anointing of the belly with Oyle of Violets dil Chamomel a little butter in which a Snakes Skin ought first to be boyled 2. By mitigation of the pain by cataplasmes unctious fomentations baths of sweet water narcoticks also mixt with purgers c. II. The Pancreas doth chiefly labor of obstructions whence the stomach by reason of its neerness is affected pains and the sence of a weight are caused about the region of the stomach and pulsations in the back by the compression of the celiacal artery and also a difficulty of breathing molests them by the consent of the midriffe The cure is perfected by the same remedies as the obstructions of the spleen III. The Caule by twiggs from the spleen branch doth oftentimes receive feculent humors from the spleen in that part especially which is between the spleen the midrif and the stomach in its cavity in the left hypochondry under the diaphragma arising from the connexion of the stomach Caule colon and bowels and having no passage out Oftentimes from thence the belly in the left part towards the navel is raised up into a tumor oftentimes the belly being prest a sound and noyse is heard They cannot be emptyed unless they vanish by the continued drinking of bath or sharp waters If it putrefy or suffer an impostumation the cure is in vaine Titile VI. Of the affects of the Liver Chap. 1. Of the diseases of the Liver Article 1. Of the Distemper of the Liver THe diseases of the Liver are distemper obstruction inflamation a schirrus wounds and ulcers The distemper of the liver is a swarving of the same from its natural temperament by reason of external and internal causes The Signs are fetcht from the hurt of its action and others of which in the differences The Causes are either not natural and external or the neighbouring parts as the stomach heart and that either by contact or by communication of matter or the collection of matter in the vessels or parenchyma by reason of some fault of the liver either innate or acquired The Cure varies according to the nature of the differences Internal remedies because the liver is situate in a lower place ought to be the more efficacious 'T is performed by alteration and removing the matter offending As concerning the Differences the distemper is fourfold I. One is hot and that either simple or without matter which is known by this that there is a loathing of meat and most of al of flesh and nevertheless fastings doth hurt a vehement thirst troubles them the whole body is hot especially the palms of the hands and soles of the feet and either they are moist or dry the belly is somewhat dry by reason of the extraction of the moisture from the chyle It is cured by coolers amongst which the cheife are the roots of Dandelion and Strawberries the leaves of Succory Endive the seeds of Sorrel the greater and lesser cold seeds the wood of Saunders fruits of Cherries Currans Strawberries Of compounds syrupe of Corals Strawberries Sorrel Citrons Succory The Salt of Corralls Pouders Diatrion Santalon diarrhodon Abbatis Diamargartium Fridgidum Mynsichtus his mter vitriolate Amongst external things Saccarum Saturni a Cerote of Saunders oyle of green olives The mixture compounded of the Water Lillies henbane the flowers of white lillies plantane Red Roses each one ounce and an half Salt of Saturne Camphure dissolved in spirits of wine each one scruple Sal Prunella half a scruple adding a little of Tragacanth and applyed to the right hypochondry c. Or with matter which is known by this that a bitterness of the mouth a loathing of meat and a vehement thirst doth trouble them and a feaver either an intermitting tertian or a slow feaver or erratick doth vex them by which the body by degrees is dryed up That choler doth break forth by vomiting and stoole first of al thin and pale afterwards thick truly yellow and stinking It ariseth from choler either generated in it or sent from the bladder of gal laboring of obstruction or from some other part It is cured 1. By revulsion by opening a veine in the arme by scarifying or friction if the humors flow from some other part 2. By attraction by Succories cheifly if the humors be already flowed thither 3. By evacuation either by the stool where syrup of Roses of the Leaves of Rubarb and tamarinds take place or by urine where whey grass roots barley take place 4. By strengthening of the liver that it collect no more II. Another is cold and that either is simple and without matter which is known by this that there is a greater desire of meat no thirst a voiding of flegmatick crude and oftentimes of liquid matter there is generated a warry and crude blood 'T is hardly cured because 't is more repugnant to the nature and office of the liver and 't is cured by things that alter amongst which the cheife are The roots of burnet the true acorus The leaves of Wormwood Agrimony Centaury the less Betony Maidenhair Raisons Cloves Nutmeg Cinnamon Agallochus of compounds Mynsichtus his tincture of Cassia lignea treacle mithridate Mynsichtus his aromatical rowles Cratoes confection of Rhubarb The pouders of Diamargartium calidum Or with matter which is known from the foregoing of the like causes the white color of the face and whol body a soft habit of body flegmatick stools a heaviness in the right hypochondry The rise and cure do follow other distempers The essence of Mars is good the preparation of which see in Hartman III. Another is moist which is known by the soft pulse watry blood liquid excrement thick urine The cure is performed by dryers IV. Another is dry which possesses in a contrary manner neither is there any things singular concerning its cure for the most part it troubles in composition Article 2. Of the obstruction of the Liver The obstruction of the Liver is a narrowness of the vessels in the liver caused by a matter filling up their cavities and hindring the distribution of the nourishment The signs are heavy and obtuse pain in the right part of the hypochondries which after the taking of meat is increased especially if soon after meat some violent exercise be undertaken The excrements varying from their natural manner oftentimes more liquid and copious because the chyle is not received A change of the color especially in the face by reason that the sanguification and distribution are hurt c. But it is frequent that a veine from the porta dispersed through the substance of the liver in most fine branches is obliterated and it hath others no less smal from the Vena Cava through al which the nourishment ought to be produced and carried The Cause is the matter filling up the cavities of the vessels or also the very substance of the liver whether it be generated there its action being hurt either by a distemper or by some external error or whether it flow from elsewhere
the nature of the disease if the patient beare it not wel It is bad if it happen before the state nature being provoked by malignity or plenty of matter if it were foreshewen to be such in the Indicatory day howbeit many times it comes suddenly if other things are present contrary to the best kind of Crisis Where observe 1. Oft times in a bad Crisis the patient seems to be better yet presently after he fals into a bad condition because the signs of amendment were not wel grounded 2. Somtimes in deadly sicknesses the patient being strong for one bad and simply deadly Crisis many evil imperfect ones happen in which unstable rudiments of Coction appeare before the patient come to die 3. The Prognostications of the Crisis in reference to death are unstable VI. The times of the suture Crisis are knowen 1. By the signs of Coction and crudity which must necessarily appeare upon some Indicatory or decretory day The crisis wil happen upon the fourth day If a signe therof appear on the first day or on the seventh day if the signe be on the fourth 2. By such signs as the idea magnitude and manners of the disease afford of which we spake before 3 By the signs of the times of diseases for a perfect Crisis happens not before the state but the imperfect Crisis does the deadly crisis happens also in the beginning or augment 4. By the critical signs which you had before Title II. Of The Causes of Diseases Chap. 1. Of the internal Causes in general ANother preternatural disorder which afflicts the Body of man is the cause of a disease and that is external or Internal But seeing the latter is an effect of the former or rather does therewith much conduce to produce the disease I shal therefore only define the internal The internal Cause of a disease is that which being bred and inherent in the Body of Man does preternaturally affect the same Touching which we are to consider its signs Causes and Differences I. The signs of causes are taken in general 1 From their proper tokens viz. tast colour and motion 2. From a concourse of common signs which are taken from the Antecedents and Consequents or evident causes and from the dispositions of the Body and Symptomes II. The Causes of the internal Cause are the things nonnatural Aire Meate Drink Motion and Rest Sleepe and watching Things voided and retained and Passions of the mind as far forth as they have power to disorder the Body And to that end time is requisite as also proportion between the agent and patient Fitness of the Body and Contact III. As for their differences the internal Causes are reduced to the Humors Winds and things totally besides nature Chap. 2. Of the Internal Causes of Diseases in special Article I. Touching Humors Point 1. Concerning Humor 's offending in Quantity or a Plethora so called THe first kind of internal Causes are the Humors and they are wont to offend in Quantity Quality Motion Place and in their whole substance Humors offending in Quantity are termed Plethora which is nothing else but a superabundance of Humors fit to nourish the Body which arise from their Causes Humors nourishing the body of man are contained in the mass of blood viz. Blood Cholor Flegm and Melancholly These being turned into the substance called cambium do nourish such parts as are of kin to themselves and communicate to them as much health as themselves are Masters of The signs of Plethora are wearyness because the blood not being ventilated settles into the lower parts Thick breathing after very smal Labor the Muscles of the Chest being laden with blood Swelling of the veins Distension of the Muscles carnosity of the Bodies habit Deep sleeps ruddyness of the face c. The Causes are good nourishment which affords good juice The Liver hot and moist which makes it Idleness evacuations stopt cutting off of some member Use of unwonted bathings after meate The Differences are I. One is Exquisite when either al the Humors are encreased keeping their due proportion and equality viz so that the blood be in a double proportion to flegm and flegm double to cholor or only blood alone or two or three of the rest exceed blood also not keeping its proportion 'T is knowen by the signs forementioned It arises also from the causes aforesaid Another is bastard when plenty of bad juices is joined with abundance of the natural humors 'T is knowen by the signs of a Plethora joined with those of a cacochimia and it arises from the causes of both II. One is termed ad vasa or in respect of the vessels which does not oppress the strength because it increases equally with the flesh blood but it distends the coates of the vessels by its plenty to which the things aforesaid agree Another ad visis when the Humors so encrease that they cannot be governed nor digested by the feeble strength of the Patient 'T is knowen hereby that the blood is not very good there is heaviness and Inequality of the pulse with signs of crudity and putrefaction beginning Point 2. Of Humors offending in Quality or Cacochymia so called CAcochymia is the presence of il humors in the Body of Man springing from their Causes It s Subject is the Body of Man 1 Both in respect of the Veins Arteries and Nerves as also of things without 2. Also in respect of the Region of the Belly which includes the stomach mesaraick veins hollow-part of the liver the spleen and sweetbread 3. And of the Venous region which containes the convex part of the Liver with the vena cava the greater Artery and al their branches between the Armpits and the Groines Also the Habit of the body which includes the muscles membranes Bones in a word the whol bulk of the body The signs are to be fetcht from the differences which follow Hereunto pertains the motion of certaine daies which is neither critick nor symptomatick but natural which is measured by certain daies and hours and is so punctual that it may contend with the Clocks The Causes the six non natural things of which we spake before 'T is variously dvided I. One sort is from Cholor which is a preternatural humor hot and drie preternatural I say because it is distinguished both from the more hot part of the Mass of Blood which is bred of the hotter and thinner part of chyle as also from natural excrementitious cholor which is collected in the Gal-bladder and colours the dung 'T is knowen by the amplitude of the veins by reason of Heat enwidening the same by depravation of the concoction through superfluity of heate defire of drink more then of meat vehement pulse sleep little or none leane habit yellow colour of the Body by its motion from third day to third day and that about noon It arises from an hot and dry constitution of body youths age watchings anger overgreat exercise of the Body meates
be cured from the simples Chap. 2. Of the diseases of Distemper with Matter A Material distemper is the irregularity of the natural temper of Mans Body by the presence of some morbifick matter The Signs wil be known from the following differences The Cause is a preternatural Humor and that is 1. Either collected by little and little either through weakness of the part or fault of the Nutriment 2. Or affluent either by attraction or by reason of transmission either from the whol body or from some certaine parts The Cure is perfected 1. By alteration with Contraries if we consider the disease 2. By evacuation if need be and that by blood-letting if a Plethory be offensive by Purgation if Cacochymia or badness of humors off end by sweat if the matter tend to the skin by vomit if to the upper parts by diureticks if to the Urinary passages III. By opposite diet 'T is divided into so many distempers as the material I. One sort springs from blood or a plethorick Constitution of Body when such humors as are fit to nourish the Body abound c. 'T is knowen by weatiness c. It arises from good Nutriment c. 'T is cured I. By Blood-letting II. By alteration with coolers and moistners especially such as are appropriate to the Liver 'T is divided two manner of waies 1. One sort is from an exquisite plethora to which al the precedent notes agree 2. Another is from a bastard plethora wherein the cure requires purging likewise 3. Another springs from a plethora ad vasa Another from a plethora ad vires of which we spake before II. Another kind springs from excrementitious choler which is hot and dry 'T is hardly cured if it proceed from the yellow choler Never almost if it proceed from leek colored eg-yolk-colored or verdigreise-colored choler c. The Cure is performed 1. By alteration with cooling and moistning medicaments and if it be very thin with thickness if thick by cutters Among the former the cheif are Stalks of Italian Lettices flowers of water lillie Porslain Plantain Tamarinds Jujubees red poppy among the latter the cheif are roots of Cichory Dandilion Sorrel such things as are made of these Spirit of vitriol Salt 2. By evacuation either by bloodletting when cholor is mingled with the blood or by purgation by stool with cholagogues The cheif cholagogues or choler purgers are Rhubarb which is neither to be given alone because it is subject to fume nor to such as are troubled with the strangury tamarinds aloes rosata which is taken only in pils Syrup of the flowers of Acacea of Roses solutive which must not be given to women with child Pils of Ruffi c. By a cooling and moistening diet III. Another is from preternatural flegm which is cold and moist 'T is cured I. By alteration with medicaments hot and dry attenuateing and cutting Where note that we must at first abstain from very hot things lest the matter being dissolved should swel with greater motion and that the thinner parts being consumed the thicker should remain We must avoid strong openers in a woman wth child The strongest of al are Lignum guaiacum China root Sassafras Salsaparilla and Oxymel Scylliticum Hot stomach medicaments are to be interposed because the stomach languishes through overmuch heat II. By evacuation with Phelgm purgers the chief among those indifferently strong are Mechoacanna of which Lozenges are made it works most effectually given in pouder Carthamus seeds and Agarick trochisked Among the stronger are jalap roote given with Cream of Tartar Syrup of Coloquintida and the Pils of Sagapenum of Horstius The Golden spirit of Rulandus III. By blood-letting provided the Heat be not dissipated being expressed with flegm and that there be a plethora IV. By an heating and drying diet let the Aire be hot and dry the meats seasoned with spices let strong wine be used the body being first purged Frequent use of Cappars with wine and raisins IV. Another sort comes from preternatural Melancholly whether thick or dilute or degenerating into black choler 'T is cured I By alteration with heaters and dryers provided it be not black choler The roots of Eryngos Lycorize the Herbes of Ceterach Baume Dodder Flowers of borrage tamarisk Cappars the cordial flowers Syrup of sweet smelling Apples c. Avoid Vinegar and if it must be used give oxymel and a decoction of Citron peels II. By evacuation with Melanagogues or melancholly purgers The cheif are Polipody sena Extract of black hellebore The diet must be heating moistning The Aire must be tempered with a decoction of Mallows and violets let the patients meates be boyled rather than rost Egs soft-boiled flesh of henns calves partriches corants a temperate bath of fresh water c. V. Another Sort comes from Serum or the wheyish humor which is a thin and Salt liquor by its aboundance and quality altering the body of man 'T is cured by evacuation with hydragogues sudorificks Diuriticks c. The cheif Hydragogues are among the indifferently strong the tope of elder when they first shoot forth dried with a gentle heat an emulsion of the stones of elder-berries Orice root Among the strongare Gambogia Jalap Extract of Elatery conserve of Esulâ— pils of Sagapenum The cheif sudorificks are Spirit of dwarfe elder and of elder Salt of Cenâ—ory of worm wood of Ash of Scabious Harts born prepared Antimony diaphoretick bezoardicum jovial Among diucitick are the diuretical liquor and syrup of Rivius in Renodeus his dispensatory Salt of Vrine Amber beanes Spirit of Salt liquor of tarrar Vitriolated half a scruple compounded with half an ounce of Cinnamon water and two ounces of julep of roses VI. Another is compound springing from some of these humors mingled together In the Cure we must so work that we resist cheifly those humors which most of al exercise their efficacy upon the body not neglecting the rest either within or without This wil be done when the veins are free from the obstruction al the passages of the body open the humors not being much distempered and the noble bowels of the Body not diseased Here panchymagoga or al-humor-purgers are to be used and the Imperial pils of Fernelius which may be seen in the London Dispensatory Chap. 3. Of Diseases springing from Hidden qualities DIseases from hidden Qualities are diseases springing from Causes which work by a malignant and venemous force which cannot be judged to spring from the manifest qualities of natural bodies The Signs are when a disease has rare symptoms great ones and such as are not to be seen in other sicknesses no not of the same kind When there has preceeded some suspition either of some great degree of putrifaction arisen in the body or of infected aâ—re or of contagion or of poison either taken in or communicated from without The Cause is various as shal be explained in the differences The Event of the cure is judged of from the
speak somwhat thereof in general in this place A single Chapter Of Pain in general PAin is a sad and troublesome disposition arifing from a sudden and vehement alteration in the sence of feeling The Subject are the nervous parts especially the thicker membranes which bring vehement pains SIGNS are needless the sence it self shews it The CAUSE is whatsoever eminently and suddenly alters the part or dssolves the Continuity thereof The CURE must be hastened least a fluxion be raised especially in a vehement one the Disease also must be set aside if there be no other Remedy 'T is performed I. By intigation with Anodynes and Narcoticks Among the former oyl of Lillies Earth-wormes Chamomel a Cataplasme of bread Crums milk and Safron boiled together a pultis of Marsh-mallow roots boyled in Milk Grulingus his Unguentum Jovis Among the latter are the extract of Thorn apple seeds the Narcotick trochisks of Fernelius Quandanum opiatum II. By removal of the Causes both by internal and external remedies The Differences are taken either from the Causes or from the parts affected I. One kind of pain comes from an eminent and sudden alteration of quality which is taken away by the remedies of a contrary quality And it comes either from heat and dryness then the causes have preceded the pained part is red we must go to work with things cold and moist Or from cold dryness the suitable Causes have preceded The skin is white or growes black and blew by binding 'T is eased with things hot and moist Another springs from Solution of Continuity which is caused either by many humors which stretch sharp ones which fret in which cases bleeding and purgations are useful Or from winds which teare as it were in sunder in which case having premised Carminatives we must deale with universals Or from external Causes beating cutting burning where the Cure must be directed to each particular Cause II. One fâ—â—rt is pricking in the Membrans which compass the ribs and subcostal Muscles Another is beating proper to the Arteries the sign of a great inflamation Another is a dul paine and mâ—â—medness which happens in the fleshy membrane which is spred out beneath the skin which happens from Refrigeration external Contusion or compression Another is a pain as of some heavy thing which burthens which is commonly felt in the kidnies sometimes in the Liver and spleen Another is a stretching paine according to the longitude of the part proper to the Nerves which extends it self into both parts of the Nerves Another is stretching according to the latitude proper to the membranes which cover the muscles Another is wandring which arises for the most part from winds in the larger Cavities of the Belly womb c. Another is a boring pain in the Guts it arises from cold humors fastned into their Coats Another is a leaping paine which happens in the coats of the brain where rising as it were from a root it suddenly leaps into the Circumjacent parts Another is Vlcerative or soreish which commonly happens in the skin and parts beneath the same also in the Gutts from the Acrimony of Humors and worms is common to the dysentery Another is deep which happens in the periostium presents it self to the senses as if the bones themselves did ake or the marrow in the bones And so much for the first differences of Diseases THE SIXTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of External Diseases Title I. Of the Several sorts of Tumors SO much may suffice to have spoken of Diseases in general and of their cure Diseases considered in their several sorts are either External or Internal The former are Tumor or Sewllings Diseases of the Skin Diseases of the Hair Vlcers Dislocations or Disjointing and Fractures and therefore there wil be likwise just so many Titles in this Book Chap. 1. Of Swellings or Tumors Caused by Blood Article I. Touching over-great Corpulency SOme Tumors spring from Blood others from Choller Flegm Melancholly from Watry and wheyish Humors and some from a Mixture of these one with another Those which spring from Blood are Over-great Corpulency Inflamations Bubo's Phygetlon Phyma Furunculus Parotis Paronychia Perniona's Ecchymofis Carbunculus Corpulentia nimia is an over-great increase of the Bodies Bulk caused by too much plenty of Flesh and Fat Signes are needless The Consequences thereof are an Hindrance of the Motions and Operations of the body shortness of breath by reason of the passages being stopt somtimes suddain Death in such as grow Fat when they are young Barrenness because of the seeds watrishness The CAUSE is the Increase of Flesh and Fat The CURE varies according to the variety of the Differences The DIFFERENCES are taken from the Causes I. One sort springs from Encrease of Flesh which is Caused through plenty of good Blood made by a temperate Liver out of meates of good Juyce the hot and moist temper of the Musculous pâ—rts of the Body assisting thereunto It is Cured 1. By Evacuation through Blood letting Cupping Fasting Eriction 2. By Consuming the Flesh with such things as strongly dry and moderately heat II. Another from the encrease of Fat caused by the Oyliness and fattyness of the Blood falling out of the Veins into the Membranous parts and there congealed by the moderate heat and Efficacy of the said parts T is Cured 1. By Evacuation but it must be sparing because such persons are apt to fal into cold Diseases 2. By Consumption of the Fat effected by things hot bitter diuretick yet so as care be had that by over much heating another Disease be not Caused Article II. Of an Inflamation An Inflamation is a Preternatural swelling of the fleshy parts springing from blood which besides the intent of Nature flows into the said parts The SIGNES are Heat which is caused partly by reason of the Blood partly by the stoppage of the pores springing from plenty and thickness of blood which stoppage wil not suffer the Fuliginous Vapors to exhale and partly by the bloods putrefaction Pain both by reason of the distemper and the solution of continuity caused by plenty of blood filling and distending the part Redness the blood communicating its color to the part affected Tension or Stretching because of the abundance of blood distending the whol substance of the Part. Renitency or Tightness from the same Cause Pulsation by reason of the distention of the inflamed parts caused by the heaving of the Artery which wants freedom of roome to move it self The CAUSE is the plenty of blood or its sharpness by reason of Chollerick Humors which because they provoke Nature they are by her thrust out she using the blood as her Vehicle or Chariot to ride in which flowes plentifully to the part by reason of its pain The Manner of its Breeding is this An Hot Fluxion causing the blood to fal into the Muscles first the great Veins then the lesser then the least of al are distended And when
making an Issue in the Neck if the Distemper be altogether refractory and wil not give place noâ— yield unto the aforesaid Remedies VI. By Corroboration which is effected by appropriat Cephalicks VII By a Diet that is opposite and contrary unto the Cause and the distemper It is divided into that which is from thick Flegm where preparatives have their place as being of singular use neither may blood-letting in this case be safely allowed of and that which ariseth from Flegm that is thin and fluid and which excites and begetts a Catarry and in removing of which sneezing wort and al sorts of Sternutatories and Errhina liquid Mediâ—aments to be puâ— up into the Nostrils that are over strong and violent ought carefully to be avoyded IV. The Sercus or Wheyish distemper oâ— the brain is known by those signs and tokens that are before mentioned It is derived unto the Head either sensibly and by degrees especially together with the Arterial blood it self and likewise the spirits or else al at once by reason of some external more forcible Causes to wit overmuch drinking of wine anger violent exercises c. It is Cured I. By the Evacuation of the serous Humor from the Brain without the premising or use of any preparatives whatsoever This Evacuation is performed 1. By a purgation of the Humor with such Remedies as draw forth water 2. By blood-letting especially if there be present any Feaver although never so gentle and an extraordinary heat which moveth the serous part of the blood unto the Head and in case the accostomed Evacuation be suppressed 3. By the Exhibition of Sudorificks that are over hot as for instance Antimonium Diaphoriticum Bezoarticks the Lunar Fumary c. 4. By the drinking of Diureticks which are likewise very good and profitable to the spleen II. by Correcting the Distemper for which purpose we usually prescribe the powder of a mans bones drying Lotions c. III. by Diet touching which fee and consult the practical Physitians V. The Melancholy distemper of the brain is known by the dotage that accompanyeth it together with fearfulness and sadness a pain especially on the left side turbulent dreams and oftentimes a sudden loss of al motion Is Proceedeth from Causes that generate Melancholy The Cure hereof is easie in its beginning It is Accomplished I. by the reiterated Preparation of the Melancholly Humor after the Purgation of the first waies and passages by the use of those medicaments that both heat and moisten among which the syrup of apples is excellently good II. By the evaccuation of the said humor by purging potions at first such as are genttle but afterward such as are stronger in opperation and here for this purpose Lapis Lazuli is much commended adding thereunto such things as moisten after which there must immedeiatly follow an evacuation by the frequent use of those remedies that we term Errhina and other such like III. by corroberating and strengthening the Brain by the confection Alkermes with other suchlike confections IV By diet iâ— the which vinegar in regaâ—â— that it doth ferment and as it were leaven and sowr the mellancholly humor is principally to be avoided It is divided into that that is Essencially such in which likwise the opening of the cephalick or head vein of the left arme and a copious letting out of the blood if it be black but a more sparing evacuation thereof if pure hath its place and use and into that which ariseth from the suppression ether of the Monthly Courses or of the hemorrhoides in which case revulsion and the opening of the Ankel vein is to be put in practise VI The Atrabiliary distemper of the brain is Known by the want of sleep and extream dobting of the sick party and it arisath from such causes as foment and supply a melancholly Juyce and together with these as it were burning of the same aforesaid Juyce the extraordinary heat of the bowels may do very much The Cure is very difficult in regard that it to far receeds from the Temperament of the Brain It is atchived I. By an often repeated preparation by coolers and moisteners an evacuation of the first Vessels or passages being before premized That compound which we commonly cal Cachund of which hath already bin spoken in the melancholly destemper hath here likwise its place and use II. By a frequent and reiterated evaccuation of the black choler by medicaments such as they term Melanagogues well mingled together with Moisteners as also by those things that peculiarly and properly purge the brain III. By digestion and that by Topicks and sweet water baths if yet the distemper wil not give place nor be removed then let the patient drink the whey of milk together with such things as are specifical remedies against melancholly and of a moystening quality It is divided I. into that which is such in its very sence wheâ—e the opening of the cephalick or the common Basilick vein hath its place and that which is caused by the suppression of the courses or the Hemorrohides of the which sufficiently above II into that which is from the blood burnt or over heated in which distemper the sick party is evermore very apt and propense unto laughter And this is to be cured by letting blood in the same manner as was that that was generated by yellow choler in which a bruitish kind of dotage and fierce anger gets the upper hand and that likewise that had its original from the Melancholly humor in the which pensiveness or sadness and a continued silence or else haply after a while that this silence is broken a tedious extream talkativeness hath the predominance c. Chap. 3. Of the straintness or narrowness of the passages of the Brain THe Straightness of the passages of the Brain then happeneth when the said passages are either obstructed or compressed by their causes Those passages are the pores of the Brain which is of a spungy substance the pores or passages of the stomach the Veins Arteries Nerves and the sutures of the Skul The SIGNS are taken from the diminution or else the utter abolition of the actions of the Brain The Causes are either obstruction from pituitous and flegmy humors blood poured forth out of the vessels grosse and thick Vapours or otherwise Compression and this either from the skul by reason of some violence offered thereunto or else from blood distending the vessels from whence they are affected with a flegmatick distemper or else haply such as is shed forth and fallen into the substance of the body by reason of the a bundance of its thinness or acrimony apituitous or flegmy humor having first obstructed the Basis of the brain and lastly by an hard tumor or swelling The CURE is Various according to the variety of the differences The differences are taken from the many and several causes I. One difference is from Causes External to wit the fumes that arise either from coals beer or
calcined and boyled the same way and applied That they grow not again they must be anointed with Vineger and the Ashes of the Twigs of a Vine III. Rhagades or Clests are oblong Ulcers of the Anus without a tumor and those superficial or deep Callous or without a Callus moist and pouring forth filth or dry and Cancrous they arise 1. From the too much hardness of the Excrements which in their passage do break the Skin 2. From a dry distemper having joyned with it sharp Humors and somtimes malignant where moistners take place 3. from flowing of sharp corroding humors that have a certain clamminess by reason of which they stick to the part and then an itching and most sharp pain with burning troubles them The Purgers ought to be gentle and moistning Care is to be taken of the Virulency which discovers it self by the filthy smel and evil matter A Clyster of the Mucilage of Tragacanth the Seeds of Fleawort of each one ounce and an half Fresh Butter three ounces Red Sugar one ounce Oyl of Violets five ounces is commended IV. Fistulaes do follow inflamations Tumors and Ulcers of the Anus ill Cured They are known by their narrow Orifice but a bosome lurking within There is voided thence matter somtimes watry somtimes virulent They are divided into those which do not penetrate either into the right Gut or into the bladder which is discoverd by putting in a Probe which if they bring no great discommodity are only to be Mundefied with the Decoction of Agrimony and a little Alum and the Orifice if it be too narrow must be dilated with Elder Pith that the matter be not retained but if they ought to be Cured universals premised they must be washed dilated and cut And those which do Penetrat either to the Right Gut and then the Excrements of the Belly are voided through them and liquor injected comes out through the Gut or to the Bladder and then the Water is made through them Or to them both and then a Fart is let from the Privities as wel as from the Arse All these are seldome Cured Amongst things consolidating Joel commends the pouder of Mercury Precipitate strowed on laying over it a common Plaister Ursenick prepared or reduced to an Oyl layd on and the same Plaister over it If the Fistula be in the Sphincter muscle the Excrements of the Belly issue forth of their own accord See Hippocrates concerning them V. Hither belongs also an Intertrigo which is an Excoriation of the Parts neer to the Anus arising from vehement motion 'T is Cured with Deers and Goats Suet. Chap. 2. Of the Symptomes of the right Gut THe Symptomes of the right Gut are Itching of the Anus Tenesmus the flux of the Hemorrhoids and the stopping of them Article I. Of Itching and the Tenesmus The I-ching of the Anus is a Certaine painful tickling of the same Tâ—eâ—e is no need of Signs The Differences are taken from the Causes I. One is from sharp Salt and Viscous Humors sticking to the â—phinter which must be emptyed but the Arse must be washed with the Decoction of the Leaves of Mallows Violets Roses with Pâ—anâ—ane water and a little Alum 2. Another is from the Excrements left there which are wel washt off with the Decoction of Mullein 3. Another from Worms of which in theâ—r Chapter 4. Another from an ulcer to the which the Cure must be directed II. A Tenesmus is a continual desire of going to stool with pain in which either noâ—â—â—ng or a few Mucous things are voiâ—â—d I here is no need to add any Signs somtimes the right Gut fals forth and a dropping or difficulty of Urin happens by reason of the â—â—weeâ—ness and consent of their Parts The CAUSE is whatsoever is fixt to the exâ—â—eam part of the right Gut and can stimulaâ—e its Expulsive Faculty but what that is shal be explained in the Differences The CURE must not be neglected because from neglect of it oftentimes a sordid Ulcer remains which somtimes passeth into a Fistuâ—a It respects the Causes and the pain which must be mitigated The Differences are taken from the Causes I. From the too great cooling of the right Gut which is taken away with the Decoction of â—he Flowers of mullein chamomel Melâ—loâ— Dill with the Seeds of Flax Fenugreâ—k Bran. II. From the Stone or worms concerning which see in their places III. From the cause producing a Dysentery and then the manner of Cure is the same almost with that of a Dysentery Let the quantity of the Clyster be but little the Ulcee be washed and healed The Mucilage of th-Seeds of quinces and Fleawort extracted liquid with Water or Plantane Nightshade is good adding Bole armenick or washt aloes and cast in by Clyster IV. From Cholerick humors or Flegmatick and Salt sticking to the same where a Clyster of the broth of weathers Flesh with a few drops of Oyl of Wax being given takes place c. Article II. Of the Flux and stoppage of the Hemorrhoids The Flux of the Hemorrhoids is too great a casting forth of blood by the Hemorrboidal Veins This Disease hath no need of SIGNS First of al there flowes black blood feculent and thick and it comes forth as it were by drops whiles they wipe their brich afterwards good and ruddy at last yellowish and pale From thence the thighs grow weak the Hips feel a heavy pain the color of the Face is depraved Somtimes it observes its Periods somtimes it neglects them The CAUSE is whatsoever doth either Irritate the Expulsive faculty of the Veins and arteries of the Liver or Spleen or hurts their retentive The CURE shews it must be supprest which is performed by Revulsion by opening a Vein and by the external and internal use of astringents Outwardly are good by a propriety a girdle of the Leaves of Black Hellebor bruised fresh and girt about the naked body upon the use of which if pimples be raised the pain must be taken away by its remedies Spunges which grow under the seats of hot Houses in baths if they be burnt to pouder in a new pot and strewed on Colcothar or that thick Feces which is left at the distilling of Oyl of Vitriol if they be toucht with it one only being left Inwardly is commended Essentia Martis of which see Hartman A Confection of the refuse of Iron The Old Conserve of Roses with Bole armenick c. The Differences are taken from the Partâ— and Causes I. One is of the internal which ariseth from a branch of the Spleen extended through the Mesentery about the Colon and right Gut in the Muscles of the Anus and inward part of the Gut having an Artery joyned with it that alone is there terminated It is known by a weight about the Fundament difficulty of going to stool by Clysters Suppositories or an instrument And also if a Cupping-Glass be applied as Zacutus hath done Another is of the External which proceed from
