moisture by the Liver the Microcosmicall Jupiter chasing and beating the right side of the Stomach The Stomach hath also a Latitudinall Muscle or will which makes the expulsive faculty It is naturally cold moist cold to compresse the superfluity moist to make the matter slippery and fit for ejection also to work a sutable disposition in the body It is a necessary operation by it after the seperation of the pure from the impure the Elements from the Caput Mortuum or rather foeces is removed and carried away all that is needlesse or prejudiciall to nature It is under the dominion of the Moon with whom you may joyne Venus being of the same nature whose Epitome or Microcosmicall substitute viz the braine sendeth a branch of Nerves to the Stomach and thereby furnisheth it with humours cold and moist fit for expulsion I shall now hasten to give you a short description of the Heart Liver Spleen and Kidneys c. CHAP. VI. Of the Heart I Now come to speak breifly of the Heart who is the principall of all other members and the beginning of life he is set in the mid'st of the Breast by himselfe as Lord and King of all the Members And as a Lord or King ought to be served of his subjects that have their living of him so are all the Members of the body subjects of the Heart they receive their living from him and in many wayes they do him service He is the same in the little world as the Sun that glorious Lampe of Heaven is in the great world It is called Sol Corporis as the Sun is called Cor Coeli because their operations are so like The vitall Spirit hath its residence here why then should antiquity with ignominy be brought to the Barr and condemned for saying the Heart lives first and dyes last he being the Fountaine and beginning of life it must needs follow that it is the first thing in man that lives and the last that dyes Here is to be noted that the heart hath blood in his substance whereas all other members have it in their Veines and Arteries It is bound to the back part of the breast by certaine Ligaments which Ligaments though they touch not the substance of the Heart yet in the over part they spring forth of him By which he appeares to be King of the members and Center of the Mocrocosmicall planetary Hiarchy Moreover the Heart hath two Ventricles or Concavities and the left is higher than the right the cause of its hollownesse â—s to keep the blood for his nourishing and â—…e to abate and temper the great heat which is included and shut up in the Concavityes As he is Sol Corporis and Center of the rest of the members and ruler of the family he communicates to them Life and Motion yet by his heat he attracts what is needfull for himselfe from the other members as a subsidy or tax imposed upon his subjects And therefore to the right Ventricle of the Heart cometh a Veine from the great Veine called Venakells which receiveth all the substance of the blood from the Liver this Veine I say passeth from Venakelis to the right ventricle of the Heart and bringeth a great portion of the thickest and purest blood to nourish the Heart The residue that is left of this is made more subtill through the virtue and heat of the Heart and then sent into a concavitie or pit in the midst of the Heart between the two Ventricles therein it is made more hot and pure and from thence it passeth to the best Ventricle and there is engendred in it a Spirit that is clearer brighter and subtiller then any Corporeall or bodily thing which is engendered of the four Elements for it is a mean between the Body and the Soul Wherefore of the Philosophers it is likned more to heavenly than earthly things And here I shall taket leave to digresse and tell you of some things wonderfull touching the Heart If we credit Avicenna Some have wanted a Heart and to this purpose I could recite other mens opinions but I shall not trouble the readers head with such things which seem to my selfe impossible Valerius Maximus speaketh of one Aristomanes Messenius who killed 300. Lacedemonians who had a hairy Heart Beneventus reports the same of a certaine thiefe Columbus observed a young man that wanted the pericardium which is a thin skin involving the Heart as in a purse and he was much troubled with swoonding fits It hath been the opinion that a man cannot live a moment scarsely who hath received a wound in the Heart And good reason too seeing the life depends upon the safety of the Spirits the Heart being the shop and making thereof when the Heart is wounded it is necessary that the generation of the Spirits cease Yet Nicol. Malerius relates a History of one Andreas Hasevanger who was one of the Lifeguard of Count William of Nassaw governour of Frisia c. who received a wound in the Breast by his fellow Souldier Anno 1607. on the 22 of August in the evening and died the 8th of Septemper following one houre after Sunrising his body being opened to search for the wound by the aforenamed Nicol. Malerius and two other Chirurgions in the presence of severall Souldiers of note they found that the wound had entered the right cavity of the Heart and that part of the Heart was almost consumed the left part remaining entire which is the cheife habitation of the vitall spirits By this meanes he lived 16 dayes which had been impossible if the left ventricle had been wounded But to proceed from the left Ventricle of the Heart springeth two Arteries the one having but one Coat and therefore is called Arteria Venalis which carryeth blood from the Heart to the Lungs which blood is vaporous and fit for its nourishment and carrieth back aire from the Lungs to refresh the Heart See here the Harmony and freindly Agreement between the Microcosmicall Sun and Mercury the first affordeth of his own nutriment to nourish the other whilst the other rewards him with aire to refresh him The other Arterie hath two Coats it is called Vena Arterialis or the great Arterie of which springeth all the other Arteries that spread to every member of the body which carieth the Spirits which are the treasures of the Souls virtue Thus it passeth till it come to the braine and be made an animall Spirit as you have heard before in the third Chapter at the Liver it is made nutrimentall and at the Testicles generative Thus by the Heart is made a Spirit of every kind and like the Sun in the Heavens by his royall presence he doth conferre life and liberty to his suppliants I might here tell you why these Arteries have two coats namely because one is not sufficient to withhold the vitall Spirits carried in them their motion being so violent Againe the thing carried about being so precious a treasure
it had need of the better keeping This Arterie is called the pulsative Veine I might here frame a large discourse of the pellicles of the Heart which open and shut to receive the blood Also the two little eares by whom commeth in and passeth out the aire I might say much of the pannicles which as some think have their originall from dura mater as namely pericardium called of some Capsula Cordis which springeth of the upper pannicle of the Midriffe and covereth the Heart of the which springeth another called Mediastinum which parteth the breast in the mid'st and keepeth that the Lungs fall not over the Heart such a rule hath the Architect Spirit given to each part as Starrs to move in their severall Orbs There is another pannicle that covereth the ribs of whom the Midriffe taketh its beginning But this being beyond my intended scope I will put an end to this Chapter of the Heart CHAP. VII Of the Lungs Liver c. THe Lungs is made of a substance very soft and spongeous supple to draw and to inforce from like a paire of bellows it is an instrument of respiration whereby the heart is refreshed drawing unto it the blood the Spirits and the aire and disburthening it selfe of those fumes and excrements which oppresse it It is naturally cold and dry accidentally cold and moist naturally cold and dry waying about the Heart abateing his beat by its refreshing blast it is accidentally moist by reason of Catarhs and Rhewmes which it receiveth from the Braine There are three principall parts in the Lungs considerable one is a Veine coming from the Liver which bringeth with it the crude and undigested part of the Chile to feed the Lungs Another is Arteria Venialis coming from the Heart bringing the Spirit of life to nourish the Lungs The third is Trachia Arteria that bringeth aire to the Lungs and it passeth through all the left part of them to do its office The Lungs is divided into the five portions or pellicles three on the right side and two on the left side if in case any impediment or hurt should happen any in one part the other should be ready to supply the office But I forbeare any further description of the Lungs and come to the Liver which is a principall member in the little world representing the Planet Jupiter Quasi juvans pater hot and moist inclining towards the right side under the short ribs The forme of the Liver is Gibbous or Bunchy on the back side on the other side hollow like the inside of an hand that it might be pliable to the stomach as a mans hand is to an apple or any thing that is round to further its digestion for his heat is to the Stomach as the heat of a fire is to the pot which hangeth over it It is the Store-house of the blood the Fountaine of the Veines the seat of the naturall nourishing faculty or vegetative soul ingendred of the Blood of that Chile which it draweth from the Meseraique Veins and receiveth by the Vena porta which entereth into the concavities thereof and afterwards is sent and distributed through the whole body by the help of Vena Cava which ariseth from the bunch or branches thereof which are in great numbers as the Rivers from the Ocean The naturall and nutrimentall faculty hath its residence in the Liver and is dispersed through the whole body with the Veins from which are bred four perticular humours viz Blood Choller Flegme and Melancholly It is so excellent and necessary a member that I dare not give credit to their opinions who say it may be wanting in a man as some say it was in one Mathias Ortelius a Merchant in Antwerp Blood is made of meat perfectly concocted in quality hot and moist Jupiters darling the most perfect and necessary humour the other three being superfluities yet necessary too The blood thus concocted is drawn out by the Vena cava whose branches ramefying upwards and downwards carrieth and conveigheth it to all other members of the body for their nourishment where by a third digestion it is transmuted into the flesh Choller is made of meat more then perfectly concocted it is the spume or froth of blood it clarifieth all the humours heats the body nourisheth the apprehension It is in quality hot and dry it fortifieth the attractive faculty as blood doth the digestive it moveth man to activity and valour it is under the planet Mars whose residence is in the Gall which is an officiall member a purse or pannicular vesicle placed in the hollownesse of the Liver whose office is to receive the Cholerick superfluities which are engendered in the Liver as aforesaid Which Purse or Bagge hath three holes or necks by the first it draweth to it selfe the choler from the Liver that so the blood be not hurt by the choller By the second it sendeth choller to the bottome of the Stomach to fortifie the attractive faculty And lastly it sendeth choller regularly to every gut from one gut to another to clense them from supersluities and drosse Flegme is made of meat not perfectly digested it fortifieth the virtue expulsive what it is and what tho other faculties are you have heard in the fifth Chapter and maketh the body fit for ejection it is kind to and fortifieth the Braine by its consimilitude with it it is antipatheticall to the apprehension and doth much injure it therefore flegmatick persons have but weak apprehensions It is cold and moist in quality its receptacle is in the Lungs it is governed by the Moon and Venus Therefore it qualifies choller cooles and moisteneth the Heart as you heard before in the description of the Lungs thereby sustaining it and the whole body from the fiery effects which continuall motion would produce Melancholly is the sedement of blood it is cold and dry inquality it maketh men sober solid and staid fit for study or any serious emploiment It curbs the unbridled toys and fooleries incident to the sanguine complexion it stayeth wandering and idle thoughts and reduceth them home to the Centre It is like a grave Counseller to the whole body It is governed by the Planet Saturn it strengtheneth the retentive faculty and its receptacle is in the spleen which in the body is placed on the best side transversly linked to the Stomach Hollerius reports that a woman at Paris was found without a Spleen And Pliny in his naturall History saith that in Cawnus men are born without it and hence the common people thought that it might be safely cut out of Footmen and Horses and as it hath been wanting in some so it hath abounded in others Fallopius observed three that lay one upon another One was seen so great that it weighed above 20 pounds Colum. Anatom Another had a Milt weighed 23 pound Where it increaseth the body decreaseth because it sucks away too much Chilus from the Liver Therefore fitly did Trdjan liken the Spleen
to the Treasury for as that groweth rich the common people grow poore So as the Spleen encreaseth the other parts decay CHAP. VIII Of the Reines and Kidneys NOw I come to a few words of the Reines and Kidneys which are placed within the region of the Nutrites backward and they are ordained to cleanse the blood from the watry superfluities They have two passages by the one is drawn the water from Venakelis by two Veines which are called Venae emulgentes the Emulgent Veines and by the other is sent the same water to the Bladder and this is called Poros Urithedes The Kidneys are made of a hard substance and full of hard concavities and therefore the sores of them are hard to cure they are harder in substance then any other fleshy member and that for two causes the first is that they be not much hurt by the sharpnesse of the Urine The other is that the Urine that passeth from them might be the better cleansed by them The Heart sendeth an Artery to convey to them blood heat Spirit and Life And from the Liver there commeth a Veine which bringeth nutriment to all blood Their fatness is as of the other members made of thin blood congealed and cradded by cold there is ordained the greater quantity in this place because it should temper the heat of the Kidneys which they have of the biting sharpnesse of the Urine The next thing that offereth it selfe to our consideraon is the Bladder which is compounded of two nerveous panicles in complexion it is cold and dry whose neck is carnous and hath two Muscles to withhold and to let go in man it is long and is contained with the yard passing through peritoneum but in women it is shorter and is contained with the Vulva the place of the Bladder is between the share bone and Longaon commonly called the Arse Gut In women it is between the aforesaid bone and the Matrix In the Bladder is implanted the Ureters which bring the Urine or water from the Kidneys thither and privily entereth into the holes and pannicles thereof which is don by a naturall motion between Tunicle and Tunicle till the Urine findeth the hole of the nether Tunicle where it entereth privily into the concavity And the more the Bladder is filled with Urine the streighter be the pannicles compressed together The holes be not set one against the other so that if the bladder be never so full none can go back againe This is the Micocrosmicall Ocean into which all the Rivers of the body discharge themselves There must needs be more then a watry substance in it for many times in dileases it is plentifully made though the patient drinketh little or nothing And it is observed that Creatures that drink nothing will make water Physitians oftentimes foretell many things by their colour thinnesse and thicknesse Salt you know is hid in meats and that plants have very much Salt in them you may find by distilling them And it is very well known that by the Chymicall art many kinds of Salt may be fetched out of Urines The artificiall Chrysocolla is made of Urine Nitre is made of earth moistned with the Urine and Dung of living Creatures The Urine hath a sympatheticall relation to the constitution of the body The Arabians say among the rest Abenzoar that a man that is bitt with a mad dogge in his Urine the picture of Doggs may be seen but this is attributed to the force of the Venome which changeth a mans constitution and maketh it like to a dogs Sennert us himselfe saith that it doth so much corrupt the humours that little Creatures like Puppies are bred in the body If we credit the writings of wise honest and learned men which not to do were uncharitable we shall find that wormes and many kinds of living Creatures have been bred in the Bladder We read of a Woman that voided one that way a span long and a Maid many as big as Woodlice One voided one like a Magpye another who had the Stone in the Bladder voided two with Horns sharp head back and belly crusty black and like a Tortoise only their belleys were red Another voided a living Scorpion and another shell-fish The passage of the Urine from the Bladder all know yet sometimes men are known to void their Urine another way The Son of one Boninus urined a little beneath the Glans A maid at the Hague of a noble family made water at her Navell One by an Ulcer on his Buttock and another by the Belly For my own part I have known two young men who urined between the Testicles and the Fundament read Fernelius l. 6. c. 13. who affirme the same thing I need not tell you that stones are bred in the Urine of a faeculent matter mingled with Salt and stony juice somtimes small and sometimes great of severall shapes and forms sometimes like the Sea sand somtimes like peebles somtimes like Salt and somtimes they are found ragged and branching lively and excellently resembling the stock and branches of Corall few or none are ignorant of this Thus have I with as much brevity as may be described this Microcosmicall Ocean CHAP. IX Of the Generative parts I Shall herein use as much brevity as may be and shall write nothing but with a mind that is modest and with such a mind I desire it may be read The instruments of generation are of two sorts Male and Female their use is the procreation of mankind the operation is by action and passion the Agent is the seed the patient the blood Although this cometh to be spoken of in the last place yet it might have deservedly been put in the first for nature regards not only the conservation of its selfe but to beget its like and conceive its species Venus hath the principall government of the members of generation In which members there are many parts considerable but I shall only epitomize them First of the genitalls of men The first thing to the considered is that which Anatomists call vasa preparantia or preparing vessells which bring blood and vitall Spirits to the Stones they are fout in number before they come to the stones they make a curious implication intertexture or twisting the one with the other the Arteries into the Veins and the Veines into the Arteries which Physitians call Corpus Varicosum some call it Pampiniformis This interweaving reacheth down even into the substance of the stones their use is to mix the blood and vitall spirit together that so the Stones may have a fit matter to work on The Testicles or Stones are of a white soft and spungy substance full of small Veines and Arteries or else when humours flow to them they could not swell to such a bignesse their form is Ovall of their bigness few are ignorant Each stones hath a Muscle which the learned call Cremaster which serveth to pull up the stones in the act of Generation
Sanders It helps hot infirmities of the Liver Stomach and other parts FINIS A Table explaining the Terms of Art and other Words which are not in the reach of Vulgar Capacities A. ABdomen the Belly or Paunch Absurdity Unreasonableness Abstergent Cleansing Actual heat Is a heat that can be felt with the hand as in the fire or things heated by it or in the body of one in a Feaver Actual cold Understand it as the former Accidentally By hap or chance Acrimony Sharpness Accident Is a symptome or something happening in a Disease Access Addition joyning to Acute Sharp violent a Disease that soon ends Adventitious Not natural springing from external causes Adstriction Binding together shutting up Adust Burned Adjacent Lying near Adverse Contrary to Adjunct causes of a Disease Are such qualities are joyned with it Adjuvant causes are such as assist the principal cause Aduata The outmost panicle of the Eye Affected Diseased troubled disordered Afflux Flowing to Agglutinative Joyning glewing souldering together Aliment All kind of Nourishment Alexipharmacal Medicines are such as resist the Plague and all venemous Diseases Albugo The White of the Eye Alteratives Are such Medicines as alter the quality of the Body and the Humours by heating or cooling moistning or drying Animal Faculties Are Imagination Judgment Memory the Senses Hearing Seeing Smelling Tasting Feeling Going Standing and all voluntary Motion Antecedent cause Is the cause afore-going of any Discase The antecedent cause of an Erysipelas or Cholerick Tumour is Choler abounding in the Body The conjunct cause is Choler gathered in the part Anodines Medicines which asswage pain Aneurism Is when the internal coat of an Artery is broken and the external coat swelled Aâ—tepileptical Medicines Are such as are good against the Falling-Sickness Anus The Fundament Analogically Proportionably conveniently equally Apophlegmatisms Medicines which draw Flegm from the Head Apozeme A Medicine made of the decoction of divers Hearbs altering and purging sometimes Syrups mixed therewith to prepare and gently to purge the Humours Apoplectick Medicines Are such as are to be administred in the Apoplexy Apply Lay on Aquae Acidulae The Spaw Waters they are of the nature of Tunbridge Epsome and Barnet Aranea Tunica The sixth Tunicle of the Eye which is like a Cobweb Articulate Voice Is Human Voice or Speech Aromatized Spiced perfumed sented Artery Is a Sinew or Vein wherein passeth the Spirit of Life with the Blood or Vital Blood Arteria Venosa Is an Artery or rather a Vein which from the right and left Region of the Lungs carries Blood and Air to the left Ventricle of the Heart Arteriosa is a Vein from the right Ventricle of the Heart administers blood to the right and left part of the Lungs Aspera Arteria The rough Artery or Wind-pipe Ascent Going up Astringents Medicines that bind together and straiten the pores and passages of the body Astriction Straitening or binding together Asthmatical Trouble for want of Breath Atracting Drawing together Attest Witness declare Atrophya When the body pines away for want of nonrishment Attenuating Making thin Augment Is when a Disease encreaseth and is not at the height Autumn Harvest or Fall of the Leaf Axiome An undoubted Truth B. BAlneum Mariae Is when a Still standeth in warm water Bolus Signifieth a Morsel it is a Medicine to be taken upon the point of a knife Bellilucanae Thermae Hot Bathes in France Bituminous Bathes come from a fat Clay of the nature of Brimstone Bronchia The Branches of the Wezand and Wind-pipe which spread themselves through the Lungs C. CAruncle is a piece of flesh growing upon any part Catarrh is a defluxion or distillation of Humours upon the Lungs or other parts from the Brain Cataphora Dead sleep Catalepsis Congelation or stiffness of the body Causticks are Medicines which burn the Skin and Flesh to make Issues Cautery actual is burning with a red hot iron Cataplasm A Pultiss Cavity Hollowness Carus Foulness Corruption Rottenness Caleine To burn to ashes in a Crucible Cacochymical Abounding with evil humours Cardialgia Pain at Heart Heart-griefs Cardiogmos Heart-burning Carminative are such medicines as break-Wind Catheter A hollow Instrument to open the passage of the Urine to draw Urine from the Bladder or to remove the Stone Cartilages are Gristles Cataract is a Disease of the Eye See the 11th Chap. Book 2. Callous The skin or flesh grown hard or unsensible Cerates are Medicines made of Wax softer then a Plaister and stiffer then an Ointment Cephalick Capital of or belonging to the Head Chalybeated Water Milk or Wine as when red hot Steel is quenched therein also when a tincture of Steel is drawn by Wine c. Chylus a certain white substance wrought by the digestive faculty of the Stomach and is carryed to the Liver Chirurgeon Surgeon Cicatrize To bring to a scar to skin a Wound or Ulcer Circumvolution Turned round Condense To make thick Congelation Freezing or joyning with cold Chorion The skin that covers the child in the Womb. Constipation Stopping up Collyries Eye-salves Contraction Drawing together Cornea a coat of the Eye like a horn Compression Thrusting together Contusion Bruising bruise Cold Seeds The greater are the Seeds of Citrul Cucumber Gourd Molone The other are the Seeds of Endive Succory Lettice Purslane Confirmed is when a Disease is perfect Couched is when any film is pressed down or taken out of the Eye with a Needle Continuity Joyning together Compact Firmly united Concoct is when the blood is separated and made pure or when Flegm or other Humours are separated from the blood or other mixtures Connatural infirmity is that which is born with a Man as to be born with one hand is a connatural Disease Convex Bunching out Conjunct cause See antecedent cause Constriction a drawing together Congestion a gathering together Conjoyned matter See conjunct cause Corroding Eating knawing biting Consolidation closing of a wound Commissura The Mold of the Head where the Skull is united Consistence a Body or Substance Complication of Diseases is a mixture of divers Diseases in the body Coalition Healing up of a wound Coincide That happeneth together Co-indicants are divers considerations in a sick body which call for one and the same Remedy Contra-indicants are such as disswade a Remedy Coction of Humours See concoct Commemorative Remembring what is past Contumacy Rebellious stubborn Corroborate To strengthen Gostiveness Is when the body is hard bound and seldom goeth to stool Columella is a loose spungie piece of flesh it sticks to the roof of the mouth just at the swallow Coagulate is to thicken any thing by heat Coronal Suture is the Seam where the two sides of the Skull close running through the Crown Crude Humours are such as are not well digested in the Stomach Critical Evacuation is when by bleeding at the Nose Mouth by Vomit c. the humours offending are sent forth by the strength of Nature Crystalline Humour is that part of the Eye which is like Crystal Chronical
corrupt and their proper signes appeare in the body If the weaknesse of the retentive faculty let it go the body is weak the face is pale or some disease hath preceded which hath weakened the Liver If it cometh from an Artery it cometh with great force hot pure and fresh if from a vein that contrary appeareth If it come from the Liver Spleen c pains extensions or inflammations in those parts will declare it If blood issue out of the Nose upon a judiciall or criticall day it is a good signe and is not to be stopped if it flow not immoderately But if it happen in the beginning of a disease it is symptomaticall and dangerous If the Liver be affected and the blood issue out at the right Nostrill it is good and if the Spleen be affected if the left Nostrill bleed it is good the contrary to any of these happening is bad If the Haemorrhagy continue long it cooleth the Liver and causeth a Dropsy Likewise bleeding is very hurtfull to Melancholly and Flegmatick people as also to such as have a quartane Feaver For the Cure you must consider whether the Haemorrhagy be Criticall or Symptomaticall If it be Symptomoticall you must endeavour suddenly to stop it Iâ— it be Criticall immoderate and the constitution not able to endure it without prejudice you must do the like you must begin with revulsions of which blood letting is the cheise you must open a veine on the Arme on the same side the Nostrill is that bleedeth you may draw as much blood as the strength of the Patiens will beare Apply Cupping-glasses behind to the Shoulders and Armes to the Hypocondria but make use of this after sufficient blood letting for feare of an inflammation of the Liver Forrestus commendeth the application of Cupping-glasses to the feet others commend an actuall Cautery Throw cold water into the face on a sudden which doth repell the blood It is good to put a Cloath dipt in Vinegar to the neck behind another to the Cods and to snuffe up Vinegar and water into the Nose and hold the mouth full of it as long as any thing is snuffed up take up the fume of Vinegar thrown upon an hot Iron Foment the Forehead and Temples with water and Vinegar cold Vinegar put into the Eare on the same side on which the bleeding Nostrill is is good Then apply a Cataplasm made with the juice of Plantane Nightshade Vinegar of all a like quantity and Bolearmenick sufficient to make a Cataplasme which must be laid to the forehead from Temple to Temple Or thus Take of Sanguis Draconis Terra Sigillata and Bolearmenick of each a drachm Rose Vinegar and the juyce of Nightshade of each one ounce the Whites of two Eggs with the distilled water of Red-Roses and Plantane make a Cataplasm and apply it as before If you perceive that the veins of your forehead are swelled bind a six-pence or a dry bean slit upon the root of the Nose between the Eye-brows Also the powder of Hoggs-dung blown into the Nose or mixed with the juyce of Nettles and a Tent dipped in it and put up into the Nose hath an excellent property to stop bleeding Others commend the Powder of a dried Toad put in fine red Sarsnet and put under the Arme-pits or held in the hand It is convenient likewise to make use of those things which have a faculty to close and glutinate the Veins Take of Bolearmenick Sanguis Draconis Aloes and Cobwebs of each two scruples white Vitriol burnt Egshels and Paper of each one scruple powder them finely and blow it up into the Nostrills to prevent its coming into the mouth hold the mouth full of cold water and Vinegar or else you may mix it with the whites of Eggs beaten to water and the juyce of Plantane and dip a Tent in it and apply it If hitherto you are succeslesse you must make use of Escharotick medicines of which burnt Vitriol claimes the preheminency powdered and used as before but if you feare to use it alone adde the same quantity of Dragons blood Bolearmenick and Frankincense A dram of the powder of Spicknard drunk in the morning in broth is very good If the disease doth often invade the Patient let him make use of inward medicines which have power to Coagulate thicken coole bind and restraine its motion Take of dried Knotgrasse Fumitory and Bistort root of each half an ounce the Troches of Spodium and Amber Terra Sigillata and Sal-prunella of each half a dracbm Corall burnt Harts-horne and Bloudstone of each one scruple powder them Conserve of Roses and Quinces of each two ounces with the syrrup of the juyce of Plantane make an Opiate of which let the Patient take the quantity of a Nutmeg five or six times in a day To conclude if it be inveterate let the peccant humor be diligently evacuated and if it hath its originall from the disaffection of any other part as the Liver Spleen Womb Kidneys c let that be considered and their Cures sought in their proper Chapters CHAP. XX. Of the diseases of the Tongue THe Tongue being the cheife instrument of speech and tast a very necessary though unruly member it is not amisse if we consider and breifly treat of the distempers incident to it by which the actions are hindered This member is subject to inflammation and Tumors which have their originall either from pure Cholerick Flegmatick or Melancholly blood If pure blood cause the inflammation there is paine felt with heat and rednesse of the Tongue and face and this is a true Flegmon If the Tumor hath its originall from Choller then is it called Erisipelas if from Flegme Oedema if from Melancholly Schirrhus all which may be discovered by the humor predominate and shall be more plainly discovered in the next Book where I shall treat of Tumors and their kinds These Tumors are somtimes only troublesome but do not oftentimes endanger life except they grow so big that the body is endangered by suffocation or a malignant melancholly humor do breed a Cancer which may be discovered by its hardnesse blewnesse and pricking paine you must begin the Cure with blood-letting and if you can come at it open the Veine under the Tongue afterwards if you see occasion open a Vein in the Arme and draw away as much blood as the Patients strength will permitt You must purge the humer with convenient purgatives or administer a sharp Clister Some do draw back the humors by Cupping-glasses fastened to the shoulders or a little one under the Chin. Cooling and repelling Gargarisms must be used and you may prepare them thus Take of the distilled water or decoction of Plantane Nightshade and Sorrell of each four ounces the syrrups of Mulberys Pomegranats and Lemons of each one ounce let the Patient often wash his Tongue Zacutus Lusitanus commendeth the application of Horsleeches to the Tongue If you find it inclinable to suppuration you must help nature
