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A45776 Levamen infirmi: or, cordial counsel to the sick and diseased Containing I. Advice concerning physick, and what a physician ought to be; with an account of the author's remedies, and how to take them. II. Concerning melancholy, frensie, and madness; in which, amongst other things, is shew'd, how far they differ from a conscience opprest with the sense of sin, and likewise how they differ among themselves. III. A miscellany of pious discourses, concerning the attributes of God; with ejaculations and prayers, according to scripture rule. Likewise an account of many things which have happen'd since the creation. To which are added several predictions of what may happen to the end of the world. The whole being enrich'd with physical, pious, moral & historical observations, delightful to read, & necessary to know. By D. Irish, practitioner in physick and surgery, now dwelling at Stoke, near Guilford in Surry, where he is ready to serve any person, to the utmost of his skill. Irish, David. 1700 (1700) Wing I1036; ESTC R221621 80,143 149

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but the practick ●ethod of Curing each particular Disease Chirurgery teaches how to contribute to the Cure 〈◊〉 many Diseases by Manual Operation it is in ●●ny things subordinate to Physick for as some di 〈◊〉 Arts into Architectonick or Magisterial Arts 〈◊〉 Ministerial Arts so according to them the Art 〈◊〉 Physick is an Art Magisterial in a knowing Phy●●●ian who not only prescribes a Remedy but can 〈◊〉 show the Reasonableness thereof when as the 〈◊〉 Ministerial is that which follows the Directions 〈◊〉 the Art Magisterial without giving the Reason 〈◊〉 for Example The Art of Breathing a Vein in a ●●rgeon whose Province is to execute the Commands 〈◊〉 the Physician tho' he know not the Reason why 〈◊〉 Physician so commands The Art of Surgery is very ancient for which ●eason perhaps it is that the Words to the Surgeons 〈◊〉 is De Praecipientia Dei 'T is exercis'd espe●●ally on external Parts yea and on internal too 〈◊〉 far as Hand or Instruments may reach It con●●ins four Parts the Knowledge of which makes a ●●mpleat Surgeon viz. Composorix Ablatrix Sepe●●trix Apposearix it con●iders Anotomicks in the ●●ructure of Humane Bodies c. Secondly The ●●ysical State of the same It also enquires into the ●isquisitions of things relating to Humane Bodies as 〈◊〉 Preservation Agitation and Affections The Physician ought first to consider the Maete●● Medica Secondly the Pharmaica And lastly oug●● to know the Names and Kinds of Diseases the 〈◊〉 affected the Signs Causes Iudgments and vario●●●ay● of Curing all internal Diseases whether gen●ral or particular acute or chronick happening 〈◊〉 the Bodies of Men c. Those that intend to be excellent in these Art ought often to read good Authors have freque●● Commerce with Physicians Surgeons Chymists 〈◊〉 Apothecaries see Preparations and mechanick Mi●tures and to frequent Hospitals where they 〈◊〉 see great Varieties In Summer they should He●balize Likewise Travel will much advance the●● Knowledge These things as they help Experien●● and Knowledge will acquaint them with the Mist●ries of Art and render them skilful in the Ico●● and Figures used in Philosophical Zoological 〈◊〉 Chymical Parts and prevent their being impos●● upon by ignorant pretending Medicasters c. Since I have made these things thus known to 〈◊〉 let it be thy Care good Reader not to adventu●● the being Shipwrack'd upon the Rocks of horr●● Ignorance and of being at once rob'd of Heal●● and Wealth too by such as think all Diseases 〈◊〉 be cured by Chance which indeed is a Chance some ignorant Pretenders to Physick and Surge●● cure one of a Thousand Indeed some recover the●● Health by the successful Endeavours of Nature 〈◊〉 under the Hands of the Ignorant and this gives 〈◊〉 unskilful Pretender some Reputation tho' indeed 〈◊〉 deserve none for in reality the Patient was reliev●● by meer Chance if what the Pretender gave wroug●● the Cure since he was ignorant of the effect of 〈◊〉 Medicines or perhaps his Medicines as they did 〈◊〉 ●ood so did little harm and then i● was the Pre●alency which endeavouring Nature obtain'd over ●he Disease which effected the Cure and in this cas● 〈◊〉 that can be attributed to such Medicine-makers 〈◊〉 ●hat they as I said only gave the Patient by 〈◊〉 something that very little or not at all 〈◊〉 the Power of Nature Many ●●lly Women and others as ●●mpl● as they 〈◊〉 mix many things together w●ich con●●sting o●●any medlies of contrary Na●ures oft-tim●s works ●ery dreadful Effects for fomenting together they ●ecome poysonous or what 's as ill ●est●uct●ve o● 〈◊〉 Patient's Life y●t t●es● th●y 〈…〉 ●hich at best commonly prove a 〈…〉 good 〈◊〉 nothing It requires Art and Skill ●o make a ●●ight Mixture that s●●ll be of a 〈◊〉 Qua●●●y for the ●isease and Diseased ●n hand there must be in it Harmony if you would have it put the Body in 〈◊〉 what Medicine soe●●● wants this will put ●●ery thing out of Order 〈◊〉 so 〈◊〉 the Patients ●e●tr●ction And this is ●he To●a● 〈◊〉 can be ex●●cted from taking of Medicines from those who ●●ow not how to make up a Composition proper 〈◊〉 their Patients Malady In the next place tho' Physick