Sometimes it 's hereditary or got from ones Parents in the Womb other-times it 's got by infection Some kind of Pox is visible and evident other kind lieth hidden for some years before it breaks out Hoâstâus writes of one that got the Pox in his youth and did not appear before he was grown old ãâã speaks of another who was troubled with a hidden Pox and got two sound Children but the third proved infected with a rank Pox. The Mother of those Children enjoyed her health very well until she was delivered of that last pocky Child and then her Lips and Breast bursted out into the Pox. This pocky Boy was put to Nurse who in few days was infected and thereupon infected her Husband and two Children more that she gave suck to These Children were no sooner taken home but infected their Mothers in short no less than Nine were infected in a Moneths time When I lived at Paris I knew a whole Family that was in the like manner infected by a pocky Nurse Here in London I have likewise taken notice of several Children that died at Nurse of the Pox and therefore People ought to be well-advised to whom they put out their Children ART IV. Containing a further confirmation of the causes of the Pox. 13. MY next business is to treat of the cause of the Pox. I have made it appear to you already that the Pox was not brought from the West-Indies hither neither was it engendred out of Mans flesh for the Cannibals and others that feed altogether upon Mans flesh are seldom troubled with that evil I have likewise proved the Pox was not begotten by a French Leper because of the vast difference there is between the Leprosie and the Pox. Many affirm the Pox was kindled by a malignant constellation of the Planets bât let me tell you had the maâgy French crew been diverted from coming to Nâples the Pox would have continued among the Planets Others impute the cause of the Pox to the common trade whores drove with several Nations whose seed being forced and gathered together in one Womb might occasion a kind of a rotten Disease in the privities like several sorts of Meat cause a corruption in the stomach But this seems improbable because there having been whores from the beginning of the World who drove a common Trade they would necessarily have bred the Pox long before the siege of Naples It was the opinion of some that the Pox was sent into the French Camp by a Neapoâitân Witch whose House they had robbed but this seems ridiculous to those that believe now Miracles are ceased there be no Witches more in Nature Leonicenus believed the Pox took its rise from a great overflowing of the river âyber which vomited up a deal of stinking rotten bodies into a tract of the Air that drove towards Naples where it soon kindled the Pox. This is unlikely since the same River had overflown many times before without causing such a contagious Disease The ãâã were of opinion that feeding too oft upon Pease and Bâcon might breâd the Pox and therefore their Magistrates forbad the selling of all sorts of Pease This opinion is so unreasonable that it needâ no confutation 3. After the recital of all these opinions touching the outward cause or the first occasion of the Pox it 's time I should bend my discourse to a discovery of the inward cause which by the generality of modern Physicians is concluded to be a hidden malignant cause or certain malignant steems that pass from one body into another effecting such pocky accidents or symptoms by hidden means But our modern Authors and Physicians are very full of their hidden causes and hidden diseases which to me signifies no more than ââ fa and therefore shall proceed to give my Reader a plainer and more satisfactory resolve I have already clearly proved to you that the Pox had its first rise from a complication of a Scurvy with a mangy Itch and a commixture of both their causes so that shâwing the inward causes of a manginess and Scurvy you may thence collect the inward cause of the Pox. The inward cause of a Scurvy is thick dreggish blood that begins to fret and grows fiery salt and gnawing the inward cause of manginess is a burnt red gall or rather adust blood volatilized which through its fieriness renders the blood fiery salt and itching Now suppose a Frenchman that is troubled with an extreme fiery itching manginess by reason of the fieriness of his blood and acting the part of a furious Goat with a fretted Neapâliâân Whore that 's troubled with a deep fiery Scurvy the very essence of this Salt fiery and itching blood flyeth out in steems into the body of the Neâpâlitan Whore where meeting with the steems of her fiery gnawing scorbutick blood do unite and knit together into perfect little steemy bodies or atoms which you must necessarily conceive to be very malignant ulcering gnawing and fiery so that the next that converses with this Whore must needs draw these ulcering steems into his body where through their gnawing malignant and ulcerous quality they cause a Running of the Reins or Ulcers in the Yard or other pocky accidents Next suppose these little pocky steemy bodies being drawn into the body have a power of breeding and multiplying into other pocky little bodies of their own kind and so having filled the veins and arteries with such pocky gnawing steems they cause scurffy pimples gnawing pains and Ulcers all over the body So now I have in few words and very plainly unfolded the causes of the Pox and all its symptoms which possibly hath not been performed before and if this short Discourse will not satisfie read my greater Venus Unmask'd and that very probably may ART V. Of the Signs Symptoms and Prognosticks of the Pâx Running of the Reins Bâboes and Shanckers 14. TO describe the signs and symptoms or accidents of the Pox it will be expedient First to set down what pickle a man finds himself in presently after he has convers'd with a pocky Wench namely a sharpness of Urine and pressing to mâke water though he made water but just before a heat in his Yard which soon after oâââsiâns an erection and consequently a deâire to repeat his former action and so having finisht hiâ complement once more he immediatly begins to dribble hot and sharp Urin by little and little or sometimes by drops only the next day he finds himself sore all about his Limbs dull heavy and melancholy and a little gleeting at his Yard especially if he squeese it out hard with his hand two or three or four days after he may squeese out a greasie yellow matter some eight ten twelve or fourteen days after in some sooner and in others longer it begins to drop yellow and greenish and stain his shirt which dropping is called a Viruâent Ghonorrhee or a Pocky Running of the Reins 15. This Pocky Running of the Reins is
