to the natural cullour In like manner the appeasing of all the symptoms subiect to that disease helping of the members as before doing all wonted actions without any impediment or hinderance If these signes bee certainly perceiued you may assure your selfe that there remaineth nothing and so wee end thys Treatise The second Treatise sheweth the way to cure the accidents of the Spanish sicknesse The first Chapter SEeing I haue sufficientlie shewed in the former Treatise of the curation of thys dysease which generally happeneth throughout all the body by the which all men that doe professe anie learning and cheefely Chirurgiaâ—s may easily cure the same Now in like manner will I shew the true cure of the accidents of this sicknes which ordinarilie we call the Venerian sicknes perticuler yet of these there be also many sorts for some goe before the malady and if it be not yet confirmed some follow some happen in the cure and some after the cure vnperfectly performed Of those which goe before which we call precedents or forriders is vlcers and cankors of diuers fashions in the yeard burning of vrine Chaudepisses Carnosities Pulluines and such like Yet somtimes any of these may happen without the sicknes Those that followe bee pustuls and vlcers throughout all the bodie cheefely in the secret parts and also in the forhead and diuers other parts of the head in the emunctories in the mouth throat and fundament falling of hayre dolors and nodosities of the ioynts Those that happen in the cure are lack of appetite and walking vlcers in the mouth intestins and conduit of vrine with diuers others which happeneth in diuers manners according vnto the varieties of the waies of cure Those that happen after the vnperfect cure make diuers euill accidents as the fixed greefe of the whole head or some part thereof also of the legs armes and ioynts nodosities with putrifaction of the bones deafenes defluxions of the eyes filthy and creeping vlcers Fissures and Darters in the hands feete and diuers other parts of the body diminution of substance so that the body becommeth leane and atrified Of these symtoms some be cured by the generall cure but heere we shall content vs to speake of those which are cured by particuler cure If not by dulie administring of propper remedies the part affected becommeth rebellious and obeyeth no remedies the Patients are tobe suspected to haue great venenositie in the bodie where-upon for greater assurance to saue them from the vniuersall sicknes I cause them to vse euery morning of my electuary halfe an ounce by that meanes the euill humor doth auoy de which did entertaine the sicknes so is healed easily If it chaunce otherwise it shall bee well done to cause the sicke to vse good regime the space of 10. or 15. dayes during the which time yee shall vse a decoction of Salsparil or Gaiac according to his temperature and some liniment particuler on the part affected as also on the parts adiacents the which liniment shall be composed of Axungie rosat Mesues or Butter adding such quantitie of Mercure as ye shall finde expedient By thys linement and the decoction ye shall haue a great help in the cure The second Chapter sheweth the way to cure those vlcers that happen in the yeard HEere we shall begin at the maligne vlcers in the yeard which take their originall by carnall coniunction laying a part for this time those that happen by diuers other occasions as by hauing to doe with women in the time of theyr flowers and also by the great confrication of some women that be straight hote the which for the most part may be healed of themselues notwithstanding we shall speake of some part of them Of those vlcers which be maligne some happen in the gland called by the Latins Balanus and when they be most copious they be least maligne Others happen in the Prepuce which is the vtter skinne that couereth the gland Those vlcers for the most part be few in number but more dangerous somtimes complicked with virulencie or corrosion with blew or blackish cullour accompanied with callosity sometimes with filthines or rottennesse euill habitude of the body All these accidents must be corrected or els the vlcers cannot be healed the which being neglected in short space become cacoethick and maligne Some doe ende in gangrene or mortification and then we are constrayned to cute the whole member or at the least some portion thereof For the which you may haue recourse to my Chirurgie Chapter of gangrene Somtimes these vlcers doe degenerat into Carcinomes which if so happeneth you may haue recourse to the Chirurgie Chapter of Carcinomes It shall be well done not to neglect the simplest vlcer in the yearde For oftentimes by the neglecting of the vniuersall curation in the beginning and vsing onelie some repercussiue and astringent remedies the disease is healed but for a time so that afterwards it returneth within halfe a yeare or a yeare or two yeares sooner or later according to the habitude of the person diseased I handled in Paris a Gentleman who tenne yeares afore had a simple vlcer in his yearde and being euill cured by sorce of repercussiues the venim did retire to the center of the body So after the ten yeares vlcers and pustuls appeared in his yearde and at the perineum the prostats and parastats became all putrified and in like manner the whole scrotum So he dyed miserably notwithstanding all remedies as many doe when the humor virulent is retired and hidden long time in the body the which may chaunce in old folks For in such it consumeth inwardly before any appearance without But to returne to our purpose for the curation of maligne vlcers in the yearde we must vse some light purgations letting of blood good regime according to the temperature of the body vsing also decoction of Gaiac and Salsparill abstayning from all strong purgatious also bleeding of the arme or any superior part by reason that the strong medicines doe reuoke the humor to the centre of the body the which nature would discharge by the vlcers letting of blood in the armes or any superior parts doeth the same So that if these things be not well obserued the generall sicknes followeth for this cause the purgation shall be weake and the letting of blood in the inferior parts as in the leggs or feete also with such method that the part affected be not irrited As for the simple vlcers that be not maligne but come onely by great rubbing on women that be hote or by great violence on little Maides or by some women y t are ouer-straight which seldome happeneth or by women that haue their purgations and such other as you haue heard we vse onely drying medicaments and without mordication like as pouder of Tutia prepared Terra Sigillata burnt lead Bolus Vera and such like You shall put eyther of these alone or diuers together mingled with some medicament
the glands some in the membrance that couereth the glands some in their propper substance and of these some doe apostume others not and some degenerat in vlcers virulens and corrosiues the which are healed by the generall cure some are cured by particuler cure some retire to the internall parts and are simptoms precedents or forreyders to the generall disease like as oft we see As for the curation of those tumors first the regime vniuersall must be duly obserued in the sixe vnnaturall things abstayning from such things as be contrary according vnto that which you haue heard in the generall chapter of the former treatise purge lightly with some such things which shall onely purge the first vaynes and helpe nature to chase the euill humors to the Emunctories Beware of strong purgations for they reuoke the humor to the centre of the body and the letting of blood in the arme doth the same effect Therefore vse onely such medicines as doe meekely purge and let onely blood in the legg or foote As for the topical remedies they shall be neyther resolutiue nor repercussiue as some doe by reason that the resolutiue doe onely consume the more subtill and the thicker doth remaine which is cause afterward of the vniuersall sicknes and the repercussiue doe reuerberat those maligne and venimous humors into the inward parts whereby the vniuersall sicknes may also be caused Therfore thou shalt abstaine from such things causing the sick to make light exercise for that maketh the humors discend and auoyde more easily Also for the prouocation of the same yee shall applie ventouses and drawing medicaments according vnto the nature of the humor Neuerthelesse begin at things more weake by reason that all suddaine and violent motions are hurtfull and dangerous to nature by making suddaine or violent attraction as also for that the tenuitie of the attractiues may make euacuation of a part the rest may irrit not obey the attractiues For this cause ye shall mingle with the attractiues some emplaistrick medicament which shall be made in this forme following Rec. Ficuum pinguinum num 6. Passular mundatar vnc sem Rad. Althaeae et Brionae an vnc 1. Coquantur adde cappar sub cineribus coctor capituÌ„ lilior albor an vnc 3. Cum fermento sale et vitellis oner vel Axungia et fiat Cataplasmum If yee thinke good to mingle therewith Gumme Ammoniack Galbanum Bdellium Oppopanax it shall be well For the same purpose ye may vse the emplaister Diachilon magnum cum Gummis Apostolicum Nicolai de Melileto This beeing done and the humor drawne to a circonference it shall be necessarie to vse some suppuratiue medicaments as this Rec. rad Althaeae et Lilior an vnc 3. Fel. Maluae Bismaluae Parietariae et Violar sub Prunis coctar an vnc 1. Coquantur et terrantur addendo axungiae porci vel Buturi sine sale vnc 3. Oleor. Lilior Violar an vnc 2. Vitellos anor duos et formetur Cataplasma the which if ye esteeme not strong enough vse this Rec. Rad. Lilior Brionae Althaeae figilli beatae Mariae an vnc 1. sem Lapathi Cepar et allior sub Prunis coctor an vnc 2. Coquantur et conterrantur addendo axungiae porci anseris Gallinae an vnc 1. Gummi Ammoniaci Galbani in aceto dissoluti an drag