1THE FOLLOWING ABBREVIATIONS ARE USED:
2R. STANDS FOR Recipe (imperative sg. 'Take')
3q s STANDS FOR quantum sufficit ('as much as will suffice')
4
5SYMBOLS AND OTHER INDICATIONS OF WEIGHT IN THE
6LISTS ARE OMITTED.
7
8

page 9

9    The Cure of the foresaid Euill is manyfolde: to
10wit, inwardly and outwardly, and is performed
11by two speciall remedies: the one Medicinall , and
12the other Instrumentall , without the which fewe good
13workes or Cures in Chyrurgery can be brought to perfection:
14The reason is, because in this Cure, the vncleanenesse
15of the body is such, which feedes the matter
16of the disease. Therefore, first of all the matter must be
17purged, for as it is said, the roote of al the Cure is y^e wel
18purging of the body, whereby Nature is the better enabled
19to expell and vnburden her selfe of many bad and
20vnprofitable humours. And now (by the fauour of the
21learned) I will therefore begin with remedies Medicinall ,
22according to the maner of Method, published by
23Calmatheus , one whome amongst many other learned
24men in Phisicke and Chirurgery, I haue obserued
25most diligently, as it were a Day-starre or Christallin
26cleare looking glasse, following him with feruent zeale
27and earnest desire: by reason (as it seemeth vnto me) he
28was not ignorant in any thing that might make for the
29truth of his writing, chiefly for the Cure of the foresaid
30Euill. Yet (I protest) I am no such deuote fauorite of
31his, or any other mans whatsoeuer, further then iustly
32they haue deserued: which is the onely cause that hath
33mooued mee to haue a reuerent estimation of him and
34all other learned men, whether they doe remaine beyond
35the Sea, or otherwise abide with vs at home.
36
37    Now followeth the maner of Methode, by Phisicall
38remedies for the Cure of Struma , or the Euill
39which our Kings or Queenes haue and doe
40still Cure: the experimentall proofe thereof I haue often
41times seene effected: wherefore I will be short, and
42presently proceede vnto the first intention.

page 10

43

THE FIRST INTENTION PHISICALL BY
44INWARD MEANES.

45
46    The first Intention (after Calmatheus ) fit
47the 12. Chap. of his book, for the general
48cure of Vnnaturall Tumours , is that the
49curing of this disease called Struma , doth
50co~sist in Dyet that dryeth moderately, &
51heateth and attenuateth the humours:
52Hunger is profitable, and fulnes is hurtfull: Sleep and
53Idlenes are euill: exercise before meate very good:
54the vse of Sulphure or Alume water, is very good and
55profitable.
56
57

THE SECOND INTENTION PHISICALL
58BY INWARD MEANES.

59
60    The second Intention is the vse of breaking, attenuating,
61mundifying & opening Medicaments; as
62are these Remedies now following. viz.
63Recipe. Rad, Ireos. Cort.Sambucj.
64Boiled in white wine, then adde vnto this decoction, a
65quantity of Ginger. For this decoction breaketh, attenuateth,
66openeth & mundifieth dolorous tumors : so doth
67it also prouoke vrine, w^c in this affect is a special matter.
68    The often vse of the Pilles of Hiera simplex is much
69commended to cast out Flegme of the stomacke & guts.
70    But if so be that thou wilt purge the whole body, thou
71shalt vse the Pilles of Agarico Coccis : if thou list to dissolue
72& cast out Phlegme, these Pils following must be
73taken, viz. Pillulae de Sagap: de Opopan, de Elleboro, de
74Euphorbio . The Phisitians in times past commended
75the powder of Turbith, Ginger , and Suger , of each equall
76parts: The Doses whereof was to two Dragmes .

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77

THE THIRD INTENTION PHISICALL
78BY INWARD MEANES.

79
80    The third Intention is the vse of this powder,
81which doth consume (as they terme it) the Antecedent
82matter, which it doth as well by his manifest
83quality, and (as they say) by a secret property.
84
85    This powder doth consume Phlegme, by little & little.
86
87    R. Rad. Aristo. Rotundae.
88Raphani.
89Spattulae foetidae.
90Fol. Pimpinell.
91Pilosell.
92Rutae Maioris.
93Scrophulariae.
94Philipend.
95Semen Anisi.
96Zingiber.
97Turbith Optimi
98Sene Orient.
99Saccari Albissimi.
100
101    Make all these into powder, and let the Patient take
102euery day in the morning a Spoonefull, with white
103Wine, or the water of Broome.
104    Guido taketh the forenamed powders, and boyleth
105them in white Wine vntill halfe, & giueth euery third
106day one quarter thereof.
107    Galen approoueth & commendeth the vse of Theriaca
108Vetus, Athanasia et Ambrosia . The vse of Aurea Alexa~drina
109for the co~forting of y^e stomack, is very good. Also it is said

