Quintan Sextan Septan and Nonan we must not think they proceed from any next kinde of Humour but are to bee referred to a Quartan and to be cured by the same method onely the difference is that a Quintan is caused from an atrabilarious humour and is the worst of all fullest of danger and of the greatest essence saith Galen Commen on the third Section of the first Book Epidem but the rest are from a melancholly humour A Hectick Feaver although it bee in the solid parts is to be reckoned amongst the Simple Feavers it differs from a pestilential in that it is free from any venenate or malign quality from the Humoral that is free from putrefaction A Pestilent Feaver is likewise numbred amongst the Simple though it differ from them by its venenate contagious and pernicious quality by which it contaminates our substance and amongst malignant Feavers may be numbred those from vitellinous aeruginous and prassinous choller according to Galen and Hippocrates and Avenzâ—ar in his Theisir A Leipyria is placed also amongst malignant Feavers by Hippocrates in his Epidem and Progno 2. Lib. 3. and by Galen in his Comments upon those Books it differs from an exquisite cause by its malignity and is always deadly according to Galens Commen on Aphâ—ris 48. Sect. 4. and c. 4. of his Book of Inequal Distempers it kills the fourth day or sooner and follows great inflammations of the Viscera so much of Simple Feavers A Compound Feaver is that which is made either of two intermittings mixt as a double tertian a double and triple quartan or of a continual and intermitting as a hemitritaean or a Hectick with a putred make a Compound Feaver and so likewise of many others The confused is as often as two or three Humours doe putrefie together whether in the great Veines or out of them and in the same place begin together and end together for this mixion ingenders no compound but a confused Feaver and the one cannot be known from the other because the signes are so confused from whence it hath its name as for example if Choler and Flegme putrefie together in the great Veines there shal be two continual Feavers in the same place which make a confuse and no Compound Feaver on the other side if the same Humours putrefie with melancholly in the lesser Veines altogether and in the same place there shall bee two or three intermittings which mixt doe likewise produce no compound but confused Feaver so a double continual tertian will be confused and not compound because the putred matter is contained in the same place The Erratick or inordinate Feaver is that which observes no type or order of other Simple Feavers whose humour putrefies in divers places and moves from one place to another from whence is the diversity of the fits sometimes it intermits four dayes sometimes eight and sometimes more and then recurres sometimes it comes sooner and is called praeoccupant sometimes moves slower and is called retardant and so much for essential Feavers A Symptomatical Feaver though it be continual yet differs from the former because its matter is not contained in the greater Veines neither hath it any exacerbations or remissions but depends on the inflammation of the part which it possesses from whence it hath its name as is observed in the second Chapter CHAP. IV. Of the Circuit of Feavers TO finde out the Reason of the Circuits of intermitting Feavers is of no small moment amongst the Learned for what one allows another reprobates every one applauding his owne phansie leaving then their nicities I shall declare my owne opinion having premised somewhat for elucidation of what shall follow all the parts of the body are endued with four Faculties to wit the Attractive Retentive Alterative and Expulsive and as long as these are free from any fault man lives in perfect health and when one of these is too strong for the other he is affected with various Diseases as if an excrement be inherent to any part and cannot bee expeld from it by reason of its weakness it becomes burthensome to it because it is neither discussed nor removed or if by reason of its coldness crasseness or clamminess it obstruct the passages through which it ought to be expeld it putrefies and causeth a Disease and the heat contracted by putrefaction is very offensive to the heat and first of all occupies and infests the Spirits because they are tenuous then the Humours because they are more craâ—â—e and last of all the solid parts and this heat from the heart through the Arteries dispersed to the whole body generates a Feaver and hurts our actions The cause then of the shortness or length of the anticipation or tardation of the Circuits may be taken from these Six things viz. From the Species of the Humour from the quantity quality habit of the Body disposition of Strength and complication of Feavers There are four Humours in the Body one of which exceeds the other in quantity and quality as if pure bloud putrefie in the great Veines which is hot and moyst it begets a continual Synechis if out of those Veines it produces an intermitting it s thinner part is turned into choler and the crasser into melancholly as Alexan. Aphrodis learnedly notes Another cause of the circuits is from the quality of the Humour and weakness of the part where the excrement is heaped up as flegme next to bloud exceeds other Humours in quantity and being cold of quality and moyst crasse and clammy by its frigidity it resists putrefaction and by reason of its crasseness and clamminess is not so easily resolved as bloud and hence are the length of its fits and by reason of the reliques and imbecillity of the part new excrement is heaped on it thence are new fits which recurre every day and if yellow choler putrefie in a part it causeth the like though more difficultly than flegme by reason of its driness by which it more powerfully resists putrefaction and because it is a tenuous humour and not crasse it is farre more easily resolved than flegme and leaves less reliques behind it in the affected part and hence is it that its fits which it causeth doe sooner end in an infebricitation and greater time or interval is required for a new accession but because the part is debilitated by the former excrement it readily receives the new which putrefying as before causeth a new fit neither sooner nor later than the third day and lasts twelve hours and is therefore called a tertian because it recurres every third day The melancholly juyce retained in a part doth not so easily putrefie as other Humours by reason of its two qualities which resist putrefaction viz. frigidity and siccity and therefore it intermits two daies and returns every fourth day and though the former matter bee emptied yet there is a weakness and disposition of the part as in the other to receive a
