taken they escape without halting If towards the Hip commonly they halt after it Both because the bowing tending outwards it is easily crooked Towards the inside and towards the outside it bunches out like a bow as also because being but one single bone it cannot easily be kept in its place It growes together in the space of fifty daies Chap. 2. Of less Frequent Fractures TO the less ordinary Fractures there appertain the Fractures of I. The Nose which is either equally flatted so as to make a saddle-Nose or it is broke only on the one side or it is writhen aside by the Gristle or the bones thereof are broke into smal fritters There is Joyned somtimes a wound and somtimes and Ulcer is raised within the Nostrils Unless the Nose be immediately rectified it must for ever remain deformed II. Of the lower Jaw-bone whose bone is either broken so athwart that the Bones nevertheless do in some measure hold together or so that one bone sticks out above another and one tooth sticks out beyond another They are consolidated within twenty dayes unless Inflamation happen Also the teeth remain sound III. Of the Clavicula or channel bone which is broken either athwart and is easily reduced into its natural seat by extending and compressing the same with a mans fingers or long-waies which has alwaies some Eminency which can hardly be brought into order It s fracture is knowne by the touch and by the pian It is soddered together within the space of twenty daies IIII. Of the Scapula and that either in respect of the shoulder tip and then Inequality is perceived if the hurt part be compared with the sound or in respest of the broad part Then a certain cavity is perceived by the touch the Arme just against it is benummed If the fracture be in the neck of the Scapula or in the Jointing of the shoulder Inflamation is soon caused because of the veins Arteries and nerves which spring from the Vertebraes of the Neck V. Of the Brest-bone whose fracture is known by the bones giving way when pressed with the finger by shortness of breath c. and it is dangerous because of the Neighbourhood of the noble parts VI. Of the Ribs which are either so broken that the extremities of the broken bones do neither go in nor stick out And then few are either Feverish or spit blood Or so as that the Ends of the Bones are out of their places Then the flesh above the broken Rib is blown and heaved up and if the place be pressed with the hand a noise is heard of the departing Air. Inflamation Feavers Impostumes do for the most part follow Or the whole Ribs are not broken Then there is neither great pain nor a Feaver VII Of the Back-bone which frequently by reason of the hurt ensuing to the spinal marrow the Membranes and the Nerves especially if the fracture happen by the Vertebra's of the Neck proves deadly especially if a palsie either of the Arms and Hands or of the Legs and Feet do follow thereupon VIII Of the Patella or Whirl-bone of the Knee which is known by inability to go and an hollowness which is perceived in the place of the fracture It happens either long waies and then the bones are easily joyned together again Or athwart or slanting Then no art can so help it as to hinder the Patient from halting IX Of the Bones of the Feet which is wont to be caused by an heavy and strong thing 'T is easily known by sight and touch because the parts are fleshless It is not so dangerous See Galen upon Hippocrates of the Joynts and Fractures And so much shal suffice to have spoken touching External Diseases THE SEVENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching Feavers HItherto we have treated of the external Diseases of the Body The internal are either universal which affect the whol Body or Particular which vex some parts only The Vniversal are Feavers A Feaver is considered generally or specially Generally considered 't is divided into Non-putrid and Putrid Hectick Malignant and Pestilential Title I. Of Feavers in General A Feaver in general is an hot Distemper of the whole Body arising from an Heat Preternaturally kindled in the heart and by means of the spirits and blood through the Veins and Arteries diffused into the whol Body and hurting the natural actions thereof by a Crowd of Symptomes The Part affected is the Heart wherein the heat is first kindled and soon after the whol Body at least in respect of the noble parts somtimes For the Heat being diffused possesses the parts either Habitudinally or Habitually Also their temper consisting in the innate and influent Heat is changed Now this Distemper is joyned somtimes with dryness other whiles with Moisture Hence though the feaverish heat do alwaies tend to dryness yet oft times the disposition of the Body upon which that heat acts and the moisture do hinder the Body from falling into a Morbifick Dryness The Cause is whatsoever kindles Heat in the Body Now heat is kindled 1. By Motion whiles the rest of the parts by frequent smiting one against another causing a conflux of more Humors than can be discussed do grow hot 2. By Putrefaction while by the external Heat the internal is called forth 3. By Contact and Nearness of some hot thing 4. By stopping of the pores and interception of sharp vapors and Sooty steams which makes the body unhealthy and this is the Principal Cause without which other Causes can hardly effect any thing 5. By the mixinre of some hot thing The CURE of a feaver in general is performed by Alteration wherein such a progress must be used as that the Cause be not fomented and by mitigation of Symptomes The principal Symptomes are 1. Thirst the inner coat of the stomach being either parched with the burning heat or soaked with an hot sharp and nitrous Humor 2. Hiccuping sharp and biting Humors twitching and nipping the Stomach 3. Vomiting either by reason of an hot and Chollerick Humor or a very cold Humor or of a thick and Clammy matter or some Vapour 4. Loosness of the Belly when the stomach is so far irritated that it can in no wise embrace or digest the meate and when liquors extreamly cold are drunk down 5. Dryness Blackness and Roughness of the Tongue by reason of sooty Vapours which so burn the same that the Spittleish moisture is consumed which arise somtimes from a clammy humor sticking about the Teeth jaws beclam fur the Mouth 6. Lipothymia and Syncope Swowning and Fainting which somtimes proceeds from the permicious nature of the Humor and somtimes from rusty green or black Choler fermenting and coming out of the Veins into the Heart 7. Shortness of Breath occasioned by the oppression of the Midrif through the fervency of green Choler boyling about the heart or by plenty of Humors somtimes t is caused by the heat of the Heart or Lungs when
extendeth it self and reacheth even unto the spina or Backbone where the membrains that touch upon the Pleura are fastened and upheld and this pain is more remiss and moderate unless the membrain be together inflamed but if it be then the pain withal becometh extreamly pricking There is likewise a difficulty of Breathing and indeed greater than that in a Pleurisie so as that the sick person is with extream hazard and peril of suffocation enforced in a strait upright posture to draw his breath the brest or Thorax in that kind of situation being the more easily dilated forasmuch as in those that ly along in their beds it falleth down because that the parts of the Thorax or breast decline and rest themselves upon the spina or backbone which being erected the Thorax is likewise together born out and so is no longer heavy and burthensom unto it self The aforesaid Respiration is sublime so that in it the very top of the Thorax is moved even unto the very covering of the shoulder-blades it is also frequent and often in the begining and likewise it is greater than ordinary which in a short time by reason of the weakness and decay of the natural vigour and the instruments of breathing is chainged into that which is far less and is increased by the frequency thereof The Breathing is hot and because that by the expulsion of the sooty and misty vapours the Heart is lightened they are therefore the more eased and lightened the more they breath forth the aforesaid offensive and oppressing sumes The sharpness of it in a feaver is greater than in the pleurisie in regard of the neer neighborhood of the heart and hereupon there exhale hot vapours unto the Head which hurrying the blood along together with them make an impression upon the cheeks where the skin is but thin and so cause the face â—o become red the eyes and the Temple veins swel the cough is very troublesom by reason of the affect of the Lungs It is conjoined and accompanyed with spitle that is tenâ— forth at first with a kind of thinner putrefied and rotten matter and by and by dyed with blood and likewise otherwhile otherwise colorea and somtimes it is spit forth ful of froth The CAUSE is blood which is poured forth of the right angle or comor of the Heart into that vein that we cal Arteriosa and so filleth not only the veins and Arteries of the lungs but likewise also the whol body It is raysed and stirred up from external causes as a cold Air and especially the cold northern Air immediatly following upon the southerly the drinking of generous and strong wines a violent and more vehement motion after long rest and quietness and this upon a ful stomach the body being likewise ful and wanting Evacuation Anger and other the passions of the mind c. There is some hopes of a CURE if the Spitle being of a mingled red and yellowish color give out and intimate any sign of concoction in the Lungs affected and if the impostumations be thrust forth either unto the Ears or unto the inferior seats of the Thorax and so they either pass and turn into a fistula and so may be evacuated or else they are derived unto the Thighs It is somthing doubtful if there be want of spittle by reason of the contumacy or unpliablness of the matter and the imbicility of the natural powers if there issue forth and appear with much and thick urine those sweats that at first did arise about the neck and the head because those aforesaid sweats are thought to preceed from a forcible constraint suffocation and violence As for al other things in the cure if foloweth the method of other inflamations If it succeed any otherdisease and the blood be already evacuated then Cupping-Glasses with scarification ought to be applyed unto the Arms and the Thorax or Chest let the Expectorations be of the stronger sort and so likewise the Topical Remedyes The difference is taken from the subject and the causes I. One is of the whole lungs which if together with the heart it be inflamed to that it proceed exceed it self unto the side it then produceth in the sick person a resolution or palsie For the blood flowing abundantly into the great Artery so that the intercostal Arteries are thereby filled and so that also those little branches that penetrate throw the holes of the vertebra of the Thorax into the spinal marrow do swel the Nerves there passing sorth from the spinal are compressed and being thus pressed together they cause a resolution and Palsy Another there is of the one side or other of the Luâ—gs and not in the whole and then there is a pain and heaviness self sensibly and perceived in the one or the other part thereof if the upper wing be disaffected and suffer then the Affect extendeth it self even to the Channel bones of the throat but if the lower then it reacheth unto the diaphragm The vein on that side wherein the inflamation is ought to be opened II. One is from pure blood from whence there ariseth a Phlegmone It is known by this that there is produced a bloody spittle unless haply the disease be extremely Crude a streightness of the pracoerdia and of the whol Breast oppresseth the party an extraordinary great intence heaviness contracteth the stern to wit that part of the Breast where the ribbs meet and the Back the Patient is not much afflicted with any acute Fever But now that blood sometimes in the Angina or quinsy breaketh forth violently out of the Jaws and then they die within seven daies if they escape these then they become purulent And because that in those that are in the midst betwixt old age and the vigorous flourishing estate of those of ful and perfect growth the expulsive faculty is more Languid and weak than in yonger persons they are therefore not to be cured but with much difficultty Sometimes it is derived thither from the Pleurisy and yet not by the vessells because that there is no convayence for them but by the membrane that investeth al the parts of the Thorax and then in this case likewise in regard there is a translation of the matter from the outward parts unto the inward that is to say from the less noble unto the more noble parts and such as are nigher unto the Heart the Malady is therefore the more dangerous Another from Chollerick blood from whence it is that the Quinsey is frequently turned into the Peripneumonia and the Luugs being of a spungy substance doth easily admit of a Cholerick and the thinner sort of matter and drink eth it in more deep than other It is known by this that the cough rayseth a yellow spittle and that that is not mingled with much blood the streightness of the Chest and the sence of weight and the veins is less than in the former differences and lastly it is known by this that the
Juyce the skin is to be condused and made thicker with the oyl of the mirtle tree and with the oyl of Mastick or else it is from the thinness of those things that are to be retained and therefore here those meats that are not over fluid and easily dissipated have their place as being most fit and proper 2. By Evacuations that are sensible as wel of the blood as of other humors where Note that these Evacuations are to be stopped that the body ought not to be besprinkled with those things that are cold that in a large and abundant sweat only such things as close and bind the skin are to have any place or use 3. By diseases as overmuch want of rest and sleep of which enough before a vehement pain the gnawing or pain of the stomach the Colick pain the Nephritick or pain of the stone in the kidneyes or blader the pain of the Teeth c. a sudden breaking of an impostume in which there may a restauration be made by restorative meats sweet smels and rest 4. By such things as are evedent and apparent as namely extream hunger the immoderate use of venus too much and over violent exercise c. III. Another from the alteration and corruption of the spirits which is caused by a malignant matter whether external or internal as for instance the rottenness of humors poyson drunk and taken down the bitting of venemous Creatures and then the Cure is to be sought for in its peculiar and proper place IV. Another from the suffocation of the spirits which is caused 1. By overmuch blood and then there are present and appear signs of a plethory and in this case the opening of the Basilick vein helpeth much 2. A humor that is Crude and thick very much abounding about the heart and the veins and arteries thereof the capsula or purse of the heart and the neer neighboring members and this is either there cellected or else transmitted either from the head and other parts and then the habit of the body is Hydropical neither can the patient undergoe and bear either the opening of a vein or purgation Frictions or rubbings downwards anoyntings with oyls that open and loosen the use of Oximel with the decoction of other things that cut and divide and fasting unless the pulse be suddenly changed and discover an extraordinary weakness al these help and conduce much to a Recovery 3. By fuligenous vapours gathered together in great abundance about the Heart and the Members adjacent by which the respiration or breathing is hurt these are soonest and best taken away by discussives 4. By a Sudden Terror and Fear for which Evacuation is most convenient lest that from the afflux of Blood some obstruction in the Vessels or else an Inflamation should be excited For what remaineth see further to the Treatises of the Practical Physitians Title VIII Of the Affects of the Paps or breasts in Women Chap. 1. Of the Diseases of the Papps Article I. Of the Tumors or Swellings of the Paps THe Affects of the Paps or Dugs are either Diseases or Symptoms unto the former of these there belong Tumors the Cancer and the Magnitude The Tumors of the Paps are four I. An Inflamation which is a hard swelling It is known by the redness the pain the pulse or beating and the heat thereof by which it differeth from that we cal the Clotting or Curdling of the Milk and the overgreat abundance thereof It ariseth from the great store of Blood that is attracted transmitted or suppressed It is Cured 1. By a Diet that is thin and spare cooling and moistening 2. By Diversion which is performed by letting blood in the Ankle if the Causes be suppressed 3. By Evacuation by opening the internal Vein of the same side and so letting out the Blood as also by a gentle Purgation 4. By the Application of Topical Remedys in the Inflamation of such as thereunto accustomed And here we are to take Notice that the Repellers ought to be temperate lest that the Heart be overmuch cooled that in the Augmentation thereof there is commended beer and butter wel warmed and so applied that the extream Hardness may most properly and succesfully be prevented and removed by the Medicament that is formed and made of the Marrow of a Calves Thigh two ounces thereof of Oesipus or the moisture of greasie sheeps Wool one ounce of Saffron four scruples of Cummin wel bruised two scruples that when it is Suppurated in regard that the Breasts or Paps are Spungy and ful of hollow Caveties it is most commonly to be opened in divers places thereof that the Pap affected is very rarely cured and healed unless the Milk of the other that is sound be dryed up in regard that the blood equally floweth unto both and lastly that the Pain is to be moderated and mitigated if it be in Summer most fitly with the Leaves of Henbane if it be in the Winter then with the Roots of the said Henbane roasted under the Embers and then wel beaten together with Hogs Grease II. Oedema which is somtimes diffused and spread abroad throughout the whol Paps or Breasts so that they wholly and equally swel It is known by this that it is soft and that by intervals and at certain times to wit in the time that the Courses flow the swelling and the pain is exasperated but yet notwithstanding that there is evermore some of the swelling remayning The Original and the Cure hereof are to be sought for out of that which is spoken in the general touching these Tumors And here it is only to be Observed 1. That in the retention of the Courses those meats that are Tosted and Roasted are not so fit and convenient 2. That the stronger sort of Maturatives are to be made choice of in regard that here the matter is tenacious and very loth to yield 3. That a due regard is likewise to be had of the Stomach that is the Receptacle of the Flegm III. The Scirrhus of the Paps is either Exquisite or not Exquisite 1. The Exquisite is various I. One is that which is but newly begun or but now beginning which upon the touching thereof is a little painful and in this regard it is distinguished from a Cancer that is likewise but now beginning and it is very hardly Cured Another Old and Inveterate which is hard without pain incurable by Medicaments especially if it resemble the color of Capers or if haires grow therein it is somtimes Cured by Manual operation II. Another is by the Congestion or heaping up of a Humor that is in it self thick in the Curing of which we are not to use Vinegar either in the beginning or long at any time lest that either the residue thereof should be hardened and become like unto a stone or else that the substance of the part being overdryed should wast and consume away neither ought we to attempt any thing by Manual operation if the whol
by this way those Excrements which could not be driven forth by sweat The cure must be hastened for it makes women Barren for the most Part unless perhap it be emptyed through the Vessels of the Neck of the womb it casts the same into an Atrophy consumption Melancholy Dropsie Falling down of the womb swounings and Convulsions Hence though at the beginning 't is scarce Cured yet afterwards 't is more difficult For the whol body accustomes it self to cast off the Excrements through that way and the womb being rendered weaker collects Excrements It varies according to the nature of the Causes The Differences are taken from the part that sends them and the colour of the blood I. One is from the whol which is known by this that there are signs of a Cacochymy in the whol body the flux is more plentiful In the Cure 1. Bleeding must be shunned both because the Humors ought not to be recalled into the Veins to pollute the blood and because the strength is dejected by the long continuance of this affect and the body wasted 2. Discussion is very wel performed by Decoctions of Guajacum China and lentisk wood c. 3. For drying the Root of dropwort is very much commended For binding the pouder of mans bones the ashes of Capons dung in rain water Zacutus his Plaister l. 9. c. 11. Prax. History which ought to be applyed to the Kidneys 4. Sleeping on the back must be avoided least by the heat of the Loyns the humors be carried towards the womb 5. Frictions of the upper parts are good for aversion Another is from some part besides the womb and then there are signs of the part affected in the cure we must have regard unto it II. One is from the womb which is known by this that there are signs of the womb affected the flux is not so plentiful It ariseth from the distemper of it of which in the Cure we must have a regard Suffumigations of Frankincense Labdanum Mastick Saunders are wel applyed but from what Cause soever it ariseth baths do most good Concerning a Gonorrhaea if any thing ought to be known let it be sought from those things which are said concerning a mans gonorrhaea Chap. 2. Of the Symptomes more familiar to those that live out of Wedlock Article I. Of the Virgins Disease THe Symptoms more familiar to those that live unmarried are the Virgins disease the suffocation of the womb the madness of the womb and the melancholy of women The Virgins disease otherwise the white the Virgins the Pale the Lovers Feaver is a change of the natural color in the Face into a greenish and pale proceeding from the abundance of crude Humors 'T is called the Virgins because it appertains most of al to Virgins and truly to the Fairer endued with a white colour thence the Tincture from crude Humors is the easier The Face it self wil afford us the Signs to which add other Symptomes as the pain of the Head somtimes madness the Humors and Vapors being carried thither and mixt with Melancholy a difficulty of breathing with a palpitation of the heart if they stir with a smal and frequent pulse of the Arteries in the Neck back and Temples by Reason of the lifting up of Vapors from the heating of the thick blood inordinate and erratick Feavers by reason of the Putrefaction of the Humors manifold affects of the Stomach amongst which loathing of meat by reason of the unhappy distribution of the Chyle A Pica from the abundance of evil humors in the coats of the stomach Vomiting from the great plenty of crude Humors both a distension of the Hypochondries from the reflux of the Menstruous blood to the greater Vessels and a rumbling from the tumultuation of wind A swelling as wel of the whol body with a laxness and softness from the plenty of the Humor as either of the Eye-lids especially in the morning after sleep when in the night the heat hath raised more Vapors and serour Humors than could be discussed or of the Legs and Feet especially about the Ankles from the abundance of serous Humors The CAUSE is the crudity and plenty of Humors arising either from the suppression of the Courses or from the Native straitness of the Vessels or from that acquired by eating of wheat Loom Chalk earth Nut-Meg drinking of Vineger c. Or from the obstruction of other bowels For the Menstruous blood the Passages not being open doth regurgitate to the greater Veins and Bowels obstructs the Vessels and over whelms the heat Hence ariseth evil concoction in the Bowels and the Humors are carried to the habit of the body The CURE is accomplisht 1. by bleeding especially in the Ankle if the malady be new and the blood is not turnd into another humor If it ariseth from the Evacuation of blood supprest 2. By Purging premising Preparatives 3. By opening obstructions in which we must have respect to al the bowels the suppression of the Courses must most of al be minded There are commended Steel prepared Scorzonera Root Bezoar stone Oyl of Crystals c. In the diet Vineger must be voided Article II. Of the Suffocation of the womb The Suffocation of the womb is a heap of Symptomes opposing somtimes the natural actions somtimes the Animal somtimes and more often the vital by periods joyned with a coldness of the whol Body proceeding from a malignant Vapor raised from the womb 'T is called also the Suffocation of women the strangling from the womb the Hysterical passion c. The SIGNS are either of that at hand a wearinness of the whol body with a weakness of the Legs a paleness of the Face with a sad look a nauseousness which is seldome succeeded with vomiting oftentimes a certain wearisomness and loathing of meat and that somtimes with a murmuring and rumbling of the belly somtimes without these Or of that present in which a Vapor raised up to the heart and stopping the vital spirits a smal fainting away is Caused the Pulse is changed a little the body grows cold the spirits recurring to the heart fear and desperation moves the patients the same thrust to the Head and Jaws somtimes the Jaws are bound up and the Patient seems to be suffocated The motion of the breast and Midriffe is hindered the Animal spirits being stopt and breathing is almost intercepted the sick living in the mean while by Transpiration somtimes a madness of the womb is added with prating and fury somtimes other kinds of madness arise Somtimes sleep and a drowsie Disease is induced in which the woman falling as astonisht lies without motion without sense with such smal breathing that she seems dead Or of the fit declining and then a certain Humor flows forth from the Privities the Guts murmur by and by the Eyes are lift up the Cheeks grow red sence and motion return Somtimes a coldness at the time slides from the Head by the Neck into the shoulder and Arme which
Serpentary root Centory Fig-Ashes Unguentum Apostolorum Agyptiacum By opening the Fistula which being done the Callus must be taken off with a pen-knife or with a red hot iron the part being guarded with a defensative III. By Consolidation the filth being cleansed away by Centory pimpinel c. As for what concerns the differences 1. Some have divers holes or Cavities and then more quittor flows out than can be contained in one Cavity 2. Others have divers orificies and then if the liquor squirted in by the syring flow back through al and if the humidity be of the same coler t is but one Fistula 3. Another terminates upon flesh then that which we touch with the probe is soft and the quittor that comes forth is white 4. Another reaches to the nerve then pain is felt when we search it 5. Another bottoms at the bone and then that which we touch with the probe is hard 6. Another ends upon a Vein and Arterie and then if they be gnawen asunder blood breaks forth if not a certain matter like lees or dregs comes out Chap. 2. Of Wounds A Wound is the solution of Vnity in a soft part made by somewhat sharp and cuting either by way of a prick or stab or by way of a slash or gash The Subject is a soft part and that either external or internal c. There need no Signs The Cause is expressed in the definition The Cure is none if the Heart be wounded so that the vital spirits be dissipated if there be a vessel in the Lunges out of which blood being shed overwhelms the Heart If some great internal vessel be so hurt that it cannot be shut up whereupon blood being plentifully shed the spirits are dissipated Doubtful if the weapon were poisoned if the wounded person be weak and ful of bad humors if an inflamation happen in the inner more nervous parts and such as have more exquisite sence which is followed by an afflux of humors and sometimes by a Gangreen 'T is difficult if it be joined with a Cachexy and dropsy because overmuch moisture hurts the cure If it be purged out with difficulty If it be complicated with other diseases If it be in a part apt to receive a Conflux of humors If it have in it some extraneous thing which cannot at first be drawen forth If on the Critical daies to which wounds are so far subject inasmuch as they have in them some matter requiring Concoction there is no change to the worse If the wound be oblique or circular If convulsion happen or contusion be also present 'T is performed I. By exemption of superfluous things Where note 1. Clotters of blood must be taken away only at the third binding because by stopping the Orifice of the veins they hinder a flux of blood 2. Those broken bones are only to be taken forth which are perfectly free 3. The weapon must be pulled forth if the patient may live when that is done 4. That the weapon may be taken out either by thrusting them along if the passage be short and neither bone nerve nor veine prohibit or by extraction and both waies are performed either with section or without the same those things which cannot otherwise be removed must be brought out with drawing medicaments nor must they be by any meanes left to Nature II. By conjunction of the Lips of the Wound where respect must be had to the manner of binding up and to which belongs swathing placing of bolsters slipping and the right placing of the part tied up III. By Digestion that the blood which flows out of the smallest veins in the part wounded and sticks in the pores of the part may as soon as possibly be changed into quittor Where observe 1. That in moist bodies vulgar moisteners must warily be used least putrifaction being induced the wound should turne to a sordid ulcer 2. In dryer bodies they are more profitable to correct the dryness 3. That Digestives must be corrected with sarcoticks and that we must not trust to one medicament See the Medicaments which move quittor in the Institutions This is the best Red clear terpentine and Gum Elemi of each one ounce and an half Weathers grease two ounces old Hogs-grease one ounce Melt al over the fire and make a Liniment 4. By Conglutination of the Parts which is performed either by a medium of the same kind in the soft and fleshy parts in which plenty of blood by strong heat is more easily changed into flesh or by a Callus in the bones or by a scar in the skin Which is furnished by sarcotick medicaments of which in another place also by vulnerary potions concerning which observe That they are not to be used at the beginning nor when external medicaments may serve the turn and when there is a fever and Inflammation those things must alwaies be used which are appropriated to the parts Hereunto appertain The Vulnerary Balsom of Hartmannus in his chymiatria the glutinatory pouder of Crabs Balsam of Eare wax and Rulandus his balsam of sulphur 5. By averting the fluction where we are to use 1. Blood-letting if the body be plethorick If the blood did not issue out two much before If the wound be great and there be no inflammation caused by pain 2. Purgation if the body be ful of bad humors if the humors be thin hot and cholerick least they make the blood apt to stir If it be used at the beginning If there be no fever withal The Differences of wounds are sundry 1. One is of the Vessels and that either of a Veine and then the blood Issues more violently and it is thicker blacker and less hot or of an Artery and then the blood is yellow hot and thin the patients strength is much spent by reason of loss of spirits t is hardly cured by reason of the hardness of the Arteries their perpetual motion and the force of the blood in them contained The Cure calls for the stoppage of blood which is performed 1. By joining together the Lips of the wounded vessel either with a mans fingers or a swat he by which means nevertheless the blood wil hardly be stopped By stopping the Orifice of the Vessel either by application of ones finger or by medicaments which stop blood The external medicaments are Crepitus Lupi a kind of puckfist or toadstool so called vitriol poudered and put in a cloath the pouder of Agricola consisting of two drams of Sugar of Lead White franckincense red myrrh one dram of Saffron and Camphire poudered wet with Frogs-spawn water dried at a gentle fire put into the wound Internal medicaments see in the Chapter of bleeding at the nose 3. By Revulsion with blood-letting divers times administred or by Cupping glasses if the patient be weak 4. By Interception with intercepting medicaments which ought to be applied to the vessels by which the blood flows 5. By dissolution of the blood after it is congealed and clottered
speak somwhat thereof in general in this place A single Chapter Of Pain in general PAin is a sad and troublesome disposition arifing from a sudden and vehement alteration in the sence of feeling The Subject are the nervous parts especially the thicker membranes which bring vehement pains SIGNS are needless the sence it self shews it The CAUSE is whatsoever eminently and suddenly alters the part or dssolves the Continuity thereof The CURE must be hastened least a fluxion be raised especially in a vehement one the Disease also must be set aside if there be no other Remedy 'T is performed I. By intigation with Anodynes and Narcoticks Among the former oyl of Lillies Earth-wormes Chamomel a Cataplasme of bread Crums milk and Safron boiled together a pultis of Marsh-mallow roots boyled in Milk Grulingus his Unguentum Jovis Among the latter are the extract of Thorn apple seeds the Narcotick trochisks of Fernelius Quandanum opiatum II. By removal of the Causes both by internal and external remedies The Differences are taken either from the Causes or from the parts affected I. One kind of pain comes from an eminent and sudden alteration of quality which is taken away by the remedies of a contrary quality And it comes either from heat and dryness then the causes have preceded the pained part is red we must go to work with things cold and moist Or from cold dryness the suitable Causes have preceded The skin is white or growes black and blew by binding 'T is eased with things hot and moist Another springs from Solution of Continuity which is caused either by many humors which stretch sharp ones which fret in which cases bleeding and purgations are useful Or from winds which teare as it were in sunder in which case having premised Carminatives we must deale with universals Or from external Causes beating cutting burning where the Cure must be directed to each particular Cause II. One fâ—â—rt is pricking in the Membrans which compass the ribs and subcostal Muscles Another is beating proper to the Arteries the sign of a great inflamation Another is a dul paine and mâ—â—medness which happens in the fleshy membrane which is spred out beneath the skin which happens from Refrigeration external Contusion or compression Another is a pain as of some heavy thing which burthens which is commonly felt in the kidnies sometimes in the Liver and spleen Another is a stretching paine according to the longitude of the part proper to the Nerves which extends it self into both parts of the Nerves Another is stretching according to the latitude proper to the membranes which cover the muscles Another is wandring which arises for the most part from winds in the larger Cavities of the Belly womb c. Another is a boring pain in the Guts it arises from cold humors fastned into their Coats Another is a leaping paine which happens in the coats of the brain where rising as it were from a root it suddenly leaps into the Circumjacent parts Another is Vlcerative or soreish which commonly happens in the skin and parts beneath the same also in the Gutts from the Acrimony of Humors and worms is common to the dysentery Another is deep which happens in the periostium presents it self to the senses as if the bones themselves did ake or the marrow in the bones And so much for the first differences of Diseases THE SIXTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of External Diseases Title I. Of the Several sorts of Tumors SO much may suffice to have spoken of Diseases in general and of their cure Diseases considered in their several sorts are either External or Internal The former are Tumor or Sewllings Diseases of the Skin Diseases of the Hair Vlcers Dislocations or Disjointing and Fractures and therefore there wil be likwise just so many Titles in this Book Chap. 1. Of Swellings or Tumors Caused by Blood Article I. Touching over-great Corpulency SOme Tumors spring from Blood others from Choller Flegm Melancholly from Watry and wheyish Humors and some from a Mixture of these one with another Those which spring from Blood are Over-great Corpulency Inflamations Bubo's Phygetlon Phyma Furunculus Parotis Paronychia Perniona's Ecchymofis Carbunculus Corpulentia nimia is an over-great increase of the Bodies Bulk caused by too much plenty of Flesh and Fat Signes are needless The Consequences thereof are an Hindrance of the Motions and Operations of the body shortness of breath by reason of the passages being stopt somtimes suddain Death in such as grow Fat when they are young Barrenness because of the seeds watrishness The CAUSE is the Increase of Flesh and Fat The CURE varies according to the variety of the Differences The DIFFERENCES are taken from the Causes I. One sort springs from Encrease of Flesh which is Caused through plenty of good Blood made by a temperate Liver out of meates of good Juyce the hot and moist temper of the Musculous pâ—rts of the Body assisting thereunto It is Cured 1. By Evacuation through Blood letting Cupping Fasting Eriction 2. By Consuming the Flesh with such things as strongly dry and moderately heat II. Another from the encrease of Fat caused by the Oyliness and fattyness of the Blood falling out of the Veins into the Membranous parts and there congealed by the moderate heat and Efficacy of the said parts T is Cured 1. By Evacuation but it must be sparing because such persons are apt to fal into cold Diseases 2. By Consumption of the Fat effected by things hot bitter diuretick yet so as care be had that by over much heating another Disease be not Caused Article II. Of an Inflamation An Inflamation is a Preternatural swelling of the fleshy parts springing from blood which besides the intent of Nature flows into the said parts The SIGNES are Heat which is caused partly by reason of the Blood partly by the stoppage of the pores springing from plenty and thickness of blood which stoppage wil not suffer the Fuliginous Vapors to exhale and partly by the bloods putrefaction Pain both by reason of the distemper and the solution of continuity caused by plenty of blood filling and distending the part Redness the blood communicating its color to the part affected Tension or Stretching because of the abundance of blood distending the whol substance of the Part. Renitency or Tightness from the same Cause Pulsation by reason of the distention of the inflamed parts caused by the heaving of the Artery which wants freedom of roome to move it self The CAUSE is the plenty of blood or its sharpness by reason of Chollerick Humors which because they provoke Nature they are by her thrust out she using the blood as her Vehicle or Chariot to ride in which flowes plentifully to the part by reason of its pain The Manner of its Breeding is this An Hot Fluxion causing the blood to fal into the Muscles first the great Veins then the lesser then the least of al are distended And when
making an Issue in the Neck if the Distemper be altogether refractory and wil not give place noâ— yield unto the aforesaid Remedies VI. By Corroboration which is effected by appropriat Cephalicks VII By a Diet that is opposite and contrary unto the Cause and the distemper It is divided into that which is from thick Flegm where preparatives have their place as being of singular use neither may blood-letting in this case be safely allowed of and that which ariseth from Flegm that is thin and fluid and which excites and begetts a Catarry and in removing of which sneezing wort and al sorts of Sternutatories and Errhina liquid Mediâ—aments to be puâ— up into the Nostrils that are over strong and violent ought carefully to be avoyded IV. The Sercus or Wheyish distemper oâ— the brain is known by those signs and tokens that are before mentioned It is derived unto the Head either sensibly and by degrees especially together with the Arterial blood it self and likewise the spirits or else al at once by reason of some external more forcible Causes to wit overmuch drinking of wine anger violent exercises c. It is Cured I. By the Evacuation of the serous Humor from the Brain without the premising or use of any preparatives whatsoever This Evacuation is performed 1. By a purgation of the Humor with such Remedies as draw forth water 2. By blood-letting especially if there be present any Feaver although never so gentle and an extraordinary heat which moveth the serous part of the blood unto the Head and in case the accostomed Evacuation be suppressed 3. By the Exhibition of Sudorificks that are over hot as for instance Antimonium Diaphoriticum Bezoarticks the Lunar Fumary c. 4. By the drinking of Diureticks which are likewise very good and profitable to the spleen II. by Correcting the Distemper for which purpose we usually prescribe the powder of a mans bones drying Lotions c. III. by Diet touching which fee and consult the practical Physitians V. The Melancholy distemper of the brain is known by the dotage that accompanyeth it together with fearfulness and sadness a pain especially on the left side turbulent dreams and oftentimes a sudden loss of al motion Is Proceedeth from Causes that generate Melancholy The Cure hereof is easie in its beginning It is Accomplished I. by the reiterated Preparation of the Melancholly Humor after the Purgation of the first waies and passages by the use of those medicaments that both heat and moisten among which the syrup of apples is excellently good II. By the evaccuation of the said humor by purging potions at first such as are genttle but afterward such as are stronger in opperation and here for this purpose Lapis Lazuli is much commended adding thereunto such things as moisten after which there must immedeiatly follow an evacuation by the frequent use of those remedies that we term Errhina and other such like III. by corroberating and strengthening the Brain by the confection Alkermes with other suchlike confections IV By diet iâ— the which vinegar in regaâ—â— that it doth ferment and as it were leaven and sowr the mellancholly humor is principally to be avoided It is divided into that that is Essencially such in which likwise the opening of the cephalick or head vein of the left arme and a copious letting out of the blood if it be black but a more sparing evacuation thereof if pure hath its place and use and into that which ariseth from the suppression ether of the Monthly Courses or of the hemorrhoides in which case revulsion and the opening of the Ankel vein is to be put in practise VI The Atrabiliary distemper of the brain is Known by the want of sleep and extream dobting of the sick party and it arisath from such causes as foment and supply a melancholly Juyce and together with these as it were burning of the same aforesaid Juyce the extraordinary heat of the bowels may do very much The Cure is very difficult in regard that it to far receeds from the Temperament of the Brain It is atchived I. By an often repeated preparation by coolers and moisteners an evacuation of the first Vessels or passages being before premized That compound which we commonly cal Cachund of which hath already bin spoken in the melancholly destemper hath here likwise its place and use II. By a frequent and reiterated evaccuation of the black choler by medicaments such as they term Melanagogues well mingled together with Moisteners as also by those things that peculiarly and properly purge the brain III. By digestion and that by Topicks and sweet water baths if yet the distemper wil not give place nor be removed then let the patient drink the whey of milk together with such things as are specifical remedies against melancholly and of a moystening quality It is divided I. into that which is such in its very sence wheâ—e the opening of the cephalick or the common Basilick vein hath its place and that which is caused by the suppression of the courses or the Hemorrohides of the which sufficiently above II into that which is from the blood burnt or over heated in which distemper the sick party is evermore very apt and propense unto laughter And this is to be cured by letting blood in the same manner as was that that was generated by yellow choler in which a bruitish kind of dotage and fierce anger gets the upper hand and that likewise that had its original from the Melancholly humor in the which pensiveness or sadness and a continued silence or else haply after a while that this silence is broken a tedious extream talkativeness hath the predominance c. Chap. 3. Of the straintness or narrowness of the passages of the Brain THe Straightness of the passages of the Brain then happeneth when the said passages are either obstructed or compressed by their causes Those passages are the pores of the Brain which is of a spungy substance the pores or passages of the stomach the Veins Arteries Nerves and the sutures of the Skul The SIGNS are taken from the diminution or else the utter abolition of the actions of the Brain The Causes are either obstruction from pituitous and flegmy humors blood poured forth out of the vessels grosse and thick Vapours or otherwise Compression and this either from the skul by reason of some violence offered thereunto or else from blood distending the vessels from whence they are affected with a flegmatick distemper or else haply such as is shed forth and fallen into the substance of the body by reason of the a bundance of its thinness or acrimony apituitous or flegmy humor having first obstructed the Basis of the brain and lastly by an hard tumor or swelling The CURE is Various according to the variety of the differences The differences are taken from the many and several causes I. One difference is from Causes External to wit the fumes that arise either from coals beer or
patient in his fever is even scorched with a more ehement and intence burning heat Chap. 3. Of the streightness or narrowness of the Lungs The streightness of the Lunges is the interception of the vessels thereof by reason of obstruction Compression or exsiccation producing a Cough oppression and a difficulty of breathing As for the Signs Causes and Cure thereof let them be al sought our from the differences The differences are taken from the Causes and the parts affected I. One is of the rough Arteries touching which let the Reader advise himself further and satisfy himself fully from the following differences the which proceedeth from an obstruction c. Another is of the smooth Arteries which is known from the breathing which is with much difficulty yet not only in the beginning but likewise in the increase thereof from the pulse being altogether various unequal intermitting great swift slow rare frequent vehement by reason of the Combare betwixt nature and the Morbifique cause she being not able to expell the fuliginous or sooty fumes by reason of the streightness and narrowness of the Arteries from the palpitation or beathing of the heart it being now very much oppressed and from fainting and swooning It aâ—iseth either from thick Visced or clammy and flegmatick humors and then the pulse is by the extension it differeth much from it self but yet it is for the greatest part more equal in it self and this is not very hard to be cured especially if it newly begun the cure remameth to be spoken of below Or else it ariseth from a little riseing or swelling and then the pulse is hard by extension and dryness its inequality is uniform by reason that the Cause is more fixed Touching the Cure we shal speak more anon II. One is understand this of the Rough Arteries from an obstruction by blood a humor c. Touching which more below Another from Compression and almost from the very same causes as in the dropsy Another from Exsiccation very frequent and incident unto such as work in Metalls and this for its cure requireth almond milk III. One is from blood obstructing or compressing the rough Arteries expelled and driven forth thither either from the Lungs or from else where which is to be driven back and evacuated And lastly if it become Clotted by Oximel scillitick and a posset that is a mixture of water and vinegar six ounces thereof in weight so that it be pleasant to drink and likewise so that by reason of the vinegar it provoke not to Cough and this to be administred blood warm three or four times in a day it is to be dissolved Another from a Humor and especially that that is Phlegmatick which is plentifull and abounding and then if by distilling it flow forth only into the Membrane that surroundeth and grindeth in the throat it obscureth the voice and causeth a hoarsness if this humor fal into the hollow the channel of the throat it produceth a little sheeps cough as we cal it with a certain sence and feeling of an acrimony that continually provoketh to Coughing or else the sayd humor is thick and viscid or clamy but this is very rarely generated in the Lungs in regard that they are nourished by a thin and pure blood it almost alwaies ariseth from Catarrhs falling down from the head the which in tract of time by the force of the heat is changed into a Glassy or Plasterlike Phlegm which being by the many distillations returning in a round as it were and circuit stored up in great abundance causeth the Asthma The same likewise exceedingly afflicteth the Patient with a kind of dry Cough by the which there is hardly any thing expelled and brought away it rendereth the breathing difficult and causeth in the taking in and puting forth of the breath a snorting or wheezing as we term it in regard that it is impacted and pertinaciously stuffed into the Lappets of the Lungs it hath signs and tokens foregoing of a distillation either from the head brain or from the neighboring parts In the Cure whilest the matter is in preparing with Colts foot Horehound and other attenuateing and cutting Medicaments let Borrage Liquorish and Raysons be mingled together The purgation is wel performed with Agrick Another is from the Pus or purulent Matter that is powred forth out of some Apostume and then expectorating Remedies have their place IV. One is from Causes that in their whol kind are preternatural amongst which are I. Little Substance some of them very hard and solid others of the consistence of old Cheese all of them included in their own proper Cisterns and Bladders and producing the Asthma II. Little Risings or Swellings which have their Original from a matter collected in one part and thence strutting and standing forth without any token or sign at al of any distillation preceding and these said swellings adhere and stick close unto the Aspera Arteria or great rough Artery They are divided into those that are Crude or raw which are very hardly known and they are never suppurated neither have they any Feaver joyned with them and such as are Suppurated in the which the Pus or filthy corrupt matter is so strictly and closely shut up in its little Membrane and proper bladder that hardly can there any noysom and stinking smell expire and breath forth of it into the Body Then the sick persons are of a black blew or leaden color their Tongue is replenished with a certain kind of Clamminess especially when they have abstained long from Food the Urine is dyed and hath a tincture either from the vehement motion and stirring of the Body or else from meat and drink that is hotter than ordinary after an extream and violent motion there are little pils and smal round bals or pellets like unto a smal Pease included and wrapped up in a little Membrane ejected and cast forth of the Lungs There is then likewise a troublesom Cough and a difficulty of breathing excited A pain there is that continually affecteth sick persons but then chiefly when they are moved with a more vehement and violent morion The Patient recovereth not to be well of these unless 1. The Suppuration be speedily wrought 2. Unless the Suppuration when it is made suddenly break forth 3. Unless it tend upwards and be cast forth by Coughing 4. Unless al the Pus and the whol filth be evacuated and emptied forth 5. Unless the belly that is that Cavity in which the Pus or purulent matter was contained be perfectly agglutinated and united as formerly Chap. 4. Of the Wounds of the Lungs THe Wounds of the lungs are wel known by the difficulty of breathing by reason of the hurt the organs have received by the casting out of froath and blood by the mouth with a cough by the spitting up of a red and froathy blood out of the chest without any pain at al by the swelling and strutting of the neck veins and lastly
by the various color of the faceone while red and as soon again pale and wane Now these wounds are Caused in a twofold manner For Somtimes it so chanseth nhat the fleshy substance of tee lungs may be hurt and then in regard that the blood destilled inthe Cavity of the Thorax and that neither a spitting of blood nor any Cough whatsoever urgeth the party the breathing thereupon is not without much difficulty ther appearreth a virlssitude or interchange of heat and cold by reason of the exhalations and fumes from out of the heart Sometimes the veins of the Lungs are affected and then there floweth forth in great abundance a blood somwhat red black and frothy the Cough likewise is perpetual unless perhaps there be present a prostration and decay of the Natural strenghth and vigour or an oppression of the Lungs from the blood They are Cured I. If the profuse flux of blood be stanched and the inflamation unto which the Lungs by this means becometh obnoxious be prevented and hindered by venesetion II. If the blood in him where it was poured forth into the Cavity subsist and abide there III. If when the sayd blood cannot flow forth by reason of the narrowness of the wound the said wound be widened with a penknife Among those Medicaments that stanch and stop the blood there are these viz. The Strawbery bush Betony Scabious the herb Ladies mantle sanicle Comfry c. without these are altogether void of any biting quality viz. Bole armeniack Frankincense c. Read more of this subject in the guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London dispensatory al the last Editions englished by me Chap. 5. Of the Ulcer of the Lungs or Phthisis PHthisis is an Exulceration of the Lungs from a sharp corroding matter with a gentle Fever a Ccough and a spittle that is both bloody and purulent by the which the whol body is sensibly and by little and little consumed and extenuated The Subject of this exulceration is the Lungs together with the parts thereof towit the fleshy substance the lappets the vessells and the Membranes in those especially that have their heads easily and soon filled and where the head sendeth many distillations unto the organs of breathing in those that from their very nativity have their Lungs of a vicious substance that is such as is tender soft and easily wasted as being most subject to corruption And hence it is that such as are descended of a tabid stock that is to say those that issue from parents affected as beforesayd do all of them at the length as it were by a right of inheritance necessarily wast away and consume in the aforesaid manner in those that naturally have a streightness and narrowness of the Chest and likwise a depression of the same a streight neck or narrow throat a lean and spare body and their shoulder blades sticking out behind them like as if they were wings The Signs are a Gentle and moderate Fever proceeding from vapors elevated and arising out of the Lungs and assaulting the heart by their sudeen and violent irruption therunto with which there are also joyned other feavers that are otherwise sometimes Erratick and fleeting and sometimes again invading the patient after the maner of a Tertian whilest that the humors within the veins by that heat as were kindled and set on fire corrupt and putrefy and this the truth is being by its continuance and without any the least intermission turned into the Hectick immediately after meales and in the night time like as do others increaseth and groweth more prevalent 2. A frequent Cough like unto that of foxes without any great pain which cheifly afflicteth and troubleth the party in the night time and it hath its existence from a matter that is sharp by reason of the irritation of the Lungs 3. A bloody and purulent spittle but this is not in al. Some there have been found who after their retching and the spitting up of a liquid and yellow humor being soon after seazed upon by a light and gentle fever have thereupon begun to fal away and wast and after som time have cast forth by retching a certain smal quantity of blood together with a kind of Pus or corrupt matter and many have been by sensible degrees taken away in whom throughout the whol course of their lives there appeared nothing at al of this bloody and purulent spittle But I must tel you that this Phthisis is incident unto those that are young rather than unto aged persons in regard that young persons most commonly abound with blood and consequently are affected with the heat and acrimony thereof with the laxity or loosness of the vessels and likewise the hardness of the same and in regard likewise that these excercise themselves in a more violent manner and have little regard to their diet This hath one thing singular as propperly and peculiarly belonging thereunto towit that it proceed from the very substance of the Lungs it is then frothy and if it be put into the fire it stinketh and is very offensive to the scent 4. The extenuation of the body which is from the aforesaid continual but gentle fever the which by its fiery heat dispersed throughout the whol body dissolving the Arterial blood the mingling whereof together with that of the Veins is altogether necessary unto Nutrition hindereth the Concoction of the Aliment in the whole body and by its preternatural heat wasteth and consumeth that which is Concocted and stored up The CAUSE is a sharp corroding matter fallen down thither of which we shall speak further in the differences The CURE is not to be despaired of no not though it be attended with an Ulcer already appearing For Galen sendeth such to Tabae a City in Cilicia and prescribeth milk for their Diet. Yet notwithstanding it is something Difficult as wel in regard that the filth and purulent matter sticking in that soft and Spungy flesh cannot without a Cough be purged forth by which the Lungs are from day to day more hurt and prejudiced as because that in this dayly motion of respiration or breathing unto which there is moreover added and adjoyned a violent cough there cannot possibly be any Consolidation made and also in the third place because that Medicaments in their ful strength and Virtue cannot penetrate so far and lastly because that Feavers require moistening Remedies which are altogethet hurtful to an Ulcer The Cure hath cheifly respect unto these six things in Particular I. The removal and taking away of the Catarrhe touching which more below in the Difference II. The Cure of the ulcer here there is commended Flores Sulphuris or the flower of Brimstone as we commonly cal it with a soft and rere egg syrup de Erysimo or water Cresses of Lobelius of the Juyce of Ground Ivy with the Flower of Brimstone of Marsh-Mallows of Fernelius of the Juyce of Mouse
