Quintan Sextan Septan and Nonan we must not think they proceed from any next kinde of Humour but are to bee referred to a Quartan and to be cured by the same method onely the difference is that a Quintan is caused from an atrabilarious humour and is the worst of all fullest of danger and of the greatest essence saith Galen Commen on the third Section of the first Book Epidem but the rest are from a melancholly humour A Hectick Feaver although it bee in the solid parts is to be reckoned amongst the Simple Feavers it differs from a pestilential in that it is free from any venenate or malign quality from the Humoral that is free from putrefaction A Pestilent Feaver is likewise numbred amongst the Simple though it differ from them by its venenate contagious and pernicious quality by which it contaminates our substance and amongst malignant Feavers may be numbred those from vitellinous aeruginous and prassinous choller according to Galen and Hippocrates and Avenzâ—ar in his Theisir A Leipyria is placed also amongst malignant Feavers by Hippocrates in his Epidem and Progno 2. Lib. 3. and by Galen in his Comments upon those Books it differs from an exquisite cause by its malignity and is always deadly according to Galens Commen on Aphâ—ris 48. Sect. 4. and c. 4. of his Book of Inequal Distempers it kills the fourth day or sooner and follows great inflammations of the Viscera so much of Simple Feavers A Compound Feaver is that which is made either of two intermittings mixt as a double tertian a double and triple quartan or of a continual and intermitting as a hemitritaean or a Hectick with a putred make a Compound Feaver and so likewise of many others The confused is as often as two or three Humours doe putrefie together whether in the great Veines or out of them and in the same place begin together and end together for this mixion ingenders no compound but a confused Feaver and the one cannot be known from the other because the signes are so confused from whence it hath its name as for example if Choler and Flegme putrefie together in the great Veines there shal be two continual Feavers in the same place which make a confuse and no Compound Feaver on the other side if the same Humours putrefie with melancholly in the lesser Veines altogether and in the same place there shall bee two or three intermittings which mixt doe likewise produce no compound but confused Feaver so a double continual tertian will be confused and not compound because the putred matter is contained in the same place The Erratick or inordinate Feaver is that which observes no type or order of other Simple Feavers whose humour putrefies in divers places and moves from one place to another from whence is the diversity of the fits sometimes it intermits four dayes sometimes eight and sometimes more and then recurres sometimes it comes sooner and is called praeoccupant sometimes moves slower and is called retardant and so much for essential Feavers A Symptomatical Feaver though it be continual yet differs from the former because its matter is not contained in the greater Veines neither hath it any exacerbations or remissions but depends on the inflammation of the part which it possesses from whence it hath its name as is observed in the second Chapter CHAP. IV. Of the Circuit of Feavers TO finde out the Reason of the Circuits of intermitting Feavers is of no small moment amongst the Learned for what one allows another reprobates every one applauding his owne phansie leaving then their nicities I shall declare my owne opinion having premised somewhat for elucidation of what shall follow all the parts of the body are endued with four Faculties to wit the Attractive Retentive Alterative and Expulsive and as long as these are free from any fault man lives in perfect health and when one of these is too strong for the other he is affected with various Diseases as if an excrement be inherent to any part and cannot bee expeld from it by reason of its weakness it becomes burthensome to it because it is neither discussed nor removed or if by reason of its coldness crasseness or clamminess it obstruct the passages through which it ought to be expeld it putrefies and causeth a Disease and the heat contracted by putrefaction is very offensive to the heat and first of all occupies and infests the Spirits because they are tenuous then the Humours because they are more craâ—â—e and last of all the solid parts and this heat from the heart through the Arteries dispersed to the whole body generates a Feaver and hurts our actions The cause then of the shortness or length of the anticipation or tardation of the Circuits may be taken from these Six things viz. From the Species of the Humour from the quantity quality habit of the Body disposition of Strength and complication of Feavers There are four Humours in the Body one of which exceeds the other in