is greater and swifter than the systole the substance colour and sediment of the urine differ little from that which is Natural Galen to Glan And its fits are very easie if it arise from the inflammation of some Bubo or from the suppression of some humour the urine shall be higher and thicker with a little sediment and that crasse and crude it invades with rigour and easily degenerates into an unputrid Synochus if the Sick bee plethorical or into a Synechis if he be Cacochymous or into an Hectick if it be neglected or ill cured Such are most subject to it as are picrocholous and of a hot and dry temperament and in the Summer time if it be exquisite it is cured by the benefit of Nature alone and for the most part its fit is twenty four hours but sometimes lasts till the third day when the vital spirits are most crasse if it be prorogued longer it is not exquisite but is either an unputrid Synochus or joyned with a putrid Feaver into which it easily degenerates The rule for Cure is not taken from the matter because there is none but from the essence of the Feaver which consists in the preter-natural heat wch ought to be remedied by coolers and moystners for the faults of the spirits cannot be taken away by purging or bleeding because here is neither cacochimy nor plenitude Hippocrates in the Fourth part of his Book of Dyet in acute Diseases and Galen in his Book of Procatarctical Causes cured Menander sick of a Diary caused by heat with Paregorical and Diaphoretical Medicines as Baths Frictions and Oyntments We use Baths when wee intend to relax the skin call forth tenuous fullginous vapours and change the habit of the body but in the declination of the Feaver with gentle friction that we may cause sweats and the fumid excrements may be discussed and then especially when there is no crudity in the chief Vessels nor inveterate obstruction of the viscera nor hardness or weakness lest that the crudity bee carried into all parts of the body if none of these things be then the Sick may safely wash otherwise not least that the obstruction and weaknesse of the viscera bee increased and the tumor if there be any It is good against the thickness and obstruction of the skin from cold or astringent causes if a Diary have its rise from driness and heat let the Bath be luke-warme and not hot having first emptied the belly if it were costive with a Suppository or cooling and moystning Glister least it degenerate into a Hectick or Synochus If from the thickness of the skin by reason of too great cold or by use of aluminous Baths Diaphoretical and Paregorical Medicines must be boyled in the water for those take away obstructions and provoke sweats being of a hot and tenuous substance and cause the cooleness of the water to penetrate the deeper but these being temperate or hot in the first degree and of thin substance as the Roots of Marsh Mallows Fenugreek Flowers of Camomel Melilot and Elder by these means the closeness of the skin is to bee made open least perspiration being hindred the Humours bee inflamed together with the Spirits and so a putrid Feaver ensue to the great damage of the diseased The ancients used Bathing more for delight than health which custome is now out of use We in France use Baths of plaine water or with a decoctron of Plants not for pleasure but for the cure of an Ephemera because they moysten contemperate the feaverish heat and empty acrid vapours To wipe off the sweat is good with gentle frictions with warme Oyle because it opens the pores of the skin and calls forth the spirits from the center to the circumference but too vehement doth stop them up Oyntment and Frictions are not good for such Diaries as proceed from tumours inflamed or from labour because there is no need of evacuation Frictions are good in those from obstruction and repletion but not in those from inanition though Galen did use gentle frictions in all Ephemeraes before the Bath or Oyntment that the discutient water or oyle might pierce the deeper and the same Galen in other procatarctical causes uses contrary remedies as for labour he commands rest for watchings sleep for anger calmness for sadness joy and for venery chastness these have no need of Frictions only anoynt them with Oyle of Violets and smooth over the body in the remission and before meats If it be from Drunkenness command a Vomit if from cold use Diaphoreticks if from obstruction of the viscera incisive and aperient Medicines if from a Catharre purge next day if from an Ulcer or Bubo wee must attend the cure of Ulcers and Tumours and so of the rest The Diet is to be ordered according to the variety of the cause if hot weather be the cause of the Diary and the Patient be young and his viscera good without obstruction plethory or cacochymy of soluble body and cholerick constitution at the declination of the Feaver he may be cured with plentiful drinking of cold water if otherwise the Cure is to be altered you must not nourish him in the augment or vigour of the Fit but in the end or out of it Hippo. Aphor. the 11. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. If you weigh the cause of the Disease the strength of the sick the age and sex you must nourish him with meats of good juyce altered with cooling Herbs which nourish speedily oppose the feaverish heat but stick not in the pores of the skin for the whole body ought to bee fluxil and transpirable Hippoc. at the beginning of the sixth Book of his Epidem Sect. 6. and for this the chief thing is the juyce or cremor of Barley If it proceed from anger watchings labour immoderate venery hunger sadness then we must nourish the sick with flesh brothes c. if from crudity gluttony or from suppression of some Natural excrement constipation of the skin ulcer tumor or great paine then let the diet bee thinner and if with the Feaver there be a plethory or cacochymy that must be taken off by bleeding this by purging not for any urgency of the present Feaver but for fear of a putrid in brief in all Diaries whatsoever is the cause the nourishment must be Medicamental and if the body be bound it must be thus loosened Take of boyled Hony an ounce Mouse turd powder of Hiera and salt gem each two scruples and make a Suppository or else make this Glister Take of Mallows Violet leaves Borage Lettice each one handfull Prunes twelve of the four greater cold Seeds each two drams water-Lilly-flowers and Roses each a small handful boyl them in water to a pint streine it and dissolve in it Cassia with Suger and the Simple Diaprunes each six drams or as much of Galens Hiera and Diaphaenicum if the Patient be a Sea-man Porter Carter c.
a dram make an oyntment CHAP. XV Of an intermitting Tertian {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is taken by the Greeks in general for every intermitting putrid Feaver which ends and returnes again but Hippocrates especially calls this Feaver of which we now treat {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it recurs every third day it differs from the continual of which we have spoken not essentially but in matter seat because their matter putrefies not every where but in the lesser veines which are in the stomach liver mesentery guts spleen wombe and habit of the body an intermitting Tertian is twofold exquisite or spurious the exquisite is from excrementitious choller which being manifold there are many differences in Tertians The matter of an exquisite tertian offends either in quantity or quality the quantity is either great or small if great either it putrefies in one place or in divers at once if but in one place it causes an exquisite tertian which exceeds not seven Fits but if the quantity be small it shall end the fourth or fifth fit If the matter offend in quality as the choller is more or less hot the whole constitution of the Disease and the fits shall bee longer or shorter milder or more tedious for pale or excrementitious choller is sarre more milde then yellow and this then vitellinous porracious or aeruginous but the ceruleous is the hottest of all If choller putrefie in divers places together and the same day then is caused a double intermitting tertian whose fits returne every third day and are exacerbated although they assault every day and intermit because that which is putrefied is every fit emptied either by sweat vomit or stool The spurious one by the mixtion of flegm or melancholly is longer than that from excrementitious choller only and lasts according to the nature of the humour mixt and by the Patients intemperance hath lasted from the Autumnal to the spring aequinox The causes of the exquisite are all hot and dry as a hot Summer hot aliments hunger thirst labour strong wines hot liver and temper c. The causes of a spurious one are idleness effeminacy winter season cold and moyst diet obstructions plenitude c. The heat of an exquisite Tertian is more acrid and mordent than that of the spurious through its four times it begins with rigour and often with cholerick vomitings and ends with an universal sweat when the rigour is off the heat is like a light fire burning with difficult breathing the urine at first is somewhat red of meane substance and in the lower part seemes thin in the upper opacus The signes of a spurious one are horrour from the mixture of choller and flegme a heat more obscure than that of the exquisite Tertian and more manifest than that of an exquisite quotidian a pulse small and slow which if it grow daily harder the Feaver shall last many moneths bitterness of mouth paine in the vertebra's with inflation of stomach and loathings of meat sometimes trouble them Before we let bloud let the first region of the body be