the Nerves or too much Relaxation so that being oppressed with weight they are extended with Pains but this sort of Gout is not so terrible For the second Cause of the Gout proceeds from the salt sharp and tartarous Humors separated from the Blood and thrust forward upon the Joynts Therefore says Sennertus I must conclude that a sharp salt subtil Humor nearest to the Nature of salt Spirits is the Cause of the Gout Let any Man call it by what other Name he please Choler or Flegm mixed with Choler Salt or Tartar so the thing be rightly understood In vain therefore Physicians have hitherto sought for the Cause of the Gout in the Heat and Drougth of Choler or the Moisture and Cold of Flegm for they are not the first but the second Qualities which induce those Pains that is the Salt and the Acrimony which corrode and gnaw those Parts Therefore says Hippocrates 't is not hot cold moist and dry that have the acting Power but bitter and salt sweet and acid insipid and sharp which if rightly tempered together are no way troublesome but when alone and separated one from the other then they give the Vexation and shew themselves c. In the Cure of the first in regard the Cause proceeds from a depraved Disposition of the Brain therefore the Brain is to be evacuated and corroborated to prevent these Excrements from gathering any more in that place The Parts affected also are to be corroborated with Topics warming the Parts dissipating and drying up the crude Humors In the Cure of the hot Gout the salt Humors are to be evacuated and purged away by inward Medicaments before they be pushed forward into the Joynts and that their Generation may be prevented Topics also must be made use of to temper the Acrimony of the salt Humors to dissolve dissipate and evacuate by transpiration those Humors the Forms of which I shall give in another place OBSERVATION XCIV A Pain in the Stomach with Vomiting PEtronella Beekman a Maid about twenty seven or twenty eight years of age the nineteenth of Iune was taken with an intolerable Pain in the upper part of her Belly which extended it self sometimes to the Right sometimes to the Left but most to the Sides She had a Vomiting likewise sometimes more gentle sometimes vehement which brought up all her Meat Sometimes her vehement Vomiting brought a Pint or a Pint and a half of black Water with some tough Flegm At the top of this Water swam certain little Bodies about the bigness of a Filberd in Colour and Consistence resembling Butter When these came up she had some ease for two or three hours but then her pain returned again She had no Fever no Tumor in her Spleen no Obstruction in her Kidneys and she made Water without trouble but very thick neither did she void any Gravel either before or after nor was there any Distemper to be perceived in her Womb where all things proceeded according to Nature nor had bad Diet been the cause of her Distemper but what that buttery Substance should be I could not certainly tell for my Life only I conjectured that it might be some corrupt Choler preternaturally chang'd into that Substance However the first thing I did was to stop her Vomiting to which purpose I caused her Stomach to be anointed with Oyl of Nutmegs and applied a warm Cataplasm to it of Mint Red Roses Nutmegs Cloves Mastich Olibanum sowre Ferment and Vinegar of Roses but all to no purpose The next day her Pains and Vomiting having very much weakned her I gave her a corroborating Medicament of Matthiolus's Aqua Vitae Treacle and Cinnamon-water and Syrup of Limons equal parts to take frequently in a Spoon which stay'd with her The twenty first of Iune I applied to the Region of her Stomach a corroborating Plaister of Tacamahacca Galbanum Cloves Benjamin and the like The twenty second I gave her a gentle Purging Draught which she presently brought up again then I ordered her a Glister which gave her two or three Stool but her cruel Pain and Vomiting continued still The twenty fourth I gave her one Scruple of Pill Ruffiae which stay'd with her and gave her three Stools about Evening and then because the Plaister was troublesome I took it off and applied in the Room a Linnen Quilt filled with Mint Wormwood Sage Flowers of Cammomil Melilot Dill Nutmegs Cumin-seed Fennel and Dill-seed which Quilt was boiled in strong Wine and applied to her Stomach The twenty eighth she took another Glister The twenty ninth about night I gave her two Scruples of Philonium Romanum prepared with Euphorbium in a little Wine which caused her to sleep that Night four hours whereas she had not slept till then from the beginning of her Distemper the next day her Pain returned nevertheless the Philonium seemed to have endeavoured some Concoction for that she began to belch which gave her some ease wherefore about Evening I gave her two Scruples of Philonium The first of Iuly she belched more freely therefore that Evening I gave her Philonium again The next day her Pains abated and her Vomiting ceased and at Noon she supp'd a little Broth which was the first Nourishment she had taken since her Sickness Iuly the third she took Pill Ruffiae to loosen her Belly The fourth of Iuly her Pains encreasing I prescribed her an Amigdalate but she brought it up again Therefore the sixth of Iuly I gave her two Scruples and a half of Philonium which caused her to rest indifferently The next day her Pains abated so that at night the same Dose of Philonium was again given her as also the next Evening The ninth of Iuly in the Morning she took Pill Russiae and in the Evening Philonium again and so for three Evenings more one after another by which means her Pains and Vomiting ceased her Appetite returned and she recovered her Health The twenty third of November she was again taken with the same Pains and Vomiting thereupon after I had purged her Body with Pills I gave her Philonium again which gave her ease and so continuing the use of Philonium for twelve Evenings together and loosning her Body every day with Pills at length I mastered the Obstinate Disease so that for six years together I knew her safe and sound from that and all other Distempers OBSERVATION XCV A Bastard Intermitting Tertian Ague HErman N. in the Vigor of his Age in the beginning of March was taken with a Bastard intermitting Tertian Ague which began with a great Coldness and ended in a violent Heat it came every other day but at uncertain hours sometimes sooner sometimes later During the Fit his Head ach'd violently and he was very faint his Stomach was gone and his Strength much wasted After he had taken many things in vain from other Physicians coming to me I gave him half a Dram of lucid Aloes reduced into Pills which gave him five Stools afterwards I
And that not every sort of Blood but such as is prefectly concocted Oyly and Sulphureous made by Concoction out of the most airie and best part of the Nourishment Hence it comes to pass that such Persons whose Blood is not Oyly tho' plentiful but hot Melancholic Choleric ill Concocted Serous Salt or which way soever sharp as in Scorbutics and Hypochondriacs never become Fat. For that through the vehement and sharp Fermentation occasioned by the acrimonious Particles the oylie Sulphureous Particles in the Blood either are not generated in sufficient Quantity or being generated or consum'd before they can be separated from the sanguine Mass and grow to the Membranes Hence it is manifest wherefore Children are tenderly plump but never Fat because their Blood is very Serous and the more thick and oyly parts of it are wasted in the Nourishment and Growth Therefore Aristotle in his History of Animals l. 3. c. 13. writes That all Creatures of riper Age sooner grow Fat than such as are young and tender especially when they are arrived at their full Growth of Length and Breadth then they come to augment in Profundity III. The Primarie efficient Cause is moderate Heat not too fierce as that which dissipates overmuch nor too little which neither concocts well nor dissolves the concurring Vapors the secondary Cause is the Condensation of those Vapors raised by that Heat to the colder Membranes Nor is it a Wonder that Condensation should be made when those Vapors light upon the Membranes not absolutely cold tho' they are said to be cold in respect of other Parts that are hotter but moderately hot as is before said As we see melted Lead when it is remov'd from the Fire condenses again tho' the place be very warm however not so hot as the Fire Nevertheless those oyly sulphureous Vapors do not only light upon neither are they always condensed upon the Superficies of the Membranes but if the Members are sufficiently Porous they insinuate themselves into their Pores and spread over the whole Membranes where they embody together and become a part of 'em and by that means the Fat is dispersed through those universal Membranes as it is done in that Membrane which lyes next under the Skin But if the Membranes are more firm and thicker then the Fat adheres only to their Superficies as we find in the Intestines the Heart and some other Parts that are fortify'd with a firmer and more compacted Membrane IV. The learned Malpighius exercit de Om. Ping. Adip makes an Enquiry what that is by means of which the Oyly and Fat Particles are separated from the Sanguine Mass seeing that Heat alone which can raise indifferently any Vapors from the Blood but not particularly separate the oyly Vapors from the rest is not sufficient to do it Whence he conjectures 〈◊〉 that Separation is made by the means of certain Kernels appropriated only to that Duty and that by others the oyâ—…y Particles are infused into certain Channels or Passages which he calls Ductus Adiposos or Channels for the Fat and through which they are spread up and down upon the Membranes In which place he brings several Arguments to support this new Speculation of his Which new Discovery of so great a Man is not to be despised nor to be rashly rejected but to be more seriously considered in regard the following Reasons render it somewhat Doubtful 1. Because the Kernels never appear to sight nor can be any where demonstrated 2. Because the certainty of the Passages of the Fat and their Cavity is a thing as much to be disputed 3. Because the Fat or oyly Matter is somewhat Viscous and therefore not so lvable to be separated from the Blood by invisible Kernels or to pass through the imaginary Cavities of invisible Channels when the most subtle Animal Spirits which are liquid and not viscous at all cannot pass through the invisible Pores of the Nerves but that they are stopp'd by every slight Obstacle more especially by the least quantity of viscous Humor as we find in Palsies 4. For that a fat Sweat breaths forth from the Bodies of many People when it is a thing not to be believed that these sort of Kernels are every where inwardly annexed to the Skin of the whole Body V. Whence it is apparent what is to be thought of the Temperament that is to say that Fat is moderately hot tho' it condense in the Cold and be less hot than Blood Which Temperament appears 1. From the Matter of it which is Blood concocted airie and sulphuâ—…ie 2. From the efficient Cause which is Heat 3. From the Form which is Ovliness 4. From the End which is to help the Concoction of the Parts and by its temperate Heat to defend against the external Cold. 5. For that it is easy to be set in a Flame Of which Galen thus writes l. 4. de usu part c. 9. That Fat is hot is known to the Sense it self by those that use it instead of Oyle And this also more especially manifests it to be true because it 's easily set on a light Flame as approaching nearest the nature of Flame for nothing cold is suddenly kindl'd VI. Picolominus has asserted that Fat grows to a proper Solid but most thin Membrane as we have already affirm'd for that in Living Creatures the oylie Vapors of the refin'd Blood would breath out in great Quantitie through the Pores of the Skin unless some thick and cold Membrane which Malpigius calls the Adipous Membrane should restrain and curdle 'em together But Riolanus in his Anthropogr believes there is no need of any particular Membrane for that work in regard that Condensation may be well enough performed between the thickness of the Skin and the fleshy Membrane perhaps as it grows outwardly to the Intestines and Membranes of the Kidneys Which he proves from hence for that in fat Bodies especially in Women the fleshie Membrane lyes wrapt up in Fat as it were in the middle of it And the same thing is prov'd by others by this Experiment that if Fat be melted at the Fire there does not remain any Membrane proper to it but only the fleshie Membrane Hence Riolanus believes that Fat is not to be taken for any peculiar Part since it seems to constitute but one only part with the fleshie Membrane Yet the same Riolanus in Enchirid. Anatom l. 2. c. 7. reclaiming his former Opinion attributes a peculiar Membrane to Fat. And this is that which we also believe For if the Fat which lies under the Skin be pull'd off with the Fingers you may easily perceive its more close and fast sticking by means of the Membrane and tho the fleshie Membrane be sometimes overspread with Fat as sometimes it happens to the Intestines and other Membranous Parts this does not prove but that the Fat it self which is extended over the whole Body under the Skin has its own proper Membrane VII But here
Kidney had been obstructed tho' he felt no great Prejudice by it so long as the other was open but when the Stone fell upon the Ureter of the other Rein then the Urine was altogether suppressed Certain it is that that Suppression of Urine was not caused by the Obstruction of one Kidney and consequently not by any sympathetical Affection of the other It is also farther to be noted that in the Dissections of Dogs we shall often find in the one Kidney a long thick ruddie Worm that has eaten all the fleshy Substance of the Bowel whereas there could be nothing more sound than the opposite Kidney which shew'd no sign of Sympathizing with the Miserâ—… of the other XXXVII But tho' it be the only Office of the Reins to separate the Serum from the Blood nevertheless some more narrowly considering their fleshy Substance and peculiar Bigness attribute also to 'em the Function of preparing and farther elaborating and concocting the Blood Which Opinion Deusingius following Beverovicius most stifly defends But if by Concoction he means that Elaboration only by which the secous Excrement is separated from the Blood then his Opinion may be tolerated But if such an elaborate Concoction by which the Blood is made more Spirituous and Perfect then his Opinion is to be rejected there being no Bowel that brings the Blood to greater Perfection than the Heart from which the more remote it is the more imperfect it is Nor can any thing of its lost Perfection be restor'd by any other Part no not by the Kidneys themselves For which Reason the Blood must return to the Heart to be restored to its pristine Vigor XXXVIII Besides the foresaid Office others according to the Opinion of Sennertus ascrib'd another Action to the Kidneys which is the Preparation of Seed Which they uphold by several Reasons of which these are the Chief 1. Because the Kidneys have a peculiar Parenchyma as the rest of the Bowels have now in regard there is a peculiar Power of Concoction in the peculiar Flesh of every one of the Bowels that peculiar Quality must not be deny'd the Kidneys which can be no other than a seminific Concoction when Straining is sufficient for the Separation of the Serum and there is no need of Concoction 2. Because the emulgent Arteries and Veins are too large to serve only for the Conveyance of the Serum it seems most probable that a great part of the Blood being separated from the Serum is concocted in the Kidneys into a seminal Juice which is to be further concocted in the Testicles 3. Because when the Seed is suppressed and over much retain'd the Kidneys are out of Order 4. Because Topics apply'd to the Region of the Kidneys prove beneficial in a Gonorrhea 5. Because a hot Constitution of the Reins causes a Proclivity to Venery lustful Dreams and Pollutions and the hotter it is the sharper the Seed is XXXIX But these are chaffiâ—… Reasons and of no force to which we answer thus in order 1. That the Kidneys indeed are certain straining Vessels whereby good part of the Serum is separated from the Blood that passes through and falling into the Renal Receptacle flows out again But this Straining can never be unless a certain necessary specific separating Fermentation precede separating the Blood from the Serum and so the Kidneys do not simply separate the Serum by straining but transmits as it were through a Sponge that which is separated by the said Fermentation Moreover because a great Quantity of Serum is to be separated and transmitted hence there is a a Necessity for larger and greater Strainers For if so much Serum separated by continual Fermentation were to be strain'd through small Strainers would they be so loose that together with the Serum separated by the said Concoction the thinner part of the Blood would also slip through ' em 2. Much of the Blood were to be carried through the emulgent Arteries being very large for the Separation of a moderate part of the Blood only for the Blood was not to be depriv'd of all the Serum to preserve it fluid But through the Emulgent Veins nothing flows to the Kidneys as is apparent from the Circulation of the Blood and the Valves which are placed at the Entrance of the emulgent Veins into the Vena Cava Lastly neither does that Consequence follow Much Blood flows to the Reins and therefore out of some part of it the matter of the Seed is prepared in the Kidneys 3. Nor does that other Consequence The Kidneys are out of Order through Retention of the Seed Therefore the Kidneys both prepare and supyly the Matter of the Seed For then this Consequence would be as true The Head-ach proceeds from the Retention and Boyling of the Choler therefore the Head prepares Choler 4. Neither is this Consequence true Topics apply'd to the Region of the Kidneys are beneficial in the Gonorrhea therefore the Kidneys supply seminal Matter For then would this be as certain Cold Water apply'd to the Testicles stops bleeding at the Nose therefore the Testicles made Blood to be carried to the Nostrils 5. A hot Constitution of the Kidneys is a Sign of Proneness to Lust but not the Cause For this is usual that where all the spermatic Vessels are hotter there the Kidneys are also hotter Not that the Kidneys add a greater Heat to the Seed But the Vapors rising from the hot Seed heat and warm the Kidneys So that in Brute Animals that are ripe and libidinous not gelt you shall perceive a certain seminal Savour and Tast in the Kidneys XL. Lastly we may add for a Conclusion that no specific Vessels are extended from the Kidneys to the Testicles through which the seminal Matter can be carried thither That the spermatic Arteries carry blood to the Testicles out of the Trunc of the Aorta and the Superfluity flows back through the spermatic Veins to the Vena Cava whose Valves are so plac'd that nothing can slide through them to the Testicles and so these Vessels cannot perform that Office and as for other Vessels there are none XLI From what has been said it appears that the Kidneys are Parts that evacuate the serous Excrement most necessary for the Support of Life The Question is therefore whether the Wounds of the Kidneys are mortal or no We must say they are Mortal and that of a hundred wounded in the Kidneys scarce one recovers perfect Health Which Lethality proceeds not from the Nobleness or Excellency of the Reins but from the Concourse of supervening Symptomes That is to say a vast Flux of blood cutting off the Vessels Obstruction of Urine or else the Impossibility of the Retention of it Great Pain Inflammation Exulceration Apostumation by reason of the continual Thorough-fare of the sharp Serum difficult to be cured and other Accidents that weare the Strength of the Patient to Death For tho' the Kidneys are not principal Parts
Vessels appointed for the Evacuation of the Menstruum's And that that Pleasure which such women are sensible of in Copulation does not proceed from any Egg or Seed slipping out of the Stones into the womb but from the Viscous Seminal Matter which is squeez'd out of the Prostates into the Uterine Uagina LX. From what has been said it is sufficiently demonstrable that Womens Stones were not given 'em only for Ornament according to the Aristotelians which can be none in a part that is always hidden and never conspicuous but for absolute Necessity XLII Now what that Necessity is let us inquire And therefore that something may be produced out of Plants there is equally required both a Fertility of the Earth and a fecundity of the Seed The Fecundity of this Seed consists in the spirituous Blossom the fertility of the Earth in a convenient Heat and Moisture duly moistened and impregnated with Salt and sulphury Particles Unless these two concur nothing can be produced from the Seed of a Plant. For Example Let the best Wheat be thrown into a heap of Salt Iron Lead or dry Sand nothing grows from thence tho' the Seed be fruitful in it self because it does not light into convenient Matter wherein the generative Principle may be dissolv'd and set at work In like manner let the same Seed be cast into Earth where there is too great a quantity of Salt Lime Canker or any such matter endu'd with a corroding and sharp Quality then the Seed is corrupted and extinguished together with its generative Principle and produces nothing but if it be thrown into a fat Earth well dung'd then the Heat assisting the more thin Particles of the terrene Moisture enter the small Pores of the Seed and are intermix'd with its Substance which thereupon swells and so the Germen or generative Principle is dissolved and falls to work and whatever is thence form'd is nourished augmented and increased by the same Moisture melted and mix'd together with the thicker Particles of the Seed being afterwards to receive from the Earth more and more solid Nourishment when once it has taken Root XLIII And thus it is in the Generation of Man The Womb is the Earth first receiving the masculine fruitful Seed But unless that Land be moistened with a convenient dewie Moisture embrace and dissolve that received masculine Seed and send forth it s more subtle engendring Parts through the Tubes to the Eggs contained in the Stones or Ovaries and that the Eggs thus impregnated proceed to the Womb that through its cherishing Heat the generative Principle infused into 'em may fall to work I say unless all this be from the masculine Seed alone tho' never so fruitful there will be nothing generated For nothing is generated from the Male Seed alone tho' most fruitful in its self Now that same Female Albuminous Seed of the Eggs is like the fat moisture of the Earth nay it is the very fat prepared Moisture it self which conveniently receiving the spirituous part of the Male Seed and entering its Pores dissolves it rowses the generative Principle latent therein and excites it to Action Which proceeding into Act presently forms out of its self in a small Compendium the whole that is to be form'd that is the first Delineations of the whole Birth and nourishes it with that agreeable Albuminous Moisture upon which it swims first by Irroration and Apposition till it be brought to such a Solidity and that the Bowels are become so strong that afterwards they may be able to make and prepare for themselves Nourishment carried to the Womb and infused through the Mouth and Navel XLIV Hence it is apparent why Copulation does not follow every time that a man lies with an Empty woman because that if a woman through any Distemper of the Ovaries or their bad Structure or by reason of her years or through any other cause be destitute of Eggs or that the albuminous Matter latent in the Eggs be badly temper'd too sharp too hot too cold or endu'd with any bad quality and so be unfit for the dissolution of the Procreative Male Seed then no Conception can happen because the spiritous procreative Principle of the Male Seed is for the same Reasons stifled and corrupted But this is not the only cause why Conception is hinder'd for it frequently also happens that the Eggs of Women are not come to their just Maturity or through some Impediment of the Passages the generative Principle cannot come to the Eggs nor the Eggs to the Womb or else the Male Seed being weak of its self and destitute of a generative Principle or for that its generative Principle is corrupted and suffocated in the Womb before it can reach the Eggs by reason of the bad temper of the Womb or else from the vitious Humours therein settled for which Reasons there can be no Conception XLV However it be the true manifest and necessary Use of the Male Seed appears from what has been already said as being that without which there can be no Generation of Man no more than Generation of Plants without a fruitful Moisture of the Earth XLVI Here a material Question arises If there be such a necessity of the Female Seed in respect of the dissolving cherishing nourishing Matter whether it have any share in the forming the Birth Hitherto it has been the common Opinion That it has a share as well of the forming Cause as of being the nourishing Matter and that it is mix'd with the Man's Seed and that one Mass is made of those two Seeds mix'd together and that out of that Mass being fermented in the Womb the spirituous procreative Principle is drawn forth by which and out of which the Members of the Birth are delineated and form'd Which Opinion Sennertus very speciously both propounds and defends and of which Ludovicus Mercatus is no less a strenuous Patron who thinks with one Herculean Argument to remove the whole Doubt and to prove the forming Power of the Female Seed Whatever assimilates saith he suffering with Victory of necessity acts but the Son is sometimes made like the Mother therefore the Mother acts in the Generation of the Son XLVII But tho' this whole Argument should be granted it does not follow that the Womans Seed affords any power to the forming of the Birth For there is a great deal of difference between the Mother acting and the Seed of the Mother acting For the Mother acts upon the Man's and her own Seed while she warms cherishes and embraces both in her Womb and so rowses that same procreative Principle into Action But this renders it fit for the Nutritive Matter But neither She nor her Seed contribute any thing to the forming of the Parts but as Mediums by which the latent Power in Male Seed is set at work But if the Womans Seed should act in forming and delineating the Birth then it ought to contain in it self
necessity it can never diminish but by Antiperistasis will rather augment the Heat of the Blood in those Vessels 2. Because that in the Birth which is enclos'd in a hot place there must be a greater Heat and yet no such urgent Necessity of Respiration but that the Lungs themselves lie idle 3. Because those that are expiring breath forth a colder Breath To the First I answer That a moderate Cold does not cause that same Antiperistasis only that Antiperistasis happens in vehement and sudden Refrigeration But such a vehement Cold cannot be occasion'd by Inspiration in the Breast which is a hot Part To the Second I answer That the Heat in the Birth is not come to such a Perfection as to want the Refrigeration of Breathing To the Third That the Air breath'd forth by dying Persons does not feel so hot as that which is breath'd forth by healthy People because that through the Weakness of the Heart the Blood which is forc'd into the Lungs is not so hot at that time and for that the Bowel it self does not heat so much for which reason also the Air breath'd in is less hot and so the Breath seems to be colder to Healthy People that stand by who are sufficiently warm whereas that Breath of Dying Men does not come forth without some Heat which it had acquir'd from the Lungs though less than the Heat of the Skins of those that feel it XXVIII The same Author after he has rejected the Refrigeration of the Lungs concludes That the Use of the Lungs is to carry about the Blood and is a kind of a Vessel appropriated to the Circulation of the Blood Which if it were true then in the Birth inclos'd in the Womb and not Breathing as also in Fish that are destitute of Lungs there would be no Circulation of Blood because that same Vessel is either wanting or else lies idle Which Opinion Iohn Majow refutes by producing an admirable Experiment in his Treatise of Respiration XXIX Malpigius will have the Lungs to be created not for Refrigeration but for a Mixture of the Sanguineous Mass that is to say That all the smallest Particles of the Blood the VVhite the Red the Fix'd the Liquid Chylous Sanguineous Lymphatic c. should be mingl'd exactly into one Mass which Mixture he supposes to be but rudely order'd in the Right Ventricle of the Heart but exactly compleated in the Vessels of the Lungs and for this he brings many Arguments which however are not so strong as either to prove his own or destroy the ancient Opinion For the most exact Mixture of the Blood is occasion'd by Fermentation by which all the Particles are dilated into a Spirit or thin Vapor but this Fermentation is perform'd in the Heart forbid in the Lungs where Fermentation is forbid and the dilated Mass of the Blood is condens'd Moreover if the Blood expell'd out of the Right Ventricle of the Heart were necessitated to acquire an exact Mixture in the Heart where must that have its exact Mixture which is forc'd out of the Left Ventricle into the Aorta or that same Blood which neither in Fishes nor in the Birth inclos'd in the Womb ever enters the Lungs Malachy Thruston desirous to bring something of Novelty upon the Stage of this Dispute excuses the Heart from the Office of Sanguification and imposes that Office upon the Lungs because that the Lungs being distempered as in a Consumption all the Parts being nourish'd with bad Blood grow lean and consume As if the same thing did not happen when the Liver Spleen Stomach Kidneys Mesentery and the like Bowels which are known not to make Blood are affected with any Ulcer or very great Distemper Afterwards he adds That the Chylus is but rudely mix'd in the Heart with the Blood but most exactly in the Lungs and there ferments boils is subtiliz'd and acquires its Fluidness and is chang'd into true Blood But these things are repugnant to Reason For shall cold Air breath'd in produce Effervescency and Subtility of the Blood in the Lungs when Cold hinders Effervescency and thickens the Blood as daily Experience teaches us in the Cure of hot Distempers And whence I would fain know has the Womb that Effervescency and Subtility of the Blood where the Lungs lie idle Then he produces two great Opinions as he thinks the one from Phlebotomy the other from Sighs By Phlebotomy says he Apoplectic Persons and such as are hardly able to fetch their Breath and are almost choak'd feel great Ease Because that by that means the Blood which was hastning toward the Lungs or else heap'd up there before is drawn off another way and so the Lungs by degrees are freed from that Burthen But I shall not grant the Learned Man his Argument True it is that in such Distempers we let Blood freely that the Heart may be weaken'd and that that being weaken'd less Blood may be forc'd to the other Parts and so that Blood which sticks next to the Lungs or Brain and stops up the little Passages may have the more time to flow out and empty it self and so the Cause of Suffocation is remov'd from the Lungs For Example If many People are gather'd together in any Room and would crowd altogether out at the door they stop one another but the less they that are behind press forward the sooner they that are before get forth Thus it happens in an Apoplexy Asthma or any such like Affection For in these Distempers the stronger the Heart is and the more Blood it sends from it self the more are the Lungs Brain c. obstructed and stuffed up but the more the Heart is weaken'd by a moderate Abstraction of the Blood and the less forcibly and the less Blood it sends to the Parts obstructed so much the more easily the Blood which already stops up the Passages being dissolv'd and attenuated by the Heat of those Parts flows farther and the Obstruction is open'd to the Ease of the Party griev'd But this makes nothing for Thruston's Opinion as neither does his Argument taken from Sighs For Sighs do not happen as he thinks by reason of the stronger Effervescency of the Chylus in the Lungs but by reason of the weaker and slower Respiration which they who are thoughtful and sad forget to exercise so frequently as they ought and consequently a Refrigeration not sufficient of the Blood forc'd into the Lungs from the Right Ventricle of the Heart so that the vaporous and dilated Blood remaining in too great a Quantity and therefore flowing more slowly into the Left Ventricle and keeping the Lungs distended perplexes the Patient who is therefore constrain'd by deep Sighs and the introducing a good Quantity of cold Air to condense that vaporous Blood to the end that it may flow more swiftly out of the Lungs through the Pulmonary Vein to the Left Ventricle of the Heart and may be also more swiftly expell'd by reason of the larger distension