Books are useful 〈◊〉 I would not perswade any ●o so much Levity as 〈◊〉 try all sorts of Medicines they shall find in Books 〈◊〉 may be had in Apothecaries Shops for he that ●●ould do so shall scarce ever 〈◊〉 cured or know 〈◊〉 true worth of any one Medicine but be ever to 〈◊〉 and the further he goes shall be the more out 〈◊〉 his Way whereas if he find a Man of long ●xperience honest Principles and good Judgment ●ho consequently is able to make choice of or com●ound Medicines excellent in Operation and curing many Distempers then those that stand in Nee● may best supply their Want by buying such approve● M●dicines and so neither venture Life or Limb o● the unwholsome and un●xperienced Compositions o● ig●orant Pretenders The ordinary way of Curing most Diseas●s i● begun by removing the Ca●se or Causes whence th● Infirmity proceeds grounded on ●hat Axiom of th● Philosopher Sublata causa tollitur eff●ctus The C●use● of all Diseases are commonly either breach of Duty or s●ch Accidents as befal us against our Wills unlooked ●or Now for the Comfort of those that are afflicte● with any Disease and desire Help if they or an● Friend of theirs think fit to make choice of me t● administer such Physick Helps as their Distempe● requires I shall be ready and willing to supply them as re●sonably as can be desired and shall give them such Heavenly Counsel as my slender Skill doe● afford therefore take Courage in the Consideratio● of G●d's Goodness for He through the Means o● timely Applications of the skilful Physician his In●trument for the Recovery of Health will if it b● for your Souls good turn your Sickness and Pai● into Health and Indolence this being so 't is hard ●o say this or that Person is incurable for I am o● Opinion and my Opinion is grounded upon Experience that many may be re●tor'd to their former Strength and Health which have long in an untimely Despair lay languishing under their Distempers but let not any dispair or distrust God's Ability of giving Success to Man's Endeavours Let them make tryal of me or of my most approved safe and often experienced Medicines skilfully prepared according to Art for internal means I ha●e also Remedies for external Applications of whose Virtue and Efficacy I doubt not but by God's Blessing thereon if us'd in time the Sick and Diseased will be highly sensible for as far as Physick can pretend aided by Divine Assistance they cure all curable Diseases and Infirmities proceeding from what Cause or Causes soever inward or outward To give a Relation of the Causes and Names of all manner of Diseases and Infirmities would make too big a Pamphlet to present you withall but considering that the Generality of People are poor and not able
to give a large Fee to a worthy and able Physician nor to answer the Charge of an Apothecary's Bill tho' but reasonable I therefore publish this Book to give Notice to all Persons that I will afford my Medicines more reasonable than any Man can by reason I make and prepare all my self and will go when sent for to visit any Patient cheaper than any Man I know and for this my Charity I hope your Experience will crown my Works and a Blessing attend my Endeavours in that I afford Medicines of great Worth for a little Money An Account of the Doctor 's Remedies and how to take them I Am not ashamed to give an account of what I profess nor to express of what my Pills and Tincture are made that those who are expert Practitioners who indeed are only capable to judge of their Excellence may give their Opinion of them and those that desire further Satisfaction of my Abilities let them examine those that have made tryal of me and of my Stomach Pills and Tincture which are only an extract of the chiefest Simples of the Family of Vegetables that are Specificks Hepaticks an● Spleneticks My Antiscorbutick Tincture is drawn from an Infusion of Scurvy-Grass Liver-wort Hearts Tongu● Tamarask and Hepatick and Splenetick Ingredients therefore they are more proper for Curing the Scurv● with all its crowd of Symptoms than commmo● Spirit of Scurvy-Grass and consequently I may justl● commend my Pilula Stomachica Tinctura Antiscorbutica that is my Stomach Pill and Tincture again●● the Scurvy to be most useful and profitable for al● those for whom I have the best Wishes and therefore I advise all my Friends and Neighbours t● make tryal of these my Pills and Tincture which wil● cure those complicated Distempers intermixt wit● the Scurvy by rectifying the Scorbutick Humour● by cleansing the Stomach from all peccant matte● that hinders Digestion also they carry off all aci● or acrimonious Iuyce or any undigested thing tha● breeds adust Choler whence frequent Diseases ar● derived therefore it is most proper to take a Dos● or two of these Pills to carry off those Humour● before one enters upon any other Medicine to effe●● a Cure To apply things outwardly as some do to Brea●ings out or Sores of a Scorbutick nature is hurtful for it drives back the Humours into the Stomach which cause Sickness and Vomiting want of Appetit● Pains and Wind in the Stomach and adjacent Parts and makes the Stomach to lose its Tone and Rectitude and then the Body can enjoy no Health besides a bad Chylification is the original of many Diseases How