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110that Theriaca Athanasia doe both resolue, breake and
111digest humours, being compact and gathered together
112in the profundity of the body.
113    Mercurialis saith moreouer, that about the purging of
114children (which is diligently to be obserued) the state of
115children is weake, that it must bee handled with verie
116gentle medicines, & rather to be often repeated, & more
117easier then to minister any stronge Medicines: therfore
118the belly shall thus be mollifyed.
119
120    R. Mellis Rosatj.
121Decoctionis fructuum.
122Foliorum Senae.
123
124    But that the humours may be prepared, it must bee
125done with this Medicine.
126
127    R. Folior. Scrophulariae
128Plantaginis.
129Betonicae.
130Menthae.
131
132    Make a Decoction according to Arte, and then take of
133the said Decoction Syrup Rosatj recentis, Oxymel.
134simplisis Mingle these : When the humours
135bee prepared, they may be purged with this Medicine.
136
137    R. Agaricj Trochiscat.
138Squinantj. gra.
139
140    Steep them in Betony water and straine them and
141put thereto.
142
143    R. Mellis Rosatj solutiuj.
144Electuarii de Psylio.
145Decoctionis Cordialis
146Polipodio.
147
148    Thus much as concerning this briefe note, or compendious
149Methode of the forenamed Authors, which
150may very well serue for a very fit President or beginning

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151to the rest that followeth: Now it remaineth
152that I make heere also report of the singular and rare
153efficacy of our manuel operation therunto annexed and
154belonging, with the right vse of the topicall or outward
155remedies, which is to be externally applyed. The reason
156is, because it is referred vnto the skilfull Chirurgians
157manuel or handy working, for the Cure of this
158great Infirmity, which doth outwardly affect the superficiall
159parts of the body.
160    For (as saith Iacobus Ruffus ) that to the perfection
161and accomplishing of the foresaid Cure (called, The
162Euill by the King, or Queene Cured ) he doth reduce it into
163sixe Intentions Chirurgicall, as followeth. The experimentall
164verifying of his excellent skill in this disease,
165as also in many others, is by diuers worthy men
166often times commended: which Malady doth vexe and
167trouble most pitifully the common sort of people.
168
169    The first Intention is,
170In Attritione, et Compressione . 1
171The second Intention is,
172In Discussione, et Resolutione . 2
173The third Intention is,
174In Suppuratione et Maturatione . 3
175The fourth Intention is,
176In Incisione et Extractione . 4
177The fift Intention is,
178In Corrosione et Mundificatione . 5
179The sixt Intention is,
180In Obligatione et Evultione . 6
181
182    Also (after Fuchsius and other leaned men) it is accordingly
183to be vnderstood as followeth: who also
184hath written of these Phlegmaticall or Glandulous abcessions
185called Struma .

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186    If (say they) these abscessions that bee seated in the
187stronge parts of the body, and because they are not yet
188olde and inueterate, hauing a thin Cystis that couereth
189them: these are to be appeased and consumed, and after
190dryed vp.
191
192

THE FIRST INTENTION CHYRURGICALL BY
193OUTWARD MEANES.

194
195    Now I will set downe Examples and
196Instances for the Cure of the said Malady,
197the which I haue obserued and
198gathered (as heereafter ensueth) for
199the perfection and accomplishing of the
200before named first Intention, if the
201strength and ability of the Patient will serue and admit
202the same. Then one chiefe thing (as you are before
203tolde) is, that the Patient doe keep a thin & sparing dyet,
204which is the efficient cause belonging vnto Phisick.
205The reason is, as I haue noted, that those which are
206thus affected, haue alwaies a great inclinatio~ to a grosse
207disordered liberty of feeding: Therefore the Patient
208must be sustained with such meates, as are agreeable
209to Nature, and to eschew such meates which make
210grosse Juyce: and not (as it is said) to lay gorge vpon
211gorge. And further yee shall note, though it bee said
212before, that abstinence is greatly to be commended: yet
213you must consider it is not meant, that Nature should
214there by bee enfeebled, or ouerthrowne, and that especially
215in weake bodyes, great care must be had: But
216onely to keepe all possible abstinence, that is to eate and
217drinke sparingly and measurably, onely to preserue the
218strength, and to satisfie Nature: I meane, that it bee
219such as is agreeable to the strength of the Patient, and

page 15

220greatnes of the Infirmity.
221    Likewise it is said, the often vse of purging and bleeding
222on both the Armes, is profitable. Also, it is auailable
223to vse Frictions, Rubbings, Borings, and Blisterings
224is much praised after purgings, for it stoppeth
225the flowing matter (being applyed vpon the head) by
226revulsion or drawing back, & causeth euacuatio~. Moreouer,
227it is said, y^t to discusse these kinds of Tumours which
228are found in mooueable parts, & superficially lodged neer
229vnto the outward parts, A plate of Leade is most familiar
230therfore, especially in young persons, by reason of
231the raritye and softnes of the skinne: It is thought vnfit
232(by diuers learned men) to blister Childrens heads
233with Cantharides , it hath been seene to cause much paine
234and pissing of bloud: but to doe it by aduisement, either
235with Mustard or with Nettles, is good.
236    Also, many learned men, of a certaine knowledge and
237sound vnderstanding, haue in their bookes greatly
238commended a playster made thus: Recipe . Olde dryed
239Goates dung, Hony and Vineger, being decocted at an
240easie fire, to the consistence of a playster. Also, Doues
241dung mingled with Hony, hath the same effect, So is it
242by me also wel approoued, this plaister called Oxicroceum ,
243whose composition is not far to be sought for.
244
245    R. Cerae, Picis, Colophen, Croci.
246Terebinth, Galbanu~, Ammoniaci.
247Mastici, Olibanum.
248
249    Dissolue the Gums in Vineger, and powder that
250which is to be powdred, & so make a plaister according
251to Arte: Also a plaister of Figs baked and spred, and so
252applyed vpon Struma is approoued good.
253    Likewise, Oleum Cucumiris Asininus , dropped into the
254eare, on that side where the Struma is, is most effectuall
255to disperse and dissolue.
256    In like maner, is generally commended Emplastru~ de

