phlegmy and the fit daily Burning Fevers signes are burning heat unsatiable thirst unlesse ough causing an afflux of humours from the neighbour-parts mitigate it a tossing of the body urin little sometimes crude and filthy sometimes thin very bilious and slimy other signes are set down before in Synochus Biliosa but observe the signes of a bastard burning Fever are more gentle then the former Febris Colliquans is known by a sudden Consumption of the body and hollowness of the eyes falling of the temples sharpnesse of the nose the dejections reddish fat tough stinking troubled bilious and frothy urin fat and oleous Febris Horrifica Assodes are known by what is to be set down in their description In Feb. Elodes the skin is continually wet with humours the heat to the touch is not very sharp if from maligne causes the urin differs little from healthful if the fat waste then its fatty if the flesh then there is like pulse in the urin or if the blood and humours waste then there 's a great deale of urin for many dayes to these are added strength much wasted pulse is small and slow If from great putrifaction the urin is thick and confused the pulse great soft and frequent Feb. Syncopalis hath its name from the Symptome and is known by oft swooning and fainting In Epialas there is heat and cold felt in the body at one and the same time Causes of all are as followeth A Synochus putrid is wont to be generated of those causes that produce a simple Synochus and so not only the constipation of the skin but the obstruction of the vessel from much blood Causes and tough crasse humours which hindering transpiration of the smoaky vapours putrifaction of the blood is generated Continua Tertiana drawes it's original from bilious blood putrified in the Cava this being produced from hot and dry or thin diet hunger hot and dry distemper of the liver c. Contin Quotid is produced from putrid phlegme in the Cava it oft happens to children and aged sometimes lasting sixty dayes seldome dissolved before twenty it extreamly weakens the stomach hence Cachexia Hydrops This Fever falls out seldome because phlegme doth not so easily putrifie Contin Quartan is caused from melancholick blood putrified in the branches of the Cava arising from its proper causes this happens most seldome The accidental differences of Fevers are taken from the complication of perverse Symptomes with the essentials Diff. and from thence are denominated Feb. Caus Colliquans Horrifica c. Feb. Caus is divided into true and bastard the first is from bile putrified in the greater veines near the heart in this the Symptomes are vehement the second is either from bile mixed with phlegme or salt phlegme putrified and here the symptomes are more gentle Hence it 's manifest that there is no other true burning Fever then a continual Tertian in which the matter is more sharp and abounding in the vessels near the heart whereas in a simple Continual Tertian the matter is lesse and in vessels more remote from the heart Again an exquisite burning Fever is of two sorts one which continues in one onely fit from the beginning to the end and this is above called Synochus Biliosa vel Ardens this is from bile putrified occupying the vessels most near the heart Causes the other containes many fits and is called Ardens Parodica In this the same matter is not so near the heart Feb. Colliquans is a kinde of a burning Fever for the greatnesse of the heat doth waste the fat flesh and substantial solid parts and sometimes the humours in the veines by insensible transpiration sweat urin or stoole it 's from a thin sharp and bilious matter which begins to burne vehemently and this is not seldome joyned with a maligne and pestilential quality Horrific Feb. in which horrour happens is caused from bile and phlegme or serosities mixt which move unequally and the horrour is stirred up either from bile and crude humours burnt putrified and moved or thin sharp and serous matter biting the sensible and nervous parts or lastly the crude humour shaking nature in vaine hence the heat being driven back to the centre the extreme parts are cold and the same presently issuing out heat Assodes this may be referred to the burning Fever in which the sick is cast down grieved with much unquietnesse bearing the disease grievously and that oft with loathing and vomiting being it ariseth from sharp bilious humours biting the mouth or tunicles of the stomach Elodes in this sweat is continually poured out and is caused from the great heat of the putrid and maligne matter dissolving the substance of the body Syncopalis is double the one is from humours thin and small yet venemous and corrupt and this is called Minuta the other is from abundance of crude humours and is called Humorosa which may be referred to pituitous fevers onely here the quantity of matter is more great with a weaknesse of the mouth of the stomach Epiala in this is felt heat and cold at the same time through the whole body They have two causes the one from a certaine glassy phlegme mixt with bitter choler diffused through the whole body from the choler is the sense of heat from the phlegme the sense of cold The other is from glassie phlegme alone but partly putrified part not That which is not putrified causeth cold the other heat and both at the same time it may also be generated when two intermitting Fevers fall out in one day or an intermitting and continual the heat of one Fever falling out with the cold of another There are other accidentall differences of Fevers which may be referred to symptomatical Those are named Symptomatical which arise from the putrifaction contained in any of the bowels as these following a Plurisie peripneumonia phrenitis angina inflammatio hepatis and other internal parts ulcers or abscesses Yet diligently observe that Fevers joyned with inflammation of the parts are sometime essential and not symptomatical the inflammation of those parts following for the body being full of corrupt blood and stuffed with ill humours a Fever is stirred up and so being in motion by nature is cast to the weakest part or that which is most fit to receive the humour whence the inflammation is produced after the Fever as may be observed in sick who oft have a Fever two or three dayes before a Plurisie appear and so many in the third or fourth day of a Fever fall into a Phrensy so for most part in Gouts before inflammation tumors and paine of the joynts appear there commonly precedes a Fever for one or two dayes before so the like may be said when an Erysipelas The disposition of the urin also shewes the same discovering manifest notes of putrifaction contained in the veines for in the beginning they appeare crude but after they shew signes of concoction then also the blood drawne is very corrupt which is not when
appears very often the menynges of the braine being inflamed from the sharp vapours ascending which are easily communicated to the adnata having its original from them Purple spots like flea-bitings peculiar to this Fever arising in no other caused from ill venomous blood joyned with a putrid quality of other humours Sometimes as hath beene said they may appear in other diseases but from a contrary cause i. e. thin blood moved with heat or the expulsive faculty as in children such as are troubled with fluxes of blood the blood thereby being made more thin and aqueous in those troubled with the spleene◠jaundise and long obstructions of the bowels because the weaknesse of the bowels produceth aqueous blood also those inclining to a Cachexia for in these the blood being made thinner flowes out sometimes by the nose and other parts other while passing through the capillaries it 's transmitted into the parts of the skin where being retained it loseth its proper colour and appears either livid black or reddish of which there are various differences yet all differing much from those in a pestilent Fever which are produced from putrid humours infected with an ill quality these spots break forth sometimes critically otherwhiles symptomatically critically when putridness is vanquished either in part or in whole and the ill quality corrected nature transmitting the corrupt humours from within outwards and then there alwayes followes a decrease of the disease But Symptomatically when nature being provoked before the quantity and ill quality of the morbifick matter be concocted and corrected sends portion of the matter to the parts of the skin Whence followes no ease to the sick which hints nature rather is conquered The colour of these spots are various discovering thereby the diversity of the humours Red being from more purer blood Green Crimson Livid from bilious blood more or lesse adust They appear sometimes greater sometimes lesser sometimes more sometimes fewer they begin to appear sometimes the 4 5 7 or 10th or other judiciary dayes when the excretion tends to good sometimes in other dayes and then they are lesse profitable and not to be confided in they appear sometimes in all the parts of the body yet most oft in the loynes breast and neck Affects coming presently with a pestilent Fever are exanthemata pustles ulcers of the mouth carbuncles buboes and parotides Exanthemata's differ from the spots in that they raise the skin more or lesse most like the graine of Milium their colours are various sometimes red begot from blood otherwhiles white from phlegme or serosities yellow from bile purple livid black from bile more or lesse burnt Sometimes they are Critical otherwhile Symptomatical and some betwixt both Again some are dry others suppurated and others ulcerate To these may be referred pustles appearing in the mouth which receive the same differences and are sometimes so maligne that the sick can scarce eate or drink In very young they produce death the oft degenerating into ulcers exceedingly trouble the sick by hindering the motion of the tongue especially swallowing Sometimes ulcers of the mouth call'd Apthae are generated without any pustles preceding of which some are deep others superficial some cleare others filthy some benigne others maligne some with crusts others without The Crusts are sometimes white yellow livid or black those that are sordid deep and maligne with black crusts are more dangerous Carbuncles and Buboes happen in many parts of the body especially about the glandulous parts because the expulsive quality being provoked from a malign quality expels the pernicious matter from the internal parts especially the noble to the external hence the matter is transmitted from the braine to the glandules near the eares from the heart to the arme-pits from the liver to the groines whence Buboes c. are generated Which kinde of Tumors though they may appear in other Fevers yet more usually and especially in pestilent Peculiarly Buboes Carbuncles and Parotis break forth in maligne Fevers but it is in those wherein is a great degree of malignity and cometh neare the Plague Signes shewing it after death are spots and stroaks as if beat especially if they be livid or black as also Exanthamata's Carbuncles Buboes c. especially if they be of an ill colour Causes Causes are either inward or outward the first are either immediate or mediate the immediate cause is the corruption of the humours joyned with putrefaction from the first is acquired an ill and venomous quality From the second the Fever is generated The Mediate causes are plethora Cacochymia and obstructions Fulnesse is to be understood not ad vasa but ad vires which when not regulated by nature easily conceives corruption and putrefaction The like may be said of Cacochymia or abundance of ill humours And lastly obstructions are apt to produce all kinde of Fevers even as humours shut up in a hot and moist place if they breath not out freely easily putrifie these mediate internal causes are usually called morbosus apparatus the force whereof is such that sometimes of it self it produceth a more remisse pestilent Fever commonly called simple maligne or spotted Fever and this without any external or common cause intervening as it 's oft seene in lesse Epidemical constitutions and when no popular disease is raging Certaine of these Fevers break forth from the il condition of the humours which are environed with many Symptomes of maligne Fevers as also with spots About obstructions this is to be noted they necessarily concur as a special cause in maligne Fevers which are from an internal cause and are sporadical But epidemical which are produced from a common cause and the pestilent state of the aire need not necessarily have such a cause for from the inspiration of the corrupt aire alone or from contagion onely that venomous quality is conceived by which the humours of the body declining from their proper nature freely fall into putridnesse Even as hoary fruits and other things easily putrifiable although maximè perflentur yet they cannot be kept from putrefaction so also the humours when they have conceived that pernicious quality they easily fall into putrifaction So that although there be no obstruction present they necessarily fall into putridnesse and Fever And the humours thus led into putrifaction nature not being able to rule them oft beget obstructions by which the Fever is encreased and so obstructions concurre in these Fevers which although from the beginning they have not beene the cause of the Fever yet they follow à causis labe pestilenti infectis fovetur The externall are the sixe things non-natural which as they are natural so they necessarily alter our bodies when they recede much from their natural state they beget maligne and venomous qualities in us Of these the ambient aire requires the first place which even as it 's the most common cause so common diseases are wont oft to arise from the faults thereof The aire is hurtful to men under
