to the natural cullour In like manner the appeasing of all the symptoms subiect to that disease helping of the members as before doing all wonted actions without any impediment or hinderance If these signes bee certainly perceiued you may assure your selfe that there remaineth nothing and so wee end thys Treatise The second Treatise sheweth the way to cure the accidents of the Spanish sicknesse The first Chapter SEeing I haue sufficientlie shewed in the former Treatise of the curation of thys dysease which generally happeneth throughout all the body by the which all men that doe professe anie learning and cheefely Chirurgiaâ—s may easily cure the same Now in like manner will I shew the true cure of the accidents of this sicknes which ordinarilie we call the Venerian sicknes perticuler yet of these there be also many sorts for some goe before the malady and if it be not yet confirmed some follow some happen in the cure and some after the cure vnperfectly performed Of those which goe before which we call precedents or forriders is vlcers and cankors of diuers fashions in the yeard burning of vrine Chaudepisses Carnosities Pulluines and such like Yet somtimes any of these may happen without the sicknes Those that followe bee pustuls and vlcers throughout all the bodie cheefely in the secret parts and also in the forhead and diuers other parts of the head in the emunctories in the mouth throat and fundament falling of hayre dolors and nodosities of the ioynts Those that happen in the cure are lack of appetite and walking vlcers in the mouth intestins and conduit of vrine with diuers others which happeneth in diuers manners according vnto the varieties of the waies of cure Those that happen after the vnperfect cure make diuers euill accidents as the fixed greefe of the whole head or some part thereof also of the legs armes and ioynts nodosities with putrifaction of the bones deafenes defluxions of the eyes filthy and creeping vlcers Fissures and Darters in the hands feete and diuers other parts of the body diminution of substance so that the body becommeth leane and atrified Of these symtoms some be cured by the generall cure but heere we shall content vs to speake of those which are cured by particuler cure If not by dulie administring of propper remedies the part affected becommeth rebellious and obeyeth no remedies the Patients are tobe suspected to haue great venenositie in the bodie where-upon for greater assurance to saue them from the vniuersall sicknes I cause them to vse euery morning of my electuary halfe an ounce by that meanes the euill humor doth auoy de which did entertaine the sicknes so is healed easily If it chaunce otherwise it shall bee well done to cause the sicke to vse good regime the space of 10. or 15. dayes during the which time yee shall vse a decoction of Salsparil or Gaiac according to his temperature and some liniment particuler on the part affected as also on the parts adiacents the which liniment shall be composed of Axungie rosat Mesues or Butter adding such quantitie of Mercure as ye shall finde expedient By thys linement and the decoction ye shall haue a great help in the cure The second Chapter sheweth the way to cure those vlcers that happen in the yeard HEere we shall begin at the maligne vlcers in the yeard which take their originall by carnall coniunction laying a part for this time those that happen by diuers other occasions as by hauing to doe with women in the time of theyr flowers and also by the great confrication of some women that be straight hote the which for the most part may be healed of themselues notwithstanding we shall speake of some part of them Of those vlcers which be maligne some happen in the gland called by the Latins Balanus and when they be most copious they be least maligne Others happen in the Prepuce which is the vtter skinne that couereth the gland Those vlcers for the most part be few in number but more dangerous somtimes complicked with virulencie or corrosion with blew or blackish cullour accompanied with callosity sometimes with filthines or rottennesse euill habitude of the body All these accidents must be corrected or els the vlcers cannot be healed the which being neglected in short space become cacoethick and maligne Some doe ende in gangrene or mortification and then we are constrayned to cute the whole member or at the least some portion thereof For the which you may haue recourse to my Chirurgie Chapter of gangrene Somtimes these vlcers doe degenerat into Carcinomes which if so happeneth you may haue recourse to the Chirurgie Chapter of Carcinomes It shall be well done not to neglect the simplest vlcer in the yearde For oftentimes by the neglecting of the vniuersall curation in the beginning and vsing onelie some repercussiue and astringent remedies the disease is healed but for a time so that afterwards it returneth within halfe a yeare or a yeare or two yeares sooner or later according to the habitude of the person diseased I handled in Paris a Gentleman who tenne yeares afore had a simple vlcer in his yearde and being euill cured by sorce of repercussiues the venim did retire to the center of the body So after the ten yeares vlcers and pustuls appeared in his yearde and at the perineum the prostats and parastats became all putrified and in like manner the whole scrotum So he dyed miserably notwithstanding all remedies as many doe when the humor virulent is retired and hidden long time in the body the which may chaunce in old folks For in such it consumeth inwardly before any appearance without But to returne to our purpose for the curation of maligne vlcers in the yearde we must vse some light purgations letting of blood good regime according to the temperature of the body vsing also decoction of Gaiac and Salsparill abstayning from all strong purgatious also bleeding of the arme or any superior part by reason that the strong medicines doe reuoke the humor to the centre of the body the which nature would discharge by the vlcers letting of blood in the armes or any superior parts doeth the same So that if these things be not well obserued the generall sicknes followeth for this cause the purgation shall be weake and the letting of blood in the inferior parts as in the leggs or feete also with such method that the part affected be not irrited As for the simple vlcers that be not maligne but come onely by great rubbing on women that be hote or by great violence on little Maides or by some women y t are ouer-straight which seldome happeneth or by women that haue their purgations and such other as you haue heard we vse onely drying medicaments and without mordication like as pouder of Tutia prepared Terra Sigillata burnt lead Bolus Vera and such like You shall put eyther of these alone or diuers together mingled with some medicament