sem Olei Lilior et Lumbricor an vnc sem Fermenti acerrine vnc 1. fiat Cataplasma With these things and other such like remedies yee shall continue till such time the humor come to full ripenes in the vsage whereof ye shall put alwaies an Emplaister of Basilicon the breadth of a groate and apply it on the part more iminent vnder the Cataplasma Then the perfect maturation being done it may be opened three waies to wit by the Lancet by the Cautere actuall and by the Cautere potentiall the which apertion must be made according to the rectitude of the Fibres and that shal be done by the potentiall Cautere by reason that the heare thereof helpeth the suppuration of the cold humor Make good opening to the effect the thicke humor contained may auoide more easilie Defer not long the apertion by reason that oftentimes the matter contained lifteth vp vapours of the same nature to the noble parts the long stay maketh the humors take theyr course to the center of the bodie causing thereby the generall sicknes the which if you perceiue apply attractiues and doe what you can to comfort and corroborate the noble parts vsing also good regime For by these meanes nature putteth the humors forth eyther in the same place or in the emunctories of the hart as I haue seene in one that I haue cured to whom these accidents did happen The suppuration and the opening made as it ought to be ye shall produce the fall of the Escare either by fresh Butter Axungie or Basilicon or common digestiue Afterward mundifie and cicatrise the vlcer as in others That being done purge well the body and let blood also according vnto the habitude If it happeneth that the vlcers suppure not well but remaines hard tumified and sordid the borders turned ouer resisting all common remedies you shall iudge the sicknes to follow whereuppon you shall vse good regime for a certaine space with decoction of Gaiac and some other medicament to corroborate the noble parts to the end they may the better chase sorth that which is hurtfull the which if all be not sufficient we come to the generall cure of the disease and this is the order that yee shall vse in the curation of these tumors The 4. Chapter sheweth the way to cure the Chaudepisse Virulent called Stranguria Virulenta I Haue heere determined to speake of the fluxe Spermatick and Gonorrhea virulent or Chaudepisse which is moued by the contagion of those that are infected with that venerian venim Chaudepisse is an inflamation of the glands prostates and parastates situate in the beginning of the necke of the bladder the which are proper domicils to the Sperme before it be cast forth But Chaudepisse or Gonorrhea virulent differeth somewhat from Gonorrhea not virulent because as saith Gallen De locis affectis Gonorrhea is an inuolentarie emission of the Sperme without eyther putrefaction or vlcers but in the Chaudâ—pisse virulent is a continuall extention of the yeard with retraction of the same in like manner emission not onely of the Sperme as is in the vlcers but also of humors putride Neuerthelesse it shall not be amisse to speak somewhat of Gonorrhea not virulent because it hath some affinitie with the other as also because they happen both in those parts Whereof there is two sorts to wit that which is done by repletion and that which is done by inanition By repsetion as those that haue great aboundance of sperme the which sometime nature of her selfe doth expell for to be discharged and somtimes it may be dissolued against the heate of the sunne and by
called deceiuers and Iuglers then true ministers of our Art The twelueth Chapter sheweth how by nine diuers wayes this disease may be cured THere are diuers learned men who of long time haue sought out and put in practise diuers remedies as well generall as particuler for the extirpation of this maladie of the which our ordinarie practisioners vse commonly foure First by decoction of Gaiac secondly by vnctions thirdly by emplasters fourthly by perfumes or suffumigations But because these wayes for the most part are both dangerous and and vncertaine as I haue often prooued beeing also a thing that bringeth infamie to the diseased by reason that this manner of cure yea though it were certaine could not be performed without the knowledge of many Therefore I haue taken paines both by daily practise and obseruation as also by conference with learned men touching this matter to find a way more certaine for the curation and not so dangerous nor painfull for the patient which may be performed without keeping eyther bed or chamber and that without knowledge of any man except it be inueterate And it is performed by Pils and decoction of white wine decoction of Salsparel by electuarie by my Arabick powder which before me haue not beene practised and I may asâ—ure them all to be most certaine for the curation of this disease to haue beene experimented by me in moe than two hundred patients of diuers Nations in curing of whom there happened no accident but perfect health I can by the like meanes and inuention of mine cure Children of two moneths old Now seeing by Gods helpe I haue found out things so profitable for the recouerie of health in an infinite number of people I will not hide it but publish the same so plainly that euery man by his owne industrie may attaine to the knowledge heereof But first I will set downe the common way daylie practised beginning with the first which is the decoction of Gaiac and so proceede with the rest after the same order to the end that all men may knowe both the vulgar and auncient way and also the newe found out and practised by mine onely dilligence The 13 Chap. to cure the Spanish disease by decoction of Gaiac which is the first way AS for this manner of cure that is done onely by decoction you shall heare the forme hereof after the manner that is ordinarilie vsed like as I haue often proued my selfe But that I euer healed any onely by that way I will not say not withstanding that there is no Surgion in Fraunce that hath cured that disease more then I. Neyther coulde I euer learne of any famous Surgion that would affirme it to be a true cure Yet the Spaniards and Italians be of an opinion that it may be done Their reason is that the first Spaniard that was infected there-with in the occidentall Indies in an Ile called S. Dominick hauing an Indian to his seruant who professed to heale this disease onely by that decoction was healed by him who did also heale many others So by his example diuers others doe vse y t way But I answer At that time the sicknes was not so venimous as now neyther gaue they it leasure to inueterat as we doe nor yet was the people of our temperature being for that cause more easie to be healed Among the foure wayes to heale this disease I esteeme this to be the most weake most vncertaine the which opinion is confirmed by all those that haue written and practised in this matter Neuerthelesse by our experience we find it a remedie albeit not altogether sufficient for the exturpation of this sicknes yet a great helpe to it as also to many other diseases where neede is to heate attenuat prouoke sweat and drie moderatlie So that I thinke it should be rather called a preparation to the cure then a perfect or true cure For seeing it is not sufficient for the cure of a simple sicknes as of a defluxion or Catharre this we see by our daylie practise the which is healed by simple remedies then much more it must be weake for the taking away of this sicknes the which is of such nature as sayth Palmanius that often it receiueth no curation notwithstanding the vse of all proper remedies which make a great euacuation as well laxatiue as others Yet I confesse that there is some hidden facultie that helpeth much by reason that it heateth rarifieth and prouoketh both vrine and sweat and is also somwhat propper against the venim consuming a part of the humors that be most subtill so appeaseth the dolor for a certaine time but the primitiue cause doth remaine with the most part of the humors which be deepe thicke and grosse of the which commeth Tophes and Nodosities in diuers parts of the body chiefely in the leggs armes and head accompanied with dolors Alwayes let it be vsed with a good method regime with preparation of the humors as you haue heard in the generall Chaprer So doing the venim is almost withdrawne if the sicknes be recent and the patient of a good temperature Therefore I will briefely set downe the preparation of this decoction the time propper to vse it and the forme how it shall be vsed with the regime that should be obserued in the vsage heereof at all times As touching the preparation after it be put in powder so much as you will vse you must steepe it 24 houres in water for by the long steeping it receaueth more force the water must be warme and vpon one pound of the tree put ten pounds of water eyther Fountaine or Riuer as counselleth Montanus of Hermodact Drag ij That beeing done it may be made in diuers manners but the most part doe seethe it in a weake fire in a pot of earth or Copper well couered so that no ayre auoyde let it seethe till the second or third or fourth part be consumed which shall be done according vnto the indication and temperature of the person Some doe make it by distillation But whatsoeuer fashion you make it of a little before the full concoction add some Licorice small broken to the effect it be more pleasant so retire it from the fire and being refreshed straine it through a cloth and keepe it close in bottels for thine vse the vvhich shall be in the morning at such time as thou wilt sweat Therafter thou shalt make a second decoction to drink in the meales and in other such houres as shall be found to be expedient It shall be made in this forme Put to the grounds at the rest of the other decoction as much water as before and seethe it as the other but let it not consume so much by reason you shall vse long and much of it VVe put to it for the corroboration of the stomack Coriander Anniseed Cinamon such like The time most propper to vse the first decoction is in the morning and after-noone long time