quantity and quality as if pure bloud putrefie in the great Veines which is hot and moyst it begets a continual Synechis if out of those Veines it produces an intermitting it s thinner part is turned into choler and the crasser into melancholly as Alexan. Aphrodis learnedly notes Another cause of the circuits is from the quality of the Humour and weakness of the part where the excrement is heaped up as flegme next to bloud exceeds other Humours in quantity and being cold of quality and moyst crasse and clammy by its frigidity it resists putrefaction and by reason of its crasseness and clamminess is not so easily resolved as bloud and hence are the length of its fits and by reason of the reliques and imbecillity of the part new excrement is heaped on it thence are new fits which recurre every day and if yellow choler putrefie in a part it causeth the like though more difficultly than flegme by reason of its driness by which it more powerfully resists putrefaction and because it is a tenuous humour and not crasse it is farre more easily resolved than flegme and leaves less reliques behind it in the affected part and hence is it that its fits which it causeth doe sooner end in an infebricitation and greater time or interval is required for a new accession but because the part is debilitated by the former excrement it readily receives the new which putrefying as before causeth a new fit neither sooner nor later than the third day and lasts twelve hours and is therefore called a tertian because it recurres every third day The melancholly juyce retained in a part doth not so easily putrefie as other Humours by reason of its two qualities which resist putrefaction viz. frigidity and siccity and therefore it intermits two daies and returns every fourth day and though the former matter bee emptied yet there is a weakness and disposition of the part as in the other to receive a
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
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-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
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
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
Hectick is in the solid parts and of the putrid in the humours but an Ephemera joyned with other Feavers makes no compound otherwise there could bee no simple Feaver the symptomes also which accompany Feavers constitute no compound one because they are not of the essence of Feavers though they increase foment and prolong them The Erratick Feaver is so called because its fits observe no proportion for their beginnings are inordinate resembling no species of any certaine simple or compound Feaver an Erratick Feaver then is of no certaine species for it is neither quotidian tertian nor quartan nor much less a continual for being so called from the uncertaine insult of the fits it is plaine it cannot bee continual though it may bee joyned with a continual as well as other intermitting Feavers an erratick then is from no certaine kind of humour as other intermittings are but either from the humours confounded together and unequally premixt and putrefying in the habit of the body or from one humour but changed from it self and passing into another for how much the humours are changed in the body of the sick so much are the circuits of the fits varied and bloud is most of all transmuted when it putrefies part of it passing into yellow choller part into black The causes of these Feavers are many one is the inequality of Summer and Autumne another when a humour begins to putrefie in a particular part and another flowes to it from other parts which was before bounded in them or was redundant in the whole body a third is errour in diet quantity or quality of the humour strength of the Patient c. they are long and of evil judgement he that would distinguish them rightly must bee well versed in the knowledge of simple Feavers both continual and intermitting The signes of Compound Feavers differ not from those of the simple intermitting as a double intermitting tertian begins as a simple with rigour and sometimes with vomiting and ends with sweat Compound Feavers are seldome of divers intermittings but if it happen the first dayes they are scarce discernable Compound Quartans begin with horrour as the simple intermittings and they are the longest of all they are thus distinguisht a double quartan growes furious two dayes and is quiet the third the fourth and fifth again is furious and so consequently a triple quartan every day begins with horrour but every fourth day the Feaver is more grievous as if it were a simple quartan Every intermitting Feaver of divers kinde may be complicate with another of the same kinde if it be in divers places as if a quotidian bee mixt with a tertian on one day there shall be two fits but on the next only one that of the quotidian and on the third