and incident to all Nations the greater ought the carefull diligence of the expert Chirurgian be to preuent and cure that maladie Nature by reason of appetite and inclination to carnall copulation doth argue the more is the pitty the vniuersall raigne and common infection of this contagious disease throughout all Nations Citties and Townes Therefore he that would prescribe an easie perfect and true way to oute this disease should greatly benefit the Publique weale in preseruing the life of an infinite number of people who vndeseruedly by infection from others are greeuously oppressed with this detestable maladie Now by daily and long practise conference with men of learning in this matter I haue found out diuers remedies and medicins neuer sette forth by any before this time Neuertheles to make my worke more perfect I will first intreate of the ordinarie cures practized by others which diuers men haue written in diuers manners to the great hurt of the Patient and discredite of the Chirurgian not knowing the true cure which is the cause that manie make a miserable end of their life which shall appeare to the diligent Reader in this my Treatise following The first Chapter of the definition of the Spanish sicknes THIS Spanish sicknes is one indisposition against nature bred cheefely by carnall copulation contagion ioyned with venenositie as saith Ioh. Suessanus Or it may be defined to be an euill intemperature hote and dry in the liuer vaines as saith Francantianus yet more dry then hote and therefore of more difficill curation but because that euill temprature may be without matter and is processe of time with matter and solution of continuitie the which penetrateth and corrodeth the secret parts of men and women with certaine pustulls in the head and forehead with other externall parts of the body which in time cause greefes in the night hardnes on y e bones we call them Tophes or Nodosities with corruption both of the bones and other spermatick parts yet this chaunceth oftenest in the secret parts of men because they bee laxe and soft and therefore easie to receiue infection as also because it doth enter into the capacitie of the Matrix whereof for the most part proceedeth the originall of this disease Thys part being infected with that venim it entereth into the little vaines and afterwarde into the great and lastly into the liuer where it changeth the naturall temperature and so infecteth all the members corrupting the naturall humors in the liuer which should passe for the nourishment of the whole body which if they be very vehement byting they ingender aboundance of externall vlcers and pustls falling of haire both of head browes and beard griefe in the ioynts head leggs and armes with diuers euill accidents according to the varietie of the humor yet chiefely in the night and at such times as the humor is accustomed to make his paroxismes and motions which is most commonly betwixt 3. of the clock in the after-noone and 9. at night as ye shall heare at length in our Chirurgie in the Chapter of humors The second Chapter of the originall and names of the Spanish sicknes THere are diuers learned men of diuers opinions and for the most part doubtfull of the originall of this disease Amongst whom the Theologians be of opinion hold it for a Maxime that for error commeth punition and for sin death and so they thinke that GOD doth send it for a scourge to the people for whordome There are also many famous Authors that haue written of diuers strange sicknesses which diuers times haue happened in Italie Fraunce and other Countries like as wee see somtimes in our owne Country the originall wherof are vnknowne vnto vs. But generally according to their opinion we may no doubt attribute the originall of all diseases vnto the indignation of God as the first cause who recompenceth euery man according to his works For to refraine the filthy lusts of men and women God hath permitted thys sicknes to raigne among them as a punishment for sinne like as we see in the 6. of Exodus that he coÌ„maunded Moses to cast powder in the ayre in the presence of Pharao to the effect the beasts and people of Egipt should be punished and afflicted with Apostums and Vlcers for their sinnes and disobedience But because I will not intermedle holy things with prophane I will not insist further in this matter The Astrologians are of opinion that it commeth and hath the originall from tâ—â— influence of the starres and eclipses of the Sunne as chaunced at that time in the Ile of Calecute when and where it began There are others that think it to be ingendered of a Fornicator and a Lepre in the West Indies Anno Dom. 1490. The most probable of all is the opinion of the Spanish Historiographers and also diuers other learned men that haue written of the same vvho doe report that it was brought among the Christians after y e natiuitie of our Lord 1492. by a Spaniard called Christophorus Columbus with many other Spanyards accompanied with some women who came from the new found Iles occidentalls For this sicknes is as common or rather rifer amongst them then any other disease with vs and doth infect as contagious sicknesses doe among vs. So diuers Souldiers were infected who after their returne not onely infected their owne Country but also diuers others Anno 1493. in the Moneth of December as Nicholaus Leonitius reporteth writing of thys disease when K. Charles the viij of Fraunce besieged Naples with a puissant Armie where hee remained certaine Moneths some of the Spanyards came to him of the which Christophorus Columbus was chiefe and spred this pernitious seed and termed it the Indian sicknes which hath had his course since not onely amongst the Spanyards who call it the Italian sicknes but also among the Italians who call it the maladie of Naples not without cause for it began first to florish in Naples Amongst the Frenchmen it is called the Spanish sicknesse in Enland the great pocks in Scotland the Spanish Fleas and that for two causes the one because it began first amongst the Spanyards the other because when the infection spreadeth first forth in the body it is like vnto red spots called flea-bitings Some call it the vnder foote because that infection often coÌ„meth by treading with the bare foote vpon the spettle of the diseased with this contagion There are some ignorant malicious people who call it the French sicknes without any cause or reason The most part call it the Venerian sicknes because most commonly it proceedeth of the act of Venus Some call it Pudendagra because in many people it breedeth first in those parts in both sexes Now it may be called generall sicknes because it is generally spred throughout all the world but for that these things concerning the originall and names are not greatly materiall I wil passe theÌ„ ouer and onely shew those things that