blood warm unless it be in the summer time and the Breast therewith anoynted II. The Tumors or swellings of the Diaphragm are of two sorts Some of them are Cold which are known by the difficulty of Breathing the stretching out of the hypochondria yet no swelling appearing in them upon the touch and no deliry or dotage accompanying it They arise from a matter that is crude and thin penetratting into the thickness of the diaphragme either from the compression or wounding thereof They are hardly Cured if they be of long standing in regard they bring the sick person to a consumption but more easily if they be Recent and newly begun but not at al if there follow a deliry or doting First then we are to administer those medicaments that evacuate the prepared matter among which those we term Hydragoga or water purgers are especially commended and afterward with those things that mollify and digest and cheifly Sarsaparilla unless the humor hath begun to be hardened Others are hot which are known in their first rising by a feaver that is both continual and accute a pain the breathing little but often the extension of the Praecordia a palpitation or panting neer unto the diaphragm and somtimes a kind of leaping in that place in the Progress by the doting that attendeth it the unequal respiration or breathing being sometimes smal and sometimes great swift and as soon again altogether as slow and rare They arise from a blood hot and cholerick The Cure is difficult in regard of the extream peril therein It likewise resembleth the inflamation of the Lungs Chap 2. Of the Pluresy THe Pleurifie is an inflamation of the Pleura Membrane and the adjacent muscles arising from the influx or flowing of a hot humor with a pricking pain of the side a Cough difficult breathing a continual acute Feaver a hard pulse unequal and frequent The SIGNS Pathognomick as we cal them are an extream pricking pain because the aforesaid membran which we cal pleura being of a most exquisite sence is extended by a sharp matter A Puls that is hard unequal and bearing a kind of resemblance with a Saw in regard that the part that is inflamed is Nervous A Cough by reason of irritation and transudation to use the terms of practitinors which in the beginning is dry but in the progress adjoined with and attended by a spittle that is bloody and purulent A Breathing frequent and but very weak and smal in regard that the muscles by reason of the extream pricking pain cannot be sufficiently dilated An acut feaver in regard that the inflamation is so neerly neighboring unto the Heart And al these signs ought to conspire and meet al together and not to be present in a scattering manner one after another The CAUSE is an extream hot matter or blood either pure or impure which floweth forth especially out of the vena cava or great hollow vein adjoyning to the heart by the Branch that is termed Azugos into the little thin stems and sprigs thereof which being opened broken or the pors therof dilated it â—unneth violently into the plura membran and somtimes it likewise rusheth thereunto through the upper intercostal membran but more rarely through the thoracical and that we term mamaria The Supply of the aforesaid blood is from a Plethory Cacochymy and the overgreat heat of the Sanguifying bowels It is promoted and furthered by various external Causes and cheifly a sudden chilling and cooling cold northern blast after the great and warm south wind over much and violent exercise c. There is good hope of a CURE if the spittle receive a mature and speedy concoction and be easily and fitly cast forth and if on the foruth day the sick person spit forth that that is white light equal and this by coughing three or four times be terminated on the seventh day and if on the seventh that then it be not extended beyond the leventh or foreteenth day at the furthest if on the crittical day there happen a flux of blood out of the nostrils the Hemorrhoids or the womb with signs of Concoction if which is indeed very rare there chance a Metastasis or translation of the matter unto the joynts and the members of less account It is doubtful if there be spit forth only thin Ichores which are a sort of little ulcers if yellow choller very much mingled with spittle appear long after the beginning in regard that hereby is signified that nature attempteth nothing against the disease If the Spittle be yellow sincere and mingled with much watterishness if the said spittle be Glutinous and Clammy because this clammy quality is contracted from a burning and scorching heat if it be ful of a green â—ustiness and very frothy if it be black because hereby is signified the pravity of the humor and the extinction of the native heat if striving much by reaching doth not stay the Cough and facilitate the Breathing because hereby is manifested either the Malignity of the matter or the weakness of the expulsive faculty if after fourteen dayes it turne into the Empyema if it degenerate into the Peripneumonia or inflamation of the Lungs if it befal aged persons because that through the want of heat the matter is not concocted if it happen to those that have thick bodies and that are accustomed to excercise al things else being thereunto answerable No hopes at al if in it there be nothing spit forth if the pulse be hard little and by reason of heat very thick and most frequent if there happen in the begining thereof a flux of blood without any alleviation or ease in regard that in this case the patient most usually dyeth on the fourth day if the pleuresy be so great that the liver and the stomach be likewise drawn into a consent and fellow suffering and that also the flux diarhoea follow upon it if the pleuresie invade a Cachectical Body after some other long continued disease if from the spittle there arise a noise and much ratteling in the breast and that the continuance be dejected and the eyes veyled and blind with mists and darkness or as many times it is with the yellow Jaundis The Cure when we set upon it hath respect I. Unto the humors already flown in and likwise to those that are like to succeed and follow which are to be drawn back II. Those that are at present flowing which are not to be intercepted neither driven back but derived III. Those that are impacted and stuffed up in the part affected which are to be dispersed and scattered or removed by any manner of means IV. The Pain which is to be mitigated V. The Feaver which is to be kept under and moderated VI. And lastly the natural vigour and powers of the Body which are to be Corroborated Touching al these let what followeth be wel observed 1. That Venesection is with al speed to be administred on the opposite side for repulsion if
is little or nothing frothy rejected and cast forth sometimes by retching and with a cough that there is a heavy pain in the Head that the veins in the forehead are elated and strut out it is known also by the frequent retching and stretching and the sense of heat and the tasâ— as it were of blood Gargarismes are here of singular use Another from the Jaws which is known by retching the solution of Continuity which is very evident and conspicuous when the tongue is pressed down which said solution discovereth even the Gums and the parts of the mouth with a simple exspuition the Party spitting forth nothing but what is simple and unmixed It is taken away by a Gargarism of the rinds of the roots of the wildsloe trees sumach c. Another from the Throat in which there is cast forth blood with a freqent smal and easy Cough together with a pain of the Larinx Another from the Rough Artery in which there issueth forth a smal quantity of blood that is red and hot sometimes with smal strings cast forth together with a gentle cough and some kind of pain in the part affected Another from the Thorax or Breast in which the blood is little or nothing frothy but blackish and clotty sometimes stinking and mingled with purulent matter and it is ejected with a Coughing and pain It is cured 1. By opening the Hepatick vein of the right side and the blood ought to be drawn forth by degrees and often repetitions 2. By Evacuation with Cholagogues or such Medicaments as in purging extract and draw forth Choler 3. By incrassation where Trochisques of Crabs Claws de spodio and de terra sigilata or the sealed earth of Lemnos c. are much approved of Another from the Lungs in which the blood is continually frothy colored hot compact accompanied with a Cough and void of pain and somtimes there is together with it rejected a smal quantity and portion of the said blood corrupted and putrefyed Another from the inferior parts in which a little blood is cast up by vomit together with a pain and a bloody ejection c. Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title VII Of the Affects of the Heart Chap. I. Of the Palpitation of the Heart THe principal affects of the Heart are a Distemper a Palpitation and a Fainting or Swooning Touching the Distemper especially that which is hot we have spoken already in the second Book Concerning that which is moist Cold and dry there is nothing singular that offereth it self to consideration but what we may as wel make mention of in the other Species and kinds thereof and therefore we intend to treat only of those two sorts The Palpitation of the Heart is an inordinate and by its dilatation and contraction or setling it self composed motion of the same whilest it either expelleth that which is burthensome unto it or else attracteth that that is requisite and profitable unto it or else restoreth that that is Deficient and wanting It differeth from Trumor or the Trembling of the Heart in that this latter shifteth its place but the former seateth and fixeth it self in one place alone whether it be greater or less this of the Moving faculty that of the instruments and it may happen unto those parts that are otherwise immovable The SIGNS are evident and manifest enough unto the very senses to wit the sight the touch and the Hearing The Jugular Arteries are especially those that leap and Beat and their pulse is unequal and inordinate The CAUSE is either any thing irritating the moving faculty or else a necessily of refrigeration and cooling by Reason of the hot distemper or a Defect and want of the spirits touching al which specially and particularly in the Diffeâ—â—â—ces The CURE â—s exceeding difficult for the Diseaseâ— extreamly perillous it being very acute in each particular Paroxysm but of long continuance in regard of its intermiting and frequent returns If it proceed from the Coldness of the Heart if it continue long and from yeer to yeer and make many Recidivations it then for the most part is terminated and by a Syncope concludeth in Death It Respecteth I. The Paroxysm in this Case the Fomentation of Balm and Borrage the Water of the hearts of Animals known in the shops by the Name of Aqua Excordibus Animalium of Heurnius and the Juyce of Mother wort or as we cal it succus Cardiacae c. Have their due and proper place II. It respecteth the Causes touching which we wil treat further in the Differences The Differences are taken from the Causes I. One is from a Vapor or a Windiness exciting and irritating the Expulsive Faculty of the Heart which is known by this that its approach and surprisal is sudden and unexpected that it is excited by every light and gentle motion of the Body and there often a Trembling Seizeth upon the Knees and a darkness and dimness upon the Eyes c. This 1. Is either Collected there in that same place being Resolved of a matter Old and thick and fixed in that same place oftentimes with a Cold distemper but more seldom with a hot which if it be unequal it then raiseth up many Vapors and it is to be removed and quite taken away by opening the Vein either of the left or the right Arm according as the Pulse and beating is in this or that more restless and unquiet and especially if there be present a Plethory or over fulness of pure and good blood by the application of Cupping-Glasses to the Thighs by the removal of the Cause that is constantly and continually giving in supplies of matter and moving it up and down and from place to place and likewise by the discussion of the said matter And here there availeth much the Oyl of Citrons with some Conserve the right and true Phaponticum two scruples thereof given in Wine the Confection of Alchermes the Treacle Water with Camphire of Crollius Or 2. it is sent from the Inferior Parts the Stomach the Womb the Hypocondria c. And then regard must be had unto those parts 3. Or else it is Malignant and Poysonous and then there is present an extraordinary vehemency of the Motion which passeth into an inequality of al sorts as also into a fainting of the Heart and a Syncope or Swooning fits In this case there is commended the Cordial of Crollius made of Gold the Emulsion of Margarites with the water of Borrage and Cynnamon the Experiment of Thanckius of red Cora prepared and Margarites dissolved in the water of lavender by the inspersion of the oyl of sulphur or vitriol the water of Cinnamon with the spirit of Juniper c. Epithems of Alexipharmicks 4. Or else it is not poysonous unto which those things above mentioned may fitly be applied II. One is
in that a beating pain doth precede neer the affected place and there is neither biting nor looseness c. The CAUSES are sharp Humors corroding the Guts and peculiarly offensive to them conteining I know not what Antimonial Helleborine or somwhat like unto the Sea Lungs offensive to the Lungs and like to Cantharides inimicous to the bladder These infected by a Dysenterical Contagion peircing into the Veins and arteries do cause a Fermentation and imprint a disposition like unto it self by a stain on the whol mass of blood and stir it up with the other Humors as purgers do they fix also an evil disposition on the Guts so that the chyle passing by is changed into a vitious Humor and the Excrements of the Belly receive not a natural Elaboration and quality Somtimes in human bodies they are rendred such by the occult influences of the stars hence sucking children who never came into the open aire and were only nourisht with their Mothers Milk are somtimes taken with a Dysentery But they have their Original from Waters carried through Leaden and Old condites from the spring Aire rainy and southerly after a dry and northerly winter both by reason that the drying up of the Humors is hindred and by the strong puttefying power in moisture from a hot and dry Aire thence at the begining of the autum and end of the Summer this Disease is raised and Reigns cheifly in the hottest Countries From evil and unaccustomary Meats hence in Aegypt and India 't is common because they feed on the flesh of beasts which are nourisht by Cassia Fistula From autum Fruits both because they easily putrefie and because by their astriction they retaine those which are putrefied The use of Grapes and new Wine because they make a Fermentation and are easily tainted with foulness Blasting dews The CURE is Difficult in women by reason of their tenderness and weakness in Children by reason their Guts are moister and therefore subject to Putrefaction in Old people by reason of the greatness of the cause that is the acrimony of the humors in a body indisposed and Feebleness of strength 'T is doubtful if the stools be sincere that is mixt with no waterish moisture If the effusion of pure blood be joyned with it for it shews that the greater veins are corroded If loathing of meat afflict with a feaver because the stomach being drawn into consent the concoction is weakened there is some ulcerous putrefaction in the guts If cholerick vomitings seize at the begining because it argues a great power of boyling choler which troubles the upper and lower belly If the stools be continual or that stopping a new dilute flux bloody like to an hepatick flux or a filty diarrhy do follow If it invade with a feaver or with divers colored stools or an inflamation of the liver If it happen to a woman great with child and bate not after the delivery of the child and voiding of the secundine Of some hopes if the excrements be changed unless the change be to worse if belching or farting succeed because it is a signe that nature doth begin to concoct If it befal the splenitick because the melancholly humors are carried away where we must wel distinguish between the melancholy blood concrete in the guts and black choller If it follow madness because it betokens that the matter is translated from the head to the lower parts Of little hopes if black choller be voided of its own accord no feaver going before nor good concoction appearing because it differs nothing from an ulcerated cancer If convulsions and ravings Succeed because they shew the matter is carried to the head and nerves If peices of flesh be voided because the substance of the guts cannot be regenerated nor a scarre be drawn over so great an exuleration If any one releeved from an acute disease be taken with it because his strength is not able to undergoe it If in process of the disease the hickops follow if a black pustle like to a vetch appear behind the left ear with a great thirst because it signifies death on the twentieth day The Cure is accomplisht 1. By revulsion and derivation of the humors rushing to the guts where Bleeding takes place if there be plenty of blood if it rush violently with the humors to the guts if there be an inflamation or if it be feared If the Feaver be continual If a hot liver minister matter Yet note it must be emptyed by little and little timely and at the first dayes least the strength be dejected the median or liver vaine must be opened with a smal orifice the vein of the ancle if some accustomary evaccuation be stopt 2. By emptying the corroding humors so that the stronger be avoided because they move the humors to the guts Let the purging be at the begining before there folow too great exulceration and that very often that the humor may be taken away The syrup made of the infusion of damaske Roses is commended Myrobalans Tamarinds the infusion of Rhubarb first of al not torrefied afterwards torrified if we would binde a little Mechoacan by whose frequent use the belly is dryed The decoction of myrobalans which see in Sennertus 3. By the abstersion of the same humors by glysters made of barly the yelks of egs honey of roses Sugar and other things according as the exulceration is greater or less 4. By mitigation of the pain for which serve cows milk so that the body be purged and if there be a Feaver Let it be mixt with plantane water or let it be boyled with flints with yelks of egs and the mucilage of quince seeds and cast in by glister Mulein goats suit mixt with the same a clyster described by Sennertus of a weathers head 5. By stopping of the flux by the medicines rehearsed in a diarrhy to which ad raw services if the flux be most desperate a Nutmeg rosted in the embers if there be no feaver the decoction of the clay of the furnace in steeled milke new treacle if there be no inflammation the pouder of a dogs-turd fed three dayes with bones drank with goats milke Laudanum opiate but these ought so to be administred that sometimes hot sometimes cold things be given To cooling things let hot things be mixt that helpe concoction al in a smal quantity least the flux be stopt suddenly and let them be given often because they stay not long in the guts 6. By the use of mundefiers and things that fil up the hollow ulcer c. in which observe that when as the pain is exasperated by the use of detersivnes the glyster being voided another must be given made of milk 7. By the application of topicks concerning which note that astringents are of force rather in lean bodies than in fat when as in these they cannot penetrate Things very cold neither vertually nor actually must not be chosen vinegar or thin white wine must be mixed with them Cataplasmes
the Epigastrical branch of the Vena Cava and are disseminated to the external parts of the right Gut viz. The Muscles of the Anus but they are two having an Artery joyned with them from the Hypogastrical Artery Yet they seem al to have communion one with another It is known by the sight and because 't is greater 't is also more dangerous In the Cure external things have a convenient Application II. One is by default of the blood which either is too much and then there are signs of fulness we must revel by bleeding in the Arme or if strength wil not bear it by fixing Cupping-Glasses to the Loyns or Hypochondries Or sharp and thin and then it happens most to Southern people especially to men that are Sanguine Serous Humors if strength wil bear it ought to be emptyed if not we must use coolers and things that thicken the blood amongst which Purslane Trochiskes of burnt Ivory and Amber do excel Or it flows from the Liver and then 't is like to Water in which flesh new kill'd is washt The Syrup of corals is good Or from the upper Parts and then the blood is black and burnt Or from the Mesentery and then 't is little somwhat white Serous Or from the Guts and then 't is mixt with the Excrements Another is by default of the Veins which either are opened in which Cause we must use Agglutinatives as the Mushrum which is called the Wolfes Fart c. Burning and cutting the which are dangerous especially in those that are inveterate and of long continuance Or Eaten through and broke and this Evacuation Casts a man into a Dropsie and other Diseases II. The Suppression of the Hemerhoids is an interception of the blood endeavouring to get forth through the Veins of the Anus from whence they are raised up into a Tumor with pain The Signs are a tumor and bunchings out in the heads of the veins of the Anus sometimes hard like unto warts somtimes soft caled like to mulberries somtimes of a purple colour and like to grape stones the pricking paine is somtimes milder somtimes more greivous the Veins being distended whose Mouths hangs as it were out of their heads and the membrane which covers the orifices of the Veins stretcht and prest The CAUSE is Faeculent and thick blood desiring to get forth The CURE must be hastened both because it threatens a dropsie if the blood run back to the liver and because unless it be seasonably remedied by reason of the great attraction and flux of humors it causeth inflamation impostumation or a fistula It is performed 1. By mitigation of the pain which is asswaged by the crum of Barly bread steeped in womans milk adding the yolk of eggs and saffron 'T is taken away with laudanum dissolved in womens milke applied with honey but most of al with Butter Sugar or anima Saturâ—â— with flies of sheeps dung boyled in oyl of flax to the consumption of the creatures with the ashes of corke burnt and boyled with capons grease with the oyntment of road-flax concerning which see Hartman 2. By opening them universals premised by application of leeches or before that be done by an ointment of the Pulp of Coloqintida and oyl of sweet almonds by the juice of onions mixt with aloes applied rubbing first the part with a course cloth Sharp glisters do hurt the guts more then they provoke the hemorrhoids Unless they swel very much and be very painful they ought to be left to nature In the differences of the internal end external veins we must have a care The suppression of those is perceived by the squeezing of the Anus and thrusting up a probe Of these is obvious to the sight Title V. Of the affects of the Mesentery Chap. 1. Of the distemper and obstruction of the Mesentery THe affects of the mesentary are distemper obstruction inflamation impostumation and pain I. The distemper of the Mesentery for the most part is hot and dry which ariseth from the like matter which either is collected there of sent thither from some other part It is collected either in its veins and arteries and then because the breast hath the greatest consent with the hemorrhoidal artery because the trunke from whence the artery ariseth descending from the heart presently at its first rise doth propagate the intercostal branches there are continuall pains felt in the breast or also in its glandules by their laxness easily drinking up the matter The cure must not be neglected because 't is wont to fore-run a dry dropsy But it hath nothing singular except this that by those arteries not onely the first passages but also the whol body might be purged whether you give purging medicines or inject glysters and this perhaps is the cause that purging medicines layd to the navil do move to stool II. The obstruction of the mesentery is twofold one when the milky veins are obstructed which is knowen by this that a chylous and white flux of the belly doth molest and a consumption follows the matter necessary for the nourishment of the body being denyed That ariseth either from a thick crude clammy viscous chyle generated of the like meats or from a tumor of the glandules compressing them Another is when the mesaraick veins are stopt which is known by this that the matter restrained causeth a sence of distension and heaviness beatings of the arteries about the back are troublsome after taking of meat the evil grows more fierce and the stomach is comprest c. That ariseth either from vaporous and thick winds or from sharp humors and then the paine is more vehement sometimes while the evaporation lasteth the evil possesseth the whol cavity of the breast that somwhat is at hand like unto a suffocation somtimes there is a tumor raised about the mouth of the stomach and vaine belchings are produced those things being supprest that should be voided by the lower parts The cure is perfected 1. By openers and those indeedgentle That give strength to the liver and Stomach penetrating incisive drying lesning putrefaction and a little while astringent not by sweet things but bitter reduced into the forme of electuaries or pills but that liquor be drunk after them By tartarous things unless the saltness or sharpness of the humors do hinder by things that savour of Oxymel 2. By purgers unless windiness do hinder and those gentle not constant after the same manner given by little and little liquid 3. By vomiters but not violent Platerus his essence of broom is commended 4. By diuriticks that make thick humors fluid c. the liver is strengthened by Leonius his pills of the refuce of Iron By Mercatus his antidote of steele By Penotus his arcanum of vitriol sulphur and sallows c. Chap. 2. Of the inflammation and impostumations of the mesentery AN inflammation of the mesentery is a tumor of the same arising from humors poured forth with the nourishing blood into its
of Saturn excel But a Vein must be opened also and the Patient Purged 2. In its Acrimony contracted from hot meats Medicines and sharp things which must be opposed 3. In its Commotion whiles seeking a Passage it causeth an itching II. A Priapisme is an erection of the Yard without any desire of Venery arising from a windy Spirit filling up the hollow Nerve of the part That Vaporous spirits ariseth either in the Nerve it self from a cold distemper or in the Yard and Vessels from a thick and crude Humor by an unproportionate heat and here the distilled Oyl of Rue takes place For the most part 't is by Reason of the mouths of the Arteries are too open and dilated pouring forth plenty of Spirits because perhaps the Loyns and Kidneys being heated they grow hot and are filled with much spirits which happens to those that abound with much blood In the Cure universals premised Water Lillies the Seed of the Chaiste Tree and other coolers ought to be applied A Satyriasis is a Palpitation of the Yard following an inflamatory disposition of the spermatick Vessels with a distension It happens rather to young men than to other Ages the Cure must be hastened least they fal into a resoultion or Convulsion of the Seminary Vessels We must have a Care of Purges in it unless Perhaps we can make an aversion by Vomits and from things that move Urin. Article III. Of a running of the Reins A Gonorrhea is a too great and involuntary shedding of the Seed arising from its own fault and the fault of the Spermatick parts The SIGNS are evident the seed is shed a gainst their wils without lust and dreams of lust without any stifness of the Yard with no sense of delight or very little from whence is caused a slenderness of the whol Body about the Loyns especially with a paleness and hollowness of the Eyes The CAUSE and CURE shal be explained in the Differences The Flux is stopt by the magistral of the bone of the fish Sepia given from six grains to half a scruple with old conserve of Roses By fixt Antimony with Plantan Water The Difference is taken from the Causes One is by default of the Spermatick Parts 1. Of a cold and moist distemper which either ariseth from external Causes endewed with such a vertue and weakens their retentive faculty as too much Venery or from an afflux of Humors in which Case emptying and binding with heaters mixt takes place It is the easier Cured so it be new the pouder of Turpentine given with milk for fifteen daies does good 2. by default of their Laxness when their Bladders conteining the seed and the Vessels that carry it are too much enlarged and Relaxt Another is by the fault of the Seed it self which is 1. Plentiful by forbearing from Venery and by using meats that nourish wel and then bleeding Fasting exercises do good 2. Sharp and hot stimulating the expulsive faculty which proceeds from the like blood by reason of the heat of the liver and Kidneys and then a priapism for the most part is joyned with it external Causes went before The Cure must be ordered by emptying of Choler by anointing the back bone and Loyns with cooling Oyntments 3. Crude watrish and thin and that either by reason of the coldness of the stones or of things taken or the like distemper of the Liver and then the Seed comes froth even at the touch of a Woman there are present the signs of crudity In the Cure we must act with driers and strengthners The essence of Turpentine is commended given one dram weight in Syrup of Agrimony Or by reason of the abundance of Vitious Humors in the body which are sent to the spermatick Vessels and then we must act with emptiers and good Diet. 4. Virulent and Malignant as is concracted in the French Pox which is known from hence that at first a white Poyson or somwhat Yellowish fals from the spermatick Vessels insensibly as wel when they wake as sleep which in time putrefies and gets an Acrimony eats and exulcerates the Passage of the Yard from whence ariseth a pain which also when 't is stiff does stretch a string as it were under the Yard and in pissing does goad sharper as it were in a dysury that is somtimes hollowed so deep that it breaks outwardly at the upper Skin of the Yard It ariseth from a weakness of the Spermatick Vessels and stones contracted by that poysonous Evil which causeth that whatsoever is collected in these Vessels turns to a filthy Poyson which by contagion Pollutes any other body As concerning the Cure 't is difficult in old Men in al if it be stopt without reason For there is collected for the most part an impostumation within somtimes about the stones in the Epididymis somtimes in the Perinaeum which the Skin breaking pours forth the matter We must abstain from things astringent least it being retained doth corrode the Parts Dryers and things that resist Putrefaction as are Sorrel Treacle Mithridate and those things which are dedicated to the French Pox do good Titile XI Of the Diseases of the genital parts in Women Chap. 1. Of the Diseases of the Neck of the womb Article 1. Of a Tentigo and Cauda THe Diseases of the Womb are either of the Privities or Neck of the Womb or of the womb it self To those belong Tentigo Cauda Straitness pustles condylomato Hemorrboids and Vlcers I. A Tentigo or great bit and the womans Prick is the growing of the Clitoris into too great a bulk The Subject is the Clitoris or that Nervous flesh hard which in the Neck of the Womb the Joynt wings of the Privities do embrace and at the Top of which that is the which swels in desires of Venery This manifest affect needs no SIGNS somtimes the bulk is so great that it hangs forth through the cleft of the Privity as thick as a goose Neck and resembles a mans Yard they have too great desire of Copulation The CAUSE is too great an Afflux either of an Humor or nourishment by reason of its Laxness which is induced by often touching and 't is wont to cause lust at the least rubbing of the Cloathes The CURE respects 1. The abatement of blood and the bringing forth of other Humors for which ends serve a most slender and cooling Diet and discussives especially the leaves of the lentisk and Olive 2. The taking away of the same Excrescency where first must be applyed the gentler causticks As Alum Vnguentum Aegyptiacum the lie of which Soap is wont to be made boyled with Roman Vitriol adding towards the end a little Opium and make Trochiskes of them with which pouder the flesh must be strowed over at last the flesh must be cut off either by Ligature or Section having a care of an Inflamation II. A Cauda is a certain fleshy substance arising from the Mouth of the Womb which fils up the womens Privity and somtimes
may be distended though it be thick as in conception and be retained there as in a mola and because the altering and retentive faculties being never idle do change the diseased seed into wind Another when 't is in the coats of the same and then the mouth of the womb may be open by reason that the winde is concluded in a narrow place the sound goes forth and the pains are greater and extended further the evil is more difficult to cure than that in the cavity Article IV. Of an inflamation of the womb An inflamation of the womb is a tumor of the same from the putrefaction of blood fallen into its substance troublesom with many symptomes and somtimes turning to a scirrbus somtimes to an impostumation The signs are various the tumor it self appears in the region of the womb with a heat and pain a shutting up of the womb drawing of it towards the inward parts but the whol neck of it appeares ruddy little veins swelling every where with blood like to a spiders webb There is a difficulty of breathing which shew a pleuresy because the outward coat of the womb being extended which ariseth from the peritoneum and is fastened to it those parts also to which it coheres are distended The excrements of the belly and bladder by reason of the heat and dryness of the belly and compression of the passages are detained The bulk of the belly somtimes appeares empty and the belly is filled with water and the navil strutts forth and the mouth is slender and of a suddain a few and evil courses follow A continual and burning Feaver afflicts by reason of the consent of the womb with the heart by arteries and great vessels somtimes a lypirias by the motion of the humors towards the inward parts There is a pain of the breasts with an inflation of them by reason of the consent of the groins the hipps the midrife the cannel bones the forepart of the head which is extended to the roots of the eyes and it ariseth from vapors of blood putrefying carried up to the head by the arteries which run through the neck from both parts of that called the infundibulum into the fore part of the head The cause is blood which somtimes is pure somtimes mixt with choler somtimes dyed with black choler It slides thither or slides forth for common causes viz. the detaining of it in the time of the courses or after a delivery by the occursion of the cold air 'T is attracted by heat or pain which is caused either by abortion hard labor violent drawing forth of the secundine long walking when the courses are at hand or by a troublesom carrying if the young one be either great or ill placed The cure is difficult especially if the whol womb be possest or suppurated for a sordid ulcer arising from thence doth at length kil the patient with a slow Feaver None at al if there be an erysipelas because the young one it self dies by reason of the exceeding heat whence follows abortion which kils the mother If it turne to a deadly gangreen 'T is cured as in other inflamations where note that for revulsion we must not open a veine in the leggs when as these veins draw the blood to the womb but in the arme when as the blood flows from the liver and the veins adjacent to it For derivation a veine in the ham may be opened unless the patient be great with child least abortion be caused Topicks ought to be applyed cooling and moistning without any astriction 'T is thought that the decoction of mother of time prepared with steeled water and outwardly applyed with sponges doth stop it by a certain propriety The Differences are taken from the part it self I. One is of the whol womb in which the symptomes afore mentiond do evidently afflict and few indeed do scape Another is of the other side in which the heat passes to the hipp by reason of the ligaments of the womb which are carried thither the legg of the same side is hardly moved the groins of that place are inflamed II. One is of the hinder part in which the belly is bound the paine doth more afflict the loins and backbone Another of the fore part in which because it coheres to the bladder the urine is stoppt or made with difficulty the pain goes more towards the pubes Another of its bottom in which the lower part of the belly is so pained that it cannot endure to be touched and the pain is extended more to the navel III. There is one which turns to a scirrhus in which al things become milder a weight and heaviness is felt in the neighboring parts the evil is of long continuance and is often terminated in a dropsy of the womb Another to an imposthumation in which al things are increased til suppuration is made horrors without order invade them for the most part about the evening the impostumation being broke but it breaks either into the cavity of the womb which is safer or 't is poured Forth into other parts somtimes the urine somtimes the belly is stopt with a swelling of the pubes and the sense of somthing waving Article 5. Of a scirrhus of the womb Ascirrhus of the womb is a hard swelling of the same and resisting without pain produced from a thick earthy and faeculent humor The SIGNS are besides other general ones to wit the Courses at the beginning are supprest or flow too little the evil increasing there is a great flux of blood by intervals either the Mouths of the Veins being opened more than is fit or the Womb not being able either to receive or retain the accustomary quantity of blood 'T is distinguisht from a Mola because in this if the Courses flow they flow disorderly and the Breasts also swel with Milk which in a Scirrus are extenuated c. The CAUSE is an earthy and feculent humor to wit a thick blood somtimes flegmatick somtimes Melancholical which happens in the declining Age and troubles them which have been sick of a Pica Malacia or bulimus oftentimes from an inflamation ill cured by reason of the too much use either of coolers or discussives The CURE is difficult both because things dryed a long time cannot be mollefied and because the Native heat is exhausted in parts affected with a Scirrus and because while the Humor is mollefied it may easily turn to a Cancer by taking putrefaction The proceedings of the cure differs not from others 'T is divided in respect to the part affected One is in the substance it self in which the Womb lies upon the Hip and Back and there Causeth a pain Another in the Neck which is discovered by the touch of the finger 't is easier cured than the former If it be in the upper part of the Neck the Woman is hurt in Copulation and the bladder is prest by the Tumor if it be in the lower part the
Mans body They commonly cal this part Dietetical in reference unto the diet that is observed The other openeth the Method of preserving the health by shewing us the way and means how we may so use these things not natural that they may not in the least hurt or offend our bodies Of Things not natural there are four ranks or Classes The first containeth those things that are taken and received into the Body The second those things in and about which the body is exercised The third such things as happen unto the body from without The fourth and last comprehends those things that are voided forth of the body to wit the Excrements Chap. I. Touching things not Natural that are assumed or taken into the Body Article I. Of the Aire THings not Naturall that are received into the body are Air Meat and drink Air is a thing not natural surrounding or encompassing the body of Man and insinuating it self into it by certain pores and passages Touching this Air there are four things observable First that it is necessary to the very being of Health Secondly That it affects mans body Thirdly That there are many differences thereof Fourthly That it is subject and Liable unto divers changes and alterations And first of al That it is necessary and requisite unto the very being and preservation of health yea indeed so far forth necessary that if any one intercept the said passages of the Air into the body it unavoidably perisheth in a moment or very short time appeareth even from hence to wit that unless the heart should be cooled and unless that the Internal fire or heat should be ventilated and excited and lastly unless the spirits should continually be refreshed and revived a man could not possibly put forth or exercise his Actions Now the Air is therefore attracted by the Lungs that it may qualify and temper the overgreat heat of the Heart The same Air likewise by its motion as it were with a Fan ventilates cooles the internal heat so that it not only becomes more moderate but is also thereby excited and stirred up And lastly the same aforesaid Air being from without attracted inwardly by the rough Arteries usually termed asperae and first of al prepared and wrought upon in the very flesh of the Lunges and next of al in the Heart and Arteries those of them more especially that are in the Netlike folding we commonly cal it plexus retiformis and last of al most perfectly and exquisitely in the ventricles of the Brain by its substance generateth and produceth spirits Secondly It Affects the Body of Man after a twofold manner First as it surrounds it either naked or clothed Secondly As it insinuates it self into the same whether it be by inspiration which is done either by the Mouth according to the taking in and putting forth of the breath or by the Arteries according to their dilatation and compression or otherwise by Transpiration which is performed al the skin throughout and in each part thereof by those exceeding smal passages not unlike unto those of a very fine five which the Greeks cal Porous the Latines poros we in English pores Thirdly It derives its differences from the quantity quallity and substance thereof I. In respect of its Quantity it is copious scant ful which last Hippocrates in his tract of breathings or blasts cals athrooteron that is to say al at once and speedily breaking in upon us II. In regard of its Quality 1. Hot and this augments the cholor melts away the humors weakens and hinders Concoction and consequently by dissipating the Native heat it very much shortens the life 2. Cold which by shutting the pores or passages of the skin and so hindering perspiration excites putrid Feavers or else by compression causeth destillations forceth the Blood oftentimes out of the Veins from whence proceed inflamations and then it extreamly hardneth whatsoever is in the belly 3. More than ordinarily moist which heapeth up together flegm and store of Crudities 4. Over dry which its true wasts and consumes the superfluous humors but again it breeds acute feavers through the abundant increase of sharp humors and it likewise exceedingly dryeth the skin 5. Corrupt whether overmuch exceeds in the first qualities or else is rendered impure by reason of vapors arising from Lakes standing waters fenny and Moorish places or else such as cannot be cleansed and purified by the through blasts of the wind 6. That which is the best which is temperate in the first qualities pure subject to no infection or polution seren clear sweetly and gently stirred to and fro by frequent blasts and gentle gales of winds and which is often times moystened with wholsom and healthful showers of rain III. In relation to its substance it is 1. Thick which for the most part intercepts the very sight and hinders the prospect so that either we cannot at al discern the starrs or if we do they appear unto us much less than at other times or at least as much darkned and overcast 2. Troubled or tempestuous which hath divers of its thicker parts as it were made up of their moisture violently hurried amidst the serene and cleer by turbulent and tempestuous winds 3. Thin which is contrary to the former transparent serene free from vapors and throughly cleansed by the thorough blasts of Windes 4. Putrid and rotten whether it be that it putrefie of its own accord as wanting ventilation as for instance that which is on every side shut up and as it were imprisoned by high Mountains or else that it becomes corrupted from some other cause as suppose from the Heavens the Stars the Winds blowing from infected places or from some noysome pestilent vapor c. 5. Healthful and wholsome which hath its original and its whol constitution from and under benign and healthy Climats is stirred and driven to and fro by wholsom Winds and is not in the least vitiated or corrupted by the vapors that proceed from any putrid and impure whether things or places Fourthly The Air taketh its mutations or Changes which Galen cals Alteration according to the Constitution from these ten things more especially First From the Stars and Constellations for both the Planets and likwise the fixed Stars have in them much of power and influence upon these inferior Bodies Concerning the influences of the former we may at large read in Porphyrius in the fourth Chap. of his paraphrase upon the Books of Ptolomy as touching the effects of the stars And Hippocrates writes that most Women conceive at the ful of the Moon Touching the latter to wit the fixed stars it is easily to be seen and manifestly perceived even in the lesser Dog-star alone the Pleiades Arcturus For upon the rising of the Dog-Star the Seas grow tempestuous fluctuating Wines work afresh and fluctuate in the Cellers Dogs run mad and the like At the Settling of Pleiades great Tempests and North-east Winds arise and upon the
by the mediation of other Signs 2. From the Causes which are either present or have preceded 3. From the Bodies Disposition which depends upon Hereditariness Age Sex Kind of Life Dyer and Evacuations omitted 4. From Actions Natural Vital Animal which are hurt abolished diminished depraved and that suddenly or slowly 5. From things voided forth viz. Urine Dung Swear Spittle c. 6. From the Qualities of the Body changed color smel c. which yet do signifie rather the Cause than the Disease II. The Times of the Disease whose knowledg is necessary were it but in respect of the state when if ever the signs of perfect Coction appear and good Crises do happen are known 1. By the Idea of the Disease be it long or short 2. From the time of Year Dyer Countrey Temperament Strength c. Hot things are the Causes of hot and acute Diseases Patients strength in a disease not deadly signifies a short disease it shews 't will last long 3. From the Mutations of the fits in which their Anticipation coming later duration and vehemence are to be observed of which also see Authors 4. From the Symptomes of Diseases which are light at the beginning strong and fiercest in the state 5. By Coction and Crudity which is either proper to one kind of diseases as spittle in the Pleurisie or common to many III. The Parts affected are known 1. From the Causis Things taken in done Retained Excluded and incident from without Some are more apt to one part than another also at some season the Lungs are chiefly insested other whiles the Stomach c. 2 From things Essentially inherent or by propriety of the Part and the diseases inherent in the parts 3. From the Actions hurt unless they be hurt by some external accident especially by pain of which we shal treat hereafter in a peculiar Chapter 4. From things voided forth in which substance quantity quality and Mixture are to be observed 5. From qualities changed IV. The Signs of the first and Essential Differences of Diseases shal be explained in the fift Book in respect of the accidental which we have above propounded Observe I. Touching Diseases by Sympathy 1 That they encrease or decrease with the Primary Disease and are deserted by the Primary 2. That they infest not continually by certain fits unless matter be continually supplied 3. By things helping or hurting applied to the other they are helpt or hurt II. Touching acute Diseases that they from the very beginning and the first three daies are extreamly burdensom to the sick and have grievous symptomes because they proceed from hot sharp thin and movable Humors which vehemently provoke Nature III. Concerning malignant diseases 1. That they arise from Causes both external and internal which are offensive by their whol substance 2. That in them the Patient is frequently unquiet though he cannot tel of any vehement or dangerous symptom that in the beginning the Patient is often held with a deep sleep is not eased by sweats or other Evacuations shivers grows hot bleeds at Nose without any appearing Cause but in other respects they seem troubled with a slow Feaver with signs as it were of Recovery and upon a light occasion faint away They talk continually and their Tongue is black and rough 3. That the same diseases after a light Remission the malignity having spred it self through the Humors are most suddenly and vehemently exasperated 4. That in them the paines which were do remit and abate without either Excretion or Riseing the pulse in respect of the feverish Heate haveing an unwonted parvity with Inequality and Frequency V. All those promiscuously regarding signs are afforded by the differences of Urines and Pulses I. The differences of Vrines are taken from their Consistence Quantity Quality things mixed with and contained therein 1. As for what concerns the Consistence Thin urine argues too much drinking a strong obstruction of the Kidnies and Uriters and want of natural heat proceeding only from distemper Defect of that salt which is wont to be resolved out of the meat Thick argues oppression of the heat by abundance of Humors indifferent shewes vigorous Heat an exquisite digestion of the stomach Liver and veins Cleare and transparent perfect concoction goodness of Humors whence afterwards it makes a sediment Troubled proceeding from the cold of the aire and admitting amendment by the fires Heat in continual Fevers argues a rudiment of Coction Troubled which is made so shewes diseases of the Kidneyes or bladder plenty of crude thick and clammy humors out of which many thick flatulencies being produced they are mixed with the Urine and hinder the matter from descending sudden obstruction of the Liver Spleen Reines c. Solution if it happen suddenly Confused which is in all parts alike and hath no Hypostasis shewes diseases in the veins and properly confusion corruption putrefaction of the Blood and Humors which are in the greater veines and therefore 't is only observed in fevers and those continual and malignant Fatty defilement of the alimentary Humor which flowes into the parts so that it cannot be converted into their substance whereupon dissolution followes II. As for the Quantity much signifies immodreate drink diuretick Medicaments cold distemper and cold pressing and squeezing forth moist diet Heat of the Kidneyes attracting water shut up in some place resolving of the Body into liquor either of its own accord or by force of Heat to which fatness is joyned Little shewes little or hard drink overgreat sweates plentyful stooles obstruction of the Kidnyes Ureters Bladders Neck and Bladder vehemency of feverish heat the drinks turning to the bodies nutriment which sometimes happens to such as are in away of recovery from some disease III. In respect of the smell fragrant Urine intimates the use of Terpentine Musk Benzoin c. For from internal causes such Urines can hardly proceed Stinking Vrine argues eateing of rotten cheese garlick an Ulcer of the Kidnies Privities neck of the bladder putrefaction of humors if it be fresh of the Substance if an old stench IIII. In respect of color white urine if thin and transparent argues plenty and thinness of drink strong obstruction of the Mesentery Liver or kidnies great imbecillity of digestion defect of color and somtimes the ascent thereof to the belly Head or some part in the Habit of the body if thick obscure or like milk it argues abundance of thick flegm Red and withal transparent argues Heat of the Liver or a fever if thick and yellowish it argues the mixture of yellow or vitelline choler a phlegmon of the Liver or an exquisite scirrhus Safron-color'd argues the use of Rhubarb Safron or Fenel obstruction of the Gall-bladder and then Linnen cloathes dipt therin receive a tincture Bloody shewes the weakness and slapness of the Liver an ulcer and contusion of the Kidnies and Loines Wine grape colored shewes adustion of blood and the change thereof into black choler Green argues
the nature of the disease if the patient beare it not wel It is bad if it happen before the state nature being provoked by malignity or plenty of matter if it were foreshewen to be such in the Indicatory day howbeit many times it comes suddenly if other things are present contrary to the best kind of Crisis Where observe 1. Oft times in a bad Crisis the patient seems to be better yet presently after he fals into a bad condition because the signs of amendment were not wel grounded 2. Somtimes in deadly sicknesses the patient being strong for one bad and simply deadly Crisis many evil imperfect ones happen in which unstable rudiments of Coction appeare before the patient come to die 3. The Prognostications of the Crisis in reference to death are unstable VI. The times of the suture Crisis are knowen 1. By the signs of Coction and crudity which must necessarily appeare upon some Indicatory or decretory day The crisis wil happen upon the fourth day If a signe therof appear on the first day or on the seventh day if the signe be on the fourth 2. By such signs as the idea magnitude and manners of the disease afford of which we spake before 3 By the signs of the times of diseases for a perfect Crisis happens not before the state but the imperfect Crisis does the deadly crisis happens also in the beginning or augment 4. By the critical signs which you had before Title II. Of The Causes of Diseases Chap. 1. Of the internal Causes in general ANother preternatural disorder which afflicts the Body of man is the cause of a disease and that is external or Internal But seeing the latter is an effect of the former or rather does therewith much conduce to produce the disease I shal therefore only define the internal The internal Cause of a disease is that which being bred and inherent in the Body of Man does preternaturally affect the same Touching which we are to consider its signs Causes and Differences I. The signs of causes are taken in general 1 From their proper tokens viz. tast colour and motion 2. From a concourse of common signs which are taken from the Antecedents and Consequents or evident causes and from the dispositions of the Body and Symptomes II. The Causes of the internal Cause are the things nonnatural Aire Meate Drink Motion and Rest Sleepe and watching Things voided and retained and Passions of the mind as far forth as they have power to disorder the Body And to that end time is requisite as also proportion between the agent and patient Fitness of the Body and Contact III. As for their differences the internal Causes are reduced to the Humors Winds and things totally besides nature Chap. 2. Of the Internal Causes of Diseases in special Article I. Touching Humors Point 1. Concerning Humor 's offending in Quantity or a Plethora so called THe first kind of internal Causes are the Humors and they are wont to offend in Quantity Quality Motion Place and in their whole substance Humors offending in Quantity are termed Plethora which is nothing else but a superabundance of Humors fit to nourish the Body which arise from their Causes Humors nourishing the body of man are contained in the mass of blood viz. Blood Cholor Flegm and Melancholly These being turned into the substance called cambium do nourish such parts as are of kin to themselves and communicate to them as much health as themselves are Masters of The signs of Plethora are wearyness because the blood not being ventilated settles into the lower parts Thick breathing after very smal Labor the Muscles of the Chest being laden with blood Swelling of the veins Distension of the Muscles carnosity of the Bodies habit Deep sleeps ruddyness of the face c. The Causes are good nourishment which affords good juice The Liver hot and moist which makes it Idleness evacuations stopt cutting off of some member Use of unwonted bathings after meate The Differences are I. One is Exquisite when either al the Humors are encreased keeping their due proportion and equality viz so that the blood be in a double proportion to flegm and flegm double to cholor or only blood alone or two or three of the rest exceed blood also not keeping its proportion 'T is knowen by the signs forementioned It arises also from the causes aforesaid Another is bastard when plenty of bad juices is joined with abundance of the natural humors 'T is knowen by the signs of a Plethora joined with those of a cacochimia and it arises from the causes of both II. One is termed ad vasa or in respect of the vessels which does not oppress the strength because it increases equally with the flesh blood but it distends the coates of the vessels by its plenty to which the things aforesaid agree Another ad visis when the Humors so encrease that they cannot be governed nor digested by the feeble strength of the Patient 'T is knowen hereby that the blood is not very good there is heaviness and Inequality of the pulse with signs of crudity and putrefaction beginning Point 2. Of Humors offending in Quality or Cacochymia so called CAcochymia is the presence of il humors in the Body of Man springing from their Causes It s Subject is the Body of Man 1 Both in respect of the Veins Arteries and Nerves as also of things without 2. Also in respect of the Region of the Belly which includes the stomach mesaraick veins hollow-part of the liver the spleen and sweetbread 3. And of the Venous region which containes the convex part of the Liver with the vena cava the greater Artery and al their branches between the Armpits and the Groines Also the Habit of the body which includes the muscles membranes Bones in a word the whol bulk of the body The signs are to be fetcht from the differences which follow Hereunto pertains the motion of certaine daies which is neither critick nor symptomatick but natural which is measured by certain daies and hours and is so punctual that it may contend with the Clocks The Causes the six non natural things of which we spake before 'T is variously dvided I. One sort is from Cholor which is a preternatural humor hot and drie preternatural I say because it is distinguished both from the more hot part of the Mass of Blood which is bred of the hotter and thinner part of chyle as also from natural excrementitious cholor which is collected in the Gal-bladder and colours the dung 'T is knowen by the amplitude of the veins by reason of Heat enwidening the same by depravation of the concoction through superfluity of heate defire of drink more then of meat vehement pulse sleep little or none leane habit yellow colour of the Body by its motion from third day to third day and that about noon It arises from an hot and dry constitution of body youths age watchings anger overgreat exercise of the Body meates
we not over do And we must know that 't is alwaies more safe in a doubtful proportion to fal rather too short than to exceed Touching this matter take these rules 1. Infirmities which have taken deep root need stronger remedies than such as are slight 2. In a mild infirmity we must do al at once and suddenly and so we must in an extream and dangerous sickness because it quickly finishes its course and quickly kils 3. In indifferent and cronick diseases we must endeavour to expel them by little and litle and slowly but we must withal take heed least while we go about to quench a mighty flame with a smal Quantity of water we mâ—ke the fire burn the faster II. The Time respects 1. Seasonableness of which note 1. That we must then act when the Patient can best bear it 2. That the motion of nature must be alwaies furthered unless it be dangerous 3. Turgent humors must be drawn out the self same day 4. About the beginnings and ends of Diseases stronger medicines may be given because then al the symptomes are weaker in the state it is better to rest because then al is at the height 5. The Constitutions of the Heavens that is to say both the Conjunctions Risings and Settings of the Stars as also the great changes of times especially in cronical sicknesses are to be considered c. II. Method or good order in the plurality of things to be done Here observe 1. That disjoyned Diseases do require distinct Remedies so that they may be cured either severally or both together 2. That connex and complicated diseases if they consent may be cured either together or apart and you may begin with which you please and if they dissent we must oppose both with a kind of mediocrity if they partly agree and partly disagree we must begin with that which though the Cure of it do not help yet it hinders not the Cure of the other 3. In al diseases whether they be disjoyned or conjoyned respect must be had above al things both of that which urges and of the Cause or Concomitancy so that we must first cure that which urges most and that upon which the rest depend Under the Motion of Causality or Concomitancy come both al Impediments without the removal whereof no Cure proceeds as also the Foments upon which the other hurts being linked and chained together do depend in their production Now that is said to Vrge which exceeds the other hurts of the body either in magnitude and malignity or in the vehemency and celerity of the the hurt they do III. Touching the Place these things are observable 1. That the inclination of nature and conveniency of the Vessels must be observed 2. That the matter must be voided the nearest way by ignoble parts by a natural channel and by waies cleer and direct But of these things God-willing I wil treat most methodically and accurately in my Syntagona Chap. 3. Of the abstractive Method in Special and first of the taking away of Causes Article I. Of the taking away of Causes which offend in Quantity THe Taking away of Causes respects both Humors offending in Quantity Quality Motion and Place and likewise winds themselves of which notwithstanding they are not so exactly to be considered and by themselves but that they may somtimes be complicated together The taking away of Causes which offend in Quantity is performed by Blood-letting Frictions Fasting Bathing Haemorrhoides Monthly Courses Scarification Cupping-glasses and Horse-leaches I. Touchig Blood-letting these things occur considerable 1. Whether it is to be done or no. I. A Vein is not to be opened 1. If the forces of the body languish as being changed by Fevers long diseases distemper of the ambient air or other things some venemous quality immoderate evacuation of Humors Labour Grievous Pain and passions of the Mind 2. If a Woman be sickly and of a whitish color 3. If it be a child because its heat is apt to dissipate 4. If the Patient be over fearful 5. If the disease be in its highest vigor which attains the Crisis 6. If a crude distemper afflict without fault in the blood and it may otherwise be amended 7. If crude juyces abound in the whol Body especially in the Summer time the stomach being weakned the body soft and a fever be joyned 8. If a crude and cold juyce afflict the mouth of the stomach whence an heart-burning proceeds by reason of the vicinity of the Heart 9. If boyling juyces abound in the whol body which wast the Spirits and being carried into the stomach Cause a deliquium 10. If venemous diseases afflict the body 11. If a critical Evacuation were sufficient II. A vein may be opened 1. If the forces of the body languish being oppressed 2. If the disease be great which afflicts vehemently for a short time with a feverish heat and working of the blood 3. Yea in a person of seventy years of Age provided the pulse be considerable and the nature of the disease and plenty of blood require the same 4. Also in a Woman with child both in the first and last months if shee have an accute disease II. We are to consider at what time a vein is to be opened Touching which observe 1. That such diseases as are caused by a plethora in them a veine must presently be opened at any hour of day or night before it transfer it self into some noble part and the strength of the body come to languish 2. In feavers it must be done in the times of Remission and Intermission 3. If the greatness of the disease require not hast the best time is to open a veine in the morning an houre after the patient has been awake 4. When we would reiterate blood-letting for evacuations sake we must do it the same day III. How much blood is to be taken I. where observe I. Blood may be more freely taken away 1. When the Forces of the patients Body are lively 2. From Persons of a rosey-color of a thick and yellow habit of body haveing large veines and being formerly accustomed co blood-letting 3. In a vehement and great disease when the forces are vigorous we may let blood til the patient swoun howbeit we are not ordinarily to stay so long but when the color of the patient changes and his pulse growes weaker and when the blood runs with a lesser streame than before unless fat or some other gross matter hinder it then we must cause it to be stopped II. It is more sparingly to be diminished 1. In an impure plethora 2. In a melancholick plethora because it is not so hot as to require cooling 3. In a flegmatick plethora because the humor being exceeding cold is made more crude by blood-letting 4. In children and old people specially in the Summer 5. When the forces are discomfited and the disease is urgent for then it must be taken away by peecemeal at sundry times II. Frictions
