Fever is a Symptom of the Pleurisie as appears by these words Sexto morbi die cum Febris reliqua Symptomata cessassent If the Humors be melted by the hot Air then they were not melted before and if not how were they fluid and Humors One would think that heat should rather dry up and consume moisture than make it more fluid and that if it did make humors more fluid they should therefore the rather pass more easily within their own Vessels than break forth into the Pleura why should hot Air cause a Pleurisie so easily and not as well a Phrensy or any other hot Disease If it causeth any other hot Disease as easily as a Pleurisie Mr. Loss is but a pittyful Philosopher that can or doth give none other but a general Cause for a particular Effect If he means by melting of the Humors nothing else but their rarefying by the ingress of hot Air whereby they cannot now be contained within their former bounds what directs them to break forth in the Pleura and what Philosophy calls the rarefaction of humors their Colliquation Frigus humores compingens Pleuritidem facilè introducere solet Cold saith he easily causeth a Pleurisie by compacting the Humors Who can imagine that the cold ambient Air can compact and congeal the Humors in a living Body especially in the Breast or Side parts so neighbouring unto the Heart Why did not the extreme parts grow rigid and stiff with cold at the same time how can the Humors be supposed to be an Ice and the solid parts yet be warm and move How can such a cold do less than quite stifle the insensible transpiration especially in the part most exposed thereunto and if so why did not her naked Breasts gangrene the natural heat being wholly suffocated And besides who can imagine that a freezing cold should cause a melting inflammation especially in a cold Membranous part His meaning sure was that the cold by constipation of the pores by accident caused heat But this falls out then only when the pores of the Skin are lessened but not quite shut with the cold but such a cold as can congeal the Humors within must needs quite shut the pores without and so stifle and put out the innate heat not raise it into a flame Lastly Who can understand the reason of this Antithesis As Heat says Mr. Loss makes the Humors get out of their Vessels into the Pleura by Colliquation and so inflames it so Cold makes them get thither also for so they must if they cause a Pleurisie by Congelation and also inflames it Mr. Loss his Method of Curing her IN the Cure of a Disease are two things Considerable 1. The Method 2. The Means or Instruments The Method is by attending unto the Indicantia to find out the Indicata what it is that must be intended or designed to be done The Means are all those Remedies which will help to bring these things to pass whether they belong to Dyet Chirurgery or Physick Mr. Loss seems to have been a meer Emperick in respect of the Method he made use of for this Patient's Cure as will appear in these three things 1. He did not concern himself what Part was principally affected or what was the principal Disease it was enough to him She had a Pleurisie 2. He did nothing material towards the removing of the antecedent Causes for he was wholly against bleeding of her by Lancet and Purging her 3. All his applications were to a Symptomatical Disease and without satisfying first the Indications from the Cause his first and whole business was after a few Leeches applied to the Arm which did not remove the Cause to cure the Disease by his Fomentation and Vnction of her Side his Cataplasm Linctus Tincture Barley-water Oil of Sweet-Almonds Pectoral Decoction c. of all which Medicines he hath given us not only a Narrative but their Recipes I do not blame his Medicines had they been with Art applied neither yet do I know any thing extraordinary in them for which they deserved to have been printed But I do blame his playing the Emperick and his labour in vain attempting to cure a Disease without first removing the Cause and I do say that for ought I know if no other Method had been made use of for her Cure this Patient must have perished The Event of what he did I shall refer unto the now following Preface of the Second Case The Preface Mr. Loss makes unto the Second Case THese things being most diligently administred by the blessing of God and the cooperation of Nature this Damsel was freed from the pain in her Side and spitting of Blood One would almost laugh at this Gentleman to see with how much gravity and formality he sets forth at large his doing of little or not much to the purpose for this his Patient But I dare not make sport of or laugh at his mockery in calling as it were God and Nature to witness an untruth