3. Or from the Quality of Humors provoking the faculty and then their signs are present Evacuations being premised we must use astringents II. Diairesis is when the Vessels are divided 'T is known by plentiful efflux of matter with pain It arises from causes which corrode distend or break The Cure requires conjunction or soddering by astringent Medicaments The diffences are taken from the Causes 1. It is either from external Causes viz. vehement motion heavy weight exclamation leaping contusion wounds sharp thick medicaments 2. Or from sharp biting humors and then the signs of a cholerick or salt humor are present The Cure consists in alteraion by cooling medicaments and such as blunt the sharpness of Humors by evacuation with choler and water-purgers c. and by a cooling and mitigating diet 3. Or from plenty of Humors in which case the Cure is the same with that in the Anastomosis 4. Or from Winds and then the signs of wind are present viz. stretching without weight wandring pain the Causes engendring winâ—s were precedent the disease arose on a sudden the Urine is ful of bubles c. The Causes are plenty of moist diet weak heat which cannot digest the matter The Cure requires that the Cause be evacuated that winds be expelled by convenient Medicaments White Amber is commended in this Case old Treacle also and Mithridate Electuary of Bayberries Conserve of Sage Spirit of Turpentine Oyl of Fenel Seed Anisseed Pouder of Citron Peels c. III. Diapedesis when the Vessels are rarified 't is known by an over plentiful sweating forth of Humors It arises from rarifying and moistening Causes The Cure respects the Causes Point 2. Of Diseases of the Cavities in Defect Diseases of the Cavities in Defect are when the Cavities are rendred more straight than is fit The SIGNS you shal meet with in the particulars The CAUSES of this straitness are Obstruction Constipation Growing together Compression Falling-in of which in the Differences The CURE requires the Removal of this Straitness which varies according to the variety of Differences As for the differences under them five things are contained I. Obstruction which is nothing else but the shutting up of the passages by Humors or other things It arises from Humors and things wholly against nature c. 'T is cured by convenient application of deobstructive medicaments 'T is divided according to the Causes 1. One sort springs from multitude of Humors and then Diet is the Cause Evacuation helps this sort which must be large it the Humors be many having respect to the places From the Chest by Coughing from the Stomach by vomiting from the Belly by Stool 2. Another from thick and clammy humors and then we must use abstertion cutting and attenuating somtimes abstertion alone wil suffice if the Cavity be open The medicaments ought to be strong when the viscidity of humors is great and the place remote more mild when the Case is contrary and alwaies appropriate unto the parts 3. Another is from Stone Worms Quittor Dung of which we shal speak in its place and then we must use al Evacuations either at once or at divers times And respect is to be had to the place in which the humors are lodged 4. Another sort is from clotters of Blood then we must use medicaments which dissolve blood such as are the Magistery of Crabs-Eyes Pouder of Rhubard Tormentil Sperma ceti not rancid c. You have cutting and deobstructive Medicaments above in the third Book The principal shal be specified in the Cure of particular obstructions II. Constipation when the passage is shut up by flesh or a tumor bred in the cavity It arises from a Caruncle Membrane inflamation Tunicle Push which must be concocted The Cure requires consumption and evacuation of the matter III. Coalescence is when the wals or sides of the passage grow together after an ulcer or wound It arises from flesh growing to the Cavity from a scar c. The Cure requires breaking IV. Compression when the passages are stopped by causes incident from without which force together the sides thereof It arises either from external causes as cold and dryers where loosening and moistning things are good or fresh Tumors or Bones removed out of their places The Cure requires their Removal and has an Eye to the diversity of Causes V. Falling in or falling down when the passages are straitned by the loosness and falling together of the sides It arises from over great moisture 'T is cured by dryers Article 3. Touching Diseases of the Surface Diseases of the Surface are when the parts decline from their natural Constitution in the second Qualities The chiefest of them are Roughness and Smoothness I. Roughness is a want of that Smoothness which ought to be in a part It is caused either by addition of a Surface in the solid parts as in fractures certain scales are seen and there is need of fetching somwhat off by abstersive Medicaments or by taking away and then sharp things both external as vapors Winds Fumes Meats venemous Medicaments and also internal as over dryness of the parts when their moisture is consumed bitter choler salt flegm c. In the Cure we must fil up that which was hollowed the acrimony of humors must be be tempered and the parts not yet affected must be defended We must goe to work with moist and clammy medicaments II. Smoothness is a defect of that roughness which ought to be in a part 'T is cured with abstersive medicaments which have withal some astriction that the tone of the fibres may be repaired and the spaces in the surface of the part being dilated by humors may be again contracted Chap. 2. Of Diseases of Number A Disease of Number is when there is a fault in the number of parts 'T is divided into a Disease of number in defect and in excess A Disease of number in defect is when a part which ought naturally to be present is absent That part is either Sanguine or