You see his Shadow and his outward Looks Such was his face which yet is but the rind To know him better you must read his Books You 'l wonder at his gifts and noble mind THE Expert Phisician Learnedly treating of all AGVES and FEAVERS Whether Simple or Compound Shewing their different Nature Causes Signes and Cure viz. A Feaverish Heat The differences of Feavers A Diary Feaver A Burning Feaver A continual Putrid A continual Tertian A continual Quotidian A continual Quartan An intermitting Quartan Feavers annexed to Quartans A Semitertian Feaver An Hectick Feaver Confused Erratick Feavers Malignant pestilent Feavers c. Written originally by that famous Doctor in Phisick Bricius Bauderon and Translated into English by B. W. Licentiate in Physick by the University of Oxford Published for the general good of this Nation and may be put in practice with facility and safety Printed at London by R. I. for John Hancock and are to bee sold at the first shop in Popes-head Alley near the Exchange 1657. The Epistle to the Reader Courteous Reader THere are no Diseases more frequent in this Nation none more difficult of Cure than Agues and Feavers so that they are Proverbially called The Scandal of Phisicians Fernelius who was thought to have writ best against them was himself destroyed by one neither hath there yet been publisht any remedy so saving as their fiery darts are killing Accept then of this Balsome gathered from the choyse Gardens of the Greeks Latines Arabians by the hands of that incomparable Dr. Bricius Bauderon whose age and experience works more on my faith than the unfathomed Arcana of the moderne Febrifuga hee was eighty years aged when he writ this Tract and had fifty years confirmed by his Practise what in one moneths time thou mayest now be master of his painful long-teeming Birth wants nothing but thy embraces to cherish it it hath been for many years cloystered up in the French and Latine tongue though desired by ambitious heads as a choyse purchase few private Studies could boast of its possession which encouraged me to set it forth in this English Garb in which it is entire though not so splendid more profitable though not so beauteous Such emunct nostrils as shall snuffe at it are like those my Author speaks of that wil swound at the smel of a Rose suburban wits that breath best in the worst Air or like some unclean Creatures that thrive best in standing Pools but I leave them and commend the ingenious to the Work it self methodical facil and perspicuous enough to benefit the meanest capacity yet satisfie the highest read and be convinced Thine B. W. The Contents of every Chapter Chapter 1. TReateth of a Feaverish heat Chap. 2. Of the differences of Feavers Chap. 3. Of the Division of Feavers Chap. 4. Of the Circuit of Feavers Chap. 5. Of the Constitution of Feavers Chap. 6. Of the Four times of Diseases in special Chap. 7. Certaine Physical Rules for practise Chap. 8. Of a Diary Feaver Chap. 9. Of an unputrid Synochus Chap. 10. Of a continual putrid Feaver Chap. 11. Of a Burning-feaver and continual Tertian Chap. 12. Of the Cure of these Feavers Chap. 13. Of a continual Quotidian Feaver Chap. 14. Of a continual Quartan Chap. 15. Of an intermitting Tertian Chap. 16. Of the Cure of a spurious intermitting Tertian Chap. 17. Of an intermitting Quotidian Chap. 18. Of a Quotidian Feaver from salt Flegme Chap. 19. Of an intermitting Quartan Chap. 20. Of Feavers annexed to Quartans Chap. 21. Of confused compounded and erratick Feavers Chap. 22. Of a Semitertian Feaver Chap. 23. Of a Hectick Feaver Chap. 24. Of Malignant and pestilent Feavers Chap. 25. Of the Cardiacal Feaver Chap. 26. Of the Feaver from Crudity Special observations for the Readers more easie apprehension REader for thy better understanding of the quantity of Weights used in this and other Physick Books in Compounding of Medicines observe this brief direction That A Graine is the quantity of a Barley Corn A Scruple is twenty Barley Cornes Three Scruples containe a Dram. Eight Drams containe an Ounce The expert Phisician Learnedly treating of all Agues and Feavers whether Simple or Compound CHAP. I. Of a Feaverish heat A Feaver is so called from the Latine word Forveo because it is a Fervor or Heat affecting the Body the Grâ—eks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is to be inflamed or taken with a Feaver sometimes it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a fiery habit or fiery disposition of the Body and by Hippocrates in the first Book Epidem Commen 3. text 18. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is fire it self It is a praeternatural heat kindled in the heart as in its proper subject primarily and per se hurting our actions which heat by the mediation of bloud and spirits through the Veines and Arteries is diffused through the whole body Now all heat is either Natural or ascititious the Natural is either implanted and fixt or elementary and fluid and a Feaver cannot consist in either of these because the implanted is fomented by the primogenious moysture whose original is heavenly and once depeculated or wasted cannot be repaired nor in the elementary because this by its temper doth help and cherish the implanted and further it in concocting and assimilating the nourishment which is to bee converted into our substance this heat Phisicians call influent because with the spirits and bloud from the heart it is carried by the Veines and Arteries to all parts of the body a feaverish heat then is in the ascititious saith Galen Comment on the sixth book Epidem Hippo. text the 28. An ascititious heat is Three-fold the first in respect of the other is said to be simple that is a bare exuperancy of heat which is thus ingendred the Elementary or fluent heat by a daily increase receding from its temper and mediocrity becomes excessive so that that which was natural by degrees becomes unnatural and therefore vitious and offensive to nature doth hurt her operations and in this ascitious heat are your Ephemerae or Diary Feavers and unputred Synochus The second heat different from the former is acrid and mordent arising from putrified matter which though it be not very burning hot yet favouring of the condition of the matter from whence it proceeds is praeternatural and burdensome to the implanted heat and in this are putrid Feavers both continual and intermitting compound erratick and confused The third ascitititious heat is wholly malignant and pernicious caused from some venenate or pestilent matter not from the exuperancy of its quality as the first nor from putrefaction as the second but is substantially different and inimicous to the vital and implanted heat CHAP. II. Of the differences of Feavers SEeing that all Feavers are caused by an ascititious heat and not by a natural as was said
Quintan Sextan Septan and Nonan we must not think they proceed from any next kinde of Humour but are to bee referred to a Quartan and to be cured by the same method onely the difference is that a Quintan is caused from an atrabilarious humour and is the worst of all fullest of danger and of the greatest essence saith Galen Commen on the third Section of the first Book Epidem but the rest are from a melancholly humour A Hectick Feaver although it bee in the solid parts is to be reckoned amongst the Simple Feavers it differs from a pestilential in that it is free from any venenate or malign quality from the Humoral that is free from putrefaction A Pestilent Feaver is likewise numbred amongst the Simple though it differ from them by its venenate contagious and pernicious quality by which it contaminates our substance and amongst malignant Feavers may be numbred those from vitellinous aeruginous and prassinous choller according to Galen and Hippocrates and Avenzâ—ar in his Theisir A Leipyria is placed also amongst malignant Feavers by Hippocrates in his Epidem and Progno 2. Lib. 3. and by Galen in his Comments upon those Books it differs from an exquisite cause by its malignity and is always deadly according to Galens Commen on Aphâ—ris 48. Sect. 4. and c. 4. of his Book of Inequal Distempers it kills the fourth day or sooner and follows great inflammations of the Viscera so much of Simple Feavers A Compound Feaver is that which is made either of two intermittings mixt as a double tertian a double and triple quartan or of a continual and intermitting as a hemitritaean or a Hectick with a putred make a Compound Feaver and so likewise of many others The confused is as often as two or three Humours doe putrefie together whether in the great Veines or out of them and in the same place begin together and end together for this mixion ingenders no compound but a confused Feaver and the one cannot be known from the other because the signes are so confused from whence it hath its name as for example if Choler and Flegme putrefie together in the great Veines there shal be two continual Feavers in the same place which make a confuse and no Compound Feaver on the other side if the same Humours putrefie with melancholly in the lesser Veines altogether and in the same place there shall bee two or three intermittings which mixt doe likewise produce no compound but confused Feaver so a double continual tertian will be confused and not compound because the putred matter is contained in the same place The Erratick or inordinate Feaver is that which observes no type or order of other Simple Feavers whose humour putrefies in divers places and moves from one place to another from whence is the diversity of the fits sometimes it intermits four dayes sometimes eight and sometimes more and then recurres sometimes it comes sooner and is called praeoccupant sometimes moves slower and is called retardant and so much for essential Feavers A Symptomatical Feaver though it be continual yet differs from the former because its matter is not contained in the greater Veines neither hath it any exacerbations or remissions but depends on the inflammation of the part which it possesses from whence it hath its name as is observed in the second Chapter CHAP. IV. Of the Circuit of Feavers TO finde out the Reason of the Circuits of intermitting Feavers is of no small moment amongst the Learned for what one allows another reprobates every one applauding his owne phansie leaving then their nicities I shall declare my owne opinion having premised somewhat for elucidation of what shall follow all the parts of the body are endued with four Faculties to wit the Attractive Retentive Alterative and