if in places more distant either upward or downward a continual tertian is produced which every third day is intended and remitted but intermits not because the putrid matter is contained within the great Veines and not out of them Lastly if a melancholly humour putrefie there every fourth day it hath its remissions and exacerbations The external causes are like those of an unputrid Synochus but stronger the internal are obstructions either in the greater Veines or in the skin or in the small Veines of the Liver or habit of the body which hindring perspiration the Native heat is extinguisht and hence putrefaction the parent of this Feaver The sigâ—es are taken from the mordent heat urine and pulse the urine is crasse red turbid faetid and without sediment the pulse not only great vehement and quick but unequal and inordinate A Crisis does usually happen in all Diseases one of these six wayes viz. by bleeding at the Nose or by Vomiting or by looseness or by sweats or by urine or by parotides in malignant and pestilential Feavers if by chance Nature attempt a Crisis on the sixth day although signes of coction appeared in the urine on the fourth yet it is dubious and fore-tells a relapse but if with signes of coction the Crisis be with fainting or any other grievous Symptomes it portends death or if a looseness seize at the beginnig and the Feaver continue in the same state with signes of crudity it presages death because Nature is overwhelmed with the plenty of matter on the other side if the Feaver be abated by the looseness the sick well enduring it and breathing freely hee shall escape if spots appear the fourth day either black or livid death is at hand for they denote some malignant quality which had they been red only and the Patient strong with signes of coction there were good hopes this Feaver is most gentle in the morne The Cure consists in evacuation and alteration evacuation is to be made by bleeding and that at the beginning for feare of suffocation or swounings but if the Patient sweat or have the Haemorrhoids or a Haemorrage or the Courses appearing then the whole business is to be committed to Nature but if they flow but sparingly and the Feaver be not mitigated bleed notwithstanding the second part of the Cure consists in alteration of the Humours by cooling and opening without any manifest heat and restraining putrefaction as with the fore-mentioned apozem besides use this cordial powder Take of red Corral and the fragments of the five precious Stones finely powdered each a scruple the bone of the heart of an Hart or of an Oxe for they are both of the same vertue half a dram of Pearl a dram sugar of Roses a sufficient quantity and four leaves of Gold let it be dissolved in broth or ptissan or in the decoction of Sorrel roots Take of the powder of Balm and Saffron each a scruple Water-Lilly-flowers red Roses and Grana Tinctorum each two scruples powder of Diamargaritum frigidum four scruples red Wine two ounces Scabious Bugloss and Purslane-water each five ounces apply it to the region of the heart with a thick red cloth Take of the Conserve of Burrage and Marigold flowers each an ounce confection of Alchermes a dram spread them on a searlet cloth and apply it after the Epithem Take of the Cerot of Saunders and oyntment of Roses by measure each an ounce oyl of Roses an ounce then wash them often with Rose-water adding half a scruple of Camphore bath the part with a Linnen cloth let it be cold in Summer luke-warme in Winter with three ounces of the white oyntment of Galen and half a scruple of Camphore anoynt the reines and loynes once an hour CHAP. XI Of a Burning-Feaver and continual Tertian THese Feavers differ not in matter nor cure but in their name and seat both are caused by a cholerick bloud putrefied in the great Veines the Viscera being well that in the Veines nearer to the heart as in the ascending trunk of the Vena cava and in the arterial Veine and coronal of the heart this likewise in the great Veines but more distant from the arme-pits to the groine A Burning-feaver is so called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} by way of eminency because it is so great a fire in the heart This Burning-feaver as also a continual Tertian is two-fold exquisite and not exquisite the exquisite is from cholerick bloud putrefied as afore the non-exquisite is when besides choller salt flegm or ichors are putrefied with it and this causus happens two wayes the one when the Veines dried by the heat of Summer doe attract to themselves cholerick ichors which are acrid as we being destitute of good food make use of worse the other way is when ichors and other humours are cast from some strong part upon a weaker and not ventilated doe putrefie thus likewise a continual tertian is two-fold the exquisite from cholerick bloud the non-exquisite from the admission of flegme melancholly or ichors The external causes are the hot air inspiration of putrid vapours a cholerick distemper drunkenness sadness by calling the heat from the