parts of the body also great vlcers euill coloured large and hard round about oftentimes Tophes and Nodosities on the bones great paine at such time as the humor raigneth which is from three in the after-noone vntill nine If the patient be of the humor mellancholike eyther by nature or accident he shall haue paine in the left side of the head also in his shoulders heauines in all the body debilitie of the stomack The body becommeth leane or at the least some part of it all the body is euill coloured but chiefely those parts which are most infected with it vnsauorie tast in the mouth falling of haire the pustls be hard and deepe but fewe in numher many vlcers and Canchors in diuers parts swelling of the bones in the head but especially in the forehead hemerands deficultie of vrine with astrection of the belly the sleepe is intercepted with great dolour at such time as the humor gouerns which is from nine at night vntill three at morning These be the signes simple and particulerly for the knowledge of this sicknes according to euery humor to the end that euery one may haue better more easie knowledge of this disease I will set downe certaine generall signes by the which ye may knowe the person to be infected oft what complexion so euer he be The first and most common is hard vlcers in the secret parts of both sex swellings in the flanke called vsually Bubons or Apostumes virulens running of the raines voyding an infected humor which proceeds from the kernels called by the Latines Prostata and Parastata dolours of the head legs armes and shoulders chiesely in the ioynts accompanied with swelling and hardnes running along the Muskels Nerues Tendons Perioste and other parts Neruonse in such sort that the sicke is out of patience so that he can neyther rest walke sleepe nor lift his arme to his head And this happeneth somtime in one part somtime in diuers also vlcers in the mouth and throat with difficultie of swelling pustules about the forehead which we call commonly the golden crowne likewise in the rootes of the haire and all ouer the head More-ouer in the Emunstoires of the noble parts as also other parts glandulous and humids and somtime ouer the whole body falling of the haire of the head beard browes and eye-lids defluxion on the eyes corruption of the teeth and the pallet of the mouth Somtime the whole vnula is consumed so that the diseased speake alway in the nose and and sometime there is distention of the Periost which is the membran that couers the bones vniuersally Furthermore somtime the patient is drousie yet cannot sleepe chiefely at such time of the night when the humor is in motion the which happeneth rather at that time then at any other for two causes the first because the humor is most commonlie cold as the night is the second because the poares are closed in the night so that the euill humor doth not voyd which by the opening of y e poares in the day doe purge Yet al these signes doe not happen to euery diseased person nor yet in this order as you haue heard for some appeare in one part some in others and in diuers persons sooner then in others which falleth out according to the temperature of the diseased Often times there is but a fewe of these tokens found together and therefore it behoueth to haue good iudgement As for example if there be vlcers in the yeard being hard at the roote and not deminishing by any application of particuler remedies the malady is to be suspected Likewise the running of the raines and heate of vrine accompanied with diuers accidents as particuler convulsion chiefely in the night where there is erection of the yeard More-ouer vlcers in the necke of the bladder in all the which if ordinary remedies doe not extinguish the venim they are to be suspected as also tumors in the flanke called Bubones which if they sticke inward without breaking forth they are euill And in all these things I find no sure remedie but from the particuler cure to the generall Yet somtime men may haue this disease not hauing any of these tokens aboue mentioned sauing only little vlcers of a small breadth somtimes on the thighs or on the codds likewise women in the paps and children in the fundament Therefore in all these things there is required a good iudgement to consider the qualities and nature of such vlcers and to dresse them after the mnaner which yee shall vnderstand heereafter The sixth Chapter of the prognostick of the Spanish sicknes HAuing spoken of the tokens present and past of this disease we must likewise speake of the Future to the effect that we may iudge of the cure in what time it may be helpt or whether it be incurable First then wee must consider that eyther the sicknes is recent or inueterate if it be recent with fewe simptomes externall as Pustulles falling of the haire some vlcers in the secret parts accompanied with great paine on the shoulders and articles In this case if the person be young of good constitution and the time conuenient like as in spring-time or Sommer then thou mayst prognostick that the true cure may easily follow by vsing of such familier and easie remedies as ye shall heare in the cure But if of long time for great dolor the members be retired except that great remedies be vsed with great discretion they remaine so If it be old inueterate with many simtomes like as great dolors of all sorts as in the head shoulders and articles Tophes and Nodosities with corruption of the bones and vlcers maligne in diuers parts the bodie extenuate and imbecill and of euill temperature full of euill humors and scabbs of diuers sorts like vnto leprosie and hath beene often cured which happeneth through the ignorance of them who take vpon them to cure the same vsing onely one remedie which is rubbing with quick siluer for all the kinds of this disease thou shalt prognostick that the curation will be hard and long This somtime happeneth also by learned Chirurgians who haue done their indeuour yet the infection being so great and occupying the vaines which be neere the lyuer and the lyuer it selfe and other noble parts the ioynts and other parts spermatick that hardly it will obey any remedie and in this poynt thou shalt also prognostick that the curation will be hard and long Those that eate and drinke much lyuing without dyet and obseruation of the vnnaturall things albeit they be young and of good temperature yet they are as hardly cured as those that are weake drie and consumed with other sicknesses and are healed with great difficultie or else not at all If the places and vessels neere the hart be occupied as I haue noted in sundrie patients and after that remedies be vsed the sicke become Ethick and in a consumption then thou shalt iudge it to be incurable and in that
