extendeth it self and reacheth even unto the spina or Backbone where the membrains that touch upon the Pleura are fastened and upheld and this pain is more remiss and moderate unless the membrain be together inflamed but if it be then the pain withal becometh extreamly pricking There is likewise a difficulty of Breathing and indeed greater than that in a Pleurisie so as that the sick person is with extream hazard and peril of suffocation enforced in a strait upright posture to draw his breath the brest or Thorax in that kind of situation being the more easily dilated forasmuch as in those that ly along in their beds it falleth down because that the parts of the Thorax or breast decline and rest themselves upon the spina or backbone which being erected the Thorax is likewise together born out and so is no longer heavy and burthensom unto it self The aforesaid Respiration is sublime so that in it the very top of the Thorax is moved even unto the very covering of the shoulder-blades it is also frequent and often in the begining and likewise it is greater than ordinary which in a short time by reason of the weakness and decay of the natural vigour and the instruments of breathing is chainged into that which is far less and is increased by the frequency thereof The Breathing is hot and because that by the expulsion of the sooty and misty vapours the Heart is lightened they are therefore the more eased and lightened the more they breath forth the aforesaid offensive and oppressing sumes The sharpness of it in a feaver is greater than in the pleurisie in regard of the neer neighborhood of the heart and hereupon there exhale hot vapours unto the Head which hurrying the blood along together with them make an impression upon the cheeks where the skin is but thin and so cause the face â—o become red the eyes and the Temple veins swel the cough is very troublesom by reason of the affect of the Lungs It is conjoined and accompanyed with spitle that is tenâ— forth at first with a kind of thinner putrefied and rotten matter and by and by dyed with blood and likewise otherwhile otherwise colorea and somtimes it is spit forth ful of froth The CAUSE is blood which is poured forth of the right angle or comor of the Heart into that vein that we cal Arteriosa and so filleth not only the veins and Arteries of the lungs but likewise also the whol body It is raysed and stirred up from external causes as a cold Air and especially the cold northern Air immediatly following upon the southerly the drinking of generous and strong wines a violent and more vehement motion after long rest and quietness and this upon a ful stomach the body being likewise ful and wanting Evacuation Anger and other the passions of the mind c. There is some hopes of a CURE if the Spitle being of a mingled red and yellowish color give out and intimate any sign of concoction in the Lungs affected and if the impostumations be thrust forth either unto the Ears or unto the inferior seats of the Thorax and so they either pass and turn into a fistula and so may be evacuated or else they are derived unto the Thighs It is somthing doubtful if there be want of spittle by reason of the contumacy or unpliablness of the matter and the imbicility of the natural powers if there issue forth and appear with much and thick urine those sweats that at first did arise about the neck and the head because those aforesaid sweats are thought to preceed from a forcible constraint suffocation and violence As for al other things in the cure if foloweth the method of other inflamations If it succeed any otherdisease and the blood be already evacuated then Cupping-Glasses with scarification ought to be applyed unto the Arms and the Thorax or Chest let the Expectorations be of the stronger sort and so likewise the Topical Remedyes The difference is taken from the subject and the causes I. One is of the whole lungs which if together with the heart it be inflamed to that it proceed exceed it self unto the side it then produceth in the sick person a resolution or palsie For the blood flowing abundantly into the great Artery so that the intercostal Arteries are thereby filled and so that also those little branches that penetrate throw the holes of the vertebra of the Thorax into the spinal marrow do swel the Nerves there passing sorth from the spinal are compressed and being thus pressed together they cause a resolution and Palsy Another there is of the one side or other of the Luâ—gs and not in the whole and then there is a pain and heaviness self sensibly and perceived in the one or the other part thereof if the upper wing be disaffected and suffer then the Affect extendeth it self even to the Channel bones of the throat but if the lower then it reacheth unto the diaphragm The vein on that side wherein the inflamation is ought to be opened II. One is from pure blood from whence there ariseth a Phlegmone It is known by this that there is produced a bloody spittle unless haply the disease be extremely Crude a streightness of the pracoerdia and of the whol Breast oppresseth the party an extraordinary great intence heaviness contracteth the stern to wit that part of the Breast where the ribbs meet and the Back the Patient is not much afflicted with any acute Fever But now that blood sometimes in the Angina or quinsy breaketh forth violently out of the Jaws and then they die within seven daies if they escape these then they become purulent And because that in those that are in the midst betwixt old age and the vigorous flourishing estate of those of ful and perfect growth the expulsive faculty is more Languid and weak than in yonger persons they are therefore not to be cured but with much difficultty Sometimes it is derived thither from the Pleurisy and yet not by the vessells because that there is no convayence for them but by the membrane that investeth al the parts of the Thorax and then in this case likewise in regard there is a translation of the matter from the outward parts unto the inward that is to say from the less noble unto the more noble parts and such as are nigher unto the Heart the Malady is therefore the more dangerous Another from Chollerick blood from whence it is that the Quinsey is frequently turned into the Peripneumonia and the Luugs being of a spungy substance doth easily admit of a Cholerick and the thinner sort of matter and drink eth it in more deep than other It is known by this that the cough rayseth a yellow spittle and that that is not mingled with much blood the streightness of the Chest and the sence of weight and the veins is less than in the former differences and lastly it is known by this that the
is little or nothing frothy rejected and cast forth sometimes by retching and with a cough that there is a heavy pain in the Head that the veins in the forehead are elated and strut out it is known also by the frequent retching and stretching and the sense of heat and the tasâ— as it were of blood Gargarismes are here of singular use Another from the Jaws which is known by retching the solution of Continuity which is very evident and conspicuous when the tongue is pressed down which said solution discovereth even the Gums and the parts of the mouth with a simple exspuition the Party spitting forth nothing but what is simple and unmixed It is taken away by a Gargarism of the rinds of the roots of the wildsloe trees sumach c. Another from the Throat in which there is cast forth blood with a freqent smal and easy Cough together with a pain of the Larinx Another from the Rough Artery in which there issueth forth a smal quantity of blood that is red and hot sometimes with smal strings cast forth together with a gentle cough and some kind of pain in the part affected Another from the Thorax or Breast in which the blood is little or nothing frothy but blackish and clotty sometimes stinking and mingled with purulent matter and it is ejected with a Coughing and pain It is cured 1. By opening the Hepatick vein of the right side and the blood ought to be drawn forth by degrees and often repetitions 2. By Evacuation with Cholagogues or such Medicaments as in purging extract and draw forth Choler 3. By incrassation where Trochisques of Crabs Claws de spodio and de terra sigilata or the sealed earth of Lemnos c. are much approved of Another from the Lungs in which the blood is continually frothy colored hot compact accompanied with a Cough and void of pain and somtimes there is together with it rejected a smal quantity and portion of the said blood corrupted and putrefyed Another from the inferior parts in which a little blood is cast up by vomit together with a pain and a bloody ejection c. Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title VII Of the Affects of the Heart Chap. I. Of the Palpitation of the Heart THe principal affects of the Heart are a Distemper a Palpitation and a Fainting or Swooning Touching the Distemper especially that which is hot we have spoken already in the second Book Concerning that which is moist Cold and dry there is nothing singular that offereth it self to consideration but what we may as wel make mention of in the other Species and kinds thereof and therefore we intend to treat only of those two sorts The Palpitation of the Heart is an inordinate and by its dilatation and contraction or setling it self composed motion of the same whilest it either expelleth that which is burthensome unto it or else attracteth that that is requisite and profitable unto it or else restoreth that that is Deficient and wanting It differeth from Trumor or the Trembling of the Heart in that this latter shifteth its place but the former seateth and fixeth it self in one place alone whether it be greater or less this of the Moving faculty that of the instruments and it may happen unto those parts that are otherwise immovable The SIGNS are evident and manifest enough unto the very senses to wit the sight the touch and the Hearing The Jugular Arteries are especially those that leap and Beat and their pulse is unequal and inordinate The CAUSE is either any thing irritating the moving faculty or else a necessily of refrigeration and cooling by Reason of the hot distemper or a Defect and want of the spirits touching al which specially and particularly in the Diffeâ—â—â—ces The CURE â—s exceeding difficult for the Diseaseâ— extreamly perillous it being very acute in each particular Paroxysm but of long continuance in regard of its intermiting and frequent returns If it proceed from the Coldness of the Heart if it continue long and from yeer to yeer and make many Recidivations it then for the most part is terminated and by a Syncope concludeth in Death It Respecteth I. The Paroxysm in this Case the Fomentation of Balm and Borrage the Water of the hearts of Animals known in the shops by the Name of Aqua Excordibus Animalium of Heurnius and the Juyce of Mother wort or as we cal it succus Cardiacae c. Have their due and proper place II. It respecteth the Causes touching which we wil treat further in the Differences The Differences are taken from the Causes I. One is from a Vapor or a Windiness exciting and irritating the Expulsive Faculty of the Heart which is known by this that its approach and surprisal is sudden and unexpected that it is excited by every light and gentle motion of the Body and there often a Trembling Seizeth upon the Knees and a darkness and dimness upon the Eyes c. This 1. Is either Collected there in that same place being Resolved of a matter Old and thick and fixed in that same place oftentimes with a Cold distemper but more seldom with a hot which if it be unequal it then raiseth up many Vapors and it is to be removed and quite taken away by opening the Vein either of the left or the right Arm according as the Pulse and beating is in this or that more restless and unquiet and especially if there be present a Plethory or over fulness of pure and good blood by the application of Cupping-Glasses to the Thighs by the removal of the Cause that is constantly and continually giving in supplies of matter and moving it up and down and from place to place and likewise by the discussion of the said matter And here there availeth much the Oyl of Citrons with some Conserve the right and true Phaponticum two scruples thereof given in Wine the Confection of Alchermes the Treacle Water with Camphire of Crollius Or 2. it is sent from the Inferior Parts the Stomach the Womb the Hypocondria c. And then regard must be had unto those parts 3. Or else it is Malignant and Poysonous and then there is present an extraordinary vehemency of the Motion which passeth into an inequality of al sorts as also into a fainting of the Heart and a Syncope or Swooning fits In this case there is commended the Cordial of Crollius made of Gold the Emulsion of Margarites with the water of Borrage and Cynnamon the Experiment of Thanckius of red Cora prepared and Margarites dissolved in the water of lavender by the inspersion of the oyl of sulphur or vitriol the water of Cinnamon with the spirit of Juniper c. Epithems of Alexipharmicks 4. Or else it is not poysonous unto which those things above mentioned may fitly be applied II. One is
and more windy 8. Rostock beer which quenches thirst expells the Urine nourishes little and is good in the summer time 9. Servestan beer which hangs long in the hypochondria and sometimes causes sharpness of Urine 10. Newburg beer in Thuringia which is wel boyled and nourishes if it be taken too plentifully it causes dimness of sight some have grown blind by too much use thereof 11. Erfurt beer which conduces very much to health 12. Torgave beer which breeds good blood and by its aromatical tast strengthens the principle members 13. Wittenberg beer which is like the Rheue beer being ill-boyled 14. Rauschenburge beer which is commended against the stone 15. Paderborn beer which breeds thick blood 16. Beer of Brabant Gelder and Zutphen which breeds the scurvy 17. Flanders-beer which is very commendable especially their double beer 18. English beer which makes the drinkers fat 19. The Rhemsh beer which is for the most part base and hurtful 20. Colen beer which is better than that of Brabant I pass over the differences taken from the vessels which also change the faculties They are kept sometimes in pitched sometimes in unpitched vessells Mead and Metheglin do for the most part Heat more than wine especially if spices be added thereunto But it easily turns to choler because of the Honey Chap. 2. Of non-natural things done by a Man NOn-natural things which are done are passions of the Mind Motion and rest of the Body sleepe and waking which are of great moment towards the preservation or violation of Health Touching affections of the Mind and their Action upon the Body these things are cheifly to be observed 1. That Moderate affections preserve health and make no change in the Body 2. Such as pass their bounds oft times disorder the body and sometimes bring sudden Death 3. If you consider the good Affections or passions 1. Love if it exceed because it vehemently inflames the spirits in the Heart endeavouring to draw the thing beloved to it self and therfore sending the spirits forth to meet it does often times cause palpitation of the Heart sometimes madness fainting c. 2. Cheerfulness if it be moderate recreates the Heart and vital spirits if it be sudden and in too great a quantity it so dissipates the spirits which the Heart therein sends into the outward members because of its over great dilatation that it oftentimes brings death 3. In Evil Affections or Passions 1. Sadness by little and little dissolves the spirits cooles and dries the body spoiles digestion causes watching and breeds melancholy diseases 2. Fear dissolves the strength of the Body by reason of the sudden recourse of the Heat Blood and spirits into the outward parts causes a smal pulse with refrigeration of the external parts and is sometimes the cause of sudden gray haires even in young Men. 3. Anger in which the Spirits and Blood do as it were boile in the Heart and are violently moved from the inner to the outward parts it agitates the spirits and Humors Heats the whol body and breeds Fevers Tremblings of the joints and Palpitations of the Heart do often invade angery persons Also women are thereby brought into danger of Abortion Anger hardly ever kild any body because the Spirits are therein freely and forcibly moved if any died upon occasion of anger of necessity there was some other natural disorder in the body II. That Motion is necessary for Health is hence apparent in that by encreasing natural Heat it furthers Nutrition by moving and agitateing the Spirits it discusses vapors and excrements it makes the body after a sort hardy by adding solidity to the parts by their mutual Attrition Now according to its Differences it works diversly upon the Body of Man The best is that which exercises al parts of the body alike The next to that is whereby al parts are moved but not equally the lightest of al is that which exercises one only part I. Two much Motion exhausts the spirits and solid parts cooles the whole body dissolves the strength of the Muscles Nerves and Ligaments and hurts the Eye-sight II. Swift motion renders the body thin and compacted III. Slow motion rarifies and encreases the Flesh IV. Vehement motion makes the body hard lively but leane withal V. Continued and equable Motion because the members are weakened thereby as being much it wearies the more VI. Vnequal motion because it is parted with spaces of rest wearies less VII Distinguished and ordinate motion brings less wearyness since Interruption brings rest and the rest is cause of less wearyness VIII In hot places it burns more in moist places it moistens because the bodies being rarified by exercise are most readily disposed to receive al the qualitie of the Air and Places IX Among motions caused by a mans self I. Leaping without Intermission stirs up natural heat but hurts the Head by concussion and the Breast by compression while the back is bowed Leaping on high is good for the Hips but bad for the breast Downwards to leap clenses the Head from superfluities and strengthens the things With Springing it is good for old Diseases of the Head and brings matter which tends upwards downe into the lower parts 2. Running if it be Vehement is good for Fat and moist bodies but it is bad for such as are troubled with any kind of Head-ach If Running be moderate it excellently warms the Body excites appetite and though at first it move defluxions yet it afterwards in tract of time stops them A long course fore right by little and little performed diffuses the flesh but renders the bodies thicker Backward if it be gentle it is good for the Head Eyes stomach Loins A Circular motion distends the flesh and belly and very much offends the Head uphil t is bad for the Breast and thighs Downhil it very much affects the head it shakes the bowels troubles weake hips upon plain ground it does al that has been said The body being covered by moving sweat it moystens and heats the flesh but it makes the bodys il colored because the pure air does not come at them to clense the same The body being naked it draws out great plenty of sweat it brings away the humors in invisible exhalations and does more burne the body 3. To excercise ungirt by hurling a weight by reason of the vehement straining to throw the same the vehemency of the motion and bending of the muscles does make limbes to grow firme and purges them from excrements but this excercise must not be used by such as have weake Breasts and Kidneys 4. Darting is useful to get a good habit of Body and therefore Aesculapius and Apollo were thought to be the first Masters of darting 5. Moderate walking abroad continued without resting makes the body pure it helps defluxions and suppression of the courses Swift walking does heat much and abates the greatness of the flesh Slow walking is convenient for ancient and weake people because it
the nature of the disease if the patient beare it not wel It is bad if it happen before the state nature being provoked by malignity or plenty of matter if it were foreshewen to be such in the Indicatory day howbeit many times it comes suddenly if other things are present contrary to the best kind of Crisis Where observe 1. Oft times in a bad Crisis the patient seems to be better yet presently after he fals into a bad condition because the signs of amendment were not wel grounded 2. Somtimes in deadly sicknesses the patient being strong for one bad and simply deadly Crisis many evil imperfect ones happen in which unstable rudiments of Coction appeare before the patient come to die 3. The Prognostications of the Crisis in reference to death are unstable VI. The times of the suture Crisis are knowen 1. By the signs of Coction and crudity which must necessarily appeare upon some Indicatory or decretory day The crisis wil happen upon the fourth day If a signe therof appear on the first day or on the seventh day if the signe be on the fourth 2. By such signs as the idea magnitude and manners of the disease afford of which we spake before 3 By the signs of the times of diseases for a perfect Crisis happens not before the state but the imperfect Crisis does the deadly crisis happens also in the beginning or augment 4. By the critical signs which you had before Title II. Of The Causes of Diseases Chap. 1. Of the internal Causes in general ANother preternatural disorder which afflicts the Body of man is the cause of a disease and that is external or Internal But seeing the latter is an effect of the former or rather does therewith much conduce to produce the disease I shal therefore only define the internal The internal Cause of a disease is that which being bred and inherent in the Body of Man does preternaturally affect the same Touching which we are to consider its signs Causes and Differences I. The signs of causes are taken in general 1 From their proper tokens viz. tast colour and motion 2. From a concourse of common signs which are taken from the Antecedents and Consequents or evident causes and from the dispositions of the Body and Symptomes II. The Causes of the internal Cause are the things nonnatural Aire Meate Drink Motion and Rest Sleepe and watching Things voided and retained and Passions of the mind as far forth as they have power to disorder the Body And to that end time is requisite as also proportion between the agent and patient Fitness of the Body and Contact III. As for their differences the internal Causes are reduced to the Humors Winds and things totally besides nature Chap. 2. Of the Internal Causes of Diseases in special Article I. Touching Humors Point 1. Concerning Humor 's offending in Quantity or a Plethora so called THe first kind of internal Causes are the Humors and they are wont to offend in Quantity Quality Motion Place and in their whole substance Humors offending in Quantity are termed Plethora which is nothing else but a superabundance of Humors fit to nourish the Body which arise from their Causes Humors nourishing the body of man are contained in the mass of blood viz. Blood Cholor Flegm and Melancholly These being turned into the substance called cambium do nourish such parts as are of kin to themselves and communicate to them as much health as themselves are Masters of The signs of Plethora are wearyness because the blood not being ventilated settles into the lower parts Thick breathing after very smal Labor the Muscles of the Chest being laden with blood Swelling of the veins Distension of the Muscles carnosity of the Bodies habit Deep sleeps ruddyness of the face c. The Causes are good nourishment which affords good juice The Liver hot and moist which makes it Idleness evacuations stopt cutting off of some member Use of unwonted bathings after meate The Differences are I. One is Exquisite when either al the Humors are encreased keeping their due proportion and equality viz so that the blood be in a double proportion to flegm and flegm double to cholor or only blood alone or two or three of the rest exceed blood also not keeping its proportion 'T is knowen by the signs forementioned It arises also from the causes aforesaid Another is bastard when plenty of bad juices is joined with abundance of the natural humors 'T is knowen by the signs of a Plethora joined with those of a cacochimia and it arises from the causes of both II. One is termed ad vasa or in respect of the vessels which does not oppress the strength because it increases equally with the flesh blood but it distends the coates of the vessels by its plenty to which the things aforesaid agree Another ad visis when the Humors so encrease that they cannot be governed nor digested by the feeble strength of the Patient 'T is knowen hereby that the blood is not very good there is heaviness and Inequality of the pulse with signs of crudity and putrefaction beginning Point 2. Of Humors offending in Quality or Cacochymia so called CAcochymia is the presence of il humors in the Body of Man springing from their Causes It s Subject is the Body of Man 1 Both in respect of the Veins Arteries and Nerves as also of things without 2. Also in respect of the Region of the Belly which includes the stomach mesaraick veins hollow-part of the liver the spleen and sweetbread 3. And of the Venous region which containes the convex part of the Liver with the vena cava the greater Artery and al their branches between the Armpits and the Groines Also the Habit of the body which includes the muscles membranes Bones in a word the whol bulk of the body The signs are to be fetcht from the differences which follow Hereunto pertains the motion of certaine daies which is neither critick nor symptomatick but natural which is measured by certain daies and hours and is so punctual that it may contend with the Clocks The Causes the six non natural things of which we spake before 'T is variously dvided I. One sort is from Cholor which is a preternatural humor hot and drie preternatural I say because it is distinguished both from the more hot part of the Mass of Blood which is bred of the hotter and thinner part of chyle as also from natural excrementitious cholor which is collected in the Gal-bladder and colours the dung 'T is knowen by the amplitude of the veins by reason of Heat enwidening the same by depravation of the concoction through superfluity of heate defire of drink more then of meat vehement pulse sleep little or none leane habit yellow colour of the Body by its motion from third day to third day and that about noon It arises from an hot and dry constitution of body youths age watchings anger overgreat exercise of the Body meates
hot and dry fat and sweet 'T is divided 1. Into Vitelline resembling the yolke of an Egg which springs from yellow chollor adust and is thick by reason that the wheyish part is consumed by heat is sometimes voided by healthy persons turns to black chollor if it be burned 2. Into that which is termed porracea or Leeke coloured which is bred for the most part in the stomach of herbs apt to corrupt through crudity and oft times in the veines of vitelline choler 3. Into Aeruginous or verdigreise color'd choler which by a most intense Heat is bred in the Liver Veins and stomach 4. Isatidea or woad-colored choler which resembles woad being bred of the former more adust II. Another from Flegm which is a preternatural Humor cold and moist I cal it preternatural to distinguish it both from the colder part of the mass of blood as also from that flegm wherewith the stomach Guts Lungs Limbs and Brain are plastered 'T is known by the softness whitness of the body and by crudeness of the stools By Urine Crude White sometimes thin and somtimes thick by appetite of more than can be digested by its daily motion and that towards the Evening It arises from meats Crude and cold unseasonable drinking and cold distemper of the bowels From retaining of Excrements by idleness long sleep c. 'T is divided 1. Into Insipid or Tastless which follows crudity in the stomach through want of digestion and makes the body of a leaden color 2. Acid which is of the same nature with the former 3. Salt which arises from salt and wheyish moisture consists of parts both hot and cold causes thirst salt tasts in the mouth and gnawings 4. Vitrea like glass in substance and color it is extream cold and very clammy and raises most cruel gripeings when it is detained in the Body III. Another is from Melancholy whiâ—â— is a preternatural Humor cold and dry I say preternatural to difference it both from the colder and dryer part of the blood which is produced in the Spleen out of the colder and dryer part of Chyle drawn by the Ramus Splenicus of Vena porta before it enters into the Liver to nourish the Spleen and grosser parts as also from the natural excrementious sort which because it can by no means be turned into Aliment it is cast out of the Spleen partly by the Hemorrhoid veins partly by the splenick Arteries sometimes comes as far as the stomach c. 'T is known by the Leaden color and blacknes of the Urine Suppression of the Hemorhoids flatulency and belching overgreat appetite sadness silentness troublesome dreams leanness of the Body hardness and leaden color thereof and its motion from four to four about midnight It arises from meats of thick juice Beef Coleworts Fish upon which a drying not burning beat does work From Air cold and dry consuming the thinner parts especially if an hot and dry Summer went before by suppression of the Hemorrhoides or other melancholick evacuations c. 'T is divided into dilate or thin which is known by abundance of Urine and sweating anights Thick which is known by the obstructions of melancholick people Blackcholer which arises from heat burning the blood choler or melancholy juice And it is somtimes sharp somtimes tastless somtimes so austeer and harsh as to dissolve the flesh and being poured upon the ground to make the Earth ferment and work IV. Another from a serous Humor which is nothing but a thin and salt watry Humor affecting the body by its plenty and quality 'T is known by plenty of Urine and swear somtimes by a wandring pain because in regard of its thinness 't is easily carried up and down and it easily grows hot by an extraneous Heat By the sudden going away and coming again of diseases somtimes by swelling of the Belly c. It arises from meats moist and watry also from good meats and in persons recovering from sickness by reason of the wasting and languishing of the stomachs Heat By detention of serositness by reason of the expuisive â—â—â—â—ties weakness through obstruction of thâ— other bowels or constriction of the pores through external cold fault of the spleen c. To this Humor only of al others there is somtimes joyned a Colliquation or melting of the bodies substance which happens either in Famin through wasting of the natural Heat and turning the radical moisture and flesh into a vaporous humidity or in case of bad diet when the aliment not being surable nor familiar to the body is not assimilated into the substance thereof whence the former Colliquation follows 'T is divided into that which is mild which is nothing but the thinner part of the blood and sharp which has attain'd its saltness from adustion Point 3. Of Humors offending in their Motion Place and whole Substance I. Humors offending in Motion are the very same forasmuch as they flow into the parts either by means of Attraction or Transmission Those parts are either the weaker and ordained for no remarkable action either by Nature as the loose soft and thin woven or through some sickly constitution or the more liable which have some connexion with the part sending and waies wide and large by which they receive the Humors or lie under the sending part The Cause of the Motion is 1. Attraction through heat caused from without or through pain For the pained part grows hot by plenty of spirits sent to it Nature endeavouring to drive away the Cause of the pain fils the pain'd part with blood and spirits finally pain weakens the part and makes it most fit to receive the Humors 2. Transmission either from the whol body or the venous tribe or from some parts namely when their expulsive faculty is strong the waies open and the matter plentiful Yet it somtimes notwithstandind happens that the Humors being accumulated in their vessels begin of their own accord to be moved and rush violently into some one part according to the nature of its scituation and conveniency of Vessels Now those Humors are most of al moved which are most thin and sharp as the cholerik II. Humors offending in place are the Humors aforesaid when they are where they ought not to be The Causes are 1. Influx either by attraction or Transmission 2. Congestion which happens either by fault of the part inasmuch as its coctive or â—â—â—ulsive faculties do not their duties or tâ—â—â—gh fault of the Nutriment when it is vitious and such as to cause such great quantity of Excrements or when gross matter is produced which resists the expulsive faculty III. Humors offending by their whol substance are those which having gained within the body a peculiar corruption they do after an hidden manner and by their whol substance affect the same Understand both preternatural excrementitious Humors and natural excrementitious Humors retained as seed clotters of blood menstruous blood The Signs are the sudden invasion of malignant symptomes as
knowen in that it afflicts with a gentle heat with which appear the notes of putrefaction in in the Urine and Pulse It is not burthensome to the Patient by any grevious symtome The Patient can hardly stir on his Legs for weakness The bodie pines away by little and little 'T is protracted beyond the fortieth day 'T is exasperated by the use of Purgers It keeps no order It arises from putrefaction of matter shed forth of the Vessels into the substance of some bowel or at least fast fixed in the Capillary Veins which are dispersed through the substance of the bowels and by its putrefaction corrupting the said substance From whence Vapors cannot be carried towards the heart in such great plenty as in other Feavers T is Cured by aperitives attenuatâ—rs and detergents appropriate to each part We must also use gentle Purging c. IV. Another sort there is Which arises from the Putrefaction and Corruption of some Bowel From whence putrid Vapors are communicated by the Veins inserted into the heart and heat the same It is somtimes more gentle otherwhiles more Vehement It happens for the most part in Putrefaction of the Lungs in Fistula's that peirce deep into the Cal Nesentery Womb c. The Cure is to be directed to the Ulcers and Fistula's of the internal parts V. Another springs either from Corrupt Milk as often betides Infants or from Blood somwhere Putrifying without the Vessels or from worms or from Crudity familiar to infants because of their greedy feeding with swelling and inflamation of the Hypochondria putrid Vapors being communicated to the heart In the Cure respect is to be had to the Causes and parts affected Chap. 3. Of an intermitting Feaver or Ague in general AN intermittent Feaver commonly called an Ague is a Feaver arising from Vapors which proceed from Humors bred in the Mesaraich Veins Putrifying and ever and a non entring the Vena Cava invading the sick person at certain set times and ending with excretions or Evacuations It 's SIGNS are to come at certain set times with shaking shivering or cold the sensitive parts being vexed and nipped as it were with a sharp Vapor To end by sweating Urine or passage of the Vapors through the pucrepores of the skin by scabbyness if the thicker part of the Humor be thrust forth into the skin Now necessary it is that it should come at certain seasons and then remit and come again For there remains a defilement in that part which is the seat of the putrefaction with a weakness also in the said part Wherupon the affluent Humor though it be good is defiled by the impurity of the part as it were with Leven and through the weakness of the parts it is corrupted Now this return of the Feaver or Ague is caused 1. Partly by the diversity of Humors seeing it alwaies agrees to them nor ever varies into whatsoever body it happen partly because of a peculiar Quality they have which ought either to be ascribed to celestial Causes or it arises from a peculiar corruption 2 It comes either just at one and the same time or by reason of some external causes which move the Humors it anticipates or the Humors being diminished it comes later Also the fits are either short if the matter be little or thin the bodies constitution not close compact the Patients strength Vigorous or long if the premises be contrarily disposed The next Cause is a putrid Vapor arising from an Humor and assailing the Heart Touching the humor three things are to be observed 1. That it is a Putrid Humor which appears by the Urine which has in it signs of putrefaction Nevertheless it does not All putrifie at once in the first Paroxysme but only a Part which is disposed to putrifaction the rest in the following fits til al be consumed 2. That the Hearth and Tinder as it were and place of the said Humor as wel out of the fit as in it is the Mesarick Veins Which appeares both by the stomach sickness Vomiting stretching and pain of the Hypochondria c. With which the Patient is troubled and also by the frequent Vomitings of Choler in very great quantity at the beginning of these feavers which could not be evacuated in such a manner from the remote Veins likewise because the approach of the fit is collected by the compression of the pulses at the beginning of the fit which the Greeks terme Episemasia and the matter is purged out by Urine 3. That the said Humor is ever and anon transferred into the Vena Cava and the Artery The truth is Crudity and Coction are observed in Agues or intermitting feavers as wel as in the continual At first the Humors are moved from the Circumference unto the Center And seeing the branches of Vena Porta are inserted into the substance of the Liver and their mouths communion with the Vena Cava and the Arteries proceeding from the heart are in the Stomach Guts Spleen and elsewhere joyned to the mesaraick Vessels the waies by which these Humors may be carryed thither are evident enough The CURE of intermitting feavers or Agues is Performed 1. By Removing the Debility consisting in the part by altering Medicines 2. By Withdrawing the Putrid Defilement with Purges Blood-letting if blood abound in Vena Cava and be corrupted by Vitious Humors By Sudorificks which are of greatest force in this Cure Precipitating Medicaments are commended at first as Crollius his pouder of snails shels pouder of mother of pearle calcined four scruples and the Magistery of Crabs eyes Externally are applied Cobwebs and Populeon Ointment the fish we cal a Tench bound to the soles of the feet c. Article I. Of a tertian Intermitting feaver or tertian Ague An Intermittent feaver specially considered is either a Tertian or a Quotidian or a Quartan Howbeit there are Quintans Septans Octans Nonans But those modes of Agueâ—â— are seldom seen and are but certain sortes of the simpler Modes aforesaid only a fit Two or three happen to be omitted So a Qintan is a sort of tertian in which the third day is without accession An Intermiting tertian Feaver or tertian Ague is a feaver springing from excrementitious cholor putrifting in the mesaraick veins afflicting every third day with a cold shaking fit which is followed with a hot fit and other symptoms Its SIGNES are Paroxysme or fit which seazes the patient every other day with a shaking cold The shaking cold being over much Heat arises the pulse is at the first begining of the fit smal slow afterward frequent The Vrin reddish c. The CAUSE is a Cholerick filth in the mesaraick veins either alone or mixed with other humors and putrifting Springing from meats apt to be corrupted or others fit to generate the same and sending putrid vapours to the Heart The CURE is performed 1. By Evacuation of the first waies with lenitive medicaments or clysters 2. By Vomit if the matter tend to the stomach and
impostums of the Brain abundance of Yellow Choler c. Or else they exalt the same such as are hot and dry temperaments that cause an inordinate motion of the Animal spiritts Or else lastly They impede and hinder the motion of the Animal spirits and such are a less than is requisite conformity of the head and brain the over great thickness of the same c. The CURE respects the several Causes and may be taken and understood by what hath been already above spoken Those medicaments that are appropriated either for the conservation or restoration of the memory are reputed and accounted to be that they term Tinctura lunae taken in the water of lilies of the vally The pouder of Trithemius of which there is sufficiently spoken in the miracles of Mullerus the Anacardine Confection in weight half a dram thereof exhibited and taken with al possible cautions unless haply an hot and dry temperament hinder it Those things that resist and therfore are good against a cold and moist distemper are that water that Practitioners cal Aqua Magnanimitatis Cunradi The lily of the vallys balm frankinsence in weight half a scruple taken with wine Nutmeg c. Toughing which consult the practitioners in Physick Article II. Delirium or dotage A deliry or dotage is a depravation of the Phantasie and the ratiocination Faculty arising from the bringing and presenting of an absurd and inconvenient Phantasme The SIGNES of a delirium beginning are garrulity or talkativeness in a person of few words and so on the contrary fierceness in a quiet and mild person ribaldry and scurilous speech the quick motion of the eyes in regard that they are associated with the brain Arteries veins and nerves a pulse with perturbation in the Hypocondria But the signs of that that is present are speeches and actions that the patient hath been altogether unaccustomed unto and which in themselves are indeed very absurd and incongruous The CAUSE hereof is an absurd Phantasme having its rise and original from a default in the Animal spirits as wel those that are fixed as those that are movable which ought to be pure clear and transparent temperate and regularly and ordinatly movable For if they swerve from those aforesaid requisites there is then an error and mistake communicable unto the Phantasmes about and upon which the Reason is employed and busied and then those Phantasms are represented unto the intellect or understanding otherwise than they ought to be The CURE is different according to the variety of the differences It is divided into a dotage that we cal primary and that which we cal sympathetical I. The Primary is that when the brain is in its one proper substance and essence that is in it selfe affected and this is either with a feaver of which more in the Chapter following or else without a feaver containing under it as wel that wherein Paraphora and Leron that is to say an error of the mind or a dotage and busying of it about toies and trifles proceeding from the imbycillity of the principal faculty by reason of an immoderate flux of blood or else by reason of long continued watchings as that we term downright folly in the which the principal faculties are not only impared and diminished but likewise extreamly depraved and corrupted II. That which is sympathetical when the Cause is communicated from other parts It is disposed and divided into that which is without a feaver which comprehendeth under it temulency or a kind of drunkeness and distemper brought upon the spirits either by wine or beer or else from hemp darnel henbain the dry sticks of that they cal Levanthe the rinds of mandragoras opium and the like Those things that preserve are the smal strings of wormwood and Rew eaten upon an empty stomach the cabbage or colewort and a morsel of bread eaten after a draught as aforesaid those things that accomplish the cure are vomits and the use of things Acid and sharp c. and into that that is with a feaver which often hapeneth in acute feavers and not otherwise And then the feaver is at hand and presently appeareth if it shew it selfe in the very begining without any apparent signs of concoction it introduceth a Phrensie which is quallified in great part removed by sleep but if it happen to be with concoction and other hopeful signs and tokens then it is Critical and decretory It is cured 1. By revulsion by the opening of a vein in the feet and other such like remedies 2. by tempering and allaying the extraordinary heat of the blood in the head by topical or local medicaments 3. By the application of hypnoticks or medicaments caussing sleep 4. both by the evacuation of the matter which hath already seized the head and this is to be done by openining either the forehead or the tongue vein and likwise by the discussion of the said matter by applying unto the head pidgons dissected and cut in midst and withal the decoction of Camomile c. Or else it happeneth in an inflamation of the parts and especially the diaphragme And then the breathing is unequal the Hypocondria are violently drawn back more inwardly there is likewise Joyned therewith a deliry or dotage together with a Cough and a pain of the side The Cure ought to proceed according to the Nature and condition of the part affected Article III. Of a Phrensie A Phrensie is a perpetual and Continual deliry or dotage arising from the Inflamation of the Membranes of the brain and afflicting the Patient with a continued Feaver The SIGNS are a perpetual doting a continual Feaver incessant watchings and short and frequent drawing of the breathe The CAUSE is an inflamation of the Membranes of the Brain of the which we have already above treated in this very Book The CURE ought to be ordained according to the Disease the Nature of the watchings and the suppression of the Urine In this distemper Venesection or blood-letting is one especial if not the only Remedy But then a plentiful measure or as we say good store of blood is somtimes to be drawn forth at the Nostrils by putting up a Feather made into the fashion of a Star even unto the very Root of them and forcibly turned about therein But touching what we are now upon more may be seen in what hath been already delivered concerning the Inflamation of the brain Neither must we forget by reason of those aforesaid watchings together with repellers to mingle Hypnoticks that cause rest or else they ought to be administred severally and by themselves alone as we see good Three grains of Opiat Laudanum cautelously administred in a convenient liquor least the Phrensie should by any means degenerate into that Disease we cal Veternus that is the Lethargy or drousie distemper are very much commended This said mutation or change is wont to happen either of its own accord or else because the sick persons neglect cannot endure to reply unto
then the peccant matter assumeth unto it self and worse and more offensive quality if it happen to be in a burning Feaver and that a doting follow thereupon for then some great and grievous Disease succeedeth and the strength and powers of the body are wasted and consumed if the sick party Shrink and Start when he â—s toucht for then the Nerves are become over moystened by the peccant Humor But when we set about the Cure and that there be any hopes of effecting it it is then to be instituted and prosecuted according to the Nature and disposition of the several Causes and differences touching which we purpose to speak further in the sequel The Differences are al of them taken from 〈◊〉 the Causes introducing the same I. One is from External Causes especially such as are Malignant and Narcotick as to instance Quick-Silver Poysons opiates Henbane the Retention of the Secundines or After-birth and the suppression of the blood after delivery al which are to be removed Another is from Causes Internal of which we shal speak more in the Second Difference II. Another is from the Scarcity and want of Spirits which either are not generated and bred in a due and fitting sufficiency by reason of a cold distemper of the brain and in this case in the Cure thereof the Nature of the Disease it self ought heedfully to be regarded or else after they are generated they come to be dissipated wasted and consumed by an excessive heat an over great Evacuation and some long continued tedious Diseases and here we are to deal and do our endeavour by prescribing a fit and convenient Diet. Another there is from some faults and faylings in the Nerves themselves which may be I. A Cold and moist Distemper of the brain and there are some signs present of a misaffected brain The Cure must turn towards and Eye the Distemper For those Remedies that are taken inwardly these following are cheifly commended VIZ. The Essence of Balm and stoechas of Arabia Among the Medicaments that are to be externally administred these are highly approved of to wit the Oyl of the flowers of Trifoyl or the three leaved Grass vulpinum or the oyl of a fox the oyl of pepper the Oyl of castor c. 2. A Plethory when some wonted Evacuation is suppressed then in this case let a Vein be opened 3. An Obstruction of those same Nerves such as we term partial ones or a stoppage of them but in part whether it proceed from thick and gross Humors or else from Gluttony and sur-charging the stomach and other such like Causes See further hereof in the subsequent Cure of the Palsie Article V. Of the Palsie The Palsie is a spautaneous and voluntary abolition of motion in the parts without any the least hurt of the Reason arising from a defect and want of the Animal spirits through some fault and errour in the Nerves There is here no need of SIGNS the motion for the most part perisheth the sense and feeling stil remayning there is likewise a kind of softness and tenderness in the part affected a coldness also a weak pulse c. The CAUSE is a defect and fayling of the Animal spirits which happeneth by some fault of the Nerves There is no CURE at al to be expected if it chance to be from an extream and forcible Relaxation or Loosing of the Vertebrae in regard that then the Nerves are greatly crushed together and very much bruised insomuch that an inflamation followeth thereupon if it proceed from an incision or cutting of some one of the greater Nerves or the the spinal Marrow because there is then no Hope of a Coalition or closing together again of the incision The Cure is likewise exceeding Difficult and hard to be effected if it happen unto aged people in regard that it denoteth an imbicillity of the heat if the member be extenuated and the natural vegetative heat thereof be changed and altered especially if the eye on that side be impaired because it argueth then that the heat is wel nigh extinguished if there be many of the nerves and muscles affected if it succeed and follow upon an Appoplexy in regard that then the cause is over vehement But the Cure is more easie if the resolution be in the thinges or feet because that in those parts the nature and constitution of the nerves is dryer than elsewhere if the member resolved and loosened be actually hot and lastly if a trembling or a feaver follow upon it It is to be instituted and ordayned according to the nature of the causes and the differences The differences of a palsy are very various I. One is Vniversal in the which either the whole body the head alone excepted is seized upon or at least the one halfe thereof or one side of it And then if the Face be affected the brain also together with the spinal marrow is affected But if al the parts beneath the face then the begining and first entrance into the spinal marrow which we cal the marrow of the back bone is very far amiss in its transverse situation but if the affect surprise only the one half of the body one side then only of the Said spinal marrow is likewise affected and becometh faulty Another is particular when alone some one certain part suffereth And then if the Arms and hands be deprived of their motion then the nerves that proceed forth from the vertebre of the hinder part of the neck offend and are faulty If the Feet then those nerves that are in the vertebrae of the Loyns and the Os sacrum or channel bone If the eyes then the second pair of nerves is affected If the Tongue then the seventh payr of the nerves is affected And lastly if the voice fail then those nerves that are called recurrentis they only are affected and do suffer II. Another difference there is arising from a distemper in the nerves themselves by reason of phlegmy and cold humors that relax or loosen and dissolve their tone and these for the most part descend from the head These humors may be known and more fully understood what they are out of the Chapter touching the distemper of the head The Cure is to be wrought 1. by a gentle evacuation and imploying of the first and most principal passages least that otherwise the preparatives draw the crude humors into the stomach and here vomiting procured and excited by the use of Crato his vomitary made of the Juyce of the reddish in the which black hellebor hath bin steeped and infused hath its place if the stomach be stuffed ful of flegm but then if the matter be in its flux and motion the evacuation ought to be so much the stronger 2. by a preparing of the matter more than once by Cephalick medicaments among which Iva Arthetica primrose flowers the Flowers of Lilies of the Vally are the best that are now adayes in use 3. by purging with mechoacan or the
to the variety of Causes I have endeavored to reduce al to the Differences both that the disease might be thereby more exactly known and the diversity of the Cure more accurately expressed If you shal ask what Authors I follow you may please to take notice that I did long since Collect this Introduction to the Practice of Physick out of the Volums of Daniel Sennertus that most renowned Physitian whose method and order I do now also welneare in al things follow With him I have compared Fernelius Joel Capivaccius Liddelius Aquapendens Petraeus Ferdinandus Fabricius Martinus Collutius Fracastorius Fallopius Quercetanus Zacutus Lusitanus Crucius Platerus Septalius Heurnius Ferrandus Hochstetterus Untzerus Mynsichtus Beckerus Hart-mannus Stockerus and others al which you shal find cited in their places As for Medicaments I have set down those which I have found most highly commended by the best Physitians Nor have I concealed such as in my Travels I have obtained from certain brave men nor such as I found in the Study of Mattheus Vechnerus of blessed memory cheife Physitian to the King and my Father in Law such a Physitian as this Country of ours has hardly afforded his equal and which makes most of al to his praise a man void of Dissimulation Boasting and pompous haughtyness of mind And many times I have only pointed at the Medicaments by naming them and their Authors that I might thereby provoke young Students to read the said Authors and least that if I should have set them down at large young persons would have abused them by a dangerous presumption Concerning the Use what it is and when the student is to employ the same I shal now speak As to the former you have here an Introduction into those vast works of Saxonia Mercatus Massaria Capivaccius Radius Sennertus touching the diseases of Mans body This work wil serve instead of a book of common-places into which al that a man reads may be referred as to an Index whether they be such things as I have not touched or serving to correct some error for I beleeve I may easily have erred enlargement or clearing up of what is said As to the latter the student of Physick is first to be wel read in the Speculative Rules of the Art before he Practice Also he is to have skil in the Nature of Plants Minerals Anatomy and Chimistry And this is that which I thought fit to acquaint thee with Studious Reader Farewel THE CONTENTS OF ALL THE TWELVE BOOKS OF THE Idea of Practical Physick PROLOGUE BOOK I. Of that part thereof which we cal Hygieine TItle I. Of things not Natural in General 1 Chap. I. Touching things not Natural that are assumed or taken into the body 2 Article I. Of the Air. ibid Article II. Of Meat 5 Point 1. Of the differences of Meats ibid Point 2. Of the sorts or kinds of Meats 7 Point 3. Of Sauces bread and the time of Eating 16 Article III. Of Drink 18 Chap. II. Of Non-natural things done by a Man 20 Chap. III. Of Non-natural things externally used 23 Chap. IV. Of Non-natural things which are voided and retained 24 Title II. Of the Method of preserving Health ibid Chap. I. Of preservation of Health in general ibid Chap. II. Of preservation of Health in special and first of the good Habit. 25 Article I. Of preserving the Health of wel habited persons ibid Point 1. Of preserving the Health of Infants Children and youths ibid Point 2. Of preserving the Health of middle-aged persons 89 Point 3. Of preserving the healths of old People ibid Article II. Of preserving the Health of Intemperate persons 26 BOOK II. Treating of the Preternatural Affections or Disorders of Mans Body and their Respective Signs TItle I. Of a Disease in general 1 Chap. I. Of the Nature of a Disease ibid Chap. II. Of the Diagnostick signs of a Disease 4 Chap. III. Of the Diseases Event or Issue 6 Title II. Of the Causes of Diseases 11 Chap. I. Of the internal Causes in general ibid Chap. II. Of the internal Causes of diseases in special 12 Article I. Touching Humors ibid Point 1. Concerning Humors offending in Quantity or a Plethora so called ibid. Point 2. Of Humors offending in Quality or Cacochymia so called ibid. Point 3. Of Humors offending in their Motion Place and whole Substance 13 Article II. Of Winds 14 Article III. Of things totally against Nature ibid Title III. Of Symptomes 15 BOOK III. Touching Medicaments TItle I. Of Medicaments in general 1 Title II. Of the sorts of Medicaments and their Differences 3 Chap. I. Of simple Medicaments ibid Article I. Of such Medicaments as are dug out of the Earth ibid Article II. Of Vegitable Medicaments 4 Article III. Of animal Medicaments 8 Article IV. Of Medicines taken from the Body of Man or the little World 9 Chap. II. Of Compound Natural Medicaments 9 Article I. Of the Medicinal Wels. ibid Article II. Of Baths 10 Chap. III. Of Compound artificial Medicaments in general 11 Chap. IV. Of Compound artificial Medicines in special 12 Article I. Of Internal Medicamedts ibid Point 1. Of internal fluid Medicaments ibid Point 2. Of internal solid Medicaments 14 Point 3. Of internal Medicaments of a middle Consistence 15 Article II. Of external Medicaments 16 Point 1. Of external fluid medicaments ibid Point 2. Of external solid medicaments 13 Point 3. Of external medicaments of a middle consistnce 14 Point 4. Of external indifferent medicaments 19 Chap. V. Of medicaments denominated from their faculties ibid. Article I. Of altering Medicaments ibid Point 1. Of hot medicaments ibid. Point 2. Of cold medicaments 20 Point 3. Of moistâ—â—ing medicaments 21 Point 4. Of dry medicaments ibid. Point 5. Of medicaments digestive Emollient Hardening and Losening 22 Point 6. Of medicaments which Rarifie condense stop and open the mouths of the Vessels ibid. Point 7. Of Attenuating Aperient and incrassating medicaments 23 Point 8. Of Obstructive and Deobstructive medicaments ibid. Point 9. Of Anodines and Narcoticks 24 Article II. Of medicaments which cause motion ibid. Article III. Of medicines which generate somewhat ibid. Point 1. Of Ripeners Quittor-breeders and Flesh restorers ibid. Point 2. Of Sodderers and Scar-bringers 25 Point 3. Of milk and Seed-breeders ibid. Article IV. Of corrupting medicaments ibid. Article V. Of medicaments which take somewhat away 26 Point 1. Of purging medicaments ibid. Point 2. Of Vomitories and Diureticks 28 Point 3. Of Hydroticks and Diaphoreticks ibid. Point 4. Of medicaments which purge the Brain 29 Point 5. Of Expectorators ibid. Chap. VI. Of medicaments denominated from the parts of the body ibid. Article I. Of Cephalick medicaments ibid. Point 1. Of Cephalick medicaments which are hot ibid. Point 2. Of cooling Cephalick medicaments 30 Article II. Of Ophthalmick medicaments ibid. Article III. Of Chest medicaments 31 Point 1. Of Heating brest Medicaments ibid. Point 2. Of cooling Chest medicaments ibid. Article IV. Of Cardiac or Heart-Medicines ibid. Point 1. Of Heating
Heart-Medicines ibid. Point 2. Of cooling heart-medicaments 32 Article V. Of Stomach Medicaments ibid. Point 1. Of hot Stomach Medicaments ibid. Point 2. Of stomach cooling Medicaments 33 Article VI. Of Epatick Medicaments ib. Point 1. Of hot Liver Medicaments ibid. Article VII Of Splenetick Medicaments ibid. Point 1. Of hot Splenetick Medicaments ibid. Point 2. Of cooling stomach medicaments 34 Article VI. Of Liver-medicaments ibid. Point 1 Of Heating Liver-medicaments ibid. Point 2. Of Liver coolers ibid. Article VII Of Splenetick Medicaments 35 Point 1. Of warming spleen medicaments ibid. Point 3. Of cooling spleen Medicaments ibid. Article VIII Of Nephritick Medicaments ibid. Point 1. Of heating Nephriticks or Kidney-remedies ibid. Point 2. Of cooling Nephriticks 36 Article IX Of Vterine Medicaments ib. Point 1. Of heating Vterine or Womb-Medicaments ibid. Point 2. Of Womb-cooling Medicaments ibid. Chap. VII Of vegetable Medicaments referred to the seven planets 37 BOOK IV. Of the Method of healing in General and in Special TItle I. Of the Method of healing in general 1 Title II. Of the Method of healing in special 2 Chap. I. Of the Additional Method ibid. Chap. II. Of the abstructive Method in generall 3 Chap. III. Of the abstractive Method in special and first of the taking away of Causes 4 Article I. Of the taking away of Causes which offend in Quantity ibid. Article II. Of the Removal of Causes which offend in the Quality 5 Point 1. Of alteration ibid. Point 2. Of Purgation 6 Point 3. Of provocation of Vrine Vomiting and sweating 8 Article III. Of the Removal of Causes offending in Motion 9 Point 1. Of Revulsion and Repulsion ib. Point 2. Of derivation and Interception 10 Article IV. Of the Removal of causes offending in place 11 Point 1. Of Softening and Discussing ib. Point 2 Of Suppuration and Atraction ibid. Article V. Of Expulsion of wind called Carmination ibid. BOOK V. Touching the Removal of Diseases TItle I. Of the Diseases of Similar parts and their Cure 1 Chap. I. Of the Method of knowing and curing distempers without matter ibid. Chap. II Of the diseases of distemper with matter 2 Chap. III Of Diseases springing from Hidden qualities 3 Title II Of Organical Diseases 4 Chap. I Of Diseases of Conformation ib. Article I. Of diseases of Figure ibid. Article II. Of diseases of the Cavities 5 Point 1. Of diseases of the Cavities consisting in Excess ibid. Point 2. Of diseases of the Cavities in defect 6 Article III. Touching Diseases of the Surface ibid. Chap. II. Of diseases of Number ibid. Chap. III. Of diseases of Magnitude 7 Article I. Of Tumors ibid. Point 1. Of an Imposthume 8 Point 2. Of the Hole in an Imposthume 9 Article II. Of diseases consisting in magnitude diminished ibid. Chap. VI. Diseases in Situation 10 Article I. Of Luxation ibid. Title IV. Of Diseases of Unity dossolved 11 Chap. I. Of Vlcers ibid. Chap. II. Of Wounds 13 Chap. III Of Fractures 16 Title II. Touching Symptomes and their Removal 17 A single Chapter Of pain in general ibid. BOOK VI. Treating of External Diseases Title I. Of the several sorts of Tumors 1 Chap. I Of Swellings or Tumors Caused by Blood ibid. Article I Touching over great Corpulency ibid. Article II. Of an Inflamation 2 Article III. Of the Bubo or Inflamation so called 3 Article IV Of the Phygetlon Phyma Furunculus or Felon Tumor so called ibid. Article V. Of the Tumor Parotis 3 Article VI. Of Nail-sores Kibes and Chilblains 4 Article VII Of an Ecchymoma ibid. Article VIII Of a Carbuncle ibid. Chap. II. Of Tumors springing from Choller 5 Article I. Of an Erysipelas or Tumor so called ibid. Article II. Of Herpes or the Shingles 6 Chap. III. Of Tumors springing from Flegm ibid. Article I. Of the Tumor cald Oedema ibid Chap. IIII. Of Tumors proceeding from the Melancholick Humor 7 Article I. Of the Tumor called Scirhus ib. Article II. Of a Cancer ibid. Chap. V. Of sumors springing from Wheyish Salt and Cholerick Humors mingled together 8 Article I. Of Scabyness ibid Article II. Of the Phlyctaenae Sudamina Sirones and Vari Tumor so called 9 Article III. Of the Epinyctides Alphus and Leuce ibid Article IIII. Of the Impetigo and Gutta Rosacea 10 Chap. VI. Of Tumors wherein the Humor is included in a proper Membrane ibid Chap. VII Of Tumors arising from a solid Substance 11 Chap. VIII Of Tumors caused by solid parts falling from their due Situation ibid. Article I. Of Aneurisma Varix and Elephantiasis by the Arabians so called ibid. Chap. IX Of Malignant Tumors 12 A single Article Of the Elephantiasis ibid. Title II. Of Diseases of the Skin 13 Chap. I. Of Lentigines Ephelides Naevi-materni Infantum Maculae ibid Chap. II Of the Maculae Hepaticae itch and bad smels ibid. Title III. Of the Diseases incident to the Hair 14 Chap. I Of falling off of the hair ibid. Chap. II Of the Porriga and Plica 15 Title IV Of Ulcers in Particular ibid. Chap. I Of the Gangraena ibid. Chap. II Of the Sphacelus 16 Chap. III Of Burnings 17 Title V Of Luxations in Particular 18 Chap. I Of Luxations of the Jaw-bone the Clavicula and the Vertebrae ibid. Chap. II Of Luxation of the Humerus Cubitus Radius and the Fingers ibid. Chap. III Of Luxations of the Thigh Knee and Ankle 19 Title VI Of Fractures in Specie 20 Chap. I Of the more usual fractures of the bodies ibid. Chap. II Of less frequent fractures ibid. BOOK VII Touching Feavers TItle I Of Feavers in General 22 Title II Of Unputred Feavers 23 Chap. I Of the feaver Ephemera ibid. Chap. II Of the feaver Sinocha Simplex 24 Title III Of Putrid Feavers in General ib. Chap. I Of continent putrid feavers 26 Article I Of the Synochus putrida ibid Chap. II Of a continual Periodick feaver in General 27 Articke I Of a Primary continual feaver ibid Point 1 Of a continual Tertian feaver ib. Point 2 Of a continual quotidian or every day feaver 28 Point 3 Of a continual quartan feaver 29 Article II Of a continual Symptomatick feaver ibid. Chap. III Of an intermitting feaver or Ague in general 30. Article I Of a tertian intermitting feaver or tertian Ague 31 Article II Of a Quotidian intermittent 32 Article III Of an intermitting feaver or quartan ague 33 Article VI Of compounded feavers particularly the Semitertian 34 Title IV Of the Hectick Feaver 35 Title V Of Malignant Feavers 36 Chap. I Of malignant feavers in general ibid. Chap. II. Of the several sorts of malignant feavers 37 Article I. Of the smal Pox ibid. Article II Of the Measles and such like breakings forth 38 Article III. Of the spotted feaver ibid. Article IV. Of the Hungarian disease 39 Article V. Of the sweating sickness the malignant feaver with Cramping and that with the cough and catarrh ibid. Title VI. Of Pestilential Feavers 40 A single Chapter Of the Pestilence ibid. BOOK VIII Of the Diseases of the Head TItle I. Of the Diseases of the
them up into a certain thick white substance for their use and spending 2. Pease which are cold dry and windy especially those that are green they are Experimentally found to hurt the Nerves the Broth or Pottage made of them is better than their substance 3. Lentils which generates an Aliment that is both cold and thick of hard digeston filling the Head with gross Vapors very hurtful to the Eyes and the breeder of much thick blood especially if they be Eaten with Salt flesh 4. A smal Pulse called Cicers which by Reason of their abstersive faculty are most commonly sought out and made of for Physical purposes Dioscorides writeth that those that use them thereby gain a fair fresh color 5. A sort of Pulse yet smaller than the former called Chichlings which obtain a mean and stand as it were in the middle place between those kind of meats that are of good or ill Juyce and easily or with much ado concocted and converted into nutriments 6. Vetches which suggest a grofs and thick Juyce and such as is only fit and good for nothing else to generate black choler or Melancholy and to render the Body costive through overmuch binding the Belly III. Vnder Potherbs and in the Number of Garden Plants fit for Food Herbs or Leaves Stems or Branches Roots and Fruits are Comprehended For as touching Seeds I shal here speak nothing of them I. Among Leaves and branches are 1. Lettuce which of al Pot-herbs is absolutely the best and yieldeth more matter for the generating of Blood than other Pot-herbs by its coolness it excellently qualifieth and allayeth the boyling heat of the stomach procureth sleep and tempereth the heat of the Kidneys But if a man feed too much thereon it then extinguisheth the seed Two ounces of the Juyce hereof taken at once or for one Dose Kils unavoidably It is Eaten raw with Oyl Salt and Vinegar 2. Endive which according to the Opinion of Galen hath its qualities like unto those of the Lettice aforesaid In other places it is far fetcht and stored up until the winter months For in those places their custome is with a smal threed to bind together round like a Globe the Leaves hereof so soon as they are come to perfection and so to preserve them covered in earthen Vessels 3. The Colewort and Cabbage which is cold and dry hard of concoction which affords an Aliment that is thick and gross that exhales up into the Head Fuliginous Vapors disturbeth the sleeps of those that eat it and extreamly weakeneth and Dulls their sight It s hurtful quality may be corrected if we take it Boyled in flesh Pottage The Juyce thereof hath in it a tart Acrimonious quality such as excites and provoks the Belly to void its Excrements That which hath its Leaves spread al abroad is far wholsomer and better than that which groweth al of a Head which for distinction sake we cal the Cabbage It is allowed to be eaten by working and laborious people but then for a corrective Pepper must be added and eaten therewith 4. Spinach or Spinage which cools and moistens generateth serous or wheyie humors and is somwhat offensive by its treasuring up windiness unless you mingle therewithal for a corrective Pepper Salt and Butter 5. Mallows which yeildeth little nourishment causeth a flux and loosness of the Belly and borroweth a grateful acceptable tast from butter and other Condiments 6. The like may be said of the herb Arach or Orach and Blite which latter is likewise a kind of Spinach 7. Beets are cold and dry and of different parts the Juyce thereof cleanseth the substance of it bindeth the Body howbeit it removeth the obstructions of the Liver and Spleen The Ancients were wont to add thereto Wines and Pepper 8. Asparagus or Sperage unto which the tender young branches of the Hops are very neer of kin as being of a temperate Nature they afford but little aliment and that likewise none of the best this Asparagus is very grateful to the pallate excites and provokes the appetite it cleanseth expels Urine and purifieth the Kidnys 9. Water-cresses which by reason of their heat are commonly used instead of a condiment or Sauce Aequineta hath added this further of it to wit that it is an enemy unto the Stomach and that it breeds an il Juyce In time past the use of it was wont to be very frequent and familier with the Persians in their ordinary diet 10. Mustard which is of a tart and sharp tast and is withal most apparently hot and dry And thereupon it is placed and recounted among those Condiments or Sauces which attenuate thick and gross meats It is in the Vintage time mingled and throughly moystned with new Wine or Must from whence it hath the name of Mustard II. Of Roots there are 1. The Onyons that afford but very little nourislment but they are of a hot nature they cut attenuate heat and inflame the Blood and the thinner parts of them being discussed and scatterred they leave behind them a gross and thick Juyce they incite and provoke unto Venery cause distracted and turbulent dreams and are very offensive unto the Head Eyes Teeth and Gums especially in those that are cholerick 2. Garlick which in the Month of May is by many of the French eaten with fresh butter and of which beaten together with Wal-Nuts in a Morter they prepare and make that Garlick sauce that we term Alliatum In Garlick crude and raw there is not Aliment at al and in that which is boyled there is very little and that also none of the best By its extraordinary great heat and dryness it attenuates and cuts asunder the thick Humors and moreover it is a most exquisite Remedy for the correcting of the pravity of waters that are gotten together in the Abdomen or Belly and a special help and means for the enduring of cold 3. The Leek which hath almost the same properties and qualities with the Forementioned It is chollerick and greatly hurtful to such as are of weak Brains it duls the sight of the eyes and being often eaten it begets choler of a Greenish color much like unto the Leek it self If it be in the beginning of the meal Eaten raw with Salt it then freeth the stomach and Belly from gross and thick Juyces 4. The Reddish which together with Salt we use to eat raw But it is fitter to be used instead of a sauce or sallad in regard it is extraordinary hot and withal sharp and tart tiring and wearing out the Teeth It collecteth together the scattered spirits breaketh the windiness of the stomach by causing ructures or belchings provoketh Urine and expelleth the gravel out of the Kidneyes That Garden Raddish is accounted the best which is brittle and easily broken Unto the former may be added the wilde or horse Raddish which hath in a manner the like vertues and properties with the Garden Raddish and is more frequently made use of for
