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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

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in the womb and receiving the same into the pores of the body the which at that time for debility of nature could not be expelled but the child increasing afterward in strength is driven out of the veins into the upper skin Secondly it may come by way of contagion from a peculiar malignity of the air when any place is infected so that one person infecteth another Now the fuller the body is of this menstrual blood the deeper impression doth the outward air make in it which is the reason that some have them in greater quantity and are fuller of them then others And so according to the malignity of the humor it is more or lesse dangerous to some then to others Sometimes the ill dyet of the nurse or feeding upon meats that increase rotten humours may cause this disease The signs The signes of them are these Pain of the head eyes and throat with a beating of the head and temples itching of the nose neesing fear and starting in sleep like fits of the convulsion or Falling sicknesse and sometimes Convulsions with ravings all which happen from hot vapours and that from the boyling of the blood and so ascend up to the head Also there is a pain and beating of the back heavinesse of the whole body a pricking pain in all parts as if stung with nettles difficulty of breath a trembling of the feet yawning or gaping and a stretching of the body trembling of the heart and sometimes swoning rednesse of the eyes great drought hoarsness and a dry cough The urine is sometimes red and thick which shewes great heat and boyling of humours and sometimes not much differing from the water of one in health The nose doth many times bleed and that from the heat of the blood and by it's sharpnesse doth open the orifices or mouthes of the veins which if it happen to be much in the beginning then the disease is not so violent Sometimes the eyes water and are moist And last of all the spots appear and that most times within three or four daies The small Pox or Measels happen chiefly in the Spring and Autumne especially if the Summer before were wet and the winde in the South or if the winter foregoing be warm and the wind Southern The Prognosticks It is better to have the small Pox or Measels come forth speedily then to be long in coming forth for this sheweth strength of nature If after they be come forth the feaver and other symptomes do decrease t is a good sign If the spots be white or red and full coming to maturity or ripenesse 't is good but if they be blew or black livid and fall flat whether few or many 't is a bad sign If fainting of the spirits or swoonings fluxes of the belly shortnesse of breath black urine or Convulsions happen 't is worst of all If the feaver increase after they be come forth and they flash abroad not ripening speedily and if hoarsenesse follow these are very bad signs The cure The safest way is not to meddle much with children that have these diseases but to let nature alone herein yet where nature is weak it will be very necessary to use means to expel out the disease As Saffron in milk London Treacle and Diascordium if there be a loosenesse is very good given in Carduus or Angelica water Barly water made with Figs Dates Licorice and Annis seed is very good or Take of French Barly a handful shavings of Ivory and Harts horn of each two drachmes Licorice bruised one ounce Citron pils dry and cut in thin slices three drachmes boyl them in a pint and a half of Posset drink to a pint strain it and let the child drink often of it especially morning and evening Or Take three or four Figs cut Harts horn two drachmes Marigold-flowers a drachme Carduus half a drachme Boyl them in a pint of Posset-ale strain it and add thereto of Saffron in powder two scruples Give three or four spoonfuls of it morning and evening warm A Cordial Julep Take of Carduus or Angelica water three ounces syrup of Baume one ounce two drachmes Treacle water a spoonful or two mix them together and give often of it a spoonful at a time If the child be bound you may put up a violent comfit anointed with oyl or if the Pox be well come forth and the child be bound you may administer a Clister made with milk and brown Sugar or take of milk a quarter of a pint and two ounces of Sugar mix them together and administer it warm After the Pox are come forth and do begin to dye you may anoint with this following An Oyntment Take of chalk in fine powder and often washed in Plantane water two drachmes of Cream two ounces mix them well together and anoint the face with a feather Or use the oyl of sweet Almonds mixed with Parmacitty You must not keep the childe too hot nor too cold for being kept too hot it may cause faintings and swoonings and being kept too cold it may drive them in again and so check and hinder nature from expelling them out to the skin See more in my book called Help for the Poor Pag. 56 57 58 59. CHAP. 10. Of watchings out of measure and want of rest THe childe while it is in the mothers womb is detained or kept in a perpetual sleep and after it is born if it be well it doth sleep much at the first because it hath a very moist brain and doth abound with humidity or moisture The cause The cause of watchings is the corruption of the milk or too much milk which putrifieth in the stomach from whence sharp vapors arise continually to the brain and stir up the animal spirits not letting them be at quiet Sometimes breeding of teeth may be the cause thereof The signes The signs are manifest for the child cannot sleep but is constantly out of quiet Prognosticks This is dangerous in children not onely because in general sleep and watchfulnesse if they exceed measure are ill but chiefly because this is contrary to the nature of children which are wont to sleep much By too much watching humours are stirred up and become dry from whence Convulsions fears Catarrhes or Rheums and other diseases are bred in children The cure The means to bring rest are inward or outward Inward means are these following Inward means If the child be bound give it syrupe of Roses or put up a violet comfit into the body of it and give every night the bignesse of a Pease of Diascordium in a little Posset drink more or lesse as the childe is in bignesse This you may use four or five nights together if need be but where the body is bound be sparing in the use of it Barly water made with white Poppy seeds may be given to the child at night or half a spoonful of syrupe of violets or syrupe of white Poppy heads half so much where the childe