page 16

257Ranis cum Mercurio , to be appropriate and respectiue in
258this Cure, to consume superfluous humidity, engendring
259this disease.
260    Howbeit, vpon a time a certaine repyning enuious
261man, being full gorged with a malicious rayling spirit,
262being proudely giuen (in the gall of much bitternesse,
263with many scandalous words, and bragging comparisons
264ill beseeming his person) reported that the aforesaid
265plaister De Ranis was dangerous vnto the patient;
266and said, who so did holde the contrary opinion, it was
267erroneous, foolish and deceiptfull: by reason (quoth hee)
268of the coldnes of the Quick-siluer: and boldly did seeme
269to maintaine the same, with a number of very spruse
270termes, and picked phrases, like as young Children vse
271to doe, when (in mockery) they counterfeite a strange
272kinde of language, & forsooth placed them as it were in
273Geometrical proportions, as though he had bin the onely
274Son of Archimedes that great Geometritian . In deed
275it is a most true saying: That fish which is bred in the durt
276will alwaies taste of the Mud : And I told him that I neuer
277yet found any more coldnes in this Playster, then
278there is heate in a paynted fire. But this I doe speake
279vpon mine owne knowledge, that there is as much difference
280in Arte and Judgement, betweene this odde fellow
281(which would seeme to bee a second AEsculapius )
282and a man replenished with true knowledge indeed, as
283is betweene a Master Cooke and a Scullian of a Kitchin.
284Howbeit, hee said also, that his skill was such,
285that if a man were wounded at Yorke , bring him the
286weapon that hurt the Patient, and he would cure him
287forsooth by onely dressing of the weapon, and though
288he neuer see the Patient. As certaine as the Sea burnes.
289And now heere I will surcease to speake any further of
290these matters, for I regarded not such sayings, sith it
291is truely said; Euery man must yeeld an accompt, both of

page 17

292his ease, and of his labour. Themistocles , a Captaine of
293the Grecians (as Historians make mention) supposed it
294better to be enuyed of the malicious, then to liue in Idlenes
295and basenes of minde, without doing some good
296for the benefit of his Country and Common wealth,
297wherein he was borne and bred. Now to the second
298Intention, and so in order with the rest as they doe lye,
299and offer themselues vnto vs.
300
301

THE SECOND INTENTION CHYRURGICALL
302BY OUTWARD MEANES.

303
304    The second Intention Chirurgicall, is the right
305vse of those remedies which doe mollifye, discusse
306and consume great abscessions, which are not yet
307hard and inueterate.
308    And that the same is true, may easily be gathered as
309followeth. And for that I wold haue this second Intention
310made plaine (as much as in me lyeth) and also familiarly
311knowne vnto the studyous Reader: I doe
312therfore say, It is meete and conuenient, that those Medicamentes
313which are to bee vsed, be of the Nature and
314property to molifie and discusse, and so to open the powers
315of the skinne by euaporating, breathing and scattering
316abroad, and make thinne the grosse matter and
317Phlegme. Then for the better performance thereof,
318without further discoursing, I will heere presently set
319downe (as it were) a Store-house of diuers and sundry
320approoued Chirurgicall remedyes, necessary for the curing
321and safe healing of the forenamed Strumaeic and
322Phlegmaticall sicknesse: The which from time to time
323I haue by experience (the Mistris of all Artes and Sciences)
324carefully obserued, and faithfully also collected
325out of the famous writinges of sundry worthy Authors,

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326as also out of the fruitefull labours, of diuers
327men famous in experience: whose painful trauailes and
328studyes, haue (at this day) most excellently refined this
329worthy Arte of Chyrurgerie from Barbarisme : otherwise
330it is greatly to be feared, a number at this day had
331not been so skilfull and rich in knowledge, and otherwise,
332as they are said to be. Therefore we ought not to
333thinke any study, paines, or trauaile too great, wherein
334we hope of much benefit to our patients, and also profit
335and commodity to our selues: And heere I must needs
336say, (according to my poore ability) I haue my self been
337very industrious for the common benefit, and good of
338others, truly to set downe diuers approoued remedies of
339mine own collection: wherin (to my knowledge) I haue
340not in al this whole discourse, published any superfluous
341and vnapprooued remedies, or otherwise kept backe any
342worthy secret I had: but as did the Euangelicall and
343heauenly woma~ mentioned in y^e Scriptures, who presented
344into the Lords Treasury al y^e wealth & substance
345she had. Notwithstanding, I haue read y^t men in times
346past did with great care & diligence consecrate & keep secret
347(as a precious treasure vnto the~selues) al such chosen
348& peculiar remedies, w^c they had experienced & approoued
349for the curing & healing of any dangerous malady:
350and (as it is said) bound themselues by oath one to
351another, not to bewray their Secrets by their bookes or
352writing. Howbeit, I more regarding the publick vtility
353& good of posterity, did w^t great care & diligence consider
354with my self, what profit can there be to any ma~ to
355bury his labors in the lake of obliuion, or otherwise to
356hide it in the denne of darkenesse. And although I
357know the matter heer spoken of, may seeme a paradox to
358some, & so of smal worth: neuerthelesse, although I am
359none of the greatest Clarks, yet I know it wil be more
360auailable, then some happily doe make account of. For
361which cause I haue laboured w^t as much perspicuity &