good Thus much of the causes before birth Now of those incident to children after birth which are 1. Errors in the use of the six non naturals 2. Preceding diseases For the first considering children are seldome given to vehement passions of the minde and are unfit for venery the five other shall onely be touched The first is aire which procures this affect if too cold and moist which usually is most frequent in the beginning of the spring Be then cautious As also when the aire is cloudy thick rainy and full of vapourous exhalations therefore places neere the Sea great marshes houses neere the banks of great Rivers Ponds Meeres are condemned Also too frequent bathings in sweet waters cold and moist linnen soft linnen not well dri'd Use rather course cloaths and woolly coverings each of which by rubbing and tickling the parts excites and augments the inward heate and irritates a more copious afflux of vital blood to the habit of the body Secondly if infected with metalline exhalations as lead antimony quick-silver c. as also ointments made of them used Hence children anointed with mercuriall ointments for the scabs have after fallen into this disease Thirdly a vehement and subtile aire for it extremely attenuates and dissolves the inherent spirits Also hot ointments hot sharp saltish baths Fourthly aire filled with narcotick vapours also medicines of the same quality as Hemlock nightshade c. these procure a benumb'dnesse to the first affected parts and dull and diminish the vitall influx of those parts The second is Meat and drink As 1. All aliments too moist and cold as fish and crude meats too plentiful diet cold and moist medicines also taken inwardly 2. Such aliments as are too thick tough and obstructive as hung beefe salt fish bread new drawn almost all sweet things 3. Such as are of an extreame hot and biting quality sharp and corrosive as old and strong wines pepper spice and immoderate hot medicines Thirdly Motion rest exercise and actions i. e. if they exceed a mean defect in motion and want of exercise doth most effectually procure the disease for by this meanes the instruments of motion are dull'd Fourthly sleeping and watching as if too excessive or defective they procure the same evils as the like in rest and motion Fifthly things praeternaturally cast out and retain'd of this more largely for all the internal causes of diseases may not incommodiously be reduced to this although more rightly they may be distinguished into two kindes 1. Those things preternaturally retain'd and cast forth 2. Such things as are contain'd in the body preternaturally altered The latter are not onely removed by casting out but by alteration mâ—y be reduced to an agreeable proportion of nature However there 's a great affinity betwixt both It 's matter of judgement to know humors particularly predominant in diseases and also by what ways they may be spied out which are various yet not unfitly comprehended under the four humors viz. choler phlegme c. Whether excrementitious humours retain'd or vitiated by alteration the interne causes of diseases Onely blood properly so call'd is scarce here faulty Onely choler melancholy phlegme and a waterish humor or an undue transpiration and sweating Choler if it abound may probably be the cause of this affect being apt to hinder the nourishment of the parts and consume and dissipate the natural spirits Melancholy if superabounding and not purg'd out after a due manner may be arrested as cause of this disease For it rendereth the blood unapt to nourish the parts especially those first affected But Thirdly phlegme if retain'd or abounding may more properly be call'd the cause of this disease For it 's cold moist slow thick benumb'd little spirituous soft and affected with an internal slipperinesse The next is the undue transpiration of these humors as also immoderate or defective sweating which may be sometimes numbred among the causes of this affect For they dissipate the spirits and withall dissolve the parts especially the external which in this disease are first affected If they be retain'd they easily kindle a feaverish heat which likewise injure the spirits and dissolve the parts Both of them exposing the parts to a cold distemper And Lastly any humor cast out above measure doth easily procure a wasting of the parts and dissipates the spirits leaving the body to this affect Thus much for non-naturals We lastly come to diseases which preceding may be the cause of this disease 1. Some have affinity with it as any cold distemper or moist or both together ill habit from too much phlegme melancholy and mixt obstructions proceeding from such humors a cachexia dropsey c. 2. Such diseases as make leane the body as daily long diseases also all feavers especially the hectick ulcers of the lungs with a putrid feaver any continual feaver that 's violent as a burning maligne pestilent feaver pleurisie inflammation of the lungs small Pox c. Also all fluxes of blood or otherwise diseases that by consequence waste the substance of the parts as diseases of the stomack guts Mesentery spleen liver c. yea diseases in the Jawes mouth and throat that hinder eating also wormes teeth apoplexy palsy c. Luxations fractures of thighs legs or backbone also tumors paeines or like affects hindering the walking playing standing c. of children Progn Prognosticks This disease in its kinde is not mortal Sometimes it 's so gentle as that it 's wrought off by age Sometimes so vehement that it rejects all applications and concludes in death Hence Prognosticks are seriously to be contemplâ—ted that the event may be discovered If it invade before birth its most dangerous seldom if ever ends in health It discovering a deprivation of the seminary principles and insinuates a vehemency in the causes The more early it afflicts after birth the more dangerous If it depend on the natural inclination proceed from preceding diseases dangerous Not altogether so if either contracted by the meere error of the nurse or from an erroneous regiment of health If the backbone be weak the neck cannot support the head danger of life If the first affected parts be extenuated the head be great they unwillingly draw their knees upward or suffer them to be extended it s also hard to cure Girles as they are more easily infested so they are more easily cured then boyes If the swellings in the bones of the wrists and ribs be great it will be of long continuance As also if either the bones be crooked as of Armes and Legs or there be great bending of the joints If with the Rickets there be complicated a dropsey of the head especially if the futures gape mortal If they breed teeth painfully if with the Rickets be conjoyned an Asthma Phthisick Dropsey French pox deadly If there be the scurvy strumatical tumors either within or without little hopes If the teeth wax black and fall out by peeces dangerous They who easily endure agitation
Supplementum Chirurgiae OR THE SUPPLEMENT To the MARROW OF CHYRVRGERIE Wherein Is contained Fevers Simple and Compound Pestilential and not Rickets Small Pox and Measles with their Definitions Causes Signes Prognosticks and Cures both general and particular As also The Military Chest containing all necessary Medicaments fit for Sea or Land-service whether Simples or Compounds such as purge and those that do not with their several vertues doses note of goodness c. as also Instruments Amongst which are many Approved Receipts for several diseases By JAMES COOKE Practitioner in Physick and Chirurgery LONDON Printed for John Sherley at the Golden Pelican in Little-Britain 1655. COOK 's SUPPLEMENT to the MARROW of Chyrurgery TO THE ACCEPTING READERS FRIENDS ALl rhat I have to acquaint you with as to this part of the Supplement is that considering few having writ fully of Chyrurgery methodically whether more Prolixely or Concisely but they either intermixed Fevers with Tumors c. or put them a part by themselves as may appear in Pareus and Calmeteus I resolving to steere the same course rather choose to follow the latter that so you might at a single view know the cure as well of those Fevers essential as accidental There 's added the Small Pox and Rickets the latter with the rest had come in publick view before any other printed in this Nation if it had been admitted may be the cause was its insufficiency however it hath received advantage thereby You have annexed a Military Chest The method as to Names and Order is Hildanus's the vertues doses c. of all I picked from various Authors a Catalogue of which you have in the Marrow only some others since have fallen into my hands de novo I have this onely to say further That there are several things in all which have been successefully experimented by Your worthlesse friend JAMES COOKE Warwick the 26. of the first moneth vulg March A TABLE general of things contained in the BOOK Sect. 1. Chap. I. DIary Fever Page 3 Chap. II. Simple Synochus Page 7 Chap. III. Hectick Fever Page 11 Chap. IV. Interm Quotidian Page 102 Chap. V. Quartan Page 106 Chap. VI. Compound Fevers Page 128 Sect. 2. Chap. I. Putrid Fevers Page 25 Chap. II. Symptomes of Fevers Page 71 Chap. III. Intermitting Tertian Page 88 Sect. 3. Chap. I. Pestilential Fevers Page 135 Chap. II. Rickets Page 209 Chap. III. Small Pox and Measles Page 260 MILITARY Chest Page 280 In which is contained Simple Purgers Page 281 Compound Purgers Page 293 Cordiall Electuaries and Powders Page 301 Aromaticks Page 315 Waters and Juices Page 319 Syrups Page 325 Roots Page 331 Herbes Page 344 Flowers Page 359 Seeds Page 363 Fruits Page 367 Oyles Page 373 Ointments Page 385 Fat 's Page 392 Plaisters Page 395 Gums Page 401 Mettals Page 408 Meales Page 415 Instruments Page 417 BOOKS to be sold by John Sherley at the Pelican in Little Britain The Life and Reign of Sultan Orchan Second King of the Turks translated out of an eminent Tuâ—kish Historian by W. Seaman the like not heretofore extant in any language Dr. John Ponet his short Treatise of Politick power The vanity of the lives and passions of men by D. Papillon Gent. The Diocesans trial by Paul Bayne A brief Compendium of the vain hopes of the Jewes Messias Col. Hayes one of the members for Scotland his speech to the last Parliament upon the debate concerning Toleration King James his Judgement of a King and a Tyrant Henry Earle of Surrey his Translation of Virgil into English Meter Bristolls Military Garden a Sermon by Tho. Palmer The Pastors Charge and Cure a Sermon by Nathaniel White A plain fault in plain English The Impiety of Impunity Hugh Broughtons Epistle to the Nobility The Kernel or Extract of the Historical part of S. Augustines Confessions Ephraim Pagitts Christianographie or a Description of the multitude and sundry sorts of Christians in the world Dr. Mayes Relation of the Serpent founâ— in the heart of Jo. Pennant in which many curious questions concerning occult diseases are discussed Potters Interpretation of the number 666. Mr. John Milton of Prelatical Epiicopacy Baro. Herbert de Veritate de Causis Errorum Religio Laici c. Disputationum Academicarum formulae Tho. Gatakeri dissert de Tetragammato sua vindicatio Good Reader by reason of the Authors distance from the Press some faults have escaped the most material he prays you thus to correct ERRATA's PAge 27. line 13. read yet for ye p. 27. l. 16 r turgid p. 40. l 7. dele out p. 75. l. 14. r. bole p 114 l. 23. r ℈ s. p 122 l 27 after partem put M j p. 17 2 l. 10 r crass p 173 l 3 after those put in p. 175 l 5 r yea p 177 l 13 r those p 182 l 22 r ill p 194 l 2 after to put be putting out that after used l 4 r Mij p 206 l 10 for and r A p 236 l 9 put a comma after wal-rue l 27 for five r take p 240 l 1 r diabalzemer p. 265 l 4 f. secondly r twofold l 11 r whit p 174 l 22 r â„¥ ij p 275 l 10 r plantain water p 286 l 22 for these r this l 23 r â„¥ sp 334 l 10 r. â„¥ iv p. 337 l 21 r scrophula's p 340 l 12 r â„¥ ij p 344 l 10 after kills put wormes p 349 l 19 r cleanscth p 400 l 5 for â„¥ s. r. â„¥ j. p 404 l 2 r and p 406. l 8 r if p 421 l 9 r be p 423 l 18 r there is after till p 424 l 1 r Arcei p 430 l 9 r ost cocolla De Febribus SECT I. PREFACE DIseases of the body are either outward or inward The latter are either universal afflicting the whole body or particular affecting some parts The first of these are Fevers which may be divided into simple putrid and pestilential the simple are diary intermitting synochus and hectick Before particulars premise these generals First it is a hot distemper of the whole body arising from preternatural heat kindled in the heart and diffused with the spirits and blood through the veines and arteries into the whole body Secondly it 's caused by any thing that kindleth heate in the body as motion putrifaction touching and vicinity of hot things constriction of the pores c. Thirdly it 's absolved First by altering wherein so proceed that the cause be not nourished Secondly by mitigating the Symptomes which are especially thirst his cough vomiting flux of the belly drynesse blacknesse and roughnesse of the tongue c. as after CHAP. I. De Febre Ephemera THis ariseth from the inflaÌ„mation of the vital spirits in the heart continuing the space of a day therefore call'd Diary Signes Signes Urin concoct like natural if not it 's changed by obstructions and crudities Pulse quick and oft yet equal orderly great and strong Heat is sudden without loathing lasinesse sleeping or frequent yawning preceding to
pure is separated from the impure the impure by a cerâ—ain crisis is thrust out and the heat communicated to the heart kindles a Feaver This is to be obserâ—ed there 's found in the masse of blood a double excrement the one thick the other thin Of the first is generated the pox of the second the measls although they are both infected by one and the same ill quality Exâ—ernal causes are either contagion as when a body so diseased communicates the disease to another call'd infection or the aire from the influx of the planets or other causes corrupting or disturbing the humours and as the aire analogizeth so it produceth the pox or measles whence they are sometimes more rife one then another Now both these although they break forth in the whole body yet more abundantly in the face feet and hands contrary to the spots in Feavers which rather appear in breast and back the account of the difference is the pox arising from the ebullition of the blood the original whereof being the liver it makes expulsion to the foresaid parts as its emunctories which appears by this that the more hot the liver is the more red and pustly the face is and there 's also perceived more intense heat in the palmes of the hands and soles of the feet the expulsion being the greater to those parts Whereas the spots in maligne Feavers arise from the heart affected whence they break forth near the heart especially and in the loyns because the hollow vein ascending and the Artery is neare besides the spots often appear the seventh day symptomatically rendering the disease worse whereas the small pox and measles appear the third or fourth day from the beginning of the Feaver Critically and that safe Progn Prognosticks If they break forth quickly easily and come speedily to ripening If the Feaver be gentle the symptomes be milde and after their breaking forth remits or diminisheth If the voice be free breathing easie especially if the pox be red white distinct soft few round sharp top't be only in the skin and not in the internal parts and if there preceded a large bleeding at the nose there 's good hope for these shew the diseased matter to be little obsequious benigne and nature strong and sufficient to expel them but if they either difficultly appear or go in again if they are blew green livid hard all in one if after they break forth the Feaver lessens not If there be swooning difficulty of breathing great thirst quinsey grief unquietnesse doubtful If a flux of the belly happen after they break forth if the urine be bloody or pure blood be cast forth by the belly or by the gums nose and other parts deadly if therewith be complicated a spotted fever and the spots be livid dangerous Cure is secondly either preservative which in those of age is perfected by opening a veine purgeing and flying the contagion In Infants only use the last or curative this consists First in the mitigating of the ebullition and here bleeding if blood any what abound and age will bear it is excellent it 's to be performed the first day if this hath been neglected it may be profitably done before they break forth or