brest Aloes to the stomach and Gutts Rhubarb to the liver Sena to the spleen Hermodactyls to the joints 3. That they ought to be of equal pace in operation that one do not prevent and out-â—un another and that they must be mixed with odoriferous medicaments of thin parts least they overthrow the stomach and that wind may be dispelled yet must not these odoriferous ingredients be in so great quantity as to move urine 4. Alwaies to abate somewhat of their strength 5. That they act by help of the expulsive faculty so as to disturbe and jumble the whole mass of Blood then to sparate the humors whether any part of their substance be drawn into the veines or they act only by a vapour sent forth V. The Conveniences of Purgaton viz. Whether or no How much When After what manner I. As for whether or no observe I. That you must not purge 1. If there be paucity of Humors 2. If the Body be sound and of a good temper 3. If the patients purge only by the smel of the Physick 4. If the forces of the Body are weake by way of dissolution and then the Artery pressed with three fingers does not fly up or one finger being removed it is not felt by the next or there are more little than great pulses more languid than vehement more slow than swift 5. If the stomach be weak in which case a Clyster is convenient 6. If there be plenty of crude humors because gripings are raised and little to speak of evacuated 7. If there be an Impostume in the Gutts 8. If the midrif be stretched raised burning inflamed and the Urine fiery 9. If the Member from whence you intend to purge be troubled with some raging pain 10. If the Belly be bound no clyster given II. You must purge 1. If there be gripings without a fever heaviness of the knees and paine in the Loins 2. If the matter conceived in the member be moveable 3. If the sick be hard to vomit and moderately fleshy 4. If nature do not incline to a Crisis 5. If the foregoing conditions are absent III. You must warily purge such as are of an healthy and pure body idle apt suddenly to faint away such as are frampold and hard to please Children old Men women such as easily vomit such as are leane and of a thin body and those that are of a cold and moist constitution II. As for how much observe 1. That you must alwaies purge rather with a little than a great dose 2. That the parts in the Region of the Belly require lenitives in the venous or veine-region moderate purgatives those in the habit of the body vehement ones 3. Strong forces of the Body with great abundance of Humors does prohibit a medicine which purges plentifully and tumultuously least the spirits be dissipated but when the humors are not so plentiful a strong medicament may be given 4. That the Bodies forces being weak by repletion do require smaller purgations the remaining Humor being drained out by gentel repeated Lenitives 5. That the forces languishing through resolution of the Body do only require gentle and partial or repeated purgations 6. Women with child in the seventh month must be gently purged least the child being heavy come by strong agitation of the medicament to be cast downward 7. Old persons because with tract of yeares their benigne juyces are exhausted cannot bear strong purgers 8. Nor yet children because they grow and their humidities do easily evaporate 9. Men of rare or thin texture of Body if they be strongly purged they suffer detriment thereby 10. Leane persons because they have large veines are easily purged 11. Long-legged persons are easily purged 12. Such as live hardly as labouring Country-people are not moved with a gentle purge 13. Melanchollick persons whether they be so by nature diet or sickness because they are for the most part of good strength without danger of weakness and have their bodies solid and ful of juice must be strongly purged 14. But stammerers must be gently purged because they are liable to a loosness 15. When only the stomach is out of frame gentler purgations must be used least more il humors be drawen to the stomach 16. Great plenty of Humors profoundly situate in the body do need more plentiful purgations either jointly or severally 17. Where we need more evacuations we must begin with the most gentle 18. We must then use strong purgations when gentle wil not do the deed III. Touching the quando or when you must purge take these Rules 1. That women with child ought not sooner to be purged then when the child begins to stir that when the Humors work Women in childbed must not be purged til their month be over 2. In Peracute diseases If the matter be unruly and in motion you may purge the very same day by reason of the tenuity and fluxibility of the matter 3. In the firs of intermitting diseases you must abstaine from purging in the time of Remission and Intermission you must purge 4. In long-lasting diseases we must not purge before the matter be atteâ—uated and made fluent and the passages opened 5. In the Summer time before day in the winter give your purges in the day 6. The juyces which are in motion or wil shortly be in motion must be purged to prevent the Encrease of the disease and that the part may not be marred by over abundance of the juyces 7. In the Dog-days and immediatly before you must not purge For the bowels Heated by the violence of the Season do easily entertaine a fever IV. As for the question after what manner take these following â—ules 1. To every Humor you must apply its proper purgative 2. To near parts and in Melancholy cases liquid Medicines are good in remote parts you must use solid ones which stick long in a place and spread their virtue more effectually 3. Vomiting which is wont sometimes to arise after the taking of a purge is stated by stomach-strengtheners or cupping glasses applied to the navel or with juice of pomegranates in such as are of a weak stomach and hot liver it is prevented by holding an Eg to the throat or putting toasted bread to the nostrils 4. Loathing of the stomach is taken away by a linnen cloath wet in Vinegar put upon the Cup or by washing the mouth with juyce of pomgranates before the potion is taken 5. A purge which causes griping is mitigated by a clyster lenitive or a potion of the decoction of Mastich or with lukewarm water 6. In persons abounding with melancholy Catharticks ought to be mingled with lenitives and moistners 7. Purgers if they be given with barly water do work little or nothing by reason of the abstersive faculty therof 8. Super purgation is stopped with new or old treacle a grain or two of opium mingled with three ounces of wine Also with a crust of bread steeped in vinegar and laid upon
difference it from derivation which is to near places Where note that those parts besides contrariety must have rectitude of scituation not precisely mathematical but natural in respect of the fibres and filaments of the Veins also in respect of the fibres and veins which are remote from the part affected and have communion with the part sending also following the rectitude of the Diameter and scituation in longitude latitude and altitude II. That the Contrariety aforesaid is either in respect to the whol body as when we revel from the Head to the Thighs or Legs which is done in universal revulsions from the right side to the left or from the left to the right which is termed particular revulsion III. It ought also to be to its own beginning if the same be known So in the inflamation of the right Leg we cut the left The parts above the * See Riolanus Anatomy in English Claviculae being affected if it be already a Disease and the matter flow in the Cephalick Vein must be opened if it be yet to come the vein betwixt the Thumb and fore finger must be opened The Parts between the Kidneys and Claviculae being Affected the Basilica Vein must be opened if there be danger its branches betwixt the ring finger and the midle finger Both parts being affected both above and below the Claviculae open the Vena Mediana For the Kidneys you may take your choice The Ham-Vein Ankle-vein and the Vena Saphena exonerate the parts below the Kidneys Revulsion wil be fitting and convenient 1. If it be performed at the beginnings of fluxions unless they be lasting 2. If by convenient places least the mater be drawn through some noble member 3. If the pain of the part affected be first mitigated and the violence of the Deawing be less II. Revulsion is a convenient rejection of the Influent humor by repelling Medicaments The Rejection wil be convenient if you consider Whether or no How much and When. Touching whether or no observe That Repulsion is not to be used 1. In the noble parts 2. When the fluxion is near a principal part least the matter being repelled should be carried into the noble parts 3. In parts which are scituate too deep in the Body 4. When a venemous and malignant matter afflicts the Patients 5. When the matter is thick and clammy least it become thicker and unapt to to be resolved when it is deeply seated as in the Sciatica least the blood be forced out of the neighboring and ambient muscles deep into the connexity of the parts 6 In case of a wound inflicted by a beast 7. When the body is ful of a redundant humor 8. The humor being already impacted into the Part. 9. When there is a vehement pain For then astringents especially if strong do cause the pain to encrease by exasperating the tunicles and by keeping in biting sooty vapors and sharp humors 10. When Nature acts aright and drives the matter critically into some part 11. When the bowels are affected as in an impostume arising in an Emunctory least a symptomatical translation of the matter should happen Touching How much know 1. That the tender parts wil not bear over strong repellers Therefore in the Eyes we use only brest-milk and Rose-water in which sometimes poppey seeds are boiled and the pap of Apples c. 2. In the Augment repellers must be mixed with discussers lest the humor grow hard or be augmented by stopping the pores of the Skin 3. That cold moist medicines are used when the humor is thin is seated in the surface of the body when fluxions happen through the over hotness of the parts and great heat or vehement pain afflicts the Patient 4. Astringents are used when fluxions are by debility of the parts and there is no vehement pain The time of Repulsion is the Beginning of a disease Point 2. Of Derivation and Interception Derivation is the convenient aversion of an humor falling into some part unto the neighboring places That humor so lies upon some part that it is not yet shed forth of the Veins into the spaces of the part but fluctuates up and down in the Veins Touching the Conveniency hereof note 1. We must not derive before the plenitude of humors be abated 2. So much must be taken away as the Patients strength wil bear and the disease shal require which may be known by the change of color in the Blood For so long it must be taken away til it flow redder and yellower til instead of red it come lead-colored For the blood being flegmatick in the whol body wil be redder than ordinary in the side where there is an Inflamation and that blood which is redder than ordinary in the whol body wil there through adustion be changed into black 3. It must be practised before it be fastened in the part 4. It is done by opening a Vein by Nose-medicines and sneezers if the matter be in the Brain 5. That the Communion of the Veins with the part affected must be observed So in a Phrenzy the Vein of the Forehead must be cut in a Mania or madness without a Fever the Veins under the Tongue in pains of the hinder part of the Head cupping-glasses are fastened to the shoulders and shoulder-blades When the Ears are inflamed and when there are risings behind the Ears a vein under the Ear in hot diseases of the Gums Jaws Lips in the Squinzy the two Veins under the Tongue The Armpits and Shoulders being inflamed the Vein of the Head must be opened the Womb that of the Ham the Legs that of the Feet II. Interception is a shutting up of the passage of Humors into any part by convenient Medicaments Those Medicaments are Repellers For Interception differs not from repulsion save only in the place of application Repellers are applied to the part inflamed intercepters are applied to the parts and waâ—es through which the Humor is carried They are likewise called Defensives Amongst which fatty and oily things are suspected For they soften the parts and if they stick on long they heat the same Therefore it is better to mingle intercepting pouders with Rose-water and the white of an Egg. Interception is then conveniently administred 1. When the Intercepters are applied to the parts that have least flesh in which the passages are most large 2. When we apply such as are strong where the habit of the Body is hard the vessels large and the season hot which loosens and widens the passages also where the Humor flows violently into the part 3. If in contrary Cases we use the milder sort Article 4. Of the Removal of Causes offending in place Point 1. Of Softening and Discussing The Removal of Causes offending in place containes Emollition Discussion Suppuration and Attraction I. Emollition is the alteration of a thick hardened Humor by softening Medicaments An Humor is hardned either by extraordinary or moderate driness or by plenitude or by
to force especially the laxity or solution of unity of the parts wherein the joynts are contained the Contraction of the Ligaments c. The Curemore easie in children and soft persons 'T is hard if theâ—e be great pain inflamation a wound or dancer of Convulsion If the Luxation be old and hardned with a callus If it happen in childhood and be not cured If it tend to a Consumption through cessation of Motion and Compression of the Vessels If the joynts hurt serve but few different motions If they are departed far from their Cavity If the Brows or edges of the Bones are broken 'T is performed by Reposition oâ— Restoring the joynt to its place which requires 1. Sufficient extension whereby the bone is forced into its place 2. Reposition with ones hand or by common Instrumentes or some devised on purpose 3. By application of astringent Medicaments that inflamation may be prevented 4. By diligent binding with swaths and bolsters 5. By putting it into a gentle posture and so that it may preserve its natural figure The Differences are sundry For I. One sort springs from external Causes a blow a fal violent extention before child-birth and at the time of the birth which ought to be prevented Another from Internal when an humor slipt into the Cavity of the Joynt drives it from its seat II. One is Perfect when the whol Joynt is fallen out of its place which is termed Exarthrema Another is Imperfect when the joynt is slipt only to the brim of the Socket which is termed Pararthrema III. Another is with Inflamation and Pain in which case the pain must first be mitigated the Inflamation asswaged lest by distention of the Nervs a Convulsion arise and afterwards it must be replaced IV. Another is accompanied with a Wound which is the most dangerous especially if the wound be nigh the Joynt and an accute feaver arise Here the Joynt is forthwith to be restored to its place if possible If it cannot be restored we must attend the Cure of the Inflamation to the seventh or ninth day V. Another is with a fracture where the Joynt is first to be restored to its place and the Fracture is to be cured afterwards if it cannot be reposed it is then to be restored when the Callus is bred Title 4. Of Diseases of Vnity dissolved A disease of Vnity dissolved is the loss of that Continuity and Vnity which ought to be in the parts of Mans Body The Causes therof are 1. Such as are Corrosive as al sharp things Causticks and Putrifiers 2. Such things as divide unity either by pricking and stabbing or cutting 3. Things which break as stones Timber c. 4. Things which bray and tear either by replenishing or overstretching 5. Such as burn as things heated in the fire red-hot Irons c. The CURE requires Vnition The Physitians part is to see that nothing betide the part affected which may hinder the same That the Lips may be rightly applyed one to another That the temperament of the part it self may be preserved and that the symptomes which may happen be prevented And forasmuch as among diseases of Unity dissolved the chief are Vlcers Wounds Fractures I must speak somthing of them in general Chap. 1. Of Vlcers AN Vlcer is a solution of Continuity arising in a soft part diminution of Magnitude caused by some fretting and eating matter The Subject is a soft or fleshy part comprehending not only the flesh of the Muscles but that also of which the Guts Bladder c. do consist SIGNS are needless in such as are external the Internal may easily be gathered from the particulars The Times of Ulcers if you consider them at first a watry Sanies thin crude and plentiful flows forth the Symptomes viz. pain itching c. do afflict At the Augment the Symptomes are encreased the Sanies begins to be digested and is lessened in quantity al things are greatest in the State in the declination they are less The CAUSE is either external viz. Caustick medicaments the Contagion of the Whores-pox c. or internal or humors which are either bred in the part affected or flow thither from elswhere which may happen in the spring time or by reason of exercise in cacochy mical Bodies The CURE is difficult if it reach to some noble parts of exquisite sense ful of moisture naturally If it follow other diseases because then nature drives the vitious humors to that part If the Ulcer be great because the external air can work strongly upon it If it be round because the extremities are more hardly reunited If it be old because the bone must needs corrupt If it tend to look green and black for so the Heat of the part affected is extinguished If it run with much sanies thin pale lead-color'd black and stinking If the spleen being in fault it affect the Thighs because thick and Melancholy Humors flowing to the Ulcer hinder its closing 'T is performed I. By Evacuation if the Body be cacochymical II. By Blood-letting if it be plethorick III. By Suppuration when blood shed out of the veins sticks in the pores of the part where note that abstersives are excellently mingled with suppurators lest the Ulcer should become too moist and that nature which then seperates the Excrements may be assisted Among them are Turpentine Oyl of Mastick c. IV. By Abstersion of which I spake but now which is performed by detergent Medicaments V. By generation of flesh with Sarcotick Medicaments And here observe 1. That they ought to be neither strong nor weak lest by the former the ulcer become dry the flesh be consumed bloody liquors be voided and by the latter the flesh grow flaggy and too great abundance of sanies be collected 2. That moist medicaments be applied to the softer Bodies yet so as that Plaisters Oyntments Liniments be so soft that they be not melted with Heat of the part and breed flesh too loose and unlike that wich is beneath Pouders must be put upon hard and dry bodies VI. By Introduction of a scar by epulotick medicaments Where observe That they ought to have a drying faculty both actually and potentially They are then to be applyed when the Ulcer is nor quite ful of flesh lest if it be put to it when 't is ful seeing the flesh does stil grow the Scar becomes more extuberant The Differences of Ulcers are sundry I. One is great little long short streight crooked Aequal in which the flesh is equally consumed in al the particles of the part affected Vnequal which is contrarily disposed Superficial Profound External Internal II. Another is with a Distemper I. Either hot which is known by Redness of the Flesh in the Ulcer it self 2. By feeling of Heat Pain by reason of the acrimony and biting nature of the excrements It arises from hot Air too great a Quantity of Swaths and Cloaths over hot medicaments 'T is cured by coolers which are withal Pain-asswagers
the fluxion can be in them no longer contained it partly sweats through the Coats of the Vessels which have also their pores and is partly sent out of the smal Orifices of the Capillary Veins which open themselves into the substance of the part and shed into the empty spaces which are between the first bodies or Particles whence the parts gather Heat The CURE is performed 1. By Blood letting that more blood may not flow into the part If we should presently fal to work with repellers the matter would be carryed to another place 2. By Purgation because sharp Humors give occasion to the Flux 3. By Alteration that the blood may be cooled and thickned provided the Veins be not strait and the Patient not troubled with obstruction of the Bowels 4. By Revulsion that the Humor may be drawn to a contrary part which is then best performed by bloodletting when the matter is much in quantity and violently moved by other waies and means when it is little Yea and in such a case it may be done by Repellers and Discussers 5. By Repulsion with repelling Medicaments either watry only or withal restringent The Former are to be used in thine Humors seated in the surface of the Body not much in quantity Joyned with Heat and of that sort are House leek Venus-navil or Penny-wort Violets and such like The Latter have place in extremity of pain where the Vessels are large and the fluxion is caused through weakness of the parts affected Chirurgeons frequently use the Whites of Eggs beaten together with Rose-water 6. By Interception with Defensative Medicaments which are fitly applied to such parts as are not fleshy and through which the larger Vessels run Oyl is judged improper to be mingled with these kind of Medicaments 7. By Derivation of that blood which has flowed into the parts 8. By Discussion with discussive Medicaments amongst which the Gentler are the Roots of Marsh-Mallows and of white Lillys Chamamel flowers c. The Stronger Orice Roots Elder flowers Gum Ammoniack Bdellium Bears Grease The Strongest of al are Nitre Sulphur Lime c. The DIFFERENCES are taken from the subject and Cause From the Subject 1. There is one of the Fleshy parts which is finished in the fourteenth day Another of the Tendons and Ligaments which because their substance is more compact and hard is terminated with greater difficulty yet it does not exceed the fortieth day From the Cause Either it is from good Blood and is termed simply a Phlegmon or Inflamation or from bad Blood which has either quite changed its nature and that raises no kind of swelling or it has other Humors mingled therewith and then if Choller be mingled it causes that Inflamation which is termed Phlegmone Exysipelatodes is flegm Phlegmon Oedematodes if Melancholy Phlegmon Scirrhodes Article III. Of the Bubo or Inflamation so called The Bubo is an Inflamatian of the Kernels which are seated in the Arme-pits or in the Groines The SIGNES are a stif swelling that yeilds not to the touch with redness pain and a slight fever The CAUSE is Blood slipt into the Kernels together with a vitious Humor provoking Nature to expulsion The CURE is Doubtful when they ripen slowly because they may turn to dangerous fistulaes It is according to the Cure of Inflamations Digestion must be procured by stronger Medicaments because the part affected is colder Suppuration ought to be hastened least new ones should break forth The Balsam of Sulfur and the Plaister of Sulphur of Rulandus are commended The Differences are divers I. One is Symptomatical to which that which was lately said is appliable Another is Critical which follows another Disease and eases the sick by its breaking forth It must be left to Nature if the Crisis be perfect if it be imperfect the Humor must be drawn forth by Cupping-Glasses and drawing Medicaments II. One sort comes in the Groines which is sooner ripe because it springs from blood and more Heat flows to those parts Another is in the Arme pits which for the contrary Cause is long ere it come to Maturity III. Some Buboes are Neither Malignant nor Contagious which being in the extream parts of the Body are soon suppurated and not dangerous Others are Malignant Pestilential or Venerious of which see in their proper places Article IIII. Of the Phygetlon Phyma Furunculus or Felon Tumor so called Phygetlon or Panus is an hard swelling somtimes arising after Feavers or pains in the Kernels or Almonds of the Eares It Arises either Externally from an Ulcer Pain Bruise or Internally from Chollerick Blood or a Feaver and is long in ripening Oyl of Guaiacum Wood is good in this case Phyma is a round swelling of the Kernels smaller and flatter than the Phygetlon less read and less painful which soon comes to its height and turnes to suppuration It Arises from Flegmatick Blood and troubles Children cheifly It is Cured by ripning through application of tosted Wheat c. Furunculus or Dothien a Felon is a little swelling sharp pointed not exceeding the largness of a Pigeons Egg remarkeable for its redness and pain when it tends to Suppuration Its Signes are known by the definition It seldom comes single It Springs from thick blood and is thereby distinguished from an Inflamation and the said Blood is not much a dust and so it is differenced from a Carbuncle The Cure is easie especially if it rise high pointed and is not hard nor forked It is performed by Ripening It is either Mild and Gentle occupying only the Skin or Malignant rooted in the flesh Or it is Pestilentical and Epidemical which being black or green is joyned with a Malignant Feaver Article V. Of the Tumer Parotis Parotis is an Inflamation of the Kernels behind the Eares proceeding from Blood either pure or mixed with vitious Humors The Signs are Swelling Pain Redness which appears behind the Ears The Cause is blood either alone or mixed with other vitious Humors which slips into these parts being sent from the whol body or from rhe Brain In the Cure we must not repel but Discuss by gentle Medicaments least stronger should exasperate the Pain Also Suppuration may be procured when Nature tends that way The DIFFERENCES are divers I. One sort is Critical arising with Critical signs which is easie to cure unless it hapen in the end of a Disease after other Evacuations without the Abatement of the Symptomes If it vanish away without Suppuration it wil come again It must be left to Nature and being returned it must be judged of according to the Nature of its return Another is Symptomatical which if it spring from crude and undigested matter it is dangerous because the place is so nigh the brain In the Cure its antecedent Cause must be deminished and the Matter discussed softened and opened that the Quittor may do no hurt II. Some are without feavers others with feavers which are more dangerous III. Some are without Malignity others are Pestilential
1. By Diet which must yeild very good nourishment 2. By the frequent Evacuation of the prepared Humors 3. By Removing the Contment Cause by Emollients and Discussers either mixed together or used alone one after another interchangably The milder sort in persons tender and soft fleshed and when the Tumor is new The stronger in harder bodies and where the Scirrhus is old Fabricius Hildanus his Plaister of Hemlock mentioned in the 25. Observation of his 3. Century A Cataplasme of Briony Roots Goats-dung and Vrin are very good 4. If it come to suppuration by cleansing away the quittor with the Plaister of Diachylon simplex omitting heaters and section or lancing least it turn to a Cancer It is divided into a true or Legitimate which is void of sense and in which hairs grow upon the part for which there is no Cure and a bastard which is contrarily disposed to the former Article II. Of a Cancer A Cancer is a round Tumor blue or blackish having Veins round about it ful and swelling resembling the feet of a Crab and springing from black Choller The SUBJECT are parts of the Body as wel external as internal especially the moister and upper parts as the Dugs of Women The SIGNS are drawn from the manner of its Rise At first it s hardly so big as a bean in the progress it exceeds a Wal-Nut and an Eg it is hard of a Leaden or livid color or Else blackish with heat pain and pulsation the veins round about swel with black blood and resemble the feet of a Crab. The CAUSE is adust and black Choler hanging in the veins and by its thickness unable to pass along which springs partly from Nutriment affording such an Humor which has not been drawn by the Spleen partly from an hot burning distemper The CURE is difficult in al both because it comes from a stubborne and Malignant Cause and because it lurks in the deep veins It is not to be undertaken if the Cancer be hidden If it be seated in a Cavity of the body in the palate Fundament or womb There is no Cure if it be confirmed and seated in some noble part of the body It is of some Hope if it be smal fresh and stick in the surface of the body How it is to be performed see in the differences As for what concernes the differences 1. One sort is Exulcerated which is easily known and is caused by a matter sharper than ordinary It has the appearance of corrupted flesh with stench filthy matter coming forth an horrid aspect Lips very hard and turned in There is a slow Feaver conjoyned Swowning black or yellow sains or Blood-water running out of blood c. It s Cure is either Palliative by gentle-dryers and coolers or true 1. By Incision to the quick after which the corrupt blood must be pressed forth the Ulcer concocted mundified see Hartmans ponder in his Chapter of a Cancer in the brest or Dug filled with flesh c. 2. By burning either actual or potential if the profounder and greater vessels be thereby occupied Another sort is not Vlcerated which arises from a milder matter Is Cured 1. By Diet Moystening and cooling 2. By Blood-letting 3. By repeated Purgations of the Humor with extract of Hellebore pills of Lapis Lazuli after it has been prepared with Fumitory Hops Juyce of Fragrant Apples c. 4. By Application of External Medicaments in which case gentle Repellers are useful as the compound of Frogs-spawn Discussers which have no biting quality as Pulvis Benedictus of Hartman the Magistery of Crabsshels c. See Agricola also T. 1. Page 145. II. Another springs from Suppression of the Courses Another of the Haemarrhoides The Cure must be applied to those Diseases Chap. 5. Of Tumors springing from Wheyish Salt and Cholerick Humors mingled together Article I. Of Scabbyness TUmors springing fom mixt Humors do arise either from salt Wheyish and Cholerick Humors or from Flegm Melancholy and Choler so that the conjunct cause is no longer an Humor but some other matter bred of Humors Hereunto belong Scabbyness the Grecian Leprosie Phlyctinae Sudamina Sirones Vari Epinyctides Alphus Leuce Impetigo and Gutta rosacea The Scab Is a Tumor arising from corrupted blood vexing the Patient with distemper and Exulceration of the skin The SIGNS are set down in the definition The CAUSE is corrupt blood mixt with black choler and salt Flegm which either comes from suitable Diet especially when the Liver is distempered with Heat or it is corrupted by contagion and being brought unto the skin it sticks therein and causes Exulceration The CURE is accomplished 1. With Diet which requires boyled meates 2. By Contemperation and Evacuation of the Humors and reducing the Liver to its due temper by the Syrup of Coral of Quercetanus It is divided three manner of waies I. One is Symptomatical to which what has been said ought to be applied Another is Critical which breaks forth after acute or long Diseases II. One sort is moist out of which much sains or blood-water Issues It is caused by Salt Flegm T is Cured more easily than the dry Scab and that 1. By Evacuation to which end whey of Goates-Milk and Fumitory are much commeded 2. By provoking Sweat either by half an ounce of Spirit of Dwarf-Elder and two ounces and an half of Fumitory Water or by Spirit of Guaiacum or Antimonium Diaphoreticum if it be more hard to be removed than ordinary 3. By Application of External Medicaments And here bathes of fresh water and brimstone stone bathes are useful Also to apply the Yellow middle bark of Frangula with Vinegar And Sinnertus his Oyntment Book 5. Page 1. Chap. 27. Another Dry in which nothing is voided or a little quantity of thick matter and the Ulcers are Lead colored T is Caused by an adust Humor Cured with difficulty after the same manner as the former having respect to the Causes Another sort is termed Volatica the Running Scab which infects al the skin in one night for the most part In this universal Remedies being premised t is good to wash the Scabs with the blood that comes from a Woman with the after-birth See Agricola T. Pape 280. III. There is another sort termed Malum mortuum which vexes the Patient with a Leaden and black color crusty pustles black Dry without sence or pain cheifly in the Legs It Springs from a Melancholick and Scorbutick Juyce T is Cured after the same manner having respect to the Difference Another sort is the Leprosie of the Greeks which differs only gradually from other Leprosies T is Known hereby because it Eates deeper into the Skin and scales as it were of Fishes fal of whether the Patient scratch or scratch not and the Scabs stink filthily T is Caused by black-Choler oftimes mingled with Salt Flegm Cured by the same kind of things as the Scab but stronger The distmper of the Liver must cheifly be redressed Sweat must be procured with a
are the Glandules or kernels in the Neck Dugs Arm-pits and groins They are known by the sight especially among the inhabitants of the Alpes They Arise from a Flegmatick Melancholick mixt Humor which proceeds from the crudity of Diet or from a gross Juyce nourishing those parts mixed therewith which is shut up in a peculiar Membrane made by the formative faculty See the Cure in Book 5. in a peculiar Chapter T is divided into simple of which now and Cancerated which are mixed with a Cancer by reason of Black-choler 2. Into Free which are Joyned to no Vessel and Intangeld or Intaild which are Joyned with some remarkable Artery Vein or Nerve II. Ganglion Which is a Tumor scituate upon a Bone by reason of a Preternatural twisting or wreathing of a Nerve which is grown together into one body The Subject are parts which are covered not with much flesh but skin only It is known both by its situation and that it is void of pain and of the bigness of an Eg may be stretched to the sides and being pressed it makes the body feel the pressure It arises by occasion of a blow reaching or labour which stretches and as it were breakes a Nerve or tendon Whereupon the excrement of the Nervous part sweats out and sticks about the Fibres and Nervous parts and by their formative faculty is changed into this substance T is Cured by Emollients as Emplastrum de Ammoniaca and digesters and if they suffice not with suppuraters and by Section concerning which see the Authors III. Those kind of Tumors which spring indeed from the same cause viz. A Flegmatick Humor or Alimentary Juyce only they are distinguished by the matter contained in the bladder and from thence take their respective Names For it is named Meliceris if the matter included be like Honey the Tumor rounder than ordinary and giving way when it is touched Atheroma when it is like Water-gruel or Hasty-pudding and hard to the Touch. Steatoma when it is like to suet Chap. VII Of Tumors arising from a solid Substance TO such kind of Tumors these three sorts following are to be referred I. Verrucae Warts being Tumors standing upon the skin like Hittocks They are known very easily They arise from either a thick Melancholick and Flegmatick matter or from such Juyce as is ordained to â—ourish the Skin and Scarf-skin They are Cured either by Application of appropriate Medicaments such as are the Juyce of Willow-leaves and Cichorium Verrucarium or Wart-cichory water which Stands on the stumps of felled Oaks Spurge Milk an Onion bruised with salt They are divided into Hanging warts which the Greeks term Acrochordones being broad on the top and smal at the bottom where they are fastened to the skin as it were by a stalk Thymia which are colored like time are likwise smal at the skin broad hard and rough on the top being smaller than the hanging-warts and Sessiles which the Greeks term Myrmecioe lower than the Thymia scarse bigger than Lupines hard broad-bottom'd deep rooted and causing pain II. Clavi cornes which are wont to breed on the Toes and Soles of the Feet by the pressure and wringing of shoes which somtimes of their own accord prove very painful and are alwaies troublesome to the goer They must be Noynted with the blood of an Ele and Oyl of Mercury and when they are softened with Oyl of Snailes When they are cut smeare them with the Urin of a dog and lay on a Plaster of red Wax III. Callus Brawnyness is an hardness bread in the surface of the skin in the palms of the Hands and the lowest parts of the soles of the Feet It has no deep Root and is void of al pain It may be pared of after frequent washimgs and soaking in water Chap. VIII Of Tumors caused by solid parts falling from their due Situation Article I. Of Aneurisma Varix and Elephantiasis by the Arabians so called TUmors proceeding from solid parts falling down into or lying upon any part are many we shal here speak only of the Aneurisma Varix and Elephantiasis of the Arabick Physitians so called the rest we shal treat of in their proper places I. Aneurisma is a Tumor arising from a breach in the inner coat and a widening of the outer coat of an Artery T is known because it is a soft Tumor beating with the pulse and for the most part yeilding to the finger and if it yeild not to the finger nor pulse which may fal out in a great one yet a noise as it were of boyling water is perceived because of the passage of spirits through narrow waies and so it is distinguished from an Ecchymoma It arises through default of the Artery which in respect of its inner coat which is hard and thick is opened in respect of its external coat which is thin soft and rare it is widened It is wont to happen either by the Violent Motion of the flood or by some external force most frequenly when either an Artery is opened instead of a Vein or an Artery together with a Vein is hurt For then the external coate as being soft and of kin to the coats of the Veins growing together and the inner remaining open the blood and spirit Issues through the hole and distends the external coat T is Cured with Difficulty if smal if new Is in a manner incurable if old and great and if Section be made danger of death is incurred The Cure is undertaken 1. By Application of Repellers and astringents where Emplastrum Contrarupturam is useful c. 2. By Section or cutting touching which see Authors II. Varix is the Dilatation of a Vein It happens Cheifly in the Thighes under the Navil and somtimes in the temples It befals men principally yet hardly before they come to Age. T is known by the swelling of the Veins and the part being Lead-colored or black It arises from thick Melancholick blood which fals into the place either through its own weight or being thrust thither by some violent Cause Varices ought not to be Cured if they be critical and free the patients from other Diseases as they are wont to do from madness If they are to be Cured they are hardly Curable by Section but best of al by extraction of which see Aquaependens III. Elephantiasis of the Arabians is a Tumor of the Feet springing from Melancholick Flegmatick blood and the Varices Herein the Thighes are swelled of a Leaden-color black and ful of Ulcers It can hardly be Cured without a continual and long Course of Phyfick Chap. IX Of Malignant Tumors A single Article Of the Elephantiasis MAlignant Tumors are sundry Viz. Buboes Carbuncles Smal Pocks Meazels Elephantiasis Of the rest I have spoke or shal speak elsewhere I shal here treat only of the Elephantiasis T is called also Leontiasis Satyriasis and Lepra Being a Cancerous Tumor of the whole Body springing from black choler infected with a Venemous quality and shed
Transpiration has place or from the straitness of the pores of the skin for hot things in an hot place if they have not freedom of aâ—â—e doe suddenly putrifie or from the obstruction of the Vessels and Passages in the Body A Feaver Ephemera especially in hot Natures Heat arising from the Nonnatural things Nearness of putrified humors 2. In the Continuance is the fault of the parts ordained for Concoction Inquination or Defilement remaining after the Paroxysme which inserts the humors herein The Cure for the most part does not oppose the Feaver so as to neglect the Cause especially if the Remedies for the Feaver doe encrease the Cause unless the Feaver be very great Yet sometimes we may resist the Feaver and neglect the Cause namely when it is remiss The safest way is so to direct the Cure to the one as not to neglect the other It is performed 1. By Blood-letting which must be practised 1. For evacuation to put the blood in motion and to cool the same 2. In continual Feavers on the third day in intermitting Feavers after the third day in all having first given a gentle Lenitive if any thing reside in the first waies and when the disease is most remiss 3. When the evil humors are not in the first passages but are mingled with the blood in Vena Cava 4. When there is plenitude It must be repeated the same day if it be done for Evacuation sometime after if for Revulsion II. By Vomiting rightly instituted with Aqua Benedict a Rulandi Asarum Roots c. III. By Purgation then Lenitives ought to precede by reason of the stomachs weakness and plenty of humors in the Mesaraick Veins and stoppage of the Belly at the beginning either by Clisters or Potions Stronger Medicaments ought to follow 1. There having preceded both Coction which must be observed in Feavers especially such as are continual and acute according to the precept of Hippocrates by which Nature assisted with art makes separation of putrid humors mingled with the blood Praeparation which opens the passages and waies by opening Medicaments here Cichories Endives and Sorrels have place and impediments in the humors are removed where syrupe of Vinegar of the Juice of Citrons have place and a dram of Spirit of Tartar compound which must be given with caution in cholerick natures by reason of the Treacle water 2. Which must be omitted if the Humors are not in the first passages but mixed with the blood in the Veins If the Humors are turgent that is either move to some determinate part or are so disposed that they may run violently into some part For the feverish matrer is wont at the beginning though little because like Leven it corrupts the rest of the humors to be moved by nature and either to be thrown out of the body or to be thrust into the more ignoble parts of the body IV. By sweating provoked by Sudorifick medicaments and that not very hot least the Fever be increased yet sufficient least the matter should be only stirred administered after other evacuations least Transpiration should be more hindered Yet is it allowable in the beginning sometimes to give strong sudorificks that the said ferment may be dissipated to dispose the patients body to sweat through the whol disease that the body may freely transpire To repeat it as often as need shal be that the matter may be accustomed to expulsion Salt of Wormwod of Centory of Carduus benedictus Spirit and Rob or quiddinie of dwarf-elder of Elder Magistery of Mother of Perle of Crabs-Eyes Antimonium diaphoreticum c. are commended V. Diet in which are principally considerable 1. Meat which ought to be of good juice easie of digestion of small excrement so that great respect be had to the patients strength the disease and morbifick Cause The times of the disease it self must be observed least the patients strength be overwhelmed The Quantity Quality and manner of the use ought to be weighed Howbeit a more liberal diet may be used the strength of the Patient being diminished by Evacuation A thin when it is weak by suffoeation that plenitude may be diminished and nature the better betake her self to the Concoction of Humors A very nourishing one to preserve the strength Medicamental to drive away the Disease and its cause At any time when the strength is decayed by Evacuation and fasting In the declination or intermission the Patients strength being suffocated by the vehemence of the Disease 2. Drink which ought to be nourishing in the Patients weakness And Medicinal in reference to the Disease and its Cause Such is a Decoction of Barley Oxymel Whey corrected with Annis-seed Fennel-seed and Cumin-seed Cooling Juleps In the first daies of continual Feavers little afterwards more plentifully In Agues when the fit is near none at al least the separation and exclusion of the putrifying Humor should be hindred when sweat is ready to break forth hot to further the same The Wine in Agues must be austere and hard because such Wine moistens further excretions and is more easily distributed into the body in continual Feavers about the beginning of Coction little in quartans before in the Progress of the Disease more In the Declination if there be weakness The feaverish heat be not intense Crudity of the matter prohibit not Head-ach and like disorders be absent Chap. 1. Of Continent putrid Feavers Article I. Of the Synochus Putrida Putrid Feavers specially considered are either Continent as Synochus putrida Causus or Continuae Periodicae or Intermittents Synochus putrida is a feaver arising from blood putrified in the vena cava without any periodical Remission and Intention afflicting alike from the begining to the End It is also termed Pur Fire because of its very great Heat Assodes because it makes the Patient very unrestible Taraxodes because it vexes the Sick with imaginary Apparitions And Pericaes Puretos the burning fever because of the Excess of burning Heat The Pathognomonick or peculiar Signs are extream thirst and burning Heat howbeit the thirst is allaied by coughing which causes an Afflux of humors To these signes are added great tumblings and tossings of the Body by reason of great heat and the acrimony of thin vapours which in every part vex the body The Vrin is little in quantity through plenty of sweat and heat which consume the same somtimes t is crude and troubled which by the settling of the adventitious parts and evaporation of the turbulent spirits doth afterwartd waxe cleare somtimes t is thin very cholorick and flame-colored The stooles unless the dung be scorched and hardened by the feavers Heat are liquid and saffron-colored choler being shed into the belly and making the dung thin The pulse is quick frequent and unequal swifter in the Contraction because the Arteries by suddain compression indeavour to expel those sooty vapours which greiviously afflict the heart Breathing is laboursome and expiration is quicker than drawing-in of the air
by reason of the extraordinary necessity of sending forth the fiery exhalations The Mouth is bitter because choler is soakt into the inner Coat of the stomach which is common to it and the mouth The Tongue is dry and furr'd and black because the burning heat consumes the moisture of the tongue and lodges its sooty vapours therein Raving by reason of the mounting of choler into the head which if it follow trembling t is a signe that the cholerick humor is transferred out of the veins into the Nerves out of the nerves into the Brain Sleep is somtimes profound especially when the fever is not exquisite but bastard because thick vapours carried into the Brain do stop the passages thereof The CAUSE is Blood putrifying through a peculiar propriety of the liver occasioned by meates of an over heating faculty or from crude cooling meats apt to be corrupted c. Which blood is either Cholerick and then the symptomes specified in the definition are more vehement and the feaver is termed Causus exquisitus an exquisit burning feaver or Flegmatick then the fymptoms are milder the fever is termed nothus a bastard burning feaver The CURE requires that we regard the Feaver Its cause and the patients strength The feaver is terminated by sundry excressions especially when the patient happens to shake upon a critical day the signes of Coction appearing and that not by reason of the shaking but because of the Excretion whose forerunner is the shaking fit T is performed 1. By blood-letting that the burning heat of the Blood may be repressed the plenty thereof diminished and its faltiness corrected It must be done at the beginning while the patient is yet pretty strong and because the violent motion of the Disease shews we must take time while we may It must not be done at al it the Feaver have its Rise from Evacuation fasting journeying in heat of Summer drying of the Veins and consumption of the Blood-water Also when Age Sex or some other thing prohibits Then Scarrifications Cupping-glasses c. must supply its place 2. By Purgation with cooling choler purges or temperate ones as pulp of Cassia syrupe of damask Roses 3. By Vomiting if there be Stomach-sickness and the stomach be vexed with Cholerick Humors which is known by the Mouths Bitterness 4. By Alteration and preparation with cooling Medicaments where note that there is then need of External Medicaments when the feaverish burning is abated with internal coolers and the putrefying Humor is for the most part drawn forth 5. By Corroboration of the Patients strength with Electuaries Lozenges c. 6. By Mitigation of Symptomes of which see in the proper Chapter 7. By Diet of which see what was said before Chap. 2. Of a continual Periodick Feaver in general A Continual Feaver keeping its Periods or Courses is Generally or Specially considered Generally considered it is a Feaver arising from Excrementitious Humors putrefying in those Veins which are of a middle size betwixt the greatest and the smallest Capillary or Third Veins abating at certain Periods of time without any Total Intermission Its Signs are that it remits of its Violence and then grows again Exorbitant at certain Periods of time but never intermits so as to leave the Patient free from Feaverish distemper more or less Its Exacerbations or Exorbitancies are not usher'd in by any cold shivering or shaking nor does any sweat follow its Remissions or Abatements It is exasperated at certain set Periods of time both by the arrival of Morbifick matter to the Heart by uneven quantities because of distance of place if it do not exactly keep its times and also by communication of new matter from the Members subservient to the second Digestion if it hold punctually its times The Causes are Excrementitious Humors which are bred in the Spleen and Liver either by their fault or the fault of the Chylus yet they may be bred in the Meseraick Veins and brought to the Liver They are not only jumbled together with the blood but also perfectly mixed therewith Their place is the Veins not the greater for so it should be a Continent Feaver nor the lesser for then it should be an Intermittent Feaver or Ague but of a middle size betwixt the great Veins and the Capillary which are smal as the Hairs of ones Head See the Method of Cure in the Sorts Article I. Of a Primary Continual Feaver Point 1. Of a Continual Tertian Feaver A continual Feaver specially considered is either Primary or Symptomatical The Primary is that which has no other Disease preceding as the occasion thereof and it is either Tertian Quotidian or Quartan A Continual Tertian is a Feaver springing from Cholorick Blood putrefying in the Branches of Vena Cava which holds continually but afflicts the Patient most every third day Its Signs are the Symptomes of continual and burning Feavers its being exasperated every third day by reason of the Nature of Choler which is so moved The Cause of its Abatement is both the distance of the place where the offensive Vapors are bred and likewise their smal quantity by which means they are all dissipated before any more can be bred to succeed in their place It s Cause is Cholerick Blood and whatsoever is apt to encrease Cholerick bad Humors in the Veins and to make them putrefie when so encreased The Cure is performed 1 By Blood-letting a Clyster being premised because the Humor is mingled with Blood 2 By Alteration Lenitives being first used in which case a little Vinegar must alwaies be added to Syrup of Roses solutive that it may pierce more easily into the Veins and not be turned by the Stomachs heat into Vapors which will cause thirst Give them fasting that Concoction may not be disturbed With Moderation lest they cause Crudities Spirit of Nitre of Salt c. are commended Topicks must be applied unto the Heart which is chiefly affected but not before the state Not cold lest the Heat driven inward and gathering Head should burn more fiercely 3. By Evacuation downwards and that in the beginning if the matter provoke if it be plentirul and the Patient strong It must be performed by gentle Medicines and let Rhubarb and Myrobalans be given in their Infusions with cooling Waters rather than in substance After Concoction if Nature be lazy 4. By Sweating and provoking Vrin 5. By Dyet which must be contrary to the Disease and its Cause Such as are upon the mending hand if the Feaver be terminated with a perfect Critical Evacuation let them never eat to satiety Often and a little Let them abstain from al Evacuations save by stool Let them use the Electuary Diarrhodon Abbatis to strengthen their Bellies If by an Imperfect so that some reliques remain let them purge the said Reliques especially by Urine Let them keep a thin Dyet The Differences are taken from the Causes One sort is Cholerick from Cholerick blood pure and exquisite which the Liver being
peculiarly affected produces This sort afflicts with sharper Heat Thirst and Watchings They are subject to it who abound with choler The pulse is vehement swift hard The Urine flame-colord and thin 'T is finished in the compass of seven or of fourteen Exasperations It is not deadly unless either some remarkable Error be committed or some malignity attend the same Another is Flegmatick or Melancholick when Flegmatick or Melancholick blood is mixed with Cholerick where together with coolers things gently warming and cutting are to be mixed 'T is termed Notha or a bastard Continual Tertian Point 2. Of a Continual quotidian or every day Feaver A continual quotidian is a Feaver raised by the Phlegmatick Humor putrifying in the Branches of Vena Cava which is exasperated every day It s SIGN is a daily Exasperation which happens towards the Evening because of the natural motion of flegm about that time with heat which is at first feeling mild but afterwards more vehement by reason of the slow and uneven kindling thereof caused by the variety of the parts of Flegm With a light coldness of the extream parts of the Body which nevertheless is not found in al these Feavers The CAUSE is the Humor of Flegm putrifying which is proper to old Men because of their coldness to Children through their greedy eating It Causes so pertinacious and stubborne a Feaver that it lasts somtimes three score daies its beginning reaching to the twentieth day it vehemently weakens the Stomach whence arises a Cachexy and Dropsie The CURE ought to be thus mannaged 1. The first passages must be evacuated with Clysters or Lenitive Medicaments in which case Honey of Roses is effectual or the Stomach must be purged with Vomit 2. Let a Vein be opened if Nature be oppressed with overgreat plenty of Humors and the Urins be thicker and redder than ordinary 3. Purge by stool when signes of coction appear premising attenuators that heat not much first with a gentle then with a stronger Medicament Agarick trochisked Hicra picra Pils of Fumitory are good in this case 4. Procure Sweatings after the matter is lessened with Salt of Wormwood and of Carduus Benedictus and a little Treacle 5. Let strengtheners be given viz. Trochisks of Rhubarb of Wormwood and of Agrimony c. 6. Let the Diet be sparing for three daies if there be Crudities in the Stomach and in the first waies At first give Hydromel or smal Metheglin to drink instead of wine or beer and let no fish be Eaten in the whole course of the Disease This Feaver is divided three manner of waies I. One sort is Simple and Exquisite which arises only from flegm and has fits eighteen hours long Another is bastard when flegm is joyned with other Humors II. Another is termed Epiala in which in the smallest particles of the body understand to the sense both heat and cold are felt at one and the same time It arises either from flegm mingled with Choler or from Glassie flegm which in that part that is putrified is hot in that which is not putrified is cold T is Cured in the same manner that other putrid Feavers are but we must observe 1. That Blood-letting is hurtful 2. That spirit of Nitre in Juniper water is excellent to cut flegm 3. That vomiting must not be neglected which may be procured by six ounces of Juniper water distilled per Descensum 4. Care must be had of the Stomach which nine drops of Oyl of Vitriol with three spoonfuls of the best Canary wil strengthen and cut the flegm or two ounces of Aquae Vitae stilled out of Juniper berries by way of Descent III. Another is called Syncopalis by reason of the swoning fits which is either Minuta so called springing from a thin Humor little in quantity but venemous and corrupt or Humorous proceeding from plenty of Flegmatick and crude humors with weakness of the stomachs Mouth frequent faintings away The best way to proceed in the Cure is 1. By Rubbings in such whose skin is more than ordinarily hard 2. By loosing the belly with Manna and Cream of Tartar 3. By Digestion and Evacuation of Humors giving such things as are necessary for the Syncope 4. By a thin Diet in which wine may likewise have place Point 3. Of a continual Quartan Feaver A continual Quartan Feaver is a Feaver arising from Melancholy blood putrifying in the branches of Vena Cava whose heat alwaies endures but is Exasperated and Augmented every fourth day Its SIGNS are obtuse Heat but sharp and pricking by reason of the Density and dryness of the putrified Humor which causes the Feaver The Pulse at first smal slow and buryed as it were under the skin afterwards great ful and swifter than in an Ague Somtimes the Patient Spawles much which argues either the overgreat moisture of the Stomach or the Spleens fault in not separating the Melancholy Humor It s CAUSE is Melancholy blood putrefying in the middle sort of Veins and springing from its proper causes The CURE is altogether hard both because it lasts to the fortieth day and further unless peradventure it be a Summer Quartan and likewise because seeing that Humor is hard to putrifie it argues there is a great cause 'T is Performed 1. By opening the inner Vein of the left Arme. 2. Cy Preparation of the Humor which must tend much to moistening 3. by Purgation with Melanagogues frequently repeated as also the use of sweaters and piss-drivers 4. by strengthening the Patient with borrage bugloss Citron juyce c. 5. by Diet which ought to be cutting moistening and cooling c. Article 2. Of a continual Symptomatick Feaver Symptomatick Feavers are such as follow upon other Diseases which being removed the said Feavers Cease Their Signs Causes and Cures are to be drawn from those Disease which they wait upon Their Differences are sundry I. One sort is That which follows the Inflamation of some inward partespecially and which is neare the heart or has a consent and sympathy therewith the Vapors which arise out of the blood shed into the part inflamed and putrifying there being communicated to the heart and heating the same It is as many-fold as the Inflamation is The Cure respects the Inflamation II. Another sort there is termed Lipyrias in which during the whole course of the Disease the inner parts are as it were burning up with Heat and the outer parts meane while cold It arises from a vehement inflamation or Erysipelas of some internal part especially the Stomach the blood and spirits having recourse to the part inflamed Either the Cure is not to be undertaken or if it be undertaken resistance must be made inwardly against the putrefaction and extream heat external after the parts have been rubbed heaters and openers of the pores must be applied In which case Oyl of Dill and Oyl of Orice Root with oyl of Vitriol and strong spirit of Juniper berries are good III. Another is slow which is hereby