This fâry the Pox continued for Thirty yâârs and then grew somewhat milder not rotting the Eyes Nose nor Teeth decreased in pimples and appeared most in gums and pains Some Thirty Years after that the Pox did not show it self in any pimples but decreased in pains Ulcers and Tumors Thirty Years after that again the Pox appeared with four new symptoms the first was a shedding of the ãâã of the Head Brows Eye-liâs and Beard The second new commer was a running of the Reins The third was the loss of the Nails and the fourth a tinning noise in the Ears About this time the Eyes and the Teeth began to suffer again In what particulars its changed since you may easily gather from the foregoing Discourse ART VIII Comprising the Prognostickâ of the Pâx 23. What state and danger misfortuned Patients are placed in ought to be set down next a Venereal scalding of the Urin if neglected changes into an excoriation of the âretâra thence unto eating Ulcers which oft devour great pieces of flesh and bore holes quite through through which the Urin oft passes as they make it Those sores or Ulcers afterwards tend to incurable Fistules or else grow out into proud flesh thence called a Caruncle which immediately causeth a stoppage of Urin a symptom of very dangerous importance A Venereal scalding of the Urin and a dribbling otherwise called a Sirângury do oft through their neighbourhood turn into an Ulcer of the Bladder which for the most part proves incurable if in the membranous part though in the fleshy part admits sometimes of a difficult cure A Shanckâr if neglected threats to devour the whole Member A Shancker not being exquisitely cured turns into a callosity which afterwards proves of a very difficult cure These callosities sometimes appear in the shape of a hard pustle othârtimes grow flat and are subject to vary in coloâr A ãâã returning into the Body foretels a Pox if hard and diffiââlt to ripen signifies a strong infection A Running of the Reins after âight Months proves obstinate A second Gânorrhee upon a former though cured is oft of a worse consequence than a single Frontier Pox without a Gonorrhee A third Gonorrhee after a tedious Cure sometimes leaves an incurable gleeting behind it A Gonorrâee issuing immediately in a yellow or greenish matter is instantly attended with a Cordâe and foretels a long cure A Gonorrheâ that did not burst out before ten fifteen or twenty days after the infection proves to be of a difficult cure A yellowish Gâunorrhee upon amendment turns white and thick thence white and thin A Gonorrhee that 's stopt by adstringent medicines immediatly bârsts out into joint pains Bâbies or inflamations of the Cods A Ghonorrhee grows much worse upon frequent converses with Wenches before a Cure Some inveterated Gânârrhees are absolutely incurable since proceeding from a total devoration and corrosion of the Prostats whence necessarily the Sperm must continually distil down as fast as it 's conveyed through the Vasa deferentia not being retained by the Prostats A necessary consequence of this accident is a Consumptio ãâã salis and can be no otherwise prevented than by erecting the testicles Sometimes a Gânorrhee will stop of it self and then commonly bursts out again more violently it may be a Month after and sometimes eight ten or twelve months after as I have observed in several without the least renewing of their accident The same happens now and then if a Gonorrhee be stopt by adstringents I have known the cure of an ordinary virulent Gonorrhee continued a whole year together and that with as much exactness as experience and the Rules of Art could prescribe though to little purpose Which notwithstanding I have cured by frequent bleedings two or three Bolâsses of Cassia and Manna with a Decoction of Mallows and Plantain and the addition of the mucillage of Gum Arabick So that you are to suppose that the virulency was extinguisht by the former cure and the flux of acrimonious and torrid humours diverted by the bleedings and purges and the Acrimony obtused by the Decoction whereupon the spermatick parts soon recovered their former temperament together with their retentive faculty A Confirmed Pox succeeding a pustulous French Pox proves of an easie Cure A Pox upon a Bubo that 's hard or is struck inwards turns to a Night Head-ach Nades Gums and Ulcers of the Palat and stoops to no slight Cure a Pox upon a Running of the Reins turns to Pustles and stragling Ulcers and is easier Cured than the former upon a scalding of the Urin it turns to some few pusâuls of an easie Cure upon a Shancker changes into Nocturnal Night-pains and those stubborn In general a Liminary Pox as a Gonorrhee Shancker c. are easily Cured A Frontier and a Mid-way Pox being chronical are of an indifferent submission to remedies but a Thorââ Pox is incurable A Maiden Pox promises an easie Cure but a relapst Pox or a Pox upon a former Pox is difficult Rough venereal pains or Gums Tophes or gnawing Ulcers without the fore-going or attendance of