is subject to watchings else use not the last Outward means Outward means are these following make a Bath if it be Summer of the tops of Dill Cammomil flowers Mallowes Willow leaves Vine leaves and the heads of Poppy white or red and wash the feet therewith You may anoint the temples with oyl of Roses or oyl of Violets or water Lillies or with Populeon oyntment or you may use oyl of Nutmegs made by expression to the temples warm or you may make a Pulcis of white Poppy seed womans milk or Rose water or Nightshade water and the white of an egg with a little Saffron Anoint the nostrils with oyl of Violets mixed with the juice of Nightshade If it proceed from breeding of teeth then use those means set down in the Chapter of breeding teeth Let the Nurse use a good dyet and means that may cause sleep as Almond milk made with a decoction of Lettice and white Poppy seeds Or she may take a spoonful of sirup of white Poppy for three or four nights together in Posset drink CHAP. 11. Of Fear Starting and terrible dreams AMong the diseases that are incident to children Hippocrates mentions great fears and startings which is nothing else but troublesome sleep accompanied with terrible dreams The cause The causes hereof are impure and filthy vapors which mingle themselves with the animal spirits and trouble the same representing terrible fancies to the imagination now these vapors arise from the bad concoction of the stomach Therefore this disease is very subject to children who suck the milk very greedily or eat abundantly and so receiving more nourishment then the stomach can digest it is corrupt and so these vapors arise to the brain and trouble he animal spirits Neither is it absurd to say that these vapours do not onely ascend by the * Oesophagus is that part by which meat and drink are turned down into the stomach Oesophagus or gullet but that by the veins they ascend up to the head Elder children are subject to this disease as well as younger Galen saith these fears are caused when there is a natural imbecibillity or weaknesse of the childs stomach and the meat received is corrupted in it which cause vapours to arise up to the head and bring these startings Sometimes they come from worms and when they breed their teeth The signs The signs are manifest for they often start in their sleep screech and cry out suddenly and many times they shake and are all in a water and most times a hot and stinking vapour proceedeth out of the childs mouth The Prognosticks This disease must not be sleighted because many times it is the forerunner of the Falling sicknesse The cure For the cure hereof means must be used to take away the corrupt humours in the stomach Let the Nurse keep to a moderate dyet and use meats that hinder corruption and abstain from all vitious and corrupt food as Pease Beans Leeks Onions Colewort c. that so the milk may be good which the childe sucketh Let the childe suck but sparingly and moderately least by too often sucking the stomach be oppressed neither let the childe after sucking or feeding be laid to sleep but kept watching a while that so the nourishment may descend to the bottome of the stomach and the concoction be the better When it is laid to sleep let it not be much rocked for overmuch shaking of the child hindreth digestion and causeth the childe many times to vomit To remove the corrupt food in the stomach let the childe take oyl of sweet Almonds or sirup of Succory or Manna or a little hony of Roses solutive you may give a spoonful or two of either for these will cleanse the corrupt humours and provoke to stool Give the child half a scruple or more of Pyony seeds in a little milk morning and evening or give it a little Magister of Coral Or Take Magister of Coral a drachme species Pleres Archonticon a scruple Sugar dissolved in Rosewater one ounce make rouls or cakes and give of them to the childe or dissolve them in beer and so give them Let the stomach be anointed morning and evening with oyl of wormwood Mints Nardus Mastick or oyl of Nutmegs Or Take oyl of Wormwood and Mastick of each a drachme Cloves in powder ten grains wax half a drachme make a Liniment and anoint the stomach therewith If starting come of worms or from a feaver then use those means set down in the several Chapters Great care must be taken against all occasions of fear and frighting be taken away CHAP. 12. Of Rheume the Cough and shortnesse of breath THe Cough Rheume and shortnesse of breath doth oftentimes much molest and disquiet children The cause The cause of rheume in children is from their natural constitution or moist temper of brain from which many excrements are easily heaped together And this happens from abundance of milk oppressing the stomach from whence many vapours arise up to the brain and fill the same For if the brain be filled with excrementitious humours or molested with the cold air which the child was not used to in the mothers womb or with too much heat or being kept too hot either the head or body the matter gathered together in the brain doth plentifully fal down to the nostrils mouth or lungs Now if these excrementitious humours cannot be purged by the nostrils they slide down into the rough artery cause a cough If they fall down to the lungs they cause shortnesse of breath The Signs Whether the humor be hot or cold is easily known for if it be hot the humour is more thin and the child doth often sneese the face and cheeks are hot and the mouth of the child is hot which may be perceived by the nipples of the nurse as also in sucking If the humour be cold then the contrary is found Now whether the shortnesse of breath proceed of matter descending from the head or from a phlegmatick blood ascending from the veins to the lungs may be thus known if it come from the head there is a cough and rheume doth follow and sometimes as they breath they snort and make a noise because the air is stopped coming from the lungs But if it come from a flegmatick humour arising from the hypochonders then there is neither cough nor rheume and the hypochonders are puffed up and swollen The Prognosticks Rheumes and also the cough following and shortnesse of breath in infants and children are not to be neglected because strong Coughing doth not onely cause watchings and vomiting but Ruptures and Rheumes also bring suffocations and death many times These Rheumes and Coughs in children are not so easily cured because those medicines cannot be used which bring expectoration or spitting and to cause the matter to be easily spit out The cure Let the nurse keep a temperate dyet avoiding all sharp and salt meats as also all things that cause vapours to ascend up to
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