that the blood that 's evacuated out of the pores of the corroded Parenc of the Lungs is ever frothy because it 's forced through a number of small holes or pores in the Lungs whereby it 's rarefyed and rendred frothy But the blood that 's cast out of the greater Vessels is not alwayes thoroughly frothy but only a top which is caused by it's being mingled with the Air in the coughing it up and for that reason blood that 's vomited up may also appear frothy as Hippocrates lib. de Coacis tells us those that spit up vomit up frothy blood and are troubled with their right side they spit it from the Liver and commonly dye Thus likewise we see that blood evacuated in a Dysentery is frothy a top So Avicen doth witness the blood to be frothy that 's propel'd out of a Vein of the Breast and Paulus writes the blood out of the Throat to be frothy Last of all you must distinguish between pure blood which usually is expectorated less frothy than that which is mixt with windy fleam and melancholy or only windiness This simple bloody sputation of the Lungs is differenced from that which concomitates a pleurisie or a Peripneumonia inflammation of the Lungs because these two latter are ever painful to wit a pleurisie is attended with a stitch the other with a heavy pain of the breast besides other Diagnostick symptoms whereas a simple blood spitting arrives without any pain or feaver Blood that 's cast out of the throat or wind-pipe is spit out with a hawking or a small cough and that in small quantities or streaks that out of the Gums is spit out without hawking coughing or vomiting that out of the breast is expelled with a difficult cough and shews lived and full of crumbs but blood that distills from the head since it may be ejected by cough vomit hawking or spiting may easily delude both Patient and Physician unless there be a narrow inspection made for sometimes a small vein bursting in the head will trickle down but with a tickling in the Throat in great streams into the wind-pipe or stomach whence it 's returned by cough or vomit the usual way to find out the spring of this flood is to cause the Patient to gargle twice or thrice a sharp Oxycrate which will either stop the cough or appear with a deep tincture Another way for tryal is that the Patient is to hold his mouth full of water and blow his Nose hard by which means if there be a vein burst in the head some blood will come forth at the Nostrils Moreover the Physician is to enquire into the Procatarctick causes whether the party be troubled with a Head-ach or hath had a fall or taken cold and is enrheumed or the face be high colour'd Blood that 's ejected by vomit no doubt but comes out of the Stomach-veins but whether it be blood that 's destined for its nourishment or whether sent from the Spleen or Liver effused into the Stomach through the Splenick branch or Gastrick vein is also nicely search'd into by Practick Authors If the evacuated blood be florid it's stomach-Stomach-blood if black and in great quantity it 's Splenetick if red and copious it 's Hepatick Moreover if the blood be Splenetick signs appear of an affected Spleen if Hepatick of the Liver CHAP. XXXI Of the Diagnostick signs of a confirm'd Consumptionof the Lungs YOu must appeal to your memory to have read in the foregoing part of this Treatise the distinction of Proper and Improper Consumptions this latter we have diffected into its several kinds among which I am only to tell you that an Improper Pulmonique Consumption is deciphered with nothing but a kind of a Pulmonique Disease be it a Cough Dyspnaea Asthma c. and a discernable wasting of the flesh protracted to some continuance which doth certainly menace the sudden consequence of a Proper Ulcerous Pulmonique Consumption As to the evidencing a confirm'd Consumption of the Lungs the signs are these 1. There is an old Cough contracted possibly at the latter end of the fall or in the winter or the first approch of the Spring and continuing for three six or nine months without spitting blood the whole time 2. Observe that such a cough that proves so durable doth not alwayes continue at the same stand but is far more urgent sometimes than othersome and somewhiles again returns to that remission that it seems to be quite gone until the patient relapses of his own accord without any provocation of an external cause or errour into the same or rather worse state than before 3. The matter expectorated is thick tough glewy frothy uneven bubbly graish or thin liquid crude or thin and mixt with thick clotty blewish yellow greenish or blackish fleam or streaks only 4. A difficulty of breathing with a kind of a whiesing noise 5. Violent stitches up and down the breast and back below the shoulders which for a while are moveable afterwards fix either under the shoulders or paps which then give a strong presumption of a confirm'd Phthisis 6. The face looks deadish and livid with a dark blewish or brown circle about the under eyelids the eyes appear hollow flat and shrunk without their natural gloss 7. All this while the appetit is wanting and is bent to nothing more than to a draught of stale strong Beer though that be as bad as rots-bane for 'em and this is a very usual attendant 8. The body is sometimes loose and sometimes bound or in some it's generally loose and in others contrary 9. They sleep unquietly and disturbed with fiery or melancholique dreams and feel hot and glowing at their waking being likewise much disposed to sweat about their breast neck and head Their limbs do oft feel sore and weary For the most part they are drowsy and lumpish all day By this time an Hectick Feaver begins to shew it self by a quick soft low and unequal pulse a small glowing of the palms of the hands and feet after meat c. This is the first degree of a confirm'd Pulmonique Consumption from which the second degree differs in the intension of the forementioned Symptoms namely 1. The Cough sounds more hollow and deep continues longer before any matter is brought up and is more urgent in the night than the day 2. The humours or fleam that are expectorated are turn'd into a thick matter pus 3. The body is consumed to nothing but skin and bones the flesh of the Muscels being withered into dry tough strings the skin feeling rough and dry like Leather And the face changed into an Hippocratean visage otherwise called a Mortiferous face and deciphered 1. progn 7. viz. a sharp Nose hollow Eyes the Temples fallen and retch'd the Ears cold and contracted and their fibres turn'd the skin about the forehead hard retch'd and shrunk the colour of the Face is Greenish or Blackish 4. At this degree the Legs and Belly usually swell
manner whereof how they may be conceived to cause such extenuations we shall succinctly in short set down in particular Chapt. CHAP. VII Of an Hypochondriack Consumption AN Hypochondriack Consumption is an extenuation of the fleshy parts occasioned by an infarction clogging and over filling and obstruction of the Spleen pnrcreas mesaraick and Stomachick Vessels through melancholly or gross dreggish tartarous humours whereby it happeneth the blood is not sufficiently defaecated or clarifyed but remains muddy and ditchy which stagnating standing still without motion thus for a while turns saltish and acrimonious offending and perverting the Stomach Spleen and Liver in their Offices a necessary precedent of vitiated foul blood which being rejected by the parts the body must needs fall away for want of better nutriture nourishment This salin sap of the Vessels for being refused reception of the parts indues daily a greater ferocity fierceness and declares it self in a more hostile like an Enemy manner by insinuating peircing into the profundity depth of the parts and so drying absorbing sucking up and consuming the Radical moisture and Innate heat arrives to a Proper Consumption Add hereunto the continual vigilies overwaking or want of sleep melancholique sorry dull lingring passions the said Hypochondriack patient is praecipitated forced into whereby the spirits being rendred dull stupid languid fainting and suppressed are deserted left incapable of ventilating breathing and purifying the blood and debilitated weakened in attracting drawing nutriment for the parts which consequently must wither and shrink It 's no wonder therefore so many Melancholicks do daily drop into perfect Consumptions since their praevious foregoing indisposition doth so directly tend to an absolute marcour dryness Among the rest of the Entrails we have inserted the Spleen the chief seat of this Hypochondriack evil against which assertion may be objected that the Spleen rather seems to be superadded for some use than any publick function of defaecating clarifying or engendring blood The use allotted for it may be to fill up that empty space that would be if the Spleen were wanting or to transmit heat to the Stomach for to promote digestion or to serve for a supporter to the Veins and Arteries that