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
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
setting the backe long against a hote fire also by riding a trotting horse as by all other motions excalefactiues which inflame those parts and make fluxion and sometime by the vsage of Beere and all foodes vaporous thick and vitious the which make inflamation and doe cause attraction of humors in like manner by paine and weakenes of the part which receiueth not onelie the seede but also the euill humors of the parts adiacents the which putrifie follow continually by the yeard Sometime as saith Arnaldus it may happen that it Apostumeth by reason of the great aboundance of humore which doe putrifie the prostates and that without any outward appearance as I proued in Paris in a Turke bond-slaue to the Embassadour of Spaine who had such a fluxe for plenitude and lack of womans help of the which came dolors intollerable inwardly and outwardly with two great vlcers in the perinium suppression of vrine the which accident happened to this man two sundrie times in three yeeres It is somtime accompanied with great inflamation of one part of the Scrotum somtimes it suppureth other-whiles it resolueth which happeneth seldome When this happeneth neither is the erection of the yeard dolorous nor the making of water by reason that seldom chanceth vlcers in the conduit of the vrine as also little habitation with women which might haue brought the matter that way excoriat those parts by the acrimonie and putrefaction So by thys and diuers other considerations wee may cleerely know that the seede must be euacuated eyther by ordinory meanes or extraordinarie or els it becommeth putrified and put forth by some Apostume otherwise it remaineth within of the which come many greeuous maladies The second kind of Gonorrhea not virulent is done by inanition and happeneth oft to those who doe think profoundly of loue or that haue fine wiues or else that the vessels spermaticall haue receiued some stroke or by sitting vpon colde stones also by rubbing with cold liniments by falls and strokes vpon the loynes by ouer hot bathes for by all these the vessels are rendred weake Furthermore the sperme being ouer sharpe and thinne doth likewise sometime cause that accident which may also be caused by hauing ouer-soone vsed the act venerean All these make heate and inflamation in those parts wherby happeneth attraction of the humor which being drawne passeth continually partly by the heat and partly by the weaknes of the vertues retentrices of the sayd parts So that oftentimes it passeth sanguinolent halfe elabred being sometimes pure blood the which maketh men become Ethick and Tabids so bringeth death to many of them by reason of the great and continuall euacuation of the vitall spirits which passe with the seede So that in no way this is to be neglected Somtimes this happeneth to men for one of these three causes the which are all but friuolous The first is to appease the great appetite of that carnall loue which they beare to their wiues not hauing their minds occupyed in any affaires but in those vanities such men are better willing then their hability sufficeth Secondly they doe it to vaunt their selues to be so mighty in the action that no man can approach them this is a foolish vaunt without profit nay it is very hurtfull to the body Thirdly they doe it for the great affection that they haue to get children thinking by oft vsing their wiues that they shall sooner procreat wherein they are much deceiued For not gyuing leasure to the seede to be sufficiently elabored so that it is no more profitable then water for that effect There be two properties which the good seede ought to haue as I haue amplie set downe in the Treatise of The sicknes of women in the Chapter of the causes and the cure of sterilitie First there must be a reasonable quantitie of the seede next it must be well digested gluent and full of spirits the which two poynts fayleth in those that returne to it so oft For neyther haue they quantitie nor giue they leysure to digest the same So that they proue sooles to ruine their bodies without eyther honor or profit This sicknes is called in our tongue the Reples for the curation whereof as also of Satyriasis Priapismus you shall heare at length in the Treatise called The poore mans guide But to returne to our purpose the Gonorrhea or Chaudepisse virulent the which is done by some venimous sprite that infecteth those parts The cause is by hauing to doe with women that are vncleane whereby men get the infection of that venenositie which hath assoped and infected such parts The simptoms are extreame dolor in making water by the acrimonie of the humor which maketh erosion and vlcers chiefely in the prostats and also neere the balhnus or gland by reason of the simpathie that these parts haue one with an other and great payne in the erection of the yeard which maketh contraction of the same Of the which doth often follow the generall sicknes and that oft by their owne negligence neglecting the remedies thinking that