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A46940 Praxis medicinæ reformata: = or, The practice of physick reformed Being an epitome of the whole art: wherein is briefly shewed, the true causes, signs, prognosticks, and cure, of most diseases. Published for the benefit of all persons. By Robert Johnson, Med. Professor. Johnson, Robert, b. 1640? 1700 (1700) Wing J817; ESTC R216577 143,441 362

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may also pierce through the lacteal Vessels and so to the Heart and infect the Bloud too much with its Saltness whence the Spittle and the other Humours also become too salt by which a great Thirst is stirred up and augmented The signs are manifest for the Patient's Signs complaint for want of drink will inform you This distemper may be cured by such acid Cure Liquours and oily Emulsions which will dilute the Lixivial Salt of Choler and potently change its Acrimony and asswage its sharpness and deduce it to the Bladder The following Julep may serve for Example Take Tincture of Red-roses Barley-water Iulep of each twelve ounces Cinamon-water two ounces Syrup of Violets three ounces Salt Prunella two drachms mix it and give the sick three spoonfulls every two hours This Emulsion is also of great Virtue not onely to restrain Thirst but mildly to procure rest also Take of French-barly boiled four ounces Emulsion sweet Almonds blanched white Poppy-seeds of each two ounces let them be well beaten in a stone Mortar then with two Quarts of Barley-water the Waters of Cinamon and Fennel of each two ounces make an Emulsion to which add Julep of Roses four ounces Syrups of Violets and the Juice of Limmons of each two ounces mix it Let the party thirsting drink a moderate draught of this Emulsion often in a day which will be very acceptable You may also make gratefull Troches or Pellets of Sugar and Salt Prunella to be kept in the Mouth to deceive the Thirst. If salt serous matter abound in the Body purge it by Stool or Urine This gratefull Medicine may serve for both intentions Take the Roots of Flower-de-luce Parsley Purging Infusion China of each two ounces Dandelion Agrimony of each one handfull Senna one ounce Rhubarb half an ounce Agarick Turky Turbith Jallap of each three drachms Cinamon Cloves of each two drachms let them be cleansed bruised and infused in two quarts of White-wine for the space of twenty four hours then strain it and add Syrup of the five opening Roots four ounces of which you may give the sick four ounces every third day in the morning fasting If there be a salt Catarrh it may be temper'd with Pills of Styrax you may administer a Pill every Night going to bed Let the Patient's diet be Mutton or Veal-broth without Salt CHAP. II. Of Hunger vitiated HUnger may be called the Appetite of Meats as Thirst is of Drinks It may be many ways deprav'd viz. when it is augmented diminish'd or abolish'd Hunger augmented may be deprav'd two ways either in quantity or quality if it be in quantity there is more Nourishment desired than the Stomach can digest This distemper is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 fames quod affatim edatur It is called by the Latines fames canina and in English Dog's appetite because in this distemper the sick do feed insatiably after which some do purge and vomit like Dogs and are presently hungry again and sick if they do not eat If hunger be deprav'd in quality then vitious things which are not Food as Coals Ashes Clay Turfs Leather and I know not what are desired This is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and Pica also Pica in Latin ab ave Pica vel quod varia appetant ut Pica varii est Coloris vel ex eo quod Pica terram mandet If this distemper be in Women with Child Malacia it is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and in Latin also Gravidarum malacia which is an inordinate longing in them of which I shall treat more at large in the Chapter of the Hypochondriack suffocation Hunger diminish'd is caused of too fat and Cause viscous Spittle swallowed down by little and little into the Stomach and being unfit to promote the fermentation of Food it passeth into the small guts and there generates viscous Phlegm like to it self which doth not onely dull the moderate acidity of the Juice of the Pancreas but thereby at length all the acidity in the Body becomes less sharp and dull Choler also being too fat arising from the small Gut to the Stomach doth there corrupt both the remainders of Food and Spittle and prostrates their gratefull acidity by which means the Appetite becomes dull These causes being complicated if they be most grievous will at length quite take away and abolish Hunger The cause of Hunger augmented is sometimes Cause worms in the Stomach which devour the Chylus but most commonly it is caused by the over-sourness of the Juice of the Pancreas abounding in the Body and chiefly in the small Gut whence it sendeth sour Vapours to the Stomach which do potently urge and increase the sense of hunger The cause of hunger deprav'd in quality Cause as Pica c. in Women is the suppression of their monthly Courses which is more or less corrupted about the Womb and having not its natural