may make it stronger if you see occasion by adding red Arsenick and Sandarach to it Mercury precipitate and applyed with Honey of Roses with a Tent is good You may make an Ointment thus Take of Letharge of Silver one drachm Ceruss three drachms Pomegranate Peels and Allum of each two drachms Verdegreese and Orpiment of each one drachm powder them and in good old white wine boil them to the thickness of Honey put in a little Oyl of Myrrh and reserve it in a Leaden Box and use it as the forenamed Medicines The sence of Smelling is either diminished abolished or depraved either by Obstruction or Astriction Cold moist and Flegmatick Distempers may either dull or abolish the sence of Smelling Hence Defluxions upon those parts do hinder the sence Flegm obstructs and hindereth the sensible passages viz. the Nostrils and the Pores of the Brain the insensible Passages and the Processus Mamillates or Sarcoma and Polypus may hinder the senceby obstructing the Nostrils Smelling is hindered by Astriction when Flegm gathered in the fore-part of the Brain doth compress the Mamillares as was said before in the compression of the Optick Nerves Sometimes this Sence is depraved by some putrefaction or ulcer in the Nose or the Menings or some of the parts official to this Sence and thereby hindereth it or some stinking Vapour arising from some other part of the Body may hinder the exercise of this Office as the Tongue is depraved by Choller and maketh all things that is tasted seem bitter the signes are these Slimy Flegm coming from the Brain and cold and moisture oppressing the Brain shew Flegm to be the cause If it be from Sarcoma or Polypus it is easily discovered If the matter causing the obstruction be contained in the Nostrils the speech is hurt also but it is not so if it be in the Mamillares or the fore-part of the Brain The Cure is diverse according to the diversity of causes I shall say nothing to it onely give you this general Rule If it come from a Defluxion you must proceed as you are instructed in the cure of a cold Catarrh If from obstruction or compression of the Mamillares I shall refer you to the Chapter treating of the cold distemper of the Brain for the Cure In the 9th Chapter of this Book treating of a defluxion I told you if it fell into the Nose it is a cold Coryza I think it not amiss if I here speak a word or two of the nature and cause of it This Defluxion is caused either by overmuch heat which doth dissolve the crude Humours gathered in the fore Ventricles of the Brain or else by cold which doth compress and squeez the aforesaid Humours This is easily known by the Humours flowing through the Nose and of all Catarrhs it is the most easie to cure For the Cure repair to the 9th Chapter to which add the Vapour of Marjarom and Red-Rose Leaves boiled in Vinegar taken into the Nose It the Distemper be cold Take Frankincense Mastich Nigella and the like thrown upon a Chafingdish of Burning Coals and do as before I shal now speak a word or two of Neesing vulgarly sneezing which though it be looked upon but as a slight effect not worth mentioning hath by reason of a sharp Defluxion proveth not onely troublesome but dangerous And hence came the Custom of saying God bless you God save you or Christ help when a man sneezeth Sneezing is a swift motion of the Brain by which the Breath is drawn up unto the Brain to force out that which doth offend for Sneezing belongs to the Natural Expulsive Faculty of the Brain and its Membranes as it is with the Cough which doth by its natural motion free the Arteries of the Lungs from Flegm which obstructeth them But the proper cause of Sneezing is a sharp Humour which doth provoke the inside of the Nostrils as 't is verified by snuffing up sharp things into the Nostrils which Humour cometh from the Brain or some inferiour parts sometimes the coldness of the Air doth act upon and compress the Brain and causeth a sharp Humour to fall into the Nostrils which provoketh Sternucation The knowledge of this Disease is manifest outward causes appear and by the signs of the parts affected As to the Prognostick it is naturally and essentially without danger accidentally it may prove hurtful namely in the beginning of Coryza it hindereth the concoction of the Humours by its violent motion sometimes in Feavers it is violent and causeth bleeding and is prejudicial to the Patients strength In the Plurisie and all Diseases of the Lungs it is bad because it violently pulleth those parts and causeth a greater inflammation Yet if there be Flegme got into the Gristles of the Lungs which a Cough cannot get out then is Sneezing helpful For the most part it is friendly to healthy people and promiseth help in Feavers It is good in Apoplexies and always welcome to women in travel or troubled with fits of the Mother If Sternutation become Symptomatical you must remove the external cause or internal from whence it cometh by Evacuations Derivations Revulsions and Discussions and if you see cause you must bleed use Frictions Ligatures and Cupping In the mean time you must labour to take away the sharpness which provoketh to Stenutation Let your Patient snuff up warm milk warm water or warm water and Butter mingled the Oyls of Roses sweet Almonds and Violets which will afford much comfort to the diseased Of bleeding at the Nose CHAP. XIX THis disease is called Haemorrhagia and it is either organicall or common the organicall is either the opening of the Vessels called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the rarefaction of them called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The common disease is also twofold either the breaking of the Vessels called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Erosion called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Blood offending either in quantity or quality is the cause of these distempers Somtimes externall causes concur as wounds strokes falls vehement exercise drunkennesse long staying in the Sun It is also either Criticall or symptomaticall Criticall when nature dischargeth her self of superfluous blood sometimes in health sometimes in Fevers and somtimes from an inflammation of the Liver or Spleen Symptomaticall is when filthy blood caused by the weaknesse of the Liver in a Cronical distemper is let go by reason of the debility of the retentive faculty or by the strength of the expulsive faculty expelled as unprofitable and unnecessary If the blood flowes by reason of the vein broken the blood is thick and floweth continually if the vein be only opened the blood is thinner and floweth by fits If the veines be eroded or gnawen asunder the Patient hath had a salt Catarrh or Ulcer or Cacochymia The causes are easily distinguished by their signes viz A red face and eyes with heavinesse signifieth plenty of blood If choler or Melancholly be the cause the blood is
for which purpose this Gargarism is good Take Violet-leaves Mallows and Parsly of each one handfull whole Barley four ounces Figs and Raisons stoned of each three ounces the seed of Flax and Fenugreek of each one ounce Spring water a quart boyle it to the Consumption of halfe straine it and add four ounces of the syrrup of Jujubes use it as the other before When the humors are suppurate if it break not make incision then cleanse it with Plantane water and Hony of Roses There is another Tumor under the Tongue called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latines Ranula because it representeth the hinder part of a Frog also because they that are thus affected when they speak do Croake like a Frog This humor is a loose and soft carnosity under the Tongue the tumor therein contained is somtimes hot though for the most part it is cold slimy and pituitous matter which when it is opened is like the white of an Egge somtimes mixed with yellow This disease is not for the most part accounted dangerous unlesse it be in a Child or the humor be Cancrous If nothing prohibite you must begin the Cure with blood-letting that so the humors may be the more obedient you must likewise purge the peccant humors with discretion then you may endeavour to disolve and discusse the humor thus Take of green Mugwort and Hysop of each one handfull Common Salt and Salt Armoniack of each two drachms Galls one drachm beat them well together rub the place often with it But if it submit not to this way of Cure as it seldom doth you must open it with a large Orifice and if you open it on both sides it will be the better Some commend a Cautery of iron after you have opened it squeez out the matter with your finger then wash it with White-Wine and Hony of Roses or thus Take of White Wine and Plantane water of each two ounces dissolve a drachm of Allum then add twenty drops of the Oyle of Sulphur with an ounce of syrrup of Mulberrys make a Lotion and wash the place till it be whole Somtimes the Tongue suffereth a Palsie by which it is deprived of its motion Somtimes it followeth an Apoplexy and somtimes it is joyned with a Palsey which afflicts half the body somtimes it is only in the Tongue when its nerves and moving Muscles are prejudiced by some moist or pituitous matter Somtimes those Nerves may be cut and the Palsie may follow Avicen confirmeth this opinion by an example in his time of a certaine man being cupped and scarified by which the small Nerve was cut and caused a relaxation of the Tongue If this Palsie follow an Apoplexy and the other parts of the body be affected and the Patient be old it is incurable If you have hopes of recovery you must take away the Antecedent cause lodged in the braine and you must dissolve and discusse the conjunct cause viz. the humors which obstruct the Nerves and hinder the motion of the Tongue If you see occasion you may make use of Phlebotomy it profiteth much to open a Vein under the Tongue you may purge with Pills or Cephalick Apozems you may rarifie the humors by sweating drinks cuppings vesicatoryes Cauteryes may be applyed for discussing and drawing forth of the humor let Gargarisms Masticatories and Errhies be followed for strengthening the braine and dispersing offending humors therein contained make use of Fumigations Powders and Quilts for the head for the making and application of which I refer you to the second Chapter of this Book CHAP. XXI Of the Diseases of the Teeth THE Teeth also are subject to Distempers viz. the ache and foulness and rottenness The Tooth-ache is caused by a Flux of Humours either hot or cold which flow to the Membrane Nerves or to the substance of the Teeth Sometimes Worms are bred in hollow and rotten Teeth of an Excrementitious Humour which causeth pain sometimes Wind contained between the Cavity and the Nerve doth cause pain The External Causes are cold Air and South Winds Likewise the debility of the part as hollowness or rottenness of the Teeth do sometimes cause pain Every cause is known by its proper sign for if a hot Humour falling upon the part be the cause the pain is more violent the Patient is sensible of heat about the Teeth and Gums hot Medicines encreasoth pain Signs contrary to these do declare the Humour peccant to be cold If the cause be Worms the pain is with intermission and their motion may be felt If Wind cause the pain it is exceeding violent with sensible extension yet quickly ending after the use of discussing Medicines If it be a hot Humour that causeth the Tooth-ach it is good to open a Vein on the same side by which the Humours are revelled and though the Humour be cold yet Phlebotomy may be needful to revel the Defluxion but it must be regulated according to the age and strength of the Patient The next day you may purge the Humour that principally offendeth Cupping is sometimes requisite and fâ—r the most part Vesicatories to the Neck and behind the Ears are successful to draw back the Humours Astringent Medicines to the Temples are good to hinder the Defluxion Of Plaisters these are good Emplastrum de Mastiche ad Herniam and Gum Elemi spread and applyed to the Temples and behind the Ears Riverius commendeth the Root of Comfry bruised and applyed as before to hinder the Defluxion Riverius Physitian to Henry the Great commendeth this Plaister Take of Cyprus Nuts Red Roses Mustard seed torrified Mastich and Terra Sigillata of each one drachm and an half Steep them in Vinegar of Roses twenty four hours and then dry them Opium three drachms dissolved in Aqua Vitae Pitch and Colophonia of each one drachm Yellow Wax melted in the expressed Oyls of Henbane and White Poppy as much as is sufficient to make an Emplaister which must be applyed as before The Oyl of Bitter Almonds or Vinegar put into the Ear is good to stay the Defluxion if it proceed from a hot cause If the Humours be cold put the Oyl of Rue or a Clove of Garlick into the Ear and wash the Teeth with Red Wine wherein is boiled the Roots of Bistort Cinquefoil Tormentil the Leaves of Vervain Peny-royal and Galls and anoint the Checks or the Check on the same side with the Oyls of Camomel Rue or Roses to asswage the paâ—n If the Tooth-ache come from a hot cause boil the Leaves of Henbane spotted Arsmart Housleek and Nettle Roots in Vinegar and wash the Teeth and to asswage pain anoint the Checks with the Oyl of Lillies Roses sweet Almonds Or you may make a Cataplasm with Barley and Bean Meal the juyce of Housleek and Milk and the aforesaid Oyls and if you add a small quantity of Opium to it it will not be amiss But take this Caution that if the Checks be swelled beware how you
too much Blood which doth so dilate the Vessels that they cannot contract to expell it too little when the Body hath not enough for its Nourishment It offendeth in Quality when the Blood is thick slimy and viscuous by some cold Distemper of the Liver or by the mixture of such Humours with the Blood It offends in Motion when it flows some other way as by the Haemorrhoids by Urine the Nose Vomiting and by Spitting and many other wayes Riverius saith that he saw a Maid which had a sore Head which opened once a month and bled plentifully and I know a Maid in the same Condition at this time Externall causes are taking cold in the time of the Flux eating things of a very hot Nature by which the Substance of the Liver is dryed or Food that is cold thick and astringent especially at the time of Purgation eating too much or too little by too long retaining of Excrements by bleeding at the Nose or any unnatural Evacuation by Vomit Seige Urine or Sweat To these add the externall Causes mentioned in the Chapter aforegoing Of the Green-Sicknesse This Disease is known by the Patient's Relation but it is convenient to distinguish between this kind of Suppression and that which is common to Women with Child They who have their Menstrues thus stopped are pale and more discoloured then those who are with Child They who are in this condition the longer it continues the more the Symptoms encrease the contrary you shall find in Women with Child They are likewise more sad and melancholy then those who are with Child In these the lower Belly though it swell yet it is not so hard nor proportionable to the Womb. And Lastly an expert Midwife may distinguish it by the mouth of the Womb for in these the mouth of the Womb is not so close shut as in a Woman with Child but rather hard and painfull More particularly the Stoppage of the Vessels of the Womb are known by a pain in the Loins especially when the Terms should flow and if any thing issueth it will be white or blackish and slimy If the parts adjacent be obstructed the Veins in the Thighs Arms by abundance of Blood are swollen especially if the Woman be fleshy plethorick and hath fed high Or else the Woman wanteth Blood Or the Blood is corrupted which you may perceive by the evill habit of the Body and some Disease of the Liver If the Blood hath a praeposterous Motion or flow some other way it is manifest The Stoppage of the Terms is very dangerous and many I had almost said all Diseases may come thereof It is lest dangerous if it come by reason of too much Blood It is worst which cometh by Streightnesse of the Vessels or crude and slimy Humours which obstruct them The Cure consisteth in this generally If too much Blood be the cause abate the Quantity by Phlebotomy first in the Arm then in the lower Veins Then by Fomentations soften and relax the parts about the Womb and give such Purges as do properly provoke the Terms If you find that Want of Blood is the cause of the Obstruction use Restoratives in the first place and whatever you find to be the cause of Extenuation let that be removed and if you find a praeposterous Motion of the Blood labour to repell it and drive it to the Passage of the Womb. But seeing that for the most part this Obstruction is in the Veins of the Womb you may follow the same Rule in cure prescribed in the Chap Of the Green sicknesse adding such things which more especially respect the Womb. Purge thus Take of Aloes three Drachms the Masse of Cochy Pills one Drachm with the Juyce of Savin or Sirrup of Mugwort make twenty Pills and give three in the Morning every third day Emollient Clisters are likewise of great use After Phlebotomy and sufficient purging give such things as powerfully open Obstructions such as are prescribed in the cure of Obstructions of the Liver and Spleen to these add Medicines made of the Roots of Asparagus Parsly Fennel Smallage Maddir Elicampane Birth-Wort Angelica Cyperus the leavs of Wormwood Calamint Camomill Origan Southern-wood Mugwort Pennyroyall Hyssop Hore-Hound Rue Motherwort Sage Fether-few Maiden-hair Nep and Savin the seeds of Smallage Parsly Fennel Juniper Bayes Annis Cummin Nettles and such like of these may be made Decoctions or distilled Waters Sitrups and the like which I omit fearing my Book will swell to a farr bigger volume then I intended Of these or such like you may make a Bath for the Patient to sit in afterwards anoint the Share parts about the Privities with the Oyl of Dill Rue Lillyes c. You may likewise make dry Suffumigations with Castor Storax Galbanum Cinnamon Frankincense Bdellium Benzoins Lignum Aloes Cloves and Mace Or you may make Pessaries with the masse of Cochy pills Hony and the Juyce of Mercury Or with Hiera Picra and Benedicta Laxativa with the Hony and Juyce aforesaid but this remember that Pessaryes must be applyed to married Women onely If the Disease be inveterate let Issues be made in the Legs and after the menstrual Flux is obtained let them be dryed up again CHAP. LXXIII Of the immoderate Menstruall Flux Mensium Fluxus Immodicus is when the monthly Terms do exceed in Quantity come too often or stay too long This is caused by an opening of the Veins either by Abundance Heat Sharpnesse or Thinnesse of the Blood or by some Blow Fall or Wound to understand the Cause more fully have recourse to the 19 and 30 Chapters Of bleeding at the Nose and spitting of Blood The Disease it self may be known by the Patient's information and the Symptoms which follow viz. decay of Strength and Appetite an ill habit of the Body by reason of ill Digestion Swelling of the Legs and a Leady coloured Complexion To know the Causes observe that a thin habit of the Body with a Diet which doth encrease thin and wheyish Blood or you may perceive the thin and wheyish Humours in the Blood which cometh from the Patient this sheweth that the Blood soaketh thorough the Veins If the Coats or Ends of the Veins be broken the Patient hath had soule Wound Bruise or Fall or used some immoderate Labour Excercise or Venery hath indured too great Heat or Cold or she hath had a hard bargain in Child-birth a Miscarriage or been handled by an unskilfull Midwife If there be an Exulceration in the Womb by which the Veins are eaten thorough the Blood droppeth by little and little with Pain and Sharpnesse the Patient's Body is afflicted with sharp and cholerick Humours the Blood which issueth is at first matterish wheyish blackish or yellow If it encrease the Ends of the Veins come with the Blood and the Flux encreaseth and is hard to be stopped Prognosticks are All long and lasting Issues of Blood are dangerous especially those of the Womb that which comes by soaking
in the part which before it cometh to suppuration causeth a Tumor Rednesse heat and pain but when it is suppurate the Tumor is soft yielding and growing to a point a pricking and beating pain last of all the skin breaketh and the pus issueth out somtimes if the humors be thin and the skin of the same nature the Tumor may be resolved without suppuration To this Tumor happeneth evill accidents somtimes if the Chirurgion want care or skill Sometimes it turneth to corruption and is seen by its leaden black colour and stinking savor Somtimes the matter maketh a regression and the Tumor diminisheth but the whole body is inflamed with a Feaver and such like accidents And somtimes it turneth into a Schirrhous hardnesse In the cure the Antecedent cause must be first removed Therefore first let the Chirurgion open the Liver-vein or any other vein which he finds hath more affinity with the sending part if he see good he may bleed him in the opposite part for a revulsion and derive the matter to some part adjacent by cupping frication or Ligatures and apply to the part affected medicines that cool and repell or beat back the flowing humors and of this sort are these simples Acatia Vinegar Balaustines Bolearmenick Camphite sealed Earth Myrtles Pome-granate Peels unripe Grapes Vine-leaves the leaves of Cyprus Plantane Oake Sumach Night-shade Henbane Housleeke Lettuce Purslane Roses and such like Of these you may make somentations or Cataplasmes to be used in the beginning of the Tumor to hinder and beat back the blood which floweth to feed it Take this caution that in some cases these medicines ought not to be medled with to wit when the humor is Malignant or thick or if the Tumor be Criticall Or upon some of the Glandulous parts Next you must deale with the conjoyned cause or the blood impact in the part affected If you judgo that the blood is thin and apt to be discussed discussing medicines are to be applyed This Cataplasm is good Take the leaves of Mallows Melilot and Camomell of each one handfull the seeds of Dill Flax and Fenugreek of each half an ounce boyle them to the Consumption of the Water then beat them in a Stone-Morter and add to it the oyle of Dill and Camomell of each one ounce a little Honey and Leaven and make it into the form of a Cataplasm But if the matter be thick and not fit to be discussed then labour to bring it to suppuration For which these Simples are proper Warm water Butter Wheaten Bran or Wheaten bread the grease of an Hogg Calfe Goose c. Grease tryed from the Wool of a Sheep Rozin Pitch Figs Saffron Frankinsence c. Of these you may make Cataplasms and remove them twice a day If the hot intemperature doth stirr up a Fever let the diet be ordered and such medicines administred as the nature of the Fever requireth see the second book among the Chapters of Feavers when you find it very soft and well suppurated open it with a Lancet where it is softest and in the most convenient place for the matter to come forth afterwards mundifie incarnate and Cicatize it A Carbuncle is a Sanguine Tumor the antecedent cause of it is black thick hot and faculent blood flowing to the place the conjoyned cause is the settling of the blood in the part as you have heard before The signes of a Carbuncle are sometimes but one and somtimes many small pustu'es like burnt blisters which being broken a crusty Ulcer ensueth If it be pestilentiall the crust is black or Ash colour about it rednesse Inflammation and grevious pain the Patient is troubled with Loathing Vomiting losse of Appetite Palpitation of the heart and Swooning Carbuncles for the most part are attendants of the Plague and Epidemicall causes If they come upon the Emunctuories there is very great danger lest the venemons humors fall upon some principall part If it break out about the Stomach or Jaws there is danger of Choaking If the colour be first Red after Yellowish it is laudable but if it be black or blew it is dangerous If the accidents which accompany the disease vanish there is hepes In the cure first have regard to the antient cause which is thick hot blood and must be altered and evacuated to alter the quality of the blood give him broath of Chickens with Lettice Purslane Pomegranates and Lemons and his drink Barly-Water give him medicines cooling and concocting as Juleps made of syrup of Vinegar Pomegranates Citrons Lemons and Endive and the distilled water of Lettice Purslane and the like But if the Pestilence be present you must have respect to the malignity and give such medicines which strengthen the Heart and Vitalls See the 90. Chapter of the second Book the quantity must be diminished ether by blood-letting cupping or medicines as gentle Purges or Clisters in all which be well advised if the Plague be present If there be a great fluxion of blood to the part lay on discutients and repressings discutients you have before Take this caution that you apply gentle ones in the beginning and stronger when the matter is gathered to lay defensives to the adjacent parts as the Oyntment of Roses Bolearmenick or the oyle of Mittles and Vinegar also attractives are convenient as hot Bread the warm Lungs of beasts new killed the taile of a Cock made bare and a little Salt put into it and applyed or young Pidgeons slit alive and applyed warm The cause conjoyned must be taken away by Chirurgions or Medicine first scatifying of the Tumor if nothing orbid it deeply and wash it with warm-water Horsleeches are good When the matter cannot be dispersed or otherwis delt with you must apply such things as have an altering or ripening quality as is aforesaid If the Carhuncle be very venemous this is commended viz. Take a great Onion and cut off the head of it and pick out the core or middle part fill the hollow place with good Venice Treacle pasle on the head again with a little Leaven and roast it in the Embers when it is soft pill it and beat it in a Morter and apply it warm to the Sore and renew it every 6 hours This Cataplasm is much commended Take of Onions and Garlick heads of each of them four one Lilly Root the Seed of Flax and Fenugreek of each one spoonful Snails with their shâ—ls four or five sour Figs Leaven as much as a Walnut Barrows grease as much as two Walnuts beat them all in a Morter very well warm it and apply it Then you must mundifie and heal it but if there remain a crusty Escar you must resolve it for which purpose this Plaister is good Take the flower of Wheat and Barley of each three ounces with the decoction of Mallows Violets and Althea Roots and make it into a solid Plaister then add to it fresh Butter and Hogs grease of each two ounces the yolks of two new laid Eggs. This
things as cut Phlegm To your Purges such as purge Phlegme Extemal Medicines may by an easie Brain be regulated little differing from the former This Cataplasm is very good Take of Pidgcons Dung fresh as much as you please mix it with Wheaten flower and apply it cold and cover it with a Colewort Leafe renew it twice in 24 hours CHAP. IX Of Flegmatick Tumours OEdema is a loose Tumor without pain proceeding of Phlegmatick Humours flowing into some part The Tumor is loose and soft yieldeth to the finger and retaineth the pit after the finger is gone This Disease is more prone to Resolution than Suppuration sometimes it turneth to Nodes and Knots in the flesh Order your Patient with a Diet contrary in quality to the Disease viz. Heating drying and making thin Then prepare the Humour for Evacuation these Simples are good Betony Sage Hysop Balm Polymountain Penyroyal Calamint Origanum Margarom Southernwood Mint Wormwood Germander Groundpine Cowslips Agrimony Maiden-hair the cold Seeds Lignum Vitae the Roots of Cyprus Acorus Ireos Galanga Elicampane Smallage Parsley Grass Asparagus Butchers Broom Fenel c. Of these you may make Compound Medicines to prepare the Humors for purging This Apozem is of good virtue Take the Root of Ireos and Galanga of each 6 drachms Smallage Parsley and Asparagus of each one ounce of Betony Balm Germander Groundpine and Maidenhair of each one handful the Seeds of Annise Fenel Caraway and Cummin of each two ounces the seed of Melones 6 drachms of Raisins stoned two â—unces the seed of Carthamus two ounces Senna one ounce and an half the Flowers of Broom red Ciâ—ers Stechas and Bugloss of each one pugil make a decoction of which take two pound and dissolvt therein Honey of Roses and Syrup of Wormwood of each two ounces Sugar as much as sufficeth Aromaticum Rosatum two drachms and an half make an Apozem and clarifie it for 6 Doses When the Humoes are thus prepared you must come to purging them with such Medicines as purge the Phlegmatick Humours the next Book will furnish you with store of such Medicines so that I need nor here insert them Outwardly sortifie the part with this or the like Unguent Take of Bolearmenick and Acatia of each one ounce Cyperus half an ounce Aloes and Myrrh of each five drachms Saffron half a drachm the juyce of Coleworts two ounces Oyl of Roses four ounces Vinegar one drachm and an half Wax sufficient to make an Unguent Concerning the matter impact in the parts you must consider whether it be thin and may be resolved or thick and subject to suppuration If the Humor be thin lay on this or a Plaister of this nature Take of Cow Dung one pound and an half Olibanum Styrax Moss of Trees Calamus Atomaticus Spicknard Wormwood of each half an ounce make them up with Vinegar and the decoction of Coleworts into the sorm of a plaister If you find the matter will come to suppuration apply this Plaister Take of Mallows Trank Ursint the Root of Lillies Onions Snails Leaven and Flax Seed of each a like quantity sufficientl boil them and beat them in a Morter with Hogs grease or fresh Butter to the form of a Plaister If you fear that the Humours may suffer in the mean while provide internal and external Medicines for the same Take of Conserve of the Flowers of Stechas and Rosemary of each one ounce of the Rinds of Citrons preserved half an ounce Emblicks and Mirabolans preserved two drachms Species Diacinnamon two scruples with Syrup of Citron Peels make an Electuary whereof let the Patient take the quantity of a Nut an hour before meat The Aposthume being ripe open it with an hot Iron or Coustick then mundifie it with Unguentum Apostolorum or cleanse it with this following Unguent Take of Galbanum Ammoniacum Rozin Turpetine Pitch Bullocks Tallow and Oyl of each a like quantity Dissolve the Gums in Vinegar and then let them hoil a little with the rest upon the fire Afterwards incarnate and cicatrize it as you do other Ulcers Out of this Phlegmatick Humour is sometimes ingendred a flatuous and windy Tumor which is gathered either under the skin or under the membranes which cover and cloath the Bones and Muscles They appear with a certain brightness and shining resist the touch and being smitten sound like a Bladder the pain is extensive and stretching Let his Drink be such as expels and prevents such Humours Let the Humours be prepared by Wine expelling Julips and the Body emptied by Carminative and Clisters and convenient Purges Then you must attenuate discuss and scatter the conjoyned Cause these Simples are fit for the purpose Anise Fenol Dill Caraway Carots Commin Siler Montauum Smallage Parsley Rue Bay-Berries Oyl of Rue Bays Flowerdeluce Nard Spike Nuts Euphorbium and such like Of these and other Ingredients of the like nature are many Unguents and Plaisters formed Take of the Oyl of Camomel Dill Bitter Almonds and Rue of each one ounce the Seed of Annise Fenel Carrots Caraway Arreos and Rue of each half an ounce White-wine three ounces Boil it to the consumption of the White-wine strain it and add Wax sufficent to make an Unguent The expert Chirurgeon ought to compound and alter his Unguents Plaisters and all his Medicines according to the constitution of the Patient and nature of the Tumor for which it is impossible to lay down certain Rules Give inwardly Diacinnamom Diacalamenthum Aromaticum Rosatum Diagalanga Dianisum and such like and lay a Plaister of the same nature to the stomach If a Watry Tumor is ingendred in any part or all over the body see the 58th Chap. of the 2d Book Struma is a Tumor in which underneath certain Glandules made of Matter and Bloud and inclosed with a Membrane do grow They have their place for the most part about the Neck Arm-holes and sometimes in other places The principal cause is Flegmatick Humors sometimes falls â—…oaks or great Surfeits may be the cause They that have narrow and short Fore-heads flat Temples and broad Jaws are subject to this Disease This Tumor seldom comes to suppuration if it doth it gathereth again The greater the Tumor and the deeper it is rooted the harder the Cure For the Cure of the Struma or Kings evill appoint a diet that will heat dry and attenuate then prepare the humors Take of Oxymell compounded syrup of Staechas honey of Roses of each half an ounce the distiled water of Scabius and fumitory of each one ounce mix it for one dose and take thereof as often as need requireth Then purge with Diaphaenicon Diacatholicon Indi majoris Hiera piera Pill Cochiae de agarico and such like It is good also to cleanse the blood by Urine Take of Pilewort three handfull Philipendula two handfulls pimpernell Mouseare Tansie Red Coleworts Madder of each one headfull the Roots of Fennell Parsly round Birthwort Raddish and stinking Gladwin of each half a handful the seed of Nettles
age Before you come to purging make use of altering or preparing medicines Take of the slowers of Borage Buglosse and Violets of Harts-tongue Fumitory and Tamarisk of each one handfull Raisons of the Sun stoned one ounce barke of the root of Capers three drachms roots of Fennell Parsly Lycorish of each a drachme boile them all gently in three pints of water till one be consumed streine them out and clarifie the liquor with whites of eggs add to the same of the syrups of Fumitory Epithimum and Apples magisteriall of each one oâ—nce Take halfe a pint in the morning use this or medicines of this nature three or four dayes twice in the week purge gently twice in a month administer a strong purge ever remember in the meane time to use Phlebotomy as necessity requireth forget not to empty the body by Clysters if there be occasion The night after you have let your patient blood be sure you administer such things as have power to procure sleep which you may do thus Take of conserve of Roses Violets and Buglosse flowers of each halfe an ounce the conserve of the young tops of Tamariske and Clove Gilliflowors of the stalke of Lettuce and Citron rindes preserved of each four draâ—… Mirabolanes and Emblicks of each one Confectio Alchermes and de Hyacintho of each two drachms Corall and Pearles prepared of each two scruples pil diá Margariton frigidum and Laetificans halfe a drachme mix them well in a marble or glasse Morter adding one ounce of syrup of sweet-sented apples The dose is the quantity of a Wall-nut drink after it a little of some convenient Julep or decoction You must likewise apply repelling and discussing medicines to the head the Chapter of the Frensie will furnish you with such medicines But if the Cholerick and melancholly humors in the Braine are grosse and hard to be removed prepare a fomentation in this manner Talte a sufficient quantity of Cephalick herrbs viz Betony Penny-royall Rosemary Lettice Plantane Willow-leaves Housleek Strawberry-leaves Violet-leaves Fumitory Water-Lillys or their Flowers Staechas Poppys boile them in a sufficient quantity of Fountaine water then take of Bay-berries and the root of black Hellebore a sufficient quantity crosly bruise them and sow them with some of the softest of the hearbs into a long bagg boil the bagg a little in the aforesaid decoction bathe the head being shaved with the decoction an houre as hot as may well be indured with double cloathes then bind the bagg to the crowne of the head with hot clothes let the patient lye in his bed and sleep if he can this will wonderfully expell the humours through the Emunctories of the head for it wonderfully discusseth the fuliginous matter gathered in the head which other remedies can scarcely performe This you may do for nine dayes together if you see occasion but be sure to keep the head warme afterward If you find that obstruction or inflammation of the Spleen or defects of the Stomach be the cause of the distemper you must administer inward and outward medicines to open the obstruction and allay the inflammation for such medicines I referr you to those Chapters where I shall treat of the distempers of those parts CHAP. V. Of the Apoplexy Lethargy and Sleepy-disease THe Apoplexy is a depriving of sense motion throughout the whole body coming suddenly without let or hurt of all voluntary functions Causes It is caused of humours cold grosse and tough which fill up and obstruct the Ventricles of the braine which are engendred by overmuch crudities drunkennesse is oftentimes the cause Somtimes a blow or fall causing humours to flow thither is the cause Somtimes of a grosse melancholly humour Or the excrements and humidity of the braine are congealed and thickned by the coldnesse of the aire Signes The Symptomes or forerunners of this disease are violent and sharp paines of the head the Vertigo the swelling of the Veins of the neck a slownesse to move the extreame parts of the body cold When the disease cometh to its height the breathing is so diminished that it cannot be perceived and that is a very evill signe or else it is holden for a while and then fetcht with great violence so much the more it differeth from the naturall course so much stronger is the disease Hippocrates in his Aphorismes saith that it is impossible to cure a strong Apoplexy and not easie to cure a weak one The Lethargy is likewise an inexpugnable desire of sleeping sluggishness Its name in the Greek viz. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 signifieth forgetfulness and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 dull viz. dul oblivion The cause is the same with the former in quality they differ only in this that the Lethargy is accompanied with a Feaver and raving the Pulse is great and striketh seldom and as if they were full of water they fetch their breath weakly alwaies sleepy and can scarcely be compelled to awake If you call them very loud they will sometimes open their eys but soon shut them again they gasp and gape and sometimes forget to shut their mouths c. Coma is a profound sleep from which if he be roused he will answer to any Question but soon fall asleep again sometimes the sick watcheth much yet cannot hold open his eyes but is very desirous to sleep Carus is also a sleepy disease and differeth from the rest it differeth from Coma and the Lethargy because they that have Carus lye in a dead sleep call them pull them and prick them they will not answer Again for the most part a violent Feaver goeth before Carus in the Lethargy it followeth it differeth from the Apoplexy in it the breath is very streight that the sick can scarcely breath at all but in Carus the sick hath his breath at liberty The Cure They who are afflicted with either of these Diseases are in much danger and have need of the speedy help of an able Physician who must without delay use his best endeavours First let him endeavour to awake his Patient out of this dead sleep by presenting forcible objects to every sense Let him place him so that the Sun beams or some clear light may shine upon his face Let him fill his ears with noise clamours and sounds and call him by his name with a loud voice put up into his nose things that are sharp as Rue Castoreum and Vinegar do the like to his mouth Likewise you must provoke the sense of feeling by frictions pulling of the hair pulling out and solding the fingers and all other parts binding c. You must provoke the body to stool by sharp Clysters thus Take of Sage Betony Rue Centory of each one handfull Camomel Calamint and Penny-royall of each half a handful the seeds of Cummin sweet Fennel and Dill of each three drachms the roots of Polypody six drachms Agarick three drachms pulp of Coliquintida one drachin boyl them in a convenient quantity
month with Manna Syrups of Roses and Rubarb and every change of the Moon take a dose of the powder before mentioned and oftener if need require To conclude if the Disease be caused by some evill effects in the mouth of the Stomach you must labour to free the Stomach from the humours that offend For the Cure of the Vertigo I shall say nothing but refer you to those Medicines propounded for the Cure of the Falling-sicknesse and to the 2. Chapter viz. Of the cure of Cephalaea proceeding from cold crude and phlegmatick humours it being my present task only to epitomize not to write largely of the cure of Diseases CHAP. VII Of the Palsie PAralysis or the Palsie is a disease wherein the whole Body or part thereof as Atm Hand Leg or Tongue doth lose sense or motion or both Sometimes it followeth the Apoplexy Here note that the Faculty of sense and motion floweth from the Brain as from its proper fountain and is conveyed to all parts of the Body by the Sinews the proper Organs of sense and motion Hence it commeth to passe that if that faculty of the Brain be obstructed that it cannot descend to all parts that all or some of the 〈◊〉 of the Body lose either motion or sense or bâ—… according to the part obstructed The Causes The Palsie is caused by abundance of grosse and clammy humours which stop the sinews and hinder the animal faculty that it cannot come from the Brain or fountain to the members It may be caused by vehement cold or by some inflammation or swelling near the Back-bone or the sinews may be crushed by some binding or hurt by some wound or Ulcer or the like The Signs and Cure There need no more Signs to know this disease by than what hath been declared in the explanation of it This disease for the most part happeneth to old folk and surprizeth them in the Winter time therefore Phlebotomy for the most part is unnecessary and dangerous If plenitude of humours or blood appear open a vein on the sound side draw blood sparingly lest you cool the Body too much Let what part soever of the Body be affected yet you must not forget the Brain but you must purge corroborate and strengthen it If you find the originall of the distemper in the Brain you must apply Medicines which have power to extenuate dissolve and discusse such as are described in the second Chapter for the cure of cold and phlegmatick distempers of the Head To the purging Medicines you may add these Pillulae Fatidae de opopanace Arabicae and Trochisci Alhandall taken in a convenient quantity as you shall be instructed in the next Book and sutable to the season of the year and aâ—…â—f your Patient Let him abstain from drinking â—f strong beer and Wine and let most of his drink be the decoction of Guiacum and the bark of the same and if you add Cephalick hearbs to these it will be the better This Decoction is commendable viz. Take of Guiacum ground two ounces of the bark of the same half an ounce the root of China and Salsaparilla of each two drachms Sasafras three drachms Lignum Aloes and Galanga of each two scruples the root of Angelica Peony and Fennel of each two drachms the seeds of Peony and sweet Fennel of each one drachm Betony ground Pine Sage of each one handfull the flowers of Lavender Rosemary Stechas and Cowslips of each one pugil Cinamons and Polipodium of the Oake of each half an ounce Infuse them in six quarts of water twenty four hours then boil it gently to the consumption of two quarts strein it and add to the decoction of brown Sugar candy and syrup of Stechas of each four ounces Let the diseased take half a pint in a morning three or four mornings as a preparative to purging you must purge once in a week with one of the aforenamed Medicines having respect to the age and strength of your Patient season of the year Or you may prepare the aforesaid water by distillation thus Take of the simples aforenamed and infuse them 24 hours in four quarts of water and two of White-wine then distill them in Balneo Mariae as you shall be taught in the fourth part of this Treatise to a pound of this distilled water add one ounce of the syrup of Staethas and a drachm of Theriaca diatessaron divide it into three parts for three mornings It is convenient to set Cupping glasses to the part affected without scarifying of it but easily drawing the humours and spirits to the place afterwards you must rub and chafe the parts it is convenient to bathe the paralytick part and cause it to sweat with the decoction of Bur root and Elder leaves hot-houses often profit much but much better it is if they can come to natural baths which proceed either from Nitrous hituminous or sulphureous Mines as the Bath of Bath You may safely Bathe two or three times in a week and afterwards annoint the Member with some convenient Liniment viz. Take of the Oyls of Foxes Castor Earth-worms and Rue of each one ounce Unguentum Nervinum and Martiatum of each half an ounce the distilled oyl of Rosemary one drachm Oyl of Spike six drops mix all these and make a soft ointment with which annoint the Back-bone and the other parts that are diseased afterwards wrap them up warm with the skin of a Fox or Hare If the Palsey be caused by an inflammation or hard swelling in any part the cure of the inflammation or swelling cures the Palsie also If bruising of the sinews by pinching or binding be the cause remove the bruised blood and the cure will ensue If the Spondills of the Back be out or broke and that cause the Palsie or Resolution the cure of the cause taketh away the effect If the Palsey ensue a wound or Ulcer in the Head Back or any particular Sinew if the Sinew be curable the Palsie ceaseth CHAP. VIII Of the Covulsion SPasmus Cramp or Convulsion is a disease when the Sinews are drawn or plucked up against a mans will Of this there are two sorts viz. a true Convulsion when there is a constant retraction of the Muscles and the Limb remains unmoveable or a convulsive motion when the retraction is every time new and the Members moved divers ways They differ likewise in their Causes for a true Convulsion proceedeth either from repletion or inanition a convulsive-motion from irritation or provocation Again they are thus divided a true Convulsion is either total by which most part of the Body is contracted or partiall by which one particular member suffereth contraction The Universal Convulsion is caused from the Brain when the Face is plucked together as well as the whole Body or from the marrow of the Back when the Muscles that move the Head and Back are drawn together A particular Convulsion is made from the contraction of the Muscle of some part comming from the
