Quintan Sextan Septan and Nonan we must not think they proceed from any next kinde of Humour but are to bee referred to a Quartan and to be cured by the same method onely the difference is that a Quintan is caused from an atrabilarious humour and is the worst of all fullest of danger and of the greatest essence saith Galen Commen on the third Section of the first Book Epidem but the rest are from a melancholly humour A Hectick Feaver although it bee in the solid parts is to be reckoned amongst the Simple Feavers it differs from a pestilential in that it is free from any venenate or malign quality from the Humoral that is free from putrefaction A Pestilent Feaver is likewise numbred amongst the Simple though it differ from them by its venenate contagious and pernicious quality by which it contaminates our substance and amongst malignant Feavers may be numbred those from vitellinous aeruginous and prassinous choller according to Galen and Hippocrates and Avenzâ—ar in his Theisir A Leipyria is placed also amongst malignant Feavers by Hippocrates in his Epidem and Progno 2. Lib. 3. and by Galen in his Comments upon those Books it differs from an exquisite cause by its malignity and is always deadly according to Galens Commen on Aphâ—ris 48. Sect. 4. and c. 4. of his Book of Inequal Distempers it kills the fourth day or sooner and follows great inflammations of the Viscera so much of Simple Feavers A Compound Feaver is that which is made either of two intermittings mixt as a double tertian a double and triple quartan or of a continual and intermitting as a hemitritaean or a Hectick with a putred make a Compound Feaver and so likewise of many others The confused is as often as two or three Humours doe putrefie together whether in the great Veines or out of them and in the same place begin together and end together for this mixion ingenders no compound but a confused Feaver and the one cannot be known from the other because the signes are so confused from whence it hath its name as for example if Choler and Flegme putrefie together in the great Veines there shal be two continual Feavers in the same place which make a confuse and no Compound Feaver on the other side if the same Humours putrefie with melancholly in the lesser Veines altogether and in the same place there shall bee two or three intermittings which mixt doe likewise produce no compound but confused Feaver so a double continual tertian will be confused and not compound because the putred matter is contained in the same place The Erratick or inordinate Feaver is that which observes no type or order of other Simple Feavers whose humour putrefies in divers places and moves from one place to another from whence is the diversity of the fits sometimes it intermits four dayes sometimes eight and sometimes more and then recurres sometimes it comes sooner and is called praeoccupant sometimes moves slower and is called retardant and so much for essential Feavers A Symptomatical Feaver though it be continual yet differs from the former because its matter is not contained in the greater Veines neither hath it any exacerbations or remissions but depends on the inflammation of the part which it possesses from whence it hath its name as is observed in the second Chapter CHAP. IV. Of the Circuit of Feavers TO finde out the Reason of the Circuits of intermitting Feavers is of no small moment amongst the Learned for what one allows another reprobates every one applauding his owne phansie leaving then their nicities I shall declare my owne opinion having premised somewhat for elucidation of what shall follow all the parts of the body are endued with four Faculties to wit the Attractive Retentive Alterative and Expulsive and as long as these are free from any fault man lives in perfect health and when one of these is too strong for the other he is affected with various Diseases as if an excrement be inherent to any part and cannot bee expeld from it by reason of its weakness it becomes burthensome to it because it is neither discussed nor removed or if by reason of its coldness crasseness or clamminess it obstruct the passages through which it ought to be expeld it putrefies and causeth a Disease and the heat contracted by putrefaction is very offensive to the heat and first of all occupies and infests the Spirits because they are tenuous then the Humours because they are more craâ—â—e and last of all the solid parts and this heat from the heart through the Arteries dispersed to the whole body generates a Feaver and hurts our actions The cause then of the shortness or length of the anticipation or tardation of the Circuits may be taken from these Six things viz. From the Species of the Humour from the quantity quality habit of the Body disposition of Strength and complication of Feavers There are four Humours in the Body one of which exceeds the other in quantity and quality as if pure bloud putrefie in the great Veines which is hot and moyst it begets a continual Synechis if out of those Veines it produces an intermitting it s thinner part is turned into choler and the crasser into melancholly as Alexan. Aphrodis learnedly notes Another cause of the circuits is from the quality of the Humour and weakness of the part where the excrement is heaped up as flegme next to bloud exceeds other Humours in quantity and being cold of quality and moyst crasse and clammy by its frigidity it resists putrefaction and by reason of its crasseness and clamminess is not so easily resolved as bloud and hence are the length of its fits and by reason of the reliques and imbecillity of the part new excrement is heaped on it thence are new fits which recurre every day and if yellow choler putrefie in a part it causeth the like though more difficultly than flegme by reason of its driness by which it more powerfully resists putrefaction and because it is a tenuous humour and not crasse it is farre more easily resolved than flegme and leaves less reliques behind it in the affected part and hence is it that its fits which it causeth doe sooner end in an infebricitation and greater time or interval is required for a new accession but because the part is debilitated by the former excrement it readily receives the new which putrefying as before causeth a new fit neither sooner nor later than the third day and lasts twelve hours and is therefore called a tertian because it recurres every third day The melancholly juyce retained in a part doth not so easily putrefie as other Humours by reason of its two qualities which resist putrefaction viz. frigidity and siccity and therefore it intermits two daies and returns every fourth day and though the former matter bee emptied yet there is a weakness and disposition of the part as in the other to receive a
fresh humour from whence follows a new fit which for the most part lasts twelve hours sometimes more sometimes less according to the quantity of the humour oppressing the part The quantity of the Humour whether much or little cannot of it self be the cause of the longitude or brevity anticipation or tardation of the fit it is true a great quantity doth oppress the part and a small is quickly resolved but that alone cannot be the efficient cause because the same motion is observed to bee from a small and great quantity and that it is so let choler or melancholly be found in any part of the body putrefied it is most certaine that choler will move neither sooner nor later than the third day nor melancholly than the fourth therefore the quantity of the Humour alone cannot be the cause of the circuits or of the longitude or c of feaverish fits But rather the quality is the cause of the length or shortness of the anticipation or post-position of the fits which your epileptical insults seeme to manifest for they proceed not so much from the quantity of the humour as from the quality offensive to the braine and thus Womens courses flow at set moneths and dayes not by reason of the quantity of the bloud but quality whether they be much or little unless somewhat intervert the course of Nature and so wee must judge of the Humours in which there is a certain occult quality unknown to us which causes flegme every day yellow choler every third day and melancholly every fourth to grow furious and bee moved Hippocrates seems to favour this opinion in his Proaemium to the first Book of Prognosticks where hee thus Prophecies {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. whether there be nor somewhat Divine in the Disease which according to Aristotle in proportion answer to the Element of Stars now the starry Element is said to be that which operates beyond the order or power of the Four Elements and is scarce comprehensible The habit of the body whether dense or rare may be the cause too of the length or shortness of the fits but the anticipation or tardation may bee referred to the substance of the matter or to the multitude or paucity the substance is either crasse or tenuous if crasse and clammy the fits shall be longer if tenuous shorter if to the multitude or paucity a little is easier dissipated and resolved than a great deal from these two then the anticipation or tardation of the fits may bee caused The Fifth cause of the Circuits may be from the strength for if the alterative and expulsive faculty of every part be strong they will cast off all the excrement to the parts destined for it by Nature contrariwise it they bee both weak that remaining doth by degrees putrefie because it is not discussed and so it moves sooner or later according to its quantity or quality or both together and the paroxysmes are longer or shorter The complication of Feavers may change the course of Circuits because some are from a cold Humour crasse and clammy others from a hot and tenuous so the one is moved corrupted and resolved sooner the other later from whence is the shortness or length of the fits besides our dyet whether good or bad if in tempestivous doth help or hurt much or the Patients intemperancy and irregularity The efficient cause of putrefaction is either external or internal the external doth chiefly depend on corrupt meats or evil juyce which can no way be corrected by the help of Nature and which are apt to corrupt and affect the Viscera the internal cause is either from obstruction or the occursion of putrid things for obstruction caused by crasse viscid Humours hinders perspiration and so the Humours reteined and neither discussed nor cooled doe easily putrefie though they be good and hence a Feaver of the same force is that obstruction which proceeds from a plenitude of the Vessels which is above our strength for they therefore putrefie because they cannot be concocted nor governed by our enfeebled strength The occursion of putred things doth first corrupt the Spirits then the Humours as the filthy exhalations and putrefaction of vapours drawing in the Air from the Gallical Elephantiacal and of those infected with a putrid or pestilent Feaver CHAP. V. Of the Constitution of Feavers SEntentious Hippocrates in the 12th Aphorisme of the first Section reduces the times of Diseases to two viz. the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that according to Galen in the first Book of Crises chap. 4. is the constitution of the whole Disease or its duration conscribed within its four times viz. the beginning increase state and declination the knowledge and distinction of which times is so necessary for a Phisician that without it hee can neither prognosticate aright nor prescribe proper diet or remedies The signes of these four Universal times are taken from the Idaea or species of the Disease from its motion from the nature of the fits from the figure of the body from the strength of the Patient from the season of the year and age of the Patient from the pulse and rigor from the hour of the fit and the vehemency of the symptomes from the length or shortness of the fits from the nature of the evacuations from the crudity or coction of the Urine and of the Humours causing the Diseases The Idaea or species of the Disease is chiefly taken from its motion for a swift motion shewes that the state will be quickly and a slow motion that it will fall out later Thus a burning Feaver by reason of its essence is said to be vehement and quickly comes to its state and a pestilent Feaver by reason of the governing faculty it affects is vehement and hath a speedy state and an inflammation of the Lungs by reason of the dignity of the part speeds to its state From the nature of the fits you have these Signes if they be short the state is near if long afarre off From the Figure of the body if the face with the Hypochondria bee suddainly extenuated it denotes the Feaver to be acute and of swift motion but if the body be not impaired it is a signe of its longitude If at the beginning the Sick be more than ordinarily weakned it shews the Disease to be acute and of swift motion if otherwise to be diuturnal If the season age region custome and dyet of the Patient be all agreeing the Disease shall be short if otherwise long as for example if a young cholerick body at Midsummer in a hot Country feeding high on meats of good juyce and drinking pure wine should be taken with a tertian it shall sooner leave him than if hee were an old man in a cold Country and Winter season fed with cold