with a shaking and Cold fit Which Heat slow vapours nor very burning when it has dispersed it selfe through the Body The Vrinâ— at first white thin and crude when the matter is digested thick troubled and often red The Pulse is exceeding smal seldom and slow The fit lasts eighteen hours and somtimes twynty four Vomiting and Sweating if they happen at first they proceed from strength of nature and thinness of the humor The CAUSE is Flegm putrifting in the Masaraich veins which is colected by means of the heat of the bowels diminished cold and moist kind of diet superfluous feeding upon such matter It putrifies through the causes afforsaid The CURE is firequently hazardous both because it lasts forty daies yea three months and longer and also because hurting the stomach and liver very much it throwes the patient into a Cachexy 'T is performed 1. By preparation of the petcant matter by convenient medicens moderaly hot which a clyster and gentle vomit may proceid 2. By evacuation of the the said matter being concocted by vomit where extract of Esula and water of radishes and green walnuts distilled with vinegar are good By purgation of flegm and sweat 3. By strengthening the stomach and Liver 4. By Diet. It is differenced according to the causes I. One sort comes from thick flegme Then the urin is white and thin but by little and little it begins afterwards to grow reeddish and the settleing becomes thicker and the patients mouth is continually ful of watterishness It requiers strong medicines to digest it and those frequently repeated to which preparations of tartar ought alwaies to be added Vomiting is profitably procured with mercurial pils 'T is good to purge with an infusion of the species diacarthami senna and ginger in Centory water some drops of spirit of vitriol being added Once in a week one dram of Venice Treakle may be given II. Another is from thin acid flegm and then there is paine in the forhead and left Hypocondrium costivness and acid belchings It must be scilfully cured least it turne to a quartan The liver veine of the left side may be oppened Before the fit some specifick medicament must be given III. Another is from salt thin flegm Then faltness and driness are felt upon the tongue The Urin is red and thick with sense of hear and sharpness in the making The Liver vein on the right side arme may be opened Article III. Of an intermitting Feaver or Quartan Ague An Intermitting Quartan is a feaver arising from melancholy blood in the misaraick veins which takes the patient every fourth day ' Its SIGNES are Reachings and yaunings with a shaking fit after which at first is smal but afterwards like those that in the extremity of winter are pained with the cold for it does not so much prick as beat and bruise as it were The Heat is kindled by degrees because of the thickness of the matter The Paronysmes returne every fourth day The Pulse is rare and slow but in the vigor of the Fit swift and frâ—â—â—ent The Vrines are at first thin and watery afterwards more colored and thick The Sweats are at first very smal afterwards exceeding plentiful The CAUSE is a Melancholly humor collected and putrefting in the Mesaraick veins about the spleen and neighboring Bowels arising from Causes like it selfe among which Vinegar is one The CURE is wholly difficult For 't is a long lasting ague and somtimes reaches out for certain years especially if it begim in the Fal of the leafe But 't is more difficult when it springs from black cholor if it happen to old people whose weake heat cannot overcom the Matter If it be a double ague If it be joyned with some greivious Affection of some of the bowels Easyer if it be a legitimate Quartan and unattended by any disease of any of the Bowels otherwise such as are taken with a quartan Ague are little troubled with Convulsions or if they are the matter turning towards the Hypocondria and remaining no longer mixed with the blood in the veins they are freed of cheir Quartan Ague 'T is performed in general first by gentle then stronger medicines In perticular I. By opening the Basilica or Mediana Veins at the very first the first passages being cleared if plentitude of blood requier so much not so soone if there be no plenitude Blood plentifuly if the blood come thick and black stop it quickly if it rune thin II. By preparation and Coction of the pecant matter reapeated with moisteners and splenicks such as fumitory Maidenhair Ceterach Roots of Eringos Decoction of Turneps syrup of fragrant apples c. III. By evacuation thereof either by vomiting after which a dram of venice Treacle may be given before the following fit mixed in a cup of wine or by stool to which end are good in the first place the Pilulae Tartareae of Quercetanus or Senertus afterwards extract of black Hellebore at last the pilâ— of Saga penum of Camilus de Camilis in Quercetans Pharmachopoeia or by the Haemorrohides leeches being applied Or by Sweats which may be wel procured by Treackle Antimony diaphoretick or six or ten grains of sal Armoniac purified in Cichory water before the fit The patient being strong and Coction appearing a purge is happelly given a little before the fit IV. By strengthening the bowels especially the spleen by their appropriate remedies such as wil not augment the feaver both external internal V. By Mitigation of symptoms of the shaking cold by treacle or Aqua vitae given four hours before the fit Of the Backpaide by application of Hartman his faccolus in his Chapter of the quartan Ague VI. By Diet where observe that we must order absence from al kind of food on the fit day wine that is ripe and thin may be alowed Apropriate medicaments in this feaver are Amoniacum seven times sublimated Pouder of Vipers given the Quantity of one scruple or half a dram before the fit in some convenient Liquor An Hares Heart prepared like Fox-Lungs Oyl of Myrrh from four to eight drops before the fit The Quartan Feaver or Ague is distinguished two manner of waies I. One sort springs from natural Malancholly in which we must go to work with moisteners and moderate heaters Another arises from adust Humors which is known from decay of Appetite vehement thirst Head-ach and redness of Urine It arises from such things as burn the Humors In the Cure we use things moderately cooling to which in the progress of the Disease Cutters and attenuaters ought to succeed A Bath of sweet fair water is commended or rather to wash the Feet therein II. One comes of it self without another Disease foregoing And then a Diet somwhat thin is good at first afterwards somwhat grosser and then agin towards the state somwhat thin Another follows other Diseases Then a thicker kind of Diet must first be used Afterwards the state it must be somwhat diminished In the fit nothing
when cold or hotter then is usual for the remedying whereof such things as are thereunto opposit are necessarily required and very serviceable Another proceeds from things internal whether overhot or overcold 2. There is another Species of it by its Essence and then a pain and heaviness of the Head undoubtedly preceded without any affects of the inferior parts This is to be cured by internal discussives and the scent of things that are appropriate unto the Head There is another kind thereof that is by Consent or agreement with some other parts and then the Neck veins are distended the Urins in the top or superficies of them filled ful of little windy bubbles winds arise either by the fore part with the extension or stretching out of the Breast and the beating of the Arteries at the very bottom thereof or else by the hinder or back part together with a distension of the Veins and Arteries of the same aforesaid part They arise from other parts that lie underneath In the Cure regard is to be had first of al unto revulsion or drawing back the offending matter by Clysters somwhat stronger than ordinary and next unto repulsion or driving byck the said peccant matter externally by Application of things made up of Vinegar and Roses as above said and internally by the Conserve of Roses c. And then lastly special regard ought to be had unto Evacuation by purgers corrected with Carminatives III. Another Division is from the Humors and this is either proceeding from the Blood or else it is Cholerick or Flegmatick or serous and wheyie or otherwise it is Melancholy and Adust as consisting of burnt Choler I. The Sanguin Distemper of the Brain proceedeth from the blood either over thin or too thick It is known unless it proceed from some external Cause by the extension and heaviness of the Head Especially when the South West wind blows the redness of the Eyes the gentle and moderate heat and by the pain of the forepart thereof from the Ninth hour of the Night unto the third hour of the morning or day following It ariseth from a Plethory and its Causes It is derived into Act and made to appear by the extream and over vehement affections and passions of the Mind much drinking of wine and by such other things that cause heat or pain in the Head The Cure must forthwith be set upon and attempted lest that an inflamation or some other affect should flow therefrom And this is accomplished 1. By the Diversion of that blood that is flown into it by opening the Cephalick or Head Vein or else the Saphena and Foot Vein if there be a suppression of the Monthly Courses or of the Hemorrhoides for by no means we are in this case to attempt the opening of an Artery for fear that the Tumor Aneurisma should follow which aforesaid blood-letting doth both Evacuaâ—e or empty forth and draw back the peccant humor as also by the Application of Cupping-Blasses unto the Loyns shoulder blades and Neck and likewise by a gentle Evacuation as also by repulsion or driving back which is effected by the Use of repellers that in the winter are potentially cold but in the Summer time actually such if the sick person be young unless there be present a Catarrh and this repulsion ought to be instituted by frictions or rubbings II. By a sensible drawing forth of the blood that hath flown in by the passage of the Nostrils rubbed hard and chafed with Milfoil or Yarrow by opening of the Vein that runneth strait along into the forehead if it be the hinder part that is affected by Discussion and by a Convenient Diet. II. The cholerick distemper of the Brain proceeds from the Superabounding of choler It is known by that sharp and pricking pain especially on the right side by the extraordinary burning heat by the depravation of the actions of the Brain by the many and those very yellow excrements of the Ears and lastly by the bitterness of the Mouth It ariseth from Causes generating Choler It is divided into that which is such by its Essence in which the Cure is to be administred I. By opening the Vein of the right Arm after a gentle Clyster and without the ordayning of any preparative before it if there be not any Feaver present II. By Preparation if it be needful by cooling and moistening Cephalick Medicaments which ought to be more or less strong according to the power and strength of the choler III. By Purgation with Aloticks that is such Medicaments as have Aloes for their basis and other Remedies that are specially appropriated unto the Brain IV. By wasting and consuming the remainders or reliques where Camphire by reason of the over much want of sleep ought carefully to be avoyded V. By Digestion in the use of digestive Medicaments VI. By a Diet that is wholly opposite unto the distemper And Secondly it is divided into that which is by Consent in which we are to proceed according to that way and Method formerly mentioned and laid down III. The Pituitous or Flegmatick distemper of the Brain is known by the signs alleadged and mentioned in the cold distemper of the Brain The sleep in this case is very profound and deep or at lestwise over much unless haply the Flegm being loosened and dissolved a Catarry and Cough be thereupon excited The pain is most of al in the hinder part of the head afflicting the Patient from the third hour of the night unto the ninth There is likwise an extraordinary paleness in the face unless perchance it happen to be colored or as it were painted al over with a certain kind of redness through the dayly continual residence of a part of the blood brought and derived thiâ—her It ariseth from Causes generating flegm more especially from a cold Brain a hot and moist Liver which transmits thiâ—her a sort of blood that is ful of Vapors The Cure hereof is something difficult especially in the winter time and this very Disease doth easily degenerate and turn into the Apoplexy and Palsie The cure is porformed I. By Alteration after the clearing and Evacuation of the first waies and passages and this must be done by Cephalick Medicaments hot and dry at first benign and gentle and afterward by degrees stronger and these ought frequently to be reiterated and here we may prosperously Act by the Decoction of Chyna Root Guajacum and Sassafras II. By Purgation now and then interposed during the time of Alteration and here the Pills Assajereth Aureae and Cochiae or the Extract of these have their place and use III. By a particular Evacuation by medicines put up into the Nostrils by Masticatories Gargarisms washings of the Mouth c. IV. By the Application of Topical Remedies among which Fomentations Embrochations Sacculy or little baggs by al which the matter is insensibly evacuated have their place and use V. By Application of a Cautery unto the coronal Suture or else by
new wine commonly called musty which even as it were Suffocate and Choak the sick person And then in this case the patients are to be exposed into a free and wholsom Air. The vapours are to be discussed with aqua vitae mingled with treacle and then a vomit or sternutation is to be excited Or else by the Compression of the Skul from some blow And then in this case the standers by and the Patient himself are to be advised withal The brain is to be elevated or lifted up as we shal shew further when we come to treat of a fracture Or else it may proceed from the compression or defect of the Sutures which can no way be corrected or lastly it may have its rise from the Humors and Vapors by their Obstruction which said Humors c. are to be discussed by Fomentations II. Another difference ariseth from Internal Causes to wit I. From Blood either poured forth without their Vessels and so obstructing the Meander-like winding passages thereof or otherwise so distending the Vessels that of necessity the passages must be compressed And then for the most part a Plethory is present and joyned therewithal and the blood oftentimes breaks forth by the Mouth and Nostrils unless this be done it hasteneth on an inflamation c. by its putrefaction and rottenness It is to be Evacuated and drawn back by blood-letting and Cupping-Glasses and then it is to be derived by opening the forehead or the Tongue Vein II. From Flegm that is clammy and thick elther compressing the basis of the Brain or else obstructing the original of the nerves so shutting up and imprisoning the Animal spirits Then some Causes generating Flegm heaviness of the Head dimness or darkness of the Eyes the suppression of the wonted Evacuation of â—legm by the Nostrils and Jaws went before unless this be timely and speedily Evacuated it causeth unavoidably the Palsy c. The Cure is to be begun and proceeded in after the same manner that we shewed before in the Pituitous or Flegmatick distemper III. From Vapors that proceed either from more than ordinary food taken in or else such as is excessively vaporous and windy from which the sick person must now carefully abstain or otherwise from Humors that stick fast in the lower parts which are to be Evacuated Or else in the beginning of Feavers where there is special regard to be had unto the quality and Nature of them and then accordingly the said Humors are to be drawn back and depressed IV. From a Tumor which is hardly ever discovered while the sick person is alive neither is it by any means curable Chap. 4. Of the Commotion of the Brain THe commotion of the Brain is a removal of the same from its natural place by reason of some External and violent causes The Subject of this distemper is the brain but more especially according unto the superior parts thereof The Signs hereof are a sudden Consternation of the sick insomuch that they become as it were altogether dumb speechless and like wise altogether deprived of motion only they open their Eyes The CAUSE is either some violent blow or dangerous fal or the extream and over-long noise of Guns and Thunder-Claps which either only disturb the spirits for the present or else they cause a fracture of the skul The CURE is accomplished I. both by the Revulsion of the Blood by opening a Vein that so it may no longer too abundantly flow thereunto as also by Repulsion or driving of it back again evermore avoiding such things as are dry astringent lest that the pores should be obstructed and the very breathing intercepted II. by Evacuation of the blood if any of it be shed forth by opening a Vein as wel that we cal Puppis that is above the Lambdoid suture as that other which is under the Tongue III. by Discussion and that at the first joyned together with Repulsion but afterward used alone by those Medicaments that heat and moisten It is divided into that which more Moderate and gentle and that that is more grievous The Lighter and gentler of it is that in which the Animal vertue is only with violence drawn back into the brain there followeth no rupture of the Vessels And then there happeneth only a kind of drowsiness or sleepiness and this likewise not over profound The more grievous Species hereof is that in which also the parts of the brain are removed from their Natural Scituation the passages are smitten and the vessels broken Then there chanceth an Aphony or loss of speech Elood is plentifully poured forth by the mouth and Nostrils Vomits like wise by the consent of the Stomach infest and exceedingly afflict the Patient And after this the matter becoming putrid and rotten there ariseth a Feaver a dotage a Sphacelus of the brain c. And the matter being thrust down unto the Nerves other dangerous Symptomes follow thereupon Chap. 5. Of the Inflamation of the Brain THe Inflamation of the brain is a swelling thereof proceeding from blood poured forth out of the Vessels into the void spaces of that part and there putrefying The SIGNS are an acute and continual Feaver which from third day to third day is exasperated a perpetual doting which began sensibly or gradually and by little and little a red kind of color and deformity of the Face and Eyes the Membranes being dryed up by the burning heat Salt and sharp tears the Excrementitious moisture flowing downward as it were of its owns accord by reason of the weakness of the part a swift and quick Pulse c. The CAUSE is blood falling out the Vessels and there putrefying the transpiration there of being intercepted It is Poured or emptyed forth either by reason of its store and over great abundance or else by reason of its thinness and acrimony those things likewise helping forward and furthering the same which either carry the blood to the Head or else at leastwise violently move and stir the same and such are the heat of the Air pain striking a wound wrath c. There is but very little or rather No hope at al of the Cure hereof if a Convulsion follow upon it if the Urin be white and extraordinary clear because then the choler is forcibly drawn up into the Head if a doting being at the first present there follow thereupon gnashing and grating together of the Teeth by reason of the Convulsion of the Muscles in the temples and Jaws if it tend to a suppuration in regard that the Pus or filthy Corrupt matter cannot possibly be evacuated within or betwixt the Skul and the Membrane There may be some hopes if on the critical day store of blood flow forth at the Nostrils if there be much and that hot sweat from the Head and if after the heighth of the disease there be an Evacuation of abundance of yellow choler by the belly There is but smal hope of a Cure if many of the
Functions be hurt and empaired if there be a trembling of the Tongue if a kind of cold stiffness infest and invade the Patient after he hath voided downwards white Excrements if there appear to fal from the Nostrils a black drop and that such is sincere or bright in regard that it proceeds from a very vehement adustion and lastly if they scrape together Straws c. It is Performed if at al I. by Revulsion or drawing back of that Humor that floweth in either by opening of the Cephalick Vein or else 1. Of al the Median or middle Vein if there be present great store of the Humor but yet not unto fainting or swooning away or otherwise by Cupping-Glasses with a profound and deep Scarification in the parts both above and beneath or else by some other kinds of Revulsions 2. By Repulsion or driving back by the frequent use of Repellers unless the matter tend towards and as far as the skin of the Head or else by the applying unto the head being close shaven Remedies a little warm tempered and qualified with Vinegar that is not over strong if there be not present either an internal or an External heat or if there be any such heat then by Medicaments that are cold 3. by Interception by the rolling of swath bands about the Neck 4. by a gentle Purgation II. by Evacuation of the Humor that is already flown in and this must be performed by opening the Veins of the Head those of the Nostrils those under the Tongue and the Aplication of Vesicatories and a Cupping-Glass unto the fore part of the Head By Discussion through the use of Medicaments made up of discussives the Alabastrine unguent III. by a Diet in the which emptiness and over long fasting must be avoyded as pernitions and extream hurtful c. It is divided after a Threefold manner I. The first species in the division is that which Precedes a Feaver in which we are allowed to purge while the feaver is absent more especially if there be present an extraordinary cacochimy cupping-glasses are to be imposed applyed unto the very top of the crown with scarification following therupon Another kind thereof followeth the Feaver in which likewise we may purge with those Medicaments that are gentle and moderate especially if the turgency or heightening of the Matter require it II. Another sort thereof ariseth rather from blood than Cholor in which a greater quantity and portion of the blood is to draw forth by opening of a Vein but then there is likewise another which proceedeth from Choler rather than from blood in which we ought rather to purge than use any other means III. Another is an Inflamation of the Membranes of the Brian unto which the signs before alleadged do very fitly agree Another there is of the substance of the Brain it self in which there is at the first a pain seizing the Head which by the hinder part thereof penetrates even unto the very nook of the Neck In this distemper the sick persons do not dote but yet notwithstanding they lose both their external and internal senses they likewise speak very little or not at al c. Chap. 6. Of the Tumor Hydrocephalus in the Head HYdrocephalus is a swelling of the Head arising from the collection of some serous or wheyish Humor in some one part or other of the Members that constitute the Head There is in this distemper no need at al of SIGNS for the disease may be sufficiently known by the very sight of the party It is rather the disease of Infants than of persons of years and strength The CAUSE is a Humor that is waterish wheyie and somtime dreggy yea moreover also bloody The CURE is exceeding doubtful as wel because the distemper is in a Noble part as likewise because the subject part is very tender as also in regard that an Apoplexy or a Lethargy do easily soon seize upon the party But the cure if there be any is to be Performed I. By drawing forth the Water with Hydragogues sweats Urine Medicaments that insensibly discuss and dry and by opening the part affected II. By Reducing of the Brain unto its pristine temperament by hot Cephalick Remedies The Difference is taken from the Scituatiof the Humor For one kind hereof is from a water sticking between the Skin and the Pericranium and then the Tumor is soft transparent by candle light or the light of the Sun as also it being void of pain yieldeth unto the touch and immediatly ariseth up again being pressed together it exhibites a motion of a fluctuating water It yeeldeth more easily unto the Medicaments that are prescribed and may be wholly taken away be the alone opening and cutting thereof There is another Species or kind thereof proceeding from a water as aforesaid consisting and residing between the Pericranium and the Cranium or Skul Then a pain affecteth the party and in this case a two-fold Section or cutting part affected is to be administred Another kind hereof there is from a water as above said gathered together betwixt the Cranium or Skul and the Membranes Then the swelling is not so soft as usually but the pain is far greater and the forehead is born out forward more than usually and likewise also the Disease is almost 〈◊〉 not altogether incurable Chap. 7. Of the Contusion or Bruising of the Head A Contusion of the Head is a smiting or knocking together of the same the external part thereof mean while for the most part appearing sound and entire by somthing that is weighty hard obtuse and blunt The SIGNS are manifested by those things that went before the blood is poured forth out of the Veins and there is an excited soft Tumor or swelling black and blewish and yet without any great or much pain The CAUSE is expressed in the definition The Skin being for the greatest part whol and unhurt there are notwithstanding smal Veins opened under the same The CURE is in such manner to be instituted that I. The great afflux or flowing to of the Humors may be prohibited and that by blood-letting if the Contusion be greater than ordinary as also by laying to and applying repellers and astringents which are often to be removed and changed lest that they become overhot The hair of the Head being close shaved off the place is then to be anointed with the Oyl of Roses about the time of the pains mitigation II. Let the Blood that is poured forth under the skin be Evacuated by the insensible Application of a betony plaister the Cerot or searcloth of Vigo that of simple or red Lead or de minio de Matris ilva de quatia dei c. III. The Suppuration if it may not be impeded is to be helped on furthered by Triapharmacon which is compounded of one part of sweet Oyl two parts of common water wheaten Meal as much as wil suffice unto al which the Yolk of an Egg is to be added
neer neighbor hereunto is more arcuated or arched and there is not fit passage left for the efflux of the filth and corruption if it chance to be in the Temples because the muscles of the temples do abound with arteries veins and sinues or nerves and so by this means the motion of the lower Jaw is much prejudiced and hurt if it be in the sutures both because that there the skul is weak and because likewise that there the dura mater is knit unto the fibres and lastly if it happen with a contusion in regard that the sayd contusion causeth very many and those likewise hidden mischeifs and Evils Touching the ordinance and institution of the cure if at least there be any hope thereof these things are to be observed I. That the patient is to be evacuated or emptyed because that in Plethorick and ful bodies even those wounds that are in themselves but slight and very inconsiderable do yet by reason of the abundant humidity attract and draw together many dangerous symptomes insomuch that unto the milder and gentler sort of medicaments stronger may and ought to be added and cheifly such as purge choller and the thin wheyish part of the blood we ought likewise to institure and appoint venesection or opening of a veine and clysters are also to be aplied II. Those things that alter choler and the serous humors and do withal hinder the motion of hot humors unto the head are cheifly and mainly profitable in this case III. If the skin be wounded and yet the orifice not wide enough it is then to be more and wider opened until that the whole fissure or cleft appear manifestly unto the view of him that searcheth it But then indeed a Section or opening of the Pericranium ought to be attempted when there is any suspition that the Skul is hurt That kind of Section that is in regard of its transverse lines made like unto the figure and fashion of a Cross is the most fit and proper in this case IV. The Muscles of the Temples by reason of their Nervosity or Sinewiness ought very carefully to be avoyded in the aforesaid Section and so likewise are the sutures by reason of the transverse passage of the Fibres V. In the wound of the Forehead we must take heed that the Section be not made transverse for if the Muscle that lifteth up the Eye-lid should by this means be cut the Eye-Lid then Unavoydably falleth down And therefore the Section ought to be made from some inferior part and so upwards c. The Differences of the Fracture of the Brain are five in number I. A Fissure or cleft from some heavy and bruising weapon in a harder bone and that such as is very evident and conspicuous inconscicuous Capillary or hayry short Long strait Crooked c. II. A Contusion or collision of which there are two Species One when only the Skul yieldeth and falleth down upon it Another when the Skul is only depressed and acquireth and maketh a little pit in a soft bone III. A Depression when the bone is cloven and so giveth back and retreateth IV. That which we cal Sedes when the skul is hurt by a sharp and keen weapon insomuch that the print and mark of the Edg of the weapon laid violently upon it is manifest and conspicuous And hitherto also belongeth that Species which they term dedolation that is to say a kind of hewing of squaring V. A Contrafissure or Xymphory which hath in it three several kinds 1. When the place that is cloven and that likewise that is smitten are both of them in one and the same bone 2. When the exterior part of the same bone being smitten it notwithstanding remayning whol and sound the interior part thereof is cloven and gapeth 3. When a bone that is smitten by the cloven bone is disterminated by a future Concerning al which consult the Practitioners in Physick and especially in the first place see the Golden Book of Jacobus Berengarius Carpensis Touching the Fracture of the Cranium or Skul printed and published lately at Lyons Article III. Of the Fracture of the Skul together with the hurting of the Meninges The Fracture of the Skul together with the hurt of the Meninges is two-fold For either the dura Meninx is at least hurt together with the Skul and then the blood flows forth abundantly in regard that there are many Vessels Scattered and running along throughout this Meninx and likewise a sore and grievous pain in the Membranous part greatly afflicteth the Patient In the Cure in the least not neglecting those things that respect the wound of the skul the blood is first of al to be stanched Then the pain is to be mitigated and asswaged with the Oyl of Roses a little warm If it begin to grow purulent it is then forthwith to be cleansed with honey of of Roses If this effect not the cure we must then have recourse unto those Medicaments that are far stronger such as the Vnguent Aegyptiack c. Or else the Pia mater or the thin Membrane is likewise together affected And then an extraordinary efflux of blood and withal an inflamation is to be feared For the Cure hereof See Johan Hildanum Aquapendentem in the Second Book and twentyeth Chapter of his Chirurgery Title II. Of the Symptomes of the Brain Chap. I. Of the Symptomes of the External Senses THe Symptomes of the Brain do infest and disturb either the sense of touching or the common sense or the imagination or the imagination and the Ratiocination together or else more than one of the internal senses or the Animal motion or the senses internal external motion and the discoursive or Raticcinative faculty or else many of the actions of the Animal faculty al together or else lastly the excretion and retention The Pain of the head appertaineth unto the first of these A Single Article Of the distemper Cephalalgia Or the pain of the Head so called The Cephalalgy is a disturbance and corruption of the touch in the Membranous parts of the Head made and caused by the solution of continuity The Subject hereof is the Head according to its Membranous parts the Skin and Pericranium covered with Nerves and Membranes and the very substance it self of the brain not excluded There is no need of signes for it is sufficiently known by the relation of the Patient The CAUSE is whatsoever any manner of way causeth a violent solution of Unity whether it do this secretly and undiscernably or else more manifestly and openly whether this be any thing that is External as for instance al sorts of pulse in general and particularly that which we cal Ervum â—he drinking of milk the nuts of Palm trees and the acorns of the Oak tree the seed of the willow and the black olive tree and lastly any stinking and offensive smels c. or whether it be Internal and inward touching which consult and weigh wel the various differences
There is here Good hope of a cure if there appear on the fourth day good and promising Signs if pus to wit snot or filth or water flow forth by the nostrils ears or eyes But is somewhat doubtful if there be present with it an acute feaver and that the ut in be white because then the choler is carried upwards and an inflamation is greatly to be feared if the Patient vomit up that which is Eruginous or in color like unto brass and that the Party be over long kept awake and deprived of his rest especially if a deafness accompany it in regard that by reason of the choler that is gotten together they suddenly fal into a violent and vehement madness if they be surprised with a Congelation or taking as we cal it together with a stoppage of the belly a fierce and wild countinance and that the face be extraordinarily red and fiery because then they are suddenly surprised with a crick in the neck that affect which we usually terme opisthotonos if likewise there happen together with it a sound or ringing in the ears without a Feaver if there accompony it a vertigo or giddiness in the head a hoarsness of the voice and a benummedness in the hands for then they sudenly become either appoplectical or Epileptical and Apoplexy and Epilepsie or falling sickness most commonly following thereupon But there is no hope at al or if any very little if where â—â—it was very vehement it suddenly vannish away and conceal it selfe there following no alleviation by the crisis if the extream parts become exceeding cold because that the native heat being drawn back a Phlegmon may easily be excited if it happen to be with an acute feaver and that on the fourth day there appear some pernitious sign or other if a sound person so soon as he is surprised and taken herewith become instantly speechless and snort and yet is not afflicted with any strong feaver wherby probably he might be freed from the aforesaid distemper The Cure if there by any is performed I. By mettigation of the pain either by anodines of river craw-fish beaten wel together with rose vinegar vervain water and the root thereof wel bruised and imposed on the part affected the Allabastrine unguent before mentioned al which ought to be applied unto the suâ—ures and temples or else by narcotick remedies which may only be applied unto the forehead and layd thereon II. It is to be accomplished by removai of the Causes and strengthening the part touching which see further in the differences The Differnces of the Cephalalgy are many and those very various I. One difference hereof is symptomatical of which we here treat Another is Critical which beginneth not to afflict the patient from the first rise of the dâ—stemper but much about the time of the Crisis and then the breathing suddenly becometh short and very difficult the Hypecondria being drawn back the veins are swoln and the arteries beat in the Temples the cheeks wax red and tears flow forth of their accord the patient not being able to withstand it the sick party streacheth his nostrils with his hands and then most commonly there floweth a streaming forth of the blood II. Another is External which seizeth the pericranium is perceived in the very superficies reacheth unto the roots of the eye-lids is exasperated by the compression of the hairs and hands Another internal which becomes easy and moderate upon the very touch especially if it be without any distention and it extendeth it self even unto the roots of the eyes III. Another is from Causes External to wit 1. Ebriety with beer in which the herb Chamaepence is boiled easily and soon causeth And then the matter fluctuating in the stomach is to be cast forth thence by vomit The leaves either of the Colewort or Cabbage throughly moistened in warme water or else the leaves of Rue wel brused together with rose vinegar are to be applied The head is to be al over wet and besprinkled with the spirit of wine and the feet are chafed and rubbed with salt and vinegar 2. By a Contusion stroke wound in which case the cure is to be sought for above in and from their proper places 3. By the heat of the sun the heat of a Bath and of the soucherly winds And then the head is to be delt withal by cooling fomentations c. 4. By the use of other things offensive such as are dates walours chestnuts Filbirds toad-stools hempseed the seeds of Coriander not prepared Frankinsence styrax and Mirh if moderatly taken c. Another is from Internal causes to wit 1. From a distemper without matter which if it be hot the pain is vehement and the head becommeth hot if it â—e cold the pain lasteth so much the longer and the head is cold In this case the little rols or cakes of diamâ—scum dulce and a little bag of heating Cephalicks are very convenient If it be dry the pain is moderate dul and notacute and there went before causes that were extreamly efficating and drying 2. From a distemper with matter which is either from blood and then the paine is more gentle and moderate which cheifly seizeth the fore part of the head and increaseth before the time of repast The Cure is to be sought in its due and proper places Or else it hath its original from yellow choler and then the pain is extreamly pricking and corroding and for the most part fasteneth upon and seizeth the right side of the fore part of the head In the cure those things that are most fit and likely to effect it are Epithenâ—s of Opiat Laudanum with rose water vesicatories applied unto the neck the smelling of rose water with Camphire washing of the head with a decoction of agarick together with the flowers oscamomil scarification of the lips of the ears c. or else it procedeth from flegm and then a pain afflicteth the patient on the right side or the hinder part of the head rather then else where Medicaments good and sucessful against this malady are oxymel with squils the water of the flowers of the elder tree of penyroyal of rosmaâ—y with cristal of nitre the shels of peaches beaten together with verveyn water the oyl of nutmeg pressed or drawn forth the Balsam against the Apoplexy that of yellow amber and the sacculus or little bag of Hartmannus Or else it ariseth from blak choller or melancholly and then the watchings are very extream greivous together with a pain of the left side of the hinder part of the head Let the cuâ—e be sought for in iâ—s proper place 3. from a wind and then the pain wandereth as it were and flyeth up and downe hiâ—her and thither it puffeth out and extendeth the part where it is often returning and running back again at some certain constant hours of the day It is discussed scattered if so be that the temples and the coronal suture be frequently anoynted and
Cause Or else it proceedeth from the compression of the brain and the fracture of the skul of which see further in their own propper places Or else it is from the Coalescence or knitting together of the Arteries from their first rise and their entering into the scalp or Skul by that general and common passage through the brain touching which there is hardly any thing to be certainly determinded while the Patient liveth III. Another is from a Vapor ful of windiness generated and bred in the brain which by an inordinate motion being poured forth into the Veins and Arteries doth so trouble and disturb the Animal spirits by driving to and fro that they thus become to be circularly moved and turned round and then they exhibite and represent unto the common sense or Phantasie this fals and feigned species and appearance of things otherwise than indeed they really are It is known by that vehement pain and dul heaviness of the head a long continued tinging and hissing Noise in the Ears and a certain kind of hurt and detriment of the external senses This Evil or Malady is very frequent and such as surpriseth a man upon a very smal and light occasion and yet it lasteth and as we use to say sticketh long by him It ariseth from causes that generate and breed winds and windiness and more especially if the wonted Evacuation be suppressed It is Cured either in the Paroxysm of which we have before spoken or out of the Paroxyim 1. By the Evacuation of the Matter that fomenteth and supplieth these Vapors and that as wel a general as a particuliar one Some there are that are a fraid to prescribe and there are others again as fearful to take those Medicaments that Practioners term Erâ—â—â—â—es which are to be taken up into the Head by the Nostrils to open and purge the brain 2. by Revulsion or drawing back of the said matter as also by Derivation and Discussion of the same by Vesicatories Cauteries frictions and lotions of the Head 3. By Corroborating and strengthening the Brain both by external and internal Remedies Among the specifical and Appropriate Medicaments those that deserve the greatest commendation are the dung of the Peacock one dram thereof by weight macerated in Wine strained and so drunk up the extract of Scorzonera the Roots of Doronicum an excellent drug brought out of Mauritania eaten Bears Ear the fat of Does and land Snakes by annoynting the Temples therewithal the pouder of Silk-worms dryed and strowed upon the Crown of the Head Very effectual likewise for this purpose are the spirits of Rosemary the Chymical Oyl of Yellow Amber Hippocrates his Treacle the pouder of the Right mineral Cinnabar half an ounce thereof Margarites prepared and red Corals prepared of each two scruples Saffron one scruple and then add to the aforesaid ingredients the leaves of Gold in number ten and so let it be administred the dose is one scruple in the water of lillies of the Valley and lastly the electuary of Saxony It is divided into that which is from extream hot blood and then there is present a redness of the Face and a beating of the Arteries In the Cure especial regard is to be had unto the opening of a Vein and that cheifly and primarily of the Basilike if a Plethory accompany the distemper and then presently after of the Cephalick or head vein if the peccant matter abound most or only in the head It is not to be drawn forth al at once but by many Essaies at several times by intervals We ought not to be over rash in attemping the cutting or opening of an Artery and into that that is from a pituitous or Flegmy Humor Then the place where we have treated of the Flegmatick distemper is to be consulted An Evacuation after that a Clyster hath first of al been administred may very conveniently and successfully be expedited by the extract of the Pils called Cochiae from half a scruple to a scruple by a Lixivium and a Balsam See further hereof in Agricola in his first Book 38. Chap. IV. Another there is from an extream windy Vapor elevated from other parts It is known by this that there went before it no hurt or annoyance of the sâ—â—ses and that the distemper afflicteth the paâ—â— frequently and by fits and withal there are present the signs of the part affected It ariseth either from the stomach either pirrocholick or ful of bitter choler or Pituitous and Flegmatick or else by reason of its imbecillity corrupting al the food that comes within it and then the Cure must cheifly respect and be directed unto the stomach And here take place as most requisit and proper a grain or two of Frankincense taken after meals the confection of Fennel of Coriander Sugar of Prunella Saccharum Rosatum or Sugar of Roses the electuary of the Conserve of old red Roses Diacydonium simplex that is an electuary of the conserve of Quinces the spirit of vitriol and the Syrup of mints For what remayneth to be done in this Cure see more in the diseases of the stomach Or else it ariseth from the Liver Spleen Womb whol Body as it usually happeneth in Feavers and then in this case there ought to be an especial Care and regard had unto the Nature and condition of the parts affected and the Various Symptomes Chap. 4. Of the Symptomes of the Imagination and the Ratiocination when they are hurt THe symptoms hurting the imagination and the Ratiocination or rational faculty are the hurt of the Memory dotage a Phrensie Melancholy madness and Raging or raving which we term Hydrophobia Article I. Of the hurt of the Memory The hurting of the Memory is a diminution or utter abolition of the same arising from Causes that hurt the dryness of the Brain conjoyned with a moderate heat and very necessary as to the memory and so by means rendring the Animal spirits either torpid that is over dul and sluggish or else which is as bad inordinately moveable There is no need of SIGNS for the very actions of the sick party discover the Symptomes The CAUSES that hurt the temperament of the brain that is absolutely necessary for the preservation of the memory either they weaken and diminish the Native heat and that likewise either Externally as do al things of a Poysonous Nature al Narcoticks applied to the fore part and likewise the hinder part of the Neck or else Internally as doth a temperament cold and moist which either affecteth Children and ancient people by reason of their Age or else it afflicteth others by reason of meat and drink that is of a cold and moist Nature or by reason of a Gross and thick Air sicknesses and other Causes of which we have already sufficently spoken in the cold distemper Or otherwise they dissolve the said Natural heat such as are externally al Philtra or amorous potions watchings excessive thought fulness Medicaments that are hot of quality Internally hot Diseases
impostums of the Brain abundance of Yellow Choler c. Or else they exalt the same such as are hot and dry temperaments that cause an inordinate motion of the Animal spiritts Or else lastly They impede and hinder the motion of the Animal spirits and such are a less than is requisite conformity of the head and brain the over great thickness of the same c. The CURE respects the several Causes and may be taken and understood by what hath been already above spoken Those medicaments that are appropriated either for the conservation or restoration of the memory are reputed and accounted to be that they term Tinctura lunae taken in the water of lilies of the vally The pouder of Trithemius of which there is sufficiently spoken in the miracles of Mullerus the Anacardine Confection in weight half a dram thereof exhibited and taken with al possible cautions unless haply an hot and dry temperament hinder it Those things that resist and therfore are good against a cold and moist distemper are that water that Practitioners cal Aqua Magnanimitatis Cunradi The lily of the vallys balm frankinsence in weight half a scruple taken with wine Nutmeg c. Toughing which consult the practitioners in Physick Article II. Delirium or dotage A deliry or dotage is a depravation of the Phantasie and the ratiocination Faculty arising from the bringing and presenting of an absurd and inconvenient Phantasme The SIGNES of a delirium beginning are garrulity or talkativeness in a person of few words and so on the contrary fierceness in a quiet and mild person ribaldry and scurilous speech the quick motion of the eyes in regard that they are associated with the brain Arteries veins and nerves a pulse with perturbation in the Hypocondria But the signs of that that is present are speeches and actions that the patient hath been altogether unaccustomed unto and which in themselves are indeed very absurd and incongruous The CAUSE hereof is an absurd Phantasme having its rise and original from a default in the Animal spirits as wel those that are fixed as those that are movable which ought to be pure clear and transparent temperate and regularly and ordinatly movable For if they swerve from those aforesaid requisites there is then an error and mistake communicable unto the Phantasmes about and upon which the Reason is employed and busied and then those Phantasms are represented unto the intellect or understanding otherwise than they ought to be The CURE is different according to the variety of the differences It is divided into a dotage that we cal primary and that which we cal sympathetical I. The Primary is that when the brain is in its one proper substance and essence that is in it selfe affected and this is either with a feaver of which more in the Chapter following or else without a feaver containing under it as wel that wherein Paraphora and Leron that is to say an error of the mind or a dotage and busying of it about toies and trifles proceeding from the imbycillity of the principal faculty by reason of an immoderate flux of blood or else by reason of long continued watchings as that we term downright folly in the which the principal faculties are not only impared and diminished but likewise extreamly depraved and corrupted II. That which is sympathetical when the Cause is communicated from other parts It is disposed and divided into that which is without a feaver which comprehendeth under it temulency or a kind of drunkeness and distemper brought upon the spirits either by wine or beer or else from hemp darnel henbain the dry sticks of that they cal Levanthe the rinds of mandragoras opium and the like Those things that preserve are the smal strings of wormwood and Rew eaten upon an empty stomach the cabbage or colewort and a morsel of bread eaten after a draught as aforesaid those things that accomplish the cure are vomits and the use of things Acid and sharp c. and into that that is with a feaver which often hapeneth in acute feavers and not otherwise And then the feaver is at hand and presently appeareth if it shew it selfe in the very begining without any apparent signs of concoction it introduceth a Phrensie which is quallified in great part removed by sleep but if it happen to be with concoction and other hopeful signs and tokens then it is Critical and decretory It is cured 1. By revulsion by the opening of a vein in the feet and other such like remedies 2. by tempering and allaying the extraordinary heat of the blood in the head by topical or local medicaments 3. By the application of hypnoticks or medicaments caussing sleep 4. both by the evacuation of the matter which hath already seized the head and this is to be done by openining either the forehead or the tongue vein and likwise by the discussion of the said matter by applying unto the head pidgons dissected and cut in midst and withal the decoction of Camomile c. Or else it happeneth in an inflamation of the parts and especially the diaphragme And then the breathing is unequal the Hypocondria are violently drawn back more inwardly there is likewise Joyned therewith a deliry or dotage together with a Cough and a pain of the side The Cure ought to proceed according to the Nature and condition of the part affected Article III. Of a Phrensie A Phrensie is a perpetual and Continual deliry or dotage arising from the Inflamation of the Membranes of the brain and afflicting the Patient with a continued Feaver The SIGNS are a perpetual doting a continual Feaver incessant watchings and short and frequent drawing of the breathe The CAUSE is an inflamation of the Membranes of the Brain of the which we have already above treated in this very Book The CURE ought to be ordained according to the Disease the Nature of the watchings and the suppression of the Urine In this distemper Venesection or blood-letting is one especial if not the only Remedy But then a plentiful measure or as we say good store of blood is somtimes to be drawn forth at the Nostrils by putting up a Feather made into the fashion of a Star even unto the very Root of them and forcibly turned about therein But touching what we are now upon more may be seen in what hath been already delivered concerning the Inflamation of the brain Neither must we forget by reason of those aforesaid watchings together with repellers to mingle Hypnoticks that cause rest or else they ought to be administred severally and by themselves alone as we see good Three grains of Opiat Laudanum cautelously administred in a convenient liquor least the Phrensie should by any means degenerate into that Disease we cal Veternus that is the Lethargy or drousie distemper are very much commended This said mutation or change is wont to happen either of its own accord or else because the sick persons neglect cannot endure to reply unto
those that speak unto them and it is soon removed and taken away by the use of Emollient Fomentations In this greif there have their use that which we term Luna Potabilis Hartmanni six drops thereof and that they cal Pharmocum Phantasticum of Bartoletus the dose whereof is from one dram to two drams lastly the spirit of Terra sigillata or the sealed earth brought from the Isle Lemnos Article IV. Of Melancholly Melancholy is a dotage arising from a Melancholy phantasme with the which whosoever is affected and deteyned therunder he becomes wholly and only addicted to thoughtfulness being as it were altogether ingulphed therein without either fury or Feaver but yet without pensiveness and fearfulness The SIGNS are a deep sadness and fearfulness without any apparent cause and then likewise another sign is Taciturnity and a long continued silence or else incongruous discourse and talk at random and this more especially of some oâ—â— thing more than other The CAUSE is a Melancholy Phantasm that proceedeth from an error vice and distemper of the Animal spirits the which when as they ought to be clear thin subtile and moveable are hereby rendered and made obscure and misty opacious thick and dark as also fixed and almost wholly immovable And hence it cometh to pass that al kind of objects are imprinted upon their several species according to the condition and quality of the vitiated and depraved disposition of the spirits And they acquire and gain this disposition from a default in the Brain declining from its genuine whitness and generating such like spirits as these or else they have their original from some default in the matter out of which they are made and bred to wit the blood and the Vital spirit or else lastly they got this vitious disposition from some impure and melancholy Matter which is mingled together with the blood and spirits whether it be an Humor or a vapor or both The CURE is facil and Easie if the distemper be recent and but now beginning for so it is cured by diet alone together with the humectation of the whol body and somtimes of the head in particular as likewise if the Body receive any augmentation and growth from the aforesaid food if only the imagination be no more than hurt and then again if it be with some kind of laughter accompanying it But Cure there is none if the affect be hereditary See above further hereof touching the Progress to be made in attempting the Cure in the Chapter of the Melancholly distemper of the brain and below in the differences Notwithstanding observe here 1. That in this case an especial regard is to be had of the diet and that sleep by al manner of means be procured lest that haply the Patient fal frantick and mad Vinegar is not here to be administred but only that by it the dry Vapors may be diverted and called away from the brain A Bath of sweet water is by no means to be neglected 2. That the sick person is to be wrought into an Imagination quite contrary 3. That now and then for some certain time the Patient must wholly abstain from Medicaments The Remedies that in this case are commended are Confection of Alkermes the Tincture and Extract of Lazulus Elixir proprietutis the bezoar stone Cachunde an Indian Medicament the description whereof see in Lacutus his Physical History 1. Book Page 310. It is divided into some certain species I. One is that of the brain when the brain in the Nature and quality of its substance departeth from its natural cleerness and purity It is known by this that the doting is perpetual and vehement that there are present signs of Melancholy abounding in the head that the blood if it be let out is not thick nor black It ariseth Externally from a strong Phansie or imagination from fear other such like sad and grievous affections of the mind It ariseth Internally from a Melancholick Humor heaped up in the head and this either by reason of some acquired cold distemper of the brain or else in regard of its Melancholly constitution which may soon be known from the affects or otherwise lastly by reason of some cold and dry matter left behind in the brain after some hot distempers there the heat now abating and the thinner part of the matter being now resolved and gone It is Cured 1. By the Alteration and Preparation of the peccant matter by Fumary the water or syrup of sweet smelling Apples and Tartar of Vitriol 2. By the Evacuation thereof with the Extract of Hellebor the inferior waies and passages being first opened by Errhines and Sternutatories 3. By Procuring rest and sleep in the use of Hypnoticks 4. by Corroberating and strengthening the Head by the Tincture of the Chrysolite and other appropriate Remedies II. Another is that of the whole Body when a Melancholy blood aboundeth throughout the whol body and is from thence transmitted unto the brain It is known by this that the deliry or dotage is indeed continual but yet so that it is with some certain exasperations exacerbations and remissions and likewise in that there are present signs of Melancholy abounding in the body and that there went before the Causes thereof It ariseth from its own proper Causes of which we shal speak further in the Differences It is Cured by the frequent repetition of Venesection or blood-letting But because there are but very few spirits in Melaucholly persons it must not be of too much blood at once it may be either in the left Arm or in the Ankle or else the thigh Veins if large may be opened by Leeches 2. By a Preparation of the Humor by the Syrup of Odoriferous Apples Fumary with the cream of Tartar Tartur vitriolate by the fection of Alkermes the Whey of Milk with the Juyce of Cichory and Fumary 3. By a gentle Evacuation thereof often Reiterated and corrected by such things as corroborate the spirits and the principal parts and likewise by those things that Humectate moisten and mollifie but then the Evacuation may and ought to be stronger if so be the blood be over thick and unless the body be already extreamly and over much wasted This Evacuation must be seconded and followed by Moystening Baths unto the which Emollients are to be added 4. By drinking of tart sharp and somwhat sowr potions and also by the use of hot baths 5. By the strengthening of the Head both by internals and externals among which Embrochations are highly and indeed cheifly commended 6. By a Diet in the which there ought to be a careful and continual abstinence from al sorts of pulse It is divided according to the Nature and diversity of the Causes 1. One is from Causes altogether external as Fear watchings Cares al which exsiccate and dry up the Radical Moisture have in them a power sufficient to alter and change the blood in the whol Body and to detain the Melancholy Humor Now then
in this case Venesection is not reputed to have any place at al. Another there is from internals to wit either an hereditary constitution which indeed ought not over hastily and rashly to be tampered withal or else from either a cold and dry or a hot and dry constitution and disposition of the Liver and spleen in the which upon the cessation of the burning Cause the heat likewise ceaseth to be and the thicker parts that are cold and dry are left to remain behind And then either it is with blood from whence proceeds a doting with laughter or else with flegm from whence happeneth a dul sloathfulness and oblivion or with yellow choller from whence procedeth anger c. In the Cure a regard is likwise to be had unto the nature quality and condition of the Causes III. Another is of the Heart when the vital spirits that are bred by reason of a cold and dry distemper are cold dry and of an impure nature The Cure differeth nothing from the former IIII. Another is Hypocondriacal when a melancholly humor that is sometimes cold and serous or wheyish or else oftentimes that which is adust and burnt in the branches of the Porta vein is gathered together in the hypochondria and so from time to time by those black melancholly vapours that are continually sent forth poluteth and defileth the Animal Spirits in the Brain It is known by this that it seizeth the party by intervals and at some certain seasons and most commonly in its access and approach it surpriseth the party suddenly and without any notice given but sometimes again and that likwise very frequently it first of al couseth ructures windy belchings together with a pain diffending and streatching forth the stomach and then by and by it introduceth great anxiety of mind difficulty of breathing the palpitation of the heart the immovableness of the tongue and at length a mist and darkness before the Eyes a tingling and as it were ringing noise in the Ears and lastly a stupidity and benummedness in either or both of the Arms. It ariseth from a feculent and dreggy Vapor that being collected and gotten together in the Hypochondria from a Melancholy humor flowing from the Antipraxy as we so term it or renitency of the Spleen Liver and Stomach and then tending upwards toward the superior parts and forcibly rushing in upon the members it produceth and brings in the aforesaid Symptomes and being transmitted and sent into the brain either by the Orifice of the stomach or else by the branches of the Vena Cava or hollow vein it there cloudeth and darkeneth the spirits For the Cure hereof see more in the Hypochondriacal affection V. Another is that we cal Vterine from the Womb which is easily Discovered by this that the sick complain of a pain in their left side and a manifest pulse and beating in the back parts neer about the Diaphragm It ariseth also from a Vapor proceeding either from the suppression of the Courses or else from some putridness in the seed For the Cure see in its proper place VI. Another is that we term Erotick as proceeding from love which is either contracted from Philtres or Love potions and then there must be given 1. Vomitories of the Root of Asarum together with Bezoarticks Aqua Benedicta Rulandi 2. Sudorificks as for instance Treacle water Diaphoriticum in acute distempers the Appropriate remedy is the Secundine powder touching which see more in Hartman Or else from a Venereal lustful appetite an over great abundance of the seed then in this case we are to deal with those things that allay and qualifie the Veneral heat and extinguish or at least diminish the seed See more of this Nature in Ferrandus in his peculiar tract VI. Another is that we cal Errabunda which most an end useth to infest the Patient in the Month of February In this case the sick persons abound are even overspread with Ulcers in their thighs neither can they possibly for an hour together take their rest in any one place Article V. Of madness Madness is a continual motion of the mind with an unwonted boldness and Fierceness yet without a feaver arising from a fiery heat of the Spirits The part affected is the Brain the memory for the most part being stil preserved and kept intire and the Heart which is as it were collected and straightened by the over vehement passions and affections and a dayly and perpetual enduring of the winters cold the heart too copiously diffusing the natural heat The SIGNES are Fierceness and so it is distinguished from melancholy the want of a Symptomatically feaver in regard that there is here no putrefaction and by this it is distinguished from a Phrensie Unto the signs aforesaid there are likewise often-times added extream and over watchings for want of rest and divers other signes that are likewise common to a deliry or dotage The CAUSE is the exceeding great and boyling heat of the Spirits unto the which it is apparent that of necessity there ought to be conjoyned an occult secret and more potent cause from the enormity and long continuance of the symptoms But now from whence this extraordinary heat hath its original shal be discovered when we come to speak of the differences The CURE is difficult because that the affect is of a long continuance as wel by reason of the cause which is most pertinacious and hath in it as it were the nature and quality of Leven as also in regard of the sick persons who wil by no means yeild obedience unto what is enjoyned But there is good hope of a cure if the courses and hemorroides flow forth if the Belly be loose and solluble if the symptoms be gentle and moderate if there be a plentiful flux of the blood out of the nostrils out of the greater crooked and wreathed veins of the hips thighs c. the Practitioners term them varices and out of the womb if there sweats present and lastly if the distemper be turned into a kind of silent decipience or as we say playing the simple one It is to be performed 1. by an opposite diet in which the Patient must carefully avoid the drinking of wine but by al means sleep is to be procured and the sick calmed and delighted with musick 2. By the removal of their causes that induce and generate the excessive heat of which we shal speak further in the differences 3 by a mitigation of the symptoms and more especially the extream and over long watchings The differences are taken from the Causes that introduce excessive heat into the spirits I. One is from Causes external as for instance the extraordinary heat of the dog-days vehement and exorbitant wrathfulness drinking of hot and strong wines Night-shade the brains of a cat and of a weasel wine turned by lightening Philters or love potions the eating of dogs and wolves the curing of fistulaes and old ulcers al which may be
