Scabs drye not of themselves fast enough use Aloes Litharidge Cerusse and Sanders and wash them in salt water in which Plantain Roses or some other drying thing is that may take away the acrimony of the Salt If they do not ripen fast enough boil Figs and Mallowes together and dip a Cloth in it and touch them often with it being warm it mitigates pain and ripens them In the end of the Disease the Scabs sometimes turn into Ulcers which are cur'd with the Ointment of Litharidge and Cerusse and an ill colour is left which is taken away thus Take of Lupine Barly and Beans of each two Drams bruise them and boil them in a convenient quantity of water until it is thick and with it wash morning and evening the Childs hands and face until the Scales fall off The Scars and holes left by the Pox is hardly cureable the fat of a man and the Oil of Egs is very much commended Chap. IV. Of the Consumption A Consumption is called Leanness Gracility and Tenuity If it be considered as an habit and a certain durable and permanent state of the body and as hurting the Actions of the body it is a Disease if as it depends on a vitiated Nutrition and as a simple Disposition then it is rather to be called a Symptome and an effect of a Disease A Consumption is an Extabescency and Exiccation of the whole body arising from a want of nourishing of the body The Subject is the whole body the harder part whereof may be dried and diminish'd the Veins and Nerves may be so extenuated that they may seem to be much lesse that a great vein may seem to be a little vein c. but these parts cannot be so lessened as that the whole body should decrease wherefore the whole body is said to be extenuated in respect of the more soft parts as the fat and flesh the fat is first consumed because it is caused by cold and whatsoever is concreted by cold unlesse it be vehement is easily dissolved by heat Moreover fat hath scarce any other use but to preserve the natural heat After the fat the flesh is consumed which is as a bond of the Constitution of mans Body but not necessary to Life but the seminary parts as Veins Nerves Arteries c. are the foundation of Life and cannot be consumed with the preservation of Life as the flesh can be which is not necessary for Life and it is of three sorts 1. Musculous which consists of Veins Membranes and Arteries 2. Glandulous as that of the Breast anp Testicles 3. Pure Flesh as that which is between the Teeth and in the top of the Yard These three sorts of Flesh consume in this order First the the Musculous Flesh. Secondly the Glandulous and last of all the pure flesh The immediate cause of this Disease is the frustration of nourishing either by the fault 1. of the Aliment being deficient and too little or vitious that it is not assimilated or attracted by the parts of the Body 2. or fault of the Nutritive faculty when the naturall heat and radicall moisture is Defective The nourishment and food is too little when the appetite in the Stomach and other parts is wanting as in an Universal weaknesse or when it is not distributed the Meseraick Veins by their drynesse are often so shut and close that the Chile cannot passe from the Stomach into the rest of the Body and so the parts are extenuated So likewise as often as the meat is prepar'd and sent another way there is Leannesse as in Vomiting and Fluxes so it is by worms consuming the nourishment that ought to be turned into flesh The Blood is faulty cause of Leanness when it is too Melancholical for where the Spleen flourishes the rest of the body growes Lean and where the rest of the body consumes the Spleen growes So likewise when the Blood is too Cholerick for then it is offensive to nature for no blood can be turn'd into the substance of the body that hath Choler mixt with it or if it be waterish whereby bodies also consume as in Dropsies so likewise if the blood be Salt leannesse is caused for Salt things are Earthy Dry and contrary to nourishment and dry the body and is not assimilated and therefore consume and extenuate directly and naturally by accident Salt may conduce to nourishment by exciting an Appetite and distributing the Food but naturally it is contrary to nourishment insomuch that some have Writ that Fishes are not nourish'd with Water or Juyces that are Salt but with sweet things or other things that are found in the Sea Nourishment is also hindered by the fault or distemper of the Part that should assimilate the nourishment when it is too dry so it happens to old walls to which Lime cannot be agglutinated by reason of the great drynesse of it Moreover Leanness is also made by causes that dissolve the fat and flesh as great Feavers do but in Children it is caused for the most part by the defect of nourishment being either too little or vitious and unusefull proceeding from the fault of the milk wherefore it is that Children by one Nurse fattens and consume by another or Worms destroying their nourishment and sometimes by a distemper of some principall part as the Stomach Liver or Heart and it is observ'd that an old and contumations and native consumption cannot be without the Liver be affected and the temperament dry but that which is new may be from any one of the causes aforesaid The external causes of a Consumption are a hot or dry Air hence it is that most Aethiopians are lean and most men consume in Summer Watching and Care consumes a Body and as it were eats it Meditation Grief Study Immoderate Venery natural Bathes that drye Scarcity of Food and feeding once a day consume men and Children of which quality are sharp things It is also conceived that Children by reason of the softnesse and tendernesse of their body grow lean and consume by Fascination proceeding from their touching unhealthy bodies or the unwholsome vapours out of the Eyes or Mouthes of Women not well which truely is not Fascination for Witchcraft is rather the work of the Devil then by any proper power of the Sages The Signs of a Consumption are manifest for the Flesh and Fat are visibly consum'd the face like one that is dead and the figure of the whole hody deprav'd If it is from a cause that melts and dissolves the Fat and Flesh there was or is a violent Feaver If from want of food it is known in elder Children by their not taking what is necessary in Sucking Children by the Flagginess and Emptiness of the Nurses Breast the ill dyet of Nurses the Child pisses little and doth not wet his Cloaths cryes and Sucks eagerly If the want of food is the cause because nourishment goes into other parts it is known by the loosness of the Belly
by the corruption or fault of the Milk or by meats and drinks that are hot salt or other things that heat the Liver The Signs are manifest The Cures are 1. By attemperating the humours with the Whey of the Milk of Goats and the Syrrup of Fumitory 2. In evacuating the humors Take a Dram of Rhabarb infuse it all night in a little Water strain it and add three Ounces of Whey and two Ounces of the Syrrup of Roses solutive 3. Mitigation of the pain and discussing of it by Baths of Water in which are Mallowes Cammomile or Pellitory So much of External Diseases The Second Book Of Universal Diseases in CHILDREN CHAP. I. Of Feavers in Children in Generall HItherto have been considered External Diseases Internal are either Universal which affect the whole body or perticular which affect some parts A Feaver is an Universal Disease so is the Small Pox and a Consumption which three Diseases will be considered in this Book Although Feavers and their Causes are common to all Ages yet in regard Infancy is most obnoxious to them and hath peculiar considerations in the Cure of them Limiting the strength quality and quantity of the remedy it will not be altogether improper to call Feavers Childrens Feavers Children are subject to Diseases that are accidental and Symptomatical proceeding from other Diseases as in breeding of the Teeth Inflamation of the Gums c. and also to Feavers essentiall and of their own accord and to all sorts of them but especially a Synoche Feaver in regard their bodies are hot and moist their temperament sanguine and their bodies dense by which transpiration of the heat is hindered which increases and produces a Feaver Children may have a Quartan Feaver though their natural temper be contrary to it because 1. Humours partake aswell of the matter as of the Agent and Temperament of the body wherefore as Humours and Excrements of the body do not shew the Temperament for old men are cold and dry of temper yet they abound with Phlegme so do they not only depend on it but on Diet likewise which in Children is very often grosse and unorderly eaten and so Crudities and very thick humours are made 2. If the Mother was elderly and of a Melancholy temper the menstruous blood with which the Child was nourish'd may much alter the temper of the Child 3. A Quartan Feaver is not always made from Melancholy but may be made from any humour that is thick The Internal Causes are the humours of the body The External Causes are chiefly 1. The Air If the Winter be cold and dry and the Spring hot and moist bodies cannot be cooled in the Summer but burn and cause Feavers besides in the Summer Childrens bodies are more thin and spare 2. Unseasonable and immoderate exercise being full or empty 3. Immoderate and ill Diet whence are Crudities Obstructions and Putrefying and so Feavers Presage All Feavers in Children for the most part are not dangerous because the natural Faculty is strong and active in them and can resist powerfully the Causes of Feavers Children sometimes by Feavers have an Hectick Feaver not by the difficulty of the Curing it or the greatnesse of the Feaver but by the morosity of the Child that will not be govern'd The Cure is If the Child suck the Nurse is to be cur'd with such things that alter and purge as the kind of Feaver seems to require It is much doubted how blood is to be lessened in Children that have Feavers Some think that after the Fifth Month Cupping-glasses may be applied and blood drawn out by them Others think not before a year which opinion is most safe because this Age is wont greatly to be overcome by pain and trouble and Cupping glasses are painful but after a year Cupping glasses may be applied but only to sanguine and strong Children And then not to the part above but on the Thighs because the Spirits and strength are not so wasted from those parts as from above And only to the taking away an Ounce of blood and no more Besides these remedies others may be added Inwardly may be taken the Juice of Granates which is highly praised with Oxymel and Citron It may be made thus Take of the Juice of Granates one Ounce of Simple Oxymell half an Ounce you may give the Child a Dram at a time unto half an Ounce but it is better to mixe the lesse quantity of Oxymel because the Childs Nerves are very infirm and Oxymel and all sower things hurt the Nerves wherefore the Syrrup of Maidenhair Syrrup of Red Poppies are good If the Child is bound in his belly you may not use purging Medicaments because the Childs body is hot naturally and is more heated by the Feaver so it is dangerous to add the heat of a purging Medicament wherefore it is better to use a more gentle Clyster or Suppository Take of Whey half a pint of Hony half an Ounce of Salt half a Dram mingle them make a Suppository of Flesh and Hogs grease or the common Suppository for strong Suppositories are dangerous Outward remedies may be used 1. Things very gentle may be applied to the head or Feet to provoke sweat as the Root of a Reed if the Childs body which is Dense be opened by Sweat the heat and putrid vapours will go forth 2. Cloths dipped in Cichory Endive Plantane or Rosewater applied to the Breast Side or Back for cooling The Liver and Stomach ought to be helped in Concoction in all Feavers much more here which is done by cooling and binding remedies applied to them Take of the Oil of Mastick half an Ounce powder of Red Corall Sanders and Red Roses of each two Scruples of Wax a little make an Oyntment of it but if the Child be between seven and fourteen years he must be handled in another manner which shall be set forth in the following Chapter CHAP. II. Of a Synoche Feaver EVery Synoche putrid Feaver in Children is from obstruction made by gross humours in hot moist and sanguine bodies and the putrid matter is in all or the greater veins The Cure of it in a Child between 7. and 14. years will be in removing the obstructions and tempering the Febrish heat which will be done by 1. A convenient Diet let the Air be cold motions of the body and mind avoided if the belly move not use a Clyster or Suppository let the Drink be water or Barly water the Diet sparing only Barly broth or Broth of Meat But because this will be accounted too strict and hard to indulge you may add to the Broth bread and sometimes the Yelk of an Egge but be careful you do not nourish too much because the strength and the Disease are nourish'd together The time of eating let it be as it was when the Child was well 2. Blood-letting Some think that Blood-letting ought not to be before the Child is 14. years old because that which the opening of a Vein ought