careful then ought People to be in keeping the Kitchen of their Bodies I mean their Stomachs clean since that would be the only means to prevent Diseases as well as cure them nay this would so preserve Health that Men might attain the Happiness of seeing the utmost of their appointed days with Ease and Comfort It was the Opinion of the ancient Physicians That the Stomach and Spleen contained a Ferment which hindred them from performing rightly what they were intended for because the abundance of fixt Salt falling upon the Stomach causeth soure and unsavoury Belchings from which also proceeds melancholick tenacious gross and crude Humours which mixing with the Mass of Blood causeth a Cachexy which obstructs the Liver and finally ends in Scorbutick Distempers Now my Pills and Tincture are the most excellent means yet known for their Cure and Prevention by cleansing and sweetning the whole Mass of Blood and nervous Iuyce rectifying all the Defects and Injuries that putrifie the Blood which being corrupt defileth the whole Habit of Body and is the Cause of Eruptions or all sorts of Breakin gs out as Itch Leprosie Spots Ring-worms Kings-Evil and all sorts of Swellings in the Joynts or other parts which sometimes turns into Fistula's or such fretting Vlcers or Sores that will hardly admit of Cure till the Scorbutick Humours be carried off and the Mass of Blood cleansed from the aforesaid Humours the primary Cause thereof therefore you must first remove their Cause before you can effect a Cure Sometimes these Humours break out principally in the Head and then it turns to the Scurff or Scald-Head Sometimes they fall on the Eyes and produce Lachrymarious Humours which endanger the Sight by breeding Cataracts and Glaucoma's and if they obstruct the Optick Nerves incurable Cataracts follow Sometimes these Humours over-heat the Brain by reason of Vapours which arise from the lower parts of the Body sent up to the Head and then they bring Deafness by obstructing the Organs and auditory Nerves which hinder the Drum and Anvil from sending the Eccho to the Brain and many times is the Cause of more stubborn Diseases as Cancers in the Breast Gouts of all sorts Dropsies Iaundice Collick Pains with Griping in the Bowels Stitches in the Sides Pains and Weakness of the Back Obstructions of the Liver Spleen Mesentary Diaphragma Tranchea Arteria and Stoppage of the Pipes of the Lungs hence come Asthma's and Consumption Coughs with Shortness of Breath and when the Stomach is stufft with these ill Scorbutick Humours we are afflicted with Giddiness of the Head Convulsion-Fits and lastly with Contraction of the Nerves Sometimes by over-charging of Nature with strong Drinks proceed Vapours which cause Apoplexies Belchings and loss of Appetite Sometimes these Scorbutick Humours produce Numbness and Tingling in the Flesh and so turn to a Palsie with Weakness and Wearisomness wasting of the Flesh and decay of Body besides in Old and Young these Humours bring Swooning and by coagulating of the Blood hinders its Fermentation and then the Influx of Spirit● to the Heart is stop'd There is no Disease more like Death than these Swooning-Fits Fermentation once hindred any peccant Humours that abound in the Blood are no longer mixt with its Mass but soon separates by the Pores of the Arteries and so sticking by its Viscidity among the Membranes of the Stomach causes Vomiting when the Patient comes to himself Let this suffice for the Cause of Swooning in general As for the Vterine Swooning of Virgins it arises sometimes from the Womb and shows it self by Anxiety and almost loss of Breathing yet sometimes these Scorbutick Humours by heat condence and breed Stone and Gravel which is the Cause of Stop-page and Sharpness of Vrin they may know their Distemper by their Urin which is thin pale venous and hath red Gravel sticking to the Pot. Sometimes there is a Scum or Cream on the top of the Urin. And thus much I thought fit to say of the Scurvy such as would know more may consult my little Pamphlet I formerly set out for the Cure of the Sick and Diseased through God's Blessing by my Famous Medicines therein mentioned This is the Second Edition for some Reasons I have left many things out that were in that In that Book I gave an account of Three Pills and a Quart Bottle of Diet-Drink which Three Pills and Bottle
osbcure places sad and heavy oft museth imagining and speaki●● many ridiculous things but usuall● fixes upon 〈◊〉 trifle he will not be perswaded from what he fancie ●or tho' he fancy himself a King a Prince or Proph●● or indeed any thing else he will industriously im●●tate the Person or Character he puts upon himse●● Some that are afflicted with Melancholy are weary 〈◊〉 their Lives have ill thoughts talk idly or witho●● any order or coherence they also take pleasure 〈◊〉 Solitude are subject to Weep and are often tak●● with a suddain dislike of what they formerly 〈◊〉 affected they are so jealous that they think eve●● body cheats and lays snares for them they are afr●●● of being Poysoned their sleep is but little and 〈◊〉 troubled with strange frightful Dreams some have a silly foolish Laughter and these are the most gene●al Signs But to lay open all the Symptoms and their Causes would take up