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ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A90381	De morbis puerorum, or, a treatise of the diseases of children; with their causes, signs, prognosticks, and cures, for the benefit of such as do not understand the Latine tongue, and very useful for all such as are house-keepers, and have children. With the contents of the several chapters, as also an alphabetical table of all the diseases mentioned herein. By Robert Pemell practitioner in physick, at Cranebrooke in Kent. May the 29. 1653.	Pemell, Robert.	1653 (1653)	Wing P1132; Thomason E721_3; ESTC R207213	39,973	64

Rim of the belly is loosened and from thence watery and windy humours get in and causeth the Navel to swell which is caused from too much crying of the childe or coughing or it may come to passe when the Rim of the belly is broken or when the Navel is ulcerated and the guts fall down to the Navel which disease is called properly Exomphalon and Omphalocele The signs The signs are manifest The Prognosticks If the Midwife do not rightly cut the Navel of the childe but leave it longer then is meet this is not to be helped but yet 't is more troublesome then dangerous This disease being not of long continuance is easily cured but continuing long it is hardly cured and many times remains uncurable If it be not cured in Infants it may in grown years especially if the bowels being fallen down be inflamed bring the Iliack passion and so death A History And now while I am writing this I have a Patient about fifty years of age who for many years had a Rupture of her Navel and and on the 26. of this August 1652. she was taken with the Iliack passion who vomited very much and on the 27. day she vomited up her excrements neer a bason full at a time and though Clysters were administred to her yet all in vain for they come still away without any thing else and whatsoever she took at the mouth came up again so on the 30. day she dyed The cure If therim of the belly be onely relaxed or loosened binding and strengthening means are to be used but if broken then vomiting and consolidating means are to be used Let the child be kept from crying and use all means to quiet it and to bring it to rest If there be a Cough use means to mitigate the same and let the child avoid all vehement motion Bathing is not convenient for hereby the Navel is made more loose Both Nurse and Children must avoid all windy and flatulent meats Let the belly be kept so loose that ther may not be too much straining of the body in going to stool Then if the rim of the belly be loosened and wind extend the Navel Take of Comin seed Bayberries Lupines in powder of each half an ounce with red Wine make a Pultis and apply i● warm Or take Cow dung in powder Barly flower and Bean flower of each one ounce Comin seed in powder half an ounce with the juyce of Knotgrasse make a Pultis and apply it to the navel Or Take Cow dung and boyl it in milk and lay it to the navel Or make a bag with Comin seed and Spikenard then boil them in red Wine and apply it to the navel laying a bolster thereon binding it hard with a swade band If the rim of the belly be broke then use those meanes set down in the Chapter foregoing CHAP. 22. Of inflammation of the Navel The cause SOmetime the Navel of the child is inflamed which happeneth after the cutting of the Navel and especialy being exposed to the cold air The Signs This is known by swelling and hardnesse of the Navel by rednes heat and beating thereof The Prognosticks If this disease be taken in time it is easily cured But if it be not soon cured a Fever will follow If the inflammation turn to an impostume and break and the bowels falling down many times it brings death to the child The cure Let the Navel be anointed with oyl of Roses or with ointment of Roses mixed with Populeon ointment Or Take of Mallowes boyled and bruised one ounce Barly meal half an ounce Lupines and Fenegreek in powder of each two drach with a little oyl of Roses make a Pultis and apply it Or Take Spikenard half an ounce being in powder Turpentine 3. ounces with oyl of sweet Almonds one ounce make an oyntment and use it If it come to suppuration or matter Take of Turpentine half an ounce the yolk of one Egg oyl of Roses two ounces mix them together and use it morning and evening Or Apply a Plaister of the oyntment called Diapompholigos or of the same oyntment and the ointment called Desicativum Rubrum mixed together CHAP. 23. Of the swelling of the Cods The cause Many times the Cods of children are swollen which may happen by reason of water or wind and by too much motion of the child The signs are manifest The Prognosticks This disease although it be easily cured in children yet if it be inveterate many times it proves dangerous and hinders generation The cure Let the cods be anointed with oyl of Lillies oyl of Camomil or oyl of Dill. Or apply this following Take Cow-dung boyl it in milk and apply it warm Or Take a quart of Ale-wort boyl it with crums of bread leavened and one ounce of Comin seed bruised or in powder with a sufficient quantity of Bean flower make a Pultis and apply it warm Or Take Linseed and Fenegreek bruised or in powder of each one ounce Camomil and Hollihock bruised or cut small of each a handful boyl