plenty of Urine and worms If the defect is because the meat is not exactly prepar'd in the Stomach there is belching of Wind Vomiting and want of Appetite or some hot distemper If from the fault of food if in Infants the Nurses milk is not good for milk is made of food by the colour and ill constitution of the Nurse it is easily known if the Milk is bad it will not be very white have an ill taste not sweet of an ill smell and more thick and fluid then it ought to be The thickness and thinnesse of the Milk is known if some Milk is Milk'd upon the Nail of the Thombe and if it presently runs off it is too thin if it stayes and moves not off it is too thick Or if you curdle it the whey and curds ought to be equall else it is to thin or to thick besides if the Milk be thin andsharp the Child is troubled with Pain loosenesse and very ill breakings out If the milk is thick the Child is costive and there are little Inflamations Swellings and Vomitings they pisse little move and breath with difficulty and are full of Phlegm In those that are elder the badnesse of food is known by the colour of the Skin and out-side of the body wherefore if the countenance be ill colour'd scabby or pimpell'd or if any other part is weak as the head Stomach or Liver or if their be any infirmities distempers or passions of mind it is certain the Leanness is from the fault of the food Also it happens by the weaknesse from some Disease If these things had not been the Child would have had a florid and fresh colour good appetite and would eat and not complain If Leannesse be from Fascination no art or natural means is effectual and there is no internal or external cause of Leannesse in regard of the Nurse or Child Presage 1. All Suddain Leannesse proceeding from a Feaver is mortal because of the Vehemency of the cause weakness of the strength tenuity of the humour and laxity of the whole Body 2. Consumptions that are seldome and not from Feavers especially those that are great and ill are sometimes cureable 3. Lean bodies that are moist and have a moist Skin may be made fat because all soft bodies are apt and fit to be extended into any dimension 4. Bodies that are dry and have their Skin hard and rough can scarce be fatned 5. Bodies that have the Skin dry and cleaving to the bones that neither by the hand nor Art can be stretch'd out there is no hope of fatning them but if the Skin be wrinkled and rugged so that it may be drawn forth and as it were seperated from the bones there is some hope of making them fat The Cure is 1. in Children that suck if the Milk be too little or bad change the Nurse and choose one who hath good Milk the notes whereof you have before let her be of a good constitution of a white and red colour of a good converversation and behaviour not under 20. nor above 40. years old having had Children twice and being not above 2 or 3 moneths from her last delivery broad chested having breasts neither big nor small but moderate If the Nurse may not be chang'd let her be in a temperate Air let her Sleep well it augments Milk let her avoid Passions especially Anger Grief and Love for they corrupt the Milk and congresse with a man spoils the Milk or provokes the menstruous Flux that the Milk is lessened A Nurse that lives with her husband is allowed coition and congresse with him lest She be disturbed by desire of it and by experience we see that Mothers that live with their Husbands and use congresse Nurse the Child without any hurt The Nurse ought to use moderate exercive rubbing of her bosome and breasts before she eats is convenient let her not drink or very little and that which is sweet which lest offends the head lest by increasing Milk the Child hath the Falling Sicknesse The meat ought to be of a good and plentifull nourishment avoiding sharp salt and bitter things the best bread the Flesh of Birds Veal Mutton and the like Fish is to be avoided Broath especially with the Milk of Almonds increase Milk If the Milk be faulty by the coldnesse moisture and thinnesse of it the Dyet must be hot for the correcting of it If the Nurses body abound with cold and moist humours prepare and purge them but with gentle Purgatives as the Syrrup of Roses or Rhabarbe whose weak vertues are extinguish'd before they are communicated to the blood if you purge strongly let not the Child suck the Nurse two or three days after If the Milk is too thick the Diet is to be attenuating Vinegar Raddishes and the like are good a gentle Vomit is more convenient then a Purge If the Milk be sharp and hot the Nurse is to be kept in a cold Air Rest Baths of fresh water are convenient Wine is hurtful let the meat be Barly broth with cooling Herbs especially Lettice which cools and thickens the blood and increases Milk avoiding salt and things acrimonious and Spices If the fault be not in the Milk but in some part of the Infant the Nurse is to be dieted and purged and the Infant is to take no inward Medicament but external because these Ages bears not vehement Medicaments wherefore external remedies are only to be used and therefore if the Childs Stomach be cold and moist hot or dry Plaisters Bathings and Oyntments are to be used for the correcting of them Take the Leaves of Marjoram Mint of each one handful the Aromatick Reed and the Flowers of red roses of each half a handful the water of Calamint one Pint of Sweet Wine two Ounces boyle them well and with a Cloth dipp'd in it bath the Stomach if it be cold Afterwards annoint it with this Take the Oyl of Mastick half an Ounce the Powder of Cinamon and Cloves of each half a Dram mixe a little wax with them and make an Oyntment If the Stomach be dry bath it with Milk and annoint it with this Take fresh Butter the fat of an Hen of each half an Ounce Saffron four grains the Oyl of Wormwood three Ounces mingle them and make a Liniament If the Leannesse is from heat Take Cichory Endive Water-lilly and Wormwood waters of each four Ounces Vinegar two Ounces make a fomentation for the Liver afterwards annoint the side with this Take of the Oyntment of Sanders â—iâ—hory and Liverwort waters of each two Ounces of the Vinegar of Roses one Ounce make a Liniament If Leanness is from Loosness the Nurse is to use binding meats as Quinces Services Rice Medlers or Broth of an old Hen and Calves feet Corral or Jaspers Stone hung about the childs neck is convenient So is this Take of Mirrh and Quince of each half an Ounce powder of Red Coral two Ounces of Oakwater two Ounces the powder
weakness or the fault of the matter of the Teeth being not sufficiently glutinous and earthy or by a privation of matter by Worms or a loosnesse in the seventh year Teeth fall out and others grow in their places growing of Teeth continues until fourteen years afterwards very few grow unlesse they be those called Posteriores Gemini which sometimes grow at 80 years The sooner Teeth come forth the less pain but they are the weaker Teeth come forth in the Spring and Summer more easily but with worse Symptomes and effects in the Winter with more difficulty but with lesse danger for they are lesse troubled with a Feaver Loosness or Vomit because their inward heat is more strong But a modern Author says that in every time of the year some are more troubled some lesse according to the natural constitution of Children which the times of the year cannot hinder The Teeth are of an equal number in men and women being 32. The Cutting Teeth which are four above and below grow first which are made of a thin matter and as they are made first so weaker and are broke fall out sooner then the rest the next are the Teeth called Dogs Teeth whose use is to break the meat as to cut is before breaking so the Teeth that cut are first afterwards the Teeth that break the meat afterwards the great and grinding Teeth grow whose matter is more hard and earthy and therefore they break out the more slowly and last of all the Gemini which never are renewed and grow again Hence it appears why the breeding of Teeth causes so many evils if they should grow in the Womb they would not be troublesome but growing after the Birth of the Child and in that time when the Gums are most soft which being bruised and crushed by a hard body as the Bone is causes great pain The Signs are the Childs crying loosnesse pinching the Paps whilest they suck the Inflammation and heat of their mouths and when their Gums are rubbed they are eased Prog. The breeding of Teeth is alwayes dangerous by reason of the great and grievous Symptomes and effects it produces as Convulsions Feavers and other evils If the Child is loose he is lesse troubled with Convulsions and fat Children more than lean yet there may be Convulsions by the sharpnesse of pain If the Child hath an acute Feaver there is seldome Convulsions by fulnesse it being remedied by the Feaver Teeth come forth more slowly most commonly with a little Cough because there is a defluxion in the mouth which argues the weaknesse of the brain The Cure is in a cold dyet of the Nurse and the pap kept cool which much refreshes the Child the Child is not to eat any hard meat and the Gums are to be cooled and relax'd the Juice of Mallowes and Lettice cools Take the Juice of Mallowes half an Ounce of Butter washt in Mallow-water half one Ounce half the yelke of an egge mingle and anoint the Gums with it this that followes is stronger Take of the Juice of Night-shade half an Ounce of the Oyle of Roses six Drams of Butter washt in Lettice-water three Drams mingle them and anoint the Gums with it it being cold rubbing the Gums with your finger for it often mitigates pain The Gums are relax'd by things that are fat as all fat of a Hen c. Oyl of Almonds and the Brains of a Hare boyled in the place whereof may be the brains of a Hen Hony boyled is much commended It is conceived by some that the breeding of Teeth is the more easie by hanging about the neck Corral a Jaspis-stone or the Root of