sufficiently known from the relation both of the Patient and the by-standers Another from Causes internal of which more in the second difference II. Another is from adust or burnt blood which is known by the signs and tokens of Plethory rednes of the eyes by playing or toying singing and excessve dancing c. It ariseth sometimes from a hot distemper of the liver and sometimes from the suppression of the courses and of the hemorrohides The Cure is to be accomplished by venesection or opening of a vein in the mean time not neglecting those distempers and diseases by which it is caused Another is from black choler accompanyed and attended with a certain accuce and secret property which is known by this in that it is perpetual if it be once lodged and hath taken up its residence in al the veins or else at least in those that are next unto the principal members if the dorage be accompanied with raging if the strength of the sick be extreamly impayred and weakened and in a manner dissolved by long continued watchings if there be withal present a raging and mad desire and endeavour to bite and tear c. It ariseth sometimes from an exâ—ream hot spleen yeilding and pouring forth abundance of black choller It is to be cured 1. by letting blood as wel by the opening of the left arme vein and likewise thesalvatella vein this letting out of the blood must be in the greater quanity if the blood be blacker than ordinary but then it ought to be more sparing if it be of somewhat a reddish hiew as by the opening of the hemorrhoid and those obtorted and wreathed veins called Varices if at least they apear but the forehead vein if the mallady be refractory and obstinate 2. By preparing the peccant humor by coolling and moistening cephalicks For this end and purpose there is much commended the oyl of champhire one ounce the oyl of musk in weight one dram and mingled wel together and so administred the quantity of halfe a dram at once for a dose the decoction of that pimpernel that hath a purple flower 3. by the eduction or drawing forth of the said humor by melanagogues we are to understand hereby medicaments having in them a vertue and property to draw forth blak choler or melancholly more especially the stone called Lapis lazuli and honey helleborat of which last Petraeus hath written at large in his Nosology or treatise of diseales 4 By strengthening the heart and brain with the confection Alkermes and de hyacintho 5. By the use of topical remedies in the classiâ— and number of which Cauteries applied unto the coronal suture have their due and proper place opening of the cranium on skul with the trepan a Lee made with Laurel berries and roots of the true black Hellebor with which while it is yet a little warme the head ought to be washed c. Those remedies that are specifical are Liquor of mans blood with the extract of Lapis Lazuli Saturaine Crystal administred with the greatest caution that may be the blood of an asse taken out of the veins behind the Ears of which Hartman hath written sufficiently c. see Likewise hereof Rulandus in his medicinal Cures III. Another is that which is such Essentially unto the which al those things before mentioned may be atributed IIII. Another is by Consent especially of the womb from whence that kind of fury that we cal utrine hath its original and denomination of which more in its proper place Article VI. Of Rabies or raging Madness Raging madness is a deliry or doting produced from some certain peculiar poyson bread in any living creature and communicated unto a man with a strong and vehement abhorring of al things that are liquid but more especially water The Animals or living Creatuers aforesaid that communicate this poyson unto man are the wolfe the cat and the dog and cheifly this last The SIGNES are in the begining thereof anger soon moved and a continual inclynation thereunto a complaning of the Air as if it were Southerly and moist little or no desire to drink a great desire to have candles lighted up in the day time and lastly a vertigo lightness giddiness or swimming of the head The signs of this distemper confirmed are these a distension of the members but this is not continual foaming or froathing at the mouth frowning fierce looks spitting and spawling upon those that are nigh a barking like as of dogs an abhorring of and flying from water by reason of a singular and peculiar antipathy and dislike from whence this affect is termed and that not improperly the Hydrophoby The CAUSE is poyson that is generated in a living creature from som peculiar inclination it hath and then comunicated unto man by breathing upon him kissing spitland biting In some it is generated if we may beleive Donatus from an extream terror and in others from touching the dog-tree which they cal Cornus or by the touch of bloodwort or else the Sorb or service tree But now this deliry is produced in some persons sooner within twenty dayes at the utmost but in others more slowly yea even the twelfhth year after And this commeth to pass either by reason of the variety of the part that is bitten for some of them are more noble others againe are less noble or else by means of the diet that is used which possibly may much weaken and abate the strength of the poyson or by reason of the diversity of patients or else last of al from the difference and Dissimilitude of Countries times and seasons There may be some good hope of a CURE if the wound or hurt reacheth not unto any nerve vein or Arterie and if it be not very deep But there is smal or no hope if there be present a fear of water and if sighing or sobbing happen thereupon But if there be any cure it then consisteth I. in preservation lest that the poyson penetrate into the body and there occure and take place 1. A Ligature upon the part afflicted but if the part wil not wel endure it then a laying upon it those things that have in them either an intercepting or astringent quallity 2. Cupping-glasses with good store of flame and with scarification if the wound be little but without if the hurt be great and the wound large 3. Enlarging and widening the part if the wound be over narrow that so the poyson may the better flow from the part affected 4. Attraction by Medicaments that are vehemently attractive and drawing or else by actual Cauteries II. The Cure consisteth in that way and Method of Curing that is properly so called where those Remedies that have their place are 1. Purgation by Hellebor 2. Appropriate Sudorificks but cheifly the simple or single Mixture 3. The strongest sort of Vesicatories we mean here by al such Remedies as raise and cause Blysters 4. Antidotes and these are to be administred and given in a
and Flegmagogues in the progress But the Remedies ought to be stronger and more operative if the Feaver be remiss and gentle and the matter urgent the said Purgation is to be corrected with Castoreum which is here very proper as being appropriate unto this distemper but we must not by any means omit the making use of sharper and stronger Clysters if there be present a greater and more intense Feaver 2. By. Repulsion or driving back which is to be administred after blood-letting by the gentler sort of Medicaments applied unto the Coronal Suture not neglectng the putting in practise likewise of Revulsion And for this purpose Oxymel Scilliticum or with squils is especially good 3. by Preparing of the matter if the Disease wil allow but of so much time and truce but here the Arabian Stoechas is carefully to be avoyded if the Feaver be over great and intense 4. By a Particular Evacuation of the Brain where we are to take notice that Castoreum is ever more to be added and mingled therewithal and that Sternutatories ought not to be made use of from the very first beginning of the distemper neither are we continually to persist in the use of them in regard that they fil the Head and then again we must not forget that Vesicatories are to be imposed behind the Ears and likewise applied unto the Crown of the Head or to the Coronal suture 5. By Corroborating and strengthening of the Head by its appropriate Remedies 6. By a Diet in the which at the beginning or first entrance thereinto the food that the Patient takes ought to be but little and thin of quality and substance but especially such as affordeth a good Juyce and Nutriment and withal the sleep ought to be very sparing c. It is divided in a two-fold manner I. One is that which is Legitime and properly so called of which we hitherunto been speaking Another is that we term Nothâ—s which is altogether without a Feaver and is indeed nothing else but a profound and deep sleep and as it were of a middle Nature betwixt Caros and the waking Coma. II. Another there is that is such by its own Essence touching which al before said is to be taken and understood Another is by consent there being a certain matter communicated and denâ—â—ed unto the Brain by reason of the suppression of the courses or of the Hemorrhoids or else by means of some other Disease Chap. 6. Of the Symptomes of the Animal Motion Article I. Of Lassitude or Litherness THose Symptomes that offend and hurt the Animal Motion are Lassitude Vnquietness or Restlesness a Vehement cold and Stifness a Trembling a Palsie and a Convulsion A Lassitude is a certain unaptness and unfitness together with a certain kind of pain unto the exercise of the Animal motion which ought to have been performed freely and in a natural way As for the signs the relation of the sick party wil sufficiently acquaint us with them The CURE is whatsoever doth burthen weary and make Lither the Muscles that are the instruments of the Animal Motion whether it be any thing External or Incernal The CURE is accomplished by the removal of the Causes and likewise by the cherishing and comforting of the Muscles It is divided into six Species or kinds I. One is that that is not Spontaneous or voluntary unto which that we term Exsiccative doth appertain Another is Spontaneous or voluntary which in regard that it signifieth and manifestly declareth that Humors superabound in the body may therefore not unfitly be said to presage Diseases and if it persevere and continue after the cessation of the Feaver it signifieth a certainty or at least an extream danger of falling back into a relapse And unto this kind belongeth that we cal Gracility Vlcerous tensive Phlegmonodes and Ostocopos II. Another is that which we cal Exsiccative which proceedeth from an extream and over great motion of the body But in this there is no danger at al unless it chance to befal a Cacochymical body It is cured I. by rest especially that rest that is taken in sleep because that then the members are placed in a middle kind of frame and posture upon the Relaxation of the Muscles II. By Exercise if it be more moderate than the former in regard that it discusseth and disperseth those Humors that are moved up and down throughout the Cavity of the whol body III. Another is that we term a Lassitude of Gracility which hath accompanying it no grievous or disquieting sense of pain It ariseth from a Consumption of the flesh and Fat of the muscles It followeth upon either Chronical or else it may be after some acute Diseases It is to be Cured by a Convenient Diet. IV. Another is ulcerous which is known by the signs and tokens of a cholerick cacochymy by a sensible pricking and shooting throughout the whol body from whence indeed it taketh its name and denomination and by a kind of extream and vehement stifness that ensueth thereupon It hath its Original from some sharp and biting either Humor or Vapor or else from heat diffused and dispersed to and fro or else such as is wholly dissolved wasted and consumed by excessive and inordinate exercise It is Cured by Purgation if it be so that the matter fix and stick in the more profound and deep parts but by frictions and motion if the matter be only in the Superficies V. Another is that we cai Tensive which is known by a manifest and sensible extension or stretching out in the Tendons of the muscles the Fibres and Nerves It ariseth from a Plethory It is to be Cured by frictions or rubbings with sweet Oyl and by baths of â—weet Water VI. Another is that we cal Phlegmonodes which is known by a sense of Conâ—usion and Contraction and as it were an inflamation of those muscles especially which have their place and situation under the Skin It hath its rise either from a great abundance of blood fallen forth of the Veins unto the muscles or else such as is attracted and drawn together by overmuch and violent exercise and then the Cure is to be performed by Venesection or blood-letting or otherwise it ariseth from the Humors that are in the manner and by the means aforesaid drawn and led along thither and in this case there wil be great need of Purgation VII The last is that we cal Ostocopos which is known by the extension and stretching out of the interior Nerves adhering unto the bones of the Tendons and encompassing and wrapping about the bones of the Membranes It proceedeth from black choler or Melancholy seizing upon and possessing those Membranes It usually concurreth and sheweth it self together with the Scurvy Quartane Feavers and the French Disease The Cure ought primarily and cheifly to be directed and instituted according to the Cure of the aforesaid Diseases Article II. Of Restlesness or Vnquietness Restlesness or Vnquietness is a frequent various shaking to
frequent and such as after which the sick person remayneth stupid and blockish if it happen unto the party while he is half asleep and half awake because that then it cometh the neerer to the Epilepsie or falling sickness if after the awakening a cold sweat a trembling of the heart a spasm convulsion or a syncope follow thereupon It respecteth 1. the Paeroxysm in the which the sick persons are to be awakened rouzed up the vapor is then to be dissipated by frictions and Vehement rubbing 2. The Cure respecteth the time out of and after the Pharoxysm in which 1. A Diet is to be kept which exactly requireth a thin and pure Air sparing meals especially a light and sparing supper the use of no other Wine or beer but what is diluted and so made weak and smal and lastly a careful avoyding the supine posture of the body or lying upon the back when they go to sleep 2. The matter that Foments the Vapors if it be deeply seated is to be Prepared by such Medicaments as cut and cleanse and then forthwith to be Evacuated in a due and fit manner The opening of the Cephalick or the Hepatick vein and if Women that complain of the suppression of their Menstrual blood the opening of the Saphena Vein especially in case a Plethory be present is very much to be approved of 3. The head being first wel purged is without delay to be strengthened internally with the Black seed of the male Piony and likewise with Treacle exhibited and administred in the water of the male Piony externally by Lotions made of Cephalick Medicaments 4. The Vapors that offend after meats are to be Remedyed and prevented by the frequent use of Diacydonium Corianders prepared c. Catalepsis or Catochus is a sudden surprisal of al the senses the motion and the mind with the which those that are fiezed upon and invaded remain and abide stiff in the very same state and posture in which they were taken and surprised with their Eyes open and immovable Of SIGNS there is no need As touching the Cause the learned differ among themselves It is most probable that the spirits are fixed and rendered immovable by a Fixative Vapor in such like manner as we read that both men and Bruit Beasts have been Rendered stiff and immovable by lightening Vapors and exhalations breaking forth of the Earth Yet notwithstanding even in this Disease there are to be recounted several Degrees For some of them neither see nor hear any thing others both hear and see but speak not at al some again are seen to move their heads and some of them being driven and thereunto forced do walk For the Cure of this most rare and sad affect see more in the Practical Physitians In the Topical Remedies hereunto apperteining we ought to abstain from Vinegar lest that by it the Congelative power should be augmented Article II. Of the Epilepsie or falling sickness The Epilepsie is a Cessation of the Animal and principal actions together with a Convulsive motion of the whol Body arising from a sharp matter which by a peculiar and proper power and quality it hath that is hurtful and Prejudicial to the Brain pulling and twinging the Nerves where they begin streightening and as it were binding them fast together and Irritating them unto Expulsion It is likewise called the Puerile or Childish Disease the Herculean the Comitial Disease or the Falling Sickness the Lunatick divine Sontick or noysom and hurtful and lastly Caducus or the falling Evil. The Signs are either of one Imminent and night at hand and these are the trembling and quivering as it were of the Nerves splendours and birght shinings like unto the Rainbow flying and waving to and fro before the Eyes the sense and smelling of some offensive stench the Vertigo and the yellowness of the Veins under the Tongue or alse of one Present and these signs are a sudden falling a Contorsion as they cal it or writhing of the Members of the Face very improportionate unto or bearing no proportion withal the matter thereof a kind of Roaring and Howling noyse that they make the guting and close clashing together or as they cal it Collision of the Teeth the shutting and fast holding together of the Fingers an involuntary and insensible letting out of the Urin and sending forth the other filth and Excrements foaming and froathing like unto the white of an Egg c. The CAUSE is either a thin and froathy Humor or Vapor the which whilest that they by a peculiar and proper power and quality that is in them twing and pul in the brain the principal of the Neâ—ves and so thereby introduce a constriction and streightning of the Passages and whilest likewise they extimulate provoke the sensible parts unto the expulsion of what is noxious and offensive from hence it is that there followeth a shuting up and drawing back of the spirits causing sense which they term Sensifical and so consequently by the want defect of them there followeth also ad â—iminution or total abolition of the aforesayd sensifical Spirits And from hence it is that al the parts suffer a convulsive motion That which disposeth hereunto is either by propagation and inheritance from the parents or else from their nativity when as they have their birth in and during the Lunar Eclipse That which fomenteth and maketh an abundant supply of the matter is the frequent use of Goats liver and Goats flesh of Quailes that devour and feed much upon helebor pigeons when they are somwhat old Eels sparrows al kind of Pulse Lentiles c. that it moveth and much promoteth the same is the moon beams the smelling of offensive and noysome stinks the scent or smel of that fat and clammy earth that we cal Bitumen of the Agath or Jeat stone of Goats horns harts horns Goats skin Myrh Sulfur Garlick smallage c. an extraordinary strong and vehement feare much tikling and lastly the impulse of the divel c. The CURE is the more difficult if al the Functions be abolished if the convulsion be stronger and more vehement than ordinary and of a longer cotinuance and that withal the Excrements flow forth of their own accord if it happen before ripeness of years and if it infest old and decriped persons if it invade women with child It is easier if it be but now beginning if it hath shorter Paroxysmes a convulsion not extreamly vehement if the sick party hath his breathing freely But theris almost no cure to be hoped for if it be hereditary if it grieviously afflict little infants if upon the use of sternutatories the sick Party yet cannot be made to sneez The Cure when we set about it respecteth 1. the very paroxism it selfe either instantly and neer approching and then a drop or two of the essence of Castor or the spirit of white Amber in the Antepileptical water of Langius or else one pil of Opiate Ladanum unto which
greatly disturbed as in case of a blow fal or any other accident whereby the Head is hurt c. Of al which see more in their own places Article IV. Of the Apoplexy The Apoplexy is a sudden abolition of al the Animal functions the breathing alone remayning and this likewise now and then exceedingly afflicted arising from the streightness and shutting up of the Passages especially about the basis of the Brain by the which the Animal Spirits are derived unto the Members The part affected is the Brain not only according to the ventricles thereof but likewise according to its pores and especially neer about the inferior and hinder part thereof where the Nerves begin and take their Original The SIGNS are of an Apoplexy imminent and nigh at hand somtimes none at al somtimes a lightness and swimming in the head which we usually cal the Vertigo dimness of the Eyes and welinigh loss of sight the Incubus or Night-hagg a trembling of the whol body the grating of the Teeth in sleep an extream coldness of the External Parts an abundance of Snot and Snivel the heaviness of the Head c. The signs of an Apoplexy Present are the abolition of the sense and motion and this suddenly and with snorting and by this it is distinguished from Curus that it is without a Feaver and excitation and so it is differenced from a Lethargy that it is with a Relaxation and loosness of the Members a ful pulse and the Face reteyning stil its color and thus it is distinguished from a Syncope and the Suffocation of the Womb. The CAUSE is the streightness or narrowness of the turnings and windings and of the pores of the Brain especially of the Basis thereof and of the Rete admirabile therein as it effecteth a shutting up or shutting in of the spirits But from whence this proceedeth we shal show further in the Differences CURE there is None if upon a Difficult drawing of the breath a sweat ensue if immediatly the sick persons strucken suddenly mute and dumb and without snorting aloud be not surprised and set upon by an acute Feaver which haply might attenuate and dissolve the Pituitous flegmy matter and likewise the flatulent Vapor The Apoplexy usually if not alwaies if terminated and endeth in a Passie It Respecteth 1. Preservation which preventeth and taketh away the Antecedent Cause and this varyeth according to the Nature of the Differences 2. Iâ— hath respect unto the Cure spoken of in the several species which is to be begun with a Prognostick when we are to make a discovery whether or no there be any life in the Party either by lighted Candles the windows being shut put as neer as may be unto the Nostrils or else by a looking-glass clean wiped put to the mouth of the party It is to be Performed 1. By a due and fit placing of the sick person that so he may the more easily attract and draw in the Air together with a light and gentle concussion and shaking up of the party lest that by a more violent rowsing of him the matter should be dispersed al the body over as also by a rubbing of the extream parts with Salt and Vinegar 2. By the Revulsion of the matter by Cupping-Glasses imposed on the head which is indeed the only Remedy by strong forcible Clysters and Suppositories by opening of the Cephalick vein or the common Median Vein without the least delay and that likewise by several Repetitions and not al at once and yet al within the space of a very few hours and also lastly by opening of the Jugular veins according to their length 3. The matter is dissipated and scattered by the use of Antepileptical waters by which the Brain is exceedingly recreated The Differences of the Apoplexy are many and Various I. One is Legitimate of which more in the subsequent differences Another is that we cal Bastard or Spurious which ariseth either from the Obstruction of the Arteries Carotides and the Jngulas Veins of which see in Carus or else from Narcotick Vapors that stupisie and make dul the spirits where Revulsion hath its place the Evacuation of the matter somenting and cherishing the Disease and the breaking of the stupefaction by Castoreum with Vinegar II. Another is from the Obstruction of the Basis of the Brain which is caused I. Either from a Flegmatick and thick Matter either dissolved by heat or else driven forth by cold into the Passages of the brain It is known by the tokens of a cold distemper It driseth from the same Causes It is Cured 1. By the Evacuation of the peccant Matter by Venesection after that by a strong and forcible Purgation by Errbines and Sternutatories put up in the form of a powder among which that Nose-purger the Latines and Late Physitians cal it Nasipurgium of Bartoletus is much commended by Frictions of the tongue and Palate with Treacle or Mustard Seed this last Boyled in strong Wine by Cauteries Issues c. Vomitories have here no place 2 By strengthening of the Brain by Cephalick waters the spirits of black Cherries the Essences of Rosemary Sage the Balsames of Marjoram Amber Rue c. II. Or else from gross and thick Vapors with the which we ought to proceed and to deal in the very same manner as aforesaid Another is from Compression which is Caused I. Either from Violent Causes as for instance a Concussion a Blow a Wound of al which see above II. Or from cold and moist humors heaped up in the Brain by their constant and continual watering and moistening of the Brain Rendering the substance thereof that is naturally soft by far more soft and loose touching which see more in the former member of this same Difference III. Or else from that which they cal Flegmonodes diathesis that is to say an abundant store of blood al at once as it were rushing thronging into the sourse and spring head as I may so term it of the Animal spirits It is known by the signs and tokens of a Plethory there is some wonted Evacuation suppressed It ariseth from the same Causes It is Cured like as is that which is caused by a Flegmatick obstruction Yet notwithstanding in this case plenty of blood may be emptyed forth of the veins III. Another is a light and gentle Apoplexy which most commonly endeth in a Passie of the one side or the other and in which the breathing keepeth some kind of order Another is Vehement in the which the Respiration or breathing is violent unequal inordinate and intermitting Another is strong in which the breathing is violent there is also a snotting to be heard and there appeareth likewise a froth which is but very little if it be excited by the very humidity of the Lungs from some most vehement compression of the Heart but very much if it proceed from a pituitous or Flegmatick humor that is ful of Wind. Another is the strongest and most dangerous of al in the
of Children that in their Cradle are continually looking upwards and this may be Remedyed and prevented by rolling and swathing about their Head with black clothes whiles they lie in the Cradle 3. From Convulsion and contraction and this requireth Emollient Ophthalmick Remedies 4. from a Wound or Vlcer ill Cured in which case either the Cicatrix is to be Mollified or else there must be a Manual operation as the Cause and as necessity shal require VI. That we cal Hydotis the Latins term it Aquila or an increase of the unctuous substance in the upper Eye-lid pouring forth continually a Humor especially in the morning betimes before the light appear It ariseth especially in Children from a serous or wheyish humor that is fallen forth and gotten betwixt the Membranes of the Eye-lids in the midst whereof there is that Unctuous ' or Oyly substance And this is either Recent and new begun and then it is sometimes taken clean away with Fasting Spittle or else it is that that hath been of long Continuance and included in its peculiar Membrane and this requireth the operation of the hands Chap. 2. Of the Affects or things that are anniss in the Eye Brows THe affects of the Eyebrows are I. That we cal Hordeolum being a smal Tumor or swelling which when it cometh unto a Suppuration is very like unto a Barly Corn from whence it hath its aforesaid denomination It hath its Original from a Flegmatick Humor thick and mingled with blood It is taken away by Barly masticated or chewed upon an empty stomach and so applied or by the body of a fly the head thereof being cast away if it be rubbed therewith If it cannot be suppurated then Let it be cut and opened II. That which we cal Grando being a round little rising or swelling transparent and movable thither It riseth from a matter that is hard even as hard as a stone It is to be Mollified and suppled with Ammoniacun dissolved in Vinegar and mingled together with the Fat of an Hen or Turpentine and Wax III. That we cal Madarosis or a Shedding of the hair which for the most part invadeth the party after Malignant Feavers See more hereof before in the second book If there be together present with it a Crassitude or thickness a Callosity or insensible hardness and a redness of color and that the Eye-Lids swel and become shining it is then named Ptillosis IV. Trichiasis when preternatural Hairs growing up under the Natural hair and pointing inwardly do prick the Tunicles of the eyes It ariseth from Humors flowing to the extremities of the Eye-lids either by Reason of some long continued swelling or else by reason of their being shut up and as it were bound in there It is Cured 1. By the Total Evulsion or drawing forth of the peccant Humors and an inunction or anoynting with the blood of green Frogs ought ever more to follow upon this said devulsion 2. By Corrosion by Corrosive Medicaments anoynted upon the place with due caution 3. By Section or cutting of which see further in the Practical Physitians V. Phalagosis when the Eye-Lids turning inward the hairs appear not unless the Eye-Lids be lifted â—p It ariseth either from Pituitons Flegmy humor that load and make heavy the Eye-Lids or else from the exsiccation or excessive drying of the Cartilage together with a depression of the Skin toward the eye brows ever more following upon the former For the Cure hereof you may likewise consult other Authors VI. Phtiriasis or a great abundance of Lice arising from Nastiness and Filthiness in those especially that seldom or never wash and keep themselves cleanly and such as use a naughty and corrupt kind of Diet delighting themselves in unwholsome food and somtimes also it hath its rise and beginning from Contagion and infection It is to be timely and seasonably Cured lest that it excite and cause sharp Defluxions And here in this case the washing of the Eye-Lids with the Decoction of Betony and Stavesacre is much commended Chap. 3. Of the Affects and what is amiss in the Flesh that is in the Corners of the Eyes THe Affects of this Angular flesh are I. Rhyas or a Diminution of the Caruncle Viz. The little piece of Flesh that is situate in the greater Angle or Corner of the Eye upon which there flow forth involuntary Tears It ariseth either from a defect of Aliment or else from Corrosion and this either proceeding from Corrosive Medicaments or else from the afflux of a sharp and Tart Humor and it happneth after the Epiphora or dropping of the Eyes with Rhume the smal Pox and Measils and deep Ulcers or else from incision which can by no means be Cured II. Encanthis or the increment of the Caruncle according to the greater Angle or Cornet of the Eye It hath its Original either from the ill curing of the Pterygia as we cal them they are certain distempers in the little wings and as I may so term them of the Eyes or else from an overgreat afflux of aliment if the Malady be great and of long standing it s not then to be Cured without calling the assistance of Chirurgery III. Aegilops which is a little swelling arising betwixt the greater corner of the eye the root of the nose It proceedeth from a certain matter driven forth to the Corner of the Eye It is Variously divided 1. Into Anchilops which is a Tumor not yet broken and without any inflamation it proceedeth from a dul and sluggish Humor somwhat resembling honey and a Pultise that most commonly is shut up in the little bag thereof and affecting the part without solution of Unity and it is to be quite taken away by Section or cutting and 2. into Aegilops properly so called which is a swelling broken and with an inflamation It is known by the smart and pain that attendeth it the change of its color and the immobility and fixedness of the Tumor or swelling It hath its Rise from blood poured and shed forth of the Temple Veins the Forehead or the Face Veins and cheifly if there be a Concurrence of any external Cause It is Cured 1. With some Difficulty especially if it fiez upon the deeper parts thereof if when broken it retire inwardly because that it easily Corrupteth and spoileth the bones that lie underneach it if it come neer unto the Nature of a Cancer 2. Is cured after the manner of other inflamations And for the most part that kind of Fistula they cal Lacrymal followeth and attendeth upon it which as wel by Reason of the continual afflux as the perpetual motion of the Eye is for the most part to be accounted a Chronical Malady and distemper In its Cure before it be consolidated we ought wel to look and consider whether or no it hath contracted and gotten to it self a Callum as they term it or insensibleness and whether or no there be any bone Corrupted which the roughness of the bone or
the sound and noise that it maketh wil soon discover Chap. 4. Of the Diseases of the Adnata Tunicle Article I. Of the Ophthalmie THe Parts Constituting the Eye either they are the Tunicles Viz. Adnata Cornea Vvea and Aranea or else they are the Humors thereof The Diseases of the Adnata are the Ophthalmy Pterygium Panniculus and Hyposphasma of the which two latter this is common to the Cornea Tunicle that unto the Eye-Lids The Ophthalmy is an inflamation of the Adnata Tunicle arising from a sharp blood distending the smal Veins thereof The SIGNS are redness of the Eyes a flowing forth of tears a pain c. The CAUSE is Blood which either alone or else castigated by other Humors sliding forth unto the part affected either by an afflux or else by congestion is dispersed thorow the Veins and so distendeth them The CURE is Difficult if it arise in cold Regions and in a cold time because then the Members are more than at other times streightened and confined if it infest and annoy little Children because that it continually followeth from a tender and weak Head if the pain presevere and long abide because it argueth a matter either corroding or vehemently distending or suppurating if it be by consent from the Membranes of the Brain and the parts contained within the Skin if there appear in the Eye smal grains of filth because these signifie a slowness of Maturation It is more easie if it be by Consent from the external parts if the tears be more abundant and more smarting because it cometh the sooner to an end if the belly be quick in regard that the loosness of the belly freeth the party from it It is to be accomplished according to the Method of other Inflamations It is to be noted in this that somtimes by Venesection the greatest Opthalmies are wholly taken away within the space of an hour 2. That Vesicatories applied behind the Ears do very wel draw back For this purpose there is much commended by Hartman the meat of the Herb Rocket in a quilted bag 3. Errhines and those not overstrong and violent are to be administred if the sick person hath bin wont to evacuate the excrements of the head by the Nostrils 4. Topicks are to be applied but yet not until the end of three whole days and these are to be actually some that warme without any the least mordacity or Carroding quality wel cleansed and purified and corrected by such repellers as are in their own propriety helpeful neither must they be too cool nor too astringent neither over dry and those may presently be put unto the forehead and the neck and they are to be followed with Anodynes which if there be any fear of a greater afflux are very fitly applied to the eye from the very beginning 2. the womens milk is every hour to be changed lest that after long continuance it contract a certain kind of acrimony from the heat of the eye 3. Opium and opiate medicaments are by no means to be adminiâ—tred without great and urgent necessity 4. Great caution must be had lest that there should be any suppuration in the inward parts 5. In the diet wine and the use of baths in the declination of the disease may very wel and without danger be allowed and permitted unto the sick person A Cataplasme of the Crumbs of wheat bread and a rosted apple with the brest-milk of a woman together with a little saffron and sugar of saturn is exceedingly commended And so likewise is the water that is made of the juicy substance of Craw-fish distilled two pints thereof of Rose water one pint and Crocus metalorum half an ounce infused altogether as also of the waters of the eyebright and Fennel of each alike five ounces with metalorum one dram unto which there may be added a fit proportion of rosewater Among the discussives Sarcocol wel washed and the true Tutty of the Arabians which drieth without any kind of biting obtain their place and use The Differences of the ophthalmy is threfold I. One is that we cal Taraxis or a perturbation which is known by this that the eyes only appear to be hotter with a certain redness in them and without any great abundance of tears It ariseth from external Causes to wit 1. the heat of the Sun or the fire and then the Cataplasme before mentioned may very siâ—ly be applied 2. from a pain of the head contracted from the suns scorching heat and then likewise the aforesaid Cataplasme hath its place unless happly general and Universal remedies ought altogether to preceed and take the the first place 3. from wind smoake and dust and the eyes are to be washed with milk luke warme and fleep to be taken thereupon 4. from a blow or a fal and then blood ought immediatly to be drawn forth by opening a vein 5. from the stinging of a Bee Wasp or Hornet and then Repellers of the white of an Egge the breast milk of a woman c. are to be imposed Another is the true and genuine ophthalmy which proceedeth either from hot or from cold causes and to this al that hath been before spoken doth properly and cheifly belong Another is that we cal Chemosis whenas the eye lids are as it were inverted and â—urned the inside outward neither can they be closed and then there appeareth a swelling of something that is white above the black of the eye and this needeth and requireth the stronger sort of remedies II. Another is Periodical which kepeth its intervals it is familiar unto hot moist heads at length it casteth the eyes into a consumption Another is that that keepeth not its periods Another is Contagious III. Another is Moist 〈◊〉 â—hich we have now most cheifly treated Another dry in the which there is but a very smal flux of tears and in the night-time the Eye-Lids contract an hardness It hath its original from a humor that is not much in quantity but very salt and nitrous And it is either with an itching attending it which if tears gently flow forth it is then called Psorophthalmia but if there be no tears at al and that the eyes are only red without any swelling it is then called Xerophthalmia or else without an itching and with a certain hardness of the Eye-lid and then it is-termed Sclerophthalmia The Cure hereof followeth the method of that before mentioned Article II. Of the Nail or little wing the web and the Hyposphagm of the Eye I. The Nail or little wing as they terme it of the eye or as some cal it the arrow is a little membrane that is nervous sibrous and somwhat white which proceedeth forth from the corners of the eyes the greater of them especially and cleaveth fast unto the Adnata tunicle and is somtimes drawn forth in length even unto the Cornea tunicle and very often if it so much increase covereth and over spreadeth the Pupilla or Bal of the Eye
This Affect needeth no SIGNS since that it is evidently exposed unto the view It is discerned from the Lachrymal flesh by its white shining brightness The CAUSE is Blood mingled together with thick viscid and clammy Humors flowing down from those parts that are contained betwixt the Skul and the Skin and bringing upon the place a certain kind of Scabbiness or scurfiness which while the nutritive faculty endevouereth to render and make equal it produceth an increase of the membrance beyond the ordinary course of nature The CURE Requireth I. The Premising of the general and universal remedies II. the extertion and extirpation of the nail after it hath been for a while fomented either with a decoction or some temperate distilled water Among the several sorts of medicaments there is commended the pouder that is made and prepared of Egg-shels and then cast upon the eyes the Medicinal stone of Crollius in the water of roses and Eye bright the specifick of â—artman of the fish Lucius we cal it the Luce or Pike the same Hartmans water of the whits of Eggs and other such like remedies which if they be sharp and piercing ought to be quallified and corrected with Tragacanth and the like and exceeding great Caution must be had that the tunicle Cornea be not touched III. It requireth Chyrurgery of which you may see further if you consult Authors upon this very subject IV. A Diet in which there ought to be an abstinence from wine and meats that generate store of vapours It is many wayes Divided I. One is that we cal Albicans or tending to whiteness Another there is that tendeth to a blackness which is not to be removed by any remedies whatsoever II. Another Recent or new which may soone and very easily be dispersed and quite taken away Another is Inveterated and old unto which if a thickness chance to accrew and be added thereto it ought then to be cut out yet sometimes notwithstanding it sticketh so close and pertinaciously unto the Adnata tunicle that it cannot be taken away thence no not by the Chirurgeon himselfe without manifest hazard and danger of hurting the eye III. Another is that which is produced only unto the Cornea tunicle and no further Another that is extended along even unto the very pupilla or Eye-bal and this if it be taken away it indeed wholly freeth the eye from fluxions but if a Cicatrix or star be left remaining it very much hindereth the sight of the eye IV. Another is Cancerous and Putrid which admitteth of no Cure at al Another that is not as the former II. The Pin or web of the Eye is a certain red substance like unto a smal piece of cloath arising from the exuberancy and over great abounding of blood in the Exterior veins of the Eye There is here no need of SIGNS There appeareth especially in the superficies of the tunicle Adnata as it were a fleshy web with an itching a pain an offending of the eyes by the light the sight obscured or quite and clean taken away The CAUSE is a blood derived unto the eyes either simple and alone or mixed either by the way of fluxion or of congestion and this either by the external vessels and then the forehead swelleth a little or otherwise by the internal vessels and then there is a certain pain extending it self even unto the very roots of the Eves The CURE is performed I. By the Vse of Vniversals or remedyes in general II. By Abstertion by those things above mentioned III. By Chirurgery touching which those Authors that are extant upon this Subject III. The Hyposphagm or Sugillation as they cal it is a blemish or spot reddish or black and blew arising from blood poured forth of the veins being opened and common to the tunicle Cornea There is no need of SIGNS forasmuch as the malady or Evil is easily discovered by the very beholding of it The CAUSE is whatsoever may open the veins whether it be External or internal as shal be further shewn in the differences The CURE is Easie in the beginning It is performed Universal or general remedies having gon before if the afflux be greater than is usual by discussives at first such as are more gentle and corrected by astringents but afterward those that are stronger and more forcible and yet withal such as are void of acrimony and tartness lest that there should more of the blood be enticed and drawn forth unto the part affected It is Divided three manner of waies I. One is from Causes External a blow clamour and sounding of trumpets in which we must presently have recourse unto Topical remedies to wit the decoction of the flowers of Melilote and of Roses Fenugreek seed Colliry composed of the blood of Pigeons taken out of their wings two drams thereof the breast milk of a temperate Woman half an ounce and frankincence one scruple Another is from internal Causes to wit either great store of blood where Venesection must by no means be ommitted or else from the extraordinary great heat thereof and then the spot or blemish tendeth unto a Citrine colour We must withstand and oppose the inflamation by the white of an Egg wel shaken together if there present any Pus or filthy purulent matter the same is to be lessened by a Collyry composed of the Muciluge of fenngreek with fennel water and honey of Roses II. Another is Recent and new beginning in which the blemish is of a red colour Besides the Topical rememdies above mentioned the tops of hissop boy led in ordinary and common water tyed up in a little bage and so applied is of singular use and bennifit in discussing the peccant matter Another is inveterate and of long standing in the which the spot or blemish is black and blew And for this we usually prescribe as most proper and convenient a Colliry composed of the Juyce of the greater Selandine and Carduus Benidictus of each halfe an ounce of the fat of the bird they cal Quoestula or Queist liquified and dissolved two drams and of mirrh half a scruple as also the Root of sigillum Solomonis or Solomons Seal well shaken together c. III. Another is When blood is cast forth either into the Adnata or the Cornea Tunicle And another When it is cast forth into both these Tunicles at once and together and then all the Objects that the Sick person looketh upon seem to be of a color tending to Redness Chap. 5. Of the Diseases of the Tunicle Cornea Article I. Of Crassities Nebula and Albugo THe Diseases of the Tunicle Cornea are Crassities or a certain kind of thickness Nebula or a little Cloud Albugo or a white spot in the Eye Pustules or Pushes Vlcers Wounds and Pain I. Crassities or thickness Is an extream drying of the substance thereof and therewithal there Joyned a certain Corrugation or winkling It is known by this that as it were in the superficies thereof there appeareth a little
of the incision knife For the Differences see further in Aeginâ—la II. The Dilatation of the Pupilla called Mydriasis and Platucoria is when the Pupilla is inlarged above and besides the ordinary course of nature toward the it is or particoloured circie of the eye It is known by this that the sick persons either by reason of too much of the External light breaking in upon the eyes or else in regard that because of the falling of the Sun beames in an oblique manner upon them these oblique wayes being weaker than those that are perpendicular they are not able to see and discerne so clearly and acutly when they would look upon any object they then a little close their eyes and the one of them being shut the pupilla of the other cannot be dilated It ariseth from the Extension and stretching out of the Vvea of which this said Pupilla is the hole or inlet either by reason of external or else internal causes For the Cure hereof it must be sought for in the differences It is divided in a threefould manner I. One is native and such as is contracted from the very birth Another Adventitious and happening accidentally II. Another is from external Causes as a blow or a fal from on high c. whichâ—â—â— it be altogether without any inflamation is easily and soon cured but not so if it be accompanied with a rupture of the Vvea Another from Causes internal which are particularly expressed in the following difference III. Another is from siccity or drynes extending the Vvea like as we see in skins or hides that are perforated and this is not to be cured without some difficulty The best remedy in this case is Goats milk if the eye be wel washed therewith and as it were drenched therein Another from humidity the cure whereof is so much the more easie if it chance not after an extream and Vehement pain of the Head It is performed universal and general Remedies being first premized by the drawing forth of blood out of the Temple Veins and the Veins in the corners of the Eyes and by the applying of Cupping-Glasses in the hinder part of the Head and Leeches behind the Eares and likewise by the Use of Resolving Medicaments among which salted Water is much commended that have in them but little of astriction Another from blasts blowings which happeneth unto Trumpeters these flaculencies or windinesses are to be discussed scattered as aforesaid in affects of the like Nature III. The straightness or narrowness of the Pupilla which they term Myosis is when it is rendered and made narrower than naturally it ought to be It is known by this that al objects whatsoever that the sick persons look upon seem bigger than indeed they are that the visible species being conveied in through a straight and narrow inlet may be and are dilated in that broader space neer unto the Crystaline humor It ariseth from the contraction of the Vvea It is Cured according to the Nature and quality of the differences It is Divided according to the diversity of the Causes One is from overmuch humidity contracting the Vvea from the Circumference towards the Center For the which those Medicaments that are exsiccating and drying such are Rew and Selandine are a very fit and propper Remedy Another is from a defect of the watery humor and then the Patient wil see and discerne better in the room that is obscure and dark because that the visible species are more aptly and speedily Conveyed unto the Crystaline humor In this case an aliment and supply is to be attracted and drawn unto the part by applying of milk and sweet water unto the head Another is from a more scant and spare afflux of the visive spirits unto the said Pupilla Article II. Of a Suffusion A Suffusion otherwise termed Hypochyma is an obstruction of the Pupilla bindering the sight and caused by a humor consisting in the eye and residing in that part thereof The SIGNS are divers according to the quality and Condition of the rise and original of the augmentation and of the perfection or Period thereof and they shal severally and apart be explained in the differences The CAUSE is a humor either sincere and single or else mingled whether it be there collected or transmitted thiâ—her by the veines of the tunicles the Vvea tunicle or the Nerves It is collected most especially in those eyes that are great and sticking out we term them Goggle eyes in regard that the visive virtue when it is diffused in a wide space is the more infirm and weak and the laxity of the waies or passages affordeth a very facile and easie entrance The CURE is difficult if it chiefly happen from a feave or some extraordinary vehement pain of the head if it chance unto yong childeren or old aged people and none at al if the suffusion be black if the sick person discern not the light It is wrought if at al I. By the drawing forth of the obstructing matter by purging Phlegmagogues and especially hiera and the electuary that they cal diacarthamus but before these we may premise and administer preparatives II. By revulsion of the same matter by Cupping-Glasses Vesicatories c. III By a discussion of the said matter by Topicks mingled with Emollints or mollifiers and the clearing and cleansing of the eyes And here for this purpose there is commended the water called aqua Joelis the remmedy of Bovius formed of the gal of a Cock half an ounce the blood of a mouce three drams and a half and so made up like unto a Colliry with the breast-milke of a woman or else water of mans dung known by the name of aqua stercoris humani Elambicata with the gal of a Weasel and likewise of a hare saccharo caudi rosato and margarites prepared IV. By Chirurgical operation of which we are for further satisfaction in this point to consult those Authors that have treated at large uppon this subject The Differences of a Suffusion are Various I. In regard of its Situation 1. One is in the Center of the Pupilla which Representeth the Objects as though they came and passed through the Windows and this ought not by any means to be attempted by the needles point lest that the whol Pupilla be filled with the peccant Humor flowing thereunto 2. Another resideth between the Vvea and the Cornea Tunicle and then the Pupilla is evidently seen to be extreamly obscured and darkned and the Pupilla is of necessity dilated by Reason of the Humor that distendeth it 3. Another resideth betwixt the Vvea and the Crystalline humor and then the opposite unto the former do manifestly appear 4 Another is seated in a deeper place and then the Pupilla is very narrow and much streightned Another is situate in a place less profound and deep and then the said Pupilla is larger and wider II. They differ in regard of the degrees for One
usually to be seen in infants and in this case Vizards or Masks are to be put upon the Face having in them a place and holes made fit for the Eyes to look forth at that so by them the visive raies may be sent forth Or else from a Convulsion or Resolution of the Muscles and then some Disease went not long before IV. The Weakness of the sight and Blindness they differ at leastwise in the greatness of the Causes It ariseth either from the fault of the Brain that maketh and yieldeth not a sufficient supply of the Animal spirits from whence likewise the rest of the senses are most commonly affected or else from some thing amiss in the Animal spirits themselves which ought to be bright and shining thin and good store of them And these are to be corroborated with those Medicaments usually termed Oxydorcicks among which there are the water of Rosemary with Sal Gem the water of the distillation of Junipers Nutmeg Myrobalans those of them called Chebulae c. or else from some default in the Optick nerves which are either too much straigtened and Narrow from whence proceedeth that we term Gutta Serena in the which there is not any thing at al to be taken notice of as amiss in the Eyes unless it be that the Pupilla appeareth blacker and larger or else they are broken or writhed together Or else lastly from some fault in the Humors and Tunicles of which enough hath been spoken in what went before Title IV. Of the Diseases of the Ears HItherto hath been spoken of the Diseases and things amiss in the Eyes in the next place the Diseases of the Ears are an Inflamation an Vlcer and Worms I. An Inflamation or Tumor is known from the most vehement beating pain in the part affected and by a redness of color extending it self even as far as the Cheeks and the Temples there accrew likewise and Joyn herewith a Feaver dotings and somtimes also Convulsion fits It ariseth from Blood that is thin and Cholerick fallen forth of the smal Veins of the Brain into the Membranes of the Ear. The Cure is doubtful by Reason of the greatness and intensiveness of the Symptoms and especially in such as are young which yet notwithstanding if they live beyond the seventh day are wont to escape it And likewise in Infants and little Children which by reason of the quickness of their sense are the less able to sustein and undergo the sharpness of the pain It is accomplished like as in the Cure of other inflamations only by the way let these things be wel observed 1. That the Cephalick Vein is to be opened for Revulsions sake 2. That we must not easily be drawn to make use of Repellers but if at any time we do chance to make use of them they are then to be mingled with those things that moderate and asswage pain such as are Womens Breast-milk and other the like 3. That in furthering and promoting of the Suppuration there ought to be provided a ready and expedite Composition of Figs boyled in Milk and wel mashed and beaten together with Hogs Grease 4. That for the Rupture we must administer as that that in this is much approved of the Juyce of a smal Frog with a fourth part of the Breast-Milk of a Woman Leeches are here succesfully to be placed and applied behind the Ears It is divided into an Inflamation profound and deep in which by Reason of the Compression of the greater Arteries the beating is so much the greater and the pain because of the neer neighboured of the Brain the more Vehement and which by Reason that Nerve called Auditorius is affected hath very much danger in it and that which is less Profound and deep which is in al Particulars apposite to the former II. An Vlcer which is known by the filth and corrupt matter and also the blood that issueth forth It ariseth from those things that either pour forth Pus or matter or else such as by their acrimony and tartness are of a Corroding Nature It is Cured like as other Ulcers It is te be washed with warm Wine in which Roses and Ivy Leaves have been boyled It is to be wel and throughly clensed either with Wine wherein betony hath been made scalding hot or else with honeyed Water in which the Root of white Hellebor hath been sodden or at least hath lain until the said water be seething hot It is divided sundry waies 1. One is from an impostum broken after the Inflamation Another is from biting and corroding Humors that by their acrimony exulcerate the Ear. Another from the filth and impurities of the Ears over long kept in and deteined Another from some sharp and tart liquor from without slipt into the Ear and which thereby gnawing and eating causeth an Ulcer in the Cure whereof we are to have respect unto their proper Causes 2. Another is Recent and but new begun in which the pain of the Head and the preturbation of the senses ceasing at and after the flowing forth of the rotten filth and Corruption there is then some good Hope of a Cure appearing forth Another is inveterate and such as very easily degenerateth into a Fistula and contracteth a kind of Scurf and crustiness III. Another is Fistulous which is to be known by the oldness and long continuance of the Ulcer the Virulency of the filth and the Callosity or hard insensible thickness of the Flesh for which the Wine wherein Frankincense or white Hellebor have been boyled is exceeding good and applyable Another not so as the former IV. Somtimes a stinking filth floweth forth at the Ears upon the breaking of an impostumation in the brain and then there first of al issueth out great store of the said filth but then afterward it is sent forth by some and some at a time until that at length al of it be consumed and wasted and there went likewise before signs of the Inflamation of the Brain and hereunto the Care ought to look as mainly respecting it Somtimes again without any Apostem there is sent forth a certain filth that is generated and bred in its Veins and then after it hath been once exhausted it is again and again heaped up as before and here head purgations are exceeding profitable and useful The Vrin of an Ass or of a young Child in which the shavings of the wood Guaiacum have laien a good while soaking doth much good if conveyed thereinto V. Somtimes the flowing of the said filth being ceased al the pain is vanished and gone Somtimes again there being some certain filth and clods as it were of Corrupt blood left deep in the bottom of the Ear the pain stil remaineth then we ought throughly to cleanse the impure place with honyed water together with the Gal of a Bul the Oyl of bitter Almonds Vinegar wel warmed with the best Honey c. And this especially in â—ase there be Clods of blood III.