Pustles threaten more mischief than if they were attended with them Joint-pains without Ulcers or malign Ulcers without pains increase the evil Malignant symptoms as many devouring sores furious pains Tophes Gums Nodes rottenness of the Nose a devoured Palat c. argue an ill business and so the case differs according to the fierceness of symptoms the age of the Disease strength and temperament of the Patient The breaking out of many red Pustles not painful and easily ripening likewise soft tumors require no tedious Cure The Pox of it self kils no man but after a long travail fixes at last upon one symptom as a Pocky hectick Ulcer of the Kidney or Bladder Consumption of the Lungs Meagrim Node Tophe Dropsie Night-pains c. Which seldom leave the Patient on this side the grave A Tinning within the Ears deafness blindness and loss of speech are unrecoverable Boys or Girls as they are more exposed to infection so their Cure is easier Old folks are in less danger of a blast but once stormed by an infection seldom or never are rescued A Man is easier infected and easier cured than a Woman An Hereditary Pox is more refractory than an infection by drinking kissing or sucking and that 's worse than an infection by copulation Pocky hecticks Dropsies Gouts are much easier mollified than if occasioned by other causes Lastly any sort of Pox unless it be dextrously cured is apt to leave an incurable Scurvy behind it ART IX Containing some nice Questions relating to venereal Infection 24. IN what part of the Body is the principal Seat of Pocky Infâction A. In the Spleen certainly that consisting of a thick course substance and a strong sharp ferment seems the more disposed to engender such salin armoniack steems that cause the Pox. 25. Why are the outward parts being remote more liable to Pâckie Ulcers pains and tumors than the Entrails as
should fail in that happy success you propose to your self then after a months or six Weeks intermission repeat the same Method and then you need not doubt of the effect In an obstinate cure I use to add to each Dose 20. drops of my spir antileâl 10. grains of my Magister nigr and 5. grains of my Magister alb Upon the preceding prescription the Reader may possibly be so curious as to demand why Sarsaparil a drug so noâed for its efficacie against venereal pains is omitted I resolve you because for the generality the Sarsa our Druggists expose to sale is so rotten that the worth of it scarce answers the tenth part of what it is sold for especially at this time since what is tollerable namely large white and mealy is not to be purchased under ten or a dozen shillings the pound and that probably is such as hath been kept two or three years in their Ware-houses for a dear year whence considering its chief vertues to consist in volatile sulphurous particles you may justly conclude it may very well be passed by having wholly evaporated its vertue especially since I can assure you I have observed effects more admirable in those two hedge-roots Butâerbur and Burdock being taken up fresh in the Autumn and dried in the shadow than ever I did in Sarsa Notwithstanding if you suppose your self skilful enough to discern the goodness of Sarsa you may purchase a quantity of the Druggist and send three or four ounces of it sliced to the Apothecary to be added to the aforesaid Decoction and question not but it will recompence your pains by a successful cure But on the other hand should you commit it to the honesty of theâ Apothecary believe certainly he will either wholly omit it and yet not forget to place it down particularly to the account or put in that of three and six pence the pound a kind of Sarsa that is black rusty small and rotten serving for no other use than for extinguishing the vertue of the other ingredients Concerning these sorts of refined Cheats and other gross ones you may abundantly satisfie your self in by perusing a Treatise called The Accomplisht Physician and the Honest Apothecary which will render you wise enough to expostulate the case with your Apothecary if he appears too peremptory in his accompts Of those Tracts if there be any to be had I believe it s in Duck-Lane A Second TREATISE OF THE Mangy Pox. AS a Scorbutick Pox is that sort our experienced Monsieurs entitle a Dutch Pox so this Mangy Pox is that which may most properly be stiled the ãâã Pox that sort being most popular among ' em That it is a venereal disease discovering it self chiefly in scabs and scurf you may easily understand by what it 's her ãâ¦ã I shall not judge it a ãâ¦ã lost if I relate to you the several kinds and differences of Venereal scabs and scurf Venereal scabs take their rise from malignant deep inflamed pustules that feel sore and immediately conceive a black or duskish speck on the head of 'em which in a very short time is converted into a rough scab of the same extent the pustule was off and peeling it off with your hand for of it self it doth not easily come off you shall find a sordid matter or puss that hath corroded the flesh very uneven which in less than a night is dried up into another variegated scab Instead of those pustules nature doth at length expel the venomous matter in greater bumps of ãâ¦ã colour which after ãâã have contracted a large scab the virulent moisture underneath corrodes into a deep Ulcer or oft times two or three of those pustules meeting and communicating their virulency are converted into ichorous malignant Ulcers or moist running sores Venereal scurf is a plain broad scab even with the skin or sometimes deeper in the flesh so as the skin appears higher than it taking its original from a large extent of a great number of small eruptions like red gum which communicating their venom are converted into a large scab of a very ill colour without any elevation above the skin This skurf iâ rising on the head in