bags, becau&s;e papers break in rummaging, and &s;pill a|bout the bottom of the Che&s;t, mixing one thing with another.</P>
<P>Here your Box of fir&s;t intentions are likewi&s;e to be placed; <HI>(viz.)</HI> your di&s;|membring Pledgets, Buttons and Tents, Rowlers, Cro&s;s-bol&s;ters, Linnen, Tow, Tape, Leather, Bladders, and other Ne|ce&s;&s;aries. Be &s;ure your fine Tow be put up in a bag, lea&s;t a Candle hap to catch in it. And let your Re&s;tringent Powder be there likewi&s;e with the re&s;t of your fir&s;t inten|tions. Your box of large In&s;truments &s;hould be carried there likewi&s;e, becau&s;e there is nothing in that Che&s;t but what is dry. But &s;ee that they be fir&s;t made &s;harp and bright by your In&s;trument-maker, and let them be often looked on and rubb'd with a piece of dry Cotton, lea&s;t they &s;hould &s;peck or ru&s;t.</P>
</DIV2>
<DIV2 N="14" TYPE="direction">
<HEAD>The Fourteenth Direction.</HEAD>
<P>Now for as much as every Chyrurgeon hath not &s;een made, nor u&s;ed the fir&s;t in|tentions, I'le &s;hew you how to make them now, and how to u&s;e them el&s;ewhere.</P>
<P><PB N="19" REF="19">Take fine Tow, and form round Pled|gits &s;mooth and even, and of a rea&s;onable &s;ub&s;tance. about the breadth of the end of &s;tump; &s;ome bigger and others le&s;&s;er, as &s;tumps may be, and &s;ome larger than any &s;tump, Let them lye upon a &s;mooth board, a then beat the whites of Eggs, with <HI>ace|tum,</HI> and &s;prinkle the Pledgits therewith till they are thorough wet.</P>
<P>Then take another &s;mooth board, and lay upon them to pre&s;s them hard; after, take off the upper board and carry them in|to a Sun-&s;hine place to dry; and when they are thorowly dry put them up in your box for u&s;e. Form likewi&s;e di&s;membering Buttons in the &s;hape of a large Button; let them be wet likewi&s;e in the &s;ame Liquor, and dryed, and put up into the Box. Make Tents al&s;o of all &s;izes, whe|ther for Musket Shot, Pi&s;tol Shot, Pun|cture, or any &s;uch Wound whatever.</P>
<P>The&s;e things put up together with the Re&s;tringent Powder, are called our fir&s;t intention, and ought to be ready by you at all times, and not to make when you have occa&s;ion to u&s;e them.</P>
</DIV2>
<DIV2 N="15" TYPE="direction">
<HEAD>The Fifteenth Direction.</HEAD>
<P>La&s;tly, Being fitted in all things accor|ding to the&s;e Directions, and having your
<PB N="20" REF="20">
Che&s;ts viewed, you are to get them with your &s;elf, and crui&s;e on Board, and &s;ee them placed as conveniently as po&s;&s;ibly you can, to be got at; and in a dry place, where wet may not come at them to &s;poil either your Medicines or In&s;truments, and let them be &s;o la&s;hed that they may not over|&s;et in bad Weather by the rowling of the Ship. Being now on Board, and yet in the River, furni&s;h your dre&s;&s;ing Box (that is a box with &s;ix or eight partitions with Pots or Gla&s;&s;es of Oyles or Bal&s;ams, and Em|pla&s;ters, ready &s;pread for pre&s;ent occa&s;ion) which box you mu&s;t every morning carry to the Ma&s;t between Decks, to dre&s;s &s;uch as have any hurts or ailments; and there with our Mortar we u&s;ually ring, that &s;uch as have occa&s;ion may hear in any part of the Ship and come to be dre&s;t. Thus you are compleatly fitted and ready for any thing that &s;hall happen.</P>
<P>However &s;ome of the&s;e Directions may &s;eem of &s;maller importance then others, yet the lea&s;t are nece&s;&s;ary, and to be heed|ed; for by the non-ob&s;ervance of &s;uch, my &s;elf has &s;ometimes &s;u&s;tain'd damage and trouble, which by the regarding of them you may avoid. But I know you would be at greater things, and you'l meet with greater anon.</P>
</DIV2>
</DIV1>
<DIV1 N="2" TYPE="book">
<PB N="21" REF="20">
<HEAD><HI>THE Second BOOK.</HI> Teacheth how the Chyrurgeon ought to perform his Chyrurgical Duty being at Sea.</HEAD>
<DIV2 N="1" TYPE="chapter">
<HEAD><HI>CHAP. I.</HI> How the Chyrurgeon &s;hould behave him&s;elf on an Engagement Day.</HEAD>
<P>I'Le Imagine that you are at Sea now in a Man of War, and in &s;ight of the Enemy; and all men are clearing their re&s;pective quarters, and fitting them|&s;elves for fight; at what time you, as you are Chyrurgeon of the Ship, mu&s;t prepare as followeth.</P>
<P>Fir&s;t you mu&s;t &s;ee that your platform be laid as even as may be, with a Sail &s;pread upon it, which you mu&s;t &s;peak to the Commander to order. In a Merchant-man this is u&s;ually in the Cable teere; but in
<PB N="22" REF="21">
Men of Warr it is generally in Hold, abaft the Ma&s;t, between that and the Bulk head of the Cockpit from &s;ide to &s;ide.</P>
<P>On this platform you mu&s;t place two Che&s;ts, to &s;et your wounded men on to dre&s;s them, one for your &s;elf to perform the greater operation on, and the other for your mate to dre&s;s &s;lighter wounds on. You are likewi&s;e to have by you two Tubs with water; the one to throw am|putated Limbs into until there is conveni|ency to heave them over-board; and the other to dip your di&s;membring Bladders in, or to wa&s;h between each Operation, and for other &s;ervices.</P>
<P>Let your In&s;truments likewi&s;e both great and &s;mall be ready by you on the Platform. And your fir&s;t intentions mu&s;t not now be to &s;eek, nor mu&s;t any one nece&s;&s;ary now be mi&s;&s;ing. As your <HI>pulv. re&s;tring. acetum Ova,</HI> Oyles for Brui&s;es and Burnings; Cordials to give when men faint; Seer-clothes ready &s;pread (for now all fire mu&s;t be out in the Ship, except Candles and Matches).</P>
<P>Let good &s;tore of the large&s;t Candles be placed decently about the Platform to give good light, and in&s;tead of fire to warm your Cear-clothes, or heat your Oyles, as you have occa&s;ion; and be &s;ure
<PB N="23" REF="21">
your re&s;trictives be ready mixt, your <HI>re&s;tri|ctivum Com.</HI> in one Ba&s;on, and your potenti|al Cautry in another; and your <HI>Aqua &s;tiptica Vitrioli</HI> in a third, that they may not be to fetch, or mix when you have a pre|&s;ent need to apply them.</P>
<Q><HI>Your</HI> Re&s;trictiva Communa <HI>is this, Rec.</HI> Alb. Ovarium, beat them with ace|tum, and mix therewith Pulv. re&s;tring. to a fit con&s;i&s;tence.</Q>
<P>By this time I'le &s;uppo&s;e the fight is be|gun, and your Ship is ingaged, and woun|ded men begin to be brought down: And fir&s;t one, who to &s;ave his Life, mu&s;t have his Limbs amputated.</P>
<P>You &s;ee part of the Limb carried away by the Shot; as the Hand from the Arm, the Foot from the Leg, or el&s;e the Bones &s;o &s;hattered, that &s;hould you leave it on, there were no hopes of healing it, nor of &s;aving the mans life. This indicates am|putation, and it is &s;peedily to be done, for 'tis no time now for you to pau&s;e up|on it; your main de&s;ign is to &s;ave the mans life; in order to which, two emi|nent purpa&s;&s;es immediately pre&s;ent: The one to take of the Limb, for if that &s;hould &s;tay on, life is not long to be expected,
<PB N="24" REF="22">
the other is to &s;top the violence of bleed|ing; (for in the Blood is the Life) and if that be not done, the man will immedi|ately dye.</P>
<P>This latter purpo&s;e you are fir&s;t to put in execution (if po&s;&s;ible) for 'tis &s;ure the man hath bled too much already, before he could be got down to you; more e&s;pe|cially if in a three Deckt Ship, and the man wounded on the upper Deck.</P>
<DIV3 TYPE="subsection">
<HEAD>Amputation.</HEAD>
<P>Set the man down immediately on your Che&s;t, and let your a&s;&s;i&s;tants hold him; and let one take a fa&s;t gripe with his hands above the place you intend to amputate, drawing up the Mu&s;cles with what force he can, and you with large and &s;trong tape make fa&s;t and hard Ligature, to re&s;train the bleeding; fetch it &s;everal turns about, and let it be about two inches above the place you de&s;ign to amputate.</P>
<P>In the mean time let a drachm of Cordi|al be given the man to keep up his Spirits. If the Operation be on the Leg, let it be about four inches below the Knee; but if in the Thigh or Arm, as low as the wound will permit.</P>
<P><PB N="25" REF="22">Together with your Ligature let your a&s;&s;i&s;tant gripe hard, and another hold the end: And you with your di&s;membring Knife divide the Fle&s;h or Mu&s;cles round the Bones (if it be po&s;&s;ible) at two even &s;trokes.</P>
<P>Youl now hear &s;ad &s;chreeking, but let nothing daunt you, be re&s;olute in your du|ty, and incourage your Mates.</P>
<P>The Fle&s;h divided, let your a&s;&s;i&s;tant draw up the Mu&s;cles as tort as po&s;&s;ible, and let him that holds the other part do the like, that the Bone may be &s;een, and with your Catling divide the Ve&s;&s;els be|tween the bones (if it is below the Elbow or Knee) and remove the perio&s;teum, that nothing may hinder the &s;aw: Then take off the Limb at as few &s;troaks, and as near the upper part as po&s;&s;ible, and let him that holds the end of the Limb have a care that he breaks not the Bone, before the Saw is quite through. This done, throw it in to your Tub of water, at the &s;ide of the Platform, till ther's an opportunity to heave it and others over-board.</P>
<P>Some after this make actual Cautry on the ends of the Ve&s;&s;els, (and indeed it were a good way were a man on &s;hore) but by no means do I like fire on a Platform in time of Fight; for I remember in one of the la&s;t fights we had with the <HI>Holland|ers,</HI>
<PB N="26" REF="23">
there came a &s;hot in under water, and beat down my Lighter from before me, and battered things on the Platform. And if &s;uch a &s;hot &s;hould have &s;truck a fire pan there it would have hazarded the burning of the Ship. A &s;mall pledget of fine tow is fitte&s;t to be applied to the end of the Bone, and the be&s;t Practitioners u&s;e it. If it be above the Elbow, or in the Thigh, it is more proper to touch the Marrow than other things. To the mouths of the great Ve&s;&s;els you are to apply Buttons armed with your <HI>re&s;trictivum Commune,</HI> or (if you fear a violent flowing) with your Potenti|al Cautry, which commonly is that of <HI>Cal|canth. rubefactum,</HI> or if you fir&s;t dip your Buttons in the <HI>Aqua &s;tiptica Vitriola,</HI> and then arm them, it is a good way. The Buttons applyed, let an a&s;&s;i&s;tant hold them on with his fingers ends. Now here &s;ome take the Cro&s;s-&s;titch, and &s;ome neglect it, becau&s;e if it is taken &s;uperficially, it breaks out and doth no good, and if deep, the Mu&s;cles are punctur'd, which cau&s;eth an addition of pain, if not Convul&s;ion.</P>
<P>For my own part I have often u&s;ed it, and &s;ometimes have done the work as well without it.</P>
<P>Now let him that gripes force down his hands, that the Mu&s;cles may return over
<PB N="27" REF="23">
the end of the bone whil&s;t the other hold fa&s;t the Buttons to the ends of the Veins; keeping &s;till your Ligature fa&s;t, and do you apply a pledget wet in acetum, and armed with <HI>re&s;trictive</HI> to the end of the &s;tump; and another wet and armed over that, and &s;o large as may reach two inches over the &s;tump; and a &s;trong Cro&s;s-bol&s;ter upon that, which your a&s;&s;i&s;tant mu&s;t hold fa&s;t to; but before you bring the edges fa&s;t about, let go your Ligature. And then let your a&s;&s;i&s;tant hale up the Cro&s;s bol&s;ter &s;trongly, and the other force hard with his hand on the applications; and do you with a &s;ingle Rouler fetch 3 or 4 turns &s;omething tort, about the place where the Ligature was. If blood appears, clap an unarm'd button on that place, and &s;trip a wet bladder over that to &s;ecure the up|per things from being bloody: Then bring to another Bol&s;ter, and with a long double head Rowler make firm bandage, and be &s;ure at every turn that comes over the end of the &s;tump let your a&s;&s;i&s;tants hand be on it to hold it fa&s;t to, until you have fa&s;tned your Rowler. Then lay the man &s;o to pa&s;s, that the &s;tump may be higher than the Body, and wrapt warm with a Garment, and a Pillow under it; but be &s;ure to place him as far off, to the
<PB N="28" REF="24">
further part of the Platform, as po&s;&s;ible; that there may be room for others, and all that you lay after him, let them be laid for advantage; for I have &s;ometimes had my Platform &s;o full of wounded men, that I could not tell how to di&s;po&s;e of more: This done, let him have another Cordial drachm, but have a care of too much, le&s;t it inflame him, and make his blood more fluid: And have an Eye le&s;t his Me&s;mates come with their bottle, and prejudice him with their kindne&s;s, as I have &s;ome|times &s;een; and &s;o turn your hand to a|nother, and be as expedite in all your o|perations as po&s;&s;ible.</P>
<P>I have here given you but a touch of this, only to let you know how to behave your &s;elf in time of Fight.</P>
<P>Anon I'le teach you to pro&s;ecute this cure to the end: And then I'le &s;hew you how both to begin and end the curing of all other eminent Wounds, or Accidents that u&s;ually happen either in an ingage|ment, or at other times at Sea; for if you'l be a Sea-Chirurgeon, &s;uch you mu&s;t ex|pect to meet with, as others have done.</P>
</DIV3>
</DIV2>
<DIV2 N="2" TYPE="chapter">
<PB N="29" REF="24">
<HEAD><HI>CHAP. II.</HI> Teacheth what is to be done by the Chi|rurgeon the next day after the Ingage|ment.</HEAD>
<P>BUT by the way take notice, that it is not fit to open an Amputation under the &s;pace of at lea&s;t three dayes; nor of other great Wounds where there is dan|ger of an Hemorrhage in le&s;s than two dayes.</P>
<P>The next morning after the Fight, in the fir&s;t place provide Victuals for the wounded men: Let your Pot be boyled with Grewel of Oatmeal, Currants, and Spice; and when 'tis ready, let it be &s;weetned with Sugar, and give thereof to each of them, and let them have it twice a day at lea&s;t: Then con&s;ider what wounds or accidents &s;hould be dre&s;t this &s;econd day, which are &s;uch as are burnt with powder, &s;light Wounds, and all Brui&s;es or Contu&s;ions.</P>
<P>The&s;e being dre&s;t: Think of a vulnerary Drink for the wounded; (e&s;pecially &s;uch as are inwardly brui&s;ed, or have penetra|ting wounds.) Now if a man were a&s;hore,
<PB N="30" REF="25">
<HI>decoctum Traumaticum,</HI> or <HI>Vulnerarium, In|fu&s;us Vulnerarius,</HI> or el&s;e <HI>Spru&s;e Beer,</HI> would be very excellent: But you are at Sea, and have not the&s;e things, nor can you po&s;&s;ib|ly carry with you &s;o many Herbs, Roots, and Seeds as will make them.</P>
<Q><HI>Now, Rec.</HI> Syr. de Symphito &ounce;<HI>i</HI> Quinte&s;|&s;entia Ari&s;tolochia Fabri &dram;<HI>i</HI> in a draught of warm Ale or Beer is very good: But Sanguis Samphiti &scruple;<HI>i.</HI> Liquor Salis Gemmae. gut <HI>iij</HI> in a Gla&s;s of Malago or Alicant is better, (if not the be&s;t in the World. Sperm Caeti &scruple;<HI>ij.</HI> Magi&s;terium Salis gr. <HI>vi.</HI> in Oleo amygdalarum Dulc. &s;weetned with fine Sugar, is a good inward Vulnerary.</Q>
<P>The&s;e are things that you can carry to Sea with you, and have ready to give a man at an in&s;tant. 'Tis true, many of the&s;e things are very rich and co&s;tly; and 'tis like you expected me to advi&s;e you to things of good vertue, and yet of le&s;s co&s;t: 'Tis true they are &s;o: but then their Do|&s;es are not great; and con&s;ider that Life is of more worth than the be&s;t of them; be|&s;ides, if you know any thing more vulgar and of le&s;s value, and yet powerful as to the intention, you may u&s;e it, I impo&s;e
<PB N="31" REF="25">
not on you; you are at your liberty; on|ly pardon me if I advi&s;e you to the be&s;t of Medicines, (although never &s;o co&s;tly.) And indeed in this ca&s;e Balm of <HI>Gilead</HI> (if you had it) were not too good, I know it to be their only Medicine in <HI>Syria, Egypt,</HI> and <HI>Pale&s;tine:</HI> They take half a &s;poonful of it at a time, the Chri&s;tians in a Gla&s;s of Wine, and the Mahometans in their Sherbet, when any of them is brui&s;ed, or greatly wounded. And the meaner &s;ort boyl the fruit of the Tree from whence this comes, and drink the Decoction when they are hurt. It &s;weats out of the Fruit of the Cedar, and is not much unlike thin Tur|pentine both in &s;mell, &s;ight, and ta&s;te.</P>