time is less resisting the Fingers cannot be thrust under the ends of the Ribs It possesseth only the Membrane that compasseth the Liver yet somtimes it fils up the whol Hypochondry It ariseth either from a viscous Humor either sprung from meats of that Nature or made such by cold alteratives given about the time of Evacuation Or from a thin crudity arising from meats drink and other things inducing cold or from a thin wind The Cure is perfected by things opening and emptying Article V. Of the Wounds and Vlcers of the Liver The Wounds of the Liver which in Aged and ill habited bodies are very dangerous but by reason of the long effusion of blood are deadly are either from external causes which are Cured by things astringent and agglutinative red Roses dryed are commended or from a Contusion which hath Joyned with it a vomiting or dejections by stool or Urin with blood it is more dangerous than a wound and degenerates into an impostumation In the Cure it requires 1. The opening of a Vein in the Arme. 2. Potions Compounded of astringent things 3. The Flux of blood being stopt the dissolution of congealed blood by its Medicines An Vlcer of the Liver is a corrosion of the same from matter or juyce The SIGNS are an ulcerous pain in the right Hypochondry a Cough a Jaundice color of the Face a voiding of putrid sanious and bloody things by the stool or Urin an Atrophy because there is neither blood made nor the man nourisht The CAUSES are whatsoever things corrode the substance of the Liver of which shal be treated in the Differences The CURE must not be neglected although it be of little Hopes for it grows foul by a perpetual filth because t is continually washt with the nourishment 't is ordered as in other Ulcers The Differences of the Ulcers of the Liver are various I. One is in the Superficies which is less dangerous another in the Substance which is deadly because a spermatical part cannot be Regenerated II. One is in the Gibbous Part which is known by purulent Urins without the signs of an exulceration in the bladder and Kidneys by difficult breathing by pain of the midriff Another in the hollow part which is known by the bloody and somtimes purulent stooles by the pain of the Guts by reason of the acrimony of the matter by the sense of pricking and heaviness about the Liver III. One is which follows an inflamation which hath ended in an impostumation and this is dangerous especially if the matter be contained in the substance of the Liver Another is which ariseth from sharp and corroding Juyces which is known from hence that it creeps on by degrees the strength not impaired a Feaver ariseth in the progress observing no type which at length ends in a Hectick Loathing of meat afflicts them especially of flesh c. It ariseth from the default of corrupt or putrefying nourishments generous Wine heats the bowel and dries it and heaps up a certain putrid clamminess and matter Chap. 4. Of the Symptomes of the Liver Title I. Of the weakness of the Liver THe Symptomes of the Liver are Weakness Cachexy a Dropsie Jaundice and atrophy The weakness of the Liver or atonia is a hurt of the faculties of the same induced by its Causes The SIGNS ought to be taken from the consideration of the Excrements of the Belly of the urin and color of the whol body as shal be manifest in the differences The Causes hurting the faculties of the liver are diseases of distemper whether it be hot or cold to which is added an external error viz. when either the chyle is not rightly elaborated in the stomach or being wel elaborated somewhat vitious is mixt with it c. The Cure ought to be perfected with things that strengthen the liver and are appropriate to it as are the liver of a wolfe a calfe of hens snailes raisons c. As concerning the Differences One is by reason of the Sanguifying faculty which either is hurt by a cold distemper or the defect of natural heat and then the excrements of the belly are like to the washings of meat new killed which the cold growing more intense do cease crudities arise with which the feet first and then the other parts abound because the veins do suffer with the liver ill affected as being their original For the cure of this serves Rupert Cranesbil bruised a lie of the pruning of vines with wine c. Or from a hot distemper in which the chyle is burnt as it were the excrements are like to the dreggs of blood c. Another is by reason of the attractive faculty and then moist things flow down by the stool like creame although there be no fault in the stomach no obstruction of the mesentery Another is by reason of the retentive faculty and then is rendered by stoole things like to the washing of flesh new killed yet seldome moist and mattery c. Article 2. Of a Cachexy A Cachexy is a diffusion of the whol body into a watry and swelled softness by default of nourishment The Subject is the whole body but those parts especially which are obvious to the eyes as the skin and the muscles The signs are a color by reason of the flegmatickness of the blood sometimes white by reason of the mixture of cholor or melancholly sometimes livid or leaden A tumor with heaviness and sluggishness especially in the feet and hands by reason of the descent of serous humors and their distance from the heart and also about the eyes in the face cheeks ey-brows because those parts by their laxness do easily receive serous humors The Cause is the fault of nutrition For though that which is put to the parts doth concrete and adhere yet by reason of the too great plenty of crudities 't is not assimilated To wit the blood is flegmatick crude and serous and that is generated such either by reason of impure nourishments corrupt and producing abundance of serum Or by reason of the bowels which either are impure either from a Scrirhus as hath been said or from the effusion of a corrupt humor as hath been observed in a suppression of the courses that purulent matter from the obstruction of the ureters returning into the veins the blood being infected hath infected the whol habit of the body Or from their corrupt substance for so vitious and corrupt blood is brought forth and carried out to every part and there concreting It leaves a vitiated substance instead of a good hence the Cachexy is various according to the nature of the blood The flegmatick affects virgins and threatens a universal dropsy Or they are weak because they have been hurt either by the continuance of diseases or by too much evacuations or by long imprisonment c. In the Cure we must diligently observe 1. That regard be had to those diseases from which the cachexy proceeds 2. If humors abound they
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of thâ— rootes of gentian dittander each five grainâ— with syrup of bay berries and given one scrâ—ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a
the Occidental Regions are extream sickly and unhealthful they have thick and muddy waters and the people thereof are of an il color The Meridional or Southerly Regions abound with store of waters somwhat salt sublime and they that inhabit in them are evermore subject to moist heads and obnoxious to a flux or loosness of the Belly The Setentrional or Northern Regions have their waters harsh and cold the people thereof are dry long-liv'd and of a tall stature The Oriental Regions are more healthy than the Occidental as wel because the Sun it its vigor dissolveth those moist vapors that it drew up at the rising thereof as also in regard that it doth not only not dissolve those which al the day it hurrieth along with it self towards the West but likewise that it excites and stirs up many more vapors in the West and so leavs them as also because that there many more vapors drawn up in the occidental than there are in the Oriental part of the World in regard that there are in the West far more and those far greater Seas than in the East Eighthly From the parts of the World Kingdoms and Provinces For it often comes to pass even from the very situation of several places that those which are accounted wholsom and healthful unto one certain place are found to be baneful unto another part So the cold north-east wind is unto the Europeans most serene and clear but in Libian region it is exceeding cloudy and again the south wind is unto those Lybians very hurtful and so is the soâ—th west wind unto the Bascomians very pernitious but on the other side very gratful and welcom unto the Gretians and Italians Ninthly From Cities and houses And hence it was that the Caunians a people in Cavia through the default of the Air there became so wan and pale that there was one heard to say that dead men walked in that country Again the Sun in the summer getting up to a greater heighth entreth not at al those houses that stand to the South but then in the winter season approaching neerer it altogether and wholly shines thorow their windows And therefore dwelling houses ought in a different manner to be erected according to the diversity of the inclinations of the several regions in the world Tenthly From the particular constitution of places Where observe 1. That places standing high enjoy a pure Air as being cleansed and purified by the winds that blow throw it and therefore those places produce and nourish strong lusty and long lived inhabitants by reason of the want and absence of moist excrements 2. That steep down hil places depressed and as it were pend up between other mountaines are in the summer time even suffocated with the reflexed sun-beames and in the winter by reason of the suns absence are annoyed with overmuch moisture and thick clouded vapours 3. Places that are plain if so be they have on al sides every thing fit about them they have then no other property but that which is taken from the observation of the Climates 4. Those places that are rocky and open in the summer have the Air hot but in the winter cold so thin and subtil that almost no vapours can be elevated and drawen up out of rocks 5. Places Mountaineous and high are snowy and therefore healthful by reason of their snows but when these melt away those places becom very much clowded Now if those Mountains are situate to the North east then those places wil be hot by reason of the reflected sunbeams but if to the south and that the winds blow from the North then those places by means of the snows and winds are cold dry and sound unless something else hinder If to the East then they are cold because they ruled and swayed by the East Their Air is thick both in regard they are nigh unto Mountains as also because they lie open unto the Western Winds If they be situate to the West they are therefore healthy in regard that they are then exposed unto the oriential or Eastern winds 6. Those places that are woody are infested with a thick suffocated cloudy and turbid Air among the trees the Nut tree and Oak are more especially hurtful 7. Those places that are neer adjoining unto rivers do moisten overmuch 8. Such places as are fenny and abound with lakes by reason of their filthy noysom vapors are very apt to generate diseases 9. Those places that are nigh unto the sea are thought to be healthful in regard that saltness resists corruption and the winds do evermore throughly purge the Air because likewise that the Sea in the Winter and in a cold Region renders the Aire warmer than ordinary but on the other side in the summer time and in a hot Country it makes the Air exceeding temperate 10. Cardamus hath left it for a Truth unto us that those that are ful of hot Baths do viciate and corrupt the Air of the place howbeit not so far forth that they hurt those bodies that are strong and able which are not hot by reason that they are altogether free from putrifaction But of these see I pray and read next after Hippocrates Renatus Morean learnedly and excellently discoursing of them in his Tract upon Schola Salernitana Article 2. Of Meat Point 1. Of the differences of Meats Meat is a thing not Natural restoring and augmenting the substance of Mans body Concerning it there are these five things to be explained 1. The various differences thereof 2. The kinds of it 3. The Seasonings or sauces thereof 4. Bread it self 5. The time of repast or taking of this meat The differences of Meats are various I. In regard of its substance it is 1. Hard which is not concocted without much difficulty but it is easily corrupted 2. Soft which easily and soon receives a taint 3. Heavy thick and gross and this heaps up a juice that is thick fibrous and earthy 4. Viscid and clammy which is very difficulty distributed into the veins 5. Firm which truly makes a supply of much aliment or nourishent but then it stands in need of great store of heat and strength of Nature for Concoction 6. Infirm which indeed is easily and soon concocted but then it breeds and supplies either very smal nutriment or at the best such as is transient and of short continuance 7. Hard or easy of digestion which accordingly is hardly or with little difficulty overmastered by the heat of the stomach 8. Hardly or easily to be corrupted which accordingly either through its own default or else by reason of some weakness in the stomach or lastly by means of some distemper proceeding from things therewithal mingled is either easily or difficulty corrupted II. In respect of its Quantity it is I. Overmuch Either as it refers unto the capacity of the vessells as it is al of it converted into blood but then by reason of the too great abundance of humors it
winter especially because they are in the summer by reason of their Letchery leaner dryer and hotter than at other times II. The Parts of Birds are 1. The Combs which are proper to poultrey alone Galen reckons them among such meats as no man wil commend or dispraise They are thought to incite such as are slow to generation 2. The Wings which because the superfluous and crude moisture is wasted away by exercise are of good juice and easie to be digested 3. The Rumpe which in such as have short legs is more fleshy and fat than ordinary but sometimes it makes the stomach sick by its over fatness 4. The Brain which in birds than in four footed beasts is dryer and harder in such as feed on mountains it is more delicate than in such as lie in the fields and marshes The sweetest is that of Cocks Partriches and Pheasants That of Sparrows and Pigeons provokes fleshly lust 5. The Neck which is thought to hurt the Eye-sight by reason of blood therein in coagulated 6. The Tongue which the more musculous it is the better it is Bruyerinus writes that the tongue of Geese provokes lust 7. The Heart which is of a fiberous and hard substance is hardly digested and hardly passes Often eaten it breeds melancholly blood 8. The Lungs which because of their thin substance are easily digested and nourish little 9. The Stomach which is for the most part fleshy and hard that of a Goose is the sweetest That of fed Henns is rather fleshy than hard We cal it the Gizzard 10. The Gutts which in some kind of birds is couuted a dainty The Gutts of a larke which are hard and bitter are by some swallowed like pills to loosen the belly but in vain 11. The Liver which by reason of its hot and moist temper is of kin to our natural Heat That of a Goose is most short and tender and most highly prized Anciently they moistened their Goose-meat with milk to make it nourish the more 12. The Spleen because in most birds it is very little is of no account 13. Theâ— Stones are best in cocks if they are nourished with wheyish nourishment They are sought for by delicate and wanton people as incentives to Lust 13. The Feet which because they have little flesh upon them nourish little and because they are nervous and tendinous they are hard to digest 14. The Skin which is sweet in such as are fed up and fatted but of small nourishment and hard to digest that is the sweetest which covers the Loins of Hens The rugged and fat skin of the Neck is better boiled than roasted 14. The Marrow which if it be of the back it is of the same Virtue with the Braines save that is a little harder if that of the bones it is more fat and pleasant but eaten too plentifully it causes stomach sickness 15. Fat which being moderately eaten with salt gives little and bad yet delightful nourishment It takes away the Appetite if wine be drunk down after it because the stomach is smoothed the wrinkles are taken away and the sense of pain by reason of the sucking of the stomach is taken away III. The Egs of Birds consist of the yolk and the white The former by propriety of substance is easily inflamed and turned to sumes The Latter is cold and glewish breeds bad blood and is hardly digested They vary in respect of Substance figure and concoction They are 1. Those of Henns Partriges Pheasants such as are young and fat which excel al others 2. Ducks Geese and Peacocks Egs which are counted worse 3. Such as are Smal long and white which are thought to excel others in goodness of juice 4. Such as are Pale as those of Ducks and Geese which partake more of a watry substance 5. Trembling Soft which are so far thickned by boyling as that they seem to tremble in the shell in the hand of the holder do give much nourishment and excellent juice to the body are easily digested and distributed and breed blood which is most agreeable to the nature of the Heart 6. Supping Eggs which nourish less than the quivering or trembling but they pass more easily and mitigate the roughness of the Jawes 7 Perfectly boyled being thickned which are hardly digested pass slowly down and afford a more thick nourishment 9. Roasted are of thicker substance than boyled because the Heat of the fire consumes their moisture and if they are quite covered with ashes because the fumes are therby kept in they are the more unwholsom it they are laid open upon the embers because they breath out their fumes they are better 10. Boyled they are better than roasted because the moisture of the water hinders them from being dried by the fire 11. Fried which while they are digested in the stomach do evaporate into nidorous fumes and corrupt other meats and breed thick juice 12. Poached Eggs which Galen teaches how to dress are better than boyled or roasted if they are done neither too soft nor too hard III. The third kind of Meats are four-footed beasts Which afford for mans food 1. Their Musculous flesh 2. Their Head 3. Their Breast 4. Their Belly and panch 5. Their Leggs and feet And 6. Such things as are taken from but are not parts of them I. The Musculous flesh is frequently used for meat and is hotter with quickning heat than that of fowls and therefore they grow thrice as big 1. It is Oxe-flesh which if of young beasts not broken with Labor 't is so much the better but seldom used if of old beasts it is thick hard of digestion and passes not easily through the veins yet is it free from roaping and clammyness It breeds a loose nourishment hard to digest and produces thick blood Hippocrates has written that it causes cholera sicca 2. Cow-beefe which is of a thick melancholy juyce 3. Calves-flesh or Veale which is temperate of good juice easie to digest Yet it affords somwhat a thicker juice than Kids flesh Lambs or Weathers flesh 4. Swines-flesh which differs according to the Age that of Sucking pigs is moist of no good juice and which easily putrifies and therefore wine must be drunk upon it That of young shotterels is better and gives good nourishment That of young Hogs especially those of May is best of al nourishes most powerfully and affords firme aliment to Men flourishing in years very convenient and for such as are exercised with hard labors That of Old decrepit Swine is hard tastless causes melancholy diseases must be moistened with wine drunk after The flesh of the Wild boare or Swine is better than that of the tame both because it is not so excrementitious nor breeds clammy juice Out of no other Beast so much fuel is afforded to luxurie for no less than 50. several tasts are thereout produced whereas others have each one single tast 5. Sheeps which is of too unsavory a tast and fit for Country people it
smells strong if it be boyled after the solstice worse if it be roast 6. Lambs flesh which before a yeare compleat is moist slimie after a year it is ful of good juice of a midling consistency and is easily digested in such perions as take paines and is soon discussed 7. Weathers Flesh which is easily digested and breeds good blood if it be of such as are young 8. Roes Flesh which is of good nourishment and excells the flesh of other wild beasts in easy digesture and little excrement yet is it somewhat of a dry nature 9. Rids Flesh which being temperate is easily digested and breeds good humors but more clammy than those arising from veal 'T is flashy and void of tast unless it be roasted 10. Deeres Flesh which is drie and hard to digest breeds melancholly blood if it be of an old Deere and is apt to obstruct the bowells 11. Hearts Flesh which affords melancholick juice but if it be wel digested it is not of ill juice and is thought to such as eat it to have a fresh color II. The Heads of four-footed beasts which serve for food are the Oxe-head Calves-head Hogs-head Wild Boares-head Kids-head Hares-head c. Of which thus much may be said in general that they are hard of digestion of a thick and clammy juice and very nourishing Their principal and most esteemed parts are 1. The Tongue which consists of a flesh by it self loose spungy moist and clammy and therefore it affords a nourishment not solid thick or long-lasting yet in some creatures t is exceeding sweet soft of good juice easy to digest and affording no bad nourishment That end which the beasts are wont to thrust out of their mother is harder than the rest 2. The Eyes which are of no account saving those of a Calves-head which are compassed with much fat and soft flesh and are involved in thin membranes 3. The Eares which because gristley nourish little unless they be eaten with the bordering parts 4. The Cheeks which if they are of young beasts fat and fleshy they are not void of good juice Those of Calves are most tender 5. The Braine which is flegmatick of thick juice passes slowly and is hard to digest It makes the stomach thick and provokes vomiting Varignana saies it is good against poyson perhaps because of its clammyness wherewith the sides of the stomach are daubed 6 The Palate which is commended in an Oxe It is covered over with a certain membranous flesh and is a frequent Ingredient into minst pies Haggests and Puddings 7. The Snowt which Galen counts inferior to the feet in Hogs and better than the Eares III. In the Breast the Heart and Lungs are seated 1. The Heart is hard to digest as I said before The Salernitans are of Opinion that an Hogs Heart encreases pensiveness namely in such as are already troubled with Melancholly 2. The Lunges are of a cold and moist temperament of a flegmatick juice easily digested and distributed by reason of their rarity or thinness of substance and their Lightness some say they pusse up the belly IV. The parts of the Belly are the Liver Spleen Kidneys Stones Matrix Stomach Gutts Mesentery the Flanks Duggs or Vdders 1. The Liver of al beasts is of thick juice hard to digest and which passes slowly That of a Sow is best especially if she have been fed with figgs That of Lambs and kids does more easily pass and is not so thick juiced The Roes Liver is said to bring epileptical convulsions as well as the goats The wild swines liver covered with the Cal is commended 2. The Spleen because it draws thick dreggy and melancholick blood affords suitable nourishment Those of young swine because they are not infected with so bad blood are not of so ill juice 3. The Ridnies are of bad juice ill tast hard to digest those of kids and Calves are commended because they are neither hard nor rank 4. The Testicles because they have a rank tast especially in such creatures as have engendered are hard and ill to digest But Hogs-stones are counted the best and lambs stones are not il thought of 5. The Matrix was by the ancients esteemed a very dainty dish and was reckoned of two sorts viz. that of a sow or other beast with young and that of Virgin female Because it ingenders a cold and crude juice therefore t is hardly digested 6. The Stomach what nourishment it gives may easily be conjectured by its constitution 7. The Smal gutts which the greeks termed chordas the Latines Lactes were anciently a dainty dish witness the Poet Epicharmus in Megaride the thick guts which they called Phuscat were no less esteemed of 8. The Mesentery especially that of a fat sucking calf is a most dainty dish with a little Vinegar 9. Touching the flanks or groins I have nothing to say 10. The Vdder was counted for a dainty dish as may be collected from the Psendolus of Plautus V. The Extremities or feet are by Aristotle accounted to be of a clammy nourishment Mnesitheus the Athenian writes that they and the Head have little nourishing and pure Juyce in them Some have termed them the Sacrifice of Venus Hereunto I refer the Sweet bread and Brawne the sweet bread is a Kernelly Soft Spongy and white substance Plautus commends it in his Curculio That of a Calfe is the sweetest Brawn is swines flesh hardned and was highly esteemed by the ancients VI. Food taken from Animals being no part of them is Milk which also affords the parts whereof it consists Whey Butter and Cheese I. Milk is manyfold 1. Raw which must be taken new milked least it cause Wind. That of Cows or other Creatures which have newly brought forth their young is not approved 'T is corrected with a little Salt or Sugar 2. Boyled which is indeed less windy but because the whey is consumed by boyling it becomes thicker and apt to stop the Veins 3. Cheesie which has much Cheesie substance in it Nourishes much but is not so wholsome 4. Buttery which is more clammy is hardly distributed and causes wind 5. Wheyish which nourishes least of al and quickly passes through the Belly 6. Of leane Cattle which nourishes little 7. Of Fat beasts which is said to be apt to breed convulsion fits 8. Of black beasts which is better than that of such as are white 9. Milkt after the bringing forth of young which is most liquid and thin and grows thick in time 10. The best is luke warm of equal substance put upon the Naile it does not soon run off light rather than heavy not clammy but sweet without smel white and in some sort shining finally which proceeds from an healthy Creature being made in wel constituted Udders 11. Womens milke which is very near the best of al other 12. Cowes milke which is thicker than that of Women fatter and more nourishing It easily obstructs and is in the Stomach hardly digested 13. Sheeps milk
digested and distributed and has no ill nourishment or Juyce 11. The Lamprey is clammy but if it be wel sauced and dressed it affords a pleasing and wel tasted Nutriment Some would have it to be strangled in wine 12. An Eele has soft and sweet flesh but clammy ful of Fat and moisture some say there is somthing in an Eele which not taken out is destructive to the bowels of the Eater Howbeit the Ancients so highly esteemed this fish as to account it the Helena or prime dish at their feasts 13. The Tench is by Ausonius cal'd the poor mans comfort It is thought to be of so bad Juyce that the feeding thereon should cause Feavers 14. The Herring has a white and short flesh of good tast not hard to digest of good Juyce Being salted or hardned in the Smoake it degenerates from it self 15. The Sturgeon has hard flesh Fat and glewish It affords no bad Juyce only t is hard to digest the younger are most pleasant and afford much nourishment III. The other Members of Fishes are 1. The Head which is mans meat in some fish The Mullet was anciently bought only for his Head and Liver At this day the Head of a Salmon of an Umber or Hallibut and of a Carp are accounted dainties 2. The Tongue which in a dolphin is Fat and tender in a carpe if it be roasted t is very fat provokes lust 3. The Eyes which in a Salmon are tender and Fat 4. The Beards which Heliogabalus had served up by whole platters ful instead of smalladge and Water-Cresses and Fenu-Greek 5. The Throates or parts between the brest and Neck being salted are pleasing to the Palate and according to Xenocrates are hardly corrupted 6. The Liver which in stock fishes or Cods is counted better than in other Fishes In the Silurus t is so sweet as to overcome the Stomach That of the Wolfe fish roasted and sauced with Juyce of Orenges is not inferior to a Gooses Liver Upon the Livers of River Lampreyes the revenues of Princedomes have been anciently laid out 7. The Sides of the sturgeon and Lamprey are commended 8. The Bowels without which the Gilthead has no tast and in the Dolphin their sâ—â—l is delightful as also their tast resembling Wâ—â—lets 9. The belly which in the fish they cal Huso tasts like Porke A dish has been invented of the Navils of the thin Fishes cut out of their bellies and barrelled up with Salt Vinegar and Fennel 10. The Roes which in the Pike Huson Scarlet fish and others are commended 11. The belly which is fattest in the Tuny-fishes as Hicesius informes us 12. The Guts which are commended in the Salmon Pike Cod and Conger 13. The Flankes and Groins which Horace commends in a Turbot 14. The Loins which Antiphanes relates to have been among the dainty dishes of Old 15. The Taile which is desired in the Pike or Thym. The Proverbe is The Head of a Carpe the middle of a Scordil the Taile of a Pike are the Gluttons delight 16. The Skin which in a Tench is by French Women preferred before any flesh 17. The Eggs or hard roes of Perches roasted on a Gridiron of Carpes boyled and fried of the Wolfe-fish Salmon Huson and Marde Pickled were a dish of esteeme among the Ancients Those of the Barble Gripe the Belly intollerably those of the Pike make it swel And so much for Fishes IV. Among bloodless Creatures I shal only reckon Oisters Snailes and Crabs I Oisters by the Salt Juyce they have in them do provoke the Belly to stoole they stir up appetite and incite Lust nourish little and make some trouble in the stomach II. Snails are of an hard flesh and difficult to digest but if digested they nourish plentifully if often Eaten They breed thick and black blood That which is said to be good in Consumptions is in the broth of their Flesh especially their hinder parts In which there is a clammy substance like hardned cheese easily melted and soon chewed tender soon digested and very nourishing Those are best which are least white and which are found in Vineyards and Orchards III. Crabs which have no Tailes and Lobsters that have Tailes do not much differ They are hard to digest being digested they nourish much but breed thick Juyce Touching Creeping Creatures and other things used for food in other Nations I shal not speak Point 3. Of Sauces Bread and the time of Eating The third thing to be explained touching Diet is Sawces whose Differences and matters or kinds I shal now reckon up I. As to the Differences of Sawces they are either 1. Simple which are made of the mixture of one only thing with our Meat or Compound which consist of two or more The former are heating cooling Temperate Sharpe Aromatick Bitter Salt Harsh Acid Sweet Fat The latter are wel nigh more in Number viz. Dipping-Sawces Licking-sawces Sugard-sawces Sage-sawces Garlick-Sawces Onion-sawces Tart Sawces Vinegars Sallads not to speak of your black broaths Sawcages Pap-Sawces Bononia Sawcages Westphalia Gammons of which see Apicius and Athenaeus II. The Matter of condiments are things dug out of the ground Plants themselves their Juyces and Honey Of things dug up is Salt which attenuates clammy meats gives tast to those that are tastlss dries such as are moist takes away the strong smel of such as stinke The best is white transparent like cristal thick void of smel which has an even acrimony joyned with a certain sweetness If we beleeve the Mauritanian Physitians it dims the eyes wasts the seed and raises the scab II. From plants there is 1. Peper especially the black Which excellently helpes concoction and is exceeding good for flegmatick natures That is best which is most heavy ful black without wrinkles 2. Ginger whose Heat is thought to last longer than that of peper corects the Crudities of the stomach and provokes Lust 3. Cloves with which neats tongues Cowes-udders c. are pricked and stuck They heat with a kind of Astriction and helpe the stinking of the Breath 5. Cardamoms which are sharpe and bitter in tast 6. Nutmegs which are used to the same intents as the former 7. Saffron which helps the concoction of meat breeds a fresh colour opens the stoppage of the liver and has a narcotick or stupefactive Quallity in it 8. Elder whose first buds pickled in vinegar are kept as a sallet and move the bely to stool 9. Capars which being pickled with salt oyl or oximel provoke appetite void the flegme which is contained in the Belly and ease the obstructions of the spleen Touching Water-Creases Onions Garlick c. see what has been said before III. From the juices of plants there are 1. Sugar which senifies sharpe things blunts the fervor of things biting makes salt things more delicious overcomes harshness gives tast to things insiped but withal produces choler in such as are of an hot Nature and makes black Furrs and soosens the teeth 2. Oyl which if