hurt of that Nerve which is ordained for his motion The immediate Causes as I said before is repletion or inanition the Nerves being too full of moisture or too dry are extended or contracted and the Muscles into which they are united are by that means drawn back to their original The mediate Causes of a Convulsion proceeding from repletion are flegm and waterish humours slowing to the Nerves stretching them in breadth must consequently make them shorter and sometimes cause an inflammation But here in the way lyeth an Objection namely why a watery humor obstructing the Nerves and the cause of the Palsie and Conuvlsion should sometimes bring one and sometimes the other the humour offending and the parts affected being one and the same The diverse opinions and long disputations of writers I shall not here repeat the difficulty of the matter having distracted them into divers opinions I shall answer the objection briefly and adhere to the most able modern Physicians and say they differ thus A Palsie is caused of a pure watery humour without mixture which softeneth the Nerves extends them not The Convulsion is caused of the same humour but mixed with much wind by which the Nerves are stretched and the Muscles contracted to their original It is the opinion of all Physitians that wind is the cause of Convulsions and experience teacheth us that the greatest distentions are caused by wind as we see in the Dropsie Tympanites and the Chollick Sometimes an inflammation in or near the original of the Nerves may cause a contraction of those Nervous parts and the cause of this inflammation is sometimes internal as a flux of blood upon the part or external by a wound contusion or bruise The Causes of a Convulsion by emptiness are all immoderate evacuations whatsoever diseases diet and Medicines which are hot and dry A convulsive motion is caused by humours or vapours which are full of Acrimony or Malignancy and it sometimes so happeneth in malignant Feavers and Diseases of choller occupying the Head or Stomach From what hath been said it is easie to know a Convulsion proceeding from fulnesse or emptinesse or convulsive motion A Convulsion near the Brain is dangerous in the Muscles of the brest gives fear of suffocation If it come after bleeding or purging it is deadly So is a Convulsion following a Frensie A Convulsion coming upon a Fever shews malignant matter which ends in death but if a Feaver follow a Convulsion it taketh away its cause The cure of this disease is as various as the cause The Convulsion caused by emptinesse requires moystening medicines both internall and externall This disease seldome happening and almost if not altogether incurable I shall say nothing of it A Convulsion comming of repletion or fullnesse must be cured by evacuation of the pecant humours if you see occasion make use of Phlebotomie and purge the humours with medicines agreeable to the age and strength of your Patient and somtimes with sharp Clysters such as are described in the fifth Chapter If you see it not convenient to let blood apply Cupping-glasses alwaies above the parts grieved that so the humours may be brought back to their originall that is to say if the Convulsion or Cramp be in the Leggs apply them to the Buttocks and Loines observe the same rule where ever it be The part affected ought to be chafed with oyles and oyntments sutable to such a distemper viz. the oyles of Rue Camomill Dill Spike the oyle of Foxes c the oyntments of Marsh-Mallows Martiatum Nervinum to which may be added the Mucilage of Briony with which you may make convenient Liniments to anoint the parts affected and the root of the Nerve which comes to it Ducks oâ— Goose-grease prepared in manner following is much commended viz. Take a fat Duck or Goose pluck it and draw it then fill it with these things following viz. of Sage Marjerome and Staechas of each one handfull Gum Ammoniacum and Bdellium of each one ounce Calamus Aromaticus Nutmegs Mace and Cloves of each half an ounce beat them in a Morter moystening them with oyle of Earth-wormes after sew them into the belly of a Goose or Duck spit it and roast it receiving the dripping in a pan half full of Vinegar and anoynt therewith Or you may make it stronger thus Take of the aforesaid dripping six ounces The Chimicall oyles of wax Nutmegs and Sage of each two drachms mix it and make a Liniment when you have anoynted the part affected cover it with a hot sheeps skin a Hares or Foxes skin To put the part affected into an Oxe or Sheeps belly or any other newly killed or to apply the Lungs of a Sheep yong Pidgeons Whelps or Chickens slit in the middle is much commended and hath been successefully proved For those that are thus affected it is very good to bathe themselves in the Bath of Bath or such like proceeding from a sulphureous Mine If you cannot conveniently come to this Bath you must make a Bath with thesethings following Of Marsh-mallow roots and Lillys of each two pound Of the leaves of Penniroyall Lawrell Rue Marjerome St. Johns wort Violets Mallows Sage and Wormwood of each two handfulls Linseeds and Fenugreek of each one pound boyle all these in water sufficient to make a bath and let the party diseased sit therein not too long but let him come out as soone as he finds ease If you dare venture to be at the cost make your bath with oyle boyling a Fox therein together with the aforesaid hearbs you may purge the head with sternutations Gargarisms and such medicines as you may find in the second Chapter for the cure of a cold Phlegmatick distemper of the braine and it is good to soment the hinder part of the head and neck with hot Aqua Vitae The infusion of Castor or the Spirit of the same the dose is a drachme or halfe a drachme according to the age or strength of the Patient Mathiolus his Bezoar water the like dose the compound water of Peony give these mixed with other cooler medicines The syrrup of Peony compound Diamoschu dulce Diacorum diatessaron are much commended for the cure of this disease I might adde variety of medicines for the cure of this distemper but what I have said I hope is sufficient to give light to the ingenious searching Spirits CHAP. IX Of a Catarrh or Desluxion A Catarrh is a Desluxion of excrementitious humours from the head into the inferiour parts The braine requiring much nourishment must necessarily void much excrements which if they are in quantity moderate and naturall they are received into the fore-Ventricles and conveid to the moist gladules and spit out from the Palat If it grow more plentifull yet naturall it is dispersed through the films of the brain and sent forth by the Nostrill as well as the Palat. But when the brain is weak and affected with distempers and receiveth more nourishment then it can concoct it aboundeth
science truth and virtue hath its entrance into the soul this member is subject to divers diseases Similary Organick and Common which are known and distinguished by their symptomes There is first deafnesse or dullnesse of hearing which I shall joyne because they differ only in degrees and are the same in causes I shall not spend my time to shew you the difference between deafnesse and dullnesse of hearing only declare the causes of both The first is called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the other is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 both of these have their originall from a distemper of the braine The cause lyeth either in the exterior or interior cavity the exterior cavity may be obstructed or stopped by Tumor Impostume blood matter flegme or the like which may prove defective to the hearing but this cause cannot make an absolute deafnesse because there is an open way from the interiour eavity to the Pallat by which the sound is carryed as you may observe by those that are hard of hearing for they are subject to hold open their mouths that so they may heare the better and you may prove it by this example Hold a stick between your teeth with which strike the strings of a musicall instrument Ropping your Eares and you may heare the sound as well or better then with your open Eares The interior Cavity is somtimes obstructed by Flegmatick and Cholerick humors and somtimes by blood Somtimes humors from all parts of the body are sent to this Cavity as it happeneth somtimes in Feavers Somtimes the Tympany may be relaxed somtimes by excesse of moist humors and somtimes by some violent and suddaine noise somtimes it is stretched or dried after some violent disease accompanied with watching or fasting somtimes it may be broken by a violent motion or corroded by a sharp humor Somtimes Narcoticks administred over much somtimes a cold distemper or cold water got into the Eare or somtimes the instruments of hearing hurt by some stroke or fall or the like may be the cause of this disease Though it be hard to distinguish all these by their proper signes yet you may by Art and Conjecture come neare it If the distemper comes from a distemper of the brain either there is an appearance of some disease in the head as the Head-Ach Apoplexy c or some of the other sences are hurt If the externall Cavity of the Eares be obstructed by excrementitious humors or somthing fallen in it may be discovered by the Eye If the interior Cavity be obstructed by some humor the humor may be known by some present or preceeding disease or by the constitution of the body The loosenesse or moistnesse of the Tympane may be conjectured by some preceding moist distemper the drynesse of the same part by the drynesse of the whole body The Tympane cannot be broken unlesse there hath been some violent cause which might break it preceded If deafnesse be absolute and of long continuance or if the Patient was borne so it is incurable If it proceed from a sharp or continuall Fever the cure of the Fever is the remedy The Tympane broken the deafnesse is incurable If it increase and decrease it proceedeth from a moveable humor and is curable If it hath its originall from a distemper of the brain it is easier cured then if it comes from a proper distemper of the Eare. For the Cure you must consider what humor is the cause of the defect and you must purge the body and particularly the head you must use Revulsions as Cauteries Vesicatories Gargarisms and Masticatories to be breise these and other remedyes effectuall against this distemper may be sought out of the Chapter treating of cold distempers of the brain Sulphurous and Bituminous Baths are very profitable especially if the Patient wear a cap made of Spunge and the water pumped upon his head It is good also to make fomentations of these following hearbs viz. Mallows Marjarom Hysop Centuary Mints Camomell Rosemary Peneroyall Sage boyle them in white Wine and soment the Eare If you would have it stronger add a dram of the pulp of Coloquintida and as much white Hellebore to the fomentation a sumigation made with a Punnell of the same decoction doth wonderfully peirce the Cavity of the Eare. Or make a Loafe of bread and mâ—x with the meale a good quantity of Carawayseeds Bayberryes Juniper berryes Nutmegs and Cloves and when it is baked cut it in the middle and apply it hot to the Eare affected or to both if need be and if you think it not of sufficient force dip it first into the spirit of Wine this will serve instead of a somentation After which you must put some Oyle or Liquors proper to the Cure into the Eare as Oyle of Bitter Almonds Castor Rue c. The Chymicall Oyles of Rosemary Marjarom Sage Fennell Spike and Cloves which are too hot to be used alone but may with good successe be mixed with other Oyles and applyed Take the water of an Ash that runneth out at the end the other being in the fire one ounce The dripping of a silver Eel rosted upon a spit as much a fruple of any of the beforenamed Chymicall Oyles or a drachm of the other mix them and drop it into the Eare. Observe this generall rule that you drop nothing cold into the Eare and that you stop the Eare afterwards with Wooll or Cotton and a little Muâ—k into it Somtimes the sense of hearing is prejudiced by a preternaturall noise in the Eares the causes of which are many but cheifly a wind or vapour sent thither from other parts or bred there It cometh from all parts of the body when it happeneth in a Fever and this according to Hippocrates is deadly Somtimes it cometh from the Stomach Liver Spleen Midriffe and Womb witnesse Vomitings Hypocondriak Melancholly and fits of the Mother which for the most part are attended with a noise in the Eares Somtimes it is caused by Flegme contained in the Eare for they that are thick of hearing are seddome free from a noise in the Head a blow great sound or an Ulcer in the head may cause a noise in the head a hot distemper in the head filleth the Arteries of the Eare with much spirit and causeth a noise If the noise hath been of long continuance it is hardly Cured if it proceed from Flegme Obstructing the passage 't is doubtfull that it will end in deafnesse If you judge it curable you may find the cure in this Chapter for it differeth not in cure from dullnesse of hearing in some Cases and agreeth with the cure of the paine of the Eares in others But this remember that if it come by consent of the Stomach Liver c take away the cause and the effect ceaseth Pain in the Eares is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and is caused by cold winds cold baths or the like or by a hot distemper so it be accompanied
vapours cold and thick blood and other humours gathered about the Heart or the adjacent parts These signes shew a Syncope viz. a sudden failing of strength a slow pulse sometimes stopping a pale and blewish Face the body externally cold a cold Sweat especially on the Temples Neck and Breast The signes of the Causes for the most part are manifest as the sorts of Feavers and the external Causes but now named may be easily known A sharp Nose hollow Eyes the Temples fallen are signes of thin Humours gnawing of the Stomach pricking heat and great pain do shew that the Body is troubled with Choler Abundance of crude Humours is known by the enlarging of the Body swelling of the Breast the colour pale and the pulse smal unequal and obscure If swoonding come by consent from other parts the Signes of those parts affected will discover it They who often and violently faint without manifest Cause dy suddenly saith Hippocrates A Syncope which cometh from some evident Cause as Fear Sorrow or immoderate Evacuations is lesse dangerous then that which cometh from an internal Cause In respect of various Causes you must vary the Cure If it come from immoderate Evacuations you must endeavour to stop it with their proper Medicines prescribed in their several Chapters If from too violent purging give three graines of Laudanum or two of Opium If by too much sweating you must use Medicines which restrain Sweat If from suffocation of the Spirits call them back by Frictions Ligatures and Cupping If it come from Poyson taken give somthing to expell it after Vomiting with Oyl give Treacle if it burn in the guts give Milk fat Broth or cooling Cordials If thinness of the Humours cause it give things that are sweet and thickning If want of Food cause a Syncope make use of a restoring Diet and nourishing Broths To conclude From what Cause soever it come in the Fit lay your Patient upon his back throw cold water into his Face make him sneez put Aqua-vitae Caelestis or Imperiales into his Mouth call him loud stop his Nostrils wring his Fingers pull his Haire rub bind and Cup if need be CHAP. XXXIIII Of want of Appetite As there are divers actions of the Stomach so there are divers diseases hindring those actions See the fifth Chap. of the first Book And seeing that the attractive faculty is the first in order I shall begin with the want of Attraction or Appetite It is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 In Latine Inappetentia In English Want of Appetite or Loathing of Meat That we may rightly judge of the Causes of this Disease let us consider the Natural Causes of Appetite and Hunger by which we may the better discover the fault or hinderance The first cause of Hunger is emptinesse of the Stomach if there be no emptinesse there is no Attraction nor Appetite Want of emptinesse is when the parts are filled with plenty of crude Humours caused by Gluttony or Drunkenness want of Excercise or usual Evacuations Weakness of the Natural Heat or a Feaver when the Heat is busied to concoct the matter of the Disease or the like The Second cause of Appetite is the attraction of Nourishment to the Stomach sometimes this is depraved though the parts are empty when the Veins have left their strength by Sickness or immoderate Evacuations The third cause of Appetite is the Attraction of the Chilus from the Stomach to the Liver by the Meseraick Veins which cannot be performed if those Veins are obstructed the Chilus sent out by Siege and the parts dâ—…prived of their necessary Nourishment Fourthly the faculty of attracting an Appetite requireth a good disposition of the stomach brain and Nerves consequently what ever altereth their dispositions destroyeth apperite great heat and drieth dispersing the moist substance of the stomach doth cause a want of appetite The like doth cold which causeth a Stupefaction of the parts and extinguisheth the natural heat Flegmy and Slimy-humors gathered in the stomach by evil concoction or by a defluxion from the head the suppression of the Termes or Hemorrhoids smoothereth the natural heat and causeth want of attraction Distempers of the Brain and Nerves maketh a man insensible of the attracting in the stomach The signe of the first cause is known by high feeding repletion want of evacuation the body is full and the Veins Swoln and the like The second cause is evident by sicknesse or immoderate evacuations The third is known by obstruction of the Liver Spleen or Mesentery The fourth cause is thus known If there be a great heat in the stomach drynesse bitternesse of the congue and Jaws and a Feaver with heart-burning and the like All which signifie a hot distemper of the stomach if it flow from some other parts the signes of Inflammation of the Liver and other parts will demonstrate it A cold distemper and much flegm is known by coldnesse of the stomach great heavinesse and sharp belchings Prog want of appetite is dangerous for it is a digression from the natural estate Loathing of meat for want of natural heat is farr more dangerous then when it is caused by abundance of evil humors In children want of appetite is worse then in men because their natures require more nourishment In all diseases want of Appetite is an evill Symptome If a man recovering wanteth Appetite there is fear of a Relapse If want of Appetite come from a Disease of some other part I referr you thither for the Cure but if it be onely in the Stomach you must consider it as either Hot or Cold. If a hot Humour be the cause purge Choler gently and often if your Patient be easy to vomit give an easy Vomit Alter the Humours with cooling Sirrups and Juleps mixing therewith the Spirit of Vitriol or Sulphur for all sharp things allay Choler and provoke an Appetite After Purging Marmalade of Quinces is good or take this following Opiate Take of Conserve of Wormwood and Sorrel of each one Ounce Conserve of Roses Succory and Buglosse of each halfe an Ounce Diamargariton frigidum and Diarrhodon Abbatis of each one Drachm Troches of Spodium one Scruple with Sirrup of Lemmons make an Opiate of which let the Patient take the quantity of a Chesnut Morning Night and Noon To the Stomach apply a Rose Cake steeped in Vinegar Or anoint the Stomach outwardly with this Liniment Take of Oyle of Roses Martles and Quinces washed with Vinegar of Roses of eath two Ounces all the Sanders red Corall Coriander seed prepared and red Roses of each one Drachm the graines of Kermes and Spodium of each half a Drachm White Wax as much as is sufficient to make a Liniment and anoint the Stomach often therewith If a cold Distemper of the Stomach draw crude flegmatick and inelancholy Humours thither from other parts you must amend the Distempers of those parts with Medicines laid down in their proper Chapters Then you must evacuate the
c. A depraved Concoction is the cause of many Evills likewise as Obstructions Scabs Feavers c. To cure the Disease you must remove the Antecedent Conjunct and External cause The Stomach must be cleansed of the offending Humours and then strengthened seek Medicines in the Chap. of Want of Appetite If it come by consent you must amend the Parts sending the Humours their proper Chapters will furnish you with means CHAP. XXXVIII Of the Hiccough 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Greek and Singultus in Latine in English Hiccough is a depraved motion of the Stomach by which it desireth to expell somthing which is hurtfull It is caused according to Hippocrates of Fulnesse or Emptinesse sometimes saith Galen by Provocation The matter causing the Hiccough is either gathered in the Stomach or is sent from other Parts Sharp Humours Nourishment or Medicines or gnawing Worms in the Stomach may cause a Hiccough by propriety It is caused by consent when the Liver Spleen Guts or other Parts being inflamed send offensive Vapours or Water to the Stomach A Tumor in the Liver being inflamed doth compresse the Stomach and so provoke the expulsive Faculty finally sharp Humours sent from all parts of the Body in malignant Feavers may be the cause of the Hiccough Diagnostick signes are if the Disease come by Propriety it is more lasting and is eased by Vomit the signes of the Humours in the Stomach appear by the Tast in the Mouth Belchings c. If it come from any other part of the Body their proper Signes will declare it Prognosticks are If the Hiccough be caused by Meat Drink of Cold it is not dangerous But if it come in a malignant or great Feaver and continue it is deadly The same you may judge if the Hiccough accompanied with redness of the Eyes in an acute Disease invade the Patient after Vomiting Singultus from the inflammation of the Liver is also hurtfull For the cure you must if the disease come from a cold cause First administer medicine which do cut and prepare the Humours as Vinegar and Oxymel of Squils and Oxymel Simplex then evacuate the Humours by Purge or Vomit and then strengthen the Stomach use the Medicines prescribed in the Chapter of Want of Appetite comming of a cold Cause if the Disease be violent add these following Take of Castor and Mirrh of each three Drachms Sal Gem half an Ounce Diagridium and Mastich of each one Drachm Agarick newly trochiscated three Drachms Aloes the weight of all the rest with the juice of Mints make them up into a Mass and of one Drachm make six gilded Pills Let your Patient take two or three in the Morning Riverius If Wind in the Stomach be the Cause Take of Dill-Seed Sweet Fennell and Annis-Seed of each one Ounce Juniper Berries half an Ounce Cloves a Drachm Macerate them in good Wine or Spirit of Wine and distill it in Baineo If sharp and chollerick Humours be the cause of the Hiccough you must give Oyl of Sweet Almonds Prisan Broth Sirrup of Apples and Quinces the Emulsion of the Cold Seeds foment the Stomach with a Spung dipt in Rose Water or apply a cooling Oyntment to the Stomach Sneezing hath been attended with admirable successe Vomiting with little lesse but have a care how you administer Vomits to weak People Drinking of Milk fom the Cow is much commended and somtimes proves succesful Narcoticks somtimes effect the Cure by stupifying the too too Exquisite sense of the Stomach CHAP. XXXIX Of Vomiting 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Nausea and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Vomiting differ onely in Degrees the first is a Desire to vomit up what soever troubles the Stomach either in Quantity or Quality but cannot either by reason of the weaknesse or the Stomach strength of the upper Orifice or thicknesse or sliminesse of the Matter But Vomiting is a depraved motion of the Stomach which shaketh it by which the expulsive Faculty is stirred up by contracting the Fibres of the Lower part and loosening the Superior and with a violent motion casteth forth the Matter contained therein which was trouble some to it The Causes of Vomiting are external or internal and is divided into Natural or Artificial the Natural is either without or in a Disease and is thus divided it is either Periodical Critical or Symptomatical Periodical vomiting is without a Disease and is used by many twice in a year or oftener to cleanse the Stomach of cholerick or phlegmatick Humours and to prevent Disease Critical vomiting is when Nature in a disease casts forth her Enemy Symptomatical vomiting is when Nature is provoked and weakned and is not eased by it because she is not strong enough utterly to expel it the Matter vomited is either Excrements as Phlegm Choler Melancholy Water Matter Wormes and the like or Nourishment as Meat Chylus or Blood Artificial Vomiting is from an external Cause as Compression of the lower Belly Stroaks Falls violent Excorcise Riding Sayling on the Sea Poysonous Aire or Breath stinking Smels or beholding some Filthy thing External Causes may provoke Nature as Vomits taken Some Nourishment is distastful to some Stomachs and causeth vomiting Hippoceates reporteth that one eating Mushtooms died vomiting Meats which are Fat Oyly are praeposterous to some Stomachs Omitting Gluttony which is many times the Cause The whole Body in a Plethory evil Habit Feavers and other Diseases of the Body may be the Cause Inflammations or Obstructions of other Parts as the Liver Spleen Mesentery or Bowels the Terms or Hemorrhoids stopped a Catarrh or the like may cause Vomiting If Vomiting be caused by Humours offending the Stomach or by an Organical disease therein you may find the signes thereof in the praeceding Chapters of diseases of the Stomach If it come by Sympathy from other Parts their proper signes will informe Make the Prognostick thus Choler and Phlegme exquisitely mingled and vomited up is good If the Sick vomit Critically and cast forth Choler in a cholerick Distemper and Phlegm in a phlegmatick it is hopeful Violent vomiting and little brought up in a Feaver is evil for it shews abundance of Matter or that Nature is weak Vomiting after a Flux of the Belly is good for there is a revulsion of the Matter and Nature is refreshed Vomiting of divers Colours is dangerous because Nature hath to do with divers Enemies Green blew black and stinking Matter vomited is deadly In Feavers acute if the Patient vomit without mixture of Humours it is an evil signe because that a pure Humour is not capable of Concoction For the Cure If the Disease come by consent from other parts remove the Cause by working their Cures If phlegmatick cholerick or melancholy Humours provoke the Stomach cast them forth by vomiting prepare and cut them if they be tough and clammy Give gentle Vomits as warm Oyl or white Vitriol prepared or Salt of Vitriol made red by Calcination for they cleanse and dissolve the glutinous Matter If your
Patient be weak and indisposed to Vomits give often Clisters or purge the Body with this or the like Pills Take de Aloe lota three Drachms yellow Myrabolans and Rubarb in Powder of each half a Drachm red Sanders and prepared Coral of each one Scruple with the Sirrup of Roses solutive make them into a Mass give a Drachm every other or third day and if the Sick be weak give but half so much If the Vomiting be violent give two Scruples and an half of Cochie the lesse with three grains of Laudanum in the morning Then you must strengthen the Stomach with the sirrup or conserve of Quinces conserve of Roses Mastick in a small quantity sirrup of Mints Plantane water made sowr with Oyl of Vitriol c. All these strengthen the Stomach and stay Vomiting of which you may make Medicines in divers forms Foment the Stomach with a sponge dipt in Plantane water Rose water and Rose Vinegar But First boil in the water a handful of Mints Or apply this following Cataplasm Take of Marmalade of Quinces or Quinces boiled soft in Rose water or Vinegar four Ounces the roots of Bâ—stort and Tormentill of each two Drachms Mastick Moce and Nutmegs of each two Scruples Sowr Leaven halfe a pound with the juice of Mints and Vinegar make a Cataplasm and apply it If your Patient vomit Blood the Causes and Sâ—gnes you may find in the 19 and 30 Chap. and the Medicines prescribed in the 30 Chap. Of Spitting of Blood ordered by an able Head-peece may perform the Cure CHAP. XL. Of Cholera 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Greek and Cholerica Passio in Latine is a Disease violently sending forth by Vomit Stool sharp and cholerick Humours this Disease is a symptom of the expulsive Faculty being hurt by Meats not well concocted and if the retentive Faculty be also in fault the Disease is the worse and more violent Some will have two sorts of Choller a moist and a dry A moist is that which hath relation to what hath been said The dry is more rare and cometh from a windy spirit produced in the Stomach by the fiery Heat of the Part corrupting the Meat or by Meats which are Rank and Windy and this is the opinion of Hippocrates himself Sennertus from the Hermetical doctrine addeth another Cause viz. Salt and adust Humours in the Hypochonaria which grow hot by the mixture of another Humour and demonstrateth it by the mixing of Aqua fortis and Oyl of Vitriol with Salt of Tartar which produce very flatuous Spirits So that the immediate Causes of this Disease are cholerick burnt sharp salt or rotten Humours in the Stomach Bowels Spleen Mesentery or some Nourishment of an evil Quality or some strong Medicine or Poyson taken The signes of this Disease are often and plentiful Evacuations of cholerick sharp and corrupted Humours by Vomit and Stool swelling with Wind Thirst and a Gnawing of the Stomach and Guts a Loathing which is appeased a little with cold Drink which is soon after cast up The Pulse is small and unequal Sweating with Convulsion of extream Parts Swooning and such dangerous Symptoms It is easily discovered whether the Cause come by some violent Medicine Poyson or offensive Diet. The internal Causes are known by the Quality of the Humours that are ejected If there be a continual Loathing and Gnawing the Disease is in the Stomach If a malignant Feaver be joyned it is in the Veins If it hath its original from some evil Food there is hopes that when the Matter is cast forth the Disease will end If it be very violent it is dangerous I had almost said desperate for the greater the Convulsions Swoonings and Coldnesse of the extream Parts be the nearer is Death at hand In the beginning of the Cure you may help forward Evacuations with gentle cooling and cleansing Clisters thus Take of Milk half a pint Sirrup of Violets and Lettice of each one ounce The Oyles of Roses and water Lillyes of each halfe an ounce The yelks of two new laid Eggs well beaten mix them and give it Or you make a Clister with Chicken Broth or Oxycrate It is good to open a Vein by which means the burnt and boiling Blood may be cooled revelled and asswaged but do it with discretion twice or thrice if the strength be not impaired by the first You must endeavour to qualify the sharpness of the Humours thus Take of the waters of Plantane Purslan and Mint of each two Ounces Sirrup of Quinces and dried Roses of each one Ounce Sirrup of Vinegar half an Ounce mix them and dissolve therein two Scruples of Theriack Andromachi and six drops of the Oyl of Vitriol give now and then a Spoonful But if the Patient hath someease and the Symptomes abate or appear not beware lest they suddenly return and destroy the Patient as it sometimes happeneth in this case Therefore nourish him and strengthen his Stomach with this restoring Opiate Take of the Gelly of Harts-horn made with Canary Wine four Ounces of the Conserves of Roses Burrage Bugloss and Clove-Gilliflowers of each one Ounce Confectio Alchermes half an Ounce Citron Barks and Nutmegs candied of each three Drachms the Essence of Cloves Mace Nutmegs and Cinnamon of each three drops with the Sirrup of Clove-Gilliflowers make an Opiate of which let the Patient take often the Quantity of a hazel Nut and more Mornings and Evenings To conclude the Medicines prescribed in the last Chapter against cholerick Vomitings may be useful here CHAP. XLI Of Pain in the Stomach Dolor Ventriculi or Pain in the Stomach is caused by naughty venemous and gnawing Humours contained therein the Ancients made this distinction viz. that if the upper Orifice of the Stomach which is of exquisite sense by reason of the great Nerve which it hath from the fifth Conjugation be affected the Pain is very sharp which maketh the Heart the most Noble part and near unto it sensible of the same from thence it is called Cardialgia But if the Membranes of the Cavity or lower Orifice called Pyloras be affected it is called Dolor Ventriculi or Colica Ventriculi especially if it comes of Wind. The Cause of this Disease is either Worms gnawing the Tunicles of the Stomach or Wind lodged in the Cavity of the Stomach which causeth Swelling and painful Distension or sharp and malignant Humours therein contained as salt Phlegm green and black Choller whose sharp Vapours cause Pain corrupt Matter from an Imposthume of the Liver or the Breast Diseases of the Stomach and the Parts adjoyning evil Humours from the whole Body in Feavers Choller from the Liver Melancholy from the Spleen and salt Phlegm from the Head all these may be the Causes of this Evill The external Causes may be evil and corrupt Nourishment or Meats that are too hot that breed Wind or Choller Meat taken in too great a Quantity Poyson strong sharp and deadly Medicines not well corrected Diagnostick Signes are thus taken
the parts by which the Stomach and Guts are provoked to send forth the Meat too soon Lastly in malignant Feavers and other dangerous Diseases the retentive Faculty is weakned and Nature being conquered degenerateth into a Lientery There is another Cause peculiar to the Coeliack Passion Namely the Obstruction of the Meseraick Veins which hinder the passage of the Chilus to the Liver and therefore must of necessity be cast forth by the Belly I need not lay down the Signes of this Disease being obvious to the Eye The Causes may be thus discovered If it come from a cold Distemper there are sowr Belchings the Excrements are phlegmatick If the Humours flow from the Head the Excrements are frothy and the Flux greater after Sleep the Signes of a Catarrh appear If it come from Provocation there is a Heat in the Hypocondria sharp and cholerick Excrements great Thust and a Gnawing in the Stomach These Diseases if they last long are very dangerous because Nature is deprived of her Nourishment and the Body soon falleth into a Dropsy or Atrophy If it follow other Diseases it is for the most part deadly If the Disease hath its originall from phlegmatick Humours covering the wrinkles of the Stomach you must use those remedyes propounded for the cure of Want of Appetite comming from a cold Cause with which make use of those things which are astringent to stay the Flux Clisters are of no great force except the Flux be violent in such Cases they must be astringent such as shall be prescribed in the 47 Chapter of the Flux Dysentery You must purge the peccant Humours and then strengthen the Stomach with the Medicines prescribed in the Cure of Want of Appetite for which purpose Amatus Lusitanus highly commendeth this following Opiate Take of Conserve of Roses six Ounces of the best Treacle six Drachms Sirrup of Quinces sufficient to make an Opiate give half an Ounce in the Morning and fast one hour If this Flux come from Provocation by cholerick Humours do as you are taught in the Chapter of cholerick Vomiting or you may use those things prescribed in the following Chapter of the Flux Diarrhaea For that which comes from the Imbecillity of the retentive Faculty now and then give Clisters made of Posset drink in which red Roses have been boiled and dissolve Sugar therein and the yelks of Eggs. Give inwardly strengthning and astringent things which are prescribed in the following Chapter and against cholerick vomiting Anoint the Stomach and Belly with this following Oyntment Take of the Oyls of Mastick Wormwood Mints and Myrtles of each two Drachms the Powders of Cinnamon Cloves and Galingale of each one Scruple the flowers of Pomgranates and red Roses of each half a Scruple Wax sufficient to make an Oyntment If this Disease depend upon the Obstruction of the Meseraick Veins use the Remedies prescribed for opening Obstructions of the Liver CHAP. XLVI Of the Flux Diarrhaea 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Diarrhoea is a Flux of the Belly or a great and copious sending forth excrementitious Humours not of Food or Chylus as in the Lientery or Caeliack Passion nor of Blood with Inflammation or Ulceration of the Intestines as in the Dysentery which remaineth next to be spoken of The Humours voided are either Cholerick Phlegmatick Melancholy or Serous The Place from whence it comesis either from the whole Body or from the Brain Stomach Intestines Liver Spleen Mesentery Womb and the like The Cause is either Critical or Symptomatical Internal or External The Disease it self is easily known from what hath already been said the difference of the Matter and Humours sent forth are manifest to the Senses It is somwhat difficult to know from what part of the Body the Humours are sent If it come from the whole Body there hath been some Disease which hath afflicted the whole Body as Cachexia Leucophlegmatia a continuall Feaver or excessive Eating or Drinking If it comes from the Head the Excrements are froathy and are voided more violent by Night then by Day and there is some manifest Disease in the Head as a Catarrh Deafnesse Lethargy c. If the fault be in the Stomach the Patient filled himself with Food apt to corrupt or there be Signes of Concoction hurt viz. If the Humours be sharp cholerick and stinking the Concoction is hurt by a hot Distemper of the Stomach and the expulsive Faculty laboureth to throw it out If they be crude and phlegmatick Concoction is hurt by a cold Distemper If Worms in the Guts be the cause their Signes seek 〈…〉 Chapter of the Worms If the Humours come from the Liver they are cholerick and there appeareth some Distemper of the Liver If from the Spleen the Excrements are blackish and distempers of the Spleen and Hypocondria appear If from the Mesentery there is extention but Humours there have their original from the Liver or Spleen If from the Womb there are the Symptoms of the Womb affected To the Prognostick I say the Flux of the Belly which is Critical that is easily endured and is a benefit to the Patient by which Humours which are burthensome to Nature are discharged is good On the contrary if it be symptomatical painful weakning to Nature it is evil If the Excrements are thin voided often with Pain without Feeling when they are voided or in an acute Disease all these are evil Signes If the Excrements voided be yellow as yelks of Eggs green black blew or of divers colours it is evil If this Flux afflict a Woman with Child she is in great danger of Miscariage If the Excrements begin to grow thicker there is hopes of Recovery If a Flux happeneth in the Dropsy wherein the whole Body is affected it causeth a Recovery understand this where the Patient is young strong and the Disease but begun for if Nature be weakned by the long continuance of the Disease and the Flux happen the Disease and Life hand in hand go together For the Cure If the Body abound with Blood open a Vein if not if the Patient hath a Feaver it is good to let Blood Then purge the Humour offending with such Purgers that leave an Astringent behind them If the Body be strong vointing is good for it revelleth and evacuateth the Matter of the Disease Before and after purging give cleansing Clisters after the Body is sufficiently emptied give astringent all which the next Chapter will furnish you with Inwardly you may give astringent und strengthning Medicines prescribed in the next Chapter If your Patient be free from a Feaver boil new milk and scum off the Foam and quench red hot Steel often in it and let him drink thereof warm which is a present Remedy Unripe Mulberryes and Blackberryes dryed and heaten to powder is good to stay this Flux This Opiate is excellent Take of the juyce of Quinces Conserve of Roses of each one Ounce Sanguis Draconis Terra Sigillata and fine Bole of each one Drachm Bloodstone