<P>A Merchant in <HI>Tripoly</HI> in <HI>Syria,</HI> near <HI>Mount Lebanon,</HI> &s;hewed me, and gave me both of the Balm, and of the Fruit, when as it was new cut, and brought down from the Mountain at what time the Fruit was &s;weating out its Balm.</P>
<P>The Fruit is not much unlike the Spruce buds that we &s;ee in <HI>New found Land,</HI> which &s;weat out &s;uch another &s;ub&s;tance.</P>
<P>This day al&s;o you mu&s;t be providing Cradles for the wounded; you mu&s;t &s;peak to the Commander to order the Carpen|ter to make them. And in the night time let your Mates take turns, to watch
<PB N="32" REF="26">
by them, le&s;t any mi&s;carriage &s;hould be; but let there be quietne&s;s, and as little di|&s;turbance as po&s;&s;ible, for they will have many Vi&s;itors.</P>
</DIV2>
<DIV2 N="3" TYPE="chapter">
<HEAD>CHAP. III.</HEAD>
<P>THE &s;econd day after the fight, be&s;ides your giving men their vulnerary Drink, and dre&s;&s;ing the burns and bru&s;es, and &s;light wounds: See which of the others are co&s;tive, or inclining to be Feveri&s;h, and give to &s;uch an opening, and emolli|ent Cly&s;ter to prevent ill things that might en&s;ue.</P>
<Q>&rx; Decoctum Com. per Cli&s;t. &ounce;<HI>viij,</HI> Electa Len. &ounce;<HI>ij</HI> f. enema.</Q>
<P>This is fitte&s;t for your occa&s;ion; like|wi&s;e this day dre&s;s all Wounds that you can without fear of their bleeding afre&s;h, which I'le in&s;truct you in anon; but to comply with my promi&s;ed Method, I'le fir&s;t &s;hew you to pro&s;ecute the cure of the Amputated Wound, and in it of all other amputations.</P>
</DIV2>
<DIV2 N="4" TYPE="chapter">
<PB N="33" REF="26">
<HEAD><HI>CHAP. IV.</HI> How to pro&s;ecute the Cure of the Ampu|tated Wound.</HEAD>
<P>IMagin the third day after the ingage|ment is now come, you mu&s;t think of opening your Amputations and mo&s;t dan|gerous wounds: Have your <HI>Re&s;tringent Major,</HI> and your <HI>Dige&s;tivum Commune</HI> rea|dy by you. You will need no fomenta|tion this dre&s;&s;ing, for that by its heat might cau&s;e fre&s;h bleeding.</P>
<Q><HI>Your</HI> Dige&s;tivum Com. <HI>make thus,</HI> &rx; Terebenth. Mel Angl. Ol. Catulorum Vitel. ovor. ana. pts. equal. Mi&s;ce.</Q>
<P>The&s;e mixed, make an excellent good dige&s;tive, which is commonly u&s;ed. Your re&s;trictives that you applyed at fir&s;t, will now &s;tick very hard; therefore you mu&s;t have great care and patience in taking them off. When all's off, apply to the ends of the Ve&s;&s;els &s;ome of your Re&s;trictive Pouder whether they bleed or not; and to the end of the Bone a little Pouder of Myrrh on &s;mall pledgits of Lint or fine
<PB N="34" REF="27">
Tow; and over the&s;e apply your dige|&s;tive on pledgits all over the end of the &s;tump; then imbrocate the part about with Oyl of Ro&s;es, or Hypericon, and &s;o place fit Bol&s;ters, and roul it up for this time.</P>
<P>Now this &s;econd dre&s;&s;ing need not to be taken off under two dayes, unle&s;s &s;ome accident happen. When you dre&s;s it next, all danger of bleeding will be over, and you may prepare your fomentation to help on dige&s;tion, and to recollect the di&s;&s;ipated Spirits. For you will find a di&s;colourati|on about the end of the part, but fear not that; for when by the <HI>Fomentation,</HI> and <HI>Dige&s;tivum Commune,</HI> Dige&s;tion is made, that blackne&s;s will vani&s;h. And when you &s;ee the end of the part &s;well much, 'tis &s;o much the better; for the Spirits are retur|ned unto it, and there's le&s;s fear of Mor|tification.</P>
<P>Your Fomentation u&s;ually is,
<Q>&rx; Herbae Hypericon, Centariae, Ab&s;ynth. and other Fomentation Hearbs, which you alwayes have ready by you in your Drug Che&s;t; decoct two or three hand|fuls of the&s;e in Water, and to the &s;train|ed Liquor add a good quantity of Spirit
<PB N="35" REF="27">
of Vinum Commune, (<HI>ali&agrave;s</HI> Brandy) to make it more &s;trong and lively.</Q></P>
<P>Have Stuphs of Cotton, or Flannel to wring out of this Liquor, and apply them hot one after one, for a good while toge|ther. Then apply to the end of the bone a &s;mall pledgit dipt in tincture of Myrrh hot, and likewi&s;e bathe the end of the &s;tump therewith, and &s;o lay to your <HI>Di|ge&s;tivum Commune</HI> on pledgits of fine Tow or Lint. Let your <HI>Dige&s;tive</HI> be moderately warm. When you have dige&s;ted the Wound &s;ufficiently, and there is no fur|ther danger of Gangreen, then leave off the Common Dige&s;tive, but keep &s;till to your Stuphs and Tincture; for tho&s;e will powerfully forward the healing, to|gether with the Vulnerary Drink that I directed in the Second Chapter; and have a care that he drinks not &s;trong Drink to inflame.</P>
<P>Now <HI>Ba&s;iticon Minus,</HI> and <HI>Linamentum Arcei</HI> mixt and applyed on your Pledgits warm to the Wound is a very proper Me|dicine, and commonly u&s;ed; for this both dige&s;ts and heals: Only let not the&s;e touch the end of the Bone, nor yet no Unctions, nor Corro&s;ive thing whatever; but let your &s;mall Pledgit dipt in your Tincture
<PB N="36" REF="28">
of Myrrh, be &s;till next the Bone. For the&s;e Unctious things will &s;uffer the moi&s;t Humour to fall on the Bone, and that is it that rots and putrifies the Bone, which the Tincture of Myrrh, or Powder of Myrrh doth prevent. And if the Bone &s;hould be foul, by this or the Air, or o|ther accident, 'tis but applying your <HI>pul|vis Euphorbii.</HI> next to the Bone under your other Bal&s;ams, and it will delicately &s;cale it. Two or three of the&s;e dre&s;&s;ings will bring off the great &s;tuff, and you'l have your Wound in a hopeful way of Cur|ing.</P>
<P>Then you may leave of your Unctious <HI>medic.</HI> and apply only <HI>Bal&s;amum Terebin|thine</HI> or <HI>unguentum Tereb.</HI> which will cer|tainly do your work, and heal the Wound as fa&s;t as you would have it. And if you took the Cro&s;s Stick, you may now cut it and pick it out.</P>
<P>The later of the&s;e although 'tis called <HI>unguent. Tereb.</HI> yet it has no Oylous or Unctious ingredient in it. 'Tis thus made.</P>
<Q><HI>Rec.</HI> Tereb. <HI>lb ij,</HI> vitel. ovor. <HI>No. vj.</HI> Ma|&s;tich. Myrrh. Olibanum ana &ounce;<HI>j</HI> f. ung.</Q>
<P>That is admirable good for healing,
<PB N="37" REF="28">
and the Bal&s;am is not inferior, for the&s;e may be applyed to the bone it &s;elf.</P>
<P>After the Eight at <HI>Buda,</HI> when the Emperor routed the <HI>Turks,</HI> I &s;aw in <HI>Con|&s;tantinople</HI> a <HI>Turk</HI> that had been wounded there by a brace of Bullets that had been &s;hot through his Arm extreamly &s;hatter|ing both bones <HI>&V;lna</HI> and <HI>Radius,</HI> and this wound after the bloud had been &s;tanch'd, was dre&s;t only with <HI>alb. ovorum,</HI> and <HI>Tereb. Cypr. mi&s;ce;</HI> and for all the &s;hatter'd bones were not taken out, and it was now two months &s;ince the Fight, yet the bones were not in the lea&s;t foul, nor was there any ill &s;cent, but extraordinary good and laudable dige&s;tion, and the wound inclin|ing to heal, but too fa&s;t over the loo&s;e bones; and (when at the reque&s;t of a Merchant) I had laid it open, and taken out the &s;plintred o&s;&s;icles, the <HI>Turk</HI> healed it him&s;elf with that very medicine; it was almo&s;t cured before we parted thence, which was about a fortnight after I had laid it open. This I in&s;ert only to confirm your confidence in the <HI>unguent.</HI> or <HI>bal&s;am of Terebenth.</HI> which mu&s;t needs be more effi|cacious than this of the <HI>Turks</HI> which I have &s;poke of, con&s;idering the ingredients in them added to the&s;e. When you have healed it &s;o, as you would have it to cica|trize,
<PB N="38" REF="29">
then you may at fir&s;t add to your bal&s;am, <HI>de&s;iccatrum rubrum,</HI> or <HI>diapom|pholigos;</HI> and at la&s;t u&s;e them alone. For the&s;e will dry and skin it to your &s;atis|faction. And mind this, that if in the time of Cure the Patient &s;hould at any time turn Feveri&s;h, be&s;ides admini&s;tring of Cly&s;ters, you mu&s;t open a Vein.</P>
</DIV2>
<DIV2 N="5" TYPE="chapter">
<HEAD><HI>CHAP. V.</HI> How to Cure all dangerous Wounds of the Joynts.</HEAD>
<P>WE'le &s;uppo&s;e before you have quite done with your di&s;membred man, there's brought down another, wounded in the Knee, with a Musket Bullet. The Veins, Arteries; and Nerves are wound|ed, and the Cartilages and Bones &s;hatter|ed, and the Bullet &s;ticking in. This is a very dangerous Wound, with intole|rable pain, and a violent efflux of Blood. Here two de&s;igns immediately offer; the one to extract the &s;hot and &s;hattered Bones, and the other to &s;top the Blood.</P>
<P>Here the latter is fir&s;t to be executed lea&s;t the man bleed to Death whil&s;t you
<PB N="39" REF="29">
are doing the other. Your way is to make &s;trong Ligature about the Thigh, &s;o that the blood &s;hall not de&s;cend (at lea&s;twi&s;e in any great quantity). If &s;uch a Wound &s;hould happen in the joint of the Hip, where &s;uch Ligation cannot be made, it were much more dangerous.</P>
<P>When you have made your Ligature as hard as if it were for di&s;membering, then with your probe feel for the &s;hot, and with your <HI>Forceps</HI> or <HI>Terebellum</HI> extract it. But if it is near through on the further &s;ide, Clap a flat pointed &s;trong Probe to it, and with your inci&s;ion Knife cut it out, thru&s;ting it with your Probe; but be ten|der of the Ve&s;&s;els, or Nerves, and get the &s;plinter'd Bones out in like manner; for if you &s;hould not do this now whil&s;t the man is hot, (which mu&s;t of nece&s;&s;ity be done) you'l but very ill do it here|after. If there be &s;ome &s;mall extramo|&s;ities that &s;hould e&s;cape you now, 'tis no great matter, you need not &s;pend over much time (which now is precious) they will come to hand at another dre&s;|&s;ing. And if it were a &s;hot that &s;hould &s;tay in, if it were a Mu&s;culous part, provided the &s;hot were round &amp; not chaw'd nor jag'd, it would not be at all the more dangerous. For I have known when &s;uch a Bullet could not
<PB N="40" REF="30">
be got out, that it hath of it &s;elf by its own weight made way lower and lower, to a depending part, where it hath ap|peared through the skin, and there hath been cut out, and hath healed after it all along as it hath de&s;cended; this happen|ed to one of our Seamen, when we had Wars with <HI>Algier,</HI> and fought before <HI>Te|dellis</HI> in <HI>Barbary.</HI></P>
<P>This done, dip your <HI>Dorcells</HI> in your <HI>aqua &s;tiptica,</HI> &s;queeze them, then arm them with your Re&s;tringent, and fill the Wound with them; but let no hard <HI>Tents</HI> be ap|plyed among the Joynts, neither here nor in any other. Apply good Bol&s;ters and make good Bandage, and &s;o give this a Cordial drachm, and lay him by the other; for this is all what can be done at this time, and this wound ought not to be opened in le&s;s time than two dayes, un|le&s;s accidents inforce you.</P>
<P>The next dre&s;&s;ing be cautious how you apply your Fomentation, lea&s;t it &s;hould cau&s;e fre&s;h bleeding; but let your dige|&s;tive have powder of <HI>Saffron</HI> mixt with it, and let it be apply'd on <HI>Dorcells</HI> into the Wound, then will your dige&s;tive be not only &s;uppurative, but al&s;o anodine, which is an intention which this Wound ex|treamly
<PB N="41" REF="30">
requires, as al&s;o prevention of other accidents; as Convul&s;ion of the Nerves, Contraction of the Mu&s;cles and Fever.</P>
<P>Now as your dige&s;tive it in the Wounds &s;o all about the Wound let your <HI>Empla&s;t. dia&s;ulphuris Rulandi</HI> be applied, for that is the mo&s;t excellent that is yet known for all Wounds of the Joynts, and Nervous parts.</P>
<P>And let there be a &s;trong defen&s;ive about the Thigh.</P>
<Q>&rx; Your pulv. re&s;tr. minor with acetum; alb. ovor. and oleum Ro&s;arum, mi&s;ce.</Q>
<P>This is a good defen&s;ive; and mind this, That when you apply your dige&s;tive into the Wound, let either the Bal&s;am or Un|guent of <HI>Terebinthina</HI> be applyed next the Bone. This manner of Dre&s;&s;ing &s;hould be u&s;ed till dige&s;tion is effected. And as &s;oon as there is no danger of Bleeding, let your hot and comfortable Fomentation be u&s;ed, and let your Wound Drink be given inwardly; and let his body be kept open by Cly&s;ters as is taught in the amputated Wound.</P>
<P><PB N="42" REF="31">Your Wound Drink is,
<Q>&rx; Pulv. ad Ca&s;um, &dram;<HI>j&s;s. and &s;weat on it, either</HI> Syr. de &s;ymphito &ounce;<HI>ij,</HI> or San|guis &s;ymphiti <HI>&s;sj,</HI> or Quint. ari&s;toloch fabri &dram;<HI>ij.</HI></Q></P>
<P>Any of the three given in a Gla&s;s of Beer, Ale or Wine, fir&s;t in the Morning, and la&s;t at Night, either alone or mixt together, and Do&s;ed proportionably, no|thing under the Heavens, is (unle&s;s Balm of <HI>Gilead</HI>) more powerful as to this in|tention. When you &s;ee it begin to &s;uppu|rate, then apply <HI>Bal&s;amum Sulphuris,</HI> or <HI>Bal&s;aminae</HI> to the Nervous parts, for tho&s;e are the chief of Medicines in that behalf, but let either the <HI>Bal&s;am</HI> or <HI>unguent of Te|reb.</HI> be next, or among the Bones; and let every thing be applyed hot and comforta|ble. And let warm <HI>Tinctura Myrrhae</HI> be your Lotion, and the <HI>Empla&s;tr. dia&s;ulphuris Rulandi</HI> be &s;till applyed warm and cheri&s;h|ing all about the Joynt and Part.</P>
<P>This (I am confirm'd) you'l find to be an excellent method of curing Wounds of the Joynts and Nervous parts.</P>
</DIV2>
<DIV2 N="6" TYPE="chapter">
<PB N="43" REF="31">
<HEAD><HI>CHAP. VI.</HI> How to Cure a Compound Fracture, and Di&s;location together.</HEAD>
<P>BY this time let us imagine another is lower'd down to you, who being up aloft knotting the Rigging, a &s;hot came and carried the Rope from under his Feet that he &s;tood upon, and he fell down upon the Deck; and di&s;located his Shoulder-Bone, and fractured the <HI>Os Brachium,</HI> &s;o that the end of one part of the Bone comes through the Fle&s;h and Skin over the other.</P>
<P>This is a notable Accident, and 'tis impo&s;&s;ible but that this man mu&s;t be much brui&s;ed inwardly by the fall al&s;o.</P>
<P>Your way is to let his Clothes be imme|diately ript off, and &s;eeing how the Ca&s;e &s;tands, give him immediately a Cordial dram, to revive his Spirits; and then make way to reduce the di&s;located Joynt; after embrocate about it with <HI>Oleum Ro&s;arum,</HI> and clap about it a good Warm Searcloth of <HI>Oxycroceum.</HI> Let there be a good Bol&s;ter placed under the Arm-pit, and firm and decent rouling.</P>
<P>Next go in hand with your compound
<PB N="44" REF="32">
Fracture, which will be the more difficult to reduce, becau&s;e of the new Located Joint. Now all di&s;locations and fractures are reduced either by a &s;light and &s;udden Motion, or by a more &s;trong Exten&s;ion. The joynt of the Shoulder might ('tis like) be done by the former; but this kind of Fracture will require the latter. There mu&s;t be a powerful exten&s;ion of this Fracture, becau&s;e the Ends of the Bones are one over the other. Therefore he that holds the upper part, had need of a good Machine, or Bandage to hold fa&s;t by, again&s;t him that extends the other way, that he may &s;uccour the Shoulder-joynt.</P>
<P>'Tis like too that the Wound may not be wide enough to let the head of the Bone ea&s;ily return, then you mu&s;t make inci&s;ion, but have a care of the Ve&s;&s;els.</P>
<P>When the ends of the Bones are evenly placed, embrocate about the part with <HI>Oleum Ro&s;ar.</HI> and into the Wound apply a &s;mall dorcel of <HI>Tincture of Myrrh</HI> next the Bone, and on that your dige&s;tive on ano|ther dorcel; and over all a large Re&s;tri|ctive of
<Q>&rx; Bolus verus, Sang. Drac. Ma&s;tich, and Oliban. ana parts equal, alb. Ovor. &amp; ace|tum vini, q.&s;. mi&s;ce, f. Catapla&s;m.</Q>
<PB N="45" REF="32">
