the most extreme parts of the body it may very well and properly be here applied and made use of and for which this composition is most excellent ℞ Axung porcin ℥ iiij Pinguedin human ℥ ij Ol. Chamomel Aueth an ʒij Styrac Calamit Benzoin Mastich an ʒss Theriac Methridat an ʒi Argent viv ℥ iss agitentur omnia bene in mortario quibus adde Ol. Spic Salv. granor Juniper an ℈ ss misce fiat linimentum With this you may anoint the part affected or you may apply this often in this case applied with good success by my self ℞ Empl. Diachyl cum gum Paracels an ℥ i. Oxycroc ʒij Vnguent Praescript ℥ ss misce extende super alutam parti admovetor Or this ℞ Empl. de Ran. cum ☿ ℥ ss Pic. Burgund ʒij Taccamahacc ʒiij Empl. Paracels ℥ ss misce pro usu It seldome or never is brought to suppuration by reason both of its coldness and that it for the most part is very far distant from the Fountain of Heat but should it tend that way Empl. Diachylon cum gummi or a Cataplasm made of white Lilly roots Marshmallow roots and the like as you have already prescribed and shown you may do both very well here and be very serviceable A young Maid about eight years of age being much troubled with a Phlegmonous and Oedematous Tumour in the outward part of Her lower Mandible which came to suppuration fearing its fecies would hinder its cicatrice before I could open the Abscess I first tried by Guido's Counsel to resolve it who saith that Apostemes being sometimes suppurated do end in resolution the which was confirmed by Parraeus his experiment who averreth that he cured a suppurated Aposteme by mixing Quicksiver with Diapalma and so applying it and thus I took to an Ounce of Diapalma a dram of Hydrargyrum and applied to the suppurated Aposteme and within four daies it was wholly resolved and for discussing the suppurated matter to the following Conditions are these necessary that the matter be small in Quantity thin and serous occupying the superfificies of the Cutis and not penetrating that it be in a strong and young body happening in the soft parts and a convenient time of the year By the vertue of which Medicine and observing of which method a young Gentlewoman was perfectly cured of an Oedematous Tumour which was but little suppurated upon the Region of Her Loins the largness of the palme of a hand CHAP. XXII Of a Scirrhus OF Melancholy cometh Scirrhus Cancer Vlceratus non Vlceratus Elephantiasis Psoras and others Our late writers do call this Scirrhus Durities because it is a hard Tumour destroying sense lodging in a Member in that Capacity as that it produceth little or no pain or it may be called a preternatural Tumour having no infesting symptome It is by some called Apostema Lapidosum by Avicen Sephiros It is the onely brat of Melancholy and this Melancholy hath a double construction For there is 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or succus Melancholicus 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 atra bilis Between which two there is a vast difference the succus or juice being as the fecies or dregs of the Blood and is drawn from the purest part of it by the spleen the other Black Choler being caused of immoderate heat and burneth the parts and like vinegar being poured on the ground it boyleth and raiseth it self from thence There are four species of Melancholy first when its species are burnt it frameth an illegitimate Scirrhus Secondly when Melancholy is made preternaturally by other Humours it doth take share of their qualities Thirdly when it is made thick by too much cooling or drying of Humours Fourthly when it is mixed with Flegm Blood or Choler then it maketh Scirrhus Oedematodes Scirrhus Phlegmonodes Scirrhus Erysipelatodes There are four waies also shown to the making of burnt Melancholy The first is made of yellow Choler burnt and so representing a yellow sinder and doth burn like it The second is made of thick and viscid Flegm The third is made of burnt Blood which is very bitter The fourth is made of Melancholy Juice being both acid and corroding There are two kinds of Humours which do make this Scirrhus the one being a Crudity as Flegm thick and yet not viscid the second is vitreous matter or a glassy substance of Flegm And hence may we take a Scirrhus either to be exquisite or not exquisite and therefore if Flegm be in a great quantity it shapeth out Scirrhus Oedematodes if Choler be predominant Scirrhus Cancerosus Or if you please a Scirrhus is bred out of a natural melancholy Humour which is cold dry and thick and from glutinous Flegm and hence it may be defined a Tumour hard and indolent a Tumour proceeding from a thick and glutinous Flegm or a natural melancholick Humour It may be known by these Signs it is a Tumour without pain hard