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ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A51415	Phthisiologia, or, A treatise of consumptions wherein the difference, nature, causes, signs, and cure of all sorts of consumptions are explained : containing three books : I. Of original consumptions from the whole habit of the body, II. Of an original consumption of the lungs, III. Of syptomatical consumptions, or such as are the effects of some other distempers : illustrated by particular cases, and observations added to every book : with a compleat table of the most remarkable things / by Richard Morton ... ; translated from the original.	Morton, Richard, 1637-1698.	1694 (1694)	Wing M2830; ESTC R32124	219,771	385

apply'd to his Belly and the Julep I just now mentioned in the last History which was made very strong of the Salt of Amber to be drank as often as he would take it What I have been telling of the former Patient the same thing did happily fall out here in this For the Boy refusing all other Liquors did covet the Julep Day and Night so that he drank almost four and twenty Ounces every day By which means it came to pass that in the space of a fortnight or less his Stools were brought to a Natural consistence colour and quantity His Urine also flow'd plentifully The swelling of his Belly went down to a Miracle Neither could I any more perceive any Swellings that lay conceal'd within it though I strictly examin'd with my fingers His Appetite and desire of Drink were Natural and as they ought to be His Flesh likewise seem'd gradually to increase every day And now his Melancholy and Weariness being overcome the Boy seems to recover not only the wonted vigour and activity of his Body but also a good Look and a fresh Colour in some measure so that I am not at all sollicitous about what remains to compleat the Cure A TREATISE OF Consumptions The Second BOOK Of an Original Consumption of the Lungs What a Consumption of the Lungs is A Consumption of the Lungs is a Consumption of the whole Body with a Fever proceeding first from an ill Affection and at length an Exulceration of the Lungs Which indeed is the most Famous Consumption and that which is called so by way of Eminence and of which Authors use to treat as if there were no other kind of Consumption and therefore I shall now speak more largely of it It is either Original or Symptomatical This Consumption of the Lungs is either Original which from the very beginning depends upon an ill disposition and an Exulceration of the Lungs Or Secundary and Symptomatical when ever the Lungs receive any great Injury from preceding Distempers But seeing that we ought always in the Cure of a Symptomatical Consumption of the Lungs to have a particular regard to the Primary Distemper from which this Consumption has its Origine and the Cure of it does require a variation in some things according to the Nature of that Distemper I shall make it my business in the last Book of this Treatise to treat of the Cure of this kind of Consumptions having first given in this Second Book so far as I have been able to observe a general Account of the Nature Causes Differences Diagnostick and Prognostick Signs Indications of Cure and the Method of Curing an Original Consumption of the Lungs CHAP. I. Of the Causes of an Original Consumption of the Lungs The general cause of a Consumption THE cause of a Consumption of the Lungs in general is a vitiated disposition of the Mass of Blood and of the Spirits in the Nerves contracted gradually from several Procatartick or predisposing causes in which the sharp or Malignant Serum or Water of the Blood being separated by the soft and Glandulous substance of the Lungs does stuff inflame and at length also exulcerate the Lungs themselves which is the immediate cause of this Distemper The Procatarctick causes of a Consumption First the stopping of Evacuations The Procatartick causes or those which give the first occasion to this Disease are First the stopping of some usual and necessary Evacuations as the Monthly Courses Child-bed Purgations Old Sores and especially Fistula's Issues Sweating in the soles of the Feet or any other parts of the Body a Gonorrhoea the Whites and other Evacuations of that kind when they are stopt without correcting or removing the causes upon which they depend From whence it comes to pass that even the Blood it self is polluted and distemper'd by those Humours which are condemned by Nature to be thrown off or banisht but by some Bars and Impediments lying in their way are stopt and retain'd in the Mass of Blood longer than is convenient 2. Passions of the Mind Secondly troublesome Passions of the Mind but especially Fear Grief Anger