et Galline an vnc 2. Axungie porci butyri recentis sine sale an vnc 1. Medulle vituline et cernine vnc ss Cum gummatuÌ„ ammoniaci bdellij Galbani et Oppopanacis vnc 2. sem malue lini et Fenugr an vnc ss Olei Liliori Violari et Lumbric an vnc sem fiat linementuÌ„ With this you shall rubbe the parts affected euerie time you come out of the bath Being so continued a certaine space wee adde to some of these Axungies a medicament which is esteemed by our Authors to haue a proprietie manifest or occult for this disease the which is called HydrargiroÌ„ or Quicksiluer But by reason that of it commeth diuers accidents as ye haue heard beeing either euill of himselfe or euill prepared therefore when thou shalt make the vnguent haue recourse to the Chapter of Quicksiluer The 15. Chap. Of the forme of the Friction THE body and humors being prepared as you haue heard the Patient shall be put in a place naturally warme or in the cold weather it shall be made warme by Art exempt of all cold and wind which may penetrate in the body and hinder the operations of the medicaments For this cause those that doe meddle with thys sort of cure should haue a little close Chamber with a chimney where alwaies should be fire the which must be great in the time of the friction and that in the morning at 5. or 6. of the clock as time most propper If the Patient be weak giue him an Egge or some other thing of light digestion an houre before halfe an houre after a drink of the first decoction warme That being done there must be a reasonable fire the which the siâ—â— shall stand before turning alwaies about to the end the heate may penetrate in all y e sides and vniuersally throughout the body Put a cloth about his head another about his belly to the end the vnguent touch neither of these two parts then yee shall begin the friction at the articles as hands shoulders elbowes knees afterward vniuersally throughout the whole body excepting alwaies the head the belly the which is annoynted by some ignorants causing thereby death or some cruell accidents Rub wel to the end it may penetrate the better and let the friction be more copious in the parts affected then in the rest The vnguent being soked in a part you must haue a hote sheete put it about him so laying him in a hote bed which shall be well couered with many clothes not heauie there he shall sweat an houre or two or as long as he may endure If the sweat come not sufficiently put to his feet and shoulders some hote stones or pots of earth or of glasse or some bladders full of the same decoction warme as ye haue heard in the cure by decoction TheÌ„ hauing sweat sufficientlie rub him wel with warme dry clothes til he be almost dry so take the sheete from him and after that rub him a space with warme linnen till he be perfectly dry Be diligent in rubbing well his head afterward let him refresh himselfe softly so two howrs after he may dine and doe the like after-noone and other times when ye shall annoynt him Yet there must be both mediocritie and method in the annoynting for like as our soft annoynting is not able to open the poares in like manner the ouer-strong dooth open the poars of the skin making dolor attraction and commotion of the parts Take alwaies heede to the forces of the sick beware of that which is cause of all dolors and recidiues that is the number of the frictions by reason that some giue ouer-few fearing these accidents and to the contrary some others that gyue ouer-many in such sort that I haue heard men vaunt themselues to haue rubbed the poore Patient 37. times Before I had found out other waies for the cure of this diease I haue rubbed to the number of 5. or 6 times and oft-times but twise or thrice Neuerthelesse the time may not be iustlie limitted but for the greatnesse of the sicknesse and temperature of the sicke wee vse the frictions till we perceiue a reduction of the venimous humors eyther by fluxe of mouth or of belly or of vrine and sometimes by insensible resolution but that is seldome and not certaine If we see in bodies strong and hard that nature will not worke nor obey the frictions by once a day annoynting then they must be twice that is at 6. of the clocke in the morning two or three in the after-noone so that one day that way doth more profit then two daies other waies In weake and tender persons yee must annoynt but once a day and somtimes but once in two dayes by reason that in such people the ouer-oft annoynting maketh a resolution of the spirits and maketh nature weake VVhen the sicke beginneth to spet it is a token that the humors are prepared to auoyde and then once annoynting wil doe more then twice before and it shall be well done to rubbe but once or twice at the most afterward So when nature giueth leysure to expell the venim if we perceiue that the euacuation doth not coÌ„tinue till the whole malice be euacuated theÌ„ to make it continue wee apply Emplaisters on the necke and shoulders composed after the forme as ye shall heare in the chap. of the cure by Emplaisters so that it shall continue the fluxe to the perfect euacuation For the same effect we may vse one Pill or two composed as you shall heare in the cure by Pills In like manner 8. gra of my powder called Puluis Arabicus which shall be taken in Conserue of Roses Somtimes the fluxe of the mouth is so great that we are constrained to stay it by Emplasters astringents as of Mastick Contra rupturum de bolo and such like on the neck and shoulders ventouses also frictions with hote clothes in like manner Gargarismes as ye shall heare in the chapter of vlcers in the mouth In like manner by Clysters emolients to diuertise the humor to ascend to the superior parts somtimes by vsing all these remedies the crise is imperfect so leaues some rest the which by little little doth corrupt the whole masse and so maketh worse accidents then before Somtimes it remaineth in the body halfe a yeere or a yeere sometimes 8. or 10. yeres chiefely in persons mellancholick and cold So the most part of those dieth most miserably by reason of the great internall corruption before any external apperance But to returne to our purpose we must take heede that the remedies be neyther ouer violent nor indiscreetly applyed by reason of the great accidents which ensue there-vpon and chiefely excoriation and corrosion of the intestins consumption of the humor radicall whereof the sicke becommeth tabid or getteth vlcers sordids and putrids in the mouth which oft consumeth a great part of the muscles that moue the iawes so the action doth decay To