wilde Colothwiths which others think superstitious CHAP. XIII Of the Hiccough CHildren are more chiefly affected with Diseases in the lower Venter in three parts the Stomach Bladder and Guts which follow in their order The Hiccough is a motion like to a Convulsion in which the Stomach endevour to expell what is hurtful infixt in the mouth of it The cause is in Children the plenty or quality of the Milk or nourishment being too cold sharp or corroding vehemently irritating the expulsive faculty sometimes but rarely it comes from emptiness The external causes are a cold Air hot and sharp meats as Pepper The Signes are manifest for as the Proverb is Love and the Hiccough cannot be hid if it is from fullnesse the Child is greedy and Vomits if from cold it is known by rhe Nurses using cold meats and externall injuries that preceeded it if the Childs Stomach is fomented with hot Cloathes it ceases presently if from evacuation fasting flux or vomit preceeded it if from acrimony the meats are corrupted or the milk is sharp and biting and the Child often mourns and grieves and there are pains of the Belly besides the Ordure shewes it Prog. The Hiccough in Children for the most part is safe if it be made from emptiness it is mortal for Children which are naturally full and very moist if they are vehemently dryed by a great cause they are hardly restored If a Hiccough be with the Falling-sicknesse or another kind of Convulsion it is Mortall The Cure is if the Hiccough be from 1 cold use hot things inwardly and and outwardly Take the Syrrup of Mint or Betony outwardly the Oyl of Anniseed Chamomile and Wormwood besides Plaisters and Ointments that are hot and set forth in several Chapters 2. Plenty or quality of Milk correct it as is shewed in several Chapters and if it be from the Acrimony of the Milk let the Child use a little quantity of this Take of Saccharum Rosatum half an Ounce of Bole Armenick half a Scruple mingle them If from Evacuation the same remedies are good as are for Leannesse from Evacuation see the Chapter of Leannesse Bathing with sweet Water and Broth is good in elder Children the Yelks of Eggs and all Meats that easily nourish It is related by some that the Herb called Alyssus held in the hand look'd upon or smell'd to cures the Hiccough by Propriety of Substance Others say that Sneezing and holding the Breath cures all Hiccoughs but these Helps are too difficult for Children and Infants Sneezing and Vomiting because they evacuate the matter is commended CHAP. XIV Of Vomiting and a vain desire of Vomiting BEsides the Hiccough the vain desire of Vomiting and Vomiting happens to Children for the matter that troubles the Stomach is either infixed deeply in the mouth of the Stomach and so makes a Hiccough or infixed but not profoundly and either in the Mouth or Tunicles of the Stomach whence it is a vain desire of Vomiting or else the matter is contained in the Space of the Stomach and so makes a Vomiting The Causes of Vomiting or a vain desire of Vomiting in Children are The humidity and laxity of the Stomach the plenty of cold humours falling from the head the plenty of Milk or Meat the Acrimony and coldnesse of the same Milk The External causes
Feaver it being contrary to its nature p. 44. Why Feavers are not dangerous and why sometimes they turn into Hectick Feavers p. 46. Why the Kings Evil exactly cured returns again p. 18 19. Why waterish humors are more often collected in the head of Children then other parts and in the Womb then out of it p. 7. What is the use of Lips and why are more often chopt in Children then in others and most frequently from cold p. 27. How good Milk from bad may be known p. 76. and how the bad Milk of a Nurse may be made good p. 78 79. How a good Nurse may be known from a bad one p. 78. Whither the Small Pox had a beginning or not and where and whither beasts have it or not and how it differs from the Measles which hath the same matter cause and cure p. 53. Why the cause is not the impurity of the Mothers blood as by most supposed p. 54 55. Nor is the cause the fault of the Air p. 56. Why scarce any one but hath it and that it is mortall to some and not to others happening most to Children p. 57. Why some have more breakings out and marks then others and the face most troubled and next to it the Feet and Hands p. 58. Why the Small Pox troubles the eyes more then the Measles p. 58. Why the Small Pox is infectious and more easily to kindred then others p. 58 59. Why some have twice rarely thrice almost all once p. 59. Why Scars and Blemishes are left chiefly in the Face Lips and foreskin p. 59. Why the Stone of the Bladder is seldome in Female Children and not so often in men as Children yet the Stone made in the Reins is oftner in men then Children pag. 147. How Teeth and Bones differ p. 130. The use of Teeth p. 131. and the order and time of their Growth p. 132 133. Worms why very Familiar to Children and in what parts they are made and found pag. 167. 168. The difference of Worms p. 168. Imprimatur Octob. 28 1663. Roger L'Estrange The First Book Of External Diseases in CHILDREN CHAP. I. The PREFACE IT will not be unprofitable to prepare a way for the ensuing Discourse of Childrens Diseases by premising these Particulars 1. What is Age and the Definition of it 2. The Division of Age 3. The Subject of the Discourse 4. Why Children are apt to Sickness 5. Why Childrens Diseases are so call'd 6. The Order and Method of the Discourse of Childrens Diseases It is answered 1. Every Age is obnoxious to all kinds of Diseases but one Age is more disposed to some Diseases then another is for every Age hath a peculiar temper and so a similitude with some Diseases whereby it is more easily affected and changed by them then by other Diseases nevertheless Age it self doth not produce Diseases but only disposes and makes one apt to receive certain sorts of Diseases for Age is a thing that is natural and a Determination of a time and it is defined by some to be a Space and Duration of Life in which the Constitution of the Body is manifestly changed by the Action of the natural heat upon the radical Moisture The Life of Man consists in Heat and Moisture the Heat consumes by degrees the Moisture whereby necessarily follows several Changes of the Temperament which are called Ages 2. The Division of Age is various by the Ancients some divide it into 7. parts other into 6. or 5. parts But the Modern considering that in all things there is a Beginning Increase State and Declination have divided Age into 4. parts alluding to the 4. Elements 4. Humours of Mans body and 4. seasons of the year 1. Adolescency or growing Age in which are contained Infancy Childhood and Puberty and it extends to 25. or 30. years 2. Youthfulness or flourishing Age extending to 36 or 40. years 3. Consistent Age extending to 45. or 50. years 4. Old Age which contains decrepit Age and extends to the end of Life 3. The Subject treated on will be the first Age and Adolescency as it extends only to 14. years for then and not before ought a man to be said perfect though some say at 7. years because as Plants are said then to be perfect when they first begin to bear fruit so Man ought to be called perfect in that time when he begins to be prolifick and procreable 4. Children are disposed to very many Diseases for divers reasons because of the 1. Impurity of the nourishment in the Womb by an erroneous Diet or Sickness of the Mother 2. Great labour and pains in the Birth and Getting out of the womb being a narrow passage whereby is weakness and very often are bruises 3. Cutting of the Navel String that the Infant may get forth whereby pains and Inflamations often follow 4. Diversity of Nourishment Children in the Womb are nourish'd with the purest blood of the Mother and they only perfect the third Concoction but after Birth they use Milk and other food and need the help of the Stomach and Liver for the first and second Concoction 5. Change of place being not used to the Air for Infants live in the womb in the greatest Lukewarmness and Tranquility but as soon they feel the cold Air outwardly and breath it in they are hurt which appears by their crying 6. The unsoftness and uneasiness of the things they lye upon for Infants lye very soft in the Womb. 7. Hot and moist temper which is very obnoxious to Corruption 8. The fault and badness of the Milk 5. Diseases of Children are so called not only such which trouble and affect only Children as Diseases arising from breeding of Teeth but also such Diseases which most frequently happen to Children are cur'd in a different manner in them then they are in other Ages 6. The Order and Method in the Discourse of Childrens Diseases will be 1. Of External Diseases and such as belong to the outward parts of the body 2. Universal Diseases which affect all parts of the body Thirdly and lastly Particular and inward Diseases of particular and inward parts of the Body proceeding from the Diseases of the upper parts to the lower parts CHAP. II. Of the Greatnesse Dropsie or Water of the Head THere is somtimes an immense largeness of the head vitiating the natural Actions of it yet the Head is not to be called diseased as if it needed the help of a Physician because it is natural and incurable that is not here intended but that which is called the Dropsie of the head and though sometimes it is in a peculiar part of the Head yet for the most part it is in the whole capacity of the head and it is more frequently in Children and Infants newly born then others of elder years in regard of the softness of their head and bones It is defined to be a Tumor of the Head contrary to nature hapning for the most part to Children or a
which make Phlegme all which is done by 1. A Convenient Diet let the Air be hot and dry the sleep little exercise moderate avoid much rubing or kembing of the head and bearing weight on the Head avoid all perturbations of the mind except moderate anger and Wine that is strong and thick if you use Wine do it moderately and mixe it with water Let your meat be attenuating and drying as Bread well bak'd and with Anniseeds or Coriander-seeds Let your flesh be of Wild-fowl and rather roasted then boyled avoid Spices as filling the head with vapours and all thick grosse viscid and cold meats as Beef Cheese Milk Eggs fried or hard and the like Hence it is that the Children of poor persons are more troubled with this Disease then the Children of rich men because they eat grosse and ill Diet which makes and â—oments the humour 2. Purging Take of the Leaves of Senna half an Ounce of Polypode two Drams Ginger 15. grains half an Ounce of Raisins stoned Sebestens Pruins of each three in number of the Flowers of Borrage Violets Red Roses and Rosemary of each half a dram boil them in a pint of fountain water until half be consumed Take of the Decoction two Ounces of the hony of Roses two or three Ounces Let the humours be prepaired thus Take of the Leaves of Brownwort Plantain Dry Bettony and Mint of each half an handful boyle it according to Art of the Syrrup of Roses and Oxymel of each half an Ounce mingle them After the humours are prepared purge thus Take 30 or 40. grains of the Pills of Agarick or infuse two Drams of the Trochische of Agarick in three Ounces of the Water of Bettony all night strain it and add 2. or 3. Ounces of the Hony of Roses solutive Observe that most gentle Remedies often used is better then violent and hath often cur'd 3. By the restraining of the moving of the humour into the Part by rubbing Cupping-glasses