too much Thinking and Sollicitude as also unseasonable and too long Studies with other things of this Nature which contribute very much to this Distemper not only by vitiating the Animal Spirits and thereupon hindring the Natural Fermentation of the Blood but also by fixing almost a continual Spasmodick Contraction or Convulsion upon the soft substance of the Lungs Thirdly 3. Intemperance in eating and drinking a too plentiful and an unseasonable gorging of Meat and Drink and also an imprudent choice of such Meats and Liquors as abound with Excrementitious parts and are not very easie to be digested but especially the drinking too much Wine and Liquors that are very Spirituous Which when it is joyn'd with Cares and Grief and other such-like Passions of the Mind so far as I have been able to observe is commonly the cause of a Consumption of the Lungs For the Habit of the Body being from hence filled with a load of dispirited and unprofitable Humours as it is when it is Oedematous the whole Mass of Blood is polluted and rendred waterish and sharp and at length is disposed to a Hectical heat Fourthly the neglect of due Exercise 4. Want of due Exercise for want of which the Excrements which ought by the usual Law of Nature to be thrown out by the Skin being detained in the Blood are wont by degrees to destroy the Crosis or mixture of it For want of this the Humours also are wont to stagnate in the Habit of the Body and various Obstructions to arise here and there in the small Fibres themselves which contribute very much to the corrupting of the Blood and the weakning of the Spirits Fifthly Night-studies 5. Night Studies and long Watchings and long Watchings which not only weaken the Animal Spirits which are necessary for the Fermentation of the Blood but also keep within the Body those Excrementitious parts which are wont to be thrown out in the Bed by Sweat or Perspiration and who will think it strange that the whole Mass is by degrees vitiated by this means Sleeping in the day To this we may also add sleeping in the Day and sleeping much but especially presently after eating which as it dispirits the Mass of Blood and fills it with useless Chyle by hindring the Digestion of the Food from which cause frequent and troublesome Coughs are wont to proceed So by putting the Animal Spirits to sleep at an unseasonable time and thereupon hindring the Fermentation and Volatilization of the new Chyle it makes the whole Mass of Blood too waterish and sharp 6. An ill Air. Sixthly also a foggy and thick Air and that which is filled with the smoak of Coals does extreamly promote a Consumption by vitiating the Animal Spirits which are so necessary to the Natural Fermentation of the Blood and also by stuffing

Salt Ferment of their Stomacks and generally speaking is wont to disagree as well with Scorbutical as Hypochondriacal Persons The use of Tobacco is to be much suspected Eighthly The taking of much Tobacco is likewise to be much suspected in this Consumption because not only it increases the Ill and Salt Ferment of the Stomack by reason of the abundance of Salt that is contained in it whereby the Colliquation that is caused by a Saltness is increased but also because that Saline Smoak by irritating the Salivatory Ducts does promote a more plentiful excretion of the Spittle and that not only by the Glandulous Coat of the Mouth but also by the Tonsils and the whole Trunk of the Wind-pipe even to the very Lungs from whence it comes to pass that as the troublesome hawking up of Phlegm from the Tonsils so also the Cough of the Lungs is wont to be promoted Finally the shaving of the Head and many Issues are here very advantageous because they conduce very much to the lessening of the quantity of the Serous Liquor that abounds in this Distemper the one by promoting a Perspiration the other by deriving that Liquor to themselves A History Mr. Hunt a Citizen of London that had been a Scorbutical and Hypochondriacal Man lived almost from his Youth to the Seventieth Year of his Age in a Consumptive state doing his Business well enough by taking care and rightly managing himself without the help of Physick till he was above Sixty Years old from which time being very much emaciated he was very often subject to a Catarrhous Cough that was also something Asthmatical to a want of Appetite especially in the Winter and likewise to a light Peripneumonical Fever from a slow Inflammation of the Tubercles of his Lungs From which he was easily freed by the Advice of a Physician He also had three Sons all which though they were Scorbutical and Hypochondriacal by Inheritance yet they seemed strong and lusty even to the Thirtieth Year of their Age. About which time they