at ful of the moon it groweth exceedingly and about the change or new moon it becomes altogether as flaggy and smal in appearance c. It hath its Rise from viscous and Clamy humors and cheifly from flegm mingled with the blood which falling down from out of the brain unto the exulcerated nostrils sticks fast in the Ulcers The Cure is by al means to be hastened lest that it turn into the Cancer It is accomplished either by Chirurgery or by cutting it off of which see further in the Practical Authors Or else by Pharmacheutickâ— or medicinal remedies and among them universal and general medicaments being first premised about the new of the moon therâ— are to be administred either the oyl of vitriol uncorrected dropt into wooll and after the flesh shal have been scarrified so applied unto the part affected or else tents of the Gentian Root by the prescript of Hartman or Joel his liniments It is divided after a twofold manner I. One is soft and white which being void of al pain is the more easily and the sooner cured Another inclining somwhat unto a Reddish color which is more difficult in the curing Another Livid or black and blewish which refuseth by any means to be cured and soon degenerateth into a cancer In this affect there are commended the yolks of new laid eggs beaten together in a leaden morteâ— even unto a blackness and then made up into the form of an unguent with one scruple of Camphire Another hard in which Emollients in the form of a fomentation ought to be premized II. Another is profound and deep which in regard that it is neerer unto the brain is therefore withal the more dangerous Another such as is to be discerned by the eyes and hath its existence and being somewhat more outwardly Chap. 2. Of the Hemorrhage or Bleeding of the Nostrils THe Hemorrhage is an immoderate excresion and in the whole kind thereof besides and above the course of nature of the blood by the veins of the nose the said veins being divided rarefied or opened The thing we are now treating of is to be understood of that homorrhage that is Symptomatical and not of that which is meerly Critical which is caused in Feavers by the strength and vigor of nature with signs foregoing of concoction and a Crisis on that day the Judgment is to be made and which dischargeth and terminateth the disease The SIGNES of this Affect are of themselves sufficiently manifest It is foreknown by that Anarropia as they term it or tending upwards of the humors unto the superior parts the which is signified by the pain of the head and neck the heaviness of the temples the dimness of the Eyes the extension or stretching forth of the Hypochondrium involuntary tears difficulty of breathing c. The CAUSES are whatsoever it be that can open divide or rarefie the veins of the nose of al which we shal make mention in the differences The CURE is difficult if it be so immoderate and immeasurable that in cholerick bodies the Choller inflaming and burning the blood the face becometh of a Citron or oringe color in Flegmatik bodies the flegm being multiplied of a leaden color and in melancholly bodyes of a black and duskish color and if it flow forth to the quantity of four pints therof if it befal such as are Phlegmatick and melancholly in regard that they are more cold thereby than are the sanguine or Chollerick if it affect those that are of an high and red color with a certain kind of pain in the head if it doth not terminate and put an end to that disease wherein it happeneth and that a chilness and stifness follow thereupon because that the body being exhausted of spirits is extreamly cooled and chilled and by this means breedeth diseases that last and continue a long while It is not at al to be attempted in those persons that in a burning Feaver are afflicted with pains in the head together with aches in the neck and the whole body and where there is present a weakness with a kind of trembling in regard that this putteth an end unto the disease in those whose monthly Courses fail them in those that are afflicted either with deafness or the distorsion of the back bone and a difficulty of breathing or else with a strong pain in the inferior parts al other things being thereunto answerable and correspondent It is very doubtful if in the affects of the Liver it flow from out of the left nostril and in the affects of the spleen out of the right nostril and especially if it be accompanied with a sweating of the Breast or head if it happen to those that are Feaverish and that thereupon when they begin to Recover the belly is humectated and becommeth overmuch moystned in regard that the nattural innate heat being debilitated a dropsie is very likely to follow thereupon if it happen to be attended with weake faint and as we cal them cold sweaâ—s and therewithal a kind of chilness because that hereby is signified and shown an extream and overgreat dissollution and subversion of the Spirits if in an accute disease it hath together with it joyned a quick and suden motion of the eyes a turbulent and troubelsom sleep frequent watchings or want of duesleep it in acute and burning Feavers on the fourth day there issue forth drop by drop a thick gross and black blood together with other Sympcoms because this argueth evidenceth the imbicility or weakness of nature and lastly if such a bleeding chance to be in diseases of long continuance It is wrought and accomplished I. By Revulsion by opening of the median vein provided that the said venesection be moderate and as often as there shal be cause Repeated on that side the nostril is of out of which the said blood floweth as also by cupping-gasses applied unto the hypochondria if the blood be not naught by Frictions c. II. By those Medicaments that stanch and stop the Hemorrhage or bleeding flux and those either such as are Cooling or astringent and binding or of an agglutinating Nature or else lastly such as act and operate by a secret and occult quallity and theâ—e aforesaid medicaments either to be outwardly applied or else drunk in and taken down inwardly In the number of those Remedies that are internal and to be taken into the body the cheif that we know of are beleeved to be these Sperniolae compositum or the composition of frogs mentioned and prescribed by Crollius three or foure grains hereof to be administred in the water of the herb shepards pouch Crocus Martis with the Juyce of Quinces and some few grains of Opiate Laudanum the Syrup of Coralls of Quercetan in a Chalybeat water the Extract of Crocus Martis three grains therof with plantane water the sperm or seed of frogs collected in the spring time dryed and then drunk with wine Among the External Remedies the unguent of Quercetane
compounded and made of Crocus Martis beaten into a most smal pouder and Crâ—cus Veneris of each two ounces these wel mingled together with the oyl commonly known by the name of Oleum Vici Pomarum Symplicium the water of the sperm of Frogs with a little Champhyre and sugar of Saturn put round about the neck Argilla furnaceâ— that is to say Clay baked in an Oven and wel mingled together with strong vinegar like unto a pultise and applied after the same manner Asses dung or swines dung dissolved in Rose vinegar and then put up into the nostrils the shavings or Fragments of Fungus Betulinus the mushrom or toad stool of the Beech tree the Root of white Succory dig'd up about St. James tide at noon day when the sun is at ful south and chawed betwixt the teeth As for the Magnetical Curing hereof by Vitriol see further in Beccerus in his Medicus Mycrocosmus in the Chap. of the blood c. The Hemorrhage is divided in a threefold manner from the Causes from the blood and from the places from whence the said proceedeth I. One is from that we cal Anastomosis or an opening of the orifices of the veins which either is caused by the abundance of blood and then the face is red the veins strut and are distended and a ful feeding went before and here venesection hath its place the head is by no means to be washed or so much as wet with cold water lest that the blood being there deteined something that is worse follow upon it neither is there any linen cloth to be wet in cold water and at the first begining of it to be cast about the neck lest that the ways and pasges between the brain and the heart should by this means be shut up or else it is caused by the acrimony of the blood and the thinness thereof and then there ready at hand signs of a Cacochymy and in this case we are to do the work with those things that incrassate and thicken as Bole armonick Dragons blood in the shops termed Sanguis draconis and such like Orelse it is caused by the irritation of the facculty and then the very same things as before are present and ready at hand or else by the weakness of the said faculty and then there is blood issuing forth by intervals but it is not much and some disease weakening the liver went before and therfore the Cure ought likwise to be prosecuted with special regard had unto the same Another is from a diairesis as we term it or a division of the veins by some sharp corroding humor and like by other means and then the blood issueth forth in a far greater abundance or there went before some violent Cause or else lastly there are present certain signs of a Cholerick Cacochymy Another is from that we cal diapedesis or as we may to term it a passing through by leaping and then the blood that issueth forth is but very little c. See more hereof in the first Book II. One is of the Arterial blood which is hot somwhat red subtile leaping forth with a froth and with violence Another is of the vein blood and this is Thicker and Blacker III. One is of blood issuing and passing forth out of the veins of the Brain and then there went before a pain of the head and the flux is not easily stanched Another is of the same blood leaping or starting out of the nostril veins and then the contrary of what was said touching the former happeneth and appeareth Chap. 3. Of the Hindering and Hurting of the Smel Gravedo or Stuffing and Sternutition Or Sneezing THe principal burt of the sence of smelling is the abolition or the diminution thereof which differ only in degrees and in the greatness of their Causes And this is caused 1. Either from a distemper of the brain which either possesseth the fore part thereof and then the Tast likewise by reason of the branches of the third pair of nerves of the brain Forming the tongue is abolished the voice is loud and shril and no way to be found fault with the Cure here is to have an especial regard unto the distemper or else it possesseth and resideth in the process of those nerves that constitute and frame the organ of the smelling and then there is no hurt at al to be perceived in the brain or in the other senses Or else it is caused by the narrowness and streightness and that too either of the Brain and then there is present and sensibly to be felt a heaviness in the head and here we may operate by errhines and yet not toomany of them neither and here likewise sternutatories are exceeding useful and profitable or otherwise of the Processes of the brain or of the nose within and the Ethmoid Bone and then the voice and respiration are vitiated and the wonted excrements restrained and kept in The smelling is somtimes totally abolished if the Phlegm by heat be baked and hardened at the holes and enterances of the aforesaid bone which chanceth unto such as being troubled with the pose or distillation called coriza heedlesly and without any consideration go into baths In these cases that that cheifly deserveth commendation is the Root of Gentian fitly put up into the â—osâ—ils Castoreum wel soaked in vinegar and afterwards sweetned the Oyl of Nightshade the Errhin of Zacutus in his seventh Book 15. Chap. P. 517. c. touching which we have before spoken in the Chapter of Cactarrhs II. Gravedo or Coryza is a defluxion of the Excrements of the Brain being crude and thin like water unto the nostrils which is accompanied and attended with a frequent sternutation or sneezing This Malady is wel enough known and by it self discovered It ariseth from the distemper of the brain either hot or cold concerning which enough above III. Sternutation is a violent and involuntary expulsion by the nostrills of the flatulent windy spirits and sharp vapours offending the Brain It is done with a Loude voice as wel because the Windy spirit breaketh forth altogether at once as by reason that it forceth its passage through the streight narrow holes of the nostrils It ariseth either from external causes and then the nostrils are to be supled and gently stroked with the oyl of roses or milk or else from internal humors and vapours brought thither touching which see further in their proper Chapters but is wont for the most part and too commonly to be neglected by the Physitians unless in Plethorical bodies it happen to be accompanied with a distillation in the very first beginning of the disease The little veins in the greater angle of the eyes and that is nighest unto the nostrils being forcibly pressed together do forthwith stay and stop the frequency thereof Title VII Of the diseases of the Tongue and the Symptoms thereof THe Affects of the Tongue are a Tumor or swelling Ranula a blackness a Palsy a stammering an Aphony
or Speechlesness and a hurting of the Taste I. The Tumor ariseth either from External Causes as the anoynting thereof with hydâ—arge or quicksilver the eating of poisons Mushroms c. and then those things that purge are to be eschewed and not medled withal the Tongue is to be washed and cleansed with the decoction of Scabious and plantane together with a little treakel and honey of Roses Or else from internal causes to wit an afflux of a matter hotter than ordinary to wit blood or Chollor and then for the most part an inflamation is excitted or else of a matter that is colder than usually and then the tongue waxeth white and very much flegm floweth fourth or else of a poysonus mater as in the French disease and this carryeth its signs along with it or else the master is corrupt and canckerous and then the malady is almost incurable and a putridness or a flux of blood in tongus that are quite eaten through happening at the Root of the tongue at length the persons thus affected dye thereof For al and each one of such like patients aninunction with the oyl of vitriol and honey of Roses is very conducible as likewise the opening of the veins under the tongue II. Ranula is a swelling in shape resembling a frog which now and then ariseth and groweth out under the tongue out of that soft flesh on which the tongue lyeth and unto which it is tyed and fastened as with a chain It is known by the bare looking upon it It ariseth from a viscous and Pituitous blood flowing thither and exciting a soft and loose swelling that being opened yeildeth forth a kinde of snotty filth like unto the white of an egg It is cured either by topical remedies among which the oyl of vittriol with the hony of Roses is very prevalent and avaylable or else by Chyrurgial Operation which ought to be seconded with liniments of torrefied Tragacanth together with the Hermodactyl root and the white of an egg or with gargarismes or with both together III. A Blackishness with a scabbedness and clefts sometimes ariseth from hot and fiery vapours and Exhalations and this especially in burning feavers It ought to be washed with the Milk of a Goat or that of a Bitch and also to be cherished with the Mucilage of the seeds of Psylium or fleabane and quinceseeds and after al to be washed with refrigerating waters together with the salt or stone prunella IV. A Palsie hapeneth unto the tongue and that either unto the whole tongue and then those nerves that are derived from the seventh Conjugation of the Brain neer unto the place where the spinal marrow hath its begining are wholly impeded and stopped and there is also very great fear of an Apoplexy impeading and now nighe at hand or else only unto a part thereof whether the right or the left either by the default of the Nerves or the Spirits In the Curing hereof Universals alwaies premised we commend to you the Salt of Margarites ten grains thereof in Malmesey the Oyl of Rosemary with the little rols of Diambra or Diacastoreum the Water or Spirit of Black Cherries the rubbing of the Tongue with Tobacco Leaves Rocket Seed and Treacle See likewise the Electuary of Solenander in his Consultations V. Stammering and Stuttering infest the Party either from Drunkenness or from an ill Composure and frame of the Tongue or from the shortness and excessive thickness thereof or else from its Immoderate dryness or overgreat Humidity and moisture It is not to be taken away and Cured but with much difficulty VI. The Aphony or Speechlessness ariseth either from a default and error in the natural Formation thereof or else from the Palsie when it is Consummated It is to be Cured like as the Palsie And for this purpose there is commended the water of lillies of the Valley and of Lavender with the Blood of a Turtle the Oyl of Anni-seeds and the Spirit of Vitriol VII The Hurting of the Taste is then said to be I. When it is either Diminished or wholly Abolished and this either by the over-cooling of those softer Nerves derived from the third Conjugation of the Brain or else by the affecting and hurting that part of the Brain from whence they proceed and pass forth there is here to be prescribed the opening of the Vein under the Tongue as likewise al those things or which we made mention in the Aphony and Palsey II. When it is depraved so that another kind of Savor is perceived which then happeneth when either the body of the Tongue or the Membrane that encompasseth it about is Replenished with a noysom and foul Humor that either alone of it self of else dilated together with the Liquor of those things that are Eaten and Drunk penetrateth into the Body of the Tongue and the soft Nerves thereof and then the Savor is perceived to be in tast either Salt or bitter or acid and sour according to the nature and quality of the Exhalation and Humor And here we approve of the Rubbing of the Tongue with the Root of Zedoary or Gentian the Raddish pickled in Salt Chewed before Supper and the Mouth afterward washed with Wine c. Title VIII Of the Diseases and Symptomes of the Lips THe Affects of the Lips are Clefts Vlcers Trembling and Preversion I. Fissures or Clefts are a solution of the Continuity of the Lips by overmuch dryness and extension They are known by the view They have their Original from overmuch dryness and extension as was said before in the definition It is Cured by Correcting the dryness with those things that Humectate and moysten and by uniting of the dissolved Union For this purpose we prescribe that Fat which distilleth out of those wooden Spoons used in Kitchings to boyl withal if they be put neer unto the Fire They are variously divided I. Some are from the very Birth and these are hardly Cured Others are Adventitious which are more easily Cured unless they chance to degenerate into a Cankerous matter II. Some are from Causes External Cold heat the North wind c and then the relation of the Patient wil suffice In the Curing of them like as they al must be removed so ought there to be a regard had unto each particular of them For those of them that have their originanl from Cold the White Pomatum is excellent good Others from Causes Internal to wit I. Hot Humors which are many times devolved from out of the Head and these bring along with them a kind of itching and profundity In the Cure the matter being Evacuated fine soft Linnen clouts wel soaked in the Juyce of Sengreen are to be imposed and laid on them and if the Chaps or Clefts be somwhat deep they are then to be anoynted with Goose Grease and Capons Grease II. From Vapors which are Hot Dry Salt and Sharp They ascend up from the inferior parts by the Oesophagus or the great rough Artery called Aspera
Tooth be wholly pulled out by the Roots in regard that their little risings albeit they may be broken they wil yet grow up again a new so that the Ulcers cannot by any means be shut But now that the tooth may the better be drawn forth it may be wel rubbed with the Fat of Green Frogs living in trees or else those same little pellets formed of the Juyce of Tithimal or Milk-Thistle and Ammoniacum may fitly be put into the cavity or hollow thereof or else it may be anoynted with the dissolved unguent of Gum Ammoniack and the seed of henbain But here observe 1. That the neere neighbouring teeth ought to be wel guarded and fenced lest that otherwise they be touched by the aforesaid medicament 2. That the mouth is to be kept open that so the Spittle may the better flow forth 3. That nothing is to be swallowed down Article II. Of the Loosness or Movableness of the Teeth The Mobillity of the Teeth is the weak and infirm standing of them proceeding from the proper Causes thereof upon which said vacillation or infirmness the falling forth of them doth oftentimes ensue The Teeth are the Subject but especially those that we cal Insicorii or the Cutters which are fastned with one root only The tooth it self if touched wil furnish us with a SIGNE The CAUSES are either External or internal External to wit a blow or a fal and then we are to deal by astringent medicaments but cheifly with the remedy that is compounded of Acorus one dram burnt Alum Gals the Juice of Aaccia of each half a dram red rose leaves half a handful decocted with a pint of red wine until it be fallen a thumbs breadth in the boyling and then strained with which the teeth ought dayly to be washed The internal are I. an il depraved Juyce corroding and eating through the gums or the roots of the teeth and then sharp distillations had their precedence and the teeth their pain in this case the pouder that is made of red coral prepared and mastick is very available if this happen in the venerial disease for the Cure we must have reccurse unto the said disease II. Overmuch humidity loosening the roots of the teeth and then the mouth aboundeth with spittle and the gums are soft In the Cure we are to make use of astringents of the decoction of Sea-fern Capars Mirtle leaves with the oyl of Sulfur Pomgrannet rindes Pomgranet flowers and vitriol in regard that they make the teeth black are carefully to be avoided if it chance from the scurvy we must then have respect unto it in the cure of the distemper in hand III. A deffect of aliment which happeneth in old people and in such as are in the way of recovery out of a disease from whence it is that the holes of the teeth are the more widened and enlarged It is not possibly to be cured but yet notwithstanding ye are to make use of those things that are moderately astringent I have already said that somtimes there followeth a falling forth of them touching the which observe I. That in infants in case the roots remain in which the only hope of their shooting forth again consisteth they then of their own accord spring up and grow again II. That the Molar appendix as they term it seldom or never falleth forth in regard that it is so closely conjoyned with the teeth that the boney part of them may be seen III. That the Gemini or twin teeth if they fal out they scarcely ever return and grow forth again IV. that the vacant places of them may be filled up with artificial teeth made of ivory and put fast unto their places alwaies provided that due care be taken lest that from the Compression there should chance to follow an inflamation of the Gums or of the Nerves Chap. 2. Of the Symptoms of the teeth Article I. Of the Odontalgia or pain of the Teeth The Symptoms of the Teeth are Odontalgia Stupor Stridor and Nigredo Odontalgia is a sad and greivious sence of pain in the teeth proceeding from the Solution of Continuity in them by reason of humors I cal it an afflicting and greivous sence of pain for both the teeth and likewise the soft and tender nerves of the Brain proceeding from the fifth and sixth Conjugation are partakers hereof and the little membranes that encompass about the internal Cavity have likwise a little nerve implanted at the very root of the tooth The Teeth and especially the Grinders are the Subject Yet notwithstanding that pain is different and to be distinguished from the pain in Children while they are breeding teeth which is greatest and att he height when the dogteeth as they are commonly called break forth the which said pain ariseth also from the hardness and thickness of the Gums and soon vanisheth away if the aking tooth be anoynted with the far of a hen or the milk of a Bitch There is no need of SIGNS and yet notwithstanding it is dilligently to be discerned and differenced from the pain of the Gums that are sometimes inflamed swel and putrefie and which is not at al removed or so much as mitigated although the toâ—ch be drawn and taken forth The CAUSE is a humor dissolving continuity touching which more in the Differences There is Good hope of a Cure if there be a kind of pus or purulent matter gathered together in the Ear and if the swelling arising in the Gums or in the Cheeks not first appearing the matter be transmitted and thrust forth from the inward unto the exterior and outward parts But there is but very smal hopes if there happen withal a burning feaver and an unusual grating of the teeth in regard that this last especially when it invadeth the patient by reason of the convulsion of the temple musles seeing that it denotâ—th the touching and hurting of the brain it therefore first of al threateneth a deâ—iry or dotage and soon after in regard that it betokeneth the confirmation of the mallady it menacheth and portendeth even deach it self It is performed I. By the mitigation of the pain if it be externaly urgent and intollerable by narcotick medicaments That that is here profitable expedient is two grains of opium with an equal part of Saffron wrapt up in silk and put into or betwixt the pained teeth the washing of the mouth with vinegar and Opium Pils formed of Opium and the Treacle of Andromacus touching which see beckerus in his medicus microcosmus The pain being once asswaged let the mouth be forth with wel washed with the decoction of sage and Rosmary II. By the evaccuation of the peccant humor by bloodletting and here when it is for Revulsion the blood must be drawn our of the greater vein but when for derivation from the lipps of the ears or else from under the tongue neither are we to forget or neglect the use of vesicatories behind the ears III. By the repulsion and
the Crown of the Head a Powder compounded of Long Pepper one scruple the Juyce of Acacia and Tormentil Roots of each two scruples so blown in after the use of an Astringent Gargarism II. The Inflamation of the Wesand is the rising or swelling of the same from a Cholerick Blood fallen down into it with a redness burning heat pain danger of suffocation and somtimes also with a Feaver The business is here alike as in other Inflamations Title XV. Of the Affects of the Tonsils THe Principal Affects of the Tonsils are an Inflamation and an Vlcer I. The Inflamation of the Tonsils is a rising or swelling up of them produced by the afflux of Humors It is known within under the Jaw-bone by the touch and by the sight thereof where like unto a smal Gobbet sticking in the Jaws it presseth by its weightiness and hindereth so that neither Meat nor drink nor spittle can easily pass through either up or down There are also present pain a burning heat redness and a thirst and it falleth more easily into the Tonsils than the Wesand by reason of the sostness and loosness of its proper Temperament and likewise its place It ariseth Externally in little Children by Reason of their Voracity and insatiable feeding the Greeks cal it Addephagia unto which there is likewise added a weak and tender Constitution of Body in Children that Suck by Reason of some fault and pravity in the Milk in Girls from an insufficient Purgation of the Menstrua or Monthly Courses in those of Riper Age by Reason of their overmuch drinking of that wine that is not first diluted and weakened as also their much and more greedy of al sorts of Meats but more especially those that are sharp and rough Internally from the afflux of humors that are hot and sharp Cured it is after the same manner as are other inflamations yet this notwithstanding is attentively to be heeded that somtimes the Tonsils are made the harder by the over frequent use of Coolers and Repellers II. Touching Vlcers these things come in the next place to be taken notice of I. That there is the less danger in them if they be without a Feaver II. That those of them that appear in the heat of Summer because they then immediatly creep forward are worse than those that arise at other times III. That they may somtimes be and appear without any Inflamation at al either from some Salt distillation eating through those parts or else from some Vapor or Exhalation ascending upwards which happeneth in the Venerial or French disease and somtimes again from other Causes the Spring time and a Pestilential Air. IV. That some of these Ulcers are Familiar and milde which are smal clean not descending very deep neither inflamed nor exciting any pain Others Malignant and Pestilential and these are broad Hollow growing Nasty and filthy by reason of some congealed Humor that is either white or black or Livid black and blew but now if these aforesaid congealed impurities descend deeper then there is bred that which we term an Eschar or Crustiness V. That those of them that Creep about the Jaws with much trouble and annoyance Cause a difficulty of breathing but that if by the Trachaea Artery they Penetrate into the Brest they then strangle the Party the very self same day In the Cure we are to understand that al the Ulcers of the Mouth as wel lest that they Creep and proceed further as also because that they evermore become the moyster by Reason of the Spittle do need and require the stronger sort of Astringent Medicaments And thus much touching the Diseases of the Head THE NINTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Of the Diseases of the middle Venter or Region Title I. Of the Diseases of the Jaws or Angina that is Squinancy ANd thus much shal suffice to have been spoken touching the Diseases and Affects of the Brain There follow now the Diseases of the Middle Region which Contain and Comprehend under them the Affects of the Jaws the Throat the Aspera Arteria or â—ough Artery the Lungs the Chest the Teats and the Heart The Disease of the Jaws is that we cal Angina or the Squinancy but more vulgarly the Quinsey or the shutting up as it were of the Jaws that is of the Supream parts of the Gullet and the throat through which is an entrance and Passage not only for the meat and drink but likewise for the Breath Producing and Bringing along with it a Difficulty both of breathing and Swallowing The Common signs are Difficulty of breathing in regard that the Throat is in a manner stopt and shut up the Impediment or hinderance of the Swallowing as wel in regard that the Gullet is obstructed as that likewise the two Muscles deriving their Original from the Larinx called Oesophagici and Circulatores because they embrace and encompass about the Oesophagus with their transverse Fibres resembling a Semicircle are busied in helping forward the thrusting down of the Meat and Drink unto the inserior parts whilest that they draw up the Larynx in the time of swallowing that so it may give way unto the food whether Meat or Drink as also in regard that the Muscles of the Jaws thrusting down the food unto the Oesophagus while they are Contracted and drawn together unto the place where they begin do here suffer A pain about the Jaws which is either augmented or diminished according to the quality and condition of the Causes and the subjects The Causes are al things whatsoever that are apt to stop the breath as we shal further shew you in the differences So for Cure in the differences In regard of its causes it is divided into three sorts or kinds the first whereof hath comprehended under it four species I. One is from an Inflamation which is knowen by the continual fever accompanying if withal there be together present such other things as usually concur It hath its original from that blood that floweth into those parts from out of the branches of the Jugular veins there going before for the most part a difficult moveing of the neck without any apparant causes and withal a certain pain as likewise an unusual heat about the Jaws It is very hardly cured if there be present a great and Intence feaver the spittle somwhat dry Clammy and thick The Event of the Cure is somewhat doubtful if the matter being transmitted into the Lunges there arise an Empema or impostamation of the Lungs to the Head if it exciteth and causeth a doting or delire if to the Pleara Membrane it causeth a pain of the whol Breast with a cough and difficulty of breathing if unto the heart it then introduceth and brings along with it a kind of trembling and almost undiscernable beating of the pulses There is no hopes at al if the fever prevail the greatest heighth and intensenes if the face of the sick person become greenish if the angles or corners of
and strangling which is somtimes grâ—â—ter and somtimes less It ariseth either from those Causes that Compress or press it down as the Relaxation or Loosening of the Vertebrae Inflamations Swellings the halter c. Or else from those Causes that Obstruct as things external fallen thereinto which are to be removed Or else internal to wit Humors thick and of a slimy and Glutinous Nature which are to be Cut attenuated and cleansed forth with the Syrup of Maiden hair Horehound and Liquerish or by reason of Purulent matter and smal stones Particularly that called Grando bred in the Lungs and a certain kind of flesh that is bred and brought forth after wounds and Ulcers III. Wounds either they touch only the Superficies thereof and then they may be cured or else they touch the Cavity thereof and then the Air passeth forth in such a manner that if a candle be put thereinto it is forthwith extinguished if the Cartilaginous substance be wounded especially after a transverse manner it can hardly ever be brought to unite again if the wound be betwixt the two little rings thereof they are now and then Healed IV. Touching Vlcers take this advertisement to wit that they arise from Humors that are sharp and Salt from Poysons and from Medicaments and that they afflict with pain spitting of Blood pure in the beginning but afterwards purulent insomuch that even scales and a kind of Crustiness may now and then be cast forth If they seize upon and possess the Internal Cavity they are then by reason of the Nature and Situation of the Parts very hard to be Cured and lastly that if the Cartilages be eaten through and that there happen thereupon any putrefying affect it is then altogether incurable Title IV. Of the Diseases of the Lungs Chap. 1. Of the Distemper of the Lungs THe Diseases of the Lungs are Intemperies Peripneumonia Angustia or streighness a Wound Phthisis or an Vlcer The Distemper of the Lungs is the declining thereof from its natural temper unto that which is preternatural as wel by reason of External as Internal Causes The SIGNS shal be expressed in the Differences The CAUSES are either External and these likewise various to wit cold or hot potions medicaments applied the Air that being little or nothing altered is carried and conveyed unto the Lungs in such as are destitute of the columella or else they are internal to wit the Humors that are drawn along thither either from the Head or else from some other parts but frequently from the Liver The CURE is to be ordered according to the several Causes where in regard of the humors take notice 1. That in respect of the situation of the part it is not to be removed without much difficulty yet notwithstanding that it ought to be evacuated 2. That if there be there a greater store than ordinary of flegm it is then more fitly to be removed with those Remedies that expectorate and mollifie such as are Eryngo Roots and marshmallow roots common mallows and Raysins than by those medicaments that cut 3. That many hot remedies are not here convenient lest that the thinner parts being wasted the thicker remain behinde The best remedy in this case is Linseed 4. That if there be present an acute feaver together with the matter we ought then to abstain from those medicaments we cal Eclegmata for these by their dryness and clamminess do much if not wholly supress expectoration from whence there followeth a more frequent respiration or thicker fetching of the breath and the matter also by the extraordinary heat becometh the more contumationus and obstinate The Distemper of the lungs is divided after a twofold manner I. One is without matter which indeed hath in it no danger at al of suffocation and is also more easily cured Another with matter which is to be Evacuatted and drawn back like as we shewn above II. One is hot which is known by this that the Cheeks by reason of the sumes ascending become red and that there is evermore a dryness of the tongue together with a thirst which can no way be qualified but by the breathing and drawing in of the cold Air infesting the sick person and likewise that the breathing is more than usually frequent and swift In the Cure Cooling medicaments which through the rough artery are thither to be conveyed ought to be administred where note 1. That those medicaments that are mainly cooling and repelling are altogether enemies and offensive to the Breast by intercepting the passages of the blood and spirit and by their weakening and impayring the very nature of the Breast since that it is Cartilaginous and bony 2. That among the principal internal Remedies we are to account both the white and black Poppy Rheas Violets Endive Barly Water-Lilies and their syrups 3. That the diet ought to be conformable and that for a drink and potion the water of barly with the Syrup of Violets is excellent good III. Another is Cold which is known by this that Cooling Causes went before that the Breathing is but weak slow rare and the Pulse like thereunto and that the Breath that cometh forth is colder then ordinary In the Cure we are to Use medicaments that heat among which these are to be accounted of as very fit and proper to wit saffron which is as it were the very life and soul of the Lungs the Extract of calamus Aromaticus old treacle Coltsfoot Nicotiana or tobako scabious the root of the Flower-de-luce and the root of Aron or Cuckowpint prepared Elixir proprietatis that Mixture they term Simplex oxymel Scillitick c. IV. One is Moist which is known by this that the voice is hoarse the breathing thick and frequent with a kind of wheezing snorting and much spittle In the Curing hereof we ought carefully to avoid those medicaments that are overdrying and astringent The Chymical oyl of sulpher and the flowers of sulphur or brimstone the shops cal this latter flores sulphuris in a rere egge that may be supped up the wine wherein the eyes of crabs or cre-fishes have been mucerated sassafras China root c. are here of singular use and benefit V. Another is dry which is known by this that persons thus affected wast and consume away without any Ulcer at al that the breathing is very little and weak but thick and short that there is present a continual christiness and but smal store of spittle In the Cure hereof Raysons of the sun womens breastmilk and Asses milk the destilled water of Tortoises the broth of veal and the conserve of violets are especially good and profitable Externally a Bath of sweet water ought to be Prescâ—â—bed Chap. 2. Of Peripneumonia PEripneumonia is an inflamation of the Lungs from blood poured forth into the substance thereof with a straightness of the Breast a difficulty of breathing an acute Feaver and a cough The SIGNS are the narrowness of the Breast with a dul and heavy pain that
the body be Plethorical if it be not directly on the side affected 2. That if the courses or the Hemorrhoids be suddenly suppressed then the evacuation is in the first place to be out of the ancle vein or that of the Ham but if the suppression hath been of long continuance out of the arm vein 3. That in derivation the blood is to be drawn forth so long as until the color of it be changed 4. That fomentations may be administred to moderate the pain in a body that is not Plethorical yea even before Phlebotomy but not so when the Body of the patient is Plethorical And for this end and purpose excellent good is the Unguent made of dialthea or of Marshmallows one ounce thereof and half an ounce of the oyl of sweet Almonds with the pained parts ought to be al over anointed and upon it the fine small pouder of Camomile flowers is to be lightly strewed and then the leaf of a Colwort or Cabbage anoynted with Butter or hogs fat is to be laid upon it very hot and this is to be continually done dureing the whol time of the cure adding likewise a little of the distilled oyl of dil Champhyre 5. That forthwith in the very first beginning a sweat may very fitly and properly be raysed and excited by exhibiting either of the water of the Poppy Roses three ounces there of with one dram of the pouder of Corral red Filberds the Jaws of the Luce-fish or Pike or else of the simple Mixture one dram with the water of Carduus Mariae or of the Spirit of Nitre with the spirit of Wine of each one scruple the spirit of Tarttar half a scruple in the water of Poppy Roses or else the simple water thereof c. 6. That pectoral decoctions together with their appropriates are continually to be administred after the premizing of universals that so the spitting may be facillitated 7. That these following have in them a Specifical propriety of operation to wit the flower of the wild poppy of the dry dock and of the white Eglentine or sweet Brier the seed of Carduus Muriae the Bulls pizzle or the pizzle of the Hart or Stagg the shavings of the Boars tooth c. see Petraeus Al which are to be made into a very fine pouder and then to be put upon bread that hath been wel dipt in Scabious water 8. That the impostume may best be broken with a Cataplasm of the herb kaly the roots of the White lily while they are new and fresh c. applied unto the side that is payned 9. That after al those aforesaid Chalybeated milk unless a Feaver hinder it is the best I. One is as we may term it Legitimate and exquisite unto the which only whatever was sayd before as to this poynt is to be referred and understood thereof which I. ariseth either from blood that is pure in which there is a bloody spittle an extension of the veins about the Temples and the forehead with a sence of heaviness neer about the hollow of the Eyes the fore parts of the head or else from a blood that is Cholerick in which the spittle is yellow and which if it suddenly vanish without any apparent cause the sick person is immediately surprised with dotage It is best and soonest of al cured by opening the salvatella vein or thirdly from a Phlegmatick blood in which the spittle is frothy more slow and as it were sweet the syrup of Zacutus in the Eight Book Chap. 3. of his History is very efficacious in this kind or else lastly from a Melancholy blood which very rarely happeneth by way of afflux II. It affecteth either the interior tunicle and then the sick person doth with the more ease lie and rest upon the grieved side in regard that now the tumor is not immediately under it neither doth it in this case distend the grieved part or else the Exterior about the bones and then the case is quite contrary unto the former or otherwise both of them and then the patient lying upon the back is the freer from pain III. It affecteth either the right or the left side or the superior part extending it self to the throat or else the inferior reaching even unto the Hypochondria II. Another is bastard and spurious which is distinguished according to the quality of the matter and the manner of its situation One is from Windiness in which the pain is not fixed but runneth from place to place it is mitigated and oftentimes wholly dispelled by fomentations there went before causes generating windiness the pouder of Cummin sprinkled and strewed upon a Cabbage leafe anointed or spread over with butter and outwardly applied unto the pained part is very successful in giving ease Another from a distilation which hath with it a sence and feeling of a defluxion or something at certain times falling down it is exasperated by being touched neither doth it any whit yield unto fomentations the cure is to proceed according to that of a thin catarth Another is externally when the blood thorow the branches from the Axillar is ramus is emptied forth into the External Muscles of the Thorax and then the pain waxeth very intolerable upon the pressure thereof lying down upon the grieved side is extreamly troublesome there is in this case nothing cast forth by spitting and the transition or passing over of it into that which above we termed Vera or the true and exquisite Pluresy is very facile and easy Chap. 3. Of Empyema EMpyema is the Constipation of the Cavity of the Thorax or Breast from an abundant purulent matter causing and producing a difficulty of breathing with a Cough and a purulent or rotten spitting The Subject is the Cavity and capacity of the Thorax being that void space betwixt the Thorax and the Lungs albeit the Lungs themselves and the vessells thereof may not here be altogether excluded But now indeed because that the Lungs by the Mediastine is divided into two parts the Pus is collected either in the one or the other part or else in both of them together The Signs are a difficulty of breathing with a spitting and a perpetual purulent Coughing a sense and feeling of a heavy and dul pain in the bottom of the Thorax and especially neer about the diaphragm a redness of the Cheeks and that chiefly about three or four hours after meals c. The Cause is that very purulent filth it self filling up the Thorax the abundance whereof together with its stinking smell and acrimony inflicteth very sad and grievous pain and mischief There is some hope of a cure if upon the opening or burning there flow forth a white Pus or corruption if it be rather on the right side than the left and that the Patient be strong and able No hopes if the whole Thorax be lifted up in the breathing if the whol cavity be possessed if the left side if upon the lancing or burning of it that
Medicaments that stupefie and Dul the sense and feeling as for instance the Syrup of Poppy Diacodium Treacle fresh and new c. The Differences of the Cough are Various I. One is from External Causes as a Cold Air the Vapors of Live things Rank and musty as likewise such things as are Oyly and Fat a vehement Scratching of the Ears from whence there ariseth a very painful affect of the Nervous parts which yet is the less violent if it proceed not from somthing fallen into the Trachaea or the great rough Artery and it is then also less dangerous It is Cured if the Cause be taken away if it proceed from Cold then it is Cured by the meer restraying and keeping in of the breath Another is from Causes internal to wit I. a Humor which 1. Either is viscous and clammy and then there is nothing or very little spit forth after Coughing if it hath conjoyned with it a cold temper and constitution it is then the stronger and the more violent It is cured Universals first premized by those Medicaments that cut and expectorate Among purging Remedies dilutum Agarici as Practitioners term it with a little oxymel Scillitick is of singular use and benefit Among those things that cut and expectorate the Bechicall Aquavitae of Joel the Liquor of Sugar of Hartman the Elixir Proprietatis from six drops to twelve 2. Or else such as is thin and then there is nothing spit forth because that in the very spitting of it forth it is so dispersed and divided by the breath that it falleth back upon the Lungs it hath for the most part a hot temperament and constitution and likewise a Catarrh Joyned with it and attending it The Matter putrifying inwardly exciteth either a Putrid fever or an Hectick fever or an Ulcer It is cured after that General and Universal remedies have been first made use of by those things that increassate or thicken and lenify such as are the syrup of Jujubes the syrup of Poppy rhaeas diatragacanth fridgâ—d c. 3. Or else it is contained in the lunges and then a due regard ought to be had unto the distemper or else it floweth thereunto from some other parts as the Brain in a Catarrh and here there wil evermore be present the signs of a Catarrh the Cough in aged persons is more vehement and of longer continuance because that it is not maturated and ripened and therefore the more dangerous if it be frequent and long lasting it bringeth at length to the spitting of blood or else from the inferior parts as in the dropsy the inflamation of the spleen the liver and the stomach c. II. From a Vapor which either obstructeth the Lungs or else hurteth the membrane and then for the most part the vapor is sent thereunto from other parts and diseases the Cough is dry and sometimes a little irritating and it usually happeneth when the patient either speaketh or gapeth much In the cure we are to deal with those things that remove the cause sending the vapors and likewise to endeavor the driving back and the Revulsion of the vapor c. It happneth either in Feavers which shew that the Paroxysm is now nigh at hand and forewarneth that impostumations are like soon to follow and if it remain after the termination and ceasing of the Fever it then threatneth the danger of a Recidivation or Relapse or else in the wringing pain of the Gutts by worms we cal this Affect Bermina which either by impulse of putrid vapors unto the Lungs or else by the twinging and gnawing of the Membrane of the Oesophagus which draweth the Membrane encompassing the rough artery into a consent and agreement with it and it discovereth it self by the signs and tokens of Worms III. From Pus or Corrupt matter which chanceth in the Phthisis Peripneumony Peluresy the wound and inflamation of the diapharagm c. IV. From alitle swelling or as we terme it Tuberculum that is Crude and raw from Grando c. II. One is dry in which there is nothing cast forth by Coughing either by the fault or the faculty or the Matter Another is Humid or Moyst in which something is ejected and cast forth Both these are either Recent and newly begun this properly termed Cerchnos in which there is only a light and gentle propension to Coughing continually afflicting the sick person not much unlike unto the Nauseousness of the stomach that goeth before Vomiting and this is sometime removed and ceased by the-alone holding of in the breath for a while or else it is inveterate and old bringing along with it more grievous symptoms III. One is Periodical which twice or thrice in the year by certain intervals afflicteth the Patient and most usually procedeth from a distillation suddenly and violently rushing in Another which either continually or at least with very little intermission troubleth and even wearyeth the Party which hath for its Cause either a vicious affection of the lungs some old obstruction or in a word some other fixed and rooted internal Cause Chap. IV. Of Haemoptysis or spitting of Blood HAemoptysis is the Rejection and casting forth of blood together with a Cough from out of those parts that are destined and ordained for Respiration and breathing happening unto them without any inflamation of the aforesaid parts There is no need of Signs in regard that the Affect is apparent unto the sight The Cause is whatsoever dissolveth the unity of the veins whether this happen by means of Anastomosis or a Dierisis and a Diapedesis The Cure consisteth in stanching the blood and stopping the bleeding and it especially hath respect unto the Causes Observe in it that there ought to be a revulsion made by opening a Vein in the Arm or otherwise in the Ankle if there be present a suppression of the Monthly Courses and likewise that the ill quality of the blood is to be tempered and qualifyed that the purgers are not to be hot neither strong and forcible that the inflamation in that part from whence the blood issueth forth is to be speedily averted and turned away that the clods of blood are to be dissolved and this to be effected not with vinegar alone that before ever we make use of remedyes that avert and turn aside we ought to forbear Astringents or those things that stay and stop the blood that Cold topicks must be carefully avoyded Among those Remedies that stanch and stop there is especially commended Centinody boyled in broth and applied unto the parts the pouder of Scaliger of which see more in Petreus his Nosology The differences are taken from the Causes and the parts I. One is from the Anastomosis of the veins Another from the Diaeresis and a third from the diapedesis of the veins touching al which see further in the Chapter of the Hemorrhage or bleeding of the Nostrils II. One is from the Brain transmitting and sending it which is known by this that the blood
to be grateful to the Stomach rather solid than liquid rather meats that are Medicinal than exact Medecines mixt with astringent things that the Stomach be not Relaxed not sharp Salt corroding lest they offend the mouth of the Stomach if the Medicines be external they must be applied to the sword-like Cartilage towards the Navel and upon the back to the twelfth and thirteenth Vertebrae II. By taking away the Causes both External and Internal III. By Strengthening the Stomach where appropriate Medicines take place as the Magistral of red Coral the inward Coat of a Hens maw c. 'T is divided into a distemper without or with matter of which in the following Articles Article II. Of the Distemper of the Stomach without matter A Distemper of the Stomach without matter is a preternatural disposition of the similar Parts of the Stomach in its qualities produced by external and Internal Causes without the presence of any Humor Its SIGNS and Causes shal be explained in the differences the Cure relies only on alteration and removing the Causes 'T is divided according to the qualities I. One is Hot which is known from the want of appetite to meat indorous Belchings clamminess of Spittle dryness of the jaws and Tongue it ariseth externally from the six non Natural things encreasing its heat internally from internal Diseases burning Feavers Inflamation of the Liver Spleen c. 'T is Cured 1. With cooling things but lightly and not too long applied 2. With cooling Diet where Barley Water takes place and Emulsions of the four greater cold seeds II. Another is cold which it known from the greatness of appetite unless it be too cold by sour belchings if neither much nor cold meats have been eaten nor flegm do abound by wind and two much spitting It ariseth externally from the six non Natural things internally from the parts incumbent as the Liver Spleen and Muscls of the Belly which induce a coldness 'T is Cured 1. By appropriate heaters but not too much inwardly and outwardly moist lest driness be caused 2. By Diet where Wormwood Wine takes place it is distinguished into a positive of which we have now treated and a privative which is conjoined with driness It ariseth from the defect of innate heat which is Caused by things that heat too much as the frequent use of Wine the want of nourishment the heat and driness of the incumbent Parts as of the Liver of the muscles of the Belly and the Cal. III. Another moist which is known by want of thirst by abundance of spittle c. it ariseth from external Causes inducing moisture it is Cured 1. With dryers without eminent heat or cold as are the ashes of Hens Guts of Swallows burnt harts horn red Coral troschiskes of Vipers Galangal burnt Salt 2. By a contrary Diet. IV. Another dry which is known by the extenuation and Contraction of the Region of the Stomach which is accompanied with a slenderness of the whol body It ariseth externally from a drying Diet too much emptying and fumes of mettals internally from the dryness of the incumbent parts The cure is the more difficult because with the Feaverish heat it induceth a consumption if vomiting happen it argues a great want of innate heat the Cure is performed 1. By moistening which is best of al accomplisht by nourishments that are medicinal 2. by Diet where Milk takes place beginning with a smal dose new layed Eggs Almonds Raisons Pine Nuts c. There is another compound the Nature of which may be collected from the simple those that labor of a hot and dry distemper have little blood unfit for nourishment are lean bound in body with Veins eminent subject to the dry Scab Article III. Of the distemper of the stomach with matter A distemper of the stomach with matter is when the stomach fals from its temper by reason of some humor either generated there or falling thither from some other place The Signs and causes are put in the difinition in the differences they shal be more largely Explained The CURE is finisht 1. By the alteration and evacuation of the peccant humor 2. By strengthning of the part by appropriate external meats Looke into the differences The Differences of this Distemper are Divers One is from the matter generated in the stomach then the symptoms appeare continually the whole body and al the members are sound It is cured by emptying of the matter which is comodiously done by medicines of aloes hiera picra mechoacan and by corroborating the part Another is from matter falling from another part then that part which was periodically affected is no longer troubled some accustomary evacuation is supprest or the usual diet hath bin changed or somewhat stops in the whole body or in some particular part The symptomes are more remisse For the cure we must have respect to the parts that send the matter II. Another is from the matter sticking in the cavety of the stomach then there is a waving or nauseousness which is attended with vomitinge or a loosness Another from the matter impacted in the coates of the stomach then there is a nauseousness without vomiting oftentimes with the hickops III. There is another chollerick viz. hot and dry which besides the former signes is discovered by nauseousness bitterness of the mouth with a certain sence of knawing and sometimes by chollerick vomitings It ariseth from choller either sent thither from the bladder of gal or generated there from corrupt meats 'T is cured 1. By dyet wherein chicken broath seasoned with lettice and endive doth excel 2. By emptying of the matter both by vomits made of the pouder of the down or flower of walnuts dryed in the smoak and given a dram weight in honey and water and purgers compounded of hiera picra 3. By alteration and coolers and moisteners amongst which do excel succory and violet water syrup of pomegranates of coral of Quercetan of strawberries currans tincture of roses letâ—â—ce and succory condite c. IV. There is another flegmatick to wit cold moist which is known both by the signs formerly reckoned up and by a sence of heaviness in the stomach especially some hours after meat by a waving sowr belching it proceeds from thin or thick flegm t is cured 1. By emptyers both by vomit to which in thick flegm we ought to premise things incisive given in a solid form amongst which excels diatrion pipereon diacalaminth the essence of balme penny-royal c. and by purging so that the purges be administred either alone or mixt with preparatives The vomiters are viz. of salt of vitriol given in broth oxymel with the decoction of radish Heurnius his vomiter of hellebor 2. By strengtheners amongst which excels inwardly taken the roots of callamus aromaticus and citron pills and of oranges with the phylosophical spirit of vitriol and the Elixir proprietatis outwardly ointments compounded of the distilled oyls of wormwood mint cudmin peneroyal mastick a
cerote of one part of pure Ladanum with too parts of wax applied an hour before dinner is good 3. By a contrary diet Article IV. Of the tumors of the stomach A tumor of the stomach is when the same is elevated into a bulke or magnitude greater than is due It contains under it three things I. Inflamation which is known both from the general signs and also from the vehement pain heat thirst a most burning feaver vomiting or often going to stool unless when the orifice or pylorus is possest to these are added the symptoms of the principal faculties if the brain be drawn into consent It ariseth from blood preternaturally poured forth by the veins derived from the porta whether it be pure or mixt whether sent thither or attracted T is cured after the manner of other inflamations where observe 1. that emptying by vomiting or stool is not convenient unless where there is an eruption of matter collected 2. Bleeding is rather to be repeated than to take much blood at once 3. Amongst external repellers sugar of saturne with plantaâ—â— or nightshade water adding a little of wormwood or mint is commended internal things ought to be administred with a moderate actual coldness 4. resolvers which ought to be gentle and Emollient must be corrected with astringents by reason of the excellency of the part 5. If suppuration cannot be prevented the heat must be cherisht with things moderately hot moist and clammy both inwardly and outwardly 6. The imposthumation may excellently wel be broken either with the juice of Scabious alone or mixt with honey 'T is divided according to the parts of the stomach One is of the whol stomach in which what posture soever the sick lyeth down in he is ful of pain Another is of part of the stomach 1. Either external in which the pain after the concoction of the meat is encreased by reason of the intension of the transverse fibres the appetite is not very bad nothing of the impostumation is cast up by vomit Or of the internal part in which al things are contrary but 't is better if the matter pass into this than under the peritoneum because there it may easily be purged forth but here not so 2. Either of the upper part in which because 't is endued with exquisite sence there happen most greivous symptomes and the strictness is most of al perceived towards the latter end of swallowing where the attraction is strongest Or of the lower part in which the pain is encreased more in the disgestion of the meat 3. Or of the former part in which the tumor may be perceived by the touch Or of the hinder part in which if the outside be affected the sick can hardly lie down on his back if the inside not easily on his face II. An Oedema and Schirrus of which we meet with nothing remarkable III. An Inflation when the magnitude of the stomach is increased by wind conteined in its capacity 't is knowen by its distension molesting the region of the stomach above the navel by the tumor and by its resisting the touch by belchings with which the malady is eased It ariseth from matter ministring wind of which in its differences T is hardly cut'd if it befal one recovering because it signifies a relapse if it be in acute Feavers because it shews that the natural heat is wasted by the preternatural if it last long because it endeth in a dry dropsy How it may be be cured see in the differences 'T is divided according to the nature of the causes 1. One is from windy nourishment which is knowen by the patients relation 't is cured with good dyet and discussives to wit with balsome of fenel oyl of carawaies inwardly and outwardly applied by baths of warm water in which are boyled danewort roots by baggs by bread hot out of the oven sprinkled with oyl of Rue 2. Another is from a flegmatick matter which causeth wind and is known from the signs of a flegmatick distemper 't is taken away by emptying the matter prepared and discussing the wind a great cupping glass also doth discuss being applyed with much fire without scarification and often repeated and one dram of sows pasterne bones burnt and prepared with Rue water given in a draft of wine Article 5. Of the wounds and ulcers of the Stomach I. The wounds of the Stomach are known from hence that the belly is loose deeper over against the Stomach hickops and vomiting of choler do ensue sometimes the meat and drink is cast up again They are no waies cured if the whol body of the Stomach be perforated or if its upper part about the orifice be wounded very difficultly if only the outer coat and if the bottome of the Stomach which is fleshy and able to endure medicines The cure is accomplisht as in other wounds mastick any waies taken is good The wound that penetrates and is large ought to be sowed up leaving an orifice in the lower part they must abstaine from al sharp things in their dyet II. An ulcer of the Stomach is knowen by the pricking and ulcerous paine by a heat molesting above the navel caused by the receiving in of hot meat by stinking belchings by causes generating ulcers by a slow feaver c. It arises 1. From external things as sharp medicines and poysons and then the relation of the patient which shew it 2. From sharp humors there derived from some other part or generated there and then we must have recourse to the distemper with matter 3. From an impostumation broke after inflamation and then this was precedent 4. From the rupture of a veine and then vomiting of blood proceeds 'T is hardly cured both because detersives cause paine and because being alwaies moistened by the chyle it cannot be dryed Inveterate ulcers cause a lientery In the cure note 1. The humors if there be any ought to be brought forth only with lenitives 2. Vomits are wholly to be shunned lest that which is ulcerated be delacerated more 3. To internal consolidating medicines somwhat moderately abstersive is alwaies to be mixed Chap 2. Of the Symptomes of the Stomach Article 1. Of the pain and heat of the Stomach THe Symptomes of the Stomach are Paine Heat want of appetite too great appetite a vitious appetite too great thirst hurt of concoction hickops belching rumblings nauseousness Vomiting and the Cholerick passion I. The paine in the stomach is a sad sensation of the same arising either from things that distend it or knaw it and so dissolve its continuity There is no need of Signs in this symptom unless the patient be diseased in mind The Cause is explained in the definition and we shal be more large of it in its differences The Cure hath respect unto 1. The symptome it selfe if it be too urgent in rebating of which a bagg made of the roots of marsh mallows camomel flowers red roses wormwood is good Quercetans anodyne water
are of no force in a dysentery from sharpe choller when as they leave a biting quality behind them 8. By dyet in which biskit bread milk of sweet almond sthe flower of sugar c. take place The Differences of a Dysentery are Divers I. One is in making when the exulceration begins onely in the superficies of the guts and there from them suffering an inflamatory disposition their temper being destroyed Another is already made when the corrosion peirces deeper and either fibres and smal skins of the inward coat are voided with blood or peices of the fleshy substance cut off from the proper substance of the guts are voided with membranous shavings and much blood and purulency which is the utmost degree of malignity II Another is of the smal guts in which the pain is most acute by reason that they are membranous the stool is longer after the torments the blood is exquisitely mixt with the excrement by reason of the longer passage the blood is blacker Purging medicines must be given by the mouth 't is almost incurable Another of the great guts in which the paine is less by reason of their fleshiness t is cheifly perceived about the navel by reason of their situation the stools are quickly after the torments the blood purulent matter swims upon the excrements of the belly Note that for the most part the great guts are tainted and being tainted medicines are best administred by glisters Somtimes the stomach and neighboring parts are drawn into consent somtimes the belly over against the ulcer and hole is perforated by reason of the putrefaction communicated to it III. Another is from things external viz. either from poysons whose cure is performed by vomits by things that dul them whiles they teare as milk rice fat broths by antidotes cheifly six grains of an emrald prepared but they must abstain ten hours from meat and sweat Or by purging medicines that are very strong and then if you consider the cure after abstersives 't is good to drinke warme milke new treacle c. Another is from things internal of which hereafter IIII. Another is epidemical and malignant in which we must act with things alexipharmacal amongst which are harts-horn terra sigilata Corals saphyres water germander pulvis Bezoardicus aureus The same may be mixt with purgers Another is simple to which those things above may be applied V. One is from Yellow choler from which for the most part it begins the which sometimes is generated in the stomach somtimes in the guts sometimes is cast from the bladder of gall the meseraick veins the whole body Another from Black choler which if it be voided by reason of a crisis in feaverish diseases it may be cured It ought not to be purged before it be tempered and then with Lenitives Another is from Choler of a leek color and the rust of Brass which though by Nature collecting it self it may be cast off yet not presently Another is from Salt Flegm which somtimes is produced in the head from a great heat somtimes in the stomach being carried to the Guts and by its clamminess sticking long to them it troubles them and at length Exulcerates 'T is hardly Cured 'T is wel rooted out with Agarick and Mechoacan Point 4. Of the Bloody and Hepatick flux I. The bloody Flux is known both by the sight and by this that it is voided without pain and exulceration It ariseth 1 By reason of plenty of Blood proceeding either from a hot distemper of the Liver and then there wil be signs of fulness 'T is voided without pain and wasting of the Body the Urin is thin of a Goldish color Thirst oppresseth both by reason of the wasting of the moist substance and the heat of the Liver In the Cure the diet must be abated the Liver must be corrected by succories and other proper coolers steeled milk c. If Choler be mixt with it it must be emptyed Or from the cutting off of some member and then blood must be let according to Course Or from the suppression of some accust omary Evacuation and then we must act by frictions the stoppage must be opened 2. by reason of a vein broke or opened which is known by this that it is cast up also by vomiting Some vehement fal hath happened before Fainting is Caused by reason of the putrefaction in the stomach The cure is difficult II. An Hepatick flux is either Exquisite which is known by this that that which is voided doth look thinly red as the washing of the flesh of a beast newly kild doth not clod together doth flow more frequently yet not so often as in a dysentery without any knawing but yet not without a Heavy pain the Eye-lids are swelled and the Feet the excrements are crude It ariseth from a weakness of the Liver and the defect of natural heat in it from causes that do dissipate or choak it up The Cure must be hastened because this Disease Leads to an ill habit of Body a dropsie and Consumption 'T is hard when t is beginning and in young men Almost incurable when its inveterate and in old men and in them also whose spittle is bloody somwhat pale or clearly cholerick It excludes Purgers and is perfected only with altering strengthning medicines mixt with the meats Hens Livers Chickens and Geese stones are commended Or Spurious in which the blood is either acrid by the mixture of Choler or thick by its long stay in the Liver or elsewhere or faeculent by reason of the foulness of the Liver because the Spleen doth not attract the feculent parts Title IV. Of the Affects of the right Gut Chap. 1. Of the Diseases of the right Gut THe Diseases of the right Gut are Inflamation warts Clefts and Fistulaes I. Inflamation comes either from violent Causes or from Medicines and corroding cauteries It is known by the sharp Launcing pain fixt in one and the same place by a vain desire of going to stool in which by reason of the greatness of the Tumor obstructing nothing or very little is voided The cure is difficult both because the part is endewed with an acute sense and because the Excrements of the Belly hinder Applications and because by reason of the heat and moisture of the place the Disease degenerates into Ulcers II. Warts are either Condylomata or swellings of the Skin of the Anus viz. Hard and callous bunchings growing out from a Melancholy humor more troublesom than painful Or Thymi or the rougher warts having a narrow basis and large superficies which do easily pour forth blood into the same which if they grow out much are called Ficus If they bleed they are worst of al especially if a disposition to a Cancer draw neer Or Crista or excerescences of flesh arising from preposterous Venery They are taken away either with the Ashes of Mouse dung boyled with Wine and applied or with the oblong shels of Fishes found by the Sea side