Evacuation it returneth and in circulation is mixed with the whole Mass of Bloud by which it is all vitiated and deprav'd and so produceth a Cachexy or ill habit of Body which in time corrupteth all the other humours from whence not onely hunger but all the functions are deprav'd Hunger augmented needs no other sign Signs than the devouring of Food The signs of Hunger deprav'd in quality are also manifest as the longing desire for those things which are not food as Coals c. before mention'd If these distempers continue long they Progn are difficult of Curation because the sick will easily fall into a Cachexy Dropsie Consumption Vomiting Fluxes c. Hunger increas'd may be cur'd by giving those things which destroy and do temperate and amend the over acidity of the Juice of the Pancreas and do prevent its increase There are variety of Medicines proper for these intentions prescrib'd in the 6th and 7th pages of the first Book If hunger be diminish'd or abolish'd it may be cur'd by Medicines that correct and educe the viscous Phlegmatick humours of which you may be throughly furnish'd in the 3d. and 4th pages If hunger be suddenly diminish'd by Choler either over fat or abounding in plenty Cure it may commodiously be evacuated by an Antimonial Emetick Many other proper Medicines are set down in the 8th and 9th pages CHAP. III. Of want of Appetite or loathing of Victuals WAnt of Appetite is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 sine 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 appetitus In Latin 't is called inappetentia because in this distemper the sick hath no desire after food but their minds are averse to yea they loath most kind of meat and drink which sometimes riseth to that height that it takes away their strength This differs from vomiting onely in degrees it being a desire to vomit up whatsoever troubles the Stomach but cannot either by reason of
Armoniack twenty drops Laudanum opiat ten grains mix it let the sick take a spoonfull of it every quarter of an hour till they get some ease If the distemper hath persever'd long the peccant humours must be emptied out by purging and to educe them I prefer before all others Pills to be made of Gums seeing they loosen the glutinous humours and dispose them to be easier carried out For example Take of Galbanum prepar'd with Vinegar Purging Pills half an ounce Powder of Scammony prepar'd Troches Alhandal of each two drachms Oil of Carraway twenty drops make it into a Mass for Pills Take five or six of these Pills in the Morning fasting twice a week They who abhor Pills may use an Aromatick and purging Decoction The following though bitter is very efficacious Take the five opening Roots of each one Purging Decoction ounce Roots of Angelica Berries of Bay and Juniper of each half an ounce the best Senna Orange-peel Carraway-seed Coloquintida of each one drachm Guiacum four ounces let them be cleansed bruised and boiled in two quarts of Fountain-water till half of it be boiled away then strain it and add Syrup of Roses with Senna four ounces Cinamon-water two ounces mix it Let the sick take four ounces of this bitter Decoction every other Morning which will by degrees diminish and mildly educe the hurtfull humours by purging But seeing not onely the cause ought to be removed but also the Symptomes asswag'd by refreshing the Heart you must administer cordial Medicines which have power to corroborate the Heart and to cherish and strengthen nature The following Cordial may be preferred in this Case Take the Waters of Baum Mint Borage Cordial Iulep Cinamon of each three ounces Syrups of Baum red Poppies of each two ounces Laudanum opiat Amber-greese of each ten grains mix it Let the sick take two spoonfulls of this rich Cordial every three hours which will wonderfully refresh and delight the sensible Stomach from whence the perfumed impressions will soon be communicated to the whole Body by which all the vital and animal Functions will be refreshingly cherished and strengthned and the Palpitation of the Heart eased and abated If the Patient hath a costive Body let a carminative Clyster be sometimes administred and if a Plethora concur let a vein be opened either with an Instrument in the Arm or by Leeches applied to the Haemorrhoids CHAP. V. Of an universal Languishing as also of Swouning and Syncope AN universal Languishing of the strength of all the parts and functions is sometimes observ'd to remain after some disease preceding not rightly cured especially when the Infirmity hath been grievous for then a weariness or defect of the Animal motion doth usually concur together with a weak or little pulse and dulness and debility of the internal and external senses whereby the sick continues weak and more languishing by certain intervalls than is natural All the kinds of Swounings may be divided for methods sake into two viz. the lighter kind and the most grievous The lighter kind of Swouning or fainting is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 vel 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Latin animae defectio ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 anima 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 