euill as other women who are lesse infected and not so common The cause is that common women take not so great pleasure because they beeing accustomed night and day to exercise venerie doe not excitat the humor so much as the other who take greater pleasure therein by reason that they vse not the act so often I haue often knowne men infected therewith who haue beene extreamly well loued of the woman by reason she tooke pleasure with him and so the vertue expultrixe was the stronger to put forth y t which was venomous to the great hurt of the man All these occasions doe infect many which infection if it remaine any space in the body sheweth certaine signes as ye shall heare in the Chapter of signes The fourth Chapter of the differences of the Spanish sicknes THE originall and cause of this disease beeing knowne it followeth to intreate of the differences of the same touching the which we must vnderstand that it is somtime gentle and molesteth nothing other whiles by little infection it doth sodainly augment and come to the state of the maladie somtime they passe many moneths and yeares before it be knowne eyther to the infected or to the Chirurgian somtime it occupieth onely the liuer and consequently the vaines somtime it is spread ouer all the body so that the hart and braines are somtime vexed with great accidents according to the varietie of the venim and of the body wherein it happeneth sometime with great simptoms somtime small That which occupieth the haire of the head beard browes without any feeling and hurting of the body is the most simple sort The second kind is worse which occupieth the skin with little spots which waxe greater somtime red somtime yellow which cannot be well extinguished except that the roote of the sicknes be taken away The third kind is greater the which not onely maketh little spots but also Pustulles and Tubercules first in the temples forehead and head thereafter through the whole body these are round and dry without matter Purulent yet in time if they be neglected they increase and become vlcers Virulens and sordides chiefely about the throat nose and fundament because these places are more tender and therefore so much the more easie to be vlcered The fourth kind is that which is infixed in the ioynts and naturall parts which makes great dolour somtime spasme and contraction of one member or of diuers members together The fifth kind is that which makes such relaxation that paralize followes in one member or generally taketh away the motion of the whole body The sixth kind is when it is inueterated so that it possesseth and corrupteth the solide and firme parts as bones sinewes membrans and tendons The seauenth kind is that which causeth dislocation of one or diuers articles The eight kind is that which maketh such corruption fracture in the midst of the bones somtime accompanyed with Herpes and Darters furfurous of the which some appeare in the soles of the feete some in the head some in the hands and some through all the body The ninth kind is that which occupieth diuers parts of ths head with extreame paine but chiefely in the night somtime with alteration of the scull The tenth kind is that which causeth deafenes with difficultie of smelling and also ablation of the fiue sences naturals The eleauenth causeth leprosie which is incurable The twelueth kind is when the sicke becommeth Ethick dyes in a consumption There are a number of others differences of this disease Antonius Musa sayth that there are two hundreth thirtie and foure kinds but these which I haue set downe are the most common vnder the which all the rest are comprehended Furthermore we must vnderstand that when this disease doth degenerate into leprosie it happeneth in those who often times haue been vndiscreetly handled by ignorant persons and when the body is ill prepared eyther by intemperancie of lyse or otherwise VVhen it doth degenerate into a consuming Feauer and doth become Ethick which the Latines call Tabid and that it is neere the noble parts it happeneth in those that haue beene often handled onely by Sudorfficks and dry nouriture as many ignorant persons doe thinking to drie vp the euill humors that way and so drie vp the humor radicall which of necessitie causeth the patient to become Ethick The fifth Chapter of the signes of the Spanish sicknes THE signes of this disease doe commonly follow the temperature of the body diseased As if a person of the Sanguine temperature be infected such a one shall haue ordinarily paine and heauines in the head but chiefely in the forehead and rootes of the eyes in the necke and shoulders in the arme and often times in all the articles great pulsation in the temples appetite to vomit with dulnes of the fiue naturall sences lassitude of all the body chiefely when the partie sleepeth and after sleepe the mouth clammie the vaines of the eyes red vlcers sordids both in the secrets and other parts of the body with inflamation and rednes diuers pustulles in the head face and neck and somtimes through all the body which for the most part are red and inflamed great aboundance of sweat very ill sauours the vrine very red and thicke great paine at such time as the humor Sanguine raigneth which is from three in the morning till nine as ye may see in our Chirurgie in the Chapter of humors If he who is infected with this sicknes be of the humor bilious or Chollerick he shall haue great drought with want of appetite punctions throgh all his body like poynts of needles paine in the right side of the head the body becommeth leane the face and eyes euill coloured the mouth euill tasted falling of haire through all the body with aboundance of drie pustulles which are more plentifull in these two humors than in the other two by reason that these humors be more liquid and so passe more easilie from the centre to the circumference of the body He hath vlcers virulent in diuers parts of the body chiefely in the yard codds and roofe of the mouth and throat great paine at such time as the humor chollerick raigneth which is from nine in the morning till three in the after-noone If the patient be of temperature pituitous or phlegmatick he shall haue paine with heauines of the hinder part of the head neck armes and legs in all the articles and ioynts dimnes of sight little appetite little drought great coldnes in the head and stomack debilitie of the parts neruous trembling palsie vvith attraction of some parts of the body the mouth homide and clammie the face and extremities swelled great aboundance of white pustuls without itch so that the phlegme be not salt If the phlegme be salt there happen Serpins and impetigines which we call commonlie Dortors furfurons or crustous chiefely in the hands and soles of the feete and in the head and somtimes in all the