doe appear to prove this Avicen in Book 4. fen 2. tract 1. chap. 98. brings for an example the small Pox of Children in the declination of which sometimes death follows not by reason of the Pockes which are in declination but by reason of the Feaver and malignant quality annexed Another example there is that a man may dye in the declination of a Synochus not by reason of the essence of the Feaver but by neglect of the malignant matter the cause of it or being preposterously handled as Galen notes in his third Book of Crises these four times of Diseases according to Hippocrates and Galen can no more bee described by a certaine number of daies and houres than the decretory daies can by reason of the various temper of the Humours and the diseased as shall further appear in the next assertion for an acute Disease hath shorter times and a Chronical longer The four times of a Hectick Feaver are not taken from the matter nor from the Symptomes but from the essence of the preternatural heat which works upon the primogenious humidity of the heart whose beginning is when the feaverish heat begins to work on the rorid substance of the heart the augment when it begins to consume it the state when the humidity is consumed the declination on when that native humidity begins to be restaurated CHAP. VII Certaine Physical Canons or Rules for practise ALL Rules for Curing are taken either from the Disease or from its Efficient cause or from the nature and situation of the affected part or from the Symptomes from the Disease as a Feaver whose preternatural heat is in the Spirits Humours or solid parts and is not simple but conjugate viz. hot and dry which according to Hippocrates axiome {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is things are cured by their contraries that is by coolers and moistners and this is the first Canon The second is taken from the morbifical putrid matter which requires an ablation or removing The third from the nature and site of the affected part as if the braine be affected it requires other remedies than the Lungs and this other than the Stomack Liver Spleen Guts Reines Bladder or Wombe from the Symptomes if they be great with imminent danger of life as if a Syncope be accidental to a Feaver we must oppose that omitting for a while the cure of the Feaver but if they bee small we must respect both so that we principally attend the Disease The feaverish beat both of continual and intermitting Feavers arising from a putrid filth cannot safely and wholly be extinguisht before the putrefaction be repressed and the impurity taken away for the method of curing requires this that first wee remove the cause then the effect unlesse something more urgent forbid it the impure Humour then is first to bee purged forth and then if any extraneous heat be left either in the Humours or parts it is to be extinguished and by preparatives and things opening obstructions to be removed but against this Doctrine it is objected That things cooling doe per se encrease obstructions incrassate the matter and hinder its evacuation and the stipation being increased and the fuliginous vapours included the putrefaction is doubled On the other side aperient detergent and purging Medicines are all almost hot and therefore per se are bad and intend the Feaver In this difficult case we must use the temperate Rootes such as are the sharp Dock Grasse roots Butchers Broom and Asparagus which open obstructions without any manifest heat and doe not increase the feaverish distemper and so the worst is prevented If the body bee strong this method is strictly to be observed that is to remove the efficient cause and thorowly to open the obstructions with the aforesaid aperitive meanes and then the putrid humour is to bee purged although the Feaver be a little exasperated by the Medicine that does it but when by the fire of the Feaver the strength is much resolved then we are to use cooling Medicines both inwardly and outwardly as Juleps Epithems c. which with all possible speed may extinguish the heat omitting a while the cause for it is not safe to increase the Feaver by such things as cut off the cause lest life depart with the Disease but it is better in my judgement to extinguish the burning Feaver though you somewhat transgresse against the cause but in curing of putrid Feavers the first place is due to the cause that part of the matter be emptied then to imitate Nature by preparing it which when by her assistance it shall appear to bee coct then it possible to eradicate it that the Feaver be not diuturnal the emptying of the matter may be either by bleeding or purging at the very beginning if nothing hinder Bleeding in all putrid Feavers especially the continual is not to bee neglected saith Galen in the eleventh of his Method of curing having premised a cooling Glister or Suppository if the Patient were bound nor in intermitting Feavers when there is a plenitude or pulsative paine in the head or tossing of the body with a suffocating heat lest it degenerate into a continual Feaver or the putrefaction spread wider and it is to bee done on the intermitting day or at the time of remission in a continual Feaver provided age and strength allow it if the Feaver be very vehement and urgent to let bloud in that violence is to kill the Patient saith Celsus and if the body be weak let bloud a little at a time so the strength will not bee impaired because part of the burthen with which Nature was opprest being taken off she doth the more easily bear the rest and with lesse force tame and subdue it saith Galen and we ought not so much to estimate the years as the strength of the diseased A late Writer hath published that Bleeding ought to be celebrated in all Diseases which I cannot allow though I admit it in most but more sparingly when the Feaver is from a cold humour lest by its refrigeration the crudity be doubled and doe not easily admit of concoction if the Disease will suffer it the best time for bleeding is the Spring if not it may be administred at any time of the year if strength permit especially if there be a plenitude suppression of the Courses or Hemorrhoids If the Sick be bound in body before you let bloud give a Suppository or Glister or eccoprotical Medicine that is gently purging lest that the putrid matter should be rapt or forced from the first region of the body into the greater Veines and so inquinate the bloud and make it more impure the same is to be observed before we give a peritive medicines Purging is to be used at the beginning if the matter bee turgid Aphor. 10. Sect. 4. in Diseases very acute purge the first day if the matter invite to excretion
for delays in such cases are dangerous and it must be done by some minorating Medicine that part of the impurity being taken away the remainder may the more easily be concocted for according to Hippocrates Aphoris 22 Sect. 1. we ought to move that which is concoct and not the crude matter nor at the beginning unlesse it be turgid and for the most part it is not and afterwards to purge with a stronger Medicine unless it be done by the benefit of Nature neither are we always to wait for the concoction of the Humours especially where the matter is turgid and with its fluctuating motion running from place to place perturbes the whole body as it happens in the most acute Diseases If the Feaver be continual it is better to purge at the time of remission whethe it be in the morning or evening than at the time of its exacerbation or upon an odde or decretory day if strength give leave otherwise they are first to be refreshed with nourishments of good juyce and those rether liquid than solid because those are of easier distribution and then wee are to use meanly purgers appropriate to the humour but if the Feaver bee intermitting then purge on the day of rest or upon the fit day if the fit come not till after Dinner at which time the humour is moved by Nature to expulsion the strength having first been repaired by nourishments for then it is easier and with less pains driven forth being in motion as I have found by experience in curing of Quartans as oft as I gave Phisick on the fit day besides it may be confirmed by reason for that purging bee instituted according to Art we must consider the motion of Nature whether she tends upwards or downwards and the season of the year and the inclination of the Sick for if it be Winter and the Patient aged and vomit easily and his stomach be full of crude clammy flegme He ought to have a Vomit saith Polybius in his Book of good Diet which is falsely ascribed to Hippocrates the Great for the Six Winter moneths purge by the upper parts on the other side If hee vomit not easily he is not to be forced saith Galen and after him Aetius but is to bee Purged downwards by some Medicine accomodate to the morbifical humour at first purging those purgers which have an astriction with them ought not to bee used as Myrobalans juyce of Roses and the Sirrups compounded of them especially if there be obstructions which usually accompany putrid Feavers and in purging of the humours we must be careful to use such preparation that the passage be made open Hippo. Aphoris 9. Sect. 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. that is when we would purge a Body we must make it fluxil that the humour to bee emptied may yeeld and be obedient to the traction of the medicament for if the passages be obstructed and putrefaction caused for want of ventilation then before we purge wee are to use incisive Medicines for the crasse humours detergent for the clammy and so to clear the obstructions and sometimes we are to appease and allay some heady humour which ought not to have been purged that by its furiousness and fervor it rush not on some principal part or by its acrimony exulcerate where it passes The manner then of preparation is to be proportioned to the humour for the mitigation of the Disease as for example in acute Feavers we use Sirrups and Apozems which are made of such things as are attenuating and cooling or which are detersive and not very hot as you may see in the second part of my Enchiridion but in diuturnal slow Feavers which flegme or melancholly ingenders stronger and hotter means are required and those fierce humours which bleeding will not temper nor purging carry away we must bridle and obtund with refrigerating Medicines not of thin substance lest they be more exagitated nor of crasse because they hinder evacuation but of a middle nature which have a little austerity or acidness or both joyned with them such as are your Omphacium juyce of Sorrel Pomgranate or Citron by which the acrimony and putrefaction of choler may be retunded and the heat kindled in the humours be impeded from spreading any further If besides the putrefaction there shall be any suspicion of venenosity we must mixe with the former such things as by a similitude of substance doe represse it whether inwardly or outwardly applied which shall be described in our Tract of malignant and pestilent Feavers detergent and attenuating Medicines are to be fitted both for preparation of hot and cold Humours because both Humours by their clamminess or crasseness may obstruct as is manifest in vitellinous choler if a detersive and attenuatory faculty bee joyned with a cold quality as in Succory it is the more efficacious and of more frequent use than that joyned with a hot quality as in Worm-wood Hyssope Origanum and that is to be used in hot Diseases these in cold with mulse and not with plaine water especially when the heat is sluggish and the means not easily inflamed but on the other side with cooling Medicines we at once resist both the fervor of choler and heat of the Feaver and prepare the vitious humour which doth foment it before we purge by a diverse quality as more at large in the Second part of our Enchiridion There are some that stoutly maintaine the opinon of Avicen That thin cholerick humours ought to be incrassated before they be purged which opinion seems to contradict Hippocrates and Galen and may thus be reconciled If sincere or excrementitious choler be thin it is not to bee incrassated before purging but presently to be cast forth for so it easily yeelds to the attraction of the Medicine and thus the opinion of the Greeks is true but if the same choler be crasse and tenacious as the vitellinous is then it is to be attenuated and deterged as Avicen would have it otherwise it cannot be driven forth but by force and damage to the Patient but if it be mixt with bloud then wee are to expect concoction from the benefit of Nature but the Fautorers of Avicen object against the opinion of the Greeks That unlesse the thin humours be incrassated they will be fixt in our members penetrating into the most retired parts of our bodies to which objection some answer If the choler be infixt it will grow thick and cause obstructions and then extenuating and detergent and not incrassating Medicines are necessary or by attenuating remedies Nature is helped to excerne the noxious humour by urine or sweat neither doth the strength of this Argument reach to preparation before purging shall that which is crasse then be attenuated and that which is tenuous incrassated Galens opinion is that That which may return to its natural state be altered as by incrassating the thin viz. in Diseases of the Breast and attenuating the crasse but