day there shall be two on the fourth but one and so forwards the one shall begin with coldness the other with rigour If a quotidian be mixt with a quartan then the fourth day there shall bee two fits one with coldness the other with horrour on the other dayes but one that of the quotidian If a tertian and quartan concur the first insult shall be of the tertian with rigour the second day there shall be no Feaver the third day the tertian shall recur on the fourth a fit of the quartan on the fifth another of the tertian on the sixth none on the seventh there shall bee a double fit one of the tertian and another of the quartan and so on If a putrid Feaver be joyned with a Hectick it makes a compound because the heat of this possesses the substance of the heart that the humours The signes of both are taken from the pulse hard and unequal from the urine mordent heat and manner of their motion if it be bilious the invasion will be every third day if a quartan every fourth if a quotidian every day either with rigour horrour or coldness and the exacerbations and remissions of the putrid Feaver will be at its set hours CHAP. XXII Of a Semitertian Feaver THis Feaver Hippocrates calls the horrid Feaver from its horrour or violent shaking it is a Compound Feaver and is two-fold exquisite and not exquisite that is made up of a continual quoridian and an intermitting tertian for it is more easie for a quotidian to be continual than a tertian and its fits are longer than those of a tertian Besides the horrour is not every day but every other day when then the fits both of tertian and quotidian meet together and are confounded but on the middle dayes there is only a refrigeration proper to the quotidian the reduplications are every third day not such as a tertian but dimidiately like them because the type of the tertian is changed by the flegme of the quotidian This Feaver is sometimes caused from a continual tertian and intermitting quotidian and not from two continuals or two intermittings as Archigenes and Celsus would have it whose opinions were they true it would not be horrifical as Hippocrates and Galen describe it for horrour proceeds from rigour and cold mixt The Non-exquisite is two-fold too the one when choller predominates the other when flegme if choller prevail there is a rigour and no horrour and it comes sooner to its state without many reduplications the heat is more acrid with vomitings and dejections yellow c. but if flegme predominate there is rather a chilness than horrour and many reduplications with flegmatick excretions less heat c. these Feavers are frequent in Aethiopia Italy and other hot Countries the gentlest of them is twenty four hours the middle sort thirty six the strongest forty eight if it bee exquisite every third day it is horrifical the pulse hard and unequal and so the heat the urine crass and turbulent sweats in these Feavers are bad because they are symptomatical and not from Nature conquering c. This Feaver is reckoned amongst the deadly and sometimes lasts a whole month sometimes degenerates into a Hectick sometimes to a Dropsie by reason of the many obstructions sometimes it is shorter when the matter is little and contained in the common ducts For the Cure if need be first give a Glister then take of Cinamon half a dram Agarick Trochiscate two scruples Rhubard four scruples honey of Roses and Diaphaenicum each an ounce infuse them in a decoction of Succory Hyssop Liquorice Raisins stoned Figgs Anni-seed flowers of Time Bugloss and Elder all night over the warme embers streine it and give it at the time of remission Take of the simple sirrup of Vinegar four ounces use it with the decoction of Barley or with Ptisâ—an made of Barley Raisins stoned Figgs and Liquorish or with a decoction of Sorrel rootes or Water and Sugar if Vinegar displease use sirrup of Pomgranates In a spurious one if choller predominate let your cholagoges exceed the Phlegmagoges and so on the contrary if the stomach be offended give gastrical Medicines
before it is necessary we take their differences first from the essence of heat then from the subject in which the Feaver is or from the manner of the motion of heat or from the cause of the Disease or from the matter or symptomes The first difference then is from the essence of the praeternatural heat by which some action is alwaies hurt because there is a recession from the natural state and by how much the greater and more vehement this heat is by so much the greater ought the Feaver to bee accounted as for example a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Burning feaver may be said to bee greater than any other Feaver because its heat being more intense it appears more acrid and mordent than any other humoral Feaver but on the contrary if you compare it with an Hectick it is less than that because this possesses the very