Spermatick which is not regenerate or repaired in Specie or simple or compound nor must it be the particle of a part but a whol part The Cause is whatsoever either by way of efficiency or privation of matter may cause the want of any part The Cure points us to Restitution which is made only by nature the Physitian mean while preserving the strength of Nature by defending the natural Heat by supplying fit matter thereto viz. blood and by removing impediments that is to say Flesh and such like things As for what concerns the Differences Either the fault is original or through defect of matter necessary to generation or through the weakness of the natural faculty which ought to attract retain and elaborate the matter and so it cannot be restored Or after birth by cutting gnawing putrefaction refrigeration and the Cure is to be directed to its causes II. A Disease of Number in Excess is when there is a thing which naturally ought not
of the incision knife For the Differences see further in Aeginâ—la II. The Dilatation of the Pupilla called Mydriasis and Platucoria is when the Pupilla is inlarged above and besides the ordinary course of nature toward the it is or particoloured circie of the eye It is known by this that the sick persons either by reason of too much of the External light breaking in upon the eyes or else in regard that because of the falling of the Sun beames in an oblique manner upon them these oblique wayes being weaker than those that are perpendicular they are not able to see and discerne so clearly and acutly when they would look upon any object they then a little close their eyes and the one of them being shut the pupilla of the other cannot be dilated It ariseth from the Extension and stretching out of the Vvea of which this said Pupilla is the hole or inlet either by reason of external or else internal causes For the Cure hereof it must be sought for in the differences It is divided in a threefould manner I. One is native and such as is contracted from the very birth Another Adventitious and happening accidentally II. Another is from external Causes as a blow or a fal from on high c. whichâ—â—â— it be altogether without any inflamation is easily and soon cured but not so if it be accompanied with a rupture of the Vvea Another from Causes internal which are particularly expressed in the following difference III. Another is from siccity or drynes extending the Vvea like as we see in skins or hides that are perforated and this is not to be cured without some difficulty The best remedy in this case is Goats milk if the eye be wel washed therewith and as it were drenched therein Another from humidity the cure whereof is so much the more easie if it chance not after an extream and Vehement pain of the Head It is performed universal and general Remedies being first premized by the drawing forth of blood out of the Temple Veins and the Veins in the corners of the Eyes and by the applying of Cupping-Glasses in the hinder part of the Head and Leeches behind the Eares and likewise by the Use of Resolving Medicaments among which salted Water is much commended that have in them but little of astriction Another from blasts blowings which happeneth unto Trumpeters these flaculencies or windinesses are to be discussed scattered as aforesaid in affects of the like Nature III. The straightness or narrowness of the Pupilla which they term Myosis is when it is rendered and made narrower than naturally it ought to be It is known by this that al objects whatsoever that the sick persons look upon seem bigger than indeed they are that the visible species being conveied in through a straight and narrow inlet may be and are dilated in that broader space neer unto the Crystaline humor It ariseth from the contraction of the Vvea It is Cured according to the Nature and quality of the differences It is Divided according to the diversity of the Causes One is from overmuch humidity contracting the Vvea from the Circumference towards the Center For the which those Medicaments that are exsiccating and drying such are Rew and Selandine are a very fit and propper Remedy Another is from a defect of the watery humor and then the Patient wil see and discerne better in the room that is obscure and dark because that the visible species are more aptly and speedily Conveyed unto the Crystaline humor In this case an aliment and supply is to be attracted and drawn unto the part by applying of milk and sweet water unto the head Another is from a more scant and spare afflux of the visive spirits unto the said Pupilla Article II. Of a Suffusion A Suffusion otherwise termed Hypochyma is an obstruction of the Pupilla bindering the sight and caused by a humor consisting in the eye and residing in that part thereof The SIGNS are divers according to the quality and Condition of the rise and original of the augmentation and of the perfection or Period thereof and they shal severally and apart be explained in the differences The CAUSE is a humor either sincere and single or else mingled whether it be there collected or transmitted thiâ—her by the veines of the tunicles the Vvea tunicle or the Nerves It is collected most especially in those eyes that are great and sticking out we term them Goggle eyes in regard that the visive virtue when it is diffused in a wide space is the more infirm and weak and the laxity of the waies or passages affordeth a very facile and easie entrance The CURE is difficult if it chiefly happen from a feave or some extraordinary vehement pain of the head if it chance unto yong childeren or old aged people and none at al if the suffusion be black if the sick person discern not the light It is wrought if at al I. By the drawing forth of the obstructing matter by purging Phlegmagogues and especially hiera and the electuary that they cal