case thou shalt vse no remedies but Palliatiue as in the Elephanticks leprosies and diuers other such like discases Neuerthelesse be discreete in giuing thy iudgement for I haue cured Spaniards and French both men and women of diuers temperatures who had often been treated both in Spaine Lowe Countries and Fraunce accompanied with many greeuous Simptomes Nodosities in diuers parts of the body vlcers in the mouth and throat so that the roofe of the mouth was falling as also the pype which wee call Plectrum Vocis the nose accompanied with diuers sicknesses on the eyes greeuous torments and all kind of dolors which may be reckoned to be most intollerable the articles all swelled chiefely the knees great paine in the extremities with vniuersall extenuation so that the parties become altogether Ethick Although these haue beene seemed incurable yet by vsing certaine medicines but chiefely my confection I haue healed them contratie to many mens expectation Truly the cure is difficill Quoniam est eronica et cum malignitate coniuncta but those who mend become fat albeit they were leane before because the blood is more purified by the medicaments and evacuations as sayth Nicholaus Massa Now it resteth to speake of the curation seeing we haue sufficiently showne the causes signes differences and prognosticks But first I thinke it expedient to set downe the nature of some medicines most commonly vsed for the extirpation of this maladie The seauenth Chapter of the nature of medicines most commonly vsed for the Spanish sicknes and first of Gaiac THere are diuers remedies which haue beene vsed by our Auncients and approued very good which we vse at thys present for the curation of this disease alwaies diuersifying them according to the temperature the time and varietie of the Symptoms which albeit they be diuers yet heere we will onely speake of those which are most common and necessary for the curation hereof beginning at the Gaiac tree which we call Lignum sanctum Consolanus a Spanish Historiographer sayth that in the occidentall Indies in an Ile called S. Dominick thys tree groweth to a great height most lyke the Walnut tree the leafe thick and broade bearing a fruite round and hard of a reasonable greatnes which is eaten of chyldren and thought to be very wholsome for those that are of a weake complexion Iohannis Leonis Africanus sayth that it beareth a certaine flower and seede but because we see none of it in thys Countrie and it is not profitable for our purpose we will speake no more at this present of that matter but will intreate onely of the tree it selfe It is to be knowne that of this tree there are three kindes as saith Ioh. Monardus in his 17. booke Epist 3. The first is that which hath the fruite very great and black within interlaced with little vaines of the which there is great aboundance in the Ile of S. Iohn The second kind is not so great neither hath it y e hart so black yet it hath like rayes as the other Consolanus sayth that thys hath great vertue in diuers other sicknesses as Gouts Sciaticks paynes of ioynts Catarrhes Epilepticks Pulmonicks Hydropicks and diuers diseases of the kidneys and bladder and generally for all cold diseases The third kind is smaller then eyther of the precedents and is all white both within without the vaines in it are smaller then in y e others as saith Suessanus Neapolitanus That which is of the best sort is of a meane greatnes recent dry vncorrupted which beeing put in the fire the substance doth appeare gummie the collour yellow with a meane palenes within the barck cleauing hard to the tree In the choyce of the tree you must obserue these properties In like manner there are three substances to bee obserued in the tree the first is the skin or barke which drieth much the second is the rinde and is white in culler not so drying being more gummy the third is the blacke within called the hart and hath more gummy humiditie and lesse drying and that we vse in delicate bodies and of rare texture where there is no need of much drying The second we vse in them that are weak and the third which is the barck in strong persons as the most drying The greatest is meetest for our vse which groweth in an Ile of Hispaniola noua called Insula beata or Diui Iohannis as saith Gartius Abortus and hath great vertue for many diseases It dissolueth maketh thin it mundifieth it prouoketh sweat it stayeth vrin it dryeth and corroborateth the ventricle and all the rest of the entralls it consumeth the stinck of the mouth it is good for the euill temprature of the lyuer and cold that commeth eyther of colde drinck or meate it is good for obstructions and Hydropsies It dispatcheth the superfluous colde humors of the body it is good for Catarrhes of the head all kinds of Goute all diseases of the Nerues all Vlcers and most excellent for many kinds of the Spanish sicknes by reason of the secret vertue which is in it The eyght Chapter of Salsperill THys which we call Salsperill is a plant that hath many rootes and beareth neither flower nor fruite is brought from the Indies of the which there are two sorts the one hath the barck thick fat the other thin and dry which are both good beeing dry recent not putrified It hath great vertue for vlcers that remaine after the cure for Fissures about the fundament Tophes on the head legs and armes It is thought by some to haue more vertue theÌ„ the Gaiâ—â— it offendeth not the stomack it procureth somtime loosnes it groweth for y e most part in the Country of Peru it is hote in the second degree There is no paine so vohement which the dedoction heere of being taken in tyme doth not mittigate which decoction is good also in diuers other dyseases as Catarrhes distilling from the head in hidden causes of Tumors which are hard to cure and scrofulus and from a cold stomack it breaketh winde It is best vsing of it in the Spring or Autum The ninth Chapter Of Chine CHine is a certaine roote which coÌ„meth out of the East Indies or region of China for the which cause it is called Chine It is 3. hand-bredth hie all knotry and browne of cullor white without red within of a meane weight if it be good it hath few leaues it groweth neer the Sea or grounds that are mirie some in woods the roote is knotty of a hand-bredth hie fat well tasted It is in great estimation among the Indians thought to cure great difficult sicknesses but chiefely the Venerian Also for old Vlcers and wounds Tumors Chirrus paines of the articles head and stomack defluxion and Catarrhes old diseases of the Nerues and parts Neruous also all cold and mellancholike sicknesses and is more dry then Gaiac It consumeth all kindes of excrements clenseth the entrailes and healeth the obstructions