pass through it to several parts of the body That it s not destined for any absolute necessary function of generating or clarifying the blood is inferred from that ancient custome Plautus Haliabbas and Pliny lib. 11. cap. 37. speak of where they were wont to burn the Spleen of their foot coursers that used to run for sport or wagers and some they would quite cut out their Spleen to make them run lighter and render them long winded because the Spleen is otherwise apt to weigh down the Diaphragma Midriff which is a chief instrument of Respiration Roâ—saeus in his Treatise de Part. Caes. Sect. 4. cap. 5. inserts an observation of several whose Spleen were cut out and of another whose Spleen was quite worn or dryed away and nothing remaining but the outward skin We do easily admit of the possibility of the foresaid practice since I have seen a tryal made of it upon a Dog but with this consequence that it certainly shortens life and renders the remaining course implexed with sundry troubles and diseases In the mean time that office which we allow the Spleen is performed by the Liver Pancreas and other parts though with some difficulty because they are overtask'd for doubtless in that case the grosser part of the blood is evacuated by the Haemorrhoids as it 's usual in other accidents when the body is mutilated deprived of an Arm or Leg. So that it appears the Office of the Spleen is of great importance though it may be supplyed by other parts in case it be diseased obstructed or exected cut out The same exception might be started against the Liver for were it not for the effusion of blood of those great veins that have their root in it or according to others terminate there which would necessarily follow an exection the Liver might not only be exected but it 's Office likewise supplyed by the Spleen and the other parts Since I have drawn my Reader a little out of the way by this objection I shall conduct him back to the remainder of this Chapter which is a brief inventory of the Signs of an Hypochondriack Consumption that so he may not be surprized with the fate of it 1. There is a frequent rumbling noise under the Stomach thwarting from the right side to the left and thence back again 2 Pinching pains about the Stomach as if they would girt a mans body close together 3. Glowing heats under the short Ribs 4. Frequent belchings that smell sowre or stink 5. A windiness and puffing up of their Stomach especially after dinner and in the morning after they wake 6. Much spitting 7. Vomiting or at least an inclination to Vomit 8. If upon these Signs you find a wasting of your flesh than look about you especially if troubled with a Cough CHAP. VIII Of a Scorbutick Consumption THe Scurvy is discovered a Melancholique Disease through its dreggish tartarous Eruptions as course boils pustles c. wherein it 's differenced from Hypochondriack melancholy whose tartar melancholy is retained within the body for that reason proves by far more incommodious as appears by those doleful passions which if it were propelled cast forth in Boils Botches or Ulcers as in the Scurvy would rather conduce to health those sharp scorbutick dregs imitating the nature of yist in causing the blood to ferment or work out into those eruptions breakin gs out whereby the blood is wonderfully clarifyed and purged Hence it is that many Melancholiques and Splenetick persons are of an exceeding merry and cheerful disposition by reason their melancholy by causing their blood to work doth so much clarify it whereout the spirits must needs afterwards be generated very clear lucid light and lively But of this I have discoursed more at large in Venus unmask'd Book 1. Art 37. Par. 134 135. however though the Scurvy proves so healthful during its commencement beginning and augment increase yet being once advanced to a state is found to have indued a more disobliging and corroding nature as appears by those arthritick gowty night pains and Phagedenick raw Ulcers it causes Read my Vener Discovery Book 1. Art 9. Par. 39. through the permutation change of its Nitrous and Vitriolat salt into an Armoniack which partaking of so penetrating and corrosive a nature doth soon attaque the fleshy and immediately after make towards the corrupting of the Fundamental parts A Scorbutick Consumption is easily discerned by observing a lingring wasting of ones flesh upon a praevious foregoing Scurvy attended with a Cough the Signs of a Scurvy I have set down in Venus Unmask'd CHAP. IX Of an Amorous Consumption OF all Bastard Consumptions none doth more rapidly swiftly occasion an extenuation of the flesh than an Amorous Condition which where it doth fasten immediately causes a very
sensible falling of the countenance whence it 's a common objection when Maids do suddenly grow thin-jawed and hallow-eyed they are certainly in Love Neither is there cause wanting for so subitous sudden an alteration where there is such a lingring sighthing sobbing and looking after the return of the absent object the thoughts so fix'd that they are imployed upon nothing but the past Vision the mind all that while so disturbed and perplex'd with hopes doubts fears possibilities and improbabilities that the heart strikes five hundred sorts of Pulses in an hour and hunted into such continual palpitations through anxiety oppression and distraction that as the saying is fain would it break if it could By means of all which alterations violent motions frights fears and other passions the Animal spirits of the brain and Vital of the heart spirits suffer such losses and dispersions that we see its ordinary for young Wenches to be reduced to faintings sownings and extreme weaknesses to the admiration of their parents whence such subitous and effrayable frightful symptoms should source take their rise Galen among the rest of his remarques lib. de pracogn ad Posthum cap. 6. tells us of a Woman patient of his whom he found very weak in bed continually tossing and tumbling from one side to the other and totally deprived of her rest No extern or intern cause could he discover of this malady neither would she contribut any thing of her own confession though he oft required it of her which kind of mute dumb deportment gave him suspicion of some melancholy or love business the woman was troubled with however he repeated his visits the second and third time though with as little satisfaction as before but at last it happened one came to visit her and told her she had been at the Theater where she had seen Pylades one of the Players dance whereupon Galen observed her to change her countenance and immediately feeling her pulse found it to beat very various and disturbed a sign of some trouble of the mind and so perceiving the same disturbance of her pulse as oft as Pylades was discoursed of was confirm'd in his opinion that all those symptoms were a product effect of her love Aretaeus lib. 3. cap. 3. instances likewise a young man involved in the same passion and surprized with the worst of symptoms And beyond all this Valer. Max. lib. 5. cap. 7. records Antiochus the only Son of the King Seleucus deeply fallen in love with Stratonica his Mother-in-law who piously dissembling his burning passion praecipitated himself into a most dangerous Consumption the cause whereof his Physitian Erasistratus could in no-ways descry before such time as Stratonica entring the room moved a blushy colour in his face and rendred his aspect vivacious lively but deserting him he soon relapsed to the same paleness and languor faintness which ebbing and flowing of his countenance with the uncertainty of his pulse certifyed Erasistratus of some love wound his Mother had struck upon his heart and declaring this accident to the King his Father almost cast down with grief for his Son now ee'n strucken with his last fate he soon yeilded his dearest wife for a remedy to Antiochus considering it was chance striving with his unparallel'd modesty and bashfulness had reduced him to that extremity Hippocrates shewed himself no less skilful in discerning the discriminous dangerous state of Perdiccas King of Macedonia occasioned by the doting love he harbour'd in his breast for Phila one of his Fathers Concubines whose presence at any time excited a great alteration of his pulse But these passages that resent so much of natures impressions do in no wise merit to be admired at when brutish dotings prove so efficacious in impelling bodies into a marcour extreme leanness as Historians verifie of a rich Athonian and indifferently descended who spying a marble Statue erected in a publick place of Athens and very curiously wrought grew so passionate upon it that he spent whole nights in imbracing it at last desirous to impropriate this object to himself wooed the Senat to part with it offering to lay down a treble value but they censuring it impious to make Merchandize of what belonged to the publick denyed his importune request whereupon he increased in fondness and