and Blisters and there is no remedy so effectual and fit for derivation diversion and evacuation of the humour and in all Swellings and Tumours in Children about the Neck as is the exulceration of the Skin of the Head which is best done with Mustard-seed and a Nettle but with prudence and moderation but have a care you use not Cautharides which cause great pain and pissing of blood 4. By discussing the humour in the part if it be moderately thick and viscid which is done by inward Medicaments as by the use of the Trochische of Vipers and Treacle but principally by outward Medicaments first by softning it and then by dissolving it Emollient or softning Medicaments are the Plaister of Diachilon with the Gums or this Ointment Take four Ounces of Diachilon one Ounce of Hyssop four Ounces of the Root of Ireos finely powdred mingle them and with the Oil of Almonâ—s make an Ointment which use several days until the matter is softned then use Discutients as drye Figs or a Plaister made of Hony or the root of a wild Cucumber bo led in old Oyl to the form of a Plaister is very effectual so is this following which is stronger Take of Stavesacre Nitre of each two Ounces Rocket four Ounces with as much Turpentine as is convenient make a Plaister The Ashes of Colworts mixt with Hony is also very good Observe that strong Discutients may not be used lest Feavers are caused and the tender Flesh of the Child hurt If the matter be very viscid and contumacious it is not cur'd but by cutting or burning it which is very dangerous and turns them into Cancers that are mortall as is experienc'd in the using such remedies for the Kings Evill in the Neck Breasts or Grayn CHAP. IV. Of Pustules and little Risings in the Head PUstules or Risings or Swellings for the most part they are in the Head but sometimes in the whole body In the beginning they are small and little afterwards they are sore and make hard white Scabs and Crusts by the driness of the humour In sucking Children they are call'd Crusta in those of elder years they are called Achores they are ulcerous Tubercles or Ulcers with small risings perforating the skin with small holes through which passeth a sanious or filthy matter The cause is as some think a nitrous and salt Phlegme mixt with Choler Others a putrid corrupted and Ichorous blood but I consent to them who think the humour is mix'd partly thick and partly thin waterish salt and nitrous and according to the various mixture of the humours with the salt waterish humours the various colours of the Sores arise being thereby black red white or yellow and those humours are either generated in the womb of the Mother out of the Menstruous blood or after the Child is born by the fault of Milk or Diet nature purifying and purging her self sends them forth into the outward parts of the body The signs are manifest to Sight the Child cries cannot sleep and are watchful the Child Itches and after Itching they are sore a bloody humour passes forth and oftentimes the Child is lowsy If they proceed from blood there is a redness pain and more easie Itch but if from a more sharp humour there is a great Itch. The Presage Pustules sometimes degenerate into great Ulcers and sometimes corrode the Skull by the Malignity and badness of the humour that the Membranes may be seen They many times preserve Children from great and many Diseases as Feavers Falling-sicknesses and others by natures purging her self by the skin They heal frequently of their own accord by Time and Age. The Cure is in 1. A Convenient Diet by avoiding salt sharp hot and sweet things fish and fruit If the Pustules are moist a drye Diet is convenient as the eating of Wild-fowl roasted bread twice bak'd c. which ought to be us'd only by the Nurse if the Child suck 2. Evacuation of the humours by Blood-letting Leeches or Cupping-glasses and purging the Nurse if the Child suck not prepare the humours with Cichory Eudave Fumitory and Agrimony of each an handful boyle them in a pint and an half of Water until half a pint be consumed Take thereof three Ounces and add the Syrrup called Syrrup Byzantius and the Syrrup of Fumitory of each half an Ounce or temper the humour that is faulty with the Syrrups of Borrage and Fumitory The humours being prepared Take of Rhabarb one Dram infuse it all night in three Ounces of Endive-water in the Morning strain it well and add an Ounce and an half of the Syrrup of Roses solutive The Body being purged the part excoriated is to be cur'd by outward Remedies A Bath of common Water in which the Leaves of Scabius Agrimony and Plantane are boyled is very good The Ointments of Litheridge Cerusse or Diapompholiges cures it CHAP. V. Of Chapt Lips in Children THe Lips are made not only for Beauty but also for use for the defence of the Mouth and
Teeth and also for Speech and Sucking so that they being chopt they cause pain and hinder Sucking This Disease is a certain Division of the Lips with Pustules and breakings out and sometimes without them The immediate cause is a salt sharp and cholerick humour or sharp biting and exulcerating vapours proceeding chiefly from the whole body as in Feavers many times from the Head Stomach Lungs or other principal part of the Body These humours and vapours produce the Cleavings and Ulcers of the Lips chiefly in Children because of the frequent motions of the skin which draws them to the mouth and in regard of the tenderness of them which makes them apt to receive The External Causes are the use of hot things hardness of Dugs kisses of many people but chiefly an intemperate Air in heat and cold but most frequently the coldness and driness of the Air for though Lips may be so dried by the Air that they may exulcerate yet not so frequent as from the coldness and driness of it because heat cleaves and divides that which is moist by consuming the moisture Cold by compressing and repelling and it is easier to repell and press moisture out of a thing then to consume it especially in soft parts to which humours continually flowe as it is in the Lips The Signs are manifest as little Ulcers and pains in the Lips there is also pain Itching and crying of Children If a Vapour is the Cause then the Child hath an Inflamation or a great Feaver If humours then there is Catarrhs and Distillations and the Ulcers are moist and an humour passeth out of them The Presage is this Disease is not mortall unless malignant Ulcers are made by Unskilfulnesse Ulcers made in a Feaver or afterwards are a sign of Health for they shew the humours generating a Feaver are dissipated and dissolved The Cure is if the Choppings of the Lips proceed from an internal cause a gentle purge is convenient and Diet that corrects the humours If from the Sharpnesse of the Milk let the Nurse use cooling Diet and things correcting the Milk If from the hardness of the Nibble soften it Medicaments for the Childs Lips are Oyl of Roses with the white of an Egge Oyl of Eggs Oyl of Wax which is most excellent Ointment of Roses of Cerusse Camphorer Pomatum Take an equal quantity of Turpentine Hony and Goose-grease mix them to which you may add half an Ounce of Cerusse or Litheridge more or lesse as you would have it drye If there be extraordinary pain you may mixe a grain or two of Opium with a little of the Nurses milk You need not fear here the use of Opium because it is only used outwardly CHAP. VI. Of the Inflamation of the Navill THe Inflamation of the Navil is an hard and hot Tumor with pain and Pulsation It is caused in Children presently after the cutting of the Navil-string which paining the Navil the blood is drawn thither and there heats and so makes this Inflamation The Signs are hardnesse swelling rednesse heat pulsation and a Feaver The Cure is 1. Let the Nurse use a Diet that is cold and moist 2. Then use such things as may asswage the pain and repell the humours as the Oyl of Roses the white Oyntment or the Oyntment of Poppies these are to be used untill the beginning of the Inflamation is past then use the Oyl of Cammomile and the Oyl of Roses and the more distance there is from the beginning the more use Discutients but have a care of strong Discutients as the Oyl of Anniseeds or Cammomile Lumbricated 3. Suppuration and ripening it which is to be avoided if you can help it Bread or Mallowes boyled in Milk ripen gently such as ripen more vehemently are painful and torment the Child CHAP. VII Of a Rupture and Broken Belly A Rupture is a falling down of the Guts from their place The Cause is the breaking or relaxing the Inner rine of the Belly that joyns to the Caul the latter cause is most frequent in Children in regard of their Moisture The External Causes are vehement motion extraordinary Crying holding of the Breath abundance of Wind and a strong Endevour of disburthening the Belly The Signs of the Causes are thus If the Peritonation be broken the Tumor was caused and increased suddenly and the Gut descends to the bottome but if it be relax'd the Tumor grew by degrees neither doth the Gut descend to the bottome The Cure is by 1. Putting the Gut up into the belly if it hath wind in it which is known by the noyse and sending wind out of it then use Discutients anoint it with the Isle of Cammomile or Anniseeds if it hath its ordure hardned in it soften it by Poultesses Clysters and Bathings if it hath Phlegme in it evacuate it by degrees with Clysters and Suppositories and use things that are hot and dry and attenuating 2. The keeping it in its place after it is put into it that it fall down no more which is done by a Trusse and inward and outward Medicaments The Internal are the Powder of Mouse-eare used at Meals taken in Water Rupterwort taken from the New of the Moon to the full Decoctions of great Comfrey St. Johnswort and Saniclé The internal Medicaments profit little but the External are more certain and the only hope is in them The Seed of Ameos with the white of an Egge is highly praised The Emplasters called Emplastrum ad Herviam and Emplastrum Caesaris will serve in the place of all other Medicaments 3. In cutting it if it be not cur'd by the Medicaments above which is easie and without danger CHAP. VIII Of the Falling of the Fundament THe falling of the Fundament is a going forth of the right and streight Gut called the Pudding Gut with the Sphyncter Muscle The Cause is 1. A weakness of the Muscle by coldness of the humours or outwardly as when Children sit on Stoves or by a loosness of the Belly 2. A great Endevour and striving in disburthening the Belly 3. A great irritation and frequent desire of emptying the belly which comes from a Dysentery or Tenesme The Signs are manifest to sight The Presage This Disease is hard to cure because all Diseases of the Fundament are very difficult to cure because 1. The part is very sensible and cannot endure sharp Medicaments 2. The passing of the Filth which if it be hard it exasperates the part 3. Medicaments are not easily applied to this part nor are kept long enough by the passing of the Filth 4. The Place is hot and moist which requires remedies that are cooling and drying which irritate and exasperate and therefore scarcely endur'd That which is without an Inflamation not inveterate but new is more easily cur'd The Cure is 1. By putting it into its place which is done by a gentle hand if it be swell'd bath it with a Decoction of Mallowes before you put it up which will likewise cleanse
