not so in preparation or alteration before purging and by this distinction the Greeks and Avicen may bee made friends Others give other Reasons against Avicen thus The first Natural action is Attraction to which thin Humours are most obedient and most readily follow the medicament the second is a kind of violent expulsion by which also thin Humours are most easily driven forth therefore they are not to be incrassated There are three sorts of purging Medicines some purge by Traction such as Hippocrates and the ancient Greeks used as Euphorbium Lathiris Elaterium Scammonium Colocynthis Helleborus c. which wee use not now unless in great Diseases or in small quantity mixt with other things and corrected and on rustick bodies whom gentler Medicines will little or nothing move and not in continual Feavers sprung from a hot cause Others purge by smoothing or suppling as Manna Cal. Cassia Egypt Sena Polypody Sirrup of Violets c. Others purge with astriction as Rhubarb all the Myrobalans juyce and Sirrup of Roses which we use when the parts are to be strengthened and there is no obstruction which they may prejudice he that is to take a Purge in them morne let him not take Sirrop of Poppies over night or dissolve Treacle or new Mithridate in it because the cold quality they have from Opium doth hinder purging according to the experience and authority of Galen in his twelfth Book De Theria to Piso In the state of the Disease abstaine from purging that Nature be not called from her work but commit the whole business to her because then all Symptomes are most violent otherwise you add evil to evil especially if a Crisis be near Hippoc Aphor. 29. Sect 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the height is is best to be quiet and in the next Aphoris {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the state of Diseases all things are most vehement and therefore abstaine from medicaments or any way to move or irritate Nature c. Aphor. 20. Sect. 1. If the Crisis be perfect all is safe and no more is to be done but if there be any thing left it is to be removed by Medicine for fear of a relapse Aphor. 12. Sect. 2. that of Diseases which is left within after Judgement does usually cause a return of the Disease upon a critical day if there appear no signes of coction but of crudity though there be an excretion even in the state of the Disease it is not to be trusted to neither ought we to fear those evil accidents which happen not according to reason but the noxious humour is to be emptied that the Disease returne not Aphoris 27. Sect. 2. if any light thing happen besides reason in acute Diseases we are not to trust to it nor to be diffident if a greater business happen not according to reason for such things are very uncertaine and of no long continuance the whole matter of a Disease then cannot be rooted out unless concoct and after the state when those preter-rational Symptomes are abated and Nature is assisting to us on the contrary if there appear signes of a vasal plenitude or of crudity we must abstaine from purging and neither provoke sweat nor urine lest the vitious humours so moved be carried into the greater Veines and exasperate the Feaver and make it more contumacious by what remedies urine and sweat are to be moved I have taught in my Enchiridion in the first second and third Chapters of the Second part These are the chief and general Canons to be observed in curing of Feavers whether continual or intermitting other rules wee shall set downe in their proper place now for their cure in special CHAP. VIII Of a Diary Feaver THis Feaver Hippocrates calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is flatuous and the other Greeks {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it continues but a day rather than from a Fish Aristotle makes mention of in his Fifth Book of Animals about the end of the nineteenth Chapter but the Latines call it a Diary which sometimes is extended to more daies when the spirits inflamed are crasse which if not resolved it degenerates sometimes into a putrid Feaver sometimes into a Hectickâ— or malignant Feaver saith Galen The causes of this Feaver are either external or internal the external are taken from the Six non-Non-natural things as from the Air too hot and dry in the Summer or the heat of the Country or the hot and dry temperament of the Patient as the Picrocholous or cholerick natures whose spirits are easily inflamed from whence is an Ephemera sometimes by the cold air or use of aluminous Bathes the skin is condensed so that the fuliginous exhalations which should be excerned through the skin are repressed and so the spirits are easily inflamed sometimes it is from drinking of Wine Drunkenness long Sleepes or continual Watchings over-much labour hard riding idleness or want of exercise from the motions of body or mind as from Anger Fury Hunger and thirst Suppression of some hot humour as of the Courses or Hemorrhoids from the contract of some Feaverish body from an actual or potential cautery applied to a cholerick or plethorick body from hot meats acrid Medicaments salt things and the like The internal causes are obstructions whether caused from without or within from an external cause as from the thickeness of the skin from within as when a sharp distillation from the braine falls upon the heart through the Arterial veines which inflames the vital spirit whence is a Diary Feaver Sometimes other viscera are obstructed as the Messentery Liver Spleen Reins Bladder Wombe and when these are obstructed first of all the Natural spirits not being ventilated grow hot and by their power alter the spirits of the heart and increasing their heat beyond the bounds of Nature cause a Feaver Another internal cause is the inflammation or swelling of the Glandules which makes a Diary Hippocrates Aphoris 55. Sect. 4. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. that is all Feavers from swellings are bad except the Diary and he saith the same Epid. 2. Sect. 3. The Signes are taken from the efficient causes whether they be originated from things external or internal if it proceed from an external cause you may know from the relation of the sick if from the internal causes by the heat pulse and urine Hippo. 6. Epid. Com. 1. text 29. and Galen in the first to Glanc chap. 2. and 9. and 10th Method of Curing chap. 4. for if it be exquisite the heat is milde and gentle to the touch which ends with a madidness or sweat the pulse is swift and frequent but equal and temperate in case it be not joyned with a putrid or Hectick Feaver except in that which proceeds from anger sadness hunger crudity thickness of the skin caused by cold for then the diastole