bestowed a Golden Crown upon it Cloathing it also with rich and costly Apparel adored and oft prostrated himself before it which the Senat judging indecent forbad him making any more addresses to their Statue The young Athenian finding himself deprived of his joy and delight fell into a Consumption and before that could limit the course of his life he cut his own throat This passion was not so ridiculous but it was exceeded by the King Xerxes whom many Authours affirm to have been strangely inamoured upon an Oak which he would oft hug and kiss as if it had been some pretty Woman Many more modern instances we could produce to illustrate the force of this sort of passion upon bodies which we refer to another place These commotions of the mind and body do after a short continuance menace threaten a Consumption by oppressing the heart and its vital spirits with such throngs of blood and spirits that are impelled and propt into its Ventricles small hollow rooms within the heart whereby the heart is choak'd and obstructed in its pulsation beating and consequently hindred from transmitting vital blood to the parts which for want thereof must necessarily wither and dry away moreover in that case the blood grows thick and muddy for want of motion and so acquires an ill quality and causes obstructions as we have expressed in the preceding Chapter besides the spirits growing dull and stupid do not perform their office in drawing the blood to the several parts which must necessarily add very much to the wasting of the body Lastly if those love frights prove very violent the blood and spirits returning in great streams to the heart may not only suddenly choak it but also extinguish its Innate spirits and so that doting passion happens to terminate end into a mortal Syncope swoun thus Euryalus a Knight belonging to the Emperour Sigismund taking leave of his Mistriss Lucretia of Siena praecipitated her into such a Love fit that within a few hours after she Ghosted which course Euryalus was like to have steered upon the news of that sad accident had his passion not been diverted by some recreation his friends gave him The like fate befell a Dutch Gentlewoman upon the sudden death of her Puppy dog which she doted upon beyond imagination as the Scene afterwards attested But young blossom'd Girls seem to be troubled with another Divil within 'em to augment increase the fire of their doting hell and that 's their Mother which must ever and anon be a fuming up to their throats upon the least disturbance of their Amours love as I have oft been a Spectator of several that fell into most terrible fits of the Mother five
frustration in her Love inflames and turns to a more malign venene putrefaction whose fumes do easily intoxicate poison the Brain Notwithstanding though all sorts of madness imply so difficult a cure because of the deep latency of a venene cause in a noble part yet this kind of madness that 's occasioned by Love in the commencement yeelds to the easiest cure viz. by slackning the bridle of chastity whereby vent is given to the putrefying Sperm and the ascending malign Spermatick fumes revell'd drawn back And by that sort of cure I have heard of several Women reduced to their perfect wits and of two or three Maniacks Mad-mer who although impelled into that distemper through an adust malign Hypochondriack Melancholy were set to rights again by the kindness of their Mistresses for which cure there can no other reason be given than that Venereal evacuations do potently revell or draw from the head whereby the said Melancholick fumes are retracted downward and refrigerate cool the adust humors that inflame the Brain and lastly abate that over plenitude of raging spirits Moreover we may observe that Italians though extremely disposed to a Maniack Madness through their adust Melancholick temperature and studious course of life yet it 's a very rare thing to hear of any Maniacks among them and that certainly for no other reason than their frequent use of Women which the indulgence of their Religion has made Universal on the contrary in those Countreys where the severity of their Laws doth strictly enjoyn chastity upon the Inhabitants as in Holland though the coldness of the Climat and their cold Dyet doth oppositely resist Maniack Madness yet there is not a Town so small but is provided with a Bedlam for to secure those numbers of Maniacks both Men and Women Neither is the benefit of this sort of evacuation so particular as to relate only to individuals but that the publick also partakes of it as in Turky Italy and Spain and other Countreys where Polygamy having many Wives and Scortation Whoring are tolerated they find it renders their Subjects both Men and Women more tractable and obedient to Government and seldom are known to rebel questionless by subtracting great quantities of spirits which are so copious in the Sperm the Plethory whereof would otherwise render them viz. the Spirits turbulent and furious On the other side where that kind of liberty is restrained their Subjects do oft fall into furies and rebellions against the Magistrate as appears too often in these Septentrional northern climats the reason is as before because the said Plethory and retention of Sperm renders the Spirits furious and mad This premissory discourse doth not infer so great a dammage from an over-repletion of Sperm but that the detriment of an over-evacuation may be equal or rather surmount it Henricus ab Heer in his observations relates the Cure of one of his Patients whom finding suddenly reduced to the lowest ebb of weakness could suspect no other cause but his over-pleasing his Wife in which surmisal the Patients Urin replenish'd with whitish Spermatick Filaments and his confession after he had recovered his Speech confirm'd him This doubtful Cure gave a sufficient testimony of the danger he was precipitated into through that Venereal Syncope Neither is this the sole Disease those furious Goats arrive to but are oft strucken with tremblings of the joynts Palsies Gouts and other neuritick Sinewy Diseases Two years ago I had a Flemmen in Cure at London his Disease was a Ptisick in a dangerous degree or Asthma oft excurring to an Orthopnoea a Ptisick in the worst degree the cause a Metastasis or translation of tartarous humours from his joynts to his Lungs for it seems his preceding Disease was the Gout which was droven inwards through the unskilfulness of his Physician into his breast Hereupon I inquired into the first occasion of this Arthritick of the joynts malady whether it was Hereditary or acquired by ill Dyet or by what other external cause to this he gave me a full satisfaction ingeniously confessing that when a young man and marryed to a lusty Frow he had so travailed himself off his Legs in yeelding to his Wifes insatiableness that about a year after he fell into an Universal tremor trembling of all his joynts that when going his Legs trembled under him and was no sooner recovered of that but Arthritick pains succeeded which afterwards exchanged into an incurable Ptisick Several other evils this kind of excess produces but most frequently a Consumption of the Back which Hippocrates stiles a Tabes Dorsalis appropriating it most to young-men surfeiting themselves with the first tasts of their Nuptial wedding delights The immediate cause of this Consumption is an insupportable loss of Animal spirits those that move the joynts engendred by the Medulla Spinalis or Marrow of the Back and the Brain which said losse of spirits must necessarily occasion a great weakness of the Back and Brain and consequently of all those parts that depend on them viz. the joynts as the Legs Arms c. 2. The Brain and Back suffering so great a draught of Animal spirits must necessarily draw a great proportion of Vital blood to recruit themselves and furnish the other parts that do so immoderately draw from them whereby the fleshy and other parts being deprived of their nutriment must consequently be extenuated and if continued reduced to a perfect Consumption That an excessive evacuation of Sperm doth subtract such a large quantity of spirits iâ— plain to those that conceive the generation and constitution of it viz. it 's constituted and generated out of a copious plentiful conflux flowing of Animal spirits transmitted sent from the Brain and Marrow of the Back through proper chanals leading into the Testicles Cods whose office is to abstract the purest part of them and so to knit and unite them into a thick fluid body Whence taking our Calculation from the essence of wine abstracted from its first body it appears probable that the Sperm being an essence abstracted from a great quantity of Animal spirits which again are essences abstracted from a large proportion of Vital blood doth in the quantity of a dram contain as many Animal spirits as are contained in an ounce within the Nerves which ounce of spirits can be abstracted from no less than eight ounces of Vital blood if so you may easily apprehend what dammage the body must suffer by a small loss of Sperm That Sperm is ultimately abstracted from Animal spirits is evident in regard the Brain and Back do so immediately partake of the Symptoms of an immoderate evacuation viz. a great weakness and pain of the Back a contracting pain of the Sinews in the Neck and all the Muscles of the Body and obtusion dulness of the senses both internal and external c. I could insert many other arguments clearly demonstrating that assertion but that my compendious design will scarce permit To conclude I shall only add two ways