Humors are happily digested in the whol body the whol body and especially the Bowels are sweetly moistened and the body is made generally stronger cards are removed anger appeased and the mind made more peaceful immoderate Evacuations saving sweat are suppressed and especially sleep is good for Old people Contrarily Immoderate Sleep obscures the spirits and makes them sluggish and stupefies the mind and Memory and blunts the Edge of Natural heat by augmenting crude humors and stopping the Issue of such as are superfluous Also sleep which is taken after the body is any waies Emptied does dry and extenuate the same IV. Also Watchings are either moderate or Immoderate The former excite the spirits and render them more lively distribute the spirits and heat into al parts of the Body help the distribution of Aliment and further the Expulsion of Excrements But Immoderate watchings consume and dissipate the spirits especially the Animal and dry the whol body especially the brain encrease Choler sharpen and enflame the same and in conclusion the heat being dissipated they cause cold Diseases Chap 3. Of Non-Natural things Externally used NOn-Natural things Externally used are Bathes Oyntments Frictions and Garments I. Touching Bathes observe I. That they alter as much as the Aire it self but diversly according to the difference of Temperatures and there is in them more Artifice than in the Air. II. That they frequently and very much hurt Cheifly persons not used to them Plethorick persons such as are Cacochymical have Catarrhs are subject to Inflamations and Erycipelas III. That they are made either of Liquors as fresh water Medicinal Fountains Decoctions of Herbs Oyl milk Wine c. Or of Vapors or of some solid substance which is hot as sand Salt Pressings of Grapes IV. The Vapors of fresh water Heats first moistens relaxes afterwards Melt congealed liquors and procures sweat finally by long use it dries V. Fresh Water hot of it self Moistens but at the first it heates afterwards the hot Vapors breathing forth it cools attenuates and dries Luke-warm or such as is moderately warm Cools such as are over hot heates those that are overcold and withal Relaxes and used an indifferent time it fattens and digests the Excrements beneath the Skin and by long tarriance therein it resolves and discusses them wherefore to hot leane Natures and to such whose heat is biting it is good being tarried in an indifferent while also for Melancholick persons Hectical persons such as have dry Feavers and are thirsty also it chases away wearyness Mitigates pains is good for Diseases of the Skin Cold Water cooles but withal stops the passages makes the Skin hard and compact strengthens the whole Body recalls heat into the lower parts of the Body by which means it helps Concoction and is a good Remedy against hurts springing from external Causes if we use it moderately and rightly It is bad for such as grow use not good diet nor exercise or are inclined to crudâ—ties and stoppages and breed sharp vapors VIII Artificial Baths are to be judged of by their Ingredients IX Waters of Medicinal Wels do alter the parts according to their Quality so that the Sulphureous do dry heat and resolve the Nitrous do dry and clense c. See of them Fallopius Mercurialis and Baccius II. As for what concerns Anointings they were anciently used before and after bathing as is every where apparent in Galen But because they are now grown out of use I shal therefore say nothing of them See Galen in the second Book of the Faculties of simple Medicaments Chap. 2. and 4. Also in the seventh Book of his Method of Curing Chap. 6. and Mercurialis in the first Book and 8. Chapter of his Gymnasticks III. The effects of Friction or Rubbing are various according to the Differences thereof 1. Hard friction hardens the Body contracts the flesh and makes it compact 2. Soft Softens Loosens and dissolves the same 3. A middle Sort has an effect between both 4. Much Rubbing lessens the Flesh dissolves the same and Causes leanness 5. Little leavs it in the same Quantity it was in 6. Indifferent encreases the flesh 7. Morning friction is best used after the voidance of the common superfluities of the Body being useful for such as are dried and find a wearysomness upon them Evening Friction is good for wearyed dried persons and such as nourish not IV. Hippocrates treats of Garments where he speaks of the ambient Aire in the sixth Book of his Epidemicks I conceive best to place the consideration thereof among things externally applied to the body Al Garments in general do in some measure heat the body both by keeping off the cold Air and keeping in the steams of the body and introducing a true and genuine Heat The effect of Cloaths varies according to their Differences 1. Silk-Taffaties and Grogarans do heat and because they are soft and tender they soften 2. Plush and Velvet by how much they are deeper and richer so much the more they heat 3. A woolly garment heates and dries much 4. A Garment of Skin if ful of hairs is warmest of al other 5. A Scarlet garment cals forth the spirits and Humors with which it has Analogy from the Centre to the Circumference and therefore is accounted hot 6. A Perfumed Garment hurts an hot brain and breeds the Head-ach 7. A Linnen Garment whitened with Lime does bite the Skin and Causes an Itch. 8. An Hempen Garment is more dry than one of Linnen Chap. 4. Of Non-Natural things which are voided and retained NOn-Natural things which are voided and retained are both those which in the nourishment of the Body Nature retaines to restore the decaied substance thereof as also those parts which she separates and voids forth as unprofitable Touching them observe in general I. That Excrements do vary according to the Concoctions Some are simply such as Urin internal Vapors fumes Dandrifs Sweate Moisture Ichor Tears Flegm in the Eyes Menstrual blood hemorrhoid-Hemorrhoid-blood spittle Snivel Pose Droppings of the Nose Eare-Wax Dung some are for the sake of Children as Miske Seed mothers-Mothers-blood II. That they are necessary in point of health which continues in good case if they be conveniently voided but is prejudiced if they be either retained or unseasonably voided forth Particularly three of them are most confiderable Viz. Excrements of the Belly Vrin and Venereal I. The Excrements of the belly if they are often voided and carry with them the Vitious Humors and so lighten the Body they confirme health if too frequently and too long the body is defrauded of necessary Aliment and begins to pine away the forces of the body are weakened and many times the guts are as it were shaved If not in due time they hinder digestion by putrid vapors hurt a weak head and breed molestation to other parts of the Body II. The Vrine if too long kept in does not only burthen the bladder and neighboring parts but oftentimes does so stretch the same
Daffodilly Reeds Cuckow pintle Thapsia Garlick onions Leaves of Wild-Cresses Calamint Purple Anagallis Nex Thlaspi Ivie Seeds of Nettle Navew Water-cresses Gums Euphorbium Ammoniacum Galbanum Sagapenum Rosins Pitch Vulgar Rosin Annimals Dung of Pigeons Hens Cantharides II. Of Compounds Emplastrum Oxycroceum II. I cal them repellers which do either by their cold watryness prohibit the influx of humors into any part or drive back such as are already flowed in but are not fastened They are 1. Among simples the Roots of Plantane Barks of Mandrake roots Leaves of Housleek Purstane Duck-weed Endive Lettuce Nightshade Water-thistle Venus navil Lentisk Sumach Henbane Flowers of red roses Seeds of Fleawort Plantane Of compounds Waters of Roses Nightshade Plantane III. Astringents are such as consist of a thick and earthy substance stop the passages of the part force out the the thinner particles of the humor and consequently do also repel They are either Cold or Hot. Cold are among Simples the Roots of Sloes Cinquefoile bistort tormentil great Comfery Barks of myrobalans Pomegranates Frankincense tree Barbery-tree Leaves of Horse-taile smal daisie mouse-eare Knot-grass Shepards pouch Flowers of Roses balaustians Seeds of Sorrel porslane myrtils White-popy Fruits Services Quinces meddlers myrtle berries unripe mulberries Gums mastich Dragons-blood Earths Terra sigillata bolus Armenia Of compounds are Waters of Roses of Plantane of Privet flowers Syrups of red-roses of Quinces Conserves of dried-roses Quinces New made treacle Juice of Pomegranates trefoile Crabs sower Grapes Pouders Diacorallium Crocus martis Burnt harts horne mans-bones Spodium Ambar Pills de Cynoglossa Hot astringents are Cyperus Wormwood Calamus Aromaticus Schaenanth aloe Thus Myrrh Spike Barks of Frankincense-tree Cypress-nuts Alum Article 3. Of Medicaments which generate somewhat Point 1. Of Ripeners Quittor-breeders and Flesh restorers Medicaments which breed somewhat are in a six-fold difference 1. Ripeners or Quittor-breeders 2. Flesh-breeders 3. Glewers 4. Scarbringers 5. Milke-breeders 6. Seed-encreasers I. Ripeners and Quittor-breeders are such by whose helpe the Natural Heat turnes corrupt blood into Quittor They are moderately hot and moist and like in temperament to the part whereunto they are applied Also by shutting the pores they keep in the heate They are in a twofold difference Some are meerly of a temperate heate and clammy which we use in hot tumors such as are Mucilages of Lin-seed Fenugreek Mallowes Marshmallowes Water and oile Wheate-meale Milke Crum of wheaten breade Hogs-grease fresh-butter Unguentum Dialthea Others are hot which we use in cold tumors and parts such as the Gums Ammoniacum Bdellium Galbanum Rosins Terpentine Pitch Vulgar rosins Teares of Firr Birch and Pine-tree Oiles of Chamomel White-Lillies Ointments of Agrippa Basilicon Majus and minus Emplasters diachylon simple and cum gummi II. Sarcoticks or Flesh-breeders are such things as assist nature to change blood into flesh both by preserving the Heate of the Part and removeing such Excrements as hinder the work They do moderately heat and drie also they clense away filth without any biteing or astriction They are of a Three fold Rank In the first ranke or degree are placed meale of Barly of Fenugreek of beanes Franckincense Manna thuris In the Second Terpentiue rosin Larch-rosin Fir-rosin Clarified Honey hony of Roses Aloes meale of Lupines orobus and Pompholyx In the third degree meale of Orobus raw honey birthwort root orice roote myrrh Vitiol Point 2. Of Sodderers and Scar-bringers I. Glewing or soddering Medicaments are such as bring together the gaping lips of fresh wounds and binder any thing from flowing into or growing between them Of which kind are among Simples the Roots of Tormentil Cinque-foile Bistort Leaves of Mouse-eare plantaine Sr. Johns-wort Bugula Sanicle Pyrola Wal-Sage Rupture-wort Willow Vervaine Gumsz Myrch Frankincense Saccocolla Jucies thickned Aloes Hypocstis Rosins Pitch Terpenrine Of compounds Oyntment of Lituridge of Betony II. Scarbringers are Medicaments which consume both that which flowes to and that humor which is already in the flesh that the flesh may be changed into the similitude of Skin Thick are of thick substance vehemently drying astringent and contracting The cheife are Roots of tormentil Cinquesoil Herbes Comfry Thorough-waxe Horse-taile Plantane Flowers balaustians Juyces concrete Coral Aloes Juyce of dragon Earths Alum Ecle Armeniack Metelline substances Lead Cadmia Litteridg Brass-burnt and washed Antimony III. Hitherto belong Vulnerary Medicaments of which vulnerary potions are made And they are the roots of greate Comfry Bistort Tormentil Leaves of Ladymantile Shephards-pouch Golden-rod Balsaminum Vervaine Fluellin St. Johns-wort Millefoil Sanicle Hors-taile Elme Plantaine Betony Cypress Mouse-eare Flowers of red-roses St. Johns wort Balaustians Fruits Cypress nuts Gums Teares Frankincense Aloe Mastich Teares of the firr Terpentine pine and larch rosins Stone-pitch liquor of Elme-leaves Gum Elemi Gum of Juniper of Ivie of Tragant Tacamahaca caranna Sarcocolla dragons-Dragons-Blood c. Point III. Of Milke and Seed-breeders 1. Milk-breeding Medicaments in this place are such as both helpe to make good blood and moderately attenuate the same and bring it to the Duggs such as are these following green Fenel the seed thereof Green Dil Smalladge pouder of Christal Decoction of Colewort Butter taken with milke and fenel Smyrnium Polium Rocket c. II. Seed-breeding Medicaments both those which carrie matter to the spermatick vessels and they which provoke to the expulsion of seed whether they fil it with wind or ad a spir or provocation thereto The cheif are these Roots of Eryngos Satyrion Ginger Seeds of Rocket Mustard Nettles Pepper Fruits Pine-kernels Pistachios Hasel nuts the Pap of the Indian nut Parts of Animals Reins of the Scinci Braines of Sparrowes Stags-Pizzle Cocks-stones Article IV. Of corrupting Medicaments Corruptive Medicaments are 1. Rubisiers 2. Vesicatories 3. Such as induce a Grust 4. Burners 5. Corrosives 6. Putrefiers 7. Psilothra hair-grubbers 8. Milke-wasters 9. Seed-confounders 1. Rubifiers make the skin red and draw Humors from the inner parts of the Body into the skin such as are the Roots of Thapsia Seeds of Water-cresses Nettles Mustard II. Vesicatories raise bladders and by their Ardency draw forth humors The cheife are Roots of Bind-weed Pellitoty Squil Garlick Thapsia Herbs Doves-foot Flammula Crow-foot Seed Of water cresses Mustard Also Euphorbium Leaven Soap Pidgeons-dung Cantharides III. Crust-Creators do not only raise up the scarfe-skin but also burne the skin it self howbeit their operation goes no further IV. Burners or Causticks bring a thiker crust than the former and often work upon the flesh beneathe the cheife are White Hellebore ashes of vine-dregs ashes of the fig-tree Ashe and savine tree Brass-burnt flower of brass quick-lime Vitriol orpment Arfenick mercury sublimate Salt made of Lie of which soap is made V. Corroders take away proude flesh and do by little and little melt the upper surface thereof The milder are Roots of white vine black-hellebore Ashes of the Oake fig-tree Conchylium Aloe Alum burnt lead Ancimony calcined The stronger are Quick-lime Flower of Brass Brass-burnt Vitriol calcined
we not over do And we must know that 't is alwaies more safe in a doubtful proportion to fal rather too short than to exceed Touching this matter take these rules 1. Infirmities which have taken deep root need stronger remedies than such as are slight 2. In a mild infirmity we must do al at once and suddenly and so we must in an extream and dangerous sickness because it quickly finishes its course and quickly kils 3. In indifferent and cronick diseases we must endeavour to expel them by little and litle and slowly but we must withal take heed least while we go about to quench a mighty flame with a smal Quantity of water we mâ—ke the fire burn the faster II. The Time respects 1. Seasonableness of which note 1. That we must then act when the Patient can best bear it 2. That the motion of nature must be alwaies furthered unless it be dangerous 3. Turgent humors must be drawn out the self same day 4. About the beginnings and ends of Diseases stronger medicines may be given because then al the symptomes are weaker in the state it is better to rest because then al is at the height 5. The Constitutions of the Heavens that is to say both the Conjunctions Risings and Settings of the Stars as also the great changes of times especially in cronical sicknesses are to be considered c. II. Method or good order in the plurality of things to be done Here observe 1. That disjoyned Diseases do require distinct Remedies so that they may be cured either severally or both together 2. That connex and complicated diseases if they consent may be cured either together or apart and you may begin with which you please and if they dissent we must oppose both with a kind of mediocrity if they partly agree and partly disagree we must begin with that which though the Cure of it do not help yet it hinders not the Cure of the other 3. In al diseases whether they be disjoyned or conjoyned respect must be had above al things both of that which urges and of the Cause or Concomitancy so that we must first cure that which urges most and that upon which the rest depend Under the Motion of Causality or Concomitancy come both al Impediments without the removal whereof no Cure proceeds as also the Foments upon which the other hurts being linked and chained together do depend in their production Now that is said to Vrge which exceeds the other hurts of the body either in magnitude and malignity or in the vehemency and celerity of the the hurt they do III. Touching the Place these things are observable 1. That the inclination of nature and conveniency of the Vessels must be observed 2. That the matter must be voided the nearest way by ignoble parts by a natural channel and by waies cleer and direct But of these things God-willing I wil treat most methodically and accurately in my Syntagona Chap. 3. Of the abstractive Method in Special and first of the taking away of Causes Article I. Of the taking away of Causes which offend in Quantity THe Taking away of Causes respects both Humors offending in Quantity Quality Motion and Place and likewise winds themselves of which notwithstanding they are not so exactly to be considered and by themselves but that they may somtimes be complicated together The taking away of Causes which offend in Quantity is performed by Blood-letting Frictions Fasting Bathing Haemorrhoides Monthly Courses Scarification Cupping-glasses and Horse-leaches I. Touchig Blood-letting these things occur considerable 1. Whether it is to be done or no. I. A Vein is not to be opened 1. If the forces of the body languish as being changed by Fevers long diseases distemper of the ambient air or other things some venemous quality immoderate evacuation of Humors Labour Grievous Pain and passions of the Mind 2. If a Woman be sickly and of a whitish color 3. If it be a child because its heat is apt to dissipate 4. If the Patient be over fearful 5. If the disease be in its highest vigor which attains the Crisis 6. If a crude distemper afflict without fault in the blood and it may otherwise be amended 7. If crude juyces abound in the whol Body especially in the Summer time the stomach being weakned the body soft and a fever be joyned 8. If a crude and cold juyce afflict the mouth of the stomach whence an heart-burning proceeds by reason of the vicinity of the Heart 9. If boyling juyces abound in the whol body which wast the Spirits and being carried into the stomach Cause a deliquium 10. If venemous diseases afflict the body 11. If a critical Evacuation were sufficient II. A vein may be opened 1. If the forces of the body languish being oppressed 2. If the disease be great which afflicts vehemently for a short time with a feverish heat and working of the blood 3. Yea in a person of seventy years of Age provided the pulse be considerable and the nature of the disease and plenty of blood require the same 4. Also in a Woman with child both in the first and last months if shee have an accute disease II. We are to consider at what time a vein is to be opened Touching which observe 1. That such diseases as are caused by a plethora in them a veine must presently be opened at any hour of day or night before it transfer it self into some noble part and the strength of the body come to languish 2. In feavers it must be done in the times of Remission and Intermission 3. If the greatness of the disease require not hast the best time is to open a veine in the morning an houre after the patient has been awake 4. When we would reiterate blood-letting for evacuations sake we must do it the same day III. How much blood is to be taken I. where observe I. Blood may be more freely taken away 1. When the Forces of the patients Body are lively 2. From Persons of a rosey-color of a thick and yellow habit of body haveing large veines and being formerly accustomed co blood-letting 3. In a vehement and great disease when the forces are vigorous we may let blood til the patient swoun howbeit we are not ordinarily to stay so long but when the color of the patient changes and his pulse growes weaker and when the blood runs with a lesser streame than before unless fat or some other gross matter hinder it then we must cause it to be stopped II. It is more sparingly to be diminished 1. In an impure plethora 2. In a melancholick plethora because it is not so hot as to require cooling 3. In a flegmatick plethora because the humor being exceeding cold is made more crude by blood-letting 4. In children and old people specially in the Summer 5. When the forces are discomfited and the disease is urgent for then it must be taken away by peecemeal at sundry times II. Frictions
Sweats and Baths do lessen the quantity of humors because they raise that which dissipates and dissolves the substance of our body III. Tasting does the same because nothing is rest ored in the Room of what is dissipated through restraint of food Because it equally evacuates the whol body it ought to be used in an universal cacochymia Because it operates too slowly it is unuseful for a sudden evacuation Also old persons can better beare it then children Cholerick and leane persons cannot endure it long IV. External Hemerohoides or a portion of the hemorrhoidal veines are used to diminish plenitude and for the diseases of the kidnyes womb back and hip They must be opened by frictions Leeches Fig-leaves rough cloaths juyce of Onions Centaury c. The internal are opened by clysters and sharp suppositories to cure hypochondriacal distempers of the Liver spleen and Mesentery V. The Courses are to be moved then when naturally they use to flow IV. Cupping-glasses are applied when blood is not very plentiful in the Body Their greatest use is in Revulsion They are conveniently fastened to the Armes of women with child If their use respect the whol body they must be applied to the inferior parts if they respect any part they must be applied to the same part VII Scarification if it supply the place of blood-letting it is practised cheifly upon the thighes yet sometimes upon the Arms and Back and so it revells from the Head If it be used upon its own account it is to avoid a malignant and sharp matter which is practised in the Gangren and in Callosities or Calous disorders VIII Leeches if they are applied to evacuate the whol body they must be applied to the great and prominent veins which are in the Armes and thighs In women with child they are applied only to the Arms. Article 1. Of the Removal of Causes which offend in the Quality Point 1. Of alteration The Removal of the Causes offending in Quality consists in Alteration Purgation Vomiting Urining and sweating Alteration is the contemperation of Causes offending in quality by convenient remedies And it is so many fold as there are causes or humors And therefore I. Choler because it offends in Heat and drouth needs cooling and moistning and if it be withal thick it needs it cision and attenuation if thin incrassation or thickening See the Medicaments before Now for their more convenient use we must observe 1. That Infusions are best in the water so that the decoction be made til a third part of the liquor only remaine 2. If a flux happen to rise we must forbear the use of sharp medicaments least they bite and vâ—x the Guâ—ts yet may we use syrup of red Corants Barberies II. Flegm because it is cold and moist requires hearing and drying and if it be withal thick and clammy it needs cutting and attenuation The Medicaments we formerly recited Touching their use observe these rules 1. Abstaine from such as are very hot at the beginning least the matter being melted should swel with greater motion and the thin parts being consumed the thick should remaine behind And therefore they ought to be put green into decoctions in their defefect cold things ought to be mingled with the dry ones 2. Stong openers ought to be avoided in a woman with child 3. Because where flegm is troublesome there the stomach languishes to those that are not accustomed we must give them their drinks actually hot 4. If you would have the remedies penetrate the most distant parts of the body and carry their virtues with them they must be given boiled or beaten in broath of Guajacum with a great Quantity of Liquor III. Melancholy in which we must abstaine from immoderate use of Vinegar especially if the matter be more fervent than ordinary For black humors do ferment and swel by the admixture of vinegar And therfore if we are to use it we must give Oxymel with a decoction of Citron peels or some such thing IV. If divers Humors are mixed together we must cheifly set our selves against those which are most active not quite neglecting the rest whether within or without the body Which shal be done when the veins are free from obstruction al the passages of the body open the humors not far from a temperature and the noble bowels free from obstruction In opening syrups Heurnius observes this order 1. First syrup of vinegar is given then syrup of the two roots without vinegar then the said syrup with vinegar after that syrup of the five opening roots then Syrups of Byzantinus so called without vinegar and lastly the said syrup with vinegar Point 2. Of Purgation Purgation is a convenient â—â—awing out of Humors offending in quality but yet prepared out of the Body by medicaments which purge by way of stoole I. Those Humors are either smal in quantity or plentyful and either they cause a fever which is vehement or weak or they cause no fever or they wander through the whole body with vehemency of symptomes or not II. By Coction in this subject we do neither understand that which is called pepsis and is a changing of the thing to be concocted into the nature of the Concocter nor is it that coction which is opposed to crudity which is the indigestion of aliment in the stomach liver and veins or humors having passed the mediocrity of Coction as in yellow and black choler nor the redundancy of cold humors but that kind of Coction which is called Pepasmos and is nothing but the reduction of humors disagreeing in substance and qualities corrupt and putrid unto a similitude and the separation of the corrupted from the uncorrupted which is performed by the Efficacy of the Natural Heat separating the profitable from the unprofitable Yet is it not necessary that al humors be concocted For there are humors which are not in a capacity of concoction being severed from the concoction of the blood as in Catarrhs the Colick Flegm Hydropical water and such as offend by some hidden Quality III. Preparation of Humors is twofold 1. To Coction which is performed by removal of all impediments by diminishing the Humors augmenting the natural Heat and repairing the forces of the body 2. To evacuation which is done when the Humors are made fit for expulsion such as are clammy being cut and the thick attenuated the waies being made free and open with clysters emollient broaths and the like IV. Touching Medicaments these things are to be observed 1. That they are either moderate which reach only the inferior parts or vehement which penetrate beyond the liver and into the habit of the body that they are either catholick or universal by which al humors are purged together or such as draw some particular humors and they Choler purges Flegm purges Melancholy purges Water purges 2. That they ought to be addicted and accommodated to the part to be purged And truly Agrick is appropriated to the Head Cassia to the
and binders such as are Plantane Roses Sanders Sugar of Lead Bole Armeniack Turpentine oft washt in Plantane Water II. Or cold which is known by the Whitness Leadcolor'dness and softness of the Flesh in the Ulcer it self It arises from cold Air or such like medicaments 'T is cured not so difficultly because the Ulcer and Distemper may be cured at one and the same time by Heaters such as are Oyl of St. Johns wort Nard Oyl Orice Oyl Oyl of Rue to which may be added Fomentations made with Wine III. Or dry which is known by the hardness and dryness of the lips of the Ulcer and the few excrements proceeding therefrom It arises from like causes 'T is cured with difficulty because we are forced to neglect the Ulcer and sometimes apply our selves wholly to remedy the distemper For to moisten withal luke-warm Water is good IV. Or moist which is known by the Excrescence of Flesh and the softness and flaccidity thereof By store of Excrements in the Ulcer It arises from like Causes 'T is cured by strong sarcoticks made of Cyperus Root Smiths dust Hoar-bound first washing the same to cleanse away the filth with a lotion wherein astringents have bin steeped III. Another is with Afflux of humors whether they come from the whol or from the part 'T is known from the swelling which is seen in the lips and bordering parts by pain if nervous parts be affected by plenty of Excrements greater than the Magnitude of the Ulcer seems to require It arises from Humors 'T is cured 1. By Revulsion among the remedies whereof the chief place is ascribed to fontanels if Ulcers are lasting 2. By Interception or defence to which intent the medicaments must be applied above the exulcerated part towards the root of the Vessels 3. By Repulsion whose medicaments thereto subservient must be laid upon the part affected 4. By more vehement Sarcoticks 5. By Epuloticks IV. Another is Sordid which sends forth a thick and snotty Excrement somtime with putrefaction and grievous smel which is somtimes followed by a Sphacelation or a Gangrene Now it is fordid or filthy 1. Either by reason of the Humors and then the lively color of the part is vanished The Cure is performed by Diet by Evacuation By detersion with very abstersive Medicaments among which Spirit of Wine a decoction of Vetches Oyl of Roses a pound and Mercury Precipitate one ounce boiled and mixed with other things are commended 2. Or by reason of Vnctious Medicaments and such as weakly dry then the Ulcer appears white and that whitness goes about the whol Ulcer like a bordering of cloath It must be cured with gentle abstersives 3. Or by reason of strong medicaments then the Ulcer becomes hollow and grows every day more red than other a smal quantity of thin and hot quittor flows forth 'T is cured with cooler and gentler Medicaments as the Oyntment of Diapompholygos V. Another sort is Lead-colored which comes either from the Air or by afflux of Humors 'T is cured by scarification that the blood may be drawn out by application of dry sponges By drying with strong Medicaments viz. the green water of Platerus and Hartman his water in his Chymiatrical Paradise in the Chapter De Ozaena VI. Another is callous which proceeds from the use of over drying Medicaments The Callus is removed by Emollients or with corrosive Medicaments but it must be warily removed in nervous parts or cut off VII Another is with a Tumor which is known by the sight It arises from Humors flowing in It is cured after the manner of Tumors VIII Another with proud Flesh It springs either from abundance of blood and then the Flesh is good conditioned It is taken away by fasting and application of dryers 2. Or by reason of the weakness of Flesh-breeding and drying Medicaments Then the Flesh is loose and spungy 'T is cured by Lignum aloes beaten and dried on a rafter with spirit of Wine rectified twice inflamed and prepared Bartholinus of Causticks IX Another is hollow when the quittor being overlong detained eats it self holes and Convey-burroughs as it were See the Cure in the fifth Book of the Observation of Valleriola X. Another has Worms in it which bred there It is known either by the Eye if the ulcer be wide or by a preception of biting pricking pain and a kind of motion The Cure requires 1. Their drawing-forth if they are at hand 2. Their being killed by medicaments which take away putrifaction and moisture XI Another is with varices or black-sweled veins which is knowen by the signs of varices It cannot be cured unless the varices be first cured and taken away XII Another with corruption of the Bone Which is thereby known in that the flesh above the ulcer is flaggy and soft The ulcer is frequently renewed the sanies flowes out in greater plenty than is agreeable to the largness of the ulcer The Bone is perceived to be uneven if you put in a Probe It arises 1 From external causes cold aire incision contusion Sharp medicaments 2. From internal causes viz. Affluxe of sharp humors to the Bones pravity of the Sanies manifest or occult c. The Cure is difficult especially if the flesh be lead-colored if the rotteness be near nervous parts or in the joints or about the Heads and tendons of the Muscles or about the great Vessels 'T is performed I. By laying open the Bone either by putting in gentian root or with a Caustick or by Incision II. By removal of the Bone either by exceeding drying medicaments among which Euphorbium is the best or by Manual operation if the Rottenness lie deep and sudden cure be required which is performed by shewing or rasping with a scraping-Instrument or an Augur By burning after which the inflamation must be pacified and Pain prohibited XIII Another is with a fistula which is nothing but a narrow and long Hole 'T is knowen by putting in of a probe and the flesh round about is white dry and hard It arises either from plenty of bad humors or the unskilfulness of the Physitian The cure is difficult if many parts be eaten and fretted if the Fistulas be deep winding neare the noble members If they reach to the heads of the Muscles the veins arteries Nerves Bones Joints Chest Belly c. Not to be taken in hand if the Fistulas be far from the noble parts and if superfluous humors be purged out by them Palliative whereby universals being premised the Fistula is dryed with the water of Baths of chalk c. True which is performed I. By premising Vniversals under which Vulnerary potions are comprehended Mercurial purgations are good in this Case II. By removeing the Callus I. By convenient medicaments putting into the Orifice of the Fistula pencils made of sponge the pith of Elder bryony root gentian c. when it is widned things are squirted in with a syrringe and they are liquid or dry Such are
the fluxion can be in them no longer contained it partly sweats through the Coats of the Vessels which have also their pores and is partly sent out of the smal Orifices of the Capillary Veins which open themselves into the substance of the part and shed into the empty spaces which are between the first bodies or Particles whence the parts gather Heat The CURE is performed 1. By Blood letting that more blood may not flow into the part If we should presently fal to work with repellers the matter would be carryed to another place 2. By Purgation because sharp Humors give occasion to the Flux 3. By Alteration that the blood may be cooled and thickned provided the Veins be not strait and the Patient not troubled with obstruction of the Bowels 4. By Revulsion that the Humor may be drawn to a contrary part which is then best performed by bloodletting when the matter is much in quantity and violently moved by other waies and means when it is little Yea and in such a case it may be done by Repellers and Discussers 5. By Repulsion with repelling Medicaments either watry only or withal restringent The Former are to be used in thine Humors seated in the surface of the Body not much in quantity Joyned with Heat and of that sort are House leek Venus-navil or Penny-wort Violets and such like The Latter have place in extremity of pain where the Vessels are large and the fluxion is caused through weakness of the parts affected Chirurgeons frequently use the Whites of Eggs beaten together with Rose-water 6. By Interception with Defensative Medicaments which are fitly applied to such parts as are not fleshy and through which the larger Vessels run Oyl is judged improper to be mingled with these kind of Medicaments 7. By Derivation of that blood which has flowed into the parts 8. By Discussion with discussive Medicaments amongst which the Gentler are the Roots of Marsh-Mallows and of white Lillys Chamamel flowers c. The Stronger Orice Roots Elder flowers Gum Ammoniack Bdellium Bears Grease The Strongest of al are Nitre Sulphur Lime c. The DIFFERENCES are taken from the subject and Cause From the Subject 1. There is one of the Fleshy parts which is finished in the fourteenth day Another of the Tendons and Ligaments which because their substance is more compact and hard is terminated with greater difficulty yet it does not exceed the fortieth day From the Cause Either it is from good Blood and is termed simply a Phlegmon or Inflamation or from bad Blood which has either quite changed its nature and that raises no kind of swelling or it has other Humors mingled therewith and then if Choller be mingled it causes that Inflamation which is termed Phlegmone Exysipelatodes is flegm Phlegmon Oedematodes if Melancholy Phlegmon Scirrhodes Article III. Of the Bubo or Inflamation so called The Bubo is an Inflamatian of the Kernels which are seated in the Arme-pits or in the Groines The SIGNES are a stif swelling that yeilds not to the touch with redness pain and a slight fever The CAUSE is Blood slipt into the Kernels together with a vitious Humor provoking Nature to expulsion The CURE is Doubtful when they ripen slowly because they may turn to dangerous fistulaes It is according to the Cure of Inflamations Digestion must be procured by stronger Medicaments because the part affected is colder Suppuration ought to be hastened least new ones should break forth The Balsam of Sulfur and the Plaister of Sulphur of Rulandus are commended The Differences are divers I. One is Symptomatical to which that which was lately said is appliable Another is Critical which follows another Disease and eases the sick by its breaking forth It must be left to Nature if the Crisis be perfect if it be imperfect the Humor must be drawn forth by Cupping-Glasses and drawing Medicaments II. One sort comes in the Groines which is sooner ripe because it springs from blood and more Heat flows to those parts Another is in the Arme pits which for the contrary Cause is long ere it come to Maturity III. Some Buboes are Neither Malignant nor Contagious which being in the extream parts of the Body are soon suppurated and not dangerous Others are Malignant Pestilential or Venerious of which see in their proper places Article IIII. Of the Phygetlon Phyma Furunculus or Felon Tumor so called Phygetlon or Panus is an hard swelling somtimes arising after Feavers or pains in the Kernels or Almonds of the Eares It Arises either Externally from an Ulcer Pain Bruise or Internally from Chollerick Blood or a Feaver and is long in ripening Oyl of Guaiacum Wood is good in this case Phyma is a round swelling of the Kernels smaller and flatter than the Phygetlon less read and less painful which soon comes to its height and turnes to suppuration It Arises from Flegmatick Blood and troubles Children cheifly It is Cured by ripning through application of tosted Wheat c. Furunculus or Dothien a Felon is a little swelling sharp pointed not exceeding the largness of a Pigeons Egg remarkeable for its redness and pain when it tends to Suppuration Its Signes are known by the definition It seldom comes single It Springs from thick blood and is thereby distinguished from an Inflamation and the said Blood is not much a dust and so it is differenced from a Carbuncle The Cure is easie especially if it rise high pointed and is not hard nor forked It is performed by Ripening It is either Mild and Gentle occupying only the Skin or Malignant rooted in the flesh Or it is Pestilentical and Epidemical which being black or green is joyned with a Malignant Feaver Article V. Of the Tumer Parotis Parotis is an Inflamation of the Kernels behind the Eares proceeding from Blood either pure or mixed with vitious Humors The Signs are Swelling Pain Redness which appears behind the Ears The Cause is blood either alone or mixed with other vitious Humors which slips into these parts being sent from the whol body or from rhe Brain In the Cure we must not repel but Discuss by gentle Medicaments least stronger should exasperate the Pain Also Suppuration may be procured when Nature tends that way The DIFFERENCES are divers I. One sort is Critical arising with Critical signs which is easie to cure unless it hapen in the end of a Disease after other Evacuations without the Abatement of the Symptomes If it vanish away without Suppuration it wil come again It must be left to Nature and being returned it must be judged of according to the Nature of its return Another is Symptomatical which if it spring from crude and undigested matter it is dangerous because the place is so nigh the brain In the Cure its antecedent Cause must be deminished and the Matter discussed softened and opened that the Quittor may do no hurt II. Some are without feavers others with feavers which are more dangerous III. Some are without Malignity others are Pestilential