calcined and boyled the same way and applied That they grow not again they must be anointed with Vineger and the Ashes of the Twigs of a Vine III. Rhagades or Clests are oblong Ulcers of the Anus without a tumor and those superficial or deep Callous or without a Callus moist and pouring forth filth or dry and Cancrous they arise 1. From the too much hardness of the Excrements which in their passage do break the Skin 2. From a dry distemper having joyned with it sharp Humors and somtimes malignant where moistners take place 3. from flowing of sharp corroding humors that have a certain clamminess by reason of which they stick to the part and then an itching and most sharp pain with burning troubles them The Purgers ought to be gentle and moistning Care is to be taken of the Virulency which discovers it self by the filthy smel and evil matter A Clyster of the Mucilage of Tragacanth the Seeds of Fleawort of each one ounce and an half Fresh Butter three ounces Red Sugar one ounce Oyl of Violets five ounces is commended IV. Fistulaes do follow inflamations Tumors and Ulcers of the Anus ill Cured They are known by their narrow Orifice but a bosome lurking within There is voided thence matter somtimes watry somtimes virulent They are divided into those which do not penetrate either into the right Gut or into the bladder which is discoverd by putting in a Probe which if they bring no great discommodity are only to be Mundefied with the Decoction of Agrimony and a little Alum and the Orifice if it be too narrow must be dilated with Elder Pith that the matter be not retained but if they ought to be Cured universals premised they must be washed dilated and cut And those which do Penetrat either to the Right Gut and then the Excrements of the Belly are voided through them and liquor injected comes out through the Gut or to the Bladder and then the Water is made through them Or to them both and then a Fart is let from the Privities as wel as from the Arse All these are seldome Cured Amongst things consolidating Joel commends the pouder of Mercury Precipitate strowed on laying over it a common Plaister Ursenick prepared or reduced to an Oyl layd on and the same Plaister over it If the Fistula be in the Sphincter muscle the Excrements of the Belly issue forth of their own accord See Hippocrates concerning them V. Hither belongs also an Intertrigo which is an Excoriation of the Parts neer to the Anus arising from vehement motion 'T is Cured with Deers and Goats Suet. Chap. 2. Of the Symptomes of the right Gut THe Symptomes of the right Gut are Itching of the Anus Tenesmus the flux of the Hemorrhoids and the stopping of them Article I. Of Itching and the Tenesmus The I-ching of the Anus is a Certaine painful tickling of the same Tâ—eâ—e is no need of Signs The Differences are taken from the Causes I. One is from sharp Salt and Viscous Humors sticking to the â—phinter which must be emptyed but the Arse must be washed with the Decoction of the Leaves of Mallows Violets Roses with Pâ—anâ—ane water and a little Alum 2. Another is from the Excrements left there which are wel washt off with the Decoction of Mullein 3. Another from Worms of which in theâ—r Chapter 4. Another from an ulcer to the which the Cure must be directed II. A Tenesmus is a continual desire of going to stool with pain in which either noâ—â—â—ng or a few Mucous things are voiâ—â—d I here is no need to add any Signs somtimes the right Gut fals forth and a dropping or difficulty of Urin happens by reason of the â—â—weeâ—ness and consent of their Parts The CAUSE is whatsoever is fixt to the exâ—â—eam part of the right Gut and can stimulaâ—e its Expulsive Faculty but what that is shal be explained in the Differences The CURE must not be neglected because from neglect of it oftentimes a sordid Ulcer remains which somtimes passeth into a Fistuâ—a It respects the Causes and the pain which must be mitigated The Differences are taken from the Causes I. From the too great cooling of the right Gut which is taken away with the Decoction of â—he Flowers of mullein chamomel Melâ—loâ— Dill with the Seeds of Flax Fenugreâ—k Bran. II. From the Stone or worms concerning which see in their places III. From the cause producing a Dysentery and then the manner of Cure is the same almost with that of a Dysentery Let the quantity of the Clyster be but little the Ulcee be washed and healed The Mucilage of th-Seeds of quinces and Fleawort extracted liquid with Water or Plantane Nightshade is good adding Bole armenick or washt aloes and cast in by Clyster IV. From Cholerick humors or Flegmatick and Salt sticking to the same where a Clyster of the broth of weathers Flesh with a few drops of Oyl of Wax being given takes place c. Article II. Of the Flux and stoppage of the Hemorrhoids The Flux of the Hemorrhoids is too great a casting forth of blood by the Hemorrboidal Veins This Disease hath no need of SIGNS First of al there flowes black blood feculent and thick and it comes forth as it were by drops whiles they wipe their brich afterwards good and ruddy at last yellowish and pale From thence the thighs grow weak the Hips feel a heavy pain the color of the Face is depraved Somtimes it observes its Periods somtimes it neglects them The CAUSE is whatsoever doth either Irritate the Expulsive faculty of the Veins and arteries of the Liver or Spleen or hurts their retentive The CURE shews it must be supprest which is performed by Revulsion by opening a Vein and by the external and internal use of astringents Outwardly are good by a propriety a girdle of the Leaves of Black Hellebor bruised fresh and girt about the naked body upon the use of which if pimples be raised the pain must be taken away by its remedies Spunges which grow under the seats of hot Houses in baths if they be burnt to pouder in a new pot and strewed on Colcothar or that thick Feces which is left at the distilling of Oyl of Vitriol if they be toucht with it one only being left Inwardly is commended Essentia Martis of which see Hartman A Confection of the refuse of Iron The Old Conserve of Roses with Bole armenick c. The Differences are taken from the Partâ— and Causes I. One is of the internal which ariseth from a branch of the Spleen extended through the Mesentery about the Colon and right Gut in the Muscles of the Anus and inward part of the Gut having an Artery joyned with it that alone is there terminated It is known by a weight about the Fundament difficulty of going to stool by Clysters Suppositories or an instrument And also if a Cupping-Glass be applied as Zacutus hath done Another is of the External which proceed from
time is less resisting the Fingers cannot be thrust under the ends of the Ribs It possesseth only the Membrane that compasseth the Liver yet somtimes it fils up the whol Hypochondry It ariseth either from a viscous Humor either sprung from meats of that Nature or made such by cold alteratives given about the time of Evacuation Or from a thin crudity arising from meats drink and other things inducing cold or from a thin wind The Cure is perfected by things opening and emptying Article V. Of the Wounds and Vlcers of the Liver The Wounds of the Liver which in Aged and ill habited bodies are very dangerous but by reason of the long effusion of blood are deadly are either from external causes which are Cured by things astringent and agglutinative red Roses dryed are commended or from a Contusion which hath Joyned with it a vomiting or dejections by stool or Urin with blood it is more dangerous than a wound and degenerates into an impostumation In the Cure it requires 1. The opening of a Vein in the Arme. 2. Potions Compounded of astringent things 3. The Flux of blood being stopt the dissolution of congealed blood by its Medicines An Vlcer of the Liver is a corrosion of the same from matter or juyce The SIGNS are an ulcerous pain in the right Hypochondry a Cough a Jaundice color of the Face a voiding of putrid sanious and bloody things by the stool or Urin an Atrophy because there is neither blood made nor the man nourisht The CAUSES are whatsoever things corrode the substance of the Liver of which shal be treated in the Differences The CURE must not be neglected although it be of little Hopes for it grows foul by a perpetual filth because t is continually washt with the nourishment 't is ordered as in other Ulcers The Differences of the Ulcers of the Liver are various I. One is in the Superficies which is less dangerous another in the Substance which is deadly because a spermatical part cannot be Regenerated II. One is in the Gibbous Part which is known by purulent Urins without the signs of an exulceration in the bladder and Kidneys by difficult breathing by pain of the midriff Another in the hollow part which is known by the bloody and somtimes purulent stooles by the pain of the Guts by reason of the acrimony of the matter by the sense of pricking and heaviness about the Liver III. One is which follows an inflamation which hath ended in an impostumation and this is dangerous especially if the matter be contained in the substance of the Liver Another is which ariseth from sharp and corroding Juyces which is known from hence that it creeps on by degrees the strength not impaired a Feaver ariseth in the progress observing no type which at length ends in a Hectick Loathing of meat afflicts them especially of flesh c. It ariseth from the default of corrupt or putrefying nourishments generous Wine heats the bowel and dries it and heaps up a certain putrid clamminess and matter Chap. 4. Of the Symptomes of the Liver Title I. Of the weakness of the Liver THe Symptomes of the Liver are Weakness Cachexy a Dropsie Jaundice and atrophy The weakness of the Liver or atonia is a hurt of the faculties of the same induced by its Causes The SIGNS ought to be taken from the consideration of the Excrements of the Belly of the urin and color of the whol body as shal be manifest in the differences The Causes hurting the faculties of the liver are diseases of distemper whether it be hot or cold to which is added an external error viz. when either the chyle is not rightly elaborated in the stomach or being wel elaborated somewhat vitious is mixt with it c. The Cure ought to be perfected with things that strengthen the liver and are appropriate to it as are the liver of a wolfe a calfe of hens snailes raisons c. As concerning the Differences One is by reason of the Sanguifying faculty which either is hurt by a cold distemper or the defect of natural heat and then the excrements of the belly are like to the washings of meat new killed which the cold growing more intense do cease crudities arise with which the feet first and then the other parts abound because the veins do suffer with the liver ill affected as being their original For the cure of this serves Rupert Cranesbil bruised a lie of the pruning of vines with wine c. Or from a hot distemper in which the chyle is burnt as it were the excrements are like to the dreggs of blood c. Another is by reason of the attractive faculty and then moist things flow down by the stool like creame although there be no fault in the stomach no obstruction of the mesentery Another is by reason of the retentive faculty and then is rendered by stoole things like to the washing of flesh new killed yet seldome moist and mattery c. Article 2. Of a Cachexy A Cachexy is a diffusion of the whol body into a watry and swelled softness by default of nourishment The Subject is the whole body but those parts especially which are obvious to the eyes as the skin and the muscles The signs are a color by reason of the flegmatickness of the blood sometimes white by reason of the mixture of cholor or melancholly sometimes livid or leaden A tumor with heaviness and sluggishness especially in the feet and hands by reason of the descent of serous humors and their distance from the heart and also about the eyes in the face cheeks ey-brows because those parts by their laxness do easily receive serous humors The Cause is the fault of nutrition For though that which is put to the parts doth concrete and adhere yet by reason of the too great plenty of crudities 't is not assimilated To wit the blood is flegmatick crude and serous and that is generated such either by reason of impure nourishments corrupt and producing abundance of serum Or by reason of the bowels which either are impure either from a Scrirhus as hath been said or from the effusion of a corrupt humor as hath been observed in a suppression of the courses that purulent matter from the obstruction of the ureters returning into the veins the blood being infected hath infected the whol habit of the body Or from their corrupt substance for so vitious and corrupt blood is brought forth and carried out to every part and there concreting It leaves a vitiated substance instead of a good hence the Cachexy is various according to the nature of the blood The flegmatick affects virgins and threatens a universal dropsy Or they are weak because they have been hurt either by the continuance of diseases or by too much evacuations or by long imprisonment c. In the Cure we must diligently observe 1. That regard be had to those diseases from which the cachexy proceeds 2. If humors abound they
put to is discussed c. Or is Vitious Or by default of the nourishing Faculty when the Native heat or radical moisture fails The CURE respects 1. The Symptome it self where take place a Bath of the Decoction of the Head and Feet of a Weather of red sallow Of sweet water in which have boyled the ashes of Hazel Flax Seed the bones of a Weather bruised A moistning Diet of the Emulsion of sweet Almonds of the four greater cold Seeds with Goats Milk c. The magnetick Cure concerning which see Hartmans Chymiatry Anoyntings with Amatus Lusitanus his Unguent in Sebastianus Austrius de Morbis puerorum p. 555. 2. The Causes of which in the Differences The Differences of an Atrophy are Various I. One is Vniversal of the whol body of which we have now spoken another Particular which proceeds from a peculiar fault of a part In the Cure take place fomentations dropaces pications and percussions by which the driness of the part is corrected the obtuse heat is roused up and the nourishment is attracted II. Another is from worms which vex Children Another from the Stomach that doth not wel elaborate the Chyle Another from the Liver when that is either troubled with a hot and dry distemper and wasnt with much Choler or is very much obstructed that the nourishment doth penetrate with difficulty Another from the Spleen to which the same things may happen Another from the obstruction of the Mesentery which is familiar in the East Indies and for the most part hath Joynd with it a bulimy with a Lientery but it turnes also to an impostumation which so washes the whol mesentery that the Guts confused without any order do stick together only by thin Skins In the Cure is commended the Cross grass of which see Alpinus concerning Aegyptian plants cap. 40. See also concerning these things Bontius in medicina Indorum p. 156. Another is from the Heart which is in a Hectick Another from an Vlcer of the Lungs which happens in the Ptissick Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title V. Of the Affects of the Spleen Chap. 1. Of the Diseases of the spleen Article I. Of the obstructions of the Spleen THe Diseases of the Spleen are Obstruction puffing up Inflamation a Schirrus Vlcers and wounds The Obstruction of the Spleen is a stuffing up of the thick Humors The Part Affected is the Spleen either according to its Veins and Arteries or according to its whol substance The SIGNS are these at the beginning there is Caused a heaviness of the Hypochondry a pain of the spleen from hence a humor mixt with the blood and diffused into the whol body dies it of a Livid color makes a difficulty of breathing after exercise Poured into the Stomach Causeth nauseousness and vomiting into the Guts a diarrhy Somtimes by reason of its dryness it binds the Body The CAUSE is an earthy and thick Humor which oftentimes is collected from a Fenny Air and gross meats and by reason of the weakness of the Spleen and interception of the Passages cannot be expelled Somtimes 't is heaped up by reason of a hot distemper of the Spleen and the attraction of the Chyle unconcocted which happens after often lying down on the left side too much exerise Somtimes it stopps there by reason of an accustomary flux of the Hemrods intercepted or the suppression of the Courses The CURE is ordered as in other obstructions yet note we must have a care of the Causes from which it comes the vomits do good when as there is a straite way from the Spleen to the stomach by the vas breve Of Purgers Poly pody and dodder of time with Raysons senny with cremor Tartar are of Force Of openers the Flowers of Broom and Saxonia his electuary of steel are commended A Plaister of Ammoniacum dissolved in Vineger of Squils may rightly be applyed Premising some convenient Fomentation See Solenanders strengthning electuary in Hartman II. The Inflation of the Spleen is a puffing up of the same into a Tumor by winde The SIGNS are these a Tumor and distension is perceived with some pain but without the sense of heaviness and a weight A murmuring and sound is made The Spleen being prest doth yeild The Causes are either too large drinking of cold water or windy meats as pease chesnuts beans scallions Or thick and viscous humors which may be overcome by the weak heat and are resolved into vapors which doe easily puff up the spleen because it is spungy The Cure is as in others The Chymists applaud the burning Spirit of saturn in the extract of ferne and anoint the region of the spleen with the same thrice a day purging in an external cause is disallowed anointing with oyl of rue cappers c. is sufficient Article II. Of an inflamation of the spleen and schirrus An inflamation of the spleen is the lifting up of the same into a tumor by blood poured forth into its substance Somtimes the whole spleen is affected somtimes not The Signs are a tumor in the left hypochondry bunching out as it were towards the fore parts and as it were girting a man in the middle so it is distinguished from the paine and inflamation of the left kidney which is higher than the right there is a pulsation and palpitation of that side by reason of the arteries with which it abounds a continual feaver observing the periods of a quartan difficulty of breathing by reason of the compression of the midriffe The Cause is blood poured forth and putrefying which is either pure or mixt and discovers its self by its signs The Cure ought to follow the method of other inflamations so that larger drinking after purging be avoided least the humor be carried to the substance of the liver II. Aschirrus of the spleen is a hard tumor of the same proceeding from a thick glutinous and a hardened humor The SIGNS are a resisting tumor with an ablong hardness in the left side and that without paine to which are added a difficulty of breathing a driness of the mouth a swelling of the feet uneasy lying on the left side troubelsome swears c. The CAUSE is a thick and glutinous humor which either presently was such arising from meats of a thick juice from labors watchings which do waste that which is spirituous in the humors Or afterwards when being thin of it selfe t is hardened either by the force of heat or by medicines too much discussing or by its tartarous nature tending to induration This diffused into the whole body with the blood makes it livid and colour'd and leads to a consumption because the spleen opprest is not able to discharge its office of sanguification The CURE is more difficult if the patient have a diarrhy ensue and a lientery or water betwixt the skin follow
the greater plenty of serum than boyling in the mass of blood 9. A pulsation in the left Hypochondry which either the celiacal branch causeth especially after anger and motion or the compression of the arteries in the mesentery by the glandules the great one especially which is in the center 10. A driness of the Palate mouth and tongue by reason of the ascent of resolved vapors through the gullet and rough artery 11. Difficulty of breathing both by reason of the affection of the nerves dedicated to the muscles of the breast and of the effusion of the evil matter into the spaces of the muscles 12. A perturbation of the brain for the vapors resolved if they be acrid cause an epilepsy if obscure they darken the spirits and cause melancholy dotages if many they are authors of a vertigo if dry they cause watchings which are wont to molest most men after midnight because the chyle distributed and carried to the second concoction the spleen and the neighbouring vessels doth stir up the humors lurking in them and raiseth up vapors from them Which are carried towards the brain if into the gullet the muscles of the larynx and rough artery they cause a fear of strangling by reason of the destension of that and the contraction of these if into the nerves of the tongue the armes according to the tract of the nerves they cause a stupidity and a formicant pulse somtimes in one somtimes in the other hand And these are the symptomes yet they do not invade al. The Cause is the flegmatick cholerick and melancholy humors yet melancholy cheifly not only by their first and second quallities as they are adust viscous fixt but also according to their highest powers and strength viz. hurting by their bitterness saltness sharpness and acidity They are collected if you respect the place in the branches of the vena porta the caeliacal and mesenterical arteries the greater especially and which do wash along the left hypochondry neither the vas breve nor the arterial nor venal vessels excepted nor the caul which hath large veins from the vena porta If the cause they are gathered 1 by reason of the concoction of the spleen hurt and truely either by a hot distemper by which it attracts crude juice the watery first afterwards the thicker which stopping in the veins being destitute of a vehicle is thickened and burnt and yeelds matter for the generation of winde or by dryness hardness and scirrosity its heat debating by which the chyle not attracted subsides and the excrements remaine not being cast off as happens in a sedentery life hence about the thirtieth yeare of our age the disease for the most part invades or by an external error when the chile is not concocted either by default of the meats or of the stomach or passions of the minde which while the meat is concocting doe cal away the heat to other parts mixe choler stirred up by anger with the meats trouble the spleene in its action which abounds with many arteries 2. By reason of the fault of the glandules which underprop the vessels of the mesentery whiles they either compresse them by a tumor or being comprest in a sedentary life they render them more streight The CURE is difficult by reason of the heape of symptoms The easier if it be begining if it fal neither upon a fulage nor declining if the hemrods swelling of the veins courses come upon it If it affect men rather than women the fat and faire than the swarfie If a bleeding of the left nostril happen If blackish urines be pist freely without a feaver It respects 1. Chyrurgery by vertue of which blood must be let where note a veine of the arme may be opened if a great part of the matter is communicated to the vena cava and any inflamation afflict about the liver that the external hemrod veins may very wel be opened because being inserted to the same right gut their mouths doe communicate with the internal 2. Physick by vertue of which 1. The corrupt humor sticking in the first region of the body must be brought forth Where glysters take place and womits especially if there be much in the stomach 2. The passages must be opened and the humor prepared by things incessive and attenuating where note that al things are rather to be used in a liquid forme but if in a sollid a drauft of liquor must be dranke afterwards we must begin with the gentler and end with the stronger Amongst those things are of symples the roots of scorzonera male fern the herbs of fumitory spleenwort the flowers of burrage buglos Apples Burstorfian Of compounds the syrup of sweet smelling apples of fumitory the pouders of diacurcuma the essence of fumitory gremander c. of which formerly in the obstructions of the spleen and liver After these acid waters baths steele must be given spring and autumn which premising the evaccuation of the first passages may be given in conserve of burrage from too scruples to one dram and half upon an empty stomach first of al every third day til the twentieth before they are accustomed to it afterwards a drauft of wine must be added and walking up and down for two hours if they be able four hours after taking of it let them eate their dinner if they voide not black excrements we must forbear but if they be wholy supprest we must move the belly 3. The humor prepared must be emptied by benigne purging medicines corrected with moisteners by little and little given about the last quarter of the moon interposing baths and moistening Fomentations myrobalanes and cassia excluded In a nidorous crudity things purging choler are best in an acid purgers of flegme and melancholly taking meat two hours after that the medicine ascend not beyond the liver 4. The vapors fuming up must be diverted from the head and the heart by frictions glysters cupping-glasses causticks and other medicines as elixer proprietatis conserve of roses with spirits of sulphur and vitriol 5. The Parts which it offends must be strengthened and the simptoms taken away of which in their places The Differences are taken from the parts I. One is essentiall which we have hitherto explained Another by consent of other parts and this II. One is stomachical which is known by often spitting after feeding by sower belchings and savoring somwhat rusty by pricking of the mouth and jawes with which those so affected desire cold drink by vehement pains of the stomach which in some proceed even to the back the meate being concocted they cease by and by upon the taking in of more they returne c. It is cured by emptying by diversion by bleeding and cupping-Glasses If greate paine afflict by abstersives dryers strengtheners Another hepatical which is known by the pain of the right hipochondry loathing of meats a slow and erratick feaver the extension of the pain to the shoulders and cannel bones c. in the Cure which
see in distempers if it be hot whey is good with the juice of lemmons or of sweet smelling apples newly exprest Another from the womb whose vitious blood doth easily regurgitate either from the veins into the arteries by reason of their anastomosis or out of the arteries into the hypogastrick which gives branches to the stomach pancreas caule smal guts c. and by and by into the coeliacal It is known by those accidents which are wonte to befal those troubled with the mother In the cure we must have regard to the affects of the wombe Another is hemorrhoidal happening from the suppression of the hemrods of which in its place See Matthaeus Martinus concerning the abstruser diseases of the mesentery who handles these things very accurately Article III. Of the Scurvy The scurvy is a cachexy arising from a melancholly humor corrupted in a peculiar manner afflicting with a weakness of the thighes spots swelling of the gums and bleeding of them loosness of the teeth and other Symptomes The Scurvy was known to the ancients partly under the name of Oscedo partly of Scelotyrbe and Stomacace partly of Volvulus Sanguineus and is familiar to people inhabiting the Sea and moarish places The SIGNS are put in the definition and we shal treat of them hereafter To these ad the Vrine and pulse too much variable that for at the beginning t is thin and yellowish the tartarous matter subsisting in it by and by thick and white the humors being more corrupted t is red and by the admistion of an adust saltness shining like a lye and anon without any marke of putrefaction and thirst red sands oftentimes stick to the chamberpot Somtimes t is thick and continues so somtimes growes cleare and casts to the bottome a red sediment which resembles flower of Bricks somtimes many crude and flegmattick excrements stick above the sediment as the suspensum but in those whome the suppression of the hemrods hath occasioned this evil in them it comes forth by drops with paine and heat and conteins a tartarous matter Mucous Salt and blackish This because the pulse somtimes is weak unequal and often vermicular but fainting fits approaching by Reason of its high necessity and because the Heart endeavours to expel the Vapors 't is stronger The CAUSE is a Melancholy Humor and that 1. Crude as both the Diet and the Symptomes shew which do afflict Melancholy people 2. Serous and Ichorous that 't is like a Lie which consists of water and Salt Feculent and adust Parts which is discovered by the wandering pains and Ulcers 3. The associate of Flegmatick somtimes and vitious Humors for a Vein being opened the blood in Scorbutick people is covered over with a white Glew waxing Green or Yellow 4. After a peculiar manner corrupted after it hath remained there a long time hence many labor of an obstruction of the Spleen and Melancholly Humors who are not affected with the scurvy and in those Regions where the collection of a black Humor from the heat of the Air is Familiar the Scurvy is unknown 5. Contagious which you shal not find in other Melancholy Diseases 6. Produced from meats destitute of volatil Salt and therefore hindering spirituality in the Concoction from whence things Tartarous and Feculent stop in the first passages and afterwards flow to the Spleen in such plenty that they cannot be separated Certainly meats hardned with Smoak and Salt in which there is either little of volatil Salt or what there was is wasted by Smoaking so that nothing but the fixt Salt and Tartarous remains a thick Air and maritine places do conduce to its generation The medicines which are given bruised and tasted send forth a sharp vapor subtile and quickly vanishing which proceeds from volatil Salt the same dryed or boyled work less fresh and condite do worke more exactly 7. Primarily residing in the Mesentery Caule first Passages and the middle places between the stomach Liver and Spleen and bordering on both Bowels Secundarily in the Veins of the whol body That for if the Chyle be less purefied by its spirituality either by reason of the weakness of parts or external error it stops in them by reason of its thickness by the arrival of more 't is increased and infects the same with its feculency and saltness which it hath conceived it weakens and pollutes the neighbouring Liver and the parts dedicated to concoction both by contract and sending forth of Fumes from whence that quality is participated of by the same meats and Chyle This for that filth detained there for some time by help of the serous Humor is carried to the Liver from thence by the Veins and Arteries is distributed into the whol habit of the Body the future Cause of so many Symptomes The CURE respects three things 1. The Diet which ought to be incisive attenuating abstersive opening obstructions where note the eating of wild Pidgeons is commended that this Disease in some places is Cured by the exercise of Venery perhaps by reason of the exsplendency of natural heat Things Sugard and Milks must be avoided 2. Chirurgery by Vertue of which the basilick Vein the median Salvatella or of the Ankles must be opened but so that we forbear if the spots have already appeared if there be no Hopes of the Hemrrhoids and a Feaver affect let it be done Let the Evacuation be sparingly least the strength be dejected 3. Physick by Vertue of which 1. The matter offending must be prepared the first passages being washt so that we begin with the gentler that we act with things more attenuating if the Disease be now grown strong or the men live in a thick Air That those things be given which work by their whol propriety and be administred rather in juyces essences conserves than in Decoctions and extracts in which the volatil Salt of medicines doth vanish Things appropriate are English Scurvy-Grass which is most commended or Brooklime which hath somthing of moisture in it Horse-Radish the lesser Celandine Pennywort Mustard water Trefoil c. Of Compounds are the Danick electuary made of the berries which they calmultiber Forestus his Sceletyrbick Syrup and Mynsichtus his Antiscorbutical Syrup The essence of germander and Fumitory The Spirit and conserve of Scurvy-grass Mynsichtus his Tinctura Martis strengthned with appropriate things c. 2. It must be emptyed either by the lower Parts where take place Quarcetans Tartarous Pills or by sweats to discusse the remainder which either in a Laconick Bath or otherwise are wel raised by Mynsichtus his Theriaca Saxonica the essence of Fumitory with Salt of Wormwood or by Diureticks given with appropriate Waters 3. The Parts as the Liver Stomach c. Must be strengthened The Symptomes which afflict the scorbutical are various which affect for the most part by periods are not al found in al people some are more familiar others less but they are as follows I. Difficulty of breathing and a staitness of the breast by
fits which affects without a noise hissing and cough somtimes it hath joyned with it a darkness cast over the Eyes faintings and the Patients despairing of health It ariseth from Vapors or Humors Sticking in the Cavity of the Caul and compressing the Midriff which being stirred after vehement exercise make the Symptome more greivous 'T is Cured with Thoracical and Antiscorbutical means to which add somwhat of Eichstadius his Confection of Alchermes and Saffron II. An Itching Tumor and Putrefaction of the Gums for whenas their flesh is soft and loose 't is easily corroded by the thinner and sharper part of the Humor ascending thither It cheifly troubles Children and affects with a blackness of the Teeth Putrefaction and loosness their holes being possest with the evil Humor yet it suddainly vanishes by reason of the recourse of the Humor The Cure of it is helped by appropiate Waters if the mouth be washt with them By the Decoction of astringent plants in austere Wine adding Spirits of Vitriol and Alum which are most effectual III. Plenty of spots in the Thighs which for the most part trouble those of ful Age first they are ruddy and like flea-bitings by and by they become purple and somwhat livid at last they decline to a black color When there is many Somtimes they invade the breast the Neck Arms and Face somtimes they vanish suddainly somtimes last many yeares somtimes they turne to scales and by how much the more livid they are by so much the more dangerous They arise from the descending part of the Humor thrust by Nature to the more ignoble Parts They may be Cured by things discussive and mollefying as Baths of Juniper berries cresses Scurvy-grass Chamemel c. if they be ulcerous they are hardly cured whenas the whol thigh is gangrend by them IV. A paine of the thighs which is distensive dul breaking the bones lying deep grows Feircer towards night by reason of the motion of the melancholy humor about that time It ariseth from serous humors somtimes falling down from the head and cleaveing to the membranes sometimes poured out of the veins from the seat of the filth by the crural branches of the vena cava and insinuated into the muscles of the thighs 'T is mitigated with a cataplasme of coagulated milk with flowers of chamemel water cresses and Juniper beries boyled in milk 'T is exasperated by giving of fat things before the spots break out V. A pain of the belly which somtimes doth so goad that the sick fal into a rupture of the peritoneum It troubles by intervalls with a pulse and urine scorbutical Somtimes it lasts to the fortieth day neither is it circumscribed with the course of the collick gut And truly with a depression of the belly that it is pulled inward with the navel and this seems as if it were tyed to the loins with a distension felt according to its longitude a puiling of the right gut upwards that nothing at al is voided It ariseth from an effusion of that matter through the mesaraick veins which do not open into the gutts between the two coats of the guts Hence is a distension convulsion pulling drawing of the neghbouring parts into consent a pregression of Feavers whose Fewel is in the vessels of the bowels It is cured by removing the cause by mitigating it by laxatives and glysters by which excretion ought to be provoked The elixir proprietatis is very profitable VI. A pain of the feet about the ankles and soles which is a fore-runner of the spots and by reason of the thinness of the matter it doth as it were penetrate the parts 'T is cured by a medicine made of the flowers of elder two handfuls boyled in wine adding two drams of soap and applyed on a cloath to the part in pain VII Pains of the Hypochondries unbounded because the wind hath no passage out Nephritical either because the Matter descends by the emulgent vessels to the kidneys or because being heaped up and by the accession of an external cause thrust to the greater vessels it flows down to the kidneys Of the Loyns which sometimes arise from vitious blood conteined there somtimes by way of a catarrh falling from the head by the veins upon the spinal marrow hence the paines begin from the shoulders and by degrees creep to the Loyns VIII Paines of the head which trouble about the evening and are joined with a certain Feaverish heat which vanish away in the morning sweats they afflict those principally who contract this evil from the suppression of the hemrods They arise from vapors ascending thither They require that brooklime be given in a greater dose the quantity of hot things be diminisht the hypochondries be anoynted with things opening IX A Gout concerning which note that it is wandering especially if cold topick medicines be applyed that for the most part 't is joyned with a light palsey with a paine ceasing and returning That it ariseth from serous humors thin and apt for motion That 't is wonderfully to be observed that if a live worme be layed upon the place that is fullest of paine it skipps winds and bowes it selfe about wasts away and dyes Amongst sweaters that is appropriate which is prepared of the roots of Devils bit one ounce round birthwort three drams the herbs of Sage betony each one handful Southernwood Rue Perewinkle Savine each one pugil c. See Horstus concerning the wandring scorbutical gout Tom. 1. of his observations X. A Palsey which somtimes involves the the thighs somtimes al one side It differs from the palsey of the ancients because some motion remains 't is interrupted it assayles by little and little before it fixes it follows no such fixt stupidity paines of the colon and belly tumors breaking forth in any part and easily vanishing again It ariseth from the scorbutical matter carried to the spinal marrow by that branch which is extended from the Aorta not far from the mesenterical branch and creeps to the back bone and its vertebraes 'T is Cured if the tendons be not rigid the body being once or twice purged by the use of brooklime and scurvy-grass if they be hardned and rigid by emollient cataplasmes premising fomentations of water in which the leaves of Sage Betony Rosemary with elder and melilot Flowers have been boyled XI A Convulsion and contraction which somtimes grows so strong that the sick are not able to extend any joint and they are drawn as it were round 'T is joined somtimes with a rigidity of the turning joint of the mouth on which the lower jawe under the place of hearing is reversed so that the mouth shuts close that it cannot rightly be opened It ariseth from the rigidness of the tendons when in that tartarous but serous humor this being discust that is left and dryed 'T is cured by things mollefying and discussive XII A deepe sleep which somtimes afflicts with a slow continual Feaver somtimes with an intermitting it comes
with a fit and that going away it ceaseth 'T is cured with water-cresses which grows in clear waters XIII A Palpitation of the heart and swouning Concerning which we must know that it serves for the most part when the patients rise in their bed the humors being stirred somtimes 't is so great that they dye suddainly 'T is a certain sign of the scurvy if it afflict in a disease that is smal to the sense It ought to be opposed by medicines given six or eight times a day with things antiscorbutical XIV Vomiting which is rather a vaine endeavouring 1. To vomit that hath no heaviness or pain of the stomach going before it is not taken away by medicines that strengthen the stomach 't is rather quieted with milky things that do lenify the humors XV. Too much spitting which ariseth partly from vapors raised up to the mouth from the bordering places of the stomach partly from meats corrupted in the stomach and carried up to the mouth along the course of the membrane lining the gullet partly from a serous humor poured forth from the spleen into the stomach through the Vas breve 'T is prevented by avoiding of sharp and hot medicines which diffuse the matter XVI A Flux of the belly both diurnal and nocturnal which brings forth compacted excrements but exceeding the meat in quantity sometimes of a green somtimes of an ash color It ariseth either because the nourishment not attracted by the weakness of the liver is corrupted or because the serous humor flows back from the spleen to the gutts or because the serum which might have been dissipated thorough the habit of the body in forme of a vapor by cold condensing the pores is driven back to the guts or the vessels especially in the morning time when the body is open with heat being bound up by cold 't is thrust back towards the greater vessels and carries with it to the guts whatsoever it findes in the way and then in the cure things astringent are most hurtful A dry dyet must be used wormwood wine diluted with the decoction of succory is good or because whiles the serous humor grows hot with the Feaverish heat and cannot be exhaled it is turned thither and then syrup of Roses solutive and things of succory are good 'T is somtimes bloody but without paine and with other signs of the scurvy It ariseth from Feculent blood abounding in the veins and poured forth into the guts through the ends of them XVII Feavers which differ far from other Feavers For the sence of cold extends it selfe to six or seaven hours the pulse is slow weak unequal in the declination great and hard in the vigour the urine is as we have said formerly Somtimes they trouble thrice somtimes four times a day most commonly they are mixt of the type of a continual and tertian The continual if they be exasperated by purging medicines or hot potions do kil XVIII A dropsy which afflicts both with a harder manifest tumor and distension of the spleen liver or belly and with a greater difficulty of breathing than otherwise which after the use of purgers doth most of al torment and because it proceeds from thick vapors they being discust it ceaseth XIX An Erysipelas Which somtimes molests every week somtimes every month it proceeds from ichorus humors corrupted after a peculiarmanner In the cure the water of elder flowers with Carduus water is good XX. Vlcers which are dry and yeild no matter or filth they trouble those most that are of a cholerick temperament They possess not only the thighs but other parts also somtimes they become so gangrenous so that they feel not iron inflicted on them they ought to be cured without any biting or pain brooklime alone boyled in drink layd on them twice a day doth much good and also the ointment of diapompholygos in great putrefaction some Mercury precipitate or spirits of vitriol must be mixed with it XXI Hard bunchings in the whol body great tumors which stick in the groin the glandulous parts of the body like unto muscles they are without paine while the patients are quiet with paine when they walk If they break forth suddainly and by and by vanish they presage a palsey A cataplasme of the root of the greater comfry of bryony wormwood the crum of white bread boyled in milk is commended in the cure XXII An Atrophy which proceeds at first because the faculty is disapointed by reason of vitious nourishment in process it ariseth by reason of a vitious disposition imprinted on the parts by the defluxion of humors For the cure is commended goats milk if the goat be nourisht with things antiscorbutical I omit the rest See concerning this disease Sennartus Horstius and others Title 8. Of the affects of the Kidneys Chap. 1. Of the diseases of the kidneys Article 1. Of the Straitness of the Ridneys THe diseases of the kidneys are straitness inflamation the stone wounds and ulcers The straitness is an obstruction or compression of the vessels in the kidneys induced by its causes The Signs of it are the retention or paucity of urine and from thence a sence of distension and heviness about the loines in one or both sides c. The Causes shal be explained in the differences the continent is put in the definition The Cure varies according to the nature of the differences The differences are taken from the causes inferring the obstruction or compression I. One is from a tumor Phlegmon Scirrus compressing them too much dryness whiles the substance is wrinkled and contracted which wil discover themselves by their signes although the last is very hardly known II. Another from humors viscous thick clammy which is known by their redundance the absence of pain and a Feaver 'T is cured 1. By emptying by stool or by vomit 2. By things detersive incisive and diuretick The waters of parsly rest-barrow with Fernelius his syrup of radish are commended The spirits of salt tartar vitriolate with a Julep of violets c. III. Another is from clotted blood which hath fallen out of its vessels and concreted there 'T is known from hence that pissing of blood went before and causes enducing it as blows falls c. 'T is dissolved with chervil water dyers madder with the seed of cresses spermaceti and mummy made into a pouder IV. Another is from matter which is generated there or flows from some other part It is known by the signs of an ulcer or impostumation in the kidnies and the urine somtimes purulent 'T is cured by abstersives V. Another from the stone of which shal be treated hereafter in the meane while observe that gravil doth sometimes do it which either is produced in the proper substance of the kidnies which is known from hence that 't is hard and red and thence rapt with the violence of the urine running is carried into its hollow part afterwards is thrust down to the bladder and when the
Gut and Womb and purulency of the Kidneys there follows a dropping Upon the falling down of the Womb the Urin comes by drops and is a little biting Another is simple and without pain which is known by a white Watry Urin by the Age Complexion cold course of Diet pregression of a burning Feaver It ariseth either from the refrigeration of the bladder it self and the Muscle shutting its neck and then Diagalanga Mithridate c. are wel taken inwardly Oyl of Rue is wel outwardly applied Or from a Compression of the bladder which is wont to happen in great Bellied Women Article V. Of a Dysury A Dysury is a making of burning Vrin somtimes little somtimes much with pain without interruption arising from Causes both external and internal affecting the Vrinary passage The SIGNS are evident for the pain is easily perceived by the Patient The CAUSES are whatsoever can dissolve the continuity of the Neck of the Bladder or of the urinary Passage or Cause pain in pissing The CURE is Difficult if it fal upon Decreped Old men if a suppression of the Urin happen with it It respects 1. The Cause which must be moved by the aforementioned emptyers which ought to be followed with essence of Turpentine one dram with Parsley water and Syrup of Citrons 2. The Pain which is mitigated with warm Milk cast in by a Catheter by dipping the privities in a Vessel ful of Milk by a Cataplasme of Pellitory of the Wal with Oyl of Scorpions c. The Causes raising the pain do afford us the Differences One is from things external as Cantharides and then milk is good from Poyson and then we must act with things alexipharmacal Another from internal which are 1. The Acrimony of the urin of which formerly The water of bean flowers or its fresh Cods given with Syrup of Liquorish or Poppies six ounces weight before meat is good Also Fallopius his Electuary in Schenkius in Exoter Experim Gent. 4.19 2. An Inflamation whose pain is encreased the bladder being contracted to send forth the Urin and compressed after the emission which oftentimes an exulceration follows 3. A Stone striking against the Neck of the Bladder in pissing 4. The Seed moved in men buâ—sticking in the Passage and by an Acrimony contracted corroding the Passage which is wont to happen in the French Pox. 5. A white and milkie matter which somtimes is sent forth in such abundance that when 't is setteld it fils one half of the Chamber Pot. The which ariseth from a Vitious Conâ—â—ction in which the Salt and Tartarous parts are not separated but are attracted by the Kidneys It is Cured universals premised by the use of Hyppocrist or Mallago Wine Article VI. Of Pissing of blood matter and Hairs Bloody Pissing is a voiding of Blood together with the Vrin arising from the heaping up of the same in the Bldder The SIGNS are that the Urin doth not shine and hath the Color of Water in which the flesh of beasts new killed is washt The CAUSE is explained in the definition and in the Difference more shal be said The CURE must be hastned if the evil be inveterate least it lead to a Consumption or cachexy If it be cast forth in abundance least it stop in the Bladder and putrefie It must be turned against the Cause The Symptoms requires other things being alike things astringent condensing and consolidating amongst which do excel Yarrow with the white flower the Tincture of emralds the Arcanum of agrimony and Cinquefoil Mynsichtus his Decoction c. The Difference is taken from the Parts that pour forth the blood One is from The Kidneys which is known by this that it is plentiful is exquisitely mixt with the whol Urin that being as it were diluted with it 't is thin ruddy liquid and sertles without clotting together It ariseth either from the Anastomosis of some Vessel in them and then 't is made plentiful and high colored or some violence or wound hath went before or there are signs of Fulness or the blood is too thin Or from the corrosion of a Vessel and then the blood is voided in a lesser quantity especially at the beginning Or By a Diapedesis and then the Urin is lightly dyed with a red color The Cure also requires opening a Vein in the Arm which must be followed with the use of astringent means inwardly and outwardly The Trochisks of Gordonius are good Another is from the Liver either weakned or opprest with blood or affected with the same diseases as I said even now and then there are no signs of the Kidneys affected we must consult with the Chapter of the diseases of the Liver Hither belong the suppression of the Hemorrhoids of which in its place a wound of the ureters from stones passing through them from which very little blood flows forth c. Another from the Sphincter muscle of the neck of the bladder and then the Urin is not equally spred over with it the blood setling goes into clots the pain for the most part oppresseth in pissing and burns as it were the Root of the Yard other signs either of an Ulcer or of a Vein broke are present the Cure is the same Another from the inward Passage of the Yard and then it oftentimes comes forth without the Urin that which comes with the Urin clotting together presently sinks II. Purulent Pissing is a voiding of matter with the Vrin heaped up in the Bladder 'T is heaped up 1. By default of the bladder it self either because that is troubled with an Ulcer or because the blood conteined in the bladder is turned into matter and then the matter is voided less mixt with the Urin with branny Scales 2. By Default of the ureters and then a little swims a top like Hairs By default of the Vrinary Passage of the Spermatick Vessels and the parastatae and then in the first place it comes forth sincere 4. By default of the Kidneys Liver breast in as much as those parts do transmit matter through the Veins to the Bladder and then the matter is accurately mixt with the Urin if any thing thicker be a Part it flows forth towards the end III. A Pissing of Hairs or Trichiasis is when with the Vrin a mucous matter is voided somtimes like to Hairs somtimes to thin Leaves Those Hairs somtimes equal the length of one or two hands breadths The Cause of them is a thick and viscous flegm dryed and knit together in the Veins by heat which in its long passage through the narrow Veins of the Kidneys and ureters is extended to so great a length See concerning this Horstius his fifth Section Epistol medica In the Cure Spirits of Turpentine with Syrup of Marsh-mallows is good Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title X. Of the Affects of the Genital
Parts in Men. Chap. 1. Of their Diseases Article I. Of the Diseases of the Stones THe Diseases of the genital Parts in men have under them the Diseases of the stones Cods and Yard The principal Diseases of the Stones are which follow I. A Distemper and that either hot which is known by a proneness to Venery by too much and hot Seed by heat of the stones by swelling of the Veins about them with blood 'T is Cured by a contrary Diet and cooling Medicines of Littice Water Lillies Purslane but especially by those compounded of Sugar of Saturn and sallow Leaves Or Cold which is known by little and Watry seed by casting it forth with little or no Pleasure little desire to Venery cooling Causes went before or immoderate and unseasonable Venery 'T is Cured by a contrary Diet and taking of medicines inwardly Betony Calamint Marjoram Sage Nettles Nutmegs Diamoschum Outwardly Oyl of Costus Spike of Aunts Or moist which is known by this that the Seed is cast forth too soon Or dry which yeilds little and thick They are Cured by their contraries II. A Tumor which either is an Inflamation in whose Cure for of the rest I have nothing to say observe I. That whiles Medicines are applied to them the ligature ought alwaies to tend towards the upper parts that they may not hang down too much and the defluxion may be less 2. To intercept the flux a defensive must be laid on the side of the Pubes where the Veins and Arteries from the belly tend to the stones and Cod. 3. Other things being a like the Decoction of Agrimony with Wine and Vinegar is commended The Root of wild Cowcumber likewise boyled The Herb Paris green bruised and applied c. A Schirrus or another cold and hard Tumor which oftentimes ariseth from an Inflamation ill Cured 'T is taken away with a Cataplasme of Littice Roots boyled in sweet wine with the flowr of Flax Barley Faenugreek Onyons c. Which must be followed with a Liniment of the Balsom of Sulphur and the Plaister Diasulfuris Or an inflation for the Cure of which serve the Leaves of Henbane and a drauft of Juniper water one ounce weight every day with the Rowls of Diacyminum III. Vlcers which because they are in a moist place are dangerous and somtimes turn to a Cancer or Gangreen They ought to be washt with the decoction of Roses Leaves of Speedwel and Plantan they may be mundefied with the Oyntment of the Apostles IV. A Conâ—usion which is joyned with a great pain it corrupts their Oval Figure and oftentimes takes away the power of generation We must timely oppose the pain least a Defluxion be Caused Article II. Of the Diseases of the Cod. The Diseases of the Cod are Inflamation Excoriation Wounds Vlcers and Rupture Of them there is no need to say any thing An Excoriation is often Caused by the Urin the upper Skin being corroded and 't is Cured by sprinkling of Pompholyx or dryed Myrtle finely poudered searced and mixt with Frankincense or Myrrh A Rupture of the Cod is a Tumor of the same arising either from the cause falling down into it or from wind or water collected there or a masse of Flesh generated there The Species of it are four if you consider the Differences I. One is windy or a Pneumatocele which is known from hence that the Cod somtimes also the stones is very much distended without a weight heaviness the wind is felt if the Cod be prest with the hands and is removed from place to place w th a noise It ariseth from winds which are either collected there or transmitted from the neighbouring Guts and Belly and 't is most familiar with Children 'T is Cured premising universals by things discussing outwardly and inwardly applied A Cataplasm of Bay-berries the flower of Beans and Fenugreek with Bran the pouder of Cummin seed ammoniacum turpentine oxymel and oyl of bays mixt together is good II. Another is watry or a hydrocele which is known because there is perceived a waving the cod appeares as it were shining the tumor alwaies continues at the same bigness neither doth it go up into the belly by pressing it It ariseth from water which for the most part flows thither from the belly for those causes which are mentioned in the dropsy It is cured 1. By prohibition that the watery humor be not generated or flow thither of which see the differences 2. By emptying the water fallen thither either insensibly to which end the former cataplasme wil serve or sensibly by opening of the cod of which see Authors 'T is divided diversly 1. One is from water only distending the cod another also from wind joined with it in whose cure we must have regard to both another from flesh growing together about the stone whose cure must be warily handled that it turne not to a cancer 2. One is with a dropsy and then the cure must be directed against the dropsy Another without a Dropsy in which although there is not such great plenty of water that it can raise up the belly into a tumor that there is somwhat of it collected in the cavity of the belly by reason of the weakness of the parts especially an external cause being added as striking c. The tumor either possesses the whol cod or only one side and then the humor sticks in the erythroidal membrane that conteines the stone The right stone never alwaies the left swels Or the fault is in the left kidny through which when the serum cannot descend it fals through the seminal veine proceeding from the emulgent of the left kidny into the erythroidal coate from the cure of which we must either abstaine or the cod must be opened only in the lower part Or it is not and then the cod must be cut in the upper part neer the groin that both the humor may be emptyed and the afflux of more through the skar of the erythroidal coate be hindred See Frabricius his observations 3. One is when the water is conteined between the erythroidal coat and the darton in which the tumor is rounder like an egge the stone is hidden from the sight and touch the cod it self is more white and is distended little or nothing another is when 't is out of that betwixt it and the adjacent skins in which the stone is to be felt the cod is more distended Another when 't is in its proper skin or coate growing over it in which the tumor is every where globical resembles the draft of another stone III. Another is a fleshy rupture or a Sarcocele in which somthing fleshy is bred It is known by a hard tumor increased by little and little afflicting without a tumor of the groine by which it is distinguished from a rupture of the guts 't is for the most part in the right stone because nature doth most comodiously cast off the blood to the stones by the seminal veine issuing
hangs forth like a Taile The SIGNS and CAUSES are the same as in a Tentigo only that Women fear Copulation The CURE is also the same if it must be cut off it must be done either with a Horse Hair or a silken thred dipt in sublimate water or by Iron Article II. Of the straitness of the Neck of the womb The straitness of the Neck of the womb is either a stopping of the same or of the Orifice of the womb either by compression or a growing together The SIGNS are the Flux of the Courses denied in them in whom they were wont to flow through the Neck a sense of pain with a weight The CAUSE is either natural when it affects from the birth or accidental of which in the Differences The CURE varies according to the Nature of the Differences The Differences are taken from the Part and the Causes I. One is of the outward Orifice which is called of the Pudendum in which the Courses which flow both by the neck and by the womb are disappointed there can be neither Copulation nor Conception because neither the seed nor the man is received Another of the inward which is called the Orifice of the Womb in which the seed received presently flows forth again conception can in on wise be II. One is by way of Compression which is Caused 1. By a Fat Caule lying on the mouth of the womb 2. By a stradling of the Thighs 3. By a stone in the bladder 4. By a Tumor in the right Gut of which in their place Another is by way of growing which is caused 1. Either from the birth and then either flesh stops it which is red to sight soft to touch or a Membrane which is white to sight hard to the touch In the Cure 1. The Part being moistned with warm Fomentations it must be cut streight up taking Care that the Neck of the Bladder be not hurt 2. The humor must be drawn forth and a tenâ—must be applyed dipt in a suppurating Medicine 3. And astringent pouder must be had in readiness for fear of a Flux of blood 4. The following daies the place must be washt with honey water and we must act with things that Cicatrize 2. Or after the birth cheifly from an Vlcer and then either the sides of the Neck are grown together in which case we must use incision but very warily or there is a Callous substance which first must be cut off with a Pen Knife or a Spongy and Luxuriant flesh in which first of al we must use dryers and discussives as brithwort Frankincense Myrrh Mastick afterwards we must apply corrosives without pain at last we must cut it Article III. Of the pustles Condylomata and Hemorrhoids of the womb Pustles of the womb are little bunchings arising in the neck of the womb which by their Acrimony do Cause itching and pain The SIGNS are Itching Pain a folling down of Scales like flower to which we must add a Speculum Matricis that the affect may be the better discovered The Cause is cholerick sharp adust and thick humors which emptied into moist and loose places do insinuate and immerse themselves in them The CURE respects the causes universals being premised where amongst preparatives prevaile syrup of Fumitory of succory with the decoction of hops topicks discussing and mitigating the humor especially baths and halfe baths which must be followed with washing the part with wine and niter But these must be often repeated They are divided into benigne and malligne or venereal which are stuborn and contagious they ought to be washt with the water made of aloes the quantity of one vetch flower of brass the quantity of half a vetch flower of brass the quantity of half a vetch pouder'd and mixt with white wine one ounce plantane water and of rose heads each one ounce and kept in a wide mouthed glass II. Condylomata are swellings of wrinkles in the necke of the womb with heate and paine There is no need of Signes because they appeare to the eyes oftentimes if there be many they resemble a smal bunch of grapes The wrinkles hang forth like knobbs which appear in the fist clutched But they swel more when the courses flow The CAUSE is Thick and Adust humors The Cure in general respects the taking away of the causes and repercussion and drying As concerning the Differences Some are with an inflamation in which the pain and heat is greater the condylona is hard In the Cure we must act with anodyne half baths and perfusions Others without an inflamation which if they be new we must repel and dry if cold and inveterate we must first mollefie then disgest and dry Here take place the pouder of egg-shels burnt the oyntment of trochisks of steele one dram redeuced into pouder and mixt with oyl of roses and wax adding halfe an ounce of the juice of mulein The oyntment of the mad apple concerning which see a Castro l. 2. c. 25. de Morb. Mulier If the condiloma yeild not to these medecines it must be cut off by an instrument and astringent pouder strewed on III. The hemrods of the wombe are smal swellings like unto the hemrods of the anus raised in the necke of the wombe by an afflux of Feculent Blood The Subject is the neck of the womb for there they are where the veins doe end as in the hemrods of the anus and these are lift up by an afflux The Signs are manifest for they are discovered by the sight if a speculum matricis be applied the women looke pale and are troubled with a weariness The Cause is Feculent blood which when sometimes it flows to these veins not at its due time there stopping it becomes thicker that it cannot penetrate the orifices The Cure is order'd 1. By revulsion by opening a vein in the arme 2. By derivation by opening another in the ankle They are divided twofould I. Some are painful which by the paine it selfe are distinguisht from the courses and are cured by things that mitigate the same especially half baths and the Cataplasme of a Castro l. 2. c. 26. de Morb. Mulier And also with opium which notwithstanding is safer in the hemrods of the anus Other without pains to which what is and shal be said ought to be applied II. Some are open which flow either moderately and then the business ought to be comitted to nature Or too much so that the strength is dejected and there is feare least an evil habit of body be induced and then for revulsion blood must be taken from a vein of the arme at several times For purging myrobalanes tamarinds and rhubarb serve At last we must act with things that stop blood Others are blind from which no blood at al flowes forth The Cure is perfected by emptying of blood by emollition and fomentation of the part with mollefiers and things opening the mouthes of the veins and discussing the matter By artificially opening
is cold and happens to them cheifly who lead an idle and sedentary life 'T is cured as the former yet observe that the fume of the shaving of Ivory and Sage boyled in wine and water conveighed through a pipe before supper is commended Sulphurous baths beare the palme away in outward things we must have a care of astringent means least they detain the excrementitious humors Another is dry which is known by the scarceness of the seed and courses slowness to venery dryness of the mouth of the womb the color of the lower lip a blackish red with continual clefts It ariseth somtimes from the very birth whence the patient hath a dry temper and slender constitution of body Somtimes by reason of age whence they cease to breed Somtimes from diseases themselves viz. an inflamation c. somtimes from defect of blood which ought to moisten it either because 't is not emptyed by it by reason of the straitness and obstruction of the veins or because being emptyed through the neck it comes not to the bottom 'T is cured 1. By a contrary dyet in which too much labor watchings fasting sadness are very much to be eschewed 2. By the use of moistners amongst which do excel burrage bugloss mercury Marsh-mallows violets amongst externals baths of sweet water and anointings with oyl of sweet almonds white lillies hens grease the marrow of calves leggs c. The cure is difficult if the dryness be of long continuance and hectical II. One is simple to which belongs what hath been said before Another compound most commonly cold and moist which is known by the former things compared amongst themselves It ariseth from flegmatick humors whether derived from the whol or produced by the whol It is cured 1. By preparation of the matter by hot hysterical means 2. By emptying and that universal of the whol body by things that purge flegme By particular of the womb it self of which we must have the greatest care if nothing proceed neither from the whol nor the parts And here pessaries do much also sulphurous and drying baths by sweaters which are here very much commended viz. with the decoction of Guajacum china sarsaparilla lentisk wood c. 3. By a contrary dyet Article 2. Of the straitness of the vessels of the womb The straitness of the vessels of the womb is an interception of the same from its causes The signs are both a retention of the courses that they cannot flow and an hindrance of conception by reason the falling down of blood is intercepted The cause and cure shal be expounded in the differences 'T is divided twofold I. One is from external causes as medicines and astringent baths which is known by the relation of the sick 'T is easily cured and we must act with moistneâ—s and mollefyers Another from internal of which in the following difference II. One is from a Skarre flesh or membrane growing on the orifices of the vessels or from a growing together of the mouths of the veins after a violent drawing forth of the secundine which is almost incurable yet some tryal may be made with things mollefying Another from obstruction which thick viscous and plenty of humors do cause whether they flow thither from the rest of the body the heat not being able to attenuate them or be heaped up in the womb it self by reason of the weakness of heat in that It is known by this that there are present the signs of a cold distemper a moisture like snivel somtimes flows forth from the womb It is cured as other obstructions Revulsion hath its place if the matter flow thither Amongst openers of obstructions are commended sharp and bitter medicines that move the courses steeled wine baths corrected with mollefyers and openers Another from compression which is caused either by a tumor and scirrus consisting in the womb or without it and then the signs of a tumor are present The evil is almost incurable or by the too much fatt of the neighboring parts and then that is wholy manifest to the sence we must act with things that do extenuate Article 3. Of an inflation of the Womb. An inflation of the womb is a distension of the same by wind produced out of a cold flegmatick and flatulent matter by default of a weak heat 'T is called also a windy Mola by reason of the false hopes of a conception The signs are a distension of the womb consisting in the region of the belly which is somtimes increased somtimes diminisht somtimes 't is extended to the sides somtimes to the navil loins and midriffe It is distinguisht from a dropsy by its lesser bulk want of thirst by the increasing and decreasing of the tumor by a less wasting of the upper parts From a dropsy of the womb by the foregoing of causes generating wind by a noise less heaviness greater distension by feeling an extensive and pricking pain in the neighboring parts From an inflamation of the guts because here neither are pains nor costiveness of body because the courses are stopt the feet and hollow of the eyes do swel and color of the body is changed because the woman pants is greived and when she wakes out of her sleep breaths with her neck upright From a mola by the want of heaviness and hardness in the belly with a weight moving it self from side to side when they move From a conception by the sound and increase and decrease of the tumor by wanting of motion like to the moving of the infant for if the belly be prest strongly the wind being driven to the neighboring parts a certaine beating motion is felt in the whol belly The cause is exprest in the definition the matter it self is either generated in the womb it self Either by reason of the suppression of the courses or by interception of the purgation after a delivery or proceeds from elsewhere either by the veins or by the feed vessels But the weakness of heat ariseth for the most part from the external aire stopping by its coldness those impurities in women lying in which seek a passage forth from hard labor abortion stoppage of the courses c. The cure if you consider the method differs not from the cure of other inflamations so we have respect to the part Observe that amongst purgers Species hierae and diaphenicon with castor are commended For suffumigation Nutmeg of which Hartman in his chymiatry for plaisters the plaister of bay berries with treacle for drinks nutmeg bruised boyled with the roots of feverfew and drank with six ounces of wine two drams of Sugar The Differences are taken from the part it self One is when the wind is in the cavity and then the mouth of the womb is so closedup that none of it can get forth when either the woman is moved or her belly perâ—t with the hand a sound and noise is perceived But that it may be conteined in the cavity is certain both because the womb