thin limber scales is called a Venereal dandrif which is usually a fore-runner of a malignanter scurf that is soon like to follow Both Venereal scabs and scurf do most frequent the head forehead temples especially scurf face and neck not long after they over-run the whole body and particularly the back The difference between simple scabs and those that are Venereal is that those latter never itch unless when they are almost cured and then they begin to exercise the nails a little What concerns the cause of a Mangy Pox it 's certain those scabs and scurfare occasioned by steems that consist of a more armoniack or an alcalized ââery and venenous principle Which being also very volatile and alcolized renders them apt to disperse themselves to the circumference of the body and conveying with them a part of the adust humours of the Vessels appear in other shapes of scabs scurf and dandrif For the Prognostick of this sort of evil you may confidently assure the patient it 's easier cured than any other Pox and therefore it 's no wonder the French Physicians have the repute of excelling others in the curing that distemper since those Venereal diseases that reign in France are generally Mangy consequently yield to a facile cure but if at any time they meet with an Hectick Pox or a Scorbutick or any other miât Pox they are much to seek and commonly render the disease worse A Mangy Pox doth not hide itself long but appears within a few Moneths after the infection and moves quick and violent insomuch that if it be not suddenly checkt it shews it self in corroding and Phagedenick Ulcers which contracting a glutinous sordid matter are apt to corrupt a whole member in a short time Gallick scabs growing blackish turn Cancerous and signifie a difficult cure those scabs or scurf if they are apt to fall off of themselves or are easily pulled off it 's a sign your case is in no manner despeâat but supposing they stick on fast are painful and cover a dilacerated corroded flesh signifies an ill case Likewise from the matter you may take your Prognostick which the nearer it comes to a perfect Puâs the more curable your disease is From the colour hardness and deepness of the scabs you may also take your dimension of the difficulty or facility of the Cure The Cure of a Mangy Pox. IT 's universally known that any sort of venome being admitted into the body it usually takes it's seat or root in those humours that most partake of its own nature wherefore we are to look for those mangy seminaries in the adust or rather saline alculized fluidities of the Vessels Whence you may deduce this Indication that they are to be expelled out of the body by purging those foresaid fluors wherein they
sometimes accompanied with a terrible hot pricking and smarting Urin and an often erection of the Yard feeling hard and knotty like a Cord and therefore it 's called a Cordee which Cordââ is extremely pricking and painful insomuch that one cannot endure to touch himself nor suffer any thing else to touch him besides the extremity of the pain causes the head of the Yard to turn downward and seem crooked 16. This is the common case men find themselves in though some again may trade with the same Wench that gave others a Running of the Reins and may get off with heat and sharpness of Urin a few slight flying pains of the Shins Thighs and Arms without any thing else Others again escape the Running of the Reins and sharpness of Urin and some seven or eight Dayes after or longer get an eating Ulcer or sore upon the head of the Yard or the Skin that covers it or in the passage they make their water through This sort of eating Ulcer is called a Shanker which oft proves so malignant that in few dayes it will rot and eat off the whole Yard Sometimes when there is a Shanker or eating sore in the Vrethra or passage of the Urin there will be apt to grow proud flesh out of it which causes one to piss in double streams and in time doth quite stop up the passage and so hinder one from making Water this is called a Câruncle Some upon a pocky adventure escape these forementioned accidents but instead of 'em they get a painful little button in their groiâ which is named a Poulaân this in few days will grow bigger red and inflamed sometimes to the bâgness of a Pidgeons or Hens Egg and then it 's termed a Bubâ feeling full of pain looks very red and angry and for the most part the party hath a Fever with it and a scalding Urin. Other times there will appear a blain or blister upon the Glans or head of the Yard commonly called a Crystallin Venereal or Pocky Wharâs generally grow about the Prepuce or the top of the Skin that covers the Yard and upon the glans and sometimes all over the Yard Pocky grandoes are little hard knots of the bigness of a Pea appearing in the same places pocky Wharts do Women are troubled with the same accidents and some others viz. virulent Courses that look yellow or deep red and are very hot smarting Likewise Virulent Whites being thick streeky and sometimes thin sharp and gnawing These are most of the accidents or symptoms of a Liminary Pox. Before I proceed further I will tell you the different opinions of Physicians upon a Running of the Reins Most do judge the running to proceed from Ulcers of the Prostats being small bladders lying at the root of the Yard that are made for little Cisterns to keep the Seed in This certainly is erroneous for if those Prostats being spermatick should be Ulcer'd and in part eaten away they could never be heal'd up and so consequently a man would be troubled with the running for ever Others are of Opinion the running proceeds from a weakness of the said spermatick or seedy Vessels and so are rendred incapable of retaining the Seed Here they suppose the matter that drops out at the Yard to gleet from the Prâstatâ if so then necessarily they would be