some the iawes goe together so that afterward they are scarcely able to open their mouth as in Paris a Boy that had beene handled that way his teeth did all fall and his iawes growe together in such sort that nothing could enter into his mouth so was I constrained to make incision through all the gums and so I healed him yet could he not come to the perfection to eate any hard thing Some degenerat in gangrens so that diuers dye miserablie As for the corrosion of the guts which often happeneth you shall vse Clisters remollients as this Recipe maluar Violar an M. 1 fiat decoctio ad lib. 1 dissol vitellor auor duo olei viol vnc 2 butiri recentis vnc 1 ss fiat Clister which shall be vsed 2 or 3 times euery day As for the vlcers of the mouth haue recourse to the propper chap. of vlcers I haue found out an inuention for the vsage of the friction the which is both more pleasant and profitable then that which you haue heard as heere followeth In steed that some put before the fire I put them in a hote stoue being warmed with decoction of things propper to soften and rarifie the poares so by that meanes all the parts are all a like hote the which is not before the fire by reason that one side beeing warme the other is cold besides that there be some who would be ashamed to be seene naked and in the stoue they are not seene Then the patient being there hote with a cloth about his head you shall giue him a little of the vnguent by a hole made for the purpose and let him rub him selfe in such places and after the forme that you haue heard That being done put him in a hot sheete in bed and couer him as before By this means he shall haue the fluxe of the mouth as the other and in a shorter space During the time of the which fluxe the patient must be nourished with things licquid and of good iuice and light digestion like as soft Egs pottage made of yolke of Eggs consumats made of extremities of Calfes or of Fowles French barley Horge Munde of the which you shall vse little and oft washing alwayes the mouth after remembring that neyther before nor in the time of the fluxe must bee vsed any washing or drinke or any cold thing the which things all doe stay the fluxe If the patient be weary of these things you may infuse white bread in wine and mingle with it a little barley water thereafter strayning the bread that the substance remayne in the wine If in this time the patient be constipat vse somtymes Clysters Lenitiues or Suppositories The 16 Chap sheweth the way to cure by Emplasters which is the third way that our Auncients did vse THE Emplasters are thought to haue the same effect that the liniments haue if the body be prepared as you haue heard in the generall Chapter Neuerthelesse the operation is slowe and very vncertaine in many yet for those that doe vse them they must be composed not onely of things written by Iohn de Vigo but also other things mingled with them that haue the vertue to soften resolue and dry according to the nature of the humors which should be euacuated and simptoms if giuing also that there be also some Quicksiluer mingled with it prepared as you haue hearde the which hath vertue against the venim which is cause of the sicknes the Emplasters haue great vertue on the part where-vpon it is applied both by reason of the ingredients as also because they remaine alwayes adherent to the part so their actions are continuall and are ordinarily applied where the humors are grosse and vitius adherent to the part solides like as Tophes and Nodosities they also mittigate the dolors and resolue the hardnes so that they remaine a certaine time for lyke as that venim is rooted for a time in like manner time must be had for the extirpation of the same So in that they be most profitable Neuerthelesse I thinke not the Emplaster or cerot hath force to make euacuations sufficient for the extirpation of the sicknes I haue somtimes proued it and haue cured some that way others I haue beene constrayned to seeke an other way of cure I consesse in all persons being vsed it doth take away a part of the euill so it hideth the sicknes for a time I find them most propper to be vsed when the malady is recent specially in the first second or third kind in young folkes and such as be easie to moue also in shamefast people and such as will not suffer the friction To such I vse this method First preparing the body and humors as you haue heard in the generall Chapter next sweat fiue or sixe daies after that method as is set downe in the Chapter of the decoction thereafter he shall remaine in bed vsing such regime as you haue heard in the last Chapter also before the fluxe of the mouth as in the time of it Your Emplaisters shall be made after this forme Recipe Emplastri Iohannis de vigo lib. 1 de meliloto et oxicroij an lib. ss argenti viui preparati vt dictum est vnc viij olei de spica parum fiat Emplastrum the which shall be put on leather or strong cloth that shall couer the armes from the hands to the shoulders and the shoulders and about the necke on the leggs from the knees to the toes and alwayes must it be more thicke in the articles then in other parts letting them remaine till such time you perceiue nature begin to make eduction of the humors venimous If nature be long in working it shall not be euill done to make little particuler frictions in the bed once or twice to the effect the euacuation be more easie In some persons if the humors be well prepared in good season the Emplasters begin to make eduction of the humor in 3 or 4 dayes most commonly by the mouth the which somtimes is so violent that we are constrained to stay it first by taking away a part of these Emplasters and after that stay the violent fluxe by such meanes as you haue heard in the Chapter of frictions The vlcers that ensue there-vpon shall be cured after the method set downe in the Chapter of vlcers of the mouth If there happeneth prurit or blisters in the part where be the Emplasters they shal be remoued and foment these parts with hote wine in the which Camomell Roses and such like haue beene boyled the which hath the vertue to consume that which is cause of the sayd prurit afterward the place beeing dryed applie the same Emplaster againe Furthermore you shall vnderstand that by the application of these Emplasters nature doth somtimes discharge by flux of belly vrine but I neuer saw it discharge by flux of the belly saue one time neyther is it so certaine as that of the mouth I haue vsed them