are most necessarie for the true curing of this sicknes declaring first the cause For not knowing the cause it is impossible to find out proper remedies for the cure seeing in all diseases the cause must first be taken away or else the true cure cannot ensue The third Chapter of the causes of the Spanish sicknes HAuing intreated of the definition and originall of this maladie nowe it followeth to shew the causes of the same which are eyther externall or internall The externall consist not onely in things manifest but also in occult and hidden thinges which lye as you haue heard in the former Chapter Heere we will content vs to say onely that this maladie proceedeth cheefely from the act of Venus whē men haue to doe with women polluted with that infection though sometimes it be but small For by reason that the composition of the secret parts of both sexe are composed of rare flesh and spongious it happeneth by the frication they are easily heated and rarified and so the sooner infected And for thys cause those that doe the act soone are not so easilie infected as those who are long in dooing by reason that the long heate dooth extenuate those parts Likewise they which haue the skin fleane of their secret parts take not so easilie the maladie as others because beeing alwaies vncouered it is not so tender and delicate and therefore not so apt to receiue infection It proceeds also by lying in vncleane lynnen by wearing the garments of them which are infected and by lying with such as haue any spyces of it So that we see many by that meanes infected without any company of women Moreouer it proceedes also by sucking the Nurse any way diseased with this sicknes by drinking after them which haue Vlcers in their throat by kissing or receiuing the breath of such as are infected and by sitting on the priuie after them sometimes by treading bare-footed on the spettle of those which haue beene long corrupted Whervpon I will sette downe mine owne experience as followeth I saw Anno 1589. in Monsier Coiutret his house Principall of the facultie of Chirurgery in Paris the number of 26. men women and children infected which were sent vnto him by the Iustice to discouer from whence came the originall of it because it was thought that one infant did infect all the rest Whose Parents and Nurse being both cleane made the cause more difficult to be found out Yet by diligent enquirie the infection was found to haue his beginning frō the Midwife who of a long time had been infected with that disease and by receiuing y e child infected it by first breathing vpon the same as beeing tender delicate so the more easie to receiue such infection Thereafter sucking the Nurse did infect her and sundry other Nurses one after another who by giuing suck to other chyldren did infect them and finally the children did infect their Parents So it was prooued that by that chylde there were infected to the number of threescore lesse and more which persons I saw cured the most part of them my selfe I haue knowne diuers to haue been infected onely by kissing of which nūber I haue healed one in Paris who was infected by kissing a young Gentleman a sutor of hers who had Vlcers in his throat proceeding from the same disease in such sort that shortly after all her hayre did fall with externall paine of the ioynts whom I healed with the help of God and my confection The said Gentlewoman afore her comming to me dyd infect sundry chyldren by lying kissing and drinking with them Some infected onely by drinking with those that were infected afore as you haue heard so that it behoues vs to refraine familiar frequentation with such people I cured also a Gentlewoman in Paris of a great Family a virgin as I found by my visitation which was infected with thys disease the cause whereof I found to haue come by sitting on a Priuie after an infected person Likewise I healed a boy in Paris of the age of 15. yeeres who was infected by going bare-foote vpon his Masters spettle Gallen sayth Lib. de Febribus cap. tertio that it is daungerous to accompany those that be in a consumption and stincking breath'd and those that bee infected with the Plague Leprosie and such other sicknes which come by contagion as thys doth Many others I haue seene which for briefenes I will omit Now let vs come to the internall cause of this malady which is corrupted meats that doe ingender a putred flegmaticke nurature or a burnt mellancholy as diuers sorts of hearbs roots fishes fruites with such lyke rotten foode where-with the French Army was nourished at Naples where thys malady began first to be knowne among Christians Yet will I not affirme that the flegmatick or mellancholick humor is the onely cause of thys disease but also other humors yet the neerer that mens complexions approch to the flegmatick the apter they are to receiue thys infection which ought to be obserued For we see fewer Chollerick or Sanguins infected with thys dysease then the Mellancholick or Flegmatick likewise more difficult to be cured as we finde ordinarily by our experience VVherein we must note that after the Flegmatick complexion followeth the Mellancholick next the Sanguine last of all the Chollerick the which in deed is least altered because among all the humors it simbolizeth least with the sayd Pituitous humor The humor so altered and corrupted dooth actually let the action eyther animall vitall or naturall or two of them together or all thē three as well generally throughout all the body as particularly in one member as ordinarily happeneth in such dyseases Some are of opinion that it commeth of the imbecilitie of the vitall spirits and naturall like as somtyme wee see by experience I knew when I vvas Chirurgian ordinary to the French and Spanish Regiment in Paris that 35. souldiers had carnally to doe wyth a woman infected yet of the sayde 35. onely seauen were infected with the fore-said woman which seauen were cold and weake men of complexion and long in performing that act the rest were hote and robust soone dispatching the act hauing the faculty strong to withstand the venim and for this reason they were not insected therewith Diuers such accidents haue I known Fallopius is of the opynion that the cause of thys infection commeth often of the passion of the minde for when a woman loueth not that man shee hath to doe with she heateth not her selfe but lieth quietly and so thrusteth not forth the venim as some whores doe In this I thinke it a manifest occasion that some bunglers and olde men are not so commonly infected as some young men albeit they haue all to doe with one woman because also old men are dry hauing the skin hard the Gland therefore not so easie to receiue venim as yee haue heard In lyk manner women very common gyue not so easily thys
euill as other women who are lesse infected and not so common The cause is that common women take not so great pleasure because they beeing accustomed night and day to exercise venerie doe not excitat the humor so much as the other who take greater pleasure therein by reason that they vse not the act so often I haue often knowne men infected therewith who haue beene extreamly well loued of the woman by reason she tooke pleasure with him and so the vertue expultrixe was the stronger to put forth y t which was venomous to the great hurt of the man All these occasions doe infect many which infection if it remaine any space in the body sheweth certaine signes as ye shall heare in the Chapter of signes The fourth Chapter of the differences of the Spanish sicknes THE originall and cause of this disease beeing knowne it followeth to intreate of the differences of the same touching the which we must vnderstand that it is somtime gentle and molesteth nothing other whiles by little infection it doth sodainly augment and come to the state of the maladie somtime they passe many moneths and yeares before it be knowne eyther to the infected or to the Chirurgian somtime it occupieth onely the liuer and consequently the vaines somtime it is spread ouer all the body so that the hart and braines are somtime vexed with great accidents according to the varietie of the venim and of the body wherein it happeneth sometime with great simptoms somtime small That which occupieth the haire of the head beard browes without any feeling and hurting of the body is the most simple sort The second kind is worse which occupieth the skin with little spots which waxe greater somtime red somtime yellow which cannot be well extinguished except that the roote of the sicknes be taken away The third kind is greater the which not onely maketh little spots but also Pustulles and Tubercules first in the temples forehead and head thereafter through the whole body these are round and dry without matter Purulent yet in time if they be neglected they increase and become vlcers Virulens and sordides chiefely about the throat nose and fundament because these places are more tender and therefore so much the more easie to be vlcered The fourth kind is that which is infixed in the ioynts and naturall parts which makes great dolour somtime spasme and contraction of one member or of diuers members together The fifth kind is that which makes such relaxation that paralize followes in one member or generally taketh away the motion of the whole body The sixth kind is when it is inueterated so that it possesseth and corrupteth the solide and firme parts as bones sinewes membrans and tendons The seauenth kind is that which causeth dislocation of one or diuers articles The eight kind is that which maketh such corruption fracture in the midst of the bones somtime accompanyed with Herpes and Darters furfurous of the which some appeare in the soles of the feete some in the head some in the hands and some through all the body The ninth kind is that which occupieth diuers parts of ths head with extreame paine but chiefely in the night somtime