circumference to the center c. The internal are either antecedent as obstructions from crasse and viscid humours which hinder perspiration by which means even good humors putrefie or a plenitude either quoad vasa which distends the Vessels or ad vires which cannot bee concocted and governed by nature Or continent as the putrid humour it self which inquinates the pure bloud of the heart not the whole mass at once but that which is next it and so by order of succession The cause of a not exquisite continual tertian is the mixture of salt flegme or ichors putrefying in the Veines of the Midriffe which proceed from the ascending Trunk of the Vena cava or from the veines of the mouth of the stomach which flow from the Splenical trunk of the Porta and make the stomachical coronary or else it flowes from the hungry Gut or the simous part of the Liver the signes of both legitimate and illegitimate are almost alike The pathognomonical are taken from the burning heat which choller produces and the unspeakable thirst the acrimony of the humour continually molesting the heart and stomach unless by chance a thin humor fall from the braine and moysten the tongue Signes assident or concurring are the driness blacknness and roughness of the tongue from the adustion of the humour paine of the stomach Dreams delirations difficult breathing the Lungs or Midriffe being inflamed c. sometimes it begins with a gentle rigour sometimes with Vomiting sometimes with sleepiness if it be exquisite sometimes with horrour if it bee spurious by reason of the mixture of choller and flegme at the beginning the urine is crasse and turbid the pulâ—e small and unequal The signes of an exquisite
tertian have great analogy with those of an exquisite causus only they are more milde the not exquisite are distinguisht by rigour not by reason of the Feaver but the expulsive faculty of the greater Veines which empty themselves into the less and these into the habit and sensible parts this Feaver because its morbifical matter is more distant from the heart then that of a Causus doth not with equal force and assiduity afflict it but hath its exacerbations and remissions every other day If the parts about the heart be distended without paine they signifie an inflammation if with paine at the beginning death If the signes bee grievous it kills the fourth or seventh day if good security is promised the same dayes if a rigour happen on the critical day the Patient being weak it is death but if strong the Disease shall end with sweat CHAP. XII Of the Cure of these Feavers LEt it be temperate or if too hot be cooled with irrigations on the floore and spreading coole Herbs as Lettice Vine leaves Willow Oke Rushes c. with green flowers of Water-Lillies Roses Violets let vinegar of Roses dilute with Rose-water suckt up by a Spunge be often â—eld to the Nose let the Linnen contrary to the vulgar opinion bee often changed lest its filth foment the Feaver Let his drink be boyled water with sirrup of Vinegar or ptissan or water and sugar with a little juyce of Pomegranats Citron or Lemons if you fear a Delirium use the Alexandrine Julep or sirrup of Violets and Water-Lillies If the Feaver bee spurious and the Patient aged and weak in a cold air a little Wine dilute with boyled water and sugar with a toast may be allowed let his food be liquid cooling and moystning as Chicken Veale or Lambe broth altered with Purslane Lettice Sorrel Burrage Bugloss Violets Marigolds with the greater cold Seeds and white Poppy-seed or Barley-water acid Fruites as Barberies Strawberies Rasberies resist putrefaction if he be much enfeebled Gellies and Analepticks must bee used Let bloud as soon as you can but if hee bee bound in body give this Glister first Take of Violet leaves Mallows Lettice Gourds Burrage each a handful Prunes sixteen of the four great cold Seeds each two drams red Poppy-flowers or Water-Lilly and Roses each a small handful boyle them in Whey or Water to a pint streine it and dissolve of Diaprune simple and Cassia newly drawn if it be exquisite if not of Diaphenicum each six drams honey of Violets and oyl of Water-Lillies each an ounce and half or so much of oyle of Cammomel if it be not exquisite and make a Glister Take of Melon-seeds one scruple Rhubarb grosse powdered if you would purge choler by stoole or fine powdered if by urine four scruples Cassia newly drawn six drams let him take it with Sugar and an hour and half after take fresh broth As often as Cassia or any other purging Medicine is infused the Dose is to be doubled and where you feare obstructions never purge with those things that have an astriction as Myrobalans Roses and the sirrups made of them but instead of them use Manna Cassia or sirrup of Violets of nine infusions next alter the humour with Juleps which inhibit putrefaction As take of sirrup of Endive compound three ounces Succory and Pursâ—ane water each half a pint but if they be spurious take of Oxysaccarum compound which hath the opening roots in it and a little juyce of Pomgranates after signes of coction purge forth the humour thus Take of Cinnamon a scruple Rhubarb four scruples Tamarinds two drams Diaprune solutive six drams infuse them all night on warm embers in a decoction of the opening rootes strein it adde sirrup of Violets of nine intusions or of Roses solutive with Agarick if the Feaver be illegitimate an ounce and half and give the potion in a Spurious causus take so much Diaphaenicum which purges flegme and choler but if the Patient have a paine in the stomach and be nauseative let him take a Vomit so he be not tabid or narrow chested CHAP. XIII Of a continual Quotidian Feaver {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Juniors call it because it hath no intermission and to distinguish it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is an intermitting quotidian This Feaver differs from an intermitting