too much Room they ought to refrain from Wines Spirits and hot Cordials likewis● strong Beer is hurtful tho' they complain of a cold●●ss i● their Stomach or elsewhere yet such liquo●s mu●● be deny'd them and indeed as to strong ●rink I would have all Men remember the Ancient ●bserva●●on of the Heathen in drinking to the Ho●our of their Gods the first Bowl was they s●id ●o Iup●t●● Olympus the second to the Heroes and the ●hird to Iupiter Sospiter Or take it thus The first to ●heir Health ●he second to their Friend and the ●hird to their Rest what was more than this they ●eckoned Madness and injurious to their Health ●n lik● manner we Physicians usually attribute the ●●rst Glass to the quenching of our Thi●st the second ●o Pl●●sure the third to Drunkenness and the four●h●o M●dness but if ●hey drink more you need not ●oubt but they 'l make as bad a Bussel and Noise as the ●oudest graduate in Moorfi●lds College alias Bedlam ●or as a ●oaded Ship in a great Storm when the Pilate ●s a Sleep or when her Rudde● is lost cannot Stee● ●igh● so ●hose that have their Senses overwhelm'd ●ith Wine or other strong Liquors or their Minds ●pprest with strange imaginations and disorders ●un against the Rocks of Folly 'T was Pythagoras his Opinion that all disorders of the Mind or Body are ●o many causes of Madness Therefore let all People ●ndeavour to be moderate in all ●hings as well in all ●inds of Studies as in Meats and Drinks which supply ●he four Humours of the Body for if any of them do ●●per abound Diseas●s follow at best if not some sort ●f Mad●ess or other For 't is no Wonder if that Liquors can Transform and Change the fickle mind of Man As the ordinary cure of all Diseases and ways 〈◊〉 help Infirmities are to be begun with removing su●● Causes as first procured the Malady even so the 〈◊〉 thing to be done in restoring Melancholy Men is 〈◊〉 fortisie the Brain and Heart and so bring them to better state of mind and chear and this is to be eff●cted by removing such causes that first procur'd the●● Indisposition but for perfecting the Cure if tho●● that are Afflicted with this or any other Disease d●sire a Physitian that will truly and justly proc●ed 〈◊〉 the Cure of what he undertakes without any frau● this is then to certifie such That if they think ●it 〈◊〉 make use or choice of Me I will honestly and exp●ditiously do my endeavour to restore them to th●●● former state of Health Strength and Tranquility But now it is time to shew the difference betwi●● the aforesaid Melancholy and a Distressed Conscien●● First then whatsoever molestation ariseth directly 〈◊〉 a proper O●ject of the Mind the same is not in 〈◊〉 respect Melancholy but hath a further ground th●● Fancy and if the Molestation proceed from a con●●deration of things done that are really sinful in themselves such Trouble has its ●rigen from Conscien●● condemning the Guilty Soul according to those E●graven Laws of Nature which no Man is void of 〈◊〉 he never so Mean Illiterate or Rude This take● nothing of the Body nor intermeddleth with H●mours but giveth a direct Wound with those 〈◊〉 Darts which many thus Afflicted most sensibly 〈◊〉 and complain of Nay This Infirmity is of so 〈◊〉 Latitude since all Men are Sinners that there is one but what more or less betimes labour under it ●nd some being highly culpable of the breach of ●ods Laws incur the Punishment of Condemnation ●nd thro' the sense of that miserable Condition fall ●●to deep Despair Such say that they feel the Wrath ●f God kindled against their Souls their anguish of ●onscience is so intollerable that they find no releas●ent tho' Prayers and Supplications are made unto ●●e Lord for them by reason that in their own ag●ravating Judgment they stand as Reprobates to God ●s excluded from his Covenant and void of all hopes ●f inheriting the Kingdom of Heaven and rest assu●ed that the termination of their Life will be the ●eginning of a Condemnation which will never have ●nd I pray you dear Melancholy Christian consider God● ●ercies of old and your own former Experience of his ●avours call to mind those holy Testimonies of ●lection which no doubt but some of you have in ●●mes past found in your selves this done consider ●hether you are not under some Temptation than ●as you imagine God's Anger for Satan tempteth 〈◊〉 in the very utmost recesses of our hearts for he ●eing a Spirit it is not to be doubted but that he hath 〈◊〉 Spiritual access into our Spirits to trouble them and ●isorder their Operations by a spiritual or subtile conference whereby he bears too great a sway in ●hem this may seem the more probable because 't is ●bse●v'd that these in this sad Condition alter the ●ccent of their Speech and shew gr●at disorder in ●he●r discourse it being far otherwise than what i●●as before Nay it may seem that their whole Nature is at Satan's beck and their utterance wholly ●as he suggesteth but as to these Speculations and Instructions in this matter I refer you to the Judgments and Resolutions of Divines whose Provinc● it is to consider and who no doubt will put you i● mind how the Spirit of God calleth Satan the Tempter the Deceiver of the World the Accuser of the Faithful the Dragon and Old Serpent and in sine a Lyar and the Father of Lyes Now if the condition of your Affliction be onl● some kind of Temptation which I doubt not but to make manifest and plain then ought you to estee● of your Case as more Comfortable than thro' Erro● you do and to attend with Patience the Issue whic● in such as have been in like Circumstances have afterwards given evident Testimonies of Salvation Nay such have not only felt a spiritual Joy and Comfor● in themselves but in the end have also become abl● to confirm others both by their own Examples and words of great Consolation from their