emptied by a cooling Glister or minorating purge afore described lest the morbifical humour be wrapt into the greater veines and so we cause a continual Feaver instead of an intermitting let bloud on the intermitting day with a small Orifice to prepare the humour Take of Oxysaccharum simple and sirrup of the juyce of Endive each an ounce and half Succory and Purslaine water each five ounces then purge him thus Take of Cinamon a scruple Rhubarb four scruples Tamarinds two drams Diaprune solutive or Electuary of Psyllium six drams infuse them all night over warme embers in an opening decoction then adde sirrup of Roses an ounce give it on the intermitting day or these pills Take of Diagridium four graines Rhubarb a scruple of Pills Aureae a dram make them up with sirrup of Succory and give them after the first sleep Take conserve of Succory flowers and of Violets or Water-Lillies each two drams powder of Diatriasantalum scruple with Sugar make a bole to give next morne to allay the fire in the bowels CHAP. XVI Of the Cure of a spurious intermitting Tertian THis Feaver is more frequent than the exquisite because men indulge too much to their Genius and its Fits and whole constitution is longer by reason of the mixture of tough crasse flegme or melancholly the Fits are sometimes twenty twenty four or forty hours and then it is called an extense tertian let the diet be incisive and detersive and somewhat refrigerating the broths be altered with Endive Burrage Parsley Wood-sorrel Purssaine and a fourth part of Hissop or Savoury give Gellies which nourish much in small quantity and because they are quickly excerned repeat them often and sometimes give this powder Take of Galens Laetificans two drams the Analeptick or Resumptive powder half an ounce pure Sugar six ounces leaves of Gold six dissolve it in broth it wonderfully restores strength if the Patient be nauseative Take of Nettle-seeds a dram sirrup of Tobacco or simple Oxymel an ounce give it warme in mulse after meat because it troubling the aeconomy of the stomach it better exonerates it self with the meat if occasion be for a Suppository Take of Honey boyled an ounce salt Gemmes and Mouse-turd each two scruples Take of Cinamon a scruple Agarick Trochiscate two scruples Rhubarb four scruples simple Oxymel and Diaphaenicum each six drams infuse them all over warme embers in a fresh infusion of Damask Roses streine it and give it If strength and other things allow it let bloud on the intermitting day Bloud saith Avicen is a brideler of choller both in respect of its quantity and quality for there is more or it and being temperately hot and moyst it doth moderate the acrimony of choller and experience tells us that those that are sick of a continual tertian and the phrenitical are best towards morning because bloud hath then the dominion and worst towards night when flegme rules and therefore in Asia those that were let bloud presently became phrenitical or delirous and not those which were not but that region is farre hotter and dryer than Europe then give this Julep Sirrup of Vinegar compound and honey of Roses each two ounces Endive Succory and Agrimony water each half a pinte Take of the five opening Rootes clensed and bruised each an ounce infuse them in a small quantity of simple Oxymel on the embers four hours the herbs Succory Endive Liverwort and the cappillary Plants each a handful Penni-royal Origanum or calamint each half a handful Liquorice scraped and bruised two drams Raisins stoned twenty Prunes eight Endive seed three drams Melon Anise and Fennel-seed each a dram and half the three Cordial flowers and Chamomel each a small handful Time half a handful boyle them all in order with the Oxymel and roots in two quarts of water
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
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
if in places more distant either upward or downward a continual tertian is produced which every third day is intended and remitted but intermits not because the putrid matter is contained within the great Veines and not out of them Lastly if a melancholly humour putrefie there every fourth day it hath its remissions and exacerbations The external causes are like those of an unputrid Synochus but stronger the internal are obstructions either in the greater Veines or in the skin or in the small Veines of the Liver or habit of the body which hindring perspiration the Native heat is extinguisht and hence putrefaction the parent of this Feaver The sigâ—es are taken from the mordent heat urine and pulse the urine is crasse red turbid faetid and without sediment the pulse not only great vehement and quick but unequal and inordinate A Crisis does usually happen in all Diseases one of these six wayes viz. by bleeding at the Nose or by Vomiting or by looseness or by