whether it may be supposed to be sublimed from the Stomach by distillation or through the Vena arteriosa If either way why should it pass through the principal parts as the Heart or the Brain without annoying either which seem of a more tender disposition than the Lungs that are hardned with the weather or extern air they inspire 4. It 's wonder Authors never summon'd blew gall for the cause of Consumptions which the expectorated spit out by Cough matter oft appears tincted with and beyond that the Lungs of expired Consumptives do not seldome appear full of those blew kind of Spots which instance together with the eruption of blew spots exant hemata livida in malign Feaver are a certain attest of blew gall This the Institutists have so little noted that they never thought of putting it in their Institutes However not questioning whether Green Blew or Black be the mischief supposing it to be any of them and situated near or about the Stomach why should it prove more Anarrhopous flowing upwards so as to attaque the Lungs than Catarrhapous flowing downwards as it doth in a Dysentery bloody flux pains of the Haemorrhoids inflammation of any of the lower parts Diabetes a continual pissing or a hot Dysury difficulty of making water 5. In what part of the body is the true spring or source where this corrosive choler is engendred 6. Whether a Pulmonique Consumption never happeneth but upon spitting or coughing up blood 7. By what power or quality doth fleam stagnating in the Lungs cause a Consumption 8. Whether that consuming fleam is harbour'd in the Pipes or substance of the Lungs within their Pores 9. Whether the foreinstanced fleam distils from the head or be imported through the Vessels 10. Whether an Hectick Feaver be a cause of a Consumption or a symptom of the cause of a Consumption or symptom of the Consumption it self 11. Whether a Pulmonique Consumption cannot happen without the concomitance of an Hectick Feaver 12. Whether there be no other sort of true perfect or proper Consumptions than a Pulmonique of the Lungs Consumption These and many other problems being passed by not only for stating of them but resolving do impeach Physicians of their sloth and absolute insufficiency of curing Consumptions which unless determined is a pregnant testimony they manage their office in that Disease with as little Skill as Conscience Neither is the reader to behave himself so strict and precise as to be contented with no less clear a solution than a demonstration our notions in Physick being of that scantness as seldom reach beyond a rational conjecture which if I ingaged to remonstrate here in this Chapter should in order of discourse be obliged to make use of the terms and principles inserted in this and the preceeding Chapter and that with the same disadvantage other assertions have hitherto so obscurely been proved Wherefore I shall refer you to the next ensuing Chapter where I do expect a grain's or two allowance which all men have granted them in attempting a solution of doubts by themselves stated CHAP. XXVI Of a more apparent cause of a Pulmonique Consumption THe passage to this abstuse hidden speculation is like a Labyrinth maze divided into several stops turnings or windings where at each division we must halt to advise what way lyes most direct whither we are design'd for the truth of causes steps so lightly through mens imaginations that they must use great subtility to track its vestiges footsteps which we find now adayes so obliterated blotted out with their course searches that it seems almost barricado'd from any intellectual approach In pursuit of this precept wee 'l advert you of several stops or windings being necessary positions whose light will lead you to that so obscure cause of a Consumption of the Lungs Thesis 1. Symptoms impressed by corrosion point at corrosive bodies for their causes In Pulmonique Consumptions the preternatural concomitants attendants viz. an universal heat of the body an Hectick Feaver a torminous diarrhé griping looseness acre sharp and hot distillations c. have all a stamp of a Corrosive gnawing quality and consequently are introduced by a corrosive humour Thesis 2. There are but two sorts of corrosive humours engendred within the body of man namely Choler and Melancholy And between these the impute of a Consumptive cause will lye Touching Fleam and that they single for pure blood neither can be imagined participant of acrimony but rather demulcers and qualifyers of it Which of the two abovementioned corrosives is the chief actor here the following positions will resolve you Thesis 3. Choler is the lightest and most inflammable part of the blood Whence namely from its inflammability it s resembled to and called a Sulphur This position informs us of a vulgar errour terming the gall bitter as their proverb more peremptorily implyes it 's as bitter as Gall whereas in effect there 's nothing gustable sweeter for what is most inflammable must be most unctuous fat and oyly nothing being apter to take flame than Oyl Fat Butter and other unctuous bodies and what is most oyly and unctuous must needs partake of a sweet savour namely of a fat sweetness which Physicians term Pingue dulce or a fat sweet and of that gust is the Gall or Choler being the flower and butter of the Blood This appears more evident in milk which is nothing but blood turned white by being diluted water'd with a greater quantity of Serum or whey that is a certain waterish liquor floating in the Vessels in the Glandules Kernels of the breast now milk being charned in a Tub vomits up it's butter which is that light and inflammable part reduced to its native colour and above termed Gall. Thesis 4. Choler is in it self resistent of having any kind of bitterness extracted or produced out of it no not by any kind of inflammation If any force will impress such a bitterness as is thought to be in choler it must be by adustion burning or putting it into a flame which is so far from admitting an Empyreume burning or conceiving any bitter ashes that consisting of a pure oyly nature when set in flame it burns clear away without leaving any cindars or adust matter to attest its latent hidden bitterness as doth more plainly appear in Butter Tallow or Oyl burning away in a Lamp without leaving any thing bitter behind them Thesis 5. What amaritude bitterness or acrimony sharpness is deprehended in Choler it acquires from a commixture of Melancholy or extern malign bodies imported with the air This Thesis is a necessary consequence of the next preceding for if gall cannot be rendred acrimonious sharp or bitter of it self nor by inflammation than necessarily whatever acrimony or amaritude at any time redounds in it must be derived from the admixture of another sharp bitter substance which among the humours can be no other than Melancholy Phlegm and pure blood being reputed allayers of acrimony and upon that
not different from those in an Asthma saving there is only a Cough wanting to make up the train The cause of this Lung-growth is imputed to a superficial sanious or ichorous exulceration whose matter being somewhat glutinous cleaves to the foresaid Pleura and dryes up to it whereby it 's fastned The truth hereof is evidenced in the dissected bodies of those that were Lung-grown whose Lungs are ever found ichorous and mattery near the place of adhaesion witness the dissected bodies of Ferdinand the Emperour and Francis the French King whose Lungs according to the Testimonies of Gesner and Holtzach were not only deprehended fastned to the sides of the breast but in a great part putrefied and sanious But whether those filaments threds that serve in lieu of ligaments to tye the Lungs to the Pleura being shortned by a strain or imbibition of humours may not produce a Consumption seems not improbable an Asthma it 's certain they do and consequently may attract humours to the Lungs and prove an accidental cause of overheating and overdrying the heart for not expiring the fuliginous steems that issue thence and not inspiring fresh air sufficient to cool and moisten it on the other hand these said filaments being overmuch relaxed or broken do induce that accident which may be properly stiled the Rising of the Lights Some other infrequent rare Consumptions may happen but such as scarce appear among ten thousand Consumptives and therefore