the Musilage of Gum Traganth made with Rose or Plantane Water and the Suet of a Goat of each one Drachm which Emplastick Clisters as with a Plaister cover the internal Superficies of the Guts and preserveth the part from the gnawing of the Matter All this while you must give internal Medicines of the same Nature and the oftner if the upper Guts are ulcerated First to cleanse give Gears Milk to glutinate Cows Milk Chalybiated with it you may mix the juyce of Plantane Sirrup of Comphry Sugar of Roses the Troches of Amber and the white Troches of Rhasis Let the Sick eat Rice boiled in Chalybiated Milk or the Musilage of Gum Traganth and Arabick drawn as before in his Broth half a Drachm The Body being well cleansed you may make an astringent Decoction to compleat the Cure Take of the Roots of Bistort Tormentill and Comphry the Leaves of Plantane Yarrow Shepherds purse Horse-tayl Mousear and Agrimony of each one handfull the Seeds of Sorrel Sumach and Grape-stones of each one Ounce make a Decoction in four quarts of Water to the Consumption of half Sweeten the strained Liquor with the Sirrup of Comphry Quinces dryed Roses Myrtles or Corall Front what hath been said there is light enough for the Ingenious to make Medicines in any form to please the Pallate of his Patient which I omit being loath to be tedious but lest I should omit any thing necessary make an Opiate thus Take of Conserve of Roses and Quinces of each one Ounce Conserve of Comphry Roots half an Ounce Coral prepared Sanguis Draconis Bolearmenick sealed Earth Acatia Conserve of Sloes of each one Drachm burnt Ivory and Spodium of each one Scruple with any of the Sirrups aforesaid sufficient to make an Opiate and give the Quantity of a Chesnut Morning Night and Noon Narcoticks do Wonders especially if they be mixed with astringents and strengthners Take of Conserve of Roses and Services of each one Drachm Confectio Alchermes half a Scruple Laudanum three Grains make a Bolus Anoint the Belly with the Oyls of Quinces Myrtles Roses Mastich Wormwood and the like The Oyntment called Comitissae is of wonderful Virtue I might here teach you to make Fomentations and Cataplasms for the purpose aforesaid of the aforenamed Simples but seeing the Ingenious need it not and the Ignorant deserve it not I shall save that labour fearing my Booke will swell to a greater Volume then I intended What ever you do remember to strengthen the Liver with Cataplasms for that purpose made of Simples strengthning the Liver If the Dysentery be Epidemical and Malignant Sudorifick Medicines are of great force As Medicines made of Bezoar and Treacle water you must begin with Cordials and proceed as you do in a Malignant Feaver CHAP. XLVIII Of Tenasmus 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Greek and Tenasmus in Latine is a continual desire to go to Stool yet the Patient voideth nothing but Slime and bloody Matter it is caused by an Ulcer in the Intestinum rectum or streight Gut from which filthy Matter continually flowing provoketh the expulsive Faculty hence followeth a continual desire to go to Stool This Disease properly belongeth to a Dysentery yet by custom when onely the streight Gut is ulcerated it is called Tenasmus therefore I shall not insert the Causes being the same with the former For the Knowledg of this Disease it is easy to distinguish between this and a Dysentery In a Tenasmus the desire of going to Stool is continual in the Dysentery by Fits onely In the first notwithstanding all straining nothing is voided but Slime bloody or mattery in the other both Exerements and Humours are voided The Signes of the Causes seek in the former Chapter Tenasmus for the most part is easily cured but is dangerous if a melancholy Humour be the Cause lest it turn to an ulcerated Cancer yet for the most part it is of long Continuance and very troublesome If a Woman with Child hath the Tenasmus it brings many Inconveniences to her and great danger of Miscarriage Hippocrates saith she will miscarry but I have known the contrary True it is a Woman seldom escapeth in that condition for that Motion doth much disturb the Womb because the same Muscles which serve to cast forth the Excrements are employed for Delivery If the Ulcer be near the Fundament or Anus if it continue long it turns to an incurable Fistula For the Cure I shall refer you to the former Chapter it being the same both in the Causes and the part affected of the same Nature with the other Intestines CHAP. XLIX Of the Flux of the Liver FLuxus Hepaticus a Flux of the Liver is when serous and bloody Humours are voided much like Water wherein Flesh hath been washed It is caused by an evil Disposition consuming the radical Moisture of the Liver and destroyeth the natural Heat thereof this Disposition cometh by burning and swooning Feavers by a hot Distemper of the Bowels or by great Coldness from abundance of Phlegm and Melancholy which oppresseth the natural Heat Outward Causes as great draughts of cold Water extraordinary eating of raw Sallets poysonous and too violent Purges salt sharp and peppered Meats which parch the Substance of the Liver may corrupt the natural Hear There is also a bastard Flux of the Liver when the radical Moisture is not in fault nor the Faculty hurt yet the Blood is impure and corrupt by the mixture of Choller Melancholy or some corrupt Matter or by its staying too long in the Liver and the parts adjacent by which it is made thick burnt or rotten or the Spleen is in fault and doth not suck away the drossy Blood In this Bastard Fluy thick and black Blood and sometimes Blood mixed with divers Humours is voided The Signes of this Disease may be gathered from what hath been said and it differeth from the Dysentery in this that the Stools are lâ—quid bloody and watry and voided without pain The Signes of the Causes most be considered If this defect of the Liver come from a hoe Distemper there went before a burning Feaver or a Feaver is present green Vomits or Stcols Thirst Foulnesse of Body and Want of Appetite stinking Evacuations If from cold the Stools are not so stinking nor is there Thirst the whose Body is colder and blewish Moist and dry Causes produce contrary Effects a moist Distemper causeth more Stools and thin a dry sewer and thicker and lesse in Quantity with much Thirst This Disease is very dangerous because a principal part is affected and the radical Moisture consumed which can scarcely be restored and nothing but destruction to be hoped for so much the more if the Disease comes of Hear If it comes in Feavers the whole Body melteth and putrifieth If it come from a cold Cause it losteth the longer and turns into an incurable Dropsy Though a Bastard-Flux of the Liver be dangerous yet it is farr lesse then a true one because the Liver
that you make a distinction between the Haemorrhoids and the clefts of the Fundament which are like those chops which are in the lips caused by sharp Northerly winds and the Tumor called Condiloma which is in colour black as the Haemorrhoids are in form long and not in the Veins whereas the Haemorrhoids are in the Veins and round There is also in the Fundament sometimes to be found a carnuons swelling called Thymi and sometimes in the privities of Men and Women and they are like the flowers of Thyme they are little white or reddish without pain the Haemorrhoids are for the most part black greater and painfull The piles are greater then the former they are called Fici they are blew and painfull are like the Haemorrhoids onely they are a carnuous swelling and the Haemorrhoids is a swelling of the Veins The Piles are of a Maligne quality and do sometimes ulcerate The swelling of the Haemorrhoids is not dangerous unlesse it be inflamed and Gangrene Or if it suppurate and come to an Ulcer and chance to turn to a Fistula which may prove incurable To cure you must bleed and make such revulsions prescribed in the former Chapter likewise open the Saphaena You must not use strong purges lest you draw more humours to the place yet you must keep the body soluble least the voiding of hard dung greatly encrease pain keep the body soluble by this or the like Medicine Take of the leaves of Lettice Burrage Buglosse and Mallows of each one handfull Polypody of the Oak three ounces Liquorish Raisons stoned and Currant of each half an ounce Buglosse Burrage and Violet-flowers of each one Pugill Boil it in running water to a pint and an half Strain it and infuse therein an Ounce of Senna the liquor being kept hot six hours then put in of Cassia newly drawn one ounce and let it stand an hour strain it and Clarify it and sweeten it with two ounces of syrrup of Violits make four potions thereof and give it twice in a day first and last Then you must apply such things to them which hath power to case pain viz. the Oil of Peach-kernells Sweet Almonds Nuts Egs Box or oils of the seeds of Poppy or Henbane Of these may divers Lineaments be made good to appease pain discuss the Tumor and to dry the Ulcers Take of the oyl of Eggs made in a Leaden Morter the oyl of Violets and Roses of each one ounce Populeon half an Ounce the Oyl of Box two scruples with Hens Grease and Goats Suet sufficient to make a Liniment and apply it or take of the juice of Purslane and honey of each two ounces white Diachylon mollified with the Oyl of Chamomell two Ounces Opium six grains make an Unguent Horstius commendeth wild Flax made into an Oyntment with Hogs grease To discusse the Tumor the Balsome of Sulphur is much commended or this Cataplasme is good Take of Plantane Pilewort and Mallows of each a like quantity make a decoction in Milk till the liquor be half wasted strain out the hearbs and make a Cataplasm with the crums of white bread adding to it the Oyl of Violets Roses Myrtles and the like Or a Cataplasm made of the heads of Leeks is much commended Green Elder leaves boyled to slime and applyed and often renewed are very good The Lungs of a Sheep or Goat taken hot and some slices thereof applyed or if the sick sit upon them it oftentimes proveth effectuall If you see good you may make a fomentation with Mullein Mallows Marshmallows Pellitory of the Wall Flax and Fenugreek seed in Milk water or Oyl or all of them or with a great quantity make a Bath Or a fume made of the powder of Darnell Mullein Pilewort dried and thrown upon hot coals and the Sumen received The decoction of yarrow Mullein and Pilewort is a good Medicine to take inwardly or a Syrrup made of their Juyces against both Haemothoids and Piles If they will not open bleed them with Leeches or rub them till they bleed If the Piles be ulcerated the Balsom of Sulphur the Oyl of Egs stirred in a Leaden Morter is good to cleanse them To conclude those that are subject to these distempers ought to have an Issue in the Leg. CHAP. LIII Of a hot distemper of the Liver A Hot distemper of the Liver is either with or without matter but for the most part a hot distemper of the Liver doth produce hot and cholerick humours It is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 it is caused either by hot weather violent exercise anger or such like passions of the mind hot or spiced nourishment drinking much Wine or any thing that is naturally hot This distemper is known by loathing of meat the body Costive and hot especially the palms of the hands and soles of the feet the whole body groweth lean a bitternesse of the mouth and for the most part a Feaver if there be plenty of humours the patient vomiteth or evacuateth downwards Choller he is the worse for hot and the better for cold things This distemper though not very dangerous in it solf yet may be the cause of many diseases It is hard to cure it if the stomach be cold because what you give to cool the Liver increaseth the distemper of the stomach To cure it you must cool the Liver and evacuate Choller First give a Laxative and cooling Clister then open the Liver-Vein in the right arm and draw as much bloud as the patients strength will well bear either at once or at severall times Then make an Apozeme to purge Choller thus Take the roots of yellow Docks or Muncks Ruharb Sorrel Succory and Licoris of each one Ounce the Leaves of Endive Succory Fumitory Dandelion and Burrage of each one handfull of the great cold seeds of each three Drachres Of the Cordiall flowers of each one Pugill Tamarinds one Ounce boil them to a Pint and an half then adde to infuse of Rubarb and Senna of each half an Ounce Syrrup of Succory with Rubarb and of Roses Solutive add at the last and clarify it aromatize it with two drachms of yellow Sanders Let the Patient take it four mornings Let his ordinary drink be Barly-water and put therein the Syrrup of Lemmons or Maiden-hair or if he delight in things that are sharper make it sharp with the spirit of Sulphur or Vitriol Whey likewise is very good it is best if it be made by turning the milk with Vinegar or the juice of Lemmons and add such things as I advised for the Barly water Likewise you may prepare Juleps to cool the Liver Take the waters of Endive Succory Sorrel and Buglosse of each one ounce the Syrrups of Lemmons Sweet Apples and Pomegranats of each one ounce of the Syrrup of Corall compound half an ounce the Oyl of Vitriol ten drops mix them and make a Julep for four doses Or Take of the Conserve of the flowers of Buglosse Violets and Succory of each one
Ounce the conserve of Hips one Ounce and an half with Syrrup of Lemmons make an Opiate and take a little often Likewise you may make a decoction of China and Hepatick hearbs sweetning it with the aforenamed Syrrups and taking half a pint in the morning Likewise of the aforenamed cooling hearbs you may make an Apozen to cool the Liver or you may make a Bath to cool and moysten the body CHAP. LIV. Of the Inflammation of the Liver THe Inflammation of the Liver is a hot Tumor occasioned by bloud out of its proper vessells sent into the substance of the Liver This Tumor ariseth either from pure bloud or else the bloud is mixed with Choller Flegme or Melancholly so producing either a true Erysipelous Oedematous or Schirrous Phlegmon This Tumor is sometimes in the gibbous or hollow part of the Liver The causes of this disease are too much bloud or the heat thinnesse or sharpnesse thereof and by its motion in the Veins it is sometimes thrown into the Liver For the Liver being hot and in pain doth attract the humours to it self or by its weaknesse is forced to receive the burden that stronger parts lay upon it according to the Proverb The weakest goes to the walls Sometimes an obstruction of the Liver by retaining the thick humours which by a preternaturall heat is inflamed The externall causes are the same which cause heat of the Liver To which add a stroak or fall bruising the Liver or Medicines applyed to a cold stomach or a Cupping-Glasse fastned to the Region of the Liver The signs of the disease are heavinesse in the right Hypocondrion a weighty pain sometimes extending it self to the throat and sometimes to the lower ribs a Feaver more or lesse violent according to the nature of the humour offending viz. Choller or Flegm and difficulty of breathing because the motion of the Diaphragma is hindered a dry chough an unequal pulse and like a Saw the Tongue at the beginning red afterwards black great thirst loathing of meat vomiting Choller and sometimes Flegm a pale and yellowish colour of the whole body red and flaming Urine the sick hath more ease lying upon his back then upon either side for the most part he is costive because the heat of the Liver dryeth up the moysture of the Chylus but if the Liver be weak also the sick is loose and the excrements are like water wherein flesh hath bin washed If the Gibbous part of the Liver be affected you may feel the Tumor in the right Hypochondrion the breath is fetched with difficulty and the pain reacheth to the right side of the Throar If the cavity of the Liver be affected the Tumor is not felt but because that part lyeth upon the stomach there is greater loathing of meat vomitting thirst and sometimes loosnesse of the belly by reason of the corruption which the distemper of the Liver causeth in the Stomach The signs of the causes are thus known if the inflāmation be of bloud onely the face is either red or duskish the Pulse is great and soft the Urine is red and thick the body is full of flesh and there is sweetnesse in the mouth and for the most part the Patient is young and hath fed high If Choller cause the inflāmation the face is yellow the pulse swift hard and unequall the Urine thin and yellow the body thin the eyes hollow a bitter tast in the mouth and Cholerick vomitings The Symptomes of the inflamation of the Abdomen differ little from them of the inflāmation of the Liver therefore let us a little consider the difference If the Muscles of the Abdomen be inflāmed the skin is extended and if you lay hold of it you cannot move it but if the Liver be inflamed if you lay hold on the Muscles they yield and the Tumor appeareth deeper If these Muscles be inflamed the colour appeareth fresh and in its naturall colour but if the Liver be inflamed the colour is yellow as in the Jaundise you must likewise distinguish between the inflāmation of the Liver and a Pleurisy Sometimes moist and bloudy stools distinguish it in the Pleurisy the pain will be vehement and great towards the right Hypocondria no change of colour the cough great and dry with bloudy spittle for the most part the pulse hard and like a Saw the inflāmation of the Liver is manifosted by the signs laid down before If the Mesentery be inflamed the Tumor appeareth beneath the region of the Liver the stools will be thin and moist with unconcocted matter if the party recover the matter quickly is concocted the colour of the face is not much altered Prog. every inflāmation of the Liver is dangerous for the most part deadly if the Patient be not cured or killed presently the disease ends in a Dropsy Atrophy or Consumption If Choller be the cause of the inflāmation it is worse then if bloud were the cause and the Feaver is stronger The Hicchough in this distemper is a very evill sign for it shews the greater Malignity of the inflāmation which doth disturb the Stomach A Flux joyned with it unlesse it be criticall and the humours evacuated concocted is deadly To cure it follow the rules prescribed in the 42. Chapt. Of the Inflāmation of the Stomach Let his drink be Barly water with a little Syrrup of Violets If the disease be stubborn to the former Medicines prescribed in the 42. Chapter add this following Apozeme Take of the roots of Smallage Fennell and Parsly of each two ounces the leaves of Agrimony Violets Succory and Maidenhair of each one handfull Polypody of the Oak four Ounces Chammell flowers one Ounce the seeds of Fennell Gromwell and Parsly of each one Drachm boil it to a Pint and an half and in the strained Liquor infuse an Ounce of Sen na and three Drachms of Rubarb afterwards add of Sirrup of violets and Vinegar Simple of each two Ounces divide it into four Doses and let the Sick take every other Morning Then make an Epithem Liniment Unguent or Plaister thus Take of the Juyce of Endive Succory Sorrell and Plantane of each half an Ounce of the Oyls of Roses Wormwood Camomill and Myrtles of each one Ounce Vinegar half an Ounce boil it to the Consumption of the Juyces then add of the three Sanders in Powder of each one Scruple with Wax sufficient make an unguent and anoint the Region of the Liver If the Pain and Feaver decreaseth you must add to the former Oyntment such things as dissolve and mollify as well as cool as the Flowers of Camomill and Melilot Barly-meal the Roots of Marsh-mallows Calamus Aromaticus and Cypresse the Leaves of Mallows Violets and Agrimony the Seeds of Annise Fennell Faenugreek and Flax. Or with these Simples you may make a Fomentation If the Inflammation be not discussed as it seldom can it tends to Suppuration otherwise to a Gangrene The Imposthume for the most part is compleat in twenty dayes it is
two Drachms Diarrhodon Abbatis one Drachm Salt of Wormwood and Tamarisk of each one Scruple Saffron and Amber-greese of each half a Scruple with the Sirrup of the five opening Roots make an Opiate of which let the Patient take the quantity of a Wal-nut every Merning In this case steel-Medicines are of excellent use and well approved of by Galenists as well as Paracelsians sometimes the Powder may be given alone or of it may be made several sorts of Medicines as steel-Wine Sirrups Opiates Pills and Lozenges Some infuse it in white Wine or Claret and drink thereof many wayes are steeled-Wines prepared I shall onely prescribe that which my self have found effectuall and leave every man to his liberty to prepare it as he sees good Take the powder of Steel prepared with Vinegar three Ounces the Roots of dwarf-Elder two Ounces the Root of Elicampane and Sea-Holly of each one ounce yellow Sanders and Epithimium of each one Ounce the Flowers of Camomill Broom and Rosemary of each half an Ounce it will not be the worse if you add two Ounces of Senna and half an Ounce of Rubarb the best white-Wine three Quarts Let them infuse in a Bath twelve dayes twice a day you must shake them let the Patient take two or three Ounces every Morning as long as need requireth Likewise may Pills Opiates and Sirrups be prepared of the infusion and extract of Steel But this remember that after all Medicines made of Steel must much Excercise be used to make the Strength of the Medicine go to the parts obstructed Quercetan commendeth the compound Powder of Aron to open Obstructions two Drachms taken in a Morning in some convenient Liquor for several dayes See the fourth Booke But of all Medicines to open Obstructions those made of Vitriol Tartar and Steel claime the preheminence if Dr. Dunce have not the administring thereof CHAP. LVI Of the Schirrus of the Liver THis Disease is a hard Tumor in the Liver without Pain it is either perfect or imperfect the perfect is without Pain or Sense that which is imperfect hath some Pain This is bred by crude viscous and clammy Humours sent from other parts or bred in the Liver by evill Concoction The imperfect Schirrus is caused by immoderate use of discussing or repercussive Medicines or things which by cooling and binding do thicken the Matter and keep it from dissolving The Signs are a Hardnesse in the right Hypocondrion and a great Heavinesse especially when the Breath is fetched neither Feaver nor Pain as in the Inflammation or at lest but little Pain when the Schirrus is imperfect the Face is pale and greenish because there is no good Blood produced by it The whole Body decayeth because there is no Sanguification nor Distribution of Nourishment as ought to be To the Prognostick Galen saith thus an insensible Schirrus is incurable that which is sensible is curable though with much difficulty A Schirrus turns to the Dropsy incurable sometimes it causeth the Jaundice and somtimes it cometh in the Jaundice both which are very dangerous To cure it in the beginning of the Disease you must take away the antecedent Cause as you are taught in the preceding chapter of Obstructions all the Medicines there mentioned are proper for this Riverius much commendeth these Pills following Take of the best Aloes and Gum Ammoniacum dissolved in Vinegar strained and again made thick of each half an Ounce Mercurius Dulcis well prepared two Drachms Diagridium one Drachm with Oxymell of Squills make a Masse for Pills of which take half a Drachm in the Morning for twenty or thirty dayes but sometimes rest and in the intermediate dayes make use of the steeled and other Medicines mentioned in the Chapter Likewise the Fomentation and Unguent there prescribed may be made use of to mollify this Tumor CHAP. LVII Of the Jaundice THe Jaundice is a spreading of a yellow Colour over the whole Body There is a two fold Jaundice the yellow and the black the black proceeds from the Spleen and is rare I shall here speak onely of the yellow Jaundice This Disease comes from three principal Causes First from an evil Disposition of the Liver as an Inflammation Obstruction Schirrus or Weaknesse thereof that it cannot separate the Choller from the Blood and by that means it is carried over the whole Body A second Cause is the Obstruction of the Gall which hinders its passage into the Guts and so remains in the Blood with which it is carried to all parts of the Body The Gall is obstructed either by grosse Phlegm or Choller abounding and sometimes by little stones bred therein c. The third Cause is the Malignity of the cholerick Humour which consisteth either in the great Quantity which Nature cannot regulate nor seperate from the Blood or fills the Bagg so full that it cannot contract it self to expell it Or else it consisteth in the evill Quality of the Humour which by corrupting the rest hinders their due Evacuations which Nature perceiving striveth suddenly to cast it forth as it sometimes happens in cholerick Feavers after the taking of Poyson or after the biting of some venemous Creature The Signes of the yellow Jaundice is a Yellownesse of the Body especially the whites of the Eyes and the Balls of the Checks cholerick Vomitings and Hiccoughs Lazinesse Itching of the Body and Bitternesse of the Tongue If it come from a Distemper of the Liver there preceded an Inflammation Obstruction c. If from an Obstruction of the Gall the Belly is bound and the Excrements white the Urine yellow or reddish which will dye a new piece of linnen cloth If it come from the Malignity of the Humour both the Urine and the Excrements are high coloured especially after a putrid Feaver now if the Feaver remain the Jaundice is Symptomatical If when the Jaundice appears the Feaver ceaseth the Urine and Excrements be of their natural Colour the Jaundice is critical Poyson taken and venemous Bitings the Patient can declare They who in a Feaver have the Jaundice before the seventh or critical day are in great danger the contrary if it happen on a critical day The Jaundice comming upon an Inflammation of the Liver is dangerous because the Disease commonly ends in an Imposthume if upon a Schirrus it is no lesse dangerous because that ends in the Dropsy If it come from an Obstruction of the Gall it is most easy to cure because the Passage is neer the Guts except Stones bred in the Passages be the Cause which by reason they cannot be dissolved are counted incurable For the Cure if it come from Distemper of the Liver have recourse to the aforegoing Chapters if the Jaundice be critical it needs no Cure If from the Obstruction of the Gall to cure it take away the the Obstruction which may be done by the Medicines mentioned in the Chapter Of the Obstruction of the Liver Yet least I should seem to omit any thing needfull I shall
apply a Medicine or two proper to the Disease If the Body be plethorick Phlebotomy may be profitable Afterwards evacuate the Humours with Medicines that principally purge Choller Take of the Electuary of the Juyce of Roses and the Electuary of Prunes solutive of each three Drachms Rubarb in Powder one Drachm Saffron half a Scruple with Sugar make a Bolus give it once or twice as the Patient stands in need thereof Then make a Decoction thus Take the Roots of Smallage Nettles and Maddir of each one Handfull the Leavs of Celandine Cleavers Fumitory Wormwood Century and the Tops of Saint John's Wort of each one Handfull Cinnamon and the Shavings of Ivory of each two Drachms the white Dung of an Hen and the Dung of a Goose of each two Drachms tye it up in a Ragg and with it a Scruple of Saffron make a Decoction in white Wine or if you please in Fumitory Wormwood-water or the like to a Quart Let the Patient take a quarter of a Pint fasting and gently exercise himself Of these and Ingredients of the like Nature may any form of Medicine be prepared Whilst inward Medicines are administred foment or anoint the Region of the Liver as you are taught in the foregoing Chapters CHAP. LVIII Of the Dropsy THere are three kinds of Dropsyes the first is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ascites the second 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Tympanites the third 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Anasarca or 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Leucophlegmatia Ascites is a Swelling of the Belly caused of a serous Humour and salt as Water it is cold as Salt it is hot infecting the Mouth of the Stomach hence cometh a Feaver and Thirst and not onely the Belly but sometimes the Cods Thighs Legs and Feet and sometimes it begins in the Legs and Feet and ascends upward It is the Opinion of most Physitians that all Dropsyes have their originall from a cold Distemper of the Liver which cannot make Blood but Water Phlegm and Wind. This Opinion is undeniably true in Anasarca but in Ascites and Tympanites it is questionable although sometimes a cold Distemper may be the Cause thereof The Experience of Modern Physitians hath put the businesse out of doubt who have found the Liver sound in dissected Bodyes who died of the Dropsy And if the Liver should breed warry Blood what reason can be given that the Water should be sent to the Cavity of the Belly onely and not to other parts and breed Anasarca A Dropsy may be caused by a hot Distemper of the Liver caused of Feavers much Wine or hot Meats which doth disperse the native Heat by which means the Liver Spleen and Kidneys become lesse active and not able to draw the Water nor cast it forth by the Ureters the like may be said of a cold Distemper Some external Cause may hinder the Attraction and Distribution of the Water as namely the drinking of much cold Water or hot Wine or any thing that doth diminish or disperse the native Heat The Dropsy Tympanites hath its Name from Tympanum a Drum because the Belly soundeth like a Drum and is much stretched out This Stretching hath its original from Wind shut up in the Cavity of the Abdomen and sometimes in the Cavity of the Guts as Platerus observed This Wind is bred by crude and thick phlegmatick or melancholy Humours which being stirred by Heat and made thin becometh thick and flatuous Vapours which are hard to be dissolved Nor doth Wind alone cause a Dropsy but with it a mixture of Water so that if Wind be predominant it is called a Tympany if Water Ascites Anasarca is bred of a phlegmatick Humour spread throughout the whole Body and maketh every part to swell and be white a cold Distemper of the Liver is the Cause when the Liver insteed of making good Blood produceth such Humours The Cause of this Disease may be imputed to all such things as cool the Liver too much and hinder its Concoction as a Diet too cold and moist the Stopping of the Terms or Haemorrhoids all Obstructions and Tumors in the Liver much bleeding or any praeternatural Evacuation You may make the Diagnosticks thus In Ascites the Belly is great and broad presse the Sides and you may hear the Water make a Noise when the Patient turneth in his Bed his Belly swayeth to that side the Thighs Legs Feet and Cods swell but the upper parts decay the Urine is little in Quantity thick in Substance in colour red In the encrease of the Disease the Patient breatheth with much difficulty by reason of the Abundance of Water which lyeth upon the Diaphragma especially when he lyeth down therefore the Patient for the most part is forced to stand or sit the salt Humour swimming in the Stomach causeth a continuall Thirst and a lingring Feaver In the Tympany the Belly soundeth like a Drum is big but lesse burthensome when the Patient lyeth upon his Back his Belly remaineth hard and extended nor doth it sway when he turneth himself the beginning of this Dropsy for the most part is accompanied with pain about the Navel and Reins In Anasarca not onely the Belly lower parts but the upper parts also swell if you thrust the Swelling with your Finger it doth pit and leave an Impression the Flesh is soft and loose and the Skin pale and earthy they have a lingring Feaver breathing difficultly and the Urine is thin and white To the Prognostick I say Every Dropsy is hard to be cured the older the Parient is and the longer the Disease hath continued the more perillous Anasarca is least dangerous Ascites and the Tympany are sometimes one more dangerous then another according to their Causes for Ascites comming from a Tumor or Ulcer of the Liver or any of the internall parts it is more dangerous then a Tympany et è contra If a Dropsy come upon an acute Disease it is evill If the Liver being full of Water discharge it self into the Omentum the Disease ends in Death If in the beginning a Dropsy the Patient being strong and free from Tumor or Ulcer in the Liver or any internal part the Water floweth into the Belly and causeth a Flux the Patient is cured if the contrary happen expect a contrary effect This I gather from the words of Hippocrates In the beginning of a Dropsy if there come a Flux of the Belly without want of Concoction or crudity it is prevented the lesse Urine is voided the worse because the drink runs not to the Reins but to the Belly It is a very hopefull signe when the Patient voideth more Urine then he drinketh and the belly grow lesse Impostumes or spots in the Legs of Hydropicall men are for the most part forerunners of death If a man who hath been cured of the Dropsie fall into the same againe it is very dangerous If a melancholly body have a Tympany he seldome escapes especially if he pisse by drops If the
is better then thin for thin Urine is a Sign that thick Humours are detained in the Body Vomiting Flux of the Belly or Haemorrhoids if it be moderate and continue not long is a hopefull Sign judge the contrary if it continue long For the most part this Disease is of long continuance and seldom cured therefore it hath been called the Scourge and Disgrace of Physitians The Cure of this Disease consisteth in four things First in opening Obstructions Secondly in amending the Distempers of the Bowells Thirdly in evacuating the peccant Humours and Lastly in strengthning the affected and vitall parts But to forbear Tediousnesse and to avoid needlesse Reperitions I refer you to the Chapters aforegoing especially Of the Obstruction of the Liver and Spleen Take this general Rule keep the Body alwayes soluble by Medicines which the Parient may use before Meat changing them often as often as need shall require let the Patient be purged let him make use of Broths Decoctions and Drinks that have a Faculty to open Obstructions as the Juyce of Wormwood or Wormwood-Wine adding thereto Tamarisk Agrimony Borrage and Buglosse Burnet Sanders Rosemary Flowers and the like Montanus much commendeth Venice Turpentine because it looseneth the Belly cleanseth and warmeth the Stomach provoketh Urine openeth the Obstructions of the Liver cleanseth and doth not heat it Steel-Wine and other Medicines made of Steel which you may find in the Chapter Of the Obstruction of the Liver powerfully openeth Obstructions especially the Extract of Steel in the Administration of which I have found more then ordinary Successe but let Medicines of this Nature be administred by a skilfull and carefull Physitian The Decoction or Infusion of Lignum Nephriticum doth open Obstructions safely and pleasantly And some do much commend the Decoction of the Root of sweet Bryar for the Patient 's ordinary drink Whilst you use internall Medicines Externalls are not to be neglected viz. Fomentations Oyntments c. such as are prescribed for the Obstruction of the Liver and Spleen choose the coolest of them and apply them to the Hypocondria And because in this Disease the Stomach alwayes suffereth seek the Remedy in its proper place Or if the Vapours ascending from the Hypochondria trouble the Heart or Brain and cause Swooning Palpitation Trembling Convulsions Head-ach or the like have recourse to the Chapters preceding which treat of those Diseases CHAP. LXI Of the Scurvy THe Scurvy is nothing else but an Hypocondriack Disease but having a peculiar degree of Malignity arising from the Putrefaction of Melancholy it hath more Symptomes then in the Hypocondriack Disease Diag All the Symptoms mentioned in the foregoing Chapter are common to the Scurvy Peculiar Symptoms are these Rednesse Itching Putrefaction Bleeding and Stinking of the Gums Mouth and Teeth which are also sometimes black and loose Spots in the Legs first red afterwards purple black or blew Straitnesse of the Breast and Shortnesse of Breath occasioned by thick Vapours arising from the Hypocondria to the Midriff or to the Sweet-Bread causing a Swelling or Tumor and consequently compressing the Diaphragma The Body is heavy and lazy especially the Legs and grievous pain there and in other parts as in the Toes Fingers Soals of the Feet Ancles Thighs Belly Arms Shoulders and the like The Urine is various as in the Hypocondriack Melancholy The Pulse is weak and unequall Some have the head-Ach and a seavourish Heat in the Night which vanisheth by a Morning Sweat Some have tho Tooth-Ach without manifest Cause Sometimes the Vapours ascending being astringent contract the Gullet and the Patient feareth strangling A stinking Breath is common to Scorbutick persons Tumors in divers parts sometimes hard sometimes soft like Bladders and sometimes like the stinging of Nettles And lastly an Atrophy Consumption and generall decay of the whole Body That I may more perfectly discover the Symptoms of this Disease I shall here lay down some other which are common to other Diseases and shew you how to distinguish them Sometimes the Scurvy causeth pains in the Joynts which must be distinguished from the pains caused by the French Pox thus In the French Pox the pains are between the Joynts and by long continuance cause Knots there the Symptoms of the Pox appear as Running of the Reins Bubo c. or the Patient hath acted with some unclean woman But in the Scurvy some of the preceding Symptoms appear or at least the Patient is of a melancholy Constitution This must be distinguished also from the Arthritis or Joynt-Gout which is fixed or at least seldome changeth the place but in the Scurvy it is very moveable running from one Joynt to another and sometimes for a while vanisheth In the same manner is the bastard-Palsy which the Scurvy causeth distinguished from a true one which is constant but in the Scorbaticall Palsy he that one day could not walke or stand at all can the next day walk with little or no help Sometimes it causeth a Flux of the Belly like a Diarrhoea but differeth from it in this that the Excrements are thicker then in the former and in greater Quantity exceeding the Quantity of the Meat taken Sometimes the Excrements are mixed with Blood but differeth from the Dysentery because there is no pain of the Belly and the Blood is thick sent thither by the Meseraick Veins Sometimes the Scorbatick pains are in the sides imitating the Pleurisy but is much different because the Feaver if any is weaker there is no difficulty of Breathing no Cough Spitting nor constant pain Lastly you must distinguish these pains from the pains of the Stone for the Urine is sometimes red like Blood as if the Kidneys were wounded by the Stone and sometimes black both which come from a scurvy salt Matter in the Spleen or Parts adjacent Prog This Disease is very hard to be cured because the Melancholy Humour is so farr predominant Many times it is very dangerous because it bringeth the Dropsy Consumption c. And sometimes acute Diseases as the Apoplexy Swoonings and the like which produce sudden deaths In the Cure of the Scurvy you must follow the Method prescribed in the Cure of Obstruction of the Liver and Spleen beginning with the weakest first with which you must make use of specificall Medicines for the Scurvy of which the chief are Dutch and Sea Scurvy-grasse Water Cresses Brook-Lime Horse-Radishes Fumitory Wormwood Celandine the lesse c. Those which are of lesse Efficacy and have a Faculty to correct and prepare the melancholy Humour are these which follow Agrimony Asarum Bettony Borrage Buglosse Carduus Ceterach Elicampane Germander Hyssop Maidenhair of all sorts Polypody of the Oak the Bark of Ash Capers and Tamarisk the Flowers of Elder Dodder of Time and Tamarisk Observe this general Rule if the Patient be feavourish or subject to heats you must give the hottest of them in a smaller Quantity and add Endive Sorrel Succory the Juyce of Citrons Lemmons and Orenges and the Spirit of
Ounce Liquorish two Drachms Camomill and Saxifrage of each one Pugill Winter Cherryes twenty Red Cicers four Ounces Raisons of the Sun two Ounces the four great cold Seeds a Drachm and an half French Barly four Ounces boil them gently in the distilled Water of Saxifrage Cammock and Parsly of each half a Pint when it hath boiled a while add half a Pint of white Wine and let it boil till half be consumed to the straining add six Ounces of the Sirrup of Marsh-Mallows drink three or four Ounces in the Morning To the Region of the Bladder must be applyed mollifying and asswaging Fomentations If all Medicines fail and the Patient's pains unsupportable Necessity requireth the dangerous Operation of Cutting Let the Physitian prepare the Patient's body by Purging Bleeding and Diet according to the Constitution and Condition of the Patient's Body and let the Patient prepare his Soul for God CHAP. LXIV Of the Inflammation of the Reins and Bladder THis Disease is a Tumor in those parts caused by the flowing of Blood or Choller unto them The Causes of this Inflammation are natural unnatural or preternatural Natural when there is a natural haereditary Infirmity in the parts or great Heat originally which violently draw the Humours thither Causes not natural are Gluttony Drunkennesse much Venery great Passions of the mind violent Excercise Stoppage of some usual Evacuation as the Terms or Haemorrhoids all things which cause Repletion or evill Concoction and drive the Humours to the inward Bowels Things preternatural may be the Cause as a Stroak Wound or Bruise upon the Reins or Bladder constant Feavers the Matter of the Pleurisy or Empyema carried away by the Urine Heat or Stoppage of the Urine the Stone or Exulceration of the part may cause an Inflammation The Inflammation of the Reins is known by those Signes a weighty and beating Pain about the part which extendeth it self to the adjacent parts the Patient cannot help himself nor ly otherwise then upon his back If he doth sneez or move his Body the pain encreaseth he hath a Numbnesse in the Leg on the same side he maketh Water with difficulty he hath a constant sharp Feaver with Watchings Dotings and dangerous Symptomes He vomiteth Choller Phlegm and other Humours the Urine is first thin and yellow afterwards thick and red If the Bladder be inflamed the Patient is vexed with a sharp Feaver Watching Vomiting c. as aforesaid The Share becometh hard and hath vehement pain he hath almost continuall Provocation to go to Stool as in the Disease Tenasmus Prog The Inflammation of these parts do threaten continual danger of Death Convulsions Dotage Watchings cold Sweats are the Messengers of Death If the Inflammation suppurate and the Imposthume break and the Matter be evacuated by the Urine there is hopes If the Haemorrhoids bleed there is hopes that the Inflammation will cease You must begin the Cure with a mollifying and cooling Clister to the Decoction for the Clister prescribed in the Chapter of the Stone in the Reins add of Cassia and Diaprunes Lenitive of each half an Ounce Sirrup of Violets one Ounce the Oyl of Violets two ounces make a Clister Then open the Liver-Vein on the same side the Inflammation is If the Bladder be inflamed open the Liver-Vein on the right Arm draw as much Blood as your Patient's Strength will bear And if you open the inferior Veins it is a good derivation Then give the Clister again and as often as need requireth but remember to give it in a small quantity least it oppresse the Tumor Use Cupping and Scarifying Frictions and Ligatures to the extream parts to draw the Humours outwards You must allay the Heat of the Blood by cooling Juleps in which use no Diuretick Simple lest it carry Humours to the part and increase the Inflammation in the declination of the Disease Diuretick Medicines may be given You may make a cooling Julep thus Take of the distilled Water of Endive Lettice Plantane and Purslane of each four Ounces Sirrup of Pomegranats two Ounces the Sirrup of Water-Lillyes and Violets of each one Ounce Oyl of Vitriol as much as sufficeth to give it a gratefull Relish mix them for four Mornings and Evenings Draughts Or you may make an Emulsion of the Seeds of Sorrel Letrice Purslane Poppy Almonds Pine-Nuts and the like The great cold Seeds are diuretick and must not be used in the beginning of the Disease for the reason before given Nor ought you at first to purge till the Declination then you may profitably purge with Medicines which are gentle as Manna Cassia Rubarb Tamarinds Diaprunes lenitive Sirrup of Roses c. Outwardly you may apply Cataplasms Liniments Unguents that are cooling repelling and if the Inflammation be in the Bladder astringing when the Defluxion is stopped use Softners and Dissolvers If the Strangury or any other dangerous Symptome appear converse with their proper Chapters If the Tumor tend to Suppuration which you may know by the encrease of the Feaver and Symptomes trembling and vomiting you must help Nature with mollifying Cataplasms the Chapters of Inflammations of other parts will advise you If the Tumor appear outwardly you must open it with a Cautery or Incision-knife If it break and the Matter fall into the Abdomen it brings sudden Death or a Hectick Feaver If the Tumor grow hard and the Feaver gone it breeds the Dropsy evill Habit or some such Disease and is incurable for the most part you must deal with it as with the Schirrhus of the Liver CHAP. LXV Of the Ulcer of the Reins and Bladder THis Disease is caused either from an Imposthume broken there from Sharpnesse of the Humours or from a Stone which doth corrode them This Disease is known by the voiding of much Matter with the Urine To know whether the Reins or the Bladder be diseased take a few Rules If the Ulcer be in the Reins the pain is there the Matter is more concocted more in quantity and more mixed with the Urine making it appear like Milk which standing settleth to the bottom sometimes much Blood is voided and pieces of Flesh which sometimes stops the Passage When the Ulcer is in the Bladder contrary Signes appear the pain is neer the Privityes the Matter is lesse in Quantity and not well concoct but of divers Colours and stinketh sometimes Matter is voided without Urine If the Ulcer be old callous and hard snotty Phlegm is voided such as is voided if there be a Stone in the Bladder for the most part little Skins like Scales or Bran are voided As all inward Vlcers are dangerous so are these much more because the continuall Flux of Humours with the Vrine to the part doth nourish the Vlcer The Violence of the pain causeth Watchings and a Consumption of the whole Body If the Vicer be taken in time and the Patient yong it may be cured else not The Cure must be performed by evacuating the peccant Humours by cleansing drying and healing the