before it is necessary we take their differences first from the essence of heat then from the subject in which the Feaver is or from the manner of the motion of heat or from the cause of the Disease or from the matter or symptomes The first difference then is from the essence of the praeternatural heat by which some action is alwaies hurt because there is a recession from the natural state and by how much the greater and more vehement this heat is by so much the greater ought the Feaver to bee accounted as for example a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Burning feaver may be said to bee greater than any other Feaver because its heat being more intense it appears more acrid and mordent than any other humoral Feaver but on the contrary if you compare it with an Hectick it is less than that because this possesses the very substance of the heart but that the Humours near unto it Another difference may bee taken from the subject wherein the Feaver is as for example by how much the nobler the part affected is by so much the more vehement the Feaver as that Feaver which proceeds from a Phrensie peripneumony or inflammation of the Lungs or from a Plurisie by reason of the parts affected shall bee farre more dangerous than that which follows an inflammation of the Reins Spleen or Foot besides the Feaver is proportionate or improportionate in relation to the subject and thence shall be esteemed greater or less as a Burning feaver is proportionate in a Body hot and dry of youthful age at Midsummer or in a hot and dry region and consequently less dangerous than the improportionate which should happen to an aged body cold and moyst in the Winter season and in a cold and moyst Country as Hippocrates doth excellently note it Aphor. 34. Sect. 2. The Third is from the manner of the motion and motions here is nothing else but a swift or slow transition from one subject to another the swift motion is as often as the heat passeth from a crasse thick subject to a tenuous one as for example as oft as an intermitting Feaver doth pass into a continual or other putrid one and on the contrary the slow motion is as often as an Ephemera or putrid feaver degenerates into a Hectick for the Spirits are easier set a fire than the Humours and these easier than the solid parts of heart and body likewise an unputrid Synochus being neglected doth easily pass into a putrid one and so of other sorts of Feavers The Fourth is from the efficient cause which is three-fold the one evident the other internal the third occult the evident is drawn from those Six non-natural things as from the air inanition or repletion c. the internal from fluxions on the stomack or lungs obstruction crudities or putrefaction of humours c. The occult cause may be double external and internal the external as the contact of a Torpedo impure copulation the use of malign and venenate medicaments c. from whence are Feavers epidemical endemical sporadical and pestilential saith Hippocrates and Galen the internal cause is hard to bee discovered because besides the putrefaction there is a certain venenate air or breath which is for the most part unknown to us whether it depend on the element of Stars and therefore is called by Hippocrates Quid divinum as was that sweating sickness in Brittaine which did not only depopulate England but Germany and France The Fifth difference is from the matter which consists either in the spirits or the humours or the solid parts and these three Hippocrates in the sixth of his Epidem last Section text 19. calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is containing contained and impetuous bodies The containing are the solid parts in which are caused Hectick Feavers both universal and particular they first invade the substance of the heart then equally the other parts these primarily and per se possess the substance of some private part from whence they are communicated to the heart and to the rest of the solid parts as to the Lungs Midrist Stomach or Liver c. The contained are the four Humours which offend either in quantity or quality in quantity as often as these Humours are more or less enflamed in the heart without putrefaction and hence are the Epacmastical Acmastical and Paracmastical Feavers in quality in relation either to touch sight or taste according to Hippocrates as by the touch of the Pulse some are judged mordent others milde and temperate in comparison with others others appear moyst as bilious Feavers such as are your continual tertians or burning Feavers all which are mordent especially about the state of the Disease and before the Crisis the mâ—lde ones are such as the true Diary Feaver which ends with a sweat or moystness and your unputred Synochus and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is moyst of which Galen makes mention against Lycus for these in respect of other Feavers are called milde and temperate To the sight are referred the red ones as the unputred Synochus which is from a more fervid bloud the white ones as Quotidians the livid as Quartans Syncopal or Pestilential Feavers others are arid and horrid to the eye as the colliquating Hectick and that of the second or third degree In relation to taste some are said to be sweet as those from natural Flegme and many bloudy ones which even after putrefaction retaine some sweetness others are bitter as the bilious others salt as those from salt flegme and the hybernal causes or winter burning Feaver The impetuous are the vital animal and natural spirits in the vital spirits is caused a Diary of one day if the spirits be tenuous of more daies If they be crasse but more of this in its proper place Some Feavers are long others short some diurnal others nocturnal some ordinate others inordinate some periodical others erratical according to the condition of the Sick the quality of the morbous matter or its quantity and motion The Sixt difference of Feavers is taken from their Symptomes as often as a part is possest with an inflammation and these Feavers are always continuall whether bloud choller or flegme superabound if bloud the Feaver is called Phlegmonodes if choller Erysipelatodes and Typhodes or burning and they have another name or appellation from the part affected as from the Liver Hepatica from the Spleen Splenica from the Bladder Cystica from the Throat Cynanchica from the Head Phrenitica Lethargica Comatosa from the Lungs Pneumonica from the Side Pleuritica from the Midriff Diaphragmatica from the Wombe Hysterica from the Stomach Stomachica c. CHAP. III. Of the division of Feavers ALL Feavers of what sort soever are either Essential or Symptomatical the Essential is either simple compound confuse erratick pestilent or of malignant nature The
not so in preparation or alteration before purging and by this distinction the Greeks and Avicen may bee made friends Others give other Reasons against Avicen thus The first Natural action is Attraction to which thin Humours are most obedient and most readily follow the medicament the second is a kind of violent expulsion by which also thin Humours are most easily driven forth therefore they are not to be incrassated There are three sorts of purging Medicines some purge by Traction such as Hippocrates and the ancient Greeks used as Euphorbium Lathiris Elaterium Scammonium Colocynthis Helleborus c. which wee use not now unless in great Diseases or in small quantity mixt with other things and corrected and on rustick bodies whom gentler Medicines will little or nothing move and not in continual Feavers sprung from a hot cause Others purge by smoothing or suppling as Manna Cal. Cassia Egypt Sena Polypody Sirrup of Violets c. Others purge with astriction as Rhubarb all the Myrobalans juyce and Sirrup of Roses which we use when the parts are to be strengthened and there is no obstruction which they may prejudice he that is to take a Purge in them morne let him not take Sirrop of Poppies over night or dissolve Treacle or new Mithridate in it because the cold quality they have from Opium doth hinder purging according to the experience and authority of Galen in his twelfth Book De Theria to Piso In the state of the Disease abstaine from purging that Nature be not called from her work but commit the whole business to her because then all Symptomes are most violent otherwise you add evil to evil especially if a Crisis be near Hippoc Aphor. 29. Sect 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the height is is best to be quiet and in the next Aphoris {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the state of Diseases all things are most vehement and therefore abstaine from medicaments or any way to move or irritate Nature c. Aphor. 20. Sect. 1. If the Crisis be perfect all is safe and no more is to be done but if there be any thing left it is to be removed by Medicine for fear of a relapse Aphor. 12. Sect. 2. that of Diseases which is left within after Judgement does usually cause a return of the Disease upon a critical day if there appear no signes of coction but of crudity though there be an excretion even in the state of the Disease it is not to be trusted to neither ought we to fear those evil accidents which happen not according to reason but the noxious humour is to be emptied that the Disease returne not Aphoris 27. Sect. 2. if any light thing happen besides reason in acute Diseases we are not to trust to it nor to be diffident if a greater business happen not according to reason for such things are very uncertaine and of no long continuance the whole matter of a Disease then cannot be rooted out unless concoct and after the state when those preter-rational Symptomes are abated and Nature is assisting to us on the contrary if there appear signes of a vasal plenitude or of crudity we must abstaine from purging and neither provoke sweat nor urine lest the vitious humours so moved be carried into the greater Veines and exasperate the Feaver and make it more contumacious by what remedies urine and sweat are to be moved I have taught in my Enchiridion in the first second and third Chapters of the Second part These are the chief and general Canons to be observed in curing of Feavers whether continual or intermitting other rules wee shall set downe in their proper place now for their cure in special CHAP. VIII Of a Diary Feaver THis Feaver Hippocrates calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is flatuous and the other Greeks {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it continues but a day rather than from a Fish Aristotle makes mention of in his Fifth Book of Animals about the end of the nineteenth Chapter but the Latines call it a Diary which sometimes is extended to more daies when the spirits inflamed are crasse which if not resolved it degenerates sometimes into a putrid Feaver sometimes into a Hectickâ— or malignant Feaver saith Galen The causes of this Feaver are either external or internal the external are taken from the Six Non-natural things as from the Air too hot and dry in the Summer or the heat of the Country or the hot and dry temperament of the Patient as the Picrocholous or cholerick natures whose spirits are easily inflamed from whence is an Ephemera sometimes by the cold air or use of aluminous Bathes the skin is condensed so that the fuliginous exhalations which should be excerned through the skin are repressed and so the spirits are easily inflamed sometimes it is from drinking of Wine Drunkenness long Sleepes or continual Watchings over-much labour hard riding idleness or want of exercise from the motions of body or mind as from Anger Fury Hunger and thirst Suppression of some hot humour as of the Courses or Hemorrhoids from the contract of some Feaverish body from an actual or potential cautery applied to a cholerick or plethorick body from hot meats acrid Medicaments salt things and the like The internal causes are obstructions whether caused from without or within from an external cause as from the thickeness of the skin from within as when a sharp distillation from the braine falls upon the heart through the Arterial veines which inflames the vital spirit whence is a Diary Feaver Sometimes other viscera are obstructed as the Messentery Liver Spleen Reins Bladder Wombe and when these are obstructed first of all the Natural spirits not being ventilated grow hot and by their power alter the spirits of the heart and increasing their heat beyond the bounds of Nature cause a Feaver Another internal cause is the inflammation or swelling of the Glandules which makes a Diary Hippocrates Aphoris 55. Sect. 4. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. that is all Feavers from swellings are bad except the Diary and he saith the same Epid. 2. Sect. 3. The Signes are taken from the efficient causes whether they be originated from things external or internal if it proceed from an external cause you may know from the relation of the sick if from the internal causes by the heat pulse and urine Hippo. 6. Epid. Com. 1. text 29. and Galen in the first to Glanc chap. 2. and 9. and 10th Method of Curing chap. 4. for if it be exquisite the heat is milde and gentle to the touch which ends with a madidness or sweat the pulse is swift and frequent but equal and temperate in case it be not joyned with a putrid or Hectick Feaver except in that which proceeds from anger sadness hunger crudity thickness of the skin caused by cold for then the diastole