and Malignant IIII. In some the matter flows from the whol Body in others from the Brain Article VI. Of Nail-sores Kibes and Chilblaines Paronychia the Nail-sore is a Tumor arising upon the fingers ends beside the Nails The SIGNES are taken from the Situation and greatness of the Pain because the Nervous parts adjacent are affected and the said pain reaches somtimes al the Arme over The CAUSE is blood adust somtimes Malignant which Nature thrusts out into those parts The CURE is contrived by Evacuation Mitigation of Pain and Suppuration Repellers must not be used least we exasperate the pain and fix the Humor Oyl of Lead is commended by Agricola Page 216. And Eare-Wax applied with a peice of Ele-Skin Page 246. Perniones Kibs and Chilblains are swellings which arise in the winter time upon the Heels Toes and Fingers with other parts of the Hands and Feet The SIGNS are Refrigeration forgoing Pains Itch c. The CAUSE the winters cold weakening those parts and by pain drawing blood unto them They are somtimes long-lasting and though they go away in Summer they return again in winter In the Cure 1. The cold must be expelled by plunging the part into cold Water 2. The Part must be fomented with blood warm Milk wherein Rose-Mary Bay berries c. Have bin boyled or it must be put into hot Water wherein frozen Turneps have been boyled Article VII Of an Ecchymoma Ecchymoma is the effusion of Blood into the neighbouring spaces whereby a Part comes to have a livid black and blew color SIGNS are needless seeing the Disease is apparent to our Eye-sight The CAUSES are various viz. Anastomosis Diapedesis Diaeresis Contusion c. The CURE is performed 1. By Blood-letting if the Disease be great least Inflamation be caused 2. By Repelling Medicaments which must not be moist least blood flow in and they must have discussors mingled with them Honey of Roses laid on with blew Paper is good as is terra Sigillata dissolved with Water of Life By Digestion to which intent the Root of Solomons Seal bruised and steeped in Wine or other Liquor is good 4. By application of Cupping-Glasses if digesters help not 5. By laying on Ripeners that are Of a middle Nature between strong and weak 6. By opening the Tumor least the Quittar corrupt the neighbouring parts or make hollow fistulaes 7. If the part encline to a Gangraen we use to scarrifie the same and to wash it with hot Vinegar wherein the Root of Solomons Seal has been boyled Inwardly such things must be given as dissolve clotted Blood Article VIII Of a Carbuncle A Carbuncle is a Tumor springing from Adust thick and most fervent blood degenerating into black Choller which corrupts the part The SIGNS are these following A crusty Ulcer arises blackish or Ash colored not long after a round Bubo sharp and burning which is worst towards the evening breakes forth and the flesh round about is very hot There concurs a Feaver stomach-sickness womiting panting of the Heart Swownings Ravings c. The CAUSE is such blood as aforesaid which being bread in the Body and having attained a certain degree of Malignity is cast out and continually generated by a new afflux of Matter The CURE in general is in a manner None if having been red they presently vanish away Hard of such as are black and which are seated in the emunctories and near the noble members of the body Easier of such as are red Smal Single The manner of proceeding in the Cure is this 1. Let a Diet be prescribed cold and moist 2. Blood-letting must be practised at the beginning to take away fervent blood provided it be not drawn through some noble Members 3. The Malignant Humor must be prepared and Mitigated to which intent Scabious is most prevalent 4. We must Purge warily because of the acute Feaver 5. The part must be Scarrified where you are to note that the Scarrification is to be iterated if the blood require the same again We must not Draw if the Humor flow violently into the part least the Feaver and pain should be augmented Nay rather moderate Repression is to be caused by applying Medicaments to that end three fingers space round about the Carbuncle To which intent the Pap of Appels is used boyled with Vinegar of Roses into the form of a Pultis A Qiniment of Bole-Armoniack with a sufficient quantity of Oyl of Roses c. The Plaister of Agricola T. 1. Page 139. The part being Scarified must be washed with Salt Water hot 6. After it is washed Medicaments must be applied which resist putrefaction especially made of Scabious and Devils-bit 7. If Scarification help not we must use Burning but so that we presently anoynt the Crust with Unguentum Aegyptiacum or apply thereto a Cataplasme of Orobus meal and Oxymel simple to remove the same least if it remain upon the place it prevent the breathing forth of the Malignant Humor 8. The crust being removed the Ulcer must be cleansed c. The Cure thereof see in Agricola T. 1. Page 139. If you please The Difference is two-fold I. One sort is without any Pustle which discovers it self by those signs of which mention is made in general and there is nothing singular in the cure thereof Another is with a Pustle which is known because an Itching is first felt and soon after one smal pustle or more like the graves of Milet shoot forth which being broken a crusty Ulcer shews it self In the Cure there is nothing singular observable II. Another is Pestilential and then the Constitution of the year is such the Symptomes are stronger The Cure is most Difficult if it break out after a pestilential Feaver the heart being possessed by Malignant Humors T is easier if it break out before unless violent Symptomes appear soon after In the progress thereof these things are to be noted 1. That Blood-letting must be avoided because it breaks forth after the Patients strength is dejected 2. That we are cheifly to make use of Antidotes both Internally and Externally 3. Al possible diligence must be used to hinder the putrefaction from spreading To break it the Plaster of Heurnius in his comment upon the 55. Aphorisme of the fourth Book is commended Oyl of Antimonial butter the Magnetick Plaister of Hartman in his Chapter of the Plague Agricola his Oyl of Mercury T. 1. Page 139. Elixi Pestilential of Crollius c. A Cataplasme of radishes beaten with Rose-Vinegar described by Joel T. 6. Another is not Malignant and milder which at first looks red like a Flegmone or Inflamation and afterward waxes Yellow For its Cure see the general Rules Chap. 2. Of Tumors springing from Choller Article 1. Of an Erysipelas or Tumor so called ANd so much may suffice to have spoken concerning Tumors arising from blood From Choller proceeds Erysipelas and Herpes Erysipelas or St. Anthonies fire is a Chollerick Tumor springing from Chollerick blood flowing together into some part under
1. By Diet which must yeild very good nourishment 2. By the frequent Evacuation of the prepared Humors 3. By Removing the Contment Cause by Emollients and Discussers either mixed together or used alone one after another interchangably The milder sort in persons tender and soft fleshed and when the Tumor is new The stronger in harder bodies and where the Scirrhus is old Fabricius Hildanus his Plaister of Hemlock mentioned in the 25. Observation of his 3. Century A Cataplasme of Briony Roots Goats-dung and Vrin are very good 4. If it come to suppuration by cleansing away the quittor with the Plaister of Diachylon simplex omitting heaters and section or lancing least it turn to a Cancer It is divided into a true or Legitimate which is void of sense and in which hairs grow upon the part for which there is no Cure and a bastard which is contrarily disposed to the former Article II. Of a Cancer A Cancer is a round Tumor blue or blackish having Veins round about it ful and swelling resembling the feet of a Crab and springing from black Choller The SUBJECT are parts of the Body as wel external as internal especially the moister and upper parts as the Dugs of Women The SIGNS are drawn from the manner of its Rise At first it s hardly so big as a bean in the progress it exceeds a Wal-Nut and an Eg it is hard of a Leaden or livid color or Else blackish with heat pain and pulsation the veins round about swel with black blood and resemble the feet of a Crab. The CAUSE is adust and black Choler hanging in the veins and by its thickness unable to pass along which springs partly from Nutriment affording such an Humor which has not been drawn by the Spleen partly from an hot burning distemper The CURE is difficult in al both because it comes from a stubborne and Malignant Cause and because it lurks in the deep veins It is not to be undertaken if the Cancer be hidden If it be seated in a Cavity of the body in the palate Fundament or womb There is no Cure if it be confirmed and seated in some noble part of the body It is of some Hope if it be smal fresh and stick in the surface of the body How it is to be performed see in the differences As for what concernes the differences 1. One sort is Exulcerated which is easily known and is caused by a matter sharper than ordinary It has the appearance of corrupted flesh with stench filthy matter coming forth an horrid aspect Lips very hard and turned in There is a slow Feaver conjoyned Swowning black or yellow sains or Blood-water running out of blood c. It s Cure is either Palliative by gentle-dryers and coolers or true 1. By Incision to the quick after which the corrupt blood must be pressed forth the Ulcer concocted mundified see Hartmans ponder in his Chapter of a Cancer in the brest or Dug filled with flesh c. 2. By burning either actual or potential if the profounder and greater vessels be thereby occupied Another sort is not Vlcerated which arises from a milder matter Is Cured 1. By Diet Moystening and cooling 2. By Blood-letting 3. By repeated Purgations of the Humor with extract of Hellebore pills of Lapis Lazuli after it has been prepared with Fumitory Hops Juyce of Fragrant Apples c. 4. By Application of External Medicaments in which case gentle Repellers are useful as the compound of Frogs-spawn Discussers which have no biting quality as Pulvis Benedictus of Hartman the Magistery of Crabsshels c. See Agricola also T. 1. Page 145. II. Another springs from Suppression of the Courses Another of the Haemarrhoides The Cure must be applied to those Diseases Chap. 5. Of Tumors springing from Wheyish Salt and Cholerick Humors mingled together Article I. Of Scabbyness TUmors springing fom mixt Humors do arise either from salt Wheyish and Cholerick Humors or from Flegm Melancholy and Choler so that the conjunct cause is no longer an Humor but some other matter bred of Humors Hereunto belong Scabbyness the Grecian Leprosie Phlyctinae Sudamina Sirones Vari Epinyctides Alphus Leuce Impetigo and Gutta rosacea The Scab Is a Tumor arising from corrupted blood vexing the Patient with distemper and Exulceration of the skin The SIGNS are set down in the definition The CAUSE is corrupt blood mixt with black choler and salt Flegm which either comes from suitable Diet especially when the Liver is distempered with Heat or it is corrupted by contagion and being brought unto the skin it sticks therein and causes Exulceration The CURE is accomplished 1. With Diet which requires boyled meates 2. By Contemperation and Evacuation of the Humors and reducing the Liver to its due temper by the Syrup of Coral of Quercetanus It is divided three manner of waies I. One is Symptomatical to which what has been said ought to be applied Another is Critical which breaks forth after acute or long Diseases II. One sort is moist out of which much sains or blood-water Issues It is caused by Salt Flegm T is Cured more easily than the dry Scab and that 1. By Evacuation to which end whey of Goates-Milk and Fumitory are much commeded 2. By provoking Sweat either by half an ounce of Spirit of Dwarf-Elder and two ounces and an half of Fumitory Water or by Spirit of Guaiacum or Antimonium Diaphoreticum if it be more hard to be removed than ordinary 3. By Application of External Medicaments And here bathes of fresh water and brimstone stone bathes are useful Also to apply the Yellow middle bark of Frangula with Vinegar And Sinnertus his Oyntment Book 5. Page 1. Chap. 27. Another Dry in which nothing is voided or a little quantity of thick matter and the Ulcers are Lead colored T is Caused by an adust Humor Cured with difficulty after the same manner as the former having respect to the Causes Another sort is termed Volatica the Running Scab which infects al the skin in one night for the most part In this universal Remedies being premised t is good to wash the Scabs with the blood that comes from a Woman with the after-birth See Agricola T. Pape 280. III. There is another sort termed Malum mortuum which vexes the Patient with a Leaden and black color crusty pustles black Dry without sence or pain cheifly in the Legs It Springs from a Melancholick and Scorbutick Juyce T is Cured after the same manner having respect to the Difference Another sort is the Leprosie of the Greeks which differs only gradually from other Leprosies T is Known hereby because it Eates deeper into the Skin and scales as it were of Fishes fal of whether the Patient scratch or scratch not and the Scabs stink filthily T is Caused by black-Choler oftimes mingled with Salt Flegm Cured by the same kind of things as the Scab but stronger The distmper of the Liver must cheifly be redressed Sweat must be procured with a
Decoction of Salsaparilia Guajacum and China Article II. Of the Phlyctaenae Sudamina Sirones and Vari Tumor so called Phlyctenoe or wild fire are little blisters or Bladders raised in the skin by exceeding sharp Humors They are known hereby because they are like such as proceed from scalding and when they are broken a yellowish Humor breaks forth Spring from a Chllerick wheyish Humor which is thrust out into the skin either by Nature or some external cause Are Cured by a Decoction of Duck-weed universal Remedies being premised if need require an Epitheme of strong Lie made of Beech Ashes mixt up with Lin-seed Oyl and walnut Oyl of each a like quantity and frequently applied 2. By Breaking a drying Cataplasme being presently applied II. Sudamina are pushes like milet seed which Vlcerate and ruff the skin They are known most easily They arise from plenty of sweat restrained within the skin especially in an hot and moist stomach after an hot Diet. Are Cured by washing with Oaken-water to which a grain or two of Camphire may be added III. Sirones or Chriones are Pustles in the Palms of the Hands or soles of the Feet which have little worms in them The worms must be Dug forth then the place must be washed with a Decoction of Oake-leaves with Alum or of Sulphar with Oyl of Tartar IIII. Vari are little hard Tumors on the skin of the Face curdled up of an hard thick Juyce They are known easily They are of the bigness of Hemp-seeds and they infest young people that are inclined to Venery and fruitfull but chast withal and continent They arise from an alimentary Humor for the most part which insinuates it self into the pores of the Skin and somtimes has Cholerick blood mingled therewith and then they shed forth an ichor and turn to ulcers They are Cured with Difficulty if there be a deep redness in the Face with pustles If the same be joyned with a bloat Face and Hoarsnese of thâ—â—â—ice The Cure is wrought by Discussers and Emollients premising such things as purifie the blood Commendations are given to Oyl of Vitriol Sulfur or Tartar smeared on in the evening and washed of again in the morning with warm water wherein bean-flower has been steeped Article III. Of the Epinyctides Alphus and Leuce Epinyctides are smal Vlcers which break out of their own accord especially in the night in the eminent parts of the Body resembling Bladders which being broke in sunder blood-waterish matter runs forrh They are known by their leadenish color or blackish vehement inflamation pain enerasing in 〈◊〉 night by reason of the motion of black-Meâ—â—choly and the nights cold stopping the pores of the skin They arise from a wheyish and Melanchollick Humor like the Cause of a Carbuncle in al things save Malignity and greatness of the Tumor The Cure consists in Evacuation and Topicks that bridle and temper the churlishness of the Humor offending II. Alphus The Morphew are great Blots or spots upon the skin changing the color thereof which are spread up and down here and there with a certain roughness They arise from blood badly nourishing and they trouble Men more than women or Children They are either Black springing from Melancholy blood through default of the Spleen which are Cured after universal Remedies by good Diet bathings anointing with Mustard-seed pouder mingled with water or White but not exactly agreeing with the whitness of the skin which spring from Flegmatick blood cheifly through default of the Liver The skin is by them made white but not the Hairs and if it be pricked blood follows They are Cured more easily than the black one They require not blood-letting by reason of the coldness of the blood II. Leuce is a continued blot changing the color and substance both of skin and flesh T is known both from what is set down in the Description and because it makes the hairs fal of and others grow in their place like down The skin is flatter than in other places If prickt with a pin a watry and white liquor comes forth It springs from Flegmatick blood with which the flesh being nourished first becomes of a middle nature between that of Animals that have blood and that of bloodless Live-wights and afterâ—â—rd when it cannot change it into the form of â—ed-flesh it becomes like the flesh of Oysters and Locusts The Cure is Desperate if after rubbing it look not red If prickt no blood follow if the blot continualy encrease Difficult if it be smal if rub'd it shew some redness or be upon the hand or foot T is Performed 1. By Preparation of Humors by heaters and cutters 2. By Evacuation with Flegmagogues 3. By external Applications the parts being first rubbed with a Course Cloath Article IIII. Of the Impetigo and Gutta Rosacea Impetiâ—â—â— Or Licheu a Tetter or Kingworm are hard pustles upon the Skin which spread themselves into the bordering parts with dryness roughness and great itching T is known by what is in the definition expressed It arises from a thin sharp wheyish Juyce mingled with an earthy Humor which comes from a suitable Diet and somtimes in the Spring and somtimes in the fal it enclines to the outward parts and breakes forth T is Cured 1. By good Diet which must be neither salt nor biting 2. By Alteration and Evacuation of the Humors if they too much offend 3. By Application of Topicks Vnguentum Citrinum with Oyl of Egs live Brimstone Oyl of wax of Cloves and Camphire are commended after a somentation of Mallows Mullein and Fumitory Also Oyl of Tartar per Deliquium with a like quantity of Oyl of Wax mingled T is Divided into a Gentle sort which being anointed with fasting Spittle or with the Roots of the sharp-pointed Dock beaten with Vinegar is somtimes cured and a Feirce or Angry sort in which besides the former Medicaments a water distilled out of Oyl of Tartar with crude Mercury is good the Mercury being in a quadruple proportion to the Oyl of Tartar Joil his Experiment of the rust of Iron Book 10. Of his Practice S. 3. II. Gutta Rosacea is a Pustulous and somtimes Tuberous redness of the Face Representing Rose-colored spots T is known by the sight It s Original is from thick blood and fervent bred through default of the Liver originally or by bad Diet and carryed up into the Face and there sticking by reason of its thickness T is Cured 1. By reducing the heated Liver to its right temper with Syrupe of Cichory Straw-berryes and Coral 2. By opening the stoppages thereof 3. By Topicks as the menstrual blood of a Virgin dissolved in hot water Oyl of Toades c. See Hartman of redness and Pustles in the Face Chap. VI. Of Tumors wherein the Humor is included in a proper Membrane TO such kind of Tumors there are three sorts referred 1. Strumae or Scrofulae which are a Scirrhous Tumors of the Glandules contained in a peculiar Membrane Their Subject
into the whole habit of the Body ' causing many Symptomes I do not mean the Elephantiasis by the Arabian Physitians so called nor the Leprosie of the Jews The SIGNS are either of the Diseases beginning as frequent spots in the Body roughness of the skin with risings like a Goose with the Feathers of with many scales and chinks especially in the Face Hands and Feet falling off of the hairs Or coming to the height as a Tetter upon the tops of the fingers and the Chin and the Eye-brows which are thick and hanging over hoarsness of the voice sweat easily turned into salt which wil not melt in water the blood being washed leaves grains and Sands in the bottom of the water See the Trial of this Disease in Horstius his Medicinal Epistles S. 4. Tim. 1. The CAUSE is a Melancholy Humor and black Choler which arises either from external Canses dry constitution of the Aire and Diet suitable or from internal viz. An hot and dry distmper of the Liver Also it contracts a Venemous and Contagious quality whence the Disease comes to infect others The CURE is None when the Disease is confirmed t is Difficult when it is newly begun T is Performed 1. By Diet where Viper Wine is good and the flesh of Vipers boyled their Head and Taile being cut off Cider Chickens fed with the flesh of Vipers or Snakes 2. By Preparation of Humors by the Herba Kunigundis an Herb so called with Fumitory boy led in whey Straw-berry water Dodder-water Decoction of Tamarisk 3. By Evacuation both by Blood-letting which must be Practised in the spring viz. In both Arms and on the Ankle and by Purgation where extract of Blood-Hellebore and whey with Epithymum boyled therein are good likwise by the Hemorrhoides 4. By use of Bathes of fresh water and of brimstone waters c. 5. By giving appropriate Medicaments viz. Hares-blood hot salts Theriacal Treacle Bezoarticum Ammale or Bezar-stone 6. By Mitigation of the Symptomes of which in their peculiar places 7. By burning of which see Authors As for the Diffierences there are four sorts thereof I. Alopecia in which is an obscure redness swelling of the Face redness of Eyes bleeding at the Nose It springs from blood and is more gentle than the rest II. Tyria so called from the scaly Serpent Tyrus which casts of his Skin in the spring In this there is whitness Seales dandruffe It springs from Flegm III. Leonina so termed from the Ruggedness of the Lyons for-head In which are prickings bitings Tetters It arises from Choller and comes speedily to the Augment IIII. Elephantiasis peculiarly so called being greater than the rest and slower in its Augmentation has its original from Melancholy and is known by a cloudy blackness knots and stupidity of the Patient These sorts are seldom separated and most frequently Joyned together Title II. Of Diseases of the Skin Chap. 1 Of Lentigines Ephelides Naevi-materni Infantum Maculae ANother kind of external Diseases are the disorders of the Skin under which are comprehended Lentigines Ephelides Naevi Materni Maculae Infantum Maculae Hepaticae Pruritus and Malus Odor I. Lentigines Freckles Are smal specks of a yellowish brown color for the most part seated somtimes in the Face somtimes on the breast somtimes on the hands They are known by the description and because they are subject to ruddy people and such as are yellow-hair'd They arise from blood adust either by inward causes or the Suns heat Occupying the Scarf-skin especially of the forhead because being there thicker than ordinary it retaines the Vapours longer They are Cured by the waters of Elder-flowers Bean-flowers and Scrofularia By Goats and Cowes-milk mingled with pouder of Glass With Cherry-tree-Gum dissolved in strong Vinegar with a little Oaten-meal With these they must be washed or anoynted II. Ephelides are brown spots on Women with Child which quarter upon their Foreheads cheifly their temples or Cheekes as large many times as an hand-breadth They are known by the presence of such Symptomes as are wont to afflict Women with child especially loathing of wine and meat frequent spittings and gnawings in the stomach They arise from suppression of courses in Virgins somtimes from eating of Beetes A Pap made of the pouder of Bay-berries and Toad-stool-water is commended being smeared on in a Bath III. Naevi Materni are spots and markâ—s imprinted upon the Child in the womb by the Mothers Imagination They are abliterated either by the After-birth while t is hot or the blood thereof more easily if privately as the common people imagine or the distilled water of Caryophyltata-Montana if the infant be washed therewith or with the meâ—nstrual blood IIII. Maculae Infantium Volaticae which Nurses cal the Red-come are red and purple spots which creep up and down the bodies of young Infants And if they touch any Orifice of the body as the Mouth Nostrils Eyes eares t is counted a deadly sign For Prevention the Orifices must be wet with Rose-water tinctured with a litle Saffron Chap. 2. Of the Maculae Hepaticae Itch and bad smels MAculae Hepaticae or Liver-spots are brown spots somtimes appearing and then vanishing with a slight roughness of the skin and falling of scales They are known by the description Arise from a thick blood which seeing it cannot be assimilated it sends forth what is Excrementitious into the skin if they continue long they are accompanyed with quartan Agues They are Cured with Diet and after universal Medicaments with bathes before which Treacle must be taken and afterward they must be nointed with green Mustard-seed reduced with water into the form of Pap which must presently be washed off so soon as it raises heat Also mans-Mans-blood destilled with Brest-milke is good II. Itch is a pain which stirs up a desire of scraching without any roughness or Exulceration of the SKIN The SUBJECT is somtimes the whol Body but especially the soles of the Feet because they are covered with a great and broad Tendon and with an hard Skin so that the Humors have not egress T is KNOWN by the sense It ariseth either from Choller or thin salt Flegm so as it may insinuate it self between the smallest particles but clammy and roaping that it may stick faster to the parts which is bred of salt Meats and Hot through fault of an hot and Dry Liver The CURE is seldom performed upon decrepit persons None at al in such as have the Consumption if it follow after Costiveness T is performed 1. Ey Attemperation of Humors by Goats-Milk Whey and Syrup of Fumitory 2. By Evacuation of the antecedent Cause by Jalap and Syrup of Peach-flowers By Hemorrhoides and courses provoked if their stoppage have been the Cause 3. By Mitigation with fresh-waler bathes into which Mortar is to be cast and the Oyntment of Hartmannus 4. By Discussion with the said Baths wherein Pelitory of the Wal Mallows sharp-pointed Dock Alum Sulfur Vitriol c. must be put III. Bad smel
taken they escape without halting If towards the Hip commonly they halt after it Both because the bowing tending outwards it is easily crooked Towards the inside and towards the outside it bunches out like a bow as also because being but one single bone it cannot easily be kept in its place It growes together in the space of fifty daies Chap. 2. Of less Frequent Fractures TO the less ordinary Fractures there appertain the Fractures of I. The Nose which is either equally flatted so as to make a saddle-Nose or it is broke only on the one side or it is writhen aside by the Gristle or the bones thereof are broke into smal fritters There is Joyned somtimes a wound and somtimes and Ulcer is raised within the Nostrils Unless the Nose be immediately rectified it must for ever remain deformed II. Of the lower Jaw-bone whose bone is either broken so athwart that the Bones nevertheless do in some measure hold together or so that one bone sticks out above another and one tooth sticks out beyond another They are consolidated within twenty dayes unless Inflamation happen Also the teeth remain sound III. Of the Clavicula or channel bone which is broken either athwart and is easily reduced into its natural seat by extending and compressing the same with a mans fingers or long-waies which has alwaies some Eminency which can hardly be brought into order It s fracture is knowne by the touch and by the pian It is soddered together within the space of twenty daies IIII. Of the Scapula and that either in respect of the shoulder tip and then Inequality is perceived if the hurt part be compared with the sound or in respest of the broad part Then a certain cavity is perceived by the touch the Arme just against it is benummed If the fracture be in the neck of the Scapula or in the Jointing of the shoulder Inflamation is soon caused because of the veins Arteries and nerves which spring from the Vertebraes of the Neck V. Of the Brest-bone whose fracture is known by the bones giving way when pressed with the finger by shortness of breath c. and it is dangerous because of the Neighbourhood of the noble parts VI. Of the Ribs which are either so broken that the extremities of the broken bones do neither go in nor stick out And then few are either Feverish or spit blood Or so as that the Ends of the Bones are out of their places Then the flesh above the broken Rib is blown and heaved up and if the place be pressed with the hand a noise is heard of the departing Air. Inflamation Feavers Impostumes do for the most part follow Or the whole Ribs are not broken Then there is neither great pain nor a Feaver VII Of the Back-bone which frequently by reason of the hurt ensuing to the spinal marrow the Membranes and the Nerves especially if the fracture happen by the Vertebra's of the Neck proves deadly especially if a palsie either of the Arms and Hands or of the Legs and Feet do follow thereupon VIII Of the Patella or Whirl-bone of the Knee which is known by inability to go and an hollowness which is perceived in the place of the fracture It happens either long waies and then the bones are easily joyned together again Or athwart or slanting Then no art can so help it as to hinder the Patient from halting IX Of the Bones of the Feet which is wont to be caused by an heavy and strong thing 'T is easily known by sight and touch because the parts are fleshless It is not so dangerous See Galen upon Hippocrates of the Joynts and Fractures And so much shal suffice to have spoken touching External Diseases THE SEVENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching Feavers HItherto we have treated of the external Diseases of the Body The internal are either universal which affect the whol Body or Particular which vex some parts only The Vniversal are Feavers A Feaver is considered generally or specially Generally considered 't is divided into Non-putrid and Putrid Hectick Malignant and Pestilential Title I. Of Feavers in General A Feaver in general is an hot Distemper of the whole Body arising from an Heat Preternaturally kindled in the heart and by means of the spirits and blood through the Veins and Arteries diffused into the whol Body and hurting the natural actions thereof by a Crowd of Symptomes The Part affected is the Heart wherein the heat is first kindled and soon after the whol Body at least in respect of the noble parts somtimes For the Heat being diffused possesses the parts either Habitudinally or Habitually Also their temper consisting in the innate and influent Heat is changed Now this Distemper is joyned somtimes with dryness other whiles with Moisture Hence though the feaverish heat do alwaies tend to dryness yet oft times the disposition of the Body upon which that heat acts and the moisture do hinder the Body from falling into a Morbifick Dryness The Cause is whatsoever kindles Heat in the Body Now heat is kindled 1. By Motion whiles the rest of the parts by frequent smiting one against another causing a conflux of more Humors than can be discussed do grow hot 2. By Putrefaction while by the external Heat the internal is called forth 3. By Contact and Nearness of some hot thing 4. By stopping of the pores and interception of sharp vapors and Sooty steams which makes the body unhealthy and this is the Principal Cause without which other Causes can hardly effect any thing 5. By the mixinre of some hot thing The CURE of a feaver in general is performed by Alteration wherein such a progress must be used as that the Cause be not fomented and by mitigation of Symptomes The principal Symptomes are 1. Thirst the inner coat of the stomach being either parched with the burning heat or soaked with an hot sharp and nitrous Humor 2. Hiccuping sharp and biting Humors twitching and nipping the Stomach 3. Vomiting either by reason of an hot and Chollerick Humor or a very cold Humor or of a thick and Clammy matter or some Vapour 4. Loosness of the Belly when the stomach is so far irritated that it can in no wise embrace or digest the meate and when liquors extreamly cold are drunk down 5. Dryness Blackness and Roughness of the Tongue by reason of sooty Vapours which so burn the same that the Spittleish moisture is consumed which arise somtimes from a clammy humor sticking about the Teeth jaws beclam fur the Mouth 6. Lipothymia and Syncope Swowning and Fainting which somtimes proceeds from the permicious nature of the Humor and somtimes from rusty green or black Choler fermenting and coming out of the Veins into the Heart 7. Shortness of Breath occasioned by the oppression of the Midrif through the fervency of green Choler boyling about the heart or by plenty of Humors somtimes t is caused by the heat of the Heart or Lungs when