diacarthamus but before these we may premise and administer preparatives II. By revulsion of the same matter by Cupping-Glasses Vesicatories c. III By a discussion of the said matter by Topicks mingled with Emollints or mollifiers and the clearing and cleansing of the eyes And here for this purpose there is commended the water called aqua Joelis the remmedy of Bovius formed of the gal of a Cock half an ounce the blood of a mouce three drams and a half and so made up like unto a Colliry with the breast-milke of a woman or else water of mans dung known by the name of aqua stercoris humani Elambicata with the gal of a Weasel and likewise of a hare saccharo caudi rosato and margarites prepared IV. By Chirurgical operation of which we are for further satisfaction in this point to consult those Authors that have treated at large uppon this subject The Differences of a Suffusion are Various I. In regard of its Situation 1. One is in the Center of the Pupilla which Representeth the Objects as though they came and passed through the Windows and this ought not by any means to be attempted by the needles point lest that the whol Pupilla be filled with the peccant Humor flowing thereunto 2. Another resideth between the Vvea and the Cornea Tunicle and then the Pupilla is evidently seen to be extreamly obscured and darkned and the Pupilla is of necessity dilated by Reason of the Humor that distendeth it 3. Another resideth betwixt the Vvea and the Crystalline humor and then the opposite unto the former do manifestly appear 4 Another is seated in a deeper place and then the Pupilla is very narrow and much streightned Another is situate in a place less profound and deep and then the said Pupilla is larger and wider II. They differ in regard of the degrees for One
there ought to be added and therewithal mingled one fourth part of the oyl of Camphire is to be taken and swallowed down or else it hath respect unto the Paroxisme now present and in being in which among other remedies the mouth is to be opened and a little bag filled with Rew Castorium c. is to be interposed betwixt the teeth then a Revulsion by frictions and ligatures is to be ordayned in the next place the belly is to be opened and implyed either by suppositoryes or a sharp and quick Clyster in the which there are some that boil the dross or refuse of Regulius Antimonii The Nostrils are to be anointed with the balsam of Amber and of Rew. The tongue and pallate are to be besmeared and anointed with Treacle dissolved in theâ—â—inegar of Rew if the patient be not yet exâ—â—ed and raised by these means then sternutatories are to be administred and applied or else a turtle having al its feathers first pulled off is to be imposed on the navel Inwardly there is to be administered the water of sweet black Cherries and that likewise of swollows with the oyl of Amber as also that of a mans skul 2. the Cure hath respect unto the time without either before or after the paroxysm in which 1. Let the matter the root of the evil be prepared the blood being first diminished unless haply the malady be inveterat then let it be purged forth by the inferior waies and passages with Agarick or some other convenient purger and this at several times by repetition and not al at once with special regard had unto the humors that possibly may very much abound Then let the remainder of the same aforesaid matter be quite removed and taken clean away by Sudorifickes especially those exotick and forrien sweaters to wit China and Guajacum together with our Country birdlime of the Oak 2. the matter that is left remaining behind in the brain is to be drawn forth by errhines Apophlegmatismes those remedies that we cal setacea and lastly by issues 3. Let the brain be corroberated and strengthened by cephalicks and Antepilepticks 4. Let there be a diet kept and observed in the which al meats generateing vapours specially such as favour and cherish the disease wine venery c. are carefully to be avoided 5. Those things that are appropriated unto the head and do specifically resist the Epilepsie of which we are now treating are to be added and together mingled with al the aforesaid remedies such as are the root of the male Peony gathered in July at the waning of the moon the right boof behind of the beast called Alx bird-lime of the Oak the magistery of mans skul the water of Swallows of Cherries black and sweet of the Linden or Til tree the oyl of white Amber the oyl of mans skul wafers made of the dew that is gathered at the feet of St. John Baptist in the night of that day a Pouder that consisteth and is composed of one dram of Crystall prepared red Corall two scruples oriental margarites one scruple oriental Smaragds prepared half a dram and so Exhibited and given in a fit and convenient matter according to its own propper dose There may be applied outwardly the skin of a wolf taken sâ—â—m that part where it sticketh and groweth to the spina or Back bone of two fingers breadth and worne like a girdle and also the Amulet ex frutice sambuci in salice of Hartmans invention One signe of a perfect Cure is this viz. If the Patient fal not into his fits which appeareth by his falling upon the ground when there is put neer unto his nostrils a suffumigation of things of an il and stinking savor The differences of an Epilepsie are very various I. One is that we terme Recent or new begun which if it be neglected in the begining most commonly it dieth together with them that are deteyned and kept under the power of it Another is that we cal inveterate which whether or no it may be cured is for the most part very doubtful and uncertain II. Another is that which is more mild and moderate in which only some certain parts are drawn together and suffer a Convulsion and the sick person when he cometh again to himselfe as we say is wholy ignorant