that She was freed from the pain in her Side whereas Mrs. Moore says positively the pain in her Side continued very violent Some one may think perhaps that this untruth was some mistake or came some-ways inconsiderately from him but it would be strange that he should light by accident upon that than which nothing though designed and plotted could make more for his purpose for if She was freed from the pain in her Side the Reader takes it easily for granted that her Pleurisie her Disease was gone and then he easily consents that the sending for Alius Medicus might be upon such an account as Mr. Loss tells him and that Alius Medicus was guilty of the faults are laid to his charge and that he did nothing to the Cure for that was done before he was sent for and that what he did was without Method or Reason and done only because he would seem to do something Thus the Relation of the Event in the first Case is a very convenient Preface to the second for it argues the great Art and Skill made use of besides the blessing of God upon it to the honour of Mr. Loss who so speedily and safely had wroughte Cure and è contra the ignorance and madness of Alius Medicus that should bleed and purge a Patient that had no need of either but was recovered before The main business Mr. Loss had to do in this Preface was how he should so handsomly and conveniently bring Alius Medicus upon the stage as to rob him of the credit he had got of this Cure and to take it to himself and cast dirt upon him First therefore he gives the Reader a plausible story of what he had done and for the better credit of the business he tells him what intentions he followed to cure this Pleurisie and sets down also the Recipes of his Medicines both which an indifferent Physician might have easily translated from many Books that write the Praxis of
things being most diligently made use of by the blessing of God and cooperation of Nature within few days this Virgin was freed from the pain of her side and spitting of Blood so that she could rise out of her bed a Cough remaining but not very troublesom to remove which out of a vain fear of a Consumption it seemed good to the most noble Mother through the instigation of the Vncle to call into Counsel another Physician who after the manner of many others accusing what had been done and especially that a Vein had not been opened and that her having been bled by Leeches was of no moment orders on the sixth day of the Disease that a vein should be opened then when the Fever and other Symptoms were gone So taking away some four ounces of Blood that he might not seem to do nothing from the Basilick Vein of the opposite side that which by the most learned Fuchsius is accounted an error in Physicians who alledgeth many reasons to the contrary The seventh day he gives her Powder of Sena by which she was purged six or seven times About the Evening of the same day she fell into a plentiful voluntary Sweat by which she grew altogether well excepting that for some time afterwards she took Balsam of Peru. Though these things were ordered without method or reason yet they did the Patient no harm for strength when it is good as it was in this Virgin it contemns and tolerates all things but when it is weak every thing offends it I have already above mentioned what the Medicinal Materials are with which a Physician is to build any Medicinal work I shall now offer at the Method of ranging these into a Medicinal Observation which according to what I yet best understand ought to consist of these five Parts 1. A Title which is to invite the Reader to peruse it telling him what it is he may expect in the Observation and therefore it ought to contain either the sum of it or somthing very remarkable in it and commonly it speaks the Patients Disease 2. A Narrative of the Case containing its history or the matters of fact which the Physician met with in that Case such as are these three especially 1. His Natural viz. His Parentage Age Sex and Natural Constitution in which I include his Temperament Complexion Predominant Humor and his habit of Body 2. His Non-naturals which some thus in short express Aer Esca Quies Repletio Gaudia Somnus Haec moderata juvant immoderata nocent 3. His former Praeternaturals what Disease he hath formerly had from what Causes and with what Symptomes as likewise the Juvantia and Laedentia what did formerly do him good or hurt 3. The Judgment of the Physician founded upon this Narrative and this Judgment ought to be the delivery of his Opinion touching these three particulars especially 1. What the part Affected is and whether it be Primarily affected or by Sympathy 2. What the Disease is I mean the Principal Disease