fresh humour from whence follows a new fit which for the most part lasts twelve hours sometimes more sometimes less according to the quantity of the humour oppressing the part The quantity of the Humour whether much or little cannot of it self be the cause of the longitude or brevity anticipation or tardation of the fit it is true a great quantity doth oppress the part and a small is quickly resolved but that alone cannot be the efficient cause because the same motion is observed to bee from a small and great quantity and that it is so let choler or melancholly be found in any part of the body putrefied it is most certaine that choler will move neither sooner nor later than the third day nor melancholly than the fourth therefore the quantity of the Humour alone cannot be the cause of the circuits or of the longitude or c of feaverish fits But rather the quality is the cause of the length or shortness of the anticipation or post-position of the fits which your epileptical insults seeme to manifest for they proceed not so much from the quantity of the humour as from the quality offensive to the braine and thus Womens courses flow at set moneths and dayes not by reason of the quantity of the bloud but quality whether they be much or little unless somewhat intervert the course of Nature and so wee must judge of the Humours in which there is a certain occult quality unknown to us which causes flegme every day yellow choler every third day and melancholly every fourth to grow furious and bee moved Hippocrates seems to favour this opinion in his Proaemium to the first Book of Prognosticks where hee thus Prophecies {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. whether there be nor somewhat Divine in the Disease which according to Aristotle in proportion answer to the Element of Stars now the starry Element is said to be that which operates beyond the order or power of the Four Elements and is scarce comprehensible The habit of the body whether dense or rare may be the cause too of the length or shortness of the fits but the anticipation or tardation may bee referred to the substance of the matter or to the multitude or paucity the substance is either crasse or tenuous if crasse and clammy the fits shall be longer if tenuous shorter if to the multitude or paucity a little is easier dissipated and resolved than a great deal from these two then the anticipation or tardation of the fits may bee caused The Fifth cause of the Circuits may be from the strength for if the alterative and expulsive faculty of every part be strong they will cast off all the excrement to the parts destined for it by Nature contrariwise it they bee both weak that remaining doth by degrees putrefie because it is not discussed and so it moves sooner or later according to its quantity or quality or both together and the paroxysmes are longer or shorter The complication of Feavers may change the course of Circuits because some are from a cold Humour crasse and clammy others from a hot and tenuous so the one is moved corrupted and resolved sooner the other later from whence is the shortness or length of the fits besides our dyet whether good or bad if in tempestivous doth help or hurt much or the Patients intemperancy and irregularity The efficient cause of putrefaction is either external or internal the external doth chiefly depend on corrupt meats or evil juyce which can no way be corrected by the help of Nature and which are apt to corrupt and affect the Viscera the internal cause is either from obstruction or the occursion of putrid things for obstruction caused by crasse viscid Humours hinders perspiration and so the Humours reteined and neither discussed nor cooled doe easily putrefie though they be good and hence a Feaver of the same force is that obstruction which proceeds from a plenitude of the Vessels which is above our strength for they therefore putrefie because they cannot be concocted nor governed by our enfeebled strength The occursion of putred things doth first corrupt the Spirits then the Humours as the filthy exhalations and putrefaction of vapours drawing in the Air from the Gallical Elephantiacal and of those infected with a putrid or pestilent Feaver CHAP. V. Of the Constitution of Feavers SEntentious Hippocrates in the 12th Aphorisme of the first Section reduces the times of Diseases to two viz. the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that according to Galen in the first Book of Crises chap. 4. is the constitution of the whole Disease or its duration conscribed within its four times viz. the beginning increase state and declination the knowledge and distinction of which times is so necessary for a Phisician that without it hee can neither prognosticate aright nor prescribe proper diet or remedies The signes of these four Universal times are taken from the Idaea or species of the Disease from its motion from the nature of the fits from the figure of the body from the strength of the Patient from the season of the year and age of the Patient from the pulse and rigor from the hour of the fit and the vehemency of the symptomes from the length or shortness of the fits from the nature of the evacuations from the crudity or coction of the Urine and of the Humours causing the Diseases The Idaea or species of the Disease is chiefly taken from its motion for a swift motion shewes that the state will be quickly and a slow motion that it will fall out later Thus a burning Feaver by reason of its essence is said to be vehement and quickly comes to its state and a pestilent Feaver by reason of the governing faculty it affects is vehement and hath a speedy state and an inflammation of the Lungs by reason of the dignity of the part speeds to its state From the nature of the fits you have these Signes if they be short the state is near if long afarre off From the Figure of the body if the face with the Hypochondria bee suddainly extenuated it denotes the Feaver to be acute and of swift motion but if the body be not impaired it is a signe of its longitude If at the beginning the Sick be more than ordinarily weakned it shews the Disease to be acute and of swift motion if otherwise to be diuturnal If the season age region custome and dyet of the Patient be all agreeing the Disease shall be short if otherwise long as for example if a young cholerick body at Midsummer in a hot Country feeding high on meats of good juyce and drinking pure wine should be taken with a tertian it shall sooner leave him than if hee were an old man in a cold Country and Winter season fed with cold
doe appear to prove this Avicen in Book 4. fen 2. tract 1. chap. 98. brings for an example the small Pox of Children in the declination of which sometimes death follows not by reason of the Pockes which are in declination but by reason of the Feaver and malignant quality annexed Another example there is that a man may dye in the declination of a Synochus not by reason of the essence of the Feaver but by neglect of the malignant matter the cause of it or being preposterously handled as Galen notes in his third Book of Crises these four times of Diseases according to Hippocrates and Galen can no more bee described by a certaine number of daies and houres than the decretory daies can by reason of the various temper of the Humours and the diseased as shall further appear in the next assertion for an acute Disease hath shorter times and a Chronical longer The four times of a Hectick Feaver are not taken from the matter nor from the Symptomes but from the essence of the preternatural heat which works upon the primogenious humidity of the heart whose beginning is when the feaverish heat begins to work on the rorid substance of the heart the augment when it begins to consume it the state when the humidity is consumed the declination on when that native humidity begins to be restaurated CHAP. VII Certaine Physical Canons or Rules for practise ALL Rules for Curing are taken either from the Disease or from its Efficient cause or from the nature and situation of the affected part or from the Symptomes from the Disease as a Feaver whose preternatural heat is in the Spirits Humours or solid parts and is not simple but conjugate viz. hot and dry which according to Hippocrates axiome {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is things are cured by their contraries that is by coolers and moistners and this is the first Canon The second is taken from the morbifical putrid matter which requires an ablation or removing The third from the nature and site of the affected part as if the braine be affected it requires other remedies than the Lungs and this other than the Stomack Liver Spleen Guts Reines Bladder or Wombe from the Symptomes if they be great with imminent danger of life as if a Syncope be accidental to a Feaver we must oppose that omitting for a while the cure of the Feaver but if they bee small we must respect both so that we principally attend the Disease The feaverish beat both of continual and intermitting Feavers arising from a putrid filth cannot safely and wholly be extinguisht before the putrefaction be repressed and the impurity taken away for the method of curing requires this that first wee remove the cause then the effect unlesse something more urgent forbid it the impure Humour then is first to bee purged forth and then if any extraneous heat be left either in the Humours or parts it is to be extinguished and by preparatives and things opening obstructions to be removed but against this Doctrine it is objected That things cooling doe per se encrease obstructions incrassate the matter and hinder its evacuation and the stipation being increased and the fuliginous vapours included the putrefaction is doubled On the other side aperient detergent and purging Medicines are all almost hot and therefore per se are bad and intend the Feaver In this difficult case we must use the temperate Rootes such as are the sharp Dock Grasse roots Butchers Broom and Asparagus which open obstructions without any manifest heat and doe not increase the feaverish distemper and so the worst is prevented If the body bee strong this method is strictly to be observed that is to remove the efficient cause and thorowly to open the obstructions with the aforesaid aperitive meanes and then the putrid humour is to bee purged although the Feaver be a little exasperated by the Medicine that does it but when by the fire of the Feaver the strength is much resolved then we are to use cooling Medicines both inwardly and outwardly as Juleps Epithems c. which with all possible speed may extinguish the heat omitting a while the cause for it is not safe to increase the Feaver by such things as cut off the cause lest life depart with the Disease but it is better in my judgement to extinguish the burning Feaver though you somewhat transgresse against the cause but in curing of putrid Feavers the first place is due to the cause that part of the matter be emptied then to imitate Nature by preparing it which when by her assistance it shall appear to bee coct then it possible to eradicate it that the Feaver be not diuturnal the emptying of the matter may be either by bleeding or purging at the very beginning if nothing hinder Bleeding in all putrid Feavers especially the continual is not to bee neglected saith Galen in the eleventh of his Method of curing having premised a cooling Glister or Suppository if the Patient were bound nor in intermitting Feavers when there is a plenitude or pulsative paine in the head or tossing of the body with a suffocating heat lest it degenerate into a continual Feaver or the putrefaction spread wider and it is to bee done on the intermitting day or at the time of remission in a continual Feaver provided age and strength allow it if the Feaver be very vehement and urgent to let bloud in that violence is to kill the Patient saith Celsus and if the body be weak let bloud a little at a time so the strength will not bee impaired because part of the burthen with which Nature was opprest being taken off she doth the more easily bear the rest and with lesse force tame and subdue it saith Galen and we ought not so much to estimate the years as the strength of the diseased A late Writer hath published that Bleeding ought to be celebrated in all Diseases which I cannot allow though I admit it in most but more sparingly when the Feaver is from a cold humour lest by its refrigeration the crudity be doubled and doe not easily admit of concoction if the Disease will suffer it the best time for bleeding is the Spring if not it may be administred at any time of the year if strength permit especially if there be a plenitude suppression of the Courses or Hemorrhoids If the Sick be bound in body before you let bloud give a Suppository or Glister or eccoprotical Medicine that is gently purging lest that the putrid matter should be rapt or forced from the first region of the body into the greater Veines and so inquinate the bloud and make it more impure the same is to be observed before we give a peritive medicines Purging is to be used at the beginning if the matter bee turgid Aphor. 10. Sect. 4. in Diseases very acute purge the first day if the matter invite to excretion
for delays in such cases are dangerous and it must be done by some minorating Medicine that part of the impurity being taken away the remainder may the more easily be concocted for according to Hippocrates Aphoris 22 Sect. 1. we ought to move that which is concoct and not the crude matter nor at the beginning unlesse it be turgid and for the most part it is not and afterwards to purge with a stronger Medicine unless it be done by the benefit of Nature neither are we always to wait for the concoction of the Humours especially where the matter is turgid and with its fluctuating motion running from place to place perturbes the whole body as it happens in the most acute Diseases If the Feaver be continual it is better to purge at the time of remission whethe it be in the morning or evening than at the time of its exacerbation or upon an odde or decretory day if strength give leave otherwise they are first to be refreshed with nourishments of good juyce and those rether liquid than solid because those are of easier distribution and then wee are to use meanly purgers appropriate to the humour but if the Feaver bee intermitting then purge on the day of rest or upon the fit day if the fit come not till after Dinner at which time the humour is moved by Nature to expulsion the strength having first been repaired by nourishments for then it is easier and with less pains driven forth being in motion as I have found by experience in curing of Quartans as oft as I gave Phisick on the fit day besides it may be confirmed by reason for that purging bee instituted according to Art we must consider the motion of Nature whether she tends upwards or downwards and the season of the year and the inclination of the Sick for if it be Winter and the Patient aged and vomit easily and his stomach be full of crude clammy flegme He ought to have a Vomit saith Polybius in his Book of good Diet which is falsely ascribed to Hippocrates the Great for the Six Winter moneths purge by the upper parts on the other side If hee vomit not easily he is not to be forced saith Galen and after him Aetius but is to bee Purged downwards by some Medicine accomodate to the morbifical humour at first purging those purgers which have an astriction with them ought not to bee used as Myrobalans juyce of Roses and the Sirrups compounded of them especially if there be obstructions which usually accompany putrid Feavers and in purging of the humours we must be careful to use such preparation that the passage be made open Hippo. Aphoris 9. Sect. 