pressed from ful ripe olives it affords nourishment sutable to our Natures and is fit to correct the bad quallities of other meats and of herbs Also it molifies and loosens the Belly it takes away al Asperity it helps such as are bruised and mitigates pain 3. Juice of unripe grapes Citterns Lemmons and of Crabs which the French and Itallians much use doe coole bind and helpe the extravagant longings of women Hereunto belongs Vinegar which is extream cold and pierceing The eagerness thereof is blunted with a peice of toasted bread wine raisons elder flowers roses sugar and such like things T is hurtful for mellancholly persons and women that are subject to mother fits IV. Honey is of an hot nature saving that which is white and seems convenint for healthy people It easily turns to choller and therefore it is neither fit for hot natures nor hot parts otherwise it has a power to clense and resist putrefaction Mead is made hereof IV. In the Fourth place we reckoned BREAD of which in respect of the Matter and waies of making there are sundry differences I. In Respect of Matter I. Such as is necessary 1. It is made of fine flower and which is most nourishing to the Body 2. That which is made of bolted meal and finest flower being taken away and is next in goodness to the former 3. Houshould bread which is made of the finer sort of bran and nourishers less than the former but descends better through the belly because of the branniness 4. Of Courser bran which nourishes least of al but goes soonest through the belly 5. Bread of altogether which nourishes very wel and soone passes through the belly 6. Barley bread which if it be made of the most excellent barly is the less inferior to wheaten bread if of loose and light barly it is like the wheaten bran bread 7. Rye bread which if it be black and heavy it burthens the eater is of sad and thick juice and breeds stones in the kidneys II. In respect of the matter prepared and quallified it is 1. Leavened bread which is lighter and sooner destributed than the unleavened 2. Vnleavened bread which is of a contrary Nature 3. Soure leavened which is also hard to digest and lies heavy upon the stomach 4. Salted bread which is lighter than the unsalted 5. Vnsalted bread which is apt to breed obstructions I shal not speak of Saffron-bread Eye-bread Butterd-bread Cheese-bread Sugard-bread Hereto belong the parts of bread 1. The Crum of which that which has been here said of bread is to be understood 2. The upper crust which drinks up moisture in the body and sharpens the Heat thereof but if it be scorched and burnt it breeds adust humors and black choler 3. The Lower Crust which is of like nature with the former II. In Respect of the preparation bread is 1. Savory in which the leaven and salt are wel mingled 2. Vnsavory or tastless which is contrary wise ordered 3. Wel Kneaded which is neither too littl not too much but moderately wrought 4. Ill kneaded which obstructs pufs up burthens the stomach 5. Baked in an Oven which Because its throughly bak't is the best of al others 6. That which is baked on tiles or in a portable oven which because it is not so wel baked in the bottom is worse than the former 7. That which is back't on a gridiron or on the hearth is bad because the outer parts are scorched and the inner parts are dough-bak'd 8. Bak't under the ashes or embers from which it receives a bad quallity 9. Biscoct or Bisket which is drying and if made of fine flower it affords very little excrement 10. New Bread which if hot causes thirst and breeds winds and suffocations if cold t is wholsom to feel on if it be two or three days old t is hard of digestion because of its dryness 11. Old bread which is hard and moldy breeds a melancholly humor and binds the belly 12. A Great Loafe because the fire has not sufficiently digested the moisture thereof lies heavy upon the stomach and raises wind 13. A Little Loafe because it is more than ordinarily crusty round about produces adust blood as the material cause and makes the Body dry 14. A Loafe of a middling size which is most commended 15. Light and spungy which nourishes lightly and makes no obstructions in the bowels 16. solid and heavy which is worse than the former 17. The best bread therefore is that which is made of fine white wheat meal the wheat being ripe not very new grown in a fat soil not infected with moaths dust cockel darnel or frost not wet with rain or musty with keeping being wel kneaded leavened and salted V. In the first place we are to consider of the TIME OF EATING which varies according to the several Customs of natures The Hebrewes seem to have eaten twice a day Among the Greekes even so long as since Homers daies their times of eating were distinguished into dinner and supper The latter Grecians did eat oftener The Romans had their Breakfast dinner after noones bever their Supper and Rere-supper Our Age followes the Custom of the Romans yet thousands there are that content themselves with a dinner and supper only And so much may suffice to have spoken of meats They that would know more besides Galen of the faculties of meats let them consult Morellus upon Schola Salerni Bruyerinus of Meates Julius Alexandrinus of wholesome diet and Vlisses Aldrovandus de Animalibus Article 3. Of Drink Drink is a thing non-natural restoring the moist substance of Mans Body and quenching his thirst Touching which two things are observable The Necessity thereof to preserve Health and its kinds I. That Drink is necessary for Health is hereby manifest in that it restores the moist substance of our Bodies which daily wasts away it quenches natural thirst it carries the fat and thick moisture through the narrow passages it causes the mixture digestion and liquefaction of meats in the stomach and prohibits the inflamation of that same fat juice which is ordained to nourish the Body II. The kinds of drink are 1. Water 2. Wine 3. Beer and Ale 4. Mead. 5. Liquors made of Apples Peares and such like fruits I. Touching water two things are considerable viz ' its differences and Correction I. In respect of the Differences water is either 1. Raine water which it stormy and cloudy is condemned if it come down with thunder it is exceeding light and thin because the Sun drinks up and draws out the most subtil parts yet is it impure and subject to putrefaction because divers vapors drawen up by the heat are mixed with the Raine 2. Snow and Ice-water which because the most subtile and light parts are dissipated is thick and hurts the stomach and breeds greivous diseases of the joints nerves and bowells 3. Water gathered in Cisterns which has much setlings is slow in passage oftentimes has a strong
softens bodies exhaust with immoderate Labours and purges them by opening the Pores Too much walking takes away the trembling of the body dispels winde and very much disorders weak heads Much walking does help such as are troubled with Infirmities of the Head and Chest and whose lower parts are not nourished Little walking is fit for such as must walke after meat and who feel an heaviness in their bodies Long walking righ out is good for the head but it does too much drinke up the humidities Long and Quick is good for the Hickup A short walke compounded of motion and rest by reason of the frequent turning and returning is laboursome and weakens the head by frequent turnings With labour of the thighs and going upon the heels it is good for a moist Chest and a convulsioned wombe To goe on tiptoe is good for such as are blear eyed and costive in their belly To goe uphil does more weary the body because it is as it were loaded in that motion it moves sweat and hinders the breath and it is exceeding bad for weak Knees To walk down-hil draws from the Head to the inferior parts but it weakens the Thighs To walk through even Plains affects the body by the Universality of the Motion such motion is sooner finished by reason of its affinity with Nature To walk upon uneven grounds is good for such as are soon weary with walking walking over rough grounds fils the Head Walking over deep Sands makes most of al to stablish and strengthen al the parts of the body To walk in a close place subjects a man to intemperate vitious and thick aire which fils the whol Body To walk in the open Aire if by the Sea-side it dries and attenuates thick Humors if by Lakes and Riâ—ers it moistens but is bad for Epileptick persons if in the maine Land it is not so good as by the Sea if in the dew it moistens not without dammage if in places not subject to the wind Causes Humors to exhale and digests Excrements and is commended in Collicks proceeding from a cold Cause if in the North wind it Causes coughing but it quickens the senses if in the South wind it fils the Head and loosens the Belly if in the West wind t is the wholsomest of al other if in the South-East wind it smites the Body if in the Sun it hurts a mans Head it melts what is hot and makes that which is dry yet dryer Touching walking in the shadow observe I. That we must avoid trees ful of dew because the surface of the trees being melted by the dew an harmful liquor drops upon the bodies of such as walk under them which bites and Chops the outward parts 2. That walking is most wholsome which is performed under the Myrtle lawrel or bay and among sweet-smelling Herbs When the Skie is clear it lightens a man exhales Vapors through the pores makes a man breath wel When the Skie is Cloudy it causes heavyness fils the Head In the Morning loosens the Belly expels sluggishness caused by sleep procures appetite and is good for moist constitutions for it dries up the Humors out of the passages An Evening walke prepares a Man to sleep disperses inflations and hurts a weak head After Meat a little walk is good for those that are accustomed thereto and whose meat does hardly descend 6. Standing upright universally considered is bad for such as have a weak Back or are troubled with Inflamation and Ulcers of the Kidneys Considered particularly before meat it is good to void the Excrements of the Belly for persons asthmatical and to provoke Urin and strengthens the Legs but t is not fit for such as are subject to swimmings in their Head because in that posture the Vapors mount into the Head After meat if it be Moderate it assists the descent of Meat into the bottom of the Stomach if it last long it sends plenty of Vapors into the upper Region of the Body it throws down a multitude of Humors into the nether parts weakens the Chest and vitiates the Bladder and the whole Action of making Water To stand in the shade has the same effect as walking therein the difference is only in more or less To stand in the Sun does burn a man more in the Summer time then to walk therein and in a body impure it very much hurts the Head c. X. Of motions caused by another there is 1 Riding on horseback which if it be quiet and slow breeds great wearyness and makes men unfruitful as to generation if the pace be Swift and not very frequent it makes those that ride enclined to bodily lust by continual motion and rubbing of the genital parts and shakes the body in a weary some manner and is very bad for the Chest if it be upon a Trotting horse it offends the head the Neck the back and Buttocks but it brings gravel from the Kidneys to Ride ful Speed or on Galiup is too heating duls the senses and offends the Eyes 2. Gestation or being carried in general in persons sound and sickly encreases Natural heat and discusses the multitude of the matter but in persons that cannot sleep it brings rest by digesting those excrements which slip â—rom the Head into the Stomach c. Particularly Riding in a Coatch if it be not violent is good in diseases of the Head and fluxions of the Bowels but it is hurtful to Epileptick persons because the motion of the wheeles makes then giddy if a man ride with his Face to the hind Wheels t is good for a weake sight and helpes much the Obfuscation thereof If it be very fast Celius commends it to make a man lean that is over Fat. In an Horse-litter t is convenient for healthy people that are to follow their business after dinner and it was anciently the manner to carry sick people on that fashion in an horse-litter Lethargick and Nephritick persons lay along c. For so the Morbifick matter was made fit for Expulsion those that were troubled with some light and long lasting Diseases and were in the perfect declination of Feavers did sit To be carried in a Chair or Sedan is good for cold Natures and which evidently decline But of al these Exercises consult the learned treatise of Mercurialis de Arte Gymnastica which I shal peradventure over-look and cause to be again published with some notes of mine IV. I shal not need to speak of Rest al that can be said may be collected by any one from what we have spoke of Motion III. Sleep is also necessary for preservation of Health and likewise to refresh the wearied Members of our bodies and to restore the spirits which are the Soules Instrument in the performance of her Actions If it be moderate not only the wearyed forces of the body are thereby refreshed and the spirits washed with dayly labors repaired but also the heat is drawn inwards by which means the Aliments and crude
fresh water long sleep and shun the use of hot and dry things 2. Persons hot and moist if moderately such preserve their Temperament and follow al things moderately lest contracting plenty of Excrements they sal into putrid Diseases 3. Cold persons require both hot meats which stir up heat and consume it not and seasonable Evacuation of Flegmatick Excrements 4. Dry Constitutions must have moist meats and baths of fresh Water 5. Such as are Cold and Dry have an unhappy constitution which must be holpen with long sleep frictions which strengthen the Natural heat and discuss it not and with a bath of fresh Water 6. In Cold and moist persons coldness must be corrected and the moisture preserved as much as may be Temperate exercises do stir up the Natural heat whereby it is inabled to conquer the moisture II. Persons Declining because in regard of a Plethorick and Cacochymical disposition encline to sickness must in the first place use rest and abstinence and in case these suffice not they require Blood-letting and purging Therefore at the beginning of the spring Flegmatick and Melancholly Humors about the end thereof Choler and about Autumn black Cholerick Humors are to be purged A pil of Aloes Rosata taken an hour before supper but not too often lest it hurt the Liver may suffice to Empty the matter which sticks in the stomach and first passages III. Touching persons neither sick nor wel but recovering two things are to be observed 1. That they fal not back again into their sicknesses 2. That they may soon recover their perfect health And therefore 1. Because such reliques as are left in Diseases after the Crisis wont to cause relapses if there be as yet any superfluous matter remaining it must be drawn away by little and little and the parts are to be Roborated 2. If there be no matter over the Body must be carfully nourished with moist Diet easie of digestion and of good nourishment 3. Bodies that have been long extenuated must be repaired by little and little such as have been suddenly decaied must be quickly repaired 4. These things are chiefly to be used which respect the Causes of the weakness and may resist the Morbifick Dispositions And so much for the Method of preservation of Health THE SECOND BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of the Preternatural Affections or Disorders of Mans Body and their Respective Signs The INTRODUCTION SO much may suffice to have spoken touching Hygieine or the Art of Preserving Health The Second Part of Physick followes termed Therapeutice which teaches the way to know all Infirmities which impair the Health of Mans body and being known by certain convenient Remedies to remove the same if possible It s End therefore is to remove if possible the preternatural Dispositions of the body and to restore health lost Its Parts are likewise two 1. General which treats of the Nature Signs Causes Differences and Cure of the praeternatural Affections of the Body both in General in particular in Conjunction 2 Special which treates of such preternatural affections as refer to the particular parts of the Body The former is again subdivided into four parts In the First we shal treat of the Nature and signs of praeternatural affections The Second declares the Medicaments The Third laies open the general method of curing The Fourth treates of the first differences of Diseases and delivers their Cure considered in gross Title I. Of a Disease in general Chap. 1. Of the Nature of a Disease THose Affections or disorders which praeternaturally infest the Body of Man are three A Disease its Cause and its Symptome A Disease is the Inability of the living parts of Mans body to perform their natural Actions ariseing from their praeternatural Constitution Concerning which we are to consider 1. The Subject 2 The Times 3 The cause 4 The Differences 5. The Signs 6. The Issue or event Of the first four we shal treat in this Chapter assigneing peculiar Chapters to the two last I. The Subject is the liveing parts of mans body both spermatick and sanguine both in reference to their matter to which Temperament and occult qualities belong as also to their structure to which conformation and unity do appertaine Sometimes altogether sometimes many sometimes only one of these is affected II. The times are four 1. The Beginning in which the disease iâ— crude nor are there any signs of coction or corruption contrary thereto present althings are remiss unless the matter being agitated does infest some one part more than the rest til it is either dissipated or thrust out into the Circumference of the Body and healthily disposed diseases their causes being removed do sometimes vanish 2. The Augment or Increase wherein the Symptomes grow more burthensome and the signs either of Coction or contrary Corruption begin to appeare 3. The State in which there is the greatest combate betwixt Nature and the Disease the signs of Life and Death do manifestly shew themselves and all things are vehement and if any Remission appeare the reason is because nature being weakened gives over and is no longer able to oppose her against the morbifick Causes 4. And lastly this Declination or Decrease in which the disease being overcome by nature grows gentle and no man dies at this time unless through the fault of himself or the Physitian or the disease changing into a worse Touching all these times note in general 1. That each of these being not of equal length in all diseases is subdivided after the same manner so that the beginning hath its beginning Augment and Declination and so the rest 2. That Intermitting Diseases have their particular times in each fit 3 That Diseases which receive nourishment in winter are finnished in Summer and contrariwise unless they are terminated within the circuit of certaine daies III. When we speak of Causes we do not consider any material cause For a disease hath no such cause its subject being instead thereof nor do we intend the formal cause for that is explained in the definition nor of the final because those things have final causes which consist in perfection whereas a disease consists in defect thereof also it is bred and receives growth by accident but we speak of the Efficient Causes which are considered either in respect to the disease or absolutely or according as the things themselves are The former are sundry I. Remote which either works as procatarctick causes which 1 Are either in the Body or without and therefore have not recourse with externals 2. They are called external because they belong not to the Constitution of the body 3 When manifest causes as a sword c. may be the immediate cause of a disease they are reckoned with the former 4. They stir up and put in motion such causes as lie hidden in our Bodies so that they sensibly affect our bodies as Watchings 5. Of their own nature and force they cannot cause a great disease
or they act after the manner of antecedent causes which continue hidden dispositions in the body which a disease may follow upon which nevertheless are not conjoined therewith only are defined by power of acting and are only found in diseases joined with matter finally because the internal as related to the disease may be both antecedent and conjunct causes they have not recourse with them II. Next which adhere to the diseases themselves in the body of man so that suppose the causes you must supose the diseases take away the causes you remove the diseases Hence they are termed continent and conjunct causes III. Per se of or by themselves by whose power the disease doth exist and by accident which cause the same by the Interposition of some other thing IIII. Privative which act by absence and Positive which work by their presence V. Comon and Proper VI. Finally external and internal of which we shal treat hereafter IIII. The differences of diseases are either Essential and primary of which and their cure we shal treat in the fift book or Acidental which are taken from the Number Magnitude Duration Manner Event Order Subject Causes Seasons of the yeare and Place For I. In respect of Number a disease is either 1. One which possesses but one part or many parts but without any Interruption which is either simple which is joyned with no other disease and hath the simple nature of one only sort or compounded which consists of many diseases concurring in the same part whether they be of the same kind or not and in Case it be joined with the Cause or some grievous symptom t is termed Comitatus as that Solitary which has neither the cause nor any grievous symptom joined with it 2. Many one of which is not in the same part which is possest by another and these either hurt a common action and are called Complicati or Impliciti or one contributes somewhat to the generation of another and they are termed Connexi 3. By Sympathy which falls out when either a part receives some humor or vapor from another place or when it is forced to receive a matter of which it ought to be free or when the spirit a necessary Instrument to the souls actions is hindred of its influxe or when matter necessary to the action is denied this happens either by reason of the sympathy of the parts which is either of the kind or of continuity by the nerves and membranes of which Senertus treats elegantly in the 39. page of his Paralipomena or of one work or of neighbourhood or by reason of their strength and weakness hence comes either a Diadosis of the Humor passing from a noble to an ignoble part or a Metastasis from an ignoble to a noble 4. Disjoned which being fixed in disjoined parts do neither hurt the same action nor confer any thing to the mutual generation one of another II. In respect of Magnitude Diseases are 1. Smal which hurt the Action less than those sort of diseases are commonly wont to do or stick in the more Ignoble parts 2. Great which either hurt a Constitution and part very necessary to life or Goe very far from the natural state or have some bad quality annexed or they deject some faculty by hurt of which the life is endangered or they take up a large place III. In respect of Duration diseases are 1. Long which move slowly 2. Short which moves quick 3. Continentes which are alwaies moved with one and the same motion til they are quite ended 4. Continui which continually afflict but are heightned and abated at certaine intervals of time 5. Intermittentes which have periods and Fits and therein their several Modes and figures 6. Acute which are terminated on the fourteenth day peracuti on the seventh day Perperacuti on the fourth day Acuti ex decidentia which are terminated on the forryeth day 7. Critical which are finished by some great mutation by evacuation or translation 8. Not critical which are ended by diminishing peece meale IIII. In respect of the Manners or Conditions they are 1. Benigni gentle wel affacted having no greivous symptom besides nature 2. Maligni malignant which have somewhat of an occult pravity 3. Pestilential which come by Intection V. In respect of the event they are 1. Healthy which end to health 2. Doubtful of which many are saved and many die 3. Deadly which kil alwaies or for the most part either because they destroy that action by which life consists or proceed from matter which wil not admit Coction or because their Focus is so far of that medicaments cannot reach so far without loosening their strength VI. In respect of their order they are 1. Ordinate which keep their Mode or Figure 2. Erratick which neglect the same 3. Relapsative which when they are thought to be quite finished returne againe VII In respect of their subject they are 1. Vniversal which afflict the whole Body 2 Particular which molest one or more parts 3. Cognati which are suitable to the temperament constitution of Body Age Season of yeare c. 4. Minus cogniti less of kin which are contrary thereunto they are of Men Women Infants Boyes Young Men Old men VIII In respect of the Causes they are 1. Exquisite or legitimate which spring from one simple Cause 2. Spurious or bastard which proceed from mixt humors 3. Haereditory which spring from fault of the seed or mothers blood 4 Conjenit which happen from the first original through fault of right shaping though the Parents had not the same disease 5 Adventitious which come by some accident 6 Fientes which though produced cannot exist without the matter continue 7 Facti which abide the causes being removed IX In respect of the time of the yeare they are Spring sickness Summer sickness Autumn sickness and Winter sickness X. In respect of place they are 1. Sporadick which being of different sorts do assault sundry persons at the same time and in the same place 2. Common or Pandemial which either are never but in one Country only or which somtimes in one somtimes in many places afflicts many together 3. Epidemii Epidemick or vulgar which at some certain time now in some one Country other whiles in many do infest many folks at the same time and they are for the most part pestilential Chap. 2. Of the Diagnostick Signs of a Disease THe Diagnostick Signs of a Disease do respect 1. The Disease in it self 2. Its times 3. The Parts affected 4. The Differences of the Disease 5. And lastly all these together And they are either common to many and divers persons or proper to one Disease which are either inseparable or proper and inseparable together or Pathognomonick and Essential to the Disease and recurrent therewith or Assident and supervenient I. A Disease in it self is known 1. From things Essentially inherent in External Diseases most easily without help of any other signs in internals
verdigreise colored choler Lead-colored argues stripes melancholly and extinction of the natural Heat Black if compounded of green and black argues extream Heat and permission of black choler if of Blew and lead-color extinction of Heat unless it come away in manner of Crisis V. In respect of things mixed the Crown which circles about the surface thereof shewes what kind of blood is in the greater vessels by its whiteness redness and Lead-coloredness 2. The Froth if it come without shaking argues wind 3. Bubbles great and lasting argue gross and clammy humors as also wind Such as easily break thin and smal in the crown of the urine argue paine of the whol Head if they be al over the Crown of half the head if they possess only half thereof sharp paine if Gold-colored mild paine if white long paine if they continue long being like smal seeds seated in the Crown and moveing to and fro they argue distillations descending from the Head into the lower parts 4. Fat like Cobwebs shewes the melting of the fat of the Kidneyes or whole Body 5. Branny contents if they settle argue scabyness of the Bladder if they swim they argue the wasting of the solid sustance of the Body by reason of a burning Heat 6. Little scales with strong smel argue either exulceration of the Bladder or melting of the tunicles in the vessels and of the solid parts by fervent heat 7. Contents like meale signifie the same 8. Caruncles or little bits of flesh proceed from wounds of the Kidnies 9. Strings come from the seminary vessels in women that have the whites or some filthy Issue of the womb 10. Blood from a new ulcer of the Kidnies or of some Bowel 11. Quittor from an old and foule Ulcer either in the Kidnies if it be without any sense of paine and wel mixed with the urine or from the neck of the Bladder if it be with paine aâ—â— not wel mixed but however it alwaies settles to the bottom 12. Gravel if yellow and red comes from the Kidnies if white from the Bladder if clammed with quittor from 〈◊〉 sordid ulcer of the Bladder if they swim on the top and stick to the sides from the Livers heat and Adustion of the Blood 13. Seed argues an hurt of the spermatick vessels and swims on the top VI. In respect of the Contents which in sound persons ought to be white smoothe equal and pyramidal 1. Little comes from weakness of the Alterative faculty distemper multitude or Crassitude of humors and dissipation of the Bodies substance by external Causes 2. Much from suppression of some customary Evacuation if it be at the same time both thick and undigested from strength of the aliments and faculty if it be indifferent in substance and color 3. Thick from plenty of crude matter or the Crisis of some old diseases 4. Thin from Crudity or digestion but newly begun 5. Straw-colored Gold-colored red from redundancy of choler in the veins and from inflammation of the blood 6. Blewish Lead-colored black from extinction of natural heat corruption of blood and melancholy II. There are many differences of Pulses that savor of vaine curiosity and idle subtilty discreet Physitians are content to observe only these three following Equal and unequal Swift and Slow strong and weak The Equal pulse argues strength of Nature The unequal signifies either obstructions and compressions of the vessels or abundance of Humors The Swift use increased strength of the Faculty as yet or at least that it is not much weakned Slow argues the contrary The Strong shewes a strong faculty and sometimes great Provocation The weak either dissipation of spirits or expression of strength Chap. 3. Of the Diseases Event Or Issue THE Issue of a disease intimates four things 1. The Termination hereof 2. The Time of the Termination 3. The manner of the Termination 4. The Knowledg of al these I. A Disease is terminated either by Health or Death Whence the Event is healthful or deadly II. In respect of Time 't is ended soon or late III. The manner of termination is threefold For a disease is terminated either by solution when health returns by little leave by means of Coction and alteration or by Marasmus or pineing when it turns by little and little to death or by Crisis when either the disease is suddenly and perfectly finished or there is a sudden change to the better which is followed with health or the sick patient suddenly dies or the disease is suddenly changed to the worse which mutation is followed by death But touching the nature of the Crisis or the Definition Causes Differences Manners and Daies observe I. That it is nothing else but a sudden mutation which happens in diseases with conturbation and evacuation by excretion or translation upon certain daies tending to Recovery or Death II. That it arises in respect of the Conturbation or that plenty of critical symptomes from the agitation of Humors and the trouble they bring to the Body which proceeds from the influence of stars and from an internal cause which provokes both nature and the matter in respect of the evacuation from the strength of the expulsive faculty which provoked by the plenty or quality of the matter expels that which is of seizure critically by help of the fibres and especially of the spirits and innate Heat III. That it has sundry Differences For it is good when tending to health evil when to death Faithful when no danger of a relapse Faithless when it threatens the same Safe when without dangerous symptomes Dangerous which springs from a principal part Perfect which takes away the whole disease Imperfect which leaves some of it behind Wel-foretold which has tokens preceding and declareing the same some daies next before Unforetold which comes unlooked for IV. That it happens by Excretion by bleeding at Nose Vomit sweat stool Urine Hemorrhoides Courses many places or by Translation of the matter or by coction of the matter which happens in children who digest crude humors while they sleep V. That it has certain daies which are 1. Either simply critical as every seventh day viz. 7.14.20.27.34.40 For whole daies are not reckoned but somwhat shorter 2. Or Indicators by which the future Crisis is foreshewed and they are the middle daies of each week as the 4.11.17.24 3. Or Intercalares or Leapdaies in which the Crisis happens accidentally and against Nature and they are the 3.5.9.13.19 4. Or Vacui called Medicinales in which either there is no Crisis or an imperfect and bad one as are the sixt which is a Tyrant the eight and tenth less dangerous than it Now that such mutations happen on these daies the Cause is 1. The progress of the Moon both to Quadrate and opposite signs as also to the sextile and Triangular ones 2. The Motion and disposition of the humors which is the Cause that the Crisis happens somtimes slower sometimes earlier 3. The Nature of the Body which being assisted
and make them wider that the Vapors may be better transpired They are moderately hot of thin parts and not drying such as are among Herbs Marsh-mallows Mercury Flowers of Chamomel Melilot Elder Seeds of Fenugreek Line Oyl which is old and Butter II. Condensers are such things as contract and straighten the smal pores of the body but are not able to compact the whol part strongly and every where They are of a watry Nature as cold water of Herbs Purslane Housleek Flea-wort Mous-ear Duck-weed green Thistles Prick-madam the greater and the lesser III. Stoppers by their thickness do so stick externally upon the pores of the body that by their coldness and dryness they contract the part There are of this kind Astringents so called Such as are among Simples the Roots of Tormentil Plantane greater Comfry dry water Lillies Sorrel Curmallow Filipendula peony Avens Strawberry Bistort Rhaponticum Rhubarb tosted Leaves of plantane Knotgrass Gnaphalium Loof-strife Solomons Seal Horstail Shepherds-pouch Mous-ear Oak Flowers of Roses pomegranates Ivy. Seeds of plantane purslane Sorrel Roses Fruits Quinces Medlars Barberries Services Cornel-berries Galls Raison-stones Cypress nuts myrtle berries Shels and Rinds of pomegranates Frankincense tree myrobalans mulberries Gums of mastich Dragons blood Juyces of Hypocistis sour Grapes Acacia Minerals Terra sigillata Bole armeniack blood-stone Allum Coral Iron Of Animals Harts-horn prepared Stags pizzle c. Of Compounds are Water of Roses purslane plantane privet Syrup of red Roses Quinces Barberries marmalade of Quinces Diacodium narcoticum Crocus martis astringens pouder of mans bones calcined fresh made Treacle Juyce of pomegranates of Acacia old conserve of Red Roses The stronger sort of these medicaments are Balaustians myrtles Acacia Hypocistis Sumach pomegranate medlar c. IV. Anastomaticks are medicaments which open the mouths of the Vessels and are therefore by the Greeks so named because they ought to penetrate into the inner parts of the body and to attenuate gross humors and therfore they ought to be both hot in the second degree and endued with a more thick substance than ordinary that they may retain heat the longer Bitter things are most convenient Point VII Of Attenuating Aperient and incrassating Medicaments I. Attenuating medicaments are such as dissolve and make thin thick clammy and glewish humors so that either they vanish of their own accord or are easily dissipated by the operation of Drawers They must be of a thin substance hot in the third degree which is nevertheless not alwaies necessary For the juyce of Lemmons Vinegar Oxymel do attenuate and cut though they are cold See the Catalogue among Operatives II. Apperitive medicaments do open inward Obstructions of the Body They ought to be of a thin substance and therefore are reckoned among such things as appear hot and biting to the smel and tast which have a nitrous salt bitter and acid tast but seeing there is variety both of the matter obstructing and the bodies obstructed somtimes such as are of thin parts sometimes such as are not so qualified are given Now they are these Among Simples of Roots the five opening Roots so called viz. of Smallage Fennel Asparagus parsly and Holm of Grass Cicaory Eryngos Gentian Fern madder Rhaponticum Asarum Cappars Tamarisk Ash Herbs Fumitory Wormwood Agrimony maiden-hair Liver-wort ceterach chamepitys chamedrys Dodder Horehound calamint penyroyal scurvy-grass Brooklime Water-cresses Hops white Horehound Wormwood Seeds of Annis Fennel Ameos Agnus castus Vetches Lupines Fruits bitter Almonds Cappars Peach-kernels Apricock-kernels Spices Cinamon Cubebs Gums and juyces Ammoniacum Vinegar Juyce of Lemmons Of compounds are waters of the foresaid simples Oximel simple Scyllitick Syrupe of opening roots Trocbiscks of Rubarb Wormwood Egrimony Lacca-gum Tartar Vitriolated Creame thereof Christals and Tincture of Tartar Tincture of steele pouder aperient crocus and pils thereof III. Incrassaters or thickners do make the thin and liquid juices more thick They are cold or temperate without acrimonie and of thick substance such as Porslane Sorrel Poppy Rice Lentils Quinces Peares Starch Chalybeate milk and juice of Pomegranates Point VIII Of Obstructive And Deobstructive Medicaments I. Emplastick or obstructive medicaments are such as by their substance do daub stop and clam up the passages of the Body and being smeared thereon stick fast thereto being of a Consistence either dry and earthy but without any biting quality or ful of watry and aerie humor They are I. Among simples 1. Roots Of Marshmallowes White-Lillies Seeds Wheate Starch Pine-kernels steeped in water Fenugreek al Mucilages Fruits Figs Raisons Gums Arabick Tragant Dragons blood Earths Terra sigillata Bole-Armeniack Juyces Alum Stones Lapis Calaminaris Blood-stone Potters-clay Minerals litteridge of Gold and Silver Lead Oare of brass Pompholyx Cerus Animals Mumia fresh fats marrowes fresh butter Cheese whites of Eggs Wax II. Compounds of these Unguentum Album Nutritum II. Deobstructers do scoure away clammy glutinous humors which stick unto the body they are hot or cold salt bitter nitrous Such are I. Of Simples 1. Roots of birthwort Orice Gentian Solomons seale Tamarisk Leaves of Smallage Wormwood Centorie Southernwood Hysop Watercresses Horehound Agrimony Ground-Oake Tansey Harts-tongue Pimpernel Seeds of Lime Fenugreek barly Orobus Lupines and their meales Juyces Aloes and Sugar Gums myrrh Rosins Terpentine Mineralls verdigrise Vitriol Animals whey beasts-Gal III. Extergents differ only gradually Of this kind are Oxymel Alume water Unguentum Aegyptiacum c. Point VIII Of Anodynes and Narcoticks Anodyne Medicaments are those which by their moderate heate and soft substance do asswage paine by opening the pores of the body and entering thereinto by the tenuity of their substance and discuss the cause thereof by insensible transpration Such are I. Among Simples the Roots of Marsh-mallowes Lillies Leaves of Mallowes Elder Flowers of Chamemel Melilote Safron Seeds of Lime Fenugreek Animals Fat 's of Hogs Hens Geese Calves Man-fat Marrow of Oxen Calves Milke butter II. Of Compounds oiles of white lillies Chamomel Violets sweet almonds linseed worms and which is most commended sweet oile of Roses of a middle age II. Narcoticks stupifie the part so that it cannot feel that which pains This they do partly by their coldness partly by an hidden Quallity Of this kind are I. Simples the Roots of Mandrake Leaves of Henbane mandrake Seeds of white-poppey Juyces Opium II. Compounds oiles of Mandrake Vnguentum popeleon laudanum ossiatum Fernelius his narcotick lozenges Spirit of Darnel c. Article 2. Of Medicaments which cause motion Medicines which cause motion are either Drawers Repellers or Astringents I. Drawers are such as draw from the deepe parts of the Body into the surface thereof not only thin and wheyish humors but also such as are thick and fast rooted in the Parts of the Body They are either hot in the second degree which draw moderately or in the third degree which draw strongly or in the fourth degree which swel the skin Such are I. Of simple Roots of the two Birthworts Anemony bindweed Tragon Gentian Pellitory Crowfoot
we not over do And we must know that 't is alwaies more safe in a doubtful proportion to fal rather too short than to exceed Touching this matter take these rules 1. Infirmities which have taken deep root need stronger remedies than such as are slight 2. In a mild infirmity we must do al at once and suddenly and so we must in an extream and dangerous sickness because it quickly finishes its course and quickly kils 3. In indifferent and cronick diseases we must endeavour to expel them by little and litle and slowly but we must withal take heed least while we go about to quench a mighty flame with a smal Quantity of water we mâ—ke the fire burn the faster II. The Time respects 1. Seasonableness of which note 1. That we must then act when the Patient can best bear it 2. That the motion of nature must be alwaies furthered unless it be dangerous 3. Turgent humors must be drawn out the self same day 4. About the beginnings and ends of Diseases stronger medicines may be given because then al the symptomes are weaker in the state it is better to rest because then al is at the height 5. The Constitutions of the Heavens that is to say both the Conjunctions Risings and Settings of the Stars as also the great changes of times especially in cronical sicknesses are to be considered c. II. Method or good order in the plurality of things to be done Here observe 1. That disjoyned Diseases do require distinct Remedies so that they may be cured either severally or both together 2. That connex and complicated diseases if they consent may be cured either together or apart and you may begin with which you please and if they dissent we must oppose both with a kind of mediocrity if they partly agree and partly disagree we must begin with that which though the Cure of it do not help yet it hinders not the Cure of the other 3. In al diseases whether they be disjoyned or conjoyned respect must be had above al things both of that which urges and of the Cause or Concomitancy so that we must first cure that which urges most and that upon which the rest depend Under the Motion of Causality or Concomitancy come both al Impediments without the removal whereof no Cure proceeds as also the Foments upon which the other hurts being linked and chained together do depend in their production Now that is said to Vrge which exceeds the other hurts of the body either in magnitude and malignity or in the vehemency and celerity of the the hurt they do III. Touching the Place these things are observable 1. That the inclination of nature and conveniency of the Vessels must be observed 2. That the matter must be voided the nearest way by ignoble parts by a natural channel and by waies cleer and direct But of these things God-willing I wil treat most methodically and accurately in my Syntagona Chap. 3. Of the abstractive Method in Special and first of the taking away of Causes Article I. Of the taking away of Causes which offend in Quantity THe Taking away of Causes respects both Humors offending in Quantity Quality Motion and Place and likewise winds themselves of which notwithstanding they are not so exactly to be considered and by themselves but that they may somtimes be complicated together The taking away of Causes which offend in Quantity is performed by Blood-letting Frictions Fasting Bathing Haemorrhoides Monthly Courses Scarification Cupping-glasses and Horse-leaches I. Touchig Blood-letting these things occur considerable 1. Whether it is to be done or no. I. A Vein is not to be opened 1. If the forces of the body languish as being changed by Fevers long diseases distemper of the ambient air or other things some venemous quality immoderate evacuation of Humors Labour Grievous Pain and passions of the Mind 2. If a Woman be sickly and of a whitish color 3. If it be a child because its heat is apt to dissipate 4. If the Patient be over fearful 5. If the disease be in its highest vigor which attains the Crisis 6. If a crude distemper afflict without fault in the blood and it may otherwise be amended 7. If crude juyces abound in the whol Body especially in the Summer time the stomach being weakned the body soft and a fever be joyned 8. If a crude and cold juyce afflict the mouth of the stomach whence an heart-burning proceeds by reason of the vicinity of the Heart 9. If boyling juyces abound in the whol body which wast the Spirits and being carried into the stomach Cause a deliquium 10. If venemous diseases afflict the body 11. If a critical Evacuation were sufficient II. A vein may be opened 1. If the forces of the body languish being oppressed 2. If the disease be great which afflicts vehemently for a short time with a feverish heat and working of the blood 3. Yea in a person of seventy years of Age provided the pulse be considerable and the nature of the disease and plenty of blood require the same 4. Also in a Woman with child both in the first and last months if shee have an accute disease II. We are to consider at what time a vein is to be opened Touching which observe 1. That such diseases as are caused by a plethora in them a veine must presently be opened at any hour of day or night before it transfer it self into some noble part and the strength of the body come to languish 2. In feavers it must be done in the times of Remission and Intermission 3. If the greatness of the disease require not hast the best time is to open a veine in the morning an houre after the patient has been awake 4. When we would reiterate blood-letting for evacuations sake we must do it the same day III. How much blood is to be taken I. where observe I. Blood may be more freely taken away 1. When the Forces of the patients Body are lively 2. From Persons of a rosey-color of a thick and yellow habit of body haveing large veines and being formerly accustomed co blood-letting 3. In a vehement and great disease when the forces are vigorous we may let blood til the patient swoun howbeit we are not ordinarily to stay so long but when the color of the patient changes and his pulse growes weaker and when the blood runs with a lesser streame than before unless fat or some other gross matter hinder it then we must cause it to be stopped II. It is more sparingly to be diminished 1. In an impure plethora 2. In a melancholick plethora because it is not so hot as to require cooling 3. In a flegmatick plethora because the humor being exceeding cold is made more crude by blood-letting 4. In children and old people specially in the Summer 5. When the forces are discomfited and the disease is urgent for then it must be taken away by peecemeal at sundry times II. Frictions
the stomach 9. In the summer purges are to be given with coole things For the summer Heat calls the juices abroad which the Medicine presently draws away 10. Winters cold because it wil hardly let the humors go the habit of the body being compacted declares that preparatives are to be premised and cutters mingled therewith 11. The Aire of the patients chamber if it be too hot it stops the operation of purging physick by drawing the Humors into the circumference of the Body 12. A Lenitive or gentle medicine must be taken a little before or after meat least nature abuse the same by turning it into Nutriment 12. After a purge is taken the Patient must rest that nature may embrace the medicament and then a little motion wil do wel to melt the humors and that the expulsive faculty may be provoked Some Physitians bid their patients sleep a little after a strong medicament but not so after a weak one 13. When you give a strong medicament let the patient eat three houres after the Physick begin to work when you give the strongest purges of al let the patient pass over the time of its operation without dinenig for such medicaments need no spur 14. If the patient cannot hold out but dureing the purgation be so hungry as to seem weakned thereby let him drink presently after the taking his medicament a draught of broath or bread moistened in wine But thirst declares that the purgation is finished by reason of some Consumption of the roral moisture provided it be not provoked with a light Catarrh or the stomach be not naturally inflamed and there be no suspician of any inflamation from the Medicament 15. When the evacuation is ended the Broath of a pullet may be given with sugar to wash the Gutts Point III. Of provocation of Vrine Vomiting and Sweating Diuresis or Vrination is the drawing of Humors out of the Body by diuretick or urine forceing medicaments duly administred You shal duly administer them 1. If you give them in such diseases as are evacuated by little and little 2. If you give diuritick medicines properly so called in thick humors those improperly so called in thick and adust ones which by that meanes are made more fluid taking heed of dry diseases such as the Consumption Madness c. 3. If you give them not in bodies ful of humors til the humors have been first abated by purgation least by their thickness and plenty while they rush headlong into the narrow passages they come to obstruct them 4. If you give not sweet medicines to women least they be drawen to the womb 5. If the passages be neither inflamed nor exulcerated II. Vomition is the ejection of Humors upwards by vomitory Medicaments conveniently given and applied Those Humors are all cholerick flegmatick and melanchollick humors but those especially which either reside in the Capacity of the Belly or are contained in the spleen hollow side of the Liver or the Pancreas Sweet bread such as are thin and chollerick and of their own accord tend upwards which is perceived by bitter belchings paine biting and heaviness of the Midrif Also some vomitings empty the whol body Vomitory Medicaments procure vomiting either because they have an inclination upwards or because they do as it were float upon the stomach and oppress the same or because they loosen the upper orifice of the Stomach The Conveniency of preparation and application Requires 1. That they be given to persons leane by constitution and habit but not by sickness provided they vomit easily namely that they have a large breast firme Head and use not to spit blood nor are in a Consumption nor are subject to suffusions in their Eyes or to frowning or fainting fits 2. That you be not hasty to give them to old people 3. That you give them in the Summer because then the Humors are carried upwards 4. That the Vomit be so much the lighter by how much the Disease is more vehement and so much the stronger by how much the part to be cleansed is far scituate in the body 5. That no oyl be used in Feavers because of the Relaxation of the stomach whose strength ought to be preserved in Feavers 6. That you give them before meat in thin and cholerick persons after meat in flegmatick people because flegm sticks fast in the body Observe more particularly concerning Helebore That the body be free from al feaverishness That the Patient be accustomed as it were to vomit for three yea for twenty daies before that he may not vomit to purpose til the morbifick matter be digested That the Hiccupping which is wont to arise in the middle of the vomitings with Hellebore be stopped by giving the patient Mul-sack with Rue boiled in it That it be given in a convenient Quantity For a lesser dose than is fit agitates the juyces and disturbs nature to no purpose III. Sweating is an Expulsion of Humors by the pores of the Skin al the body over caused by sudorifick Medicaments conveniently administred Touching the Medicaments observe That they have a greater tenuity or subtilty of parts than Diureticks have That they cause sweat by turning the Humors into vapors and thrusting them into the outer parts of the Body That cold sudorificks work by an occult Quality Their convenient exhibition is regulated by these precepts 1. That cholerick persons sweat not without trouble and inconveniency because of the overgreat dissipation of their natural Heat 2. Humors cannot be conveniently forced out of the Cavities of the stomach Guts Wombe and the like into the habit of the body 3. The forces of the body being weak are more impaired by sweating 4. In old and cold diseases as distillations Palsies Sciatica Pains of the Joynts Sudorificks are exceeding good 5. They are to be given after universal purging in the declination of a disease 6. They are most of use in pestilential Diseases nor is there then so much need to observe either the time of the disease or the strength of the Patient 7. The Humor to be evacuated must either be thin of it self or it must be made so 8. Plenty of morbifick matter must not be assailed by sweaters least being carried unto the Skin it shut up the smal pores thereof and either breed or encrease putrefaction Article 3. Of the Removal of Causes offending in Motion Point 1. Of Revulsion and Repulsion The taking away of causes offending in Motion contains under it Revulsion Repulsion Derivation and Interception I. Revulsion is the convenient aversion or turning away of matter flowing into some part into a part quite contrary 1. This Aversion is caused either by Reason of Vacuum by blood-letting cupping-glasses and Horse-leaches or by reason of Heat and pain by dolorifick ligatures strong frictions of the opposite parts Clisters Suppositories hot washing and vesicatories When I say that Aversion ought to be made to the contrary part Observe I. That it must be made to remote parts to
3. Or from the Quality of Humors provoking the faculty and then their signs are present Evacuations being premised we must use astringents II. Diairesis is when the Vessels are divided 'T is known by plentiful efflux of matter with pain It arises from causes which corrode distend or break The Cure requires conjunction or soddering by astringent Medicaments The diffences are taken from the Causes 1. It is either from external Causes viz. vehement motion heavy weight exclamation leaping contusion wounds sharp thick medicaments 2. Or from sharp biting humors and then the signs of a cholerick or salt humor are present The Cure consists in alteraion by cooling medicaments and such as blunt the sharpness of Humors by evacuation with choler and water-purgers c. and by a cooling and mitigating diet 3. Or from plenty of Humors in which case the Cure is the same with that in the Anastomosis 4. Or from Winds and then the signs of wind are present viz. stretching without weight wandring pain the Causes engendring winâ—s were precedent the disease arose on a sudden the Urine is ful of bubles c. The Causes are plenty of moist diet weak heat which cannot digest the matter The Cure requires that the Cause be evacuated that winds be expelled by convenient Medicaments White Amber is commended in this Case old Treacle also and Mithridate Electuary of Bayberries Conserve of Sage Spirit of Turpentine Oyl of Fenel Seed Anisseed Pouder of Citron Peels c. III. Diapedesis when the Vessels are rarified 't is known by an over plentiful sweating forth of Humors It arises from rarifying and moistening Causes The Cure respects the Causes Point 2. Of Diseases of the Cavities in Defect Diseases of the Cavities in Defect are when the Cavities are rendred more straight than is fit The SIGNS you shal meet with in the particulars The CAUSES of this straitness are Obstruction Constipation Growing together Compression Falling-in of which in the Differences The CURE requires the Removal of this Straitness which varies according to the variety of Differences As for the differences under them five things are contained I. Obstruction which is nothing else but the shutting up of the passages by Humors or other things It arises from Humors and things wholly against nature c. 'T is cured by convenient application of deobstructive medicaments 'T is divided according to the Causes 1. One sort springs from multitude of Humors and then Diet is the Cause Evacuation helps this sort which must be large it the Humors be many having respect to the places From the Chest by Coughing from the Stomach by vomiting from the Belly by Stool 2. Another from thick and clammy humors and then we must use abstertion cutting and attenuating somtimes abstertion alone wil suffice if the Cavity be open The medicaments ought to be strong when the viscidity of humors is great and the place remote more mild when the Case is contrary and alwaies appropriate unto the parts 3. Another is from Stone Worms Quittor Dung of which we shal speak in its place and then we must use al Evacuations either at once or at divers times And respect is to be had to the place in which the humors are lodged 4. Another sort is from clotters of Blood then we must use medicaments which dissolve blood such as are the Magistery of Crabs-Eyes Pouder of Rhubard Tormentil Sperma ceti not rancid c. You have cutting and deobstructive Medicaments above in the third Book The principal shal be specified in the Cure of particular obstructions II. Constipation when the passage is shut up by flesh or a tumor bred in the cavity It arises from a Caruncle Membrane inflamation Tunicle Push which must be concocted The Cure requires consumption and evacuation of the matter III. Coalescence is when the wals or sides of the passage grow together after an ulcer or wound It arises from flesh growing to the Cavity from a scar c. The Cure requires breaking IV. Compression when the passages are stopped by causes incident from without which force together the sides thereof It arises either from external causes as cold and dryers where loosening and moistning things are good or fresh Tumors or Bones removed out of their places The Cure requires their Removal and has an Eye to the diversity of Causes V. Falling in or falling down when the passages are straitned by the loosness and falling together of the sides It arises from over great moisture 'T is cured by dryers Article 3. Touching Diseases of the Surface Diseases of the Surface are when the parts decline from their natural Constitution in the second Qualities The chiefest of them are Roughness and Smoothness I. Roughness is a want of that Smoothness which ought to be in a part It is caused either by addition of a Surface in the solid parts as in fractures certain scales are seen and there is need of fetching somwhat off by abstersive Medicaments or by taking away and then sharp things both external as vapors Winds Fumes Meats venemous Medicaments and also internal as over dryness of the parts when their moisture is consumed bitter choler salt flegm c. In the Cure we must fil up that which was hollowed the acrimony of humors must be be tempered and the parts not yet affected must be defended We must goe to work with moist and clammy medicaments II. Smoothness is a defect of that roughness which ought to be in a part 'T is cured with abstersive medicaments which have withal some astriction that the tone of the fibres may be repaired and the spaces in the surface of the part being dilated by humors may be again contracted Chap. 2. Of Diseases of Number A Disease of Number is when there is a fault in the number of parts 'T is divided into a Disease of number in defect and in excess A Disease of number in defect is when a part which ought naturally to be present is absent That part is either Sanguine or Spermatick which is not regenerate or repaired in Specie or simple or compound nor must it be the particle of a part but a whol part The Cause is whatsoever either by way of efficiency or privation of matter may cause the want of any part The Cure points us to Restitution which is made only by nature the Physitian mean while preserving the strength of Nature by defending the natural Heat by supplying fit matter thereto viz. blood and by removing impediments that is to say Flesh and such like things As for what concerns the Differences Either the fault is original or through defect of matter necessary to generation or through the weakness of the natural faculty which ought to attract retain and elaborate the matter and so it cannot be restored Or after birth by cutting gnawing putrefaction refrigeration and the Cure is to be directed to its causes II. A Disease of Number in Excess is when there is a thing which naturally ought not
see the medicines above II. Others are of the Tendons which cause pain but not very great They are less dangerous They are cured as those of the Nerves Or the whol tendon is cut asunder in the mids and then the motion is taken away but if nor the motion is only weakned III. Another is of the Nerves which are knowen from the writings of Anatomists by their vehement pain to which convulsion and inflamation are wont to succeed They are cured with difficulty by reason of following symptomes especially if there be no tumors If appeareing they suddenly vanish If the Nerve have conceived putrifaction and that be communicated to the near and remote parts In the Cure 1. Paine and Inflamation are to be removed by blood-letting and purging 2. The wound must be kept open that it may vomit out its Excrements 3. Temperate and drying Medicaments of thin parts must be applied mostly hot respect being had to the Constitution of the body and affluxe of Humors 4. The intermediate parts must be fomenred with oyl of white lillies c. If you consider the differences I. Some are caused by way of pricking and then the kind of the weapon and the wound agree together The Symptoms aforesaid follow The Cure is hard because the disease is dangerous Especially if it betide an impure body and if the tumor ariseing do vanish and raveing follow It respects 1. The purging of the body from vitious humors 2. The asswagement of the pain by anodyne Oyls or Cataplasmes 3. The drawing forth of sanies or corrupt moisture either by drawing medicaments or by section Cross-wise or by tents yet so as that they touch not the nerves 4. Application of thin medicaments moderately heating and drying as balsam of Peru St. Johns wort oyl 5. Diet in which cold aire wind passions of the Mind and venery are prohibited II. Others come by Cutting which happens I. Either according to longitude and then the paine is not so great nor is there so great fear of Convulsion seeing the fibres are not so affected In the Cure the Lipps of the wound are to be closed together with a swath band The corrupt liquor must be suffered to have its egress which is like sometimes to milk water whey whites of Egs. The foresaid Medicaments must be put in The wound must be covered with a plaister of Diapalma or some other 2. Or athwart the Member and then it is either cut quite in sunder and then motion and sence are abolished without pain or it is not cut in sunder and then the pain is not so great there are al the symptoms which may be in a prick In the Cure stitching must be used but so as not to hurt the nerve IV. Others are of the Joints which happen in the Cubit knee and Joints of the fingers They are 1. Either without Luxation in which case the Cure is Difficult because the Joints easily receive fluxions and are apt to be pained especially if they happen in the inner part where the vessels are greater It is performed 1. By drawing the Lips together so that an issue may be left for the quittor 2. By preventing the affluxe of humors by evacuation Interception a right situation of the Member 3. By repulse of cold aire by Cataplasmes and other things II. Of with luxation or disjointing where there is greater danger because of tearing asunder the nervous parts Halting followes In the Cure the joint must not be restored for death would then follow With the wound you must proceed as with other wounds the binding up only excepted The fluxions must be prevented cheifly by purgations and Sudorificks V. Others are with Bruising when a weapon is blunt or heavy or a man is beaten against somewhat In the Cure you must have regard to I. The Contusion where 1. Afflux of humors must be prevented by revulsions defensatives and repellers 2. The blood which is flowed in must be changed into quittor by medicaments not too moist and Cataplasmes must be applied round about where the part is bruised II. The Wound which 1. Must be cured with digestives of rosin terpentine and yolkes of Egs. 2. When quittor is bred we must use abstersion and consolidation 3. If it wil not be suppurated and there is danger of a Gangreen we must Scarrify c. The Differences are taken from the parts I. Either it is of the Nerves and Tendons where the part must be fomented with discussing Oyls made hot If the skin be withal bruised the paine is first to be asswaged with the white of an Eg mingled with Rosewater then a while after the part must be fomented with astringent wine luke-warme finally Cataplasms must be laid on of Elme leaves boiled in oyl or the Ashes of vine spray with Hens-grease If hardness remain Emollients and Digestives must be applied II. Or it is of the Ligaments where we must deal with heating and drying medicaments c. VI. Others are by Gun-shot which are knowen by the very sight The Cure is hard if the Body be cacochymical If the the bones be withal broken If they are made with a poisoned buller 'T is perfected 1. By drawing out the bullet with fit Instruments 2. By changing into quittor what is bruised with Quercetanes Ointment P. 145. The balsam of Pareus recorded by Sennertus lib. 5. Of Wounds made by Gun-shot so as to prevent a Gangreen 3. By abstersion with detergents either stronger if there be much quittor or milder See Quercetanus Dispensatory p. 146. 4. By breeding of new Flesh by Medicaments which may be seen in the forenamed Author and others See besides Ludovicus Botallus and others Quercetanus his Treatise of Gunshot-wounds VII Others are poysoned either by an infected venemous arrow or other weapon or by the biting of some beast and then in the wounded place there is greater sense of pain and pricking and grievous symptomes happen In the Cure we must thus proceed as 1. To stop the passage of the poyson to the inner parts of the Body to draw it out by cupping-glasses or other medicaments by moderate binding of the part above the wound by cutting of the Flesh unless it contain Nervs by washing the wound with Wine and Treacle mingled together with Causticks c. By fortifying the Heart with external and internal Antidotes 2. To cure the wound it self Chap. 3. Of Fractures A Fracture is the division of a Bone by an external Cause violently assaulting The SIGNS are want of due motion in the member bitter pain before the bones are composed shortness of the member by reason of the broken bone The Causes are external yet aptness to break does proceed somtimes from the natural Constitution somtimes from acquired rottenness from the french pox or some other Cause The CURE respects I. The Inflamation if there be any which must be in the first place removed respect being had to the part with repellers lest the Humors should flow in II. The Fracture it self
speak somwhat thereof in general in this place A single Chapter Of Pain in general PAin is a sad and troublesome disposition arifing from a sudden and vehement alteration in the sence of feeling The Subject are the nervous parts especially the thicker membranes which bring vehement pains SIGNS are needless the sence it self shews it The CAUSE is whatsoever eminently and suddenly alters the part or dssolves the Continuity thereof The CURE must be hastened least a fluxion be raised especially in a vehement one the Disease also must be set aside if there be no other Remedy 'T is performed I. By intigation with Anodynes and Narcoticks Among the former oyl of Lillies Earth-wormes Chamomel a Cataplasme of bread Crums milk and Safron boiled together a pultis of Marsh-mallow roots boyled in Milk Grulingus his Unguentum Jovis Among the latter are the extract of Thorn apple seeds the Narcotick trochisks of Fernelius Quandanum opiatum II. By removal of the Causes both by internal and external remedies The Differences are taken either from the Causes or from the parts affected I. One kind of pain comes from an eminent and sudden alteration of quality which is taken away by the remedies of a contrary quality And it comes either from heat and dryness then the causes have preceded the pained part is red we must go to work with things cold and moist Or from cold dryness the suitable Causes have preceded The skin is white or growes black and blew by binding 'T is eased with things hot and moist Another springs from Solution of Continuity which is caused either by many humors which stretch sharp ones which fret in which cases bleeding and purgations are useful Or from winds which teare as it were in sunder in which case having premised Carminatives we must deale with universals Or from external Causes beating cutting burning where the Cure must be directed to each particular Cause II. One fâ—â—rt is pricking in the Membrans which compass the ribs and subcostal Muscles Another is beating proper to the Arteries the sign of a great inflamation Another is a dul paine and mâ—â—medness which happens in the fleshy membrane which is spred out beneath the skin which happens from Refrigeration external Contusion or compression Another is a pain as of some heavy thing which burthens which is commonly felt in the kidnies sometimes in the Liver and spleen Another is a stretching paine according to the longitude of the part proper to the Nerves which extends it self into both parts of the Nerves Another is stretching according to the latitude proper to the membranes which cover the muscles Another is wandring which arises for the most part from winds in the larger Cavities of the Belly womb c. Another is a boring pain in the Guts it arises from cold humors fastned into their Coats Another is a leaping paine which happens in the coats of the brain where rising as it were from a root it suddenly leaps into the Circumjacent parts Another is Vlcerative or soreish which commonly happens in the skin and parts beneath the same also in the Gutts from the Acrimony of Humors and worms is common to the dysentery Another is deep which happens in the periostium presents it self to the senses as if the bones themselves did ake or the marrow in the bones And so much for the first differences of Diseases THE SIXTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of External Diseases Title I. Of the Several sorts of Tumors SO much may suffice to have spoken of Diseases in general and of their cure Diseases considered in their several sorts are either External or Internal The former are Tumor or Sewllings Diseases of the Skin Diseases of the Hair Vlcers Dislocations or Disjointing and Fractures and therefore there wil be likwise just so many Titles in this Book Chap. 1. Of Swellings or Tumors Caused by Blood Article I. Touching over-great Corpulency SOme Tumors spring from Blood others from Choller Flegm Melancholly from Watry and wheyish Humors and some from a Mixture of these one with another Those which spring from Blood are Over-great Corpulency Inflamations Bubo's Phygetlon Phyma Furunculus Parotis Paronychia Perniona's Ecchymofis Carbunculus Corpulentia nimia is an over-great increase of the Bodies Bulk caused by too much plenty of Flesh and Fat Signes are needless The Consequences thereof are an Hindrance of the Motions and Operations of the body shortness of breath by reason of the passages being stopt somtimes suddain Death in such as grow Fat when they are young Barrenness because of the seeds watrishness The CAUSE is the Increase of Flesh and Fat The CURE varies according to the variety of the Differences The DIFFERENCES are taken from the Causes I. One sort springs from Encrease of Flesh which is Caused through plenty of good Blood made by a temperate Liver out of meates of good Juyce the hot and moist temper of the Musculous pâ—rts of the Body assisting thereunto It is Cured 1. By Evacuation through Blood letting Cupping Fasting Eriction 2. By Consuming the Flesh with such things as strongly dry and moderately heat II. Another from the encrease of Fat caused by the Oyliness and fattyness of the Blood falling out of the Veins into the Membranous parts and there congealed by the moderate heat and Efficacy of the said parts T is Cured 1. By Evacuation but it must be sparing because such persons are apt to fal into cold Diseases 2. By Consumption of the Fat effected by things hot bitter diuretick yet so as care be had that by over much heating another Disease be not Caused Article II. Of an Inflamation An Inflamation is a Preternatural swelling of the fleshy parts springing from blood which besides the intent of Nature flows into the said parts The SIGNES are Heat which is caused partly by reason of the Blood partly by the stoppage of the pores springing from plenty and thickness of blood which stoppage wil not suffer the Fuliginous Vapors to exhale and partly by the bloods putrefaction Pain both by reason of the distemper and the solution of continuity caused by plenty of blood filling and distending the part Redness the blood communicating its color to the part affected Tension or Stretching because of the abundance of blood distending the whol substance of the Part. Renitency or Tightness from the same Cause Pulsation by reason of the distention of the inflamed parts caused by the heaving of the Artery which wants freedom of roome to move it self The CAUSE is the plenty of blood or its sharpness by reason of Chollerick Humors which because they provoke Nature they are by her thrust out she using the blood as her Vehicle or Chariot to ride in which flowes plentifully to the part by reason of its pain The Manner of its Breeding is this An Hot Fluxion causing the blood to fal into the Muscles first the great Veins then the lesser then the least of al are distended And when
the fluxion can be in them no longer contained it partly sweats through the Coats of the Vessels which have also their pores and is partly sent out of the smal Orifices of the Capillary Veins which open themselves into the substance of the part and shed into the empty spaces which are between the first bodies or Particles whence the parts gather Heat The CURE is performed 1. By Blood letting that more blood may not flow into the part If we should presently fal to work with repellers the matter would be carryed to another place 2. By Purgation because sharp Humors give occasion to the Flux 3. By Alteration that the blood may be cooled and thickned provided the Veins be not strait and the Patient not troubled with obstruction of the Bowels 4. By Revulsion that the Humor may be drawn to a contrary part which is then best performed by bloodletting when the matter is much in quantity and violently moved by other waies and means when it is little Yea and in such a case it may be done by Repellers and Discussers 5. By Repulsion with repelling Medicaments either watry only or withal restringent The Former are to be used in thine Humors seated in the surface of the Body not much in quantity Joyned with Heat and of that sort are House leek Venus-navil or Penny-wort Violets and such like The Latter have place in extremity of pain where the Vessels are large and the fluxion is caused through weakness of the parts affected Chirurgeons frequently use the Whites of Eggs beaten together with Rose-water 6. By Interception with Defensative Medicaments which are fitly applied to such parts as are not fleshy and through which the larger Vessels run Oyl is judged improper to be mingled with these kind of Medicaments 7. By Derivation of that blood which has flowed into the parts 8. By Discussion with discussive Medicaments amongst which the Gentler are the Roots of Marsh-Mallows and of white Lillys Chamamel flowers c. The Stronger Orice Roots Elder flowers Gum Ammoniack Bdellium Bears Grease The Strongest of al are Nitre Sulphur Lime c. The DIFFERENCES are taken from the subject and Cause From the Subject 1. There is one of the Fleshy parts which is finished in the fourteenth day Another of the Tendons and Ligaments which because their substance is more compact and hard is terminated with greater difficulty yet it does not exceed the fortieth day From the Cause Either it is from good Blood and is termed simply a Phlegmon or Inflamation or from bad Blood which has either quite changed its nature and that raises no kind of swelling or it has other Humors mingled therewith and then if Choller be mingled it causes that Inflamation which is termed Phlegmone Exysipelatodes is flegm Phlegmon Oedematodes if Melancholy Phlegmon Scirrhodes Article III. Of the Bubo or Inflamation so called The Bubo is an Inflamatian of the Kernels which are seated in the Arme-pits or in the Groines The SIGNES are a stif swelling that yeilds not to the touch with redness pain and a slight fever The CAUSE is Blood slipt into the Kernels together with a vitious Humor provoking Nature to expulsion The CURE is Doubtful when they ripen slowly because they may turn to dangerous fistulaes It is according to the Cure of Inflamations Digestion must be procured by stronger Medicaments because the part affected is colder Suppuration ought to be hastened least new ones should break forth The Balsam of Sulfur and the Plaister of Sulphur of Rulandus are commended The Differences are divers I. One is Symptomatical to which that which was lately said is appliable Another is Critical which follows another Disease and eases the sick by its breaking forth It must be left to Nature if the Crisis be perfect if it be imperfect the Humor must be drawn forth by Cupping-Glasses and drawing Medicaments II. One sort comes in the Groines which is sooner ripe because it springs from blood and more Heat flows to those parts Another is in the Arme pits which for the contrary Cause is long ere it come to Maturity III. Some Buboes are Neither Malignant nor Contagious which being in the extream parts of the Body are soon suppurated and not dangerous Others are Malignant Pestilential or Venerious of which see in their proper places Article IIII. Of the Phygetlon Phyma Furunculus or Felon Tumor so called Phygetlon or Panus is an hard swelling somtimes arising after Feavers or pains in the Kernels or Almonds of the Eares It Arises either Externally from an Ulcer Pain Bruise or Internally from Chollerick Blood or a Feaver and is long in ripening Oyl of Guaiacum Wood is good in this case Phyma is a round swelling of the Kernels smaller and flatter than the Phygetlon less read and less painful which soon comes to its height and turnes to suppuration It Arises from Flegmatick Blood and troubles Children cheifly It is Cured by ripning through application of tosted Wheat c. Furunculus or Dothien a Felon is a little swelling sharp pointed not exceeding the largness of a Pigeons Egg remarkeable for its redness and pain when it tends to Suppuration Its Signes are known by the definition It seldom comes single It Springs from thick blood and is thereby distinguished from an Inflamation and the said Blood is not much a dust and so it is differenced from a Carbuncle The Cure is easie especially if it rise high pointed and is not hard nor forked It is performed by Ripening It is either Mild and Gentle occupying only the Skin or Malignant rooted in the flesh Or it is Pestilentical and Epidemical which being black or green is joyned with a Malignant Feaver Article V. Of the Tumer Parotis Parotis is an Inflamation of the Kernels behind the Eares proceeding from Blood either pure or mixed with vitious Humors The Signs are Swelling Pain Redness which appears behind the Ears The Cause is blood either alone or mixed with other vitious Humors which slips into these parts being sent from the whol body or from rhe Brain In the Cure we must not repel but Discuss by gentle Medicaments least stronger should exasperate the Pain Also Suppuration may be procured when Nature tends that way The DIFFERENCES are divers I. One sort is Critical arising with Critical signs which is easie to cure unless it hapen in the end of a Disease after other Evacuations without the Abatement of the Symptomes If it vanish away without Suppuration it wil come again It must be left to Nature and being returned it must be judged of according to the Nature of its return Another is Symptomatical which if it spring from crude and undigested matter it is dangerous because the place is so nigh the brain In the Cure its antecedent Cause must be deminished and the Matter discussed softened and opened that the Quittor may do no hurt II. Some are without feavers others with feavers which are more dangerous III. Some are without Malignity others are Pestilential