Expulsive and as long as these are free from any fault man lives in perfect health and when one of these is too strong for the other he is affected with various Diseases as if an excrement be inherent to any part and cannot bee expeld from it by reason of its weakness it becomes burthensome to it because it is neither discussed nor removed or if by reason of its coldness crasseness or clamminess it obstruct the passages through which it ought to be expeld it putrefies and causeth a Disease and the heat contracted by putrefaction is very offensive to the heat and first of all occupies and infests the Spirits because they are tenuous then the Humours because they are more craâ—â—e and last of all the solid parts and this heat from the heart through the Arteries dispersed to the whole body generates a Feaver and hurts our actions The cause then of the shortness or length of the anticipation or tardation of the Circuits may be taken from these Six things viz. From the Species of the Humour from the quantity quality habit of the Body disposition of Strength and complication of Feavers There are four Humours in the Body one of which exceeds the other in quantity and quality as if pure bloud putrefie in the great Veines which is hot and moyst it begets a continual Synechis if out of those Veines it produces an intermitting it s thinner part is turned into choler and the crasser into melancholly as Alexan. Aphrodis learnedly notes Another cause of the circuits is from the quality of the Humour and weakness of the part where the excrement is heaped up as flegme next to bloud exceeds other Humours in quantity and being cold of quality and moyst crasse and clammy by its frigidity it resists putrefaction and by reason of its crasseness and clamminess is not so easily resolved as bloud and hence are the length of its fits and by reason of the reliques and imbecillity of the part new excrement is heaped on it thence are new fits which recurre every day and if yellow choler putrefie in a part it causeth the like though more difficultly than flegme by reason of its driness by which it more powerfully resists putrefaction and because it is a tenuous humour and not crasse it is farre more easily resolved than flegme and leaves less reliques behind it in the affected part and hence is it that its fits which it causeth doe sooner end in an infebricitation and greater time or interval is required for a new accession but because the part is debilitated by the former excrement it readily receives the new which putrefying as before causeth a new fit neither sooner nor later than the third day and lasts twelve hours and is therefore called a tertian because it recurres every third day The melancholly juyce retained in a part doth not so easily putrefie as other Humours by reason of its two qualities which resist putrefaction viz. frigidity and siccity and therefore it intermits two daies and returns every fourth day and though the former matter bee emptied yet there is a weakness and disposition of the part as in the other to receive a
Simple is either in the spirits or humours or solid parts chiefly in the vital spirits then in the animal and natural if there be any such is the true Ephemera which lasts but one day but longer if the spirits be crasse In the Humours are ingendred divers Feavers of which some are continual others intermitting and of the continual some are from the Humours not putrefied others from putrid humours and these either from the humours equally or inequally putrefied Those which are from the humours not putrefied are from the bloud inflamed in the heart by a preternatural heat which by the greater veines diffused into the habit of the body doth primarily and per se hurt our actions These differ from an Ephemera nominally and in respect of the matter not really nor in way of cure because the one is in the spirits inflamed the other in the bloud unputrefied both may proceed from the same external causes and the same method and remedies serve for the cure of both they are continual and have but one accession although there bee three sorts of them distinguisht by their several names The first is when the heat remains equal and alike to it self through the whole course of the Feaver and how much is inflamed anew so much is presently dissipated and this the Greeks call Homotonos or of equal tenor The second is when the late inflamation is greater than the dissipation and then the heat gathers strength and grows stronger and this is called Epacmastical or increasing The third is when there is more dissipated then is afresh inflamed and it sensibly declines till it end and by the same Greeks is called Paracmastical or declining and this Synochus may last seven days but an Ephemera transcends not the third day unless the spirits be crasse full bodies which abound with bloud and fare deliciously and live idlely and those in hot and moyst or temperate regions are most subject to the unputred Synochus for the most part it ends with sweating or moystness as an Ephemera which wants not its danger if you neglect bleeding Feavers which are in the putred Humours are either from equal or inequal putrefaction if the Humours be equally putrefied in the great Veines the Feavers are continual and are three-fold distinguisht by the same names as the unputred Synochus for the first is Homotonos when the putrefaction remaines equal and alike to it self through the whole course of the Disease and how much putrefies so much is emptied the second Epacmastical when the putrefaction from the beginning to the end increaseth the ast Paracmastical when the morbifical humour is from the beginning to the end by degrees diminisht Theâ—â— three have no remissions or exacerbations apparent at intervalls because the Humours are equally putrefied in the great Vessels as are in those which proceed from the Humours inequally putrefied in the same Vessels of which in their proper place neither have they any intermissions as are in the exquisite intermitting Feavers but last till the whole putrefaction is discussed their signs are like to those of the unputred Synochus but more conspicuous because they are from putred matter but those from the effervescency of heat The latter Phisicians use the word {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} for every continual Feaver caused from the Humours inequally putrefied in the great Veines to difference it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which signifies the same if you respect the etymology of the word This Synechis or continual Feaver hath divers appellations according to the site of the Humour which doth unequally putrefie if in the great Veines near to the heart a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or burning feaver is ingendred but if in the other Veines further off a continual Feaver is caused which hath its denomination from the predominant humour viz. if Natural choler putrefie there will follow a bilious Synechis which every other day shall have its exacerbations and remissions and in the morning especiall shall be most remitted but without intermission from whence is a continual tertian if Natural flegme putrefie in the veines there shall be a continual quotidian which likewise every day at set hours shall have its remissions and exacerbations if a melancholly humour putrefie there shall be a continual quartan which every fourth day shall have its intension and remission but no intermission Amongst those Feavers which are caused from Humours inequally putrid there are some others which differ from the continual both in matter and site and are called intermitting for the matter of continual Feavers is natural but that of intermittings is excrementitious the seat and matter of the continual is in the great Veines but that of the intermitting without them as in the Liver Stomach Spleen Intestines Mesentery and habit of the body so that if excrementitious choler putrefie it is called an intermitting tertian because it recurres every thrid day begins with rigour and sometimes with vomiting if it be exquisite whose fit is twelve hours or less according to the quantity of choler producing it and is terminated with Sweats then ends in an apyrexy or perfect infebricitation and the fuel of this Disease is principally in the Liver likewise if excrementitious flegme putrefie out of the great Vessels is caused an intermitting quotidian whose fit is eighteen hours by reason of its coldness crassness and clamminess and it begins with a coldness of the Nose Eares Hands and Feet and is terminated with a moysture and not with sweat as a tertian the fountain of this is the Stomach if glassie flegme putrefie in the same place there is another kind of Feaver which the Greeks call {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the word is derived from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is milde and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Sea because as that at first seems smooth to the Marriner and by and by is tost with most horrid Tempests so this Feaver at first invasion is gentle and so takes root and a little while after precipitates the sick into most desperate dangers or as Aegineta would have it it is derived from the Adverb {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is gently and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} heateth to this kinde may bee referred those from Rheume and that which accompanies the Green Sickness but of them in their place If a melancholly excrementitious Humour putrifie there it begins with horrour and sometimes with vomiting as a tertian and the fit is twelve hours or more or less according to the quantity of the Humour and recurres every fourth day and therefore is called a quartan which is the longest of all Feavers and hath its seat in the Spleen and so much for Feavers in the Humours inequally putrified whether continual or intermitting and though Hippocrates and Galen make mention of a