too drying lest they thicken the humors and encrease the disease Then you must endeavor to unstuffe and cleanse the Lungs and wind pipe with the before named Lohock or of the like nature I could insert many which I omit for brevitie sake Quercetanus his Sirrup of Tobacco is very good the Tincture of dryed Tobacco as much as a pease held in the mouth and swallowed by degrees draweth abundance of flegm out of the stomack and Lungs or if you take Tobacco in a pipe it is good The juice of red Coleworts made up into a Sirrup and a little Spirit of Sulphur added to it may be taken an ounce in the Morning Or you may make Tablets of great virtue thus Take of the Roots of Elecampane and Licorish of each one ounce the Leaves of Colts foot Maiden haire Scabius and Woodbetony of each a drachm Lac Sulphuris two drams Saffron two scruples make them all into fine Powder and with the Mucilage of Gum Traganth made with Coltsfoot water make Tablets which let the Patient hold in his mouth often Platerus highly commendeth the preparation of a Cock thus Take an old Cock kill pull and draw him stuff him with these things following Fox Lungs fresh or prepared one ounce Raisons stoned and figs of each two ounces Elecampane one dram Hysop Savory Horchound Thyme Calaminth Peneroyal dryed of each one drachm The Seeds of Fenel and Annise of each one drachm Carthamas Seeds bruised and the Roots of Polypody of each half an ounce White Tartar one drachm Salt half an ounce the Yolks of two Eggs Fresh Butter half an ounce Cut and bruise them according to the precepts of Pharmacy and few them up into the Belly of the Cock boile him in a large Vessel and soe much water as will cover him and no more till his flesh come off from his bones strain it and add to every ten Pints one Pound of Hony that it may not quickly corrupt let the Asthmatick person take a Porrenger full every morning in which dissâ—lve of Manna and Cassia newly drawn of each half an ounce It will be the better if presently after he take a dram of Venus Turpetine with penids in form of a Bolus or otherwise The Patient may continue taking this Cock-broath a Moneth or longer CHAP. XXVII Of the Pleurisie and inflammation of the Lungs A Pleurisie is an inflammation of the Membrane Pleura and the internal intercostal muscles girding the sides within the Greeks call it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the Latines also Pleuritis The matter causing this disease for the most part is Cholerick blood which doth easily penetrate the Membrane but seeing other humors may cause it it is either Sanguineous Cholerick Phlegmatick or Melancholick but what ever the humor offending be Choler it hath for its Vehicle The signes of a Pleurisie according to Galen are five first a pricking pain of the side caused by a Cholerick humor in the Membrane extending it self either towards the throat or the Hypochondria Secondly a continual sharp Feaver which is either Symptomatical comming from some Sangnineous Tumor about the part or essential that is when a Feaver first invadeth the Patient and the boiling blood is expelled to those parts Thirdly difficulty of breathing because thâ— heart being inflamed as well as the rest greedily desireth refreshment and he parts inflamed cannot sufficiently distend themselves to draw in the cold aire Fourthly a hard Pulse like a Saw which is caused by the stretching out of the Membrane by which defect the Arteries are distended Fifthly and lastly an often and troublesome Cough because nature doth strive to expel those troublesome humors from the part affected also some of the matter sweateth from thence into the Lungs which causeth a Cough I might here add another signe viz. spitting of blood or bloody matter but because it happeneth not in all Pleurisies nor at all times I omit it You may partly judge of the humor peceant by the constitution of the Patient and season of the Year The particular signes are first of blood bloody spittle stretching and pricking pains full Veins especially about the Temples red Urine and the like Signes of Choler are yellow spittle a burning Feaver a hard and quick pulse the pain more acute and pricking restlesnesse bitternesse of the mouth and yellow Urine The signes that shew Phlegm are much sweet and frothy Spittle the Feaver remiss little thirst the pain heavy but not violent the pulse not so hard the Urine white and thick the Spittle black and tough the pain and Feaver moderate a dry Cough the tongue black and rough the belly bound the Urine red and darke are signes of Melancholly As to the prognostick I say This disease afflicting old men women with child Asthmatical persons or such as have had it often is dangerous If the Feaver be violent the breath fetched with dissiculty the Cough raiseth up no matter or the Spittle very bloody or very white and glutinating green tustick black much Spitting and yet the pain abates not the spitting cease and the pain continue all these are dangerous signes On the contrary plentiful vomitting Choler in the beginning of the disease blood or Choler mixed with the spittle c. are good signes The Cure of a Pleurisie consists in the revelling Deriving discussing digesting maturating and expectorating the peccant humors if the Feaver be essential seek its cure in its proper place Bleeding is a very natural remedy for a Pleurisie which you must moderate according to the constitution and strength of your Patient and the violent or remiss symptoms If your Patient spitt freely forbeare blood-letting lest his spitting be stayed and his life endangered Twice or thrice in a day or oftener as you see occasion administer cooling Juleps to restrain the heat of the boiling humors make a Iulep of Poppy water and Sirrup of Violets After bleeding prepare a fomentation Take of Mallows Violet leaves Chamomel Pellitory of the wall of each one handful the roots of Marsh mallows and Lillies of each four ounces the seeds of Flax Commin and Fenugreek of each one drachm boile them well and put them with the liquor into a hogs bladder and foment the side afterwards anoint it with this following Liniment Take of Fresh butter and Hens grease of each two ounces the Oyles of Chamomel Lillys Dill and sweet Almonds of each half an ounce The Chimical oyle of wax a scruple mix them and make a Liniment some slit a live-Hen and apply it some the Lungs or the paunch of a sheep hot others apply hot bread out of the Oven dipped in Butter Then you may make an Emulsion of blanched Almonds and the great cold seeds thus Take of Almonds blanched and steeped in Coltsfoot water one ounce the four great cold seeds of each half an ounce the seeds of Lettice and white Poppy of each one drachm beat them in a Marble morter pouring on by degrees the decoction of Barly Liquorish and Plantane a
Creature which inflicted the Wound were not venemous the pain is less and the danger not so great and the Cure easily performed by ordinary Medicines CHAP. IV. Of a Wound in the Nerves Tendons Ligaments Veins and Arteries VVHether Nerve Tendon c. are wounded may be easily conjectured and how and with what weapon it was done the Patient will be able tâ— inform If a Sinew be burnt there is great pain hurt both of sense and motion sometimes a Feaver Inflammation Convulsion or raving a breach or wound of a Vein or Artery is known by profusion of bloud But whether the Vein or Arterie be wounded their proper figns must distinguish viz. the bloud black and thick with an equal fluxion sheweth a wounded Vein but if the bloud be thin and yellow and cometh forth leaping like the motion of the Pulse then is the Artery wounden The Nervous Ligaments will endure Medicines of great force If in Wounds of this nature a Tumor appear and afterwards vanish away it threatneth danger of Convulsion and Raving If a Nerve be wounded overthewart and not cut alunder it brings the move peril of Convulsion An Artery cut overthwart is sooner joyned together then if it were severed longwise An Artery cut is harder to cure then a Vein Flux of bloud is peril lous especially of an Artery for unless it be stopped it bringeth death unavoidably Swooning Convulsion Raving c. in this case is an evil token For the Cure if the Nerve be priekt begin thus If there be any weapon or any outward thing sticking in the Wound let it be removed and keep the part from in jury if you fear inflammation open a Vein Let him lye in a warm Room on a soft bed and keep the body loose by Clisters or laxative Medicines regulated according to the nature of the humour peccant Let his Diet be sparing and small Beer his Drink Let him lye as free from motion as may be let not the cold Air which is inimical to the Sinews afflict him not too hot Air for fear of inflammation Keep the Wound oren if it be not wide enough makeit wider then use such Medicines that may ease the pain and draw forth the eruginous and fretting matter Medicines which heat and dry without pain is good in this case as the Oyl of Turpetine Ireos Sage Elder or Water wherein Salt and Turpetine hath been boyled the Oyl of Earth-Worms and of the yolks of Eggs mixed or the Oyl of Roses and Turpetine or the Oyl of Turpetine and of Savine mixed or Euphorbium one drachm boiled in two Ounces of Oyl For which purpose this Plaister is good Take of the Roots of Marshmallows the Meal of Barley Beans and Lentils of eaeh a like quantity as much as you think good boil them in Lye then put to it Oyl of Roses Camomel Dill and Turpetine of each sufficient and a little Saffron so make a Plaister If the Wound will come to suppuration heal it forward and afterwards mundify it If the Nerve be cut after you have observed the asorelaid general Rules joyn the Nerve then apply this Medicine Take of Karth-worms prepared three drachms Horstail two drachms Betony and Nettles in powder of each one drachm Olibanum three drachms encorporate them with the slesh of Snails beaten and apply it four days laying on some Glutinative Unguent Take of the lesser Century Plantane Hounds-tongue Mouse ear both the Consonds Horse tail and Yarrow of each one handsal Earth-worms a pound and an half Oyl and Wine of each one pound and an half Vinegar sour ounces stamp them and let them infuse 7 dayes then add the Suet of a Ram one peund Pitch and Rozin of each sour ounces boil them to the consumption of the Wine and Vinegar add to the straining Ammoniacum Gathanum Opaponax dissolved in Vinegar of each 5 drachms Turpemine one ounce and an half Frankincense Maslick and Sarcocol of each three drachms Of Saffron two ounces Wax as much as needeth to make an Unguent Both these are much commended by Jacobus Weckerus If the Vein or Artery be cut you must first labour to stanch the bloud Secondly to cure the Wound First the bloud may be stanched either with or wit hs out Evacuation With Evacuation is to open a Vein on the contrary part and sometimes near the Wound and to let it fly and suddainly stop it again To stay the bloud without Evacuation must be performed by cupping with scarrifying binding and rubbing of the contrary part Secondly you must bridle the furious course of in by things that thicken cool and astonish Things which thicken the bloud are Rice Lentils Jujubees Quinces and all Stiptick Fruits Cold Water drunk or laid upon the member near the Wound doth astonish it It the Vein or Artery lye so that you may easily come at it ty the end with fine silk stitch up the Wound and apply astrictive Powders upon it and upon that lay on the like powder mixed with the White of an Egg with Stuphs This Powder is good Frankincense Aloes Terra Sigillata Bolearmenick and Senguis Draconis of each equal parts pouder them finely and with the white of an Egg and the hairs of a Hare let it be applyed Or this Take of Lapis Haemitatis one ounce Frankincense Mastich Bolearmenick Cobwebs green Galls dried Frogs Soot white wall and the Meal that lye upon the walls of Mills and Bake-houses of each two drachms Burnt Vitriol Quick-lime and Gum-Traganth of each three drachms the shaving of the skin of a Ram or He-Goat Paper-cards the hairs of an Hare and cotton torrified of each one drachm Asses dung half an ounce make it into fine powder and use it as the fermer The accidental Symptomes both of this and other Wounds you shall have in a Chapter by themselves with their Cures CHAP. V. Of Luxations and Fractures A Luxation or Dislocation is the slipping of a joint from his Natural Position and proper place into some strange and unwonted seat whereby voluntary motion is hindered A Fracture is a division or breaking of the bone the causes of the first are either outward or inward outward causes are falls strokes extension wrenching or the like the Patient is able to inform you The inward causes are filthy slimy and Phlegmatick Humours falling between the joynt as it many times happeneth in the Sciatica Causes of Fractures are things of weight falling upon the place or the Patient falls from on high slippeth or such like A Dislocation is known by these signs viz. a Tumor in the part where the bone lies a pit or cavity in the place from whence the bone is departed great pain a difficulty or deprivation of motion in that member The bone broken is easily seen but whether the Fracture be overthwart or long ways you may discern thus If it be overthwart by seeling you may discern the bone several and disjoyned the bones make a noise and crackling when you handle each side
by the use of this diet drink let him take a Clyster as often as need requireth and once in seaven dayes let him take some purging medicine that day omitting the diet drink This bole taken in the morning two houres before meat is exceeding good to strengthen the head after due evacuation of the peccant humours viz Conserve of Roses and of Rosemary-flowers of each two scruples of Venice Treacle the weight of both with a little fine Sugar make bole and administer it as before Likewise may Gargarisms be made and used in manner following Take the root of Masterwort a drachme Long-Pepper and Nutmegs halfe a dram Mustard-seed one scruple beat them to powder and put them in a linnen cloth and chew it halfe an hour which will purge the head of grosse and phlegmatique humours Somtimes it is convenient to use Sneezing-Powders and you may make them in this sort Take the Leaves of Marjarom Rosemary and Betony dryed two scruples white Hellebore Cloves Nutmegs Cubeba of each halfe a scruple beat them into fine powder and by the help of a quill provoke sneezing Also a quilt to corroborate and strengthen the Brain may be thus made Take of Wood-Betony dryed one ounce the flowers of Rosemary and Stachas a Drachm Red-rose-leaves two drachms Frankinsence Mastick Benzoin Mace and Cloves of each halfe a Drachme beat them to powder and quilt it in Silk or Linnen and apply it warme I might here reach you to make Plaisters to corroborate the braine to attract or resolve the humours but I forbeare here for brevityes-sake and referr you to its proper place where I shall treat of the making of Plaisters and their uses If the distemper hath its originall from Cholerick humours let him use meats and drinks that are naturally cold and moist it is convenient that the humours be prepared quenched and concocted for which purpose you may use this medicine following Sirrup of Violets one ounce of Water-Lillies halfe an ounce distilled waters of Endive Succory and Lettuce of each one ounce mix them and drink it in the morning fasting the humours thus concocted and made mild and obedient unto nature may the better be removed by purging medicines To which purpose take fine Rubarb two drachms Spickuard one scruple cut small and infused in the distilled water of Endive Succory and buglosse of each one ounce for the space of twelve houres dissolve therein a drachme of the electuary of the juyce of Roses and make a purging potion Pills of Reubarbs and Alephangina may be safely used in this case the dose is a scruple or halfe a drachme taken at night going to bed Pill aureae or golden Pills taken halfe a drachm in the morning purgeth cholerick and other offensive humours from the head Clysters in this case profiteth much Take of the decoction for a Clyster before described adde one ounce of Cassia fistula Hiera picra halfe an ounce oyle of Roses one ounce Salt halfe a drachme mix them and make a Clyster After purging of the Cholerick humour it is convenient to coole and strengthen the head by outward medicines oyle of Roses and oyle of Cammomell mixed with a little white-Wine-Vinegar is good to anoint the head but if there need greater cooling you may adde to the oyles juyce of Housleek Purslane Nightshade or Sorrell If the sick cannot sleep anoint the forehead with oyle of Water Lillies and Poppy If the symptomes declare wind to be the cause let the Patient eschue all meats that do breed windinesse empty the belly with Clysters that are made of such things as do naturally dissolve windinesse viz. The seeds of Annise Sweet Fennell Carraway and Comin of each one ounce boile them in a quart of posset-drink till halfe be wasted streine it and adde to the liquor Catholicon and diaphaenicon of each halfe an ounce This Clister doth not only purge the intestines and those parts about the Liver but also pulleth back those vapours which ascend to the Head To the outside of the Head may be applyed repulsive medicines as Vinegar Wormwood Melilot Mints Pomegranate-rinds Shephards Pouch Purslane Lawrell Nutmeggs c After a moderate use of these adde medicines that have power to mitigate concoct and digest as Camomell Linseed Fenugreek Saffron yelks of Eggs Hens and Goose-grease Lastly apply medicines that have power to discusse viz meale of Lupines and Barley Lilly-roots Nigella oyles of Dill and Rew. CHAP. III. Of the Frensie THe Frensie is an inflammation of the braine and membranes thereof caused by the abundance of blood or choler occupying those parts it differeth from madnesse in this that a fever is joyned to the Frensie Some that are thus grieved do erre much in imagination others are acute in imagination but want judgment to regulate their cogitations and some are deprived of memory Symptoms and Signes They who are thus greived are in a continuall Fever are mad and cannot sleep Somtimes they sleep and are much troubled therein They often rub their eyes which are red and somtimes dry somtimes afflicted with a hot rhume The tongue is rough sometimes they bleed at Nose they snatch and catch at the bed-clothes their Pulse is weak and hard like the motion of a sinew they breathe seldome If choler be the cause of the I hrensie they rage very furiously and can scarcely be ruled if blood be the cause they somtimes laugh and rejoyce This disease according to the opinion of the wisest Physitians for the most part is deadly and incurable The Cure For the cure of this distemper the blood or cholet afflicting the braine must be discussed pulled back repelled and evacuated so that the distemper of the head be removed the strength of the head and of the whole body be preserved It is convenient as soon as the disease is discovered to open a Veine having first administred a Clyster thus made Take of the Leaves of Violets Mallows Endive Beets and Lettuce of each one handfull of the root of Marsh-Mallows an ounce of the flowers of water-Lillies and the tops of Dill of each halfe a handfull let them be boiled in a sufficient quantity of Barley-water then streined out to a pint of this decoction dissolve Cassia newly drawne Sirrup of Violets Diaprunum Lenitive of each halfe an ounce browne Sugar one ounce and make a Clyster You must soone after the Patient hath had a stoole open the Cephalick or Head-Veine but if blood do abound open the Basilick or Liver-veine or the middle Veine first and after a while breathe the cephalick Vein If you find that suppression of Menstrues or the hemorrhoid hath been the cause of the distemper you may first open the Veine under the Ancle called Saphaena and afterwards open the Cephalick Veine If the age and strength of the Patient forbid not you must bleed him often in the Cephalick Vein if the body be weak open the Veine under the Ancle be sure not to draw too much blood at once least the sick faint
If you feare blood-letting by reason of age want of streangth or a bad season use cupping with scarification behind the neck upon the back bone It is good also to use Frictions and Ligatures upon the legs and to draw blisters upon the Armes and Shoulders After Phlebotomy you must apply medicines that do coole the Braine and repell and hinder the humours from ascending to the head as Oyle of Roses two ounces Rose Vinegar one ounce the water of Plantane and Lettuce of each two ounces with the whites of two Eggs mingle them together and apply it to the forehead with a double cloath If that prove not essicacious take oyle of Mandrakes Roses Violets and water Lillyes of each two drachms the juice of Lettuce and Puâ—slane of each halfe an ounce the whites of two eggs mingle and apply it But here let me advise people to be very wary and carefull in the applying of these medicines by no mâ—anes apply cooling medicines in the extremity of the fit nor refrigerate and stupsie the Braine too sodainly lest by overmuch cooling you turn the Frensie into a Lethargy and make your Patient sleep his last Likewise consider from the Symptomes of the disease to what part of the head to apply your medicine having consideration to the age of your patient and season of the yeare your Wit will informe you whether you are best to apply it warm or cold If you find the inflammation extend it selfe to the skin and exterior parts use no repelling medicines for feare you drive the distemper to the Braine It is convenient likewise to refrigerate the interior parts thus take of the syrups of Violet erratick Poppys and Pomegranates of each four drachms the distilled waters of Plant Lettuce Poppy and Purslane of each two ounces mix them and make a julep for three doses This electuary is good in this case Conserve of Roses and Violets of each one ounce the conserve of Clove-Gilliflowers and water Lillys of each halfe an ounce Diamargatiton frigidum halfe a drachme with Syrup of Violets make it into an electuary give the sick the quantity of a Nutmeg once in an houre two or three as necessity shall require Having thus prepared the humours you may evacuate them by purgations but it is convenient to use the most gentle purgers you may safely administer an ounce of Catholicon in the evening drink somwhat warme in the morning it is a fine cooling and gentle purge Or you may make a decoction of some cooling hearbs and in halfe a pint of the liquor warme infuse therein a drachme of Rubarb 12. hours dissolve therein halfe an ounce of Catholicon and two drachms of syrup of Roses and make a potion Let his drink be Barly water and mingle with it the syrup of Pomegranats Lemons or Barberies By this you may know how to cure not onely Frensies but all ravings and watchings which are ingendred by Feavers CHAP. IV. Of Madnesse THe Latines call this disease Insania and Furor and the Greeks Mania we call it Madnesse In this distemper the body is much out of order and the Spirits much disquieted It cometh without a Feavour and therein it differeth from the Frensie This disease is caused somtimes of the abundance of blood flowing up to the Braine Somtimes of hot and cholerick humours or of a hot distemper of the Braine The Symptomes of Madnesse are weaknesse of the Head tickling of the Eares and shinings before their eyes watchings strange thoughts and ravenous appetite If it proceed from the abundance of blood there followeth continuall laughing objects of laughter evermore appearing before the eyes When it proceedeth from both blood and choler it causeth a dashing and fervent motion in the braine which maketh the sick irefull full of motion and bold But if the choler wax grosse the sick is more mad and harder to cure There is another sort of Madness caused by melancholy occupying the mind and changing the temperature of it Somtimes the blood is generally corrupted by melancholy and the brain hurt thereby Somtimes melanchollyblood ascendeth to the braine when the blood is not generally corrupted Somtimes inflammations obstructions and evill effects of the Stomach and Spleen may be the cause thereof There are many Signes of this distemper they which are most common are these fearfullnesse sadnesse hatred and very strange imaginations Some have fancyed themselves beasts and have counterfeited the voice of Beasts others earthen-pots and have fled from company for feare of being broken Somtimes they desire death and to make away themselves Somtimes they much dread death Some think themselves inspired with the holy Spirit and do Prophesie others fancy themselves great Philosophers If the blood be generally corrupted the body is leane pale and rough and generally melancholly They whose distemper arise from defects of the stomach or Spleen have burnings grevious inflammations and plucking of the sides are subject to be costive troubled with wind fuming to the head causing lightnesse and troublesome dreames For the cure If blood abound after the administring of a Clyster you must come to blood-letting You may open the Cephalick if that appeare not the middle veine draw as much blood as the strength of the Patient will beare you may as you find occasion open the veine in the forehead if it appeare if the sick be a woman open the veine under the Ancle you may also bleed the Hemorrhoid-veines I beseech you not only here but in all other distempers to be very carefull and sparing of your Patients blood draw not too much at a time lest you weaken nature too much in this case it is best often to bleed and in the mean time keep the body soluble either by Clysters made as the former Chapter will direct you or other convenient purges viz Take black Hellebore sliced small one ounce infuse it three days in a quarter of a pint of raine-water then boile it gently to the consumption of the third part keeping it close covered streine it out and add to the liquor two ounces of clarified honey let the sick drink halfe an ounce in the morning in a little broath or posset-drink for severall dayes together increase or decrease the dose according to the strength or debility of your patient Or take of the extract of black Hellebore halfe a scruple Syrrup of Violets one ounce mix it for one dose If the body require a stronger purgation Take of Diagridium and Lapis Lazuli of each halfe a drachme Turbith one drachm Sena halfe an ounce Epithymum Cremo-tartar of each two drachms Of Cinamon and Citron pills of each one scruple Safron halfe a scruple Let them be finely pulverized the dose is a drachme or four Scruples administred in broath or some other convenient Liquor These are convenient medicines which purge both choler and melancholly You may purge with confectio Hamech Diasenae Pillulae Indae Pill Lapid Lazuli the dose must be regulated according to your patients condition strength and
of water untill half be consumed to a pint of the decoction adde the oyls of Lillies and Rue of each half an ounce Hiera Picra Benedicta Laxativa and Diaphaenicon of each half an ounce Honey of Roses an ounce Salt a drachm mix them and make a Clyster If your Patient be young strong and full of hot humors and blood you must soon after the operation of the Clyster open a vein in one Arm let him not bleed too much at once lest his strength fail in a few hours space open a vein in the other Arm for by that means the disease will be the more abated and the strength the more preserved After the first vein opened if you perceive his countenance more lively his pulse beat more orderly and his breath fetcht with more ease it is a good sign and a good encouragement to open another vein Make the Orifice wide or else the grosseft blood will lye behind Where you see the body abound with blood draw blood liberally if not draw blood sparingly After letting blood if you see hopes of your Patients recovery within a few hours you must administer some purgation the time of the day matters not one ounce of Elect. Diacarthamum half a scruple of Castor dissolved in Betony water you may in this case make use of Pillulae Cochiae the greater or the lesse or Pillulae de Agarico pills of Agarick But in the Lethargy by reason it is accompanied with a Feaver you ought to administer more gentle purgations as Pillulae Hiera cum Agarico I shall lay down some generall Rules for purging in the next Book which serve to divert the humours flowing to the Head But the humours there fixed must be purged with Scammony one Scruple Castor two scruples administred in Oximel which hath been proved with good successe If hitherto your Medicines prove unsuccessful you must venter to administer stronger not fearing the danger or strength of your Medicine seeing without it nothing can be expected You may use such Medicines as are extracted out of Antimony or those lesse violent as is the infusion of Crocus Mettallorum or two drachms of the Tincture of Tobacco extracted with the Spirit of Wine doth powerfully evacuate upwards and downwards both cholerick and flegmatick humours and cleanseth not only the Stomach and Bowels but the Brain also Also Frictions and Ligatures on the extream parts are necessary that the vapours do not ascend to the Head You may fasten Cupping glasses to the Shoulders Arms and Thighs with scarification if you have not let your Patient blood otherwise without forget not the often administration of Clisters or instead thereof you may use Suppositories made thus Take two ounces of Honey boiled to a due thicknesse of Hiera Piera two drachms Coloquintida Agarick and Scammony of each two seruples Salt gemme one drachm make them into fine powder and mix them with the Honey and make Suppositories as long as you think good You may apply things to their Noses which have a property to awaken them as Vinegar Castoreum Galbanum Sulphur Goats-horn or Harts-horn burnt and holden to the Nose A fume made with white Amber is of excellent vertue in the Apoplexy You must pull them by the hair and prick their Legs or rub them with Salt and Vinegar You must annoint the Palare of the Mouth with strong and sharp Medicines as Mithridate Mustard powder of Masterwort and rub the bottoms of the Feet with Salt and Vinegar and the Palms of the Hands with the Oyls of Rue and Castor If the disease be of long continuance provoke sneezing with those Powders prescribed in the second Chapter to which you may adde Rue and Castor You may apply resolving Medicines but first you must make them thus Take the leaves of Betony Sage and Rosemary of each one handful the tops of Lavender and Marjerom Rue and Savoury of each half a handful the roots of Angelica Masterwort and Setwall of each one ounce Bayberries and Juniper berries of each half an ounce boyl them in a sufficient quantity of Vinegar and with a Spunge or cloth dipped in the decoction bathe the Head of the sick If the Disease yield not to these Medicines you may fasten Cupping gâ—asses to the upper part of the Neck about the first or second joynt Some use to draw Blisters there and with good successe Many precious Medicines against this distemper have been left to posterity I shall omitting many insert this one viz. Take of the root of Peony and Misleto of the Oake of each two ounces Calamus Aromaticus Galanga Cyperus of each one ounce of Betony Sage Marjerom of each one handful the seeds of Peony Annis Fennel and Carraway of each three drachms the flowers of Lavender Stechas and Rosemary of each half a handful of Nutmegs Mace Cubebs Cloves Grains of Paradice of each half an ounce Cinamon two ounces Saffron half a drachm of Species Diambrae and Diamoshi of each two drams Let all these ingredients be shredd and bruised and put into a glasse Limbeck powre on them of the best rectified Spirit of Wine enough to cover them the breadth of three fingers digest them in a Bathe eight daies afterward distill it and upon occasion administer a drachm or half a drachm in some other convenient liquor In like manner may the Spirit of Castor be administred in Oximel and 't is a good Medicine against these Diseases Moreover be very careful that you wel understand the nature of the humor offending as if blood offend use not too many refrigerating Medicines and bleed the more I need say no more Verbum sapientibus c. If after so many Evacuations the Brain become too cold and much weakened you may strengthen it with Lozenges made thus or after this manner Take of the distilled oyls of Annis Cinamon and Nutmegs of each three drops oyl of Cloves one drop Amber-grease half a scruple with four ounces of Sugar dissolved in Betony water make Lozenges take a drachm in a morning Likewise you may make Pills to strengthen the Head in this manner Take of the Species Cordiales temperatae and Aromaticum Rosatum of each two drachms Mastick Nutmegs and Cloves of each one scruple Ambergrease half a scruple and Musk three grains make it into a Masse for Pills with the juyce of Marjerom and take a scruple to bedward once or twice a week or you may take half a drachm of the powder called Diarrhadon Abatis night or morning If any fear the return of this Disease again after cure or any by the aforegoing Symptoms fear its growth upon them let them carefully consider the humour offending if blood abound lessen it by opening a vein if Choler flegm or melancholy by purgation How you may know which humour offendeth or by what it may be purged this Treatise if you have any ingenuity will inform you CHAP. VI Of the Vertigo and Falling-sickness THe Vertigo is a Disease which maketh a man think every