the odoratory Organ this or that way XVIII Senertus labours to prove that Smells are no Substances nor real Qualities but only Species's of them But in answer to Senertus we say that no Qualities or Species's can subsist without any Body and therefore none can be allow'd nay there are no Odorable Species's impress'd upon no Corporeal substance that can be conceiv'd in the Imagination This in the Sight is notorious where the visible Species's are certain Modifications of the Air depainted therein by things visible and imprinted therein which without the Air are nothing for Species's without Substance cannot subsist and therefore are nothing Thus in Smells the odorative qualities necessarily are inherent in some Substances and because they cannot subsist without 'em hence they are properly call'd Smells because they are Substances endued with odorable qualities Philosophers commonly constitute Scent in dry predominating above moist However we are to understand that there is no Scent without Moisture nay that it is generated out of Moisture attenuated and rais'd by Heat I say by Heat because Heat is the efficient Cause which acts upon the subject containing Smell or Scent in Potentia and by raising therein Fumes that are endu'd with Scent excites Smell out of Power into Act And therefore Bodies endu'd with Scent smell when they are chaâ—…'d but growing cold they send forth no Scent for Scent is not in act unless it exhale forth which it cannot do nor be sent forth while the astringent Cold binds up the Pores of the Substance containing the Scent Here it will perhaps be objected that Scent is something subsisting of it self and therefore Moisture and Heat cannot be the Cause of it I answer that Scent or Odour is an accident subsisting in the Subject and Latent therein nor able to breath out of it unless both in and with some part of its subject accompanying it for without the Subject it is a moist vapor which cannot be rais'd unless by Heat and hence both Moisture and Heat of necessity concur the first as the Subject without which it cannot be and be perceiv'd the other as the agent Cause without which it cannot be excited into Act. But here some one may say that according to this Opinion Odor of it self will prove to be nothing and so there will be no knowledge of Odor since there can be no knowledge of a Non-Entity We grant that Odor separately consider'd is nothing neither does it fall under Sence but when we consider it in and with Fume it peirces the Sence and falls under knowledge so far as the Accident by the Subject and the Subject by the Accident in a mutual Order come to be perceptible Here again some one will oppose me and urge if Odor actually exist only in Fumes how comes the Fish in the Water to be sensible of Odors where there are no Fumes I answer 1. It may be question'd whether Fish are sensible of Odors and whether they approach or avoid things that carry an Odor but are not rather lead by a grateful or unpleasing quality perceiv'd by Savour Sight or Feeling from other qualities diffus'd into the Water from things that carry a Scent 2. But grant they are sensible of Odors there is no doubt but that in the Water it self some Fumes may be rais'd by a subtil Aethereal matter penetrating the Water some way or other and by its Motion causing a Heat in it in which Fume Odorous qualities may be excited from Power into Act and so the Fish may be made sensible of Odor if they are sensible of Odors as they are Odors XX. There are several sorts and differences of Odors some are sharp some sweet some acid some odoriferous others stinking some grateful others loathsome and many Odors are apply'd to the difference of Savors Moreover Smells some are simple and natural some by nature are in the Bodies Others are Compounded and Artificial such as the Perfumers make for Luxury and Delight Others are preternatural which arise from Corruption and Putrefaction XXI The Organ of Smelling is the Nose Which being constituted of many and various parts which since they cannot all officiate that particular function it is a great question in what part of the Nose the Smelling faculty has it's seat That it is not in the Blood-conveighing or Lymphatic-Vessels nor in the Bones or Grisles is confess'd by all XXII Some are of Opinion that the Sense of Smelling proceeds from some certain Nerves peculiar and of another Nature inserted into the Nose and some Specific Animal Spirits flowing through those Nerves But they did not observe that all the Nerves of the whole Body both in their Composition and Construction hardly difâ—…er in any thing else but that some are bigger others less some longer some shorter some thicker some thinner some softer and some harder but that let them be what they will their Office is the same as being the Passages through which the Animal Spirits are conveigh'd Moreover they did not consider that those Spirits carry'd through whatsoever Nerves are no way different but of the same substance and nature through whatsoever Nerves and to whatsoever places or parts they are conveigh'd Lastly They did not observe that the diversity of Operations which are perform'd by their assistance does not proceed from the diversity of them or the Nerves that conveigh them but from the diversity of the Parts into which they flow Thus in the Eye they are the cause of sight in the Muscles of motion in the Flesh they cause the sence of Feeling Therefore as they are the cause of Smelling in the Nostrils there must be also in the Nostrils some specific Parts in which by the means of those Spirits not only the feeling but the smell of sweet stincking rosy Camphory is perceiv'd and distinguish'd XXIII Formerly Galen and after him most Anatomists and Philosophers concluded that the Papillary Processes are the true Odoratory Nerves and the immediate Organs of Smelling But we have already refuted that Opinion Chap. 8. where we have shewn that those Processe sare no Nerves but Channels serving for the Evacuation of Excrements Vallesius also opposes and confutes this Opinion But Sneider and Rolfinch finding no reason why the smelling Sence should lye in the Papillary Processes add to their assistance Nerves deriv'd from the third Pair to the Nostrils But from what has been said it is apparent that the Sence of Smelling does not lye in any particular Nerves but in some certain specific Parts into which the Nerves infuse their Animal Spirits Which cannot be the Papillary Processes which neither carry Spirits nor admit those Nerves into their Body XXIV Others were of opinion that the Sence of Smelling lyes in the Membrane over-spreading the Inner part of the Nostrils and ascribe to it a Specific Constitution above other Membranes by reason of which it distinguishes Odors But in regard that Membranes are the Organs of Feeling not of
of that Distemper endured their Stenches and handled their Ulcers Why some upon the Sight at a distance of a Person that has newly had the Small-Pox are presently seized by the Distemper It being a thing almost incredible that the Contagion or infecting Contamination flowing from the Sick Patient should fly at such a distance from the Sick to the Sound and Healthy and so infect him and leave those untouch'd that are always conversant in the Room Nor do I understand that which Thomas Willis adds for the Confirmation of his Opinion that that same private Contamination being provoked by some Cause serments with the Blood and makes it first boyl and then coagulate For since Ebullition always causes a greater Attenuation I do not comprehend how that can cause Coagulation Moreover if such a spontaneous Coagulation were necessary after Ebullition Physitians at the beginning of the Distemper would ill apply attenuating Diaphoretics as being a hindrance to that Coagulation and afterwards they would as erroneously prescribe thickning things as Lentils Tragacanth Figgs c. which would cause too great a Coagulation Both which are repugnant to Experience when both the one and the other are successfully made use of in the Cure of this Distemper Nor does the Opinion of Fernelius please me for he according to his Custom deduces occult Celestial Causes in occult Diseases from the Influences of the Stars But how uncertain and how frivolous all those things are which are deduced from those Influxes either by Astrologers or Physitians is apparent from what we have wrote in our Treatise De Peste Lib. 1. Cap. 8. Neither can I approve the Opinion of Sennertus For he proposes three Causes of vitious Fermentation yet by means of that Specific Malignancy which remains in the Small-Pox cannot be explained and why by vertue of that vitious Fermentation procured by those three Causes the Small-Pox should be occasioned rather than other malignant putrid and pestilent Fevers or the Itch St. Anthonies-Fire Cancers or such like Diseases As to the External and Primary Causes of the Small-Pox by which the Internal Humors are moved Physitians agree the chief of them to be 1. A peculiar Disposition and depraved Quality of the Air to which belong the more remarkable Mutations of the Seasons as the hot and moist Constitution of the Spring and Autumn the Southern Winds and warm Constitution of the Winter 2. The Perturbation of the Blood and Humors to which belong immoderate Exercise frequent Bathings Anger Fear and Over-eating c. 3. Contagion for Experience tells us that this Disease is caught by Contagion For out of an infected Body continual Steams flow forth which being received by other Bodies presently like Poyson ferment with the Blood and excite the latent and homogeneal Seeds of the same Distemper and dispose them into the Idea of this Disease and thus those Contaminations flowing forth are not only communicated by immediate touch but at a Distance But by all these Causes whether good or bad Disposition or Quality of the Air perturbation of the Humors or Contagion that Malignant Specific which we observe in the Small-Pox is not sufficiently made out nor wherefore it operates more in these than upon those Subjects and in these than at those Seasons For many times we have observed hot or moist and hot with moist Seasons and Constitutions of the Air many times bad Diet as in Famines and Sieges which has occasioned aâ—… vast Corruption of Humors in the Body many we find continually indulging their Appetites which Willis numbers among the Primary Causes of this Distemper and yet no Small-Pox ensued On the other side in temperate Seasons and in cold Winters they have raged Epidemically among those who have used moderate Diet and fed upon the best of every thing and have seized upon Bodies replenished with good Humors and that many times first of all before any other Body has been ill to communicate the Contagion merely upon some Fright and by the Force of Imagination Seeing then that notwithstanding all the Causes propounded by Physitians the true and Specific Essence of the Malignity which is in the Small-Pox nor the peculiar and determinate Corruption of the Blood nor the Cause and Manner of Specific Fermentation can be explained I think we are rather to conclude that the next Causes of the Small-Pox as well the Internal as the External which move the Internal are occult as are also the Causes of the Pestilence it self and cannot be unfolded by Us. And therefore it is better to acknowledge the Weakness of our Knowledge then to betray our Ignorance by so many Disputes and various Conjectures that are grounded upon no Foundation For who can pretend to give a true and perceptible Reason of so great a Matter For these are in the Number of those Mysteries which the Chief Creator is not pleased to let us know exactly CHAP. IV. Of the Didgnostic Signs THE Small-Pox are not easily discerned before the Wheals themselves betray the Distemper But they appearing never so little then the Sight is easily Judge of the Disease Seeing therefore it is of great moment in reference to the Cure to know before the breaking out of the Wheals whether it be the Small-Pox or no the Signs of their coming out are first to be inquired into and observed The Signs foretelling the Small-Pox to be at hand are various A Fever sometimes more intense sometimes more remise with a low Pulse quick unequal and a Heat for the most part not very violent An Oppression of the Heart with Melancholy and a Palpitation often returning and sometimes a fainting Fit Head-ach Deleriums or Ravings sometimes Epileptic Convulsions frequent Sneezing Sleep more heavy than usual and unquiet Dreams of Thunder Fire and Flames Waking with a Fright difficult Respiration with frequent Sighs continual Gaping Pain in the Back and Loyns and Pulsation in the Spine Heaviness and Weariness of the whole Body a Pricking and as it were Itching in the Skin and in the Nostrils a Red Face Dimness of Sight yet Brightness and Itching of the Eyes Tears without any force sometimes Bleeding at the Nose Swelling of the Face Driness of the Mouth Hoarsness with a little dry Cough trembling of the Extream Parts small Red Spots in the Skin But these Signs are the more certain the more rife the Small-Pox are or if there be any suspition of having caught them as if the Person has been to visit any one that was Sick of that Disease or had been frighted with the Sight of any one newly recovered But there is no certain Sign of the Small-Pox at hand to be taken from the Urine For that in this Distemper the Urine for the most part resembles that of sound People If the Small-Pox besides the outward Skin have seized the Inner Parts then you must judge which Parts they are by the Disturbance of those Parts For if the Stomach be infected it will appear by Vomit and Pain in the Heart
a good draught of the Decoction of Barley luke-warm sweeten'd with a little Honey which when he had Vomited up again with a great quantity of tough Flegm At length we gave him Cinnamon water Distilled with Wine â„¥ s. with which we mixed three drops of Oyl of Cinnamon which when he had taken he found himself better Half an hour after we gave him the same again In the mean time we laid the following Cataplasm to the Region of his Stomach â„ž Flowers of Mint Baum and red Roses an half a handful Mace Ê’ s. Clove-gillow-flowers Nuâ—…megs Mastic Olibanum Storax Benjamin an ℈ ij make a Powder to which add sower Leven â„¥ iij. Vinegar of Roses q. s. make all into a sost Past without boyling With these few things the vehement Vomiting ceased The troublesom Vomiting which had lasted a whole day I stop'd by giving him twice the following draught â„ž VVhite-wine warmed before the fire Ê’ij Oyl of Clove-gillow-flowers one drop of Cinnamon two drops mix them for a Draught to be taken very VVarm The Region of his Belly was also anointed with Oyl of Nutmegs warm ANNOTATIONS VOmiting is caus'd by the consent of other Parts as when the Meninxes of the Brain are wounded or that the Kidneys are troubled with the Stone or Gravel c. Which Vomiting ceases when the Disease is Cured of which it is the Symptom Or it is excited by the abundance and sharpness of Humors that stimulate the Fibers of the Stomach which are either Choleric and hot or Flegmatic Salt and cold or Melancholic and Salt or sanguineous extravasated and corrupting into the Stomach or flowing in too great a quantity into it At the beginning of the Cure the Vomiting is still more to be provoked that the Stomach may be well wash'd and freed from the Cause of the Distemper for according to Hippocrates a Vomit cures Vomitting This done the Stomach is to be fortified either with cold or warm Medicaments as the Cause of the Disease is either Hot or Cold. If the Cause be Hot Juleps made with juice of Pomegranates Quinces Citrons and Oyl of Vitâ—…iol are proper The raw juice of Quinces alone taken one or two spoonfuls at a time miraculously stays this Vomiting Outwardly Fomentations with a Spung dippâ—…d in Vinegar of Roses or Elder-Vinegar warmed or a Quince roasted and applied warm in the form of a 〈◊〉 or sowr Leven mixed with Vinegar and juice of Mint and applied which very quickly stays Vomiting and is highly extolled by Villanovanus Also smelling to Vinegar Camphire and the like may be very prevalent If the Cause be cold the Stomach is to be corroborated with hot things as Wine Matthiolus's Aqua Vitae Cinnamon-water Oyl of Cinnamon Nutmegs Mace Clove Gillowflowers Spirit of Vitriol and such like Distillations Among Simples all hot Stomach-Herbs and Spices also outwardly Applications of Castor Storax Labdanum Benzoine Galbanum Tacamahacca Olibanum Oyl of Nutmegs and Mace c. To which add Quinces Masâ—…ic and other Astringents If these do no good Fallopius gives you this Experiment If the Vomiting do not cease let him bite a piece of a Turnep twice or thrice and champ it only with his fore-Teeth and you shall see the Vomiting will absolutely ease tho his Stomach be very weak And this Remedy is so extraordinary that I could never find a better If these things will not stay the Vomiting you must come to Narcotics among which in a cold Cause Roman Philoniam is preferred above all the rest given to the quantity of one dram But in a hot Cause Pills of Storax or Opiate Laudanum OBSERVATION XXXII A Country Man of Groesbeck who because of his extraordinary Stature was called Ironically Little Iohn about forty years Old and very strong about two years since being very hasty in Cleavingof Wood by chance receiv'd a hurt from a Splinter in the fore Tibiaeon Muscle of his right Thigh the wound not being very broad but reaching to the Periosteum This wound though he slighted it at first it could never afterwards be consolidated by any Remedies but remain'd like an Issue Nature voiding continually several Excrementious Humors out of it which was the reason that the Country Man was troubled with frequent Inflammations and other Mischiefs At length in September having by Accident sold a parcel of Wood to a certain Chyrurgeon of Nimeghem after he had shew'd him his Thigh the Chyrurgeon promised to consolidate the little wound which had now been of two Years standing The other weary of his Pain and trouble gladly accepted the Condition presently the Chyrurgeon without ever Purging his Body thrust in Tents with I know not what Oyntment into the wound and laid on Plaisters the Fatness of which the parts adjoyning to the Periostea brook'd but very scurvily Hence within three days by reason of the stoppage of the deprav'd Humors now remaining within a terrible Inflammation of the whole Thigh ensued with a vast swelling and intollerable pain that threatned nothing less than a Gangrene Then my Advice was ask'd Presently after I had thrown away all the other applications and the Oxycrate that was bound about his whole Thigh I ordered the wound to be well washed with Spirit of Wine and then that they should pour in Balsam of Perue warmed with some few grains of Camphire mix'd with it and that his whole Thigh should be wrapt about with Linnen Cloths dipped in Spirit of Wine I also Purged his Body and the next day let him Blood and prescrib'd him a proper Dyet By these means not without some trouble the iâ—…flamm'd Swelling being fallen his Thigh within six days was restor'd to its first Condition But in regard that afterwards some new beginnings of an Inflammation with which he was wont to be molested before began to appear I clapt the grey Plaister about his whole Thigh having mixed with every ounce of the Plaister ℈ ij of Camphire which I let lye for three weeks together only putting in a fresh Plaister three times which prevented the return of those Inflammations In the mean time to Cure the wound also I ordered first an Issue to be made with a potential Cautery on the other side of the same Thigh from whence before I could well pull off the Blister Nature by this new Passage evacuated all those evil Excrementitious Humors which before were voided through the wound and the wound closed within a few days with the only application of the Balsam of Peru camphorated But I perswaded him to keep the Issue open as long as he liv'd But his Thigh being thus Cur'd the Country-man complained to me of another Malady no less ungrateful to his Wife that his Inclinations to conjugal performance were utterly extinguish'd and his Venereal Ability quite lost which Malady he said had befallen him but since the Cure of his Thigh Presently I suspected that this Languidness proceeded from the use of the Camphire which I had mixed with the Balsam and other Plaisters so that
VVine â„¥ iiij or v. Steep them all Night and the next day strain them through brown Paper This draught she took the sixth of May in the Morning about nine she began to Vomit without much trouble at first but at length she brought up a whole Chamber-pot full of Yellow green Choler mixt with a tough and Flegmatic Slime and her Vomiting ceasing she had also two or three Stools but still the Ague continued in the same condition but then I prescribed her a Magisterial Wormwood-Wine in this manner â„ž Carduus Benedict Lesser Centaury VVormwood an two small handfuls Lucid Aloes Ê’j Cut the Herbs small and hang the mixture in a long bag in a Glass Vessel filled with 〈◊〉 viij of small white French or Rhenish Wine Of this Wine she drank four Ounces Morning and Evening for the first two days but afterwards because it gave her three or four Stools a day no more then only once a day that is to say in the Morning the fourth day through the use of this Wine the Ague became simple much milder and shorter and from that time abating by degrees upon the eighth day left her quite however for more certainty I ordered her to continue the Wine for four days longer which gave her two Stools a day and thus both her Appetite and her sleep returned and she recovered her lost strength in a few days ANNOTATIONS AT this time intermitting Bastard Agues were very rise about Nimeghen and the neighbouring Parts obstinate and of long continuance in some simple in others double Physic seldom cur'd them ordinary helps nothing avail'd not would Blood-letting do any good Some felt a slight Pain in the right Hypochondrium some Vomited great store of Choler of their own accord some were troubled with Head-aches others with anxiety of Heart all were very thirsty during the Fit very Cold and Shivering at the beginning but intensely Hot at the end That the Cause of this Ague proceeded from the Excrementitious Choler putrifying in the Follicle of the Gall and neighbouring Parts the very Signs and the Fever it self sufficiently declar'd Somtimes the Cause of the Disease being Evacuated by Vomits the Disease ceas'd sometimes neither Vomits nor Purges would avail for that though they purged away a great quantity of Choler yet they left some remainders of the corrupt Choler behind to which new Humors flowing were Infected with the same Corruption Blood-letting nothing profited because the Seat of the Distemper lay neither in the Veins or Blood Refrigerating Medicaments could not subdue the Choler because they could hardly reach thither in regard the Follicle attracts that one which is most bitter and hottest in the Blood Upon these Considerations I thought that the Cure of this Disease required some cleansing opening bitter and moderately hot and that in a thin and liquid substance that by reason of its liquidness it might be able to penetrate the Mesaraic Veins more easily and by reason of its heat and bitterness be more eagerly drawn by the Follicle and be more effectual to concoct Crudities remove Obstructions resist Corruption cleanse the part affected and expel Noxious and Superfluous Humers To answer all which expectations I thought nothing better then the foregoing Wormwood-Wine with which I have Cured several without any other Remedies Nor let any one wonder that I give Wine in Fevers contrary to the Opinions of all the Ancients for that the Ancients meant simple and not Medicated Wines seeing that both Galen and several others both Ancient and Neoteric Physitians recommends Wormwood-Wine in Agues Some question whether Medicaments prepared with Wormwood are proper in exquisite and Bastard Tertians Trallian allows them in Bastard not in Tertian Agues and with him Avicen Oribatus and Amatus of Portugal agree But says Galen If the signs of Concoctions appear then thou mayst safely Administer Wormwood-Wine which is otherwise a Soveraign Preservative of the Stomach when molested by Choler To decide the Question therefore I say that Wormwood is not less proper in Exquisite then in Bastard Agues especially after Concoction in regard it potently cleanses Choler and Purges as well by stâ—…ol as Urine for which reason it must of 〈◊〉 abate an Ague by removing the Evil Matâ—…er that Feeds the Distemper and that therefore the heat and draught of it ought not to be scat'd especially if it be given with other refrigerating things in regard that the Choler being remov'd the heat will cease OBSERVATION LXXX The Cholic Passion PEter Galman a German Merchant in March the weather being cold and rainy had the hap to Travel along with me at what time not being able to heat our selves by riding the excessive cold brought upon him a most vehement Cholic passion so that he could no longer sit his Horse alighting therefore at the first good Inn we came to we warm'd our selves by a good Fire and apply'd warm Cloths to his Belly to mitigate the pain but the pain increasing more and more for want of other Medicaments that were not there to be had I took of common Sope and White-wine of each â„¥ j. and after I had warmed them very hot over the Fire I added â„¥ j. of Spirit of Wine In this mixture I dipped a Linnen-cloth doubl'd fourfold about a hands breadth and apply'd it hot to his Navel and by that only Topic freed him from his Pain within a quarter of an hour ANNOTATIONS BEsides several Remedies against a Flatulent Cholic to be given inwardly there are various Topics which being outwardly applied are of singular Vertue as we found by this quick and successful Experiment In this case there is an Oyl of Sope the Extraction of which Sennertus teaches us in his Institutions that it is very prevalent nor is Oyl of Galbanum less effectual Galbanum also it self dissolv'd in Wine or Aqua Vitae then mixt with Castoreum and applyed like an Emplaster to the Navel as also Caranna and Tacamahacca dissolved with Spirit of Turpentine are of singular Efficacy Holler prepares this Liniment of Civet Which he says he has often tryed â„ž Oyl of Rue Nard an Ê’vi Galbanum dissolved in Aqua Vitae Ê’iij Melt them together then add Civet gr iiij Saffron gr vj. Horstius anoynts the Navel with Treacle mix'd with a little Civet And it is not amiss to apply warm to the Belly equal parts of Common Salt and Sand tyed up in a Linnen Bag. The Ophite or Serpents stone heated and applyed is also in great esteem among the Vulgar Little Bags also of Flowers of Dill Cammomil Melilote Cummin Anise Fennel seed and the like sprinkl'd with warm Wine or gently boyl'd in Wine and applyed hot to the Belly One thing more I may add concerning Sope which a Mountâ—…bank in France was said to have Cured several Persons of the Wind Choâ—…ic his Secret was this â„ž Malmsey Wine lb j. Spanish Sope â„¥ s. or Ê’vj and sometimes also an â„¥ Salt Ê’ij Dissolve these altogether for a Glyster OBSERVATION LXXXI An