the Filth and slimy humour from it which is requisite also to be done 2. Retaining it in its place after it is put into it which is done by astringent remedies which ought not to be very strong because they exasperate cause pain and want of sleep to which use serves Terra Lemnia Sanguis Draconis Frankinsence and Cerusse which are to be sprinkled upon the part apply to the Fundament a Spunge dipp'd in an Astringent Decoction of Sanicle Herb-robert Acornes or Leaves of Oake or the greater Comfrey CHAP. IX Of the Galling of Children THe Galling of Children are certain Ulcers in the Skin or Excoriations which happen to Children between the Thighes sometimes they are in the Feet Lips and between the Thighes in those of elder years The Cause is 1. External sharp Urine especially in fat Children sharp and cholerick Filth of the Belly and Foulness of Cloaths walking rough Cloathing and violent motion drawing the sharp humours to the Skin or exasperating the humours in the Skin 2. Internal and immediate a sharp and corroding humour which is either generated in the part exulcerated or it flowes from the body into those parts 3. Antecedent the fault of the Milk if the Child suck In elder ones an ill Diet especially meats that are hot sweet salt or corroding The Signs are obvious because the part is red and pain'd especially if it be touch'd and rubb'd Presage If they are neglected they turn into ill Ulcers and are dangerous otherwise they are easie to cure The Cure is if the Child suck let the Nurse use a good Diet and abstain from Motion Watching Anger Wine and all meats that are sharp salt and corroding If she be of an unhealthy blood let her purge The Child is also to be often wash'd and clens'd from his filth and excrements and his Cloathes are to be clean and not hard If the Child doth not suck the like Diet is to be used as is advised for the Nurse and the same remedies for preparing and purging of the humours and outwardly to be applied are convenient which are advised in the Fourth Chapter to which I refer you To them may be added Dear-Suet or the Suet of a Goat Take a Turnip make a Hole in it then fill it with the Oyl of Roses and Roast it of which make a Liniament CHAP. X. Of Chilblanes and Kybes CHilblanes usually follow Tumours and Swellings and the matter of it is dry sharp and corroding and makes an Ulcer which for the most part is dry and no matter or humour issues of it It happens to Children chiefly because they lesse feel the cold and defend themselves against it and so are most frequently hurt with the cold It happens to he hands and Feet and not other parts of the body because 1. The hands and feet are farthest from the fountain of heat the heart 2. They are without Flesh and have no defence from outward injuries and do abound with Nerves and Bones whereby we have great pain and are more cold in these parts then in other parts insomuch that these parts many times corrupt and putrefie with cold by what is said Chilblanes may be defined A dry Ulcer in the hands and feet chiefly in Infants The Cause is cold or shoes that hurt being too straight rough or hard The Signs are An Inflamation more or lesse sometimes Pustules afterwards exulcerations a little pain but the Itching greater a purulent Ichor comes from it that seems to be like ripened or thin matter The Presage It is not dangerous if it be not neglected if it be a Mortification of the Feet may happen and so Death The Cure is in 1. Preservation from it wherefore avoid straight and hard shoes defend your feet from the cold Air and rub your feet with salt and hony mingled which is good in the begining when the swelling only appears so is the washing your feet with salt water or with a Decoction of Betes And when there is only a Swelling these are good as Turnips boyled and applied in the manner of a Plaister Bran boyled in Wine Take of the Gumme Ammoniacum one Dram of Resin two Drams dissolve them over the fire add thereto six Drams of Common Oyl of Wax half a Dram let the Wax be dissolved then add Flower of Fengreek Frankinsence and Mastick of each two Drams mingle them 2. In curing the Ulcer Aloes alone or mix'd with sweet wine cures it being laid to it if the Ulcer be sordid clense it with the Ointment called the Ointment of the Apostles when it is clensed that no filth is left then skin it with the Plaster called Diapalma CHAP. XI Of the Scab THE Scab is a Swelling with a distemper and exulceration of the Skin The Cause is a corrupted blood mixt with salt Phlegme and burnt Choler either generated in the womb of the Mother by the menstruous blood or after the Child is born by the corruption of milk or fault of Diet by which the Liver chiefly is intemperately hot or the blood is corrupted by contagion which being expell'd to the Skin there sticks exulcerates it and makes it sore The Signs are manifest and are in the Definition The Cure is in 1. A convenient Diet the meat ought to be boyled not roasted of an easie Disgestion not salt hot or having ill qualities unclenliness and unseasonable exercise are to be avoided 2. Tempering and purging the humors as in the fourth Chapter 3. By provocation of Sweat with a Decoction of Scabius Harts-horn Fumitory and Cardus benedictus 4. External Remedies which gently clense and drye Quicksilver is much commended but it is only convenient if the Scab be contumacious and in the oldest Children Unguentum Enulatum is profitable but be careful it be without Mercury Take of the Oyl of Roses four Ounces live Brimstone one Ounce the Juice of Limons two Ounces the Resine of Pine-tree one Ounce mixe them and make an Oyntment of them Take of Turpentine four Ounces wash'd in-Rose-water the Juice of four Oranges the Yelks of four Eggs and an Ounce of the Oyl of Roses mingle them all and make an Ointment of them which is excellently good if the Scab be old and dry Elecampane powdered and with Hogs grease made into an Oyntment is highly praised so is Brimstone finely powdered and annointed with Milk Also Garlick beaten very smal and mix'd with Hogs grease is very good CHAP. XII Of the Itch. THe Itch is a pain exciting a desire of Scratching without the unevennesse or exulceration of the Skin The Itch is sometimes in the whole body but most frequently in the Soles of the Feet by reason of the hardnesse and thicknesse of the Skin hindering the humours to evaporate The Cause is Choller or salt or thin Phlegme thereby insinuating it self into the smallest pars but it is viscid and clammy that it may adhere and cleave tenaciously to the parts It is caused in the Womb of the Mother by the Menstruous blood or
to do nature doth it of its own accord which consumes daily much of the Childs substance by insensible transpiration therefore it needs not evacuation lest the strength be dejected Others are for Blood-letting because if a Child can endure a disease from fulnesse why not the remedy which is Blood-letting otherwise as often as a Disease begins with the imbecility of strength especially which happens out of a natural dissipation and resolution so often will that Disease be certain and necessarily mortal Besides they which are against Blood-letting allow purges which are contrary to nature and is worse then Blood-letting moreover they bring notable examples for it as Avenzoar's letting of his son blood at three Months old In this Feaver because evacuating blood is an excellent remedy you may in the place of Blood-letting use Leeches which with ease open a vein and do not wast the Spirits they will be most safely safe applied to the Thighs and also to the Arms Or you may use Cupping-glasses which are not to be used in the upper parts because they draw humours from the whole body to the heart wherefore it is safer to apply them to the Loyns or Hips and then they must be oblonge and a narrow mouth because to draw from profound parts If you apply them to the Thighes they are to have a broad mouth which draws from the parts which are next and remote according to Latitude If the Belly be not loose use a Clyster or Suppository before you use Cupping-glasses or Leeches afterwards endevour to remove obstructions by internal and external remedies that attenuate and deterge without any notable heat Take Barly half a Pugil the Leaves of Hyssop half an handful boyl it according to Art Take of that Decoction two Ounces and an half of Simple Oxymel five Drams mingle it and drink it when you have thus prepared the humours Purge gently Take of Sebestens two Drams of Raisins the Leaves of Hyssop the Flowers of Borrage of each one Pugill make a Decoction according to Art take thereof three Ounces of the Hony of Roses solutive and of Manna of each an Ounce and a half mingle them the Purgative Medicaments may be lessened or increased as the body requires Outwardly things that open obstructions are convenient Such as are gentle as meal of Barly rubb'd upon the Skin Barly-water and a little Oyl of Almonds cool and moisten the Breast and prevent the increase of the heat of the Breast A Bath of fresh Water is very convenient This way may be observed also in a Tertian or Quartan Feaver respect being had to the humour that is faulty CHAP. III. Of the Small Pox and Meazles THE Small Pox is a Disease formerly unknown to the Ancients having neither writ any Book of it nor described it and it is not improbable it had a Beginning in our Northern Countries as it had in the West-Indies in which parts it is said by Historians that in that time in which we were infected by them with the French Pox they took from us the Small Pox and Meazles It is a Disease belonging only to Mankind and not to Beasts not is the Murrain or Leprosie in Hogs the same Disease with it as is supposed by some The Small Pox and Meazles have the same matter cause and Cure but the Meazles are made of the thinner matter and they differ from the Small Pox in that 1. The Meazles have little swellings or that the rising of them can hardly be seen 2. The matter of them is more dry and subtile 3. They trouble and affect the eyes lesse then the Pox. 4. The Small Pox for the most part terminates into an Abscessus and Collection of ripened matter which lasts many days and blemishes the body but the Meazles scarce passeth the seventh day either then they vanish or are almost wasted and leave no deformity The Cause as I conceive is not the Impurity of the maternal blood as by most is supposed because 1. The Small Pox proceeds for the most part from the fault of the Air and Stars 2. The fault of the menstruous blood was ever since the Sin of Eve and therefore this Disease should have been always but before the time of the Arabick Physicians no Author was found that writ of the generation of this Disease or clearly explain it which if they had done they would not have concealed it from us it being a great and dangerous Disease in regard they communicated in their Books small Diseases 3. There is scarce any man but some time or other hath a greivous Disease which makes an Ebullition or boyling of blood and putrefaction until the body is clensed and purified divers ways and so the fault from the menstruous blood would be expelled but it is otherwise for it follows immediately other Diseases and the sanguine man who is most healthy is most troubled It is granted that the seed of a Disease may lye in part of the body for many years but the whole blood infected cannot stay long and resist so many injuries and if as some think the menstruous blood infected should ferment and turn into other ill Diseases as pestilential Feavers then the rest of the time they would be free from this Evill 4. Sanguineous Beasts that have menstruous purgation would have this Disease as Bitches Asses and Mares having the matter of the Disease as menstruous Purgation and the Agent Heat 5. Natures care and wisdome for Preservation in seperating the Excrements from Nourishment in the Womb the excrements are past into the Tunicles in which the Child is wrapt and immediately after it is born it purges by stool plentifully and more then is fit for its bigness which is sometimes bloody black and white and afterwards it hath Sores in the head which purgeth the ill humours contracted in the Womb and though natures care may fail in some it cannot fail in all Nor is the cause of this Disease the fault of the Air as some conceive it to be because 1. This Disease arises from the Pravity of matter 2. The quallity of the Air that produces the great effects that follow the Small Pox would be very strong and powerful and so young men would not be free from it The true cause is a paternal propriety in the blood and Ichors of it boyling by heat which Ichors may be excited in the body divers ways That the Ichors is the matter is seen by the 1. Breaking of it out into the Skin 2. All Synoche Feavers arise out of the boyling of the Ichors of blood which Feaver is always in the Small Pox. 3. They are the Ichors or thin and serosous part of the blood because they are not sharp if they were there would be a concussion of the body and shaking when they are expelled That the Disease is made by the Ichors or thin and serosous and waterish humidity is manifest because the humor that goes forth is not a Pus and thick matter but