Levamen Infirmi Or Cordial Counsel to the Sick and Diseased CONTAINING I. Advice concerning Physick and what a ●hysician ought to be with an Account of the Author's Remedies and how to take them II. Concerning Melancholy Frensie and Madness in which among●t other things is shew'd how far they differ from a Conscience opprest with the Sense of Sin and likewise how ●hey differ among themselves III. A Miscellany of Pious Discourses concerning the Attributes of God with Ejaculations and Prayers according to Scripture Rule Likewise an Account of many things which have happen'd since the Creation To which are added Several Predictions of what may happen to the End of the World The whole b●ing enrich'd with Phys●●al Pious Moral Historical Observation● delightful ●o read necessary ●o know By D. IRISH Practitioner in Physick and Surgery now Dwelling at Stoke near Guilford in Surry where he is ready to Serve any Person to the utmost of his Skill LONDON Printed for the Author And are to be Sold by Isaac Walker Bookseller in Guilford 1700. To the Worshipful and much Esteemed Mr. Robert Berry Mayor of the Ancient Corporation of Guilford in Surry And to all my Loving Neighbours and Friends Worthy Friends THat I might pay a more than Momentary acknowledgment for the many Tes●●●●●ies of Love and Honour I have daily receiv'd at your hands ever since Providence brought me amongst You I humbly lay at your feet this little Book And since Friendship is best preserv'd and cultivated by mutual Obligations I will which indeed is all I can do on my part in Return of Your many good Offices when ever any of You or your Friends are pleased to call for my Assistance make it my sole care and design to Administer proper Medicines as the Patients necessity shall require Another Reason of my Dedication arises from the knowledge I have of Your Zeal ●or Godliness and the Propagation of the true Religion to which I hope this my little Book will in some measure Contribute I need no● stimulate You to the encouraging of Virtue and curbing of Vice since I know that You according to the Power God has invested You with will take care to punish Iniquity and maintain the Purity of the Christian Religion which has suffer'd so long by the Remisness of many of its Professors insomuch that Atheistical Principles and Practices have strangely gotten ground of Gospel Truths to the Spiritual Grief of all the Godly And now since I consider'd that Spiritual and Corporeal Maladies are the two grand Misfortunes of Mankind I have in these sheets endeavour'd to Remedy both Physick is chiefly what I Profess nor am I asham'd since it is of such Intrinsick worth that it even adds honour to the most honourable Practitioner That it is profitable to the Natural Body and consequently to the Body Politick since the latter consists of the former as a Whole do's of its Parts must be acknowledg'd by every one that is Sanae Mentis and needs not Helebore Hence the Wise Gre●ians did not without Reason highly commend Hypocrates and the Latines their Corne●ius Celsus for their Courage in first Ven●uring and Wisdom in wading into the Depth ●f this Mystery and for their transmitting in ●heir Works this Noble Art to Posterity This Art was anciently Valu'd at so high 〈◊〉 Rate that Apollo and Aesculapius steemed by some the first Founders of Physick ●ere adored as Gods for the Excellence of their ●●vention Besides the Word of God which ●ndeniably Warrants our Esteem for whatso●ver it Extolls mentioneth Phisitians by way ●f Honour before the giving of the Law ●e which doth not only implicitly allow but ●xpresly Commands if the Old English Tran●ation be credited the use of Physick see ●en 50.2 Psal. 147.3 Exod. 15.26 ●od giveth Medicines to heal Health is the ●rince the first Born as Life is the King of ●utward Blessings The Widow in the Gos●●l disesteemed all her substance in comparison 〈◊〉 this Iewel And Job said Skin for Skin and all that a Man hath to save his Life The Phisitian who is Manus Dei brings ●his precious Pearl Health to the oppressed Sick where God sees it n●cessary for their futur● good God and Nature qui nihil frustra agunt have appointed Herbs not only for Meat but also for Medicines the virtue and value of which would never be found out no● made serviceable to their right Ends if some did not employ their time and tallants in search thereof tho' 't is a task full of difficulties for the natures or effects of Simples alter according to the difference of places in which they grow and according to the Constitution of the Persons to whom they are given How miserable then are those places where nothing but ignorant Pretenders abound whose Medicines are usually worse than Ineffectual an● such as take them