and that in regard of its Essence Accidents or Mutation 1. In respect of its Essence whether it be a Similar Disease a Distemper only or an Organical consisting in some default of 1. The Conformation of the Part Affected respecting its figure its roughness or smoothness or Cavity in its being Compressed Obstructed or Dilated 2. The Magnitude of it when the Part is either Bigger or Less than it should be 3. The Number when in a greater Organical part there are more or fewer lesser Organs 4. The Connexion when a Part doth not Cohere where it should or Cohere where it should not or is otherwise faulty in its site 2. In respect of its Accidents of which four are especially considerable As 1. It s Magnitude whether it be a great Disease such as being very intense afflicts the Body with a great force or a little Disease that receding but little from the natural constitution doth but little impair the strength 2. It s Motion in respect of its Quantity in its parts as being in its beginning increase state or decrease or in the whole whether it be an Acute Disease or a Chronical 3. It s Motion in respect of its Quality or Manner whether it be a Benign Disease or a Malign 4. It s Event whether it be likely to be Salutary or Mortal Besides these Accidents taken from the Properties that do accompany the Essence of a Disease there are also other accidental differences that a Physician may judg of As 1. Whether in respect of the subject or part affected the Disease be Idiopathick or Sympathick Protopathick or Deuteropathick If Sympathick whether Positive or Privative whether Sympathick by reason of Neighbourhood Society of the same kind Communion of Office Site or Connexion 2. Whether the efficient Cause of the Disease or peccant Humor be Legitimate or Bastard 3. Whether in respect of the Causa sine quâ non especially the Region or Place where the Patient lies sick the Disease be Endemick Epidemick or Sporadick 3. In respect of its Mutation whether it will change into another Disease or it self terminate either by 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Life or Death 4. The Practice of the Physician according unto his Judgment of the Case his Method of Cure and his Remedies made use of whether Dietetick Pharmaceutick or Chirurgick 5. The Event and Success of what was done I do not undertake to prescribe to any one this Method for his framing of any Medicinal Observation but because I think it doth contain whatsoever needs to be taken notice of by any Physician in any particular Patient's Case according to it I shall follow my Examination of the newly mentioned 15 th Observation of Mr. Loss his Second Book of Medicinal Observations supposing that my having premised it hath not been any fruitless digresson since by it the Reader may be informed unto what head each Particular that shall be spoken unto belongs and thereby himself become a more competent judg both of Mr. Loss his Observation and of my Examination This 15 th Observation is more than ordinary remarkable in that there is a double case to be taken notice of in it The First did belong to young Mrs. Bridget Moore the Sickness of her Body The Second doth belong unto my self her other Physician who was sent for to consult with Mr. Loss in her Sickness and it is the wounding of my Reputation by his private whispers and now publick slander The first of these Patients by the blessing of the Almighty grew well in a short time and she may now say to me Physician cure thy self To which my Answer shall be the very same that when she lay sick it was unto her honoured Mother upon somewhat the like question The Case is indeed very dangerous but I 'll do the best I can for the Cure And although it is not in my power to perswade any one contrary to what they themselves please yet
changeth his Note of the great danger our little Patient was in and out of a Malignity to the other Physician Benigns the Disease That which is also the more ridiculous because this Gentleman in the immediately preceding Observation viz. the 14 th of his 2 d Book says thus of a Pleurisie in general 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Graecè a loco affecto nimirum Pleurâ Latinis morbus costalis seu lateralis dicitur estque inflammatio Membranae costas succingentis quae Pleura nominatur Haec inter morbos acutos lethales vel imprimis numeratur gravia Symptomata pericula secum adfert morbus est gravissimus A Pleurisie is called in Greek Pleuritis from the part affected to wit the Pleura or Side In Latin it 's called the Rib or Side-Disease and it is an Inflammation of the Membrane that covereth the Ribs within which is called Pleura Amongst acute and mortal Diseases a Pleurisie is