page 19

362plainnes, as possible I could, to deliuer the truth of my
363honest & faithful good meaning, so far foorth as God hath
364enabled me in knowledge, skil & memory. Wherefore
365I meane heere presently to make publicke & open testimony
366of the same, though now and then I make a little
367digression, and swarue from my matter, by reason of
368certaine Crosbyters, who haue heertofore (behinde my
369backe, and to my face also) not a little abused me: Howbeit,
370I wil heere conclude this discourse concerning this
371Second Intention Chirurgicall , & doe confesse and considerately
372affirme, that there is but few mens labors at the
373first made so perfect, but that in processe of time & further
374consideration, they may be bettered, corrected and
375amended. Yet I cannot but much maruaile, that wise
376men now a daies are growne to this passe, that they do
377so seriously follow exorcismes and the Illusions of certaine
378Charmes of Clowtes and Rags, which is very
379inhumane and barbarous; neuer practised, neither written
380of, nor allowed by any learned Phisitio~ or Chirurgian
381that euer I yet heard or read of. Howbeit, the
382world is (as it were) led in a stringe & carried away to
383beleeue these vanities, which make a shadow or shew of
384verity for the safe curing of diuers maladies, & sildome
385(they say) misse not: But I know the contrary is true,
386for I haue cured both old & young persons, when these
387Charmers of clowtes & rags, with their incredible operations
388haue failed them, & prooued flat foolery & absurdities.
389But to leaue this new Leach craft, with thier doting
390inuentions, I wil here speake of diuers remedies
391very respectiue & appropriate, for the cure of the before
392named infirmity, as a president and example for young
393practizers of Chirurgery to follow. Now vnto the said
394Second Intention , which is first to set downe those special
395remedies, whose properties are to open the pooers
396of the skin, & to soften the hard parts, by insencible
397transspiration.

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398    A choyse and speciall mollyfying and resoluing plaister,
399and serueth well for the curing of this greeuance:
400As my selfe haue many times approoued.
401
402    R. Serapini.
403Ammoniaci.
404Bdellij.
405Galbani.
406Euphorbij.
407
408    Let these be dissolued in good Malmesey, and then
409adde thereunto.
410
411    Ol. Lilior.
412Ol. Amigdalar.
413Propoleos.
414Mise, fiat Implastrum.
415
416    Another.
417
418    R. Galbani.
419Ammoniaci.
420Picis Albae.
421Cerae Citrinae.
422Ol. pedis Vaccini. q.s.
423    Misce.
424
425    I doe many times insteed of the Oyle, take the Marew:
426Then what profit doth ensue, time will approue
427the same.
428
429    Another.
430
431    R. Farinae fabar.
432Farinae Hord.

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433Liqueritiae,
434Rad. Althaeae.
435Picis.
436Cerae Albae.
437Adipis Anserini.
438
439    Let there be added the Vrine of a Boy, and of olde
440Oyle q s . And so boyle it to the forme of a Plaister.
441
442    Another.
443
444    R. Gum. Ammoniaci.
445Rad. Brioniae in pul.
446Turp. Mineralis.
447Cinnabrij.
448Cerae.
449
450     Let the Gumme Ammoniacke bee dissolued in Vineger,
451according to Arte, and after made vp in rowles.
452Among a number of his memorable deedes, which hee
453hath left vnto the minde and memory of posterity, this
454his Plaister deserueth great commendations.
455
456    Another.
457
458    Mercurialis commendeth a Playster made of Lyme
459and Salt-Petre , of each like much, being mixed with
460Barrowes grease q. s. But such remedyes are too
461stronge for Children, least it cause Agues, and hurt the
462soft and tender flesh of their bodies, (chiefly about the
463Necke) it is to be auoyded. Moreouer, I read, that to
464make a Playster of Nitrum and Lyme , of each a like
465quantity, and of Cardamonium & Fenygreeke 4. times so
466so much, and with Hony make heereof a Plaister.

page 22

467    AEtius saith, when Struma beginneth in children, they
468must be molifyed and dispersed: And for mollifying in
469children is approoued this remedy following.
470
471    R. Diachylon.
472Oesypi.
473Radicum Ireos
474Pulueriset.
475    Misce.
476
477    Another.
478
479    Recipe. The Lees of white or red wine, & of stronge
480Vineger, of each a quart: Mallowe leaues 4. good handful:
481Boile them till the leaues bee tender, then stampe
482the leaues, & put them againe into the said licour, with
483halfe a pound of sweet butter: of barley meale & of beane
484meale, of each a good handfull: Of Linseede & Fenigrek
485of each 4. ounces: Of the powder of red Rose leaues one
486good handfull: Of yolkes of Egges 3. or 4. an of Saffron
487the waight of 3. d. fiat cataplas .
488    I might easily bring in a confused number of other
489remedies to the same end & purpose, out of diuers learned
490mens writings, which heer to repeate were needles,
491and to no great vse, sith I know these may suffice:
492Wherefore I thinke it good to pretermit the nominating
493of the rest, &c.
494

page 22

495

THE THIRD INTENTION CHYRURGICALL
496BY OUTWARD MEANES.

