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A62501 Pyretologia, a rational account of the cause & cure of agues with their signes diagnostick & prognostick. Also some specifick medicines prescribed for the cure of all sorts of agues; with an account of a successful method of the authors for the cure of the most tedious and dangerous quartans. Likewise some observations of cures performed by the aforesaid method. Whereunto is added a short account of the cause and cure of feavers, and the griping in the guts, agreeable to nature's rules and method of healing. Authore Rto Talbor pyretiatro. Talbor, Robert, Sir, 1642-1681. 1672 (1672) Wing T112; ESTC R200596 26,777 96

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the urine of healthy persons but sometimes thick with a red sediment if the disease run high Phrensie Convulsions Madness happens Spots Pustules Blains Buboes Carbuncles c. break forth Of the signs Prognostick in Malignant Fevers These Distempers generally afflict the people about the Autumn and Winter more than the Spring and Summer they last according to the nature of the disease and strength of the Patient four seven twenty one or forty two dayes The dangerous symptoms in these diseases are unquiet sleeps the Patient not relieved by them madness imbecillity of the retentive faculties a creeping low and irregular Pulse black and turbid Urine Convulsions Epilepsies c. otherwise if the Patient is relieved by sleeps hath a regular pulse good Crises happen moderate sweats and the Patient appearing refreshed after them signs of concoction in the Urine c. the Patient is in no danger SECT IV. A discourse of the cause of Fevers YOu know Physiophilus such is the humour of this present age that they are not contented with those accounts of Fevers the Antients thought rational but must have some new well-tuned Hypotheses to please their humours that I may not be thought altogether Empirical I will follow the steps of some of our modern ingenious Physicians and run with them in their rational accounts of Fevers which being pleasant and coherent do gratifie our humours and delight our curious fancies But I must beg their pardon if I leave them sometimes in the method of curing and follow the experienced and well-troden paths of the Ancients The Hypothesis granted that Blood and Wine are analogous and observe the same rules and method in casting out extraneous bodies the cause of Fevers will be thus understood when either from the defects of the Duumvirate i. e. the Stomach and Spleen change of Air or Diet whereby the habit of the body is altered violent Passions retention of Excrements and the like an imperfect and ill-digested chyme is prepared and conveyed into the mass of blood which being not fit for mixture and assimilation is resected and cast forth as an Heterogenous matter From hence is caused a commotion or hermentation of the whole mass of blood which last so long till the extranious matter be cast out either by the Pores of the skin Ureters Intestins or other emunctories The Experiment may be proved in Wine into which if you put any Heterogeneous matter as a drop of a Candle Sugar or any Liquors it will immediately ferment which will not cease till the extraneous matter be thrown out or separated from the Wine and lodged at the bottom of the Vessel and the whole body of the Wine remain pure and clear Thus we see persons after excess in eating or drinking fall into Fevers the ferment of the stomach being diluted and depraved by such excess and the parts designed for conveyance of chyle or nutriment are obstructed so that an unsuteable chyme is sent to the Veins which the blood cannot admit of So likewise we may observe from such persons as have fed upon ill diet a long time as at Sea or in Captivity the body at length hath been accustomed to it but when such have returned home and came to feed upon good and wholsom food they have oftentimes fallen into very high Fevers the reason of it may be this The parts of the body designed for concoction were not acquainted with such food and through depravity could not digest them sufficiently or if this food were digested into good Chyme yet when it came into the veins the blood could not admit of its mixture and assimilation because it is of a contrary nature to that which was produced from the former ill diet When this Chyme from some ill food or bad air hath contracted a poysonous nature the blood touched with this venomous Miasme is either too much fused from whence follows a greater ebullition in the mass of blood by which the vital spirits are wasted and dispersed or sometimes the blood is coagulated by which its circulation is hindred and a stagnation of that vital current follows as in the high malignant and Pestilential diseases SECT V. Of proper Diet to be observed in Fevers IN putrid Fevers in the beginning and state of the disease a thin diet is necessary as Water-grewel broth of Chicken Mace-Ale Barly-water with cooling and cordial Syrrups In the declination Mutton or Veal-broth or gravey of meat stued with a little Claret and a chive of Mace after the first Purge which is not to be administred till signs of concoction appear in the Urine Chicken boyled or roasted Mutton or Veal c. may be allowed For