Let it be &s;pread thick on a double cloth, and applyed all about, except on the wound; but on the wound leave a &s;pare place cut out, that it may be come at to be dre&s;t: Place on this another bol&s;ter wrung out of <HI>Acetum,</HI> but a &s;pare place likewi&s;e in it, that the wound may be come at; then a &s;oft Rouler to come &s;everal turns about it, and every valve as it comes over the wound cut; not to the &s;ides (becau&s;e they may hold fa&s;t) but in the middle; on this place a &s;mall, but thick bol&s;ter on the wound, that may an&s;wer the wanting valves. This done, make the &s;malle&s;t part equal to the bigge&s;t, with &s;oft bol&s;ters; &s;o place there|on broad and hollow &s;plints oppo&s;ite to the wound, and on each &s;ide it, but not on it; the which let be decently bound on with Tape from joynt to joynt, yet not to touch the Joynt &s;o as to hurt it; nor yet &s;o hard as to cau&s;e ill accidents to the wound and fracture. So let his Clothes be put about him, and open a vein in the other Arm, becau&s;e of his inward contu&s;i|on; that it may hinder the coagulation of the blood. Lay this by the re&s;t for this time, and when you &s;ee occa&s;ion, give him of the wound drink as you do the others. You mu&s;t note, if this had been but a &s;imple fracture, you mu&s;t on the &s;ingle
<PB N="22" REF="33">
Rouler, and over all have made u&s;e of two Roulers more; the one mu&s;t have be|gun with two or three turns about the fracture, and you mu&s;t then have rouled upwards, with the valves &s;omething clo&s;e, to anticipate a defluxion of humours, and the other after two or three turns about the fracture mu&s;t have been lead down|wards with the valves more open, and af|ter turn'd a cro&s;s at the lower Joynt, and &s;o rouled up again to the other; there to end; and &s;ee the Arm made even with Bol|&s;ters, and the Splints applyed, this &s;hould not be removed under 6 or 7 dayes, unle&s;s accidents urged; and if heat or pain &s;hould, then it were but undoing it carefully, and bathing it with warm water; and then ap|lying an <HI>Oxicrocium</HI> Sear-cloth about it, and &s;o roul it up again, and let it remain: But this Compound Fracture admits of no &s;uch rouling; but there mu&s;t be much more care and trouble about it.</P>
<P>The next dre&s;&s;ing of your Compound wound; which mu&s;t not be under two (if not three) dayes time: You mu&s;t take off all to the &s;ingle Rouler, but let it, and all under it remain longer, (unle&s;s &s;ome ac|cidents have hapned) Take off the &s;mall bol&s;ter of the wound, and take out the Dorcels: Let all be done with great care
<PB N="23" REF="33">
and gentlene&s;s, lea&s;t you di&s;place what you before reduced. Clean&s;e the wound with hot Tincture of <HI>Myrrhae,</HI> then drop into it hot Bal&s;am of <HI>Terebenth,</HI> and apply dor|cels into it dipt in the &s;ame; on the&s;e a bol&s;ter, and &s;o make it up again as it was before. U&s;e this manner of dre&s;&s;ing till accidents, or time cau&s;e you to take off the re&s;trictive</P>
<P>When you take it off, bathe it, and &s;tuph it well with your hot Fomentation, but have a care of di&s;placing the Fracture; then apply an <HI>Oxicrocium</HI> Pla&s;ter warm all over, only on the wound let it be cut as the re&s;trictive before was; and this will help on a Callous, and the Bone to ce|ment, and is an approved thing for Fra|ctures, and very Anodine; then let it be made up in every re&s;pect as it was before, and continue this manner of dre&s;&s;ing to the end: And when you can with &s;afety, you may take off the Sear-cloth from the Shoulder, and bathe and &s;tuph that well and hot to &s;trengthen it, and &s;o apply ano|ther <HI>Oxicrocium</HI> Sear-cloth to it again.</P>
<P>Be &s;ure in &s;uch cures as the&s;e, to keep a cool and open Body, and breathe a Vein, not only once, but oftner.</P>
</DIV2>
<DIV2 N="7" TYPE="chapter">
<PB N="48" REF="34">
<HEAD><HI>CHAP. VII.</HI> How to cure a wound of the Head, with a Fracture of the Scul.</HEAD>
<P>ANother comes down with his Head wounded, and Scul fractured, which often happens in time of Fight, by a &s;mall Shot or Splinter: I met with &s;everal &s;uch in the la&s;t <HI>Holland</HI> Wars: Some the <HI>Cutis Mu&s;cula,</HI> not only much wounded, but the Scul fractured, &s;o as the <HI>Dura mater</HI> hath been bare. Others again have had but a &s;light wound of the outer part, but the Scul hath had a &s;mall Fracture or Fi&s;&s;ure; and this latter is wor&s;er than the former.</P>
<P>The former you &s;ee fairly, and by dila|ting a little with your Inci&s;ion Knife of the Scalp wider than the Wound, you ea|&s;ily take out any loo&s;e Splinters that might prick the Meninges:</P>
<P>But the latter, When you have laid bare the Scul, (the which it is not &s;afe to neg|lect, upon the lea&s;t &s;ymptoms) you will &s;carcely &s;ee at this time if there be a Fra|cture or no: For indeed &s;ome have not immediately their Speech taken away, nor yet Vomit, nor Bleed at the Ears or Mouth,
<PB N="49" REF="34">
nor (whil&s;t they are hot) have &s;uch &s;igns of a Fracture as other &s;ome have.</P>
<P>However the be&s;t way is, If you have but any &s;u&s;pition, to lay the Bone bare, and the wor&s;t that can fall by that, is but healing it again, if there be not a Fracture; but if there &s;hould be one, the neglect thereof were dangerous.</P>
<P>Shave the Head (at lea&s;t waies a conve|nient breadth about the wound) that no|thing may hinder your Applications, but that you may decently dre&s;s it: Whether it is the greater or le&s;&s;er Fracture, if it hath done bleeding, dre&s;s it with hot Tin|cture of <HI>Myrrhae</HI> on Dorcels, e&s;pecially next the bone; but if it bleeds much, apply on the Dor&s;el of Tincture your, Re&s;trictive on other Dor&s;els, and over all, when you have imbrocated all about with Oyl of Ro|&s;es, or Hypericon; apply a thick double Bol&s;ter, and &s;o make good bandage for the pre&s;ent, and let him not drink Brandy, nor other liquor that will inflame.</P>
<P>The next dre&s;&s;ing, whether it be the fir&s;t or &s;econd day after this, have your Stuphs ready to wring out of hot Spirit of Wine, and apply them.</P>
<P>You'l find now not only by Symptoms, but you will likewi&s;e &s;ee (if you look dili|gently,) whether there is a Fracture or
<PB N="50" REF="35">
no; if there be, and the man hath grie|vous pain of his Head, and redne&s;s of Eyes, Vomits, &s;pits Blood, 'tis a &s;ign that the brain is concu&s;&s;ed, and the contu&s;ed blood would have vent, and hath not by rea&s;on of the &s;mallne&s;s of the Fracture.</P>
<P>To do this;</P>
<P>Having with your Sculpra removed the <HI>Pericranium</HI> clearly, apply the <HI>Traphine,</HI> Let it be, (if it can) &s;omething beneath the Fracture, that the blood may be bet|ter evacuated.</P>
<P>When you are through the fir&s;t Table, take out your Pin, and then work gently through the &s;econd; but with a &s;teady hand, and great care, le&s;t the teeth of the <HI>Tra|phine</HI> &s;hould tear the <HI>Dura Mater.</HI> When you are almo&s;t through, try if the &s;mall piece in the hallow of the <HI>Traphine</HI> be loo&s;e, if it is, then the Teeth are ju&s;t through: Now have a care of the Meninges, and take out the piece; but mind that you ap|ply not your <HI>Traphine</HI> on the temporal Bones, Sutures, or Sinciput; and with your <HI>Lenticula</HI> &s;mooth the Perforation, and when with fine Lint or Tow you have clean&s;ed the work, place a &s;mooth lawn Cylendula, dipt in warm Tincture of Myrrh between the <HI>Dura Mater,</HI> and the other applications. Or this, Let &s;mall fine
<PB N="51" REF="35">
Dorcels be dipt in the &s;ame Tincture, and applyed, filling the wound of the Bone therewith. But to the re&s;t of the wound on that, <HI>Bal&s;amum Terebinthinae</HI> is the fitte&s;t Medicine, let it be applyed warm on Dor|&s;els, and on it, and over all the head, when it hath been imbrocated with warm Oyl of Ro&s;es, or Hypericon, let a Plai&s;ter of Paracel&s;us, or Betonica be warm ap|plyed, then clap a good double Bol&s;ter over the wound, with a plate, or broad piece of &s;ilver in it, to hinder that the <HI>Du|ra Mater</HI> &s;well not out of the Scull, (for it will be apt to Tumifie:) Let there be a warm double cloth about all the head, and with a double head rouler make &s;mooth and decent head rouling; and let him be laid as free from noi&s;e as po&s;&s;ible, which is very hard to do in a &s;hip. The &s;ame manner of dre&s;&s;ing, (the <HI>Traphine</HI> only ex|cepted) is to be u&s;ed in the greater fracture: If there be &s;ome a&s;perities and unevenne&s;s in the edges of the bone, be cautious how you u&s;e your capital In&s;trument (as Ra&s;pi|tory, File, Saw, or the like) with them, and great care you may do good; but with this method of dre&s;&s;ing, as I directed, you'l find the bone to exfoliate it &s;elf to your &s;atisfaction in a little time.</P>
<P><PB N="52" REF="36">When the Brain and Meninges are well, and the fi&s;&s;ure Cements with a Callous, and the perforation, or great Fracture do heal up with a &s;ub&s;tance, then you may leave off the Cylendula, and after wa&s;hing the Wound with your Tincture, apply the Bal&s;am only into it, or at lea&s;t <HI>Liniment arcei,</HI> and &s;o the re&s;t as before: But mind in this, and all &s;uch wounds to open a Vein often, and keep the Body open by Cly&s;ters, and let your wound drink be given him; either of the three Medicines in the la&s;t Chap. or <HI>Pulv. ad Ca&s;um:</HI> &dram;i &s;&s;. at a time in Beer, Ale, or Wine, either alone, or mixt with <HI>Syr. Myrtles,</HI> cau&s;ing the Patient to &s;weat upon it.</P>
</DIV2>
<DIV2 N="8" TYPE="chapter">
<HEAD><HI>CHAP. VIII.</HI> How to Cure Wounds of the Abdomen and Ruptures.</HEAD>
<P>ANother by a Splinter hath the rim of his belly dilacerated, in&s;omuch as that the <HI>Omentum appears,</HI> and the wound is large. This is a dangerous Wound al&s;o: Here you mu&s;t immediately make firm
<PB N="53" REF="36">
&s;titching, (and the &s;ame you mu&s;t do if it were any deep inci&s;ed Wound.) Let it be with a delicate &s;lender Needle, not too burly, arm'd with &s;trong double &s;ilk, drawn through your Paracel&s;us, or other plai&s;ter, as if it were Wax. Let not your &s;titches be too clo&s;e, but that there may be room for the blood or matter to come forth, e&s;pecially in the depending part: This done, foment it hot with common Spirit of Wine, and then having &s;ome of your <HI>Re&s;trictive</HI> mixt with Oyl of Mirtles, apply it on a double cloth, and &s;o make good rouling, giving him a Cordial, and lay him for pre&s;ent by the others; and &s;ee you give him of the Vulnerary drink, ei|ther of the <HI>Symphitum;</HI> or <HI>Ari&s;tolach,</HI> or <HI>Pulvis ad Ca&s;um</HI> mentioned in the la&s;t Chap|ter; and now if <HI>Liquor Salis gemae, gut.</HI> iij. <HI>or</HI> iiij. be added in the drink, it will be much the better; for it is a great &s;ecret in wounds and Ruptures of the Belly. When you dre&s;s it again, be &s;ure you bathe and &s;tuph it well and hot; fir&s;t with your fo|mentation, and then with <HI>Liquor &s;eu Bal&s;a|mum &s;aelis gemae,</HI> and Tincture of <HI>Myrrh.</HI> Now to dige&s;t this wound, as al&s;o to heal and pre&s;erve it from gangrene, u&s;e <HI>Bal&s;a|mum Vulnerarium Salmonis;</HI> (or <HI>Bal&s;ammae,</HI> with oyl of Wax:) or <HI>Bal&s;amum Hi&s;pani|cum;</HI>
<PB N="54" REF="37">
let it be laid on thick, and hot on Dorcels; and let <HI>Empla&s;trum dia&s;ulphuris rulandi,</HI> or Paracel&s;us, or <HI>ad herniam Schrod.</HI> be applyed hot and large over it, to com|fort the whole Abdomen; and all the dre&s;&s;ings following &s;tuph it well with hot Tincture of <HI>Myrrhe,</HI> for that is a &s;overaign Medicine. See that his body is kept &s;olu|ble with Cly&s;ters of decoct <HI>Com. pro Cly&s;t. Cum Electo Len.</HI> and let him blood, if any thing of a Fever appears.</P>
<P>Were there a Rupture without a Wound by lifting of a Gun, or other weight: Then the place ought to be &s;tuft well with your vulnerary fomentation, and then with <HI>Bal&s;amum &s;alis Gemae,</HI> then <HI>Empla&s;trum ad herniam Schroderi</HI> malax'd with a little oyl of Wax, and &s;o good bol&s;ter and rouling</P>
<P>If the Caul &s;hould fall into the Scrotum, together with this, there &s;hould be a Tru&s;s, which together with the Rupture drink of <HI>Sang. Symp.</HI> &scruple;j and iij or iiij drops of <HI>Li|quor &s;alis Gemae,</HI> in Ale, or Wine, or the others.</P>
</DIV2>
<DIV2 N="9" TYPE="chapter">
<PB N="55" REF="37">
<HEAD><HI>CHAP. IX.</HI> How to Cure a penetrating Wound of the Brea&s;t, and Ribbs, or Back.</HEAD>
<P>ANother in bording of the Enemy has a Pike run in at his Brea&s;t, and goes &s;lanting among his Ribs, but mi&s;&s;eth the Vitals: This is another dangerous wound.</P>
<P>Fir&s;t give the man a Cordial to revive his Spirits; then having &s;earched gently which way the wound goeth, dip a &s;mall tent in <HI>Aqua &s;tiptica Vitrioli,</HI> and the glare of an Egg beaten together, this will &s;top the bleeding powerfully: Have great care le&s;t your Tent &s;hould touch the Vitals, and let it be but &s;lender, a bol&s;ter &s;queezed out of the &s;ame Liquor, and applyed: This wound mu&s;t be kept open by all means, otherwi&s;e it will quickly heal outwardly, and there will be an Empyema inwardly; and when you dre&s;s it next, wa&s;h it with Tincture of <HI>Myrrhae,</HI> and <HI>quint. ari&s;toloch. fabri,</HI> with a Syringe, but let the Patient be placed &s;o, as the wound may be lowe&s;t, that what is &s;yringed into it; as al&s;o the matter may come forth of it, and let him lye &s;o in his Cabbin or Cradle. Let the
<PB N="56" REF="38">
Tents be armed with <HI>Bal&s;um Vulnerum &s;al|mon,</HI> anoint all the region of the brea&s;t, with oyl of hypericon, and apply all over a good warm Empla&s;ter of Paracel&s;i: This is the right way to dige&s;t and heal this kind of wound; but mind if it runs much matter, and yet offers to heal too fa&s;t outwardly: Then keep it open whatever you do, until the bottom is fir&s;t well healed. Here the wound drink mu&s;t be ob&s;erved, Cly&s;ters likewi&s;e, and Phlebotomy, for in all pene|trating Wounds and brui&s;es, I expect the inward vulneraries to do as much towards the cure, as the external applications.</P>
</DIV2>
<DIV2 N="10" TYPE="chapter">
<HEAD><HI>CHAP. X.</HI> How to Cure a Wound by a &s;mall &s;hot, through a Fle&s;hie, or Mu&s;culous part.</HEAD>
<P>IF the Bullet is not through, yet almo&s;t through, you are taught how to cut it out in the Fifth Chapter, or el&s;e how to extract it. This I look upon as an ordinary Wound, although never &s;o deep: I'le imagine the &s;hot went in through the thick of the Thigh, a little below the Groyne,
<PB N="57" REF="38">
and out (or cut out) in the hinder part of the hip. You are fir&s;t to &s;top the Blood, Take a cupple of Tents dipt in <HI>Aqua &s;tip|tica,</HI> and then rouled in your re&s;tringent Pouder, and put one in at the one Ori|fice, and the other at the other; and let them be &s;o long, as almo&s;t to meet, but not quite; and if but one Tent, let it not be &s;o long as the wound is deep, and as the wound heals, make your Tent &s;horter by degrees, and apply about the Thigh your <HI>Re&s;trictive Communis,</HI> mentioned in the Fifth Chapter, or <HI>Diapalma Malaxed,</HI> with oyl of Ro&s;es. When you dre&s;s this wound next, u&s;e your Common Dige&s;tive, or your Tents; only &s;tuph it well with your fo|mentation, and let <HI>Tinctura Myrrhae</HI> be your lotion, which inject with your Sy|ringe. When there is good Dige&s;tion, then <HI>Ba&s;ilicon minus</HI> for a while on yo r Tents, and at la&s;t <HI>Linimentum arcei,</HI> making your Tents &s;horter and &s;horter as the wound heals: You will know how it incarns by a reddi&s;h &s;peck, which you will &s;ee on the end of your Tent when you take it out, and on all the re&s;t of the Tent pure quitter. If this man be feaveri&s;h, you may open a Vein in the time of his cure; and if co&s;tive, give him Cly&s;ters; and to facilitate his Cure, let him have of the wound Drink.</P>