Greek is a Disease which modern Writers call Scalding of the Urine it differs from Stranguria in this that more Water is made and with farr more pain Any thing that can wound the Sphincter-Muscle or passage of the Bladder may be the Cause The usuall Cause is either a mixture of sharp Humours with the Urine or sometimes the sharpnesse of the Urine caused by the eating of hot and sharp Meats or by the hot Distemper of the Bowels Liver or other parts or from evill Concoction in the Stomach or Liver by which the Blood is not freed from salt and tartarous Humours which being sucked to the Kidneys is sent to the Bladder causeth pain Filthy Matter comming from an Ulcer in the Reins or Bladder may be the Cause he who is troubled with a Gonorrhaea or Running of the Reins is seldom free from scalding Urine To conclude the Stone or large Gravel may be the Cause The Knowledge of this Disease is evident the Signes of the Causes are easily gathered If it be caused by the Stone Inflammation or Gonorrhaea it is known by their proper Signes If from sharpnesse of Urine by the mixture of Humours the Urine will be thin and high coloured or in it will appear a mixture of Choller Phlegm or Matter the Patient hath eaten hot things or else hath some hot Distemper This Disease is not very dangerous unlesse it continue long and ulcerateth the Neck of the Bladder Sometimes it is hard to be cured especially if the Patient be old The Cure must be wrought by taking away the Cause If a mixture of sharp Humours make the Vrine sharp first make use of Phlebotomy which is good to correct the hot Distemper of the Liver and other parts make use of this Evacuation as often as the Patient's Constitution will bear and the Distemper require then to derive it from the part affected open the lower Veins Then purge with Cassia Manna Rubarb Mirabolans Tamarinds and such things which purge gently if you give it with the Decoction of Plantane Mallows Lettice Purslane and the like it will be the better A gentle Vomit is much commended as a good Revulsion Cooling Clisters are good Inwardly the Whey of Goats milk or Mineral Waters that cool are good for ordinary drink Or this Julep Take of the Roots of Marsh and common Mallows of each one Ounce Lettice Endive Purslane and Violet Leavs of each one Handfull Jujubes and Sebestens of each one Ounce of the four great cold Seeds a Drachm the flowers of Violets Roses and water-Lillyes of each one Pugil boil them in Spring Water to a Pint and an half strain it and add of Jujubes Violets and Poppyes of each one Ounce and an half Oyl of Vitriol twenty Drops make a Julep for four Doses to be taken Morning and Evening If there be no Feaver give Milk by it self The Troches of Winter Cherryes is good If the pain be very great let the Patient when he maketh Water put his Yard into warm Milk or a Decoction of Mallows and other cooling Herbs Or inject Milk Plantane-Water or an Emulsion of the cold Seeds into the Passage Baths and Fomentations made of cool Herbs are good and if the Privities be anointed with Unguentum Populeon the Oyl or Unguent of Roses Oyl of Lillyes and the like it profiteth If the Liver Reins or other parts by their Heat be the Cause use Medicines that are good to cool them If the Liver be too hot bleed the Haemorrhoids or make an Issue in the right Leg. If it come from the Stone Inflammation or Vlcer of the Bladder or Kidneys cure them according to the Rules in their proper Chapters but the cooling Medicines before mentioned are good to allay the Symptomes CHAP. LXX Of Pissing of Blood THough Blood may come from divers parts of the Body to the Passages of the Vrine yet I shall here speak onely of that bloody Vrine which is made from the defect of the Reins or Bladder The usual Causes are much sharp Blood which corrodeth the Veins or plenty of Blood which bursteth them Sometimes a Stone in the Reins or Bladder being moved by Riding or violent Excercise by its roughnesse teareth the part A Fall or Stroak vehement Motion lifting or carrying may break a Vein Sometimes the Weakness of the Reins being not able to divide the Vrine from the Blood may cause this Disease This Disease is apparent to the Senses for when Blood is mixed with the Vrine it appeareth like Water wherein Flesh hath been washed with Clods of Blood at the bottom if it stayes too long in the Bladder it looks black The place that is pained shews the part affected If it come from the Reins it is more mixed with the Urine then if it come from the Bladder If it come from the Bladder it is in a lesser Quantity If it come from the Stone in the Kidneys or Bladder the Signes mentioned in their proper Chapters will appear If it come from Repletion or Sharpnesse of Humours the Abundance of Blood Choller Melancholy or such Humours appear in the Body If it come by a Blow Fall violent Exercise c. the Patient is able to inform This Disease if it be violent and continue long is very dangerous for sometimes the Patient falleth into a Consumption sometimes into the Dropsy Sometimes it causeth a Stoppage of Urine and sometimes an Vlcer breedeth in the place from whence the Blood Floweth If Blood or sharp Humours abound begin the Cure with blood-letting after a while for derivation let the Haemorrhoids and the Saphaena or Ancle-Vein be opened Then purge the chollerick Humours with those Medicines that are prescribed in the 30 Chapter Of Spitting of Blood After you have purged sufficiently give things that knit the Veins and stop Blood For this purpose give four or five Ounces of the Juyce of Plantane and a Scruple of the Troches of Amber or of Gordonius Morning and Evening Forestus in his Observations doth much commend Sheeps Milk six Ounces with one Drachm of Bolearmenick is the Dose The Decoction of Knot-grasse Purslane Horse-Tail Comphry roots Plantane Pomgranats Quinces and the like Likewise the Powder of red Coral Blood-Stone Sanguis Draconis Terra Sigillata given with the Water or Juyce of Plantane is good Giye cooling Juleps to allay the Heat of the Blood Apply such things to the Loins as cool and astringe thus Take of the Roots of Bistort Comphry and Clowns-Wound-Wort of each one Ounce Horse-Tail Plantane Purslane Knot grasse and Shepherds purse of each one Handfull Pomgranate peels half an Ounce Sumach Myrtle Berryes and Hypocystis of each two Drachms Acorn cups red and yellow Sanders of each one Drachm red Roses three pugils boil them in Smith's Water and Vinegar therewith soment the Reins Then anoint the Loins with Unguentum Comitissae and Refrigerans Galeni and if you would have it bind more add the juyce of Plantane or such like Sanguis Draconis c. Then wear a
and it will be more powerfull it a little Bolearmenick Sanguis Draconis and Terra Sigillata be given with it Among a multiplicity of Medicines which are astringont and proper for this Diseale I shall insert but one or two Zecheus doth highly commend this following Electuary Take of Gum Arabick and Gum Tragant of each two Drachms Corall of both sorts Eg-shells burnt Harts-horn Dill Seeds Amber of each four Scruples Hony of Roses as much as will make into it an Electuary give half an Ounce in the Morning and fast two howers after it This Julep I have found of great virtue Take of the distilled Water of Plantane red Roses Oak Leavs and Knot grasse of each four Ounces infuse therein a whole Night of the Flowers of Comphry Buglosse and red Roses of each one Pugill strain them out and make it sharp with Oyl of Vitriol with the Sirrup of Comphry and red Roses make a Julep for four or five Mornings Draughts Whatever part sendeth pblegmatick Matter to the Womb you must seek its cure from its proper Chapter To conclude the Medicines prescribed in the former Chapter are good against this Distemper Outward Remedies as Fomentations Unguents Fumes Pessaryes and Injections such as are prescribed in the Chapter aforesaid are usefull here CHAP. LXXV Of the Mother THis Disease is called the Hystericall passion Uteri Strangulatio by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 we call it the Mother and Strangling of the Womb. It is caused by the Seed menstruall Blood or other excrementitious Humors retained besides the intent of Nature in the Womb and there putrified and corrupted breedeth venemous and malignant Vapours which arising doth afflict divers parts of the Body Now these Vapours do not alwayes afflict but when they are stirred up by some cause the most noted are sweet odours sweet meats eaten anger terror and grievous passions of the mind these and such like bring Women subject to this Infirmity into their Fits wherein their breathing is impaired sometimes to appearance abolished the Body becomes cold their Speech gone and Pulse intercepted so that they ly for dead and sometimes have been laid out for burial and yet have revived Sometimes these choaking Fits are not so extream yet is accompanied with other hystericall Symptomes as Vomitings Ravings Convulsions Swoonings and the like Sometimes the Patient feeleth herself as it were choaked by an halter or rope this is caused by abundance of Vapours and Winds ascending from the Womb sometimes seconded by hypocondriack Melancholy which Vapours compressing the Diaphragma and Lungs hinder Respiration and the Patient feeleth herself as it were strangled Others will have it proceed from the Nature of the malignant Vapours whose property is to cause Suffocation Sometimes she loseth her Breath without pain or sense of Strangling by reason of the stupefactive Power of these Vapours which taketh away the vitall Action from the Heart and so hindreth Respiration For Nature having ordained the drawing of Breath to cool the Heart and the Heart is extreamly cooled by these venemous Vapours having no need of the cool Air Breathing ceaseth For the vitall Spirits being destroyed the Animall which are made of them must needs lose their functions We may also say that these venemous and stupisying Vapours do fly up and assault the Brain and hinder the Influx of the animall Spirits whereby the Motion of the Diaphragma and the Muscles which serve for Respiration are hindered Likewise the Womb being filled with these flatuous Vapours doth ascend towards the upper parts as it were by a convulsive Motion which causeth a Compression of the Midriff and Muscles of Respiration Sometimes these sharp and malignant Vapours ascend to the Head and disperse themselves into the membranous parts and cause divers pains pricking and smarting and sometimes stretching and swelling sometimes they cause pains beating like the Pulse Sometimes the Falling-Sicknesse cometh from the Womb by reason of sharp and malignant Vapours which having gotten a powerfull Acrimony do sharply smite the nervous parts These Vapours assaulting the Heart the Heart laboureth to expell them hence ariseth Palpitation Likewise it causeth a great Pulsation in the Back The Stomach doth oftentimes suffer much by this Distemper according to the Nature of the Humours afflicting or part of the Stomach it gets possession of as Want of Appetite or a depraved Appetite that is destring Food which Nature disdains as Coals Chalk c. Loathing of Meat Vomiting Belching Hiccough and pain in the Stomach If in the Womb menstruall Blood is retained it floweth back by the Voins into the Liver from thence shed abroad into the whole Body hence cometh Swelling Feavers and other Diseases If it flows back to the Spleen Swelling Stopping Melancholy and hypocondriacal Diseases are bred Lastly Women have pains in their Loins Thighs and other parts which are caused by these Vapours conveighed from the Womb. Therefore to know this from other pains mark well the Signes of this Disease Much may be gathered from what huth already been said remembring this you must not expect all the Symptomes in one but some in one and some in another the Breathing faileth Sense of Strangling Coldnesse of the Body the Pulse ceaseth and the like which I have mentioned before There goeth before the Fit a Noise in the Belly below the Navill Belching Inclination to Vomit Wearinesse Stretching the Face pale and wan As it gathers Strength it bringeth Suffocation or Choaking afterwards all the vitall animall Actions are depraved diminished and as it were abolished the Womb may be felt in divers parts of the lower Belly gathered round like a Ball tossing and tumbling to and fro When the Fit begins to be over a moist Humour floweth out of the Womb the Body beginneth to be warm they have a Colour in their Face they open their Eyes they sigh they begin to move and so by degrees are freed from the Fit Signs of the Causes are thus known If the Seed corrupting in the Womb hath been the Cause there hath preceded those things which might gather together or excrease Seed and cerrupt it in the Womb as flourishing Age high keeping and an idle life Sanguine Complexion and ripe for Generation or one formerly accustomed to the Actions of Generation and left it of if any such fall into this Disease and have their monthly Purgation well you may judge that Corruption of Seed is the Cause If it come from the Putrefaction of menstruous Blood the Menstrues are stopped or come not down well and the Woman wanteth no carnall Embracements If evill Humours be the Cause the Woman enjoyeth camall Excercise and hath her monthly Purgation but her Body is full of evill Humours Prognosticks we make thus This Disease is seldom mortall but of long continuance the Patient is in great danger if it continue long because Respiration being so often hurt there is danger that the native Heat be suffocated Young Women when they come to bear Children for the most part
examine the man and see if the fault be not in him It is known thus if the man be unable to raise his yard if he want Sperm if he hath a swelling in his Stones or if he have the Running of the Reins he is not fit for Venus School If the man be of an effeminate Spirit if he hath no Beard if he be long casting forth his Seed and taketh little delight in the act and the Woman in the act feeleth his Seed cold be sure the man is unfruitfull Or Causes which may make the Seed unfruitfull have preceded Prog These that conceave not by reason of tendernesse of age have great hopes to live to have better successe but if she live above forty and never conceaved she hath little reason to hope If Barrenness be caused by Fatnesse or any Distemper or Disease whatsoever if the Woman can procure Leannesse or have her Distemper removed she may conceave But if Barrennesse be caused by evill shape of the Members it is likely to continue In the cure you must endeavour that whatsoever hindereth may be removed If tendernesse of age be the cause let her wait the time in the mean while let her refuse carnall Embracements lest her genitall Members be spoiled If it be caused by Age that is incurable by weaknesse of Nature you may endeavour to strengthen the Body and revive the Spirits but it is difficult If the Body be too corpulent or too manly you must extenuate moisten and cool If any Distemper of the Womb hinder Conception labour to remove the Distemper If a hot Distemper be the cause cure it as a hot Distemper of the Liver If drinesse be the cause use a restorative Diet such as is prescribed in the Chapter Of the Hectick Feaver If it be caused hy Witch-craft next to fervent and devout prayers to god and a confident despising and slighting of Charmes and Witch-crafts let the Woman wear the Pizzle of a Wolf about her or the Adamant or Hyacinth Stone which are much commended against Fascination likewise Sea Onions Sea Holly Sagapenum Rue and St John's Wâ—rt which some call the Divell driver are of great efficacy But for the most part a cold and moist Distemper of the Womb and of the Body being accompanied with the Whites is the cause whose particular cure you may find in its proper Chapter You must purge the cold phlegmatick Humours you must make Issues in the Arm Neck or Thighs and give such things as strengthen the Womb. Some things there are which have a peculiar virtue to cause Faecundity and remove Barrennesse viz. the After-Birth of a Woman dried and beaten to powder and given to the quantity of a Drachm The Stones of a Bore pig and the Liver which was farrowed alone without any more in that Litter Half a pint of the Juyce of Sage taken a quarter of an hour before the Woman enjoy her Husband it is best for her to take it soon after she hath had her monthly Purgation Rejecting the multiplicity of Medicines which I might here insert I shall content my self and the Reader with one or two of the best of them and first an excellent Electuary may be made thus Take of the Roots of Eringo and Dogs Stones called Satyrion candied or preserved of each one Ounce Green Ginger candied half an Ounce Pine and Filbert kernells and Pistachios of each six Drachms one preserved Nutmeg the Seeds of Rocket and Water-cresses of each two Drachms Ashes of a Bulls Pizzle the Reins of the Sea Scinkos and Shavings of Ivory of each one Drachm Confection of Alchermes three Drachms the Powders Diambra and Diamoshe Dulce of each one Ounce and an half Ambergreese half a Drachm with Sirrup of preserved Citrons make an Electuary and let the Woman take the quantity of a Chesnut to Bedward twice or thrice in a week and drink a glasse of Sack after it Quercetanus doth much commend this Decoction following Take of the Stones of a Ram prepared with Wine and dryed the Matrix of a Hare prepared in the same manner Mace Cinnamon Cloves white Ginger and Seeds of Ammeos of each two Drachms Saffron a Drachm and an half Hazell-Nut kernells and Pistachios of each three Drachms boil them in a quart of Muscadine till a third part be consumed let her take three or four Ounces of it for three dayes together three houres before Meat then let her upon the fourth day have Geniall Embracements with her Husband Likewise externall Medicines as Pessaries Injections Fumigations such as have power to cleanse dry and strengthen the Womb may be applyed the afore-going Chapters will direct you CHAP. LXXX Of Miscarriage ABortion or Miscarriage is the bringing forth of a Child either dead or alive having not attained to the just Term of growth which it ought to have had The Causes are either externall or internall the externall causes do either kill the Child deprive it of its naturall Nourishment or loosen the bands by which the Child is fastened in the Womb. Things that kill the Child are the Stink of a Candle or such abominable Smells such things as are antipatheticall to the Womb and provoke the Courses strong purges or the Child may be killed by violent Commotions of the Mind as Anger Sadnesse Terror c. and many times things longed for and not obtained kill the Child If the Mother undergo Penury or Famine or lose much Blood the Child wanteth Nourishment The Bands by which the Child is fastened to the Womb may be loosned by violent Excercise dancing running riding being jumbled in a Cart or Coach by some fall lifting or carrying any thing which causeth a violent motion of the Belly as Coughing Sneezing Vomiting Convulsions c. or immoderate Copulation Internall causes of Abortion may be attributed to the Humours to the Child to the Womb. Humours offend in excesse or defect in excesse in a plethorick and full constitution when more Blood flows to the Womb then is requisite to nourish the Child and flows to the Veins so the Courses flowing provoke the expulsive Faculty and drive forth the Child Defect of Humours fit to nourish spring from such causes which destroy the Nourishment or draw it from the Child as long fasting loathing and vomiting up of all Food immoderate bleeding at the Nose Womb or Haemorhoids or a Loosenesse or any thing that makes the Body lean or weak The causes attributed to the Child are if the Child be over great if there be more then one for the womb overladen doth exclude the Child before the fit time likewise if the Child be dead Nature desires to be rid of it In respect of the Womb if it be any way diseased or defective that it cannot open as the Child groweth bigger or if it be moist or slack it cannot contain the Child but Abortion must necessarily follow Abortion when it happens is known there are signs preceding it which do foretell Abortion to follow her Breasts grow
little and flaggy she feels a heavinesse about the Loius and Hips she hath no appetite to eat nor desire to stirr she hath a shivering by Fits she hath Streightnesse of the Sides and Belly above the Navell and a pain in her Head plenty of Milk flowing from the Dugs shews that the Child is weak and danger of Abortion If pains about the Reins Loins and Share torment the Woman then know that Abortion is hard at hand the same judg if Blood or Water burst out and flow and the Scituation of the Child is changed from the middle of the Belly to the Bottom If any of these or the like Symptoms befall a Woman with Child after any externall cause of Abortion as Blow Fall c. let the Woman betake herself to her Bed and take such Medicines which prevent Abortion Prognosticks of Abortion are thus made Women are more endangered by Abortion then by a naturall and timely Birth because in a timely Birth the Vessels and Ligaments are loosned and opened of their own accord but in Misearriage they are broken in sunder the like you may perceive between the Stalk of ripe and unripe fruit Women many times become barren by Miscartiage because the womb is rent and its natur all disposition much altered Much bleeding seconded with Convulsions raving and fainting is alwayes deadly If an Inflammation of the Womb follow Abortion it is deadly In young Women who never bore Child before it is worst because the passage is narrower and they more unaccustomed to pains The bigger the Child is the more the danger Women who have moist and slippery Wombs do often miscarry and with little danger To prevent Miscarriage you must before and after she is with Child endeavour to remove all evill dispositions of the Body or Womb that may cause Miscarriage if Blood abound open a Vein purge the peccant Humours strengthen the Womb but if the Woman be with Child beware how you bleed except it be in the first month and the Body full of Blood and in this case let Purges be gentle and often reiterated To conclude to streng then the Womb fetch Medicines from the 73 Chapter CHAP. LXXXI Of hard Travel in Child-birth HArd Labour is when more vehement Pains and dangerous Symptomes happen to Women in Travell and continue a longer time There are divers causes some whereof may be assigned to the weakness of the Womans Body Leannesse or Drinesse as well as Fatnesse of the Body her Age or Sicknesses as the Stone or preternaturall Tumor in the Bladder or any Disease of the womb Other causes may be assigned to the Child when its Body or Head is too big when there are two or when the Child is dead or when it endeavours to come forth with his Feet Hands Back Belly or Breech c. A cold and dry Air and Northern Wind streightneth the Body and driveth the Spirits inward and is obnoxious to the Child's first entrance into the world If the Air be more hot then ordinary it is as bad as the former for it dissipates the Spirits exhausts the Strength and introduceth feavourish Distempers into the Bodyes of Mother and Child Meats of a hard digesture or astringing quality taken a little before the time of Delivery Sleepinesse and Sortishnesse the Retention of Excrements all vehement Passions of the Mind want of an expert Midwife and Women to assist the labouring Woman may be causes of hard Labour Hard Labour is easily known to the Woman herself to the Midwife and the Assistants The time of a naturall Birth ought to be accomplished in the space of twenty four houres if the Woman continue a longer time it is hard Labour If her pains be weak and long before they return and more about her Back then Privityes the causes may easily be known many you may gather from the Relation of the Woman in Travell her Leannesse Weaknesse Fatnesse and Age is perceived Diseases of the Womb and Bladder may be known by their proper Signes The Bigness and disorderly Posture of the Child is soon seen by an expert Midwife If the Child be dead you may know it by these Signs the Breasts of the Woman become flat and flaggy her Eyes hollow and troubled her Face and Lips are of a pale and leaden colour her Belly is cold there is a Sense of Weight there is no Motion felt though you apply somthing wetred in the Decoction of Tansy warm to her Navell When the Woman turnes the Child sways that way like Lead If the after-Birth come away before the Child it is a Sign of the Death of the Child And if the Child cometh not away it soon putrifieth and stinketh and stinking Moisture floweth from the womb and their Breath stinketh Hard Labour is dangerous for sometimes the Mother sometimes the Child and sometimes both do lose their lives Sleepy Diseases and Convulsions if they befall a Woman in Travell death is at hand If the Woman be in Travell above three dayes it is likely the Child will dy If the Woman fall a sneezing in her Travell it is good saith Hippocrates If the Child be dead the danger is exceeding great especially if it be not brought soon away for it will cause Feavers Faintings Convulsions dead Sleeps and death it self In difficult Labour first all causes which hinder the Birth must be removed if it be possible then such things as further the Birth must be administred An Ounce of Oyl of sweet Almonds and a Drachm of Confectio Alchermes given in Broth is good Burn white Wine with a little Saffron and Cinnamon afterwards dissolve a little Alchermes this I have found very powerfull to hasten the Birth If you find this Medicine too gentle make a Julep of more efficacy thus Take of the Water of Mugwort and Vervain of each two Ounces the Sirrup of Maiden-hair one Ounce Confectio Alchermes half a Drachm Dittany of Creet and both Birth worts of each one Scruple Oyl of Cinnamon five Drops mix them and make a Potion Oyl of Amber fifteen Drops or the Extract of Saffron five Grains may be either of them mixed insteed of the Oyl of Cinnamon Provoke sneezing and open the lower Veins if need be Then let the Midwife anoint the Mouth of the womb with the Oyl of Lillyes and Sweet Almonds and the like and foment the Belly with a mollifying Decoction and in a dangerous case give a sharp Clister Some things have a peculiar property to help the Birth as the Stone Aetitis Loadstone and Storax held neer the Privityes the Eyes of a Hare taken out in the month of March and dryed use it as the Stones and when the Woman is delivered take them away lest it draw out the Womb. Some commend the Gall of an Hen applyed to the Navell If the Child be dead give the same things before mentioned but it is convenient to make them stronger by adding Savin Water and the Leavs of Savin dried the Troches of Mirrh
and Castor Then foment the Privityes and Share with a mollifying Decoction to which add Briony Roots and the Roots of wild Cucumber round Birth-wort and the like And put up a Pessary made in this manner Take of the Roots of round Birth-wort Orice black Hellebore Coloquintida and Mirrh of each one Drachm Galbanum Opopanax of each half a Drachm with Ox Gall make a Pessary and apply it If all this will not do you must implore the help of the Chirurgion If the After-birth be retained you must endeavour to expell it by such Medicines as expell the dead Child to which add these which are said to have a specifick property the Stones of a gelded Horse dried and powdered and given as much as will ly on a three pence two or three times as need requireth is commended by Gesnerus and Augenius Some commend the Juyce of an Onion given in Wine or an Onion held in the Woman's mouth between her teeth and the Juyce squeezed out and swallowed and a Draught of white-Wine drunk after it Or 20 or 30 drops of the Oyl of Juniper drunk in Wine or the Juyce of Lovage taken in Renish Wine If her Purgations flow immoderately that you fear the Death of the Woman or in case her Purgations be suppressed which may cause dangerous Symptoms have Recourse to the Chapters treating of those Maladyes Many Women are much troubled with after-pains which do much afflict them and these pains are caused either by the Thicknesse or Sharpnesse of the Blood or by Wind. If the Blood be thick you may know it by its clotting if thin by its Tenuity or yellow Colour If the Blood be thick give this Julep Mugwort water two Ounces sirrup of Violets oyl of sweet Almonds of each half an Ounce If the Blood be sharp add to the former the Musilage of Quince Seeds drawn with Violet Water half an Ounce If Wind be the Cause of these Pains which you may know by its Motion from one part of the Belly to the other then give inwardly and apply outwardly carminative Medicines Take of the Seeds of Carrots one Drachm of Annise Nutmeg and Cinnamon of each a Scruple make them into fine Powder and give it half at one time in Wine Foment her Belly with the Decoction of Bawm Bay Leavs Camomill Calamint Mugwort and the Seeds of Carrots Caraway and Cummin and lay on a Pultise made of boiled Onions Camomill Flowers the Seeds of Flax and Cummin beaten and Barly Meal CHAP. LXXXII Of the Gout and Sciatica 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Arthritis in Greek in Latine Articularis Morbus is the Joynt-Sicknesse caused by an Influx of Humours into them which causeth pain in the Membranes Tendons and Nervs Authors do commonly make four sorts of Gouts according to the diversity of the Joynts affected as 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Chiragra the Hand-Gout of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 a Hand 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Gonagra when it is in the Knees of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the Knee 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Podagra when it is in the Foot because the Greeks call the Foot 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ischias the Hip-Gout or Sciatica of the word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the Hip. The immediate cause of the Gout is a wheyish Humour flowing to the Joynts and by its Quantity stretcheth the sensible parts or by its Sharpnesse twitcheth them and this Humour floweth not onely from the Brain and Head but from all parts of the Body The cause may be attributed to all Meats which encrease raw and wheyish Humours Meats of a grosse Substance hard to be digested and such as afford plenty of Excrements Gluttony Drunkennesse immoderate Venery therefore the Gout is called the daughter of Bacchus and Venus long Sleep and unseasonable Watchings Fear Sadnesse continuall care and intermission of such Excercises or Evacuations as men have been accustomed to and the like The beginning of the Gout is known thus there is a more exquisite and quick Sense in the Joynts then formerly they are easily hurt as by a new shooe walking the least touch against any hard thing Commonly a Feaver ushers it in and at its approach there is a kind of unusuall Heat felt in the Joynts and a Motion as if some living Creature were therein after which followeth a tormenting pain in the Joynts for the most part beginning in the great Toe and attended with Rednesse and Swelling The Signes of the causes or the Humours which are mixed with the wheyish Humours are thus considered If choller be mixed with the wheyish Humour the Urine is thin yellowish or red the pain great and violent the Feaver comes to the height the part is swelled is red or pale but very hot the application of cold things giveth ease If Phlegm be mixed there is a soft and loose swelling of the part the pain not so violent the Urine is thick and troubled little or no Heat and hot things give ease If Melancholy be the Humour mixed the Temper of the Body inclineth to Melancholy and there is a wearinesse felt all over the part is of an obscure Colour like Lead the pain deep and the Urine thick and melancholy The Gout is no dangerous Disease but it continueth long and is attended with violent pain for the most Part to the end of a man's life and sometimes it is a means of long life because Nature doth drive the vitious Humours to the Joynts which if they should fall upon the more noble parts would be a means of great Diseases if not death it self But in weak Bodyes that are decayed by Sicknesse or Age that Nature cannot expell these Humours to the Joynts many dangerous Diseases are ingendered He that hath no knots in his Joynts is inclinable to Labour and is for the most part soluble by a skillfull Physitian may be cured An haereditary Gout is seldom or never cured If the Veins of a gouty Person do swell with black Blood there is hopes that the Gout leavs him If the Gout doth not return at its season it is dangerous unlesse the matter be taken away by Medicines for it is an argument that Nature is weak and cannot expell it The Cure of the Gout is to be performed by stopping the Flux of the Humours into the Joynts by removing the Humours in the Joynts and to abate the Sharpnesse of the pain If the Patient be full of Blood and strong let him bleed in a great Quantity or let him blood often till the plenitude of Blood be sufficiently abated Then let him be purged with strong Medicaments which may evacuate the stirred Humour and turn the cause from the Joynts Whilst you are purging let Ointments or Plaisters be applyed to the Joynt above the part affected of an astringeing and drying property by which the Humours may be intercepted that they may not so much nor so forcibly fall into the Joynt Let your Ointments be made of the Roots of Snake-weed
Mercuriall and antimoniall Purges and many preferr Vomits before all Then apply resolving Decoctions made of the Roots of Briony Danewort the Leavs of Ground-Pine Mint Marjarom Sage Savin Rue Rosemary Pennyroyall c. the Flowers of Camomill Melilor and Mallows the Seeds of Flax Fenugreek Bay Juniper Berryes and such like and foment the part therewith Also Juniper Berryes fryed in a pan being first beaten with Salt and Bran and moistned with Canary Wine and put in a Bag and applyed warm With the aforenamed Ingredients Cataplasms may be made and with the Oyls following let the part be anointed viz. Oyl of Camomill Dill Nord Orice Rue Scorpions Tiles Turpentine of Foxes and the like the Ointment of Marsh-Mallows and Spanish Soap dissolved in Spirit of Wine This is much commended Take a good Quantity of Snails bruise them well in a Morter then make Paste with them and Rye Flower adding a little Spirit of Wine and fasten it to a Spit and roast it a Liquor will drop from it with which anoint the part for it is of excellent Virtue Then lay on this Plaister Take of Shio-Pitch Rozin of each two Ounces Gum Ammoniacum dissolved in Vinegar and Emplastrmm Diachylon cum Gummis of each one Ounce Brimstone and Hermodactylls powdered of each three Drachms Turpentine three Drachms and Wax sufficient make a Plaister If the Disease do still continue proceed to a Vesicatory add to the former Mass for a Plaister Cantharides their Wings taken off Staves-acre and Mustard Seed of each one Drachm In the whole course of the Cure let not frequent Clisters be neglected And if the Disease be old make an Issue in the Leg on the same side on the outside of the Leg. If you find Symptoms of a Catarrh which may occasion the Sciatica by a Defluxion of Humours make an Issue in the hinder part of the Head and use other means to correct the Distempers of the Brain See Chap. 9. by this means hath the Sciatica been cured when all other means failed Sometimes the Matter causing the Sciatica doth imposthumate and after it is opened there remains a filthy Ulcer which for the most part pineth the Patient away brings him into a Consumption The Cure whereof belongeth to an expert Chirurgion CHAP. LXXXIII Of one day-Feaver THis Disease is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ephemera in Latine Diaria Febris in English One day-Feaver because for the most part it finisheth in one day of its own Nature It is caused by some internal cause as some hot fiery Swelling on some part of the Body or when some hot Excrements shut up in some part do offend the Heart by Retention of Excrements and Obstruction of the Vessels by which the Pores of the Skin are shut and Transpiration is hindered Or secondly it is caused by externall causes as vehement Motions of the Body or Mind by which the Spirits are inflamed by being heated with the Sun or Fire by Surfetting Drunkennesse especially with Meats and Drinks of a hot Nature By what hath gone before you may know this Feaver the Pulse is swift and great and so he fetcheth his Breath he is very hot and his Head aketh He hath no Shivering Cold nor Wearinesse unlesse it came by the Heat of the Sun or by cold You must give the Sick such things as are cooling moistning as cooling Broths Barly Cream Ptisan Drink small Beer and Sugar Water and Sugar or mix Sirrup of Violets Lemmons or Maiden-hair with his Drink If the Disease was caused by the Heat of the Sun give him cooling things and lay him in a cooling Lodging and anoint his Temples with Vinegar of Roses If he took his Feaver being in the cold provoke Sweat the like observe if the Pores be obstructed If it come by over eating and drinking let him take a Clister If evill Humours abound in the Blood and Body open a Vein and purge if putrified Humours lodge in the Stomach vomit If it continue above three dayes it degenerates into a simple Synochus putrid or Hectick Feaver CHAP. LXXXIV Of the Feaver Synochus non-putrida IF the Feaver aforesaid light upon a plethorick Body or one who is grosse and thick skinned it turns to a simple Synochus It is known by the corpulent and swelling Habit of the Body high Colour of the Face He breathes with difficulty he is much pained in his Head and his Temples beat strongly The Pulse is orderly but quick and full The Urine little differeth from its naturall colour yet a little thick and red and the Heat is not very violent It lasteth to the fourth and sometimes to the seuenth day if it ends not then it degenerates into a putrid Feaver The Cure is to be performed by blood-letting by cooling and by opening the Pores of the Body Before blood-letting if the Patient be costive and his Body foul give an emollient and laxative Clister Then give cooling Juleps made of the Decoction of Barly and cool Herbs or with their distilled Waters as of Endive Succory Sorrell Buglosse Borrage and the like with the Sirrups of Succory Lemmons Vinegar Violets Pomgranates and the like adding some drops of Oyl of Vitriol or boil in the distilled Waters Triasantalon or Diamargariton frigidum lest the Waters encrease Crudityes by their Rawness Or you may make an Emulsion of Almonds the great cold Seeds and white Poppy Seeds with Barly water or the distilled Water of the aforegoing cooling Herbs Galen adviseth to give the Patient cold water in great abundance till his colour fade but beware this Cure unlesse the Patient be strong corpulent and not full of ill Humours and that he take it in the height of the Fit I confesse I have seen many so cured and have experimented it upon my own Body but durst not advise it Anoint the Liver and Loyns with Unguentum Rosatum Refrigerans Galeni or Ceratum Santalinum Or make an Epithem of the distilled Waters of Endive Succory Sorrell c. the three Sanders and Powder of Diamargariton frigidum If the Disease end not quickly after bleeding purge with gentle things that do not heat nor much stirr the Humours as Rubarb Cassia Manna Tamarinds Sirrup of Roses Catholicon and such like CHAP. LXXXV Of continuall putrid Feavers I Shall describe the causes and Cures of all putrid Feavers in one Chapter for though there are divers sorts yet the Cure is almost the same in all therefore laying aside particular precepts let the Judgment and Dexterity of every Physitian put a difference between them I shall likewise wave many nice descriptions and definitions of Feavers first as not beneficiall to the young Student in Physick secondly as not befitting this Volume Synochus putrida is engendred of the same causes as the simple Synochus as the shutting up of the Pores of the skin and Obstruction of the Vessels by much Blood or clammy Humours by which means the Transspiration of fuliginous Vapours is hindered and Putrefaction is bred
condition escape If black or blew Spots come forth among the Pox it shews great Malignity and the Patient in great danger If the Excrements and Urine be black or livid they signify abundance of Melancholy and great danger For the Cure keep the Patient in a warm room and if you tender his life keep out the cold Air lest the Humours be driven inward Keep the Cloaths close about him but let them not ly too heavy Let his drink be Barly-Water and boil therein Sorrell Roots and Harts-horn and Figs if the Feaver be not violent let his Sleep be moderate Physitians for the most part advise the Cure to begin with blood-letting that is if the Patient be full of Blood and nothing forbid it but it must be done before or just as they be coming forth Purges are absolutely forbidden but if the body be very costive move it with a Suppository but do not provoke it Then endeavour the expulsion of the Matter thus Take of the Roots of grass Asparagus and Fennell of each four Ounces Liquorish half an Ounce Wood Sorrell two Handfulls twenty Figs the cordiall Flowers one Pugill make a Decoction to a Pint towards the latter end put in a little Saffron take four Ounces Night and Morning Bezar and Gascoins powder is good to send out the Pox and for Children Diascordium is a familiar Medicine We must endeavour to preserve the internall parts if you fear that the Liver Spleen or Guts should suffer to the former Decoction add husked Lentils two drams Gum Lac and Traganth of each one Drachm You must defend the Eyes with the Water of Roses and Plantane and infuse Camphir Saffron and if the Inflammation be great infuse Tutty You must defend the Lungs with the Conserve of Roses and Violets the Sirrup of Violets Jujubees Myrtles dried Roses Poppyes and such like You must defend the Throat with a Gargle of Oxycrate or you may make it with Plantane Water and Sirrup of Mulberryes or Pomegranates To defend the Nose put up a Nodulus made of Vinegar Rose-Water and the Powder of Sanders and Camphir When the Pox are out full ripe and begin to break anoint them often with the Oyl of Almonds it will be a means to prevent their pitting and where there are likely to be holes anoint with the Oyl of the yolks of Egs. The End of the Second Book The Third Book HAving in the former Book been more voluminous then I expected I shall be briefer in this and treat more theorically then practically And leaving the Description and Cures of Wounds Tumors and Ulcers in particular to the ingenious and expert Chirurgion I shall run over their Causes Signes and Cures generally and as briefly as may be CHAP. I. Of a Green Wound A Wound is a breach of Continuity fresh and bloody without Putrefaction or Matter It is caused by a Sword Bullet Arrow or such like which the Chirurgion may easily perceive Wounds in the flesh are easily cured in the Nervs Veins and Arteryes they are not without danger In the instrumentall principall parts as the Heart Liver Lungs Brain Spleen Midriff Wezand Stomach Guts or Bladder are deadly A Feaver Perturbation Swooning Convulsion and such like Symptomes are dangerous The Cure must be directed first to the cause secondly to the Wound itself thirdly to the part affected lastly to the Symptomes attending The Cause or outward things viz. a Bullet Arrow or such like sticking in the Body must be drawn out by Instruments or by Medicine what concerns the first I shall not meddle with the medicinall part I shall breifly handle The Simples availeable and of force for the purpose aforesaid are The Roots of Reeds and Birthwort the Leavs of Dittany Crow-foot Missletoe Thapsia Sagapenum Ammoniacum Opopanax Quick Lime burnt Frogs Galbanum Bears grease the Load-stone Mustard-Seed and such like Of these and such like you may prepare compound Medicines This Unguent of Vesalus is much approved of Take of Rozin of the Pine tree two Ounces Galbanum three Ounces of the Stone called Calamites one Ounce the Gall of an Ox one Ounce and an half of Turpetine three Ounces New Wax two Ounces first strain out the Wax Rozin and Turpetine after mix the Golbanum Gall and the Powder of the Stone and make an Unguent This Plaister is likewise good for the same purpose Take of Leaven one pound Oyl half a pound the juyce of Knot-grasse and Dittany or for want of it the Powder of the dried Herbs of each three Ounces Turpetine one pound The Bird Lime made of Missletoe Berryes Ammoniacum Galbanum and dissolved in wine of each one Ounce of Wax four Ounces mix them upon the Fire and make a Plaister Having thus far proceded and removed all things unnaturall from the Wound then must the Chirurgion if the Solution be great artificially join the gaping sides of the Wound by Seam Taches or stiching cloths and such like which I omit and shall lay down a few Rules to prevent pain Inflammation or other untoward Accidents which may happen to the wounded part or whole Body Inflammation is restrained by taking away the Cause of the Fluxion Now the Humours flowing to the part are either drawn or sent They are drawn by reason of the Pain and Heat of the Member which doth attract the Humours to it self They are sent thus when the whole Body is full of evill Humours and every part disburtheneth it self upon the weaker The Inflammation of the Part must be allayed with such Medicines that quench Heat and the Body must be purged and such a Course of Diet used as may somewhat free the Body from such Humours which are offensive and burthensome to Nature But before I come to treat of the removeall of such Accidents and evill Symptoms I shall briefly shew you the manner of Cure which ought thus to be performed After closing of the Wound dresse it with some agglutinative Medicine made of such Simples viz. Frankincense Mastich Aloes Rolearmenick Sanguis Draconis Sarcocolla Terra Sigillata Balaustines Pomegranate Rinds Cypresse Nuts Galls Horse-tail Tobacco and such like You may make a Balm thus Take of Turpetine a pound of Galbanum Gum Elemy Gum of Ivy Frankincense Mastich Myrrh of each two Ounces Aloes Lignum Aloes Galanga Nutmegs Cloves Cinnamon Cubebs of each one Ounce Aqua Vitae three Ounces infuse and distill them to a Balm After the Application of this or the like Balsome lay on this Plaister Take of Ammoniacum dissolved in Vinegar two Ounces Gum Elemy three Ounces Rozin of the Pine tree five Ounces Turpentine of the Fir-tree three ounces Oyl of Roses two Ounces make a Plaister Open it once in twenty four hours till it be whole thus may you cure a simple Wound in the Flesh If the Wound be hollow you must put in Tents twist them not too hard but so that the Sanies may come forth If the Wound be deep without losse of Substance you must consider whether the
