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A80404 Supplementum chirurgiæ or The supplement to the marrow of chyrurgerie. Wherein is contained fevers, simple and componnd [sic], 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. Cooke, James, 1614-1694.; Cooke, James, 1614-1694. Mellificium chirurgiæ. 1655 (1655) Wing C6017; Thomason E1516_1; ESTC R208558 134,119 445

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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
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
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 struma●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
habit of the body Signes Signes are either such as are general or particular belonging to its differences the first heat without pain because now there 's an alteration of the solid parts at the beginning its weak for the vapors are few after more biteing because in the solid parts greater in the arteries being communicated from the heart more an houre or two after meat without horror or trembling with the pulse great and swift which ceaseth the meat being distributed the heat drieth the radical moisture wasteth the humors and consumeth all the fat in the body it 's double first sine Tabe Differ when the dewy moisture of the parts is not yet wasted when it begins it 's difficultly knowne in the progresse there are signes of a diary the heat increaseth the third day after meat others cum Tabe and that 's double one called Marasmodes when the dewy moisture is wasted and the fleshy substance vanisheth then the body waxeth lean the temples-fall the palmes of the hands and soales of the feet are hot the excrements of the belly and urin fatty If there be as bran in the urin the bladder not affected tumor of the legs flux of the belly death is threatened The other is when the fibrous and membranous substance is violated hence follows Marasmus which sometimes falls out preternaturally in young and old sometimes arising from defect of aliment extinction of the heat either because of age or a schyrrhous tumor II. Some are simple others are complicate either cum putrida intermittente and then the greater part of the heat remaineth in fieri lesse passeth in factum and then in the end of the fit the place of the arteries are hot the rest of the parts temperate pulse quick meat strengthens not or cum putrida continua and then it 's difficultly knowne there remaines a dry hotnesse after the end of the declination or whole feaver the body is more extenuated the urin is fatty and oily Of these and their degrees vide Medul Chirurg Causes Causes thereof are either other feavers as burning and long feavers or diseases of the inward bowels especially the heart and parts of the breast kidneys stomack midriffe or external evident causes which waste the substance of the solid parts c. Progn Progn The first degree is easily cured the third incurable the second betwixt both the hectick most oft assaults from 28. to 35. yeares for in that time heat is more intense and more easily drawes on wasting that which breakes out before this age or a little after more easily invades and is sometimes cured or the life may be continued a long time by palliating means especially in women Cure Cure If it have its original from another disease that 's to be removed before it can be cured if complicated with a putrid feaver the putrid is to be removed by bleeding and purging as also medicaments opening and hindering putrifaction in the interim the hectick is not to be neglected If it be simple then first use coolers and moistners inwardly as Flor. violur borrug buglossae sem quatuor frig lac perlarum corallorum and others very gentle lest the weak heat be overthrown as ℞ aq endiv. lactucae acetos ana ℥ iiij syr viol nymph pomor ana ℥ j. Misc f. julep pro tribus dos bis in die sumendis per plures dies continuandis or ℞ hord integr p. j. f. endiv. cichor lactuc. pimpinel ana Mj. flor borrag buglos viol nymphaeae ana p. j. prunor Damasc par iiij coq ad lb js in colat dissol syr de cichor simpl de nymph an ℥ ij f. Julep pro quatuor dosibus of the same Simples make broth thus ℞ rad Chinaeʒ j s. hord integr P. ij quatuor sem frigid major ℥ s. contunde iisque impleatur venter capi aut pulli junioris fiat juscul cui add sacch ros ʒ s. cap. per longum tempus it strengthens and feeds ℞ Amygdal excortic in aq frigid infus ℥ j. sem quatuor frig maj papav alb a. ʒ j. contund in mortar marmor sensim affund aq hord lb j. in colat dissol manus Christi perlat ℥ iiij f. emuls pro tribus dosibus if you would cool more adde to every dose of Julep and Emulsion Sal. prunel ℈ ij velʒ j. observe it 's more profitable to cure by degrees then too suddenly and moisteners are alwayes more safe then coolers because they exercise their power more gently and slowly Secondly purging if necessary are Cassia Manna vel syr ros these onely cast out yet if crudities stuffe the first region which may be produced from the weaknesse of the stomack then use an infus ex Rhabarb cum decoct Prunor Tamarind Myrob Bugloss Viol. if there be not great weaknesse if putrifaction be joyned those purgers that draw may be used Thirdly diet this in all Chronical diseases is of chiefe use here and more then medicam therefore there 's special care to be taken that it be cooling and moisten as the milk of women asses cowes unlesse a putrid fever be present also broths of chickens cocks capons veal kid mutton yolks of eggs with barley lettice purslaine c. also their flesh with phesant partridge young hare panadoes hordeates oatmeal-candles rice-pottage especially if there be a flux adde sugar and a few almonds or rather the cold-seeds Boyled meat is better then roast if the latter be desired then roast it lesse and temper it with the juice of limons oranges c. for fish use those that are taken in gravelly places Vide medul Chirur. For fruit apples coole the blood pears prunes stewed or currants thus prepared ℞ passul mund lb. j. temperentur in aq endiv. bugl rosar abluantur diligentissimè ut vis laxandi amoveatur posteà in iisdem aq decoq. leviter add paulul sacch ad perfectionem cum quo serventur usui iísque utatur aeger mane post singulos pastus They nourish the body without heating but because the hectick heat is fixed in the solid parts therefore those aliments which are solid and viscous are fit to be used to dissipate it as the legs and feet of animals flesh of snailes crabs tortoises and frogs by these the parts are easily agglutinated and the drinesse of the solid parts removed they being not easily wasted with the feaverish heat but these are onely to be exhibited in the beginning whil'st there remaines strength in the concoctive faculty but in the confirmation not but rather those of more easie concoction unlesse they be fitly prepared i. e. boyled to consumption or prepared by contusion especially testudines terrestres not onely in a simple Hectick but also cum Tabe They are divers wayes prepared either boyled in water till they bee dissolved and cast away the shells and after boyled again in aq cichorii acetos borag hordei prunor if a hectick be simple but if cum Tabe then cum fol. rubi
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
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
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 for●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 ℞ rad buglos ℥ ij herb 4. emol mercurial betae an Mi. prunor dulc par 5. 4. semi frig major anisi an ʒ ij epithy ʒ iij. coq ad lb j s. in colat dissol catholici ℥ j. ol viol cham an ℥ js sacch rub ℥ j. f. clyst injiciendus pridiè sequentis potionis horá commodâ ℞ sen mund ℥ s. scm anisiʒ j. flor borag fumar an Mi. liquir ʒ iij. coq ad ℥ iij. in colat dissol mannae syr ros an ℥ 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 ℞ asparag brusci cichorii buglos macerat in vino alb an ℥ j. cortic tamarisc ℥ s. fol. borrag buglos ceterach capill Veneris fumariae chamaed chamaepit an M. j. liquirit ℥ j. flor trium cordial an p. 1. coq ad lb j. s. in colat dissol syr Byzant capil Veneris an ℥ 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 ℞ rad 5. a periti in vino alb maceratarum an ℥ j. rad enul camp gentian aristoloch asari an ℥ s. fol. chamaedrys agrimon lupul. borag ceterach absinth centau minor an M. j liquir ras passul mund an ℥ j.