ulcered by the gnawing quality of the infected Seed and so consequently as I shewed before be rendred incurable But after all it 's certain that the matter that drops out at the Yard is neither Seed nor seedy for Seed be it never so much alter'd hot yellow or green yet it will keep its clamminess and be ropy so that it may be drawn from one another between ones fingers whereas that which gleets in the Running of the Reins is not at all clammy or ropy nor can it be drawn between the fingers but falls all into small drops and is perfect matter such as is bred in Ulcers Besides should all that dropping in a pocky running be Seed it would wast a Man to nothing moreover it 's common for Men that have a pocky running upon them to beget such Children which is a sign the Seed is free from infection for some time Wherefore I conclude the pocky Running of the Reins to be an Ulcer of all the whole Yard where the infection turns its clammy blood into perfect matter or Pus which gnaws its way out through the Urethra or passage of the Urin that this is so is evident 1. In a Gonorrhee the Yard is generally swelled all over 2. The Yard is hot and full of pain all over by reason of the gnawing pocky matter it contains within the pores of its spungy flesh 3. That that virulent or pocky matter doth sweat through or gnaw its way through into the Urethra doth appear hence that if one press the Yard close about the middle so that no matter may pass from the root where the Prâstats are supposed to be and with his other hand gently squeese it near the Glans or the top he shall in so doing press out a great quantity of matter out of the body of the Virge which cannot be supposed to come from the Prâstaâs because this other hand intercepts or keeps that in which otherwise might be thought to proceed thence Besides there is a pricking pain all along in the Vrethra which is nothing but the gnawing biting matter that bores through out of the body of the Yard into the Uretâra Lastly observe that though for a long time this mattââ is not seedy yet afterwards it grows seedy by reason the Pocky steems do at length so weaken the Prostats that they are apt to shed Seed which is also the cause why the gleeting proves seedy at last when a running of the Reins is almost Cured To these I 'll add a new symptom of a Liminary Pox former Ages have not been subject unto viz. A retraction or Contraction of the Virge Which in some appears so much retracted in the body as it were that scarce any part else remains visible bât the Glans This symptom hath seldom any other accompanying it than a sharpness and heat of Urine and a frequent deâire to make water The cure hereof is very difficult which not being performed according to Art turns into a more malignant Pox. Likewise all about the neck of the Matrix in women ART VI. Comprehending the Signs of a Frontier Midway and Therân-Pox 17. THe Signs of a Frontier Pox or the beginning of a true French Pox are when the Skin is flourished with red or yellow spots like Flea-bites sometimes the fore-head only is disgraced with round hard pimples like Mulberries a little crusty a top and markt with black specks some being dry others moist and are oft dispersed to the Ears thence to the Neck Arms Shoulders Breast but chiefly to the Groin and Perinaeââ These Pimples do oft vanish and suddenly appear again or sometimes change into adust
when a venereal Patient recommends himself to your cure you will shew your self aâ Artist in making the fore-mentioned distinction for concluding it's a Scorbutick Pox you must apply a method distinct from what cures a mangy one CHAP. II. Of the Causes and Dragnostick signes of the Scorbutick Pox. 2. IN this Part I am to give you my Observations on the Scorbutick Pox which I shall extract from several of my Venereal Patients and set down those prescriptions which for your further satisfaction you may find on several Apothecaries files in London By a Scorbutick Pox in a large acception may be understood a Scurvy gotten by a Venereal infection and of such I have treated more than a few but strictly it 's a Pox whose chief symptom is a sort of fugitive flying pains that sometimes cause a distension in the musculous parts of the arms other times in the legs breast head belly especially sides Hereof I have observed two degrees The first is small tinckling pains in the parts aforesaid running sometimes to the toes and fingers ends Those of the second degree are more evident and very offensive pains they are distinguisht from Venereal night-pains by their appearance at all times of the day or night but especially at the Patients awaking from sleep upon the least course of Physick they disappear but certainly return after a short intermission Their immediate cause is a virulent wind distending and corroding the membranes of the muscles Touching their previous and remote causes take these Observations First those that are subject to a Scorbutick Pox are chiefly such whose Parents were pockified and but imperfectly cured at the time they were begotten so that here is an hereditary pocky disposition in all their parts spermatick and sanguine whence receiving a new infection immediatly penetrates into the substantials and unites with their very principles of nature where it lies so firmly intrenched that the Art of man can scarce dislodge it Some months since a disastered Patient applied himself to me for cure his symptoms were only fugitive distending inordinate pains flying promiscuously into all parts and at all times Upon inquiry made into the occasion of this ill adventure I found he had contracted it by one single converse with an hired woman with whom also several of his comrades had negotiated though but with small gains it may be of a small Gonorrhee or Shancker both which he had escaped A month after he was put in mind of his