to touch if not exquisite it is scarcely perceived Every Scirrhus hath not pain and this necessarily happeneth because it is deprived of sense Melancholick Scirrhous Tumours are generally of a leaden colour but a Scirrhus arising from a Flegmatick Humour carrieth in it the natural colour of the Cutis They take their principal Causes from the beginning of thick and tough Humours and collecting themselves in the parts and that occasioned by evil Diet generating a thick and viscid Humour as by reason of intemperieties of the Liver or Spleen all such causes may be said outwardly to generate thick juices as a cold or dry Air Watchings suppression of Menstrues and the like Expect to do no good on an exquisite Scirrhus for this alwaies is to be suspected If it happeneth about the Joints Knees or these remote parts be not too forward to undertake them If it be exquisite and not turning Cancerous yet it is hard to cure for first the Matter is dried up and then cold and compact and so tedious and that which is lapidous gives no way to Medicine As to the cure the external causes are first to be removed by choosing a thin Air hot and moist free from Fogs and Mists let the Patient shun thick leguminous and cold Diet let his Drink be Wine to help forward Digestion and warm the parts and let him get himself clear of all passions of the mind After this are we to take care to remove the inward causes by preparing the Humour with Syrup of Apples Bugloss Fumitory Hyssop Oxymel Balm and the like This being done we are to purge this melancholick Humour with Senna Polypody black Hellebore Confectio Hamech c. of these or the like may be framed excellent compound Medicines as this Apozeme ℞ rad Faenicul Scorzonar Bugloss an ℥ ss cort Tamarisc Cappar Polypod Q. an ℥ i. sem Anis Faenicul an ℥ iss Citr ʒij fol. Capill vener Scolopendr Meliss Lupul Thym. an M. i. fl 3 Cordial an pug ij Passular
Blood do perfectly run to the Center whilst the other parts thereof do suffer Putrefaction It arising from cold doth cause and make a great and pricking Pain Soon after this it changeth its red Colour into Lividness and maketh it most cold afterwards sending the Blood away by its Coldness and dispatching the native Heat and dissipating its Spirits doth make the affected part perfectly void both of sense and motion a horrour and trembling attending it much like the fit of a Quartane Ague There is generally held five Signs of a Sphacelus First the affected part is much more heavy and dull than formerly it was Secondly the Floridness and Redness of the part do turn into a Lividness and Blackness Thirdly the part which was soft in a Gangrene groweth hard in a Sphacelus Fourthly the Cutis being taken up is seen with ease to separate it self from the Flesh And lastly there is no exquisite sense or perfection but a perfect Mortification remains We are if we intend to cure a Gangrene aright to study and find out the Antecedent Cause thereof and from thence to take our first Intention as thus If it happen from a fiux of hot and moist Humours let the Patient's Diet be cooling and drying for purging nothing is more proper here than Chologogicks as Electuarium Diaprunum Diacatholicon Lenitivum Syrup of Roses and the like Phlebotomy is very necessary also to prevent the further growth of Inflammation for opening the passages and making a more free Transpiration but in all sorts or kinds of Gangrenes this is not to be used For in a Cholerick and bilious Humour we are not to attempt it Blood being as the bridle to check and command this Choler In the case of applying of Topical Medicines observe these rules The first is taken from the Cause for if the afflux be cold and flegmatick evacuate more powerfully and warm the Humours with Defensatives The second is taken from the Age of your Patient for in a young body the Flesh and all its parts are soft and tender and therefore are you to order and prescribe milder Medicines than to those of a fuller growth A third ariseth from the Sex a Child being to be treated with more mildness and Gentleness than one of an elder age and a Woman more tenderly dealt with than a Man The fourth is from the Strength of the Patient for you may powerfully exercise your operations on such as are of a good and strong constitution whereas you are more sparingly and tenderly to use such persons as are weak and sickly The fifth ariseth from the part affected for the Eye Mouth Pudenda Anus Vertebre and other such sensible parts are not to be dealt with as you may deal with an Arm or Legg Sixthly the greatness of the Disease is to be much minded and regarded If it be new done and the Putredness not much nor made any deep impression to scarrify the part lightly and to apply Aegyptiacum alone