The Cure of the foresaid Euill is manyfolde : to wit , inwardly and outwardly , (CLOWES-E2-H,9.2) and is performed by two speciall remedies : the one Medicinall , and the other Instrumentall , without the which fewe good workes or Cures in Chyrurgery can be brought to perfection : (CLOWES-E2-H,9.3) The reason is , because in this Cure , the vncleanenesse of the body is such , which feedes the matter of the disease . (CLOWES-E2-H,9.4) Therefore , first of all the matter must be purged , (CLOWES-E2-H,9.5) for as it is said , the roote of al the Cure is y=e= wel purging of the body , whereby Nature is the better enabled to expell and vnburden her selfe of many bad and vnprofitable humours . (CLOWES-E2-H,9.6) And now by the fauour of the learned I will therefore begin with remedies Medicinall , according to the maner of Method , published by Calmatheus , one whome amongst many other learned men in Phisicke and Chirurgery , I haue obserued most diligently , as it were a Day-starre or Christallin cleare looking glasse , following him with feruent zeale and earnest desire : by reason as it seemeth vnto me he was not ignorant in any thing that might make for the truth of his writing , chiefly for the Cure of the foresaid Euill . (CLOWES-E2-H,9.7) Yet I protest I am no such deuote fauorite of his , or any other mans whatsoeuer , further then iustly they haue deserued : which is the onely cause that hath mooued mee to haue a reuerent estimation of him and all other learned men , whether they doe remaine beyond the Sea , or otherwise abide with vs at home . (CLOWES-E2-H,9.8) Now followeth the maner of Methode , by Phisicall remedies for the Cure of Struma , or the Euill which our Kings or Queenes haue and doe still Cure : (CLOWES-E2-H,9.9) the experimentall proofe thereof I haue often times seene effected : wherefore I will be short , and presently proceede vnto the first intention . (CLOWES-E2-H,9.10) THE FIRST INTENTION PHISICALL BY INWARD MEANES . (CLOWES-E2-H,10.13) The first Intention after Calmatheus fit the 12. Chap. of his book , (CLOWES-E2-H,10.15) for the general cure of Vnnaturall Tumours , is that the curing of this disease called Struma , doth co~sist in Dyet that dryeth moderately , & heateth and attenuateth the humours : (CLOWES-E2-H,10.16) Hunger is profitable , (CLOWES-E2-H,10.17) and fulnes is hurtfull : (CLOWES-E2-H,10.18) Sleep and Idlenes are euill : exercise before meate very good : (CLOWES-E2-H,10.19) the vse of Sulphure or Alume water , is very good and profitable . (CLOWES-E2-H,10.20) THE SECOND INTENTION PHISICALL BY INWARD MEANES . (CLOWES-E2-H,10.22) The second Intention is the vse of breaking , attenuating , mundifying & opening Medicaments ; as are these Remedies now following . (CLOWES-E2-H,10.24) viz. Recipe . Rad , Ireos. Cort. Sambucj. Boiled in white wine , (CLOWES-E2-H,10.25) then adde vnto this decoction , a quantity of Ginger . (CLOWES-E2-H,10.26) For this decoction breaketh , attenuateth , openeth & mundifieth dolorous tumors : (CLOWES-E2-H,10.27) so doth it also prouoke vrine , w=c= in this affect is a special matter . (CLOWES-E2-H,10.28) The often vse of the Pilles of Hiera simplex is much commended to cast out Flegme of the stomacke & guts . (CLOWES-E2-H,10.29) But if so be that thou wilt purge the whole body , thou shalt vse the Pilles of Agarico Coccis : (CLOWES-E2-H,10.30) if thou list to dissolue & cast out Phlegme , these Pils following must be taken , viz. Pillulae de Sagap : de Opopan , de Elleboro , de Euphorbio . (CLOWES-E2-H,10.31) The Phisitians in times past commended the powder of Turbith , Ginger , and Suger , of each equall parts : The Doses whereof was to two Dragmes . (CLOWES-E2-H,10.32) THE THIRD INTENTION PHISICALL BY INWARD MEANES . (CLOWES-E2-H,11.35) The third Intention is the vse of this powder , which doth consume as they terme it the Antecedent matter , which it doth as well by his manifest quality , and as they say by a secret property . (CLOWES-E2-H,11.37) This powder doth consume Phlegme , by little & little . (CLOWES-E2-H,11.38) R. Rad . Aristo . Rotundae . Raphani . Spattulae foetidae . Fol . Pimpinell . Pilosell . Rutae Maioris . Scrophulariae . Philipend . Semen Anisi . Zingiber . Turbith Optimi Sene Orient . Saccari Albissimi . Make all these into powder , (CLOWES-E2-H,11.39) and let the Patient take euery day in the morning a Spoonefull , with white Wine , or the water of Broome . (CLOWES-E2-H,11.40) Guido taketh the forenamed powders , (CLOWES-E2-H,11.41) and boyleth them in white Wine vntill halfe , (CLOWES-E2-H,11.42) & giueth euery third day one quarter thereof . (CLOWES-E2-H,11.43) Galen approoueth & commendeth the vse of Theriaca Vetus , Athanasia et Ambrosia . (CLOWES-E2-H,11.44) The vse of Aurea Alexa~drina for the co~forting of y=e= stomack , is very good . (CLOWES-E2-H,11.45) Also it is said that Theriaca Athanasia doe both resolue , breake and digest humours , being compact and gathered together in the profundity of the body . (CLOWES-E2-H,12.46) Mercurialis saith moreouer , that about the purging of children which is diligently to be obserued the state of children is weake , that it must bee handled with verie gentle medicines , & rather to be often repeated , & more easier then to minister any stronge Medicines : (CLOWES-E2-H,12.47) therfore the belly shall thus be mollifyed . (CLOWES-E2-H,12.48) R. Mellis Rosatj . Decoctionis fructuum . Foliorum Senae . (CLOWES-E2-H,12.49) But that the humours may be prepared , it must bee done with this Medicine . (CLOWES-E2-H,12.50) R. Folior . Scrophulariae Plantaginis . Betonicae . Menthae . (CLOWES-E2-H,12.51) Make a Decoction according to Arte , (CLOWES-E2-H,12.52) and then take of the said Decoction Syrup Rosatj recentis , Oxymel. simplisis (CLOWES-E2-H,12.53) Mingle these : (CLOWES-E2-H,12.54) When the humours bee prepared , they may be purged with this Medicine . (CLOWES-E2-H,12.55) R. Agaricj Trochiscat. Squinantj. gra. Steep them in Betony water (CLOWES-E2-H,12.56) and straine them (CLOWES-E2-H,12.57) and put thereto . R. Mellis Rosatj