them in water then with a sufficient quantity of Bean flower make a Pultis and lay it on warm If there be any inflammation and it be at the beginning you may take a handful of Plantain leaves bruise it and with the white and yolk of an Egg and a little oyl of Roses make a Pultis and apply it twise in a day If the pain be very extream and the child be strong and of a reasonable growth take of Henbane leaves bruised one handful Mallowes as much boyl them in water till they be tender then with Bean flower Barly flower oyl of Roses and oyl of Camomil make a Pultis and apply it warm otherwise if the pain be not very great use no repercussives or such medicines as strike in the humour or drive the matter back for that will be dangerous CHAP. 24. Of falling of the fundament The cause THis disease happeneth when there is a relaxation or resolution of the muscles which closeth the fundament Now the cause hereof is too much moistnes softnes which doth frequently follow a flux of the belly or it may come from a sodain cold or by too much straining when children go to stool especially when the body is bound whereby the fundament cometh forth and cannot return into his place again which doth easily happen in children because their bodies are moist and soft and the muscles as yet but loose and languid or weak The signs are manifest The Prognosticks If the fundament fall or go out by too much straining in going to the stool it is more easily cured if means be used in time But the longer the fundament hath been out the more harder it will be to reduce it in again If it proceed from too much moisture it is more difficult to cure especially if the flux of the belly be joyned therewith for the disease can hardly be cured till the flux be stayed moreover those necessary medicines

morning and evening warm You may anoint the stomach morning and evening with oyl of Mace made by expression If the milk be very hot then anoint the stomach with oyl of Quinces or oyl of Myrtles or oyl of Roses Or Take oyl of Roses and oyl Myrtles of each one ounce Vinegar two drachmes red Coral and the three Saunders in powder of each half an ounce mix them together and use it to the stomach Coral doth much prevail herein by an occult or hidden property and therefore it is hung about the neck of children to stay vomiting CHAP. 14. Of the Consumption or Leannesse of the Rickets CHildren do many times wax lean without any manifest cause and although they suck much or feed well yet they are not therewith nourished The cause Now the causes are many as the corruption of the milk for being either too hot or too cold it turns into ill humours and so hinders the breeding of good blood or it may come for want of suck from whence we see many times that when a childe consumes and pines away with sucking one Nurse if it suck an other it soon thrives and growes Again worms may be the cause both such as are bred in the belly as also in other parts or it may come by reason of a Feaver or from a flux of the belly The signs The signs are manifest The Prognosticks If the child consume for want of milk or a good Nurse this may soon be cured by getting a better Nurse If it come from worms in the belly or other parts it is not easily cured The Consumption in most children is dangerours if it be not taken in time and kills many The cure If the fault be in the milk that must be rectified by good dyet of the Nurse or if that do not help then the Nurse is to be changed If worms be the cause then means must be used to kill worms as you may see in the Chapter of worms If leannesse come from a Feaver or without any manifest cause make this following Bath A Bath Take the head and feet of a Wether boyl them till the bones fall asunder then bath the childe with this liquor twise a day and after bathing anoint with this following oynment Take of fresh Butter oyl of Roses and of Violets of each one ounce Hogs-grease or the fat of raw Pork half an ounce wax a quarter of an ounce make an oyntment and anoint the body with it warm twise a day Or Anoint the body with oyl of sweet Almonds and fresh butter mixed together or else anoint the body with the oyntment called Resumptivum or Resumptive oyntment Or If it come from great drynesse of the stomach bathe the stomach with milk warm and use this following Take of fresh Butter Hens grease of each half an ounce Saffron in powder five or six grains oyl of Violets or Wormwood three ounces mix them together and anoint the stomach morning and evening warm If it come from a flux of the belly then use the means to stay the loosenesse as in the Chapter of the flux of the belly Concerning the Rickets there is a learned Treatise set forth lately by three or four Doctors and since translated into English where you have that disease accurately and exactly handled unto which I refer the Reader CHAP. 15. Of the Hicket The cause THe Hicket in children is caused from the corrupt nourishment in the stomach or from abundance of milk in the stomach or from the coldnesse of the stomach by the outward air The Prognosticks The Hicket in children most times is void of danger and the cause being taken away it doth soon cease But if it happen to continue long or be complicated with some other disease as the Falling sicknesse or Convulsions many times it proves