transgression by wild inordinate pains running through his body as if spirits had beeâ hunting one another in a Wilderness For the removing of this he was put into a salivation twice each flux lasting three Weeks but these means proving ineffectual he was advised to essay the vertue of a Sudorifick course which recompenced his pains as little as the former It was in the Winter when he desired my help a season not very propitious for so difficult a work however I put him into a very strict Method at the termination whereof ho found himself free from all pains and symptoms In this case it 's not to be doubted but this was a Scorbutick Pox occasioned by virulent steems soon passing the spermatick parts and in a short time penetrating and lodging themselves in the most retired seats of his body where they were readily admitted into a previous hereditary pocky disposition whereas had there bin no such previous disposition the foresaid virulent fumes would have been intercepted by the spermatick parts where they would have occasioned a Gonorrhee Shancker or some other Liminary infection as they did in his Comrades A second Observation is that a Scorbutick Pox is also engendred in those who were sâorbutick before and had received their infection from a Scorbutick hired woman A third is that most scorbutick Venereal Diseases are occasioned when the infected steems are received into the body without engendring a Liminary Pox. CHAP. III. Of the Prognostick signes of a Scorbutick Pox. THE Prognostick of a Scorbutick Pox implies in the general it 's the most difficult of all other kinds of Pox. In particular a Scorbutick hereditary Pox is for the most part incurable in some few it's palliable and in very few curable A simple Scorbutick Pox doth not admit of an easie cure but requires both skill and dexterity and therefore is not to be attempted by every Emperick Lastly observe that scarââ any sort of a Scorbutick Pox is curable by a single course but requires a second and sometimes third repetition of the same course whereby it is gradually oppugned and at length totally expelled CHAP. IV. The true Method for curing a Scorbutick Pex THE directions for curing this obstinate disease comprehend strict rules for Diet preparative digestions deplenishing the vessels of some part of their humors to make way for specificks and lastly the manner of administring the said specificks the Diet must for the beginning be moderate in relation to quantity and inclining to dryness In the process of the cure must be spare and drying at last must be very drying First prescribe the Patient a Dose of Mercurius viâae from gr 2. to 6. or give him a just Dose of Antimon rediv. and Merc. Dule either of these are incomparable in this case The next day or after a dayes intermission extract some blood out of the right arm Next morning recommend to him this following digestive Apozem to be used mornings afternoons and evenings for three dayes â Rasur lign Guâiac lb ss Rad. maiv ⥠ij Sal. tart ⥠j. Aq. Sont lb viij seq a. l consumpt il nius 3. sub âiâ addeâdo Polâpod a. sem Carâham conâ ââ ⥠ij âpithim ⥠j. Glycâr ras sem fan dule a ⥠j. ss Uvar. Pâssar ⥠iij. coleâr M. f. Apâz Dos lb ss The Humours being now partly digested are to be evacuated with another Dose of Mercur vitae or our black Pill which effected is to be succeeded by this or the like Antivenereal Decoction â Scob. lign Guaiac ⥠viij Cârt ejusd contus ⥠iiij Lign Sassafr minuâ concil ⥠ij Post debit digest ân Aq. fenâ lb xiiij Spir. Gaaiac acid ⥠j. ss Coq ad consumât mediet Sub fin addendo Râd Bardan Petasit a ⥠iij. Rad. Alâh ⥠j. Colet reservet in amp viââ Resid affunâ cand quant aq decoq. ad 2â 31 sub fin addend Uvar pâss ⥠iiij sem corlandâ ⥠ss coletr pro pot ordinar Tinct Antimon â Aââmââ Diâââor ⥠iij. Sâlâtarâaâ ⥠j. Spir. vin seâilârectif lb j. F. digest per 4. dies in aren drin fââr per chart empoâ affundatur ãâã tinctur decoct suprâscript primar cujus comâixââ sit Dos lb ss Ter. pââ diem boris medicis per boram mane supersudando Once a Week instead of the Decoction take a Dose of Mere. vitae This course being continued five or six Weeks performs a cure beyond the expectation of the Patient but if in a very inveterated Scorbutick Pox this
used to be in Flanders where the Air is far more temperate than in Iâaly my self have been an eye-witness As to the second it 's generally observed that by continuation of a hot Diet and not shifting of Linnen a small Itch with little black hââds will change into red mattery pimples and those into sâaling scabs which at length will turn into great broad scurf like a Leprosiâ To the third as most Towns that are situated upon the Sea are subject to some endemick Disease or other so Napâes hath ever been disposed to an imperfect Scurvy which being besieged and the Inhabitants penned up in Rooms using no exercise and diâting upon course dreggish powdered Boars flesh old hard mouldy Biscuit and slimy musty Water for their Fountains were filled with dirt and the Air with stinks of Carrions dead Carkasses and putrid saltish vapours of the Sea they must unavoidably have been forced into a very deep Scurvy for the adequate cause being put into action the effect must necessarily follow The fourth is that the Pox is begotten between a mangy Frenchman and a Neapolitan Whore that was troubled with the Scurvy or to speak more plain the Pox is a complicated mixt or compounded Disease that 's engendred bred and knitted together out of a deep Scurvy and a fiery malignant manginess That it is a mixt Disease is discovered by the mixt signes symptoms or accidents some âssuing from the scabby Itch others from the Scurvy First I 'le demonstrate the Pox to be a true Scurvy 2ly That it 's also a perfect manginess 3ly That it is neither a Scurvy nor manginess singly by themselves but a Disease that is engendred or bred out