The Physitians care has two scopes I. Preservation which in persons of years is contrived by blood-letting purgation and taking heed of the Infection and in infants only by the last means of the three II. Curation which is Hopeful if they soon break forth and appear high above the skin great seperate white or red If the Heat abate after they are broken forth if large bleeding at the nose have proceded if no greivious symptoms attend them Doubtful if either they come flowly out or go in againe if they are of violet color green lead-color hard and touching one another If the feaver abate not after their breaking forth If the patient breaths not freely faint away and other symtoms be present 'T is performed I. By mittigation of the Ebullition or fermentation of the Blood least over Ebullition produce more greivious symptoms which is effected by blood-letting and light purgation in persons grown up by Clysters of the decoction of barly with fresh butter comon sugar in Infants or by giving them syrup of Citrons and syrup of violets mixed together or a bit of pomecitron II. By assisting nature in the expulsion where impediments are taken away by the foresaid remedies and the malignity is likewise resisted Expulsion is furthered by Pulvis Joelis in his 4 Tom Book 9. sect 5. of the seeds of Nasturtinm or water cresses and brooklime of each one dram pouder of Unicorns horn one scruple or of harts-horn half a dram Red coral pearls prepeared of each a scrupel Make al into a pouder The dose one dram or an half dram The decoction of figs of Mynsichtus in the 25. section of his Armamentarium Terra Sigillata of Silesia Seed of white turneps A decoction of lentils unhusked with fennel-seed and gum dragant c. III. By defence of the parts To which end the eyes must be rubbed with pure gold or nointed with plantane and eye bright water and a little camphire and saffron If they cannot be opened they must be fomented either with hot milk or a decoction of Barly To the Nostrils a nodule of sanders and camphire dipt in rose water must be applied If thut they must be nointed with oyle of sweet almonds The throat must either be smeared with diamorum or washed with a decoction of plantane and barly with Honey of roses The ripening of the poxs must be furthered with anointing the same with oyl of sweet almonds When they are ripe they must be opened with golden or silver pins that they may leave no warts behind them They must be washed with a water distiled of al manner of flowers and mans fat or with oyntment of Forestus IV. By removing the symptoms which appear with or folow the same now they are Epilepsy and convulsion when the membranes and nerves are beset with poxs and the palsy when they are thereby obstructed Hard swellings which must be dissipated by emollients without suppuration External Vlcers Dysentery where emollients are to be avoided and such things as dry and stop without acrimony are to be used Hearing impared where evacuation being premised either vesicatories or vapours received into the ears are useful Inflamation of the Eyes c. Of which see in their proper places Article II. Of the measels and such like Breakin gs forth The Morbilli or Measels are smal red pushes breaking forth upon the skin with a continual feaver caused by the expulsive faculty and a peculiar working or boiling of the Blood The Signs Causes Differences and Cure vary not much from those of the smal pocks of which we newly discoursed Like Breakin gs forth to the measels are I. Crystalli Cristals pushes about the bigness of Lupines breaking out upon the Body and shining like Christal out of which a watrish humor flows The Germans cal them Schafs-blattern II. Tubercula little risings not thick together with little moisture in them without any feaver and soone cured III. Rubeolae smal red Pimples which come somtimes a lone with heat and Cough sometimes they are sprinkeled among the smal poxe or measels and sometimes they happen to persons in Health IV. Rossalia red fiery spots which breake out at the begining of the disease al over the Body as it were certain smal Erysipela's though the tumor is hardly discernable sometimes they breake not forth til the fourth or fift day in the progrses of the disease they occupy the whole body so that it looks as it were alâ—on a red fire Which color is againe changed into spots as at the begining which vanish at last upon the seventh or eight day The Epidermis or scarf-skin faling off like scales The Cure of these requires nothing singular Article III. Of the spotted Feaver Febris pefechialis or the spotted feaver is a malignant Feaver in which certain spots like flea bitings of sundry colors but cheifly red appear upon the skin These spots are called puncticulae petechiae peticulae Whence the feavers are termed also puncticulares periculares and lenticulares The SIGNES are the same as in malignant feavers The sports are without any itching extuberance and exulceration They appeare in the back Armes Thighes Brest viz. places through which the most notable Arteries and veins doe passe Seldom in the face because the cold air repels the matter from thence There appears no prick in the middle of them and so they are distinguished from flea-bitings The CAUSE is the thinner part of the putrid humor which makes that they soone vanish 'T is driven forth by the expulsive faculty Seldom critically seeing they commonly shew themselves at the beginning without any remarkable evacuation alwaies for the most part Symptomatically and by how much they are more plentiful they do the more signifie the abundance of corrupt matter in the Body The CURE is Hazardous if the spots are many because they shew that there is much matter If they be few and accompained with sings of Natures weakness If they disappear because 't is a sign they strike in again If they come forth slowly because it argues grossness of matter or compactness of the Skin 'T is Performed 1. By withdrawing the matter effected by blood-letting which must be practised before the fourth day Lenitives being premised to loosen the Belly to which a little Camphire may be added if blood be drawn later the Patient wil be over weakened 2. By Expelling the same with Sudorificks resist malignity premisiug if you please such noyntings as may open the pores In this case Bezar stone is good and emulsions of Navew and Citron seeds with Carduus Water and Syrup of Citrons The Bones Blood horns and Skin of the Rhinocerote c. 3. By Roborating the Faculties with Emulsions of Corals and Pearles Confectio Alkermes c. 4. Somtimes also by Revelling the Humor to the external Parts by Vesicatories if the external parts are cold there be Head-ach ravings Convulsions c. If the Patient be loose bellyed we must not stop the loosness unless it be too excessive The
when cold or hotter then is usual for the remedying whereof such things as are thereunto opposit are necessarily required and very serviceable Another proceeds from things internal whether overhot or overcold 2. There is another Species of it by its Essence and then a pain and heaviness of the Head undoubtedly preceded without any affects of the inferior parts This is to be cured by internal discussives and the scent of things that are appropriate unto the Head There is another kind thereof that is by Consent or agreement with some other parts and then the Neck veins are distended the Urins in the top or superficies of them filled ful of little windy bubbles winds arise either by the fore part with the extension or stretching out of the Breast and the beating of the Arteries at the very bottom thereof or else by the hinder or back part together with a distension of the Veins and Arteries of the same aforesaid part They arise from other parts that lie underneath In the Cure regard is to be had first of al unto revulsion or drawing back the offending matter by Clysters somwhat stronger than ordinary and next unto repulsion or driving byck the said peccant matter externally by Application of things made up of Vinegar and Roses as above said and internally by the Conserve of Roses c. And then lastly special regard ought to be had unto Evacuation by purgers corrected with Carminatives III. Another Division is from the Humors and this is either proceeding from the Blood or else it is Cholerick or Flegmatick or serous and wheyie or otherwise it is Melancholy and Adust as consisting of burnt Choler I. The Sanguin Distemper of the Brain proceedeth from the blood either over thin or too thick It is known unless it proceed from some external Cause by the extension and heaviness of the Head Especially when the South West wind blows the redness of the Eyes the gentle and moderate heat and by the pain of the forepart thereof from the Ninth hour of the Night unto the third hour of the morning or day following It ariseth from a Plethory and its Causes It is derived into Act and made to appear by the extream and over vehement affections and passions of the Mind much drinking of wine and by such other things that cause heat or pain in the Head The Cure must forthwith be set upon and attempted lest that an inflamation or some other affect should flow therefrom And this is accomplished 1. By the Diversion of that blood that is flown into it by opening the Cephalick or Head Vein or else the Saphena and Foot Vein if there be a suppression of the Monthly Courses or of the Hemorrhoides for by no means we are in this case to attempt the opening of an Artery for fear that the Tumor Aneurisma should follow which aforesaid blood-letting doth both Evacuaâ—e or empty forth and draw back the peccant humor as also by the Application of Cupping-Blasses unto the Loyns shoulder blades and Neck and likewise by a gentle Evacuation as also by repulsion or driving back which is effected by the Use of repellers that in the winter are potentially cold but in the Summer time actually such if the sick person be young unless there be present a Catarrh and this repulsion ought to be instituted by frictions or rubbings II. By a sensible drawing forth of the blood that hath flown in by the passage of the Nostrils rubbed hard and chafed with Milfoil or Yarrow by opening of the Vein that runneth strait along into the forehead if it be the hinder part that is affected by Discussion and by a Convenient Diet. II. The cholerick distemper of the Brain proceeds from the Superabounding of choler It is known by that sharp and pricking pain especially on the right side by the extraordinary burning heat by the depravation of the actions of the Brain by the many and those very yellow excrements of the Ears and lastly by the bitterness of the Mouth It ariseth from Causes generating Choler It is divided into that which is such by its Essence in which the Cure is to be administred I. By opening the Vein of the right Arm after a gentle Clyster and without the ordayning of any preparative before it if there be not any Feaver present II. By Preparation if it be needful by cooling and moistening Cephalick Medicaments which ought to be more or less strong according to the power and strength of the choler III. By Purgation with Aloticks that is such Medicaments as have Aloes for their basis and other Remedies that are specially appropriated unto the Brain IV. By wasting and consuming the remainders or reliques where Camphire by reason of the over much want of sleep ought carefully to be avoyded V. By Digestion in the use of digestive Medicaments VI. By a Diet that is wholly opposite unto the distemper And Secondly it is divided into that which is by Consent in which we are to proceed according to that way and Method formerly mentioned and laid down III. The Pituitous or Flegmatick distemper of the Brain is known by the signs alleadged and mentioned in the cold distemper of the Brain The sleep in this case is very profound and deep or at lestwise over much unless haply the Flegm being loosened and dissolved a Catarry and Cough be thereupon excited The pain is most of al in the hinder part of the head afflicting the Patient from the third hour of the night unto the ninth There is likwise an extraordinary paleness in the face unless perchance it happen to be colored or as it were painted al over with a certain kind of redness through the dayly continual residence of a part of the blood brought and derived thiâ—her It ariseth from Causes generating flegm more especially from a cold Brain a hot and moist Liver which transmits thiâ—her a sort of blood that is ful of Vapors The Cure hereof is something difficult especially in the winter time and this very Disease doth easily degenerate and turn into the Apoplexy and Palsie The cure is porformed I. By Alteration after the clearing and Evacuation of the first waies and passages and this must be done by Cephalick Medicaments hot and dry at first benign and gentle and afterward by degrees stronger and these ought frequently to be reiterated and here we may prosperously Act by the Decoction of Chyna Root Guajacum and Sassafras II. By Purgation now and then interposed during the time of Alteration and here the Pills Assajereth Aureae and Cochiae or the Extract of these have their place and use III. By a particular Evacuation by medicines put up into the Nostrils by Masticatories Gargarisms washings of the Mouth c. IV. By the Application of Topical Remedies among which Fomentations Embrochations Sacculy or little baggs by al which the matter is insensibly evacuated have their place and use V. By Application of a Cautery unto the coronal Suture or else by
There is here Good hope of a cure if there appear on the fourth day good and promising Signs if pus to wit snot or filth or water flow forth by the nostrils ears or eyes But is somewhat doubtful if there be present with it an acute feaver and that the ut in be white because then the choler is carried upwards and an inflamation is greatly to be feared if the Patient vomit up that which is Eruginous or in color like unto brass and that the Party be over long kept awake and deprived of his rest especially if a deafness accompany it in regard that by reason of the choler that is gotten together they suddenly fal into a violent and vehement madness if they be surprised with a Congelation or taking as we cal it together with a stoppage of the belly a fierce and wild countinance and that the face be extraordinarily red and fiery because then they are suddenly surprised with a crick in the neck that affect which we usually terme opisthotonos if likewise there happen together with it a sound or ringing in the ears without a Feaver if there accompony it a vertigo or giddiness in the head a hoarsness of the voice and a benummedness in the hands for then they sudenly become either appoplectical or Epileptical and Apoplexy and Epilepsie or falling sickness most commonly following thereupon But there is no hope at al or if any very little if where â—â—it was very vehement it suddenly vannish away and conceal it selfe there following no alleviation by the crisis if the extream parts become exceeding cold because that the native heat being drawn back a Phlegmon may easily be excited if it happen to be with an acute feaver and that on the fourth day there appear some pernitious sign or other if a sound person so soon as he is surprised and taken herewith become instantly speechless and snort and yet is not afflicted with any strong feaver wherby probably he might be freed from the aforesaid distemper The Cure if there by any is performed I. By mettigation of the pain either by anodines of river craw-fish beaten wel together with rose vinegar vervain water and the root thereof wel bruised and imposed on the part affected the Allabastrine unguent before mentioned al which ought to be applied unto the suâ—ures and temples or else by narcotick remedies which may only be applied unto the forehead and layd thereon II. It is to be accomplished by removai of the Causes and strengthening the part touching which see further in the differences The Differnces of the Cephalalgy are many and those very various I. One difference hereof is symptomatical of which we here treat Another is Critical which beginneth not to afflict the patient from the first rise of the dâ—stemper but much about the time of the Crisis and then the breathing suddenly becometh short and very difficult the Hypecondria being drawn back the veins are swoln and the arteries beat in the Temples the cheeks wax red and tears flow forth of their accord the patient not being able to withstand it the sick party streacheth his nostrils with his hands and then most commonly there floweth a streaming forth of the blood II. Another is External which seizeth the pericranium is perceived in the very superficies reacheth unto the roots of the eye-lids is exasperated by the compression of the hairs and hands Another internal which becomes easy and moderate upon the very touch especially if it be without any distention and it extendeth it self even unto the roots of the eyes III. Another is from Causes External to wit 1. Ebriety with beer in which the herb Chamaepence is boiled easily and soon causeth And then the matter fluctuating in the stomach is to be cast forth thence by vomit The leaves either of the Colewort or Cabbage throughly moistened in warme water or else the leaves of Rue wel brused together with rose vinegar are to be applied The head is to be al over wet and besprinkled with the spirit of wine and the feet are chafed and rubbed with salt and vinegar 2. By a Contusion stroke wound in which case the cure is to be sought for above in and from their proper places 3. By the heat of the sun the heat of a Bath and of the soucherly winds And then the head is to be delt withal by cooling fomentations c. 4. By the use of other things offensive such as are dates walours chestnuts Filbirds toad-stools hempseed the seeds of Coriander not prepared Frankinsence styrax and Mirh if moderatly taken c. Another is from Internal causes to wit 1. From a distemper without matter which if it be hot the pain is vehement and the head becommeth hot if it â—e cold the pain lasteth so much the longer and the head is cold In this case the little rols or cakes of diamâ—scum dulce and a little bag of heating Cephalicks are very convenient If it be dry the pain is moderate dul and notacute and there went before causes that were extreamly efficating and drying 2. From a distemper with matter which is either from blood and then the paine is more gentle and moderate which cheifly seizeth the fore part of the head and increaseth before the time of repast The Cure is to be sought in its due and proper places Or else it hath its original from yellow choler and then the pain is extreamly pricking and corroding and for the most part fasteneth upon and seizeth the right side of the fore part of the head In the cure those things that are most fit and likely to effect it are Epithenâ—s of Opiat Laudanum with rose water vesicatories applied unto the neck the smelling of rose water with Camphire washing of the head with a decoction of agarick together with the flowers oscamomil scarification of the lips of the ears c. or else it procedeth from flegm and then a pain afflicteth the patient on the right side or the hinder part of the head rather then else where Medicaments good and sucessful against this malady are oxymel with squils the water of the flowers of the elder tree of penyroyal of rosmaâ—y with cristal of nitre the shels of peaches beaten together with verveyn water the oyl of nutmeg pressed or drawn forth the Balsam against the Apoplexy that of yellow amber and the sacculus or little bag of Hartmannus Or else it ariseth from blak choller or melancholly and then the watchings are very extream greivous together with a pain of the left side of the hinder part of the head Let the cuâ—e be sought for in iâ—s proper place 3. from a wind and then the pain wandereth as it were and flyeth up and downe hiâ—her and thither it puffeth out and extendeth the part where it is often returning and running back again at some certain constant hours of the day It is discussed scattered if so be that the temples and the coronal suture be frequently anoynted and
impostums of the Brain abundance of Yellow Choler c. Or else they exalt the same such as are hot and dry temperaments that cause an inordinate motion of the Animal spiritts Or else lastly They impede and hinder the motion of the Animal spirits and such are a less than is requisite conformity of the head and brain the over great thickness of the same c. The CURE respects the several Causes and may be taken and understood by what hath been already above spoken Those medicaments that are appropriated either for the conservation or restoration of the memory are reputed and accounted to be that they term Tinctura lunae taken in the water of lilies of the vally The pouder of Trithemius of which there is sufficiently spoken in the miracles of Mullerus the Anacardine Confection in weight half a dram thereof exhibited and taken with al possible cautions unless haply an hot and dry temperament hinder it Those things that resist and therfore are good against a cold and moist distemper are that water that Practitioners cal Aqua Magnanimitatis Cunradi The lily of the vallys balm frankinsence in weight half a scruple taken with wine Nutmeg c. Toughing which consult the practitioners in Physick Article II. Delirium or dotage A deliry or dotage is a depravation of the Phantasie and the ratiocination Faculty arising from the bringing and presenting of an absurd and inconvenient Phantasme The SIGNES of a delirium beginning are garrulity or talkativeness in a person of few words and so on the contrary fierceness in a quiet and mild person ribaldry and scurilous speech the quick motion of the eyes in regard that they are associated with the brain Arteries veins and nerves a pulse with perturbation in the Hypocondria But the signs of that that is present are speeches and actions that the patient hath been altogether unaccustomed unto and which in themselves are indeed very absurd and incongruous The CAUSE hereof is an absurd Phantasme having its rise and original from a default in the Animal spirits as wel those that are fixed as those that are movable which ought to be pure clear and transparent temperate and regularly and ordinatly movable For if they swerve from those aforesaid requisites there is then an error and mistake communicable unto the Phantasmes about and upon which the Reason is employed and busied and then those Phantasms are represented unto the intellect or understanding otherwise than they ought to be The CURE is different according to the variety of the differences It is divided into a dotage that we cal primary and that which we cal sympathetical I. The Primary is that when the brain is in its one proper substance and essence that is in it selfe affected and this is either with a feaver of which more in the Chapter following or else without a feaver containing under it as wel that wherein Paraphora and Leron that is to say an error of the mind or a dotage and busying of it about toies and trifles proceeding from the imbycillity of the principal faculty by reason of an immoderate flux of blood or else by reason of long continued watchings as that we term downright folly in the which the principal faculties are not only impared and diminished but likewise extreamly depraved and corrupted II. That which is sympathetical when the Cause is communicated from other parts It is disposed and divided into that which is without a feaver which comprehendeth under it temulency or a kind of drunkeness and distemper brought upon the spirits either by wine or beer or else from hemp darnel henbain the dry sticks of that they cal Levanthe the rinds of mandragoras opium and the like Those things that preserve are the smal strings of wormwood and Rew eaten upon an empty stomach the cabbage or colewort and a morsel of bread eaten after a draught as aforesaid those things that accomplish the cure are vomits and the use of things Acid and sharp c. and into that that is with a feaver which often hapeneth in acute feavers and not otherwise And then the feaver is at hand and presently appeareth if it shew it selfe in the very begining without any apparent signs of concoction it introduceth a Phrensie which is quallified in great part removed by sleep but if it happen to be with concoction and other hopeful signs and tokens then it is Critical and decretory It is cured 1. By revulsion by the opening of a vein in the feet and other such like remedies 2. by tempering and allaying the extraordinary heat of the blood in the head by topical or local medicaments 3. By the application of hypnoticks or medicaments caussing sleep 4. both by the evacuation of the matter which hath already seized the head and this is to be done by openining either the forehead or the tongue vein and likwise by the discussion of the said matter by applying unto the head pidgons dissected and cut in midst and withal the decoction of Camomile c. Or else it happeneth in an inflamation of the parts and especially the diaphragme And then the breathing is unequal the Hypocondria are violently drawn back more inwardly there is likewise Joyned therewith a deliry or dotage together with a Cough and a pain of the side The Cure ought to proceed according to the Nature and condition of the part affected Article III. Of a Phrensie A Phrensie is a perpetual and Continual deliry or dotage arising from the Inflamation of the Membranes of the brain and afflicting the Patient with a continued Feaver The SIGNS are a perpetual doting a continual Feaver incessant watchings and short and frequent drawing of the breathe The CAUSE is an inflamation of the Membranes of the Brain of the which we have already above treated in this very Book The CURE ought to be ordained according to the Disease the Nature of the watchings and the suppression of the Urine In this distemper Venesection or blood-letting is one especial if not the only Remedy But then a plentiful measure or as we say good store of blood is somtimes to be drawn forth at the Nostrils by putting up a Feather made into the fashion of a Star even unto the very Root of them and forcibly turned about therein But touching what we are now upon more may be seen in what hath been already delivered concerning the Inflamation of the brain Neither must we forget by reason of those aforesaid watchings together with repellers to mingle Hypnoticks that cause rest or else they ought to be administred severally and by themselves alone as we see good Three grains of Opiat Laudanum cautelously administred in a convenient liquor least the Phrensie should by any means degenerate into that Disease we cal Veternus that is the Lethargy or drousie distemper are very much commended This said mutation or change is wont to happen either of its own accord or else because the sick persons neglect cannot endure to reply unto
the Eyes somewhat black and thick and lastly if there appear froth about the Mouth in regard that it signifieth an exteam streightning of the heart The Cure is to be ordered according to the rule and method in other inflamations which are notwithstanding there come these few peculiar things to be observed Touching Venesection is to be noted 1. If it be doubtful whether side thereof be the more afflicted since that the Liver is the part transmitting the blood ought then to be drawn forth of the right arm 2. Where there is not so great a difficulty of brathing the blood may be drawn forth the more freely and plentifully but when the difficulty of breathing is great there ought to be the less blood taken away and that at several times and the intervall of four or five hours betwixt 3. That if Cuppinglasses be forthwith applyed unto that part that is nighest unto the place affected then there wil be excited in that sayd part the Greater Conflux and therefore they ought to be put upon the Reines and not upon either the Arm or Neck Purgation is forthwith in the very beginning to be ordayned Repellers ought inwardly to be administred unto the Jaws and this especially indeed in the form of Gargarismes Mouth-washings termed Collusions and Luctures And here there is commended Lapis prunella The Composition of Mulberries Must or new Wine and Nutshels in regard that it hath in it an extraordinary astringent quality and power those Medicaments that are formed of Sengreen Plantane and Purslane c. On the third or fourth day Digestives are to be mingled together with Repellers In the Declination of the Disease the Ashes of burnt Crevises or Crabs is to be wel mingled with Honey or the White Excrements of a Dog or that of a Hen or that that is taken out of the Swallows Nest poudered and siersed Among the Maturatives or Ripeners there is the pith or pulp of Cassia kept a while in the Mouth Gargarisms of blood warm milk with Sugar The Emplaster that is formed of Marsh-mallows and the Common Mallows of each one handful Camomile Flowers Melilote Flowers Linseed Fenugreek Seed of each half a dram ful and fat figs in Number ten wheaten meal two Pugils or little handfuls For the breaking thereof excellent good is the Cataplasm of the Cream of the new and fresh roots of the flower-de-luce with butter and the Oyl of Violets Among the Specifical remedies are the Mushrom or the Elder Tree boyled and drunk the Pouder of Swallows if after they have had Salt cast upon them they together with their feathers be burnt in an Earthen Vessel and the Ashes mixed with Honey spread and anoynted upon the place affected one scruple of the Shavings of the Bores tooth if it be mingled with half an ounce of the Oyl of sweet Almonds and sweetned with white Sugar Candy and lastly the secret of Guntzmannus mentioned by Hartman In the Patients diet we are to come at length unto Nutritive Clysters It is divided in a twofold manner 1. Into four species or kinds Cynanche c. Of which more below Number 4. 2. Into that that is from Pure blood in which there is a greater distension of the Neck and the color of the Face is somwhat Red and into that which proceedeth from a Flegmatick blood in the which al the Symptoms are more mild and Gentle II. One is from the Relaxation of the Vertebrae of the Neck and then either a fal or a blow went before it as its efficient Cause or else some Humor or other hath preternaturally loosened the Joynts and Ligaments of the Vertebra or otherwise hath dislodged them from their proper seat there appeareth here none of those signs that in the others are manifestly discovered The Neck is hollowed behind and is not to be turned about the Oesophagus without much ado and pain withal The pain is felt if the part affected be but externally touched the Tongue falleth forth from its proper place The Cure is to be sought for in its own due place that is to say from its sourses spring and Fountain III. One is from a Pituitous or Phlegmatick defluxion residing upon the Joynts and the Muscles of the Neck and then the pain is not great and violent but dul and heavy the swelling is somewhat broader but then it hath in it very little or no redness there is present no fever or if any it is but moderate The voice waxeth hoarse there is great store of spittle the sick Persons alwaies gape with open mouth and drawing Air there is likewise some difficulty in swallowing but yet without any great hazard of suffocation The Cure is to be ordered according to that of a Catarrh IV. That which ariseth from an inflamation one is called Cynauche which lyeth hid in the internal Muscles of the Larynx or the Throat and then whether inwardly in the Jaws or outwardly in the Neck appeareth there any redness or swelling at al but the Jaws are so vehemently pained together with great danger and peril of suffocation that the diseased persons are enforced to take in the Air and to breath with their neck erected strait and upright and with open mouth The fever that accompanyeth it is most acute and the disease strangleth the party within four days at the utmost but very usually within eighteen hours time That which in this case much profiteth is Cupping glasses applyed unto the veins under the tongue touching which see further in Zacutus Lufitanus in his eigth book Chap. 2. Another is that we cal Paracynauche which sticketh and hath its residence in the external Muscles and then there is to be found within a certain swelâ—â—ng and redness the mouth being drawn aside and writhed after a strange manner and the tongue depressed and kept down if it vanish away at any time when there is no crisis to be expected and a little swelling or rising appear but yet such as is altogether void of pain which cannot be suppurated either by the Vigor of Nature or the help and benefit of Art it then threateneth Death and a return of its red color the former in regard that the thick matter being left al without the more thin and hotter part thereof is converted unto the throat the latter by Reason that there is likewise by some accident a hotter kind of matter driven inwardly Another Synanche which is conteined in the interior space or Cavity of the Jaws and then it likewise extendeth it self unto the Root of the Tongue and comprehendeth the Neck it self there is then also apparently to be discerned a swelling and a redness in the outward parts together with pain and heat the which said swelling if it have recourse unto the more internal parts without any manifest cause it then suddenly vanisheth away upon thi translation of the matter the Symptomes ares here never a whit more milde and gentle than in the other sorts but yet notwithstanding there is here
Ear Milfoil and Citron Rinds Prepared the Decoction of Pimpernel Walwort Sugar of Roses Old with the Whey of Goats Milk the Secret of Freytagius of which you may see further in the same Author in his tract of Opium China Root Guajacum c. Let the Patient every hour lick in the Lohoch of Walwort with the Conserve of Red roses III. The Correction of the Blood that so that that floweth unto the part affected may be good And therefore in the Diet Milk is accounted wholsom because that by its serosity it clenseth the Ulcer and by its Caseosity if we may so term it or Cheesie part it Consolidates and then lastly by its Aereal and buttery Fatness it Humectates and moisteneth the wasted and extenuated Body And certain it is that Goats Milk ought to be taken at dinner time at least if there be present no great Feaver or pain of the head that so it may not sour in the stomach or Cause unsavory belchings At Supper the Emulsion of white Poppy Seed and of the greater cold Seeds of each one dram of the Milk of sweet Almonds one pint also milk Boyled with Rice If Milk be not thought convenient Barley Hulled and with the broth of a Cook reduced into a Cream Distilled Medicaments are not here approved of because that their Nutritive faculty doth not transcend the Alembick IV. The Removal of the Feaver by those things that cool and moisten V. The Depulsion of the Extenuation by those things that have in them a power restorative And here Pultises of Milk the Yolks of Eggs fresh Butter Sugar and the meal or flour of Barley and Rice have their place Then let a Bath of warm Milk be made for the sick person after which let a Rosted pullet that hath been fattened with Milk succeed and then the distilled liquor of Snails and the Aqua Mirabilis of which we may see more in Zacutus his Eight Book VI. The Nerfion of the whole Nocturnal Colliquation by Sudorificks or Sweats Then in the evening we must administer the Conserve of Red Roses with the Syrup of Poppy of Jujubes and Diacodium The Breast and the Back-bone are to be anoynted and a Liniment Resumptive as Practitioners cal it with the Oyl of Roses and Violets c. The Phthisis is divided in a twofold manner according to the quality and condition of the Causes and its Duration I. One is from Blood which being got forth into the Lungs there clotteth and putrefieth And in this if al things else be answerable Phlebotomy hath its due place in the very beginning thereof Another from a sharp Humor whether it be Serous or Cholerick which is either sent from the Head neither may it be cast forth by Coughing and then the Cure is to be ordered according to the Nature of the Catarrh or else it is poured forth from the Heart into the Lungs or else it regurgitates from the suppressed Courses or Hemorrhoids and then the Cure must be sought for in its own proper place Another but that is very rare from Sweet Flegm if in too great abundance it flow unto the lungs obstruct the lappits therof render the substance thereof over moist and there putrefie by reason of its long abode there and for want of Ventilation Another from Pus or corrupt stinking matter upon the breaking of the impostum of the Quinsie of the Uvula the Pleurisie c. And hence is that of Hippocrates those saith he that after a Pleurisie happen to be impostumated if in forty daies they be not freed thereof they then become Phtysical Another by Contagion from the breath of the Phthisical and hereunto belongeth that of the Sea hare corroding and eating through the Lungs by its specifical Poysonous quality and likewise the breath and stench of Cats and Dogs sent forth especially in the dissecting and opening of them II. One is Recent and but newly begun in which the Symptoms are not so strong and Violent Another such as is confirmed and of a long continuance in which the Cheeks wax black or of a Leaden color with a Paleness in the Face although I grant at somtimes the Cheeks by Reason of Vapors ascending from the Lungs may appear to be of somthing a red color The Breath by reason of the imbecillity of the breathing Faculty or the obstruction of the Bronchia we cal them the Lappets of the Lungs either from store of purulent matter sent thither or else from the many Excrements that in the weakned Lungs are gathered together and heaped up becometh very difficult and is hardly drawn The Pulses are one while languid and slow another while quick and swift one while hard by Reason of the dryness of the Body and another while soft in regard of the Humid matter moystening the Arteries Sweats in great abundance break forth in the time of sleep by reason of the debillity of the natural Faculty And at length the Malady having now gotten the upper hand certain smal parcels and portions of the putrefied lungs are cast forth with an intolerable strength The Hair of the Head sheddeth and falleth off by Reason of the defect and want of Aliment and the Corruption of that that is bred in the Body The Nails become Crooked that Flesh that was wont to be at the Fingers ends being consumed A Smal sort of Lice are generated in regard of the Corruption of the Aliment The Extream parts especially the Feet by reason of the extinction of the Native heat are much swollen And at length the Flux Diarrhoea together with a suppession of the Spittle followeth upon it from the weakness of the retentive Faculty of the Stomack and the Intestines See further in Freytagius touching the Phthisis Title V. Of the Diseases of the Thorax or Breast Chap. I. Of the Inflamation of the Mediastine or the Transverse Muscle and the Tumors of the Diaphragm THe Diseases of the Thorax or Chest are the Inflamation of the Mediastine the Swlling of the Diaphragme the Pleurisie the Empyema or Constipation the Consumption or wasting of the Back and the Worms of the Back I. The Inflamation of the Mediastin that disjoyneth the Lobes of the Lungs is known by the continual Feaver the frequent thick and swift breathing an extream and intense burning in the Breast a smal pain at the stern unto which the Mediastine is tyed and by the spitting and casting forth of that that is at first red and then afterward Yellow But the matter that is thus cast up because that it is gathered together betwixt a double Membrane as it were and is not easily Evacuated unless the said Membrane be eaten through is not in any great abundance It ariseth from the Blood and chiefly the Cholerick It is Cured after the manner of other Inflamations Where take notice that the Repressing Medicaments ought indeed to be cold but no way astringent and that in this Case the Oyl of Violets is cheifly approved of which must be made