</DIV2>
<DIV2 N="11" TYPE="chapter">
<PB N="58" REF="39">
<HEAD><HI>CHAP. XI.</HI> How to Cure a Wound of the Fle&s;hy Parts, with lo&s;s of &s;ub&s;tance.</HEAD>
<P>NOW I'll &s;uppo&s;e a Man has a great part of the Galf of his Leg carried away by a great &s;hot. Here fir&s;t you take thick Dor&s;els or Pledgits, and &s;queeze them out of <HI>aqua &s;tiptica vitrioli,</HI> then arm them either with your re&s;trictive ready mixt, or with re&s;tringent powder alone; You apply the&s;e, and good Bol&s;ter and Rouler at pre&s;ent, laying him with the part higher than the Body.</P>
<P>Next dre&s;&s;ing it will not be proper to u&s;e the hot Fomentation, for 'tis like there is an aptne&s;s to bleed: But let your com|mon dige&s;tive be applyed, and a defen&s;ive, of <HI>Diach. Sym. &amp; Ol. Ro&s;.</HI> all about and a|bove the wound. When you have the blood &s;ecurely &s;topt, let Tincture <HI>de Myrhae</HI> be your Lotion, and the next dre&s;|&s;ing your Fomentation mu&s;t be applyed hot, to recal the Spirits back, for it's much if you do not &s;ee a mi&s;s of them.</P>
<P>If either the &s;hot has grazed on the bone, or the fle&s;h is &s;o carried away that the bone is &s;een; let <HI>&V;nguent Terebinth.</HI>
<PB N="59" REF="39">
be applyed next it, but to the re&s;t (when 'tis well dige&s;ted) <HI>Ba&s;ilicon;</HI> and when you would have it incarn fa&s;ter, <HI>Diapom|pholigos</HI> mixed; or <HI>Bal&s;amum Vulnerarium,</HI> which is excellent.</P>
<P>If &s;pungious fle&s;h ari&s;e, you may correct it with <HI>Merc. praecipitatum,</HI> or <HI>Alumen &V;&s;tivum,</HI> or wa&s;h the wound with <HI>Liquor Sa|lutis,</HI> or <HI>Liquor Vulnerarius Schroderi,</HI> mixt with a &s;ufficient quantity of <HI>Spiritus vini vitriolati,</HI> will make firm and &s;peedy heal|ing. Let both Cly&s;ters, wound drink, and Phlebotomy be minded here likewi&s;e, and then the wound will heal more &s;peedi|ly and kindly.</P>
<P>You are taught in the Chapter of an Amputated Wound, how to bring it to a Cicatrize.</P>
</DIV2>
<DIV2 N="12" TYPE="chapter">
<HEAD><HI>CHAP. XII.</HI> How to Cure a deep inci&s;ed Wound.</HEAD>
<P>ADmit a man has got a great cut on the Face with a Back-&s;word or Cutlis, &s;o that the fle&s;hy part of his Cheek hangs down; you are immediately to &s;titch this
<PB N="60" REF="40">
wound, and being it's in the Face, clo&s;e the Lips of it very even: Let your Needle be fine and &s;lender, that there may not be an ugly &s;car afterward.</P>
<P>The be&s;t thing to lay fir&s;t to this wound when 'tis &s;titcht, is <HI>Pulvis Thuraloes cum Pilis Leporinis, minuti&s;&s;imum inci&s;orum</HI> mixt with the glare of an egg, and applyed on fine Lint or Towe, let it &s;tick on till it comes off it &s;elf: But if it has done bleed|ing, wa&s;h it well with Wine, or Spirit of Wine, and apply <HI>Bal&s;amum Hi&s;panicum fa|bricii,</HI> or that of Dr. <HI>Salmons,</HI> and lay a <HI>Paracel&s;us</HI> Plai&s;ter over all, and a good Bol&s;ter, and &s;o roul it up decently. This latter will go nigh to heal the wound at a dre&s;&s;ing by agglutination.</P>
</DIV2>
<DIV2 N="13" TYPE="chapter">
<HEAD><HI>CHAP. XIII..</HI> How to Cure great and deep Contu&s;ions, or Brui&s;es, without, any eminent Wound, and &s;prains of the Joynts.</HEAD>
<P>IF a Man hath got a brui&s;e, and it is but &s;uperficial, whether of the Limbs or any other part, tis cured by embroca|ting
<PB N="61" REF="40">
hot, and often with Oyl of <HI>Hypericon,</HI> and applying a <HI>Paracel&s;us,</HI> or <HI>Opodeldoch</HI> Plai&s;ter. But if it is deep, and the Ve&s;&s;els di&s;torted, and the Mu&s;cles brui&s;ed and writhen, &s;o that there is blood lying deep between the Mu&s;cles 'tis dangerous.</P>
<P>I &s;aw &s;uch a thing before <HI>Tripoly</HI> in <HI>Bar|bary,</HI> when we had wars with that place. A Ship coming to an Anchor, and the Ca|ble running out, a Kink therein happened to di&s;a&s;ter a Mans Leg, in this manner: The Chyrurgion Embrocated it with good Oyls, and applyed good Empla&s;ters to it, but for all that the blood that was forced out of the Ve&s;&s;els lay deep, and it could not be di&s;cu&s;&s;ed, but waxed wor&s;e, and in four days time Gangrened; the Chyrur|gion &s;eeing that, &s;ent for other Chyrur|gions (and me among the re&s;t) on board, but whil&s;t we were making ready to ampu|tate it, the Man dyed. In &s;uch a ca&s;e as this, let blood as &s;oon as you have Embro|cated it with hot Oyl of <HI>Hypericon,</HI> and applyed your Empla&s;ter, both about the contu&s;ed Mu&s;cles, and likewi&s;e about the di&s;torted or &s;prained Joynt, and be &s;ure that you make plentiful Phlebotomy, for that will be a great help; and let the wound-drink be drank plentifully, and that is another good help. Bathe and
<PB N="62" REF="41">
&s;tuff the part well and hot (likewi&s;e) with <HI>&s;piritus vini communis,</HI> let this be done often, and let your hot Oyl and Empla&s;ter be not only once a day (as is u&s;ual) but if you mean to &s;ave a mans Life or Limb, let them be often apply'd.</P>
<P>If you find for all this, that the pain increa&s;es, and the Tumor likewi&s;e, then endeavour to bring it to maturation as &s;oon as po&s;&s;ible, for if you cannot do this, there will be a Gangrene, (e&s;pecially if it be &s;ultry Weather, as I remember was then at <HI>Tripoly.</HI>) Now u&s;e no repellents, nor any thing to cool inflammation, but apply this maturative Catapla&s;m follow|ing,
<Q>&rx; &V;nguent. Ba&s;ilic. Major. de Mu&s;lagin. Empl. melilot &s;ymp. q. &s;. mi&s;ce. fiat Ca|tapla&s;ma.</Q></P>
<P>There is no Catapla&s;m whatever more excellent than this to bring any manner of Tumour to dige&s;tion; be&s;ides, 'tis made in an in&s;tant. Continue the repeating of this hot Catapla&s;m, till you &s;ee the Tumor ri&s;e fairly for a head; and when you &s;ee its ready, &s;tay not for its breaking, but open it by inci&s;ion, in the depending part to let out the abundance of goary matter,
<PB N="63" REF="41">
that it foul not the Bone, or a Gangrene &s;ieze inwardly. When it has run well, clean&s;e it with that excellent Lotion, <HI>Spi|ritus vini vitriolati.</HI> Or if it putrified about the Bone, <HI>Tincture of Myrrhe</HI> &s;yring'd into it is excellent. And on your Dorcels or Tents, <HI>Bal&s;amum vulnerarium Salmonis</HI> is now very proper; and over all a <HI>diach. plai&s;ter</HI> or <HI>deminum malax'd</HI> with <HI>Oyl of Ro&s;es</HI> is now of good u&s;e. But let the &s;preined joynt be &s;till embrocated with <HI>Oleum exce|&s;tren&s;e,</HI> or <HI>Hypericon,</HI> and an <HI>Oxicrocium</HI> Seercloth apply'd warm about it.</P>
</DIV2>
<DIV2 N="14" TYPE="chapter">
<HEAD><HI>CHAP. XIV.</HI> How to Cure a Gangrene.</HEAD>
<P>BUT if for all this it would not dige&s;t, but a Gangren happens, then imme|diately make deep &s;carification all over; (only have a care of the Nerves) and let out the clotted Blood in abundance.</P>
<P>Then foment it with a &s;trong <HI>Lixivium,</HI> made of
<Q><PB N="64" REF="42">Wood a&s;hes, in which decoct your Fomenta|tion herbs, then add a &s;ufficient quan|tity of Spirit of Wine, and as much Sal armoniacum, and common Salt, as will make it as &s;trong as pickle.</Q></P>
<P>Foment with this hot and long, which will get out the Blood, and prepare for the other Medicines.</P>
<Q>&rx; Lixivium Capitalis, and &s;piritus vitrioli &s;eu &s;ulphuris.</Q>
<P>Heat them, and with your armed probe, dipt in them, touch the &s;carifications to the very bottom. And be &s;ure you have &s;carified as far as the part is Gangren'd. And over this apply Pledgets arm'd with hot <HI>Egyptiacum,</HI> and Spirit of Wine, and <HI>Ol. Guaiac. mi&s;ce,</HI> and &s;o do it up. This will make him feel if he has any feeling in it, and you need dre&s;s thus but once, for it will cau&s;e a thick and deep <HI>Esker</HI> or hard Scurff; and &s;top the proceeding of the Gangrene. And give him inwardly &s;uch Medicines as will conduce to &s;top a Gan|grene, and oppo&s;e all Venom or Poy&s;on that may infect the Blood.</P>
<Q><PB N="65" REF="42">&rx; Thriac Lond. nov. &dram;<HI>ij</HI> in a Gla&s;s of Wine, and let him &s;weat upon it is excellent.</Q>
<P>Nothing is more powerful in this Ca&s;e than this is.</P>
<P>Next dre&s;&s;ing, let your hot <HI>Lixivium</HI> &s;till be applyed; and apply on your Pled|gets onely hot <HI>Ba&s;ilicon,</HI> to &s;often and get of the <HI>Esker,</HI> at two or three dre&s;&s;ings you'l &s;ee it to dige&s;t, and the dead to &s;e|parate from the quick. And let not <HI>Phle|botomy</HI> be wanting, nor Cly&s;ters if you &s;ee occa&s;ion. It would &s;care a man to &s;ee what an ugly black &s;curff is on it, but by thus dre&s;&s;ing of it, you will &s;ee it fir&s;t part or open a little about the &s;ides be|tween the dead part and the living; and at la&s;t come all off together with dige&s;tion under it. Then <HI>Aqua Phagadenica</HI> is an excellent Lotion. And <HI>Liquor Salutis,</HI> or <HI>Vulnerarium Scroderi;</HI> with <HI>oleum Guaicum,</HI> and <HI>&s;pirit of Wine</HI> apply'd hot on <HI>Dorcels</HI> will heal it to admiration. But if it is turn'd to a <HI>Spha&s;ulus,</HI> nothing &s;tops it but Amputation.</P>
</DIV2>
<DIV2 N="15" TYPE="chapter">
<PB N="66" REF="43">
<HEAD><HI>CHAP. XV.</HI> How to Cure Burns or Scalds.</HEAD>
<P>IT falls out often that either by a Car|tridge of powder or otherwi&s;e, men are in a Fight lamentably burn'd. I have known &s;ome &s;o burn'd that the very Nerves and Tendons have &s;hrunk; cau&s;ing great Inflamations, Feavers and other grievous Symptoms. For whatever part of the Body that happens unto, it dryes up the moi&s;ture of that part. Cau&s;ing (if the burn be great) an <HI>E&s;car</HI> with intolerable pain.</P>
<P>You have at pre&s;ent a two-fold &s;cope to endeavour, that is, to fetch out the burn|ing, and ea&s;e the pain.</P>
<P>Fir&s;t anoint him all over where the burning is, with
<Q>&rx; Alb ovor. and Oyl of Ro&s;es and Lini, beaten together.</Q></P>
<P>Then on &s;oft Cloth &s;pread <HI>unguent. &amp; alb. populion; mi&s;ce.</HI></P>
<P>Let it be thick &s;pread and often dre&s;&s;ed, for this is a &s;ore that will &s;oon dry up the
<PB N="67" REF="43">
Humidity of the Medicines, and if Bli&s;ters ari&s;e, cut them, that the hot and &s;cald|ing water may not ulcerate deeper under them. Let this kind of dre&s;&s;ing be u&s;ed till the fire's out, but as &s;oon as you per|ceive the heat to mitigate, have a care how you apply too cooling things to it any longer, for fear of a Gangrene, but now endeavour dige&s;tion.</P>
<P><HI>&V;nguent. Ba&s;ilicon Minus</HI> either alone, or mixed with <HI>Bal&s;amum Bal&s;aminae</HI> is the fitte&s;t Medicine.</P>
<P>Be &s;ure here to mind the mans body, for heat will make him Co&s;tive; give him Cly&s;ters, and let him blood (if the burn be deep) for he will be Feveri&s;h. When you &s;ee it dige&s;ts, then
<Q>&rx; Oleum Cerae, Lini, &amp; ex vitel, ovor. mi&s;ce; are an excellent Bal&s;am.</Q></P>
<P>Or <HI>Bal&s;amum Bal&s;aminae and &s;pirit Gua|iac. mi&s;ce,</HI> will infallibly cure although the Nerves are contracted. If the face be burn'd, pick out the Corns of powder with your Needle, &s;ome each dre&s;&s;<GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">ng. And mind this, that in the&s;e burnt Ulcers, you bind not too hard, but let things lye ea&s;ie on, and when you anoint, let it be with a Feather.</P>
</DIV2>
<DIV2 N="16" TYPE="chapter">
<PB N="68" REF="44">
<HEAD><HI>CHAP. XVI.</HI> How to Cure a violent Bleeding at No&s;e.</HEAD>
<P>IT comes often that men are taken with a violent bleeding at No&s;e. Divers ways men have u&s;ed to &s;top it, and that which has &s;top'd one mans bleeding has not &s;topt anothers. Some apply wet Clothes dipt in <HI>acetum</HI> to the Privities, others make Ligature about the Joynts; &s;ome apply cold Iron to the neck, and o|thers &s;top the No&s;e with re&s;tringent Dor|cels.</P>
<P>Now the Veins are eroded within the <HI>Os Cribratum,</HI> &s;o that your Tent will not come to touch the place, and the other means do often fail. When you have fill'd his No&s;tril with the Dorcel, the blood comes into the Mouth through the <HI>infundibulum,</HI> in&s;omuch as he will &s;pit it out at the Mouth.</P>
<P>Now your way is, to let the Patient forcibly &s;nuff up his No&s;tril, <HI>Aqua &s;tiptica Vitrioli,</HI> and by that it will go to the e|roded place. Let him do this often, then put up a Dorcel dip'd in the &s;ame; not
<PB N="69" REF="44">
too hard, to fill up the No&s;tril, but wet &s;o as he may &s;nuff the water at the end of the dorcel, and &s;o let the dorcel &s;tay there. And in the mean time, let him blood to make revul&s;ion, and by this means it will &s;top. But for the better &s;ecurity, let him drink this following;
<Q>&rx; Aqua Papaveris. &s;yr. mirtinorum ana &ounce;<HI>ij,</HI> aqua &s;tiptica Vitrioli gut. <HI>xx.</HI> Tin|ctura papaveris &amp; Hyo&s;ciami, bal&s;am. Phylo&s;ophorum, ana gut. <HI>vj.</HI> fiat potus.</Q></P>
<P>Any one of the&s;e afore-named Medi|cines (e&s;pecially the <HI>aqua &s;tiptica vitrioli</HI>) in <HI>Poppy-water</HI> is very powerful of it &s;elf to &s;top the bleeding, (if you have not them all) you may give of it <HI>per &s;e</HI> to xxx drops.</P>
<P>A Bolus of <HI>Thriac Lond. Nova</HI> &dram;j <HI>with Sanguis &s;ymphiti</HI> &scruple;j, is likewi&s;e approved. Some apply this <HI>acollemata</HI> to the Frons and Temples.</P>
<Q>&rx; Bol ver. &s;ang. drac. Calx, thus, Ma&s;tich ana parts equal, decoct them. Then add farina Ovab. q. &s;. to make it into a Catap. in fine beat Vitel Ov. Cum Ol. myrtinor. mi&s;ce.</Q>
<P>Spread this thick and apply it, it power|fully
<PB N="70" REF="45">
&s;tops blood not only at No&s;e, but likewi&s;e any other part; and di&s;&s;olves blood and dryes it up, that is gathered into any part by a Fall or Brui&s;e.</P>
</DIV2>
<DIV2 N="17" TYPE="chapter">
<HEAD><HI>CHAP. XVII.</HI> How to Cure a Rheumati&s;me.</HEAD>
<P>THis Di&s;temper called a Rheumati&s;me, I have often ob&s;erved Seamen to be afflicted with in &s;hips that I have been in: 'Tis like the Gout, but not the Gout; it &s;iezeth about the Joynts of the Feet, or Hands, or both; and if a flatulent vapour be &s;tird up with it, it &s;hifts out of one joynt to another, and is called the running Gout: There is &s;ometimes a light read|ne&s;s, with &s;mall Tumour, and &s;woln Veins about the Joynts that it &s;iezeth.</P>
<P>He that hath it, hath lamentable pain and mi&s;ery, e&s;pecially in the night. It never is &s;een to break, (although I believe by ill handling it would) for I &s;aw the Gout broke under a Gentlemans foot by the application of Catapla&s;ms; and together with the virulent matter, there came forth
<PB N="71" REF="45">
like white &s;eeds in abundance, harder than the matter; by which a man may &s;ee what a prodigious humour the Gout is of.</P>
<P>I could never find that Purging, or Sweating would do any good in this di&s;ea&s;e, but rather exa&s;perate it; and drinking of Wine is an Enemy to it; for mo&s;t of them that I have &s;een have it, have got it by drinking over much raw Wine, and then lying down in the cold to &s;leep, whence the Humours plethorick have not had that expiration through the pores of the skin as they &s;hould, and the humours could not receive the third concoction for want of heat; &s;o Nature expels the raw humour to the outward or extream parts: And at the Joynts the Crude humours make a &s;top, and the blood makes not &s;o good a circu|lation as it &s;hould: This then is a Rheu|mati&s;me.</P>
<P>Now bleeding is the principal remedy in this grief, not only once but often, and a good large quantity at a time. The be&s;t of Oyles or Oyntments, whether hot or cold, I could never find to do any good; and Empla&s;ters have &s;ignified as much as nothing. Bathe the part well with <HI>Liquor antipodagricus Min&s;ichti,</HI> or <HI>aqu. Arthritica Quercitani:</HI> Then embrocate it with the quinti&s;&s;ence of <HI>Colocynthidos fabri,</HI> and An|timony.