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. that is when we would purge a Body we must make it fluxil that the humour to bee emptied may yeeld and be obedient to the traction of the medicament for if the passages be obstructed and putrefaction caused for want of ventilation then before we purge wee are to use incisive Medicines for the crasse humours detergent for the clammy and so to clear the obstructions and sometimes we are to appease and allay some heady humour which ought not to have been purged that by its furiousness and fervor it rush not on some principal part or by its acrimony exulcerate where it passes The manner then of preparation is to be proportioned to the humour for the mitigation of the Disease as for example in acute Feavers we use Sirrups and Apozems which are made of such things as are attenuating and cooling or which are detersive and not very hot as you may see in the second part of my Enchiridion but in diuturnal slow Feavers which flegme or melancholly ingenders stronger and hotter means are required and those fierce humours which bleeding will not temper nor purging carry away we must bridle and obtund with refrigerating Medicines not of thin substance lest they be more exagitated nor of crasse because they hinder evacuation but of a middle nature which have a little austerity or acidness or both joyned with them such as are your Omphacium juyce of Sorrel Pomgranate or Citron by which the acrimony and putrefaction of choler may be retunded and the heat kindled in the humours be impeded from spreading any further If besides the putrefaction there shall be any suspicion of venenosity we must mixe with the former such things as by a similitude of substance doe represse it whether inwardly or outwardly applied which shall be described in our Tract of malignant and pestilent Feavers detergent and attenuating Medicines are to be fitted both for preparation of hot and cold Humours because both Humours by their clamminess or crasseness may obstruct as is manifest in vitellinous choler if a detersive and attenuatory faculty bee joyned with a cold quality as in Succory it is the more efficacious and of more frequent use than that joyned with a hot quality as in Worm-wood Hyssope Origanum and that is to be used in hot Diseases these in cold with mulse and not with plaine water especially when the heat is sluggish and the means not easily inflamed but on the other side with cooling Medicines we at once resist both the fervor of choler and heat of the Feaver and prepare the vitious humour which doth foment it before we purge by a diverse quality as more at large in the Second part of our Enchiridion There are some that stoutly maintaine the opinon of Avicen That thin cholerick humours ought to be incrassated before they be purged which opinion seems to contradict Hippocrates and Galen and may thus be reconciled If sincere or excrementitious choler be thin it is not to bee incrassated before purging but presently to be cast forth for so it easily yeelds to the attraction of the Medicine and thus the opinion of the Greeks is true but if the same choler be crasse and tenacious as the vitellinous is then it is to be attenuated and deterged as Avicen would have it otherwise it cannot be driven forth but by force and damage to the Patient but if it be mixt with bloud then wee are to expect concoction from the benefit of Nature but the Fautorers of Avicen object against the opinion of the Greeks That unlesse the thin humours be incrassated they will be fixt in our members penetrating into the most retired parts of our bodies to which objection some answer If the choler be infixt it will grow thick and cause obstructions and then extenuating and detergent and not incrassating Medicines are necessary or by attenuating remedies Nature is helped to excerne the noxious humour by urine or sweat neither doth the strength of this Argument reach to preparation before purging shall that which is crasse then be attenuated and that which is tenuous incrassated Galens opinion is that That which may return to its natural state be altered as by incrassating the thin viz. in Diseases of the Breast and attenuating the crasse but
tertian have great analogy with those of an exquisite causus only they are more milde the not exquisite are distinguisht by rigour not by reason of the Feaver but the expulsive faculty of the greater Veines which empty themselves into the less and these into the habit and sensible parts this Feaver because its morbifical matter is more distant from the heart then that of a Causus doth not with equal force and assiduity afflict it but hath its exacerbations and remissions every other day If the parts about the heart be distended without paine they signifie an inflammation if with paine at the beginning death If the signes bee grievous it kills the fourth or seventh day if good security is promised the same dayes if a rigour happen on the critical day the Patient being weak it is death but if strong the Disease shall end with sweat CHAP. XII Of the Cure of these Feavers LEt it be temperate or if too hot be cooled with irrigations on the floore and spreading coole Herbs as Lettice Vine leaves Willow Oke Rushes c. with green flowers of Water-Lillies Roses Violets let vinegar of Roses dilute with Rose-water suckt up by a Spunge be often â—eld to the Nose let the Linnen contrary to the vulgar opinion bee often changed lest its filth foment the Feaver Let his drink be boyled water with sirrup of Vinegar or ptissan or water and sugar with a little juyce of Pomegranats Citron or Lemons if you fear a Delirium use the Alexandrine Julep or sirrup of Violets and Water-Lillies If the Feaver bee spurious and the Patient aged and weak in a cold air a little Wine dilute with boyled water and sugar with a toast may be allowed let his food be liquid cooling and moystning as Chicken Veale or Lambe broth altered with Purslane Lettice Sorrel Burrage Bugloss Violets Marigolds with the greater cold Seeds and white Poppy-seed or Barley-water acid Fruites as Barberies Strawberies Rasberies resist putrefaction if he be much enfeebled Gellies and Analepticks must bee used Let bloud as soon as you can but if hee bee bound in body give this Glister first Take of Violet leaves Mallows Lettice Gourds Burrage each a handful Prunes sixteen of the four great cold Seeds each two drams red Poppy-flowers or Water-Lilly and Roses each a small handful boyle them in Whey or Water to a pint streine it and dissolve of Diaprune simple and Cassia newly drawn if it be exquisite if not of Diaphenicum each six drams honey of Violets and oyl of Water-Lillies each an ounce and half or so much of oyle of Cammomel if it be not exquisite and make a Glister Take of Melon-seeds one scruple Rhubarb grosse powdered if you would purge choler by stoole or fine powdered if by urine four scruples Cassia newly drawn six drams let him take it with Sugar and an hour and half after take fresh broth As often as Cassia or any other purging Medicine is infused the Dose is to be doubled and where you feare obstructions never purge with those things that have an astriction as Myrobalans Roses and the sirrups made of them but instead of them use Manna Cassia or sirrup of Violets of nine infusions next alter the humour with Juleps which inhibit putrefaction As take of sirrup of Endive compound three ounces Succory and Pursâ—ane water each half a pint but if they be spurious take of Oxysaccarum compound which hath the opening