deficere because it is an Imbecility or Feebleness of the Heart and Courage The most grievous and singular kind of swouning is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Syncope concido to cut away quod praeceps virium omnium lapsus It is also called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 i. e. pulsus privatio because there is no pulse neither indeed presently in the fit is there any Animal or voluntary motion or respiration to be observ'd so that they are more like dead than living Creatures The signs of these fits approaching are Signs yawnings a Cardialgy Anxiety of Compression of the Heart griping and distension of the Belly tinkling in the Ears dimness before the Eyes and a Giddiness and at the approach of a Syncope there are often Convulsive motions with a cold and glutinous sweat and paleness of all the parts of the Body The causes of these distempers are either Causes external or internal The external are many as extreme weariness of the Body exceeding passions of the mind prolong'd hunger or thirst ungratefull smells the sight of any Person or thing that is envied too great effusion of Bloud Seed or Milk over great evacuation of the humours by Vomit Stool Sweat Urine c. It may also be caused by the biting or stinging of any venemous Creature and by any other vehement pain Sometimes it is produc'd by a great heat either of the Sun Fire Bath or Fever Any of these Causes mention'd being extreme may so change and diminish the natural effervescency and rarefaction of the bloud that the Heart it self is not thereby enough expanded and contracted So that the vital bloud cannot be sufficiently effus'd into the Arteries and therefore the Pulse is felt less and more languishing yea sometimes none The internal Cause is glutinousness encreased in the bloud and the other humours and sometimes an encreased Acidity in the Juice of the Pancreas Lympha and Spittle by which the Circulation of the Bloud and Humours becomes too slow hence the Ventricles of the Heart are not enough dilated which causeth the Pulse to be weaker than is natural for the effervescency of the bloud and humours being not potent enough cannot provoke the Heart to contract it self and therefore a Swouning or Syncope will inevitably ensue They who are much subject to a Swouning Progn or Syncope dye suddenly Those fits which are produc'd from some evident cause as vehement passions of the mind immoderate evacuations c. are less dangerous than those which come from an internal cause as glutinousness of the bloud and humours c. Which in a great measure hindreth its free Circulation through the Ventricles of the Heart whereby there is a sudden and swift sailing of the vital Spirits and consequently of all strength To cure an universal languishing as also a Cure Swouning and Syncope the phlegmatick glutinous and acid Humours must not onely be corrected but when they abound must be diminish'd and educ'd out of the Body Therefore to correct and amend the said humours abounding both in the universal Body and Bloud I will here set down some forms of select medicines for the sake of young Physicians The following Decoction is an efficacious Medicine Take the Roots of Elicampane Galangal Decoction Angelica Calamus Aromaticus the sive opening Roots of each one ounce Sage Baum Betony sweet Marjoram the Tops of Hore-hound Centaury Wormwood the Flowers of Rosemary Staechas Chamomel Clove-gilliflowers of each one handfull the Seeds of Anise Sweet-fennel Parsley Cardamoms Berries of Bays and Juniper of each two drachms Orange-peel Cinamon of each half an ounce Nutmegs one drachm let them be cleansed bruised and infused
weakness or toughness of the matter Nausea Loathing is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Navis quod navigantibus proecipue contingit All loathing is either natural or adventitious The natural for the most part is common to Women with Child wherein 't is thought by some that the mind of the Child in the Womb is affected as well in this distemper as in the disease called Malacia or longing wherein if the Woman have not presently what the longs for wheresoever she first puts her hand on any part of her body in that part the Child is mark'd as we may see often by experience The adventitious loathing or that which cometh by accident is stir'd up in healthy People by prejudice they esteeming some sorts of food ungratefull or prejudicial to their Health and therefore their Stomachs loath them Sometimes nauseousness and loathing even to vomiting immediately follows Intemperance in eating and drinking which is dangerous That we may the better judge of the causes of this distemper let us first consider what is the natural Cause of Hunger by which we may the easier discover it I judge the chief Cause of natural hunger to be the remainders of food fermented in the Stomach and the longer it stays there it is still more and more fermented by the Spittle which is continually swallowed down and intermix'd with it and at length it raiseth a somewhat sour and gratefull Vapour which pleasingly affects the upper Orifice of the Stomach and so natural hunger seems to be produc'd And if food be with-held somewhat longer than ordinary then