by suffering the same runne a long time the humor venimous should be euacuated not thinking that the venenositie doth alwayes augment it selfe by the acrimonie of the humor which doth communicat to the noble parts or at the least doth degenerat into maligne vlcers in those parts which be very difficult to heale VVhich accidents doe also happen sometimes by carnosities in the yeard hindering the vrine to passe so that oft commeth death if suddaine order be not taken As for the cure of Gonorrhea virulent the vniuersall things must be obserued according to the habitude of the body Beware eyther of strong drink or of strong purgation or bleeding in the 〈◊〉 least you reuoke the venim to the noble parts Keepe good regime and abstai◠〈…〉 strong drinke all hote meates and such as you haue heard of before as all things that haue vertue to heare the blood It shall be well done to vse decoction of Salsparill and Chine and also the remedie that heere followeth which hath the vertue to open make education of the humor that followeth as also to cleanse and loose Recipe terehent veneta drag 3 lauetur in aqua s Cabiosae Cicorei pul liquerit drag sem Rhubarb scr 2 formentur pilulae Let the Patient take it all at once in the morning and repete it euery day till the acrimonie of the humor be passed vsing somtimes drag 6 or vnc 1 of Casse Also Emulsions which shall be composed after this forme that followeth Recipe seminum srigid maiorum an drag 2 Amigdal dul vnc sem aquarum Portâ—lacae Plantag ana vnc 2 decoct liquerit lib. 1 sir viol eâ—iuiubus ana vnc 1 sem Let him vse this euery day day morning and euening Also he shall vse this remedy most soueraigne for his purpose which hath the vertue both to consume the venim to cleanse and cicatrise the part
after all is well regenered as it ought you shall consolide cicatrice the vlcers like as in all other vlcers The 7 Chapter of the Warts that come on the extremitie of the yeard betwixt the prepuce and balanus THere happeneth oftentimes certaine little excressence of flesh like Warts betwixt the gland and prepuce of the which there are two sorts The one proceedeth of the venerian sicknes the other not yet neyther of them both for the most part dollorous but very much troublesome by reason of the great number of them The cause of such as are venimous is the euill indisposition of women accompanied with some infection Those which are not venimous happen by hauing to doe with women in the time of their purgations of the which happeneth not onely that but also many other greeuous diseases both to the men also the children which are conceaued at that time for eyther they become Leapors vniuersally or some particuler part which we call Elephanciasis particuler or if this happen not yet the child is alwayes sickly and of short lyfe for this and diuers other causes it was forbidden in the 18 Chapter of Leuiticus to vse the company of women at that time But to returne to our putpose for the curing of these parts whether they happen of the venerian sicknes or otherwise we must first consider whether they be recent and soft or inueterate and hard as somtime it happeneth If hard and inueterat they must be softened by such remedies as you haue heard in the Chapter of Carnositie and being softened they must be consumed with powder of Sabine and Ocre well puluerized with an Emplaister of Cerus and a little Quicksiluer being consumed vse for the cicatrizing such as you haue heard in Carnositie Our Ancients and chiefely Aetius did cure them by caustick medicaments the which are cruell and not in vse amongst vs. I haue often cutte them with the sheares afterward consumed them with powder Allumenus or water of the same if they be very great I knit them as well betwixt the perpuce and gland as also without the prepuce Touching which I will recite a rare history which happened to me in Paris in time of the last troubles A certaine Noble man of Spaine hauing on the side of the prepuce exterieure a cressence of the quantitie of a great plum and when the erection of the yeard was it waxed as bigg as a tennis ball so that hee could neuer accompany with any woman in such sort that no Chirurgian neyther in Spaine nor Italie would take it in hand at last he sent for me and after I had considered thereof I vsed remedies rosolutiues for a time but finding small profit thereby I did knit it in the presence of Mounsier Le Fort and Mounsier Pineau Doctors in Chirurgie and healed it with good successe after the same maner you may cure all such warts which happen in any part The 8 Chapter of falling of the haire OFtentimes of this sicknes commeth falling of the haire of the head beard and browes with great deformitie for which we must giue order both to take away the cause and also to bring newe haire The cause of this simptom is eyther that the aliment wherewith the haire is nourished is corrupted and consumed or that the skin is dryed and pressed together so that it may not ingender that aliment fuliginous whereby the haire is ingendred and nourished For the cure we must euacust the euill humor generally