and Malignant IIII. In some the matter flows from the whol Body in others from the Brain Article VI. Of Nail-sores Kibes and Chilblaines Paronychia the Nail-sore is a Tumor arising upon the fingers ends beside the Nails The SIGNES are taken from the Situation and greatness of the Pain because the Nervous parts adjacent are affected and the said pain reaches somtimes al the Arme over The CAUSE is blood adust somtimes Malignant which Nature thrusts out into those parts The CURE is contrived by Evacuation Mitigation of Pain and Suppuration Repellers must not be used least we exasperate the pain and fix the Humor Oyl of Lead is commended by Agricola Page 216. And Eare-Wax applied with a peice of Ele-Skin Page 246. Perniones Kibs and Chilblains are swellings which arise in the winter time upon the Heels Toes and Fingers with other parts of the Hands and Feet The SIGNS are Refrigeration forgoing Pains Itch c. The CAUSE the winters cold weakening those parts and by pain drawing blood unto them They are somtimes long-lasting and though they go away in Summer they return again in winter In the Cure 1. The cold must be expelled by plunging the part into cold Water 2. The Part must be fomented with blood warm Milk wherein Rose-Mary Bay berries c. Have bin boyled or it must be put into hot Water wherein frozen Turneps have been boyled Article VII Of an Ecchymoma Ecchymoma is the effusion of Blood into the neighbouring spaces whereby a Part comes to have a livid black and blew color SIGNS are needless seeing the Disease is apparent to our Eye-sight The CAUSES are various viz. Anastomosis Diapedesis Diaeresis Contusion c. The CURE is performed 1. By Blood-letting if the Disease be great least Inflamation be caused 2. By Repelling Medicaments which must not be moist least blood flow in and they must have discussors mingled with them Honey of Roses laid on with blew Paper is good as is terra Sigillata dissolved with Water of Life By Digestion to which intent the Root of Solomons Seal bruised and steeped in Wine or other Liquor is good 4. By application of Cupping-Glasses if digesters help not 5. By laying on Ripeners that are Of a middle Nature between strong and weak 6. By opening the Tumor least the Quittar corrupt the neighbouring parts or make hollow fistulaes 7. If the part encline to a Gangraen we use to scarrifie the same and to wash it with hot Vinegar wherein the Root of Solomons Seal has been boyled Inwardly such things must be given as dissolve clotted Blood Article VIII Of a Carbuncle A Carbuncle is a Tumor springing from Adust thick and most fervent blood degenerating into black Choller which corrupts the part The SIGNS are these following A crusty Ulcer arises blackish or Ash colored not long after a round Bubo sharp and burning which is worst towards the evening breakes forth and the flesh round about is very hot There concurs a Feaver stomach-sickness womiting panting of the Heart Swownings Ravings c. The CAUSE is such blood as aforesaid which being bread in the Body and having attained a certain degree of Malignity is cast out and continually generated by a new afflux of Matter The CURE in general is in a manner None if having been red they presently vanish away Hard of such as are black and which are seated in the emunctories and near the noble members of the body Easier of such as are red Smal Single The manner of proceeding in the Cure is this 1. Let a Diet be prescribed cold and moist 2. Blood-letting must be practised at the beginning to take away fervent blood provided it be not drawn through some noble Members 3. The Malignant Humor must be prepared and Mitigated to which intent Scabious is most prevalent 4. We must Purge warily because of the acute Feaver 5. The part must be Scarrified where you are to note that the Scarrification is to be iterated if the blood require the same again We must not Draw if the Humor flow violently into the part least the Feaver and pain should be augmented Nay rather moderate Repression is to be caused by applying Medicaments to that end three fingers space round about the Carbuncle To which intent the Pap of Appels is used boyled with Vinegar of Roses into the form of a Pultis A Qiniment of Bole-Armoniack with a sufficient quantity of Oyl of Roses c. The Plaister of Agricola T. 1. Page 139. The part being Scarified must be washed with Salt Water hot 6. After it is washed Medicaments must be applied which resist putrefaction especially made of Scabious and Devils-bit 7. If Scarification help not we must use Burning but so that we presently anoynt the Crust with Unguentum Aegyptiacum or apply thereto a Cataplasme of Orobus meal and Oxymel simple to remove the same least if it remain upon the place it prevent the breathing forth of the Malignant Humor 8. The crust being removed the Ulcer must be cleansed c. The Cure thereof see in Agricola T. 1. Page 139. If you please The Difference is two-fold I. One sort is without any Pustle which discovers it self by those signs of which mention is made in general and there is nothing singular in the cure thereof Another is with a Pustle which is known because an Itching is first felt and soon after one smal pustle or more like the graves of Milet shoot forth which being broken a crusty Ulcer shews it self In the Cure there is nothing singular observable II. Another is Pestilential and then the Constitution of the year is such the Symptomes are stronger The Cure is most Difficult if it break out after a pestilential Feaver the heart being possessed by Malignant Humors T is easier if it break out before unless violent Symptomes appear soon after In the progress thereof these things are to be noted 1. That Blood-letting must be avoided because it breaks forth after the Patients strength is dejected 2. That we are cheifly to make use of Antidotes both Internally and Externally 3. Al possible diligence must be used to hinder the putrefaction from spreading To break it the Plaster of Heurnius in his comment upon the 55. Aphorisme of the fourth Book is commended Oyl of Antimonial butter the Magnetick Plaister of Hartman in his Chapter of the Plague Agricola his Oyl of Mercury T. 1. Page 139. Elixi Pestilential of Crollius c. A Cataplasme of radishes beaten with Rose-Vinegar described by Joel T. 6. Another is not Malignant and milder which at first looks red like a Flegmone or Inflamation and afterward waxes Yellow For its Cure see the general Rules Chap. 2. Of Tumors springing from Choller Article 1. Of an Erysipelas or Tumor so called ANd so much may suffice to have spoken concerning Tumors arising from blood From Choller proceeds Erysipelas and Herpes Erysipelas or St. Anthonies fire is a Chollerick Tumor springing from Chollerick blood flowing together into some part under
the Skin with a spot which is red broad and dispersed up and down The SIGNS are it seazes the patient with shiverings after which a Feaver follows There is a vehement biting and burning so that smal bladders somtimes arise The color is red inclining to yellow not red inclining to brown which being pressed with the finger vanishes and quickly returns A pain which is neither pulsative nor vehement and stretches it self out to the neighbouring parts without tension These signs are not observable in an Inflamation or Phlegmon The CAUSE is Chollerick blood which is bred by an hot Liver whereby it becomes more thin and movable or by nature many times because of a maligne quality it is driven into the outward parts or is moved by external Causes c. The CURE is hard if it follow upon the baring or fracture of bones It if turne from the external to the internal parts It is putrifie or suppurate If it arise on the Head or Face because the Tumor being augmented it causes the squinzy If in the Liver or Womb of Women with Child because it kils the Infant It respects 1. The driving away of the Disease to which end are subservient 1. Blood-letting from the Liver or median Vein in Plethorick and gross bodies 2. Purgation by the cooler sort of choler-purgers 3. Provocation of sweat by Venice Treacle in Elder-flower water c. 4. Application of Topick or external Medicaments which must be liquid and thin and frequently renewed The principal are the Lapis Medicamentosus Crollij Menstrual blood dissolved in Groundsel-Water and Rose-vinegar Balsom of Litturige with Camphire in Frog-spawne-Water Decoction of red Myrrh and Olibanum each one ounce in Wine and vinegar of each four ounces A Linnen bay ful of wheat bran heated The Liniment of Sebize at the end of his Book de Acidis 2. Preservation from this Disease Where Blood-letting is useful twice a year Purgation by Choler-purges Diet enclining to cooling and moistning wearing of stockings wet in Frog-spawn-water The use of that Preservative mentioned by Sinnartus in his second Book of Feavers Chap. 16. It is divided two manner of waies I. One is Exquisite to which the general rules aforesaid agree Another is Bastard and that either Phlegmonodes Oedematodes c. Wherein the Tumor is greater II. One is Simple in which the top of the Skin is colored and tainted and dry scales are raised like bran In this case after general remedies cooling Topicks are to be applied and the discussion must be left to Nature Another is Vlcerous in which after the pustles are broken saines or Blood-Water and quitter come out It quickly breaks froth with an evident Fluxion It has great moist pustles T is quickly come to solution and of its own accord and so t is distinguished from Herpes To this al other things corresponding cooling Topicks or external Medicaments may be applied til the color of the skin be altered See the Cure in Rulandus Article II. Of Herpes or the Shingles Herpes Fermica or the Shingles is a Tumor raised by Yellow choler pure and unmixt with other Humors upon the surface of some part of the body and creeping along to the neighbouring parts The SIGNS are a broad Tumor ruffing the Skin hardness pain sense of burning it makes a Circular kind of progress the middle parts healing while the extream parts break out a fresh The CAUSE is Yellow choler sincere or unmixt and thicker than in St. Anthonies fire proceeding from its causes The CURE respect 1. The whol Body which must be Evacuated 2. The part affected which must be gently cooled Digestion must be used and discussion by dryers if heat permit It s divided into Simple and Eating I. The Simple or Milet fashon'd Herpes roughs the top of the Skin and is quartered only under the Epidermis or Skarfe-skin raising thereupon very smal pupples which have very smal height from the skin like the graines of milet If the pustles are whole cold and dry things must be used if broke cleansers Water of quick-Lime and Sugar of Lead are very good A Decoction of Arse-smart and Resberry leaves in water and Wine c. II. The Eating or devouring Herpes the pustles being broken exulcerates the true Skin spreading it self in depth and breadth and is long in coming forth by little and by little it has dry pustles lasts long and comes unattended by a Feaver Thus it is distinguished from an Vlcerous St. Anthonies fire Stronger Medicaments must be used in these sorts of shingles Chap. 3. Of Tumors springing from Flegm Article I. Of the Tumor cald Oedema OEdema being the only Tumor arising from Flegm is a swelling caused by Flegmatick matter which Nature exples into the parts of the Body The SIGNS are the softness and loosness of the Tumor pain none or very little whiteish color no heat The CAUSE is Flegmatick matter the colder and moister part of the blood which is somtimes expelled by Nature somtimes tends downwards by its own weight and settles in the extream parts It cheifly quarters upon the Hands and feet being Members remote from the Fountain of Heat The CURE is performed 1. By Diet which must not occasion Fleagm and crudities Fish are allowed that swim in stony-bottomd Rivers 2. By Alteration and Digestion where Oxymel and Oxysaccharum are good 3 By Resolving with Discussers but the part ought first to be heated by frictions and fomentations 4. By Suppuration if by pulsation and pain we perceive it tending thereto Whereof see Platerus The Differences are sundry I. One springs from Flegm alone which is more lasting and is for the most part discussed by Resolution that is to say through the pores of the Skin Another comes from it and other Humors mixt therewith which sometimes suppurates especially if it be in an hot part II. One arises of it self which is not dangerous Another sort follows other Diseases as the Consumption cooling of the Liver c. Which is dangerous and threatens death In the Cure regard must be had of the Diseases upon which it depends Chap. 4. Of Tumors proceeding from the Melancholick Humor Article I. Of the Tumor called Scirrhus THe Tumors which arise from the Humor of Melancholick are the Scirrhus and Cancer The Scirrhus is an hard Tumor without pain springing from a Melancholick Humor which is thick clammy and roaping The SIGNS are little or no pain over-great hardness want of feeling when it is pressed The CAUSE is an Humor either Malancholick that is to say the dreggy part of the Blood or the natural Malancholick Excrement or somtimes also Flegmatick which is either thickned by heat dissipating the thinner parts from thence Inflamations St. Anthonies fire c. Follow or it is hardened by an Immoderate Application of repellers astringents and strong Discussives The CURE is None if it have no feeling otherwise some cure may be T is hard by reason of the stubbornness of the matter It is performed
1. By Diet which must yeild very good nourishment 2. By the frequent Evacuation of the prepared Humors 3. By Removing the Contment Cause by Emollients and Discussers either mixed together or used alone one after another interchangably The milder sort in persons tender and soft fleshed and when the Tumor is new The stronger in harder bodies and where the Scirrhus is old Fabricius Hildanus his Plaister of Hemlock mentioned in the 25. Observation of his 3. Century A Cataplasme of Briony Roots Goats-dung and Vrin are very good 4. If it come to suppuration by cleansing away the quittor with the Plaister of Diachylon simplex omitting heaters and section or lancing least it turn to a Cancer It is divided into a true or Legitimate which is void of sense and in which hairs grow upon the part for which there is no Cure and a bastard which is contrarily disposed to the former Article II. Of a Cancer A Cancer is a round Tumor blue or blackish having Veins round about it ful and swelling resembling the feet of a Crab and springing from black Choller The SUBJECT are parts of the Body as wel external as internal especially the moister and upper parts as the Dugs of Women The SIGNS are drawn from the manner of its Rise At first it s hardly so big as a bean in the progress it exceeds a Wal-Nut and an Eg it is hard of a Leaden or livid color or Else blackish with heat pain and pulsation the veins round about swel with black blood and resemble the feet of a Crab. The CAUSE is adust and black Choler hanging in the veins and by its thickness unable to pass along which springs partly from Nutriment affording such an Humor which has not been drawn by the Spleen partly from an hot burning distemper The CURE is difficult in al both because it comes from a stubborne and Malignant Cause and because it lurks in the deep veins It is not to be undertaken if the Cancer be hidden If it be seated in a Cavity of the body in the palate Fundament or womb There is no Cure if it be confirmed and seated in some noble part of the body It is of some Hope if it be smal fresh and stick in the surface of the body How it is to be performed see in the differences As for what concernes the differences 1. One sort is Exulcerated which is easily known and is caused by a matter sharper than ordinary It has the appearance of corrupted flesh with stench filthy matter coming forth an horrid aspect Lips very hard and turned in There is a slow Feaver conjoyned Swowning black or yellow sains or Blood-water running out of blood c. It s Cure is either Palliative by gentle-dryers and coolers or true 1. By Incision to the quick after which the corrupt blood must be pressed forth the Ulcer concocted mundified see Hartmans ponder in his Chapter of a Cancer in the brest or Dug filled with flesh c. 2. By burning either actual or potential if the profounder and greater vessels be thereby occupied Another sort is not Vlcerated which arises from a milder matter Is Cured 1. By Diet Moystening and cooling 2. By Blood-letting 3. By repeated Purgations of the Humor with extract of Hellebore pills of Lapis Lazuli after it has been prepared with Fumitory Hops Juyce of Fragrant Apples c. 4. By Application of External Medicaments in which case gentle Repellers are useful as the compound of Frogs-spawn Discussers which have no biting quality as Pulvis Benedictus of Hartman the Magistery of Crabsshels c. See Agricola also T. 1. Page 145. II. Another springs from Suppression of the Courses Another of the Haemarrhoides The Cure must be applied to those Diseases Chap. 5. Of Tumors springing from Wheyish Salt and Cholerick Humors mingled together Article I. Of Scabbyness TUmors springing fom mixt Humors do arise either from salt Wheyish and Cholerick Humors or from Flegm Melancholy and Choler so that the conjunct cause is no longer an Humor but some other matter bred of Humors Hereunto belong Scabbyness the Grecian Leprosie Phlyctinae Sudamina Sirones Vari Epinyctides Alphus Leuce Impetigo and Gutta rosacea The Scab Is a Tumor arising from corrupted blood vexing the Patient with distemper and Exulceration of the skin The SIGNS are set down in the definition The CAUSE is corrupt blood mixt with black choler and salt Flegm which either comes from suitable Diet especially when the Liver is distempered with Heat or it is corrupted by contagion and being brought unto the skin it sticks therein and causes Exulceration The CURE is accomplished 1. With Diet which requires boyled meates 2. By Contemperation and Evacuation of the Humors and reducing the Liver to its due temper by the Syrup of Coral of Quercetanus It is divided three manner of waies I. One is Symptomatical to which what has been said ought to be applied Another is Critical which breaks forth after acute or long Diseases II. One sort is moist out of which much sains or blood-water Issues It is caused by Salt Flegm T is Cured more easily than the dry Scab and that 1. By Evacuation to which end whey of Goates-Milk and Fumitory are much commeded 2. By provoking Sweat either by half an ounce of Spirit of Dwarf-Elder and two ounces and an half of Fumitory Water or by Spirit of Guaiacum or Antimonium Diaphoreticum if it be more hard to be removed than ordinary 3. By Application of External Medicaments And here bathes of fresh water and brimstone stone bathes are useful Also to apply the Yellow middle bark of Frangula with Vinegar And Sinnertus his Oyntment Book 5. Page 1. Chap. 27. Another Dry in which nothing is voided or a little quantity of thick matter and the Ulcers are Lead colored T is Caused by an adust Humor Cured with difficulty after the same manner as the former having respect to the Causes Another sort is termed Volatica the Running Scab which infects al the skin in one night for the most part In this universal Remedies being premised t is good to wash the Scabs with the blood that comes from a Woman with the after-birth See Agricola T. Pape 280. III. There is another sort termed Malum mortuum which vexes the Patient with a Leaden and black color crusty pustles black Dry without sence or pain cheifly in the Legs It Springs from a Melancholick and Scorbutick Juyce T is Cured after the same manner having respect to the Difference Another sort is the Leprosie of the Greeks which differs only gradually from other Leprosies T is Known hereby because it Eates deeper into the Skin and scales as it were of Fishes fal of whether the Patient scratch or scratch not and the Scabs stink filthily T is Caused by black-Choler oftimes mingled with Salt Flegm Cured by the same kind of things as the Scab but stronger The distmper of the Liver must cheifly be redressed Sweat must be procured with a
are the Glandules or kernels in the Neck Dugs Arm-pits and groins They are known by the sight especially among the inhabitants of the Alpes They Arise from a Flegmatick Melancholick mixt Humor which proceeds from the crudity of Diet or from a gross Juyce nourishing those parts mixed therewith which is shut up in a peculiar Membrane made by the formative faculty See the Cure in Book 5. in a peculiar Chapter T is divided into simple of which now and Cancerated which are mixed with a Cancer by reason of Black-choler 2. Into Free which are Joyned to no Vessel and Intangeld or Intaild which are Joyned with some remarkable Artery Vein or Nerve II. Ganglion Which is a Tumor scituate upon a Bone by reason of a Preternatural twisting or wreathing of a Nerve which is grown together into one body The Subject are parts which are covered not with much flesh but skin only It is known both by its situation and that it is void of pain and of the bigness of an Eg may be stretched to the sides and being pressed it makes the body feel the pressure It arises by occasion of a blow reaching or labour which stretches and as it were breakes a Nerve or tendon Whereupon the excrement of the Nervous part sweats out and sticks about the Fibres and Nervous parts and by their formative faculty is changed into this substance T is Cured by Emollients as Emplastrum de Ammoniaca and digesters and if they suffice not with suppuraters and by Section concerning which see the Authors III. Those kind of Tumors which spring indeed from the same cause viz. A Flegmatick Humor or Alimentary Juyce only they are distinguished by the matter contained in the bladder and from thence take their respective Names For it is named Meliceris if the matter included be like Honey the Tumor rounder than ordinary and giving way when it is touched Atheroma when it is like Water-gruel or Hasty-pudding and hard to the Touch. Steatoma when it is like to suet Chap. VII Of Tumors arising from a solid Substance TO such kind of Tumors these three sorts following are to be referred I. Verrucae Warts being Tumors standing upon the skin like Hittocks They are known very easily They arise from either a thick Melancholick and Flegmatick matter or from such Juyce as is ordained to â—ourish the Skin and Scarf-skin They are Cured either by Application of appropriate Medicaments such as are the Juyce of Willow-leaves and Cichorium Verrucarium or Wart-cichory water which Stands on the stumps of felled Oaks Spurge Milk an Onion bruised with salt They are divided into Hanging warts which the Greeks term Acrochordones being broad on the top and smal at the bottom where they are fastened to the skin as it were by a stalk Thymia which are colored like time are likwise smal at the skin broad hard and rough on the top being smaller than the hanging-warts and Sessiles which the Greeks term Myrmecioe lower than the Thymia scarse bigger than Lupines hard broad-bottom'd deep rooted and causing pain II. Clavi cornes which are wont to breed on the Toes and Soles of the Feet by the pressure and wringing of shoes which somtimes of their own accord prove very painful and are alwaies troublesome to the goer They must be Noynted with the blood of an Ele and Oyl of Mercury and when they are softened with Oyl of Snailes When they are cut smeare them with the Urin of a dog and lay on a Plaster of red Wax III. Callus Brawnyness is an hardness bread in the surface of the skin in the palms of the Hands and the lowest parts of the soles of the Feet It has no deep Root and is void of al pain It may be pared of after frequent washimgs and soaking in water Chap. VIII Of Tumors caused by solid parts falling from their due Situation Article I. Of Aneurisma Varix and Elephantiasis by the Arabians so called TUmors proceeding from solid parts falling down into or lying upon any part are many we shal here speak only of the Aneurisma Varix and Elephantiasis of the Arabick Physitians so called the rest we shal treat of in their proper places I. Aneurisma is a Tumor arising from a breach in the inner coat and a widening of the outer coat of an Artery T is known because it is a soft Tumor beating with the pulse and for the most part yeilding to the finger and if it yeild not to the finger nor pulse which may fal out in a great one yet a noise as it were of boyling water is perceived because of the passage of spirits through narrow waies and so it is distinguished from an Ecchymoma It arises through default of the Artery which in respect of its inner coat which is hard and thick is opened in respect of its external coat which is thin soft and rare it is widened It is wont to happen either by the Violent Motion of the flood or by some external force most frequenly when either an Artery is opened instead of a Vein or an Artery together with a Vein is hurt For then the external coate as being soft and of kin to the coats of the Veins growing together and the inner remaining open the blood and spirit Issues through the hole and distends the external coat T is Cured with Difficulty if smal if new Is in a manner incurable if old and great and if Section be made danger of death is incurred The Cure is undertaken 1. By Application of Repellers and astringents where Emplastrum Contrarupturam is useful c. 2. By Section or cutting touching which see Authors II. Varix is the Dilatation of a Vein It happens Cheifly in the Thighes under the Navil and somtimes in the temples It befals men principally yet hardly before they come to Age. T is known by the swelling of the Veins and the part being Lead-colored or black It arises from thick Melancholick blood which fals into the place either through its own weight or being thrust thither by some violent Cause Varices ought not to be Cured if they be critical and free the patients from other Diseases as they are wont to do from madness If they are to be Cured they are hardly Curable by Section but best of al by extraction of which see Aquaependens III. Elephantiasis of the Arabians is a Tumor of the Feet springing from Melancholick Flegmatick blood and the Varices Herein the Thighes are swelled of a Leaden-color black and ful of Ulcers It can hardly be Cured without a continual and long Course of Phyfick Chap. IX Of Malignant Tumors A single Article Of the Elephantiasis MAlignant Tumors are sundry Viz. Buboes Carbuncles Smal Pocks Meazels Elephantiasis Of the rest I have spoke or shal speak elsewhere I shal here treat only of the Elephantiasis T is called also Leontiasis Satyriasis and Lepra Being a Cancerous Tumor of the whole Body springing from black choler infected with a Venemous quality and shed
into the whole habit of the Body ' causing many Symptomes I do not mean the Elephantiasis by the Arabian Physitians so called nor the Leprosie of the Jews The SIGNS are either of the Diseases beginning as frequent spots in the Body roughness of the skin with risings like a Goose with the Feathers of with many scales and chinks especially in the Face Hands and Feet falling off of the hairs Or coming to the height as a Tetter upon the tops of the fingers and the Chin and the Eye-brows which are thick and hanging over hoarsness of the voice sweat easily turned into salt which wil not melt in water the blood being washed leaves grains and Sands in the bottom of the water See the Trial of this Disease in Horstius his Medicinal Epistles S. 4. Tim. 1. The CAUSE is a Melancholy Humor and black Choler which arises either from external Canses dry constitution of the Aire and Diet suitable or from internal viz. An hot and dry distmper of the Liver Also it contracts a Venemous and Contagious quality whence the Disease comes to infect others The CURE is None when the Disease is confirmed t is Difficult when it is newly begun T is Performed 1. By Diet where Viper Wine is good and the flesh of Vipers boyled their Head and Taile being cut off Cider Chickens fed with the flesh of Vipers or Snakes 2. By Preparation of Humors by the Herba Kunigundis an Herb so called with Fumitory boy led in whey Straw-berry water Dodder-water Decoction of Tamarisk 3. By Evacuation both by Blood-letting which must be Practised in the spring viz. In both Arms and on the Ankle and by Purgation where extract of Blood-Hellebore and whey with Epithymum boyled therein are good likwise by the Hemorrhoides 4. By use of Bathes of fresh water and of brimstone waters c. 5. By giving appropriate Medicaments viz. Hares-blood hot salts Theriacal Treacle Bezoarticum Ammale or Bezar-stone 6. By Mitigation of the Symptomes of which in their peculiar places 7. By burning of which see Authors As for the Diffierences there are four sorts thereof I. Alopecia in which is an obscure redness swelling of the Face redness of Eyes bleeding at the Nose It springs from blood and is more gentle than the rest II. Tyria so called from the scaly Serpent Tyrus which casts of his Skin in the spring In this there is whitness Seales dandruffe It springs from Flegm III. Leonina so termed from the Ruggedness of the Lyons for-head In which are prickings bitings Tetters It arises from Choller and comes speedily to the Augment IIII. Elephantiasis peculiarly so called being greater than the rest and slower in its Augmentation has its original from Melancholy and is known by a cloudy blackness knots and stupidity of the Patient These sorts are seldom separated and most frequently Joyned together Title II. Of Diseases of the Skin Chap. 1 Of Lentigines Ephelides Naevi-materni Infantum Maculae ANother kind of external Diseases are the disorders of the Skin under which are comprehended Lentigines Ephelides Naevi Materni Maculae Infantum Maculae Hepaticae Pruritus and Malus Odor I. Lentigines Freckles Are smal specks of a yellowish brown color for the most part seated somtimes in the Face somtimes on the breast somtimes on the hands They are known by the description and because they are subject to ruddy people and such as are yellow-hair'd They arise from blood adust either by inward causes or the Suns heat Occupying the Scarf-skin especially of the forhead because being there thicker than ordinary it retaines the Vapours longer They are Cured by the waters of Elder-flowers Bean-flowers and Scrofularia By Goats and Cowes-milk mingled with pouder of Glass With Cherry-tree-Gum dissolved in strong Vinegar with a little Oaten-meal With these they must be washed or anoynted II. Ephelides are brown spots on Women with Child which quarter upon their Foreheads cheifly their temples or Cheekes as large many times as an hand-breadth They are known by the presence of such Symptomes as are wont to afflict Women with child especially loathing of wine and meat frequent spittings and gnawings in the stomach They arise from suppression of courses in Virgins somtimes from eating of Beetes A Pap made of the pouder of Bay-berries and Toad-stool-water is commended being smeared on in a Bath III. Naevi Materni are spots and markâ—s imprinted upon the Child in the womb by the Mothers Imagination They are abliterated either by the After-birth while t is hot or the blood thereof more easily if privately as the common people imagine or the distilled water of Caryophyltata-Montana if the infant be washed therewith or with the meâ—nstrual blood IIII. Maculae Infantium Volaticae which Nurses cal the Red-come are red and purple spots which creep up and down the bodies of young Infants And if they touch any Orifice of the body as the Mouth Nostrils Eyes eares t is counted a deadly sign For Prevention the Orifices must be wet with Rose-water tinctured with a litle Saffron Chap. 2. Of the Maculae Hepaticae Itch and bad smels MAculae Hepaticae or Liver-spots are brown spots somtimes appearing and then vanishing with a slight roughness of the skin and falling of scales They are known by the description Arise from a thick blood which seeing it cannot be assimilated it sends forth what is Excrementitious into the skin if they continue long they are accompanyed with quartan Agues They are Cured with Diet and after universal Medicaments with bathes before which Treacle must be taken and afterward they must be nointed with green Mustard-seed reduced with water into the form of Pap which must presently be washed off so soon as it raises heat Also Mans-blood destilled with Brest-milke is good II. Itch is a pain which stirs up a desire of scraching without any roughness or Exulceration of the SKIN The SUBJECT is somtimes the whol Body but especially the soles of the Feet because they are covered with a great and broad Tendon and with an hard Skin so that the Humors have not egress T is KNOWN by the sense It ariseth either from Choller or thin salt Flegm so as it may insinuate it self between the smallest particles but clammy and roaping that it may stick faster to the parts which is bred of salt Meats and Hot through fault of an hot and Dry Liver The CURE is seldom performed upon decrepit persons None at al in such as have the Consumption if it follow after Costiveness T is performed 1. Ey Attemperation of Humors by Goats-Milk Whey and Syrup of Fumitory 2. By Evacuation of the antecedent Cause by Jalap and Syrup of Peach-flowers By Hemorrhoides and courses provoked if their stoppage have been the Cause 3. By Mitigation with fresh-waler bathes into which Mortar is to be cast and the Oyntment of Hartmannus 4. By Discussion with the said Baths wherein Pelitory of the Wal Mallows sharp-pointed Dock Alum Sulfur Vitriol c. must be put III. Bad smel
Vapors somtimes from the whole Body somtime from its parts as the Arm-pits Privities Feet From the whole Body either because of some propriety of temper or by reason of the blood and seed being corrupted in the Womb or through some accident during the time of a Womans Belly-bearing From the Parts by afflux of Excrementitious Humors in moist bodies which being thrust thither because they cannot freely exhale they conceive putrefaction and stench In the Cure regard is to be had of universal Remedies Let the Diet encline to dryness and resist Putrefaction Let also the foresaid parts be often washed with a Decoction of Scabious Mirrh Guaiacum and anoynted with an Oyntment of Orice-Roots Lignum-Aloes Ballom of Citrons and Nutmeg compounded together or let them be sprinkled with Pouders Title III. Of the Diseases incident to the Hair Chap. 1. Of falling off of the Hair THe third kind of external Diseases are those of the Hair under which are comprehended Shedding of the Hair Graynes of Hair Dandruff and the Plica Shedding of the Hairs is when they do for certain Causes fal from the Body It is divided into certain sorts viz. Defluvium Calvities Area and Tinea 1. Defluvium is such a falling of the Hairs that either all or most of the Hairs fal of here and there in several places It is known most easily It arises from divers Causes 1. From defect of nourishment as is seen in persons having the Consumption and such as are sick of a Malignant Feaver In the Consumption there is no Remedy In other sorts the Head must be frequently rubbed that the nourishment may be brought thither The Head must be washed with a Decoction of Capillary Herbs 2. From the Pravity of Humors which Eate and corrode the Roots of the Hairs In which case universal Remedies being premised things moderately Discussing are to be used Ladanum is to be mixed with Oyntments 3. From the Rarity of the Skin Then such things as thicken the Skin as Ladanum Oyl of Mastich and Myrtles a Decoction of the Roots of Burdock made in Lie II. Calvities Baldness is when the Hairs fal wholly of from the fore part of the Head T is known by the Eye-sight It Arises from defect of Aliment dryness of the Brain either through Age or some violent cause as too much use of carnal Embracements There is no Cure of baldness yet it may be preveted and deferred 1. By good Diet in which biting salt and astringent things strong Wine too much venery ought to be avoided 2. By supplying nutriment to the Hairs by such things as correct the dryness of the Brain 3. By drawing Aliment to the Roots of the Hair In which case Moderate frictions are good and drawers joyned with things moderately astringent Ladanum dissolved in Oyl of Mastich Washing the Head with a Decoction of Faenugreek c. III. Area is the falling off of the Hair from certain parts of the Head so as to leave bare bald patches here and there arising from a bad and corrupt Humor fretting the Roots of the Hairs It is known by the sight and by the differences of which anon It arises from the Humor named in the description especially from Flegm Salt adust and putrified through fault of the Brain and an hot Liver and corrupt meates as toad stooles c. The Cure is easie if the Disease be fresh If the place being rubbed quickly grows red If the Extremities of the bald patches which border upon the hairy parts begin to shoot forth Hair afresh Hard if the Skin be thick fattish and wholly void of Hair If the Disease be old None if the place being rub'd grows not red T is Performed 1. By Evacuation of the Vitious Humor by purges and Apophlegmaiismes 2. By driving back the said Humor while it is in Flux 3. By digesting the same when it is fastened into the Skin by Medicines hot and of thin parts not very dry least the Aliment be Discussed First the Weaker sort as Southern-wood reed-Roots burnt afterward the stronger Mustard Water-Cresses white-Lilly Roots which ought at first to be more Liquid and left so long on til some alteration be perceived in the Skin Beares-Grease helps by a secret Propriety of which with the Hairs of a Bear burnt Oyl of Mastich-tree and other things before recited an Oyntment may be made T is divided two manner of waies 1. Into Alopecia which keeps in its spreading any kind of Fignre and happens in the beard and hair of the Head in any Age And Ophiosis which begins on the hind part of the Head exceeds not the length of two fingers creeps towards the eares with two heads and in some as far as to the Fore-head til the two Heads meet before It cheifly haunts Infants Herein also the Skin is superficially Excoriated the Color thereof changed and if it be pricked Wheyish blood Issues forth 2. Into that which springs from the Whoremasters Pox that which comes from the Leprosie which is incurable and that which comes from other gentler Causes IIII. Tinea when the Hairs fal off one by one being Eaten and consumed by certain Worms T is known because the Hairs are shorter one than another and uneven Smal worms thick in their ends The color of the Hair becomes like that of Ashes It arises from Excrementitious Humors penetrating into the Hairs with their nourishment and therein by Heat changed into worms T is Cured Universal Remedies being premised by Abstersion with docoction of great Nettle smal Centory c. Chap. 2. Of the Porriga and Plica POrrigo Dandruff is when a man scratches or Comes his Head and there fals somwhat out like Bran. It arises from serous Cholerick and Flegmatick Humors which are carried to the Head with the nourishment of the Hairs the more thin parts being Discussed the thicker stick about the Hairs and go into dandruff They are attracted by an over-bot brain The Cure is by Evacuation of the peccant matter By Discussion and Abstersion with some astringents A Decoction of Vetches and Mallows is good in this Case II. Plica is a tangling and folding of the Hairs into Elfe-locks or thickly thrummed and matted bunches arising from plenty of matter profitable to nourish the Hairs but unprofitable for nutriment of the Body and causing divers Symptomes It is known by bunchings and complications of the Hair pains vexing the Joynts and bones convulsions plenty of Lice The Nailes of the great Toes are rough and scaly black like a Goat-Bucks-Horn The Cause cannot sufficiently be explained T is thought to be a Matter affording plenty of nourishment to the Hairs but such as is hurtful to the Body as familiar to the Hairs as in the running Gout Wheyish matter is to the joynts or Polygonon and bone-glew to the Bones whereupon if the Haires be shaven they shed blood It arises from a peculiar corruption of the place Aire and water T is carryed thither with the Blood somtimes Witchcraft may be joyned The
taken they escape without halting If towards the Hip commonly they halt after it Both because the bowing tending outwards it is easily crooked Towards the inside and towards the outside it bunches out like a bow as also because being but one single bone it cannot easily be kept in its place It growes together in the space of fifty daies Chap. 2. Of less Frequent Fractures TO the less ordinary Fractures there appertain the Fractures of I. The Nose which is either equally flatted so as to make a saddle-Nose or it is broke only on the one side or it is writhen aside by the Gristle or the bones thereof are broke into smal fritters There is Joyned somtimes a wound and somtimes and Ulcer is raised within the Nostrils Unless the Nose be immediately rectified it must for ever remain deformed II. Of the lower Jaw-bone whose bone is either broken so athwart that the Bones nevertheless do in some measure hold together or so that one bone sticks out above another and one tooth sticks out beyond another They are consolidated within twenty dayes unless Inflamation happen Also the teeth remain sound III. Of the Clavicula or channel bone which is broken either athwart and is easily reduced into its natural seat by extending and compressing the same with a mans fingers or long-waies which has alwaies some Eminency which can hardly be brought into order It s fracture is knowne by the touch and by the pian It is soddered together within the space of twenty daies IIII. Of the Scapula and that either in respect of the shoulder tip and then Inequality is perceived if the hurt part be compared with the sound or in respest of the broad part Then a certain cavity is perceived by the touch the Arme just against it is benummed If the fracture be in the neck of the Scapula or in the Jointing of the shoulder Inflamation is soon caused because of the veins Arteries and nerves which spring from the Vertebraes of the Neck V. Of the Brest-bone whose fracture is known by the bones giving way when pressed with the finger by shortness of breath c. and it is dangerous because of the Neighbourhood of the noble parts VI. Of the Ribs which are either so broken that the extremities of the broken bones do neither go in nor stick out And then few are either Feverish or spit blood Or so as that the Ends of the Bones are out of their places Then the flesh above the broken Rib is blown and heaved up and if the place be pressed with the hand a noise is heard of the departing Air. Inflamation Feavers Impostumes do for the most part follow Or the whole Ribs are not broken Then there is neither great pain nor a Feaver VII Of the Back-bone which frequently by reason of the hurt ensuing to the spinal marrow the Membranes and the Nerves especially if the fracture happen by the Vertebra's of the Neck proves deadly especially if a palsie either of the Arms and Hands or of the Legs and Feet do follow thereupon VIII Of the Patella or Whirl-bone of the Knee which is known by inability to go and an hollowness which is perceived in the place of the fracture It happens either long waies and then the bones are easily joyned together again Or athwart or slanting Then no art can so help it as to hinder the Patient from halting IX Of the Bones of the Feet which is wont to be caused by an heavy and strong thing 'T is easily known by sight and touch because the parts are fleshless It is not so dangerous See Galen upon Hippocrates of the Joynts and Fractures And so much shal suffice to have spoken touching External Diseases THE SEVENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching Feavers HItherto we have treated of the external Diseases of the Body The internal are either universal which affect the whol Body or Particular which vex some parts only The Vniversal are Feavers A Feaver is considered generally or specially Generally considered 't is divided into Non-putrid and Putrid Hectick Malignant and Pestilential Title I. Of Feavers in General A Feaver in general is an hot Distemper of the whole Body arising from an Heat Preternaturally kindled in the heart and by means of the spirits and blood through the Veins and Arteries diffused into the whol Body and hurting the natural actions thereof by a Crowd of Symptomes The Part affected is the Heart wherein the heat is first kindled and soon after the whol Body at least in respect of the noble parts somtimes For the Heat being diffused possesses the parts either Habitudinally or Habitually Also their temper consisting in the innate and influent Heat is changed Now this Distemper is joyned somtimes with dryness other whiles with Moisture Hence though the feaverish heat do alwaies tend to dryness yet oft times the disposition of the Body upon which that heat acts and the moisture do hinder the Body from falling into a Morbifick Dryness The Cause is whatsoever kindles Heat in the Body Now heat is kindled 1. By Motion whiles the rest of the parts by frequent smiting one against another causing a conflux of more Humors than can be discussed do grow hot 2. By Putrefaction while by the external Heat the internal is called forth 3. By Contact and Nearness of some hot thing 4. By stopping of the pores and interception of sharp vapors and Sooty steams which makes the body unhealthy and this is the Principal Cause without which other Causes can hardly effect any thing 5. By the mixinre of some hot thing The CURE of a feaver in general is performed by Alteration wherein such a progress must be used as that the Cause be not fomented and by mitigation of Symptomes The principal Symptomes are 1. Thirst the inner coat of the stomach being either parched with the burning heat or soaked with an hot sharp and nitrous Humor 2. Hiccuping sharp and biting Humors twitching and nipping the Stomach 3. Vomiting either by reason of an hot and Chollerick Humor or a very cold Humor or of a thick and Clammy matter or some Vapour 4. Loosness of the Belly when the stomach is so far irritated that it can in no wise embrace or digest the meate and when liquors extreamly cold are drunk down 5. Dryness Blackness and Roughness of the Tongue by reason of sooty Vapours which so burn the same that the Spittleish moisture is consumed which arise somtimes from a clammy humor sticking about the Teeth jaws beclam fur the Mouth 6. Lipothymia and Syncope Swowning and Fainting which somtimes proceeds from the permicious nature of the Humor and somtimes from rusty green or black Choler fermenting and coming out of the Veins into the Heart 7. Shortness of Breath occasioned by the oppression of the Midrif through the fervency of green Choler boyling about the heart or by plenty of Humors somtimes t is caused by the heat of the Heart or Lungs when
Choler and putrified matter is inflamed about those parts or when matter swelling and fermenting in the Veins rushes violently and settles it self thereabouts 8. Head-ach want of Sleep Apileptick Convulsions c. Of which in their places Title II. Of Vnputrid Feavers Chap. 1 Of the Feaver Ephemera UNputrid Feavers are either the Ephemera or the Synocha simplex The Feaver Ephemera is a feaver which arises from the Inflamation of the Vital spirits in the heart and continues the space of one day 'T is termed Ephemera because it transcends not the natural day as the Beast Ephemeron and Colchicum Ephemeron a plant so called The SIGNS are A sudden heat arises in the Body no loathing of meat or wearyness without cause deep sleep or frequent Yawning having preceeded with none or very slight shivering unless the Body be ful of bad juyce diffusing much and biting expiration which by reason of the colds stopping the skin or the closing up of the secret passages being suppressed smites the Nerves The Vrin in color substance and sediment is little or nothing differing from the natural unless the Cause which brought in the Feaver have raised some extraordinary mutation in the blood The pulse is more quick and frequent than ordinary but yet even ordinate great and strong Inspiration is greater and quicker than expiration The CAUSES are procatarctick of which in the differences The CURE is easie unless it change into a Synocha imputrid in a youthful and ful body or into a putrid the fourth or fift day in a body Cacochymical or into an hectick in an Hot Dry thin body 'T is Absolved 1. By Alteration through cooling and moistening things given inwardly and applied outwardly to the Region of the Heart the pulse and forehead 2. By Evacuation or opening a Vein if there be a plethora or by gentle Purgation if it arise from a redundancy of evil Humors and some light obstruction 3. By strengthening the Stomach Regard being had to the Humor and Symptomes The Differences of the Feaver Ephemera are taken from the causes I. One sort comes from Cold Air striatning the skin Then the beginning is without shivering The Urine and pulse are little changed the Heat is more moderate in the state T is Cured by removing the Cause II. Another springs from Buboes which is known by the presence of Buboes by a swift and great pulse by much heat by a ruddy Face 'T is Cured by blood-letting by which if blood be sufficiently taken away the Bubo appearing a little vanishes away by the use of repellers or relaxers if not it must by fomentations be brought to suppuration Vide B. 2. de Bubone III. Another from straitness of the skin which is known by the hardness and compactness of the Patients skin other things being as in other persons healthy It arises from plenty of blood cold binding or dryness 'T is Cured 1. By Blood-letting if the blood offend in quantity 2. By Purgation cutters being premised where there is plenty of thick Humors and swear is wont to follow 3. By relaxation with hot and moist things temperate baths moderate frictions frequent washing if it proceed from cold IIII. From Crudity and that nidorous which is known by the presence of such signs as attend a Diseased Stomach 'T is Cured 1. By Vomit if stomach sicknes and Aptitude to Vomit be present 2. By Purgation if there be danger in Vomiting 3. By Corroboration with Medicaments whose quality is opposite to the peccant Humor V. Another springs from Heat of weather Anger Sad Pensiveness Watchings Wearyness c. Of al which consult with Practitioners Chap. 2. Of the Feaver Sinocha Simplex THe feaver Synocha simple or the Ephemera of many daies is a Feaver without putrefaction arising of the Boyling and working of the spirits and blood without remission lasting three four or more daies 'T is termed also Inflativa or Puff-up because when the blood works and boyles the Vessels are distended and a wearyness of the body is perceived Its SIGNS are wearyness which comes of it self without any exercise of the Body Heaviness about the temples and forehead A certain Itch of the Nostrils a gentle Heat Moistness of the skin with distention of the Members A pulse great ful frequent quick Difficulty in fetching breath Urine thicker and more red than ordinary The CAUSE is the working and boyling of thin blood which arise from the hinderance of Transpiration in a plethorick body which sends forth many hot Vapours The CURE is not very hard because it seizes for the most part strong bodies or temperate ones or such as are hot or moist of middle Age of a fleshy square Alderman-like constitution unless it degenerate into another sort 'T is allayed and terminated somtimes by sweat or by plentyful Nose-bleeding within the fourth or at most the seventh day unless through some very great Error of the Patient the Physitian or the Assistants of the sick it turn to a putrid feaver or a greivous Disease which is wont to spring from fullness 'T is performed 1. By Blood-letting by which the Patient is cooled and the encrease of Vapors is diminished but it must be speedy little in quantity and divers times celebrated 2. By Evacuation of the first Region least more fumes be added to the store Tamarinds Rhubarb Syrupe of Roses solutive Cream of Tartar are good 3. By Alteration which ought to be performed by cooling potions the spirit of salt and vitriol being mixed therewith Clysters Oxyrrhodines Epithemes Bathes for such as are accustomed to them but not before the Rigor of the Feaver be over 4. By Corroberation with Manus Christi perled Diamargaritum Frigidum Conserve of Roses Vitriolated of Wood-sorrel c. 5. By a cooling and Moistening Diet. Title III. Of Putrid Feavers in General A Putrid Feaver is Generally or Specially considered A Putrid Feaver in general is a Feaver which arises from hot Vapors raised out of the Putrefaction of humors which affect the heart with a praeternatural heat SIGNS thereof are Invation with shivering and shaking no antecedent Cause having preceded No nor no procatarctick unless the body be so disposed that a smal matter affects it Accessions and Paroxysmes or fits which yet agrees not with al. The heat at the beginning is not biting by reason of suffocation biting in the augment by reason of a Fuliginous excrement The Vrine is crude or obscurely digested The Pulse is at first smal the contraction swifter then the dilatation by reason of plenty of sooty excrement It abates upon sweat or some other Evacuation The Causes immediate are putred vapors sharp biting plentiful so as they cannot be discussed The Mediate is the putrefaction of humors whose cause 1. In the first assault of the Fever is either their bad nature contracted from meats of bad juyce which soon putrifie from il preperation and use of diet and the faults of the Parts which serve concoction or an External agent where hindrance of
Transpiration has place or from the straitness of the pores of the skin for hot things in an hot place if they have not freedom of aâ—â—e doe suddenly putrifie or from the obstruction of the Vessels and Passages in the Body A Feaver Ephemera especially in hot Natures Heat arising from the Nonnatural things Nearness of putrified humors 2. In the Continuance is the fault of the parts ordained for Concoction Inquination or Defilement remaining after the Paroxysme which inserts the humors herein The Cure for the most part does not oppose the Feaver so as to neglect the Cause especially if the Remedies for the Feaver doe encrease the Cause unless the Feaver be very great Yet sometimes we may resist the Feaver and neglect the Cause namely when it is remiss The safest way is so to direct the Cure to the one as not to neglect the other It is performed 1. By Blood-letting which must be practised 1. For evacuation to put the blood in motion and to cool the same 2. In continual Feavers on the third day in intermitting Feavers after the third day in all having first given a gentle Lenitive if any thing reside in the first waies and when the disease is most remiss 3. When the evil humors are not in the first passages but are mingled with the blood in Vena Cava 4. When there is plenitude It must be repeated the same day if it be done for Evacuation sometime after if for Revulsion II. By Vomiting rightly instituted with Aqua Benedict a Rulandi Asarum Roots c. III. By Purgation then Lenitives ought to precede by reason of the stomachs weakness and plenty of humors in the Mesaraick Veins and stoppage of the Belly at the beginning either by Clisters or Potions Stronger Medicaments ought to follow 1. There having preceded both Coction which must be observed in Feavers especially such as are continual and acute according to the precept of Hippocrates by which Nature assisted with art makes separation of putrid humors mingled with the blood Praeparation which opens the passages and waies by opening Medicaments here Cichories Endives and Sorrels have place and impediments in the humors are removed where syrupe of Vinegar of the Juice of Citrons have place and a dram of Spirit of Tartar compound which must be given with caution in cholerick natures by reason of the Treacle water 2. Which must be omitted if the Humors are not in the first passages but mixed with the blood in the Veins If the Humors are turgent that is either move to some determinate part or are so disposed that they may run violently into some part For the feverish matrer is wont at the beginning though little because like Leven it corrupts the rest of the humors to be moved by nature and either to be thrown out of the body or to be thrust into the more ignoble parts of the body IV. By sweating provoked by Sudorifick medicaments and that not very hot least the Fever be increased yet sufficient least the matter should be only stirred administered after other evacuations least Transpiration should be more hindered Yet is it allowable in the beginning sometimes to give strong sudorificks that the said ferment may be dissipated to dispose the patients body to sweat through the whol disease that the body may freely transpire To repeat it as often as need shal be that the matter may be accustomed to expulsion Salt of Wormwod of Centory of Carduus benedictus Spirit and Rob or quiddinie of dwarf-elder of Elder Magistery of Mother of Perle of Crabs-Eyes Antimonium diaphoreticum c. are commended V. Diet in which are principally considerable 1. Meat which ought to be of good juice easie of digestion of small excrement so that great respect be had to the patients strength the disease and morbifick Cause The times of the disease it self must be observed least the patients strength be overwhelmed The Quantity Quality and manner of the use ought to be weighed Howbeit a more liberal diet may be used the strength of the Patient being diminished by Evacuation A thin when it is weak by suffoeation that plenitude may be diminished and nature the better betake her self to the Concoction of Humors A very nourishing one to preserve the strength Medicamental to drive away the Disease and its cause At any time when the strength is decayed by Evacuation and fasting In the declination or intermission the Patients strength being suffocated by the vehemence of the Disease 2. Drink which ought to be nourishing in the Patients weakness And Medicinal in reference to the Disease and its Cause Such is a Decoction of Barley Oxymel Whey corrected with Annis-seed Fennel-seed and Cumin-seed Cooling Juleps In the first daies of continual Feavers little afterwards more plentifully In Agues when the fit is near none at al least the separation and exclusion of the putrifying Humor should be hindred when sweat is ready to break forth hot to further the same The Wine in Agues must be austere and hard because such Wine moistens further excretions and is more easily distributed into the body in continual Feavers about the beginning of Coction little in quartans before in the Progress of the Disease more In the Declination if there be weakness The feaverish heat be not intense Crudity of the matter prohibit not Head-ach and like disorders be absent Chap. 1. Of Continent putrid Feavers Article I. Of the Synochus Putrida Putrid Feavers specially considered are either Continent as Synochus putrida Causus or Continuae Periodicae or Intermittents Synochus putrida is a feaver arising from blood putrified in the vena cava without any periodical Remission and Intention afflicting alike from the begining to the End It is also termed Pur Fire because of its very great Heat Assodes because it makes the Patient very unrestible Taraxodes because it vexes the Sick with imaginary Apparitions And Pericaes Puretos the burning fever because of the Excess of burning Heat The Pathognomonick or peculiar Signs are extream thirst and burning Heat howbeit the thirst is allaied by coughing which causes an Afflux of humors To these signes are added great tumblings and tossings of the Body by reason of great heat and the acrimony of thin vapours which in every part vex the body The Vrin is little in quantity through plenty of sweat and heat which consume the same somtimes t is crude and troubled which by the settling of the adventitious parts and evaporation of the turbulent spirits doth afterwartd waxe cleare somtimes t is thin very cholorick and flame-colored The stooles unless the dung be scorched and hardened by the feavers Heat are liquid and saffron-colored choler being shed into the belly and making the dung thin The pulse is quick frequent and unequal swifter in the Contraction because the Arteries by suddain compression indeavour to expel those sooty vapours which greiviously afflict the heart Breathing is laboursome and expiration is quicker than drawing-in of the air
by reason of the extraordinary necessity of sending forth the fiery exhalations The Mouth is bitter because choler is soakt into the inner Coat of the stomach which is common to it and the mouth The Tongue is dry and furr'd and black because the burning heat consumes the moisture of the tongue and lodges its sooty vapours therein Raving by reason of the mounting of choler into the head which if it follow trembling t is a signe that the cholerick humor is transferred out of the veins into the Nerves out of the nerves into the Brain Sleep is somtimes profound especially when the fever is not exquisite but bastard because thick vapours carried into the Brain do stop the passages thereof The CAUSE is Blood putrifying through a peculiar propriety of the liver occasioned by meates of an over heating faculty or from crude cooling meats apt to be corrupted c. Which blood is either Cholerick and then the symptomes specified in the definition are more vehement and the feaver is termed Causus exquisitus an exquisit burning feaver or Flegmatick then the fymptoms are milder the fever is termed nothus a bastard burning feaver The CURE requires that we regard the Feaver Its cause and the patients strength The feaver is terminated by sundry excressions especially when the patient happens to shake upon a critical day the signes of Coction appearing and that not by reason of the shaking but because of the Excretion whose forerunner is the shaking fit T is performed 1. By blood-letting that the burning heat of the Blood may be repressed the plenty thereof diminished and its faltiness corrected It must be done at the beginning while the patient is yet pretty strong and because the violent motion of the Disease shews we must take time while we may It must not be done at al it the Feaver have its Rise from Evacuation fasting journeying in heat of Summer drying of the Veins and consumption of the Blood-water Also when Age Sex or some other thing prohibits Then Scarrifications Cupping-glasses c. must supply its place 2. By Purgation with cooling choler purges or temperate ones as pulp of Cassia syrupe of damask Roses 3. By Vomiting if there be Stomach-sickness and the stomach be vexed with Cholerick Humors which is known by the Mouths Bitterness 4. By Alteration and preparation with cooling Medicaments where note that there is then need of External Medicaments when the feaverish burning is abated with internal coolers and the putrefying Humor is for the most part drawn forth 5. By Corroboration of the Patients strength with Electuaries Lozenges c. 6. By Mitigation of Symptomes of which see in the proper Chapter 7. By Diet of which see what was said before Chap. 2. Of a continual Periodick Feaver in general A Continual Feaver keeping its Periods or Courses is Generally or Specially considered Generally considered it is a Feaver arising from Excrementitious Humors putrefying in those Veins which are of a middle size betwixt the greatest and the smallest Capillary or Third Veins abating at certain Periods of time without any Total Intermission Its Signs are that it remits of its Violence and then grows again Exorbitant at certain Periods of time but never intermits so as to leave the Patient free from Feaverish distemper more or less Its Exacerbations or Exorbitancies are not usher'd in by any cold shivering or shaking nor does any sweat follow its Remissions or Abatements It is exasperated at certain set Periods of time both by the arrival of Morbifick matter to the Heart by uneven quantities because of distance of place if it do not exactly keep its times and also by communication of new matter from the Members subservient to the second Digestion if it hold punctually its times The Causes are Excrementitious Humors which are bred in the Spleen and Liver either by their fault or the fault of the Chylus yet they may be bred in the Meseraick Veins and brought to the Liver They are not only jumbled together with the blood but also perfectly mixed therewith Their place is the Veins not the greater for so it should be a Continent Feaver nor the lesser for then it should be an Intermittent Feaver or Ague but of a middle size betwixt the great Veins and the Capillary which are smal as the Hairs of ones Head See the Method of Cure in the Sorts Article I. Of a Primary Continual Feaver Point 1. Of a Continual Tertian Feaver A continual Feaver specially considered is either Primary or Symptomatical The Primary is that which has no other Disease preceding as the occasion thereof and it is either Tertian Quotidian or Quartan A Continual Tertian is a Feaver springing from Cholorick Blood putrefying in the Branches of Vena Cava which holds continually but afflicts the Patient most every third day Its Signs are the Symptomes of continual and burning Feavers its being exasperated every third day by reason of the Nature of Choler which is so moved The Cause of its Abatement is both the distance of the place where the offensive Vapors are bred and likewise their smal quantity by which means they are all dissipated before any more can be bred to succeed in their place It s Cause is Cholerick Blood and whatsoever is apt to encrease Cholerick bad Humors in the Veins and to make them putrefie when so encreased The Cure is performed 1 By Blood-letting a Clyster being premised because the Humor is mingled with Blood 2 By Alteration Lenitives being first used in which case a little Vinegar must alwaies be added to Syrup of Roses solutive that it may pierce more easily into the Veins and not be turned by the Stomachs heat into Vapors which will cause thirst Give them fasting that Concoction may not be disturbed With Moderation lest they cause Crudities Spirit of Nitre of Salt c. are commended Topicks must be applied unto the Heart which is chiefly affected but not before the state Not cold lest the Heat driven inward and gathering Head should burn more fiercely 3. By Evacuation downwards and that in the beginning if the matter provoke if it be plentirul and the Patient strong It must be performed by gentle Medicines and let Rhubarb and Myrobalans be given in their Infusions with cooling Waters rather than in substance After Concoction if Nature be lazy 4. By Sweating and provoking Vrin 5. By Dyet which must be contrary to the Disease and its Cause Such as are upon the mending hand if the Feaver be terminated with a perfect Critical Evacuation let them never eat to satiety Often and a little Let them abstain from al Evacuations save by stool Let them use the Electuary Diarrhodon Abbatis to strengthen their Bellies If by an Imperfect so that some reliques remain let them purge the said Reliques especially by Urine Let them keep a thin Dyet The Differences are taken from the Causes One sort is Cholerick from Cholerick blood pure and exquisite which the Liver being
peculiarly affected produces This sort afflicts with sharper Heat Thirst and Watchings They are subject to it who abound with choler The pulse is vehement swift hard The Urine flame-colord and thin 'T is finished in the compass of seven or of fourteen Exasperations It is not deadly unless either some remarkable Error be committed or some malignity attend the same Another is Flegmatick or Melancholick when Flegmatick or Melancholick blood is mixed with Cholerick where together with coolers things gently warming and cutting are to be mixed 'T is termed Notha or a bastard Continual Tertian Point 2. Of a Continual quotidian or every day Feaver A continual quotidian is a Feaver raised by the Phlegmatick Humor putrifying in the Branches of Vena Cava which is exasperated every day It s SIGN is a daily Exasperation which happens towards the Evening because of the natural motion of flegm about that time with heat which is at first feeling mild but afterwards more vehement by reason of the slow and uneven kindling thereof caused by the variety of the parts of Flegm With a light coldness of the extream parts of the Body which nevertheless is not found in al these Feavers The CAUSE is the Humor of Flegm putrifying which is proper to old Men because of their coldness to Children through their greedy eating It Causes so pertinacious and stubborne a Feaver that it lasts somtimes three score daies its beginning reaching to the twentieth day it vehemently weakens the Stomach whence arises a Cachexy and Dropsie The CURE ought to be thus mannaged 1. The first passages must be evacuated with Clysters or Lenitive Medicaments in which case Honey of Roses is effectual or the Stomach must be purged with Vomit 2. Let a Vein be opened if Nature be oppressed with overgreat plenty of Humors and the Urins be thicker and redder than ordinary 3. Purge by stool when signes of coction appear premising attenuators that heat not much first with a gentle then with a stronger Medicament Agarick trochisked Hicra picra Pils of Fumitory are good in this case 4. Procure Sweatings after the matter is lessened with Salt of Wormwood and of Carduus Benedictus and a little Treacle 5. Let strengtheners be given viz. Trochisks of Rhubarb of Wormwood and of Agrimony c. 6. Let the Diet be sparing for three daies if there be Crudities in the Stomach and in the first waies At first give Hydromel or smal Metheglin to drink instead of wine or beer and let no fish be Eaten in the whole course of the Disease This Feaver is divided three manner of waies I. One sort is Simple and Exquisite which arises only from flegm and has fits eighteen hours long Another is bastard when flegm is joyned with other Humors II. Another is termed Epiala in which in the smallest particles of the body understand to the sense both heat and cold are felt at one and the same time It arises either from flegm mingled with Choler or from Glassie flegm which in that part that is putrified is hot in that which is not putrified is cold T is Cured in the same manner that other putrid Feavers are but we must observe 1. That Blood-letting is hurtful 2. That spirit of Nitre in Juniper water is excellent to cut flegm 3. That vomiting must not be neglected which may be procured by six ounces of Juniper water distilled per Descensum 4. Care must be had of the Stomach which nine drops of Oyl of Vitriol with three spoonfuls of the best Canary wil strengthen and cut the flegm or two ounces of Aquae Vitae stilled out of Juniper berries by way of Descent III. Another is called Syncopalis by reason of the swoning fits which is either Minuta so called springing from a thin Humor little in quantity but venemous and corrupt or Humorous proceeding from plenty of Flegmatick and crude humors with weakness of the stomachs Mouth frequent faintings away The best way to proceed in the Cure is 1. By Rubbings in such whose skin is more than ordinarily hard 2. By loosing the belly with Manna and Cream of Tartar 3. By Digestion and Evacuation of Humors giving such things as are necessary for the Syncope 4. By a thin Diet in which wine may likewise have place Point 3. Of a continual Quartan Feaver A continual Quartan Feaver is a Feaver arising from Melancholy blood putrifying in the branches of Vena Cava whose heat alwaies endures but is Exasperated and Augmented every fourth day Its SIGNS are obtuse Heat but sharp and pricking by reason of the Density and dryness of the putrified Humor which causes the Feaver The Pulse at first smal slow and buryed as it were under the skin afterwards great ful and swifter than in an Ague Somtimes the Patient Spawles much which argues either the overgreat moisture of the Stomach or the Spleens fault in not separating the Melancholy Humor It s CAUSE is Melancholy blood putrefying in the middle sort of Veins and springing from its proper causes The CURE is altogether hard both because it lasts to the fortieth day and further unless peradventure it be a Summer Quartan and likewise because seeing that Humor is hard to putrifie it argues there is a great cause 'T is Performed 1. By opening the inner Vein of the left Arme. 2. Cy Preparation of the Humor which must tend much to moistening 3. by Purgation with Melanagogues frequently repeated as also the use of sweaters and piss-drivers 4. by strengthening the Patient with borrage bugloss Citron juyce c. 5. by Diet which ought to be cutting moistening and cooling c. Article 2. Of a continual Symptomatick Feaver Symptomatick Feavers are such as follow upon other Diseases which being removed the said Feavers Cease Their Signs Causes and Cures are to be drawn from those Disease which they wait upon Their Differences are sundry I. One sort is That which follows the Inflamation of some inward partespecially and which is neare the heart or has a consent and sympathy therewith the Vapors which arise out of the blood shed into the part inflamed and putrifying there being communicated to the heart and heating the same It is as many-fold as the Inflamation is The Cure respects the Inflamation II. Another sort there is termed Lipyrias in which during the whole course of the Disease the inner parts are as it were burning up with Heat and the outer parts meane while cold It arises from a vehement inflamation or Erysipelas of some internal part especially the Stomach the blood and spirits having recourse to the part inflamed Either the Cure is not to be undertaken or if it be undertaken resistance must be made inwardly against the putrefaction and extream heat external after the parts have been rubbed heaters and openers of the pores must be applied In which case Oyl of Dill and Oyl of Orice Root with oyl of Vitriol and strong spirit of Juniper berries are good III. Another is slow which is hereby