an Ichor thin waterish humour and that it is by Ebullition appears in the heat colour and Accidents that happen By this we may resolve our selves 1. That in our dayes scarce any man but hath this Disease because it is hereditary which came first by the fault of the Stars which affected all or almost all and now is propagated As Indians now generate children with long heads which in former Ages they endevoured to make by Art and now is become a natural disposition 2. This Disease is mortal to some and not to others by the abundance and badness of humours and ill constitution of body that the blood and Ichors boyling causes an unquenchable Fire and remedilesse putrefaction besides the badnesse of the Air and errors in the ordering of the person 3. They happen most to Children because they are full of blood and thin waterish humidity and abound with heat being nearest to the principle of Generation besides they are given much Motion 4. They that have most thin and waterish humours have most breakin gs out and the thicker and more tenacious the humours are the worse the marks and deformities are 5. The face is most troubled because of the Ebullition of the blood the vapours ascend to the head and so impetuously that neither the Spirits of the head or face or the Air to which the face is exposed can resist besides the face is moist and rare and apt thereby to receive them 6. The Feet and hands next to the face are chiefly troubled notwithstanding the Skin is hard because of the Sympathy between these parts and the Liver which is seen in a hot Liver by the burning of the hands and feet 7. The Small Pox troubles the eyes more then the Meazles because the matter is thicker and can be lesse resisted and repelled 8. The Small Pox is contagious and infectious by the boyling of the blood which sends vapours at a great distance which enter into other persons and infect them as it is in those that have sore eyes and by the Hereditary Propriety so that consanguineous persons are more easily affected in regard of the Similitude of their temper and for that reason whole Families in a Plague are destroy'd 8. Some have this Disease twice very rarely thrice almost all once because this Hereditary Disposition only disposes and continues as long as the Seminary parts in which it is implanted doth remain which most commonly is consum'd the first time the Blood is inflam'd and set on fire especially the second time when the Blood Ferments 9. Scars and blemishes are left chiefly in the Face Lips and Foreskin because the Skin of them is without Flesh or hath but very little and therefore difficult to heal The mediate causes of the Small Pox are 1. Internall hot and moist temper soft and fat habit of body and tendernesse of Age. Boys are more dispos'd to it then Girles by the disparity of heat in them boys being hotter 2. External hot and moist Air Southern constitution Spring time and an hot and moist region or Contagion or other things that move or corrupt the thin and waterish part of the Blood By what hath been said the Small Pox may be defin'd to be a disease having Pustules in an outward part of the Skin with a continual Feaver by the peculiar Effervessency and Ebullition of the Ichorous Blood excited by the expulsive faculty The Signes that this Disease is Imminent and coming which either immediately accompany the Disease or proceed it are Pain in the Neck and Breast with a heavinesse of the Eyes Itching of the Nose Shortnesse of Breath Suddain trembling and starting Often Sneesing Urine sometimes muddy sometimes sound weepings of the Eyes and tears falling of their own accord from them a continuall Feaver The Signes of the Disease present are manifest being little swellings and spots in the Meazles they are Red and not high in the Small Pox they first appear as the head of an Needle or Pin immediately after they are greater and red and daily increase untill they are ripen'd grow white are made an Ulcers and Soars and are dryed up Presage If the Small Pox and Meazles are White and a few appear without any other accident or if many appear and the Feaver is diminish'd and other accidents and the breathing easie there is no danger If the Small Pox are black or green or if few or many appear and the other accidents are worse and exasperated and the breathing difficult then it is pernitious and Mortall They who dye of the Small Pox dye either with a Sounding an Inflamation with which they are strangled or a looseness of the Belly which destroys the strength of the Child The Cure is in 1. Preserving the inward and outward parts the outward are call'd so because they are seen and they are the Eyes Ears Nose and Mouth The internall are Liver Lungs and chiefly the Guts the eyes are frequently troubled with heat and a tenacious Ichor that Exulcerates them whereby the Children cannot sleep which is helpt by cooling and moderately binding Medicaments as the water of Roses or Plantain mix'd with Sumach Take of the water of Roses and Plantain of each five Ounces Sumach half an Ounce infuse them all night and with a little white of an Egge mix them wet a little Cotten in it and wet the eye often with it if there be pain and Itching take the water of roses and milk and add a little Myrrh to them the scratching of the Eyes are to be avoided If the Ears be pain'd itch and run let them be kept open if the pain be great dip a Spunge in hot water with the Oyle of roses and lay it to the Ear the scratching whereof is very hurtfull The Nose is defended from Ulcers if Roses or Plantain be boil'd in water and the steam taken in at the Nosthrills The Mouth is helpt by this Gargarisme Take of the water of Barly one Pint and an half the leaves of Plantain and Flowers of Roses of each one Dram to which you may adde the Juice of Barbaries or Orange and wash the mouth with it 2. In helping of nature in expelling the humour which is perform'd by 1. Dyet that is convenient The Air is to be temperate or rather somewhat hot that the Pores may be opened and the coming forth of the Small Pox promoted therefore let the child be kept in a close room that the cold Air by no means may come in by the opposition of the Air many Children have dyed with a Benigne and gentle Small Pox the matter of the Disease being repercuss'd to the interior Parts let a red cloth be laid next the Skin which is conceiv'd by divers to be helpfull by a similitude it hath with the boyling Blood Be carefull your cloathing be not too much lest the Child be Smothered and Swound and so provide that the outward Parts are rather hot then cold but that neither the heat of the Air
of Mastick and Tormentill of each half a Dram mingle them and make a Liniament the senting of the Clothes with Fumes of things that are binding are also convenient If Leannesse arise from the drynesse of the whole body use Bathing with fresh water in which are boyled Mallowes Lettice Water-Lillies or Endive and a Liniament may he made of the Oyl of Roses Violets Butter without Salt and Hogs grease Clysters are also good in these cases made of Milk or Bread boyled in broth or made of Eggs because they may nourish Children being they are next to Generation that is the state which they had in the womb in which they were nourish'd by the Navil without the Concoction and preparation of the Stomach Observe that Plaisters to draw nourishments to the parts are not convenient for Children because their bodies are as Wax and that sort of remedy by the heat of it doth enervate and wast the flesh of Infants If the Child is bewitcht a Saphir or Carbuncle hung about the Childs Neck is conceived good so is Hartsthorn hung in the house and many more which I omit as superstitious or false If the Child doth not suck but is nourish'd with solid Meats then the Cure is by removing 1. The External Cause or the Internal Disease if it be the cause of it caused by proper remedies to it Afterwards by procuring a good Nourishment distributed and assimulated which is done by a convenient Diet. Let the Air be temperate and moist heat hurts and be careful the Child is not Clothed too hot Let the sleep be long the mind quiet the Exercise moderate and that which is slow fatness and swift exercise consumes the Belly moderately loose Baths used seasonably Wine that is thin thick Wine obstructs and is not vehicle for the meat Odoriferous somewhat sweet not sharp but very moderately used The Meat nourishing somewhat fatty Juicy neither salt nor acide unless it be to provoke a Stomach as the Flesh of Fowl Veal c. Eggs the Brains of a Calf or Hog-bread boyled in Broth Rice boyled in Milk Parsnip steep'd in Milk Raisins and Almonds Besides these there are meats that fatten either by a quality 1. Manifest by helping concoction as Spices by being gratefu to the Stomach and increasing the native heat of it as Cinamon Cloves and Nutmegs Take the Pulpe of a boyled Capon and Patridge of each half an Ounce of the Pine Kernell Pistack Nut steep'd in Mallagoe Wine half an Ounce of Sweet Almonds an Ounce Cinamon Clove and Nutmegs of each an Ounce and an half Fine Sugar as much as suffices make Lozenges they are pleasant and fatten much or by apposing and fastning the meat as all Diureticks and Diaphereticks do which opens the wayes and carries the nourishment to the parts So doth Drinking likewise between Meals or by apposing and fastning the meat to the parts by their tenacious and viscid humidity which humidity in hot and drye bodies is to be cold and in cold bodies hot 2. By a Propriety and an occult quality as Sarcocolla now the Indian Nut is in great use the Marrow whereof being finely bruised an Ounce or two or half an Ounce is mix'd with broth Take of sweet Wafers and Sarcocolla of each one pound make a past with Butter and drye them then powder it and use five Ounces in cold water Observe cold water is praised by many and cold meats but this is by a manifest quality and good where Leanesse is by the great heat of the Liver The Third Book Of Inward DISEASES of several parts CHAP. I. Of the Epilepsy or Falling-Sicknesse