497
498    The third Intention is, to ripen, open and clense
499such Phlegmaticall Corruptions and Ulcerous
500Apostumes, which do pertaine to Suppuration:
501This needeth no long discourse, sith it plainely appeareth,

page 23

502that these troublesome, hard kernelly swellings, be
503found so rebellious, that they doe resist all emollientes
504and Diaphoreticall remedies before named: by meanes
505wherof it can not be dissolued & consumed as we happily
506would, or do desire. For which causes we are further
507constrained to alter our course, with due consideration,
508that is to wit: Not to leaue the Patient helples, but
509to vse stronger Medicamentes, I meane Suppuratiues ,
510as is before said, such as whose property is to bring superfluous
511humours to maturity and ripenes, by
512these and such like Emplasticke remedies, which (as it
513is said) doe by the closing of the pooers of the skin, augment
514the naturall heate, whereby the matter so enclosed
515causeth the generatio~ of matter or Pus. But I must
516confesse, I haue not often times seene these hard Phlegmaticall
517abcessions easily brought to suppuration. The
518matter being once colde, dull, Clammy, hard and knotty,
519and deeply seated, and of a long continuance in a body,
520whose skin is grosse and thicke, & the matter hardly
521compact: These kindes (I haue found) do sildome come
522to maturity and ripenes, vnlesse (as Cornelius Celsus
523saith) the said Tumours bee mixed and made of matter
524and bloud. And Trincauel reparteth, that some of these
525Tumours that haue heate in them, doe ripen and come to
526matter & suppuration: But there be others that be more
527hard, and doe resist suppuration, and then they come
528neerer vnto the nature of a Scirrhus . Now it followeth
529that I set downe those approoued remedies, being
530in vulgar vse, seruing for suppuration, which are long
531agoe ratifyed and well allowed of, by a vniforme consent,
532both of olde & late writers, which were men of an
533industrious capacity, & of a most rare & exquisite knowledge
534in the Arte. And first I wil begin with Iohannes
535de Vigo , one of the chief Fathers, & true Patrones of al
536good learning & knowledge in the Arte of Chirurgery:

page 24

537As it (in some sort) may appeare by Master Bartholmew
538Traheron , which first Translated Vigo in the English
539tongue. In his Epistle Dedicatory (whose iudgement
540therein I doe acknowledge) beehee sayth: that although
541Vigo were not brought vp in the knowledge of
542the Tongues, yet through his singular wit, long experience,
543and diligent study, hee hath inuented and set
544foorth, more notable things in the Arte of Chirurgerie,
545then any other heeretofore: and I thinke sayth he,
546nothing can better testifye the cunning of this man,
547then that he continued so long in Rome , in such a company
548of pocky Curtezans: neither Priests, Bishops,
549nor Cardinals excepted, as it appeareth in his Booke:
550for where such cariones been, the best Egles will resort, &c.
551
552    A Maturatiue Playster.
553
554    R. Radices Althaeae.
555Capit. Liliorum.
556
557
558    Let these boyle in a sufficient quantity of Water,
559and after being stamped, put vnto them of Garlicke
560and white Onions roasted, vnder the coales of each.
561
562
563    Ol. Liliorum.
564Butyri.
565Pinguedinis porcini.
566Anserinae.
567Farinae Tritici.
568Fenigreci. An. q. s.
569
570    Make a Playster at the fire, adding in the ende, the
571yolkes of two Egges: There bee some (I know) doe

page 25

572little prize or value this Playster, but I doe acknowledge
573it to be an infallible remedy.
574
575    Another.
576
577    R. Radices Bryoniae.
578Ceparum. No.
579Rad. Althaeae recentiu~.
580Fol. Maluarum Siccarum. p. i.
581Hidropiperis. M. i.
582Ficuum.
583Passularum Enucleatarum.
584
585    Boyle them well, then adde vnto them.
586
587    Fermenti.
588Axungiae suillae Insulsae.
589Euphorbij. pul.
590Misce et fiat Emplastrum secundum artem.
591
592    This playster worketh miraculous effectes in this
593Cure.
594
595    Another Playster.
596
597    R. Mirrhae.
598Ammoniaci Thymiamatis.
599Visci Quercini.
600Galbani.
601Propolis.
602Misce et fiat Emplastrum secundum Artem.
603
604    A Maturatiue Cataplasme.
605Recipe. Rye-bread lib. i. White Onions & of Lilly

page 26

606Rootes, roasted vnder the Ashes, of each 4. Ounces .
607A Bryony Roote, and Figges boyled in Malmesey, of
608each 6. Ounc. Fenygreke & Lynseede, of each 3. Oun.
609Barlye meale and Beane meale, of each 4. Oun. Oyle
610of Roses, Camomill and Wormewood, of each 3. Oun.
611Hony 4. Oun. The yolkes of 4. Egges hard roasted.
612Saffron the waight of 4. d. Boyle all these together to
613a laudable consistence, and apply it thicke vnto the greeued
614partes, morning and euening warme.
615    Also I read in Iohannes Libaulty , his Booke Intituled
616Le Meson Rustick , and also in other Learned Writers,
617that the dung of a Cow heated vnder the Ashes,
618betwixt Wine or Colwort leaues, & mingled with vineger,
619hath the property to bring Scrophulous swellings to
620ripenes, &c. Nothwithstanding, if all these chaunce to
621faile, then haue recourse to that which followeth in the
622Fourth Intention , which is perfomed by Section or Incision,
623when wee finde the matter before rehearsed, vnfit
624to yeeld eyther to Resolution or Suppuration, &c,
625
626

THE FOURTH INTENTION CHYRURGICALL
627BY OUTWARD MEANES.

