times and no less one after another and she recovered and had a healthy Boy And to conclude If I may freely relate somwhat from mine own Experience I will set down the following History which is a rare one and worthy to be regarded The Wife of John Vicules Citizen of Montpelier had three miscarriages one after another at several times of her being with child When she was the fourth time with Child about the end of the second month she was taken with the same pains of her Belly and Loyns which had been the usual fore-runners of her former miscarriages I being called to her and considering she was a Sanguine Woman and full of Blood presently caused four ounces of blood to be taken from her and within half an hour the foresaid pains quite ceased and the Woman was so well that she would not use those other Medicines which I prescribed for her to prevent Abortion Now those Symptomes appeared in the self same time wherein she was wont to have her Courses when she was not with Child Again in the third month of her being with Child at the same period of time the same Symptomes return upon her She sending for me desires I would order her to be let blood seeing the month preceding she had found so sudden help thereby I consent and she is again let Blood with like good success as before In like manner in her fourth fifth sixth seventh and eighth months the same Symptomes returning in their just distances of time she was again let Blood and presently recovered The last of hâ—r â—leedings was but eight daies before the beginning of her ninth month with like profit 〈◊〉 before and about the end of the ninth month the said woman brought forth a living 〈◊〉 and Lusty Yet I would not have a young Physitian moved with these examples be too bold in letting women Blood in their last months of being with Child But the Nature of the Diseases and of the women raust be diligently considered that Medicaments may be conveniencly suited thereunto Allwaies remembring that sins of omission are lighter than sins of commission and that it is better in a doubtfull case to fall short than to outpass the due and fitting bounds Yet when he finds the evident indications of Blood-letting let him boldly draw Blood first enforming the by-standers or friends of the sick that there is more danger of abortion and of the death of Infant and Mother from the Cruellty of the disease than from Blood-letting and allwaies remembring that but little Blood be taken away that the Child may not miss of its nourishment And if plenty of Blood require a larget quantity to be taken away let it be done at divers times and not all at once Wherefore the foresaid Aphorism of Hippocrates does not absolutely forbid the opening of a vein but only warnes that Physitians be wary what they do in that kind Which is elegantly delivered by Cornelius Celsus in the 10. Chapter of his 2 Book in these words The Antients did judg that young and old people could not bear Blood-letting And they perswaded themselves that a woman with Child let Blood would miscarry But experience hath since taught us that these are no generall Rules and there are other considerations of more weight which the Practitioner is to regard For it matters not of what Age the Patient is nor what she hath in her Body but what her strength is So that if a young man be weak or a woman not with Child be weak Blood is ill taken from them for the remaining strength dies and they perish But a strong Child and a strong old man and a woman with Child that is lustly are safely cured by bleading So for Celsus Some latter Physitians have dared to open the lower veins in women with Child to Cure the Falling-sickness by consent of the Womb the venerial and pestilential Bubo yea and to prevent abortion as we may see in Zacutus Lusitanus in his Book of Wonderful Cures Obs 23. Book 1. and Obs 130 and 151 of Book 2. Who by his own and other mens experiments endeavours to prove that such Blood-letting may be safely practised Which I leave to prudent Physitians to consider of We said about the beginning of this Chapter that there is no difference in Curing the diseases of women with Child saving with respect to the greater remedies which difference must be in them thus determined viz. That the diseases which hold women not with Child as vomiting want of appetite and the like in them being not with Child they are to be Cured rather by vomiting than by Blood-letting because they come from evil humors abounding in the stomach and the whol Body but in women with Child they need rather Blood-letting because they Spring from Blood retained in in the very beginning of their being with Child And experience hath taught that the vomiting which is wont often to trouble women with Child is in the first months of Childing exasperated by purges but by bleeding much abated yea and wholly taken away if the Blood-letting be iterated every month till the symptom cease The use of Purging in women with Child Hippocrates hath defined in Aphor. 1. Sect. 4. Women with Child saith he are to be purged if the humor offending do work in the fourth month and to the seventh But these about the seventh less And we must take heed what we do when the Child is very young or old Galen in his Comment saies that there is the same proportion between a Child in the Womb and fruit upon the true For fruit when it first grows upon the bough it is held by a very tender stalk and therefore quickly falls being shaken by a vehement wind afterwards when they are grown greater they are not easily separated from the boughs And yet when they are fully ripe they fall off of their own accord In the same manner women suffer abortion in the first and last months because in them the Child is not so fast tied to the Womb. But in this Age of ours purges are wont to be given to women with Child in all the months very neer of their being with Child in diseases springing from the tyranny of humors excrements vitiated when the matter is in motion and works or when it is concocted so often as there is more danger seared from the evil humor causing the disease than from the commotion raised by the purging Medicaments Gentle and harmless Medicaments have made Physitians bolder in this kind such I mean as we use at this day as Rhubarb Myrobalans Cassia Manna Senna Agarick and the like But we must allwaies remember that saying of Hippocrates and we must more freely give purges in the middle months and more warily in the first and last Also the use of Pills is ever more suspected in women with Child both because they make a greater commotion in the Body and also by reason of the Aloes which by reason
to five or six grains Oyl of Cinnamon to four or five Drops Oyl of Amber to twelve or fifteen Drops in VVine Broth or other Liquor Sneezing hastens the Birth or Hippocrates in the Aphor. 35. Sect. 5. Sneezing which happens to a woman in sore Travail is good Sneezing may be provoked by the following Pouder Take White Hellebore half a dram Long Pepper one scurple Castoreum five grains Make all into a Pouder and blow thereof into her â—stâ—â—lls the quantity of a Pease The same Hippocrates prescribes another Remedy in the first Book of womens diseases which is omitted by all authors almost And that is the opening of one of the lower veines of the Body which he propounds in these words But if saith he a Big-bellied woman be so stopped that she cannot bring forth but continues divers daies in her â—ains if she be a yong woman vigorous and full of Blood her Anckleveines must be opened and Blood taken away according as her strength will bear Although this remedy be never used by our Practitioners and it seems much to be feared because in Travail nothing is so needful as strength which may be weakened by Blood-letting Yet if difficult Travail do arise from fullness of blood which Hippocrates doth insinuate in those words where he saies If the woman be yong and in the prime of her strength and very full of Blood there is no question but bleeding may be very profitable because the Veines being very full of Blood are wont to make al other inward passages of the Body more strait Whence it comes to pass that in pains of the Stone in the kidneys the like Blood-letting doth often work wonders and facilitate the expulsion of Stones conteined both in the kidneys and Ureters Also hard Travail may be holpen not only by those inward Medicines prescribed but likewise by outward Let the Midwife therefore frequently anoint the Womb of the Childing woman with Oyls of Lillies sweet Almonds Lin-Seed and such like Also let her belly be fomented on the nether parts with an emollient Decoction of Marsh-mallow and Lilly Roots Leaves of Mallows Violets Mugwort Seeds of Line and Fenugreek with the flowers of Chamomel and Melilot Let sharp Clysters be administred by the provokeing virtue of which the expulsive faculty of the womb may be likewise â—oused up and the Gutts being emptied will afford larger space for the womb Let her Navel be anointed with Oyl of Amber Some commend the Gaul of an Hen applyed to the same part Also such things may be used which are thought by a peculiar property to help the Birth as Aegle-Stone Load-Stone Storax and the rest being fastened to the Hipps Hartmannus Commends the Eyes of an Hare taken in the month of March which are carefully to be taken out and dried entire with Pepper Let one of these with Pepper be so tied to her Belly that the Sight of the Eye may touch her belly and it will bring forth the Child be it alive or dead Which being done take away the Eye least it bring forth the Womb it self He saies likewise that it is good to bring out the Mole Heed is likewise to be taken that the woman carry no Precious Stones about her either in rings or otherwise but let her lay them al away for many of them are conceived by a peculiar property to retain the Child in the womb If the Child seem to be weak it must be refreshed both with strengthening things given to the Mother as warm wine Confectio Alkermes Cinnamon Water and also with things outwardly applied as with a Crust of Bread or a Rose Cake strewed with Pouder of Nutmegs Cinnamon Cloves Kermes Berries and sprinkled with Aqua Imperialis or with warm Wine Or with a peice of Wether-Mutton a little broiled upon a Gridiron and sprinkled with Water of Roses or of Orange-flowers with the call of a wether newly kil'd not yet cold and such like If the Child begin to come forth in a disorderly manner as by putting out one Foot one Hand or any other way the Mid-wife must no waies receive it on that manner but thrust it into the Womb again and compose it to a right and natural posture or form of egress Which must be done by laying the Childing woman on her Back in the Bed with her Head somwhat low and her Buttocks high and then gently pressing her Belly towards the short Ribs and thrusting the Child into the Womb. Afterward let the Midwife endeavour to put the Child into a right posture for coming out by an artificial Hand procuring that the Child turn its face towards the Mothers Back and its Buttocks and shighes let her lift up towards the Mothers navel and so hasten the same unto a natural manner of coming forâ—h When all Hope of the Childs coming forth is past or when the Mether is almost dead some Authors proceed to the Caesarean Section that is to cut the Child out of the Womb as Caesar was cut out of which Francilcus Rossetus hath Printed a most elegant Treatise in which by many reasons and examples he endeavours to shew that such a thing may be somtimes done with good success Howbeit seeing this Operation is very dangerous and terrible it ought seldom or never to be practised by a discreet Physitian that would preserve his own reputation Chap. 19. Of A Dead Child IN sore Travel of Child-birth by reason of great and long Labour the Child is oftentimes killed and somtimes before a womans pains come upon her the Child happens to die through some preternaturall accidents such as those which are wont to cause Abortion and if it hath not attained to the due time of natural Birth it causes Abortion but if it have it causes an hard and sore Travel Because in a due and naturall Birth both the Mother and the Child ought to join their Forces to bring it from the Dark Dungeon to the Liberty of Day All such things therefore which cause difficult Child-birth being in a greater and more grievous degree are of power to kill the Child But especially the Child is wont to be kild if it come in so untoward and preposterous a figure that it can by no means be brought forth in that manner neither can the Midwife or Chyrurgion draw it forth or reduce it to a better Posture For while sticking thus in the mouth of the Womb it frustrates all the endeavours of the Mother straining her self to exclude it it comes to pass that in those sâ—â—ainings various motions and compressions somtimes both Mother and Child somtimes the Mother alone and somtimes the Child alone doth die It is to be admired which Fabricius Hildanus writes touching two women which died through hard Labour in whom their Wombes were found broken a sunder and the Heads of the Infants in their Mothers Bellies By which we may gather how strongly a lusty Child doth labour to work it self out of the Mothers Womb. A Dead Child is
case a Frenzy coming upon a sleepy Disease is not good as we said in the Prognostick before mentioned Moreover a Feaver that must dissolve a sleeping Disease must have another condition namely That it come in the beginning of the Disease whiles Nature is in some strength to put forth strong endeavors For that Feaver which comes after the Disease hath long continued is not healthful as Hippocrates in Coacis saith Apoplexies being like to be diâ—â—olved it a Feaver come upon them after they have long continued are deadly A faint Sweat in an Apoplexy is evil for it shews great oppression of Nature For the Cure of these Diseases as of al other three necessary means are required First Order of Diet. Secondly Manual Operations or Chyrurgery Thirdly Medicines or Physick The Diet in the beginning of these Diseases must be very slender because they are very acute or violent and sharp therefore the Patient must be fed only with thin broaths now and then But in the time of the declination of these diseases we may use the same Diet which is prescribed in the Chapter before going treating of the cold Distemper of the Brain The other two means are to be used by this following Method And because sleeping Diseases are sudden and ful of danger they require the Physitians chief diligence and quick application of Medicines First therefore when the Physitian is called to one taken with a sleeping disease he shall endeavor to raise the Patient from his deep sleep by offering violence to al his Sences and laying his eyes towards the Sun-beams and clearest light he must make a great noise in his Ears and he must be called aloud by his own Name He must put sharp things to his Nostrils as Rue Castor Vinegar and sharp things into his Mouth also He must stir up his feeling with pinching pulling of hair by ligature or binding bending of the fingers and the like Make first a Clyster of the common Decoction which is most ready after this manner Take of common Decoction for Clysters one pint and an half Hiera picra and Diaphoenicon of each one ounce Oyl of Rue and of Lillies of each one ounce and an half Honey of Roses two ounces Salt one dram Make a Clyster give it presently While these things are doing the Physitian ought seriously to consider whether Blood-letting be fit or not for in these Diseases as Celsus said Blood-letting either kils or cures and blood-letting is good if blood be the principal cause or the assisting cause or if it be sine quanon that is a cause wirhout which the disease would not be if strength permit But his strength is not to be looked upon as he is in his fit when his Animal Actions are hindred but as it was before the Disease came For if the Patient was formerly strong he will endure blood-letting except the Apoplexy be very strong and if his strength be not taken away by resolution of the parts but by oppression of them then is blood-letting good But if Blood offend no way or if the strength be quite gone or the Patient very old you may omit blood-letting but otherwise presently The first thing to be done either by night or day to one in any of these Diseases is blood-letting nay before the Clyster if it be not already administred But his Arm must first be well rubbed and chafed And this is to be observed That it is more profitable and safe not to let out so much blood at once as you require but by degrees in some hours distance for by the repeating of blood-letting the matter is more easily moved and the strength more preserved Look in the sick mans face after his first loss of blood and feel his pulse for if his face be better colored and more lively and his breath more free and his pulse good there is much hope and you may let blood the second time with more confidence Make the Orifice large otherwise he will not bleed his blood is so thick The more plenty of blood he hath the more he may lose But if flegm abound you must bleed sparingly lest the vital heat be lost which is so absolute necessary for discussing and dissolving of this Disease A singular Example of large and often bleeding in an Apoplexy is laid down by Zacutus Lusitanus in his First Book of the Chief Physitians and his 33. History in these words A certain Noble yong Maid fell first into a general forgetfulness of all things and then into a true Apoplexy with the flowing of her Courses Vnto whom when they had applyed many Medicines both above and beneath as Ligatures sharp Clysters Cupping with Scarrification the Indication which comes from the flowing of the Terms being neglected and danger coming on through continuance I perceiving her strength to be sufficient for it having first rubbed her Thighs very well and placed Cupping Glasses thereon in the space of eight hours opened the head Vein four times and then she began to speak and so recovered Some of our late Practitioners are so bold as to open the Jugular Veins in Apoplexies and say they cure also and in so doing they take this course First they bind the Neck gently with a linnen cloth after the Vein is opened they presently loose it and the blood flows well without a Ligature which might attract it to the head after they heal up the wound with a sticking Plaister without binding and so they affirm the blood will easily stop which Zacutus Lucitanus confirmeth though he useth Ligatures in his 79. Observation in his first Book of the Admirable Practice of Physick where he relates a Story of a most sharp Squinancy in which by the advice of most skilful Physitians the Jugular Veins were opened from whence followed as he saies a most dangerous flux of blood not to be stopt which brought the Patient very weak Zacutus being sent for applies Galens Plaister which he in his 5. Book of Method and 4. Chapter useth with good success for stopping blood in Arteries and Jugulars and bending the Patients Neck gently he comes to his strength and is cured This Plaister is made of Frankinsence Aloes the hairs of a Hare mixt with the white of an Eg having twice as much Frankinsence as Aloes as Galen teacheth in the place mentioned somtimes an equal part of each when the Bodies are harder And Galen commends the operation before written when he saith This Plaister stops the flux of the Jugular Veins without a Ligature or binding But this I would take notice of That the blood doth not flow forth so violently in one that hath an Apoplexy as in one that hath a Squinzy because the blood is congealed as Hippocrates shews in his Second Book of Diseases in the former from whence the Veins and Arteries called Caiodites or Jugulars are stopped but in the latter the blood is hot and thin because they who have the Quinzy have alwaies an acute Feaver withal A
Sulphur or Vitriol for those do much allay the heat of Choller Take of the four great cold Seeds six drams white Poppy seeds two drams Barley Water half a pint Lettice and Water-lilly Water of each two ounces Rose water one ounce Make an Emulsion according to art to two Doses putting thereto Syrup of Violets two ounces Take of Conserve of Violets and Roses of each one ounce Conserve of Water-lillies and candied Lettice stalks of each half an ounce the pouder of Diamargariton frigid half a dram With the Syrup of Violets make an Electuary You may also make an Electuary of white Poppy Seed beaten in a stone Mortar and mixt with Sugar this may be called Diacodium album this temperates sharp and hot humors and brings rest it is made of one ounce of Poppy seeds beaten with so much Rose water after put two ounces of Sugar to it Or make it of equal parts of each Outwardly you must apply cold Epithems to the Heart and Liver Take of Rose water three ounces Borrage Bugloss and Sorrel Water of each two ounces white Wine Vinegar half an ounce the pouder of three Sanders one dram and an half of burnt Ivory half a dram Wood of Aloes one scruple Saffron eight grains Camphire six grains Make an Epitheme for the Heart Take of Lettice and Rose Water of each three ounces Endive and Purslain Water of each two ounces Vinegar of Roses one ounce white and red Sanders and burnt Ivory of each one scruple Camphire and Spicknard of each six grains the pouder of Diarrhodon one dram Make an Epitheme for the Liver Let the Liver and the Loyns be anointed with this Oyntment Take of the Vnguent of Roses one ounce and an half the cerate of Sanders one ounce the Juyce of Lettice and Oyl of Roses of each half an ounce Make a Liniment Let the Breast be anointed with supling Oyls as Oyl of Violets and the like Apply cloaths wet in Water and Vinegar to the Stones or Cods or which is better let them be wet with Rose water and Vinegar It is good to wash the feet with an actually hot decoction made of cold things for it will soften those parts by its hot moisture and make the humors descend and its potential coldness will be communicated to al the Body and to the Brain especially by the Nerves whereby sleep will be provoked It is made thus Take of Violets Mallows Willow Leaves Vine Leaves Water-lillies of each two handfuls the flowers of Roses and Water-lillies of each one handful Poppy heads ten Make a Decoction for the use aforesaid Fair Water may suffice to wash the Feet and if the feet of the sick man be put therein when it is a little warmed for three or four hours it frees him from his Delirium and makes him sleep The same effect is wrought by Housleek beaten into a Cataplasm and laid to the soals of the feet and also by Pompions or Guords beaten and so applied Sweet Scents often applied to the Nose cool the Brain they are prepared after this manner following Take of Violet flowers and Water-lillies of each one pugil of Roses two pugils yellow Sanders one scruple Tie them in a clout and dip it into Rose water and let the Patient smel to it often Or Take of yellow Sanders Roses and Water-lillies of each one dram Camphire half a scruple put them with Rose water into a narrow mouth'd Vessel Let them boyl over the fire and after let the Patient receive the vapor at his Nose But because watchings do chiefly trouble in this Disease you must use all your skill from the beginning of the Disease to provoke sleep For which the repelling Medicines before mentioned are very good especially if you anoint the head with Oyl of Violets cold before you apply Rose Vinegar which is good against watchings and Convulsions which come in this disease But the Medicines following will do it more powerfully Take of the heads of white Poppies with their seeds in number six the flowers of Water-lillies two pugils beat them together and with Rose and Lettice water make them like a pultiss which apply to the forehead between two cloaths Note that in Medicines to provoke sleep you must use but little Vinegar because it causeth watching Take of Lettice flowers one handful and an half Roses half a handful white poppy seeds half an ounce boyl them in water till they grow soft stamp them in Barley Meal and womans Milk of each haâ—f an ounce and a little Oyl of Violets Make a Frontal thereof Take of Oyl of Violets water-lillies and new Oyntment of Poplar of each three drams Opium and Oyl of Nutmegs of each three grains Mix them into a Liniment to anoint the Forehead and Temples Great Housleek bruised with Womans Milk and laid to the Forehead appeaseth a Phrenzy and provokes sleep But as soon as the Patient begins to sleep you must take it away lest he fall into a Coma or sleeping Disease Guords of Pompions do the same thing with less danger Penotus doth extol this Epitheme Take of Musk twelve grains Camphire twenty grains red Rose water in which Sanders hath been infused twenty ounces mix them Shave the head and wet double cloaths therein and apply them warm to all the Sutures of the head When they are dry wet them again and continue the application twenty four hours and so doing you shall provoke sleep strengthen the brain and wonderfully recover the Patient except the very substance of the brain be corrupted Inwardly you may give one ounce of Syrup of Poppies somtimes in his Juleps and Emulsions Or you may give four or five grains of Laudanum which also given in a Clyster doth provoke sufficiently to sleep and with more safety The Physitian must be wary in the use of Narcoticks or Medicines that provoke sleep for they must not be given if the Patient be very weak lest the Spirits and Natural heat be thereby extinguished Having sufficiently used Evacuations Revulsions Derivations and Interceptions we must come to the bringing forth of the matter And first we must open the forehead vein if it appear and may be taken not tying a Ligature about the Neck as usually they do for so the blood will be forced upwards But you may with most profit open the veins in the nostrils and if the Disease be any waies curable it will be cured thus You must bleed plentifully and betimes in the beginning of the Disease after you have made general Evacuations And they are opened with Bristles put up into the Nose and pricking often therewith Or you may draw blood from behind the Ears from the Nostrils Forehead Hemorrhoids with Hors-letches Apply to the Head things that resolve with things that repel in that proportion that first you use a little of the resolvers and as the disease declineth encrease the quantity so that at length you use only resolvers to discuss the reliques of the Disease For this end we use Oyl