month with Manna Syrups of Roses and Rubarb and every change of the Moon take a dose of the powder before mentioned and oftener if need require To conclude if the Disease be caused by some evill effects in the mouth of the Stomach you must labour to free the Stomach from the humours that offend For the Cure of the Vertigo I shall say nothing but refer you to those Medicines propounded for the Cure of the Falling-sicknesse and to the 2. Chapter viz. Of the cure of Cephalaea proceeding from cold crude and phlegmatick humours it being my present task only to epitomize not to write largely of the cure of Diseases CHAP. VII Of the Palsie PAralysis or the Palsie is a disease wherein the whole Body or part thereof as Atm Hand Leg or Tongue doth lose sense or motion or both Sometimes it followeth the Apoplexy Here note that the Faculty of sense and motion floweth from the Brain as from its proper fountain and is conveyed to all parts of the Body by the Sinews the proper Organs of sense and motion Hence it commeth to passe that if that faculty of the Brain be obstructed that it cannot descend to all parts that all or some of the 〈◊〉 of the Body lose either motion or sense or bâ—… according to the part obstructed The Causes The Palsie is caused by abundance of grosse and clammy humours which stop the sinews and hinder the animal faculty that it cannot come from the Brain or fountain to the members It may be caused by vehement cold or by some inflammation or swelling near the Back-bone or the sinews may be crushed by some binding or hurt by some wound or Ulcer or the like The Signs and Cure There need no more Signs to know this disease by than what hath been declared in the explanation of it This disease for the most part happeneth to old folk and surprizeth them in the Winter time therefore Phlebotomy for the most part is unnecessary and dangerous If plenitude of humours or blood appear open a vein on the sound side draw blood sparingly lest you cool the Body too much Let what part soever of the Body be affected yet you must not forget the Brain but you must purge corroborate and strengthen it If you find the originall of the distemper in the Brain you must apply Medicines which have power to extenuate dissolve and discusse such as are described in the second Chapter for the cure of cold and phlegmatick distempers of the Head To the purging Medicines you may add these Pillulae Fatidae de opopanace Arabicae and Trochisci Alhandall taken in a convenient quantity as you shall be instructed in the next Book and sutable to the season of the year and aâ—…â—f your Patient Let him abstain from drinking â—f strong beer and Wine and let most of his drink be the decoction of Guiacum and the bark of the same and if you add Cephalick hearbs to these it will be the better This Decoction is commendable viz. Take of Guiacum ground two ounces of the bark of the same half an ounce the root of China and Salsaparilla of each two drachms Sasafras three drachms Lignum Aloes and Galanga of each two scruples the root of Angelica Peony and Fennel of each two drachms the seeds of Peony and sweet Fennel of each one drachm Betony ground Pine Sage of each one handfull the flowers of Lavender Rosemary Stechas and Cowslips of each one pugil Cinamons and Polipodium of the Oake of each half an ounce Infuse them in six quarts of water twenty four hours then boil it gently to the consumption of two quarts strein it and add to the decoction of brown Sugar candy and syrup of Stechas of each four ounces Let the diseased take half a pint in a morning three or four mornings as a preparative to purging you must purge once in a week with one of the aforenamed Medicines having respect to the age and strength of your Patient season of the year Or you may prepare the aforesaid water by distillation thus Take of the simples aforenamed and infuse them 24 hours in four quarts of water and two of White-wine then distill them in Balneo Mariae as you shall be taught in the fourth part of this Treatise to a pound of this distilled water add one ounce of the syrup of Staethas and a drachm of Theriaca diatessaron divide it into three parts for three mornings It is convenient to set Cupping glasses to the part affected without scarifying of it but easily drawing the humours and spirits to the place afterwards you must rub and chafe the parts it is convenient to bathe the paralytick part and cause it to sweat with the decoction of Bur root and Elder leaves hot-houses often profit much but much better it is if they can come to natural baths which proceed either from Nitrous hituminous or sulphureous Mines as the Bath of Bath You may safely Bathe two or three times in a week and afterwards annoint the Member with some convenient Liniment viz. Take of the Oyls of Foxes Castor Earth-worms and Rue of each one ounce Unguentum Nervinum and Martiatum of each half an ounce the distilled oyl of Rosemary one drachm Oyl of Spike six drops mix all these and make a soft ointment with which annoint the Back-bone and the other parts that are diseased afterwards wrap them up warm with the skin of a Fox or Hare If the Palsey be caused by an inflammation or hard swelling in any part the cure of the inflammation or swelling cures the Palsie also If bruising of the sinews by pinching or binding be the cause remove the bruised blood and the cure will ensue If the Spondills of the Back be out or broke and that cause the Palsie or Resolution the cure of the cause taketh away the effect If the Palsey ensue a wound or Ulcer in the Head Back or any particular Sinew if the Sinew be curable the Palsie ceaseth CHAP. VIII Of the Covulsion SPasmus Cramp or Convulsion is a disease when the Sinews are drawn or plucked up against a mans will Of this there are two sorts viz. a true Convulsion when there is a constant retraction of the Muscles and the Limb remains unmoveable or a convulsive motion when the retraction is every time new and the Members moved divers ways They differ likewise in their Causes for a true Convulsion proceedeth either from repletion or inanition a convulsive-motion from irritation or provocation Again they are thus divided a true Convulsion is either total by which most part of the Body is contracted or partiall by which one particular member suffereth contraction The Universal Convulsion is caused from the Brain when the Face is plucked together as well as the whole Body or from the marrow of the Back when the Muscles that move the Head and Back are drawn together A particular Convulsion is made from the contraction of the Muscle of some part comming from the
with excrements which by their quality and quantity overcome the retentive and provoke the expulsive faculties and so evacuate themselves by unusuall and improper wayes to the disturbance of the whole body The cause of this distemper proceeds from want of a good concoction in the brain and this proceeds either from a hot or cold distemper A hot distemper doth attract more nourishment then nature can sufficiently digest A cold distemper turneth the nourishment brought to the brain to flegme or water Cold grosse and slimy meats hinders a good concoction and windy meats send up many vapours to the head Add to these many externall causes as Southerly winds long sleepe upon a full stomach especially an idle life c. And though this be accounted a disease of the head yet the principall cause lyeth in the inferiour parts in which evill humours are collected as the Liver Spleen Mesentery Womb c. from whom not only vapours but even the humours themselves are sent to the head and descend to the inferiour parts againe a hot distemper of the Bowells like an Alembeck send continuall vapours to the head a cold distemper engenders crude humours which are also many times drawn up thither Costivenesse or obstructions in the lower belly which hinder the avoiding of excrements they not finding their ordinary passage fly up to the braine which by reason of its weaknesse and loose and soft substance is forced to yeeld to the stronger parts disburthening themselves upon it The Impulsive causes are too much heat or cold in the braine too much heat doth extenuate and diffâ—se the humours and this happeneth to the head heated by the Sun fire covering c. Coldnesse doth compresse the head and straines forth the humours therein contained as a spunge is squeesed in the hand A Catarrh is caused by a Communication of cold humours to the braine from the feet conveighed by the chiefest Nerves which run through the Marrow of the back The stoppage or closure of the externall pores when the body requireth sweat is the cause of a Catarrh hence it commeth to passe that Catarrhs are most frequent in Autumne viz. the body being made thin in the Summer and the pores open evacuating excrements by sweat and insensible transspiration in Autmune the pores being sudainly stopt by reason of the contraction of sudaine cold which causeth many vapours to fly to the head Many more causes might be instanced but I fear I shall grow too voluminous and what I have said is sufficient to stirr up ingenious wits to further discoveries I shall add a few words of the nature of the parts receiving this Defluxion which by reason of their weaknesse are forced to receive the burthen laid upon them by the stronger parts like the inferiour Commons who are forced to bear the heavy impositions of their insulting Superiours The Lungs is naturally weak by reason of its softnesse and loosenesse which maketh the part sit to receive Defluxions want of naturall heat caused by a cold distemper maketh the part unable to resist Defluxions A wound or Ulcer in the part causeth the humours to flow thither if you take notice of Issues and Cauteries you will scarcely doubt of the truth of it So doth any inflammation or unnaturall heat in the Lungs Consider of this and you may be able to give a reason of consumptions of the Lungs Pluresies and spitting of bloody matter The humours which cause a Catarrh flow from the brain internally or externally internally if the humours fall upon the breast it is called a Catarrh or Defluxion If upon Aspera Arteria it is called Raucedo or hoarsnesse If it flows into the Nostrills it causeth Coryza Ozena or Polypus If it falls upon the Nerves it produceth numbnesse Palsy Convulsion trembling if in the Eares deafnesse if in the eyes Inflamation Teares blindnesse if upon the Uvula or Palat it causeth a swelling loofnesse or Ulcer there if it fall into the throat the Quinsie follows if on the Lungs Inflammation Pleurisie shortnesse of breath Cough Consumption If it falls into the Stomach vomiting and want of appetite ensues if into the bowells Dyarrhea or Dysentery and sometimes it floweth into the Veins with the blood and causeth a Feaver called Febris Catarrhalis and is the fore-runner of the joynt gout and Erysipelas Sometimes the humours flow from the head externally without the skull under the skin these humours fall into the Eyes Teeth Neck and other externall parts therefore it is rightly conceived by many learned men that the greatest part of the diseases incident to the body of man have their originall from the head Such whose bodys are spare and slender easily penetrated by heat or cold or such as are grossely compact and have not free transpiration Such who have weak and cold braines that cannot discusse nor concoct the humours or vapours therein contained or those whose braines are so hot as to attract too many vapours Such whose Stomachs and Livers are contrary in quality viz. one hot the other cold are men subject to Catarrhs or defluxions The signe of this disease may easily be gathered from the Causes the approach of this disease may be discovered by the following Symptoms viz. by heavinesse of the head dullnesse of the senses long sleep a snotty nose much spitting costivenesse of the body and much wind when the disease is perfect the flowing humours are plainly felt with swellings and paines in divers parts If the defluxion be of cold humours then will the body be sensible of cold the face pale the habit of the body generally flegmatick troubled with soure belchings sweet slimy and waterish spittle If it be a hot distillation the habit of the whole body is Cholerick the parts affected inflamed and painfull the face red much thirst a salt and sharp humour in the mouth I need not tell you how an externall defluxion may be knowne from an internall but take notice that if there appeare plenty of humours the Catarrh is more dangerous for by a suddaine defluxion desperate accidents may follow If age strength and the season permit or if the body abound with blood or the Liver be too hot as it often happens in this distemper breathe a veine at the beginning of the cure the contrary prohibiting Phlebotomy You must first prepare the matter then gently purge the head afterwards more strongly purge the peccant humours out of the former Chapters you may find what purges are convenient with respect to the humour offending Coloquintida hath an excellent faculty to purge the head but by reason of its violent operation is not fit for common use therefore use it not without good advice In this disease also it is good to use Masticatories and Gargarismes when the humours fall into the eyes or nose c. Errhines and sneesing powders when it falls upon the Breast Lungs c. Issues behind the neck or eares are found by experience a gallant remedy for a Catarrh I shall
of the eye looketh wider blacker and dimmer the difference of causes is thus known If the cause be blood or choler some inflammation impostume or wound in the head hath gone before If the Nerves are compressed by Flegme gathered about the roots of the eyes all or most of the head is affected and the other senses are hurt but if it be obstruction of the Optick Nerves the eye is onely affected or the fore-part of the head about the eye-hrows beareth part of the affliction If the Disease proceed from an obstruction in the Optick Nerves and the sight be totally lost for the most part the Disease is incurable but if the obstruction be imperfect that is to say the sight much diminished and the Patient not totally blind then there is hope of recovery If it happen by humours gathered into the fore-part of the head compressing the Nerves it is curable For the Cure the head must be cleansed by medicines which effectually purge those humours which compress or obstruct the Nerves but remember that as you cannot free the Nerves without purging the whole head so you cannot cleanse the head without purging the whole body It is good that the Patient avoid a thick cold cloudy and moist ayr and frequent the contrary Let him eschew all meats that are gross or yield a gross juyce such as are windy hot spices or whatever fills the head with vapours It is good to put the seed of Fenel into his bread Let his meat for his sauce be extenuating as Betony Eyebright Fenel Hysop Marjarom Sage Nutmeg also doth much comfort the brain and clears the sight as 't is generally believed Let the aforesaid hearbs likewise be boiled in his broth Lettice and such ilke cold herbs are very hurtful Turneps are highly commended and 't is proved they clear the sight being often eaten Pidgeons Sparrows and such like Fowls are said to be a good food for such who are thus diseased Let him eat no Supper if he eat any let it be light and not too late Then let him make use of this Diet-drink following Take of Bettony Eyebright Celandine the great Fenel Balm Marjarom Sage and Vervain of each two handfuls the roots of Elecompane Fenel Flowerdeluce Liquoris and Sawsaparilla sliced of each one handful the Seeds of Coriander Anice and Fenel of each one ounce the slowers of Ros-mary and Lavender of each a handful Raisons of the Sun stoned and blew Figs sliced of each a pound Senna two ounces Let all these be infused six hours in a sufficient quantity of Wort upon hot Embers then tunned up in four gallons of Newbear let them work together Let the Patient drink a draught every morning till the Cure be perfected unless some other medicine intervene You must purge the body often as you see cause either with gentle or stronger purges let them be Pills and such as purge the humour oftending of which you shall have a particular account in the fourth book If your Patient be not old and you finde blood abound you may open a vein the opening of the particular veins of the head especially those that are nearest the eyes have often proved successful because the veins by reason of their fulness of blood have compressed the Optick Nerves Sometimes the application of Cupping-glasses Vesicatories and Cauteries to the hinder part of the head or neck to the shoulders or back have been attended with admirable success After due evacuation it is convenient to dry up the humours by a sudorifick Diet-drink made and used as is described in the second Chapter adding such hearbs as have a special property to cure the eyes viz. Celandine Ey-bright Fennel and Vervain If you see occasion to dry up the moist humours of the head make use of such powders bags and caps prescribed in the fore-poing Chapters Also sulphurous and Bituminous Bathes profit much The Glossie and Crystalline humours of the Eye are subject to infirmities and disorder the first is subject to a mixture with other humours and this Disease is hard to discover but must be cured by cleansing the head and optick nerves and repelling and discussing the humour which mixeth with the vitrous humour and maketh it dusky This humour also may be disordered in respect of its scituation when it is brought before the Crystalline and so diminisheth the sight This Disease is hardly distinguished from a Cataract onely it differeth in the cause for a Cataract cometh by a defluxion of humour this from a blow or contusion and is uncurable sometimes it happeneth that Nature works a cure and reduceth it to its place again but no man as yet can imitate her therefore we leave the business to her disposing The Crystalline humour is the chief instrument of sight and if any defect happen to it that it be not pure nor perspicuous the visive spirits cannot exercise their office This humour doth often suffer prejudice through some drying and condensing cause as it often happens to ancient people where the aforesaid cause changeth the Crystaline humour to redness The sign of this Disease is a thick White about the sight of the Eye and every object appeareth to the Patient as through a Cloud It is called Glaucoma and differeth from a Cataract in this viz. a Cataract lyeth in the Pupilla or sight near Cornea but Glaucoma lyeth much deeper and is uncurable especially in old people Somtimes the Crystalline humour is displaced that it lyeth not directly against the Pupilla sometimes it lyeth too high and sometimes too low and if one eye suffer all things seem double sometimes vapours and water divide the visive humours and causeth the objects to be received into two places Sometimes the Crystalline humour is removed and brought nearer to the Pupilla and things that are near are not so easily seen as things farther of But if it be removed backward things near are plainly seen but not afar of the use of Spectacles are profitable in this case Sometimes the Crystalline humour lyeth to the right or to the left side so that more White appeareth on one side then on the other and this we call Strabismus or Squinting this also is uncurable unless it happeneth that the muscles of the eyes be displaced by convulsion or palsie for if it so happeneth it is uncurable Sometimes there happeneth an inversion of the Crystalline humour so that the objects seem soulded or crooked But these Diseases being uncurable by medicines I shall prescribe none CHAP. XI Of a Cataract A Cataract is caused or bred by a distemper of the watry humour of the eye which distemper is in quantity or quality if in quantity it causeth a dilatation of the Pupilla of which I shall speak in the next Chapter If the distemper be in quality it proceeds from a mixture of excrementitious humours with the watry humour In the beginning of this distemper the sight being a little darkened it is called Suffusion but when it is gathered about
Sugillatio Sometimes the Cornea is made yellow by the Jaundise All these Diseases are easily discovered and their causes are laid down in the Description That which cometh after a Wound or Ulcer and is a Scar is not easily cured But the cure of the Pin and Web consists in Emollients attenuating and discussing medicines But the Antecedent cause must first be removed by universal evacuations such as are described in the 10. and 11. Chapters Then you must soften the hard matter with the decoction of Fenugreek Mallows Melilot Celendine Fenel and the like Then let a Child chew sweet Fenel-seed and afterwards liek the eye or make a Water thus Take of Honey a pint the juyce of Fenel-Brooklime and Celendine of each half a pint Sugar-candy dissolved in the juyces an ounce with the natural Balsome a scruple clarifie them together or distil them in Balneo Mariae and drop it into the eye The seed of Oculus Christi put into the eye is good If it be a scar after the use of the former medicines use the Water of Honey afterwards put a quantity of the Gall of an Ox to the Juyces before spoken of and thicken it with Gum-Traganth If the Eye be blood-shod and yieldeth not to the fore-going medicine you must seek its cure in the Chapter of the Cataract As for the yellowness of the Eyes caused by the Jaundise take away the cause and the effect ceaseth CHAP. XIV Of the Inflammation of the Eyes THis Disease is called Ophthalmia which is an inflammation of the Tunicle Adnata and is sometimes extended to the Cornea By the Latines it is called Lippitudo bloodshontess This Disease is divided into three kinds the first is called Taraxis by the Greeks and by the Latines Conturbatio and it cometh from an external cause viz. the Sun Smoke Oyl Dust or the like If it comes from an internal cause namely from distempers of the stomach it is called Phlogosis and is a light inflammation but is the Original of the true Ophthaliny which always proceeds from an internal cause accompanied with tumour redness and pain and a thick Exerement called Lippa from whence the Latines call it Lippitudo or bloodshotness The third sort is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in in Latine also Chimosis this is attended with vehement pain and the eye-lids are so inverted that they can scarcely cover the eye the red covereth most part of the Iris and it proceedeth from repletion and flegmy humours I might here shew you how Hippocrates hath divided these Diseases namely a moist and dry Ophthalmy the moist I have already spoken of the dry he calleth 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 it wanteth humidity and proceedeth from Choler and adust Melaneholy there are other subdivisions if there be itching joyned with it he calleth it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and if it come with hardness of the eye-lids 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Galen mentions another which he calleth Ophthalmia Tabida which ends with a Consumption and loss of the eye this happeneth to them who have moist heads and weak eyes sit to receive a defluxion The immediate causes are defluxion or congestion and sometimes both The defluxion cometh from the head either by the internal veins which comes from the brain under the skull or by the external veins which come from the Pericranium to the Eyes These signs demonstrate the Disease and the cause thereof if redness appear without swelling it is a Contâ—rbation If swelling heat and tears be joyned to the redness then is it a perfect Ophthalmy but if it cover the black of the eye and invert the eye-lids then it is called Chimosis If blood abound and cause the distemper the eye and face will be red and the veins swelled If Choler be the cause the Patient feeleth a pricking pain sharp tears which corrode the cheeks and corners of the eyes If it proceed from Flegme the pain is heavy many slâ—my and glutinâ—…tious tears If Melancholy cause the grief the tumour is but small the colour of a dusky redness few tears the humour thick the constitution of the Patient melancholy If the defluxion come from the internal parts of the head the pain will be felt inwardly and about the roots of the eyes if through the exterior vessels the contrary signs appear the veins of the forehead are distended and there is much shooting about the Temples For the cure the external causes must be removed the antecedent causes evacuated revelled and repelled the conjunct cause derived and discussed and the parts affected strengthned Let the Patient observe an orderly and temperate Diet and eat such things that are of easie disgesture let him avoid all sharp and salt things and such as fume up to the head and such things as breed Choler Let him abstain from strong drink let most of his drink be Barley water Let him avoid all motion let him lie still as long as he is able and sleep as long as he can Let him keep his eyes shut and what ever you do endeavour to keep his body soluble Phlebotomy for the most part is convenient but let it be regulated and moderated according to the constitution strength age and sex of your Patient and nature of the Disease If the body be Plethorick and the Disease hath its original from blood you must take away the greater quantity for Galen in his book de curat per sang mis reiateth how one was cured of an Ophthalmy by bloed-letting first three pound and four hours after one pound understand this onely in the case before mentioned though I could instance many cases more cited by eminent Authors and Fathers of Physick yet let this serve for all to avoid prolixity If onely one eye be affected bleed your Patient on the contrary side If you finde a stoppage of any accustomed evacuations viz. the Terms or Hemorroid veins if the first be stopped open the Saphaena if the other bleed them with Leeches To make revulsion some do apply Cupping-glasses to the shoulders and back others open the veins of the head and temples sometimes the veins or the corners of the eyes and behind the ears and some bleed these veins by Leeches all which are very profitable for derivation When you have bled and made sufficient revulsion you must purge the humour that offendeth and causeth the blood to be inflamed but first let the humours be prepared then purge gently and often and if you see occasion after all this you may purge more strongly Prepare the humours thus Take of Endive Succory and Fumitory of each one handful Red. Rose leaves one ounce of the greater Cold-seeds half an ounce Of Lettice and Poppy-seeds of each two scruples boil them in a quart of Spring water to the consumption of half shrein it and with Sirrup of Violets two ounces and Sirrup of Fumitory one ounce make a Julep for three potions afterwards you must administer such medicines as have power gently to carry away the peccant
laid eggs boiled hard of Mirth Tutty and the white Troches of Rasis of each a drachm Sarcocol Frankincence Aloes and Ceruse of each half a drachm pouder them that are to be powdered and mixe them all in a stone morter then put them into a smal glass body with a head and receiver and distil it in Balneo This Water is excellent against Ulcers in the eys These three Diseases I thought good to annex to the cure of the inflamation of the eyes having a dependency thereupon CHAP. XV. Of the Cancer and Rupture of the Cornea SOmetimes a Cancer groweth up and is perfected in the eye of which there is two sorts either occult or ulcerated The occult is called a Cancerous Tumor or Cancer of the Eye The ulcerated is called a cancerous ulcer in the eye It is known by a blew leaden colour and unequal hardness the veins adjoyning are very full and blew and the eye the temples and the whole head is afflicted with a strong and pricking pain If the Disease be fixed and perfect it is incurable except it be taken away by manual operation but if it be taken in the beginning it may be cured you must administer convenient Physick and adjoyn a sutable diet You must draw bloud on the same side if you finde occasion bleed the Hemorrhoid veins by Leeches and apply them behind the ears after the use of these or the like revulsions purge melancholy often and gently once or twice a week if the body be strong enough purge with the extract of black Hellebore These remedies will much diminish the humours and decrease the pain after which you must use Topicks such as have prepared Tutty and the white Troches in them for which have recourse to the preceding Chapter The flesh of young Pigeons or Chickens applyed to the Cancer hath been found very available The Rupture of the Cornea is when the Tunicle is so divided that the watry humour and sometimes the Uvea cometh forth The cause of both is a Wound Ulcer or a great afflux of humours by which the Cornea is so distended that it cracks and the humours contained are let out and sometimes the Uv a shooteth out Paulus divideth this Disease into four kinds the first cometh forth like the head of a Fly and therefore he calleth it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The second is when a greater part cometh forth and is like the stone of a Raisin and is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The third is when the Eruption is so great that it seemeth like an Apple and is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The fourth is when the Uvea being come forth is hard and is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The Cure is very difficult alwayes but for the most part it is incurable After bleeding if need be and purging the peccant humours you must use astringent and glutinating medicines as the white Troches and the white of an Egg dropt into the Eye then make a Cataplasme to the part thus Take the root of Solomons Seal four ounces Quinces pared and fliced two ounces Red-rose leaves a handful Acatia a drachm Saffron two scruples boil these in red wine and Plantane water of each a like quantity as much as is sufficient to make a Cataplasme Afterwards to make a perfect consolidation take an ounce of the Mucilage of Gum Traganth made in Plantain water the clarified juyce of Plantain and of the root of Solomons Seal of each one spoonful of the white of an egg beaten to clean water and a womans breast-milk of both a spoonful washed Aloes prepared Tutty and Sarcocol of each two scruples Saffron one scruple pouder what is to be poudered and mix them for a Collyric CHAP. XVI Of the Diseases of the corners of the Eyes and Eye-lids SOmetimes there happeneth a Tumor in the corner of the Eye at the root of the nose if it do not break it is called Anchylops if it do break it is called Aegylops Sometimes this Tumor cometh without inflamation and is bred of a thick flegmatick slimy humour as the Tumors called Atheromata Steatomata c. of which you shall have a brief account in the next book When it cometh with inflamation it is like a Bile with shooting pain and very red and it cometh by thin and cholerick bloud flowing thither and then imposthumateth which being open produceth an Ulcer then it becomes hollow and is called Fistula Lachrymalis The Cure is very difficult because it is ill applying medicines the eye being so near If it hath not been of long continuance and the Orifice to be seen externally it may be cured by medicines But if it hath continued a year the Bone is foul and hard to be cured without burning If it turns to a Cancer it is incurable because medicines will enlarge it and increase pain and is known by the hardness and blewness of the skin the extension of the veins and extremity of the pain You must open a vein if nothing hinder and revel the humours by purging which you may do by these following Pills viz. Cochiae Arabicae Aureae and Lucis Majoris then you must endeavour to stop the progress by repelling medicines take the juyce of Night shade Shepheards purse and Knotgrasse of each two ounces Acacia the flowers of Balaustines Bolearmeniack Gauls Frankincense and Roch-allum of each a drachm boil them well together then with four ounces of white Wax and four drachms of Turpentine make a Cerate to be applyed to the fore-head Afterwards endeavour to resolve the humours Amatus Lucitanus commends this following Cerate Take of the Powder of Cockle-shels two drams Mirrh Aloes and Frankinsence of each half an ounce Sarcocol Sanguis Draconis and Ceruse of each three drachms Opopanax dissolved in Wine Vinegar and Bloud-stone of each one drachm and an half Saffron two scruples Wax and Rozen of each three ounces make a Cerate according to art and apply it to the corner of the Eye and Forehead If after all this it will come to Suppuration make use of such things as will hasten it least the humours corrode the part apply a Plaister of Diachilon Simplex If an inflamation approach apply a Cataplasme made with white bread and milk If it break not suddenly open it with a Launcet cleanse the Ulcer and heal it But if it prove a Fistula you must be the more careful first to cleanse it thus Take of Aqua vitae and Honey of Roses of each one ounce Mirrh two ounces with Allum and Verdegreece of each a drachm boil them together and make a Liniment Unguentum Aegyptiacum and Apostolorum is of great virtue in this case If the bone be foul it must be cured by an actual Cautery yet Fabricius Hildanus saith he cured a Lachrimal Fistula with medicines he applyed Euphorbium and upon the same an Emplaister of Gum-Elemi and this he did till he skaled the bone afterwards with the Tolutan Balsome a drop upon a little lint he incarnated and