at their first beginning to appear which is usually the fourth day from the assault of the Feaver but with this caution If at their appearing the Feaver and other symptomes diminish then forbear leaving the whole businesse to nature which will be able to expel its enemy But if then the Fever be more intense there be anxiety difficulty of breathing the urine be thick and red and other symptomes appear vehement it 's a signe nature is overburden'd with the humour so that it cannot fitly expel it Here bleeding is necessary by which portion of the burden being removed the rest is more easily expell'd But in a word in these diseases there 's a double ebullition of blood one is perfect i. e. when only the impure part of the blood is putrified and is by nature so purg'd that the whole masse is left pure here bleeding is needlesse for then the pox are more safe and often cur'd without the help of a Physician the other is corrupt i. e. when both the excrementitious part of the blood and the masse it selfe is putrified hence there 's the more danger and here bleeding is necessary This ebullition happens when these diseases generally reign and are stir'd up from a malign constitution of the aire and those are somtimes the fore-runners of the plague and are reckoned amongst acute diseases viz. ending in fourteen days and here the fourth day is accounted the beginning the increase is drawn forth to the seventh the state to the eleventh and the declination to the fourteenth in which time the pox are usually dri'd yet that sometimes is not till the twentieth day whereas in the other the beginning is the first day the increase the second the state the third the declination at the fourth for then the Fever and other symptomes remit But to return in the corrupt ebullition bleeding is so necessary that the tender age of children is not to hinder it may safely be used at foure yeares of age and not seldome at three the Paris-Physicians do use it to sucking children though this cannot be approved If that youngnesse hinder and the fit time be past then the abundance of blood is to be removed by cups with scarifications appli'd to the back scapula's and thighs which also much profits in the state of the disease for by them the motion of nature is helped in its expulsion from the center to the circumference but beware in children scarifications be not too deep for thereby the veines being divided the hot blood will flow out so violently that it will be difficultly staid Purging here is suspected as hindering nature in expulsion and drawing the matter flowing outward inward for whosoever having the pox are assaulted with a flux of the belly the pox suddenly returns and oft procures death yet notwithstanding purging is very profitable before the pox appear and the Fever be too violent viz. when as it were children are falling into a neutral estate Then if cacochymia abound its good to abate it that so nature may the more chearfully thrust out it's adversary but if either the pox appear or there be great malignancy as in an epidemical season Purging is very pernicious Those that are used are to be benigne as rubarb cassia manna tamarinds syrup of roses c. in the whole course of the disease if the belly be bound it 's to be moved very gently and not provoked with suppositories of honey alone without salt or a glister of broth milk or decoction of barley raisins and liquorish with sugar and yolks of egges The second work is to help nature to expel and this is to be done not only with specificks which turne out the humours to the skin but also diaphoreticks and alexipharmicks especially if
a liniment fram'd of the yolks of egges juice of plantain being mixed long in a leaden mortar To preserve the face some have used rose-water and other astringents but very unfitly for great portion of the impurities being sent to the face which from the loosenesse and moistnesse of the skin is apt to receive them are by this means not only kept in but also thereby nature is hinder'd in its motion therefore when the Pox appear they may be anointed twice a day with oyle of sweet Almonds to help on their ripening and being ripe which is discerned by a spot in the middle open them with a gold or silver needle or rather let them break of themselves however the oyle is to be used till such times as the crusts fall off for it qualifies the sharpness of the choler ripens and hastens the fall of the crusts which otherwise would lodge the matter under them and so deeply ulcerate the skin oile of new nuts newly drawn without fire mixed with a like quantity of rose water and reduc'd to a liniment is most efficacious I have with good successe used oile olive â„¥ ij and carduus-water â„¥ js mixt together After which few scars have remain'd if through the neglect of these or the like medicines notable scars remain it 's to be help't as much as may be with the oyle of yolks of egges and sheeps sewet For filthy scars first wash the face with water of bean-flowers or water distill'd from cowes dung in May after anoint them with mans grease Or â„ž oil of sweet almonds and white lilies each â„¥ i. capons grease Ê’ iii. powder of the roots of piony oris and lytharg of gold each ℈ s. sugar candy ℈ i. mixe all these well together in a hot mortar and strain it hard thorow a linen cloth and anoint the places morning and night and after wash them well with the water distill'd from calves feet or in want thereof some of the foresaid waters The fourth and last businesse is to remove symptomes which are various as itch and exulceration especially in the palmes of the hands and soles of the feet by reason of the compactnesse of the skin hindering their eruption to help which hold those parts in hot water or foment them long in an emollient decoction If itch fall out in the face which causeth the sick to scratch whence followeth notable scars use this â„ž leaves of poâ—â—itary M i. flowers of chamomile and melilot each p. s. boile them in lb j. of scabious water in the straining adde wood-binde water in this being hot moisten some cotton or fine lint often moistening the itching Pox therewith Vlcers that arise from maligne and eating Pox are to be cur'd with white ointment camphorated Or â„ž burnt lead â„¥ ii litharge â„¥ i. white lead wash t and vineger each â„¥ s. oyle of roses â„¥ iii. honey of roses â„¥ i. three yolkes of egges myrrh â„¥ s. waxe sufficient to make an ointment for convulsion epilepsy palsey hearing hurt inflammation of the eyes c. See in their proper chapters only if a bloody flux accompany wherein oft the Pox become deprest the following is admirable â„ž the roots of five leafe and tormentil each â„¥ i. leaves of pimpernel and scordium each M i. yellow sanders and shaving of ivory eachÊ’ ii boile them in water to â„¥ xii in â„¥ iii. of the straining dissolve aq naphae and of roses each â„¥ s. troch viper ℈ i. bezoar gr iiii make a potion which give to those that are greater at one draught twice a day but to such as suck give of it often in a spoon The Measles require the same cure with the Pox only observe there 's in the masse of blood a double excrement the one thick the other thin the measles is from the last which it may be is the cause of their discussion without maturation To these are referr'd first pustles of the bignesse of lupins without rednesse inflammation or fever being white and fill'd with serous humours these after three dayes break and die and are seldome dangerous there are other tubercles as some red invading with heat and dry cough other like red spots burnt c. which have nothing singular in the cure THE MILITARY CHEST WArs prophesied must be accomplished Providences are oft-times real Comments on holy Writ witnesse these times wherein the day of Gods vengeance is in his heart and the yeare of his redeemed is come I shall not dispute or question the truth of that which is so evident as that those who are most against it speak the verity of it in their actings But to passe this and come to meet with those events that occur and are the proper subjects of the discourse as wounds c. and here is not to be expected the methodical cure already elsewhere dispatch't but only as it were a Catalogue of the matter by which it 's effected with their vertues and qualities annexed Now the meanes or matter are either medicines or fit instruments fitly placed in a convenient chest The medicines are either Physical or Chirurgical The instruments are either hard or soft all which are to be fitly placed to prevent confusion and to be ready for use They are by Hildanus divided into twenty Classes whose method we shall follow taking in what he hath judiciously set down only take the liberty to adde where there is necessity requiring that so it may be full for our own Climate In the first Classis is the simple purging medicines which are with their vertues as followeth Agarick It potently purgeth phlegme from the wholebody especially the excrements of the mesentery wonderfully removes the affects of the braine purgeth the brest and the wombe healeth asthma difficulty of breathing and jaundice begets a good colour moves urin and courses is excellent in paine of the collick yet ingrate and adverse to the stomack it 's to be corrected with ginger cloves and being slow in operation may be acuated with salt gem cream of tartar c. it 's hot in the first and dry in the second dose from Ê’ i. to Ê’ ii in infusion from Ê’ i. to five that 's the best which is white light rare brittle at the first taste is sweet but after bitter and stiptick Aloes It 's a remedy against many diseases is conveniently administred in those who are molested in their head for it drawes the vapours ascending from the stomack to the head without trouble and is therefore good in those whose pain in the head ariseth thence It 's profitable in swimming of the head inflammation of the eyes cataracts especially if they arise by consent from the stomack It 's profitable for those that are troubled with nidrous crudities it procures a good colour and removes the excrements of the belly heales the jaundice and those troubled in their sleep preserves from putrifaction and plague and therefore excellent in such seasons It sharpens the sight stayes fluxes of blood and kills wormes
symptomatical is when the same is in any particular part from which by the common vessels the putrid vapors are continually communicated to the heart such appears in Plurisies peripneumonias and inflammations of other internall parts Again the primary continuall are double for one extends from the beginning o the end without remission and is called Synochus or Continens but others have manifest fits and remission and are of three kinds according co the variety of their fits as a continuall Tertian Quotidian and Quartan Other differences tre given which are either accidentall or arising from the ormer all which shall briefly and severally be explained CHAP. I. De Febribus putridis AS continual Fevers are variously differenced so they might be distinctly handled but it 's needlesse being the same remedies may serve onely a little varying according to the degrees of the disease which depends rather upon the judgement and art of the Physician then necessity of peculiar precepts therefore they may be fitly put together what is necessary in respect of difference may be noted Before entry be made upon particulars receive these generals Causes First Putrid Fevers arise from hot vapours stirred up from putrid humours preternaturally heating the heart Secondly they invade cum horrore rigore no antecedent cause preceding yea no procatarctick unlesse the body be so disposed that it 's moved upon small occasion Heat from the beginning is not sharp propter suffocationem in the increase biting propter fuliginosum excrementum urin is crude or obscurely concocted pulse from the beginning small the systole more swift then the diastole because of the abundance of fuliginous vapours Thirdly the immediate cause is abundance of sharp biting putrid vapours that cannot be discussed The mediate is putrid humours either so in the ill natures thereof from ill aliments easily putrifying or from external as obstruction of the pores Fourthly Cure the cure in general is absolved first by opening a veine in continual Fevers on the third day in intermittings after Some gentle lenitive premised it 's to be repeated the same day if for evacuation after by intervals if for revulsion sake Secondly vomit with aqua benedict c. Thirdly purge where first use lenitives before preparing especially in continual and acute Fevers then stronger after preparing ye this may be omitted if the humors in primis viis are not mixt w th the blood in the veines or it be turned Fourthly sweat by medicament not too hot lest the Fever be increased yet those may be used in the beginning It 's to be repeated as oft as necessary V. Diet in which let meats of good juice and easie of concoction be used drink is either to be nutritive in great weaknesse or medicinal as decoct Hord. c. In continual at first give little afterward more copious in the very fit of intermitting none lest the separation and exclusion of the putrid humour be hindered But to return to particulars A continual primary Fever is begot of putrid humours conteined in the greater veines and arteries and differs according to the various nature of the humour A putrid Synochus ariseth from putrid blood in vena cava and although it may be distinguished into many fits yet it spends forth it self as in one lasting from the beginning to the end Of this there are three simple differences The first is when from the beginning to the end it endures equal in this through the whole disease there is the same quantity of putrifaction and this is called acmastica The second is calâ—ed epacmastica in this the fit increaseth a little because there is more putrified then dissipated The third is called paracmastica in this the fit decreaseth here being lesse putrified then dissipated these have also their four times if they conclude in health yet various for acmastic hath a short beginning and increase but a longer state c. This is to be observed Time in putrid Fevers is doubly to be considered either as to the symptomes or as to concoction or crudity which two although they oft fall out in other Fevers yet not in Synochus Now a Synochus is twofold the one from putrid blood the other from putrid choler putrified in the greater vessels which is named according to the humour putrified for although the whole mass of humours contained in the veines obtaine the name of blood yet it 's to be considered in its four parts the more temperate thereof being called blood the hotter bile the more crude and cold phlegm and the more thick and faeculent melancholy Now if the more temperate part call'd blood do abound and putrifie it causeth Synochus sanguinea but if the bile then Synochus biliosa The signes Signes of the several continual Fevers are distinctly as followeth Synochus putrida sanguinea hath the same signes set down in a simple Synochus but more vehement as heat watching paine of the head thirst unquietnesse urin in the first two dayes is not much unlike healthful but afterward it 's red thick very confused and without sediment yet sometimes there 's abundance of red and thick sediment the pulse is great swift often unequal and inordinate the systole greater then the diastole if there be abundance of humours heaped up in the stomach in the beginning it provokes vomiting If Synochus Biliosa the urin is sharp fiery although in the beginning crude pulse swift and oft loathing cholerick vomiting and stooles thirst bitternesse of the mouth blacknesse and drynesse of the tongue delirium it oft falls out in summer in a dry and hot habit this is distinguished from a continual Tertian thus for this hath fits and that none A continual Tertian signes are the same with a burning onely by reason of the bile it 's more sharp every third day the cause of the remission is as well the distance of the place where the vapours are begot as also the lesse quantity thereof for the present vapours are dissipated before others come in the place A continual Quaâ—tanes signes are the heat is obtuse and not so sharp as from choler yet sharper then from phlegme the thirst is lesse then in a Tertian but more then in a Quotidian the pulse at beginning slow seldome languid after strong quick and very unequal the urin in the beginning thin after various the body dry and leane the colour yellow the temper cold and dry age declining and the time Autumne sometimes often spitting Quotidiana continua it 's more sharp towards the evening every day because of the motion of the phlegme the heat in the beginning is to the touch gentle after more sharp but unequal because of the crasse humours which are difficultly dissolved Urin in the beginning is white waterish and troubled after somewhat red and thick Pulse slow seldome and lesse then in other Fevers Thirst little sweat seldome unlesse salt phlegme be present the face is puft up loose and lividish time winter temper cold and moist excrements