blood warm unless it be in the summer time and the Breast therewith anoynted II. The Tumors or swellings of the Diaphragm are of two sorts Some of them are Cold which are known by the difficulty of Breathing the stretching out of the hypochondria yet no swelling appearing in them upon the touch and no deliry or dotage accompanying it They arise from a matter that is crude and thin penetratting into the thickness of the diaphragme either from the compression or wounding thereof They are hardly Cured if they be of long standing in regard they bring the sick person to a consumption but more easily if they be Recent and newly begun but not at al if there follow a deliry or doting First then we are to administer those medicaments that evacuate the prepared matter among which those we term Hydragoga or water purgers are especially commended and afterward with those things that mollify and digest and cheifly Sarsaparilla unless the humor hath begun to be hardened Others are hot which are known in their first rising by a feaver that is both continual and accute a pain the breathing little but often the extension of the Praecordia a palpitation or panting neer unto the diaphragm and somtimes a kind of leaping in that place in the Progress by the doting that attendeth it the unequal respiration or breathing being sometimes smal and sometimes great swift and as soon again altogether as slow and rare They arise from a blood hot and cholerick The Cure is difficult in regard of the extream peril therein It likewise resembleth the inflamation of the Lungs Chap 2. Of the Pluresy THe Pleurifie is an inflamation of the Pleura Membrane and the adjacent muscles arising from the influx or flowing of a hot humor with a pricking pain of the side a Cough difficult breathing a continual acute Feaver a hard pulse unequal and frequent The SIGNS Pathognomick as we cal them are an extream pricking pain because the aforesaid membran which we cal pleura being of a most exquisite sence is extended by a sharp matter A Puls that is hard unequal and bearing a kind of resemblance with a Saw in regard that the part that is inflamed is Nervous A Cough by reason of irritation and transudation to use the terms of practitinors which in the beginning is dry but in the progress adjoined with and attended by a spittle that is bloody and purulent A Breathing frequent and but very weak and smal in regard that the muscles by reason of the extream pricking pain cannot be sufficiently dilated An acut feaver in regard that the inflamation is so neerly neighboring unto the Heart And al these signs ought to conspire and meet al together and not to be present in a scattering manner one after another The CAUSE is an extream hot matter or blood either pure or impure which floweth forth especially out of the vena cava or great hollow vein adjoyning to the heart by the Branch that is termed Azugos into the little thin stems and sprigs thereof which being opened broken or the pors therof dilated it â—unneth violently into the plura membran and somtimes it likewise rusheth thereunto through the upper intercostal membran but more rarely through the thoracical and that we term mamaria The Supply of the aforesaid blood is from a Plethory Cacochymy and the overgreat heat of the Sanguifying bowels It is promoted and furthered by various external Causes and cheifly a sudden chilling and cooling cold northern blast after the great and warm south wind over much and violent exercise c. There is good hope of a CURE if the spittle receive a mature and speedy concoction and be easily and fitly cast forth and if on the foruth day the sick person spit forth that that is white light equal and this by coughing three or four times be terminated on the seventh day and if on the seventh that then it be not extended beyond the leventh or foreteenth day at the furthest if on the crittical day there happen a flux of blood out of the nostrils the Hemorrhoids or the womb with signs of Concoction if which is indeed very rare there chance a Metastasis or translation of the matter unto the joynts and the members of less account It is doubtful if there be spit forth only thin Ichores which are a sort of little ulcers if yellow choller very much mingled with spittle appear long after the beginning in regard that hereby is signified that nature attempteth nothing against the disease If the Spittle be yellow sincere and mingled with much watterishness if the said spittle be Glutinous and Clammy because this clammy quality is contracted from a burning and scorching heat if it be ful of a green â—ustiness and very frothy if it be black because hereby is signified the pravity of the humor and the extinction of the native heat if striving much by reaching doth not stay the Cough and facilitate the Breathing because hereby is manifested either the Malignity of the matter or the weakness of the expulsive faculty if after fourteen dayes it turne into the Empyema if it degenerate into the Peripneumonia or inflamation of the Lungs if it befal aged persons because that through the want of heat the matter is not concocted if it happen to those that have thick bodies and that are accustomed to excercise al things else being thereunto answerable No hopes at al if in it there be nothing spit forth if the pulse be hard little and by reason of heat very thick and most frequent if there happen in the begining thereof a flux of blood without any alleviation or ease in regard that in this case the patient most usually dyeth on the fourth day if the pleuresy be so great that the liver and the stomach be likewise drawn into a consent and fellow suffering and that also the flux diarhoea follow upon it if the pleuresie invade a Cachectical Body after some other long continued disease if from the spittle there arise a noise and much ratteling in the breast and that the continuance be dejected and the eyes veyled and blind with mists and darkness or as many times it is with the yellow Jaundis The Cure when we set upon it hath respect I. Unto the humors already flown in and likwise to those that are like to succeed and follow which are to be drawn back II. Those that are at present flowing which are not to be intercepted neither driven back but derived III. Those that are impacted and stuffed up in the part affected which are to be dispersed and scattered or removed by any manner of means IV. The Pain which is to be mitigated V. The Feaver which is to be kept under and moderated VI. And lastly the natural vigour and powers of the Body which are to be Corroborated Touching al these let what followeth be wel observed 1. That Venesection is with al speed to be administred on the opposite side for repulsion if
to be grateful to the Stomach rather solid than liquid rather meats that are Medicinal than exact Medecines mixt with astringent things that the Stomach be not Relaxed not sharp Salt corroding lest they offend the mouth of the Stomach if the Medicines be external they must be applied to the sword-like Cartilage towards the Navel and upon the back to the twelfth and thirteenth Vertebrae II. By taking away the Causes both External and Internal III. By Strengthening the Stomach where appropriate Medicines take place as the Magistral of red Coral the inward Coat of a Hens maw c. 'T is divided into a distemper without or with matter of which in the following Articles Article II. Of the Distemper of the Stomach without matter A Distemper of the Stomach without matter is a preternatural disposition of the similar Parts of the Stomach in its qualities produced by external and Internal Causes without the presence of any Humor Its SIGNS and Causes shal be explained in the differences the Cure relies only on alteration and removing the Causes 'T is divided according to the qualities I. One is Hot which is known from the want of appetite to meat indorous Belchings clamminess of Spittle dryness of the jaws and Tongue it ariseth externally from the six non Natural things encreasing its heat internally from internal Diseases burning Feavers Inflamation of the Liver Spleen c. 'T is Cured 1. With cooling things but lightly and not too long applied 2. With cooling Diet where Barley Water takes place and Emulsions of the four greater cold seeds II. Another is cold which it known from the greatness of appetite unless it be too cold by sour belchings if neither much nor cold meats have been eaten nor flegm do abound by wind and two much spitting It ariseth externally from the six non Natural things internally from the parts incumbent as the Liver Spleen and Muscls of the Belly which induce a coldness 'T is Cured 1. By appropriate heaters but not too much inwardly and outwardly moist lest driness be caused 2. By Diet where Wormwood Wine takes place it is distinguished into a positive of which we have now treated and a privative which is conjoined with driness It ariseth from the defect of innate heat which is Caused by things that heat too much as the frequent use of Wine the want of nourishment the heat and driness of the incumbent Parts as of the Liver of the muscles of the Belly and the Cal. III. Another moist which is known by want of thirst by abundance of spittle c. it ariseth from external Causes inducing moisture it is Cured 1. With dryers without eminent heat or cold as are the ashes of Hens Guts of Swallows burnt harts horn red Coral troschiskes of Vipers Galangal burnt Salt 2. By a contrary Diet. IV. Another dry which is known by the extenuation and Contraction of the Region of the Stomach which is accompanied with a slenderness of the whol body It ariseth externally from a drying Diet too much emptying and fumes of mettals internally from the dryness of the incumbent parts The cure is the more difficult because with the Feaverish heat it induceth a consumption if vomiting happen it argues a great want of innate heat the Cure is performed 1. By moistening which is best of al accomplisht by nourishments that are medicinal 2. by Diet where Milk takes place beginning with a smal dose new layed Eggs Almonds Raisons Pine Nuts c. There is another compound the Nature of which may be collected from the simple those that labor of a hot and dry distemper have little blood unfit for nourishment are lean bound in body with Veins eminent subject to the dry Scab Article III. Of the distemper of the stomach with matter A distemper of the stomach with matter is when the stomach fals from its temper by reason of some humor either generated there or falling thither from some other place The Signs and causes are put in the difinition in the differences they shal be more largely Explained The CURE is finisht 1. By the alteration and evacuation of the peccant humor 2. By strengthning of the part by appropriate external meats Looke into the differences The Differences of this Distemper are Divers One is from the matter generated in the stomach then the symptoms appeare continually the whole body and al the members are sound It is cured by emptying of the matter which is comodiously done by medicines of aloes hiera picra mechoacan and by corroborating the part Another is from matter falling from another part then that part which was periodically affected is no longer troubled some accustomary evacuation is supprest or the usual diet hath bin changed or somewhat stops in the whole body or in some particular part The symptomes are more remisse For the cure we must have respect to the parts that send the matter II. Another is from the matter sticking in the cavety of the stomach then there is a waving or nauseousness which is attended with vomitinge or a loosness Another from the matter impacted in the coates of the stomach then there is a nauseousness without vomiting oftentimes with the hickops III. There is another chollerick viz. hot and dry which besides the former signes is discovered by nauseousness bitterness of the mouth with a certain sence of knawing and sometimes by chollerick vomitings It ariseth from choller either sent thither from the bladder of gal or generated there from corrupt meats 'T is cured 1. By dyet wherein chicken broath seasoned with lettice and endive doth excel 2. By emptying of the matter both by vomits made of the pouder of the down or flower of walnuts dryed in the smoak and given a dram weight in honey and water and purgers compounded of hiera picra 3. By alteration and coolers and moisteners amongst which do excel succory and violet water syrup of pomegranates of coral of Quercetan of strawberries currans tincture of roses letâ—â—ce and succory condite c. IV. There is another flegmatick to wit cold moist which is known both by the signs formerly reckoned up and by a sence of heaviness in the stomach especially some hours after meat by a waving sowr belching it proceeds from thin or thick flegm t is cured 1. By emptyers both by vomit to which in thick flegm we ought to premise things incisive given in a solid form amongst which excels diatrion pipereon diacalaminth the essence of balme penny-royal c. and by purging so that the purges be administred either alone or mixt with preparatives The vomiters are viz. of salt of vitriol given in broth oxymel with the decoction of radish Heurnius his vomiter of hellebor 2. By strengtheners amongst which excels inwardly taken the roots of callamus aromaticus and citron pills and of oranges with the phylosophical spirit of vitriol and the Elixir proprietatis outwardly ointments compounded of the distilled oyls of wormwood mint cudmin peneroyal mastick a
cerote of one part of pure Ladanum with too parts of wax applied an hour before dinner is good 3. By a contrary diet Article IV. Of the tumors of the stomach A tumor of the stomach is when the same is elevated into a bulke or magnitude greater than is due It contains under it three things I. Inflamation which is known both from the general signs and also from the vehement pain heat thirst a most burning feaver vomiting or often going to stool unless when the orifice or pylorus is possest to these are added the symptoms of the principal faculties if the brain be drawn into consent It ariseth from blood preternaturally poured forth by the veins derived from the porta whether it be pure or mixt whether sent thither or attracted T is cured after the manner of other inflamations where observe 1. that emptying by vomiting or stool is not convenient unless where there is an eruption of matter collected 2. Bleeding is rather to be repeated than to take much blood at once 3. Amongst external repellers sugar of saturne with plantaâ—â— or nightshade water adding a little of wormwood or mint is commended internal things ought to be administred with a moderate actual coldness 4. resolvers which ought to be gentle and Emollient must be corrected with astringents by reason of the excellency of the part 5. If suppuration cannot be prevented the heat must be cherisht with things moderately hot moist and clammy both inwardly and outwardly 6. The imposthumation may excellently wel be broken either with the juice of Scabious alone or mixt with honey 'T is divided according to the parts of the stomach One is of the whol stomach in which what posture soever the sick lyeth down in he is ful of pain Another is of part of the stomach 1. Either external in which the pain after the concoction of the meat is encreased by reason of the intension of the transverse fibres the appetite is not very bad nothing of the impostumation is cast up by vomit Or of the internal part in which al things are contrary but 't is better if the matter pass into this than under the peritoneum because there it may easily be purged forth but here not so 2. Either of the upper part in which because 't is endued with exquisite sence there happen most greivous symptomes and the strictness is most of al perceived towards the latter end of swallowing where the attraction is strongest Or of the lower part in which the pain is encreased more in the disgestion of the meat 3. Or of the former part in which the tumor may be perceived by the touch Or of the hinder part in which if the outside be affected the sick can hardly lie down on his back if the inside not easily on his face II. An Oedema and Schirrus of which we meet with nothing remarkable III. An Inflation when the magnitude of the stomach is increased by wind conteined in its capacity 't is knowen by its distension molesting the region of the stomach above the navel by the tumor and by its resisting the touch by belchings with which the malady is eased It ariseth from matter ministring wind of which in its differences T is hardly cut'd if it befal one recovering because it signifies a relapse if it be in acute Feavers because it shews that the natural heat is wasted by the preternatural if it last long because it endeth in a dry dropsy How it may be be cured see in the differences 'T is divided according to the nature of the causes 1. One is from windy nourishment which is knowen by the patients relation 't is cured with good dyet and discussives to wit with balsome of fenel oyl of carawaies inwardly and outwardly applied by baths of warm water in which are boyled danewort roots by baggs by bread hot out of the oven sprinkled with oyl of Rue 2. Another is from a flegmatick matter which causeth wind and is known from the signs of a flegmatick distemper 't is taken away by emptying the matter prepared and discussing the wind a great cupping glass also doth discuss being applyed with much fire without scarification and often repeated and one dram of sows pasterne bones burnt and prepared with Rue water given in a draft of wine Article 5. Of the wounds and ulcers of the Stomach I. The wounds of the Stomach are known from hence that the belly is loose deeper over against the Stomach hickops and vomiting of choler do ensue sometimes the meat and drink is cast up again They are no waies cured if the whol body of the Stomach be perforated or if its upper part about the orifice be wounded very difficultly if only the outer coat and if the bottome of the Stomach which is fleshy and able to endure medicines The cure is accomplisht as in other wounds mastick any waies taken is good The wound that penetrates and is large ought to be sowed up leaving an orifice in the lower part they must abstaine from al sharp things in their dyet II. An ulcer of the Stomach is knowen by the pricking and ulcerous paine by a heat molesting above the navel caused by the receiving in of hot meat by stinking belchings by causes generating ulcers by a slow feaver c. It arises 1. From external things as sharp medicines and poysons and then the relation of the patient which shew it 2. From sharp humors there derived from some other part or generated there and then we must have recourse to the distemper with matter 3. From an impostumation broke after inflamation and then this was precedent 4. From the rupture of a veine and then vomiting of blood proceeds 'T is hardly cured both because detersives cause paine and because being alwaies moistened by the chyle it cannot be dryed Inveterate ulcers cause a lientery In the cure note 1. The humors if there be any ought to be brought forth only with lenitives 2. Vomits are wholly to be shunned lest that which is ulcerated be delacerated more 3. To internal consolidating medicines somwhat moderately abstersive is alwaies to be mixed Chap 2. Of the Symptomes of the Stomach Article 1. Of the pain and heat of the Stomach THe Symptomes of the Stomach are Paine Heat want of appetite too great appetite a vitious appetite too great thirst hurt of concoction hickops belching rumblings nauseousness Vomiting and the Cholerick passion I. The paine in the stomach is a sad sensation of the same arising either from things that distend it or knaw it and so dissolve its continuity There is no need of Signs in this symptom unless the patient be diseased in mind The Cause is explained in the definition and we shal be more large of it in its differences The Cure hath respect unto 1. The symptome it selfe if it be too urgent in rebating of which a bagg made of the roots of marsh mallows camomel flowers red roses wormwood is good Quercetans anodyne water
in that a beating pain doth precede neer the affected place and there is neither biting nor looseness c. The CAUSES are sharp Humors corroding the Guts and peculiarly offensive to them conteining I know not what Antimonial Helleborine or somwhat like unto the Sea Lungs offensive to the Lungs and like to Cantharides inimicous to the bladder These infected by a Dysenterical Contagion peircing into the Veins and arteries do cause a Fermentation and imprint a disposition like unto it self by a stain on the whol mass of blood and stir it up with the other Humors as purgers do they fix also an evil disposition on the Guts so that the chyle passing by is changed into a vitious Humor and the Excrements of the Belly receive not a natural Elaboration and quality Somtimes in human bodies they are rendred such by the occult influences of the stars hence sucking children who never came into the open aire and were only nourisht with their Mothers Milk are somtimes taken with a Dysentery But they have their Original from Waters carried through Leaden and Old condites from the spring Aire rainy and southerly after a dry and northerly winter both by reason that the drying up of the Humors is hindred and by the strong puttefying power in moisture from a hot and dry Aire thence at the begining of the autum and end of the Summer this Disease is raised and Reigns cheifly in the hottest Countries From evil and unaccustomary Meats hence in Aegypt and India 't is common because they feed on the flesh of beasts which are nourisht by Cassia Fistula From autum Fruits both because they easily putrefie and because by their astriction they retaine those which are putrefied The use of Grapes and new Wine because they make a Fermentation and are easily tainted with foulness Blasting dews The CURE is Difficult in women by reason of their tenderness and weakness in Children by reason their Guts are moister and therefore subject to Putrefaction in Old people by reason of the greatness of the cause that is the acrimony of the humors in a body indisposed and Feebleness of strength 'T is doubtful if the stools be sincere that is mixt with no waterish moisture If the effusion of pure blood be joyned with it for it shews that the greater veins are corroded If loathing of meat afflict with a feaver because the stomach being drawn into consent the concoction is weakened there is some ulcerous putrefaction in the guts If cholerick vomitings seize at the begining because it argues a great power of boyling choler which troubles the upper and lower belly If the stools be continual or that stopping a new dilute flux bloody like to an hepatick flux or a filty diarrhy do follow If it invade with a feaver or with divers colored stools or an inflamation of the liver If it happen to a woman great with child and bate not after the delivery of the child and voiding of the secundine Of some hopes if the excrements be changed unless the change be to worse if belching or farting succeed because it is a signe that nature doth begin to concoct If it befal the splenitick because the melancholly humors are carried away where we must wel distinguish between the melancholy blood concrete in the guts and black choller If it follow madness because it betokens that the matter is translated from the head to the lower parts Of little hopes if black choller be voided of its own accord no feaver going before nor good concoction appearing because it differs nothing from an ulcerated cancer If convulsions and ravings Succeed because they shew the matter is carried to the head and nerves If peices of flesh be voided because the substance of the guts cannot be regenerated nor a scarre be drawn over so great an exuleration If any one releeved from an acute disease be taken with it because his strength is not able to undergoe it If in process of the disease the hickops follow if a black pustle like to a vetch appear behind the left ear with a great thirst because it signifies death on the twentieth day The Cure is accomplisht 1. By revulsion and derivation of the humors rushing to the guts where Bleeding takes place if there be plenty of blood if it rush violently with the humors to the guts if there be an inflamation or if it be feared If the Feaver be continual If a hot liver minister matter Yet note it must be emptyed by little and little timely and at the first dayes least the strength be dejected the median or liver vaine must be opened with a smal orifice the vein of the ancle if some accustomary evaccuation be stopt 2. By emptying the corroding humors so that the stronger be avoided because they move the humors to the guts Let the purging be at the begining before there folow too great exulceration and that very often that the humor may be taken away The syrup made of the infusion of damaske Roses is commended Myrobalans Tamarinds the infusion of Rhubarb first of al not torrefied afterwards torrified if we would binde a little Mechoacan by whose frequent use the belly is dryed The decoction of myrobalans which see in Sennertus 3. By the abstersion of the same humors by glysters made of barly the yelks of egs honey of roses Sugar and other things according as the exulceration is greater or less 4. By mitigation of the pain for which serve cows milk so that the body be purged and if there be a Feaver Let it be mixt with plantane water or let it be boyled with flints with yelks of egs and the mucilage of quince seeds and cast in by glister Mulein goats suit mixt with the same a clyster described by Sennertus of a weathers head 5. By stopping of the flux by the medicines rehearsed in a diarrhy to which ad raw services if the flux be most desperate a Nutmeg rosted in the embers if there be no feaver the decoction of the clay of the furnace in steeled milke new treacle if there be no inflammation the pouder of a dogs-turd fed three dayes with bones drank with goats milke Laudanum opiate but these ought so to be administred that sometimes hot sometimes cold things be given To cooling things let hot things be mixt that helpe concoction al in a smal quantity least the flux be stopt suddenly and let them be given often because they stay not long in the guts 6. By the use of mundefiers and things that fil up the hollow ulcer c. in which observe that when as the pain is exasperated by the use of detersivnes the glyster being voided another must be given made of milk 7. By the application of topicks concerning which note that astringents are of force rather in lean bodies than in fat when as in these they cannot penetrate Things very cold neither vertually nor actually must not be chosen vinegar or thin white wine must be mixed with them Cataplasmes
the Epigastrical branch of the Vena Cava and are disseminated to the external parts of the right Gut viz. The Muscles of the Anus but they are two having an Artery joyned with them from the Hypogastrical Artery Yet they seem al to have communion one with another It is known by the sight and because 't is greater 't is also more dangerous In the Cure external things have a convenient Application II. One is by default of the blood which either is too much and then there are signs of fulness we must revel by bleeding in the Arme or if strength wil not bear it by fixing Cupping-Glasses to the Loyns or Hypochondries Or sharp and thin and then it happens most to Southern people especially to men that are Sanguine Serous Humors if strength wil bear it ought to be emptyed if not we must use coolers and things that thicken the blood amongst which Purslane Trochiskes of burnt Ivory and Amber do excel Or it flows from the Liver and then 't is like to Water in which flesh new kill'd is washt The Syrup of corals is good Or from the upper Parts and then the blood is black and burnt Or from the Mesentery and then 't is little somwhat white Serous Or from the Guts and then 't is mixt with the Excrements Another is by default of the Veins which either are opened in which Cause we must use Agglutinatives as the Mushrum which is called the Wolfes Fart c. Burning and cutting the which are dangerous especially in those that are inveterate and of long continuance Or Eaten through and broke and this Evacuation Casts a man into a Dropsie and other Diseases II. The Suppression of the Hemerhoids is an interception of the blood endeavouring to get forth through the Veins of the Anus from whence they are raised up into a Tumor with pain The Signs are a tumor and bunchings out in the heads of the veins of the Anus sometimes hard like unto warts somtimes soft caled like to mulberries somtimes of a purple colour and like to grape stones the pricking paine is somtimes milder somtimes more greivous the Veins being distended whose Mouths hangs as it were out of their heads and the membrane which covers the orifices of the Veins stretcht and prest The CAUSE is Faeculent and thick blood desiring to get forth The CURE must be hastened both because it threatens a dropsie if the blood run back to the liver and because unless it be seasonably remedied by reason of the great attraction and flux of humors it causeth inflamation impostumation or a fistula It is performed 1. By mitigation of the pain which is asswaged by the crum of Barly bread steeped in womans milk adding the yolk of eggs and saffron 'T is taken away with laudanum dissolved in womens milke applied with honey but most of al with Butter Sugar or anima Saturâ—â— with flies of sheeps dung boyled in oyl of flax to the consumption of the creatures with the ashes of corke burnt and boyled with capons grease with the oyntment of road-flax concerning which see Hartman 2. By opening them universals premised by application of leeches or before that be done by an ointment of the Pulp of Coloqintida and oyl of sweet almonds by the juice of onions mixt with aloes applied rubbing first the part with a course cloth Sharp glisters do hurt the guts more then they provoke the hemorrhoids Unless they swel very much and be very painful they ought to be left to nature In the differences of the internal end external veins we must have a care The suppression of those is perceived by the squeezing of the Anus and thrusting up a probe Of these is obvious to the sight Title V. Of the affects of the Mesentery Chap. 1. Of the distemper and obstruction of the Mesentery THe affects of the mesentary are distemper obstruction inflamation impostumation and pain I. The distemper of the Mesentery for the most part is hot and dry which ariseth from the like matter which either is collected there of sent thither from some other part It is collected either in its veins and arteries and then because the breast hath the greatest consent with the hemorrhoidal artery because the trunke from whence the artery ariseth descending from the heart presently at its first rise doth propagate the intercostal branches there are continuall pains felt in the breast or also in its glandules by their laxness easily drinking up the matter The cure must not be neglected because 't is wont to fore-run a dry dropsy But it hath nothing singular except this that by those arteries not onely the first passages but also the whol body might be purged whether you give purging medicines or inject glysters and this perhaps is the cause that purging medicines layd to the navil do move to stool II. The obstruction of the mesentery is twofold one when the milky veins are obstructed which is knowen by this that a chylous and white flux of the belly doth molest and a consumption follows the matter necessary for the nourishment of the body being denyed That ariseth either from a thick crude clammy viscous chyle generated of the like meats or from a tumor of the glandules compressing them Another is when the mesaraick veins are stopt which is known by this that the matter restrained causeth a sence of distension and heaviness beatings of the arteries about the back are troublsome after taking of meat the evil grows more fierce and the stomach is comprest c. That ariseth either from vaporous and thick winds or from sharp humors and then the paine is more vehement sometimes while the evaporation lasteth the evil possesseth the whol cavity of the breast that somwhat is at hand like unto a suffocation somtimes there is a tumor raised about the mouth of the stomach and vaine belchings are produced those things being supprest that should be voided by the lower parts The cure is perfected 1. By openers and those indeedgentle That give strength to the liver and Stomach penetrating incisive drying lesning putrefaction and a little while astringent not by sweet things but bitter reduced into the forme of electuaries or pills but that liquor be drunk after them By tartarous things unless the saltness or sharpness of the humors do hinder by things that savour of Oxymel 2. By purgers unless windiness do hinder and those gentle not constant after the same manner given by little and little liquid 3. By vomiters but not violent Platerus his essence of broom is commended 4. By diuriticks that make thick humors fluid c. the liver is strengthened by Leonius his pills of the refuce of Iron By Mercatus his antidote of steele By Penotus his arcanum of vitriol sulphur and sallows c. Chap. 2. Of the inflammation and impostumations of the mesentery AN inflammation of the mesentery is a tumor of the same arising from humors poured forth with the nourishing blood into its
either by reason of its attraction or reception The Cure is difficult both by reason of the narrowness of the veins in the liver and because more diseases do follow upon this It is performed by things that open obstructions amongst which are commended Riverius his extract of pils of amoniacum made of gum amoniacum dissolved in Vineger of squills three drams the species of biera picra one dram and half crude aloes four scruples Myrrh one scruple Saffron six grains With Syrup of Wormwood Quercetans Pilulae tartareae reformed by Sennertus Tinctura Martis whose description is in Petreus from one ounce to two three and more Deodates pouder compounded of the species of diarrhodon Diatragacanth each two drams Agrimony Madder Roots Ferne poudred Sorrel Purslane seeds each one dram Magistral of pearles Corralls Crocus Martis made without corrosives Crocus Martis prepared by oyl of sulfer each foure scruples with sugar-candy as much as is sufficint given one dram the former tincture being drank after it Pils of steele The decoction of the whitest tartar mundefied and poudered one pound made with foure ounces of crude steel and two gallons of spring water and given two ounces in opening broth Penotus his opening spirit c. In the cure these things come worth observation 1. That universals must be premised before particulars and topicks 2. That medicines ought not to be given to drink but a long while after meat least they carry with them crude humors to the liver 3. Astringents must be added to mollifiers as spicknard burnt Ivory that the tone of the liver may be preserved 4. That things attenuating discussing and resolving ought to be moderate least the thinner parts discussed the thicker doth remaine 5. That we use sweet things not as meats but as sauces 6. The medicines must be given liquid or finely poudered 7. Topicks must never be applied actually cold 8. After the use of steel-medecines the body must be stirred unless black excrements do follow we must abstaine from them The Differences of this obstruction are various I. One is lately which is the easier cleared Another inveterate which causeth putrefaction and a Feaver and produceth a jaundice schirus and dropsie II. One is in the hollow part of the liver which is known from hence that nothing is perceived outwardly by reason that the part lurketh deep the stomach is drawn into consent from whence is loathing of meat nauseousness vomiting thirst liquid excrements It must be cured by things that empty by the stool Another in the gibbous part which is known from hence that the belly prest on that place doth resist the midrif especially because the liver is joyned to it the excrements of the belly appeare bloody by reason of the light change of the chyle into blood The Cure is the easier by reason of the penetration of medicines and the emptying of the obstructing matter by a larger passage we must act chiefly by things that move urine III. One is from Blood either pure which is remedyed only by the opening of the basilica in the right arme or cholerick hot and which is joyned with paine being a long time preternaturally imprisoned in the liver and not timely purged it grows wonderfully thick Or flegmatick viscous and thick which ariseth from gross meats viscous too much by baths or motion forced or carried into the smal veins sometimes it fals from the brain into the stomach by and by passing through by degrees it penetrates with the nourishment into the smal veins of the Liver Another from Winde that is grosse imprisoned under its coate or sticking in the veins which is known from hence that the paine is greater but not continual there is such a great tumor of the right hypochondry that it fils up the whole hypochondry so that the ends of the ribs cannot be perceived yet t is without heaviness and being prest it yeelds it makes no murmuring and gives no suspition of an impostumation lurking there It ariseth either from windy meats from which they must beware or from the weakness of the liver not able to overcome the matter then the matter prepared must be emptied or 't is sent from the neighboring parts and the whole body especially in flegmatick Feavers The Cure in general requires carminatives of which in the dropsie Article III. Of an inflamation of the Liver An inflamation of the liver is a hot tumor of the same arising from blood impacted and putrefying in the substance of the Liver afflicting with a continual feaver a heavy paine and sence of a weight in theright hypochondry The CIGNS are a sence of heaviness in the right hypochondry from the membranes with which the liver is joyned in some to the bastard ribbs A tumor in the same which appeares greater the sick lying on his left side less the body being bowed to the right and the liver sliding under the bastard ribbs A paine reaching from the throat to the bastard ribbs by reason of the heape of matter restrained which puls the membrane that lines the Breast A Feaver whose vehemency follows the greatness of the inflamation and at night is exasperated the inflamation growing hot A dry cough by intervals by reason of the vapors raised up to the lungs and afflicting the midriffe by compression A Difficulty of breathing because the feaver brings a greater necessity of cooling uneasie lying both on the right side because the liver is prest by the stomach and guts and on the left because the liver hanging the membranes are retcht A swift and unequal pulse by reason of the necessity of cooling increased by the hot distemper c. It is distinguished from an inflamation of the muscles of the belly and pleura by the signs mentioned there The CAUSE is blood impacted and putrefied which either is attracted or transmitted or flows thither either by default of its quallity viz. its thinness heat and accrimony or by reason of its quantity and abundance or by the impulse of external causes as while hot medicines are applied to the stomach The CURE is difficult because a principal part is affected and by occasion of it there is iminent the feare of a dropsie or consumption Of little or no hope if the hickops follow because it is a signe that the liver is come to the highest inflamation and so by communion of the nerves the mouth of the stomach is drawn into consent If a loosness follow because this voiding of crude matter proceeds from the weakness of the faculty If a burning and continual feaver accompany it because it signifies that bowel is exceedingly inflamed If it come to Superation which is known by this because that happens after the twentieth day if nature be not weake paines and feavers with other symptomes grow strong yet most by night shakings assail in no order and with no reason which are attended mith an exacerbation of heat because from the impostumation there ariseth a sordid ulcer because t is perpetually