is good to take the vapor of hot water into the Nose or to anoint the Nostrils with Oyl of Roses sweet Almonds Violets or with fresh Butter or to snuff up warm Milk into the Nose by which only Remedy Forestus presently cured the Maid mentioned formerly Chap. 7. Of Bleeding at the Nose called Haemorrhagia THe word Haemorrhagia vulgarly signifieth any flux of blood coming from any part But peculiarly when it is named simply of Hippocrates it signifieth only that flux which cometh from the Nose as the first and most evident kind as Galen observed Com. 1. in 1. Epid. An Haemorrhagia of the Nose is a Symptome in the excrements of those things which are wholly against Nature For Blood coming through the Nose either comes from the Veins and Arteries in the Brain or from the Vessels coming from the Pallat to the Nostrils which ate like the Hemorrhoid Veins in the Womb and Fundament But since every Symptome depends upon a Disease as its immediate Cause the cause of this will be either an Organical or a Common Disease The Organical is two-fold The opening of the Vessels which is called in Greek Anastomosis and the thinning or rarefaction of them called Diapedesis The Common Disease is two-fold The breaking of the Vessels called Rexis and the Erosion called Diabrosis The Causes immediately producing those Diseases are either exceeding in quantity or quality of Blood Blood offending in quantity can either break the Veins or open the Orifices of them In quality if it be too hot or too thin it will flow out by Anastomosis because heat doth dilate the Orifice and thinness maketh it flow more easily Also the same qualities make a Diapedesis for heat maketh the coats of the Vessels thin and the thinness of the blood makes it easie to pass through the pores of those coats Lastly The sharpness of the Blood gnaweth the Tunicles of the Veins and ulcerateth them from whence cometh a Diabrosis The external Causes also do concur to produce this Disease either mediately or immediately Immediately as falls stroaks wounds and the like which break and divide the Veins They work mediately which do encrease warm and make thin the blood as plentiful Diet Drunkenness Idleness too much Exercise great Noise Heat long staying in the Sun and the like The Differences of Hemorrhagia are these Some are Critical some Symptomatical Critical Hemorrhagia's are in acute Feavers by the force of Nature endeavor to expel the cause of the Disease this way as especially in those Diseases which are joyned with the Inflamation of some Entral especially of the Liver or the Spleen which are many times discharged by these waies somtimes it comes without a Feaver when Nature dischargeth her self of the superfluous blood whence we see many in their youth have an Hemorrhagy by fits and others blâ—ed other waies A Symptomatical Haemorrhagy happeneth chiefly in Chronical Diseases in which filthy blood is produced by reason of the debility of the Liver or some other great Distemper which either flows through those Veins by the weakness of the retentive faculty or is sent forth by the expulsive as an unprofitable burden because impure blood is not fit to nourish the Body Haemorrhagia is known of its self But its Causes are thus distinguished That which cometh by Anastomosis hath this common with that which comes by Rexin or rupture in that in both the blood floweth plentifully but in this they are distinguished If a blow or a fall went before we should suppose it to be Rexin But when Ruption cometh from Plethora or much Blood as also apertion of the Veins thus they may be distinguished When the Vessel is broken the Blood sloweth constantly when it is opened at a distance and by fits only because the Orifices of the Vessels use to be knit and closed when there is less plenty of the Humor which dilateth flowing thereto but broken Vessels stand alwaies open and therefore blood continually sloweth till the solution of continuity be united Moreover the opening of a Vein is distinguished from the breaking by the substance of the blood For if it be thin it comes from a Vessel opened if thick it comes from a broken Hence it is that Hemorrhagy comes in yong men for the most part by the opening of the Vessels because their blood is thin but in old men from Ruption because theirs is thick If it comes from Eroâ—â—on of the Veins there will be signs of Cacochymia or ill juyce in the body of an Ulcer and matter somtimes comes forth or at least a salt Catarrh hath gone before If it comes by Diapedesis or Rarefaction the blood is thin and little The Causes autecedent and external are easily distinguished For if it come from plenty of blood there is a red face and large veins as also the Diet hath been large and hot or there hath been some external cause which hath melted and made thin the blood and these especially befal them who have very hot Livers If it come from evil Juyce it is known by its proper signs which declare whether Choller or Melancholly doth abound Moreover the Blood will appear corrupt either from the Nose or taken from the Arm. If it come from the weakness of the retentive faculty the face wil be pale and the whol body weak as also some Disease hath gone before by which the Liver was first weakened and then very little bloâ—â— comes forth and by degrees If the blood comes immediately from the Veins of the Nostrils it is easily stopt with astringent Medicines applied thereto and there will be no pain in the Head Contrary wise if it come from the Brain there is some pain in some part of the Head the flux is hardly stopped and things put up into the Nose do no good Somtimes blood comes from other parts as the Liver Spleen Womb whose signs are the pains and extensions in those parts If the blood flows from an Artery it comes with force it is hot pure fresh and clear but when it comes from a Vein it is dark red thick somtimes foul and comes forth with smal force The Prognostick of Hemorrhagy coming especially if it be Critical is taken from the hurt actions when the Excrements and qualities are changed as watchings and dreams of red things a great pain of the Head and Neck heaviness in the Temples and great beating of those Arteries ringing and noise in the Ears dulness of the Eyes with redness thereof and of the whol face hating of light involuntary tears itching of the Nose a drop of Blood upon the day that declares the Crisis difficulty of breathing an extension of the Hypochondria without pain The Reason of which signs is When the Blood begins to be carried to the Head it begets in the Head Phantasms of red things both waking and sleeping as it happened to a yong Roman which Galen mentioneth lib. de praesag ad Posthumum cap. 13. he had an acute Disease and thought he saw a
with a little Wine he was recovered throwing also Water in his face after that he had a large stool was brought to his bed and bled with less violence then giving a dram and an half of Lapis Prunellae in cold Water presently the blood franched when the same and other Medicines could not formerly do it Although fainting be not vulgarly accounted a Remedy against bleeding at the Nose yet Hipp. lib. 3. Epid. Sect. 7. saith thus These things stop the bleeding of the Veins swouning the alteration of the posture or figure of the Body mâ—erception a tent apposition and deligation or binding Galen in 5. meth cap. 5. teacheth the same in these words Moreover Blood is stanched 〈◊〉 by fainting and by revulsion and derivation to the parts adjoyning and by cooling of the whole Body and especially the part afflicted But you must observe that fainting doth only profit when the blood floweth from the Veins which are terminated in the superficie of the body which Hippocrates also hints at when he prescribeth tents bandage and the like For when blood cometh from the internal parts as in an Hemoptoe or spitting of blood immoderate flux of the terms or internal wounds then fainting will encrease the bleeding the heat being thereby drawn into those parts from whence the blood cometh Zacutus Lucitanus Lib. 1. Praxis admirandae Obs 66. reports that he cured a desperate Hemorrhagy which would yield to no other Medicines by an actual Cautery to the soals of both feet which Remedy he saith had like success in a great bleeding at the mouth coming from the opening of the Vein called Ranuncula under the Tongue by corrosion from a sharp Gatarrh and when the Blood had flowen two dates to the quantity of twenty pounds and many astringents and Emplaâ—ers had been used as also Revulsies and thickening Medicines with Narcoticks or Stupefactives by a Cautery in the soal of the foot it was stanched If still he bleed after all the aforesaid Revulsions have been tried you must come to repelling Medicines such as are vulgarly called Anacollemata things to be applied to the Forehead and Temples which are thus made Take of Bole-Armenick Terra Sigillata Sanguis Draconis Frankinsence Mastick and Aloes of each one dram Bran and the hair of an Hare cut smal of each half a dram one white of an Egg the Juyce of Plantane and Nightshade of each as much as is sufficient to make a Cataplasm for the Forehead and the Temples In extremity you may quickly make a Cataplasm of Bole-Armenick only mixed with the white of an Egg and Vinegar for the same parts The most excellent is made of Time and Vinegar and applied to the Temples and the Forehead as thick as two fingers and if the first application do it not let it be repeated and it will certainly cure Amatus Lusitanus commends a cap made with the aforesaid Pouders mixed with Vinegar and Water laid upon the Head being shaven which you may try in great extremity Also you may make a Fomentation of very cold Water or Water and Vinegar to the Temples and Forehead changing your cloaths as they grow hot Or you may make a Fomentation of the Juyce of Plantane Knotgrass Hors-tail Shepheards-purse and the like with a little Vinegar to make it pierce Where mark That the Head is not to be washed with cold Water nor repelling Medicines to be laid to the Forehead before you have made sufficient Revulsions otherwise the blood being struck in with cooling wil fill the Veins above as Galen sheweth 5. meth cap. 6. and so the flux will be encreased by the heat encreased through Antiperistasis by which the motion and force of the blood is encreased or if the blood be stopt there will follow a Convulsion Apoplexy short and difficult breathing called Dyspnoea or the like Vinegar alone will stop blood if the Forehead be fomented therewith in a Spunge Or if you dip a Spunge in Vinegar and put it into the Nose To throw cold Water in the Face doth not only drive back the blood but also draweth inward by fear if done on a sudden and unawares As a syncope or swouning as we said before stancheth blood by the retraction of it inward by the same reason doth fear also A great quantity namely two or three glasses must be cast into the face divers times in a short time Ordinarily they use to hinder the ascent of the Blood with fomenting of the Neck with a cloth dipped in cold Vinegar and bound about the Neck changed often before it turn warm Vinegar and Water held in the mouth doth drive the blood down and keeps the blood from falling into the Throat Also Vinegar put into the Ear next to the Nostril bleeding is good to close the Vein A Bean or piece of money bound to the root of the Nose between the Eyebrows stoppeth the flux Also you must observe if the Veins or Arteries in the Forehead or Temples do swell for then you must bind them down with Money or a dry Bean slit in length and this is a special Remedy And for the better Compression you must lay a Pledget dipt in the white of an Eg beaten with Time upon the Bean or Money The sume of Vinegar sprinkled upon a hot Iron taken into the Nostrils will close the opened Veins As also Vinegar and Water often snuffed up Besides those things which repel we must use things that close and glutinate the Veins For which end many Remedies may be put into the Nose Galen lib. de paratu facilibus cap. 13. used Frankinsence and Aloes poudered with white of an Egg and the hairs of an Hare upon lint Or you may make a Tent thus Take of Frankinsence Aloes Dragons blood Bran Cobwebs and the hair of an Hare cut smal of each half a dram made up in a Tent with juyce of Plantane The same Pouders may be blown into the Nose For which purpose also great Practitioners do commend the pouder of Eg shels burnt and burnt Paper But you must remember besides the use of these pouders at the same time to fill the mouth with cold Water lest the Medicine get into the mouth The Cotton of an Ink-horn squeezed a little and made into a tent doth powerfully stop As also laid and bound to the Forehead If it yet continue you must come to Escharoticks which by burning the mouths of the Veins produce a Scab and so stay the blood But these must be used warily for when the Eschar falls off they will bleed again Burnt Vitriol is the best which besides its Escharotick quality is good to stanch blood If you will make it gentle you must mix other Medicines thus Take of Galls half a pound Allum a quarter of a pound Calcine them and blow the pouder into the Nose Or Take of Bole-Armenick Dragons blood Frankinsence Aloes Time burnt Vitriol Sarcocol and Mastich of each one dram Make afine Pouder White Vitriol is more gentle than
and first open the Veins called Ranulae under the Tongue it is commended by Hippocrates Galen and the Modern Physitians by which the blood which doth immediately cause the inflamation is drawn forth The Ancients in a desperate Angina open the Jugulars which though some late Writers have approved yet it is out of fashion being thought dangerous by reason of the bleeding which can scarcely be stopped by reason of the largeness of the Veins But Experience hath taught that this operation is not so dangerous if it be well administred First then bend the Patients Head on one side as much as you can til his chin almost touch his shoulder then open the Vein without a Ligature with a smal Orifice according to its longitude for so it will more easily cicatrize and having taken a sufficient quantity of blood bring the Head to its natural position and so somtimes the blood will stop of its self But you must presently apply Galens Emplaster described 5. Meth. Cap. 4. made of Hares hair Aloes Frankinsence and the white of an Egg so the flux of Blood is surely stopped Trallianus reports in Lib. 4. Cap. 1. that he cured many of the Squinzy with opening of the Jugular Veins and Zacutus Lucitanus obser 89. lib. 1. Praxis admir tells of a Spaniard which was cured of a most violent Angina A Cupping-glass with Scarrification under the Chin is good for derivation by which Zacutus Lucitanus obs 88. lib. 1. Prax. adm saith he cured a woman of a Cunagche or dog Squinzy Scarrifications under the Jaws and upon the Neck are good if deep by which means Benivenius faith in lib. de abdit morb caus cap. 38. Nicholas Rota was cured of a desperate Angina whose story Sennertus hath fully related Pract. Med. lib. 2. part 1. cap. 24. While the aforesaid Medicines are used the inflamation of the Throat and Jaws is to be allayed with Topicks and they are to be varied according to the time as in other inflamations so in the first Repelling Medicines are good made into Gargarisms that they may presently touch the part inflamed Take of Plantane Nightshade and Woodbine Water of each three ounces Syrup of Mulberries three ounces Sal prunellae one dram and an half Make a Gargarism Or of a Decoction thus Take of Plantane Sorrel and the tops of Brambles of each one handful the Grains of Sumach half an ounce one Pomegranate beaten with grains and peel red Roses one pugil make a Decoction to a pint Dissolve in the straining Syrup of Mulberries and the composition made of Nuts of each one ounce and an half Sal prunella two drams Make a Gargarism Concerning Gargarisms you must observe that they are to be suspected because the parts inflamed are moved thereby which should be at rest but you may remedy that if you hold the Gargarism in the Mouth turning backwards and not move it Without Gargling you may use the Spirit of Salt Sulphur or Vitriol which mixed with Water to qualifie their sharpness are to be taken by little and little for by passing through the part affected they qualifie its heat and being sent from the Stomach to the Liver and Veins it allaies the heat of the blood which remedy is also good in the Inflamation of the Jaws and Tonsils While you use repelling Gargarisms you must apply outwardly to the neck loosning and resolving Liniments that the matter may be brought forth thus made Take of Oyl of Chamomel Lillies and sweet Almonds of each one ounce Hens grease and fresh Butter of each one ounce and an half Saffron one scruple Make a Liniment to be applied with greazie wool This Liniment will asswage pain which if violent it may be qualified also with a Gargarism made of Milk or an Emulsion made of the four cold great seeds or of Mucilages of Fleabane and Quinces drawn with Rose water adding Syrup of Violets or Cassia dissolved in Whey or in a Decoction of Marsh-mallow Roots After the beginning of the Disease when it encreaseth or is at a stand you must mix Digesters and Dissolvers with Repellers which must be done the second day because the Disease is most acute Take of the Leaves of Hysop and Plantane of each one handful Liquoris Raisons stoned of each one ounce fat Figs twelve red Roses and Barley of each one pugil make a Decoction of a pint Dissolve in the straining Honey of Roses and Syrup of Violets of each one ounce Make a Gargarism Observe That as long as the Inflamation continueth you must mix some things that repel with Dissolvers and Astringents lest the part which by Nature is soft should be more relaxed and made more fit to receive a defluxion But outwardly you must apply Dissolvers most with a Swallows nest which by the Opinion of all Writers hath a specifical property against this Disease Take of the pouder of a Swallows nest and of Album Graecum of each one dram the pouder of Flower-de-luce Roots and Chamomel of each half a dram Hens grease and Oyl of Lillies of each one ounce yellow Wax a little Make a Liniment Or it may be made into a Cataplasm thus Take one Swallows nest Mallows Violets of each one handful Althaea Roots Lilly Roots of each half an ounce fat Figs three or four Chamomel and Melilot Flowers of each one pugil boyl them and beat them then put to them Barley meal Linseeds and Foenugreek of each three drams Saffron one scruple fresh Butter one ounce Oyl of Chamomel and sweet Almonds of each as much as will make a Cataplasm to be applied to the fore part of the Neck In the mean while you may use Eclegma's or things to be licked now and then that the matter which breaths forth of the part or falls upon it from the head may be clensed Take of the pouder of the Electuary of Diatragacanth frigid two drams Simple Diaireos one dram Sugar-candy and Penides of each half an ounce Diamoron one ounce Syrup of Jujubes as much as is sufficient Make a Lohoch If the Tnmor will not be discussed but tendeth to suppuration which useth to be upon the fourth or fifth day you shall assist it with the Cataplasm aforesaid and other Emollients and Suppuratives and he must hold those Medicines at the same time in his mouth which was prescribed formerly for asswaging of pain Or Take of sliced Liquoris and Raisons stoned of each one ounce fat Figs six Althaea and Quince seeds of each two drams the flowers of Chamomel one pugil boyl them in Hydromel Dissolve in the straining boyled Wine two ounces Make a Gargarism It is also good to hold Cassia new drawn in the mouth that by degrees it may dissolve into the Throat for it asswageth pain dissolveth and maturateth If the Tumor come to suppuration which may be known by the decrease of symptomes and will not break let the sick man or some about him put their fingers into his mouth and endeavor to break the imposthume which
a Rexis or Anastomosis The same blood offending in quality as when it is too hot or too thin it wil come forth by way of Anastomosis but because heat wil open the Orifices and the thinness causeth it to flow more easily Also the same qualities make a Diapedesis or Rarifaction for heat doth make thin the Tunicles of the Vessels and the thinness of the blood causeth it to flow more easily through the pores of those Tunicles Lastly The sharpness of the blood doth gnaw the Tunicles of the Veins and exulcerate them so cause a Diabrosis or Erosion this also is caused by sharp or salt humors which distil from the head or coming from other parts to the Lungs Moreover The External Causes do concur for the production of this Disease either mediately or immediately It is produced immediately by a stroak fal wound or the like but they produce it mediately which encrease blood heat and attenuate as high and hot feeding stoppage of Terms or Haemorrhoids too much exercise great clamor heat long staying in the sun and many others Moreover External Cold may cause the Ruption of the Vessels by making their Tunicles harder and not so easily to be extended but with this must be joyned strong Motion or abundance of Humors The Diagnosis of this Disease is difficult in respect of the part from whence it comes yet Galen declareth it in few words 4. de loc affect cap. 6. namely blood coming from the Gullet and Stomach is put forth by vomit when it comes from the Vital parts by Cough from the Jaws and Weazand by Hawking from the Mouth by simple spetting which wants a more cleer explication when blood comes from the head to the inner parts of the Weazand and the Jaws it comes forth by Coughing and so it doth when it comes from the breast and therefore it is not distinguished by this sign Moreover When blood coming from the Lungs or Breast is brought out by Coughing There are other necessary signs from which the parts affected may be distinguished First therefore when blood comes from the head although it somtimes cause Coughing yet the greatest part thereof is put forth by Hawking and there is a tickling in the Pallat as in a Catarrh as also when you look into the Pallat it appeareth to be foul and bloody and it is more confirmed to be from the Head if at that time the Nose bleed When the blood comes from the Lungs it is distinguished from that which comes from the Breast by Galen in the place mentioned for that which comes from the Lungs is froathy in greater plenty and without pain but from the Breast it is black little and with pain But it may be objected That blood coming from the breast is carried by the Lungs and by consequence is froathy because it is mixed with the air taken in as that which comes immediately from the Lungs And Avicen saith That blood from the breast is froathy I Answer That it is one thing to spet some froath mixed with the blood and another thing to spet nothing but froath which only comes from the substance of the Lungs Therefore you may observe Three degrees of froath for it is either wholly froathy from the flesh of the Lungs which it resembleth for the Lungs are but a congealed froath or it comes from the Vessels of the Lungs and is very froathy or it is mixed with froath and comes from the breast But the most certain sign that it comes from the Lungs is taken from the pain which is fixed and continueth where the solution of continuity is And you must observe That blood is somtimes sent from the Liver Spleen Matrix and other parts into the Lungs and spet forth so that the Breast is not primarily but secondarily affected which thing is hardly to be discovered But we may conjecture of it namely if any of the aforesaid parts be troubled with pain inflamation or any other distemper and there neither is nor hath been any other fault in the breast You may find out the signs of the Causes from what hath been said For if blood be brought by the Anastomosis of the Veins there went before some Cause that opened the mouth of the Vessels then blood is thrown forth in a pretty quantity and without pain But if it come forth by Diapedesis or Rarefaction then is it waterish little and without pain When it breaks forth by Rixis or Eruption it is very much if a Repletion went before or any External Cause that might break the Vessels Lastly If it comes by Diabrosis or Corrosion of the Vein there went before salt and sharp diffillations from the head The blood is salt and sharp and ill coloured and some Causes of sharp humors were formerly in the beginning there is but little blood but after when the Corrosion is greater then is much blood spet forth and at last there is a spetting of Matter Hippocrates Aphor. 25. Sect. 4. doth lay down the Prognostick of this Disease as what kind of blood soever is spet out of the mouth from any part below it is evil for every opening of a vessel which letteth blood come forth so is dangerous especially in the Lungs concerning which his Aphorism chiefly speaks But somtimes such spetting of blood may be without hurt namely When Nature by a critical Motion doth purge the superfluous blood by those waies And it is observed That Women which have had their Terms stopt have without harm at certain times spet blood from their Lungs by the Anastomosis of the veins In respect of the Causes Diapedesis or Rarifaction is less dangerous than Anastomosis or Apertion and Eruption is most dangerous for unless it be healed within three or four dayes there cometh an inflamation which being suppurated produceth an Ulcer from whence cometh a Consumption Whence Hippocrates saith Aphor. 15 16. Sect. 7. That from spetting of blood there followeth spetting of Matter and from spetting of Matter a Phthisis or Consumption But Diabrosis or Corrosion is most dangerous and Galen saith That it is incurable by reason the Ulcer that followeth it is incurable The Cure of Haemoptoe or spetting blood is wrought by Revulsion of blood from the Lungs by correcting the evil quality thereof and closing the vein that is opened by astringing and conglutinating means First therefore let blood from the Arm on the same side on which you find heaviness or pricking in a smal quantity often and at a distance for the better Revulsion After that open the vein in the Foot and so you wil make a Revulsion to a further distance and this will be more profitable if the disease come from obstruction of the Terms If the Patient be subject to the Hemorrhoids you must open them with Hors-leeches Also apply Cupping-glasses with Scarrification to the shoulders and back or without Scarrificaon to the Groins and under the Ribs Rub and bind the extream parts and in all the time of the Cure