Fevers are Symptomatical or depend upon other inflammations now these Fevers whether Symptomatical or Primary if joyn'd with inflammation of the parts have their accidental differences for if the Fever be from blood it 's called Phlegmonodes if bile referring to the nature of an Erysipelas it 's call'd Typhodes but a peculiar Erysip of the stomach and guts causeth Febris Lipyria in which the outward parts are cold and the inner burne the hot blood and spirits being drawne to the place inflamed causeth intense heat with unquenchable thirst whilest the external parts left by the same are cold Feb. Lenta is usually referred to the Symptomatical this ariseth from matter without the vessels poured out into the substance of some of the bowels or in the capillary vessels dispersed through the bowels and so putrifying In these is gentle heat afflicting with which there 's apparent notes of putrifaction in the urin and pulse no grievous Symptomes molesting the sick there 's wasting of strength the body by degrees consumes it lasts fourty dayes purging exasperates when portion of the putrifaction is poured out into the veines it stirs up a Fever So milde that the sick is scarcely sensible of it others arise from some corruption putrifaction out of the bowels whence by their veines inserted are communicated putrid vapours to the heart heate it it 's sometimes more gentle otherwhile more vehement and acute these happen most oft in putrifaction of the lungs call mesentery spleen liver wombe or the secondine in the wombe also by fistulas penetrating to the inward parts and sometimes by the corruption of these To these may be added that oft found in those labouring of the Green-sicknesse which arise from serous phlegme poured out into the body lightly putrified Besides these common differences of continual Fevers there arise some from peculiar causes which offer themselves as is related by Zacutus of a childe who laboured of a Fever with grievous unquietness convulsive motions continual loathings and coldnesse of the extreme parts c. by blood falling into the stomach after the cutting of the ligament of the tongue which he cured by giving of ol Amygdal till it vomited and glisters There 's other in children arise as from corrupt milke wormes crudity and teeth c. Prognosticks are such as follow Synochus Putrida if acute Prog. wants not danger yet if signes of concoction appear the fourth day and no error be committed it will end safely the seventh day but if they appear later it may extend to the eleventh or fourteenth day but if no signes of concoction appear and the face of the sick arise like a globe it signifies the length of the diseases The urin how much the more red it s from the beginning other Symptomes answering it s so much the more secure and the dispatch of the disease if therein signes of concoction appear but with signes of crudity it threatens death especially if there be great weaknesse white urin is worst and most frequently portends death If there be a flux from the beginning dissolving strength and be black and stinking its ill Fevers from choler as they are acute so they are dangerous and that more or lesse according to the degree of the distemper which is not onely to be judged according to the degree of heat but also from the natural state of the sick that which most recedes from it the more danger is threatened So a burning Fever in aged and coming in winter is most oft deadly the vehement Symptomes are to be considered in all the faculties in the excrements change of the qualities and proper accidents and lastly the strength is to be compared with these for if the patient appear to have sufficient strength to encounter with these there 's the more hopes if not there 's cause of fear Quotidian uses to be long from the crasseness and contumacy of the humour yet if there fall out in the course thereof many evacuations it may be shorter if the Symptomes be too hard for the faculties it 's ill there 's oft obstructions of the liver and spleen occasioned by its length so that there followes a Cachexia or Hydrops Quartane primary and continual is very seldom yet sometimes it degenerates to an intermitting and that 's oft deadly for the rest being denominated from their Symptomes there to give prognosticks is need lesse however observe the prognosticks of Symptomatical Fevers are best drawn from the part affected vehemency of Symptomes and strengths of the faculties Cure Cure is thus performed 1. Bleed which represseth the heat of the blood lessens its plenitude whether it be ad vasa or ad vires either in the whole or in part it corrects the viciousnesse thereof revels the flux of the humours obstructing restores breathing cooles the whole body hinders putrifaction and helps to concoct the humours already putrified therefore it 's to be done presently at the beginning unlesse weaknesse forbid as in febris Syncopalis or other causes as in age and here Cups are to take place a Glister or a Suppositary is to be premised for the quantity to be drawne it 's to answer fulnesse strength age time of the yeere c. the Ancients in Synochus putrida causus used to let blood to fainting but it 's more secure and better to do it by repetition Avicen in these forbids bleeding unlesse urin be red and thick but nature hath instructed us better who having foiled its adversary dischargeth it by an haemorrhage and sometimes it concludes in a phrensie and other inflammations Lastly bleeding stayes ebullition in that the bile with it mixed is drawne forth for in the masse of blood conteined in the greater vessels ther 's but a due proportion of bile remaining Now if the vrin be crude and the strength of the sick be lively and the blood break forth in a heap together then onely the putrid and that which offends nature is cast forth the more pure remaining in the veines nature expelling the most part this may oft be observed but if it flow from the veine by drops it 's the most purest In bilious tempers blood may be taken sparingly especially in the middle of Summer or the Dog-dayes In pituitous and melancholick Fevers the lesse quantity of blood is to be taken yet in the first it may be securely done if the urin be thick and red in the latter it 's to be drawn from the left arme in these there is to be regard had both to coindications and contraindications as when a Quotidian falls out in children or aged in cold regions or winter-time also if it be from too much labour bleed more sparingly if a Fever be from too much venery to bleed is pernicious For the time of bleeding 't is not to be done presently upon taking of meat but when concoction of the stomach is perfected and the belly discharged from excrements It 's to be performed rather in time of remission then
de cichor cum rheo similia If the fever be long purgings are oft to be repeated casting in preparers and concocters till the whole seat of the matter be removed otherwise if purging be left before the fever be wholly ended it will be in danger to return Yet take these restrictions ☜ If after many repetitions of purging the fever perseveres by degrees wastes the sick and seems to hasten a Tabes leave purging and oppose the fever with altering medicins and good diet for it sometimes happens where a certain ill affect of the bowels causeth long fevers then as long as medicaments are used so long it persists besides by desisting nature which before was wearied gaining strength concocts the cause of the disease and after expels it yet if gentle fevers arise from obstructions such as oft fal out in children oft purging gently per Epicrasin drawing out the humor is wont to remove the disease especially if made of rhubarb which both openeth obstructions strengthneth the Entrals and this is to be taken every day being infused in aq End recent lb j. rhab. ʒ j. dos ℥ iiij in the mornings till the fever be removed or use it for ordinary drink as Rhei ʒ s. velʒ j. according as the child can bear the tast beaten and lapt up in a rag infused in water 2 or 3 pints cold for a whole day This is to be continued for a month or longer if the contumacy of the disease require it somtimes if the fever be very gentle the body phlegmatick some wine may be added which corrects the taste of the rhubarb After the purging of the Morbifick matter nature in the declining of the disease casts out the rest by urin which although it comes in abundance and thick its motion is to be helped with temperate Diureticks as are above prescribed in Emulsions opening juleps and broths to which if the fever be very remisse may be added some roots of fennel and parsley or leaves of wormwood and that especially in pituitous and continual Quotidians But if nature drive out all the rest of the matter to the habit of the body sweating is to be used but not with those properly called Sudorificks which are strong but those temperate which are almost the same with Diureticks and do not only by an attenuating quality dispose the humour but also help nature to expell it By the way most fit to these may be added aq Card. bened scabios spir vitriol and others and to be prescribed in malign fevers more largely Besides inward remedies outward are to be applied in the state or declination after the internal feverish heat by coolers is repressed the greater part of the putrifying humour is drawn forth but not upon critical days They profit to temperate the heat relax the pores and strengthen the principal parts as ℞ aq buglos acetos Nymph rosar aena ℥ iij. aceti ros vel succ limon ℥ j. spec diamarg. frig Trisantal anaʒ iij. Camphor croc ana gr v. misc f. Epith. applica tepidè cord cum panno scarlatino to strengthen the more and mend the smell adde aq Naph ℥ ij confect Alker ʒ j. where you desire to corroborate more ℞ conser bugloss ros ana ℥ j confect Alker ʒ ij diamarg. frigid ʒ j s. cum succ limon vel aq ros f. Epithema solidum appl c. post liquidum Or this which is better ℞ confec Alkerm de Hyacinth anaʒ iij. Spec. Trisant diamarg. frig anaʒ ij cum aq ros f. instar liniment quo illinatur regio cordis Also to strengthen to call out the feverish heat and vapours apply young pidgeons cut in the middle to the region of the heart which may be sprinkled with cordial powders as diamarg. frig Trisantal or anoint that region cum liniment Cardi. To the liver apply this ℞ aq Endiv. acetos cichor ros ana ℥ iij. aq lactuc. ℥ ij aceti ros ℥ s. Spec. Trisantal ʒ j s. Spodiiʒ s. Campho ℈ s. f. Epith. To coole more ℞ Succ. cichor Endiv. ana lb. s. succ lact acet ros ana ℥ ij pul trisantal ʒ ij misc f. Epith. anoint the same region with this ℞ ung ros ℥ j s. Ceral santal ℥ j. Succ. Endiv. ℥ j s. ol ros cer ana q. s ut f. ung cui add aceti ros parùm unctionis tempore It may also be used to the reines and loines and because of that great consent betwixt the stones and the principle parts so that these cooled in great part quench the heat of the whole body it 's profitable to apply coolers to them also as ℞ aq Nymph plantag rosar cichor ana ℥ iij. aceti ros ℥ j s. vini alb ℥ ij Misc hisque immergatur linteum quo actu frigido testes involvantur Refrigerating the feet and hands do much help from that consent they have with the whole body being the Arteries Nerves and Veines end in those parts Some may think these may hinder the breathing forth of the excrements but that 's not to be feared being few flow thither therefore they more help then hurt Balls of Marble Crystal or Lead are to be held in the hands or macerate them in cold water wherewith there is mixed wine-vineger To the soales of the feet apply fol. lactuc. Nymphoeae aq acet immersa or wash both hands and feet with this ℞ fol. lactuc. semperv viol portulac fol. vitis salicis ana Mj. cap. pap N. xii vel fol. ejusd si adsint vigiliae Mj. acet ℥ j. vini alb ℥ ij aq font q. s f. decoct cui add si lubet lixivii parùm ad corroborationem articulorum hoc laventur manus brachia pedes tibiae tepidè bis in die aut semel horâ somni The Ancients in putrids have used a bath of aq dulc but it is dangerous unlesse the fever be long the body be hot dry and squalid and seem to degenerate into a Hectick This is to be noted if the fever end by Crises the rest of the diseased matter is to be removed by purging especially if the Crisis be made by sweat or Hemorrage for by these onely the thinner part of the matter is cast forth the thicker remaining behinde which acquiring new heat procures a relapse Therefore that Crisis made by a flux of the belly is wont to be more secure yet is it not so to be confided in as to forbear purging for even to the last the praecordia are defiled and the aliments corrupted whence either is raised as hath been observed a recidivation or another disease caused therefore it 's much better once and again to repeat gentle Catharticks so to remove all the rest that that which is feared may be prevented For Diet Diet. of which something hath been said above in bilious fevers it is to be cold and moist in pituitous and Mleancholick more heating and attenuating The Aire Aire is