a threefold consideration especially First when healthful windes do not blow this is evident for if the aire be not difflated and moved with the winde it easily corrupts Secondly when it 's defiled with polluted putrid and stinking vapours and this is most powerful and most frequent those vapours arise from Marshes Lakes Pooles Bogs Fish-ponds or other watery places which are standing or stuffed with filthy matter or waters wherein is steep'd lime hemp or from stinking Sinkes Dunghils and narrow lanes that stink or from dead carcases unburied Or from caves and dens in which the aire hath been very long shut up le ts out a stinking putridness by Earth-quakes or by other accident Thirdly as the aire exceeds in its first quality or it be in a preposterous condition so it afflicts men this happens various wayes but especially when it exceeds too much in hotness moistnesse being the principle of corruption hence the South-winde continuing long hath beene a speciall cause of all pestilential Fevers if it exceed in drinesse it 's lesse hurtful yet an enemy to our nature therefore if it extraordinarily exceed it procures the like affect with the other especially if therewithal be joyned excessive hotnesse by this also is fruit corrupted If it exceed in coldnesse it procures pestilent Fevers by stopping the pores whence is procured greater putrefaction and more grievous venosity and hence these Fevers are more dangerous then in Summer because then the passages are more open through which that which is putrid easily exhales and preternatural afflux from the naturall is fitly breathed out The inequalities of the times are wont to be the cause of these Fevers viz. when it 's one while hot then cold now dry then moist succeeding one another oft interchanging and continuing long as when after long heat comes extreme cold suddenly or when after long raine extreme drynesse followeth so contrary or when the aire is preposterous as hot in winter and cold in summer for hence is procured great confusion of humours thence acquiring an ill condition fit to produce maligne Fevers especially in those bodies which before by reason of ill diet are plethorick cacochymick or have notable obstructions To these causes may be added the aire altered by the afflux of ill Planets as the ☌ of ♄ ♃ and ♂ in which are humane signes especially ♂ being Lord and by these diseases are procured from no other cause then by the change of the aire Now this change is either from a manifest quality i. e. when from their influence the aire is changed or from an occultnesse when from the hidden force of the starres without notable excesse in the first qualities The first is undubitable and consented to by al Philosophers that these inferiours are governed by the superiour constellations for as the alteration of the aire which happens quarterly ariseth from the annual motion of the Sunne so the great diversity of years one being very moist another very dry when as the Sunne holds the same course in the Zodiack every year it could not be unlesse it depended upon the various Aspects of the Stars though the other not so easily beleeved is proved by Astrologers To these may be added Eclipses Meteors especially Comets which seldome ever appear but epidemical and pestilent diseases and various mutations follow in the world as may appear by the effects of that which appeared November 17. 1610. to the truth of which all Europe may give an experimentall testimony The next cause is Aliment when by reason of a certaine ill diet morjapparatus is drawn on which is the cause sine qua non and the efficient internal of all maligne and pestilent Fevers for from ill and corrupt nourishment pestilential diseases arise especially if it happen from the foresaid constitutions of the aire Famine is another cause according to the proverb A Plague followes a Famine for then the poorer sort filling themselves with ill aliment thence followes an ill habit and especially if after penury comes suddenly plenty for then they too suddenly gorging themselves with much meat which cannot by reason of the weak heat of the parts be rightly concocted whence a maligne putridnesse is acquired Again when Aliments good in themselves acquire a putrid ill quality such as Wheat Barley when either too long kept or put into ill and noysome places so also flesh or when it dies of it self For drink these may cause viz. putrid and corrupt wine and water of corrupt and putrid and stinking Lakes also other corrupted liquor The last is the non-natural as excretion and retention motion and rest sleeping and waking and the passions of the minde and these may be looked upon onely as adjuvant causes disposing the body to receive maligne putrefaction First the retention of the Menses in women other accustomed evacuations in men as the Hemorrhoids Hemorrhagiae and Fluxes of the belly which in some happen by intervals if they fall out in Epidemical constitutions they usually produce maligne diseases for that which should be cast out as superfluous and burdensome to nature being retained easily beget putrefaction So too great evacuations either of blood or other humours much weakens the body diminisheth the native heat which receives more easily the pollution of the ill and pestilent aire Too much idlenesse and too much exercise also affects the first for want of free ventilation which causeth putrefaction the other opening the pores and dissolving the heat makes a more easie way to receive the seed of contagion Too much sleep heap up many excrements and fills the body with humidities which most easily putrefie But too much watching generates crudities more then the native heat is able to regulate whence many obstructions are caused and so transpiration is hindered which generate putrefaction Passions of the minde as vehemently to move the body and disturbe the humours greatly hasten on this evill especially fear and sorrow which calls the vital spirits inward whence the strength of the heart being much broken is lesse able to resist danger yea and the commotion of the humours in the veines and their vehement disturbance dejects the natural constitution and begets maligne putrefaction However it 's thought the Plague in armies is more raging not so much from the ill diet as the apprehension of the danger of death Prognosticks are uncertaine therfore no event to be assured till there be manifest conquest either of the disease or nature Prognos which is discernable either at the end of the state or the beginning of the declination therefore in the beginning and encrease judgement is to be suspended if the Pulse keeps equal and in order in these Fevers although the Fever appears great there is alwayes good hope but contrary if inordinate unequal and contracted dangerous especially if it hath appeared weak from the beginning yet these differences of Pulses are not so pernicious in maligne as in common Fevers for although the Pulse intermitting in young is deadly
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 m●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 contempl●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
pure is separated from the impure the impure by a cer●ain crisis is thrust out and the heat communicated to the heart kindles a Feaver This is to be obser●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 Ex●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 ℥ ij and carduus-water ℥ 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 ℞ oil of sweet almonds and white lilies each ℥ i. capons grease ʒ 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 ℞ leaves of po●●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 ℞ burnt lead ℥ ii litharge ℥ i. white lead wash t and vineger each ℥ s. oyle of roses ℥ iii. honey of roses ℥ i. three yolkes of egges myrrh ℥ 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 ℞ the roots of five leafe and tormentil each ℥ i. leaves of pimpernel and scordium each M i. yellow sanders and shaving of ivory eachʒ ii boile them in water to ℥ xii in ℥ iii. of the straining dissolve aq naphae and of roses each ℥ 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 ʒ i. to ʒ ii in infusion from ʒ 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