the patient be troubled with Heart burning stomach fickness and desire to vomit but so as the humors be not thereby drawn out of the veins to the first passages Salt of vitriol Asarum Broome water of pismiers or Aunts are commended if warily administred 3. By Blood-letting if the Humor have penetrated out of the first region of the body into Vena cava which is known by the redness of the Urines and it ought to be performed upon the day of the Agues Intermission 4. By preperation with cooling medicaments moistening and such as cleanse the first passages Taraxacum or dandelion sorrel Barly Cichory Spirit of vitreol Cream of tarter Tartarum vitriolatum syrup of juyce of Citrons are good also these specificks Centory Devils-bit c. 5. By purgation down wards and that for the most part on the wel day yet on the fit day if the matter of it selfe encline to go away by stoole Rubarb is good and syrup of Cichory with Rubarbe 6. By sweat procured by sudorificks salt of wormwood of Centori of Cardus Harts-horn prepared Magestiry of Mother of Pearle which are to be given either before the fit or in the end thereof 7. By strengthening the Liver and stomach Salt of wormwood dissolved in spirit of Niter and againe coagulated into Christals is good being taken to the quantity of a scruple 8. By application of topicks such are the Cataplasme of Mynsichtus P. 368. The pouder of a dryed manchet beaten with greene sage the white of an egge and a little vinegar being added and so bound to the wrist The Herb Potentilla wild tansie or wild Aegrimony beaten with salt and vinegar and so applied to the pulses and the soles of the feet in the fit A Cataplasme or pultise of Bryony Rootes Black Hellebor bay salt white pepper saffron and figs. 'T is divided into Exquisit Bastard an Pernicious I. The Exquisit Intermitting Tertian is hereby known 1. In that the shaking coldness at the first comming is vehement and pricking arising from an humor and Vapour very thin and smal in quantity shipping out of the veins 'T is smal if the matter be plentiful and not easily moved more vehement by how much the matter is thinner and sharper the expulsive faculty stronger and the sence of the parts more exquisite 2. In that the Heat is much sharp and biting and spreads it selfe al over the body in the Hight of the Hot fit And if you hold your hand long upon the patient it grows gentler by reason of the easy discussion at what time the body is al over bedewed with a gentle moisture 3. In that the pulse at the Beginning of the fit is smal and slow the matter being not yet conquered by the oppressed heat yet is it not drawn back in the Progress of the fit 't is vehement swift frequent a little hard straitned by reason of the store of matter newly inflamed like green wood more swift in the Intermission of the dilatation by reason of the heat of the smal quantity of humor remaining in the Chimney of putrefaction communicated to the rest of the humors and carried to the heart 4. In that the fits last not above twelve howers 5. In that the Urine is reddish and yellowish of a midling Consistence shewing a white cloud or a swim in the first fit and then the Ague lasts not beyond the fourth fit It arises from choler sometimes resembling that which in the Gal-blader regurgitating into the first passages somtimes verdigreise colored or green bred in the stomach and veins The cure is now of the hardest for 't is terminated for the most part within the compass of seven fits It is ended either by sweat if the humor be cast bak into the veins which are in the surface of the Body or by vomit and stoole if to the stomak and entrals or by name of these if a great part consist in the misaraick veins and then the patient feels a pressure pains and Inflamations about the midrif Blood-lettiug must be administred before the third fit least it fal in with the state of the dissease The Bastard tertian is hereby knowne in that the Heat is milder nor is it diffused through the whole Body In that it is terminated neither by vomit nor sweat by by egresse of vapours in the Declination In that the Pulse is at first hard the hardness encreasing til the seventh day growing afterwards more soft as the Urines become better digested In that the fit lastes many times eighteen houers and the Ague reaches to the fourteenth and somtimes to the twentyth day It ariseth from cholor mixed with melancholy or flegme nor is it generated only in summer but in the Spring Autumne and Winter In the Cure a vein must be opened after the third fit when a good quantity of the morbifick matter is mingled with the blood in Vena Cava In the Praparation we must have an eye to the Diversity of Humors III. The Pernicious Tertian which happens from seven causes 1. If an Error be committed by the Patient or Physition 2. If that Humor which ought to be sent out of the vessels by reason of their closure do come to settle in some principal member 3. If it be too Thin and putrid For thence come frequent swownings and over great sweats without any ease to the patient 4. If it have some peculiar pravity either through adustion or badness of diet For the humors being inflamed roughnes of the tongue and unquenchable thirst are thereby caused Holowness of the eyes by reason of the wastings of spirits Fiery Urin with cholerick stools Anulcerous pain of the whole Body Paucity of sweat by reason of the thickness of the matter 5. If a thick humor melted by heat settle in some part Hence follows by reason of the difficulty and faculty of 't is inflamation an inequality of being heated The melting and plenty of a thick humor and which semed to be little in the greater vessells but by rarefaction caused by Heat it becomes in the smal vessels more in quantity Hence it is that the hot fit is interupted by a cold and the cold fit by an hot The Urin becomes watery of much and thick sediment The pulse is sometimes intercepted In the declination sweat issues from the navil to the head Neither Augment nor state nor declinotion are equal 6. If it a contagious or pestillent malignity 7. If â—he Heat either draw the womb in conceit and move the humors contained therein or cause a dangerous Catarh Tissick or Gout Article II. Of a Quotidian Intermittent A Quotidian Intermittent is a feaver arising from flegme putrifying in the misaraick veins and aflicting the patient with every day a fresh fit ' Its SIGNS are The foregoing of such causes as breed flegm ' Its dayly Assaults which are for the most part in the night time whence it is more dangerous by reason of the unseasonabelness of giving Physick at that time and they come
also voided by Urine not much at once as in persons of good constitution nor with pain of the Kidneis as in solution of the fatness of the Kidneys but slowly and a little at a time Sediment like bran is seen in the Urine without any Disease in the bladder swelling of the Thighs and a looseness which threatens Death Another is when the Fibrous and Membranous substance is violated by the Feaverish heat Hence follows the Marasmos which happens somtimes to Young and Old Preternaturally somtimes through defect of Aliment and extinction of the natural heat either in regard of Age or of some Scirrhous Tumor See thereof Joel in the foresaid Tome II. One sort is simple to which what has been before said in general may be applied Another is Complicated and that either with a Putrid intermittent and then the greatest part of the Heat remains in fiery and the least is come into Act. The fit being finished the places of the Arteries grow hot the other parts are temperate The Pulse looses not its frequency and swiftness and the Patients meat does not eucrease strength Or with a Continual Putrid and then t is hardly known The dry heat remains after the end of the declination or of the whole Feaver The Body is more extenuated The Urine is fatty and Oyly Title V. Of Malignant Feavers Chap. 1. Of Malignant Feavers in General HItherto we have treated of Benigne or wel affected Feavers the Malignants come next which are Generally or specially to be considered Malignant Feavers generally considered are Feavers arising from some hidden cause partaking of a Venemous kind of Quality causing more grevious Symptomes than ordinary and yet not killing many or suddenly Their SIGNS are great weakness from the begining without any manifest Cause more than the Feaver and Feaverish heat could probably produce Pulse frequent Smal Weak or if the Pulse being natural seem to deceive t is known by the presence of other Symptomes The Vrins are some times in the first daies like those of heathly persons somtimes thick colored troubled having a thick red and troubled sediment The Heat milder than sutes with the Nature of the Disease and Symptomes A Mass of Symptomes animal Vital and natural Swellings or spots break forth c. The CAUSE are either the Disposition and Plenty of Humors or Contagion The CURE is Hard if greater and more constant Symptomes appear Dropping of blood at the beginning signifies the working of the Humors their bad Quality and the Patients weakness T is performed bp Bezoardicks and other things of which in the Differences The Differences of Malignant Feavers are taken from the Causes I. Some are from the Bad Dispositions of Humors and their Plenty whether in the stomach about the Midrif or in the first waies They are known by Stomach-sickness Pain Heat Bitterness of the Mouth anxiety and other tokens They arise either from corrupt meats or from some other cause Are Cured 1. By Blood-letting which ought to be Practised after the Evacuation of the first waies by Lenitive Medicaments least a greater Ebullition and working of the Humors becaused and that before the fourth day 2. By giving of Sudorificks which neither augment the Feaver nor are very strong that either the Body may be disposed to sweat or at least the Malignity may be expelled 3. By alteration and preparation with such things as stop the Commotion of the blood and refist the malignity thereof The Juyce of Citrons Pomegranates and the Root of Scorzonera are commended c. Yea and also the spirit of Vitriol with other Syrups unless the Patients be aged and lean and unless their Lungs be otherwise diseased than through flegm stopping the Vessels IIII. By Purgation which ought to be effected by gentle Medicaments and scarce before the fourteenth day V. By giving cooling diureticks if the matter of the Disease go that way VI. By application of Topicks to the Pulses and the heart al the time of the Disease VII By mitigation or taking away such Symptomes as shal happen VIII By Diet in which we must abstain from wine unless faintings happen A Decoction of Harts-horn with such a Quantity of spirit of Vitriol as may cause a grateful acidity to which a little Julep of Roses or Viollets may be added must be given They are divided two waies I. Somtime there is no Poyson but the Disease is urgent by reason of the Causes Vehemence or some evil quality conjoyned Somtimes there is an hidden Venemous Quality 2. Somtimes the Putrefaction and Malignity are equal Somtimes the Putrefaction is greater than the Malignity Where the first waies must be Evacuated not only by Clysters but also by Syrupe of Roses solutive Cassia Tamarinds c. Somtimes the Malignity is greater than the Putrefaction Some arise from Contagion in which the Cure ought to be undertaken by Sudorificks and Antidotes and Nature must be assisted if she expel any thing Chap. 1. Of the several sorts of Malignant Feavers Article I. Of the smal Pocks MAlignant Feavers specially considered contain under them Feavers with smal Pocks Meazels and such like Eruptions the spotted Feavers Sweating-sickness of England The Hungarian Disease the Feaver with the Cramp and the Feaver with a Catarrb and Cough The Smal poxe are pustles arising by means of the expulsive faculty on the surface of the skin and parts that hold proportion with the skin with a continual feaver by reason of a peculiar boiling of the Blood The SIGNES of the smal poxe when present are needless for they appear to our Eyesight That they wil shortly come forth is signified by paine of the head with heaviness of the eyes also of the neck and back itching of the nostrils Diminution of Respiration dryness of the cough trembling of the Feet the when patient turns frequent sneesing panting of the heart The Vrin is somtimes like that of Healthy bodies the vitious matter being driven into the outward parts of the body somtimes it is troubled by reason of the great working of the Humors Tears bursting out of the eyes without any cause of sorrow A feaver raise by the working and boiling of the humors Spod breaking forth of the Body c. The CAUSE is either external viz. Impurity of the Mothers Blood which the infant in the womb atracts in the last months because there is none purer This blood being drawn into the whole fleshy substance is for some yeares insensibly hidden at length no longer able to beare it it begins to ferment like new wine or beere that works by which frementation or working the pure is seperated from the impure the impurity is drawn forth by a certain kind of Crisis and the Heat is â—mmunicated to the heart and a feaver raised Or external or contagious when out of Bodies so diseased a sickly vapour is comunicated to another or the Air which by reason of the Influence of the stars or other causes does either rupt the humors or set them in agitation
The Physitians care has two scopes I. Preservation which in persons of years is contrived by blood-letting purgation and taking heed of the Infection and in infants only by the last means of the three II. Curation which is Hopeful if they soon break forth and appear high above the skin great seperate white or red If the Heat abate after they are broken forth if large bleeding at the nose have proceded if no greivious symptoms attend them Doubtful if either they come flowly out or go in againe if they are of violet color green lead-color hard and touching one another If the feaver abate not after their breaking forth If the patient breaths not freely faint away and other symtoms be present 'T is performed I. By mittigation of the Ebullition or fermentation of the Blood least over Ebullition produce more greivious symptoms which is effected by blood-letting and light purgation in persons grown up by Clysters of the decoction of barly with fresh butter comon sugar in Infants or by giving them syrup of Citrons and syrup of violets mixed together or a bit of pomecitron II. By assisting nature in the expulsion where impediments are taken away by the foresaid remedies and the malignity is likewise resisted Expulsion is furthered by Pulvis Joelis in his 4 Tom Book 9. sect 5. of the seeds of Nasturtinm or water cresses and brooklime of each one dram pouder of Unicorns horn one scruple or of harts-horn half a dram Red coral pearls prepeared of each a scrupel Make al into a pouder The dose one dram or an half dram The decoction of figs of Mynsichtus in the 25. section of his Armamentarium Terra Sigillata of Silesia Seed of white turneps A decoction of lentils unhusked with fennel-seed and gum dragant c. III. By defence of the parts To which end the eyes must be rubbed with pure gold or nointed with plantane and eye bright water and a little camphire and saffron If they cannot be opened they must be fomented either with hot milk or a decoction of Barly To the Nostrils a nodule of sanders and camphire dipt in rose water must be applied If thut they must be nointed with oyle of sweet almonds The throat must either be smeared with diamorum or washed with a decoction of plantane and barly with Honey of roses The ripening of the poxs must be furthered with anointing the same with oyl of sweet almonds When they are ripe they must be opened with golden or silver pins that they may leave no warts behind them They must be washed with a water distiled of al manner of flowers and mans fat or with oyntment of Forestus IV. By removing the symptoms which appear with or folow the same now they are Epilepsy and convulsion when the membranes and nerves are beset with poxs and the palsy when they are thereby obstructed Hard swellings which must be dissipated by emollients without suppuration External Vlcers Dysentery where emollients are to be avoided and such things as dry and stop without acrimony are to be used Hearing impared where evacuation being premised either vesicatories or vapours received into the ears are useful Inflamation of the Eyes c. Of which see in their proper places Article II. Of the measels and such like Breakin gs forth The Morbilli or Measels are smal red pushes breaking forth upon the skin with a continual feaver caused by the expulsive faculty and a peculiar working or boiling of the Blood The Signs Causes Differences and Cure vary not much from those of the smal pocks of which we newly discoursed Like Breakin gs forth to the measels are I. Crystalli Cristals pushes about the bigness of Lupines breaking out upon the Body and shining like Christal out of which a watrish humor flows The Germans cal them Schafs-blattern II. Tubercula little risings not thick together with little moisture in them without any feaver and soone cured III. Rubeolae smal red Pimples which come somtimes a lone with heat and Cough sometimes they are sprinkeled among the smal poxe or measels and sometimes they happen to persons in Health IV. Rossalia red fiery spots which breake out at the begining of the disease al over the Body as it were certain smal Erysipela's though the tumor is hardly discernable sometimes they breake not forth til the fourth or fift day in the progrses of the disease they occupy the whole body so that it looks as it were alâ—on a red fire Which color is againe changed into spots as at the begining which vanish at last upon the seventh or eight day The Epidermis or scarf-skin faling off like scales The Cure of these requires nothing singular Article III. Of the spotted Feaver Febris pefechialis or the spotted feaver is a malignant Feaver in which certain spots like flea bitings of sundry colors but cheifly red appear upon the skin These spots are called puncticulae petechiae peticulae Whence the feavers are termed also puncticulares periculares and lenticulares The SIGNES are the same as in malignant feavers The sports are without any itching extuberance and exulceration They appeare in the back Armes Thighes Brest viz. places through which the most notable Arteries and veins doe passe Seldom in the face because the cold air repels the matter from thence There appears no prick in the middle of them and so they are distinguished from flea-bitings The CAUSE is the thinner part of the putrid humor which makes that they soone vanish 'T is driven forth by the expulsive faculty Seldom critically seeing they commonly shew themselves at the beginning without any remarkable evacuation alwaies for the most part Symptomatically and by how much they are more plentiful they do the more signifie the abundance of corrupt matter in the Body The CURE is Hazardous if the spots are many because they shew that there is much matter If they be few and accompained with sings of Natures weakness If they disappear because 't is a sign they strike in again If they come forth slowly because it argues grossness of matter or compactness of the Skin 'T is Performed 1. By withdrawing the matter effected by blood-letting which must be practised before the fourth day Lenitives being premised to loosen the Belly to which a little Camphire may be added if blood be drawn later the Patient wil be over weakened 2. By Expelling the same with Sudorificks resist malignity premisiug if you please such noyntings as may open the pores In this case Bezar stone is good and emulsions of Navew and Citron seeds with Carduus Water and Syrup of Citrons The Bones Blood horns and Skin of the Rhinocerote c. 3. By Roborating the Faculties with Emulsions of Corals and Pearles Confectio Alkermes c. 4. Somtimes also by Revelling the Humor to the external Parts by Vesicatories if the external parts are cold there be Head-ach ravings Convulsions c. If the Patient be loose bellyed we must not stop the loosness unless it be too excessive The
Differences are taken from the Quanrity and color 1. Some are plentiful others few 2. Soâ—â—e smal others great 3. Some are red from putrefaction of temperate blood others Yellow or Green from choler others of a Pomegranâ—â—â— and Black-choler from Melancholy c. Article IV. Of the Hungarian Disease Morbus Hungaricus is a continual feaâ—er malignant and contagious Joâ—nâ—â—l with abundance of evil bumorâ— about the stomaâ—â— and first Passages and with an extream he adach It may be called the Compe or Soldiers-sickness because it had its original in the Soldiers Camps Its Signs are the same with those of malignant Feavers Also great pains in the Head as also hardness aboue the stomach and are renitency to the touch I under the Mucronata Cartilage cavings which cease when the matter turnes to the Ears and causes Deafness many times spotâ— appear as in the spotted Feaver c. The CAUSE is either their Putrefaction and corrouption of Humors in Veâ—â—â— Caâ—â— or Contagion The CURE is hopeful if the matter rend to the Ears If it be Evacuated by 〈◊〉 'T is Performed according to the Nature of the Causes which see in the Differences and has great respect both to the Feaver and the malignity 'T is divided with respect to the Causes One sort comes from Corruption of humors in the Vena Cava which are cumulated by Errors in Diet. For the Hungarian Air is thick a Nights thin and hot a daies The Soldiers neceive in the Vapors which exâ—â—â—e from the ground Their Diet is commonly had and tending of it self to putrefaction c. 'T is known by the Diet foregoing and pain of the stomach 'T is Cured 1. By drawing forth the Humors both by stoole where Agarick is commended and by vomit also by opening a Vein in the Arme or Ankle which must be done the first or second day if some daies are slipped and either the belly be loose or vomiting happen omit it 2. By Dispelling the maliguity by moderate Sudorâ—ficks frequently given where both Antimony Diaphoretick and Treacle are useful given in cooling Waters 3. By Diet suitable to malignant Feavers Those that drink Wine â—â—esure to die for it Another comes by Contagion or Infection in which case Purgeâ—s 〈◊〉 Vomiters must be â—miteed and only the maligniâ—y resisâ—â— Article V. Of the Sweating sickness the â—â—lignant Feaver with Cramping 〈◊〉 that with the Cough and Cataâ—â— The Sâ—â—or Anglicus or sweating-Feaver began in England in the daâ—es of Heneâ—y the seventh vexing the Patients with exâ—â—â—am Head-ach Vnquietness Panting of the heart pâ—â—peâ—ual and plentyful sweats The Câ—â—se is said to be the moist and Venemous Constitution of the Air enemy to the spirits Heart and more subâ—ile part of Humors one peculiar Influx of the stars concurring to the said Corruption T was Cured meerly with Sudorificks viz. Sorrel Water Scabious water Terra Sigillata c. The sweat was â—â—â—â—inâ—ed twenty four 〈◊〉 ours together The Patient was not permitted to sleep 〈◊〉 the sweat was overâ— nor to be uncovered but was in the mean while refreshed with the Juyce of Ciâ—rons Pomegâ—â—ats c. The Malignant Feaver with a Cramp which arose in Germany in the year 1596. Does vex the Patient with sundry Symptomes and the Cramp among the rest Many were suddenly taken some with falling sicknesâ— others with the Apoplexy in some ravings did endure for some daies by reason of the Contagion which in the space of two years after did Glew it self spread abroad c. 'T is Caused as was thought by pesâ—â—lent Ichors or blood-waters and malignant Vapors infesting the Nerves Which were judged to arise from bad diet occasiond by a general Death In the Câ—â—â— the had and Veâ—emouâ— matter was removed and the Nerves being debiliated were made strong again See touching this Disease a discourse of the Phyâ—â—tians of the Vâ—â—â—â—ty of Marpurge and Sennertus Book 4. Chap. â—6 De Febâ—ibâ—s A. Malignant Feaver with a Catarrh and Epidemiâ—â— Cough arose in the year 1980. And about the rising of the Dog star or beginning of the Dog daies it ranged almost al Europe over It took the Patients with a feaverish heat Head-ach and dry Cough pain of the brest and Septum Transversum roughness of the Jaws shortness of breath c. 'T is thought to arise from the moist constitution of the forgoing years and continual blowing of the South â—wind The Feavers Cause might be the Rheumatick matter diffused through the Veins unless hapily the Feaver being the pâ—â—macy Disease I Nature endeavoured to eject part of the Humor she was troubled with that way In the Cure respect was had to the Humor which Fomented the malignity which was expelled and the malignity it self which was encountted with Alexipharmaca and the Reliques of the Humor were altered To the Member affected which was assisted by appropriate Medicaments Title VI. Of Pestilential Feavers A Pestilential Feaver is a continual putrid Feaver which arises cheifly from the Air and Contagion kils most it seazes receives Putrefaction and beat from the destructive and Venemous Nature of the poysonous Seminary and afflicts the Patient with Bubo's and Carbuncles and greater Symptomes than are usual in malignant Feavers Its SIGNS are Symptomes Fewer and milder than are usual in the Plague of which we shal treat in the next Chapter fee more in the Differences The CAUSES are the same with those of the Plague and differ only in respect of the Contagion Vehemence and Magnitude The CURE is hard or easie according to the multitude Paucity Benignity or Vehemence of the Symptomes Regard is therein to be had both of the Pestilential Venom and of the Putrefaction and Feaver which are to be compared one to another T is Performed I. By Sudorificks not very hot especially if the malignity and Putrefaction are more urgent Distilled waters are most efficacious and Volatil salt of Harts-born II. By Blood-letting before the malignity be shed abroad into the whole Mass of Blood other things being considered which are contained in the general Precepts III. By Purgation of the first Passages especially by Clysters especially if bad Humors abounding be the Cause but Antidotes must be given afterwards IV. By Application of Vesicatories to the Thighs Armes the bending of the Arm as the place shal advise to which the matter we would reveal or derive does take its Cause or about which t is cheifly resident This Feaver admits a threefold Division I. One sort comes with the Pestilence another is without the Pestilence II. One sort in which Both Putrefaction and malignant are at the Height Then the Patients are extream weakened and by reason of the Putrefaction divers Symptomes as watching Headâ—ach Unquenchable thirst c. Shew themselves Another in which Putrefaction is high and the malignity remiss Then the Patients are not so much weakened the Heat in the outward parts is answerable to the Putrefaction til the state about which time if the Patient must die the outer parts begin to be luke warm
that are not natural and such as produce humidity such as are showers of rain the moon beams c. It is cured 1. by Alteration we his archived by such things that being in their own nature moderatly drung are mingled with coolers and not strong sented or perfumed but internally by decoctions and especially that of China Guajacum into the which a little veal broth to allay and qualifie its driness is to be put Externally there must be prescribed Embrocations and those little baggs that we commonly cal sacculi made of millet or Hirse salt throughly dried by the fire the roman nigella or nightshade commonly called Gith or pepper wort c. 2. by a diet conformable unto that that is pâ—escribed to such as use the decoction of Guajacum IV. The fourth and last species is dry towit when the Brain recedes unto an excessive and immoderate dryness It is known by the hollowness of the eyes want of sleep deformity of the face the sharpness of the senses and the Causes afore going It arises from External causes but more especially from the over great evacuations of the body excessive and frequent waterings fasting or an over spare diet melancholly or sadness of the mind and overmuch Study It is cured 1. by Internal moisteners as for instance the emulsion of the greater cold seeds and Violet flowers or externals such as is the top or froth of whey 2. By a diet more than ordinarily moist such as is the fat broths made of yong flesh eggs rere boiled and sup't up and a bath of sweet water c. And here Salt must be very sparingly eaten or rather altogehher carefully avoyded V. A Fifth and last Species or kind of the Brains distemper is Compound the Nature and reason whereof may be known from the connexion of the simple or single distempers so that it is no way requisite or necessary that we here speak any thing more concerning it Chap. 2. Of the Distemper of the Brain with Matter THe distemper of the brain with matter is the declination thereof from its due temper caused and brought upon it both by external and internal causes towit the humors and flatulencies or windinesses The SIGNS are the Progress of the internal causes and the alteration and change of the disease at the first apearances of the Moon The CAUSES are internal towit humors and Winds or windiness which proceed either from the weakness of the brain or else from the repletion of the inferior parts The CURE is performed I. By an Evacuation and that as wel General where a regard must be had unto the Pills that are to be taken towit that in respect of their ingredients ought to be made most efficacious and then given in the morning unto the whole Body which ought to be purged unto the absence and presence of a Feaver lest that there be an Evacuation of such things as are not concocted unto the Clysters that are to draw back the peccant matter and these are by no means to be omitted as Special where in the first place are to recounted those Medicaments that are usually thrust or put up into the Nostrils we cal them Errbina and these ought to be such as are most of al drying provided notwithstanding that there be nothing amiss in the Eyes and Nostrils Secondly Those things that provoke unto sneezing we term them sternutatoryes especially if the Head be filled with Vapors and within cherish a gross and thick snotty matter Thirdly Apophlegmatisms if the Lungs be free from an Ulcer and the Humors not over thin Fourthly Those Remedies which we cal Cauteries Setacea Topicks c. II. by Correction of the Distemper It is divided in a Threefold manner I. The first is according to its Essence when the matter is generated in the Brain It is known by this that those Symptomes that follow upon the Affect do presently appear that they continually afflict unless haply the matter be generated in the Head by certain intervalls and degrees and that the Causes affecting the Head went before It ariseth as wel from a fault in the Brain through an ill concoction as from the retention of the excrements thereof by reason of the hurting of the expulsive Faculty or its passages The Cure differs not from that which hath been before spoken of and of which we shal speak further in the following discourse Another division of the Brains distemper is by Consent or sympathy when the matter is transmitted and derived unto the Head from some other place It is known by the general signs of which we have spoken in the first Book and first Title thereof It proceeds likewise from the same causes of which we have there at large treated In the Cure 1. We ought to begin with the part transmitting but if there be any Crisis there is nothing to be applied unless there be a vehement motion of the matter 2. There must be a Revulsion or drawing back by opening of a Vein in the Arms or Thighs by Cupping-Glasses by Clysters by frictions or rubbings and by cauteryes 3. There ought to be used repulsion or Driving back by Medicaments made of Vinegal and Roses we cal these Oxyrrhodina unless there be a discovery made either of a Feaver or a Catarrh or overmuch watchfulness and want of sleep by reason of some wound either in the Cranium or skul or else in the Membranes of the Brain 4. There ought an interception to be made The Differences whereof are various according to the Variety of those parts from which the matter is sent 1. From the whol body as in Feavers and then we must rather study to make use of revulsion and Evacuation than Repulsion or driving back 2. From the Stomach Spleen Liver Rains Womb Diaphragme or Midriff and the External parts And then it is known by the effects of the transmitting parts and accordingly the Cure is to be taken from them II. Another is from a wind or vapor which is known by the sense and feeling of an Extension or stretching out or by an heaviness in the part affected a kind of singing noise in the Ears the extraordinary beating of the Arteries and the Vertigo or lightness and giddiness of the Head It ariseth from the same causes of the which we have already spoken in treating of the causes in general unto the which in special there may be added as thereunto appertayning scents or smels to wit things of an ill Savor Vapors arising from Metals the smoke of coals c. It is Cured diversly according to Nature and diversity of its species or several kinds It is divided in a two fold manner 1. The former division is taken from the external Causes as Metalline Vapors c. And this is expelled by Zedoary by the smoak of coals in which case as the remedies thereof there is required an Air free from al il Savors Treacle Water and Sternutatories or such things as cause Sneezing by the wind either
when cold or hotter then is usual for the remedying whereof such things as are thereunto opposit are necessarily required and very serviceable Another proceeds from things internal whether overhot or overcold 2. There is another Species of it by its Essence and then a pain and heaviness of the Head undoubtedly preceded without any affects of the inferior parts This is to be cured by internal discussives and the scent of things that are appropriate unto the Head There is another kind thereof that is by Consent or agreement with some other parts and then the Neck veins are distended the Urins in the top or superficies of them filled ful of little windy bubbles winds arise either by the fore part with the extension or stretching out of the Breast and the beating of the Arteries at the very bottom thereof or else by the hinder or back part together with a distension of the Veins and Arteries of the same aforesaid part They arise from other parts that lie underneath In the Cure regard is to be had first of al unto revulsion or drawing back the offending matter by Clysters somwhat stronger than ordinary and next unto repulsion or driving byck the said peccant matter externally by Application of things made up of Vinegar and Roses as above said and internally by the Conserve of Roses c. And then lastly special regard ought to be had unto Evacuation by purgers corrected with Carminatives III. Another Division is from the Humors and this is either proceeding from the Blood or else it is Cholerick or Flegmatick or serous and wheyie or otherwise it is Melancholy and Adust as consisting of burnt Choler I. The Sanguin Distemper of the Brain proceedeth from the blood either over thin or too thick It is known unless it proceed from some external Cause by the extension and heaviness of the Head Especially when the South West wind blows the redness of the Eyes the gentle and moderate heat and by the pain of the forepart thereof from the Ninth hour of the Night unto the third hour of the morning or day following It ariseth from a Plethory and its Causes It is derived into Act and made to appear by the extream and over vehement affections and passions of the Mind much drinking of wine and by such other things that cause heat or pain in the Head The Cure must forthwith be set upon and attempted lest that an inflamation or some other affect should flow therefrom And this is accomplished 1. By the Diversion of that blood that is flown into it by opening the Cephalick or Head Vein or else the Saphena and Foot Vein if there be a suppression of the Monthly Courses or of the Hemorrhoides for by no means we are in this case to attempt the opening of an Artery for fear that the Tumor Aneurisma should follow which aforesaid blood-letting doth both Evacuaâ—e or empty forth and draw back the peccant humor as also by the Application of Cupping-Blasses unto the Loyns shoulder blades and Neck and likewise by a gentle Evacuation as also by repulsion or driving back which is effected by the Use of repellers that in the winter are potentially cold but in the Summer time actually such if the sick person be young unless there be present a Catarrh and this repulsion ought to be instituted by frictions or rubbings II. By a sensible drawing forth of the blood that hath flown in by the passage of the Nostrils rubbed hard and chafed with Milfoil or Yarrow by opening of the Vein that runneth strait along into the forehead if it be the hinder part that is affected by Discussion and by a Convenient Diet. II. The cholerick distemper of the Brain proceeds from the Superabounding of choler It is known by that sharp and pricking pain especially on the right side by the extraordinary burning heat by the depravation of the actions of the Brain by the many and those very yellow excrements of the Ears and lastly by the bitterness of the Mouth It ariseth from Causes generating Choler It is divided into that which is such by its Essence in which the Cure is to be administred I. By opening the Vein of the right Arm after a gentle Clyster and without the ordayning of any preparative before it if there be not any Feaver present II. By Preparation if it be needful by cooling and moistening Cephalick Medicaments which ought to be more or less strong according to the power and strength of the choler III. By Purgation with Aloticks that is such Medicaments as have Aloes for their basis and other Remedies that are specially appropriated unto the Brain IV. By wasting and consuming the remainders or reliques where Camphire by reason of the over much want of sleep ought carefully to be avoyded V. By Digestion in the use of digestive Medicaments VI. By a Diet that is wholly opposite unto the distemper And Secondly it is divided into that which is by Consent in which we are to proceed according to that way and Method formerly mentioned and laid down III. The Pituitous or Flegmatick distemper of the Brain is known by the signs alleadged and mentioned in the cold distemper of the Brain The sleep in this case is very profound and deep or at lestwise over much unless haply the Flegm being loosened and dissolved a Catarry and Cough be thereupon excited The pain is most of al in the hinder part of the head afflicting the Patient from the third hour of the night unto the ninth There is likwise an extraordinary paleness in the face unless perchance it happen to be colored or as it were painted al over with a certain kind of redness through the dayly continual residence of a part of the blood brought and derived thiâ—her It ariseth from Causes generating flegm more especially from a cold Brain a hot and moist Liver which transmits thiâ—her a sort of blood that is ful of Vapors The Cure hereof is something difficult especially in the winter time and this very Disease doth easily degenerate and turn into the Apoplexy and Palsie The cure is porformed I. By Alteration after the clearing and Evacuation of the first waies and passages and this must be done by Cephalick Medicaments hot and dry at first benign and gentle and afterward by degrees stronger and these ought frequently to be reiterated and here we may prosperously Act by the Decoction of Chyna Root Guajacum and Sassafras II. By Purgation now and then interposed during the time of Alteration and here the Pills Assajereth Aureae and Cochiae or the Extract of these have their place and use III. By a particular Evacuation by medicines put up into the Nostrils by Masticatories Gargarisms washings of the Mouth c. IV. By the Application of Topical Remedies among which Fomentations Embrochations Sacculy or little baggs by al which the matter is insensibly evacuated have their place and use V. By Application of a Cautery unto the coronal Suture or else by
making an Issue in the Neck if the Distemper be altogether refractory and wil not give place noâ— yield unto the aforesaid Remedies VI. By Corroboration which is effected by appropriat Cephalicks VII By a Diet that is opposite and contrary unto the Cause and the distemper It is divided into that which is from thick Flegm where preparatives have their place as being of singular use neither may blood-letting in this case be safely allowed of and that which ariseth from Flegm that is thin and fluid and which excites and begetts a Catarry and in removing of which sneezing wort and al sorts of Sternutatories and Errhina liquid Mediâ—aments to be puâ— up into the Nostrils that are over strong and violent ought carefully to be avoyded IV. The Sercus or Wheyish distemper oâ— the brain is known by those signs and tokens that are before mentioned It is derived unto the Head either sensibly and by degrees especially together with the Arterial blood it self and likewise the spirits or else al at once by reason of some external more forcible Causes to wit overmuch drinking of wine anger violent exercises c. It is Cured I. By the Evacuation of the serous Humor from the Brain without the premising or use of any preparatives whatsoever This Evacuation is performed 1. By a purgation of the Humor with such Remedies as draw forth water 2. By blood-letting especially if there be present any Feaver although never so gentle and an extraordinary heat which moveth the serous part of the blood unto the Head and in case the accostomed Evacuation be suppressed 3. By the Exhibition of Sudorificks that are over hot as for instance Antimonium Diaphoriticum Bezoarticks the Lunar Fumary c. 4. By the drinking of Diureticks which are likewise very good and profitable to the spleen II. by Correcting the Distemper for which purpose we usually prescribe the powder of a mans bones drying Lotions c. III. by Diet touching which fee and consult the practical Physitians V. The Melancholy distemper of the brain is known by the dotage that accompanyeth it together with fearfulness and sadness a pain especially on the left side turbulent dreams and oftentimes a sudden loss of al motion Is Proceedeth from Causes that generate Melancholy The Cure hereof is easie in its beginning It is Accomplished I. by the reiterated Preparation of the Melancholly Humor after the Purgation of the first waies and passages by the use of those medicaments that both heat and moisten among which the syrup of apples is excellently good II. By the evaccuation of the said humor by purging potions at first such as are genttle but afterward such as are stronger in opperation and here for this purpose Lapis Lazuli is much commended adding thereunto such things as moisten after which there must immedeiatly follow an evacuation by the frequent use of those remedies that we term Errhina and other such like III. by corroberating and strengthening the Brain by the confection Alkermes with other suchlike confections IV By diet iâ— the which vinegar in regaâ—â— that it doth ferment and as it were leaven and sowr the mellancholly humor is principally to be avoided It is divided into that that is Essencially such in which likwise the opening of the cephalick or head vein of the left arme and a copious letting out of the blood if it be black but a more sparing evacuation thereof if pure hath its place and use and into that which ariseth from the suppression ether of the Monthly Courses or of the hemorrhoides in which case revulsion and the opening of the Ankel vein is to be put in practise VI The Atrabiliary distemper of the brain is Known by the want of sleep and extream dobting of the sick party and it arisath from such causes as foment and supply a melancholly Juyce and together with these as it were burning of the same aforesaid Juyce the extraordinary heat of the bowels may do very much The Cure is very difficult in regard that it to far receeds from the Temperament of the Brain It is atchived I. By an often repeated preparation by coolers and moisteners an evacuation of the first Vessels or passages being before premized That compound which we commonly cal Cachund of which hath already bin spoken in the melancholly destemper hath here likwise its place and use II. By a frequent and reiterated evaccuation of the black choler by medicaments such as they term Melanagogues well mingled together with Moisteners as also by those things that peculiarly and properly purge the brain III. By digestion and that by Topicks and sweet water baths if yet the distemper wil not give place nor be removed then let the patient drink the whey of milk together with such things as are specifical remedies against melancholly and of a moystening quality It is divided I. into that which is such in its very sence wheâ—e the opening of the cephalick or the common Basilick vein hath its place and that which is caused by the suppression of the courses or the Hemorrohides of the which sufficiently above II into that which is from the blood burnt or over heated in which distemper the sick party is evermore very apt and propense unto laughter And this is to be cured by letting blood in the same manner as was that that was generated by yellow choler in which a bruitish kind of dotage and fierce anger gets the upper hand and that likewise that had its original from the Melancholly humor in the which pensiveness or sadness and a continued silence or else haply after a while that this silence is broken a tedious extream talkativeness hath the predominance c. Chap. 3. Of the straintness or narrowness of the passages of the Brain THe Straightness of the passages of the Brain then happeneth when the said passages are either obstructed or compressed by their causes Those passages are the pores of the Brain which is of a spungy substance the pores or passages of the stomach the Veins Arteries Nerves and the sutures of the Skul The SIGNS are taken from the diminution or else the utter abolition of the actions of the Brain The Causes are either obstruction from pituitous and flegmy humors blood poured forth out of the vessels grosse and thick Vapours or otherwise Compression and this either from the skul by reason of some violence offered thereunto or else from blood distending the vessels from whence they are affected with a flegmatick distemper or else haply such as is shed forth and fallen into the substance of the body by reason of the a bundance of its thinness or acrimony apituitous or flegmy humor having first obstructed the Basis of the brain and lastly by an hard tumor or swelling The CURE is Various according to the variety of the differences The differences are taken from the many and several causes I. One difference is from Causes External to wit the fumes that arise either from coals beer or
new wine commonly called musty which even as it were Suffocate and Choak the sick person And then in this case the patients are to be exposed into a free and wholsom Air. The vapours are to be discussed with aqua vitae mingled with treacle and then a vomit or sternutation is to be excited Or else by the Compression of the Skul from some blow And then in this case the standers by and the Patient himself are to be advised withal The brain is to be elevated or lifted up as we shal shew further when we come to treat of a fracture Or else it may proceed from the compression or defect of the Sutures which can no way be corrected or lastly it may have its rise from the Humors and Vapors by their Obstruction which said Humors c. are to be discussed by Fomentations II. Another difference ariseth from Internal Causes to wit I. From Blood either poured forth without their Vessels and so obstructing the Meander-like winding passages thereof or otherwise so distending the Vessels that of necessity the passages must be compressed And then for the most part a Plethory is present and joyned therewithal and the blood oftentimes breaks forth by the Mouth and Nostrils unless this be done it hasteneth on an inflamation c. by its putrefaction and rottenness It is to be Evacuated and drawn back by blood-letting and Cupping-Glasses and then it is to be derived by opening the forehead or the Tongue Vein II. From Flegm that is clammy and thick elther compressing the basis of the Brain or else obstructing the original of the nerves so shutting up and imprisoning the Animal spirits Then some Causes generating Flegm heaviness of the Head dimness or darkness of the Eyes the suppression of the wonted Evacuation of â—legm by the Nostrils and Jaws went before unless this be timely and speedily Evacuated it causeth unavoidably the Palsy c. The Cure is to be begun and proceeded in after the same manner that we shewed before in the Pituitous or Flegmatick distemper III. From Vapors that proceed either from more than ordinary food taken in or else such as is excessively vaporous and windy from which the sick person must now carefully abstain or otherwise from Humors that stick fast in the lower parts which are to be Evacuated Or else in the beginning of Feavers where there is special regard to be had unto the quality and Nature of them and then accordingly the said Humors are to be drawn back and depressed IV. From a Tumor which is hardly ever discovered while the sick person is alive neither is it by any means curable Chap. 4. Of the Commotion of the Brain THe commotion of the Brain is a removal of the same from its natural place by reason of some External and violent causes The Subject of this distemper is the brain but more especially according unto the superior parts thereof The Signs hereof are a sudden Consternation of the sick insomuch that they become as it were altogether dumb speechless and like wise altogether deprived of motion only they open their Eyes The CAUSE is either some violent blow or dangerous fal or the extream and over-long noise of Guns and Thunder-Claps which either only disturb the spirits for the present or else they cause a fracture of the skul The CURE is accomplished I. both by the Revulsion of the Blood by opening a Vein that so it may no longer too abundantly flow thereunto as also by Repulsion or driving of it back again evermore avoiding such things as are dry astringent lest that the pores should be obstructed and the very breathing intercepted II. by Evacuation of the blood if any of it be shed forth by opening a Vein as wel that we cal Puppis that is above the Lambdoid suture as that other which is under the Tongue III. by Discussion and that at the first joyned together with Repulsion but afterward used alone by those Medicaments that heat and moisten It is divided into that which more Moderate and gentle and that that is more grievous The Lighter and gentler of it is that in which the Animal vertue is only with violence drawn back into the brain there followeth no rupture of the Vessels And then there happeneth only a kind of drowsiness or sleepiness and this likewise not over profound The more grievous Species hereof is that in which also the parts of the brain are removed from their Natural Scituation the passages are smitten and the vessels broken Then there chanceth an Aphony or loss of speech Elood is plentifully poured forth by the mouth and Nostrils Vomits like wise by the consent of the Stomach infest and exceedingly afflict the Patient And after this the matter becoming putrid and rotten there ariseth a Feaver a dotage a Sphacelus of the brain c. And the matter being thrust down unto the Nerves other dangerous Symptomes follow thereupon Chap. 5. Of the Inflamation of the Brain THe Inflamation of the brain is a swelling thereof proceeding from blood poured forth out of the Vessels into the void spaces of that part and there putrefying The SIGNS are an acute and continual Feaver which from third day to third day is exasperated a perpetual doting which began sensibly or gradually and by little and little a red kind of color and deformity of the Face and Eyes the Membranes being dryed up by the burning heat Salt and sharp tears the Excrementitious moisture flowing downward as it were of its owns accord by reason of the weakness of the part a swift and quick Pulse c. The CAUSE is blood falling out the Vessels and there putrefying the transpiration there of being intercepted It is Poured or emptyed forth either by reason of its store and over great abundance or else by reason of its thinness and acrimony those things likewise helping forward and furthering the same which either carry the blood to the Head or else at leastwise violently move and stir the same and such are the heat of the Air pain striking a wound wrath c. There is but very little or rather No hope at al of the Cure hereof if a Convulsion follow upon it if the Urin be white and extraordinary clear because then the choler is forcibly drawn up into the Head if a doting being at the first present there follow thereupon gnashing and grating together of the Teeth by reason of the Convulsion of the Muscles in the temples and Jaws if it tend to a suppuration in regard that the Pus or filthy Corrupt matter cannot possibly be evacuated within or betwixt the Skul and the Membrane There may be some hopes if on the critical day store of blood flow forth at the Nostrils if there be much and that hot sweat from the Head and if after the heighth of the disease there be an Evacuation of abundance of yellow choler by the belly There is but smal hope of a Cure if many of the
Functions be hurt and empaired if there be a trembling of the Tongue if a kind of cold stiffness infest and invade the Patient after he hath voided downwards white Excrements if there appear to fal from the Nostrils a black drop and that such is sincere or bright in regard that it proceeds from a very vehement adustion and lastly if they scrape together Straws c. It is Performed if at al I. by Revulsion or drawing back of that Humor that floweth in either by opening of the Cephalick Vein or else 1. Of al the Median or middle Vein if there be present great store of the Humor but yet not unto fainting or swooning away or otherwise by Cupping-Glasses with a profound and deep Scarification in the parts both above and beneath or else by some other kinds of Revulsions 2. By Repulsion or driving back by the frequent use of Repellers unless the matter tend towards and as far as the skin of the Head or else by the applying unto the head being close shaven Remedies a little warm tempered and qualified with Vinegar that is not over strong if there be not present either an internal or an External heat or if there be any such heat then by Medicaments that are cold 3. by Interception by the rolling of swath bands about the Neck 4. by a gentle Purgation II. by Evacuation of the Humor that is already flown in and this must be performed by opening the Veins of the Head those of the Nostrils those under the Tongue and the Aplication of Vesicatories and a Cupping-Glass unto the fore part of the Head By Discussion through the use of Medicaments made up of discussives the Alabastrine unguent III. by a Diet in the which emptiness and over long fasting must be avoyded as pernitions and extream hurtful c. It is divided after a Threefold manner I. The first species in the division is that which Precedes a Feaver in which we are allowed to purge while the feaver is absent more especially if there be present an extraordinary cacochimy cupping-glasses are to be imposed applyed unto the very top of the crown with scarification following therupon Another kind thereof followeth the Feaver in which likewise we may purge with those Medicaments that are gentle and moderate especially if the turgency or heightening of the Matter require it II. Another sort thereof ariseth rather from blood than Cholor in which a greater quantity and portion of the blood is to draw forth by opening of a Vein but then there is likewise another which proceedeth from Choler rather than from blood in which we ought rather to purge than use any other means III. Another is an Inflamation of the Membranes of the Brian unto which the signs before alleadged do very fitly agree Another there is of the substance of the Brain it self in which there is at the first a pain seizing the Head which by the hinder part thereof penetrates even unto the very nook of the Neck In this distemper the sick persons do not dote but yet notwithstanding they lose both their external and internal senses they likewise speak very little or not at al c. Chap. 6. Of the Tumor Hydrocephalus in the Head HYdrocephalus is a swelling of the Head arising from the collection of some serous or wheyish Humor in some one part or other of the Members that constitute the Head There is in this distemper no need at al of SIGNS for the disease may be sufficiently known by the very sight of the party It is rather the disease of Infants than of persons of years and strength The CAUSE is a Humor that is waterish wheyie and somtime dreggy yea moreover also bloody The CURE is exceeding doubtful as wel because the distemper is in a Noble part as likewise because the subject part is very tender as also in regard that an Apoplexy or a Lethargy do easily soon seize upon the party But the cure if there be any is to be Performed I. By drawing forth the Water with Hydragogues sweats Urine Medicaments that insensibly discuss and dry and by opening the part affected II. By Reducing of the Brain unto its pristine temperament by hot Cephalick Remedies The Difference is taken from the Scituatiof the Humor For one kind hereof is from a water sticking between the Skin and the Pericranium and then the Tumor is soft transparent by candle light or the light of the Sun as also it being void of pain yieldeth unto the touch and immediatly ariseth up again being pressed together it exhibites a motion of a fluctuating water It yeeldeth more easily unto the Medicaments that are prescribed and may be wholly taken away be the alone opening and cutting thereof There is another Species or kind thereof proceeding from a water as aforesaid consisting and residing between the Pericranium and the Cranium or Skul Then a pain affecteth the party and in this case a two-fold Section or cutting part affected is to be administred Another kind hereof there is from a water as above said gathered together betwixt the Cranium or Skul and the Membranes Then the swelling is not so soft as usually but the pain is far greater and the forehead is born out forward more than usually and likewise also the Disease is almost 〈◊〉 not altogether incurable Chap. 7. Of the Contusion or Bruising of the Head A Contusion of the Head is a smiting or knocking together of the same the external part thereof mean while for the most part appearing sound and entire by somthing that is weighty hard obtuse and blunt The SIGNS are manifested by those things that went before the blood is poured forth out of the Veins and there is an excited soft Tumor or swelling black and blewish and yet without any great or much pain The CAUSE is expressed in the definition The Skin being for the greatest part whol and unhurt there are notwithstanding smal Veins opened under the same The CURE is in such manner to be instituted that I. The great afflux or flowing to of the Humors may be prohibited and that by blood-letting if the Contusion be greater than ordinary as also by laying to and applying repellers and astringents which are often to be removed and changed lest that they become overhot The hair of the Head being close shaved off the place is then to be anointed with the Oyl of Roses about the time of the pains mitigation II. Let the Blood that is poured forth under the skin be Evacuated by the insensible Application of a betony plaister the Cerot or searcloth of Vigo that of simple or red Lead or de minio de Matris ilva de quatia dei c. III. The Suppuration if it may not be impeded is to be helped on furthered by Triapharmacon which is compounded of one part of sweet Oyl two parts of common water wheaten Meal as much as wil suffice unto al which the Yolk of an Egg is to be added
of the Womb. The CAUSE is whatsoever impedes or hinders and prohibites the influx of the Animal spirits unto the Organs of the senses and withal Renders those spirits more unapt unto the Animal actions and operations The CURE is Doubtful if it follow upon the extream imbecillity of the Patients strength occasioned either from some most acute Disease or else from some deplorable and grievous affect of the brain if it chance in continual Feavers if it hath its original from some malignant cause There is almost no Cure to be expected if it take its rise from hot and dry Diseases for then by this means of necessity there must needs be an extraordinary cooling in the brain if the malady grow to be so sad and grievous that both the sense motion and the very breathing it self is taken away In what things the Cure cheifly consisteth and by what means it is to be wrought see further in the various differences thereof It is divided according to the variety and difference of the Causes I. There is one Species thereof that ariseth from the Humidity or the frigidity of the Brain And then the matter in the Head ought to be Evacuated and discussed in the former of them by the irrigation or the frequent washing of the Head with the sharpest sort of Vinegar throughly mixed together with Roses and Camomil Flowers but in the latter of them by anoynting the Head with Dil Oyl a little warmed And in both of them we must remember to put in practise the frequent use of Apophlegmatismes Errhines and sternutatories Another kind thereof there is from Narcotick Vapors inducing and bringing in a certain dulness and unaptness for any thing upon the Animal spirits which said Vapors either are from over much drink and then the drink yet remayning in the stomach Vomiting is to be excited and provoked Or for the greatest part they are conjoyned with Feavers Then 1. The Vapors are to be drawn back either by opening a Vein in the Thighs or by Clysters frictions Cupping-Glasses c. 2. The same Vapors are likewise to be repelled and driven back by Oxyrrhodines to wit Medicaments consisting of Vinegar and Roses actually hot and applyed to the Coronal suture unto which former remedy let the Vinegar that is added be in a plentiful measure or else which is yet better they are to be discussed with Rue Castoreum Vinegar c. 3. Great caution must be had lest that those Remedies that are exhibited and administred to expel sleep and drowsiness should any way augment the Feaver Or otherwise these Vapors afflict without those feavers And then they are elevated and drawn up from the stomach Womb or some other inferior part These are to be taken away by the very same remedies as the former were Those things that infringe weaken the strength of Narcoticks are Rew with Vinegar the balsam of Rice Castoreum Nightshade snuffing up the fume of Brimstone c. As for the Diet what it should be see and consult the Practitioners Chap. 3 Of the Symptomes of the Imagination A Single Article of the Vertigo or turning round of the Head THat Symptome of the Imagination which likewise very often hurts even the common sense also is called Vertigo which is nothing else than a false imagination of ones turning round dizzy reeling about arising from an inordinat and circular motion of the Animal spirit in the Forepart of the brain The SUBJECT hereof is the brain according to its anterior or forepart as it is an organical part as it containeth the Animal spirits and as it is endued with certain passages in which the said spirits are moved Of SIGNS there is no need at al. Unâ—o some of them al things seem to be turned about as in a Ring or Circle others of them have their very sight obscured and again in some of them there is sensibly perceived a sisling Noise and as it were a kind of singing in the Ears c. The CAUSE is whatever either suppeditateth and generaâ—e h Vapors of themselves and in their own Nature such as are garden Radishes Garlick Mustard Wine c. Or else 〈◊〉 as is wont to stir disturb and agitate the Humors and hitherto appertaineth purgation as being cheifly requisite in this case The CURE is very doubtful and scarcely to be hoped if this distemper happen to Old people because they have but a weak brain if it continue long because it is then the forerunner and indeed the foreteller likewise of the Epilepsie or the Apoplexy if in it the Head or the whol body seem to wheel and turn round The Cure is Performed I. By Discussion and then let the holes of the Nostrils be annoynted with the Oyl of Marjoram and the Oyl of Nutmeg or else together with the aforesaid let Rose water and Vinegar be put and applied thereunto let the Temples and the hand-wrists be anoynted with rose vinegar and Rose water mingled with a drop or two of the Oyl of Cinnamon or else let them be throughly wet and besmeared with the Juyce of the black beet let the pallate be annoynted with Treacle II. By opening a Vein if it be over powerful and violent III. by Revulsion if it proceed from the inferior parts IV. by a Diet in the which meats that are known to generate many Vapors beer brewed with much Hopps and such like hurtful things are carefully to be avoyded For a preservative Caraway seed macerated in Wine dryed and dayly taken about the time of going to bed is held to be very excellent The Differences are taken from the Causes I. One is from Causes that are Evident exagitating and exasperating the spirits and such are a turning round of the whol body a long while together looking much and steadily upon things while they are moved circularly and a prospect or looking downward to the earth from a place of an extraordinary height For so by this means the spirits by the beholding and looking upon any thing unto which it is not accustomed or that is dreadful and terrible are diffused and drawn back It is known by the relation of the sick party It is cured by rest and sleep If it yet be not altogether ceased then we are to conclude the Cure by frictions If it be from Hunger and fasting a piece of bread dipt in the Juyce of Pomegranates or in sharp sowr wine is first of al to be administred II. Another is from the narrowness or Streightness of the Passage of the Brain through which indeed the Animal spirits are moved but when they are thus impeded and hindered they then retreat back again It ariseth either from a partial obstruction which if it be caused by gross and thick Vapors it is soon dissolved if it hath its rise from serous and Phlegmatick Humors it is then of a long continuance and there is withal present a sense of fluctuation In the Cure there ought to be a respect had unto the Nature of the
in this case Venesection is not reputed to have any place at al. Another there is from internals to wit either an hereditary constitution which indeed ought not over hastily and rashly to be tampered withal or else from either a cold and dry or a hot and dry constitution and disposition of the Liver and spleen in the which upon the cessation of the burning Cause the heat likewise ceaseth to be and the thicker parts that are cold and dry are left to remain behind And then either it is with blood from whence proceeds a doting with laughter or else with flegm from whence happeneth a dul sloathfulness and oblivion or with yellow choller from whence procedeth anger c. In the Cure a regard is likwise to be had unto the nature quality and condition of the Causes III. Another is of the Heart when the vital spirits that are bred by reason of a cold and dry distemper are cold dry and of an impure nature The Cure differeth nothing from the former IIII. Another is Hypocondriacal when a melancholly humor that is sometimes cold and serous or wheyish or else oftentimes that which is adust and burnt in the branches of the Porta vein is gathered together in the hypochondria and so from time to time by those black melancholly vapours that are continually sent forth poluteth and defileth the Animal Spirits in the Brain It is known by this that it seizeth the party by intervals and at some certain seasons and most commonly in its access and approach it surpriseth the party suddenly and without any notice given but sometimes again and that likwise very frequently it first of al couseth ructures windy belchings together with a pain diffending and streatching forth the stomach and then by and by it introduceth great anxiety of mind difficulty of breathing the palpitation of the heart the immovableness of the tongue and at length a mist and darkness before the Eyes a tingling and as it were ringing noise in the Ears and lastly a stupidity and benummedness in either or both of the Arms. It ariseth from a feculent and dreggy Vapor that being collected and gotten together in the Hypochondria from a Melancholy humor flowing from the Antipraxy as we so term it or renitency of the Spleen Liver and Stomach and then tending upwards toward the superior parts and forcibly rushing in upon the members it produceth and brings in the aforesaid Symptomes and being transmitted and sent into the brain either by the Orifice of the stomach or else by the branches of the Vena Cava or hollow vein it there cloudeth and darkeneth the spirits For the Cure hereof see more in the Hypochondriacal affection V. Another is that we cal Vterine from the Womb which is easily Discovered by this that the sick complain of a pain in their left side and a manifest pulse and beating in the back parts neer about the Diaphragm It ariseth also from a Vapor proceeding either from the suppression of the Courses or else from some putridness in the seed For the Cure see in its proper place VI. Another is that we term Erotick as proceeding from love which is either contracted from Philtres or Love potions and then there must be given 1. Vomitories of the Root of Asarum together with Bezoarticks Aqua Benedicta Rulandi 2. Sudorificks as for instance Treacle water Diaphoriticum in acute distempers the Appropriate remedy is the Secundine powder touching which see more in Hartman Or else from a Venereal lustful appetite an over great abundance of the seed then in this case we are to deal with those things that allay and qualifie the Veneral heat and extinguish or at least diminish the seed See more of this Nature in Ferrandus in his peculiar tract VI. Another is that we cal Errabunda which most an end useth to infest the Patient in the Month of February In this case the sick persons abound are even overspread with Ulcers in their thighs neither can they possibly for an hour together take their rest in any one place Article V. Of madness Madness is a continual motion of the mind with an unwonted boldness and Fierceness yet without a feaver arising from a fiery heat of the Spirits The part affected is the Brain the memory for the most part being stil preserved and kept intire and the Heart which is as it were collected and straightened by the over vehement passions and affections and a dayly and perpetual enduring of the winters cold the heart too copiously diffusing the natural heat The SIGNES are Fierceness and so it is distinguished from melancholy the want of a Symptomatically feaver in regard that there is here no putrefaction and by this it is distinguished from a Phrensie Unto the signs aforesaid there are likewise often-times added extream and over watchings for want of rest and divers other signes that are likewise common to a deliry or dotage The CAUSE is the exceeding great and boyling heat of the Spirits unto the which it is apparent that of necessity there ought to be conjoyned an occult secret and more potent cause from the enormity and long continuance of the symptoms But now from whence this extraordinary heat hath its original shal be discovered when we come to speak of the differences The CURE is difficult because that the affect is of a long continuance as wel by reason of the cause which is most pertinacious and hath in it as it were the nature and quality of Leven as also in regard of the sick persons who wil by no means yeild obedience unto what is enjoyned But there is good hope of a cure if the courses and hemorroides flow forth if the Belly be loose and solluble if the symptoms be gentle and moderate if there be a plentiful flux of the blood out of the nostrils out of the greater crooked and wreathed veins of the hips thighs c. the Practitioners term them varices and out of the womb if there sweats present and lastly if the distemper be turned into a kind of silent decipience or as we say playing the simple one It is to be performed 1. by an opposite diet in which the Patient must carefully avoid the drinking of wine but by al means sleep is to be procured and the sick calmed and delighted with musick 2. By the removal of their causes that induce and generate the excessive heat of which we shal speak further in the differences 3 by a mitigation of the symptoms and more especially the extream and over long watchings The differences are taken from the Causes that introduce excessive heat into the spirits I. One is from Causes external as for instance the extraordinary heat of the dog-days vehement and exorbitant wrathfulness drinking of hot and strong wines Night-shade the brains of a cat and of a weasel wine turned by lightening Philters or love potions the eating of dogs and wolves the curing of fistulaes and old ulcers al which may be