628
629    The fourth Intention of these Strumous Tumors ,
630which are not cured by former remedies (& yet are
631gentle, obedient and tractable) is to cut them off,
632and then to pull them out.
633    In the vse of these outward Incisions, this scope
634ought chiefly to be regarded, that is: to be very circumspect
635in your handy operations, attempted & done co~cerning
636the cure of this great Malady: That is, the apertion
637or opening by launcing or Incision of those glandulous
638Tumours . For as it is said, bloud is the treasure
639of life, and habitation of the soule: Moreouer, it is surely
640very hard and difficult, especially when there is in the
641affected place, eyther Nerue , great Vaine, or Artery , &c.

page 27

642Therefore such persons as are to endure this painfull
643action, ought to haue much patience, and to be of a good
644courage: Then it may bee the better attempted and
645done by a cunning and skilfull Chyrurgian: which
646there is no doubt, but he will be so prouident, that nothing
647shall offend. How be it, it is not necessary or sufferable
648ouer curiously to search and attempt the cutting
649them out by Incision: For that many of them are subiect
650to violent and inordinate bloudy Fluxes, and other
651euill accidents, which doubtlesse will much amaze you
652and hinder your handy operation: I meane, when these
653Tumors bee deeply planted, and secretly lodged amongst
654the great vaines and Arteries called Carotides , or otherwise
655neere the Nerui recurrentes , which is often times
656the cause that some bee come speechlesse thereby. And it
657cannot be iustly denyed, but that these Incisions haue
658often times been attempted with a launce by our Ancestors
659& Fore-fathers. But amongst a number of those
660worthy men, Wickar being a man of good knowledge &
661skill in the Cure of the foresaid Euill, his counsaile
662is, that before we doe attempt the said action by Inscision,
663the Patient be first layde vpon his Bed, and so
664both his feet must be strongly tyed vnto the bed poasts,
665his head & both his hands must also be fast held by men
666of strength, and skilfull in holding: In such sort as we
667doe in cutting those which haue the crooked or wrye
668neckes. And he that is chosen to be the Operator of the
669said action, must prudently and wisely (saith Vigo , and
670other learned men) co~sider the greatnes & smalnes of the
671said Tumor , which must be incised & cut fro~ one length
672of the Tumor to an other. Then by litle & litle, seperate,
673diuide & vndermine the whole Cistis round about, to the
674very bottome & roots therof, no rashly, nor by violence,
675but orderly by degrees, seperate in your fingers, & other
676seruiceable instrume~ts, as you vse to diuide y^e forenamed

page 28

677MennesWennes called Steatoma, Atheroma and Meliceris : And
678confessed it is for a certaine, that if any portion or
679part of the said Cistis or bagge, chaunce to remaine behinde,
680and not cleere taken away by the rootes, it will
681(doubtlesse) breed and increase againe: But to preuent
682such greeuances, me thinkes I cannot speake too
683sufficie~tly therof: wherfore, if any part remain behinde,
684then lay vpon it the powder of Mercury precipitate , or
685(if that bee too weake) adde to it of Alumen Combust ,
686or Vitriolum Album combust , of each equall portions:
687notwithstanding I beleeue, & confidently hold, that the
688worke of your hands is the best instruments you haue
689to trust to, and to relieue you in this distresse.
690    Moreouer, Mercurialis he further sayth these words,
691for the curing and effecting of this matter: First (saith
692he) choose some light place, & let the Patient lye on his
693bed, for in sitting he wil soone sound: therfore binde his
694legges together, and after binde them to the Bedside,
695and let one holde his head fast, and then the Chirurgean
696taking the swelling in his left hand, let him make
697an Incision, eyther right or straight, or somewhat crooked,
698on the necke vnder the Jaw-bones, vntill he come
699to the matter inclosed in the Bladder, which is sometimes
700one and single, as in the lesser swellinges, and
701sometimes double, like the Mirtle leafe in the greater
702swellinges: So that conueniently (eyther by the finger
703or other Instrumentes) the Bladder may bee by
704little and little separated, and drawne from the next
705partes, together with the matter inclosed in it. But
706take good heede that the Bladder be not cut, because it
707is hardly drawne away, and much hindreth the Cure,
708and the euill will come againe: But if any such thing
709chauce, it were good to consume it with eating Medicines.
710Great care must also be had, that neyther the Arteries,
711vaines, nor notable Nerues be hurt, but by little

page 29

712and little gently put it aside. Yet if in the cutting some
713vessell be diuidedd, and the issue of bloud trouble and hinder
714the worke: then apply some meete think to stay the
715bloud, and so come againe to your worke: For if the
716lippes of the Incision be inflamed, and the swelling or
717Struma bee not safely dissolued away: then lay on a
718Stupa beaten with the White of an Egge, and such
719things as be good for stopping of bloud. After, apply
720Medicines that wil a little concoct, and then vse abstersiues,
721and next such as causeth fleshe to growe and heale
722vp the scarre.
723
724

THE FIFTH INTENTION CHYRURGICALL
725BY OUTWARD MEANES.