are deliver'd up to th● Mercy I should rather say Cruelty and Execution of Ignorant Pretenders On the othe● hand what a great felicity and happiness is i● when the Sick and Diseased meet with Persons both of much Science and Conscience wh● ●nderstand and consider the Cause of Diseases 〈◊〉 Nature of Ingredients the Constitution of ●atients the difference of Climates and the ●roper Seasons of Administring Physick and ●aithfully according to these Circumstances Prescribe and Apply it Yet dear Countrymen all this without God●iness is not enough which as the Diamond to ●he Ring addeth real Value to all natural and ●cquir'd Accomplishments and which is the ●nly Ark for the Soul to be shelter'd in when a Deluge overfloweth O! how glad would ●●sanctified Schollars be who are now cry'd up for sublime Wits for the Quintessence of Learning for living Libraries and Divine Eagles for Magistri Sententiarum Doctores Angelici Seraphici Subtiles and what not if they could pass at the great Day for the greatest Ignorants and most illiterate Innocents that ever were in the World ' Tho' my Practice is Physick yet have I presum'd to Write of Holy and Spiritual things because Religion is absolutely necessary in all and also to beget in all Men diligent endeavours after true Piety as the onl● means to arrive at a right management o● their Parts The Lord grant that what I have written may be apply'd as Medicinal to the health o● my own and the Souls and Bodies of others which is the hearty Prayer of Honoured Sir And dear Countrymen Your true Friend and Humble Servant D. Irish. David Irish Practitioner in Physick His Advice concerning Physick PHysicians are called by Herophilus Man●● Dei the Hands of God and not very improperly since they are the Instruments he often uses in restoring Health and repairing decayed Nature they ought with no less Cheerfulness and Diligence help the Poor in their Extremity for nothing or at most for a very small Reward as the Rich for great Sums since it is not the Physician but GOD that cures for in Exod. 15.26 God saith He will put away their
●f their natural Soil they lose their Planetary Vir●ues in a great measure yet they continue with the ●ame Colours and Smells tho' not so strong there●ore the Chymical Extractions made from them where they naturally grow are the best of Medicines ●f administred according to Astrological Rules the want of knowing which is the cause of great Errors ●n many Physicians but for finding out any Disease ● say with Mepardus Potius lotium inspiciendum quam ●astra That the Vrin is rather to be look'd into than the Stars We read in Holy Writ That the Physician is honourable understand this of him that is expert for one ignorant in his Art renders himself despicable and ridiculous Now the way to make him perfect is to know Nature and her secret Operations It is not the Physician 's feeling the Pulse of the Party or questioning with him how he feels himself and in what part of his Body he is most afflicted that can give a Man a thorough understanding of his Malady The Pulse is deceitful and the Patient himself is oft ignorant These then I say are not s●fficient grounds for him to proceed upon and yet without a good Foundation the Fabrick is not likely to be well built or at lea●t not to stand long How alas should Man ove●●ome with the weight of his own Torture● or dis●ra●●●d with a too viol●nt Desire for prese●● Relief ●●fine the State of his own perhaps unspea●able Misery and yet I ●ay the Cause of a Disea●● must be first known b●●●r● the Doctor can make 〈◊〉 Medicine judicially pr●●er or undertake with a 〈◊〉 Conscience to make a Cure this being so the Natu●● and Temper of the Patient ought to be known an● that can never be d●●cer●'d by looking on the Patien● and fee●ing the Pulse tho' this is all most of t●● ignorant Pretenders ground their Proceeding upon when as that which unerringly signifies t●● Complexion to be Sanguine Phlegm●tick Choleric● or Melancholly is not any inferior thing No it 〈◊〉 the Superior Bodies that best explain the Matte● Thus Saturn signifies Melancholy Iove Sanguin● Mars Choler c. and every one knows that by th● Moon Convulsion-Fits are foreseen therefore 〈◊〉 Galen Hippocrates and all the rational and ancien● Physicians and Students of Nature were eminently skill'd in this sort of Astrology so they esteem'd and with Reason all Pretenders to Physick that wer● ignorant of Astrology to be rather Fools than Physicians Hence Galen admonisheth all Men not to trust themselves in the Hands of that Physician o● rather ignorant Pretender who is not skill'd in Astrology since the Ignorant therein are not abl● to perform with Certainty any Cure whatsoever Besides what will cure a Flegmatick Man of a Fever will not cure one that is Cholerick and then the pret●nded Physician seeing his Medicine doth no● work the like Operation as formerly supposes the M●lady to be somewhat else and himself mistaken ●●d then he falls another way to work and so to be ●●ort kills the Patient with a great many Thanks 〈◊〉 Gratuities both of Money and Gifts for as 〈◊〉 Ignorant about him suppose he doing his En●eavour to cure the Sick ought to be well rewarded ●●pecially if he can but talk of this rare Cure and ●hat excellent Remedy