and the Diary proceed from cold with hony of Violets Roses or Mercury and oyle of Water-Lillies each an ounce and half and give the Glister after this if the sick be plethorick or full of bloud and young or the Haemorrhoids or Courses bee suppressed draw six or eight ounces from the right axillary veine as strength shall allow but if the Patient refuse a Glister then in the declination of the Feaver give this following potion Take of Melon-seeds pilled one dram of Tamarinds two drams Cassia nexly drawn one ounce and a half infuse them in the common purging decoction all night over warme embers streine it and dissolve with it Sirup of Violets or Roses of nine infusions one ounce and give this potion betime in the morne Or instead of this you may give an ounce and a halfe of Manna of Calabria dissolved in a little fresh broth It the Diary flow from the thickness of the skin or the use of Alume-baths then this following Bath made of Paregorical and Diaphoretical things will be good Take of Mallows Violets Saponarie Succory wilde Endive and Lettice each six handfuls new Roses if it be spring or dried if summer four handfuls of Wormwood and Centaury the greater each two handfuls Marsh-mallow roots sliced or bruised a pound of Fenugreek-seed and Salt-nitre each two ounces boyle them in a hundred pints of water for a Bath into which let the sick enter at the declination of his Feaver and drying his body let him goe to bed and there sweat an hour or two after CHAP. IX Of an unputrid Synochus AN unputrid Synochus hath no small Analogy with an Ephemera for both are without putrefaction and have but one Fit until their end but they differ thus an Ephemera is essentiated in a preternatural heat inflaming the vital spirits and an unputrid Synochus in the bloud preternaturally calified in the heart without putrefaction is is differenced from a Hectick because this it in the solid parts from a putrid Feaver by its putrefaction The heat of a Synochus if compared with that of an Ephemera is acrid if with that of the putrid gentle because the bloud is of a temperate nature the conclusion then may be that a Synochus is a continual Feaver proceeding from redundancy of bloud heated beyond measure by a preternatural heat but without putrefaction hurting our actions The causes are not unlike those of an Ephemera but more vehement the principal are the denseness of the skin or filth obstructing the pores and incarcerating fuliginous excrements c. which prohibiting the eventilation of the bloud doe so inflame it or the suppression of some evacuation as of the Courses Haemorrhoids or from excesse and fury thus the vital spirits are first inflamed by reason of their tenuity then the bloud which inflammation the Greeks call a Phlogosis but under the name of bloud you are to understand the four Humours contained in the greater Veines which as often as they are inflamed without putrefaction they cause this Synochus full bodies that fare well and live idely are most subject to it c. This Feaver for the most part lasts till the seventh day begins with a coldness and ends with sweat with a red urine the pulse strong and swift there is no danger in it unless some errour bee committed and then it degenerates into a putrid Synechis whence follows death unless prevented by large bleeding the whole body but especially the face is dyed with bloud weariness possesses the limbes the veines are turgid the temples beat the head akes and often a deep sleep surprises with difficulty of breathing the skin is soft perfused with moysture and a gentle heat The cure is taken from the essence of the Feaver and cause of the Disease the essence being hot and dry indicates contrary remedies and the cause its removal First then let the diet be thin cooling and moystning Hippoc. Aphoris 16. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} a moyst dyet is good for al feaverish bodies especially for Children and those accustomed to such dyet as Cock broth or of Lambe or Veal alterd with cooling Herbs and Barley waters c. or some acid sirrups as of Limons Citrons Pomegranats c. Galen reckons amongst the chief remedies of this Disease bleeding till we faint if the body be open otherwise to premise this Glister Take of the leaves of Violets Burrage Lettice Purslaine each a handful Prunes sixteen of the four greater cold Seeds each two drams boyl them in water to ten ounces the dissolue of simple Diaprunum and Sugar each six drams Hony of Violets and Oyle of Water-Lillies each an ounce and half and make a Glister it cools moystens purges and prevents a putrid Feaver then let bloud for the Veines being emptied that attract much cold art to avoyd a vacuum into the roome of the bloud by which the rest of the bloud is cooled and reduced to its ancient state the fire extinguished and the putrefaction inhibited because both the Natural and preternatural heat are seated in the bloud and spirits then use this Apozeme Take the Roots of Sorrel Grasse Butchers Broom Asparagus each an ounce these rootes resist putrefaction and by their tenuity of parts open obstructions without any manifest heat of both Succories Lettice Burrage Purslane or Liverwort each a handful Prunes sixteen Endive seeds half an ounce of the four greater cold Seeds each two drams of Violet and Water-Lilly-flowers each a small handful boyl them in three pintes of Water to a pinte and half streine it and adde of the compound sirrup of Endive or of Oxysaccharum simple four ounces and Aromatize it with white n for four or five days After the seventh day you may give this Purge Cinnamon a scruple Rhubarb four scruples Try pherae Persicae three drams Cassia newly drawn an ounce infuse them one night in part of the Apozem over warme embers then streine it and adde of sirrup of Violets of nine infusions an ounce and half CHAP. X. Of a continual putrid Feaver A Synechis or a continual putrid Feaver is two-fold the one where the Humours are equally putrefied in the great Veines the other when inequally from those equally putrefied arise three sorts of Feavers as did in a Synochus unputrid viz. the Homotonous Epacmastical and Paracmastical and these have no manifest intermissions as intdrmitting Feavers nor remissions and exacerbations as those which proceed from the Humours unequally putrefied in the great Veines When the Natural Humours doe unequally putrefie in the great Veines it is either natural flegme which is nothing else but the cruder part of the bloud which as often as it putrefies it causeth a continual Feaver which is every day at set hours intended and remitted from whence it hath its name of a continual quotidian If natural choller putrefie in the Veines near to the heart it causeth a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or Burning-feaver
if in places more distant either upward or downward a continual tertian is produced which every third day is intended and remitted but intermits not because the putrid matter is contained within the great Veines and not out of them Lastly if a melancholly humour putrefie there every fourth day it hath its remissions and exacerbations The external causes are like those of an unputrid Synochus but stronger the internal are obstructions either in the greater Veines or in the skin or in the small Veines of the Liver or habit of the body which hindring perspiration the Native heat is extinguisht and hence putrefaction the parent of this Feaver The sigâ—es are taken from the mordent heat urine and pulse the urine is crasse red turbid faetid and without sediment the pulse not only great vehement and quick but unequal and inordinate A Crisis does usually happen in all Diseases one of these six wayes viz. by bleeding at the Nose or by Vomiting or by looseness or by sweats or by urine or by parotides in malignant and pestilential Feavers if by chance Nature attempt a Crisis on the sixth day although signes of coction appeared in the urine on the fourth yet it is dubious and fore-tells a relapse but if with signes of coction the Crisis be with fainting or any other grievous Symptomes it portends death or if a looseness seize at the beginnig and the Feaver continue in the same state with signes of crudity it presages death because Nature is overwhelmed with the plenty of matter on the other side if the Feaver be abated by the looseness the sick well enduring it and breathing freely hee shall escape if spots appear the fourth day either black or livid death is at hand for they denote some malignant quality which had they been red only and the Patient strong with signes of coction there were good hopes this Feaver is most gentle in the morne The Cure consists in evacuation and alteration evacuation is to be made by bleeding and that at the beginning for feare of suffocation or swounings but if the Patient sweat or have the Haemorrhoids or a Haemorrage or the Courses appearing then the whole business is to be committed to Nature but if they flow but sparingly and the Feaver be not mitigated bleed notwithstanding the second part of the Cure consists in alteration of the Humours by cooling and opening without any manifest heat and restraining putrefaction as with the fore-mentioned apozem besides use this cordial powder Take of red Corral and the fragments of the five precious Stones finely powdered each a scruple the bone of the heart of an Hart or of an Oxe for they are both of the same vertue half a dram of Pearl a dram sugar of Roses a sufficient quantity and four leaves of Gold let it be dissolved in broth or ptissan or in the decoction of Sorrel roots Take of the powder of Balm and Saffron each a scruple Water-Lilly-flowers red Roses and Grana Tinctorum each two scruples powder of Diamargaritum frigidum four scruples red Wine two ounces Scabious Bugloss and Purslane-water each five ounces apply it to the region of the heart with a thick red cloth Take of the Conserve of Burrage and Marigold flowers each an ounce confection of Alchermes a dram spread them on a searlet cloth and apply it after the Epithem Take of the Cerot of Saunders and oyntment of Roses by measure each an ounce oyl of Roses an ounce then wash them often with Rose-water adding half a scruple of Camphore bath the part with a Linnen cloth let it be cold in Summer luke-warme in Winter with three ounces of the white oyntment of Galen and half a scruple of Camphore anoynt the reines and loynes once an hour CHAP. XI Of a Burning-Feaver and continual Tertian THese Feavers differ not in matter nor cure but in their name and seat both are caused by a cholerick bloud putrefied in the great Veines the Viscera being well that in the Veines nearer to the heart as in the ascending trunk of the Vena cava and in the arterial Veine and coronal of the heart this likewise in the great Veines but more distant from the arme-pits to the groine A Burning-feaver is so called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} by way of eminency because it is so great a fire in the heart This Burning-feaver as also a continual Tertian is two-fold exquisite