shall forbear their insertion committing their narrow search to Physicians their proper industry CHAP. XXVIII Of the Procatarctick or external causes of Pulmonique Consumptions THose Procatarcticks that required a larger comment as love grief c. we have discoursed of in particular Chapt. others that are limitted in a narrower extent of speculation and particularly such as promote English Bodies beyond those of other Nations into Consumptions we intend to treat of here To begin with these latter it 's not improbable the causes must be inherent in those non naturals whose quality and our use of them differing from other Nations transport our bodies beyond theirs into extenuations and Marcours 1. We differ extremely from all others in our dyet Flemmings and Germans buy flesh meat by the pound and eat it by ounces we buy meat by whole joynts and eat it by pounds 2. They usually boyl and roast their meat until it falls almost off from the bones but we love it half raw with the blood trickling down from it delicately terming it the Gravy which in truth looks more like an ichorous or raw bloody matter 3. Flesh once a week is a variety to their great ones once a month a delicacy to their Burgers Citizen's and once a year a feast to the rabble and that at their Kermisses or Fairs only But their thriving dyet the hogs has taught 'em viz. Cabbage Turnips Salates Butter-milk Whey c. Which renders them alike not only in fatness but in manner of humour witness their Brawny Necks Fat Trype Guts and grunting hoggish deportments But here on the other hand great and small rabble and all must have their Bellyes stuffed with flesh meat every day and on Sundayes cramb their guts up to the crop with pudding 4. Neither is the difference only in the eating part but drinking they overwhelming their panch daily with a kind of flat Scarbier or Rotgut we with a bitter dreggish small liquor that savours of little else than hops and muddy water The wine they so much debauch themselves with is a kind of crude dull stumd Burdeaux we with Canary Thus we have parallel'd the dyets of two Nations in order to a further examination of their different effects rendring those of a squabbish lardy habit of body us of a thinner though more fleshy appearance and some who by their stronger natures exercise or labour are equally matcht to digest and subdue that mass of flesh they daily devour acquire a double strength to what those Hermits receive from their Herbage But since we experience that sort of feeding doth scarce improve our carcasses beyond a lean habit and the contrary dyet to stuff the hides of our Neighbours with a large proportion of Grease and Tallow gives us argument to impute to it a great part of the occasion that inclines us so much to Consumptions Wee 'l insist a little further upon the matter first touching our so greedy devouring of flesh especially Beef and Mutton whereof there is a greater quantity consumed in England than in all Spain France Holland Zealand and Flanders as I can demonstratively make appear to you by this sole instance you 'l grant there are more gloves worn here then in all Holland Zealand and Flanders besides for from the highest to the lowest they usually go with their hands in their Pockets in the Summer and in the Winter hold 'em to their Noses to blow 'em warm Next we wear out more Shooes here by two thirds than all France where it 's universally known the paysantry goes barefoot and the middle sort throughout all that Kingdome makes use of Wooden Clogs Now this considered that notwithstanding the great number of gloves and shooes worn out here besides millions of pairs that are transported hence to the Barbado's Virginia and many other Plantations we abound so much with Hides Gloves Sheeps and Neats Leather that we furnish the better part of all Christendom with them which is a certain sign there must be an incredible number of Sheep and Oxen killed whose flesh since we make no forreign Merchandize of saving only of their Skins and Hides must necessarily be all consumed among us But to declare to you the great mischiefs which is my chief business this flesh greediness heaps upon us a Plethory fulness of blood both ad vasa and vires is the first and immediate effect the next a Plethora ad vasa an over fulness of the Veins and Arteries with blood doth easily upon a small commotion or heat of body fall or other accidents burst a Vein in the Lungs whereupon commonly follows an Ulcer and soon after a Pulmonique Consumption Moreover note that a Plethory produced by immoderate eating of flesh is more impetuous and turgent and therefore so much disposed to burst a Vein whereas any other Plethory engendred of Fish Milk or Herbs being less turgent and diluted with waterish humours seldom swells to that height The Plethora ad vires a fulness of blood that oppresses the strength is the evident cause that renders us universally lean by suppressing our spirits and hebetating dulling their vigour whereby they are not only incapacitated of digesting the alimonious humours into flesh but of attracting blood to the parts to nourish them which defect reduces the body to a leanness and if continued to a Consumption Lastly know that flesh meat being so nutritive and likewise hard of digesture doth abound with the most and worst dregs of any other kind of meat especially if not totally digested as seldome it is
blood evacuated at the mouth with the spittle may either distill from the brain or palat or be expressed out of the Throat or Gullet or forced out of the Stomach Breast Mediastinum Diaphragma Lungs or Wind-pipe Among these blood forced out of the Lungs gives the worst appearance and doth seldom vanish without leaving an Ulcer behind it Moreover there is a very considerable difference in respect of danger in blood that issues out of the Lung veins which are apt to shed their humours upon these four occasions 1. Upon a rupture or bursting among the Greeks called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 2. Upon the corrosion of a vein that is when it 's eaten through by sharp gnawing blood in Greek termed 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 3. A vein gaping or its lips being forced open by a Plethory is apt to effuse a quantity of blood in Greek called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 4. When the Tunicks of the veins are grown thin and the blood is likewise rendred subtil and piercing it 's apt to sweat through which is nominated a 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 This latter is oft cured and therefore of a more hopeful aspect but the two former for the most part contemn all remedies The bursting or corrosion of a Vein in the Pleura succeeds these former in a malicious Omen Any of these bloody sputations being too suddenly cured oft changes into a tragick Scene The like happens upon external applications of restringent medicines to the breast or in case internal restrictives be exhibited without dissolvents to dissolve the crumbs of blood that usually concrease out of the extravasated humours which otherwise would occasion a suffocation A bloody sputation whether proceeding from the Lungs or Stomach intimates less danger in Women whose obstructed courses were the cause of it because these being carried down do seldom miss a cure of the former as Hippocrates doth likewise aphoristically tell us A Woman vomiting blood her courses breaking forth puts a stop to her vomiting but this is to be understood in case a Vein gapes or is forced open by a Plethory not if a Vein be bursted or corroded The same reason holds good in men surprized with a sanguin sputation upon a sudden cohibition of their Haemorrhoids which being recalled do frequently stent the other Symptom but if their Haemorrhoids have disappeared for a considerable time than such a sputation survening upon it proves more perilous than otherwise Spitting of blood is more curable in Plethoricks and young folks than in others of a thinner habit of body and old people because as Hippocrates implyes in 2. Aph. 34. They are less endangered in Diseases whose Disease suits with their nature age and habit of body and time than those whose Disease is in no part agreeable In summa any kind of spitting of blood imports a very discriminous state unless it happens as I said before upon the gaping of a Vein or being opened but not bursted or corroded by a Plethory in which case it 's a great help to nature being over burden'd with blood and it usually stops of it self Thus I have known several women vomit up great quantities of blood possibly a pint or two without any prejudice Some I have heard of that have coughed up a quantity not much less no kind of detriment following upon it A Vein bursted or corroded in the Lungs is look'd upon to be for the most part incurable though some do escape because of the continual motion and Coughing of the Lungs taring the gap wider and hindering the conglutination and cicatrization