with a defluxion of humors otherwise heat is freindly to those Nervous and Membranous parts The cold matter which causeth pain is Flegme water or cold wind either coming from without or from some inferiour part within The hot matter is Choler or blood There may be other evident causes of pain as wounds Contusions Ulcers or breaking of an impostume or any hard or pricking thing got into the Eare. You may judge the distemper to be from cold if a cold cause hath preceded and hot medicines profit the contrary declareth a hot distemper If Flegme cause the paine the Eare and Head will be heavy some Rhume falleth upon some other part the distemper is taken in cold wether or the Patient is old If wind be the cause the paine is without heavinesse nor is it constant If water causeth the pain the Patient is troubled with a sharp defluxion upon the Teeth Eyes Breast c. If it come from Choler the paine is sharp and pricking cold things give ease the body is Cholerick c. An inflammation is accompanied with a great heating paine the parts adjacent are very red and there is joyned a Fever A wound maketh it self known by blood issuing out at the Eare and an Ulcer by filth But somtimes there issueth filth from an Impostume in the braine but this may be distinguished by Head ach preceding and other signes of Impostume the filth cometh away in great abundance at first and decreaseth by degrees If an Ulcer follow an Impostume in the Eare the symptomes of an Impostume going before declareth it If the Ulcer come by defluxion there is a burning and shooting paine and the matter issueth forth by little and constantly If the Ulcer be in the bone the matter is thin and yellow and hath continued long the deeper the Ulcer is the more matter issueth the fouler it is the more and thicker is the matter If it be Virulent the matter is thin if putrid it stinketh much if it corrode blood accompanieth the matter If it continue very long it groweth Fistulous and then the matter is Virulent and the flesh groweth hard If the distemper proceed from a cold cause with or without matter you must use the medicines prescribed for the cure of deafnesse especially fomentations and fumes with warme oyles dropt into the Eare and if it be with matter you must evacuate and purge the humor If the distemper come from a hot cause without matter use cooling Topicks If it hath a Cholerick matter you must revel the humor by Phlebotomy and with cooling drinks and Juleps allay the preternaturall heat of the Liver but this having dependancy to the diseases of the head proceding from a hot cause also to the inflammation of the Eare I leave the ingenious there to seek the Cure The inflammation of the Eare is cured by making revulsion after the administration of an Emollient Clister by blood-letting and this must be done in as great a quantity as the violentnesse of the disease requireth and the strength age and constitution of the Patient permitteth open the Head-Vein on the same side the inflammation is If the stoppage of the Termes hath been prejudiciall open the Saphaena or the Hemorrhoids if you see occasion Revulsions by frictions and ligatures of the Armes and Thighs Cupping the Shoulders and Back with or without scarifications are often successefull a Cupping-glass fixed behind the Eares with Scarification hath been attended with admirable successe and Horsleeches applyed to the same place hath been no lesse effectuall If you find the Cure difficult the opening of the Arteries in the Temples is good to prevent hot and windy bloud which doth much feed the inflammation you must often purge Choller and temper the Humours with cooling Juleps thus Take of Lettice Purflane and Sorrel Water of each two ounces the Water of Plantane and Succory of each three ounces of Syrup of Lemons two ounces the Syrup of Erratick Poppies one ounce mixe them and make a Julep take sour spoonsuls morning and evening You may foment the Ear with the decoction of cooling and piercing Hearbs and let the Patient receive the same with a Funnel then come to the use of Topicks which have power to mitigate pain thus Take of Breast milk two Ounces the Oyl of Roses and Water-Lillies of each one ounce and an half the Water of an Ashen stick before mentioned one ounce the White of an Egg beaten to water half an ounce mixe them and drop some into the Ear after you have formented and famed it If you would have it repelling add Vinegar of Roses to it but use it with moderation lest you drive the Humours to the Brain If the vehemency of the pain constrain you to make use of stupefactive Medicines mixea scruple of Opium or an ounce of Oyl of Poppy seeds with your former Medicine but be careful also in the use of this lest you offend the Brain If you see occasion for resolving Medicines the Oyls of Camomil Dill sweet Almonds and Violets all or either of them may be mixed with your aforesaid Medicine If after all this you find that the Imposthume will come to suppuration you must help Nature therein thus Take the leaves of Mallows Nightshade Camomel and Dill of each one handful bruise them well in a STONE-MORTAR boil them in a quart of milk to the consumption of half add the Musilage of Line-seed Fleabane and Fenugreek seeds of each one ounce Ducks and Hens Grease of each one ounce the Oyl of Camomel Roses and Violets of each one ounce with the crum of White Bread as much as is sufficient make a Cataplasm and apply it After the Imposthume is broken and the Matter run out you must apply cleansing Medicines viz. Mixe Barley water and Honey of Roses and drop it into the Ear. If the Humour be sharp and cause an Ulcer you must after the use of needful Purgings necessary bleeding and all requisite Evacuations make use of cleansing and drying Topicks Take of the juyce of Reets and sow-Bread of each one ounce Horehound Smallage and Wormwood of each half an ounce Myrrh and Frankincense of each half a drachm Saffron and Verdegreece of each one scruple White Wine and Honey of each four Ounces boil it and scum it till the Wine be consumed then drop of it into the Ear 2 or 3 times in a day After you have well cleansed it you must come to cicatrize it Take of the Powder of Galls and Burnt Allum of each one drachm Frankincense and Myrrh of each half a drachm Gum of Juniper and Sarcocol of each one seruple make them into fine Powder and mixe them with White-Wine and drop it into the Bar. If you find that it is sed by defluxion you must labour to divert the deflaxion as you are taught in the 9th Chapter of this Book If the Ulcet be very foul you must mixe Unguentum Aegyptiacum and the Rust of Iron powdered with White-Wine and drop it into
may make it stronger if you see occasion by adding red Arsenick and Sandarach to it Mercury precipitate and applyed with Honey of Roses with a Tent is good You may make an Ointment thus Take of Letharge of Silver one drachm Ceruss three drachms Pomegranate Peels and Allum of each two drachms Verdegreese and Orpiment of each one drachm powder them and in good old white wine boil them to the thickness of Honey put in a little Oyl of Myrrh and reserve it in a Leaden Box and use it as the forenamed Medicines The sence of Smelling is either diminished abolished or depraved either by Obstruction or Astriction Cold moist and Flegmatick Distempers may either dull or abolish the sence of Smelling Hence Defluxions upon those parts do hinder the sence Flegm obstructs and hindereth the sensible passages viz. the Nostrils and the Pores of the Brain the insensible Passages and the Processus Mamillates or Sarcoma and Polypus may hinder the senceby obstructing the Nostrils Smelling is hindered by Astriction when Flegm gathered in the fore-part of the Brain doth compress the Mamillares as was said before in the compression of the Optick Nerves Sometimes this Sence is depraved by some putrefaction or ulcer in the Nose or the Menings or some of the parts official to this Sence and thereby hindereth it or some stinking Vapour arising from some other part of the Body may hinder the exercise of this Office as the Tongue is depraved by Choller and maketh all things that is tasted seem bitter the signes are these Slimy Flegm coming from the Brain and cold and moisture oppressing the Brain shew Flegm to be the cause If it be from Sarcoma or Polypus it is easily discovered If the matter causing the obstruction be contained in the Nostrils the speech is hurt also but it is not so if it be in the Mamillares or the fore-part of the Brain The Cure is diverse according to the diversity of causes I shall say nothing to it onely give you this general Rule If it come from a Defluxion you must proceed as you are instructed in the cure of a cold Catarrh If from obstruction or compression of the Mamillares I shall refer you to the Chapter treating of the cold distemper of the Brain for the Cure In the 9th Chapter of this Book treating of a defluxion I told you if it fell into the Nose it is a cold Coryza I think it not amiss if I here speak a word or two of the nature and cause of it This Defluxion is caused either by overmuch heat which doth dissolve the crude Humours gathered in the fore Ventricles of the Brain or else by cold which doth compress and squeez the aforesaid Humours This is easily known by the Humours flowing through the Nose and of all Catarrhs it is the most easie to cure For the Cure repair to the 9th Chapter to which add the Vapour of Marjarom and Red-Rose Leaves boiled in Vinegar taken into the Nose It the Distemper be cold Take Frankincense Mastich Nigella and the like thrown upon a Chafingdish of Burning Coals and do as before I shal now speak a word or two of Neesing vulgarly sneezing which though it be looked upon but as a slight effect not worth mentioning hath by reason of a sharp Defluxion proveth not onely troublesome but dangerous And hence came the Custom of saying God bless you God save you or Christ help when a man sneezeth Sneezing is a swift motion of the Brain by which the Breath is drawn up unto the Brain to force out that which doth offend for Sneezing belongs to the Natural Expulsive Faculty of the Brain and its Membranes as it is with the Cough which doth by its natural motion free the Arteries of the Lungs from Flegm which obstructeth them But the proper cause of Sneezing is a sharp Humour which doth provoke the inside of the Nostrils as 't is verified by snuffing up sharp things into the Nostrils which Humour cometh from the Brain or some inferiour parts sometimes the coldness of the Air doth act upon and compress the Brain and causeth a sharp Humour to fall into the Nostrils which provoketh Sternucation The knowledge of this Disease is manifest outward causes appear and by the signs of the parts affected As to the Prognostick it is naturally and essentially without danger accidentally it may prove hurtful namely in the beginning of Coryza it hindereth the concoction of the Humours by its violent motion sometimes in Feavers it is violent and causeth bleeding and is prejudicial to the Patients strength In the Plurisie and all Diseases of the Lungs it is bad because it violently pulleth those parts and causeth a greater inflammation Yet if there be Flegme got into the Gristles of the Lungs which a Cough cannot get out then is Sneezing helpful For the most part it is friendly to healthy people and promiseth help in Feavers It is good in Apoplexies and always welcome to women in travel or troubled with fits of the Mother If Sternutation become Symptomatical you must remove the external cause or internal from whence it cometh by Evacuations Derivations Revulsions and Discussions and if you see cause you must bleed use Frictions Ligatures and Cupping In the mean time you must labour to take away the sharpness which provoketh to Stenutation Let your Patient snuff up warm milk warm water or warm water and Butter mingled the Oyls of Roses sweet Almonds and Violets which will afford much comfort to the diseased Of bleeding at the Nose CHAP. XIX THis disease is called Haemorrhagia and it is either organicall or common the organicall is either the opening of the Vessels called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the rarefaction of them called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The common disease is also twofold either the breaking of the Vessels called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Erosion called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Blood offending either in quantity or quality is the cause of these distempers Somtimes externall causes concur as wounds strokes falls vehement exercise drunkennesse long staying in the Sun It is also either Criticall or symptomaticall Criticall when nature dischargeth her self of superfluous blood sometimes in health sometimes in Fevers and somtimes from an inflammation of the Liver or Spleen Symptomaticall is when filthy blood caused by the weaknesse of the Liver in a Cronical distemper is let go by reason of the debility of the retentive faculty or by the strength of the expulsive faculty expelled as unprofitable and unnecessary If the blood flowes by reason of the vein broken the blood is thick and floweth continually if the vein be only opened the blood is thinner and floweth by fits If the veines be eroded or gnawen asunder the Patient hath had a salt Catarrh or Ulcer or Cacochymia The causes are easily distinguished by their signes viz A red face and eyes with heavinesse signifieth plenty of blood If choler or Melancholly be the cause the blood is
swallow it by which it may be known as also by looking into the mouth You must make use of such Evacuations Revulsions Derivers Repellers as are prescribed in the ninth Chapter of a Catarrh And you must make use of Gargarisms which restrain and dry Take of Plantane Purslane and Shepheards purse of each one handful Cyprus nuts Pomegranate flowers and Red roses of each one ounce Galls and Allum of each one drachm boile them in a quart of Spring water to the consumption of half strain it out and add to it Bolearmenick a drachm Sirrup of Mulberys and Hony of Roses of each one ounce gargarise the mouth therewith Powders are better which have an astringent and drying property Take the Roots of Bistort flowerdeluce and Tormentil the Flowers of Pomegranates and Red Roses of each half an ounce Burnt Allum and long Pepper of each one scruple make them into fine powder and depressing the tongue blow it upon the Uvula If this doth not perfect the cure the superfluity must be cut off this operation must be performed very warily for if you cut too much it will be prejudicial to the speech if there be an inflammation in the Columella you must extenuate such accidents before you cut it lest a greater inflamation follow or a flux of blood if the Uvula be greater at the bottome then it is at the top then it is fitter and safer to cut If the Uvula be onely inflammed you must make use of such medicines as are prescribed for the cure of the inflammation of the tongue There are other distempers of the throat viz. the inflammation and Ulcers of the Tonsills or Almonds of the throat occasioned by a defluxion of crude Phlegmatick and Viscid humors mixed with blood or by excessive drinking of wine or strong liquors or by a greedy devouring of meat they who are thus afflicted swallow with much difficulty and pain and many times have a Feaver For the cure administer a cooling Clister open the Vein under the tongue and if blood abound open the cephalick-Cephalick-Vein in the arme use all other convenient revulsions Then make a Cataplasme of Barly meal the Seed of Flax and Fenugreek and the Leaves of Mallows bruised with new Milke sufficient and apply it to the throat Then use astringent Gangarisms you have examples enough in the foregoing Chapters If the inflammation increaseth and the pain be sharp and vehement in the Evening then expect suppuration then you must surther it by gargarising with a decoction made of Hysop Figs and the Seeds of Marsh mallows or with aquamulla When it is perfectly rotten squeez it gently that the matter may run forth or else open it with a sharp instrument and let the Patient hold his head down that the matter may the better run out then wash it again with aquamulsa till it be healed For the cure of the Ulcers of the Tonsils you must observe the same rules prescribed for the cure of the Ulcers of the mouth CHAP. XXV Of the Quinzie ANgina or the Quinzie is a disease of the Jaws and Throat by which breathing and Swallowing are hindred withour defect of the breast and Lungs there are two sorts of Quinzyes Legitimate and Bastard Legitimate Quinzy is accompanied with a feaver and inflammation of the part which Galen and the antient Greekes have divided into four sorts the first they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 when the inflammation is in the inward proper Muscles of the Larynx the second they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the outward Muscles of the Larynx are in flammed the third they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the interiour muscles of the pharynx are inflamed the last they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 because the exerior muscels of the Jaws are inflamed a Bastard Angina or Quinzy cometh without a feaver The cause of the first is blood either pure or mixed with Choler flegm or melancholly flowing from the head to the jugular veins the cause of the Bastard Angina is caused by much flegme falling into the jugular veins and by its glewinesse obstructing the passage of the spirits or by a Tumor in the Vertebrae of the neck caused by a deflux of cold flegm removing the Vertebrae from its proper seat or causing a luxation thereof by loosening their Nerves and making them slippery between the joynts or lastly this may happen by some fall or stroak or some external cause The Legitimate Quinzy may be known by the difficult swallowing and breathing without fault of the breast or Lungs pain about the Jaws and threat red nesse heat and a feaver their sorts may be distinguished by their proper signes In the first there is great hinderance of respiration the patient is almost strangled cannot breathe except he open his mouth and hold his neck streight In the second there is lesse difficulty of breathing but greater of swallowing especially of drink which flyeth out at the nose In the third there is some red tumor about the Jaws less difiulty of brething then in the first but more then in the second The last doth hinder the breath but little or not at all the outward parts of the neck are red and painfull The bastard Angina may be known by the abundance of flegm and humors flowing to the mouth If it comes by Luxation the motion of the head and neck is hurt and a preternatural cavity appeareth in the neck I shall not need to spend time to shew the signes of every distinct humor predominating reason or other parts of this book will informe you A Legitimate Quinzy is an acute disease and very dangerous for want of freedome in respiration therefore the first is worst and the patient in most danger of strangling the other are more or lesse dangerous as they more or lesse hinder respiration If the matter fall upon the Lungs or the swelling vanish away without critical or artificial Evacuation it is very dangerous and for the most part deadly If the patient foame at the mouth it is a signe of death saith Hippocrates in his 43 Aphorism because it is a signe of streightnesse and violent heat about the heart which squeezeth the moisture out of the Lungs and sendeth it to the mouth in a foame Every Quinzy requireth a hasty and speedy cure for it sometimes killeth in one day read Fernelius Lib 5 pag. 284. Let the physitian open the Cephalick Vein and if the body be naturally plethorick and blood the cause of the disease draw as much as the Patients strength will bear and reiterate Phlebotomy according as necessity requireth give a Glister first or after or both or as often as need requireth you must speedily make use of other revulsions as cupping glasses with scarification to the shoulders vesicatories frictions and ligatures to the lower parts purges must be administred and if you find the case desperate you need not Question the time of the day Trallianus reporteth that he was forced to open a
Vein and to purge the same day or else his Patient had bin strangled To derive the humor from the part it is good to open the Veins under the tongue called Ranulae If the ease be desperate open the jugular Vein and if the blood cannot be stopped make use of Galens Emplaister against a flux of blood You must make use of Gargarisms which have power to allay the inflammation somewhat to repel Take the leaves of Plantaine Nightshade Woodbine Strawberry and Cinqueoil of each one handful the flowers of red roses and pomegranates of each one pugill boile them in a quart of running water to a pint Strain it and adde four ounces of Sirrup of Mulberies But beware lest repelling medicines drive the matter to the Lungs The oyle of Vitriol mixed with water sufficient to allay its sharpnesse often taken is good to allay the inflammation of the stomack Liver and veins also the parts inflamed in this distemper Then you must apply loosning and resolving Liniments adding such things as easeth pain Take of the juice of Mallows Chamomel and Orpine of each two ounces the oyle of Chamomel sweet Almonds and Lillies of each one ounce hens grease and frish Buter of each three ounces boile it to the Consumption of the juices and make a Liniment You must apply such things as have power to dissolve among those which have a peculiar property against the Quinzy as Riverius teacheth Take of a Swallows nest and Album graecum of each one drachm powder them flowerdeluce roots and Chamomel of each halfe a drachm Hens grease and oyle of Lillys of each one ounce yellow wax a little make a Liniment Orpine hath a peculiar faculty against the Quinzy if the bruised hearb be outwardly applyed and the juice sweetned with hony often swallowed Let us not forget the old and vulgar medicine viz. album graecum and hony mixed and administred like a Lohock For sqeemish stomacks or such as delight in dearer medicines you may prepare this lohock Take of Species Diatraganthum frigidum and diapenidion of each one ounce Lohock Epinis et Sanum et Expertum of each halfe an ounce mix them and with the Sirrups of Mulberies and Jujubes sufficient make a lohock and take as before If it tend to Suppuration make use of the first Liniment prescribed in this Chapter Cassia newly drawn held in the mouth and gently swallowed easeth pain and maturateth the humors when it is ripe and will not easily break you must open it with a crooked incision-knife or drop a little oyle of Vitriol upon it when it is open let the Patient hold down his head that the matter may run forth then wash it often with barly water and hony of roses CHAP. XXVI Of the Asthma Asthma is a difficulty and shortnesse of breathing which cometh from the stuffing of the Lungs and the obstruction of the Bronchion or gristles of the wind pipe and is naturally with out a feaver yet sometimes it may be joyned therewith This disease is divided into three sorts the first is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 this is a difficulty of breathing caused by the stuffing of the substance of the Lungs and not the gristles and is not accompanied with snorting and this is the least of the three The second is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 when the bronchia of the Lungs are filled with flegm and doe make a great noise with snorting and wheezing in which the Diaphragma and the intercostal muscles between the ribs and the Abdomen are violently moved The third is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in which the Patient fetcheth his breath with much difficulty with his neck stretched upright the aforesaid Muscles together with the Muscles of the breast and shoulders violently moved This disease is caused for the most part from flegm which falleth from the head into the Lungs and obstructeth the wind-pipe sometimes humors brought thither by Arteria Venosa flow to the Bronchia and causeth Asthma with snorting but if they fall into the substance themselves or into the smooth arteries it causeth an Asthma without snothing There needeth no more signes for the discovery of this disease then what may be gathered from its description As to the prognostick I say that this disease is Chronical hard to be cured unlesse the Patient be young and of a strong Constitution if a child hath this disease if it be not speedily removed it dieth of a Catarth In men it ends in Chachexia or the dropsy If it turne to a pleurisy or peripneumonia it is deadly You may begin the cure with blood-letting if the body be plethorick or Corpulent for when the Veins are empty of blood the respiration is free But you must beware of phlebotomy in such bodies where you fear diminishing the natural heat lest flegme increase You may openthe Saphaena or ancle-ancle-Vein without danger you must in the next place purge the head of Phlegmatick humors which are prescribed in the second Chapter of this Book It oftentimes hath bin proved that vomitting is good in this case that the stomack may be emptied of flegm and thick vapors which puffing up the stomack compresseth the diaphragma and causeth difficulty of breathing one ounce of Tobacco water sweetened with Sugar will cleanse the stomack by vomit Let the Physitian be careful how he administreth vomits to weak people Sharp Glisters are good in this disease for revulsion but let them be given in small quantityes lest the fulnesse of the Bowels compresse the diaphragma The Patient must make use of such things as extenuate and make thin the humors Take of Coltsfoot-water two ounces Cinamon water one ounce with an ounce of Oximel Simplex and take it in the morning Then let him make use of such as have an Expectorating quality Take of the powder Diatraganthum Frigidum the powder of Liquorish and Colts soot of each one drachm the roots of Elecampane and Marsh mallows Candied Conserve of roses and Violets of each halfe a drachm the flower of Brimstone and Sugar Candy of each a scruple with oyle of sweet Almonds newly drawn and Sirrup of Maidenhaire make a Lohock And let the Patient take the quantity of a Nutmeg Morning and Evening and halfe so much every two houres this I have often given with good successe In the extremity of the Fit rub the breast with a cloath to open the pores then anoint it with this following ointment Take of the Oyle of Chamomel Dill Rew and sweet Almonds of each two drachms the Roots of Elecampane and Flowerdeluce in powder of each one drachm the meale of flax-seed and Fenugreek a drachm Saffron one scruple with wax sufficient make an ointment Out of the fit to perfect the cure you must endeavour to stop the defluxion and to cleanse the Lungs For the first you may find sefficient remedies in the ninth Chapter of this book adding such which respect the breast to them Let your medicines not be
Pint and an half strain it out and dissolve Sirrup of Jujubes two ounces Sirrup of Violets one ounce make an Emulsion for three doses give it Morning and Evening If his Cough be violent let him alwayes have in his mouth Sugar of Roses Sugar Candy or penids or the Tablets of Diatraganthum Frigidum or with Sirrup of Violets and Jujubes you may make it into the form of an Celegma or Lohock If his spittle be thick and tough adde Oxymel Simplex or the Sirrups of Liquoris or Coltsfoot Let his constant drink be Barly water boile it in Currans Borrage and Bugloss Flowers Hartshorne Maidenhaire Coltsfoot Liquoris and such like give it warm You must not purge in this disease till the declination thereof and then use a gentle potion Many medicines there are proper and special for a Pleurisie as Stone-horse dung or White-hens dung soaked in Carduus water and strained give a quarter of a pint this hath a peircing and discussing quality by reason of the volatile salt in it and doth wonderfully disperse the humors in the Pleurisie An Apple made hollow and a dram of Frankincense put therein and rosted given to the sick drinking three ounces of Carduus Water after it and laid to sweat is good saith Quercetan Goats Blood also is good If the Sick fall into a loosness in the height of this Disease it is very dangerous in the declination it is good but if it so happen give him the Sirrup of Myrtles and do as you are taught in the Cure of Diarrhaea 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Or The inflammation of the Lungs is a disease not much different in the causes or signes from a Pleurisie but only in the part affected Sometimes this Peripneumonia commeth alone and sometimes followeth another Disease as the Quinzy or Pleurisit which is a dangerous Symptome on the contrary if a Pleurisie follow the inflammation of the Lungs it is a hopeful Symptome This Disease is more dangerous then a Pleurisie and for the most part deadly by reason of want of respiration and the nearness of the heart The cure is the same with the Pleurisie therefore I shall say no more of it CHAP. XXVIII Of Empyema EMpyema 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or a Collection of matter in the Cavity of the Thorax is a Disease which for the most part followeth a Pleurisie and Peripneumonia and sometimes a Quinzy when they are not carefully cured and the inflammation commeth to Suppuration and when the Imposthume breaketh the matter falleth into the cavity of the breast Sometimes blood falling into the Thorax by the breaking or wounding of a Vein may come to Suppuration or rather Corruption Sometimes flegm falleth from the head and other parts into the breast and there putrifying begetteth matter like quitter The signes of Suppuration beginning according to Hippocrates are these First the Pleurisie being not purged the Feaver increaseth while the matter is turning into Pus Secondly the sharpness of the matter touching the Membranes causeth quaking the Third is weight and sense of heaviness in the part To these we may adde the difficulty of breathing for although when the Imposthume is broken the Diaphragma and the Muscles of the Thorax move more freely yet the Lungs are oppressed by the matter lying about them But an old and confirmed Empyema is known by a lingring putrid and partly Hectick Feaver more violent towards night and much sweating a constant troublesome Cough the Cheeks grow Red the Eyes hollow the legs swell Pustles break out on the breast If the Suppuration break and the Feaver continueth are thirsty want appetite the pus green livid or frothy brought up with much difficulty and a loose belly all these are signes of Death or of long sickness the contrary are the signes of recovery They who in this condition doe lift up the whole breast when they breathe by reason of the matter contained are quickly choaked If the matter be not spit forth in forty dayes it turneth to a Consumption and death followeth The Supuration on both sides is more dangerous then that of one that on the left side the worst by reason of the left Ventricle of the heart If the matter flow plentifully by Stoole and Urine and the Patient strong and hearty it is a signe of recovery For the Cure you must endeavour to help nature in Suppurating the humors if Suppuration cannot be hindred by this or the like Cataplasme Take of Chamomel Melilot and Mallows of each one handful the Roors of Althaea one handful Figs and Raisons stoned of each four ounces after due boiling beat and strain them adding to the Liquor the Oyles of sweet Almonds Lilies and Fresh Butter of each one ounce with the Meal of Wheat Fenugreek and Flax Seed sufficient make a Cataplasm and apply it In the mean time let the Patient take of this Lohock Take of the Conserve of the Flower of Bugless Violets and Roses of each one ounce Maidenhaire Liquorish and Coltsfoot of each one ounce Oyle of Sweet Almonds newly drawn one ounce Sugar Candy one ounce Powder what is to be Powdered and with Sirrup of Liquorish or Colts foot sufficient make a Lohock and let the Patient take thereof often Venice Turpentine washed and with Liquorish powder made up into Pills are good to maturate discuss and cleanse give three drachms in the Morning But if the matter will not be spit up you must open it between the fourth and fifth Rib and apply a Plaister to draw out the matter giving the Patient a Wound-drink in the mean time If you desire particular direction herein read Hieronymus Fabricius ab aqua pendente in Libro de operationibus Chirurgicis CHAP. XXIX Of spitting of Bloud Sputum Sanguinis or spitting of Blood called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is an unnatural Flux of Blood from the vital parts viz. the breast Lungs and Aspera Arteria The Immediate cause is Organical or common the Organical twofold either the opening of the Vessels called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or Rarefaction called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The common Disease is twofold also as the breaking of the Vessels called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Erosion of them called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Blood offending in quantity or quality may be the cause of opening rarifying breaking or Corroding of the Vessels To be further satisfyed therein Ipray you have recourse to the nineteenth Chapter of Bleeding at the nose Some external cause as Fall Wound or the like may be the cause of Haemoptysis Immoderate Cold may be the cause by hardening the Tunicles that they cannot be extended It is very difficult to judge of the part from whence it commeth If it comes from the head it is cast forth by Coughing hawking and there is a tickling in the Palat as in a Catarrh That which comes from the breast and Lungs causeth Coughing that which comes from the Lungs is Frothy that which comes from the breast is Blackish