and preach himself up and ●thers a thousand times more knowing than him●elf down and now and then use some Latin in his ●iscourse and flourish it out with hard Words to ●he Ignorant I say he carries it then whether he ●ave or kill and that with a great deal of Credit as 〈◊〉 and his ignorant Friends think Likewise Blood-●etting if the Heavens be not duly observ'd is of no Efficacy and sometimes they hinder Phlebotomy which the ignorant Surgeon colours with saying ●he Party is faint-hearted or hath much Wind in his ●eins or with some such like ridiculous Whimsie for they know no better being ignorant of Astro●ogy which is a speculative Science very necessary ●n the Administration of Physick being counted by the ancient Practitioners of Physick rather Divine than Diabolical or Conjuring I say more of this than otherwise I would did I not greatly desire that all good Arts especially those I am conversant in might be refined from their Dross and that Knowledge might still encrease upon the Earth It is generally taken for granted among the unskilful that the seventh and fourteenth Days are critical which they call the first and second Crisis but 't is not true for the true Crisis is thus known look at the time of the Parties first falling sick in what Sign Degree and Minute of the Zodiack the Moon is in and when she comes to the Square thereof that is the first Crisis when she comes to the Opposition or opposite place thereof it is the second Crisis the next Square is the third Crisis and the same 〈◊〉 where she was at the first falling sick is the four●● Crisis and so go on Again the Judicial Days a● the middle between the two Crisis Critical 〈◊〉 are known by Astrology and no otherwise 〈◊〉 Crisis is the sudden Motion of the Disease eithe● towards Health or Death By Astrology also 〈◊〉 the sight of the Urin the honest Physician may clearl● discern which way the Disease will tend And th●● much of the Excellent use of Astrology as the ancient Practitioners used and thus far I allow 〈◊〉 Astrology believing stedfastly that the Stars are fo● Signs and for Seasons and that God rules them therefore God is the Governour of all things above and here below and therefore I pray thus Hi● Will be done on Earth as it is in Heaven Amen There is that I may speak all in a word requir'd in a Physician exquisite Knowledge long Practice great Virtue and good Success The Sick is to be patient and obedient Apothecaries and Surgeons exact Nurses also must be careful and diligent in observing the Physicians Directions nay the Air Linen Diet and Beds of the Sick ought to be convenient and according to Direction Medicine is an Art some say a Science removing Diseases its Subject is Man's Body or indeed I may say all things sensitive are its Object its End is Health In it are five parts 1. Physiologia which is the Knowledge of the Body fram'd of Elements Temprements Parts Faculties and Functions 2. Pathologia which is exercis'd about things preternatural and such are all things that bring Diseases 3. Semeiotica is that part of Physick in which is handled the Method of knowing as well the present as the future Estate of ●an 4. Hygeine is that part of Physick employ'd out the Preservation of Health 5. Therapeutica ●●ich is that part which respects the Restoring lost ●ealth and is divided into two parts The first con●●●ns the general Method of Curing proposing all ●les necessary for the Cure of all kinds of Diseases ●●ether similar organick or common The second 〈◊〉 Rules for the Curing particular Diseases it is 〈◊〉 Practick being nothing else
in Physick His Advice concerning Melancholy Phrensie and Madness I Purpose dear Countrymen in this Discourse to shew the difference betwixt Phrensie Madness Melancholy and a Distressed Conscience opprest with the Sense of Sin with many other things not unprofitable for thee to Read nor unbecoming me to Write Before I define Melancholy for the clearer understanding of that wherein I mean to Instruct you it will be necessary to set forth the di●erse acceptations of the word Melancholy which therefore is very equivocal for that under one name it is so differently apply'd that it requires several Definitions according to its diversity of Significations Sometimes it signifies a certain fearful disposition of the Mind deviated from Reason and sometimes an humour of the Body commonly taken to be the Cause that the Reason is depraved through fear This Humour is of two sorts Natural or Vnnatural Natural is either the grosser part of the Blood ordained for Nourishment which through too great Plenty or immoderate Heat overchargeth the Body and yieldeth up to the Brain certain Vapours whereby the Vnderstanding is obscured or else is an Excrement ordained to be Emitted out of the Body through so many alterations of Natural Heat and variety of concoctions having not a drop of nourishing Juice remaining whereby the Body either in Power or Substance may be Relieved If this Excrement keepeth within Bounds it produceth less inconvenience or trouble to the Body or Mind but if it corrupt or degenerate further from it self and the quality of the Body then Perturbations and Passions are more Vehement and do so outragiously oppress and disturb the sedateness of the Mind