substance of the heart but that the Humours near unto it Another difference may bee taken from the subject wherein the Feaver is as for example by how much the nobler the part affected is by so much the more vehement the Feaver as that Feaver which proceeds from a Phrensie peripneumony or inflammation of the Lungs or from a Plurisie by reason of the parts affected shall bee farre more dangerous than that which follows an inflammation of the Reins Spleen or Foot besides the Feaver is proportionate or improportionate in relation to the subject and thence shall be esteemed greater or less as a Burning feaver is proportionate in a Body hot and dry of youthful age at Midsummer or in a hot and dry region and consequently less dangerous than the improportionate which should happen to an aged body cold and moyst in the Winter season and in a cold and moyst Country as Hippocrates doth excellently note it Aphor. 34. Sect. 2. The Third is from the manner of the motion and motions here is nothing else but a swift or slow transition from one subject to another the swift motion is as often as the heat passeth from a crasse thick subject to a tenuous one as for example as oft as an intermitting Feaver doth pass into a continual or other putrid one and on the contrary the slow motion is as often as an Ephemera or putrid feaver degenerates into a Hectick for the Spirits are easier set a fire than the Humours and these easier than the solid parts of heart and body likewise an unputrid Synochus being neglected doth easily pass into a putrid one and so of other sorts of Feavers The Fourth is from the efficient cause which is three-fold the one evident the other internal the third occult the evident is drawn from those Six non-natural things as from the air inanition or repletion c. the internal from fluxions on the stomack or lungs obstruction crudities or putrefaction of humours c. The occult cause may be double external and internal the external as the contact of a Torpedo impure copulation the use of malign and venenate medicaments c. from whence are Feavers epidemical endemical sporadical and pestilential saith Hippocrates and Galen the internal cause is hard to bee discovered because besides the putrefaction there is a certain venenate air or breath which is for the most part unknown to us whether it depend on the element of Stars and therefore is called by Hippocrates Quid divinum as was that sweating sickness in Brittaine which did not only depopulate England but Germany and France The Fifth difference is from the matter which consists either in the spirits or the humours or the solid parts and these three Hippocrates in the sixth of his Epidem last Section text 19. calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is containing contained and impetuous bodies The containing are the solid parts in which are caused Hectick Feavers both universal and particular they first invade the substance of the heart then equally the other parts these primarily and per se possess the substance of some private part from whence they are communicated to the heart and to the rest of the solid parts as to the Lungs Midrist Stomach or Liver c. The contained are the four Humours which offend either in quantity or quality in quantity as often as these Humours are more or less enflamed in the heart without putrefaction and hence are the Epacmastical Acmastical and Paracmastical Feavers in quality in relation either to touch sight or taste according to Hippocrates as by the touch of the Pulse some are judged mordent others milde and temperate in comparison with others others appear moyst as bilious Feavers such as are your continual tertians or burning Feavers all which are mordent especially about the state of the Disease and before the Crisis the mâ—lde ones are such as the true Diary Feaver which ends with a sweat or moystness and your unputred Synochus and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is moyst of which Galen makes mention against Lycus for these in respect of other Feavers are called milde and temperate To the sight are referred the red ones as the unputred Synochus which is from a more fervid bloud the white ones as Quotidians the livid as Quartans Syncopal or Pestilential Feavers others are arid and horrid to the eye as the colliquating Hectick and that of the second or third degree In relation to taste some are said to be sweet as those from natural Flegme and many bloudy ones which even after putrefaction retaine some sweetness others are bitter as the bilious others salt as those from salt flegme and the hybernal causes or winter burning Feaver The impetuous are the vital animal and natural spirits in the vital spirits is caused a Diary of one day if the spirits be tenuous of more daies If they be crasse but more of this in its proper place Some Feavers are long others short some diurnal others