tertian have great analogy with those of an exquisite causus only they are more milde the not exquisite are distinguisht by rigour not by reason of the Feaver but the expulsive faculty of the greater Veines which empty themselves into the less and these into the habit and sensible parts this Feaver because its morbifical matter is more distant from the heart then that of a Causus doth not with equal force and assiduity afflict it but hath its exacerbations and remissions every other day If the parts about the heart be distended without paine they signifie an inflammation if with paine at the beginning death If the signes bee grievous it kills the fourth or seventh day if good security is promised the same dayes if a rigour happen on the critical day the Patient being weak it is death but if strong the Disease shall end with sweat CHAP. XII Of the Cure of these Feavers LEt it be temperate or if too hot be cooled with irrigations on the floore and spreading coole Herbs as Lettice Vine leaves Willow Oke Rushes c. with green flowers of Water-Lillies Roses Violets let vinegar of Roses dilute with Rose-water suckt up by a Spunge be often â—eld to the Nose let the Linnen contrary to the vulgar opinion bee often changed lest its filth foment the Feaver Let his drink be boyled water with sirrup of Vinegar or ptissan or water and sugar with a little juyce of Pomegranats Citron or Lemons if you fear a Delirium use the Alexandrine Julep or sirrup of Violets and Water-Lillies If the Feaver bee spurious and the Patient aged and weak in a cold air a little Wine dilute with boyled water and sugar with a toast may be allowed let his food be liquid cooling and moystning as Chicken Veale or Lambe broth altered with Purslane Lettice Sorrel Burrage Bugloss Violets Marigolds with the greater cold Seeds and white Poppy-seed or Barley-water acid Fruites as Barberies Strawberies Rasberies resist putrefaction if he be much enfeebled Gellies and Analepticks must bee used Let bloud as soon as you can but if hee bee bound in body give this Glister first Take of Violet leaves Mallows Lettice Gourds Burrage each a handful Prunes sixteen of the four great cold Seeds each two drams red Poppy-flowers or Water-Lilly and Roses each a small handful boyle them in Whey or Water to a pint streine it and dissolve of Diaprune simple and Cassia newly drawn if it be exquisite if not of Diaphenicum each six drams honey of Violets and oyl of Water-Lillies each an ounce and half or so much of oyle of Cammomel if it be not exquisite and make a Glister Take of Melon-seeds one scruple Rhubarb grosse powdered if you would purge choler by stoole or fine powdered if by urine four scruples Cassia newly drawn six drams let him take it with Sugar and an hour and half after take fresh broth As often as Cassia or any other purging Medicine is infused the Dose is to be doubled and where you feare obstructions never purge with those things that have an astriction as Myrobalans Roses and the sirrups made of them but instead of them use Manna Cassia or sirrup of Violets of nine infusions next alter the humour with Juleps which inhibit putrefaction As take of sirrup of Endive compound three ounces Succory and Pursâ—ane water each half a pint but if they be spurious take of Oxysaccarum compound which hath the opening roots in it and a little juyce of Pomgranates after signes of coction purge forth the humour thus Take of Cinnamon a scruple Rhubarb four scruples Tamarinds two drams Diaprune solutive six drams infuse them all night on warm embers in a decoction of the opening rootes strein it adde sirrup of Violets of nine intusions or of Roses solutive with Agarick if the Feaver be illegitimate an ounce and half and give the potion in a Spurious causus take so much Diaphaenicum which purges flegme and choler but if the Patient have a paine in the stomach and be nauseative let him take a Vomit so he be not tabid or narrow chested CHAP. XIII Of a continual Quotidian Feaver {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Juniors call it because it hath no intermission and to distinguish it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is an intermitting quotidian This Feaver differs from an intermitting both in matter and seat where the flegme putrefies because a continual one proceeds from Natural flegme contained in the great Veines which is nothing else but crude bloud which in time may be changed into good bloud being of taste sweet or insipid arising from the cold and moyst part of the chyle and as oft as this bloud is putrefied by a preter-natural heat in those Veines the other humours incorrupt is caused a continual quotidian but an intermitting is caused from excrementitious flegme putrefied by a preter-natural heat out of those great Veines viz. in the veines of the habit of the body in the Liver Spleen Messentery The external causes may be taken from the aire cloudy cold and moyst from a flegmatick nature the winter season drunkenness ill diet as entrals of Beasts c. The internal causes are a cold distemper of the stomach and of the meseraick veines which send the chyle incoct to the Liver old age cold humours falling from the head to the stomach This Feaver begins not with coldness as an intermitting because the matter is putrefied in the great Veines but with vaunings and stretchings for the most part it invades at night the heat is less acrid and mordent than in a continual cholerick Feaver because the humour is colder the urine at first is white crude and crass the pulse slow and rare being oppressed with a crass vapour raised from the flegme the sick are sleepy their Hypochondria stretcht with wind their stooles white their sweat none or very little and clammy this Feaver is usually lasting being from a cold tough humour often brings to a Cachexy or Dropsie if the beginning be long so will be the increment and whole progress of the Disease for the Cure let him use a good diet shunning those things which ingender crasse juyces then purge the first region of his body with these following remedies Take of Barley Mercury Violets and Mallows each a handful Fennel and Carret-seeds each three drams the tops of Dill and flowers of Cammomel each half a handful boyl them in water to a pint streine it and dissolve of Galens Hiera and Benedicta Laxativa each six drams honey of Rosemary and oyle of Camomel each an ounce and half and so give it If the Sick bee apt to Vomit let him take this Of the juyce of Radish roots and honied water each two ounces powder of Asarum a dram let him drink it warme Take of Succory Barley and all
straine it and clarifie it with Oxysaccharum compound two ounces and aromatize it with powder of Diatriasantalum Take of Polipody of the Oke bruised six drams Sena half an ounce Dodder of Time two drams Annisâ—ed a dram true black Hellebore two scruples whole Cloves two boyl them in part of the former Apozem to three ounces then infuse of Catholicum and confection Hamech each half an ounce in the colature dissolve sirrup of Fumitory the greater or of Apples an ounce and give it Take of Cloves three graines Aniseed two scruples Agarick Trochiscate a dram Turbith bruised four scruples Sena two drams infuse them all in part of the Apozem with an ounce of Oxymel simple upon warme embers to the expression adde of Diacarthamum and Catholicum each three drams sirrup of Fumitory the greater an ounce Take of old Treacle four scruples Conserve of Bugloss flowers or rootes three drams give it with Sugar Take of Cloves three Graines Cinnamon a scruple Anniseed half a dram Rhubarb Tamarinds and Sena each a dram and half infuse them all night in Whey over warme embers with the Electuary of the juyce of Roses half an ounce streine it and adde sirrup of Violets of nine infusions an ounce and half give it Take of the Conserve of Tamarisk or Broom flowers two ounces Conserve of the rootes of Smallage Milt-waist or Maiden-hair each anounce powder of the Trochisks of Capers and of Dialacca or Diacurcuma each a dram make an opiate give half an ounce on the intermediate days drinking a little White-wine after it Take of Trochisks of Capers and Wormwood each half a dram root of Jallop a dram Crocomartis two drams Conserve of the rootes or flowers of Bugloss six drams Sugar dissolved in Milte-waist water and boyled four ounces make Lozenges two drams weight take one every intermitting morne and drink after it a little VVhite wine Take of Gum Elemi an ounce VVax half an ounce Colophonia Turpentine and powder of long Birthwort and Caper bark each two drams Flower-de-luce Cammels Hey Nard Indian and Myrrhe each a dram Styrax Calamite half a dram White-wine as much as will serve to dissolve the gums make a mass of which spread a Plaister on Leather in the figure of a Neats tongue and apply it to the Spleen it softens and resolves its hardness or the Chymical Oyle of Amoniacum with some few drops of sharp Vinegar doth more powerfully resolve any hard tumor of the spleen CHAP. XX Of Feavers annexed to Quartans THe Quintan Sextan Septan and Nonan Feavers differ not from intermitting Quartans either in matter or cure but in the quantity of the humour and disposition of the body rather than from the rising setting and congression of some Starres as the Astrologers would have it all these Feavers have their name from the motion they observe returning upon the fifth sixth seventh or ninth day The cause of these circuits depends not only on disordered diet or the relicks of the morbifical matter not emptied nor on the quantity quality or crasness and clamminess of the humour nor on the influx of the Starrs or disposition of the body but rather from the starry Element which Hippocrates calls something Divine when a quartan is caused from very crasse and tough flegme and a melancholly humour very crass it may then bee extended beyond the fourth day saith Paulus Aegi and Rhasis speakes of those returned every tenth day and once a moneth that the quantity and quality of both humours and disposition of body doe contribute somewhat none will deny but the cause of the Circuits Histories doe report to be referred to the element of Stars Pliny speaks of Antipater the Poet who lived very long and every year on his Birth-day had a Feaver Galen saies he hath seen Quintans but obscurely but Avicen boasts hee hath seen many but they are rarely contingent Hippocrates presages thus of these Feavers the Nocturnal is not dangerous but long the Diurnal is shorter and sometimes they bring to a Consumption the reason is because the night is likened to Winter at which time cold humours move and because in the night season remedies cannot conveniently be administred a Quintan is the worst of all for to the sound or tabid it is death because it is vehement proceeding from an atra-bilarious humour and not from a melancholly juyce a Septan is long but not lethal and so a Nonan The Cure differs not from that of an exquisite or spurious quartan Take of the leaves of Sena three drams the rootes of true black Hellebore one dram of Anise-seed Dodder of Time Diagridium each half a dram Mastick and salt Gemmeous each a scruple Cloves half a scruple make a fine Powder give a dram in a little White-wine on the fit day in the morn early once a week CHAP. XXI Of confused compounded and erratick Feavers ALL these are of the kinde of essential Feavers and differ not from the precedent neither in matter nor putrefaction for they are all putrid but in the seat and motion of the morbifical humour A confused Feaver is so called from the seat when humours doe equally putrefie in the greater or lesser veines as if choller and flegme doe putrefie together in the greater veines there shall be two continual Feavers because these two humours mixt doe putrefie in the same place beginning and ending together and by reason of this mixtion they cannot be known distinctly or apart because their signes are confounded from whence this Feaver hath its name likewise if both those humours putrefie in the lesser veines which are in the habit of the body or in the Stomach Liver Mesentery Spleen or Cuts together in the same place there shall be two intermitting Feavers which mixed doe constitute a confuse and not a compound Feaver On the contrary A compound Feaver is as oft as the humours doe inequally putrefie not in one place as the confused but in divers places together whether in the greater or lesser veines and this Feaver hath its name from the predominant humour as in a bastard Tertian where choller predominates likewise if there be more flegme or melancholly humour it shall then be called a bastard quotidian or quartan which Feavers are com-Pound and not confused because their matter putrefies in divers places and they begin and end at divers hours because every one hath its several essence seat and motion also two quotidians and a double tertian and a double or triple quartan are Compound Feavers as often as their matter putrefies in divers places and thus a semi-tertian which is compounded of choller putrefied in the greater veines from whence is a continual and flegme out of them whence is an intermitting Feaver or of flegme putrefied in the greater Veines and choller out of them and is called a Hemitritaean thus also a Hectick Feaver with a putrid doe make a Compound Feaver because the efficient cause of a