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 Tu●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 foun● 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 ℥ ij p 275 l 10 r plantain water p 286 l 22 for these r this l 23 r ℥ sp 334 l 10 r. ℥ iv p. 337 l 21 r scrophula's p 340 l 12 r ℥ ij p 344 l 10 after kills put wormes p 349 l 19 r cleanscth p 400 l 5 for ℥ s. r. ℥ 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 inflāmation 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
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 cal●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 Qua●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
or if there be some inflammation aq Hord. aut aq panata cum syr granator Limon acido citri julep ros c. sleep out of the fit is good in the fit hurtfull Those things which stir up anger sorrow and the like are to be especially shunned In the fit cooling bellows and odoriferous irrorations suppress the resolving of the spirits the face is to be sprinkled with cold water or of Roses with Vineger The same may be applied to the testicles in men and paps of women if the spirits with the heat are not called from the heart to the habit it 's to be done by frictions of the extreme parts plucking oft both of nose and haire and calling them by their proper names Give bread steeped in the juice of pomegranates or thin odoriferous wine well diluted cum aq ros or in great necessitie may be given Cynamon-water with rose-water In the interim strengthning broths are not to be omitted with which mixe confect Alkerm c. or oft a spoonful of this ℞ aq ros ℥ ij aq Naphae ℥ j. aq cinam ℥ s. confect Alker ʒ j. margar coral pp. an ℈ j. Manus Christi perlat ʒvj misc f. pot To these may be call'd in the opiats and condita in the former chap. the crumbs of hot bread dipt in vineger and rose-water and held to the nose is good Apply to the heart cooling and cordial epithems to stop the pores and hinder dissolution lap the sick in linnen strewed cum pul ros balaust santalor or linnen wet in aq ros modico aceto Anoint the whole body especially the back with this ℞ ol ros omphac ℥ j s. ol my rtillor cydonior mucilag sem Psyllian ʒ vj gum Arab. dissoluti in aq ros ʒ ij cerae alb q. s. f. liniment Have special care of the stomack in which the hurtfull humour is heaped up anointing the Region thereof cum ol ros Cydon Also apply toasted bread moistened in juice of Quinces and Pomegranates and if great heat necessitate foment it with a warme decoction of Purslaine and Roses or Succ. Solani portulac uvae acerbae adjecto ol ros Cydoniorum Thus swooning being removed and strength refreshed the cause of the Fever is to be taken away by altering and evacuating both set down in the former Chapter in a burning Fever whither we refer you and come to the other called Syncopalis Humorosa and this being from another cause hath a contrary cure to the former The aire ought to be enclining to heat bright pure and dry Meat to be of good juice and easie of concoction prepared with Hysop Fenell c. Drink is to be thin wine oligophorum sleep and watching moderate Friction with rough clothes is to be used from the beginning first on the feet and thighs after the armes shoulders and back the cloaths being first fumed Styrac lign aloes Thur. Caryophyl c. These also abundantly heat the joints which with the rest are to be anointed cum ol Anethi Chamom Irino Costin c. These frictions are excellent for by them the heat of the spirits and the hurtfull matter suffocating the strength are called outwards In the fit the sick is to be stirred up by pulling the nose and haire rubbing the eares also the lips with salt and loud calls to the nose also is to be held aq Cinam vel stor aurantior The infusion of Cloves in Vineger and bread steeped in Hypocras which also may be exhibited or Cynamon-water or else some of this ℞ aq Melissae flor aurantior rorismar an ℥ j. aq Cynam ℥ s. confec Alker ʒ j. Syr. Condit cortic citri Caryophyl an ℥ j. Misce f. pot detur ex cochleari frequenter or this opiat ℞ confec flor buglos anthos cortic citri cond an ℥ s. Nuc. Moschat condit ʒ iij. confec Alker ʒ ij Spec. diambrae diamosc dul an ℈ j. cum Syr. Condit citri f. opiat Apply to the heart Epithems and Pidgeons to the stomach and testicles in men and paps in women also fomentations and others set down in virium imbecillitate whilest this is doing frictions are to be reiterated and never omitted in this affect Strength being a little regained the morbifick matter is to be drawn forth by Glisters and Purgings in which Hier. cum agaric much profits the purging is to be gentle and oft with casting in fit preparatives Want of appetite is almost common to all Fevers for when the stomach is affected with a hot distemper it procures thirst and decreaseth hunger yea sometimes the appetite is so dejected that the sick can scarcely take broth which is caused from vitious humours collected in the stomach or drunk up in the coates thereof or else from corrupt and maligne vapours assaulting it For cure the Morbifick matter is to be evacuated by vomit or stoole even from the beginning with an infusion of Tamarinds and Rhubarb but in declinatio if the Fever be not strong cum Hier. picr. in decoct Hord. cicerum absinth and in other cleansers dissolved After these use purging Glisters which call back from the stomach Exhibit oft things sharp and coole as Syr. Limon granator ceras acid c. given either of themselves or with cooling waters In declinatio feb may be given Syr. de absinth pontic alone or with sharp Syrups or juices mixed Offer to the sick meats very gratefull and not much at once but by intervals for too much spoiles appetite They are to be seasoned if a cough be absent with Olives aceto ros Succ. Limon If the sick abhor meat and can eat nothing cast in nourishing Glisters once or twice a day first casting in cleansing Glisters If after the Fever is quite gone there remaine this affect the sick is moderately to exercise use Capers and Olives and change the place going to a colder aire If this suffice not use Worm-wood wine pil de Hier. or Tinctur Hier. in vini alb Cochlear 3. singul mane Hiccough and Vomiting following Fevers are opposed by various medicaments the matter of which is set down in their cures to which we referre you ☜ only observe that you stay not vomiting upon a criticall day Hiccoughs are oft deadly though sometimes those caused from the exhibiting of cooling juleps have been cured by wine An Empl. ex Mithrid to the stomach is excellent Flux of the belly following a Fever if Critical is not to be stayed neither presently at the beginning though Symptomaticall unlesse strength be very much decayed lest the vicious humours run to the principal parts When it 's to be staied it 's to be done with gentle purgers together with glisters binding deterging strengthening Also exhibit incrassers binders and strengtheners all which may be taken from the Cure of Diarrhaea beginning at the more gentle and make progresse if there be necessity to the more strong by degrees Sweat if criticall is not to be stayed but if Symptomatical
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