of a Scurvy and manginess being complicated and knit together 4. That the Scurvy whereof the Pox doth consist is not such a common Endemick Scurvy as the Air doth breed here in England but an Epidemick Scurvy much differing from the other As to the first that the Pox is a true Scurvy may rationally be granted because the time and place of the rise or beginning growth height ending signs or symptoms properties causes and cure of the Scurvy and Pox are the same as will appear to you in every particular The Pox it 's agreed by most Authors had its birth at Naples and so had the Scurvy for before the year 1495. it was never heard of nor mentioned by any but is recorded by several to have received its birth and name at Naples in the Year aforesaid It was then called Scorno-Boâca or foul mouth from Scorno a foul or shameful thing and bocca mouth and from thence the other names Scorbutum and Scârbeck were derived The next year after it was observed to be spread among the Hollanders and Flemmings being transported thither by the Spanish Souldiers that were sent from Naples to Garrison among them who from the Italian named it Scorbeck The Pâx generally begins with a lassitude or soreness of ones Limbs weakness of the Knees and Legs with a small pain about the Shins and oppression about the middle blossoms into Pinck-colour spots like flea-bites c. Even so begins the Scurvy The Pâx in its growth buds into red yellow or duskish pimples especially about the forehead and appears with a great change of the complexion and a deep melancholy and so doth the Scurvy Being arrived to its height it 's attended with foul Ulcers scattered over the Body and flying retching pains racking the Body most in the night c. Exactly so doth the Scurvy appear in its height At last the Pox ends into fistules rottenness of the Bones torturing fixt pains Dropsies Consumptions Fevers c. Into which likewise the Scurvy makes its ending In short there is no sign or symptom in the Pox but it 's observed to be in the Scurvy so likewise there is scarce a sign in the Scurvy but it s discerned in the Pox which is the reason why Physicians do daily mistake in judging some to be troubled with the Pox that are troubled with the Scurvy and others to be diseased with the Scurvy that are infected with the Pox. Moreover it 's a property of the Pox never to appear with the same signes in two Bodies but in one Body is attended with such signs in another quite different which is also proper to the Scurvy Lastly the Pox is oft cured with Vegetables that are of a biting stinging nature and contain a great deal of mordicant volatil Salt as Guaiacum Soapwort Persicâria c. which are also proper remedies for the Scurvy To the second that it is a manginess is evidently discovered by its itching running scabs and scurf besides Pocky Ulcers are generally covered with mangy scabs To the third though the Pox and the Scurvy be so very like it 's visible enough they be not the same but differ in malignity or fierceness of symptomes for though the Pox and Scurvy are both featured with pimples borches and Ulces yet those in the Scurvy are less painful and less inflam'd and better colour'd 2. In infection the Pox being far more infectious than the Scurvy 3. In itching scabs and crusty Ulcers which are not discovered in the Scurvy So that you may plainly discern the Scurvy to be a kind of mild Pox and wants nothing but malignity of symptoms a stronger sting of infection and itching scabs and scurff all which the before-mentioned manginess doth contribute to it and so consequently out of their union and coalescence the Pox must necessarily result Furthermore that manginess is so neer a kin to the Pox the cure doth plainly confirm Mercury being a known and experienced remedy for them both besides the Night pains and crusty pustles and Ulcers that attend manginess do fully demonstrate it Lastly do but observe the mangy symptomes recorded by Hugo Senensis Consti 73. de cuâ inf and Gasper Torrel Cons. 5. adv pud And you must necessarily grant a malignant manginess to be Pocky as those do that call the Pox âeb's manginess St. Lazarus or St. Sement's disease But those that are curious to be better resolved upon that point let them endeavour to procure my great Venus unmask'd Here you may be resolved why the Pox proves so infectious by copulation viz. because it 's ingendred out of two very infectious Diseases and conveyed by the Seed which as it is the spirits contracted and flower of all the blood of the Body so must it likewise consist of the spirits contracted and flower of all the infection or infected blood of the whole Body To the 4th Note 1. There are two sorts of Scurvy one Endemick that 's engendred by the Air and constitution of the place where it reigns as this here in Englanâ that of Lisbon or Holland The other is Epidemick and is by far more malignant durable and of a more difficult cure and is only propagated or dispersed by infection which is that Scurvy which was ingendred at Naples and is commonly left in the Body