Convulsive Motion not a Convulsion which is only in the Muscles and parts given to voluntary Motion The immediate Causes of Singultus are propounded by Hipp. Aph. 39. Sect. 6. that is Emptiness and Repletion as of a Convulsion But Galen and Avicen ad a third Cause namely a provocation by a sharp matter Some labor to bring the matter provoking to a kind of repletion that they may excuse Hippocrates But when the matter is plain we need not confound and darken the evidences of things for Authors words For what is more cleer than that Singultus comes from the expulsive faculty provoked Therefore whatsoever can provoke is the immediate cause of Singultus or Hiccough But Humors and Vapors offending either in quantity or quality may provâ—ke the Stomach to expulsion and so repletion and acrimony are two distinct causes But it is not eaâ—e to shew how emptiness makes a Singultus For since its Essence is in defect none will say that Nature riseth to expel a defect but rather will be moved to refresh and repair it and so it doth rather move the Attractive than the Expulsive Faculty But if Singultus follow great Evacuations as in sharp Feavers and malignant and purging with Hellebore it is not simply to be attributed to the Evacuation but rather to a malignant quality in the Stomach coming from the Disease or some Medicine taken The Matter causing Singultus is either gathered in the Stomach or sent from the Liver Spleen Guts or other parts or from the whol Body So sharp Nourishment or sharp Medicines or sharp Humors or gnawing Worms contained in the Stomach cause a Singultus by propriety but inflamation of the parts adjacent by water or vapors sent to the Stomach make it by consent as also because the Tumor especially when the Liver is inflamed doth compress the Stomach by which the expulsive faculty is continually provoked Finally Humors may be brought from the whol Body or sharp humors to the Stomach in diseases of the whol Body as appears in sharp and malignant Feavers The Diagnosis or knowledg of this Disease is manifest of it self But the signs of the Cause are thus to be distinguished so that if it be by propriety the disease is more lasting and there will appear signs of the Humors contained in the Stomach and the disease is aâ—â—waged by Vomit The Humor contained in the Stomach is known by vomit belching taste in the mouth and by other signs And finally if it come from a disease in any other part you may take the signs thereof from their proper Chapters As to the Prognostick Singultus that comes from any principal Cause as Meat Drink or Cold is not dangerous as also that which goes before a Crisis by Vomit and then other signs must be healthful If any have the Hiccough in a great Feaver the Disease is very dangerous Hipp. in Coacis For it comes from sharp Humors and malignant which pull the Tunicle of the Stomach in wardly and force its expulsive faculty And Vallesius saith that he never knew any extenuated persons taken with a hot and malignant Feaver who had a Singultus to escape So it is in Hipp. 3. Epid. Sect. 2. Aegr 12. A woman living in the Market had many Hiccoughs upon the twelfth day and died the fourteenth day of her sickness Also Platerus observed that a Singultus coming upon burning Feavers and continuing is for the most part a forerunner of death and the same is deadly in a Dysentery or bloody flux After Vomiting Singultus and redness of the Eyes is evil Hipp. Aph. 3. Sect. 7. These two signs coming after Vomiting in acute Diseases and continuing any time therefore are said to be deadly because they declare an inflamation of the Brain or Stomach which inflamation is not only the cause of Hiccoughs and redness of Eyes but also of Vomiting For if Vomiting come from sharp Humors that gnaw the mouth of the Stomach and its Tunicles when those Humors are thrown out by Vomit the Singultus and vomiting would cease nor would any sharp vapor be sent to the Eyes which should make them red But when Vomiting doth not only not profit but also brings after it Hiccoughs and redness of the Eyes it is most certain that these three namely Vomiting Hiccoughs and Redness of the Eyes do come from the Inflamation of the Brain or Stomach for the Brain being inflamed doth through abundance of blood send it to the Eyes and into their extream Tunicles whence comes redness to which also the Stomach consenting by the Nerves of the sixth Conjugation is easily from the Inflamation of the Brain brought to Vomit and Hiccough Also the Stomach inflamed by a concourse of hot blood to the Eyes by reason of the great consent between those parts brings Vomit Hiccoughs and redness of the Eyes which the beginning of suffocations do demonstrate and the appearance of things before the Eyes which are in the Stomach disordered whence Hippocrates in his Book del ocis in homine affirms that the Eyes are chiefly hurt by Vomiting Singultus from Inflamation of the Liver is hurtful Hipp. Aph. 17. Sect. 7. which comes then as Galen shews in his comment upon that Aphorism when the inflamation is greater and worse for then it is so great in the Liver that it lieth upon the Stomach and brings the Singultus nay somtimes by conflux of matter there is somtimes an inflamation or Erysipelas in the Stomach or else there comes gnawing from the same being sucked into the Tunicles of the Stomach The Cure of this disease is directed to the Causes which as I said do either produce it by way of Sympathy or Propriety The Causes which produce it by sympathy are the diseases of other parts which being cured this is cured although these Medicines are to be administred then which are good to allay the Symptome which shall be afterwards declared This Disease by Propriety comes of Flegm Wind Choller or some sharp or malignant Humor That which comes from Flegm in the Tunicles of the Stomach is cured by Medicines which cut the Humor clense and purge it and by strengtheners of the part such as were prescribed for the Cure of want of Appetite coming of a cold Cause To which we may ad these following as more proper to this disease Take of Castor one dram the juyce of Mints four ounces Mix them let the Patient take one spoonful or two every fit and you may anoint the Stomach with the same Medicine warm twice or thrice in a day He may take Vinegar of Squils often to cut and dissolve the matter contained in the Tunicles of the Stomach or instead thereof Oxymel of Squils Cloves held often in the mouth do not a little profit Also the Elixir Proprietatis of Crollius is very profitable Take of Dill seeds two or three drams boyl them a little in eight ounces of the best Wine of which let the Patient take one ounce first and last Let
few Grains of the best Mastich taken in the Morning is good to stay Vomitting Three Grains also of Balsom of Peru taken in a rear Egg or in Sugar like a Pill do it better Also a Decoction of Beans or Pease after the first Water is cast away with a little Vinegar is much Commended And the Crude Juyce of Quinces taken Two or Three spoonfuls at a time doth Wonders Camphire often smelt to or taken with a little Rose Water and a little Pouder of Diaâ—oscum is good for the same The Spirit of Vitriol mixed with Plantane or Spring Water to make it sharp doth also powerfully stay Vomiting If it be very violent make the Water sharper with Spirit of Vitriol or give it in Sack or rich Wine if you want Spirit of Vitriol use the strongest Vinegar without mixture one spoonful or two at a time One Scruple of Salt of Wormwood mixed with a spoonful of the Juyce of Lemons is a most Excellent Medicine especially in those Vomitings which happen in Malignant Feavers If the Patient grow very Weak with Vomiting give him Laudanum with Conserve of Quinces or Syrup of dried Roses and then apply a Cupping Glass to the Stomach and a Cataplasm of Leaven pouder of Wormwood and Orange peels made up with juyce of Mints Apply also outwardly a Fomentation to the region of the Stomach a new Spunge dipt in Rose-water and Rose-vinegar or let the Spunge boyl in strong Vinegar and apply it hot to the Stomach Or make a Fomentation of the Decoction of the Roots of Snake-weed Plantan-leaves Purslain Mints Bramble-tops and Willow-tops and then anoint it with this Oyntment Take of Acacia Hypocistis grains of Sumach and Myrtles of each two drams Mastich and grains of Kermes of each one dram Oyl of Myrtles two ounces Wax as much as is sufficient make an Oyntment or apply this following Cataplasm Take of Quinces boyled in Rose water and Vinegar or Marmalate thereof well beaten three ounces the pouder of Mastich Grains of Kermes and Myrtle berries and Plantane-seed of each two drams with the Juyce of Mints or Quinces or Syrup of Wormwood make a Cataplasm Or Steep a Crust of Bread in Rose Vinegar and sprinkle it with this pouder following Take of red Roses and Pomegranate flowers and Coriander seeds prepared of each one dram and an half Mastich red Coral Sorrel seeds Spodium of each half a dram yellow Saunders one scruple mix them into a pouder Or Apply this following Emplaister Take of Mastich plaister one ounce the pouder of Myrtles and Bistort-Roots of each half a dram with the Oyl of Mastich make an Emplaister in the form of a Buckler If the Vomiting be very violent and bring a Feaver Symptomatical and the Body very full it is good somtimes to let blood to prevent inflamation which may bâ— in the internal parts by reason of the violent straining and this must be done warily and but a little least the strength be abated Moreover It is good to apply Cupping Glasses to the Back and Navel and to rub and bind the extream parts You may bind about the Neck Linnen Clothes dipt in Oxycrate to repel the humors putting of the hands into cold Water doth stay al kinds of vomiting And Last When other things avail not use Narcoticks which do very quickly stop al Evacuations In a Flegmatick Vomiting if it wil not be staid with the aforesaid Vomits give Pills of Hiera with Rhubarb and Agarick or other fit Purges Then come to strengtheners for the Stomach such as were prescribed for the Cure of Want of Appetite to which ad this following Take of Conserve of Roses and Comfry Roots of each one ounce confection of Hyacinth three drams the pouder of Diambra and Aromaticum Rosatum of each half a dram Troches of Spodium terra Sigillata and grana Kermes of each one scruple with syrup of Quinces make an Opiate The Spirit of Vitriol with Wormwood water or Juyce of Mints doth mightily stay Vomiting and Strengthen the Stomach Or One or two spoonfuls of Aqua Imperialis given after Vomiting if the Stomach be very Cold. Apply these things following outwardly Take of Wormwood Mints and Balm of each three handfuls boyl them in a sufficient quantity of Vinegar and Wine to the consumption of the third Part make a Fomentation for the stomach After apply the Plaister afore-mentioned or the Cataplasm of Quinces using the Pouder of Nutmegs and Cloves instead of Myrtles and Plantane Or Take of Wormwood and green Mints of each one pound a Toast dipt in Rose-water weighing half a pound the Pulp of Quinces or Marmalat of the same two ounces Mastich half an ounce Mace and Nutmegs of each two drams beat them all well together with Oyl of Quinces and make an Emplaister Or Make a Cataplasm of Quinces boyled in strong Vinegar and then beaten with a little Mustard-seed and Pouder of Cloves Or Apply a Toast dipped in strong Wine and Juyce of Mints and sprinckled with pouder of Nutmeg Cloves Frankinsence Mastich and Graines of Kermes Villanovanus much Commends sharp Leaven which he applieth to the Stomach twice or thrice being steept in strong Vinegar and juyce of Mints this doth most certainly stop Vomiting after convenient Evacuations and Revulsions In a long Vomiting where the Stomach is very Weak you must use strong Astringents made thus Take of the Roots of Snakeweed and Tormentil Pomegranate peels and flowers and Hypocistis of each two drams Leavs of Mints and dried Wormwood of each half an handful Sumach and Myrtle berries of each one dram red Roses one pugil Cinnamon Cloves and Mastich of each half an ounce green Galls and Cypress Nuts of each two drams boyl them in Iron water and Red Wine in which dissolve a little Musk for sweet things do much asswage Vomiting of which let the Patient take two ounces every morning and Foment his stomach with the same After the Fomentation apply some Plaister or Cataplasm made as aforesaid Chap. 8. Of Vomiting Blood THis Disease is a casting forth of Blood from the Stomach by the Mouth And as al other Bleeding it comes from the Veins either by Anastomosis or opening of them by Diapedesis or Rarefaction by Rixis breaking or by Diabrosis corroding which Diseases of the Veins were shewed in the Cure of Spetting of Blood called Haemoptysis The Causes also are the same And First the Conjunct Cause Excess of Blood in quantity or quality Blood offending in Quantity wil break or open the mouths of the Veins and so comes Rixis or Anastomosis which happeneth in ful bodies If it offend in Quality as when it is too hot or thin it may cause an Anastomosis because heat doth open the Orifices and thinness makes it flow easily through The same Qualities may Cause a Diapedesis for heat doth make thin the Tunicles of the Vessels and thinness Causeth the Blood to pass through their pores Lastly Sharpness gnaweth and Ulcerateth the Tunicles of the Veins and so produceth a
Diabrosis The Antecedent Causes are the same with the Conjunct but they differ in place for when blood offending either in Quantity or Quality doth immediately open the Veins it is called a Conjunct Cause and the same being contained in the Veins is called an Antecedent Cause The parts sending of which the chiefare the Head Liver Spleen and Womb are antecedent Causes Often times Blood is carried from the Head to the Stomach by the Pallat and Gullet or Oesophagus and also a violent Catarrh of sharp and Salt flegm doth corrode the Stomach and open the Veins thereof It is carried from the Liver and Spleen by the Veins that go to the Stomach from the Womb when blood by the stoppage of the Terms runs back and opens the Veins of the Stomach so that some Women have had their Terms by vomiting blood constantly at the time Vomiting of blood comes oftener from the Liver and Spleen than from other parts and from the Spleen than the Liver because it doth more consent with the Stomach For it is evident by Anatomy that the great branch of the Gate Vein or Porta goeth to the Spleen from which many Veins are sent to the Stomach both above and below and these are so great that being distended with wind or blood they are as thick as the middle finger this we have observed in Dissection Moreover the Vas breve being wide as in a natural state it doth continually send Melancholly into the Stomach so being in a Preternatural state it may send great plenty of blood But observe here that in this case that blood is voided by stool as well as vomit both because a part thereof which went to the Stomach is sent downwards and also because the Meseraick Veins are open and send blood into the Guts which by its long passage through the Guts groweth black and comes forth like Tar. The external Causes are all things that can wound or bruise as also great heat which causeth boyling of the blood hence it is that yong men to the age of thirty five are very subject to vomit blood and other bleeding as also great cold by too much astriction may endanger to break the Veins the same doth unseasonable Motion and Labor unusual Exercise great hallowing and the like which move the blood violently in the Veins And finally All the Causes of Blood-spitting afore mentioned For Blood being violently moved either in the Veins or Arteries whether from an external or an internal Cause goes soonest to that part which is weakest and most fit to receive it and therfore if the Stomach or the Veins going thither are so disposed there will be vomiting of Blood rather than any other way of bleeding The Diagnostick of this Disease lieth chiefly in the discovery of the part from which the blood comes If from the Stomach the scituation of the part and the constant pain and heaviness thereof will demonstrate and there is less blood for the Veins of the Stomach are smal and it comes with loathing and there is a biting when they swallow as also somtimes it comes forth mixed with Meat Flegm or Choller If it come from the Head there will be tickling about the Jaws and Pallat and some blood will be blown out of the Nose with Snot there went before it some Head-ach or heaviness which after bleeding ceaseth If from the Liver or Spleen there is more plenty of blood and somtimes a tumor or dolor in the part From the Liver the blood is red and frothy from the Spleen it is thick and black Also Blood from the Liver goes most downwards because it commonly goes from thence to the Guts through the Meseraicks and must ascend from them into the Stomach to cause Vomiting but it doth easier descend Contrarily that which comes from the Spleen is rather by vomit because the Veins from the Spleen to the Stomach are shorter and narrower Lastly If from the suppression of the Terms you may know it from the Woman and it wil come at those times which wil be more probable if there be no disease in any other part As for the Prognostick Vomiting of Blood of what cause soever is dangerous for it either threateneth death suddenly or if it stay in the Stomach and putrifie it breeds faintings swoonings and suffocations Vomiting of blood from suppression of the Terms is less dangerous than that from the Liver or Spleen for when they are brought down it is usually cured as Hippocrates taught Aph. 34. Sect. 5. in these words When a Woman vomiteth Blood if her courses breakdown she is cured And in this case only the opening of the inferior Veins doth provoke the Terms especially if she take somthing besides for that purpose They who after Vomiting of Blood fall into the Dropsie called Ascites do die thereof Dodonaeus doth testifie that he never knew any that escaped and Experience teacheth that a Dropsie from any kind of bleeding is deadly for it comes from a great dissipation of Natural heat which cannot be repaired For the Cure of this Disease use Medicines which revel the Blood from the Stomach and correct its distempers and the open Veins with astringents and glutinatives To which ad those things which concern the part chiefly affected from whence the Blood is sent into the Stomach according to the divers Nature and Disease of the part And because Diet is of chiefest concernment in this Disease let us shew some Rules therefore Let his Nourishment be commonly astringent and Emplastick and cold both actually and potentially as Barley Almonds Rice Panadoes Gellies and especially Starch made without Chalk and boyled in Milk which is good also in spitting of Blood to all these you may alwaies add some Pomegranates or Vinegar of Roses Also hard Eggs steeped in Vinegar are good Bread crums steeped in cold Water and Chicken Broth with Sorrel Purslam Plantane and unripe Grapes the feet and hips of Sheep Kids and Calves boyled to a Jelly for the first course let him take that which is a stringent as a Quince or sowr Apple or Pear roasted in the embers Marmalat of Quinces or Jelly of sharp Cherries Medlers or Services Let him abstain from all sharp salt peppered and fried Meats as also from things that breed much Blood except he grow weak and then you may give him them sparingly He must be but little nourished for the less Blood is bred the Disease will be the less and the empty parts by their attraction will stay the flux Let him drink little only a little Iron Water with a little Juyce of Pomegranates He must drink no Wine except it be thick and sharp which we call Tortium and it must be when there is no Feaver Let the Air be cool without Wind Sun or Moon shine let him sleep little and not in the day for although all fluxes are said to be stopped by sleep yet this by long keeping the heat in the Center may be encreased Let his Belly be loose
for by so doing it is burnt The Preparation is thus made Take of Rhubarb one dram and an half infuse it in three ounces of Plantane Water some few hours strain it press it gently and then infuse it again in three ounces of new Plantane Water and dissolve in the straining half an ounce of Cassia make a Potion If you desire by reason of the abundance of crude Humors to Purge more then you may make Syrup of Roses or Diacatholicon or other mild things but beware of strong Somtimes a Vomit is very good if the Patient be inclinable and the Humors stand in the Stomach for it makes a revulsion of the Humors from the part affected Which Amatus Lusitanus wisely mentioned Curat 44. Cent. 2. in these words If the Physitian can draw upwards and cast out by Vomit a Humor that is Chollerick and sharp flowing to the Guts to make a Dysentery it would be contrary to the Precepts of Galen in his Book of Medicinal Art and Method of Cure to carry the matter by the Guts which are full of Vlcers But when the Physitian cannot do it although he ought to try his best skill he must then use Purges and especially Rhubarb This Hippocrates taught Aph. 15. Sect. 6. After a long flux of the Belly if Vomiting come of it self the disease is cured But Galen in his Comment upon this Aphorism saith That this is the example of those things which are done rightly by Nature which a Physitian ought to imitate And Mercatus confirms the same in these words Divert the Humors another way by bleeding if thou canst also purge and Vomit especially in salt flegm for thus we have seen old Dysenteries cured Angelus sala prescribeth this following Vomit in a Dysentery Take of Salt of Vitriol half a dram or a dram Syrup of Quinces and Bettony Water of each one ounce Cinnamon Water ten drams Mix them and drink it off There is great Dissention among Authors concerning Blood-letting in this Disease And it is the Opinion of the wisest that in a Feaver and Inflamation of the Intestines which is commonly joyned with an Ulcer that it ought to be in the beginning of the Disease before the strength be decayed by it for so there is a revulsion of Blood and sharp Humors flowing to the Guts And Valescus de Taranta and Amatus Lusitanus in an old Dysentery drew Blood Valescus saith That a very old man had a Dysentery three months I being sent for when other Physitians opposed it commanded a Vein to be opened he presently amended And Amatus saith thus That an honest Physitian went to a man who had a Dysentery thirty daies with a great Feaver and after the use of divers Medicines was brought very low and lean his flux continuing with much Blood and drew Blood from the Liver Vein of his right Arm and observe with what success Presently miraculously the blood stopped though his flux continued But by Clysters with Sugar and astringent Medicines both internal and external his belly was bound and he cured In the mean while give many Clysters first asswaging mild and clensing then glutinous and astringent and somtimes in one Clyster all together or most of them Mild gently and anodine Clysters that asswage pain are made of Milk either alone or with two or three yolks of Eggs or with the Mucilage of Fleabane Seeds and Quinces of each four ounces with Sugar or Honey of Roses one ounce Goats Suet one ounce or with Milk wherein Gold Iron or Flints have been quenched that the serous part may be consumed and so it may be more glutinous In want of Milk you may give Almond Milk or Barley Cream or Rice Milk alone or together as also the Broth of Mutton Chicken Capon or a Sheeps Head and mix the former things therewith It is usual to boyl Roses and the Herb Hors-tail with a Sheeps Head Or this following Take of Marsh-mallow Roots one ounce clensed Barley or Rice one Pugil Lin-seed and Quince seed of each one ounce Fleabane seed half a dram Chamomel flowers one pugil Boyl them in Milk or Broth adding the Suet and Yolks of Eggs and other things before mentioned Or you may make it of Milk alone boyled with Marsh-mallow Roots at the first to clense and asswage the pain If the Pain be great you must mix Narcoticks as Philonium Persicum one or two drams Pils of Hounds-tongue one or two scruples Syrup of Poppies one ounce and an half Laudanum five or six grains in your Clysters If there be an Inflamation in the Guts which may be known by constant pain and increasing when it is touched also by a Feaver and dryness of the Tongue let blood again give Clysters of Rose Water with Salt of Lead and foment the Belly with Oxycrate or Wine and Water Also you may give Salt of Lead at the Mouth to ten grains with Conserve of Roses Clensing Clysters are made of Barley Water Bran red Roses Sugar or Honey of Roses But for the greater clensing and glutinating the Ulcer ad one dram of Turpentine dissolved with the Yolk of an Egg. When the Ulcer is more foul you must use greater clensers as Beets Pellitory of the wal in the aforesaid Decoction The strongest Clensers are Centaury Wormwood Gentian Brine or Pickle from Galen 12. Meth. Cap. 1. and the like the use of which is now very rare Zacutus Lucitanus durst use Arsenick and yet with good success as you may see Obs 18. Lib. 2. of his Admirable Practice of Physick Some Chymicks use of the Oyl of Wax in Clysters one dram and anoint the Belly with the same To glutinate or heal up the Ulcer first use gently Dryers in Clysters and a little astringent then such as are more drying and binding Therefore make them first of Chalybeat Milk in which Roses have been boyled or of Barley Water or Water of parched Rice and red Roses one pugil adding to both Clysters two Yolks of roasted Eggs somtimes Honey of Roses and when you will have it work better one ounce of the Juyce of Plantane To bind and glutinate more make it thus Take of the Roots of Comâ—bry and Mullein of each one ounce Plantane and Comâ—bry leaves of each one handful red Roses and parched Barley of each one pugil Myrtles two drams Make a Decoction in Cistern Water in one pint of the straining dissolve of Honey of Roses one ounce one white of an Egg or one ounce of the Mucilage of Gum Traganth Goats Suet two ounces the Juyce of Yarrow and Knot-grass one ounce Make a Clyster Take of Snakeweed Roots or Tormentil one ounce and an half Shepheards-purse Knot-grass Horstail and Mousear of each one handful Pomegranate flowers Acorn cups Cypress Nuts of each two drams parched Rice one pugil make a Dcoction in Forge Water in a pint of the straining dissolve two ounces of the Juyce of Plantane and two Yolks of roasted Eggs. Make a Clyster Angelus sala wonderfully commends the