senn mund ℥ js Epithy ℥ j. Agar troch rec ʒ iij. zz caryophyl an ʒ j. coq adʒ j. in colat dissol syr de cichorie compos cum rheo ℥ v. Troch de capparibus sal absinth tamarisci an ʒ j. f. Apoz pro 5. dos matutinis This disease obstinately persevering it 's necessary a vicissitude of preparing and purging should be used to remove the cause thereof Vnica enim ferè haec causa est cur multi quartanarii incurati maneant Many through impatience more through niggardlinesse seeing a few medicaments remove not the disease are ready to cast off all but these are requited with the disadvantage Usual purgings are to be used and oft reiterated as magistral syrups or pil usuales A magistral syr may be composed of the matter of the Apozema with a treble quantity of purgers For pills usually used in the obstruction of the liver as ℞ aloes optim succ absinth diligent nutrit ℥ s. Turbith gum ʒ ij diacryd ʒ j. gum Amoniac in aceto soluti trajectiʒ ij Mrrrh. electae in vino calente solut trajectae ʒ ij agaric troch rec ʒ j. Sal. absinth Tamaris an ʒ ij croci ℈ s. cum oxymel s fiat Mass pil de qua capiat ʒ s. vel ℈ ij bis in septimana If the sick be of a more hot temper use pil Riverii in melancholia hypochondria adding to the dose of spec ℈ s. and sal absinth Tamaris an ʒ s. putting in stead of troch de lacca extract croci ℈ j. and use them as before Here also pil tartarea Quercet at the first is good After extract helleb nigr Then pil de sagapeno This is familiar easily prepared and very profitable ℞ decocti ab sinth ℥ iij. in quibus senn ʒ ij infus fuerint sumendo per intervalla These purging medicaments are to be given the day before the fit because the sick then is more strong though some contend to have them given before the fit foure houres because by the fit the matter is stirred and rendered more easie to be expelled this is dangerous unlesse in very strong bodies and concoction appear because the motion of the fit and purging are contrary 2. Vomit in the beginning of the fit is commended because nature at that time is more disposed to that evacuation and this may be repeated remembring before the next fit following there be exhibited Theriac Androm ʒ j. in vino resoluta You have the matter of the vomits in a tertian yet in this asariʒ j. in powder exhibited in vin alb is to take the first place this may be three or foure times repeated In the time of purging between glisters are frequently to be cast in that nature may be accustomed to expel the hurtful humours and that some of the diseased matter contained in the intestines may be drawn out by degrees If the disease be long and obstinate abstain from remedies for a moneth or thereabout that nature may recollect it self and indeavour the concoction of the humour but after return again to prepare and purging ☞ observing that in long diseases the same forme of remedies are not alwayes to be used lest nature be thereto accustomed the sick grow weary of them Various formes of purgers are formerly mentioned for openers besides the foresaid Juleps and Apoz the following may be used in the progresse of the disease when signes of concoction begin to appear ℞ vin alb lb iij. rad enule camp ℥ ij cortic rad cappar ℥ s. summit absinth vulg sicc ℥ j. infund per triduum in B. M. serventur omnia simul ut hujus vini cap. aeger ℥ ij vel iij singul diebus manè horis duabus ante pastum The following pills either of themselves or together with the foresaid wine may be used ℞ rad Gentian ʒ ij Aristoloch rotund ʒ j. Artemis ʒ j. bryoniae sicc ʒ iij. myrrh croci an ʒ j. rad asariʒ ij aloes ℥ j. cum oxymel scill f. Mas pil de qua cap. ʒ j. singulis diebus per se vel paulò ante assumptionem vini praedicti To these sppills may be added chalybs pp. and then the sick after the taking of them is to walk Steel is very profitable for it dissolves obstructions and casts out the humours which foment the fits If you would open and strengthen together use this ℞ conser rad enul camp conser flor absinth capil Veneris an ℥ j. cortic citri condit ℥ s. confect Alker ʒ iij. Myrobal condit Nii spec diarrhod Abbat ʒ ij sal absinth Tamarisc an ʒ j. croci ℈ ij cum syr condit citri fiat opiat de qua capiat magnitud castaneae sing diebus manè duabus hor. ante pr●ndium or if in the morning the sick take other remedies it may be taken two houres before supper Extract chamaedryos cum sale Tamarisci permixtum in form pilularum is excellent To these are added diaphoreticks which in the declining of the disease serve excellently to discusse the rest of the diseased matter signes of concoction appearing Besides they correct the distemper contracted by long diseases mend the ill habit of the body and strengthen the stomach liver and other bowels weakened by the length of the disease Of these Theriac hath the precedency exhibited either as before or in decoct chamaedryos if that be too hot cum decoct Agrimon succ vel aq plantag It 's to be reiterated for many fits It may also be given out of the fit in a morning for divers dayes but a little before is better for it hinders the increase of the cold and profitably discusseth the humours which are the cause of the Fever beginning now to be warme and by this either the fit is lessened or if the matter be but small ☞ altogether removed Yet that is to be done with very great caution lest the Theriac or other hot medicaments being exhihited before the matter is concocted for so they scatter the putrid humours and increase the Fever so that oft of a simple Quartane a double or treble yea a continual is generated Therefore give them not before signes of concoction appear Antimon diaphoretic sal Armeniac de purati gr vi vel x. in aq Cichorii ante paroxysmum is good Others commend china sarsap of which they make a first and second decoction exhibiting of them for twenty dayes and thereby cure contumacious Fevers These will be the more efficacious if with them be mixed some purgers Beside these are appropriate medicaments to be given towards the declination as ℞ fol. plantag rec M. 1. acetos rec Ms. aceti Theriac an quartar ji distillentur hujus aq cap. aeger ℥ iij. dimidiâ horâ ante paroxysmum Or ℞ sacc candi ʒ iij zzʒ ij camph. ʒ j. f. pul detur ʒ j. cum aq calida Saffron in powder to ℈ s given in white wine before the fit doth much diminish the Quartane also the seeds of wilde
Abstaine from all things that may ferment the melancholy humour as aliments that are thick and tough and are hard to be concocted as pork venison hare c. The Drink is to be pure white-wine or claret vel decoct sarsapar vel aq Hord. chalyb. The quantity of the aliment is to be but little that so strength may be preserved for too much generates abundance of crudities and so lengthens the disease Be very sparing in drinking for nothing renders the Fever so contumacious as too abundant drinking for it fills and distends the Spleene In the day of the fit eate not at all unlesse it be sixe hours before the fit long sleep humects and therefore profitable yet shun it in the beginning of the fit Gentle exercise before meat in the intermitting dayes is good or instead thereof rubbings the belly being first freed from excrements Those called periculosae are most hardly cured Allum the quantity of half an egge with half a nutmeg and some sugar made into a powder and given in some posset-drink at the beginning of the fit hath cured many when many more valued medicaments have been succeslesse CHAP. VI. De Febribus com ositis Semitertiana COmpound Fevers are when Fevers are joyned with Fevers They are joyned variously for sometimes a non-putrid as a Hectick is joyned with a putrid Sometimes a putrid with a putrid and these either a continual with a continual which is scarce observed or an intermitting with an intermitting vel vice versa Intermittings with continuals have a double manner of complicating an intermitting tertian with a continual quotidian or a quotidian intermitting with a continual Tertian and these are called Semitertianae though the first more properly These may be divided variously Some are confusae when two Fevers begin and end at the same time so as they are scarcely discernable which is from various humours putrified and confused in one place or implicitae when they may be severally known others Subintrantes when another fit begins before one ends