Pils so much used by Solanander and Mathiolus 4. by exciting and provoking of sweats with the Hidrotick of Quercetan and the sudorifick of St. Ambrose unto which there must be added Guajacum china Treacle Bezoardicum Lunare together with other apropriate remedies al which are to be followed and attended with frictions of the neck or the spina dorsi with onions and the new fresh root of the flowerdeluce 5. by a particular evacuation of the brain by errhines Apophlegmatisms c. 6. by the application of Topical remedies where have their place frictions rubbings and chaifings with the water leaves infused in Malmesey Bathes with formicetes Rubifications or rubbing the part til it become red with green Nettels and other suchlike inunctions with the unguent of vipers the unguent likewise of the several sorts of pepper the Unguent of Castor the grease of the wild Cat mans fat c. Natural or Artificial hot baths touching which se further in Heurnius his method 7. by a diet that is hot and dry concerning which consult the Practitioners in Physick Another is from the straightness or narrowness of the Nerves which is caused 1. By an obstruction proceeding from a pituitous flegmy humor and other things that are subservient hereunto and conducing unto the purpose aforesaid Then the cure hath regard unto the Cause touching which we have spoken sufficiently above 2. a Constipation from some tumor or swelling that hath its first rise in the substance of the spinal marrow or of some nerve 3. Compression and that either from some external cause or else from a Tumor c. III. Another is from those Causes that dissolve or make a solution of unity in the nerves in the number of which there is 1. a Contusion fal or blow And then a vein is to be opened lest there should happen an afflux unto the contused or bruised part Astringents together with discussives are likewise to be applied and layed upon the part affected unless haply there be present an inflamation 2. a dissection and for this there is no remedy at al to be had 3. a relaxation or loosening of the vertebrae of the Back suddenly caused of the which sufficient hath been spoken in the second Book Another is from things narcotick as for examples a touching of the sea fish Torpido quick-silver and the immoderate unseasonable drinking of wine which rendereth the spirits extreamly stupid and dul and here in the cure whereof there ought to be a special regard had unto the nature and quallity of the Cause IIII. Another is Colical when a humor from the intestines is moved not so much unto the begining of the orifice or first enterance of the nerves as unto the very muscles and tendons The Cause hereof is a thin humor that is both chollerick and wheyish In the Cure we must deal cheifly and principaly by clisters that so the perverse motion of nature may be inverted A vein is to be opened if there be present a Plethory and orver great abundance of pure and good blood We ought then to purge with gentle purgers as we terme it by an Epicrasis or an often reiterated evacuation and drawing forth of the peccaut matter leisurely and by degrees some now some then and not al at once Let sudorificks then follow administred in primrose water and the water of Lilleyes of the vally The spirit of Niter is also of excellent use in this case Another is that which we terme Scorbutick touching which see more in the Scurvy Another is that we cal Hysterical of which also we may see more in its own proper place Article VI. Of a spasm or convulsion A Spasm is an involuntary perpetual and painful Retraction or drawing back of the Muscles towards the place of their original and first beginning arising from the abbreviation and shortening of the nervous or sinewy parts which is evermore attended and followed with a Rigor or Extream stifness and a depravation of the figure shape and symmetry of the foresaid parts The part affected is a Muscle and especially a Tendon The SIGNES are apparent of themselves the Muscles are in such manner drawn back that the parties are altogether immovable toward and unto the contrary The CAUSE is either a certain matter pulling and twinging the expulsive facculty of the parts or else some disease voilently stretching out the nervous parts and this sticketh fast either in the beginning and sourse of the nerves to wit the Brain or in the Spinal marrow of else in some one peculiar nerve There is hardly any CURE to be had or hoped for if it be from hellebore if it arise and appear after a Phrensy if it proceed from a wound especially in the brain by reason of a filthy stinking and corrupt matter pulling and twinging the nerves The Cure is very difficult although not altogether without hopes if those parts that are situate neer unto the brain be affected and suffer if it happen primarily by the consent of some nerve in regard that then the sick person cannot possibly hold out and endure by reason of the vehemency of the Symptoms if it arise from an abundant flux of blood if it follow upon the monthly Courses in women if it attend and follow upon feavers or if it chance to be accompanyed with vehement and accute pains about the bowels or intrals It is more easie if those parts only are surprized and siezed upon that are more remote from the brain and consequently the less noble and considerable if it be by the consent of the Brain unless the affect that the brain lyeth and laboureth under be pertinatious obstinate and unyielding The Cure ought therefore to be Instituted according to the Nature and disposition of the Causes of which more fully in the Differences The Differences of a Spasm are very many and Various I. One is Vniversal which affecteth the whol body The Cause whereof either It is in the Brain and then together with the body the Muscles likewise of the Face are also drawn and pulled together and suffer a Convulsion or else it is in the Original and beginning of the Spinal Marrow from whence it happeneth that the Muscles that move the Head and the spinal Marrow are retracted and drawn back And then either the body with the Neck and Head is drawn to the inner parts from whence ariseth that we term Emprosthotonos or else the twelve Mulcles that extend the Head being affected the aforesaid parts are drawn backward from whence is that we cal Opisthotonos or otherwise the Muscles and Nerves as wel the anterior as the posterior being al of them affected the whol body remayneth altogether inflexible and unmoveable from whence ariseth that we cal Tetanos with the which whosoever are affected either they die within four daies or else if they pass and out-live these they then escape and recover Another is Particular of the Eye Mouth c. Of which we shal see further in the proper place
II. Another is from Replexion which dilateth the breadth of the Nerves and diminisheth the Longitude thereof It is known by the foregoing of the Causes a sudden invasion and surprisal without any evident and manifest Cause and exhasting together with a Flegmatick habit and temperament It ariseth I. From the Afflux of a Pituitous and Flegmatick humor into the Nerves according to their Tunicles or little Cotes and as they are essential constituting parts of the Muscles and instruments of the motive operaation Then there went before it such a like kind of Diet and the monthly Courses Hemorrhoides or other wonted Evacuations are suppressed In the Cure 1. We must attenuate and Cut the peccant matter by a timely administring of a Clyster In the next place those things that are highly commended and approved of are the Treacle of Andramachus the Water or the spirit of Juniper and the Balsam of Quercetan 2. We ought to Evacuate oftentimes with the milder and gentler sort of Medicaments the stronger sort of them pour out and quite expel the matter 3. A Revulsion must be made by frictions Gargarisms Cupping-Glasses c. 4. A Discussion of the offending matter must be wrought with the Oyl of Castor of Euphorbium Turpentine distilled the Oyl of Nutmeggs and the Hot Baths of Sulphur 5. In the Diet that is used there must be no kind of Wine drunk II. It proceedeth from an Inflamation of the Nervous parts and then there is present a Plethory a fal or a blow or something else that was violent long continued and acute pains in the Nervous parts vehement anger and passions of the mind c. had their precedence The afflux of blood hotter than ordinary is in great part the Cause hereof The Cure is to be directed and to look towards the Inflamation III. From extream windinesses and then the Causes thereof went before and it soon passeth away is gone To Discuss Vervein and Mother-wort imposed upon the Neck are very available 4. It happeneth from the wounding or pricking of a Nerve whether the said wound and hurt be simple or poysonous but of this kind of spasm we have treated before in the second Book Another is from Inanition or extream emptiness in which the Nerves are rendered and made shorter by reason of the exsiccation and sudden drying up of the Native Rudical Humidity It is known from hence that it maketh its approach sensibly and by degrees with a diminution of the member It ariseth from Causes that do either excessively evacuate such as are frequent and much bleeding at the Nose sweats and purgations with Hellebore or else they vehemently heat and dry up the radical Moysture and such are Inflamations watchings hard labor and over working the drinking of much wine immoderate and excessive venery a long lasting pain the Hectick Feaver and lastly Cauteries or Vesicatories over frequently applied unto the Nervous parts It is to be Cured 1. By a moystening Diet. 2. By Medicaments that are Analeptical or restorative and moystening and such are the unguents de Ansere Cata assatis that is to say of a Goose and a Cattrosted and baths made of Oyl the fattening water of Ferdinand in his third Book and the Chapter touching an Hectick Feaver made of swines Blood Morsels of the Flesh of the Tortoise or of Craw-fish The Magisterial of Hyacinth is specifical Another is that we cal Phusodes which hath its original from a gross and thick spirit or Vapor excited by Crudities that filleth out the spaces of the Muscles and distendeth them with a grievons pain It endureth so long as until the Muscle be relaxed it is quite removed and taken away by frictions and rubbing and chasing of the parts affected or else by annoynting it with Treacle or Juniper water Another is Illegitimate as we term it which proceedeth from the exstimulation goading as I may so say and pricking forward of the Nervous parts by some painful affect but yet without a perpetual extension and stretching forth of the said parts for the most part it happeneth by consent of the Orifice of the Stomach or of the Womb. The aforesaid grievous and painful affect is either from some distemper or else from the solution of continuity Chap 7. Of those Symptomes that hurt the Internal senses the Reason and Motion together with the External Senses Article I. Of Incubus or the Night-Hag and Catalepsis THe Symptoms that hurt the Internal senses the Reason and motion together with the senses External are Incubus or the Night-Mare as we usually term it Catalepsis we commonly cal it a Taking the Epilepsie or falling sickness Carus and the Apoplexy Incubus the Night-haggs is an interception of the motion especially that of breathing and the Voice with a false and Erroneous dream of some heavy and weighty thing lying along upon the Breast and thereby causing a suffocation as it were and choaking of the Party by means of the impeding and hindering the free penetration of the spirit the Passages being obstructed and stopt unto the Nerves The part affected is the Brain espeacially in the hinder part thereof by which the passage reacheth and attaineth unto the beginning of the spinal Marrow The Diaphragm is likewise compressed and kept down The SIGNS are a heaviness and immovableness of the body and cheifly the Chest or Breast a slow and dul sense and imagination and conceit of a suffocation especially in the first beginning of sleep the party lying upon the back and as it were an oppression and keeping down by somwhat lying heavy upon it insomuch that the Patient can by no means distinctly cal and cry out but only make a confused and unintelligible Noise The alone interception of breathing and the voice is brought and offered unto the imagination in regard that the motion of the breast alone is mainly and principally necessary in the time of sleep The CAUSE is an interception of the Animal spirits arising from a light Obstruction of the Ventricles of the brain and more especially of the beginning of the spinal Marrow That that Causeth this obstruction is a Gross and thick Vapor that is oftentimes cold yea even Narcotick and hence it cometh to pass that the party thus affected is so hardly awakened That which proceedeth from a gross and thick Flegm or from a Melancholy Humor sticking fast in the Hypochondria and neer about the Precordia this in these persons from Gluttony furfetting and drunkenness the stomach being thereby sur-charged from Crudities or other such like Causes being swoln and puffed up and then moved exhaleth and compresseth the Diaphragm and the Lungs rusheth violently into the beginning and enterance of the Nerves and so creeping as it were and insinuating it self into the very seat of the Imagination there intermingleth it self with the spirits The CURE is the less to be hoped for if from an internal cause it fieze upon those that are wel in yeers if it be of long continuance and
signes and tokens of a distempered and affected stomach In the cure we may safely and successfuly have recourse unto vommits c. Another is from worms which are easily discovered by their signes Unto scolecobrotick Medicaments there ought to be added and therewith mingled Antepileptical remedies Another is from the womb which is known by this that there is then some affect or other of the Womb present to wit the suppression of the courses the retention of the Seed or the Secundines a dead childe in the womb c. The Cure is to be directed and to look toward the Affects in the which the root of round aristolochy is much commended Note here that the water of swallowes distiled with Castoreum Galbanum and vinegar is most proper and convenient that for a woman great with child there ought not upon any termes sweet smelling odoriferous things be applied or laid neer unto her wombe yea likewise that al odoriferous medicaments since they offend the Head and make it heavy are wel removed from it Another is from the External parts either wounded or ulcerated or else hurt by biting which is exactly and diligently to be examined and inquired into left that otherwise it should be mistaken for that which proceedeth from the Womb. It is to be Cured according to the Nature and quality of the Causes VI. Another is of such as are grown up and have attained to maturity of yeers unto whom al that hath hitherto been spoken upon this subject is to be applied as most suting and agreeing unto them Another is of Infants in the Cure of which if they be yet sucking at the Breast in the Paroxysm we must then proceed so as is above declared only there must be special Care and regard had unto the tenderness of their Age. Out of the Paroxysm the Nurse ought as far as necessity requireth to have appropriate Medicaments given her to drink and withal the Infant is to be Evacuated and emptyed with Syrup de Tribus as the shops cal it and then his brain is to be strengthened and the impostums if any there be that break out are by no means to be hindered in their flux but on the contrary they are by al means possible to be furthered There are some that in this case do very much commend the anoynting of the whol Body with Butter unwashed unsalted and Mingled with Rue bruised and beaten in a Mortar An approved Remedy to preserve from this sad and fearful affect is the preserving power of Hartman the Aqua Vitae that is usually Exhibited and given unto Women with Child Oyl of sweet Almonds with Sugar given to Childeren new born In that Difference that is by consent there is to be highly commended the Emplaster of White Amber of Frankincense and of Mastick of each one dram and an half of Galbanum Opoponax of each one scruple of Birdlime of the Oak two drams Amber six grains Musk three grains Male Peony seed half a dram Ladanum a dram and half of the Oyl of Nutmeg a smal quantity al these aforesaid being strewed over with the pouder of Cubebs the emplaster must be spread upon leather and so imposed upon the Abdomen or lower belly But if in Women it happen as many times it doth from the Curdling of the Milk then that which is of singular use is a Cataplasme formed of Elm-leaves three parts boyled in the Vrine of a Child with two ounces of butter new and fresh and then applied unto the Region of the stomach The Cure of Children that are weaned differeth not much from those before mentioned Article III. Of Carus Carus is a deep and profound sleep with the hurt of the sense and motion the breathing only excepted and likewise the Imagination arising from the impeded motion of the Animal spirits The SIGNS are sleep with the Eyes alwaies shut so profound that the sick person being asked never so many questions yet answereth nothing at al and so it is distinguished from a Catalepsie and a Lethargy a retraction or drawing back of the Member if it be pricked which is not done in the Apoplexy a free respiration and breathing unless the vehemency of the Cause be most extream and intense The CAUSE is the prohibition and hindering of the influence and exercise of the Animal spirits upon the senses and the Motion of which the divers and different Causes shal be declared in the subsequent differences CURE there is None if it chance in the declining of continual Feavers the strength and powers of the body being extreamly weakened It is of much difficulty if the breathing be hurt if it be Joyned together with the heaviness of the Head because that a humor not over gross and thick penetrating into the substance of the Nerves and extending them immediatly a Convulsion followeth and lastly if it befal the party after some great Evacuation It is Accomplished according to the quality and condition of the Causes It is divided five manner of waies I. One is When there are no Animal spirits generated which happeneth when either the Arteries Carotides that earry the Animal spirits unto the brain are hurt or else when the Muscles of the Temples having a very notable and singular agreement and consent with the brain by the intercourse of some eminent Nerves are Compressed or bruised II. Another is when the Animal spirits are dissipated which cometh to pass either from some extraordinary and excessive Evacuation or else from some exquisite pain proceeding from either an external or an internal Cause or else issuing from the Defatigation wearying and tiring of the Brain by reason of an over-great and extream shaking thereof which cometh to pass in that heavy deep sleep that hapneth in the Close and conclusion of the Epileptical Paroxysm III. Another is When the Animal Spirits are stupefied and made as it were drowsie And this is done either externally and that 1. From the fume of coals kindled in some close room or Parlour of which we have likewise spoken above 2. From the use of Narcotick Medicaments Opium Hen-bane c. Where Castoreum with Oxymel or Cassia Lignea have their place 3. From Poysons either taken inwardly or else outwardly applied where Treacle ought to be administred Or else internally 1. From Vapors sent forth in Feavers and 2. From the same Vapors elevated by Worms touching which their proper places are to be consulted The Cure may be fought out and found in the following Member of the Difference IV. Another is When the spirits cannot penetrate unto the Members And this is done I. From the Compression of the skul and brain of which above II. From the Obstruction of the Passages and then there wil be present signs of Flegm In the Cure a regard being had unto the whol body Revulsions head-purgers c. are to be administred and then we may see what is further to be done in the Cure of the Apoplexy V. Another is when the spirits are
greatly disturbed as in case of a blow fal or any other accident whereby the Head is hurt c. Of al which see more in their own places Article IV. Of the Apoplexy The Apoplexy is a sudden abolition of al the Animal functions the breathing alone remayning and this likewise now and then exceedingly afflicted arising from the streightness and shutting up of the Passages especially about the basis of the Brain by the which the Animal Spirits are derived unto the Members The part affected is the Brain not only according to the ventricles thereof but likewise according to its pores and especially neer about the inferior and hinder part thereof where the Nerves begin and take their Original The SIGNS are of an Apoplexy imminent and nigh at hand somtimes none at al somtimes a lightness and swimming in the head which we usually cal the Vertigo dimness of the Eyes and welinigh loss of sight the Incubus or Night-hagg a trembling of the whol body the grating of the Teeth in sleep an extream coldness of the External Parts an abundance of Snot and Snivel the heaviness of the Head c. The signs of an Apoplexy Present are the abolition of the sense and motion and this suddenly and with snorting and by this it is distinguished from Curus that it is without a Feaver and excitation and so it is differenced from a Lethargy that it is with a Relaxation and loosness of the Members a ful pulse and the Face reteyning stil its color and thus it is distinguished from a Syncope and the Suffocation of the Womb. The CAUSE is the streightness or narrowness of the turnings and windings and of the pores of the Brain especially of the Basis thereof and of the Rete admirabile therein as it effecteth a shutting up or shutting in of the spirits But from whence this proceedeth we shal show further in the Differences CURE there is None if upon a Difficult drawing of the breath a sweat ensue if immediatly the sick persons strucken suddenly mute and dumb and without snorting aloud be not surprised and set upon by an acute Feaver which haply might attenuate and dissolve the Pituitous flegmy matter and likewise the flatulent Vapor The Apoplexy usually if not alwaies if terminated and endeth in a Passie It Respecteth 1. Preservation which preventeth and taketh away the Antecedent Cause and this varyeth according to the Nature of the Differences 2. Iâ— hath respect unto the Cure spoken of in the several species which is to be begun with a Prognostick when we are to make a discovery whether or no there be any life in the Party either by lighted Candles the windows being shut put as neer as may be unto the Nostrils or else by a looking-glass clean wiped put to the mouth of the party It is to be Performed 1. By a due and fit placing of the sick person that so he may the more easily attract and draw in the Air together with a light and gentle concussion and shaking up of the party lest that by a more violent rowsing of him the matter should be dispersed al the body over as also by a rubbing of the extream parts with Salt and Vinegar 2. By the Revulsion of the matter by Cupping-Glasses imposed on the head which is indeed the only Remedy by strong forcible Clysters and Suppositories by opening of the Cephalick vein or the common Median Vein without the least delay and that likewise by several Repetitions and not al at once and yet al within the space of a very few hours and also lastly by opening of the Jugular veins according to their length 3. The matter is dissipated and scattered by the use of Antepileptical waters by which the Brain is exceedingly recreated The Differences of the Apoplexy are many and Various I. One is Legitimate of which more in the subsequent differences Another is that we cal Bastard or Spurious which ariseth either from the Obstruction of the Arteries Carotides and the Jngulas Veins of which see in Carus or else from Narcotick Vapors that stupisie and make dul the spirits where Revulsion hath its place the Evacuation of the matter somenting and cherishing the Disease and the breaking of the stupefaction by Castoreum with Vinegar II. Another is from the Obstruction of the Basis of the Brain which is caused I. Either from a Flegmatick and thick Matter either dissolved by heat or else driven forth by cold into the Passages of the brain It is known by the tokens of a cold distemper It driseth from the same Causes It is Cured 1. By the Evacuation of the peccant Matter by Venesection after that by a strong and forcible Purgation by Errbines and Sternutatories put up in the form of a powder among which that Nose-purger the Latines and Late Physitians cal it Nasipurgium of Bartoletus is much commended by Frictions of the tongue and Palate with Treacle or Mustard Seed this last Boyled in strong Wine by Cauteries Issues c. Vomitories have here no place 2 By strengthening of the Brain by Cephalick waters the spirits of black Cherries the Essences of Rosemary Sage the Balsames of Marjoram Amber Rue c. II. Or else from gross and thick Vapors with the which we ought to proceed and to deal in the very same manner as aforesaid Another is from Compression which is Caused I. Either from Violent Causes as for instance a Concussion a Blow a Wound of al which see above II. Or from cold and moist humors heaped up in the Brain by their constant and continual watering and moistening of the Brain Rendering the substance thereof that is naturally soft by far more soft and loose touching which see more in the former member of this same Difference III. Or else from that which they cal Flegmonodes diathesis that is to say an abundant store of blood al at once as it were rushing thronging into the sourse and spring head as I may so term it of the Animal spirits It is known by the signs and tokens of a Plethory there is some wonted Evacuation suppressed It ariseth from the same Causes It is Cured like as is that which is caused by a Flegmatick obstruction Yet notwithstanding in this case plenty of blood may be emptyed forth of the veins III. Another is a light and gentle Apoplexy which most commonly endeth in a Passie of the one side or the other and in which the breathing keepeth some kind of order Another is Vehement in the which the Respiration or breathing is violent unequal inordinate and intermitting Another is strong in which the breathing is violent there is also a snotting to be heard and there appeareth likewise a froth which is but very little if it be excited by the very humidity of the Lungs from some most vehement compression of the Heart but very much if it proceed from a pituitous or Flegmatick humor that is ful of Wind. Another is the strongest and most dangerous of al in the
of Children that in their Cradle are continually looking upwards and this may be Remedyed and prevented by rolling and swathing about their Head with black clothes whiles they lie in the Cradle 3. From Convulsion and contraction and this requireth Emollient Ophthalmick Remedies 4. from a Wound or Vlcer ill Cured in which case either the Cicatrix is to be Mollified or else there must be a Manual operation as the Cause and as necessity shal require VI. That we cal Hydotis the Latins term it Aquila or an increase of the unctuous substance in the upper Eye-lid pouring forth continually a Humor especially in the morning betimes before the light appear It ariseth especially in Children from a serous or wheyish humor that is fallen forth and gotten betwixt the Membranes of the Eye-lids in the midst whereof there is that Unctuous ' or Oyly substance And this is either Recent and new begun and then it is sometimes taken clean away with Fasting Spittle or else it is that that hath been of long Continuance and included in its peculiar Membrane and this requireth the operation of the hands Chap. 2. Of the Affects or things that are anniss in the Eye Brows THe affects of the Eyebrows are I. That we cal Hordeolum being a smal Tumor or swelling which when it cometh unto a Suppuration is very like unto a Barly Corn from whence it hath its aforesaid denomination It hath its Original from a Flegmatick Humor thick and mingled with blood It is taken away by Barly masticated or chewed upon an empty stomach and so applied or by the body of a fly the head thereof being cast away if it be rubbed therewith If it cannot be suppurated then Let it be cut and opened II. That which we cal Grando being a round little rising or swelling transparent and movable thither It riseth from a matter that is hard even as hard as a stone It is to be Mollified and suppled with Ammoniacun dissolved in Vinegar and mingled together with the Fat of an Hen or Turpentine and Wax III. That we cal Madarosis or a Shedding of the hair which for the most part invadeth the party after Malignant Feavers See more hereof before in the second book If there be together present with it a Crassitude or thickness a Callosity or insensible hardness and a redness of color and that the Eye-Lids swel and become shining it is then named Ptillosis IV. Trichiasis when preternatural Hairs growing up under the Natural hair and pointing inwardly do prick the Tunicles of the eyes It ariseth from Humors flowing to the extremities of the Eye-lids either by Reason of some long continued swelling or else by reason of their being shut up and as it were bound in there It is Cured 1. By the Total Evulsion or drawing forth of the peccant Humors and an inunction or anoynting with the blood of green Frogs ought ever more to follow upon this said devulsion 2. By Corrosion by Corrosive Medicaments anoynted upon the place with due caution 3. By Section or cutting of which see further in the Practical Physitians V. Phalagosis when the Eye-Lids turning inward the hairs appear not unless the Eye-Lids be lifted â—p It ariseth either from Pituitons Flegmy humor that load and make heavy the Eye-Lids or else from the exsiccation or excessive drying of the Cartilage together with a depression of the Skin toward the eye brows ever more following upon the former For the Cure hereof you may likewise consult other Authors VI. Phtiriasis or a great abundance of Lice arising from Nastiness and Filthiness in those especially that seldom or never wash and keep themselves cleanly and such as use a naughty and corrupt kind of Diet delighting themselves in unwholsome food and somtimes also it hath its rise and beginning from Contagion and infection It is to be timely and seasonably Cured lest that it excite and cause sharp Defluxions And here in this case the washing of the Eye-Lids with the Decoction of Betony and Stavesacre is much commended Chap. 3. Of the Affects and what is amiss in the Flesh that is in the Corners of the Eyes THe Affects of this Angular flesh are I. Rhyas or a Diminution of the Caruncle Viz. The little piece of Flesh that is situate in the greater Angle or Corner of the Eye upon which there flow forth involuntary Tears It ariseth either from a defect of Aliment or else from Corrosion and this either proceeding from Corrosive Medicaments or else from the afflux of a sharp and Tart Humor and it happneth after the Epiphora or dropping of the Eyes with Rhume the smal Pox and Measils and deep Ulcers or else from incision which can by no means be Cured II. Encanthis or the increment of the Caruncle according to the greater Angle or Cornet of the Eye It hath its Original either from the ill curing of the Pterygia as we cal them they are certain distempers in the little wings and as I may so term them of the Eyes or else from an overgreat afflux of aliment if the Malady be great and of long standing it s not then to be Cured without calling the assistance of Chirurgery III. Aegilops which is a little swelling arising betwixt the greater corner of the eye the root of the nose It proceedeth from a certain matter driven forth to the Corner of the Eye It is Variously divided 1. Into Anchilops which is a Tumor not yet broken and without any inflamation it proceedeth from a dul and sluggish Humor somwhat resembling honey and a Pultise that most commonly is shut up in the little bag thereof and affecting the part without solution of Unity and it is to be quite taken away by Section or cutting and 2. into Aegilops properly so called which is a swelling broken and with an inflamation It is known by the smart and pain that attendeth it the change of its color and the immobility and fixedness of the Tumor or swelling It hath its Rise from blood poured and shed forth of the Temple Veins the Forehead or the Face Veins and cheifly if there be a Concurrence of any external Cause It is Cured 1. With some Difficulty especially if it fiez upon the deeper parts thereof if when broken it retire inwardly because that it easily Corrupteth and spoileth the bones that lie underneach it if it come neer unto the Nature of a Cancer 2. Is cured after the manner of other inflamations And for the most part that kind of Fistula they cal Lacrymal followeth and attendeth upon it which as wel by Reason of the continual afflux as the perpetual motion of the Eye is for the most part to be accounted a Chronical Malady and distemper In its Cure before it be consolidated we ought wel to look and consider whether or no it hath contracted and gotten to it self a Callum as they term it or insensibleness and whether or no there be any bone Corrupted which the roughness of the bone or
the sound and noise that it maketh wil soon discover Chap. 4. Of the Diseases of the Adnata Tunicle Article I. Of the Ophthalmie THe Parts Constituting the Eye either they are the Tunicles Viz. Adnata Cornea Vvea and Aranea or else they are the Humors thereof The Diseases of the Adnata are the Ophthalmy Pterygium Panniculus and Hyposphasma of the which two latter this is common to the Cornea Tunicle that unto the Eye-Lids The Ophthalmy is an inflamation of the Adnata Tunicle arising from a sharp blood distending the smal Veins thereof The SIGNS are redness of the Eyes a flowing forth of tears a pain c. The CAUSE is Blood which either alone or else castigated by other Humors sliding forth unto the part affected either by an afflux or else by congestion is dispersed thorow the Veins and so distendeth them The CURE is Difficult if it arise in cold Regions and in a cold time because then the Members are more than at other times streightened and confined if it infest and annoy little Children because that it continually followeth from a tender and weak Head if the pain presevere and long abide because it argueth a matter either corroding or vehemently distending or suppurating if it be by consent from the Membranes of the Brain and the parts contained within the Skin if there appear in the Eye smal grains of filth because these signifie a slowness of Maturation It is more easie if it be by Consent from the external parts if the tears be more abundant and more smarting because it cometh the sooner to an end if the belly be quick in regard that the loosness of the belly freeth the party from it It is to be accomplished according to the Method of other Inflamations It is to be noted in this that somtimes by Venesection the greatest Opthalmies are wholly taken away within the space of an hour 2. That Vesicatories applied behind the Ears do very wel draw back For this purpose there is much commended by Hartman the meat of the Herb Rocket in a quilted bag 3. Errhines and those not overstrong and violent are to be administred if the sick person hath bin wont to evacuate the excrements of the head by the Nostrils 4. Topicks are to be applied but yet not until the end of three whole days and these are to be actually some that warme without any the least mordacity or Carroding quality wel cleansed and purified and corrected by such repellers as are in their own propriety helpeful neither must they be too cool nor too astringent neither over dry and those may presently be put unto the forehead and the neck and they are to be followed with Anodynes which if there be any fear of a greater afflux are very fitly applied to the eye from the very beginning 2. the womens milk is every hour to be changed lest that after long continuance it contract a certain kind of acrimony from the heat of the eye 3. Opium and opiate medicaments are by no means to be adminiâ—tred without great and urgent necessity 4. Great caution must be had lest that there should be any suppuration in the inward parts 5. In the diet wine and the use of baths in the declination of the disease may very wel and without danger be allowed and permitted unto the sick person A Cataplasme of the Crumbs of wheat bread and a rosted apple with the brest-milk of a woman together with a little saffron and sugar of saturn is exceedingly commended And so likewise is the water that is made of the juicy substance of Craw-fish distilled two pints thereof of Rose water one pint and Crocus metalorum half an ounce infused altogether as also of the waters of the eyebright and Fennel of each alike five ounces with metalorum one dram unto which there may be added a fit proportion of rosewater Among the discussives Sarcocol wel washed and the true Tutty of the Arabians which drieth without any kind of biting obtain their place and use The Differences of the ophthalmy is threfold I. One is that we cal Taraxis or a perturbation which is known by this that the eyes only appear to be hotter with a certain redness in them and without any great abundance of tears It ariseth from external Causes to wit 1. the heat of the Sun or the fire and then the Cataplasme before mentioned may very siâ—ly be applied 2. from a pain of the head contracted from the suns scorching heat and then likewise the aforesaid Cataplasme hath its place unless happly general and Universal remedies ought altogether to preceed and take the the first place 3. from wind smoake and dust and the eyes are to be washed with milk luke warme and fleep to be taken thereupon 4. from a blow or a fal and then blood ought immediatly to be drawn forth by opening a vein 5. from the stinging of a Bee Wasp or Hornet and then Repellers of the white of an Egge the breast milk of a woman c. are to be imposed Another is the true and genuine ophthalmy which proceedeth either from hot or from cold causes and to this al that hath been before spoken doth properly and cheifly belong Another is that we cal Chemosis whenas the eye lids are as it were inverted and â—urned the inside outward neither can they be closed and then there appeareth a swelling of something that is white above the black of the eye and this needeth and requireth the stronger sort of remedies II. Another is Periodical which kepeth its intervals it is familiar unto hot moist heads at length it casteth the eyes into a consumption Another is that that keepeth not its periods Another is Contagious III. Another is Moist 〈◊〉 â—hich we have now most cheifly treated Another dry in the which there is but a very smal flux of tears and in the night-time the Eye-Lids contract an hardness It hath its original from a humor that is not much in quantity but very salt and nitrous And it is either with an itching attending it which if tears gently flow forth it is then called Psorophthalmia but if there be no tears at al and that the eyes are only red without any swelling it is then called Xerophthalmia or else without an itching and with a certain hardness of the Eye-lid and then it is-termed Sclerophthalmia The Cure hereof followeth the method of that before mentioned Article II. Of the Nail or little wing the web and the Hyposphagm of the Eye I. The Nail or little wing as they terme it of the eye or as some cal it the arrow is a little membrane that is nervous sibrous and somwhat white which proceedeth forth from the corners of the eyes the greater of them especially and cleaveth fast unto the Adnata tunicle and is somtimes drawn forth in length even unto the Cornea tunicle and very often if it so much increase covereth and over spreadeth the Pupilla or Bal of the Eye
This Affect needeth no SIGNS since that it is evidently exposed unto the view It is discerned from the Lachrymal flesh by its white shining brightness The CAUSE is Blood mingled together with thick viscid and clammy Humors flowing down from those parts that are contained betwixt the Skul and the Skin and bringing upon the place a certain kind of Scabbiness or scurfiness which while the nutritive faculty endevouereth to render and make equal it produceth an increase of the membrance beyond the ordinary course of nature The CURE Requireth I. The Premising of the general and universal remedies II. the extertion and extirpation of the nail after it hath been for a while fomented either with a decoction or some temperate distilled water Among the several sorts of medicaments there is commended the pouder that is made and prepared of Egg-shels and then cast upon the eyes the Medicinal stone of Crollius in the water of roses and Eye bright the specifick of â—artman of the fish Lucius we cal it the Luce or Pike the same Hartmans water of the whits of Eggs and other such like remedies which if they be sharp and piercing ought to be quallified and corrected with Tragacanth and the like and exceeding great Caution must be had that the tunicle Cornea be not touched III. It requireth Chyrurgery of which you may see further if you consult Authors upon this very subject IV. A Diet in which there ought to be an abstinence from wine and meats that generate store of vapours It is many wayes Divided I. One is that we cal Albicans or tending to whiteness Another there is that tendeth to a blackness which is not to be removed by any remedies whatsoever II. Another Recent or new which may soone and very easily be dispersed and quite taken away Another is Inveterated and old unto which if a thickness chance to accrew and be added thereto it ought then to be cut out yet sometimes notwithstanding it sticketh so close and pertinaciously unto the Adnata tunicle that it cannot be taken away thence no not by the Chirurgeon himselfe without manifest hazard and danger of hurting the eye III. Another is that which is produced only unto the Cornea tunicle and no further Another that is extended along even unto the very pupilla or Eye-bal and this if it be taken away it indeed wholly freeth the eye from fluxions but if a Cicatrix or star be left remaining it very much hindereth the sight of the eye IV. Another is Cancerous and Putrid which admitteth of no Cure at al Another that is not as the former II. The Pin or web of the Eye is a certain red substance like unto a smal piece of cloath arising from the exuberancy and over great abounding of blood in the Exterior veins of the Eye There is here no need of SIGNS There appeareth especially in the superficies of the tunicle Adnata as it were a fleshy web with an itching a pain an offending of the eyes by the light the sight obscured or quite and clean taken away The CAUSE is a blood derived unto the eyes either simple and alone or mixed either by the way of fluxion or of congestion and this either by the external vessels and then the forehead swelleth a little or otherwise by the internal vessels and then there is a certain pain extending it self even unto the very roots of the Eves The CURE is performed I. By the Vse of Vniversals or remedyes in general II. By Abstertion by those things above mentioned III. By Chirurgery touching which those Authors that are extant upon this Subject III. The Hyposphagm or Sugillation as they cal it is a blemish or spot reddish or black and blew arising from blood poured forth of the veins being opened and common to the tunicle Cornea There is no need of SIGNS forasmuch as the malady or Evil is easily discovered by the very beholding of it The CAUSE is whatsoever may open the veins whether it be External or internal as shal be further shewn in the differences The CURE is Easie in the beginning It is performed Universal or general remedies having gon before if the afflux be greater than is usual by discussives at first such as are more gentle and corrected by astringents but afterward those that are stronger and more forcible and yet withal such as are void of acrimony and tartness lest that there should more of the blood be enticed and drawn forth unto the part affected It is Divided three manner of waies I. One is from Causes External a blow clamour and sounding of trumpets in which we must presently have recourse unto Topical remedies to wit the decoction of the flowers of Melilote and of Roses Fenugreek seed Colliry composed of the blood of Pigeons taken out of their wings two drams thereof the breast milk of a temperate Woman half an ounce and frankincence one scruple Another is from internal Causes to wit either great store of blood where Venesection must by no means be ommitted or else from the extraordinary great heat thereof and then the spot or blemish tendeth unto a Citrine colour We must withstand and oppose the inflamation by the white of an Egg wel shaken together if there present any Pus or filthy purulent matter the same is to be lessened by a Collyry composed of the Muciluge of fenngreek with fennel water and honey of Roses II. Another is Recent and new beginning in which the blemish is of a red colour Besides the Topical rememdies above mentioned the tops of hissop boy led in ordinary and common water tyed up in a little bage and so applied is of singular use and bennifit in discussing the peccant matter Another is inveterate and of long standing in the which the spot or blemish is black and blew And for this we usually prescribe as most proper and convenient a Colliry composed of the Juyce of the greater Selandine and Carduus Benidictus of each halfe an ounce of the fat of the bird they cal Quoestula or Queist liquified and dissolved two drams and of mirrh half a scruple as also the Root of sigillum Solomonis or Solomons Seal well shaken together c. III. Another is When blood is cast forth either into the Adnata or the Cornea Tunicle And another When it is cast forth into both these Tunicles at once and together and then all the Objects that the Sick person looketh upon seem to be of a color tending to Redness Chap. 5. Of the Diseases of the Tunicle Cornea Article I. Of Crassities Nebula and Albugo THe Diseases of the Tunicle Cornea are Crassities or a certain kind of thickness Nebula or a little Cloud Albugo or a white spot in the Eye Pustules or Pushes Vlcers Wounds and Pain I. Crassities or thickness Is an extream drying of the substance thereof and therewithal there Joyned a certain Corrugation or winkling It is known by this that as it were in the superficies thereof there appeareth a little
is but new beginning and then there fly to and again before the Eyes as it were Gnats or some certain other dark and dim appearances Another is Augmented and then the color of the Pupilla appeareth like unto that we cal sea-green or else it is like unto the Air when ful of little Clouds Another is Perfect in which the sick person discerneth nothing at al and then the Pupilla appeareth to be of a white color III. They differ in regard of their Cause 1. One is from a thin matter and such as is Fluxile as for most part it is wont to be in the beginning and then if there be present a Plethory we may prescribe Venesection and cause a Vein to be opened Another is thick clammy tenaceous and then we ought to abstain from bloodletting 2. Another resembleth the cleer pure air as also it resembleth silver Playfter or Parget and Margarites and this kind leaveth some Hopes of a Cure Another is black which is by no means to be Cured no not by the Needle Another is Green which is likewise altogether incurable IV. Another is that which is truly and properly so called and of this al that hath hitherto been said upon this subject ought to be understood which siezeth only upon one of the Eyes or else if both yet not together not a like and whose Symptoms are constant and continual Another is Bastard and Spurious which carryeth it self quite contrary unto the former and ariseth from a Vapour ascending from the imferiour parts and is wholly taken away when the Affect is removed Chap. 7. Of what is amiss in the Humors of the Eyes THe Humors that together with the Tunicle constitute the Eyes are in number three to wit the Watery the Chrystalline and the Glassie Humor I. The Faults or things amiss in the Watery are especially sour I. The Diminution thereof by reason of heat dryness overmuch Evacuation which in regard that it is conjoyned with the dryness of the whol body is there not to be Cured without much difficulty II. Effusion when it is poured out which happeneth in the Rupture of the Cornea and then a wound or Ulcer went before the Cornea Tunicle lieth underneath This Humor is somtimes bread again of its own arising from the admixture of thick Humors or Vapors and then the Humor appearth not to be altogether so cleer as it is wont and certain resemblances or babies as we term them fly up and down before the Eyes c. IV. Obscuration and another kind of Color by Reason of the Humors that are therewith mingled These things may be wel known at the first sight and by the very view II. Those things that are amiss in the Crystalline Humor are especially these I. Glaucoma when this Humor is turned into a Grey color It is known by this that about the Pupilla there appeareth a notable manifest whitness somwhat deeply seated and al things are seen as it were through smoke and little clouds It ariseth from exsiccation which happeneth either by Reason of Age or else from some other Cause II. Solidity and Obscurity which therefore needeth a greater illumination from whence proceedeah that we cal Nuclalopia or a Nocturnal blindness with the which such as are affected see indifferently wel in the day time but more obscurely and dimly after sunset and in the night time nothing at al. III. The Scituation changed which is wont to happen many waies 1. Vpwards or downwards from whence the incruciation as they cal it or Crossing of the Opticks is dissolved or else the Axes of the Pyramids thereof are fixed in a double plane and so al things appeare double 2. At the sides and then things appear more on the right side or on the left than indeed they are 3. Towards the middle and the Center from whence it is that those things that are night at hand are rightly seen but things more remote are not distinctly enough discerned 4. Beyond the middle and Center toward the Optick and then those things that they desire to discern they are constrained of necessity to lay them close to their Eyes Towards the Pupilla or Bal of the Eye and then they rightly discern those things that are remote and at a distance from the Eyes III. Those things that are amiss in the Vitreous or Glassie Humor are I. The Augmentation thereof by which not only the Pupilla is the more dilated but likewise the Crystalline Humor is obscured and hath as it were a mist and shadow cast before it and the Spirits also much dulled and blunted II. Diminution from whence the Tunicles are wrinkled up together the Pupilla contracted and falling down above the Crystallaine Humor and abbreviating the space betwixt it and the Tunicles in the which the external splendours meet together produceth the very like affect as in those that wink with one or both Eyes that they may the better behold the bright body of the Sun III. A Crassitude or thickness which ariseâ—h either from the mingling together therewith of an humor or else from the admixture of some other adventitious substance Chap. 8. Of those Diseases that infest and annoy the Globe of the Eye THose Diseases that infest and affect the Globe of the Eye are Atrophy Procidency or standing out and Strabismus or Squinteyedness unto the which may be added out of the Symptoms the Debility or weakness of the sight and stark blindness I. Atrophy is then when the parts of the Eyes consume and wast away It ariseth most especially from excessive Evacuation and over great exsiccation It is Cured by those Medicaments that humectate and moysten and cheifly the Breast-Milk of a Woman layed therein II. Procidency when the Eye either stands out of its Orb in an unusual and unbeseeming manner or otherwise falleth out so at least that it cannot be covered with the Eye-Lids It ariseth from Causes as wel External a blow blowing of Trumpets strangling Hard Labour in Child bearing c. as internal to wit the resolution of the Muscles and Nerves a Tumor thrusting forth the Eye c. In the Cure we must have regard 1. Unto the putting back of the Eye into its proper seare or if that may not be done then wholly to take it away 2. Unto the Deteining and keeping of the same in its place or seat by Fomentations made of Astringents to wit Roses Pomegranate flowers and Acacia Neither must we forget to let blood and the inflamation is likewise to be repelled and driven back If Resolution be the cause thereof then Apophlegmatisms are very available III. Strabismus is then when the Pupilla or bal of the Eye declineth from the middest so that it appeareth more in one part of the Eye than in the other It ariseth either from an ill frame and composure at the first from the very Womb and then it is not by any means to be Cured or else it chanceth from an ill custom as it is
compounded and made of Crocus Martis beaten into a most smal pouder and Crâ—cus Veneris of each two ounces these wel mingled together with the oyl commonly known by the name of Oleum Vici Pomarum Symplicium the water of the sperm of Frogs with a little Champhyre and sugar of Saturn put round about the neck Argilla furnaceâ— that is to say Clay baked in an Oven and wel mingled together with strong vinegar like unto a pultise and applied after the same manner Asses dung or swines dung dissolved in Rose vinegar and then put up into the nostrils the shavings or Fragments of Fungus Betulinus the mushrom or toad stool of the Beech tree the Root of white Succory dig'd up about St. James tide at noon day when the sun is at ful south and chawed betwixt the teeth As for the Magnetical Curing hereof by Vitriol see further in Beccerus in his Medicus Mycrocosmus in the Chap. of the blood c. The Hemorrhage is divided in a threefold manner from the Causes from the blood and from the places from whence the said proceedeth I. One is from that we cal Anastomosis or an opening of the orifices of the veins which either is caused by the abundance of blood and then the face is red the veins strut and are distended and a ful feeding went before and here venesection hath its place the head is by no means to be washed or so much as wet with cold water lest that the blood being there deteined something that is worse follow upon it neither is there any linen cloth to be wet in cold water and at the first begining of it to be cast about the neck lest that the ways and pasges between the brain and the heart should by this means be shut up or else it is caused by the acrimony of the blood and the thinness thereof and then there ready at hand signs of a Cacochymy and in this case we are to do the work with those things that incrassate and thicken as Bole armonick Dragons blood in the shops termed Sanguis draconis and such like Orelse it is caused by the irritation of the facculty and then the very same things as before are present and ready at hand or else by the weakness of the said faculty and then there is blood issuing forth by intervals but it is not much and some disease weakening the liver went before and therfore the Cure ought likwise to be prosecuted with special regard had unto the same Another is from a diairesis as we term it or a division of the veins by some sharp corroding humor and like by other means and then the blood issueth forth in a far greater abundance or there went before some violent Cause or else lastly there are present certain signs of a Cholerick Cacochymy Another is from that we cal diapedesis or as we may to term it a passing through by leaping and then the blood that issueth forth is but very little c. See more hereof in the first Book II. One is of the Arterial blood which is hot somwhat red subtile leaping forth with a froth and with violence Another is of the vein blood and this is Thicker and Blacker III. One is of blood issuing and passing forth out of the veins of the Brain and then there went before a pain of the head and the flux is not easily stanched Another is of the same blood leaping or starting out of the nostril veins and then the contrary of what was said touching the former happeneth and appeareth Chap. 3. Of the Hindering and Hurting of the Smel Gravedo or Stuffing and Sternutition Or Sneezing THe principal burt of the sence of smelling is the abolition or the diminution thereof which differ only in degrees and in the greatness of their Causes And this is caused 1. Either from a distemper of the brain which either possesseth the fore part thereof and then the Tast likewise by reason of the branches of the third pair of nerves of the brain Forming the tongue is abolished the voice is loud and shril and no way to be found fault with the Cure here is to have an especial regard unto the distemper or else it possesseth and resideth in the process of those nerves that constitute and frame the organ of the smelling and then there is no hurt at al to be perceived in the brain or in the other senses Or else it is caused by the narrowness and streightness and that too either of the Brain and then there is present and sensibly to be felt a heaviness in the head and here we may operate by errhines and yet not toomany of them neither and here likewise sternutatories are exceeding useful and profitable or otherwise of the Processes of the brain or of the nose within and the Ethmoid Bone and then the voice and respiration are vitiated and the wonted excrements restrained and kept in The smelling is somtimes totally abolished if the Phlegm by heat be baked and hardened at the holes and enterances of the aforesaid bone which chanceth unto such as being troubled with the pose or distillation called coriza heedlesly and without any consideration go into baths In these cases that that cheifly deserveth commendation is the Root of Gentian fitly put up into the â—osâ—ils Castoreum wel soaked in vinegar and afterwards sweetned the Oyl of Nightshade the Errhin of Zacutus in his seventh Book 15. Chap. P. 517. c. touching which we have before spoken in the Chapter of Cactarrhs II. Gravedo or Coryza is a defluxion of the Excrements of the Brain being crude and thin like water unto the nostrils which is accompanied and attended with a frequent sternutation or sneezing This Malady is wel enough known and by it self discovered It ariseth from the distemper of the brain either hot or cold concerning which enough above III. Sternutation is a violent and involuntary expulsion by the nostrills of the flatulent windy spirits and sharp vapours offending the Brain It is done with a Loude voice as wel because the Windy spirit breaketh forth altogether at once as by reason that it forceth its passage through the streight narrow holes of the nostrils It ariseth either from external causes and then the nostrils are to be supled and gently stroked with the oyl of roses or milk or else from internal humors and vapours brought thither touching which see further in their proper Chapters but is wont for the most part and too commonly to be neglected by the Physitians unless in Plethorical bodies it happen to be accompanied with a distillation in the very first beginning of the disease The little veins in the greater angle of the eyes and that is nighest unto the nostrils being forcibly pressed together do forthwith stay and stop the frequency thereof Title VII Of the diseases of the Tongue and the Symptoms thereof THe Affects of the Tongue are a Tumor or swelling Ranula a blackness a Palsy a stammering an Aphony
the Crown of the Head a Powder compounded of Long Pepper one scruple the Juyce of Acacia and Tormentil Roots of each two scruples so blown in after the use of an Astringent Gargarism II. The Inflamation of the Wesand is the rising or swelling of the same from a Cholerick Blood fallen down into it with a redness burning heat pain danger of suffocation and somtimes also with a Feaver The business is here alike as in other Inflamations Title XV. Of the Affects of the Tonsils THe Principal Affects of the Tonsils are an Inflamation and an Vlcer I. The Inflamation of the Tonsils is a rising or swelling up of them produced by the afflux of Humors It is known within under the Jaw-bone by the touch and by the sight thereof where like unto a smal Gobbet sticking in the Jaws it presseth by its weightiness and hindereth so that neither Meat nor drink nor spittle can easily pass through either up or down There are also present pain a burning heat redness and a thirst and it falleth more easily into the Tonsils than the Wesand by reason of the sostness and loosness of its proper Temperament and likewise its place It ariseth Externally in little Children by Reason of their Voracity and insatiable feeding the Greeks cal it Addephagia unto which there is likewise added a weak and tender Constitution of Body in Children that Suck by Reason of some fault and pravity in the Milk in Girls from an insufficient Purgation of the Menstrua or Monthly Courses in those of Riper Age by Reason of their overmuch drinking of that wine that is not first diluted and weakened as also their much and more greedy of al sorts of Meats but more especially those that are sharp and rough Internally from the afflux of humors that are hot and sharp Cured it is after the same manner as are other inflamations yet this notwithstanding is attentively to be heeded that somtimes the Tonsils are made the harder by the over frequent use of Coolers and Repellers II. Touching Vlcers these things come in the next place to be taken notice of I. That there is the less danger in them if they be without a Feaver II. That those of them that appear in the heat of Summer because they then immediatly creep forward are worse than those that arise at other times III. That they may somtimes be and appear without any Inflamation at al either from some Salt distillation eating through those parts or else from some Vapor or Exhalation ascending upwards which happeneth in the Venerial or French disease and somtimes again from other Causes the Spring time and a Pestilential Air. IV. That some of these Ulcers are Familiar and milde which are smal clean not descending very deep neither inflamed nor exciting any pain Others Malignant and Pestilential and these are broad Hollow growing Nasty and filthy by reason of some congealed Humor that is either white or black or Livid black and blew but now if these aforesaid congealed impurities descend deeper then there is bred that which we term an Eschar or Crustiness V. That those of them that Creep about the Jaws with much trouble and annoyance Cause a difficulty of breathing but that if by the Trachaea Artery they Penetrate into the Brest they then strangle the Party the very self same day In the Cure we are to understand that al the Ulcers of the Mouth as wel lest that they Creep and proceed further as also because that they evermore become the moyster by Reason of the Spittle do need and require the stronger sort of Astringent Medicaments And thus much touching the Diseases of the Head THE NINTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Of the Diseases of the middle Venter or Region Title I. Of the Diseases of the Jaws or Angina that is Squinancy ANd thus much shal suffice to have been spoken touching the Diseases and Affects of the Brain There follow now the Diseases of the Middle Region which Contain and Comprehend under them the Affects of the Jaws the Throat the Aspera Arteria or â—ough Artery the Lungs the Chest the Teats and the Heart The Disease of the Jaws is that we cal Angina or the Squinancy but more vulgarly the Quinsey or the shutting up as it were of the Jaws that is of the Supream parts of the Gullet and the throat through which is an entrance and Passage not only for the meat and drink but likewise for the Breath Producing and Bringing along with it a Difficulty both of breathing and Swallowing The Common signs are Difficulty of breathing in regard that the Throat is in a manner stopt and shut up the Impediment or hinderance of the Swallowing as wel in regard that the Gullet is obstructed as that likewise the two Muscles deriving their Original from the Larinx called Oesophagici and Circulatores because they embrace and encompass about the Oesophagus with their transverse Fibres resembling a Semicircle are busied in helping forward the thrusting down of the Meat and Drink unto the inserior parts whilest that they draw up the Larynx in the time of swallowing that so it may give way unto the food whether Meat or Drink as also in regard that the Muscles of the Jaws thrusting down the food unto the Oesophagus while they are Contracted and drawn together unto the place where they begin do here suffer A pain about the Jaws which is either augmented or diminished according to the quality and condition of the Causes and the subjects The Causes are al things whatsoever that are apt to stop the breath as we shal further shew you in the differences So for Cure in the differences In regard of its causes it is divided into three sorts or kinds the first whereof hath comprehended under it four species I. One is from an Inflamation which is knowen by the continual fever accompanying if withal there be together present such other things as usually concur It hath its original from that blood that floweth into those parts from out of the branches of the Jugular veins there going before for the most part a difficult moveing of the neck without any apparant causes and withal a certain pain as likewise an unusual heat about the Jaws It is very hardly cured if there be present a great and Intence feaver the spittle somwhat dry Clammy and thick The Event of the Cure is somewhat doubtful if the matter being transmitted into the Lunges there arise an Empema or impostamation of the Lungs to the Head if it exciteth and causeth a doting or delire if to the Pleara Membrane it causeth a pain of the whol Breast with a cough and difficulty of breathing if unto the heart it then introduceth and brings along with it a kind of trembling and almost undiscernable beating of the pulses There is no hopes at al if the fever prevail the greatest heighth and intensenes if the face of the sick person become greenish if the angles or corners of
the Eyes somewhat black and thick and lastly if there appear froth about the Mouth in regard that it signifieth an exteam streightning of the heart The Cure is to be ordered according to the rule and method in other inflamations which are notwithstanding there come these few peculiar things to be observed Touching Venesection is to be noted 1. If it be doubtful whether side thereof be the more afflicted since that the Liver is the part transmitting the blood ought then to be drawn forth of the right arm 2. Where there is not so great a difficulty of brathing the blood may be drawn forth the more freely and plentifully but when the difficulty of breathing is great there ought to be the less blood taken away and that at several times and the intervall of four or five hours betwixt 3. That if Cuppinglasses be forthwith applyed unto that part that is nighest unto the place affected then there wil be excited in that sayd part the Greater Conflux and therefore they ought to be put upon the Reines and not upon either the Arm or Neck Purgation is forthwith in the very beginning to be ordayned Repellers ought inwardly to be administred unto the Jaws and this especially indeed in the form of Gargarismes Mouth-washings termed Collusions and Luctures And here there is commended Lapis prunella The Composition of Mulberries Must or new Wine and Nutshels in regard that it hath in it an extraordinary astringent quality and power those Medicaments that are formed of Sengreen Plantane and Purslane c. On the third or fourth day Digestives are to be mingled together with Repellers In the Declination of the Disease the Ashes of burnt Crevises or Crabs is to be wel mingled with Honey or the White Excrements of a Dog or that of a Hen or that that is taken out of the Swallows Nest poudered and siersed Among the Maturatives or Ripeners there is the pith or pulp of Cassia kept a while in the Mouth Gargarisms of blood warm milk with Sugar The Emplaster that is formed of Marsh-mallows and the Common Mallows of each one handful Camomile Flowers Melilote Flowers Linseed Fenugreek Seed of each half a dram ful and fat figs in Number ten wheaten meal two Pugils or little handfuls For the breaking thereof excellent good is the Cataplasm of the Cream of the new and fresh roots of the flower-de-luce with butter and the Oyl of Violets Among the Specifical remedies are the Mushrom or the Elder Tree boyled and drunk the Pouder of Swallows if after they have had Salt cast upon them they together with their feathers be burnt in an Earthen Vessel and the Ashes mixed with Honey spread and anoynted upon the place affected one scruple of the Shavings of the Bores tooth if it be mingled with half an ounce of the Oyl of sweet Almonds and sweetned with white Sugar Candy and lastly the secret of Guntzmannus mentioned by Hartman In the Patients diet we are to come at length unto Nutritive Clysters It is divided in a twofold manner 1. Into four species or kinds Cynanche c. Of which more below Number 4. 2. Into that that is from Pure blood in which there is a greater distension of the Neck and the color of the Face is somwhat Red and into that which proceedeth from a Flegmatick blood in the which al the Symptoms are more mild and Gentle II. One is from the Relaxation of the Vertebrae of the Neck and then either a fal or a blow went before it as its efficient Cause or else some Humor or other hath preternaturally loosened the Joynts and Ligaments of the Vertebra or otherwise hath dislodged them from their proper seat there appeareth here none of those signs that in the others are manifestly discovered The Neck is hollowed behind and is not to be turned about the Oesophagus without much ado and pain withal The pain is felt if the part affected be but externally touched the Tongue falleth forth from its proper place The Cure is to be sought for in its own due place that is to say from its sourses spring and Fountain III. One is from a Pituitous or Phlegmatick defluxion residing upon the Joynts and the Muscles of the Neck and then the pain is not great and violent but dul and heavy the swelling is somewhat broader but then it hath in it very little or no redness there is present no fever or if any it is but moderate The voice waxeth hoarse there is great store of spittle the sick Persons alwaies gape with open mouth and drawing Air there is likewise some difficulty in swallowing but yet without any great hazard of suffocation The Cure is to be ordered according to that of a Catarrh IV. That which ariseth from an inflamation one is called Cynauche which lyeth hid in the internal Muscles of the Larynx or the Throat and then whether inwardly in the Jaws or outwardly in the Neck appeareth there any redness or swelling at al but the Jaws are so vehemently pained together with great danger and peril of suffocation that the diseased persons are enforced to take in the Air and to breath with their neck erected strait and upright and with open mouth The fever that accompanyeth it is most acute and the disease strangleth the party within four days at the utmost but very usually within eighteen hours time That which in this case much profiteth is Cupping glasses applyed unto the veins under the tongue touching which see further in Zacutus Lufitanus in his eigth book Chap. 2. Another is that we cal Paracynauche which sticketh and hath its residence in the external Muscles and then there is to be found within a certain swelâ—â—ng and redness the mouth being drawn aside and writhed after a strange manner and the tongue depressed and kept down if it vanish away at any time when there is no crisis to be expected and a little swelling or rising appear but yet such as is altogether void of pain which cannot be suppurated either by the Vigor of Nature or the help and benefit of Art it then threateneth Death and a return of its red color the former in regard that the thick matter being left al without the more thin and hotter part thereof is converted unto the throat the latter by Reason that there is likewise by some accident a hotter kind of matter driven inwardly Another Synanche which is conteined in the interior space or Cavity of the Jaws and then it likewise extendeth it self unto the Root of the Tongue and comprehendeth the Neck it self there is then also apparently to be discerned a swelling and a redness in the outward parts together with pain and heat the which said swelling if it have recourse unto the more internal parts without any manifest cause it then suddenly vanisheth away upon thi translation of the matter the Symptomes ares here never a whit more milde and gentle than in the other sorts but yet notwithstanding there is here
patient in his fever is even scorched with a more ehement and intence burning heat Chap. 3. Of the streightness or narrowness of the Lungs The streightness of the Lunges is the interception of the vessels thereof by reason of obstruction Compression or exsiccation producing a Cough oppression and a difficulty of breathing As for the Signs Causes and Cure thereof let them be al sought our from the differences The differences are taken from the Causes and the parts affected I. One is of the rough Arteries touching which let the Reader advise himself further and satisfy himself fully from the following differences the which proceedeth from an obstruction c. Another is of the smooth Arteries which is known from the breathing which is with much difficulty yet not only in the beginning but likewise in the increase thereof from the pulse being altogether various unequal intermitting great swift slow rare frequent vehement by reason of the Combare betwixt nature and the Morbifique cause she being not able to expell the fuliginous or sooty fumes by reason of the streightness and narrowness of the Arteries from the palpitation or beathing of the heart it being now very much oppressed and from fainting and swooning It aâ—iseth either from thick Visced or clammy and flegmatick humors and then the pulse is by the extension it differeth much from it self but yet it is for the greatest part more equal in it self and this is not very hard to be cured especially if it newly begun the cure remameth to be spoken of below Or else it ariseth from a little riseing or swelling and then the pulse is hard by extension and dryness its inequality is uniform by reason that the Cause is more fixed Touching the Cure we shal speak more anon II. One is understand this of the Rough Arteries from an obstruction by blood a humor c. Touching which more below Another from Compression and almost from the very same causes as in the dropsy Another from Exsiccation very frequent and incident unto such as work in Metalls and this for its cure requireth almond milk III. One is from blood obstructing or compressing the rough Arteries expelled and driven forth thither either from the Lungs or from else where which is to be driven back and evacuated And lastly if it become Clotted by Oximel scillitick and a posset that is a mixture of water and vinegar six ounces thereof in weight so that it be pleasant to drink and likewise so that by reason of the vinegar it provoke not to Cough and this to be administred blood warm three or four times in a day it is to be dissolved Another from a Humor and especially that that is Phlegmatick which is plentifull and abounding and then if by distilling it flow forth only into the Membrane that surroundeth and grindeth in the throat it obscureth the voice and causeth a hoarsness if this humor fal into the hollow the channel of the throat it produceth a little sheeps cough as we cal it with a certain sence and feeling of an acrimony that continually provoketh to Coughing or else the sayd humor is thick and viscid or clamy but this is very rarely generated in the Lungs in regard that they are nourished by a thin and pure blood it almost alwaies ariseth from Catarrhs falling down from the head the which in tract of time by the force of the heat is changed into a Glassy or Plasterlike Phlegm which being by the many distillations returning in a round as it were and circuit stored up in great abundance causeth the Asthma The same likewise exceedingly afflicteth the Patient with a kind of dry Cough by the which there is hardly any thing expelled and brought away it rendereth the breathing difficult and causeth in the taking in and puting forth of the breath a snorting or wheezing as we term it in regard that it is impacted and pertinaciously stuffed into the Lappets of the Lungs it hath signs and tokens foregoing of a distillation either from the head brain or from the neighboring parts In the Cure whilest the matter is in preparing with Colts foot Horehound and other attenuateing and cutting Medicaments let Borrage Liquorish and Raysons be mingled together The purgation is wel performed with Agrick Another is from the Pus or purulent Matter that is powred forth out of some Apostume and then expectorating Remedies have their place IV. One is from Causes that in their whol kind are preternatural amongst which are I. Little Substance some of them very hard and solid others of the consistence of old Cheese all of them included in their own proper Cisterns and Bladders and producing the Asthma II. Little Risings or Swellings which have their Original from a matter collected in one part and thence strutting and standing forth without any token or sign at al of any distillation preceding and these said swellings adhere and stick close unto the Aspera Arteria or great rough Artery They are divided into those that are Crude or raw which are very hardly known and they are never suppurated neither have they any Feaver joyned with them and such as are Suppurated in the which the Pus or filthy corrupt matter is so strictly and closely shut up in its little Membrane and proper bladder that hardly can there any noysom and stinking smell expire and breath forth of it into the Body Then the sick persons are of a black blew or leaden color their Tongue is replenished with a certain kind of Clamminess especially when they have abstained long from Food the Urine is dyed and hath a tincture either from the vehement motion and stirring of the Body or else from meat and drink that is hotter than ordinary after an extream and violent motion there are little pils and smal round bals or pellets like unto a smal Pease included and wrapped up in a little Membrane ejected and cast forth of the Lungs There is then likewise a troublesom Cough and a difficulty of breathing excited A pain there is that continually affecteth sick persons but then chiefly when they are moved with a more vehement and violent morion The Patient recovereth not to be well of these unless 1. The Suppuration be speedily wrought 2. Unless the Suppuration when it is made suddenly break forth 3. Unless it tend upwards and be cast forth by Coughing 4. Unless al the Pus and the whol filth be evacuated and emptied forth 5. Unless the belly that is that Cavity in which the Pus or purulent matter was contained be perfectly agglutinated and united as formerly Chap. 4. Of the Wounds of the Lungs THe Wounds of the lungs are wel known by the difficulty of breathing by reason of the hurt the organs have received by the casting out of froath and blood by the mouth with a cough by the spitting up of a red and froathy blood out of the chest without any pain at al by the swelling and strutting of the neck veins and lastly