and commeth up with pain That which comes from the Gullet and Stomack is known by Vomitting from the Jaws and Wezand by Hawking from the Mouth by simple spetting Sometimes the Blood is sent from some other part to the Lungs and spet forth but this may be known by pain or some hurt happened there You must judge of the signes from the quantity or quality of the Blood the Nineteenth Chapter will instruct you To the Prognostick Hippocrates saith that what kind of Blood soever is spit from any of the inferiour parts is evil for every opening of a Vessel which letteth out Blood is dangerous especially in the Lungs But sometimes it happeneth without hurt when nature critically doth evacuate superfluous Blood that way as it is seen sometimes in women who have their courses stopt You must begin the cure with Blood-letting open a Vein on the same side you judge the distemper to be If there be obstruction of the Termes open the Saphaena If your Patient is subject to the Hemorrhoids Bleed with Leeches Cupping or other Revulsions you may use if occasion be Then purge Choller which causeth the Blood to be thin and fluid with Rubarb Mirabolans and the like Then give Medicines a stringent to close the Orifice of the Vessels but at the first give such things with them which have an expectorating quality lest Blood in the breast or other parts out of the proper Vessels should be coagulated Take of Conserve of Roses and the juice of Purslane of each two ounces Sugar of Roses one ounce Red Coral Blood-stone Bolearmenick and Terra Sigillata of each half a dram Troches of Amber a scruple the Oyle of Vitriol six drops with the Whites of eggs beaten to Water make a Lohock of which let the Patient lick often especially Night and Morning Quercetan prescribeth a Water excellent against spitting of Blood see the fourth part of this Treatise among Distilled Waters The Chymical Oyle of Amber two or three drops hath an excellent astringing quality take it in the Distilled Water of Knorgrass or Plantane or the like so you may take or give half a drachm of Sanguis Draconis or the Blood stone alone finely powdered out two scruples Opium Laudanum Philonium Romanum and Persicum These and such like may be given provided the dose be regulated by an able brain the juice of Nettles drunk four or five ounces in the Morning hath prevailed when all other have failed saith Amatus Lucitanus If by the use of Astringent medicines your Patient be costive give a Clister or purge that leaves an Astringency behind it and if the use of Astringents hinder spitting mix those things which doe not only stop Blood but mollifie the breast also such are the juyces of Plantane Purslane the Sirrups of dryed Roses Quinces Myrtles and of jujubes Gum Arabick Traganth and Starch and such like If Blood be congealed in the breast indeavour to dissolve it by administring six ounces of Oxycrate three times a day if it cause Coughing sweeten it with Sugar or Sugar Candy Apply this cooling Epithem to allay the heat of the Liver if you see occasion Take of the Water of Rose Plantane and Succory of each four ounces Vinegar of Roses two ounces of the powder called Diatrion Santalen a drachm and an half Camphire one scruple make an Epitheme apply it warme to the Liver afterwards anoint with unguentum Rosarum and Rose Vinegar Anoint the reins with Oyle of Roses and Water Lillys and the Testicles with Oxycrate If a Defluxion of sharp humors from the head unto the Lungs be the cause of the Disease seek the cure in the ninth Chapter When the Blood is stanched let your Patient avoid all things that may cause a returne thereof as Salt and spiced meats rich Wines great heat anger and violent exercise If you judge him inclinable to the Distemper by reason of thin Cholerick humors mixed with the Blood purge those humors at the Spring and Fall CHAP. XXXI Of the Consumption or Ptisick This Disease is called in Latine Tabes and in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which although it signifieth every Consumption yet is most properly taken for the extenuation of the whole Body caused by an Ulcer in the Lungs An Ulcer in the Lungs by reason of its nearnesse to the heart afflicts it with putrid vapours the heart disperseth it into all parts hence commeth a Feaver hectick joyned with a putrid and by its unnatural heat does hinder the well concocting of nourishment hence the whole Body decayeth Sometimes sharp corroding and Salt humors falling from the head or the Suppurated humors from the Pleurisie or Empyema which humors putrifying upon the Lungs may Ulcerate them Many times the cause is in the Lungs themselves which have a vitious hereditary constitution naturally tender and disposed to corruption Sometimes a Pustule is bred in the Lungs and never breaketh but groweth till it stop the passage of the breath and killeth the Patient Sometimes it commeth to Suppuration and is called the Imposthume of the Lungs which being broken and flowing to the Bronchia or passages in the Lungs it may be spit up if the body be strong and the matter little in quantity but many times an Ulcer remaineth which causeth a Consumption If the Impostumated matter flow into the Ventricle of the heart the sick dye sudainly and many times insensible of any pain or sicknesse take examples from Fernelius lib. 5. de partium morbis et Sympt Chapter 10 Pag. 288. To the causes of this Disease here mentioned you may adde all the causes mentioned in the ninth Chapter of Defluxions Hippocrates mentioneth many more kinds of Consumptions too tedious for me to insert in this Volume as those proceeding from nocturnal pollutions the running of the Reins also the obstruction of the Nerves or the flowing of Choler to the Back so of nourishment or drying causeth a Consumption likewise a Distillation from the head to the Marrow on the back may be the cause as Hippocrates faith when a Defluxion falleth upon the Spinal Marrow there is a secret and undisernable Consumption Sometimes it hath its original from hunger and want of nourishment Sometimes when the Meseraick Veins are obstructed that the Chylus Concocted in the stomach cannot passe to the Liver In the Diagnostick we must observe the signes of a Consumption beginning begun or confirmed Signes of a Consumption beginning are a small Defluxion the Lungs not much hurt thereby the Cough but small the spittle Sweet Salt or Bitter the body a little Feverish The signes of a Consumption begun the Distillation is stronger the Lungs pierced by which the Lungs are exasperated and the Cough violent The matter contained in the Lungs maketh the stomach weighty a sharp pain before and behind from the humors suppurating sharp and hearing humors fall into the body and sometimes into the Veins causing a hective Feaver sometimes joyned with a Putrid The Lungs by contracted Filth grow hot
when the Pain is under the Ensiformis it shews that the upper Orifice of the Stomach is affected a very sharp Pain that the Patient cannot rest and sometimes fainteth the Vapours sometimes offend the Brain and cause inveterate Head-Ach the Megrim Vertigo and Epilepsy In the other parts of the Stomach there are not so violent Symptomes but great Paines like the Chollick Thus you may know the Causes The Humours offending may be known by the Excrements avoided at the Belly or Mouth also Choller Phlegm Wind or Worms may be knowne by their proper Signes The Diseases of the Stomach or parts adjoyning causing this Disease may be known by their proper Signes Prog This Disease is more dangerous then any other Disease of the Stomach The danger is greater if a Feaver accompany it if the extream Parts be cold Death is at hand thus saith Hippocrates It is least dangerous if it proceed from Worms yet sometimes dangerous Symptoms appear and the Patient dyes sometimes if the cause of Wind cannot be removed a dry Dropsy followeth If it come from other Parts there begin your Cure if it be in the Stomach properly consider the peccant Humour If Wind be the Cause first administer a Clister Take of Camomil Penny-royall Miats and Pellitory of the Wall of each one handful the Seeds of Annise Fennel Cummin and Dill of each two Drachms make a Decoction in white Wine Posset Drink add Benedicta Laxativa half an Ounce the Oyls of Dill Rue and Chamomil of each half an Ounce the Chymical Oyl of Juniper Berries ten Drops make a Clister and give it or the like as often as need requireth Make a Fomentation with the Herbs and Seeds aforesaid or with others of the like Nature then anoint the Stomach with the Oyls of Sage and Cloves Chymical Oyl of Dill Camomil Rue and the like Then administer this or the like Julep which hath power to asswage Pain discusse Wind and strengthen the Stomach Take of Wormwood Pennyvoyall Century the lesse and Agrimony of each one handful the Flowers of Camomill and Juniper Berryes of each one Ounce the Seeds of sweet Fennel and Anise of each two Drachms Boil them in a Quart of white wine to the consumption of half sweeten it with the compound Sirrups of Wormwood and Betony of each two Ounces Let the Patient take a spoonful of this often and six spoonfuls Night and Morning this have I often proved with good successe let the Cause be what it will If the Disease be yet too stubborn to yeeld to ordinary Medicines make a Bath of mollifying Herbs and let the Patient sit in it giving inward discussing Medicines In vehement Pain some do give a Purge and mix Narcoticks with it to allay the Pain and this following is much commended by Forestus Take of Diaphenicon half an Ounce Philonium Romanum two Scruples with Camomil water in want thereof the Decoction make a Potion If Choller cause pain purge it administer Juleps cooling and thickning Foment the Stomach and apply a Cataplasm made of mollifying cooling and discussing Herbs and Seeds CHAP. XLII Of the Inflammation Ulcer and Imposthume of the Stomach The Inflammation of the Stomach is a Tumor comming of Blood sent into the Stomach and its Membranes from the Vena Porta by the small Veins which Blood is either pure and maketh a proper Phlegm or mixed with Choller and maketh an Erisipelatous or with Phlegm making an Oedmatous or with Melancholy making a Schirrous Tumor In a word all things that may inflame the Blood may be the Cause of this Tumor Diagnostick Signes are great Pain burning pricking distending beating even to the Back you may see or feel the Tumor belching and sometimes vomiting of Blood and the Breath is ferched difficultly and a burning Feaver If it be onely of Blood it is somwhat gentler but if it be with Choller there are grievcus Symptoms But be carefull to distinguish this Inflammation from that of the upper side of the Liver see the Chap. of the Inflammation of the Liver This Disease for the most part is deadly If the Inflammation be in the upper part of the Stomach or over the whole or much loathing of the Stomach or rumbling in the Belly all these are deadly Symptoms If the Inflammation kill not and the Feaver and Pain ceaseth and the Tumor remain then it turns to an Imposthume which being broken there remaineth an Ulcer which is known by voiding of Matter by Vomit and Stool But an Ulcer may be bred in the Stomach from other Causes as sharp salt cholerick Humours bred in the Stomach or sent thither from other parts the breach of a Vein which could not grow together again a Wound not well cured Poyson or corroding Medicines taken The Signes of an Ulcer bred in the Stomach are the same with the former to which I add these a constant lingring Feaver stinking Belching no Appetite a pricking Pain and Burning when any thing is taken which is hot cold sharp salt or sowr This Disease for the most part is deadly because Cleansers encrease Pain and Dryers cannot execute their Office but are hindred by Meat Drink and Chylus The Cure of theso Diseases must be diversly considered Purging is altogether prohibited lest more Humours be gathered to the Stomach but give an emollient and cooling Clyster every day such an one as is prescribed in the last Chap you must let Blood in both Arms as much as strength will bear bleed the Haemorrhoids if you see Occasion cup and scarify the Shoulders Back and Buttocks rub and bind the extream Parts and heat them with the Oyl of Spike or Flowerdeluce and the like You must give Medicines which are altering and strengthning and with them mix such which have power to dissolve This Julep is good Take of Barley water well clarified two Ounces Fennel and Purslane water of each one Ounce the Sirrups of Water Lillies and Violets of each one Ounce the Sirrup of Poppy half an Ounce Diamarganiton frigidum a Drachm mix them and make a Julep for three Doses give it Morning Noon or Night Foment the Stomach with â—he Decoction of cooling and mollisying Heâ—… Roots and Flowers and afterwards anoint it with Oyl of Roses Violets and the like Some commend Turpentine washed in Wormwood water given in Pills three or four times which will quickly dissolve or maturate the Imposthume If you find that the Imposthume tend to Suppuration apply this Cataplasm Take of the Roots of common and March Mallows of each one Ounce Camomill two handfuls red Rose leaves a handfull boil them well together and then beat them in a stone Morter then add of the Meal of Barley Flax seed and Fenugreek of each one Ounce with Hen's Grease and Oyl of Roses and Camomill alike QUantity sufficient to make a Cataplasm which must be applyed and often removed When the Imposthume is broken cleanse the Ulcer with new Milk and Sugar or Hydromell or Take of Barley water 3.
the parts by which the Stomach and Guts are provoked to send forth the Meat too soon Lastly in malignant Feavers and other dangerous Diseases the retentive Faculty is weakned and Nature being conquered degenerateth into a Lientery There is another Cause peculiar to the Coeliack Passion Namely the Obstruction of the Meseraick Veins which hinder the passage of the Chilus to the Liver and therefore must of necessity be cast forth by the Belly I need not lay down the Signes of this Disease being obvious to the Eye The Causes may be thus discovered If it come from a cold Distemper there are sowr Belchings the Excrements are phlegmatick If the Humours flow from the Head the Excrements are frothy and the Flux greater after Sleep the Signes of a Catarrh appear If it come from Provocation there is a Heat in the Hypocondria sharp and cholerick Excrements great Thust and a Gnawing in the Stomach These Diseases if they last long are very dangerous because Nature is deprived of her Nourishment and the Body soon falleth into a Dropsy or Atrophy If it follow other Diseases it is for the most part deadly If the Disease hath its originall from phlegmatick Humours covering the wrinkles of the Stomach you must use those remedyes propounded for the cure of Want of Appetite comming from a cold Cause with which make use of those things which are astringent to stay the Flux Clisters are of no great force except the Flux be violent in such Cases they must be astringent such as shall be prescribed in the 47 Chapter of the Flux Dysentery You must purge the peccant Humours and then strengthen the Stomach with the Medicines prescribed in the Cure of Want of Appetite for which purpose Amatus Lusitanus highly commendeth this following Opiate Take of Conserve of Roses six Ounces of the best Treacle six Drachms Sirrup of Quinces sufficient to make an Opiate give half an Ounce in the Morning and fast one hour If this Flux come from Provocation by cholerick Humours do as you are taught in the Chapter of cholerick Vomiting or you may use those things prescribed in the following Chapter of the Flux Diarrhaea For that which comes from the Imbecillity of the retentive Faculty now and then give Clisters made of Posset drink in which red Roses have been boiled and dissolve Sugar therein and the yelks of Eggs. Give inwardly strengthning and astringent things which are prescribed in the following Chapter and against cholerick vomiting Anoint the Stomach and Belly with this following Oyntment Take of the Oyls of Mastick Wormwood Mints and Myrtles of each two Drachms the Powders of Cinnamon Cloves and Galingale of each one Scruple the flowers of Pomgranates and red Roses of each half a Scruple Wax sufficient to make an Oyntment If this Disease depend upon the Obstruction of the Meseraick Veins use the Remedies prescribed for opening Obstructions of the Liver CHAP. XLVI Of the Flux Diarrhaea 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Diarrhoea is a Flux of the Belly or a great and copious sending forth excrementitious Humours not of Food or Chylus as in the Lientery or Caeliack Passion nor of Blood with Inflammation or Ulceration of the Intestines as in the Dysentery which remaineth next to be spoken of The Humours voided are either Cholerick Phlegmatick Melancholy or Serous The Place from whence it comesis either from the whole Body or from the Brain Stomach Intestines Liver Spleen Mesentery Womb and the like The Cause is either Critical or Symptomatical Internal or External The Disease it self is easily known from what hath already been said the difference of the Matter and Humours sent forth are manifest to the Senses It is somwhat difficult to know from what part of the Body the Humours are sent If it come from the whole Body there hath been some Disease which hath afflicted the whole Body as Cachexia Leucophlegmatia a continuall Feaver or excessive Eating or Drinking If it comes from the Head the Excrements are froathy and are voided more violent by Night then by Day and there is some manifest Disease in the Head as a Catarrh Deafnesse Lethargy c. If the fault be in the Stomach the Patient filled himself with Food apt to corrupt or there be Signes of Concoction hurt viz. If the Humours be sharp cholerick and stinking the Concoction is hurt by a hot Distemper of the Stomach and the expulsive Faculty laboureth to throw it out If they be crude and phlegmatick Concoction is hurt by a cold Distemper If Worms in the Guts be the cause their Signes seek 〈…〉 Chapter of the Worms If the Humours come from the Liver they are cholerick and there appeareth some Distemper of the Liver If from the Spleen the Excrements are blackish and distempers of the Spleen and Hypocondria appear If from the Mesentery there is extention but Humours there have their original from the Liver or Spleen If from the Womb there are the Symptoms of the Womb affected To the Prognostick I say the Flux of the Belly which is Critical that is easily endured and is a benefit to the Patient by which Humours which are burthensome to Nature are discharged is good On the contrary if it be symptomatical painful weakning to Nature it is evil If the Excrements are thin voided often with Pain without Feeling when they are voided or in an acute Disease all these are evil Signes If the Excrements voided be yellow as yelks of Eggs green black blew or of divers colours it is evil If this Flux afflict a Woman with Child she is in great danger of Miscariage If the Excrements begin to grow thicker there is hopes of Recovery If a Flux happeneth in the Dropsy wherein the whole Body is affected it causeth a Recovery understand this where the Patient is young strong and the Disease but begun for if Nature be weakned by the long continuance of the Disease and the Flux happen the Disease and Life hand in hand go together For the Cure If the Body abound with Blood open a Vein if not if the Patient hath a Feaver it is good to let Blood Then purge the Humour offending with such Purgers that leave an Astringent behind them If the Body be strong vointing is good for it revelleth and evacuateth the Matter of the Disease Before and after purging give cleansing Clisters after the Body is sufficiently emptied give astringent all which the next Chapter will furnish you with Inwardly you may give astringent und strengthning Medicines prescribed in the next Chapter If your Patient be free from a Feaver boil new milk and scum off the Foam and quench red hot Steel often in it and let him drink thereof warm which is a present Remedy Unripe Mulberryes and Blackberryes dryed and heaten to powder is good to stay this Flux This Opiate is excellent Take of the juyce of Quinces Conserve of Roses of each one Ounce Sanguis Draconis Terra Sigillata and fine Bole of each one Drachm Bloodstone
Chyle of which Worms breed and are nourished but this remember they are not proper Remedies in Feavers Therefore if the Sick hath a Feaver you must be careful how you administer hot Medicines the like you must observe if you administer any thing to people of hot Natures Women do commonly give Wormseed to their Children for the Worms mixed with sweet things which is a Medicine not to be despised But least it should hurt by its Hear infuse it two hours in Vinegar afterwards mix it with boyled Hony and make an Opiate which Amatus Lusitanus much commendeth Forrestus as highly commendeth burnt Harts-horn given with Raisons Aloes are much in use likewise but the Pill de Aloe rosata is much better if half a Drachm be given at Night The Juyce of Lemmons is good if there be a Feaver and a good corrigent for hotter Medicines If they have not a Feaver the Chymical Oyl of Juniper given one drop in Broth is excellent and no lesse effectual is spring Water made sharp with Oyl of Vitriol Many and those very learned Physitians have much commended Quicksilver who say it may be taken in a moderate quantity with admirable successe and without the least danger to the Body for Dioscorides saith that it killeth no otherwise but by tearing the Guts with its great weight therefore we fear not to give it in a small Quantity because its Weight and Roundnesse will easily carry it through the Body Of this opinion also was Mathiolus Brassavolus Fallovius Platerus Fabricius Hildanus John Baptista Zappata Baricellus ' Sanctorius and many others who extol the benefit of this Medicine to the heavens for its Virtue and say they never found any inconvenience by it Those that dread the use of that let them use Mercurius Dulcis well prepared the Dose for once taking is from eight to ten Grains for a Boy of ten years of Age it will be better if you mix of Diagridium half the weight of the former to carry it sooner out of the Body and to expel the Worms if you give it to a child yonger or to a weak Child give it in a smaller quantity Lastly you may make Topicks of what form you please to apply to the Belly Take of the Oyls of Wormwood Mints and bitter Almonds of each one Ounce the Juyce of Wormwood and Rue of each two Ounces Wormseed Aloes and Elicampane in powder of each a Drachm Colloquintida six Drachms of the Gall of an Ox two or three Ounces with Wax sufficient to make an Unguent or so much if you please as will make a Plaister and apply it if the Sick be loose leave out the Colloquintida CHAP. LI. Of the immoderate Flux of the Haemorrhoids Though a moderate Flux of the Haemorrhoids be healthfull and preserveth a man from many and dangerous Diseases viz. the Pleurisy Peripneumonia Stone in the Kidneys Madnesse Melancholy and from many other Diseases yet the immoderate Flux is very perillous and brings many pernicious Diseases viz. Weaknesse of the whole Body Coolnesse of the Bowels and Liver an Arrophy Cachexia and Dropsy for want of natural Heat for by this Flux the Blood is wasted which is the Treasure of life and Cherisher of the whole Body This Flux hath the same Cause that other bleedings have viz. Blood offending in Quantity or Quality In Quantity when plenty of Blood it brought to the Haemorrhoid Veins and dilateth and openeth the Orifices or overmastereth the retentive Faculty hence followeth a Flux If the Blood offend in Quality as Sharpnesse and Thinnesse it stirrs up the expulsive Faculty and sendeth forth both good and bad Blood This Disease is known by weaknesse and a yellowish Colour of the Body comming upon a long Flux of the Haemorrhoids If too much Blood be the Cause of the Flux there went before Causes of encrease of Blood and the beginning of the Flux was a refreshment to the Patient but the Flux continuing he grows weak If the Flux came from Sharpnesse and Thinnesse of the Blood there preceded Causes which breed Choller or sharp Water the Body is of a cholerick Constitution the Blood floweth violently and is shining whereas if it offend onely in Quantity it is black and Melancholy To perform the Cure you must stanch or moderate the Blood by revelling deriving thickning and astringing Means First open a Vein in the Arm and if the Patient hath not lost much Blood but aboundeth therewith draw Blood plentifully otherwise draw little and often Rub and bind the superior parts and Cup and Scarify the Shoulders that the Blood may be revelled By gentle Purges derive the cholerick Humours which make the Blood so violent purge with such things as have an astringent Quality as Rubarb Myrabolans Tamarinds such as are prescribed against vomiting of Blood and bleeding at the Nose But beware lest the Body be too much bound lest by straining the Veins will be more open therefore after the use of astringents let the Patient eat sharp French Prunes before and after Meat Then you must give such things as may thicken the Blood have recourse to the 19 30 and 39 Chapters Lastly you must prepare astringent Fomentations and Unguents to be applyed to the Haemorreoid Veins boil Mullein in Smith's water and foment or you may add other Herbs of the same Nature to it thus Take of the Roots of Bistort half a Pound the Leaves of Plantane Mullein Shepherds purse Bramble and Oak Leavs of each two Handfulls Pomegranate Flowers and Peels Galls and Sumach berries of each one Handfull red Roses two Pugills Myrtles half a Drachm Allum one Ounce boil them in three parts of Smith's Water and one of red Wine and soment the part therewith but let it be but moderately hot Or with a greater quantity of the Simples you may make a Bath for the Sick to sit in but let it not be hot Or you may make an Ointment with their Juyces and Bolearmenick Terra Sigillata Sanguis Draconis Ceruse Vinegar and such like Unguentum Comitissae is good to anoint the Veins and the Back The Dripping of un Eel is much commended Or take the Hairs of an Hare burnt Spiders Webs mixed with the white of an Egg and apply it Or touch the Vein with Oyl of Vitriol and in a desperate Case with Aqua Fortis If the Veins should ulcerate cleanse the Ulcer as you are taught in divers places of this Treatise But be sure you consider the State of the Liver and Spleen if they be hot or weak cool or strengthen them as you are taught in their proper Chapters CHAP. LII Of the pain of the Haemorrhoids THe Haemorrhoid-Veins sometimes do swell and cause very great pain The cause of this differeth not from the former for the blood offending in quantity or quality and cannot open the ends of the Veins causeth a Tumor or inflammation These Tumours are sometimes like Grapes Mulberries Warts and sometimes like bladders Some are externall others internall It is convenient
Ounce the conserve of Hips one Ounce and an half with Syrrup of Lemmons make an Opiate and take a little often Likewise you may make a decoction of China and Hepatick hearbs sweetning it with the aforenamed Syrrups and taking half a pint in the morning Likewise of the aforenamed cooling hearbs you may make an Apozen to cool the Liver or you may make a Bath to cool and moysten the body CHAP. LIV. Of the Inflammation of the Liver THe Inflammation of the Liver is a hot Tumor occasioned by bloud out of its proper vessells sent into the substance of the Liver This Tumor ariseth either from pure bloud or else the bloud is mixed with Choller Flegme or Melancholly so producing either a true Erysipelous Oedematous or Schirrous Phlegmon This Tumor is sometimes in the gibbous or hollow part of the Liver The causes of this disease are too much bloud or the heat thinnesse or sharpnesse thereof and by its motion in the Veins it is sometimes thrown into the Liver For the Liver being hot and in pain doth attract the humours to it self or by its weaknesse is forced to receive the burden that stronger parts lay upon it according to the Proverb The weakest goes to the walls Sometimes an obstruction of the Liver by retaining the thick humours which by a preternaturall heat is inflamed The externall causes are the same which cause heat of the Liver To which add a stroak or fall bruising the Liver or Medicines applyed to a cold stomach or a Cupping-Glasse fastned to the Region of the Liver The signs of the disease are heavinesse in the right Hypocondrion a weighty pain sometimes extending it self to the throat and sometimes to the lower ribs a Feaver more or lesse violent according to the nature of the humour offending viz. Choller or Flegm and difficulty of breathing because the motion of the Diaphragma is hindered a dry chough an unequal pulse and like a Saw the Tongue at the beginning red afterwards black great thirst loathing of meat vomiting Choller and sometimes Flegm a pale and yellowish colour of the whole body red and flaming Urine the sick hath more ease lying upon his back then upon either side for the most part he is costive because the heat of the Liver dryeth up the moysture of the Chylus but if the Liver be weak also the sick is loose and the excrements are like water wherein flesh hath bin washed If the Gibbous part of the Liver be affected you may feel the Tumor in the right Hypochondrion the breath is fetched with difficulty and the pain reacheth to the right side of the Throar If the cavity of the Liver be affected the Tumor is not felt but because that part lyeth upon the stomach there is greater loathing of meat vomitting thirst and sometimes loosnesse of the belly by reason of the corruption which the distemper of the Liver causeth in the Stomach The signs of the causes are thus known if the inflāmation be of bloud onely the face is either red or duskish the Pulse is great and soft the Urine is red and thick the body is full of flesh and there is sweetnesse in the mouth and for the most part the Patient is young and hath fed high If Choller cause the inflāmation the face is yellow the pulse swift hard and unequall the Urine thin and yellow the body thin the eyes hollow a bitter tast in the mouth and Cholerick vomitings The Symptomes of the inflamation of the Abdomen differ little from them of the inflāmation of the Liver therefore let us a little consider the difference If the Muscles of the Abdomen be inflāmed the skin is extended and if you lay hold of it you cannot move it but if the Liver be inflamed if you lay hold on the Muscles they yield and the Tumor appeareth deeper If these Muscles be inflamed the colour appeareth fresh and in its naturall colour but if the Liver be inflamed the colour is yellow as in the Jaundise you must likewise distinguish between the inflāmation of the Liver and a Pleurisy Sometimes moist and bloudy stools distinguish it in the Pleurisy the pain will be vehement and great towards the right Hypocondria no change of colour the cough great and dry with bloudy spittle for the most part the pulse hard and like a Saw the inflāmation of the Liver is manifosted by the signs laid down before If the Mesentery be inflamed the Tumor appeareth beneath the region of the Liver the stools will be thin and moist with unconcocted matter if the party recover the matter quickly is concocted the colour of the face is not much altered Prog. every inflāmation of the Liver is dangerous for the most part deadly if the Patient be not cured or killed presently the disease ends in a Dropsy Atrophy or Consumption If Choller be the cause of the inflāmation it is worse then if bloud were the cause and the Feaver is stronger The Hicchough in this distemper is a very evill sign for it shews the greater Malignity of the inflāmation which doth disturb the Stomach A Flux joyned with it unlesse it be criticall and the humours evacuated concocted is deadly To cure it follow the rules prescribed in the 42. Chapt. Of the Inflāmation of the Stomach Let his drink be Barly water with a little Syrrup of Violets If the disease be stubborn to the former Medicines prescribed in the 42. Chapter add this following Apozeme Take of the roots of Smallage Fennell and Parsly of each two ounces the leaves of Agrimony Violets Succory and Maidenhair of each one handfull Polypody of the Oak four Ounces Chammell flowers one Ounce the seeds of Fennell Gromwell and Parsly of each one Drachm boil it to a Pint and an half and in the strained Liquor infuse an Ounce of Sen na and three Drachms of Rubarb afterwards add of Sirrup of violets and Vinegar Simple of each two Ounces divide it into four Doses and let the Sick take every other Morning Then make an Epithem Liniment Unguent or Plaister thus Take of the Juyce of Endive Succory Sorrell and Plantane of each half an Ounce of the Oyls of Roses Wormwood Camomill and Myrtles of each one Ounce Vinegar half an Ounce boil it to the Consumption of the Juyces then add of the three Sanders in Powder of each one Scruple with Wax sufficient make an unguent and anoint the Region of the Liver If the Pain and Feaver decreaseth you must add to the former Oyntment such things as dissolve and mollify as well as cool as the Flowers of Camomill and Melilot Barly-meal the Roots of Marsh-mallows Calamus Aromaticus and Cypresse the Leaves of Mallows Violets and Agrimony the Seeds of Annise Fennell Faenugreek and Flax. Or with these Simples you may make a Fomentation If the Inflammation be not discussed as it seldom can it tends to Suppuration otherwise to a Gangrene The Imposthume for the most part is compleat in twenty dayes it is