and the taking of Tobacco is very Beneficial XI Decoctions of Guaiacum Sassafras and Sassaparil prepared with hot and drying Cephalics to provoke Sweat now and then are of great use XII This Quilt may be made for the Patient to lay upon his Head â„ž Leaves of Rosemary Marjarom Thime Flowers of Lavender an two small hand fuls Mastic Frankincense an Ê’ j. Cloves Nutmegs an ℈ j. For a Quilt To anoint the Temples and top of the Head which is every day to be done use this Liniment â„ž Oyls of Rosemary Amber Marjoram an ℈ j. Oyl of Nutmegs pressed ℈ ij Martiate Oyntment Ê’ ij XIII If notwithstanding all this the Catarrh continue make an Issue in one Arm or in the Neck XIV Let him keep in a moderately warm Air observe a good Diet roasted rather then boil'd condited with Spices and hot Cephalics avoid Radishes Mustard Garlic Onions which raise and fill the Head with Vapors His Drink must be sparing but strong moderate sleep and moderate Exercise HISTORY XVII Of an Opthalmy A Person about thirty Years of Age abounding with hot and Choleric Blood having heated himself the last Winter at an extraordinary compotation of strong Wine and then exposing himself in a bitter cold Night to the extremity of the weather presently felt a sharp pain in his Eyes with a burning heat the next day a very great redness appeared in the white of his Eye with a manifest swelling of the little Veins He could not endure the light so that he sat continually with his Eyes shut sharp Tears flowed from his Eyes which when he opened his sight appeared to be very dim I. HEre the Part affected was the Eye in which the annate Tunicle or the Conjunctive Tunicle was chiefly aggreived the other Parts of the Eye only by Accident II. This Disease the Physitians call an Opthalmy or Blear-eyedness which is an Inflammation of the annate or white Tunicle accompanied with redness heat pain and tears III. The Antecedent Cause of this Disease was an abundance of hot Blood through the whole Body which being violently stirred by the extraordinary heat caused by the Wine and suddainly detained by the Original Cause or the outward extream Cold and overflowing the conjunctive Tunicle constitutes the containing Cause IV. For the blood being moved more rapidly through the Arteries and Veins by reason of the extraordinary heat of the Wine was thickned of a suddain by the external Cold received into the Eye so that it could not pass so speedily through those little Veins as it was sent from the Heart which caus'd the Veins of the Tunicle to swell and distended the Tunicle it self and the stay of the Blood corrupting it and causing it to wax hot and sharp produced the Inflammation V. The Pain was occasioned partly by the distention of the Tunicle partly by the acrimony of the Humors corroding the Tunicle VI. He could not endure the Light partly because the Pain was exasperated by admission of the External Air partly because the Eyes being opened the Animal Spirits presently flow into it as they are determined for the benefit of seeing and distend the Eye which destension augments the Pain for the avoiding of which the Patient keeps his Eyes shut to avoid the distension of the Part. VII Now in regard the sight proceeds from the copious Influx of the Spirits into the Eye and because the Tunicle cannot endure that distension hence the Eyes being open the sight grows dim in regard that the fewer the Spirits are the duller the sight is VIII The Tears issue forth chiefly upon opening the Eye by reason that the Caruncle in the larger corner of the Eye that lies upon the hole in the Nose is twitched and contracted in each Eye by the neighbouring Inflammation especially if any injury of the Air accompany it and by reason of that painful contraction does not exactly cover the Lachrymal point so that the hole being loose and open the Tears flow forth in greater abundance And they are sharp by reason of the Salt mixt with the serous Humor and seem to be much sharper then they are by reason of the exquisite Sense of the Tunicle which is now already molested IX This Opthalmy threatens great danger to the Eye in regard that by reason of the Winter cold the discussion of the Humors flowing into the Annate Tunicle is the more difficult and the longer stay of it may hazard the Corrosion and Exulceration of the Annate and the Horny Tunicle and so produce a white Spot a Scar or some such blemish in the Sight X. In the Cure the antecedent Cause is to be removed as being that which nourishes the Containing and the Original Cause is to be removed that the Containing one may be the better discussed XI The Body is first to be Purged with one dram of Pill Cochiae or half an ounce of Diaprunum Electuary Solutive adding a few grains of Diagridium or else such a Draught â„ž Rhubarb Ê’ j. s. Leaves of Senna Ê’ iij. Tartar Ê’ j. Anise-seed Ê’ j. Decoction of Barley q. s. Infuse them and then add to the straining Solutive Diaprunum Electuary Ê’ iij. XII The Body being Purged open a Vein in the Arm and take away eight or ten ounces of Blood Then Purge again and if need be bleed again XIII To divert the Excrementitious Humors from the Brain to the Eyes Cupping-glasses may be applied to the Neck and Shoulders or a Vesicatory behind the Ears Which if they prove not sufficiently effectual make a Seaton in the Neck or apply an Actual or Potential Cautery to the Arm or Neck XIV To asswage the Pain drop into the Eye the Blood of the Wing-feathers plucked from Young Chickens or Womens Milk newly milked from the Breast or the Muscilage of the Seeds of Flea-wort and Quinces extracted with Rose-water or the Yolk of an Egg boiled to a hardness or else the following Cataplasm laid upon the Eye â„ž Pulp of an Apple roasted â„¥ j. s. Crum of new White-bread â„¥ iij. Saffron Powdred ℈ j. s. New Milk and Rose-water equal Parts Make them into a Cataplasm XV. The Pain being somewhat asswaged this Collyrium may be dropped into the Eye â„ž Sarcocol fed with Milk Ê’ j. Tragacanth Ê’ s. Muscilage of the Seed of Quinces q. s. XVI For discussion of the Humor contained in the Tunicle foment the Eye with a Spung dipt in the following Fomentation warm â„ž Herbs Althea Fennel Flowers of Camomil Melilot an M. j. Water q. s. boil them to eight ounces then add Rose-water â„¥ iij. XVII After Fomentation lay on the Cataplasm again or else drop the following Collyrium into the Eye â„ž Alloes washed in Fennel-water ℈ j. Sarcocol steeped in Milk Ê’ j. Saffron gr vij Eyebright and Fennel-water an â„¥ j. XVIII Let him keep in a temperate and clear Air free from Dust and Wind and Smoak let him avoid too much Light and wear a green pâ—…ece of Silk before his Eye His Diet must be sparing
Damage to the Mouth though the Salival Channels be stopped up by this Cure for Experience tells us that the Spittle finds other Channels and Passages for the moistning the Mouth The Diet is the same as in other flegmatic Diseases Now because I do here assert a new Cause of the Ranulae and another part to be affected than other Physicians do and mention also the Salival Channels I think it necessary to tell what those Channels are These Channels were unknown till of late found out in England by Doctor Wharton and Glisson and last Winter publickly shown at the Anatomy Theatre at Leyden by Doctor Iohn ab Horn. The Substance of them is much like the Veins but stronger They are two in number and so wide in a Man as to admit an ordinary Bodkin They rise with a broad Beginning from the great and remarkable Kernel above the middle Tendon seated between the Flesh of the Digastric Muscle And hence carried upward about the middle of the Cheek they abscond themselves between two small Kernels there seated which when they have past they are carried with a streight Channel along the Nerve of the seventh Pair which they cut like a St. Andrews Cross and so somewhat toward the Fore-parts near the Bridle of the Tongue they terminate and open into two peculiar Kernels covered with a thin and porous little Membrane which are seated under the Tongue near the Frog-like Veins between the Flesh that joyns the Tongue to the neighbouring Parts and the Kernels that lye under the bottom of the Tongue Their Office is to powre the Salâ—… Moisture into the Frog-like Kernels which in them is contained as in a Sponge and emptied into the Mouth through the broad Pores of the Membrane that covers them for the moistning of the Tongue and Mouth HISTORY XXV Of the Hydrocephalus or Watry Tumor of the Head A Little Boy about a year and a halfold having been weaned six months and by his Parents that were very poor fed with raw Whâ—…y Fruit and other bad Nourishment nor keeping his Head sufficiently warm in the Winter within a short time had the hairy Part of his Head and Fore-head swelled out to his very Eyes Which Tumor in a months space increased to that degree that his Head was as big as a Mans Head and yet his Face was not swelled the Tumor was soft and white and the deep Prints of the Finger might for some time be seen in it The Child eat and drank indifferent well he had no Fever but was sleepy and moved the Members of his whole Body but dully and faintly His Nostrils were drier than usual and he spit but little He was loose and voided much Urine I. THis Childs Disease by the Physicians is called Hydrocephalus which is a Swelling of the Head caused by a Collection of serous Humors II. This serous and flegmatic Humor is collected within the Cranium and lies hid under the Skin which is discerned by the Touch there being only a soft Tumor III. That it is a serous and flegmatic Humor appears by the white Colour of the Skin and copious because it yields to compression without pain IV. The anteceding Cause are cold and most Humors in the whole Body which being raised beyond the Cranium and condensed under the Skin constitute the containing Cause V. These Humors are generated partly through bad Diet partly through the cold and moist Constitution of the Body which weakens the Concoctions of the Bowels and causes the breeding of many flegmatic and serous Humors which being carried to the Head are there attenuated into thick Vapors and gathered together till they come to a copious Body VI. These Humors cannot be evacuated through the Nostrils and Palate because their thickness has obstructed those Passages Nor can they pass through the streightned Pores of the Skin as being streightned by the External Cold so that new Humors increasing every day and none being evacuated thence hapned such a Swelling in a Months space VII However the Child fed because his Stomach was not yet loaded with this excrementitious Flegm as being copiously evacuated downwards by Urine and Stool VIII He had no Fever because the Humors were not putrified nor was there any Malignity or Excess of Heat IX He was sleepy because of the cold and moist Temper of the Brain which renders the Nerves of the Sensory languid and unfit for the Passage and Reception of the Animal Spirits besides that fewer Animal Spirits are generated in regard the vital Spirits cannot pass the streightned Arteries of the Choroid Fold Which Scarcity of Animal Spirits causes him also to move the Members dully and languidly as he did X. His Belly was soluble by reason of the great quantity of serous and flegmatic Humors that flow'd down to the Intestines the thinner Part of which being mixed with the Blood and separated from it in the Reins causes a greater abundance of Urine XI This Disease is dangerous in tender Age that will not bear strong Remedies in regard of the ill Temper of the Head the great Cachexy of the whole Body and the Quantity of the Humor In the Cure the serous and flegmatic Humor collected in the Head is chiefly to be gently evacuated the Bowels to be strengthened and the Generation of the Mistemper for the future to be prevented XIII First give the Child in a Spoon an ounce of laxative Syrrup of Succory with five or six grains of Jallop in Powder or give him to Eat five or six drams of Solutive Currans Then give him a little old Treacle and if you can let him Sweat also give him every day a little Conserve of Anthos Balm or Flowers of Sage XIV This done foment his Head with the following Fomentation warm â„ž Betony Rosemary Basil Thime Flowers of Camomil Melilot Stoechas an M j. Leaves of Lawrel M. s. Seeds of Anise Fennel Cummin an Ê’ ij White-Wine q. s. Boil them to 〈◊〉 ij For a Fomentation with a large Spunge taking Care not to let it cool XV. The Tumor being dissipated by the use of this Fomentation to remove the other Distemper anoint the Head Morning and Evening with this Oyntment hot â„ž Oyl of Camomil Alabastrin Ointment an â„¥ j. Oyl of Nutmegs pressed ℈ iiij Powder of Castor Storax Benjamin an ℈ j. Mix them for an Oyntment XVI After anointing put on the following Quilted Cap. â„ž Leaves of Rosemary Marjoram Flowers of Camomil Melilot an M. s. Benjamin Cloves Nutmeg an ℈ j. s. Beat them for a gross Powder to be sowed into a Silken quilted Cap. And let him wear this Quilted Cap for some time XVII In the mean time to Corroborate the Bowels twice or thrice a day let him take a Spoonful of this Mixture â„ž Tylet-Flowers-water Lilly of the Valleys an â„¥ ij â—…innamon water Ê’vj Syrup of Stoechas â„¥ j. Or instead of this let him now and them drink a little Hydromel And to the Region of the Stomach Liver and Spleen apply this
the Body attains that strength and firmness between the fourteenth and twentieth year that then the Seed begins to be generated and acquires every day so much the greater perfection by how much the Body grows stronger and needs less growth Now the reason why Seed is not generated at younger years and in Childhood is vulgarly imputed to the growth of the Body upon which the superfluous part of the Blood of which the Seed is hereafter to be made is then consumed But this Reason is far fetch'd and only a sign of the Cause why Seed is not generated First therefore we are to enquire why at younger years the Body most increases in bulk and grows so fast that by the knowledge of this we may come to know why the Seed is not generated at that Age. LXIII The growth of the Body proceeds from hence because all the Parts abound with a moist sulphurous oily Iuice and for that reason are very flexible and apt to extend so that the Animal Spirits flowing into them the Blood pour'd into the Arteries for Nourishment sake do not so sharply ferment and therefore cannot make a sufficient separation of the salt Particles from the sulphury Partly because their force is debilitated by the copious Moisture and oiliness of the sulphury parts partly because the Brain it self being as yet very much over moist does not at that time breed such sharp Humours as to make a smart Effervescency which afterwards come to be generated in greater quantity when all the parts come to be drier For this Reason also the Spermatic Vessels where the chief strength of Semnification lies are not then so very much dryed but by reason of the copious more moist and oily Particles of the Nourishment continually poured in upon them they are extended and grow in length and thickness and that so much the more swiftly by how much more moist and oily Nourishment feeds them as it happens in Infancy and Childhood But their strength and solidity is then more increased when they become dryer and grow less I speak of moderate and convenient driness not of a total consumption of moisture Now the reason why they become more dry is because the overmuch oily Moisture is by degrees consum'd by the increasing heat and by that means the overmuch moisture and lankness of the Spermatic Parts is abated and they become stronger in regard a greater quantity of the salt Particles separated from the Blood is mingled with them and is more firmly united and assimilated to them LXIV The same cause that promotes and cherishes the growth of the Body hinders the Generation of Seed in Children Hence it is that the Blood is more moist and oily and the Animal Spirits themselves less sharp and fewer in quantity flow to the Stones so that there is only enough for the growth of the Parts but not for the Generation of Seed But afterwards through the increase of heat that oily superfluous substance being somewhat wasted then the Brain being dryer begets sharper Animal Spirits which being mix'd with the Arterious Blood carried through the Nerves to the Stones more easily separate from it the salter Particles more fit for the Generation of Seed with which being condens'd and mix'd into a thin Liquor by the proper quality of the Stones proceeding from their peculiar structure and temper they are concocted into Seed which becomes so much the more perfect by how much the copious Moisture is predominant therein which in perfect Seed ought to be but moderate LXV And hence it is also apparent wherefore in old Age very little or watery or no Seed at all is made in the Stones Because that by reason of their abated heat over much moisture again prevails at that Age through the whole Body tho' not so oily as in Childhood but crude and more watery whence the Brain becomes moister and begets fewer or less eager Spirits and the Blood becomes colder and moister Moreover the Parts themselves concocting the Seed become more languid and over moist and consequently unapt as well in respect of the Matter as their own proper debility to make Seed I except some sort of old men vigorous in their old Age who at fourscore and fourscore and ten have begot Children as Platerus relates concerning his own Father LXVI As to the latter Question why Eunuchs and gelded Animals become more languid and less vigorous the Reason is because that through the cutting out of the Stones there follows an extraordinary change of the whole Temper of the Body in regard that lustful seminal Breathing ceases which is diffus'd over all the Parts of the Body which is apparent from the peculiar Smell and Rankness of Tast in the Flesh of Beasts ungelt and by means of which the Blood and other Humours are more warmly heated and the Spirits rendered more smart and vigorous This remarkable Alteration of Temperament is apparent in Eunuchs from hence that the Hair grown before Castration never falls off and the Hair not grown before either upon the Lips or other parts never comes Quite contrary to what befalls those that are not geit LXVII The same is manifestly observed in Deer who shed their large Beams every Year and then new ones come the next Year in their places but being gelt presently after they have shed their Horns their Antlers never grow again but they become very fat Now this change of Temper caused by the defect of lustful and masculine seminal inward Breathings thorough the whole Body tends toward Cold whence it happens that the Blood becomes more oily and less fervent and the animal Spirits are generated less sharp and vigorous and less dispers'd and that part of the Blood which otherwise ought to be consum'd in Seed and seminal Spirits remains solely in the Body fills the Vessels and more plentifully nourishes every part and that plenty and oyliness of the Blood moistens and plumps up the Body to a more extraordinary Corpulency For the fermenting Quality of the animal Spirits in such an abounding Quantity of sanguineous Juice tho' less fervent being now more languid and remiss becomes less able to separate the sulphury and oily Particles of the Blood from the salt ones which for that reason remaining mix'd together in greater quantity and joyn'd together for the nourishment of the Parts moisten them less and render them fatter but more languid and not so strong For that Interposition hinders the more dry and salter Particles of the Blood from being firmly united to the spermatic Vessels LXVIII To this we may add that in those that are gelt by reason of that extraordinary Redundancy of oylie Blood the Brain it self is overmuch moistened whence the Spirits become less sharp subtil and vigorous and consequently less sharp and fit for animal Actions Which make Eunuchs more dull less couragious languid and effeminate and slower in all the Exercises both of Body and Mind LXIX From the same Redundancy
by several as an unusual Accident This liquor I always found to be less in Quantity and more ruddy in Men of a hot Temper in whom the Vapors exhaling from the Heart are more thin and but a small Quantity condens'd in the Pericardium and such as were condens'd were sooner attenuated by the violent Heat of the Heart and sooner exhale through the Pores of the Pericardium On the other side I observ'd it more watery more plentiful and pale in colder Complexions in whom through ill Diet a diseased Constitution or some other Causes their Heat was less strenuous For which reason thicker Vapors sent from the Substance of the Heart and collected and condens'd in greater Quantity in the Pericardium were not so soon dissipated for want of sufficient Heat Hence Vesalius affirms it to be more plentiful in Women than in Men And Riolanus observ'd it more plentiful in old Men than in young Men. X. Moreover we observ'd that a greater Quantity of this Liquor does not cause the Palpitation of the Heart which is generally asserted however by most Physicians from Galen's Opinion For in all those in whom after they were dead I found a greater quantity of this Liquor in the Pericardium during all the time of their Sickness I observ'd no Palpitation of the Heart at all not so much as in the Englishman before mentioned but on the other side a languid and weak Pulse Neither does the Plenty of that Liquor cause such a Narrowness of the Pericardium as is vulgarly believed that the Heart cannot move freely within it and therefore palpitates But on the other side we always found that the Pericardium was thereby rendered so broad and loose that the Heart might move more freely therein than in lesser Liquor So that the Plenty of this Liquor does not cause Palpitation which is rather excited by any Liquor tho but small which contrary to Custom suddenly and violently dilates or by its Acrimony Corruption or griping Quality molests the Heart and stirs it up to expel so troublesom an Enemy CHAP. VI. Of the Heart in General See Table 9. I. COR the Heart seems to take its Name from Currere to run for which reason the Belgians call it Hart or Hert that signifies also a Hart or Stag because as that Beast excels all others in Swiftness and Motion so does the Heart surpass all other parts of the Body in the same Qualities Which Belgic word nevertheless seems to be deriv'd from Harden which signifies Duration or from Hard which signifies Hardness either because its Motion lasts all a Mans Life-time or else because it exceeds the Muscles and other Parenchyma's in hardness of Substance Riolanus deduces the word Cor from the Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 contracted of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 from 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 to burn because from thence the Fire of our Body proceeds And so the Belgic Hert may be deriv'd from Heert which signifies a Hearth Menetiâ—…s derives it from 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 to Shake or Brandish Chrysippus deduces it from 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 signifying Strength or from 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 to be strong in Empire because it performs most strenuous Actions and governs all the other parts of the Body II. However it is the Principal of all the Bowels the Sun of the Microcosm the Principle of the Actions of Life the Fountain of Heat and Vital Spirit and the Primum mobile of our Body Which being vigorous and active all the natural Functions of the Body continue in a vigorous and flourishing Condition when that languishes they languish and when that fails they cease altogether For in this is contain'd the Fuel and Flame of natural Heat while all those parts of the Body grow stiff and numm'd with Cold to which the Blood is hindred from coming from the Heart and that Blood grows cold that is absent longest from this Fountain of Heat and the wast of natural Heat can be repair'd in no other part of the Body than in this All which things are confirm'd by the Testimony of the Sences for that if you put a Finger into the Heart of a dissected living Creature so extraordinary a Heat is felt therein as the like is not to be felt in any other part of the Body III. This Heat tho so excelling from the Principle of Heat it self as it is and tho it be implanted and fixed within it yet certain it is that it is maintained and augmented by the Humours infused into its Ventricles and there fermenting and is continually fed by that continual Fermentation or Effervescency of Humours discharged into it Lime-stone burns through the mixture of Water by reason of its Fermentation or Effervescency what wonder then if the Heat of the Heart be presently inflam'd by the Fermentation of Humours flowing into it and that Flame should be more or less according to the greater or lesser fermentaceous Effervescency which greatly depends upon the aptitude of the Matter to be fermented For the innate hot Spirits of the Heart act upon the Matter that flows in and ferment it with its Heat and cause it to boyl and so renew the Flame that would extinguish by degrees till it went quite out IV. It is seated in the middle of the Breast surrounded with the Pericardium and Mediastinum somewhat reflexed with the Point toward the left by reason of the Diaphragma and fasten'd to it in none of the adjoyning parts but hanging only from the Vessels going in and out at the bottom to which it is united But its Pulsation is felt most in the left side below the Pap because the Sinister Ventricle arises toward the fore-parts of the Thorax with the Aorta which both together strike the left side But the Right Ventricle lies deeply seated toward the right side and therefore its Pulsation is less felt without upon the right side It is very rare that the Heart changes this Situation and that the right Ventricle lies in the left side and the left Ventricle in the right Side and beats in this Yet Riolanus affirms he observ'd this Situation in a Man of forty Years of Age and in the Queen Mother of Lewis the XIII V. The Substance of it is firm thick compact some thinner and softer in the right side thicker and more compacted in the left side closer and harder at the Point Yet at the end of the point where the left Ventricle ends thinner as consisting of the Concourse of the inner and outer Membrane VI. This Substance Galen affirms to be interwoven with a threefold sort of Fibres whom most Anatomists follow But if the Fibres of the Heart be diligently considered and sunder'd by degrees which may be done as well in a boyl'd Heart as in one newly taken out there are no transverse Fibres to be found whatever Vesalius has imagin'd but they seem all to be wound about with a periwincle
infus'd by God and governing all the Animal Actions of the whole Body and yet be able to perceive all those things which are done in the extream parts in the least space of a moment even in the very point of time they are acted Moreover they do not believe the Seat of the Rational Soul to be so small in Man and yet in Brutes which are destitute of that Soul to be three times as big Furthermore they cannot apprehend why the Seat of the Soul should not be ascrib'd as well to the Heart as to the Brain seeing that all the Motions of the Animal Spirits and the Brain it self proceed from the Heart which when it ceases to beat all the Animal Actions fail as it happens in a Syncope and in Wounds of the Ventricles of the Heart Concerning this Matter in our Age sharp and furious have been the Contests on both sides as if they were contending for the safety of their Country and daily most terrible Paper-Disputes arise eager indeed and vehement but vain and frivolous by which the Minds of young People are more disturb'd than taught But setting aside these unprofitable Contests let us enquire into the more sensible Action of the Brain it self III. Aristotle teaches us that the Office of the Brain is to temper the heat of the Heart Which Opinion though most reject Spigelius nevertheless endeavors to assert it for Rational Galen attributes to the Brain the Office of generating and making Animal Spirits With whom most of the Modern Philosophers agree For this is most certain that the Animal Actions are not at the first hand perform'd by the Brain it self but by the Animal Spirits made in the Brain by means of which the Soul in well dispos'd Organs executes its Actions and so the Brain is the Instrument which generates those Spirits These Spirits Zabarel Argenterius Helmont Deusingius and some others as well Physitians as Philosophers confound with the vital Spirits and affirm that they differ from them not in Specie but only in certain Accidents and therefore it is that Spigelius says Not that there is here a certain mutation of the vital Spirits which destroys their whole nature but only a certain alteration of the Temperament Eâ—…t agrees with Spigelius and supports his Opinion with these three Arguments 1. The Birth both feels and is mov'd in the Womb without the aid of any Animal Spirit in regard that no Maternal Nerve runs to the Birth 2. A most subtil Spirit cannot be made in a cold Brain and full of mucous Filth for Cold stupifies the Spiriâ—…s and hinders their Actions 3. The Nerves themselves derive their Life and Heaâ—… from the Arteries which are conspicuously diffus'd through them To these Arguments others add one more that the most subtil Spirits never descend to the lower parts but always tend upwards and exhale and hence although there should be allow'd any Animal Spirits to be so subtil they would never descend into the Nerves but would always fly upwards through the Pores But though these things seem specious enough at a distance yet they neither prove nor confirm the said Sentence To the First I answer That the Birth in the Womb is neither mov'd with an Animal Motion nor feels until the first delineaments of the Brains and Nerves are arriv'd and increas'd to such a Bulk Firmness and Perfection that the Brain may be able to generate Animal Spirits sufficient and that those Spirits may be conveniently convey'd to the sensitive and moving parts and because it requires some Months to attain that perfection therefore the Birth does not move it self until the Woman have gone out half her time that is about the fourth Month and a half For what Spirits are generated before that time are very few and weak and the rest of the Parts themselves of the Body unapt for Motion or Sence Nor does the Motion of the Birth proceed nor is it perform'd by the Spirits or Maternal Nerves running to it of which there are none that enter the Birth but by the Spirits and Nerves generated in it self To the Second I say that there is no considerable Magnitude requir'd for the making of Animal Spirits but rather a Mediocrity of Heat such as is sufficient in the Brain though it be much less than in the other parts And there is a necessity for that lesser Heat which they call Cold to asswage the Heat of the Arterious Blood and in some measure to thicken its Volatile sulphurous Spirits that so the Animal Spirit may separate it self more pure from the salt Particles and may flow into the Nerves no longer beset with superfluity of viscous Vapors Moreover it is to be understood that although the Brain be said to be colder than other parts yet that it is not absolutely cold only that the Temper of it is less hot than of many other parts and that the proper confirmation of it is such as is most fit for the generation of Spirits Lastly the natural Temper of the Brain inclining to Cold is not such as stupifies the Spirits nor renders them unapâ—… to perform their Actions in the Parts but its preternatural cold Temper excluding the Blood and natural Heat by a too close constriction of the Pores is the cause that for want of convenient Matter few Spirits are generated therein and that those already generated with great difficulty and in small quantity flow through the streightned Pores and Nerves Which is the Reason that then the Actions fail by degrees not because the Actions are stupify'd as is vulgarly believ'd but because very few are generated flow into the parts For the Spirits endure no Stupefaction for Drowsiness is nothing else but a rest of the Actions in the Sensory Organs by reason of the scarcity of the Animal Spirits To the Third I answer that although the Brain and Nerves are nourish'd with Arterious Blood it does not thence follow that the Animal Spirits generated in the Brain are nothing different from the Blood and Vital Spirits generated in the Heart and carry'd through the Arteries for the nourishment of the Parts for this is as much as if a man should say The Stomach is nourish'd by the Arterious Blood generated out of the Chylus therefore the Chylus concocted therein is nothing different from the Blood Or thus The Heart changes the Chylus into Blood therefore the Blood which is generated therein is nothing different from the Chylus Or thus The Bread is turn'd into Chylus and the Chylus into Blood therefore the bread differs nothing either from the Chylus or the Blood To the Last I say That the Animal Spirits would easily exhale out of the Brain and Pith unless they were there with-held in their cool Work-house which hinders their sudden Exhalation and would flow into the Nerves which are of a firmer Substance and thus all Chymical Spirits are best kept close in cool Vessels and hinder'd from exhaling Moreover that they would not descend