with alteration of the scull The tenth kind is that which causeth deafenes with difficultie of smelling and also ablation of the fiue sences naturals The eleauenth causeth leprosie which is incurable The twelueth kind is when the sicke becommeth Ethick dyes in a consumption There are a number of others differences of this disease Antonius Musa sayth that there are two hundreth thirtie and foure kinds but these which I haue set downe are the most common vnder the which all the rest are comprehended Furthermore we must vnderstand that when this disease doth degenerate into leprosie it happeneth in those who often times haue been vndiscreetly handled by ignorant persons and when the body is ill prepared eyther by intemperancie of lyse or otherwise VVhen it doth degenerate into a consuming Feauer and doth become Ethick which the Latines call Tabid and that it is neere the noble parts it happeneth in those that haue beene often handled onely by Sudorfficks and dry nouriture as many ignorant persons doe thinking to drie vp the euill humors that way and so drie vp the humor radicall which of necessitie causeth the patient to become Ethick The fifth Chapter of the signes of the Spanish sicknes THE signes of this disease doe commonly follow the temperature of the body diseased As if a person of the Sanguine temperature be infected such a one shall haue ordinarily paine and heauines in the head but chiefely in the forehead and rootes of the eyes in the necke and shoulders in the arme and often times in all the articles great pulsation in the temples appetite to vomit with dulnes of the fiue naturall sences lassitude of all the body chiefely when the partie sleepeth and after sleepe the mouth clammie the vaines of the eyes red vlcers sordids both in the secrets and other parts of the body with inflamation and rednes diuers pustulles in the head face and neck and somtimes through all the body which for the most part are red and inflamed great aboundance of sweat very ill sauours the vrine very red and thicke great paine at such time as the humor Sanguine raigneth which is from three in the morning till nine as ye may see in our Chirurgie in the Chapter of humors If he who is infected with this sicknes be of the humor bilious or Chollerick he shall haue great drought with want of appetite punctions throgh all his body like poynts of needles paine in the right side of the head the body becommeth leane the face and eyes euill coloured the mouth euill tasted falling of haire through all the body with aboundance of drie pustulles which are more plentifull in these two humors than in the other two by reason that these humors be more liquid and so passe more easilie from the centre to the circumference of the body He hath vlcers virulent in diuers parts of the body chiefely in the yard codds and roofe of the mouth and throat great paine at such time as the humor chollerick raigneth which is from nine in the morning till three in the after-noone If the patient be of temperature pituitous or phlegmatick he shall haue paine with heauines of the hinder part of the head neck armes and legs in all the articles and ioynts dimnes of sight little appetite little drought great coldnes in the head and stomack debilitie of the parts neruous trembling palsie vvith attraction of some parts of the body the mouth homide and clammie the face and extremities swelled great aboundance of white pustuls without itch so that the phlegme be not salt If the phlegme be salt there happen Serpins and impetigines which we call commonlie Dortors furfurons or crustous chiefely in the hands and soles of the feete and in the head and somtimes in all the
parts of the body also great vlcers euill coloured large and hard round about oftentimes Tophes and Nodosities on the bones great paine at such time as the humor raigneth which is from three in the after-noone vntill nine If the patient be of the humor mellancholike eyther by nature or accident he shall haue paine in the left side of the head also in his shoulders heauines in all the body debilitie of the stomack The body becommeth leane or at the least some part of it all the body is euill coloured but chiefely those parts which are most infected with it vnsauorie tast in the mouth falling of haire the pustls be hard and deepe but fewe in numher many vlcers and Canchors in diuers parts swelling of the bones in the head but especially in the forehead hemerands deficultie of vrine with astrection of the belly the sleepe is intercepted with great dolour at such time as the humor gouerns which is from nine at night vntill three at morning These be the signes simple and particulerly for the knowledge of this sicknes according to euery humor to the end that euery one may haue better more easie knowledge of this disease I will set downe certaine generall signes by the which ye may knowe the person to be infected oft what complexion so euer he be The first and most common is hard vlcers in the secret parts of both sex swellings in the flanke called vsually Bubons or Apostumes virulens running of the raines voyding an infected humor which proceeds from the kernels called by the Latines Prostata and Parastata dolours of the head legs armes and shoulders chiesely in the ioynts accompanied with swelling and hardnes running along the Muskels Nerues Tendons Perioste and other parts Neruonse in such sort that the sicke is out of patience so that he can neyther rest walke sleepe nor lift his arme to his head And this happeneth somtime in one part somtime in diuers also vlcers in the mouth and throat with difficultie of swelling pustules about the forehead which we call commonly the golden crowne likewise in the rootes of the haire and all ouer the head More-ouer in the Emunstoires of the noble parts as also other parts glandulous and humids and somtime ouer the whole body falling of the haire of the head beard browes and eye-lids defluxion on the eyes corruption of the teeth and the pallet of the mouth Somtime the whole vnula is consumed so that the diseased speake alway in the nose and and sometime there is distention of the Periost which is the membran that couers the bones vniuersally Furthermore somtime the patient is drousie yet cannot sleepe chiefely at such time of the night when the humor is in motion the which happeneth rather at that time then at any other for two causes the first because the humor is most commonlie cold as the night is the second because the poares are closed in the night so that the euill humor doth not voyd which by the opening of y e poares in the day doe purge Yet al these signes doe not happen to euery diseased person nor yet in this order as you haue heard for some appeare in one part some in others and in diuers persons sooner then in others which falleth out according to the temperature of the diseased Often times there is but a fewe of these tokens found together and therefore it behoueth to haue good iudgement As for example if there be vlcers in the yeard being hard at the roote and not deminishing by any application of particuler remedies the malady is to be suspected Likewise the running of the raines and heate of vrine accompanied with diuers accidents as particuler convulsion chiefely in the night where there is erection of the yeard More-ouer vlcers in the necke of the bladder in all the which if ordinary remedies doe not extinguish the venim they are to be suspected as also tumors in the flanke called Bubones which if they sticke inward without breaking forth they are euill And in all these things I find no sure remedie but from the particuler cure to the generall Yet somtime men may haue this disease not hauing any of these tokens aboue mentioned sauing only little vlcers of a small breadth somtimes on the thighs or on the codds likewise women in the paps and children in the fundament Therefore in all these things there is required a good iudgement to consider the qualities and nature of such vlcers and to dresse them after the mnaner which yee shall vnderstand heereafter The sixth Chapter of the prognostick of the Spanish sicknes HAuing spoken of the tokens present and past of this disease we must likewise speake of the Future to the effect that we may iudge of the cure in what time it may be helpt or whether it be incurable First then wee must consider that eyther the sicknes is recent or inueterate if it be recent with fewe simptomes externall as Pustulles falling of the haire some vlcers in the secret parts accompanied with great paine on the shoulders and articles In this case if the person be young of good constitution and the time conuenient like as in spring-time or Sommer then thou mayst prognostick that the true cure may easily follow by vsing of such familier and easie remedies as ye shall heare in the cure But if of long time for great dolor the members be retired except that great remedies be vsed with great discretion they remaine so If it be old inueterate with many simtomes like as great dolors of all sorts as in the head shoulders and articles Tophes and Nodosities with corruption of the bones and vlcers maligne in diuers parts the bodie extenuate and imbecill and of euill temperature full of euill humors and scabbs of diuers sorts like vnto leprosie and hath beene often cured which happeneth through the ignorance of them who take vpon them to cure the same vsing onely one remedie which is rubbing with quick siluer for all the kinds of this disease thou shalt prognostick that the curation will be hard and long This somtime happeneth also by learned Chirurgians who haue done their indeuour yet the infection being so great and occupying the vaines which be neere the lyuer and the lyuer it selfe and other noble parts the ioynts and other parts spermatick that hardly it will obey any remedie and in this poynt thou shalt also prognostick that the curation will be hard and long Those that eate and drinke much lyuing without dyet and obseruation of the vnnaturall things albeit they be young and of good temperature yet they are as hardly cured as those that are weake drie and consumed with other sicknesses and are healed with great difficultie or else not at all If the places and vessels neere the hart be occupied as I haue noted in sundrie patients and after that remedies be vsed the sicke become Ethick and in a consumption then thou shalt iudge it to be incurable and in that