solutiuj . Electuarii de Psylio . Decoctionis Cordialis Polipodio . (CLOWES-E2-H,12.58) Thus much as concerning this briefe note , or compendious Methode of the forenamed Authors , which may very well serue for a very fit President or beginning to the rest that followeth : (CLOWES-E2-H,13.59) Now it remaineth that I make heere also report of the singular and rare efficacy of our manuel operation therunto annexed and belonging , with the right vse of the topicall or outward remedies , which is to be externally applyed . (CLOWES-E2-H,13.60) The reason is , because it is referred vnto the skilfull Chirurgians manuel or handy working , for the Cure of this great Infirmity , which doth outwardly affect the superficiall parts of the body . (CLOWES-E2-H,13.61) For as saith Iacobus Ruffus that to the perfection and accomplishing of the foresaid Cure called , The Euill by the King , or Queene Cured he doth reduce it into sixe Intentions Chirurgicall , as followeth . (CLOWES-E2-H,13.62) The experimentall verifying of his excellent skill in this disease , as also in many others , is by diuers worthy men often times commended : which Malady doth vexe and trouble most pitifully the common sort of people . (CLOWES-E2-H,13.63) The first Intention is , In Attritione , et Compressione . (CLOWES-E2-H,13.64) 1 (CLOWES-E2-H,13.65) The second Intention is , In Discussione , et Resolutione . (CLOWES-E2-H,13.66) 2 (CLOWES-E2-H,13.67) The third Intention is , In Suppuratione et Maturatione . (CLOWES-E2-H,13.68) 3 (CLOWES-E2-H,13.69) The fourth Intention is , In Incisione et Extractione . (CLOWES-E2-H,13.70) 4 (CLOWES-E2-H,13.71) The fift Intention is , In Corrosione et Mundificatione . (CLOWES-E2-H,13.72) 5 (CLOWES-E2-H,13.73) The sixt Intention is , In Obligatione et Evultione . (CLOWES-E2-H,13.74) 6 (CLOWES-E2-H,13.75) Also after Fuchsius and other learned {HELSINKI:leaned} men it is accordingly to be vnderstood as followeth : who also hath written of these Phlegmaticall or Glandulous abcessions called Struma . (CLOWES-E2-H,13.76) If say they these abscessions that bee seated in the stronge parts of the body , and because they are not yet olde and inueterate , hauing a thin Cystis that couereth them : these are to be appeased and consumed , and after dryed vp . (CLOWES-E2-H,14.78) THE FIRST INTENTION CHYRURGICALL BY OUTWARD MEANES . (CLOWES-E2-H,14.80) Now I will set downe Examples and Instances for the Cure of the said Malady , the which I haue obserued and gathered as heereafter ensueth for the perfection and accomplishing of the before named first Intention , if the strength and ability of the Patient will serue and admit the same . (CLOWES-E2-H,14.82) Then one chiefe thing as you are before tolde is , that the Patient doe keep a thin & sparing dyet , which is the efficient cause belonging vnto Phisick . (CLOWES-E2-H,14.83) The reason is , as I haue noted , that those which are thus affected , haue alwaies a great inclinatio~ to a grosse disordered liberty of feeding : (CLOWES-E2-H,14.84) Therefore the Patient must be sustained with such meates , as are agreeable to Nature , and to eschew such meates which make grosse Juyce : and not as it is said to lay gorge vpon gorge . (CLOWES-E2-H,14.85) And further yee shall note , though it bee said before , that abstinence is greatly to be commended : (CLOWES-E2-H,14.86) yet you must consider it is not-2 meant , that Nature should there by bee enfeebled , or ouerthrowne , and that especially in weake bodyes , great care must be had : But onely to keepe all possible abstinence , that is to eate and drinke sparingly and measurably , onely to preserue the strength , and to satisfie Nature : (CLOWES-E2-H,14.87) I meane , that it bee such as is agreeable to the strength of the Patient , and greatnes of the Infirmity . (CLOWES-E2-H,15.88) Likewise it is said , the often vse of purging and bleeding on both the Armes , is profitable . (CLOWES-E2-H,15.89) Also , it is auailable to vse Frictions , Rubbings , Borings , (CLOWES-E2-H,15.90) and Blisterings is much praised after purgings , (CLOWES-E2-H,15.91) for it stoppeth the flowing matter being applyed vpon the head by revulsion or drawing back , (CLOWES-E2-H,15.92) & causeth euacuatio~ . (CLOWES-E2-H,15.93) Moreouer , it is said , y=t= to discusse these kinds of Tumours which are found in mooueable parts , & superficially lodged neer vnto the outward parts , A plate of Leade is most familiar therfore , especially in young persons , by reason of the raritye and softnes of the skinne : (CLOWES-E2-H,15.94) It is thought vnfit by diuers learned men to blister Childrens heads with Cantharides , it hath been seene to cause much paine and pissing of bloud : but to doe it by aduisement , (CLOWES-E2-H,15.95) either with Mustard or with Nettles , is good . (CLOWES-E2-H,15.96) Also , many learned men , of a certaine knowledge and sound vnderstanding , haue in their bookes greatly commended a playster made thus : (CLOWES-E2-H,15.97) Recipe . Olde dryed Goates dung , Hony and Vineger , being decocted at an easie fire , to the consistence of a playster . (CLOWES-E2-H,15.98) Also , Doues dung mingled with Hony , hath the same effect , (CLOWES-E2-H,15.99) So is it by me also wel approoued , this plaister called Oxicroceum , whose composition is not far to be sought for . (CLOWES-E2-H,15.100) R. Cerae , Picis , Colophen , Croci . Terebinth , Galbanu~ , Ammoniaci . Mastici , Olibanum . (CLOWES-E2-H,15.101) Dissolue the Gums in Vineger , (CLOWES-E2-H,15.102) and powder that which is to be powdred , (CLOWES-E2-H,15.103) & so make a plaister according to Arte : (CLOWES-E2-H,15.104) Also a plaister of Figs baked and spred , and so applyed vpon Struma is approoued good . (CLOWES-E2-H,15.105) Likewise , Oleum Cucumiris Asininus , dropped into the eare , on that side where the Struma is , is most effectuall to disperse and dissolue . (CLOWES-E2-H,15.106) In like maner , is generally commended Emplastru~ de Ranis cum Mercurio , to be appropriate and respectiue in this Cure , to consume superfluous humidity , engendring this