nocturnal some ordinate others inordinate some periodical others erratical according to the condition of the Sick the quality of the morbous matter or its quantity and motion The Sixt difference of Feavers is taken from their Symptomes as often as a part is possest with an inflammation and these Feavers are always continuall whether bloud choller or flegme superabound if bloud the Feaver is called Phlegmonodes if choller Erysipelatodes and Typhodes or burning and they have another name or appellation from the part affected as from the Liver Hepatica from the Spleen Splenica from the Bladder Cystica from the Throat Cynanchica from the Head Phrenitica Lethargica Comatosa from the Lungs Pneumonica from the Side Pleuritica from the Midriff Diaphragmatica from the Wombe Hysterica from the Stomach Stomachica c. CHAP. III. Of the division of Feavers ALL Feavers of what sort soever are either Essential or Symptomatical the Essential is either simple compound confuse erratick pestilent or of malignant nature The
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}
the broth of a Weathers head or in Capon broth with the yolks of eggs If the stomach be foul take of Manna of Calabria an ounce and half sirrup of Roses solutive with Rhubarb if choller abound or with Agarick if flegme and give it in a little Chicken-broth or ptissan stronger remedies must not be used To correct the acrid heat and driness Take of sirrup of Vinegar simple or Oxysaccarum or of the juyce of Endive or Poppy if the Patient rest not three ounces Bugloss and Wood sorrel water each six ounces make a Julep Baths are good which by their warmth open the passages and draw the bloud to the habit of the body if you give a cup of Asses milk with sugar of Roses to them whiles they are in it then to prevent sweating anoynt the back bone and the emunctories and extreame parts with this Liniment Take of oyle of Violets or Water-Lillies or sweet Almonds and oyle of Roses or Myrtells each three ounces mixe them for your use If you mixe in broth a little of this condite and give it before meat you will profit much viz. Conserve of Violets and Water-Lillies and the bark of the rootes of Bugloss condite each an ounce of the resumptive Powder newly prepared three drams or instead of it Melon and Cowcumber-feeds each a dram and half powder of Diatriasantalum and Diamargaritum Frigidum each half a dram sugar of Roses sufficient make a condite and cover it with gold The second degree is also cured by euchymous diet and alteration with liquids because they are sooner and easier distributed into the habit of the body and doe more plentifully nourish saith Hippocr {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. if the Hectick proceed from the ptissick or continual Feaver you must recurre to their proper Chapters likewise iâ— from the inflammation of some viscus or the guts c. Take of the resumptive oyntment two ounces oyle of sweet Almonds one ounce powder of Florentine Flower-de-luce four scruples Saffron a scruple anoynt the breast and back warme if there be a looseness anoynt the belly with Unguentum Comitissae all this while let him take every morne at four of the clock half a pint of Asses milk warme from the Teat with two spoonfuls of sugar of Roses powdered wash his mouth and sleep upon it if he stept not afore This milk because it is more serous deterâ—ive and coole is best in a Ptissick but if you would nourish Womans milk is best if consolidate an ulcer then Cowes or Sheeps milk because it is more cheesie and butyrous The third degree being incurable by the consent of all I shall speak but little of it let their Chamber be large that they may breath the cool air let their meat be very nourishing and often taken in small quantity especially Womens milk let the drink be ptissan or small Wine cause rest with Diacodium or a Pill of Cynogloss or Laudanum use cooling moystning and nourishing Glisters and Juleps to moderate if not extinguish the fire in the solid parts Take of the confection of Hyacinth or Alkermes four scruples Pearl two scruples fragments of the Five precious Stones and red Corral finely poudered each a scruple powder of Diapenidium without the species the weight of them all of the finest Sugar an ounce fix leaves of Gold make a powder and dissolve a spoonful in every small quantity of ptissan or what else you give it wonderfully restores the lost strength A Compound Hectick is hard to know unless to the Learned who can distinguish the forme and type of every Feaver this is cured by bleeding if there be a plenitude or the Courses or Hemorrhoids bee supprest or by gentle Purgers if there be a Cacochymie no wayes respecting the Consumption but the Plethora or Cacochymy saith Hippocrates and Galen CHAP. XXIV Of Malignant and pestilent Feavers {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is of malignant Feavers some