of al that he did Another is more sad and greivious in which there is a Concussion and convulsion of the whole Body III. Another is that we term Periodical which invadeth and seizeth the party once or twice in every year or it may be every month at the new and ful moon or perhaps oftener but yet evermore at those times and such intervals as it was alwaies wont to keep Another is that which keepeth not neither observeth any periods But afflicteth and surpriseth the patient somtimes more rarely and somtimes again often and frequently IIII. Another is that which is such in its own essence to wit when there is an epileptical disposition in the very brain It is known by this that a man suddenly fals down without any the least pre-apprehension and sense of its paroxism and that when he returneth to himselfe he remembereth not any one thing of what was done and lastly that he is affected herewith chiefly and principally to which I may likewise ad very frequently about the new and ful of the Moon It ariseth and hath its first birth from those very same causes of which we have spoken above and it is also to be Cured in the self same maner If there there be any need of venesection then let the Cephalick vein in the Elbow be opened and here likewise fontinels or issues and those external and manual remedies which practitioners cal setacea are of singular use In this difference alone there may be a cautery applied unto the Coronal future It somtimes hapeneth by reason of an impostume in the brain and sometimes from the corruption of the Meninges or Membranes therof somtimes again by means of a rotten and putrified skul a wound c. touching which enough hath been already sayd in its proper place Another is by Consent or agreement with some other parts when the cause being before produced and begotten in the inferior parts is lifted up into the head and there exciteth an Epilepsie It is known by this that the paroxysm when it is nigh approaching may be perceived and foreknown and a certain kind of air as it were ascending from an inferior part there is a pain perceived in some one part or other and then the sick person returning to himselfe remembereth the paroxysm The Cure is to be ordered according to that part that most requireth and commendeth it and the matter that tendeth upwards is to be drawn back again It is variously divided of which we shal speak more in the following difference V. Another is from the stomach in the which the sick persons fal into the epilipsie if they take not their food often then there are present
or Speechlesness and a hurting of the Taste I. The Tumor ariseth either from External Causes as the anoynting thereof with hydâ—arge or quicksilver the eating of poisons Mushroms c. and then those things that purge are to be eschewed and not medled withal the Tongue is to be washed and cleansed with the decoction of Scabious and plantane together with a little treakel and honey of Roses Or else from internal causes to wit an afflux of a matter hotter than ordinary to wit blood or Chollor and then for the most part an inflamation is excitted or else of a matter that is colder than usually and then the tongue waxeth white and very much flegm floweth fourth or else of a poysonus mater as in the French disease and this carryeth its signs along with it or else the master is corrupt and canckerous and then the malady is almost incurable and a putridness or a flux of blood in tongus that are quite eaten through happening at the Root of the tongue at length the persons thus affected dye thereof For al and each one of such like patients aninunction with the oyl of vitriol and honey of Roses is very conducible as likewise the opening of the veins under the tongue II. Ranula is a swelling in shape resembling a frog which now and then ariseth and groweth out under the tongue out of that soft flesh on which the tongue lyeth and unto which it is tyed and fastened as with a chain It is known by the bare looking upon it It ariseth from a viscous and Pituitous blood flowing thither and exciting a soft and loose swelling that being opened yeildeth forth a kinde of snotty filth like unto the white of an egg It is cured either by topical remedies among which the oyl of vittriol with the hony of Roses is very prevalent and avaylable or else by Chyrurgial Operation which ought to be seconded with liniments of torrefied Tragacanth together with the Hermodactyl root and the white of an egg or with gargarismes or with both together III. A Blackishness with a scabbedness and clefts sometimes ariseth from hot and fiery vapours and Exhalations and this especially in burning feavers It ought to be washed with the Milk of a Goat or that of a Bitch and also to be cherished with the Mucilage of the seeds of Psylium or fleabane and quinceseeds and after al to be washed with refrigerating waters together with the salt or stone prunella IV. A Palsie hapeneth unto the tongue and that either unto the whole tongue and then those nerves that are derived from the seventh Conjugation of the Brain neer unto the place where the spinal marrow hath its begining are wholly impeded and stopped and there is also very great fear of an Apoplexy impeading and now nighe at hand or else only unto a part thereof whether the right or the left either by the default of the Nerves or the Spirits In the Curing hereof Universals alwaies premised we commend to you the Salt of Margarites ten grains thereof in Malmesey the Oyl of Rosemary with the little rols of Diambra or Diacastoreum the Water or Spirit of Black Cherries the rubbing of the Tongue with Tobacco Leaves Rocket Seed and Treacle See likewise the Electuary of Solenander in his Consultations V. Stammering and Stuttering infest the Party either from Drunkenness or from an ill Composure and frame of the Tongue or from