IN the two precedent Books you have the External and Universal Diseases in this Book you have Inward Diseases belonging to particular parts of the body but in regard Children especially before 7. years of Age have not the use of reason reason being as it were drowned and drunk with moisture and humours which made one say the Souls of Children differ nothing from the Souls of Beasts for whilst we are Infants we all live the Lives of Beast using only the faculties of the Vegetative and Animal Souls therefore the faults of the Actions of the rational faculty as Phrenzy and Madness are not considered by Physicians amongst Childrens Diseases which likewise I omit in this Book The Epilepsy hath several Names I shall only mention three of them here It is called 1. A Childs Disease because Children are most frequently troubled with it by the cold distemper and large moisture of the Brain 2. An holy and divine Disease so divers of the Ancients testifie in their Writings 3. Lunatick 26. Matth. the Lunatick there was the same with this because as one excellently says they who are conceived in the change of the Moon when the Moon is in conjunction with the Sun without Light they have the Falling Sicknesse The Falling Sicknesse is a preternatural involuntary and intermitting contraction and retraction of all the Muscles and Nerves The mediate cause of an Epilepsy by consent is a Vapour raised from the lower parts to the head which some think is but seldome whether it be from fear corrupted Milk in the Stomach Worms breeding of Teeth the Small Pox Meazles or Feavers The immediate Cause of the Falling Sickness when the Brain is primarily affected is a thin humour or vapour because it is made and gone quickly therefore the matter of it must be such as may go away and return quickly which cannot be in a thick humour which must be dissolved by concoction which is done in time and not suddenly which vapour or thin humour by a peculiar vertue doth prick the Membrane of the Brain and part where the Nerves begins causing a Constriction of the passages and exciting the sensible parts to an Expulsion of what is hurtful thence is the shutting out and Retraction of the sensique Spirits and by a defect of them follows a diminution or cessation or abolition of the Actions of the mind and thereby all the parts of the body have a convulsive motion A cold and moist temper of the Body hereditary Disposition and the Nativity being in the Eclipse of the Moon are Dispositions to this Disease The external Causes are 1. Things which administer matter as grosse and vaporous meat as old Pigeons Sparrows Eales c. 2. Things that excite it as Moon-shine the smell of stinking things also great fear and tickling Signs of the coming of it in children are because the Child is born of Parents that have the Falling Sicknesse in those that are elder Pains of neck back heart fears and inordinate motions in the sleep often spitting Signs of the Paroxysme and when it is upon the Child are as 17. Matth. a noise crying out falls in the fire foames out of his mouth and is without sense so was the Child cur'd by Christ in the Chapter aforesaid but that Child was Epileptick and possest with a Devil as one learnedly sayes or as another sayes the
Ear are very nerveous Note the outward part of the ear is fleshy and cartilaginous The humidities of the ears are reckoned amongst Childrens Diseases by some but not the humidities of the Nose or Palate because the Expurgation by the Nose and Palate is natural to men and Children but the expurgation by the Ears is not natural The Cause of it is the great humidity of the Brain which cannot be all evacuated by the Mouth and Palate so that excrementitious humours which abound are evacuated by all Passages wherefore many will not drye up this humidity unlesse it ulcerate or threaten obstruction or deafnesse The Cause of the pain in the ear are the humours especially Choller Ichorous matter Wind or Worms Prog. The Pain of the Ear is very dangerous The Cure is 1. The mitigation of the Pain with luke warm milk or Water and the Oyl of Roses mix'd and a Cloth dipp'd in it and laid upon the Ear a Decoction of the heads of Poppy and as the Causes of the Pain are so ought remedies to be for the taking them away If the pain is from hot humours the part is red and hot and cur'd by cold things if from cold by luke-warm things if from Wind the Diet ought to be such as discusses Wind for which purpose Coriander is good for the Nurse to use and that the Child sleep upon the ear which pains him thereby natural heat is augmented and dissipates the Wind the Oyl of Cammomile or Anniseeds poured into the Childs ear is very good if the pain be from an Ichorous matter wipe and clense continually the Ear with Hony or Hony and water if from Worms put into the Ear bitter things that kill the Worms as the Oyl of bitter Almonds See the Chapter of Worms If there be humidity of the Ears and the Child old enough to be purged let him take three dayes this drink Take of the Leaves of Mirtles Bettony Staecados Violets of each half a handful let a Decoction be made according unto Art then take thereof two Ounces and an half of the Syrrup of Wormwood and Staecados of each two drams mingle them afterwards purge the head thus Take of the Pills of Agarick half a dram of Castor one grain two Cloves mingle them and with the Hony of Roses solutive make five little Pills The head being purged for the drying up of the humidity if it be cold infuse into the Ears the Oyle of Irnie or Rue If hot the Oyl of Roses with the Oyl of Cammomile Observe in the use of remedies that they be always lukewarm when you use them neither hot nor cold not in a great quantity but by drops and that the Child lye on the Ear that pains and observe the moisture flowing out of the Ears is not to be stopp'd CHAP. IX Of the inflamation of the Glandules in the mouth call'd the Almonds of the Ears THe Inflamation of these Glandules is reckoned by some amongst Childrens Diseases but onely in Children after breeding of Teeth Others say this Disease may be in Infants but in them it would then be very mortall by the plentifull flowing of humours which often strangles If the Gums are inflamed in Infants and the Glandules ulcerated before breeding of Teeth why may they not be inflamed what should hinder that an infant may not have this disease sometime and not be choak'd as I conceive The inflamation of these Glandules is an Intumescency of them made by a flux of humours The internal cause are all the humours especially Phlegm The external causes are a hot or extreme cold Air violent exercises hanging down the head vociferations strong drink and meat that heat the blood The Signes are if the mouth be opened heat pain rednesse and Swelling near the root of the Tongue difficulty in breathing and swallowing Prog. This Disease usually causes the Quinzey and inflamation of the Lungs and divers other dangerous Diseases 2. If a loosenesse of the belly happen upon this Disease the Flux cures it The Cure is 1. in a good Dyet avoiding any excesse of the air smoak the Sun all exercises of the body vehement motions of the mind especially anger bathing if the belly be bound move it with a gentle Clyster or suppository not by a remedy at the mouth for it is dangerous abstain from wine and use Barly water with the Juyce of Granates and Mulberries and Quinces let the meat be such as may be supt as Barly Broth bread boyled in broth with the Juice of the Seeds of Limmon the Yelks of Eggs in broth with the Juice of Granates 2. In revulsion of the humour by daily rubbing Ligatures especially Cupping-glasses applyed to the Loins and lower parts not the upper parts lest it draw the humor to the part affected 3. Repelling the humour by cooling and astringing remedies as the Sirrup of Mulberry Granate Mirtle with Barly water Rose water Plantain or Oak-bud water and wash the mouth with it to which purpose may be red Roses powdered finely and other astringent powders 3. Dissipating evacuating the humour with remedies that by a moderate heat attenuate and turns the matter into a wind Take the leaves of Dill Flowers of Camomile of each half a handfull of Bran half a Pugill the leaves of Marjarome six Drams of Common water a pint and an half boil it according to Art strain it and add three ounces of clarified Hony gargarize with it being Lukewarm If the matter cannot be discust but it begins to ripen help it with annointing the neck with the Oyle of Almonds or by applying a plaister of Diachilon The ripening of it is helpt inwardly by the roots of Mallowes or Figs boyled and Gargarizing and washing the mouth with it CHAP. X. Of the Sorenesse of the mouth THe Ulcers of the mouth in Children are Ulcers of the Superficies of the mouth that is the whole internal part of the mouth with a fiery heat They are easily caused in Infants by reason of the tendernesse and softnesse of the Palat of Children they being unaccustomed to meat being newly born and by their greedinesse and sucking more then they can digest wherefore it is a great fault in Nurses that whensoever the Child cryes to quiet them with giving the Breast for it is a rule amongst Physicians that milk should not be given not above three or four times in a day The cause is whatsoever is corroding or accrimonious or sharp whether the humours of the body meat or medicaments In Children they are chiefly caused by the sharpnesse and corruption of the Milk whereby ill vapours are sent from the Stomach into the mouth The external causes are whatsoever may heat the head of the Child as the air being hot the use of hot meats immoderate exercises and drinking of strong Wine The Signes are Swallowing with pain and difficulty if they are malignant they for the most part follow ill and pestilentiall Feavers besides they are fetid black or livid causing pain and