with it and so it wil be stronger Also Spring Water made sharp with some few drops of the Spirit of Virriol or Sulphur is of no less force For sharp things do properly kill VVorms and the Water is to be made more or less sharp according to the age of the Party The Decoction of Dog-tooth with Coriander seed prepared is used vulgarly for ordinary drink mixed with Syrup of Lemons or of pomegranats Or you may put Sugar and a little Vinegar in the Decoction While the aforesaid Remedies are used you must give Clysters often the whol time of the Disease first made of sweet things to attract and draw down the VVorms as at first we said which may be made not only of a Decoction of Liquoris Raisons and Figs but also of Chicken-broth and Sugar and Honey of Roses or of Milk if there be no Feaver otherwise it wil be easily Corrupted But if we conjecture that the VVorms are already in the thick Guts because then they can scarcely ascend into thin Guts you may give Clysters to kil them made thus Take of Dog-Tooth Roots one ounce Beets Mallows Pot Mercury and Purslain of each half an handful Coralline one pugil Coriander seeds prepared and Wormseed of each two drams boyl them in a Quart of Water in one Pint of the straining dissolve two ounces of Oyl of Roses Cassia newly drawn six drams Hiera Picra two drams Honey of Violets one ounce make a Clyster If you wil have stronger Take of Gentian Roots one ounce common Wormwood and Southernwood of each one handful the lesser Centaury half an handful Lupâ—nes half an ounce Wormseed two drams make a Decoction In as much of the straining as you think fit dissolve the Oyl of Wormwood one ounce and an half Salt one dram and an half â—â—ake a Clyster which must be repeated and in the last that the Worms may be brough forth after they are killed dâ—ssolve of Benedicta Laxativa and Hiera Picra of each three dramâ— or half an ounce If there be a Flux of the Belly give this following Clyster Take of Tormenâ—l Roots and of Round Buth-wort of each one ounce and and an half Pomegranate Peels and Myrcha ans of each one ounce Pease a smal handful Myrtle berries one dram Red Roses one pugil make a Decoction and dissolve in the straining of Oyl of Mints or of Wormwood one ounce make a Cryster Outwardly may divers Topicks be applied not only those that were mentioned but these following Take of Gentian Roots one ounce Birth-wort Roots six drams Orange Peels one ounce Coloquintida one dram burnt Harts-horn two drams Saffron half a dram make a Pouder which mix with Oyl of Wormwood or Bitter Almonds and with a little Wax make an Vnguent Also common Oyl boyled with the Pulp of Coloquintida is powerful Also Oyl of Wormwood and St. Johns-wort must be applied to the whol Belly morning and evening Take of Oyl of Wormwood Mints and bitter Almonds of each half an ounce the Juyce of Wormwood and Rue of each two ounces Tormentil white Dittany and Zedoary of each half a dram Ox Gall three drams Aloes one scruple Pouder them and with a little Wax make an Oynment Or Take of Coloquintida six drams Pouder it and with an Ox Gall lay it to the Navel by which both the Worms are killed and the belly kept loose Take of Murrh seven drams Mast ch eight ounces Aloes eighteen ounces common Salt one pound bruise them all and Distil them by a Retort with a gentle Fire and great diligence first you will have a Water than an Oyl with which if you anoint the Navel of a Child all putrefaction will be clensed which is in the Mysentery Also you may make a Cataplasm thus Take of the meal of Lupines two ounces Myrrh and Aloes of each two drams Ox Gall as much as is sitting Oyl of Wormwood two ounces make a Cataplasm for the Belly If a Loosness hath Continued long apply this following Cataplasm Take of Oyl of Quinces and Wormwood of each one ounce the Juyce of Purslain extracted with Vinegar one ounce and an half Peaseflowr an ounce Lupine flowr half an ounce Red Coral and burnt Harts-horn of each three drams mix them together with as much Turpentine as wil make a Cataplasm A Cataplasm also made of only Hiera Picra is most powerful Somtimes you may use Fomentations when there is a great stretching and puffing up of the Belly Made thus Take of Wormwood Southernwood Tansie Scordium Mallows and Violets of each one handful beaten Lupines half an ounce Centaury one pugil boyl them in Vinegar and Water and Foment the whol Belly hot therewith very often Finally For Flat VVorms and Ascarides or Ars-Worms Clysters made of bitter things are good to which you may ad the Purging things aforesaid while the filth of which they breed be purged away Chap. 10 Of the Immoderate Flux of the Hoemorrhoids ALthough the moderate Flux of the Hoemorrhoids be healthful and preserveth a man from many and grievous Diseases as Hippocrates taught in epidemii and in his Aphorisms as from a Pleurisie Peripneumonia or Inflamation of the Lungs nephritis or the Stone in the Kidneys Madness Melancholly and innumerable other Yet the immoderate Flux is most dangerous and brings other pernicious Diseases as Weakness of the whol Body Coolness of the Bowels and especially of the Liver an Atrophy or want of nourishment an evil Habit and Dropsie by the loss of Natural Heat by spending too much Blood which is the treasure of Life and the cheerisher of the whol Body And this Immoderate Flux hath the same Causes which use to provoke other sorts of Bleeding namely Blood offending in Quantity or Quality when it offendeth in Quantity and is brought in great plenty to the Haemorrhoid Veins it doth violently dilate them and open their Orifices by the strength of the Expulsive Faculty but somtimes too much Blood coming thither doth oppress the Retentive Faculty Hence it comes that she being Defective in her duty there is a great Flux which must be restrained by art But while Blood off ends in Quality as sharpness it stirs up the Expulsive Faculty to cast forth by those Veins not only the unprofitable but profitable Blood the Blood Causing this Flux is made sharper by a mixture of Choller or sharp Water This immoderate Flux is known by the loss of Strength and a Sense of Weakness coming from a long Flux and loss of Blood As also from an evil yellowish colour of the whol Body as if it were the Jaundice If the Disease come from Quantity of Blood there went before Causes of increase of Blood and the Patient bears it wel in the beginning and is more cheerful but afterwards the Flux continuing he grows weak and dejected But if it comes from sharpness and thinness of the Blood there went before Causes that breed cholet or sharp Water the body is of a Chollerick Constitution and burnt the blood floweth
or thrice in a day Also divers Juleps to cool the Liver use to be prescribed of which the Forms following may be Examples Take of Sorrel Succory Dog-tooth and Dock Roots of each one ounce Endive Succory Sorrel and Maiden-hair of each one handful Succory Bugloss and Borrage Flowers of each one pugil boyl them to a pint In the straining dissolve Syrup of Lemmons three ounces â—â—ake a cleer Julep for three Doses to be taken twice in a day If you will make it cooler add a little Spirit of Sulphur or Vitriol to every Dose to make it sharp And to make it colder yet add a dram of Sal prunellae VVhen Herbs are wanting you may make a Julep of stilled VVaters thus Take of Endive Succory and Sorrel Water of each three ounces Syrup of Lemmons and Pomegrantes of each one ounce and an half Make a Julep for three Doses You may also make Juleps that are good and pleasant of Juyces an Example of all which may be this that followeth Take of the Juyce of sweet Apples newly drawn and taken from the faeces four ounces the juyce of Lemmons three ounces Rose Water two ounces the Juyce of Pomegranates one ounce white Sugar half a pound Make a Julep for three Doses Instead of Juleps Physick Broth may be made for the dainty folk of the Herbs aforesaid boyled with a Chicken To which you may add one dram of Lapis Prunellae that it may cool the better or make it sharp with some drops of Spirit of Vitriol Blood of Succory and Germander brought into a Syrup as followeth are good to clense the blood open obstructions and cool the Liver Take of Succory Water made in Balneo Mariae as much as you please the Leaves of Succory two parts Germander one part Steep them together and digest them in Balneo Mariae three daies then strain them and add to the Liquor fresh Succory and Germander then digest them again three daies then strain them and let this way of Infusion be repeated eight or ten times The Liquor will turn red like blood to which you must put as much Sugar and make it into a Syrup Besides You may make Opiates and Tablets to cool the Liver and strengthen it thus Take of Conserve of the Flowers of Succory Violets Water-lillies and Bugloss of each one ounce the pouder of the three Sanders one dram and an half With Syrup of Lemmons make an Opiate to be taken often Take of the Lozenges of the three Sanders with a double quantity of Rhubarb four ounces Let him take every morning two hours before meat one of the weight of two drams Conserve of Hips of the Canker Rose well clensed and boyled with Sugar into the Form of a Marmalade doth powerfully cool the Liver if the Patient taketh it instead of the former Opiate The Tincture of Coral made with Juyce of Lemmons doth cool and strenthen the Liver if you give two spoonfuls thereof every day or twice in a week at the least A Bath of warm VVater used often doth more powerfully and profitably cool and moisten the Body than any other Remedy especially in lean folk VVhey is good for the same if it be used fifteen daies or more together It is made best by boyling the Milk and powring in a little Vinegar or Juyce of Lemmons and afterwards straining it Amatus Lusitanus prepareth it thus Take of Whey one pint very sharp Syrup of Vinegar three ounces Mix them and after a little boyling let it be taken as Mineral Waters twice or thrice and then walk upon it The Ancients took it five pints at a time Quercetan prepareth it thus Take of Whey two pints Juyce of Lemmons two ounces the new made Juyce of sweet Apples three ounces Clarifie them all together at the fire with the white of an Egg and put to them a little Sugar When it is strained take six or eight ounces every morning for fifteen or twenty daies together And if the Body be lean and consumed you may give Milk alone especially if it be of an Ass for many daies The Decoction of China prepared with the Juyce of Lemmons is also good for this purpose especially if there be Obstructions It is made thus Take of China Roots sliced one ounce Spring Water six pints the Juyce of Lemmons three ounces Steep them twenty four hours then boyl them till the third part be consumed then strain them through a Hippocras Bag and let him take six ounces thereof morning and evening and mix it with Wine when he pleaseth Lastly Mineral Waters that have Vitriol are good because they open and cool If the Disease continue after all this open the Hemorrhoids with Hors-leeches once or twice in a month And also use outwardly Epithems and cooling Oyntments to the Region of the Liver Make Epithems of Sorrel Succory Rose or Plantane Water or of Vinegar and Camphire to which for the strengthening of the part add a little Pouder of the three Sanders The Oyntments are Galens cooling Oyntment and the Cerat of Sanders Chap. 2. Of the Inflamation Imposthume and Vlcer of the Liver THe Inflamation of the Liver is a hot Tumor arising from Blood which is out of its Vessels and sent into the substance thereof And as the Blood is either pure or mixed with other Humors so doth it produce divers kinds of Tumors For if it be pure it makes a true Phlegmon but if it be mixed with Choller Flegm or Melancholly it produceth an Erysipelous Oedematous or Schirrous Phlegmon And if the said Humors predominate over the Blood there is a Phlegmonous Erysipelas oedema and schirrus There is another difference in respect of the place in which the Inflamation is it is either in the gibbous part or Cavity of the Liver Which is thus to be understood according to Galen 5. de locis aff cap. 7. An Inflamation cannot be in either part of the Liver distinct so that the other shal be free because the flesh in the part is contained in all parts and therefore when one part suffereth the other also suffereth in some measure Moreover That which Galen taught 13. Meth. Cap. 14. is worth observation When the hollow part of the Liver is offended it is necessary that the Inflamation reach to the Veins of the Mesentery which come from the Gate Vein And Experience teacheth that they who have died of this Inflamation have had not only an Imposthume in the Liver but also in the Mesentery VVe must also observe from Hippocrates Aph. 45. Sect. 7. That an Imposthume somtimes is only in the Membrane which covereth the Liver and somtimes in the substance or Parenchyma of it For saith he they who have a hot Liver suppurated if pure white quittor or matter flow from thence do escape for it is contained in the Tunicle But if it be like Lees of Oyl they die Galen in his Comment saith thus They who have matter in the Tunicle of their Liver and the substance not
suffering do all escape but they who are corrupted in the very fleshy substance of the Liver die and there is good reason to be given why they do The immediate Causes of this Disease are too much Blood or the boyling heat thinness and sharpness of the same or the motion and stirring of it in the Veins from whence by the aforesaid Causes it is easily thrown into those parts which are most fit to receive it The Liver is most sit to receive blood abounding when it is too hot or hath any pain for heat and pain do attract or if it have any Natural or adventitious weakness For all parts that are burdened with any Humor do disburden themselves upon the weakest Among these Causes you may reckon the obstruction of the Liver by which the thick Humors are retained and are inflamed by a Preternatural heat The External Causes may be many as too much heat of the body from immoderate Excercise the Sun or fire but Meats sharp and spiced immoderate taking of two much strong Wine too much Letchery Fear a Stroak or Fall upon the Liver side also hot Medicines applyed without reason thereto as Fabricius Hildanus reports of one who having a cold distemper of the Stomach had Emplaisters and hot Oyntments of Pepper Cardamons Oyl of Cloves and the like applyed to him by which means the Inflamation of the Liver was encreased for the Liver covereth the Stomach and the Medicines which are applied to the Stomach do first touch the Liver with their Vertue Cupping Glasses applied to the Region of the Liver wil do the same of which Fabricius Hildanus brings an Example concerning one who bled at the Nose to whom he applied great Cupping Glasses upon the Region of the Liver which stayed the blood but a great Inflamation of the Liver followed The Signs of this Disease are many according to Galen and other Authors which we shal lay down severally because many errors are committed in the discovery thereof The First Sign is Heaviness in the right Hypochondrion which comes from the Repletion and Distention of the Liver because being of its own nature large and very compact if it be filled with much Humor it wil grow very heavy which the Patient apprehends when he turâ—eth from one side to the other The Second Sign is Pain which somtimes is perceived in one place somtimes in two or three in the Region of the Liver there is a weighty Pain somtimes it is very extending in the lower Ribs when the Inflamation reacheth to the Ligaments of the Liver which are fastned to the Ribs somtimes the Pain is communicated to the Throat by the continuation of the Membranes which have consent with the Membrane which covers the Liver The Third Sign is a Feaver which is commonly at night and is more or less sharp according to the Humor offending for in a Chollerick Inflamation it is most burning but in a Flegmatick gentle and in a Sanguine Inflamation moderate between both The Fourth Sign is Difficulty of Breathing because the Liver is tyed to the Diaphragma or Midriff and therefore by its weight forceth it downwards as also presseth it with greatness and swelling so that both wayes the free motion of the Diaphragma is hindered The aforesaid Signs are Universal or proper to declare the Disease there are many other equivocal Signs which also do much avail to the knowledge of the Disease As a dry Cough a hard Pulse unequal and like a Saw the colour of the Tongue first red and then black great Loathing of meat unquenchable Thirst vomiting of Choller and somtimes of Flegm a pale Colour of the whol Body tending to the Jaundice yellowish red and flaming Urin which is sharp when the Patient lieth with his face upwards he is more at ease than when he lieth on either side because when he lieth upon the right side the Liver is pressed upon by the Stomach when he lieth upon the left it is extended by its own weight hanging down the Belly is bound by reason of the Heat which consumeth al the moisture of the Chylus matter Somtimes it is loose namely when a great weakness of the Liver is joyned with the inflamation for then the Excrements are sent forth moist like the Water wherein Flesh hath been washed The Signs of the Differences are these If the Gibbous or Convex part of the Liver be affected there is a Tumor to be felt in the right Hypochondrion and it makes the figure of the Liver like a half Moon there is great pain in the Breathing and it reacheth to the right side of the Throat so that it seemeth to be pulled down There is a greater Cough and Difficulty of Breathing and greater weight But if the Hollow part of the Liver be affected the Tumor is not so easily felt but because as I have said one part of the Liver cannot be inflamed but the other must also suffer when the part is touched and pressed down some pain is perceived Moreover Because this part lieth upon the Stomach there is a greater loathing of Meat vomiting thirst and loosness of the Belly from the food corrupted in the Stomach which is distempered by the neerness of the Liver to it The Signs of the Causes are these If the Inflamation come from pure Blood there is either a perfect Red or duskish colour in the face the Pulse is great soft and waterish the Urin is red and thick the Body is full of flesh there is sweetness in the mouth the party is yong and hath fed high If Choller predominate the Face is yellow the Pulse swift hard and unequal the Urin thin and very yellow somtimes flaming the Body is lean and thin the Eyes hollow the Mouth bitter there is vomiting of Choller and Causes that bred Choller went afore But because the Inflamation of the Muscles of the Abdomen or Belly is very like the Inflamation of the Liver there we must distinguish them by their proper Signs In the Inflamation of the Muscles of the Abdomen the skin is so extended that if you lay hold of it you cannot move it the humors of the streight Muscles are long and over the whol belly comprehending the Navel and the inflamation of other Muscles is in the form of them On the contrary the Inflamation of the Liver is in the shape of the part affected and if you lay hold on the Muscles they yeild and the Tumor is somwhat deeper Moreover The color of the whol Body is of much concernment for the distinguishing of these Diseases for in the Inflamation of the Muscles it is fresh and almost in its Natural condition but in the Inflamation of the Liver it is pale yellow and like the Jaundice There is a famous Example of this in Galen 5. de loc aff cap. 7. of one Stesianus who when he was judged by other Physitians to have an Imposthume in the Liver Galen being sent for at the first view of his face
hardness there which being touched pained him the story whereof is at larger related in our 81. Observation Cent. 3. And in the knowledg of the Scurvy we observed which none that ever wrote thereof did That in all Scurvyes there is a Tumor of the Pancreas because you may find a straightness oppression and weight in the Region of the Stomach And this Sign is laid down for a cleer one by Eugalenus Sennertus and others There are some stories in Authors of Imposthumes found in the Pancreas which were not discovered while the Patients lived But by the Symptomes they had they may be partly known as some like those of the Scirrhus to which you may joyn these a lingering Feaver which is the companion of almost all inward Imposthumes much watching short sleep and after it pain swooning and cold sweats The Cure of the Obstruction Scirrhus and Imposthume of the Pancreas is the same with those of the Liver Spleen and Mesentery There you may fetch Medicines from the Chapters concerning them Chap. 5. Of the Diseases of the Caul or Omentum BEcause the Omentum is a soft part and fat fit by reason of its loosness to receive Humors that come from other parts It is subject to divers Diseases as the Mesentery and Pancreas And these are not described by Authors because they can scare be seen in living men but only by Anatomy as you may see in some Stories in our Observations Vesalius saith that he saw in a Body opened an Omentum so swoln that is weighed five pounds when in its Natural condition it would weigh scare half a pound Roussetus in lib. de partu Caesareo reports that in Paris there was found a great Imposthume in the Omentum Riolanus in his Anthropographia saith that he saw an Omentum in a Noble Youth of ninteen yeers of age so full of kernels by which it received abundance of filthy Humors the Mesentery and Pancreas being imposthumated and the Spleen almost consumed We also saw a Scirrhus Omentum in a Fryar of Montpelior all over the lower part of the Belly and four fingers thick it was of the color of the Spleen so that it was probable that it was caused by Melancholly from thence because he was of a Melanchollick temper and the passage is very open by the branches of the Spleen Veins to the Omentum by which branches as Hippocrates teacheth the water in a Dropsie is brought from the Spleen to the Omentum from which by degrees it distils into the Cavity of the Abdomen But because the swelling of the Omentum can by no means be distinguished from that of the Mesentery therefore we cannot appoint a distinct knowledg It is true that the Tumors of the Omentum are easier known at the first touch because it is immediately under the Peritonaeum but the Mesentery is so united to it and the Muscles of the lower Belly that they are sent forth by suppuration through the Navel or other external parts Yet this Difficulty of Knowledg doth not hinder the Cure because the same Medicines serve for all Tumors that are alike in all the parts of the belly but the Cure is worse to be made in the Omentum because it hath not fit way as other parts have for the purging of its self The End of the Thirteenth Book THE FOURTEENTH BOOK OF THE PRACTICE OF PHYSICK Of the Diseases of the Reins and Bladder The PREFACE THE Reins and Bladder have divers and all sorts of Diseases both Similary Organical and Common from which divers Symptomes arise both in the actions hurt and also in the fault of the Evacuations We will comprehend the chief in Nine Chapters The First shall be of the Stone in the Kidneys and the pain of the Reins called Dolor Nephriticus The Second of the Stone in the Bladder The Third of the Inflamation of the Reins and Bladder The Fourth of Pissing of Blood The Fifth of the Vlcer of the Reins and Bladder The Sixth of Diabetes or Involuntary pissing The Seventh of the not holding of the Water The Eighth of Ischuria or stoppage of the Water and Strangury The Ninth of Dysuria or scattering of the Vrine Chap. 1. Of the Stone in the Kidneyes and Pain in the Reins called Dolor Nephriticus THat is called Dolor Nephriticus which doth afflict the Ureters or Reins the common people call it the Stone-Chollick because of the great affinity it hath with the Chollick so that it is hard to distinguish them as you shall see in the Diagnostick or Signs The Cause of this Pain in manifold but chiefly the stone or thick flegm A stone continuing in the Reins causeth either little or no pain because the substance of the Reins hath little Sence but if it fall upon the Head of the Ureters or get into the passage and distend it and cannot be brought to the Bladder by reason of its greatness then it causeth grievous pain But gross flegm fastened upon the Ureters doth distend them and causeth the Nephritical pain The less ordinary Causes are thick blood fixed in the Ureters or thick Matter coming from the Kidneyes or other parts somtimes wind gets into the Cavity and causeth great pain There are many Controversies in Authors about the stone which is the chief and usual cause of the pain of the Reins which we shall not accurately declare but only touch those things which are necessary to declare its Nature and Causes And first they doubt under what kind of Disease they should reckon the stone Galen placeth it among the Diseases in number of those things which are wholly besides Nature as also the Worms For though a Disease in number properly doth respect living parts whose number being encreased or diminished maketh an organical Disease yet those things which are preternaturally added to the number of those things of which the Body is compounded ought to be referred to the Diseases in number so that somtimes the bare qualities are somtimes referred to Diseases in number when they do immediately hurt the actions as yellowness in the Eye of one that hath the Jaundice a noise in the Ears and a bitter tast upon the Tongue Oftentimes the stone is reckoned among Causes of Diseases as it breeds Obstruction or Distention It may also be placed among the Symptomes those that are voided or retained for if it be retained in the Kidneys Reins or Bladder when it should be voided it is to be reckoned among those things that are preternaturally retained but when it is voided it is to be reckoned among those that are voided wholly against Nature But there is more difficulty about the cause of the stone both material and efficient Galen and his posterity thought that flegm was the material cause of the stone which is thick and slimy fit to be hardened and as they say of late faeculent slimy and Tartarous and heat the efficient which drieth and hardeneth that matter and at length turneth it into a stone Which Doctrine
joyned with Earth like themselves by the force of the efficient cause they may be stones So we see in Wines turned to Tartar but Tartar calcined goes all into Salt which shews that it is chiefly made of Salt So in Urines that have much Salt especially in those which have slimy matter we see a tartarous Matter cleaving to the glass This Salt Matter which is mixed with the Urine comes from Meat and Drink so affected and they are cast forth in a sound Body nor are they retained in the Reins when the efficient Cause is absent We have called the efficient Cause Spiritum Lapidisicum or a Spirit that makes a stone Fernelius calls it a stony disposition which is in the Reins commonly Haereditarily But we like the foremost Title best For first some have stones which have them not Haereditarily if they eat or drink things that breed them because in them there is both the Material and Efficient Cause therefore the Hermets impute the Efficient Cause of stones to their proper seeds which in a Matter rightly disposed produce their form Moreover Many Histories shew that Stones come from a Stone making Spirit of Men Beasts and other things turned into Stones by a Breath or Spirit out of the Earth So in Aventinus lib. 7. Annal. Bavar an 1343. that more than fifty Country men and their Cows were turned into Stones And so saies Ortellius in his Description of Russia of whol Heards of Cattel So also Camerarius reports of a South wind that bloweth some times of the yeer in the Province of Chilo in Armenia by the blasts whereof whol Troops of Horses are suddenly turned into Statues of Stone and stand in the same rank and file in which they were This Stone making Spirit is not only in the Reins of those which have this Disease but also in the Juyce of those things that are eaten and drunk separated from them so that somtimes both come together Hence it is that some that eat but any Meats that incline to the breeding of the stone do presently produce it because there is a Stone-breeding disposition or Stone-making Spirit in their Reins But if their Reins be free from this Spirit such meat will not breed stones because their stone-making force is not strong enough without the assistance of the Reins to convert that matter into stone On the Contrary if the stone-making power be greater in the meats that are taken and they are often eaten stones will be bred although the Kidneys have no such disposition or stone-making Spirit So we see in divers places where the Water or Wine are full of stone-making juyce the greatest part of the Inhabitants are subject to the stone as we may see in Ovid concerning the Thracians in these Verses The Thracian Waters all things Marble make Their Guts turn Stone that inwardly them take And contrary If there be that stone-making vertue in the Kidneys it makes stones of any nourishment though never so wholsom So about three yeers since I saw one who for three or four months voided more than twelve little stones every day by Urine when all that while he kept his bed very sick and fed only upon Broth and Panadoes The Antecedent and Primary Causes either respect the supply of Matter for the stone or the constitution of the Reins by reason whereof the stones do more easily grow The Stomach Liver Spleen and Reins do much cause the breeding and heaping up of Matter for the stone chiefly the Stomach if it do not wel concoct there is a crude Chyle brought to the Liver and from thence impure and Earthy Juyces are sent with the Serum or Water into the Reins A hot liver doth bake the Chylous Matter and makes it fit to breed a stone as also being too cold it makes crude blood most fit for the same purpose A Spleen weak or stopped or otherwise disturbed doth not sufficiently purge the drossie part of the blood but sends part of it to the Reins which will more easily be turned into a stone And lastly the Reins besides their conjunct cause which is a stony disposition are an Antecedent Cause in two respects namely in respect of their Temper and of their Form In regard of their hot Temper they more violently draw the Stone-making Matter and thicken it more but in respect of their Form they are an Antecedent Cause if the Emulgent Veins are more loose so that that thick and Tartarous Matter may be more easily received into the Reins or if the Ureters and those Vessels that send the serous Matter to them be too narrow so that the thick Matter hath not a free passage but is retained in the Reins Thick and slimy Nourishment doth chiefly afford Matter for the Stone such as are full of Salt as Beef Pork Hairs Geese or things dried in the Smoak or poudered as Salt-fish Shel-fish Eeles Pulse Chees and all Milk meats hard Eggs Chesnuts Pears Quinces Medlars unleavened Bread and Rice thick Wine sharp or black or new Wine not purged standing Waters and such as are full of stone-breeding Juyce To these add very hot Meats as Pepper Ginger Garlick Onions old strong Wine which makes the Liver and Reins too hot too strong Diureticks which carry the Matter that will cause the Disease too violently to the Reins thick Garments Down Beds Baths inordinate Lechery which is a great Enemy to the Reins violent Exercue especially after meat too much feeding or long fasting great anger and other passions The Signs of the Stone taken by themselves are equivocal and common to other Diseases but if you consider them all together you may have certain Knowledg by them The First Sign is a fixed pain about the Loyns somtimes heavy when the Stone is fastened to the substance which being of a dull sence hath a weighty pain but as often as the Stone gets into the Head of the Ureters then it causeth a sharp and pricking pain and this is called the Nephritical pain or pain of the Reins and it continueth while the stone is there neither will it cease to torment the Patient till the stone get into the Cavity of the Bladder or turn back into the hollow of the Kidneyes The Second Sign is bloody Urine which comes from the opening or corrosion of the Veins which are dispersed into the substance of the Reins which comes from the rubbing of the Stone that sticks in the substance but if there be but little blood voided being mixed with Urine it looseth its color so that the Urine looks like a Lye This Sign is not alwaies but somtimes depends upon other causes But when it doth appear it is one of the chief which distinguisheth the Stone from the Chollick It useth to be caused by riding much walking and other violent exercise for then the stone if it be rough and snaggy being removed from its place doth cut and tear the tender Flesh of the Kidneyes The Third Sign is thin Urine