both in matter and seat where the flegme putrefies because a continual one proceeds from Natural flegme contained in the great Veines which is nothing else but crude bloud which in time may be changed into good bloud being of taste sweet or insipid arising from the cold and moyst part of the chyle and as oft as this bloud is putrefied by a preter-natural heat in those Veines the other humours incorrupt is caused a continual quotidian but an intermitting is caused from excrementitious flegme putrefied by a preter-natural heat out of those great Veines viz. in the veines of the habit of the body in the Liver Spleen Messentery The external causes may be taken from the aire cloudy cold and moyst from a flegmatick nature the winter season drunkenness ill diet as entrals of Beasts c. The internal causes are a cold distemper of the stomach and of the meseraick veines which send the chyle incoct to the Liver old age cold humours falling from the head to the stomach This Feaver begins not with coldness as an intermitting because the matter is putrefied in the great Veines but with vaunings and stretchings for the most part it invades at night the heat is less acrid and mordent than in a continual cholerick Feaver because the humour is colder the urine at first is white crude and crass the pulse slow and rare being oppressed with a crass vapour raised from the flegme the sick are sleepy their Hypochondria stretcht with wind their stooles white their sweat none or very little and clammy this Feaver is usually lasting being from a cold tough humour often brings to a Cachexy or Dropsie if the beginning be long so will be the increment and whole progress of the Disease for the Cure let him use a good diet shunning those things which ingender crasse juyces then purge the first region of his body with these following remedies Take of Barley Mercury Violets and Mallows each a handful Fennel and Carret-seeds each three drams the tops of Dill and flowers of Cammomel each half a handful boyl them in water to a pint streine it and dissolve of Galens Hiera and Benedicta Laxativa each six drams honey of Rosemary and oyle of Camomel each an ounce and half and so give it If the Sick bee apt to Vomit let him take this Of the juyce of Radish roots and honied water each two ounces powder of Asarum a dram let him drink it warme Take of Succory Barley and all
Simple is either in the spirits or humours or solid parts chiefly in the vital spirits then in the animal and natural if there be any such is the true Ephemera which lasts but one day but longer if the spirits be crasse In the Humours are ingendred divers Feavers of which some are continual others intermitting and of the continual some are from the Humours not putrefied others from putrid humours and these either from the humours equally or inequally putrefied Those which are from the humours not putrefied are from the bloud inflamed in the heart by a preternatural heat which by the greater veines diffused into the habit of the body doth primarily and per se hurt our actions These differ from an Ephemera nominally and in respect of the matter not really nor in way of cure because the one is in the spirits inflamed the other in the bloud unputrefied both may proceed from the same external causes and the same method and remedies serve for the cure of both they are continual and have but one accession although there bee three sorts of them distinguisht by their several names The first is when the heat remains equal and alike to it self through the whole course of the Feaver and how much is inflamed anew so much is presently dissipated and this the Greeks call Homotonos or of equal tenor The second is when the late inflamation is greater than the dissipation and then the heat gathers strength and grows stronger and this is called Epacmastical or increasing The third is when there is more dissipated then is afresh inflamed and it sensibly declines till it end and by the same Greeks is called Paracmastical or declining and this Synochus may last seven days but an Ephemera transcends not the third day unless the spirits be crasse full bodies which abound with bloud and fare deliciously and live idlely and those in hot and moyst or temperate regions are most subject to the unputred Synochus for the most part it ends with sweating or moystness as an Ephemera which wants not its danger if you neglect bleeding Feavers which are in the putred Humours are either from equal or inequal putrefaction if the Humours be equally putrefied in the great Veines the Feavers are continual and are three-fold distinguisht by the same names as the unputred Synochus for the first is Homotonos when the putrefaction remaines equal and alike to it self through the whole course of the Disease and how much putrefies so much is emptied the second Epacmastical when the putrefaction from the beginning to the end increaseth the ast Paracmastical when the morbifical humour is from the beginning to the end by degrees diminisht Theâ—â— three have no remissions or exacerbations apparent at intervalls because the Humours are equally putrefied in the great Vessels as are in those which proceed from the Humours inequally putrefied in the same Vessels of which in their proper place neither have they any intermissions as are in the exquisite intermitting Feavers but last till the whole putrefaction is discussed their signs are like to those of the unputred Synochus but more conspicuous because they are from putred matter but those from the effervescency of heat The latter Phisicians use the word {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} for every continual Feaver caused from the Humours inequally putrefied in the great Veines to difference it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which signifies the same if you respect the etymology of the word This Synechis or continual Feaver hath divers