see in distempers if it be hot whey is good with the juice of lemmons or of sweet smelling apples newly exprest Another from the womb whose vitious blood doth easily regurgitate either from the veins into the arteries by reason of their anastomosis or out of the arteries into the hypogastrick which gives branches to the stomach pancreas caule smal guts c. and by and by into the coeliacal It is known by those accidents which are wonte to befal those troubled with the mother In the cure we must have regard to the affects of the wombe Another is hemorrhoidal happening from the suppression of the hemrods of which in its place See Matthaeus Martinus concerning the abstruser diseases of the mesentery who handles these things very accurately Article III. Of the Scurvy The scurvy is a cachexy arising from a melancholly humor corrupted in a peculiar manner afflicting with a weakness of the thighes spots swelling of the gums and bleeding of them loosness of the teeth and other Symptomes The Scurvy was known to the ancients partly under the name of Oscedo partly of Scelotyrbe and Stomacace partly of Volvulus Sanguineus and is familiar to people inhabiting the Sea and moarish places The SIGNS are put in the definition and we shal treat of them hereafter To these ad the Vrine and pulse too much variable that for at the beginning t is thin and yellowish the tartarous matter subsisting in it by and by thick and white the humors being more corrupted t is red and by the admistion of an adust saltness shining like a lye and anon without any marke of putrefaction and thirst red sands oftentimes stick to the chamberpot Somtimes t is thick and continues so somtimes growes cleare and casts to the bottome a red sediment which resembles flower of Bricks somtimes many crude and flegmattick excrements stick above the sediment as the suspensum but in those whome the suppression of the hemrods hath occasioned this evil in them it comes forth by drops with paine and heat and conteins a tartarous matter Mucous Salt and blackish This because the pulse somtimes is weak unequal and often vermicular but fainting fits approaching by Reason of its high necessity and because the Heart endeavours to expel the Vapors 't is stronger The CAUSE is a Melancholy Humor and that 1. Crude as both the Diet and the Symptomes shew which do afflict Melancholy people 2. Serous and Ichorous that 't is like a Lie which consists of water and Salt Feculent and adust Parts which is discovered by the wandering pains and Ulcers 3. The associate of Flegmatick somtimes and vitious Humors for a Vein being opened the blood in Scorbutick people is covered over with a white Glew waxing Green or Yellow 4. After a peculiar manner corrupted after it hath remained there a long time hence many labor of an obstruction of the Spleen and Melancholly Humors who are not affected with the scurvy and in those Regions where the collection of a black Humor from the heat of the Air is Familiar the Scurvy is unknown 5. Contagious which you shal not find in other Melancholy Diseases 6. Produced from meats destitute of volatil Salt and therefore hindering spirituality in the Concoction from whence things Tartarous and Feculent stop in the first passages and afterwards flow to the Spleen in such plenty that they cannot be separated Certainly meats hardned with Smoak and Salt in which there is either little of volatil Salt or what there was is wasted by Smoaking so that nothing but the fixt Salt and Tartarous remains a thick Air and maritine places do conduce to its generation The medicines which are given bruised and tasted send forth a sharp vapor subtile and quickly vanishing which proceeds from volatil Salt the same dryed or boyled work less fresh and condite do worke more exactly 7. Primarily residing in the Mesentery Caule first Passages and the middle places between the stomach Liver and Spleen and bordering on both Bowels Secundarily in the Veins of the whol body That for if the Chyle be less purefied by its spirituality either by reason of the weakness of parts or external error it stops in them by reason of its thickness by the arrival of more 't is increased and infects the same with its feculency and saltness which it hath conceived it weakens and pollutes the neighbouring Liver and the parts dedicated to concoction both by contract and sending forth of Fumes from whence that quality is participated of by the same meats and Chyle This for that filth detained there for some time by help of the serous Humor is carried to the Liver from thence by the Veins and Arteries is distributed into the whol habit of the Body the future Cause of so many Symptomes The CURE respects three things 1. The Diet which ought to be incisive attenuating abstersive opening obstructions where note the eating of wild Pidgeons is commended that this Disease in some places is Cured by the exercise of Venery perhaps by reason of the exsplendency of natural heat Things Sugard and Milks must be avoided 2. Chirurgery by Vertue of which the basilick Vein the median Salvatella or of the Ankles must be opened but so that we forbear if the spots have already appeared if there be no Hopes of the Hemrrhoids and a Feaver affect let it be done Let the Evacuation be sparingly least the strength be dejected 3. Physick by Vertue of which 1. The matter offending must be prepared the first passages being washt so that we begin with the gentler that we act with things more attenuating if the Disease be now grown strong or the men live in a thick Air That those things be given which work by their whol propriety and be administred rather in juyces essences conserves than in Decoctions and extracts in which the volatil Salt of medicines doth vanish Things appropriate are English Scurvy-Grass which is most commended or Brooklime which hath somthing of moisture in it Horse-Radish the lesser Celandine Pennywort Mustard water Trefoil c. Of Compounds are the Danick electuary made of the berries which they calmultiber Forestus his Sceletyrbick Syrup and Mynsichtus his Antiscorbutical Syrup The essence of germander and Fumitory The Spirit and conserve of Scurvy-grass Mynsichtus his Tinctura Martis strengthned with appropriate things c. 2. It must be emptyed either by the lower Parts where take place Quarcetans Tartarous Pills or by sweats to discusse the remainder which either in a Laconick Bath or otherwise are wel raised by Mynsichtus his Theriaca Saxonica the essence of Fumitory with Salt of Wormwood or by Diureticks given with appropriate Waters 3. The Parts as the Liver Stomach c. Must be strengthened The Symptomes which afflict the scorbutical are various which affect for the most part by periods are not al found in al people some are more familiar others less but they are as follows I. Difficulty of breathing and a staitness of the breast by
them and make Water by drops with exceeding pain and that while the Stone is gathering together is thin and clear of somwhat whitish color but being concrete 't is wont to settle like unto Oyl with a gravelly sediment white like to scabs if the Stone be brittle The CAUSE and CURE must be fetcht from the Chapter of the stone of the Kidneys If it cannot be broken and expeled it must be cut out concerning which see Chirurgions For breaking of it serves the Composition of Salt of white Tartar one ounce and Parsty Water one pound mixt together and streined through streining paper dyed of a yellow color with Orange Pils also the Pouder of Palmer Worms concerning which consult with the peculiar treatise of Laurembergius And also the blood of a Goate nourisht with Plants that break the stone distilled taking at meat those stuffings which ought to be made of its Kidneys and other Bowels and Guts For mitigation of the Pain a Bath is good which must be followed with an unction of the Cod Pubis and perinaeum with the Compound Oyl made of Oyl of Scorpions bitter Almonds the Fat of a Cony and Hen of each one ounce and an half and the Juyce of Pellitory of the Wal two drams There meet us some Differences of the stone I. One is smal and light in which a vagous and wandering tickling afflicts about the pubes and perinaeum the which is easier broken Another a little bigger in which there is felt the weight of some heavy thing lying upon it so that going through uneven places is difficult and painful and dancing much more diffiult they piss often and the Urin can hardly be kept in which is white thick turbid with a purulent Sediment or like to the snivel of the Nose when they should piss the stone driven in the way the flux of Urin is intercepted there is a most sharp pain towards the latter end of pissing when the stone stirred up by the Course of the Urin as if it were comming forth doth more violently compress the Sphincter muscle at other times it affects the whol passage of the Privity somtimes the Nut. Striving to piss is accompanied with a desire to go to stool because the greatness of the stone from the perinaeum stimulates the right Gut as wel as the Neck of the Bladder This can hardly be Cured any other way than by cutting II. One is concrete which sends no gravel from it in the Urin. Another not concrete in which the Urin doth cast off some gravel and that either white or red which must be distinguished from that of the Kidneys by other signs of the stone of the Bladder III. One is which grows in the bladder it self to which that said before accords Another which descends from the Kidneys through the Vreters into it and then signs of the stone of the Kidneys went before there was a pain reacht from the Kidneys to the bladder according to the length of the Ureters the Nephritical pain is either ceased or troubles little This some do beleeve may be broke by the Indian Plant called by Manardus Payco and by other things IV. One is which doth not cleave to the Bladder and therefore may be taken forth more safely by cutting Another which cleaves to the top of the bladder and hangs down as it were from it and then al the symptomes reckoned formerly are more obscure there have been those seen who have carried it without any paine nay it can by no meanes almost be removed without injury to the patient Of which see Tulpius observat l. 2. c. 5. Article 2. Of an inflamation scab ulcer and fistula of the bladder An inflamation of the bladder doth not so much possess the substance of the bladder which is thin and bloudless as the sphincter muscle of the neck of it The signes of it are a bitter paine in the perinaeum with redness and heat a suppression of the urine with a great endeavoring to piss costiveness of the body because the right gut is streitned by the greatness of the inflamation a distension of the pubes and pecten to the navel by reason of the abundance of water The cause is the same as of other inflamations The cure is difficult because the affect is deadly for the most part about the seventh day especially a Feaver comming and the stoppage of urine and stools yet if it be gentler and the inflamation being changed into matter the impostumation break inwardly and is emptied by the urine there is better hopes and also an erysipelas arising about the superficies of the skin and plenty of water being made sometimes t is suddainly dissolved 'T is ordered after the manner of other inflamations Repellers must not be applyed long because the bladder is membranous and is easily bound up the urine supprest and the nerves hurt II. A Scab of the bladder is known by an itching in the pecten by the strong smel of the urine by a branny sediment residing at the bottom It ariseth from sharp and salt humors corroding the internal superficies of it 'T is cured in old folks hardly the humors are partly to be emptyed partly qualifyed by the four cold seeds violet flowers strawberries either taken inwardly or outwardly injected through the urethra III. There is no need to say what an ulcer of the bladder is it appears from the former The signs of it are scales and matter which flow forth only with the urine and sink in it and so 't is distinguisht from an exulceration of the urinary passage in which the matter and filth either goes before the urine or appeares presently at first comming forth or also flows forth without urine There is a continiual torment about the bladder pubes and perenaeum the urine also is thick and somtimes mixt with matter somtimes with blood c. The causes are divers of which in the differences The cure is of little hopes both because the bladder is membranous and because the urine which is biting by its continual running down hinders its consolidation 'T is ordered after the manner of other ulcers The differences are taken cheifly from the causes I. One is from cantharides and then if it be lately we must give milk plentifully by and by consolidate If it be inveterate it must be cured as other ulcers Another is from sharp urine which the use of pure wine and hot meats hath caused and then we must act with cooling diureticks Another from sharp or salt humors as it were knawing its internal superficies and then 1. We must empty with cassia and turpentine 2. We must temper them with water lillies lettice endive c. Another from the stone of which formerly II. One is in the bottom in which the pain is felt about the pubes Another by the urinary passage in which at the time of pissing the pain is felt more and especially when they begin and when they make an end to piss IV. The
cure of a fistula see in Langius l. 3. epist 5. Article 3. Of the straitness of the Vrinary Passage The straitness of the urinary passage is an interception of the same proceeding from its causes and inducing a stoppage of urine The signs causes and cure If you consider this affect in general have nothing singular The differences are taken from the causes I. One is from obstruction which is caused 1. Either from the stone which is known by this that signs of the stone were precedent the urine is somtimes made freely somtimes the stone falling from the bottom of the bladder into its orifice 't is suddainly stopt the pain urgeth most at the root of the bladder The cure consists in removing of the same by shaking of the thighs if it be great that sticks at the orifice by bringing it out of the extremity of the urinary passage if it be smal and can be moved out of its place by laxative fomentations and things that break the stone if it cannot be moved out of its place with the fingers 2. Or from clotted blood which is known by this that a wound or rupture of a vessel went before the blood was poured forth with the urine outwardly common ashes may be applyed with honey 3. Or from matter which either was in the kidneys or bladder or by the breaking of an impostumation in the upper parts was carried thither 4. Or from thick and viscous flegm and then the urine is almost totally supprest there are present signs of flegm we must use things incisive and attenuating II. Another is from a constipation by a caruncle a callosity a wart growing in the passage of the urine which is known by this that neither the urine is pist out freely nor the seed sent forth great pains are present t is tryed by a catheter or wax candle put in But because the urine alwaies flows alike from the stone because 't is never almost wholy intercepted by a flegmatick obstruction upon that account 't is known It is cured by things that wast and consolidate Of those is commended premising universals oyl of Mercury with a little sugar of saturne and camphure amongst which I reckon the decoctions of China and sassafras the pouder made of mercurius dulcis half an ounce crude antimony one ounce rutty prepared two drams of the use of which consult Hartmans Chymiatry III. Another is from compression which is caused either from the coldness of the right gut or from the inflamation of the neighboring parts or from the swelling of the yard and neck of the bladder or the contorsion of the bladder or the falling down of the bladder into the Cod. The Cure must be directed against the diseases Chap. 2. Of the symptoms of the bladder Article 1. Of the incontinency of the urine THe Symptomes of the bladder are incontinency of the vrine a diabetes an Ischury a Strangury dysury bloody pissing purulent c. Incontinency of the urine is a sending forth of the same by reason of the resolution of the sphincter muscle or compression of the bladder without any sence of acrimony and paine beside the wil of our command There is no need of Signs in an affect so manifest The cause is cast upon the resolution of the sphincter of whose causes in the differences and the compression of the bladder which comes to pass either from a convulsion of the muscles of the belly or from the greatness of the young one about the last months or from a tumor placed upon the bladder of al which respect must be had in the cure The cure varies according to the nature of the Differences The Differences are taken from the causes inducing the resolution of the sphincter and the time I. One is from a palsy of the nerves which from the loines are inserted into it by reason of which it cannot contract it self and then 't is harder to be cured if the spinal marrow be affected or the muscle it self wounded The causes by reason of which a palsy comes must be inquired from its chapter and as they vary so the cure must be varied Another is only from the laxness and softness of the sphincter and then the patients can neither endure the acrimony nor abundance of urine when the animal powers are asleep For the cure are commended Diacyminum Frankincense drunk in wine the throat of a cock rosted and dryed that it may be ground to a pouder given at night in astringent red wine The bladder of a goat dryed in an oven and poudered given likewise one dram weight II. One also is diurnal which afflicts the apoplectical and paralytick Another Nocturnal which is wont to happen to children by reason of the cold and moist distemper of the muscle or not thinking of it in succeeding yeares the muscle of the bladder growing dryer and stronger it ceases By reason of continual drinking for the most part it follows those of riper years to their death Article 3. Of a Diabites A Diabetes is a most quick and plentiful pissing of the drink unchanged arising from the intense attractive faculty of the kidneys and afflicting with a strong perpetual thirst The Part affected is the kidnies yet so that the bladder also opprest with the plenty of urine consents The Signs are plentiful pissing little or not at al changed a strong thirst nor any satisfaction from the taking in of any liquor a paine pracking and heaviness about the loins a coliquation of the whole body the belly dryed and withered The Cause is controverted amongst physitians we hold 't is the intense attractive faculty of the kidnies arising from a very hot distemper of them which is caused by an afflux of sharp and biting humors viz. choller and salt flegme impacted in the substance of the kidnies the too great largeness of the emulgent vessels and ureters the heate of the liver pestilential feavers the weakness of the stomachs retentive faculty doe help Thus when the kidnies draw plenty of serum from the veins and cannot contain it by reason of their weakness they send it to the bladder the veins again draw from the liver this from the stomach whence the orifice of this being emptied and dryed there ariseth a continual thirst c. The Cure is too difficult and for the most part passeth into a hectick and dryness of the whole body 'T is ordered 1. By things that correct the distemper of the kidnies where bleeding also takes place 2. By things that dul the acrimony of the humors and make the blood and with it the serous humor flower to motion The essence of crocus martis described by Crollius Baths made of smiths water drink but little of the decoction of harts-horn salt of corals c. are thought to be prevalent As Concerning the Differences 't is only one One is an exquisite diabetes of which we have now treated Another spurious which is nothing else but a colliquative flux of urine while the
Parts in Men. Chap. 1. Of their Diseases Article I. Of the Diseases of the Stones THe Diseases of the genital Parts in men have under them the Diseases of the stones Cods and Yard The principal Diseases of the Stones are which follow I. A Distemper and that either hot which is known by a proneness to Venery by too much and hot Seed by heat of the stones by swelling of the Veins about them with blood 'T is Cured by a contrary Diet and cooling Medicines of Littice Water Lillies Purslane but especially by those compounded of Sugar of Saturn and sallow Leaves Or Cold which is known by little and Watry seed by casting it forth with little or no Pleasure little desire to Venery cooling Causes went before or immoderate and unseasonable Venery 'T is Cured by a contrary Diet and taking of medicines inwardly Betony Calamint Marjoram Sage Nettles Nutmegs Diamoschum Outwardly Oyl of Costus Spike of Aunts Or moist which is known by this that the Seed is cast forth too soon Or dry which yeilds little and thick They are Cured by their contraries II. A Tumor which either is an Inflamation in whose Cure for of the rest I have nothing to say observe I. That whiles Medicines are applied to them the ligature ought alwaies to tend towards the upper parts that they may not hang down too much and the defluxion may be less 2. To intercept the flux a defensive must be laid on the side of the Pubes where the Veins and Arteries from the belly tend to the stones and Cod. 3. Other things being a like the Decoction of Agrimony with Wine and Vinegar is commended The Root of wild Cowcumber likewise boyled The Herb Paris green bruised and applied c. A Schirrus or another cold and hard Tumor which oftentimes ariseth from an Inflamation ill Cured 'T is taken away with a Cataplasme of Littice Roots boyled in sweet wine with the flowr of Flax Barley Faenugreek Onyons c. Which must be followed with a Liniment of the Balsom of Sulphur and the Plaister Diasulfuris Or an inflation for the Cure of which serve the Leaves of Henbane and a drauft of Juniper water one ounce weight every day with the Rowls of Diacyminum III. Vlcers which because they are in a moist place are dangerous and somtimes turn to a Cancer or Gangreen They ought to be washt with the decoction of Roses Leaves of Speedwel and Plantan they may be mundefied with the Oyntment of the Apostles IV. A Conâ—usion which is joyned with a great pain it corrupts their Oval Figure and oftentimes takes away the power of generation We must timely oppose the pain least a Defluxion be Caused Article II. Of the Diseases of the Cod. The Diseases of the Cod are Inflamation Excoriation Wounds Vlcers and Rupture Of them there is no need to say any thing An Excoriation is often Caused by the Urin the upper Skin being corroded and 't is Cured by sprinkling of Pompholyx or dryed Myrtle finely poudered searced and mixt with Frankincense or Myrrh A Rupture of the Cod is a Tumor of the same arising either from the cause falling down into it or from wind or water collected there or a masse of Flesh generated there The Species of it are four if you consider the Differences I. One is windy or a Pneumatocele which is known from hence that the Cod somtimes also the stones is very much distended without a weight heaviness the wind is felt if the Cod be prest with the hands and is removed from place to place w th a noise It ariseth from winds which are either collected there or transmitted from the neighbouring Guts and Belly and 't is most familiar with Children 'T is Cured premising universals by things discussing outwardly and inwardly applied A Cataplasm of Bay-berries the flower of Beans and Fenugreek with Bran the pouder of Cummin seed ammoniacum turpentine oxymel and oyl of bays mixt together is good II. Another is watry or a hydrocele which is known because there is perceived a waving the cod appeares as it were shining the tumor alwaies continues at the same bigness neither doth it go up into the belly by pressing it It ariseth from water which for the most part flows thither from the belly for those causes which are mentioned in the dropsy It is cured 1. By prohibition that the watery humor be not generated or flow thither of which see the differences 2. By emptying the water fallen thither either insensibly to which end the former cataplasme wil serve or sensibly by opening of the cod of which see Authors 'T is divided diversly 1. One is from water only distending the cod another also from wind joined with it in whose cure we must have regard to both another from flesh growing together about the stone whose cure must be warily handled that it turne not to a cancer 2. One is with a dropsy and then the cure must be directed against the dropsy Another without a Dropsy in which although there is not such great plenty of water that it can raise up the belly into a tumor that there is somwhat of it collected in the cavity of the belly by reason of the weakness of the parts especially an external cause being added as striking c. The tumor either possesses the whol cod or only one side and then the humor sticks in the erythroidal membrane that conteines the stone The right stone never alwaies the left swels Or the fault is in the left kidny through which when the serum cannot descend it fals through the seminal veine proceeding from the emulgent of the left kidny into the erythroidal coate from the cure of which we must either abstaine or the cod must be opened only in the lower part Or it is not and then the cod must be cut in the upper part neer the groin that both the humor may be emptyed and the afflux of more through the skar of the erythroidal coate be hindred See Frabricius his observations 3. One is when the water is conteined between the erythroidal coat and the darton in which the tumor is rounder like an egge the stone is hidden from the sight and touch the cod it self is more white and is distended little or nothing another is when 't is out of that betwixt it and the adjacent skins in which the stone is to be felt the cod is more distended Another when 't is in its proper skin or coate growing over it in which the tumor is every where globical resembles the draft of another stone III. Another is a fleshy rupture or a Sarcocele in which somthing fleshy is bred It is known by a hard tumor increased by little and little afflicting without a tumor of the groine by which it is distinguished from a rupture of the guts 't is for the most part in the right stone because nature doth most comodiously cast off the blood to the stones by the seminal veine issuing
because 't is on every side guarded with bones 2. If it be wounded 't is known by the Situation pain and matter that flows forth 3. That it may be cured as appears by the Caesarean birth but 't is dangerous by reason of the conâ—â—â—t of the part with other members 4. Or it happens on the bottome of the womb and then that pain is less and easier Cured or on the Neck and then the pain is greater and harder to be Cured because that is more membranous and continually abounds with moisture III. Concerning Vlcers we meet with nothing of worth which hath not been touched on formerly unless perhaps we may add that it doth somtimes so Putrefie that it must be cut out and fals away the woman surviving For consolidation do serve the Balsam of sulphur and the Plaister of the same concerning which see Hartmans Chymiatry in the Chapter of a Consumption Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XII Of the Symptomes of the Womb. Chap. 1. Of the Common symptomes Article I. Of the weakness of the womb THe Symptomes of the Womb are either common to Women in al states or are either more familiar to those that live out of wedlock or proper to the married Those common are a weakness of the womb Pain a stoppage of the Courses a dropping of them too great a flux a difficulty of them a discolouring an inordinate flux a womans flux a gonorrhea A weakness of the womb is a sluggishness or defect of the same in performing its actions induced by the fault of a distemper occult qualities and the native heat The SIGNS are a languishing desire of venery an inordinate flux of the Courses when they are at hand a pain in the loyns and pecten little or no pleasure in copulation often abortions a breaking forth of wind from the womb For the actions of the womb are a desire of Venery a voiding of menstruous blood at due times the ejection of seed in the act of Venery and the retaining of that received from the man a keeping of the young one conceived to the due time and the exclusion of it when 't is perfect into the world The Nature of the Causes shal be explained in the Differences The Cure must be directed against the Causes of which there The Differences are taken from the Causes One is from the distemper of the womb which if it be Cold the womb cannot perfect a mean quantity of nourishment therefore it heaps not up many Excrements If moist neither the blood nor seed nor young one are rightly conteined See the Cure above Another is from occult qualities which the womb hath is apparent from hence because it hath a singular Sympathy and antipathy with divers things desires mans seed is delighted with sweet things c. And then the affect riseth from no evident Cause There is found no excess of moisture or coldness In the cure Medicines must be applyed that are proper by their whol substance Another is from the innate heat either choaked or dissipated and then the affect is dangerous because the heat is difficulty renewed In the Cure we must act with restauratives as are Cinnamon Nut-Megs the Species Diaxyloaloes Aromaticum Rosatum c. Article II. Of the Pain of the womb A Pain of the womb is a sad sense of the same proceeding from a solution of continuity induced by its Causes There is no need of Signs when the Woman her self makes known the pain It affects both Women that are free and great with Child and past labour It torments as pains of the collick do in the lower belly whenas the ligaments of the Womb are carried to the Hips and Loynes so far also it extends it self The Cause is whatsoever can dissolve continuity The Cure respect 1. The mitigation of pain by anodynes 2. The removal of the Cause of which in the Differences The Differences are taken from the Causes I. One is from corrosion which cheifly happens in Ulcers the Womans flux vitious Courses c. It offends most of al the Neck of the Womb. The Cure must be directed against those affects Another from distention which is caused 1. By a clot of Blood sticking in the Cavity of the Womb and then a plentiful flux of Blood preceded from the womb the pain is fixt and is perceived most of al about the Orifice of the womb when as Nature by the continual endeavoring to expel it doth draw the right Gut and bladder into consent 't is joyned with a tenasmus and often pissing In the Cure we must respect the dissolving of the clot for which Treacle with Wine is commended and the emptying of it and if hath stayed long there the Malignity of it 2. By Menstruous blood when either the Vessels are not wide enough or that is too thick which also may happen from cold drink especially if the woman were hot after exercise and then the Causes went before which occasioned it there are signs of the Courses supprest or not flowing rightly The cure must be directed to the same 3. By vitious Humors sticking in the Cavity or Vessels of the womb and then we must act with emptyers and preparatives 4. By wind which ariseth from the boyling of the vitious Humors Which somtimes copulation causeth And then emptying must be ordered we must act with things that discuss wind of which in the Chollick 5. by an inflamation of the womb of which formerly 6. By seed retained and corrupted and then we must look to the suffocation of the womb Article III. Of the suppression of the Courses A suppression of the Courses is a retention of the menstruous blood by reason of the streitness of the passages or the fault of the blood The SIGNS are afforded from the relation of the woman her self but if they wil not confess In Virgins 't is known by this that the blood stopt doth wander up and down in the Veins and cause obstructions changes the colour of the body induceth a Feaver c. In women that 't is carried to the womb and infers Diseases of the womb 'T is distinguisht from the retention in childing because they with Child are little changed in the affections of their mind they retaine the Native color of their body they find the Symptomes dayly more mild they perceive the motion and situation of the infant the third month They have the mouth of their womb shut up and hard The CAUSES are a streightness of the veins and the fault of the blood of which in the differences shal be treated more at large The Cure must be hastened because that suppression doth produce many diseases as a feaver a leucophlegmatick a dropsie vomiting of blood c. 'T is difficult if it be of long continuance if it hath exceeded the sixth month for the most part 't