are essential others symptomatical the essential have a great analogy with putred Feavers from which they differ not in matter but only by a malignant quality venenate and contagious either produced in us or induced into us they differ also from Hecticks not by macilency which in these is caused by degrees in them speedily which variously waste the substance of the body as the Leipyria Syncope c. of which in their place The Symptomatical Feavers are those which follow the inflammations of the Viscera and Burning-feavers from which they also differ by their malignant quality as the essential also doe A Leipyria is two-fold the one essential the other symptomatical the essential is caused from glassie flegme cold in the third degree collected in the bowels though with some mixture of choller yet notwithstanding that it may putrefie the heat is called from the external parts to the internal in which is kindled no small fire hence it is that the inwards burne and the outward parts are cold from whence if a thirst follow it is deadly the fourth day or sooner saith Hippocrates This is cured as a continual quartan and if symptomatical as a causus or continual tertian with this caution that to all remedies both internal and external we mixe something cordial which may retund the venenate and malignant quality without any manifest heat A Syncopal Feaver hath its name from the Symptome because the diseased are troubled with faintings and swounings by reason of the exact sense and hurt of the mouth of the Stomach The efficient cause is either crasse flegme putrefied in the stomach with some maligne or venenate quality which carried upwards to the mouth of the stomach doth 〈◊〉 and wound it from whence is paine and faintings and sometimes a Syncope that is a sudden loss of strength with sweats more or less sometimes it is from aeruginous choller which is wholly pernicious whose vapour carried to the mouth of the stomach doth wound it from whence are faintings Convulsions and death unless it bee vomited up as Galen mentions in a young man this Feaver is very rare and observes the type of a quotidian which is worst towards the evening If it come from prassinous or aeruginous choller the signes are taken from a hot and dry season of the year from a young macâ—lent and bilious body or from a continual burning feaver or tertian with a malignant quality which usually kills before the fourth fit that from aeruginous choller is worse the pulse is swift from the abundance of heat inequal from the multitude of the obnoxious humour oppressing Nature hard from the driness of the Humour and Vessels small from the weakness the parts about the heart and whole body seemes puft up and tumid the colour is vitiated in some white in others livid or black the belchings are acid if from flegme bitter from porraceous choller the eyes prominent the tongue acid and black
You see his Shadow and his outward Looks Such was his face which yet is but the rind To know him better you must read his Books You 'l wonder at his gifts and noble mind THE Expert Phisician Learnedly treating of all AGVES and FEAVERS Whether Simple or Compound Shewing their different Nature Causes Signes and Cure viz. A Feaverish Heat The differences of Feavers A Diary Feaver A Burning Feaver A continual Putrid A continual Tertian A continual Quotidian A continual Quartan An intermitting Quartan Feavers annexed to Quartans A Semitertian Feaver An Hectick Feaver Confused Erratick Feavers Malignant pestilent Feavers c. Written originally by that famous Doctor in Phisick Bricius Bauderon and Translated into English by B. W. Licentiate in Physick by the University of Oxford Published for the general good of this Nation and may be put in practice with facility and safety Printed at London by R. I. for John Hancock and are to bee sold at the first shop in Popes-head Alley near the Exchange 1657. The Epistle to the Reader Courteous Reader THere are no Diseases more frequent in this Nation none more difficult of Cure than Agues and Feavers so that they are Proverbially called The Scandal of Phisicians Fernelius who was thought to have writ best against them was himself destroyed by one neither hath there yet been publisht any remedy so saving as their fiery darts are killing Accept then of this Balsome gathered from the choyse Gardens of the Greeks Latines Arabians by the hands of that incomparable Dr. Bricius Bauderon whose age and experience works more on my faith than the unfathomed Arcana of the moderne Febrifuga hee was eighty years aged when he writ this Tract and had fifty years confirmed by his Practise what in one moneths time thou mayest now be master of his painful long-teeming Birth wants nothing but thy embraces to cherish it it hath been for many years cloystered up in the French and Latine tongue though desired by ambitious heads as a choyse purchase