appellations according to the site of the Humour which doth unequally putrefie if in the great Veines near to the heart a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or burning feaver is ingendred but if in the other Veines further off a continual Feaver is caused which hath its denomination from the predominant humour viz. if Natural choler putrefie there will follow a bilious Synechis which every other day shall have its exacerbations and remissions and in the morning especiall shall be most remitted but without intermission from whence is a continual tertian if Natural flegme putrefie in the veines there shall be a continual quotidian which likewise every day at set hours shall have its remissions and exacerbations if a melancholly humour putrefie there shall be a continual quartan which every fourth day shall have its intension and remission but no intermission Amongst those Feavers which are caused from Humours inequally putrid there are some others which differ from the continual both in matter and site and are called intermitting for the matter of continual Feavers is natural but that of intermittings is excrementitious the seat and matter of the continual is in the great Veines but that of the intermitting without them as in the Liver Stomach Spleen Intestines Mesentery and habit of the body so that if excrementitious choler putrefie it is called an intermitting tertian because it recurres every thrid day begins with rigour and sometimes with vomiting if it be exquisite whose fit is twelve hours or less according to the quantity of choler producing it and is terminated with Sweats then ends in an apyrexy or perfect infebricitation and the fuel of this Disease is principally in the Liver likewise if excrementitious flegme putrefie out of the great Vessels is caused an intermitting quotidian whose fit is eighteen hours by reason of its coldness crassness and clamminess and it begins with a coldness of the Nose Eares Hands and Feet and is terminated with a moysture and not with sweat as a tertian the fountain of this is the Stomach if glassie flegme putrefie in the same place there is another kind of Feaver which the Greeks call {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the word is derived from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is milde and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Sea because as that at first seems smooth to the Marriner and by and by is tost with most horrid Tempests so this Feaver at first invasion is gentle and so takes root and a little while after precipitates the sick into most desperate dangers or as Aegineta would have it it is derived from the Adverb {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is gently and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} heateth to this kinde may bee referred those from Rheume and that which accompanies the Green Sickness but of them in their place If a melancholly excrementitious Humour putrifie there it begins with horrour and sometimes with vomiting as a tertian and the fit is twelve hours or more or less according to the quantity of the Humour and recurres every fourth day and therefore is called a quartan which is the longest of all Feavers and hath its seat in the Spleen and so much for Feavers in the Humours inequally putrified whether continual or intermitting and though Hippocrates and Galen make mention of a
not so in preparation or alteration before purging and by this distinction the Greeks and Avicen may bee made friends Others give other Reasons against Avicen thus The first Natural action is Attraction to which thin Humours are most obedient and most readily follow the medicament the second is a kind of violent expulsion by which also thin Humours are most easily driven forth therefore they are not to be incrassated There are three sorts of purging Medicines some purge by Traction such as Hippocrates and the ancient Greeks used as Euphorbium Lathiris Elaterium Scammonium Colocynthis Helleborus c. which wee use not now unless in great Diseases or in small quantity mixt with other things and corrected and on rustick bodies whom gentler Medicines will little or nothing move and not in continual Feavers sprung from a hot cause Others purge by smoothing or suppling as Manna Cal. Cassia Egypt Sena Polypody Sirrup of Violets c. Others purge with astriction as Rhubarb all the Myrobalans juyce and Sirrup of Roses which we use when the parts are to be strengthened and there is no obstruction which they may prejudice he that is to take a Purge in them morne let him not take Sirrop of Poppies over night or dissolve Treacle or new Mithridate in it because the cold quality they have from Opium doth hinder purging according to the experience and authority of Galen in his twelfth Book De Theria to Piso In the state of the Disease abstaine from purging that Nature be not called from her work but commit the whole business to her because then all Symptomes are most violent otherwise you add evil to evil especially if a Crisis be near Hippoc Aphor. 29. Sect 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the height is is best to be quiet and in the next Aphoris {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the state of Diseases all things are most vehement and therefore abstaine from medicaments or any way to move or irritate Nature c. Aphor. 20. Sect. 1. If the Crisis be perfect all is safe and no more is to be done but if there be any thing left it is to be removed by Medicine for fear of a relapse Aphor. 12. Sect. 2. that of Diseases which is left within after Judgement does usually cause a return of the Disease upon a critical day if there appear no signes of coction but of crudity though there be an excretion even in the state of the Disease it is not to be trusted to neither ought we to fear those evil accidents which happen not according to reason but the noxious humour is to be emptied that the Disease returne not Aphoris 27. Sect. 2. if any light thing happen besides reason in acute Diseases we are not to trust to it nor to be diffident if a greater business happen not according to reason for such things are very uncertaine and of no long continuance the whole matter of a Disease then cannot be rooted out unless concoct and after the state when those preter-rational Symptomes are abated and Nature is assisting to us on the contrary if there appear signes of a vasal plenitude or of crudity we must abstaine from purging and neither provoke sweat nor urine lest the vitious humours so moved be carried into the greater Veines and exasperate the Feaver and make it more contumacious by what remedies urine and sweat are to be moved I have taught in my Enchiridion in the first second and third Chapters of the Second part These are the chief and general Canons to be observed in curing of Feavers whether continual or intermitting other rules wee shall set downe in their proper place now for their cure in special CHAP. VIII Of a Diary Feaver THis Feaver Hippocrates calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is flatuous and the other Greeks {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it continues but a day rather than from a Fish Aristotle makes mention of in his Fifth Book of Animals about the end of the nineteenth Chapter but the Latines call it a Diary which sometimes is extended to more daies when the spirits inflamed are crasse which if not resolved it degenerates sometimes into a putrid Feaver sometimes into a Hectickâ— or malignant Feaver saith Galen The causes of this Feaver are either external or internal the external are taken from the Six Non-natural things as from the Air too hot and dry in the Summer or the heat of the Country or the hot and dry temperament of the Patient as the Picrocholous or cholerick natures whose spirits are easily inflamed from whence is an Ephemera sometimes by the cold air or use of aluminous Bathes the skin is condensed so that the fuliginous exhalations which should be excerned through the skin are repressed and so the spirits are easily inflamed sometimes it is from drinking of Wine Drunkenness long Sleepes or continual Watchings over-much labour hard riding idleness or want of exercise from the motions of body or mind as from Anger Fury Hunger and thirst Suppression of some hot humour as of the Courses or Hemorrhoids from the contract of some Feaverish body from an actual or potential cautery applied to a cholerick or plethorick body from hot meats acrid Medicaments salt things and the like The internal causes are obstructions whether caused from without or within from an external cause as from the thickeness of the skin from within as when a sharp distillation from the braine falls upon the heart through the Arterial veines which inflames the vital spirit whence is a Diary Feaver Sometimes other viscera are obstructed as the Messentery Liver Spleen Reins Bladder Wombe and when these are obstructed first of all the Natural spirits not being ventilated grow hot and by their power alter the spirits of the heart and increasing their heat beyond the bounds of Nature cause a Feaver Another internal cause is the inflammation or swelling of the Glandules which makes a Diary Hippocrates Aphoris 55. Sect. 4. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. that is all Feavers from swellings are bad except the Diary and he saith the same Epid. 2. Sect. 3. The Signes are taken from the efficient causes whether they be originated from things external or internal if it proceed from an external cause you may know from the relation of the sick if from the internal causes by the heat pulse and urine Hippo. 6. Epid. Com. 1. text 29. and Galen in the first to Glanc chap. 2. and 9. and 10th Method of Curing chap. 4. for if it be exquisite the heat is milde and gentle to the touch which ends with a madidness or sweat the pulse is swift and frequent but equal and temperate in case it be not joyned with a putrid or Hectick Feaver except in that which proceeds from anger sadness hunger crudity thickness of the skin caused by cold for then the diastole
and the Diary proceed from cold with hony of Violets Roses or Mercury and oyle of Water-Lillies each an ounce and half and give the Glister after this if the sick be plethorick or full of bloud and young or the Haemorrhoids or Courses bee suppressed draw six or eight ounces from the right axillary veine as strength shall allow but if the Patient refuse a Glister then in the declination of the Feaver give this following potion Take of Melon-seeds pilled one dram of Tamarinds two drams Cassia nexly drawn one ounce and a half infuse them in the common purging decoction all night over warme embers streine it and dissolve with it Sirup of Violets or Roses of nine infusions one ounce and give this potion betime in the morne Or instead of this you may give an ounce and a halfe of Manna of Calabria dissolved in a little fresh broth It the Diary flow from the thickness of the skin or the use of Alume-baths then this following Bath made of Paregorical and Diaphoretical things will be good Take of Mallows Violets Saponarie Succory wilde Endive and Lettice each six handfuls new Roses if it be spring or dried if summer four handfuls of Wormwood and Centaury the greater each two handfuls Marsh-mallow roots sliced or bruised a pound of Fenugreek-seed and Salt-nitre each two ounces boyle them in a hundred pints of water for a Bath into which let the sick enter at the declination of his Feaver and drying his body let him goe to bed and there sweat an hour or two after CHAP. IX Of an unputrid Synochus AN unputrid Synochus hath no small Analogy with an Ephemera for both are without putrefaction and have but one Fit until their end but they differ thus an Ephemera is essentiated in a preternatural