case thou shalt vse no remedies but Palliatiue as in the Elephanticks leprosies and diuers other such like discases Neuerthelesse be discreete in giuing thy iudgement for I haue cured Spaniards and French both men and women of diuers temperatures who had often been treated both in Spaine Lowe Countries and Fraunce accompanied with many greeuous Simptomes Nodosities in diuers parts of the body vlcers in the mouth and throat so that the roofe of the mouth was falling as also the pype which wee call Plectrum Vocis the nose accompanied with diuers sicknesses on the eyes greeuous torments and all kind of dolors which may be reckoned to be most intollerable the articles all swelled chiefely the knees great paine in the extremities with vniuersall extenuation so that the parties become altogether Ethick Although these haue beene seemed incurable yet by vsing certaine medicines but chiefely my confection I haue healed them contratie to many mens expectation Truly the cure is difficill Quoniam est eronica et cum malignitate coniuncta but those who mend become fat albeit they were leane before because the blood is more purified by the medicaments and evacuations as sayth Nicholaus Massa Now it resteth to speake of the curation seeing we haue sufficiently showne the causes signes differences and prognosticks But first I thinke it expedient to set downe the nature of some medicines most commonly vsed for the extirpation of this maladie The seauenth Chapter of the nature of medicines most commonly vsed for the Spanish sicknes and first of Gaiac THere are diuers remedies which haue beene vsed by our Auncients and approued very good which we vse at thys present for the curation of this disease alwaies diuersifying them according to the temperature the time and varietie of the Symptoms which albeit they be diuers yet heere we will onely speake of those which are most common and necessary for the curation hereof beginning at the Gaiac tree which we call Lignum sanctum Consolanus a Spanish Historiographer sayth that in the occidentall Indies in an Ile called S. Dominick thys tree groweth to a great height most lyke the Walnut tree the leafe thick and broade bearing a fruite round and hard of a reasonable greatnes which is eaten of chyldren and thought to be very wholsome for those that are of a weake complexion Iohannis Leonis Africanus sayth that it beareth a certaine flower and seede but because we see none of it in thys Countrie and it is not profitable for our purpose we will speake no more at this present of that matter but will intreate onely of the tree it selfe It is to be knowne that of this tree there are three kindes as saith Ioh. Monardus in his 17. booke Epist 3. The first is that which hath the fruite very great and black within interlaced with little vaines of the which there is great aboundance in the Ile of S. Iohn The second kind is not so great neither hath it y e hart so black yet it hath like rayes as the other Consolanus sayth that thys hath great vertue in diuers other sicknesses as Gouts Sciaticks paynes of ioynts Catarrhes Epilepticks Pulmonicks Hydropicks and diuers diseases of the kidneys and bladder and generally for all cold diseases The third kind is smaller then eyther of the precedents and is all white both within without the vaines in it are smaller then in y e others as saith Suessanus Neapolitanus That which is of the best sort is of a meane greatnes recent dry vncorrupted which beeing put in the fire the substance doth appeare gummie the collour yellow with a meane palenes within the barck cleauing hard to the tree In the choyce of the tree you must obserue these properties In like manner there are three substances to bee obserued in the tree the first is the skin or barke which drieth much the second is the rinde and is white in culler not so drying being more gummy the third is the blacke within called the hart and hath more gummy humiditie and lesse drying and that we vse in delicate bodies and of rare texture where there is no need of much drying The second we vse in them that are weak and the third which is the barck in strong persons as the most drying The greatest is meetest for our vse which groweth in an Ile of Hispaniola noua called Insula beata or Diui Iohannis as saith Gartius Abortus and hath great vertue for many diseases It dissolueth maketh thin it mundifieth it prouoketh sweat it stayeth vrin it dryeth and corroborateth the ventricle and all the rest of the entralls it consumeth the stinck of the mouth it is good for the euill temprature of the lyuer and cold that commeth eyther of colde drinck or meate it is good for obstructions and Hydropsies It dispatcheth the superfluous colde humors of the body it is good for Catarrhes of the head all kinds of Goute all diseases of the Nerues all Vlcers and most excellent for many kinds of the Spanish sicknes by reason of the secret vertue which is in it The eyght Chapter of Salsperill THys which we call Salsperill is a plant that hath many rootes and beareth neither flower nor fruite is brought from the Indies of the which there are two sorts the one hath the barck thick fat the other thin and dry which are both good beeing dry recent not putrified It hath great vertue for vlcers that remaine after the cure for Fissures about the fundament Tophes on the head legs and armes It is thought by some to haue more vertue theÌ„ the Gaiâ—â— it offendeth not the stomack it procureth somtime loosnes it groweth for y e most part in the Country of Peru it is hote in the second degree There is no paine so vohement which the dedoction heere of being taken in tyme doth not mittigate which decoction is good also in diuers other dyseases as Catarrhes distilling from the head in hidden causes of Tumors which are hard to cure and scrofulus and from a cold stomack it breaketh winde It is best vsing of it in the Spring or Autum The ninth Chapter Of Chine CHine is a certaine roote which coÌ„meth out of the East Indies or region of China for the which cause it is called Chine It is 3. hand-bredth hie all knotry and browne of cullor white without red within of a meane weight if it be good it hath few leaues it groweth neer the Sea or grounds that are mirie some in woods the roote is knotty of a hand-bredth hie fat well tasted It is in great estimation among the Indians thought to cure great difficult sicknesses but chiefely the Venerian Also for old Vlcers and wounds Tumors Chirrus paines of the articles head and stomack defluxion and Catarrhes old diseases of the Nerues and parts Neruous also all cold and mellancholike sicknesses and is more dry then Gaiac It consumeth all kindes of excrements clenseth the entrailes and healeth the obstructions
which shall be somtimes rosted and somtimes sodden as it shall be found expedient All things must be of light digestion and of little excrement You shall abstaine from plums for although the decoction hereof be cordiall the plumme it selfe is terrestre and melancolick Also abstaine from meate that ingender grosse humors and vitious like as fish the which is of nature pituitous and full of crudities like as salt meate Spicerie Onyons Mustard and such like which may heate and inflame the blood and lyft vp hote and sharpe vapours to the head and braines The bread must be of wheat well baked for so it remayneth longer in the ventricle It shall be well done to put with it the powder of Anniseede and Coriander for the strengthning of the stomack Some men counsaile to vse onely two or three ounces a day the which wee obserue not in our diets for this our diet is as who would say Proba victus ratio that is good nuriture and such a quantitie as agreeth with the temperature of the bodie with the nature of the sicknes and with the time of the yeere so that no man can set downe definitlie any diet vnknowning both the Patient and the disease Let him eate sodden flesh at dinner and at supper also if he be of a very hote temperature or els hee shall vse rosted at supper in little quantitie or in stead of that some reasonable quantitie of Reisons the which doe corroborate the entrals His ordinary drinke shall be of the second decoction composed as you haue heard drinking as much as he thirsteth If at any time he be weake and accustomed to drink Wine or Ale he may vse a little Wine mingled with the said decoction He must abstaine frō sleepe in the after-noone for it filleth the head with vapours and exhallations augmenteth the dolors and Catarrhs Vse reasonable exercise abstaine from all affections of the minde that troubleth or inflameth the spirits and humors It shall be well done to abstaine altogether frō the act venerian for it is a chiefe cause which hindereth the sensible and insensible transpiration and euacuation of humors vicious but reuokes them to the inward part and weakeneth much the parts neruous After thys forme sometime remaineth intemperature in the liuer which is for the most part hote in that we ordaine such things as haue the vertue to refresh and temper these parts Sometimes it happeneth that through the great sweat and much charging of clothes that the externall parts of the body be verie excrementous and in that wee bathe the Patient to clense him For the same purpose wee vse the decoction of Chine the which hath vertue to prouoke sweat in like manner and dryeth and maketh fat those that be leane In making of this decoction you must cut it in small peeces and take 2. ounces of it and steepe it in 8. pynts of warme water the space of 24 howers then seeth it in an earthen pot till the thyrd part be consumed and keepe it close and