of the root of Night shade finely powdered and Hogs-grease make an oyntmnt or you may use unguentum è Solano or the white of an egg and Stiptick Wine and such like Then you must consider if the distemper be hot or cold if hot whether it is of the whole body or the part only if the whole body be distempered it is a Fever and you must seek the cure in the second book if the distemper be in the Member only foment it with the decoction of Plantane Roses and such like with the Oyl of Roses unguentum album populeon c if the member suffer by a cold distemper which you may know by the swart colour loosnesse and softnesse of the part then you must apply heating medicines unguentum Basilicon will do very well in this case If a Convulsion happeneth you must consider what is the cause if repletion or fullnesse of phlegm be the cause let the place wherein he lyeth be naturally or art ficially hot and dry let him lye free from perturbation and trouble let his sleep be moderate and only in the night Let him be very moderate and sparing in his Diet which ought to be rere Eggs Barly Cream the flesh of Chickens Capons and Hens Raisons Pine-Kernells sweet-Almonds of hearbs Sage wild Time Hysop Marjarome and such like Let the phlegmatick humor be purged and the convulsed part anointed with the oyle of Nard Bays Castor Rue Nutmeggs c. Vesalius commendeth this following oyntment Take of oyle of sweet-Almonds Hens grease and the marrow of Calves feet of each nine drachms oyle of Violets six ounces the fat of a Kid and Calfe of each fifteen ounces boyle them in the decoction of Mallowes the root of March-Mallowes and the seeds of Quinces till it be consumed then strain it and bring it into the form of a Liniment If Convulsion come by repletion of blood and inflammation open the middle vein and draw blood at severall times give Clysters and deal with this inflammation as with another If emptinesse be the cause of Convulsion direct a moist diet rest of body and mind and much sleep To the diet aforesaid add small stone fishes let his drink be Barly-water and if a little Liquoris and Cinamon be sodden therein it will be the better herbs proper for him are Lettice Spinach Arach Borage Buglosse Mallow and such like of fruits Melons Gourds Damask Prunes Peaches ripe Grapes c. The conserve of Violetts Borage Buglosse Diatraganthum frigidum and bathe his body or the part with warm water and oyle or anoint with the oyle of sweet Almonds Be sure to remember to have respect to the greatnesse of the disease the season of the yeare the age strength and constitution of the Patient Swooning often happening to wounded persons if vioient pain be the cause labour to appease the pain you have rules enough before going If it be occasioned by unmeasurable Evacuation cast Rose-water or cold water into his face use strong Ligatures and fricarions to the extream parts If some venemous quality by reason of a bite of some venemous Creature or wound with some venemous weapon be the cause of this symptome you must seek the remedy in the third Chapter If Raving and Madnesse happen appoint a mean diet betwixt hot and cold labour to provoke sleep to loosen the belly and to expell all perturbations of the mind If the body abound with blood and nothing forbid it open a vein then alter and prepare the humors with Juleps made of the syrup of Roses Violets Water-Lillyes Poppyes and Endive then empty the body with Manna Cassia or some such gentle thing or with an Emollient Clister but above all have a speciall regard to the wound because pain there may be the cause therefore let it be often opened and bathed with Vinegar and oyle of Roses or something that may powerfully appease the pain If the Palsie happen you must be very circumspâ—ct and appoint such a Diet as for the Convulsion let his drink be honyed water and boyle therein Sage and Cinamon or this Take of Cinamon two ounces Ginger half an ounce graine of Paradice Galanga and long Pepper of each one drachm Cardamoms one drachm and an halfe Nutmegs Cloves and Mace of each one drachm boyle them in water to the wasting of a third part strain it and sweeten it and let the Patient drink two or three ounces in a morning For medicines internall or externall go to the seventh Chapter of the second book If the wounded person be costive and he begin to suffer prejudice thereby give him some Lenitive medicines or a suppository If he suffer by stoppage of Urine give him somwhat which gently provoketh Urine see the 68 Chapter of the second book If Vomiting happen and it ceaseth not in due season Take Leaven half a pound the juyce of Mint extracted with Vinegar as much as is needfull boyle them in to the form of a Cataplasm lay it warm to the Stomach If the Patient feel heat and astonishing about the wound anoint the woâ—nd with the oyle of Camphire If the wound swelleth with heat and pilleth under the finger boyle Water-Cresses and Water-Lillyes in Rose Vinegar and apply it If there appeare the Flux of the Sinews which is a viscous liquor from the Nerves dresse it with a vulnery oyle and lay on Emplastrum Sticticum If the wound putrifie and goeth back from healing swelleth with heat looks black blew or swart Take of Litharge one pound Allum one pound and an half Salt two ounces Frankinsence four ounces Roman Gum five ounces of Wine Water and Vinegar of each one pound boyle them a quarter of an hour and apply it warm If there grow a Pustulous Fistula that is when the wound is healed too soon without any firm foundation so that it putrifie underneath and break out again in this case Paracelsus adviseth this Cerat to be used Take of common oyle Virgin Wax and Litharge of Gold in Powder of each one pound boyle them together into the formes of a Cerate to which add Opoponax prepared with Vinegar and Mummy of each three ounces Aristolochia Mastick Frankinsence and Mirrh of each half an ounce Turpetine three ounces Oyle of Bayes two ounces Camphire two drachms mix them upon the fire afterwards make it up with oyle of Camomel So much for the generall cure of wounds and their accidents CHAP. VII Of Sanguine Tumors FIrst Phlegmon is a Tumor begotten of pure blood and is for the most part incident to the fleshy parts the Antecedent cause is abundance of blood In which Tumor are three things considerable first the part that sendeth it either by reason of its plenty strength or streightnesse of passages Secondly the part receiving it either by reason of weaknesse largenesse or opening of the passages or by the lownesse of its scituation Thirdly the part drawing it which it doth either through heat or pain within it The conjoyned cause is much blood
Juniper and Bay-berryes of each one drachm boyle them in Wite-Wine to the Consumpoion of half sweeten it with Honey give every second or third day three ounces in the morning If the conjoyned cause be fit to be resolved then use meanes that can mollifie attenuate disperse and sepetate such as is Diachylon Commune and Magnum Diapalma many unguents Liniments and Plaisters may be made for the purpose aforesaid which I heare omit If the matter be unfit for resolution then have you two wayes to empty it that is suppuration and incision This plaister is good to ripen it Take the roots of Marsh-Mallows and Lillyes of each one pound boyle them soft and beat them in a Morter Garlick and Onyons boyled of each three ounces the oyle of Lillyes and Buster of each two ounces Hogs grease and Goose grease of each two ounces and an half the Meale of Wheat Fenugreek and Flax seed sufficient the Yolks of two Eggs make a plaister when it is ripe open it with an instrument or ruptory of Chantharides or Arsnick If it appeare filthy cleanse it with Unguentum Apostolorum Egyptiacum or such like afterwards incarnate and Cicatrize it If it submit not to medicines it must be taken out by manuall operation which only belongeth to an expert and able Chirurgion seeing the whole cure is difficult and ought to be managed by an able brain and skillfull hand I omitt any further discourse of it it being my taske principally to instruct people of mean Capacity There are three other phlegmatick Tumors which lye under the generall notion the first is called Atheroma and is a Tumor without pain and change of colour which is a humor contained in the membraines or Nervous Coats it is clammy like sodden Meale Starch and somtimes mixed as it were with haires peeces of bones c. Meliseras is a Tumor somwhat thinner and almost of the substance of Hony otherwise agreeing with the former Steatoma is much like the two former save that the humor contained is like suet and the Tumor doth encrease and is much enlarged in processe of time the inward causes of them all are Flegmatick humors with which the body doth abound The first is thus known the Tumor is long and ridged being pressed returneth to its place again but slowly by reason of the clammynesse of the humor the second Tumor is rounder and thinner being pressed yieldeth and returneth speedily the last is hard yieldeth not to the pressing of the finger for the humor is like Suet. The first must be dealt with by corrosives and incision the second by discutients corrosives and incision the last no otherwise but by incision alone The diet preparatives and purges which are proper for Oedema are here to be used If you find the Tumor fit for resolution apply discussive plaisters a plaister made of Cyclamen is much commended Take of Cyclamen otherwise called Sowbread as much as you pleass Hogs-grease and Brimstone of each equall parts beat them into the form of a plaister If it will not be resolved consume it with eating medicines among many of this nature this following is commended Take of the Scales or flower of Brasse half an ounce of red Arsenick and black Ellebore of each two drachms with Oyle of Roses make a plaister make a deep eschar and make incision through it and apply a Caustick The Cure may be performed only by incision but the Chirurgion must beware that the Tunicle which holdeth the matter be not broken lest some part of the humor be left to the hinderance of his operation CHAP. X. Of Melancholly Tumors THe true and Legitimate Scirrhus is a Tumor hard without pain yet sensible The antecedent cause is Melancholy abounding in the body the conjoyned cause is the humor fixed in the part The first is known by the Melancholly constitution of the Patient a diet and course of life which is apt to breed Melancholly The second viz. the conjoyned cause is known by a Tumor hard and scarce yeilding to the touch in colour between red and black of dull sense These Tumors if they be timely and carefully dealt with may be cured by resolution Sometimes they become indurate and somtimes they degenerate into a Cancer Let the Patient live in a Temperate aire let him use moderate exercise and avoid excessive affections and passions of the mind let his body be kept soluble and let his meat be such as is of good nourishment and easie digesture and let him therein be moderate Let the Melancholly humors be prepared by Juleps made of the syrups of Fumitory Borrage Buglose Endive Succory Rubarb Harts-tongue Epithymum and Vinegar with their distilled waters This Apozem is very effectuall Take the root and leaves of Sorrell Borrage Buglosse and Fumitory the leaves of Maidenhaire Succory Endive Dandelion and Hops of each one handfull Balm half a handfull the four great cold seeds beaten of each two drachms the seed of Purslane two drachm Anise and Fenell of each one drachm Raisons of the Sun stoned six drachms Polypody one ounce Senna one ounce and an half Time and Epithymum of each two drachms the Flowers of Violets Borrage and Buglosse of each one pugill make a decoction in two pound of which dissolve the juice of Odoriferous Apples and of Buglosse of each four ounces boyle it againe to a pint and an half then sweeten it with Sugar as much as is convenient Clarifie it then Aromatize it with the Powder Diamargariton Frigidum and Diatrâ—…aganthum Frigidum of each one drachm make an Apozem for four Doses The humor prepared purge it with such things as purge Melancholly these simples are proper Sena Polypodium Epithemum Fumitory Cassia Lapis Lazuli and Mitabolans black Hellebore and such like Look for compound Melancholly Purgers in the next book The conjoyned humor must be dealt with by such things as soften seperate and discusse as the grease tryed out of flank Wooll Butter the oyle of Almonds Camomel Dill Lillyes c the fat of a Cock a Duck Goose Fox Bear Lyon Sow Calfe Stag Eagle Vulture Bee-Glew Wax fat Figgs Marsh and Common Mallows Lillyes Branck ursine Ammmoniacum Bdellium Galbanum Styrax Tarr Rozin and such like of which you may make unguents and plaisters This plaister of Calmeteus is of great virtue Take of fat Figgs in Number twelve boyle and stamp them Ammoniacum Bdellium Galbanum dissolved in Vinegar of each two ounces Liquid Styran one ounce the Musilage of Maâ—sh-Mallow roots of the seed of Flax and Fenugreck of each two ounces Oesipus and fresh Butter of each one ounce oyle of Lillyes three ounces with Wax as much as sufficeth make a Plaister A Cancer is a hard unequall round and venemous Tumor of a black colour hoe and painfull it is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 it hath this name for these reasons first because the veins about it filled with Melancholly blood are stretched out like unto the
Syrup of Harts-Tongue It opens the Obstructions of the Liver and Spleen prepares Melancholy and is good against the Quartan Ague and the Rickets The Dose is from half an Ounce to two Ounces Syrupus de Staechade Syrup of Staethas It strengtheneth the Brain and corrects the cold distemper thereof it is of excellent virtue in the Palsie Convulsion c. coming of cold Causes The Dose is from one ounce to three Syrupus de Symphyto Syrup of Comphry It helps spitting of Bloud the Ulcer of the Reins stops the immoderate Flux of the Menstrues all inward Wounds and Bruises and healeth the Rupture From one ounce to four is the Dose Syrupus Violarum Syrup of Violets It cools and moisteneth it corrects the sharpnesse of Choller quencheth Thirst in hot Feavers and cooleth the Heart and Liver comforts hot Stomachs resisteth putrefaction the Pestilence and Poyson The Dose is from one ounce to four Syrupus de Portulaca Syrup of Purflane It is cooling and good for all hot Diseases of the Stomach Liver Reins and Bladder it cooles the Bloud quencheth Thirst provokes sleep and thickens thin Humours The Dose is from one Ounce to three Syrupus Tussilaginis compositus The Compound of Syrup Coltsfoor It holps the infirmities and weakness of the Lungs as difficulty of breathing want of Voice Hoarsnesse Coughs Catarrhs c. Take it with a Liquoris Stick or an Ounce or two thereof in some Pectoral Decoction Syrupus de Eupatorio Syrup of Eupatorium It hath an opening Faculty but purgeth not it opens the Obstructions of the Liver and correcteth the cold Distemper thereof helps the Dropsie and evil state of the Body provokes Urine and is good against the Hypochondriack Melancholy The Dose is from one Ounce to three Purging Syrups Syrupus de Cichorio cum Rhabarbaro Syrup of Succory with Rhubarb It purgeth the body of Cholerick and venemous Humours it cleanseth the Liver it evacuatech by stool and urine The Dose is from one Ounce to two Syrupus de Epithymo Or Syrup of Epithymum It prepareth and purgeth Melancholy or adult Humours and Scabs Itch c. It strengtheneth the stomach and Liver Take it as Syrup of Fumitory Syrupus è Floribus Persicorum Syrup of Peach Flowers It gently purgeth Choller and may be given in Feavers to evacuate the sharp and Cholerick Humours It is good against Wounds in Children Take from half an Ounce to two Syrupus de Pomis Purgans Magistralis Syrup of Apples Purging and Magistcal Both of them purge cool and rectifie the Distempers of the bloud and free it from Choler and Melancholy it is good against the yellow and black Jaundise Madness Scurf Scabs and Itch The Dose is from one Ounce to three Syrupus de Rhabarbaro Syrup of Rhubarb This is a gentle Purge fitting for Children ancient People and such as are very weak it purgeth Choller and Melancholy An Ounce a weak body may take Syrupus Rosaceus Solativus è Succo rosarum Syrup of Roses Sclutive and of the Juyce of Roses It looseneth the Belly and gently bringeth out Choller and Flegm The Dose is from two Ounces to five Syrupus Rosaceus Solutivus cum Agarico Syrup of Roses Solutive with Agarick It purgeth Flegm more powerfully then the former frees the head thereof and relieves the Senses oppressed by it it purgeth the Stomach and Liver provokes Urine and the Terms The Dose is from an Ounce to two Syrupus Rosaceus solutivus cum Helleboro Syrup of Roses solutive with Hellebore It purgeth Melancholy and resisteth Madnesse The Dose is from half an Ounce to an Ounce Syrupus Rosaceus solutivus cum Sena Syrup of Roses solutive with Senna It purgeth Choller and Melancholy and leaves a binding quality behind it The Dose is from one ounce to two Syrupus de Spina Cervina Syrup of Purging Thorns It is good against the Dropsie The Dose is an ounce Syrups made with Vinegar and Honey Mel Authosatum Honey of Rosemary Flowers IT is good against all infirmities of the Head arising from a cold and moist cause it dryes the Brain quickens the Senses and Memory and strengtheneth the Nervous parts it helps all cold Diseases of the Head Stomach Liver and Belly It is good against the Dumb Palsie Lethargy c. and all cold Rhumes falling into the Eyes See the virtues of Rosemary Flowers The Dose is from half an Ounce to an Ounce Mell Helleboratum Honey Helleborated It purgeth Melancholy and Scabs Itch c. it is good against the Quartan Ague Madness the Dropsie Sciatica Gout Cramp c. An Ounce is the Dose Be careful in the taking of such Medicnes without good advise Mel Mercuriale Honey of Mercury It is good in Emollient Clisters Mel Nuceum Honey of Nuts It is a very good Medâ—cine for such as have weak Stomachs and Defluxions it is a great preservative against the Plague Take an Ounce in the Morning Mel Passulatum Honey of Raisins It maketh the body soluble comforteth weak stomachs and is a very nourishing thing for people in Consumptions You cannot err in taking of it Mel Mororum Honey of Mulberries It is very good for sore Mouthes and Throats and for heat and inflammation there mixed with a little Plantane Water it is good for sore mouthes in children Mel Rosatum soliatum sive colatum Common Honey of Roses or strained They are both used for Diseases of the Mouth as the former Mel Rosatum solutivum Honey of Roses solutive It is used to cleanse Wounds and is a good Laxative in Clisters Mel Scilliticum Honey of Squils It is very effectual against divers distempers of the Head viz. Falling Sickness Head-ache Dissinesse it drives away an old Cough cleanseth the Breast and Bowels very gently and some say it leaveth nothing offensive in the body The Dose is half an Ounce to an Ounce and an half Oxymel simplex Simple Oxymel It is good to cut and attenuate Humours and to open Obstructions provokes gentle Vomiting in some It is good to expectorate and to prepare tough Flegm against the taking of a Vomit Take it from one ounce to two Oxymel Compositus Oxymel compound Use this if you find the former too weak to expectorate viscuous Humors it is good also in the Asthma stoppage of the Pipes and in the Plurisie The Dose is from half an Ounce to two Oxymel Helleboratum Oxymel Helleborated It strongly evacuateth Flegm Melancholy and tough and viscuous Humours The Dose is from half an Ounce to an Ounce for strong people onely Oxymel Julianizans It is good against the Hypocondriack Melancholy and the Rickets for it is a fine opening Medicine Take an Ounce two or three Oxymel Scilliticum simplex the simple Oxymel of Squils It cuts and divides tough and viscuous Humours frees the Stomach and Bowels of such humours and helps sour Belchings The Dose is an Ounce for a man Oxymel Scilliticum compositum the compound Oxymel of Squils This is used when easier Medicines cannot expectorate
Sanders It helps hot infirmities of the Liver Stomach and other parts FINIS A Table explaining the Terms of Art and other Words which are not in the reach of Vulgar Capacities A. ABdomen the Belly or Paunch Absurdity Unreasonableness Abstergent Cleansing Actual heat Is a heat that can be felt with the hand as in the fire or things heated by it or in the body of one in a Feaver Actual cold Understand it as the former Accidentally By hap or chance Acrimony Sharpness Accident Is a symptome or something happening in a Disease Access Addition joyning to Acute Sharp violent a Disease that soon ends Adventitious Not natural springing from external causes Adstriction Binding together shutting up Adust Burned Adjacent Lying near Adverse Contrary to Adjunct causes of a Disease Are such qualities are joyned with it Adjuvant causes are such as assist the principal cause Aduata The outmost panicle of the Eye Affected Diseased troubled disordered Afflux Flowing to Agglutinative Joyning glewing souldering together Aliment All kind of Nourishment Alexipharmacal Medicines are such as resist the Plague and all venemous Diseases Albugo The White of the Eye Alteratives Are such Medicines as alter the quality of the Body and the Humours by heating or cooling moistning or drying Animal Faculties Are Imagination Judgment Memory the Senses Hearing Seeing Smelling Tasting Feeling Going Standing and all voluntary Motion Antecedent cause Is the cause afore-going of any Discase The antecedent cause of an Erysipelas or Cholerick Tumour is Choler abounding in the Body The conjunct cause is Choler gathered in the part Anodines Medicines which asswage pain Aneurism Is when the internal coat of an Artery is broken and the external coat swelled Aâ—tepileptical Medicines Are such as are good against the Falling-Sickness Anus The Fundament Analogically Proportionably conveniently equally Apophlegmatisms Medicines which draw Flegm from the Head Apozeme A Medicine made of the decoction of divers Hearbs altering and purging sometimes Syrups mixed therewith to prepare and gently to purge the Humours Apoplectick Medicines Are such as are to be administred in the Apoplexy Apply Lay on Aquae Acidulae The Spaw Waters they are of the nature of Tunbridge Epsome and Barnet Aranea Tunica The sixth Tunicle of the Eye which is like a Cobweb Articulate Voice Is Human Voice or Speech Aromatized Spiced perfumed sented Artery Is a Sinew or Vein wherein passeth the Spirit of Life with the Blood or Vital Blood Arteria Venosa Is an Artery or rather a Vein which from the right and left Region of the Lungs carries Blood and Air to the left Ventricle of the Heart Arteriosa is a Vein from the right Ventricle of the Heart administers blood to the right and left part of the Lungs Aspera Arteria The rough Artery or Wind-pipe Ascent Going up Astringents Medicines that bind together and straiten the pores and passages of the body Astriction Straitening or binding together Asthmatical Trouble for want of Breath Atracting Drawing together Attest Witness declare Atrophya When the body pines away for want of nonrishment Attenuating Making thin Augment Is when a Disease encreaseth and is not at the height Autumn Harvest or Fall of the Leaf Axiome An undoubted Truth B. BAlneum Mariae Is when a Still standeth in warm water Bolus Signifieth a Morsel it is a Medicine to be taken upon the point of a knife Bellilucanae Thermae Hot Bathes in France Bituminous Bathes come from a fat Clay of the nature of Brimstone Bronchia The Branches of the Wezand and Wind-pipe which spread themselves through the Lungs C. CAruncle is a piece of flesh growing upon any part Catarrh is a defluxion or distillation of Humours upon the Lungs or other parts from the Brain Cataphora Dead sleep Catalepsis Congelation or stiffness of the body Causticks are Medicines which burn the Skin and Flesh to make Issues Cautery actual is burning with a red hot iron Cataplasm A Pultiss Cavity Hollowness Carus Foulness Corruption Rottenness Caleine To burn to ashes in a Crucible Cacochymical Abounding with evil humours Cardialgia Pain at Heart Heart-griefs Cardiogmos Heart-burning Carminative are such medicines as break-Wind Catheter A hollow Instrument to open the passage of the Urine to draw Urine from the Bladder or to remove the Stone Cartilages are Gristles Cataract is a Disease of the Eye See the 11th Chap. Book 2. Callous The skin or flesh grown hard or unsensible Cerates are Medicines made of Wax softer then a Plaister and stiffer then an Ointment Cephalick Capital of or belonging to the Head Chalybeated Water Milk or Wine as when red hot Steel is quenched therein also when a tincture of Steel is drawn by Wine c. Chylus a certain white substance wrought by the digestive faculty of the Stomach and is carryed to the Liver Chirurgeon Surgeon Cicatrize To bring to a scar to skin a Wound or Ulcer Circumvolution Turned round Condense To make thick Congelation Freezing or joyning with cold Chorion The skin that covers the child in the Womb. Constipation Stopping up Collyries Eye-salves Contraction Drawing together Cornea a coat of the Eye like a horn Compression Thrusting together Contusion Bruising bruise Cold Seeds The greater are the Seeds of Citrul Cucumber Gourd Molone The other are the Seeds of Endive Succory Lettice Purslane Confirmed is when a Disease is perfect Couched is when any film is pressed down or taken out of the Eye with a Needle Continuity Joyning together Compact Firmly united Concoct is when the blood is separated and made pure or when Flegm or other Humours are separated from the blood or other mixtures Connatural infirmity is that which is born with a Man as to be born with one hand is a connatural Disease Convex Bunching out Conjunct cause See antecedent cause Constriction a drawing together Congestion a gathering together Conjoyned matter See conjunct cause Corroding Eating knawing biting Consolidation closing of a wound Commissura The Mold of the Head where the Skull is united Consistence a Body or Substance Complication of Diseases is a mixture of divers Diseases in the body Coalition Healing up of a wound Coincide That happeneth together Co-indicants are divers considerations in a sick body which call for one and the same Remedy Contra-indicants are such as disswade a Remedy Coction of Humours See concoct Commemorative Remembring what is past Contumacy Rebellious stubborn Corroborate To strengthen Gostiveness Is when the body is hard bound and seldom goeth to stool Columella is a loose spungie piece of flesh it sticks to the roof of the mouth just at the swallow Coagulate is to thicken any thing by heat Coronal Suture is the Seam where the two sides of the Skull close running through the Crown Crude Humours are such as are not well digested in the Stomach Critical Evacuation is when by bleeding at the Nose Mouth by Vomit c. the humours offending are sent forth by the strength of Nature Crystalline Humour is that part of the Eye which is like Crystal Chronical
and speak comfortably to him Let no unseemly action nor uncivil word proceed from him Let him not forsake his Patient for any cause whatsoever Let him consult with God in the beginning of all his cures and heartily give God thanks for the performance of them Let him love godliness and honesty and be an unblameable servant to God and Nature These are the principal and chief Characters by which every diseased man may make choice of his Physician of whom I shall say with the learned Fernelius Medicus remedia confert non solum ut naturae minister fed interdum ut adjutor interdum etiam ut opifex primarius A Physician doth cure not only as Natures servant but sometimes us her helper yea sometimes as the chief workman I shall not build my discourse Theorically but Practically and having in the former Book briefly desctibed the principal parts of man and the humane faculties and virtues thereon depending I shall in this Book declare the Causes Symptoms and Cures of Diseases in those parts which hinder them in the exercise of those humane faculties I shall treat of each disease simply and distinctly and leave this Aphorism to the consideration of the ingenious Simplex affectus simplici remedio compositus composito propellendus A simple Disease is removed by a simple remedy a compound Disease is expelled by compound Medicines CHAP. II. Of Diseases of the Head MAny Diseases are incident to the Head of Man I shall treat of them in order according to the places which they possesse which I shall devide into three parts First the Membranes Secondly the substance of the Brain Thirdly the Nerves which nourish the Brain The Membranes is the first pannicle within the Skull called Dura Mater or without the Skull called Pericranium which are subject to these Diseases viz. the Head-ach the inveterate Head-ach and the Megrim In the substance of the Brain which is the seat and instrument of the intellectual faculties of the Soul viz. imaginations judgment and memory are defects also viz. the depravation of those faculties as a Frensie Melancholy and Madnesse Sleepy Disease Lethargy The Ventricles of the brain are subject to many distempers as Vertigo Falling sicknesse the night Mare the Apoplexy Palsy Convulsion trembling and quaking and Catarrhs Of inveterate Head-ach â—…d the Megrim The inveterate Head-ach is called in Greek and Latine Cephalaea it is a disease of long continuance very painful and upon every light occasion invadeth the Patient with sharp fits that he cannot indure noise nor light but desireth to lye still in the dark sometime this Disease is with continuance and sometimes with intermission The Cause This Disease is caused through blood or other humors abounding or by sharp humors or vapours within or without the Scull inflaming the Head sometimes weaknesse of the Head is the Cause The Sign If fulnesse of humors be the cause of the Disease then is the Head very heavy and lumpish if the humors be sharp the pain is felt with pricking shooting if there be inflammation the Head worketh like the Pulses if wind be the peccant cause there is found distention or stretching out without heaviness or beating if two or more of these Symptomes appear together judge accordingly Note that if the pain be felt superficially or outwardly than is the perieranium grieved If it be felt within which is known by the pain at the roots of the Eys then is the grief within the Dura Mater Hemicrania or the Megrim differeth not from Cephalaea saving if in the Megrim one half of the Head is afflicted whereas in the other the whole Head by the aforegoing Symptoms you may discover the humour offending The Cure As there are diversity of Causes so there is of Cures If the Disease be ingendred of plenitude of humors and the whole boy appâ—…â—…ll it is not amiss to begin the cure with the evacuâ—… of the whole body and if age strength and the season consent open the Gephalick or head Vein If flegmatick and viscuous humors be the Cause it is good to extenuate and make thin the humors thus Take of Oximel scilliticum and syrup of Staechas of each half an ounce distilled water of Marjerom Betony and Parsley an ounce mix these and make a potion for the morning Or else make a decoction in this manner Take Mint Calamint Marjerom Betony Sage of each half a handful the seeds of sweet Fennel Annis and Parstey of each half an ounce the roots of Asparagus Fennel and Parsley of each two ounces Peony root half an ounce shread the hearbs bruise the seeds slice the roots and take out the pith and boil it in a quart of water till half be consumed strein it and add of syrup of Betony compound one ounce and Oximel simplex as much and make a potion for three times take it at night two hours after a light supper the Body thus prepared you may come to purge and evacuate the peccant humours Take half a dram of Pill Cochiae the greater in the morning and keep the Chamber they which are most commendable are pills of Hiera with Agarick Take half a drachm at night two hours after a light supper take some warm broth in the morning and keep the house thus do for a week or longer in like manner you may use Pill Alephanginae and order your body as before and remember that grosse and clammy-humours will not follow a sudden purgation and therefore often purging is used that so they may be drawn out by little and little Also clisters are necessary because they cleanse the bowels and pull back those humours and vapours which ascend and annoy the head Take of Mallows Pellitorie of the Wall Endive Succorie Violet-leaves Cammomell-flowers of each one handfull sweet Fennellseed halfe an ounce Linseed Two drachmes boile them in a quart of Spring water or rather cleare posset-drink till halfe be consumed streine it out and to the decoction adde of the pulpe of Cassia Fistula one ounce Oile of Rue halfe an ounce Benedictae Laxativae half an ounce The Body being purged by discretion it is not amisse for the patient to make use of some diet drink that hath power to warme the braine to exsiccate and concoct crude humours to attenuate the grosse cut that which is tough and expell the thinnest either by Urine or insenfible transpiration You may make it thus Take of Guajacum Sassufras the Root of Salsaperilla of each two ounces English Liquoris and Cinamon of each one ounce Coriander-seed halfe an ounce infuse them 24 houres in 4 quarts of Spring-water the vessell standing in hot embers and close covered afterwards boile it gently to the consumption of halfe sweeten it with honey whilst it is hot let the Patient drink halfe a pint in the morning and dispose himself for sweat and if he drink it for his ordinary drink 15 or 20 dayes more or lesse as necessity requireth it is the better If the Patient become costive
with excrements which by their quality and quantity overcome the retentive and provoke the expulsive faculties and so evacuate themselves by unusuall and improper wayes to the disturbance of the whole body The cause of this distemper proceeds from want of a good concoction in the brain and this proceeds either from a hot or cold distemper A hot distemper doth attract more nourishment then nature can sufficiently digest A cold distemper turneth the nourishment brought to the brain to flegme or water Cold grosse and slimy meats hinders a good concoction and windy meats send up many vapours to the head Add to these many externall causes as Southerly winds long sleepe upon a full stomach especially an idle life c. And though this be accounted a disease of the head yet the principall cause lyeth in the inferiour parts in which evill humours are collected as the Liver Spleen Mesentery Womb c. from whom not only vapours but even the humours themselves are sent to the head and descend to the inferiour parts againe a hot distemper of the Bowells like an Alembeck send continuall vapours to the head a cold distemper engenders crude humours which are also many times drawn up thither Costivenesse or obstructions in the lower belly which hinder the avoiding of excrements they not finding their ordinary passage fly up to the braine which by reason of its weaknesse and loose and soft substance is forced to yeeld to the stronger parts disburthening themselves upon it The Impulsive causes are too much heat or cold in the braine too much heat doth extenuate and diffâ—se the humours and this happeneth to the head heated by the Sun fire covering c. Coldnesse doth compresse the head and straines forth the humours therein contained as a spunge is squeesed in the hand A Catarrh is caused by a Communication of cold humours to the braine from the feet conveighed by the chiefest Nerves which run through the Marrow of the back The stoppage or closure of the externall pores when the body requireth sweat is the cause of a Catarrh hence it commeth to passe that Catarrhs are most frequent in Autumne viz. the body being made thin in the Summer and the pores open evacuating excrements by sweat and insensible transspiration in Autmune the pores being sudainly stopt by reason of the contraction of sudaine cold which causeth many vapours to fly to the head Many more causes might be instanced but I fear I shall grow too voluminous and what I have said is sufficient to stirr up ingenious wits to further discoveries I shall add a few words of the nature of the parts receiving this Defluxion which by reason of their weaknesse are forced to receive the burthen laid upon them by the stronger parts like the inferiour Commons who are forced to bear the heavy impositions of their insulting Superiours The Lungs is naturally weak by reason of its softnesse and loosenesse which maketh the part sit to receive Defluxions want of naturall heat caused by a cold distemper maketh the part unable to resist Defluxions A wound or Ulcer in the part causeth the humours to flow thither if you take notice of Issues and Cauteries you will scarcely doubt of the truth of it So doth any inflammation or unnaturall heat in the Lungs Consider of this and you may be able to give a reason of consumptions of the Lungs Pluresies and spitting of bloody matter The humours which cause a Catarrh flow from the brain internally or externally internally if the humours fall upon the breast it is called a Catarrh or Defluxion If upon Aspera Arteria it is called Raucedo or hoarsnesse If it flows into the Nostrills it causeth Coryza Ozena or Polypus If it falls upon the Nerves it produceth numbnesse Palsy Convulsion trembling if in the Eares deafnesse if in the eyes Inflamation Teares blindnesse if upon the Uvula or Palat it causeth a swelling loofnesse or Ulcer there if it fall into the throat the Quinsie follows if on the Lungs Inflammation Pleurisie shortnesse of breath Cough Consumption If it falls into the Stomach vomiting and want of appetite ensues if into the bowells Dyarrhea or Dysentery and sometimes it floweth into the Veins with the blood and causeth a Feaver called Febris Catarrhalis and is the fore-runner of the joynt gout and Erysipelas Sometimes the humours flow from the head externally without the skull under the skin these humours fall into the Eyes Teeth Neck and other externall parts therefore it is rightly conceived by many learned men that the greatest part of the diseases incident to the body of man have their originall from the head Such whose bodys are spare and slender easily penetrated by heat or cold or such as are grossely compact and have not free transpiration Such who have weak and cold braines that cannot discusse nor concoct the humours or vapours therein contained or those whose braines are so hot as to attract too many vapours Such whose Stomachs and Livers are contrary in quality viz. one hot the other cold are men subject to Catarrhs or defluxions The signe of this disease may easily be gathered from the Causes the approach of this disease may be discovered by the following Symptoms viz. by heavinesse of the head dullnesse of the senses long sleep a snotty nose much spitting costivenesse of the body and much wind when the disease is perfect the flowing humours are plainly felt with swellings and paines in divers parts If the defluxion be of cold humours then will the body be sensible of cold the face pale the habit of the body generally flegmatick troubled with soure belchings sweet slimy and waterish spittle If it be a hot distillation the habit of the whole body is Cholerick the parts affected inflamed and painfull the face red much thirst a salt and sharp humour in the mouth I need not tell you how an externall defluxion may be knowne from an internall but take notice that if there appeare plenty of humours the Catarrh is more dangerous for by a suddaine defluxion desperate accidents may follow If age strength and the season permit or if the body abound with blood or the Liver be too hot as it often happens in this distemper breathe a veine at the beginning of the cure the contrary prohibiting Phlebotomy You must first prepare the matter then gently purge the head afterwards more strongly purge the peccant humours out of the former Chapters you may find what purges are convenient with respect to the humour offending Coloquintida hath an excellent faculty to purge the head but by reason of its violent operation is not fit for common use therefore use it not without good advice In this disease also it is good to use Masticatories and Gargarismes when the humours fall into the eyes or nose c. Errhines and sneesing powders when it falls upon the Breast Lungs c. Issues behind the neck or eares are found by experience a gallant remedy for a Catarrh I shall