very dangerous and few escape thereof But if it be little and onely in one part of the Liver and the Matter white which comes forth by Urine and Stool the Sick escapeth if it be in the outward part of the Liver it may be opened by an actual Cautery and if the Matter which cometh forth be white the Patient escapeth After the Imposthume is broken there remaineth an Ulcer if the Patient continueth the Ulcer is hard to cure and bringeth the Patient into a Dropsy or Marasmus But sometimes sharp cholerick and corroding Humours in the Liver produce an Ulcer without Inflammation This Ulcer is discovered by the Signes following Pain in the right Hypocondrion mattery and bloody Stools and pain in the Bowels as in the Dysentery onely here the Weight and Pricking about the Liver maketh a Distinction sometimes pieces of the Liver have been voided by Stool If the outward part of the Liver be ulcerated the Urine is mattery without any Disease in the Bladder or Reins The Colour is yellow sometimes small Pimples in the Face a stinking Breath Loathing Flesh and the Sick fainteth often An Ulcer in the Liver is accompanied for the most part with an Hective Feaver for the most part Death lodgeth not farr from it that which followeth an Imposthume and Inflammation is more dangerous then the other If it tends to Suppuration it is hardly cured yet you must proceed thus Take of the Emplaster of Diachilon magnum and Melilot of each one Ounce Gum Ammoniacum dissolved in Vinegar half an Ounce Oyl of Wormwood and Wax make a Plaister and spread it upon Leather in the form of an half Moon and apply it to the Region of the Liver Make use also of mollifying Cataplasms Give inwardly Chicken Broth and boil therein Marsh and common Mallows Figs c. When the Imposthume is broken make use of the Medicines prescribed for the Cure of an Ulcer in the Stomach give him to drink Whey or Barly-Water and Hony of Roses If the Suppuration be outwardly and after the opening thereof the Matter is filthy red and stinking Death must perfect the Cure but if the Matter evacuated be white and concocted there is hopes of Recovery CHAP. LV. Of the Obstruction of the Liver 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Obstruction of the Liver is a Disease organical a preternatural Straitnesse of the Branches of the Vena Porta and Vena Cava as also the whole Substance of the Liver which hinders the distribution of Blood and Nourishment by reason of a preternatural Humour which shutteth up the Passages The Quantity or Quality of the Humours may be the Cause of Obstruction Plenty of Humours cause Obstruction in the Cavity of the Vessels which by fulnesse are so distended that they cannot contract themselves to send forth the Matter The Quality of the Humours is grosse tough and clammy Excrements sticking to the Passages and are more thickned by the Heat of the part viz. Phlegm which easily groweth thick and clammy Mela choly which is cold thick and drossy Choller staying long in the Liver grows thick and sometimes the Thicknesse of the Blood may cause Obstruction sometimes grosse Vapours may cause Obstruction as in the Chollick All things which make thick and clammy Humours as a cloudy and thick Air Meats that are astringent cold of grosse Juyce hard of Concoction being immoderately eaten or more eaten then the Constitution of the Body can well dispense with as Beef Bacon Pork and Fish dryed in the Smoak Cheese Pease Beans c. Pears Quinces Medlars Services and Mushrooms Bread not well baked muddy Ale and astringent Wine A cold Distemper of the Liver which cannot well concoct the Chylus but turns it into a salt tartarous and mucilaginous Matter may be the Cause of Obstruction Distempers of the Stomach by reason of which it cannot well concoct but beget crude Chyle which the Liver cannot well order may be the Cause Diag In this Distemper the Excrements are not naturall but are moist white chylous or bloody The Urine white thin and warry when the Patient walketh fast or up a Hill he breatheth with difficulty the Face pale the whole Body lean and dull a sense of Weight in the Hypocondria especially after Meat and though the Sick hath eat Meat light and little in Quantity yet he seemeth as if he had overgorged himself Sometimes the Hypocondria is extended and a dry Cough The Causes are thus known If the Pain be heavy extended and fixed grosse Humours are the Cause Sharper Pains and more moveable declare Wind. If cold Humours be the Cause there is more Weight the Face is pale no Thirst nor Feaver a thick and cold Diet preceded the contrary Signes declare hot Humours to be the cause Choller maketh the Face yellow and blood-red Prog An Obstruction newly begun may be easily cured but an old hardly If the Obstruction of the Liver be not removed it breeds many dangerous Diseases in a word it may be well called the Mother of all Diseases That which comes of crude phlegmatick Humours is worse then that which comes of Wind. You must begin the Cure with universal Evacuations suitable to the Nature of the Disease the Strength and Constitution of the Patient If Blood abound open the liver-Liver-Vein but beware lest you cool the Body too much Then you must make opening-Broths thus Take of the Roots of Smallage Parsly Fennell and Asparagus of each one Ource Agrimony Maiden-hair and Polypody of the Oak of each one handfull the Seeds of Annise Parsly and Fennell of each one Drachm boil them in Chicken or Mutton Broth and strain it every Morning give the Sick a Porringer full dissolving first therein Cream of Tartar one Drachm Salt of Wormwood and Tamarisk of each half a Scruple Or every other day infuse in his Broth half an Ounce of Senna and give it as before Baths and Fomentations made of sottning and opening things are good Take of the Roots of Marsh mallows Lillyes and Briony of each two Ounces the middle Rind of Tamarisk the Bark of Caper Roots the Roots of Sea holly Cypresse and dwarf-Elder of each one Ounce The Leaves of Marsh and common Mallows Camomill Mints Germander Penny-royall Violets and Wormwood of each one handfull the Seed of Flax Foenugreek and Juniper Berryes of each one Ounce the Flowers of Broom Elder Camomill and Mililot of each one Handfull boil them in chalybiated Water and if you please add one part of white-Wine and foment the Region of the Liver or with a greater Quantity make a Bath Your Wit if you have any will teach you how to make Unguents of the same ingredients to anoint the part after fomenting It is good to have in readinesse an Opiate that openeth Obstructions strengthneth the Stomach Liver and other parts Take of the Conserve of Wormwood two Ounces the Root of Elicampane and Citron Peels candied of each one Ounce Candied Nutmegs half an Ounce one Myrabolan candied Confectio Alchermes
is better then thin for thin Urine is a Sign that thick Humours are detained in the Body Vomiting Flux of the Belly or Haemorrhoids if it be moderate and continue not long is a hopefull Sign judge the contrary if it continue long For the most part this Disease is of long continuance and seldom cured therefore it hath been called the Scourge and Disgrace of Physitians The Cure of this Disease consisteth in four things First in opening Obstructions Secondly in amending the Distempers of the Bowells Thirdly in evacuating the peccant Humours and Lastly in strengthning the affected and vitall parts But to forbear Tediousnesse and to avoid needlesse Reperitions I refer you to the Chapters aforegoing especially Of the Obstruction of the Liver and Spleen Take this general Rule keep the Body alwayes soluble by Medicines which the Parient may use before Meat changing them often as often as need shall require let the Patient be purged let him make use of Broths Decoctions and Drinks that have a Faculty to open Obstructions as the Juyce of Wormwood or Wormwood-Wine adding thereto Tamarisk Agrimony Borrage and Buglosse Burnet Sanders Rosemary Flowers and the like Montanus much commendeth Venice Turpentine because it looseneth the Belly cleanseth and warmeth the Stomach provoketh Urine openeth the Obstructions of the Liver cleanseth and doth not heat it Steel-Wine and other Medicines made of Steel which you may find in the Chapter Of the Obstruction of the Liver powerfully openeth Obstructions especially the Extract of Steel in the Administration of which I have found more then ordinary Successe but let Medicines of this Nature be administred by a skilfull and carefull Physitian The Decoction or Infusion of Lignum Nephriticum doth open Obstructions safely and pleasantly And some do much commend the Decoction of the Root of sweet Bryar for the Patient 's ordinary drink Whilst you use internall Medicines Externalls are not to be neglected viz. Fomentations Oyntments c. such as are prescribed for the Obstruction of the Liver and Spleen choose the coolest of them and apply them to the Hypocondria And because in this Disease the Stomach alwayes suffereth seek the Remedy in its proper place Or if the Vapours ascending from the Hypochondria trouble the Heart or Brain and cause Swooning Palpitation Trembling Convulsions Head-ach or the like have recourse to the Chapters preceding which treat of those Diseases CHAP. LXI Of the Scurvy THe Scurvy is nothing else but an Hypocondriack Disease but having a peculiar degree of Malignity arising from the Putrefaction of Melancholy it hath more Symptomes then in the Hypocondriack Disease Diag All the Symptoms mentioned in the foregoing Chapter are common to the Scurvy Peculiar Symptoms are these Rednesse Itching Putrefaction Bleeding and Stinking of the Gums Mouth and Teeth which are also sometimes black and loose Spots in the Legs first red afterwards purple black or blew Straitnesse of the Breast and Shortnesse of Breath occasioned by thick Vapours arising from the Hypocondria to the Midriff or to the Sweet-Bread causing a Swelling or Tumor and consequently compressing the Diaphragma The Body is heavy and lazy especially the Legs and grievous pain there and in other parts as in the Toes Fingers Soals of the Feet Ancles Thighs Belly Arms Shoulders and the like The Urine is various as in the Hypocondriack Melancholy The Pulse is weak and unequall Some have the head-Ach and a seavourish Heat in the Night which vanisheth by a Morning Sweat Some have tho Tooth-Ach without manifest Cause Sometimes the Vapours ascending being astringent contract the Gullet and the Patient feareth strangling A stinking Breath is common to Scorbutick persons Tumors in divers parts sometimes hard sometimes soft like Bladders and sometimes like the stinging of Nettles And lastly an Atrophy Consumption and generall decay of the whole Body That I may more perfectly discover the Symptoms of this Disease I shall here lay down some other which are common to other Diseases and shew you how to distinguish them Sometimes the Scurvy causeth pains in the Joynts which must be distinguished from the pains caused by the French Pox thus In the French Pox the pains are between the Joynts and by long continuance cause Knots there the Symptoms of the Pox appear as Running of the Reins Bubo c. or the Patient hath acted with some unclean woman But in the Scurvy some of the preceding Symptoms appear or at least the Patient is of a melancholy Constitution This must be distinguished also from the Arthritis or Joynt-Gout which is fixed or at least seldome changeth the place but in the Scurvy it is very moveable running from one Joynt to another and sometimes for a while vanisheth In the same manner is the bastard-Palsy which the Scurvy causeth distinguished from a true one which is constant but in the Scorbaticall Palsy he that one day could not walke or stand at all can the next day walk with little or no help Sometimes it causeth a Flux of the Belly like a Diarrhoea but differeth from it in this that the Excrements are thicker then in the former and in greater Quantity exceeding the Quantity of the Meat taken Sometimes the Excrements are mixed with Blood but differeth from the Dysentery because there is no pain of the Belly and the Blood is thick sent thither by the Meseraick Veins Sometimes the Scorbatick pains are in the sides imitating the Pleurisy but is much different because the Feaver if any is weaker there is no difficulty of Breathing no Cough Spitting nor constant pain Lastly you must distinguish these pains from the pains of the Stone for the Urine is sometimes red like Blood as if the Kidneys were wounded by the Stone and sometimes black both which come from a scurvy salt Matter in the Spleen or Parts adjacent Prog This Disease is very hard to be cured because the Melancholy Humour is so farr predominant Many times it is very dangerous because it bringeth the Dropsy Consumption c. And sometimes acute Diseases as the Apoplexy Swoonings and the like which produce sudden deaths In the Cure of the Scurvy you must follow the Method prescribed in the Cure of Obstruction of the Liver and Spleen beginning with the weakest first with which you must make use of specificall Medicines for the Scurvy of which the chief are Dutch and Sea Scurvy-grasse Water Cresses Brook-Lime Horse-Radishes Fumitory Wormwood Celandine the lesse c. Those which are of lesse Efficacy and have a Faculty to correct and prepare the melancholy Humour are these which follow Agrimony Asarum Bettony Borrage Buglosse Carduus Ceterach Elicampane Germander Hyssop Maidenhair of all sorts Polypody of the Oak the Bark of Ash Capers and Tamarisk the Flowers of Elder Dodder of Time and Tamarisk Observe this general Rule if the Patient be feavourish or subject to heats you must give the hottest of them in a smaller Quantity and add Endive Sorrel Succory the Juyce of Citrons Lemmons and Orenges and the Spirit of
Sulphur and Vitriol Of these and such like may several sorts of Medicines be formed which for Brevity sake I omit CHAP. LXII Of the Stone in the Kidneys THe material Cause of the Stone in the Kidneys is a phlegmatick feculent thick slimy and tartarous Humour in the Urine the efficient Cause is Heat which drieth and hardneth the Matter and at length turneth it into a Stone this is the Opinion of Hippocrates and Galen and most modern Physitians The Hermetick Physitians have found a certain Juyce which they call Succus Lapidiscens which is a certain Humour naturally proper to turn to a Stone and this they say is the material Cause of the Stone and the efficient Cause to be Spiritus Lapidiscens a stone-making Spirit So that if a man eat or drink any thing wherein the Stony Juyce is that Juyce is turned into a Stone if the Reins have a Stone-making Spirit But if the Reins be free from this Spirit a Stone is not bred unlesse the stony-Juyce be very predominate on the contrary if the Reins have this stony Faculty and the Food be free from this Juyce the Stone is scarcely engendered unlesse the stone-making Faculty be very predominate Many Historyes shew that Stones come from a stone-making spirit or Breath out of the Earth which hath turned the Bodyes of Men Beasts and other things into Stone Riverius upon this Subject in his last Edition quoteth Aventius Annal. Bavar lib. 7 An. 1343 who saith that above fifty men with many Cows were turned into Stone Ortellius tells the same story of whole heards in Russia And Camerarius reporteth that in the Province of Chilo in Armenia at the blast of a South Wind which happeneth four times in a year whole Troops of horse have been turned into Statues of stone standing in the warlick posture in which they were before The Antecedent Causes are many The Stomach being not able to concoct well sendeth a crude Chyle to the Liver A hot Liver doth bake the chylous Matter or a cold Liver maketh crude Blood the Spleen weak or obstructed doth not sufficiently purge the drossy Blood these do cause even the Blood or crude Juyces fit to make a Stone Likewise the Reins besides their conjunct Cause may be an Antecedent Cause in two respects viz. their Temper and Form First their Temper being hot doth violently draw the crude Matter and thicken it In respect of their Form the emulgent Veins may be loose and fit to receive the tartarous Matter into the Reins and the Ureters so narrow that the thick Matter hath not passage from the Kidneys Lastly all Food that produceth crude thick and slimy Nourishment doth afford Matter for the Stone as Flesh or Fish that is very salt or dryed in the smoak Pulse Cheese and all Milk-Meats hard Eggs Chesnuts Pears Quinces Medlars Rice Wine thick and not well purged standing Waters all things which make the Liver and Reins too hot as old strong Wine Garlick Onions Pepper and Ginger too strong Diureticks which carry crude Matter too violently to the Reins violent Excercise after Meat inordinate Lechery too much Fulnesse or Emptinesse and the like The Signs of the Stone of the Kidneys are many viz. a constant pain about the Loyns whilst it is in the hollow of the Kidneys the pain is heavy when it gets into the head of the Ureters sharp and pricking and so continueth unlesse it get back again or fall into the Cavity of the Bladder The Urine is sometimes bloody by reason of the opening Corrosion of the Veins or cutting of the tender Flesh of the Kidneys sometimes it is thin and little in Quantity Voiding of Sand and Stones is an evident sign of the Stone but if the Patient voideth Gravell without stones be not too hasty in your Judgment but take the Caution given you in the 60 Chapter Of the Hypocondriack Melancholy The Thigh on the same side the Back is pained becometh numb because the Stone doth oppresse the Nerve which is in the Muscles of the Loyns under the Reins and goeth to the Hip for its Motion The Sick loatheth and vomiteth often by reason of the Connexion of the Kidneys with the Stomach the Stomach sympathetically sensible endeavoureth to exclude that hurtful companion Be sure you make a distinction between the Stone in the Kidneys and the Chollick have recourse to the 43 Chapter where I have left a few Rules This Disease is very dangerous and bringeth many and sad Symptoms as Inflammations Exulcerations great Pains long Watchings Weaknesse Feavers Suppression of Urine and Death it self It is difficult to cure if not incurable in old men saith Hippocrates with whom Experience agreeth If the pain hath continued long and violent and the Sick grow externally cold with cold and faint Sweats Death is at hand If the Stone be accompanied with an Ulcer of the Kidneys it is incurable because those things which do break the Stone do exasperate the Ulcer The Cure of the Stone in the Kidneys consisteth in mollifying enlarging or relaxing and throwing the Stone out of the Ureters to break the Stone if it be too big for the Passage to take away the antecedent Cause and to ease pain which you must do thus first open the Liver-Vein on the same side that is most grieved draw as much Blood as the Constitution of the Patient can well spare Then administer a mollifying and laxative Clister Take of Common and Marsh-Mallows Camomill Penny-royall Pellitory of the Wall and Violet Leavs of each one handfull the Seeds of sweet Fennell Flax and Faenugreek of each half an Ounce boil it in Posset-drink to a Pint strain it and dissolve therein Cassia Catholicon and Diaphaenicon of each three Drachms the Oyls of Rue and Scorpions of each one Ounce make a Clister and administer it Likewise the Oyls of sweet-Almonds Camomill Dill Lillyes and Violets are good to be used in Clisters of this Nature This Clister or one of the same Nature you must give twice or thrice in a week and in the dayes between foment the Region of the Kidneys with a Fomentation made of the aforenamed simples or others of the like Nature which I shall treat of before I put an end to this Chapter Afterwards anoint the part with the Oyls aforenamed Or you may make a Cataplasm of white Bread sodden in white Wine and if you add any of the aforesaid Oyls it will be the better Afterwards lay a Plaister to the place Take of the Oyl of Camomill and Rue of each half an Ounce of Dill and sweet-Almonds of each two Drachms Goose and Hens Grease of each one Drachm with Wax and the compound Melilot Plaister as much as sufficeth make a Plaister and apply it In the mean time you must not forget inward Medicines which have a Faculty to break the Stone to ease pain and mollify and enlarge the Ureters The simples following are approved of viz. the Roots of Asparagus Birthwort Fennell Butchers-Broom Filipendula
Ounce Liquorish two Drachms Camomill and Saxifrage of each one Pugill Winter Cherryes twenty Red Cicers four Ounces Raisons of the Sun two Ounces the four great cold Seeds a Drachm and an half French Barly four Ounces boil them gently in the distilled Water of Saxifrage Cammock and Parsly of each half a Pint when it hath boiled a while add half a Pint of white Wine and let it boil till half be consumed to the straining add six Ounces of the Sirrup of Marsh-Mallows drink three or four Ounces in the Morning To the Region of the Bladder must be applyed mollifying and asswaging Fomentations If all Medicines fail and the Patient's pains unsupportable Necessity requireth the dangerous Operation of Cutting Let the Physitian prepare the Patient's body by Purging Bleeding and Diet according to the Constitution and Condition of the Patient's Body and let the Patient prepare his Soul for God CHAP. LXIV Of the Inflammation of the Reins and Bladder THis Disease is a Tumor in those parts caused by the flowing of Blood or Choller unto them The Causes of this Inflammation are natural unnatural or preternatural Natural when there is a natural haereditary Infirmity in the parts or great Heat originally which violently draw the Humours thither Causes not natural are Gluttony Drunkennesse much Venery great Passions of the mind violent Excercise Stoppage of some usual Evacuation as the Terms or Haemorrhoids all things which cause Repletion or evill Concoction and drive the Humours to the inward Bowels Things preternatural may be the Cause as a Stroak Wound or Bruise upon the Reins or Bladder constant Feavers the Matter of the Pleurisy or Empyema carried away by the Urine Heat or Stoppage of the Urine the Stone or Exulceration of the part may cause an Inflammation The Inflammation of the Reins is known by those Signes a weighty and beating Pain about the part which extendeth it self to the adjacent parts the Patient cannot help himself nor ly otherwise then upon his back If he doth sneez or move his Body the pain encreaseth he hath a Numbnesse in the Leg on the same side he maketh Water with difficulty he hath a constant sharp Feaver with Watchings Dotings and dangerous Symptomes He vomiteth Choller Phlegm and other Humours the Urine is first thin and yellow afterwards thick and red If the Bladder be inflamed the Patient is vexed with a sharp Feaver Watching Vomiting c. as aforesaid The Share becometh hard and hath vehement pain he hath almost continuall Provocation to go to Stool as in the Disease Tenasmus Prog The Inflammation of these parts do threaten continual danger of Death Convulsions Dotage Watchings cold Sweats are the Messengers of Death If the Inflammation suppurate and the Imposthume break and the Matter be evacuated by the Urine there is hopes If the Haemorrhoids bleed there is hopes that the Inflammation will cease You must begin the Cure with a mollifying and cooling Clister to the Decoction for the Clister prescribed in the Chapter of the Stone in the Reins add of Cassia and Diaprunes Lenitive of each half an Ounce Sirrup of Violets one Ounce the Oyl of Violets two ounces make a Clister Then open the Liver-Vein on the same side the Inflammation is If the Bladder be inflamed open the Liver-Vein on the right Arm draw as much Blood as your Patient's Strength will bear And if you open the inferior Veins it is a good derivation Then give the Clister again and as often as need requireth but remember to give it in a small quantity least it oppresse the Tumor Use Cupping and Scarifying Frictions and Ligatures to the extream parts to draw the Humours outwards You must allay the Heat of the Blood by cooling Juleps in which use no Diuretick Simple lest it carry Humours to the part and increase the Inflammation in the declination of the Disease Diuretick Medicines may be given You may make a cooling Julep thus Take of the distilled Water of Endive Lettice Plantane and Purslane of each four Ounces Sirrup of Pomegranats two Ounces the Sirrup of Water-Lillyes and Violets of each one Ounce Oyl of Vitriol as much as sufficeth to give it a gratefull Relish mix them for four Mornings and Evenings Draughts Or you may make an Emulsion of the Seeds of Sorrel Letrice Purslane Poppy Almonds Pine-Nuts and the like The great cold Seeds are diuretick and must not be used in the beginning of the Disease for the reason before given Nor ought you at first to purge till the Declination then you may profitably purge with Medicines which are gentle as Manna Cassia Rubarb Tamarinds Diaprunes lenitive Sirrup of Roses c. Outwardly you may apply Cataplasms Liniments Unguents that are cooling repelling and if the Inflammation be in the Bladder astringing when the Defluxion is stopped use Softners and Dissolvers If the Strangury or any other dangerous Symptome appear converse with their proper Chapters If the Tumor tend to Suppuration which you may know by the encrease of the Feaver and Symptomes trembling and vomiting you must help Nature with mollifying Cataplasms the Chapters of Inflammations of other parts will advise you If the Tumor appear outwardly you must open it with a Cautery or Incision-knife If it break and the Matter fall into the Abdomen it brings sudden Death or a Hectick Feaver If the Tumor grow hard and the Feaver gone it breeds the Dropsy evill Habit or some such Disease and is incurable for the most part you must deal with it as with the Schirrhus of the Liver CHAP. LXV Of the Ulcer of the Reins and Bladder THis Disease is caused either from an Imposthume broken there from Sharpnesse of the Humours or from a Stone which doth corrode them This Disease is known by the voiding of much Matter with the Urine To know whether the Reins or the Bladder be diseased take a few Rules If the Ulcer be in the Reins the pain is there the Matter is more concocted more in quantity and more mixed with the Urine making it appear like Milk which standing settleth to the bottom sometimes much Blood is voided and pieces of Flesh which sometimes stops the Passage When the Ulcer is in the Bladder contrary Signes appear the pain is neer the Privityes the Matter is lesse in Quantity and not well concoct but of divers Colours and stinketh sometimes Matter is voided without Urine If the Ulcer be old callous and hard snotty Phlegm is voided such as is voided if there be a Stone in the Bladder for the most part little Skins like Scales or Bran are voided As all inward Vlcers are dangerous so are these much more because the continuall Flux of Humours with the Vrine to the part doth nourish the Vlcer The Violence of the pain causeth Watchings and a Consumption of the whole Body If the Vicer be taken in time and the Patient yong it may be cured else not The Cure must be performed by evacuating the peccant Humours by cleansing drying and healing the
Greek is a Disease which modern Writers call Scalding of the Urine it differs from Stranguria in this that more Water is made and with farr more pain Any thing that can wound the Sphincter-Muscle or passage of the Bladder may be the Cause The usuall Cause is either a mixture of sharp Humours with the Urine or sometimes the sharpnesse of the Urine caused by the eating of hot and sharp Meats or by the hot Distemper of the Bowels Liver or other parts or from evill Concoction in the Stomach or Liver by which the Blood is not freed from salt and tartarous Humours which being sucked to the Kidneys is sent to the Bladder causeth pain Filthy Matter comming from an Ulcer in the Reins or Bladder may be the Cause he who is troubled with a Gonorrhaea or Running of the Reins is seldom free from scalding Urine To conclude the Stone or large Gravel may be the Cause The Knowledge of this Disease is evident the Signes of the Causes are easily gathered If it be caused by the Stone Inflammation or Gonorrhaea it is known by their proper Signes If from sharpnesse of Urine by the mixture of Humours the Urine will be thin and high coloured or in it will appear a mixture of Choller Phlegm or Matter the Patient hath eaten hot things or else hath some hot Distemper This Disease is not very dangerous unlesse it continue long and ulcerateth the Neck of the Bladder Sometimes it is hard to be cured especially if the Patient be old The Cure must be wrought by taking away the Cause If a mixture of sharp Humours make the Vrine sharp first make use of Phlebotomy which is good to correct the hot Distemper of the Liver and other parts make use of this Evacuation as often as the Patient's Constitution will bear and the Distemper require then to derive it from the part affected open the lower Veins Then purge with Cassia Manna Rubarb Mirabolans Tamarinds and such things which purge gently if you give it with the Decoction of Plantane Mallows Lettice Purslane and the like it will be the better A gentle Vomit is much commended as a good Revulsion Cooling Clisters are good Inwardly the Whey of Goats milk or Mineral Waters that cool are good for ordinary drink Or this Julep Take of the Roots of Marsh and common Mallows of each one Ounce Lettice Endive Purslane and Violet Leavs of each one Handfull Jujubes and Sebestens of each one Ounce of the four great cold Seeds a Drachm the flowers of Violets Roses and water-Lillyes of each one Pugil boil them in Spring Water to a Pint and an half strain it and add of Jujubes Violets and Poppyes of each one Ounce and an half Oyl of Vitriol twenty Drops make a Julep for four Doses to be taken Morning and Evening If there be no Feaver give Milk by it self The Troches of Winter Cherryes is good If the pain be very great let the Patient when he maketh Water put his Yard into warm Milk or a Decoction of Mallows and other cooling Herbs Or inject Milk Plantane-Water or an Emulsion of the cold Seeds into the Passage Baths and Fomentations made of cool Herbs are good and if the Privities be anointed with Unguentum Populeon the Oyl or Unguent of Roses Oyl of Lillyes and the like it profiteth If the Liver Reins or other parts by their Heat be the Cause use Medicines that are good to cool them If the Liver be too hot bleed the Haemorrhoids or make an Issue in the right Leg. If it come from the Stone Inflammation or Vlcer of the Bladder or Kidneys cure them according to the Rules in their proper Chapters but the cooling Medicines before mentioned are good to allay the Symptomes CHAP. LXX Of Pissing of Blood THough Blood may come from divers parts of the Body to the Passages of the Vrine yet I shall here speak onely of that bloody Vrine which is made from the defect of the Reins or Bladder The usual Causes are much sharp Blood which corrodeth the Veins or plenty of Blood which bursteth them Sometimes a Stone in the Reins or Bladder being moved by Riding or violent Excercise by its roughnesse teareth the part A Fall or Stroak vehement Motion lifting or carrying may break a Vein Sometimes the Weakness of the Reins being not able to divide the Vrine from the Blood may cause this Disease This Disease is apparent to the Senses for when Blood is mixed with the Vrine it appeareth like Water wherein Flesh hath been washed with Clods of Blood at the bottom if it stayes too long in the Bladder it looks black The place that is pained shews the part affected If it come from the Reins it is more mixed with the Urine then if it come from the Bladder If it come from the Bladder it is in a lesser Quantity If it come from the Stone in the Kidneys or Bladder the Signes mentioned in their proper Chapters will appear If it come from Repletion or Sharpnesse of Humours the Abundance of Blood Choller Melancholy or such Humours appear in the Body If it come by a Blow Fall violent Exercise c. the Patient is able to inform This Disease if it be violent and continue long is very dangerous for sometimes the Patient falleth into a Consumption sometimes into the Dropsy Sometimes it causeth a Stoppage of Urine and sometimes an Vlcer breedeth in the place from whence the Blood Floweth If Blood or sharp Humours abound begin the Cure with blood-letting after a while for derivation let the Haemorrhoids and the Saphaena or ancle-Ancle-Vein be opened Then purge the chollerick Humours with those Medicines that are prescribed in the 30 Chapter Of Spitting of Blood After you have purged sufficiently give things that knit the Veins and stop Blood For this purpose give four or five Ounces of the Juyce of Plantane and a Scruple of the Troches of Amber or of Gordonius Morning and Evening Forestus in his Observations doth much commend Sheeps Milk six Ounces with one Drachm of Bolearmenick is the Dose The Decoction of Knot-grasse Purslane Horse-Tail Comphry roots Plantane Pomgranats Quinces and the like Likewise the Powder of red Coral Blood-Stone Sanguis Draconis Terra Sigillata given with the Water or Juyce of Plantane is good Giye cooling Juleps to allay the Heat of the Blood Apply such things to the Loins as cool and astringe thus Take of the Roots of Bistort Comphry and Clowns-Wound-Wort of each one Ounce Horse-Tail Plantane Purslane Knot grasse and Shepherds purse of each one Handfull Pomgranate peels half an Ounce Sumach Myrtle Berryes and Hypocystis of each two Drachms Acorn cups red and yellow Sanders of each one Drachm red Roses three pugils boil them in Smith's Water and Vinegar therewith soment the Reins Then anoint the Loins with Unguentum Comitissae and Refrigerans Galeni and if you would have it bind more add the juyce of Plantane or such like Sanguis Draconis c. Then wear a