warme by the fire Vse 8 or 10 ounces of it in the morning and also in the after-noone obseruing the regime aboue specified make in like maner a second decoction of this as of y e other This is y e way y e I vse to cure by decoction The 14. Chapter sheweth the way to cure by friction which is the second way vsed by our Auncients THis way of cure which was most commonly vsed by our auncients to all men is done by frictions and vnctions the which things are conuenient for some people such things obserued as you haue heard in the generall Chapter and that the Vnguent be well composed after the forme of Ioh. Carpensis who was the first inuenter of vnction with Quicksiluer Yet was it neither thought by himselfe nor by oothers meete to be vsed at all times nor for all sorts of temperatures and dispositions For to some it weakeneth the entrals and solide parts of the body remaining sometimes in the body which causeth leanenes trembling falling of the teeth and diuers other accidents Therefore it must be vsed with great iudgment considering well first if the sick can vse any other maner of medicine and if the sicknes be inueterat ingendred of grosse humors and vitious and adherant to the solide parts the which happeneth most commonly to such as haue been oft cured afore considering also if there be Nodosities in the leggs armes vehemence of dolor in the head ioynts the which accidents render the body and vertues hereof weake by reason of the vehement and continuall dolors When such things doe happen the friction may be vsed to the inferior people that hath no great meanes to gette deerer cure yet alwaies the body and humors must be prepared as ye haue heard in the generall chapter and the frictions vsed with discrerion as ye shall heare and not to rub immoderatly as do many ignorants who doe mischiefe to the people by their vnskilfulnesse thinking to take away those humors that doe molest the body and in the meane tyme doe consume the good humors and radicall humidity of the which appeare greater accidents then before Therfore it shall be well done that no man presume to cure thys way except he know wel the temperature of the person the kinde of sicknes the time most proper the true method to do the same after this forme folowing First of all the way of life must bee ordained as you haue heard after that the Patient must be purged with medicaments proper to the humor that offendeth alwaies vsing such things as are set downe in the generall chapter for the preparation of the humors not forgetting the sections of the vaines with the baths in the which must be put such thinges as are set downe in the generall chapter or els warme water alone in the which you may put 2. or 3. gallons of Milke the which is good to appease the dolors and soften the skin Yee shal enter the first day once afterward twise euery day remaining one houre or so long as ye may wel endure obseruing alwaies before after and in the bath such things as I haue set downe in my Chirurgerie chap. of baths Thus yee shal continue 5. or 6. daies as shall be found needful If the body be dry and hote accompanied with nodosities hardnes in diuers parts retraction of the members as somtime happeneth either being inueterat or oft vnder cure before in cold weather not warmly kept In that case we ad diuers sorts of hearbs which haue vertue to soften namely Mallows Violets Pellitory Patience Fumetory Cammomell and Roses take of each a handful seeth them a little in water before ye put them in the bath afterward being gon out of the bath he shalbe dryed and put in a warme bed afterward annoynt him with such things as haue the vertue to loose and soften the hard parts like as Axungia humana Anatis Anseris
some the iawes goe together so that afterward they are scarcely able to open their mouth as in Paris a Boy that had beene handled that way his teeth did all fall and his iawes growe together in such sort that nothing could enter into his mouth so was I constrained to make incision through all the gums and so I healed him yet could he not come to the perfection to eate any hard thing Some degenerat in gangrens so that diuers dye miserablie As for the corrosion of the guts which often happeneth you shall vse Clisters remollients as this Recipe maluar Violar an M. 1 fiat decoctio ad lib. 1 dissol vitellor auor duo olei viol vnc 2 butiri recentis vnc 1 ss fiat Clister which shall be vsed 2 or 3 times euery day As for the vlcers of the mouth haue recourse to the propper chap. of vlcers I haue found out an inuention for the vsage of the friction the which is both more pleasant and profitable then that which you haue heard as heere followeth In steed that some put before the fire I put them in a hote stoue being warmed with decoction of things propper to soften and rarifie the poares so by that meanes all the parts are all a like hote the which is not before the fire by reason that one side beeing warme the other is cold besides that there be some who would be ashamed to be seene naked and in the stoue they are not seene Then the patient being there hote with a cloth about his head you shall giue him a little of the vnguent by a hole made for the purpose and let him rub him selfe in such places and after the forme that you haue heard That being done put him in a hot sheete in bed and couer him as before By this means he shall haue the fluxe of the mouth as the other and in a shorter space During the time of the which fluxe the patient must be nourished with things licquid and of good iuice and light digestion like as soft Egs pottage made of yolke of Eggs consumats made of extremities of Calfes or of Fowles French barley Horge Munde of the which you shall vse little and oft washing alwayes the mouth after remembring that neyther before nor in the time of the fluxe must bee vsed any washing or drinke or any cold thing the which things all doe stay the fluxe If the patient be weary of these things you may infuse white bread in wine and mingle with it a little barley water thereafter strayning the bread that the substance remayne in the wine If in this time the patient be constipat vse somtymes Clysters Lenitiues or Suppositories The 16 Chap sheweth the way to cure by Emplasters which is the third way that our Auncients did vse THE Emplasters are thought to haue the same effect that the liniments haue if the body be prepared as you haue heard in the generall Chapter Neuerthelesse the operation is slowe and very vncertaine in many yet for those that doe vse them they must be composed not onely of things written by Iohn de Vigo but also other things mingled with them that haue the vertue to soften resolue and dry according to the nature of the humors which should be euacuated and simptoms if giuing also that there be also some Quicksiluer mingled with it prepared as you haue hearde the which hath vertue against the venim which is cause of the sicknes the Emplasters haue great vertue on the part where-vpon it is applied both by reason of the ingredients as also because they remaine alwayes adherent to the part so their actions are continuall and are ordinarily applied where the humors are grosse and vitius adherent to the part solides like as Tophes and Nodosities they also mittigate the dolors and resolue the hardnes so that they remaine a certaine time for lyke as that venim is rooted for a time in like manner time must be had for the extirpation of the same So in that they be most profitable Neuerthelesse I thinke not the Emplaster or cerot hath force to make euacuations sufficient for the extirpation of the sicknes I haue somtimes proued it and haue cured some that way others I haue beene constrayned to seeke an other way of cure I consesse in all persons being vsed it doth take away a part of the euill so it hideth the sicknes for a time I find them most propper to be vsed when the malady is recent specially in the first second or third kind in young folkes and such as be easie to moue also in shamefast people and such as will not suffer the friction To such I vse this method First preparing the body and humors as you haue heard in the generall Chapter next sweat fiue or sixe daies after that method as is set downe in the Chapter of the decoction thereafter he shall remaine in bed vsing such regime as you haue heard in the last Chapter also before the fluxe of the mouth as in the time of it Your Emplaisters shall be made after this forme Recipe Emplastri Iohannis de vigo lib. 1 de meliloto et oxicroij an lib. ss argenti viui preparati vt dictum est vnc viij olei de spica parum fiat Emplastrum the which shall be put on leather or strong cloth that shall couer the armes from the hands to the shoulders and the shoulders and about the necke on the leggs from the knees to the toes and alwayes must it be more thicke in the articles then in other parts letting them remaine till such time you perceiue nature begin to make eduction of the humors venimous If nature be long in working it shall not be euill done to make little particuler frictions in the bed once or twice to the effect the euacuation be more easie In some persons if the humors be well prepared in good season the Emplasters begin to make eduction of the humor in 3 or 4 dayes most commonly by the mouth the which somtimes is so violent that we are constrained to stay it first by taking away a part of these Emplasters and after that stay the violent fluxe by such meanes as you haue heard in the Chapter of frictions The vlcers that ensue there-vpon shall be cured after the method set downe in the Chapter of vlcers of the mouth If there happeneth prurit or blisters in the part where be the Emplasters they shal be remoued and foment these parts with hote wine in the which Camomell Roses and such like haue beene boyled the which hath the vertue to consume that which is cause of the sayd prurit afterward the place beeing dryed applie the same Emplaster againe Furthermore you shall vnderstand that by the application of these Emplasters nature doth somtimes discharge by flux of belly vrine but I neuer saw it discharge by flux of the belly saue one time neyther is it so certaine as that of the mouth I haue vsed them