of the eye looketh wider blacker and dimmer the difference of causes is thus known If the cause be blood or choler some inflammation impostume or wound in the head hath gone before If the Nerves are compressed by Flegme gathered about the roots of the eyes all or most of the head is affected and the other senses are hurt but if it be obstruction of the Optick Nerves the eye is onely affected or the fore-part of the head about the eye-hrows beareth part of the affliction If the Disease proceed from an obstruction in the Optick Nerves and the sight be totally lost for the most part the Disease is incurable but if the obstruction be imperfect that is to say the sight much diminished and the Patient not totally blind then there is hope of recovery If it happen by humours gathered into the fore-part of the head compressing the Nerves it is curable For the Cure the head must be cleansed by medicines which effectually purge those humours which compress or obstruct the Nerves but remember that as you cannot free the Nerves without purging the whole head so you cannot cleanse the head without purging the whole body It is good that the Patient avoid a thick cold cloudy and moist ayr and frequent the contrary Let him eschew all meats that are gross or yield a gross juyce such as are windy hot spices or whatever fills the head with vapours It is good to put the seed of Fenel into his bread Let his meat for his sauce be extenuating as Betony Eyebright Fenel Hysop Marjarom Sage Nutmeg also doth much comfort the brain and clears the sight as 't is generally believed Let the aforesaid hearbs likewise be boiled in his broth Lettice and such ilke cold herbs are very hurtful Turneps are highly commended and 't is proved they clear the sight being often eaten Pidgeons Sparrows and such like Fowls are said to be a good food for such who are thus diseased Let him eat no Supper if he eat any let it be light and not too late Then let him make use of this Diet-drink following Take of Bettony Eyebright Celandine the great Fenel Balm Marjarom Sage and Vervain of each two handfuls the roots of Elecompane Fenel Flowerdeluce Liquoris and Sawsaparilla sliced of each one handful the Seeds of Coriander Anice and Fenel of each one ounce the slowers of Ros-mary and Lavender of each a handful Raisons of the Sun stoned and blew Figs sliced of each a pound Senna two ounces Let all these be infused six hours in a sufficient quantity of Wort upon hot Embers then tunned up in four gallons of Newbear let them work together Let the Patient drink a draught every morning till the Cure be perfected unless some other medicine intervene You must purge the body often as you see cause either with gentle or stronger purges let them be Pills and such as purge the humour oftending of which you shall have a particular account in the fourth book If your Patient be not old and you finde blood abound you may open a vein the opening of the particular veins of the head especially those that are nearest the eyes have often proved successful because the veins by reason of their fulness of blood have compressed the Optick Nerves Sometimes the application of Cupping-glasses Vesicatories and Cauteries to the hinder part of the head or neck to the shoulders or back have been attended with admirable success After due evacuation it is convenient to dry up the humours by a sudorifick Diet-drink made and used as is described in the second Chapter adding such hearbs as have a special property to cure the eyes viz. Celandine Ey-bright Fennel and Vervain If you see occasion to dry up the moist humours of the head make use of such powders bags and caps prescribed in the fore-poing Chapters Also sulphurous and Bituminous Bathes profit much The Glossie and Crystalline humours of the Eye are subject to infirmities and disorder the first is subject to a mixture with other humours and this Disease is hard to discover but must be cured by cleansing the head and optick nerves and repelling and discussing the humour which mixeth with the vitrous humour and maketh it dusky This humour also may be disordered in respect of its scituation when it is brought before the Crystalline and so diminisheth the sight This Disease is hardly distinguished from a Cataract onely it differeth in the cause for a Cataract cometh by a defluxion of humour this from a blow or contusion and is uncurable sometimes it happeneth that Nature works a cure and reduceth it to its place again but no man as yet can imitate her therefore we leave the business to her disposing The Crystalline humour is the chief instrument of sight and if any defect happen to it that it be not pure nor perspicuous the visive spirits cannot exercise their office This humour doth often suffer prejudice through some drying and condensing cause as it often happens to ancient people where the aforesaid cause changeth the Crystaline humour to redness The sign of this Disease is a thick White about the sight of the Eye and every object appeareth to the Patient as through a Cloud It is called Glaucoma and differeth from a Cataract in this viz. a Cataract lyeth in the Pupilla or sight near Cornea but Glaucoma lyeth much deeper and is uncurable especially in old people Somtimes the Crystalline humour is displaced that it lyeth not directly against the Pupilla sometimes it lyeth too high and sometimes too low and if one eye suffer all things seem double sometimes vapours and water divide the visive humours and causeth the objects to be received into two places Sometimes the Crystalline humour is removed and brought nearer to the Pupilla and things that are near are not so easily seen as things farther of But if it be removed backward things near are plainly seen but not afar of the use of Spectacles are profitable in this case Sometimes the Crystalline humour lyeth to the right or to the left side so that more White appeareth on one side then on the other and this we call Strabismus or Squinting this also is uncurable unless it happeneth that the muscles of the eyes be displaced by convulsion or palsie for if it so happeneth it is uncurable Sometimes there happeneth an inversion of the Crystalline humour so that the objects seem soulded or crooked But these Diseases being uncurable by medicines I shall prescribe none CHAP. XI Of a Cataract A Cataract is caused or bred by a distemper of the watry humour of the eye which distemper is in quantity or quality if in quantity it causeth a dilatation of the Pupilla of which I shall speak in the next Chapter If the distemper be in quality it proceeds from a mixture of excrementitious humours with the watry humour In the beginning of this distemper the sight being a little darkened it is called Suffusion but when it is gathered about
apply Cataplasms lest the Humours be repelled and do fall into the Throat Many find ease by Masticatories by which they draw much Rheum from the Teeth Take of Mastich and Pellitory of Spain of each a drachm the Seed of Henbane Satuesacre and Pepper of each half a drachm Pouder them and sew them up in Linnen bags like little Balls and chew them If the Teeth be hollow the Oyls of Cloves Camphire Tobacco Box and of Hazel Nuts are good if a little Lint dipt in any of them be put into the hollow Tooth If the pain cease not add Laudanum and Opium for sometimes Narcoticks by stupefaction do give ease when other means have failed Sometimes all Medicines can do no good till the Nerve in the hollow Tooth be burned with an actual Cautery This may be done with Aqua Fortis or safer with Oyl of Vitriol but be well advised before you operate with things of this Nature If Worms be in the Hollow Tooth Take of Aloes two scruples Camphire one scruple Aqua Vitae one scruple the Oyl of Vitriol and Tobacco of each three drops mix them and with Lint dipped in it apply it If all the Medicines prescribed take not away the pain of the Hollow Teeth you must draw it out but beware of drawing Teeth when the Defluxion is great the Head aketh or the Gums swell Draw not a Tooth violently lest you injure the Jaw bone or cause a Flux of bloud which may prove dangerous but if such a thing should happen and the bloud not easie to be stanched you must apply Burnt Vitriol to the Gum and dip Lint in Vinegar and lay thereon or if you see cause you must burn the Nerve with an actual Cautery Many people have their Teeth disfigured by black or yellow Humours cleaving to them which in time make them rotten this is caused sometimes by a Defluxion of Humours into the Teeth by Distempers of the Stomach and evil nourishment thence arising Sometimes the Scurvey is the cause For the cure it is requifite that the antecedent cause be removed by purging and other Remedies and that things that corrupt the Teeth be abstained from especially things that are sweet Many are the Medicines prescribed to make the seeth white as Corral White and Red poudered Tobacco Ashes and the Ashes of Vine Branche burnt Burnt Allum and many more that which I have found to be the most excellent is the Oyl of Vitaiol mixed with Spring Water and the Teeth washed therewith some say the Oyl of Sulphur hath the same virtue CHAP. XXII Of the Diseases of the Gums SOmetimes sharp and corroding humours flowing from the Brain or occasioned by some Disease of the Stomach Liver or Spleen may cause an Erosion or exulceration of the Gums this Disease is easily known you must purge the humour offending and if the cause be in the Liver Spleen c. you must endeavour to remove it the Flux must be diverted from the part affected by convenient Revulsions Then you must apply Topical Medicines that are astringent and drying Take of Acorn cups Galls and Allum of each one drachm Sanguis Draconis Burnt Hartshorn Red-Roses of each two scruples Sugar-candy Tobacco-ashes and Mirrh of each one scruple pouder them all the white of one Egg beaten to water with as much honey as sufficeth to make it into the form of a soft Ointment spread it upon a Rag and apply it The Oyl of Vitriol or Sulphur mentioned in the former Chapter may be here applyed as there described or a few drops mixed with the aforegoing medicine Sometimes a fleshy excressence is generated upon the Gum and in time groweth so big that it hindereth the speech Fernelius saith that it hath its original from an Ulcer not well healed see Fern. lib. 7. pag. 340. Sometimes it groweth to a Cancer It must be taken off by a careful and well-skilled Chirurgion and afterwards burnt with a Cautery or the Oyl of Vitriol Some cure it thus after purging and sufficient revulsions to divert the defluxion of humours they tye a double thread about it close to the Gum so streight that in time it falleth off then use your Cautery as before to prevent its growth again CHAP. XXIII Of the Ulcers of the mouth IN the upper part of the mouth there are certain Ulcers bred called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 we call it Trush vulgarly Thrush it is most common to children presently after they are born caused by the sharpness of the milk or by reason of the milk corrupting in the Stomach for want of good digesture sometimes they happen to men of ripe years they are more or less dangerous as they exceed in quantity or quality their bigness may be discovered by the Eye also how deep and putrid they be their colour declareth the quality of the humour which is the cause of them It Flegme be the cause the Trush is white and easily cured If yellow Choller is the cause and 't is harder to cure If red Blood predominateth If black Melancholy is the cause and 't is the worst and hardest to cure It cometh sometimes by reason of a foul Disease in the body or when the Patient hath got the French Pox. For the Cure if it be in Children you must wash the mouth often with Plantane water and Sirrup of Mulberries or dryed Roses if you find that too weak add some Allum to it Let the Nurse eat such things as are cooling and drying as Pears Medlers and Services Marmalade of Quinces is very good in this case let her likewise make use of Lettice Purslane and other cooling hearbs and if need require let her bleed and purge If your Patient be a man and the Disease be stronger and more violent after the use of mild medicines you must proceed higher If he hath the French Pox he must be freed from that or else you labour in vain Generally you must consider what humour offendeth and purge that you must bleed and use such revulsions as necessity calls for Then you must make a decoction of Plantane Bramble Violet and Strawberry leaves Pomegranate flowers c. add Allum and the Sirrups before mentioned and wash the mouth with it if you finde that it healeth not dip a little Lint in Oyl of Vitriol and often touch it If there be an inflammation add to the before mentioned decoction the juyce of Purslane Housseek and Nightshade or the Mucilage of Quince-seeds or the emulsion of the cold seeds If you find an extraordinary defluxion and your Patient want sleep administer Laudanum the Dose regulated according to the age and strength of your Patient CHAP. XXIIII Of a loose Columella and the inflammation thereof and diseases of the Tonsils The Columella or the Uvula is relaxed or loosened by a waterish humor falling upon it which doth so moisten and soften it that it is extended to the upper part of the Wezand and causeth a Nauseousness and the Patient often striveth to
swallow it by which it may be known as also by looking into the mouth You must make use of such Evacuations Revulsions Derivers Repellers as are prescribed in the ninth Chapter of a Catarrh And you must make use of Gargarisms which restrain and dry Take of Plantane Purslane and Shepheards purse of each one handful Cyprus nuts Pomegranate flowers and Red roses of each one ounce Galls and Allum of each one drachm boile them in a quart of Spring water to the consumption of half strain it out and add to it Bolearmenick a drachm Sirrup of Mulberys and Hony of Roses of each one ounce gargarise the mouth therewith Powders are better which have an astringent and drying property Take the Roots of Bistort flowerdeluce and Tormentil the Flowers of Pomegranates and Red Roses of each half an ounce Burnt Allum and long Pepper of each one scruple make them into fine powder and depressing the tongue blow it upon the Uvula If this doth not perfect the cure the superfluity must be cut off this operation must be performed very warily for if you cut too much it will be prejudicial to the speech if there be an inflammation in the Columella you must extenuate such accidents before you cut it lest a greater inflamation follow or a flux of blood if the Uvula be greater at the bottome then it is at the top then it is fitter and safer to cut If the Uvula be onely inflammed you must make use of such medicines as are prescribed for the cure of the inflammation of the tongue There are other distempers of the throat viz. the inflammation and Ulcers of the Tonsills or Almonds of the throat occasioned by a defluxion of crude Phlegmatick and Viscid humors mixed with blood or by excessive drinking of wine or strong liquors or by a greedy devouring of meat they who are thus afflicted swallow with much difficulty and pain and many times have a Feaver For the cure administer a cooling Clister open the Vein under the tongue and if blood abound open the Cephalick-Vein in the arme use all other convenient revulsions Then make a Cataplasme of Barly meal the Seed of Flax and Fenugreek and the Leaves of Mallows bruised with new Milke sufficient and apply it to the throat Then use astringent Gangarisms you have examples enough in the foregoing Chapters If the inflammation increaseth and the pain be sharp and vehement in the Evening then expect suppuration then you must surther it by gargarising with a decoction made of Hysop Figs and the Seeds of Marsh mallows or with aquamulla When it is perfectly rotten squeez it gently that the matter may run forth or else open it with a sharp instrument and let the Patient hold his head down that the matter may the better run out then wash it again with aquamulsa till it be healed For the cure of the Ulcers of the Tonsils you must observe the same rules prescribed for the cure of the Ulcers of the mouth CHAP. XXV Of the Quinzie ANgina or the Quinzie is a disease of the Jaws and Throat by which breathing and Swallowing are hindred withour defect of the breast and Lungs there are two sorts of Quinzyes Legitimate and Bastard Legitimate Quinzy is accompanied with a feaver and inflammation of the part which Galen and the antient Greekes have divided into four sorts the first they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 when the inflammation is in the inward proper Muscles of the Larynx the second they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the outward Muscles of the Larynx are in flammed the third they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the interiour muscles of the pharynx are inflamed the last they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 because the exerior muscels of the Jaws are inflamed a Bastard Angina or Quinzy cometh without a feaver The cause of the first is blood either pure or mixed with Choler flegm or melancholly flowing from the head to the jugular veins the cause of the Bastard Angina is caused by much flegme falling into the jugular veins and by its glewinesse obstructing the passage of the spirits or by a Tumor in the Vertebrae of the neck caused by a deflux of cold flegm removing the Vertebrae from its proper seat or causing a luxation thereof by loosening their Nerves and making them slippery between the joynts or lastly this may happen by some fall or stroak or some external cause The Legitimate Quinzy may be known by the difficult swallowing and breathing without fault of the breast or Lungs pain about the Jaws and threat red nesse heat and a feaver their sorts may be distinguished by their proper signes In the first there is great hinderance of respiration the patient is almost strangled cannot breathe except he open his mouth and hold his neck streight In the second there is lesse difficulty of breathing but greater of swallowing especially of drink which flyeth out at the nose In the third there is some red tumor about the Jaws less difiulty of brething then in the first but more then in the second The last doth hinder the breath but little or not at all the outward parts of the neck are red and painfull The bastard Angina may be known by the abundance of flegm and humors flowing to the mouth If it comes by Luxation the motion of the head and neck is hurt and a preternatural cavity appeareth in the neck I shall not need to spend time to shew the signes of every distinct humor predominating reason or other parts of this book will informe you A Legitimate Quinzy is an acute disease and very dangerous for want of freedome in respiration therefore the first is worst and the patient in most danger of strangling the other are more or lesse dangerous as they more or lesse hinder respiration If the matter fall upon the Lungs or the swelling vanish away without critical or artificial Evacuation it is very dangerous and for the most part deadly If the patient foame at the mouth it is a signe of death saith Hippocrates in his 43 Aphorism because it is a signe of streightnesse and violent heat about the heart which squeezeth the moisture out of the Lungs and sendeth it to the mouth in a foame Every Quinzy requireth a hasty and speedy cure for it sometimes killeth in one day read Fernelius Lib 5 pag. 284. Let the physitian open the Cephalick Vein and if the body be naturally plethorick and blood the cause of the disease draw as much as the Patients strength will bear and reiterate Phlebotomy according as necessity requireth give a Glister first or after or both or as often as need requireth you must speedily make use of other revulsions as cupping glasses with scarification to the shoulders vesicatories frictions and ligatures to the lower parts purges must be administred and if you find the case desperate you need not Question the time of the day Trallianus reporteth that he was forced to open a
and commeth up with pain That which comes from the Gullet and Stomack is known by Vomitting from the Jaws and Wezand by Hawking from the Mouth by simple spetting Sometimes the Blood is sent from some other part to the Lungs and spet forth but this may be known by pain or some hurt happened there You must judge of the signes from the quantity or quality of the Blood the Nineteenth Chapter will instruct you To the Prognostick Hippocrates saith that what kind of Blood soever is spit from any of the inferiour parts is evil for every opening of a Vessel which letteth out Blood is dangerous especially in the Lungs But sometimes it happeneth without hurt when nature critically doth evacuate superfluous Blood that way as it is seen sometimes in women who have their courses stopt You must begin the cure with Blood-letting open a Vein on the same side you judge the distemper to be If there be obstruction of the Termes open the Saphaena If your Patient is subject to the Hemorrhoids Bleed with Leeches Cupping or other Revulsions you may use if occasion be Then purge Choller which causeth the Blood to be thin and fluid with Rubarb Mirabolans and the like Then give Medicines a stringent to close the Orifice of the Vessels but at the first give such things with them which have an expectorating quality lest Blood in the breast or other parts out of the proper Vessels should be coagulated Take of Conserve of Roses and the juice of Purslane of each two ounces Sugar of Roses one ounce Red Coral Blood-stone Bolearmenick and Terra Sigillata of each half a dram Troches of Amber a scruple the Oyle of Vitriol six drops with the Whites of eggs beaten to Water make a Lohock of which let the Patient lick often especially Night and Morning Quercetan prescribeth a Water excellent against spitting of Blood see the fourth part of this Treatise among Distilled Waters The Chymical Oyle of Amber two or three drops hath an excellent astringing quality take it in the Distilled Water of Knorgrass or Plantane or the like so you may take or give half a drachm of Sanguis Draconis or the Blood stone alone finely powdered out two scruples Opium Laudanum Philonium Romanum and Persicum These and such like may be given provided the dose be regulated by an able brain the juice of Nettles drunk four or five ounces in the Morning hath prevailed when all other have failed saith Amatus Lucitanus If by the use of Astringent medicines your Patient be costive give a Clister or purge that leaves an Astringency behind it and if the use of Astringents hinder spitting mix those things which doe not only stop Blood but mollifie the breast also such are the juyces of Plantane Purslane the Sirrups of dryed Roses Quinces Myrtles and of jujubes Gum Arabick Traganth and Starch and such like If Blood be congealed in the breast indeavour to dissolve it by administring six ounces of Oxycrate three times a day if it cause Coughing sweeten it with Sugar or Sugar Candy Apply this cooling Epithem to allay the heat of the Liver if you see occasion Take of the Water of Rose Plantane and Succory of each four ounces Vinegar of Roses two ounces of the powder called Diatrion Santalen a drachm and an half Camphire one scruple make an Epitheme apply it warme to the Liver afterwards anoint with unguentum Rosarum and Rose Vinegar Anoint the reins with Oyle of Roses and Water Lillys and the Testicles with Oxycrate If a Defluxion of sharp humors from the head unto the Lungs be the cause of the Disease seek the cure in the ninth Chapter When the Blood is stanched let your Patient avoid all things that may cause a returne thereof as Salt and spiced meats rich Wines great heat anger and violent exercise If you judge him inclinable to the Distemper by reason of thin Cholerick humors mixed with the Blood purge those humors at the Spring and Fall CHAP. XXXI Of the Consumption or Ptisick This Disease is called in Latine Tabes and in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which although it signifieth every Consumption yet is most properly taken for the extenuation of the whole Body caused by an Ulcer in the Lungs An Ulcer in the Lungs by reason of its nearnesse to the heart afflicts it with putrid vapours the heart disperseth it into all parts hence commeth a Feaver hectick joyned with a putrid and by its unnatural heat does hinder the well concocting of nourishment hence the whole Body decayeth Sometimes sharp corroding and Salt humors falling from the head or the Suppurated humors from the Pleurisie or Empyema which humors putrifying upon the Lungs may Ulcerate them Many times the cause is in the Lungs themselves which have a vitious hereditary constitution naturally tender and disposed to corruption Sometimes a Pustule is bred in the Lungs and never breaketh but groweth till it stop the passage of the breath and killeth the Patient Sometimes it commeth to Suppuration and is called the Imposthume of the Lungs which being broken and flowing to the Bronchia or passages in the Lungs it may be spit up if the body be strong and the matter little in quantity but many times an Ulcer remaineth which causeth a Consumption If the Impostumated matter flow into the Ventricle of the heart the sick dye sudainly and many times insensible of any pain or sicknesse take examples from Fernelius lib. 5. de partium morbis et Sympt Chapter 10 Pag. 288. To the causes of this Disease here mentioned you may adde all the causes mentioned in the ninth Chapter of Defluxions Hippocrates mentioneth many more kinds of Consumptions too tedious for me to insert in this Volume as those proceeding from nocturnal pollutions the running of the Reins also the obstruction of the Nerves or the flowing of Choler to the Back so of nourishment or drying causeth a Consumption likewise a Distillation from the head to the Marrow on the back may be the cause as Hippocrates faith when a Defluxion falleth upon the Spinal Marrow there is a secret and undisernable Consumption Sometimes it hath its original from hunger and want of nourishment Sometimes when the Meseraick Veins are obstructed that the Chylus Concocted in the stomach cannot passe to the Liver In the Diagnostick we must observe the signes of a Consumption beginning begun or confirmed Signes of a Consumption beginning are a small Defluxion the Lungs not much hurt thereby the Cough but small the spittle Sweet Salt or Bitter the body a little Feverish The signes of a Consumption begun the Distillation is stronger the Lungs pierced by which the Lungs are exasperated and the Cough violent The matter contained in the Lungs maketh the stomach weighty a sharp pain before and behind from the humors suppurating sharp and hearing humors fall into the body and sometimes into the Veins causing a hective Feaver sometimes joyned with a Putrid The Lungs by contracted Filth grow hot
Plague poison worms putrified or the Mestrues stopped and conveighed as before may be the cause of Palpitation To these adde excesse in quantity or quality of bloody Cholerick or watry humors oppressing the Veins Arteryes or Ventricles of the heart Likewise Inflammation Imposthumation or Tumors happening in the Arteries of the Lungs near the heart or in the Pericardium may be the cause of Palpitation A Second cause is a preternatural heat by which the Spirits are inflamed and the motion of the heart and Arteries is encreased and this sometimes though seldome ariseth from an inward cause often from an outward as anger violent excercise and the like The third cause is the defect of Spirits caused by hunger watching anger joy fear shame or great Diseases or any thing which dissipateth the Spirits which the heart labouring to recover encreaseth its motion and causeth Palpitation The Diagnosis or knowledge of this Disease is easie for it may be felt heard or seen The causes must be distinguished by their proper signes A hot distemper is known by often breathing by a Feaver and heat of the breast and a desire of cold things If wind be the cause it is subject to Variation and raised by a small motion the breath is difficult a mist before the eyes and a noise in the eares c. If the Disease commeth from humors in the heart or Pericardium it comes not suddainly nor goeth away quickly The nature of the humor you may gather from their Symptomes Water in the Peticardium is hard to be known but we may conjecture it by the weaknesse of the Pulse the heart seems to be almost suffocated in water If Malignant and Pestilent humors cause it the Patient fainteth a losse of the pulse and strength c. If it come by consent from other parts their proper signes declare it If a Tumor be the cause the motion of the heart is different from the natural and the pulse is various if the Tumor be in the pericardium and hard the disease is constant and the Patient decays without manifest cause To the Prognostick I say it is a dangerous Symptome because the motion of the heart by which life is preserved is hindered and Galen saith that they who are thus affected in youth or middle age live not to be old because the Vitalls are weak in them Alpho 41 de loco aff Sect 2 et 5 Chap. 2. If it come from a Tumor it is incurable if it be peculiar to the heart or pericardium it is incurable If it come by consent from other parts the cure must be sought out of their proper Chapters but seeing not only the cause ought to be removed but also the Symptomes asswaged by refreshing the heart you must administer Cordial medicines which have power to strengthen the heart If a hot distemper vex the heart Take of the Conserve of Violets Water-lillys Borrage or Buglosse flowers of each one ounce Diamargariton frigidum Diarrhodon Abbatis of each two drachms Red Sanders Coral and Camphire of each a drachm with the Sirrups of Coral Balme or Citron peels make an Opiate of which let him take often If cold humors cause the Palpitation Take of the Conserve of Roses and Rosemary flowers of each one ounce Aromaticum Rosarum Dianthus and Diambra of each one drachm Cinamon Cloves and Mace of each half a drachm Confection of Alchermes two scruples Amber Muske and Saffron of each one scruple with Sirrup of Clove-Gilly-flowers make an Opiat and give it as before With these and the like ingredients the Ingenious may form medicines of all sorts whether the disease be hot or cold likewise may Liniments Unguents Epithemas and Sacculibe prepared and applyed to the Region of the heart to strengthen and abate the hot or cold distempers thereof If an humor gathered near the heart cause the Palpitation extenuating medicines must be mixed with your Cordialls and if nothing prohibite open the inner Vein of the arme called Basilica if that appear not open the middle Vein which course Galen commendeth also if you see occasion administer purging and Carminative Clisters CHAP. XXXIII Of Swooning or Syncope 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or Swooning is a sudden and swift failing of all strength for all parts having a continual necessary influence upon the heart and vital spirits when they fail all the rest must suffer This Disease is distinguished from the Epilepsy which hath a Convulsion and this not from an Apoplexy in which the breath is much stopped and the pulse not much abated till near death but here the pulse faileth and the breath is free In Fits of the Mother the breath is most obstructed the pulse not much altered nor the colour of the face except it be higher the contrary happeneth in a Syncope The immediate cause of this Disease is the defect of the Vital Spirits in which nature is constrained lest the heart should totally fail to fetch the spirits from other parts to the heart by which means they lose their functions This defect happeneth four ways principally First they are naturally few by fault in the faculty making of the Vital Spirits or the matter which fault commeth by diseases proper to the heart or by consent from other parts Proper to the heart are too much constriction dilation and Solutions happening to the Ventricles of the heart or such as destroy the natural temper as Sharp Malignant Fainting Pestilential and Hectick Feavers and the like The faculty may be hurt by diseases in those parts which have a Sympathy with the heart as the Brain Liver Stomach and Womb. The matter is faulty when the Aire or Blood by which the Vital spirits are generated is defective or corrupted The aire is defective when respiration and transpiration is hindered But the hinderance of nutrition causeth a defect of the Blood They are both corrupted when their qualityes are changed Secondly this Disease is caused when the Spirits are dissipated and spent by too great evacuations which may be done sensibly or insensibly Sensibly by inordinate Phlebotomy Bleeding of wounds or at the Mouth Nose Womb Belly or Hemorrhoids or an extraordinary discharging of other excrementitious humours by Vomit Stool Urine or Sweat the breaking of an inward Impostume or by Empyema or by tapping the Nave lin the Dropsy Insensible evacuations are caused by sharp or thin humours which rarifie the skin or the immoderate heat of Bathes or Hot-Houses To these add long Watchings Fastings Lechery Anger Joy long continuing and violent pain or sickness c. may cause a dissipation of the spirits Thirdly this disease is caused by things which alter and corrupt the Spirits as venemous and pestilential aire and stincks or an evill disposition of the Bowels and other parts in a word all things which are averse to the heart may corrupt the spirits Or Lastly the spirits may be suffocated or destroyed which may come to pass by a vehement returning of Blood and Spirits to the Heart as also corrupt
Humours oppressing the Stomach and afterwards strengthen it You must evacuate the Humours eitherby Vomit or Stool give no Vomits but to those who are easy to vomit Of Purges Pills are most profitable because of their long continuance in the Stomach the last Booke will furnish you with purging Medicines If the Humours in the Stomach be tough you must dissolve them with Hony of Roses Oxymel and the like Beware how you administer Pills which are strong in operation lest they draw Humours from other parts to the Stomach If the Liver be very hot you may be let Blood otherwise not and in this case you must administer such things as cool the Liver After sufficient Purging you must come to strengthen the Stomach internally and externally Take of the Sirrup of Wormwood and Quinces of each two Ounces the Sirrup of Citron Peels one Ounce Cinnamon water four Ounces the Spirit of Sulphur ten Drops mix them and let the Patient take a Spoonfull or two Morning Noon and Night or oftner as necessity requireth Quercetanus his Sirrup of Cinnamon is very good See the last Book If the Disease be of long continuance let the Patient make use of the Guajacum Drink prescribed in the Second Chapter of this Book the bath of Bath is profitable in this Case But if a hot Liver attend a cold Stomach as it often doth your Medicines ought to be the more temperate Zechius commendeth this Bolus Take of washed Turpentine two Drachms Powder of Mastich half a Drachm Aromaticum Rosarum half a Scruple make a Bolus and let the Sick take it two hours before Meat Candied Nutmegs and Ginger is good and it is convenient for the Patient to drink his Beer warm This Liniment is good Take of the Balsom of Peru three Ounces the Oyles of Nutmegs Wormwood and Mastich of each one Ounce mix them and anoint the Stomach Also with these and other ingredients which have a heating and expectorating Quality you may make Unguents and Plaisters to be applyed to the Stomach CHAP. XXXV Of a depraved Appetite The Appetite is depraved two wayes Either in Quantity or Quality If it be depraved in Quantity Nourishment is desired in greater quantity then Nature would it is called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latines Fames Canina whence we call it Dogg's Appetite It is depraved in Quality when things which are not Food but vitious and unwholsome are desired This is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 First those that are troubled with the Dogg's Appetite do feed insatiably and afterwards some do vomit like Dogg's some do purge and others do digest it and if they have not more presently are sick The part affected is chiefly the mouth of the Stomach The Cause containing is Sense of sucking and vehement pulling which stirrs up the Appetite Vicious Humours sticking to the mouth of the Stomach by their too much Coldness Sharpness or Sowrness do bind wrinkle and pull the mouth of the Stomach and so beget a false Appetite Melancholy sent from the Spleen to the Stomach if it exceed and be praeternaturall causeth an unnatur all Appetite It may be caused by want of Food and Emptiness caused by too great Evacuations by which the Veins do continually suck Somtimes it cometh from Wormes in the Stomach which devour the Chilus The Hermetick Physitians do attribute it to a sharp salt and devouring Spirit or Faculty in the Stomach which doth readily consume what ever Meat is taken as Aqua Fortis doth quickly dissolve the fixedst Mettals the hardest Stones into Liquor and by this meanes doth not allow Nature a lawful and necessary bound of Nourishment The Disease it self needs no other Signe then the devouring of Meat The signes of the Causes may be easily found they which manifest a cold Distemper and sharp Humours in the Stomach are belching and sharp vomiting crude Ejections want of Thirst and external Causes of Refrigeration If defect of Nourishment is the Cause the Patient is Lean and there are Causes present or a foregoing of the decay of Moisture If Wormes be the Cause in the Chapter of the Wormes their signes shall be spoken of Prog If this Disease come from external Causes or from Wormes it is not dangerous Judge the contrary if it follow Emptinesse and great Evacuations or if the Patient doth vomit or purge much for then the Body for the most part falleth into a worse Disease To cure this Disease you must purge by Vomit or Stools taking the Caution in the last Chapter the Phlegmatick and Melancholy Humours sticking to the Stomach Then you must labour to strengthen the Stomach with internal and external Medicines prescribed in the former Chapter Six graines of Ambergrease taken in a reere Egg hath a special Quality to strengthen the Stomach and cure the Disease Narcotick Medicines by dulling the exquisite Sense do sometimes cure the Disease but must not be used till all other meanes fail and then advised by an able Brain Hippocrates saith that Wine and Aqua vitae is good and experience teacheth that Oyl and Fat things are seldom given without Successe Pica and Malacia is a depraved Appetite by which unprofitable and hurtfull things are desired It is caused by the eating of evil Meats by which the Stomach is disposed for the production of Melancholy and Phlegmatick Humours hence divers Apperites of evill things are engendred Some desire things that are sowr sharp bitter and cold as Vinegar Juyce of Lemmons and Orenges cold Water Snow Ice unripe Fruits and the like Some do desire earthly dry and burnt things as Nutmegs Cloves Cinnamon and other Spices Salt Ashes Coles Chalk Tobacco-Pipes Lime Oat-meal Tar Candles and such like This Disease happeneth for the most part to Women with Child or to Maids which have the Green-sicknesse who having their Termes stopped and staying corrupteth the Body and ascending infecteth the Stomach and taketh the Appetite from its Natural Condition Sometimes though seldom Men and Boyes are thus troubled Fernelius speaks of a Noble man who having an extraordinary Appetite to Lime did devour a piece as big as his fist without offending his Stomach or Bowels The Cause of this Disease may be found out by the things desired For if they desire Coles Salt or the like we may conclude that the Disease depends upon salt and burnt Humours This Disease is Chronical and of Continuance but is seldom dangerous yet somtimes if the Stomach cannot be reduced to its former Condition Obstructions Evill habits Dropsies and Cardialgiaes are produced The more contrary to Nature the things desired are the farther distant is the Stomach from the Natural Temper If you aim at the Cure it differeth not from the former but you must consider the variety of the Bodyes affected If this Disease happen to a Man it hath its original from the Obstruction of the Liver and Spleen and you must seek
when the Pain is under the Ensiformis it shews that the upper Orifice of the Stomach is affected a very sharp Pain that the Patient cannot rest and sometimes fainteth the Vapours sometimes offend the Brain and cause inveterate Head-Ach the Megrim Vertigo and Epilepsy In the other parts of the Stomach there are not so violent Symptomes but great Paines like the Chollick Thus you may know the Causes The Humours offending may be known by the Excrements avoided at the Belly or Mouth also Choller Phlegm Wind or Worms may be knowne by their proper Signes The Diseases of the Stomach or parts adjoyning causing this Disease may be known by their proper Signes Prog This Disease is more dangerous then any other Disease of the Stomach The danger is greater if a Feaver accompany it if the extream Parts be cold Death is at hand thus saith Hippocrates It is least dangerous if it proceed from Worms yet sometimes dangerous Symptoms appear and the Patient dyes sometimes if the cause of Wind cannot be removed a dry Dropsy followeth If it come from other Parts there begin your Cure if it be in the Stomach properly consider the peccant Humour If Wind be the Cause first administer a Clister Take of Camomil Penny-royall Miats and Pellitory of the Wall of each one handful the Seeds of Annise Fennel Cummin and Dill of each two Drachms make a Decoction in white Wine Posset Drink add Benedicta Laxativa half an Ounce the Oyls of Dill Rue and Chamomil of each half an Ounce the Chymical Oyl of Juniper Berries ten Drops make a Clister and give it or the like as often as need requireth Make a Fomentation with the Herbs and Seeds aforesaid or with others of the like Nature then anoint the Stomach with the Oyls of Sage and Cloves Chymical Oyl of Dill Camomil Rue and the like Then administer this or the like Julep which hath power to asswage Pain discusse Wind and strengthen the Stomach Take of Wormwood Pennyvoyall Century the lesse and Agrimony of each one handful the Flowers of Camomill and Juniper Berryes of each one Ounce the Seeds of sweet Fennel and Anise of each two Drachms Boil them in a Quart of white wine to the consumption of half sweeten it with the compound Sirrups of Wormwood and Betony of each two Ounces Let the Patient take a spoonful of this often and six spoonfuls Night and Morning this have I often proved with good successe let the Cause be what it will If the Disease be yet too stubborn to yeeld to ordinary Medicines make a Bath of mollifying Herbs and let the Patient sit in it giving inward discussing Medicines In vehement Pain some do give a Purge and mix Narcoticks with it to allay the Pain and this following is much commended by Forestus Take of Diaphenicon half an Ounce Philonium Romanum two Scruples with Camomil water in want thereof the Decoction make a Potion If Choller cause pain purge it administer Juleps cooling and thickning Foment the Stomach and apply a Cataplasm made of mollifying cooling and discussing Herbs and Seeds CHAP. XLII Of the Inflammation Ulcer and Imposthume of the Stomach The Inflammation of the Stomach is a Tumor comming of Blood sent into the Stomach and its Membranes from the Vena Porta by the small Veins which Blood is either pure and maketh a proper Phlegm or mixed with Choller and maketh an Erisipelatous or with Phlegm making an Oedmatous or with Melancholy making a Schirrous Tumor In a word all things that may inflame the Blood may be the Cause of this Tumor Diagnostick Signes are great Pain burning pricking distending beating even to the Back you may see or feel the Tumor belching and sometimes vomiting of Blood and the Breath is ferched difficultly and a burning Feaver If it be onely of Blood it is somwhat gentler but if it be with Choller there are grievcus Symptoms But be carefull to distinguish this Inflammation from that of the upper side of the Liver see the Chap. of the Inflammation of the Liver This Disease for the most part is deadly If the Inflammation be in the upper part of the Stomach or over the whole or much loathing of the Stomach or rumbling in the Belly all these are deadly Symptoms If the Inflammation kill not and the Feaver and Pain ceaseth and the Tumor remain then it turns to an Imposthume which being broken there remaineth an Ulcer which is known by voiding of Matter by Vomit and Stool But an Ulcer may be bred in the Stomach from other Causes as sharp salt cholerick Humours bred in the Stomach or sent thither from other parts the breach of a Vein which could not grow together again a Wound not well cured Poyson or corroding Medicines taken The Signes of an Ulcer bred in the Stomach are the same with the former to which I add these a constant lingring Feaver stinking Belching no Appetite a pricking Pain and Burning when any thing is taken which is hot cold sharp salt or sowr This Disease for the most part is deadly because Cleansers encrease Pain and Dryers cannot execute their Office but are hindred by Meat Drink and Chylus The Cure of theso Diseases must be diversly considered Purging is altogether prohibited lest more Humours be gathered to the Stomach but give an emollient and cooling Clyster every day such an one as is prescribed in the last Chap you must let Blood in both Arms as much as strength will bear bleed the Haemorrhoids if you see Occasion cup and scarify the Shoulders Back and Buttocks rub and bind the extream Parts and heat them with the Oyl of Spike or Flowerdeluce and the like You must give Medicines which are altering and strengthning and with them mix such which have power to dissolve This Julep is good Take of Barley water well clarified two Ounces Fennel and Purslane water of each one Ounce the Sirrups of Water Lillies and Violets of each one Ounce the Sirrup of Poppy half an Ounce Diamarganiton frigidum a Drachm mix them and make a Julep for three Doses give it Morning Noon or Night Foment the Stomach with â—he Decoction of cooling and mollisying Heâ—… Roots and Flowers and afterwards anoint it with Oyl of Roses Violets and the like Some commend Turpentine washed in Wormwood water given in Pills three or four times which will quickly dissolve or maturate the Imposthume If you find that the Imposthume tend to Suppuration apply this Cataplasm Take of the Roots of common and March Mallows of each one Ounce Camomill two handfuls red Rose leaves a handfull boil them well together and then beat them in a stone Morter then add of the Meal of Barley Flax seed and Fenugreek of each one Ounce with Hen's Grease and Oyl of Roses and Camomill alike QUantity sufficient to make a Cataplasm which must be applyed and often removed When the Imposthume is broken cleanse the Ulcer with new Milk and Sugar or Hydromell or Take of Barley water 3.