disease . (CLOWES-E2-H,16.107) Howbeit , vpon a time a certaine repyning enuious man , being full gorged with a malicious rayling spirit , being proudely giuen in the gall of much bitternesse , with many scandalous words , and bragging comparisons ill beseeming his person reported that the aforesaid plaister De Ranis was dangerous vnto the patient ; (CLOWES-E2-H,16.108) and said , who so did holde the contrary opinion , it was erroneous , foolish and deceiptfull : by reason quoth hee of the coldnes of the Quick-siluer : (CLOWES-E2-H,16.109) and boldly did seeme to maintaine the same , with a number of very spruse termes , and picked phrases , like as young Children vse to doe , when in mockery they counterfeite a strange kinde of language , (CLOWES-E2-H,16.110) & forsooth placed them as it were in Geometrical proportions , as though he had bin the onely Son of Archimedes that great Geometritian . (CLOWES-E2-H,16.111) In deed it is a most true saying : That fish which is bred in the durt will alwaies taste of the Mud : (CLOWES-E2-H,16.112) And I told him that I neuer yet found any more coldnes in this Playster , then there is heate in a paynted fire . (CLOWES-E2-H,16.113) But this I doe speake vpon mine owne knowledge , that there is as much difference in Arte and Judgement , betweene this odde fellow which would seeme to bee a second AEsculapius and a man replenished with true knowledge indeed , as is betweene a Master Cooke and a Scullian of a Kitchin . (CLOWES-E2-H,16.114) Howbeit , hee said also , that his skill was such , that if a man were wounded at Yorke , bring him the weapon that hurt the Patient , and he would cure him forsooth by onely dressing of the weapon , and though he neuer see the Patient . As certaine as the Sea burnes . (CLOWES-E2-H,16.115) And now heere I will surcease to speake any further of these matters , (CLOWES-E2-H,16.116) for I regarded not such sayings , sith it is truely said ; Euery man must yeeld an accompt , both of his ease , and of his labour . (CLOWES-E2-H,17.117) Themistocles , a Captaine of the Grecians as Historians make mention supposed it better to be enuyed of the malicious , then to liue in Idlenes and basenes of minde , without doing some good for the benefit of his Country and Common wealth , wherein he was borne and bred . (CLOWES-E2-H,17.118) Now to the second Intention , and so in order with the rest as they doe lye , and offer themselues vnto vs . (CLOWES-E2-H,17.119) THE SECOND INTENTION CHYRURGICALL BY OUTWARD MEANES . (CLOWES-E2-H,17.121) The second Intention Chirurgicall , is the right vse of those remedies which doe mollifye , discusse and consume great abscessions , which are not yet hard and inueterate . (CLOWES-E2-H,17.123) And that the same is true , may easily be gathered as followeth . (CLOWES-E2-H,17.124) And for that I wold haue this second Intention made plaine as much as in me lyeth and also familiarly knowne vnto the studyous Reader : I doe therfore say , It is meete and conuenient , that those Medicamentes which are to bee vsed , be of the Nature and property to molifie and discusse , and so to open the powers of the skinne by euaporating , breathing and scattering abroad , and make thinne the grosse matter and Phlegme . (CLOWES-E2-H,17.125) Then for the better performance thereof , without further discoursing , I will heere presently set downe as it were a Store-house of diuers and sundry approoued Chirurgicall remedyes , necessary for the curing and safe healing of the forenamed Strumaeic and Phlegmaticall sicknesse : The which from time to time I haue by experience the Mistris of all Artes and Sciences carefully obserued , and faithfully also collected out of the famous writinges of sundry worthy Authors , as also out of the fruitefull labours , of diuers men famous in experience : whose painful trauailes and studyes , haue at this day most excellently refined this worthy Arte of Chyrurgerie from Barbarisme : (CLOWES-E2-H,18.126) otherwise it is greatly to be feared , a number at this day had not been so skilfull and rich in knowledge , and otherwise , as they are said to be . (CLOWES-E2-H,18.127) Therefore we ought not to thinke any study , paines , or trauaile too great , wherein we hope of much benefit to our patients , and also profit and commodity to our selues : (CLOWES-E2-H,18.128) And heere I must needs say , according to my poore ability I haue my self been very industrious for the common benefit , and good of others , truly to set downe diuers approoued remedies of mine own collection : wherin to my knowledge I haue not in al this whole discourse , published any superfluous and vnapprooued remedies , or otherwise kept backe any worthy secret I had : but as did the Euangelicall and heauenly woma~ mentioned in y=e= Scriptures , who presented into the Lords Treasury al y=e= wealth & substance she had . (CLOWES-E2-H,18.129) Notwithstanding , I haue read y=t= men in times past did with great care & diligence consecrate & keep secret as a precious treasure vnto the~selues al such chosen & peculiar remedies , w=c= they had experienced & approoued for the curing & healing of any dangerous malady : and as it is said bound themselues by oath one to another , not to bewray their Secrets by their bookes or writing . (CLOWES-E2-H,18.130) Howbeit , I more regarding the publick vtility & good of posterity , did w=t= great care & diligence consider with my self , what profit can there be to any ma~ to bury his labors in the lake of obliuion , or otherwise to hide it in the denne of darkenesse . (CLOWES-E2-H,18.131) And although I know the matter heer spoken of , may seeme a paradox to some , & so of smal worth : neuerthelesse , although I am none of the greatest Clarks , yet I know it wil be more auailable , then some happily doe make account of . For which cause I haue laboured w=t= as much perspicuity & plainnes , as possible I could , to deliuer the truth of my honest & faithful good meaning , so far foorth as God hath enabled me in knowledge , skil & memory . Wherefore I meane heere presently to