setting the backe long against a hote fire also by riding a trotting horse as by all other motions excalefactiues which inflame those parts and make fluxion and sometime by the vsage of Beere and all foodes vaporous thick and vitious the which make inflamation and doe cause attraction of humors in like manner by paine and weakenes of the part which receiueth not onelie the seede but also the euill humors of the parts adiacents the which putrifie follow continually by the yeard Sometime as saith Arnaldus it may happen that it Apostumeth by reason of the great aboundance of humore which doe putrifie the prostates and that without any outward appearance as I proued in Paris in a Turke bond-slaue to the Embassadour of Spaine who had such a fluxe for plenitude and lack of womans help of the which came dolors intollerable inwardly and outwardly with two great vlcers in the perinium suppression of vrine the which accident happened to this man two sundrie times in three yeeres It is somtime accompanied with great inflamation of one part of the Scrotum somtimes it suppureth other-whiles it resolueth which happeneth seldome When this happeneth neither is the erection of the yeard dolorous nor the making of water by reason that seldom chanceth vlcers in the conduit of the vrine as also little habitation with women which might haue brought the matter that way excoriat those parts by the acrimonie and putrefaction So by thys and diuers other considerations wee may cleerely know that the seede must be euacuated eyther by ordinory meanes or extraordinarie or els it becommeth putrified and put forth by some Apostume otherwise it remaineth within of the which come many greeuous maladies The second kind of Gonorrhea not virulent is done by inanition and happeneth oft to those who doe think profoundly of loue or that haue fine wiues or else that the vessels spermaticall haue receiued some stroke or by sitting vpon colde stones also by rubbing with cold liniments by falls and strokes vpon the loynes by ouer hot bathes for by all these the vessels are rendred weake Furthermore the sperme being ouer sharpe and thinne doth likewise sometime cause that accident which may also be caused by hauing ouer-soone vsed the act venerean All these make heate and inflamation in those parts wherby happeneth attraction of the humor which being drawne passeth continually partly by the heat and partly by the weaknes of the vertues retentrices of the sayd parts So that oftentimes it passeth sanguinolent halfe elabred being sometimes pure blood the which maketh men become Ethick and Tabids so bringeth death to many of them by reason of the great and continuall euacuation of the vitall spirits which passe with the seede So that in no way this is to be neglected Somtimes this happeneth to men for one of these three causes the which are all but friuolous The first is to appease the great appetite of that carnall loue which they beare to their wiues not hauing their minds occupyed in any affaires but in those vanities such men are better willing then their hability sufficeth Secondly they doe it to vaunt their selues to be so mighty in the action that no man can approach them this is a foolish vaunt without profit nay it is very hurtfull to the body Thirdly they doe it for the great affection that they haue to get children thinking by oft vsing their wiues that they shall sooner procreat wherein they are much deceiued For not gyuing leasure to the seede to be sufficiently elabored so that it is no more profitable then water for that effect There be two properties which the good seede ought to haue as I haue amplie set downe in the Treatise of The sicknes of women in the Chapter of the causes and the cure of sterilitie First there must be a reasonable quantitie of the seede next it must be well digested gluent and full of spirits the which two poynts fayleth in those that returne to it so oft For neyther haue they quantitie nor giue they leysure to digest the same So that they proue sooles to ruine their bodies without eyther honor or profit This sicknes is called in our tongue the Reples for the curation whereof as also of Satyriasis Priapismus you shall heare at length in the Treatise called The poore mans guide But to returne to our purpose the Gonorrhea or Chaudepisse virulent the which is done by some venimous sprite that infecteth those parts The cause is by hauing to doe with women that are vncleane whereby men get the infection of that venenositie which hath assoped and infected such parts The simptoms are extreame dolor in making water by the acrimonie of the humor which maketh erosion and vlcers chiefely in the prostats and also neere the balhnus or gland by reason of the simpathie that these parts haue one with an other and great payne in the erection of the yeard which maketh contraction of the same Of the which doth often follow the generall sicknes and that oft by their owne negligence neglecting the remedies thinking that by suffering the same runne a long time the humor venimous should be euacuated not thinking that the venenositie doth alwayes augment it selfe by the acrimonie of the humor which doth communicat to the noble parts or at the least doth degenerat into maligne vlcers in those parts which be very difficult to heale VVhich accidents doe also happen sometimes by carnosities in the yeard hindering the vrine to passe so that oft commeth death if suddaine order be not taken As for the cure of Gonorrhea virulent the vniuersall things must be obserued according to the habitude of the body Beware eyther of strong drink or of strong purgation or bleeding in the 〈◊〉 least you reuoke the venim to the noble parts Keepe good regime and abstai◠〈…〉 strong drinke all hote meates and such as you haue heard of before as all things that haue vertue to heare the blood It shall be well done to vse decoction of Salsparill and Chine and also the remedie that heere followeth which hath the vertue to open make education of the humor that followeth as also to cleanse and loose Recipe terehent veneta drag 3 lauetur in aqua s Cabiosae Cicorei pul liquerit drag sem Rhubarb scr 2 formentur pilulae Let the Patient take it all at once in the morning and repete it euery day till the acrimonie of the humor be passed vsing somtimes drag 6 or vnc 1 of Casse Also Emulsions which shall be composed after this forme that followeth Recipe seminum srigid maiorum an drag 2 Amigdal dul vnc sem aquarum Portâ—lacae Plantag ana vnc 2 decoct liquerit lib. 1 sir viol eâ—iuiubus ana vnc 1 sem Let him vse this euery day day morning and euening Also he shall vse this remedy most soueraigne for his purpose which hath the vertue both to consume the venim to cleanse and cicatrise the part
which is vlcered made after this forme Recipe Carabis ossis sepiae and drag 6 Salsaeparillae recentis Corticâ— Gaiaci Ligni Rhodij Santali Citrini Ligni Aloes ana drag 2 inedulae 4 seminum maior frigidor sem Carthami an drag 1 Rhubarb drag 2 sem Cinamâ—mi Macis Flor. Cordialium an scr 2 Hidrarg Despumati drag sem Pul. Dianisi Diambrae Ras Eboris cornu cerui non vsti an drag 2. farinae hordei Biscoctae drag 6 terebent q. s fiat Massa Pilular Capiat drag 1 singulis matutinis per 3 horas ante iusculum So hee shall continue to the perfect curation Moreouer for the same purpose he may vse 20 or 30 graines of the powder Arabica taking of it foure times sixe graines euery time As for the topicall remedies we must vse no repercussiue for such cause as you haue heard Vse onely such remedies as haue the vertue to dull the malice of y e humor wherof iniections shall be made as this that followeth Recipe Buglossi Borrag Scabiosae Rosar an M. 1 rasurie medul ligni sancti vnc 1 macerentur per 24 horas in decoct herbar predictar Hidrargiri bene extincti cum theriaca dissoliti drag 2 Distillr in balneo M. vsui seruentur If this causeth paine or heate you may vse in the beginning such things as haue the vertue to obtund the dolor like as these Muscilages that followe Recipe Muscilag sem maluae Lactucae Psillij Cydonior Lini extractae in aquis Bismaluae Rosar vnc 3. If the temperature be cold applie the Emplaister of Vigo cum Mercurio on the Perineum and rub those parts as also the Scrotum with the Rosat Mâ—sues wherewith shall be incorporat a little of Fugitiue The dose shall be according vnto vnc 2 of Fugitiue in the pound of the rest If the temperature be hote and bilious vse Ceratum Sendalinum on those parts to hinder the inflamation But because by communication the kidneyes be somtime inflamed and in that we do annoynt these parts with Oxirhodinum or Ceratum Refrigerans Galeni and also this liniment which followeth Recipe Axungiâ— Galiinae recentis sexies lotae in aquae Rosatij Aquae Violariae vnc 2 vel 3 olei de papauare Muscilag sem Psillij extractae in aqua Lactucae an vnc 1 succi vmbilici veneris semperuini minoris vel maiorit ana vnc sem Camphorae drag sem cere q. s siat linimentum For the same purpose in broad plattine or blade of Lead being rubbed with Quicksiluer applyed to the loines Then after we haue vsed these remedies a certaine space to obtund the vehemencie of the venim we come to iniections detersiues which shall be made of the water aboue written so that you mingle with it a little of syrop of Roses or Hony or Absint vsing alwayes the liniment on the region of the kidneyes and perineum If this iniection doth not cleanse sufficiently you shall add to fiue ounces of it two dragmes of Egiptiack so being mundified you shal passe to remedies desiccatiues Cicatrisents composed of decoction of Plantine Solanum Bursapastoris of each a little and boyle them in Smiths water thereafter straine it throgh a cloth put to it a little of Terrasigil or Vitrioli Albi or Albi Rasis w t a little of syrop of Absint Somtimes the kidneyes are offended the