forme of a little Pill taking it in going to bedde 2. howres after meat Doe the like in the morning obseruing the same order and that night in like maner taking onelie 5. or 6. graines of the same powder mingled with the said Conserues and so continuing euery day or euery two dayes once till the perfect euacuation of the venim be perceiued which will be during the time aboue specified as ye shall cleerely perceiue by the signes of perfect health You shall marke that y e working of this medicament is often by the mouth and seldom by the belly and that like as it is seldom it is also very long Therefore obserue such cautions in the ministring hereof that ye prouoke fluxe of the mouth rather theÌ„ of the belly Yet whether of them ye perceiue nature tend most to you shall doe well to follow nature and doe the best to continue that euacuation giuing no occasion in the coÌ„trary for the hinderance hereof Thys is a reamedy which I haue vsed somtimes to great Personages as a thing most propper for them for two reasons first because it is pleasant and worketh thorowly secondly because it is more costly and therefore not so coÌ„uenient for the common people whose abilitie is vnsufficient to beare the charge thereof The composition of it which will endure the space of three moneths with the true administration of the same in diuers sicknesses are set downe in my Treatise called The poore mans guide The 23. Chapter sheweth the way to cure young infants infected with this disease and first practised by mee SEeing that in the formsr chapters I haue plainly shewed after what method our Auncients and I my selfe in like manner haue cured old folks of this disease now in like manner I will set downe the way to cure young Infants True it is that diuers Practicioners haue of a long time taken paines to find out some certaine method for the same seeing the great number that daily were infected partly by their Parents partlie by their Nurses and such other causes as ye haue heard in the Chapter of the causes of this disease But no true or perfect curation could be found by them because they were contented with some Paleatiue remedies whereby the chyldren seemed to bee healed tyll they came to be 2. or 3. yeeres old in the which time by the acrimonie or sharpnes of the maligne humor the bones doe consume the roofe of the mouth and nose doe fall so that not one amongst a thousand escapeth miserable death Whereupon I considering these things and as I had found out some easie way for old folks so being requested by many of my speciall freends and diuers other honest men whose children were infected to sette out some certaine method for the deliuery of such young infants who vndeseruedly were destroied with this disease after long trauaile I found out 2. or 3. waies the which in deede are good but very painfull so that afterward by mine owne diligence and diligent conference with some of the Docters in Chirurgerie in Paris I founde out thys vvay which is most sure and easie if it be done with good iudgment and with the method that followeth First if the Nurse be infected the child shall be taken from her and nourished with other womens milk or Goates milke otherwise if eyther the Nurse be little infected or els the child so young that it may not be so nourished in that case purge the Nurse with Confection Hamech vsing alwaies good regime like as ye haue heard in the Chapter of electuarie Shee shall also vse a decoction sudoriffick the space of three or foure daies after that a decoction of Salsparil during the time of the cure which should be three weekes or a month vsing euery day till the first sixe dayes be past an ounce of my electuary taking it in the morning like as in the proper chapter or els sixe graines of the powder Arabick which shall be taken as ye haue heard continuing alwaies till you perceiue ful eduction of the venim In the meane tiâ—e the child shall take a little syrrop of Succorie composed with Rubarb afterward you shall make an oyntment of Rosat Mesues or such like putting to a pound of it an ounce of Hydrargire well prepared and extinguished adding to it halfe an ounce of Turpentine and incorporating all together in forme of liniment This being done you shall cause the Nurse or your selfe to rub the liske which is the part betweene the thigh and the body the first daie After that rest a daie or two and rub the thighes a little this will prouoke a fluxe of the belly Then rest two or three dayes to the end the flux be not ouer-violent and then rub a little the armes resting there-vpon 2. or 3. dayes againe next the feete and leggs and rest 2. dayes next the back Heere you must marke that according as you perceiue the working of the medicament you must abstaine somtimes 4. or 5. dayes betweene euerie friction so that the flux of the belly must be entertained without violence for if it were done euerie day it would bee both violent and dangerous In this time the virulencie of the venim shall auoide yet wil it render the child extreame weake by reason of the great euacuation and therefore it shall be most requisite to vse this water following Rec. Medullae Gaiaci vnc 2. Saisaparile vnc 4. Macerentur pâ—r diem in libris 8. Aque fontanae et fiat decoctio ad libras 6. in col ponatur in alembico addendo conseruae Buglossi Borrag Enule Campanae Anthos an vnc 1. sem Cardui Benedicti Sumachi Anisâ— Cardomoni an drag 3. Mithridatij opt et Theriacis antiquae an drag 2. sem Citri et Cort citri conditi an vnc sem Zach. albissimi lib. sem Cinamâ—mi vnc 1. dictillentur in balneo M. Et sumet puer singulis diebus cochlearia tria per diuersas horas By this meanes I haue cured many of diuers ages and some that were not foure months old The time of the cure will be 15. or 20. daies It shall be well done euerie 6. or 8. daies to purge the Nurse so in thys time the cure shall be performed in both persons The 24. Chapter sheweth the tokens of perfect health AFter the generall particuler cure of this disease there remaineth some rest which tormenteth the bodie and maketh the sicknes recidiue yet somtimes verie vneasie to be known if the sick be perfectly cured for this cause as also to the end if anie thing remaineth you may giue order for the taking away of the same yee shall heare certaine signes most assured of perfect health and that nothing remaineth The first and chiefe signe is the ceasing of the dolors both vniuersall and particuler specially in the night and the regeneration of that which was lost as the haire bones putrified desiccation of the vlcers softening of the hard parts and returning