deadly The cure If the Hicket come from corrupt nourishment or fulnesse of the stomach 't is good to make the child vomit either by putting your finger in the throat of it or by putting down a feather anointed with oyl or by some other light and easie means that hereby the offensive matter may be taken away then use means to heat and strengthen the stomach as in the 13. Chapter and let the child be sparing in sucking and eating If it proceed from corruption and fault of the milk then means must be used to amend the same by good dyet of the Nurse as before and the corrupt milk to be purged away by syrupe of Roses or hony of Roses solutive then to use Conserve of red Roses with red Coral in powder or Bole-armoniack If it come from cold then let the stomach be warmed both with inward and outward means Give the child sirup of Mints or sirup of Betony and let the stomach be bathed with a decoction made of Mints Organy Wormwood Cyperus roots afterward anoint the stomach with oyl of Dil oyl of Mastick or oyl of Mints or apply a Pultis made with Mints and Dill seed bruised and oyl of Mastick Or Apply Mastick and Frankincense in powder mixed with the white of an egg to the hole of the stomach Or Take of Mastick one ounce Frankincense Dill seed ana Ê’ 2. make them into powder and mix them with the juice of Mints then wet Hempen clouts therein and apply it to the stomach warm CHAP. 16. Of Gripings and Frettings in the belly CHildren are very often troubled with gripings in their belly which sometimes commeth alone and sometimes with fluxes of the belly The cause These gripings come chiefly from the milk either being too windy or too sharp for if abundance of milk oppresse the childes stomach crudities and winde are soon bred which also doth the sooner happen if the Nurse have used windy meat or if the belly of the childe be tender and cannot endure the cold air But if the milk be corrupted in the stomach when it descends to the bowels it doth gnaw and pinch them so that it causeth great pains and gripings Sometimes worms are the cause thereof The signs These gripings are easily known for the childe is very unquiet and cryeth frequently neither will it suck and many times cannot make water because of the wind that oppresseth the neck of the bladder and stoppeth the urine If these gripings come of winde sometimes the pain remitteth or ceaseth and sometimes increaseth and the belly is puffed up and maketh a noise If they proceed from a humour the pain is almost continually and if from a tough and flegmatick humour the belly is most times bound and the excrements are like snot or snivel If they proceed from corrupt milk or choler and sharp humours then the belly is most times loose and that which is voided is yellow or green If worms be the cause then the signs of worms are manifest The Prognosticks These pains if they continue long they weaken the spirits and many times bring Convulsions and the Falling sicknesse Those pains are worst or most dangerous that

proceed from corrupt milk and sharp humours They are dangerous also that arise from worms The cure If these gripings come of winde and crude or raw humours and the body be bound it will be necessary to give the childe this or the like Clister A Clyster Take Pellitory of the wall and Camomil flowers of each half a handful boyl them in broth made of meat strain it and take two three or four ounces of this liquor and add to it hony of Roses solutive one ounce half the white of an Egg and make a Clister which may be given to a child of a moneth or two moneths old Or give it some oyl of sweet Almonds new with a little Sugar one hour before it sucks for this will loosen the belly and ease the pains Or You may give a scruple of Anniseed grosly beaten in Pap Milk or such like sweetened with Sugar To a child newly born it doth help herein and profitably purges away or expels from the bowels green choler and filthy flegme This doth Heurnius * Heurn meth ad prax lib. 2. cap. 26. fol. 293. commend by his own experience You may also give the child Penniroyal water with Sugar or Diascordium at night Outward means also which do moderately warm make thin and expel wind must be used as the oyl of Dill or oyl of Camomil with which anoint the belly warm morning and evening Or Bruise Pellitory of the wall and boyl it in oyl of Camomil or Sallad oyl and apply it warm to the belly Or Take Camomil flowers the tops of Dill of each a handful Fenegreek and Linseed bruised of each half an ounce boyl them in Wine and twise a day before feeding or sucking let the childs belly be bathed therewith If they come from corrupt milk and sharp humours then cleansing means are to be used as sirup of Roses hony of Roses solutive or sirup of Succory with Rubarb or give a Clyster made of the decoction of Bran and Pellitory of the wall adding one ounce or one ounce and a half of sirup of Roses solutive Or Take of the decoction of Barly 3. or 4. ounces oyl of Dill one ounce or one ounce and a half the white of one Egg make a Clister and give it Anoint the belly with oyl of Roses or oyl of Dill and oyl of Camomil mixed together The nurse must avoid all windy meats as Pease Beans Beets hard Eggs c. CHAP. 17. Of loosenesse and flux of the belly FLuxes of the belly and loosenesse doth often happen to children and that many times about the time of breeding their teeth as Hippocrates witnesseth Hip. Aph. 3. 