and Juyce of Knot-grass or Purslain to which add if you please a new Yolk of an Egg. Let these be applied cold upon a Cloth If the pain be very violent it is not amiss in these Epithems and Liniments to mix a little Opium or Saffron Also you may make a Cataplasm of Barley Meal with Juyce of Endive Purslain and Nightshade with Oyl of Roses and Populeon But this must be often changed lest it grow hot Three things are to be diligently observed First That you use not Coolers too long lest the Matter be kept from breathing forth and the Tumor grow hard or scirrhus Secondly In the Inflamation of the Bladder you must use less astringents and coolers lest you stop the Urine which Symptome alone is very usual and dangerous in this case Thirdly Cataplasms in the Inflamation of the Bladder are less necessary than Oyntments and Liniments because they burden the part so that it is more hard to dilate it self After you have used Coolers a short space and often bleeding when the defluxion is somwhat stopped you must use Softeners and Dissolvers such are Fomentations of the Decoction of Marsh-mallow Roots Mallows Violets Pellitory Lin-seed Foenugreek Mallows Cotton-weed with Mehlot Chamomel Rosemary flowers and Rose Leaves to strengthen the part Then apply a Liniment of Oyl of Lillies with a little Oyl of Chamomel Among the Dissolvers and Anodines together there is none better than the Cataplasm made of Crums of Bread made thus Take of white Bread Crums one pound boyl it in Goats Milk to a Pultiss then add three Yolks of Eggs four ounces of Oyl of Roses half a scruple of Saffron make a Cataplasm change it often You may add a little Opium and Campbire if the pain be very great In the Inflamation of the Bladder if you fear a Gangrene you may make a strengthening Cataplasm of Bean Meal and Orobus Meal or Lupines boyled in Wine When the greatest part of the Inflamation is abated then you must use Decoctions and Liniments which do only dissolve that the reliques may be consumed In the whol time of the Cure you must have a special care of great Symptomes as the Feaver pain watching stoppage of Urine and belly of the stomach and other parts And as for the Feaver pain and watchings it is most certain that the things mentioned to evacuate and alter do much for the mitigation of them But to them you may add Epithems Liniments and Rose Vinegar such as use to be applied to the Region of the Liver Heart and Brain and in time of necessity Narcoticks both by mouth and Clyster There are special Anodine Suppositories to take away the pain of the Bladder or knots made with Yolks of Eggs and a little Opium and juyce of Henbane or the like If the Strangury or stoppage of Urine follow this Inflamation you must cure them with Medicines taken from their proper Chapters If the Inflamation of the Reins cannot be cured by what hath been prescribed but it tendeth to suppuration which you may know by the encrease of the feaver pain and other Symptomes as also by trembling and vomiting by greater weight about the part especially when the Patient lieth on his sound side you must help Nature with Cataplasms of Roots and mollifying Herbs Lineseed Chamomel flowers To which being boyled and beaten you must add Meal Butter Grease or Oyls of the same vertues With which if the Imposthume break not presently and come forth by Urine the Matter wil get into the Cavity of the Abdomen whence wil proceed either sudden death or a Hectick Feaver Somtimes the Tumor appears outwardly and then you must open it either with a Potential Cautery or an Incision Knife Somtimes those Tumors grow hard and scirrhus when the Feaver is gone and the pain remains with a greater sence of weight and a kind of numbness of the subject parts And this is commonly incurable and brings an evil habit or a Dropsie Yet you may try with mollifying cutting and digesting Medicines such as were mentioned in the Scirrhus of the Liver Chap. 4. Of Pissing of Blood BLood may come from divers parts to the passages of the Urine and be mixed with it and make it look like blood but because this happeneth but seldom and we here treat only of the Diseases of the Reins and Bladder we shal speak only of that bloody Urine which is made so from the defect of the Reins and Bladder Blood flows from these parts as from al the rest as we said in Haemorrhagy Haemoptysis vomiting of blood and Haemorrhoids either by Anastomosis or opening of the mouths of the Veins by Rixis or Rupture by Diabrosis or Corrosion and seldom by Diapedesis or Rarefaction The usual causes are much or sharp blood or a stone fastened in the Reins the Veins are often broken with plenty of blood but Corrosion or Anastomosis or opening comes from sharpness also corrosion or tearing may come from the stone when being fixed in the Reins or Kidneys through violent riding or other exercise it is moved so that it hurts the parts with its roughness Also other causes may break the Vessels besides repletion as a fal or stroak lifting carrying vehement motion and the like That Blood which is brought forth by Urine from Plethory is not alwaies a Disease or Symptome but somtimes for the good of the Patient when Nature laies that which is burdensom unto her by that means as Aretâ—us reports that some piss blood at several times and when they do not they have the Head-ach mists before their Eyes and giddiness Also the Bladder may bleed if it be wounded by a stone or corroded by a sharp humor but it is but little because it is membranous and without blood but if the Sphincter Muscle be hurt or the passage of the Yard there wil be much blood as in extraordinary Venery is seen often especially when the Prostates are inflamed by a Gonorrhoea or running of the Reins The Signs of this Disease are from the Kind of it from the Part affected and from the Cause The Kind of this Disease is apparent to the Sences for it is easie to know when blood is mixed with Urine for it is like the washings of flesh with smal clodders at the bottom somtimes the Urine is like a Lye when it staies too long it the Bladder by which means it grows black The place of the pain shews the part affected for if it be in the Loyns it signifies that the Kidneys are affected but if it be in the belly below the Navel the bladder is the part suffering Moreover if the blood comes from the Reins it is mixed perfectly with the Urine but if from the bladder it is not mixed Hippocrates sheweth this Sign in two Aphorisms namely in Aph. 78. Sect. 4. They who suddenly piss blood without force have a Vein broken in their Reins and Aph. 80. of the same Section If men piss blood or there be clots
or drops in the Vrine and pain in the lower part of the Belly the Pecten or Perinaeum these have their disease from the Bladder If it come from the stone the signs thereof which are mentioned in its proper Chapter wil appear if they do not you must conclude that it comes from too much blood or sharpness thereof The abundance of blood wil be known by the signs of repletion and sharpness by the signs of Choller or Melancholly predominating also salt flegm in the Urine wil make a great stoppage of Urine and pissing of blood this hapneth often in old men that are very apt to be troubled with salt flegm And the pissing of blood from sharp humors is distinguished from that in the stone that in which there were first pains of the Reins and voiding of stones but not in the other whose Urine is cleer with no strange things therein And the Disease proceeds not only from immoderate Exercise which is ordinary to both causes but also from the passions of the mind when it comes from sharp humors which are much stirred up by passions so that they who are subject to this Disease after Anger and Sadness or great disturbance of the mind use commonly to piss blood As for the Prognostick A plentiful and often pissing of blood is very dangerous for it wil bring either a Consumption or a Dropsie And if it continue long it may cause an Ulcer in that part from whence the blood floweth if much blood flow at one time it wil cause a great stoppage of Urine in the Bladder or some other evil Symptomes as it encreaseth therein and grows evil qualified The Cure of this Disease is divers according to the variety of the cause And first if it come from blood abounding or from sharpness it must be first cured with Phlebotomy on the same side often and little for the better revulsion And by Cupping Friction and Ligatures in the upper parts and if blood flow violently Cupping-glasses must be applied to the Hypochondria For derivation let the Vein of the Ancle be opened and the Hemorrhoids When watery Chollerick Humors cause it let them be purged with Medicines mentioned in spitting of blood often repeated at distance To which also you may add these following at your discretion Take of the Pouder of torrefied Rhubarb one dram prepared Coral half a scruple Goats Whey or Plantane Water three ounces Make a Potion Take of Cassia newly drawn half an ounce the Pulp of Tamarinds six drams Eastern Bolearmenick half a scruple With Sugar make a Bolus After due Evacuations and Revulsions or at that time if need require you may use things to stop blood and knit the Veins And these are not presently to be used at the first left being stopped too suddenly it should grow cloddy in some part For this purpose the Juyce of Plantane newly drawn is much commended given four or five ounces in a morning and evening which is good for any kind of bleeding But if you fear it will cool the Stomach too much you may boyl it a little with Sugar Sheeps Milk is much commended by Forestus Lib. 24. Observ 13. Often saith he I have cured pissing of blood with only Sheeps Milk six ounces and one dram of Bole-armenick The same is an Experience of Gatinaria who also commands that none do sleep presently or exercise after it Also Hollerius and Duretus from Avicen and Hippocrates commend the same Also Decoctions of Knot-grass Horstail Purslain and Bramble tops are good for this adding the third part of the Juyce of sharp Pomegranates or Quinces Or to allay the heat of the Blood let him take the Apozeme following many times morning and evening Take of Lettice Purslain Plantane and Comphry of each one handful all the cold seeds of each one dram Jujubes three pair Liquoris half an ounce Water-lillies Violets and Roses of each one pugil boyl them to a pint and an half In the straining dissolve of Gum Traganth one dram and an half Syrup of Violets and dried Roses of each one ounce and an half Lapis prunellae half an ounce the Troches of Winter-cherries without Opium half a dram Make a Julep for four Doses To thicken and stop the blood more put one ounce of Syrup of Poppies thereto Also you may give the Pouders that stop blood as of red Coral Blood-stone Bole-armenick fealed Earth either with the Apozeme or with Rose or Plantane Water If the Disease continue give this Opiate Take of Conserve of Roses and Comphry Roots of each two ounces Sealed Earth Bole-armenick Sanguis Draconis red Coral Blood-stone and Troches of Amber of each one dram Hypocystis or Conserve of Sloes Kermes berries and Plantane seeds of each one scruple with Syrup of Poppies and Myrtles of each equal parts make an Opiate of which let him take the bigness of a Chesnut morning and evening drinking after a little Plantane Water If it yet continue it is good to give at distance the Decoction of Myrobalans in Whey or the like Hollerius affirms and Duâ—etus that the Troches of Gordonius are the best for it Christopher Vega commends the Troches of Amber given with Plantane Water and saith that he cured this Disease with giving them only once at night For ordinary Drink give the Infusion of Mastich wood in Wine made thus Take of sliced Mastich wood one ounce spring Water four ounces Infuse them in Balneo Mariae very warm in a close Vessel Keep the straining for your use But because clods of blood are often retained in the bladder which beget grievous Symptomes give warm Water and Vinegar or Mallow Water and sharp Vinegar warm Let the Vinegar be so little that it is scarce tasted Apply Topicks to the Loyns that cool and astringe Take of Snakeweed and Comphry Roots of each one ounce Plantane Purslain Hors-tail Knot-grass and Sbepheards-purse of each one handful Pomegranate peels half an ounce Sumach and Myrtle berries and Hypocystis of each two drams Acron Cups red and yellow Sanders of each one dram red Roses three pugils boyl them in Smiths Water and a little Vinegar With the straining let the Reins be fomented hot Of the same Decoction you may make a Bath to sit in adding more simples Take of Vnguentum Comitissae and refrigerans Galeni of each one ounce and an half wash it with Oxycrate and anoint the Loyns therewith Or to bind more Take of the Juyce of Plantane and Blood-wort of each two ounces Vinegar half an ounce Oyl Olive six ounces boyl them till the Juyces be consumed then add of Sanguis Draconis Mastich and Pomegranate peels of each two drams Camphire half a dram Vnguentum Comitissae four drams Wax as much as will make a Liniment put a little Vinegar to it when you use it Also a Plate of Lead ful of holes worn about the Reins is good You must guard the Liver when it comes from sharp Humors with Epithems and Oyntments When it comes from the
half an ounce beat them in a stone Morter powring on by degrees the Decoction of Barley Liquoris Purslain and Mallow tops one pint and an half make an Emulsion for three Doses adding to each Dose one ounce of the Syrup of Violets and one dram of Lapis prunellae and if the pain be great add a little Syrup of Poppies and one dram of Gum Arabick in pouder or the Syrup of Marsh-mallows according to Fernelius or of Mucilages You may make Broths thus Take of Marsh-mallow Roots half an ounce Mallows one handful Liquoris half an ounce Quince seeds one dram boyl them with Chicken Broth make it often The Whey of Goats Milk is very good given in great draughts as we said in the hot distemper of the Liver And if there be no Feaver you may with more profit give Milk by it self because it doth not only clense but allay pain and temper the sharpness of the Humors In an old Disease it is good to give Mineral Waters that cool especially Allum Iron and Vitriol Waters for by Experience we find that they have cured this Disease when it hath been inveterate Instead of the aforesaid Juleps the simple Decoction of Mallows with Syrup of Violets may be used by which Forestus saith Obs 4. Lib. 25. he cured a grievous Dysury many times and that there is nothing like it Forestus also Obs 3. of the same Book that an Apothecary cured himself and others with the white of an Egg beaten with Rose Water He also reports that a woman cured an old man of Delf with Chamomel flowers boyled in Milk Amatus Lusitanus 58. Curat Cent. 6. saith that a Woman was cured when all means failed with Conserve of Mallow flowers she took one ounce morning and evening and drunk after it three ounces of Mallows Water And Curat 59. he saith that one who had a Dysury after he had voided a stone was cured by the same in three daies The Conserve of Marsh-mallow slowers is of the same or greater Vertue Some commend the Troches of Winter Cherries given with convenient Liquor the quantity of a dram because they are Diuretick abate sharpness and pain When the pain is very great it is good to put the Yard when you piss into warm Milk or a Decoction of Mallows and white Poppy seeds or warm Water only A smal Decoction of Mallows with Syrup of Violets and Conserve of Roses is good for ordinary Drink You may also make Injections into the passage of the Bladder of Milk or of an Emulsion of cold Seeds Plantane Water or Whey with the Water of a white of an Egg beaten or one scruple of the Troches of Winter Cherries External Medicines are also good as Baths half Baths Fomentations to the Privities made of cool Herbs Liniments of Oyl of Roses Water Lillies Unguent of Roses Galens cooling Oyntment Populeon with Camphire and the Mucilage of Fleabane made with Plantane Water Also you must apply Epithems that cool to the Reins and Liver and the aforesaid Liniments and the things mentioned formerly for the same When sharp and chollerick Humors flow from the Liver you may derive by an Issue in the right Leg or by opening the Hemorrhoids which is very good in al diseases of the Reins and Bladder according to that of Hippocrates Aph. 11. Sect. 6. because from the Spleen Vein called Ramus Splenicus there are branches go to the Reins Bladder and Hemorrhoids The End of the Fourteenth Book THE FIFTEENTH BOOK OF THE PRACTICE OF PHYSICK Of WOMENS Diseases The PREFACE THose are called Womens Diseases which are proper to them only and come from the defect of that part which is distinct in them from men viz. the Womb of which Democritus in his Letter to Hippocrates said that it was the cause of six hundred miseries and innumerable Calamities But we to lay down those Diseases of the Womb which are most usual will divide them thus Some come from the Vessels and some from the Body of the Womb or Cavity others are in respect of its chief and noblest act of Generation From the distemper of the Vessels of the Womb and the preternatural causes come Chlorosis or green Sickness stoppage of the Terms immoderate Flux the Whites Rage of the Womb and the Mother In the Cavity of the Womb are Inflamations Vlcers Scirrhus Cancer Gangrene Dropsie coming forth and shutting up thereof these may hinder Generation but by accident The Diseases which are in respect of Conception Breeding and Bringing forth are Barrenness acute and Chronical Diseases of Women with Child Abortion difficult bringing forth dead Child Secundine retained immoderate flux or suppression of blood and the acute Diseases of women in Child-bed All which Diseases we will speak of in as few words as the dignity of the Matter will permit Chap. 1. Of the Green-sickness called Chlorosis THis Disease by Hippocrates is called Chlorosis by the Modern Physitians the white Feaver the Virgins Disease the Pale color of Virgins the white Jaundice but vulgarly the Green-sickness It may be defined thus An evil habit of Body from the Obstruction of the Veins of the Liver Spleen and Mesentery and especially of those which are about the Womb which is accompanied with a heaviness or unwildiness of the whol Body beating of the heart difficulty of breathing a desire of evil Food and the like This Disease depends immediately upon the Obstruction of the parts in the lower Belly especially of those Veins which are about the Womb whereby the free passage of Blood to the Womb is hindered which abounding in Virgins when they begin to have their Terms and being hindered of its Natural course by those Obstructions runs to the upper parts and oppresseth the Heart Liver Spleen Diaphragma or Midriff and other parts destroyes their Natural heat stops the Vessels hence is there an evil Concoction in the Bowels and from thence their Body is ful of Crudities which being carried forth make an evil Habit. In other parts they produce divers Symptomes in the Hypochondria a swelling of the Bowels by which the Midriff is oppressed which causeth shortness of breath And because gross blood and wind are carried by the Branches of the hollow Vein and great Artery into the Heart which contend against them for fear of Suffocation by often moving of its Arteries there is a palpitation of the Heart and often a beating in the Temples Besides they have in this Disease a loathing of meat because the Stomach is filled with crude Excrements by reason of its evil Concoction and distribution which excrements having gotten an evil quality by a peculiar kind of corruption cause a desire of evil meats and things not ordained for nourishment as Salt Spices Chalk Coals Ashes and the like which Disease is called Pica Malacia or strange Longing which we have at large spoken of in its proper place among the Diseases of the Stomach The Causes of the Obstructions in the Veins of the Womb and the Hypochondria are
Expellers of Melancholly must be mingled according as Choller or Melancholly is adjoyned to the Humor offending An Apozeme therefore may be appointed both altering and purging for four or five daies by way of a solemn purgation alwaies remembring that to the purging Medicaments some astringent and corroborating things are to be added lest the Humors of the Body being stirred should fall more abundantly into the Womb. Touching Blood-letting it is a question whether it be convenient in this Disease or not For seeing this Flux is caused by ill Humors in the Body which by Blood-letting are drawn into the Veins and so may corrupt the Mass of Blood it seems there is in this case no place for bleeding Also since in this lingring Disease the Patients strength is much abated and the Body often brought into a Consumption it seems unsit to weaken it yet more by blood-letting and so defrauding it of its nourishment Which Controversie is thus decided That if the flux be not pure and simple but in some measure mingled with Blood and it appear reddish that then a Vein may be opened as also if the Liver be very much heated and the sharpness of Choller be joyned with the flux In other Cases especially if the flux have endured long it is better to abstain from Blood-letting Bindings of the upper parts of the Body and Cupping-glasses applied to the shoulder-blades and to the back wil be very useful to draw the Humors upward also rubbings of those parts wil be specially profitable first with finer and softer cloaths than with rougher and courser which Galen dayly practised upon the Wife of Boetius whom he cured in the space of thirteen daies as himself relates in his Book of Prognosticks dedicated to Posthumus Chap. 8. And besides the Universal Purgation already propounded ordinary Purgations are also to be administred and frequently reiterated that the superfluity of Excrements may be the better evacuated by little and little and that Nature may get a custom to void those Humors by stool which formerly had their recourse unto the Womb. To this intent Magisterial Syrups Pills and usual Opiates may be compounded suitable to the temper of the Patient and the Humors offending In this Disease caused by â—legm Mercatus commends a Syrup of the Decoction of Lignum vitae with Senna Turbith and Agarick as also the following Pills Take of the Mass of Pills of Hiera picra one dram Agarick trochiscated one dram and an half with Honey of Roses make them into Pills of which let the Patient take early in the morning six or seven every third day afterward only three of them every fift or sixt day Or for the greater Astriction as wel as purging they may be thus compounded in whatever Complexion Take Choyce Rhubarb oft-times sprinkled with the Juyce of Roses two drams Citrine colored white and black Myrobalans steeped in the Juyce of Roses of each one dram Mastich one scruple Spicknard half a scruple With Syrup of Roses make all into a Mass of Pills Let the Dose be one dram twice in a week For a Flux arising of Serosity or Wheyish Excrements Jallap is most excellent which may be thus used Take Jallap finely poudered one dram Cinnamon finely poudered half a scruple Mix them and with a draught of Chicken Broth give it the Patient in the morning A Laxative Ptisan dayly taken for a month together hath cured a stubborn Flux of Whites when nothing else could as is to be seen in our Book of Medicinal Observations Vomiting is likewise much commended in this Disease especially in such as are easie to vomit because such indigested humors as are wont to be gathered about the Stomach are hereby both evacuated and powerfully revelled or drawn back from the Womb. Among convenient Vomits Diasarum of Fernelius his Invention is commended half an ounce whereof given in Water and Honey or with one ounce of Oxymel and warm Chicken Broth twice or thrice in a month moves three or four Vomits without any trouble After sufficient Purgations sweat may be procured to expel the remnants of the Excrementitious Humor and also to cause a further Revulsion of the Humors falling into the Womb. To this intent a Decoction of Lignum vitae and Sassaphras will be good in such as are flegmatick and of China and Sarsaparilla in such as are Chollerick and Melanchollick cooling and temperate Herbs being added lest the evil Humors be more exasperated and become more sharp Or Sweat may be provoked by a Decoction of hot Herbs as Nep Calaminth Fennel Hysop Elicampane Chamomel Dill and such like the evaporation of which Herbs being artificially received upon the Patients Body will procure sweat A Bath may also be made of the same Decoction by which sweat may be provoked But in hotter Constitutions a Bath of fresh fair Water blood-warm will be sufficient in which moderate and gentle sweats only may be procured Sulphurous Baths do also powerfully cause sweat and consume the reliques of this Disease and by help of such Baths we have known some Women cured that no other means could help As touching Piss-driving Medicines it s a weighty question whether or no they are fit to be administred in this Disease For they do not only provoke Urine but the Courses likewise by heating and attenuating the Humors contained in the Veins Yet are they allowed by all Authors and by Galen himself who used them in the Cure of the Wife of Boetius And the reason is Because Piss-drivers do provoke Urine Primarily and the Courses Secondarily and as it were by accident or chance Again the Kidneys do perpetually draw Wheyish Humors unto themselves whereas the Womb does only receive them whereupon it is credible that the greatest part of such Humors will have recourse into the waies of Urine Now the Piss-driver which Galen used in the foresaid Woman is a Decoction of Asarum and Smallage in fair Water howbeit it will be better temper'd if it be made in Succhory Water A more compounded Piss-driving Broth may be thus made Take the Roots of Asarum and of Smallage of each one ounce Leaves of Calaminth and Soldanella of each one handful Elder flowers half a handful Polypody and Carthamus seeds of each half an ounce boyl all to a pint Give five ounces of the Liquor or Broth strained in the morning If you would make it purgative add a little Agarick and a little Turbith boyled with the rest in a Rag. It 's questioned whether Issues in the Legs are good for this Disease for by drawing the Humors downwards they may decrease the Flux Howbeit experience hath shewed that they do good in old Fluxes because by such passages some part of the Excrementitious Humor is voided If Chollerick and sharp Humors cause this Disease not only purgers of Choller are to be given but likewise Alteratives which cool and thicken and are moderately Astringent such as these Juleps following Take of the leaves of Succory with the