which if so be they remaine so without any curing These be for the most part the simptoms that happen to this disease the which are both maligns cacoethick and difficult to heale Yet the generall sicknes doth not alwayes follow There happeneth oftentimes vehement dolor in the parts affected for the which euacuat the body and vse liniments anodius of Axungia humana Auseris Galline ana vnc 1 ss Hidrarg preparati drag 3 fiat linimentuÌ„ Also a Cataplasme of Medulla Panis Tritici in Lacte cocti and diuers others of lyke vertue after the method composed as yee shall heare more at large in my fore-named Chirurgerie Teatise of Remedies for the same The fift Chapter Of the carnositie or exerescence of flesh that happeneth in the wand or yeard THIS which wee call carnositie is an excrescence of the flesh which groweth in the conduit of vrine or channell of the wand or yeard the which happeneth by reason of some vlcers or excoriation in those parts caused by acrimonie of humor and vrine the which corrodeth and vlcereth the passage of vrine in men the necke of the matrixe in women of the which come most grieuous sicknesses and oftentimes death if that the learned and skilfull Chirurgian giue not the better order for the curation hereof which shall consist in remedies vniuersall and particuler as also medicaments Cathareticks which be most propper for the consumption of the flesh Yet in the applying of the same there must be good iudgement vsed by reason that the parts about it be soft and delicat and so easie to excoriat also very sensible and dolorous For this cause first of all we must well consider if the Caruncle be olde or recent for beeing old oftentimes it happeneth that they be so hard that the medicaments cannot worke effectually Then must the body be prepared by vniuersall remedies as yee haue heard in the former Treatise because the bodie being full of humors the vsing of hote medicaments such as are the Cathereticks make easily new fluxions on the part affected Next we must soften the carnositie inwardly with iniections which haue the vertue to soften as this following Take rootes of Althea leaues of Mallowes wilde Mallowes Parietarie Mercuriall and such like Make a decoction in water or milke of the which make iniections in the yeard Outwardly we make fomentations with the same decoction adding to it fat Figgs sem lini et Fenugreci with a little of Spodium Also in stead of the fomentation make a Semicupium wherein ye shall bathe those parts a certaine space and dry them well afterward Yee shall make an embrocation or linement of Axungia humana Gallinacea Ceruina Vaccina Vitulina cum Gummis Galbani Ammoniaci et Bilelij et olei Lumbriâ—â—â— Camomille et Amygdalar dulcium That beeing done apply the Emplaister of Vigo sine Mercurio in oleo Liliaceo et irino dissolutum or in place of that Ceratum Philippi Philaggrij or Dyalthea so continue with these and such like till such time the carnositie be softened and brought to the quality of the recent the which beeing done you shall haue a wax-candle for the purpose rub it with a little of rosat Mesues or syrrop of dry Roses and minge therewith a little of the powder of Sabine If that the candle may not passe we vse an instrument of Lead made in the same forme which may be put in more rudelie alwaies being rubbed with Quicksiluer cheefely in the part of the carnositie In people that be robust I haue vsed for the consumption of the flesh rosat
after all is well regenered as it ought you shall consolide cicatrice the vlcers like as in all other vlcers The 7 Chapter of the Warts that come on the extremitie of the yeard betwixt the prepuce and balanus THere happeneth oftentimes certaine little excressence of flesh like Warts betwixt the gland and prepuce of the which there are two sorts The one proceedeth of the venerian sicknes the other not yet neyther of them both for the most part dollorous but very much troublesome by reason of the great number of them The cause of such as are venimous is the euill indisposition of women accompanied with some infection Those which are not venimous happen by hauing to doe with women in the time of their purgations of the which happeneth not onely that but also many other greeuous diseases both to the men also the children which are conceaued at that time for eyther they become Leapors vniuersally or some particuler part which we call Elephanciasis particuler or if this happen not yet the child is alwayes sickly and of short lyfe for this and diuers other causes it was forbidden in the 18 Chapter of Leuiticus to vse the company of women at that time But to returne to our putpose for the curing of these parts whether they happen of the venerian sicknes or otherwise we must first consider whether they be recent and soft or inueterate and hard as somtime it happeneth If hard and inueterat they must be softened by such remedies as you haue heard in the Chapter of Carnositie and being softened they must be consumed with powder of Sabine and Ocre well puluerized with an Emplaister of Cerus and a little Quicksiluer being consumed vse for the cicatrizing such as you haue heard in Carnositie Our Ancients and chiefely Aetius did cure them by caustick medicaments the which are cruell and not in vse amongst vs. I haue often cutte them with the sheares afterward consumed them with powder Allumenus or water of the same if they be very great I knit them as well betwixt the perpuce and gland as also without the prepuce Touching which I will recite a rare history which happened to me in Paris in time of the last troubles A certaine Noble man of Spaine hauing on the side of the prepuce exterieure a cressence of the quantitie of a great plum and when the erection of the yeard was it waxed as bigg as a tennis ball so that hee could neuer accompany with any woman in such sort that no Chirurgian neyther in Spaine nor Italie would take it in hand at last he sent for me and after I had considered thereof I vsed remedies rosolutiues for a time but finding small profit thereby I did knit it in the presence of Mounsier Le Fort and Mounsier Pineau Doctors in Chirurgie and healed it with good successe after the same maner you may cure all such warts which happen in any part The 8 Chapter of falling of the haire OFtentimes of this sicknes commeth falling of the haire of the head beard and browes with great deformitie for which we must giue order both to take away the cause and also to bring newe haire The cause of this simptom is eyther that the aliment wherewith the haire is nourished is corrupted and consumed or that the skin is dryed and pressed together so that it may not ingender that aliment fuliginous whereby the haire is ingendred and nourished For the cure we must euacust the euill humor generally through all the bodie or at least of the parts affected which may be done two wayes to wit exterior and interior Interior by masticators to prouoke spitting as Pereter Mastick Pepper after which we vse exterior medicines to cause the head to sweat by laying many clothes on the Patient I find no remedie better for it than by a hot house or the reflex of heate which goeth from the fornis to the place where the head shall lye If after euacuation the body be infected there must be generall euacuation for that purpose herein you shall vse the decoction of Salsparill and Gaiac for the space of 15 dayes with a little of my confection euery day which is sufficient to euacuat the humor which offendeth After this prouoke newe haire where it wanteth which may be done sundry wayes yet somwhat painfull for the which I will impart vnto you a very rare secret for growing of haire and of great vallue which I haue vsed in helping of diuers great men when all their haire hath beene fallen and within a short space it grew againe by helpe of this remedie made after this manner Take the rootes leaues of Mallowes put of them in a still one bed then a bed of Honney and so forth one bed of them and an other of Honney till the still be full In the meane time you shall cut two or three Horseleaches small and mingle therewith afterward distill all with a very soft fire then distill that water againe in Balmo Marie and let it stand in the Sunne the space of 15 dayes afterward rub the parts most voide of haire with that liquor 5 or 6 times a day Also this remedie is very well set downe by Fumanellus which is Recipe apes crematas cum melleque commixtas et locum superponito Or this Vnguent Recipe apum vistarum Adianti Vsti Olei Rosati quantum sufficit et fiat Vnguentum Or this that followeth written by Marinellus Recipe cineris cicadarum vstarum cineris apum vstarum Olei Myrtini vel Axungiae quantum sufficit muste et fiat Vnguentum Or this Re. stercorum murium et apum ana vnc ss Vnguenti Populeonis vnc ss miste et fiat Vnguentum de quo vngatur locus sed prius remoueantur crines So by the vsage of these remedies the haire shall easily-come againe The 9 Chapter of Darters which happen in diuers parts of the body OFtentimes after the vniuersall cure of this sicknes there commeth in the face and palmes of the hands feete and through all the body certaine chaps and dry vlcers which oftentimes are very large and are commonly called Darters or Fissures setpiginous which somtime be dolorious other whiles not y e parts where they are be more thicke and dry than the nature of the place is and in rubbing of the part you shall perceaue white things like beaten sugar The cause of the which is a salt pituitous humor and chollerick burnt by the intemperat heat of the lyuer ioyned with some venimous humor which riseth in the part as chaunceth to them who haue vsed too hote medicines in the cure of the generall disease or else because there remayneth some little portion of the venim in the body the which is sent to the externall parts at such certaine times of the yeere as the humor raigneth For the cure heereof it is some-what hard chiefely being inueterate by reason that the liuer is affected yet for the extirpation of the