through all the bodie or at least of the parts affected which may be done two wayes to wit exterior and interior Interior by masticators to prouoke spitting as Pereter Mastick Pepper after which we vse exterior medicines to cause the head to sweat by laying many clothes on the Patient I find no remedie better for it than by a hot house or the reflex of heate which goeth from the fornis to the place where the head shall lye If after euacuation the body be infected there must be generall euacuation for that purpose herein you shall vse the decoction of Salsparill and Gaiac for the space of 15 dayes with a little of my confection euery day which is sufficient to euacuat the humor which offendeth After this prouoke newe haire where it wanteth which may be done sundry wayes yet somwhat painfull for the which I will impart vnto you a very rare secret for growing of haire and of great vallue which I haue vsed in helping of diuers great men when all their haire hath beene fallen and within a short space it grew againe by helpe of this remedie made after this manner Take the rootes leaues of Mallowes put of them in a still one bed then a bed of Honney and so forth one bed of them and an other of Honney till the still be full In the meane time you shall cut two or three Horseleaches small and mingle therewith afterward distill all with a very soft fire then distill that water againe in Balmo Marie and let it stand in the Sunne the space of 15 dayes afterward rub the parts most voide of haire with that liquor 5 or 6 times a day Also this remedie is very well set downe by Fumanellus which is Recipe apes crematas cum melleque commixtas et locum superponito Or this Vnguent Recipe apum vistarum Adianti Vsti Olei Rosati quantum sufficit et fiat Vnguentum Or this that followeth written by Marinellus Recipe cineris cicadarum vstarum cineris apum vstarum Olei Myrtini vel Axungiae quantum sufficit muste et fiat Vnguentum Or this Re. stercorum murium et apum ana vnc ss Vnguenti Populeonis vnc ss miste et fiat Vnguentum de quo vngatur locus sed prius remoueantur crines So by the vsage of these remedies the haire shall easily-come againe The 9 Chapter of Darters which happen in diuers parts of the body OFtentimes after the vniuersall cure of this sicknes there commeth in the face and palmes of the hands feete and through all the body certaine chaps and dry vlcers which oftentimes are very large and are commonly called Darters or Fissures setpiginous which somtime be dolorious other whiles not y e parts where they are be more thicke and dry than the nature of the place is and in rubbing of the part you shall perceaue white things like beaten sugar The cause of the which is a salt pituitous humor and chollerick burnt by the intemperat heat of the lyuer ioyned with some venimous humor which riseth in the part as chaunceth to them who haue vsed too hote medicines in the cure of the generall disease or else because there remayneth some little portion of the venim in the body the which is sent to the externall parts at such certaine times of the yeere as the humor raigneth For the cure heereof it is some-what hard chiefely being inueterate by reason that the liuer is affected yet for the extirpation of the
are most necessarie for the true curing of this sicknes declaring first the cause For not knowing the cause it is impossible to find out proper remedies for the cure seeing in all diseases the cause must first be taken away or else the true cure cannot ensue The third Chapter of the causes of the Spanish sicknes HAuing intreated of the definition and originall of this maladie nowe it followeth to shew the causes of the same which are eyther externall or internall The externall consist not onely in things manifest but also in occult and hidden thinges which lye as you haue heard in the former Chapter Heere we will content vs to say onely that this maladie proceedeth cheefely from the act of Venus whē men haue to doe with women polluted with that infection though sometimes it be but small For by reason that the composition of the secret parts of both sexe are composed of rare flesh and spongious it happeneth by the frication they are easily heated and rarified and so the sooner infected And for thys cause those that doe the act soone are not so easilie infected as those who are long in dooing by reason that the long heate dooth extenuate those parts Likewise they which haue the skin fleane of their secret parts take not so easilie the maladie as others because beeing alwaies vncouered it is not so tender and delicate and therefore not so apt to receiue infection It proceeds also by lying in vncleane lynnen by wearing the garments of them which are infected and by lying with such as haue any spyces of it So that we see many by that meanes infected without any company of women Moreouer it proceedes also by sucking the Nurse any way diseased with this sicknes by drinking after them which haue Vlcers in their throat by kissing or receiuing the breath of such as are infected and by sitting on the priuie after them sometimes