other Coalternae when one fit ending another begins shortly after other Communicantes when the sit of one begins presently after the other fit Some are intermittentes under which are conteined first a Tertian as double which is either when it afflicts once every day or twice in one day and it ariseth from bile putrifying in two places in the mesaraick veines So treble which afflicts thrice in the space of two dayes viz. once in one day and twice in the other and ariseth from bile putrifying in three places Secondly Quotidiana duplex which afflicts the sick twice every twenty four hours space Thirdly Quartana double which leaves one day free but the next two molests So treble in which the sick are afflicted every day Fourthly some are Continuae such are Semitertians this is a Fever composed as hath been said of a continual Quotidian and an intermitting Tertian afflicting continually but every other day cum rigore It also ariseth from the same causes yet very frequently from the inflammation of some of the bowels It 's known by the signes of both Fevers They are caused from yellow choler without and phlegme within the vessels putrifying and is named Horrifica because it doth not onely cause shaking at the beginning of the fit but also through the whole course of the disease especially in the beginning and the increase with the two fits joyned together in one viz. the Tertian and Quotidian with many reduplications which are no other then unequal shakings motions in the same fit returning by certain intervals from a mutual combate of the two Fevers in which if phlegme abounds there followes horror and coldnesse of the extreme parts but afterward the bile overcoming the body is hot and the Fever seemes to tend ad vigorem Again when the victorie returnes to the phlegme there is coldnesse and horror and so the combate is accustomed to endure untill the Fever comes ad vigorem Hence it is that shakings appear onely every other day viz when the fits of the Tertian are strong and joyned with the Quotidian but when the Quotidian onely bears the sway there is wont to be no horror Yet this is to be noted certain maligne Fevers are to be found which are without mixture of a Tertian and Quotidian and so without any concourse of bile and phlegme that are Horridae And in them the shakings happen from sharp and maligne vapours which are elevated from the corrupt matter of maligne Fevers biting and gnawing the sensible parts But that is properly called a Semitertian either exquisite when putrified phlegme and bile abound equally or spurious when either choler exceeds phlegme or when phlegme exceeds choler In the first the Symptomes of the Tertian are greater in the latter the Symptomes of the latter So if bile exubera●e then the whole Fever is more shaking and sometimes with it is associated rigor also it s more hot and bile is cast out by vomit stoole or sweat but if phlegme prevailes extreme cold occupies the extreme parts and little shaking is present the fits grow out slower and oft endure a long time yet not with thirst or suffering great burning These Fevers are known by what hath been spoken the Pulse is often and unequal and the Urin crude thin and ill-coloured and sometimes filthy with ill or no sediment These Fevers are dangerous and in them the stomach Progn and nervous parts are much afflicted and drynesse of tongue thirst alienation of the minde watching doth follow It may in reference to the choler be esteemed an acute disease but in respect of the phlegme a chronical Sometimes it 's prolonged from a moneth to seven The Cure Cure thereof is to be taken from those medicaments which are necessary to oppose a Tertian and Quotidian and when it 's continual follow the method propounded in all putrid continual Fevers so that if choler have predominancy then those things which respect it are to be more used but if phlegme then those things which do more prepare and purge it where Agaric may bear the laurel And lastly where both bile and phlegme abound equally a like proportion of both remedies are to be mixed SECT III. The Preface MOst that have writ of Fevers have distinguished a pestilential Fever from a maligne and so handle them in various chapters by the name of a pestilential understanding the true plague but a maligne that which is commonly called Spotted or that which though it be epidemical and contagious is lesse dangerous and in it more escape then die whereas if the essence of a true plague consists in it more die then escape Yet these Fevers differ amongst themselves onely according to the greater or lesser degrees of m●lignity and ought to be cured as with the same method so with the same medicaments and therefore may all be included in the following Chapter to which may be given the general name And after it to conclude the Section with another
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 accompan●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
yet in this they have escaped a healthful Pulse is dangerous discovering nature so weakened that it cannot enter upon the concoction of the maligne matter hence it not being touched there followes little labour and here the Fever is little as in external Tumors so long as the part is overwhelmed from the abundance or ill quality of the matter it causeth neither paine nor Fever but when nature averse to the matter enters upon the combate and attempts to convert it into pus then at that time the Fever discovers it self So in maligne Fevers the sick seemes to be freed from it when yet it 's worse and he hastens to death Delirium in this Fever is most frequent neither is it to be feared when it 's asswaged by sleep especially if it vanish with abundance of sweat for it 's a signe the matter is called from the braine to the habit of the body a delirium persevering is most pernicious it shewes it will degenerate into a true phrensey Contractions and leaping of the members is wont to happen oft in these fevers they are convulsive motions and very dangerous and the more if joyned with delirium for they discover the braine to be much hurt the trembling motion of the tongue and hands are deadly it arguing very great weaknesse and nature to be overcome by the disease Deafnesse although in the beginning of acute diseases be most dangerous yet appearing in the state foretels safety especially in maligne Fevers for it 's observable that thousands labouring of those Fevers upon coming of deafnesse in the state although other Symptomes were very dangerous yet they have done well for it 's a signe the strength of the braine is sufficient to thrust out the noxious humours from the internal parts to the externall Sneezing in some diseases is deadly but in maligne Fevers although cruel Symptomes hold forth danger yet it holds forth security Cardialgia or hichough do threaten danger and shewes the stomach grievously afflicted with a venomous quality a great loathing of meat is most dangerous it signifying the stomach abounding with an ill quality and the temper thereof altogether overturned so that the laudable aliment which before was most familiar it loaths and hates The suppression of all evacuations in the beginning and increase of the disease is good for it shewes the diseased matter not to be so malicious as to stirre up nature before its due time but nature as yet overcomes If nothing be cast out in the state and Symptoms be cruel it 's ill it being a signe either of the diseases continuance or else doubtful whether it will end well or no. Because the maligne matter not cast out but continuing long it so afflicts and weakens the braine and produceth the phrensie lethargie which is most hard to remove Blood drawn if it be pure according as it ought it 's dangerous for it 's an evident signe that there is either more venomous quality then putrefaction or else the putrefaction is lodged in the veines next the heart and so cannot