after the sting of the Pox is taken off This Scurvy is very common also here in England and being mistaken for the other kind of Scurvy by our Hackney-Physicians is the cause why many are left incurable This is that deep Scurvy that was ingendred at Naples by their most putrid feeding stinking Air and particular constellation at that time which then proved to be the Mother of the Pox. ART III. Of the nature and kindes of the Pox. 7. MY fourth particular puts me in mind of the definition of the Pox which Ferrerius defines to be a putrefaction of humours contracted for the most part through infection by copulation by communicating venemous exhalations and infected Spirits Steeghius describes the Pox to be a venomous quality which for the most part is taken by a venereal contract causing several kinds of pimples Ulcers pains and other accidents Mercurial saith it 's a disposition against Nature injuring the Natural Operations through unknown means The generality of Physicians define the Pox to be a hidden Disease contracted by malignant vapors that are communicated from a pocky Body These definitions being partly false and very imperfect shall set down one that 's more full and plain though not so perfect as that I proposed in my greater Venus Unmâsk'd that being fram'd only for Scholars I say then The Pox is an universal moveable Disease caused by venemoâs infectious steâms and attended with the worst and mildest most and feârest changeable and uncertain symptâms of all âinds The sense of this description I 'l further explain to you The Pox is an universal Disease i. â in respect of the parts where it 's seated for sometimes it 's seated in the Liver and then it 's attended with spots pimples and Ulcers sometimes in the brain and then it 's accompanied with pocky rheums and defluxions Night-pains Ulcers in the Palate and Nose other-times it 's seated about the privities only or about the breast or any other part 2. The Pox is an universal disease in regard it comprehends all kinds of diseases for sometimes it 's a hot disease witness the heat of Urine in the Running of the Râins hot botches pimples buâoes rubiâs of the forehead and pocky Feavers othertimes it 's cold as appears by those cold pocky Night-pains and cold hard swellings it 's likewise a moist Disease as you may observe by it's Ulcers pocky Gouts rheums or defluxions It 's not seldom found to be a dry Disease namely when it turns into a pocky hectick Lastly level'd Noses devoured Palats and Limbs put out of joint by pocky nodes conclude the Pox to be a Disease of conformation number magnitude scituation and discontinuated unity In short the Pox is a Monarch all other Diseases are its subjects for there is no Disease but one time or other is noted to accompany it The Pox is movable in three particulars 1. It 's movable skipping like a Grass-hopper from one part to another to wit from the part that was first infected to the Liver thence to the brain and so patroules round till it hath made an entry and seisin upon the entire mannor of the body 2. In moving out of one disease into another from a hot to a cold Distemper from an inflamation into an Ulcer from an Ulcer into a carnosity thence into a constirpation or stoppage 3. It moves from one symptom to another from a scalding Urin into the Running of the Reins thence to pocky spots and pimples and thence to Ulcers Night-pains and thence again into consumptions and hectick Fevers I said the Pox was attended with the âorst and mildest mâst and feâest symptoms that is sometimes the Pox is usher'd with very malignant torturing accidents or symptoms as racking Night-pains and filthy Ulcers or running sores other times again it 's accompanied with very mild accidents as spots only or pimples or some slight joint-pains sometimes again the Pox hath a great many followers often times very few it may be a pimple two or three or a botch three or four only c. Lastly the symptoms of the Pox are very changeable and uncertain for among five thousand pocky bodies you shall scarce find two troubled alike with the same accidents 8. The Pox is usually distinguisht into a slighter and worser sort the slightest sort of all is when only the hair of the head and beard sheds and then the venom consists in a vapor that 's flown to the roots of the hair The second kind is somewhat worse wherein the whole skin is markt with red yellow spots and there the venom sits in the thinnest of the blood The third sort is yet worse and is the true Pox where red and yellow pimples do ãâã breaâ out about thâ forehead and temples and near the ears afterward on the head and over the whole body they are round and dry without matter which afterwards are covââed with a dry scab and ofâ turn into foul running sores Here the venom is in the Liver and the whole mass of blood The fourth and last degree is when the Pox gets into the bones and sinews 9. The Pox is also distinguisht into a neâr or fresh Pox when it 's not of above a years standing into roâted or confirmed which is from a year or two or three years and into an inveterate Pox when it 's above three years old 10. My practical observations upon the motion of the Pox have discovered to me a far more proper distinction ãâã The Pox like a Pilgrim on his road makes four stages The infection being yet seated in the outward part that was first assaulted namely the jaw the lips groin tets c. may properly be called a Liminary Pâx because it 's set as it were in the threshold or entrance of the Body The second stage is at the fleshly membrane Membrana carnâsa where encountring with another stand it is constrained to halt for a while hitherto we may term it the Frontier Pox because it is yet tracing the frontiers or confines of the body thence passing through the flesh of the muscles and other membranes makes a third halt at the proper membranes or skins of the entrails here meeting the Pox at mid-way we may properly stile it the Mâdâay Pâx Thence it gallops strait-way to the depth of the entrails where with an authority it 's proclaimed a âhoâou Pâx In this manner you may be assured the Pox moves having traced its motion exactly in some hundreds of bodies 11. The Pox is sometimes stiled miâd when possibly it begins with a dozen of pimples a glancing pain of the thighs or shins a small gleetnig at the Yard c. Other âââes it 's termed rough and malignant assaulting the Patient with a green running of the Reins two Buboes and a Crystallin raging Shankers a burning Sââângury and a Fever through fierceness of the pain in the increase start up foul eating Ulcers racking Night-pains 12. Some sorts of Pox are more infectious others less