is enough If it be more powerful and do threaten a Sphacelus here is to be made a deep Scarrification and you are to mix Spirit of Wine with Aegyptiacum very hot and often These are your general rules I come now to the prosecution of a particular Gangrene arising from Inflammation and here the first Intention is to be performed by Astringents or Desiccatives as â„ž Bol. armen â„¥ iiij Terr sigillat â„¥ ij Corn. Cerv. ust praeparat rasur Ebor. an Ê’ij Camphor Ê’iij Cer. â„¥ iij. Ol. Rosar lbi Acet â„¥ iiij Aqu. Rosar â„¥ iij. Albumin ovor no. ij misce fiat Vnguentum A Cataplasm for the same is this â„ž farin Hord. â„¥ iiij Bol. armen â„¥ ij pulv Gallar virid nuc Cupress Cort. Granator an Ê’iss Camphor Ê’i cum Oxymelite q. s fiat Cataplasma The second Intention is to revel the Humours and to send and discharge them into other parts And here this Bolus is proper â„ž Cass recentèr extract Ê’ij Electâ—â—r Diacatholic â„¥ ss cum Saccharo q. s fiat Bolus The third Intention is to restore the part to its former health and this is to be performed by evacuating the Blood and other compacted Humours from the part affected and therein concluded And since I have given you the general and particular Method of curing a Gangrene in general I shall still illustrate it with some examples It being a thing of great import as touching the Life and Limb of many a Man And for brevities sake because I do not desire to swell up my book with Tautologies or commit to your reading here any thing you shall elswhere find parallel I will present you with a History of a vertuous maiden Gentlewoman in Norfflolk near Norwich who after a long and tedious Sickness had a very large and great Inflammation seized her Foot the which very speedily spread her Legg and got upwards into her Thigh with a great Discoloration Pain Heat and Fever accompanying My never to be too much esteemed Uncle being sent for to this Lady could not go to her I being by Sir Thomas Brown's order sent for and finding all these already written symptoms upon her consulted with my self and reason what might be the most safe way to quit her from the ensuing danger she without speedy help might fall into with this Method and Almighty assistance I got her loosed from her fears and perplexities which threatned a Gangrene I first anointed her parts affected with this mixture â„ž Ol. Rosar Aueth Chamomel aâ— â„¥ ij Acet Acerâ—iâ—n â„¥ i. misce and having finished this Embrocation I applied to all the inflamed parts this Cataplasm â„ž farin Fabar. lbss farin Hord. Lupinor an â„¥ iij. pulv Rosar rubr â„¥ i. pulv fl Chamomel Melilot Sambuc an Ê’i farin sem Fenugraec â„¥ iij. Croc. Ê’i Bol. armen â„¥ ij Corn. Cerv. ust â„¥ ss Camphor Ê’iss pulv herb Rut. Scord. Absynth Scabios Virg. aur Agrimon Veronican â„¥ iss pulverisentur omnia misceantur cum Vin. Aqu. fontan an q. s his addendo Acet Rosat â„¥ ij coquantur ad Cataplasmatis formam fine addendo ol Rosar Aneth Chamomel an â„¥ ij By the application of this Cataplasm within three or four daies the enemy began to take his leave of her I continued every day anointing and applying this Cataplasm to her After this upon the back part of her Foot a new flux of Humours began to make their incursion and there they made two Ulcers in which were contained a great quantity of thick cold indigested Matter lying very deep and there spreading it self much resembling a Coar or Eschar for the removing and taking away of which I ordered this Fomentation with which the whole Foot was fomented eight or ten times one after another for three Weeks or a Month together â„ž fol. Rut. Scord. Absynth Veronic Meliss Betonic Salv. Hyperic an M. i. Tormentill Chamaedr Virg. aur Laur. Rorismar an
this Tension and this be large when these signs are at hand use neither repelling Medicines nor Digestives but use your greatest care to assist nature in her progress of suppuration by maturating Medicines that is to prepare the matter and make it fit for expulsion and then to discharge it when we have thus prepared it And that therefore we may procure the Tumour for this suppuration and produce a good and laudable matter we are to encrease this Quantity of native heat by such Medicines as are of a digesting faculty the which ought to be of the native heat with the part These are to be applied from the beginning of the Augment to the end of the vigour Some of these are simple as Marshmallows â—iggs Chamomile Galbanum Bdellium Ammoniacum Hogs lard Goose grease and the like Of the compound may be reckoned Empl. Diachylon cum gummi de Mucilag Flos Vnguentorum or some of these Emplasters or Cataplasms Of which for this use these may be applied very properly â„ž Empl. Diachyl cum gum â„¥ i. De Mucilag Paracâ—ls an â„¥ ss