roots in it and a little juyce of Pomgranates after signes of coction purge forth the humour thus Take of Cinnamon a scruple Rhubarb four scruples Tamarinds two drams Diaprune solutive six drams infuse them all night on warm embers in a decoction of the opening rootes strein it adde sirrup of Violets of nine intusions or of Roses solutive with Agarick if the Feaver be illegitimate an ounce and half and give the potion in a Spurious causus take so much Diaphaenicum which purges flegme and choler but if the Patient have a paine in the stomach and be nauseative let him take a Vomit so he be not tabid or narrow chested CHAP. XIII Of a continual Quotidian Feaver {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Juniors call it because it hath no intermission and to distinguish it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is an intermitting quotidian This Feaver differs from an intermitting both in matter and seat where the flegme putrefies because a continual one proceeds from Natural flegme contained in the great Veines which is nothing else but crude bloud which in time may be changed into good bloud being of taste sweet or insipid arising from the cold and moyst part of the chyle and as oft as this bloud is putrefied by a preter-natural heat in those Veines the other humours incorrupt is caused a continual quotidian but an intermitting is caused from excrementitious flegme putrefied by a preter-natural heat out of those great Veines viz. in the veines of the habit of the body in the Liver Spleen Messentery The external causes may be taken from the aire cloudy cold and moyst from a flegmatick nature the winter season drunkenness ill diet as entrals of Beasts c. The internal causes are a cold distemper of the stomach and of the meseraick veines which send the chyle incoct to the Liver old age cold humours falling from the head to the stomach This Feaver begins not with coldness as an intermitting because the matter is putrefied in the great Veines but with vaunings and stretchings for the most part it invades at night the heat is less acrid and mordent than in a continual cholerick Feaver because the humour is colder the urine at first is white crude and crass the pulse slow and rare being oppressed with a crass vapour raised from the flegme the sick are sleepy their Hypochondria stretcht with wind their stooles white their sweat none or very little and clammy this Feaver is usually lasting being from a cold tough humour often brings to a Cachexy or Dropsie if the beginning be long so will be the increment and whole progress of the Disease for the Cure let him use a good diet shunning those things which ingender crasse juyces then purge the first region of his body with these following remedies Take of Barley Mercury Violets and Mallows each a handful Fennel and Carret-seeds each three drams the tops of Dill and flowers of Cammomel each half a handful boyl them in water to a pint streine it and dissolve of Galens Hiera and Benedicta Laxativa each six drams honey of Rosemary and oyle of Camomel each an ounce and half and so give it If the Sick bee apt to Vomit let him take this Of the juyce of Radish roots and honied water each two ounces powder of Asarum a dram let him drink it warme Take of Succory Barley and all
the capillary Plants each half a handful Raisins stoned eight four Prunes of the Cordial flowers a small handful boyle them in water to two ounces then infuse the Electuary of Diacarthamum half an ounce Cassia newly drawn an ounce Agarick Trochiscate a dram streine it and dissolve of sirrup of Roses solutive an ounce give the potion Take of Agarick Trochiscate a scruple of imperial Pills a dram with honey of Roses make eight Pills to be given after midnight The first region of the body being thus clensed open the basilick veine of the right arme and draw bloud according to the strength age season region and impurity of it because this being a continual Feaver bleeding is good for this as well as others Then give this Julep Oxymel simple and sirrup of Maiden-hair each an ounce and half Fennel and Endive water each half a pint condite it with Cinamon Take of Fennel and Parsley roots clensed from the pith Butchers Broom and Asparagus each an ounce of Maudlin Succory Endive the common capillary Plants each one handful the less Sea Wormwood half a handful Raisins stoned twenty Figgs twelve Endive seed half an ounce Aniseeds two drams Bugloss and French Lavender Flowers each a small handful Rosemary half a handful Water and Hony two quarts boyl away half then clarifie the colature with honey of Roses and sirrup of the juyce of Endive each two ounces and condite it with Cinamon The matter being thus coct give Pills of Agarick and simple Hiera each two scruples and Trochiskes of Alhandal two graines if they want a quickner make them up with honey of Roses and gild them give them after the first sleep next day give this Bolus three hours before dinner old Mithridate two scruples conserve of Rosemary flowers two drams with sugar CHAP. XIIII Of a continual Quartan {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a quartan Feaver so called because every fourth day it is exasperated and remitted if it be continual but if intermitting recurs every fourth day these two differ both in matter and seat the matter of a continual quartan is Natural melancholly putrefied in the great Veines the other humours remaining good but the matter of an intermitting is excrementitious melancholly putrefied out of the great Veines in the Spleen or mesentery A continual quartan is two-fold exquisite or spurious exquisite when Natural melancholly putrefies alone spurious when other humours putrefie with it in the great vessels and this is most frequent The causes are either from a laborious life a cold and dry temperament a declining age the autumn or an unequal air and meats producing melancholly as Swines flesh Hares Salt Fish Oysters c. The chief signes are taken from the substance of the Feaver or nature of its heat from the actions hurt which appears by the inequality swiftness slowness or rarity of the pulse from the excrements and urine this Feaver begins without horrour because the peccant matter is contained within the great Veines the urine is various but for the most part crude by reason of the coldness of the morbifical humour little or no sweat by reason of the paucity of the matter little thirst and the tongue inclining to black A continual quartan whether exquisite or spurious is deadly in old men especially if it follow an intermitting one or a burning Feaver illcured a spurious quartan if it take in the Summer is for the most part short but if in the Autumn it is long for the Cure first use meats of good juyce rather liquid than solid altered with Burrage Bugloss c. Vse Currans Pine Nuts Figgs Vinegar though it be incifive is not good in this Feaver because by its coldness and driness it conduplicates the humor but were it in the Spleen it were commodious At the beginning use gentle Purgers because by the strength of strong Medicines the humour grows thicker and the thinner part being dissipated the terrene faeces remaine indissoluble but in the declination use stronger if the body be bound give first this Glister Take of Mallows Violets Orech Burrage Bugloss each a handful Flax and Fenugreek-seed each half an ounce of the four great cold seeds and Fennel-seed each two drams for melancholly people are windy of the tops of Dill Camomel Melilot Elder each a