Yest works whereby the parts made for generation are vehemently stirred up and Inflamed with lustful desires And from the same Seminal matter so affected Vapors ascend unto the Brain which disturb the Rational Faculty and depose it from its throne Howbeit The Immoderate appetite of carnal Conjunction alone without the help of any such vapors is able of it self to master the Rational faculty as also al other Immoderate passions but especially Immoderate Love which is called Eroticus affectus or Love-Melancholly Now the Seed acquires the aforesaid qualities when it is over long retained in Bodies prone to lust and full of heat and therefore this Disease is incident to Virgins and young Widows peculiarly although it may also betide married Women that have impotent Husbands or such as they do not much affect whereby their Seminary Vessels are not sufficiently disburthened or their amorous affections duly satisfied Some hold That the Seed being corrupted acquires a malignant quality which causes these grievous Symptoms But they are not wel able so holding to shew any difference between this Disease and fits of the Mother which arise from the Seed being corrupted and thereby infected with a malignant quality For although several degrees of putrefaction do produce different degrees of malignity from whence a great variety of Symptoms are wont to arise yet these manifest qualities aforesaid viz. great plenty of Seed it 's heat Acrimony and Fermentation in excess together with the great heat of the genital parts are sufficient to produce this Disease we treat of Now the Causes producing so hot plentiful and sharp stinging Seed are youthful age Sanguine complexion and Cholerick or melancholly adust meats that nourish much a plentiful table especially if the meats be spiced the frequent smel of Spices Musk Amber-greece and such like large sleeping and upon soft beds filled with Feathers or down amorous Courtings reading of lascivious Books Dancings and other pleasures usual in the meetings of youthful persons The Signes of this Disease may easily be gathered out of what hath been already said But because it is wont to discover it self gradually by little and little it is sit to relate it's progress In the beginning whilst the sick persons do yet enjoy their understanding they are more sad and silent than ordinary but with a wanton rowling of their Eyes and a ruddyness of countenance which ruddiness is sometime more then at others especially when mention is made of matters belonging to bodily lust for then their breathing is changed and their Pulse too by Sympathy of the Heart which made Galen boast that he knew the furious lusts of Women by their Pulse because such Lovers do of a sudden undergo divers changes of their Pulse when desirable objects are presented unto them or brought into their remembrance Afterwards when the Disease is exasperated they begin to scold and to weep and ever and anon they fall a laughing they speak many things without rime or reason unadvisedly out of which no certain sence can be gathered a while after they repent of this their folly until another fit take them by reason of the inordinate motion of the peccant matter which observes no certain period in it's Fermentations Women possessed with this kind of dotage when the Disease is come to it's height do openly before all the world ask men to lie with them expressing the actions of Generation in the most proper and broadest language their mother tongue affords As for the Prognosticks of this Disease It is a curable sickness if meanes be used in time But if it continue long and take firm rooting it turns into a true and perfect Madness There is a great hope of Recovery when the distances between the fits begin to be longer than ordinary or when the Patients Body being grown lean becometh fat again and when mention of matters pertaining to Generation doth no longer affect or disturb them The Cure of this Disease tends to correct the hot distemper of the Bowels especially of the Womb and the Blood and Seed likewise to evacuate the sharp Humors and Seminal matter offending All which may be done by the following Remedies And in the first place Blood must be often drawn as far as the Patients strength can bear that so the whol Mass of Blood and the Womb it self may be cooled and the fervent Blood may be withdrawn from the Veins of the Womb. And if the Patients monthly Courses be stopt the inferior Veins are afterwards to be opened that they may by that means be brought down But if the Blood seems to have recourse to the Hemorrhoid Veins which is known by their swelling and redness the said Veins are to be opened by Application of Leeches Afterwards a Purgation is to be given made of the gentler sort of Medicines purging Choller or Melancholly according as the one or other Humor shal seem to abound This purgation is to be followed by Juleps that prepare the matter offending Viz. such as cool and gently open which must be given three daies together Then a more strong purgation is to be administred which may wholy extirpate the foresaid humors To which intent these Purging Medicaments may be used which was set down in our Cure of Madness which must be now and then repeated After iterated Purgations the following Bath being frequently used in the whol course of the disease will be very usefull to cool the whol Bodie and temper the fervor of the peccant Humour Take Leaves of Lettice Willow-tree Water-lillies Vine-tree Purslain Penny-wort of each a handful Flowers of Violet Water-lilly and Roses of each two handfulls Boyle all for a Bath into which Blood-warm let the Patient enter twice in a day without sweating far from meal-tide And forasmuch as a compleat and entire Bathing cannot conveniently be continued for so many daies together at least the Patient may Bath her lower parts frequently in a part of the aforesaid Decoction yea or of meer Water and the liquor must be only warmish For the prime intention of this Cure is that the Womb may be cooled to the purpose which is confirmed by a remarkable Experiment propounded by Dr. Harvey in his Treatise of the Child-bearing of a noble Lady who had been more than ten yeers beside her self by reason of this Womb-fury whose Womb after all things had been tried to reduce her to her wits in vain fell out which they did not put up til the coldness of the external Air had healed its distemper the event was as the Doctor imagin'd and she grew quickly well and her Womb was at last restored to its proper place For the greater cooling of the Body it may be convenient to give the Patient Whey to drink many daies together And to be brief Whatever hath been prescribed in our Cures of Madness and Hypochondriacal Melancholly will be good in this Disease according as it shal be caused either by Choller or Melancholly Unto all which may be added such things
somtime it possesses the whol Head otherwhiles the forepart and then again the hinder part thereof and sometimes it is felt about the Eyes in such manner as if the Patients Eyes would leap out of her Head Now these pains are caused by the aforesaid sharp and malignant Vapors mounting into the Head and twitching as it were or grating upon these Membranous parts Also evil humors brought from the womb to the Head may cause the said pains For vitious Blood especially the more thin and wheyish part thereof ascends from the womb into the Head and being shed into the Membranous parts breâ—ds those pains VVhich pains are somtimes pricking smarting and sore as an Ulcer by reason of the sharpness of the Vapors or Humors ascending Sometimes they are stretching as it were and swelling because of the plenty and multiplicity which discend and stretch Somtimes they are pulsatory pain beating like the Pulse when the Vapors or Humors are carried thither in the Arteries or when the Arteries of some peculiar part of the Head are filled with over hot Blood The Falling-sickness springs from the womb being caused by the aforesaid sharp and malignant Vapors which being possessed with a very great Acrimony and malignity do vehemently and sharply smite the Nervous parts whereby they come to be contracted and whilst they endeavor to expel what offends them they draw themselves together and express these convulsive mocions Palpitation of the Heart is often caused by the said Vapors being carried from the womb to the Heart and provoking the expulsive faculty to the Heart Also a Pulsation is caused in the Arteries of the Back and about the short Ribs by reason of an over hot Blood carried from the womb into those Arteries and distending them whereby their Pulsation becomes greater which smiting the adjacent parts causes a feeling of the said Pulsation in them Yet somtimes such Pulsations are caused in Hypochondriacal melancholly which when we come to the Signs of this Disease we shal distinguish Divers disorders are likewise raised from the womb in the stomach liver and spleeâ— from the stomach disorders arise as appetite lost or more than is fit or desirous of absurd things or Hiccoughs Vomitings Belchings Heart-burnings al which Symptoms do spring from the aforesaid vapors sent into the stomach by the Hypogastrick and Caeliack arteries or other blind passages those vapors do stir up this variety of Symptoms according to the diversity of their Nature and the different degrees of their putrefaction and malignity For by their heat they cause want of appetite and thirst but if they be cold they hurt digestion And the coveting of absurd things as Chalk Oat-meal Smalcoles Linsey-Wolâ—ey cloth c. is caused by the malignant quality of the Humors and Vapors as we have shewed in our Discouse touching that Symptom and according to the different kind of malignity it comes to pass that the Patients appetite inclines her too long for this or that od thing as some for Coales others for Clay or Morter Salt Cinnamon Nutmegs c. And from a certain kind of malignity springs likewise the loathing of some certain meats and which is more wonderful in some hath been observed an universal loathing of al kind of Drink as Ludovicus Mercatus relates concerning a noble Gentlewoman which would not away with any Drink and of another who though she desired Drink yet did she Vomit it al up again being likewise vexed with other grievous Symptoms Where we may conjecture that the evil Humors in that Gentlewoman had attained such a kind of malignity as that is which causes Water-Fear in such as have been bitten with a Mad-dog It is notwithstanding undeniable that the diversity of parts into which these Humors and malignant Vapors are carried conduce not a little to the variety of the Symptoms For If they are carried unto the mouth of the Stomach they stir up Belchings and Vomitings if they stick to the Coates of the Stomach they induce perpetual inclinations to Vomit if they are endued with any singular Acrimony they cause Hiccoughs or pains of the Stomach which pains may also arise from the plenty of Humors weighing heavy upon and stretching the parts containing The Liver is easily offended by menstrual Blood retained and by the Veins â—lowing back thereinto hence springs the Green-sickness by reason of bad Blood flowing from the Womb into the Liver and from the Liver shed abroad into the whol Body Hence come Swellings Feavers and other Diseases very many in the whol Body and several parts thereof forasmuch as all of them are nourished by the Liver But if the vitious Blood aforesaid do flow back from the Womb unto the Spleen Swellings Stoppings and melanchollick and Hypochondriacal Diseases are wont to be raised And To conclude Women feel divers kinds of pains in their Loyns Thighs and other parts which arise from filthy Humors and Vapors conveighed from the Womb into the said parts Al which Symptoms taking rise from the Womb shal be distinguished from others which arise from other parts and are like them but produced from different causes in our following Description of the Signes of this Disease In the first place therefore Womb-sickness is known for the most part by what hath already been said of it For the fore recited Symptoms do appear therein not al in every one but some in one Patient some in another according to the differing condition of the Causes Now these Symtoms are Breathing depraved so as sometimes the Patient seems to be choaked other whiles her breathing is lessened or wholly taken away without any trouble or Sence of Suffocation Refrigeration or cooling of the whol Body and stopping or Interception of the Pulse somtimes also a taking away of Sence and motion somtimes Ravings Convulsions Swoonings Vomitings and Hiccoughs are joyned together But for a more clear Discovery of this Disease those Signs are first to be propounded which shew the Disease approaching such as have a noyse in their lower Belly first from the Navel downwards with belching or inclination to Vomit Wearinesses Yawnings and stretchings proceeding from a flatulent matter which begins to mount from the Womb into divers parts of the Body a sad Look pale Face caused by the drawing back of the Natural heat from those Parts to it's Fountains When the Disease gathers strength a sence of strangling begins to trouble the Patient as if they had swallowed some great morsel which stuck in their Throat Afterward their breathing stops and their Suffocation is increased And in conclusion al their Vital and Animal actions are depraved diminished or abolished Hence spring Ravings Convulsions and other grievous Symptoms In some the Womb is sensibly tossed and tumbled and gathered round like a Foot-bal and felt after that manner in divers parts of the lower part of the Body And when the Hysterical or Womb-Fit begins to go over a certain moisture flows out of the Water-gate their Guts rumble they lift up
of Assafoetida in a thin rag of cloth I have known some that have worn a Foxes Pizzle and Stones dried tied about their Neck in a string and resting upon their Navel and by that means preserved themselves from the womb-fits Some wear a piece of Wolfs flesh dried or of the Liver of a Wolf not without profit As for external Remedies after every Purge or at least once in a month eight or ten daies before the monthly Purgations of blood Fomentations or Baths to sit in will be good that the Humor causing this Disease being resolved may more easily find its way by the opened Passages of the Courses and flow out with them They may be made of the Roots of Marsh-mallows Briony Roots Orris Roots Madder Valerian Angelica Mugwort Leaves Nep Feverfew Bawm Bayberries and such like To discuss the remainders of the Matter causing the Disease and to strengthen the Womb after Fomentation or fitting in a Bath as aforesaid the following Plaister may be said on under the Navel Take Gum Tacamahacca and Caranna of each two drams Alipta Moschata half an ounce Agnus Castus seeds one dram and an half of each of the Sanders half a dram Turpentine Labdanum Wax of each as much as shall suffice to make a Plaister If this Disease arise from the Seed retained use those Remedies which we have formerly set down to quench and discuss Seed in our Cure of Womb-Fury Chap. 7. Of Inflamation of the Womb. INflamation of the Womb is a Tumor or swelling of that Part springing from blood that is shed into the substance thereof And the said Inflamation possesses either the whol Womb or some part thereof and it is produced either by pure blood and is called meerly Phlegmont an Inflamation or it comes from blood mingled with Choller and it is called Phlegmone erysipelatodes a chollerick Inflamation of kin to the Rose or St. Anthonies fire or it hath its original from blood mingled with flegm and is called Phlegmone oedematodes a flegmatick Inflamation or it comes from blood mingled with Melancholly and is called Phlegmone Scirrhodes which is a Melanchollick Inflamation or Swelling The Causes which produce or encrease this Disease may be divers viz. A Sanguine Constitution over loaded with blood or infected with choller a natural loosness of the womb w th wideness of the passages air extream hot inflaming the humors or very cold compacting knitting them together and so stopping the monthly Courses flowing or ready to flow vehement Exercise immoderate carnal Conjunctions a blow or fall lighting upon the Wombs Quarters Perturbations of Mind more violent than ordinary especially wrath acrimonious or sharp vehement meats of a hot nature and whatever else is taken in of a fretting and vehement operation as Authors report of Cantharides That they are very hurtful as well to the womb as the bladder sharp Pessaries long time used or purging Medicines or strong alteratives such as barren women are wont to take and rend from all quarters Retention of the Courses encreasing the over fulness of blood or over great flux of Courses relaxing the Passages and bringing the Humors from all the parts of the Body to the Womb likewise Cupping-glasâ—es fastened about the privy parts may violently draw the blood and humors unto the Region of the Womb and there detain them Laborsom Child-birth may cause as much Abortion a violent handling of the parts of Generation by an unskilful Midwise and a troublesom inconvenienâ— bearing of a Child in the Womb. The Signs to know the Disease by are Swelling Heat and Pain in the Region of the Womb with a continual Feaver But because the strait Gut that is that which is united to the Dung-gate and the Bladder do lodg in the same quarters with the Womb therfore must we distinguish this Disease by other signs such are Suppression or diminution of the Courses and their paleness or yellowish citrine color with pain in their coming forth and in the absence of the Courses certain stinking and rotten stuff sweats through the Vessels of the Womb and bedews the VVater-Gate Whereinto if search be made it will plainly discover the Disease for the inner mouth of the womb will be sound to swell to be drawn inwards and subject to pain if touched the neck of the womb will appear red and inflamed the Veins dispersed there-through strutting with blood If the whol Womb be inflamed all Symptomes will be more vehement If the Inflamation be rather in the neck of the womb the heat and pain is spread most towards the Groyns and the Water-Gate If the former side of the womb do suffer the Bladders fellow-seeing wil be the greater If the hinder side of the Womb be inflamed the strait Gut will be more compassionate and the pain wil stretch itself towards the Loyns If the right or left side of the womb be inflamed the heat and pain wil appear most about the one Groyn and the Thigh of the same side wil be heavy and as it were in a sort burdened The Signs of the Causes are these If the Inflamation spring from pure blood al the Symptomes are milder but if there be Choller mingled therewith the Feaver is more burning and al the Symptomes are more vehement but if the blood be Flegmatick or Melanchollick the Feaver wil be less acute but the Disease more lasting and more stubborn And here we are to consider such Signs as may inform us what Humor is most predominant in the whol Body If the Inflamation turn to an Imposthume and gather Matter the pain and Feaver are encreased and shaking sits come without any certain course yet commonly they take their turn about Evening And al the other Symptomes are heightened When Suppression is accomplished al the Symptomes are mitigated and Swelling rises higher whereby somtimes the Excrement of the Guts or Urine is stopped But if the Inflamation be discussed without Suppuration the Swelling lessens and the Symptomes becomes gentler If it turn to a Scirrhus that is hard swelling the Feaver Pain and other Symptomes are diminished the Swelling abides becomes harder likewise the weight and heaviness remain both in the womb and the adjacent parts so that the Patient can hardly stir her self A good Prognostick cannot be made of this Disease because it is very dangerous and for the most part deadly But more or less danger is threatened according to the greatness of the Disease its Causes and Symptomes as thus If the Inflamation possess the whol Womb it s a desperate Disease but if only a part be inflamed there is some hope of help If a VVoman with Child have a Chollerick swelling in her womb its deadly Hipp. Aphor. 43. Sect. 5. For the Child dies by reason of the greatness of the Inflamation whereupon follows Abortion which coming upon the back of a grievous disease kils the Mother Galen in his Comments upon this Aphorism doubts if this be not true of every Inflamation of the womb as well as
of the Chollerick and whether it be possible that a Child in such a case can live Inflamation of the womb easily degenerates into a Gangrene Because the womb as it were the Bodies Close-stool receives a mighty charge of nasty Excrements by which the inbred heat is easily suffocated Ravings turning of the womb Hiccoughs Coldness of the Hands and Feet Diaphoretick sweat seizing on a woman in this Disease do portend sudden death If an Inflamation of the womb come to Suppuration its hopeful that it may be cured but a foul Ulcer will follow which wil make the Patient to pine away with a lingering Feaver or to fall into the Dropsie If the Inflamation turn into a Scirrhus the evil becomes lasting and often brings a Dropsie To cure this Infirmity the Course of the Blood to the Womb is to be drawn back it is to be driven from the womb it is to be diverted another way that which is flown in and contained in the part is to be resolved And if the swelling tend to suppuration it is to be furthered and when it is broken the Matter or Quittor must be voided out Which may be done by the following Remedies An Emollient and cooling Clyster being premised let Blood be drawn from the Basilick Vein of the Arm on that side on which the Womb is most affected or from both Arms if the swelling be in the whol Womb and let the Blood-letting be repeated twice thrice or four times according to the strength of the Patient and the greatness of the Inflamation After sufficient Revulsion the Disease being come to its height when there is no longer suspition of any present flux into the Womb the lower Veins are to be opened to derive from the part affected In which sence we must understand Galen in his Book of Blood-letting and in his 13. Book of the Method of Healing where he teacheth That in the Inflamation of the Womb we must open the Veins about the Knees and Anckles But so long as there remains any Indication of Revulsion it is better to open the Veins of the Arm. Also to revel or draw back the Humors Frictions are good and Ligatures or bindings of the uper parts and Cupping-Glasses set upon the Shoulders Loyns and Back If vitious Humors especially Chollerick do abound in the Body which are as it were the Coach of the other Humors to hurry them about the Body they are to be evacuated with gentle Medicaments as Syrup of Roses and Syrup of Violets solutive Manna Rhubarb Catholicon or Electuary Lenitive for stronger Medicaments by stirring the Humors over much would excite the Flux of Humors more abundantly to the part affected And vomiting Medicaments though prescribed by Avicenna seem no way convenient in this case For if they be mild and gentle they evacuate nothing to speak of If they be stronger they cause a great Agitation in the Body by which means the Humors being in a Commotion may flow more plentifully unto the part diseased In regard of the greatness of the Feaver cooling Medicaments are to be used as Juleps and Emulsions whereunto if very great wakings pain and tumblings and tossings do disquiet the Patient some Narcoticks may be added which may likewise be given by themselves After the First Evacuations let outward Medicines be applied to the lower part of the Belly between the Navel and the Share and about the Kidneys first of all repelling and cooling things in the form of a Liniment an Epithem and Cataplasm The Liniment may be made of Oyl of Roses washed in Vinegar or of Oyntment of Roses Ceratum Santalinum or Galens cooling Oyntment with a little Vinegar added The Epitheme may be made of the Waters or Decoction of Plantane Sorrel Nightshade the tops of white Poppies and Roses adding a little Bole-Armoniack Dragons Blood and Terra Sigillata The Cataplasm or Pultiss may be made of the Crums of fine Manchet boyled with Milk to which a little Oyl of Roses may be added with Juyce of Henbane Nightshade and the whites of Eggs or of Barley Meal Linseed Fenugreek seed with Oyl of Roses whereunto likewise the aforesaid Plants being bruised may be added Injections must be made into the Womb compounded after this manner Take Plantane Leaves Water-lilly Leaves Nightshade and Endive of each one handful red Roses two pugils Boyl all till a third part of the Water be consumed and add to the strainings Oyl of Mirtles one ounce Vinegar half an ounce Make an Injection Of the same Herbs bruised with Oyl of Roses and Vinegar Pessaries may be made and put into the Womb. Neither must Repelling and Refrigerating Medicaments be long used lest the Swelling harden and degenerate into a Scirrhus Wherefore softening and discussing things are to be mingled with the repelling Simples with this Proviso That the longer the Inflamation is from its Infancy the greater must be the quantity of Digestives So that to the foresaid Medicaments may be added Mallows Marsh-mallows Mugwort Fenugreek Chamomel Melilot their Dose being augmented or diminished as the case shall require In the mean while if the Patient be costive she must be helped by gentle Purgatives Yea and the truth is frequent Clysters may do a great deal of good to temper the Inflamation seeing the Womb rests upon the streight Gut called Intestinum reotum But let them be little in quantity that they may be kept the longer and that they may not compress the Womb of which this may be an Example Take Marsh-mallow Roots the Leaves of Mallows Violets Lettice of each one handful Nightshade half a handful Violet flowers red Roses of each a pugil sowr Prunes ten boyl them in Barley Water In six ounces of the strained Broth mix three ounces of Oyl of Roses and make all into a Clyster If the Patient be in great pain to the aforesaid Clysters may be added the Yolks of Eggs the fat of an Hen Breast-milk Mucilage of the seeds of Fenugreek Lin-seed or Mallows yea and a little quantity of Opium with some Saffron In such a case Injections into the Womb may likewise be made of Goats or Sheeps Milk with Opium and Saffron of each three or four grains and a little Rose Water Or unto Pessaries may be added a little Opium with a little Saffron the whites of Eggs and Oyl of Roses Or Pessaries may be made of Philonium Romanum with Cotton Or a Fomentation to ease pain may be prepared on this manner Take Marsh-mallows Branch and Root Violet Leaves of each a handful Chamomel Melilot Roses of each a pugil Boyl all for a Fomentation When the Disease begins to decline Purgation is to be iterated with gentle Purgatives And when the Disease tends to a Resolution or Conclusion which is known by remission of the Symptomes and because the part is not so oppressed with any Heaviness Discussives must be used in greater quantity than any of the foregoing Medicaments Or this Cataplasm may be made Take Pouder of Marsh-mallow