Ounces Sugar of Roses and the Oyl of sweet Almonds of each one Ounce make a Julep and give it The drinking of Mineral Waters is good Before you endeavour to heal it you must endeavour to cleanse the Stomach as well as the Ulcer Take of Cassia one Ounce Powder of Rubarb one Scruple dissolve it in Whey and drink it you may with this or the like Purgers which attract not the Humours to the part cleanse the Stomach as often as Necessity requireth Then fement the Stomach with the Decoction of Comphry roots Quinces Wormwood Roses Pomegranate flowers and peels Myrtles Galls Frankincense Mastick and the like then apply astringent Unguents and Emplaisters to the Stomach and inwardly give Medicines of the same Nature Take of the Conserve of Roses and Comphrey roots and of Marmalad of Quinces of each one Ounce Bolearmenick Sanguis Draconis Terra Sigillata of each one Drachm Gum Arabick Red Corall and Blood stone of each half a Drachm Hypocistis Sarcocol and Frankincense of each one Scruple with Sirrup of Comphrey make an Opiate a little of which let the Patient take often if his Stomach loath the often use of one Medicine let Troches be made of the Powders and the Musilage of gum Traganth or into any other form How to make Troches see the fourth Book Give him for his Food in the mean time Chicken Broth and boil therein astringent Herbs fresh Barley and China Root CHAP. XLIII Of the Chollick The attractive and digestive Facultyes are not only hurt but the expulsive Faculty which chiefly respects the Intestines may also be defective and cause many distempers in the Body the first of which is the Chollick This Disease took its Name from the Part affected which is the Gut called by the Greek Colon and the Disease 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which is caused by excrementitious Matter retained too long and by distending pricking or corroding causeth grievous pain Sometimes it is caused through Crudities bred by a cold Distemper of the Stomach and Intestines which causeth Wind to afflict the Guts being obstructed especially the Gut Coion sometimes cold grosse and phlegmatick Humours sticking to the Tunicles or Coats of the Guts cause constriction and divulsion and a gnawing pain also salt and sharp cholerick and melancholy sowr Humours by pricking and twitching the Cuts cause Pain Here note that if Wind or Humours remain onely in the Cavity of the Guts they might be easily excluded by evacuating cleansing and curminative Medicines but being for the most part fixed to the Coats of the Guts they are not expelled without difficulty There are other lesse usual Causes of the Chollick viz. Tumors in the adjoyning parts causing compression of the Guts Tumors and Inflammations in the Intestines causing Narrownesse Knots of Worms or Stones bred in the Guts which stop them sometimes a poysonous and malignant Matter engendreth a pestilent Chollick or Plague in the Guts The External causes are either a cold Aire which doth constringe the Belly or an Air too hot indurating the Excrements Raw Fruit Meats grosse and of hard Digestion in a Word every thing which disturbeth the concoction of the Stomach may here be taken for an External cause Diagnostick Signes are a very sharp pain sometimes moveable sometimes in the Region of the Stomach Liver Spleen Reins sometimes above and sometimes beneath the Nayel oftentimes in the left side so that by comparison of other Signes you must distinguish between this and the Spleen and Stone The Pain is like the Boaring of an Auger he vomiteth chole rick and phlegmatick Matter if the Stomach consenteth The pain is greater after Meat the Belly for the most part is bound that the Patient cannot so much as break Wind when he voideth Excrements they are windy like Cow dung with Water on the Top. The causes are also distinguished by their Signes If Phlegm be the cause the pain is not so violent the Sick hath used a phlegmatick Diet but if Wind be joyned with it the part seemeth as if it were boared through with a Wimble the Urine is crude and white yet sometimes the violent Pain enflameth the Spirits and the Urine appeareth yellow or red He is better for hot and the worse for cold things If cholerick Humours cause the Chollick there is a violent pulling and pricking Pain the Urine is cholerick a Diet breeding Choller went before he is the worse for hot Medicines there is great Heat Thirst and sometimes a Feaver If the Chollick proceed from Wind there is a stretching Pain and the Belly swelleth and the Wind rumbleth therein he findeth ease when he breaketh it If the Wind be in the Cavity the Pain is moveable and encreaseth and decreaseth If in the Coats of the Guts the Pain is fixed in respect of place and constant Prognostick signes are It the Chollick be gentle moveable and the Belly soluble it is easily cured on the contrary if the Pain be great and fixed the Belly bound the Patient wanteth Sleep vomiteth and is troubled with cold Sweats Hiccoughs Doting and Coldnesse of the extream parts it is alwayes dangerous and for the most part deadly An Epidemical and pestilent Chollick is very dâ—…ous If it come of sharp chollerick Humours â—…generateth sometimes into other worse Diseases as the Palsy Falling-Sicknesse and the Gout You must vary the Cure according to the diversity of Causes if Phlegm and Wind be the cause you must administer an emollient discussing and carminative Clister See Chap. 41 Of Pain in the Stomath three or four times in a day Or make a Decoction of emollient and carminative Herbs and boil therein three Drachms of Colloquintida If two or three Clisters provoke not to Stool make use of this Suppository Take of Hony sodden half an Ounce Hiera piera one Drachm Diacolo-Cynthidos one Scruple Salt Gemm half a Scruple mix them and make a Suppository It is not amisse if after all this you purge the noxious Humours mixing with your purge Narcoticks See Forrestus his Medicine prescribed in the aforenamed Chap. Or give an Ounce and an half of Manna of Oyl of Sweet Almonds newly drawn two Ounces give it in Broth. Then you must foment bathe or anoint the Belly See the aforesaid 41 Chap. The Bowels of a Wolf pulverized and the white Dung of the same is much commended if the Patient take a Drachm in white Wine The Electuary of Bay berries taken as much as a Nutmeg often easeth Pain This Medicine I have used with good Successe Take of Pellitory of the Wall Mints Parslypearch of each one handfull the Roots of Fennel Parsley Marshmallows and Butchers Broom of each half a handfull Juniper Berries one Ounce the Seeds of Aunis sweet Fennel and Cummis of each half an Ounce Bay berries three Drachms bruize slice and powder them Infuse them in white wine twenty four houres and distill it in Balneo after sufficient Evacuations give one Ounce Galen much commendeth the Application of a Cupping-glasse to the Navil
Chyle of which Worms breed and are nourished but this remember they are not proper Remedies in Feavers Therefore if the Sick hath a Feaver you must be careful how you administer hot Medicines the like you must observe if you administer any thing to people of hot Natures Women do commonly give Wormseed to their Children for the Worms mixed with sweet things which is a Medicine not to be despised But least it should hurt by its Hear infuse it two hours in Vinegar afterwards mix it with boyled Hony and make an Opiate which Amatus Lusitanus much commendeth Forrestus as highly commendeth burnt Harts-horn given with Raisons Aloes are much in use likewise but the Pill de Aloe rosata is much better if half a Drachm be given at Night The Juyce of Lemmons is good if there be a Feaver and a good corrigent for hotter Medicines If they have not a Feaver the Chymical Oyl of Juniper given one drop in Broth is excellent and no lesse effectual is spring Water made sharp with Oyl of Vitriol Many and those very learned Physitians have much commended Quicksilver who say it may be taken in a moderate quantity with admirable successe and without the least danger to the Body for Dioscorides saith that it killeth no otherwise but by tearing the Guts with its great weight therefore we fear not to give it in a small Quantity because its Weight and Roundnesse will easily carry it through the Body Of this opinion also was Mathiolus Brassavolus Fallovius Platerus Fabricius Hildanus John Baptista Zappata Baricellus ' Sanctorius and many others who extol the benefit of this Medicine to the heavens for its Virtue and say they never found any inconvenience by it Those that dread the use of that let them use Mercurius Dulcis well prepared the Dose for once taking is from eight to ten Grains for a Boy of ten years of Age it will be better if you mix of Diagridium half the weight of the former to carry it sooner out of the Body and to expel the Worms if you give it to a child yonger or to a weak Child give it in a smaller quantity Lastly you may make Topicks of what form you please to apply to the Belly Take of the Oyls of Wormwood Mints and bitter Almonds of each one Ounce the Juyce of Wormwood and Rue of each two Ounces Wormseed Aloes and Elicampane in powder of each a Drachm Colloquintida six Drachms of the Gall of an Ox two or three Ounces with Wax sufficient to make an Unguent or so much if you please as will make a Plaister and apply it if the Sick be loose leave out the Colloquintida CHAP. LI. Of the immoderate Flux of the Haemorrhoids Though a moderate Flux of the Haemorrhoids be healthfull and preserveth a man from many and dangerous Diseases viz. the Pleurisy Peripneumonia Stone in the Kidneys Madnesse Melancholy and from many other Diseases yet the immoderate Flux is very perillous and brings many pernicious Diseases viz. Weaknesse of the whole Body Coolnesse of the Bowels and Liver an Arrophy Cachexia and Dropsy for want of natural Heat for by this Flux the Blood is wasted which is the Treasure of life and Cherisher of the whole Body This Flux hath the same Cause that other bleedings have viz. Blood offending in Quantity or Quality In Quantity when plenty of Blood it brought to the Haemorrhoid Veins and dilateth and openeth the Orifices or overmastereth the retentive Faculty hence followeth a Flux If the Blood offend in Quality as Sharpnesse and Thinnesse it stirrs up the expulsive Faculty and sendeth forth both good and bad Blood This Disease is known by weaknesse and a yellowish Colour of the Body comming upon a long Flux of the Haemorrhoids If too much Blood be the Cause of the Flux there went before Causes of encrease of Blood and the beginning of the Flux was a refreshment to the Patient but the Flux continuing he grows weak If the Flux came from Sharpnesse and Thinnesse of the Blood there preceded Causes which breed Choller or sharp Water the Body is of a cholerick Constitution the Blood floweth violently and is shining whereas if it offend onely in Quantity it is black and Melancholy To perform the Cure you must stanch or moderate the Blood by revelling deriving thickning and astringing Means First open a Vein in the Arm and if the Patient hath not lost much Blood but aboundeth therewith draw Blood plentifully otherwise draw little and often Rub and bind the superior parts and Cup and Scarify the Shoulders that the Blood may be revelled By gentle Purges derive the cholerick Humours which make the Blood so violent purge with such things as have an astringent Quality as Rubarb Myrabolans Tamarinds such as are prescribed against vomiting of Blood and bleeding at the Nose But beware lest the Body be too much bound lest by straining the Veins will be more open therefore after the use of astringents let the Patient eat sharp French Prunes before and after Meat Then you must give such things as may thicken the Blood have recourse to the 19 30 and 39 Chapters Lastly you must prepare astringent Fomentations and Unguents to be applyed to the Haemorreoid Veins boil Mullein in Smith's water and foment or you may add other Herbs of the same Nature to it thus Take of the Roots of Bistort half a Pound the Leaves of Plantane Mullein Shepherds purse Bramble and Oak Leavs of each two Handfulls Pomegranate Flowers and Peels Galls and Sumach berries of each one Handfull red Roses two Pugills Myrtles half a Drachm Allum one Ounce boil them in three parts of Smith's Water and one of red Wine and soment the part therewith but let it be but moderately hot Or with a greater quantity of the Simples you may make a Bath for the Sick to sit in but let it not be hot Or you may make an Ointment with their Juyces and Bolearmenick Terra Sigillata Sanguis Draconis Ceruse Vinegar and such like Unguentum Comitissae is good to anoint the Veins and the Back The Dripping of un Eel is much commended Or take the Hairs of an Hare burnt Spiders Webs mixed with the white of an Egg and apply it Or touch the Vein with Oyl of Vitriol and in a desperate Case with Aqua Fortis If the Veins should ulcerate cleanse the Ulcer as you are taught in divers places of this Treatise But be sure you consider the State of the Liver and Spleen if they be hot or weak cool or strengthen them as you are taught in their proper Chapters CHAP. LII Of the pain of the Haemorrhoids THe Haemorrhoid-Veins sometimes do swell and cause very great pain The cause of this differeth not from the former for the blood offending in quantity or quality and cannot open the ends of the Veins causeth a Tumor or inflammation These Tumours are sometimes like Grapes Mulberries Warts and sometimes like bladders Some are externall others internall It is convenient
very dangerous and few escape thereof But if it be little and onely in one part of the Liver and the Matter white which comes forth by Urine and Stool the Sick escapeth if it be in the outward part of the Liver it may be opened by an actual Cautery and if the Matter which cometh forth be white the Patient escapeth After the Imposthume is broken there remaineth an Ulcer if the Patient continueth the Ulcer is hard to cure and bringeth the Patient into a Dropsy or Marasmus But sometimes sharp cholerick and corroding Humours in the Liver produce an Ulcer without Inflammation This Ulcer is discovered by the Signes following Pain in the right Hypocondrion mattery and bloody Stools and pain in the Bowels as in the Dysentery onely here the Weight and Pricking about the Liver maketh a Distinction sometimes pieces of the Liver have been voided by Stool If the outward part of the Liver be ulcerated the Urine is mattery without any Disease in the Bladder or Reins The Colour is yellow sometimes small Pimples in the Face a stinking Breath Loathing Flesh and the Sick fainteth often An Ulcer in the Liver is accompanied for the most part with an Hective Feaver for the most part Death lodgeth not farr from it that which followeth an Imposthume and Inflammation is more dangerous then the other If it tends to Suppuration it is hardly cured yet you must proceed thus Take of the Emplaster of Diachilon magnum and Melilot of each one Ounce Gum Ammoniacum dissolved in Vinegar half an Ounce Oyl of Wormwood and Wax make a Plaister and spread it upon Leather in the form of an half Moon and apply it to the Region of the Liver Make use also of mollifying Cataplasms Give inwardly Chicken Broth and boil therein Marsh and common Mallows Figs c. When the Imposthume is broken make use of the Medicines prescribed for the Cure of an Ulcer in the Stomach give him to drink Whey or Barly-Water and Hony of Roses If the Suppuration be outwardly and after the opening thereof the Matter is filthy red and stinking Death must perfect the Cure but if the Matter evacuated be white and concocted there is hopes of Recovery CHAP. LV. Of the Obstruction of the Liver 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Obstruction of the Liver is a Disease organical a preternatural Straitnesse of the Branches of the Vena Porta and Vena Cava as also the whole Substance of the Liver which hinders the distribution of Blood and Nourishment by reason of a preternatural Humour which shutteth up the Passages The Quantity or Quality of the Humours may be the Cause of Obstruction Plenty of Humours cause Obstruction in the Cavity of the Vessels which by fulnesse are so distended that they cannot contract themselves to send forth the Matter The Quality of the Humours is grosse tough and clammy Excrements sticking to the Passages and are more thickned by the Heat of the part viz. Phlegm which easily groweth thick and clammy Mela choly which is cold thick and drossy Choller staying long in the Liver grows thick and sometimes the Thicknesse of the Blood may cause Obstruction sometimes grosse Vapours may cause Obstruction as in the Chollick All things which make thick and clammy Humours as a cloudy and thick Air Meats that are astringent cold of grosse Juyce hard of Concoction being immoderately eaten or more eaten then the Constitution of the Body can well dispense with as Beef Bacon Pork and Fish dryed in the Smoak Cheese Pease Beans c. Pears Quinces Medlars Services and Mushrooms Bread not well baked muddy Ale and astringent Wine A cold Distemper of the Liver which cannot well concoct the Chylus but turns it into a salt tartarous and mucilaginous Matter may be the Cause of Obstruction Distempers of the Stomach by reason of which it cannot well concoct but beget crude Chyle which the Liver cannot well order may be the Cause Diag In this Distemper the Excrements are not naturall but are moist white chylous or bloody The Urine white thin and warry when the Patient walketh fast or up a Hill he breatheth with difficulty the Face pale the whole Body lean and dull a sense of Weight in the Hypocondria especially after Meat and though the Sick hath eat Meat light and little in Quantity yet he seemeth as if he had overgorged himself Sometimes the Hypocondria is extended and a dry Cough The Causes are thus known If the Pain be heavy extended and fixed grosse Humours are the Cause Sharper Pains and more moveable declare Wind. If cold Humours be the Cause there is more Weight the Face is pale no Thirst nor Feaver a thick and cold Diet preceded the contrary Signes declare hot Humours to be the cause Choller maketh the Face yellow and blood-red Prog An Obstruction newly begun may be easily cured but an old hardly If the Obstruction of the Liver be not removed it breeds many dangerous Diseases in a word it may be well called the Mother of all Diseases That which comes of crude phlegmatick Humours is worse then that which comes of Wind. You must begin the Cure with universal Evacuations suitable to the Nature of the Disease the Strength and Constitution of the Patient If Blood abound open the Liver-Vein but beware lest you cool the Body too much Then you must make opening-Broths thus Take of the Roots of Smallage Parsly Fennell and Asparagus of each one Ource Agrimony Maiden-hair and Polypody of the Oak of each one handfull the Seeds of Annise Parsly and Fennell of each one Drachm boil them in Chicken or Mutton Broth and strain it every Morning give the Sick a Porringer full dissolving first therein Cream of Tartar one Drachm Salt of Wormwood and Tamarisk of each half a Scruple Or every other day infuse in his Broth half an Ounce of Senna and give it as before Baths and Fomentations made of sottning and opening things are good Take of the Roots of Marsh mallows Lillyes and Briony of each two Ounces the middle Rind of Tamarisk the Bark of Caper Roots the Roots of Sea holly Cypresse and dwarf-Elder of each one Ounce The Leaves of Marsh and common Mallows Camomill Mints Germander Penny-royall Violets and Wormwood of each one handfull the Seed of Flax Foenugreek and Juniper Berryes of each one Ounce the Flowers of Broom Elder Camomill and Mililot of each one Handfull boil them in chalybiated Water and if you please add one part of white-Wine and foment the Region of the Liver or with a greater Quantity make a Bath Your Wit if you have any will teach you how to make Unguents of the same ingredients to anoint the part after fomenting It is good to have in readinesse an Opiate that openeth Obstructions strengthneth the Stomach Liver and other parts Take of the Conserve of Wormwood two Ounces the Root of Elicampane and Citron Peels candied of each one Ounce Candied Nutmegs half an Ounce one Myrabolan candied Confectio Alchermes
Couch-grasse Garden and Horse-radish Maddir Marsh and common Mallows Liquorish Onions Parsly Knot-grass the Leavs of Bettony Camomill Penny-royall Marsh-Mallows Pellitory of the Wall Maiden-hair Parsly peart Filipendula Saxifrage Savin Burnet Goats-Thorne Kidney-Wort Melilot Golden-Rod the seeds of Nettles Parsly Gromwell Burdock Winter Cherryes Bay Ivy and Juniper Berries the four cold Seeds the stones of Hips Haws Medlers c Of these you may make Decoctions Powders or distilled Waters and the like the Description of which sot brevity sake I will omit Quercetanus in his Dispensatory commendeth this following Powder Take of the inward skins of Hen's Gizzards and their white Dung of each half an Ounce the inward skins of Egg shels dried and powdered two Ounces and an half Rupture-wort and Cinnamon of each four Scruples the Stones of Medlars two Drachms the Seeds of Annise and Fennell of each one Ounce powder them and give half a Drachm or a Drachm in white-Wine Goats Blood prepared is excellent and the Water distilled from it in Balneo Mariae doth wonders And some do commend the Urine of a Goat taken out whilst he is alive and drunk and the Entrails applyed Chymists do highly extoll their Salts and Experience tells us that if they be well prepared and carefully administred they work no small effects viz. the Salt of Bean Cods or stalks of Camomill Tartar vitriolate Oyl of Vitriol the Spirit of Salt Mercurius Dulcis c. Zacutus Lusitanus commendeth the naturall Balsom a few drops thereof taken with Oyl of sweet-Almonds Crato had as good an Opinion of Filberts eaten and confirms his opinion by Experience Minerall Waters are good for they do not onely dissolve the slimy Tartarous Matter which breeds the Stone but also allayeth the hot Distemper of the Liver and Reins Of all Diuretick Medicines Turpetine is the safest given the Quantity of a Nut with Sugar every Morning for Diureticks taken very often for the most part hurt by carrying the Humours from other parts to the Reins but Turpetine seldom or never worketh any evill effect You may use it thus Take of Venice Turpetine washed with Saxifrage Water half an Ounce Cassia newly drawn six Drachms Ruharb and Liquorish in Powder of each half a Drachm mix them and make a Bolus To conclude give Clisters often or if you see it more convenient purge the Body between your Diuretick Potions for the reason before given your best Purgations are Cassia Diaphaenicon Rubarb and such like If the Liver and Reins are distempered by Heat make use of those Medicines prescribed against the hot Distemper of the Liver If Crudities in the Stomach be the Cause seek Medicines out of the Chapters which treat of the Diseases of the Stomach If you do carefully consider the Cause or from what part of the Body the Reins fetch their stony Materials and order your Medicines accordingly with prudence and reason by the blessing of God you may find the Cure of the Stone not to be so difficult as it is commonly adjudged For my part I have cured several people who have been grievously vexed with this Grief for which Mercy I do and shall praise God CHAP. LXIII Of the Stone in the Bladder I Shall speak nothing of the Cause of the Stone in the Bladder the material and efficient Cause being the same with that of the Reins This Disease happeneth to Children oftner then to people of riper Age who are more subject to the Stone in the Reins because Children eating much and often their Urine is thick and the expulsive Faculty in the Reins is stronger in them then in men and sendeth the Urine speedily to the Bladder where being long kept by reason of much sleep or play the Urine settleth and is retained till it by Heat becometh a Stone for the passage is narrow in Children and the Urine not being very sharp doth not powerfully provoke the expulsive Faculty Fernelius was of an Opinion that the Stone in the Bladder was alwayes first bred in the Reins and falling from thence into the Bladder and getting fresh Matter there encreaseth Fern Lib. 6 cap. 13. pag. 317. Many times it so happeneth but daily Experience teacheth that many have the Stone in the Bladder who never had pain in the Reins especially Children The Knowledg of this Disease in the beginning is difficult but when the Stone is grown great is evident enough to the Patient's sorrow The first sign is pain in the Neck of the Bladder reaching to the end of the yard especially after pissing The yard itcheth and the Patient handleth it often He feeleth a great Weight about the Neck of the Bladder when the Stone is grown great the Urine suddenly stoppeth and he is in pain like a Woman in travel his yard standeth often and he maketh Water with most ease lying upon his back because then the Stone falleth out of the Neck of the Bladder When he hath need to make Water he is also much provoked to goe to stool by reason of the consent of the Sphincter Muscles of the Anus and Bladder being moved by the Branches of the same Nerve Many signs more I might insert but these I think sufficient for the ingenious To be fully satisfyed the best way is to make use of the Catheter This Disease is alwayes exceeding painfull and no lesse dangerous if the Stone be like Flint it can never be dissolved if soft or brittle it may be dissolved by the long use of strong Medicines but sew there are that have Patience enough to make use of so many Medicines The Cure is not altogether so difficult in Women as in Men because the passage in them is wider In the year 1656 I cured a Woman who was a long time grieved with the Stone and intended to venture upon the last and terrible Cure by Cutting with in the space of a Month having first dissolved part of the Stone by Medicines she voided a Stone without the help of manuall operation in bignesse two Inches in length an Inch and an half without prejudice to the Uritery parts she was then aged 63 and is yet a live and lusty to praise God for so great a deliverance For to perfect the Cure you must do as you are taught in the foregoing Chapter so that I need not here repeat any thing onely lay down the Medicine so much commended by Horatius Augenius it is thus prepared Take of Sows or Wood Lice prepared a Drachm or four Scruples Aqua vitae two Scruples the Broth of red Cicers nine or ten Ounces take it in the Morning fasting Sennertus also commends it and this Medicine likewise Take of Salt of white Tartar one Ounce Parsly water one Pint mix them and strain them with a brown paper If after the use of Medicines you find the Neck of the Bladder wounded or much pained by the roughnesse of the Stone make a Decoction thus Take of the Roots of Marsh Mallows Fennel Coughgrasse and Cammock of each one
Vlcer You must parge the Humours which flow to the part affected with gentle Medicines such as are prescribed in the Chapter aforegoing If there be Repletion or Inflammation in the part let Phlebotomy be used Evacuate the Humours by gentle purgers mentioned in the Chapter aforegoing Mercuvius Dulcis doth cleanse and heal the Vlcer Turpentine is a good cleanser It is good for the Patient to vomit often After due Evacuations you must use cleansers as the Milk of Cows Goats or Asses which are very good and cleanse with their wheyie part and heal with their cheezie but give it not in a Feaver Let the Patient drink Water and Sugar thin Hydromell or Barly Water In Hydromell if there be a Feaver boil the cold Seeds Mallows Liquorish c. Waters that spring from Allum and Iron Mines are good for they correct the Heat and cleanse the Ulcer The Decoction of China Guajacum Sarsaparilla and the like is good to dry up the Humours to purge the crude Matter in them that have the French Pox and have no Feaver nor Flux of Blood But lest the Bowels should be inflamed give cooling Broths at Night After the use of cleansers you may see by the Vrine when the Vlcer is cleansed viz. when it appeareth white and clean without any dreggy or filthy Matter then you must give astringing glutinating and healing Medicines Take of Conserve of Roses four Ounces Bolearmenick Terra Sigillata red Coral and Sanguis Draconis of each two Drachms the Seeds of Lettice Purslane and Plantane of each one Drachm red Roses and Shavings of Ivory of each two Scruples with Sirrup of Comphry make an Opiate Or you may make of it a Masse for Pills with Venice Turpentine or if that cause pain with the Juyce of Liquorish Chymists do much commend Antimonium Diaphoreticum Mercurius Dulcis Diaphoreticus To allay the vehemency of the pain you must sometimes mix Anodines with your Medicines as Laudanum the Sirrup of Poppyes and the Emulsion of the cold Seeds Outwardly foment the Region of the Kidneys thus Take of Camomil Mallows Melilot Pellitory of the Wall and Violets of each one Handfull the Roots of Marsh-Mallows and water-Lillyes of each two Ounces the Seeds of Flax Fenugreek and Winter-Cherryes of each three Drachms make a Decoction and foment the part Then apply this Liniment Take of the Oyl of Violets and Sweet Almonds of each one Ounce and an half Oyl of Roses one Ounce of the Musilage made of the Seeds of Marsh-Mallows and Fenugreck of each two Ounces Saffron one Scruple make a Liniment If the Ulcer be in the Bladder you must make an Injection twice in a day with new Milk Whey Hydromel or Barly Water with Hony of Roses to cleanse afterwards add Astringers and Driers as the white Trochts of Rhasis or of Gordonius or boil in Whey or Barly-water the Roots of Comphry Allum Mirth Tragacanth and the like CHAP. LXVI Of extraordinary Pissing 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Diabetes is a quick and plentifull making of Water after which followeth violent Thirst and a wasting of the whole Body The Cause of this Disease is a hot Distemper of the Reins which draweth Water violently from the Veins which causeth a great Thirst after drink which as soon as it is taken is carried to the Reins where burthening the retentive Faculty and provoking the expulsive it is soon sent to the Bladder Some attribute it to choletick sharp and salt Humours in the Kidneys which draw Water thither as such Humours which stick to the Tunicles of the Stomach in Feavers cause Thirst Others will not admit of this opinion because the Kidneys onely suffer in this Disease and that Choller and other burnt Humours are first bred in the Liver They say there is a venemous Quality bred in the Kidneys Galen himself is of this opinion that divers kinds of Poisons may breed in the Body of Man In Lybia there is a Serpent called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Dipsacos which name the Greeks give this Disease from the unquenchable Thirst with which it is accompanied which Serpent if he biteth any man infecteth him with such a Poyson as begets an unquenchable Thirst The Signes of this Disease are clear from what hath been said viz. An unquenchable Thirst an extraordinary Pissing and voiding the Drink as soon almost as it is drunk and a Decay of the whole Body This Disease is deadly if it be not taken in the beginning and the Patient yong for it brings a Consumption If you judge the Patient curable you must labour to allay the hot Distemper of the Kidneys to correct their poysonous Quality to thicken the Humours which flow to them and to strengthen them First give mollifying and asswaging Clisters and purge if you see occasion as you are taught in the Chapter Of the Inflammation of the Kidneys Gentle Vomits do evacuate and draw the Humours from the Ureters If nothing forbid open a Vein in the Arm. To correct the Distemper and thicken the Humours make a Julep thus Take of the distilled Water or the Decoction of Plantane four Ounces of Lettice Poppy and Purslane of each two Ounces the Sirrup of Myrtles Comphry and Quinces of each one Ounce the Sirrup of Poppyes half an Ounce the Spirit of Vitriol twenty Drops mix them and make a Julep If you will have a Medicine more astringent or binding thus Take of the Seeds of Plantane Purslane and Coriander prepared of each one Ounce the Flowers of red Roses Pomegranats and yellow Mirabolans of each half an Ounce Nutmegs half a Drachm Corall and Pearl prepared burnt Harts Horn Bolearmenick and the Roots of Tormentill of each one Scruple make them into Powder Or if you please make them into a soft Electuary with the Sirrup of Myrtles Comphry or Quinces The Milk of Asses Cows Goats or Sheep is good especially if Flints be often quenched therein Sweating is a good Remedy if it be provoked by outward means or with China Sarsa and such mild Medicines for it drives the watry Humour outward but beware of strong Medicines least they purge by Urine and encrease the Distemper Outwardly foment the Loyns with things which cool and bind as the roots of Sorrel Plantane Pomegranate-peels Sumath Seeds c. boiled in Vinegar afterwards anoint with the Vnguent of Roses Sanders and Comitissa CHAP. LXVII Of involuntary Pissing THis Disease consisteth in the hurting of the retentive Action of the Bladder Some are subject to this Distemper while they are awake which is the worst Others are subject to it sleeping onely which is not so bad because then the animall Functions are lesse excercised There are two Causes of this Distemper First the Weaknesse and Loosenesse of the Sphincter Muscle of the Bladder Or Secondly the exquisite Sense of the Bladder and the Sharpnesse of the Urine which stirreth up the expulsive Faculty with consent of the Will The first Cause is apparent in sucking Children weak people and such whose
vitall Heat is decayed and the Body oppressed with cold and moist Humours The other Cause you may discover in those whose Bladder nor Sphincter is no ways distempered but they imagine when the Quantity and Sharpnesse of the Vrine stirreth up the expulsive Faculty that they are pissing against the Wall and so get a custome of it which cannot be cured by Medicines The Sphincter Muscle may become weak or loose by Youth old Age decay of vitall Heat by the Palsy in Women from Diseases of the Womb or hard Labour cutting for the Stone or any Wound there or deep Vlcer This Disease is easily known and the cause thereof is as easily discovered if it come by Wound Vlcer old Age or the like it is apparent If it come by consent of other parts the Diseases of those parts are obvious as the original If neither of them appear consider the cold and moist Temper of the part which is known by the internall and external causes and the Effects upon them depending as Softnesse of the Body Whitenesse and Loosenesse of the Nervs about the privityes Childhood Age evill phlegmatick Concoction and such like In old Men this Disease is incurable because the vitall Hant cannot be repaired In Children Nature worketh the cure when they grow elder by drying up the superfluous Humidity and knitting the Muscle but if a man continue so till the Age of twenty or twenty five he is incurable If involuntary Pissing come to a man sick of an acute Feaver Death is at hand If this Disease come by a Wound or Vlcer or any other manifest Disease the cure depends upon the removing of them otherwise the cure is wrought by amending the cold and moist Distemper and the Loosenesse of the Sphincter Muscle First you must purge the cold and phlegmatick Humours add to your phlegm-Purgers such Medicines which purge and leav a binding Quality behind it as Rubarb Myrabolans and the like Then give Medicines that knit the part and dry the Humours Take of the Roots of Comphry and Cypresse of each half an Ounce Cypresse-Nuts and Myrtles dryed of each two Drachms Coriander Seed prepared red Corall Amber and Shavings of Ivory of each one Drachm the Seeds of Plantane Rue and Acorn cups of each two Scruples powder them and with the Sirrup of Comphry make an Opiate and give the Quantity of a chesnut Morning and Evening or drink half a Drachm of the powder in red Wine Sweating Medicines are much cōmended Things proper for the cure of this Disease are the Brain and Stones of a Hare burnt the Throat of a Cock Snails and Egg shells Mice fryed or dryed to powder Hogs Hoofs powdered Agrimony and the Gizzards of Hens in powder Apply Medicines to the Privityes that are hot strengthning and astringing Let him drink the Decoction of the inward Bark of an Oak of Sloes and such like and let him avoid drink to bedward You must allay the Symptomes which may accompany this Disease as Feavers Thirst Watchings Consumptions c. by the Remedies laid down in their proper chapters CHAP. LXVIII Of the Stoppage of Urine and Strangury THe Stoppage of Urine and the Strangury are Diseases which differ onely in degree the first is called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the other 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Iscuria is when the Urine is totally stopped when little is voided then it is called Stranguria The first is caused by an Obstruction in the Nerv which helpeth the expulsive Faculty of the Bladder by the Palsy or some sleepy or stupifying Disease A cold Distemper of the Bladder dulling the Sense thereof may be the Cause Sometimes an Inflammation or Tumor in the Muscle of the Bladder may stop the Passage the Stone some thick humor clod of Blood or the like Sometimes by long holding of Water by which the Bladder is so stretched that it cannot contract it self to open the Passage Sometimes the Bladder is empty no Urine cometh to it this is called a bastard Iscuria and may be caused by some hurt in the attractive or expulsive Faculty of the Roins The attractive Faculty is hure by some Stoppage in the Reins or emulgent Veins The Reins may be obstructed by the Stone thick Phlegm or the like the emulgent Veins by abundance of Blood or Water Sometimes the watry humour is spent as in Feavers or sent to some other part as in the Dropsy by which means the attractive Faculty of the Reins is hindered The expulsive Faculty of the Reins is hindered by the Stone Phlegm or clods of Blood Diag The Disease is easily known the Causes thereof may be obtained If it come by long holding the Urine the Patient is able to inform you If there be a stoppage in the part the use of the Catheter or fearing Candle and the ingenuity of the Artist will discover the Nature of the stoppage If the Passage be stopped by the Stone the Symptoms of the Stone have gone before If a Caruncle there hath gone before a Gonorrhaea or an Vlcerin the passage of the Yard If clods of Blood stop the Passage the Patient hath formerly voided Blood and clotted Blood will stick to the Catheter The Strangury is thus known there is neither Weight Tumor or Extension about the Privityes but rather an Emptinesse the attractive or expulsive Faculty of the Reins is obstructed as aforesaid Prognosticks are thus made This Disease is ever dangerous if it continue above seven dayes it is deadly The same judge if the Patient hath Hiccough or Tenasmus accompanying this Disease or if it came by a Wound or Blow upon the back-bone or if his Breath stink of Pisse The Cure of both these consisteth in removing the Causes If it proceed from the fullnesse of the emulgent Veins bleeding is good if from Diseases of the Reins or Ureters seek the Cure out of the Chapters that treat of the Pain Inflammation or Stone in the Kidneys If it depend upon the Inflammation of the Bladder see the 64 Chapter If upon the Stone fastned in the Neck of the Bladder lay the Patient upon his back with his Thighs lifted up move him hither and thither till the Stone fall out of the Passage if that will not do make use of the Catheter If the Stone lyeth in the Passage of the Yard bathe the Yard in warm Milk or Oyl labour to get it out with your fingers if it will not come out bind the Yard on each side and make an Incision on the upper side of the Yard If a Caruncle stop the Passage Medicines which are proper to take it away must be conveyed to the part with a Wax-Candle If Phlegm obstruct purge it with Medicines convenient and when you see occasion give such as provoke Urine The Chapters of the Stone of the Bladder or Kidneys will direct you how to prepare them as also Clisters Fomentations Unguents and the like CHAP. LXIX Of the Scalding of the Urine 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Dysuria in
thin plate of Lead about the Reins pricked full of holes Let the Patient's ordinary drink be Beer in which is tunned Mastick-wood sliced and cut small Plantane and the Herbs before named If the Liver be distempered with Heat conferr with the 53 Chapter If the Stone or Gravell be the Cause use no strong Diureticks because they provoke the Flux but that which I have known very effectuall in this case I shal here commend and put an end to the Chapter Take of the four greater and lesser cold Seeds of each one Drachm Quince Seeds half a Drachm the Seeds of Marsh-Mallows white Poppy and Winter Cherryes of each one Scruple make an Emulsion with the Decoction of Marsh-Mallows and give two three or four spoonsuls in the Morning and if you add a little Oyl of Vitrioll it will be the better Venice Turpetine made into Pills with the Powder of Rubarb half a Drachm taken in the Morning doth gently cleanse the Reins CHAP. LXXI Of the Green-sicknesse THis Disease is called by some the Virgins Disease the white Feaver the white Jaundice but vulgarly the Green-sicknesse It is an evill habit of the Body proceeding from the Obstruction of the Veins about the Womb Liver Spleen and Mesentery causing a heavinesse unweildinesse of the whole Body difficulty of Breathing panting of the Heart and Head-Ach a desire after Food that is evil and a loathing of good The Veins about the Womb being obstructed that Blood which Nature hath ordained to go thither having not free passage runs upwards and oppresseth the Heart Liver Spleen Diaphragma stops the Vessels and destroys the naturall Heat hence it cometh to passe that the Stomach and Bowels cannot concoct well as they ought to do so Crudityes are dispersed throughout the body and make an evill Habit. Sometimes by this means the Hypocondria is swelled which depressing the Diaphragma causeth Shortnesse of Breath This grosse Blood being carried in the great Artery to the Heart which least it should be suffocated by it labours for its deliverance often moving of its Arteryes causeth a Palpitation and Beating of the Temples The Stomach by this means being filled with Crudityes and excrementitious Humours causeth a Loathing of Food and a desire after such things which ought not to be eaten as Salt Chalk Coals Ashes Oat-meal Wheat Tobacco-Pipes c. which Disease is called Pica Malacia and we have spoken of it in the 35 Chapter of this Book This Obstruction is caused many wayes as drinking cold Drink to Bedward eating raw or unripe Fruits Some go to Feasts and upon a full Stomach dancing and sporting all Night disturb the naturall Frame of the Body and want Rest others sleep too much and sit long at their work as Seamsters Bonelace-makers and the like By these and the like means Concoction is hurt the naturall Heat is extinguished and the Body filled with crude Excrements and thick slimy Humours which cause Obstructions This Disease is easily known and you may know the diseased if you do but veiw their Faces which are pale and white sometimes of a Lead colour blew or green the Face and Eye-lids the Legs and Feet swelled The whole Body is unweildy and lazy When the body is stirred by Exercise or Walking especially going up a hill or steep place there followeth Palpitation of the Heart and Shortnesse of Breath Beating in the Temples and great Head-Ach behind if the Womb be obstructed before if the Hypocondria be afflicted there is great loathing of wholesome Meat and desiring the contrary the Pulfe is swift and quick as in a Feaver and when the Disease comes to the hight the Terms are stopped This Disease continueth a long time yet is seldom dangerous sometimes by long continuance it breeds Corruption in the naturall parts Dropsyes Feavers Consumptions which end in Death If the Veins of the Womb onely are obstructed a Husband will cure her Women that have a long time been in this condition bring forth weak and sickly Children and sometimes they are barren This Disease is cured by opening the Obstructions evacuating the filthy Humours and strengthning of the parts The Obstructions are opened by such Medicines as are mentioned in the cure of the Obstructions of the Liver and Spleen you may add to them such things which respect the Womb as Mugwort Fetherfew Pennyroyall c. If the Spleen be obstructed add such things which are proper for that as Caper-bark Ceterack Spleenwort c. Open the Saphaena or Ancle-Vein but first if the Maid be full of Blood open a Vein in the Arm. Then purge often with such Medicines as are prescribed in the Cure aforenamed and make use of such Medicines as powerfully open Obstructions there prescribed Zacutus Lusitanus doth much commend the Conserve of Mugwort given thirty dayes together drinking after it a little of the distilled Water of Savin in which Rubarb hath been infused The Salt of Mugwort is very good and Faecula Brioniae mixed with the Conserve hath an effectuall and powerfull operation If the Obstructions are stubborn and not easily opened make a Bath thus Take of the Roots of Marsh-Mallows Briony Elder and Lillyes of each two pound Balm Fethersew Mallows Mercury Maddir Mugmort Nep Pennyrorall and Violets of each three Handfulls the Seed of Flax and Fenugreek of each two Ounces boil them in a sufficient Quantity of Water and let the Patient bathe her self in the Morning and Evening two dayes let the Decoction be renewed the second day The next day open the Vein under the Ancle if the Terms be stopped as for the most part they are in this Disease then give Medicines that powerfully open Obstructions when you find that the Obstructions are opened which you may easily perceive by the decay of the aforenamed Symptoms then you must discusse the peccant Humours that remain in the Veins and other parts of the Body by Sweats for which you must use the Decoction of Guajacum in cold constitutions or of China and Sarfa in those that are hot In the mean while every fourth or fifth day give a purge to cleanse the Body of the crude Humours which cannot be sent forth by Sweat CHAP. LXXII Of the Stoppage of the Terms MEnsium Suppressio or the Terms stopped is when a Woman of ripe Age hath little or no Evacuation of Blood by the Womb once in a Month yet gives not suck nor is with Child Divers Diseases of the Womb may cause this Suppression viz. A cold and dry Distemper which thickneth and bindeth the Womb. A hot and dry Distemper dryeth the part Inflammation Tumor Ulcer or Erosion of the mouths of the Vessels in Abortion or Tumor in the adjacent parts by compression may cause this Stoppage The Vessels of the Womb may be obstructed by thick and phlegmatick Humours or they may be compressed by a Tumor in the parts adjacent The cause may be in the Blood when it offends in Quantity Quality or Motion in Quantity when there is