Basilicon Ê’i Croc. ℈ i. cum Vitâ—l Ovor. no. i. misce fiat Empl. Or. â„ž Bdell Ammoniac an â„¥ ss Solventur in Lixivio claro adde Calc viv cum Axung contrit Ê’i Sulphur viv Ê’ss Alumin â„¥ ss mel Opt. â„¥ iss ferment veter Ê’ij misce â„ž Rad. Lilior â„¥ i. Alth. cum Rad. Malv an M. ss fl Chamomel Melilot an pug i. Ficuum pag. iij. sem lin faenugraec an Ê’iij fiat decoctum in vino albo q. s colaturae adde Vitâ—ll Ovor. no. ij Croc. ℈ ss Ol. Cham. Melilot an â„¥ ij misce fiat Cataplasma Or. â„ž Rad. fol. Alth. Malv an M. i. Coquantur pistâ—â—tur ut artis est quibus adde â—arin Tritic. â„¥ ij farin sem Lin. â—eâ—â—graec an â„¥ i. Butyr recent â—l Liliâ—râ— alb Vnguent Dialth an â„¥ iss Croc. Ê’ss vitell ovor no. ij misce fiat Catapl The matter by these orany of these or the like being brought to Suppuration this is to be discharged and this generally is to be performed by Incision or Caustick And before we attempt either of these we are well to understand whether it be ripe enough and this you may thus find out The Tumour at this time seeming by contracting it self to appear less than it was in its state then it draweth it self to a point its hardness is much abated and therefore discussed and by touching it with the finger we find it Fluctuatous the heat and pain ceaseth the part is changed in its colour the Cuticula is shriveled all these being good signs of its Suppuration This not being all drawn out you are to arm your Tents or Pledgets with this or the like â„ž Terebinth Venet. â„¥ i. Mell. Ê’ij succ Ap. â„¥ ss Farin Fabar. Ê’v misce fiat Linimentum After the Application of which apply Diachylon cum gummi or Empl. de Mucilaginibus All these being discharged and the Orifice being well mundified and deterged your next business is by the helps of Sarcoticks to fill up with flesh as Vnguent Basilicon Aureum and the like and then with Epouloticks to induce a Cicatrice as with Vnguent Diapompholigos Desiccativum Rubrum Sanativum or Diapalma And thus have I run through the four times of a Tumour and because a Phlegmon doth bear the greatest share in these four times and orderings I shall be much briefer in its discourse and so proceed CHAP. XIV Of a Phlegmon or Inflammation in General IT is by all Authors granted that a Phlegmon hath its four times and that out of Blood besides this doth arise several other Tumours as a Carbuncle Gangrene Sphacelus Pernio Phyma Phygethlon and several others And here let us first inquire what a Phlegmon is and whence derived It taketh its name 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which signifieth to inflame This is an Intemperiety not only of the simple but also of the Organick parts as Galen observeth in 13. Meth. Our latter Writers do make two distinctions about the material cause hereof the Blood being either natural or not natural the natural furnished with these conditions being of the same Blood with that which cometh from the Sanguinary mass having in it the four Humours and these Qualities as being hot in action and moist in consistence in colour red in taste sweet the unnatural being denied of these good Qualities and also devested and deprived hereof Thus out of pure and benign Blood ariseth an exquisite Phelgmon if this Tumour hath any other humours annexed or joined to it it occasioneth a various species of Inflammation as having Choller admixed it maketh Phlegmon Erysipelatodes if Flegm Phlegmon Oedematodes if melancholy Phlegmon Scirrhodes Besides these also other accidents belong to Inflammation for if an inflammation doth get into the membranes of the brain it maketh Phrenitis when it creepeth into the Tunica conjunctiva there it frameth Opthalmia when into the Fauces Angina into the Pleura Pleuritis and so into the Emunctuories Bubo Its causes may arise either inwards or outwards Inward causes are Plethory or plenty of Blood and this not having its free passage must necessarily inflame and putrify inflamed heat in the Sanguinary masse and this oft times doth exalt it self into Fevers the part hot and painful doth draw the Blood and this maketh up the Inflammation Outward causes may be said to be Aires which do inculcate and shut in this putrid matter Attrition Attraction solution of Continuity or Luxation these or any of these causing pain and so Inflammation As to the signs when you perceive a Tumour is soon made and doth soon encrease you may properly judge this an Inflammation when the patient doth perceive a great heat and burning arising from this heat the colour of the part Florid and Red occasioned by heat and thinness of parts pain great and a pulsation joined to this pain by reason of its hot intemperiety when any part extendeth it self upon compression aggravation and vellication of the