drink White-wine Posset-drink or small Beer with a fourth part of White-wine In Malignant the Diet must be thin but spirituous as clear Sack posset-drink Mace-ale broth of Chicken with Harts-horn and cordial Flowers boyled in it In the declination of the disease White-wine Cawdles gravy of Mutton stued with Claret a little Mace and Nutmeg then after purging Flesh may be permitted viz. such as is of easie digestion as Chicken young Rabits Lamb or Veal the drink during the encrease or state of the disease must be cordial Julips but afterward good fresh Beer with half Ale that is well boyled and neither too new or stale SECT VI. Of the method of curing putrid Fevers FIrst of all take care to clear the Stomach if you be consulted in time and nature will bear it Proper Vomits are these Oxymel scilliticum Oxymel simplex Infusio croci metallorum Sal vitrioli vel Gilla Theophrasti Then prescribe as a Julip this tincture of Roses viz. ℞ Florum Rosarum Rubr. ℥ j. Spir. vitrioliʒiv Aquae Fontanae liv infundantur in loco calido per horas sex postea coletur colaturae depuratae adde sacchari albissimi ℥ iij. Aquae Rosarum Damascenarum ℥ iv misce fiat tinctura de quâ bibat aeger ad libitum At other convenient times let the Patient take this Cordial ℞ Aquarum melissae cardui benedicti una ℥ iij. perlarum Corallii praeparat an ℈ j. syr acetositatis citri ℥ iss misce fiat Julapium pro quatuor dosibus If the Fever increase and violent symptoms appear as Delirium Phrensie c. apply blistering playsters to the Neck Arms and Anckles and Herrings or this following Cataplasme to the Feet ℞ Carnis Halecum ex muria ℥ iij. Radicis Brioniae ℥ j. fol. Rutae M. j. Salis nigriʒvj saponis nigri q. s fiat cataplasma plantis pedum applicandum After which Applications administer this following bolus ℞ Conservae Rosarum Rubr. vitriolat ʒj pulveris ex chelis cancrorum compositi ℈ j. laudani Londinensis gr j. misce fiat bolus Then administer other proper Cordials pro re nata till you observe a good crisis and signs of concoction in the Urine at which time observe Natures indications as which way she offers to drive out the morbifick matter whether still by
strained through the Parenchyma doth leave behind it some salt and earthy parts which after they have suffered some alteration by their attrition and justling in the several passages through the cells cavities and Pores of the Parenchyma are by fresh blood which perpetually flowes thither by continual circulation carried back through the veins into the mass of blood in which they serve for a most useful ferment by which the blood becomes rarified and is made more brisk and lively fit to circulate for the better supply of the parts 2. Of the use and office of the Stomach In the next place Physiophilus I shall show you the use and office of its compeer the Stomach The office of the Stomach is to prepare Chyle of which by several alterations by several ferments is made that vital juice the blood the manner of which is as followeth Food being conveyed into the Stomach is by virtue of a ferment or menstruum inherent in that part reduced into a whitish chyle subacid from whence when it hath attained Natures ends it is emitted by the passage of the Pylorus into the Intestins where it suffers another alteration by a bitter ferment in those parts the more pure part of which is sucked up by the lacteous vessels implanted in the mesentery and the grosser parts discharged by the intestins In these lacteous vessels runs the Chyle through the Pancreas into the Vena cava by means of which it is conveyed into the right ventricle of the heart and by motion of that Engine by the pulmonary Arteries is flung into the Lungs out of which having there separated some crude and phlegmatick Excrements it hasts through the pulmonary Veins to the left ventricle of the Heart out of which it is sent by the aorta into all the parts of the body CAP. II. A discourse of the cause of Intermitting Feavers or Agues I Know Physiophilus it will be expected by this curious Age that I should be as happy in finding out the cause as I have been successful in finding out the cure of this supposed unknown and uncurable disease a Quartan Ague which that I may not seem altogether Irrational and Empirical I shall here endeavour to give the world my opinion of the seat and cause of Agues which I shall not confidently assert as some have their dreams and conjectures but only propose and submit it to the more mature judgments of the learned and judicious and if any nice Critick shall take the pains to contradict it I shall return him no other Answer than that of Martial Carpere vel noli nostra vel ede tua The principal seat of Agues is the Spleen which being deficient the blood wanting its ferment is obstructed in its circulation and likewise the ferment of the stomach wanting a supply from this part is depraved so that Concoction not being well performed tough viscous humours are generated which with the Chyle conveyed into the mass of blood do at certain periods when they arrive at the heart disturb that noble part by obstructing the passage of the chyle or blood upon which violence offered to Natures chief Fortress a trepidation of the whole microcosme doth ensue which lasts so long till by the impulse of