Heaviness of the Head but after he is somewhat come to himself he pours forth Tears in great quantity with Relief Thus Historians tell us of Psammenitus who wept and beat his Head at the Death of his Friend but when he saw his Children lead to Execution beheld the Spectacle without shedding a Tear Hence the ancient Proverb Light Sorrows talk and weep vast Sorrows stupifie The cause of this is no other than the extream Contraction of the Brain for in an extraordinary Consternation a Man is as it were astonished and the Brain as it were stupified is every way more strangely contracted which causes the Humors to be coagulated and thickned to stop and settle therein However this extraordinary Contraction when the griev'd Person recollects and comes to himself and begins to bear his Grief with more Patience is very much diminished so that the serous and pituitous Humors are more liberally expell'd out of the Brain to the Relief of the Person and Tears burst forth more plentifully through the Evacuatory Passages overstreightned before and now again open'd and loosen'd And hence it is apparent wherefore upon the giving of Wine freely to those that are in Sorrow the Tears that before stopp'd in a short time will burst forth in great quantity Because Wine refreshes the Heart and the Brain encreases Courage and mitigates Sadness whence that extraordinary Contraction of the Brain is somewhat diminished and the Evacuatory Passages are again let loose 3. Why those that weep weep in a shrill Tone those that laugh make a deep Noise This is a Question propounded by Aristotle and the reason is because that at the time when Men are weeping and sad their Vocal Organs are streightned and extended but when People laugh those Organs are more extended and loose and most certain it is that the Air causes a shriller Sound in narrow than in wide Pipes Now the Vocal Organs are streightned by the Cold the Orifices of the Heart being contracted in great Grief and consequently little Blood and Heat is communicated from thence to the Parts which causes the whole Body to shake with Cold. XXII 4. Why Man among all other Creatures chiefly sheds Tears Because he of all Creatures being endued with reason is only sensible with great attention of Mind of Sorrow Mourning Grief c. which is the reason that he alone suffers those Contractions of the Brain and Pressings forth of the Humors As for the Crocodiles Harts and if there be any other Beasts that may be said to weep they shed very few Tears and they chiefly seem to flow forth partly by reason of the great quantity of serous Humors abounding in the Head partly by reason of the uncovering of the Lachrymal Hole the Contraction of the Caruncle of the bigger Canthus caused by the cold Air or some other Cause which are two Causes sometimes of Tears also in Men without any Agitation of the Mind or Fault in the Organ As to the end of Tears Philosophers generally alledge it to be on purpose to declare the Affections of the Mind and to exonerate the Brain of its superfluous Moisture And thus we hope we have described the true Original of Tears confirm'd not by Reason only but Experience CHAP. XVI Of the Vessels and Muscles of the Eye THE Eyes which are the Organs of Sight consist of three Parts of which some serve for Nourishment as the Arteries and Veins others to cause and facilitate Motion as Muscles Fat Kernels and Lymphatic Vessels others contribute to the Sight it self as Optic Nerves Tunicles and Humors I. The Arteries which carry the Vital Blood to the Nourishment of the Eyes Muscles Kernels and Fat are properly external from the External Branch of the Carotis partly internal from the inner Branch of the same Carotis which constitutes the Nett-Resembling Fold II. In like manner there are also External Veins so visible in the White of the Eye which run forth to the External Branch of the Iugular as internal accompanying the Optic Nerve running along to the Inner Branch of the same Iugular Artery Of the Kernels and Lymphatic Vessels has already been spoken Chap. 14. III. The Eyes of Men are mov'd every way by the Assistance of six Muscles surrounding the Eyes below the Cavity of the Orbit Of these the four greater being streight cause a streight Motion upward downward and sideway The two much the lesser cause an oblique Motion Between all which there is interlay'd a sufficient quantity of Fat to facilitate the Motion as also to moisten warm and smooth the Eye IV. All these arise with an accute beginning from the deepest part of the Orbit near the Hole through which the Optic Nerve enters the Orbit to the Membrane of which they adhere and end in a most slender Tendon sticking to the Horny Tunicle in which all the Tendons being joyned together in a Circle make a kind of a Tendonny Tunicle vulgarly call'd the Innominate which is joyn'd to the Eye like a broader Circle only it does not encompass it V. The first of the Right Muscles which is the uppermost and thickest raises the Eye which being a Motion usual among haughty People is thence called the Proud Muscle VI. The second which is lesser and opposite to the first from its lower or more humble Seat where it is placed is called the Humble VII The third which stands in the inner Corner brings the Eye inward toward the Nose which because it is familiar with those that drink while they look in the Glass is called the Bibitory Muscle VIII The fourth which moves the Eye toward the outer Parts to the little Corner is call'd the Indignabund because it expresses the lateral Aspect of disdainful and scornful People IX The first of the Oblique Muscles which is slender round and short seated in a lower Place and in the Extream Part of the lower Orbit that is to say at the joyning of the first Bone of the Iaw with the fourth Bone ascends toward the outer Corner of the Eye-lid and there embracing the Eye transversly with a short Tendon toward the upper Parts meets the Tendon of the other Eye and moving the Eye downward turns it and brings it to the outer Corner X. The other of the Oblique Muscles which is thinner longer and seated above rising from the common Beginning together with the third of the streight Muscles is carried directly to the inner Corner of the Eye where passing the Grisly Winding with a slender Body hence called the Trochlear Muscle proceeds with an Oblique turning through the upper Parts of the Eye and terminates near the End of the Oblique Tendon of the lower Muscle XI Now the Trochlear Gristle is a perforated Gristle hanging forward to the Bone of the upper Iaw near the inner Corner of the Eye the first finding out of which Spigelius attributes to Fallopius but Riolanus ascribs to Rondeletius These
inner Parts â—…f the Bones through the little Arteries of which more by and by Two things are here to be noted 1. That the Marrow is plainly destitute of feeling though formerly Paraeus thought otherwise 2. That it is not enveloped with any Membrane in the Cavity of the Bones By which Mark Hippocrates distinguishes it from the Spinal Marrow The Spinal Marrow says he is not like the Mâ—…rrow which is in the other Bones for only this has Membranes which the other Marrow has not This Marrow is very useful to the Bones for that the tartareous Particles when they are near to fixation quickly congeal into an Icy Hardness so that the Bones would become very brittle and never grow to their due Magnitude unless that marrowy Fat penetrating the whole Bone did not temper and sâ—…ften the extream Hardness of the tartareous Particles and so provide that in the Growth of the whole Body that the tartareous Particles do not separate but still continue new Intermixtures with fresh Particles till the Bone have attained its Perfection Which growth surceases when by reason of the increasing Heat of the Body these Particles are so drved up that they can no longer be mollified by the marrowy Fat nor extend themselves Whence it comes to pass that the more the heat of the Body encreases the less the Body shoots out in length because the bones which are the Basis's and Props of the Body become more and more dry and hardâ—…ed and the Marrow grows thicker and less moist Hence it comes to pass that Insants grow much in a short time Children less and Youth less than they and aged Persons never grow at all by reason their Marrow is less in quantity and less moist and oyly and their dryness of their Bones causes them to be more brittle and easily broken Now the Tartareous Particles are separated from the Arterious Blood by the mixture of the Animal Spirits which that they flow in great quantity to the Periostea the quick Sense of the Periostea testifies Vid. l. 3. c. 11. After which separation the Particles are opposed to the Bones by the help of the marrowy Fat which moistens them V. But the Blood flows to the Periostea and inner Parts through the Arteries and the less useful remainder flows back again through the Veins To which purpose those Vessels not only terminate with their Extremities in the Periostea but also penetrate the Bones themselves and pour forth Blood into their innermost Concavities to be changed into Marrow which is the proper Nourishment for the Bones And though their Ingress is not discernable in all yet in the larger Bones of the Shoulder and thigh it is apparent where the Cavities are perspicuously pervious as far as the Marrow affording passage to the Arteries Besides their Ingress into the Bones appears by the Sanguinous Juice which is form'd in the Deplois the middle spungy Table of the Skull and in the inner spungy Substance of the Ribs of Infants and many other Bones which could never come thither through any other Channels To this add the Observation of Spigelius who at Padua in a great Rottenness of the Shin-bone saw the substance of the Bone perforated by the Arteries at what time Plempius was present by his own report I my self in the Year 1665. had a young Man in cure whose Shin-bone in the Fore-part was corroded with an extraordinary Rottenness After I had taken away the Flesh about it with the Periosteum I perceived in the inner Cavity which reached to the Marrow a little Artery beating very quick whereas no Man could dream of an Artery in the hardest Place of all the Bone nor was the Artery continuous with the Flesh for that was taken away and yet the Pulse remained for many days in the inner rotten Cavity of the Bone Which makes me believe that these Arteries are seldom conspicuous in the hard Part of the Bone when Men are at their full Maturity perhaps because the Arteries being pressed by the hardness of the growing Bone at length vanish all together and where they are somewhat bigger than ordinary those People by reason of some ill Humors in their Bodies are easily subject to Rottenness in their Bones by reason of the sharp and corrupt Blood poured into them through the Arteries which by the Infusion of good Blood when Bones are broken afford Matter for Callosity However this shews Platerus's Error denying that the Arteries never enter the Bones and how much Galen was in the Right who allows to every Bone a Blood-bearing Vessel bigger or lesser according to the Proportion of the Bone Now that the Bones harden by reason of the increasing Heat is plain from those Men who are born and bred in hot Countries for by reason of the great external Heat and the Internal sooner increasing within they are generally shorter dryer and leaner the Humidity of the Body being sooner wasted On the other side they who inhabit cold and most Countries and eat and drink plentifully they grow tall by reason of the flower increase of their Heat and Drought as we find by the Danes Norwegians Muscovites c. Now that Growth is hindred from the Increase of Heat and Drought is apparent from hence that Ladies to prevent their Lap-dog Puppies from growing take away their Milk and moist Food and feed them with Wine or Spirit of Wine which causes a quicker increase of the natural Heat and renders the Alimentary Blood more dry and sharp by which means the Bones being dry'd more suddenly the Puppies cease to grow VI. The officient Cause of the Bones is the vivific Spirit seated in the Seed which Galen calls the Ossific Faculty disposing the more Tartareous Parts of the Seed for the Materials of Bones These Spirits therefore may be said to be the Essential form of the Bones which some Physitians will have to be their cold and dry Temper but Aristotle will have it to be the same Rolsinch finding that the Bones were still the same in dead Bodies as in living believes the formal Cause of the Bones to be no more known than the formal Cause of a Stone But what if we say that the vivific Spirit is the Form of living Bones and their cold and dry Temper together with their own Conformation the Form of living Bones As for their accidental Form it is their Shape and Figure whether round flat streight or crooked according to their various use VII As to the Time of their Formation Aquapendens believes that the Bones are first generated among the other Parts resting upon Galens Argument at the beginning of the Chapter Harvey believes them not to be sooner generated than other Parts of which many turn into Bones of the Birth as in the Teeth Neither is there any thing to be seen in the first Principles and Beginnings of Formation but a soft slimy gluteous Substance that approaches no way to the Constitution or Nature of Bones which Constitution
and Asses Grease an â„¥ j. Citrine Oyntment â„¥ s. mix them and anoint the Tubercles going to Bed for several Nights together The next day wash the Face with their Decoction â„ž Roots of white Lillyes â„¥ ij Cuckow pint or Dragons â„¥ i. One Citron thin Bran one Handful Water q. s. Boyl them for a Lukewarm Lotion every day Forestus among other things excels the following Oyntment â„ž Oyl of Sweet Almonds white Lillyes an â„¥ j. Capons Grease â„¥ iij. Powder of Pyony and Florence Oâ—…ice Root Lithurge of Gold an ℈ s. Sugar Candy ℈ j. All these being well mixed in a hot Mortar and press'd through a Linnen Cloth anoint the Places Morning and Evening afterwards wash with Distill'd Water of Calves-Feet or Water of Cow-dung But all these things signifies little for when once the Pits of the Small Pox are dry'd and that the Scars are either too hollow or too high raised the Skin is fixed then all Topics are in vain But if the Colour of them be too red and unseemly the Colour perhaps may be taken off by Virgins Milk or else some of those other prescriptions for taking away the Spots but as to the filling up of the Pits there is nothing to be done Add to this that Grease of Men sheep Asses Geese and the like do so darken and smut the Skin that they cause a greater deformity then the Pits and Scars themselves CHAP. XIII Of the Measles THE Measles are Spots or small red Tubercles breaking forth in the Skin but never suppurating arising from a peculiar Fermentation of the Blood They differ accidentally or according to the more or the less from Small Pox Because the Small Pox rise up high and suppurate but the rising of the Measles is hardly conspicuous and never suppurate And therefore they sooner go off and with less danger then the small Pox and most frequently seize Children very rarely People of ripe Years or Old Men or such as have had the Small Pox before For they that have had the Small Pox are generally if not always exempted from the Measles though 't is true they can Challenge no absolute Immunity They generally seize the Skin and the Epidermis where they come forth and are seen But whether like the Small Pox they seize the Internal Parts or no is much to be Questioned nor do I indeed believe it in regard I do not find that hitherto any Physitian has ever found it to be so They rise from the more subtil hotter and dryer Sanguineous Humour inclining to Choler fermenting after a Specific Manner which is the reason that they quickly come forth and never rise into Wheals like the Small Pox nor into any other considerable swellings but coming forth small at the beginning they become red broad Spots with a slight roughness of the Skin After the Seventh day and many times sooner they vanish without any Exulceration not the least Foot-steps remaining nor any deformity left behind The cause of them is the same as the cause of the Small Pox but the difference of the two Diseases consists in this that the matter out of which they are generated in the Small Pox is thick Sanguineous and moist which is the reason why they rise into Whealks but in the Measles thin dryer and somewhat Choleric For the most Part they seldom seize the same Person above once nor do they so frequently as the Small Pox return Twice or Thrice because the matter of these being much thinner upon the first seizure is generally dissipated and consumed They are accompany'd with a Fever like the Small Pox nay they arise from a Fever of which they are a kind of critical Evacuation The Diagnostic Signs that shew the Measles to be at Hand are the same which portend the approach of the Small Pox and when they are come forth the Sight is the Judge The Prognostics are if they quickly appear with a Diminution of the Fever Anxiety and other Symptoms and persisting in their height for Three or Four days afterwards vanish by degrees The Evil Prognostics if they come forth slowly are accompany'd with bad Symptoms and disappear again the first day Moreover they have many other Prognostics common with the Small Pox which are described cap. 5. before The Cure at the Beginning differs nothing from the Small Pox for that the Patients are to be put into a Sweat by the Sudorifics prescribed cap. 10. before and kept in a gentle Breathing Sweat till they are wholly come forth No cold must come to them but the Decoction of Barley Licorice Vetches and Figs is frequently to be given them for that expels the Measles as successfully as the Small Pox and their Method is to be observ'd till they disappear again of their own accord and with all the Signs of Health There is no need of Topics here However sometimes it falls out that there will be a vehement most troublesom and intollerable Itching and Prickings in the Soles of the Feet and Palms of the Hands for the mitigation of which Symptom then to hold the Hands and Feet for some time in cold Water For by that means that Pricking is asswag'd and the Measles in the Soles of the Feet and the Palms of the Hands break out more easily This Experiment was formerly a Secret of Nicolas the Florentine from whom Basius Astarius of Pavia borrow'd it Concerning this matter Forestus has a Singular Observation lib 6. Observ. 42. Next akin to the Measles is that Distemper which arising from the same Cause and requiring the same Cure is call'd the Purples Of which Haly Abbas thus speaks There is says he a sort of Distemper called Rubeola which arises from a hot subtil and not very much bad blood and this sort when it comes to its height is like the Grains of Millet or somewhat bigger and the Color of it Red nor are the Pustles to be opened but insensibly dissipate and vanish In this Distemper red and as it were fiery Spots intermixed with small Tubercles like Millet seed with a swelling hardly worth speaking of break forth over all the Body at the beginning of the Disease as it were a kind of St. Anthonies fire that is the first second third or fourth day In the height of the Distemper the whole Body seems to be red as if it were under a general St. Anothonies Fire But in the Declination the redness is diminished and the broad Spots as at the beginning again appear which at length upon the fifth sixth seventh eighth or ninth day vanish the upper Skin peeling off like little Scales This Disease for the most part infests Infants and Children very rarely People of ripe years and like the Measles for the most part seize upon the Skin and Epidermis and is easily cured if you take care of keeping the Patient warm Nevertheless it happens that sometimes the Internal Parts are seiz'd by this Distemper to the great hazard of the Patients Life Thence an Intense Fever
the Belly according to Hippocrates is very prejudicial to this Disease as being that by which the Morbific matter contained in the Breast cannot be evacuated there being no Passage from the Bowels included in the Breast to the Intestines It may be said that Nature seeks occult ways for her self unknown to us by which she Evacuates that filth which is noxious and troublesom to her as when in an Empyema the Matter in the Breast is voided by Urine which she may also do in a Peripneumony and so the Matter in the Lungs may be conveighed to the Guts but this rarely falls out The Cure of this Disease is very like the Pleuâ—…isie for in this Cure Blood-letting has always the greatest share many times repeated according to the strength of the Patient and prevalency of the Distemper using at the same time 〈◊〉 Remedies or Glysters and other Medicaments as well to expectorate as extinguish the heat of the Feveâ—… But there is no delay to be made in the Cure for unless this Disease be opposed with all speed in a short time it either suffocates the Patient or turns into an Empyema or Consumption for it corrups the substance of the Lungs Thus Iacotius reports that upon opening the Body of a Peripneumony he found the upper Part of the Lungs gangreen'd and the Medrastinum full of a bloody Serum OBSRVATION II. The Tooth-ach THE Daughter of N. complained of an Intollerable pain in her Teeth which had lasted for some Months together nor could be asswaged by any Topics or other Medicaments taken I advised her for some Nights together when she went to Bed to swallow two Pills of Transparent Aloes about the bigness of a Pea and not to drink any thing afterwards which when she had done three or four times the pain ceased and never returned ANNOTATIONS IT so happens that sometimes the upper Orifice of the Stomac being stuft with Viscous Cold or Choloric Humors is the Cause of the Tooth-ach partly because of the great consent there is between it and the Brain by the Nerve of the Sixth Conjugation partly because that then being loosened with over much moisture it sends up many Crude and Cold or Choleric and sharp vapours to the Brain In such a Case those Cold and Viscous Choloric Humors are best expelled by strong Vomits or Bitter detersive Medicaments that will adhere long to the place affected And therefore I ordered her toward the Evening to swallow two dry Pills of Aloes sometime after she had Supped and to drink nothing after them to the end that staying in the Oesophagus and being there melted they might stick the longer to the Orifice of the Stomac and have more time to cleanse it For Medicaments that are taken upon a fasting Stomac presently â—…ink down to the bottom of the Stomac and signifie nothing in the Distempers of the upper Orifice Thus Avicen orders all Pills that Purge the Head to be taken at Night an hour after Supper OBSERVATION III. A Pestilential Fever A French Merchant came to an Inn and not finding himself very well presently went to Bed believing it to be nothing else but the weariness of his journey the next day the Disease augmenting the Woman of the House desired me to see him and try whether he were not infected with the Sickness which was very rise in many Places He was very weak with a little Pulse thick and unequal Yet the Fever did not offend so much by it's heat as by it's malignity I understood also by the Sick Person that he found himself ill the day before he came and that this was the third day of the Disease But when I found neither Carbuncles nor Bubos nor any other Signs of the Pestilence I Judged his Disease to be rather a Pestilential Fever then the Pestilence it self thereupon I began with Blood-letting after I had first given him a Glister and took away fifteen or sixteen Ounces of Blood out of the Median Vein of the Right Arm which Blood a thing to be wondered at was for the most part whitish so that it hardly seemed to be Blood When it was cold that which first came out first like Milk was all coagulated like a Muscilage and was of a greenish Colour only some very few red Clods were to be seen at the bottom That which flowed out last was for the most part between green and white but at the bottom there was a Setling of Blood of a dark red Colour that was scarcely curdl'd This Blood-letting gave him great ease In the mean while for his Drink I gave him a Ptisan wherein Citron Rinds and the Fruit of Tamarinds were boyl'd Then because of the extraordinary Corruption of his Blood I ordered him to be let Blood again which the Patient hearing impatient of the Anxiety that oppressed him he earnestly desired me it might be done that day Thereupon toward the Evening we took out of his other Arm about a Pint of Blood that which came out first was very white that which came out last very red and to repair his strength we gave him Chicken Broth with Sorrel and a Pome Citron boil'd in it All the next Night he was very pensive weak and restless so that it was thought he would have dyed But Nature being now discharged of her burthen the next day which was the fourth day of the Disease strongly and successfully expelled the remainder of the Malignity by a critical and spontaneous Sweat which about Noon breathed out in great abundance from the Patients Body at the same time also small red Pustles like Millet Seeds came forth very thick so that the Skin of his whole Body was cover'd with them from Head to Foot After this lucky Crisis the Fever went off and then the Patient falling again to his Broths and Drinking his Ptisan recovered his former Health and lost Strength But all the Cuticle of his Body became new the former peeling off not without an extraordinary Itching ANNOTATIONS CErtainly it was a very great Malignity that had caus'd such a Corruption of Humors by which the Blood was so strangely changed in so short a time as to loose its Natural Colour and grow white 'T is true I once saw at Beauvais Blood which came out at first white like Milk and afterwards somwhat red from the Arm of one that was Sick of a Malignant Fever which Blood was then shew'd to several that lookt upon it with admiration These Malignant Fevers too were at that time very rise in most Parts of France and were caus'd by the common and great Infection of the Air. The Nature and Cure of which see Obs. 24. where we shall describe the Story of a Fever like to this that seiz'd one of our Country Men. OBSERVATION IV. JOhn de Laurier a Merchant of Poitou about threescore Years of Age ask'd my advice concerning a Gonorrhea which he had for some Months accompanied with a heavy pain in the Loyns Upon Examination of the case
they could think of for the Cure of this Distemper but very few did any good at length there was a Remedy found out by certain Italian Physitians who came hither with the French Army by which afterwards great numbers were cured First they Purged the Patients with Rhubarb Then they took white Wax Ê’ j. s. or Ê’ ij and cut this very small into â„¥ iiij or v. of New Milk which they boil'd till the Wax was perfectly melted and then gave their Patients that Milk as hot as could be to drink for it must be taken very hot because of the Wax that else would thicken so that it could not be drank if the Lask did not stop the first time then they gave it a second and a third time But in regard there were a great number of Souldiers that lay sick of this Distemper there was such a vast quantity of white Wax consumed in a short time that the Apothecaries of Emeric were quite exhausted so that they were forced to send for it to other Places Now though Wax seldom is given to swallow yet it is no new thing For Diascorides writes that it is of great Efficacy to fill up wounds and is given in Broths to those that are troubled with Dysenteries Thus Valleriola speaks of a Dysenteric recovered by such a Remedy He cut an Apple hollow and filled it with Citrin coloured Wax and then covering it laid it in the Ashes to roast till the Wax was melted and mixed with the substance of the Apple and then gave it the Patient fasting to eat for some days together though he believes it better to roast and melt the said Wax in a Quince as being more astrictive and glutinous Quercetus prepares the same Remedy by cutting an Apple hollow and filling it with white Wax and Gum Arabic an Ê’ j. Solenander stuft a Turtle with an Ounce of white Wax and boyl'd it in Water and then gave both the Flesh and the Broth to be eaten with Bread Others prescribe a Young Pidgeon stuft and boiled after the same manner OBSERVATION XXIX A Dysentery MArcellus Bor a strong Man of about forty Years of Age was taken with a Dysentery of the same Nature The ninth of October I Purged him with Rhubarb then I gave him Juleps Conditements Powders cooling thickning and Astringent Apozems Sudorifics and other proper Medicaments in convenient manner and time so that the Patient being reduced to extremity of weakness I began to give him over not beleiving he could live two days in that condition but in regard he was very thirsty and called for cold Water I ordered in a desperate condition that he might have as much cold water as he would drink to the end that by drinking such a quantity of water the Morbific cause if it were possible might be washed off from the Guts and the Acrimony of it blunted by the force of the cold All that Night the Patient drank as much as he would of Well-water which at first past swiftly through his Guts and with wonderful griping flowed down to the lower parts afterwards not griping so much toward Morning the Pains of the Guts were almost ceased and the Stools less frequent about noon the Patient falling a sleep slept quietly for some hours before the Evening the Flux stopt and so the Patient refreshed with proper diet when every one thought he could not have lived was unexpectedly recovered from a most desperate Disease ANNOTATIONS COncerning the Drinking of cold Water in a Dysentery there are hardly any of the Modern Physitians that speak a word Yet it is a Remedy not improper in a Choleric Dysentery For it washes the Intestines with its moisture and frees them from all the filth of sharp Humors and cleanses the inner Ulcers By its coldness also it abates and dulls the Heat and Acrimony of the Choler and binds up the Exulcerations of the Intestines Nor was the Drinking of cold Water unknown to the Ancients in this Disease Therefore says Aetius at the beginning for drink use Rain-water but if there be no good Rain-water take Fountain-water Celsus also writes in these words If after several days tryal other Remedies will not prevail and the Disease is come to be of some continuance the drinking of cold Water binds the Ulcers In like manner Paulus and others of the Antients make mention of the drinking of cold Water in a terrible Dysentery Among the Moderns Amatus of Portugal was one that by his own report saw a Choleric Dysentery cured by the drinking of a great quantity of cold Water At other times it also happens that when the best Medicines avail nothing a plain ordinary Medicine has cured most desperate Dysenterys So by the Relation of Captains I have heard that when Breda was besieged by the Spaniards and that Dysenteries were very rife in the City nor any Remedy could be invented for this Distemper when all the known Remedies of the Physitians fail'd at length a new invention was found out by which many were cured A piece of Silk double dy'd of a deep Crimson colour comb'd into slender Threads and steep'd in Wine this taken in Wine with a dram or half a dram of Powder of the same Silk for some times infinite numbers have been cured by it I know a certain Dysenteric Person who was given over who upon eating a vast quantity of Medlars recovered beyond all expectation Another was freed by Man's Bones drank in red Wine of a Flux which was thought incurable Oyl of Olives taken alone or eaten with a White-bread Toast dipp'd in it many times works wonders Holler affirms that he was cured several times with the Juice of Ground-Ivy Forestus writes that he never found any thing more prevalent then the Dung of Dogs that only fed upon Bones given in Chalvbeate Milk And with this Medicine Fuchsius says that he cured above a hundred Dysenterics in one Year Riverius tells us of a Dysenteric that only used the Decoction of Pimpernel with Water and Butter and so was cured in three days Bruyernius writes thus of himself being troubled with a Dysentery We says he being terribly afflicted with a Dysentery lay given over by the Physitians for no Remedies were able to asswage or Cure the Disease At length by the Advice of an old Woman upon eating a great quantity of raw Services the next day I felt all my Pain almost abated And by this means my Belly being shut up and I as it were recalled from the dead and restored to my former Health experienced the saying of Gelsus to be true that Rashness does more in Diseases than Prudence can do OBSERVATION XXX A Consumption LEwis Gulielm a Sea-man about thirty four Years of Age and indifferently robust had sometimes before lain Sick of a Malignant Fever of which by the Assistance of God I had cured him In the Month of October about a Month after the cure of the said Fever he was taken with an Extraordinary Catarrh occasioned by