of the vein besides their remote distance from the Stomach the vertues of Medicines being quite spent before they can arrive thither Spitting of blood being complicated with other chronical Diseases as great obstructions of the Bowels Asthma c. is rendred less capable of cure than otherwise A varix or a sweld vein in the Lungs doth oft a good while after burst out into a sudden spitting of blood the patient not dreaming of the least Disease his body should be subjected to for the Lungs being insensible within cannot advert him of any tumour or swelling This accident usually happens when a man hath had a fall or bruise upon his breast whereby the grosser part of the blood was suddenly impelled into a Vein of the Lungs where it causes that swelling which possibly may burst a month or six weeks after for want of taking something at the beginning to dissolve the impulsed blood A broken Vein conglutinated or a corroded one cicatrized is very apt upon a small irritation as a cough vomit fall c. to burst again or return to an Ulcer because the cicatrize or agglutination is performed by a dissolvable or sometime friable kind of humour that 's easily colliquated or rent asunder by the continual motion of the Lungs and especially if render'd violent by a Cough or other accident Wherefore persons that have been so indisposed ought to refrain from taking Vomits or moving their bodies violently timely to remedy any kind of Cough or other Pulmonique Diseases We have given you a large comment of the Prognosticks of spitting blood the remainder of this Chapter wee 'l imploy in the Diagnosticks Blood that 's evacuated from the Lungs is forced up with a Cough without any pain and if a Lung-vein be bursted generally at the first gush a great quantity is cough'd up which afterwards comes up in smaller proportions The blood that 's evacuated at first appears thin pure and florid with a little yellowish froth upon it that which is afterwards evacuated shews paler and watered with a few bubles on it at last it 's expectorated mixt with fleam That which sweats through the veins comes up diluted pale and watered in small quantities mixt with fleam spittle or some of the serum of the blood If a Lung Vein be corroded the blood at first comes up in a smaller quantity afterwards in fuller streams Physicians do vary much in the colour of Pulmonique blood that 's evacuated some will have it a purple others a florid yellow or natural red As to that Lung-blood generally appears somewhat lighter than a natural red because it s conceived to be rendred more aereous by the Lungs Nevertheless it varies according to the constitution of bodies for in some it may be purple in others yellow or red Another dispute that 's moved among Authors is whether Lung-blood is alwayes evacuated with a Scum or froth upon it according to Hippoc. 5. Aph. 13. Those that spit out frothy blood with coughing it comes from the Lungs For to decide this controversie you must note there is a fourfold substance concurring to the constitution of the Lungs 1. The Grisly substance of the Lung-pipes 2. The tough substance of the Ligaments that tye the great Vessels to the Lungs and joyn the pipes together 3. The Parenchyma or flesh of the Lungs 4. That which the small veins and arteries consist of This considered observe
their proportion of sleep every one knows what his nature requires But avoid sleeping after Dinner or immediately after Supper because it fills the head with fumes and vapours and occasions Catarrhs In relation to the passions of the mind take this ancient rule Bene age laetare i. e. Do well and be cheerful Avoid all occasions of anger fretting and peevishness which disturb the blood and enrage the corrosive humours Thus much for the Non Naturals Wee 'l include one rule more considering that it 's impossible but the healthfullest person living in such an air and following the City mode in his Kitchen must engender acrimonious humours and obstructions and be subject to a constipation of the pores it will prove very advantageous to open a Vein every Spring in case he be Plethorick and purge or if only Cacochymick to clarify his blood with a laxative and drink whey for a month or three weeks to qualify the heat and sharpness of his humours CHAP. XXXIV The Preservative for Consumptives THe Preservative part relates to the preventing of a Consumption in those that are inclined or have lately conceived the seminaries of a Consumption Who they are that are thus inclined or are just entring the threshold of a Consumption the foregoing discourse of Chap. 29. will acquaint you In the interim take notice that the same means we intend to prescribe for a cure are likewise excellent preservatives requiring only a moderation according to the age of the Disease time of year and other circumstances The Indications taken from the Non naturals which probably have made a great part of the first occasion of that Consumptive disposition point at a mature change and rational correction of them 1. The air appearing so malicious in this Morbifique conspiracy exacts a more particular regard Wherefore it 's of absolute necessity for Initiate Consumptives to change that air how bad or good soever it may be reputed wherein they have conceived or bred their consuming Seminaries if bad as thick foggy misty smoaky moist putrid clowdy or salin and acrimonious they must make choice of a serene thin dry temperate sweet and pleasant air thus Galen lib. 5. Meth. Med. advised all tabefyed persons and such as were onely disposed to a Phihisis to remove to Tabiae a hilly place situated between Surrentum and Naples whose temperature and dryness of air produced by the Sulphureous smoaks of the Mount Vesuvius that 's hard by to it concurred to cure many a desperate Consumptive 2. Though the air be generally experienced good notwithstanding the Patient having contracted his evil there possibly by reason of some hidden contrariety that air harbours against his temperament is a sufficient indication for his changing the air and that for a considerable time it may be a year or two For a moist Consumption the middle of England as Worcestershire Glocester or Oxfordshire seems to be enrich'd with an air propitious for their recovery however I imagine that some places of Languedock one of the South Provinces of France may for air excell that or Galen's Tabiae For dry Consumptions a moister air is more proper Neither is' t only the change of air that proves so soveraign to Consumptives but the change of Bread Beer Flesh Company and other circumstances do very much conduce thereunto 2. What advantage a loose dyet imports to a healthful constitution the same detriment it contributes to a declining or crazy one wherefore since every small distemper assumes so easie a growth from the least disorder of dyet how much the more may a Consumptive disposition the worst of distempers which certainly is an argument of the necessity of a strict dyet now here prescribed to you in these rules 1. Abstain from all obstructive melancholique and dreggish Victuals as Beef Pork Geese Ducks Cheese Crusts of Breed Pyecrust Pudding Salt fish hard boyl'd or fryed Eggs or any kind of fryed Meat Likewise from hot Spices as Pepper Ginger Cloves c. and pickled meats as Anchiovy Pickled Oysters or Herrings Pickled Cowcumbers c. 2. Feed only upon meats of easie digesture and inclining somewhat to a moist temperature as Veal Chickens Poulets Mutton Lamb Sweetbreads Potch'd Eggs c. and among the sorts of Fish Soals Whitings Perch c. among Herbs Lettice Endive Succory Sorrel Porcelain Chervil c. but note that they must be boil'd 3. Neither are you to allow your self flesh meat too liberally because according to 2. Aphor. 11. impure bodies the more you feed them the more you hurt them and 1. Aphor. 17. When nourishment is taken beyond nature it breeds a Disease because nature being oppressed and distemper'd cannot concoct the meats it assumes into that temperate juice it doth when it 's in better temper but rather converts them all into ill humours which must necessarily give an addition to those Consumptive salin corpuscles and beyond all others flesh meat as I have intimated before 4. Dyet most upon Spoon meats as Veal or Cock Broaths prepared with French Barly Succory Maiden hair Agrimony Grass roots Sweet Fennil and Persly roots Raisons and Dates Buttermilk affords a most Medicinal and Soveraign food in this disease I remember I once knew a young Fellow at the Hague who was fallen into an Ulcerous Consumption upon spitting of blood and notwithstanding the danger of his Disease required the most potent Remedies refused all help and wholly devoted himself to Buttermilk by which sole dyet he recovered beyond the expectation of all that saw him whence you may deduce of what consequence a strict dyet is 5. Refrain from flesh meat at supper in lieu whereof you may now and then entertain your self with a Pippin roasted with Saffron and sweetned with Sugar of Roses and carui Confects 6. Drink no kind of strong Ale or Beer or any liquor that contains Hops or Broom for its ingredients but make use of small Ale brewed out of an indifferent proportion of Malt and a sufficient quantity of brown Suggar in new river water which excells that of the Thames This makes the pleasantest and most delicate small liquor proving very agreeable to the Palat and Stomach and preventing Diseases Most wines seem noxious yet Rhenish Wines I mean those small Wines Bachrach and Deal doth accidentally impinguate by helping the digesture removing obstructions and rendring the blood fluid and digestible This is verifyed by the corpulent and fat habits of body of the Inhabitants of the Rhine whom I observed all a long in descending that river from Bazil in Switzerland as far as Collen to be universally very fleshy fat and healthful and my self though entring into Germany in a lean case was so much improved before I left the Rhine that in respect of corpulency and fatness I differ'd little from any of them which I could impute to nothing but their wine For motion observe these rules 1. Walk daily in a pleasant airy and umbragious Garden Park or Field 2. Gentle travel in a