thinness and serosity and then no pain urges We must act with medicines that strengthen the womb with astriction and dryness II. A difficulty of the courses is a flowing of them with pain and trouble and greivous symptomes by the default of the veins or blood The signs are taken from the relation of the patient those pains are of the head stomach loyns and lower belly The flux is either altogether or only by the way of dropping and somtimes when the courses are at hand somtimes when they flow the symptoms happen and they do more afflict virgins and the barren because the veins of their wombes are less open than those that have brought forth because their veins after breeding are dilated We shal treat of the causes in the differences The cure respects 1. The Symptoms which must be mitigated 2. The causes which must be taken away The difference is taken from the causes One is from the straitness of the veins of which we have sayd enough in the suppression of the courses Another from the faults of the blood that is 1. From the thickness and feculency of it and then the blood whiles it is emptyed grows into clots the pains grow feircer a long time before the evacuation by reason of the endeavors of the expulsive Faculty The cure premising universals is perfected by things attenuating and that have power to diffuse it 2. From the acrimony proceeding from the mixture of sharp humors and then the genital parts do iâ—ch the nature of the bloâ—d voided and manner of the pain discovers the disease We must act with things that qualify the acrimony as are the Four greater seeds violets the flowers of water lillies 3. From the flatulency and then the pain returns by intervalls and of a suddain grows sharper wanders up and down wind being voided it ceases It is cured by emptying of the matter and discussing of wind Article 5. Of the discoloring of the courses The discolouring of the courses is a declining of them when as they ought to be ruddy to a palness whiteness greeness yellowness or lividness by default of blood The signs are afforded from beholding the blood it self there is added a stinkingness an inordinate evacuation and oftentimes erratick Feavers accute horror loathing of meat pains of the stomach c. concerning which see Hippocrates The cause is layd upon the falt of the blood concerning which as also of its causes see in the differences The cure attends the causes therefore according to the nature of them it varies 'T is divided twofold I. One is when the blood contracts a fault either by reason of a distemper of the whol body or of some principal part respect to which must be had in the cure Another when the blood is in fault either because 't is supprest and retaind and then a stoppage of the courses went before pains are felt in the breast and strong pulsations if the habit be better the courses break forth and the blood flows forth and a strong smelling matter about the eight or ninth day Or because 't is polluted by the womb abounding with excrements and then there are signs of a polluted womb Another when the blood is polluted by the mixture of excrementitious humors and then if you consider the cure we must prepare them but so that when as thick humors do want attenuation and things too much attenuating do melt the serous humors and move them to the womb we must absteine from the stronger and beware of vinegar we must empty c. II. One is when the courses decline to a whiteness which ariseth either from flegm of which howsoever it be there are signs of a weak stomach or from matter and then either ulcers are raised in the womb and barrenness follows or the courses flow forth for seven or eight days and the woman is freed or the same break forth at the parts above the groin without a tumor and about the hypochondries they come forth and the woman seldom survives Or after some daies a great tumor riseth upon the groin ruddy without a head because there the flesh is filled up and 't is hardly opened Another is when it declines to yellowness or greenness which proceeds from choler Another when to a lividness which ariseth from melancholy Article 6. Of an inordinate flux of the courses An inordinate flux of the courses includes two things to wit an anticipation of the courses before the due time and their continuance beyond the accustomary time The anticipation of the courses is divided according to the nature of the causes One is from external causes viz. a fal a blow and other things that open the veins See the cure below Another from the irritation of the expulsive faculty of the womb 1. By the plenty of blood which is known by this that the blood is sent from the whol body to the womb 't is fluid and natural there are signs of a plentitude 'T is cured by bleeding if the plenty be great by dyet and often exercise if it be less 2. By the thinness and acrimony of the blood which is known by this that the temper of the whol body is hot a course of dyet generating such blood went before the blood it self is dilute discolored yellowish 'T is cured by emptyers rhubarb especially by qualefyers of which formerly Another from the weak retentive faculty of the womb which is known by this that the vessels of the womb are loose the habit of the body also is lax and moist The cure forbids things too much astringent Acid waters and baths that have the vertue of iron are commended II. The continuance of the courses beyond the accustomary time is divided also according to the nature of the causes One is which proceeds from the disappointment of the expulsive faculty which is caused 1. By the scearcity of blood which is known by this that the woman finds no trouble by the protraction of her courses that too much excercise or slender dyet went before 2. By the thickness of the blood which is known by this that there are signs of a cacochyme the blood is whitish and viscous In the cure we must purge before much blood be gathered together attenuate when the menstruous purgation is over calamint and mercury beare the palme some days before the monthly purgation we must open scarification of the ankels takes place here Another which ariseth from the weakness of the expulsive faculty which is induced 1. By a cold distemper of the womb of which formerly 2. By a stupidity of the same which is known by this that there are present disease causing stupidity or too great use of coolers went before after the due time of purgation though there be present abundance of blood no heaviness is perceived by the woman In the cure we must have respect to the disease and its causes Article 7. Of too much flowing of the courses The too much flowing of the courses is
makes motion difficult but presently 't is discust Yet al these Signs do not happen in al. There have been those who were troubled with continual laughing the Vapor insinuating it self into the Membranes of the Breast there have been those who seemed to frame the hissing of Serpents the croking of Crows c. According to the proportion of the passages and breath breaking forth It differs from an Epilepsie because in this the Convulsive motions are more universal they have no remembrance of those things after the fits which happened to them in the fits the Pulse is greater than before a foam flows about their Mouth From an Apoplexy because in this the fit is suddain without any notice a singular snoaring afflicts them in breathing there is so great a resolution of the Parts that though they be prickt yet they do not feel From a Syncope because there are no presages in this of the fit to come the pulse failes to the sence cold sweats afflict it vanisheth in a short time when as the Hysterical passion lasts somtimes a day or two From the dead they are distinguisht by Sneezing Caused by Sneezers and other means The CAUSE is a malignant Vapor thin and spirituous in one moment penetrating the whol body and raised from the matter corrupted after a peculiar manner in the womb and stirred either of it self or by external things as things sweet-smelling fear Anger and ascending upwards not only by the Veins and Arteries but also by occult passages But what that is shal be said in the Differences The CURE is somtimes of doubtful hopes If it long afflict old women because it infers an impeachment of the strength and shews a plenty of humors If it happen to breeding women a hard labour or abortion going before if it assaile great bellied women because it strikes a feare of abortion of better hopes if breathing be not hurt too much if the fits do not return often It respects 1. The time of the fit where care must be had 1. To intercept it by binding of the belly about the navel with a girdle made of the skin of a hart kild in the act of copulation with the doe 2. To raise her by ligatures and painful Frictions by pulling off the hairs especially of the priveties by suffumigations made of partridg feathers horses hoofs and Eel skin By applying of assa faetida oyl of tartar to the nose c. 3. To reveal by ligatures frictions of the lower parts glysters discussing wind cupping-glasses without scarrification applyed with much flegm first to the ancles and thighes by and by to the groines by putting up sweet things into the privities as are oyl of Civit half a scruple with oyl of nutmeg by expression one scruple 5. To discuss and that outwardly by oyl of white amber with the pouder of walnut flowers By extract of castor of liver-wort Mynsichtus his specificum diajovis The same Authors Theriaca mulierum Hartmans essence granorum Chamaeactes in pennyroyal water Treacle water others that are appropriate Outwardly by putting into the navel oleum Jovis the salt of the same described by Crollius By plaisters made of the fat of a black cow fed with utrine plants clary boyld in butter adding gum tacamahach carama 2. The time out of the fit in which 1. We must empty by Grulingius his extract of bryony of which in his cures by Agricola his flores virtioli Veneris et martis 2. The womb must be strengthened by things internal and external that do resist the malignity also The faecula of briony is commended Castor c. 3. That diet in which odoriferous and sweet things are which are wont to move the womb must be shunned For preservation see Zacutus his Hysterical Pils Prax. Hist l. 9. c. 12. The Difference is taken from the causes One is from the seed corrupted by the fault of the parts or humors mixt with it and sending forth such a vapor which is known by this that the courses are right in the patient Al the Symptoms are more vehement the fit declining a humor like to seed flows forth of the privites 'T is Cured universals premised by emptying of the seed by glysters and utrine pessaries by prohibition of the same by medicines diminishing the seed or by slender diet Another from menstruous blood stopping and therefore corrupt which is known by this that the menstruous blood is joyned with vitious humors especially a melancholly one The symptoms are milder with the signs of a suppression The Cure must be turned against the suppression of the courâ—es Another from vitious humors concerning which consult with the chapter of the distemper of the womb Article III. Of the madness of the womb and Melancholly of Women The Madness of the womb is an immoderate desire of Venery almost making women stark mad arising from the plenty of seed acrimony and peculiar quallity of it The subject of this affect are either wel flesht virgins black and having adust blood or the youthful flourishing widows or married women that are barren by the impotency of the husband The Signs are various some wast away in sadness and silence suppressing their desire others reason being overcome do prate are lascivious break into anger laughter weeping wanton and baudy discourses Some freely prostitute themselves to men The Cause is the plenty heat and accrimony of the seed which ariseth if you consider the internal causes from the heat of the womb the distemper of the stones especially and spermatick vessels hence many labor of an inflamation of the womb and itching which are not affected with this madness If the external from a diet generating plenty and accrimony of blood by a drauft of hippocras in which there was some Borrax c. dissolved The Cure is accomplisht 1. By bleeding if blood do abound 2. By purging if hot and adust humors be mixt with it 3. By alteration by coolers as are Letice Purslan water-lilies Ladies navil by things that act by an occult quallity as are the chast tree rue hemp Camphire hemlock which are rather to be used in Nunneries The Melancholly of Women is a dotage with sadness anxiety weeping or laughing by intervals invading without a feaver arising from a melancholly vapor darkning the animal spirits The SIGNS are various the women are sad complaine of a grief at heart yet are not able to express the cause of it The Arteries about the Spleen and back do beat more vehemently than usual a pain of the left side against the heart afflicts somtimes seazing on the left breast the Vapors from the intercostal Arteries being poured forth into those places and pulling and distending the Membranes of the Breast a dryness of the Jaws somtimes troubles them with a suffocation But these symptomes affect by intervals because the Vapor is dispersed and the stirring of the blood in the Arteries ceaseth The CURE respects 1. Bleeding which must be ordered at the beginning if
hot blood do urge it 't is to be admitted commonly in the Arme if the Courses be not stopt if otherwise in the Ankle some daies before the flux it is to be urged sparingly if the evil be far gone 2. Preparation by those things which alter the Melancholly Humor and rejoyce the heart as are the Confection de Hyacintho and Alkermes 3. Emptying by things that Purge Melancholly with which things proper for the womb must alwaies be mixt Chap. 3. Of the Symptomes proper to married women Article I. Of the Symptomes about conception Point 1. Of Barrenness THe Symptomes proper to married women do respect Conception going with Child and the delivery The Symptomes about conception that meet us are barrenness and a mola Barrenness is an impotency to conceive proceeding from the fault either of the Genitals or of the Seed or of the Womb or of the menstruous blood There is no need of Signs the Cause and Cure vary according to the Nature of the differences The Differences are taken from the Causes and Parts I. One is by fault of the genital parts whether it be a Closure of the Womb from the birth which may be artificially cleft or a tender Constitution either by reason of the Age or structure for which a mans Yard is not admitted or Tumors Ulcers and excrescencies in the Neck to which the Cure must be directed and this is not properly called barrenness Another by the fault of the Seed of which shal be treated in the following Difference Another by the fault of the womb of which we wil treat in the third Difference Another by the fault of menstruous Blood when either that is wanting which happens either the womb being covered with a star or the blood turning into Fat or 't is too Copious that the Seed is overwhelmed and suffocated II. One is from the defect and unfruitfulness of the Seed which ariseth 1. By reason of tender Age or too old 2. by reason of the distemper of the Vessels dedicated to generate and contein the seed and then the Woman in Copulation perceives none or little and short Pleasure There are Signs of the womb affected or the whol body or some member hath a Vitious Constitution The Cure must be turned against the distemper of the womb 3. By reason of the Evil Conformation of the same Vessels Another is from want of a Proportion between the mans and womans Seed which consists between manifest and occult qualities but cheifly it ariseth 1. From medicines that extingnish Seed as are a Goats commodity Mint Rue Camphure which either the patient or standers by wil make known 2. From Inchantments and then the man cannot Copulate with his own wife he can with others he hath a desire to couple with his own and if he do couple with her he cannot send forth his Seed In the Cure is commended a drauft of cold water fallen from the mouth of a stone Horse drinking in a Current and suddainly received in a Vessel III. One is when the womb doth not attract the Seed that is cast in and that either by reason of a cold and moist distemper of which formerly or by reason of some Organical diseases and solution of Vnity Where note that very often too much Fat especially of the Caul doth compress the mouth of the womb that barrenness from Ulcers is hardly Cured nay though a great Ulcer were Cured yet that would remain by reason of the Skar left for which the blood can neither adhere to the womb nor flow thither Another is when the womb doth not retain the Seed cast in and that 1. Either by reason of a moist distemper which is known by this that the Fibres of the womb are Relaxt that it cannot contract it self the Seed by reason of iâ—s Mucousness cannot adhere to it 'T is retained for some few daies then cast forth The Cure must be turned against the distemper 2. Or by reason of the thickness of the womb for then the blood doth not slide thither from which the Seed ought to be joyned to the womb and take its increase The Cure requires extenuation by a slender diet exercise purging Sweating and others 3. Or by reason of its Slipperiness and then a womans Flux or virulent Gonorrhea hath happened the Seed conceived is extinguisht and Rapt away The cure must be fetcht from their places 4. Or by reason of the gaping of its Orifice and then either hard labor or abortion went before The Fibers are so relaxt that they cannot contract themselves In the Cure amongst astringents a Fomentation of the Leaves of Lentisk Mirtle c. takes place 5. Or by reason of a Cough Sneezing which happens after Copulation c. By which the Seed is shaked forth Another is when the womb doth not alter the Seed injected and that either by reason of a distemper when the womb by an immoderate coldness grow thicker the Orifices of the Vessels belonging to them are very streit and narrow whence neither the Secundine can be knitted to the Mouths of the Vessels neither doth the blood flow in sufficient quantity which is Serous too or by reason of organical diseases as Tumors Ulcers c. Point 2. Of a Mola A Mola is a mass without bones and bowels from an imperfect conception generated by the fault both of the mans and womans seed instead of a Young one The SIGNS before the fourth month are not so exact that it can be certainly known in process of time 't is discovered by four signs 1. By motion for that is trembling and panting rival to a constriction and dilatation and it fals down like a stone with an eminent sence of a weight upon that side the woman turnes 2. By the figure and bulk of the womb For in that the Belly is lift up according to al dimensions when in a true young one 't is principally raised towards the Navel and is gently stretched towards both sides 3. By want of milk for in a mola the breasts swel indeâ—d but there is produced in them only a certain crude matter from the courses supprest tending to the breasts which in process of time vanisheth when in those with child milk begins to be generated about the fourth month 4. By the Symptoms which are diverse as difficulty of breaching pains of the back and groines c. The cause is the fault of the seed both of the Males and Females jointly when the formative faculty is weak either of it self or because 't is overwhelmed with blood Whence molae are wont to be made if there be copulation when the courses are at hand or flowing or not wholy stopt And of the womans seed severally joined with blood and then there are molae altogether rude and which being long exposed to the aire being melted are dissolved into a watry substance In virgins such a thing cannot happen both because their weak seed wil not attract blood necessary to its conformation and
because the blood it self partly by its unaccustomedness and the narrowness of its own accord flow thither In the cure 1. bleeding beares the palme that the nourishment of the mola may be withdrawn and it must be larger if the woman be plethorick more sparingly it not so in the ankle or ham 2. Strong and often repeated purging 3. Opening of the courses 4. Chyrurgery of which see Authors Prevention requires 1. That Copulation be not too often especially in bodies not strong enough by reason of the generation of weak seed 2. That it happen not when the courses are at hand or flowing or when the womb labors of a distemper See the Differences in physical observations for this mass is not only without bones and bowels but somtimes 't is more membranous viscous fast together not yeelding to iron Somtimes it presents a long forme rhomboidal c. somtimes 't is destitute of all life somtimes it lives the life of a plant Somtimes 't is voided with a child without one after one and somtimes a dysentery goes before the voiding of it Article 2. Of the Symptoms of women with child The symptoms of women with child are in a threefold Difference Some happen at the first time of their bearing in the belly and they are 1. A cramp troubling especially the leggs which is taken away by anointing them by the fire with oyl of bays putting on afterwards hot rowlers 2. The pain of the Sciatica with oyl of Venice turpentine anointed on drives away 3. Loathing of meat which ariseth from the suppression of the courses the better part of the blood going to the young one the worse remaining in the veins from whence by agitation vapors are sent to the mouth of the stomach with the humors a vitious quality is imprinted on it and which ceases of its own accord when the young one is grown greater 4. A Pica or a desire to absurd meats for taking away of which serves the water distilled in the month of May from vine leaves 5. A nauseousness and vomiting which if it be easy ought not to be stopt if difficult 't is not free from danger 6. Torments and pains of the belly which are raised by the wind from the humors about the womb and somtimes do cast women into swouning fitts 7. A loosness which must be timely remedied least abortion follow 8. A pain in the teeth from part of the sharper humor carried thither 9. A pain of the head and vertigo from the vapors sent forth distending and troubling it Others trouble in the middle months of their bearing and are I. A cough from a sharp vapor or the veins of the breast which by reason of the concussion of the muscles of the belly watchings pain of the head is dangerous 2. A palpitation of the heart and faintings which if it arise from plenty of blood is a forerunner of abortion and is cured by bleeding 3. Pains of the loyns and hipps either from the blood supprest falling upon the vessels of those places or from the child growing bigg 4. A flux of blood from the womb nose hemrods which is caused 1. From a rupture of the vessels of the womb by evident causes which are known from the relation of the patient 2. From plenty of blood and then the woman is endued with a good color she beares the flux wel there is less danger if so be the flux be not too much 3. From the weakness of the young one not attracting the blood and then for the most part either the birth is protracted beyond the due time or is difficult or abortion follows there are signs of the weakness of the child that is 1. Either the woman is troubled with a looseness of body by which the nourishment is withdrawn from the young or her courses flow often when she is with child or the mother is often or long sick whence ariseth a fault of the nourishment or the breasts which were swelled ful before are extenuated for want of nourishment in the common veins of the womb and breasts or the young one which already had began to move or ought to move either is not moved or moves weakly 4. From evil humors goading the expulsive Faculty and then sharp things coloured stinking flow forth with pain there are signs of a cacochymy Others happen in the last months as is 1. A stoppage of the urine which ariseth from a compression of the neck of the bladder by the womb it happens cheifly when they stand 2. A hardness and slowness of the belly which ariseth either from a compression of the gutts made by the young one it self or by an extraction of the moisture caused by the same in women that have a hot and dry liver and spleen 't is dangerous because by a violent straining to evacuate al the parts in the belly being ful some dammage may easily ensue 3. A tumor and inflation of the veins either in the leggs by reason of the weakness of the liver of which in its place or by the suppression of the more serous blood and then the women with child for the most part bring forth girles We must forbeare from the cure because the humor is emptyed with the after purgation after the delivery unless walking be hindered or in the hipps that they become as it were varicous which proceeds from the same cause 4. clefts of the skin of the belly by reason of the distension especially at the first birth which are prevented with the anointing of laxative liniments as are marrowes oyles 5. The effusion of water which in the time of bearing is collected between the membranes that involve the young one which wants not danger because both the young one perceives some trouble from thence and a hard labor follows for want of moisture Article 3. Of the symptomes about the delivery The symptomes that happen about the delivery are also not a few I. An untimely flux of blood before the birth whence is a weakness of strength and swounings In the cure of which emptyers must be shunned the aire forbidden cordialls and strengthners must be given when the mouth of the womb opens it self the membrane must be broken and the infant brought forth II. Abortion when the child is born before the lawful time of bringing forth which is feared if the breasts be extenuated because it is a sign that either the blood does fail in the veins common to the womb and breasts or that by the violence of the young one or rupture of some vessels it doth rush to the womb If plenty of milk flow from them If the great bellyed woman have often pains about the belly and loins which end towards the pubes os sacrum with a certain endeavor to cast forth of her womb If after them blood either pure or ichorous or warer flow forth It ariseth in general from the fault of the expulsive faculty of the womb which is irritated either by the young one
or by other diseases by which also the retentive faculty of the same is wont to be weakned In particular 't is caused cheifly 1. From too much cold and then the pain which ariseth about the Region of the Kidneys descends to the lower part of the Belly and afflicts like to Nephritical pains See a Fomentation in Ludovicus Burgesia p. 1. c. 6. 2. From a sudden fright and then outwardly may be applyed the Fomentation even now mentioned inwardly a little Oxycrate 3. From a Swouning where the Confection of Alkermes and de Hyacintho take place 4. From Anger 5. From a Flux and then drying Meats must be administred the Patient must be kept in Bed we must act with Cordials and Strengtheners III. The Birth coming forth not Naturally where 't is a common admonition that the navel of the infant what way soever it comes forth be thrust back into the womb again If it be difficult and cannot be promoted otherwise 't is happily furthered by giving three grains of Mercurius vite in wine as Billichius witnesseth in his observations IIII. The stay of waters al other things being ready for the birth and then the membranes must not be broken least violence be offered either to the navel or some member a fomentation ought to be ordered with warm water which must be followed with a limiment of fresh butter V. An immature falling down of the waters and then fresh butter is good amongst moistners we must have a care of the outward air VI. Collick pains which are taken away by giving oyl of sweet almonds with cinnamon water or a carminative glyster following VII A weakness of strength by the birth and then may be administred water of Tophies Harts-Horn Confection of Alkermes Cinnamon water VIII The slow comming forth of the secundines either because they are too thick and tenacious and stick close to the sides or because they swel by the long labor of bringing forth or because the Navel is either broke or cut off before the Secundine is come forth There are commended the Secundines Specifick the Eyes of a hair taken in March of which in Hartmans Chymiatry c. See Burgesia l. 1. c. 14. IX The Pains after birth by reason of the too great strainess of the vessels which are prevented by giving of the Queens pouder after the first birth which is compounded of the grearer comfrey one dram Peach Kernels Nutmeg of each two scruples Amber Greese half a scruple and one dram weight is given in broth if there be a Feaver in wine if not X. Too great a flux of blood after the delivery either by reason of its plenty or because she hath used hot things or because of its thinness In the cure take place ligatures a cloth dipt in Oxycrate applyed to the Loyns and al the back bone because there the Vena Cava Runs down Terra Cimolia dissolved in Vinegar applyed to the same XI An insufficient Purgation by reason of the thickness of the blood detained nine Months induced by heart which is known from hence that it was more in the menstruous Flux In the Cure takes place the opening of the Saphena but not before the womb is restored to its place The use of Syrup of Maiden-Hair with Hyssop water Wormwood water Suffumigations Fomentations c. But if her Purgation were not more in the Flux of her Courses nor she did not abound with blood we must act by dyer and meats of good juyce XII A Feaver which is 1. From the generation of milk which is free from danger it must be committed to nature observing a goverment in dyet and sweats must be promoted in which that is wont to end 2. From the suppression of the after purgation in the cure of which note 1. That a vein is most commodiously opened in the ankle if that cannot be done cupping glasses with scarification are wel applyed to the thighs and leggs 2. The time of the flux being over past and a feaver urging a vein in the arm may be opened 3. From the store of vitious humors in which we must diligently consider whether the sick ought to be purged or not the time of the flux being over only gentle ones must be administred Things that alter which stop the flux as cold things sour things must be aavoided Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XIII Of the Affect of the Belly A single Chapter Of the Rupture of the Navel and Inflamation of the Muscles of the Belly AMongst the affects of the belly is A Rupture of the Navel and Inflamation of the Muscles of the belly Omphalocele which is a swelling of the Navel from the Guts Caul water wind or a fleshy substance fallen into it or arising there The Signs Cause Cure do vary according to the Nature of the Differences The Differences are taken from the Causes One is Intestine or Enteromphalos when the Guts slide into the Navel which is known by this that the Tumor is not very hard nor soft holding the breath it increases and the Patient lying on his back it sinks the Guts going back into their place with a noise and rumbling It ariseth from blows fals jumping lifting of a heavy weight hard labor riding crying out Mourning Laughing c. In the Cure it requires 1. The putting of the Guts into their place 2. The astriction of the peritonaeum relaxt the consolidation of it if it be broke amongst Medicines are Comfrey Sanicle through-wax Rupture wort Boyled in red wine and given Incision must be admitted at last when no other things do good By Ligature somtimes we provide against this affect Another is of the Caul or Epiplomphalos when the Caul slides into the Navel which is known by this that the Tumor in one paâ—â— is softer broad at the Basis and narrow towards the top that there is no pain present and the same being prest with the Fingers it sinks the Caul returning into its place It ariseth from the same Causes The Cure is the same but in a soft and young body 't is easier Another is watery or Hydrophalos when the Navel is lift up into a Tumor by water which is known by this that the Tumor is lax and if it be prest 't is neither increased nor decreased that 't is joyned with a waving and holding a Candle to it it appears clear and perspicuous It ariseth from water collected between the Peritonaeum and the Skin of the belly proceeding from the Causes mentioned in the Dropsie In the Cure take place things drying and discussive if these succeed not incision made like a half Moon Another is windy when wind distends the Navel which is known by this that the Tumor is soft yeilds to the Finger gives a sound like a drum and let the Patient lie which way he wil it is not changed
the Ashes of beech and often strained with the like quantity of wine and Alum two ounces As concerning the differences its species are the Foot-Gout the Hand-Gout the Knee-Gout and the Hip-Gout Concerning them we meet with nothing besides what hath been formerly spoke Concerning the last we must observe 1. That it ought to be distinguished from that pain which indeed is most vehement but neither causeth a Tumor neither consists alwaies about a joynt but in the middle spaces also between the joynts oftentimes after it hath afflicted a man once or twice it returnes not again al his life time 2. That it hath this property that 't is diffused more largely than in other joynts and often times to the adjoyning parts both by reason of the largeness of the Hip bone and the distribution of the Nerves which come from the Loyns and Os Sacrum to that Articulation to divers parts 3. That 't is very hardly Cured as wel by reason of the deepness and largeness of the place as for the plenty of matter that is wont to be collected there In the Cure for derivation a Vein in the outward Ankle is wel opened if the pain tend outwardly the Saphena in the inner Ankle if the pain tend inwardly We must act with strong Purgers The Discussers are Sciatica-cresses winter Cresses dittander and others concerning which consult with Practitioners We write only an Idea And let these suffice of the Diseases of the lower belly and joynts THE ELEVENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Concerning Poysonous Diseases Title I. Concerning the French Pox. HItherto we have treated of diseases that were not poysonous to those that are poysonous belong the pestilence the leprosy of the Arabians The French pox and poysons Of the two former we have formerly treated now we must speak of the French Pox. But the French Pox is a virulent contagious cachexy of the whol body for the most part raging with a hot distemper falling of the haire spots swellings stubborn ulcers and cruel pain especially at night enemy to the liver and nourishing faculty arising from an excrement infected with a malignant and poysonous quality transferred by contagion but especially by copulation and tyrannizing with many symptomes It hath divers names 't is called the French the Italian the Neapolitan the Spanish the Indian disease Syphilis the gout of the privities the great Pox c. The adequate subject is the whol body but the fewel of the evil is the liver it self from which polluted a crude and corrupt blood is dispersed into the whol habit of the body and the nourishment of every part is depraved The signs of it begining are a light weariness of all the members with a heaviness of the whol body because the natural spirits which are the immediate instrument of the supporting faculty are infected a smal and wandring pain through al the parts which a vapor raised from the liver induceth by the same the color of the face is changed and under the eys there appeares a blewish circle as in menstruous bodies An exceeding heat ariseth in the soles of the feet and hands even in the winter The sleep is interrupted a moderate rottenness about the privities either because the filth of womens secrets hath corroded the skin or because the liver drives forth to the privities the contagion communicated to it by the natural spirits Moderate smal buboes not painful nor increasing much because the liver drives out evil Exexcrements to the groines as to its emunctories A french running of the reins which is inferd by the weakness of the spirits governing the faculties of the testicles Of it confirmed are hard pustles al over the body especially the head and beard arising about the fourth or sixth month somtimes with a crust somtimes not somtimes with filth somtimes not which ariseth either from a contagious matter sent from the liver or from the part heaping up excrements by reason of the fault of concoction Callous ulcers in the privities A softness and hanging down of the uvula in the throat which is followed with a boarsness of the voice for the nattural spirit being weakened flegme ariseth in the stomach snivel in the braine flegmatick blood in the veins and in process of the disease being adust it becomes sharp Tumors of the glandules in the jawes the matter infected and voided by the emunctories being communicated to the head A Corruption of the palate and teeth which shewes the highest degree of the disease firme crying Paines arising before the evening which proceed either from a malignant vapor or from the excrement heaped up about the periostia of every part A Corruption of the bones of the head and armes before an ulcer doth arise Malignant ulcers besetting the whole body for the causes now given A falling of the hair crusts callosities clefts in the palmes of the hands and soles of the feet which arise from a flegmatick matter very much burnt A tingling of the ears which is produced when the hurtful vapor from the head cannot be expel'd by the skin nor by the mouth nor nose and therefore by the last endeavor is thrust to to the ears See more in Practitioners The Cause is an excrement polluted with a poysonous mallignity possessing the whol body or some parts of it and corrupting the blood conteined in the veins and making it unfit for good nourishment 't is communicated by contagion which is promoted inwardly 1. By the weak force of the natural spirits and the liver it self 2. By the largeness of the vessels that a passage lyes open for the vapors and filth 3. By an easie inflaming of the humors by which that is most easily snatcht 4. By the nature and softness of the substance in the parts 5. By the affection of the minde which if it be vehement they that couple are not easily infected Outwardly by contact by communication of substance viz. of the filth Ichor or sutty vapors which is the easier if the parts be soft thin and be hot for which makes also copulation with one infected sucking of her milk besmeering with the spittle kissing lying in bed with her using the garments of one infected c. The Cure is more difficult if it seaze on those once cured If it fal upon a hot and dry distemper because either things propper cannot be administred or if they be another dammage is brought upon the body If it fal upon a hot and dry time of the yeare because the strength is then most of al exhausted If a Feaver consumption or other greivous symptom be joyned with it if there appeare in the joynts callous scirrous and hard tumors If the sick be an infant and hath sucked in this evil with the milk because the virulency goes into the stomach with the milk which infects the liver and blood It respects 1. Preservation the which can scarce be taught with a good conscience least there be a door opened to wandring lusts