this hunger is increas'd even in healthy People which I think is promoted and augmented by the Juice of the Pancreas having a friendly Effervescency with Choler and Phlegm in the small Guts from whence sour and gratefull Vapours are sent to the Stomach which increaseth hunger and if food be seldom taken it may proceed to fainting fits Hence we may gather that if there be a Cause vitious Effervescency of the aforesaid humours in the small Guts then vitious Vapours are thence produc'd which rising up to the Stomach and other parts adjacent not onely diminish hunger but more or less deprave Thirst as also the senses of tasting and smelling hence it is that the sick do loath all sorts of food as soon as they smell taste or see it 1. Want of Appetite or Loathing is a digression Progn from the natural State and is therefore dangerous and is worse in Children than Adults because they require more Nourishment 2. In all diseases this is an evil Symptome and if the sick recover and want Appetite or loath their Food there is danger of a relapse This distemper either in healthy People or those that are sick may be cur'd Cure 1. First by freeing the mind from every prejudice 2. By correcting or purging out the vitious and peccant humours If the Humours incline upward they may be safely carried out by an Antimonial vomit and after the operation at night going to bed let the sick take this Cordial Opiate Take the Waters of Damask-roses Baum Cordial Opiat and Cinamon of each one ounce Syrup of Clove-gilliflowers red Poppies of each half an ounce Confectio Alkermes half a drachm Laudanum opiat four grains Oil of Vitriol six drops mix it But if the humours be very viscous and the Stomach be not nauseous let them be purged out by stool with such Medicines as have power to alter amend and evacuate the vitious humours For example Take of the Decoction of Senna Gereonis Purging Decoction four ounces the best Manna Syrups of Epithymum Roses Solutive with Senna of each half an ounce mix it for two Doses to be taken in the Morning fasting After purging the Stomach must be strengthned which may be done by this excellent Diet-drink Take the Roots of China Sarzeparilla of Diet-drink each eight ounces Guiacum two pound Cinamon Mace Nutmegs of each one ounce Raisins of the Sun stoned one pound Anise-seed Liquorish of each one ounce and half let them be bruised and infused in two Gallons of Fountain-water very hot for the space of twenty four hours then boil it to the consumption of the third part strain it and add Syrups of Cinamon and of the Juice of Rasberries of each four ounces mix it and let it be put into Bottles The sick may drink four ounces of it three times in a day Also candied Ginger and Nutmegs preserv'd are good to corroborate the Stomach a little of either of them may be eaten before the taking of the Diet-drink You may anoint the Stomach with Oil of Mace by expression after which apply a Plaster Stomachicum magistr to the Region of the Stomach CHAP. IV. Of the Hicket or Hiccough THE Hicket is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and in Latin singultus ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 cum gula quod fere gula fiat vel a sono gulae It is called in English a Sobbing or Yexing being something like the Clocking of Hens with Chickens This disease was thought by the Ancients to be a deprav'd motion of the Stomach onely by which it striveth to expell something which is hurtfull but experience doth manifest that it is a convulsive Motion of the Midriff and not of the Stomach because in this distemper expiration is deprav'd and this is chiefly perfected by the Muscles of the Belly both by drawing down the Breast and compressing all that is contain'd in the Belly and driving them forward towards the Midriff and so compelling it upward its proper motion together concurring by which a greater straitness is made in the Breast which causeth the Lungs also to be straitned and consequently the Air contain'd in them to be suddenly expir'd 'T is true in this distemper the Stomach is primarily affected by sharp Vapours Wind or humours whencesoever proceeding which piercing to the membranous Centre of the Midriff provoke it by pricking or corroding to perform that convulsive motion in which the Diaphragma is contracted with a great force towards the Region of the Stomach which suddenly and violently driveth it forward and outward the convulsive Motion soon ceasing and again often repeating The causes of the Hicket are either external Cause or internal The external are hurtfull sharp and poisonous food or medicines taken into the Stomach by which the Midriff is soon affected and compelled to this violent and presently interrupted convulsive Motion The internal cause riseth up out of the small Gut by the vitious Effervescency of the humours there meeting from whence sharp halituous or windy Vapours are rais'd to the upper Orifice of the Stomach by which it is soon corroded and thence the sharp flatuous Humours or Vapours are presently carried through the Vessels of the Diaphragma and sticking in its substance do corrode its sensible parts and compell it to that Convulsive repeating contraction of it self When the