because 't is on every side guarded with bones 2. If it be wounded 't is known by the Situation pain and matter that flows forth 3. That it may be cured as appears by the Caesarean birth but 't is dangerous by reason of the conâ—â—â—t of the part with other members 4. Or it happens on the bottome of the womb and then that pain is less and easier Cured or on the Neck and then the pain is greater and harder to be Cured because that is more membranous and continually abounds with moisture III. Concerning Vlcers we meet with nothing of worth which hath not been touched on formerly unless perhaps we may add that it doth somtimes so Putrefie that it must be cut out and fals away the woman surviving For consolidation do serve the Balsam of sulphur and the Plaister of the same concerning which see Hartmans Chymiatry in the Chapter of a Consumption Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XII Of the Symptomes of the Womb. Chap. 1. Of the Common symptomes Article I. Of the weakness of the womb THe Symptomes of the Womb are either common to Women in al states or are either more familiar to those that live out of wedlock or proper to the married Those common are a weakness of the womb Pain a stoppage of the Courses a dropping of them too great a flux a difficulty of them a discolouring an inordinate flux a womans flux a gonorrhea A weakness of the womb is a sluggishness or defect of the same in performing its actions induced by the fault of a distemper occult qualities and the native heat The SIGNS are a languishing desire of venery an inordinate flux of the Courses when they are at hand a pain in the loyns and pecten little or no pleasure in copulation often abortions a breaking forth of wind from the womb For the actions of the womb are a desire of Venery a voiding of menstruous blood at due times the ejection of seed in the act of Venery and the retaining of that received from the man a keeping of the young one conceived to the due time and the exclusion of it when 't is perfect into the world The Nature of the Causes shal be explained in the Differences The Cure must be directed against the Causes of which there The Differences are taken from the Causes One is from the distemper of the womb which if it be Cold the womb cannot perfect a mean quantity of nourishment therefore it heaps not up many Excrements If moist neither the blood nor seed nor young one are rightly conteined See the Cure above Another is from occult qualities which the womb hath is apparent from hence because it hath a singular Sympathy and antipathy with divers things desires mans seed is delighted with sweet things c. And then the affect riseth from no evident Cause There is found no excess of moisture or coldness In the cure Medicines must be applyed that are proper by their whol substance Another is from the innate heat either choaked or dissipated and then the affect is dangerous because the heat is difficulty renewed In the Cure we must act with restauratives as are Cinnamon Nut-Megs the Species Diaxyloaloes Aromaticum Rosatum c. Article II. Of the Pain of the womb A Pain of the womb is a sad sense of the same proceeding from a solution of continuity induced by its Causes There is no need of Signs when the Woman her self makes known the pain It affects both Women that are free and great with Child and past labour It torments as pains of the collick do in the lower belly whenas the ligaments of the Womb are carried to the Hips and Loynes so far also it extends it self The Cause is whatsoever can dissolve continuity The Cure respect 1. The mitigation of pain by anodynes 2. The removal of the Cause of which in the Differences The Differences are taken from the Causes I. One is from corrosion which cheifly happens in Ulcers the Womans flux vitious Courses c. It offends most of al the Neck of the Womb. The Cure must be directed against those affects Another from distention which is caused 1. By a clot of Blood sticking in the Cavity of the Womb and then a plentiful flux of Blood preceded from the womb the pain is fixt and is perceived most of al about the Orifice of the womb when as Nature by the continual endeavoring to expel it doth draw the right Gut and bladder into consent 't is joyned with a tenasmus and often pissing In the Cure we must respect the dissolving of the clot for which Treacle with Wine is commended and the emptying of it and if hath stayed long there the Malignity of it 2. By Menstruous blood when either the Vessels are not wide enough or that is too thick which also may happen from cold drink especially if the woman were hot after exercise and then the Causes went before which occasioned it there are signs of the Courses supprest or not flowing rightly The cure must be directed to the same 3. By vitious Humors sticking in the Cavity or Vessels of the womb and then we must act with emptyers and preparatives 4. By wind which ariseth from the boyling of the vitious Humors Which somtimes copulation causeth And then emptying must be ordered we must act with things that discuss wind of which in the Chollick 5. by an inflamation of the womb of which formerly 6. By seed retained and corrupted and then we must look to the suffocation of the womb Article III. Of the suppression of the Courses A suppression of the Courses is a retention of the menstruous blood by reason of the streitness of the passages or the fault of the blood The SIGNS are afforded from the relation of the woman her self but if they wil not confess In Virgins 't is known by this that the blood stopt doth wander up and down in the Veins and cause obstructions changes the colour of the body induceth a Feaver c. In women that 't is carried to the womb and infers Diseases of the womb 'T is distinguisht from the retention in childing because they with Child are little changed in the affections of their mind they retaine the Native color of their body they find the Symptomes dayly more mild they perceive the motion and situation of the infant the third month They have the mouth of their womb shut up and hard The CAUSES are a streightness of the veins and the fault of the blood of which in the differences shal be treated more at large The Cure must be hastened because that suppression doth produce many diseases as a feaver a leucophlegmatick a dropsie vomiting of blood c. 'T is difficult if it be of long continuance if it hath exceeded the sixth month for the most part 't
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of thâ— rootes of gentian dittander each five grainâ— with syrup of bay berries and given one scrâ—ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a
either a too plentiful or more continued purgation of them than is convenient arising either from the fault of the blood or of the womb or of the veins There is not much need of signs especially if there follow a want of appitite crudety an evil color of the face a swelling of the feet and the rest of the body an atrophy cachexy c. The cause we have layd on the blood the womb or the veins but whence these are in fault shal be explained in the differences The cure is difficult if it be of long continuance None at al if it happen to a woman growing old It reqiures 1. A restraint of them by revulsion interception thickning of the blood stopping up the vessels by astringent means and other things Yet it must be stopt by degrees if there be a great plenty of blood and it happen by way of crisis the which falls out seldom Here take place Heurnius his pouder of the seed of white henbane white poppy each one dram of the bloodstone red coral each half a dram camphure half a scruple given half a dram weight The pouder of amber sanguis draconis the bloodstone red corral purslane seeds each one dram pomegranate flowers two scruples easterne bole armenick two drams given from one dram in three ounces of plantane water Asses milk with steel Ferdinandus his aqua mirabilis histor 33. The trochisks de carabe the benes of a man strongly calcined Zacutus his pills l. 9. prax histor p. 185. His plaister there The plaister of saxonia made of the sut of a chimney volatil floure c. a pessary made of heggs and asses dung with the juice of plantane and the mucilage of quinse seeds Specificks are inwardly Forestus his pouder of a turtil l. 28. obs 10. The salt of the ashes of the same the thin skin of geese feet dryed and given from one dram to two scrupels Outwardly a girdle of the leaves of bastard black hellebore bruised Of which Renealmus obser 21. The differences are divers which do cheifly respect the causes 1. One is from blood which 1. either is derived from the bottom of the womb in which the blood is blacker and for the most part clotted Or from the neck which is more ruddy and fluid 2. 'T is either plentiful or sharp or serous Of which in the following difference Another from the moistness of the womb of which see formerly Another from the fault of the Veins concerning which consult with the third difference One is from plenty of blood which is known by this that either the vessels are opened or broke in women especially whose courses have stopt a long while and afterwards do breake forth more plentifully There are signs of a plentitude the blood which comes forth doth easily concrete into clots In the Cure we must respect 1. Bleeding which if it be ordered for evacuation it concernes a vein in the arme the liver veine cheifly If the strength be feeble 't is ordered in the salvatella of each hand if it be for revulsion it must be done at several times because being repeated it revells more powerfully 2. Cupping-glasses which for evacuation may be applied to any part if you except the lower as to the back shoulders and that with scarification for revulsion they ought to be set to the breasts without scarification and upon a difficulty of breathing ensuing they must be removed 3. Ligatures frictions of the armes c. Another from sharp blood which is known by this that there is a corrosion of the vessels joyned with it there are signs of choler The blood is detained and corrupted in the womb it slides forth in greater quantity In the Cure let purging be administred by syrup of roses solutive and leaves of senny See things that thicken it above mentioned Another from serous and watery blood which is known by this that either the liver is faulty by its weakness or the kidnies by reason of their weakness do not attract the serum The blood flowes forth in lesse quantity and is not easily clotted that which is flowed forth if it be received on a linnin cloath and dryed in the shade discovers it self by the colour The Cure attends the diseases themselves III. One is from an Anastomosis in the cure of which observe that hot things ought to be mixt with cold least the veins be obstructed the ventilation of heat be prohibited and a feaver induced that pessaries may be applied if the opening be in the vessels of the neck where oake leaves and unguentum Commitissae are good that baths must not be used unless they be somwhat cold or whose astringent power overcomes their heat Another is from a Diapedisâ—s which happens very rare it presently requires astringent topicks Another from a Breaking which happens either from a plenitude or from causes that stir the blood especially from hard labor and premising the opening of a vein if ther be need 't is cured by conglutinating medicines Another from a corrosion which is known from hence that little blood flowes somtimes purulent somtimes serous It ariseth from a sharp and corrupt blood somtimes also from sharp medicines amongst Astringents is commended the root of dropwort or ' its decoction Article VIII Of the Womans flux and gonorrhaea The womans flux which otherwise is exprest by the name of the whites is an inordinate voiding from the womb of an excrementitious humor by its whole nature differing from blood collected by the fault either of the whole or of some part 'T is called the womans because it affects women and truly virgins also when as the causes take place in them and there are examples of it Yet more commonly those of riper age especially if they be indewed with a moist and cold constitution do lead a delicate and idle life and feed upon cold and moist nourishments old women also and that unto death by reason of the plenty of flegm and the weakness of the concocting faculty There is no need to enquire the Signs the affect is made known by the relation of the patient her self It differs from a gonorrhaea because in that the matter of the seed flows forth whiter thicker and at longer intervals and 't is voided in less quantity From a nocturnal polution because this is joyned with a phansie of a venereal business and happens only in the sleep From the discolored courses because they observe their periods though not alwaies exactly they do not happen to women with child and those troubled with the suppression of the courses they shew a red colour From matter out of the ulcers of the womb because then the signs of an ulcer stand forth the matter it self is thicker and whiter It it be sanious 't is besmeared with blood and voided with pain We have laid the Cause upon an Excrementitious Humor which Somtimes is raised by purging Medicines Nature being stirred up by their use to attempt excretions somtimes by Baths Nature casting off
makes motion difficult but presently 't is discust Yet al these Signs do not happen in al. There have been those who were troubled with continual laughing the Vapor insinuating it self into the Membranes of the Breast there have been those who seemed to frame the hissing of Serpents the croking of Crows c. According to the proportion of the passages and breath breaking forth It differs from an Epilepsie because in this the Convulsive motions are more universal they have no remembrance of those things after the fits which happened to them in the fits the Pulse is greater than before a foam flows about their Mouth From an Apoplexy because in this the fit is suddain without any notice a singular snoaring afflicts them in breathing there is so great a resolution of the Parts that though they be prickt yet they do not feel From a Syncope because there are no presages in this of the fit to come the pulse failes to the sence cold sweats afflict it vanisheth in a short time when as the Hysterical passion lasts somtimes a day or two From the dead they are distinguisht by Sneezing Caused by Sneezers and other means The CAUSE is a malignant Vapor thin and spirituous in one moment penetrating the whol body and raised from the matter corrupted after a peculiar manner in the womb and stirred either of it self or by external things as things sweet-smelling fear Anger and ascending upwards not only by the Veins and Arteries but also by occult passages But what that is shal be said in the Differences The CURE is somtimes of doubtful hopes If it long afflict old women because it infers an impeachment of the strength and shews a plenty of humors If it happen to breeding women a hard labour or abortion going before if it assaile great bellied women because it strikes a feare of abortion of better hopes if breathing be not hurt too much if the fits do not return often It respects 1. The time of the fit where care must be had 1. To intercept it by binding of the belly about the navel with a girdle made of the skin of a hart kild in the act of copulation with the doe 2. To raise her by ligatures and painful Frictions by pulling off the hairs especially of the priveties by suffumigations made of partridg feathers horses hoofs and Eel skin By applying of assa faetida oyl of tartar to the nose c. 3. To reveal by ligatures frictions of the lower parts glysters discussing wind cupping-glasses without scarrification applyed with much flegm first to the ancles and thighes by and by to the groines by putting up sweet things into the privities as are oyl of Civit half a scruple with oyl of nutmeg by expression one scruple 5. To discuss and that outwardly by oyl of white amber with the pouder of walnut flowers By extract of castor of liver-wort Mynsichtus his specificum diajovis The same Authors Theriaca mulierum Hartmans essence granorum Chamaeactes in pennyroyal water Treacle water others that are appropriate Outwardly by putting into the navel oleum Jovis the salt of the same described by Crollius By plaisters made of the fat of a black cow fed with utrine plants clary boyld in butter adding gum tacamahach carama 2. The time out of the fit in which 1. We must empty by Grulingius his extract of bryony of which in his cures by Agricola his flores virtioli Veneris et martis 2. The womb must be strengthened by things internal and external that do resist the malignity also The faecula of briony is commended Castor c. 3. That diet in which odoriferous and sweet things are which are wont to move the womb must be shunned For preservation see Zacutus his Hysterical Pils Prax. Hist l. 9. c. 12. The Difference is taken from the causes One is from the seed corrupted by the fault of the parts or humors mixt with it and sending forth such a vapor which is known by this that the courses are right in the patient Al the Symptoms are more vehement the fit declining a humor like to seed flows forth of the privites 'T is Cured universals premised by emptying of the seed by glysters and utrine pessaries by prohibition of the same by medicines diminishing the seed or by slender diet Another from menstruous blood stopping and therefore corrupt which is known by this that the menstruous blood is joyned with vitious humors especially a melancholly one The symptoms are milder with the signs of a suppression The Cure must be turned against the suppression of the courâ—es Another from vitious humors concerning which consult with the chapter of the distemper of the womb Article III. Of the madness of the womb and Melancholly of Women The Madness of the womb is an immoderate desire of Venery almost making women stark mad arising from the plenty of seed acrimony and peculiar quallity of it The subject of this affect are either wel flesht virgins black and having adust blood or the youthful flourishing widows or married women that are barren by the impotency of the husband The Signs are various some wast away in sadness and silence suppressing their desire others reason being overcome do prate are lascivious break into anger laughter weeping wanton and baudy discourses Some freely prostitute themselves to men The Cause is the plenty heat and accrimony of the seed which ariseth if you consider the internal causes from the heat of the womb the distemper of the stones especially and spermatick vessels hence many labor of an inflamation of the womb and itching which are not affected with this madness If the external from a diet generating plenty and accrimony of blood by a drauft of hippocras in which there was some Borrax c. dissolved The Cure is accomplisht 1. By bleeding if blood do abound 2. By purging if hot and adust humors be mixt with it 3. By alteration by coolers as are Letice Purslan water-lilies Ladies navil by things that act by an occult quallity as are the chast tree rue hemp Camphire hemlock which are rather to be used in Nunneries The Melancholly of Women is a dotage with sadness anxiety weeping or laughing by intervals invading without a feaver arising from a melancholly vapor darkning the animal spirits The SIGNS are various the women are sad complaine of a grief at heart yet are not able to express the cause of it The Arteries about the Spleen and back do beat more vehemently than usual a pain of the left side against the heart afflicts somtimes seazing on the left breast the Vapors from the intercostal Arteries being poured forth into those places and pulling and distending the Membranes of the Breast a dryness of the Jaws somtimes troubles them with a suffocation But these symptomes affect by intervals because the Vapor is dispersed and the stirring of the blood in the Arteries ceaseth The CURE respects 1. Bleeding which must be ordered at the beginning if
because the blood it self partly by its unaccustomedness and the narrowness of its own accord flow thither In the cure 1. bleeding beares the palme that the nourishment of the mola may be withdrawn and it must be larger if the woman be plethorick more sparingly it not so in the ankle or ham 2. Strong and often repeated purging 3. Opening of the courses 4. Chyrurgery of which see Authors Prevention requires 1. That Copulation be not too often especially in bodies not strong enough by reason of the generation of weak seed 2. That it happen not when the courses are at hand or flowing or when the womb labors of a distemper See the Differences in physical observations for this mass is not only without bones and bowels but somtimes 't is more membranous viscous fast together not yeelding to iron Somtimes it presents a long forme rhomboidal c. somtimes 't is destitute of all life somtimes it lives the life of a plant Somtimes 't is voided with a child without one after one and somtimes a dysentery goes before the voiding of it Article 2. Of the Symptoms of women with child The symptoms of women with child are in a threefold Difference Some happen at the first time of their bearing in the belly and they are 1. A cramp troubling especially the leggs which is taken away by anointing them by the fire with oyl of bays putting on afterwards hot rowlers 2. The pain of the Sciatica with oyl of Venice turpentine anointed on drives away 3. Loathing of meat which ariseth from the suppression of the courses the better part of the blood going to the young one the worse remaining in the veins from whence by agitation vapors are sent to the mouth of the stomach with the humors a vitious quality is imprinted on it and which ceases of its own accord when the young one is grown greater 4. A Pica or a desire to absurd meats for taking away of which serves the water distilled in the month of May from vine leaves 5. A nauseousness and vomiting which if it be easy ought not to be stopt if difficult 't is not free from danger 6. Torments and pains of the belly which are raised by the wind from the humors about the womb and somtimes do cast women into swouning fitts 7. A loosness which must be timely remedied least abortion follow 8. A pain in the teeth from part of the sharper humor carried thither 9. A pain of the head and vertigo from the vapors sent forth distending and troubling it Others trouble in the middle months of their bearing and are I. A cough from a sharp vapor or the veins of the breast which by reason of the concussion of the muscles of the belly watchings pain of the head is dangerous 2. A palpitation of the heart and faintings which if it arise from plenty of blood is a forerunner of abortion and is cured by bleeding 3. Pains of the loyns and hipps either from the blood supprest falling upon the vessels of those places or from the child growing bigg 4. A flux of blood from the womb nose hemrods which is caused 1. From a rupture of the vessels of the womb by evident causes which are known from the relation of the patient 2. From plenty of blood and then the woman is endued with a good color she beares the flux wel there is less danger if so be the flux be not too much 3. From the weakness of the young one not attracting the blood and then for the most part either the birth is protracted beyond the due time or is difficult or abortion follows there are signs of the weakness of the child that is 1. Either the woman is troubled with a looseness of body by which the nourishment is withdrawn from the young or her courses flow often when she is with child or the mother is often or long sick whence ariseth a fault of the nourishment or the breasts which were swelled ful before are extenuated for want of nourishment in the common veins of the womb and breasts or the young one which already had began to move or ought to move either is not moved or moves weakly 4. From evil humors goading the expulsive Faculty and then sharp things coloured stinking flow forth with pain there are signs of a cacochymy Others happen in the last months as is 1. A stoppage of the urine which ariseth from a compression of the neck of the bladder by the womb it happens cheifly when they stand 2. A hardness and slowness of the belly which ariseth either from a compression of the gutts made by the young one it self or by an extraction of the moisture caused by the same in women that have a hot and dry liver and spleen 't is dangerous because by a violent straining to evacuate al the parts in the belly being ful some dammage may easily ensue 3. A tumor and inflation of the veins either in the leggs by reason of the weakness of the liver of which in its place or by the suppression of the more serous blood and then the women with child for the most part bring forth girles We must forbeare from the cure because the humor is emptyed with the after purgation after the delivery unless walking be hindered or in the hipps that they become as it were varicous which proceeds from the same cause 4. clefts of the skin of the belly by reason of the distension especially at the first birth which are prevented with the anointing of laxative liniments as are marrowes oyles 5. The effusion of water which in the time of bearing is collected between the membranes that involve the young one which wants not danger because both the young one perceives some trouble from thence and a hard labor follows for want of moisture Article 3. Of the symptomes about the delivery The symptomes that happen about the delivery are also not a few I. An untimely flux of blood before the birth whence is a weakness of strength and swounings In the cure of which emptyers must be shunned the aire forbidden cordialls and strengthners must be given when the mouth of the womb opens it self the membrane must be broken and the infant brought forth II. Abortion when the child is born before the lawful time of bringing forth which is feared if the breasts be extenuated because it is a sign that either the blood does fail in the veins common to the womb and breasts or that by the violence of the young one or rupture of some vessels it doth rush to the womb If plenty of milk flow from them If the great bellyed woman have often pains about the belly and loins which end towards the pubes os sacrum with a certain endeavor to cast forth of her womb If after them blood either pure or ichorous or warer flow forth It ariseth in general from the fault of the expulsive faculty of the womb which is irritated either by the young one
'T is hardly cured if it have its Cause lurking in the bowels which nourisheth it in Infants 't is easily taken away with discussives Another is fleshy when a fleshy substance lifts the Navel up into a Tumor which is known by this that the Tumor is hard and being prest doth not yeild and is changed by no manner of lying 'T is Cured by cutting of the flesh performed by a caustick Medicine or Iron unless it turn to a Cancer for so the evil is incurable An Inflamation of the Muscles of the belly affects either the right Muscles or transverse If those the Tumor is oblong and extended al over the belly The Skin is not handled without pain and being laid hold on doth not follow In every posture the bulk of the Tumor remains the same If these the deep parts are more affected and because those Muscles are Membranous about their end and have many Nerves the pain is the greater 't is distinguisht from an Inflamation of the Liver by this that it follows the Figure of the Muscles and is not so round The Cure is such as in other Inflamations and so much of the lower Belly An Appendix Concerning the Gout An arthritis is a pain of the parts about the joints caused by a defluxion of a serous and sharp humor poured forth of the veins and arteries into them assailing by periods having joined with it an hinderance of motion The subject is the membranous parts and those endued with sense about the joints from which neither are the membranous ligaments excluded The pain is caused more in them both because the humors are thrust thither from the veins and arteries and because being carried thither they are in less room The SIGNS are almost evident by the relation of the Patient at first assault the pain invades the great Toe and for the most part of the left Foot afterwards a Tumor heat and redness is manifestly perceived there is added an impotency to move and in an Arthritis of long continuance hard Knobs c. The CAUSE is a solution of unity induced by a serous Salt and sharp Humor this ariseth from the use of nourishments as plants Carpes unwholsom wines by the accession of a vitious constitution of the bowels as of the Liver and Spleen the efficient Cause of that Salt or Tartar It oftentimes comes neer to the Nature of spirits which have a most biting Salt in them whence it often wanders up and down By reason of the want of sufficient separation 't is mixt with the blood By the veins and arteries 't is sent to the joints whence when the fit is at hand the vessels which lead to the hands and feet and are inserted to the utmost joints do swel by reason of their weakness either natural from their parents or acquired by labor excess of the air and other things altering the joints from whence they become softer and more relaxt nature being stimulated by its plenty disburthening it self and somtimes being helpt by external causes as the spring or autume aire affections of the mind the retention of accustomary sweating c. 't is moved to the joints rather than to other parts perhaps because the ligaments and tendons are nourisht with a more terrestrial blood and that hath affinity with the tartarous humor The CURE is in general most difficult both by reason of the disease it self in respect of errors in dyer and other things by reason of the fit because the humors dispersed through the ligaments membranes and nerves by reason of thickness coldness of those parts are hardly discust None at al if any deadly disease be joined with it If there be a luxation for though the joint may be reduced yet the ligaments remaine relaxt if in the luxation the cavity of the joint be filled with a tophous matter because before that is taken away the joint cannot be reduced that cannot be taken away if it be hereditary It respects I. The fit in which 1. The humors rushing to the part affected must be taken away where bleeding takes place if blood do abound and that quickly because the flux is urgent Of the basilica if al or many joints be affected in the opposite side if one only No bleeding if flegmatick blood predominate least discussion be protracted Purging when the pains are at hand for which end is thought to serve hermodactils Paracelsus his arthritical pouder Horatius Angenius his electuary cariocostinum the gum for the gout in stronger bodies in the weaker the matter boyling very much Solenander his syrup of buck thorne mechoacan c. Sweating which is very wel caused with the decoction of China of the root of bur dock with treacle harts-horne prepared antimonium diaphoreticum 2. The afflux must be hindered by repellers if the pain be increased by a suddain and too great afflux of humors but not by them alone least the motion intended by nature be stopt with danger of life but mixt with things anodyne The liquor of the flowers of mullein is commended and hartshorne burnt steept and boyled in the water of mullein flowers and applied to the greived part 3. The pain must be mitigated where takes place Stockerus his oleum raninum l. 1. c. 58. prax Rulandus his antipodagrical water in Hartmans Chymiatry Lacuna his ointment of dane wort The foame of the decoction of china root in Zacutus l. 3. hist med hist 38. Anointing with the oyl of mans bones Freitagius his secret of opium and camphure in his book of opium Another of the same Authors there of sugar of saturne and the salt of the same c. A lye sufficiently seasoned with salt the pouder of oriental Bezoar stone or harts-horne prepared mixt with hony of roses and vineger by a gentle heate and layd on by way of cataplasme c. 4. The matter which hath flowed thither must be discust where take place the ointment of castor Solenander his mushromy of the oake consil 24. sect 4. The water in which brass and iron are quenched and afterwards mercurius vitae is steept the decoction of Nettles made with wheaten bread Salt wine and water c. 5. The Knobs must be dissolved for which purpose serves A Cataplasme of old cheese dipt in the strong broth of Salt Hogs flesh and that which you may find in Hartmans Chymiatry 2. Prevention which requires 1. A convenient diet in which ought to be shunned the Air in excess meats that do administer matter for it drinking of Moravia and Austria wine c. too great passions of the mind 2. Bleeding unless the body be cold some open the Veins of the great Toes every month 3. Purging which ought to be ordered spring and autum and it requires gentle ones rather than strong 4. The use of things good against the Gout as are Germander Ground pin round Birth-wort the true Pontick Rhubard c. 5. The strengthning of the Joynts for which end serves a Lie made of
the Ashes of beech and often strained with the like quantity of wine and Alum two ounces As concerning the differences its species are the Foot-Gout the Hand-Gout the Knee-Gout and the Hip-Gout Concerning them we meet with nothing besides what hath been formerly spoke Concerning the last we must observe 1. That it ought to be distinguished from that pain which indeed is most vehement but neither causeth a Tumor neither consists alwaies about a joynt but in the middle spaces also between the joynts oftentimes after it hath afflicted a man once or twice it returnes not again al his life time 2. That it hath this property that 't is diffused more largely than in other joynts and often times to the adjoyning parts both by reason of the largeness of the Hip bone and the distribution of the Nerves which come from the Loyns and Os Sacrum to that Articulation to divers parts 3. That 't is very hardly Cured as wel by reason of the deepness and largeness of the place as for the plenty of matter that is wont to be collected there In the Cure for derivation a Vein in the outward Ankle is wel opened if the pain tend outwardly the Saphena in the inner Ankle if the pain tend inwardly We must act with strong Purgers The Discussers are Sciatica-cresses winter Cresses dittander and others concerning which consult with Practitioners We write only an Idea And let these suffice of the Diseases of the lower belly and joynts THE ELEVENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Concerning Poysonous Diseases Title I. Concerning the French Pox. HItherto we have treated of diseases that were not poysonous to those that are poysonous belong the pestilence the leprosy of the Arabians The French pox and poysons Of the two former we have formerly treated now we must speak of the French Pox. But the French Pox is a virulent contagious cachexy of the whol body for the most part raging with a hot distemper falling of the haire spots swellings stubborn ulcers and cruel pain especially at night enemy to the liver and nourishing faculty arising from an excrement infected with a malignant and poysonous quality transferred by contagion but especially by copulation and tyrannizing with many symptomes It hath divers names 't is called the French the Italian the Neapolitan the Spanish the Indian disease Syphilis the gout of the privities the great Pox c. The adequate subject is the whol body but the fewel of the evil is the liver it self from which polluted a crude and corrupt blood is dispersed into the whol habit of the body and the nourishment of every part is depraved The signs of it begining are a light weariness of all the members with a heaviness of the whol body because the natural spirits which are the immediate instrument of the supporting faculty are infected a smal and wandring pain through al the parts which a vapor raised from the liver induceth by the same the color of the face is changed and under the eys there appeares a blewish circle as in menstruous bodies An exceeding heat ariseth in the soles of the feet and hands even in the winter The sleep is interrupted a moderate rottenness about the privities either because the filth of womens secrets hath corroded the skin or because the liver drives forth to the privities the contagion communicated to it by the natural spirits Moderate smal buboes not painful nor increasing much because the liver drives out evil Exexcrements to the groines as to its emunctories A french running of the reins which is inferd by the weakness of the spirits governing the faculties of the testicles Of it confirmed are hard pustles al over the body especially the head and beard arising about the fourth or sixth month somtimes with a crust somtimes not somtimes with filth somtimes not which ariseth either from a contagious matter sent from the liver or from the part heaping up excrements by reason of the fault of concoction Callous ulcers in the privities A softness and hanging down of the uvula in the throat which is followed with a boarsness of the voice for the nattural spirit being weakened flegme ariseth in the stomach snivel in the braine flegmatick blood in the veins and in process of the disease being adust it becomes sharp Tumors of the glandules in the jawes the matter infected and voided by the emunctories being communicated to the head A Corruption of the palate and teeth which shewes the highest degree of the disease firme crying Paines arising before the evening which proceed either from a malignant vapor or from the excrement heaped up about the periostia of every part A Corruption of the bones of the head and armes before an ulcer doth arise Malignant ulcers besetting the whole body for the causes now given A falling of the hair crusts callosities clefts in the palmes of the hands and soles of the feet which arise from a flegmatick matter very much burnt A tingling of the ears which is produced when the hurtful vapor from the head cannot be expel'd by the skin nor by the mouth nor nose and therefore by the last endeavor is thrust to to the ears See more in Practitioners The Cause is an excrement polluted with a poysonous mallignity possessing the whol body or some parts of it and corrupting the blood conteined in the veins and making it unfit for good nourishment 't is communicated by contagion which is promoted inwardly 1. By the weak force of the natural spirits and the liver it self 2. By the largeness of the vessels that a passage lyes open for the vapors and filth 3. By an easie inflaming of the humors by which that is most easily snatcht 4. By the nature and softness of the substance in the parts 5. By the affection of the minde which if it be vehement they that couple are not easily infected Outwardly by contact by communication of substance viz. of the filth Ichor or sutty vapors which is the easier if the parts be soft thin and be hot for which makes also copulation with one infected sucking of her milk besmeering with the spittle kissing lying in bed with her using the garments of one infected c. The Cure is more difficult if it seaze on those once cured If it fal upon a hot and dry distemper because either things propper cannot be administred or if they be another dammage is brought upon the body If it fal upon a hot and dry time of the yeare because the strength is then most of al exhausted If a Feaver consumption or other greivous symptom be joyned with it if there appeare in the joynts callous scirrous and hard tumors If the sick be an infant and hath sucked in this evil with the milk because the virulency goes into the stomach with the milk which infects the liver and blood It respects 1. Preservation the which can scarce be taught with a good conscience least there be a door opened to wandring lusts
unless perhaps you understand that prevention by which one infected endeavors to oppose the accustomary symptoms that they grow not upon him 2. The Cure which is accomplisht 1. By the emptying of the blood and vitious humors wel prepared Where note 1. That bleeding must not be ordered if the bubo be suppurated least the matter be called to the inward parts it must be ordered if blood do abound that appropriate medicines hot and dry may more safely be given If the matter be not moved to a peculiar part If the matter tend to the head the cephalick vein must be opened if to no part the basilick veine If there be a rottenness in the yard or running of the reins in the lower parts if the bubo tend not to suppuration 2. Purging must be ordered at the beginning least there be hurt done to a foul body by things alexipharmacal it must be continued al the time of the cure if matter be collected that must be omitted if the matter stick cheifly in the external parts mechoacan and jallop adding things specifical are of best use here 2. By overcomming the malignity and virulency in hearing as wel in the humors as parts and especially imprinted on the liver which is perfected by sweaters and salivation The sweating medicines that are propper here are pock-wood which is better administred in a decoction or spirit than any other forme that its oyly and rauzeny part may be drawn forth in which al the vertue consists and in a lesser quantity at first least it bring some damage by its too much heat especially when catarrhs are present Sarsaparilla the barke of which root ought cheifly to be taken casting away the pith but must not be given where there is present a pain of the eyes China which being temperate and having somwhat nourishing is most comodiously given when there is an atrophy Sassafras that is of an aromatical smel oake wood Juniper with its betries beach box Of which see Renealmus his observations Bezoarticum animale mixtura simplex persicariae orcanum Hartmans white spirit of mercury and his red c. the manner of using them Fallopius and Quercetan in peculiar tracts of the French pox have evidently described and Hartman in his Chymiatry Senertus in his 6. Book of practice A flux is raised with Mercury or quicksilver either taken inwardly where turbith takes place taken from one grain to three pils of one scruple of pouder of mastick with a few grains as from three to eight of mercurius dulcis sublimate made up with hony into bals and chawed somtimes for thirty dayes Or outwardly by anointing somtimes applying a greater somtimes a less quantity of quick silver two scruples may be used every time which the emptying of the body by purging or bleeding ought to go before The mixture and mortification of pure mercury and vivified by cinnabar with hoggs greace oyl butter turpentine must be followed with the bringing forth of the mercury out of the body that none of it be left there by sweating holding of gold in the mouth drinking of filings of gold and other waies Washing of the mouth and jawes with warm milk Hindering of inflamations with the decoction of plantane self heale c. But in general we must observe that mercury must be applied when the decoctions of the woods cannot be admitted by reason of somewhat forbidding them or when the disease cannot be overcome by other remedies and that not unless the strength be firm The body not too foul not too much wasted the aire not very hot the patient before the disease being free from a palsie and trembling Suffumigations are too vehement therefore they are reckoned amongst the last remedies 3. By convenient diet whose exact description see amongst authors The cheif symptoms we meet with in the French pox are 1. A rottenness which is in a threefould difference 1. Either 't is caused by contact or touching the privities of one sex being infected And then pustles breake forth first smal and white which exceed not the thickness of the least grain of millet there breaking there remains a round ulcer having a white point in the middle somtimes the whole nut is compast with them coupled together as with a ring without pain with a light itching 'T is cured with oyntment of diapompholligos or nightshade water in which a little roch allum is dissolved layd upon raggs Or by transmissing of a thin excrement from the liver to the privities and then there is a round ulcer without a white specke livid having the lipps a little puft up purple coloured In the cure repellers must be shuned least a bubo be caused It may be washt only with the decoction of pockwood with plantan water c. or by the heating of the excrements cleaving to the privities by copulation putrefaction and infection and then the ulcer is malignant not round of divers figures and colours having callous lips creeping c. Concerning the cure of it consult with Fallopius c. 85. 2. Or 't is in the bosome of the womb the cure of which after washing requiers Fallopius his pessary Detersives if the ulcers begin to be suppurated causticks if the putrefaction be strong a red hot iron having a care of the sound part a dayly washing of the privities with the decoction of pockwood with scabious and tormentil Or in the channel of the yard which is known by the filth flowing forth and great pain in the time of pissing and is cured after the same manner as that which followes Or in the nut to which those things going before and which follow after ought to be applied 3. Or 't is with a tumor of the foreskin that the nut cannot be uncovered or if it be uncovored 't is done with a great deal of pain concerning which see Fallopius c. 83. Or with a callousness of the foreskin of which the same author c. 84. or with a callous skarre or with warts or excrescencies of which c. 87. and 88. II. Buboes which are Distinguisht from others that are not gallical that either a Rottenness or a contagious running of the Reins is present and Copulation went before there being no other certain cause existent But those Tumors are of two kinds somtimes the matter is collected about the Glandules in the membrane that covers the Glandules or that fils up the Cavity of the groins Somtimes the proper substance of a Glandule swels which Tumor somtimes riseth to so great a bulk that 't is bigger than a loaf In the Cure bleeding and purging must be avoided unless the Bubo either decrease or be at a stay A Diachylum Plaister doth molifie and ripen it being opened Opodeldoch is wel laid upon it The Black Oyl of Tartar is a most excellent discussive III. A falling of the Hair which ariseth from an evil Humor knawing the Roots of the Hairs In the Cure astringent things must be shunned gargles and sweats here do much good to which may
because in the Winter the strength of the Native heat is greater In the spring the Laxness of the Gums We must have a care in it least that if the Belly have been loose it be not too soon stopt The Gums being swelled must be anointed with the brains of a hair boyled or with the Fat of it being inflamed with the Oyntment of Oyl of Roses and white Wax washt with the juyce of nightshade Being Vlcerated with fresh butter with a little Honey and pouder of Frankincense II. A Cough with difficulty of breathing which either ariseth from matter falling from the Head and then there is a Catarrhe and Cough and in breathing there is perceived a certain snoaring and sound whiles the Aire doth not pass freely but through the obstructed bronchies of the Lungs Or From Flegmatick blood ascending out of the Veins to the Lungs And then there is neither Catarrhe nor Cough and the Hypochondries are sweld In the Cure we must observe whether the Cough be cold or hot whether dry or moist Washing of the Feet in drink in which Cephalick Plants have been boyled is commended which must be followed with anointing of the soals with the Fat of a pike or Goats Suet. Outwardly the Breast may be anointed with Hens grease to make the breathing more easie Title III. Of the Diseases of the Lower belly THe Diseases of the lower Belly in Children Are I. Vomiting which if it proceed from plenty of Milk it must be withdrawn if from corruption of the Milk that which is cast up by vomiting must be considered In the Cure Honey of Roses solutive given inwardly doth good outwardly the stomach must be anointed with Oyl of Mint or wormwood if from worms the Cure must be directed against them II. Torments of the Belly which are known by this that the Infants are unquiet heat the Breast They arise from wind Humors Milk corrupted worms The Cure may be fetcht from that above III. A puffing up of the Hypochondries in which the Infants labour of a streitness and compression of the Mouth of the Stomach a Cardiacal passion and difficult breathing It ariseth from the greedy eating of Infants when either they suck Milk plentifully or take too much of other meat Inwardly is commodiously given against this affect the pouder of Orice Root of piony Outwardly Fomentations with the Decoction of Mother wort are good IV. Costiveness of Body which proceed either from some error in the Diet of the Mother or Nurse or from a distemper either cold and dry in the Guts themselves or hot and dry in some bowel There the belly is alwaies almost sluggish and it must be agitated by moistures Viz. Cassia Laxative raisons c. Hence the Signs and Cure must be sought from their places Or from a Viscous and Tough Flegm wrapping up the Excrements to which incisive and abstersive means are due The Symptomes opposed partly by suppositories of Mouse dung with goats suet partly by Clysters partly by use of things to the Navel which are prepared of Aloes Ox-gaul Myrrh butter Oyl Quercetans Diacolocinthidos and other things Purging Medicines may be given also to the Nurse V. A Loosness happens either out of the time of breeding Teeth the Reason of which must be fetcht from the sixth Book or in the time of Toothing by reason of the corruption of the nourishment and concoction troubled or by a Feaver and preternatural heat or by too much watching which pain causeth or by pain calling away the heat that is necessary for action This ought not to be stopt suddainly if it be neither plentiful nor the Infants bear it not ill but if it happen otherwise we must clense first with a Clyster or Syrup of Roses solutive with astriction By and by we must bind having regard to heat and cold VI. Worms of which is sufficiently spoken in the sixth Book They may be prevented partly by Diet in which sweet Fat things Milk Fish Decaying fruits figs and other things must be shund Harts-horn prepared must be steeped in the drink partly by Medicines carrying away the matter fit for the generation of worms as are the Decoction of Sebestens or its elactuary Rowles of Diaturbith with Rhubarb c. VII A Rupture which ariseth from the Peritonaeum either Relaxt or broke by crying Coughing a fal crossing of the Legs and then the Tumor is for the most part in one side the Guts fallen down may be perceived by the touch see the Cure in its place Or from a watrish humor abounding in the belly and falling into the Cod and raising it into a Tumor and then the Tumor is for the most part in both sides the Cod is more puft up than in a Gut Rupture In the Cure we must use Discussives VIII An Inflamation of the Navel which ariseth when the blood runs thither from pain and hurt by the external Air. It is dangerous if it change to an impostumation and that being broke the Guts fal down Therefore Suppuration may be hindered as much as may be IX A Strutting out of the Navel which is discerned from an Inflamation by this that the Navel yeilds to the touch the color of the Skin is not changed neither is there a Pulse or pain unless the Guts be very much fallen down It ariseth 1. From the ill tying of it or when a greater part of it than ought to be is left and this is incurable 2. From the Laxation of the Peritonaeum and then the Tumor remains almost equal the Navel hangs not forth so much in the Cure we must have a care of windy Meats Coughing Crying 3. From a Rupture of the Peritonaeum and then the Tumor when the Infant lies on his Back is scarce perceived when it walks Sets Cryes Cals out it increaseth In the Cure the moss which grows on the Bullace Tree is good Forestus commends rounds made of Leather and anointed with Oxycroceum X. The Stone of the Bladder which is known by this that the Urine is made with pain and by drops 't is somtimes cleare somtimes like Milk or Whey somtimes conteins some blood the Infants perceive an itching in the yard It ariseth either from Milk generated from meats producing a matter fit to form a stone or from gravel by the accession of the weakness of the Stomach or Liver by reason of which things Unprofitable are not separated or by the hot distemper of the Kidneys by reason of which the Chyle is attracted and sent to the Bladder unaltered In the Cure baths take place with anointing also broths made with the grains of Eglantine purefied See above l. 6. XI Incontinency of Vrin which ariseth 1. From Custome the Muscle appointed to shut the Mouth of the Bladder being so disposed that 't is relaxt at the least goad if it pass to a habit for the most part it accompanies til Death 2. From the Stone of the bladder of which formerly 3. From the weakness of the Sphincter Muscle induced
from the cava It ariseth from an impurer blood flowing to the testicles and cod by degrees dropping from the membranes of the vessels and changed by nature that is never idle into a substance like unto flesh 'T is cured 1. By repression with repellers and dryers the pouder of the root of Rest-harrow is commended 2. By cutting of which see Authors 'T is divided into a scirrous one in which there is neither pain nor heat and a malignant one in which there is felt a pricking pain IV. Another is various or a Cirsocele in which the vessels nourishing the stones are dilated like to varices 'T is known by this that the veins are sweld and wreathed and rounded like shootes of vines the tumor is oblique and rowled up like a grape spring and autum the the guts being distended with wind or the feet cooled a pain accompanies it It ariseth from a thick melancholy humor poured into the vessels 'T is hardly cured things drying and hanging the stones in a truss are good Cutting can scarce be used without hutting of the stone Article 3. Of the diseases of the Yard The diseases of the yard are various I. A distortion which befalls those who indulge too much to venery and have their genitals along while distended for then the spirit concluded in the ligaments acting violence upon some part of another ligament doth relax it and makes it bunch forth like a beane or glandule by which means it comes to pass that how much is added to the accustomary latitude of the part so much is bated of its longitude 'T is cured by abstinence from venery and by those things which serve for the cure of a rupture See Arantius II. Inflation and inflamation of which that doth somtimes arise from lying with a woman whose womb is uncleane and repleat with sharp humors we meet with nothing singular concerning them III. Warts and excrescencies which either are upon the top of the nut which degenerate into a canorous Sponginess or they bunch out about the flesh of the nut and under the foreskin it self and they are soft spongy alwaies moist smel il and are dayly increased and are familiar with them that are troubled with the French Pox. They require Chirurgery IV. Vlcers which are divers 1. Some are external which are apparent to the sight yet somtimes when they are about the nut and foreskin they cannot be seen by reason of the swelling of the part If the region of the nut be exulcerated all medicines ought to be drying Others internal sticking in the urinary passage which are known by the pain caused by the urine passing by and the matter coming forth before the urine the yard swelled and distended They arise either from an impostumation following an inflamation or from sharp urine or from rough stones and rough things hurting in their passage They are cured as others be 2. Some penetrate that both external and internal parts be exulcerated and the ulcer pierceth even to the urinary passage Others not so 3. Some are old sordid and rotten which are wel washt with hydromel and wine Others are virulent as those that happen in the French Pox in which we must use precipitate mixt with a convenient linement til that which is callous be wasted away If a gangrene or mortification follow it must be cut Chap. 2. Of the Symptoms of the genital parts in men Article 5. Of the generation of seed hurt and the erection of the yard THe symptomes of the genital parts in men are the generation of seed hurt the erection of the yard hurt Lechery a Priapisme a Satyryiasis and the runing of the Reins The generation of seed hurt is when either it is not generated or not such as may serve for procreation 'T is twofold therefore one is when the seed is not geneted which comes to pass either by defect of matter or by the things â—on natural as hunger watchings or by things preternatural drying up and wasting it especially the diseases of the heart or by reason of the attraction of the same by other parts which comes to pass both in children and fat follâ— in whom al the nourishment is changed into the substance of the body Or by reason of a fault of the faculty of the genital Parts whether it be innate or acquired as a defect of the Vessels generating or carrying the Seed bewitchings inchantments c. Another is when 't is not generated fruitful which comes to pass either by reason the matter is not commodious too hot moist or dry Or by reason of a cold distemper of the genital Parts which somtimes is contracted by too much lust in youth by applying mercurial Oyntments to the genitals c. There is no need of Signs The cure must be directed against the Causes But the Seed is increased by the greater Root of Dogs stones cubebs the Yelk of a new laid Eg with Wine and a little Oyl of sweet Almonds Crollius his essence of Satyrion Mynsichtu his Confectio Magnanimitatis and de Succulata Inda II. The erection of the Yard hurt or a viril impotency is when that by no endeavors can be erected or extended There is no need to treat of the Signs The Causes and Cure are expounded in the Differences The Differences are taken from the Causes For there is one viril impotency from the defect of Seed either because it is not or because it is but little or crude and doth not stimulate of which we have spoke formerly Another is from the defect of vital spirits either because they are few by reason of the coldness and dryness of the heart or because they are called another way which happens in medications fear bashfulness c. Or because they are not received by the substance of the Yard either by reason of a stupidity of the Member or by inchantments Another is from a resolution of the Yard effected by those Causes which we mentioned in a Palsie See Medicines serving for this Disease in Stockerus l. 1. c. 55. Where he makes mention of Satyrion five ounces which ought to be mixt with the blood of Sparrows ten ounces and be held under the Arms. Some say that lust is wonderfully provoked if the great Toe of the right Foot be anoynted with Oyl in which Cantharides have been dissolved And also a simple washing of the Privâ—ties with the Decoction of Columbines which must be followed with a Fumigation of a dead mans Tooth poudered and cast upon the coales Article II. Of Lechery a Priapisme and Satyriasis Lechery is too great a proneness to Venery by default of the Seed somtimes also so great that 't is turned into madness The fault of the Seed consists 1. In the plenty of it either from the abundance of blood or from the heat of the Vessels dedicated to the generation of Seed by whose means more is attracted In the Cure we must act with things that consume the Seed amongst which Mint and Sugar
thinness and serosity and then no pain urges We must act with medicines that strengthen the womb with astriction and dryness II. A difficulty of the courses is a flowing of them with pain and trouble and greivous symptomes by the default of the veins or blood The signs are taken from the relation of the patient those pains are of the head stomach loyns and lower belly The flux is either altogether or only by the way of dropping and somtimes when the courses are at hand somtimes when they flow the symptoms happen and they do more afflict virgins and the barren because the veins of their wombes are less open than those that have brought forth because their veins after breeding are dilated We shal treat of the causes in the differences The cure respects 1. The Symptoms which must be mitigated 2. The causes which must be taken away The difference is taken from the causes One is from the straitness of the veins of which we have sayd enough in the suppression of the courses Another from the faults of the blood that is 1. From the thickness and feculency of it and then the blood whiles it is emptyed grows into clots the pains grow feircer a long time before the evacuation by reason of the endeavors of the expulsive Faculty The cure premising universals is perfected by things attenuating and that have power to diffuse it 2. From the acrimony proceeding from the mixture of sharp humors and then the genital parts do iâ—ch the nature of the bloâ—d voided and manner of the pain discovers the disease We must act with things that qualify the acrimony as are the Four greater seeds violets the flowers of water lillies 3. From the flatulency and then the pain returns by intervalls and of a suddain grows sharper wanders up and down wind being voided it ceases It is cured by emptying of the matter and discussing of wind Article 5. Of the discoloring of the courses The discolouring of the courses is a declining of them when as they ought to be ruddy to a palness whiteness greeness yellowness or lividness by default of blood The signs are afforded from beholding the blood it self there is added a stinkingness an inordinate evacuation and oftentimes erratick Feavers accute horror loathing of meat pains of the stomach c. concerning which see Hippocrates The cause is layd upon the falt of the blood concerning which as also of its causes see in the differences The cure attends the causes therefore according to the nature of them it varies 'T is divided twofold I. One is when the blood contracts a fault either by reason of a distemper of the whol body or of some principal part respect to which must be had in the cure Another when the blood is in fault either because 't is supprest and retaind and then a stoppage of the courses went before pains are felt in the breast and strong pulsations if the habit be better the courses break forth and the blood flows forth and a strong smelling matter about the eight or ninth day Or because 't is polluted by the womb abounding with excrements and then there are signs of a polluted womb Another when the blood is polluted by the mixture of excrementitious humors and then if you consider the cure we must prepare them but so that when as thick humors do want attenuation and things too much attenuating do melt the serous humors and move them to the womb we must absteine from the stronger and beware of vinegar we must empty c. II. One is when the courses decline to a whiteness which ariseth either from flegm of which howsoever it be there are signs of a weak stomach or from matter and then either ulcers are raised in the womb and barrenness follows or the courses flow forth for seven or eight days and the woman is freed or the same break forth at the parts above the groin without a tumor and about the hypochondries they come forth and the woman seldom survives Or after some daies a great tumor riseth upon the groin ruddy without a head because there the flesh is filled up and 't is hardly opened Another is when it declines to yellowness or greenness which proceeds from choler Another when to a lividness which ariseth from melancholy Article 6. Of an inordinate flux of the courses An inordinate flux of the courses includes two things to wit an anticipation of the courses before the due time and their continuance beyond the accustomary time The anticipation of the courses is divided according to the nature of the causes One is from external causes viz. a fal a blow and other things that open the veins See the cure below Another from the irritation of the expulsive faculty of the womb 1. By the plenty of blood which is known by this that the blood is sent from the whol body to the womb 't is fluid and natural there are signs of a plentitude 'T is cured by bleeding if the plenty be great by dyet and often exercise if it be less 2. By the thinness and acrimony of the blood which is known by this that the temper of the whol body is hot a course of dyet generating such blood went before the blood it self is dilute discolored yellowish 'T is cured by emptyers rhubarb especially by qualefyers of which formerly Another from the weak retentive faculty of the womb which is known by this that the vessels of the womb are loose the habit of the body also is lax and moist The cure forbids things too much astringent Acid waters and baths that have the vertue of iron are commended II. The continuance of the courses beyond the accustomary time is divided also according to the nature of the causes One is which proceeds from the disappointment of the expulsive faculty which is caused 1. By the scearcity of blood which is known by this that the woman finds no trouble by the protraction of her courses that too much excercise or slender dyet went before 2. By the thickness of the blood which is known by this that there are signs of a cacochyme the blood is whitish and viscous In the cure we must purge before much blood be gathered together attenuate when the menstruous purgation is over calamint and mercury beare the palme some days before the monthly purgation we must open scarification of the ankels takes place here Another which ariseth from the weakness of the expulsive faculty which is induced 1. By a cold distemper of the womb of which formerly 2. By a stupidity of the same which is known by this that there are present disease causing stupidity or too great use of coolers went before after the due time of purgation though there be present abundance of blood no heaviness is perceived by the woman In the cure we must have respect to the disease and its causes Article 7. Of too much flowing of the courses The too much flowing of the courses is
hot blood do urge it 't is to be admitted commonly in the Arme if the Courses be not stopt if otherwise in the Ankle some daies before the flux it is to be urged sparingly if the evil be far gone 2. Preparation by those things which alter the Melancholly Humor and rejoyce the heart as are the Confection de Hyacintho and Alkermes 3. Emptying by things that Purge Melancholly with which things proper for the womb must alwaies be mixt Chap. 3. Of the Symptomes proper to married women Article I. Of the Symptomes about conception Point 1. Of Barrenness THe Symptomes proper to married women do respect Conception going with Child and the delivery The Symptomes about conception that meet us are barrenness and a mola Barrenness is an impotency to conceive proceeding from the fault either of the Genitals or of the Seed or of the Womb or of the menstruous blood There is no need of Signs the Cause and Cure vary according to the Nature of the differences The Differences are taken from the Causes and Parts I. One is by fault of the genital parts whether it be a Closure of the Womb from the birth which may be artificially cleft or a tender Constitution either by reason of the Age or structure for which a mans Yard is not admitted or Tumors Ulcers and excrescencies in the Neck to which the Cure must be directed and this is not properly called barrenness Another by the fault of the Seed of which shal be treated in the following Difference Another by the fault of the womb of which we wil treat in the third Difference Another by the fault of menstruous Blood when either that is wanting which happens either the womb being covered with a star or the blood turning into Fat or 't is too Copious that the Seed is overwhelmed and suffocated II. One is from the defect and unfruitfulness of the Seed which ariseth 1. By reason of tender Age or too old 2. by reason of the distemper of the Vessels dedicated to generate and contein the seed and then the Woman in Copulation perceives none or little and short Pleasure There are Signs of the womb affected or the whol body or some member hath a Vitious Constitution The Cure must be turned against the distemper of the womb 3. By reason of the Evil Conformation of the same Vessels Another is from want of a Proportion between the mans and womans Seed which consists between manifest and occult qualities but cheifly it ariseth 1. From medicines that extingnish Seed as are a Goats commodity Mint Rue Camphure which either the patient or standers by wil make known 2. From Inchantments and then the man cannot Copulate with his own wife he can with others he hath a desire to couple with his own and if he do couple with her he cannot send forth his Seed In the Cure is commended a drauft of cold water fallen from the mouth of a stone Horse drinking in a Current and suddainly received in a Vessel III. One is when the womb doth not attract the Seed that is cast in and that either by reason of a cold and moist distemper of which formerly or by reason of some Organical diseases and solution of Vnity Where note that very often too much Fat especially of the Caul doth compress the mouth of the womb that barrenness from Ulcers is hardly Cured nay though a great Ulcer were Cured yet that would remain by reason of the Skar left for which the blood can neither adhere to the womb nor flow thither Another is when the womb doth not retain the Seed cast in and that 1. Either by reason of a moist distemper which is known by this that the Fibres of the womb are Relaxt that it cannot contract it self the Seed by reason of iâ—s Mucousness cannot adhere to it 'T is retained for some few daies then cast forth The Cure must be turned against the distemper 2. Or by reason of the thickness of the womb for then the blood doth not slide thither from which the Seed ought to be joyned to the womb and take its increase The Cure requires extenuation by a slender diet exercise purging Sweating and others 3. Or by reason of its Slipperiness and then a womans Flux or virulent Gonorrhea hath happened the Seed conceived is extinguisht and Rapt away The cure must be fetcht from their places 4. Or by reason of the gaping of its Orifice and then either hard labor or abortion went before The Fibers are so relaxt that they cannot contract themselves In the Cure amongst astringents a Fomentation of the Leaves of Lentisk Mirtle c. takes place 5. Or by reason of a Cough Sneezing which happens after Copulation c. By which the Seed is shaked forth Another is when the womb doth not alter the Seed injected and that either by reason of a distemper when the womb by an immoderate coldness grow thicker the Orifices of the Vessels belonging to them are very streit and narrow whence neither the Secundine can be knitted to the Mouths of the Vessels neither doth the blood flow in sufficient quantity which is Serous too or by reason of organical diseases as Tumors Ulcers c. Point 2. Of a Mola A Mola is a mass without bones and bowels from an imperfect conception generated by the fault both of the mans and womans seed instead of a Young one The SIGNS before the fourth month are not so exact that it can be certainly known in process of time 't is discovered by four signs 1. By motion for that is trembling and panting rival to a constriction and dilatation and it fals down like a stone with an eminent sence of a weight upon that side the woman turnes 2. By the figure and bulk of the womb For in that the Belly is lift up according to al dimensions when in a true young one 't is principally raised towards the Navel and is gently stretched towards both sides 3. By want of milk for in a mola the breasts swel indeâ—d but there is produced in them only a certain crude matter from the courses supprest tending to the breasts which in process of time vanisheth when in those with child milk begins to be generated about the fourth month 4. By the Symptoms which are diverse as difficulty of breaching pains of the back and groines c. The cause is the fault of the seed both of the Males and Females jointly when the formative faculty is weak either of it self or because 't is overwhelmed with blood Whence molae are wont to be made if there be copulation when the courses are at hand or flowing or not wholy stopt And of the womans seed severally joined with blood and then there are molae altogether rude and which being long exposed to the aire being melted are dissolved into a watry substance In virgins such a thing cannot happen both because their weak seed wil not attract blood necessary to its conformation and