that all the organical Actions thereof are mixed and affected I had like to have said infected with Melancholy-Madness and Reason thereby is converted in●● a vain fear or becomes a down-right Desperation and now the Brain is quite alter'd in its Complection being as it were transported into an Instrument of a different nature from what it was at first and I have observed that these Humours do according to the diversity of their setling fill the Patient with diversity of Passions and no wonder since thereby they diversly affect the understanding In a word they strangly alter the natural Inclination and Affection especially if by corruption of Nature Education or Custom the Party be rash and hasty The ●nnatural is an humour arising of the Melancholy before-mentioned or else from Blood or Choler totally changed as it were into another Nature by an unkindly heat which violently turneth these humours that before were obedient to Natures Government and by her kept in good order and decorum into a quality wholly repugnant whose substance and vapours gives such annoyance to all parts where it passes or is seated that it makes strange alterations in Mens Actions whether they be Animal Voluntary or Natural not depending on our Will And here observe that all Actions proceed from some faculty and that Man being composed of Body and Soul has two sorts of Faculties viz. Corporeal and Spiritual the Corporeal faculties are such as belong to Man as he is a living Creature and are common to him and even to Plants or else are such as belong to him as he is a sensitive Creature and are common to him and Beasts The faculties common to Man and Plants are three First The Nutritive by which he is nourished and converts Aliments into his own Substance Secondly The Auctritive faculty by which he grows bigger And lastly The faculty of continuing his ●pecies by which in his Off-spring his Nature as Ma● is preserved or continued The faculties common to Man and Beast are three that is Sense Appetite and Power to Move Sense is twofold External and Internal The Spiritual faculties of Man which are peculiarly proper to him as Man are three Vnderstanding Will Memory Now the Humours before mentioned make strange alterations in Mens actions from what faculty soever they proceed As to the Definition or what Melancholy ●s as was hinted before the things being divers ●●ough the word be the same yet the Definition must be diverse also Therefore Melancholy is of the Humour or of the Passion The Humour is either a Nutritive Iuice or an Excrement at this time then I will define the Humour to be no other than that part of the Blood which naturally is more gross than all the rest and the Excrement to be the superfluity of the same which if it putrifie assumes a far different Name Temper and Nature commonly called Black Cholar The Melancholy Passion is a doating of Reason occa●ioned by vain fear procured by the prevalency of ●he Melancholy Humour We divide this Disease into Melancholy Cephalick and Hypocondriack A Cephalick is when the disorder has its Residence ●bout the lower part of the Abdomen the Brain is ●hiefly affected which being disturbed Men frame ●trange Fancies and monstrous Idea's of things all Melancholy people are extraordinary fearful sad and ●nactive According to the order I have observed in divi●ing Melancholy it remains that I now speak of that ●hich is called Hypocondriack which for the most ●art renders those Afflicted therewith more stupid ●han any other sort doth insomuch that they are ●any times depriv'd of all Sense and Motion This ●ort proceeds from Flegm obstructing the Hypocondria ●nd Spleen Hypocrates asserts that the Soul in this Distemper 〈◊〉 distinctly affected with the weightier matter with●n and so neglects the Bodies Motions by reason of ●he Brains stupidity through the aforesaid Humour If the Brain be hurt by Communication from or by ●he Spleen Hypocondria or Womb then the Melancholy Humours are gathered there and then the symptoms ●ommonly are gathered from the Parts affected as it ●ppears in Child-bearing Women whose Lechia are ●●opt or in Maids when their Terms do not flow the ●lood is spoiled and becomes more fixt and is turn'd into a Melancholy Dyscrasie and that by this mea● this Distemper arises for which reason the Ancien●● blame the Spleen but our Opinion is that rather t●● Morbid Sourse than the Disease it self lies there Th● Famous Willis thinks that both the Heart and Bra●● in this Case are affected and some think the Corpore●● Soul to be the Subject of it Helmont thinks it li● out of the Brain and is in the Praecordia and abo●● the Mouth of the Stomach Our own opinion in sho●● is that it has its Residence in the Globous frame 〈◊〉 the Brain which being the principal part and fou●tain from whence the Animal Spirits issue out in●● every corner of the Body if they be dull langui●● and unactive the Hypocondria Spleen Liver Pancre●● Mesentery Womb c. being thereby deprived 〈◊〉 their Firmentations must needs suffer and be recept●cles of latent Evils The causes of excess of this Humour are diver● and all except it be received from the Parent spri●● from fault of Diet now altho' Meats and Drin● chiefly do yield matter to this Humour yet besid● we may add