nervous parts and the veins evidently appear which before lay hid when Tension is made by reason of the constipated matter all these are sufficient signs which may pretend to paint out Inflammation I shall follow Guido's method in the cure of Inflammations as first by removing the cause then come to the Inflammation it self and so to the discharging of the peccant matter And for this he propounds four methods according to the four times and whereas a Phlegmon hath a Beginning while the Blood is nowing an Augment when in its Flux it is made hotter a State when it is converted into Pus or Matter and a Declination when the Inflammation is digested resolved and the Tumour diminished So also the four Intentions shall be these first in having a respect to the order of diet secondly to hinder the Flux of Humours thirdly to discharge the Matter and then lastly to correct
origination hereof by the Arabians called undimia by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 signifies no otherwise then an eminency There are of natural or excrementitious Flegm these three sorts the first being acid so called from its taste the second salt Flegm the third glassy Flegm from its coldness thickness and toughness And if Flegm doth erecede from its nature by admixing it self with Blood it is called Oedema Phlegmonodes if with Choller Oedema Erysipelatodes if with melancholy Oedema Scirrhodes A great matter hereof is a great quantity of Flegm residing in the body cheifly about the extreme parts as the hands knees or feet these being the most remote from the Fountain of heat This Flegm is thrown forth from the greater vessels to the smaller the which being there deteined by the thickness of the Cutis is collected in the musculous parts and there doth form this Oedematous Tumour It is a Tumour soft indolent loose yeilding to the touch generated from a pituitous matter It is soft and loose and these two come from the Humour of thin Flegm indolent for it neither doth make or cause any pain or dissolve unity It gives way to the touch and is a white Aposteme and without heat white being most like its object Flegm without heat being like the matter out of which it is generated which is cold and moist A pituitous Humour redundant in the body is the cheif cause to the which a cold and moist air a flegmatick diet too much sleep and idleness and a cold dyscrasy both of Head Stomack or Liver may help forward to the encrease of its cause And as Galen saith Comm. 46. that out of Fluxion of Humours some are cruel as Chollerick fluxes and burnt Melancholy and others are more kind as this Oedema so this is a tedious and long disease because it is cold the native heat being herein very weak It is oft times soft and without pain and so carrieth the less danger but if it be hard and with pain it is dangerous As touching its cure here ought we first to use proper means by Retraction and Revulsion of the Matter and lessening of it Secondly because it is cold remove its cause by implanting heat and warmth herein Let the Air be warm and dry the Diet attenuating and drying here Wine is good because it doth digest and warm Let his diet be of good and light digestion as Chickens Rabbets Partridges and the like to which may be added all sorts of spices Let his sleep be moderate and let him avoid all passions of mind and venery and observe that he keep a good habit of his body After this let him use such evacuations as may both attenuate open and discharge this Flegm Bleeding here is in no wise to be used unless a Phlegmon do accompany it Fever or the like And for his use these Phlegmagogicks are very proper and convenient as â„ž Alo. lot cum aqu Majoran Agaric trochisc an Ê’i Mastich Cubebar an gr vi Troch Alhandul ℈ ss Cum syr de Betonic q. s fiant pillulae dosis Ê’i Or â„ž Pil. Coch. Ê’ij Aurear. ℈ i. Troch Alhandul gr iiij cum Oxymelit scillitic q. s fiant pil no. 18 quarum sumat 2 omni mane Or if you will â„ž Pil. Coch. ℈ ss extr Rud. ℈ i. Mercur dulc gr 15 ol Câ—ryophyllor gut i. misce sumat mane A potion preparing Flegm â„ž Hyssop M. i. Menth. M. ss Absynth M. ss sem Anis Faenicul Calamenth an â„¥ ss Rosar rubr â„¥ ss fiat decoctum ad lb. colaturae adde Sacchar lb. aromatizetur cum pulv Cinamom Ê’i or this potion â„ž aqu Meliss Bugloss an â„¥ ij in his in funde per noctem Rhabarb Ê’i Agaric trochisc ℈ ij pulv Cinamom ℈ ss ZZ Ê’ss colaturae adde Mann â„¥ ss Cambog gr iiij aqu Cinamom hordeat â„¥ ss misce fiat potio Or if you please this â„ž Electuar Diacatholic â„¥ ss Diaphaenic Ê’ij pul Agaric troch ℈ ss solvantur omnia in aqu Hyssop Rosar damascinar Faenicul an â„¥ i. misce fiat potio cui adde syr de Betonic â„¥ iss And because Oedema is a disease offending partly in quality partly in quantity