and not exquisite the exquisite is from cholerick bloud putrefied as afore the non-exquisite is when besides choller salt flegm or ichors are putrefied with it and this causus happens two wayes the one when the Veines dried by the heat of Summer doe attract to themselves cholerick ichors which are acrid as we being destitute of good food make use of worse the other way is when ichors and other humours are cast from some strong part upon a weaker and not ventilated doe putrefie thus likewise a continual tertian is two-fold the exquisite from cholerick bloud the non-exquisite from the admission of flegme melancholly or ichors The external causes are the hot air inspiration of putrid vapours a cholerick distemper drunkenness sadness by calling the heat from the circumference to the center c. The internal are either antecedent as obstructions from crasse and viscid humours which hinder perspiration by which means even good humors putrefie or a plenitude either quoad vasa which distends the Vessels or ad vires which cannot bee concocted and governed by nature Or continent as the putrid humour it self which inquinates the pure bloud of the heart not the whole mass at once but that which is next it and so by order of succession The cause of a not exquisite continual tertian is the mixture of salt flegme or ichors putrefying in the Veines of the Midriffe which proceed from the ascending Trunk of the Vena cava or from the veines of the mouth of the stomach which flow from the Splenical trunk of the Porta and make the stomachical coronary or else it flowes from the hungry Gut or the simous part of the Liver the signes of both legitimate and illegitimate are almost alike The pathognomonical are taken from the burning heat which choller produces and the unspeakable thirst the acrimony of the humour continually molesting the heart and stomach unless by chance a thin humor fall from the braine and moysten the tongue Signes assident or concurring are the driness blacknness and roughness of the tongue from the adustion of the humour paine of the stomach Dreams delirations difficult breathing the Lungs or Midriffe being inflamed c. sometimes it begins with a gentle rigour sometimes with Vomiting sometimes with sleepiness if it be exquisite sometimes with horrour if it bee spurious by reason of the mixture of choller and flegme at the beginning the urine is crasse and turbid the pulâ—e small and unequal The signes of an exquisite
two last which are now to be explained The beginning is when the matter begins to be moved and Nature hath not yet begun to work upon the matter The inequality when the matter begins to putrefie and putrid vapours assault the heart and a feaverish heat is diffused without the heart which whiles it is expanding Nature gives battle against the matter The augment is when the heat is equally expanded throughout all parts and the heat is more intense and Nature re-acts on the morbifical matter The state is when there is an omnimodal equality in the feaverish heat that is when the heat is extended through all parts in an equal degree The declination is when there is a gradual inequality of heat or when the heat is diminisht and Nature overcomes and the seaverish heat forsakes the heart and invades the extreame parts and feet The integrity is when the Feaver is quite off but these Six may very well be reduced to Four because the former of the inequality is reduced to the beginning the latter part to the augment and the integrity is no time of the Feaver but of the Period and so much of Feavers whose matter is moveable from place to place Now let us speak of that matter which is not moved but remains in a part by reason of its weakness that it cannot expel it and therefore putrefies and causeth a putrid Feaver which the matter being emptied doth intermit but because the imbecillity of the part is still remaining and certaine seminaries of the former matter therefore a new excrement is easily received which being corrupted causeth a new fit The beginning of these fits is when the superfluity begins to putrefie the augment when the fuliginous putrid matter assaults the heart and the humours contained in it are inflamed so that its innate heat is made fiery hot the state is when this fiery Fervor is brought to the height and the de bate is strongest between the feavourish heat and Nature the declination is when Nature overcomes the fiery heat and expells it if the matter bee tenuous by sweat if the pores be open and the expulsive faculty strong or by Urine if those passages be open or by the stoole if the matter be crasse which is the way appointed by Nature for such excrements The beginning of these Diseases is known from the pulse rare and slow from a plumbeous or sublivid colour a coldnesse of the extreame parts ssoath sadness paine and profound sleep the heat being retracted to the heart and the braine refrigerated from their eye-lids scarce moveable the matter moving outwards and molesting them from their salivation caused by the concussion of the rigour or horrour the salival matter residing in the glandules about the root of the tongue being expressed by it When a dry Cough is caused the thinner part of the moisture falling into the rough Artery it being ineffectual and vaine the sick is worse affected and then is the augment with a great pulse frequent and the heat expanded to all the parts The state followes when the heat is consistent at its height neither encreased nor diminisht the Symptomes vehement the Pulse greater swifter and more frequent then ordinary If the declination tend to death which is very rare the pulse is weak unequal and inordinate but if to health then all Symptomes are remitted and strength daily encreased These Four times are to bee observed both in salâ—brous Feavers and mortal but in different respects in the third Chapter we told you that salubrous Feavers were either in the Spirits or in the Humours or in the solid parts In the Spirits is a Diary whose times are not taken from the matter nor from the symptomes but from the essence of the preternatural heat kindled in the vital spirit of the heart The whole fit of this Feaver is twenty four hours sometimes shorter or longer according to the quantity of the febrish heat crasseness of the spirits the strength of the sick or thicknesse of the skin but if it be exquisite it speedily runs through its four times The Humours may bee inflamed without putrefaction and cause a continual Feaver which hath but one fit and that longer than a Diary whose four times are taken from its essence and from the matter viz. the fervid bloud hurting our actions whether it be homotonous epacmastical or paracmastical and these four times may be distinguished though short and the matter not moveable from place to place Next let us examine the Sings by which the Four times of Feavers which arise from the Humours equally putrefied whose matter is quiet and immoveable may be distinguished and afterwards of those inequally putrefied we will speak first of those whose matter putrefies in the great Veines and if equally there shall arise a threefold continual Feaver which come not alike to the integrity or interval and end with one fit and has no periods yet hath its four times distinguishable The first is when through the whole course of the Disease the measure of putrefaction is alike and the Greeks call this Homotonos the second is when the putrefaction is greater than the dissipation and this is called Epacmastical the third is when the dissipation is greater than the putrefaction and is called Paracmastical and their four times are distinguisht by their intention and remission and putrefaction if the Humours which are contained in the great Veines doe unequally putrefie it is either the thinner part of the bloud or cholerick bloud which putrefies and it causes a continual tertian or flegme or the cruder part of the bloud and causes a continual quotidian or the crasser part of the bloud and maketh a continual quartan of which more at large in their proper places the times of these Feavers may be distinguisht from what is aforesaid if the Humours putrefie out of those greater Veines the Feavers shall bee intermitting and their four times shall be more evident than those of continual because the matter moves from place to place and they are terminated by urine sweatings vomitings or looseness Mortal Feavers seldome have four times for some kill in the beginning if they bee peâ—acute and the Patient weak others kill in the augment when the Sick is stronger others in the state when they are yet stronger and the Feaver is less acute as Galen shewes in his first Book of Crises chap. 2. and Hippocrates in the first Book of his Epid. Sect. 2. Text 45. saith No man dyes in an universal declination for coction signifies a speedy indication and security of health the reason is because in the declination of a Paroxysme or fit the morbificall matter may not be overcome and so death may follow either from the weakness of the faculty or from the malignant quality or from the quantity of the Humour wherewith Nature is overwhelmed or by some errour of the Phisician though signes of coction