by treading bare-footed on the spettle of those which haue beene long corrupted Whervpon I will sette downe mine owne experience as followeth I saw Anno 1589. in Monsier Coiutret his house Principall of the facultie of Chirurgery in Paris the number of 26. men women and children infected which were sent vnto him by the Iustice to discouer from whence came the originall of it because it was thought that one infant did infect all the rest Whose Parents and Nurse being both cleane made the cause more difficult to be found out Yet by diligent enquirie the infection was found to haue his beginning frō the Midwife who of a long time had been infected with that disease and by receiuing y e child infected it by first breathing vpon the same as beeing tender delicate so the more easie to receiue such infection Thereafter sucking the Nurse did infect her and sundry other Nurses one after another who by giuing suck to other chyldren did infect them and finally the children did infect their Parents So it was prooued that by that chylde there were infected to the number of threescore lesse and more which persons I saw cured the most part of them my selfe I haue knowne diuers to haue been infected onely by kissing of which nūber I haue healed one in Paris who was infected by kissing a young Gentleman a sutor of hers who had Vlcers in his throat proceeding from the same disease in such sort that shortly after all her hayre did fall with externall paine of the ioynts whom I healed with the help of God and my confection The said Gentlewoman afore her comming to me dyd infect sundry chyldren by lying kissing and drinking with them Some infected onely by drinking with those that were infected afore as you haue heard so that it behoues vs to refraine familiar frequentation with such people I cured also a Gentlewoman in Paris of a great Family a virgin as I found by my visitation which was infected with thys disease the cause whereof I found to haue come by sitting on a Priuie after an infected person Likewise I healed a boy in Paris of the age of 15. yeeres who was infected by going bare-foote vpon his Masters spettle Gallen sayth Lib. de Febribus cap. tertio that it is daungerous to accompany those that be in a consumption and stincking breath'd and those that bee infected with the Plague Leprosie and such other sicknes which come by contagion as thys doth Many others I haue seene which for briefenes I will omit Now let vs come to the internall cause of this malady which is corrupted meats that doe ingender a putred flegmaticke nurature or a burnt mellancholy as diuers sorts of hearbs roots fishes fruites with such lyke rotten foode where-with the French Army was nourished at Naples where thys malady began first to be knowne among Christians Yet will I not affirme that the flegmatick or mellancholick humor is the onely cause of thys disease but also other humors yet the neerer that mens complexions approch to the flegmatick the apter they are to receiue thys infection which ought to be obserued For we see fewer Chollerick or Sanguins infected with thys dysease then the Mellancholick or Flegmatick likewise more difficult to be cured as we finde ordinarily by our experience VVherein we must note that after the Flegmatick complexion followeth the Mellancholick next the Sanguine last of all the Chollerick the which in deed is least altered because among all the humors it simbolizeth least with the sayd Pituitous humor The humor so altered and corrupted dooth actually let the action eyther animall vitall or naturall or two of them together or all thē three as well generally throughout all the body as particularly in one member as ordinarily happeneth in such dyseases Some are of opinion that it commeth of the imbecilitie of the vitall spirits and naturall like as somtyme wee see by experience I knew when I vvas Chirurgian ordinary to the French and Spanish Regiment in Paris that 35. souldiers had carnally to doe wyth a woman infected yet of the sayde 35. onely seauen were infected with the fore-said woman which seauen were cold and weake men of complexion and long in performing that act the rest were hote and robust soone dispatching the act hauing the faculty strong to withstand the venim and for this reason they were not insected therewith Diuers such accidents haue I known Fallopius is of the opynion that the cause of thys infection commeth often of the passion of the minde for when a woman loueth not that man shee hath to doe with she heateth not her selfe but lieth quietly and so thrusteth not forth the venim as some whores doe In this I thinke it a manifest occasion that some bunglers and olde men are not so commonly infected as some young men albeit they haue all to doe with one woman because also old men are dry hauing the skin hard the Gland therefore not so easie to receiue venim as yee haue heard In lyk manner women very common gyue not so easily thys
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
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
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