the shortness and excessive thickness thereof or else from its Immoderate dryness or overgreat Humidity and moisture It is not to be taken away and Cured but with much difficulty VI. The Aphony or Speechlessness ariseth either from a default and error in the natural Formation thereof or else from the Palsie when it is Consummated It is to be Cured like as the Palsie And for this purpose there is commended the water of lillies of the Valley and of Lavender with the Blood of a Turtle the Oyl of Anni-seeds and the Spirit of Vitriol VII The Hurting of the Taste is then said to be I. When it is either Diminished or wholly Abolished and this either by the over-cooling of those softer Nerves derived from the third Conjugation of the Brain or else by the affecting and hurting that part of the Brain from whence they proceed and pass forth there is here to be prescribed the opening of the Vein under the Tongue as likewise al those things or which we made mention in the Aphony and Palsey II. When it is depraved so that another kind of Savor is perceived which then happeneth when either the body of the Tongue or the Membrane that encompasseth it about is Replenished with a noysom and foul Humor that either alone of it self of else dilated together with the Liquor of those things that are Eaten and Drunk penetrateth into the Body of the Tongue and the soft Nerves thereof and then the Savor is perceived to be in tast either Salt or bitter or acid and sour according to the nature and quality of the Exhalation and Humor And here we approve of the Rubbing of the Tongue with the Root of Zedoary or Gentian the Raddish pickled in Salt Chewed before Supper and the Mouth afterward washed with Wine c. Title VIII Of the Diseases and Symptomes of the Lips THe Affects of the Lips are Clefts Vlcers Trembling and Preversion I. Fissures or Clefts are a solution of the Continuity of the Lips by overmuch dryness and extension They are known by the view They have their Original from overmuch dryness and extension as was said before in the definition It is Cured by Correcting the dryness with those things that Humectate and moysten and by uniting of the dissolved Union For this purpose we prescribe that Fat which distilleth out of those wooden Spoons used in Kitchings to boyl withal if they be put neer unto the Fire They are variously divided I. Some are from the very Birth and these are hardly Cured Others are Adventitious which are more easily Cured unless they chance to degenerate into a Cankerous matter II. Some are from Causes External Cold heat the North wind c and then the relation of the Patient wil suffice In the Curing of them like as they al must be removed so ought there to be a regard had unto each particular of them For those of them that have their originanl from Cold the White Pomatum is excellent good Others from Causes Internal to wit I. Hot Humors which are many times devolved from out of the Head and these bring along with them a kind of itching and profundity In the Cure the matter being Evacuated fine soft Linnen clouts wel soaked in the Juyce of Sengreen are to be imposed and laid on them and if the Chaps or Clefts be somwhat deep they are then to be anoynted with Goose Grease and Capons Grease II. From Vapors which are Hot Dry Salt and Sharp They ascend up from the inferior parts by the Oesophagus or the great rough Artery called Aspera
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
hangs forth like a Taile The SIGNS and CAUSES are the same as in a Tentigo only that Women fear Copulation The CURE is also the same if it must be cut off it must be done either with a Horse Hair or a silken thred dipt in sublimate water or by Iron Article II. Of the straitness of the Neck of the womb The straitness of the Neck of the womb is either a stopping of the same or of the Orifice of the womb either by compression or a growing together The SIGNS are the Flux of the Courses denied in them in whom they were wont to flow through the Neck a sense of pain with a weight The CAUSE is either natural when it affects from the birth or accidental of which in the Differences The CURE varies according to the Nature of the Differences The Differences are taken from the Part and the Causes I. One is of the outward Orifice which is called of the Pudendum in which the Courses which flow both by the neck and by the womb are disappointed there can be neither Copulation nor Conception because neither the seed nor the man is received Another of the inward which is called the Orifice of the Womb in which the seed received presently flows forth again conception can in on wise be II. One is by way of Compression which is Caused 1. By a Fat Caule lying on the mouth of the womb 2. By a stradling of the Thighs 3. By a stone in the bladder 4. By a Tumor in the right Gut of which in their place Another is by way of growing which is caused 1. Either from the birth and then either flesh stops it which is red to sight soft to touch or a Membrane which is white to sight hard to the touch In the Cure 1. The Part being moistned with warm Fomentations it must be cut streight up taking Care that the Neck of the Bladder be not hurt 2. The humor must be drawn forth and a tenâ—must be applyed dipt in a suppurating Medicine 3. And astringent pouder must be had in readiness for fear of a Flux of blood 4. The following daies the place must be washt with honey water and we must act with things that Cicatrize 2. Or after the birth cheifly from an Vlcer and then either the sides of the Neck are grown together in which case we must use incision but very warily or there is a Callous substance which first must be cut off with a Pen Knife or a Spongy and Luxuriant flesh in which first of al we must use dryers and discussives as brithwort Frankincense Myrrh Mastick afterwards we must apply