Hectick is in the solid parts and of the putrid in the humours but an Ephemera joyned with other Feavers makes no compound otherwise there could bee no simple Feaver the symptomes also which accompany Feavers constitute no compound one because they are not of the essence of Feavers though they increase foment and prolong them The Erratick Feaver is so called because its fits observe no proportion for their beginnings are inordinate resembling no species of any certaine simple or compound Feaver an Erratick Feaver then is of no certaine species for it is neither quotidian tertian nor quartan nor much less a continual for being so called from the uncertaine insult of the fits it is plaine it cannot bee continual though it may bee joyned with a continual as well as other intermitting Feavers an erratick then is from no certaine kind of humour as other intermittings are but either from the humours confounded together and unequally premixt and putrefying in the habit of the body or from one humour but changed from it self and passing into another for how much the humours are changed in the body of the sick so much are the circuits of the fits varied and bloud is most of all transmuted when it putrefies part of it passing into yellow choller part into black The causes of these Feavers are many one is the inequality of Summer and Autumne another when a humour begins to putrefie in a particular part and another flowes to it from other parts which was before bounded in them or was redundant in the whole body a third is errour in diet quantity or quality of the humour strength of the Patient c. they are long and of evil judgement he that would distinguish them rightly must bee well versed in the knowledge of simple Feavers both continual and intermitting The signes of Compound Feavers differ not from those of the simple intermitting as a double intermitting tertian begins as a simple with rigour and sometimes with vomiting and ends with sweat Compound Feavers are seldome of divers intermittings but if it happen the first dayes they are scarce discernable Compound Quartans begin with horrour as the simple intermittings and they are the longest of all they are thus distinguisht a double quartan growes furious two dayes and is quiet the third the fourth and fifth again is furious and so consequently a triple quartan every day begins with horrour but every fourth day the Feaver is more grievous as if it were a simple quartan Every intermitting Feaver of divers kinde may be complicate with another of the same kinde if it be in divers places as if a quotidian bee mixt with a tertian on one day there shall be two fits but on the next only one that of the quotidian and on the third day there shall be two on the fourth but one and so forwards the one shall begin with coldness the other with rigour If a quotidian be mixt with a quartan then the fourth day there shall bee two fits one with coldness the other with horrour on the other dayes but one that of the quotidian If a tertian and quartan concur the first insult shall be of the tertian with rigour the second day there shall be no Feaver the third day the tertian shall recur on the fourth a fit of the quartan on the fifth another of the tertian on the sixth none on the seventh there shall bee a double fit one of the tertian and another of the quartan and so on If a putrid Feaver be joyned with a Hectick it makes a compound because the heat of this possesses the substance of the heart that the humours The signes of both are taken from the pulse hard and unequal from the urine mordent heat and manner of their motion if it be bilious the invasion will be every third day if a quartan every fourth if a quotidian every day either with rigour horrour or coldness and the exacerbations and remissions of the putrid Feaver will be at its set hours CHAP. XXII Of a Semitertian Feaver THis Feaver Hippocrates calls the horrid Feaver from its horrour or violent shaking it is a Compound Feaver and is two-fold exquisite and not exquisite that is made up of a continual quoridian and an intermitting tertian for it is more easie for a quotidian to be continual than a tertian and its fits are longer than those of a tertian Besides the horrour is not every day but every other day when then the fits both of tertian and quotidian meet together and are confounded but on the middle dayes there is only a refrigeration proper to the quotidian the reduplications are every third day not such as a tertian but dimidiately like them because the type of the tertian is changed by the flegme of the quotidian This Feaver is sometimes caused from a continual tertian and intermitting quotidian and not from two continuals or two intermittings as Archigenes and Celsus would have it whose opinions were they true it would not be horrifical as Hippocrates and Galen describe it for horrour proceeds from rigour and cold mixt The Non-exquisite is two-fold too the one when choller predominates the other when flegme if choller prevail there is a rigour and no horrour and it comes sooner to its state without many reduplications the heat is more acrid with vomitings and dejections yellow c. but if flegme predominate there is rather a chilness than horrour and many reduplications with flegmatick excretions less heat c. these Feavers are frequent in Aethiopia Italy and other hot Countries the gentlest of them is twenty four hours the middle sort thirty six the strongest forty eight if it bee exquisite every third day it is horrifical the pulse hard and unequal and so the heat the urine crass and turbulent sweats in these Feavers are bad because they are symptomatical and not from Nature conquering c. This Feaver is reckoned amongst the deadly and sometimes lasts a whole month sometimes degenerates into a Hectick sometimes to a Dropsie by reason of the many obstructions sometimes it is shorter when the matter is little and contained in the common ducts For the Cure if need be first give a Glister then take of Cinamon half a dram Agarick Trochiscate two scruples Rhubard four scruples honey of Roses and Diaphaenicum each an ounce infuse them in a decoction of Succory Hyssop Liquorice Raisins stoned Figgs Anni-seed flowers of Time Bugloss and Elder all night over the warme embers streine it and give it at the time of remission Take of the simple sirrup of Vinegar four ounces use it with the decoction of Barley or with Ptisâ—an made of Barley Raisins stoned Figgs and Liquorish or with a decoction of Sorrel rootes or Water and Sugar if Vinegar displease use sirrup of Pomgranates In a spurious one if choller predominate let your cholagoges exceed the Phlegmagoges and so on the contrary if the stomach be offended give gastrical Medicines
malignant Medicines c. and this is not lethal The internal cause is a fervid heat with a malignant quality which doth not always dissolve the body by insensible transpiration but sometimes by manifest excretions The signes are rusous crass stinking dejections sometimes fat and viscid with a spume or froth which indicates heat the nose grows sharp and the eyes hollow which latter signes if they appear at first we are not to meddle Hippocrates proposes two remedies the one the cremor of Barley the other cold Water with acid sirrup made up with Sugar and not with Honey give Glisters if occasion be or eccoproticks for the first region of the body with opening and cooling decoctions if there be obstructions and condites and cardiacal powders as are described in the Chapter of a continual tertian CHAP. XXVI Of the Feaver from Crudity {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Feaver from Crudity though the word Crude be applied to various things yet in this place it is taken for a raw cold humour contained in the first passages or in the whole body this Feaver differs from an Epiala not in matter nor in the place of putrefaction but in malignity and therefore is not voyd of danger especially if it be joyned with an inflammation of stomach or liver for sometimes it is without them If the crude humour putrefie in the first passages there will be a nauseousness sower belchings with idleness or unseasonable exercise as Venery presently after meat c. if it bee in the whole body the urine will be thin and watery the contents divulsed the colour pallid plumbeous or livid the whole bulk somewhat swelled the pulse unequal obscure with a dulness of the senses make a Glister with Hiera Catholicum honey of Roses oyle of Camomel decoction of Mallows Mercury Origanum Dill c. Take of Catholicum an ounce infuse it all night in the infusion of Damask Roses streine it and adde sirrup of Succory with Rhubarb duplicated an ounce and half give it in the morn if strength and age permit and a high tinct urine require it let bloud in the axillary veine in small quantity with a narrow Orifice All attenuating things used must not be very hot lest the Feaver be increased Take of sirrup of Vineger and juyce of Endive each two ounces Succory Wormwood-water each six ounces Take of Grass-roots Butchers Broom and Asparagus each an ounce of Succory Agrimony Endive the Capillary Plants Sea-wormwoode ach a handful Origanum and Balm each half a handful seeds of Carduus Benedictus Citron and Anise each two drams flowers of Bugloss and Time each a pugil boyle them in water to a pint with Oxymel simple three ounces make an Apozem and aromatize it with Cinamon Take of Cinamon a scruple Rhubarb four scruples Catholicum half an ounce Cassia newly extracted an ounce infuse them in part of the Apozem and to the expression adde sirrup of Roses with Agarick an ounce and half give the potion and give no stronger take of the Conserve of Citron pill three drams old Mithridate or Treacle or Aurea Alexandrina a dram with Sugar give the Bolus next day three hours before meat Books printed and are to be be sold by John Hancock at the first shop in Popes-head-Alley next to Cornhil A Book of Short-writing the most easie exact lineal and speedy method fitted to the meanest capacity composed by Mr. Theophilus Metcalse professor of the said Art Also a School-master explaining the Rules of the said Book Another Book of new Short-hand by Thomas Crosse A Coppy-book of the newest and most useful hands Four Books lately published by Mr. Thomas Brooks Preacher of the Gospel at Margarets New Fish-street 1 Precious Remedies against Satans Devices or Salve for Beleevers and unbeleevers Sores being a companion for those that are in Christ or out of Christ that sleight or neglect Ordinances under a pretence of living above them that are growing in Spirituals or decaying that are tempted or deserted afflicted or opposed that have assurance or want it on 2 Cor. 2. 11. 2 Heaven on Earth or A serious Discourse touching a well-grounded Assurance of mens everlasting happiness and blessedness discovering the nature of Assurance the possibility of attaining it the Causes Springs and Degrees of it with the resolution of several weighty Questions on Rom. 8. 32 33 34. 3 The unsearchable Riches of Christ or Meat for strong men and Milk for Babes held forth in two and twenty Sermons from Ephes. 3. 