small handful in the colature dissolve of Catholicum and Diasena each six drams honey of Violets and oyle of Lillies each an ounce and half give the Glister Take of Polipody of the Oke six drams wilde Saffron seeds and Sena each three drams Dodder of time two drams Anni-seeds four scruples Cloves two boyle them in Whey to three ounces then infuse of Diasena or Diacarthamum six drams streine it and adde sirrup of Violets of nine infusions or sirrup of Apples an ounce and half and give it The body being thus emptied let bloud at the left basilick veine with a large Orifice If the sick be inclined to Vomit then give him of the powder of the middle rine of a Walnut or of Broom-seeds or of the roots of Asarum four scruples with the decoction of Reddish rootes make a vomit or Nettle-seed poudered given in Mulse or Whey will doe the like some give three or four grains of Stibium prepared which I allow not but in rustick bodies Take of the sirrup of the juyce of Fumitory three ounces Endive and Burrage-water each half a pint Take of the roots of Bugloss two ounces sharp Dock-grass Butchers Broome Asparagus and Liquorice each an ounce of the middle rine of Tamarisk and Ash or Elder each half an ounce of Fumitory Hops common Endive Succory Milt-waist Balme each a handful Prunes fourteen Cuscute and Purslane-seeds and the four great cold Seeds each two drams flowers of Tamarice Broom Burrage Elder each a handful boyle them in order in a sufficient quantity of water then adde the juyce of sweet Apples three ounces a sufficient quantity of Sugar Aromatize it with a dram and a half of the powder of Galens Laetificans with part of this decoction you may make a magistral sirrup by adding Purgers of melancholly by which the Morbifical humour may bee purged epicrastically to strengthen the viscera use this Take of the Electuary of Hyacinth or confection of Alkermes half a dram powder of Diatriasantali and Galens Laetificans each a dram white Suger dissolved and boyled in Fumitory water four ounces and make it into Lozenges of two drams weight with the conserve of Succory flowers and Milt waist each three drams and give one three hours before Dinner If the Spleen require it use this Oyntment Take of Gum Elemi and juyce of Tobacco each an ounce Oyle of St. Johns-wort or Elder half an ounce of Rosen and Gum Amoniake dissolved in Vinegar of Capers and yellow Wax each two drams on the fire adde powder of long and round Birthwort and Cyclamen root each
till a third part be wasted clarifie it and aromatize it with Cinamon Take of Cloves half a scruple Agarick Trochiscate two scruples Rhubarb and Tamarinds each four scruples Diaphaenicum six drams infuse them in part of the apozem and give it Take of conserve of Succory flowers Citron Pill candied each two drams old Methridate half a dram give it with Sugar three hours before meat Take of Pills Imperial a dram of Agarick a scruple Diagridium four graines make them up with honey of Roses To strengthen the Liver take of the powder of Diatriasantalum two drams conserve of Succory-flowers and Citron pill condite each three drams pure Sugar dissolved and boyled in Agrimony water four ounces make Lozenges of two drams weight and give one every morne if melancholly be joyned adde those things afore mentioned for it instead of Phlegmagoges CHAP. XVII Of an intermitting Quotidian THis Feaver is caused from excrementitious flegme putrefied and every day hath new fits with a refrigeration or chilness the place of putrefaction is the smaller veines and habit of the body and chiefly the stomach which is alwaies almost affected in this Feaver sometimes it is in the mesentery the simous part of the Liver Spleen or Wombe but if it putrefie out of the smaller veines it doth not cause a Feaver but some other Malady as if it be putrid and stinking in the Braine or in the Lungs after Cathars and Astma's or in the Wombe from whence is a Womans Flux or in the Guts from whence are Worms or in the bladder or reines where it is dried into stones of divers colours By flegme is here meant any cold and moyst humour produced in us which may be putrefied from a hot or cold cause that putrefied from heat or the mixture of a serous moysture becomes salt from cold if remiss is caused acid flegme if intense the glassie or albugenious from these severall sorts of flegme are ingendred various Feavers A Quotidian Feaver is two-fold the one from excrementitious flegme which is of sweet taste or insipid for the most part produced in the stomach which when it putrefies in the lesser veines makes an exquisite Quotidian the other is when some other humour besides flegme putrefies with it and it is called a bastard quotidian let the Phisician be careful he coufound not a bastard Tertian or double intermitting Tertian or a triple Quartan which have their fits every day with an intermitting quotidian for their cure is farre different and distinction difficult The causes of this Feaver are not unlike those of a continual quotidian gapings and wretchings precede this Feaver with a coldness of the external parts as of the Nose Fingers Ears Hands and Feet with a paine in the stomach seldome with rigour but with a gentle horrour the pulse inequal inordinate slow and weak at first afterwards more vehement and swift the urine first thin white and crude afterwards thick and turbulent sometimes they vomit flegme have acid belchings swellings of the Hypochondria pale faces and little thirst it usually seazes after noon towards the evening or night its fits are for the most part eighteen hours and therefore it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is partaking of both day and night its intermission is impure by reason of the quantity crasseness and clamminess of flegme which is left by the former fit and is the cause of the following because it is not breathed forth by sweat as in a tertian this pituitous humour is hardly enflamed and moved but the matter being coct the vehemency of the fits cease as in all other wholesome sicknesses its heat is not burning but meanly acrid The signes of a bastard quotidian are confused by reason of the excrementitious choller or melancholly putrefying with it but if choller bee mixt you may know it from the Vomitings stooles urine pulse and a more acrid and mordent heat for some choller will be cast up the excrement will be yellow and the water tinct with choller the pulse inequal and more frequent than in the exquisite the fits shorter with thirst and bitterness of mouth if melancholly be mixt consider its signes with the Spleen ill-affected Let the dyet be hot and drying incisive and detersive let the drink bee decoction of Sarsa Parilla roote sirrup of Vinegar or Hydromel moyst meat that is substantifically moyst is good for all Feavers saith Hippocrates as broths of euchymous flesh altered with Parsley Fennel Hyssop Savory Marjoram Sage Time with a little Endive Purslaine or Burrage if it be spurious the meat is easily corrupted by a feaverish heat as milke by the hot air let them sleep in the declination and not in the beginning of the fit if the sick bee nauseative give a vomit and then what followeth Take of Sope an ounce powder of simple Hiera Agarick and Salt Gemmious each a dram seeds of Coloquintida a scruple beat them in a Morter with juyce of Mercury make Suppositaries and dry them up for your use Take of Origanum Penny-royal Calamint and Mercury each a handful seeds of Dill three drams Agarick two drams Chamomel and Dill flowers each