726
727    The fifth Intention is, those which are vnmooueable,
728and deepely rooted within, Corrode them about
729and clense them throughly. I graunt it
730tollerable and very conuenient, to vse in this Cure the
731due applycation of Potential Cauteries, such as whose
732propertye and seruice is to corrode the flesh & the skin,
733and may with very good circumspection very safely be
734attempted, being administred vpon a body that is of a
735reasonable constitution, & in such sort that his strength
736is able to holde and endure the same. And heere I will
737make further demonstration thereof, that is to say:
738that your Cautery be not applyed vpon any Sinnewy
739part, neither vpon the great Vaines nor Arteries, for
740that these bee accompted indeede principall and chiefe
741vessels: Also you must consider the quallity and quantity
742of the Causticke you doe administer, for that some
743are more violent and stronger then other, and some wil
744run and spread more then another.
745    Iaques Guillemeau Chyrurgian vnto the now French

page 30

746King which now is: saith, truely it is not necessary, nor
747allowable to apply the Caustick vpon the endes or beginnings
748of Muscles, for if your Patient that is to bee
749Cauterized, haue an vnsound and sickly body, you must
750first of all bee sure before you administer the sayd
751Cautery, to Phlebotomize & purge him: The reason
752is, least in the Cauterized parts, there chaunce to come
753concursion, or gathering together of humours. Also, it
754is further sayd, that a small part of your potentiall
755Cauteryes, doth and will worke as forcibly on a soft
756and tender bodye, as a great quantity thereof will doe
757vpon a stronge and grosse obdurate person. Ouer and
758besides, the greater abcessions are to bee Cauterized
759one way, and the lesser an other way, and that with
760good consideration. And heere to put you in memory,
761that you must bee very carefull and circumspect in
762defending the partes round about the sayd Tumors , for
763feare (as I haue said) that your Cautery doe run and
764spread too farre abroad: for the which cause you shall
765strengthen, fortifye & defend the foresaid affected parts,
766that is to say: by inuironing and compassing it round
767about with some repercussiue Medicamentes, lest the
768grieued part (which by long infirmity is become thereby
769sore weakned & enfeebled) and may so bring with it
770great swelling & other euill accidents: And therfore it is
771not without good cause, that the parts greeued be righly
772ordred & defended, whereby you shall be sure the better
773to effect your intended purpose without the said perrill
774or daunger but with the highest commendation in
775preuenting the euil that otherwise might ensue: which
776reasons alwaies enduced mee to laye round about the
777Cauterized parts, some speciall defensiue, as is this, or
778the like heereafter following.
779    Reci. Emplastrum Diachalcithios dissolued in Ol.
780papaueris et Ol. ros. wherunto is added Ouorum albumin.

page 31

781et Aceti. ros. An. q s
782    Et fiat Emplastrum.
783    This done, then presently goe about with your Causticke,
784to roote out all the whole Schrophulous and hard
785kernelly substances, either with the common Ruptory
786or Causticke, which in this case best contenteth my
787minde: the making heereof I doe not heere set downe,
788because it is so commonly knowne.
789    Howbeit, there is an other Causticke, which (as it
790is reported vnto me by a skilful Chirurgian) doth work
791without any paine, or very litle at al. The reputed Author
792therof is said to bee a famous practizer in Chirurgery,
793dwelling at Mountpelier in France . I must needes
794thinke reuerently of the Author of this Caustick, hoping
795his minde was not such to delight himselfe with
796publishing of vntruth: But if it doe indeede worke
797without paine, the mistery thereof is farre about my
798reach.
799
800    Rec. Lixiuij Saponarij.
801Vitriolj Romanj.
802Mercurij sublimatj.
803
804    Made into very fine powder: in the end of the boyling
805put in of Opium 2 drams. Misce et fiat Trochiscj.
806    You shall further note, that if at any time your Causticke
807doe happen not to worke so well and sufficiently
808to your minde, as happily you would with it should do,
809then apply the same Cautery againe: but you must first
810make Incision alongst wise, vpon the middle of the
811foresaid Escharre : Then put in some small quantity
812(that is, so much as you suppose will penetrate into
813the profundity & very rootes therof) for it doth behooue a
814prouident & wise Artist to preuent & see all eminent danger
815in y^e doing therof, & the~ by Gods help, ye may safely
816in a short time roote out these hard Strophulous Tumors .
817For (as I haue said) vnlesse the roote be cleane take~ out,

page 32

818this Malady will growe and increase againe. But if
819there chaunce to approach any painefull accidentes
820(as I haue knowne and seene to follow in sundry persons)
821then with speed remooue and take away the
822same: which done, yee shall procure the fall of the
823Eschar , with Vnguentu~ Populeum : or els with Vnguentum
824Rosarum , or sweete Butter. And to apply vpon
825it Emplastrum Diacalcitheos , or Emplastrum Deminio .
826So after all the Escharres be remooued, then if there
827be required mundifying and clensing, these following
828are vulgarly vsed, as Vnguentum Apostoloru~ , called of
829some also Vnguentum Christianoru~ : which Vnguent in
830this effect cannot be bettered: and Vnguentum Egiptiacum ,
831and sometimes to mixe two parts of Vnguentum
832Apostolorum , and one part of Vnguentum Egiptiacum .
833Also, Vnguentum Apij , is auaileable in this Cure, viz.
834
835    Recipe. Succi Apij et Plantaginis.
836Farinae hordej et Orobj.
837Terebinthinae,
838Mellis,
839Mirrhae
840Misce et fiat Vnguentum.
841
842    If you adde to this Vnguent the yolkes of Egges
843and Mercury Praecipit. it doth worke much better. Also
844the powder of Mercury Praecipit. is good of it selfe, and
845if you will haue it worke more forcibly, adde vnto it of
846Allum combust according to discretion. With these
847foresaid remedyes you may continue vntill there appeare
848pure and quicke flesh: then it followeth to vse Incarnatiues,
849& Agglutinatiues, with other medicamte~s,
850fit for consolidation.
851    Thus hauing sufficiently intreated of the fifth Intention:
852now it remaineth for a full conclusion, to present

page 33

853in order last of all, the sixt Intention, as
854followeth.
855
856

THE SIXTH INTENTION CHYRURGICALL
857BY OUTWARD MEANES.