8. preached on his Lecture Nights at Fish-street-hill 4 His Apples of Gold for Young-men and Women and A Crown of Glory for Old Men and Women or the happiness of being good betimes and the Honour of being an old Disciple clearly and fully discovered and closely and faithfully applied The Godly Mans Ark or City of refuge in the day of his Distress Discovered in divers Sermons the first of which was preached at the Funeral of Mistris Elizabeth Moore Whereunto is annexed Mistris Moores Evidences for Heaven composed and collected by her in the time of her health for her comfort in the time of sickness By Ed. Calamy B. D. and Paster of the Church at Aldermanbury The Covenant of Gods Free Grace unfolded and comfortably applied to a disquieted or dejected soul 2 Sam. 23. 5. By that late Reverend Divine Mr. John Cotton of New England The Ruine of the Authors and Fomenters of Civil War as it was delivered in a Sermon before the Parliament at their monthly Fast by Mr. Samuel Gibson sometime Minister at Margarets Westminster and one of the Assembly of Divines The New Creature with a description of the several marks and characters thereof by Richard Bartlet FINIS Of the Name The definition of a Feaver The division of heat The division of ascititious heat From the essence From the subject From the manner of the motion From the efficient cause From the matter The containing The contaâ—nâ—d The impetuous From the Symptoms The simple Feaver An unputred Synochus The Homotonos The Epacmasticâ— The Paracmastical The putred Synochus The Synechis Intermitting Feavers A Hectick Compound Feavers The Confuse The Erratick From the Humour From the quality Object against this opinion From the quality From the habit of the body From the strength From the complication The cause of putrefaction What the catasâ—aâ—â—â— it From whence are the signes of these timâ—s From whence is the Idaea of the Disease 2 From the fits 3 From the figure 4 From the strength 5 From the season 6 From the pulse 7 From the rigour 8 From the houre 9 From the Symptomes 10 From the duration of the fits 11 From the evacuation 12 From the urine Signes when the matter is out of the veines How to distinguish the four times of Feavers The foâ—â— times of a Phlegmon Signes of the times of an Ophthalmy The four times of an Ulcer What time is What a period is What is the type The time of intermitting Feavers from moveable matter The division of the fit The first time The second time The third The fourth The fifth The Sixth The times of these putrid are but four The signes of the times of these Feavers The augment The state The declination From whence the times of a Diary Feavers without putrefaction of the Humours The times of mortal Feavers The times of a Hectick Of Bleeding Purging Of the name Of the external causes Of the internal causes Of the Singes Who are subject to it The Cure The profit of Baths What a Synochus is The Signes The Cure A Cholagoge Feavers from Humours equally putrefied The Causes The Signes How many wayes a Crisis may be The Cure The cordial powder An Epithem for the heart A Plaister A Liniment for the Liver Feavers from humours unequally putrefied The division of these Feavers The external Causes Causes internal The causes of a not exquisite continual Tertian Signs Pathognomonical of a causus Signes assident Signes of exquisite Tertian Prognosticks The Aire His Drink Bleed A cooling Glister A Bole. A Rule to be observed A Julep A Purge for Choler Of the Name How a continual and intermitting differ External causes The Signs A Glister A Vomite A Purge for the Flegme Bleed A Julep An Apozem Pills Of the Name The Causes The Signs Prognosticks The Cure A Rule for purging A Glister A purge for Melancholly A Vomit An altering Julep An Apozem Lozenges The Oyntment for the Spleen Whence a double Tertian The Causes The Signs A Caution A Julep A Purge for choller Pills A Bolus A Cordial powder A Vomit A Suppositary A Purge A Julep An Apozem A Purge A bolus Lozenges for the Liver The division of this Feaver The Signs Signes of a bastard Quotidian The Cure A Suppositary A Glister A purging Potion A Julep Pills A Condite A Liniment A Plaister Of the Name The Cure The Signâ— Prognosticks The Cure A Glister A Bole so melancholly A Purge for melancholly Pills Vomit An Apozem for choller adust An Apozem for salt flegm A Purge for 〈◊〉 flegme A purge for flegme and melancholly A Bole A Purge for choller adust An Opiate Lozenges A Plaister for the Spleen The Causes Presages A powder for an intermitting quartan Of a confused Feaver A Compound Feaver Of the Erratick Feaver The Causes The signes of a Semitertian Signes of a non exquisite Semiterâ—ian Prâ—â—nostiâ—â—s A Purge A Sirrup against thirst An opening Apozem Of the Name The Definition The Division The Causes Signes of the first degree Signes of the second degree Signes of the third degree The Cure A Glister A Potion Baths A Liniment A Condite The Cure of the second degree An oyntment for the brest The choyce of Milks The third degree A short cure of a Compound Hectick The division and difference of malignant Feavers Of a Leipyria Feaver The Cure A Syncopal Feaver The Cause The signes from prassinous choller The Cure A Glister for flegme A Glister for aeâ—uginous choller A minorating Purge for flegme A purge for choller Pills A Julep for flegme An Apozem The signes The cure Typhodis Feaver The moyst Feaver The restless Feaver The signeâ— The Cause A Glister A Potion The Colliquating Feaver The cause The signes Of the Name The Signs A minorating purge A Rule A Julep An Apozem A Purge
Simple is either in the spirits or humours or solid parts chiefly in the vital spirits then in the animal and natural if there be any such is the true Ephemera which lasts but one day but longer if the spirits be crasse In the Humours are ingendred divers Feavers of which some are continual others intermitting and of the continual some are from the Humours not putrefied others from putrid humours and these either from the humours equally or inequally putrefied Those which are from the humours not putrefied are from the bloud inflamed in the heart by a preternatural heat which by the greater veines diffused into the habit of the body doth primarily and per se hurt our actions These differ from an Ephemera nominally and in respect of the matter not really nor in way of cure because the one is in the spirits inflamed the other in the bloud unputrefied both may proceed from the same external causes and the same method and remedies serve for the cure of both they are continual and have but one accession although there bee three sorts of them distinguisht by their several names The first is when the heat remains equal and alike to it self through the whole course of the Feaver and how much is inflamed anew so much is presently dissipated and this the Greeks call Homotonos or of equal tenor The second is when the late inflamation is greater than the dissipation and then the heat gathers strength and grows stronger and this is called Epacmastical or increasing The third is when there is more dissipated then is afresh inflamed and it sensibly declines till it end and by the same Greeks is called Paracmastical or declining and this Synochus may last seven days but an Ephemera transcends not the third day unless the spirits be crasse full bodies which abound with bloud and fare deliciously and live idlely and those in hot and moyst or temperate regions are most subject to the unputred Synochus for the most part it ends with sweating or moystness as an Ephemera which wants not its danger if you neglect bleeding Feavers which are in the putred Humours are either from equal or inequal putrefaction if the Humours be equally putrefied in the great Veines the Feavers are continual and are three-fold distinguisht by the same names as the unputred Synochus for the first is Homotonos when the putrefaction remaines equal and alike to it self through the whole course of the Disease and how much putrefies so much is emptied the second Epacmastical when the putrefaction from the beginning to the end increaseth the ast Paracmastical when the morbifical humour is from the beginning to the end by degrees diminisht Theâ—â— three have no remissions or exacerbations apparent at intervalls because the Humours are equally putrefied in the great Vessels as are in those which proceed from the Humours inequally putrefied in the same Vessels of which in their proper place neither have they any intermissions as are in the exquisite intermitting Feavers but last till the whole putrefaction is discussed their signs are like to those of the unputred Synochus but more conspicuous because they are from putred matter but those from the effervescency of heat The latter Phisicians use the word {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} for every continual Feaver caused from the Humours inequally putrefied in the great Veines to difference it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which signifies the same if you respect the etymology of the word This Synechis or continual Feaver hath divers appellations according to the site of the Humour which doth unequally putrefie if in the great Veines near to the heart a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or burning feaver is ingendred but if in the other Veines further off a continual Feaver is caused which hath its denomination from the predominant humour viz. if Natural choler putrefie there will follow a bilious Synechis which every other day shall have its exacerbations and remissions and in the morning especiall shall be most remitted but without intermission from whence is a continual tertian if Natural flegme putrefie in the veines there shall be a continual quotidian which likewise every day at set hours shall have its remissions and exacerbations if a melancholly humour putrefie there shall be a continual quartan which every fourth day shall have its intension and remission but no intermission Amongst those Feavers which are caused from Humours inequally putrid there are some others which differ from the continual both in matter and site and are called intermitting for the matter of continual Feavers is natural but that of intermittings is excrementitious the seat and matter of the continual is in the great Veines but that of the intermitting without them as in the Liver Stomach Spleen Intestines Mesentery and habit of the body so that if excrementitious choler putrefie it is called an intermitting tertian because it recurres every thrid day begins with rigour and sometimes with vomiting if it be exquisite whose fit is twelve hours or less according to the quantity of choler producing it and is terminated with Sweats then ends in an apyrexy or perfect infebricitation and the fuel of this Disease is principally in the Liver likewise if excrementitious flegme putrefie out of the great Vessels is caused an intermitting quotidian whose fit is eighteen hours by reason of its coldness crassness and clamminess and it begins with a coldness of the Nose Eares Hands and Feet and is terminated with a moysture and not with sweat as a tertian the fountain of this is the Stomach if glassie flegme putrefie in the same place there is another kind of Feaver which the Greeks call {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the word is derived from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is milde and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Sea because as that at first seems smooth to the Marriner and by and by is tost with most horrid Tempests so this Feaver at first invasion is gentle and so takes root and a little while after precipitates the sick into most desperate dangers or as Aegineta would have it it is derived from the Adverb {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is gently and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} heateth to this kinde may bee referred those from Rheume and that which accompanies the Green Sickness but of them in their place If a melancholly excrementitious Humour putrifie there it begins with horrour and sometimes with vomiting as a tertian and the fit is twelve hours or more or less according to the quantity of the Humour and recurres every fourth day and therefore is called a quartan which is the longest of all Feavers and hath its seat in the Spleen and so much for Feavers in the Humours inequally putrified whether continual or intermitting and though Hippocrates and Galen make mention of a