in respect of its cold and moist quality we are to use such Medicines to the part affected as are warm and dry and in relation to its quantity we are to endeavour its discharge and evacuation And since here is required a double intention here ought we carefully to inquire and examine whether Repellers mixed with Digestives are in the beginning first to be used Galen doth satisfie us cap. 3. lib. 2. ad Glanc that they are to be used as you may find him there using a peice of sponge or linnen rags dipt in Oxycrate to which a little salt is added and so applying it over the part and then ordering it to be rolled up for Repulsion is this roller being dipt in vinegar and the sponge and the water do digest the pituitous Humour But it may be asked how Digestives being hot and dry may or can agree with water which is cold and moist in digestion Galen doth answer this Chapt. 8. lib. 1. that water doth digest and this we may see in the hands and feet of Fishermen who having been much imploied in the water you will find them both corrugated and wrinkled which corrugation is nothing else but the evacuation of that matter which formerly filled up the spaces But should an Oedema happen upon the Tendinous or Nervous parts we are to use little vinegar and for discussion of the matter this may be very proper â„ž fl Chamomel Rosar Mirtin Absynth Staechad a. M. ss Alumin Roch. Sal. commun an â„¥ ss Balaust nuc Cupress an M. i. Salv. Rorismar Squinanth an pug i. coquantur poscâ factâ ex Lixivio coquantur omnia usque ad Ê’ae partis consumptionem in quo madefaciatis Spongiam and this you are to use to the state Or this Cataplasm â„ž pulv Rosar rubr Mirtin Absynth Rorismar Staechad an Ê’ij pul fl Chamomel Melilot an Ê’i misce coquantur cum q. s Hydromelitis fine addendo pulv nuc Cupress Squinanth Balaust an Ê’iij Or this Cataplasm â„ž farin Fabar. mic pan an â„¥ iiij pulv Terrae cimol â„¥ ij sem Lin. Faenugraec an â„¥ j. Bol. armen Ê’i coquantur in s q. Lact. vaccin ad Cataplasmatis formam fine addendo Camphor Croc. an ℈ i. vitell ovor no. ij misce fiat Cataplasma Or this â„ž farin Hord. Fabar. an â„¥ iiij pulv Rosar ru Bacc. Laur. Mirtillor an â„¥ i. pul fl Chamomel Sambucin Melilot Ivae arthritic an â„¥ ss fim caprin â„¥ ij cum vino rubro fiat Catapl fine addendo Sapon nigr â„¥ iij. applicetur bis in die And because Quicksilver hath a very strange penetrating quality allowed it that it can command Flegm from
Empl. Observat Observat In 6 cases no Repelling Medidicines to be applied in the beginning Cataplasma Here Digestives are most proper Four waies of digestion Catapl Observ Catapl Catapl Observat 〈…〉 Catapl Catapl Catapl Catapl The efficient cause of matter Signs of Suppuration 〈…〉 〈◊〉 Catapâ— Catapâ— A method to find whether a Tumour be ripe enough to open What a Phlegmon is Whence it ariseth Its causes Signs Of the cure of a Phlegmon Four methods according to four times by Guido His diet Observat Electuary Bolus Potio Troch Electuary Clysters Purging potion Revulsion Revulsion Vesicatâ—ries Defensatives Observ Repellers Catapl Unguent Observ Question Answer By several reasons Their use and benefit Catapl Unguent Another Catapl Unguent Catapl Cured by Digestives Catapl Catapl Authoris Catapl Catapl Catapl A History Catapl Catapl Natural Second not natural Quest Answ Third preternatural Its differencies The names of Erysipelas What it is Signs Its differencies from a Phlegmon Praesage Cure The Authors Julep herein Emulsionâ— Bleeding Potion Potio purgans Electuar Pill Clysters Another Another Unguent Unguent Unguent Unguent Catapl Catapl A History Catapl Unguent 〈◊〉 〈◊〉 Chirurgery Electuar Potio A History A History What flegm is It s name It s generation Definition Signs Cause Praesage Pill Pil. Pil A potion Potion Potion Topicks Question Answer Observat Digestive Catapl Catapl Catapl Unguent ex Merâ—â—â— Empl. A History 4 Species of Melancholy Burnt Melancholy made four waies How a Scirrhus is made It s definition Signs Causes Presage Cure Potio purgans Another potion Pills Pills Pills Digestives Emplâ— Empl. Empl. Emple A History A History Signs Presage Cure Pil. Pil. Pill Pill Catapl Unguent A History What iâ— Wind. What a windy Tumour is Causeâ— Differencies Signs Cureâ— Potion 〈◊〉 Pil. Clyster Clyster Troch A Hippocras Wine Pulvis Fomentation Foment Catapl Unguent Catapl Empl Silvâ—â— History What the Brest is The Anatomy of the Brest How milk is made It s name Causes It s subject Signs Presage Cure Apozeme Potion Apozeme Sudorifick decoction Unguent Unguent Empl Unguent History History Caution How an ulcerate Cancer is to be treated A second may Of a Cancer growing at the Eye-tooth Apozeme Potion Potion Gargarism History Signs Signs Causes Presage Cure