thin plate of Lead about the Reins pricked full of holes Let the Patient's ordinary drink be Beer in which is tunned Mastick-wood sliced and cut small Plantane and the Herbs before named If the Liver be distempered with Heat conferr with the 53 Chapter If the Stone or Gravell be the Cause use no strong Diureticks because they provoke the Flux but that which I have known very effectuall in this case I shal here commend and put an end to the Chapter Take of the four greater and lesser cold Seeds of each one Drachm Quince Seeds half a Drachm the Seeds of Marsh-Mallows white Poppy and Winter Cherryes of each one Scruple make an Emulsion with the Decoction of Marsh-Mallows and give two three or four spoonsuls in the Morning and if you add a little Oyl of Vitrioll it will be the better Venice Turpetine made into Pills with the Powder of Rubarb half a Drachm taken in the Morning doth gently cleanse the Reins CHAP. LXXI Of the Green-sicknesse THis Disease is called by some the Virgins Disease the white Feaver the white Jaundice but vulgarly the Green-sicknesse It is an evill habit of the Body proceeding from the Obstruction of the Veins about the Womb Liver Spleen and Mesentery causing a heavinesse unweildinesse of the whole Body difficulty of Breathing panting of the Heart and Head-Ach a desire after Food that is evil and a loathing of good The Veins about the Womb being obstructed that Blood which Nature hath ordained to go thither having not free passage runs upwards and oppresseth the Heart Liver Spleen Diaphragma stops the Vessels and destroys the naturall Heat hence it cometh to passe that the Stomach and Bowels cannot concoct well as they ought to do so Crudityes are dispersed throughout the body and make an evill Habit. Sometimes by this means the Hypocondria is swelled which depressing the Diaphragma causeth Shortnesse of Breath This grosse Blood being carried in the great Artery to the Heart which least it should be suffocated by it labours for its deliverance often moving of its Arteryes causeth a Palpitation and Beating of the Temples The Stomach by this means being filled with Crudityes and excrementitious Humours causeth a Loathing of Food and a desire after such things which ought not to be eaten as Salt Chalk Coals Ashes Oat-meal Wheat Tobacco-Pipes c. which Disease is called Pica Malacia and we have spoken of it in the 35 Chapter of this Book This Obstruction is caused many wayes as drinking cold Drink to Bedward eating raw or unripe Fruits Some go to Feasts and upon a full Stomach dancing and sporting all Night disturb the naturall Frame of the Body and want Rest others sleep too much and sit long at their work as Seamsters Bonelace-makers and the like By these and the like means Concoction is hurt the naturall Heat is extinguished and the Body filled with crude Excrements and thick slimy Humours which cause Obstructions This Disease is easily known and you may know the diseased if you do but veiw their Faces which are pale and white sometimes of a Lead colour blew or green the Face and Eye-lids the Legs and Feet swelled The whole Body is unweildy and lazy When the body is stirred by Exercise or Walking especially going up a hill or steep place there followeth Palpitation of the Heart and Shortnesse of Breath Beating in the Temples and great Head-Ach behind if the Womb be obstructed before if the Hypocondria be afflicted there is great loathing of wholesome Meat and desiring the contrary the Pulfe is swift and quick as in a Feaver and when the Disease comes to the hight the Terms are stopped This Disease continueth a long time yet is seldom dangerous sometimes by long continuance it breeds Corruption in the naturall parts Dropsyes Feavers Consumptions which end in Death If the Veins of the Womb onely are obstructed a Husband will cure her Women that have a long time been in this condition bring forth weak and sickly Children and sometimes they are barren This Disease is cured by opening the Obstructions evacuating the filthy Humours and strengthning of the parts The Obstructions are opened by such Medicines as are mentioned in the cure of the Obstructions of the Liver and Spleen you may add to them such things which respect the Womb as Mugwort Fetherfew Pennyroyall c. If the Spleen be obstructed add such things which are proper for that as Caper-bark Ceterack Spleenwort c. Open the Saphaena or Ancle-Vein but first if the Maid be full of Blood open a Vein in the Arm. Then purge often with such Medicines as are prescribed in the Cure aforenamed and make use of such Medicines as powerfully open Obstructions there prescribed Zacutus Lusitanus doth much commend the Conserve of Mugwort given thirty dayes together drinking after it a little of the distilled Water of Savin in which Rubarb hath been infused The Salt of Mugwort is very good and Faecula Brioniae mixed with the Conserve hath an effectuall and powerfull operation If the Obstructions are stubborn and not easily opened make a Bath thus Take of the Roots of Marsh-Mallows Briony Elder and Lillyes of each two pound Balm Fethersew Mallows Mercury Maddir Mugmort Nep Pennyrorall and Violets of each three Handfulls the Seed of Flax and Fenugreek of each two Ounces boil them in a sufficient Quantity of Water and let the Patient bathe her self in the Morning and Evening two dayes let the Decoction be renewed the second day The next day open the Vein under the Ancle if the Terms be stopped as for the most part they are in this Disease then give Medicines that powerfully open Obstructions when you find that the Obstructions are opened which you may easily perceive by the decay of the aforenamed Symptoms then you must discusse the peccant Humours that remain in the Veins and other parts of the Body by Sweats for which you must use the Decoction of Guajacum in cold constitutions or of China and Sarfa in those that are hot In the mean while every fourth or fifth day give a purge to cleanse the Body of the crude Humours which cannot be sent forth by Sweat CHAP. LXXII Of the Stoppage of the Terms MEnsium Suppressio or the Terms stopped is when a Woman of ripe Age hath little or no Evacuation of Blood by the Womb once in a Month yet gives not suck nor is with Child Divers Diseases of the Womb may cause this Suppression viz. A cold and dry Distemper which thickneth and bindeth the Womb. A hot and dry Distemper dryeth the part Inflammation Tumor Ulcer or Erosion of the mouths of the Vessels in Abortion or Tumor in the adjacent parts by compression may cause this Stoppage The Vessels of the Womb may be obstructed by thick and phlegmatick Humours or they may be compressed by a Tumor in the parts adjacent The cause may be in the Blood when it offends in Quantity Quality or Motion in Quantity when there is
too much Blood which doth so dilate the Vessels that they cannot contract to expell it too little when the Body hath not enough for its Nourishment It offendeth in Quality when the Blood is thick slimy and viscuous by some cold Distemper of the Liver or by the mixture of such Humours with the Blood It offends in Motion when it flows some other way as by the Haemorrhoids by Urine the Nose Vomiting and by Spitting and many other wayes Riverius saith that he saw a Maid which had a sore Head which opened once a month and bled plentifully and I know a Maid in the same Condition at this time Externall causes are taking cold in the time of the Flux eating things of a very hot Nature by which the Substance of the Liver is dryed or Food that is cold thick and astringent especially at the time of Purgation eating too much or too little by too long retaining of Excrements by bleeding at the Nose or any unnatural Evacuation by Vomit Seige Urine or Sweat To these add the externall Causes mentioned in the Chapter aforegoing Of the Green-Sicknesse This Disease is known by the Patient's Relation but it is convenient to distinguish between this kind of Suppression and that which is common to Women with Child They who have their Menstrues thus stopped are pale and more discoloured then those who are with Child They who are in this condition the longer it continues the more the Symptoms encrease the contrary you shall find in Women with Child They are likewise more sad and melancholy then those who are with Child In these the lower Belly though it swell yet it is not so hard nor proportionable to the Womb. And Lastly an expert Midwife may distinguish it by the mouth of the Womb for in these the mouth of the Womb is not so close shut as in a Woman with Child but rather hard and painfull More particularly the Stoppage of the Vessels of the Womb are known by a pain in the Loins especially when the Terms should flow and if any thing issueth it will be white or blackish and slimy If the parts adjacent be obstructed the Veins in the Thighs Arms by abundance of Blood are swollen especially if the Woman be fleshy plethorick and hath fed high Or else the Woman wanteth Blood Or the Blood is corrupted which you may perceive by the evill habit of the Body and some Disease of the Liver If the Blood hath a praeposterous Motion or flow some other way it is manifest The Stoppage of the Terms is very dangerous and many I had almost said all Diseases may come thereof It is lest dangerous if it come by reason of too much Blood It is worst which cometh by Streightnesse of the Vessels or crude and slimy Humours which obstruct them The Cure consisteth in this generally If too much Blood be the cause abate the Quantity by Phlebotomy first in the Arm then in the lower Veins Then by Fomentations soften and relax the parts about the Womb and give such Purges as do properly provoke the Terms If you find that Want of Blood is the cause of the Obstruction use Restoratives in the first place and whatever you find to be the cause of Extenuation let that be removed and if you find a praeposterous Motion of the Blood labour to repell it and drive it to the Passage of the Womb. But seeing that for the most part this Obstruction is in the Veins of the Womb you may follow the same Rule in cure prescribed in the Chap Of the Green sicknesse adding such things which more especially respect the Womb. Purge thus Take of Aloes three Drachms the Masse of Cochy Pills one Drachm with the Juyce of Savin or Sirrup of Mugwort make twenty Pills and give three in the Morning every third day Emollient Clisters are likewise of great use After Phlebotomy and sufficient purging give such things as powerfully open Obstructions such as are prescribed in the cure of Obstructions of the Liver and Spleen to these add Medicines made of the Roots of Asparagus Parsly Fennel Smallage Maddir Elicampane Birth-Wort Angelica Cyperus the leavs of Wormwood Calamint Camomill Origan Southern-wood Mugwort Pennyroyall Hyssop Hore-Hound Rue Motherwort Sage Fether-few Maiden-hair Nep and Savin the seeds of Smallage Parsly Fennel Juniper Bayes Annis Cummin Nettles and such like of these may be made Decoctions or distilled Waters Sitrups and the like which I omit fearing my Book will swell to a farr bigger volume then I intended Of these or such like you may make a Bath for the Patient to sit in afterwards anoint the Share parts about the Privities with the Oyl of Dill Rue Lillyes c. You may likewise make dry Suffumigations with Castor Storax Galbanum Cinnamon Frankincense Bdellium Benzoins Lignum Aloes Cloves and Mace Or you may make Pessaries with the masse of Cochy pills Hony and the Juyce of Mercury Or with Hiera Picra and Benedicta Laxativa with the Hony and Juyce aforesaid but this remember that Pessaryes must be applyed to married Women onely If the Disease be inveterate let Issues be made in the Legs and after the menstrual Flux is obtained let them be dryed up again CHAP. LXXIII Of the immoderate Menstruall Flux Mensium Fluxus Immodicus is when the monthly Terms do exceed in Quantity come too often or stay too long This is caused by an opening of the Veins either by Abundance Heat Sharpnesse or Thinnesse of the Blood or by some Blow Fall or Wound to understand the Cause more fully have recourse to the 19 and 30 Chapters Of bleeding at the Nose and spitting of Blood The Disease it self may be known by the Patient's information and the Symptoms which follow viz. decay of Strength and Appetite an ill habit of the Body by reason of ill Digestion Swelling of the Legs and a Leady coloured Complexion To know the Causes observe that a thin habit of the Body with a Diet which doth encrease thin and wheyish Blood or you may perceive the thin and wheyish Humours in the Blood which cometh from the Patient this sheweth that the Blood soaketh thorough the Veins If the Coats or Ends of the Veins be broken the Patient hath had soule Wound Bruise or Fall or used some immoderate Labour Excercise or Venery hath indured too great Heat or Cold or she hath had a hard bargain in Child-birth a Miscarriage or been handled by an unskilfull Midwife If there be an Exulceration in the Womb by which the Veins are eaten thorough the Blood droppeth by little and little with Pain and Sharpnesse the Patient's Body is afflicted with sharp and cholerick Humours the Blood which issueth is at first matterish wheyish blackish or yellow If it encrease the Ends of the Veins come with the Blood and the Flux encreaseth and is hard to be stopped Prognosticks are All long and lasting Issues of Blood are dangerous especially those of the Womb that which comes by soaking
thorough the Veins though it continueth longer yet the Blood and Spirits do not so much decay therefore it is not so dangerous On the contrary the breaking of the Veins cause more danger because of the sudden issuing of Blood yet is sooner cured because the Patient hath Strength and Store of Blood But of all the other that which comes from Exulceration is most dangerous because some part of the Veins is perished which letteth out the Blood in great abundance and is very difficult to be cured If she grow weaker and the Issue more violent there is danger of Death in elderly Women it is hard to be cured Since the Cure must be performed in the same manner almost as is praescribed in the 51 Chapter Of the immoderate Flux of the Haemorrhoids I shall say the lesse First open a vein in the Arm and let her bleed much by degrees Use Frictions and Ligatures and fasten Cupping-Glasses to her dugs as Hippocrates adviseth Purge with the same Medicines prescribed in the Chapter aforegoing Also Vomits are good for they draw the Blood upwards and Hippocrates treating of Womens Diseases doth much commend them Then make use of this Powder much commended by Johannes Michael Paschalius and it is thus prepared Take the Shells of two new layd Eggs burnt Frankin-cense Mastick of each half an Ounce Pearls and red Corall prepared and Amber of each two drachms Hamatites and Emerald of each half a Scruple Barly meal fine sifted two Pugills the Whites of four Eggs and chalybiated Water enough to make the Powder into two Cakes bake them in an Oven so hard that they may be beaten to Powder give of this Powder half a Drachm or a Drachm in the Morning in Broth made of Sheeps feet or Calves feet The Juyce of Plantane Yarrow Nettles Shepherds Purse Knot-grasse Comphry and Hors-tail is very good or a Sirrup made of all or either of them is much and upon good grounds commended Milk in which red hot Steel hath been quenched allayeth the Sharpnesse of the Humours and stayeth the Flux Spiknard in fine Powder inwardly taken or applyed to the Womb upon a little Lint hath been much approved of Minerall Waters which receive their Tincture from Vitriol Iron or Allum do remove the Cause and strengthen the Part. The Chymists do much commend the Tincture of Corall and vitriolated Steel Before you go farther take this necessary Caution that you do not altogether give strong astringents but sometimes Medicines which strengthen the Liver and somewhat bind Outwardly foment upon her Loins Share and about the Privityes with a fomentation made of the aforegoing Herbs Then anoint the parts aforesaid with the Oyl of Myrtles Mastick and Quinces or make an Ointment more astringent adding Frankincense Dragon's Blood Sealed Earth Bolearmenick and the like Unguentum Comitissae is very powerfull in this Distemper Afterwards apply a Plaister to the Navel and Loins Emplastrum ad Herniam Hystericum or Emplastrum de Mastich either of these or all three are very effectuall Likewise dry Fumes Pessaryes and Injections for the Womb may be prepared of the aforenamed Herbs and other astringent Simples When she is cured you must endeavour to prevent the Disease for the future by the Rules prescribed in the 51 Chapter Of the Immoderate Flux of the Haemorrhoids CHAP. LXXIV Of the Whites THis Disease is called the Flux of the Womb the Woman's Flux and the Whites and it is an excrementitious Humour flowing from the Womb sometimes white and sometimes watry sometimes mixed with yellow green or black according to the Nature of the Humour Women are subject principally to this Distemper and sometimes Maids though some have affirmed the contrary and condemned them as unchaste yet according to the opinion of the wisest Physitians the purest Virgins may have this Infirmity and their opinion is confirmed daily by Experience These Humours are bred in the whole Body or in some particular part or in the Womb it self They are bred in the whole Body either by ill Diet or a vicious habituall Distemper The particular parts may be the Brain Stomach Liver or Spleen These Humours may be bred in the Womb by a cold or hot Distemper therein the cold maketh it unable to digest its Nourishment and the hot Distemper corrupteth it hence cometh this excrementitious Humour Child-bearing Abortion Contusion Inflammation Imposthume or Ulcer in the Womb may weaken the part and dispose it to breed and receive such Humours This Disease is known by the relation of the Patient from what part it cometh is thus known If the whole Body send this Humour to the Womb the whole Body appeareth in an evill State is weary and heavy as if the Patient were weary with hard labour and by this Flux her Body is at present refreshed the Hands and Feet are puffed up with a great itching and stinging if the Humour be cholerick If it come from some peculiar part the Symptomes and Excrements proper to that part appear If it come onely from the Womb something hath happened which hath hurt the Womb as a Fall or Blow upon the Back or Belly immoderate carnall Embracements especially if the Woman be young or any Disease of the Womb. Signes that distinguish between this Disease and an Ulcer in the Womb or Gonorrhaea are these If there be an Ulcer in the Womb that which floweth is more digested mattery mixed with Blood and stringy and cometh with pain and the Woman admits not of Copulation without pain In the Gonorrhaea the Matter comes in a small Quantity and seldom and is of a shining Whitenesse But if it be a Gonorrhaea which is gotten by acting with an unclean Person then is the Womb ulcerated the Urine sharp and many other malignant Symptomes This Disease is not dangerous but is hard to be cured for it is hard to divert the Humours from this Channell it being the Sink of the Body through which the superfluous Humours of a healthy Body are every Month evacuated That which is blewish green black and stinking is worse then that which is pale white and doth not stink This Disease is seldom cured in old Women because they abound in Phlegm Lastly by its continuance it may breed great evills as Barrennesse Falling out of the Wōb evill habit in the whole Body and Consumption To cure the Humour offended must be purged with convenient Medicines and because Phlegm for the most part is the Humour peccant purge with such Medicines as principally purge Phlegm with which mix such as purge the Humour mixed Vomits if the Patient be strong are good because they empty the Stomach of excrementitious Humours and do powerfully revell the Humours from the Womb. After sufficient Evacuations let the Patient take sweating Decoctions made of Lignum Vitae and Sassafras if the Patient be phlegmatick of China and Sarsa if she be cholerick or melancholy Also Sweat procured by sulphurous Baths is kind Milk wherein Steel hath been quenched is very good
they are cured Old women are seldome or never cured To women with Child it is very dangerous and threatneth Miscarriage To Women lying in as dangerous by reason of their Weaknesse It is good for a Woman to sneez in the Fits for it signifyeth Strength of the Brain and it disperseth the Vapours from the Brain I shall lay down a few Rules first to give present ease in the Fit secondly to give perfect Cure First lay her down in such a posture that her Neck and Shoulders may ly high her Thighs and Privities low shooting downwards that so the Womb may be the better reduced Let her lower parts be rubbed and bound so hard as to cause pain And if her Fit be inveterate apply Cupping-Glasses to her Hips and Share If she swoon rub the Bottoms of her Feet with Vinegar and Salt and course Cloths Hollow in her Ears and bend her Fingers and if need require apply Epispastick Cataplasms to her Feet Put strong and stinking things under her Nose as Leather and Fethers burnt Brimstone fited Assafaetida Castoreum and the like But take this Caution carefully to distinguish between this Disease and the Falling-Sicknesse for in the latter such Smells are hurtfull The Warts that grow upon a Horses Legs being dryed and powdered and a Fume made thereof under the Patient's Nose is very good in the time of the Fit The smoak of Tobacco blown into the Mouth and Nostrils is likewise of great efficacy to free the Woman from the Fit-Whilst you do this you must apply Musk or Civet wrapped up in cotton Wool to the Womb. Then blow thâ—s Powder into her Nose Take of white Pepper Mustard Seed Pellitory and Castor of each one Scruple mak it into a very fine Powder and blow some up her Nose if you judge it not strong enough add a little white Hellebore or Eaphorbium Or let her Nose be anointen with Oyl of Amber If the Fit be of long continuance give her a laxative carminative or wind-expelling Clister if one doth it not give another Afterwards give another made of Vinegar and Water and let her drink a little Vinegar and Water Apply Emplastrum Hystericum to the Navel or a Plaister made of Galbanum Caranna Assafaetida and Tachamahaca If you find the Sick troubled with plenty of Wind and Vapours bathe and soment the Belly with Fomentations made of emollient carminative and discussing Herbs and Seeds If the Sick be a married Woman let her have carnall Conjunction with her Husband as soon as ever the Fit is over If that cannot be had that is if she be a Maid or Window let a Mid-wife tickle the Neck of the Womb with her finger anointed with the Oyl of Musck Cloves or the like that so the offensive Sperm may be avoided You may in the Fit give Pills made of Assafaetida Castor Faecula Brioniae Mirrh and the like and if the Fit be violent give Pillulae Faetidae Oyl of Amber given three or four drops in some convenient Waters are very good The After-Birth of a Woman that lyeth in of her first Child dryed and powdered and a Drachm given in some convenient Liquor is excellent Quercetanus his Powder made of Elder-Berryes taken a Drachm in Wine is very good For the Cure you must consider whether the Woman be with Child or not and be carefull how you administer stinking Medicines for fear of Abortion but rather outward Medicines then inward Whatever part of the Body suffer by this Disease either Brain Heart Liver c. take care to free and strengthen the part seek the means in their proper Chapters The Patient must once in a Month be purged with such Medicines as principally regard the Humour offending adding thereto things that are hystericall If the Body be full of Blood open a Vein or bleed the Haemorrhoids if Nature requireth it After generall Evacuation make use of sweating Decoctions or let the Patient frequent sulphurous Baths These Pills are much commended Take of the Troches of Agarick one Drachm and an half Hiera of Colloquintida one Drachm the Seeds of Carrots and Agnus Castus of each one Scruple Mirrh Castoreum and Diagridium of each half a Scruple Venice Turpetine as much as will suffice to make all into a Masse let ber take half a Drachm or two Scruples twice or thrice in a Month. Or Pillulae Faetidae taken half a Drachm once in a Month doth very much cleanse the Womb. Then make use of this Sirrup much commended by Mercatus Take of the Juyce of Mercury and the cream of Carthamus Seeds of each six Ounces the Water of Scorzonera seven Ounces Sugar as much as will make it into a Syrrup while it boiles add of Confectio de Hyacintho of Alchermes and Powder of the Electuary de Gemmis of each two Drachms let the Dose be two or three Ounces Assasaetida and Castor made into Pills with Hony have a peculiar property against these Firs many use the former with good successe tyed up in a thin ragg or farcener and hung about the Neck and for this purpose the Liver or Flesh of a Wolf or the Pizzell or Stones of a Fox dried and hung about the Neck with a string resting upon the Navell vitriolated Steel or the Salt thereof given with Sugar from two to twenty grains according to the Strength of the Patient is much commended for opening Obstructions and cooling the Womb. Eight dayes before she expect her monthly Purgations let the Woman sit in a mollifying and resolving Bath that so the Humours may be resolved and flow forth with her Courses Lastly Issues made in the Thighs are good for they derive and turn aside evill Humours from the Womb. CHAP. LXXVI Of the Inflammation Ulcer and hard Swelling of the Womb. THis Disease is a Swelling of the Womb which is caused by Blood mixed with Choller or other Humours flowing to the part vehement Excercise or immoderate Copulation some Blow or Fall upon the part Meats that are sharp and sretting or such things as naturally offend the part as Cantharides or Pessaryes that are of a sharp Nature Abortion hard Labour in Child-bed or a violent handling by an unskilfull Midwife The Signes of this Disease are Swelling Heat Pain about the Region of the Womb the Body feavourish If the Inflammation be in the Neck of the Womb the pain is felt towards the Groin if in the former side the Bladder suffereth if in the hinder side the strait Gut will be sensible thereof and the Pain is violently felt about the Loyns If either side of the Womb be inflamed the Thigh and Groin on the same fide will be heavy and pained If you consider the Const tution and present Temper of the Patient you may easily guesse what Humour offends If it be purely Blood the Symptomes are more mild if Choller be mixed it is more vehement if Phlegm or Melancholy the Distemper is more fixed and lasting but the pain is not so vehement If the
examine the man and see if the fault be not in him It is known thus if the man be unable to raise his yard if he want Sperm if he hath a swelling in his Stones or if he have the Running of the Reins he is not fit for Venus School If the man be of an effeminate Spirit if he hath no Beard if he be long casting forth his Seed and taketh little delight in the act and the Woman in the act feeleth his Seed cold be sure the man is unfruitfull Or Causes which may make the Seed unfruitfull have preceded Prog These that conceave not by reason of tendernesse of age have great hopes to live to have better successe but if she live above forty and never conceaved she hath little reason to hope If Barrenness be caused by Fatnesse or any Distemper or Disease whatsoever if the Woman can procure Leannesse or have her Distemper removed she may conceave But if Barrennesse be caused by evill shape of the Members it is likely to continue In the cure you must endeavour that whatsoever hindereth may be removed If tendernesse of age be the cause let her wait the time in the mean while let her refuse carnall Embracements lest her genitall Members be spoiled If it be caused by Age that is incurable by weaknesse of Nature you may endeavour to strengthen the Body and revive the Spirits but it is difficult If the Body be too corpulent or too manly you must extenuate moisten and cool If any Distemper of the Womb hinder Conception labour to remove the Distemper If a hot Distemper be the cause cure it as a hot Distemper of the Liver If drinesse be the cause use a restorative Diet such as is prescribed in the Chapter Of the Hectick Feaver If it be caused hy Witch-craft next to fervent and devout prayers to god and a confident despising and slighting of Charmes and Witch-crafts let the Woman wear the Pizzle of a Wolf about her or the Adamant or Hyacinth Stone which are much commended against Fascination likewise Sea Onions Sea Holly Sagapenum Rue and St John's Wâ—rt which some call the Divell driver are of great efficacy But for the most part a cold and moist Distemper of the Womb and of the Body being accompanied with the Whites is the cause whose particular cure you may find in its proper Chapter You must purge the cold phlegmatick Humours you must make Issues in the Arm Neck or Thighs and give such things as strengthen the Womb. Some things there are which have a peculiar virtue to cause Faecundity and remove Barrennesse viz. the After-Birth of a Woman dried and beaten to powder and given to the quantity of a Drachm The Stones of a Bore pig and the Liver which was farrowed alone without any more in that Litter Half a pint of the Juyce of Sage taken a quarter of an hour before the Woman enjoy her Husband it is best for her to take it soon after she hath had her monthly Purgation Rejecting the multiplicity of Medicines which I might here insert I shall content my self and the Reader with one or two of the best of them and first an excellent Electuary may be made thus Take of the Roots of Eringo and Dogs Stones called Satyrion candied or preserved of each one Ounce Green Ginger candied half an Ounce Pine and Filbert kernells and Pistachios of each six Drachms one preserved Nutmeg the Seeds of Rocket and Water-cresses of each two Drachms Ashes of a Bulls Pizzle the Reins of the Sea Scinkos and Shavings of Ivory of each one Drachm Confection of Alchermes three Drachms the Powders Diambra and Diamoshe Dulce of each one Ounce and an half Ambergreese half a Drachm with Sirrup of preserved Citrons make an Electuary and let the Woman take the quantity of a Chesnut to Bedward twice or thrice in a week and drink a glasse of Sack after it Quercetanus doth much commend this Decoction following Take of the Stones of a Ram prepared with Wine and dryed the Matrix of a Hare prepared in the same manner Mace Cinnamon Cloves white Ginger and Seeds of Ammeos of each two Drachms Saffron a Drachm and an half Hazell-Nut kernells and Pistachios of each three Drachms boil them in a quart of Muscadine till a third part be consumed let her take three or four Ounces of it for three dayes together three houres before Meat then let her upon the fourth day have Geniall Embracements with her Husband Likewise externall Medicines as Pessaries Injections Fumigations such as have power to cleanse dry and strengthen the Womb may be applyed the afore-going Chapters will direct you CHAP. LXXX Of Miscarriage ABortion or Miscarriage is the bringing forth of a Child either dead or alive having not attained to the just Term of growth which it ought to have had The Causes are either externall or internall the externall causes do either kill the Child deprive it of its naturall Nourishment or loosen the bands by which the Child is fastened in the Womb. Things that kill the Child are the Stink of a Candle or such abominable Smells such things as are antipatheticall to the Womb and provoke the Courses strong purges or the Child may be killed by violent Commotions of the Mind as Anger Sadnesse Terror c. and many times things longed for and not obtained kill the Child If the Mother undergo Penury or Famine or lose much Blood the Child wanteth Nourishment The Bands by which the Child is fastened to the Womb may be loosned by violent Excercise dancing running riding being jumbled in a Cart or Coach by some fall lifting or carrying any thing which causeth a violent motion of the Belly as Coughing Sneezing Vomiting Convulsions c. or immoderate Copulation Internall causes of Abortion may be attributed to the Humours to the Child to the Womb. Humours offend in excesse or defect in excesse in a plethorick and full constitution when more Blood flows to the Womb then is requisite to nourish the Child and flows to the Veins so the Courses flowing provoke the expulsive Faculty and drive forth the Child Defect of Humours fit to nourish spring from such causes which destroy the Nourishment or draw it from the Child as long fasting loathing and vomiting up of all Food immoderate bleeding at the Nose Womb or Haemorhoids or a Loosenesse or any thing that makes the Body lean or weak The causes attributed to the Child are if the Child be over great if there be more then one for the womb overladen doth exclude the Child before the fit time likewise if the Child be dead Nature desires to be rid of it In respect of the Womb if it be any way diseased or defective that it cannot open as the Child groweth bigger or if it be moist or slack it cannot contain the Child but Abortion must necessarily follow Abortion when it happens is known there are signs preceding it which do foretell Abortion to follow her Breasts grow