<PB N="72" REF="46">
I &s;ay, with the often bathing and cha&s;ing in of the&s;e Medicines, and frequent u&s;e of Phlebotomy; and when pain is in&s;ufferable, taking inwardly five or &s;ix grains of that excellent Nepenthae.</P>
<Q>&rx; Quinte&s;&s;entia Papaveris &amp; Hyo&s;ciami, in a little Ale, or common Water.</Q>
<P>There will be pre&s;ent ea&s;e, and &s;peedy cure; &s;o if a man hath a fit of the Gout or Sciatica on board, although he doth not expect you to cure him, yet he would be glad of ea&s;e if you can give it him; and you have no better way than this to do it.</P>
</DIV2>
<DIV2 N="18" TYPE="chapter">
<HEAD><HI>CHAP. XVIII.</HI> How to Cure &s;etled Pains in any part, Old Aches from former Brui&s;es, Cramp, &s;tifne&s;s of Sinews and Cricks in the Back, numbne&s;s of the Limbs and Joynts.</HEAD>
<P>MEn often at Sea complain to you of the&s;e things, e&s;pecially in cold Cli|mates, and again&s;t bad Weather, and will ask you for &s;omething of an Oyl or Sear-cloth to ea&s;e them.</P>
<P>If it be Cold, Cramp, Numbne&s;s, &s;weat them well, with Methridate, or Venus Treacle: Then foment the grieved part
<PB N="73" REF="46">
with hot <HI>Spiritus vini Communis, and Oyle of Sulphur;</HI> for the&s;e will certainly give relief. If it be a Crick in the back, or old brui&s;es, after this, embrocate well with <HI>Oleum ex|ce&s;trence,</HI> or <HI>Lumbricorum,</HI> and then <HI>Em|pla&s;trum de galbano Crocato</HI> laid warm on, is the be&s;t means that can be u&s;ed; and for &s;tiffne&s;s of the &s;inews, <HI>Oleum Vulpinum,</HI> or <HI>&V;nguent Martiatum,</HI> have not their fel|lows: Or, that <HI>Liquor Antipodagricus</HI> ba|thed on any part, or for any pain hot, and a &s;tuph wrung out of it laid often on, a&s;&s;u|redly doth your work.</P>
</DIV2>
<DIV2 N="19" TYPE="chapter">
<HEAD><HI>CHAP. XIX.</HI> How to Cure the Squinzie.</HEAD>
<P>SEamen are afflicted with this Di&s;ea&s;e as well as tho&s;e at Land; it is an inflama|tion of the Mu&s;cles of the Throat, with Tumour both outward and inward: 'Tis a di&s;temper of <HI>Plethory,</HI> and &s;uffocates a man in a little time, if not remedied. Here bleed|ing is immediately required, fir&s;t under the Tongue, then in the Jugulers or Arm, and let it be frequently celebrated, and a con&s;i|derable
<PB N="74" REF="47">
quantity; for this is a main thing in this Cure. Together with bleeding, either keep the Body open with Cly&s;ters: As,</P>
<P>The Common Decoction, and <HI>Lenitivum,</HI> or <HI>Tinctura &s;olutiva</HI> &ounce;j inwardly, which is an excellent Medicine for that purpo&s;e.</P>
<P>Externally bathe it well with <HI>acetum vini albi,</HI> wherein <HI>Sal prunellae, &s;alarmoniacum, A|lumen Crudum</HI> are di&s;&s;olved, and &s;ome drops of Oyl of Sulphur, or Vitriol are mixed: Add to &s;ome of this Syrrup <HI>Diamoron,</HI> and gargle it in the mouth often, and it will abate the inward Tumour and Inflamation of the Ton&s;eils and Throat, then apply <HI>Empla&s;trum Hyrundinis</HI> to the outward Tu|mour: 'Tis this,
<Q>&rx; Nido Hirund, alb. Graecum ana &ounce;<HI>j.</HI> figgs, dates, ana <HI>N^o 3.</HI> flor Chamo. pulv. Lini, &amp; fenug. ana &dram;<HI>vj.</HI> decoct in aqu. Com. then add &V;nguent. dealthea &ounce;<HI>ij.</HI> Oyl violar. &ounce;<HI>j.</HI> Croc. Angl. &scruple;<HI>j.</HI> Vitel Ov. <HI>N^o 1.</HI> f. Catapla&s;ma</Q></P>
<P>This, with the Gargari&s;me, and Lotion, and Phlebotomy, cures the greate&s;t Squinzy.</P>
</DIV2>
<DIV2 N="20" TYPE="chapter">
<PB N="75" REF="47">
<HEAD><HI>CHAP. XX.</HI> To Cure the Relaxation of the &V;vula's and Amygdalas.</HEAD>
<P>SOmetimes by cold men have their Al|monds of the Ears down, and their Collumella relaxed by a moi&s;t Rhume di|&s;tilling on them from the Brain. The be&s;t way to cure this, is to &s;weat the man well, to dry up that Rheume that de&s;cends: A dram or two of <HI>Lon.</HI> Treacle in a gla&s;s of Wine is a good Medicine, and let him wrap his Stockins about his neck, and keep his head warm, and &s;weat when he is turned in. Some blow re&s;tringent pouder upon the Uvula, with their Uvula Spoon; others dip their wet Thumb in pouder of Pepper, and &s;troak on them; but the be&s;t way is to make a Gargle, with lign. Guaic. in pure white Wine, and gargle often with it; and put &s;ome Spirit of Guaicum in your Uvula Spoon, and blow it forcibly on the Amyg|dals and Uvula, for the&s;e will powerfully dry and con&s;tringe: When this is done, then &s;troaking them up gently with the hands outwardly, is very &s;erviceable. If any bone, or other thing &s;tick in the throat
<PB N="76" REF="48">
and cannot be extracted with the forceps, it mu&s;t be thru&s;t down with your In&s;tru|ment of Whalebone, with a &s;mall pellet of &s;punge fa&s;tned to the end of it.</P>
</DIV2>
<DIV2 N="21" TYPE="chapter">
<HEAD><HI>CHAP. XXI.</HI> To Cure the Tooth-Ach.</HEAD>
<P>THE Quinte&s;&s;en&s;es of Cloves and Colo|cynthis, are great arcanums as to the Tooth-ach: But <HI>Ol. Odontalgicum Sal|monis</HI> is now found the be&s;t of all. A &s;mall Pellit of Lint dipt therein, and put into the Tooth, with your Fleme. It cau&s;es the Rheume to fall away, and the Teeth to leave aching: If it be a cold Rhume, you would do well to &s;weat the Man, with <HI>Lond. Thriac.</HI> If hot, a grain of laud given inwardly, doth a great deal of good, and let him lay down his head, but hollow, and rotten Teeth are be&s;t drawn out.</P>
</DIV2>
<DIV2 N="22" TYPE="chapter">
<PB N="77" REF="48">
<HEAD><HI>CHAP. XXII.</HI> Of Opthalmias, or Suffu&s;ions; and Pearls on the Eyes.</HEAD>
<P>AN Opthalmia is a Di&s;ea&s;e wherein the eyes, either one or both have a Rhume de&s;cended into them of Blood and Choler, whence Pin, Web, Film, or Pearl generally comes.</P>
<P>There is <HI>Liquor Opthalmicus, &amp; Aqua Opthalmica Schroderi,</HI> are excellent Eye-waters. But that <HI>Aqua Opthalmica Salmo|niana</HI> is mo&s;t approved of now: It doth not only cure all manner of Rheumatick and blood-&s;hot eyes, and dry up their Sores, but takes off Pearls and Filmes, by wa&s;hing the Eyes therewith, 'Tis good here to let blood, if it be of Plethory, but if of Cacochymia to purge the head with <HI>Pil extractum rudij</HI> &dram;&s;s. Some help to di|vert the rheume by bli&s;ters behind the ears, and in the Neck: Others make a Seaton in the Neck. Unguentum Tutiae mixt with Diapompholigos, and applyed on Linnen double clothes to the Eyes all Night, and wa&s;ht off in the Morning with white Ro&s;e water, doth greatly help to cure the Eyes.</P>
<PB N="76" REF="49">
<GAP DESC="duplicate" EXTENT="1 page">
<PB N="77" REF="49">
<GAP DESC="duplicate" EXTENT="1 page">
</DIV2>
<DIV2 N="23" TYPE="chapter">
<PB N="78" REF="50">
<HEAD><HI>CHAP. XXIII.</HI> Deafne&s;s, &s;toppage of the Ears, Pain, and Impo&s;thume.</HEAD>
<P>IF the Deafne&s;s be not Natural, but come accidentally, and yet there be no &s;top|page by ear-wax, then <HI>&s;pirit Otalgicus</HI> dropt warm into the Ears morning and evening, and Muskified Cotton after it, is the be&s;t of Remedies: But if the Ear be &s;topt with hard wax, then put oyl of Camomil into it two or three times a day, for 2 or 3 days: At la&s;t take warm White Wine, and &s;y|ringe it often and forcibly into the Ear, and there will come forth a lump of hard Wax out of the auditory pa&s;&s;age; then &s;top the Ear with the <HI>Spiritus Otalgicus,</HI> and <HI>Muskified Cotton,</HI> as before: If there be an impo&s;thume, then <HI>Bal&s;amus Polychre|&s;tus myn&s;ichti,</HI> is of excellent u&s;e dropt in|to the Ear, and Cotton after it: giving inwardly, <HI>Antimo. Diaphoreticum cum Tar|tar, gr.</HI> x, <HI>or</HI> xv, given in Spirit of <HI>Guai|cum</HI> for three or four dayes together.</P>
</DIV2>
<DIV2 N="24" TYPE="chapter">
<PB N="79" REF="50">
<HEAD><HI>CHAP. XXIV.</HI> Of the Piles, and Procedentia Ani.</HEAD>
<P>THE Piles is a trouble&s;ome thing, and painful, &s;o that a man cannot do his labour but in mi&s;ery.</P>
<P>It is a benefit of Nature, and is not to be expected to be cured &s;o as never to re|turn, e&s;pecially whil&s;t a man is in his mans e&s;tate, and full of Blood.</P>
<P>The be&s;t way is to make the Body open and laxative, that there may be no &s;train|ing with <HI>Tinctura &s;olutiva,</HI> or <HI>Syr. ro&s;arum &s;olu.</HI> &ounce;j or two: After this, either <HI>&V;nguen|tum Hemorhoidalae,</HI> or <HI>Oleum Scrophulariae,</HI> are excellent Medicines; but <HI>Oleum Succi|num</HI> anointed on never fails, you may mix it with <HI>Oleum Lini.</HI> Inwardly <HI>xx</HI> or <HI>xxx</HI> drops of <HI>Aqua &s;t ptica vitrioli</HI> in warm Wine or Poppy-water is very prevalent. If the <HI>Anus</HI> be proceeded, bathe it with warm Wine, then &s;trow flower of Ma&s;tick on it, and return it, and bind it &s;o as it may take a habit to &s;tay up.</P>
</DIV2>
<DIV2 N="25" TYPE="chapter">
<PB N="80" REF="51">
<HEAD><HI>CHAP. XXV.</HI> For Boyles and Felons.</HEAD>
<P>TO ripen the&s;e Boyles and Felons, ap|ply this Catapla&s;me.</P>
<Q>&rx; &V;nguent. Ba&s;ilici majoris &amp; Valentiae Scabio&s;ae, e Mucilaginibus Empla&s;t. Me|lilot. &s;implex. q. &s;. f. Catapla&s;ma.</Q>
<P>Apply this warm and often, till it is ready, then &s;tay not its breaking, but open it: Clean&s;e it with <HI>Liquor Vulnerarius &s;chroderi &amp; Spiritus vini vitriolati, Ana. part. equal.</HI> This will not only mundifie, but applyed warm on Dorcels, heals it to admiration. You may at la&s;t u&s;e <HI>Bal&s;amum Tereb. Simp.</HI> and about it a <HI>Diachalon cum Gum. pla&s;ter.</HI></P>
<P>Note, That if it &s;hould be a Pe&s;tilen|tial Carbuncle, then add to the <HI>Catapla&s;|ma, Empla&s;t. Magneticum Hartmanni;</HI> for then it will not only ripen it) but power|fully draw out the <HI>Venome,</HI> and <HI>Elixir Pe&s;ti|lentiale Crollij</HI> &dram;&s;s. in the morning fa&s;ting.</P>
</DIV2>
<DIV2 N="26" TYPE="chapter">
<PB N="81" REF="51">
<HEAD><HI>CHAP. XXVI.</HI> A Phlegmonous Tumour.</HEAD>
<P>SOmetimes from <HI>Plethory</HI> there ari&s;eth a Sanguine Tumour in &s;ome part.</P>
<P>If it be in the emunctory, or any part where Nature is de&s;igned to exonerate it &s;elf of its too great a quantity of Blood; apply no repellents, only let blood plen|tifully at fir&s;t, and apply a di&s;cu&s;&s;ive and emollient Catapla&s;me.</P>
<Q>&rx; As Empla&s;t. Emolliens &amp; &V;ngu<GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">n<GAP DESC="illegible" RESP="UOM" EXTENT="1 letter">. de althaea q. &s;. fiat Catapla&s;ma.</Q>
<P>The Emollient Empla&s;ter is thus made,
<Q>&rx; Oxicroc. &ounce;<HI>ij.</HI> diach. &s;imp. &amp; Compo&s;it &amp; Melilot. an. &ounce;<HI>j.</HI> cum Ol. Camom. Mi&s;ce.</Q></P>
<P>If you &s;ee it inclines to &s;uppuration, and will out, your way is to apply a &s;uppera|ting Catapla&s;m as this: <Q>&rx; &V;nguent. Ba&s;il. majoris, unguent. Scabio&s;ae valentiae, e Mucilaginibus, &amp; Melilot, Symp. &amp; Comp. f. Catapla&s;ma.</Q></P>
<P><PB N="82" REF="52">This will bring it to &s;peedy &s;uppuration, being applyed very warm and often.</P>
<P>When it has run well, ab&s;terge and heal it with <HI>Spirit. Vini Vitriolati;</HI> for that apply|ed hot either with Syringe, or on Pledgits or Dorcels, certainly heals it from the bottom: or <HI>Bal&s;um Tereb. &s;implex,</HI> and all over let be an Empla&s;ter of <HI>Diachalon Magnum.</HI></P>
<P>If there is any thing of malignancy in the Tumour, then mix your maturative with <HI>Empla&s;t. Magneticum Hartmanni;</HI> as in the la&s;t Chap. and inwardly give him of <HI>Elixir Pe&s;tilentiale Crollij</HI> &dram;&s;. in the morn|ing fa&s;ting.</P>
</DIV2>
<DIV2 N="27" TYPE="chapter">
<HEAD><HI>CHAP. XXVII.</HI> Of an Ery&s;ipelas and Cholerick pu&s;hes.</HEAD>
<P>SOmetimes there are &s;udden inflations, bubling Cholerick pu&s;hes, and eri&s;ipelas Ulcers, as <HI>Ignis &s;acer,</HI> or Wild-fire, a &s;harp inflamation; here <HI>Oleum Ro&s;aceum Omphacinum,</HI> is of excellent u&s;e; more e&s;pe|cially if <HI>Liquor Tutiae Myn&s;ichti</HI> be fir&s;t ba|thed well on the place; and if the Chole|rick Ulcers are yet more deep, mix with
<PB N="83" REF="52">
your <HI>Omph. ro&s;. Oleum unguent diapompholigos,</HI> and apply it: Let Blood, and purge Cho|ler: As,
<Q>&rx; Syr. ro&s;. &s;olut. &ounce;<HI>j.</HI> quinte&s;&s;entia Coloc. &ounce;<HI>j.</HI> give it in any proper vehicle.</Q></P>
<P>'Tis an excellent purpo&s;e to the intenti|on, and &s;o is <HI>Cario&s;tinum Electu.</HI> &ounce;<HI>&s;.</HI> in the morning fa&s;ting.</P>
</DIV2>
<DIV2 N="28" TYPE="chapter">
<HEAD><HI>CHAP. XXVIII.</HI> Of Phlegmatick Tumours and &V;lcers.</HEAD>
<P>A Phlegmatick Tumour is long ari|&s;ing, and not very painful: &s;uch are Struma's and Scrophula's: in the Limbs it pitts. Fir&s;t purge Phlegm and watry humours: As,
<Q>&rx; Quinte&s;&s;entia Turpethum &dram;<HI>j.</HI> Tinctura &s;alis Tartari gr. <HI>x.</HI> Magi&s;terium &s;alis gr. <HI>viij.</HI></Q>
Mix the&s;e in Rheni&s;h Wine, or Sack, and let him drink it in the morning fa&s;ting, not only once but often.</P>
<P><PB N="84" REF="53">Let his Drink be as followeth:
<Q>&rx; Sar&s;aper. Guaic. an. &ounce;<HI>viij.</HI> Gum. Guaic. &ounce;j. Succ. Liquoriciae &ounce;<HI>iiij.</HI> Rectified Spirit of Wine <HI>lb viij,</HI> mix, dige&s;t twenty dayes, decant and keep it for u&s;e.</Q></P>
<P>Let him drink of this two &s;poonfuls in a gla&s;s of Wine at night when he turns in, and a &s;poonful at other times; this is the be&s;t drying dyet Drink in the World; not only for this, but the Pox, or Plague, or Scurvy. 'Tis called <HI>Liquor alexipharmicus &s;eu &s;corbuticus.</HI></P>
<P>To the part it &s;elf apply a hot fomenta|tion or Lixivium; &s;trong Spirit of Wine applyed on with warm &s;tuphs is excellent: Then, <Q>&rx; Empla&s;t. de galbano Crocato &amp; ad To|phos, ana part. equal.</Q></P>
<P>To make it into a Catapla&s;mick con&s;i&s;tence add <HI>unguent&punc; de althaea.</HI> 'Tis the mo&s;t ex|cellent as yet known for this purpo&s;e.</P>
<P>If it was an Ulcer before you &s;aw it, together with the&s;e means, apply into the Ulcer,
<Q><PB N="85" REF="53">&rx; Liquor. vulnerarium &s;chroderi, or Li|quor. Salutis.</Q></P>
<P>Let the Ulcers be well wa&s;hed with the&s;e, or either of them; either by Sy|ringe, or otherwi&s;e: Then arm your Dor&s;els or Tents with <HI>Bal&s;am. Vulner. Salmon.</HI> and dip them in one of the&s;e Li|quors, and put them in hot, and on them the above-named Emplai&s;ter, and &s;o make decent rouling, which la&s;t is a great help in the Cure of the&s;e Ulcers.</P>
</DIV2>
<DIV2 N="29" TYPE="chapter">
<HEAD><HI>CHAP. XXIX.</HI> Of Cancers, Schirrhous Tumors, Phaga|denick &V;lcers and Fistulaes.</HEAD>
<P>HEre you mu&s;t u&s;e the &s;ame dyet drink as in the former Chapter. And ei|ther to di&s;&s;olve or ripen the&s;e Tumours; to the other Empla&s;ters there mentioned, add, <HI>Empla&s;trum &s;chirrho&s;um Salmonis.</HI></P>
<P>Then have you the be&s;t re&s;olvent or maturative of malignant and rebellious Tumours that ever was invented. And if
<PB N="86" REF="54">
they be Ulcers, <HI>Aqua Phagadaenica,</HI> either of it &s;elf, or mixt with <HI>Spiritus Vini,</HI> is the chiefe&s;t Medicine to bathe and &s;tuff the Ulcers with. Then <HI>Bal&s;amum Vulnerarium Salmon.</HI> with <HI>Quinte&s;&s;ence of Cloves</HI> applyed hot on Dor&s;els, with the Emplai&s;ter over it, is a powerful Medicine. If the bone be foul, you have <HI>Pulvis Turbith. miner.</HI> to apply next it to &s;cale it. But you mu&s;t purge this &s;ullen humour out of the Body, or never expect the Tumours or Ulcers to heal.</P>
<P>To do this, there's no nobler a Medi|cine under the Sun than,
<Q>&rx; Panchymagogum Mineralae Quercitani gr. <HI>x.</HI> in pil ex duobus gr. <HI>x.</HI> mi&s;ce fiant pil.</Q></P>
<P>Give this every other Morning fa&s;ting, till the body be rectified of this &s;tubborn and poy&s;onous humour, for this will pow|erfully bring forth all vitious and poy&s;on|ous humours: But if he cannot take Pills, let a &s;poonful or two of <HI>decoctum Colocyn|thidos Salmonis</HI> in a gla&s;s of wine, every o|ther morning, be the medicine, and look after him as is requi&s;ite in Purges.</P>
<P>You mu&s;t al&s;o &s;ee to oppo&s;e powerfully all venemous quality of the humours, and
<PB N="87" REF="54">
be&s;ides the dyet-drink give &s;ometimes this,
<Q>&rx; Either Thriac. Lond. nova &dram;<HI>i,</HI> or Be|zoarticum &s;olare Comp. Salmon. gr. <HI>viij</HI> in a gla&s;s of Sack, and let him &s;weat upon it.</Q></P>
<P>Cancers are u&s;ually extirpated, and then the place brought to dige&s;tion and healed.</P>
<P>You extirpate a Cancer with your Cat|ling, but if a Finger or Toe, you extir|pate it with your Chizel and Mallet.</P>
</DIV2>
<DIV2 N="30" TYPE="chapter">
<HEAD><HI>CHAP. XXX.</HI> Of Gravel and Strangury.</HEAD>
<P>SOmetimes Men happen to be cruelly tormented with this di&s;ea&s;e at Sea, and although they do not expect you perfectly to cure it, yet they would be glad of a little ea&s;e, and it would make any man pity them to &s;ee them &s;o excruciated. If it be about the Reins, then do this,
<Q><PB N="88" REF="55">&rx; Sal vitriolium emeticum &dram;<HI>&s;s</HI> Spiritum Salis gut. <HI>xx</HI> in a gla&s;s of White-wine or Rheni&s;h.</Q>
this certainly removes and di&s;&s;olves it. If in the neck of the bladder, then,
<Q>&rx; Spiritum Nephriticum, Clo&s;&s;ei gut. <HI>viij</HI> or <HI>x</HI> in &s;yrup of Mar&s;h-Mallowes, and aqua per&s;icaria.</Q>
This if you can have it is in&s;uperable, in forcing away the Gravel and Urine, but if you have it not, then
<Q>&rx; Aqua Comminuens Calculum Hor&s;tii &dram;<HI>ij,</HI> or &ounce;ts at a time.</Q> is excellent as to the intention.</P>