25. The cause The cause hereof is bad concoction or corruption of the milk or nourishment For a Fever doth commonly follow the breeding of teeth so that by the unnatural heat the digestion is hurt then by much watching pain is increased and the concoction hindred Also by pain the necessary heat which brings good digestion is drawn from the stomach and so concoction is disturbed Moreover the heat of the fever doth stir up many humours which flowing to the belly cause these fluxes Again by reason of the Fever which happeneth to children about the time of breeding their teeth they suck or drink more then is meet and also the Nurse most times that shee may content the child doth often offer it the breast and so dispose it to sleep more then is necessary by which means both food and drink not being well concocted are avoided by stool both crude and corrupt * Mer. de morb pueror lib. 2. ch 25. fol 147. Mercurialis addeth an other cause of this flux while children breed their teeth viz. from the pain that is stirred up by unnatural heat from whence the humours are drawn to those parts they become putrid salt and sharp and so falling down to the stomach and from thence to the bowels stir up exceedingly the expulsive faculty from whence follow these fluxes But some do not concieve this to be probable First because those humours thus attracted or gathered together do not stay or abide in the mouth or gums but fall down to the stomach Secondly because the teeth and gums by the continual use of the milk or sucking are made more soft and temperate Thirdly because in moist children there cannot be so great a heat which can produce so much acrimonie and saltnesse Fourthly because if these humours were so salt and sharp they would soon breed ulcers of the mouth Sometimes when children do not breed teeth the cause may be from the outward air whereby the stomach belly of the child are too much cooled and therby concoction is hindred or when the stomach is oppressed with too much food or nourishment whereby crudities and corruption of the food doth follow so that if the same be not rejected or cast up by vomiting it is carried down to the belly and causeth these fluxes or it may arise from bad nourishment or from the badnes of the milk from whence corrupt juyce is bred in the stomach which nature expels by stool Sometimes it may proceed from the moistnes and loosenes of ●he bowels which moisture hath its original from some sharp humours in the stomach and from thence falls down in to the bowels The signes If the flux come from the breeding of teeth it may be known from the signs of breeding of teeth as in the sixt Chapter If it come from crude humours then the food is voided not concocted and the child is troubled with belching also the excrements are white and frothy If it come from hot humours and corrupt nourishment then the excrements are yellow or green also stinking and the pains of the belly are greater The Prognosticks If the flux in children be not violent the danger is not great neither must it be suddenly stopped because the corrupt humours in the stomach hereby are evacuated or purged which if they were stopt would prove dangerous From hence saith Hippocrates * Hip. de dentione fol. 59. except blood come forth stop it not till the seventh day be passed Such children as have loosnesse when they breed teeth are lesse subject to convulsions then those that are bound If children do not easily endure the flux but have weak stomachs and the spirits are low also the flux continuing long and they grow lean then must the loosenes be stayed That flux is dangerous in children if it come by reason of acute or sharp fevers and especially if the excrements be black The cure In the cure of loosenesse of the belly we must consider whether the child suck or not then whether the teeth break forth or not For if the child suck then the nurses milk must be looked on whether it be good or bad If bad then it must be mended or the Nurse changed The Nurse must use a binding dyet and abstain from fruits and raw nourishment as also from those things that are of hard

digestion If the Infant suck or not and the flux be of some continuance means must be used to stay it and such means as first cleanse and then bind the body as sirup of Roses solutive or hony of Roses solutive Clysters may be used A Clyster Take of Barly water made with steel four ounces red Sugar one ounce mix them together and make a Clyster Where the humours are cleansed and the flux doth proceed from a hot cause give sirup of dry Roses sirup of Quinces sirup of Mirtles sirup of red Coral c. Or give the powder of Mirtles with a little Dragons blood or give Sorrel seed Plantain seed or red Roses in powder with the yolk of an Egg rosted at the fire Or Take of Mullein flowers red Roses of each half a small handful of Comfry roots the greater and Tormentil roots of each a drach bruise the roots and boyl them all in water strain it and to three ounces of the clearest add one ounce of sirup of Quinces and give the child often of it or take Nutmeg and Mastick in powder of each a scruple give it at twise with the juyce or a scruple of Quinces Or Take Acorn cups Sorrel seed