is greater and swifter than the systole the substance colour and sediment of the urine differ little from that which is Natural Galen to Glan And its fits are very easie if it arise from the inflammation of some Bubo or from the suppression of some humour the urine shall be higher and thicker with a little sediment and that crasse and crude it invades with rigour and easily degenerates into an unputrid Synochus if the Sick bee plethorical or into a Synechis if he be Cacochymous or into an Hectick if it be neglected or ill cured Such are most subject to it as are picrocholous and of a hot and dry temperament and in the Summer time if it be exquisite it is cured by the benefit of Nature alone and for the most part its fit is twenty four hours but sometimes lasts till the third day when the vital spirits are most crasse if it be prorogued longer it is not exquisite but is either an unputrid Synochus or joyned with a putrid Feaver into which it easily degenerates The rule for Cure is not taken from the matter because there is none but from the essence of the Feaver which consists in the preter-natural heat wch ought to be remedied by coolers and moystners for the faults of the spirits cannot be taken away by purging or bleeding because here is neither cacochimy nor plenitude Hippocrates in the Fourth part of his Book of Dyet in acute Diseases and Galen in his Book of Procatarctical Causes cured Menander sick of a Diary caused by heat with Paregorical and Diaphoretical Medicines as Baths Frictions and Oyntments We use Baths when wee intend to relax the skin call forth tenuous fullginous vapours and change the habit of the body but in the declination of the Feaver with gentle friction that we may cause sweats and the fumid excrements may be discussed and then especially when there is no crudity in the chief Vessels nor inveterate obstruction of the viscera nor hardness or weakness lest that the crudity bee carried into all parts of the body if none of these things be then the Sick may safely wash otherwise not least that the obstruction and weaknesse of the viscera bee increased and the tumor if there be any It is good against the thickness and obstruction of the skin from cold or astringent causes if a Diary have its rise from driness and heat let the Bath be luke-warme and not hot having first emptied the belly if it were costive with a Suppository or cooling and moystning Glister least it degenerate into a Hectick or Synochus If from the thickness of the skin by reason of too great cold or by use of aluminous Baths Diaphoretical and Paregorical Medicines must be boyled in the water for those take away obstructions and provoke sweats being of a hot and tenuous substance and cause the cooleness of the water to penetrate the deeper but these being temperate or hot in the first degree and of thin substance as the Roots of Marsh Mallows Fenugreek Flowers of Camomel Melilot and Elder by these means the closeness of the skin is to bee made open least perspiration being hindred the Humours bee inflamed together with the Spirits and so a putrid Feaver ensue to the great damage of the diseased The ancients used Bathing more for delight than health which custome is now out of use We in France use Baths of plaine water or with a decoctron of Plants not for pleasure but for the cure of an Ephemera because they moysten contemperate the feaverish heat and empty acrid vapours To wipe off the sweat is good with gentle frictions with warme Oyle because it opens the pores of the skin and calls forth the spirits from the center to the circumference but too vehement doth stop them up Oyntment and Frictions are not good for such Diaries as proceed from tumours inflamed or from labour because there is no need of evacuation Frictions are good in those from obstruction and repletion but not in those from inanition though Galen did use gentle frictions in all Ephemeraes before the Bath or Oyntment that the discutient water or oyle might pierce the deeper and the same Galen in other procatarctical causes uses contrary remedies as for labour he commands rest for watchings sleep for anger calmness for sadness joy and for venery chastness these have no need of Frictions only anoynt them with Oyle of Violets and smooth over the body in the remission and before meats If it be from Drunkenness command a Vomit if from cold use Diaphoreticks if from obstruction of the viscera incisive and aperient Medicines if from a Catharre purge next day if from an Ulcer or Bubo wee must attend the cure of Ulcers and Tumours and so of the rest The Diet is to be ordered according to the variety of the cause if hot weather be the cause of the Diary and the Patient be young and his viscera good without obstruction plethory or cacochymy of soluble body and cholerick constitution at the declination of the Feaver he may be cured with plentiful drinking of cold water if otherwise the Cure is to be altered you must not nourish him in the augment or vigour of the Fit but in the end or out of it Hippo. Aphor. the 11. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. If you weigh the cause of the Disease the strength of the sick the age and sex you must nourish him with meats of good juyce altered with cooling Herbs which nourish speedily oppose the feaverish heat but stick not in the pores of the skin for the whole body ought to bee fluxil and transpirable Hippoc. at the beginning of the sixth Book of his Epidem Sect. 6. and for this the chief thing is the juyce or cremor of Barley If it proceed from anger watchings labour immoderate venery hunger sadness then we must nourish the sick with flesh brothes c. if from crudity gluttony or from suppression of some Natural excrement constipation of the skin ulcer tumor or great paine then let the diet bee thinner and if with the Feaver there be a plethory or cacochymy that must be taken off by bleeding this by purging not for any urgency of the present Feaver but for fear of a putrid in brief in all Diaries whatsoever is the cause the nourishment must be Medicamental and if the body be bound it must be thus loosened Take of boyled Hony an ounce Mouse turd powder of Hiera and salt gem each two scruples and make a Suppository or else make this Glister Take of Mallows Violet leaves Borage Lettice each one handfull Prunes twelve of the four greater cold Seeds each two drams water-Lilly-flowers and Roses each a small handful boyl them in water to a pint streine it and dissolve in it Cassia with Suger and the Simple Diaprunes each six drams or as much of Galens Hiera and Diaphaenicum if the Patient be a Sea-man Porter Carter c.
if in places more distant either upward or downward a continual tertian is produced which every third day is intended and remitted but intermits not because the putrid matter is contained within the great Veines and not out of them Lastly if a melancholly humour putrefie there every fourth day it hath its remissions and exacerbations The external causes are like those of an unputrid Synochus but stronger the internal are obstructions either in the greater Veines or in the skin or in the small Veines of the Liver or habit of the body which hindring perspiration the Native heat is extinguisht and hence putrefaction the parent of this Feaver The sigâ—es are taken from the mordent heat urine and pulse the urine is crasse red turbid faetid and without sediment the pulse not only great vehement and quick but unequal and inordinate A Crisis does usually happen in all Diseases one of these six wayes viz. by bleeding at the Nose or by Vomiting or by looseness or by sweats or by urine or by parotides in malignant and pestilential Feavers if by chance Nature attempt a Crisis on the sixth day although signes of coction appeared in the urine on the fourth yet it is dubious and fore-tells a relapse but if with signes of coction the Crisis be with fainting or any other grievous Symptomes it portends death or if a looseness seize at the beginnig and the Feaver continue in the same state with signes of crudity it presages death because Nature is overwhelmed with the plenty of matter on the other side if the Feaver be abated by the looseness the sick well enduring it and breathing freely hee shall escape if spots appear the fourth day either black or livid death is at hand for they denote some malignant quality which had they been red only and the Patient strong with signes of coction there were good hopes this Feaver is most gentle in the morne The Cure consists in evacuation and alteration evacuation is to be made by bleeding and that at the beginning for feare of suffocation or swounings but if the Patient sweat or have the Haemorrhoids or a Haemorrage or the Courses appearing then the whole business is to be committed to Nature but if they flow but sparingly and the Feaver be not mitigated bleed notwithstanding the second part of the Cure consists in alteration of the Humours by cooling and opening without any manifest heat and restraining putrefaction as with the fore-mentioned apozem besides use this cordial powder Take of red Corral and the fragments of the five precious Stones finely powdered each a scruple the bone of the heart of an Hart or of an Oxe for they are both of the same vertue half a dram of Pearl a dram sugar of Roses a sufficient quantity and four leaves of Gold let it be dissolved in broth or ptissan or in the decoction of Sorrel roots Take of the powder of Balm and Saffron each a scruple Water-Lilly-flowers red Roses and Grana Tinctorum each two scruples powder of Diamargaritum frigidum four scruples red Wine two ounces Scabious Bugloss and Purslane-water each five ounces apply it to the region of the heart with a thick red cloth Take of the Conserve of Burrage and Marigold flowers each an ounce confection of Alchermes a dram spread them on a searlet cloth and apply it after the Epithem Take of the Cerot of Saunders and oyntment of Roses by measure each an ounce oyl of Roses an ounce then wash them often with Rose-water adding half a scruple of Camphore bath the part with a Linnen cloth let it be cold in Summer luke-warme in Winter with three ounces of the white oyntment of Galen and half a scruple of Camphore anoynt the reines and loynes once an hour CHAP. XI Of a Burning-Feaver and continual Tertian THese Feavers differ not in matter nor cure but in their name and seat both are caused by a cholerick bloud putrefied in the great Veines the Viscera being well that in the Veines nearer to the heart as in the ascending trunk of the Vena cava and in the arterial Veine and coronal of the heart this likewise in the great Veines but more distant from the arme-pits to the groine A Burning-feaver is so called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} by way of eminency because it is so great a fire in the heart This Burning-feaver as also a continual Tertian is two-fold exquisite and not exquisite the exquisite is from cholerick bloud putrefied as afore the non-exquisite is when besides choller salt flegm or ichors are putrefied with it and this causus happens two wayes the one when the Veines dried by the heat of Summer doe attract to themselves cholerick ichors which are acrid as we being destitute of good food make use of worse the other way is when ichors and other humours are cast from some strong part upon a weaker and not ventilated doe putrefie thus likewise a continual tertian is two-fold the exquisite from cholerick bloud the non-exquisite from the admission of flegme melancholly or ichors The external causes are the hot air inspiration of putrid vapours a cholerick distemper drunkenness sadness by calling the heat from the circumference to the center c. The internal are either antecedent as obstructions from crasse and viscid humours which hinder perspiration by which means even good humors putrefie or a plenitude either quoad vasa which distends the Vessels or ad vires which cannot bee concocted and governed by nature Or continent as the putrid humour it self which inquinates the pure bloud of the heart not the whole mass at once but that which is next it and so by order of succession The cause of a not exquisite continual tertian is the mixture of salt flegme or ichors putrefying in the Veines of the Midriffe which proceed from the ascending Trunk of the Vena cava or from the veines of the mouth of the stomach which flow from the Splenical trunk of the Porta and make the stomachical coronary or else it flowes from the hungry Gut or the simous part of the Liver the signes of both legitimate and illegitimate are almost alike The pathognomonical are taken from the burning heat which choller produces and the unspeakable thirst the acrimony of the humour continually molesting the heart and stomach unless by chance a thin humor fall from the braine and moysten the tongue Signes assident or concurring are the driness blacknness and roughness of the tongue from the adustion of the humour paine of the stomach Dreams delirations difficult breathing the Lungs or Midriffe being inflamed c. sometimes it begins with a gentle rigour sometimes with Vomiting sometimes with sleepiness if it be exquisite sometimes with horrour if it bee spurious by reason of the mixture of choller and flegme at the beginning the urine is crasse and turbid the pulâ—e small and unequal The signes of an exquisite