and Common-water equal parts boyl them to a Pint. But in regard the Women that stood by desired that something might be laid to her Feet to draw the Matrix down I prescribed this following Paste which was laid to her Feet â„ž Leaves of Green Butter-burr M. v. bruise them small adding to them sowr Leven â„¥ iij. Salt Ê’j s. VVine Decoction of Feverfew q. s. make a Paste This abated the Uterine suffocation But in regard it was not altogether gone off the twentieth of October she was Purged again with Hiera Picra the twenty first she took the Decoction again The next day she took a Sudorifie after which when she had Sweat well she was freed from her suffocations â„ž Crabs Eyes prepared Salt of Carduus an ℈ j. Treacle of Andromach Ê’j Castor Saffron an gâ—… iiij Treacle-water â„¥ j. s. Oyl of Amber drops xii mix them for a draught The rest of the Cure there being no necessity we deferred till the eight of November at what time she returned to the use of her Pills and Infusion prescribed October the second November the fourteenth she was let Blood in the Saphaena Vein of the left Foot the eighteenth her Courses came down plentifully and from that time she continued in Health ANNOTATIONS AT the same time that the Courses flow it behoves Women to have a great care of themselves otherwise they are easily stopped again by drinking cold Water or from cold Air or Wind getting into the parts or catching cold in the Feet or upon frights or mistake in Diet or otherwise which afterwards prove the causes of grievous Maladies as it befel this our Patient Thus Forestus tells a Story of a Maid that when she had her Courses washed her Rooms bare-foot which putting a stop upon her Courses terrible Symptoms ensued not could that Flux be brought down again till aâ—…ter some Months The same Person relates another Story of a Young Girl that at the time of her Courses leapt into the Water and of a Country Wench that at such another season ordered her self to be let Blood For the Provocation of the courses we use many Remedies and as variously composed as we find the Patients willing to take them and for that reason besides the Historical infusion we gave our Patient Pills as more grateful and no less effectual in that disease which Pills many Physitians prescribe after several forms Montagnana praises these â„ž Trochischs of Myrrh Ê’j s. seed of Parsley Cassia-wood an ℈ s. Mosch gr xv make them into Pills with the juice of Parsley Sennertus commends Trochischs of of Myrrh taken in Pills and these also â„ž Trochischs of Myrrh ℈ iiij Extract of Gentian Savin an ℈ j. Castor ℈ s. make these into Pills the dose is ℈ ij Others believe these more Effectual â„ž Trochischs of Myrrh species Hiera Diambre Venetian Borax prepared Steel Castor an ℈ ij Saffrons ℈ j Gum Ammoniac dissolved in Vinegar of squills Ê’iij make small Pills the dose from ℈ j. to two Zacutus of Portugal tells of a Noble Matron that reduced to the last Extremity when no other Remedies would do her good was cured at length by taking Pills only of Steel and Powder of Calamint prepared with Syrup of Mug-wort of which she took one dram in the Morning and exercised upon it for the space of twenty days As for laying Medicins to the Feet if they have no great force in Uterin Maladies yet they do no harm and therefore the designs of Patients may be satisfied in that Particular especially those things having the approbation of great Physitians as being useful by their peculiar Qualitys as Mug-wort Penyroyal Savin Fever-few cheifly the Leaves of the Butter-bur and Burdock which are thought by some to be of that force that being laid upon the Head they draw the Matrix upward being apply'd to the Feet they draw it downward The ancient also used to tye to the Feet of menstruous Women and Women newly deliver'd to provoke the courses Spunges dipt in Vinegar and squeez'd again OBSERVATION XXXV An immoderate and violent Purging A Kinsman of that Stout and Valiant Gentleman Mr. Lucas Captain of Horse about forty years of Age finding himself not very well by my Advice steeped all Night in â„¥ iij or iiij of small Ale Leaves of Senna Ê’ij Rhubarb Ê’j and Anisâ—…d ℈ ij for he said he was easily moved and drank the Straining the next Morning This slight and gentle Purge within the space of eight hours gave him about threescore Stools and perhaps there had been an end of his Life had I not stayed the Flux with the following draught and provoked him to Sweat â„ž Terra Sigillata ℈ j. s. Red Coral prepared Harts horn burnt an ℈ j. Treacle of Andromachus ℈ iiij Nicholas's Rest ℈ j. Treacle and Carduus-water an â„¥ j. mix them for a draught I ordered also Napkins scalding hot to be applyed to his Belly one after another and so the Flux stayed I perswaded him for the future not to take any Purge by the Advice of any Physitian though never so gentle unless upon eminent necessity but rather to Ioosen his Belly with a Glyster or some Emollient Broth. ANNOTATIONS THose Physitians are unfortunate who at the Beginning of their Practise meet with such a Patient as this for they expose themselves not to a little hazard of their Reputation For it happens in Physie that the younger Physitians are called the best Tormentors and if by their Medicaments they cure any Patient of a dangerous Disease it is ascribed to chance but if the Patient miscary under the violence of the Distemper then they impute it to the Physitian and his Prescriptions Thus without doubt here had been some mistake laid to my charge had the Medicament by me prescribed been prepared in an Apothecary's Shop and People would have said there had been some Poyson mixed with it but I was freed from that Calumny in regard that Capt. Lucas's Wife made the Infusion and prepared it her self The same accident befel my Brother also who having prescribed only a Dram of Rhubarb for a Gentleman to take and to steep it first at his own House in small Ale by that single Draught had above forty Stools There is a great difference in Men as to Purging some strong Men whom hardly any Medicaments will stir sometime the most easie and gentle Physic casts them into violent Fluxes Others who are lookt upon to be most easily and soonest moved many times the strongest Purgations will not stir Thus I knew a Man of a very short Stature and Lean whom nothing could Purge but Tobacco steep'd in Ale all Night and the straining given him next Morning nor did that give him above three or four Stools without any Alteration which would have put another Man in danger of his Life The Wife of Simon VVigger a weak and lean Woman could hardly be Purged with any Cathartic only Tobacco moved her and that without any trouble Cornelius
insomuch that the Patient was cured as it were in a Moment after the drawing out the Awl and was living seven years after to our knowledg And therefore it is very probable that it was put into the Body of the Boy by diabolical Incartation like to that same Story which Longius tells of a Country Man who had an Iron Nail which appeared under his Skin without any Prejudice which was cut out by the Chyrurgeon and when he was dead four Knives two iron Files Hair and other things were found And several other remarkable Stories of the same nature are related by others as Forestus Codronchius Gemma Zacutus c. 'T is true it has been a Controversie for several Ages among Divines Lawyers Physicians and Philosopers whether there be any Inchanters or Witches and whether they have so much Power by their Charms to hurt the Creatures to cause Sickness and Death clear up Rain and cause Thunder c. For a brief Solution of this Question in short we must conclude that there are Inchanters who by the Permission of God can do very strange things seeing that the Scripture testifies that Pharaoh's Magicians in Moses's time were such a sort of Inchanters who turned Rods into Serpents Rivers into Blood c. Thus St. Luke makes mention of Simon Magus who made the People mad with his Magic Arts. Whence we must of necessity conclude that there are Witches and Sorcerers who by their Demoniac Arts cannot only work various Miracles but also blast Herbs and Fruits and do mischief to Beasts and Men which Mischiefs however they cannot do when they please nor to all that they please but only when and in what manner God pleases and to such whose Faith God has a Will to try as he permitted the Devil to exercise his Sorceries upon Iob. Or to such whose Incredulity or Impiety he has a mind to punish not only in the proper Person of the Transgressor but also by giving the Witches Power over their innocent Children their Flocks Herds Fruit c. And thus by the Incantation of Witches many times Infanrs Oxen Sheep Horses Fruit c. are mischiefed as we saw at a certain Country-mans at Montfort Yet though there are such Inchanters and Witches their Power of doing Harm is not at their own but at the disposal of God Nor can Satan inflict Diseases but by the Permission of God and then his Witches are but his Instruments not the primary Cause OBSERVATION XLVIII Of the Gout in the Knee A Little Son of Thomas Peters an English Merchant about six years of age being troubled with the Gout in his Knee for three or four Weeks at length his Pain was so great that he could not go There was no Tumor no Inflammation nor Dislocation and therefore after I had purged his Body I only laid on a Cere-cloth of Oxicroceum which lay on for three days without any benefit Afterwards his Knee swell'd very much and the Pain likewise encreased wherefore leaving off the Cere-cloth the following Cataplasme was laid on for four or five days together shifting it twice a day The Use of which cleared the Child both of his Swelling and Pain nor did they afterwards return â„ž New Goats-dung lb. j. Boil it in strong French Wine q. s. to the consistence of a Cataplasm and when you take it off from the Fire add Spirt of Wine â„¥ iij. Mix them for a soft Cataplasm ANNOTATIONS THis Cataplasm has a very great discussing and corroborating Faculty which is look'd upon by some as a great Secret in these sorts of Tumors of the Joynts the signal effects whereof we have try'd in many other cases of the same nature This Dung boiled in Oximel Aetius highly commends as a Medicament which he has often succesfully used in long continued Tumors of the Knee OBSERVATION XLIX A Swelling in the Fore-head by reason of a Fall A Young Son of Dimmer de Raet Consellor to the Court of Boxmer had fallen down a Pair of Stairs upon his Fore-head whence ensued a Swelling in his Fore-head to the bigness of a Hens Egg. To this I only applied green Grass fresh gathered and bruised in a Mortar cold as it was which done the Swelling vanished the next day to that degree that there was not the least sign of it remaining ANNOTATIONS THese Swellings though some make nothing of them yet if they be neglected at the beginning they are many times the causes of great Mischiefs which we saw happen'd to the Child of Monsieur Armstrong who having such a Tumor in his Fore-head when it could not be dissipated by no Topics the Place affected continued swell'd for some Weeks after till at length the Humor therein beginning to putrifie and from thence bad Simptoms appearing there was a Necessity not only of a Tormenting Incision to open the Tumor and let out the putrid Humor but also of scraping off the putrid Humor corrupted with the same Putrefaction from the Bone that lay underneath by which means that imminent danger was to be removed from the Patient to which also the Wound was consolidated without any conspicuous Scar. Wherefore it is far better to dissipate the Humors at the beginning at what time it may be easily done and which we luckily did with Grass only bruis'd Many times we have likewise applied brown Paper moistned in Spirit of Wine with as good success or Oyl of Wax or Anise anointed upon the Place OBSERVATION L. The Chollic Passion MOnsieur Starkenburgh Collonel of the Regiment of Groening about forty years of age of a cold and flegmatic Constitution in September was taken with a violent Cholic Passion His Belly was very much swell'd with Wind which he could neither void upward nor downward and terrible Gripings seemed to dilacerate the Guts He complained also of an extraordinary Anxiety of his Heart with which he was so much oppressed that he was all over of a cold Sweat but because he seemed to be almost ready to burst with Wind and had need of present Relief I prescribed the following Glister which was given him about eleven a Clock at night â„ž Emollient Decoction lbj. Elect. Diaphoenicon Hiera Picra â„¥ j. s. Oyl of Dill and Camomil an â„¥ j. Common Salt Ê’j Mix them for a Glister This Glister he voided within a quarter of an hour without any Ease neither Wind nor Excrement following for which reason soon after we gave him another of the same which did him as little good At the same time the Patient growing Stomach-sick threw up some Choler with tough Flegm Therefore about six a Clock in the Morning I prescribed him another Glister after this manner â„ž Emollient Herbs lesser Centaury Wormwood Rue Flowers of Cammomil Dill an m. s. Seeds of Anise and Lovage an Ê’ij Cummin Laurel-Berries an Ê’j s. Boil them in common Water q. s. to lbj. In the Straining gently boil Flowers of Senna â„¥ j. Then press them and add Elect. Hiera Picra Diacatholicon an
â„¥ j. s. Oyl of Cammomil and Dill an â„¥ j. Common Salt Ê’ij For a Glyster After he had taken this there came away with it much Excrement and much Wind. Afterwards being sick at his Stomach he threw up a great quantity of Choler and tough Flegm which gave him much Ease Twice the same day he took Chicken Broth boil'd with Barley cleansed Citron and Orange Peels and for his Drink sometimes he drank Ptisan sometimes small Ale In the Evening this Bolus was given him which caused him to sleep a little the Night following and gave him very great Ease and the next day he had three Stools â„ž Of our Anticholic Electuary Ê’j Transparent Aloes ℈ j. Mix them for a Bolus This Bolus afterwards he took thrice a day every other day The seventh of October not having gone to stool in three days upon forbearing his Bolus his Cholic Pains increased again But then because the Gentleman would not admit of any more Glisters I gave him a gentle purging Draught which caused him to void much Choler and Flegm upward and downward The twelfth of October his Belly being bound he took a Glister The thirteenth Dr. Harscamp an eminent Physitian was called to Counsel and then by common Consent to stop his Vomiting we gave him at two times one Spoonful of Cinnamon-water with two Drops of Oyl of Cinnamon and ordered the following Ligament to be applied to the Region of his Stomach â„ž Oyl of Nut-megs squeez'd of Laurel an Ê’j Of Dill of distilled Fennel an ℈ j. Of Anise Drops iij. Mix them for a Ligament In the Evening he took the forementioned Bolus The sixteenth of October he took another Glister which gave him three Stools with great ease The twentieth to loosen his Belly we prescribed him Pills made of transparent Aloes only of which he swallowed two or three every other day or every other three days which Pills wrought so well that afterwards we had no need of any other Purges The twenty eighth I gave him â„¥ j. s. of our Anticholic Electuary wherein I had mingled Ê’j s. of transparent Aloes of which he took Morning and Evening Ê’s or ℈ ij to his great Advantage For it strengthned his Stomach dispell'd the Wind and cleansed away the Flegm and Choler This Electuary he afterwards used as a preservative taking his Aloes-Pills in the intervening days And by this means he recovered his former Health ANNOTATIONS THE Cause of this Cholic Passion was a great quantity of salt Flegm sticking to the Guts and an over-abounding quantity of sharp excrementitious Choler for the Choler being voided out of its Bladder into the Guts and being there mixed with that Flegm and causing that salt and tough Flegm to boil like quick Lime thrown upon Water or Oyl of Vitriol powred upon powdered Crabs Eyes begat an extraordinary Flatulency violent Pains and extream Anxieties That this was the true Cause appeared by his vomiting which brought up yellow and greenish Choler with tough and frothy Flegm as I have often observed in my Practice Wherefore in this case there is need of a hotter Medicament in regard of the cold Flegm and the Wind at the same time to cleanse away the Choler and asswage the Gripes To which three Purposes the foresaid Electuary mixed with Aloes was of great use other general and necessary Medicaments being given as occasion served To asswage the Pains of the Cholic many notable Remedies are prescribed by various Authors which are to be varied according to the variety of the Causes In a cold Cause I make use of my own Anticholic Electuary with good success the Composition of which is this â„ž Specier Diagalangae Rosatum Aromaticum an Ê’iij s. Diambra Ê’iij Mass of Storax Pills Ê’iij s. Treacle of Andromachus â„¥ iij. s. Mithridate of Damoc. â„¥ iiij Ê’v Oyl of Anise Ê’ij ℈ ij of Cloves Ê’j of Nutmegs distill'd Ê’j s. Syrup of Stocchas q. s. For an Electuary This Electuary sometimes I use alone sometimes with every ounce I mix Ê’j or ij of Aloes and so given have found it much more prevalent against the Chollic Holler boils in odoriferous Wine one small Handful of common Wormwood with Ê’ij of Cummin-seed He also commends Orange-peels boil'd in Wine and the Decoction drank fasting in a Morning We have also given the same Peel powder'd and mix'd with Wine and found it no less beneficial Wormwood-wine is commended by Aetius because it corroborates the Belly purges away the Choler and prevents the Growth of it and discusses and expels the Wind. Others boil Ê’j of Cummin-seed in VVormwood-wine and give the Straining Rases approves Confection of Laurel Berries Avicen prescribes an effectual Medicament of equal Parts of Castor Pepper and Aniseseed Against the same Distemper are no less prevalent the Powder of Zedoary Root from ℈ j. to Ê’j Also the distilled Oyls of Anise Fennel Caroes Dill and Zedoary given in hot Wine The Decoction of Flowers of Cammomil with a little Cummin-seed added given in Ale or small White-wine â„¥ iiij or v. at a time is a most present Remedy to asswage the Pains and expel the Wind. Others applaud this Carminative Water of Schroderus â„ž Flowers of Roman Cammomil m. xxx â—…ut bruise and infuse them twenty four hours in Cammomil-water lb x. others say xv stout Wine lb vj. squeeze these very strongly and in the straining infuse for twenty four hours more Flowers of common Cammomil m. xxiiij Press them and strain them In the Straining steep Flowers of Cammomil m. xij The yellow of Orange Peels â„¥ j. s. Pontic Wormwood m. ij Lesser Centaury Penyroyal Basil an m. ij s. Seed of Dill â„¥ iij. Of Anise and Fennel an â„¥ j. s. of Caroways Cummin Carduus Benedictus Maries Carduus an â„¥ j. s. Iuniper berries â„¥ j. Laurel-berries â„¥ s. Let them stand twenty four hours then distil them with a Gentle Fire in Balnâ—…o Mariae Rodoric Fonseca recommends as a singular Remedy and a very great secret arising from the Propriety of the whole Substance the Testicles of Horses which he says he has several times try'd in the Cure of cholical Distempers These Testicles he washes in generous Wine and cuts into thin slices and then dries them in an Oven with a gentle Heat and keeps them for his Use upon occasion after general Remedies he gives of these powdered Ê’j in Wine three hours before any other Meat Zacutus prefers the Pizzle of a Bull as having a Wonderful specific Vertue one Scruple of the Powder being taken in Malmsey Wine affirming that he had cured several who were most cruelly tormented with that Grief with that only Medicament He also commends for almost as effectual the sole drinking of Urine In vehement Cholic Pains Riverius prescribes these Pills which he has often given with great Success â„ž The best Aloes Ê’j Laudanum Opiate gr iiij Diagridion gr vj. Make six Pills Let the Patient take these at a convenient time and within an hour
laid bare at that time we could perceive nothing for the Blood but the next day we discovered two apparent Fissures in the Cranium and upon one side a small Particle about half a Fingers length somewhat depressed which Particle was every way sever'd and broken from the Bone Therefore in the next firm Part we made a perforation with a Trepan and took out half an ounce of Blood which had flow'd out of the little broken Veins between the Cranium and the thick Meninx and there had shelter'd it self which being wiped off we laid a little rag dipped in Honey of Roses upon the Meninx and having filled the Wound without side with dry Wooll we covered it with Emplaster of Betony The sixth of February some little Blood came forth but after that none at all in the mean time we kept his Belly loose with a gentle Purge thus we ordered the Wound till the twelfth of February and covered his Head with a quilt of Cephalic Herbs and other things afterwards we began to lay the following Powder mixed with Honey of Roses upon the Meninx ℞ Sanguis Draconis Frankincense Aloes Myrrh an ℈ j. Fine Barley Flower ℈ j. s. Make it into a very fine Powder The eighteenth of February the flesh began to grow from the inside of the Meninx The first of March the Meninx was covered with flesh The sixteenth of March a little Scale was separated from the upper Bone of the Skull laid bare and at the beginning of April the Man being perfectly cured went abroad ANNOTATIONS THE suddain Consternation of this Person as it were Apoplectic was a certain sign of the Skull being depress'd which depression could never have been made without a Fracture or a Fissure And though for the following days the Patient felt nothing in his Head in regard such a depression and Fissure could not happen without breaking some of the little Veins it was better to open the Skull and take out the Extravasated Blood then to expect the Symptoms of it when Corrupted and Putrified For a very little Blood though no more then a dram yet Putrifying upon the Meninx may cause terrible Symptoms and Death it self OBSERVATION LIII The Head-ach PEtronel de Kuijck a Country-Woman about threescore Years old complained in February of terrible Pains in her Head as also of Catarrhs falling upon her Eyes Teeth Shoulders and other parts that she had been troubled all the Winter and felt a very great cold at the top of her Head as if the fore part of her Head had been dipped in cold Water Therefore having prescribed her a hotter and Cephalic Diet I Purged her with Pill Cochiae and Golden Pills then I ordered Linnen-cloths four doubled and dipped in Spirit of Wine warmed and gently squeezed to be laid over all the upper Part of her Head and to continue so doing for some days which done that Diuturnal Pain together with her Catarrhs all ceased within a few days then for prevention and preservation I prescribed her a Quilt to wear upon her Head ℞ Marjoram one little Handful Rosemary Sage Flowers of Melilot Lavender an one little Handful Nutmegs Cloves an ℈ ij Make a Powder for a Quilt ANNOTATIONS IN these cold Maladies of the Brain besides general and internal Medicines proper Topics are very beneficial so that many times they alone at the beginning of the Distemper contribute very much to the Cure In which case we made use of Spirit of Wine with good Success the Fomentations of which are highly commended by Arculanus Plater commends Dill Forestus Cammomile however they are made use of in Head-achs proceeding from cold Causes Aetius applaudes Goats dung bruised and laid on Morning and and Evening Others dry up cold superfluous humors after this manner ℞ Millet-seed lb j. common Salt lb s. Leaves of Majoram Rosemary Sage Flowers of Lavender Melolet an one small handful Seeds of Anise Fennel Dill Cummin an ʒ ij Lawrel Berries ʒiij These being fryed in a Frying-pan let them be put into little bags and while they continue warm let the head be first dried and then well rubb'd with them for half an hour Aetius prefers Vervein with the Roots and creeping Time boyl'd in Oyl for the Cure of all Head-aches proceeding from cold and thick Humors He also recommends Hog-lice boyl'd in Oyl for the same purposes P. Aegineta writes of a Woman who was very famous for cuing Head-aches either with or without a Fever by this means She boyl'd the green Roots of Asses Cucumers cut very small and Wormwood in Oyl till they grew soft and with this Oyl and Water she moistened and watered the Head and then clapt the Root bruised with the Wormwood upon it Which Medicine is highly recommended by Avicine who prescribes it after this form ℞ Common Oyl common-water an lb j. Leaves of Wormwood M. j. s. Root of Asses Cucumers ʒ ij Let them boyl together OBSERVATION LIV. A Hickup ANtonetta N. a poor Woman desired me to see her Daughter a Maid about twenty four Years of Age she had been troubled for ten days with a continual violent and troublesome Hickup and none of the old Womens Remedies would do her any good when I understood her Womb was well I judg'd that the Malady proceeded from some sharp Matter firmly Impacted in the Tunicles of the Stomach therefore I gave her first a light Vomit which gave her three or four Vomits but no release from her Hickup Thereupon I prescribed her this following little Bag. ℞ Flowers of Mint camomil Dill an M j. of red Roses Melilot an M. s. one white Poppy Head cut small Nutmeg Aniseed an ʒj of Dill and Cumin an ʒj s. cut and bruise them grossly and make a Linnen bag about the bigness of two hands breadth This Bag I ordered her to boil for half an hour in new Milk and common Water an lbj. s. and to take ever and anon a Draught of this Decoction and after she had gently squeezed the Bag to apply it hot to the Region of her Stomach which when she had continued to do but for one day her Hickup left her ANNOTATIONS SAys Hippocrates A Convulsion is caus'd by Repletion or Emptiness and so is a Hickup But for the most part a Hickup proceeds from Repletion seldom from Emptiness as Galen testifies Under the word Plenitude are comprehended also whatever matter sticks close to the Tunicles of the Stomach and twiching and gnawing them with its Acrimony whether sharp tough Humors Pepper or any other thing A Hickup if it last long is very troublesome but it seldom uses to continue long Yet M. Gatinaria tells a Story of a Doctor of Law who was troubled with a Hickup for twelve days together and Forestus makes mention of an old Woman that Hickupp'd many times for half a year together To suppress this Hickupping those Medicaments are most proper which loosen and remove the sharp and biting humors from the Tunicles of the Stomach such are Vomiting Medicines
j. Make them into a Mass with juice of Wormwood or Gentian the dose from Ê’s to Ê’j Sennertus prescribes these â„ž Aloes ℈ j. Rhubarb ℈ ij Myrrh ℈ s. Trochischs of Alhandal gr iij. Powder of Coral Ê’ s. Make them into twenty two Pills with juice of Wormwood The Dose for Children ℈ j. To destroy all Matter and Nutriment of VVorms in the Guts there is not any better Remedy to be found then for the Patient to swallow once a VVeek one ℈ of Aloes Succotrine for Aloes has a peculiar occult quality to Purge and cleanse the extream Parts of the Guts This is the opinion of Mercurialis in his own Words but I usually order a Ê’ or two of Rhubarb to be put into a little bag and hung up in the ordinary drink which the Patient drinks and by that means I both expel the Worms and the cause of the Worms Saxonia and Solenander with many others extol the Decoction of Sebesten in Ê’iiij of which Crato macerates Ê’j of Rhubarb and gives the straining to drink Rhubarb also given in substance is a great enemy to the Worms and Dodoneus voids them with this Powder â„ž Worm-seed Ê’j Shavings of Hearts-horn Citron-seed and Sorrel-seed an ℈ j. Rhubarb Ê’ij Make them into a Powder the Dose Ê’ j. Riverius takes â„ž Powder of Rhubarb and Coral an Ê’s Duretus prescribed this â„ž Chosen Rhubarb Wormwood Sea Wormwood Shavings of Harts-horn an Ê’iij Make them into a Powder Dose Ê’j with the Decoction of Scordium This as we have tried says he excells all the rest Lastly Antonius Cermisonius as a most destroying expelling Remedy against the Worms prescribes a Glister of Ê’ x. of Goats Milk and Ê’ij of Honey OBSERVATION XCII The Worms THE Son of Mr. Cooper about six or seven years old had been long troubled with Worms in his Belly which sometimes ascending his Gullet crept out at his Mouth in the Night-time The Parents had often given him Worm-seed but to no purpose so that at length when the Child was nothing but Skin and Bone they sent for me I found him thirsty and averse to all manner of Physick thereupon I took half a pound of Quick-silver and macerated it in two pound of Grass-water shaking the Water very often Afterwards having separated the Mercury I added to the Water Syrup of Limons â„¥ iij. Oyl of Vitriol q. s. to give it a grateful Taste This he only took for two days together in which time he voided downward six and thirty Worms and being so rid of his troublesome Guests recovered his Health ANNOTATIONS SOme extol Quick-silver it self given in the Substance as an excellent Remedy against the Worms insomuch that Sanctorius says there is no killing of the Worms but with strong and violent Medicines as Aloes and Mercury or Quick-silver Of which Baricellus thus writes Quick-silver says he which many take to be Poyson is given with great Success against the Worms and is accounted so certain a Remedy in Spain that the Women give it to Infants that puke up their Milk to the quantity of three Granes I cured a VVoman that for nine days together had been troubled with continual Vomiting occasioned by the VVorms besides that she had not eaten in three days nor could keep what she swallowed but after I had given her two Drams of Quick silver mortified with a little Syrup of Quinces without any trouble she voided downward about a hundred VVorms and was freed from her Distemper the same day I have VVater at home wherein I continually keep Quick-silver infused and wil lingly give it away to children for the VVorms yet never heard of any Hurt that ever it did The dose of Mercury to be given to Children is ℈ j. to elder People ℈ ij or Ê’j It is corrected and mortified by bruising it in a Glass Mortar with brown Sugar till it be dissolved into invisible Parts and to prevent it from returning to its pristine Form you must add to it two little Drops of Oyl of Sweet Almonds and give it fasting with Sugar of Roses Syrup of Violets or Quinces to the Party affected Zappara confirms this use of Quick-silver by many examples and Hildan tells of a Woman cured of the Worms by Quick-silver of which she passed Ê’j s. through a piece of Leather and then swallowed it Where this is remarkable that the same Woman at that time wore a Plaister upon her Navel which was afterwards found all covered over with Quick silver Thus many Physicians celebrate Quick silver but more applaud it than condemn it as Plater Horatius Eâ—…genius and Fallopius says of it That it does not work those Effects being drank as used by way of Oyntment I have known says he Women that have drank Pounds of it to cause Abortion without any dammage and I have given it to Children for the Worms The same is testified by Marianus Sanctus and Fracastorius And Matthiolus affirms that Quick-silver is only prejudicial because it tears the Guts by its weight and therefore if it be not given in too great a quantity he says it can do no harm And I have seen it given by Midwives to Women in difficult Labours without any hurt at all For my part I never give it alone but always in some Infusion of Grass-water Wine or other Liquor And as for Stromaiier and Horstius though they reject raw Quick-silver yet rightly prepared they extol it as the best Remedy in the World against the Worms Sennertus however advises that though Quick-silver may be used in desperate Cases yet to forbear it where milder Medicaments may serve the turn Since there is a possibility that it may do mischief OBSERVATION XCIII The Gout MR. Hamilton in the Flower of his Age was miserably tormented with the Gout in the Joynt of his Right-shoulder so that he had not slept in three Days and Nights After I had prescribed him a proper Diet I purged him with Cochia Pills gave him a Diuretic Decoction for some days and then applied this Plaister to the place affected â„ž Gum. Galbanum dissolved in Spirit of Wine Tacamahacca dissolved in Spirit of Turpentine Emplaster of Oxycroceum an â„¥ s. Mix them and spread them upon Leather This Plaster stuck on eight days within which time that immense Pain went off so that he could freely move his Arm after that he returned to the Camp where he was unfortunately slain ANNOTATIONS MAny Disputes there are about the Causes of the Gout but for my part I believe there are necessarily two For either those Pains proceed from cold Defluxions mixed with some Salt and Acrimony falling from the Head upon the Joynts refrigerating and corroding the Nerves Tendons and Ligaments annexed to the Joynts For how great an Enemy Cold is to the Nerves and membranous Parts we find in Winter-time by the Wounds by which those Parts are laid bare There says Hippocrates all cold things are fatal to the Nerves Besides that such Defluxions cause Weakness and Stiffness of