especially reckoned it brings with it grievous and dangerous Symptoms and is a most grievous Disease A Pleurisie then is a most dangerous Disease when Mr. Loss cures it but when Alius Medicus cures it it 's a Benign Pleurisie The Nature of an Acute Disease consists in two things in its being a great Disease and in its moving nimbly with vehemency and danger Young Mrs. Moore 's Fever was peracute putrid continual worse every night it had joined with it an Inflammation of an internal Part next neighbour to the Heart It was occasioned by Choler in a Bilious thin Body it caused bad Symptoms and threatned death and if notwithstanding all this it must pass for one of Mr. Loss his Benign Pleurisies so let it Mr. Loss his Judgment of the Cause of this Patient's Pleurisie Examined THE Conjunct Cause of her Pleurisie was Inflamed Blood The Antecedent-Causes were of two sorts some did cause the Blood to be inflamed as her Plethora quoad vires and her Cacochymia Some did cause her inflamed Blood to fall upon her left Side as the the weakness and debility thereof that Side being weakned first by an Issue and afterwards by an Afflux of Humors causing a soreness in her left Breast some years before her sickness The Procatarctick Causes were her being obnoxious to Catarrhs her Cholerick Constitution her over-heating her Blood by play and her drinking cold Beer whilst she was hot that which Sennertus takes especial notice of for a Cause of a Pleurisie But Mr. Loss mentions no other Cause but an External only her catching cold by walking forth late in the Evening in an Autumnal cold Season with her Breasts naked as is the manner of most Noble Virgins This is but a vulgar account any one that comes in to see such a sick Patient can readily suggest that She might get her sickness by taking some cold and being too late out in the Evening It is too general an account and although it gives sometimes very good satisfaction unto ordinary Persons that understand little of Physick or Philosophy yet how will any wise man acquiesce if asking after the Cause of a Particular Disease his Physician tells him he hath got cold which is in a manner a general Cause of all Diseases It is an illogical Inference She got cold therefore She got a Pleurisie for we may predicate of an Individual the Species and next Genus and so upwards For example Peter is a Man A Man is an Animal an Animal is a Corporeal Substance c. But we cannot invert this order and go downwards saying A Corporeal Substance is an Animal An Animal is a Man A Man is Peter Thus we may say That a Pleurisie may be caused by catching of cold but we cannot say catching of cold is the cause of a Pleurisie because a Genus cannot be confined to one Species and catching of cold might as well have caused other Diseases as a Pleurisie The Consideration of such a Cause is useless to a Physician he can make no benefit of it for Causa transiens non indicat because it is one of the conditions of an Indicans that it be Manens in corpore for how else can it indicate its ablation from thence What though this young Lady did catch cold that was past before Mr. Loss was sent for and the need a Patient hath of a Physician is to find out and remove the Cause that doth actually cause the sickness not to talk of that which is already gone If Mr. Loss had understood that the division of Causes of Diseases into External and Internal is an error among some Physicians because it may so fall out that against the Rules of Logick both Members of the division may be predicated of one and the same thing as when a Dagger is stuck into the flesh He would not have called the cold Air an External but a Procatarctick Cause of her Disease Besides all that hath been said this only account which Mr. Loss gives of this Patient's Sickness is also false either this young Lady was too hard for this old Gentleman by concealing her over-heating her self at play and then drinking cold Beer or else our trusty Observator according unto his manner of seeing and proving things in his Observations never troubles himself to examine the business but easily takes upon trust what as easily he puts forth in Print But suppose we that what he says were true let 's a little dive into his profound Philosophy I know this old Gentleman is no friend to the new Philosophers he had rather that those that went before him should be accounted wiser than any that come after him Antiquity he reverenceth but he doth not consider that the younger generation of Men is the older World and that as all things else here below so Knowledg and Learning cannot but grow and increase by time and the daily experiments and inventions by which it is improved and advanced or else for