Unguentâ— Unguenâ— Unguent The Cure of a pestilential Carbuncle Catapl Histoâ—â— Cause Unguent Another A History Signs Causes Presage Herpes exedens Signs Cure Cerate Unguent Unguent History Fomentation Catapl Empl What a Gangrene is What a Sphacâ—lus is The diâ—ference between a Gangrene and a Sphacelus 3 Causes of a Gangrene The universal Causes both of Gangrene and Sphacelus To the first To the second Signs of a Gangrene from a hot intemperiety Signs of its coming from cold 5 Signs of a Sphaceluâ— Cure 1 From the Antecedent Cause 6 Intentions in applying of proper Medicines A particular Cure of a Gangrene coming from Inflammation 1 Intention Unguent Catapl Second Intention 〈…〉 History Oyl Catapl Decoction Digestive Caâ—apl History Cordial History What Artheroma is Observa Care Observ History History It s Cause Cure Empl. History Whence its Name Cure Pil. Pil Catapl its differencies It s Definition Signs Causes Two Species of a Hydrocephalos Presage Cure Decoction Oyl History Unguent Unguent Empl. History History Unguent History Its Causes Digestive Unguent History Three sorts hereof Cure Unguent History Cause Cure â—â—story Cause Signe Cure Pil. Pil Potion A Medicine of the Authors Observ History History Celsus Method Paulus ' s Way History Defensative Collyrium What a Polypus is Cause Differencies Celsus ' s way Paulus 's way What a Glandule is What the Parotides are It s Cure Catapl Unguent Catapl History History History Descriptâ—on of Strumaes Signs Presage Three ways to eradicate them Cure Pil. Pil. Pouder Pouder Aqva Unguent Catapl Catapl Catapl A History Catapl Catapl Catapl Pil. Unguent Empl. Histoâ—y Three species of a true Squinsey Caâ—ses Signs Presagâ— Cure â—argarism Gargarism Catapl History What the Amygdals are 〈◊〉 how made Uses They being the chief Organs of Tasting Cure Gargarism Another Another Trochisc Cataplasm Pil. Electuary History Signs Decoction History Cure History Liniment Empl. Another History Unguent Cataplasm The Causes of a Gonorrhaea Injection A double Method in its Cure Fomentation Unguent Emplâ— History History How the Intestine is to be reposed Cataplasm Unguent Decoction Cerate Empl. Empl. Empl. Apozem Empl. Empl. Histoâ—y Cerate Empl. Anâ—ther Oyl Syrup Electuary Pil. A second Method by Adustion A third Method is Incision The fourth Method History Clyster A Restringent Bag. Purge Signs History Another Another History History Causes Signs Cure Topicks Empl. Fomentation Another Catapl History Foment Another Another Another Oyls Unguent Catapl Another Another Empl. History Signs History Intentions Hernia Humoralis Causes Cure Hist History Causes Signs Presage Cure Unguent Another What Phygethlon is History Their Origination Unguent Another Another Another Another Another History Its Causes A restriâ—gent 〈◊〉 History Apozemâ— Empl. It s Figure what it is Its differences from Pterygion Its Signs Its Causes and manner of breeding Revulsives Interceptives Repellers Catapl History â—â— Pterygian Unguent Catapl History Potio purgans Catapl Unguent Hist Potion Unguen Catapl
open and by purging it from its Flegm and waterish Humours as this ℞ Extr. Rud. ℈ i. Pil. Coch. ʒss Resin Jallap gr vi misce or this ℞ Pil. sine quib aur Indic an ʒss Resin Scammon ℈ ss misce for two doses The part affected is to be treated with Coolers and Discussives as are Mallowes with Barley Meal and Cicers being made into a Decoction or some of my discussing Cataplasm already prescribed or this ℞ Farin Fabar. ℥ i. Hord. ℥ ij coquantur poscâ ad formam Cataplasmatis in fine ebullitionis adde pulv Rosar rubr ℥ ss post unam ebullitionem ab igne remove tunc misce album vitel Ovor. no. Ol. Rosar parum misce fiat Cataplasma If the Psydracium be ulcerated and a moist Humour cometh from thence apply this ℞ Litharg aur ʒi Ceruss ℥ ss Alumin ʒij fol. Rut. cum Aceto Oleo simul mixt fiat Vnguentum with which anoint the Skin and having well embrocated it with this you may conclude your Cure with this Liniment ℞ Lithargyr aur Ceruss pulv an ʒij Sulphur ʒi Ol. Rosar q. s fiat Linimentum And lastly aqua Scahiosa is by many held to be most excellent here Alome being added to it CHAP. XXXIV Of Hydrocephalos THIS is a proper Tumour of the Head arising for the most part from Water and hence doth it take its name This is a Distemper which doth very oft come into the World with young Infants being either bred with them in the Womb or else so as they are bringing into it It may also be occasioned by a careless or ignorant or unhappy Midwife It may well be called a Cephalick Dropsie for it doth contain in it a proper Waterish substance known by its indolency softness its easie yielding to touch but chiefly from its inundation of Water running out of one place into another in its compression