heat inflaming the vital spirits and an unputrid Synochus in the bloud preternaturally calified in the heart without putrefaction is is differenced from a Hectick because this it in the solid parts from a putrid Feaver by its putrefaction The heat of a Synochus if compared with that of an Ephemera is acrid if with that of the putrid gentle because the bloud is of a temperate nature the conclusion then may be that a Synochus is a continual Feaver proceeding from redundancy of bloud heated beyond measure by a preternatural heat but without putrefaction hurting our actions The causes are not unlike those of an Ephemera but more vehement the principal are the denseness of the skin or filth obstructing the pores and incarcerating fuliginous excrements c. which prohibiting the eventilation of the bloud doe so inflame it or the suppression of some evacuation as of the Courses Haemorrhoids or from excesse and fury thus the vital spirits are first inflamed by reason of their tenuity then the bloud which inflammation the Greeks call a Phlogosis but under the name of bloud you are to understand the four Humours contained in the greater Veines which as often as they are inflamed without putrefaction they cause this Synochus full bodies that fare well and live idely are most subject to it c. This Feaver for the most part lasts till the seventh day begins with a coldness and ends with sweat with a red urine the pulse strong and swift there is no danger in it unless some errour bee committed and then it degenerates into a putrid Synechis whence follows death unless prevented by large bleeding the whole body but especially the face is dyed with bloud weariness possesses the limbes the veines are turgid the temples beat the head akes and often a deep sleep surprises with difficulty of breathing the skin is soft perfused with moysture and a gentle heat The cure is taken from the essence of the Feaver and cause of the Disease the essence being hot and dry indicates contrary remedies and the cause its removal First then let the diet be thin cooling and moystning Hippoc. Aphoris 16. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} a moyst dyet is good for al feaverish bodies especially for Children and those accustomed to such dyet as Cock broth or of Lambe or Veal alterd with cooling Herbs and Barley waters c. or some acid sirrups as of Limons Citrons Pomegranats c. Galen reckons amongst the chief remedies of this Disease bleeding till we faint if the body be open otherwise to premise this Glister Take of the leaves of Violets Burrage Lettice Purslaine each a handful Prunes sixteen of the four greater cold Seeds each two drams boyl them in water to ten ounces the dissolue of simple Diaprunum and Sugar each six drams Hony of Violets and Oyle of Water-Lillies each an ounce and half and make a Glister it cools moystens purges and prevents a putrid Feaver then let bloud for the Veines being emptied that attract much cold art to avoyd a vacuum into the roome of the bloud by which the rest of the bloud is cooled and reduced to its ancient state the fire extinguished and the putrefaction inhibited because both the Natural and preternatural heat are seated in the bloud and spirits then use this Apozeme Take the Roots of Sorrel Grasse Butchers Broom Asparagus each an ounce these rootes resist putrefaction and by their tenuity of parts open obstructions without any manifest heat of both Succories Lettice Burrage Purslane or Liverwort each a handful Prunes sixteen Endive seeds half an ounce of the four greater cold Seeds each two drams of Violet and Water-Lilly-flowers each a small handful boyl them in three pintes of Water to a pinte and half streine it and adde of the compound sirrup of Endive or of Oxysaccharum simple four ounces and Aromatize it with white n for four or five days After the seventh day you may give this Purge Cinnamon a scruple Rhubarb four scruples Try pherae Persicae three drams Cassia newly drawn an ounce infuse them one night in part of the Apozem over warme embers then streine it and adde of sirrup of Violets of nine infusions an ounce and half CHAP. X. Of a continual putrid Feaver A Synechis or a continual putrid Feaver is two-fold the one where the Humours are equally putrefied in the great Veines the other when inequally from those equally putrefied arise three sorts of Feavers as did in a Synochus unputrid viz. the Homotonous Epacmastical and Paracmastical and these have no manifest intermissions as intdrmitting Feavers nor remissions and exacerbations as those which proceed from the Humours unequally putrefied in the great Veines When the Natural Humours doe unequally putrefie in the great Veines it is either natural flegme which is nothing else but the cruder part of the bloud which as often as it putrefies it causeth a continual Feaver which is every day at set hours intended and remitted from whence it hath its name of a continual quotidian If natural choller putrefie in the Veines near to the heart it causeth a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or Burning-feaver