corrosives without pain at last we must cut it Article III. Of the pustles Condylomata and Hemorrhoids of the womb Pustles of the womb are little bunchings arising in the neck of the womb which by their Acrimony do Cause itching and pain The SIGNS are Itching Pain a folling down of Scales like flower to which we must add a Speculum Matricis that the affect may be the better discovered The Cause is cholerick sharp adust and thick humors which emptied into moist and loose places do insinuate and immerse themselves in them The CURE respects the causes universals being premised where amongst preparatives prevaile syrup of Fumitory of succory with the decoction of hops topicks discussing and mitigating the humor especially baths and halfe baths which must be followed with washing the part with wine and niter But these must be often repeated They are divided into benigne and malligne or venereal which are stuborn and contagious they ought to be washt with the water made of aloes the quantity of one vetch flower of brass the quantity of half a vetch flower of brass the quantity of half a vetch pouder'd and mixt with white wine one ounce plantane water and of rose heads each one ounce and kept in a wide mouthed glass II. Condylomata are swellings of wrinkles in the necke of the womb with heate and paine There is no need of Signes because they appeare to the eyes oftentimes if there be many they resemble a smal bunch of grapes The wrinkles hang forth like knobbs which appear in the fist clutched But they swel more when the courses flow The CAUSE is Thick and Adust humors The Cure in general respects the taking away of the causes and repercussion and drying As concerning the Differences Some are with an inflamation in which the pain and heat is greater the condylona is hard In the Cure we must act with anodyne half baths and perfusions Others without an inflamation which if they be new we must repel and dry if cold and inveterate we must first mollefie then disgest and dry Here take place the pouder of egg-shels burnt the oyntment of trochisks of steele one dram redeuced into pouder and mixt with oyl of roses and wax adding halfe an ounce of the juice of mulein The oyntment of the mad apple concerning which see a Castro l. 2. c. 25. de Morb. Mulier If the condiloma yeild not to these medecines it must be cut off by an instrument and astringent pouder strewed on III. The hemrods of the wombe are smal swellings like unto the hemrods of the anus raised in the necke of the wombe by an afflux of Feculent Blood The Subject is the neck of the womb for there they are where the veins doe end as in the hemrods of the anus and these are lift up by an afflux The Signs are manifest for they are discovered by the sight if a speculum matricis be applied the women looke pale and are troubled with a weariness The Cause is Feculent blood which when sometimes it flows to these veins not at its due time there stopping it becomes thicker that it cannot penetrate the orifices The Cure is order'd 1. By revulsion by opening a vein in the arme 2. By derivation by opening another in the ankle They are divided twofould I. Some are painful which by the paine it selfe are distinguisht from the courses and are cured by things that mitigate the same especially half baths and the Cataplasme of a Castro l. 2. c. 26. de Morb. Mulier And also with opium which notwithstanding is safer in the hemrods of the anus Other without pains to which what is and shal be said ought to be applied II. Some are open which flow either moderately and then the business ought to be comitted to nature Or too much so that the strength is dejected and there is feare least an evil habit of body be induced and then for revulsion blood must be taken from a vein of the arme at several times For purging myrobalanes tamarinds and rhubarb serve At last we must act with things that stop blood Others are blind from which no blood at al flowes forth The Cure is perfected by emptying of blood by emollition and fomentation of the part with mollefiers and things opening the mouthes of the veins and discussing the matter By artificially opening
the same concerning which things see the chapter of the hemrods of the anus Article IV. Of the ulcers of the neck of the wombe There is no need to define what the ulcers of the neck of the womb are Their Signs are a pain and perpetual biting in the same place which by little is increased especially if any thing abstersive be cast in a flowing forth of sanious humors and matter by intervals somtimes with blood if the ulcer be great or the courses flow A pissing often and hot if the otifice of the bladder be drawn into consent a paine in the forepart of the head extending it selfe to the roots of the eyes if the head A smal seaver which in process of time growes slowe with often horrors c. The CAUSES are al external and internal things which by their acrimony can dissolve the continuity in that part of which in the differences The CURE is difficult because it is in a place of exquisite sence moist and which hath a consent with many parts 'T is Ordered the same manner was spoke in general in the first book To inhibit the paine Steeled milk cast in doth good For drying baths The Differences are various I. Some are from external causes as medicines hard labor violent copulation And others from internal as are the secundine corrupted the flux of blood retained the flux of the womb a virulent gonorrhaea the french pox Inflamation Humors flowing thither either from the whole or a part or generated there al which must be attended in the cure II. Some are superficial from which little matter flows and medicins may be layed upon them Others profound which are in a contrary way and the medicines ought to be injected III. Some are Milde with little matter thick not stinking in which