which I see no reason he must conclude that Learning is past its Zenith and upon the decline I shall not therefore trouble him with questioning whether Heat be an Accident or a Substance I mean that Heat which he saith so easily causeth a Pleurisie by melting the Humors but I ask him in what Subject it is It 's plain that he means by Cold the cold Air that which caused as he says this Gentlewoman's sickness and therefore I presume he means by Heat the hot Air. But how hot Air can insinuate it self into and single out the Pleura a membranous and colder part and yet there by melting the Humors easily cause a Pleurisie I cannot easily understand I acknowledg it may help to increase Choler in the Body which abounding may take fire and inflame the Blood and I can easily imagine that some of this inflamed Blood may strike to the Pleura and inflame that but then this is contrary to what Mr. Loss would have for thus the Fever must needs precede the Pleurisie whereas he says positively that the
is like a Venice-Glass bright and clear but withal fragile and if once crackt though it may be sodred or plaistred and serve for some use yet it is despised undervalued and in a manner fit for nothing Credit to men in a Profession is like Virginity to Women it enhanseth their price and just esteem mightily but if it once be lost how shall it be retriev'd People are as ready to catch at slanders as slies are to light upon a gal'd place and they have their impudence to come again be they never so often beaten off When a Slander hath once taken Air 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 who is able to stop or stay its wild-fire from doing mischief It 's like a poisoned Arrow if it once fetcheth blood who can keep it from infecting or tainting the Heart A Man can never therefore be too careful of his credit he must keep it as the apple of his Eye many times guarding it when there is no hurt near but always defending it when it is in danger To the Slanderer for it 's fourty to one but sometime or other Murder will out and Slander also I cannot easily sit down and imagine with my self any Person so impregnable so next to impossible to be discovered and convicted as was Mr. Loss for being near fourty years a Practiser of Physick in one place he hath had the opportunity of doing Courtesies and Kindnesses to most about him and hath thereby gained their good will and being all along a great Professor of Religion amongst those that are perhaps really good and apt to think others so likewise he hath gained an easie belief that whatsoever he says is true And yet this Oracle of Physick this piece of starch't Honesty and Religion to speak against whom one told me was all one as to set my shoulders to heave an house-end will probably in any place besides Dorchester and possibly there also be reputed for another Person than he was taken for for if I mistake not his passions have so at length befool'd him that his 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 his meash of denying things being now stopt quia litera scripta manet what no man else possibly could have done he himself I think hath effected in the discovering of his own slanders not of me only but of many other Physicians also and Apothecaries Instances of Mr. Loss his Slandering of Alius Medicus Some six years since I was sent for to a Person of quality not far from Dorchester Mr. Loss his Patient who notwithstanding all that was done for her continued many days under the torturing pains of a Scorbutick Collick I then told him that in my opinion it was high time to give her some ease by an Opiate Medicin for which she was not yet too weak he opposed my advice for fear forsooth that any thing which had Opium in it should further impact the Morbifick Matter I argued that Symptoma urgens did indicate as a Cause impairing her strength which without ease given could not well hold out until the conjunct cause of the Disease should be removed and besides that whilst Nature was thus on the rack and in a rage no Physick that should remove the Peccant Humor could work or have its due operation for Nature must first work on it and she was at present otherwise employed but to take off all doubt I told him that my purpose was to have respect at once both to her strength the Morbifick matter for I purposed that she should take the Laudanum in a Purging Bolus with some reluctancy he at last consented the Event was that it calmed the enraged Archaeus as the Chymists love to speak and stopped the violent fermentation of the humors and having first given her great ease it afterwards gently carried off good part of the Morbifick Matter but not all for within a small time the remains and