by the various color of the faceone while red and as soon again pale and wane Now these wounds are Caused in a twofold manner For Somtimes it so chanseth nhat the fleshy substance of tee lungs may be hurt and then in regard that the blood destilled inthe Cavity of the Thorax and that neither a spitting of blood nor any Cough whatsoever urgeth the party the breathing thereupon is not without much difficulty ther appearreth a virlssitude or interchange of heat and cold by reason of the exhalations and fumes from out of the heart Sometimes the veins of the Lungs are affected and then there floweth forth in great abundance a blood somwhat red black and frothy the Cough likewise is perpetual unless perhaps there be present a prostration and decay of the Natural strenghth and vigour or an oppression of the Lungs from the blood They are Cured I. If the profuse flux of blood be stanched and the inflamation unto which the Lungs by this means becometh obnoxious be prevented and hindered by venesetion II. If the blood in him where it was poured forth into the Cavity subsist and abide there III. If when the sayd blood cannot flow forth by reason of the narrowness of the wound the said wound be widened with a penknife Among those Medicaments that stanch and stop the blood there are these viz. The Strawbery bush Betony Scabious the herb Ladies mantle sanicle Comfry c. without these are altogether void of any biting quality viz. Bole armeniack Frankincense c. Read more of this subject in the guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London dispensatory al the last Editions englished by me Chap. 5. Of the Ulcer of the Lungs or Phthisis PHthisis is an Exulceration of the Lungs from a sharp corroding matter with a gentle Fever a Ccough and a spittle that is both bloody and purulent by the which the whol body is sensibly and by little and little consumed and extenuated The Subject of this exulceration is the Lungs together with the parts thereof towit the fleshy substance the lappets the vessells and the Membranes in those especially that have their heads easily and soon filled and where the head sendeth many distillations unto the organs of breathing in those that from their very nativity have their Lungs of a vicious substance that is such as is tender soft and easily wasted as being most subject to corruption And hence it is that such as are descended of a tabid stock that is to say those that issue from parents affected as beforesayd do all of them at the length as it were by a right of inheritance necessarily wast away and consume in the aforesaid manner in those that naturally have a streightness and narrowness of the Chest and likwise a depression of the same a streight neck or narrow throat a lean and spare body and their shoulder blades sticking out behind them like as if they were wings The Signs are a Gentle and moderate Fever proceeding from vapors elevated and arising out of the Lungs and assaulting the heart by their sudeen and violent irruption therunto with which there are also joyned other feavers that are otherwise sometimes Erratick and fleeting and sometimes again invading the patient after the maner of a Tertian whilest that the humors within the veins by that heat as were kindled and set on fire corrupt and putrefy and this the truth is being by its continuance and without any the least intermission turned into the Hectick immediately after meales and in the night time like as do others increaseth and groweth more prevalent 2. A frequent Cough like unto that of foxes without any great pain which cheifly afflicteth and troubleth the party in the night time and it hath its existence from a matter that is sharp by reason of the irritation of the Lungs 3. A bloody and purulent spittle but this is not in al. Some there have been found who after their retching and the spitting up of a liquid and yellow humor being soon after seazed upon by a light and gentle fever have thereupon begun to fal away and wast and after som time have cast forth by retching a certain smal quantity of blood together with a kind of Pus or corrupt matter and many have been by sensible degrees taken away in whom throughout the whol course of their lives there appeared nothing at al of this bloody and purulent spittle But I must tel you that this Phthisis is incident unto those that are young rather than unto aged persons in regard that young persons most commonly abound with blood and consequently are affected with the heat and acrimony thereof with the laxity or loosness of the vessels and likewise the hardness of the same and in regard likewise that these excercise themselves in a more violent manner and have little regard to their diet This hath one thing singular as propperly and peculiarly belonging thereunto towit that it proceed from the very substance of the Lungs it is then frothy and if it be put into the fire it stinketh and is very offensive to the scent 4. The extenuation of the body which is from the aforesaid continual but gentle fever the which by its fiery heat dispersed throughout the whol body dissolving the Arterial blood the mingling whereof together with that of the Veins is altogether necessary unto Nutrition hindereth the Concoction of the Aliment in the whole body and by its preternatural heat wasteth and consumeth that which is Concocted and stored up The CAUSE is a sharp corroding matter fallen down thither of which we shall speak further in the differences The CURE is not to be despaired of no not though it be attended with an Ulcer already appearing For Galen sendeth such to Tabae a City in Cilicia and prescribeth milk for their Diet. Yet notwithstanding it is something Difficult as wel in regard that the filth and purulent matter sticking in that soft and Spungy flesh cannot without a Cough be purged forth by which the Lungs are from day to day more hurt and prejudiced as because that in this dayly motion of respiration or breathing unto which there is moreover added and adjoyned a violent cough there cannot possibly be any Consolidation made and also in the third place because that Medicaments in their ful strength and Virtue cannot penetrate so far and lastly because that Feavers require moistening Remedies which are altogethet hurtful to an Ulcer The Cure hath cheifly respect unto these six things in Particular I. The removal and taking away of the Catarrhe touching which more below in the Difference II. The Cure of the ulcer here there is commended Flores Sulphuris or the flower of Brimstone as we commonly cal it with a soft and rere egg syrup de Erysimo or water Cresses of Lobelius of the Juyce of Ground Ivy with the Flower of Brimstone of Marsh-Mallows of Fernelius of the Juyce of Mouse
blood warm unless it be in the summer time and the Breast therewith anoynted II. The Tumors or swellings of the Diaphragm are of two sorts Some of them are Cold which are known by the difficulty of Breathing the stretching out of the hypochondria yet no swelling appearing in them upon the touch and no deliry or dotage accompanying it They arise from a matter that is crude and thin penetratting into the thickness of the diaphragme either from the compression or wounding thereof They are hardly Cured if they be of long standing in regard they bring the sick person to a consumption but more easily if they be Recent and newly begun but not at al if there follow a deliry or doting First then we are to administer those medicaments that evacuate the prepared matter among which those we term Hydragoga or water purgers are especially commended and afterward with those things that mollify and digest and cheifly Sarsaparilla unless the humor hath begun to be hardened Others are hot which are known in their first rising by a feaver that is both continual and accute a pain the breathing little but often the extension of the Praecordia a palpitation or panting neer unto the diaphragm and somtimes a kind of leaping in that place in the Progress by the doting that attendeth it the unequal respiration or breathing being sometimes smal and sometimes great swift and as soon again altogether as slow and rare They arise from a blood hot and cholerick The Cure is difficult in regard of the extream peril therein It likewise resembleth the inflamation of the Lungs Chap 2. Of the Pluresy THe Pleurifie is an inflamation of the Pleura Membrane and the adjacent muscles arising from the influx or flowing of a hot humor with a pricking pain of the side a Cough difficult breathing a continual acute Feaver a hard pulse unequal and frequent The SIGNS Pathognomick as we cal them are an extream pricking pain because the aforesaid membran which we cal pleura being of a most exquisite sence is extended by a sharp matter A Puls that is hard unequal and bearing a kind of resemblance with a Saw in regard that the part that is inflamed is Nervous A Cough by reason of irritation and transudation to use the terms of practitinors which in the beginning is dry but in the progress adjoined with and attended by a spittle that is bloody and purulent A Breathing frequent and but very weak and smal in regard that the muscles by reason of the extream pricking pain cannot be sufficiently dilated An acut feaver in regard that the inflamation is so neerly neighboring unto the Heart And al these signs ought to conspire and meet al together and not to be present in a scattering manner one after another The CAUSE is an extream hot matter or blood either pure or impure which floweth forth especially out of the vena cava or great hollow vein adjoyning to the heart by the Branch that is termed Azugos into the little thin stems and sprigs thereof which being opened broken or the pors therof dilated it â—unneth violently into the plura membran and somtimes it likewise rusheth thereunto through the upper intercostal membran but more rarely through the thoracical and that we term mamaria The Supply of the aforesaid blood is from a Plethory Cacochymy and the overgreat heat of the Sanguifying bowels It is promoted and furthered by various external Causes and cheifly a sudden chilling and cooling cold northern blast after the great and warm south wind over much and violent exercise c. There is good hope of a CURE if the spittle receive a mature and speedy concoction and be easily and fitly cast forth and if on the foruth day the sick person spit forth that that is white light equal and this by coughing three or four times be terminated on the seventh day and if on the seventh that then it be not extended beyond the leventh or foreteenth day at the furthest if on the crittical day there happen a flux of blood out of the nostrils the Hemorrhoids or the womb with signs of Concoction if which is indeed very rare there chance a Metastasis or translation of the matter unto the joynts and the members of less account It is doubtful if there be spit forth only thin Ichores which are a sort of little ulcers if yellow choller very much mingled with spittle appear long after the beginning in regard that hereby is signified that nature attempteth nothing against the disease If the Spittle be yellow sincere and mingled with much watterishness if the said spittle be Glutinous and Clammy because this clammy quality is contracted from a burning and scorching heat if it be ful of a green â—ustiness and very frothy if it be black because hereby is signified the pravity of the humor and the extinction of the native heat if striving much by reaching doth not stay the Cough and facilitate the Breathing because hereby is manifested either the Malignity of the matter or the weakness of the expulsive faculty if after fourteen dayes it turne into the Empyema if it degenerate into the Peripneumonia or inflamation of the Lungs if it befal aged persons because that through the want of heat the matter is not concocted if it happen to those that have thick bodies and that are accustomed to excercise al things else being thereunto answerable No hopes at al if in it there be nothing spit forth if the pulse be hard little and by reason of heat very thick and most frequent if there happen in the begining thereof a flux of blood without any alleviation or ease in regard that in this case the patient most usually dyeth on the fourth day if the pleuresy be so great that the liver and the stomach be likewise drawn into a consent and fellow suffering and that also the flux diarhoea follow upon it if the pleuresie invade a Cachectical Body after some other long continued disease if from the spittle there arise a noise and much ratteling in the breast and that the continuance be dejected and the eyes veyled and blind with mists and darkness or as many times it is with the yellow Jaundis The Cure when we set upon it hath respect I. Unto the humors already flown in and likwise to those that are like to succeed and follow which are to be drawn back II. Those that are at present flowing which are not to be intercepted neither driven back but derived III. Those that are impacted and stuffed up in the part affected which are to be dispersed and scattered or removed by any manner of means IV. The Pain which is to be mitigated V. The Feaver which is to be kept under and moderated VI. And lastly the natural vigour and powers of the Body which are to be Corroborated Touching al these let what followeth be wel observed 1. That Venesection is with al speed to be administred on the opposite side for repulsion if
the body be Plethorical if it be not directly on the side affected 2. That if the courses or the Hemorrhoids be suddenly suppressed then the evacuation is in the first place to be out of the ancle vein or that of the Ham but if the suppression hath been of long continuance out of the arm vein 3. That in derivation the blood is to be drawn forth so long as until the color of it be changed 4. That fomentations may be administred to moderate the pain in a body that is not Plethorical yea even before Phlebotomy but not so when the Body of the patient is Plethorical And for this end and purpose excellent good is the Unguent made of dialthea or of Marshmallows one ounce thereof and half an ounce of the oyl of sweet Almonds with the pained parts ought to be al over anointed and upon it the fine small pouder of Camomile flowers is to be lightly strewed and then the leaf of a Colwort or Cabbage anoynted with Butter or hogs fat is to be laid upon it very hot and this is to be continually done dureing the whol time of the cure adding likewise a little of the distilled oyl of dil Champhyre 5. That forthwith in the very first beginning a sweat may very fitly and properly be raysed and excited by exhibiting either of the water of the Poppy Roses three ounces there of with one dram of the pouder of Corral red Filberds the Jaws of the Luce-fish or Pike or else of the simple Mixture one dram with the water of Carduus Mariae or of the Spirit of Nitre with the spirit of Wine of each one scruple the spirit of Tarttar half a scruple in the water of Poppy Roses or else the simple water thereof c. 6. That pectoral decoctions together with their appropriates are continually to be administred after the premizing of universals that so the spitting may be facillitated 7. That these following have in them a Specifical propriety of operation to wit the flower of the wild poppy of the dry dock and of the white Eglentine or sweet Brier the seed of Carduus Muriae the Bulls pizzle or the pizzle of the Hart or Stagg the shavings of the Boars tooth c. see Petraeus Al which are to be made into a very fine pouder and then to be put upon bread that hath been wel dipt in Scabious water 8. That the impostume may best be broken with a Cataplasm of the herb kaly the roots of the White lily while they are new and fresh c. applied unto the side that is payned 9. That after al those aforesaid Chalybeated milk unless a Feaver hinder it is the best I. One is as we may term it Legitimate and exquisite unto the which only whatever was sayd before as to this poynt is to be referred and understood thereof which I. ariseth either from blood that is pure in which there is a bloody spittle an extension of the veins about the Temples and the forehead with a sence of heaviness neer about the hollow of the Eyes the fore parts of the head or else from a blood that is Cholerick in which the spittle is yellow and which if it suddenly vanish without any apparent cause the sick person is immediately surprised with dotage It is best and soonest of al cured by opening the salvatella vein or thirdly from a Phlegmatick blood in which the spittle is frothy more slow and as it were sweet the syrup of Zacutus in the Eight Book Chap. 3. of his History is very efficacious in this kind or else lastly from a Melancholy blood which very rarely happeneth by way of afflux II. It affecteth either the interior tunicle and then the sick person doth with the more ease lie and rest upon the grieved side in regard that now the tumor is not immediately under it neither doth it in this case distend the grieved part or else the Exterior about the bones and then the case is quite contrary unto the former or otherwise both of them and then the patient lying upon the back is the freer from pain III. It affecteth either the right or the left side or the superior part extending it self to the throat or else the inferior reaching even unto the Hypochondria II. Another is bastard and spurious which is distinguished according to the quality of the matter and the manner of its situation One is from Windiness in which the pain is not fixed but runneth from place to place it is mitigated and oftentimes wholly dispelled by fomentations there went before causes generating windiness the pouder of Cummin sprinkled and strewed upon a Cabbage leafe anointed or spread over with butter and outwardly applied unto the pained part is very successful in giving ease Another from a distilation which hath with it a sence and feeling of a defluxion or something at certain times falling down it is exasperated by being touched neither doth it any whit yield unto fomentations the cure is to proceed according to that of a thin catarth Another is externally when the blood thorow the branches from the Axillar is ramus is emptied forth into the External Muscles of the Thorax and then the pain waxeth very intolerable upon the pressure thereof lying down upon the grieved side is extreamly troublesome there is in this case nothing cast forth by spitting and the transition or passing over of it into that which above we termed Vera or the true and exquisite Pluresy is very facile and easy Chap. 3. Of Empyema EMpyema is the Constipation of the Cavity of the Thorax or Breast from an abundant purulent matter causing and producing a difficulty of breathing with a Cough and a purulent or rotten spitting The Subject is the Cavity and capacity of the Thorax being that void space betwixt the Thorax and the Lungs albeit the Lungs themselves and the vessells thereof may not here be altogether excluded But now indeed because that the Lungs by the Mediastine is divided into two parts the Pus is collected either in the one or the other part or else in both of them together The Signs are a difficulty of breathing with a spitting and a perpetual purulent Coughing a sense and feeling of a heavy and dul pain in the bottom of the Thorax and especially neer about the diaphragm a redness of the Cheeks and that chiefly about three or four hours after meals c. The Cause is that very purulent filth it self filling up the Thorax the abundance whereof together with its stinking smell and acrimony inflicteth very sad and grievous pain and mischief There is some hope of a cure if upon the opening or burning there flow forth a white Pus or corruption if it be rather on the right side than the left and that the Patient be strong and able No hopes if the whole Thorax be lifted up in the breathing if the whol cavity be possessed if the left side if upon the lancing or burning of it that
Breath proceeding from the pertinacious either obstruction or Compression of the Lappets of the Lungs The SIGNS of the beginning hereof are the heaviness of the Breast difficult breathing in running or going up a steep place hoarsness a Cough and a windiness in the Praecordia c. The Signs of one present are already expressed in the Definition There is present now and then a Feaver as also a certain ratling noise or Wheezing in regard that somtimes the matter sticketh fast in the foldings of the Rough Artery which when it is expelled by the breath there is the aforesaid sound and noyse excited and somtimes without them in the smooth Arteries The drawing in of the Breath is here more difficult than the exspiration or Putting it forth For whenas in taking in the breath neither the Lungs by Reason of the store of matter nor the Thorax by Reason of the imbecillity of its motion can easily be moved Nature interposing endeavoreth as it were by rest and quietness to cherish and repair the weakned and dejected powers but in Exspiration or breathing forth the Organs and instruments of that work fal down and so give way of their own accord The CAUSE is the Obstruction and compression as wel of the Rough Arteries as of the Smooth of which we have spoken above and from what causes it proceedeth we shal declare in that which followeth The CURE hath respect unto the Causes and it is somthing Difficult if the sick persons be aged There is but smal Hopes if the sick person be thereby rendered Gibbous and caused to go stooping with the back bunching out because that in these the Lungs growing and the Spina not growing nor increasing in the streightness of the Breast the heat is stifled and smothered if it be with an acute Feaver in regard that the Cause of the Asthma being dryed up by the Feaverish heat is thereby rendered and made the more unfit and unable to eject and cast forth that which offendeth upon the ceasing of the Cough the difficulty of breathing stil remaineth if the strength be much weakened because then they soon fal into the Syncope or swooning fits The Diffecences are taken partly from Causes obstructing and compressing and partly from the accessions and other the like Causes I. One is from a Viscid or Clammy Humor stuffing up the Lappets which may be known by this that the breathing forth is Difficult and with a sound as it were and a noise together with a Wheezing Cough It is Cured 1. By opening the Basilick Vein if nothing hinder 2. By cutting and dividing the matter by those Medicaments that moderately cut and divide and that have in them humidity to moysten but these ought to be often changed lest that other wise Nature should be too much accustomed thereunto For the purpose aforesaid there is commended the Oyl of Angelica the Syrup of Nicotiana or Tobacco and that Syrup of Theodatus in his Pantheon Hygiasticon the Decoction of Joel of Zedoary Gum Ammoniack the Flower of Brimstone and Saffron the Oyl of Sugar of Grulinguis and Petraeus in his Nosology the Secret of Frytagius in his Aurora Medicorum Oxymel Scillitick with the Syrup of Violets c. 3. By Evacuation with the Asthmatick powder of Rulandus 4. By Exsiccation with Guajacum Sassafras c. The Humor is divided into that that is Collected in the Lungs and the sick person by degrees beginneth to breath with difficulty and much ado and this difficulty is continual and into that which floweth unto it from elsewhere and then it is not wholly continual the Exacerbations thereof are manifest And here all those things that have in them a purging quality are to be shunned and avoided because they are not without danger II. One is from a serous and Wheyish Humor waxing hot in the greater branches of the Vena Cava and rushing altogether and violently through the right ventricle of the Heart into the Lungs and pressing down the Arterie and this is most frequent It proceedeth cheifly from the Liver and hence it is that the Feet of the Asthmatical person do swel by reason of the weakness of the said Liver the humors in the first place rushing unto the Lungs by their falling to the Kidneys excite and Cause a difficulty stoppage of the Urine Ructures or sour belchings and windiness in the Praecordia are accounted to be in the number and among the signs thereof III. Another is from a little Crude or raw Swelling that we term Grando and smal stones and Gravel touching which we have treated above in the streightness of the Lungs IV. One is more light gentle and moderate with a snorting Noise and a violent Cough the Diaphragm and the Intercostal Muscles yea likewise the Muscles of the Abdomen affording the assistance herein Another there is more grievous we cal it Orthopnaea in the which the breathing is very little thick and exceeding swift which is not performed but with the breast and Neck straitly erected the Superior Muscles of the Breast and the shoulders likewise contributing their help and assistance V. One is Not Periodical and that observeth not its Paroxysms Another is Periodical when the Humor either of its own proper Nature extendeth it self and seeketh for more space and room or otherwise is driven and chased up and down by External Causes if it be there collected or else at the certain and wonted time it floweth hither from some other place Those excerbations are wont to be cheifly in the Winter or in Autumn because the matter is Flegmatick and in the Night-time because it is then moved according to the Motion of the Moon and this usually every fourth day This may be greatly Remedied other things not omitted or neglected either with a Scruple of Saffron in Malmsie and given hot or with Brumerus his smal Potion made of a dram of Ammoniacum Hyssop water four ounces and two ounces of Rhenish Wine Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Chap. 3. Of the Cough THe Cough is a vehement thick and loud Efflation or Blowing forth of great store of breath together and at once that was first attracted and drawn in by the Lungs Caused by the swift Contraction of the Lungs and the Thorax that so what ever is burthensom and Grievous unto the Organs of breathing may be expelled and shaken forth In a Symptom so evident there need no SIGNS at al. The CAUSE is whatever may affect the Lungs the Rough Artery and that Membrane wherewith is is encompassed and as it were swathed about within whether this be somthing External or else a Humor or a Vapor c. The CURE either respecteth the Cause from whence it ariseth or the Cough it self if it be vehement which is either mitigated by Lenifiers or Anodynes or else is wholly taken away by those
Medicaments that stupefie and Dul the sense and feeling as for instance the Syrup of Poppy Diacodium Treacle fresh and new c. The Differences of the Cough are Various I. One is from External Causes as a Cold Air the Vapors of Live things Rank and musty as likewise such things as are Oyly and Fat a vehement Scratching of the Ears from whence there ariseth a very painful affect of the Nervous parts which yet is the less violent if it proceed not from somthing fallen into the Trachaea or the great rough Artery and it is then also less dangerous It is Cured if the Cause be taken away if it proceed from Cold then it is Cured by the meer restraying and keeping in of the breath Another is from Causes internal to wit I. a Humor which 1. Either is viscous and clammy and then there is nothing or very little spit forth after Coughing if it hath conjoyned with it a cold temper and constitution it is then the stronger and the more violent It is cured Universals first premized by those Medicaments that cut and expectorate Among purging Remedies dilutum Agarici as Practitioners term it with a little oxymel Scillitick is of singular use and benefit Among those things that cut and expectorate the Bechicall Aquavitae of Joel the Liquor of Sugar of Hartman the Elixir Proprietatis from six drops to twelve 2. Or else such as is thin and then there is nothing spit forth because that in the very spitting of it forth it is so dispersed and divided by the breath that it falleth back upon the Lungs it hath for the most part a hot temperament and constitution and likewise a Catarrh Joyned with it and attending it The Matter putrifying inwardly exciteth either a Putrid fever or an Hectick fever or an Ulcer It is cured after that General and Universal remedies have been first made use of by those things that increassate or thicken and lenify such as are the syrup of Jujubes the syrup of Poppy rhaeas diatragacanth fridgâ—d c. 3. Or else it is contained in the lunges and then a due regard ought to be had unto the distemper or else it floweth thereunto from some other parts as the Brain in a Catarrh and here there wil evermore be present the signs of a Catarrh the Cough in aged persons is more vehement and of longer continuance because that it is not maturated and ripened and therefore the more dangerous if it be frequent and long lasting it bringeth at length to the spitting of blood or else from the inferior parts as in the dropsy the inflamation of the spleen the liver and the stomach c. II. From a Vapor which either obstructeth the Lungs or else hurteth the membrane and then for the most part the vapor is sent thereunto from other parts and diseases the Cough is dry and sometimes a little irritating and it usually happeneth when the patient either speaketh or gapeth much In the cure we are to deal with those things that remove the cause sending the vapors and likewise to endeavor the driving back and the Revulsion of the vapor c. It happneth either in Feavers which shew that the Paroxysm is now nigh at hand and forewarneth that impostumations are like soon to follow and if it remain after the termination and ceasing of the Fever it then threatneth the danger of a Recidivation or Relapse or else in the wringing pain of the Gutts by worms we cal this Affect Bermina which either by impulse of putrid vapors unto the Lungs or else by the twinging and gnawing of the Membrane of the Oesophagus which draweth the Membrane encompassing the rough artery into a consent and agreement with it and it discovereth it self by the signs and tokens of Worms III. From Pus or Corrupt matter which chanceth in the Phthisis Peripneumony Peluresy the wound and inflamation of the diapharagm c. IV. From alitle swelling or as we terme it Tuberculum that is Crude and raw from Grando c. II. One is dry in which there is nothing cast forth by Coughing either by the fault or the faculty or the Matter Another is Humid or Moyst in which something is ejected and cast forth Both these are either Recent and newly begun this properly termed Cerchnos in which there is only a light and gentle propension to Coughing continually afflicting the sick person not much unlike unto the Nauseousness of the stomach that goeth before Vomiting and this is sometime removed and ceased by the-alone holding of in the breath for a while or else it is inveterate and old bringing along with it more grievous symptoms III. One is Periodical which twice or thrice in the year by certain intervals afflicteth the Patient and most usually procedeth from a distillation suddenly and violently rushing in Another which either continually or at least with very little intermission troubleth and even wearyeth the Party which hath for its Cause either a vicious affection of the lungs some old obstruction or in a word some other fixed and rooted internal Cause Chap. IV. Of Haemoptysis or spitting of Blood HAemoptysis is the Rejection and casting forth of blood together with a Cough from out of those parts that are destined and ordained for Respiration and breathing happening unto them without any inflamation of the aforesaid parts There is no need of Signs in regard that the Affect is apparent unto the sight The Cause is whatsoever dissolveth the unity of the veins whether this happen by means of Anastomosis or a Dierisis and a Diapedesis The Cure consisteth in stanching the blood and stopping the bleeding and it especially hath respect unto the Causes Observe in it that there ought to be a revulsion made by opening a Vein in the Arm or otherwise in the Ankle if there be present a suppression of the Monthly Courses and likewise that the ill quality of the blood is to be tempered and qualifyed that the purgers are not to be hot neither strong and forcible that the inflamation in that part from whence the blood issueth forth is to be speedily averted and turned away that the clods of blood are to be dissolved and this to be effected not with vinegar alone that before ever we make use of remedyes that avert and turn aside we ought to forbear Astringents or those things that stay and stop the blood that Cold topicks must be carefully avoyded Among those Remedies that stanch and stop there is especially commended Centinody boyled in broth and applied unto the parts the pouder of Scaliger of which see more in Petreus his Nosology The differences are taken from the Causes and the parts I. One is from the Anastomosis of the veins Another from the Diaeresis and a third from the diapedesis of the veins touching al which see further in the Chapter of the Hemorrhage or bleeding of the Nostrils II. One is from the Brain transmitting and sending it which is known by this that the blood
Juyce the skin is to be condused and made thicker with the oyl of the mirtle tree and with the oyl of Mastick or else it is from the thinness of those things that are to be retained and therefore here those meats that are not over fluid and easily dissipated have their place as being most fit and proper 2. By Evacuations that are sensible as wel of the blood as of other humors where Note that these Evacuations are to be stopped that the body ought not to be besprinkled with those things that are cold that in a large and abundant sweat only such things as close and bind the skin are to have any place or use 3. By diseases as overmuch want of rest and sleep of which enough before a vehement pain the gnawing or pain of the stomach the Colick pain the Nephritick or pain of the stone in the kidneyes or blader the pain of the Teeth c. a sudden breaking of an impostume in which there may a restauration be made by restorative meats sweet smels and rest 4. By such things as are evedent and apparent as namely extream hunger the immoderate use of venus too much and over violent exercise c. III. Another from the alteration and corruption of the spirits which is caused by a malignant matter whether external or internal as for instance the rottenness of humors poyson drunk and taken down the bitting of venemous Creatures and then the Cure is to be sought for in its peculiar and proper place IV. Another from the suffocation of the spirits which is caused 1. By overmuch blood and then there are present and appear signs of a plethory and in this case the opening of the Basilick vein helpeth much 2. A humor that is Crude and thick very much abounding about the heart and the veins and arteries thereof the capsula or purse of the heart and the neer neighboring members and this is either there cellected or else transmitted either from the head and other parts and then the habit of the body is Hydropical neither can the patient undergoe and bear either the opening of a vein or purgation Frictions or rubbings downwards anoyntings with oyls that open and loosen the use of Oximel with the decoction of other things that cut and divide and fasting unless the pulse be suddenly changed and discover an extraordinary weakness al these help and conduce much to a Recovery 3. By fuligenous vapours gathered together in great abundance about the Heart and the Members adjacent by which the respiration or breathing is hurt these are soonest and best taken away by discussives 4. By a Sudden Terror and Fear for which Evacuation is most convenient lest that from the afflux of Blood some obstruction in the Vessels or else an Inflamation should be excited For what remaineth see further to the Treatises of the Practical Physitians Title VIII Of the Affects of the Paps or breasts in Women Chap. 1. Of the Diseases of the Papps Article I. Of the Tumors or Swellings of the Paps THe Affects of the Paps or Dugs are either Diseases or Symptoms unto the former of these there belong Tumors the Cancer and the Magnitude The Tumors of the Paps are four I. An Inflamation which is a hard swelling It is known by the redness the pain the pulse or beating and the heat thereof by which it differeth from that we cal the Clotting or Curdling of the Milk and the overgreat abundance thereof It ariseth from the great store of Blood that is attracted transmitted or suppressed It is Cured 1. By a Diet that is thin and spare cooling and moistening 2. By Diversion which is performed by letting blood in the Ankle if the Causes be suppressed 3. By Evacuation by opening the internal Vein of the same side and so letting out the Blood as also by a gentle Purgation 4. By the Application of Topical Remedys in the Inflamation of such as thereunto accustomed And here we are to take Notice that the Repellers ought to be temperate lest that the Heart be overmuch cooled that in the Augmentation thereof there is commended beer and butter wel warmed and so applied that the extream Hardness may most properly and succesfully be prevented and removed by the Medicament that is formed and made of the Marrow of a Calves Thigh two ounces thereof of Oesipus or the moisture of greasie sheeps Wool one ounce of Saffron four scruples of Cummin wel bruised two scruples that when it is Suppurated in regard that the Breasts or Paps are Spungy and ful of hollow Caveties it is most commonly to be opened in divers places thereof that the Pap affected is very rarely cured and healed unless the Milk of the other that is sound be dryed up in regard that the blood equally floweth unto both and lastly that the Pain is to be moderated and mitigated if it be in Summer most fitly with the Leaves of Henbane if it be in the Winter then with the Roots of the said Henbane roasted under the Embers and then wel beaten together with Hogs Grease II. Oedema which is somtimes diffused and spread abroad throughout the whol Paps or Breasts so that they wholly and equally swel It is known by this that it is soft and that by intervals and at certain times to wit in the time that the Courses flow the swelling and the pain is exasperated but yet notwithstanding that there is evermore some of the swelling remayning The Original and the Cure hereof are to be sought for out of that which is spoken in the general touching these Tumors And here it is only to be Observed 1. That in the retention of the Courses those meats that are Tosted and Roasted are not so fit and convenient 2. That the stronger sort of Maturatives are to be made choice of in regard that here the matter is tenacious and very loth to yield 3. That a due regard is likewise to be had of the Stomach that is the Receptacle of the Flegm III. The Scirrhus of the Paps is either Exquisite or not Exquisite 1. The Exquisite is various I. One is that which is but newly begun or but now beginning which upon the touching thereof is a little painful and in this regard it is distinguished from a Cancer that is likewise but now beginning and it is very hardly Cured Another Old and Inveterate which is hard without pain incurable by Medicaments especially if it resemble the color of Capers or if haires grow therein it is somtimes Cured by Manual operation II. Another is by the Congestion or heaping up of a Humor that is in it self thick in the Curing of which we are not to use Vinegar either in the beginning or long at any time lest that either the residue thereof should be hardened and become like unto a stone or else that the substance of the part being overdryed should wast and consume away neither ought we to attempt any thing by Manual operation if the whol
Breasts or Paps Wax hard and that the swelling so add hereunto the Thorax or Chest that without extream peril it may not be thence removed Another by Resolution in which the thinner part is dryed up by preposterous Medicaments and which Galen Cured by an Evaporation of the sharpest and sourest Vinegar poured forth upon the Pyrites stone we cal it the fire stone Red hot but this was after the use of liquid and moystening Medicaments In the Curing of them al we must be sure that we have a special regard unto the Spleen and the suppressed Courses and that Emollients and Resolvers succeed one the other and be interchangably applied 2. The Scirrhus not Exquisite is known by this that the swelling is bigger than in a Cancer of the color of Ashes with an hardness and the Veins thereof somwhat black and blewish in the outward parts and that it somtimes vexeth the Party especially upon the neer approching of the Menstrua or Courses It ariseth from Black Choler mingled together with Melancholly especially in such as are barren or such which soon ceased their Child-bearing or else lastly those that have altogether a suppression of their Termes or monthly Courses In the Curing hereof among the Repellers without astriction there is commended the Unguent of Frogs of which see further in Castrensis his first Book of the Diseases of Women Chapter 21. See likewise touching the Manual Operation in the Same Author IV. A Windy Tumor which is known by this that the pain is very acute especially in the left breast with an Excruciating and torture of the Arm the whol side the Ribs and the Shoulder blades It ariseth from an Exhalation that is thick and drawn up from the Menstrua or the Seed suppressed or else from some other Excrements and so extending the said Paps In the Cure hereof take notice that a Linnen Cloath soaked in Soapsuds or else wet in Water and then dryed is commended for dissipation and when there is occasion to disperse and Scatter and that the Pain is wel mitigated with bread taken hot out of the Oven and then moystened with the Oyl of Nard the shops cal it Oleum Nardinum and of Rue Article II. Of the Cancer and Greatness of the Paps I. The signs of the Cancer in the Breasts as also the Causes and the Cure may be known and sufficiently understood by what hath been already said in the Second Book touching a Cancer Let it suffice here only to add I. That the Cancer that is not Exulcerated may be rendered and made more milde and gentle if the Courses being recalled return to their pristine state and condition either by the Course and Vigor of Nature or else by the assistance of Art and the help of Medicaments or else if the Body be preserved free from a Cacochymy either by a good order of Diet or else by Medicaments There may likewise be applied unto it that Unguent that it compounded of Lithargyrum two ounces thereof in a Marble Mortar drawn about with a Leaden Pestle and incorporated with Rose-water and the Oyl of Roses of each three ounces II. For the Cure of the Cancer Exulcerated see in Hartman who writeth that the said Cancer may be perfectly Cured with Aqua Fuliginis that hath in it a clensing Faculty and with the Oyl of Arsenick fixed and wel tempered in Plantane Water II. The Magnitude of the Paps unseemly as it is is exposed unto the sight It ariseth from the often handling and stroaking of them and especially from the great abundance of Flatulency and windiness the Retention of the Courses c. The Cure hereof ought therefore to be Endeavored because that by how much the greater and bigger they grow but so much the more easily they may be affected with the Cancer It is performed 1. By Meats that are Astringent but little or not at all flatulent or Windy 2. By Driving back the blood or other the Humors flowing unto them and here the Juyce of Hemlock and the Partridg Eggs anoynted upon the place are much approved of 3. By the Discussion of that that is already gotten unto the part affected for which purpose that Unguent that is compounded of the Dirt or Clay that is to be found in Barbers Mils two ounces thereof the Oyl of Myrtle one ounce and Vinegar half an ounce is much commended 4. By the Compression of them by Artificial ones of Lead anoynted on the inside with the Oyl of the Seed of Henbane c. Chap. 2. Of the Symptomes of the Breasts Article I. Of the want of Milk too great abundance thereof and its Coagulation or Curdling THe Symptomes of the Breasts are the Defect Redundence and Coagulation of the Milk I. The Defect of Milk according to the Nature of the Causes is twofold For one is from a Fauâ—â— in the Blood which faileth by reason of Disâ—â—â— that over dry the body from a distemper in the Liver from much rasting and spareness of Diet and lastly from extraordinary Evacuations of al which there must be care taken in the Cure Now to generate and breed Milk these things following are experimentally found to be good Namely Crystal prepared the leaves Roots and Seed of Fennel while they are fresh and green the ponder of Earth-worms prepared and taken in Wine the Electuary of Zacuthus in the Ninth Book of his Pract. Hist and last Chapter Another is from somthing amiss in the Lactificall or Milk breeding Faculty when it is so weak that it can neither attract the blood nor contract it either by reason of External refrigerating Causes and such as are likewise Astringent or else by reason of other Diseases unto which we ought to have due respect in the Cure II. The Redundance or over great store of Milk proceedeth from the abundance of blood and a strong Lactifical Faculty In the Cure the Luxury and prodigality of Nature in the breeding of Milk is to be restrained and the Milk that exceedeth and is over and above ought to be dissipated and dryed up For this purpose venesection in the first place is approved of and then driving back by Medicaments which ought to be put upon the Paps towards the Arms And also those Medicaments that wast away and lessen the Milk such as that they cal Muria a kind of brinish Liquor or Pickle with the pouder of Cummin and Hemlock Boyled in Chervil Water and Vinegar c. III. The Coagulation or Curdling of the Milk is then Caused when the more thin and subtile parts do by little little exhale the thicker remain behind from whence the Glandules or Kernels wax hard and swellings yea and also impostumes arise In this Case the Infant ought not to be suckled out of the Breasts affected and yet notwithstanding the Milk is to be suckt out lest that which is bred anew should be Curdled by that Milk that is already become as it were Cheese and that part of the Curdled Milk that begins
cerote of one part of pure Ladanum with too parts of wax applied an hour before dinner is good 3. By a contrary diet Article IV. Of the tumors of the stomach A tumor of the stomach is when the same is elevated into a bulke or magnitude greater than is due It contains under it three things I. Inflamation which is known both from the general signs and also from the vehement pain heat thirst a most burning feaver vomiting or often going to stool unless when the orifice or pylorus is possest to these are added the symptoms of the principal faculties if the brain be drawn into consent It ariseth from blood preternaturally poured forth by the veins derived from the porta whether it be pure or mixt whether sent thither or attracted T is cured after the manner of other inflamations where observe 1. that emptying by vomiting or stool is not convenient unless where there is an eruption of matter collected 2. Bleeding is rather to be repeated than to take much blood at once 3. Amongst external repellers sugar of saturne with plantaâ—â— or nightshade water adding a little of wormwood or mint is commended internal things ought to be administred with a moderate actual coldness 4. resolvers which ought to be gentle and Emollient must be corrected with astringents by reason of the excellency of the part 5. If suppuration cannot be prevented the heat must be cherisht with things moderately hot moist and clammy both inwardly and outwardly 6. The imposthumation may excellently wel be broken either with the juice of Scabious alone or mixt with honey 'T is divided according to the parts of the stomach One is of the whol stomach in which what posture soever the sick lyeth down in he is ful of pain Another is of part of the stomach 1. Either external in which the pain after the concoction of the meat is encreased by reason of the intension of the transverse fibres the appetite is not very bad nothing of the impostumation is cast up by vomit Or of the internal part in which al things are contrary but 't is better if the matter pass into this than under the peritoneum because there it may easily be purged forth but here not so 2. Either of the upper part in which because 't is endued with exquisite sence there happen most greivous symptomes and the strictness is most of al perceived towards the latter end of swallowing where the attraction is strongest Or of the lower part in which the pain is encreased more in the disgestion of the meat 3. Or of the former part in which the tumor may be perceived by the touch Or of the hinder part in which if the outside be affected the sick can hardly lie down on his back if the inside not easily on his face II. An Oedema and Schirrus of which we meet with nothing remarkable III. An Inflation when the magnitude of the stomach is increased by wind conteined in its capacity 't is knowen by its distension molesting the region of the stomach above the navel by the tumor and by its resisting the touch by belchings with which the malady is eased It ariseth from matter ministring wind of which in its differences T is hardly cut'd if it befal one recovering because it signifies a relapse if it be in acute Feavers because it shews that the natural heat is wasted by the preternatural if it last long because it endeth in a dry dropsy How it may be be cured see in the differences 'T is divided according to the nature of the causes 1. One is from windy nourishment which is knowen by the patients relation 't is cured with good dyet and discussives to wit with balsome of fenel oyl of carawaies inwardly and outwardly applied by baths of warm water in which are boyled danewort roots by baggs by bread hot out of the oven sprinkled with oyl of Rue 2. Another is from a flegmatick matter which causeth wind and is known from the signs of a flegmatick distemper 't is taken away by emptying the matter prepared and discussing the wind a great cupping glass also doth discuss being applyed with much fire without scarification and often repeated and one dram of sows pasterne bones burnt and prepared with Rue water given in a draft of wine Article 5. Of the wounds and ulcers of the Stomach I. The wounds of the Stomach are known from hence that the belly is loose deeper over against the Stomach hickops and vomiting of choler do ensue sometimes the meat and drink is cast up again They are no waies cured if the whol body of the Stomach be perforated or if its upper part about the orifice be wounded very difficultly if only the outer coat and if the bottome of the Stomach which is fleshy and able to endure medicines The cure is accomplisht as in other wounds mastick any waies taken is good The wound that penetrates and is large ought to be sowed up leaving an orifice in the lower part they must abstaine from al sharp things in their dyet II. An ulcer of the Stomach is knowen by the pricking and ulcerous paine by a heat molesting above the navel caused by the receiving in of hot meat by stinking belchings by causes generating ulcers by a slow feaver c. It arises 1. From external things as sharp medicines and poysons and then the relation of the patient which shew it 2. From sharp humors there derived from some other part or generated there and then we must have recourse to the distemper with matter 3. From an impostumation broke after inflamation and then this was precedent 4. From the rupture of a veine and then vomiting of blood proceeds 'T is hardly cured both because detersives cause paine and because being alwaies moistened by the chyle it cannot be dryed Inveterate ulcers cause a lientery In the cure note 1. The humors if there be any ought to be brought forth only with lenitives 2. Vomits are wholly to be shunned lest that which is ulcerated be delacerated more 3. To internal consolidating medicines somwhat moderately abstersive is alwaies to be mixed Chap 2. Of the Symptomes of the Stomach Article 1. Of the pain and heat of the Stomach THe Symptomes of the Stomach are Paine Heat want of appetite too great appetite a vitious appetite too great thirst hurt of concoction hickops belching rumblings nauseousness Vomiting and the Cholerick passion I. The paine in the stomach is a sad sensation of the same arising either from things that distend it or knaw it and so dissolve its continuity There is no need of Signs in this symptom unless the patient be diseased in mind The Cause is explained in the definition and we shal be more large of it in its differences The Cure hath respect unto 1. The symptome it selfe if it be too urgent in rebating of which a bagg made of the roots of marsh mallows camomel flowers red roses wormwood is good Quercetans anodyne water
in his Pharmacop restitut Oyl of chamomel saphirine a bolus made of three drams and a halfe of electuary diaphenicon and two scruples of philonium romanum is most commended by some Four grains of laudanum opiate with the decoction of chamomel After the use of all which things that strengthen the stomach must be applyed 2. The cause it self of which in the differences The differences are taken from the parts and Causes I. There is one pain of the coats which is simple and to which the former things ought to be applied another of the mouth of the stomach which discovers it self by faintings and swounings somtimes by immoderate sweats and anxiety and then it arises both from an attrition of the Stomach which happens after taking of meat with coldness a stoppage of the pulse and breathing either from the meat boyling in the Stomach before it be sent forth or turned into flegm and t is cured with oyl of spiknard applyed hot to the Stomach and one dram of pepper exhibited And from the astriction of the Stomach which happens by reason of the astriction of both orifices and the meat descending it ceaseth they ought to be distinguisht The cure is past hope if it befal them who have an orifice of exquisite sence if their extreme parts be cold and if it proceed from poysenous things II. Another is from external causes as kernels pins sharp corrupt or much meat and then a vomit does good and if poyson have been taken things alexipharmacal must presently be applied Another is from internal causes 1. From humors viz. Cholerick Flegmatick either falling thither from some other part as is wont to be in feavers or generated there which if by mixing with the meat they become less acrid upon taking of nourishment the paine is asswaged if cleaving to the coates they are stirred by taking of meat or sticking to the bottom they be raised up the paine is increased after meat The cure ought to be sought from the chapters of distempers Observe that hiera in a tough humor ought to be mixt with stronger medicines that it may overcome the matter Zacutus his syrup and pouder Lib. ult c. 2. n. 11. hist is very good 2. From vapors either contained there of which Tit. 2. c. 1. a. 4. Or sent from some other part from the womb worms c. 3. From worms ascending to the orifice of which in its place III. Another is from diseases molesting the Stomach viz. distemper tumors wounds ulcers c. of which we treated before II. The heat of the stomach is an ebullition of humors in the stomach caused by the power of preternatural heat so that the heat is perceived even to the throat There is no need of signs in this symptom The CAUSES are acrid vapors raised either from meat acrid in its own nature in cholerick bodies during the concoction of the meat and the Stomach troubled with strong motion raised up from a cholerick humor which whiles they are compelled to break forth by the gullet sticking there they burn that and the mouth of the Stomach The CURE is more difficult in those whose substance of the stomach is as it were besmeared with choler because the Region of it is dyed by the bladder of gal with a saffron color and the same ftain doth penetrate even to the internal membrane It doth respect 1. The heat it self to allay the which many remedies are given the cheif are these a Bolus compounded of two drams of sugar of Roses two ounces of crabs eyes prepared and bole armenick half an ounce swallowed in parcells A pouder compounded of Christal calcined one dram and an half Pearles prepared one scruple Coral prepared Chalk each one dram Sugar Candy two drams the dose is one dram given in drink Spirit of vitriol coagulated one scruple given in drink which ought to follow a liniment of the best pomado half an ounce Camphire one dram oyl of bricks two drams badgers greaâ—e half an ounce Salt of vitriol one dram 2. The cause of the heat which is to be tempered and emptyed Article 2. Of the want of Appetite An anorexy is the prostration of appetite in relation to al meats arising from the defect of the sence of sucking in the upper orifice of the Stomach This symptom needs no Signs The patient complaineth and 't is observable by the standers by The CAUSE is the defect of the sence of sucking in the lower orifice of the Stomach which from whence it proceeds shal be said in its differences The CURE is doubtful if it happen in the declination of a disease or from the long continuance of it or from weakness or moderate evacuation because it indicates the extinction of natural heat and threatens a relapse If it befal children who are naturally great eaters and want much nourishment because it signifies a great preternatural excess If it afflict in a disease of long continuance with sincere stooles because it shews an extinction of the appetitive faculty in the orifice of the stomach either by reason of extraordinary cold or of some matter extreamly putrefied If it arise from the brain by the hurt of the nerves of the sixth conjugation Of little hope if in some disease there presently follow it a great appetite to meat no crisis preceding nor an abatement of the disease because it signifies a hurt of the brain and an extinction of the sensitive faculty It relates to the causes of which we shal treat in the differences The differences of the prostraction of appetite are various I. One is Greater which is properly called Anorexy in which nothing at al is desired with which agrees the former definition Another is less called a dysorexy in which meat is desired but less or later than nature requires it it and arises from the sence of sucking weakned or overthrown II. There is another without nauseousness and hating of meats which may be called shappetency of the Causes of which shal be treated in the following difference Another with hating and t is called a loathing of meats It ariseth from Cholerick and corrupt Juyces yet void of acidity and saltness which because they are unfit to nourish the body they are not suckt in by the veins yet do possess the Orifice of the Stomach 'T is Cured with those things which do correct a hot distemper and empty the Humor See the Cataplasme in Zacutus l. vlt. c. 1. n. 5. III. There is another from the want of Sucking which is Caused 1. By the abundance of nourishment in the whol body in which the strength is not cast down the which is taken away by fasting exercise frictions c. 2. By an impotency in the Stomach to corrugate or wrinkle iâ— self up either by reason of a distemper either hot relaxing the stomach and diffusing the matter or cold destroying the Native heat the first Cause of appetite or by reason of a redundancy of vitious humors especially crude Excrement insipid
extinction of the native heat If with it there be other matter which from the corruption in the body hath contracted blackness it being by nature not black it relates to I. The urgent symptome it self which is to be stopped 1. By revellers whether they be strong and sharp Clysters or hot things applyed to the extream parts 2. By things that compress the motion of the expulsive faculty and strengthen the Stomach Inwardly are commended Zacutus his Pills lib. 9. hist prax cap. 1. num 4. Lignum aloes poudered and given with the syrup of the sharp juice of Citrons The crude juice of quinces taken a spooneful laudanum opiate a vomit Outwardly a plaister of treacle Zacutus his cataplasme an epithem of the decoction of wormwood mint made in smiths water The differences are taken chiefly from the causes I. One is from external causes as are meats either taken into great quantity or offensive by their hurtful qualities vomiting medicines then are comended new treacle spirits of wine imoderate drinking and drunkenness vehement motions after meat unaccustomed going to Sea violent coughing the phansie and beholding of things loathsom blows on the body a wound of the skul poyson taken c. Another is from internal causes either diseases or humors of which shal be treated in the following difference II. Another is from diseases infesting the stomach as are Vlcers tumors straitness and smallness the stoppage of the lower orifice which must be considerd in the cure Another is from humors which are either bred there and then there was some fault in the dyet with a continual nauseousness or flow from some other part and then there must be respect had to those parts or they lie in the cavity of the stomach and then they are cast up with a little straining there is a distension and anxiety after meat and vomitings when they have taken no meat or they adhere to the coats and then they vomit not unless upon taking of meat nauseousness is very troublesome These humors are 1. The Chyle which must be suddenly remedied lest an atrophy steale upon us this happens in an ulcer of the Stomach 2. Excrements which are cast upwards in the Iliaca passio as also Glysters 3. Blood which is cast up either by reason of the cutting of some member or after the suppression of some evacuation of blood where it must be dissolved lest it putrefy with oxymel in which a dane-wort root hath been boyled afterwards it must be emptied at last it must be stopped with two ounces of the water of the greater nettle spirit of vitriol as much as is sufficient for a gratful sharpness w th the essence of crocus Martis gelly of Quinces with the old conserve of roses given with gum tragacanth Or by reason of the opening of the vessels where the same means must be used Syrup of purslane with terra sigillata is powerful in astriction 4. Cholor sometimes comes theither if the channel of choler be inserted into the Stomach and then the nature of the humor cast up must be considered vomiting troubles them most when they are fasting 't is somtimes happily stayed by opening the Salvatella if we may credit Zacutus 5. Flegm melancholly matter worms stones c. which are best of all discovered by their proper signs Article X. Of Choler Choler whether it come apotes choles that is from yellow choler from which it most frequently ariseth or apo ton cholodon that is from the gutts is twofold moist and dry I. Moist choler which also is the true is a continuall and imoderate casting off of an evil humor with great perturbation and violence both through the upper and lower parts arising from the violent irritation of the expulsive faculty The signs are often voiding of cholerick humors a great paine in the belly and bowels paine at the heart thirst a pulse smal and frequent to which do oftentimes succeed faintings and coldness in the extreame parts The Cause is a sharp and corrupt matter whether arising from meats bad in themselves as the eggs of the barbel fish mushrums melons cowcumbers plums fat things herbs leeks onions c. or bred elsewhere and sent to the stomach as shal be said in the differences The cure must be bastend by reason of the acuteness of the disease yet there are some in whom this cholerick passion a lask at certain periods doth empty al the superfluities of their bodies It respects 1. The furthering of either of the evacuations if one be too much the other to little 2. Atempring of the humors 3. Astrengthning of the part 4. A restoring of the strength and spirits too which end wine is good if there be no feaver 5. A mitigation of the Symptomes of which in the differences As for the differences There is one when the matter that irritates is conteined in the Stomach which is known by this that there is present nauseousness a straitness knawing and pain of the stomach It ariseth from strong purging medicines Concerning the Cure observe 1. That the flux must not be stopped if the evacuation be plentiful and the strength be not impaired 2. Where the irritation is great and the evacuation smal vomiting must be furthered by gentle vomiters and purging by benigne purgers and laxatives 3. Where the evacuation is great and irritation smal we must use astringents and strengtheners together 4. If vomiting be excessive we must move by stoole if a loosness be too much we must act with vomits composed of whey with syrup of roses 5. Inwardly crocus martis rightly prepared doth stop it best of al. The decoction of Cloves Mastich and Red Roses made in red wine Laudanum opiate the spunge that is wont to grow on sawallows given four grains weight in red wine Outwardly a Sea spunge boy led strongly in vinegar and laid upon the stomach Another is when the matter flows from elsewhere as from the liver pancreas gutts mesentery into the stomach 'T is known by this that for the most part there is present a malignant feaver and convulsins trouble them the matter offending then is Choler like yolks of eggs yellow adust or salt nitrous and corrupt In the Cure 1. The course of the matter flowing thither is not presently to be stopped 2. If it flow too much it must be diverted by medicines either to the skin or to the passages of urine or it must be called to the outward parts by frictions ligatures and the like 3. It must be qualified and the parts strengthened Inwardly Christal is good given half a dram weight Outwardly epithems made of the juice of Endive Purslane with barly flower In course of diet bread dipt in the juice pomegranates is good c. II. Dry choler which also is the bastard is a voiding of a flatulent spirit through the upper and lower parts with a puffing up of the belly with noise and a pain of the loynes sides The SIGNS and immediate cause
are exprest in the definition The CURE which also must be hastened doth respect 1. The bringing forth and discussing that flatulent spirit where Clysters and carminative decoctions take place 2. A Removal of the Cause from which it ariseth of which in the differences As concerning the Differences One is From the fiery heat of the stomach corrupting the meats and converting them into a nidorous matter and sharp vapors in which the cure must be turned against a hot distemper and outwardly the boyling hot hypochondries must be cooled Another is from sharp and windy nourishments as Raddish Rocket Seed fryed Egs and the like and then the matter must be emptyed and give diartion Piperion Another is from Black-choler and other adust and Salt Humors lurking about the Hypochondries and growing hot by the mixture of another Humor as we see Salts and saline spirits being mixt with acrid spirits do yeild a great quantity of spirits Title III. Of the Affects of the Guts Chap. 1. Of the Diseases of the Guts THe Diseases of the Guts are Cheifly Inflamation Straitness Wormes Rupture Wounds Vlcers and the affects of the right Gut Article I. Of the Inflamation of the Guts An inflamation of the Guts is a swelling of them arising from blood out of its vessels falling into them and putrefying The SIGNS are a fixt and distending pain the perceiving of a Tumor that the Guts may be perceived to be rowled up like the strings of an instrument costiveness of body a stoppage of the Urin a Feaver present The CAUSE is explained in the definition In the Autum the blood chiefly flows thither by reason of its thinness because the thin and moveable Humors generated in the Summer by the inequal cold of the Autum are driven to the center of the body The CURE must be ordered according to the rule of other inflamations and that quickly because the evil is acute and oftentimes turnes to a gangrene and mortification The cooling Medicines which are administred for it ought to be without astriction we must wholy abstain from Purgers lest the place affected be exasperated 'T is divided according to the place and Causes I. One is of it self of which we have now treated another from the Navel Rupture of which in its place Another from the Rupture of the guts in which the Guts ought presently to be put back into their place Another from a contusion in which to those things which are applyed for the inflamation must be added somwhat lenifying and concocting II. One is in the smal guts which is most common in which a distention of the stomach straitness of breathing daily vomitings do molest that they are not able to contain their drink the pain and Torture tends most to the upward parts Another in the great Guts in which the pain reaches more to the Hypochondries there is a heaviness in the Loins and vomiting is not so continual Article II. Of the Straitness of the Guts The Straitness of the Guts is known cheifly by this that the Excrements of the Belly are not rightly cast forth by stoole It hath its Differences according to the Nature of the Causes I. One is from External things that are astringent and drying as quinces and other things which is known by the relation of the Patient and standers by In the Cure are required things moistening and mollifying fat things c. II. Another is from the Excrements hardned obstructing them which is known by this that there is no Tumor pain yet the Excrements are not cast forth It ariseth at that place especially where the smal and great Guts end either from too dry matter and drink to much diluted or from the heat of the neighbouring parts sucking up the moisture 'T is Cured by Mollifiers by a bath of sweet Water with emollient Herbs by the Grease of a rosted Goose cast in by a Clyster by blowing up the Guts with a Pair of bellows which must be followed with a strong Clyster with half a dram of Sal gema III. Another is from Inflamation of which we spake in the former Chapter IV. Another from the growing together of the Guts which is incurable V. Another from a Rupture or worms of which shal be spoken hereafter VI. Another from thick Flegm which is known by this that Causes generating that went before crudities flowness of the belly to stoode and much wind abound It ariseth from the fault of the Dier and the feeble heat of the Guts and if it stick there long it grows so thick that it wholly stops up the Guts It is Cured by things that cut flegm and sharp Clysters concerning which consult with the Chapter of the Cholick Article III. Of Worms Worms and smal creatures wholly preternatural generated in the guts out of a thick clammy and viscous Humor having in it the principal of life in its kind by a vivid heat raised up by putrefaction which do hinder the actions of the Guts The common signs are many to wit a stink in the mouth disturbed sleep with skipping trembling noise and gnashing of the Teeth Itching and often rubbing of the nose a pale face somtimes by fits ruddy hollow and dark Eyes the white of which is changed into a Saffron or Pale running of drivel from the Mouth more than usual a distension and puffing up of the belly with murmurs a knawing in the belly that exasperated in the time of hunger somtimes a loosness vomiting falling-sickness If in the morning while Children are fasting cold water be sprinkled on the Mouth of the stomach they wil al gather together and this sign hath most weight with it if the Age of the Child wil bear with it The CAUSE is a viscous and Flegmatick Humor which ariseth from much eating meats that easily corrupt generate a thick juyce as cheese Milk pulse decaying fruits sweet things sugard things honyed things c. It hath somthing analogous to seed endued with a formative faculty and a vivifying discretion which doth dispose the matter to receive this and no other form of worm and being disposed doth Cloath it with that from as we see peculiar worms do proceed out of wormwood Sea Salt a Horse a calfe Mulberry leaves Cheese Honey The CURE which is Difficult if there be many great ones red and of divers colors living if in the beginning of Feavers and acute Diseases as also in the augment by the malignity of the Disease they be Symptomatically voided Is Performed I. By things that kil them those which are bitter acrid Salt or enemies by their whol propriety ought to be given upwards but alwaies mixt with sweet things downwards premising sweet things then when they are in the lowest places or in the right Gut with them Oyl ought to be mixed that they may be stifled in it with cheese butter which they exceedingly fear The chiefe things that kil them are hot as Coralline given in pouder one dram Wormseed centory the less peach flowers Myrrh