These Tumours do often times vary for in some they are small whilst in others they do appear very large It is a peculiar Disease in the Head of young Children the which ariseth from too much Humidity of the Head for which very Cause they which are much troubled herewith do seldom live long as both Galen Aetius and Paulus do observe This Tumour by Galen in Libr. definitionis is thus designed as being a collection of waterish Humours or feculent Blood in some parts of the Body which doth force it self up to the Head And here is a double meaning to be explained the one whereas he calleth it not only a collection of a Serous Humour but also of a feculent Blood as when the Head Cranium suffers an outward Contusion or Collision and the Veins by this Collision do sprinkle their Blood between the Cutis and Pericrane This Blood here thus putrifying doth make a most soft Tumour and if a serous aquosity were collected the which by dayly experience may well be offered to happen from a Contusion thus happening it may frame a Hydrocephalos Aetius lib. 6. cap. 1. will have that a Hydrocephalos may be generated from a Feculent or bloody Matter the which being changed into a thin substance A second of Galens is that a Hydrocephalos is a collection of an aquous Humour in some part of those Bodies which have a forcing quality towards the Head out of which it may be conjectured that Galen doth offer that Hydrocephalos to be a Disease of some part of the Head not a Dropsie of the whole Head and this is confirmed by Aetius and Paulus who treating of Hydrocephalos do allow four species hereof First when this Humour getteth between the Brain and Membranes Secondly when it lyes between the Membranes and the Skull A third between the Bone and the Pericrane And Lastly when between the Pericrane and the hairy Scalp I have already shown you part of its Signs that it is a Tumour soft in touch whitish in colour indolent turgid much like a Pillow to other parts easily yielding to touch and as speedily filling up its former made vacancy the Finger being removed If it ariseth from a Contusion it doth appear first red and doth carry pain with it as Aetius doth write but being afterwards changed into a thin substance it doth spread it self without pain In those where it happeneth between the Pericrane and Bone they answer plainly the rest for here it is hard in Tumour and very painful by reason of the distention of the Pericrane If it happeneth as sometimes it doth between the Membrane of the Brain and the Skull it will be a Tumour but not yield to compression nor soft to touch Here it maketh the Infant soon to give way to it and to yield up its Ghost Its Causes may be said to be sometimes outward sometimes inward One of the outward may be said to be that which is mentioned by Paulus in Children newly born who had their Heads but ill bound up by their Midwives Another is contusion or collision or ruption of one or many Vessels Another cause is a cold Air or too much Water or thinness of its passages or Vessels out of which this Serum or matter do recide as Aetius hath it or also too cold or waterish Milk which it may suck from the Nurse these may be said to be the inward Causes hereof as when the Brain is too much cooled or the matter being here first collected and hence sent to the Brain Every Hydrocephalos is very slow in its motion as Aetius doth prove Lib. 6. Cap. 1. For it hath a cold Brain inwardly from its beginning arising from its inward Cause and also an outward by and from its outward Cause by reason of its delay and contaction To draw all these to one head there is to be allowed two Species of a Hydrocephalos One in which this waterish Humour is contained and made by an inward Cause that is out of an abundant collection of this serous matter in the Body The second doth not contain the sincere Serum but as it were a mixt feculent Blood the which doth eat it self out of the lacerated Veins arising from Contusion or some other outward Causes As to its Presage Paulus Aetius and Galen do offer that if this Humour be collected between the Brain and its Membranes it is mortal in other parts it may admit Cure by curing its Causes and removing its Effects But here as well as in other parts of the Body the Rules of Celsus and Galen are to be observed every Disease is so much the more dangerous by how much it gets into a greater bulk and bigness As touching its Cure we shall begin with that which is extant between the Hairy Scalp and Pericrane And herewe are to observe that every Hydrocephalos is to be cured by discharging of this waterish substance which is to be performed by purging the whole and cleansing the affected part And with this we are to begin with general Cephalick Purgings in