because it began to spread more and more I was sent for Thereupon after I had purged her Body I ordered her to wash her Hands with equal parts of mercuriated Water and Virgins Milk and to let them dry of themselves By which means the Scabbiness came forth more and more for two or three days but within three or four days afterwards wholly dry'd up and was cured OBSERVATION CI. A Malady in the Stomach ISaac of Aix la Chapelle forty six years of age was troubled with an old Distemper in his Stomach occasioned by difficult and painful Belchings so that after he had eat or drank any thing he was forced to belch fifty and sometimes a hundred times and more and that often both by day and by night neither could he stop them or if they did not break forth he was like one that was ready to burst Besides his Sight was very weak so that he could not see to read or write without Spectacles and that at a very near distance too and thus he had been troubled from the twentieth year of his Age till then He had had the Advice of several Physicians to no purpose upon which I desired him to try only one Experiment which was to smoak one Pipe of Tobacco after Dinner and Supper At first he took but half a Pipe but afterwars he grew such a Proficient that he would take two or three so that after he had continued the use of Tobacco in that manner for about a month his Belching ceased and his Sight was much amended ANNOTATIONS NIcholas Monardes writes that Tobacco is hot and dry in the second degree and therefore attenuates concocts cleanses discusses asswages Pain and has a stupifying Quality is good against the Tooth-ach allays all Pains of the Head being outwardly applied and laid upon the cold Stomach cuts the same c. Which Qualities Dodonaeus acknowledges also in Tobacco But in regard that in their time this Plant was not so much in request the Benefit and Abuse of it was less known to them than to us Practical Disputations OF Isbrand de Diemerbroeck Concerning the DISEASES OF THE HEAD BREAST and LOWER BELLY The Cures of the chief Diseases of the whole Head in Twenty Five Disputations annexed to the Cases of the Patients themselves HISTORY I. Of the Head-ach A Person of forty years of age of a Flegmatic Constitution often liable to Catarrhs in the midst of VVinter in a very cold Season had travelled for forty Days together and by the way had fed upon flatulent viscous Meats of hard Digestion and other such kind of Food to which he had not been accustomed and instead of VVine he had been forced to drink thick muddy Ale Upon his return home he complained of a troublesome Pain in his Head more heavy and obtuse than acute which if you laid your hand hard upon the place was so far from being exasperated that it was more gentle for the time This Pain was also accompanied with Noises in his Ears an Inclination to Sleep which his Pain however would not permit him to take and a want of Appetite a Lassitude of the whole Body and Paleness in the Face I. IN this Patient we find the Head to be first affected by the Pain thereof and the Noise in his Ears Whence by consent the whole Body suffers as appears by his Lassitude and other Simptoms II. The Malady of which he chiefly complains is a Pain in the Head which is a trouble to the Sense of Feeling in the membranous Parts caused by the Solution of the Continuum III. This Pain is internal in the Parts contained within the Skull as is from hence apparent for that it is not exasperated but somewhat mitigated by laying the Hand hard upon the Part. IV. The remote Cause of this Malady is disorderly Diet by which means by the use of Meats of ill Juice and hard Concoction several crude and flegmatic Humors are generated in the whole Body but especially in the Head which produce the Antecedent Cause which being encreased by the external Cold wherein he had traveled for four days together and fixed in the membranous Parts of the Brain occasioned the containing Cause V. These flegmatic Humors being by the external Cold condensed in the Head and not being evacuated through the Pores obstructed by the Cold or other Passages appointed for the Evacuation of the Excrement were gathered together in great abundance in the Passages of the Brain and by reason of their quantity distending the membranous Parts of the Brain and dissolving the Continuum caused the Pain VI. The Cure is to be hastned for if that flegmatic Humor stay long in the Head 't is to be feared that the Malady may turn to a heavy Drowsiness or an Apoplexie or if it dissolve too soon and make too improper a way least it cause some dangerous Catarrh which falling upon the Lungs or lower Parts may endanger a violent Cough or Suffocation or some other desperate Distemper in some other part VII Four Indications are here to be considered in order to the Cure 1. That the abounding Flegm be evacuated from the Head and whole Body 2. That it be specially evacuated out of the Head it self 3. That the Pain be allay'd 4. That the Head be strengthened and the Concoctions of the Bowels be promoted and so a new Generation of abounding Flegm as well in the Head as whole Body be prevented and that the Flegm already generated and abounding may be consumed VIII For the Evacuation of Flegm abounding in the whole Body let him take this purging Draught ℞ Trochischs of Agaric ʒj Leaves of Senna cleansed ℥ s. Anise-seed ʒj s. White Ginger ℈ j. Decoction of Barley q. s. make an Infusion Then add to the Straining Elect. Diaphaenicon ʒij Diagredion gr iiij Mix them for a Draught If the Patient cannot take this give him of Pill Cochiae ℈ ij or iij. or else ʒj of Powder of Diacarthamum or Diaturbith with Rhubarb This Purgation must be repeated to prepare the Humors three or four times every three or four days one after another IX For Evacuation of the Flegm particularly accumulated in the Head Sternutories and Errhines are of great use The one because they draw down viscous and tough Humors through the Nostrils and Palate The other because the Brain being by them provoked and violently contracting it self as violently expels tough Humors sticking to the Ethmoides Bone and by removing the Obstruction makes way for the Excrements detained therein X. Of this Sneezing-powder let him twice or thrice a day snuff up a little into his Nose ℞ Marjoram Leaves ℈ j. Root of white Hellebore ℈ j. s. Pellitory of Spain ℈ s. Black Pepper Benjamin an gr v. If Sneezing prevail not let him snuff up a little of the following Errhin into his Nostrils ℞ Iuice of Marjoram ℥ s. Iuice of the Root of white Beets ℥ j. Mix them for an Errhin XI In the mean time to allay
Baum Calaminth an M. j. Sage Flowers of Stâ—…chas an M. s. Iuniper-Berries Ê’vj of Lawrel Ê’ij cleansed Raisins â„¥ ij VVater q. s. Boil them and make an Apozem of 〈◊〉 j. s. to which may be added Syrup of Stoechas â„¥ ij or iij. Let him drink of this Decoction three or four times a day In the mean time let him continue the use of his Sternutory IX If he cannot take his Apozem let him now and then take a Quantity of this Conditement â„ž Specier Diambrae Ê’ j. s. Conserve of Baum Flowers of Sage Betony Rosemary an Ê’ s. Syrup of Stoechas q. s. For a Conditement X. Also let the following Quilt be laid upon his Head â„ž Leaves of Marjoram Rosemary Flowers of Lavender Melilot an ℈ iiij Benjamin Nutmeg Cloves an ℈ j. To be grosly powdered for a Quilt Then anoint his Temples and the top of his Head with this Liniment R. Oyls of Rosemary Marjoram Nutmegs an ℈ j. Martiate Oyntment Ê’ij And let him wear this a good while after the Cure XI Let his Diet be sparing Meats of good Juice and easie of Digestion seasoned with Rosemary Marjoram and other Cephalics When he wakes continually Amygdalates are proper for they yield good Nourishments and provoke sleep and all natural Evacuations must duly proceed HISTORY VII Of the Lethargy A Person threescore Years of Age of a Flegmatic Constitution having all the Autumn being careless of his Diet feeding greedily upon Fruit Lettice Cowcumbers Melons and such like for some days perceived a weariness of his whole Body with a great Inclination to sleep Then he was taken with a slight continued Fever which toward Night growing worse seemed like a Quotidian This Fever was presently accompany'd with a very great drowsiness so that he could not be kept from sleeping and which was so profound that he heard not the standers by though they bawled out and made never so loud a noise being at length rowsed out of his sleep not without great difficulty and hawling and pulling he looked upon the standers-by but answered very little to their questions and that very little to the purpose not knowing that he had been asleep if they gave him a Chamber-Pot he forgot to make water and so with his Mouth and his Eyes shut he fell asleep again his Pulse was strong but slow and at distant intervals and toward Night unequal and somewhat swifter his Urine was muddy with a very thick Flegmatic Sediment I. THat the Head and whole Body of this Patient were affected appears from the profound Sleep which oppressed the one and the continued Fever and lassitude that seized the other II. That heavy drowsiness which seiz'd our Patient is called a Lethargy which is an insatiable Propensity to sleep with a gentle Fever and molestation of the Principal faculties III. The remote Cause of this Malady was cooling and bad Dyet which generating a great quantity of Flegmatic humors in a Flegmatic Body made the antecedent Cause IV. Which Flegmatic humors being carried in great quantity to the Brain and affecting it with a cold mistemper partly putrifying in the larger Vessels and inflam'd in the Heart and thence dispeirsed through the whole Body and through the Carotides Arteries to the Brain constitute the containing Cause of the Sleep and Fever V. For when those crude Humors already inflam'd in the Heart come through the Carotides Arteries to the Choroid-Fold whose small Arteries by reason of the cold temper of the Brain are narrower then usually and partly through their own thickness partly through the narrowness of those passages slowly pass through the Choroid Fold they are there thickened still more and more by the cold Constitution of the Brain and their Passage becomes more obstructed so that for that reason the Animal Spirits growing fewer and but ill supplyed and consequently not sufficing to officiate in their dutys hence follows a Cessation in the Organs of those Senses by which means when no objects can be carry'd to the Principal Senses they cease too when a profound Drowsiness out of which when the Patient is roused the Principal Senses appear damnified for want of Spirits and their disorderly motion through obstructed Passages VI. This Disease is dangerous 1. Because the Brain is dangerously affected 2. By reason of the Fever which affects the whole Body 3. Because the Patient was old and unable to conquer such a Malady for want of Natural heat and strength but because he had some strength remaining there was hopes of Cure VII In the Cure the Flegmatic Matter abounding in the whole Body is to be Evacuated drawn back from the Head and deriv'd to the lower Parts The Cold Distemper of the Head to be remov'd the Head to be corroborated and the Matter therein contain'd to be dissolv'd and drawn away VIII After a Glyster Dolorific Ligatures and hard Frictions of the Thighs are very proper if frequently used Blood-letting at such an Age is not so convenient therefore Cupping-glasses both with and without Scarification are to be apply'd to the Shoulders Neck and Back But no repelling Cold Medicines are to be used in this Case IX So soon as the Patient can be wak'd let him have this Apozem given him â„ž White Agaric Ê’j Leaves of Senna â„¥ s. Anise-seed Ê’j Ginger ℈ j. Decoctions of Barley q. s. Infuse them then add to the straining Ele. Diaphenicon Ê’iij If the Body be bound it must be loosen'd with Glysters X. The Body being well Purg'd let him take every foot a draught of this Apozem â„ž Roots of Aromatic Reed Elecampane Fennel Stone-Parsly an â„¥ s. Herbs Betony Venus Hair Century Lesser Dandelion an M. j. Rosemary Marjoram Hyssop Flowers of Stoechas Camomil an M. s. Iuniper-Berries Ê’vj Anise-seeds ℈ j. s. Citron and Orange-Peels an â„¥ s. Water q. s. Make an Apozem of lb j. s. To which add Syrup of Stoechas â„¥ ij or iij. XI After he has taken this Apozem let him Purge as before or if he like Pills better let him take ℈ ij or iij of Cochia Pills or Ê’j of Diaturbith or Diacarthamum powder'd and dissolv'd in Barley-water XII After this second Purgation let him return to his Apozem to which you may then add several Diuretics as Roots of Dodder Asparagus Eryngos and Herbs as Stone Parsley Strawberry Leaves and the like Castoreum also may be properly mix'd in this Apozem or else five or six grains given him in a little Oxymel of Squills XIII While these things are a doing let the Matter be specially Evacuated out of his Head the Head be Corroborated with Topics and the remaining Matter there discuss'd Evacuation is performed by Errhins of equal Parts of Roots of Beets and Leaves of Marjoram and by Snuf blowing into his Nostrils the following Sternutory â„ž Root of white Hellebore ℈ j. of Pellitory and Leaves â—…f Marjoram an ℈ s. Black Pepper gr v. Castoreum Benjamin an gr iiij To corroborate the Brain anoint the top of the Head and Temples with this
could hardly speak or breath and when she endeavoured to throw off the Burthen she was not able to stir her Members And while she was in that Strife sometimes with great difficulty she awoke of her self sometimes her Husband hearing her make a doleful Inarticulat Voice waked her himself at what time she was forced to sit up in her Bed to fetch her Breath sometimes the same Fit returned twice in a Night upon her going again to Rest. I. THe Brain of this Woman was primarily affected especially in the hinder Ventricle of the Brain near the Spinal Pith for the Muscles of the Parts seated below the Head are agrieved which appears by her difficulty of breathing and the hindered Motion of her Breast Thighs and Arms. Hence the Heart is affected with the Lungs II. This Affection is called Incubus or the Night-Mare which is an Intercepting of the Motion of the Voice and Respiration with a false Dream of something lying ponderous upon the Breast the free Influx of the Spirits to the Nerves being obstructed III. The antecedent Cause of this Malady is an over-redundancy of Blood in the whole Body whence many Vapors are carried to the Head and there detained by the winter-Winter-cold streightning the Pores and thickning those Vapors and narrowing the Passage to the beginning of the Spinal Marrow which hinders a sufficient Passage of the Animal Spirits to the Nerves and this constitutes the containing Cause IV. For while the Passages of the Nerves are compressed by the more thick Vapors detained about the lower part of the Brain at the entrance of the Marrow into the Spine sufficient Animal Spirts do not flow into the lower Parts which causes the Motion of the Muscles to fail Now because the Motion of the Muscles for the most part ceases in time of sleep except the Respiratory Muscles therefore the failing of their Motion is first perceived by reason of the extraordinary trouble that arises for want of necessary Respiration Now the Patient in her Sleep growing sensible of that Streightness but not understanding the Cause in that Condition believes her self to be overlay'd by some Demon Thief or other ponderous Body being neither able to move her Breast nor to breath Then endeavouring to shake off that troublesome Weight as apprehensive of some ensuing Suffocation but not being able to move the rest of her Members she believes them under the same Pressure Upon which when she tries to call out for assistance but because of the streightness of her Respiration she is not able to speak distinctly she makes an inarticulate Noise with great difficulty In this Strugling she continues till the Animal Spirits detained at the lower Part of the Brain by the Compression of the Spinal Marrow and there collected in a greater quantity at length forced by the continual Flux of Spirits from the Heart violently make their way through the Pith into the Nerves and Muscles and restore Motion to the Parts Then the Patient moves her Body and wakes and by that motion those thick Vapors are dissipated and being awake she is forced to take Breath to repair the Loss which she suffered for want of Respiration But because there is yet a larger quantity of these Vapors still remaining in the Head hence it comes to pass that if she fall asleep again especially if she lye upon her Back the same Evil returns in regard those thick Vapors settle more easily toward the hinder part of the Head near the Marrow V. Now that they are Vapors and not Humors is plain from hence that the Malady is so soon mastered which could not be done so suddenly were they Humors which would rather cause an Apoplexie or some other more dangerous Evil that they are thick and not thin Vapors appears from hence because the thin Vapors would pass more easily through the Pores though narrower which the thick cannot do which requires motion of the Body to dissipate them which Motion ceasing in Sleep they stick to the Place and streighten the Pores of the Nerves But if any cold ill Temper of the Brain happen at the same time those Vapors are easily condensed into Humors by that Cold which if detained in the Head cause Heaviness the Coma Apoplexy and the like If they flow from the Head to the lower Parts they breed Catarrs with which our Patient was wont to be troubled in the Winter-time VI. This Malady is dangerous least the collected Vapors being condensed in the Head should breed a Coma Apoplexy or the like VII It consists in removing the Antecedent Principal and containing Cause and the Corroboration of the Brain VIII To purge away the Antecedent Cause or the great quantity of Humors let the Body be purged with Pill Cochiae Powder of Diaturbith or this Potion ℞ Leaves of Senna ʒiij White Agaric Rhubarb an ʒj s. Anise-seeds ℈ ij White Ginger ℈ s. Decoction of Barley q. s. Infuse them and to the Straining add Elect. Diaphaenicon ʒij IX Then because she is plethoric take away ℥ viij or ix of Blood from her Arm. X. After Blood-letting let her take every morning a Draught of this Apozem ℞ Root of Calamus Aromaticus Fennel Stone-parsley Capers an ʒvj Herbs Betony Marjoram Dodder Succory Borage Sorrel an m. j. Flowers of Stoechas m. s. Iuniper Berries ℥ s. Blew Currants ℥ ij Water q. s. Boil them according to Art adding toward the end Rubarb white Agaric an ʒij Anise-seed ℥ s. Cinnamon ℈ j. s. Make an Apozem of lb. s. XI To expel the containing Cause Errhinas snuft up into the Nostrils or a sneezing Powder of Root of white Hellebore Pellitory Leaves of Marjoram and Flowers of Lilly of the Valley greatly conduce XII To corroborate the Brain let her take a small quantity of this Conditement ℞ Specier Diambr Aromatic Rosat an ℈ ij Conserve of Flowers of Betony Sage Anthos candied Root of Acorns an ℥ s. Syrup of Stoechas q. s. XIII To the same purpose let her wear such a Quilt as this upon her Head ℞ Leaves of Rosemary Marjoram Thyme Flowers of Lavender an ʒj Nutmegs ℈ ij Cloves ℈ j. Benjamin ℈ s. Beat them into a gross Powder XIV Keep her in a pure and moderate hot Air. Let her Diet be sparing but of good Juice and easie Digestion Let her Suppers be more moderate then her Dinners Her Drink must be small her Exercise moderate and so must her Sleep be and let her be careful of sleeping upon her Back Lastly a sedate Mind and a soluble Body are of great moment in this Case HISTORY XII Of the Apoplexy A Strong Man about forty years of age both a great Feeder and Drinker complained of a heavy Pain in his Head for two Months together but took no care of himself but followed on his usual Course of Drinking Fore-noons and After-noons but at length one Morning waking in his Chamber after he had muttered out three or four inarticulate Words he fell of a sudden void of
Sense or Motion only that he breathed and had a strong Pulse I. THat this man's Head was terribly afflicted the Cessation of the Animal Functions sufficiently declared II. This Affection is called an Apoplexy which is a sudden Privation of all the Animal Functions except the Act of Respiration III. It is plain that it was no Lethargy Syncope Sleepy Coma Catalepsis or Epilepsie because the Patient without any Fever lay almost immoveable insensible nor could be waked by any means having all his Members languid only with a strong Pulse and a heavy Respiration which are no Simptoms of the foresaid Diseases IV. The Brain is affected about the beginning of the Pith which is the Original of all the Nerves then besieged by a Flegmatic Humor V. The remote Cause was continual Gluttony and Drunkenness by which the Brain in a long time was extreamly weakned and the many crude and Flegmatic Humors generated therein and collected together in the Ventricles made the Antecedent Cause which afterward setling at the Original of the Nerves constituted the containing Cause VI. The Animal Spirits being hindred by those Humors contracting the Pores of the beginning of the Nerves presently all the Animal Functions cease and the Patient becomes void of Sense and Motion except Respiration because the Spirits still flow thither by reason of the largeness of the Pores of the Respiratory Nerves But the Distemper lasting together with the Flegmatic Obstruction or Compression the Influx of the Spirits into them is also stop'd which causes the Respiration also to fail and thence a heaving and ratling in the Throat VII The Pulse beats well because the Blood sent from the right Ventricle of the Heart to the Lungs is sufficiently as yet refrigerated but if the Disease continue the Pulse will also fail because the Blood of the right Ventricle of the Heart is not sufficiently ventilated and cool'd so that little Blood comes to the left Ventricle which weakens the Motion of the Heart VIII This Disease is very dangerous yet because it is but in the beginning and Respiration is not yet come to Ratling and for that there is a strong natural Heat remaining in the Patient there is some hope of Cure though not without some fear of a Palsie that will ensue the Cure IX The Method of Cure the removal of the flegmatic Humors obstructing the beginning of the Nerves to prevent a new Generation and Collection of them and to corroborate the Brain X. Let the Body be moderately moved let the Hairs be plucked and laborious Rubings and Ligatures of the Arms and Thighs This Glister may be also administred â„ž Wormwood Rue Pellitory of the Wall Mercury Hyssop Beets Lesser Centaury an M. j. Leaves of Senna â„¥ j. Celocynth ty'd in a Bag Ê’j Anise-seed Ê’v Water q. s. Boil them according to Art â„ž Of the Straining â„¥ x. Elect. Hiera Picra Diaphoenicon an â„¥ j. Salt ℈ iiij for a Glister Or instead thereof this Suppository â„ž Specierum Hierae Ê’j Trochises Alhanhal ℈ s. Salt Gemma ℈ j. Honey ℈ vj. Make a Suppository and at the end of it fasten gr iiij of Diagridium XI After he has taken this Glister Bleed him moderately in the Arm then apply Cupping-glasses with and without Scarification to his Neck Shoulders Scapulas and Legs XII Let this Sneezing Powder be also blown up into the Nostrils â„ž Roots of white Hellebore ℈ j. Pellitory of Spain ℈ s. Leaves of Marjoram ℈ j. Black Pepper Castoreum an gr v. For a Powder XIII Outwardly let this little Bag be applied warm to his Head â„ž Salt M. j. s. Sea-sand Mij Seeds of Cummin Fennel Lovage an Ê’ij Cloves Ê’j s. Heat them in a dry Stone Pot put them in a linnen Bag and apply them warm to the Head XIV Let the Nostrils Temples and Top of the Head be anointed with this Liniment â„ž Oâ—…ls of Castor Lavender Rosemary Amber an ℈ j. Martiate Oyntment Ê’j XV. When the Patient begins to come to himself give him now and then a Spoonful of this Water â„ž Water of Tylet Flowers Lilly of the Valleys Aqua Vitae of Matthiolus Syrup of Stoechas an â„¥ j. XVI Let him then be purged with Pill Cochiae extract of Catholicon Elect. Diaphenicon or Hiera Picra Powder of Diaturbith or the Infusion of such kind of Flegm-purging Ingredients XVII After Purgation let him take this Apozem â„ž Roots of Sweet Cane Fennel an Ê’vj Galangal â„¥ iij. Marjoram Betony Rosemary Rue Calamint Hyssop an M. j. Flowers of Stoechas M. s. Cordial Flowers an one little Handful Iuniper Berries Ê’vj Seeds of Anise Fennel an Ê’ij Water and Hydromel equal parâ—…s Make an Apozem of lbj. s. Of which let him take four or five ounces thrice a day with a small quantity of this Conditement â„ž Specier Diambre ℈ iiij Sweet Diamosch Ê’s Roots of sweet Cane candied Conserves of Betony Anthos and Flowers of Sage Syrup of Staechas q. s. XVIII Let this Quilt be laid also upon his Head â„ž Leaves of Marjoram M. j. Rosemary and Flowers of Lavender an two small Handfuls Cloves Nutmegs an ℈ jj Benjamin ℈ j. Beat them into a gross Powder and quilt them into red Silk XIX An Air moderately hot and dry either by Art or Nature is most proper for this Distemper Meats of good Nourishment and easie of Digestion condited with Rosemary Marjoram creeping Thyme Sage Betony Baum Hyssop the Carminative Seeds and Spices c. Small Drink and sometimes a little Hypocrass Short Sleeps moderate Exercise and orderly Evacuations HISTORY XIII Of the Palsey and Trembling A Virgin twenty five years of Age of a Flegmatic Constitution having for a long time â—…ed upon Sallads Cucumbers and raw Fruit afterwards complaining of heavy dozing Pains in her Head at length fell Apoplectic to the Ground without Motion or Sense except Respiration The Physician who was sent for had brought her to this pass that after six hours she opened her Eyes again and after twenty hours was fully restored to her Senses and spoke but all the Left-side of her Body below the Head remain'd immoveable with a very dull Sense of Feeling Yet her Monthly Customs observed their Periods though not so copious I. THat Affection which remained after the weak Apoplexy went off is called a Palsie Which is a Privation of Voluntary Motion or Sense or both in one or several Parts of the Body II. The Part affected is the Spinal Pith chiefly about the beginning of it where the one half Part of it being compressed or obstructed by the Flegmatic Humor expelled from the Brain disturbs the Use of all those Nerves proceeding from that side and by consequence of the Muscles III. The remote Cause is disorderly Diet and the too much use of cold things whence many flegmatic Humors being generated in a flegmatic Body cause an oppressive Pain in the Head which is the antecedent Cause which also afterwards obstructing the Original of the Marrow of the Brain and afterwards cast
off by one half but still obstructing the other constitute the containing Cause IV. Thus the Motion of the Left-side was taken away because that half of the Pith being obstructed the Animal Spirits could not enter into that half of the Pith nor the Nerves proceeding from it which causes a Cessation of the Actions of the Instruments of voluntary Motion or the Muscles on that side But the Sense is not quite lost but remains very dull because that several Spirits pass through the contracted Pores of the Pith sufficient for Motion yet not anew to impart Sense to the feeling Parts V. This Malady is hard to be cured by reason of the detension of a viscous and tenacious Humor in a cold Part but Youth and Strength of Body promise hopes of Recovery VI. The Method of Cure requires the Attenuation and Dissipation of the Obstructing Humor 2. To prevent the Afflux of any more 3. To take away the antecedent Cause 4. To cortoborate the Parts affected VII For Evacuation of the Flegmatic Humor give these Pills â„ž Mass of Pill Cochiae Ê’s Extract of Catholicon ℈ s. with a little Syrup of Stoechas make up vij Pills Instead of them may be given Powder of Diaturbith or DiacarthamumÊ’j or a Draught of an Insusion of Leaves of Senna Root of Jalap Agaric These Purges are to be repeated by Intervals VIII Blood-letting is not proper in this Case IX To corroborate the nervous Part of the Body and prevent the Generation of flegmatick Humors let him take this Apozem â„ž Root of Acorns Fennel an Ê’vj Florence Orice Ê’iij Betony Ground-pine Marjoram Rosemary Calamint Thime an M. j. Flowers of Stoechas M. s. Seeds of Fennel Caroways Bishops-weed an Ê’j s. Water and Wine equal parts boil them to a Pint and a half and to the Straining add Syrup of Stoechas â„¥ iij. For an Apozem Of which let the Patient take four ounces three or four times a day with a small Quantity of this Conditement â„ž Specier Diambr Diamosch Dulcis an ℈ iiij Conserve of Flowers of Sage Anthos Root of Acorns candied an Ê’v Syrup of Stoechas q. s. X. The Use of Paralitic and Apoplectic Waters will be very proper in this Case of which there are several to be found among the Prescriptions of Physicians XI If the Disease will not submit to these Remedies let him take every Morning five ounces of the following Decoction and sweat in his Bed according to his Strength â„ž Lig. Guaiacum â„¥ iiij Sassafras Sarsaperil an â„¥ ij Water lbvij Macerate these twenty four hours then boil them adding toward the end Roots of Acorns Valerian Butter-bur Fennel an Ê’vj Galangale Licorice sliâ—…'d an Ê’ij Herbs Betony Miij Ground-Ivy M. ij Thyme Marjoram Rosemary Flowers of Stoechas an M. j. Sage Ms. Iuniper-berries â„¥ j. Boil them to lb. iij. XII For Corroboration of the Head prepare this Quilt â„ž Flowers of Rosemary Marjoram Thyme Flowers of Lavender Melilot an one small Handful Cloves Nutmegs an ℈ ij For a Quilt XIII While these things are doing let the Spine of the Back be well chafed with hot Cloaths especially in the Neck about the Head and then fomented with a Fomentation of hot Cephalics boiled in Wine or else anoint the Neck with this Liniment warm â„ž Oyl of Foxes Spike Rue Goose and Cats-grease an Ê’vj Oyl of Turpentine â„¥ s. Oil of Peter Rosemary Amber an ℈ ij Powder of Castoreum ℈ iiij After Unction and Friction lay on this Plaister â„ž Pul Castoreum Ê’ij Benjamin Ê’j Galbanum Opoponax dissolved in Spirit of Wine Emplaster of Betony Lawrel-Berries and Melilot an Ê’vj Mix them according to Art XIV This Disease requires a hot dry and pure Air. Meats of good juice and easie Digestion calefying and attenuating For Drink Hydromel or Wine imbib'd with Rosemary Marjoram Betony Cardamum c. Now and then a Draught of Hypocrass or a Spoonful of Juniper-wine or Anthoswine or Aquae Vite of Matthiolus will not be improper avoid long Sleeps and Repletion and let Natures Evacuations be regular and due HISTORY XIII Of Trembling A Man fifty years of Age struck with a great and sudden Terror immediately fell down fixing his Eyes upon the Standers by but not able to speak Soon after recovering his Spirits he talked well enough but rose up with a Trembling over his whole Body From that time when he moved his Limbs the Trembling still remained which as his Body drew cold was more violent as he grew warm abated I. TRembling is a Deprivation of the Voluntary Motion of the Limbs by which they are agitated with a contrary Motion in a continued Vicissitude II. The antecedent Cause is a Flegmatic Humor contained in the Brain which being stirred by the great sudden and disorderly Commotion of the Spirits proceeding from the Terror and cast off to the Pith of the Spine constitutes the containing Cause III. For the Humor in that place contracting the Pores of the Pith prevents the free Influx of the Animal Spirits through the Marrow into the Nerves and Muscles So that not being sufficient to perfect the voluntary Motion it happens that the Limbs are moved forward by a voluntary Motion but are depressed by their own Weight so that both together cause a trembling Motion IV. This Trembling is more vehement in the Body when cold less violent when the Body is warm Because the Pores are more contracted by the Cold and more dilated by the Heat Which causes a freer or less open Passage to the Animal Spirits and consequently a more or less vehement Trembling V This Trembling is not a little dangerous for it may turn to a Palsey or may be accompanied with an Apoplexy a Carus or a Lethargy VI. The Cure is the same as of the Palsey HISTORY XIV Of a Convulsion A Maid about thirty years of Age received a Wound in her Right-arm which laid a Nerve bare but unhurt However she lay in a cold Place and by reason of her Poverty not well guarded against the Cold and besides an unskilful Chyrurgeon having stopped the Blood put a Tent into the Wound dipped in Egyptiaeum and the Apostles Oyntment which caused a most painful and vehement Convulsion in her Arm which soon after was accompanied with a Convulsion of the Thigh on the same side and of her Arm and Thigh on the other side which lasted sometimes half a quarter sometimes an Hour sometimes half an hour intermitting and returning She was in such Pain that many times it made her talk idly I. THE Nerves and Muscles of this Patient were affected as appeared by the Motion not spontaneous and that still more encrease and her Head was grieved as appeared by the Delirium II. This Simptom is called a Convulsion which is a continued and unvoluntary Contraction of the Nerves and Muscles toward their beginning III. The remote Cause was the Wound received which laid the Wound bare The next Cause was the sharp and biting Oyntment provoking the Nerve and the cold