little and flaggy she feels a heavinesse about the Loius and Hips she hath no appetite to eat nor desire to stirr she hath a shivering by Fits she hath Streightnesse of the Sides and Belly above the Navell and a pain in her Head plenty of Milk flowing from the Dugs shews that the Child is weak and danger of Abortion If pains about the Reins Loins and Share torment the Woman then know that Abortion is hard at hand the same judg if Blood or Water burst out and flow and the Scituation of the Child is changed from the middle of the Belly to the Bottom If any of these or the like Symptoms befall a Woman with Child after any externall cause of Abortion as Blow Fall c. let the Woman betake herself to her Bed and take such Medicines which prevent Abortion Prognosticks of Abortion are thus made Women are more endangered by Abortion then by a naturall and timely Birth because in a timely Birth the Vessels and Ligaments are loosned and opened of their own accord but in Misearriage they are broken in sunder the like you may perceive between the Stalk of ripe and unripe fruit Women many times become barren by Miscartiage because the womb is rent and its natur all disposition much altered Much bleeding seconded with Convulsions raving and fainting is alwayes deadly If an Inflammation of the Womb follow Abortion it is deadly In young Women who never bore Child before it is worst because the passage is narrower and they more unaccustomed to pains The bigger the Child is the more the danger Women who have moist and slippery Wombs do often miscarry and with little danger To prevent Miscarriage you must before and after she is with Child endeavour to remove all evill dispositions of the Body or Womb that may cause Miscarriage if Blood abound open a Vein purge the peccant Humours strengthen the Womb but if the Woman be with Child beware how you bleed except it be in the first month and the Body full of Blood and in this case let Purges be gentle and often reiterated To conclude to streng then the Womb fetch Medicines from the 73 Chapter CHAP. LXXXI Of hard Travel in Child-birth HArd Labour is when more vehement Pains and dangerous Symptomes happen to Women in Travell and continue a longer time There are divers causes some whereof may be assigned to the weakness of the Womans Body Leannesse or Drinesse as well as Fatnesse of the Body her Age or Sicknesses as the Stone or preternaturall Tumor in the Bladder or any Disease of the womb Other causes may be assigned to the Child when its Body or Head is too big when there are two or when the Child is dead or when it endeavours to come forth with his Feet Hands Back Belly or Breech c. A cold and dry Air and Northern Wind streightneth the Body and driveth the Spirits inward and is obnoxious to the Child's first entrance into the world If the Air be more hot then ordinary it is as bad as the former for it dissipates the Spirits exhausts the Strength and introduceth feavourish Distempers into the Bodyes of Mother and Child Meats of a hard digesture or astringing quality taken a little before the time of Delivery Sleepinesse and Sortishnesse the Retention of Excrements all vehement Passions of the Mind want of an expert Midwife and Women to assist the labouring Woman may be causes of hard Labour Hard Labour is easily known to the Woman herself to the Midwife and the Assistants The time of a naturall Birth ought to be accomplished in the space of twenty four houres if the Woman continue a longer time it is hard Labour If her pains be weak and long before they return and more about her Back then Privityes the causes may easily be known many you may gather from the Relation of the Woman in Travell her Leannesse Weaknesse Fatnesse and Age is perceived Diseases of the Womb and Bladder may be known by their proper Signes The Bigness and disorderly Posture of the Child is soon seen by an expert Midwife If the Child be dead you may know it by these Signs the Breasts of the Woman become flat and flaggy her Eyes hollow and troubled her Face and Lips are of a pale and leaden colour her Belly is cold there is a Sense of Weight there is no Motion felt though you apply somthing wetred in the Decoction of Tansy warm to her Navell When the Woman turnes the Child sways that way like Lead If the after-Birth come away before the Child it is a Sign of the Death of the Child And if the Child cometh not away it soon putrifieth and stinketh and stinking Moisture floweth from the womb and their Breath stinketh Hard Labour is dangerous for sometimes the Mother sometimes the Child and sometimes both do lose their lives Sleepy Diseases and Convulsions if they befall a Woman in Travell death is at hand If the Woman be in Travell above three dayes it is likely the Child will dy If the Woman fall a sneezing in her Travell it is good saith Hippocrates If the Child be dead the danger is exceeding great especially if it be not brought soon away for it will cause Feavers Faintings Convulsions dead Sleeps and death it self In difficult Labour first all causes which hinder the Birth must be removed if it be possible then such things as further the Birth must be administred An Ounce of Oyl of sweet Almonds and a Drachm of Confectio Alchermes given in Broth is good Burn white Wine with a little Saffron and Cinnamon afterwards dissolve a little Alchermes this I have found very powerfull to hasten the Birth If you find this Medicine too gentle make a Julep of more efficacy thus Take of the Water of Mugwort and Vervain of each two Ounces the Sirrup of Maiden-hair one Ounce Confectio Alchermes half a Drachm Dittany of Creet and both Birth worts of each one Scruple Oyl of Cinnamon five Drops mix them and make a Potion Oyl of Amber fifteen Drops or the Extract of Saffron five Grains may be either of them mixed insteed of the Oyl of Cinnamon Provoke sneezing and open the lower Veins if need be Then let the Midwife anoint the Mouth of the womb with the Oyl of Lillyes and Sweet Almonds and the like and foment the Belly with a mollifying Decoction and in a dangerous case give a sharp Clister Some things have a peculiar property to help the Birth as the Stone Aetitis Loadstone and Storax held neer the Privityes the Eyes of a Hare taken out in the month of March and dryed use it as the Stones and when the Woman is delivered take them away lest it draw out the Womb. Some commend the Gall of an Hen applyed to the Navell If the Child be dead give the same things before mentioned but it is convenient to make them stronger by adding Savin Water and the Leavs of Savin dried the Troches of Mirrh
Mercuriall and antimoniall Purges and many preferr Vomits before all Then apply resolving Decoctions made of the Roots of Briony Danewort the Leavs of Ground-Pine Mint Marjarom Sage Savin Rue Rosemary Pennyroyall c. the Flowers of Camomill Melilor and Mallows the Seeds of Flax Fenugreek Bay Juniper Berryes and such like and foment the part therewith Also Juniper Berryes fryed in a pan being first beaten with Salt and Bran and moistned with Canary Wine and put in a Bag and applyed warm With the aforenamed Ingredients Cataplasms may be made and with the Oyls following let the part be anointed viz. Oyl of Camomill Dill Nord Orice Rue Scorpions Tiles Turpentine of Foxes and the like the Ointment of Marsh-Mallows and Spanish Soap dissolved in Spirit of Wine This is much commended Take a good Quantity of Snails bruise them well in a Morter then make Paste with them and Rye Flower adding a little Spirit of Wine and fasten it to a Spit and roast it a Liquor will drop from it with which anoint the part for it is of excellent Virtue Then lay on this Plaister Take of Shio-Pitch Rozin of each two Ounces Gum Ammoniacum dissolved in Vinegar and Emplastrmm Diachylon cum Gummis of each one Ounce Brimstone and Hermodactylls powdered of each three Drachms Turpentine three Drachms and Wax sufficient make a Plaister If the Disease do still continue proceed to a Vesicatory add to the former Mass for a Plaister Cantharides their Wings taken off Staves-acre and Mustard Seed of each one Drachm In the whole course of the Cure let not frequent Clisters be neglected And if the Disease be old make an Issue in the Leg on the same side on the outside of the Leg. If you find Symptoms of a Catarrh which may occasion the Sciatica by a Defluxion of Humours make an Issue in the hinder part of the Head and use other means to correct the Distempers of the Brain See Chap. 9. by this means hath the Sciatica been cured when all other means failed Sometimes the Matter causing the Sciatica doth imposthumate and after it is opened there remains a filthy Ulcer which for the most part pineth the Patient away brings him into a Consumption The Cure whereof belongeth to an expert Chirurgion CHAP. LXXXIII Of one day-Feaver THis Disease is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ephemera in Latine Diaria Febris in English One day-Feaver because for the most part it finisheth in one day of its own Nature It is caused by some internal cause as some hot fiery Swelling on some part of the Body or when some hot Excrements shut up in some part do offend the Heart by Retention of Excrements and Obstruction of the Vessels by which the Pores of the Skin are shut and Transpiration is hindered Or secondly it is caused by externall causes as vehement Motions of the Body or Mind by which the Spirits are inflamed by being heated with the Sun or Fire by Surfetting Drunkennesse especially with Meats and Drinks of a hot Nature By what hath gone before you may know this Feaver the Pulse is swift and great and so he fetcheth his Breath he is very hot and his Head aketh He hath no Shivering Cold nor Wearinesse unlesse it came by the Heat of the Sun or by cold You must give the Sick such things as are cooling moistning as cooling Broths Barly Cream Ptisan Drink small Beer and Sugar Water and Sugar or mix Sirrup of Violets Lemmons or Maiden-hair with his Drink If the Disease was caused by the Heat of the Sun give him cooling things and lay him in a cooling Lodging and anoint his Temples with Vinegar of Roses If he took his Feaver being in the cold provoke Sweat the like observe if the Pores be obstructed If it come by over eating and drinking let him take a Clister If evill Humours abound in the Blood and Body open a Vein and purge if putrified Humours lodge in the Stomach vomit If it continue above three dayes it degenerates into a simple Synochus putrid or Hectick Feaver CHAP. LXXXIV Of the Feaver Synochus non-putrida IF the Feaver aforesaid light upon a plethorick Body or one who is grosse and thick skinned it turns to a simple Synochus It is known by the corpulent and swelling Habit of the Body high Colour of the Face He breathes with difficulty he is much pained in his Head and his Temples beat strongly The Pulse is orderly but quick and full The Urine little differeth from its naturall colour yet a little thick and red and the Heat is not very violent It lasteth to the fourth and sometimes to the seuenth day if it ends not then it degenerates into a putrid Feaver The Cure is to be performed by blood-letting by cooling and by opening the Pores of the Body Before blood-letting if the Patient be costive and his Body foul give an emollient and laxative Clister Then give cooling Juleps made of the Decoction of Barly and cool Herbs or with their distilled Waters as of Endive Succory Sorrell Buglosse Borrage and the like with the Sirrups of Succory Lemmons Vinegar Violets Pomgranates and the like adding some drops of Oyl of Vitriol or boil in the distilled Waters Triasantalon or Diamargariton frigidum lest the Waters encrease Crudityes by their Rawness Or you may make an Emulsion of Almonds the great cold Seeds and white Poppy Seeds with Barly water or the distilled Water of the aforegoing cooling Herbs Galen adviseth to give the Patient cold water in great abundance till his colour fade but beware this Cure unlesse the Patient be strong corpulent and not full of ill Humours and that he take it in the height of the Fit I confesse I have seen many so cured and have experimented it upon my own Body but durst not advise it Anoint the Liver and Loyns with Unguentum Rosatum Refrigerans Galeni or Ceratum Santalinum Or make an Epithem of the distilled Waters of Endive Succory Sorrell c. the three Sanders and Powder of Diamargariton frigidum If the Disease end not quickly after bleeding purge with gentle things that do not heat nor much stirr the Humours as Rubarb Cassia Manna Tamarinds Sirrup of Roses Catholicon and such like CHAP. LXXXV Of continuall putrid Feavers I Shall describe the causes and Cures of all putrid Feavers in one Chapter for though there are divers sorts yet the Cure is almost the same in all therefore laying aside particular precepts let the Judgment and Dexterity of every Physitian put a difference between them I shall likewise wave many nice descriptions and definitions of Feavers first as not beneficiall to the young Student in Physick secondly as not befitting this Volume Synochus putrida is engendred of the same causes as the simple Synochus as the shutting up of the Pores of the skin and Obstruction of the Vessels by much Blood or clammy Humours by which means the Transspiration of fuliginous Vapours is hindered and Putrefaction is bred
in the Blood A continuall Tertian doth every third day afflict the Patient more then ordinary and is caused by cholerick Humours putrifying in the Vena Cava And it is caused by all things that may breed Choller as violent Exercise hot and dry Air Fasting Watching Meats hot and dry and a hot and dry Distemper of the Liver A Quoridian continuing is a putrifying of phlegmatick Humours in the Veins and afflicts the Patient more then ordinary every day and doth for the most part assail phlegmatick persons and because Phlegm is not easily putrifyed this kind of Feaver is seldom seen The continuall Quartane is that which hath its Exacerbations or Fits every fourth day and it is caused by the Putrefaction of Melancholy in the Vena cava and is caused of any thing that breeds Melancholy and causeth it to putrify Of these Feavers there are accidentall differences raised from their distinct Symptomes First Febris ardens or a burning Feaver which is accompanied with these Symptomes viz. an ardent burning Heat and an unquenchable Thirst which is also divided into two sorts a Legitimate or bastard burning Feaver a Synochus ardens and Ardens periodica and they differ one from the other only as the Choller causing them is more or lesse sharp and neerer or farther from the heart A Second sort is Febris Colliquans a melting Feaver which in regard of the greatness of the Heat doth melt the fat and Flesh and sometimes the Blood and dissolveth it by insensible Transpiration Sweat Urine or Stool It is caused by a sharp thin and cholerick Matter vehemently inflamed unto which is joyned many times a malignant and pestilent Quality The third sort is called Febris Horrifica in which the Patient is troubled with shaking Firs and it is caused by chollerick and phlegmatick Humours mingled together which being unequally moved stirreth up quaking either because the thin and sharp Humours do twitch the sensible membranous parts or the inflamed Choller putrifying puts in Motion the Crudityes or else Nature doth seek to shake off the crude undigested Humours by this means thâ— Heat being driven back to the Center the extream parts of the Body become cold and afterwards the Heat comming forth again they grow hot Fourthly there is another kind called Assades Febris in which the Patient is very unquiet tumbleth and tosseth and is sick in his Stomach and vomiteth The fifth sort is callâ—d Elodes in which the Patient by reason of Putrefaction Malignity of Humours continually sweateth by which the Substance of the Body is wasted The sixth sort is Febris Syncopalis because the Patient often swoons faints away it is caused by thin sharp venemous Choller or by Phlegm or abundance of Crudityes together with a weakness of the Stomach The last sort is Epiala Febris in which the Patient is sensible of Heat Cold at one and the same time and this is caused by glassy Phlegm mingled with bitter Choller the Phlegm causeth a Sense of Cold and the Choller of Heat or else it is caused by glassy Phlegm alone partly putrified and partly void of Putrefaction For glassy and tough Phlegm doth not quickly putrify but by degrees and that which is not putrified following that which is putrified hence comes a Sense of Cold from the first and Heat from the latter There are yet other sorts of accidentall differences of continuall Feavers which are called Symptomatick Feavers which arise from the Inflammation and Putrefaction of the Humours in some of the Bowels and of this kind are those Feavers which accompany the Frenzy the Plurisy Squinzy the Inflammation of the Lungs or Liver and other Inflammations Ulcers or Imposthumes of the internall parts and may be known by the defects of the parts which cause them Yet take this Caution that all these Feavers which accompany these Diseases are not Symptomaticall but sometimes essentiall and precede the Disease as is commonly seen that one may be sick three or four dayes of a continuall Feaver before any pain in the side or Symptome of the Pleurisy appear the samâ— you may find preceding the other Diseases and is an Observation worth note and of great Moment in the practise of Physick There are other peculiar and extraordinary Causes which many times happen of which Zechius propoundeth an extraordinary example of a certain Infant scarce two years old who had a continuall Feaver attended with grievous Symptomes viz. Unquietnesse Convulsions and Vomitings the externall parts were cold and the internall parts burned with Heat for which cause they judged that some Malignity was joyned to the Feaver which is seldom accompanied with such Symptomes at length the cause was found to arise from Blood putrifying in the Stomach for the Infant being Tongue-tied and a little before cut by a Chirurgeon the Veins beingcut shed Blood which for want of care fell into the Stomach after the taking of Oyl of sweet Almonds it vomited clotted Blood then by the help of a Clister it voided more downwards and the Feaver and its Symptomes ceased These Feavers are known to be continuall by their Continuity and the Putrefaction is known by a more sharp and biting Heat then ordinary the Pulse is great quick and unequall the Systole is quicker then the Diastole because Nature doth more strive to expel the sooty Vapours then to draw in cold Air. The Fit beginneth with a cold Shaking or some of these Symptomes viz. Wearinesse Watching troubled Sleeps difficult Breathing Pain of the Head and Stomach Plenty of Excrements Yawning and Retching when it comes to the height these Symptoms are heightned and seconded with Giddinesse Ravings Hiccoughs Heart-burning Thirst and Blacknesse and Roughness of the Tongue Particular Signs demonstrate peculiar differences The Synochus putrida hath the same Signs which are proper to Synochus simplex but more vehement Signs of a Feaver from Choller are burning Pain the Pulse swift and quick a fiery and crude Urine without Sediment at the beginning chollerick Vomits and Stools Thirst and Bitternesse of the Mouth Drinesse and Blacknesse of the Tongue Want of Sleep Raving and the like A Synochus putrida differs from a Synochus biliosa in this that the first hath Fits every third day the other keeps the same Tenor. A continuall Quotidian is known by these Signes the Heat at first is more mild afterwards more sharp the Pulse is not so quick nor great as in the former the Urine is at first white and troubled afterwards red and thick little Thirst no Sweat unlesse salt Phlegm abound the Face is swelled bloat and of a Lead Colour and all Signs of Phlegm appear A continuall Quartane is known by this that the Symptomes are not so violent as in the chollerick Feaver and sharper then in the phlegmatick or Quotidian An appearance of cold dry melancholy-Symptomes and the Fits invade the Patient more then ordinary every fourth day The burning Feaver is known by the Signes of a Feaver proceeding from Choller A melting Feaver is
diversly If it be long-ways the former signs appear not and that part appeareth thicker then ordinary uneven and painful Of bones that slip out of their places some are easily reposed and some more hardly the knee easily slippeth out and is easily put in again the fingers and shoulders may easily be reduced The jaw-bone the shoulder-blade Ostali the heel-bone the hand and middle of the foot do commonly knit in fourteen or one and twenty dayes the hip in fifty dayes and the foot in sixty if the Patient give it rest If in the setting the bone crack or make a noise and the member look like the other it will be well the Elbow seldom slippeth out and is not put in againe without much trouble If the borders of the bones are broken it is the worse If a wound Inflammation a violent paine accompany the Luxation it is dangerous and hard to be cured If it hath continued long and is grown Callous it is hard to be cured If a Child happen to have a dislocation and it be not reduced the member groweth little or nothing Likewise in a fracture the bones of the Armes Leggs Thighs and Fingers are not very dangerous the farther from the head the better A fracture accompanied with violent pain Inflammation wound in the flesh or contusion is very bad because it cannot be dealt withall till those accidents be first removed In declining age and Cholerick persons the cure is difficult in very aged persons impossible the older the Patient is the worse a rib broken is dangerous The breach of the bone or Gristle of the nose is bad worse if the flesh be wounded In a fracture of the scul these are dangerous symptomes when the membrane is unmoveable black or evil-coloured loss of wits resolution or distension of the Neâ—ves A Transverse fracture is most tolerable a slope fracture with loose fragments is worse but if it be sharp pointed it is worst of all The scull asketh thirty dayes to be joyned the Arme and Leggs fourty dayes the Cubit thirty a rib one and twenty the Showlder and Thigh fourty the bone of the nose is joyned in eight or ten dayes For the cure first of a dislocation the bone must be stretched out and compelled to its proper place But the operation must be warily and variously handled according to the nature of the part and the disposition scituation and knitting of the bones tendons and Nerves Sometimes it may be done by the hand and sometimes not without hands and Engines when it is in you must labour to keep it so by strengthening the member anoint it with the oyle of Roses Myrtles and Mastich then lay on a linnen Cloath dipped first in oyle of Roses upon that Cloths wet in the white of an Egg and put upon it some astringent Powders then rowle it up with Clothes wet in Water and Vinegar then splent it with stiffe Leather or Pastboard bind it not too hard for feare of inflammation then leave it so seaven or ten dayes unlesse any symptome arise Then open it and bathe it with warme water to discusse the superfluities and ease pain and do it up as before and bind it a little harder If there be inflammation wound or fracture with the dislocation it is dangerous and many times the placeing of the bone must be deferred till the inflammation be eased if it be with a wound or fracture the following discourse of the cure of fractures will instruct you If any Callous bardnesse be gathered between the Luxated bones the place must be somented with the decoction of Marsh and common-Mallowes or afterwards it must be anointed with the unguent of Marsh Mallowes and lay on a Payster of Diachilon Magnum A fracture must be thus dealt with viz. let the Patient sit or lye in a place convenient or such as the nature of the member requireth let two with their hands one under the member and the other above or one to the left hand the other to the right joyne the broken bone if you have need of more force prepare large Tyalls of Linnen and let two draw one one way and the other another and pull the member as much as is needfull but beware of violent pulling and extension of the member least vehement pain Fevers Convulsions and resolutions be procured when the bone is in its place and joyned labour to keep it so and bind it up as is taught before in binding up of a dislocation and lay it best for the Patients case open it not in fifteen dayes unlesse pain Inflammation Itching or some such like symptome in the mean while foment the member round about it with the Oyle of Roses Myrtels and Mastick After fifteen dayes open it again and foment it with Wine wherein Worm-wood Roses and a little Salt hath been boyled and bind it up as before till seven dayes be past then open it againe and apply Emplastrum Oxycroceum upon it If the fracture be in the lower parts move not the belly by Clister or otherwise if the body be full of blood open a vein because it hinders defluxions In the beginning let his diet be but slender after the tenth day let him eat freely of such things as ingender thick and cleaving juyces as Rice Wheat the intrailes of Sheep and the feet of Calves and Sheep and such like If there be a contusion with the fracture you must not roule up the member as before you are taught but slopewise on either side of the contusion that so you may come to dresse the contusion and not open tho member the like you may do if there be a wound but if there be any small splints that prick the member they must be taken out before If you find that the Callus grow not fast enough apply such things as draw nourishment to the place as warm-water moderate frications and a Plaister of Pitch If it grow over great apply that which may diminish iâ— rub it much and apply a plate of Lead to the part If it be inflamed â—oment the part with warm-water and Oyl of Roses and such things which are appropriated to allay such distempers and apply no splents till the inflammation be removed If the part be vexed with Itch or Pustules anoint it with unguentum populeon diapompholigos or album If the part gangrene scarrifie it and deale with it as you shall be taught in its proper place CHAP. VI. Of Accidents commonly happening to wouned persons I Should first begin with immoderate bleeding being commonly the first Accident but to avoid needlesse repetitions I shall referr the Reader to the fourth Chapter of this book where I have sufficiently performed this task If immoderate pain vex the Patient as many times it doth Simples mitigating pain may be made use of viz. common Oyle the Oyle of Roses and Poppyes the crums of Wheaten bread steeped in hot water the white of an egg Women's or Cows-milk Sheeps grease you may make compound medicines
of the root of Night shade finely powdered and Hogs-grease make an oyntmnt or you may use unguentum è Solano or the white of an egg and Stiptick Wine and such like Then you must consider if the distemper be hot or cold if hot whether it is of the whole body or the part only if the whole body be distempered it is a Fever and you must seek the cure in the second book if the distemper be in the Member only foment it with the decoction of Plantane Roses and such like with the Oyl of Roses unguentum album populeon c if the member suffer by a cold distemper which you may know by the swart colour loosnesse and softnesse of the part then you must apply heating medicines unguentum Basilicon will do very well in this case If a Convulsion happeneth you must consider what is the cause if repletion or fullnesse of phlegm be the cause let the place wherein he lyeth be naturally or art ficially hot and dry let him lye free from perturbation and trouble let his sleep be moderate and only in the night Let him be very moderate and sparing in his Diet which ought to be rere Eggs Barly Cream the flesh of Chickens Capons and Hens Raisons Pine-Kernells sweet-Almonds of hearbs Sage wild Time Hysop Marjarome and such like Let the phlegmatick humor be purged and the convulsed part anointed with the oyle of Nard Bays Castor Rue Nutmeggs c. Vesalius commendeth this following oyntment Take of oyle of sweet-Almonds Hens grease and the marrow of Calves feet of each nine drachms oyle of Violets six ounces the fat of a Kid and Calfe of each fifteen ounces boyle them in the decoction of Mallowes the root of March-Mallowes and the seeds of Quinces till it be consumed then strain it and bring it into the form of a Liniment If Convulsion come by repletion of blood and inflammation open the middle vein and draw blood at severall times give Clysters and deal with this inflammation as with another If emptinesse be the cause of Convulsion direct a moist diet rest of body and mind and much sleep To the diet aforesaid add small stone fishes let his drink be Barly-water and if a little Liquoris and Cinamon be sodden therein it will be the better herbs proper for him are Lettice Spinach Arach Borage Buglosse Mallow and such like of fruits Melons Gourds Damask Prunes Peaches ripe Grapes c. The conserve of Violetts Borage Buglosse Diatraganthum frigidum and bathe his body or the part with warm water and oyle or anoint with the oyle of sweet Almonds Be sure to remember to have respect to the greatnesse of the disease the season of the yeare the age strength and constitution of the Patient Swooning often happening to wounded persons if vioient pain be the cause labour to appease the pain you have rules enough before going If it be occasioned by unmeasurable Evacuation cast Rose-water or cold water into his face use strong Ligatures and fricarions to the extream parts If some venemous quality by reason of a bite of some venemous Creature or wound with some venemous weapon be the cause of this symptome you must seek the remedy in the third Chapter If Raving and Madnesse happen appoint a mean diet betwixt hot and cold labour to provoke sleep to loosen the belly and to expell all perturbations of the mind If the body abound with blood and nothing forbid it open a vein then alter and prepare the humors with Juleps made of the syrup of Roses Violets Water-Lillyes Poppyes and Endive then empty the body with Manna Cassia or some such gentle thing or with an Emollient Clister but above all have a speciall regard to the wound because pain there may be the cause therefore let it be often opened and bathed with Vinegar and oyle of Roses or something that may powerfully appease the pain If the Palsie happen you must be very circumspâ—ct and appoint such a Diet as for the Convulsion let his drink be honyed water and boyle therein Sage and Cinamon or this Take of Cinamon two ounces Ginger half an ounce graine of Paradice Galanga and long Pepper of each one drachm Cardamoms one drachm and an halfe Nutmegs Cloves and Mace of each one drachm boyle them in water to the wasting of a third part strain it and sweeten it and let the Patient drink two or three ounces in a morning For medicines internall or externall go to the seventh Chapter of the second book If the wounded person be costive and he begin to suffer prejudice thereby give him some Lenitive medicines or a suppository If he suffer by stoppage of Urine give him somwhat which gently provoketh Urine see the 68 Chapter of the second book If Vomiting happen and it ceaseth not in due season Take Leaven half a pound the juyce of Mint extracted with Vinegar as much as is needfull boyle them in to the form of a Cataplasm lay it warm to the Stomach If the Patient feel heat and astonishing about the wound anoint the woâ—nd with the oyle of Camphire If the wound swelleth with heat and pilleth under the finger boyle Water-Cresses and Water-Lillyes in Rose Vinegar and apply it If there appeare the Flux of the Sinews which is a viscous liquor from the Nerves dresse it with a vulnery oyle and lay on Emplastrum Sticticum If the wound putrifie and goeth back from healing swelleth with heat looks black blew or swart Take of Litharge one pound Allum one pound and an half Salt two ounces Frankinsence four ounces Roman Gum five ounces of Wine Water and Vinegar of each one pound boyle them a quarter of an hour and apply it warm If there grow a Pustulous Fistula that is when the wound is healed too soon without any firm foundation so that it putrifie underneath and break out again in this case Paracelsus adviseth this Cerat to be used Take of common oyle Virgin Wax and Litharge of Gold in Powder of each one pound boyle them together into the formes of a Cerate to which add Opoponax prepared with Vinegar and Mummy of each three ounces Aristolochia Mastick Frankinsence and Mirrh of each half an ounce Turpetine three ounces Oyle of Bayes two ounces Camphire two drachms mix them upon the fire afterwards make it up with oyle of Camomel So much for the generall cure of wounds and their accidents CHAP. VII Of Sanguine Tumors FIrst Phlegmon is a Tumor begotten of pure blood and is for the most part incident to the fleshy parts the Antecedent cause is abundance of blood In which Tumor are three things considerable first the part that sendeth it either by reason of its plenty strength or streightnesse of passages Secondly the part receiving it either by reason of weaknesse largenesse or opening of the passages or by the lownesse of its scituation Thirdly the part drawing it which it doth either through heat or pain within it The conjoyned cause is much blood