nourish the Infant in the Womb. Or if it be an acute Disease without a Feaver as the Falling-sickness Apoplexy Universal Convulsion of the whol Body the Mother and Infant cannot withstand the violence of the Disease neither can they bear such strong Medicines as are requisite to the Cure of those Diseases Yet we must know that this Prognostick is not perpetually true For we know by the Testimonies and Examples in Authors and by dayly Experience that many women with Child having acute Diseases escape with their lives But Chronical or lingering Diseases as Intermitting Agues Catarrhs Tenesmus c. do threaten Abortion and if they cause it not they can hardly be cured before the woman be brought to bed but do keep her company till she lie down Diseases Acute and Chronical in the first and last months are more dangerous than in the intermediate months For in the first months the bands wherewith the Infant is fastened to the Womb are weak so as they may easily be broken and the tender Infant is more easily over pressed with those preternatural Causes But in the last months namely the sixth seventh and eighth the Child being grown greater requires much nourishment which in these Diseases it is deprived of Also the foresaid bands do not stick so fast as in the third fourth and fifth months in which there is less danger of Abortion Therefore Galen doth excellently compare the Child in the Womb to Fruits hanging on a Tree which upon their first growing out have very tender stalks so that they may be easily shaken off with the wind or any other violent commotion and when they are neer ripe they hang not so fast upon the bough as in the intermediate spaces they did Likewise the Cure of the foresaid Diseases in women with child doth remarkably differ as touching their Diet and those two grand Remedies Blood-letting and purging whereunto we may ad Medicaments which evacuate by other waies viz. Such as move the Courie Piss-drivers and Sweat-drivers because it is feared lest by these evacuations abortion may be caused of these therefore we shall only treat at present referring what else belongs to the Cure of these Diseases to the proper Chapters where such respective Diseases are handled As for Matter of Diet it is not to women with Child in Acute Diseases to be enjoyned so spare lest the little Infant be famished neither is it to be allowed so liberal that the Feaver should be thereby strengthened but we must steer a middle course with this Caution That in the first months of their Belly-burden a thin Diet be enjoyned and in the latter somwhat more solid and plentiful because the Child doth then stand in need of more nourishment Yet if there must needs be some error in Diet it is better to err in keeping too full than too slender diet for recovery is chiefly to be expected from the strength of the Mother and the Child Touching bleeding that Aphorism of Hippocrates viz. the 31. of Sect. 5. is presently brought in opposition where he saies If a woman with child be let blood she miscarries especially if the child be grown And Galen renders the Reason in his Comment Because the Blood being let out the Infant wants its nourishment whence follows Abortion On the other side daily Experience shews That in very many Diseases of big-bellyed women especially acute diseases as the Pleurisie Inflamation of the Lungs continual Feavers and such like blood-letting is necessary and may be administred not only in the first but also in the middle months and somtimes in the last months of a womans Belly-bearing Which if it be omitted both Mother and Child are in great danger of death And to this latter Opinion the elder Physitians assent not dissenting from the Mind of Galen and Hippocrates by so doing For therefore it is they held a woman would miscarry if being with Child she were let blood because blood being taken away the Child would want its Nourishment So that if blood may so be taken away as that the Infant shall not want its nourishment there wil be no danger of Abortion thereby Now so the case may stand As first In the first Months of a Womans Belly-bearing while the Infant in the womb is little and wants but little Nourishment for then its Nourishment by bleeding will not be drawn away especially if certain signs of superfluity of blood be apparent in the Mother So that from the first month to the fift blood-letting may be safely practised But in the middle and last Months greater circumspection is to be used because the Child being greater and wanting more Nourishment cannot so safely admit of Phlebotomy Howbeit if the Woman abound with blood and a smal quantity be taken away she may safely be let blood because hereby the Disease will be allaied neither wil so much Nutriment be there by withdrawn from the Child as to cause Abortion But if it seem that Hippocrates thought otherwise let us consider that we let blood after a far other fashion than the Antients did they let blood by pounds and we by ounces The very truth is there is no better way to preserve women from Abortion than by blood-letting when it springs from overmuch blood strangling the Infant and overwhelming the same in such women as have been accustomed out of their time of being with child to have a plentiful flux of Courses for divers daies together Thus Petrus Salius Diversus in the 22. Chapter of his Book of particular Diseases I for my part protest quoth he that I have preserved many women from Abortion which they had often suffered only by letting them blood in the first months of their being big Neither would I have it thought that no other kind of blood-letting may be practised in childing women save that which is sparing or moderate For somtimes plentiful bleeding in the last month hath done very much good And I have somtimes experienced this plentiful Blood-letting in the last month when the women with Child were afflicted with a burning Feaver and were full of Blood hoping thereby an abatement of the Feaver and an hastening of the Birth both which I obtain'd by blood-letting and saved both child and mother in danger of death by this only Remedy Which being in some Patients omitted and neglected by Physitians minding more the words of Hippocrates than the matter it self hath been the cause that both child and mother hath miserably perished being strangled by the plenty and fer vency of blood So far Salius Amatus Lusitanus in the 57. Cure of his I. Section let a woman with child of eighteen yeers of age blood in the sixth month four times with happy succe she being in a burning Feaver And Rodericus a Castro in his third Book of Womens Diseaeases Chap. 21. writes that he let a woman of Lisbon blood who had a Pleurisie in the eight month and was given over for desperate by other Physitians four
are to be used as do revel the Blood into the superior parts as rubbings and bindings of the upper parts Cupping-glasses fastened under the short Ribs on either side It is good likewise to bath the Patients hands in hot Wine in which Confectio Alkermes or Venice Treacle hath been dissolved Also let her Belly be moderately swathed with a Rowler or Swath-band because hereby the Vessels of Blood will be pressed together and the immoderate flux hindered Let Linnen Cloths be applied to her Loyns moistened with a mixture of Water and Vinegar by which the blood contained in the Vena Cava is tempered and the motion thereof hindered If the flux be very immoderate and weaken the Patient so that there is danger of Death we must have speedy recourse to stronger Remedies Among the rest this following Potion hath commonly good success Take Waters of Plantane Orange flowers and Roses of each one ounce Syrup of Corals or where it is wanting of red Roses one ounce Sal Prunella one dram Dragons blood ten grains Make all into a Potion If the flux do yet continue a Pouder or an Electuary for divers Doses may be prescribed after this manner Take Blood-stone four scruples Pouder of Bole-Armoniack red Coral prepared Pearls of each one dram Seeds of Plantane Coriander prepared and grains of Sumach of each two scruples Mix all and make them into a most fine Pouder of which let her take one dram with the Decoction of Knotgrass and Syrup of Quinces Take Conserves of Roses and of Comfrey Roots of each one ounce Bole-Armoniack Troches de Carabe and prepared coral of each one dram with syrup of coral or of dried red Roses make all into an Electuary of which let her take the Quantity of a Chestnut drinking a little of her ordinary drink after it Also a fomentation and an Oyntment will profitably be applied outwardly made after this manner Take Topps of the red Mastich or Lentisch Plantane Cypress Olive and Solomons Seal of each one handfull Red Rose Leaves two pugills Myrtle Berries one ounce and an half Cypress-Nuts six Peels of Pomgranates two pugils Boyl all in Steel-quenched Water and astringent harsh red Wine and with the strained Liquour bath the Privie Parts very lukewarm and almost coldish Take of the Countesses Oyntment or Uuguentum Comitissae two ounces Jâ—yce of Plantane one ounce worke them together into one Oyntment to be used after the fomentation Also an Injection may be made of the Juyce of Plantane into the Womb commended by Galen in the fifth Book of his Method or of the Decoction of the foresaid fomentation Other remedies not helping to open a vein in the Arm is a present Cure if the Blood be drown out in distant spaces of time for experience hath taught that many women given over as it curable have by this means recovered And finally the disease still remaining all Medicines prescribed for the immoderate flux of the monthly courses may be used in this Case likewise And among the Medicines for immoderate Courses Cataplasmes were propounded to be applied to the share and Loines unto which the following Cataplasm or pultis may be added very good for all immoderate fluxes of Blood but especial for these Child-Bed Purgations Take Pure Soot from the Chimney not mixt with Dart eight ounces work it lustily with the strongest Vineger and make a pultis to be applied to the Reines of the Back And it is here specially to be noted touching sleep that while the Blood flowes plentifully the woman must not be suffered to sleep for many by that means are taken away because the natural heat retiring inward causes the flux to be greater And if sleep in such a case cannot be avoided some must be alwaies by of the servants to feel her pulse and mark how she fetches her Breath In a word if clotters of Blood do settle in the Womb and cause a pain and stretching therein endeavour must be used speedily to bring it out least coming to putrefy they transmit filthy vapours to the Brain and Heart and cause a feaver Therefore the Childing woman if strong enough ought to walk gently or stand bolt upright for some time together or to sit upon the groaning Chair as if she had list to stool And if this suffice not the clotters are to be dissolved with a warm Decoction of French Barly and a little Oxymel or honey of Roses injected into the Womb. But here we must go warily to work least while we bring out the clotters the flux of Blood be afresh provoked Chap. 22. Of Suppression of Child-bed Purgations THe good and happy success of Child-bearing doth especially depend upon the convenient and orderly flux of the Loches or Child-bed Purgations seeing the Impurities which have bin collected in the veins of the Womb during the nine months time of the womans Belly-bearing are wont to be avoided by these evacuations but if they be suppressed wholly or diminished insinite Dangers and Calamities arise thereby viz. acute Feavers Phrenzies Madness Melanchollies Squinzâ—es Pleurisies Inflammations of the Lungs and other swellings which are for the most part malignant The Cause of this supression or imminution are the thickness of the Blood narrowness or obstruction of the vessells which hinders the free egress of the Blood cold air heedlesly received into the Womb which closes the Orifice of the vessels taking cold at the feet drinking of small cold Drink fear Affrightment sadness and other Passions of the mind which withdraw the Course of the Blood from the Womb. This Suppression is manifest of it self and the diminution thereof is not to be judged by the Quantity which comes away because some women have more superfluous blood and some less But the perfect knowledg thereof is gathered from the supervenient Symptoms such as are a swelling of the Belly a pain possessing the nethermost part of the Belly the Loines and Groines redness of face difficulty or breathing perturbation of the Eyes shivering fits Feavers Fainting fits and other Symptomes related before The Prognostick is drawn out of the Symptomes propounded as supervenient to this Disease for they being for the most part dangerous the cause from which they spring must needs be very dangerous likewise Childing women are freed from the foresaid danger if some other evacuation happen which may at least in some measure supply the desect of these purgations as Bleeding at the Nose or by the hemorrhoid veins plenty of Urine with a sooty setling or plentiful sweating Or if after some daies Lead-colored black and stinking matter begin to flow forth But it is to be feared lest by the corrupt blood ulcers should be bred in the womb The whol Cure of this Malady consists in the provocation of these Purgations which must be endeavored by such Medicines as provoke the Course of the Blood downwards and open the Vessels of the Womb. And in the first place Emollient Purging and Opening Clysters are to be administred made after
Bay-leaves Calaminth Carrot seed Cummin and Caraway Seeds Flowers of Cheiri and Chamomel in Water white Wine or Milk Or the following Cataplasm may be applied Take three or four Onions well boyled in Water beat them in a Morter and put thereto Seeds of Line and Cummin beaten of each one handful As much Chamomel flowers Barley Meal as much as shall suffice to make all into a Pultiss And if need be add a little of the Water wherein the Onions were boyled Spread it upon a Cloth and apply it warm to her Navel It is likewise profitable to apply the Skin of a weather newly flead off while it is warm to her Belly For this kind of warmth is very neer of kin to our Natural heat concocts and mitigates the cause of the pain also it hinders the Skin of the Belly from gathering into wrinkles These following Medicines may be given inwardly Take Carrot Seeds poudered one dram white Wine three ounces Mix them Give it warm twice a day Or Take Nutmeg Annis seed Cinnamon of each one scruple mix them into a Pouder to be taken in white Wine or give one scruple of Oyl of Nutmegs in Broth. Or Take Date and Peach Kernels of each half a dram Nutmegs four scruples Pouder of Diamargaritum Calidum two drams Annis seed one dram Cinnamon two scruples Saffron ten grains Sugar the weight of all the rest Make all into a most fine Pouder whereof give two drams in Wine twice or thrice a day if the pains are much Forestus gave a Decoction of Chamomel flowers in Beer or a Decoction of Mugwort and Chamomel in Puller Broth with good â—ucceâ—s It 's good presently after the is brought to bed to give her the Broth of an old Cock three daies together earâ—y in a morning while she is fasting with a little Cinnamon and Saffron The following Pouder taked presently after the delivery of a woman doth wonderfully preserve her from Gripings insomuch that it is thought If it be given a woman after her first Childing she wil never after in her following Lyings-In be troubled with these Gripes Take the greater Comfry Root dried one dram Peach Kernels and Nutmeg of each two scruples Amber half a dram Amber-greece half a scruple Make all into a Pouder of which let her take one dram in white Wine or if she be Feaverish in Broth. For her ordinary Drink let her use a Decoction of Mugwort with Cinnamon If the Gripings be caused by Chollerick and sharp humors they are cured much after the same manner that the Chollick is cured when it proceeds from Choller As for Example Take Syrup of Vioâ—â—ts and Borrage of each one ounce Mucilage of Quince seeds drawn out with Violet Water half an ounce Water of Borrage and Scorzonera of each three ounces Mix all make thereof a Julep for two Doses Or Take Oyl of sweet Almonds two ounces Syrup of Violets an ounce Borrage Water half an ounce Mix all for a draught External Medicines must likewise be used such as are laxative and emollient which do likewise by one and the same labor ease pain Oftentimes after they are brought to bed women are pained in their Groyn by reason of their wombs being gathered together like a ball in their Groyn It is cured by applying to their Navel a Plaister of Galbanum and Anafoetida in the midst whereof some grains of Musk must be put Chap. 24. Of Acute Diseases of Women in Child-bed WHat we said before touching the Acute Diseases of women with Child we may now repeat touching the Acute Diseases of women in Child-bed viz. That they have the same Essence and the same Signs with the like Diseases in women which are not with Child and in men So that we shal refer the Reader for the Theory of these Diseases to their proper Chapters Now these Acute Diseases are for the most part continual Feavers both Essential as Synchus putrida a continual Tertian and the rest and also Symptomatical which accompany inward Inflamations as the Pleurisie Inflamation of the Lungs Inflamation of the Liver Phrenzy and such like Yet there is a peculiar sort of Feaver which besals almost al women in Child-bed which is called by them the Feaver of their Milk which is wont to befal them about the third or fourth day after they are brought to bed when their Milk begins to encrease in their Breasts and it ariseth from the reflux of the blood from the womb to the Dugs and the motion and agitation thereof Which kind of Feaver is reckoned among the Diary Feavers of the longest durance neither needs it any Medicines because within three or four daies viz. about the ninth after her delivery it is finished by sweat It is distinguished from putrid Feavers because commonly it seizes the woman about the fourth day after her being delivered and her Dugs begin to be filled with Milk and to be troubled with hardness pain and heat with heat and heaviness in her Back and Shoulders also her Child-bed Purgations slow duly which seldom is seen in putrid Feavers Now putrid Feavers do befal women in Child-bed from three causes viz. Suppression of their Child-bed Purgations or diminishing by the heaping together of bad Humors during the time of their Belly-bearing which were agitated by her Labors or by Errors in their Diet. Some add immoderate flux of the Child-bed Purga ions which is rather a sign of the secret badness of Humors causing the Feaver but cannot be it self any cause thereof In suppression of the Child-bed Purgations the blood and vitious humors which are collected during the whol time of her going with child do flow back again into the greater Veins and there putrefie and somtimes are câ—rrâ—ed to the Liver Spleen and other parts in which they raise Inflamations or if they abide in the Veins of the womb they putrefie and so cause a Feaver in those women which were before in perfect health But if the Child-bed Purgations duly flowing a feaver arise it comes either from superfluity of Choller or from errors in Diet. Evil Humors agitated by the Labors and Pains of Travel do easily inflame and putrefie and stir up a feaver Errors of Diet may happen divers waies And first in point of eating in which women that he In are wont to be very faulty stopping themselves with plenty and variety of Dishes which cannot be by them digested but causeth putrefaction in their Bodies Another error is committed when Childing women do unadvisedly expose themselves unto the cold Air especially while their Milk-feaver is in its vigor which is wont to be terminated by sweating and transpiration which is hindered by heedless admission of the cold Air whence it comes to pass that the Feaver which of it self was void of danger and would in a few daies have ceased is changed into a dangerous putrid Feaver There is yet another frequent Cause of the Feavers of Childing Women viz. When the After-births are not wholly cast forth but some
when the same blazes out again they grow hot Assades Febris the Feaver so called is a kind of burning Feaver in which the sick do tumble and toss and are exceeding unquiet much oppressed with the disease being for the most Part subject to stomach sickness and vomiting Because it is wont to arise from the vexation of the Stomach by sharp and Chollerick Humors biting the orifice or Coats thereof The Feaver Elodes is that in which the Patient prepetually Sweats and it is caused by a mighty Putrefaction or Maliginty of Humors dissolving the Substance of the Body The Feaver Syncopalis is that in which the Patient often Swoones and Faints away Avicenna makes two sorts hereof one of thin sharp and Venemous Choller another of much Flegm or abundance of crude Humors The former is called Syncopalis Minuta because it arises from a little Quantity of Humor but thin and malignant The latter Avicenna doth call Syncopalis Humorosa vel Repletionalis because of a great Quantity of crude and Flegmatick Humors abounding therein and there is also Joyned a weakness of the mouth of the stomach by which means eâ—pecially the sick persons come to Swoon so often That Feaver is by Galen termed Epiala 2. de diff Feb. cap. 2. Lib. de inaequali intemperie cap. 8. in which at the same time through the whol Body in the smallest particles thereof there is felt both cold and heat For albeit one and the same Part cannot be the subject of contrary qualities yet is that which hath been said of this Feaver to be understood of the smallest particles in respect of sense but not indeed and in truth Galen shewes that this Feaver is caused two waies the one is by means or Glassy Flegm mingled with bitter Choller and â—o diffused into the whol body For Choller causes a sence of heat and the Flegm a sence of cold The other is by means of Glassy Flegm alone but partly putrefied and partly void of putrefaction For inasmuch as Glassy Flegm is extream cold and clammy it doth not readily putrefy nor al at once but only by peecemeal so that one portion thereof being putrefied the other remains unputrefied That Part of the said flegm therefore which is not putrefied being shed among the sensitive Parts causes a sence of cold by reason of the extream coldness thereof and that which is putrefied causes a sence of heat And so the whol body at one and the same time feels both cold and heat Platerus also hath invented a way how this Feaver may be bred viz. when intermitting Feavers or Agues do one fal upon the Neck of another the same day in the same Patient so that the cold fit of the latter Ague begins ere the hot sit of the former be ended or else when intermitting Feavers coâ—cide with those which are continual so that the heat of the continual Feaver and the cold of the Intermitting happen at one and the same time There are likewise other accidental differences of continual Feavers which because they are wont to be reckoned among the Symptomatick Feavers they shal be discussed forthwith in the Description of the said Symptomatick Feavers Now although the Cure of Symptomatick Feavers depend upon the Cure of those Diseases in particular from whence they arise yet must we declare their Nature least they come to be confounded with Essential or Primary Feavers Those therefore are called Symptomatical Feavers which arise from the Inflamation and putrefaction of Humors conteined in some of the Bowels Of which kind are those Feavers which accompany the Pleurisy Inflamation of the Lungs Frenzy Squinzy Inflamation of the Liver and other Inflamations Ulcers or Impostumes of the internal Parts And it is diligently to be observed as a thing of great moment in Practice and by few taken notice of that al Feavers perpetually which are Joyned with Inflamations of the Parts of the Body are not Symptomatical But that some of them are essential the foresaid Inflamations do follow upon them For it often falles out that Blood corrupted or filled with evil Humors after it hath raised a Feaver comes to be agitated by Nature and her as hurtful to her expelled to the weaker Parts or to such as are most convenient to receive them whereupon an Inflamation is caused in those Parts which doth not cause the Feaver but is rather a Consequent thereof So we may often see in the Course of our Practice the Patients sick of a continual Feaver for a day or two before Pain in the side and other Signes of a Pleurisy appears So many on the third or fourth day fal into a Phrensy so al Gouty persons in a manner before they are troubled with Pain swelling and Inflamation of their Joynts are wont to have a continual Feaver for a day or two So they which have the Rose or Saint Anthonies Fire have a Feaver somtime before the swelling break forth The same thing appears by the Urine which in such Inflamations as these do shew manifest signs of putrefaction in the Veins For in the beginning they appear crude and undigested and in the progress they shew tokens of concoction dayly encreasing Also Blood is often taken away very corrupt Which things would not happen if such Feavers were only Symptomatical simply depending upon those Inflamations And these Feavers whether they be Symptomatical or primary and attended by Inflamations of the Parts have their accidental differences For if the Inflamation be of Blood the Feaver is called Phlegmonodes if it be of Choller Typhodes And peculiarly an Erysipelas or Chollerick Inflamation of the stomach and Guts brings the Feavers called Zipyria in which the outward Parts are very cold and the inward Parts burn For the inward burning doth draw the Blood and spirits co the Part inflamed whereby the heat is so encreased that the inward Parts seem to be burned with unquenchable thirst but the outward are cold being destitute of heat and spirit Lenta Febris the flow or Lingring Feavers is wont also to be reckoned amongst Symptomatical Feavers which arises from some hidden obstruction and putrefaction sticking so close to some Bowel and so impacted that the substance of the Bowel is for the most Part Vitiated And when a portion of the putrid Humor is shed into the Veins and mixed with the Blood it stirrs up a slow Feaver and so mild that it troubles the Patient with no greivous symptom yea and the Patient is scarse sensible of any Feaver Yet some notes of putrefaction appear in the Pulse and Urin. And somtimes this Febris Lenta is bred of the putrefaction and corruption of some of the bowells because by the Veins inserted into that Bowel putrid and hot Vapors do breath unto the Heart Such a kind of Feaver is often bred in the Consumption of the Lungs which degenerates into an Hectick It is also somtimes caused when the substance of the Liver or spleen corrupts or when putrefaction settles upon the Mesentery