vehement agitation by reason that respiration is hindered grows hot in those places and being mixed with the Air unequally and difficultly passing to and fro by vehement respiration are forced all frothy into the Mouth VIII The Fit lasts till that malignant and sharp Vapor be altogether discussed and returns again when the depraved matter stirred anew sends forth the same Vapors to the Original of the Nerves The Fit is more or less vehement and does less hurt to the principal Functions according to the quantity and quality of the evil Matter IX Now because this ill and acrimonious Humor is bred in the Brain and because the Fits were frequent and vehement and the Disease of nine Months standing therefore the Cure was difficult but the Strength and Age of the Patient gave great hopes of Cure For being but a Child the very change of Youth out of one Age into another many times effects the Cure as Hippocrates testifies X. The Cure is to be performed either in the Fit or when the Fit is gone off In the Fit Castor green Rue Oyl of Marjoram Amber Nutmegs and the like are to be held to the Nostrils XI When the Fit is past the Original Causes are to be taken away the antecedent Cause to be removed the depraved quality of the containing Cause to be removed and the whole Brain to be corroborated XII Let the Body be gently Purged with two drams of Heira Picra or Diaphaenicon or with one Scruple and a half of Powder of Diacarthamum or an ounce of Purging blew Currans XIII Then let him drink twice or thrice a day a draught of this Decoction ℞ Roots of Male Piony Misletoe Sassafras-wood an ʒvj of Calamus Aromatic Valerian an ℥ s. Herbs Marjoram Rue Calamit Rosmary Vervan Laurel-leaves Flowers of Stoechas an M j. Iuniper-berries ℥ s. Seeds of Anise Wild Carrots Fennel an ʒ j. Seed of Male Piony ʒ iij. Raisins cleased ℥ ij Water q. s. Boil them to an Apozem of lb j. s. Before he drinks this let him take a small quantity of the following Conditement ℞ Spicier Diambr ʒ j. s. Roots of sweet Cane candied Conserves of Anthos Flowers of Sage Betony an ℥ s. Syrup of Stoechas q. s. XIV Sometimes instead of the Apozem he may take a spoonful of this mixture ℞ Epileptic water of Langius ℥ iij. Water of Lime-tree Flowers of the Lilly of the Valleys an ℥ j. Syrup of Stoechas ℥ j. s. XV. Upon his head let him wear this Quilted Cap. ℞ Leaves of Marjarom Rosemary Thime Flowers of Lavender and Red Roses an Two small handfulls Cloves Benjamin an ℈ j. Beat them into a gross Powder XVI Let the Patient be kept in a warm Air his food must be Meats of easie digestion condited with Marjoram Baum Rosemary and other Cephalics His drink must be small his sleep and exercise moderate and his Evacuations regular Raw Fruit Garlick Onyons and Swines Flesh and all other Meats of hard digestion and ill juice are nought HISTORY XVI Of a Catarrh A Man of forty Years of Age of a cold Constitution and one that had long used a cooling and moistning Diet was troubled first with a heavy Pain in his Head with a proclivity to sleep Afterwards he was troubl'd with a vehement Cough sometimes with deafness noise in his Ears Pains in his Neck Teeth Shoulders and other Parts sometimes a most terrible Cough took him not without some difficulty of breathing and danger of Suffocation sometimes he had nauseousness and was molested with troublesome Belchings and Pains in his Stomach under his lower Jaw rose Flegmatic Tumors which fell and vanished soon after his Nostrils were more then usually dry and he spit little He complained also that he felt a continual chilness in the top of his Head and that his Hair was not so moist as it used to be I. HEre is one molested with a Catarrh which is a Preter natural Defluxion of Humors from the Head to the lower Parts II. The remote cause of this Distemper was a cold raw and Flegmatic nourishment which over-cool'd and weakened the Bowels serving to Concoction and bred a great quantity of Excrementitious Flegm which was the anteceding Cause of the Distemper and which being colected and accumulated in the Brain over-cool'd it and thence fell down upon the lower Parts III. This Flegm augmented in the Brain because it had not heat enough to concoct and dissipate so cold and thick a Humor besides that the Passages to the Nostrils and Palate were obstructed IV. This Obstruction happens in the inner Parts of the Head by reason of the viscosity of the Humors stuffing up the narrow Passages for the Evacuation of those Excrements Therefore not able to pass the regular way they flow to the inner Parts of the Ear where they cause Noises Deafness and Pain sometimes to the Larinx and Lungs which causes vehement coughing and danger of Suffocation sometimes to the Stomach and other Parts where they breed several Maladies In the Exterior Parts this Obstruction happens by reason the Pores in the top of the Head are filled with Humors contracted by the External cold and that cold continuing in those refrigerated Parts causes that chilness complained of by the Patient And this cold not only hinders the Passage of the Vapors but condenses them under the Pericranium into a serous and flegmatic Humor which being ill concocted becomes salt and sharp Which for want of dissipation falls down upon the Teeth Neck Shoulders c. and causes those Pains complained of V. That the ordinary Passages were obstructed is apparent from the driness of the Patients Nostrils and Hair and because he spit so little VI. This Affection is not a little dangerous in regard the Symptoms that attend it may bring a Man into a Consumption and breed occult and dangerous Apostems in the inner Parts VII In the Method of the Cure the Body must be Purged twice or thrice with Pill Chochiae Powder of Diaturbith or Diacarthamum or such a draught as this ℞ Leaves of Senna ʒiij White Agaric ʒ j. s. Anise-seed ʒ j. Choice Cinnamon white Ginger an ℈ s. Decoction of Barley q. s. Infuse them then add to the straining Elect. Hiera Picra ʒ j. Diaphoenicon ʒ ij VIII Then the Brain is to be dried and strengthened with the following Apozem ℞ Roots of Acorus Fennel an ʒ vj Galangal ʒ iij. Herbs Marjoram Betony Thime Rosemary Baum Calamint an M. j. Laurel-leaves Flowers of Stoechados an M. s. Seeds of Anise Fennel an ʒ ij Laurel-berrys ʒ s. Water and Wine equal Parts Boyl them to an Apozem of lbj s. Of which let him take three or four draughts a day IX Noon and Night after Meals let him take a small quantity of this Conditement ℞ Specier Diambr Diamosch Diagalanga an ʒ s. Conserve of Anthos red Roses an ʒvj Candv'd Roots of Acorus ʒiij Syrup of Stoechas q. s. X. While he follows this course Masticatories and Errhines may be used
Tragacanth or the white of an Egg to be form'd into a slat Cake and sowed up in a silk Bag and hanged about the Patients Neck XV. While these things are doing give him sometimes a Draught of this Decoction â„ž Roots of Tormentil greater Consound Snake-weed an Ê’vj Knotgrass Pimpernel Plantain Shepherds Purse Sanicle Purslain an M. j. red Roses M. s. White Poppy Seed Ê’v Seeds of Quinces and Lettice an Ê’j s. Raisins of the Sun â„¥ ij Water q. s. Boil them into an Apozem of lbj s. to which add Syrup of Quinces and Sowre Pomegranates an â„¥ j. s. XVI Now and then let him take a small quantity of this Conditement â„ž Trochischs of seal'd Earth ℈ ij Pulp of Quinces Conserve of red Roses an Ê’vj Syrup of Poppy Rheas q. s. XVII If these things will not stay the Bleeding clap a Cupping-glass with much Flame to both Hypochondriums without Scarification Or else give him fourteen Grains of the Mass of Pill de Cynoglossa or Hounds-tongue reduced into three Pills Or else this Amygdalate â„ž Sweet Almonds peel'd â„¥ j. The four greater Cold Seeds Ê’j White Poppy Seed Ê’iij Decoction of Barley q. s. Make an Emulsion of lb s. To which add Syrup of Poppy Ê’j s. Sugar q. s. Mix them for two Doses XVIII Avoid a cold and dry Air and a very light Being Observe a cooling and thickning Diet and drink small Drink Abstain from Exercise nor cover the Body too hot sleep long and keep the Belly Soluble HISTORY X. Of the Pose or Murr and Loss of Smelling A Gentleman about thirty years of Age was wont to snuff up Powder of Tobacco into his Nostrils which caused him to sneeze At length being taken with the Pose or Murr yet he continued his Powder of Tobacco which he took three or four times a day which made him void a great quantity of flegmatic Humors through his Nostrils and Palate however his Murr encreased to that degree that he quite lost his Sense of Smelling And then his Sneezing brought away little or no Matter I. THis Gentleman lost his Smell by reason of that Pose which is a cold and flegmatic Distillation from the Ventricles of the Brain and falling into the Ethmoides Bone and the Membranes belonging to it II. This flegmatic Matter by reason of the Gentlemans frequent Sneezing and Contractions of the Membranes of the Brain and consequently the streightnings of the Pores and Detentions of the Vapors was copiously collected in the Ventricles of the Brain and expelled down to the Ethmoides Bone The diminutive Holes of which when it was not able to pass it so obstructed that no Odor could come to the inner Parts of the Nostrils which caused the Loss of the Smell III. Because this Pose which hinders the Smell continued long the Cure proves the more difficult IV. After due Evacuation of the Body care is to be taken of the Head which is to be corroborated with hot Cephalics given in Apozems Conditements Powders c. the better to attenuate and discuss the Vapors ascending thither V. To open the Pores Frictions of the Head and Fomentations with hot and opening cephalic Decoctions After which put on a dry Quilt of the same Cephalics upon the Head of the Party VI. Put up into the Nostrils such things as are proper to cut and attenuate thick Humors as â—…amphire Vinegar of Squills and Root of wild Radish bruised VII Let him continue the Use of these things for some time which if they prove ineffectual the only way will be to make an Issue in the Neck VIII Let his Food and Drink be condited and intermixed with hot Cephalics and let him feed sparingly Let his Sleep and Exercise be moderate and let him be sure to keep his Body open HISTORY XXII Of the Tooth-Ach A Young Lad about fifteen years of age of a flegmatic Temper having after hard Exercise exposed himself bare-headed to the cold Air and the Wind was taken with a most terrible Pain in his Teeth upon the Left-side which extended it self to the innermost and upper Parts of the Head There was no Swelling in the Gums of the the out-side of the Cheek no Redness or Inflammation only out of one of his Hollow Grinders he felt a certain serous salt sharp Humor distil as cold as Ice I. THis Malady is by the Physicians called Odontalgia or the Tooth-ach II. The anteceding Cause was flegmatic and cold Humors gathered in the Body which by the Heat of Exercise being attenuated into Vapors and carried to the Head and there not only detained by the External Cold shutting up the Pores but also being condensed into a scrous saâ—…t and sharp Liquor and not able to pass through the Passages appointed for the Evacuation of the Excrements of the Brain fell upon the Jaw-teeth on the Left-side and there caused a most cruel Pain III. That this is a salt serous cold Humor the Patient himself finds by the Taste of the Drops that distil out of his Teeth into his Mouth IV. The Pain proceeds from hence because the little Nerve inserted into the Cavity of each grinding Tooth together with the Periostium that surrounds every Cavity is corroded by the sharp Humor and vexed by the extraordinary Cold of it V. The Pain extends it self upward to the inner parts of the Head because the little Nerves of the Teeth inserted in the Cavities are Branches of the third and sixth Pair No wonder then that those Nerves being grieved carry the Pain to the inner Parts of the Head besides that 't is very probable that that same sharp and salt Humor falls down to the Teeth all the whole length of those Nerves through the Holes of the Cranium from whence those Nerves issue forth and so not only the Particles which are inserted into the Roots of the Teeth but the whole Nerves from the Cranium to the Teeth are infested with that Humor VI. There was no Tumor in the outer Part of the Jaw because the Humor which caused the Flux did not abound in quantity but was only sharp and very little Nor was there any Swelling in the Gums because the Humor did not stay therein but issued out from the hollow grinding Teeth VII Neither was there any Redness or Inflammation in the Gums or Jaw for though the Humor were sharp yet it was actually and potentially cold so that it could not breed any Inflammation or hot Distemper VIII This Pain is not to be contemned for that being so terrible as it is and causing continual want of Sleep and Commotion of the Humors and Spirits it may produce Deliriums Convulsions and continual Fevers IX In the Cure the Anteceding Cause is to be taken away then the Containing and the Original is to be removed the Pain to be asswaged and the Head to be corroborated X. Let the Body be purged with one Dram of Powder of Diaturbith or Diacarthamum or with these Pills â„ž Mass of Pill Cochiae Golden Pills an
the Mouth II. That there was a great quantity of Choler was apparent from the yellow and green Colour of the Excrements III. The Milk was curdled in the Stomach by reason of the Acrimony of the Choler and the Crudities there bred It was vomited up curdled because Nature being oppress'd with that and other crude Humors and provoked by the Acrimony endeavoured as much as it could to cast of that Molestation by vomiting IV. There was no Fever because the Choler was not yet corrupted nor was carried to the Vena Cava but as yet was voided sufficiently upwards and downwards V. The Infant could suck no longer because the Pain of the Pustles was exasperated by sucking But it desired the Breast to allay the Heat of the Mouth with the Moisture of the Milk VI. These Aphties newly come and without a Fever are easily cured but being delayed there may be danger of a more deep and fatal Exulceration and that a Flux of the Belly and Fever will ensue upon Corruption of the Choler VII In the Cure the Nurse is chiefly to be considered who by reason of her choleric Constitution breeds sharper Milk than the Infant is able to concoct Then the Infant it self is to be considered VIII Therefore the Nurse is to be purged more than once or twice with Choler-purging Medicaments next to be let Blood And some refrigerating Apozem to be given her of Succory Endive Lettice Borage Sorrel Tamarinds the four greater Cold seeds and the like Also steep three drams of Rhubarb ty'd up in a linnen Rag in a pint of small Ale and let her drink it twice or thrice a Week which will not only purge her but the Child IX Let her Meat be condited with Barley cleansed Endive Lettice Asparagus Pomâ—…citrons Cherries red Currants c. Let her forbear Onions Radishes Mustard Spices and all hot things as Honey and Sugar Her Drink must also be small avoiding Wine Mead and all hot and windy Drinks X. Wash the Infants Mouth often with Syrup of Mulberries and Quinces or of dry Roses or sower Pomegranates c. Also give it in a Spoon some thin Broth or Panada wherein Currans have been boiled till they break with a little Sugar XI If these things avail not the Nurse must be changed and one more proper for the Constitution of the Infant must be sought out HISTORY XXIV Of the Tumor breeding under the Tongue called Ranula A Woman about thirty years of age accustomed to feed upon a flegmatic Diet complained of a great Impediment in her Speech otherwise every way healthy Under her Tongue appeared a soft loose indolent Tumor of the same Colour with the Membranes under the Tongue full of Blackish Veins manifestly distinguished at the String of the Tongue into the Right and Left Part on both sides about the bigness of a Nutmeg and rising in height above the Teeth and by filling the Mouth forcing up the Tongue to the Palate and so not only hindring the Speech but incommoding the Act of Swallowing This Tumor at first no bigger than a Tare grew bigger and bigger every day so that in three or four weeks it swelled to the bigness aforesaid and the Patient not without reason was afraid of a Suffocation I. THis Disease by the Greeks is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latins Ranula either because it somewhat resembles a Frog or rather because they that are troubled with it instead of speaking are forced to croak like Frogs II. This Ranula is a soft and loose Tumor gathered under the Tongue and divided at the Bridle of the Tongue into a Right and Left Part. III. The Extremities of the Salival Channels lying hid under the Tongue are affected in this Distemper which together with the Membrane of the Tongue that rests upon them are distended by the Spittle or thicker Slime and hence become so big IV. Now why they swell'd in this Woman more now than at other times was because of the cooling Aliments to which she had long accustomed her self which had bred a more copious crude and viscous Flegm which partly falling upon the Salival Channels and not being able to pass the Pores of the Frogresembling Kernels augmented within them and distending them with it abundance formed a soft Swelling as it were cohering into two Bladders and distinguished by the Bridle of the Tongue V. Without doubt this Tumor was not a little augmented because the extream Pores of those Channels and Kernels were also obstructed by some external Cause as washing the Mouth with cold Water or astringent Meats and Drinks by which means the Spittle had not free Passage VI. The Humor was soft and loose by reason of the Humor contained therein Indolent because it lies in a moist Part where by reason of the small quantity of Nerves which it receives the Feeling is very obtuse It is of the same Colour with the rest of the Membranes because there is no Inflammation to dye it of another Colour And it was augmented in a small time because the Passage of the Salival Slime was obstructed VII The Danger of this Distemper is not great if taken in time otherwise there may be some fear of a Suffocation VIII Such a Patient must be purged every fifth or sixth day with Pill Cochiae or Golden Pills Diaphoenicon Hiera Picra Diacarthamum Infusion of Agaric or any other Flegm purging Medicine IX To abate the quantity of Flegm and hinder the Generation of it between the days of purging Apozems of the Roots of Elecampane Acorus Calamint Fennel Thyme Rosemary Marjoram Hyssop Wind-expelling Seeds c. and Conditments and Powders of the same to strengthen the Bowels X. And at the same time Topics may be applied to cut and attenuate the viscous Humor and open the Pores of the Salival Channels XI The Patient also may wash her Mouth with this Decoction â„ž Hyssop Calamint Marjoram Flowers of Camomil an M. j. Anise and Fennel-seed Ê’iij White-wine q. s. Boil them to lbj To the Straining add Syrup of Hore-hound and Hyssop an Ê’vj XII After washing let the Ranulae be rubbed with this Powder â„ž Dry Hyssop Common Salt an Ê’ij Calamint and Root of Elecampane an Ê’j for a Powder XIII If these things will not discuss the Tumor it must be Chyrurgions Work to cut the Tumor athwart with a deep Incision and bring out the Matter therein contained and then to wash the Mouth with the aforesaid Water or some other Astringent wherein you may mix a little Allum XIV If after Consolidation of the Wound the Tumor return again then make a Cross-like Incision upon the Superficies without hurting the inner Membrane and separating the upper Pellicle that lies upon it lay bare the whole Vesicle on both sides the Bridle of the Tongue and cut it out as deep as may be and then close up the Wound Otherwise you may take away the Vesicle by a potential or actual Cautery Neither is there any danger of any
Liniment â„ž Oyl of Lawrel Camomil Matiate Oyntment an â„¥ s. Oyl of Nutmegs pressed Ê’ j. s. XVIII If these things avail not in three or four the most swelled places of the Head make a small Perforation in the Skin with a little Lance no wider then is usual in Blood-letting that the Serum may distill by degrees through those little holes which is to be dried up with warm Rags till it ceases to flow then lay the afore mentioned Quilt XIX These Children must have drier Diet then ordinary as Biscuit masticated Little bits of White-bread moistened in the Decoction of Raisins or Hen-broath and sweetened with a little Cinnamon or Sugar Let him have thin Broths made with Wheat-flowre and Decoction of Raisins to which add a little Wine Let him often drink Almond-Milk with a little Cinnamon-water Let him abstain from Sowre Milk Whey Ale Fruit unless now and then a Baked Apple or Pear Let him sleep moderately and keep his Body soluble and regular in his Evacuations THE CURES OF THE Chief Diseases Of the whole CHEST WITH TEN CASES OF THE PATIENTS HISTORY I. Of the Pleurisie A Young Gentleman of twenty four Years of Age having over-heated himself in the Tennis-Court and being very dry drank a large Draught of cold Ale Upon this he felt a Pain in the left side of his Chest which within half an hour grew so acute that through the trouble and the intolerable Pain he could hardly breath At the same time he had a strong Fever and a dry Cough which very much exasperated the Pain But neither his Faintness nor his Thirst was very great I. VArious Parts were affected in this Patient the Pleura Membrane the Muscles of the Misopleuron and the Heart and consequently the whole Body II. The Diseases called the Pleurisie which is an Inflammation of the Pleura Membrane and the Muscles of the Mesopleuron accompanied with a Pricking Pain in the Side difficulty of Breathing and a continued Fever III. That it is a Disease appears by the pricking Pain difficulty of Breathing and the continued Fever that it is no Inflammation of the Lungs the pricking Pain declares which never is felt in that Distemper That it is no Tumor Inflammation or other Pain in the Spleen appears from the sharpness of the Pain above the Diaphragma toward the Arm-pits and the difficulty of Breathing IV. The anteceding Cause was the great quantity of Blood in the Body The Original Causes vehement Exercises and pouring down cold Ale just after it The containing Cause is the over-large quantity of Blood contained in the Pleura Membrane and the Mesopleuron Muscles inflamed and corrupted V. The whole Body was over-heated by Exercise whence a strong and swift Pulâ—…e of the Heart which attenuating the Blood forced it in great quantity to all the Parts which so long as it had a free return through the Veins never occasioned any trouble But being thickened by the cold Ale in the Veins of the Left side of the Pleura and the Veins themselves thereby contracted it came to pass that more past through the Arteries then could circulate through the Veins which caused that accumulation of Blood that bred that Tumor in the Pleura and because the Blood that flows from the Heart has its own heat thence with the increase of the Blood the heat encreased and thence the Inflammation which caused the Putrefaction Part of which putrifying Blood being carried through the Intercostal Veins to the hollow Vein and so to the Heart caused the continued Fever which however is only Symtomatical as only arising from the Putrifaction of the Inflamed Part poured fourth into the larger Vessels VI. Now in regard the Ribs must be dilated in Respiration but by reason of the Tumid Inflammation of the distention of the Pleura Membrane and Mesopleuron Muscles they can hardly be dilated thence difficulty of Breathing which is the more troublesome because the Pleura being ended with a most acute Sense can endure no farther distention So that the Patient to avoid the Pain breaths slowly which not being enough to cool the Lungs causes a Drought of the Chaps and Mouth VII Sharp Vapors exhaling from the inflamed Part infest the neighbouring Lungs and by their vellicating the Aspera Arteria cause a dry Cough VIII This Disease is dangerous in regard the Heart is affected and Respiration is impeded besides the fear of an Imposthume in the Breast IX In the prosecution of the Cure Blood-letting is first to be done in both Arms and the Patient must bleed freely And if the first bleeding do not relieve the Patient it is to be again repeated within an hour or two after a third time if need require with regard to the strength of the Patient though a small debilitation is not to be feared X. In the mean time his Belly must be mov'd with a Glister â„ž Emollient Decoction â„¥ x. Elect. Diacatholicon Diaprunum Solutive an â„¥ j. Salt Ê’ j. Or else infuse two drams of Rubarb in Barley-water and give him to drink the streining with one ounce of Syrup of Succory with Rubarb or Solutive Rosatum Stronger Purges must be avoided XI He may also three or four times aday drink a draught of this Apozem â„ž Cleansed Barley Roots of Asparagus Grass an â„¥ j. Licorâ—…ce sliced â„¥ s. Venus-hair Borage Lettice Endive Violet-leaves an M. j. Flowers of Wild-Poppy Violets an P. ij Four great Colder Seeds an Ê’ j. s. Blew Currans â„¥ j. Water q. s. Make an Apozem of lb j. s. with which mix Syrup of Poppy Rheas and Violets an â„¥ j. To allay the Cough let him take this Looch â„ž Syrup of Wild-Poppy of Venus-hair of Violets an â„¥ j. Mix them for a Looch To allay the Pain and to attenuate discuss and Concoct the Blood collected in the affected Part Foment the Region of the affected Part with this Fomentation â„ž Mallows Althea Colewort Chervile Beats Violet-leaves Flowers of Camomil Elder and Dill an M. j. Water q. s. Make a Decoction to 〈◊〉 i j. For a Fomentation Of the same may be composed a Cataplasm by adding Meal of Lin-seed and Barley Oyl of Almonds and new Butter XIV Let him keep a Temperate Diet and of easie digestion Cream of Ptisan Chicken-broths prepared with Endive and Lettice or else let him take some such Amygdalate â„ž Sweet Almons blanched â„¥ ij Four great Colder Seeds White Poppy Seed an Ê’j s. Decoction of Barley q. s. Make an Emulsion of lb j. with Sugar q. s. to sweeten it gently His ordinary Drink must be Ptsan or small Ale but not Sowre or such a Julep â„ž Decoction of Barley lb j. Syrup of Wild Poppy and Violets an â„¥ j. Mixt them for a Iulep Let him sleep long if possible and use no Exercise HISTORY II. Of an Empyema A Person about forty Years of Age being seized with a terrible Pleurisie in his left side and not having any Remedies applied to him before the third day found little ease so that