and the kernels of Raisons dryed of each a drachme white Poppy seed half a drachme make them into powder and give ten grains or twenty grains of it morning and evening in sirup of Quinces or sirup of red Coral Outward means must be used also Take oyl of Mirtles oyl of Roses oyl of Mastick of each one ounce with half an ounce of wax make an ointment and anoint the belly therewith morning and evening warm Or Bath the belly with a decoction made of red Roses Mullein Plantain in red Wine Or Take red Rose leaves Mullein of each a handful Cipres roots two drachmes Mastick half an ounce make them into grosse powder and make a quilt or bag which being boyled in red Wine apply it warm to the belly Or Take of the pulpe of Quince boyled in red Wine 4. ounces of tosted bread wet in Vinegar one ounce and a half with a little oyl of Mastick make a Pultis and apply it to the belly and stomach warm Or lay to the belly a plaister of a crust of bread or the Cerot called Stomachale If it come from a cold cause and that the excrements be white give sirup of Quinces with Mint water Some commend the maw of a Kid or Hare if ten grains thereof be given and the child to take no milk that day least it curdle in the stomach but give it bread boyled in water with Rosewater and Sugar Apply outwardly Mints Wormwood Mastick and Comin seed Or Take of Rose seeds one ounce Comin seed and Annised of each two drachmes make them into powder and with oyl of Mastick oyl of Wormwood and a little wax make an ointment and use it warm to the belly Or Apply Mints boyled in red Wine to the stomach or a crust of bread wet in Mint water or make a quilt or bag of Mints Wormwood red Roses Mastick Nutmegs and Cloves and apply it to the belly CHA.P. 18. Of Costivenes or stopping of the belly AS Children are often troubled with fluxes of the belly so are they many times troubled with stopping thereof The cause It may proceed from extream cold and drynesse of the belly which happens to some children from their birth or from tough and flegmatick humours which are as it were rowled up with the excrements and cleave so fast to the bowels that they are hardly voided or from corrupt milk with which the childe is nourished from whence tough and flegmatick humours are bred in the stomach which cometh to passe by reason of the weaknesse thereof as also when the mother or nurse feed upon tough meats and drink but little for it seldom happeneth that children are fed with such dyet except grown children or it may come from the intemperate heat of the Liver spleen or reins of the childe whereby the excrements become dry or it may happen when Choller that comes from the gall and should be carried down to the bowels is turned some other way The Signs The signs are manifest If it be from a natural drynesse then the childe is constantly bound and stopt If tough and thick flegme be the cause the excrements that are voided are mixed with the same If there be any error in the Mother or Nurse by ill dyet that is easily known If it be from the heat and drinesse of the Liver and Spleen or Kidneys it is known by those signs that shew the heat of those par●s If Choller be turned an other way and that be the cause then the excrements are white and not dyed at all with Choller and the skin of the child looks yellow The Prognosticks Children that are much bound in their bodies have seldom their health well and it is far better for youth to have their bellies loose then bound ill vapours arise from the excrements to the whole body and cause gripings of the belly pain of the head and many other distempers The cure First let the Mother or Nurse use a loosening dyet and such things as are mollifying And let them take also Manna Cassia or sirup of Roses or a little Hony in the morning If the child be of some reasonable growth then you may give it Manna or Cassia as from two drachmes to one ounce or if it be young you may give it half an ounce or one ounce of sirup of Roses Suppositories also made of Hony and Salt and put up into the body are good and safe or Violet comfits anointed with oyl and so used or Clisters may be given as take common oyl two three or four ounces of brown Sugar two or three drach the yolk of an egg Salt three or four corns make a Clyster and administer it Or Take of Marsh-mallowes half an ounce common Mallowes Pellitory of the Wall of each half a handful Cammomil flowers Linseed and Fenigreek bruised of each a drachme boyl them in sufficient water and take of the strained liquor three four or six ounces according to the age of the childe in which dissolve of Cassia two three or four drachmes common oyl one ounce or one ounce and a half with the yolk of an egg make a Clyster You may anoint the Navil of the childe with Butter or oyl of sweet Almonds either alone or mixed with a grain or two of Scammony or Coloquintida The Gall of an Ox or Cow laid upon a clout and so laid on the Navel causeth loosenesse or a plaister made with the gall of an Ox a rosted Onyon and Butter mixed together and applyed warm to the belly doth the same If you desire stronger means then take the juice of Walwort and Mildust boyl them together and apply them warm to the Navel CHAP. 19. Of Worms AMong all the diseases that are incident to children this of Worms is not the least There are