and so strength be much decayed it is which is performed by cooling the aire in besprinkling cold water and herbs upon the floore and if need be open the clothes and ventilate a little by moving of them up and downe Use cold and astringent medicines as Epith. cooling the heart liver and whole body and Vnguent ex ol myrtin mucilag pul astringent compos applied to the whole body especially to the spine of the back powders ex ros balaust malicor myrtillis mastic terra Samia c. are to be strewed on the neck breast arm-pits and groines Or lap the sick in linnen sprinkled with the foresaid powders yet beware lest there be any inflammation or tumor besides nature hid in the Hypocondries for then very strong astringents are not to be used Sweat is not to be cleansed that so it may cleave to the pores of the skin and prohibit others from flowing Exhibit inwardly incrassers binders and strengtheners as hordeats ex decoct lactuc. sem frigid parata also restoring broths cum Succ. granator agrestae with the powders of Corall Pearle the shavings of Ivory Sanders or balaustia Juleps ex aq Hord. ros lactuc. portulac cum Syr. granator de ros sic aut cydoniorum Opiats ex confer ros coral margarit terra sigill Spec. diamargarit frigid Triasantal c. In the cure of most acute and pernicious Fevers ☞ this is diligently to be noted that they are for most part accompanied with certaine peculiar affects of the bowels and oft inflammations wherefore in the cure the Hypochondrie head breast womb reins and bladder is never to be neglected that these parts being discharged of what they labour the rest may more easily be performed CHAP. III. De Tertiana intermittente IT 's a Fever arising from excrementitious choler putrified in the Mesaraick veines afflicting every third day with shaking after which followes hotnesse This is either true or bastard the legitimate ends in twelve hours which the spurious exceeds and this if it passe twenty four hours is called Tertiana extensa to these may be added a third called Perniciosa Again some are simple some double others treble the first invades every other day the second every day and so it 's like a quotidian unlesse that it shakes more sometimes in this double tertian two fits appear in one day the other day remaining free Some call this two Tertians and make a distinction though to little purpose A treble Tertian is when in the space of two dayes three fits appear this is most rare yet sometimes seen These fits are various according to the divers matter putrifying in severall places so that every one holds a peculiar place Sig. Gen. Signes are either more generall as fits every other day with much shaking that ceasing followes heat the Pulse in the beginning of the fit is small and slow after quick urin reddish c. Particularly if it be exquisite Particular of an Ex ∣ quisite the shaking is vehement and pricking arising from most thin and few vapours and humours without the veines the heat is much sharp and biting the Pulse in the beginning of the fit is small slow in the progresse vehement and quick the urin is reddish yellowish of mean consistence and sometimes clouded white and then the Fever passeth not beyond the fourth fit the fit extends not beyond the twelfth hour ending in sweat Sometimes there is intolerable thirst paine of the head delirium vomiting c. If spurious the heat 's more gentle and all other Symptomes the Pulse in the beginning hard in the progresse with concoction of the humour softer the fit oft lasts eighteen hours yet from the smalnesse of the matter they may end betwixt eight ten and twelve hours Causes Causes of an exquisite is choler heaped up in primis viis sometimes like that which is in folliculo fellis sometimes green and in the stomach and veines The causes of a bastard are choler mixed with melancholy or phlegme generated not onely in the Summer but in the Spring Fall and Winter Progn Progn it 's easily cured if exquisite for it oft ends the seventh fit either by sweat if the humour in the veines be cast through the habit of the body or by vomit and flux of the belly if cast to the stomach and bowels If pustles or ulcers break forth on the lips and nose it ends The best of all is by a flux of the belly sweating and ulcers leaving the crasser part of the matter behind which if not purged away causeth recidivation or other diseases If the body be of a good habit the bowels be well affected it will end the sooner if contrary not If spurious in the Winter or Fall if the sick have used much heating meats and drinks it will be long before it end Cure Cure first by evacuation of the first wayes by lenitive medicaments or Glisters if it be exquisite those set downe in continual putrid Fevers will serve if bastard adde Agaric Senna diacatholic diaphaenic alia the Glisters in exqui are to be of mollifying and cooling decoct cum cassia catholic diaprun simp vel solut in spurious ex decoct Emollient incid dissol Mel. ros c. in your purgers of both may be added Cremor Tartar for it opens obstructions powerfully cleanseth and cooles somewhat Secondly vomit if the matter tends to the stomach and the sick be molested with paine of the stomach loathing and desire to vomit If gentle Emeticks will not serve use stronger as Asarum in pul ʒ j. with broth or Sal vitriol ʒ j. or infus emetic ʒ vj. w th some proper syrup These oft happily evacuate the matter fixed in the first wayes They are warily to be used and are usually given one hour or a little before the fit 3. The first wayes being emptied a veine is to be opened in an exquisite before the third fit in a spurious after it s to be done on the intermitting day if the body be plethorick the urin red and thick then bleeding may precede purging if the blood be very hot adust or putrid reiterate bleeding 4. Prepare with medicaments cooling moistening and cleansing the first wayes as Taraxic acetosa Hord. Cichor Spir. Sal. vitriol Cremor Tartar Tartar vitriolat Syr. de acetos citri with some specificks as Centaur minor Morsus diabol c. Such used in continual Fevers will serve the matter wherof is to be changed as there is mixture of phlegme and melancholy with choler A cooling cleansing Julep may be this ℞ rad gram cichor aspar an ℥ j. fol. endiv. cichor agrimon acetos an M i. absinth vulg Centaur minor an M s. coq in aq ad lb. j. in colat dissol Syr. lim ℥ iij. f. julep pro tribus dosibus matutinis 5. Purge as before upon the intermitting day in the morning if the intermission happen in those hours else take the middle time betwixt the two fits whether it be day or night so
paulò ante accessionem 3. aut 4. iterandum Tela aranear unguent popul expertum Mouse-eare beaten with Salt and Vineger is good corte x. interior ramor nuc in aceto maceratus carpis applicat excel The strength of these are communicated to the heart by notable Arteries which run to the wrist For the stomach ℞ fol. Hyssop Tanaceti minutum incisi an p. 1. myrrh ʒij mac nuc mosch Caryophyl cinam an ʒ s. Tereb Venet. succ Tanaceti an ℥ 1. misc omnia extend supra placentam rosaceam frixam in sartagine cum vino generoso quae pauno lineo involuta applicentur calidè regioni ventriculi per horam ante accessionem Vel ℞ absinth menthae virid an lb j. crustae panis assati aceto rosar infus lb s. pulp cydon vel cydon cum melle confect ℥ ij mastic ℥ s. macis nuc mosch anʒ ij omnia pistentur fortissimè cum ol cydon f. catapl quod calidè applicetur ante paroxysmum it provokes sweat and removes the pain of the stomach Or ℞ nuc mosch Caryophyl cinam an ʒ iij. myrrh zz anʒ ij f. pul qui excipiatur pice liquidâ fiat empl admovendum regioni stomachi ℞ santal alb rub an ʒ j. farin hord ʒ ij aloes ℥ s. flor viol ros siccar an ʒ j. cum succ absinth aceto f. catap applicandum regioni hepatis horâ unâ ante accessionem Some to the wrist apply vesicatories but they are unsafe Febr. Tertian Perniciosa invades from seven causes First if errour be committed by the sick and Physician Secondly if the humour sent out of the vessels ob occlusionem illorum in primarium membrū incumbat Thirdly if it be too thin and putrid for hence there is frequent fainting without much sweating Fourthly if it have a peculiar pravity either from its ustion or aliment from the inflamed humours ariseth vehement thirst and roughnesse of the tongue with hollownes of the eyes from the resolution of the spirit urine fiery with bilious dejections of the belly painful ulcers of the whole body little sweat because of the matters thicknesse Fifthly if thick humours from heat cast into any part remain there hence follows unequal burning the urine is watery with much thick sediment the pulse somtime intercepts in the declination they sweat from the navill to the head neither the increase state nor declination is equal Sixthly if it draw malignitie contagiousnesse c. Seventhly if the heat either draw the womb into consent and move the humours conteined in it or stirre up a dangerous catarrh asthma or gout CHAP. IV. De Quotidianâ Intermittente IT ariseth from putrified phlegme in the Mesaraick veines invading every day and in this last it's like a double Tertian and a treble Quartan which are distinguished by their proper Signes This Fever seldome invades for of 600 of fits of Fevers that afflict every day scarce one labours of a Quotidian Signes Signes are according to the differences and differences according to the causes In general they invade oftest in the day sometimes in the night Vrin in the beginning white thin and crude when the matter is concocted thick filthy and oft red Pulse is very small and slow heat is gentle and very little cum praecordiorum difflatione intumescentia The fit lasts eighteen houres sometime to twenty foure and appears continual it begins only with cold and gentle horrour vomit and sweat If the phlegme be thick by which it 's caused the urine is white and thin but a little after it begins to be red and the hypostasis thicker the mouth is continually moist if from thin acid phlegme then there is present paine of the forehead and left Hypochondria obstruction of the belly acide belchings If from thin salt phlegme then there is saltness and driness perceived in the tongue Urine red and thick coming forth with sense of heat and sharpness Causes Causes besides what are in the differences is phlegme putrifying in primis viis gathered from the small heat of the bowels and the cold and moist nature of the aliments Also idle life age old and children Progn Progn This Fever oft continues long from the contumacy and thicknesse of the diseased matter id est to fourty dayes sometimes to three or foure moneths which greatly hurts the stomach and liver and so casts the sick into a Cachexia Dropsie Lethargie and other grievous effects If there appear concoction in the urine or nature evacuate by vomit or sweat it will be shorter if it be by day it 's more dangerous i. e. begins in the day and intermits in the night because they have longer fits which oft procure a tabes Beside meat is to be exhibited in the night which is very unseasonable and oft procures watching whilest there should be sleep which weakens and subverts the whole frame of nature Cure Cure 1. Prepare the offending matter by convenient medicaments moderately hot such as are set down in Tertian nothâ yet so that amongst the preparers of the humours and openers of obstructions those are to be chosen which more forcibly attenuate and incide 2. The same concocted evacuate by vomit ubi extract esulae aq ex radicibus Raphani nuc jugland viridibus cum aceto distillato laudantur By purging with phlegmagogues by sweat with sudorificks 3. Strengthen the stomack and liver especially the first being oft grievously afflicted with the catapl de menth c. In the former chapter observe if the phlegme be very thick ☞ stronger Preparers are to be used often repeated to which there ought to be added Tartar To vomit use either pil mercurialis vel Panacea aurea Horstii Purge cum infus diacartham fol. sennae cum zz in aq Centaur minoris add aliquot spir vitriol guttis singulis septimanis semelʒ j. Ther. And rom exhiberi potest 4. If the phlegme be thin hasten the cure lest it passe to a quartane Cut the liver-vein on the left arme and before the fit exhibit some specifick If it be thin and salt open the said veine on the right arme To conclude the two following medicines have cured many of contumacious phlegmatick fevers ℞ flor cham p iij. comar absinth pontic p. ij coq in lb iij. aq ad mediae partis consumpt colat add sacch alb ℥ iiij cap. manè ℥ v. vel vi singul diebus The other is the decoct of China and Guaiac exhibited twenty five dayes although this be feared and because they heat and dry too much yet are they commended and may more safely be used in cold and moist regions then in hot unlesse the bodies be very phlegmatick and cachectick In long Fevers quotidian and quartan Succ. rad faenicul ℥ iiij cum sacc given for ten mornings together being in bed well covered is excellent CHAP. V. De Quartana Intermittente IT is a Fever arising from melancholick humours putrifying in the mesaraick
veines afflicting every 4th day Signes As there are various differences arising from several causes so the signes vary also which are as followeth Retching yawning and heavinesse of the whole body cold following which in the beginning is little in the progresse like those who are very cold in winter-time not so pricking as breaking the heat because of the thicknesse of the matter burnes little the sick hath two well-dayes betwixt his fits Hence it falling again on the third day the ignorant call it a Tertian The pulse is rare and slow but in the vigour of the fit quick and frequent Urine in the beginning thin and watery after more coloured and thick Sweat at first very little but after in abundance The bones are as if they were broken whence the pain perceived in quartanes is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The signes of the spurious are dejection of the appetite vehement thirst paine of the head rednesse of the urine and as follow in other Fevers if it be dangerous then there is great weaknesse on the fit-day the urine is very red and troubled Cause Causes of the true is a melancholick humour putrifying gathered in the mesaraick veines and neighbouring parts from the like causes amongst the which is vineger The spurious is either from choler adust or melancholy mixt with a portion of bile some are of themselves without any other disease preceding others follow some diseases Those that are dangerous arise from burning diseases generated of atrâ bile from the adustion of the melancholick humour or yellow bile converted into ashes Prog. Progn It 's of long continuance and sometimes lasts a yeare especially if it begin in the Autumne yet more hard if from atrâ bile If it fall out in old the weaknesse of the heat being not able to conquer the matter If it be double i. e. when two fits fall out by two continual dayes and the third day escapes if it be joyned with a grievous affect of any of the bowels more easie if it be legitimate and the bowels not affected if in summer if black urine appear all the signes of concoction are specially to be eyed It 's deadly if it change to a quotidian quia fit mutatio illius febris quae forâ—s movetur in eam quae intrà a quartane following an epilepsie cures it A dysentery if short is safe otherwise deadly bleeding at nose coming upon a quartane pessima est because the humour causing a quartane being thick cannot be evacuated at the nose Therefore such evacuations during long cause a dropsie therefore it 's presently to be prevented by opening the basilica by which the putrid blood is drawn out and the pure hindred from flowing at the nose Cure Cure is to begin with more gentle means after with more strong first open either the median vel basilica presently in the beginning the first wayes being evacuated if plethora be present not presently if it be absent in more abundance if the blood come forth black and thick but if it be thin presently stay it To evacuate the first wayes use these â„ž rad buglos â„¥ ij herb 4. emol mercurial betae an Mi. prunor dulc par 5. 