the blood or chyle following it it is at last forced through No sooner doth the blood find a free passage having been for some time dammed up but it flows more violently as when a Sluyce is opened in a Mill or other current of water from which violent motion an ebullition of the blood doth ensue which causeth the hot Fit The Ebullition being ended and the blood running again in its ordinary course Nature relieves her self by Transpiration resettling the blood disturbed by the commotion of the late Fit Then doth the Patient continue well till the morbifick matter come round again continually recruiting it self with fresh supplies from the imperfect digested chyle till that cause be taken away either by nature alone by recovering strength and vigour or by help of proper Medicines assisting her against so subtil and potent an enemy The distances of the Fits some being once in 24 hours as Quotidians others once in 48 hours as Tertians and some but once in 72 hours as Quartans are from the levity or ponderosity of the materia morbifica whether Phlegme Choler or Melancholly The heavier body moving more sluggishly in the sanguinary Channel than that which is lighter as we see in a current of water a piece of Firre shall move swifter than a piece of Oak or heavier wood and a Paper or Feather swifter than the Firre The length or shortness of the Fits are from the quantity of the matter more or less Double Tertian double and treble Quartans are occasioned by a quick supply of the morbifick matter so that there may be two or three several masses of the morbifick matter in the veins which arrive at the heart by succession But since the most plausible reasons unless backt by some demonstrable experiments seem but suppositions or conjectures I shall instance one common experiment used for the cure of Agues which though it doth not certainly cure yet it always delays the fit and that is strong ligature to the pulse which by retarding the circulation of the blood doth likewise hinder the coming of the morbifick matter to the heart and it may accidentally cure as some times it is known to do by retaining the morbifick matter if it be on that side the ligature that it must pass under it before it arrive to the heart where by the continual impulse of the blood the morbifick matter may be so dissipated and disunited that it may never unite again I have observed where it hath cured the part hath been extraordinarily swelled and they endure a great deal of pain and once a Gangrene happened upon this ligature Another confirmation of the cause of Agues being from tough viscous humours is that which the country people in Essex and other parts call an Ague-cake I have observed these in four Patients two were cast out of the stomach by nature and the other two by Emetick medicines One of them was like a clotted piece of phlegme about the bigness of a Wallnut pliable like Glue or Wax weighing about half an ounce another about the bigness of the yolk of a Pullets Egge and like it in colour but stiffer weighing about five drachmes the other two of a dark colour more tough about the like bigness and heavier It is a general observation amongst them that their Ague comes away when they see those Ague-cakes In those before mentioned it was verified and I have reason to believe it since the observation hath been confirmed by so many experiments CAP. III. Of the Diagnostick Signs of Intermitting Fevers or Agues THe signs of Intermitting Fevers in general are these They suddenly invade the Patient with a trembling or shaking and vomiting or at least some provocation thereto and sometimes they have convulsive motions in
spirits evacuated or evaporated the ferment of the stomach becomes weak and feeble not able to perform its Office from hence proceeds a general decay of the parts as in Consumptions c. other times the Ferment grows exorbitant and will not admit of Nature's Rules here food may be quickly dissolved but not so well digested From hence comes the Scurvy Rheumatismus vagrant Pains c. sometimes the passages as well for the conveyance of the Chyle as evacuation of excrements become so obstructed that not only a decay of the superior parts do ensue but Tumors and Inundations in the inferiour parts do arise from whence Dropsies c. do proceed But although upon the first sensible invasion of these diseases Nature useth her utmost endeavours to oppose them yet in these Chronick distempers she meets with so many obstructions that she rarely or never overcomes them without the assistance of her friend the Physician Acute diseases charge more violently but Nature having timely notice she presently applies all her force to oppose them and is sometime known to throw off these distempers without the help of a Physician But when either by the irregularity of the Patient in his diet or otherwise the distemper is re-inforced or re-invigorated Nature is often known to be over-power'd without the timely assistance of her friend the Physician In these Distempers a sudden and violent charge being given to Nature a Tremor shakes the whole body after that the Enemy having got into the sanguinary channel all force is used to drive it out but this is not done without much violence Hence a Fermentation or Ebullition of the blood