few private Studies could boast of its possession which encouraged me to set it forth in this English Garb in which it is entire though not so splendid more profitable though not so beauteous Such emunct nostrils as shall snuffe at it are like those my Author speaks of that wil swound at the smel of a Rose suburban wits that breath best in the worst Air or like some unclean Creatures that thrive best in standing Pools but I leave them and commend the ingenious to the Work it self methodical facil and perspicuous enough to benefit the meanest capacity yet satisfie the highest read and be convinced Thine B. W. The Contents of every Chapter Chapter 1. TReateth of a Feaverish heat Chap. 2. Of the differences of Feavers Chap. 3. Of the Division of Feavers Chap. 4. Of the Circuit of Feavers Chap. 5. Of the Constitution of Feavers Chap. 6. Of the Four times of Diseases in special Chap. 7. Certaine Physical Rules for practise Chap. 8. Of a Diary Feaver Chap. 9. Of an unputrid Synochus Chap. 10. Of a continual putrid Feaver Chap. 11. Of a Burning-feaver and continual Tertian Chap. 12. Of the Cure of these Feavers Chap. 13. Of a continual Quotidian Feaver Chap. 14. Of a continual Quartan Chap. 15. Of an intermitting Tertian Chap. 16. Of the Cure of a spurious intermitting Tertian Chap. 17. Of an intermitting Quotidian Chap. 18. Of a Quotidian Feaver from salt Flegme Chap. 19. Of an intermitting Quartan Chap. 20. Of Feavers annexed to Quartans Chap. 21. Of confused compounded and erratick Feavers Chap. 22. Of a Semitertian Feaver Chap. 23. Of a Hectick Feaver Chap. 24. Of Malignant and pestilent Feavers Chap. 25. Of the Cardiacal Feaver Chap. 26. Of the Feaver from Crudity Special observations for the Readers more easie apprehension REader for thy better understanding of the quantity of Weights used in this and other Physick Books in Compounding of Medicines observe this brief direction That A Graine is the quantity of a Barley Corn A Scruple is twenty Barley Cornes Three Scruples containe a Dram. Eight Drams containe an Ounce The expert Phisician Learnedly treating of all Agues and Feavers whether Simple or Compound CHAP. I. Of a Feaverish heat A Feaver is so called from the Latine word Forveo because it is a Fervor or Heat affecting the Body the Grâ—eks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is to be inflamed or taken with a Feaver sometimes it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a fiery habit or fiery disposition of the Body and by Hippocrates in the first Book Epidem Commen 3. text 18. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is fire it self It is a praeternatural heat kindled in the heart as in its proper subject primarily and per se hurting our actions which heat by the mediation of bloud and spirits through the Veines and Arteries is diffused through the whole body Now all heat is either Natural or ascititious the Natural is either implanted and fixt or elementary and fluid and a Feaver cannot consist in either of these because the implanted is fomented by the primogenious moysture whose original is heavenly and once depeculated or wasted cannot be repaired nor in the elementary because this by its temper doth help and cherish the implanted and further it in concocting and assimilating the nourishment which is to bee converted into our substance this heat Phisicians call influent because with the spirits and bloud from the heart it is carried by the Veines and Arteries to all parts of the body a feaverish heat then is in the ascititious saith Galen Comment on the sixth book Epidem Hippo. text the 28. An ascititious heat is Three-fold the first in respect of the other is said to be simple that is a bare exuperancy of heat which is thus ingendred the Elementary or fluent heat by a daily increase receding from its temper and mediocrity becomes excessive so that that which was natural by degrees becomes unnatural and therefore vitious and offensive to nature doth hurt her operations and in this ascitious heat are your Ephemerae or Diary Feavers and unputred Synochus The second heat different from the former is acrid and mordent arising from putrified matter which though it be not very burning hot yet favouring of the condition of the matter from whence it proceeds is praeternatural and burdensome to the implanted heat and in this are putrid Feavers both continual and intermitting compound erratick and confused The third ascitititious heat is wholly malignant and pernicious caused from some venenate or pestilent matter not from the exuperancy of its quality as the first nor from putrefaction as the second but is substantially different and inimicous to the vital and implanted heat CHAP. II. Of the differences of Feavers SEeing that all Feavers are caused by an ascititious heat and not by a natural as was said
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