were all one after another seized by the same Right of Inheritance with a Consumption occasioned by Passions of the Mind and the drinking of Spirituous Liquors from whence it came to pass that by reason of their neglect of a due Government this Distemper which was so Chronical in the Father was Acute enough in his Sons and if I well remember carried them all off before the emaciated Old Man dyed One of these Sons to wit the Eldest after he had continued his Hectical Heat for some Years by Cares and Drinking falling into a want of Appetite Thirstiness a dry Cough and heavy Oppression in his Breast committed himself to my care After Bleeding gentle Purges and the plentiful use of Pectoral and Balsamick Medicines he seemed to be something better But yet his Hectical Heat Cough and weakness of Appetite still continuing I sent him to drink Tunbridge Waters in the open Country Air the time of the Year favouring that Advice I expected more from the due use of the Waters than from the most pompous Apparatus of Medicines For although he did not stay so long as he ought to drink the Waters nor fortified himself by a due Government yet he came back after a Month recovered in his Flesh his Looks and Appetite and almost perfectly freed from his Cough and Hectical Heat too till the next Winter entangling himself with Cares and much Business and falling to his usual drinking of Wine he felt a return of all the former Symptoms of which he could not be relieved by any Prescriptions of the most able Physicians and so about the next June he dyed at Ebisham where he had lived for some time for the benefit of the Air. His Widdow as well from her grief for the Death of her Husband as from other causes as from taking of Cold in often Watching with him and perhaps by Infection too because she lay with him to his dying day but especially because she seemed predisposed to a Consumption from a Salt and Scorbutical Habit of Body after a Month began to have a dry Cough a very great Hectical Heat an extream Thirst and almost a total want of Appetite together with a squalid Look an emaciated Habit of Body a continual Oppression of her Lungs a Weakness and all the Symptoms of a very Acute Consumption So that if I must speak ingenuously I did expect that she would within a Month or two follow the lamentable Fate of her Husband let her be never so diligent in the use of the best Medicines of the Shops that I had any knowledge of unless the extraordinary heat of the Blood and Lungs could be extinguisht by a great plenty of some diluting and temperating Liquor which would obtund the sharp Salts of her Blood and open the Obstructions of the Nerves at the same time And therefore after a light Ventilation by taking away a little Blood I ordered her because her Body had been costive Ebisham Waters made into Posset-drink by way of Preparative and afterwards that she should drink Sadler's Waters at Islington the extraordinary Vertue of which to extinguish a Hectical Heat I had that very Year with great Success found in my self as well as in several others I ordered likewise a Pearl Julep her Faintness and the heat of her Blood and Spirits requiring it But by reason of the sickness and weakness of her Stomack she could not take any Linctuses or Pectoral Apozemes much less Balsamick Medicines And because of her great difficulty of Breathing I was very doubtful of the use of Opiates And thus for the present I left her The Purging Mineral Waters she took once or twice which put her into a Looseness that held her for three Weeks and I knew nothing of it her Fever still flaming and her Thirst Cough difficulty of Breathing Consumption Atrophy Weakness and other Symptoms increasing But she wholly abstain'd from and was plainly afraid of using the Islington Waters because that was the first Year they were found out and there were a great many Reports spread abroad of their Mischievous Nature But one time when I was not sent for going to visit her in her Chamber to know certainly what Effects the Chalybeate Waters had had because I had heard nothing either from her or from her Brother the Apothecary I found her in a worse condition than ever before and her Fever Cough and Atrophy with all the other ill Symptoms before mentioned so much increased by a Looseness that was come upon her and had now continued so long that she could hardly rise out of her Bed But at last being prevailed upon by the Reasons and the Experience that I urged I had lately had of them she consented to try the Vertue of Islington Waters And in order thereunto I ordered a Dose of my Astringent and Opiate Electuary to be given every Night for her present Looseness when it was necessary and the next Morning always