sweats or by urine or by parotides in malignant and pestilential Feavers if by chance Nature attempt a Crisis on the sixth day although signes of coction appeared in the urine on the fourth yet it is dubious and fore-tells a relapse but if with signes of coction the Crisis be with fainting or any other grievous Symptomes it portends death or if a looseness seize at the beginnig and the Feaver continue in the same state with signes of crudity it presages death because Nature is overwhelmed with the plenty of matter on the other side if the Feaver be abated by the looseness the sick well enduring it and breathing freely hee shall escape if spots appear the fourth day either black or livid death is at hand for they denote some malignant quality which had they been red only and the Patient strong with signes of coction there were good hopes this Feaver is most gentle in the morne The Cure consists in evacuation and alteration evacuation is to be made by bleeding and that at the beginning for feare of suffocation or swounings but if the Patient sweat or have the Haemorrhoids or a Haemorrage or the Courses appearing then the whole business is to be committed to Nature but if they flow but sparingly and the Feaver be not mitigated bleed notwithstanding the second part of the Cure consists in alteration of the Humours by cooling and opening without any manifest heat and restraining putrefaction as with the fore-mentioned apozem besides use this cordial powder Take of red Corral and the fragments of the five precious Stones finely powdered each a scruple the bone of the heart of an Hart or of an Oxe for they are both of the same vertue half a dram of Pearl a dram sugar of Roses a sufficient quantity and four leaves of Gold let it be dissolved in broth or ptissan or in the decoction of Sorrel roots Take of the powder of Balm and Saffron each a scruple Water-Lilly-flowers red Roses and Grana Tinctorum each two scruples powder of Diamargaritum frigidum four scruples red Wine two ounces Scabious Bugloss and Purslane-water each five ounces apply it to the region of the heart with a thick red cloth Take of the Conserve of Burrage and Marigold flowers each an ounce confection of Alchermes a dram spread them on a searlet cloth and apply it after the Epithem Take of the Cerot of Saunders and oyntment of Roses by measure each an ounce oyl of Roses an ounce then wash them often with Rose-water adding half a scruple of Camphore bath the part with a Linnen cloth let it be cold in Summer luke-warme in Winter with three ounces of the white oyntment of Galen and half a scruple of Camphore anoynt the reines and loynes once an hour CHAP. XI Of a Burning-Feaver and continual Tertian THese Feavers differ not in matter nor cure but in their name and seat both are caused by a cholerick bloud putrefied in the great Veines the Viscera being well that in the Veines nearer to the heart as in the ascending trunk of the Vena cava and in the arterial Veine and coronal of the heart this likewise in the great Veines but more distant from the arme-pits to the groine A Burning-feaver is so called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} by way of eminency because it is so great a fire in the heart This Burning-feaver as also a continual Tertian is two-fold exquisite and not exquisite the exquisite is from cholerick bloud putrefied as afore the non-exquisite is when besides choller salt flegm or ichors are putrefied with it and this causus happens two wayes the one when the Veines dried by the heat of Summer doe attract to themselves cholerick ichors which are acrid as we being destitute of good food make use of worse the other way is when ichors and other humours are cast from some strong part upon a weaker and not ventilated doe putrefie thus likewise a continual tertian is two-fold the exquisite from cholerick bloud the non-exquisite from the admission of flegme melancholly or ichors The external causes are the hot air inspiration of putrid vapours a cholerick distemper drunkenness sadness by calling the heat from the circumference to the center c. The internal are either antecedent as obstructions from crasse and viscid humours which hinder perspiration by which means even good humors putrefie or a plenitude either quoad vasa which distends the Vessels or ad vires which cannot bee concocted and governed by nature Or continent as the putrid humour it self which inquinates the pure bloud of the heart not the whole mass at once but that which is next it and so by order of succession The cause of a not exquisite continual tertian is the mixture of salt flegme or ichors putrefying in the Veines of the Midriffe which proceed from the ascending Trunk of the Vena cava or from the veines of the mouth of the stomach which flow from the Splenical trunk of the Porta and make the stomachical