doe appear to prove this Avicen in Book 4. fen 2. tract 1. chap. 98. brings for an example the small Pox of Children in the declination of which sometimes death follows not by reason of the Pockes which are in declination but by reason of the Feaver and malignant quality annexed Another example there is that a man may dye in the declination of a Synochus not by reason of the essence of the Feaver but by neglect of the malignant matter the cause of it or being preposterously handled as Galen notes in his third Book of Crises these four times of Diseases according to Hippocrates and Galen can no more bee described by a certaine number of daies and houres than the decretory daies can by reason of the various temper of the Humours and the diseased as shall further appear in the next assertion for an acute Disease hath shorter times and a Chronical longer The four times of a Hectick Feaver are not taken from the matter nor from the Symptomes but from the essence of the preternatural heat which works upon the primogenious humidity of the heart whose beginning is when the feaverish heat begins to work on the rorid substance of the heart the augment when it begins to consume it the state when the humidity is consumed the declination on when that native humidity begins to be restaurated CHAP. VII Certaine Physical Canons or Rules for practise ALL Rules for Curing are taken either from the Disease or from its Efficient cause or from the nature and situation of the affected part or from the Symptomes from the Disease as a Feaver whose preternatural heat is in the Spirits Humours or solid parts and is not simple but conjugate viz. hot and dry which according to Hippocrates axiome {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is things are cured by their contraries that is by coolers and moistners and this is the first Canon The second is taken from the morbifical putrid matter which requires an ablation or removing The third from the nature and site of the affected part as if the braine be affected it requires other remedies than the Lungs and this other than the Stomack Liver Spleen Guts Reines Bladder or Wombe from the Symptomes if they be great with imminent danger of life as if a Syncope be accidental to a Feaver we must oppose that omitting for a while the cure of the Feaver but if they bee small we must respect both so that we principally attend the Disease The feaverish beat both of continual and intermitting Feavers arising from a putrid filth cannot safely and wholly be extinguisht before the putrefaction be repressed and the impurity taken away for the method of curing requires this that first wee remove the cause then the effect unlesse something more urgent forbid it the impure Humour then is first to bee purged forth and then if any extraneous heat be left either in the Humours or parts it is to be extinguished and by preparatives and things opening obstructions to be removed but against this Doctrine it is objected That things cooling doe per se encrease obstructions incrassate the matter and hinder its evacuation and the stipation being increased and the fuliginous vapours included the putrefaction is doubled On the other side aperient detergent and purging Medicines are all almost hot and therefore per se are bad and intend the Feaver In this difficult case we must use the temperate Rootes such as are the sharp Dock Grasse roots Butchers Broom and Asparagus which open obstructions without any manifest heat and doe not increase the feaverish distemper and so the worst is prevented If the body bee strong this method is strictly to be observed that is to remove the efficient cause and thorowly to open the obstructions with the aforesaid aperitive meanes and then the putrid humour is to bee purged although the Feaver be a little exasperated by the Medicine that does it but when by the fire of the Feaver the strength is much resolved then we are to use cooling Medicines both inwardly and outwardly as Juleps Epithems c. which with all possible speed may extinguish the heat omitting a while the cause for it is not safe to increase the Feaver by such things as cut off the cause lest life depart with the Disease but it is better in my judgement to extinguish the burning Feaver though you somewhat transgresse against the cause but in curing of putrid Feavers the first place is due to the cause that part of the matter be emptied then to imitate Nature by preparing it which when by her assistance it shall appear to bee coct then it possible to eradicate it that the Feaver be not diuturnal the emptying of the matter may be either by bleeding or purging at the very beginning if nothing hinder Bleeding in all putrid Feavers especially the continual is not to bee neglected saith Galen in the eleventh of his Method of curing having premised a cooling Glister or Suppository if the Patient were bound nor in intermitting Feavers when there is a plenitude or pulsative paine in the head or tossing of the body with a suffocating heat lest it degenerate into a continual Feaver or the putrefaction spread wider and it is to bee done on the intermitting day or at the time of remission in a continual Feaver provided age and strength allow it if the Feaver be very vehement and urgent to let bloud in that violence is to kill the Patient saith Celsus and if the body be weak let bloud a little at a time so the strength will not bee impaired because part of the burthen with which Nature was opprest being taken off she doth the more easily bear the rest and with lesse force tame and subdue it saith Galen and we ought not so much to estimate the years as the strength of the diseased A late Writer hath published that Bleeding ought to be celebrated in all Diseases which I cannot allow though I admit it in most but more sparingly when the Feaver is from a cold humour lest by its refrigeration the crudity be doubled and doe not easily admit of concoction if the Disease will suffer it the best time for bleeding is the Spring if not it may be administred at any time of the year if strength permit especially if there be a plenitude suppression of the Courses or Hemorrhoids If the Sick be bound in body before you let bloud give a Suppository or Glister or eccoprotical Medicine that is gently purging lest that the putrid matter should be rapt or forced from the first region of the body into the greater Veines and so inquinate the bloud and make it more impure the same is to be observed before we give a peritive medicines Purging is to be used at the beginning if the matter bee turgid Aphor. 10. Sect. 4. in Diseases very acute purge the first day if the matter invite to excretion
tertian have great analogy with those of an exquisite causus only they are more milde the not exquisite are distinguisht by rigour not by reason of the Feaver but the expulsive faculty of the greater Veines which empty themselves into the less and these into the habit and sensible parts this Feaver because its morbifical matter is more distant from the heart then that of a Causus doth not with equal force and assiduity afflict it but hath its exacerbations and remissions every other day If the parts about the heart be distended without paine they signifie an inflammation if with paine at the beginning death If the signes bee grievous it kills the fourth or seventh day if good security is promised the same dayes if a rigour happen on the critical day the Patient being weak it is death but if strong the Disease shall end with sweat CHAP. XII Of the Cure of these Feavers LEt it be temperate or if too hot be cooled with irrigations on the floore and spreading coole Herbs as Lettice Vine leaves Willow Oke Rushes c. with green flowers of Water-Lillies Roses Violets let vinegar of Roses dilute with Rose-water suckt up by a Spunge be often â—eld to the Nose let the Linnen contrary to the vulgar opinion bee often changed lest its filth foment the Feaver Let his drink be boyled water with sirrup of Vinegar or ptissan or water and sugar with a little juyce of Pomegranats Citron or Lemons if you fear a Delirium use the Alexandrine Julep or sirrup of Violets and Water-Lillies If the Feaver bee spurious and the Patient aged and weak in a cold air a little Wine dilute with boyled water and sugar with a toast may be allowed let his food be liquid cooling and moystning as Chicken Veale or Lambe broth altered with Purslane Lettice Sorrel Burrage Bugloss Violets Marigolds with the greater cold Seeds and white Poppy-seed or Barley-water acid Fruites as Barberies Strawberies Rasberies resist putrefaction if he be much enfeebled Gellies and Analepticks must bee used Let bloud as soon as you can but if hee bee bound in body give this Glister first Take of Violet leaves Mallows Lettice Gourds Burrage each a handful Prunes sixteen of the four great cold Seeds each two drams red Poppy-flowers or Water-Lilly and Roses each a small handful boyle them in Whey or Water to a pint streine it and dissolve of Diaprune simple and Cassia newly drawn if it be exquisite if not of Diaphenicum each six drams honey of Violets and oyl of Water-Lillies each an ounce and half or so much of oyle of Cammomel if it be not exquisite and make a Glister Take of Melon-seeds one scruple Rhubarb grosse powdered if you would purge choler by stoole or fine powdered if by urine four scruples Cassia newly drawn six drams let him take it with Sugar and an hour and half after take fresh broth As often as Cassia or any other purging Medicine is infused the Dose is to be doubled and where you feare obstructions never purge with those things that have an astriction as Myrobalans Roses and the sirrups made of them but instead of them use Manna Cassia or sirrup of Violets of nine infusions next alter the humour with Juleps which inhibit putrefaction As take of sirrup of Endive compound three ounces Succory and Pursâ—ane water each half a pint but if they be spurious take of Oxysaccarum compound which hath the opening roots in it and a little juyce of Pomgranates after signes of coction purge forth the humour thus Take of Cinnamon a scruple Rhubarb four scruples Tamarinds two drams Diaprune solutive six drams infuse them all night on warm embers in a decoction of the opening rootes strein it adde sirrup of Violets of nine intusions or of Roses solutive with Agarick if the Feaver be illegitimate an ounce and half and give the potion in a Spurious causus take so much Diaphaenicum which purges flegme and choler but if the Patient have a paine in the stomach and be nauseative let him take a Vomit so he be not tabid or narrow chested CHAP. XIII Of a continual Quotidian Feaver {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Juniors call it because it hath no intermission and to distinguish it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is an intermitting quotidian This Feaver differs from an intermitting both in matter and seat where the flegme putrefies because a continual one proceeds from Natural flegme contained in the great Veines which is nothing else but crude bloud which in time may be changed into good bloud being of taste sweet or insipid arising from the cold and moyst part of the chyle and as oft as this bloud is putrefied by a preter-natural heat in those Veines the other humours incorrupt is caused a continual quotidian but an intermitting is caused from excrementitious flegme putrefied by a preter-natural heat out of those great Veines viz. in the veines of the habit of the body in the Liver Spleen Messentery The external causes may be taken from the aire cloudy cold and moyst from a flegmatick nature the winter season drunkenness ill diet as entrals of Beasts c. The internal causes are a cold distemper of the stomach and of the meseraick veines which send the chyle incoct to the Liver old age cold humours falling from the head to the stomach This Feaver begins not with coldness as an intermitting because the matter is putrefied in the great Veines but with vaunings and stretchings for the most part it invades at night the heat is less acrid and mordent than in a continual cholerick Feaver because the humour is colder the urine at first is white crude and crass the pulse slow and rare being oppressed with a crass vapour raised from the flegme the sick are sleepy their Hypochondria stretcht with wind their stooles white their sweat none or very little and clammy this Feaver is usually lasting being from a cold tough humour often brings to a Cachexy or Dropsie if the beginning be long so will be the increment and whole progress of the Disease for the Cure let him use a good diet shunning those things which ingender crasse juyces then purge the first region of his body with these following remedies Take of Barley Mercury Violets and Mallows each a handful Fennel and Carret-seeds each three drams the tops of Dill and flowers of Cammomel each half a handful boyl them in water to a pint streine it and dissolve of Galens Hiera and Benedicta Laxativa each six drams honey of Rosemary and oyle of Camomel each an ounce and half and so give it If the Sick bee apt to Vomit let him take this Of the juyce of Radish roots and honied water each two ounces powder of Asarum a dram let him drink it warme Take of Succory Barley and all