858
859    The sixt Intention Chirurgicall is, that in those
860Strumas that are fastened but to a thinne and slender
861roote, you shall binde them about and plucke
862them out. This last action (as it appeareth) is verie
863easily performed by a skilfull Operator or cunning
864Chirurgian: neyther doth it require any great curiosity,
865but a decent and artificiall strong binding, meete
866for the plucking of them out (as it is said) by the rootes.
867In which action you neede not feare any great perrill
868of Fluxe of bloud, but that it may easily bee restrained
869with my restringent powder, published in my last booke
870of Obseruations, which hath (of a number of good Artistes)
871a friendlye acceptation: If it chaunce through
872the ill disposition of the body, any dolorous accidentes
873doe happen to follow, then mitigate the same (sayth
874Wicker ) with stupes wet in the white of an Egge, and
875oyle of Roses: and afterwards if there growe filthynes,
876let it be clensed with those remedyes before rehearsed:
877then no fault being committed through negligence
878or want of skill, you shall no doubt with good successe,
879finish this last Intention. But amongst a number of
880excellent remedyes for the curing of this euill (after the
881partes bee throughly clensed from all annoyances) this
882Playster following hath all the properties, that is
883prescribed in these kindes of remedyes before named:
884Which noble Playster I obtained of one Isack a stranger
885borne, a famous Incisioner and Licentiate Chirurgian
886of London , who for his excellent knowledge in

page 34

887his Arte, was called beyond the Seas, The golden Master
888or Doctor .
889
890    R. Bdellii, et Ammoniaci.
891Lapidis Sanguinalis, lapidis Magnetis.
892Aristolochiae rotundae, aloes Hepaticae.
893Olibanj et Masticis.
894Lithargirij arge~t. et lapidis calaminaris.
895Corallj Rubj et albi.
896Lumbricorum in pul.
897Succj scrophulariae.
898Colophoniae.
899Terebynthiae Venetae.
900Cerae Albae.
901Olej Hispanicj.
902Olej Hipericj cum gummis.
903Olej Laurini
904Camphor.
905Misce et fiat Implastrum.
906
907    With this Playster onely I cured a Bricklayers
908Daughter neere London, of diuers bad Scrophulous Vlcers
909in her necke and throate. Howbeit, there be some
910(who are as it were so note-wise) that forsooth they can
911not abide to read any medicine, that is of a long composition,
912be it neuer so precious. Contrariwise, there
913be others againe, that will not endure to read a short
914composition, bee it neuer so well approoued: for they
915plainely say, there can bee no great matter of worth in
916them: And thus they are as variable in their opinions
917(for want of true Arte and iudgement) as the Camelions
918be in their colours. Quot capita tot sensus : so many
919heades so many opinions. Now heere I will forbeare

page 35

920any further to discourse of this Sixt Intention Chirurgicall ,
921but I will set downe certaine Obseruations
922for the Cure of this greeuous Malady by me perfected,
923as followeth: least otherwise happily it may be
924said, He that telleth a long processe or boasting tedious
925tale without some proofe, must needs require credit, either
926for his long boasting tedious tale, or else for some speciall
927Authority that is in his person . But as for boasting amongst
928wise men, it can winne litle credit.
929
930

AN OBSERUATION.

931
932    A few monthes past there was sent vnto
933me by a Gentleman of Essex , a certaine
934husband man, being about the
935Age of thirty yeeres, who was molested
936(for the space of sixe monthes) with
937certaine outward swellings, or vnnaturall
938Strumous Abscessions: some of them were great
939with notable hardnesses, some meane, and some smaller,
940being for the most part packed and heaped together,
941but yet mooued too and fro, hyther and thyther: For
942the which he was first purged (with great moderation
943and aduisement) with the pilles of Euphorbium and
944Trochisce ex Viperis : or the Pilles of Vipers , and he did
945take many times Theriace Andromachj , & kept a very
946slender dyet withall: after hee was well purged from
947grosse and rawe humours, then I applyed vpon his
948necke and both his shoulders 3 great cupping glasses,
949and so did draw bloud and humours in good quantity.
950After the application of this kinde of Boring or Ventoses ,
951then presently I applyed vpon his swelling this
952Vnguent , and these Plaisters following.

page 36

953    Recip. Colewort leaues, greene Leekes and blades:
954of water Betonye, Motherwort, the lesse Plantine,
955Daysie leaues and Flowers, Mallows, Nicotian,
956and Pelitory of the wall, of each a handfull:
957Beate and shred these hearbes very fine: then adde to
958these foresaid hearbes of Wine Vineger lib. ii. of Hogs
959grease and sweet Butter, of each lib ii. of oyle of Almonds
960lib. j. a young Fox, of earth worms, & shel snailes,
961of each lib.i. Let all these lye infused & buryed in horse
962dung the space of a month, then boyle all together till
963the watrynes be consumed: then strayne it strongly, &
964heere with morning and euening anoynt his necke very
965warme, for halfe an houre together: Then applyed
966I Emplastrum de ranis cum Mercurio : and at other
967times, Emplastrum Dyachilon maius, et de Muscilaginibus ,
968of each equal portions: and by this way and order
969of curing, he was by me cured and safely healed within
970the space of 40. dayes.