Hectick is in the solid parts and of the putrid in the humours but an Ephemera joyned with other Feavers makes no compound otherwise there could bee no simple Feaver the symptomes also which accompany Feavers constitute no compound one because they are not of the essence of Feavers though they increase foment and prolong them The Erratick Feaver is so called because its fits observe no proportion for their beginnings are inordinate resembling no species of any certaine simple or compound Feaver an Erratick Feaver then is of no certaine species for it is neither quotidian tertian nor quartan nor much less a continual for being so called from the uncertaine insult of the fits it is plaine it cannot bee continual though it may bee joyned with a continual as well as other intermitting Feavers an erratick then is from no certaine kind of humour as other intermittings are but either from the humours confounded together and unequally premixt and putrefying in the habit of the body or from one humour but changed from it self and passing into another for how much the humours are changed in the body of the sick so much are the circuits of the fits varied and bloud is most of all transmuted when it putrefies part of it passing into yellow choller part into black The causes of these Feavers are many one is the inequality of Summer and Autumne another when a humour begins to putrefie in a particular part and another flowes to it from other parts which was before bounded in them or was redundant in the whole body a third is errour in diet quantity or quality of the humour strength of the Patient c. they are long and of evil judgement he that would distinguish them rightly must bee well versed in the knowledge of simple Feavers both continual and intermitting The signes of Compound Feavers differ not from those of the simple intermitting as a double intermitting tertian begins as a simple with rigour and sometimes with vomiting and ends with sweat Compound Feavers are seldome of divers intermittings but if it happen the first dayes they are scarce discernable Compound Quartans begin with horrour as the simple intermittings and they are the longest of all they are thus distinguisht a double quartan growes furious two dayes and is quiet the third the fourth and fifth again is furious and so consequently a triple quartan every day begins with horrour but every fourth day the Feaver is more grievous as if it were a simple quartan Every intermitting Feaver of divers kinde may be complicate with another of the same kinde if it be in divers places as if a quotidian bee mixt with a tertian on one day there shall be two fits but on the next only one that of the quotidian and on the third day there shall be two on the fourth but one and so forwards the one shall begin with coldness the other with rigour If a quotidian be mixt with a quartan then the fourth day there shall bee two fits one with coldness the other with horrour on the other dayes but one that of the quotidian If a tertian and quartan concur the first insult shall be of the tertian with rigour the second day there shall be no Feaver the third day the tertian shall recur on the fourth a fit of the quartan on the fifth another of the tertian on the sixth none on the seventh there shall bee a double fit one of the tertian and another of the quartan and so on If a putrid Feaver be joyned with a Hectick it makes a compound because the heat of this possesses the substance of the heart that the humours The signes of both are taken from the pulse hard and unequal from the urine mordent heat and manner of their motion if it be bilious the invasion will be every third day if a quartan every fourth if a quotidian every day either with rigour horrour or coldness and the exacerbations and remissions of the putrid Feaver will be at its set hours CHAP. XXII Of a Semitertian Feaver THis Feaver Hippocrates calls the horrid Feaver from its horrour or violent shaking it is a Compound Feaver and is two-fold exquisite and not exquisite that is made up of a continual quoridian and an intermitting tertian for it is more easie for a quotidian to be continual than a tertian and its fits are longer than those of a tertian Besides the horrour is not every day but every other day when then the fits both of tertian and quotidian meet together and are confounded but on the middle dayes there is only a refrigeration proper to the quotidian the reduplications are every third day not such as a tertian but dimidiately like them because the type of the tertian is changed by the flegme of the quotidian This Feaver is sometimes caused from a continual tertian and intermitting quotidian and not from two continuals or two intermittings as Archigenes and Celsus would have it whose opinions were they true it would not be horrifical as Hippocrates and Galen describe it for horrour proceeds from rigour and cold mixt The Non-exquisite is two-fold too the one when choller predominates the other when flegme if choller prevail there is a rigour and no horrour and it comes sooner to its state without many reduplications the heat is more acrid with vomitings and dejections yellow c. but if flegme predominate there is rather a chilness than horrour and many reduplications with flegmatick excretions less heat c. these Feavers are frequent in Aethiopia Italy and other hot Countries the gentlest of them is twenty four hours the middle sort thirty six the strongest forty eight if it bee exquisite every third day it is horrifical the pulse hard and unequal and so the heat the urine crass and turbulent sweats in these Feavers are bad because they are symptomatical and not from Nature conquering c. This Feaver is reckoned amongst the deadly and sometimes lasts a whole month sometimes degenerates into a Hectick sometimes to a Dropsie by reason of the many obstructions sometimes it is shorter when the matter is little and contained in the common ducts For the Cure if need be first give a Glister then take of Cinamon half a dram Agarick Trochiscate two scruples Rhubard four scruples honey of Roses and Diaphaenicum each an ounce infuse them in a decoction of Succory Hyssop Liquorice Raisins stoned Figgs Anni-seed flowers of Time Bugloss and Elder all night over the warme embers streine it and give it at the time of remission Take of the simple sirrup of Vinegar four ounces use it with the decoction of Barley or with Ptisâ—an made of Barley Raisins stoned Figgs and Liquorish or with a decoction of Sorrel rootes or Water and Sugar if Vinegar displease use sirrup of Pomgranates In a spurious one if choller predominate let your cholagoges exceed the Phlegmagoges and so on the contrary if the stomach be offended give gastrical Medicines