both the gentler abstersives as honey of roses with barly water whey with sugar or the decoction of lentils and the more benigne astringents take place Others sordid with plenty of matter and flowing forth with paine in which we must act with stronger things The mundifyer of smallage in Castro l. 2. c. 29. is here commended Others are eating with a colored matter green livid stinking flowing forth with paine in which aloes and wormwood amongst mundifers are the cheife IV. Some are called Phagades which are smal and longe ulcers eating the skin of the necke of the womb They are known both by the paine and blood caused in copulation and by sight if the neck be looked into and they are like unto them which in winter time are wont to rise in our hands They arise many waies 1. Externally from a painful labour violent copulation and then we must use an astringent glyster 2. Internally from an inflamation condylomata an afflux of sharpe humors which must first be taken away by purgers before we come to topick medicines There is commended for them the fatt which distils from wooden spoones used to boyl in kitchins if they be a little moved to the fire and burnt and also the oyntment pomada Others which leave behinde them a Fystula which is voide of paine unless it come to a nervous part sometimes it passes to the bladder and right gut and the excrements are cast forth through it If it be ancient it ought to be left to a palliative cure in which at fit seasons the body is purged but the callus which is alwaies joyn'd with it if that be curable after drying of the part being molefied by vulnerary potions must be wasted either by cutting or burning Of a cancer and gangrene I meet with nothing singular That is generated by menstruous blood adust and when scirrous tumors continue long This in this place ariseth from an inflamation cancer and ulcers there il cured For while these parts are moist and abound with excrements they are easily corupted and perish Chap. 2. Of the diseases of the womb Article 1. Of the distemper of the womb The diseases of the womb are distemper straitness of the vessels inflation inflamatition a scirrhus dropsy falling down of the womb wounds and ulcers The distemper of the womb is a swarving of the same from its natural temper to a preternatural distemper arising from external and internal causes 'T is divided twofold I. One is hot which is known by a proness to venery by the scarceness yellowness blackness adustion acrimony of the courses and by their difficult and inordinate flux whence in process of yeares they become hypochondriacal by the early growing of hair in the privities redness of the face and dryness of lips often pains of the head and abundance of cholerick humors in the body It ariseth either from the birth from whence are viragos and barrenness or after the birth from external causes amongst which are the use of hot thing too much venery medicines which do move the heat and blood to the womb 'T is cured 1. By the contrary diet 2. By cooling medicines both internal and external which are applyed to the loins and back but they must be moderate least the heat necessary for conception be weakned the cold substance of the womb because it is membranous be violated the vessels which ought to be open for flux of the courses be condensed and the nerves which are in the loins and back be hurt 3. By emptiers viz. Rhubarb syrup of roses solutive manna c. The flowers of Vitriol of Venus Mars from three grains to six grains given in some syrup is an appropriate purger for the womb Another is cold more frequent than the hot which is known from a less desire to venery and the little pleasure in it by the stopping mucosity flegmatickness of the courses and their inordinate flux by reason of the plenty of the like humors collected in the womb from whence is obstruction by the plenty of wind in the womb by the crudity and watrishness of the seed from whence it flows without any pleasure by the pale color of the face and other things opposite to the former It ariseth also from causes contrary to them 'T is cured 1. By a contrary dyet 2. By hot medicines applyed to the womb amongst which do excel inwardly the Roots of Birthwort avens angelica eringoes the Leaves of Mercury balme dittander of Candy pennyroyal Sage Rosemary mugwort The Flowers of wal Flower Marigold Sage Rosemary burrage Spices Nutmeggs Cubebs Saffron Cinnamon Of Compounds Oyl of Mace Amber Myrrh Cinnamon Fecula bryone Aqua vitae Mulierum The extract of Zedoary Outwardly the same things reduced into their formes Another is moist which for the most part is joined with a cold It is known by the plenty thinness and watrishness of the courses the moisture of the privities by reason of the humidity of the excrements and the passion of the Flux of the womb even when the seed is voided no delight in venery and an aptness to miscarry when the young one grows bigg It ariseth from the same causes as yet which
