2o6 T/je I ARRiiR s Ne'ujGmde. Chap. LIII. 



CHAP. LIII. 



Of a Gangrene and Mortification. 



A Gangrene is a fudden, violent, and exceflive Inflam- 

 "**" mation, with intolerable Pain, and is no other than a 

 beginning Mortification. 



The Ca fe '^^^^ Caufe is fometimes from an ill Habit 



of Body ; but, for the moft Part, from a 

 Pun^fture or Wound in the tender fenfible Parts ; or when 

 Splints of Bones, or other fliarp and pointed Matter, ftick 

 into the Flefh or Sinews ; and moreover the ill Manage- 

 ment of any large Wound whatfoever, may and often brings 

 on a Gangrene and Mortification. 



ej-, «.^ As to the Signs, befidesthe fudden, violent, 



* ' and exceflive Pain, the Part looks of a deep 



red, inclinable to Purple ; whereas in a Mortification, there 

 being an abfolute Stop put to the Blood, the Part becomes 

 black, foft, perifh'd, and without Senfe. 

 tj-, ^^ The Cure, while it is yet a Gangrene, 



confifts chiefly in the Application of fpiritu- 

 ous things, as Spirit of Wine camphorated, (viz. an Ounce 

 of Camphire to every Pint of the Spiritsj ufed alone, or 

 mixed with Spirit of Scurvy-grafs, or Spirit of Turpen- 

 tine ', a Fomentation made as follows, will alfo conduce 

 very much to the Removal of a Gangrene. 



" Take St. John's Wort and common Wormwood, of 

 *' each two handfuls. Centaury and Camomile Flowers, of 

 *' each one handful, Bay-berries fix Ounces, common 

 " Alhes one Pound: Boil thefein fix Quarts of Water un- 

 *' til one half beconfum'd ; and to the Itrained Decodion 

 *' add Spirit of Wine camphorated one Qiiart." Bathe 

 the Wound or the gangreen'd Part with flannel or woollen . 

 Cloths dipt in this Fomentation ; and after they are wrung 

 out, apply the Cloths almoft fcalding hot to the Part ; it 

 may be likewife wafh'd with the Fomentation, adding a 

 fixth part of the Spirit of Sal Armoniack at the Time of 

 ufing it. 



All Things that are proper to promote Sweat, are to be 

 taken inwardly, fuch as have been prefcrib'd to remove 

 Chefl- foundering, ^c. But if, notwithltanding all thefe 

 Means the Gangrene does not yield, the Praditioner muft 

 with a Fleam or Lancet, fcarrify to the Quick, that the Part 

 maybe brought to Suppuration, having in Readinefs Horfe- 

 dung boiled in Ale or Wine, to be applied hot as a Poul- 

 tice i 