are profound If benigne and not malignant they are without a Swelling or profoundity If from blood they are hot and red If from Phlegm they are lesse hot lesse painfull and are white If they are made by Melancholy they are blackish and dark coloured Prog. All Ulcers of the mouth are hard to cure because the Medicament cannot conveniently adhere but those that are black stinking profound very painfull are very dangerous and is a most miserable horrid death of them which dye and are consumed by this Disease The Cure if the Ulcers are benigne they are cured by altering the temper and cicatrizing with cooling and astringing remedies If the milk be bad change the Nurse or correct the Milk by dyet and purging the Nurseas hath bin shewn the Ulcers are healed with Hony of Mulberries or Sirrup of Pomegranates Mirtles or Red Roses dryed with which the Nurse dipping her finger is to touch the Ulcers and if they be contumacious mingle a little powdered Alum with the Sirrup of Mulberries for the Powder of Alum hinders the spreading of the Ulcer and without any notable pain If the Child is somewhat great the dyet ought to be cooling and meats that may be suck'd is to be used as Broths and Eggs with Broth or Verjyce If the Ulcers are great commonly causing inflamations and drawing of the humours Cupping-glasses applyed to the Loins are convenient and to evacuate by them what the age and constitution of the body will permit then purge Gently the Medicaments to be applyed to the Ulcers are the same as in Infants or make a decoction of Millefoyle or Plantain with Red Roses Sanders and take of it four Ounces and mix with it an Ounce of the Sirrup of Mulberries wash the mouth with it In Malignant Ulcers in Infants Take of the Scordiuum finely powdered one Dram of the rinde and Pill of Pomegranes finely powdered two Scruples burnt Alum one Scruple Hony as much as will suffice If the Child is somewhat great the use of the Juyce of Granates especially sowre is good If this is not effectuall use Aqua Magistralis Aluminis Unguentum Egyptiacum or the Flower of braâ—s corrected with a little Sirrup of Mulberries These are not to be used but in great necessity because the Palate hath two broad ways one to the Lunges and another to the Stomach and therefore it is dangerous any venemous medicine should come thither wherefore it is better to use remedies in such a form as cannot go further then the Palat as when the Ulcers of the mouth are touch'd with the Oyle of Sulphur or Sublimate water which is an excellent remedy against all inveterate Ulcers Take of sublimated Mercury twelve Grains the water of Roses and Plantain of each eight Ounces boyle them to the consumption of a half part the use of it is that the Ulcer of the mouth be touched with one drop which if it cause a considerable pain then mitigate the pain with Milk that hath Steel quench'd in it CHAP. XI Of the Ranula of the Tongue THis Disease is an Inflamatory humour of the parts under the tongue and especially of the Veins in Children for the Veins under the tongue being with a petuitous blood sometimes Melancholy which is sweat out or goes out of the mouth of the Veins into the Passages of the flesh and there being collected the humour is elevated into a Tumour or Swelling which is called Ranula It sometimes resembles a soft Aedema which being opened a white matter like to the white of an Egg flowes from it The Cause is a petuitous blood or as some say a petuitous humidity The Signs are manifest to Sight there appears a Tumour with great pain and heat and a hinderance of Speech the colour of the humour is as it were mixt of the colour of the Tongue and Veins Prog. This Tumour if it be neglected is dangerous it sometimes makes a Feaver and suffocates Children The Cure is by a cooling and astringing Diet in using Vinegar Verjuice Limons and the like with meat Clysters are convenient Purges by the Mouth are hurtful If the Child is somewhat large Cupping-glasses applyed to the Thighes are convenient so are Friction and Ligatures after Astringents are good Salt of Armoniacum rubbed upon the part is commended by all Maryroom rubb'd upon the part stronger then it are Flower of Brasse Allume burnt Spunge and Tragacanthum burnt If these cure it not the Tumour must be cut off at the Roots for sometimes the humour is in a Coat which if it be not taken away the humour returns after the Cutting of the humour stay the blood with salt powder of Mirtles Totmentil or Bistorte then Cure it with Myrrh and drying things that cures wounds CHAP. XII Of Dentition and breeding of Teeth THE generation and perfection of Teeth is the work and intent of Nature but in regard the matter out of which they are made suffers not that this Work can be done without trouble and pain It causes that a Disease followes the generating of Teeth which Disease is not intended by Nature Dentition is an Eruption or breaking forth of Teeth first conceived in their proper holes It is said by some to be a violent work of Nature and the gums are as it were prick'd with needles whereby great pain is caused and a supernatural heat in those parts is excited which drawes the humours thither which are made putrid salt and sharp in those parts and being precipitated to the Stomach and guts strongly excites the expulsive faculty and consequently causes loosnesse and sometimes Dysenteries Bones and Teeth are the same according to kind and matter but differ in Species and name The difference of Bones and Teeth in their nature and particular beings appears 1. Teeth are made after the Birth of a Child all other Bones before grow to a certain time and have no sense and never are renewed but Teeth grow during the whole life have an acute sense and grow again It 's observed that amongst the Bones the Teeth only cannot be consumed by fire Neverthelesse they are corrupted and consumed by a putrid Phlegme besides Teeth have no marrow and fat as other Bones have and therefore they are the most hard body They are corrupted with hot things as by washing them with warm water but preserved by moderate cold as by washing them with cold water nor are they hurt by an actual extraordinary cold for in Frost they are not troubled but by a cold that is potential because Teeth have but a little heat and cannot resist a great cold Teeth were made for the breaking of hard meat for speaking and distinguishing of Tasts and therefore they have soft Nerves in them and although Histories relate several have been born with Teeth yet for the most part they break forth in Children about the 7th month sometimes sooner as in them which use more hot milk They are very slow in some sometimes to the Third or fourth year either by
make a Clyster which is very good So is this Take of Mullen the greater Comfrey of each half a handful boyl them according to Art Take thereof two Ounces and an half of the Syrrup Deribes one Ounce mingle them Whey in which Steel is quench'd is good and may be given to six or eight Ounces at once If the Guts are sore this Confection is very useful Take of the Conserve of Barberies one Ounce of Thus one dram of Mastick half a dram of the powder of the great Comfrey two Scruples mingle them the quantity to be used is two or three drams every morning The Broth of an old Hen in which Mullen is boyled is good for all old and petuitous Fluxes So is the heart of a Beef burnt and powdered taken in Milk in which Steel is quench'd or in the Decoction of Mullen half a Scruple of it or a Scruple is to be used at once Clysters are good Take the Water of Barly in which Steel is quench'd eight Ounces Red Sugar one Ounce make a Clyster this is good in the beginning because it moderately dries absterges and mundifies the Ulcers afterwards the Ulcers are to be dryed and healed to which purpose use this Take of Whey in which Steel is quench'd nine Ounces of Thus Bole-Armonick and of Comfrey the great of each three drams Sanguis Draconis five drams mingle them and make a Clyster CHAP. XX. Of the Tenesme AFter a Loosness and in the Loosness and from them a distemper usually arises called a Tenesme which is a certain vain desire of evacuating the Filth of the Belly with pain and trouble The Cause is A hot or cold distemper of the Spyncter of the great Gut most commonly from a humour thick viscid and sharp adhereing to it where it stimulates the expulsive faculty which endevouring to expel the viscous and sharp matter but cannot in regard of the tenacity of the humour the Tunicle of the Gut is as it were strain'd into pieces and in the same divulsion the appetite and pain is made The antecedent causes most frequently are Preceeding Fluxes for the humors continually touching the great Gut distempers it if the humours are hot the distemper is hot if cold the distemper is cold whereby sometimes there is not only made a distemper but an Inflamation The Signs are manifest because the Child desires and endevours often to expell the filth of the Belly and with such endevours that sometimes the Fundament falls and comes down the Filth that is evacuated is very little slimy and bloody if it be from a hot cause a heat is perceived by the Children in the Fundament there is a rednesse and cold remedies help if from cold there is a lesser pain a little or no heat no rednesse and hot things help Prog. This Disease if it be diligently handled in the beginning ends well but it sometimes happens by continual pains watchings and crying of Children that it brings them into mortal Feavers and Consumptions The Cure is of sucking Children by ordering the Nurse if a Child somewhat great by abstaining from meats that are acid sharp salt and sweet and to use such as provoke Urine If the cause be hot to asswage the pain then lessen the desire of going to Stool Make a Decoction of Mullein or Dyptams and sit in it Take Mirabulous Chebules and the Leaves of Mullein and boyle them in Red wine and dip a Sponge in it and apply it to the fundament Turpentine put upon the Coales that it fume and smoke the fundament is very good if these will not help Take of Opium four grains of Saffron one Scruple of Thus one Scruple and make a Suppository of it with the White of an Egg roasted put it into the Fundament it takes away pain dryes up the humours that causes the distemper especially the hot humors CHAP. XXI Of the pain of the Guts THe Guts being very full of Turnings and windings and rowlings and very long retain the humors a great time in them which makes the internal Tunicles of the Guts bare and naked from the slime which covers the Guts and makes their sense dull for their receiving of hard and sharp excrements and corrodes the substance of them and distends them whereby there is a vehement torment and pain The cause is either wind that cools the Guts and oistends the Tunicles of them or humors that are cold or hot which distemper them or causes a Solution of continuity somtimes Worms is the cause The external causes are the coldnesse of Air Feet and meat also sweet meats and Summer fruits If it be from Wind the pain is sometimes vehement sometimes gentle goes and comes breaks forth upwards and downwards If from humors the pain is more durable and constant if from Phlegme that Filth that is evacuated is but little and slimy If from Choller the Excrements of the Belly are yellow If from the corruption or sharpnesse of Milk there are notes of the badnesse of the Milk and the Filth and Excrements evacuated resemble corrupted Milk Prog. Pains that are persevering are dangerous especially the vehement pains in the Guts of Children proceeding from Worms which many times kills them The Cure is If the pain is from corrupted Milk change the Nurse if the be so vehement that it will not allow time to correct the milk if from wind the Nurse is to abstain from all windy meats and use Coriander and Fennelseed So ought the Child that is elder to use Auodynes such things which heat in the first degree and evacuate the matter of pain and attenuate and dissipate it annointing the Childs Belly with the Oyle of Anniseed If it is not effectual put a Clyster-pipe in the Fundament so the Wind is drawn forth sometimes if not make three Ounces of the Oyle of Anniseed lumbricated is sufficient for a Clyster If the Child be great use Cummin or Anniseed in Sweet Oyle and the Oyle afterwards being strained take of it 6. or 8. Ounces for one Clyster Observe the Wind ought to be expelled out of the Guts by gentle remedies if more hot are used the pains usually are increas'd if the Cause of the Wind be in the Guts If the cause is a petuitous humour in a Child that is somewhat great the gentle remedies above mittigate pain afterwards take the Leaves of Dill Marjerome Cumminseed of each half a handful boyle them according to Art Take Take of the Decoction three Ounces of Oxymel Simple and of the Syrrup of Byzantine of each three Drams the humors being prepared purge with one dram of Hiera in Wine if the Child will take it and there being no Feaver otherwise Take of Electuary Lenitive 5 drams of Hiera Picra one dram mingle them and make a Bolus If the pain is from hot and sharp humors use outwardly the means as is said before Take of Barly water six Ounces Oyle of Anniseed two Ounces the Yolk of an Egge and make a Clyster