<P>If a large Gravel-&s;tone &s;tick in the Yard, force it back with your Catheter. If in the fit of the Strangury, you give &s;ome|thing to make the Body &s;oluble, and carry away the hard feces, that oppre&s;s the neck of the bladder, you will do well; as thus,
<Q>&rx; Tincturam &s;olutivam &ounce;<HI>i</HI> Elix. Juniperi, a &s;poonful in a gla&s;s of Malago.</Q></P>
<P><PB N="89" REF="55">And in the extremity of mi&s;ery, that worthy Anodine, <HI>Ens veneris gr.</HI> x drank in a gla&s;s of Canary, when the man turns in, does not only give immediate ea&s;e and comfort, but likewi&s;e di&s;&s;olves the Tarta|rous Mu&s;cleage, or concreted &s;ub&s;tance.</P>
</DIV2>
<DIV2 N="31" TYPE="chapter">
<HEAD><HI>CHAP. XXXI.</HI> How to Cure a Clap.</HEAD>
<P>THere is yet another Di&s;temper which Seamen meet &s;ometimes with by go|ing a &s;hore, and that is a <HI>Clap.</HI> Now for as much as this is not got by the Ships work, &s;o it is not cured on the Ships ac|count, but the Man pays you for it: But it is a Chyrurgical Cure, and you are de|&s;ired by the Man to cure him.</P>
<P>We commonly call that a Clap (and not the Pox, although a chip of the &s;ame block) when the venemous humour lyeth about the Genitals or Seed-Ve&s;&s;els, and hath not yet infected the ma&s;s of blood, nor got into the bones.</P>
<P>A Clap appears either in a Gonorrhea, Tumour of the Yard, Shankers, pricking
<PB N="90" REF="56">
in the Urinary pa&s;&s;age, or Bubo in the Groin. Whatever way it appears, bleed not at all, for that were the way to bring it into the body.</P>
<P>The fir&s;t thing you mu&s;t do is to purge out the Poy&s;onous Vapour. The accu&s;to|mary way, and indeed a very good way is this, <Q>&rx; Pil rudii &scruple;<HI>j</HI> re&s;ina Jalupi &amp; Calome|los ana gr. <HI>x</HI> f. pilulae,</Q></P>
<P>If he cannot take Pills then, <Q>&rx; Electu. pro morb. Gal. Salmon. &scruple;<HI>ij.</HI></Q></P>
<P>Or if a Bolus will not down with him, then, <Q>&rx; Decoctum Colocynthidos Salmon. two &s;poonfuls in a gla&s;s of Wine.</Q></P>
<P>If he can take any of the&s;e, you may in|terchange them, as you &s;ee fit, becau&s;e the too often taking of the &s;ame thing cloys the patient.</P>
<P>They mu&s;t be taken in the Morning fa&s;ting, and he mu&s;t be ordered as to purge; when he has purged &s;ufficiently, for four or five days, the running will
<PB N="91" REF="56">
cea&s;e; only &s;ome &s;mall gleeting 'tis po&s;&s;i|ble will remain. To Cure which, <Q><P>&rx; Tereb. Cypr. &ounce;<HI>j</HI> open it with the Vitel. ovorum, mix it with aqua plantag. &s;train it, and let him drink it every night for three or four times. <HI>Or,</HI></P>
<P>&rx; Icthyocolla decocted, either in water if you are on board, or in Milk if a &s;hoar, an Ounce at a time, and drank whil&s;t it is warm.</P></Q>
Either of the&s;e will effectually &s;top the gleeting.</P>
<P>If there is a pricking in the Yard when the Man makes water: <HI>Inject Troches alba ena&s;&s;is mixt in aqua plantag.:</HI> And if little Ulcers, Shankers, Pu&s;tules, <HI>&amp;c.</HI> be on the Glans, or between that and the prepuce, touch them with <HI>Flor. Egyptiac.</HI> or &s;ome|times <HI>album Camphoratum</HI> will do; But if the Yard is &s;o &s;weld that you cannot get at the&s;e Shankers, then apply a warm Plai&s;ter of <HI>Paracel&s;us</HI> malaxt with <HI>unguent de Althea,</HI> and that will di&s;cu&s;s and re&s;olve it: But if a Tumour ari&s;e in the Groin, purge not by any means, but let the Pa|tient take this drink following to help to drive out the venemous humour, which
<PB N="92" REF="57">
nature is heaving at; and to hinder a far|ther progre&s;s of infection.</P>
<Q>&rx; Liquor. alexipharmicum &s;eu &s;corbuticum, &s;ar&s;a. Guaic. ana &ounce;<HI>viij,</HI> Gum. Guaic. &ounce;<HI>j,</HI> Suc. Liquor. &ounce;<HI>iiij,</HI> Spirit. Vini rectif. <HI>lb viij,</HI> mix, dige&s;t twenty days, decant and keep it for u&s;e.</Q>
<P>Let him take two &s;poonfuls of this in &s;mall Ale or Beer, every morning and night, and one &s;poonful in each draught he drinketh at any time; and to the Bubo apply this Maturative Catapla&s;m follow|ing to bring it to a head; (&s;eek not to re|pel it by any means).</P>
<Q>&rx; &V;ng. Ba&s;il. maj. valentiae &s;cabio&s;ae, &egrave; mucila|ginibus, Melilot Comp. Empl. &s;cirrho&s;um Salmonis, q. &s;. f. Catapla&s;ma.</Q>
<P>This is the be&s;t that can be named to ri|pen a malignant Bubo or Carbonel; when 'tis ready &s;tay not its breaking, but open it, and let it run well; when it has run &s;ufficiently then fall to purging, as you were taught before, to carry away the relicks of the poy&s;onous humour, then clean&s;e the Ulcer with <HI>aqua phagad&punc;</HI> and &s;pirit of Wine, and heal it with <HI>Bal&s;a|mum
<PB N="93" REF="57">
Vulnerarium Salmonis,</HI> or <HI>E&s;&s;entia Sul|phuris,</HI> on Dor&s;els or &s;oft Tents; and <HI>Empla&s;trum Diach. cum Gum.</HI> over all; which method certainly cures the &s;eveare&s;t of Claps.</P>
</DIV2>
<DIV2 N="32" TYPE="chapter">
<HEAD><HI>CHAP. XXXII.</HI> How to Cure a confirm'd Pox.</HEAD>
<P>NOW we call this <HI>Morbus Venereus,</HI> a confirm'd Pox, when it hath pa&s;&s;ed the Liver, and is got into the blood, and that the &s;pots and pu&s;tules appear, and nodes and night pains are felt.</P>
<P>Here the &s;ame dyet-drink mu&s;t be kept to as in the former Chapter, for there is no better in the World; the &s;ame purging likewi&s;e mu&s;t be u&s;ed as in a Clap: Purge &s;ix or &s;even days fir&s;t, and then de&s;i&s;t; and &s;weat two or three days, and &s;o to purg|ing again: When you would &s;weat, to &s;ome of your dyet-drink add a &s;poonful of <HI>Spir. Guaic.</HI> and make him &s;weat pow|erfully, for by this way of purging and &s;weating we u&s;ually Cure the Pox at Sea.</P>
<P>If there remain the Reliques of an old
<PB N="94" REF="58">
Pox, you have no better way than to give him <Q>&rx; Aurum vitae &s;enerti gr. <HI>viij,</HI> in Pil ex duobus gr. <HI>xij,</HI> mi&s;ce.</Q></P>
<P>Let him have this do&s;e every other day, for &s;ome time together; and when you would have him &s;weat, give him the &s;ame do&s;e of the <HI>aurum vitae,</HI> with <HI>Tinctura Gumi Guaici</HI> two &s;poonfuls in a gla&s;s of Rheni&s;h. So this unparalleld Medicine of it &s;elf, by continuing of it thus, will do your work without Fluxing.</P>
</DIV2>
</DIV1>
<DIV1 N="3" TYPE="book">
<PB N="95" REF="58">
<HEAD><HI>THE Third BOOK,</HI> Teacheth how the Sea-Chirurgeon ought to Execute the Phy&s;ical Office impo&s;ed on him at Sea.</HEAD>
<P>'TIS &s;o that the Sea-Chirurgion mu&s;t do the part of a Phy&s;itian at Sea, and if he is not capable of that, he is not fit to take charge at Sea; indeed it is to his co&s;t, for whereas he &s;pends one Crown in his Chyrurgical imploy, he &s;hall &s;pend three in the Phy&s;i|cal, (unle&s;s he has better luck then I have had).</P>
<P>But &s;ince 'tis &s;o, I'll teach you how to Cure tho&s;e inward di&s;ea&s;es that are mo&s;t incident to the Sea, and fir&s;t I'll begin with the Scurvy.</P>
<DIV2 N="1" TYPE="chapter">
<PB N="96" REF="59">
<HEAD><HI>CHAP. I.</HI> Of the Scurvy.</HEAD>
<P>THE Scurvy all men know is a di&s;tem|per that Seamen are much troubled withal. It proceeds from putrifaction of the blood, and that from Ob&s;tructions, and tho&s;e from a corrupt Aliment, or (&s;ometimes) from over full dyet, of Fle&s;h or Fi&s;h, and e&s;pecially when there wants the &s;ucculency of fre&s;h Vegetables, as on &s;hoar, for in tho&s;e Countrys where they drink Wine, and eat green Fruit, as Le|mons, Apples, or Roots and Herbs, as Salads, together with their Meat, &s;uch are &s;eldom or never troubled with the Scurvy: Nor our Men neither when we come in them Countryes where tho&s;e things can be got; but otherwi&s;e we are &s;eldom free of it. This I have experien|ced, when we have gone a <HI>New-found Land</HI> and <HI>Straits</HI> Voyage.</P>
<P>And to this we may add difference of Climates, for in <HI>New-found Land,</HI> (al|though they have had fre&s;h Fi&s;h, and o|ther diet) I have known our people have the Scurvy lamentably, both in the Coun|try
<PB N="97" REF="59">
and e&s;pecially after our departure from thence, between that and the <HI>Straits;</HI> which when we have arrived in <HI>Spain,</HI> and the Combotes have come on board, our men have with Wine and fre&s;h trade mended pre&s;ently; This I impute both to the Aliment and Country, for I have &s;eldom &s;een the Scurvy got in that Coun|try, or indeed in any part of the <HI>Straits.</HI></P>
<P>It u&s;ually appears in &s;pots on the Limbs, and the Legs &s;well, and pit under the Fin|ger, with &s;tiffne&s;s in the Thighs and Hams, loo&s;e Teeth, and rotten Gums; 'tis &s;o well known at Sea, that every Sailer that has u&s;ed the Sea any time, knows when another has it. But it is Objected again&s;t &s;ome, that lazine&s;s is the cau&s;e of it, and to others, that na&s;tine&s;s brings it on them; but let me write this word (in vindication of the di&s;ea&s;ed) that I have known as &s;tout Seamen, and as &s;tirring, and as neat men as ever cro&s;t over Salt-Water, afflicted &s;adly with this di&s;tem|per: Therefore it is not the&s;e, but the other cau&s;es that I have named, that brings the Scurvy.</P>
<P>Now as to the Cure, you have heard already what dyet and drink they &s;hould have; for with them things that I have named, few Medicines are required for
<PB N="98" REF="60">
the Scurvy; but without them, it will puzzle you with all the Medicines in your Che&s;t to cure it.</P>
<P>I have found it very good to let blood in the beginning of this di&s;temper, when it comes upon a Plethorick Per&s;on, and one that hath had a full dyet, but when it hath come after a lingring Feaver, then not; for very often men have with it the Jaundice or Drop&s;ie, or both, which Com|plexed <HI>Cacochymia</HI> makes it look like a ma|ny headed <HI>Hydra,</HI> and it will not be cured by only Scorbutick Medicines, whence we are &s;o often at a lo&s;s about it.</P>
<P>If it be the Scurvy only,
<Q>&rx; Electu. &s;corb. Salmon. &dram;<HI>ij</HI> Calomelos gr. <HI>v</HI> f. bolus.</Q>
give this in the morning fa&s;ting. Or, <Q>&rx; Liquor. &s;corb. Salmon. two &s;poonfuls, &s;pirit &s;alis gut. <HI>xx,</HI> in a gla&s;s of White Wine.</Q></P>
<P>Any of the&s;e medicines are well known to be formidable enemies again&s;t the Scur|vy: But if it hath its rebellious A&s;&s;oci|ates along with it, &s;o that the&s;e medicines are not found capable: If it be Hydropick, then
<Q><PB N="99" REF="60">&rx; Quinte&s;&s;entia Turpethum &dram;<HI>&s;,</HI> Tinct. &s;al. Tart. &scruple;<HI>j</HI> in a gla&s;s of Rheni&s;h.</Q></P>
<P>This is a medicine that &s;urpa&s;&s;eth all other liquid medicaments in this ca&s;e; it purges delicately by &s;tool. Or if the Jaundice, then,
<Q>&rx; Aurum vitae &s;enerti gr. <HI>viij,</HI> Elixir purgans Panchymagogum &dram;<HI>j</HI> in a gla&s;s of wine.</Q>
this effectually Cures, opens Ob&s;tructions, and roots out the &s;eeds of &s;tubborn di&s;ea|&s;es; working with a great deal of &s;afety and plea&s;antne&s;s, if followed for &s;everal days.</P>
<P>Now when the Scurvy is thus Compli|cated with the&s;e other di&s;tempers, there is u&s;ually generated a certain malign or venomous quallity, which is little better then catching in a Ship; therefore you ought to have an eye to this: So that now and then &dram;&s; or a &dram;j <HI>of Quinte&s;&s;entia vitrioli,</HI> drank in a gla&s;s of Sack, is the be&s;t medi|cament that the world can afford in this and &s;uch like ca&s;es. If you have not this: <HI>Theriac. Lond. nova</HI> &dram;j or ij in a gla&s;s of Wine is excellent, and let the
<PB N="100" REF="61">
man &s;weat on it. Let him drink half a &s;poonful of <HI>tinctura gumi Guaic.</HI> in all his drink, if it be the moi&s;t Scurvy, but if the dry Scurvy, then <HI>Elixir Vitrioli Myn|&s;ichti</HI> &scruple;&s;.</P>
</DIV2>
<DIV2 N="2" TYPE="chapter">
<HEAD><HI>CHAP. II.</HI> Of Fluxes.</HEAD>
<P>FLuxes are very frequent at Sea, e&s;pe|cially when the victuals grow bad; or when we come in Countries where we get abundance of bad Wine and beverage, or are reduced to drink &s;tinking water &s;ometimes; when our Engli&s;h victualling is done, and we change to &s;ome other Country victuals, I have known Fluxes come all the&s;e ways.</P>
<P>Come how they will, our way to Cure them is, fir&s;t to purge with <HI>Rhubarb,</HI> and 'tis be&s;t thus, <Q>&rx; Rubarb &ounce;<HI>j,</HI> Cinnamon &dram;<HI>j,</HI> infu&s;e it all night in Wine, in the morning &s;train it, and add to a quarter of a pint thereof Syr. of Myrtles &ounce;<HI>j;</HI> f. potus.</Q>
<PB N="101" REF="61">
let him drink this in the morning fa&s;ting.</P>
<P>In this di&s;ea&s;e let him forbear crude Wine and Fruits; (&s;uch as the Scurvy re|quires are here Enemies) at night give him a drachm of <HI>Dia&s;cordium</HI> when he goes to try to re&s;t. Next morning have ready a do&s;e of the &s;ame infu&s;ion of <HI>Ru|barb,</HI> as before, adding only fre&s;h <HI>Cinna|mon</HI> to it, and this &s;econd infu&s;ion has (if not altogether) almo&s;t lo&s;t its Cathartick quallity, and now is mo&s;tly re&s;trictive. The night following give him a good drink of burnt Wine, with a branch of Ro&s;emary, and &s;ome Cinnamon in it, and &s;weetned with white Sugar. This method &s;tops mo&s;t white Fluxes.</P>
</DIV2>
<DIV2 N="3" TYPE="chapter">
<HEAD><HI>CHAP. III.</HI> Of a Dy&s;entery or Bloody Flux.</HEAD>
<P>A Bloody Flux hath mo&s;t frequently the &s;ame primary cau&s;es as the other, however there are &s;harp corroding Chol|lerick humours, fretting and ulcerating the Inte&s;tines.</P>
<P>'Tis requi&s;ite here to let blood in the fir&s;t place; I have found that to do a great
<PB N="102" REF="62">
deal of good. Purge him likewi&s;e with the fir&s;t, and then endeavour to bind with the &s;econd infu&s;ion of <HI>Rubarb</HI> as before: But withal there is too often in this, as in the Scurvy, a &s;ecret malignity poy&s;onous and infectious, and it cau&s;es others to fall &s;ick, if it be the ruining di&s;temper in the &s;hip.</P>
<P>This venomous quallity proceeds from the corruption of humours; therefore it is to be powerfully oppo&s;ed: <HI>Thriac. Lond. nova,</HI> &dram;j in a gla&s;s of Wine is very power|ful, and will de&s;troy the very e&s;&s;ence of venome; give it not only once but often. And to heal the Ulcers of the Bowels, give him healing Cly&s;ters.</P>
<Q>&rx; White-wine &ounce;<HI>viij,</HI> Quinte&s;&s;ence of A|ri&s;tolcchiae &dram;<HI>ij,</HI> Quinte&s;&s;entia Myrrhae &scruple;<HI>ij,</HI> &s;hake it together.</Q>
<P>This is the be&s;t of all Cly&s;ters, to heal the Bowels, if it be injected warm. And to ea&s;e pain and bind after due purging; the be&s;t that I know is this,
<Q>&rx; Syrup. Diamor. &ounce;<HI>j</HI> electu diacorallinum &scruple;<HI>ij,</HI> Tinctura Mart. pro deliquio &scruple;<HI>j,</HI> Quinte&s;&s;entia papaveris &amp; hyo&s;ciami gut. <HI>iij,</HI> this in a &s;mall gla&s;s of Cinnamon|water, drank, is excellent.</Q></P>
<P><PB N="103" REF="62">And then good Cordials are of great u&s;e, for men in a little time grow extream faint,
<Q>&rx; Quinte&s;&s;entia Cymamoy, gut. <HI>iiij,</HI> Tin|ctura Corallinum gut. <HI>x.</HI> in a &s;poonful of Tinctura vitae is an excellent Cordial.</Q></P>
</DIV2>
<DIV2 N="4" TYPE="chapter">
<HEAD><HI>CHAP. IV.</HI> Of a Cholera.</HEAD>
<P>A Cholera is a violent vomiting, and &s;ometimes a loo&s;ne&s;s with it from Cholerick humours in the Stomach and fir&s;t pa&s;&s;ages: The be&s;t way is fir&s;t to clean&s;e away the&s;e vitious humours.</P>
<Q>&rx; Spir. vitae Rulandi &dram;<HI>j,</HI> Tinctura flor. reguli antimon. gr. <HI>iiij,</HI> give it in a gla&s;s of Wine.</Q>
<P>The&s;e will not only carry away the hu|mours both ways, but throughly rectifies the di&s;temper of the Stomach and fir&s;t
<PB N="104" REF="63">
pa&s;&s;ages: When this has done working, burn him half a pint of Sack, with a branch of Ro&s;emary, and a blade or two of Mace, and &s;weeten it with &ounce;<HI>j.</HI> of Syr. of Mirtles, or dryed Ro&s;es, and let him drink it hot: Or, <Q>&rx; Aqu. Aromatica &dram;<HI>j.</HI> quinte&s;&s;entia Cy|namo. &amp; Menthae, an. gut. <HI>x.</HI> Syrup. Dyamor. or Mel ros Colat, &ounce;<HI>j.</HI> in a gla&s;s of choice Canary: <HI>Or,</HI> Elixir Vitrioli &scruple;<HI>j.</HI> in Spiritu Menthae.</Q></P>
<P>The&s;e are inferiour to no &s;tomachicals in the whole World: And let the region of his &s;tomach be anointed with Oyl of Mace.</P>
</DIV2>
<DIV2 N="5" TYPE="chapter">
<HEAD><HI>CHAP. V.</HI> Of a Surfeit.</HEAD>
<P>SUrfeits at Sea generally come by over drinking, (although indeed they may come by over-eating, or from the vi|tions quality of what is eaten) it is &s;o that nature refu&s;eth to dige&s;t the great quanti|ty
<PB N="105" REF="63">
that a man has drank: As a man that hath a burden too heavy, doth not &s;o much as lift at it.</P>
<P>Some nature is &s;o propitious to them, that when they are too full of drink, they vomit, but &s;ome do not; but are extream &s;ick at &s;tomach, and the head achs as it would &s;plit. Now if &s;uch had given them a draught of warm Water, with &s;ome &ounce;ij Oxymel of Squils in it, they would vo|mit and prevent a Surfeit; e&s;pecially if after their vomiting they had a pint of Wine burnt, with a &s;prig of Mint, and a blade of Mace, and &s;weetned with fine Su|gar, and &s;o drank hot: But if it hath pa&s;|&s;ed the Stomach before the man &s;peaks to you; and the Liver doth not dige&s;t it, but lets it lye in the fir&s;t pa&s;&s;ages, then there is wor&s;er pains and heat.</P>
<P>Now Vomiting of it &s;elf will do no good: But, <Q>&rx; Spirit. vitae Rulandi &dram;<HI>j</HI> Tinctura a florreguli antimo. gut. <HI>iiij.</HI> Oxim. Scil. &ounce;<HI>j.</HI></Q></P>