Coach or on Horseback through a healthful and divertising countrey doth oft conquer an initial Consumption What concerns the Excretions and Retentions and Passions of the mind regulate your self according to former instructions These prescripts being thus observed we are to reflect upon indications drawn from internal causes of growing extenuations viz. the substraction of salin corrosive humours engendred by the Spleen and sublimed upwards by reason of its obstructions In this case the opening of the left Median in Plethoricks afterwards the application of Leeches to the Haemorrhoids and hereupon a prescription of a laxative and deoppilative whey will answer all indications and for particular derivatives issues and senitive Glysters contribute great relief CHAP. XXXV The curative part for spitting of blood out of the Lungs HEre you are to distinguish whether the Lung-vein be burst or corroded or sweats out blood or gapes The first of these indicates a sudden evacuation of blood by Phlebotomy for depletion and revulsion and afterwards requires conglutination The second indicates likewise a subtraction of blood in the beginning for to revel and draw from the Lungs and demulce the acrimony of the blood and thereupon make use of conglutinating Medicines The two latter indicate Phlebotomy for revulsion restringents to stench and incrassatives to thicken the blood Wherefore at the first budding of this Symptom especially if a vein be bursted and the spitting of blood copious immediately evacuate as large a quantity of blood out of the arm as the Patient can bear without Swouning for the greater and more sudden the evacuation is the sooner the blood spitting stops in which case expedition is very necessary for otherwise the continual coughing would attract a greater stream of blood and create a more difficult cure So that Practick Authours advise ill for subtracting blood in smaller proportions out of several veins at several times which method if the Patient cannot suffer the other may notwithstanding be used and seconded by Cupping-glasses applyed from below the shoulders downwards likewise glysters rubbing and tying of the extremities Purgatives during the violence of the symptom are to be refrained but afterwards for to prevent its return may be prescribed and those only senitives mixt with restringent purgatives as Myrobalans Rhubarb c. The other indications are to be answered out of these several classes Classis 1. Of ordinary conglutinatives and Emplasticks Cinquefoile Tormentil Millfoile Cumpry Willow weed c. Syrup of Cumphry of Fernelius The Emplasticks are Bole armene Terra sigillata Sanguis Draconis spodium gum Arabick Dragant Amylum or the finest kind of flower where they make starch of Mastick Franckincense c. Pyrola Shepherds purse Sanicle Golden Rod. Cl. 2. Of Restringents Sumach Plantain Houseleek Knotgrass Mouse ear Porcelain young Oak Leaves Vervaine Horsetail Ladies Bedstraw Bramble bush Leaves Speedwel Acorn Caps Pomgranat-shells Red Roses Wild Pomgranatflowers White Poppy seeds Henbane Seeds Myrtle Berries Sumach Seeds Coral Blood Stone Crabs shels burn'd Rhubarb tosted brown Acacia Hypocistis Crocus Martis burn'd milk Syrups of Dry Roses Quinces Myrtles Porcelain Poppies old conserve of Roses c. Out of these Physicians may form Electuaries Trochisces Sublingual Pills Apozems and distilled waters according to their best thinking To these wee 'l subnect such as are more specifically recommended by famous Authours Trallianus lib. 7. cap. 1. doth beyond all others and that justly extoll these following specifiques 1. The juices of Leeks and Netles with a small quantity of Vineger do most egregiously stop the blood of a bursted Vein 2. He tells us that the juice of Porcelain being drunk is a most excellent and powerful remedy 3. The decoction of Cumfry root is very much commended by him 4. The juice of Knot-grass doth singularly conduce to any kind of spitting of blood The same vertue he attributes to the juice of young Mastick leaves and particularly expresses an esteem for Sumach And beyond these formentioned Specificks he attributes an incomparable quality of cohibiting the most desperate kind of bloody sputation to a Blood-stone grinded upon a Porphyr to an impalpable powder and exhibited in a dose of Knot-grass juice Galen 7. de Comp. Med. prefers white Henbane Seeds but Amatus Lus. Cent 6. car 4. speaks wonders of the juice of the greater sort of Nettles Hollerius lib. 1. cap. 27. Sets a great esteem upon Knot-grass Duretus writes a great praise of the Distill'd water of those tails that hang upon Willow Trees He puts likewise a great confidence in Trochisci è carabe Valetius upon Hol. exerc 27. recites a cure of one that spitted blood who had tryed all the famous Physicians he could hear of and at last was cured by Scaliger who prescribed him this powder R. Spod ros rub bol arm ter sigil haemat aÌ„Ê’ v. coral rub carab margarit non perfor aÌ„Ê’ ij ss gum Arab. tragac aÌ„ Ê’ ij Sem. papav portul sem ros rub sem Arnoglos corn cerv ust aÌ„Ê’ iij. Acac. suc Barb. hirc suc glycyr aÌ„Ê’ ij amyl torrefact â„¥ j. M. f. Pulv. Dos Ê’ iij. in aq pluvial The same prescription he found afterwards extant in Serap cap. 25. â—r 2. except that here is an addition of coral â—ar and Marg. Syr. è symphyt fernel and Syr. coral Quercet are likewise in great request Platerus writes he cured a Woman with Trochis Alkekengi cum opio taken in Goats milk Quercetan's Aq. ad Haemoptysin is much commended Chymists exhibit 9 or 10 drops of Oyl of Vitriol in the juice of Knotgrass they likewise make use of Tincture and Salt of coral crocus Mart is ol mart tinct Smaragd ol succin c. But beyond all these I prefer Cerus Antimon prepared with Spirits of Vitriol especially where there is suspicion of coagulated extravasate blood which may be conjectured by the Feaver faints difficulty of respiration and excretion of crumbs of blood in which case the Physician must look to his business or else loses his Patient Galen prescribed oxycrate to dissolve the said coagulated blood Others commend Pulv. carb tiliae coagul hoedi cervi leporis sanguis hoedi non concretus rad rub tinct camphora sperm caeti mumiâ— ocul cancror cicer rub pulv Aq. cherefol Diaph in peracut Spir dulc Merc. essent Bellid c. But Mouse-dung taken from one Scruple to half a dram in chervil water excells them all To return to the remainder of this Chapter Those praecited Medicines proving defective in stenching that internal bleeding take your refuge to narcoticks among which that of Haelidaeus is most famous whereby he cured many in desperate cases viz. R. Sem. Hyoseyam papav alb aÌ„Ê’x terr Sigil coral rubr aÌ„Ê’v Sacchar ros vet q. s. m. f. Elect. Dos Ê’j adÊ’j ss Mane sero This composition Crato 5. Epist. f. 377. asserts to be excerpted out of Rhases his Cont. Laudanum opiatum pil cynoglos ' Diacod Pil. è styrace Philon. rom may also be brought into use here In cases of that importance I