4. semi frig major anisi an Ê’ ij epithy Ê’ iij. coq ad lb j s. in colat dissol catholici â„¥ j. ol viol cham an â„¥ js sacch rub â„¥ j. f. clyst injiciendus pridiè sequentis potionis horá commodâ â„ž sen mund â„¥ s. scm anisiÊ’ j. flor borag fumar an Mi. liquir Ê’ iij. coq ad â„¥ iij. in colat dissol mannae syr ros an â„¥ j. f. pot In the beginning purge gently lest it turne to a double or treble quartane or a continual should be caused the dayes free from fits are best both to purge and bleed in yet sometimes blood may be drawn on the same day five or six houres before the fit because the humour beginning to move rhey are more easily drawn forth Zacutus thinks it most profitable to be done in the full of the Moon for then by the force of it the terrene humour is boyled and made more fluid and so more fit to be drawn By this he eased many and prevented other dangerous diseases It 's dangerous to reiterate bleeding for thereby the body is cooled and the disease made more contumacious yet if the Hemorrhoids be not open which is very profitable leeches may be applied and those excellently draw away the next cause of the disease heaped up in the meseraicks especially if the matter tend thither which is known by the itching of the fundament and in those in which the hemorrhoids never flow Malleoli vena post brachii phlebotomiam utiliter aperitur whence oft the Fever ceaseth or ends the sooner especially in women whose courses are stopped or flow more sparingly The opening of the left hand salvatella by Zacutus is esteemed admirable but especially ad Quart contumacem saphenae sec in pede mirabilis Some do it in the conjunction others in the decrease of the Moon two houres before the fit for three fits following 2. The offending matter is to be concocted and prepared by iteration with splenetick humecters as are fumaria capill Veneris Ceterach rad eringii decoct raporum syr de pom. redolentibus c. Or â„ž asparag brusci cichorii buglos macerat in vino alb an â„¥ j. cortic tamarisc â„¥ s. fol. borrag buglos ceterach capill Veneris fumariae chamaed chamaepit an M. j. liquirit â„¥ j. flor trium cordial an p. 1. coq ad lb j. s. in colat dissol syr Byzant capil Veneris an â„¥ ij f. Julep pro iiij dosibus matutinis quae etiam ulteriùs continuandae sunt ad multos dies For the contumacy of the matter needs long preparing If the sick be more dainty broths may be prepared of part of the foresaid simples chosing those more grateful to which profitably may be added as also to Juleps crcm tart In the time of preparing purgings are to intervene every third or fourth day giving some cathartick with this caution that so long as the matter is very crude the more gentle are to be used but concoction increasing a little more strong The matter of the purgers are to be noted that they need not be enumerated Sometimes it 's profitable to prescribe an Apoz both preparing and purging for foure or five doses which may be composed of the matter of the foresaid Julep with addition of purges by which a good part of the diseased matter may be drawn forth If the crassenesse and oppugnancy of the humour with a cold distemper of the bowels adjoyning threaten length of the disease and dropsie then more powerful movers are to be used as â„ž rad 5. a periti in vino alb maceratarum an â„¥ j. rad enul camp gentian aristoloch asari an â„¥ s. fol. chamaedrys agrimon lupul. borag ceterach absinth centau minor an M. j liquir ras passul mund an â„¥ j.
handling the Small Pox and Measles which are perpetually accompanied with malignity and therefore not undeservedly by Authors handled in one book CAP. I. De Febre Pestilenti THese Fevers are called pestilent which are infested not onely with a meere distemper or putrid heat but also with a maligre and venomous quality they are contagious drawn in by accompanying the sick as well as from common causes to wit the aire or vicious aliment Sometimes other diseases acquire this denomination from ill and cruel Symptomes although a venomous quality wherein the essence of a pestilent disease consists be altogether absent but where it s present whether in a Diary Hectick or putrid it may be termed pestilential though the two first be much controverted This venomous quality ariseth from the corruption of the humours which consists not in a simple temperament or common putridnesse usually found in putrid Fevers sed in totius naturae insitaeque substantiae destructione as wine whil'st it 's turned into vappam suffers all sorts of corruption but when it 's changed into Vineger it 's thought simply to putrifie A pestilent Fever differs from the Plague as species à genere the latter may be without a Fever it being not alwayes necessary that with the venomous quality should be joyned putridnesse from which the Fever ariseth the venomous quality may be produced in the humours by the intire corruption of their substance and introducing a new forme on which depends that maligne quality for as oft as a new forme is introduced the former is corrupted and though to their change an ill alteration is necessary yet not putridnesse hence the humours suffering such a corruption may be without putrefaction yet because the humours are more obnoxious to putrefaction they seldome suffer corruption but putridnesse intervenes hence that plague is most rare which is without a Fever besides by an intense profound and sordid putridnesse as it 's call'd such a corruption is usually stirred up So that many Fevers which were not from the beginning pestilential may by the ignorance or negligence of the Physician disobedience of the sick or fiercenesse of external causes ill handled putrefaction being made more intense end in pestilential Corruption may precede putrifaction this plainly appeareth in those infected with the Plague by contagion into whom the venomous quality is first communicated and by that the humours are corrupted putrefaction following hence the plague first afflicting sometimes in the first dayes is without a Fever which after appears the putrefaction being kindled as is evident in a part gangrenated which is first corrupted afterward putrifieth therefore a pestilent Fever is caused quando humores corrupti venenatam qualitatem adepti ad putredinem deveniunt and hence the heart is doubly afflicted i. e. both with putrid heat and a maligne quality This corruption of the humours being not alwayes uniforme but sometimes more otherwhiles lesse intense it falls out that that venomous quality produced from it according as its various degrees are more or lesse pernicious and so the malignity of the Fever more or lesse which hints that distinction of pestilential Fevers into that simply so called the Plague of which more die then live and maligne in which more escape then die The differences of pestilent Fevers are taken either from the matter in which that venomous quality is produced or the place in which the same matter is contained as in putrids the matter putrifying being blood choler c. denominates them Synochus Tertian Quart c. But by reason of the place wherein those humours putrified are contained they are called continual or intermitting as the said humours are lodged within or without the veines So pestilent Fevers are called Synochus Tertian c. Some continual others intermitting although it 's supposed that intermitting Fevers are without danger which is to be understood of those that are not associated with any malignity for it 's oft observed that intermitting Tertians are accompanâ—ed with such a height of malignity that the sick are removed the third or fourth fit others that escape are cast into great danger of life by reason of cruel symptomes Other differences are taken from intensenesse or remisnesse viz Some are more others lesse intense or remisse as they participate more or lesse of the malignity They are called more or lesse Simple as the matter is more or lesse putrid tum calor praeternaturam ex ea emergens intensior aut remissior est but more maligne and benigne according to the degrees of intensnesse of the venomous quality Hence it happens that sometimes a pestilent Fever is from the greatest degree both of putridnesse and venomous quality and then it 's most cruel the latter much afflicting the heart and the first hurting the rest of the faculties producing bitter Symptomes Sometimes putridnesse is great the venomous quality remisse and then the Fever is more troublesome the vital faculties lesse afflicted contrary sometimes the putridnesse is remisse and the ill quality intense then the Fever is remisse with lesse Symptomes but the strength is most cast down Yea sometimes putridnesse is so remisse that there 's almost none and the maligne quality altogether intense and then the Fever seemes little or none either to the sick or standers by though then it 's altogether deadly for the ill quality increasing dejects the strength and overchargeth the heart and here also the Physician may be put to it there being no present signes either of Crudity or ill humours withall the pulse and heat of the body to touch being at first almost natural the like is wont to happen in the first difference when there 's a juncture of greatest malignity for by fit remedies the putrefaction being overcome and signes of future safety appearing yet sometimes death followes from the not correcting the maligne quality The last difference is taken from the adjuncts and these are often most evident for there 's no cruel Symptomes or any kinde of deadly disease which doth not accompany this Fever the Symptomes are head-ach delirium sleepines c. of which hereafter these being also in common with other Fevers the diseases are the Squinsey Plurisie c. The Signes Signes are either such as threaten or such as shew it present or those that discover when dead the first are taken from the disposition of the body the second from present Causes and third from certain middle dispositions Those bodies disposed to a pestilential fever are such as are loaded with ill juices by reason of ill diet and the preposterous use of the sixe non-natural or are plethorick or fill themselves inordinately or excessively the passions of whose minde are extravagant and use venery too immoderately especially the two last the first drawing the spirits from their proper operations the other debilitating the functions by which the humors are alienated and certaine corruption followes also hot and moist temperaments being subject to putrefaction so the more dense and rare
habits the first wanting free transpiration the latter being open to all injuries the present Causes that foretell may be warre famine unseasonable times The middle dispositions that foretell is when the present dispositions of the body conjoyne with the above-said Signes as sadnesse deep fear disturbance in sleâ—p voluntary lazinesse thirst watching loathing for all these shew the humours to be strayed from their natural temper and to begin to corrupt fâ—om which a pestilent Fever ariseth The Signes discovering at present may be drawn from threefold Symptomes for Symptomes are the effects of diseases and the disease cannot be well known without the effâ—cts Some are taken from the Actions hurt others from excretions and others from the qualities changed to which may be added those drawn from the effects coming upon it To understand this a right premise first that Symptomes of the Plague and maligne Fevers are almost the same onely the first are more cruell then the latter Secondly there 's no absolute pathognomical signe to be given of these Fevers for both buboes and Carbunole may be wanting in the true Plague and again they may appear without malignity for the spots they are sometimes absent in pestilent Fevers yet present in those labouring of the suppressed courses and in some children from a light Ebullition of blood though no Fever appear yet of all Signes these most certainly discover these Fevers Thirdly observe all Signes propounded are not found in all sick but onely part of them which is sufficient for according to the disposition of the body and intensenesse or remissenesse of the disease now this Symptome now that is wont to appear Lastly note although the Signes in a pestilent and a malign Fever may also be found in other Fevers yet they may be as it were proper in this Fever First quia in hisce febribus peculiarem quandam conditionem prae se ferunt which is not found in other Fevers for head-ach loathing vomiting measure of heat while they happen in pestilential Fevers acquire a peculiar maligne condition which differs them from themselves while they appeare in other Fevers So that they may be discerned by a mean Artist Secondly the Symptomes do not keep that proportion amongst themselves in these Fevers which is found in other Fevers for although the heat be gentle to the touch the Pulse not much changed or little appearance of a Fever yet there 's excessive head-ach watching sometimes delirium and other Symptomes which follow and are oft joyned with burning Fevers all these considered for Signes the Vrin is sometimes like those in healthful bodies i. e. when humours offend more from maligne quality then putridnesse it oft continues thus in the first dayes but after is thick and troubled Sometimes in the state it appears concoct yet the sick hastens to death Sometime it 's thin and crude having no sediment if any it 's not true Yet very oft it 's thick and filthy of high colour having a thick red confused and troubled sediment yea all dispositions of Vrin may happen in this disease from the various alterations of the putrid and corrupt humours The Pulse is as changeable as the Vrin notwithstanding the heart is vehemently afflicted from the venomous quality therefore the Pulse by occasion of it is variously altered according to the variety of times and divers conditions of the disease for in principio oft its almost natural and agreeing with a healthful Pulse but in progressu morbi augmento it 's oft small weak and unequal Yea sometimes it will be greater being increased by reason of heat because the heart to repel such an assaultant moves more then necessity requires for the ventilating the heat Cardialgia or that vulgarly call'd heart-ach discovers malignity especially if sociated with distension of the praecordium and head-ach Thirst sometimes is great if the feverish heat be much yet sometimes is wanting when it 's remisse Loathing and abhorring all sorts of Aliment no lesse then the most ingrate medicaments arising from maligne vapours afflicting the