with most mortal signs and others have perished under al the tokens of Recovery But we shal pass over al such prognostick signs which are common to al acute diseases of which Hippocrates hath discoursed largely in his Prognosticks Coick Predictions Procheticks and Epidemicks and likewise in his Aphorisms which may have a place likewise in this disease But wee wil propound only such as are proper in a special manner to pestilential Feavers from which a more certain Prediction may be drawn Now these may be drawn from the same fountains from whence wee drew the Diagnosticks First Therefore in these Feavers if the pulse keep a tenor and equality be the Feaver never so great it gives alwaies some matter of hopes Contrarily an inordinate unequal and contracted pulse is dangerous especially if it appear weak from the Beginning But those differences of pulses are not so dangerous in malignant Feavers as in ordinary ones For although an intermitting pulse in a young man be so deadly a sign that Galen testifies though he had seen many old folks and children escape having an intermitting pulse divers daies and yet escaped Pulses like those of persons in Health are very dangerous for they signifie that Nature out of weakness abstains from the Concoction of Humors For where by an evil and pernicious quality the strength is exceedingly weakened Nature being weak does not set her self to digest the matter not meedling with the Humor which hath caused the disease so that no endeavor of coction being used no labor follows and there is either no Feaver or a very little one Wee have an example hereof in external tumors in which so long as the Part is almost overwhelmed by the plenty or il condition of the matter there is neither Pain nor Terror but whereas Nature begins to fight against the matter and to turn it into quittor then the feaver is much increased Even so in malignant seavers the Patients seem somtimes freed from their feaver whereas they grow worse and draw towards death as we may see in Hippocrates 3. Epidem Secti Aegr 2. where Hermocrates from the twentieth day to the twenty fourth seemed to have no Feaver and yet on the twenty sixth he died Raving is very common in this Feaver neither is it to be feared if it be lessened by sleep and especially if it vanish away with a plentyful sweat for t is a sign that the matter is drawn from the Brain into the habit of the Body But a persevering dotage is pernicious because it 's a token that it degenerates into a true Phrenzy The contractions and hoppings of the Members which do often happen in this Feaver are Convusive motions and very pernicious and that the more if joyned with raveing for they signifie the brain to be extreamely hurt Trembling motions of the hands and Tongue are wont to be deadly and are by Hippocrates much condemned in the 1. Prognost For they shew great weakeness and that Nature is overcome by the disease Deafnes though in the beginnings of occult diseases it be exceeding dangerous according to the Doctrine of Hippocrates yet if it appear in the State of a disease it portends health especially in malignant Feavers And I have observed a thousand times that such as being sick of Pestilential Feavers were taken Deaf in the State of the disease did al escape though the other symptomes were never so dangerous for it is a token that the brain being sufficiently strong does thrust the humors from the internal to the external parts Sneezing according to Hippocrates even in deadly diseases provided the Lungs be in good Case do give Hope of recovery But in malignant Feavers be the symptomes otherwise never so dangerous they promise Recovery Frequent Heart-burnings or Hiccoughings do portend danger and signifie that the stomach is grievously afflicted by the venemous quality Extream aversness to meat is very dangerous for it signifies the Stomach to be mastered by the malignant quality of the Humor and that its temper is wholly overthrown so that it refuseth and abominates laudable nourishment which it most familiarly affecteth in time of Health Suppression of al evacuations in the beginning and augment of the Disease is counted a good sign For it shews that the morbisick matter is not so malignant as to provoke Nature to excretion before the due time but that Nature does yet conquer and wil in due time expell the matter provided there be no sign that the Humor wil settle in the Head Belly or any principal part But in the state of the disease for nothing to be evacuated but for worser signs to appear in some principal member is bad For it 's a sign the disease wil either last long or give little hope of Life For the matter which in divers daies could not be overcome does bring some great dammage in the same member as a phrenzy Lethargy and others which arise after the eleventh of fourteenth day which can very hardly be cured by al the Medicines imaginable Blood that is drawn by Phlebotomie if it appear no waies faulty but pure and according to Nature t is a dangerous token For it is a plain argument that there is more of a venemous quality than of putrefaction or that putrefaction may lurk in the Veins next the Heart which cannot be drawn away by Phlebotomy From Urines in a Pestilential Feaver there is scarce any or a very uncertain prediction to be made For not only the confused troubled thinner and thicker Urine are bad as in other Feavers But also that Urine which is like the Urine of a healthy Person Yea verily and many have died after the Urines have shewed signs of Concoction and then became crude again Howbeit Concocted Urines and which have a laudable Enaeorema continuing many daies and daily more uniting it self and descending by little and little into the bottom of the Urinal doth perpetualy promise certain recovery even in malignant Feavers For it cannot be that a lusty and strong natural Faculty which discovers it self plainly in these Urines should not riseâ—s against the malignant Quality and at length overcome the same And therefore I have oftentimes with great confidence foretold a good event from the signs of Concoction persevering in the Urines in such as have had malignant Feavers attended with most grievous Symptoms so that all the By-standers were in great fear of their Lives A Fat and oyly Urine black or livid with a black or blewish settling doth certainly betoken death Very much Urine being made and no abatement of the Feaver thereupon is dangerous because it signifies a melting of the Body Sweats in this Feaver although they come well conditioned and in the Critical day doth seldom perfectly judge the Disease And somtimes the Feaver is abated by Sweat on the first day and then the Symptoms grow high and after many Sweats the Patient dies For plentiful Sweats not diminishing the Disease doth arise from the melting of the whol Body
no where else that the venemous matter may be drawn from the Heart to the most distant parts but that they are not good to be fastened to the shoulder blades or the Back because they draw hurtful humors from other parts towards the Heart Others are of a contrary opinion that Cupping-glasses are best to be applied to the shoulders and back viz. that poisonsom humors and vapors may be drawn from the Centre to the Circumference which motion is most suitable to the motion of nature in this disease But I am of opinion that Cupping glasses should be fastened to each and every of the places aforesaid and that is is good to set them first upon the lower parts that som portion of malignity may be drawn back unto the more remote parts But because the Glasses fixed in those parts cannot sufficiently draw back the venemous homors and vapors from the heart and its neighboring parts it is good to fasten them likewise to such parts as are neer the heart viz. To the shoulders and back For by this means the motion of nature is very much furthered seeing that experience doth teach that the eruption of the spots is commonly in those parts which by frequent fixing of cups is much furthered Which Mercatus hath most elegantly delivered in these words Howbeit in the mean time while the Body is plied with other medicaments small cupping-glasses must either many at once or a few frequently be applyed And if the venom of the disease or the weakness of the Patient be much they may be fixed without any or with very little scarrification In which kind of use and upon that occasion it is the best course to scarrify those which are set upon the Back over against the heart which experience hath taught to be of such moment that Anxieties Inequalitie of the Pulse and other grevious accidents have thereupon ceased Wherefore we must not cease applying of them until the venemous accidents are mitigated or wholly taken away But the Reason urged by those of the former opinion is of small moment for the fear lest ill humors should be drawn from other parts unto the Heart For this reason might peraduenter be of som force if they should be used at the beginning of the disease the whol body being ful of humors But after an universal evacuation sufficiently procured by blood-leting they can cause no such danger which is made manifest by a clear example drawn from a pleurisie in whose beginning if the pained side should be cupt doubtless it would bring the Humors more and more to the greived part But when after often blood letting a cupping-glass is fixed upon the pained side it doth not only draw nothing from other parts to the place affected but that humor which is fixed and wedged into the part is thereby powerfully drawn out so that ofttimes the disease is thereby perfectly cured Although in this disease there is more danger of drawing Humors to the part affected because it is in a manner externall and neer the Cupping-glass Zacutus Lusitanus in Observ 13. Lib 5. Praxeos admirandoe doth very much commend cups with scarrification fastened neer the groins and armpits for by such cuppingglasses so fixed the vitious humor is drawn to the ignoble parts and to those common Emunctories unto which nature is wont to expel the same Among revulsive remedies Frictions may very will be reckoned being often exercised upon the extream parts of the Body with a cours cloth But that Friction is most commended which is made upon the whol Body with the Liniment of Aetius which is thus compounded Take of sweet Almonds and fountain water of each three ounces Sal nitre two drams Boil them together til the water be consumed and with this Oyl warmed let the patients body be rubbed al over with the hands being dipped therein Aetius doth prescribe Oyl of Savin but because it is too hot Oyl of sweet Almonds was by Baptista Montanus fitly substituted in its place This oyntment doth open the pores of the Skin that nature may more fitly expel the venemous vapors thereby Vesicatories do likewise powerfully draw out evil and venemous juyces and serve for revulsion being applied in divers parts of the body Commonly they are applyed to the hinder part of the neck for they do both draw out the matter and drive it from the head and serve well to cure such sleepie symptoms as are usual in these diseases But where great malignity doth posses the whol Body and grevious symptoms afflict the patients one vesicatory will not suffice but more must be laid on I am wont when the disease is very violent to lay them on in five places viz. The Neck both the Arms on the inside between the bending of the Arm and the Shoulder and to both the Thighs in the space between the Groyn and the Knee with happy success The great profit of this Remedy we may learn from Galen who in Lib 5. Method Cap. 12. relates that of pestilential Feaver al recovered who happened to have exulcerations in divers parts of their Bodyes because the morbifick matter was evacuated by those ulcers And because the use of these Vesicatories do often caus the Strangury for the Cantharides do by a peculiar propertie affect the Bladder it wil be good when they are applied to give the Patient emulsion that may temper the acrimony of the urine This symptome may likewise be prevented by mingling the poudered Seeds of Ameos with the vesicant plaister which seeds have the faculty to keep the Cantharides from hurting the bladder Amongst Revulsive Medicines may likewise be mustered the Cataplasm of Radishes commended by Crato The Radish saies he because it powerfully drawes the malignity of matter it is good to apply the gross pouder or scrapings thereof to the feet having first clensed them with salt and vineger And the following Cataplasm may be better for the same purpose Take scrapings of a radish and the two Briony Roots of each two ounces seeds of Garden Cresses one ounce Grains of Paradise half an ounce Sea Salt three drams Mix al and sprinkle them with the strongest Vineger and make them up into a body with a sufficient quantity of soft sope til it become like a Cataplasm apply it warm with tow to the soles of the feet when the patient is disposed to sleep To this Cataplasm may profitably be added leaves of Rue Nettle Sage Scordium Pidgeons dung juice of Rue and Vinegar A Cataplasm of Snails beaten hath the like Efficacy and powerfully drawes unto the nether parts hurtful humors and vapors as Galen highly commends the same for powerfully attracting and disscussing the waters of Hydropic Persons These revulsory Remedies have place during the whol Course of the disease after universal evacuations viz. Phlebotomy and Purgation of the use whereof we are now to speak that so we may pass from Chyrurgery to Pharmaceutick Remedies Now it is much controverted among Practitioners whether
often break forth in the state of the disease and symptomatically and deadly until by the remedies aforesaid their oâ—structive facultie was taken away In a carbuncle superveneing upon a buâ—â—ing Feaver if before its appatition Blood were not sufficiently taken away If the patient can bear further blood-letting open that vein which is nigh the carbuncle that the greater attraction may be made of the veremous matter to the part affected Afterward let the Tumor be scarrified on every side round about and that with prety deep gashes and foment it a while with warm salt water that the corruption of the blood may be hindered and the â—fflux thereof promoted A while after apply a grain of a Caustick to the midle of the Pastle and upon the whol swelling lay this following Cataplasm Take leaves of Rue and Scabious bruised of each one handfull three pair of dryed Figs bruysed sharp Leven an ounce Pepper poudered one dram two yolkes of Eggs Mix all into a Cataplasm which must be applied for two dayes together And then lay on this following Take Juices of Comphry the greater Scabious Marygold of each one dram old treacle four scruples Salt one dram two yolks of Eggs mix them all and apply it to the tumor Also at the beginning may be applyed the Cataplasm de Arnoglosso described in the Dispensatory of Bauderon But to the Eschara after the application of the Caustick apply Vnguentum Basilicum adding thereto Treakle Oyl of scorpions and the yolk of an Egg. When the tumor is grown lest the malignant matter should flow back again to the internal parts let the compass thereof be anointed with ointment of Bâ—lus twice or thrice in a day And upon the Eschara or Crust that it 's falling off may be hastened â—y Vnguentum Basilicum with butter and Sows grease mixed therewith after the crust is com away let the ulcer be clensed with this folowing ointment Take juice of Marygolds wormwood Scabious and Smalladg of each one ounce choyce of Mirrh Florentine Oris Aloes Sarcocolla of each one dram Honey of Roses two ounces Make of all an ointment to be used till the sore be perfectly curred Chap. 2. Of the Measles and small Pox. THat Feaver which is commonly attended by the Measles and small Pox may justly be reckoned among Malignant and pestilential Feavers seeing it is Epidemical and contagious and kills very many children to whom it commonly happens What is the difference between the Measles and small Pox Authors are not yet well agreed But custom hath obtained that those same larger pustles or Whelks like unto Warts from whence they have their name should be called in latin Varioloe in English the small Pox but those little pustleâ— and as it were asperities of the Skin with a deep redness like St. Anthonies fire or the rose which are discussed within five or seven daies without suppuration are called in latin Morbilli and in English Measles There is also another kind of pustles common to Children like unto the small Pox in respect of the fashion and size but herein it differs in that the small Pox begins with redness and inflamation but these are white and as it were bladderes full of a wheyish humor which within three daies break and dry up and are wont to cause no danger and commonly break forth without a Feaver It is described by Vidus Vidius in these words Som besiáes the two former sorts do ad a third which they call the Crystalls For so they term certain Bladdrs full of matter which shine like Christall wherewith the Skin is in divers parts diapered the common people call them Ravaglione unto which all men are not so subject as unto the small Pox and measles neither are they so greviously afflicted under them wherefore these bladders ought not to be reckoned as a third sort with the small Pox and Measles Touching the smal Pocks and Measles Authors dispute much and especially whether these be new diseases or if they were known unto the antients and what is the next and immediate Cause of them But since I affect al possible brevity in my Lectures I have bin wont to omit al controversies propounding onely the plain and naked decisions of them and accordingly I shal breifly unfold what is to be thought of the foregoing questions And in the first place I conceive the smal Pocks and Measles to be no new diseases seeing they rise from a most antient Cause viz. the impurites of the maternal blood which when the Arabians observed they accounted it no new disease But if they had first come abroad in their times they would have mentioned their novelty And although they were the first that exactly described them and Hippocrates and Galen with the rest of the Antients have scarce mentioned them we must suppose that therefore the Antients did not write distinctly of them because they are only accidents of a malignant Feaver and critical eruptions which do not make a distinct disease by themselves Or because in Greece through the mildness of the Ayr these disease were so light as not to deserve the Care of a Physitian Even as in the Western Indies in regard of the great temperatnes of the Ayr it was wont to be to be light that it was scarce taken notice of before the coming of the Spaniards into those parts But a Blackmore which was brought thither being taken with Pestilential smal Pocks the malignant and venemous quality being spred by Insection the disease began so to range and rage that a great part of the Indians were slain thereby For whereas before those impurites of their Mothers blood remaining in them were wont easily to be discussed throught the Clemency of the Ayr now when a venemous quality was added to them they caused grevious Diseases Now that the Mothers blood is the true Cause of the Smal Pocks and Measles is hence cheifly gathered because among many thousands of Men it is hard to sind one who once in his Life hath not had these diseases But a disease common to al Men must needs depend upon some common cause such as are the principles of Generation viz. the seed and Mothers blood But the seed cannot be the cause of the smal Pocks and Measles because from it come hereditary diseases such as last a Mans Life time it remaines therefore that these diseases spring from the Mothers blood with which the Child is nourished in the Womb. For therein be it never so pure some impurites are found which communicate their pollution to the parts of the Child and that pollution of the parts doth defile the Mass of blood and being provoked by some occasion doth make the same to boil by help whereof the blood ferments and becomes purified both it and the parts aforesaid This the Arabians do mannifest by a cleer example of Wine which being powred whiles it is new into musty or otherwise il-qualited Vessel receives that il quality from the Vessel but when it begins to
Extenuating making thin Expulsive faculty the power of our body which drives forth Dung Urine Sweat Vapors c. every part partakes of this Ability or Faculty Eminent neer at hand approaching Erysipelas a swelling caused by choller Erysipelas Phlegmonodes or Phlegmon Erysipelatodes Is a swelling caused by Inflamation of Choller and Blood Emulsions Almond milkes and milkes made of cool Seeds c. Electuaries Medicines made up of Conserves of Flowers or Herbs to which is added some sweet Spicy pouder for the most part and so with Syrup it is made up in the form of Mithridate or Treacle Epithemes are Medicines applyed in Bags commonly upon the Heart or Stomach Liver or Spleen c. Certain convenient pouders being put in a Bag or between two cloths and so wet in Wine or other convenient Liquor are laid upon the Stomach Heart c. Essential to the Disease that is of the being or substance so that without that the disease could not be So Heat is Essential to a Feaver Excrements dregs and refuse of our meat and drink after Concoction voided by dung Urine Sweat and invisibly through the Pores Excrementitious of or belonging to Excrements impure preternatural humors are so called Extenuate make thin Expressed Squeezed out Epidemical common to a whol Nation So the the Plague small Pocks Loosness Sweating-sickness c. when they are rise all over a Nation or Country at one time they are called Epidemical diseases Ehxir Proprietatis A Medicine invented by Paracelsus Take of the best Aloes Myrrh Saffron of each half an ounce Pouder them and put them into a Glass Then take Muscadine made tart with Oyl of Sulphur and pour upon the pouder til the liquor stand four fingers above the pouder Let them stand and digest in a warm place Then pour off the Liquor and put on more till all the Colour and vertue be drawn out from the pouder At last still the settlings with a gentle fire and pour that which comes away to the former Liquor and let all stand and digest a Month in a warm place close stopped The name signifies such a Quintessence as hath a special propriety of agreement with Mans nature whereby it comforts and restores the same in al kind of weakness Emollient Medicines that soften Eroded eaten a sunder eaten up Extraction pulling out Exquisite perfect in an high degree Escharoticks see Causticks potential Embrochated moistened bedewed bathed Erosion fretting eating Eclegma See Lambitive Extream parts the Armes and Legs Emplastick diet consists of such meats as are of a clammy substance viz. Calves Head and Feet Sheeps-trotters all Feet of Beasts Tripes Gellys c. Excreta and Retenta things voided out of the Body things retained or kept in Eradicate pluck up by the Roots Exasperated pained vexed molested Equivocal Signs of a Disease are such as are common to it and other Diseases The Efficient Cause is the working or making Cause so a Tailor is the Efficient of a Garment The Material Cause is the stuff a thing is made of which the Efficient works upon So the Cloth or Silk is the Material Cause of the Garment The formal Cause the shape that makes it a Coat or Cloak or Doublet the Final Cause is the end why it was made viz. to hide nakedness keep off Sun and Cold and to adorn the body Emulgent Veins which bring the Wheyish Excrement of the blood unto the Kidneyes where it becomes Urine and is passed by the Urecers into the Piss-bladder Evaporation a steeming out of Vapors Egress coming forth Evaporated steemed away as Water that spends away in boiling Evacuators Medicines which empty out evil Humors either by vomit Purge c. Exhalations Vapors drawn up by the Sun out of the Earth and Waters Eventilated Fanned purged as Corn by fanning So Exercise is said to eventilate or fan the Body because the motion opens the Pores and drives many vapors out Eneorema that which hangs like a cloud in Urines especially when the Disease is breaking away Emollient Decoction a softening moistening Decoction made for Clysters to soften and moisten the hardened Excrements of the Guts An Eschara or Eschar is the Core that falls off from a part that hath had a Caustick applied thereto F FVmigations Perfumes and others things burnt to qualifie the Air in a sick mans chamber Fracture breaking as fracture of the Skul or Arm c. Fomentation when linnen Cloaths or Spunges are dipped in some Liquor and applied to the diseased part and after renewed Functions of the Brain the Abilities of the Brain to Hear See Imagine Understand Remember c. Frictions Rubbings Furor Vterinus Womb-Madness when Women are mad by reason of a disorder in the Womb. See the Chapter of that Disease A Flux of Humors flowing of Humors Febris Catarrhalis a Feaver caused by Rheum falling from the Head Fabrick Frame making up composition Frontal Vein Fore-head Vein Fortified strengthened Fistula an hollow deep but narrow Ulcer that will not be closed up A pair of Forceps a smal Instrument like a pair of Tongs to draw forth any thing out of the Ears c. Fluid apt to run and flow like Water and other Liquors Filtration straining through a brown Paper or by means of a piece of cloth hanging out of one Vessel into another Filter to strain as aforesaid Fermentation the working of Humors as new drink works in the Barcel A Feaver Symptomatical is a Feaver caused by some other foregoing Disease in respect of which Disease the Feaver is but a Symptom or Accident A Flatulent and Pituitous Chollick is a Chollick caused by wind and flegm Formicans Pulsus a weak feeble quick Pulse that seels under the Fingers like creeping Pismires from whence it is named Form See Efficient Cause Fluxive apt to flow and run like Water and other Liquors Friable is crumbly short like costly Cake-bread Pie-crust Puf-past c. So Fishes that have a short crumbly substance not clammy or slimy such as Soals Smelts Trouts are said to be friable in comparison of Eels Carps Tenches c. G GVm Animi Indian Amber Gargarisms that is Medicines to Gargle in the Throat to wash sore Throats de Gutteta a Pouder used in Falling-sickness and Convulsion of Children by the French It is described page 33. at the bottom Going about by fits Generating breeding begetting Glandules Kernels such as are about the Throat aâ—d are called the Almonds of the Ears and such as the Sweet-bread c. Gate-Vein Vena Porta See Veslingus Anatomy in English Generous Wine strong Wine as rich Canary Muskadine c. Glutinations Clamminess like Gum about the corners of the Eyes Glutinators things which glue and close up broken Veins c. Glutinous clammy like Glue A Gangrene is a corruption of a part tending to the utter deading thereof H HYpochondria the parts beneath the Ribs Hemiplegia the Palsey possessing one side Hydrelaeum a Bath and Oyntment that is of Water and Oyl beaten together Hippocras