be drawn forth From urin no prognostick can be made in a pestilent Fever or if any yet uncertaine For not only confused filthy thicker and thinner urins which in other Fevers is ill but also those which are like healthful Yea and many signes of concoction manifestly appearing in the urin it changing the patient dieth worse and is removed but yet concoct urins having a laudable sediment and that continuing many dayes and day by day uniting it self more and descending by degrees into the bottome of the glasse is perpetually a certaine signe of safety also in maligne and pestilential Fever For it shewes the natural faculty is strong enough to conquer the adverse maligne quality therefore in maligne Fever where there is great feare of the sick by reason of cruell Symptomes yet if there continue Signes of concoction in the urin safety may be prognosticated with great confidence Vrin fat and oleous black or livid with the Hypostasis black or livid doth certainly pronounce ill Abundance of urin a lessening of the Fever not following is ill because it signifies colliquation Sweat in this Fever although it fall out with requisite conditions yet if not on a criticall day there cannot be safety judged Yea sometimes the Fever remits the first day by sweating but after the Symptomes increase the sick after many sweatings dies For much sweat not lessening the disease ariseth from the wasting of the whol body neither is that to be credited that critical sweats in this Fever is never profitable nam quò minùs venenositatis febris obtenuerit eò magis prodesse poterunt as in other vulgar Fevers this is a certain observation if the sick from the beginning of the Fever break forth with frequent sweats it may be profitable being a signe that nature by little attenuates the matter and casts it out by sweat The Flux of the belly of all is most uncertaine for if it happen in the beginnig it may be sometimes good otherwhiles deadly Againe premise some concoction maybe seene in those labouring of a Flux yet they may die though sometimes some escape Yet it 's thus to be distinguished when the venomous quality is of most force by which the matter from the beginning falleth down by a Flux of the belly that 's more secure but when the disease ariseth for most part from putrifaction of the humors it s worse if the Flux come at first The spots when they are many great of good colour and break forth critically they pronounce nature the Victor but if few lesse and ill colour and symptomatical it signifies the disease prevailes Furthermore if they return in after they appear it 's worst for it shewes the morbifick matter to flow inwards Exanthe mata appear in various parts and are companions of great malignity and therefore portend great danger Carbuncles and Buboes testifie the same when they are wont to accompany these Feavers whereof they are a peculiar character for in them more die then escape Anthrax and Buboes farthest from the heart increase sooner and come to maturation these are lesse dangerous yet if the humours increase suddenly with cruel symptomes it 's ill Very great Carbuncles of a naughty colour with eating Vlcers or which are changed into a Gangrene are deadly as also those near the heart or passe nigh the throat This is certain many Carbuncles are more dangerous then few contrary the more Buboes the more secure then few Parotis in maligne and spotted Fevers in the increase or state is deadly but if they appear little at the declining of the disease and come to suppuration they are safe Cure Cure Respects preservation cure and removing of Symptomes Preservation of those on whom it is not yet broke forth consists especially in removing the causes which fit the body to receive the Fever and those things that produce it which are either internal or external the first are Plethona Cacochymia and
to the hips and after to the back and scapulas both with and without scarification also vesicatories if the delirium be from a bilious cause are to be applied to the armes and thighs but if therewith be joyned stupor and sleepiness also apply them to the neck After these to the forehead apply oxyrrhod only observe they are not so fit in maligne as in simple putrid Feavers because the difflation of venemous vapours ought rather by all means to be procured then retained Therefore first use more gentle repellers and if symptomes be more violent use stronger but not long The more gentle are flor nymphae violar rosar sem frigid Major gran Kermes or ℞ ungu popul ℥ j. conser violar rosar an ℥ s. ol viol ros an ℥ iij. acet ros ʒij Misce omnia excipiantur stupis pexis duobus linteis inclusa fronti applicentur Emulsions of the cold feeds are to be used which sends cold and benigne vapours to the braine and so case the said symptomes which if they suffice not narcoticks are to be used in small doses as syr papav ℥ s. or in great necessity lund opiat cum conser rosar gr ij or dissolved in some julep or else in place of these Theriac recens these admirably hinder the maligne sharp vapors sent to the braine only use them seldome lest they concenter the venome After the use of repellers one or two dayes come to derivers as vesicatories to the neck the opening of the frontal veines from which draw to v. or vi ounces of blood which happily succeed the arme veine having been first opened and sufficient blood drawn Leeches applied behinde the ears is good although not so efficacious as the former Towards the state and declination of the phrensie Resolvers are to be used especially Animals or their parts as the lungs of sheep which ls more profitable then young Pigeons or Whelps in that they incompasse the whole head and so partly resolve the hurtful humour contained in the braine and partly concoct and maturate it that so after nature doth more easily expell them They are by some ill applied in the beginning of the phrensie because they increase heat and move fluxion to the braine and so increase the delirium As for the inflammation drynesse and heat of the Tongue what hath been set down in putrid Feavers may serve especially that framed of the water or juice of sempervivi and sal prunel or this experimented ℞ butyr rec in aq ros lot ℥ j. sal prunel an ʒ s. Misce keep it in cold water and give of it oft in a day the quantity of a pease or beane and hold it long on the tongue It 's a signe the cure succeeds well if that suliginous blacknesse falls and the roughnesse of the tongue begins to moisten and the furrednesse comes away leaving excoriations so that the sick in excreting cast it off the roof and palate At that time those parts are so sensible that they cannot indure the use of sharp things are subject to inflammation for which use this ℞ S●m psyll Cydonior an ʒj s. gum tragac ʒj cum aq ros q s ex tract mucilag satis liquida cui add syr viol parvam quantitatem fiat instar gelatini quo utatur frequenter ex cochloari diuque in ore contineat Hot milke gargarised easeth pain temperateth inflammation humects the tongue and roof of the mouth and drawes away the venome the following is also good ℞ Sem cucumer mundat contus ℥ j. gum tragacan subtilis pulv ℥ s. alb ovo q. s form pil quas teneat in ore frequenter or ℞ Cucurbit melon mund contus sem papav albi an.