stomach Vomiting being from the same cause especially if in the beginning Some vomit presently upon taking solid things and retaine well liquid others contrary some in the casting up of either with them vomit various humours in the meane time thirst drynesse and blacknesse of the tongue increaseth Shakings oft and inordinate happening oft in a day stirred up from sharp biting vapours and such things as are alien to nature delating the sensible parts which seldome happens in other putrid fevers because in them the halatus acquires not the like malignity It s true in intermitting tertians endued with malignity sometimes Signes of malignity may be taken from cold and shaking it sometimes happening in the beginning of the fit in which the flesh is as if frozen the face appears like one ready to die the Pulse so little it can scarce be perceived After the heat follows which neither in the increase or state is much to the touch or perceived sharp yea the flesh to the declination perseveres indued either with a warme heat or coldish By reason of the increase of heat the Pulse may be bigger but it will be small weak oft and unequal many other Symptomes of a pestilent Fever will be joyned all which confirmes that there 's not onely continual but intermitting pestilent Fevers Weariness of the whole body in the beginning and pain joyned as if the members would break from vapors spread in the whole body Head-ach watching and delirium all from the foresaid vapours which if they invade the membranes procure head-ach if the braine it self heating and drying it if gently then watching if more intense then it produceth delirium Other Symptomes might be added arising from this venomous quality not found in common fevers unlesse the Fever be very great In this Fever the paine is very peculiar in that it 's very various sometimes possessing the Occiput otherwhiles the Sinciput now the forehead then the eye-browes sometimes the Scapula's sides back and other parts of the body sometimes it afflicts continually the same place otherwhiles changeth the place and in all these cruelly afflicting To some happen sleepy affects as those whose braines are stuffed with pituitous excrements which being liquified by hot vapours arising from the lower parts hinder the functions of the braine A bilious flux of the belly arising either of it self or moved with a light cause as gentle Glisters or Purges and after contumaciously perseveres killing many In these the excrements stink much from great putrefaction possessing the humours Abundance of wormes is used to be cast forth especially in the beginning of the disease generated from the notable putridnesse of the humours Sweatings oft putting forth in principio yet small little and unprofitable Heat to touch is so milde and gentle that it scarce seemes to be a Fever the Fever being caused more from maligne quality then vulgar distemper or putridnesse Rednesse of the eyes
obstruct the second are especially naughty aire and wandering Contagion those that dispose the body to the disease are either by nature or accident above measure moist weak loose fine dense and compact bodies More moist is to be dried and those more dry are to be kept so therefore the more moist are to shun a full diet and large drinking and all moist aliments as fruits fishes south-winde and fogs especially in the night idlenesse long sleeps especially at noon bathes and all other things which humect the body The weak body is to be restored with an analeptick and strengthening medicaments the fine and loose require the same with the moist but the dense and compact because they are disposed most of all to receive a pestilent Fever they are to be freed with more diligence from Plethora Cacochymia and obstructions which causes when they produce these Fevers in all bodies as the first causes they are perpetually to be removed Plethora calls for cutting a vein if nothing hinder As the time of the yeare being too hot or cold or the state of the aire pestilent then it 's to be forborn unlesse fulnesse ad vasa urgeth much or accustomed evacuations of blood as Haemorrhoid Menses Haemorrhag be supprest for blood being drawn the pestilent aire is more easily received and oppressing the actions makes the disease more hardly to be conquered even as in those which after drinking of poison make it more easily penetrable and more hardly cured Cacochymia requires purging proper to the humour offending fit Preparatives premised if necessary provided they be benigne mixing with them some things of a Bezoartick quality Obstructions being caused from a multitude of crosse and tough humours the multitude is to be evacuated crasse attenuated and tough clensed 1. By reason of external causes prevention is to be appointed as first the excesse of the aire is to be corrected i. e. the hotter to be cooled the more humid to be dried with fires both in publick wayes and private houses as much as may be The fires are to be made of juniper bayes nosemary and the like Secondly all causes are to be removed which may infect the aire Thirdly if it be infected it 's to be dissipated which is done by fires fumes and shooting great guns most effectual but if it be endued with a very pernicious quality it 's best to remove and those that are constrained to stay are to use frequently Antidotes and those no lesse quantity then are prescribed to cure The Cure is to be taken from the putrifaction and the maligne quality the Fever is to be opposed with cooling and humecting the putrifaction with evacuations and alterings and the maligne quality with Alexipharmacons Here blood is first to be drawn a glister premised for that 's most fit because of the greatnesse of the disease the hot distemper and putrifaction but if the fault lie in the quality of the blood it 's to be taken away with the greatest prudence for bleeding then may rather hurt then do good the vital faculty being thereby rather debilitated and death hastened therefore if the maligne quality be more then the putrifaction which may be knowen as before lesser quantity is to be drawn if the putrefaction infect more then more plenty may be taken and so more especially if maligne Fevers arise ex morboso apparatu and putrid humours kept within the veines and then bleeding may be reiterated twice or thrice until the heap of vicious humours contained in the veines be exonerated which humours rise in these Fevers but bleeding is to be maturely appointed in the beginning of the disease for it 's ill in the progresse the malignity then having diffused it self into the whole masse of blood and so it doth not only not help but also exceedingly debilitates nature so that many think it not good the fourth day being past especially when they begin to be common or cruel then it 's diligently to be observed who of the sick gaine benefit by bleeding for in some kinde of Synochus in which putrifaction is intense and malignity remisse bleeding diminisheth it but in others the nature whereof consists almost altogether in malignity bleeding is more pernicious This appears in a true plague in which many and most approved have had experience of that all the sick who have had a veine opened have died So also in pestilential Pleurisies it doth more hurt then good making the disease only more cruel yea and in other epidemical diseases endued with lesse malignity yet in which the malignity was almost altogether in vitio the same event hath happened as in that epidemical Catarrh which wandred through Europe in Anno 1580. in which scarce one of a thousand troubled with it died yet almost all who were let blood perished and that 's diligently to be observed that in the Cure of Carbuncles bleeding is to be used to fainting that so the boiling blood which is the cause of the Carbuncle may be drawn forth more abundantly But this is only in a simple Carbuncle without malignity in the other it 's not safe it 's controverted whether a veine is to be opened when exanthemata's or spots appear For answer some think it a hainous fault to draw blood then in that the humours are carried at that time from the Center to the Circumference which motion is altogether to be helped but by the opening a veine it 's altogether hindered and the blood drawn from the Circumference to the Centre for emptiness being made in the inward part the blood contained in the external parts doth run into the internal But notwithstanding this with the more sound Physicians this is not regarded but bleeding is prescribed if the spots appear in the beginning of the disease and in those dayes in which venae sectio ought to be performed in case sufficient hath not been drawn before it must be drawn moderately lest it procure danger For those that break forth in the beginning are not critical but symptomatical arising from a notable ebullition and heate of blood and maligne humours putrified and therefore cannot hinder natures motion which is none at that time nay if they appear in plethorick bodies having red and thick Vrine if a veine be not cut nature not being able to overcome so great a quantity of humours oft procures great hurt by their sudden rushings into some internal part and there causing a dangerous inflammation Yet this is cautiously to be performed lest the veines being emptied too much a retraction of the humours may succeed from the external to the internal parts therefore only the great plenitude thereof is to be removed And thus the expulsive motion of nature is helped to the superficies of the body as hath oft been observed in these where ven sect hath been warily performed within few houres after a safe Critical sweat hath followed and in this account although nature might be judged sufficient to overcome its enemy yet it 's
may take ℈ i. or ʒs in the morning and follow your businesse Diascordium It s helpful in pestilential diseases may supply the place of theriaca especially in those which cannot bear the other as in children and breeding women it s a remedy in maligne feavers and is adverse to venome and venemous diseases it sustains the vital faculty strengthens the animal and begets plenty of all spirits it provokes the courses facilitates and speeds labour it stops fluxes strengthens the stomack and procures sleepe therefore good in such feavers where there is want of sleep Dose from ℈ s to ʒ j. Theriaca Londinensis It s cordial resists the plague and is a good preservative in pestilential times resists poison strengthens cold stomacks helps digestion removes crudities Dose ʒij Opium It quiets the unquiet and seditious motion of the spirits procures sleep easeth paine not to be used inwardly without preparation outwardly its profitable in unguents Laudanum opiat It s a gallant anodyne seldome frustrates expectation for it helps without molestation or any trouble of the brain against all paines from whatsoever cause arising against all hemorrhoids or fluxes of blood in what part of the body soever against all defluxions therefore ½ gr excellent in chin-cough against all fluxes of the belly dysenterick hepatick lienterick c. it procures admirably rest in feavers and bridles the impetuosity of the humours its excellens in madnesse melancholy vomiting falling sicknesse hiccough collick weaknesse of the stomack pleurisie all kinde of gout and stone Dose from gr j. to iij. or iiij by degrees I have given six it s to be given the body having been evacuated Mecorium As opium is a distillation from the plant incised so this is the juice thickened by decoction which being well prepared is excellent in the effects in opium described c. Theriac Andromac This being in little use and theriac Lond. as a substirute put in room of it we shall say little only look the vertues of ◠ithridatè Philonium Romanum It cooles in the third degree powerfully induceth stupefaction stirs up deep sleep is very profitable in intense pains in what part soever Shaving of Harts-horne It s cordial resisting venome cheareth the heart dispelleth winde easeth the collick opens obstructions killeth wormes helps the jaundice easeth pains in the reines and bladder drives forth the small pox and measles Sal Prunellae Dissolved in convenient liquors or ordinary beer its excellent in burning putrid feavers especially those called spotted its good in pleurisies with red poppy-water as also in inflammation of the lungs for the stone in the kidneys or bladder given in vulgar ptisan or in pellitary-water with syrup of French mallowes nothing better It helps in obstruction of the liver and meseraicks It extinguisheth thirst is good in inflammations of the mouth and squinance dissolved in gargarismes it easeth paines and cureth scalds or burns dissolved in proper liquour and applied Note it s not to be given in loosnesses Dose from ℈ ij to ℈ iv Tartar vitriolatum It s a most excellent digestive resolveth tartarous humours most effectully hence most profitably given in obstructions of the bowels meseraick veines good in all Feavers especially quartanes and in obstruction of the courses Dose from ℈ s. to ℈ j. Sealed earth It dries bindes resists putrefaction and venome resolves grumous blood comforts the heart and head dilates the blood therefore moveth sweat It s used especially in the plague malign feavers diarrhea dysentery in venemous bitings outwardly in wounds especially maligne as also venemous bites The fourth CLASSIS are Aromatick which with their vertues follow Calamus Aromaticus or sweet garden flag It s especially used in affects of the wombe and pains of the sinewes it provokes urine strengthens the lungs helps bruises resists poison Dose if given inward is ʒs Cloves They have a notable peculiar cordial cephalick and stomacaical quality They profit in fainting tooth-ach crudities of the stomack vertigo they also qualifie maligne and uterine diseases stop loosnesse help digestion provoke lust and quicken the sight Hot and dry in the third For fainting ʒs Of those withʒ j. of cynamon and xv graines of galingal beat and boiled with halfe a pinte of rose-water in B.M. for three houres is excellent Cynamon It opens discusseth moves the courses cheareth the parts refresheth all the spirits and bowels helps concoction used oft in faintings and in cold affects of the head stomack and wombe procures urine speedy delivery resists poison good in defluxions on the lungs dropseys Crocus or Saffron It s proper to the heart and lungs good for the wombe and familiar to the rest of the bowels It opens cleanseth mollifies easeth pain procures sleep expels the courses birth small pox oft used in swooning apoplexies mother jaundice plague and other venemous diseases good in asthma with oile of sweet Almonds Dose to ℈ j. It s used outwardly in collyriums and cataplasmes to ease paine in which it excells Galingal It s proper for the stomack head and wombe incides opens is used in the crudities and inflation of the stomack vertigoes obstructions of the wombe and other affects of the whole body arising from cold and winde its excellent in errhins for the head inwardly Dose ʒs hot and dry in the third Nutmegs and Mace The latter is but the cover of the first The first is proper for the head stomack and wombe discusseth winde helps concoction mends stinking breath recreates the birth helps faintings of the heart lessens and easeth the paine of the spleen admirably stayes fluxes of the belly and vomiting easeth pain of head and joints addes strength to the body is a good masticary in debility and defluxion of the braine Mace hath the same vertue Pepper It s used in coldnesse and crudities of the stomack collick especially white pepper it s used in weaknesse of the sight outwardly it may be used in apophlegmatisms gargarisms neezings It easeth the tooth-ach abates the swelling of the palate and gets it up and is good in cold affects of the sinews Sugar It s use is to sweeten broths and other aliments it profits in the cough and other affects of the lungs is good in the reins and bladder especially the candied hot in the first Ginger It powerfully heats opens incides attenuates helps the stomack to digest expels winde resists putrefaction and malignity cleares the sight heats the joynts and therefore profitable in the gout The fifth CLASSIS are waters and juices which are as followeth Some of these are simple distilled from some particular herb others are compound the former of these it would be uselesse to set down their vertues being they will be writ in the Classis which is of herbes The simple are these The waters of sorrel borage and buglosse marigold-flowers balme plantain roses angelica carduus benedictus red poppies and purslaine The Compound with their vertues follow Anise-seed-water It s good for those troubled with winde and for a cold