the capillary Plants each half a handful Raisins stoned eight four Prunes of the Cordial flowers a small handful boyle them in water to two ounces then infuse the Electuary of Diacarthamum half an ounce Cassia newly drawn an ounce Agarick Trochiscate a dram streine it and dissolve of sirrup of Roses solutive an ounce give the potion Take of Agarick Trochiscate a scruple of imperial Pills a dram with honey of Roses make eight Pills to be given after midnight The first region of the body being thus clensed open the basilick veine of the right arme and draw bloud according to the strength age season region and impurity of it because this being a continual Feaver bleeding is good for this as well as others Then give this Julep Oxymel simple and sirrup of Maiden-hair each an ounce and half Fennel and Endive water each half a pint condite it with Cinamon Take of Fennel and Parsley roots clensed from the pith Butchers Broom and Asparagus each an ounce of Maudlin Succory Endive the common capillary Plants each one handful the less Sea Wormwood half a handful Raisins stoned twenty Figgs twelve Endive seed half an ounce Aniseeds two drams Bugloss and French Lavender Flowers each a small handful Rosemary half a handful Water and Hony two quarts boyl away half then clarifie the colature with honey of Roses and sirrup of the juyce of Endive each two ounces and condite it with Cinamon The matter being thus coct give Pills of Agarick and simple Hiera each two scruples and Trochiskes of Alhandal two graines if they want a quickner make them up with honey of Roses and gild them give them after the first sleep next day give this Bolus three hours before dinner old Mithridate two scruples conserve of Rosemary flowers two drams with sugar CHAP. XIIII Of a continual Quartan {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a quartan Feaver so called because every fourth day it is exasperated and remitted if it be continual but if intermitting recurs every fourth day these two differ both in matter and seat the matter of a continual quartan is Natural melancholly putrefied in the great Veines the other humours remaining good but the matter of an intermitting is excrementitious melancholly putrefied out of the great Veines in the Spleen or mesentery A continual quartan is two-fold exquisite or spurious exquisite when Natural melancholly putrefies alone spurious when other humours putrefie with it in the great vessels and this is most frequent The causes are either from a laborious life a cold and dry temperament a declining age the autumn or an unequal air and meats producing melancholly as Swines flesh Hares Salt Fish Oysters c. The chief signes are taken from the substance of the Feaver or nature of its heat from the actions hurt which appears by the inequality swiftness slowness or rarity of the pulse from the excrements and urine this Feaver begins without horrour because the peccant matter is contained within the great Veines the urine is various but for the most part crude by reason of the coldness of the morbifical humour little or no sweat by reason of the paucity of the matter little thirst and the tongue inclining to black A continual quartan whether exquisite or spurious is deadly in old men especially if it follow an intermitting one or a burning Feaver illcured a spurious quartan if it take in the Summer is for the most part short but if in the Autumn it is long for the Cure first use meats of good juyce rather liquid than solid altered with Burrage Bugloss c. Vse Currans Pine Nuts Figgs Vinegar though it be incifive is not good in this Feaver because by its coldness and driness it conduplicates the humor but were it in the Spleen it were commodious At the beginning use gentle Purgers because by the strength of strong Medicines the humour grows thicker and the thinner part being dissipated the terrene faeces remaine indissoluble but in the declination use stronger if the body be bound give first this Glister Take of Mallows Violets Orech Burrage Bugloss each a handful Flax and Fenugreek-seed each half an ounce of the four great cold seeds and Fennel-seed each two drams for melancholly people are windy of the tops of Dill Camomel Melilot Elder each a small handful in the colature dissolve of Catholicum and Diasena each six drams honey of Violets and oyle of Lillies each an ounce and half give the Glister Take of Polipody of the Oke six drams wilde Saffron seeds and Sena each three drams Dodder of time two drams Anni-seeds four scruples Cloves two boyle them in Whey to three ounces then infuse of Diasena or Diacarthamum six drams streine it and adde sirrup of Violets of nine infusions or sirrup of Apples an ounce and half and give it The body being thus emptied let bloud at the left basilick veine with a large Orifice If the sick be inclined to Vomit then give him of the powder of the middle rine of a Walnut or of Broom-seeds or of the roots of Asarum four scruples with the decoction of Reddish rootes make a vomit or Nettle-seed poudered given in Mulse or Whey will doe the like some give three or four grains of Stibium prepared which I allow not but in rustick bodies Take of the sirrup of the juyce of Fumitory three ounces Endive and Burrage-water each half a pint Take of the roots of Bugloss two ounces sharp Dock-grass Butchers Broome Asparagus and Liquorice each an ounce of the middle rine of Tamarisk and Ash or Elder each half an ounce of Fumitory Hops common Endive Succory Milt-waist Balme each a handful Prunes fourteen Cuscute and Purslane-seeds and the four great cold Seeds each two drams flowers of Tamarice Broom Burrage Elder each a handful boyle them in order in a sufficient quantity of water then adde the juyce of sweet Apples three ounces a sufficient quantity of Sugar Aromatize it with a dram and a half of the powder of Galens Laetificans with part of this decoction you may make a magistral sirrup by adding Purgers of melancholly by which the Morbifical humour may bee purged epicrastically to strengthen the viscera use this Take of the Electuary of Hyacinth or confection of Alkermes half a dram powder of Diatriasantali and Galens Laetificans each a dram white Suger dissolved and boyled in Fumitory water four ounces and make it into Lozenges of two drams weight with the conserve of Succory flowers and Milt waist each three drams and give one three hours before Dinner If the Spleen require it use this Oyntment Take of Gum Elemi and juyce of Tobacco each an ounce Oyle of St. Johns-wort or Elder half an ounce of Rosen and Gum Amoniake dissolved in Vinegar of Capers and yellow Wax each two drams on the fire adde powder of long and round Birthwort and Cyclamen root each
a dram make an oyntment CHAP. XV Of an intermitting Tertian {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is taken by the Greeks in general for every intermitting putrid Feaver which ends and returnes again but Hippocrates especially calls this Feaver of which we now treat {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it recurs every third day it differs from the continual of which we have spoken not essentially but in matter seat because their matter putrefies not every where but in the lesser veines which are in the stomach liver mesentery guts spleen wombe and habit of the body an intermitting Tertian is twofold exquisite or spurious the exquisite is from excrementitious choller which being manifold there are many differences in Tertians The matter of an exquisite tertian offends either in quantity or quality the quantity is either great or small if great either it putrefies in one place or in divers at once if but in one place it causes an exquisite tertian which exceeds not seven Fits but if the quantity be small it shall end the fourth or fifth fit If the matter offend in quality as the choller is more or less hot the whole constitution of the Disease and the fits shall bee longer or shorter milder or more tedious for pale or excrementitious choller is sarre more milde then yellow and this then vitellinous porracious or aeruginous but the ceruleous is the hottest of all If choller putrefie in divers places together and the same day then is caused a double intermitting tertian whose fits returne every third day and are exacerbated although they assault every day and intermit because that which is putrefied is every fit emptied either by sweat vomit or stool The spurious one by the mixtion of flegm or melancholly is longer than that from excrementitious choller only and lasts according to the nature of the humour mixt and by the Patients intemperance hath lasted from the Autumnal to the spring aequinox The causes of the exquisite are all hot and dry as a hot Summer hot aliments hunger thirst labour strong wines hot liver and temper c. The causes of a spurious one are idleness effeminacy winter season cold and moyst diet obstructions plenitude c. The heat of an exquisite Tertian is more acrid and mordent than that of the spurious through its four times it begins with rigour and often with cholerick vomitings and ends with an universal sweat when the rigour is off the heat is