ʒj. liquiritiae Tragacanth an ʒj s. contund pul cum mucilag cydon extract cum aq ros f. pil in ore detinenda But because the foresaid effects of the Tongue proceed from inward heat to extinguish it cooling juleps are oft to be used to which adde sal prunellae spir vitriol which may also be mixed with ordinary drink For vehement thirst want of appetite loathing hichough and vomiting you may finde sufficient in the place forecited onely in thirst be sure with your juleps you use sal prunellae spir vitriol and for vomitings which are frequent in this Feaver vexe so sore that it casts up all taken yea thin juleps it 's certainly cured with one dragme of the salt of Wormewood given in a spoonful of the juice of Lemons The Flux of the belly in this disease is most frequent and therefore requires the greater care and prudence For if it be preposterously stayed the venemous matter will be kept within and indanger much if not stayed it dejects the strength and oft procures death therefore use this method If it be moderate and dejects strength not much it 's not to be stayed but only allayed with gentle glisters but if contrary it 's to be stayed with Theriac rec or laud. opiat à gr ij ad gr iij. This hath oft been observed that pernicious fluxes tending to death have been stayed in a moment by giving powerful diaphoreticks in great quantity Wormes oft infest this disease being begot from great putrefaction of the humors to rid these sweet glisters are to be used and exhibiting potions framed of the decoction of scordium which hath force both against them and the venenosity if with it be boiled Purslain and Sorrel it temperateth its heat Cor. Cer. usti vel rasur ʒj is good although a Flux of the belly be present When the malignity and venemous quality abound there happens Parotes Buboes and Carbuncles For Parotis when they begin to appear and notably increase apply drawers and exhibit Alexipharm diaphoreticks which help nature to expel the diseased matter to the part apply ungu Dialthaea upon wool this loosens the part Make attraction by applying Pigeons and Whelps which also ease paine to draw more strongly make a plaster ex fermento caricis caepis columbin stercor add butyr pingued galin axungia suilla rec ol lilior vel Amygd d. If by these attractors the part be made more hot and the pain greater intermit them by times applying a Cataplasme of white bread lan succid vel ungu dialthaea If the part be not capacious enough to receive the diseased matter as it seldome is then derive part of it by applying vesicatories to the neck oft exhibiting diaphoreticks The matter being called to the external parts is to be suppurated by applying a Cataplasme of the roots of French Mallowes Lilies Figs Linseed axungia ol praedict composit The tumor being suppurated is to be opened and the residue of the matter is to be concocted by continuing the foresaid Cataplasme or Emplast crocatum vel diachyl cum gum the Vlcer is to be cleansed with Turpentine Yelkes of Egges and Oile of Roses keeping it long open with Tents that so the venome may be sufficiently purged and after
magistral of jalap ℈ j. white sugar dissolv'd in betony waterʒ iij. or ℥ s. make them into lozenges according to art of the weight ofʒ j. or ℈ ijs of which administer one at a time it will not be amisse if you adde Confect Alkermes ℈ j. if they be very weak If you would have pills use aloe rosata with which if you please you may admix rubarb If the childe be greedy of drink ℞ of rubarbʒ js raisins of the sun the stones pict out Ms. of ordinary ale lb j. infuse them for twelve houres straine it if your purses will not reach the best rubarb a double quantity of our English may perhaps be better And here we take our leave of purging medicines and come to specifick altering medicines which are to be used the causes of the disease having been prepared and in part evacuated or at least so subdued that for the present they cannot retard the cure Now these are directly contrary to the nature of the disease and are either 1. Simple Or 2. Compound The first are roots or rather the spike of the roots of osmond royal the middle being thrown away the roots of male fernbrake or rather the little buds before they peep forth out of the earth Roots of grasse succory sparagus madder eringo All the maiden hairs ceterach harts-tongue liverwort betony the flowers and leaves of dead nettles borrage sage rosemary tamarisk southernwood sea wormwood greater Celendine saffron turmerick sarsaparil sassafras china 3. Sanders guaiacum and its bark flower of brimstone ivory prepar'd steel white and Renish wine sperma ceti musk ambergreece castory earth-worms liver of frogs and young ravens woodlice washt in whitewine bak'd in an oven and beaten to pouder And note because none of these simples distinct do meet with all the causes of the disease therefore they are duly to be compounded and made fit for the disease And be sure it be so performed that they be grateful to nature and pleasing to the sick childe I shall give you one with which I cur'd many in Northampton-shire Nottingam-shire and Warwick shire ℞ Ceterach maidenhaire each Mij Scurvygrasse Tamarisk each Ms. Harts-tongue liverwort Mijs China sliced two spoonfuls anise-seeds liquorish each ℥ j shavings of ivory and harts-borne eachʒ vj. boile them all in three gallons of new midling-wort to the consumption of the third part after strain it barme it up after it 's ready drink of it morning at four a clock in the afternoon and in the night if drink be call'd for yea at all times Or ℞ rosemary Ms. liverwort scabious Agrimony Maiden haire each M j. Speedwell Miij roots of osmond ℥ iiij or rather the spikes of the roots Currants Mj anise-seeds fourspoonfuls boile all in three quarts of water till half be wasted straine it adding fugar-candy to sweeten it and pouder of red sanders and roots of oris tied up in a fine cloth Or ℞ Ceterach ℥ j. Maidenhair M. j. anise-seed ℥ j liquorish ℥ j raisins of the sun ston'd and Currants each ℥ ij liverwort harts-tongue woodsorrel each M. j. Malefern-buds ℥ ij shavings of harts-horne ℥ ij of ivory ℥ j. boile them in three gallons of wort to the third part and use as before Or ℞ liverwort maidenhair each M. j. Harts tongue speedwell each M. s. pennyroial p. ij raisins ston'd ℥ iij. Liquorish ℥ j. boile them in fountaine water till halfe be wasted to which adde whitewine a pint and common treacle a penniworth white sugar candy ℥ ij drink of it as before These have all been proved sufficiently If therewith a consump●ion be complicated use this ℞ liverwort coltsfoot Jerusalem cowslips each M. js maidenhair agrimony scabious each M. j. french barley ℥ iiij pearmaines N. 20. snailes N. 30 shaved liquoris ℥ j. raisins ston'd ℥ ij shavings of harts-horne and ivory each ℥ iij boyle them all in six quarts of spring water in a vessell well stopt till half be wasted after strain it and sweeten it with honey or sugar candy drink of it as before If you would have one proper for the pox or strumaes complicated for the first drink take this of the Doctors ℞ sarsaparilla cut and beaten ℥ iiij China sliced ℥ ij infuse them in seven pintes of spring water for twelve houres after boile them till half be wasted then adde the roots of sassafras and osmond royal leaves of harts-tongue ceterach maidenhair dead nettle each M. s. Spanish liquoris ʒ ij mace ʒ j. boile them to lb. iij. to the decoction adde honey or sugar ℥ iij. drink it ordinarily ℞ flowers of tamarisk M. j. male Pauls betony M s. bruise them gently and infuse them in two pound of ordinary beer cold in a stone or glasse flaggon well stopt with cork for ordinary beer Broths may be made with some of the foresaid simples a chicken hen old cock c. and some oate-meale panadoes with the broths grated bread adding butter and sugar and the yolk of an egge you may adde a little saffron with these may be mixed proper pouders made of the best tasted of the same simples as of woodlice livers of frogs or young ravens to be prepared as before Dos is from ℈ s. to ℈ j. of the pouders may be fram'd electuaries with honey sugar dissolv'd or syrup You have choice of all in the Doctors Tract They may be used for change although I beleeve your drinks will be more acceptable go down with lesse trouble and be as if not more efficacious Thus having shew'd how to combate with the disease We come now to take order with the Symptomes In which consider if they be eminent and grievous leave the true method of cure to resist them These are flux of the belly profuse sweats painful breeding teeth and tooth-ach The first of these falls out often which if it persevere for long time or if very violent easily wastes the spirits and consumeth the solid parts It 's true a bloody flux rarely happens a lientery often With which there is a concurrence of other causes as ill digestion feaver watching wormes painful breeding teeth c. all which rather procure a lask or lientery rather then a bloody flux or Dysentery For Cure it 's partly perfected by purgations partly by astringent medicines partly by such as open partly by such as strengthen the parts For purgers rubarb is most excellent either taken in a bole with conserve of roses made up with syrup of coral Dose of rubarb ℈ s. to ℈ j. in pouder well dri'd at the fire The same pouder ℈ s in saxifrage water ℥ j. with syrup of dri'd roses and quinces of each ʒ ij may be made a potion Observe first if the flux have not been long or immoderate and the peccant matter be much use instead of the foresaid syrups the syrup of roses solutive Augustan or succory with rubarb but rather which is safest augment the dose of rubarb not omitting the syrup of dri'd roses In the evening