half a handful boyle them in water to a pinte honey of Roses oyle of Nuts each an ounce and half Benedicta Laxative and Hiera or Diaphaenicum each half an ounce make a Glister Take of Polipody of the Oke bruised half a dram wilde Saffron seeds and Sena each two drams Calamint half a handful Anniseed a dram two Figgs flowers of Time a small handful boyle them in water to three ounces in the Colature infuse of Diacarthamum six drams over warm embers sirrup of Roses solutive with Agarick an ounce and give it if it be Spring time and the body young or any evacuation supprest open the right axillary veine then give this Julep Oxymel compound four ounces Sage Betony and Succory water if choller be mixt each five ounces Take of Cocheae Pills and of Agarick each half a dram powder of Hiera a scruple Agarick Trochiscate four graines Trochiskes of Alhandal two graines or if choller be mixt of Diagridium two graines Take of Diarrhodon and Galangal each a scruple Trochiskes of Wormwood two drams Citron pill condite with Honey an ounce Conserve of Sage and Rosemary flowers each two ounces cover it with Gold let him take half an ounce three hours before dinner Take of oyle of Wormwood and Mastick each an ounce oyle of Nutmeg half an ounce mixe at the time of use a few drops of red Wine and anoynt the stomach Take of the plaister of Mastick two ounces of Ladanum an ounce powder VVormwood two drams red Roses a dram Mace two scruples reduce them to a masse and make a scutiforme plaister for the stomach an Epiala being from glassie acid flegme requires the same Cure only stronger remedies CHAP. XVIII Of a Quotidian Feaver from salt Flegme {non-Roman}
straine it and clarifie it with Oxysaccharum compound two ounces and aromatize it with powder of Diatriasantalum Take of Polipody of the Oke bruised six drams Sena half an ounce Dodder of Time two drams Annisâ—ed a dram true black Hellebore two scruples whole Cloves two boyl them in part of the former Apozem to three ounces then infuse of Catholicum and confection Hamech each half an ounce in the colature dissolve sirrup of Fumitory the greater or of Apples an ounce and give it Take of Cloves three graines Aniseed two scruples Agarick Trochiscate a dram Turbith bruised four scruples Sena two drams infuse them all in part of the Apozem with an ounce of Oxymel simple upon warme embers to the expression adde of Diacarthamum and Catholicum each three drams sirrup of Fumitory the greater an ounce Take of old Treacle four scruples Conserve of Bugloss flowers or rootes three drams give it with Sugar Take of Cloves three Graines Cinnamon a scruple Anniseed half a dram Rhubarb Tamarinds and Sena each a dram and half infuse them all night in Whey over warme embers with the Electuary of the juyce of Roses half an ounce streine it and adde sirrup of Violets of nine infusions an ounce and half give it Take of the Conserve of Tamarisk or Broom flowers two ounces Conserve of the rootes of Smallage Milt-waist or Maiden-hair each anounce powder of the Trochisks of Capers and of Dialacca or Diacurcuma each a dram make an opiate give half an ounce on the intermediate days drinking a little White-wine after it Take of Trochisks of Capers and Wormwood each half a dram root of Jallop a dram Crocomartis two drams Conserve of the rootes or flowers of Bugloss six drams Sugar dissolved in Milte-waist water and boyled four ounces make Lozenges two drams weight take one every intermitting morne and drink after it a little VVhite wine Take of Gum Elemi an ounce VVax half an ounce Colophonia Turpentine and powder of long Birthwort and Caper bark each two drams Flower-de-luce Cammels Hey Nard Indian and Myrrhe each a dram Styrax Calamite half a dram White-wine as much as will serve to dissolve the gums make a mass of which spread a Plaister on Leather in the figure of a Neats tongue and apply it to the Spleen it softens and resolves its hardness or the Chymical Oyle of Amoniacum with some few drops of sharp Vinegar doth more powerfully resolve any hard tumor of the spleen CHAP. XX Of Feavers annexed to Quartans THe Quintan Sextan Septan and Nonan Feavers differ not from intermitting Quartans either in matter or cure but in the quantity of the humour and disposition of the body rather than from the rising setting and congression of some Starres as the Astrologers would have it all these Feavers have their name from the motion they observe returning upon the fifth sixth seventh or ninth day The cause of these circuits depends not only on disordered diet or the relicks of the morbifical matter not emptied nor on the quantity quality or crasness and clamminess of the humour nor on the influx of the Starrs or disposition of the body but rather from the starry Element which Hippocrates calls something Divine when a quartan is caused from very crasse and tough flegme and a melancholly humour very crass it may then bee extended beyond the fourth day saith Paulus Aegi and Rhasis speakes of those returned every tenth day and once a moneth that the quantity and quality of both humours and disposition of body doe contribute somewhat none will deny but the cause of the Circuits Histories doe report to be referred to the element of Stars Pliny speaks of Antipater the Poet who lived very long and every year on his Birth-day had a Feaver Galen saies he hath seen Quintans but obscurely but Avicen boasts hee hath seen many but they are rarely contingent Hippocrates presages thus of these Feavers the Nocturnal is not dangerous but long the Diurnal is shorter and sometimes they bring to a Consumption the reason is because the night is likened to Winter at which time cold humours move and because in the night season remedies cannot conveniently be administred a Quintan is the worst of all for to the sound or tabid it is death because it is vehement proceeding from an atra-bilarious humour and not from a melancholly juyce a Septan is long but not lethal and so a Nonan The Cure differs not from that of an exquisite or spurious quartan Take of the leaves of Sena three drams the rootes of true black Hellebore one dram of Anise-seed Dodder of Time Diagridium each half a dram Mastick and salt Gemmeous each a scruple Cloves half a scruple make a fine Powder give a dram in a little White-wine on the fit day in the morn early once a week CHAP. XXI Of confused compounded and erratick Feavers ALL these are of the kinde of essential Feavers and differ not from the precedent neither in matter nor putrefaction for they are all putrid but in the seat and motion of the morbifical humour A confused Feaver is so called from the seat when humours doe equally putrefie in the greater or lesser veines as if choller and flegme doe putrefie together in the greater veines there shall be two continual Feavers because these two humours mixt doe putrefie in the same place beginning and ending together and by reason of this mixtion they cannot be known distinctly or apart because their signes are confounded from whence this Feaver hath its name likewise if both those humours putrefie in the lesser veines which are in the habit of the body or in the Stomach Liver Mesentery Spleen or Cuts together in the same place there shall be two intermitting Feavers which mixed doe constitute a confuse and not a compound Feaver On the contrary A compound Feaver is as oft as the humours doe inequally putrefie not in one place as the confused but in divers places together whether in the greater or lesser veines and this Feaver hath its name from the predominant humour as in a bastard Tertian where choller predominates likewise if there be more flegme or melancholly humour it shall then be called a bastard quotidian or quartan which Feavers are com-Pound and not confused because their matter putrefies in divers places and they begin and end at divers hours because every one hath its several essence seat and motion also two quotidians and a double tertian and a double or triple quartan are Compound Feavers as often as their matter putrefies in divers places and thus a semi-tertian which is compounded of choller putrefied in the greater veines from whence is a continual and flegme out of them whence is an intermitting Feaver or of flegme putrefied in the greater Veines and choller out of them and is called a Hemitritaean thus also a Hectick Feaver with a putrid doe make a Compound Feaver because the efficient cause of a