coronary or else it flowes from the hungry Gut or the simous part of the Liver the signes of both legitimate and illegitimate are almost alike The pathognomonical are taken from the burning heat which choller produces and the unspeakable thirst the acrimony of the humour continually molesting the heart and stomach unless by chance a thin humor fall from the braine and moysten the tongue Signes assident or concurring are the driness blacknness and roughness of the tongue from the adustion of the humour paine of the stomach Dreams delirations difficult breathing the Lungs or Midriffe being inflamed c. sometimes it begins with a gentle rigour sometimes with Vomiting sometimes with sleepiness if it be exquisite sometimes with horrour if it bee spurious by reason of the mixture of choller and flegme at the beginning the urine is crasse and turbid the pulâ—e small and unequal The signes of an exquisite
and the Diary proceed from cold with hony of Violets Roses or Mercury and oyle of Water-Lillies each an ounce and half and give the Glister after this if the sick be plethorick or full of bloud and young or the Haemorrhoids or Courses bee suppressed draw six or eight ounces from the right axillary veine as strength shall allow but if the Patient refuse a Glister then in the declination of the Feaver give this following potion Take of Melon-seeds pilled one dram of Tamarinds two drams Cassia nexly drawn one ounce and a half infuse them in the common purging decoction all night over warme embers streine it and dissolve with it Sirup of Violets or Roses of nine infusions one ounce and give this potion betime in the morne Or instead of this you may give an ounce and a halfe of Manna of Calabria dissolved in a little fresh broth It the Diary flow from the thickness of the skin or the use of Alume-baths then this following Bath made of Paregorical and Diaphoretical things will be good Take of Mallows Violets Saponarie Succory wilde Endive and Lettice each six handfuls new Roses if it be spring or dried if summer four handfuls of Wormwood and Centaury the greater each two handfuls Marsh-mallow roots sliced or bruised a pound of Fenugreek-seed and Salt-nitre each two ounces boyle them in a hundred pints of water for a Bath into which let the sick enter at the declination of his Feaver and drying his body let him goe to bed and there sweat an hour or two after CHAP. IX Of an unputrid Synochus AN unputrid Synochus hath no small Analogy with an Ephemera for both are without putrefaction and have but one Fit until their end but they differ thus an Ephemera is essentiated in a preternatural heat inflaming the vital spirits and an unputrid Synochus in the bloud preternaturally calified in the heart without putrefaction is is differenced from a Hectick because this it in the solid parts from a putrid Feaver by its putrefaction The heat of a Synochus if compared with that of an Ephemera is acrid if with that of the putrid gentle because the bloud is of a temperate nature the conclusion then may be that a Synochus is a continual Feaver proceeding from redundancy of bloud heated beyond measure by a preternatural heat but without putrefaction hurting our actions The causes are not unlike those of an Ephemera but more vehement the principal are the denseness of the skin or filth obstructing the pores and incarcerating fuliginous excrements c. which prohibiting the eventilation of the bloud doe so inflame it or the suppression of some evacuation as of the Courses Haemorrhoids or from excesse and fury thus the vital spirits are first inflamed by reason of their tenuity then the bloud which inflammation the Greeks call a Phlogosis but under the name of bloud you are to understand the four Humours contained in the greater Veines which as often as they are inflamed without putrefaction they cause this Synochus full bodies that fare well and live idely are most subject to it c. This Feaver for the most part lasts till the seventh day begins with a coldness and ends with sweat with a red urine the pulse strong and swift there is no danger in it unless some errour bee committed and then it degenerates into a putrid Synechis whence follows death unless prevented by large bleeding the whole body but especially the face is dyed with bloud weariness possesses the limbes the veines are turgid the temples beat the head akes and often a deep sleep surprises with difficulty of breathing the skin is soft perfused with moysture and a gentle heat The cure is taken from the essence of the Feaver and cause of the Disease the essence being hot and dry indicates contrary remedies and the cause its removal First then let the diet be thin cooling and moystning Hippoc. Aphoris 16. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} a moyst dyet is good for al feaverish bodies especially for Children and those accustomed to such dyet as Cock broth or of Lambe or Veal alterd with cooling Herbs and Barley waters c. or some acid sirrups as of Limons Citrons Pomegranats c. Galen reckons amongst the chief remedies of this Disease bleeding till we faint if the body be open otherwise to premise this Glister Take of the leaves of Violets Burrage Lettice Purslaine each a handful Prunes sixteen of the four greater cold Seeds each two drams boyl them in water to ten ounces the dissolue of simple Diaprunum and Sugar each six drams Hony of Violets and Oyle of Water-Lillies each an ounce and half and make a Glister it cools moystens purges and prevents a putrid Feaver then let bloud for the Veines being emptied that attract much cold art to avoyd a vacuum into the roome of the bloud by which the rest of the bloud is cooled and reduced to its ancient state the fire extinguished and the putrefaction inhibited because both the Natural and preternatural heat are seated in the bloud and spirits then use this Apozeme Take the Roots of Sorrel Grasse Butchers Broom Asparagus each an ounce these rootes resist putrefaction and by their tenuity of parts open obstructions without any manifest heat of both Succories Lettice Burrage Purslane or Liverwort each a handful Prunes sixteen Endive seeds half an ounce of the four greater cold Seeds each two drams of Violet and Water-Lilly-flowers each a small handful boyl them in three pintes of Water to a pinte and half streine it and adde of the compound sirrup of Endive or of Oxysaccharum simple four ounces and Aromatize it with white n for four or five days After the seventh day you may give this Purge Cinnamon a scruple Rhubarb four scruples Try pherae Persicae three drams Cassia newly drawn an ounce infuse them one night in part of the Apozem over warme embers then streine it and adde of sirrup of Violets of nine infusions an ounce and half CHAP. X. Of a continual putrid Feaver A Synechis or a continual putrid Feaver is two-fold the one where the Humours are equally putrefied in the great Veines the other when inequally from those equally putrefied arise three sorts of Feavers as did in a Synochus unputrid viz. the Homotonous Epacmastical and Paracmastical and these have no manifest intermissions as intdrmitting Feavers nor remissions and exacerbations as those which proceed from the Humours unequally putrefied in the great Veines When the Natural Humours doe unequally putrefie in the great Veines it is either natural flegme which is nothing else but the cruder part of the bloud which as often as it putrefies it causeth a continual Feaver which is every day at set hours intended and remitted from whence it hath its name of a continual quotidian If natural choller putrefie in the Veines near to the heart it causeth a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or Burning-feaver
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
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}
and so of other parts Take of Sorrel Grasse Butchers Broome and Asparagus roots each one ounce of both Succories Fumitory and the Capillary Plants each a handful Liquorish six drams Prunes twenty Figgs twelve Endive-seed three drams Anise two drams Elder and Burrage flowers each a small handful Time half a handful boyle them to a pinte and adde honey of Roses and Oxysaccharum simple each two ounces clarifie it and aromatize it with powder of Diarrodon Abbatis In the declination provoke sweat and urine the Disease being contumacious is exasperated by strong Purgers and yeelds not to gentle but by meane ones often repeated is overcome bleed if the Sick bee plethorick young and strength give leave c. Other Compound Feavers being caused from putrid matter are cured by the same method and the same remedies as bastard intermittings are the confused Feavers if from putrid matter in the greater Veines are cured as continual Feavers if not as intermittings the Erratick as bastard intermittings quotidian tertian or quartan CHAP. XXIII Of a Hectick Feaver {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Hectick is taken for every Feaver that is hard to be removed whether it be from flegme or melancholly and is opposed to the Schetick Feaver which is easily removed it hath its name from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is a habit because it is stable and permanent For a Hectick Feaver is a preternatural heat kindled in the solid parts which first occupies the substance of the heart and then diffuses it self into the rest of the solid parts of the body through the Veines and Arteries This Feaver is continual and hath but one fit from the beginning to the end without any intermission or remission unless it be joyned with a putrid Feaver every Hectick is Smple or Compound that is either universal or particular the universal