make publicke & open testimony of the same , though now and then I make a little digression , and swarue from my matter , by reason of certaine Crosbyters , who haue heertofore behinde my backe , and to my face also not a little abused me : (CLOWES-E2-H,19.132) Howbeit , I wil heere conclude this discourse concerning this Second Intention Chirurgicall , (CLOWES-E2-H,19.133) & doe confesse and considerately affirme , that there is but few mens labors at the first made so perfect , but that in processe of time & further consideration , they may be bettered , corrected and amended . (CLOWES-E2-H,19.134) Yet I $can $not {TEXT:cannot} but much maruaile , that wise men $nowadaies are growne to this passe , that they do so seriously follow exorcismes and the Illusions of certaine Charmes of Clowtes and Rags , which is very inhumane and barbarous ; neuer practised , neither written of , nor allowed by any learned Phisitio~ or Chirurgian that euer I yet heard or read of . (CLOWES-E2-H,19.135) Howbeit , the world is as it were led in a stringe & carried away to beleeue these vanities , which make a shadow or shew of verity for the safe curing of diuers maladies , & sildome they say misse not : (CLOWES-E2-H,19.136) But I know the contrary is true , (CLOWES-E2-H,19.137) for I haue cured both old & young persons , when these Charmers of clowtes & rags , with their incredible operations haue failed them , & prooued flat foolery & absurdities . (CLOWES-E2-H,19.138) But to leaue this new Leach craft , with thier doting inuentions , I wil here speake of diuers remedies very respectiue & appropriate , for the cure of the before named infirmity , as a president and example for young practizers of Chirurgery to follow . (CLOWES-E2-H,19.139) Now vnto the said Second Intention , which is first to set downe those special remedies , whose properties are to open the pooers of the skin , & to soften the hard parts , by insencible transspiration . (CLOWES-E2-H,19.140) A choyse and speciall mollyfying and resoluing plaister , (CLOWES-E2-H,20.142) and serueth well for the curing of this greeuance : As my selfe haue many times approoued . (CLOWES-E2-H,20.143) R. Serapini . Ammoniaci . Bdellij . Galbani . Euphorbij . (CLOWES-E2-H,20.144) Let these be dissolued in good Malmesey , (CLOWES-E2-H,20.145) and then adde thereunto . Ol. Lilior . Ol. Amigdalar . Propoleos . Mise , (CLOWES-E2-H,20.146) fiat Implastrum . (CLOWES-E2-H,20.147) Another . (CLOWES-E2-H,20.148) R. Galbani . Ammoniaci . Picis Albae . Cerae Citrinae . Ol. pedis Vaccini . q. s. Misce . (CLOWES-E2-H,20.149) I doe many times insteed of the Oyle , take the Marew : (CLOWES-E2-H,20.150) Then what profit doth ensue , time will approue the same . (CLOWES-E2-H,20.151) Another . (CLOWES-E2-H,20.152) R. Farinae fabar . Farinae Hord . Liqueritiae , Rad. Althaeae . Picis . Cerae Albae . Adipis Anserini . (CLOWES-E2-H,21.153) Let there be added the Vrine of a Boy , and of olde Oyle q s . (CLOWES-E2-H,21.154) And so boyle it to the forme of a Plaister . (CLOWES-E2-H,21.155) Another . (CLOWES-E2-H,21.156) R. Gum. Ammoniaci . Rad. Brioniae in pul. Turp. Mineralis . Cinnabrij . Cerae . (CLOWES-E2-H,21.157) Let the Gumme Ammoniacke bee dissolued in Vineger , according to Arte , and after made vp in rowles . (CLOWES-E2-H,21.158) Among a number of his memorable deedes , which hee hath left vnto the minde and memory of posterity , this his Plaister deserueth great commendations . (CLOWES-E2-H,21.159) Another . (CLOWES-E2-H,21.160) Mercurialis commendeth a Playster made of Lyme and Salt-Petre , of each like much , being mixed with Barrowes grease q. s. (CLOWES-E2-H,21.161) But such remedyes are too stronge for Children , least it cause Agues , and hurt the soft and tender flesh of their bodies , chiefly about the Necke it is to be auoyded . (CLOWES-E2-H,21.162) Moreouer , I read , that to {COM:sic} make a Playster of Nitrum and Lyme , of each a like quantity , and of Cardamonium & Fenygreeke 4. times so {TEXT:so_so} much , (CLOWES-E2-H,21.163) and with Hony make heereof a Plaister . (CLOWES-E2-H,21.164) AEtius saith , when Struma beginneth in children , they must be molifyed and dispersed : (CLOWES-E2-H,22.166) And for mollifying in children is approoued this remedy following . (CLOWES-E2-H,22.167) R. Diachylon . Oesypi . Radicum Ireos Pulueriset . (CLOWES-E2-H,22.168) Misce . (CLOWES-E2-H,22.169) Another . (CLOWES-E2-H,22.170) Recipe . The Lees of white or red wine , & of stronge Vineger , of each a quart : Mallowe leaues 4. good handful : (CLOWES-E2-H,22.171) Boile them till the leaues bee tender , (CLOWES-E2-H,22.172) then stampe the leaues , (CLOWES-E2-H,22.173) & put them againe into the said licour , with halfe a pound of sweet butter : of barley meale & of beane meale , of each a good handfull : Of Linseede & Fenigrek of each 4. ounces : Of the powder of red Rose leaues one good handfull : Of yolkes of Egges 3. or 4. an of Saffron the waight of 3. d. fiat cataplas . (CLOWES-E2-H,22.174) I might easily bring in a confused number of other remedies to the same end & purpose , out of diuers learned mens writings , which heer to repeate were needles , and to no great vse , sith I know these may suffice : Wherefore I thinke it good to pretermit the nominating of the rest , &c. (CLOWES-E2-H,22.175) THE THIRD INTENTION CHYRURGICALL BY OUTWARD MEANES . (CLOWES-E2-H,22.177) The third Intention is , to ripen , open and clense such Phlegmaticall Corruptions and Ulcerous Apostumes , which do pertaine to Suppuration : (CLOWES-E2-H,22.179) This needeth no long discourse , sith it plainely appeareth , that these troublesome , hard kernelly swellings , be found so rebellious , that they doe resist all emollientes and Diaphoreticall remedies before named : by meanes wherof it can not be dissolued & consumed as we happily would , or do desire . For which causes we are further constrained to alter our course , with due consideration , that is to wit : Not to leaue the Patient helples , but to vse stronger Medicamentes , I meane Suppuratiues , as is before said , such as whose property is to bring superfluous humours to maturity and ripenes , by these and such like Emplasticke remedies , which as it is said doe by the closing of the pooers of the skin , augment the naturall heate , whereby the matter so enclosed causeth the generatio~ of matter or Pus . (CLOWES-E2-H,23.180) But I must confesse , I haue not often times seene these hard Phlegmaticall abcessions easily brought to suppuration . (CLOWES-E2-H,23.181) The matter being once colde , dull , Clammy , hard and knotty , and deeply seated , and of a long continuance in a body , whose skin is grosse and thicke , & the matter hardly compact : These kindes I haue found do sildome come to maturity and ripenes , vnlesse as Cornelius Celsus saith the said Tumours bee mixed and made of matter and bloud . (CLOWES-E2-H,23.182) And Trincauel reparteth , that some of these Tumours that haue heate in them , doe ripen and come to matter & suppuration : (CLOWES-E2-H,23.183) But there be others that be more hard , and doe resist suppuration , (CLOWES-E2-H,23.184) and then they come neerer vnto the nature of a Scirrhus . (CLOWES-E2-H,23.185) Now it followeth that I set downe those approoued remedies , being in vulgar vse , seruing for suppuration , which are long agoe ratifyed and well allowed of , by a vniforme consent , both-4 of olde & late writers , which were men of an industrious capacity , & of a most rare & exquisite knowledge in the Arte . (CLOWES-E2-H,23.186) And first I wil begin with Iohannes de Vigo , one of the chief Fathers , & true Patrones of al good learning & knowledge in the Arte of Chirurgery : As it in some sort may appeare by Master Bartholmew Traheron , which first Translated Vigo in the English tongue . (CLOWES-E2-H,24.187) In his Epistle Dedicatory whose iudgement therein I doe acknowledge hee {HELSINKI:bee} sayth : that although Vigo were not brought vp in the knowledge of the Tongues , yet through his singular wit , long experience , and diligent study , hee hath inuented and set foorth , more notable things in the Arte of Chirurgerie , then any other heeretofore : (CLOWES-E2-H,24.188) and I thinke sayth he , nothing can better testifye the cunning of this man , then that he continued so long in Rome , in such a company of pocky Curtezans : neither Priests , Bishops , nor Cardinals excepted , as it appeareth in his Booke : (CLOWES-E2-H,24.189) for where such cariones been , the best Egles will resort , &c. (CLOWES-E2-H,24.190) A Maturatiue Playster . (CLOWES-E2-H,24.191) R. Radices Althaeae . Capit. Liliorum . (CLOWES-E2-H,24.192) Let these boyle in a sufficient quantity of Water , (CLOWES-E2-H,24.193) and after being stamped , put vnto them of Garlicke and white Onions roasted , vnder the coales of each . (CLOWES-E2-H,24.194) Ol. Liliorum . Butyri . Pinguedinis porcini . Anserinae . Farinae Tritici . Fenigreci . An. q. s. (CLOWES-E2-H,24.195) Make a Playster at the fire , adding in the ende , the yolkes of two Egges : (CLOWES-E2-H,24.196) There bee some I know doe little prize or value this Playster , (CLOWES-E2-H,25.197) but I doe acknowledge it to be an infallible remedy . (CLOWES-E2-H,25.198) Another . (CLOWES-E2-H,25.199) R. Radices Bryoniae . Ceparum. No. Rad. Althaeae recentiu~ . Fol. Maluarum Siccarum . p. i. Hidropiperis . M. i. . Ficuum . Passularum Enucleatarum . (CLOWES-E2-H,25.200) Boyle them well , (CLOWES-E2-H,25.201) then adde vnto them . Fermenti . Axungiae suillae Insulsae . Euphorbij. pul . (CLOWES-E2-H,25.202) Misce et fiat Emplastrum secundum artem . (CLOWES-E2-H,25.203) This playster worketh miraculous effectes in this Cure . (CLOWES-E2-H,25.204) Another Playster . (CLOWES-E2-H,25.205) R. Mirrhae . Ammoniaci Thymiamatis . Visci Quercini . Galbani . Propolis . (CLOWES-E2-H,25.206) Misce et fiat Emplastrum secundum Artem . (CLOWES-E2-H,25.207) A Maturatiue Cataplasme . (CLOWES-E2-H,25.208) Recipe . Rye-bread lib. i. White Onions & of Lilly Rootes , roasted vnder the Ashes , of each 4. Ounces . A Bryony Roote , and Figges boyled in Malmesey , of each 6. Ounc. Fenygreke & Lynseede , of each 3. Oun. Barlye meale and Beane meale , of each 4. Oun. Oyle of Roses , Camomill and Wormewood , of each 3. Oun. Hony 4. Oun. The yolkes of 4. Egges hard roasted . Saffron the waight of 4. d. (CLOWES-E2-H,26.209) Boyle all these together to a laudable consistence , (CLOWES-E2-H,26.210) and apply it thicke vnto the greeued partes , morning and euening warme . (CLOWES-E2-H,26.211) Also I read in Iohannes Libaulty , his Booke Intituled Le Meson Rustick , and also in other Learned Writers , that the dung of a Cow heated vnder the Ashes , betwixt Wine or Colwort leaues , & mingled with vineger , hath the property to bring Scrophulous swellings to ripenes , &c. (CLOWES-E2-H,26.212) Nothwithstanding , if all these chaunce to faile , then haue recourse to that which followeth in the Fourth Intention , which is perfomed by Section or Incision , when wee finde the matter before rehearsed , vnfit to yeeld eyther-4 to Resolution or Suppuration , &c, {COM:sic} (CLOWES-E2-H,26.213) THE FOURTH INTENTION CHYRURGICALL BY OUTWARD MEANES . (CLOWES-E2-H,26.215) The fourth Intention of these Strumous Tumors , which are not cured by former remedies & yet are gentle , obedient and tractable is to cut them off , and then to pull them out . (CLOWES-E2-H,26.217) In the vse of these outward Incisions , this scope ought chiefly to be regarded , that is : to be very circumspect in your handy operations , attempted & done co~cerning the cure of this great Malady : (CLOWES-E2-H,26.218) That is , the apertion or opening by launcing or Incision of those glandulous Tumours . (CLOWES-E2-H,26.219) For as it is said , bloud is the treasure of life , and habitation of the soule : (CLOWES-E2-H,26.220) Moreouer , it is surely very hard and difficult , especially when there is in the affected place , eyther Nerue , great Vaine , or Artery , &c. (CLOWES-E2-H,26.221) Therefore such persons as are to endure this painfull action , ought to haue much patience , and to be of a good urage : (CLOWES-E2-H,27.223) Then it may bee the better attempted and done by a cunning and skilfull Chyrurgian : which there is no doubt , but he will be so prouident , that nothing shall offend . (CLOWES-E2-H,27.224) How be it , it is not necessary or sufferable ouer curiously to search and attempt the cutting them out by Incision : For that many of them are subiect to violent and inordinate bloudy Fluxes , and other euill accidents , which doubtlesse will much amaze you and hinder your handy operation : (CLOWES-E2-H,27.225) I meane , when these Tumors bee deeply planted , and secretly lodged amongst the great vaines and Arteries called Carotides , or otherwise neere the Nerui recurrentes , which is often times the cause that some bee come speechlesse thereby . (CLOWES-E2-H,27.226) And it $can $not {TEXT:cannot} be iustly denyed , but that these Incisions haue often times been attempted with a launce by our Ancestors & Fore-fathers . (CLOWES-E2-H,27.227) But amongst a number of those worthy men , Wickar being a man of good knowledge & skill in the Cure of the foresaid Euill , his counsaile is , that before we doe attempt the said action by Inscision , the Patient be first layde vpon his Bed , and so both his feet must be strongly tyed vnto the bed poasts , his head & both his hands must also be fast held by men of strength , and skilfull in holding : In such sort as we doe in cutting those which haue the crooked or wrye neckes . (CLOWES-E2-H,27.228) And he that is chosen to be the Operator of the said action , must prudently and wisely saith Vigo , and other learned men co~sider the greatnes & smalnes of the said Tumor , which must be incised & cut fro~ one length of the Tumor to an other . (CLOWES-E2-H,27.229) Then by litle & litle , seperate , diuide & vndermine the whole Cistis round about , to the very bottome & roots therof , no rashly , nor by violence , but orderly by degrees , seperate in your fingers , & other seruiceable instrume~ts , as you vse to diuide y=e= forenamed Mennes called Steatoma , Atheroma and Meliceris : (CLOWES-E2-H,28.230) And confessed it is for a certaine , that if any portion or part of the said Cistis or bagge , chaunce to remaine behinde , and not cleere taken away by the rootes , it will doubtlesse breed and increase againe : (CLOWES-E2-H,28.231) But to preuent such greeuances , me thinkes I $can $not {TEXT:cannot} speake too sufficie~tly therof : wherfore , if any part remain behinde , then lay vpon it the powder of Mercury precipitate , or if that bee too weake adde to it of Alumen Combust , or Vitriolum Album combust , of each equall portions : (CLOWES-E2-H,28.232) notwithstanding I beleeue , & confidently hold , that the worke of your hands is the best instruments you haue to trust to , and to relieue you in this distresse . (CLOWES-E2-H,28.233) Moreouer , Mercurialis he further sayth these words , for the curing and effecting of this matter : (CLOWES-E2-H,28.234) First saith he choose some light place , (CLOWES-E2-H,28.235) & let the Patient lye on his bed , (CLOWES-E2-H,28.236) for in sitting he wil soone sound : (CLOWES-E2-H,28.237) therfore binde his legges together , (CLOWES-E2-H,28.238) and after binde them to the Bedside , (CLOWES-E2-H,28.239) and let one holde his head fast , (CLOWES-E2-H,28.240) and then the Chirurgean taking the swelling in his left hand , let him make an Incision , eyther right or straight , or somewhat crooked , on the necke vnder the Jaw-bones , vntill he come to the matter inclosed in the Bladder , which is sometimes one and single , as in the lesser swellinges , and sometimes double , like the Mirtle leafe in the greater swellinges : So that conueniently eyther-4 by the finger or other Instrumentes the Bladder may bee by little and little separated , and drawne from the next partes , together with the matter inclosed in it . (CLOWES-E2-H,28.241) But take good heede that the Bladder be not cut , because it is hardly drawne away , and much hindreth the Cure , (CLOWES-E2-H,28.242) and the euill will come againe : (CLOWES-E2-H,28.243) But if any such thing chauce , it were good to consume it with eating Medicines . (CLOWES-E2-H,28.244) Great care must also be had , that neyther the Arteries , vaines , nor notable Nerues be hurt , (CLOWES-E2-H,28.245) but by little and little gently put it aside . (CLOWES-E2-H,29.246) Yet if in the cutting some vessell be diuidedd , and the issue of bloud trouble and hinder the worke : then apply some meete thing to stay the bloud , (CLOWES-E2-H,29.247) and so come againe to your worke : (CLOWES-E2-H,29.248) For if the lippes of the Incision be inflamed , and the swelling or Struma bee not safely dissolued away : then lay on a Stupa beaten with the White of an Egge , and such things as be good for stopping of bloud . (CLOWES-E2-H,29.249) After , apply Medicines that wil a little concoct , (CLOWES-E2-H,29.250) and then vse abstersiues , and next such as causeth fleshe to growe and heale vp the scarre . (CLOWES-E2-H,29.251) THE FIFTH INTENTION CHYRURGICALL BY OUTWARD MEANES . (CLOWES-E2-H,29.253) The fifth Intention is , those which are vnmooueable , and deepely rooted within , (CLOWES-E2-H,29.255) Corrode them about (CLOWES-E2-H,29.256) and clense them throughly . (CLOWES-E2-H,29.257) I graunt it tollerable and very conuenient , to vse in this Cure the due applycation of Potential Cauteries , such as whose propertye and seruice is to corrode the flesh & the skin , (CLOWES-E2-H,29.258) and may with very good circumspection very safely be attempted , being administred vpon a body that is of a reasonable constitution , & in such sort that his strength is able to holde and endure the same . (CLOWES-E2-H,29.259) And heere I will make further demonstration thereof , that is to say : that your Cautery be not applyed vpon any Sinnewy part , neither vpon the great Vaines nor Arteries , for that these bee accompted indeede principall and chiefe vessels : (CLOWES-E2-H,29.260) Also you must consider the quallity and quantity of the Causticke you doe administer , for that some are more violent