in a day and so continued for some weeks 10. Fonseca consult 58. tom 1. sets a great value upon the Decoction of yellow Sanders 11. Arcaeus lib. de Febr. Erastus lib. 3. Cons. 8. Fracast lib. 3. de morb contag cap 8. Ingrassias in consult pro fist pect Stabelius in Disput and several others recite a great number of Phthisical cures and those desperate ones performed by a Decoction of Guaiacum wood 12. Trallianus lib 7. c. 1. speaks wonders of the use of Bloodstone Cardan writeth no less of the Decoction of Crabs Legs and Tails Fern. of the Syrup of Cumphry others of the Syrup of St. Iohnswort flowers and Syrup of Tobacco 12. For Compositions this following powder of Haly Abbas is by Valescus Forestus Rondeletius and all others received for a singular Medicine whereby the three former cured some Consumptives beyond their own expectation R. Sem. pap alb Ê’ x. gum arab amyl aÌ„Ê’iij sem portul malv. alâ—h aÌ„Ê’ v. sem cucurb cucum citrul cydon aÌ„Ê’ vij Spod glycyr gum tragac aÌ„Ê’ iij. m. f. Pulv. 13. This of Trallianus I esteem equal with the best composition that ever was prescribed by any R. Suc. sâ—mpervivi passi cretici mel attic aÌ„ cyath 2. sem urtic. cucum sativ cupâ—es aÌ„ â„¥ j. â—oq ad Consump med part Colat. adde pic liq cyath coq ad consist mellis huic admisce nard syriac Ê’ j. thurisÊ’ iij. Croci pip alb aÌ„Ê’ ij m. f. Elect. Here I have registred to you the most efficacious Medicines of this and the former ages which unless applyed by a dexterous hand may sooner kill than cure Moreover note these detersives may be mixt with the restringents consolidatives incrassatives of the preceding Chapter according as the Patients condition shall require For external means drying suffumiges or smoaks are oft prescribed with good success They are usually composed out of Frankincense Myrrh Pitch Olibanum Benzoin Styrax Gum. hederae Amber Rose leaves Coltsfoot dryed Sanders lign Aloes c. but the fume of Sandaracha is particularly commended Emollient temperate Oyls Liniments seem to facilitate respiration which the Physician must alwayes have an eye to and therefore it 's necessary he should ever mix some lenient pectorals with his other Medicines Issues in the lower parts do also divert Hermetical Physicians go another way to work they begin with a galliard vomit and so proceed to detersives and agglutinatives viz. Flowers of Brimstone Balsam and milk of Sulphur Elixir proprietat is crystal mart Extract Aristol rot spir salis dulc Ol. vitriol ol mercur dulce spir sulphuris per camp ol succin magist ocul cancror magist perlar tinct sal magist coral rub sacchar saturn Mynsighti antimon diaphor To Dogmatists this Chymical practice seems suspicious in regard that vomits do violently conquassate the Lungs and tare the Ulcer wider Moreover Hip. 4. Aph. 8. doth very much condemn vomits in such as are onely disposed to a Phthisis much more in those that are already tabefyed Hereunto may be replyed that vomits though they infer some small detriment to the Lungs yet they import a far greater benefit by working immediately upon the parts mandant and Hip. himself lib. 2. de Morb. did frequently exhibit Hellebor to Consumptives which is experienced to be a very churlish Medicine On the other hand Chymists quarrel with Dogmatists for letting blood in Consumptions where nature is already so much defrauded of its Genius and consequently rather hungers for a greater supply of nutriture this objection they easily answer in asserting that in many Consumptives there is a Plethora ad vires though in no wise ad vasa a great acrimony in their blood and an impetuous afflux of humours to their Lungs which do very urgently indicate Phlebotomy whereby Hipp. 5. Epid. 6. recovered a Consumptive whose disease contemned all other remedies and Galen 6. Epid. cured a Woman of a Phthisis by the same means Several other Authours likewise observe many rescued from imminent Consumptions by detracting small proportions of blood No doubt but Phlebotomy and Vomits have their use in this malady but the Temperament Age Sex and Idiosyncrasia of the Patient degree of the Disease and other urgent or contraindicating symptoms must be exquisitely observed It 's time I should take leave of my Reader which the urgency of my affairs doth now prompt me to However for his last farewel we 'l entertain him with some few observations of mixt cures namely partly spagyrical and partly dogmatical Obs. 1. One G. T. a Merchant's Apprentice upon a continuated debauch was surprized with a tedious Cough oft expectorating small quantities of blood whereupon he soon dropt into a proper Consumption but was in a short time recovered by these means I advised him to the Country where by my appointment a proportion of blood was extracted twice out of the Haemorrhoids by Leeches Before and afterwards was several times purged with this bolâ— R. extract rec cass â„¥ ss pulp tamarind man calabr aÌ„Ê’ij crystal tart ℈ j. Rhab eâ— pulv agar rec troch aÌ„ ℈ ss spic nard gr 4. cum sacchar M. F. Bol. for sixteen dayes he took this Elect. mornings and evenings drinking upon it a draught of Decoct of red Sanders sweetened with Sugar of Roses and acuated with a drop or two of Spir. Sulphur per camp R. Magist. stypt Specif Hect. croc angl aÌ„ gr 4. Conserv ros vet Ê’ j. M. F. Bol. His ordinary drink was white Whey his dyet broaths alter'd with herbs and oftimes Buttermilk Obs. 2. A young woman aged 24 spitting blood and matter upon the stoppage of her courses was let blood out of the foot and oft purged with Diaprunum lenit â„¥ ss Merc. dulc gr 15. crem tart ℈ j. She drank a decoct of Sarsa with Veron agrimon heder ter Dates Corrents and Liquorish for 21 dayes at the expiration of which term she was cured of her Cough and there appeared a shew of her flowers I advised her also to Looch Papap and è Pulm. vulp ana and to make an Issue in her left Leg. Obs. 3. A Child aged 3. deform'd with the Rickets consumed to skin and bones was cured in a month by the Tincture of tartar taking two drops twice or thrice a day in Whey Obs. 4. I have seen many thousands of Diseased in the Hospitals of France Germany Italy Holland Flanders and other parts but never observed so many great Diseases complicated in one body as not long since in one of my Patients the party had been seised of a latent venereal malady two or three years together and newly again surprized with a Green virulent Conorrhe a constant excretion of purulent matter an immitigable Cough a confirm'd Dropsie a most forbid Ulcer in the Kidneys evacuatting constantly a great quantity of blood and Pus matter with his Urin a perfect Consumption great obstructions of his Bowels and many other most urgent Symptoms Whence I could observe the strange force of nature though in a body naturally weak to support such a number of great Diseases and that which to me appeared more strange was an intermission of at least two pulsations in nine or ten continuing that type for several hours I am confident if not dayes Obs. 5. A Smith that had expectorated putrid thick ugly matter for at least two months I cured out of charity I gave him two doses of Antimon resuscit the preparation whereof I have divulged to you in Venus Unmask'd and advised him to drink twice a day a small draught of Spring water being render'd bitter with soot burn'd out of wood and sweetned again with brown Sugar which in a month perfectly cured him I thought to have presented you with several other remarques but that the Bulk of this Treatise being already swell'd beyond my purpose obliges me to come to an END The Table of Contents CHAP. I. OF the Original Contagion and frequency of Consumptions p. 2. CHAP. II. Of the various acceptions of Consumptions p. 6. CHAP. III. Of the Fundamental Principles or Balsamick mixture p. 14. CHAP. IV. Of the nature of a Consumption in general p. 21. CHAP. V. Of the nature of a Proper and True Consumption p. 24. CHAP. VI. Of the nature and kinds of Bastard Consumptions p. 30. CHAP. VII Of an Hypochondriack Consumption p. 32. CHAP. VIII Of a Scorbutick Consumption p. 37. CHAP. IX Of an Amorous Consumption p. 39. Of a Consumption of Grief p. 56. CHAP. X. Of a Studious Consumption p. 61. CHAP. XI Of an Apostematick Consumption p. 63. Of a Scirrous Consumption p. 67. CHAP. XII Of a Cancerous Consumption p. 68. CHAP. XIII Of an Ulcerous Consumption p. 69. CHAP. XIV Of a Dolorous Consumption p. 71. CHAP. XV. Of an Aguish Consumption p. 72. CHAP. XVI Of a Febril Consumption p. 74. CHAP. XVII Of a Uerminous Consumption p. 75. CHAP. XVIII Of a Pockie Consumption p. 80. CHAP. XIX Of a Bewitched Consumption p. 81. CHAP. XX. Of a Consumption of the Back p. 91. CHAP. XXI Of a Consumption of the Kidneys p. 103. CHAP. XXII Of a Consumption of the Lungs p. 106. CHAP. XXIII Of the kinds of Pulmonique Consumptions p. 109. CHAP. XXIV Of an Ulcerous Pulmonique Consumption p. 111. CHAP. XXV Containing a disquisition upon the causes praecited p. 115. CHAP. XXVI Of a more apparent cause of a Pulmonique Consumption p. 121. CHAP. XXVII Of some less frequent and rarer causes of a Pulmonique and other sorts of Consumptions p. 147. CHAP. XXVIII Of the Procatarctick or external causes of Pulmonique Consumptions p. 155. CHAP. XXIX Of the Signs of a beginning or growing Consumption p. 170. CHAP. XXX Of Signs Diagnostick and Pragnostick of the several kinds of spitting of Blood p. 173. CHAP. XXXI Of the Diagnostick signs of a confirm'd Consumption of the Lungs p. 184. CHAP. XXXII Of the Prognosticks of a Pulmonique Consumption p. 195. CHAP. XXXIII The Therapentick for Consumptions p. 206. CHAP. XXXIV The Preservative for Consumptives p. 216. CHAP. XXXV The curative part for spitting of blood out of the Lungs p. 223. CHAP. XXXVI The Cure of a Pulmonique Consumption p. 233. FINIS