yellow purge choler strengthen the sight the black purge burnt choler good in quartanes leprosie and affects of the skin Those call'd chebul purge phlegme sharpen the sight cleanse the breast and help in long feavers Those call'd emblik drawe forth phlegme strengthen the stomack stay vomitings help the resolution of the nerves and lethargy Those call'd Belleric remove purulencies stay the flux of the hemorrhoids Dose from ʒ vj. to ℥ js dry in the first cold second those are best which are fleshy thick and ponderous Juice of damask roses It purgeth choler and phlegme and excellent to prepare your aloes withal Troch Alhandal They all viscous humours as also bile and serosities and are more safe for those diseases expressed under coloquintida then it Turbith It draws out phlegme most strongly therefore wonderfully helps for the remove of the cause in long diseases it purgeth the water betwixt the skin is good in venereous pains of the joynts gout dropsey scabs and asthma It s hot in the third Dose from ℈ ij to ℈ iiij in infusion from ʒ ij to ʒ iij. that 's best which is gummy and white and breaks easily give it not to infants or breeding women Tamarinds They represse the heat and sharpnesse of humours gently draw forth bile and adust humours quench thirst humect dry bodies are good in the plague pestiferous and maligne feavers Cold and dry 2. Dose from ℥ ij to ℥ iiij used in glisters mitigate the heat of the liver The Second CLASSIS hath in it compound purging medicines with the vertues c. as followeth Benedicta Laxativa It s seldome or never given by the mouth most oft in glisters for the evacuating of pituitous humours mixed with bile although sticking hard in remotest parts It s good in the collick cold effects of the reines womb and joynts from which parts it drawes forth mucous phlegme and discusseth winde Dose by the mouth is ℥ j. but in glisters to ℥ js Confectio Hameck It purgeth melancholy burnt choler and salt phlegme is good in all affects of the skin arising from the said humours as scabs itch c. it s of admirable vertue in melancholy diseases Dose is ℥ j. Diacarthamum It marvellously drawes out yellow bile and plegme Dose from ʒ js to ʒ vj. Dacatholicon It s as profitable as commonly used it evacuates all humours principally choler burnt melancholy and then phlegm it s very gentle may be used in all ages states and times either by it self or dissolved in some proper liquour its helpful in acute aad peracute diseases it mollifies alters and strengthens is good in affects of the liver spleen it helps gouts of all kindes also tertians quartanes and quotidians as also paines in the head Dose is from ℥ s. to ℥ j. you may take ℥ j. when you go to bed and in the morning drinking a good draught of posset-drink may go abroad The same vertues hath Tryphera Persica Diaphoenicon It purgeth phlegme mixed with bile and amongst those which receive scammony it operates gently its good in all cold diseases especially in paines of the collick contracted from a cold cause as also in long feavers as bastard tertians and quotidians Dose is to ʒ x. from ℥ s. Diaturbith cum rheo It purgeth phlegme and choler Electuarium Lenitivum It s profitable in humoral feavers and pleurisie easeth coughs smootheth the breast mollifieth the guts and purgeth without molestation Dose is to ℥ j. Pul. sen praepar It purgeth melancholy adust bile and salt plegme cleanseth the head and rest of the body is good in affects of the skin Syrup of Roses solutive It purgeth choler and water strengtheneth the stomack and guts therefore used profitably in burning and maligne feavers it strengthens the heart and brain Dose from ʒ iij. to ℥ v. It s made with nine infusions of damask roses if it be done with red roses it will be very profitable in dysenteries diarrhea tenesmus Syrup of violets If this be made of nine infusions it gently purgeth choler and draws it forth gently from the first region of the body breast and urinary passages its cordial therefore profitable in maligne feavers pleurisies hot catarrh and diabetes Dose from ʒ iij. to ℥ s. Pil. Aggregativae They evacuate universally all humours although chiefly bile next that phlegme and then melancholy especially from the parts serving the natural and animal faculties they are profitable in long feavers remove faults of the head stomack and liver Dose from ℈ ij to ʒ j. Beware you use them not a flux reigning Pil. Aureae From the excellency of the operation they are so call'd they evacuate without hurt bilious humours with some portion of phlegm these humours they especially draw from the head eyes stomack and wonderfully help the actions of those parts Dose is to ʒjs Pil. Cocheae They purge the whole body especially the head from pituitous humours therefore profitable in cold affects of the head which arise from tough and thick humours as lethargy c. Dose to ʒ j. Pil. de agarico They cleanse the breast from grosse and putrid humours and so good against asthma's and old coughs Dose to ʒ j. Pil. lucis major They purge excrementitious humours from the head and strengthen the head and sight Dose to ʒ j. Pil. de Euphorbio They draw forth cold phlegme and crude humours which descend to the nerves excellent in the gout dropsies pain in the loines gouts scurvy palsey and remove the cause of tumours Dose from ℈ j. to ℈ js Pil. Ruffi They are commonly used to prevent pestilential diseases are good to exhilerate the spirits much refresh and deliver the stomack from any oppression Dose to ʒ j. Aloe Rosata It s an excellent purger of choler frees the stomack from superfluous humours opens stoppings and other infirmities of the body proceeding from choler and phlegme as yellow jaundice and strengtheneth the body exceedingly Dose ℈ j. or ʒs when you go to bed Extract Rudii It cleanseth both head and body of choler phlegme and melancholy Dose à ℈ j. to ℈ js Spec. for suppository is Hiera c. Pul. Arthritic It purgeth surely and gently all defluxions and may be used and is although covertly in most cases Dose from ʒs to ʒj in white-wine or posse●-drink with sugar to those that are weak in sack I have used it with admirable successe in forme of pills in pain of the teeth and deflux●ons from the head This is the Recipe ℞ Sen. turbith gum hermodactyl diagrid oss human calcinat an ℥ s. misc f. pul subtiliss The third CLASSIS are Electuaries and pouder● strengthening the heart and noble part which with the operations follow● Aromat Rosatum It heats yet strengthens more all the noble parts and those serving to concoct it opens attenuates all pituitous humours and wastes superfluous humidities sharpens the senses is profitable in cold affects of the said parts especially in the plague swooning feaver dropsey crudities of the stomack arising
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