<P>This in a gla&s;s of Wine will work plea|&s;antly both wayes, and free both Stomach and inte&s;tines of the &s;uperfluous humour that Nature is charged withal. Some in this ca&s;e u&s;e a Cly&s;ter, <HI>Electum Carioco&s;t.</HI>
<PB N="106" REF="64">
&ounce;j in moderately hot Wine injected, excel|lently draws down the excrement and noxious fumes and evacuates it to the Pa|tients great ea&s;e and comfort.</P>
<P>The Body thus clean&s;ed, let him then drink the burnt Wine hot, and add to it a &s;cruple of <HI>Elixir vitrioli myn&s;ichti,</HI> and then it is a powerful &s;tomachical, and will cau&s;e dige&s;tion: But &s;ometimes it has pa&s;t the Liver, and hath not been well con|cocted there, but is &s;ent as it were half dige&s;ted into the Veins, and &s;o there is no third concoction; it doth not make blood fit to nouri&s;h, and now it is a confirm'd Surfeit, and 'tis like the Surfeit &s;pots come out; and there's a Feaver, and loathing of Food, but a great thir&s;t, and de&s;ire of more cold drink.</P>
<P>Now a&s;hore 'tis common in this ca&s;e to run to the Apothecaries for Surfeit water, and when he hath drank that, and not the bet|ter; then to the Doctors, but it is com|monly too late for't, for many a man lo&s;es his Life by &s;uch delayes, and by tru&s;ting to the Surfeit water only. You are here to give di&s;cu&s;&s;ing Cly&s;ters: As,
<Q>&rx; Decoct. Com. pro Cly&s;t &ounce;<HI>j.</HI> Eclect. Cario|co&s;tin. &ounce;<HI>j.</HI> f. enema.</Q></P>
<P><PB N="107" REF="64">And let blood before it is too late; for abateing the great quantity of boyling blood is a great help: Then purge from the mo&s;t remote parts, with <Q>&rx; Electu. Cath. regali &dram;<HI>ij.</HI> either in Bolus, or a Gla&s;s of Wine:</Q></P>
<P>For this is one of the be&s;t in this ca&s;e: Or, If he cannot take this: Then, <Q>&rx; Tinctur. Cathart. Grulangij &dram;<HI>j.</HI> in a Gla&s;s of Rheni&s;h is a good Medicine; and Pil. Ruff. &dram;<HI>&s;.</HI> or a &dram;<HI>j.</HI> is approv'd.</Q></P>
<P>When the&s;e things are fir&s;t done, then your Surfeit water will do good: The be&s;t of Surfeit water is, <Q>&rx; Aqua papaveris compo&s;ita &ounce;<HI>ij.</HI> Tinctura Croci &ounce;<HI>j.</HI> Elix. vitrioli &scruple;<HI>j.</HI> Thriac Lond. Nova, &ounce;<HI>j.</HI></Q></P>
<P>Let him drink this in a gla&s;s of choice Canary, and &s;weat him well. The&s;e things will cure and cau&s;e a good dige&s;tion in all parts.</P>
</DIV2>
<DIV2 N="6" TYPE="chapter">
<PB N="108" REF="65">
<HEAD><HI>CHAP. VI.</HI> Of the Pluri&s;ie.</HEAD>
<P>MEN are often taken with the Pluri|&s;ie: 'Tis a Tumifaction of the in|ward Tunicle of the Ribbs, called <HI>Plura,</HI> with inflamation: Sometime there is win|dy Spirit with it, cau&s;ing pricking, with extream pain, and a Coughing; becau&s;e the Lungs are &s;traitned, and &s;ometimes are inflamed with it: Here bleeding is to be forthwith celebrated not once, but often repeated. Di&s;cu&s;&s;ing Cly&s;ters are to be admini&s;tred:
<Q>&rx; Decoct Carminativum &ounce;<HI>j. as in Chap. 7.</HI> Electum carioca&s;t. &ounce;<HI>j.</HI> f. enema.</Q></P>
<P>The&s;e carry away a great deal of wind and Pluratick matter out of the Body.</P>
<P>This having done working, <Q>&rx; Spirit plureticus Rennotti &ounce;<HI>j.</HI> Aqua pa|paveris Comp. &amp; Liquor Cord. refri|gerans an. &ounce;<HI>ij.</HI></Q></P>
<P><PB N="109" REF="65">The&s;e, with the other means will give ea&s;e immediately.</P>
<P>If there &s;hould be an Impo&s;thume: Then, <Q>&rx; Antimo. diaph. Cum. Tartar. gr. <HI>x.</HI> &s;al pectorale &scruple;<HI>j.</HI> with Spirit. Guaic. a &s;poon|ful in Syr. Jujubino, or aqua Hordia. f. potus.</Q></P>
<P>Let him drink this, and embrocate the &s;ide with Oyl of Chamo.</P>
</DIV2>
<DIV2 N="7" TYPE="chapter">
<HEAD><HI>CHAP. VII.</HI> Of the Cholick and Wind.</HEAD>
<P>AT Sea Men are oftentimes taken with fits of the Cholick, with in&s;ufferable griping. It is by corrupt humours, and windy vapours in the Tunicles of the in|te&s;tines; it generally comes by cold. Some|times the Body is bound with this Di&s;ea&s;e, and then in the <HI>We&s;t-Indies</HI> it is called the dry gripes. Sometimes there is a Loo&s;e|ne&s;s, with intolerable tortion of the Bowels. If it were wind alone, an excel|lent Cly&s;ter were that of Tobacco, given
<PB N="110" REF="66">
in a fumigatory Cli&s;ter-pipe: Otherwi&s;e a pint of Sack injected has been approved to do good to a wonder: But if corrupt humours are together with this wind, then your Carminative Cly&s;ter is this: <Q>&rx; Cem. Calid. quatuor: Bacc. Laur. &amp; &amp; Juniper ana &ounce;<HI>j.</HI> Zedoari &ounce;<HI>j.</HI> flor Camom. &amp; Melilot an. pugil: To the &s;train'd decoction &ounce;<HI>x.</HI> ol. Camom. &ounce;<HI>&s;s.</HI> Electuar. Carioco&s;t. &ounce;<HI>j.</HI> f. enema.</Q></P>
<P>The Cly&s;ter injected warm, will work to your hearts content, and there will be great ea&s;e; e&s;pecially if you give inward|ly a good Cordial.</P>
<Q>&rx; Tinctura vitae a &s;poonful, Quinte&s;&s;entia Papaveris &amp; Hyo&s;ciami gut. <HI>iij.</HI> in a gla&s;s of choice Sack.</Q>
<P>By this time he will have wonderful ea&s;e and refre&s;hment.</P>
<P>But to root out the windy, and cor|cupt Cemenary, purge the Body well: <Q>&rx; Electum Cathart. regale &dram;<HI>ij.</HI> or Syr. de &s;pina cervina &ounce;<HI>ij.</HI></Q></P>
<P>The&s;e will powerfully eradicate the Di|&s;temper
<PB N="111" REF="66">
and you had better do it at once, than let it run on, and the Patient not throughly well: And then after all a pint of good burnt Wine, with aromatick Spice in it, and leaves of Mint, and &s;weetned with ponder Sugar, and drank hot, is a &s;pecial thing to clo&s;e up your cure.</P>
</DIV2>
<DIV2 N="8" TYPE="chapter">
<HEAD><HI>CHAP. VIII.</HI> Of Co&s;tivene&s;s.</HEAD>
<P>SOmetimes it happens that men are ve|ry Co&s;tive, or hard bound; or it may be there are pa&s;&s;ingers on board, or deli|cate per&s;ons, that rather &s;uffer a great deal of mi&s;ery by this, than to take a Cly&s;ter, e&s;pecially &s;uch as are Sea-&s;ick, and vomit much; I have known &s;ome who in a whole week together have not gone to &s;tool: If any &s;uch complains to you, your way is to give him, either, <Q>&rx;. Syr. de quincqu. rud. &ounce;<HI>ij.</HI> or Tinctura &s;olutiva the like quantity.</Q></P>
<P>Or if it be a per&s;on of honour as &s;ome|times
<PB N="112" REF="67">
happens to be at Sea, Then, Your <HI>Quint. ro&s;ar. Palidar</HI> &ounce;j. is the lovelie&s;t of all Purging Medicines in the World what|ever. The&s;e curiou&s;ly open, and gently purge, and leave not a binding quality be|hind them; and the latter is truly Cor|dial withal. If it were a Childs, &ounce;j. of Manna in its drink would be grateful to it.</P>
</DIV2>
<DIV2 N="9" TYPE="chapter">
<HEAD><HI>CHAP. IX.</HI> Of the Wormes.</HEAD>
<P>I Have known when men at Sea have been very much troubled with the Worms: And then 'tis u&s;ual to give them Calome|los &scruple;j in &s;ome purging Pill: Others give <HI>Spirit Vitriol,</HI> &s;ome drops in their drink, and &s;ome <HI>Cem. Ab&s;ynth</HI> in ponder in Hony: But <HI>Quinte&s;&s;entia Colocynthidos</HI> &dram;&s;, <HI>&amp; Quin|te&s;&s;entia Centauri Major. &amp; Minor.</HI> &dram;j, <HI>&amp; Sal prunellae</HI> &scruple;j, the&s;e in a gla&s;s of Wine or Beer &s;urely de&s;troy the Worms.</P>
<P>And this excellent Pouder, called <HI>Pulv. ad Lumbricos Magi&s;tralis ana</HI> &scruple;j <HI>ad</HI> &dram;&s; in any convenient vehicle is of excellent u&s;e as to this intention. But &s;ometimes you
<PB N="113" REF="67">
have young Children and tender per&s;ons on board that cannot take Medicines, and yet hap to have the Worms: Then anoint the Belly or Stomach with that precious Oyl of Myrrh, and it will effectually do the work.</P>
</DIV2>
<DIV2 N="10" TYPE="chapter">
<HEAD><HI>CHAP. X.</HI> Of Colds, Coughs, Rhumes, Catarrhs.</HEAD>
<P>IT falls out very often that men are trou|bled with the&s;e Di&s;tempers at Sea, and will de&s;ire of you &s;omething to &s;weat: Which indeed is the be&s;t way, if it be a new cold: A pint of burnt Wine, with a branch or two of Ro&s;emary, and Cloves, and Mace, and Cinnamon, with a &dram;j of <HI>Lond Thriac</HI> in it, and brewed with the yolk of an Egg, and &s;weetned with Loaf Sugar, and drank hot when he turns in, and &s;o to let him &s;weat well: This is un|doubtedly the be&s;t Medicine in the World.</P>
<P>But a Catarrh is a Rhume that has ta|ken a habit of trickling &s;lily down the <HI>A&s;|pera arteria,</HI> and &s;o to the Lungs; this
<PB N="114" REF="68">
cau&s;eth extream Coughing, and by rea&s;on of that &s;training, the man grows hot and feaveri&s;h withal, with grievous Head-ach, and when any of this Rhume falls into the Stomach, there is a reaching to Vomit: Nay, &s;uch is the Nature of a Catarrh, that it many times erodes the Lungs, and cau|&s;eth a Con&s;umption.</P>
<P>Now the be&s;t thing you can do, is to purge the Brain, and all the Body of that Catarri&s;h humour: Either <HI>Pilulae ex duo|bus,</HI> or <HI>extr. rudij</HI> &scruple;j, or half a drachm doth it at once excellently well; and when this is throughly done, then your burnt Wine &s;poken of before will come to bare; and when you have &s;weat him well, then the&s;e Medicines following are the be&s;t that can be u&s;ed.</P>
<P><HI>Lohoch Crocatum Myn&s;icti,</HI> is a great &s;e|cret in this Di&s;ea&s;e, it dige&s;ts, makes thick, agglutinates, expectorates, coroborates the Spirits, cools inflamation, quenches thir&s;t, and ea&s;es the mo&s;t acute pain; 'tis to be taken of the end of a Liquorice &s;tick brui&s;ed.</P>
<P>Another excellent thing is <HI>Syr. Catarrhis Mulleri,</HI> this doth not only heal the Ulcers of the Lungs which cau&s;e blood to be &s;pit up, and &s;top the falling of the Rhume, but cures Con&s;umptions; 'tis to be taken
<PB N="115" REF="68">
with a brui&s;ed Liquori&s;h &s;tick as the other pectoral Syrrups are, &s;uch as Colts-foot, Jujubines, Liquori&s;h, and the like.</P>
<P>But above all that, <HI>Infu&s;us Pectoralis Comp.</HI> of Doctor <HI>Salmons</HI> is of in&s;upera|ble efficacy, a &s;poonful or two of it at a time drank in a gla&s;s of Sack, and that often, e&s;pecially morning and evening: But if you'd give it him to drink, and not by way of Lohoch; then <HI>Tinctura A&s;t|matica Millij</HI> &ounce;j, <HI>Vinum Juniperium</HI> a &s;poon|ful, <HI>Elixir Sulphuris,</HI> a few drops in a gla&s;s of Sack is excellent.</P>
</DIV2>
<DIV2 N="11" TYPE="chapter">
<HEAD><HI>CHAP. XI.</HI> Of Continual Feavers, or Calentures.</HEAD>
<P>THe&s;e are very frequent at Sea, e&s;pe|cially in hot Clymates. I have had the woful experience of them, (as well as of Fluxes) at <HI>Scanderoon,</HI> and <HI>Cypris;</HI> &s;ome|times they have that degree of malignity in them that wants but little of the Pe&s;ti|lence. Men are u&s;ually taken at fir&s;t with a &s;hivering in their Bones, as if they had got a cold: They will ask you for &s;ome|thing
<PB N="116" REF="69">
to &s;weat, and you will do well to burn him a pint of Wine, and give him a &dram;j. of <HI>Lond. Thriac.</HI> in it, and let him &s;weat, for this (it may be) may hinder a further progre&s;s; But if notwith&s;tand|ing this, he turns to burning, and his head to ach extreamly, then defer not to let him blood the next morning; and if you are in a Country where there is &s;tore of Wine, and Men have drank much, and inflamed their blood, let not one bleeding &s;erve, but repeat it oftener. Give Cly&s;ters likewi&s;e to mollifie the excrement, and di&s;cu&s;s the noxious fumes.</P>
<Q>&rx; Decoct. Com. pro Cly&s;t. &ounce;<HI>x.</HI> Carioco&s;t. or Benedict. Laxativa &ounce;<HI>j.</HI></Q>
<P>Then after this try what your burnt Wine will do, for now a breathing &s;weat will be profitable; but if it be a malig|nant or burning Feaver, and it is the di|&s;temper of the Ship, or place where you are, it will have a certain time (do what you can) as it had its beginning, &s;o it will have its increa&s;e, &s;tate and declination.</P>
<P>All that you can do now is to further (and not hinder) its coming to its &s;tate; Therefore give not too cooling things, for by that means many a Man is cooled
<PB N="117" REF="69">
out of his Life; and on the other hand, be cautions how you let him take things that will inflame; <HI>Liquor vitriolatus myn|&s;ichti</HI> &ounce;ij. is excellent both ways.</P>
<P>If you give him cooling things, let them be &s;uch as moderately palliate, are Cordial, and quench thir&s;t, and yet keep him in a moi&s;t and natural warmth: As <Q>&rx; Aqua aromatica &dram;<HI>j,</HI> Julupium Alexan|drinum &dram;<HI>ij,</HI> Elixir vitrioli &scruple;<HI>j;</HI></Q>
This in a little <HI>aqua Cordialae refrigerans</HI> is mighty refre&s;hing, and doth not extin|gui&s;h natural heat, but powerfully help it.</P>
<P>Again, if you give hot Cordials, let it be &s;uch as will not cau&s;e burning and thir&s;t, but oppo&s;e that, and rather cau&s;e a breathing and natural warmth.</P>
<Q>&rx; Confectio alc herm. &dram;<HI>j,</HI> pulv. Ga&s;con &scruple;<HI>j,</HI> in aqua Cord. frigid. Saxon. &ounce;<HI>ij.</HI></Q>
<P>This is a Cordial that would revive (as 'twere) a dying man, and give him, not too heating, but a breathing and na|tural heat; But before the Feaver comes to its height, u&s;ually men are dileriate, and if it be a right Calenture, he will think the Sea a Meadow, and &s;eek to leap
<PB N="118" REF="70">
into it: Then (if you cannot convenient|ly give him Cly&s;ters becau&s;e he is unruly) give him, <Q>&rx; Tinctura &s;olutiva &ounce;<HI>j.</HI> in his Barly-water to keep him &s;oluble.</Q>
But the noble&s;t Medicine under the Hea|vens in this ca&s;e is <Q>Quinta e&s;&s;entia ro&s;arum palidarum &ounce;<HI>j.</HI> per &s;e.</Q></P>
<P>This as 'tis opening, &s;o 'tis powerfully Cordial and Alexipharmick, and the plea|&s;ante&s;t thing in the whole World.</P>
<P>When his Body is open, then endea|vour to give him a little ea&s;e and re&s;t. That excellent Anodine Cordial follow|ing I cannot but recommend to you, <Q>&rx; Extractum opii anodinum &dram;<HI>j,</HI> Tinctura vitae Min&s;ichti, a &s;poonful.</Q></P>
<P>Let him take this and endeavour to re&s;t, for this will powerfully exhilarate the hurt, comfort the Spirits, re&s;i&s;t ma|lign atoms, provoke a breathing &s;weat; it will do (in a manner) whatever you de|&s;ire it &s;hould do; nothing &s;o friendly a
<PB N="119" REF="70">
&s;econd at this juncture, whil&s;t Nature is contending with its enemy for Life.</P>
<P>But now methinks I hear my &s;elf accu|&s;ed, that I &s;peak of Medicines fitter for Princes and Noble Per&s;onages, who have Money enough, then for Chyrurgions of Ships to carry to cure Seamen withal: 'Tis true they are precious, and &s;ome of them of ine&s;timable value: But con&s;ider Life is &s;weet to all men, and I hope it is no harm to you to know them that are be&s;t capable of pre&s;erving Life.</P>
<P>But as to the Feaver, there are &s;ome of that degree of malignity, that they come to their height, and the man either re|covers or dyes before the &s;eventh day, as on the fourth or fifth, &s;uch are Pe&s;tilen|tial, and &s;trike &s;everely at Nature. Others are not &s;o acute, but hold till the ninth or tenth day, at what time, if Nature is not &s;trong, it goes hard with the Patient. But mo&s;t recoveries that ever I &s;aw, have been the thirteenth or fourteenth day, for about that time is the right natural Cri&s;is, that mo&s;t continual Feavers come to their &s;tate, in&s;omuch as (when I have had twen|ty or thirty down at a time) he that has lived to the fifteenth day, I have not feared his mi&s;carrying afterward; except by carele&s;ne&s;s, or &s;ome accident, he hath
<PB N="120" REF="71">
precipitated him&s;elf into a relap&s;e. If his Tongue be foul, clear it with your <HI>Spatula Lingua,</HI> and in all his drink (which &s;hould be only Barly-water) give him xx or more drops of <HI>quinte&s;&s;entia vitrioli.</HI> If it be the &s;potted Feaver or Pe&s;tilence, let him neither purge nor bleed, for that were dangerous, but let him take a drachm of <HI>Thriac. Lond. nova,</HI> and half a drachm of <HI>quinte&s;&s;entia vitrioli,</HI> the&s;e in a gla&s;s of Sack are the noble&s;t medicines that ever were known, inwardly; and let him &s;weat to purpo&s;e, whil&s;t he has &s;trength, but moderately if he be weak; <HI>Aqua Epide|mica</HI> is likewi&s;e of &s;ingular vertue, &dram;j. in angel. water with <HI>Syr. Carioph.</HI> And to bring to a head the ri&s;ing (if any ap|pears) make u&s;e of that excellent Cata|pla&s;ma, mentioned in <HI>Chap.</HI> 31. of the Second Book, and when 'tis ready, open it and heal it, as there is taught.</P>
</DIV2>
<DIV2 N="12" TYPE="chapter">
<PB N="121" REF="71">
<HEAD><HI>CHAP. XII.</HI> Of Agues, or intermitting Feavers.</HEAD>
<P>NOW in the time of the paroxi&s;me, them that have the Ague u&s;e to Vo|mit; that &s;hews a foulne&s;s of Body, e&s;pe|cially the fir&s;t pa&s;&s;ages; and a quotidian, or tertian, I have often cured by given of the Patients &s;afe Vomits: As,
<Q>&rx; Vinum antimoniale &ounce;<HI>j.</HI> with Oxymel &s;cil. &ounce;<HI>&s;s.</HI> in a gla&s;s of Wine.</Q></P>
<P>Give this about two hours before the fit is to come: 'Tis an excellent thing again&s;t Agues. Then in the time of the fit, when he cryes out for drink, let him have <HI>Elixir febrile Hor&s;tij,</HI> a &dram;j or ij in his Barly-wa|ter, which you'l find powerful again&s;t the Fever: On the well day, in the morning fa&s;ting, let him have <Q>&rx; Quinte&s;&s;entia Turpethum, &amp; Colocynth. fabri ana &dram;<HI>&s;s</HI> in a gla&s;s of Wine.</Q></P>
<P>The&s;e will purge downwards to your hearts content, and in Agues have no equals.