doth ensue and continues so long till the morbifick matter is discharged part per poros cutis and the rest by the Ureters and Intestines SECT II. Natures several Indications in Chronick and Acute diseases according to which the Physician ought to frame his method of Cure IN Chronick diseases where the stomach is troubled with tough viscous humours sticking to the sides thereof Nature indicates vomiting by the Nausea that attends that part and offers of Nature to be relieved that way If these humours be fluid they generally participate of an acid quality being impregnated with a fixed acrimonious salt which mixing with the chyle converts it into a juice of the same nature whose exorbitant acidity resists the alteration designed by nature in the intestines and by its acrimony extimulating and exciting the expulsive faculty of those parts a Diarrhoea Bloody-flux griping of the Guts c. are caused Nature here indicates dulcoration of the Acrimony and Evacuation with emollient and lenitive Medicines Where the passages by which the chyle is conveyed or the excrements pass through are obstructed occasioned from a defect of the splenetick ferment or otherwise Nature indicates opening and attenuating Medicines and such as do excite the ferment of the Spleen In Acute diseases as Nature is most watchful and industrious in opposing them so is she most curious in her indications giving timely notice of the approach and critical Battalia of the Enemy for no sooner doth the adversary invade but a sudden tremor gives notice of the approach of a potent Enemy and when it assaults her she leaves all to oppose it Therefore we are not to charge the stomach with too much or any gross food for nature and the spirits being employed otherwise cannot attend the digestions And no sooner doth she get a little respite but she indicates to the Physician her friend how part of the morbifick matter is expelled and how the rest by his assistance may be carried off And this she doth by those pearly drops displayed upon the superficies of the Cutis as so many Trophyes of her late acquired Victory but if the disease be so potent that she cannot by her own desired way viz. per poros cutis throw it off she is forced to throw the morbifick matter into some other parts till she can recover more strength to vanquish it and here she acquaints her friend the Physician where she hath lodged the enemy calling for his assistance The symptomatical Pleurisie and Phrensie and other symptoms in Fevers are only signs of nature's weakness who wanting ability to discharge the morbisick matter her own way was forced to throw it into some other part as into the Membrane Pleura or into the meninges of the Brain from whenoe Pleurisie and Phrensie happen in Fevers when she hath separated and vanquished her Enemies she usually offers to drive them out at the inferior Postern indicating to the Physician that way she would be assisted I could instance many more but to the rational this is sufficient to acquaint them with Natures method and wise government in the Oeconomy of our body and that the true method of cure ought to be according to Natures own prescripts and indications For which I will bring the authority of that true friend of Nature the learned Helmont page 802. Naturam esse morborum medicatrioem eam confortandam ideo non consternandam Nature being the Physicianess of diseases she is to be strengthned and comforted not frightned or disquieted SECT III. A Discourse of the cause and cure of continuing Fevers FEvers though by some distinguished by various names may be reduced to these two heads viz. Putrid and Malignant Of the signs Diagnostick of Putrid Fevers They invade the sick with a chilness in the back and oftentimes shaking like an Ague after that a burning heat which diffuseth it self through the whole body and increaseth gradually to the 4th 7th 14th or 21. day and then decreaseth accordingly It is attended with Thirst a quick Pulse high coloured Urine Head-ach Phrensie Convulsions with many more dangerous symptoms if the disease be high Of the signs Prognostick These Fevers happen commonly in the Spring or Summer and if the symptoms be mild they sometimes go off in 4. or 7. dayes if violent they last 14. 21. and 42. dayes when a Phrensie Delirium Epilepsie Convulsion an irregular Pulse no signs of concoction are seen in the Urine after a Crisis or such like violent symptomes appear the Patient hardly recovers without powerful remedies and the diligent care of the Physician and his Assistants But if milder symptoms appear as if the thirst be not great the Patient not disturbed in his sleeps and wakes somewhat refreshed after them good Crises happen and Nature at those times gives some signs of a conquest either by sweat urine or a looseness the Patient recovers with little care and help Of the signs Diagnostick of Malignant Fevers They seize the Patient with a pain in the back or head the strength is debilitated without any manifest cause viz. more than could be expected from the nature or heat of the Fever a dry Cough palpitation of the Heart involuntary Weeping the heat in these distempers at first touch mild but after some time more sharp the Pulse low and quick often intermitting the Urine oft-times pale and like