moistning things if it be swelled II. The retaining of it being reduced to its place either by astringent Decoctions or by pouders of Frankincense mastick c. Inwardly is comended the Decoction of the Root of wild self-heal being drunk Outwardly the Ashes of beetles of sheeps dung strowed upon the Gut The Differences are taken from the Causes 1. Either it is from great straining which is Either in forcing out the Excrements and then the Belly must be kept loose or in labour 2. Or it is from a great irritation which afflicts either in a dysentery or tenesmus against which the Cure must be directed or from the weakness of the Muscles which are wont to draw back the Fundament thrust forth after the emptying of the Belly or by reason of the often falling down of the Fundament or by reason of some cold and then the Nerves must be strengthned and the cold distemper be corrected 3. Or from a Resolution either by reason of a contusion of the Nerves about the Region of the Os Sacrum or Rump bone where things consolidating take place or by reason of some Extraordinary refrigeration of them of which we spake even now or by reason of some impostumation or fistula arising about the sphincter Muscles II. The wounds of the Guts I pass by the Perforations made by worms wind c. are either of the smal Guts in which the meat and drink comes forth Choler is cast up by vomiting there are great pains with a Feaver and these because the Guts have a Nervous Coat and ful of many Vessels are by no means or very difficultly Cured Or of the great Guts in which the Excrement comes forth the body is bound the which if they be long waies and smal they are the easier Cured if they be large and Crosse the Guts the harder no waies Cured if they become blackish See their cure in Practitioners III. Concerning Vlcers we shal treat in a dysentery Mortification is wont somtimes to follow a Rupture the Iliack Passion and an Inflamation it happens also in wounds if the Guts falling out of the Belly be alterd by the Aire and become blackish Chap. 2. Of the Symptomes of the Guts Article I. Of the Iliack Passion The Symptomes of the Guts are The Iliack Passion the Collick costiveness of Body and a lask The Iliack passion is a sharp pain in the smal Guts arising from a violent solution of continuity with a Tumor of the belly rowled up like a bundle of strings and so great an obstruction of the Belly that nothing goes downward but the Humors and Excrements are somtimes violently cast up by vomiting The part affected is the Ileon Gut and the other smal Guts for though somtimes the great Guts also may be affected yet there is no such vehemency and danger in them because they are looser and more ignoble The SIGNS are a sence of paine in the upper guts rouled up above the navel most sharp extending it selfe upwards cheifly to the right side a puffing up and vehement distension an eminent swelling of the upper part of the belly and smal guts a perfect restraint of dung and winde vaine belchings bringing no ease murmurings of the smal guts and cheifty of the upper if the evil doe increase al things are carried upwards Hence follow vomitings swellings under the ears a coldness of the extream parts and whole body with a great difficulty of breathing and stoppage of urine c. The conjunct cause is a violent solution of continuity proceeding from obstruction corrosion and other things of which shal be treated in the differences for then the expulsive faculty of the guts rising up to expel that which is troublesome to them and whenas it cannot move its natural way downwards because the passages leading to the fundament are possest with a strong obstruction or because the part pained or inflamed cannot bear the weight or acrimony of the humors or excrements by a converted and peristattick motion contracting the fibres of the guts it thrusts upwards first of al things hurtful afterwards by the violence of the motion al things contained in the guts The Cure is more hopeful if the guts be affected but in part if it befal children because they have a strong innate heat and humors â—ess sharp and biting 'T is doubtful if it afflict â—ld people if a strangury succeed unless a feaver happening and dissolving the matter plenty of urine flow forth If the hickops or vomiting or convulsion or dotage succeed Of little hopes if upon vomiting up of the excrements either deafness or an acute feaver or with the same an elevated hypochondry swellings under the ears do follow It Respects 1. The causes of which in the differences 2. The Pain which must be mitigated by things emollient and anodyne The Blood of a bat anointed on the hypochondries is confirmed to be of force by wonderful experience The Differences are taken from the causes I. One is from external things as from the â—yr either too hot and drying or cold binding up the passages from deadly medicines and pâ—â—â—ons from the use of pease services quinces medlars c. then the business must be done by vomâ—ting Another is from internal things of which in the following Difference II. One is from diseases of the neighboring bowels which wil appeare by their proper signs ' 2. From a rupture of which we spake formerly 3. From an inflamation which is common and cheifly happens in the autumn which forces to the center the thin and movable humors that were bred in the summer 't is known and cured as was said formerly 4. from an ulcer and other tumors to wit a schirrus with a continual hardness and a cancer which are scarce curable They reside either in the inward parts and then the tumor it selfe is visible Another is from the obstruction of humors which are 1. Excrements hardened and in this al things are more milde a long continued obstruction of the belly went before it the cure is ordered by things mollifying and fat things inwardly and outwardly applied a suffumigation of a calves Cal and guts boyled in broth is commended inwardly cream or tartar given one dram and an half weight in broth 2. Humors either thick and viscous or sharp and biting which if possible are to be cast forth Another is from wind in which glisters of sulfurious and salt things are commended Article II. Of the Chollick The Collick is a pain of the Collick gut arising from things that doth dissolve its continuity The Signs are a piercing and boring sense of paine in the great guts especially in the left groine where the collick gut is narrower carried most of al from the navel downwards a puffing up and distension of the lower part of the belly a suppression of excrements and winde a nauseousness belching vomiting difficulty of urine al which wil become more certain by the remembrance of things going before and the demonstration of things consequent 'T is
the Epigastrical branch of the Vena Cava and are disseminated to the external parts of the right Gut viz. The Muscles of the Anus but they are two having an Artery joyned with them from the Hypogastrical Artery Yet they seem al to have communion one with another It is known by the sight and because 't is greater 't is also more dangerous In the Cure external things have a convenient Application II. One is by default of the blood which either is too much and then there are signs of fulness we must revel by bleeding in the Arme or if strength wil not bear it by fixing Cupping-Glasses to the Loyns or Hypochondries Or sharp and thin and then it happens most to Southern people especially to men that are Sanguine Serous Humors if strength wil bear it ought to be emptyed if not we must use coolers and things that thicken the blood amongst which Purslane Trochiskes of burnt Ivory and Amber do excel Or it flows from the Liver and then 't is like to Water in which flesh new kill'd is washt The Syrup of corals is good Or from the upper Parts and then the blood is black and burnt Or from the Mesentery and then 't is little somwhat white Serous Or from the Guts and then 't is mixt with the Excrements Another is by default of the Veins which either are opened in which Cause we must use Agglutinatives as the Mushrum which is called the Wolfes Fart c. Burning and cutting the which are dangerous especially in those that are inveterate and of long continuance Or Eaten through and broke and this Evacuation Casts a man into a Dropsie and other Diseases II. The Suppression of the Hemerhoids is an interception of the blood endeavouring to get forth through the Veins of the Anus from whence they are raised up into a Tumor with pain The Signs are a tumor and bunchings out in the heads of the veins of the Anus sometimes hard like unto warts somtimes soft caled like to mulberries somtimes of a purple colour and like to grape stones the pricking paine is somtimes milder somtimes more greivous the Veins being distended whose Mouths hangs as it were out of their heads and the membrane which covers the orifices of the Veins stretcht and prest The CAUSE is Faeculent and thick blood desiring to get forth The CURE must be hastened both because it threatens a dropsie if the blood run back to the liver and because unless it be seasonably remedied by reason of the great attraction and flux of humors it causeth inflamation impostumation or a fistula It is performed 1. By mitigation of the pain which is asswaged by the crum of Barly bread steeped in womans milk adding the yolk of eggs and saffron 'T is taken away with laudanum dissolved in womens milke applied with honey but most of al with Butter Sugar or anima Saturâ—â— with flies of sheeps dung boyled in oyl of flax to the consumption of the creatures with the ashes of corke burnt and boyled with capons grease with the oyntment of road-flax concerning which see Hartman 2. By opening them universals premised by application of leeches or before that be done by an ointment of the Pulp of Coloqintida and oyl of sweet almonds by the juice of onions mixt with aloes applied rubbing first the part with a course cloth Sharp glisters do hurt the guts more then they provoke the hemorrhoids Unless they swel very much and be very painful they ought to be left to nature In the differences of the internal end external veins we must have a care The suppression of those is perceived by the squeezing of the Anus and thrusting up a probe Of these is obvious to the sight Title V. Of the affects of the Mesentery Chap. 1. Of the distemper and obstruction of the Mesentery THe affects of the mesentary are distemper obstruction inflamation impostumation and pain I. The distemper of the Mesentery for the most part is hot and dry which ariseth from the like matter which either is collected there of sent thither from some other part It is collected either in its veins and arteries and then because the breast hath the greatest consent with the hemorrhoidal artery because the trunke from whence the artery ariseth descending from the heart presently at its first rise doth propagate the intercostal branches there are continuall pains felt in the breast or also in its glandules by their laxness easily drinking up the matter The cure must not be neglected because 't is wont to fore-run a dry dropsy But it hath nothing singular except this that by those arteries not onely the first passages but also the whol body might be purged whether you give purging medicines or inject glysters and this perhaps is the cause that purging medicines layd to the navil do move to stool II. The obstruction of the mesentery is twofold one when the milky veins are obstructed which is knowen by this that a chylous and white flux of the belly doth molest and a consumption follows the matter necessary for the nourishment of the body being denyed That ariseth either from a thick crude clammy viscous chyle generated of the like meats or from a tumor of the glandules compressing them Another is when the mesaraick veins are stopt which is known by this that the matter restrained causeth a sence of distension and heaviness beatings of the arteries about the back are troublsome after taking of meat the evil grows more fierce and the stomach is comprest c. That ariseth either from vaporous and thick winds or from sharp humors and then the paine is more vehement sometimes while the evaporation lasteth the evil possesseth the whol cavity of the breast that somwhat is at hand like unto a suffocation somtimes there is a tumor raised about the mouth of the stomach and vaine belchings are produced those things being supprest that should be voided by the lower parts The cure is perfected 1. By openers and those indeedgentle That give strength to the liver and Stomach penetrating incisive drying lesning putrefaction and a little while astringent not by sweet things but bitter reduced into the forme of electuaries or pills but that liquor be drunk after them By tartarous things unless the saltness or sharpness of the humors do hinder by things that savour of Oxymel 2. By purgers unless windiness do hinder and those gentle not constant after the same manner given by little and little liquid 3. By vomiters but not violent Platerus his essence of broom is commended 4. By diuriticks that make thick humors fluid c. the liver is strengthened by Leonius his pills of the refuce of Iron By Mercatus his antidote of steele By Penotus his arcanum of vitriol sulphur and sallows c. Chap. 2. Of the inflammation and impostumations of the mesentery AN inflammation of the mesentery is a tumor of the same arising from humors poured forth with the nourishing blood into its
either by reason of its attraction or reception The Cure is difficult both by reason of the narrowness of the veins in the liver and because more diseases do follow upon this It is performed by things that open obstructions amongst which are commended Riverius his extract of pils of amoniacum made of gum amoniacum dissolved in Vineger of squills three drams the species of biera picra one dram and half crude aloes four scruples Myrrh one scruple Saffron six grains With Syrup of Wormwood Quercetans Pilulae tartareae reformed by Sennertus Tinctura Martis whose description is in Petreus from one ounce to two three and more Deodates pouder compounded of the species of diarrhodon Diatragacanth each two drams Agrimony Madder Roots Ferne poudred Sorrel Purslane seeds each one dram Magistral of pearles Corralls Crocus Martis made without corrosives Crocus Martis prepared by oyl of sulfer each foure scruples with sugar-candy as much as is sufficint given one dram the former tincture being drank after it Pils of steele The decoction of the whitest tartar mundefied and poudered one pound made with foure ounces of crude steel and two gallons of spring water and given two ounces in opening broth Penotus his opening spirit c. In the cure these things come worth observation 1. That universals must be premised before particulars and topicks 2. That medicines ought not to be given to drink but a long while after meat least they carry with them crude humors to the liver 3. Astringents must be added to mollifiers as spicknard burnt Ivory that the tone of the liver may be preserved 4. That things attenuating discussing and resolving ought to be moderate least the thinner parts discussed the thicker doth remaine 5. That we use sweet things not as meats but as sauces 6. The medicines must be given liquid or finely poudered 7. Topicks must never be applied actually cold 8. After the use of steel-medecines the body must be stirred unless black excrements do follow we must abstaine from them The Differences of this obstruction are various I. One is lately which is the easier cleared Another inveterate which causeth putrefaction and a Feaver and produceth a jaundice schirus and dropsie II. One is in the hollow part of the liver which is known from hence that nothing is perceived outwardly by reason that the part lurketh deep the stomach is drawn into consent from whence is loathing of meat nauseousness vomiting thirst liquid excrements It must be cured by things that empty by the stool Another in the gibbous part which is known from hence that the belly prest on that place doth resist the midrif especially because the liver is joyned to it the excrements of the belly appeare bloody by reason of the light change of the chyle into blood The Cure is the easier by reason of the penetration of medicines and the emptying of the obstructing matter by a larger passage we must act chiefly by things that move urine III. One is from Blood either pure which is remedyed only by the opening of the basilica in the right arme or cholerick hot and which is joyned with paine being a long time preternaturally imprisoned in the liver and not timely purged it grows wonderfully thick Or flegmatick viscous and thick which ariseth from gross meats viscous too much by baths or motion forced or carried into the smal veins sometimes it fals from the brain into the stomach by and by passing through by degrees it penetrates with the nourishment into the smal veins of the Liver Another from Winde that is grosse imprisoned under its coate or sticking in the veins which is known from hence that the paine is greater but not continual there is such a great tumor of the right hypochondry that it fils up the whole hypochondry so that the ends of the ribs cannot be perceived yet t is without heaviness and being prest it yeelds it makes no murmuring and gives no suspition of an impostumation lurking there It ariseth either from windy meats from which they must beware or from the weakness of the liver not able to overcome the matter then the matter prepared must be emptied or 't is sent from the neighboring parts and the whole body especially in flegmatick Feavers The Cure in general requires carminatives of which in the dropsie Article III. Of an inflamation of the Liver An inflamation of the liver is a hot tumor of the same arising from blood impacted and putrefying in the substance of the Liver afflicting with a continual feaver a heavy paine and sence of a weight in theright hypochondry The CIGNS are a sence of heaviness in the right hypochondry from the membranes with which the liver is joyned in some to the bastard ribbs A tumor in the same which appeares greater the sick lying on his left side less the body being bowed to the right and the liver sliding under the bastard ribbs A paine reaching from the throat to the bastard ribbs by reason of the heape of matter restrained which puls the membrane that lines the Breast A Feaver whose vehemency follows the greatness of the inflamation and at night is exasperated the inflamation growing hot A dry cough by intervals by reason of the vapors raised up to the lungs and afflicting the midriffe by compression A Difficulty of breathing because the feaver brings a greater necessity of cooling uneasie lying both on the right side because the liver is prest by the stomach and guts and on the left because the liver hanging the membranes are retcht A swift and unequal pulse by reason of the necessity of cooling increased by the hot distemper c. It is distinguished from an inflamation of the muscles of the belly and pleura by the signs mentioned there The CAUSE is blood impacted and putrefied which either is attracted or transmitted or flows thither either by default of its quallity viz. its thinness heat and accrimony or by reason of its quantity and abundance or by the impulse of external causes as while hot medicines are applied to the stomach The CURE is difficult because a principal part is affected and by occasion of it there is iminent the feare of a dropsie or consumption Of little or no hope if the hickops follow because it is a signe that the liver is come to the highest inflamation and so by communion of the nerves the mouth of the stomach is drawn into consent If a loosness follow because this voiding of crude matter proceeds from the weakness of the faculty If a burning and continual feaver accompany it because it signifies that bowel is exceedingly inflamed If it come to Superation which is known by this because that happens after the twentieth day if nature be not weake paines and feavers with other symptomes grow strong yet most by night shakings assail in no order and with no reason which are attended mith an exacerbation of heat because from the impostumation there ariseth a sordid ulcer because t is perpetually
time is less resisting the Fingers cannot be thrust under the ends of the Ribs It possesseth only the Membrane that compasseth the Liver yet somtimes it fils up the whol Hypochondry It ariseth either from a viscous Humor either sprung from meats of that Nature or made such by cold alteratives given about the time of Evacuation Or from a thin crudity arising from meats drink and other things inducing cold or from a thin wind The Cure is perfected by things opening and emptying Article V. Of the Wounds and Vlcers of the Liver The Wounds of the Liver which in Aged and ill habited bodies are very dangerous but by reason of the long effusion of blood are deadly are either from external causes which are Cured by things astringent and agglutinative red Roses dryed are commended or from a Contusion which hath Joyned with it a vomiting or dejections by stool or Urin with blood it is more dangerous than a wound and degenerates into an impostumation In the Cure it requires 1. The opening of a Vein in the Arme. 2. Potions Compounded of astringent things 3. The Flux of blood being stopt the dissolution of congealed blood by its Medicines An Vlcer of the Liver is a corrosion of the same from matter or juyce The SIGNS are an ulcerous pain in the right Hypochondry a Cough a Jaundice color of the Face a voiding of putrid sanious and bloody things by the stool or Urin an Atrophy because there is neither blood made nor the man nourisht The CAUSES are whatsoever things corrode the substance of the Liver of which shal be treated in the Differences The CURE must not be neglected although it be of little Hopes for it grows foul by a perpetual filth because t is continually washt with the nourishment 't is ordered as in other Ulcers The Differences of the Ulcers of the Liver are various I. One is in the Superficies which is less dangerous another in the Substance which is deadly because a spermatical part cannot be Regenerated II. One is in the Gibbous Part which is known by purulent Urins without the signs of an exulceration in the bladder and Kidneys by difficult breathing by pain of the midriff Another in the hollow part which is known by the bloody and somtimes purulent stooles by the pain of the Guts by reason of the acrimony of the matter by the sense of pricking and heaviness about the Liver III. One is which follows an inflamation which hath ended in an impostumation and this is dangerous especially if the matter be contained in the substance of the Liver Another is which ariseth from sharp and corroding Juyces which is known from hence that it creeps on by degrees the strength not impaired a Feaver ariseth in the progress observing no type which at length ends in a Hectick Loathing of meat afflicts them especially of flesh c. It ariseth from the default of corrupt or putrefying nourishments generous Wine heats the bowel and dries it and heaps up a certain putrid clamminess and matter Chap. 4. Of the Symptomes of the Liver Title I. Of the weakness of the Liver THe Symptomes of the Liver are Weakness Cachexy a Dropsie Jaundice and atrophy The weakness of the Liver or atonia is a hurt of the faculties of the same induced by its Causes The SIGNS ought to be taken from the consideration of the Excrements of the Belly of the urin and color of the whol body as shal be manifest in the differences The Causes hurting the faculties of the liver are diseases of distemper whether it be hot or cold to which is added an external error viz. when either the chyle is not rightly elaborated in the stomach or being wel elaborated somewhat vitious is mixt with it c. The Cure ought to be perfected with things that strengthen the liver and are appropriate to it as are the liver of a wolfe a calfe of hens snailes raisons c. As concerning the Differences One is by reason of the Sanguifying faculty which either is hurt by a cold distemper or the defect of natural heat and then the excrements of the belly are like to the washings of meat new killed which the cold growing more intense do cease crudities arise with which the feet first and then the other parts abound because the veins do suffer with the liver ill affected as being their original For the cure of this serves Rupert Cranesbil bruised a lie of the pruning of vines with wine c. Or from a hot distemper in which the chyle is burnt as it were the excrements are like to the dreggs of blood c. Another is by reason of the attractive faculty and then moist things flow down by the stool like creame although there be no fault in the stomach no obstruction of the mesentery Another is by reason of the retentive faculty and then is rendered by stoole things like to the washing of flesh new killed yet seldome moist and mattery c. Article 2. Of a Cachexy A Cachexy is a diffusion of the whol body into a watry and swelled softness by default of nourishment The Subject is the whole body but those parts especially which are obvious to the eyes as the skin and the muscles The signs are a color by reason of the flegmatickness of the blood sometimes white by reason of the mixture of cholor or melancholly sometimes livid or leaden A tumor with heaviness and sluggishness especially in the feet and hands by reason of the descent of serous humors and their distance from the heart and also about the eyes in the face cheeks ey-brows because those parts by their laxness do easily receive serous humors The Cause is the fault of nutrition For though that which is put to the parts doth concrete and adhere yet by reason of the too great plenty of crudities 't is not assimilated To wit the blood is flegmatick crude and serous and that is generated such either by reason of impure nourishments corrupt and producing abundance of serum Or by reason of the bowels which either are impure either from a Scrirhus as hath been said or from the effusion of a corrupt humor as hath been observed in a suppression of the courses that purulent matter from the obstruction of the ureters returning into the veins the blood being infected hath infected the whol habit of the body Or from their corrupt substance for so vitious and corrupt blood is brought forth and carried out to every part and there concreting It leaves a vitiated substance instead of a good hence the Cachexy is various according to the nature of the blood The flegmatick affects virgins and threatens a universal dropsy Or they are weak because they have been hurt either by the continuance of diseases or by too much evacuations or by long imprisonment c. In the Cure we must diligently observe 1. That regard be had to those diseases from which the cachexy proceeds 2. If humors abound they
are an increase of the Corporal bulk greater than in a Cachexy equal through the whol body so that the feet and Leggs swel in the begining a softness of the body a Laxness Paleness and weakness upon the least labor a continual Feaver slow with a puls smal oft and unequal the Urine white thin crude c. The CAUSE is the fault of the nourishment which by reason of the immoderate coldness of the Liver and Veins of which we spake in distempers is Flegmatick and crude nay the body is spred over with a clammy and congealed water and though the nourishment doth both concrete and adhere to the part that is to be nourshed yet 't is not assimilated The CURE is Easter than in others because a Flegmatick Humor comes neerer to the Nature of blood than a serous besides a strong diarrhy comming at the beginning while the strength is firme the Disease is Cured 'T is Performed 1. By emptying the watry matter dispersed throughout the body both by things that Evacuate by the lower Parts amongst which is commended the extract or Salt of Hedg Hyssop mixt with Rhubarb And by vomiters which see else where and by bleeding if it arise from a Plethorick Cause or retaining the blood least by the plenty of the cold Humor the heat be overwhelmed which must be done at the beginning And by sweaters as the Decoction of swallow wort used especially in a Laconick Bath before you enter into it some of Weckerus his water is wel administred concerning which see Hartman 2. By strengthning of the Bowels the Liver especially and stomach of which in their places Fardinandus commends the covering of the Patient in a heap of Wheat for to dry up the matter Article VI. Of the Jaundice The Jaundice is either Yellow or Black of which shal be spoken in the Symptomes of the Spleen The Yellow Jaundice is an effusion of a Yellow or greenish Humor into the habit of the Body proceeding from its Causes 'T is called also from the Name of a smal bird Galgulus from the variety of colors in the Rain-bow Arquatus and because 't is tenderly handled at Court Regius or because 't is beleeved to be Cured with Honey and wine a Princely drink The SIGNS of it are a yellowness of the whol body a Citron or pale green which is observed in the white of the Eye and at its inner Angle where the great Veins are A distension of the Veins under the Tongue a pain of the right Hypochondry or a hardness too Bitterness of the spittle with Cholerick Vomiting the Hickops and pain in the Head The CAUSE is a Humor of the same color which is poured forth into the habit of the Body for the Causes to be mentioned in the Differences The CURE varies according of the Nature of the Differences Yet it respects two things 1. The Cause which must be removed 2. The Symptomes which must be taken away after universals have been premised For the Face and Eyes is commended the fume from hot Vineger in which Rosemary hath been boyled The Specisicks are the extract of Columbine and Celandine which with a little Bezoar is given to the rich An Emulsion of Columbine Seeds with the distilled Water of the same for the poorer sort the pouder of Earth worms three or four live Lice in a poched Eg if we beleeve Zacutus which is a most sordid medicine A live Moth laid on the Navel til it die A live Spider in a Nut shel hung about the Neck placed to the pit of the heart til it die Amongst Magick things are reckoned the Patients bepissing of Nettles Cloths dipped in his Urin and exposed to the Air and many other things concerning which see Petraeus The Differences are taken from the Causes One is from those things that generate plenty of choler which are either External as sweet things hot meats and drinks Poysons especially as the Gal of a Leopard the biting of Vipers and venenate things and then we must act with things Alexipharmacal peculiarly opposite to the Nature of the Poyson in which also we must have regard to the manifest qualities Or Internal as are 1. A hot and dry distemper of the Liver and then the Urine is vehemently colord and thick the Excrements of the Belly are dyed of a Saffron color the Feet and hands are hot 2. An Inflamation and Impostumation of the same of which formerly Another is from those things which do hinder the puresying of the blood and the separation and Exclusion of Choler as are 1. The compression of the bladder of Gal by a Schirrus of the Liver or some other Tumor which see above 2. The Obstruction of the same from thick flegm plenty of Choler stones and other Causes which is either in the passage reaching to the Liver by which it is attracted and then the Excrements are dyed or in that tending to the Duodenum by which 't is cast forth and then the Excrements are white or it comes to pass by default of the Liver and then the right Hypochondry is distended if it become hard it foretels a Dropsie or by default of the bladder it self and then it invades suddainly the belly is slow to stool the Excrements because they are not dyed look white It is cured 1. With things that open obstructions amongst which prevails Dodder of Vetches the Decoction of the Strawberry Plant with horehound and Raysons the Juyce of Nettle Roots bruised in wine with Saffron Young Geese Dung gathered in the Spring dryed and given one dram weight Cremor Tartar diluted with steeled Wine spirit of Tartar c. 2. With Purgers given by course with openers amongst which Rhubarb and Hiera Picra are the best Another is from those things which do suddenly expel choler from the inward parts to the Circumference of the Body which cheifly comes to pass in acute Feavers in which either it is cast forth critically and then there went before Signs of coction and the Disease is Cured Or Symptomatically by reason of its plenty and Acrimony and then it happens before the seaventh day If it be without a coldness 't is thought to be either from a weakness of Nature or from an Inflamation if with a coldness the Feaverish matter is cast forth from the Bowels and veins to the Skin In the Cure we must have respect both to the Feaver and the Liver Article VII Of an Atrophy An Atrophy is a drying and wasting of the whol body arising from the disappointment of its nourishment The Subject is the whol body especially in relation to the soft Parts the Fat and Flesh the harder Parts indeed may be dryed but they cannot be so diminisht that from thence the whol body should decrease There is no need of SIGNS whenas the affect is apparent to the Eye The CAUSE is the disappointing of nourishment which proceeds either by default of the nourishment when that either failes that it is not taken not attracted not
put to is discussed c. Or is Vitious Or by default of the nourishing Faculty when the Native heat or radical moisture fails The CURE respects 1. The Symptome it self where take place a Bath of the Decoction of the Head and Feet of a Weather of red sallow Of sweet water in which have boyled the ashes of Hazel Flax Seed the bones of a Weather bruised A moistning Diet of the Emulsion of sweet Almonds of the four greater cold Seeds with Goats Milk c. The magnetick Cure concerning which see Hartmans Chymiatry Anoyntings with Amatus Lusitanus his Unguent in Sebastianus Austrius de Morbis puerorum p. 555. 2. The Causes of which in the Differences The Differences of an Atrophy are Various I. One is Vniversal of the whol body of which we have now spoken another Particular which proceeds from a peculiar fault of a part In the Cure take place fomentations dropaces pications and percussions by which the driness of the part is corrected the obtuse heat is roused up and the nourishment is attracted II. Another is from worms which vex Children Another from the Stomach that doth not wel elaborate the Chyle Another from the Liver when that is either troubled with a hot and dry distemper and wasnt with much Choler or is very much obstructed that the nourishment doth penetrate with difficulty Another from the Spleen to which the same things may happen Another from the obstruction of the Mesentery which is familiar in the East Indies and for the most part hath Joynd with it a bulimy with a Lientery but it turnes also to an impostumation which so washes the whol mesentery that the Guts confused without any order do stick together only by thin Skins In the Cure is commended the Cross grass of which see Alpinus concerning Aegyptian plants cap. 40. See also concerning these things Bontius in medicina Indorum p. 156. Another is from the Heart which is in a Hectick Another from an Vlcer of the Lungs which happens in the Ptissick Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title V. Of the Affects of the Spleen Chap. 1. Of the Diseases of the spleen Article I. Of the obstructions of the Spleen THe Diseases of the Spleen are Obstruction puffing up Inflamation a Schirrus Vlcers and wounds The Obstruction of the Spleen is a stuffing up of the thick Humors The Part Affected is the Spleen either according to its Veins and Arteries or according to its whol substance The SIGNS are these at the beginning there is Caused a heaviness of the Hypochondry a pain of the spleen from hence a humor mixt with the blood and diffused into the whol body dies it of a Livid color makes a difficulty of breathing after exercise Poured into the Stomach Causeth nauseousness and vomiting into the Guts a diarrhy Somtimes by reason of its dryness it binds the Body The CAUSE is an earthy and thick Humor which oftentimes is collected from a Fenny Air and gross meats and by reason of the weakness of the Spleen and interception of the Passages cannot be expelled Somtimes 't is heaped up by reason of a hot distemper of the Spleen and the attraction of the Chyle unconcocted which happens after often lying down on the left side too much exerise Somtimes it stopps there by reason of an accustomary flux of the Hemrods intercepted or the suppression of the Courses The CURE is ordered as in other obstructions yet note we must have a care of the Causes from which it comes the vomits do good when as there is a straite way from the Spleen to the stomach by the vas breve Of Purgers Poly pody and dodder of time with Raysons senny with cremor Tartar are of Force Of openers the Flowers of Broom and Saxonia his electuary of steel are commended A Plaister of Ammoniacum dissolved in Vineger of Squils may rightly be applyed Premising some convenient Fomentation See Solenanders strengthning electuary in Hartman II. The Inflation of the Spleen is a puffing up of the same into a Tumor by winde The SIGNS are these a Tumor and distension is perceived with some pain but without the sense of heaviness and a weight A murmuring and sound is made The Spleen being prest doth yeild The Causes are either too large drinking of cold water or windy meats as pease chesnuts beans scallions Or thick and viscous humors which may be overcome by the weak heat and are resolved into vapors which doe easily puff up the spleen because it is spungy The Cure is as in others The Chymists applaud the burning Spirit of saturn in the extract of ferne and anoint the region of the spleen with the same thrice a day purging in an external cause is disallowed anointing with oyl of rue cappers c. is sufficient Article II. Of an inflamation of the spleen and schirrus An inflamation of the spleen is the lifting up of the same into a tumor by blood poured forth into its substance Somtimes the whole spleen is affected somtimes not The Signs are a tumor in the left hypochondry bunching out as it were towards the fore parts and as it were girting a man in the middle so it is distinguished from the paine and inflamation of the left kidney which is higher than the right there is a pulsation and palpitation of that side by reason of the arteries with which it abounds a continual feaver observing the periods of a quartan difficulty of breathing by reason of the compression of the midriffe The Cause is blood poured forth and putrefying which is either pure or mixt and discovers its self by its signs The Cure ought to follow the method of other inflamations so that larger drinking after purging be avoided least the humor be carried to the substance of the liver II. Aschirrus of the spleen is a hard tumor of the same proceeding from a thick glutinous and a hardened humor The SIGNS are a resisting tumor with an ablong hardness in the left side and that without paine to which are added a difficulty of breathing a driness of the mouth a swelling of the feet uneasy lying on the left side troubelsome swears c. The CAUSE is a thick and glutinous humor which either presently was such arising from meats of a thick juice from labors watchings which do waste that which is spirituous in the humors Or afterwards when being thin of it selfe t is hardened either by the force of heat or by medicines too much discussing or by its tartarous nature tending to induration This diffused into the whole body with the blood makes it livid and colour'd and leads to a consumption because the spleen opprest is not able to discharge its office of sanguification The CURE is more difficult if the patient have a diarrhy ensue and a lientery or water betwixt the skin follow
it It respects the same things as a schirrus of the liver Amongst things that disgest in wardly are commended the root of ferne the pouder of dead nettle in meats the wood of tamariske boyled in steel water to a third part The composition of ferne rootes one ounce dodder of vetches two drams boyled in eight ounces of strong wine to the consumption of a third part Outwarly amongst emollient things Fabricius unguent is of force compounded of Gum ammoniacum one ounce oyle of sweet almonds white lillies bens grease each two ounces the juice of hemlock foure ounces vinegar of squils two ounces The Differences are the same as of a schirrus of the liver I. One is new come which afflicts with pain extending it self to the very throat Another inveterate which is void of al paine neither doth it easily kil a man unless the liver be drawne into consent II. One affects the spleen only according to its substance which also is bounded with the figure of the spleen though this do sometimes according to its longitude appear as round sometimes according to its latitude somtimes swels according to al its dimentions Another is poured forth into other neighbouring parts also that for the most part it comprehends al the left region of the belly Article III. Of an Vlcer and wound of the spleen Concerning an Vlcer there is nothing to be observed but that it followes inflamations and tumors and casts forth its matter somtimes by urine vomiting or stool It must be purged cleansed headed A wound is either in its superficies which is less deadly or in its substance which by reason of the effusion of blood is deadly wheresoever it is it pours forth black blood for the most part also it affects the stomach causeth thirst and paine to the throat the matter somtimes is voided by the urine carried through the caeliacal artery to the trunk of the great artery and hence to the emulgents 'T is cured also with vulnerary potions Chap. 2. Of the Symptomes of the spleen Article I. Of the paine of the spleen and black Jaundice The Symptomes of the spleen are a pain of the Spleen The black Jaundice the hypochondriacal affection and the scurvy I. The pain of the Spleen ariseth from the solution of its continuity and distension of its membrane This is caused both from things external as blows fals c. and internal viz. â—â—â—ammation inflation tumors ulcers c. But it must diligently be distinguished both from those pains which are felt in the left side especially after meat or riding which proceed either from wind or from serous humors which flowing into the spaces of the peritoneum that sticks close to the coates in that place do distend them from the muscles and from the paine of the muscles which is felt if they be prest a little The Cure requires no narcoticks for when as it is cloathed only with a thin coate the paine is not exquisite II The black Jaundice is a change of the skin of the whol body into black 'T is known by the color it self It ariseth from the same causes as the yellow Jaundice doth except that there the liver here the spleen is in fault But t is harder to cure because if it be by default of the bladder of gal there is a greater corruption of choler if by default of the spleen the humor is more stubborn and there is a fear of a dropsy Medicines of steele are commodious in it and also a dry bath after which the body must be clensed with an emulsion of hemp seed the face with beane flower water mixt with wine Article 2. Of the Hypochondriacal affection The Hypochondriacal affection is a filth of vitious humors collected in the branches of the vena porta caeliacal Mesenterical arteries by reason of the hurt of the spleens concoction without putrefaction and by sending forth of vapors causing many Symptoms 'T is called Hypochondriacal by reason of the place of both Hypochondries by which is understood that part of the body which under the bastard ribbs reaches as far as the loyns on both sides and comprehends with the muscles the bowells themselves 'T is called also the windy passion by Diocles and Aetius for the familiarity of winds conteined in the left hypochondry and it obtains the name of Melancholly when as the brain is affected by consent As was said before The Signs are fetcht from the symptoms of the natural vital and animal faculties there is 1. A crudity of the Stomach by reason that it is ill nourisht by the vena porta from the Spleen which is followed with a continual spitting Flegme filling the mouth with moisture vomiting up of the thicker parts of the humor either generated in the stomach or sent from the spleen and somtimes so sowr that the teeth are on edg there goes before it an ebullition of the same in the stomach wind distending the neighbouring parts that somtimes the patient falls into swouning fitts a discussion of the thinner parts of the humor by insensible perspiration somtimes with a Feaverish shaking which a certaine heat Follows presently vanishing in sweat 2. Pains in the stomach which reach even to the back returne upon taking of meat when 't is concocted or cast forth they cease they draw the kidneys into consent by communion of membranes 3. Costiveness of body both by reason of the dryness of the vessels in both sides and because the meat is changed into a flegmatick viscous humor and so 't is not moved forward by the gutts and pertinaciously adhering to them is the cause of astringency 4. An inflammatory heat as it were of the Hypochondry which by motion meat drink hot things grows more fierce which is attended somtimes with a redness of the cheeks and whole face by reason of vapors ascending a diary Feaver vanishing in sweat by reason of the dispersing of them through the whol body by large drinking 5. A Vrine sometimes thin by reason of the passages obstructed and the retention of wind from whence the fit begins sometimes troubled and thick by the admistion of humors with a sediment somtimes of red sand in which the tartarous parts of the blood are coagulated 6. A Flatulency and waving especially in the left hypochondry the wind being imprisoned in the cavity under the midriffe arising from the connexion of the stomach caule cholick gut and bowels 7. Anxiety both because the meat half concocted is resolved into wind and causeth a straitness and because being carried to the neghbouring vessels affected with a hot distemper it boyls as it were with that Fiery heat and distends the hypochondries and so causeth a straitness in those parts which have nerves from the sixth conjugation 8. A Palpitation of the heart either by consent of the stomach or by the contention of the part it self against the malignity of the vapors which is more frequent with some at the increase of the Moon by reason of
with a fit and that going away it ceaseth 'T is cured with water-cresses which grows in clear waters XIII A Palpitation of the heart and swouning Concerning which we must know that it serves for the most part when the patients rise in their bed the humors being stirred somtimes 't is so great that they dye suddainly 'T is a certain sign of the scurvy if it afflict in a disease that is smal to the sense It ought to be opposed by medicines given six or eight times a day with things antiscorbutical XIV Vomiting which is rather a vaine endeavouring 1. To vomit that hath no heaviness or pain of the stomach going before it is not taken away by medicines that strengthen the stomach 't is rather quieted with milky things that do lenify the humors XV. Too much spitting which ariseth partly from vapors raised up to the mouth from the bordering places of the stomach partly from meats corrupted in the stomach and carried up to the mouth along the course of the membrane lining the gullet partly from a serous humor poured forth from the spleen into the stomach through the Vas breve 'T is prevented by avoiding of sharp and hot medicines which diffuse the matter XVI A Flux of the belly both diurnal and nocturnal which brings forth compacted excrements but exceeding the meat in quantity sometimes of a green somtimes of an ash color It ariseth either because the nourishment not attracted by the weakness of the liver is corrupted or because the serous humor flows back from the spleen to the gutts or because the serum which might have been dissipated thorough the habit of the body in forme of a vapor by cold condensing the pores is driven back to the guts or the vessels especially in the morning time when the body is open with heat being bound up by cold 't is thrust back towards the greater vessels and carries with it to the guts whatsoever it findes in the way and then in the cure things astringent are most hurtful A dry dyet must be used wormwood wine diluted with the decoction of succory is good or because whiles the serous humor grows hot with the Feaverish heat and cannot be exhaled it is turned thither and then syrup of Roses solutive and things of succory are good 'T is somtimes bloody but without paine and with other signs of the scurvy It ariseth from Feculent blood abounding in the veins and poured forth into the guts through the ends of them XVII Feavers which differ far from other Feavers For the sence of cold extends it selfe to six or seaven hours the pulse is slow weak unequal in the declination great and hard in the vigour the urine is as we have said formerly Somtimes they trouble thrice somtimes four times a day most commonly they are mixt of the type of a continual and tertian The continual if they be exasperated by purging medicines or hot potions do kil XVIII A dropsy which afflicts both with a harder manifest tumor and distension of the spleen liver or belly and with a greater difficulty of breathing than otherwise which after the use of purgers doth most of al torment and because it proceeds from thick vapors they being discust it ceaseth XIX An Erysipelas Which somtimes molests every week somtimes every month it proceeds from ichorus humors corrupted after a peculiarmanner In the cure the water of elder flowers with Carduus water is good XX. Vlcers which are dry and yeild no matter or filth they trouble those most that are of a cholerick temperament They possess not only the thighs but other parts also somtimes they become so gangrenous so that they feel not iron inflicted on them they ought to be cured without any biting or pain brooklime alone boyled in drink layd on them twice a day doth much good and also the ointment of diapompholygos in great putrefaction some Mercury precipitate or spirits of vitriol must be mixed with it XXI Hard bunchings in the whol body great tumors which stick in the groin the glandulous parts of the body like unto muscles they are without paine while the patients are quiet with paine when they walk If they break forth suddainly and by and by vanish they presage a palsey A cataplasme of the root of the greater comfry of bryony wormwood the crum of white bread boyled in milk is commended in the cure XXII An Atrophy which proceeds at first because the faculty is disapointed by reason of vitious nourishment in process it ariseth by reason of a vitious disposition imprinted on the parts by the defluxion of humors For the cure is commended goats milk if the goat be nourisht with things antiscorbutical I omit the rest See concerning this disease Sennartus Horstius and others Title 8. Of the affects of the Kidneys Chap. 1. Of the diseases of the kidneys Article 1. Of the Straitness of the Ridneys THe diseases of the kidneys are straitness inflamation the stone wounds and ulcers The straitness is an obstruction or compression of the vessels in the kidneys induced by its causes The Signs of it are the retention or paucity of urine and from thence a sence of distension and heviness about the loines in one or both sides c. The Causes shal be explained in the differences the continent is put in the definition The Cure varies according to the nature of the differences The differences are taken from the causes inferring the obstruction or compression I. One is from a tumor Phlegmon Scirrus compressing them too much dryness whiles the substance is wrinkled and contracted which wil discover themselves by their signes although the last is very hardly known II. Another from humors viscous thick clammy which is known by their redundance the absence of pain and a Feaver 'T is cured 1. By emptying by stool or by vomit 2. By things detersive incisive and diuretick The waters of parsly rest-barrow with Fernelius his syrup of radish are commended The spirits of salt tartar vitriolate with a Julep of violets c. III. Another is from clotted blood which hath fallen out of its vessels and concreted there 'T is known from hence that pissing of blood went before and causes enducing it as blows falls c. 'T is dissolved with chervil water dyers madder with the seed of cresses spermaceti and mummy made into a pouder IV. Another is from matter which is generated there or flows from some other part It is known by the signs of an ulcer or impostumation in the kidnies and the urine somtimes purulent 'T is cured by abstersives V. Another from the stone of which shal be treated hereafter in the meane while observe that gravil doth sometimes do it which either is produced in the proper substance of the kidnies which is known from hence that 't is hard and red and thence rapt with the violence of the urine running is carried into its hollow part afterwards is thrust down to the bladder and when the
them and make Water by drops with exceeding pain and that while the Stone is gathering together is thin and clear of somwhat whitish color but being concrete 't is wont to settle like unto Oyl with a gravelly sediment white like to scabs if the Stone be brittle The CAUSE and CURE must be fetcht from the Chapter of the stone of the Kidneys If it cannot be broken and expeled it must be cut out concerning which see Chirurgions For breaking of it serves the Composition of Salt of white Tartar one ounce and Parsty Water one pound mixt together and streined through streining paper dyed of a yellow color with Orange Pils also the Pouder of Palmer Worms concerning which consult with the peculiar treatise of Laurembergius And also the blood of a Goate nourisht with Plants that break the stone distilled taking at meat those stuffings which ought to be made of its Kidneys and other Bowels and Guts For mitigation of the Pain a Bath is good which must be followed with an unction of the Cod Pubis and perinaeum with the Compound Oyl made of Oyl of Scorpions bitter Almonds the Fat of a Cony and Hen of each one ounce and an half and the Juyce of Pellitory of the Wal two drams There meet us some Differences of the stone I. One is smal and light in which a vagous and wandering tickling afflicts about the pubes and perinaeum the which is easier broken Another a little bigger in which there is felt the weight of some heavy thing lying upon it so that going through uneven places is difficult and painful and dancing much more diffiult they piss often and the Urin can hardly be kept in which is white thick turbid with a purulent Sediment or like to the snivel of the Nose when they should piss the stone driven in the way the flux of Urin is intercepted there is a most sharp pain towards the latter end of pissing when the stone stirred up by the Course of the Urin as if it were comming forth doth more violently compress the Sphincter muscle at other times it affects the whol passage of the Privity somtimes the Nut. Striving to piss is accompanied with a desire to go to stool because the greatness of the stone from the perinaeum stimulates the right Gut as wel as the Neck of the Bladder This can hardly be Cured any other way than by cutting II. One is concrete which sends no gravel from it in the Urin. Another not concrete in which the Urin doth cast off some gravel and that either white or red which must be distinguished from that of the Kidneys by other signs of the stone of the Bladder III. One is which grows in the bladder it self to which that said before accords Another which descends from the Kidneys through the Vreters into it and then signs of the stone of the Kidneys went before there was a pain reacht from the Kidneys to the bladder according to the length of the Ureters the Nephritical pain is either ceased or troubles little This some do beleeve may be broke by the Indian Plant called by Manardus Payco and by other things IV. One is which doth not cleave to the Bladder and therefore may be taken forth more safely by cutting Another which cleaves to the top of the bladder and hangs down as it were from it and then al the symptomes reckoned formerly are more obscure there have been those seen who have carried it without any paine nay it can by no meanes almost be removed without injury to the patient Of which see Tulpius observat l. 2. c. 5. Article 2. Of an inflamation scab ulcer and fistula of the bladder An inflamation of the bladder doth not so much possess the substance of the bladder which is thin and bloudless as the sphincter muscle of the neck of it The signes of it are a bitter paine in the perinaeum with redness and heat a suppression of the urine with a great endeavoring to piss costiveness of the body because the right gut is streitned by the greatness of the inflamation a distension of the pubes and pecten to the navel by reason of the abundance of water The cause is the same as of other inflamations The cure is difficult because the affect is deadly for the most part about the seventh day especially a Feaver comming and the stoppage of urine and stools yet if it be gentler and the inflamation being changed into matter the impostumation break inwardly and is emptied by the urine there is better hopes and also an erysipelas arising about the superficies of the skin and plenty of water being made sometimes t is suddainly dissolved 'T is ordered after the manner of other inflamations Repellers must not be applyed long because the bladder is membranous and is easily bound up the urine supprest and the nerves hurt II. A Scab of the bladder is known by an itching in the pecten by the strong smel of the urine by a branny sediment residing at the bottom It ariseth from sharp and salt humors corroding the internal superficies of it 'T is cured in old folks hardly the humors are partly to be emptyed partly qualifyed by the four cold seeds violet flowers strawberries either taken inwardly or outwardly injected through the urethra III. There is no need to say what an ulcer of the bladder is it appears from the former The signs of it are scales and matter which flow forth only with the urine and sink in it and so 't is distinguisht from an exulceration of the urinary passage in which the matter and filth either goes before the urine or appeares presently at first comming forth or also flows forth without urine There is a continiual torment about the bladder pubes and perenaeum the urine also is thick and somtimes mixt with matter somtimes with blood c. The causes are divers of which in the differences The cure is of little hopes both because the bladder is membranous and because the urine which is biting by its continual running down hinders its consolidation 'T is ordered after the manner of other ulcers The differences are taken cheifly from the causes I. One is from cantharides and then if it be lately we must give milk plentifully by and by consolidate If it be inveterate it must be cured as other ulcers Another is from sharp urine which the use of pure wine and hot meats hath caused and then we must act with cooling diureticks Another from sharp or salt humors as it were knawing its internal superficies and then 1. We must empty with cassia and turpentine 2. We must temper them with water lillies lettice endive c. Another from the stone of which formerly II. One is in the bottom in which the pain is felt about the pubes Another by the urinary passage in which at the time of pissing the pain is felt more and especially when they begin and when they make an end to piss IV. The
Gut and Womb and purulency of the Kidneys there follows a dropping Upon the falling down of the Womb the Urin comes by drops and is a little biting Another is simple and without pain which is known by a white Watry Urin by the Age Complexion cold course of Diet pregression of a burning Feaver It ariseth either from the refrigeration of the bladder it self and the Muscle shutting its neck and then Diagalanga Mithridate c. are wel taken inwardly Oyl of Rue is wel outwardly applied Or from a Compression of the bladder which is wont to happen in great Bellied Women Article V. Of a Dysury A Dysury is a making of burning Vrin somtimes little somtimes much with pain without interruption arising from Causes both external and internal affecting the Vrinary passage The SIGNS are evident for the pain is easily perceived by the Patient The CAUSES are whatsoever can dissolve the continuity of the Neck of the Bladder or of the urinary Passage or Cause pain in pissing The CURE is Difficult if it fal upon Decreped Old men if a suppression of the Urin happen with it It respects 1. The Cause which must be moved by the aforementioned emptyers which ought to be followed with essence of Turpentine one dram with Parsley water and Syrup of Citrons 2. The Pain which is mitigated with warm Milk cast in by a Catheter by dipping the privities in a Vessel ful of Milk by a Cataplasme of Pellitory of the Wal with Oyl of Scorpions c. The Causes raising the pain do afford us the Differences One is from things external as Cantharides and then milk is good from Poyson and then we must act with things alexipharmacal Another from internal which are 1. The Acrimony of the urin of which formerly The water of bean flowers or its fresh Cods given with Syrup of Liquorish or Poppies six ounces weight before meat is good Also Fallopius his Electuary in Schenkius in Exoter Experim Gent. 4.19 2. An Inflamation whose pain is encreased the bladder being contracted to send forth the Urin and compressed after the emission which oftentimes an exulceration follows 3. A Stone striking against the Neck of the Bladder in pissing 4. The Seed moved in men buâ—sticking in the Passage and by an Acrimony contracted corroding the Passage which is wont to happen in the French Pox. 5. A white and milkie matter which somtimes is sent forth in such abundance that when 't is setteld it fils one half of the Chamber Pot. The which ariseth from a Vitious Conâ—â—ction in which the Salt and Tartarous parts are not separated but are attracted by the Kidneys It is Cured universals premised by the use of Hyppocrist or Mallago Wine Article VI. Of Pissing of blood matter and Hairs Bloody Pissing is a voiding of Blood together with the Vrin arising from the heaping up of the same in the Bldder The SIGNS are that the Urin doth not shine and hath the Color of Water in which the flesh of beasts new killed is washt The CAUSE is explained in the definition and in the Difference more shal be said The CURE must be hastned if the evil be inveterate least it lead to a Consumption or cachexy If it be cast forth in abundance least it stop in the Bladder and putrefie It must be turned against the Cause The Symptoms requires other things being alike things astringent condensing and consolidating amongst which do excel Yarrow with the white flower the Tincture of emralds the Arcanum of agrimony and Cinquefoil Mynsichtus his Decoction c. The Difference is taken from the Parts that pour forth the blood One is from The Kidneys which is known by this that it is plentiful is exquisitely mixt with the whol Urin that being as it were diluted with it 't is thin ruddy liquid and sertles without clotting together It ariseth either from the Anastomosis of some Vessel in them and then 't is made plentiful and high colored or some violence or wound hath went before or there are signs of Fulness or the blood is too thin Or from the corrosion of a Vessel and then the blood is voided in a lesser quantity especially at the beginning Or By a Diapedesis and then the Urin is lightly dyed with a red color The Cure also requires opening a Vein in the Arm which must be followed with the use of astringent means inwardly and outwardly The Trochisks of Gordonius are good Another is from the Liver either weakned or opprest with blood or affected with the same diseases as I said even now and then there are no signs of the Kidneys affected we must consult with the Chapter of the diseases of the Liver Hither belong the suppression of the Hemorrhoids of which in its place a wound of the ureters from stones passing through them from which very little blood flows forth c. Another from the Sphincter muscle of the neck of the bladder and then the Urin is not equally spred over with it the blood setling goes into clots the pain for the most part oppresseth in pissing and burns as it were the Root of the Yard other signs either of an Ulcer or of a Vein broke are present the Cure is the same Another from the inward Passage of the Yard and then it oftentimes comes forth without the Urin that which comes with the Urin clotting together presently sinks II. Purulent Pissing is a voiding of matter with the Vrin heaped up in the Bladder 'T is heaped up 1. By default of the bladder it self either because that is troubled with an Ulcer or because the blood conteined in the bladder is turned into matter and then the matter is voided less mixt with the Urin with branny Scales 2. By Default of the ureters and then a little swims a top like Hairs By default of the Vrinary Passage of the Spermatick Vessels and the parastatae and then in the first place it comes forth sincere 4. By default of the Kidneys Liver breast in as much as those parts do transmit matter through the Veins to the Bladder and then the matter is accurately mixt with the Urin if any thing thicker be a Part it flows forth towards the end III. A Pissing of Hairs or Trichiasis is when with the Vrin a mucous matter is voided somtimes like to Hairs somtimes to thin Leaves Those Hairs somtimes equal the length of one or two hands breadths The Cause of them is a thick and viscous flegm dryed and knit together in the Veins by heat which in its long passage through the narrow Veins of the Kidneys and ureters is extended to so great a length See concerning this Horstius his fifth Section Epistol medica In the Cure Spirits of Turpentine with Syrup of Marsh-mallows is good Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title X. Of the Affects of the Genital
Parts in Men. Chap. 1. Of their Diseases Article I. Of the Diseases of the Stones THe Diseases of the genital Parts in men have under them the Diseases of the stones Cods and Yard The principal Diseases of the Stones are which follow I. A Distemper and that either hot which is known by a proneness to Venery by too much and hot Seed by heat of the stones by swelling of the Veins about them with blood 'T is Cured by a contrary Diet and cooling Medicines of Littice Water Lillies Purslane but especially by those compounded of Sugar of Saturn and sallow Leaves Or Cold which is known by little and Watry seed by casting it forth with little or no Pleasure little desire to Venery cooling Causes went before or immoderate and unseasonable Venery 'T is Cured by a contrary Diet and taking of medicines inwardly Betony Calamint Marjoram Sage Nettles Nutmegs Diamoschum Outwardly Oyl of Costus Spike of Aunts Or moist which is known by this that the Seed is cast forth too soon Or dry which yeilds little and thick They are Cured by their contraries II. A Tumor which either is an Inflamation in whose Cure for of the rest I have nothing to say observe I. That whiles Medicines are applied to them the ligature ought alwaies to tend towards the upper parts that they may not hang down too much and the defluxion may be less 2. To intercept the flux a defensive must be laid on the side of the Pubes where the Veins and Arteries from the belly tend to the stones and Cod. 3. Other things being a like the Decoction of Agrimony with Wine and Vinegar is commended The Root of wild Cowcumber likewise boyled The Herb Paris green bruised and applied c. A Schirrus or another cold and hard Tumor which oftentimes ariseth from an Inflamation ill Cured 'T is taken away with a Cataplasme of Littice Roots boyled in sweet wine with the flowr of Flax Barley Faenugreek Onyons c. Which must be followed with a Liniment of the Balsom of Sulphur and the Plaister Diasulfuris Or an inflation for the Cure of which serve the Leaves of Henbane and a drauft of Juniper water one ounce weight every day with the Rowls of Diacyminum III. Vlcers which because they are in a moist place are dangerous and somtimes turn to a Cancer or Gangreen They ought to be washt with the decoction of Roses Leaves of Speedwel and Plantan they may be mundefied with the Oyntment of the Apostles IV. A Conâ—usion which is joyned with a great pain it corrupts their Oval Figure and oftentimes takes away the power of generation We must timely oppose the pain least a Defluxion be Caused Article II. Of the Diseases of the Cod. The Diseases of the Cod are Inflamation Excoriation Wounds Vlcers and Rupture Of them there is no need to say any thing An Excoriation is often Caused by the Urin the upper Skin being corroded and 't is Cured by sprinkling of Pompholyx or dryed Myrtle finely poudered searced and mixt with Frankincense or Myrrh A Rupture of the Cod is a Tumor of the same arising either from the cause falling down into it or from wind or water collected there or a masse of Flesh generated there The Species of it are four if you consider the Differences I. One is windy or a Pneumatocele which is known from hence that the Cod somtimes also the stones is very much distended without a weight heaviness the wind is felt if the Cod be prest with the hands and is removed from place to place w th a noise It ariseth from winds which are either collected there or transmitted from the neighbouring Guts and Belly and 't is most familiar with Children 'T is Cured premising universals by things discussing outwardly and inwardly applied A Cataplasm of Bay-berries the flower of Beans and Fenugreek with Bran the pouder of Cummin seed ammoniacum turpentine oxymel and oyl of bays mixt together is good II. Another is watry or a hydrocele which is known because there is perceived a waving the cod appeares as it were shining the tumor alwaies continues at the same bigness neither doth it go up into the belly by pressing it It ariseth from water which for the most part flows thither from the belly for those causes which are mentioned in the dropsy It is cured 1. By prohibition that the watery humor be not generated or flow thither of which see the differences 2. By emptying the water fallen thither either insensibly to which end the former cataplasme wil serve or sensibly by opening of the cod of which see Authors 'T is divided diversly 1. One is from water only distending the cod another also from wind joined with it in whose cure we must have regard to both another from flesh growing together about the stone whose cure must be warily handled that it turne not to a cancer 2. One is with a dropsy and then the cure must be directed against the dropsy Another without a Dropsy in which although there is not such great plenty of water that it can raise up the belly into a tumor that there is somwhat of it collected in the cavity of the belly by reason of the weakness of the parts especially an external cause being added as striking c. The tumor either possesses the whol cod or only one side and then the humor sticks in the erythroidal membrane that conteines the stone The right stone never alwaies the left swels Or the fault is in the left kidny through which when the serum cannot descend it fals through the seminal veine proceeding from the emulgent of the left kidny into the erythroidal coate from the cure of which we must either abstaine or the cod must be opened only in the lower part Or it is not and then the cod must be cut in the upper part neer the groin that both the humor may be emptyed and the afflux of more through the skar of the erythroidal coate be hindred See Frabricius his observations 3. One is when the water is conteined between the erythroidal coat and the darton in which the tumor is rounder like an egge the stone is hidden from the sight and touch the cod it self is more white and is distended little or nothing another is when 't is out of that betwixt it and the adjacent skins in which the stone is to be felt the cod is more distended Another when 't is in its proper skin or coate growing over it in which the tumor is every where globical resembles the draft of another stone III. Another is a fleshy rupture or a Sarcocele in which somthing fleshy is bred It is known by a hard tumor increased by little and little afflicting without a tumor of the groine by which it is distinguished from a rupture of the guts 't is for the most part in the right stone because nature doth most comodiously cast off the blood to the stones by the seminal veine issuing
of Saturn excel But a Vein must be opened also and the Patient Purged 2. In its Acrimony contracted from hot meats Medicines and sharp things which must be opposed 3. In its Commotion whiles seeking a Passage it causeth an itching II. A Priapisme is an erection of the Yard without any desire of Venery arising from a windy Spirit filling up the hollow Nerve of the part That Vaporous spirits ariseth either in the Nerve it self from a cold distemper or in the Yard and Vessels from a thick and crude Humor by an unproportionate heat and here the distilled Oyl of Rue takes place For the most part 't is by Reason of the mouths of the Arteries are too open and dilated pouring forth plenty of Spirits because perhaps the Loyns and Kidneys being heated they grow hot and are filled with much spirits which happens to those that abound with much blood In the Cure universals premised Water Lillies the Seed of the Chaiste Tree and other coolers ought to be applied A Satyriasis is a Palpitation of the Yard following an inflamatory disposition of the spermatick Vessels with a distension It happens rather to young men than to other Ages the Cure must be hastened least they fal into a resoultion or Convulsion of the Seminary Vessels We must have a Care of Purges in it unless Perhaps we can make an aversion by Vomits and from things that move Urin. Article III. Of a running of the Reins A Gonorrhea is a too great and involuntary shedding of the Seed arising from its own fault and the fault of the Spermatick parts The SIGNS are evident the seed is shed a gainst their wils without lust and dreams of lust without any stifness of the Yard with no sense of delight or very little from whence is caused a slenderness of the whol Body about the Loyns especially with a paleness and hollowness of the Eyes The CAUSE and CURE shal be explained in the Differences The Flux is stopt by the magistral of the bone of the fish Sepia given from six grains to half a scruple with old conserve of Roses By fixt Antimony with Plantan Water The Difference is taken from the Causes One is by default of the Spermatick Parts 1. Of a cold and moist distemper which either ariseth from external Causes endewed with such a vertue and weakens their retentive faculty as too much Venery or from an afflux of Humors in which Case emptying and binding with heaters mixt takes place It is the easier Cured so it be new the pouder of Turpentine given with milk for fifteen daies does good 2. by default of their Laxness when their Bladders conteining the seed and the Vessels that carry it are too much enlarged and Relaxt Another is by the fault of the Seed it self which is 1. Plentiful by forbearing from Venery and by using meats that nourish wel and then bleeding Fasting exercises do good 2. Sharp and hot stimulating the expulsive faculty which proceeds from the like blood by reason of the heat of the liver and Kidneys and then a priapism for the most part is joyned with it external Causes went before The Cure must be ordered by emptying of Choler by anointing the back bone and Loyns with cooling Oyntments 3. Crude watrish and thin and that either by reason of the coldness of the stones or of things taken or the like distemper of the Liver and then the Seed comes froth even at the touch of a Woman there are present the signs of crudity In the Cure we must act with driers and strengthners The essence of Turpentine is commended given one dram weight in Syrup of Agrimony Or by reason of the abundance of Vitious Humors in the body which are sent to the spermatick Vessels and then we must act with emptiers and good Diet. 4. Virulent and Malignant as is concracted in the French Pox which is known from hence that at first a white Poyson or somwhat Yellowish fals from the spermatick Vessels insensibly as wel when they wake as sleep which in time putrefies and gets an Acrimony eats and exulcerates the Passage of the Yard from whence ariseth a pain which also when 't is stiff does stretch a string as it were under the Yard and in pissing does goad sharper as it were in a dysury that is somtimes hollowed so deep that it breaks outwardly at the upper Skin of the Yard It ariseth from a weakness of the Spermatick Vessels and stones contracted by that poysonous Evil which causeth that whatsoever is collected in these Vessels turns to a filthy Poyson which by contagion Pollutes any other body As concerning the Cure 't is difficult in old Men in al if it be stopt without reason For there is collected for the most part an impostumation within somtimes about the stones in the Epididymis somtimes in the Perinaeum which the Skin breaking pours forth the matter We must abstain from things astringent least it being retained doth corrode the Parts Dryers and things that resist Putrefaction as are Sorrel Treacle Mithridate and those things which are dedicated to the French Pox do good Titile XI Of the Diseases of the genital parts in Women Chap. 1. Of the Diseases of the Neck of the womb Article 1. Of a Tentigo and Cauda THe Diseases of the Womb are either of the Privities or Neck of the Womb or of the womb it self To those belong Tentigo Cauda Straitness pustles condylomato Hemorrboids and Vlcers I. A Tentigo or great bit and the womans Prick is the growing of the Clitoris into too great a bulk The Subject is the Clitoris or that Nervous flesh hard which in the Neck of the Womb the Joynt wings of the Privities do embrace and at the Top of which that is the which swels in desires of Venery This manifest affect needs no SIGNS somtimes the bulk is so great that it hangs forth through the cleft of the Privity as thick as a goose Neck and resembles a mans Yard they have too great desire of Copulation The CAUSE is too great an Afflux either of an Humor or nourishment by reason of its Laxness which is induced by often touching and 't is wont to cause lust at the least rubbing of the Cloathes The CURE respects 1. The abatement of blood and the bringing forth of other Humors for which ends serve a most slender and cooling Diet and discussives especially the leaves of the lentisk and Olive 2. The taking away of the same Excrescency where first must be applyed the gentler causticks As Alum Vnguentum Aegyptiacum the lie of which Soap is wont to be made boyled with Roman Vitriol adding towards the end a little Opium and make Trochiskes of them with which pouder the flesh must be strowed over at last the flesh must be cut off either by Ligature or Section having a care of an Inflamation II. A Cauda is a certain fleshy substance arising from the Mouth of the Womb which fils up the womens Privity and somtimes