<PB N="122" REF="72">
When this has done working, and at night when he turns in, give him of <HI>Aqua febri|fuga</HI> &ounce;ij <HI>or</HI> iij, and &s;weat him upon it. About two hours before you expect the next fit to come, (whatever Ague it is, Quartan, or any;) let him take this fol|lowing <Q>&rx; E&s;&s;entia opij anodinum &dram;<HI>ij</HI> in Liquore Vi|triolato Myn&s;ichti &ounce;<HI>iij.</HI></Q></P>
<P>Let him drink it in a gla&s;s of Sack, and mark the event, which doubtle&s;s will be to your infinite &s;atisfaction, and the Pati|ents likewi&s;e.</P>
<P>As for your Cordials and Catharticks, and drink, you have them in the la&s;t Chap|ter, there can be no better.</P>
<P>The pouder of the <HI>Peruvian</HI> bark, cal|led by the <HI>Indians Quinoquino,</HI> which is the Je&s;uits ponder, is given &dram;ij at a do&s;e, in a gla&s;s of White Wine two hours before the Paroxi&s;me: I was a&s;&s;ured of the good|ne&s;s of it in <HI>Smyrna;</HI> the Patiet (as they af|firm'd tome) hath one &s;evere fit next after the taking of it, but no more; and if pur|ging doth not go before, the Ague will return again in about a months time, as the Doctors there have ob&s;erved, as if it had only lain a&s;leep &s;o long. <HI>Oleum fe|brifugum,
<PB N="123" REF="72" MS="y">
&amp; Empl. febrifuga, &amp; Catapla&s;ma febrifugum,</HI> are all found to do good; but what I have written, is a right Method, and &s;ure.</P>
</DIV2>
<DIV2 N="13" TYPE="chapter">
<HEAD><HI>CHAP. XIII.</HI> Of the Mea&s;les, and Small Pox.</HEAD>
<P>IT many times happens that Men, (e&s;pe|cially the younger &s;ort) have the&s;e Di&s;|ea&s;es in a Ship, and when one hath had it, it u&s;ually goes to more of them; 'tis a nau&s;ious Di&s;ea&s;e in a Ship. They are u&s;u|ally taken at fir&s;t with a dulne&s;s or heavi|ne&s;s, and then a pain in the back, with grievous Head-ach. Now it is held good in <HI>England</HI> to lot blood in this Di&s;ea&s;e; but there is a Feaver before the Small Pox breaks out, and a man knows not if it will be the Small Pox or no, (e&s;pecially if it hath not already been in the Ship;) by rea&s;on of which &s;ome are let blood; but if it hath been in the Ship, then you will be cautious when you have the&s;e &s;igns, whether it will be the Small Pox or no; an opening and di&s;cu&s;&s;ing Cly&s;ter can do no
<PB N="124" REF="73">
hurt; and if it &s;hould be a Feaver only, then it will do a great deal of good. If he be a young Per&s;on that hath the&s;e &s;igns, and one that hath not had the Small Pox, you had not be&s;t be too forward in let|ting blood, but defer it till the third day. You may give &s;ome <HI>London Treacle,</HI> and a Cup of burnt Wine, and cau&s;e him to &s;weat, and that will &s;oon &s;hew you if it be that Di&s;temper or no, for it will the &s;ooner break out: If it is not hindred by bleeding, nor purging, nor wet, nor cold, (all which are by no means proper) it will come out by the third day.</P>
<P>Now your way is to drive it out for|cibly, for which there is no better thing than this: <Q>&rx; Tinctura Croci &ounce;<HI>j,</HI> Antimo. diaph. gr. <HI>x.</HI> Confectio Alcherm. &scruple;<HI>j.</HI></Q></P>
<P>Let this be &s;hak't together in a gla&s;s of Sack and Drank, and now let him be kept exceeding warm, that no cold comes to him; nor let him eat or drink any thing that is cold, or may cau&s;e a loo&s;ene&s;s, for that were dangerous: He will be ex|treamly de&s;irous of Drink, and if it be Beer, let it be &s;trong, and let every draught that he drinks be moderately warm, with
<PB N="125" REF="73">
&scruple;j of <HI>Ruint Corn Ceru</HI> in it: Every two hours give him a &s;poonful of <HI>Aqua Aroma|tica,</HI> and a &scruple;j of <HI>Pulv. Ga&s;con,</HI> in a little Canary, and this is truly Cordial, and will powerfully expul&s;e malignity.</P>
<P>Have a care of cooling Juleps, (they are not proper) except &s;uch as was mentioned in the Chapter of a Feaver, which will withal cau&s;e a breathing kind moi&s;ture, and them you may u&s;e moderately.</P>
<P>No matter although he doth not go to Stool in four or five dayes; give him no Cly&s;ter for all that, lea&s;t you make him take cold: For about the fir&s;t cri&s;is he will go to Stool of him&s;elf, which is about the &s;eventh day from his falling &s;ick.</P>
<P>Boyl him Fowles, and let him eat of them (if he can) or at lea&s;t of their broth; the which let him drink often; he cannot feed him&s;elf, his attendance mu&s;t do that office for him. Let white Bisket (if you have any on board) be &s;teept in his Sack, and let him eat it, and drink the Sack after it. If through &s;ome ill accident, or the great malignity of the Di&s;temper he hath not mi&s;carried before, he will have them at the height before the fourteenth day, and then recover: But in his recovering, let him have a care of falling into a relap&s;e by heedle&s;ne&s;s; for &s;o &s;ome have mi&s;car|ried
<PB N="126" REF="74">
afterward. Let his face be kept as much out of the Air as po&s;&s;ible, and let him not &s;cratch off the &s;curf with his hands, for by the&s;e things the Scarrs will be deep; but anoint his face gently with your warm <HI>Album Camphoratum,</HI> and it will cau&s;e the &s;cale to come off ea&s;ily, and leave the new skin, and comely.</P>
</DIV2>
<TRAILER>FINIS.</TRAILER>
</DIV1>
</BODY>
<BACK>
<DIV1 TYPE="table of contents">
<PB REF="74">
<HEAD>AN ABSTRACT OF SEA-CHIRURGERY.</HEAD>
<DIV2 N="1" TYPE="book">
<HEAD>The TABLE of the Fir&s;t BOOK, containing &s;everal Directions.</HEAD>
<LIST>
<ITEM>THE Fir&s;t Direction. <HI>Page 1</HI></ITEM>
<ITEM>The Second Direction. <HI>Page 2</HI></ITEM>
<ITEM>The Third Direction. <HI>Page 5</HI></ITEM>
<ITEM>The Fourth Direction. <HI>Page 6</HI></ITEM>
<ITEM>The Fifth Direction. <HI>Page 7</HI></ITEM>
<ITEM>The Sixth Direction. <HI>ibid.</HI></ITEM>
<ITEM>The Seventh Direction. <HI>Page 8</HI></ITEM>
<ITEM>The Eighth Direction. <HI>Page 9</HI></ITEM>
<ITEM>The Ninth Direction. <HI>Page 10</HI></ITEM>
<ITEM>The Tenth Direction. <HI>Page 12</HI></ITEM>
<ITEM>The Eleventh Direction. <HI>Page 13</HI></ITEM>
<ITEM>The Twelfth Direction. To fit the Chirur|gery Che&s;t. <HI>Page 15</HI></ITEM>
<ITEM>The Thirteenth Direction. For fitting the Drug-Che&s;t. <HI>Page 17</HI></ITEM>
<ITEM>The Fourteenth Direction. <HI>Page 18</HI></ITEM>
<ITEM>The Fifteenth Direction. <HI>Page 19</HI></ITEM>
</LIST>
</DIV2>
<DIV2 N="2" TYPE="book">
<PB REF="75">
<HEAD><HI>The Second BOOK,</HI> Teacheth how the Chirurgion ought to perform his Chirurgical duty being at Sea. <HI>Pag. 21</HI></HEAD>
<P><LABEL>The TABLE.</LABEL></P>
<LIST>
<ITEM><HI>CHap. 1.</HI> How the Chirurgeon &s;hould be|have him&s;elf on an Engagement day. <HI>Page 21</HI></ITEM>
<ITEM><HI>Chap. 2.</HI> Teacheth what is to be done by the Chyrurgion the next day after the engage|ment. <HI>Page 29</HI></ITEM>
<ITEM><HI>Chap. 3. Page 32</HI></ITEM>
<ITEM><HI>Chap. 4.</HI> How to pro&s;ecute the Cure of the Amputated Wound. <HI>Page 33</HI></ITEM>
<ITEM><HI>Chap. 5.</HI> How to Cure all dangerous wounds of the Joints. <HI>Page 38</HI></ITEM>
<ITEM><HI>Chap. 6.</HI> How to Cure a Compound Fracture, and Di&s;location together. <HI>Page 43</HI></ITEM>
<ITEM><HI>Chap. 7.</HI> How to Cure a wound of the Head with a fracture of the Scull. <HI>Page 48</HI></ITEM>
<ITEM><HI>Chap. 8.</HI> How to cure Wounds of the Abdo|men and Ruptures. <HI>Page 52</HI></ITEM>
<ITEM><PB REF="75"><HI>Chap. 9.</HI> How to cure a penetrating Wound of the Brea&s;t, and Ribs, or Back. <HI>Page 55</HI></ITEM>
<ITEM><HI>Chap. 10.</HI> How to cure a wound by a &s;mall &s;hot through a Fle&s;hy or Mu&s;culous part. <HI>Page 56</HI></ITEM>
<ITEM><HI>Chap. 11.</HI> How to cure a wound of the fle&s;hy parts with lo&s;s of &s;ub&s;tance. <HI>Page 58</HI></ITEM>
<ITEM><HI>Chap. 12.</HI> How to cure a deep inci&s;ed wound. <HI>Page 59</HI></ITEM>
<ITEM><HI>Chap. 13.</HI> How to cure great and deep Con|tu&s;ions or Brui&s;es, without any eminent wound, and &s;prains of the Joynts. <HI>Page 60</HI></ITEM>
<ITEM><HI>Chap. 14.</HI> How to cure a Gangreen. <HI>Page 63</HI></ITEM>
<ITEM><HI>Chap. 15.</HI> How to cure Burns or Scalds. <HI>Page 66</HI></ITEM>
<ITEM><HI>Chap. 16.</HI> How to cure a violent bleeding at No&s;e. <HI>Page 68</HI></ITEM>
<ITEM><HI>Chap. 17.</HI> How to cure a Rheumati&s;me. <HI>Page 70</HI></ITEM>
<ITEM><HI>Chap. 18.</HI> How to cure &s;etled pains in any part, old Aches from former Brui&s;es, Cramp, &s;tifne&s;s of Sinews, and cricks in the Back, numbne&s;s of the Limbs and Joynts. <HI>Page 72</HI></ITEM>
<ITEM><HI>Chap. 19.</HI> How to cure the Squinzy. <HI>Page 73</HI></ITEM>
<ITEM><HI>Chap. 20.</HI> To cure the Relaxation of the &V;vula's and Amygdala's. <HI>Page 75</HI></ITEM>
<ITEM><HI>Chap. 21.</HI> To cure the Tooth-ach. <HI>Page 76</HI></ITEM>
<ITEM><HI>Chap. 22.</HI> Of Opthalmias, or Suffu&s;ions and Pearls on the Eyes. <HI>Page 77</HI></ITEM>
<ITEM><HI>Chap. 23.</HI> Deafne&s;s, &s;toppage of the Ears, Pain and Impo&s;tume. <HI>Page 78</HI></ITEM>
<ITEM><HI>Chap. 24.</HI> Of the Piles, and Procedentia Ani. <HI>Page 79</HI></ITEM>
<ITEM><PB REF="76"><HI>Chap. 25.</HI> For Boyls and Felons. <HI>Page 80</HI></ITEM>
<ITEM><HI>Chap. 26.</HI> A Phlegmonous Tumor. <HI>Page 81</HI></ITEM>
<ITEM><HI>Chap. 27.</HI> Of an Ery&s;ipelas and Cholerick Pu&s;hes. <HI>Page 82</HI></ITEM>
<ITEM><HI>Chap. 28.</HI> Of Phlegmatick Tumors and &V;l|cers. <HI>Page 83</HI></ITEM>
<ITEM><HI>Chap. 29.</HI> Of Cancers, Schirrhous Tumors, Phagadenick &V;lcers and Fi&s;tulaes. <HI>Page 85</HI></ITEM>
<ITEM><HI>Chap. 30.</HI> Of Gravel and Strangury. <HI>Page 97</HI></ITEM>
<ITEM><HI>Chap. 31.</HI> How to cure a Clap. <HI>Page 89</HI></ITEM>
<ITEM><HI>Chap. 32.</HI> How to Cure a confirmed Pox. <HI>Page 93</HI></ITEM>
</LIST>
</DIV2>
<DIV2 N="3" TYPE="book">
<HEAD><HI>The Third BOOK,</HI> Teacheth how the Sea-Chirurgeon ought to Execute the Phy&s;ical Office impo&s;ed on him at Sea. <HI>95</HI></HEAD>
<LIST>
<ITEM><HI>CHap. 1.</HI> Of the Scurvy. <HI>96</HI></ITEM>
<ITEM><HI>Chap. 2.</HI> Of Fluxes. <HI>100</HI></ITEM>
<ITEM><HI>Chap. 3.</HI> Of a Dy&s;entery or Bloody-Flux. <HI>101</HI></ITEM>
<ITEM><HI>Chap. 4.</HI> Of a Colera. <HI>103</HI></ITEM>
<ITEM><HI>Chap. 5.</HI> Of a Surfeit. <HI>105</HI></ITEM>
<ITEM><PB REF="76"><HI>Chap. 6.</HI> Of the Pleuri&s;ie. <HI>108</HI></ITEM>
<ITEM><HI>Chap. 7.</HI> Of the Cholick and Wind. <HI>109</HI></ITEM>
<ITEM><HI>Chap. 8.</HI> Of Co&s;tivene&s;s. <HI>111</HI></ITEM>
<ITEM><HI>Chap. 9.</HI> Of the Worms. <HI>112</HI></ITEM>
<ITEM><HI>Chap. 10.</HI> Of Colds, Coughs, Rhumes, Ca|tarrhs. <HI>113</HI></ITEM>
<ITEM><HI>Chap. 11.</HI> Of continual Feavers or Calen|tures. <HI>115</HI></ITEM>
<ITEM><HI>Chap. 12.</HI> Of Agues, or intermitting Fea|vers. <HI>121</HI></ITEM>
<ITEM><HI>Chap. 13.</HI> Of the Mea&s;les, and Small Pox. <HI>123</HI></ITEM>
</LIST>
</DIV2>
<TRAILER>FINIS.</TRAILER>
<PB REF="77">
<PB REF="77">
</DIV1>
</BACK>
</TEXT>
</EEBO>
</ETS>