Inflammation imposthumate and gather Matter the pain and Feaver encreaseth and the Patient hath shaking Fits and most of all about the Evening Sometimes it turns to an Ulcer which is known by avoiding of snotty Matter or Quittor out of the Womb. If it be party-coloured greenish or Lead coloured stinking and cometh away with great pain it is the worse If it depend upon the French Pox or Gonorthaea their Symptoms will declare the same Sometimes the Inflammation turns not to an Imposthume nor Ulcer but to a painlesse hard Swelling called a Schirrus which is thus known the Feaver and pain ceaseth and the Swelling remaineth there is a hardnesse heavinesse and Sense of Weight bearing down when the Woman standeth As to the Prognostick I shall say a word or two of either of them An Inflammation of the Womb is a dangerous and de adly Symptome especially if the whole Womb be inflamed If a Woman with Child suffer Inflammation of the Womb the Child dyeth and probably the Mother followeth Ravings Hiccoughs Coldnesse of the Hands and Feet and cold Sweats are the Messengers of Death If it imposthumate and turn to an Ulcer it ought not to be slighted because the Womb is of exquisite Sense and hath a fellow-felling with the principall parts of the Body If the Ulcer turns cancrous hollow or fistulous it is seldom or never cured but vexeth the Patient miserably all her life-time An Ulcer in the Neck of the Womb is most easily cured because Medicines may be applyed to them immediatly A Schirrhus or insensible hard Swelling is seldom cured because the naturall Heat is so weak in that part that it can hardly discusse such an hard and almost stony Substance If it be not cured it soon brings a Dropsy and if it be tampered with with over hot and moist Medicines it turns to a Cancer The Cure you must prosecute thus First in the Inflammation of the Womb give a cooling Clister then open the Basilick Vein on the same side the Womb is inflamed if all the Womb be inflamed repeat your Phlebotomy afterwards open the lower Veins Rubbings and Bindings are good and Cupping-Glasses fastened to the Loins and Back Purge the Humour offending with such things as purge gently Then give cooling Juleps or Emulsions to allay the Heat and sharpnesse of the Humours mix therewith Narcoticks to give ease and rest if the Patient be tired out Apply cooling Liniments and Cataplasms In Liniments use the Oyl and Ointment of Roses Galen's cooling Ointment Ceratum Santalinum and such like and with the Oyl of Roses white Bread and Milk make Cataplasms adding the Juyce of Henbane Night-shade Plantant and Sorrell or instead of the white Bread the Meal of Barly Flax and Fenugreek Seed Of such cool Herbs make Injections and Pessaries But use not cooling and repelling too long lest the Tumor be fixed and hardned but rather use softning and discussing Medicines with repelling such as these viz. Marsh and cōmon Mallows Mugwort Melilor Camomill Fenugreek If the Patient be subject to be costive give gentle purgers or mollifying and cooling Clisters If the pain be very violent make Injections with new Milk and a little Opium and make Pessaries of Philonium Romanum and a little Cotton and apply it If it tends to Suppuration apply a Cataplasm made of the aforenamed softning Herbs fat Figs Yolks of Egs Saffion Oyl of Lillyes and fresh Butter When it is broken we must endeavour to purge out the Quitter and cleanse the Ulcer You must often purge with gentle Medicines as Senna Rubarb Tamarinds Mirabolans Agarick Catholicon and such like that the evill Humours may be diverted from the Womb for such who are easy to vomit a gentle Vomit is very profitable Make a vulnerary Drink to cleanse and heal the Ulcer Take of Agrimony Burnet Mugwort Knot-Grasse Plantane and Yarrow of each one Handfull China Root half an Ounce Rha Ponticum one Ounce Currance and French Barly of each two Ounces boil them in Chicken-Broth and let the Patient take somewhat more then a Quarter of a Pint Morning and Evening Venice Turpotine washed in Mugwort Water or in the Water of any other Herb respecting the Ulcer is good to cleanse and heal it If the Humours be sharp and painfull inject the Emulsion of the cold Seeds Goats Milk or for want thereof Cows Milk with the Juyce of Shepherds Purse or of any of the Herbs aforenamed To dry and fill up the Ulcer make a Decoction of the aforenamed Herbs or of the like Nature made in Water wherein Steel hath been quenched or in Plantane Water add thereto Acacia Hypocistis Sanguis Draconis Bolearmenick fine Starch Aristolochia rotunda great Comphry c. Unguentum Egyptiacum de Plumbo de Ceruso and de Apio are very good in Injections and the Oyl of the Yolks of Egs stirred in a Leaden Morter is much more commended If the Ulcer in the Womb come by reason of the French Pox a Fumigation made of Cinnabaris or Minium taken into the Cavity of the Womb hath a peculiar property to cleanse and heal the Ulcer the same virtue hath Quick-Silver Ointments If it come to a Schirrhous Tumor you must purge the melancholy and rebellious Humours and give steeled and such Medicines which powerfully open Obstructions of the Womb or other parts Then you must prepare emollient and resolving Medicaments to be applyed outwardly as the Fomentation and Cataplasm mentioned in the 56 Chapter Of the Schirrbus of the Liver Likewise the Liniment there prescribed may serve here for an Injection To conclude you must use a great deal of care diligence and industry in this Cure lest that the Tumor become harder or which is most dangerous degenerate into a Cancer CHAP. LXXVII Of the Womb swelled by Wind or Water There is a twofold Dropsy of the Womb one from Wind which is like that sort called Tympanites the other from a watry and wheyish Humour answering to Ascites Some add a third answering to Leucophlegmatia which is seldom seen This Wind or Water is contained in the Cavity of the Womb or in the Membranes thereof or in certain Bladders It is caused by the weaknesse of naturall Heat in the Liver or Spleen from which parts Wind Phlegm or wheyish Humours are sent to the Womb or by the weaknesse of the Womb those Humours are collected Causes which weaken the naturall heat of the womb are many viz. cold aire heedlesly taken into the womb or staying in the cold or padling in cold water whilst the courses flow the use of cold meates and drinks add to these abortion hard labour immoderat flux of the Termes all diseases proper to the Womb. This disease is best discovered by signes which distinguish between this and the universall Dropsy of the Belly The Womb-Dropsy causeth a swelling chiefly in the lower Belly in the other Dropsy the swelling is in all parts in this the Body decays not nor there is not such a Thirst and Drinesse of
known by a fat and oyly Urine chollerick fat clammy and stinking Stools the Nose sharp and a sudden Consumption of the whole Body I need not tell you how shivering or tumbling and tossing Feavers are known Elodes is known by inordinate Sweats abundance of Urine and thick by reason of Putrefaction the Stools shew an apparent Wasting and the losse of Strength doth manifest the same Syncopalis Febris is known by the swooning Fits Epiala by Heat and Cold felt together and Symptomatick Feavers from the Diseases from which they proceed Signa Prognostica Synochus putrida is not without danger If Signes of Concoction appear about the fourth day the Disease will terminate about the seventh day If Concoction appear not and the Patient's Face is swelled it will continue long The redder the Urine is the better if Concoction appear but with Signes of Crudity it threatens death White Urine is worst and threatens death Chollerick Feavers are acute and dangerous and so much the more as the Symptomes are violent and encreased above the naturall Temper of the Patient A continuall Quotidian continueth long for the most part because of the thickness of the Humours the more Evacuations the better beware lest it degenerate into a Chachexy or Dropsy A continual Quartane is rare sometimes the quartane Ague degenerates thereunto is deadly for the most part The melting sweating shaking tūbling swooning Feavers are dangerous Symptomatick Feavers are to be judged from the excellency of the part affected the Nature of the Distemper and the Validi◅y of the Patient's Strength Medicines in a cholerick Feaver ought to be cooling and moistning in phlegmatick and melancholy more warm and attenuate Let the Air be cold and moist let cool Water be sprinkled upon the ground with Herbs and Flowers let the covering of his Bed be light and thin Let his diet if he eat any thing be very sharp thin and slender Let his drink be Barly Water and his Meat Barly Broths Pavados and such like If the Feaver be of long continuance let the Sick make use of a fuller Diet viz. of the Broth or Flesh of Chickens Hens Capons Partridges Veal Mutton or Gellyes made with them In his drink or Barly Water let cool Herbs be boiled and give it a gratefull Rellish with Spirit of Vitriol If the Feaver arise from not and thin Choller or if there be a Consumption of the Lungs Inflammation of the Stomach bloody Flux Ulcers of Kidneys and Bladder or Pissing of Blood sharp things are not good but rather such things as gently thicken as Barly Water with Sirrup of Violets or of dryed Roses Sleep is very good and Watching hurtfull yet overmuch Sleep doth overwhelm the naturall Heat and hinder Evacuation which ought to be made and nothing to be retained which ought naturally to be expelled First Blood-letting doth diminish Plenitude of the Body and Veins pulls back the Humours which cause Obstructions cooles the Body and makes it perspicable keeps back Putrefaction and furthers Concoction Therefore after the Patient hath had a Stool by Clister or otherwise open a Vein and bleed the Patient according to his Strength and present State But this observe that you bleed not in the extremity of the Fit When Weaknesse or Age will not permit a Vein to be opened Copping-Glasses must be applyed Frictions must not be used but in swooning Feavers After you have let Blood once twice or thrice if you see occasion come to purge the morbifick Matter the Medicines for this intent must be Cassia Manna Tamarinds Catholicum Electuarium lenitivum Diaprunum simplex Sirrup of Roses and of Succory with Rubarb Some do object against Rubarb for its Heat Manna and Sirrup of Roses because it is sweet and soon turned into Choller but being mingled with cool things or given in cool Waters they can do no hurr If the Stomach is much afflicted and the Patient is troubled with Vomiting you must understand that Nature endeavours to cast out her enemy that way she ought to be assisted by a Vomit The gentler sort and such as are to be chosen for weak people is the Oyl of Almonds or common Oyl given in Barly Water you must give a Pint at the least or else it will hardly work the effect Sirrup of Vinegar or Oxymel given in the Decoction of Radishes Every day or every other day give an emollient and refrigerating Clister such as Barly Mallows Violet leavs and Mercury Flowers of Camomill and Melilot Seeds of Dill and Fennell c. cooling Herbs are Lettice Endive Succory Housleek a Blade or two Water-Lillyes dissolve therein Cassia Catholicon Diaprunum simplex the Hony of Violets and Mercury Oyl of Water-Lillyes Violets c. If the Disease spring from Phlegm leave out the cooling Herbs and dissolve in it Hiera Picra Diaphaenicon Hony of Roses and Mercury Oyl of Camomill Dill or common Oyl No absolute and perfect Purgation ought to be administred till the Morbisick cause be ripened and digested which must be done by Juleps thus Take of the distilled Waters of Endive Succory and Sorrell of each two Ounces Sirrup of Lemmons and Violets of each one Ounce and an half a little Oyl of Vitriol to sharpen it make a Julep and let the Sick take a Spoenfull or two often Or you may make a Decoction of the Roots of Sorrell Succory Maiden-hair Endive Dandelion Tamarinds and such like and make a Julep with the aforesaid sirrups or the Sirrup of Vinegar and Pomgranats If the Choller by its sharpnesse cause a Flux make Juleps which have a thickning Quality Take of the waters of Lettice Purslane and Plantane of each three Ounces the Sirrups of Violets and Water-Lillyes of each one Ounce of red Poppyes half an Ounce mix them and make a Julep If the Feaver comes from a phlegmatick cause you must give things more cutting and attenuating as a Decoction of Agrimony Maiden-hair Betony Carduus Benedictus and the five opening Roots Liquorish Raisons and such like and the Sirrups of Vinegar Maiden hair and Byzantius and Spirit of Vitriol If it proceed from Melancholy make a Decoction of Ceterach Burrage and Buglosse Maiden-hair Fumitory Dedder scordium the Bark of Ash Capers Tamarisk and with any of their Sirrups viz. Fumitory Buglosse c. make a Julep Or with such like Ingredients according to the Nature of the peccant Humour you may make physicall Broths or Emulsions and Almond Milks Likewise of the aforesaid Ingredients you may make Epithems Ointments and such like to cool and well temper the Liver Altering and preparing Humours used for some dayes together you may make bold to purge with Scommoniate Medicines as Diaphaenicon Diaptugū soletivum Electuarium de succo Rosarum and Diacarthamum and such like whose Doses you shall find in the last Book To strengthen dejected Nature make use of the Conserve of Buglosse Roots the leavs of Sorrell and Wood-sorrell the Stalks of Lettice the Flowers of Burrage Buglosse Violets Succory Roses Pulp of
Feavers In the Bastard add Agarick Catholicum Diaphaenicon Sena and such as the judicious Physitian shall judg suitable in respect of the Patient's Constitution and the Humors offending But to every Medicine cream of Tartar may be added for it openeth cleanseth and cools If the Patient be subject to vomit go that way to work as I said in the last Chapter Open a Vein draw Blood as often or as much as you see occasion Prepare the Humours with Juleps as you are taught in the last Chapter then purge If the Humours be stubborn and the Fit continue make a Decoction of Wormwood and Century with cool Herbs to qualify the Heat it is much commended after the use of that purge again If there be a Distension under the short Ribs apply an emollient attenuating and strengthning Fomentation What ever part of the Body is ill disposed have a regard to that in all your Medicines The Spirit of Sulphur is much magnified for extinguishing the Heat of Feavers and if the Humours be thin it sends them forth by Sweat give from half a Scruple to a Scruple in four Ounces of Purslane Water Or you may give it thus Take of Salt of Wormwood half a Drathm Spirit of Sulphur a Scruple Carduus Water four Ounces mix them and give the Patient to drink when the Fit approcheth and lay him to sweat Those things which are usually laid to the Wrists by the common people are not to be despised I shall not insert them nor more Receipts for the cure of this Ague First it being my cheifest end to describe the Causes and Signes of Diseases Secondly almost every womans Head is full of Medicines against an Ague CHAP. LXXXVIII Of the Quotidian or every day-Ague THis Ague is caused by Phlegm putrefying in the first Region of the Body therefore all things that breed Phlegm in the Body may be the Cause thereof The Diagnostick signes are such as testify Phlegm to abound in the Body as white colour pale dull Sense Softnesse and Fatnesse Profoundnesse of Sleep and Droaming of Water It comes with a cold shlvering little or noe shaking and for the most part it comes in the Night After the cold Fit the Patient feels Heat but mildly not scorching little Thirst the Pulse is small seldom and slow there is a Distension about the short Ribs the Fits appear more intense or remisse last longer or shotter as the Phlegm is simple or mingled with other Humours the Fit commonly lasteth twelv hours and then leaveth a feavourish Fit behind it Sometimes it lasteth twenty four hours and is almost like a continuall Feaver There is a difference found in respect of the Nature of the Phlegm for salt Phlegm makes the Patient thirsty sharp Phlegm hungry sweet Phlegm sleepy If the Phlegm hath no Tast it maketh him without Appetite Acid or glassy Phlegm by reason of its Coldnesse causeth shaking This Disease for the most part continueth long and is not without danger because it sometimes degenerates into a Cachexia Dropsy or Lethargy The Diet and Medicines must be such as have an extenuating cutting and dividing Quality The Cure must be performed almost in the same Manner as the bastardly Tertian Zacutus Lusitanus doth much commend the Decoction of Roman Wotmwood and Camomill Flowers if five or six Ounces be adminisred And the Decoction of China and Guajacum for many dayes but beware it dry not too much CHAP. LXXXIX Of the Quartane Ague AN intermitting Quartane is caused of Melancholy putrifying in the Body There are two sorts of Quartan Agues viz. a Legitimate and a Bastard Quartane a Legitimate is bred of naturall Melancholy which is the carthly part of our Nourishment in quality cold and dry The bastard Quartane is bred of preternaturall Melancholy which is bred of adust Choller and is hot and dry or by Melancholy mixed with adust Choller A Quartane Ague is either single double or triple the single is that which comes every fourth day The double is when two Fits happen upon two dayes one after another and the third day none The Triple Quartane is when Fits come every as in a Quotidian and double Tertian Diagnostick Signes of a Quartane are the Ague coming every fourth day and Melancholy abounding in the Body it begins with gaping and stretching heavinesse of the Body shivering and shaking follows as if it would break the Patient's Bones The Pulse is seldom and slow the Urine watry thin and white after a while it is higher coloured and thicker The bastard Quartane for the most part follows other Feavers or Agues by which Adustion of Humours is made and in it the Feaver Heat and Thirst is more violent and all the Symptomes are greater because the Humours are thinner A double Quartane is known by the course of the Fits A triple Quartane is distinguished from a double Tertian or Quotidian by Melancholy abounding and by the course of the Fits and chiefly in this that at first it was a simple or double Quartane Prognosticks are thus made This of all Agues is the longest of Continuance some continue half a year some a year and some longer It is good in this Ague for the Patient to void black Urine The bastard Quartane is not of so long continuance as the Legitimate because it proceeds from thinner Humours then the other The Legitimate is not so dangerous as the other which hath many times dangerous Symptomes especially if the Liver Spleen or any of the interior parts be damnified because it is sometimes degenerated into a Dropsy If any aged above sixty fall into the Quartane Ague it proveth mortall If the intermitting Quartane degenerate into a continuall it is for the most part deadly To bleed at the Nose in a Quartane Ague is but a bad Sign because the morbifick Humours are too thick for such an Evacuation If a bloody Flux come upon a Quartane Ague and continue but a while it is good A bastard Quartane is cured almost with the same Medicines which have been prescribed for the Cure of a Tertian to them adding such Medicines as regard Melancholy and free the Spleen from Disaffection Seeing the Legitimate Quartane is caused of Humours that are cold and dry thick and earthly we must use Medicines that do heat moisten and attenuate Let the Patient's Diet be heating and moistning of good Juyce easy of digesture and of thin substance as rear Egs yong Animals and Birds of Mountains Fishes of stony Rivers among Herbs Borrage Buglosse Spinach Fennell Parsly and Turneps Crato doth much commend the Broth of Turneps of Fruits Almonds Apples stewed Prunes Figs Raisons Dates and Pine-kernells Let him abstain from all Meats which are of a thick and clammy Substance and of hard digesture let him drink small Ale or Beer let him eat moderately and on the Fit day six hours before the Fit cometh let him be very moderate in drinking for much drink fills the Spleen and makes the Disease rebellious Having thus
ordered his Diet give him a gentle Purgation by Clister Take of Mallows Camomill Mercury and Beets of each one Handfull Polypody of the Oak an Ounce and an half Epithimum half an Ounce of the four greater cold Seeds and of Annis and Fennell of each two Drachms boil it in Posset drink to a Pint strainit dissolve therein Catholicon and Hony of Roses of each one Ounce the Oyls of Violets and Camomill of each one Ounce and an half mix all and make a Clister Then purge the Melancholy Humour by some gentle Medicine beware of a strong purge in the beginning before Concoction lest you inflame the Humours and turn the Disease to a continuall or at least to a Double or Triple Quartane Make a gentle Purgation thus Take of Fumitory Buglosse Maiden-hair of each one Handfull Polypody of the Oak Liquorish and sweet Fennell Seed of each half an Ounce boil them when they are boiled infuse or gently boil half an Ounce of Senna till the Liquor come to three or four Ounces dissolve therein Manna and Sirrup of Roses of each one Ounce for a Potion give it the next day after the Clister After purgeing open a Vein in the left Arm unlesse you find the Liver out of order then you must open a Vein in the right Arm if the Blood be black and impure draw the more Most do let Blood upon the well-day some will have it done on the Fit-day before the Fit because the Humours then begin to stirr Zacutus Lusitanus will have it done when the Moon is at the full because by the Moons Influence the earthy and melancholy Humour is made more fluid and apt to come away It is good to open the Haemorrhoids if your Patient hath been inclinable to that Evacuation if your Patient be a Woman provoke the Menstrues if they be stopped and open the Saphaena The opening of the Vena Salvatella is much approved of Likewise you must make Decoctions Broths or Juleps to prepare and concoct the Humours for which purpose these Simples are good viz. the five opening Roots and the Root of Succory Liquorish and Buglosse Bark of Tamarisk The Leavs of Burrage Buglosse Ceterach Maiden-hair Fumitory Germander ground-Pine Wormwood and Century the three cordiall Flowers of these you may make Decoctions and sweeten them with Sirrupus Bizantius or Sirrup of Maiden-hair After the use of these preparatives purge the melancholy Humour and between the dayes you purge give a Clister this observing that you often change your Medicines and continue in the course a long time for the melancholy Humour is not soon evacuated and that is the reason that so few are cured of this Disease because few will observe the Rule of the Physitian or have patience to take his Medicines Vomits in the beginning of this Feaver are commended by all of Asarum a Drachm given in white-Wine is of an excellent Faculty In the declination of the Disease Diaphoreticks may be given to discusse the reliques of the Disease the Decoction of the Roots of China Sarsa are good and Venice-Treacle hath great virtue You may anoint the back-Bone with a Liniment made of some of these Oyls viz. of Dill Camomill Orice Costus Rue Bayes and Spike in a small Quantity mixing with them Treacle Cloves Mustard Seed Castoreum and the like of these an ingenious Man may compound a Liniment to anoint the Back bone one hour before the Fit then lay him to Bed and lay hot Tyles wrapt in cloaths to his Feet and Hands and lay him in a Sweat To conclude great care ought to be had of the Spleen for in this Disease the Spleen is disaffected and obstructed The 59 Chapter will furnish you with such Medicines CHAP. XC Of the Pestilence HAving briefly treated of most Diseases that the Body of man is incident to I thought it convenient to write a word or two of the Pestilence But considering how many larger Treatises thereof are at this day extant I could have willingly omitted it but hoping my Mite will not onely be acceptable but beneficiall I thought good to epitomize this as well as the rest This Disease afflicteth Nature not onely by a bare Distemper or Heat arising from Putrefaction but also by a malignant and venemous Quality by which means it becomes popular and epidemicall Before we goe any farther know that those Feavers which we call malignant or pestilentiall vulgarly spotted Feavers are of the same kind with the Pestilence and are cured by the same means The causes of the Pestilence are either internall or externall the internall causes are immediate or mediate The Immediate cause is a Corruption of the Humours with Putrefaction the venemous Quality is bred of Corruption and from Putrefaction the Feaver is bred The Mediate causes are Fulnesse of Blood which Nature cannot master but easily turnes to Putrefaction Abundance of evill Humours is easily corrupted and putrified to these joyn Obstructions which is a great means to breed such Diseases for such Humours close shut up in the Body and having no Evacuation not Transspiration must of necessity putrify But Obstruction is not a principall cause of this Disease for the venemous Quality is received by drawing in of the Air by which Venom the Humours are changed from their naturall condition and of their own accord putrify The externall Causes are First the Air which becomes hurtfull to men first if it be not blown through with wholesome Winds as Hippocrates observeth speaking of a grievous pestilentiall year that in that year there were few Winds Secondly the Air may be vitious by putrid Exhalations as of Lakes Pools Fish-ponds or other standing Waters or from Bodyes unburied which have been slain in Battail Thirdly the Air may become hurtfull by Excesse or the praeposterous condition of the first Qualityes as Excesse of Heat Cold Drithe or Moisture of which I could lay down manifold Examples which befit not my small Volume Inequalityes of Seasons must be acknowledged as a cause when it is sometimes hot and sometimes cold sometimes dry and suddenly Moisture follows one while vehemently hot and suddenly very cold or after a violent wet and moist time a sudden and extream Drouth a hot Winter and a cold Summer Next to vitious Air is a bad Aliment and Diet when the Fruits of the Earth by a bad Temperature of the Air are corrupted or when by reason of Scarcity the Poor are fain to feed on unwholesome Diet whence the proverb came the Plague followeth the Famine or a great Plenty following a Famine when the poor gorge themselves which for want of Heat and a good Disposition of Body cannot be digested but turns to Putrefaction Add to these the malignant Influence of Saturn Jupiter and Mars in humane Signes by which the Constitution of the Air and the Bodyes of men are changed and corrupted for all Philosophers by common consent acknowledge that inferiour Be dyes are governed by the heavenly Constellations To this kind we must add
drachm to a drachm Take them at night and continue taking them a week together Pilulae Mastichinae Mastick Pills They strengthen and purge the Stomach Brain Belly and Reins Take them as the former Pilulae Mechoacanae Pills of Mechacan They purge Flegm with violence The dose is from a scruple to half a drachm Pilulae de Opopanace Pills of Opopanax It purgeth cold Humours from the Joynts and Nerves is good against the Gout and Palsie Take a scruple or half a drachm in the morning Pilulae Rudii It purgeth Choller Flegm and Melancholly from the head and other parts of the body it is quick in operation safe and the best of Purges The dose is from one scruple to half a drachm Pilulae Russi They are preservative in Pestilential Times and evacuate malignant humours and such as are gotten by Surfeits and strengthneth the Vitals The Dose is from a scruple to a drachm take them to Bedward Pilulae sine quibus Pills without Which It purgeth Choller and Flegm from the Brain it is good for Ophthalmia caused by Choler and is good â—n the Bastard Tertian The Dose is from half a drachm to a drachm Pilulae Stomachicae Stomach Pills It strengthneth the retentive and digestive Faculties of the Stomach and cleanseth it of offensive humours The dose is from one drachm to two Pilulae Stomachicae cum Gummi Stomach-Pills with Gums They are of the same nature with the former they are stronger in operation The dose is a drachm take them in the morning early and sleep after them Pilulae de Succino Pills of Amber It is friendly to the Womb and takes away the causes of Sterility and helps Conception purging Choller and Flegm and leaves a binding and strengthning quality behind it The dose is from a scruple to a drachm take them at night Pilulae ex Tribus Pills of three things Strengthen the Stomach and Liver open Obstructions helpeth the Yellow Jaundise and frees the body of Cholerick Humours which cause the Itch and Scabs The dose is from one scruple to a drachm take them at night Pilulae Turpeti aureae They purge Choller and Flegm strengthen the Stomach and Liver Take them as the former Pilulae Azaiereth It strengthneth the body evacuateth Choller from the Veins and Chollerick Flegmatick and putrid humours from the Stomach and is a good preservation in Pestilential Times The dose and manner of taking them is the fame Pilulae ex Bdellio Pills of Bdellium They are good in the immoderate Flux of the Terms and Hemorrhoids The dose is half a drathm Pilulae de Rhabarbaro Pills of Rubarb They evacuate Chollerick Humours help the Jaund se open Obstructions of the Liver and strengtheneth the Stomach Take them at night from a scruple to a drachm Pilulae Arabicae It removeth the Diseases of the Head as the Vertigo and Megrim it makes a man merry it preserves his Mind in vigour clears the Sight repairs Hearing lost and frees the Stomach of vitious humours Take in the morning from one scruple to four Pilulae Arthriticae It helps the Gout and other Joynt-Griefs or whatever Disease hath its original from Flegm Take from one drachm to four scruples in the morning Pilulae Fumariae Pills of Fumitory This Pill is good for such as are troubled with Scabs Itch and such like for it purgeth Chollerick and adust Humours and falt Flegm The dose is from two scruples to a drachm take it in the morning Pilulae Indae It generally purgeth Melancholly therefore necessary in all Melancholy Diseases as Cancers Leprosies Quartan Agues Pains and Tumors of the Spleen Sadness Fear c. The dose is from half a drachm to four scruples take them in the morning Pilulae Luis Majores They are given with happy success in Diseases of the Eyes it purgeth Flegmatick and mixed Humours from the head and strengthneth the visive virtue Take them as the former Pilulae de Euphorbio Pills of Euphorbium They are good against pains in the Loins Dropsies and Gouts coming of a moist cause half a drachm is a sufficient dose Pilulae Scribonii They are good against spitting of Bloud Ptisicks and the like Take a scruple going to bed Pilulae de Cynoglosso de Styrace Pills of Hounds-Tongue and Styrax They are both good against a Defluxion of hot Rheums upon the Lungs or other parts against Cold caused by Defluxion and provokes sleep Take one scruple or two if you find your body strong Laudanum Nepenthes Opiatum It mittigateth violent pains allayeth the Fumes that trouble the Brain in Feavers and provoke sleep Beware how you give such Medicines in the beginning of Feavers The dose is from one grain to four CHAP. VIII Of Powders POuders may be made of any Hearb Flower Root Mineral Stone c. and they are varlously compounded as followeth Aromaticum Caryophyllatum Take of Cloves 7 drachms Mace Zedoary Galanga the less Yellow Sanders Troches Diarrhadon Cinamon Wood of Aloes Indian Spicknard Long Pepper Cardamoms the Less of each one drachm Red-Roses four drachms Gallia Moschata and Liquoris of each two drachms Indian Leaf and Cubebs of each two scruples beat them all into Powder It strengtheneth the Stomach and clears the Vital parts stays Vomiting breaks Wind and helps Digestion Take a drachm or two Aromaticum Rosatum It strengtheneth the Stomach Heart and Brain and is good against Swooning Palpitation Convulsion Epilepsie and such like it discusseth Wind and strengtheneth the Natural Parts and is profitably given in Consumptions The dose is from half a drachm to two drachms Puluis ex Chelis Cancrorum composiuts Or the Pouder of Crabs Claws compound Otherwise called Gascoins Pouder It is very good in Feavers either intermitting putrid or malignant it is of known virtue in the Small Pox and Measels it is very cordial chears the Heart and Vital Spirits The usual dose is from one grain to twelve Species Cordiales Temperatae It is a great Cordial strengtheneth both Vital and Animal Parts and is often prescribed among other Cordials The dose commonly is from a scruple to half a drachm Diacalaminth Simple and Compound It heats the body and cuts gross humours it expels Wind and opens Obstructions provokes Urine and the Terms and cleanseth Women in Child-bed The dose is half a drachm Dianisum It powerfully discusseth Wind from the Stomach and raw Humours and removes Flegmatick Humours which causeth a Cough Take half a drachm or a draclim being made into an Electuary Pulvis Radicum Ari compositus Powder of Aaron Roots compound It provokes Urine and the Terms expels the dead Child and After-Birth and cleanseth the Womb and easeth Fits of the Mother cleanseth the Stomach of tough humours and is a good Antidote say some against poyson Give a scruple or half a drachm Diaires Simplex Or Pouder of the Root of Flowerdeluce It is good against Coughs make it into an Electuary with Honey or some Pectoral Syrup and take it with a Liquoris Stick
the Tongue as in the other and Wind and Water sometimes bursteth out at the Mouth of the Womb. Secondly to distinguish between the sorts of these Dropsyes consider if Wind be the Cause the lower part of the Belly being struck giveth a Sound thence is a pricking pain in the Belly which reacheth to the Diaphragma the Womb riseth like a Globe towards the stomach Wind bursteth our of its Neck and the Patient is subject to Belching and when she breaketh Wind she findeth some ease If a watry wheyish Humour be the Cause the part appeareth soft and flaggy with a Noise of Water and great Heavinesse If from Phlegm it will be more soft and the parts adjacent as well as the Womb have a phlegmatick Swelling Thirdly you ought to consider whether this Disease hath its originall in the Womb or by consent of other parts thus if there appear Symptoms of the whole Body or some part thereof to be misaffected viz. if there be long Feavers or a Flux of Blood Distillations from the Head Weaknesse of the Stomach Swelling of the Liver and Spleen and other stubborn Diseases in those arts judge that the Womb receives its Distemper frō some of these parts On the contrary if the Body and all the parts are in good health saving some particular Disease of the Womb then judge that the Disease hath its originall in the Womb. Fourthly to know whether the Wind or watry Humour be in the Cavity of the Womb or in little Bladders take these two Rules that if it be in the Cavity of the Womb it maketh a greater Swelling and more Water flows out at the Neck of the Womb. Secondly if little Bladders of Water come forth it is an evident Signe that the Water or Wind is not contained in the Cavity of the Womb. Fifthly this Womb-Dropsy is easily distinguished from Tumors of the Womb caused of blood or Choller because there is no Feaver nor pain in the touching of it it differeth likewise from a schirrhous Tumor for it is not so hard as not to yeeld to the finger Sixthly it is very convenient to distinguish between this Disease and a Woman's being with Child when a Woman begins to be big with Child the bignesse of her Belly buncheth out in this Disease it is depressed and flat in the first the Woman's Dugs do swell in the latter they become extenuated and smaller Women with Child after a while grow better and better but in this Disease they grow worse and worse Again the Child is manifestly perceived to stir Lastly you must distinguish between this Disease and the false Conception Mola thus in Mola Women find a great heavinesse in their Wombs and when they turn toly on either side it roules like a Stone to that side again they that have conceaved with Mola for the most part have a violent Flux of their Terms every third or fourth Month and lastly the Dugs swell and sometimes have Milk in them which things never happen in this Womb-Dropsy Sometimes this Disease cometh not to the height but proveth an Inflation if it continueth if the Humour be void of Putrefaction though it continueth long yet it is curable nay sometimes it floweth out of its own accord If wind or water be in the cavity it is evacuated with more ease then if it be shut up in Bladders If the Humour be malignant and sharp it produceth the like Symptoms and is dangerous for the most part deadly You must begin the Cure with Phlebotomy if the Disease hath its originall from the Terms and the Body be plethorick other wise it will much hurt because natural Heat is much weakned thereby Then you must give such things as have power to purge open provoke Sweat and move the Courses you need go no farther then to the 58 and 71 Chapters treating Of the Dropsy and Green-Sicknesse Give a gentle Vomit twice a week if the Woman be easy to vomit The Heat of the Stomach must be cherished and maintained by Medicines prescribed in the Chapters treating of the Diseases of that part and the Womb must be strengthned and the peccant Humours discussed by Fomentations or Baths made of the Decoction of the Roots of Briony wild Cucumber and horse Radish the Leavs of Dwarf-Elder Mercury common Elder Origanum Calamint Rue Sage Wormwood Marjarom Mugwort Pennyroyall Time the Seeds of Annis Fennel Broom Carrots Cummin Bay and Juniper the Flowers of Camomill Melilot and Rosemary If it be a windy Dropsy a dry Fomentation will be much better Afterwards anoint with the Oyl of Nard Rue Wormwood Dill and Southernwood Give frequent Clisters and Injections to evacuate the Humours contained in the Womb then make Pessaryes of Coloquintida Elaterium Mechoacan and such like with Hony and apply it Nitrous and sulphurous Baths do profit much and if the Disease proceed from Humours falling to the part let Issues be made in the Thighs CHAP. LXXVIII Of the falling down of the Womb. SOmetimes the Womb looseth its natural Scituation and falleth down to the water-gate sometimes out to the very Thigh All things that may cause a Rupture or Relaxation of the Ligaments of the Womb may be a cause of this grief as a Blow Fall dancing leaping lifting carrying violent sneezing or coughing especially in Child-bed or being big with Child Tenasmus hard Travel a violent drawing the Child out of the Womb or of the after-birth or the expulsive Faculty of the womb being violently provoked to expel a dead Child after birth or the Mole and many such like Accidents may be the cause of the breaking of the Ligaments and falling out of the Womb. A Relaxation of the Ligaments may be caused by a long Defluxion by Crudityes the Whites external Causes may be prevalent as bathing in cold water the Southern or moist Air being received into the Womb soon after a lying in Meat of a cold and moist Nature to conclude all Meats Drinks and Actions which will breed Phlegm or cause its Deflux into the Womb. This Disease needs no Signes to discover it by it being apparent to the Sense the causes may be thus distinguished If it come by Loosenesse of the Ligaments it cometh by little and little the pain is leffe causes moystening the Womb have preceded If it come by a Rupture there is a violent pain sometimes Blood starteth out and such causes which have been able tobreak the Ligaments have preceded If the womb fall down by a rupture of the Ligaments it is incurable That which comes by a relaxation of the Ligaments is not very dangerous but troublesome to the patient it hinders her walking conception and monthly Purgation In young Women it is caslier restored to its place than in elderly The womb coming not far out and if taken in time the Cure is farr more easy then if the contrary happen Sometimes grievous and violent Pains do attend it and threaten Death Sometimes the Air corrupteth the womb and it becomes gangrenated so
the defects and Eclipses of the Sun and Moon and unusuall Meteors especally blazing Starrs Above all causes let us not be unmindfull of the strict severe Judgment of God for the sinnes of Mankind For many times he is pleased to punish our Sins and Offences by this Judgment as the Scriptures do frequently prove To these non-naturall causes afore mentioned we must add the Retention of Womens Courses the Haemorrhoids in men or some usuall Evacuation Idlenesse or too much Sleep Anger Sadnesse or other Passions of the mind Signes that shew the Pestilence approaching are taken from the presence of Causes before mentioned Those Bodyes are disposed to receive pestilentiall Infection which have collected evill Juyces and Diet and have had a praeposterous use of the non-naturall things afore specifyed The cheif Signes which shew the Body to be infected the Hâ—art is much afflicted Cardialgia and Heart-burning and pain about the Mouth of the Stomach sometimes great Thirst exceeding the Measure of the Patient's Heat somtimes Want of Thirst yet a vehement Feaver and Drinesse of the Tongue Want of Appetire and abhorring of all Meat and vomiting up what ever Food Drink Juleps or Emulsions is given and their Thirst continue and the Tongue black A frequent and inordinate shivering which comes divers times in a day Wearinesse and Heavinesse of the whole Body Pains of the Head Watchings and Ravings Some are very drousy and sleepy then judge that the Brain is full of phlegmatick Excrements To some there happen cholerick Fluxes which stink very much Frequent Sweats small short and unprofitable do break forth the Heat is mild and gentle to the Feet because the Disease is caused rather by a malignant and venemous Quality then by Putrefaction Rednesse of the eyes and sometimes a frowning or a furious look Sometimes abmndance of Worms are voided which shew a great Putrefaction The Urine is sometimes like the Urine of a sound man if a malignant Quality doth rather offend then Putrefaction sometimes it appeareth thick troubled and high coloured and hath a thick red and scattered Sediment On some purple Spots like Flea-bitings Carbuncles and Risings in the Groin behind the Ears and under the Atmpits Those Spots upon the Bodyes of the dead which are of a Lead-colour or black do especially denote the Pestilence No certain Prognostick can be drawn of this Discase therefore the discreet Physitian ought to suspend his Judgment of the issue thereof For many have died notwithstanding many hopes and testimonyes of recovery and on the contrary many have escaped with most mortall signes Yet it is lawfull for the Phisitian to give his conjecture thus If the Pulse keep a Tenor and equality there is some hopes on the contrary if it be inordinate unequall and contracted it is dangerous If the Pulse be like the Pulse of an healthy person it is dangerous because it is a sign that Nature doth not labour to concoct the Humours for her own deliverance Raving is not dangerous if it be lessened by Sleep but if it turn to dotage and continue there is little hope Contractions convulsive and trembling Motions are deadly for it shews that the Brain is mortally wounded and that Nature is overcome by the Disease Deafnesse at the beginning is dangerous but in the state of the Disease it is not so for many times health follows Sneezing is laudable Heart-burnings Hiccoughs and extream Loathing do portend danger and that the Stomach is over mastered by the Malignant quality of the Humours Suppression of all Evacuations in the beginning and state of the Disease is good provided that the Malignity doth not settle in the head or near any Principal part The Urine that is like the Urine of a healthy person is bad the same judge if they be thin thick confused or troubled Urines which have a laudable sediment and well concoct are good and shew a strong naturall Faculty to expell the Venome An Urine black or blew fat and oyly with a black or blewish setling shews a wasting of the Body and is a deadly Sign Sweats seldom portend good though it happens on a criticall day unlesse it doth much diminish the Feaver Sometimes a Loosenesse of the Belly at the beginning is good and sometimes it is a deadly Sign Spots the more laudable the colour is the better if they be black or Lead-colour and go in again it is dangerous Carbuncles and Buboes the farther from the Heart the better and the sooner they ripen the safer The Cure ought to be two-fold first to preserve those from it who have it not secondly in healing those that have it First to preserve take away the causes both internall and externall If the Body be plethorick let Phlebotomy abate it If full of evill Humours let them be purged If obstructed let means be used to open Obstructions If the Body be in a good state labour to keep it so If it be too moist babour to dry it and avoid all moist Nourishments and much drinking eat no Fish Meats made of Milk nor Herbs walk not in the South Air or neer Lakes nor in the Night fleep not too much If the Body be weak use a restorative Diet. If the Air be too hot labour to cool it as we taught you in continual Feavers if it be too moist correct it by fires and fumes as also to consume and dissipate the infection of the Ayre make fires and fumes of sweet Woods and other sweet sented ingredients as Cypresse Wood of Aloes Juniper Storax Labdanum Mirrhe Benjamin yellow Sanders Ireos Storax Frankinsence Cinnamon Cloves Red-Rose-leaves Calamint Bayes Rosemary and such like Let the common sort of people and the poorer sort carry Rue and Angelica to smell to and take in the morning fasting and when they go abroad Mithridate's medicine Mithridate Venice-Treacle and such like Let the Rich man use of this Pomander Take of Labdanum and of the Rinds of Citrons of each one drachm of the three kinds of Sanders of each half a drachme Wood of Aloes flowers of Buglosse Nenuphar Rose leaves of each two Scruples a lipta Muscatae half a scruple Cloves and Marjoram of each one scruple Zedoary root one scruple Benjamin one drachm Storax Calamita one drachm and an half Camphir half a drachme Musk and Ambergreece of each sour Grains Powder them and with the Musilage of Gum-dragant made in Rose-water make a Pomander and let them make use of this Preservative Take of Bolearmenick prepared half an ounce of Cinnamon three drachms of white Dittany the roots of Angelica Gentian and Tormentill of each two drachms the root of Zedoary Red Roses of all the Sanders Harts-Horn the leaves of Scabious and flowers of Buglosse of each one drachme of Juniper-berries Nutmegs and bone of a Stags Heart of each half a drachm of Pearls prepared two Scruples of Saphir Jacinth Emerauld Ruby and Granate prepared and leaf-Gold of each one scruple powder them all and with Syrrup of Vinegar or Lemons make