till a third part be wasted clarifie it and aromatize it with Cinamon Take of Cloves half a scruple Agarick Trochiscate two scruples Rhubarb and Tamarinds each four scruples Diaphaenicum six drams infuse them in part of the apozem and give it Take of conserve of Succory flowers Citron Pill candied each two drams old Methridate half a dram give it with Sugar three hours before meat Take of Pills Imperial a dram of Agarick a scruple Diagridium four graines make them up with honey of Roses To strengthen the Liver take of the powder of Diatriasantalum two drams conserve of Succory-flowers and Citron pill condite each three drams pure Sugar dissolved and boyled in Agrimony water four ounces make Lozenges of two drams weight and give one every morne if melancholly be joyned adde those things afore mentioned for it instead of Phlegmagoges CHAP. XVII Of an intermitting Quotidian THis Feaver is caused from excrementitious flegme putrefied and every day hath new fits with a refrigeration or chilness the place of putrefaction is the smaller veines and habit of the body and chiefly the stomach which is alwaies almost affected in this Feaver sometimes it is in the mesentery the simous part of the Liver Spleen or Wombe but if it putrefie out of the smaller veines it doth not cause a Feaver but some other Malady as if it be putrid and stinking in the Braine or in the Lungs after Cathars and Astma's or in the Wombe from whence is a Womans Flux or in the Guts from whence are Worms or in the bladder or reines where it is dried into stones of divers colours By flegme is here meant any cold and moyst humour produced in us which may be putrefied from a hot or cold cause that putrefied from heat or the mixture of a serous moysture becomes salt from cold if remiss is caused acid flegme if intense the glassie or albugenious from these severall sorts of flegme are ingendred various Feavers A Quotidian Feaver is two-fold the one from excrementitious flegme which is of sweet taste or insipid for the most part produced in the stomach which when it putrefies in the lesser veines makes an exquisite Quotidian the other is when some other humour besides flegme putrefies with it and it is called a bastard quotidian let the Phisician be careful he coufound not a bastard Tertian or double intermitting Tertian or a triple Quartan which have their fits every day with an intermitting quotidian for their cure is farre different and distinction difficult The causes of this Feaver are not unlike those of a continual quotidian gapings and wretchings precede this Feaver with a coldness of the external parts as of the Nose Fingers Ears Hands and Feet with a paine in the stomach seldome with rigour but with a gentle horrour the pulse inequal inordinate slow and weak at first afterwards more vehement and swift the urine first thin white and crude afterwards thick and turbulent sometimes they vomit flegme have acid belchings swellings of the Hypochondria pale faces and little thirst it usually seazes after noon towards the evening or night its fits are for the most part eighteen hours and therefore it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is partaking of both day and night its intermission is impure by reason of the quantity crasseness and clamminess of flegme which is left by the former fit and is the cause of the following because it is not breathed forth by sweat as in a tertian this pituitous humour is hardly enflamed and moved but the matter being coct the vehemency of the fits cease as in all other wholesome sicknesses its heat is not burning but meanly acrid The signes of a bastard quotidian are confused by reason of the excrementitious choller or melancholly putrefying with it but if choller bee mixt you may know it from the Vomitings stooles urine pulse and a more acrid and mordent heat for some choller will be cast up the excrement will be yellow and the water tinct with choller the pulse inequal and more frequent than in the exquisite the fits shorter with thirst and bitterness of mouth if melancholly be mixt consider its signes with the Spleen ill-affected Let the dyet be hot and drying incisive and detersive let the drink bee decoction of Sarsa Parilla roote sirrup of Vinegar or Hydromel moyst meat that is substantifically moyst is good for all Feavers saith Hippocrates as broths of euchymous flesh altered with Parsley Fennel Hyssop Savory Marjoram Sage Time with a little Endive Purslaine or Burrage if it be spurious the meat is easily corrupted by a feaverish heat as milke by the hot air let them sleep in the declination and not in the beginning of the fit if the sick bee nauseative give a vomit and then what followeth Take of Sope an ounce powder of simple Hiera Agarick and Salt Gemmious each a dram seeds of Coloquintida a scruple beat them in a Morter with juyce of Mercury make Suppositaries and dry them up for your use Take of Origanum Penny-royal Calamint and Mercury each a handful seeds of Dill three drams Agarick two drams Chamomel and Dill flowers each half a handful boyle them in water to a pinte honey of Roses oyle of Nuts each an ounce and half Benedicta Laxative and Hiera or Diaphaenicum each half an ounce make a Glister Take of Polipody of the Oke bruised half a dram wilde Saffron seeds and Sena each two drams Calamint half a handful Anniseed a dram two Figgs flowers of Time a small handful boyle them in water to three ounces in the Colature infuse of Diacarthamum six drams over warm embers sirrup of Roses solutive with Agarick an ounce and give it if it be Spring time and the body young or any evacuation supprest open the right axillary veine then give this Julep Oxymel compound four ounces Sage Betony and Succory water if choller be mixt each five ounces Take of Cocheae Pills and of Agarick each half a dram powder of Hiera a scruple Agarick Trochiscate four graines Trochiskes of Alhandal two graines or if choller be mixt of Diagridium two graines Take of Diarrhodon and Galangal each a scruple Trochiskes of Wormwood two drams Citron pill condite with Honey an ounce Conserve of Sage and Rosemary flowers each two ounces cover it with Gold let him take half an ounce three hours before dinner Take of oyle of Wormwood and Mastick each an ounce oyle of Nutmeg half an ounce mixe at the time of use a few drops of red Wine and anoynt the stomach Take of the plaister of Mastick two ounces of Ladanum an ounce powder VVormwood two drams red Roses a dram Mace two scruples reduce them to a masse and make a scutiforme plaister for the stomach an Epiala being from glassie acid flegme requires the same Cure only stronger remedies CHAP. XVIII Of a Quotidian Feaver from salt Flegme {non-Roman}
they are best when quiet and unmoved The humour is to be carried away by gentle Clisters and purged epicrastically alwaies adding Cardiacal Medicines against the malignant and venenate quality and if the Patient be nauseative give a vomit Take a sufficient quantity of broth and boyle in it Mercury Balme and Burrage each a handful the tops of Dill with Cammomel and Meâ—â—lot-flowers each a smalhandful course Bran two Pugills Figgs twelve Aniseed two drams streine it and dissolve of Hiera an ounce honey of Mercury and oyle of Cammomel each anounce and half the yolks of two Eggs and give the Glister Take of Mallows Violets Barrage Purslane Balme each a handful Prunes sixteen of the four greater cold Seeds each two drams Water-Lilley-flowers a handful dissolve in the colature Diaprunum simple and Cassia with Sugar each six drams honey of Roses and oyle of Roses each an ounce and half give it at the time of remission Take of Manna of Calabria and sirrup of Roses solutive with Agarick each an ounce and half drink it in a little fresh Chicken broth boyle in the broth three drams of Citron pill Take of Cinnamon a scruple Rhubarb four scruples Tamarinds two drams Cassia newly drawn an ounce and half infuse them all night over warme embers in Chicken-broth in the decoction of Succory Purslane Citron-seeds Bugloss and Water-Lilly flowers straine it and adde sirrup of Violets of nine infusions or of Succory with a double quantity of Rhubarb or of Roses solutive an ounce and half give the potion Take of Agarick Trochiscate for flegme Rhubarb for choller half a dram imperial Pills a dram with honey of Roles or sirrup of Violets make them up Take of the sirrup of Citron pill Conserved and of sower Pomgranates each two ounces Balme and Bugloss water each six ounces Take of Bugloss roots two ounces dried Citron pill one ounce it flagme abound but of Sorrel and Grass roots if aeruginous or prassinous choller each one ounce Succory Endive Purslane Lettice Burrage Scabious Devils-bit each a handful Balme and French Lavender for flegme each half a handful Raisins stoned twenty Liquorish six drams Prunes for choller eight white Poppy and the four greater cold Seeds or Carduâ—s Benedictus and Aniseed each two drams for flegme the Cordial flowers a Pugil boyl them in water to a pint add sirrup of Pomgranates three ounces which is good for them both make an Apozem and aromatize it with a dram and half of Saxafras if you would make a magistrall sirrup in one part of the decoction without sirrup infuse of Cloves a scruple Agarick Trochiscate an ounce for flegme or Cinnamon a dram and Rhubard an ounce and half for choller straine it and boyle it gently to a sirrup with Manna and sirrup of Roses each half a pound the dose is two ounces in a decoction of Burrage or broth twice a week CHAP. XXV Of the Cardiacal Feaver THis Feaver hath its name from the heart and is of the same kinde with malignant and colliquating Feavers and not much unlike to the Syncopall there is a great heat with it and the face lookes red great strivings of the heart little and frequent breathing insomuch that they are compeld to sit upright like the Orthopnoical and are pained on the region of the heart the Disease inclining they have a thin sweat a cold breath and then follow syncopes and death The cure is the same with that of a Burning-feaver both for cooling and moystning diet and for bleeding premising the Glister there described if the body be bound in alterating the humours adde a fourth or sixth part of hot Alexipharmaca by reason of the malignant and pernicious quality that is impressed and then empty the humours with Manna Cassia c allay the thirst with Julep of Violets or Poppies Amongst malignant Feavers are reckoned also those that doe variously impair the substance of the body whether by degrees or speedily as the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is a kind of Feaver in which by reason of the excessive heat the sick seem to be suffocated and may be called an crysipelatose one and is cured as a continual tertian {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is the moyst Feaver is so called because presently after the first day the sick begin to sweat and by sweating their strength is so wasted that they finde little or no benefit by it in the year 1528. this Feaver spread it self from England into France and in short space killed the stoutest men by sweating all remedies against it being invalid the French named it Suette and numbred it amongst the Pestilential by reason of its maligne and venenate quality the Greeks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by Hippocrates the restless implacid Feaver in this the sick are alwaies tossing changing their posture of lying loath all things are distended in the Hypochondria thirst watch or are delirous in their sleep The internal cause is a crass acrid and bilious humour imbibed in the coates of the stomach sometimes it is from internal pains the pulse suddenly failes and the use of all remedies is prevented let the diet be incisive refrigerating and moystning and if occasion be give this Glister Take of Violet leaves Gourds Purslane and Nettles each a handful the four great cold Seeds and Nettle-seed each two drams Camomel and Violet flowers each a pugil boyle them in water to a pint and in the colature dissolve Diaphaenicum honey of Roses and Oxymel simple each an ounce oyle of Water-Lillies an ounce and half To allay the thirst use the juyce of Pomgranates or Citrons or the sirrups made of them c. Take of Cinamon a scruple Rhubarb four scruples Cassia newly drawn an ounce and half infuse them in the infusion of Damask Roses or in the decoction of Succory Marigolds Burrage Prunes with Nettle-seed and the Cordial flowers streine it and give it procure sleep with sirrup of Poppy and a little Diamargaritum frigidum {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by the Latines the Colliquating Feaver by whose vehement heat not only the fat but the flesh and substance of the solid parts are melted away this is of the kind of malignant Feavers it is caused two wayes the one when the colliquationis by degrees as in Hecticks and the Marasmus the other when both fat and solid parts are suddainly dissolved and this is a most grievous and dangerous disease it differs from a Marasmus because in this that portion of flesh which is colliquated is always like a vapour breathed forth by insensible transpiration but in the colliquating Feaver it flowes to the belly in the species of a bilious stinking crass humour the external causes are watchings sadness