is that which first seazes on the substance of the heart then on the other parts and this is seldome a particular one is that which first invades the substance of some private part and at last the heart and this is frequent as of the Lungs in a Ptissick of the Midriffe Liver c. A Compound one is that which hath a putrid Feaver joyned with it a Simple Feaver is further divided into three degrees the first is when the body of the heart and the other solid parts are newly inflamed and this degree lasts as long as the substantifical and radical moysture doth conglutinate the terrene parts and is sufficient to nourish and foment the fiery heat as Oyle doth the flame of the Cotton in a Lamp and this is hard to be known but easie to be cured The third and worst sort is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it hath adjoyned a hot and dry Consumption and is then when the humour is wholly wasted and all the solid parts are as it were burnt and turned into ashes as the Cotton of the Lamp is for want of the affusion of more Oyle for thus the substantifical moysture being quite spent the native heat is extinguished and cannot bee restaurated by Euchymous aliments and this degree as it cannot be hid so it cannot bee cured The second degree is of a middle nature between them and how much the nigher or further to the first or last is by so much the easier or harder to cure they all differ only gradually The causes external are from the Six Non-natural things as the hot Air long Hunger Watchings suppression of Excrements c. the internal are from a bilious temperament a continual Feaver ill cured as a causus and continual tertian and not from a quotidian or intermitting tertian from a Prisick lientery or such Diseases in which the nourishment being incoct or ill concoct doth not humectate the solid parts which being destitute of their aliment and conceiving a more acrid and feaverish heat grow hot and dried The first degree may be known by the preter-natural heat if at first touch of the Artery it be acrid and mordent if after drink or meat a heat presently flushes in the face from the sublation of vapours this heat is at first so gentle that the Sick deny themselves to be feaverish for things done by degrees cause no paine saith Hippocrates as Plants at their first sprouting are easily pulled up but are hardly known unless by the skilful Herbarist so this degree is easily cured but hardly discovered unless by the learned Phisician The signes of the second kinde are not only from the mordent heat of the pulse being felt but in the soles of the feet and palmes of the hand besides the pulse is harder and dryer than in the former because the feaverish heat works not only on the rorid substance of the heart but on its primogenious humidity whence nourishment failing the Sick necessarily falls away the urine is higher coloured by reason of the intense heat depopulating not only the heart but habit of the whole body but less high than if a putrid were joyned with it this degree hath a great latitude and so is accordingly known or cured Signes of the last degree are a weak pulse small and frequent and hard from driness the urine hath some fatty substance swimming in it like to Cobwebs which denotes a quolliquation of the similar parts the eyes are hollow their humours being wasted the temples fallen the substantifical humour of the muscles being consumed the forehead dryed the nayls crookt the eye-lids scarce moveable the Hypochondria distended the skin hard and dry cleaving to the bones the fleshy substance being wasted A Hectick seldome possesses Children often young cholerick bodies and old men that are of a hot and dry temper and those that are long necked and narrow breasted c. those that have a Hippocratical face are past cure and such as have a looseness The cure of the first degree differs little from that of a Diary for it proceeds from the same manifest causes but more vehement which are inherent in the habit of the body and therefore requires stronger remedies let the diet bee euchymous liquid cold and moyst and incrassating to hinder dissipation as Broths altered with Lettice Purslane Marigolds Violets Burrage Wood-sorrel Spinage c. let the drink be ptissan or water boyled with sitrup of Maiden-hair or the Alexandrine Julep with a little Vinegar if it proceed from an Ephemera old age may be allowed a little small Wine at meals Take of the leaves of Mallows Violets Burrage Lettice each a handful Prunes twelve the four great cold Seeds each three drams Water-Lilly-flowers and Violets each a small handful boyle them in water and in a pint of the colature dissolve of simple Diaprunes and Cassia with sugar each six drams honey of Violets and oyle of Water-Lillies each an ounce and half make a Glister if you would have it nourishing too then boyle them in