like a light fire burning with difficult breathing the urine at first is somewhat red of meane substance and in the lower part seemes thin in the upper opacus The signes of a spurious one are horrour from the mixture of choller and flegme a heat more obscure than that of the exquisite Tertian and more manifest than that of an exquisite quotidian a pulse small and slow which if it grow daily harder the Feaver shall last many moneths bitterness of mouth paine in the vertebra's with inflation of stomach and loathings of meat sometimes trouble them Before we let bloud let the first region of the body be emptied by a cooling Glister or minorating purge afore described lest the morbifical humour be wrapt into the greater veines and so we cause a continual Feaver instead of an intermitting let bloud on the intermitting day with a small Orifice to prepare the humour Take of Oxysaccharum simple and sirrup of the juyce of Endive each an ounce and half Succory and Purslaine water each five ounces then purge him thus Take of Cinamon a scruple Rhubarb four scruples Tamarinds two drams Diaprune solutive or Electuary of Psyllium six drams infuse them all night over warme embers in an opening decoction then adde sirrup of Roses an ounce give it on the intermitting day or these pills Take of Diagridium four graines Rhubarb a scruple of Pills Aureae a dram make them up with sirrup of Succory and give them after the first sleep Take conserve of Succory flowers and of Violets or Water-Lillies each two drams powder of Diatriasantalum scruple with Sugar make a bole to give next morne to allay the fire in the bowels CHAP. XVI Of the Cure of a spurious intermitting Tertian THis Feaver is more frequent than the exquisite because men indulge too much to their Genius and its Fits and whole constitution is longer by reason of the mixture of tough crasse flegme or melancholly the Fits are sometimes twenty twenty four or forty hours and then it is called an extense tertian let the diet be incisive and detersive and somewhat refrigerating the broths be altered with Endive Burrage Parsley Wood-sorrel Purssaine and a fourth part of Hissop or Savoury give Gellies which nourish much in small quantity and because they are quickly excerned repeat them often and sometimes give this powder Take of Galens Laetificans two drams the Analeptick or Resumptive powder half an ounce pure Sugar six ounces leaves of Gold six dissolve it in broth it wonderfully restores strength if the Patient be nauseative Take of Nettle-seeds a dram sirrup of Tobacco or simple Oxymel an ounce give it warme in mulse after meat because it troubling the aeconomy of the stomach it better exonerates it self with the meat if occasion be for a Suppository Take of Honey boyled an ounce salt Gemmes and Mouse-turd each two scruples Take of Cinamon a scruple Agarick Trochiscate two scruples Rhubarb four scruples simple Oxymel and Diaphaenicum each six drams infuse them all over warme embers in a fresh infusion of Damask Roses streine it and give it If strength and other things allow it let bloud on the intermitting day Bloud saith Avicen is a brideler of choller both in respect of its quantity and quality for there is more or it and being temperately hot and moyst it doth moderate the acrimony of choller and experience tells us that those that are sick of a continual tertian and the phrenitical are best towards morning because bloud hath then the dominion and worst towards night when flegme rules and therefore in Asia those that were let bloud presently became phrenitical or delirous and not those which were not but that region is farre hotter and dryer than Europe then give this Julep Sirrup of Vinegar compound and honey of Roses each two ounces Endive Succory and Agrimony water each half a pinte Take of the five opening Rootes clensed and bruised each an ounce infuse them in a small quantity of simple Oxymel on the embers four hours the herbs Succory Endive Liverwort and the cappillary Plants each a handful Penni-royal Origanum or calamint each half a handful Liquorice scraped and bruised two drams Raisins stoned twenty Prunes eight Endive seed three drams Melon Anise and Fennel-seed each a dram and half the three Cordial flowers and Chamomel each a small handful Time half a handful boyle them all in order with the Oxymel and roots in two quarts of water
{non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a salt or salsuginous Feaver is of the nature of Quotidians so called because it is caused by salt flegme as a Winterburning Feaver is according to Hippocrates but according to Galens explication of that place it is so called in relation to touch and not unto taste because like Salt it causes an itching mordency both in the body of the sick and the hand of the Phisitian touching it which is thus when fuliginous and very adust excrements are cast forth through the habit of the body and skin it is distinguisht from other Feavers by its horrour thirst and salt taste by urine and pulse and continuance of the fit saith Hippocrates by reason of its heat from putrefaction or the mixture of some serous humour which is salt rather than of choller which is bitter and not salt as Avicen thought It is cured by the same remedies as an intermitting quotidian tempering them with Succory Hops Fumitory the four great cold seeds c. with incisive attenuating and detersive things as sirrup De Bisantiis and compound Oxysaccharum we are not to expect concoction for purging the morbifical humour which is so crasse and tough that it will be a long time first purge therefore in the augment and state but gently premising to every Purge its preparative your Catarrhall Feaver is of the kinde of quotidians and is cured almost with the same medicines CHAP. XIX Of an intermitting Quartan {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or a Quartan Feaver is so called because it returnes every fourth day it is two-fold exquisite or spurious an exquisite intermitting differs from a continual both in matter and seat because this is from a Natural melancholly putrefied in the greater Veines and that from an excrementitious melancholly cold and dry putrefying chiefly in the Spleen then in the Liver mesentery and habit of the body a spurious one is as often as excrementitious melancholly putrefies with choller or flegme in the same place and sometimes choller and flegme putrefie apart and degenerate into a quartan The chief signes are a rigour at the beginning and augment and horrour with a shaking of the whole body as if the flesh and bones were broken the urine at first white thin crude and various afterwards crasse and black This Feaver is the longest of all intermitting Feavers the Falling-sickness is cured by a quartan if neglected it causes a schirrus of the Spleen and Dropsie if it degenerate into a double or triple quartan it is bad but if into a continual it is lethal The sum of the Cure consists in gentle Medicines whether Glisters or Purges often repeated and by degrees ascend to stronger for he that acts otherwise from a simple or double quartan makes a triple or continual one whence is death this is confirmed by Galens story who contrary to the opinion of the Phisitians of his time in the midst of winter cured Eudemus the Philosopher of a triple quartan by the use of Treacle by which Medicine preposterously used be fell into it for as long as signes of crudity appear wee are not to use Diureticks nor Sudorificks lest by that meanes the corrupt humour be forced into narrower passages from whence it is not easily removed but grows more furious such excretions then are not to be used but in the declination If the quartan be from choller adust then to the following remedies adde things cooling but if from flegme then things incisive attenuating and detersive If the Feaver be exquisite the melancholly humour diffused through the whole body vinegar and its sirrups are naught but if it be contained in the spleen only it is good Take of Mallows Violet leaves Burrage Fumitory Hops each a handful Prunes twelve Endive seeds half an ounce of the four great cold Seeds each two drams Violet and Elder flowers each a small handful boyle them in water to a pinte in the colature dissolve of Cassia with sugar and Diaprune simple each six drams hony of Violets and oyle of Lillies each an ounce and half give it Take of the pulpe of Cassia six drams powder of Sena a dram of Aniseed a scruple of Cloves two grains with sugar make a bole Take of Polipody of the Oke bruised six drams Fumitory Hops Burrage each half a handful Prunes four figgs two the seed of Dodder of Vetches Anise and Purslane each half a dram boyle them in water to four ounces in the colature boyle of Sena leaves two drams Aniseed a dram whole Cloves two express it and infuse of Catholicum and Diacarthamum each three drams againe express it and dissolve sirrup of Fumitory or Epithimum an ounce give this potion four hours before in broth upon the fit day rather than on the other because the matter being terrene and sluggish will hardly yeeld but on the fit day the humour being in motion it is then most easily expelled I speak by experience contrary to the common opinion Take of pills of Fumitory a dram powder of Sena and Agarick Trochiscate each half a scruple with sirrup of Fumitory make pills If Nature tend upwards give of Antimony prepared and powdered three graines Conserve of Violets three ounces with Sugar make a bole to bee taken on the fit day or infuse six graines of it in White-wine all night over warme embers straine it and give it before the horrour Amatus Lucitanus boasts hee hath cured many with a draft of Rose-water warmed and given at the insult of the fit and some with happy success give at the insult five or six graines of Pepper in a cup of generous Wine if the Patient be young with full veines and it be spring time let bloud of the axillary veine in the left arme Take of the rootes of sharp Dock two ounces Butchers Broome Asparagus Grass and Liquorice each an ounce the middle rine of Ash and Elder each half an ounce Succory Endive Hops Fumitory Burrage Agrimony Burnet Miltwaist Mercury each a handful Prunes twelve new Figgs eight Endive Purflane-seed and the four great cold ones each two drams the three Cordial flowers each a small handful boyle them in two quarts of water till a third part be consumed clarifie it with sirrup of Pomgranates and Endive compound each two ounces and aromatize it with yellow saunders Take of Succory roots an ounce and half Grass Butchers Broom Asparagus each an ounce infuse them in simple Oxymel all night over warme embers and then boyle them in two quarts of water with Burrage Endive Hops Fumitory Origanum Calamint Agrimony each a handful Mercury and Maiden-hair each half a handful Liquorice scraped and bruised half an ounce Raisins stoned twenty Figgs eight seeds of Purssane Arise Dodder of Vetches and the four great cold ones each two drams flower of Tamarisk Broome and Violets each a handful being taken off the fire adde the Oxymel wherein the rootes were infused