brought up a great quantity of tough and viscous Slime which sometimes tasted saltish he Cought very much after Meals insomuch that through the violent Agitation of his Stomach he brought up all he had eaten with a great Pain in his Breast and Abdomen After Vomiting his Cough ceased he never spit Blood he had no Fever however his Body fell away and his strength wasted yet not so but that he still went abroad about his business Somtimes he was very Loose His Appetite held indifferent good and he slept moderately well I. THE Lungs of this Person were chiefly affected then the Stomach and several other Parts of the Body suffered under the violent Agitation of the Cough II. This Malady is called Tusis or a Cough which is a violent forcing of the Breath caused by a swift Contraction of the Breast and Lungs whereby what is troublesome to the Instruments of Breathing is expelled by 〈◊〉 force of thein-breath'd Air. III. This Malady needs no signs to discover it IV. The anteceding Cause of this Distempet is a Cold and Flegmatic disposition of the Air contracted by bad Diet. The Original Cause was Heats and Colds violent and unseasonable Exercise The containing Cause is Flegm in the Lungs either by Defluction or Collection partly twiching them with its Acrimony partly obstructing the Bronchia with its great quantity V. Cold Diet and of hard digestion bred Crudities and many saltish Humors which for want of Concoction became Acrimonious The Brain was refrigerated by the cold â—…empestous Weather and the Pores of the outward Head obstructed so that the Flegmatic serous Vapors ascending from the lower Parts soon condensed in the Ventricles of the refrigerated Brain which not being able to pass through the obstructed Pores caused first a Pose Afterwards the fiercer Cold of Winter encreasing the quantity of those Humors they being debarr'd their usual Passages by reason of their thickness fell upon the Aspera Arteria and Gristles of the Lungs and hinder Rispiration and the Acrimony of those Humors farther molesting the Pellicle of the Aspera Arteria and Bronâ—…hia enforces those Parts to a violent Exclusion of the provoking Humors VI. This Cough had lasted long for want of care of Diet and taking Remedies whence a frequent defluxion of Catarhs to the Breast the Cold of which in time much refrigerated and weakned the Lungs so that Vapors rising from the lower Parts and stopping in the Lungs were easily condensed into a Viscous liquor that stopped up the Channels of the Lungs and stuck like Bird-lime to the sides of the Bronchia which caused that violence of Coughing to shake off that tenaoious Matter VII The Cough was longer and more vehement and threw off much more tenacious Flegm in regard the Flegmatic Humors that had been gathering together all day and night about the beginning of the day abounded in so great a quantiâ—…y that they could no longer be contained in the Head but falling down upon the Lungs and tickling the Bronchia not only with their Acrimony provoked the Cough but more plentifully filling the Bronchia contracted by the Vapors condensed within them and thence hindring Respiration irritated the Cough as being that by which Nature endeavoured to throw off the trouble VIII The Cough increased after Meals because the Vapors being raised by the swallowed Nourishment and endued with some Acrimony fell upon the Lungs and there condensed stick to the refrigerated Bronchia and tickling the sensible inner Tunicle both of them and the Aspera Arteria already prepared to ease Provacation by the former Humors exasperate the Cough through the violent Agitation whereof and Compression of the Muscles of the Abdomen the Stomach throws up all again upon which the Cough ceases for a time because there is nothing in the Stomach from whence any more sharp Vapors can ascend to the Lungs IX And by reason of the same violent Motion and over frequent distension of the Muscles some Pain is felt in the Breast and Abdomen And that Compression forcing the Meat and Drink unconcocted out of the Stomach causes a violent Loosness and dejection of the Nourishment X. There is no Fever because there is no Putrefaction of the Humor but the Body is emaciated and becomes very weak because the violent concussion of the Cough weakens all the Parts of the Body nor are they able to receive or retain the Alimentary Blood flowing through the Arteries sometimes loose sometimes compressed as they ought to do 2. Because that violent Agitation expells the Nourishment received before due Concoction by which means all the Parts of the Body are deprived of their due Nourishment and consequently must be very much weakned XI The appetite continues because the Stomach is in good order undisturbed by the Catarrhs the disturbance of its Concoction being only accidental XII He sleeps moderately because the Flegmatic humor falls not in the Night from the Head to the Breast besides that the rapid Motion of the Animal Spirits to the Organs of the Senses is for a while restrained by the Cold and Plenty of the Humors so that the Organs are at rest for a while for want of copious Spirits XIII Such a Cough as this threatens great danger by reason of the Saltness of the Catarrhs the Acrimony whereof in some Veins in the Lungs may be easily corroded and broken thence Spitting of Blood and Exulcerations Beside that the Cure is difficult by reason the cold ill Temper of the Brain and Lungs is of a long standing not easie to be removed XIV In the Method of the Cure 1. The vehemency of the Cough and the Acrimony of the Catarrhs is to be allay'd 2. The Teâ—…acity of the Spittle is to be attenuated concocted and brought to Maturation 3. The cold ill temper of the Lungs and Head is to be amended and the Parts to be Coroborated 4. The falling down of the Catarrhs to the Lungs is to be prevented XV. After Purgation with Chochiâ—… Pills or Golden Pills Electuary of Hiera Picra or Diaphâ—…con c. this Apozem is to be prescribed â„ž Roots of Elecampane Acorus Florence Orrice an â„¥ s. sliced Licorice Barley cleansed an â„¥ vj. Scabious Venus Hair White Hore-hound Betony Coltsfoot an M j. Oak of Jerusalem M. s. Iuniper-berrys â„¥ s. Seeds of Anise and Fennel an Ê’ ij Fat Figs No. ix Raisins cleansed â„¥ ij Water q. s. Boil them to lb j s. Add to the straining Syrup of Stoechas Horehound Oxymel Pectoral Magistral an â„¥ j. Mix them for an Apozem To which you may afterwards add for the swifter Consumption of the Flegm Sassaperil Sassafras and China-root Also the Patient may make use of this Looch â„ž Syrup of Hyssop Horehound Oxymel Magistral an â„¥ j. Syrup of Stoechas â„¥ s. Instead of which he may now and then take one of these Tablets â„ž Powder of the Root of Elecampane ℈ j. Florence Orice ℈ ij Licorice Ê’ j. Saffron gr xiv Sugar dissolved in Fennel-water â„¥ ij XVI If
after all the Cough still remain give him this Bolus twice a week as he goes to Bed â„ž Philonium Romanum Nicholas's Rest Mithridate of Damocrates an ℈ j. Mix them for a Bolus At other times let him use his Apozenâ—… and Tablets XVII To corroborate his Head let him wear this Cap. â„ž Leaves of Marjoram Rosemary P ij Flowers of Red Roses and Lavender an P. j. Nutmeg Benjamin Cloves an ℈ ij Beat them into a gross Powder for a Quilt XVIII If after all this there be no abatement of the Catarrh and Cough then to divert and evacuate the flowing humour make an Issue in the Arm or rather in the Neck XIX Let him keep his Head and Breast warm against the Injuries of the cold and moist Air. Let his Diet be of easie Digestion and good Nourishment seasoned with Turneps Chervil Hyslop Marjoram Betony Baum Rice Barley cleansed Spices Raisins Sugar and such like Ingredients Let his drink be middling not stale Hydromel anchosated or sweet Wine moderately taken and let him avoid all acid sharp salt and sowre things Let him be moderate in his Sleep and Exercise and take care to keep his Body open HISTORY IV. Of an Asthma A Young Man thirty years of age of a strong Constitution but careless of his Diet and living a sedentary Life some years ago having overheated himself with Walking and presently opening his Breast and throwing aside his Cloaths fell a drinking cold Rhenish-Wine and presently was taken with a Difficulty of Breathing which made him pant and heave and the next day the Malady still increasing he was in such a Condition that the third Day he could not breath unless he stood upright so that for fourteen Days he could not lye in his Bed but was forced to sit or stand whole Days and Nights together but he was more troubled in the Night than Day time After a little Cough happening which brought up a good quantity of tough and viscous Flegm his difficulty of Breathing abated and he recovered his former Condition From that time forward he was often afflicted with the same Distemper by Intervals sometimes more sometimes fewer Days together more especially if he exposed himself to the Air when very hot or drank cold Rhenish and this he further observed that when the North-wind blew he was presently seized with this Distemper unless he had a great Care of himself and that rather in the Summer and Autumn than in the Winter During this Malady his Stomach was indifferent but he could hardly eat for narrowness of the Parts and after Meals his Difficulty of Breathing grew worse He had a great Inclination to Sleep but no sooner had he closed his Eyes but he waked with Terror and Faintness so that during the Fit he could not sleep for some Days and Nights together His Belly and Breast seemed to be distended by Wind sometimes he felt a heavy Pain in his Head with a Chilliness in the hinder Part toward the Neck And about this time he had another terrible Fit not without danger of Suffocation He had no Fever nor complained of any Pain in any other Parts of the Body I. THis Mans Distemper is an Asthma which is a difficult panting and heaving Respiration and it was indeed the highest degree of this Distemper which we call Orthophnaea which is an extraordinary Difficulty of Breathing in which the Patients cannot sleep but standing upright becuse of the Narrowness of the Respiratory Parts II. The antecedent Causes of this Distemper were flegmatic Humors abounding in the Body The Original Causes were Heat and Cold. The containing Cause is a tough and viscous Humor accumulated in the Bronchia of the Lungs and fastned to them III. The flegmatic Constitution of the whole Body causes a Redundancy of cold crude and flegmatic Humors therein Especially in those Parts which being cold of themselves are over-chill'd by some external Cause so that the Body being overheated by viblent Exercise the Blood and Humors are more swiftly moved and many Vapors excited in the lower Parts which by a sudden Cold are condensed and collected in the Brain in greater quantity But in regard the Bronchia are cold of themselves and more refrigerated by the Cold of the In-breath'd Air they fasten to them like a tough Bird-lime and contracting them cause difficulty of breathing To which the Access of a Defluxion from the Brain causes a greater Contraction consequently a greater Difficulty of breathing attended with Wheezing Nor can the Patient breath but standing upright the Lungs being pendulous are most easily dilated in that Posture and the Bronchia are more open in that Situation IV. The Distemper is still worse toward Night because the nocturnal Cold thickens the Flegmatic Humors and renders them more tenacious by which means they become more obstructive to the Bronchia V. At length when the tenacious Matter is abated and thrown off by coughing then the Obstruction of the Bronchia abates and the Difficulty of breathing ceases till the condensing and falling down of new Vapors VI. Which was plain because the North-wind was so hurtful to him the reason of which was because that Wind streightned the Pores condensed the Humors and Vapors and chill'd the Head and Lungs And because the Body is hotter and raises the Vapors more copious in the Summer therefore the sudden Chilliness of that Wind more suddenly condenses and fastens them to the colder Bronchia VII The Stomach of the Patient continued good because neither the inbreathed Air nor the Defluxions from the Head offended the Stomach But the Difficulty of breathing was worse after Meals by reason of the Vapors raised by the Concoction of the Stomach which ascending to the middle and upper Belly are condensed in both and in the one fasten themselves to the Bronchia VIII He cannot sleep because he is forced to satisfie the Necessity of Respiration in the Dilatation of the Breast which failing in Sleep and consequently Respiration he is waked with Terror and Faintness and compelled to wake that he may breath and to breath with violence that he may live IX The Belly and Breast seem to be distended by Wind though it be not Wind but the continual and copious Flux of the Animal Spirits for the Relief of the Lungs which distends the Respiratory Muscles which makes him think they are distended with Wind. X. The heavy Pain in his Head proceeds from the abundance of Cold Humors collected in his Head And thence that Chilliness in the hinder part of it XI There was no Fever in regard that neither the Blood nor Humors were corrupted Nor Pain in any other Part the sharp Humors being all got together in the Head and Lungs of this Patient XII This Disease is dangerous as threatning a Suffocation especially iâ—… a new Defluxion fall from the Head upon the Lungs during the Continuance of the Malady XIII In the Method of Cure to the containing Cause must be removed that obstructs the Lungs
which insinuates it self and its Vapors into the spungy Substance of the Cheeks besides that there is a hot Exhalation from the inflam'd Lungs themselves with which fierce Vapors break forth out of the Chaps and lighting within the Mouth into the Cheeks make them much hotter and encrease the Redness VIII The continued Fever proceeds from the Blood putrifying in the Lungs and communicated continually to the Heart which did not appear at first till after three hours that the Blood being encreased in quantity and heat began to putrifie and be inflamed and then the Mouth became dry by reason of the fervid Exhalations drying the inside of the Mouth The Pulse was strong and thick by reason of the quantity and heat of the Blood Unequal because of the unequal Mixture of the putrid Particles sometimes more sometimes less communicated to the Heart IX At the beginning of the Fever the Difficulty of breathing encreased almost to Suffocation because of the greater quantity of Blood forced into the Heart by stronger Pustles partly because the Blood now putrifying and boiling in the Lungs wants more room and therefore causes a greater Compression and Contraction of the Bronchia X. The Pain in the Head is caused by the sharp Humors caused by the Wine excessively drank and vellicating the Membranes of the Brain partly by the hot Blood and its sharp Exhalation forced by the Motion of the Heart into the same Membranes somewhat chill'd by the Cold of the Nocturnal Air. XI This Disease is very dangerous by reason of the Difficulty of breathing and the Excess of the Fever Besides that the Bowel is affected which is next the Heart and without the use of which it cannot subsist XII Therefore in the Method of Cure a Vein is first to be opened in the Arm and a good quantity of Blood to be taken away and the same Bleeding to be repeated twice or thrice if need require which though it weaken the Party yet it is better he should be cured weak than die strong XIII In the mean time let his Belly be moved with some ordinary Glister as the Infusion of Rhubarb Syrup of Roses solutive Succhory with Rheon Decoction of Pruens or solutive Electuary Diaprunum or some such gentle Purgatives for stronger must be avoided XIV To quench his Thirst give him some such Julep ℞ Decoction of Barley lbj. s. Syrup of Poppy Rheas of Violets Pale Roses an ℥ j. XV. This Apozem may be prescribed to take of it three or four times a day ℞ Roots of Succory Colts-foot Asparagus Grass an ℥ j. Sliced Licorice ℥ s. Violet-leaves Endive Coltsfoot Lettice Venus Hair Borage an M. j. Flowers of Poppy Rheas p. ij Four greater Cold Seeds an ʒj Blew Currans ℥ j. Water q. s. Boyl them to lbj. s. Then add to the Straining Syrup of Poppy Rheas of Violets and pale Rases an ℥ j. For an Apozem Of the same Syrups equally mixt with a little Saffron added may be made a Looch to alleviate the Cough XVI If the Inflamation come to maturation which will appear by the purulent Spittle and the Diminution of the Fever then first let him take abstergent Apozems of Elecampane Horehound Hyssop Scabious c. also Looches of Syrup of Venus Hair Horehound Hyssop c. And when the Ulcer is sufficiently cleansed then come to Consolidation XVII Let the Patients Diet be Cream of Barley Chicken and Mutton Broth with cleansed Barley blew Currans Endive Lettice Damask Pruens and such like Ingredients boiled therein or Almond Milk For his Drink small Ale or the aforesaid Julep HISTORY VII Of Spitting Blood A Lusty Young Man accustomed to a salt hard and sharp Diet having many times exposed himself bare Headed to the Cold of the Winter Air and thence contracted first a terrible Pose with a heavy Pain in his Head was after molested with a violent Cough caused by sharp Catarrhs descending upon his Breast that brought him to spit up a great quantity of Blood and that not without some pain At first a Physitian being sent for let him Blood in the Arm and took away a good quantity which appeared cold very thin and ill coloured and something but very little coagulated the Blood-letting stopped his spitting of Blood for two days but afterwards it returned again His Appetite failed him and his strength decay'd but he had no Fever I. THE Primary Malady that afflicted this Man is called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latines Sanguinis Sputum or spitting of Blood II. In general it is a Symptom of Excrements flowing from the Lungs and the Vessels belonging to it but the Disease which follows that Symptom is a Solution of the Continuum III. The Part Primarily affected is the Lungs with it's Vessels which appears by the Cough and the Blood spit out with the Cough which comes away without Pain because of the little sence of Feeling in the Lungs The Pose and falling down of the Catarrhs shew the Head to be affected in like manner Secundarily and the other Parts suffer nothing but only as they are wearied by the violence of the Cough and weakened by that and the Evacuation of the Blood IV. The anteceding Causes are the sharp and crude Humors descending from the Head to the Lungs which vellicating the respiratory Parts by their Acrimony cause a terrible Cough and by their Corrosion a Solution of the Continuum The Original Causes are the External Cold the obstruction of the Pores of the Head and what ever others that cause a Collection of crude Humors or an endeavour to expel them being colected V. Disorderly Diet and ill Food bred a great quantity of bad and sharp Humors in the Body and made the Blood it self thin and sharp hence many sharp Vapors were carry'd to the Head which wont to be evacuated through the usual Passages and Pores which being stopped and contracted by the Cold the Humors likewise condensed with their viscous Slime beset the Spongy-bones of the Nostrils and so caused the Pose which was attended with a heavy Pain in the Head while the detained Humors distended the Membranes of the Brain afterwards descending to the Aspera Arteria and Lungs they induced a violent Cough and Corrosion of the Vessels upon which ensued a Solution of the Continuum while the Vessels were broken and opened by the Violence of the Cough VI. That the Blood abounded with bad and sharp Humors appeared from hence that being let out of the Veins it was thin and ill colored VII This spitting of Blood returned again because that when the opened Vessels are emptied there is some time required before they can be filled again but no sooner are they swelled with more Blood but it bursts out as before VII Now the reason why the Blood stopped for two days after the Blood-leting was because by that Evacuation the Heart was debilitated and the Pustles grew weaker so that less Blood was forced out of the right Ventricle
the Cough Suppuration and an Ulcer followed the Corrosion whence the Purulent matter spit up which became still more and more as the Ulcer increased However as yet it has no ill smell because the Ulcer is not come to that degree of Putrefaction VI. the sleight Fever proceeded from the Humors putrifying about the Ulcer For the Blood forced from the right Ventricle of the Heart cannot but receive some infection from the putrified Humors about the Ulcer and carry it to the left Ventricle where it kindles that Fever which is but sleight because the Putrefaction is not great But continual for that every time the Heart dilates something of that Putrefaction falls into the left Ventricle VII The Nostrils are dry because the Flegmatic humors have found out other Passages to the Breast and none come to the Nostrils VIII The Patient is emaciated because the Blood is corrupted by the putrid Humors continually heated in the Heart and mingled with the Blood which is thereby made unfit for Nourishment and uncapable of Assimulation with the Parts IX The Appetite decays because the Stomach not being nourished with good Blood grows weak and breeds bad Humors besides that the continual and violent Agitation of the Cough destroys the natural Constitution of it so that it is not sensible of that Corosion which begets Hunger neither can it conveniently retain nor concoct the Nourishment received X. By what has been said it is apparent that the Disease is a Consumption the certain Signs of which are Bloody and purulent Spittle a soft and lingring Fever and a wasting of the whole Body XI This Disease is very dangerous 1. Because the Ulcer is in such a Bowel the use of which cannot be spared 2 Because it is in a Spungy part that is not easily consolidated 3. Because attended with a Fever that drys up the whole Body 4. Because there is a great wast and decay of strength 5. Because the Cure of the Ulcer requires rest whereas the Lungs are always in continual Motion 6. Because the Medicaments do not come to the Lungs with their full Vertue but through various Concoctions 7. Because a Fever and an Ulcer require different Remedies XII The Method of Cure requires 1. That the cold ill Temper of the Head be amended the generation of cold Humors and the defluctions of cold Humors and the Cough be prevented and allay'd 2. That the Ulcer be cured and the Fever be remov'd XIII First Therefore the defluction of the Catarrhs is to be diverted from the Breast by Issues in the Neck or Arm. The Head is to be corroborated the redounding cold Humors are to be dry'd up and the obstructed Pores to be opened To which purpose the Temples and Bregma are to be anointed Morning and Evening with Oyl of Rosemary Sage Amber Nutmegs c. Let him also wear a Quilted Cap stuft with Cephalics for some time ℞ Leaves of Marjoram and Rosemary an ʒ j. s. Flowers of Rosemary Lavender Melilot an ʒ j. Nutmegs ℈ ij Cloves Storax an ℈ j. Beat them into a gross Powder for a Quilt XIV The Belly is to be gently moved with Manna or Syrup of Roses Solutive XV. Then to facilitate Excretion of the Spittle with such Remedies as at the same time may heal the Ulcer ℞ Syrup of Venus-hair of Comfrey of dried Roses an ℥ j. Mix them for a Looch Or such kind of Trochischs ℞ Flower of Sulphur Powder of sliced Liconice an ʒ j. Root of Florence Orrice ℈ ij Haly's Powder against a Consumption ʒ iij. Benjamin Saffron an ℈ j. White Sugar ℥ v. With Rose-water q. s. Make them into a Past for Trochischs XVI If the Cough continue very violent add to the Looches a little white Syrup of Poppy Moreover to allay the Cough and recover strength let him frequently take of this Amygdalate ℞ Sweet Almonds blanched ℥ ij s. Four greater Cold Seeds an ʒ j. Seed of white Poppy ʒ iij. Barley water q. s. Make an Emulsion to lb j. To which add Syrup of Popies ʒ ij Sugar of Roses q. s. XVII Afterwards for the more speedy closing the Ulcer use this Conditement ℞ Haly's Powder against a Consumption ʒiij Old Conserve of Red Roses ℥ j. s. Syrup of Comfrey For a Conditement XVIII Let his Food be easie of Digestion and very nutritive as potched Eggs Veal Mutton and Chicken-Broath with cleansed Barley Raisins Rice Almonds Chervil Betony and such like Ingredients also Gellys of the same Flesh. Let him drink Goats Milk Morning and Evening warm from the Udder and not eat after it for some hours Let his Drink be Ptisans sweetned with Sugar of Roses Let him sleep long keep his Body quiet and his Belly solule HISTORY IX Of a Syncope A Man forty Years of Age of a Flegmatic Constitution after he had fed largly upon Lettice Cowcumbers Fruit Whey and such like Diet all the Summer long at length having lost his Stomach became very weak with a kind of sleepiness and numness and a Syncope which often returned if any thing troubled or affrighted him which Syncope held him sometimes half an hour sometimes longer with an extraordinary chillness of the extream parts and much cold Sweat so that the standers by thought him Dead Coming to himself he complained of a Faintness of his Heart and with an Inclination to Vomit voided at the Mouth a great quantity of Mucous Flegm no Fever nor any other Pain I. MAny Parts in this Patient were affected and many times the whole Body but the Fountains of the Disease were the Stomach and Heart whence all the rest proceeded II. The most urging Malady was a thick Syncope which is a very great and Headlong prostration of the Strength proceeding from want of heat and Vital Spirits III. Now that it was a Syncope and no Apoplexy is apparent from the Pulse and Respiration both which cease at the very beginning whereas at the beginning of an Apoplexy they continue for some time IV. The remote cause of this Syncope is disorderly Dyet crude and cold which weakens the Stomach that it cannot perfect Concoction and thence a vast quantity of viscous Flegm which adhering to the upper Orifice of the Stomack begets in that cold and moist Distemper which destroys the Stomach And because there is a great consent between the Stomach and the Heart by means of the Nerves of the sixth Conjugation inserted into the Orifices of the Heart and Pericardium hence the Heart becomes no less languid and fainting sometimes suffers a Syncope For that Flegmatic Blood affords very few Spirits for want of which the strength fails and sometimes is ruin'd altogether V. And not only the Animal but the Vital Actions fail for the Vital Spirits failing in the Heart the Animal fail also in the Brain And the Motion of the Heart failing the Motion of the Brain fails which renders the Body numb'd and sleepy though the Syncope be over VI. In this Syncope the Patient lies like a dead Man
a Swooning Fit VII Therefore a Person thus affected ought never to Travel without a sufficient Provision of strong Wine and Food along with him that he may have his Weapons ready to resist the suddain Invasion of his Enemy VIII Moreover let him be gently Purged with Electuary of Hier a Piora Cochia or Ruffi Pills avoiding strong Purgations or if he be easie to Vomit let him take a Vomit of Asarabacca IX To strengthen the Ventricle and Spleen and mend Concoction let him take this Apozem ℞ Roots of Elecampane Tamarisch Capers an ʒ vj. Galangal ℥ s. Germander Dodder Agrimony Ceterach Baum an M. j. Leaves of Lawrel M. s. Orange Peels ℥ s. Iuniper-berries ʒ vj. Fennel-seed ʒ ij s. Blew Currans ℥ j. s. Water and Wine equal Paris Make an Apozem of lb j. s. To the same purpose also let him take this Conditement ℞ Specier Diambrae Abbots Diarrhodon an ʒ j. Elecampane Roots and Orange Peels Candy'd Conserve of Anthos and Flowers of Sage an ℥ s. Syrup of Elecampane q. s. For a Conditement X. Let his Dyet be of good and easie Nourishment and Digestion Mutton Lamb Veal Pullets and River-fish the Broaths of which must be prepared with Rosemary Betony Anise and Fennel-seed Nutmegs Cloves Wild Carrots c. Let his Drink be clear Ale and middling Wine Moderate Exercise and Sleep HISTORY II. Of a Canine Appetite A Maid about Thirty Years of Age of a Melancholy and somewhat Pensive Disposition accustomed to Salt Acid Sowre smoaked Meats of hard digestion for a whole Year was troubled with an insatiable hunger without Swooning All manner of Victuals she devoured most greedily but drank moderately after it when her Belly was full her hunger never ceased but was somewhat abated After eating she flung up all again which in a short time became so Sowre in her Stomach that the Sowre smell offended the standers by and the Maid her self confess'd that they came up sharper then juice of Limons After that Evacuation she fell to again and then again brought up what she had eaten and day and night she would have done nothing but eat and Vomit had not her Poverty enjoyned her a most troublesome and tedious abstinence in the mean time however she grew very Lean. I. THIS Distemper is called Canina Appetentia or a Cane or Dog-like Appetite Which is an unsatiable Hunger without swooning proceeding from an acid ill Temper of the Inferior Stomach wherein the Nourishment so greedily devoured is presently cast up again and then other Nourishment devoured without any abatement of Hunger II. It differs from a Bulimia for that there is a Prostration of the strength without Vomiting but many times with Swooning in the other there is Vomiting without any signal weakning of the Body III. The Ventricle of this Maid was affected especially in the lower Part. IV. The containing Cause is an acid and viscous Humor bred through the defect of the Spleen and infused in the Ventricle which vellicating the Ventricle with it's acidity causes an insatiable Appetite after all sorts of Nourishment to appease that Vellication Which Nourishment being infected by the Humors with the same acidity causes the Vellication to be more troublesome upon which great plenty of Spirits being determined to the Inferior Fibres of the Ventricle causes a Contraction of the lower Tunicles of the Ventricle and so by the help of the Muscles of the Abdomen a strong Expulsion of the Nourishment received which not being able to dissolve or eject the acid Humor still firmly impacted in the Tunicles of the Ventricle which is rather fomented by the Spleen it happens that the same raging Hunger still continues after Vomiting V. There is no Swooning in this case because there is no great consent between the lower Part of the Ventricle and the Heart and Brain VI. Because this Raging hunger accompany'd with Vomiting hinders due Nutrition and Atrophy and wast of the Natural strength is to be feared VII In the Cure the Body is osten to be Purged with Aloes Hiera Picra Infusion of Agaric and other bitter things and two or three Vomits with Leaves of Asarabacca VIII Then such things are to be prescrib'd which corroborate and cleanse the Ventricle and Spleen and promote Concoction by consuming the acid Crudities such as are prescribed against the Bulimia and the same Dyet must be observed HISTORY III. Of Difficult Concoction of the Ventricle A Certain Person Forty Years of Age accustomed to Salt Smoaked Acid Meats and of hard Digestion after he had struggled with a Quartain Intermitting Ague for Eight Months at length being freed from that slowly recovered strength because his Ventricle difficultly digested the nourishment which it received for that after Meals he was troubled with a great distention in the Region of the Ventricles and Hypochondriums which was eased sometimes by sending forth violent and loud Belches and the fewer of those he sent forth the more he was troubled Sometimes he did not belch at all and then he felt his Meat to fluctuate in his Stomach and the next day he threw it up raw and unconcocted with some relief of his trouble and so he remained free as long as his Stomach was empty but after feeding the same molestation returned His Urine was thick and pale with a copious sediment thick and palish No Fever could be perceived but his Pulse was weak and unequal and his natural strength decay'd I. HERE the Ventricles which performs the first Concoction and Chylification was infected which occasioned a difficult Concection of the Nourishment by the Greeks called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 proceeding from a cold ill Temper of the Ventricle and chylifying Bowels II. Ehe Proximate Cause of this Evil is the unaptness of the Ferment to promote fermentaceous Concoction in the Ventricle by reason the subacid and saltish Particles of it are less fixed and not reduced to that fluxibility and tenuity as to penetrate the Particles of the Aliments stir up the Spirits latent therein and separate them from the thicker mass III. That defect of the Ferment is contracted through the depraved and over-cold disposition of the chylifying Bowels the Liver Spleen and Sweet-bread for which reason they do not sufficiently concoct the Ferment which is to be prepared nor reduce it to a due fluxibility and tenuity but make it over-fix'd and crude which being communicated to the whole Body begets Crudities 1. In the Blood which is therefore difficultly and unequally dilated in the Heart so that few and those thicker both Vital and Animal Spirits are generated whence a decay of Strength and dejection of the Mind 2. In the Salival Kernels of the Chaps and others of the Head where the fermentaceous falival Juice being bred raw and so falling into the Stomach becomes unfit to make a due Fermentation of the Nourishment And the same is to be said of all the other sermentaceous Juices flowing through the Choler-receiving and Pancreatic-Channel into the Duodenum and