they are best when quiet and unmoved The humour is to be carried away by gentle Clisters and purged epicrastically alwaies adding Cardiacal Medicines against the malignant and venenate quality and if the Patient be nauseative give a vomit Take a sufficient quantity of broth and boyle in it Mercury Balme and Burrage each a handful the tops of Dill with Cammomel and Meâ—â—lot-flowers each a smalhandful course Bran two Pugills Figgs twelve Aniseed two drams streine it and dissolve of Hiera an ounce honey of Mercury and oyle of Cammomel each anounce and half the yolks of two Eggs and give the Glister Take of Mallows Violets Barrage Purslane Balme each a handful Prunes sixteen of the four greater cold Seeds each two drams Water-Lilley-flowers a handful dissolve in the colature Diaprunum simple and Cassia with Sugar each six drams honey of Roses and oyle of Roses each an ounce and half give it at the time of remission Take of Manna of Calabria and sirrup of Roses solutive with Agarick each an ounce and half drink it in a little fresh Chicken broth boyle in the broth three drams of Citron pill Take of Cinnamon a scruple Rhubarb four scruples Tamarinds two drams Cassia newly drawn an ounce and half infuse them all night over warme embers in Chicken-broth in the decoction of Succory Purslane Citron-seeds Bugloss and Water-Lilly flowers straine it and adde sirrup of Violets of nine infusions or of Succory with a double quantity of Rhubarb or of Roses solutive an ounce and half give the potion Take of Agarick Trochiscate for flegme Rhubarb for choller half a dram imperial Pills a dram with honey of Roles or sirrup of Violets make them up Take of the sirrup of Citron pill Conserved and of sower Pomgranates each two ounces Balme and Bugloss water each six ounces Take of Bugloss roots two ounces dried Citron pill one ounce it flagme abound but of Sorrel and Grass roots if aeruginous or prassinous choller each one ounce Succory Endive Purslane Lettice Burrage Scabious Devils-bit each a handful Balme and French Lavender for flegme each half a handful Raisins stoned twenty Liquorish six drams Prunes for choller eight white Poppy and the four greater cold Seeds or Carduâ—s Benedictus and Aniseed each two drams for flegme the Cordial flowers a Pugil boyl them in water to a pint add sirrup of Pomgranates three ounces which is good for them both make an Apozem and aromatize it with a dram and half of Saxafras if you would make a magistrall sirrup in one part of the decoction without sirrup infuse of Cloves a scruple Agarick Trochiscate an ounce for flegme or Cinnamon a dram and Rhubard an ounce and half for choller straine it and boyle it gently to a sirrup with Manna and sirrup of Roses each half a pound the dose is two ounces in a decoction of Burrage or broth twice a week CHAP. XXV Of the Cardiacal Feaver THis Feaver hath its name from the heart and is of the same kinde with malignant and colliquating Feavers and not much unlike to the Syncopall there is a great heat with it and the face lookes red great strivings of the heart little and frequent breathing insomuch that they are compeld to sit upright like the Orthopnoical and are pained on the region of the heart the Disease inclining they have a thin sweat a cold breath and then follow syncopes and death The cure is the same with that of a Burning-feaver both for cooling and moystning diet and for bleeding premising the Glister there described if the body be bound in alterating the humours adde a fourth or sixth part of hot Alexipharmaca by reason of the malignant and pernicious quality that is impressed and then empty the humours with Manna Cassia c allay the thirst with Julep of Violets or Poppies Amongst malignant Feavers are reckoned also those that doe variously impair the substance of the body whether by degrees or speedily as the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is a kind of Feaver in which by reason of the excessive heat the sick seem to be suffocated and may be called an crysipelatose one and is cured as a continual tertian {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is the moyst Feaver is so called because presently after the first day the sick begin to sweat and by sweating their strength is so wasted that they finde little or no benefit by it in the year 1528. this Feaver spread it self from England into France and in short space killed the stoutest men by sweating all remedies against it being invalid the French named it Suette and numbred it amongst the Pestilential by reason of its maligne and venenate quality the Greeks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by Hippocrates the restless implacid Feaver in this the sick are alwaies tossing changing their posture of lying loath all things are distended in the Hypochondria thirst watch or are delirous in their sleep The internal cause is a crass acrid and bilious humour imbibed in the coates of the stomach sometimes it is from internal pains the pulse suddenly failes and the use of all remedies is prevented let the diet be incisive refrigerating and moystning and if occasion be give this Glister Take of Violet leaves Gourds Purslane and Nettles each a handful the four great cold Seeds and Nettle-seed each two drams Camomel and Violet flowers each a pugil boyle them in water to a pint and in the colature dissolve Diaphaenicum honey of Roses and Oxymel simple each an ounce oyle of Water-Lillies an ounce and half To allay the thirst use the juyce of Pomgranates or Citrons or the sirrups made of them c. Take of Cinamon a scruple Rhubarb four scruples Cassia newly drawn an ounce and half infuse them in the infusion of Damask Roses or in the decoction of Succory Marigolds Burrage Prunes with Nettle-seed and the Cordial flowers streine it and give it procure sleep with sirrup of Poppy and a little Diamargaritum frigidum {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by the Latines the Colliquating Feaver by whose vehement heat not only the fat but the flesh and substance of the solid parts are melted away this is of the kind of malignant Feavers it is caused two wayes the one when the colliquationis by degrees as in Hecticks and the Marasmus the other when both fat and solid parts are suddainly dissolved and this is a most grievous and dangerous disease it differs from a Marasmus because in this that portion of flesh which is colliquated is always like a vapour breathed forth by insensible transpiration but in the colliquating Feaver it flowes to the belly in the species of a bilious stinking crass humour the external causes are watchings sadness