what was new generated began again to ferment afresh and her Torments did return insomuch that early in the morning whilst we were both of us in bed together she sent up her servant to acquaint us with the sadness of her condition Mr. Loss that had intimated unto me a little before that I need not be too diligent my pay would not be answerable speaking thus of a Family he hath got many a score Pounds by begins now to give me himself for an example of that Rule he would needs instruct mein let the Lady therefore toss tumble and cry out for pain I saw he could lie qâ—ietly and at his ease in bed and let me get up in a cold Winter-Morning though it was to mind our Patient's ease more than my own I found her very ill and by such means as were at hand in her Closet next her Chamber reposited there I suppose chiefly for charitable uses she her self by the blessing of God received such help and so great benefit in this her extremity as pleased her so well that she bade me write down her Name in my Book for the best Patient I ever had being a sort of promise that she would be so and some hours after when Mr. Loss was got up and come into her Chamber in my hearing she bade him get out of her sight she could not endure him If this Gentleman said she had not arose and come to me I might have perished for all you And this I think was the foundation and first beginning of his quarrelling with me For finding how things went and what an interest I had gained in this Patient he begins to think it high time to look about him and reflecting with himself that some of her nearest Relations were still his fast Friends as well as old Acquaintance for he had been about twenty years a Physician to the Family and I never there before he takes the opportunity of the next returning of her pains for neither yet was the Disease wholly extirpated and then when grief and sadness had again seized the Family whilst I was yet in the house behind my back he makes his complaint to the Husband and Mother-in-Law of my irrational proceedings insinuating as if what I had done that Morning when he kept his bed was the repeating of some Opiate which had impacted the Morbifick Matter and was the cause of these her returning torments adding more expresly words to this purpose that I had already done more than I could answer and that if they did not set a spy upon me I would kill her I was so venturous and accordingly forthwith a spy was set to see that I medled not or mixed any thing for the Patient No question but this good man saw in his Bed if not in his sleep what Medicines I took down in the Ladies Closet and how I ordered them or else the Nurse guessed at them and told him But a Gentleman of good Credit whom I can Name told me that he heard him speak to the Husband and Mother these things he said of me behind
perstarent de venâ secandâ cogitavi ut quae summum in pleuritide commodum afferre soleat Cum vero venaesectionem Galenus in pueris ante decimumquartum annum vix suscipiendam suadeat praesertim in corpore molli raro atque ad dissolutionem prono quale erat hujus puellae siquidem internam habent copiosam perpetuam vacuationem ab actione sui innati coloris excitatam qui substantiam humidiorem facilè digerit absâ—mit unde timendum ne huic liberali vacuationi altera addita vires prosternat Itaq sanguinis uncias quinque sic jubente Doctissimo Sennerto hirudinibus ex internâ sinistrï cubiti vena emungendas curava praemisso enemate emolliente refrigerante Hoc facto dolorem lateris fotu unctione lenire studeo Fovebam autem malvarum florum Camomillae meliloti anethi seminum lini decocto admota insuper inunctione ex unguento dialtheae pectorali oleo amygdalarum dulcium superimposito cataplasmate dolorum lenitivó Recipe Malvae florum Camomillae ana M. 1. Meliloti Anethi Violariae ana M. s Floram Violarum P. 1. Seminum Foenugraeci Lini ana unc s Decoquantur in aqua contusis adde Olei Amygdalarum dulcium unc i. Pinguedinis Gallinae unc s farinae hordei fabar ana q. s Fiat Cataplasma quibus continuatis dolor plurimum alleviatus Hinc ad promovendum sputum conversus mane in jusculis exhibui Oleum Amygdalarum dulcium recenter sine igne extractum quo alvus quoque fluidior reddita subsequente promtâ facili anacatharsi interdiu verò utebatur linctu ex Syrupo Violaceo capillorum veneris diatragacantho frigido diaireos Saccharo Cando atque penidiis In principio morbi assumpsit tincturam florum papaveris erratici cum aqua cardui Mariae scabiosa cum spiritu sulphuris addito pugillo uno vel altero Florum Violarum extractam Postea etiam Decoctum pectorale officinarum hausit pro potu ordinario bibit decoctum hordei cum passulis liquoritia Seminibus Anisi His summâ diligentiâ administratis aspirante Gratiâ Divinâ Natura cooperatrice intra paucos dies puella haec a lateris dolore sputo cruento liberata ut e lecto surgeret remanente tussi non admodum molestâ cui removendae phthiseos vano metu visum est nobilissimae Matri instigatione avunculi Alium Medicum in Concilium adhibere Hic acta pro more multorum accusans maxime veró quod venaesectio neglecta quae sanguinis per hirudines detractio instituta fuisset nullius sit momenti venaesectionem instituit sexto morbi die cum febris reliqua symptomata cessassent detractis ne nihil fecisse videretur quatuor circiter unciis sanguinis ex basilicâ dextrâ oppositi scil lateris id quod inter errores Medicorum a doctissimo Fuchsio numeratur qua plures rationes in contrarium allegat Die septimo exhibet pulverem senae quo sexties vel septies fuit purgata Sub vesperam ejusdem diei incidit in sudorem spontaneum copiosissimum a quo omnino convaluit assumpto tamen aliquandiu Balsamo Peruviano Haec licet 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 sine ratione instituta nullo tamen aegrae damno quod vires ubi valentes sunt quales erant in hac Puellâ omnia contemnant tolerent ubi infirmae fuerint a quovis offendantur Observation the 15 th Book 2 d. A Benign Pleurisie resolved in a Week THE most Noble Damsel Elizabeth Eldest Daughter of the most Noble Gentleman Mr. Thomas Moore Esq aged more or less about ten years thin and cholerick and of a very rare Constitution boarding at Dorchester at a School-mistress's house for her better education subject to Rheums in Autumn when eventilation is less than at other times for which cause the Body is more prone to admit of the Internal inflammations of parts after a precedent rigour was taken in a Fever mild indeed but continual and worse every day towards evening with a pricking pain in the left side reaching to the Throat a difficulty of breathing a cough and spitting of blood Being called unto her and considering what has been said I judged that this noble Maid was sick of a Pleurisie whose external cause was by catching cold seeing that in a cold season late in the evening she had gone forth a walking with naked breasts as is the manner of Noble Virgins For as heat melting the humors easily causeth a Pleurisie so doth cold likewise by compacting them the Blood being gathered by reason of cold about the Intercostal Vessels and causing an Inflammation in the Membrane compassing the Ribs called the Pleura and the neighbouring internal Muscles Presently therefore for as much as her strength was yet pretty good I was thinking of opening a Vein as being that which uses to give great relief in a Pleurisie But because Galen adviseth hardly to admit of bleeding in Children not yet 14 years old especially in a body soft and spare and prone to dissolve such as this Damsels was for these bodies have a continual and plentiful internal evacuation caused by the action of their innate heat which easily digests and consumes their moist Substance so that there was reason to be afraid lest her strength should fail if to this liberal evacuation an other should be added Wherefore following therein the command of the most learned Sennertus I took care to evacuate by Leeches five ounces of Blood from the Internal Vein of the left Arm having first ordered an emollient and cooling Glyster Afterwards I made it my business by fomentation and unction to asswage the pain of her side My Fomentation was a Decoction of Mallows Chamomile-flowers Line-Seeds and Dill after which she was anointed with Althaea and pectoral Ointments and oil of sweet Almonds and this Cataplasm was applyed Take of Mallows Camomile-flowers of each one handful of Dill and Violet-Leaves of each half one handful of Violet-flowers a pugil of Faenugreek and Line-Seed of each half an ounce boil them in Water and when hey are bruised add to them one ounce of Oil of sweet Almonds half an ounce of Hens-grease and as much Meal of Barley and Beans as is enough Make a Pultess These things being continued the pain was much asswaged applying my self therefore to promote expectoration I gave her in the morning in her Broth oil of sweet Almonds fresh-drawn without fire by which She was also more soluble and a ready and easie expectoration followed But in the day She used a Linctus of Syrup of Violets Maiden-hair Diatragacanth frig Diaireos Sugar Candy and Penidice In the beginning of the Disease she took a Tincture of Wild Poppy-flowers extracted with Waters of Card. Marand Scabioso Spirit of Sulphur and a pugil or two of Violet-flowers Afterwards she drank the pectoral Decoction of the shops and for her ordinary drink a decoction of Barley with Raisins Loquorice and Aniseeds These