and stronger then other , (CLOWES-E2-H,29.261) and some wil run and spread more then another . (CLOWES-E2-H,29.262) Iaques Guillemeau Chyrurgian vnto the now French King which now is : saith , truely it is not necessary , nor allowable to apply the Caustick vpon the endes or beginnings of Muscles , (CLOWES-E2-H,30.263) for if your Patient that is to bee Cauterized , haue an vnsound and sickly body , you must first of all bee sure before you administer the sayd Cautery , to Phlebotomize & purge him : (CLOWES-E2-H,30.264) The reason is , least in the Cauterized parts , there chaunce to come concursion , or gathering together of humours . (CLOWES-E2-H,30.265) Also , it is further sayd , that a small part of your potentiall Cauteryes , doth and will worke as forcibly on a soft and tender bodye , as a great quantity thereof will doe vpon a stronge and grosse obdurate person . (CLOWES-E2-H,30.266) Ouer and besides , the greater abcessions are to bee Cauterized one way , and the lesser an other way , and that with good consideration . (CLOWES-E2-H,30.267) And heere to put you in memory , that you must bee very carefull and circumspect in defending the partes round about the sayd Tumors , for feare as I haue said that your Cautery doe run and spread too farre abroad : for the which cause you shall strengthen , fortifye & defend the foresaid affected parts , that is to say : by inuironing and compassing it round about with some repercussiue Medicamentes , lest the grieued part which by long infirmity is become thereby sore weakned & enfeebled and may so bring with it great swelling & other euill accidents : (CLOWES-E2-H,30.268) And therfore it is not without good cause , that the parts greeued be rightly ordred & defended , whereby you shall be sure the better to effect your intended purpose without the said perrill or daunger but with the highest commendation in preuenting the euil that otherwise might ensue : which reasons alwaies enduced mee to laye round about the Cauterized parts , some speciall defensiue , as is this , or the like heereafter following . (CLOWES-E2-H,30.269) Reci. Emplastrum Diachalcithios dissolued in Ol. papaueris et Ol. ros. wherunto is added Ouorum albumin . et Aceti. ros. An. q s Et fiat Emplastrum . (CLOWES-E2-H,31.270) This done , then presently goe about with your Causticke , to roote out all the whole Schrophulous and hard kernelly substances , either-1 with the common Ruptory or Causticke , which in this case best contenteth my minde : (CLOWES-E2-H,31.271) the making heereof I doe not heere set downe , because it is so commonly knowne . (CLOWES-E2-H,31.272) Howbeit , there is an other Causticke , which as it is reported vnto me by a skilful Chirurgian doth work without any paine , or very litle at al . (CLOWES-E2-H,31.273) The reputed Author therof is said to bee a famous practizer in Chirurgery , dwelling at Mountpelier in France . (CLOWES-E2-H,31.274) I must needes thinke reuerently of the Author of this Caustick , hoping his minde was not such to delight himselfe with publishing of vntruth : (CLOWES-E2-H,31.275) But if it doe indeede worke without paine , the mistery thereof is farre about my reach . (CLOWES-E2-H,31.276) Rec. Lixiuij Saponarij . Vitriolj Romanj . Mercurij sublimatj . (CLOWES-E2-H,31.277) Made into very fine powder : (CLOWES-E2-H,31.278) in the end of the boyling put in of Opium 2 drams . (CLOWES-E2-H,31.279) Misce et fiat Trochiscj . (CLOWES-E2-H,31.280) You shall further note , that if at any time your Causticke doe happen not to worke so well and sufficiently to your minde , as happily you would wish it should do , then apply the same Cautery againe : (CLOWES-E2-H,31.281) but you must first make Incision alongst wise , vpon the middle of the foresaid Escharre : (CLOWES-E2-H,31.282) Then put in some small quantity that is , so much as you suppose will penetrate into the profundity & very rootes therof (CLOWES-E2-H,31.283) for it doth behooue a prouident & wise Artist to preuent & see all eminent danger in y=e= doing therof , (CLOWES-E2-H,31.284) & the~ by Gods help , ye may safely in a short time roote out these hard Strophulous Tumors . (CLOWES-E2-H,31.285) For as I haue said vnlesse the roote be cleane take~ out , this Malady will growe and increase againe . (CLOWES-E2-H,32.286) But if there chaunce to approach any painefull accidentes as I haue knowne and seene to follow in sundry persons then with speed remooue and take away the same : which done , yee shall procure the fall of the Eschar , with Vnguentu~ Populeum : or els with Vnguentum Rosarum , or sweete Butter . (CLOWES-E2-H,32.287) And to apply vpon it Emplastrum Diacalcitheos , or Emplastrum Deminio . (CLOWES-E2-H,32.288) So after all the Escharres be remooued , then if there be required mundifying and clensing , these following are vulgarly vsed , as Vnguentum Apostoloru~ , called of some also Vnguentum Christianoru~ : which Vnguent in this effect $can $not {TEXT:cannot} be bettered : and Vnguentum Egiptiacum , and sometimes to mixe two parts of Vnguentum Apostolorum , and one part of Vnguentum Egiptiacum . (CLOWES-E2-H,32.289) Also , Vnguentum Apij , is auaileable in this Cure , (CLOWES-E2-H,32.290) viz. Recipe . (CLOWES-E2-H,32.291) Succi Apij et Plantaginis . (CLOWES-E2-H,32.292) Farinae hordej et Orobj . Terebinthinae , Mellis , (CLOWES-E2-H,32.293) Mirrhae Misce et fiat Vnguentum . (CLOWES-E2-H,32.294) If you adde to this Vnguent the yolkes of Egges and Mercury Praecipit. it doth worke much better . (CLOWES-E2-H,32.295) Also the powder of Mercury Praecipit. is good of it selfe , (CLOWES-E2-H,32.296) and if you will haue it worke more forcibly , adde vnto it of Allum combust according to discretion . (CLOWES-E2-H,32.297) With these foresaid remedyes you may continue vntill there appeare pure and quicke flesh : (CLOWES-E2-H,32.298) then it followeth to vse Incarnatiues , & Agglutinatiues , with other medicamte~s , fit for consolidation . (CLOWES-E2-H,32.299) Thus hauing sufficiently intreated of the fifth Intention : now it remaineth for a full conclusion , to present in order last of all , the sixt Intention , as followeth . (CLOWES-E2-H,33.300) THE SIXTH INTENTION CHYRURGICALL BY OUTWARD MEANES . (CLOWES-E2-H,33.302) The sixt Intention Chirurgicall is , that in those Strumas that are fastened but to a thinne and slender roote , you shall binde them about and plucke them out . (CLOWES-E2-H,33.304) This last action as it appeareth is verie easily performed by a skilfull Operator or cunning Chirurgian : (CLOWES-E2-H,33.305) neyther doth it require any great curiosity , but a decent and artificiall strong binding , meete for the plucking of them out as it is said by the rootes . In which action you neede not feare any great perrill of Fluxe of bloud , but that it may easily bee restrained with my restringent powder , published in my last booke of Obseruations , which hath of a number of good Artistes a friendlye acceptation : (CLOWES-E2-H,33.306) If it chaunce through the ill disposition of the body , any dolorous accidentes doe happen to follow , then mitigate the same sayth Wicker with stupes wet in the white of an Egge , and oyle of Roses : (CLOWES-E2-H,33.307) and afterwards if there growe filthynes , let it be clensed with those remedyes before rehearsed : (CLOWES-E2-H,33.308) then no fault being committed through negligence or want of skill , you shall no doubt with good successe , finish this last Intention . (CLOWES-E2-H,33.309) But amongst a number of excellent remedyes for the curing of this euill after the partes bee throughly clensed from all annoyances this Playster following hath all the properties , that is prescribed in these kindes of remedyes before named : Which noble Playster I obtained of one Isack a stranger borne , a famous Incisioner and Licentiate Chirurgian of London , who for his excellent knowledge in his Arte , was called beyond the Seas , The golden Master or Doctor . (CLOWES-E2-H,34.310) R. Bdellii , et Ammoniaci . Lapidis Sanguinalis , lapidis Magnetis . Aristolochiae rotundae , aloes Hepaticae . Olibanj et Masticis . Lithargirij arge~t. et lapidis calaminaris . Corallj Rubj et albi . Lumbricorum in pul. Succj scrophulariae . Colophoniae . Terebynthiae Venetae . Cerae Albae . Olej Hispanicj . Olej Hipericj cum gummis . Olej Laurini Camphor . (CLOWES-E2-H,34.311) Misce et fiat Implastrum . (CLOWES-E2-H,34.312) With this Playster onely I cured a Bricklayers Daughter neere London , of diuers bad Scrophulous Vlcers in her necke and throate . (CLOWES-E2-H,34.313) Howbeit , there be some who are as it were so note-wise that forsooth they can not abide to read any medicine , that is of a long composition , be it neuer so precious . (CLOWES-E2-H,34.314) Contrariwise , there be others againe , that will not endure to read a short composition , bee it neuer so well approoued : (CLOWES-E2-H,34.315) for they plainely say , there can bee no great matter of worth in them : (CLOWES-E2-H,34.316) And thus they are as variable in their opinions for want of true Arte and iudgement as the Camelions be in their colours . (CLOWES-E2-H,34.317) Quot capita tot sensus : (CLOWES-E2-H,34.318) so many heades so many opinions . (CLOWES-E2-H,34.319) Now heere I will forbeare any further to discourse of this Sixt Intention Chirurgicall , (CLOWES-E2-H,35.320) but I will set downe certaine Obseruations for the Cure of this greeuous Malady by me perfected , as followeth : least otherwise happily it may be said , He that telleth a long processe or boasting tedious tale without some proofe , must needs require credit , either for his long boasting tedious tale , or else for some speciall Authority that is in his person . (CLOWES-E2-H,35.321) But as for boasting amongst wise men , it can winne litle credit . (CLOWES-E2-H,35.322) AN OBSERUATION . (CLOWES-E2-H,35.324) A few monthes past there was sent vnto me by a Gentleman of Essex , a certaine husband man , being about the Age of thirty yeeres , who was molested for the space of sixe monthes with certaine outward swellings , or vnnaturall Strumous Abscessions : (CLOWES-E2-H,35.326) some of them were great with notable hardnesses , some meane , and some smaller , being for the most part packed and heaped together , but yet mooued too and fro , hyther and thyther : For the which he was first purged with great moderation and aduisement with the pilles of Euphorbium and Trochisce ex Viperis : or the Pilles of Vipers , (CLOWES-E2-H,35.327) and he did take many times Theriace Andromachj , (CLOWES-E2-H,35.328) & kept a very slender dyet withall : (CLOWES-E2-H,35.329) after hee was well purged from grosse and rawe humours , then I applyed vpon his necke and both his shoulders 3 great cupping glasses , (CLOWES-E2-H,35.330) and so did draw bloud and humours in good quantity . (CLOWES-E2-H,35.331) After the application of this kinde of Boring or Ventoses , then presently I applyed vpon his swelling this Vnguent , and these Plaisters following . (CLOWES-E2-H,35.332) Recip. Colewort leaues , greene Leekes and blades : of water Betonye , Motherwort , the lesse Plantine , Daysie leaues and Flowers , Mallows , Nicotian , and Pelitory of the wall , of each a handfull : (CLOWES-E2-H,36.334) Beate and shred these hearbes very fine : (CLOWES-E2-H,36.335) then adde to these foresaid hearbes of Wine Vineger lib. ii. of Hogs grease and sweet Butter , of each lib ii. of oyle of Almonds lib. j. a young Fox , of earth worms , & shel snailes , of each lib. i. (CLOWES-E2-H,36.336) Let all these lye infused & buryed in horse dung the space of a month , (CLOWES-E2-H,36.337) then boyle all together till the watrynes be consumed : (CLOWES-E2-H,36.338) then strayne it strongly , (CLOWES-E2-H,36.339) & heere with morning and euening anoynt his necke very warme , for halfe an houre together : (CLOWES-E2-H,36.340) Then applyed I Emplastrum de ranis cum Mercurio : and at other times , Emplastrum Dyachilon maius , et de Muscilaginibus , of each equal portions : (CLOWES-E2-H,36.341) and by this way and order of curing , he was by me cured and safely healed within the space of dayes . (CLOWES-E2-H,36.342)