to be present The Cure requires the removal of the said thing which according to the variety of the things to be removed must be various lest other parts be hurt or that they may be hurt as little as may be it is not to be applied to such things as do not trouble a man If you consider the differences The thing superfluous is either wholly against nature as Stones Wormes c. and then the Cure is to be applied to them or some entire substance which arises either through over great plenty of master and the weakness of the formative faculty in the first shaping of the Child or by reason of of some vitious quality afterwards In these Cases the removal is procured by Fire and hereunto belong actual Cauteries Iron whereunto belong al kind of sharp instruments Medicaments Causticks Vesicatories c. of which we shal speak in their own place when we handle particular Diseases A Vesicatory Plaister made up of one ounce of Cantharides or Spanish flies half an ounce of Terpentine Olibanum Myrtle Mastich Camphire of each one dram Oyl of Roses of Wax of each a sufficient Quantity is very much commended Chap. 3. Of Diseases of Magnitude Article 1. Of Tumors A Disease of Magnitude is the swerving of the parts of Mans Body from their natural magnitude It is divided into a Disease of Magnitude encreased and of magnitude diminished Magnitude encreased is a Tumor which is a swerving of the Parts of Mans Body from their natural State by encrease of bulke The SIGNS are needless to recount for if it happen in the external parts it is perceived by the sight if it be within it either discovers it self by some external Sign or by some other internal ones of which when we come to the sorts To encrease of Bulk there is somtimes added distemper if the matter exceed in Qualities and communicate them to the parts Solution of Vnity if the Continuity be loosened by fretting or stretching Faults in the shaping either if the figure be corrupted the Cavities compressed or obstructed The Causes are Humors Winds solid Substance of which we shal treat in their Differences The CURE requires Imminution or lessening that which is overgrown which if the parts be not sound it is perfomed by the same medicaments which are good in Number abounding if sound it is performed by lessening the Parients diet digestion discussion c. The Defferences are sundry I. One is from the Humors which is known by the signs of the Humors it arises from Blood Choler Flegm Melancholick Seriosities whether they be in the part by congestion or affluxion and whether they are included in a peculiar membrane or not 'T is Cured and that with Difficultie if it be suddenly diminished and be not evacuated by convenient passages if a Fever be raised or the fever that was before augmented The Cure varies according to the variety of the Differences 'T is variously divided For 1. Either it is from Humors stirred up in the part partly through fault of the part inasmuch as the concoct ve or expulsive faculty do not perform their Office partly of the Aliment seeing it is vitious and such as it cannot be overcome by the part and such as affords great store of Excrements And then the tumor is longer in breeding does not take up so great room no cause or sign of any fluxion went before In the Cure we must have an Eye to Alteration and Evacuation and the latter must be sensible if the matter be plentiful and the part thick Insensible if the matter be little in quantity and soft Now concerning the Congestion of Humors observe 1. That the matter which is Collected in the common cavities being so encreased that it can be no longer there retained is poured back to the Cavities and particular pores of the Place 2. That not only thick and clammy Humors but also the ichors or thin Liquors which separate themselves from the thick humors are brought unto and stick in the the part affected especially when they grow cold out of their own proper place 3. Also it may proceed from a spirituous matter whence it is that a part being weakned by a blow does somtimes remain continually puffed up and swollen 4. Also that putrid humors are collected and hence it is that there wil be smal risings in ulcers 2. Or it is from humors that come into the part from some other place either by Attraction caused by Heat or pain or by Transmission either from the whol Body or some parts Then the signes are contrary to congestion There was no pain in the part if it came by Transmission there was if it happened by afflux In the Cure we must respect both the continuing Affluxe and the tumor which is in breeding where evacuation has place either by blood-letting or purgation Revulsion to the contrary Derivation to the near parts Repulsion Interception c. and also the Affluxe already performed where the same remedies are useful unless the matter be forced and fixed into the part which must then be softened and ripened 3. Or from humors shut up in particular membranes or Bags where the humor is turned in a manner into another substance 4. Or from malignant humors where the signes of Malignity are present II. Another proceeds from Winds which is hereby known that there is no heaviness felt though there be sometimes paine and the part is sometimes greater sometimes lesser It arises from causes ingendering wind and winds are multiplied and collected either under the skin and about the membranes of the muscles in the pores themselves of the similary parts or in the membranes of the bowels or in their cavities It is cured and that with difficulty if it be contained in the Muscles because the flatulent spirit is disposed in al their parts restrained and shut in by the ambient membranes It is nevertheless cured by evacuation of the matter discussion thereof and Roboration of the part III. Another proceeds from solid parts whether they be bones fallen from their own into another place or soft parts removed out of their place or arteries or veins of which we shal treat in their proper places IV. There is another which is taken away by invisible discussion and then the matter is neither much nor thick nor deeply situate nor shut up under a thick and compacted skin The Body is not impure Nature is strong the member growes lighter the troublesome pulsation ceases V. Another is term inated by Suppuration and then the matter is more plentiful and thick lying in a deep place under a thick skin while quittor is making a paine and palpitation in the part together with a fever afflict the patient whenthe quittor is produced the heat is diminished the paine eased the tumor becomes pointed and begins to be soft and white the quitt or may be felt under a mans finger flowing this way and that unless the part be thick or it lie deep