all paines of the joynts french pox iliack passion is good in cramps hardnesse and tumours but above all for pains if mixed with some proper chymical oyle Vnguent Ebulorum It s excellent in all dropsey tumours for if with it the belly and other parts be anointed it resolves the winde and removes the tumour It s excellent in paines of the joynts and gout arising either from a hot or cold cause Take the juice of the roots of Danewort â„¥ ij boile it with â„¥ viij of oyle of chamomel to the consumption of the juice and with waxe make an ointment when you anoint mixe with some a little vineger or wine Vnguent pro Scabie It kills the itch removes the scabs and pustles whether from melancholy or salt phlegme Take turpentine wash't in rose-water butter wash't in plantane-water each â„¥ ij oyle of roses â„¥ j. juice of soure limons â„¥ ij two yolks of eggs and quick-silver Ê’s stir them together and make an ointment Vnguent Potabile It s excellent to consolidate the inward bowels and so profitable in falls from on high and therefore very precious Take new butter without salt lb iij. madder castory sperma ceti tormentil each â„¥ j. boil them in sufficient quantity of wine till the wine be wasted and make an ointment The Fourteenth CLASSIS FAT 's Of Geese It s more hot then hogs grease therefore penetrates and resolves more It s good being cast into the fundament to hinder erosions it removes alopecia heals chaps in the lips cures sounding in the eares the cramp and roughnesse of the nerves it looseneth the belly of Infants especially put on the navil or applied to the belly Of Beefe It s good in gnawing of the guts and tenesmus helpful in the gout and schirrous affâ—cts and helps chaps in the lips Of Capons and Hens The first is more excellent they have a heating humecting mollifying and easing quality is fit in paines of the eares chaps of the lips and pustles of the eye-lids as also for paines Of Deere It s good in tumours mollifies helps wounds easeth paine and is good for chilblanes and sore paps mix't with oyle of St. Johnswort Goats It discusseth most strongly helps the gout especially if mixed with saffron and put to the navil removes the strangury Mans. It strengthens discusseth easeth pain removes contractions smooths cicatrices and scars after pox and is good for those limbs that fall away Pork It lenifies easeth pain is of common use to put in cataplasmes makes ointments it is good against burns Bears It stayes the falling of the haire it heats resolves mollifies and discusseth is good in gouts parotis and other tumours and heals ulcers of the feet being mixed with bulls grease and wax in equal parts to make a plaister The fifteenth CLASSIS PLAISTERS Empl. Apostolicum It heats resolves cleanseth comforts and consolidates broken bones Empl. Basilicum It s excellent in all wounds specially of the head and nervous parts it s this Take betony plaister â„¥ iij. gum elemni dissolved in oyle of râ—ses â„¥ j. powder of roses and myrtles each â„¥ j. mastick calamus aromaticus roots of angelica and avens of each â„¥ is with sufficient oyle of roses and a little wax make a plaister Empl. Betonic It s excellent in fractures of the scull after it covers the bones with flesh drawes forth ossicles as also filth from the bottome of deep ulcers restores flesh lost vehemently cleanseth and the bafilic is more powerful Emplast Diapalma It induceth a cicatrice resolves and together repercusseth profitable in contusion in the first dayes being dissolved in white-wine as also in burnes if dissolved in oyle of roses and so heals chilblanes its good in paines and heat of the back caused from the stone or gonorrhea It s a good defensative against venemous humours very proper in pestilential sores after broken its good in ruptures and fractures That set down by Hildanus is more excellent which is this Take new hogs grease â„¥ xii oyle of roses the most fragrant and red lead each â„¥ xx chalcitis burnt but not to rednesse burnt allum eachÊ’ ij Deere sewet Ê’ iiij mastick and olibanum finely powdered eachÊ’ ij make a plaister according to Art and stirre it with spatula of palme well new got and juicie Empl. Melilot Simp. It s excellent in green wounds it brings forth a cold tumor is most excellent in kibe-heels and chilblanes and mixed with gum elemni and ol hyperic is a gallant balsom both in incised and intused wounds Empl. Melilot Comp. It heats humects mollifies resolves tough humours removes pain is profitable in pleurifies mollifies all hardnesses of the stomack liver spleen bowels and other parts excellent in windes of the sides and is good in the rickets Empl. Mucilage It ripens swellings and breaks them cleansing them when broken it heats humects and resolves tough and thick humours Oxycroceum It asswageth pain in the gout from cold causes as also from all other cold aches it drawes forth vapours by the pores of the skin and so unloadeth the part of vitious humours it dissipates cold swellings is not good in fractures unlesse at the very latter end to comfort the part Empl. â—igâ—â— oxyeâ—â—â— Hildanus highly approves this and far before the other as having experienced it in fractures and dislocations the symptomes being removed it resolves mollifies and discusseth hardnesses smootheth scars He adviseth at the first in fractures to apply the following Take the roots of comfry of tormental of bistort each â„¥ s. white bole â„¥ j. pomegranate flowers Ê’ j. cypresse nuts galls red roses eachÊ’ ij make of them all a very fine powder with which mixe â„¥ vj of barley meal of which powder take as much as is needful for the broken member and make a cataplasme in a mortar or other vessel with posca one egge save the shell and a little oyle of roses renew it every third or fourth day till the symptomes be removed and not to be feared then apply either Vigoe empl or the following Take emplast diapalm Hild. â„¥ vj. new wax â„¥ ij colophon and gum elem each â„¥ j. dissolve them at a most gentle fire after strew in the following powders of comfry root pomegranate flowers cypresse nuts roses a. Ê’ j. mastic olibanum anÊ’ij mixe them together adding sufficient of oyle of roses to make a cerate in adults and lean adde to â„¥ s. of the plaister asteocolla p. p. Ê’ j. as also every day three houres before meat take of the same in broth Paracelsus It easeth paine strengtheneth members good in all wounds is cautiously applied and is helpful in all cold aches and ulcers Empl. Diachylon Sim. comp cum gum The first mollifies hardnâ—sse of the liver schirrus of the spleen stomack and other parts yea mollifies strumaes is excellent in sore breasts and nipples The second is more effectual ripens apostemes mollifies hardnesse resolves digests cleanseth sanies cures phlegmons and generates flesh The third is most forceable to
belly and an extension of the Hypochondriacal parts although outwardly they appear extenuated Cough difficulty of breathing with other faults of the lungs They are averse from lying on either side Those that belong to the vital influx are the veines and arteries are more slender then ordinary in the first affected part the pulse small and weak a moderate ligature cast about the elbow or knee doth not so soon swell and colour the part beneath and above it with blood as in sound children of the same age their appetite is moderate or unduly weak I have known it very much yet no Feaver present they are usually averse to sweet things they sometimes weigh heavier then other children of the same age and stature The next are signes of the differences of the Rickets The differences are taken 1. from the essence of the disease 2. causes and 3. conjoyn'd diseases These receive subdivisions Under the first is the secondary essence the magnitude and vehemency of the disease with the spirits and times the magnitude is the mildnesse or fiercenesse of it Under the vehemency is the slownesse and quicknesse of its motion For the times they are generally foure beginning increase state and declination in all which consider first the beginning is when it appeares to our understanding Secondly the increase and declination in long diseases may be subdivided as the increase may extend beyond the consistence if the progresse be to death and the declination is either legitimate i. e. when the sicknesse declines to health or spurious i. e. when the disease remitting falls into another kinde The last are taken from the spirits or strength of the childe for if the disease fall in upon a childe lesse strong it must needs be more dangerous then if on one strong The differences as to the causes are various as either it 's a natural affect or newly contracted The first is twofold viz. either properly i. e. when the sick is born actually affected with the disease or improperly i. e. when he is strongly disposed by his native principles to fall into it this difference is of more use to prevent then to cure The disease may be said to be newly contracted when not fomented by a naturall disposition and this is also twofold either succeeding some foregoing disease or it 's immediately produc'd by an erroneous use of the six non-naturals The difference by reason of other diseases conjoyned those most usually are Dropsy of the head faults of breeding teeth Asthma Phthisick Hectick a slow and erratick Feaver and the Ascites i. e. that Dropsy when water is got betwixt the flesh and skin these have a certaine dependence upon this disease and the causes of it those that have little or none at all are a Maligne Feaver French Pox Scurvy and strumaâ—s The first sort of diseases may happen to children although the Rickets have not preceded yea they may be the cause to introduce it to deliver in signes answerable to these differences would be needlesse those belonging to the three first may be seen in the diagnosticks the fourth in the prognosticks Indeed those that belong to the times may be a little more considered especially those that pertain to the beginning that so its first rise may be known those that discover it new begun are those signes that are ascribed to the Animal action Also those that next adjoyne as the knots of the wrests greatnesse of the belly c. and these taken together do certainly discover the presence of the disease from the beginning These signes more intense with the extenuation of the parts denote the increase In the state they are more outragious c. as for those signes appertaining to the causes if it be a natural disease improperly so call'd there 's a weak and sickly constitution 2. diseases of one or both Parents as cold and moist distemper ill habit cachexy dropsy atrophy c. 2. Sloathfulnesse effeminacy idle life of the Parents 3. Errors of the mother during her being with childe 4. Debility of the new-born infant if it be not from hard labour with many others For signes of the disease newly and totally contracted after birth they are contrary to these as for the signes belonging to the severall conjoyned diseases they may be seen in their several cures elsewhere handled The essences of the disease consist in a cold and moist distemper want of inherent spirits their astonishment the softnesse loosenesse c. of the Tone of the parts the unequal distribution of the vital spirits unequal nutrition of the parts and imperfect distribution of the animal spirits these are essentials Causes Causes are either such as on the Parents part may produce it or those which happen to children after birth The causes on the parents parts are either such as relate to the generation of the seed whereof the Embryo consisteth Others have reference to the Embryo now conceived and yet in the womb The faults of the generation of the seed proceed either from the man or woman or from the whole body or parts only dedicated to generation That which depends on the whole body hath the strongest influence into the childe The fault of the seed is from a cold and moist distemper of the matter whereof the seed is generated which falls out in parents of a cold and moist constitution occasioned from ill juice a cachexia dropsey green sicknesse unsubdued before conception as also such effects as pollute the blood as scurvy French-pox and jaundice 2. The penury of natural spirits occasioned by extenuation of the bodies from vehement evacuations chronical diseases wasting the strength not repair'd before coition imperfect concoction of the last aliment c. 3. The stupour of the matter transmitted to the parts of generation as in soft and effeminate constitutions over-moist and full diet delicacy of life immoderate sleeping c. 4. Such parents as were subject to it themselves in childhood These are faults depending from the whole body Those that peculiarly reside in the Genital parts are their to much coldnesse somtimes moistnesse whence they cast forth either an unfruitful seed or propensity too this disease as is in those troubled with a waterish gonnorrhea red and white fluxes in women the application of too cold medicines as Narcoticks especially if oft used Thus much for the principal causes before conception Now for the faults of the mother while the Embryo is in the womb As 1. A cold and moist distemper of the womb 2. All those things which hasten crude and impure juices to the Embryo as naughty dyet which heap up crudities imperfection of the first and second concoction moist and cold-diseases 3. All those wayes which defraud the Embryo of due aliment as excessive evacuations especially of blood sucking children too long after conception 4. Excessive sleepinesse of women with Childe sloathfulnesse ease vehement labour Hence note moderate labour watching and exercise which offer no violence to the womb are