is cold and happens to them cheifly who lead an idle and sedentary life 'T is cured as the former yet observe that the fume of the shaving of Ivory and Sage boyled in wine and water conveighed through a pipe before supper is commended Sulphurous baths beare the palme away in outward things we must have a care of astringent means least they detain the excrementitious humors Another is dry which is known by the scarceness of the seed and courses slowness to venery dryness of the mouth of the womb the color of the lower lip a blackish red with continual clefts It ariseth somtimes from the very birth whence the patient hath a dry temper and slender constitution of body Somtimes by reason of age whence they cease to breed Somtimes from diseases themselves viz. an inflamation c. somtimes from defect of blood which ought to moisten it either because 't is not emptyed by it by reason of the straitness and obstruction of the veins or because being emptyed through the neck it comes not to the bottom 'T is cured 1. By a contrary dyet in which too much labor watchings fasting sadness are very much to be eschewed 2. By the use of moistners amongst which do excel burrage bugloss mercury Marsh-mallows violets amongst externals baths of sweet water and anointings with oyl of sweet almonds white lillies hens grease the marrow of calves leggs c. The cure is difficult if the dryness be of long continuance and hectical II. One is simple to which belongs what hath been said before Another compound most commonly cold and moist which is known by the former things compared amongst themselves It ariseth from flegmatick humors whether derived from the whol or produced by the whol It is cured 1. By preparation of the matter by hot hysterical means 2. By emptying and that universal of the whol body by things that purge flegme By particular of the womb it self of which we must have the greatest care if nothing proceed neither from the whol nor the parts And here pessaries do much also sulphurous and drying baths by sweaters which are here very much commended viz. with the decoction of Guajacum china sarsaparilla lentisk wood c. 3. By a contrary dyet Article 2. Of the straitness of the vessels of the womb The straitness of the vessels of the womb is an interception of the same from its causes The signs are both a retention of the courses that they cannot flow and an hindrance of conception by reason the falling down of blood is intercepted The cause and cure shal be expounded in the differences 'T is divided twofold I. One is from external causes as medicines and astringent baths which is known by the relation of the sick 'T is easily cured and we must act with moistneâ—s and mollefyers Another from internal of which in the following difference II. One is from a Skarre flesh or membrane growing on the orifices of the vessels or from a growing together of the mouths of the veins after a violent drawing forth of the secundine which is almost incurable yet some tryal may be made with things mollefying Another from obstruction which thick viscous and plenty of humors do cause whether they flow thither from the rest of the body the heat not being able to attenuate them or be heaped up in the womb it self by reason of the weakness of heat in that It is known by this that there are present the signs of a cold distemper a moisture like snivel somtimes flows forth from the womb It is cured as other obstructions Revulsion hath its place if the matter flow thither Amongst openers of obstructions are commended sharp and bitter medicines that move the courses steeled wine baths corrected with mollefyers and openers Another from compression which is caused either by a tumor and scirrus consisting in the womb or without it and then the signs of a tumor are present The evil is almost incurable or by the too much fatt of the neighboring parts and then that is wholy manifest to the sence we must act with things that do extenuate Article 3. Of an inflation of the Womb. An inflation of the womb is a distension of the same by wind produced out of a cold flegmatick and flatulent matter by default of a weak heat 'T is called also a windy Mola by reason of the false hopes of a conception The signs are a distension of the womb consisting in the region of the belly which is somtimes increased somtimes diminisht somtimes 't is extended to the sides somtimes to the navil loins and midriffe It is distinguisht from a dropsy by its lesser bulk want of thirst by the increasing and decreasing of the tumor by a less wasting of the upper parts From a dropsy of the womb by the foregoing of causes generating wind by a noise less heaviness greater distension by feeling an extensive and pricking pain in the neighboring parts From an inflamation of the guts because here neither are pains nor costiveness of body because the courses are stopt the feet and hollow of the eyes do swel and color of the body is changed because the woman pants is greived and when she wakes out of her sleep breaths with her neck upright From a mola by the want of heaviness and hardness in the belly with a weight moving it self from side to side when they move From a conception by the sound and increase and decrease of the tumor by wanting of motion like to the moving of the infant for if the belly be prest strongly the wind being driven to the neighboring parts a certaine beating motion is felt in the whol belly The cause is exprest in the definition the matter it self is either generated in the womb it self Either by reason of the suppression of the courses or by interception of the purgation after a delivery or proceeds from elsewhere either by the veins or by the feed vessels But the weakness of heat ariseth for the most part from the external aire stopping by its coldness those impurities in women lying in which seek a passage forth from hard labor abortion stoppage of the courses c. The cure if you consider the method differs not from the cure of other inflamations so we have respect to the part Observe that amongst purgers Species hierae and diaphenicon with castor are commended For suffumigation Nutmeg of which Hartman in his chymiatry for plaisters the plaister of bay berries with treacle for drinks nutmeg bruised boyled with the roots of feverfew and drank with six ounces of wine two drams of Sugar The Differences are taken from the part it self One is when the wind is in the cavity and then the mouth of the womb is so closedup that none of it can get forth when either the woman is moved or her belly perâ—t with the hand a sound and noise is perceived But that it may be conteined in the cavity is certain both because the womb
may be distended though it be thick as in conception and be retained there as in a mola and because the altering and retentive faculties being never idle do change the diseased seed into wind Another when 't is in the coats of the same and then the mouth of the womb may be open by reason that the winde is concluded in a narrow place the sound goes forth and the pains are greater and extended further the evil is more difficult to cure than that in the cavity Article IV. Of an inflamation of the womb An inflamation of the womb is a tumor of the same from the putrefaction of blood fallen into its substance troublesom with many symptomes and somtimes turning to a scirrbus somtimes to an impostumation The signs are various the tumor it self appears in the region of the womb with a heat and pain a shutting up of the womb drawing of it towards the inward parts but the whol neck of it appeares ruddy little veins swelling every where with blood like to a spiders webb There is a difficulty of breathing which shew a pleuresy because the outward coat of the womb being extended which ariseth from the peritoneum and is fastened to it those parts also to which it coheres are distended The excrements of the belly and bladder by reason of the heat and dryness of the belly and compression of the passages are detained The bulk of the belly somtimes appeares empty and the belly is filled with water and the navil strutts forth and the mouth is slender and of a suddain a few and evil courses follow A continual and burning Feaver afflicts by reason of the consent of the womb with the heart by arteries and great vessels somtimes a lypirias by the motion of the humors towards the inward parts There is a pain of the breasts with an inflation of them by reason of the consent of the groins the hipps the midrife the cannel bones the forepart of the head which is extended to the roots of the eyes and it ariseth from vapors of blood putrefying carried up to the head by the arteries which run through the neck from both parts of that called the infundibulum into the fore part of the head The cause is blood which somtimes is pure somtimes mixt with choler somtimes dyed with black choler It slides thither or slides forth for common causes viz. the detaining of it in the time of the courses or after a delivery by the occursion of the cold air 'T is attracted by heat or pain which is caused either by abortion hard labor violent drawing forth of the secundine long walking when the courses are at hand or by a troublesom carrying if the young one be either great or ill placed The cure is difficult especially if the whol womb be possest or suppurated for a sordid ulcer arising from thence doth at length kil the patient with a slow Feaver None at al if there be an erysipelas because the young one it self dies by reason of the exceeding heat whence follows abortion which kils the mother If it turne to a deadly gangreen 'T is cured as in other inflamations where note that for revulsion we must not open a veine in the leggs when as these veins draw the blood to the womb but in the arme when as the blood flows from the liver and the veins adjacent to it For derivation a veine in the ham may be opened unless the patient be great with child least abortion be caused Topicks ought to be applyed cooling and moistning without any astriction 'T is thought that the decoction of mother of time prepared with steeled water and outwardly applyed with sponges doth stop it by a certain propriety The Differences are taken from the part it self I. One is of the whol womb in which the symptomes afore mentiond do evidently afflict and few indeed do scape Another is of the other side in which the heat passes to the hipp by reason of the ligaments of the womb which are carried thither the legg of the same side is hardly moved the groins of that place are inflamed II. One is of the hinder part in which the belly is bound the paine doth more afflict the loins and backbone Another of the fore part in which because it coheres to the bladder the urine is stoppt or made with difficulty the pain goes more towards the pubes Another of its bottom in which the lower part of the belly is so pained that it cannot endure to be touched and the pain is extended more to the navel III. There is one which turns to a scirrhus in which al things become milder a weight and heaviness is felt in the neighboring parts the evil is of long continuance and is often terminated in a dropsy of the womb Another to an imposthumation in which al things are increased til suppuration is made horrors without order invade them for the most part about the evening the impostumation being broke but it breaks either into the cavity of the womb which is safer or 't is poured Forth into other parts somtimes the urine somtimes the belly is stopt with a swelling of the pubes and the sense of somthing waving Article 5. Of a scirrhus of the womb Ascirrhus of the womb is a hard swelling of the same and resisting without pain produced from a thick earthy and faeculent humor The SIGNS are besides other general ones to wit the Courses at the beginning are supprest or flow too little the evil increasing there is a great flux of blood by intervals either the Mouths of the Veins being opened more than is fit or the Womb not being able either to receive or retain the accustomary quantity of blood 'T is distinguisht from a Mola because in this if the Courses flow they flow disorderly and the Breasts also swel with Milk which in a Scirrus are extenuated c. The CAUSE is an earthy and feculent humor to wit a thick blood somtimes flegmatick somtimes Melancholical which happens in the declining Age and troubles them which have been sick of a Pica Malacia or bulimus oftentimes from an inflamation ill cured by reason of the too much use either of coolers or discussives The CURE is difficult both because things dryed a long time cannot be mollefied and because the Native heat is exhausted in parts affected with a Scirrus and because while the Humor is mollefied it may easily turn to a Cancer by taking putrefaction The proceedings of the cure differs not from others 'T is divided in respect to the part affected One is in the substance it self in which the Womb lies upon the Hip and Back and there Causeth a pain Another in the Neck which is discovered by the touch of the finger 't is easier cured than the former If it be in the upper part of the Neck the Woman is hurt in Copulation and the bladder is prest by the Tumor if it be in the lower part the
because 't is on every side guarded with bones 2. If it be wounded 't is known by the Situation pain and matter that flows forth 3. That it may be cured as appears by the Caesarean birth but 't is dangerous by reason of the conâ—â—â—t of the part with other members 4. Or it happens on the bottome of the womb and then that pain is less and easier Cured or on the Neck and then the pain is greater and harder to be Cured because that is more membranous and continually abounds with moisture III. Concerning Vlcers we meet with nothing of worth which hath not been touched on formerly unless perhaps we may add that it doth somtimes so Putrefie that it must be cut out and fals away the woman surviving For consolidation do serve the Balsam of sulphur and the Plaister of the same concerning which see Hartmans Chymiatry in the Chapter of a Consumption Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XII Of the Symptomes of the Womb. Chap. 1. Of the Common symptomes Article I. Of the weakness of the womb THe Symptomes of the Womb are either common to Women in al states or are either more familiar to those that live out of wedlock or proper to the married Those common are a weakness of the womb Pain a stoppage of the Courses a dropping of them too great a flux a difficulty of them a discolouring an inordinate flux a womans flux a gonorrhea A weakness of the womb is a sluggishness or defect of the same in performing its actions induced by the fault of a distemper occult qualities and the native heat The SIGNS are a languishing desire of venery an inordinate flux of the Courses when they are at hand a pain in the loyns and pecten little or no pleasure in copulation often abortions a breaking forth of wind from the womb For the actions of the womb are a desire of Venery a voiding of menstruous blood at due times the ejection of seed in the act of Venery and the retaining of that received from the man a keeping of the young one conceived to the due time and the exclusion of it when 't is perfect into the world The Nature of the Causes shal be explained in the Differences The Cure must be directed against the Causes of which there The Differences are taken from the Causes One is from the distemper of the womb which if it be Cold the womb cannot perfect a mean quantity of nourishment therefore it heaps not up many Excrements If moist neither the blood nor seed nor young one are rightly conteined See the Cure above Another is from occult qualities which the womb hath is apparent from hence because it hath a singular Sympathy and antipathy with divers things desires mans seed is delighted with sweet things c. And then the affect riseth from no evident Cause There is found no excess of moisture or coldness In the cure Medicines must be applyed that are proper by their whol substance Another is from the innate heat either choaked or dissipated and then the affect is dangerous because the heat is difficulty renewed In the Cure we must act with restauratives as are Cinnamon Nut-Megs the Species Diaxyloaloes Aromaticum Rosatum c. Article II. Of the Pain of the womb A Pain of the womb is a sad sense of the same proceeding from a solution of continuity induced by its Causes There is no need of Signs when the Woman her self makes known the pain It affects both Women that are free and great with Child and past labour It torments as pains of the collick do in the lower belly whenas the ligaments of the Womb are carried to the Hips and Loynes so far also it extends it self The Cause is whatsoever can dissolve continuity The Cure respect 1. The mitigation of pain by anodynes 2. The removal of the Cause of which in the Differences The Differences are taken from the Causes I. One is from corrosion which cheifly happens in Ulcers the Womans flux vitious Courses c. It offends most of al the Neck of the Womb. The Cure must be directed against those affects Another from distention which is caused 1. By a clot of Blood sticking in the Cavity of the Womb and then a plentiful flux of Blood preceded from the womb the pain is fixt and is perceived most of al about the Orifice of the womb when as Nature by the continual endeavoring to expel it doth draw the right Gut and bladder into consent 't is joyned with a tenasmus and often pissing In the Cure we must respect the dissolving of the clot for which Treacle with Wine is commended and the emptying of it and if hath stayed long there the Malignity of it 2. By Menstruous blood when either the Vessels are not wide enough or that is too thick which also may happen from cold drink especially if the woman were hot after exercise and then the Causes went before which occasioned it there are signs of the Courses supprest or not flowing rightly The cure must be directed to the same 3. By vitious Humors sticking in the Cavity or Vessels of the womb and then we must act with emptyers and preparatives 4. By wind which ariseth from the boyling of the vitious Humors Which somtimes copulation causeth And then emptying must be ordered we must act with things that discuss wind of which in the Chollick 5. by an inflamation of the womb of which formerly 6. By seed retained and corrupted and then we must look to the suffocation of the womb Article III. Of the suppression of the Courses A suppression of the Courses is a retention of the menstruous blood by reason of the streitness of the passages or the fault of the blood The SIGNS are afforded from the relation of the woman her self but if they wil not confess In Virgins 't is known by this that the blood stopt doth wander up and down in the Veins and cause obstructions changes the colour of the body induceth a Feaver c. In women that 't is carried to the womb and infers Diseases of the womb 'T is distinguisht from the retention in childing because they with Child are little changed in the affections of their mind they retaine the Native color of their body they find the Symptomes dayly more mild they perceive the motion and situation of the infant the third month They have the mouth of their womb shut up and hard The CAUSES are a streightness of the veins and the fault of the blood of which in the differences shal be treated more at large The Cure must be hastened because that suppression doth produce many diseases as a feaver a leucophlegmatick a dropsie vomiting of blood c. 'T is difficult if it be of long continuance if it hath exceeded the sixth month for the most part 't
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of thâ— rootes of gentian dittander each five grainâ— with syrup of bay berries and given one scrâ—ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a
thinness and serosity and then no pain urges We must act with medicines that strengthen the womb with astriction and dryness II. A difficulty of the courses is a flowing of them with pain and trouble and greivous symptomes by the default of the veins or blood The signs are taken from the relation of the patient those pains are of the head stomach loyns and lower belly The flux is either altogether or only by the way of dropping and somtimes when the courses are at hand somtimes when they flow the symptoms happen and they do more afflict virgins and the barren because the veins of their wombes are less open than those that have brought forth because their veins after breeding are dilated We shal treat of the causes in the differences The cure respects 1. The Symptoms which must be mitigated 2. The causes which must be taken away The difference is taken from the causes One is from the straitness of the veins of which we have sayd enough in the suppression of the courses Another from the faults of the blood that is 1. From the thickness and feculency of it and then the blood whiles it is emptyed grows into clots the pains grow feircer a long time before the evacuation by reason of the endeavors of the expulsive Faculty The cure premising universals is perfected by things attenuating and that have power to diffuse it 2. From the acrimony proceeding from the mixture of sharp humors and then the genital parts do iâ—ch the nature of the bloâ—d voided and manner of the pain discovers the disease We must act with things that qualify the acrimony as are the Four greater seeds violets the flowers of water lillies 3. From the flatulency and then the pain returns by intervalls and of a suddain grows sharper wanders up and down wind being voided it ceases It is cured by emptying of the matter and discussing of wind Article 5. Of the discoloring of the courses The discolouring of the courses is a declining of them when as they ought to be ruddy to a palness whiteness greeness yellowness or lividness by default of blood The signs are afforded from beholding the blood it self there is added a stinkingness an inordinate evacuation and oftentimes erratick Feavers accute horror loathing of meat pains of the stomach c. concerning which see Hippocrates The cause is layd upon the falt of the blood concerning which as also of its causes see in the differences The cure attends the causes therefore according to the nature of them it varies 'T is divided twofold I. One is when the blood contracts a fault either by reason of a distemper of the whol body or of some principal part respect to which must be had in the cure Another when the blood is in fault either because 't is supprest and retaind and then a stoppage of the courses went before pains are felt in the breast and strong pulsations if the habit be better the courses break forth and the blood flows forth and a strong smelling matter about the eight or ninth day Or because 't is polluted by the womb abounding with excrements and then there are signs of a polluted womb Another when the blood is polluted by the mixture of excrementitious humors and then if you consider the cure we must prepare them but so that when as thick humors do want attenuation and things too much attenuating do melt the serous humors and move them to the womb we must absteine from the stronger and beware of vinegar we must empty c. II. One is when the courses decline to a whiteness which ariseth either from flegm of which howsoever it be there are signs of a weak stomach or from matter and then either ulcers are raised in the womb and barrenness follows or the courses flow forth for seven or eight days and the woman is freed or the same break forth at the parts above the groin without a tumor and about the hypochondries they come forth and the woman seldom survives Or after some daies a great tumor riseth upon the groin ruddy without a head because there the flesh is filled up and 't is hardly opened Another is when it declines to yellowness or greenness which proceeds from choler Another when to a lividness which ariseth from melancholy Article 6. Of an inordinate flux of the courses An inordinate flux of the courses includes two things to wit an anticipation of the courses before the due time and their continuance beyond the accustomary time The anticipation of the courses is divided according to the nature of the causes One is from external causes viz. a fal a blow and other things that open the veins See the cure below Another from the irritation of the expulsive faculty of the womb 1. By the plenty of blood which is known by this that the blood is sent from the whol body to the womb 't is fluid and natural there are signs of a plentitude 'T is cured by bleeding if the plenty be great by dyet and often exercise if it be less 2. By the thinness and acrimony of the blood which is known by this that the temper of the whol body is hot a course of dyet generating such blood went before the blood it self is dilute discolored yellowish 'T is cured by emptyers rhubarb especially by qualefyers of which formerly Another from the weak retentive faculty of the womb which is known by this that the vessels of the womb are loose the habit of the body also is lax and moist The cure forbids things too much astringent Acid waters and baths that have the vertue of iron are commended II. The continuance of the courses beyond the accustomary time is divided also according to the nature of the causes One is which proceeds from the disappointment of the expulsive faculty which is caused 1. By the scearcity of blood which is known by this that the woman finds no trouble by the protraction of her courses that too much excercise or slender dyet went before 2. By the thickness of the blood which is known by this that there are signs of a cacochyme the blood is whitish and viscous In the cure we must purge before much blood be gathered together attenuate when the menstruous purgation is over calamint and mercury beare the palme some days before the monthly purgation we must open scarification of the ankels takes place here Another which ariseth from the weakness of the expulsive faculty which is induced 1. By a cold distemper of the womb of which formerly 2. By a stupidity of the same which is known by this that there are present disease causing stupidity or too great use of coolers went before after the due time of purgation though there be present abundance of blood no heaviness is perceived by the woman In the cure we must have respect to the disease and its causes Article 7. Of too much flowing of the courses The too much flowing of the courses is
either a too plentiful or more continued purgation of them than is convenient arising either from the fault of the blood or of the womb or of the veins There is not much need of signs especially if there follow a want of appitite crudety an evil color of the face a swelling of the feet and the rest of the body an atrophy cachexy c. The cause we have layd on the blood the womb or the veins but whence these are in fault shal be explained in the differences The cure is difficult if it be of long continuance None at al if it happen to a woman growing old It reqiures 1. A restraint of them by revulsion interception thickning of the blood stopping up the vessels by astringent means and other things Yet it must be stopt by degrees if there be a great plenty of blood and it happen by way of crisis the which falls out seldom Here take place Heurnius his pouder of the seed of white henbane white poppy each one dram of the bloodstone red coral each half a dram camphure half a scruple given half a dram weight The pouder of amber sanguis draconis the bloodstone red corral purslane seeds each one dram pomegranate flowers two scruples easterne bole armenick two drams given from one dram in three ounces of plantane water Asses milk with steel Ferdinandus his aqua mirabilis histor 33. The trochisks de carabe the benes of a man strongly calcined Zacutus his pills l. 9. prax histor p. 185. His plaister there The plaister of saxonia made of the sut of a chimney volatil floure c. a pessary made of heggs and asses dung with the juice of plantane and the mucilage of quinse seeds Specificks are inwardly Forestus his pouder of a turtil l. 28. obs 10. The salt of the ashes of the same the thin skin of geese feet dryed and given from one dram to two scrupels Outwardly a girdle of the leaves of bastard black hellebore bruised Of which Renealmus obser 21. The differences are divers which do cheifly respect the causes 1. One is from blood which 1. either is derived from the bottom of the womb in which the blood is blacker and for the most part clotted Or from the neck which is more ruddy and fluid 2. 'T is either plentiful or sharp or serous Of which in the following difference Another from the moistness of the womb of which see formerly Another from the fault of the Veins concerning which consult with the third difference One is from plenty of blood which is known by this that either the vessels are opened or broke in women especially whose courses have stopt a long while and afterwards do breake forth more plentifully There are signs of a plentitude the blood which comes forth doth easily concrete into clots In the Cure we must respect 1. Bleeding which if it be ordered for evacuation it concernes a vein in the arme the liver veine cheifly If the strength be feeble 't is ordered in the salvatella of each hand if it be for revulsion it must be done at several times because being repeated it revells more powerfully 2. Cupping-glasses which for evacuation may be applied to any part if you except the lower as to the back shoulders and that with scarification for revulsion they ought to be set to the breasts without scarification and upon a difficulty of breathing ensuing they must be removed 3. Ligatures frictions of the armes c. Another from sharp blood which is known by this that there is a corrosion of the vessels joyned with it there are signs of choler The blood is detained and corrupted in the womb it slides forth in greater quantity In the Cure let purging be administred by syrup of roses solutive and leaves of senny See things that thicken it above mentioned Another from serous and watery blood which is known by this that either the liver is faulty by its weakness or the kidnies by reason of their weakness do not attract the serum The blood flowes forth in lesse quantity and is not easily clotted that which is flowed forth if it be received on a linnin cloath and dryed in the shade discovers it self by the colour The Cure attends the diseases themselves III. One is from an Anastomosis in the cure of which observe that hot things ought to be mixt with cold least the veins be obstructed the ventilation of heat be prohibited and a feaver induced that pessaries may be applied if the opening be in the vessels of the neck where oake leaves and unguentum Commitissae are good that baths must not be used unless they be somwhat cold or whose astringent power overcomes their heat Another is from a Diapedisâ—s which happens very rare it presently requires astringent topicks Another from a Breaking which happens either from a plenitude or from causes that stir the blood especially from hard labor and premising the opening of a vein if ther be need 't is cured by conglutinating medicines Another from a corrosion which is known from hence that little blood flowes somtimes purulent somtimes serous It ariseth from a sharp and corrupt blood somtimes also from sharp medicines amongst Astringents is commended the root of dropwort or ' its decoction Article VIII Of the Womans flux and gonorrhaea The womans flux which otherwise is exprest by the name of the whites is an inordinate voiding from the womb of an excrementitious humor by its whole nature differing from blood collected by the fault either of the whole or of some part 'T is called the womans because it affects women and truly virgins also when as the causes take place in them and there are examples of it Yet more commonly those of riper age especially if they be indewed with a moist and cold constitution do lead a delicate and idle life and feed upon cold and moist nourishments old women also and that unto death by reason of the plenty of flegm and the weakness of the concocting faculty There is no need to enquire the Signs the affect is made known by the relation of the patient her self It differs from a gonorrhaea because in that the matter of the seed flows forth whiter thicker and at longer intervals and 't is voided in less quantity From a nocturnal polution because this is joyned with a phansie of a venereal business and happens only in the sleep From the discolored courses because they observe their periods though not alwaies exactly they do not happen to women with child and those troubled with the suppression of the courses they shew a red colour From matter out of the ulcers of the womb because then the signs of an ulcer stand forth the matter it self is thicker and whiter It it be sanious 't is besmeared with blood and voided with pain We have laid the Cause upon an Excrementitious Humor which Somtimes is raised by purging Medicines Nature being stirred up by their use to attempt excretions somtimes by Baths Nature casting off
hot blood do urge it 't is to be admitted commonly in the Arme if the Courses be not stopt if otherwise in the Ankle some daies before the flux it is to be urged sparingly if the evil be far gone 2. Preparation by those things which alter the Melancholly Humor and rejoyce the heart as are the Confection de Hyacintho and Alkermes 3. Emptying by things that Purge Melancholly with which things proper for the womb must alwaies be mixt Chap. 3. Of the Symptomes proper to married women Article I. Of the Symptomes about conception Point 1. Of Barrenness THe Symptomes proper to married women do respect Conception going with Child and the delivery The Symptomes about conception that meet us are barrenness and a mola Barrenness is an impotency to conceive proceeding from the fault either of the Genitals or of the Seed or of the Womb or of the menstruous blood There is no need of Signs the Cause and Cure vary according to the Nature of the differences The Differences are taken from the Causes and Parts I. One is by fault of the genital parts whether it be a Closure of the Womb from the birth which may be artificially cleft or a tender Constitution either by reason of the Age or structure for which a mans Yard is not admitted or Tumors Ulcers and excrescencies in the Neck to which the Cure must be directed and this is not properly called barrenness Another by the fault of the Seed of which shal be treated in the following Difference Another by the fault of the womb of which we wil treat in the third Difference Another by the fault of menstruous Blood when either that is wanting which happens either the womb being covered with a star or the blood turning into Fat or 't is too Copious that the Seed is overwhelmed and suffocated II. One is from the defect and unfruitfulness of the Seed which ariseth 1. By reason of tender Age or too old 2. by reason of the distemper of the Vessels dedicated to generate and contein the seed and then the Woman in Copulation perceives none or little and short Pleasure There are Signs of the womb affected or the whol body or some member hath a Vitious Constitution The Cure must be turned against the distemper of the womb 3. By reason of the Evil Conformation of the same Vessels Another is from want of a Proportion between the mans and womans Seed which consists between manifest and occult qualities but cheifly it ariseth 1. From medicines that extingnish Seed as are a Goats commodity Mint Rue Camphure which either the patient or standers by wil make known 2. From Inchantments and then the man cannot Copulate with his own wife he can with others he hath a desire to couple with his own and if he do couple with her he cannot send forth his Seed In the Cure is commended a drauft of cold water fallen from the mouth of a stone Horse drinking in a Current and suddainly received in a Vessel III. One is when the womb doth not attract the Seed that is cast in and that either by reason of a cold and moist distemper of which formerly or by reason of some Organical diseases and solution of Vnity Where note that very often too much Fat especially of the Caul doth compress the mouth of the womb that barrenness from Ulcers is hardly Cured nay though a great Ulcer were Cured yet that would remain by reason of the Skar left for which the blood can neither adhere to the womb nor flow thither Another is when the womb doth not retain the Seed cast in and that 1. Either by reason of a moist distemper which is known by this that the Fibres of the womb are Relaxt that it cannot contract it self the Seed by reason of iâ—s Mucousness cannot adhere to it 'T is retained for some few daies then cast forth The Cure must be turned against the distemper 2. Or by reason of the thickness of the womb for then the blood doth not slide thither from which the Seed ought to be joyned to the womb and take its increase The Cure requires extenuation by a slender diet exercise purging Sweating and others 3. Or by reason of its Slipperiness and then a womans Flux or virulent Gonorrhea hath happened the Seed conceived is extinguisht and Rapt away The cure must be fetcht from their places 4. Or by reason of the gaping of its Orifice and then either hard labor or abortion went before The Fibers are so relaxt that they cannot contract themselves In the Cure amongst astringents a Fomentation of the Leaves of Lentisk Mirtle c. takes place 5. Or by reason of a Cough Sneezing which happens after Copulation c. By which the Seed is shaked forth Another is when the womb doth not alter the Seed injected and that either by reason of a distemper when the womb by an immoderate coldness grow thicker the Orifices of the Vessels belonging to them are very streit and narrow whence neither the Secundine can be knitted to the Mouths of the Vessels neither doth the blood flow in sufficient quantity which is Serous too or by reason of organical diseases as Tumors Ulcers c. Point 2. Of a Mola A Mola is a mass without bones and bowels from an imperfect conception generated by the fault both of the mans and womans seed instead of a Young one The SIGNS before the fourth month are not so exact that it can be certainly known in process of time 't is discovered by four signs 1. By motion for that is trembling and panting rival to a constriction and dilatation and it fals down like a stone with an eminent sence of a weight upon that side the woman turnes 2. By the figure and bulk of the womb For in that the Belly is lift up according to al dimensions when in a true young one 't is principally raised towards the Navel and is gently stretched towards both sides 3. By want of milk for in a mola the breasts swel indeâ—d but there is produced in them only a certain crude matter from the courses supprest tending to the breasts which in process of time vanisheth when in those with child milk begins to be generated about the fourth month 4. By the Symptoms which are diverse as difficulty of breaching pains of the back and groines c. The cause is the fault of the seed both of the Males and Females jointly when the formative faculty is weak either of it self or because 't is overwhelmed with blood Whence molae are wont to be made if there be copulation when the courses are at hand or flowing or not wholy stopt And of the womans seed severally joined with blood and then there are molae altogether rude and which being long exposed to the aire being melted are dissolved into a watry substance In virgins such a thing cannot happen both because their weak seed wil not attract blood necessary to its conformation and
because the blood it self partly by its unaccustomedness and the narrowness of its own accord flow thither In the cure 1. bleeding beares the palme that the nourishment of the mola may be withdrawn and it must be larger if the woman be plethorick more sparingly it not so in the ankle or ham 2. Strong and often repeated purging 3. Opening of the courses 4. Chyrurgery of which see Authors Prevention requires 1. That Copulation be not too often especially in bodies not strong enough by reason of the generation of weak seed 2. That it happen not when the courses are at hand or flowing or when the womb labors of a distemper See the Differences in physical observations for this mass is not only without bones and bowels but somtimes 't is more membranous viscous fast together not yeelding to iron Somtimes it presents a long forme rhomboidal c. somtimes 't is destitute of all life somtimes it lives the life of a plant Somtimes 't is voided with a child without one after one and somtimes a dysentery goes before the voiding of it Article 2. Of the Symptoms of women with child The symptoms of women with child are in a threefold Difference Some happen at the first time of their bearing in the belly and they are 1. A cramp troubling especially the leggs which is taken away by anointing them by the fire with oyl of bays putting on afterwards hot rowlers 2. The pain of the Sciatica with oyl of Venice turpentine anointed on drives away 3. Loathing of meat which ariseth from the suppression of the courses the better part of the blood going to the young one the worse remaining in the veins from whence by agitation vapors are sent to the mouth of the stomach with the humors a vitious quality is imprinted on it and which ceases of its own accord when the young one is grown greater 4. A Pica or a desire to absurd meats for taking away of which serves the water distilled in the month of May from vine leaves 5. A nauseousness and vomiting which if it be easy ought not to be stopt if difficult 't is not free from danger 6. Torments and pains of the belly which are raised by the wind from the humors about the womb and somtimes do cast women into swouning fitts 7. A loosness which must be timely remedied least abortion follow 8. A pain in the teeth from part of the sharper humor carried thither 9. A pain of the head and vertigo from the vapors sent forth distending and troubling it Others trouble in the middle months of their bearing and are I. A cough from a sharp vapor or the veins of the breast which by reason of the concussion of the muscles of the belly watchings pain of the head is dangerous 2. A palpitation of the heart and faintings which if it arise from plenty of blood is a forerunner of abortion and is cured by bleeding 3. Pains of the loyns and hipps either from the blood supprest falling upon the vessels of those places or from the child growing bigg 4. A flux of blood from the womb nose hemrods which is caused 1. From a rupture of the vessels of the womb by evident causes which are known from the relation of the patient 2. From plenty of blood and then the woman is endued with a good color she beares the flux wel there is less danger if so be the flux be not too much 3. From the weakness of the young one not attracting the blood and then for the most part either the birth is protracted beyond the due time or is difficult or abortion follows there are signs of the weakness of the child that is 1. Either the woman is troubled with a looseness of body by which the nourishment is withdrawn from the young or her courses flow often when she is with child or the mother is often or long sick whence ariseth a fault of the nourishment or the breasts which were swelled ful before are extenuated for want of nourishment in the common veins of the womb and breasts or the young one which already had began to move or ought to move either is not moved or moves weakly 4. From evil humors goading the expulsive Faculty and then sharp things coloured stinking flow forth with pain there are signs of a cacochymy Others happen in the last months as is 1. A stoppage of the urine which ariseth from a compression of the neck of the bladder by the womb it happens cheifly when they stand 2. A hardness and slowness of the belly which ariseth either from a compression of the gutts made by the young one it self or by an extraction of the moisture caused by the same in women that have a hot and dry liver and spleen 't is dangerous because by a violent straining to evacuate al the parts in the belly being ful some dammage may easily ensue 3. A tumor and inflation of the veins either in the leggs by reason of the weakness of the liver of which in its place or by the suppression of the more serous blood and then the women with child for the most part bring forth girles We must forbeare from the cure because the humor is emptyed with the after purgation after the delivery unless walking be hindered or in the hipps that they become as it were varicous which proceeds from the same cause 4. clefts of the skin of the belly by reason of the distension especially at the first birth which are prevented with the anointing of laxative liniments as are marrowes oyles 5. The effusion of water which in the time of bearing is collected between the membranes that involve the young one which wants not danger because both the young one perceives some trouble from thence and a hard labor follows for want of moisture Article 3. Of the symptomes about the delivery The symptomes that happen about the delivery are also not a few I. An untimely flux of blood before the birth whence is a weakness of strength and swounings In the cure of which emptyers must be shunned the aire forbidden cordialls and strengthners must be given when the mouth of the womb opens it self the membrane must be broken and the infant brought forth II. Abortion when the child is born before the lawful time of bringing forth which is feared if the breasts be extenuated because it is a sign that either the blood does fail in the veins common to the womb and breasts or that by the violence of the young one or rupture of some vessels it doth rush to the womb If plenty of milk flow from them If the great bellyed woman have often pains about the belly and loins which end towards the pubes os sacrum with a certain endeavor to cast forth of her womb If after them blood either pure or ichorous or warer flow forth It ariseth in general from the fault of the expulsive faculty of the womb which is irritated either by the young one
by the Moons motions and provoked by the Humors agitated by the Moon begins to assaile the morbifick matter expels the same and so works the Crisis IIII. The knowledg of the event of a disease respects four things 1. The Event it self in general 2. The Termination 3. The time of Termination or the duration 4. The Manner The signs which shew the same are termed Prognosticks and among them the chief are those that declare Crudity or Coction 1. The knowledg of the event of a disease in general depends upon a comparision of the strength of Nature with the strength of the disease to which the foreseeing the state of the disease confers much The strength of Nature is judged both by its natural Causes as wel immediate viz. the natural Constitution of the parts in Temper Conformation and unity as mediate or remote viz. the six non-natural things so called as also by its effects viz. the Actions evacuations and qualities changed The strength of the disease is gathered from things essentially inherent causes external and internal helpers and effects or consequences thereof Here note 1. Oft-times from many smal ones the greatest signe drawen 2. Many times one strong signe is prevailes more in signification than many weak ones 3. Because some signes are better or worse as they are joined with strength or weakness of nature therefore the signs must be compared both one with another and with the strength of the sick patient 4. Those are the worthyest signs which declare the strength or weakness of the vital faculty 5. Oft times when some signs of Coction appear the patient may nevertheless perish by reason or some malignity which betrayes it self in a weak pulse a parched tongue c. 6. By how much the symptomes are less and fewer the disease is so much the weaker and contrarily 7. That they are less dangerously sick whose disease is sutable to their Nature Age or custom or season of the yeare than they whose disease is like none of these 8. That there is greater danger when turgent humors offend than when such as are quiet provided they be not fixed in some part when the disease comes from some large and frequent Error in point of Diet or the other things non-natural so called when the Humors are mixt than when they are simple When a solid matter offends than when a liquid c. II. The Termination of the Disease and whether it wil tend to Health or Death is gathered from the actions natural vital and Animal From things voided and qualities changed not that those things do presently declare Life or Death but because they promise hope of Recovery or terrifie by suggesting a fear of Death And therefore 1. In respect of the natural Actions 1. It gives good Hope 1. If the patient do easily take and retaine what is given because it signifies the good condition of the natural faculty 2. If the Patient eat such things as he or she was delighted with in time of health II. Those following breed an ill event 1 If the patient desire meat when his strength is wasted for that is the custom of those that are at deaths dore and happens either by reason of a soure juice slipt into the stomach or by reason of the great wasting of the body by the disease 2. If the patient have a most exact sence because that proceeds from a great Inflamation in the bowels 3. If he loath meate in accute diseases and other pernicious signes are present 4. If in burning Fevers his tongue being dry he thirst not because it signifies either Raveing or great decay in the Appetitive faculty unless the stomach be moistened with an humor falling from the Head 5. If in an acute disease the thirst which was is suddenly taken away and gone without any cause the tongue remaining dry and the urines crude because 't is a signe the patients senses languish II. In respect of the vital Actions I. It is a good signe 1. If the pulse depart not much from its natural symmetrie or due proportion and there be other good signs 2. If when there is some change to the worse it happen from some discernable cause 3. If there be no fainting felt nor panting of the Heart or in case there be they proceed from consent 4. If respiration be according to nature and other good signs are present because from hence we gather that neither the chest nor the Lungs nor the midriff are affected 5. If the same be great or swift for though it should signifie great abundance of fuliginous excrements yet it argues withal the readiness of the organs and the faculties strength II. 'T is a bad sign 1. When the pulse is either very languishing very slow and very seldom which is worst of al or very little and very soft and very hard or exceeding frequent but not very swift nor very great 2. When Respiration is great and swift because it is usual only to such as are distracted great and frequent because it signifies Inflamation or Pain of some of the Instruments of Respiration great very seldom because 't is a sign of distraction 3. Respiration smal and swift because it proceeds from plenty of fuliginous vapours with pain or inflamation of some of the instrucments of Respiration smal and slow because it shews a weak faculty Smal and obscure so that the Patient is hardly discerned to breath because it intimats the Virtue decayed little obscure and frequent because it proceeds from pain or inflamation of some part necessary to respiration Smal and seldom because it signifies extream debility and therefore the breath of the Patients does then come forth cold 4. Sublime Respiration in which the Chest is exceedingly dilated and that which is inspired is little but withal in regard of the urgent Necessity most dense and frequent because Hippocrates makes such nigh unto death 5. Respiration with Rattling especially if it be joyned with other pernicious Signs because such is that of dying persons III. In respect of Animal Actions I. These are good signs 1. Not to be distracted which though it be no certain sign of recovery seeing many die in their right wits yet in diseases wherein the Brain is affected either by it self or by accident it is no bad sign 2. For the Patient to lie in his bed as himself has formenly been accustomed and as sound persons are wont to do that is to say in such a posture and gesture viz. if he lie on one side with his Neck Arms Legs bending somwhat inwards with his body streight up not falling down towards the Feet 3. For a Trembling to follow a Palsie because 't is a token of nature overcoming or abating the disease II. Bad signs are 1. Raving which though never safe yet it is then less dangerous when 't is accompnnied with laughter and good signs is light and not continual when continual and vehement 't is more dangerous bold and rash is worst of
Raving Fainting away c. The Idea of Diseases themselves c. The Cause is both alimentary matter which has in it the seeds of that corruption and while t is mixed with others hurts not but being separated from them and existing by it self it becomes poyson We verily feed upon many things that are fed with poyson To which ad Heat joyned with the principal Agent the Matter to which may be joined a disposition of the Body hereditary or acquired Particular Influx of the Heavens the Air receiveing the Astral Influxes and terrestrial Exhalations Contagion Poyson Finally the Imagination and Affections of Passions Now the foresaid determinate Corruption is brought to this degree ofttimes by long Digestion and Fermentation whence it is that the Plague does not range up down every yeer although every year the Humors are many waies faulty yea and it often plaies its pranks without any putrefaction as in plants and Animals venoms are bred without Putrefaction and in the most dry Air pestilential venom is bred in which there appear no signs of putrefaction Article II. Of Winds Flatus or Wind is a plentiful vaporous Spirit raised in mans Body by a weak Heat out of meat and drink and a clammie humor The Subject is the body of Live-wights but chiefly the stomach and Guts The Signs are strecthing with heaviness wandring pains the foregoeing of the Causes that breed wind The disease caused thereby rises on a suddain The Urines are ful of bubles on the top The Causes are 1. Meat much and moist which can of it self hardly be digested and somtimes it is in its own nature windie as are fruits which wil not keep windy roots great Sea fishes al sat things such as are sweet clammy c. 2. A crude Humor and which is clan my 3. Weak heat not able to digest the matter whether it be weak of it self or in comparision of the matter on which it works 'T is divided into flegmatick wind which is slowly moved and lasts long Cholerick which is biting sharp and quickly vanishes Melancholick which is fixed and causes sadness And Sanguine which is mild and is offensive more by its Quantity than Quality Article III. Of things totally against Nature Things totally against Nature are Stones and Wormes I. The Calculus or Stone is a solid strong substance bred in the Body of Man out of a slimy tartareous mucilage impregnated with a putrifying faculty by the Assistance of Heat It s Subject is the Body of Man and therein the Brain Liver Gall-bladder Stomach Kidneys Piss-bladder c. The Signs are suplied from the parts themselves There is in a manner nothing to be said of them in general The Cause is not flegm For many are troubled with flegm that are not molested with the stone and many have the stone who keep an accurate diet but a putrefying or stone-making juice Hence it is that persons subject to the stone make water like snivel which afterwards turns to a stone Now it proceeds from the dreggyness of meats which being retained it glews to this or that part is daily encreased by arival of new matter when it laies hold of a clammy thick and earthy matter it coagulates the same and the internal salt of Mans body coming afterward which the foresaid tartar by reason of its natural clamminess easily receives and hides within it self at last is congealed into a perfect stone II. Wormes are little live creeping things bred in the Body of man of a thick clammy excrementitious humor containing in it self a kind of vital Principle by a quickning heat raised by putrefaction Their Subject is the body of man and therein the Brain Liver Stomack c. The Cause is 1. An Humor furnished with a kind of vital principle so that of several Humors several sorts of wormes are bred and the humor is somtimes thick and roaping somtimes bitter so that wormes wil be bred of wormwood and sea salt 2. Heat not celestial but bred in the body and that moist but not alone This by little and little 〈◊〉 solves the humor and stirs up the spiritual â—â—at and principal of life which lay hid in the matter Title III. Of Symptomes A Symptome is an Affection besides Nature in those things which belong not to that Constitution which is necessary to the action of the Parts and which follows some other thing besides nature The SIGNES of the Symptomes are discovered by one or more of the senses and in case they are hid they are drawn from the same fountains with the signs of Diseases and causes that is to say from the Effects and Causes The CAUSES from which they arise are Diseases Causes and their Symptomes T is divided three manner of waies especially I. One is of the Disease which immediatly follows the disease no affection according to Nature intervening Another of the Cause when the Action is hurt by some morbifick Cause A third of a Symptome when one Symptome depends upon another Symptome foregoing II. One is an Action Hurt whether it be abolished diminished depraved or augmented It happens either by fault of faculty when the instrument is immediatly il affected to which the absence of the spirits and influent heat is reserved or by reason of some external Error when those things faile with which the actions are or without which they cannot be performed Another is of things voided and retained Another of qualities changed which depend upon the Actions hurt and the Humors proceeding therefrom III. Another is of the Natural Faculty viz. The nutritive augmentative generative Another of the vital faculty Another of the Animal faculty to which appertaine the Symptoms of the external sences of the internal senses the motive faculty c. THE THIRD BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching Medicaments Title I. Of Medicaments in General HAving already spoke of the preternatural disorders which afflict the Boâ—â— of Man it followes that we should now speak somwhat of their Removal Now touching their removal two things are considerable 1. By what Meanes they may be removed 2. How and in what manner they ought to be removed The Meanes are termed Medicaments which are considered either in general or in special and according to their differences A Medicament in General is whatever being applied to a Sick Body is of Ability by its faculties to reduce the same from a Preternatural to its natural state and condition Concerning which five things are considerable The Name Faculties Dose Adulteration Substitution and Collection I. If we consider â—he Name you must know that we understand not the word Medicament in the most common acceptation for so it comprehends poisons and paintings or Fucuses but in reference to mans body and that either generally considered forasmuch as it neither nourishes nor destroyes the same or specially forasmuch as it is troubled with sickness II. The faculties of Medicaments are 1. Manifest and either the first Heating Cooling Drying
Serpentary root Centory Fig-Ashes Unguentum Apostolorum Agyptiacum By opening the Fistula which being done the Callus must be taken off with a pen-knife or with a red hot iron the part being guarded with a defensative III. By Consolidation the filth being cleansed away by Centory pimpinel c. As for what concerns the differences 1. Some have divers holes or Cavities and then more quittor flows out than can be contained in one Cavity 2. Others have divers orificies and then if the liquor squirted in by the syring flow back through al and if the humidity be of the same coler t is but one Fistula 3. Another terminates upon flesh then that which we touch with the probe is soft and the quittor that comes forth is white 4. Another reaches to the nerve then pain is felt when we search it 5. Another bottoms at the bone and then that which we touch with the probe is hard 6. Another ends upon a Vein and Arterie and then if they be gnawen asunder blood breaks forth if not a certain matter like lees or dregs comes out Chap. 2. Of Wounds A Wound is the solution of Vnity in a soft part made by somewhat sharp and cuting either by way of a prick or stab or by way of a slash or gash The Subject is a soft part and that either external or internal c. There need no Signs The Cause is expressed in the definition The Cure is none if the Heart be wounded so that the vital spirits be dissipated if there be a vessel in the Lunges out of which blood being shed overwhelms the Heart If some great internal vessel be so hurt that it cannot be shut up whereupon blood being plentifully shed the spirits are dissipated Doubtful if the weapon were poisoned if the wounded person be weak and ful of bad humors if an inflamation happen in the inner more nervous parts and such as have more exquisite sence which is followed by an afflux of humors and sometimes by a Gangreen 'T is difficult if it be joined with a Cachexy and dropsy because overmuch moisture hurts the cure If it be purged out with difficulty If it be complicated with other diseases If it be in a part apt to receive a Conflux of humors If it have in it some extraneous thing which cannot at first be drawen forth If on the Critical daies to which wounds are so far subject inasmuch as they have in them some matter requiring Concoction there is no change to the worse If the wound be oblique or circular If convulsion happen or contusion be also present 'T is performed I. By exemption of superfluous things Where note 1. Clotters of blood must be taken away only at the third binding because by stopping the Orifice of the veins they hinder a flux of blood 2. Those broken bones are only to be taken forth which are perfectly free 3. The weapon must be pulled forth if the patient may live when that is done 4. That the weapon may be taken out either by thrusting them along if the passage be short and neither bone nerve nor veine prohibit or by extraction and both waies are performed either with section or without the same those things which cannot otherwise be removed must be brought out with drawing medicaments nor must they be by any meanes left to Nature II. By conjunction of the Lips of the Wound where respect must be had to the manner of binding up and to which belongs swathing placing of bolsters slipping and the right placing of the part tied up III. By Digestion that the blood which flows out of the smallest veins in the part wounded and sticks in the pores of the part may as soon as possibly be changed into quittor Where observe 1. That in moist bodies vulgar moisteners must warily be used least putrifaction being induced the wound should turne to a sordid ulcer 2. In dryer bodies they are more profitable to correct the dryness 3. That Digestives must be corrected with sarcoticks and that we must not trust to one medicament See the Medicaments which move quittor in the Institutions This is the best Red clear terpentine and Gum Elemi of each one ounce and an half Weathers grease two ounces old Hogs-grease one ounce Melt al over the fire and make a Liniment 4. By Conglutination of the Parts which is performed either by a medium of the same kind in the soft and fleshy parts in which plenty of blood by strong heat is more easily changed into flesh or by a Callus in the bones or by a scar in the skin Which is furnished by sarcotick medicaments of which in another place also by vulnerary potions concerning which observe That they are not to be used at the beginning nor when external medicaments may serve the turn and when there is a fever and Inflammation those things must alwaies be used which are appropriated to the parts Hereunto appertain The Vulnerary Balsom of Hartmannus in his chymiatria the glutinatory pouder of Crabs Balsam of Eare wax and Rulandus his balsam of sulphur 5. By averting the fluction where we are to use 1. Blood-letting if the body be plethorick If the blood did not issue out two much before If the wound be great and there be no inflammation caused by pain 2. Purgation if the body be ful of bad humors if the humors be thin hot and cholerick least they make the blood apt to stir If it be used at the beginning If there be no fever withal The Differences of wounds are sundry 1. One is of the Vessels and that either of a Veine and then the blood Issues more violently and it is thicker blacker and less hot or of an Artery and then the blood is yellow hot and thin the patients strength is much spent by reason of loss of spirits t is hardly cured by reason of the hardness of the Arteries their perpetual motion and the force of the blood in them contained The Cure calls for the stoppage of blood which is performed 1. By joining together the Lips of the wounded vessel either with a mans fingers or a swat he by which means nevertheless the blood wil hardly be stopped By stopping the Orifice of the Vessel either by application of ones finger or by medicaments which stop blood The external medicaments are Crepitus Lupi a kind of puckfist or toadstool so called vitriol poudered and put in a cloath the pouder of Agricola consisting of two drams of Sugar of Lead White franckincense red myrrh one dram of Saffron and Camphire poudered wet with Frogs-spawn water dried at a gentle fire put into the wound Internal medicaments see in the Chapter of bleeding at the nose 3. By Revulsion with blood-letting divers times administred or by Cupping glasses if the patient be weak 4. By Interception with intercepting medicaments which ought to be applied to the vessels by which the blood flows 5. By dissolution of the blood after it is congealed and clottered
Cure is hopeful if there be no pains For so Excrementitious matter is thrust forth into the hairs and the Vertue becomes stronger There is no perfect Cure seeing the Causes are not sufficiently known T is made worse by Purgations and Blood letting Some wash the Head with a Decoction of Bears-breech A certain Countrey man used Baths to Cure this infirmity in which the Patients grew at first hairy and then their hairs being out off they were Cured See Hercules Saxonia Title IIII. Of Vlcers in Particular Chap. I. Of the Gangraena THe fourth kind of external Diseases are Vlcers under which are comprehended Gangaena Sphacelus and Ambustio A Gangrene is a corruption of the soft parts especially tending to mortification proceding from the Corruption Suffocation Dissipation or extinction of the natural Heat in the Part. The SIGNES are the change of the Color in the part to black and blue Imminution or Lessening of the Pulse and Sense Abolition of the Heat Motion remains if the Head of the Muscle be intire nor is there alwaies a tumor but there is alwaies an Ulcer of necessity The Cause is the Corruption Suffocation Dissipation and Extinction of natural Heat in the part The CURE is evermore Difficult especially if it be with afflux of Humors If it be in the moister parts of the Body If it be Joyned with the dropsie It is accomplished 1. By convenient Diet. 2. By due Evacuation with Blood-letting and Purging 3. By Strenkthening the Heart against putrid vapors 4. By Defending the sound part against the speading Corruption by Defensatives and Antidotes The Differences are taken from the Causes which ar either External or Internal I. One kind proceeds from Too much cold oppresing the natural Heat of the part It is known in that sudenly a sharp and prickling pain aflicts the patient The redness of the part is soon changed into a Leaden-color a coldness and nummedness is perceived as it were in a Quartan Ague T is cured 1. By plunging the coold part into cold water or rubbing the same therewith 2. By drinking down hot potions to procure gentle sweates to excite the natural heat 3. After the heat is returned by rubbing the part with warme liquors to which intent a Decoction of Turneps is good 4. If the part be already gangraenated the parts must be scarified and fomented with hot cardiack medicaments II. Another sort springs from bindings which intercept the Blood and spirits In the Cure the ligatures must be losed Medicaments discussive and resisting putrefaction must be applied If the gangrene have made progess we must act acording to the symptomes III. Another springs from defest of Nutriments or Atrophia so called T is known in that excepting leanness neither tumor heat nor paine are perceived when pustles arise paine and fever follows In the Cure prescribe a diet hot and moist smear the Body with moistening oils Draw nourishment to the part by Cupping-glasses without scarrification and anoynting with oyl of Earth-worms c. If the Gangra in proceed scarifie the part and do as shal be here after specified IIII. Another sort springs from External Heat which happens after great burnings If so in the Cure prescribe a cool diet Temper and purge hot humors scarrifie the part and soone after wash it c. Proceed not to an actual Cautery unless necessity compel V. Another springs from the biting of venemous Beasts T is known by relation of the patient In the Cure 1 The venome is to be drawn out by an actual Cautery or scarrification Medicaments resisting putrefaction and such as draw are to be applied 3. Vlcers arising from scarrification or burning must be Cleansed in which case we must not forget to use spirit of wine VI. Another sort springs from the flowing of malignaut Humors into the external parts T is known hereby that in parts especially those which are in the Extremety of the body a blader appears under which there is a black spot there is a continual fever fainting away c. T is Cured 1. By a drying Diet into which coolling cordial Medicaments are to be put 2. By Blood-leting and evacuation if need be 3. By sudorificks which must be lustily plied in this Case Dittamus of creet Vincetoricum and Treacle are good in this Case 4. By Scarifications Cupping-glaces and application of Leeches to the part affected if blood be not otherwise sufficiently drawn forth 5. By washing the same after Incision with salt water or some other fomentation according to the greatness of the Corruption 6. By applying Vnguentum Egyptiacum or som resolving drying and putrefaction hindering Cataplasmes after washing 7. If no ammendment appear Causticks actual or potential such as Butter of Antimony or Mercury Dissolved in Aquafortis and precipitated with oyl of tartar are to be applied 8. By timely Romoving the Crust least new putrefaction arise thereunder Chap. 2. Of the Sphacelus SPhacelus is a perfect Mortification of a Part which seases not only the softer parts of the Body but the hones themselves The SIGNFS are there is no sence in the part whether it be cut or burnt Coldness sharpness and blackness of the Flesh At last it smels like a dead Carcass and the skin is by the fingers separated from the flesh beneath it The CURE consists in cutting off the manner of which see in Practitioners And then 1. Some part of the sound part being very wel bound must be cut off rather than the cutting should be practised upon the in infected part 2 Section must be made in the fingers and Toes 3. In the Feet if the Disease reach above the ankle the thigh must be cut off below the Knee 4. In the Arme very little of the sound part must be cut of c. See Fabricius Hildanus in his Treatise of the Gangraena and Sphacelus Chap. 3. Of Burnings COmbustio Burning is a solution of Continuity in the Scarf-skin and commonly in the skin it self somtimes in the Muscles Veins Arteries or Nerves by the force of fire Touching the Signs t is needless to speak seeing burning is manifest of it self The Cause is either Fire Scalding water Oyl or melted metal or Fat c. The Cure varies according to the differences In the first place the fire must be fetcht out In the next place least pain attract the Humors and blood we must use repellers and defensatives Then we must by Diet purging blood-letting Cupping-Glasses and other means diminish the same A Mucilage of Quince-seeds Extracted with Rose-water and mixed with Line-seed Oyl must be use at the beginning which wil satisfie al Indications The Differences of burnings are Vatious I. One sort is very slight which is known hereby that the burning thing which caused it was light the skin is red the pain most bitter and pricking the place is puffed up pustles arise ful of clear and white water At last the Scarf-skin comes off T is Cured 1. By taking out the fire that no Pustles may