malignant Medicines c. and this is not lethal The internal cause is a fervid heat with a malignant quality which doth not always dissolve the body by insensible transpiration but sometimes by manifest excretions The signes are rusous crass stinking dejections sometimes fat and viscid with a spume or froth which indicates heat the nose grows sharp and the eyes hollow which latter signes if they appear at first we are not to meddle Hippocrates proposes two remedies the one the cremor of Barley the other cold Water with acid sirrup made up with Sugar and not with Honey give Glisters if occasion be or eccoproticks for the first region of the body with opening and cooling decoctions if there be obstructions and condites and cardiacal powders as are described in the Chapter of a continual tertian CHAP. XXVI Of the Feaver from Crudity {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Feaver from Crudity though the word Crude be applied to various things yet in this place it is taken for a raw cold humour contained in the first passages or in the whole body this Feaver differs from an Epiala not in matter nor in the place of putrefaction but in malignity and therefore is not voyd of danger especially if it be joyned with an inflammation of stomach or liver for sometimes it is without them If the crude humour putrefie in the first passages there will be a nauseousness sower belchings with idleness or unseasonable exercise as Venery presently after meat c. if it bee in the whole body the urine will be thin and watery the contents divulsed the colour pallid plumbeous or livid the whole bulk somewhat swelled the pulse unequal obscure with a dulness of the senses make a Glister with Hiera Catholicum honey of Roses oyle of Camomel decoction of Mallows Mercury Origanum Dill c. Take of Catholicum an ounce infuse it all night in the infusion of Damask Roses streine it and adde sirrup of Succory with Rhubarb duplicated an ounce and half give it in the morn if strength and age permit and a high tinct urine require it let bloud in the axillary veine in small quantity with a narrow Orifice All attenuating things used must not be very hot lest the Feaver be increased Take of sirrup of Vineger and juyce of Endive each two ounces Succory Wormwood-water each six ounces Take of Grass-roots Butchers Broom and Asparagus each an ounce of Succory Agrimony Endive the Capillary Plants Sea-wormwoode ach a handful Origanum and Balm each half a handful seeds of Carduus Benedictus Citron and Anise each two drams flowers of Bugloss and Time each a pugil boyle them in water to a pint with Oxymel simple three ounces make an Apozem and aromatize it with Cinamon Take of Cinamon a scruple Rhubarb four scruples Catholicum half an ounce Cassia newly extracted an ounce infuse them in part of the Apozem and to the expression adde sirrup of Roses with Agarick an ounce and half give the potion and give no stronger take of the Conserve of Citron pill three drams old Mithridate or Treacle or Aurea Alexandrina a dram with Sugar give the Bolus next day three hours before meat Books printed and are to be be sold by John Hancock at the first shop in Popes-head-Alley next to Cornhil A Book of Short-writing the most easie exact lineal and speedy method fitted to the meanest capacity composed by Mr. Theophilus Metcalse professor of the said Art Also a School-master explaining the Rules of the said Book Another Book of new Short-hand by Thomas Crosse A Coppy-book of the newest and most useful hands Four Books lately published by Mr. Thomas Brooks Preacher of the Gospel at Margarets New Fish-street 1 Precious Remedies against Satans Devices or Salve for Beleevers and unbeleevers Sores being a companion for those that are in Christ or out of Christ that sleight or neglect Ordinances under a pretence of living above them that are growing in Spirituals or decaying that are tempted or deserted afflicted or opposed that have assurance or want it on 2 Cor. 2. 11. 2 Heaven on Earth or A serious Discourse touching a well-grounded Assurance of mens everlasting happiness and blessedness discovering the nature of Assurance the possibility of attaining it the Causes Springs and Degrees of it with the resolution of several weighty Questions on Rom. 8. 32 33 34. 3 The unsearchable Riches of Christ or Meat for strong men and Milk for Babes held forth in two and twenty Sermons from Ephes. 3. 8. preached on his Lecture Nights at Fish-street-hill 4 His Apples of Gold for Young-men and Women and A Crown of Glory for Old Men and Women or the happiness of being good betimes and the Honour of being an old Disciple clearly and fully discovered and closely and faithfully applied The Godly Mans Ark or City of refuge in the day of his Distress Discovered in divers Sermons the first of which was preached at the Funeral of Mistris Elizabeth Moore Whereunto is annexed Mistris Moores Evidences for Heaven composed and collected by her in the time of her health for her comfort in the time of sickness By Ed. Calamy B. D. and Paster of the Church at Aldermanbury The Covenant of Gods Free Grace unfolded and comfortably applied to a disquieted or dejected soul 2 Sam. 23. 5. By that late Reverend Divine Mr. John Cotton of New England The Ruine of the Authors and Fomenters of Civil War as it was delivered in a Sermon before the Parliament at their monthly Fast by Mr. Samuel Gibson sometime Minister at Margarets Westminster and one of the Assembly of Divines The New Creature with a description of the several marks and characters thereof by Richard Bartlet FINIS Of the Name The definition of a Feaver The division of heat The division of ascititious heat From the essence From the subject From the manner of the motion From the efficient cause From the matter The containing The contaâ—nâ—d The impetuous From the Symptoms The simple Feaver An unputred Synochus The Homotonos The Epacmasticâ— The Paracmastical The putred Synochus The Synechis Intermitting Feavers A Hectick Compound Feavers The Confuse The Erratick From the Humour From the quality Object against this opinion From the quality From the habit of the body From the strength From the complication The cause of putrefaction What the catasâ—aâ—â—â— it From whence are the signes of these timâ—s From whence is the Idaea of the Disease 2 From the fits 3 From the figure 4 From the strength 5 From the season 6 From the pulse 7 From the rigour 8 From the houre 9 From the Symptomes 10 From the duration of the fits 11 From the evacuation 12 From the urine Signes when the matter is out of the veines How to distinguish the four times of Feavers The foâ—â— times of a Phlegmon Signes of the times of an Ophthalmy The four times of an Ulcer What time is What a period is What is the type The time of intermitting Feavers from moveable matter The division of the fit The first time The second time The third The fourth The fifth The Sixth The times of these putrid are but four The signes of the times of these Feavers The augment The state The declination From whence the times of a Diary Feavers without putrefaction of the Humours The times of mortal Feavers The times of a Hectick Of Bleeding Purging Of the name Of the external causes Of the internal causes Of the Singes Who are subject to it The Cure The profit of Baths What a Synochus is The Signes The Cure A Cholagoge Feavers from Humours equally putrefied The Causes The Signes How many wayes a Crisis may be The Cure The cordial powder An Epithem for the heart A Plaister A Liniment for the Liver Feavers from humours unequally putrefied The division of these Feavers The external Causes Causes internal The causes of a not exquisite continual Tertian Signs Pathognomonical of a causus Signes assident Signes of exquisite Tertian Prognosticks The Aire His Drink Bleed A cooling Glister A Bole. A Rule to be observed A Julep A Purge for Choler Of the Name How a continual and intermitting differ External causes The Signs A Glister A Vomite A Purge for the Flegme Bleed A Julep An Apozem Pills Of the Name The Causes The Signs Prognosticks The Cure A Rule for purging A Glister A purge for Melancholly A Vomit An altering Julep An Apozem Lozenges The Oyntment for the Spleen Whence a double Tertian The Causes The Signs A Caution A Julep A Purge for choller Pills A Bolus A Cordial powder A Vomit A Suppositary A Purge A Julep An Apozem A Purge A bolus Lozenges for the Liver The division of this Feaver The Signs Signes of a bastard Quotidian The Cure A Suppositary A Glister A purging Potion A Julep Pills A Condite A Liniment A Plaister Of the Name The Cure The Signâ— Prognosticks The Cure A Glister A Bole so melancholly A Purge for melancholly Pills Vomit An Apozem for choller adust An Apozem for salt flegm A Purge for 〈◊〉 flegme A purge for flegme and melancholly A Bole A Purge for choller adust An Opiate Lozenges A Plaister for the Spleen The Causes Presages A powder for an intermitting quartan Of a confused Feaver A Compound Feaver Of the Erratick Feaver The Causes The signes of a Semitertian Signes of a non exquisite Semiterâ—ian Prâ—â—nostiâ—â—s A Purge A Sirrup against thirst An opening Apozem Of the Name The Definition The Division The Causes Signes of the first degree Signes of the second degree Signes of the third degree The Cure A Glister A Potion Baths A Liniment A Condite The Cure of the second degree An oyntment for the brest The choyce of Milks The third degree A short cure of a Compound Hectick The division and difference of malignant Feavers Of a Leipyria Feaver The Cure A Syncopal Feaver The Cause The signes from prassinous choller The Cure A Glister for flegme A Glister for aeâ—uginous choller A minorating Purge for flegme A purge for choller Pills A Julep for flegme An Apozem The signes The cure Typhodis Feaver The moyst Feaver The restless Feaver The signeâ— The Cause A Glister A Potion The Colliquating Feaver The cause The signes Of the Name The Signs A minorating purge A Rule A Julep An Apozem A Purge